By Kevin E. Noonan --
The future is always the undiscovered country. But it tends to be one that people believe they can understand based on what has happened in the past. This is the reason people invest with successful money managers, and why every prospectus carries the disclaimer that "past experience does not ensure future performance." It is also why learned (and not so learned) disquisitions on innovation and innovation policy are so incomplete and unsatisfying -- innovation like the future comes from where we least expect it, both in substance and the people who turn out to be the innovators. As Niels Bohr said, "[p]rediction is very difficult, especially about the future."
But one thing that is predictable is that people will modify their behavior (at least to some extent) to adapt to changing circumstances. One such changing circumstance is the biosimilars provisions of the omnibus health care reform bill enacted into law almost three years ago. As has been discussed here and elsewhere extensively (and won't be repeated here), there are two general provisions to the law: the requirements and procedures for a biosimilar applicant to be granted approval of a biosimilar application (section 7002) and the provisions for litigation between the biosimilar applicant and the reference product sponsor (section 7003). The Food and Drug Administration is charged in large part with determining the requirements and procedures specified broadly by Congress in section 7002. The agency has hinted that it will propose rulemaking and issue guidelines by the end of the year, and these guidelines will not only establish the parameters of the biosimilar pathway but also affect how likely it will be that biosimilar drug manufacturers will apply for approval under the biosimilars provisions (codified under § 351(k) of the Public Health Service Act, codified at 42 U.S.C. § 262(k)) or under other sections (such as a full-blown Biologic License Application under § 505(a) of the Food, Drug and Cosmetics Act, codifed at 21 U.S.C. § 355(a)). These guidelines will also affect the likelihood that the biosimilar applicant will attempt to qualify for interchangeability and the incentives for producing so-called "bio-betters," i.e., biologic molecules having differences in structure and different (preferably improved) biological properties.
The ligation provisions, on the other hand, depend on the existence of patents to protect biologic drugs after expiration of the twelve-year data exclusivity period. Superficially, these provisions are modeled on the Hatch-Waxman regime, insofar as the statute guides how patent infringement litigation will proceed. Superficially is where the resemblance to Hatch-Waxman ends, of course; a significant difference is the absence of an "Orange Book" defining what patents are to be the subject of litigation. In its stead is a complex negotiation protocol by which the parties decide which patents will be the subject of infringement litigation triggered by the filing of a biosimilar application. There has been speculation that the statute was intended to discourage litigation and its labyrinthine, almost Byzantine provisions support this view. It is likely to take at least five years to almost a decade before there is any case law developed enough to test the effectiveness of these provisions.
There is an alternative, however, that may tend to change unpredictably the course of biosimilar development. That alternative is for biologic drug innovators to eschew patenting altogether and thus avoid the possibility of protracted patent infringement litigation under the statute. There are a number of vulnerabilities to patents that claim biologic drugs that are not shared with small molecule drugs and that may make such an approach attractive. Most of these vulnerabilities stem from the greater complexity of biologic drugs; as shown below, biologic drugs have 2-3 orders of magnitude more atoms than small molecule drugs. In addition, biologic drugs are made (generally) in genetically engineered cells that impose their own variabilities (in post-translation modifications such as glycosylation for example) on the processes used to make such drugs. Further, the complexity makes the scope of patent protection on biologic drugs to be less certain than for small molecules, since even small differences in structure (such as the single methylene group that distinguishes valine from isoleucine) may have unpredictable effects on biologic drug structure, biological activity and immunogenicity. As a consequence, broad coverage for even structurally similar species of the same biologic drug are infrequently granted, and even when obtained may be of dubious provenance and reliability.
But this very complexity might be a source of an advantage for a biologic drug innovator not to pursue patent protection. In that case, the incentives for the innovator would be to provide as little information as required by the FDA for biologic drug approval. This would of necessity involve disclosure of how the biologic drug was made and its characterization, but would not include disclosure of the cell itself. Even if the disclosure to the agency included a detailed description of the cells, the transgenes and the methods and conditions for producing the recombinant cells, optimization of the particular cell line should not need to be revealed. And the uncertainty that would produce would provide a clear obstacle to a biosimilar manufacturer that might be a disincentive to trying to readily (i.e., predictably) produce a biosimilar version of a biologic drug.
The benefits of this approach for biologic drug innovators are evident: producing obstacles to the biosimilar applicant (for whom it would be more difficult to produce a biosimilar drug) as well as avoiding biosimilars litigation under the statute. It is unlikely that the Congressional staffers and their patrons intended this result. It is equally unlikely that the promised benefits of biosimilar availability (and the expected massive cost savings, especially to the government) will be achieved were innovators to eschew patenting. But this is yet another consequence of (mis)applying our experience with small molecule drugs and the Hatch-Waxman regime to biosimilars, and another example of the past not reliably informing the future.
In my forthcoming article, "Patents vs. Statutory Exclusivities in Biological Pharmaceuticals - Do We Really Need Both?" (available at http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1874130) I consider this possibility, namely that the statutory exclusivities created under BPCIA could replace patents in the context of biologics. Although this would have been beneficial from a public policy perspective, for the reasons mentioned in the article, I believe that such replacement is unlikely to happen.
Posted by: Dr. Yaniv Heled | December 20, 2011 at 09:34 AM
If not filing patents offers all the benefits described, why would pharma companies patent anything now? They could save themselves time and money not patenting now if there is no downside to being attacked by other innovators. What's the logic at play here from your point of view?
Posted by: bigredbruce | December 20, 2011 at 04:10 PM
"If not filing patents offers all the benefits described, why would pharma companies patent anything now? They could save themselves time and money not patenting now if there is no downside to being attacked by other innovators"
What is missing from teh article is precisely the new mechanism in the AIA that affords this exact course of action: Prior User Rights.
Posted by: Skeptical | December 20, 2011 at 07:00 PM
Dear Big Red:
Pharma companies making small molecule drugs have advantages that make patenting make sense: Orange Book listing, the 30-month stay, etc. This is not the case with biologic drugs.
Posted by: Kevin E. Noonan | December 20, 2011 at 11:57 PM
Dear Skeptical:
Except that PURs are directed to methods. I think the trade secret value with biologics will be with the cell lines.
Posted by: Kevin E. Noonan | December 21, 2011 at 12:00 AM
PUR's are directed to far more than methods.
"with respect to subject matter consisting of a process, or consisting of a machine, manufacture, or composition of matter used in a manufacturing or other commercial process"
The New PUR opens up a whole new ball game.
Posted by: Skeptical | December 21, 2011 at 01:35 AM
Re: Big Red, and Kevin's response: another major impetus for small molecule patenting is that the molecules are readily reverse-engineered, and so trade secrets are of minimal value. Structure determination of a traditional drug is generally trivial, and they are usually (though not always!) readily made by known synthetic methods. Hence,composition-of-matter claims are essential for exclusivity beyond the NCE exclusivity period.
Posted by: patentgeek | December 21, 2011 at 07:06 AM
Dear Skeptical:
I think the focus is on methods, but you illustrate my point: a cell line would qualify under the extension of the business method patent defense under the AIA.
So I think you are right but the important thing will be trade secret protection for the cell line or method
Posted by: Kevin E. Noonan | December 21, 2011 at 08:35 AM
Kevin,
As a practical matter, you're correct that the focus of the new PUR provision is on patented methods/processes as those are most likely to be practiced as "trade secrets." Even so, it's still unnerving that PURs have been extended beyond "business methods" (I didn't like 35 USC 273 when it was enacted and still don't like it, except that it prevented a majority of SCOTUS from ruling them patent-ineligible in Bilski). We now have the odd situation that, while we may no longer have "secret prior art" vis-a-vis 35 USC 102(g)(2) under the AIA, you may nonetheless have a personal "get out of patent infringement" card under this new PUR provision, even while flouting the premise of why the U.S. grant patents (i.e., limited in duration exclusive rights in return for disclosure of the invention). If you sense that PURs make me nauseous, you're correct.
Posted by: EG | December 21, 2011 at 12:57 PM
Kevin,
Best of both worlds will be trade secret AND someone else later getting a patent and clearing the field for you.
This way, one of your "lucky" competitor's gets to spend the money obtaining and enforcing the patent while you and your customers get the free-rider benefits.
Posted by: Skeptical | December 21, 2011 at 07:37 PM
Devious, Skeptical, devious. It might just work out that way.
Posted by: Kevin E. Noonan | December 21, 2011 at 10:46 PM