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    48 w w w . f d l i . o r gUpdate July/August 2011

    ASSOCIATE CORNER

    Revisiting the Debate on an Orange Book for the

    Biologics Price Competition and Innovation Act

    By Andrew S. Wasson 1

    President Obama signed the Biologics Price Competition

    and Innovation Act (BPCIA) into law more than a year

    ago, yet industry stakeholders, lawyers and academic

    commentators continue to actively debate key provisions o the

    statute. Te BPCIA authorizes FDA to approve an application

    under new subsection 351(k) o the Public Health Service Act

    (a subsection (k) application) to market a biological product

    on the basis o an earlier nding o saety, purity, potency andeectiveness, as long as the applicant can demonstrate at least

    biosimilarity to the earlier application.2 It is difcult to debate

    the merits o the BPCIA, however, without using the Hatch-Wax-

    man Amendments to the Federal Food, Drug and Cosmetic Act

    (Hatch-Waxman) as a point o reerence. Notably, Hatch-Wax-

    man directs FDA to publish patent inormation associated with

    drug products that it receives rom new drug application (NDA)

    holders on a regular basis (this publication is known as the Or-

    ange Book).3 Te BPCIA contains no analogous provision.

    Te lack o an Orange Book-like publication or BLA prod-

    ucts will likely have signifcant ramifcations. Tis article con-

    cludes that urther regulatory or legislative action is necessary

    to require the publication o BLA patent inormation because:

    (1) a scheme that lacks such a publication may discourage com-

    petition, (2) original concerns about gaming the system may be

    unwarranted given the current structure o the BPCIA and (3) a

    reasonable, but ostensibly unconfrmed, hypothesis underpins

    the rationale or leaving out such a publication rom the BPCIA.

    The Orange Bookunder Hatch-Waxman

    Patent information plays a central role in the regulatory andlitigation scheme established by Hatch-Waxman. Hatch-Wax-

    man states that an applicant who les an NDA must include the

    patent number and expiration of any patent claiming the product

    and to which a claim of patent infringement could reasonably

    be asserted if a person not licensed by the owner engaged in

    the manufacture, use, or sale of the drug.4 The statute fur-

    ther states, [u]pon approval of the application, the Secretary

    shall publish information submitted under the two preceding

    sentences.5 Elsewhere in the statute, Hatch-Waxman species

    additional parameters for this publication. Hatch-Waxman also

    provides that the Secretary shall revise the list every 30 days

    to include all drugs approved within the last 30-day period.6

    FDA elaborated on its vision of this publication in an early

    set of proposed rules.7 FDA stated that, [a]though not required

    by the act, the list, as published, also identies all drug products

    that qualify under the act for periods of exclusive marketing,

    regardless of patent status, and states therapeutic equivalenceevaluations for approved multisource prescription drug prod-

    ucts.8 FDA also stated, [a]s a general rule, FDA intends to

    use the list and its supplemental updates as the primary means

    of announcing information regarding patent status, exclusivity,

    type of bioequivalence study needed, and eligibility for con-

    sideration in an ANDA.9 Thus, even though Hatch-Waxman

    provided FDA with minimal guidance, it still broadly author-

    ized the publication of patent information.

    The Orange Bookis critical to Hatch-Waxman patent litiga-

    tion. For example, an applicant who submits an application

    under either Section 355(j) or 355(b)(2) of Hatch-Waxman

    must address each patent submitted by the NDA-holder (each

    ultimately published in the Orange Book).10 Under the infamous

    Paragraph IV Certication, a generic applicant can certify

    that a patent is invalid or will not be infringed by the manu-

    facture, use, or sale of the new drug for which the application

    is submitted.11 Effectively speaking, the generic applicant

    reviews the Orange Bookand les the appropriate certication

    with regard to each patent listed for the reference listed drug.

    Litigation often ensues after the generic ler sends the NDA

    holder and patentee notice of its Paragraph IV Certication andits legal and factual basis for challenging each patent.12 If an

    NDA-holder les suit after the statutory 45-day period, FDA

    cannot approve the ANDA for a period of 30 months from the

    date of receipt of the Paragraph IV Certication(s) by both the

    NDA holder and patentee (known as the 30-month stay.)13

    While the Orange Booklooms large in Hatch-Waxman litiga-

    tion, it is important to separate the role it plays as a source of

    information versus the role played by patent information gener-

    ally in the statute.

    Posted with permission of the Food and Drug Law Institute (FDLI) 2011. Originally published in FDLIs Update.

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    July/August 2011 UpdateFDLI

    The BPCIA Lacks a Publication forPatent Information

    The BPCIA does not compel the central compilation or

    publication of patent information. Rather, the BPCIA sets out

    a series of deadlines where the parties negotiate which patents

    will be the subject of litigation. Heres how the process works in

    more detail:

    FDA noties the subsection (k) applicant that its applica-

    tion is accepted for review;

    The applicant must provide a copy of its application to the

    sponsor within 20 days of this notication;

    The sponsor has 60 days to provide the applicant with a list

    of patents for which the reference product sponsor believes a

    claim of patent infringement could reasonably be asserted

    or such other patents exclusively licensed by the sponsor;

    Within 60 days of receiving the sponsors list, the applicant

    may provide the sponsor with its own list of patents whichit believes could reasonably be asserted;

    Within the same time period, the applicant must provide a

    detailed statement of its factual and legal basis why each

    patent on the sponsors list is invalid, unenforceable, or

    will not be infringed by the applicants proposed product,

    or alternatively, that the applicant will not market its prod-

    uct until the patent expires;

    Within 60 days of receiving the applicants statement,

    the sponsor must respond with a statement demonstrat-

    ing why the proposed product will infringe each patent

    on the list and a response to the allegations of invalidity

    and unenforceability.

    Next, the BPCIA sets out a ramework or patent resolution

    negotiations whereby the parties enter into a 15-day period o

    good aith negotiations to determine the patents-at-issue. I

    the parties ail to agree within this period, then the applicant

    and sponsor exchange patent lists once again. First, the ap-

    plicant communicates to the sponsor the number o patents it

    intends to include in its list. Ten, the applicant and sponsor

    exchange lists that contain the initially-determined number opatents. Te sponsor must bring suit with respect to each patent

    included in these lists within 30 days. Unlike Hatch-Waxman,

    the BPCIA lacks an equivalent provision to a 30-month stay.

    Te centralized publication o patent inormation in the

    Orange Bookeliminates the need or the rst set o exchanges in

    the BPCIA. In the Hatch-Waxman regime, the generic applicant

    knows which patents the innovator believes could be reasonably

    asserted against generic versions o its product by virtue o the

    Orange Book.14 Importantly, this notice occurs at time zero,

    so to speak, when the generic applicant is initially evaluating a

    proposed product. Further, in the Hatch-Waxman context, the

    second set o negotiations is similarly unnecessary: all parties

    are well-aware that the NDA-holder may sue the generic appli-

    cant on any patent listed in the Orange Bookand possibly addi-

    tional patents related to ANDA. Tereore, the BPCIA achieves

    in a very convoluted way, the same result that Hatch-Waxman

    achieves more efciently with the Orange Book.

    Policy AnalysisWhy then, did the BPCIA depart so dramatically rom the

    precedent set by Hatch-Waxman? Te rationale appears to be

    most cogently documented in remarks made in 2007 by ormer

    Commissioner o the Federal rade Commission, Pamela Jones

    Harbour.15 Commissioner Harbour stated I would be very

    skeptical o a ollow-on biologic approval pathway that included

    an Orange Book-like system o patent listings.16 She elaborated

    that [e]ach Orange Booklisting represents a new hurdle orwould-be entrants and that it would easier, and more tempt-

    ing to game an Orange Bookor biologics.17 In particular, she

    noted, biologics manuacturer might make small tweaks to

    its manuacturing process, generate new patents, and list them

    in a biologic Orange Book at the last minute or make other

    questionable Orange Booklistings that would thwart ollow-on

    entry plans.18

    Commissioner Harbours concern appears to spring rom her

    view that the patent landscape or biologics is at core unda-

    mentally diferent rom the patent landscape or small molecule

    drugs governed by Hatch-Waxman. She stated, [P]harmaceuti-

    cal drugs usually are covered by a relatively small number o

    patents, owned by a small number o rms but, [b]iologics, in

    contrast, may be covered by a much greater number o patents

    including research tool patentsowned by multiple entities.19

    Tereore, the BPCIA lacks an Orange Book-type publication,

    it appears at least in part, out o concern that sponsors would

    have an increased opportunity to game the system due to difer-

    ences in technology and patenting patterns.

    While Commissioner Harbours comments set orth a com-

    pelling rationale, several reasons exist why we should revisitthis position. First, Commissioner Harbours vision o an

    Orange Book-like publication understandably draws rom

    the Hatch-Waxman context, where litigation springing rom

    led patent inormation inevitably leads to a 30-month stay.

    Critically, however, on a theoretical level, publication o patent

    inormation does not necessarily entail a stay o application ap-

    proval. Tese concepts can be decoupled. Indeed, in the context

    o the BPCIA (which lacks a 30-month stay) the risk o gaming

    the system should be no greater than the current risks present in

    Posted with permission of the Food and Drug Law Institute (FDLI) 2011. Originally published in FDLIs Update.

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