The high-profile
Glivec patent dispute in which Novartis challenged the Madras (Chennai) Patent Office decision of
rejecting its patent application for beta-crystalline version of imatinib
mesylate under vaguely interpreted S. 3 (d) is now been heard in the Supreme
Court of India. The dispute has been in print media more for the wrong reasons and
widely reported as controversial because of NGOs vociferous criticism of
Novartis’s legal recourse but for patent practitioners the case has been of
significant concern to see how judiciary meticulously approaches to interpret
S. 3 (d), more particularly efficacy. Despite the case is been heard by the
Supreme Court, there had been various news floating across the internet and print
media arguing that win for Novartis could have a “devastating impact” on access
of medicines in the developing world and would increase the drug pricing
drastically. Also, the case has keenly been followed by pharmaceutical sector
in India
outcome of which could outline the future of Indian pharmaceutical industry. In
short, the Glivec dispute brought multifaceted debates in India (even
across the border) but in this post we will try focusing more on facts rather
falling trap to ‘vested’ debates.
First Round: Madras Patent Office
In 1993, Novartis
filed a patent disclosure for revolutionary anti-cancer molecule imatinib
which was first drug in the class of tyrosine kinase inhibitors to reach the
market. In July 1997, Novartis filed another patent application disclosing
methanesulfonic acid (mesylate) addition salt of imatinib in two distinct
crystalline variants: alpha and beta. During studies, Novartis found
beta-crystalline to be more stable, commercially viable variant to manufacture
Glivec oral tablets.
In 1995, India became a
signatory member of the World Trade Organization (WTO) and agreed to grant
patent protection for pharmaceutical products more as a compulsion under TRIPS
agreement. India
further being a developing country got 10-years transition period to implement
patent protection for drug products but at the same time had obligation to
accept patent application under “mail-box” provision. The “mail-box” provision
paved way for global pharmaceutical companies to file patent application for their
drug products in India.
Imatinib
been a pre-1995 disclosure was not eligible for patent protection in India. In July
1998, Novartis filed application 1602/MAS/98 for alpha and beta crystalline
variants of imatinib mesylate which stayed in “mail-box” till 2005. In November
2003, the Controller granted first Exclusive Marketing Right (EMR) to Glivec
for a period of 5 years. The EMR gave Novartis the right to exclusively sell
and distribute the drug in India
which Novartis attempted enforcing against the generic manufacturers by filing
suits in the Madras
and Delhi High Court. In January 2004, the Madras High Court granted Novartis
an interim injunction restraining generic manufacturers from manufacturing,
selling, distributing or exporting the generic drug. The injunction was later
made absolute by Justice R. Balasubramanian. In August 2004, Novartis
voluntarily filed divisional application 799/CHE/2004 for alpha crystalline
variant. Later in December 2004, Justice Deshmukh of the Delhi High Court
disagreed with the Madras High Court decision to allow injunction and refused to grant temporary injunction
to Novartis.
In 2005, the patent
act was amended and Novartis application for beta-crystalline variant came up
for examination. The 2005 amendment also provides that EMRs would either be
replaced by patents (if granted) or cancelled (if applications were rejected).
Later in 2005, various representations for pre-grant oppositions were made by
Cancer Patients Aid Association and generic manufacturers for beta-crystalline
variant and the application was rejected by the Madras (Chennai) Patent Office
on January 25, 2006 and subsequently cancelling the EMR. The rejection was
primarily made on the grounds of:
- Lack of novelty/Anticipation
- Lack of inventive step
- Non-patentable subject matter u/s 3 (d)
- Wrong priority
In May 2006, Novartis filed writ petitions before the Madras
High Court not only against the rejection order but also challenging the
constitutional validity of S. 3 (d) which was later converted into appeals. In
April 2007, the Central Government notified operationalisation of the
Intellectual Property Appellate Board (IPAB) subsequent to which appeals got
divided between the High Court and the IPAB, earlier judging the constitutional
validity and later to decide the patentability of beta-crystalline imatinib
mesylate.
In March 2009, Novartis’s divisional application for alpha
crystal variant of imatinib mesylate also got rejected by the Madras Patent
Office following representations for pre-grant opposition made by generic manufacturers. The rejection was primarily made on
the grounds of:
- Lack of inventive step
- Lack of utility
- Non-patentable subject matter u/s 3 (d)
- Insufficient disclosure
To this point, the whole Glivec patent dispute remained with and
was decided by the Madras Patent Office which can briefly be summarize into
following key points covered so far.
- Imatinib per se not patented in India.
- Imatinib mesylate per se not patented in India.
- Application for beta-crystalline variant of imatinib mesylate stand rejected.
- Rejection order for beta-crystalline appealed before the Madras High Court.
- Appeal against rejection order for beta-crystalline transferred to newly formed IPAB.
- Application for alpha-crystalline variant of imatinib mesylate rejected.
- Madras high court only to decide constitutional validity of S. 3 (d).
- IPAB only to decide patentability of beta-crystal variant of imatinib mesylate.
To put it
more simple, generic manufacturers are safe, in fact, are free to manufacture
and sell tablets which may contain either of the following: imatinib free base,
imatinib mesylate, or any other form of imatinib mesylate. In addition, following
the patent office decision to reject patent applications for both alpha and
beta crystalline variants, generic manufacturers are also free to use alpha crystalline
variant but the only area of concern remains if generic manufacturers are using
or intending to use beta-crystalline variant since the rejection order got appealed
by Novartis.
Technically, none of generic manufacturers is barred from
manufacturing and selling generic imatinib mesylate tablets; it is just the specific
crystalline form, i.e. beta-crystalline variant which need attention as long as
Novartis exhaust all its legal options. And even if Novartis wins the case, it
would be a mere child’s play for competitively talented generic manufacturers
to avoid using or designing-around beta-crystalline variant. In fact, inclusion
of S. 3 (d) was advocated on the fact that inventing new polymorphic form
involves no inventiveness (human ingenuity) and is mere more of a routine practice within
the industry. So what’s the big deal if Novartis receive patent protection for
specific beta-crystalline form of imatinib mesylate? In patent domain,
such patent are considered extremely narrow patent.
In light of facts covered so far, the argument that the win
for Novartis would adversely impact the drug supply and pricing stands dubious,
misleading, and motivated to malign spirit/nuances of patent system in India. In fact any
generic manufacturer using imatinib mesylate other than beta-crystalline
variant does not need to have even a slight concern about Novartis patent dispute.