Extending Exclusivity for Biopharmaceuticals to Deter Competing Generics: A Review of Strategies, Potential Mitigation, and Similarities to Infringement

2020 ◽  
Vol 21 (3) ◽  
pp. 215-227
Author(s):  
Charles E. Phelps

Some patents confront infringement—unauthorized use of the inventions in the patent—thus violating the exclusive use intent of the U.S. Constitution's creation of the patent system to encourage innovation. In other situations, the reverse occurs—patent holders seek to extend their exclusivity period to prevent competitive entrants. This commonly occurs in biopharmaceutical products markets, where annual revenues on many patented drugs exceed $1 billion per year and (most importantly) where several pathways allow extension of exclusivity. This paper reviews the relevant legislation (Bayh-Dole Act, Orphan Drug Act, Hatch-Waxman Act, and Food and Drug Administration (FDA) Modernization Act) as well as the safety and efficacy regulations of the FDA that control marketing of biopharmaceutical products. The paper then assesses methods used to extend patent exclusivity—some legal, some clearly illegal, and some with ambiguous legal status—in order to deter generic entrants. These methods include using FDA "citizen's petitions," creating generic equivalents of branded drugs to block other generic entrants, deterring potential generic competitors from gaining samples to prove bioequivalence to original formulations, seeking additional patents to extend exclusivity (sometimes for trivial changes), paying potential entrants to delay entry, subdividing the potential patient population to qualify for extensions granted by "orphan drug" status, and (most recently) selling patents to Native American tribes to prevent challenges to their validity. The paper concludes by discussing remedies—primarily legislative—that could either eliminate these actions and/or clarify their legality. Then follows a comparison between these entry-delaying strategies and patent infringement itself.

Author(s):  
Leigh R. Anderson

The working relationships between Native American tribes, the states, and the federal government have been strained for centuries. These intergovernmental interactions have led to a fragmented system whose attempt to deliver public service is consistently met with opposition. One area where this has become increasingly evident is within homeland security and emergency management policy. This study used a cross sectional survey to gather information about the beliefs tribes held about the various aspects of their working relationships with states and the federal government within the context of homeland security and emergency management. Analysis of the data revealed that the majority of the intergovernmental relationships that existed between tribes and the U.S. government did not possess the characteristics of an effective working relationship. Evidence also suggests that the intergovernmental relationships were actually having a negative impact on the U.S. government's goal to achieve a unified system of homeland security and emergency management on American soil.


Author(s):  
Thomas Grillot

This book depicts a forgotten history that explores how army veterans returning to reservation life after World War I transformed Native American identity. Drawing from archival sources and oral histories, the book demonstrates how the relationship between Native American tribes and the United States was reinvented in the years following World War I. During that conflict, 12,000 Native American soldiers served in the U.S. Army. They returned home to their reservations with newfound patriotism, leveraging their veteran cachet for political power and claiming all the benefits of citizenship—even supporting the termination policy that ended the U.S. government's recognition of tribal sovereignty.


2010 ◽  
Vol 12 (4) ◽  
pp. 397-411 ◽  
Author(s):  
Algeria R. Ford

AbstractThis article will first explore the history of Native American relations with the United States, examining early treatment of tribal nations by the U.S. government. It will then discuss the idea of sovereignty, more specifically as it relates to Native American tribes. The argument section rejects the idea that Native American Tribes are Sovereign Nations, explains why their current status is more akin to that of “States” by highlighting the similarities between state rights and current Native American, but concludes that native tribes are really quasi-states because they lack protection under the idea of federalism. The final section will discuss native views on the topic.


2019 ◽  
pp. 1661-1681
Author(s):  
Leigh R. Anderson

The working relationships between Native American tribes, the states, and the federal government have been strained for centuries. These intergovernmental interactions have led to a fragmented system whose attempt to deliver public service is consistently met with opposition. One area where this has become increasingly evident is within homeland security and emergency management policy. This study used a cross sectional survey to gather information about the beliefs tribes held about the various aspects of their working relationships with states and the federal government within the context of homeland security and emergency management. Analysis of the data revealed that the majority of the intergovernmental relationships that existed between tribes and the U.S. government did not possess the characteristics of an effective working relationship. Evidence also suggests that the intergovernmental relationships were actually having a negative impact on the U.S. government's goal to achieve a unified system of homeland security and emergency management on American soil.


2016 ◽  
Author(s):  
Jianyi Zhang

There are numerous medical disorders without effective treatments. It is possible that many of un-treatable conditions need more than one compound co-operatively for improvement or cure. Approval of drugs in the U.S. is governed by a rigorous review process by the Food and Drug Administration (FDA) regulation. A sponsor must demonstrate the drug’s safety and efficacy in well controlled clinical trials in the proper patient population for which it is indicated. Development of a new compound entity (NCE) is a very costly and time-consuming process; it takes roughly 15 years and 1.5 billion dollars on average. The high cost of the process makes the development of a new drug with multiple NCEs almost impossible. There are many compounds or biological agents which pass the safety test, but fail in the efficacy test. Those compounds might be critical for treatment of these medical conditions. The author suggests that compounds or biological agents, which pass the safety test, but the fail in efficacy test, should be allowed to use in clinical setting. The safety of those compounds is comparable with any other drugs approved by FDA. Benefits would heavily outweigh risks for patients treated by those compounds. The same principle should also be applied to biological agents, such as vaccines against HIV infection, cancers, etc.


2016 ◽  
Author(s):  
Jianyi Zhang

There are numerous medical disorders without effective treatments. It is possible that many of un-treatable conditions need more than one compound co-operatively for improvement or cure. Approval of drugs in the U.S. is governed by a rigorous review process by the Food and Drug Administration (FDA) regulation. A sponsor must demonstrate the drug’s safety and efficacy in well controlled clinical trials in the proper patient population for which it is indicated. Development of a new compound entity (NCE) is a very costly and time-consuming process; it takes roughly 15 years and 1.5 billion dollars on average. The high cost of the process makes the development of a new drug with multiple NCEs almost impossible. There are many compounds or biological agents which pass the safety test, but fail in the efficacy test. Those compounds might be critical for treatment of these medical conditions. The author suggests that compounds or biological agents, which pass the safety test, but the fail in efficacy test, should be allowed to use in clinical setting. The safety of those compounds is comparable with any other drugs approved by FDA. Benefits would heavily outweigh risks for patients treated by those compounds. The same principle should also be applied to biological agents, such as vaccines against HIV infection, cancers, etc.


2010 ◽  
Vol 29 (04) ◽  
pp. 191-198
Author(s):  
G. Kluger ◽  
S. Arnold

ZusammenfassungRund ein Drittel aller Patienten mit fokaler Epilepsie ist trotz medikamentöser Behandlung nicht anfallsfrei (1). Insbesondere für diese Patienten mit schwer behandelbaren Epilepsien bieten medikamentöse Neuentwicklungen neue Chancen. Seit 2008 steht in Deutschland für Patienten mit fokaler Epilepsie mit Lacosamid ein Wirkstoff mit einem neuen Wirkungsmechanismus zur Verfügung. 2009 wurde die Medikamentenpalette um Eslicarbazepinacetat erweitert. Beide Substanzen haben in großen randomisierten Doppelblindstudien eine signifikante Reduktion der Anfallshäufigkeit im Vergleich zu Placebo belegen können. Zur Behandlung seltener Erkrankungen können Substanzen mit der Option des “Orphan- Drug”-Status auch nach Untersuchung vergleichsweise geringer Patientenzahlen unter besonderen Auflagen zur Verfügung gestellt werden. Als “Orphan Drug” zur Zusatzbehandlung des Lennox-Gastaut-Syndroms wurde 2007 Rufinamid von der EMEA zugelassen. Bereits seit 2001 ist Stiripentol als “Orphan Drug” von der EMEA zur Zusatzbehandlung des Dravet-Syndromes ausgewiesen und seit 2007 als “Orphan Drug” mit Auflagen für Europa zugelassen. 2008 konnte Stiripentol auch in Deutschland eingeführt werden. In dieser Übersicht sollen die wesentlichen Merkmale der genannten Substanzen dargestellt werden.Da selten auftretende Nebenwirkungen nach der Markteinführung einer Substanz auftreten können, sind weitere Untersuchungen notwendig,um die langfristige Sicherheit der vorgestellten Substanzen zu überprüfen.


Author(s):  
Kélina Gotman

Native American dancers in the 1890s rebelling against the U.S. government’s failure to uphold treaties protecting land rights and rations were accused of fomenting a dancing ‘craze’. Their dancing—which hoped for a renewal of Native life—was subject to intense government scrutiny and panic. The government anthropologist James Mooney, in participant observation and fieldwork, described it as a religious ecstasy like St. Vitus’s dance. The Ghost Dance movement escalated with the proliferation of reports, telegraphs, and letters circulating via Washington, DC. Although romantically described as ‘geognosic’—nearly mineral—ancestors of the whites, Native rebels in the Plains were told to stop dancing so they could work and thus modernize; their dancing was deemed excessive, wasteful, and unproductive. The government’s belligerently declared state of exception—effectively cultural war—was countered by one that they performed ecstatically. ‘Wasted’ energy, dancers maintained, trumped dollarization—the hollow ‘use value’ of capitalist biopower.


Author(s):  
Elisa Eastwood Pulido

A spiritual biography, this book chronicles the journey of Margarito Bautista (1878–1961) from Mormonism to the Third Convention, a Latter-day Saint (Mormon) splinter group he fomented in 1935–1936, to Colonia Industrial/Nueva Jerusalén, a polygamist utopia Bautista founded in 1947. It argues that Bautista embraced Mormon belief in indigenous exceptionalism in 1901 and rapidly rose through the ranks of Mormon priesthood until convinced that the Mormon hierarchy was not invested in the development of native American peoples, as promoted in the Church’s canon. This realization resulted in tensions over indigenous self-governance within the Church of Jesus Christ of Latter-day Saints (Mormon Church) and Bautista’s 1937 excommunication. The book contextualizes Bautista’s thought with a chapter on the spiritual conquest of Mexico in 1513 and another on the arrival of Mormons in Mexico. In addition to accounts of Bautista’s congregation-building on both sides of the U.S. border, this volume includes an examination of Bautista’s magnum opus, a 564-page tome hybridizing Aztec history and Book of Mormon narratives, and his prophetic plan for the recovery of indigenous authority in the Americas. Bautista’s excommunication catapulted him into his final spiritual career, that of a utopian founder. In the establishment of his colony, Bautista found a religious home, free from Euro-American oversight, where he implemented his prophetic plan for Mexico’s redemption. His plan included obedience to early Mormonism’s most stringent practices, polygamy and communalism. Bautista nonetheless hoped his community would provide a model for Mexicans willing to prepare the world for Christ’s millennial reign.


2020 ◽  
Vol 60 (4) ◽  
pp. 657-669
Author(s):  
Kim Cary Warren

While researching racially segregated education, I came across speeches delivered in the 1940s by two educational leaders—one a black man and the other a Native American man. G. B. Buster, a longtime African American teacher, implored his African American listeners to work with white Americans on enforcing equal rights for all. A few years before Buster delivered his speech, Henry Roe Cloud (Winnebago), a Native American educator, was more critical of white Americans, specifically the federal government, which he blamed for destroying American Indian cultures. At the same time, Roe Cloud praised more recent federal efforts to preserve cultural practices, study traditions before they completely disappeared, and encourage self-government among Native American tribes.


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