Over 200 organizations and physicians, six members of Congress, call for Secretary Tommy Thompson to open competition for two federally funded medicines; Demand for public hearing grows.
March 30, 2004
CONTACTS:
Lynda Dee, Co-Chair, AIDS Treatment Activists Coalition's Drug
Development Committee 410-332-1170; 410-889-6843
Over 200 organizations, physicians and individuals and six members of
the House of Representatives have called on Secretary of the Department
of Health and Human Services Tommy Thompson to use the federal Bayh-Dole
Act "march-in" power to open competition on two federally funded
medicines. The petitions allege that U.S. pharmaceutical companies are
exploiting federal research funding by selling government funded
inventions at astronomical prices that prevent reasonable public access.
The petitions involve two blockbuster medicines, the AIDS drug Norvir
(Abbott Laboratories) and the #1 selling glaucoma treatment Xalatan
(Pfizer). Each was discovered under multi-year multi-million dollar
research grants from the National Institutes of Health.
The petitions allege that each medicine is not being made "available to
the public on reasonable terms," as required by the Bayh-Dole Act,
because each is priced in the U.S. between two and 10 times the price in
any other country in the world, despite the U.S. government funding the
initial inventions.
NORVIR
Before December 2003, the price of Norvir in the U.S. was far higher
than in Canada or any Western European country. Two days before
Christmas 2003, Abbott increased by 400% the price. The most common
dose, which is used with three other AIDS drugs to boost their
effectiveness, rose from under $1,600 to over $7,800 a year, while
remaining under $720 in Canada and many countries in Western Europe.
According to a letter to Secretary Thompson signed by over 80 physicians
who specialize in the treatment of HIV/AIDS: Norvir "is the only
effective boosting compound available to increase the effectiveness of
existing treatments for HIV/AIDS" and is "an essential component of
almost every protease inhibitor-based antiretroviral treatment for
HIV/AIDS."
Norvir is especially important for patients in need of a "salvage
therapy" of new and powerful treatments because their virus has become
resistant to other medicines. Lynda Dee, Co-Chair of the Aids Treatment
Activists Coalition's Drug Development Committee, called the price
increase for these patients, who may have no choice as to the
medications they need to survive, "pharma terrorism perpetrated against
the patients who need new drugs the most."
Abbott Laboratories made over $1 billion in sales by 2001, far eclipsing
its research and development investment in the drug. James Love, an
economist specializing in the pharmaceuticals market and director of the
non-profit Consumer Project on Technology, has estimated Abbott's
investment in clinical trials for Norvir at under $15 million. The FDA
expedited the approval process to just 70 days, allowing Norvir to be
sold in the U.S. in a record time after its first patents were filed.
A complaint has been filed with the Federal Trade Commission alleging
that Abbott violated federal antitrust laws by bundling Norvir with
another AIDS drug in a single pill, called Kaletra, and insulating the
price of the combination pill from the price increase. In effect, this
practice has allowed Abbott to raise the price of its competitors'
products that compete with Kaletra, in violation of federal case law.
XALATAN
Xalatan, the world's #1 selling glaucoma treatment, was discovered under
a multi-million dollar grant to Columbia University, which licensed the
invention to Pfizer. Xalatan is sold in U.S. pharmacies for as much as
$65 for the same 4-6 week supply that sells for under $10 in Denmark.
A letter to Secretary Thompson signed by 15 health care and seniors
groups, including the Gray Panthers, Families USA and AFSCME, stated:
"We find this conduct outrageous. Americans should not have to pay
multiples of what Canadians and Europeans pay for a drug invented with
U.S. taxpayer funding."
On March 26, Mike Naylor, Director of Advocacy of the AARP wrote to
Secretary Thompson urging him to hold a public fact finding hearing on
the Xalatan petition. The letter explained that, as a result of
Pfizer=92s discriminatory pricing "millions of Americans are unable to
afford to take advantage of this revolutionary medicine, ironically,
despite the fact that the drug was developed in part using taxpayer funds."
CONGRESSMAN BROWN PRESSURES NIH DIRECTOR TO GRANT HEARING
On March 25, Congressman Sherrod Brown, ranking minority member of the
House Energy and Commerce Health Subcommittee, questioned National
Institutes of Health Director Elias Zerhouni on the agency=92s handling of
the Bayh-Dole march-in petitions.
Congressman Brown acknowledged that "these groups have requested a
public hearing on this issue. They recently received a letter saying
that representatives from NIH would be glad to meet with them, AFTER a
decision is made on the petition" He continued:
"Dr. Zerhouni, I am concerned about that. These groups want to make the
case regarding the viability of using Bayh-Dole given the specific
patents on this product and other issues that make this case complex.
"This is a very serious matter, and these groups deserve the opportunity
to make their case before a decision is made. Will you grant them the
opportunity to make their case in a public hearing?"
Dr. Zerhouni refused to assure Congressman Brown that a hearing would
take place, although he committed to "tend toward openness" where the
law allows. Congressman subsequently sent Dr. Zerhouni a two-page
letter summarizing the flexible procedures in the Bayh-Dole Act and
regulations, concluding: "Given your commitment on March 25, and the
context of a permissive legal and regulatory framework, I expect that
you will ensure that a public hearing is held on the march-in petitions
before the NIH makes a recommendation to the Secretary."
ACTIVISTS CONTINUE TO PUSH FOR OPEN HEARING
The growing coalition of consumers, physicians, health and AIDS
treatment activists is continuing to press Secretary Thompson to grant a
public hearing on the petitions. The Secretary has received hundreds of
such requests from around the country. Coalition representatives have
conducted numerous briefings with congressional staff and report a large
amount of concern that the Department of Health and Human Services is
reluctant to use existing federal authority to enforce reasonable
pricing of government funded medicines.
James Love, Director, Consumer Project on Technology (CPTech), 202-387-8030
Joy Spencer, Press Relations, 202-837-8030; 703-727-6761
Sean Flynn, Senior Attorney, CPTech, 202-387-8030; (c) 202-294-5749
Expanded press contacts, previous reports, briefing materials:
www.essentialinventions.org
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