[Ip-health] MSF report on Thai NGO victory in ddI patent case

James Love james.love@cptech.org
Mon, 07 Oct 2002 02:58:59 -0400


This is, of course, a quite impressive victory by the NGOs
in Thailand and also for everyone who assisted in this case.
Here is the MSF summary.  Jamie

-
Two  People  with  HIV/AIDS  and a  Thai  NGO  mount  a  legal
challenge against Bristol-Myers Squibb - and win

Black Case No. Tor Por 34/2544
Red Case No. Tor Por 93/2545
Subject:   Thai   Patent  No.  7600  (Improved   Oral   Dosing
Formulations of Dideoxy Purine Nucleosides)

AIDS  Access  Foundation  and 2 HIV infected  persons  jointly
filed  a law-suit against Bristol-Myers Squibb Company Limited
(=93BMS=92) as a Defendant and the Thai Department of Intellectual
Property  (=93DIP=94)  as  a  joint-Defendant  with  the   Central
Intellectual  Property and International  Trade  Court  (=93IPIT
Court=94).


The background and legal justification of the case.

Currently, there are more than 1 million people with  HIV/AIDS
in Thailand. In addition, since the start of epidemic in 1984,
about  300,000 people with HIV/AIDS have died. This  situation
is  a  crisis for healthcare in Thailand because many of those
who  have died or are currently being ill are the wage earners
for their families, and the workforce of the country.

Antiretroviral  drugs  are  the best  treatment  for  HIV/AIDS
patients  and are standard of care However, these  life-saving
medicines  often  cannot be accessed in  developing  countries
because they are extremely expensive. The high price is linked
with  the  monopoly  on  many of these drugs  held  by  Multi-
National  Pharmaceutical companies. These monopolies  are,  in
turn, linked with patent protection.

Where  possible,  the Thai Ministry of Public Health  provides
high quality antiretroviral drugs at reasonable cost - generic
versions of antiretroviral that are not patent protected under
Thai   law   are   manufactured   by   the   Thai   Government
Pharmaceutical Organisation.

The   Government   Pharmaceutical   Organisation   (GPO)   has
researched  two generic antiretroviral drugs since  1992:  AZT
(zidovudine)  in  capsule form and ddI  (didanosine)  in  both
tablet  and powder forms. AZT then was marketed in  1995,  but
ddI  tablet has never been produced because a patent  for  ddI
was  granted to Bristol-Myers Squibb (BMS) on 22 January 1998.
The  GPO  could  only produce ddI in a powder  form  to  avoid
infringing  the patent held by BMS. However, in  practice  the
powder  form  has more side effects and is less convenient  to
take, so it is more difficult for patients to comply.

On  7  May 2000, three Thai NGOs - the Thai Network for People
Living  with HIV/AIDS (TNP+), AIDS ACCESS Foundation  and  the
Centre  for AIDS Rights - wrote a letter of request for  legal
assistance  from the Law Society for advice on the  rights  of
People  Living with HIV/AIDS to access ddI. In order to  serve
this  request from civilians, the chairman of the Law  Society
then set up a working group of lawyers on 1 June 2000.

Further  analysis  of the ddI patent granted to  Bristol-Mayer
Squibb Co., Ltd. (BMS), revealed inconsistencies in the patent
application  file. When the ddI patent application  was  first
filed, the BMS claim was restricted to a dosing range of 5  to
100  mg. This same claim was also published in the Thai Patent
Gazette. However, after the publication period had lapsed more
than  3 years, BMS applied an amendment of claims to the  DIP.
In  effect  BMS  made a broader claim without  specifying  the
range  of  quantity per dosage of ddI. Moreover  this  amended
claim  did  not  conform to the detailed  description  of  the
invention previously disclosed to the DIP

On  22 January 1998, the DIP granted BMS a patent for its  ddI
formulation,  under which BMS=92s exclusive rights  are  broader
than its formulation originally filed for the patent.

Issuance  of this amended patent gave BMS the exclusive  right
to  produce and sell ddI tablet formulation regardless of  the
quantity  of  ddI per dosage.  Other pharmaceutical  producers
could not produce or sell this ddI formulation of BMS, even if
they  produced  tablets containing more than 100  mg  of  ddI.
Therefore,  AIDS  Access Foundation and HIV  infected  persons
considered that they were damaged parties: they were  effected
by  the  ddI  patent  and  had to buy an  antiretroviral  drug
produced  under the patented formulation of BMS in high  price
because no one else produced it.

Legal  action against BMS on the range of ddI tablet was begun
on  9  May  2001  at  the  Central Intellectual  Property  and
International Trade Court, Bangkok, Thailand. In the suit, the
plaintiffs  requested  the  Court  to  adjudicate  that   both
Defendants had illegally amended BMS=92s claims under its patent
of   ddI   Formulation.  This  amendment  gave  BMS  unlimited
exclusive rights under the issued patent.

On  1 October 2002, the CIPIT court ruled in its judgment that
the Aids Access Foundation and the HIV infected plaintiffs are
injured  parties, who have the power to sue the Department  of
Intellectual   Property   and  BMS   for   the   reason   that
pharmaceuticals are important elements for human survival.  In
addition,  the  Court  adjudged that the  DIP  and  BMS  shall
jointly  amend the Patent No.7600 with respect to  the  claims
thereunder to the effect that the particulars on the  quantity
of  the  contents in the ddI formulation which were previously
released be inserted into the claims.

In  the  said  judgment, the Court reasoned that  the  dispute
patent  must  specify  the  quantity  of  the  contents.   The
deletion of the particulars in the claims of BMS in the patent
in  connection with the quantity of the contents is considered
as  a material change made to the patent application.  This is
because  such deletion results in the unlimited protection  of
the  dispute patent.  Another reason given in the judgment was
that  the  said material change to the patent application  was
unlawful  as  such  change  was  effected  after  the   patent
application  was published in the Patent Gazette  without  the
permission  of the Director General of the DIP as required  by
law.

As  a  result of the judgment, other pharmaceuticals  producer
may  produce ddI using the formulation with different quantity
from  that specified in the claims under the patent as amended
in  compliance  with the judgment without any infringement  of
the patent of BMS.

=93  =85The  deletion (of claims) can be considered as  an  adding
specification of invention. As a consequence, the deletion  of
=91from  5  to  100  mg. per dosage=92 from the existing  (patent)
claims  has  significantly changed the  scope  of  the  patent
claims as the patent holder will obtain patent protection from
the  formulation  without any limitation of the  quantity  per
dosage  which will be broaden than the range specified in  the
previous  claims. Under this circumstance, the  amendment  (of
the  patent  claims) has significantly changed  the  scope  of
invention  to  be protected according to new  claims  will  be
broaden   or  beyond  the  range  discussed  in  the  detailed
description of invention which was disclosed at the range of 5
to  150 mg per dosage. Therefore, the deletion of =91from  5  to
100  mg=92  per  dosage from the patent claims is deemed  to  be
adding  addition of substance of invention which is prohibited
by law=94.

Excerpted   from   the   Central   Intellectual   Property   &
International Trade Court Judgement, page 16
Red Case No. 93/2545 given on 1st October, 2002

Key points to emerge from this case are

=B7     Problems in the Thai patent registration processes  lead
  to the issuing of an invalid patent.

=B7     Thai consumers have utilised their rights under Thai law
  to mount a legal challenge to a Trans-National Pharmaceutical
  Company.

=B7     The  court  ruled that in this case the amendment  which
  removed  the dosing range was a significant widening  of  the
  rights of BMS (and by implication a narrowing of the rights of
  the consumer).

=B7    This alteration would have gone unchallenged unless civil
  society took an interest in the issue.

=B7     Patent  applications should be clear and transparent  in
  order to protect the rights of both manufacturer and consumer.


                      ********************


Statement  prepared  by Medecins Sans Frontieres  (Belgium)  -
Thailand Office, with technical assistance from legal experts,
on  behalf  of  the members of the Working Group  on  the  ddI
Patent:
   =B7    Thai Network for People Living with HIV/AIDS (TNP+)
   =B7    Thai NGOs Coalition on AIDS (TNCA)
   =B7    AIDS Access Foundation (ACCESS)
   =B7    Foundation For Consumer (FFC)
   =B7    Center for AIDS Rights (CAR)
   =B7    Medesins Sans Frontieres-Belgium, Thailand (MSF-B)
   =B7    The Law Society of Thailand
   =B7    Drug Study Group (DSG)
   =B7      Social  Pharmacy  Research  Unit  (SPR)  Faculty   of
      Pharmaceutical Sciences Chulalongkorn University
   =B7     Health & Development Foundation (H&DF)

For information, please contact:

Medecins Sans Frontieres-Belgium, Thailand (MSF-B)
Mr.Paul Cawthorne, Head of Mission
Dr.David Wilson, Medical Coordinator
Email: msfbthai@ksc.th.com
Ms.Onanong Bunjumnong, Access Campaign Coordinator
Phone: +661-8384233
Email: msfdrugs@asianet.co.th

Thai Network for People Living with HIV/AIDS (TNP+)
Mr.Kamon Uppakaew, Chairman
Phone: +662-3760175-6
Email: tnpth@loxinfo.co.th

AIDS Access Foundation
Mr.Nimit Tienudom, Director
Phone: +661-9104884
Email: mit@aidsaccess.com

Center for AIDS Rights (CAR)
Ms.Supatra Nacapew, Director
Phone: +661-7206827
Email: carbkk@loxinfo.co.th




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James Love, Consumer Project on Technology
http://www.cptech.org, mailto:love@cptech.org
voice: 1.202.387.8030; mobile 1.202.361.3040