branded generic for la ( all slide deck) 2 26 pdf

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BRANDED GENERICS: NEW AVENUE FOR RX EXPANSION INTO EMERGING MARKETS FEBRUARY 27-28, 2012 HUB CIRA CENTER IN PHILADELPHIA, PA DAISY RIVERA-MUZZIO, R.PH, MS, MBA PRESIDENT ACUMEN BIOPHARMA, LLC Business, IP, and Clinical Strategies for Expansion into Latin America with Branded Generics

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Panel presentation on key business, iP and Regulatory considerations to commercialized US developed branded generics into Latin American markets

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Page 1: Branded Generic  For La ( All  Slide Deck)  2 26  Pdf

BRANDED GENERICS: NEW AVENUE FOR RX EXPANSION INTO EMERGING

MARKETS FEBRUARY 27-28, 2012

HUB CIRA CENTER IN PHILADELPHIA, PA

D A I S Y R I V E R A - M U Z Z I O , R . P H , M S , M B A P R E S I D E N T

A C U M E N B I O P H A R M A , L L C

Business, IP, and Clinical Strategies for Expansion into

Latin America with Branded Generics

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Panel Members

Elias Rios Navarro-Intellectual Property - Arochi, Marroquin& Lindner - Mexico

Ana Claudio Mamede- Intellectual Property - Danneman Siemsen, Biger & Ipanema Moreira - Brazil

Janet Mora-Regulatory & Marketing – Link Pharma

Woody Bryan - Business Development - Supernus Pharmaceuticals

Daisy Rivera-Muzzio - Business Development & Intellectual Property -Acumen BioPharma

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What is a branded generic in the US?

Off Patent drug molecule

New Dosage form

Differentiated drug delivery system

New Product Strength

New combination of API’s

Intellectual property

Formulation /Manufacturing Process

Components

New Indication(s)

Technology

Method of Use

Regulatory

NDA- 505 (b) (2)

Clinical studies to support label information

3-5 years market exclusivity

A novel invention

3

February 27-28, 2012

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Differences between Branded vs. Commoditized Generics

February 27-28, 2012

Require clinical studies

Not necessarily bioequivalent to the innovator

Distribution channels- Requires commercial promotional strategies

Premium Price

More expensive development

Proprietary technology

May have market exclusivity 3-5 years

It is NOT an Authorized Generic

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Branded generics: Rest of the world

¡  Value added or Branded generics also exists in the rest of the world, different regulations applied and a real benefit to the patient must be proven to get premium price approval in those countries with drug product price regulations

¡  A generic product can be commercialized under a brand or trade name following retail promotion strategies similar to those of innovator products. Examples: Greece, France, Spain, Eastern EU, Latin America

February 27-28, 2012

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FDA and UK’s National Health Services ( NHS) Definition of Branded Generics

“Prescription products that are either

1) novel dosage forms of off-patent products produced by a manufacturer that is not the originator of the molecule,

or

2) a molecule copy of an off-patent product with a trade name”.

February 27-28, 2012

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Examples of Branded Generics- US

Intermezzo offers a new dosage form, new strengths and new indication for off patent molecule-(middle of the night awakening)

Tirosint is the first and only T4 therapy in a liquid gel cap formulation

The NitroMist Aerosol Delivery System Unique aerosol delivery system that maintains the potency and stability of nitroglycerin for up to 36 months (or approximately 230 sprays)

Suprenza is the first and only orally disintegrating tablet(ODT) phentermine formulation.

February 27-28, 2012

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Generic Evolution

�  “The generics makers that will grow most are those that focus on higher-tech formulations and specialty drugs, rather than the easily commoditized tablets and capsules common in primary care. The trend is shifting towards less competitive, yet commercially attractive segments such as difficult-to-produce generics, specialty generics and biosimilars.”

Frost & Sullivan

8

February 27-28, 2012

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Source: EMC managers, BSCH, BBVA, JPM, DB 9

Global Growth - 2003-2012E(%)

February 27-28, 2012

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10

2008 sales $28.8 bn

$11.4 bn

$7.8 bn

$3.0 bn

$4.0 bn Expected growth >70% in 5 years: • Launch of new products, • Increased out of pocket

spending • Public demand for quality

pharmaceuticals Steady population growth of 1%, and a balanced sex ratio 10 % of the population is over 60 years old Non-communicable diseases especially neuropsychological and CVS disorders cause more casualties in LA than communicable diseases

Resistors to growth: • Compulsory Licensing ( Brazil) • Intellectual property Annulment

( Venezuela) • Prohibition of use of second patents Characteristics of generic drug policy in Latin America: • Lack of separate generic approval protocol • Absence of a link between patent and

regulatory agencies impedes the flow of knowledge regarding the authorization of infringing products;

• Lack of sufficient data exclusivity enables generic players to access clinical data for development of generics;

• Bioequivalence is not a mandatory requirement for generic approval in many Latin American countries

• Drug pricing Regulated by Government agencies

Gro

wth

Opp

ortu

niti

es

Resistors to grow

th

Latin America, Pharmaceutical Market

February 27-28, 2012

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11

Country-wise sales Forecasts, 2008-2014

February 27-28, 2012

Latin America Pharmaceutical Market Outlook to 2014- Business insight

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12

Forecast Sizes of Latin American Markets

February 27-28, 2012

Latin America Pharmaceutical Market Outlook to 2014- Business insight

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13

SWOT - Latin American Regulatory Landscape

February 27-28, 2012

Latin America Pharmaceutical Market Outlook to 2014- Business insight

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14

Clinical Trials in Latin America

February 27-28, 2012

Latin America Pharmaceutical Market Outlook to 2014- Business insight

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PhRMA Special 301 submission regarding Latin America, 2009

Latin America Pharmaceutical Market Outlook to 2014- Business insight

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Panel Discussion

� Discovering opportunities in the Latin American markets for branded generics drugs

�  Comparing IP and patent compliance in Latin America vs. the United States

�  Filling the gaps in the approval process for clinical trial initiated in Latin America

Daisy Rivera-Muzzio

Janet Mora Woody Brian

Ana Claudia Mamede Carneiro

Elias Rios Navarro

Acumen BioPharma Moderator

Link Pharma Regulatory & Marketing

Supernus Business Development

Dannemann-Siemsen, Bigler & Ipanema Moreira Intellectual Property- Brazil

Arochi, Marroquin& Lindner Intellectual Property- Mexico

16

Panel Discussion

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•  WHAT IS THE MARKET OPPORTUNIT Y FOR BRANDED GENERICS IN L ATIN AMERICA ?

•  WHAT ARE THE RISKS ASSOCIATED WITH BRINGING A PATENTED PROTECTED PRODUCT IN LATIN AMERICA

•  WHAT ARE THE STRATEGIES TO HAVE A SUCCESSFUL COMMERCIALIZATION OF THESE PRODUCTS IN LA?

• 

February 27-28, 2012

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Intellectual  Property  Assessment  for  Branded  Generics  in  Mexico  

Elias  Rios  Navarro  

[email protected]  

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Mexico.-­‐  Marke5ng  Authoriza5on  

API  Patent    Expired  

Secondary  Patent  

API  Special  forms  

Linkage  

Pharm  Composi@on  

Linkage  by  li@ga@on  

Process   No  linkage  

Marke@ng  Authoriza@on  Granted  to  No  patent  holder  

In  force  

Sales  Preliminary  Measures  

IP infringement Before MX PTO

No  nullity  Infringement  

Damages  Lost  Profits  40%>  +  Fine  

Cancelled  

Bond  

Counterbond  

Sales Nullity Trial / Const. Action

PTO  Decision  

No  nullity  No  Infringement  

Nullity  No  Infringement  

Execu@on  of    the  bond  

Counter  claim  

Civil  Courts  

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   20  

BRANDED  GENERICS:  New  Avenue  for  Rx  Expansion  Into  Emerging  Markets  

February  27-­‐28,  2012    Hub  Cira  Center  in  Philadelphia,  PA  

Intellectual  Property  Issues    

Ana  Claudia  Mamede  Carneiro  

©  2012  Dannemann  Siemsen.  All  rights  reserved.  

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   21  

BRAZIL  -­‐  Prosecu@on  of  patent  cases  §  Steps:  

§  Request  for  examina5on:  3  years  from  filing  date  §  Third  par5es  may  file  a  pre-­‐grant  opposi5on  §  If   allowed   by   PTO,   for   pharmaceu5cal   cases,   the  applica5on  will   be   sent   to   ANVISA   (Sanitary   Agency)  for  prior  consent:  

•  If  ANVISA  allows,  the  case  will  return  to  PTO  (final  fees)  •  If  ANVISA  rejects,  …  

§  If  rejected  by  PTO,  an  appeal  is  applied  •  If   the  PTO  allows,   the  case  will  be  sent   to  ANVISA  for  prior  consent    

•  If  the  PTO  rejects,  the  administra5ve  instance  will  be  ended  §  Third  par5es  may  file  a  post-­‐grant  opposi5on  

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   22  

BRAZIL  -­‐  Prosecu@on  of  patent  cases  

§  Backlog  of  8-­‐10  years  for  the  publica5on  of  a  first  technical  opinion  

§  No  difference  between  the  different  technical  fields  

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   23  

BRAZIL  -­‐  Prosecu@on  of  patent  cases  

q  Patent  Office  hired  approximately  350  new  examiners  

q  Faster  prosecu5on  expected  

q  Fast  track  q  Poten5al  infringement  cases  (warning  le[er  to  the  alleged  infringer)  

q  Ar5cle  40  of  IP  law  –  Minimum  10  year  patent  term  as  of  grant  

 

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   24  

BRAZIL  -­‐  ANVISA’s  prior  consent  

q  Provisional  Measure  #  2006  of  Dec  14,  1999  

q  Law    #  10,196  of  Feb  14,  2001    

q  Art.  229-­‐C  of  the  IP  Law  9279/96  

§  “grant  of  patents  to  pharmaceu5cals  products  and  processes  are  subject  to  prior  approval  by  ANVISA”  

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   25  

BRAZIL  -­‐  Prior  approval  (ANVISA)  

q  Since  2003  examining  substan5ve  patentability  criteria  

q  Grounds  for  non-­‐approval  

q  lack  of  novelty  and/or  inven5ve  step  

q  lack  of  enablement  

q  addi5on  of  new  ma[er  

q  second  use  =  discovery  

q  mandatory  restric5on  of  scope  of  Markush-­‐type  claims  

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   26  

BRAZIL  -­‐  Recent  Developments  (ANVISA)  

q  A[orney  General’s  Office  (AGU)  Opinions  (2011)  

q  Recent  decision  from  the  Federal  Court  of  Brasília  

  “The  men(oned   rule   [art.   229-­‐C]   is   uncons(tu(onal     since   it  wrongfully   revokes  ar(cle   4   quarter   of   the   Paris   Union   Conven(on,   lacking   reasonability,   and   also    duplicates   the   technical   examina(on   for   patentability   unnecessarily   and  unreasonably,  a   rule   that   is  both   internal  and  conven(onal    and   that  executes  a  cons(tu(onal  order  to  protect  patent  rights  as  a  fundamental  guarantee.”            

   

(Astrazeneca  v.  ANVISA  and  BPTO  –  Court  Ac5on  n.29724-­‐20.2010.4.01.3400,  01.12.2011,    8th  Federal  Court)  

 

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   27  

ANVISA’s recent publications

DOU 04.07.2011 DOU 07.10.2011 DOU 07.11.2011

Total 23 41 8

Approval 13 41 8

Straight 13 35 2

After rebuttal 0 3* 0

After compliance of office action 0 1 2

After appeal 0 2 4

Rejection 10 0 0

* 1) lack of enablement (Article 25 - IPL); 2) lack of inventive step (Article 13 - IPL); e 3) restriction to the content of the examples (Articles 24 and 25 - IPL)

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   28  

BRAZIL  –  Non-­‐patentable  maders  

§  Non-­‐patentable    

§  Therapeu5c,  surgical  and  diagnos5c  methods  applied  to  human  or  animal  bodies    

   §  Living  beings  and  parts  thereof,  including  cells  even  if  modified  

§  Naturally  occurring  biological  material,  even  if  isolated  •  Microorganisms  •  Extracts  and  substances  •  DNA/RNA  sequences  

§  Second  medical  use  (PTO  accepts,  but  ANVISA  does  not)  

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   29  

BRAZIL  -­‐  Access  to  Brazilian  biodiversity  

§  Since   2000,   mandatory   authoriza5on   to   perform  R&D  in  and  to  manufacture  products  derived  from  plants  and  animals  of  the  Brazilian  biodiversity    

§  Indica5on   of   source   of   gene5c   resource   and  access   authoriza5on   number   through   recent  PTO`s  office  ac5ons  based  on  Norma5ve  Acts  

§  Relevant  fines  were  applied  on  companies      

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dannemann.com.br   ©  2012  Dannemann  Siemsen.  All  rigths  reserved.   30  

 

Thank  you!  [email protected]  

 

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Janeth  Mora  LinkPharma  LLC  

 The  Cira  Hub  Center  

Philadelphia,  February  27,  2012  

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Key  Regulatory  Requirements  Brazil  

(ANVISA)  Mexico  

(COFEPRIS)  Argen@na  (ANMAT)  

Bioavailability  study    (if  changes  to  innovator)  

     

If  approved  in  Reference  country  

Bioequivalence    (with  reference  product)  

     

If  approved  in  Reference  country  

Good  Manufacturing  Prac@ces  Inspec@on  visit  

Stability  in  Zone  IVB  

Cer@ficate  of  Pharmaceu@cal  Product  (CPP)  

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Take away Points

�  An effective due diligence to develop your own branded generic strategy in Latin America should consider : ¡  Local partnerships ¡  Collaborations with the government ¡  Understanding of markets unmet needs ¡  Innovative manufacturing technology to drive low cost ¡  Local partners are interested in manufacturing rights ¡  Regulatory Process is decentralized ¡  Prior FDA/ EMA approval could be leveraged ¡  Previous research of local patent standing ¡  Limit on royalties on technology transfers/ licensing

transactions

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February 27-28, 2012

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FOR ADDIT IONAL INFORMATION

DR .MUZZ IO@ACUMENB IOPHARMA .COM

WWW.ACUMENB IOPHARMA .COM

Thank you Obrigada

Gracias