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EmmaK
2007-07-06, 10:04 AM
thought about putting this in PA, but some people don't go in there...mods feel free to move this you find it appropriate.
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Business Battle Over Generic Drugs Heats Up With Stalling Tactics
By Pamela A. MacLean (mailto:letters_to_the_editor@corp.law.com)
The National Law Journal (http://www.nlj.com/)
07-06-2007

As major pharmaceutical companies' patent monopolies over lucrative drugs wind down toward expiration, the legal maneuvering to keep generic competitors out of the market heats up.

As a patent is about to expire, generics makers can seek streamlined FDA approval if their drug is a bioequivalent of the patented version. One controversial means of delaying low-priced generics entering the market in recent years has been use of the regulatory process known as "citizen petitions" brought before the Food and Drug Administration, which temporarily halts generic approvals while the FDA investigates safety challenges raised in the petitions.

"For a relatively small amount of money, a company can inflict substantial harm on a competitor," said David Balto, a Washington attorney and former assistant director in the Federal Trade Commission's Bureau of Competition.

"It becomes attractive to keep rivals off the market and there is no better example than the citizen-petition process," Balto said.

The citizen-petition review process allows anyone to cite specific safety concerns and request further investigation or withholding of a generic.

DELAY FOR FINANCIAL ADVANTAGE

It is clear the objective of many petitions is delay for financial advantage. The petitions arrive for FDA review as the brand-company drug expires, and they are based on information available much earlier, according to Balto.

Of 45 petitions seeking review between 2003 and mid-2005, the FDA had ruled on 21, denying 20 of them, according to the FDA. No "11th-hour" petitions, or those filed on the eve of a generics' approval, have been approved.

"Regardless of the merits, the brand companies know the FDA will delay the generic while they consider the petition," said William Rakoczy of Chicago's Rakoczy Molino Mazzochi Siwik.

In December, the FDA approved Anchen Pharmaceuticals Inc.'s generic version of GlaxoSmithKline PLC's Wellbutrin XL, an antidepressant with $1.4 billion in 2005 sales. But the approval came after two failed court efforts to enjoin generic sales filed by Biovail Corp., which markets Wellbutrin in partnership with Glaxo. Biovail Corp. v. FDA, 448 F. Supp. 2d 154 (2006). A citizen petition asked the FDA to investigate the potential risks of seizures in the generic.

"There's no question about it ... the petitioning process is used by a lot of companies to delay action by the FDA," said Donald Mizerk of the Washington, D.C., office of Winston & Strawn and Anchen's attorney.

Mizerk said that, when a federal judge indicated on a Friday he would allow the FDA to issue the Wellbutrin generic, the FDA was e-mailed by Sunday with new criticisms of the generic to examine on Monday in a last-ditch effort to extend the delay.

Biovail declined to comment on the issue but in a 2006 statement said its petition was "intended to protect the public against the potentially harmful effects of generic versions of Wellbutrin XL that may not be a bioequivalent to Biovail's branded product, or may be misleadingly labeled."

While individual companies declined to discuss the issue, an association representing large pharmaceutical firms disputed allegations the petition process is abused.

"Citizen petitions are filed infrequently," said Scott Lassman, senior assistant general counsel for Pharmaceutical Research and Manufacturers of America (PhRMA). He noted that of 104 name products, just 12 petitions were filed, according to a 2002 Federal Trade Commission study. The evidence that they are filed purely to block generics is "very scant," he said.

Even though Congress is poised to impose legislative reforms to curb manipulation of the regulatory process and litigation excesses, the amount of money at stake suggests the contentious litigation will remain a big issue for several years.

It is projected that $29 billion worth of drugs will go off patent next year, $21 billion in 2009 and $44 billion in 2010, said, Andrea Hofelich, spokeswoman for the Generic Pharmaceutical Association in Washington.

The U.S. Senate last week inserted petition reforms in a major FDA overhaul bill. The measure would not allow a petition to delay FDA approval of a generic unless delay is necessary to protect public health. As a check on competitors, petitioners must verify who is making the challenge and whether they expect to be paid for filing the petition. Congress must get annual reports on delays to generics based on the petitions.

Lassman said PhRMA opposes the citizen-petition reforms and predicted that, if the measure becomes law, it may produce even more litigation. "These new requirements are so onerous, companies may decide to go to court to seek whatever they are seeking currently in petitions," he said.

LITIGATION TACTICS FROM BOTH SIDES

In conjunction with petitions, both sides engage in a host of litigation tactics to gain the upper hand.

Brand companies may seek temporary restraining orders against generics during FDA petition reviews and the generics may file patent challenges in hopes of invalidating a brand drug's monopoly.

For example, in 2005, one month before Mylan Laboratories Inc. was expected to launch sales of a generic version of Alza Corp.'s Ditropan XL, an incontinence treatment, Alza filed a citizen petition challenging the generic.

Although the FDA ultimately gave final approval to Mylan, the delay gave Alza months of exclusive sales at an estimated $1.8 million daily.

Heather Bresch, Mylan's head of North American operations, said that final approval of generics is held in limbo while brand companies receive millions for each day they delay competition and consumers lose access to lower-cost generics.

To be sure, there are good reasons for the citizen-petition process. Last year, the governors of Kansas, Minnesota, Vermont and Wisconsin filed a petition asking the FDA to provide guidance that would speed introduction of generic versions of insulin and human growth hormone.

Other petitions from public watchdog groups have called for removal of some drugs alleged to produce dangerous side effects.

But during a November hearing in Los Angeles in the Wellbutrin dispute, U.S. Magistrate Judge Rosalyn Chapman said to Mizerk of Biovail's safety concerns, "This is all about money ... . Maybe they think I think it's about safety, but I think it's all about money."

PaulieWalnuts
2007-07-18, 09:50 PM
Some insurance companies have two prescrip copay amounts on their insurance cards, one dollar value (a high one) for original-label drugs and another dollar value (the low one) for generics. Can't remember off the top of my head which ones, but I'm thinking it's Meritain Health and, maybe, uh, United Healthcare?

Bioteknik
2007-07-19, 03:42 PM
I've got three copay amounts for prescriptions. 10, 20 and 30

PaulieWalnuts
2007-07-27, 01:15 AM
I have a TV always turned on to C-SPAN for my business interests, particularly insurance-related stuff and consumer affairs and consumer spending. The other day, the House Energy and Commerce Committee had FDA Commissioner Andrew von Eschenbach on to talk about FDA regulation of drugs. Well, the whole thing was a disaster (the man is just plain stupid) but there were also some really big inaccuracies in his testimony that some news networks ended up repeating. The big mistake he made was in assuring the COmmittee that the FDA's regulation of "domestic" generic pharmaceutical producers was smooth and working well and, furthermore, that its regulation was not affecting the generic industry aversely.

Liar.

There is maybe one domestic generic drug producer that actually produces drugs from wholly American sources. Just about every generic drug producer in the US distributes products made from formulations imported from overseas, particularly Asia. The whole reason that is the case is because the FDA doesn't have the manpower it needs to smoothly operate its drug regulation mechanisms (every part of the transformation process of a drug is regulated, including its base formulations and everything used in their transformation processes); everyone there is doing the work of 2 people, nobody wants to work for the FDA when private industry pays more, and the Public Health Service is so demoralized from shitty senior Department management that its status as an anchor manpower force in the FDA is substantially weakened.

The whole point of that hearing, btw, was to find out what help the FDA needed, how the Committee could make laws to change things to help the FDA do its job, and all Eschenbach could talk about was how great a job the FDA was doing! Jesus Christ, bureaucrats make me sick.

Bioteknik
2007-07-27, 03:28 AM
just because a generic company uses foreign manufacturers to produce their active ingredients, doesn't mean that the FDA can't regulate them.

But yes, there have been budget cuts and there aren't as many FDA auditors as there used to be.

LilLemur416
2007-07-27, 03:47 AM
Maybe if the Division of Dockets Management (and all of FDA for that matter) didn't move at the speed of frozen molasses & stuck to the regulatory response times, it wouldn't be as big of a deal that people are filing citizen petitions... :ontome:


But honestly, there are lots of ways that drug companies can extend the exclusivity of their brand drug, even as their patent is coming to term - filing a citizen petition (while the cheapest way since you only have to provide copies, not pay to submit them) is one of the sillier ways to do it... (Although reading some of the responses to those petitions can be VERY entertaining when grandma Sally Sue from the Midwest puts in her 2 cents, hand written, misspellings and all.)

Bioteknik
2007-07-27, 04:39 AM
well the best way to keep exclusivity is for the company to have a generic subsidiary and file the anda themselves.

LilLemur416
2007-07-27, 05:03 AM
well the best way to keep exclusivity is for the company to have a generic subsidiary and file the anda themselves.

Somewhat blanking on the conference I went to - but I thought that generic exclusivity was only 180 days (assuming it's an ANDA that requires nothing "new" - which might trigger other exclusivities). I mean the article says that a lot of money can be made in that time frame - but it's not like the initial 3 or 5 year for regular NDA's (or 7 for orphan drugs) :shrug:

Bioteknik
2007-07-27, 06:19 AM
well yes it is only that long, but with every new generic, the price comes down too. I'm really curious to see what happens to the government trying to loosen the regulations for biologics, since with a biologic it's impossible to produce a completely identical active ingredient.