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Copyright 1999 Federal Document Clearing House, Inc.  
Federal Document Clearing House Congressional Testimony

July 01, 1999

SECTION: CAPITOL HILL HEARING TESTIMONY

LENGTH: 3216 words

HEADLINE: TESTIMONY July 01, 1999 ANDREW M. BERDON VICE PRESIDENT AND GENERAL COUNSEL FAULDING INC. AND PUREPAC PHARMACEUTICAL COMPANY HOUSE JUDICIARY COURTS AND INTELLECTUAL PROPERTY PATENT REVIEW

BODY:
TESTIMONY OF THE COALITION FOR AFFORDABLE PHARMACEUTICALS REGARDING H.R. 1598, "THE PATENT FAIRNESS ACT OF 1999" Before The House Subcommittee On Courts And Intellectual Property Committee on Judiciary July 1, 1999 Mr. Chairman, members of the Subcommittee, my name is Andrew M. Berdon, and I am the Vice President and General Counsel of Faulding Inc. and Purepac Pharmaceutical Company. Faulding has approximately 450 employees and operates facilities in New Jersey, Tennessee, North Carolina, and Puerto Rico dedicated to the manufacture, marketing, and distribution of prescription generic pharmaceutical products. Through your invitation today, I appear on behalf of "CAP," the Coalition for Affordable Pharmaceuticals. The Generic Pharmaceutical Industry Association (GPIA), the National Association of Pharmaceutical Manufacturers (NAPM), and the National Pharmaceutical Alliance (NPA) formed CAP to increase consumer access to high-quality generic pharmaceuticals. GPIA, NAPM, and NPA are national, not-for-profit trade associations representing manufacturers and distributors of finished, multi- source generic pharmaceuticals, manufacturers and distributors of bulk active pharmaceutical chemicals, and suppliers of other goods and services to the generic drug industry. Our combined membership encompasses virtually the entire U.S. generic pharmaceutical industry. My company is a member of NAPM and NPA. CAP appreciates the opportunity to present this testimony to the House Subcommittee on Courts and Intellectual Property of the Committee on Judiciary regarding H.R. 1598, the "Patent Fairness Act of 1999." We believe it is ironic that as this Congress debates ways to reduce the high cost of prescription medications to the elderly and Medicare Reform, we are here today to discuss H.R. 1598, which would grant patent extensions of up to three years to eight brand name drug products(1) and numerous others which have not been identified but are expected to come off patent this year and next year. H.R. 1598 denies the American consumer the choice of selecting a more affordable generic version of these brand products. It not only costs the consumer, particularly the elderly, billions of dollars, but also has a tremendous fiscal impact on government programs offering a drug benefit, such as Medicaid and programs offered by the Veterans Administration and the Department of Defense. This being said, by this testimony, CAP will demonstrate that H.R. 1598 would, in fact: increase the cost of prescription medicines by foreclosing generic competition; undo the delicate, agreed-to compromise and policy decision essential for the passage and success of the Waxman-Hatch Act of 1984; establish a process which, contrary to its billing, is neither "independent" nor a true "process" but instead dictates the outcome and fails even to require an examination of the factors presumably at issue; provide no meaningful role for the agency with the most intimate knowledge surrounding the scientific issues and regulatory process; and place the burden of proof with the party that has access to the least amount of relevant information, instead of the brand name company asserting the "injustice." In short, CAP strongly opposes H.R. 1598. This would not be a constructive way to reopen a successful law that put public health concerns, and not company pocketbooks, first. In 1984, the U.S. Congress fairly balanced all the interests of the pharmaceutical industry and consumers by passing the Drug Price Competition and Patent Term Restoration Act of 1984 (Waxman- Hatch Act). This law created a framework for patent term extensions and non-patent exclusivity periods for brand name drug products and a system for speeding the Food and Drug Administration (FDA) approval of generic drug products. As a result of the Waxman-Hatch Act, generic competition entered the marketplace, which in turn served to motivate the brand name industry to innovate the next generation of life-saving drugs. Since 1984 brand name drug companies' profits and research and development expenditures have grown exponentially. The generic drug industry has enabled American consumers and taxpayers to save billions of dollars in the purchase of medicines, while creating new jobs and investment opportunities in every region of the country. During the negotiations that led to the Waxman-Hatch Act, it was agreed by all parties, including the brand name industry, that brand name drug companies would receive up to a two-year patent term restoration for so-called "pipeline drugs" (a drug for which a patent had been issued and an investigational new drug application (IND) or a new drug application (NDA) was pending at FDA before the enactment date of the Waxman-Hatch Act (September 24, 1984)), instead of up to a five-year patent term restoration granted for later developed products. Patent term extensions were more generous for future development rather than for pipeline drugs because a purpose of the Waxman-Hatch Act was to encourage future investment. Representative Henry Waxman, the co-author of this Act, recently stated on the House floor that the difference in the times of patent term restoration were far from arbitrary. He stated "the pipeline drugs were not made eligible for 5 years of patent extension precisely because the point of the patent extensions was to encourage the research and development of future products."(2) This explicitly demonstrates that the decision to grant a two-year extension to the pipeline drugs was a carefully considered policy decision to create a process which has proven successful in assuring high-quality research and development in conjunction with providing access to affordable pharmaceuticals in a competitive marketplace. With H.R. 1598, certain brand name companies, led by Schering-Plough Corporation, are selectively attempting to undo the policy decision struck in 1984 -- the policy that all sides agreed to -- in order to extend their monopoly periods at the expense of competition, consumer savings, and healthcare costs without a corresponding benefit to the consumer. These "pipeline drugs" are not new and innovative drug products, but rather drugs that were already on the market and under review by the FDA at the time of the Waxman-Hatch negotiation. H.R. 1598 purports to put eight pipeline drugs on an equal footing with later developed drugs products, a result that was clearly not Congress' intent. Specifically, H.R. 1598 would permit the holder of a patent that was in force as of 1984 and remains in force today the opportunity to seek additional patent life by filing an application with the PTO. A product meeting these criteria and whose NDA was under review by FDA for at least 60 months would automatically have its patent term restored for three years, minus any period in which the applicant did not act with due diligence. The company applying for the restoration would not have to prove their due diligence; in fact, there is a presumption of due diligence that would only be overcome by "substantial evidence." Presumably the "substantial evidence" would be provided by an aggrieved party, though an aggrieved party would not have access to FDA records or, more importantly, to the company's records, therefore, making the presumption very unlikely to be overcome. This is not the sort of "process" most people would label as "fair." In fact, the bill grants a de facto extension, which brings this debate right back to where we began -- a process was established under the Waxman-Hatch Act in 1984, preempting the need for creating a pseudo-process in 1999. H.R. 1598 would place the responsibility for extending patent terms for the pipeline drugs with the Patent and Trademark Office (PTO), subject to judicial review. PTO lacks the expertise to evaluate FDA and company records fully to determine if there was due diligence on the part of the company, though under the bill this point is somewhat moot -- PTO review of FDA records is not even required, and company records are not available for scrutiny by PTO or anyone else. Again CAP would like to point out that this renegotiation of Waxman-Hatch undermines the public good for the benefit of a few large corporations and is far from the dictionary's definition of "fair," which is "just to all parties." While judicial review of PTO's decision appears to offer a modicum of fairness, as H.R. 1598 is currently written there would, in fact, be quite little to review beyond PTO's ability to count days. PTO's role is almost totally ministerial because the primary requirement for the patent extension is that the application was pending at FDA longer than 60 months. The PTO's only discretionary decision concerns whether the drug applicant acted with due diligence in pursuing FDA approval. As noted earlier, the bill creates a presumption of due diligence. The bill gives PTO the authority to review FDA's files, but such a review is not required, nor is FDA consultation required. The bill does not address access to the company's documents, which would be instrumental in attempting to establish substantial evidence of a lack of due diligence. The bill also does not address instances in which FDA should move deliberately and with caution, based on sound scientific and medical judgment -- such as when carcinogenicity concerns arise, as they did with Claritin. Therefore, there would be little in the record for a court to review other than the application's date of filing at FDA and the FDA date of approval -- so judicial review would provide no relief from this "process" that requires no actual showing of fact. H.R. 1598 would also allow for an "interim restoration" period if the patent that is the subject of an application under this bill expires before the PTO has made a final determination on the application. This provision would extend the otherwise expired patent until the PTO made a decision on whether to grant the three years of restoration. Although the focus of the bill is on eight brand name drug products, the criteria for submission of an extension application are so broad that brand name drug companies might be able to assert that other drugs whose patents are due to expire also qualify under H.R. 1598. In essence, a company could file an application under this bill for a drug whose patent was in force on September 24, 1984, and which was about to expire, and secure a 60-day patent extension regardless of whether the drug otherwise meets the "standards" set forth in the bill. Therefore, depending on when this bill is enacted, a variety of companies could file frivolous restoration applications with the PTO within the 90-day time frame and receive a 60-day extension regardless of whether they meet the qualifications. Keep in mind the applicant can appeal the denial and, while the court is reviewing the case, the applicant may apply for an order directing PTO to extend the interim restoration pending judicial review. There is no limitation to the interim restoration pending judicial review and subsequent PTO action following that review. Such a provision serves no discernible purpose other than to give a potential windfall to companies that cannot be identified at this time. Certainly the 1984 Congress could not have intended this result, and CAP hopes the 1999 Congress will quickly recognize the ludicrous nature of this provision. The bill would provide compensation to an ANDA applicant with an application pending at FDA for one of the pipeline drugs at the time of enactment. Such an applicant would be entitled to compensation of $1 million from the patent owner. A holder of a Type II DMF that has permitted a reference to its DMF in such an application would be entitled to compensation of $500,000 from the patent owner. The patent owner's liability would be capped at $5 million to drug applicants and $2,500,000 to DMF holders. This provision is yet another thinly veiled attempt at an appearance of "fairness," but in reality there is nothing fair about this provision to the ANDA applicant, the DMF holder, and the consumer. The generic industry is committed to bringing quality generic medicines to the public, not receiving renumeration for unexpected delays. The extra costs to consumers and taxpayers from this legislation would be enormous. A Congressional Budget Office (CBO) study found that, in the first full year of generic competition, generics account for an average of 44% of prescriptions dispensed through pharmacies.(3) The CBO study also found that, with one to ten generic manufacturers in the marketplace, the average generic retail price is 61% of the brand name price; the average generic retail price is even lower with more competing generic manufacturers.(4) If we assume that generic versions of Claritin would capture 44% of the Claritin market at an average of 61% of the price of Claritin, generic competition for Claritin would save U.S. consumers $300 million each year. For all eight pipeline drugs, the annual savings to U.S. consumers would be $450 million. If this legislation is allowed to pass, these savings would be lost for each of three years. While the national association representing the interests of brand name pharmaceutical firms, PhRMA, has not, to our knowledge, supported or taken any position on this special interest legislation, Schering has been most vigorous in promoting H.R. 1598 because it would reap a huge unanticipated windfall by the patent extensions for its blockbuster drug, Claritin, and its cancer drug, Eulexin. This is not their first money grab. Schering has pressed Congress on this issue on multiple occasions. Schering lobbied tenaciously to add this monopoly extension to last year's Omnibus Appropriations Act for fiscal year 1999, an effort that continued until the bitter end despite news reports exposing the provision as another infamous "special interest" rider. Schering had already attempted to add this extension onto the Omnibus Patent Act of 1997. And, at the end of the 1997 session, there was an effort to award additional market exclusivity for specific products in exchange for a 3% royalty payment to the National Institutes of Health, with no prohibition against the companies passing on this royalty payment to consumers. These mostly behind-the-scenes, secret efforts to secure longer monopoly times were rightly denied by the Congress, but Schering has clearly not given up -- even though it received a two-year Waxman-Hatch extension and a 22.5-month extension under the General Agreement on Trade and Tariffs (GATT). These extensions were "unanticipated" by Schering when it first began development of Claritin. Schering argues that this legislation is fair because of unanticipated delays in FDA's review of Claritin. If this is the argument, wouldn't it also be fair to reduce any new extension by the lengths of the unanticipated extensions it has already secured? Schering has also failed to adequately address openly the reasons why Claritin's review was delayed. Schering instead has blamed FDA and the reviewers for moving too slowly. While we have no access to internal company documents nor to FDA review documents, trade press articles discussed two reasons for the length of the review time. After Claritin received an FDA advisory committee recommendation for approval on October 23, 1987, Schering decided to market Claritin in a tablet form as opposed to the capsule form used in its clinical trials. This change -- which was purely a marketing decision made by Schering -- raised bioequivalency questions that had to be addressed by FDA. Schering cannot possibly claim that it was unaware such questions would be raised by their internal decision that they wanted to market a tablet instead of a capsule, and this delay cannot be blamed on FDA. By 1991 FDA was examining carcinogenicity concerns with Claritin. Certainly even Schering cannot blame FDA for requiring clinical studies into concerns as serious as cancer. FDA's mission is to ensure efficacy and safety, and carcinogenicity concerns cannot be and should not be resolved overnight.(5) Last year the Subcommittee heard testimony from Peter Barton Hutt, Esq., that brand name drug companies had received a maximum two-year rather than five-year patent extension for pipeline drugs under the Waxman-Hatch Act because (1) it was anticipated that pipeline drugs would be approved by FDA shortly, and (2) "less of an economic incentive was needed to assure continued pursuit of pipeline drugs to final FDA approval."(6) Mr. Hutt argued that several pipeline drugs were not approved by FDA as quickly as anticipated by the negotiators of the Waxman-Hatch Act. Yet, Mr. Hutt failed to establish that additional patent time was needed as an economic incentive to brand name drug companies to pursue final approval of these pipeline drugs. The fact is, pipeline drugs did not need more than two years of extra monopoly time because the companies making those drugs were at a point in the review process where it was highly unlikely the development of the drugs would be abandoned. The 1984 Congress obviously recognized this situation and, therefore, passed into law the language which Schering is trying to undo today. Extending these patent terms would not be consistent with Congressional intent, nor would the establishment of a sham "process" that merely purports to examine the merits of each application. Perhaps the brand name drug companies are correct in labeling this issue as one of "fairness" and "equity" -- it is not fair and equitable for the Federal Government and consumers, especially the elderly on fixed incomes, to continue to pay inflated prices for pharmaceuticals in a competition-free market. Congress has told Schering "no" before. Congress must tell Schering "no" again, for what will hopefully be the final time. Schering claims that it only wants to set up a process. CAP hopes that the Congress can recognize not only that H.R. 1598's version of a process is a stacked deck against consumers and the generic drug industry, but also that a process was created and is still in place under the Waxman-Hatch Act. Congress should send the message now that this special interest legislation is not about intellectual property rights or about fairness and equity. Congress should send the message that it is serious about containing healthcare costs and about ensuring a competitive marketplace to the benefit of all Americans. We appreciate the opportunity to present our views. 1. The eight drugs are Claritin, Eulexin, Nimtop, Relafen, Dermatop, Penetrex, Cardiogen-82, and Daypro. 2. Congressional Record, H4220, June 14, 1999. 3. How Increased Competition From Generic Drugs Has Affected Prices And Returns In The Pharmaceutical Industry, Congressional Budget Office, at 28 (July 1998). 4. Id. at 32. 5. The Pink Sheet, articles dated October 31, 1986, November 9, 1987, November 27, 1989, June 24, 1991, and April 19, 1993. 6. Testimony of Peter Barton Hutt, Esq., before the Subcommittee on Courts and Intellectual Property of the Committee on the Judiciary, U.S. House of Representatives, on the Impact of Regulatory Delay on Patents, at 8 (May 21, 1998).

LOAD-DATE: July 7, 1999




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