Update on the Medicines Patent Pool

Size: px
Start display at page:

Download "Update on the Medicines Patent Pool"

Transcription

1 Update on the Medicines Patent Pool Sandeep Juneja November 06, 2012

2 How the Pool works* The Pool is an innovative licensing mechanism for HIV medicines Licensors Patents Feedback Market Impact Product introductions Royalties Pool Out- Licenses License Management by the Pool Sub- Licensees The Pool seeks public health oriented licences that take into account legitimate interests of all parties Improvement over status-quo Using its IP & legal expertise, the Pool aims to continually improve existing agreements and sign new and better agreements. It strives to: o o Include as many low and middle income countries as possible Promote terms that maximise public health benefits and ensure lowest sustainable cost for quality medicines in as many countries as possible Funded by UNITAID Operational since end-2010 * Generalized schematic; may be different for specific licenses 2

3 Ensuring access in the changing ARV patent landscape TRIPS Transition for Developing Countries TRIPS Transition for Least Developed Countries Zidovudine Didanosine Stavudine Saquinavir Nevirapine Abacavir Emtricitabine Lamivudine Indinavir Efavirenz Darunavir Ritonavir ` Lopinavir Atazanavir Tenofovir DF Fosamprenavir Maraviroc Etravirine Rilpivirine Raltegravir Elvitegravir Dolutegravir Cobicistat SPI

4 Support to the Pool from key stakeholders in global health National Health Organizations and Communities Originator Companies Global Health Organizations The Medicines Patent Pool has potential to support access to more appropriate and affordable ARVs in developing countries by setting incentives for product adaptation and generic production. We will encourage the pharmaceutical sector to engage actively with the Medicines Patent Pool to support the availability of more appropriate and affordable ARVs. Generics Companies Donor Agencies - Towards zero infections: The UK s position paper on HIV in the developing world, May 2011 I commend UNITAID for taking the initiative to establish the Medicines Patent Pool and commend the companies that are in negotiations with the Patent Pool. - Margaret Chan, Director General of WHO, July 2011 We welcome the Patent Pool Initiative launched by UNITAID in order to facilitate production of affordable generic medicines well-adapted for use in resource-poor settings, and we invite the voluntary participation of patent owners, private and public, in the project. Group of 8 Declaration, G8 Summit of Deauville, France, May

5 Support to the Pool from key stakeholders in global health (2) Encouraging the voluntary use, where appropriate, of new mechanisms such as partnerships, tiered pricing, open-source sharing of patents and patent pools benefiting all developing countries, including through entities such as the Medicines Patent Pool, to help reduce treatment costs and encourage development of new HIV treatment formulations, including HIV medicines and point-of-care diagnostics, in particular for children. -UN General Assembly Political Declaration on HIV/AIDS, June 2011 We think that the Medicines Patent Pool is an important initiative towards achieving universal access to the newer HIV medicines At WHO we will be pleased to give priority to any of the newly developed FDCs for assessment by our WHO / UN Prequalification Programme in order to facilitate its rapid uptake by the funding agencies and national governments. - Hans V. Hogerzeil, former director, WHO Essential Medicines and Pharmaceutical Policies, October 2010 UNAIDS strongly encourages other antiretroviral patent holders to establish agreements with the Pool, and for generic manufacturers to utilize the licenses that the Pool can facilitate to expand access to antiretroviral treatment. - Paul De Lay, Deputy - Executive Director, - UNAIDS, October 2011 Encourage the use of new mechanisms such as the UNITAID Medicines Patent Pool to help reduce treatment costs and promote the development of new treatment formulations, including paediatric formulations and fixed-dose combinations. - Sao Paulo Parliamentary Declaration on Access to Medicines, Global Fund Partnership Forum, June 2011 The Medicines Patent Pool offers a way forward that could work for both people living with HIV and for companies where patents exist, the Pool is a way to manage them so that public health goals are still achieved, and people living with HIV are not barred from getting the medicines they need. NEPHAK, Press Release, December

6 Licensing-in Concluded US NIH Gilead Sciences In negotiations Boehringer Ingelheim Bristol Myers-Squibb F. Hoffman-La Roche Viiv Healthcare Not in Negotiations Abbott Laboratories Merck & Co Tibotec / Johnson & Johnson

7 Licensing-out: Gilead products Aurobindo Emcure Hetero Laurus Medchem Cobicistat Cobicistat Cobicistat Cobicistat Cobicistat Elvitegravir Elvitegravir Elvitegravir Elvitegravir Elvitegravir Emtricitabine Emtricitabine Emtricitabine Emtricitabine Emtricitabine Quad Quad Quad Quad Quad Tenofovir Tenofovir

8 Licensing processes to ensure market impact 1 Sign inlicences Review Expression of Interest forms from generics Negotiate outlicences Sign outlicences Monitor incountry registration status Monitor WHO PQ, USFDA, SRA approval status 2 Kick-Off generic collaboration Conduct technology transfer 3 Progress reviews Monitor royalties Dispute resolution Assess impact Collect & report market feedback Phase 1: Out-licensing Phase 2: Development Phase 3: Commercialization Reporting step Licensing step Only as required 8

9 Status of Gilead licences 1 Sign inlicences Review Expression of Interest forms from generics Negotiate outlicences Sign outlicences Monitor incountry registration status Monitor WHO PQ, USFDA, SRA approval status 2 Kick-Off generic collaboration Conduct technology transfer 3 Progress reviews Monitor royalties Dispute resolution Assess impact Collect & report market feedback Phase 1: Out-licensing Phase 2: Development Phase 3: Commercialization Reporting step Licensing step Only as required 9

10 Further developments on the Gilead licence Added amendments to improve current agreement 1. Included South Sudan 2. Incorporated language based on CS feedback: a) clarified covenant not to sue on FTC post TDF termination b) clarified Gilead s position on Compulsory Licences 3. Waived the Pool s administrative fee Started technology transfer Cobicistat/Elvitegravir: API technology transfer to Pool licensees accomplished Quad: formulation technology transfer to follow FTC process improvement: shortly Earned LES Deals of Distinction Award 2012 Gilead & NIH licences with MPP awarded deals of distinction by the Licensing Executives Society USA & Canada 10

11 Expression of Interest process Potential Licensees An Expression of Interest (EOI) process to enable potential licensees to seek licences online has been designed and is being implemented The EOI process includes details such as Capabilities in R&D and manufacturing Product development plan and strategy Regulatory timelines Fitment of the product in the overall ARV/business strategy The Pool aims to fairly offer sub-licences to all qualified generics manufacturers while exercising due care and diligence to not undermine stability of the generic ARV market 11

12 Priority products for the Pool Working paper, updated annually; Preview of the update outcome alongside; full paper out shortly - comments will be welcome. Watch out at: ol.org/licensing/targetmedicines/ Compounds with (*) are pipeline compounds

13 Patent status database Most complete single source of ARV patent status data Covers 24 compounds in 78 countries Searchable by compound and by country (or region) To be regularly updated Starting point for more thorough searches

14 Thank You

The Medicines Patent Pool: An Update. June 2012 Geneva, Switzerland

The Medicines Patent Pool: An Update. June 2012 Geneva, Switzerland The Medicines Patent Pool: An Update June 2012 Geneva, Switzerland The Medicines Patent Pool Royalties Licensor Licensor Patents Generics versions of existing compounds Licensor Licensor Patents Patents

More information

INTRODUCTION TO THE MEDICINES PATENT POOL

INTRODUCTION TO THE MEDICINES PATENT POOL www.medspal.org TABLE OF CONTENTS 1. Introduction to the Medicines Patent Pool 2. Background on MedsPaL 3. What patent information is included in MedsPaL? 4. What licensing and data exclusivity information

More information

Patent Pools As Public Health Meta Collaborations: the Experience of NIH and the Medicines Patent Pool

Patent Pools As Public Health Meta Collaborations: the Experience of NIH and the Medicines Patent Pool Patent Pools As Public Health Meta Collaborations: the Experience of NIH and the Medicines Patent Pool Steven M. Ferguson, CLP Email: sf8h@nih.gov Deputy Director, Licensing & Entrepreneurship NIH Office

More information

THE MEDICINES PATENT POOL APPROACH TO SCALE UP ACCESS TO HIV AND HCV TREATMENT. Esteban Burrone Head of Policy

THE MEDICINES PATENT POOL APPROACH TO SCALE UP ACCESS TO HIV AND HCV TREATMENT. Esteban Burrone Head of Policy THE MEDICINES PATENT POOL APPROACH TO SCALE UP ACCESS TO HIV AND HCV TREATMENT Esteban Burrone Head of Policy LEARNING FROM THE HIV RESPONSE EVOLUTION OF AIDS DRUG PRICES: 2000-2008 Source: MSF (2008)

More information

Monographs on ARV and hepatitis medicines in The International Pharmacopoeia

Monographs on ARV and hepatitis medicines in The International Pharmacopoeia Monographs on ARV and hepatitis medicines in The International Pharmacopoeia Technologies, Standards and Norms 1 The International Pharmacopoeia contains analytical methods and specifications for active

More information

PRAC recommendations on signals

PRAC recommendations on signals 3 April 2018 1 EMA/PRAC/136563/2018 Pharmacovigilance Risk Assessment Committee (PRAC) Adopted at the 5-8 March 2018 PRAC meeting This document provides an overview of the recommendations adopted by the

More information

Forecasting pipeline ARVs. Joseph Perriëns Sandeep Juneja Aastha Gupta

Forecasting pipeline ARVs. Joseph Perriëns Sandeep Juneja Aastha Gupta Forecasting pipeline ARVs Joseph Perriëns Sandeep Juneja Aastha Gupta Presently: lack of visibility causes a gap between demand and generic production for new drugs Patent Holder R&D Marketing 3-4 yrs

More information

Update on Progress of MPP Sub-licensees July 2017

Update on Progress of MPP Sub-licensees July 2017 HOW THE MPP WORKS? Update on Progress of MPP Sub-licensees July 2017 In-Licensing: Concluded Agreements Lopinavir Ritonavir (separate paediatrics and adults licences) Atazanavir Daclatasvir (HCV) Nevirapine

More information

Update on progress of MPP sublicensees

Update on progress of MPP sublicensees Update on progress of MPP sublicensees Medicines Patent Pool SEPTEMBER 2018 SUMMARY This presentation showcases the progress made by MPP licensees (generic pharmaceutical companies) To date, MPP has signed

More information

The use of antiretroviral agents during pregnancy in Canada and compliance with North-American guidelines

The use of antiretroviral agents during pregnancy in Canada and compliance with North-American guidelines The use of antiretroviral agents during pregnancy in Canada and compliance with North-American guidelines I. Boucoiran, T. Lee, K. Tulloch, L. Sauve, L. Samson, J. Brophy, M. Boucher and D. Money For and

More information

Patents and licences on antiretrovirals: A snapshot

Patents and licences on antiretrovirals: A snapshot 2014 Patents and licences on antiretrovirals: A snapshot APRIL 2014 UNITAID Secretariat World Health Organization Avenue Appia 20 CH-1211 Geneva 27 Switzerland T +41 22 791 55 03 F +41 22 791 48 90 unitaid@who.int

More information

UNITAID is hosted and administered by the World Health Organization

UNITAID is hosted and administered by the World Health Organization UNITAID Secretariat World Health Organization Avenue Appia 20 CH-1211 Geneva 27 Switzerland T +41 22 791 55 03 F +41 22 791 48 90 unitaid@who.int www.unitaid.eu Medicines Patent Pool Chemin Louis-Dunant

More information

WHO Global Price Reporting Mechanism the importance of data registration for the regulation of antiretrovirals (ARV) and access to treatment

WHO Global Price Reporting Mechanism the importance of data registration for the regulation of antiretrovirals (ARV) and access to treatment WHO Global Price Reporting Mechanism the importance of data registration for the regulation of antiretrovirals (ARV) and access to treatment Boniface Dongmo Nguimfack HIV/Technology and Commodities 1 AMDS

More information

SUMMARY MEETING REPORT. Annual stakeholders and partners meeting AIDS Medicines and Diagnostics Service. Geneva, 7 8 May 2013

SUMMARY MEETING REPORT. Annual stakeholders and partners meeting AIDS Medicines and Diagnostics Service. Geneva, 7 8 May 2013 SUMMARY MEETING REPORT Annual stakeholders and partners meeting AIDS Medicines and Diagnostics Service Geneva, 7 8 May 2013 Department of HIV/AIDS HIV Technologies and Commodities May 2013 WHO/HIV/2013.6

More information

1. Procedure for this Invitation to EOI. 2. Medicinal products included on the 14 th Invitation. Guidance Document 14 May 2016

1. Procedure for this Invitation to EOI. 2. Medicinal products included on the 14 th Invitation. Guidance Document 14 May 2016 To support national and global efforts to increase access to and the affordability of HIV/AIDS-related care and treatment together with UNICEF, UNAIDS and UNITAID, invite applicants for selected pharmaceutical

More information

John Amis/AP Images for AIDS. Healthcare Foundation

John Amis/AP Images for AIDS. Healthcare Foundation John Amis/AP Images for AIDS Healthcare Foundation Sofosbuvir Bought in 2011 by Gilead for 11 billion: "a huge and risky bet on the next generation of hepatitis C treatments" (Reuters) Patent situation:

More information

Treatment and Care: Product portfolio

Treatment and Care: Product portfolio Treatment and Care: Product portfolio Dr Paula Munderi MRC/UVRI Uganda Research Unit on AIDS EDCTP Stakeholder Meeting on HIV/AIDS 3-4 September 2013 Summary Brief overview HIV Treatment Pipeline Key Questions

More information

Patients First! Gilles Van Cutsem, MSF

Patients First! Gilles Van Cutsem, MSF Patients First! Patients First! Gilles Van Cutsem, MSF Access Campaign: 1999-2010 Bearing Witness We are not certain that by speaking we will necessarily be able to save lives, but we know for certain

More information

Pharmacological considerations on the use of ARVs in pregnancy

Pharmacological considerations on the use of ARVs in pregnancy Pharmacological considerations on the use of ARVs in pregnancy 11 th Residential Course on Clinical Pharmacology of Antiretrovirals Torino, 20-22 January 2016 Prof. David Burger, PharmD, PhD david.burger@radboudumc.nl

More information

TORONTO GENERAL HOSPITAL HIV AMBULATORY CARE ROTATION

TORONTO GENERAL HOSPITAL HIV AMBULATORY CARE ROTATION TGH - ambulatory rotation page 1 of 5 TORONTO GENERAL HOSPITAL HIV AMBULATORY CARE ROTATION SITE: Immunodeficiency Clinic, Toronto General Hospital, University Health Network Location: 13 th floor, Norman

More information

reductions Untangling the web of price reductions: eligibility pricecountries company price countries price

reductions Untangling the web of price reductions: eligibility pricecountries company price countries price company price countries reductions pricecountries price eligibility reductions Untangling the web of price reductions: a pricing guide for the purchase of ARVs for developing countries 1st December 2003

More information

Antiretroviral Dosing in Renal Impairment

Antiretroviral Dosing in Renal Impairment Protease Inhibitors (PIs) Atazanavir Reyataz hard capsules 300 mg once daily taken with ritonavir 100 mg once daily No dosage adjustment is needed for atazanavir in renal impairment Atazanavir use in haemodialysis

More information

Annex 1 Cost Benefit Analysis for UNITAID Patent Pool 2

Annex 1 Cost Benefit Analysis for UNITAID Patent Pool 2 Annex 1 Cost Benefit Analysis for UNITAID Patent Pool 2 20 June 2008 Introduction The feasibility and sustainability of treatment for HIV/AIDS in developing countries will depend upon the ability of donors

More information

THE HIV LIFE CYCLE. Understanding How Antiretroviral Medications Work

THE HIV LIFE CYCLE. Understanding How Antiretroviral Medications Work THE HIV LIFE CYCLE Understanding How Antiretroviral Medications Work DEFINITIONS Host: The animal or cell that another organism lives in. In HIV human CD4 T-cells are the host for HIV. Nucleus: The core

More information

Clinical Commissioning Policy: Use of cobicistat (Tybost ) as a booster in treatment of HIV positive adults and adolescents

Clinical Commissioning Policy: Use of cobicistat (Tybost ) as a booster in treatment of HIV positive adults and adolescents Clinical Commissioning Policy: Use of cobicistat (Tybost ) as a booster in treatment of HIV positive adults and adolescents 1 Clinical Commissioning Policy: Use of cobicistat (Tybost ) as a booster in

More information

REPORT FROM THE COMMISSION. Annual Report ( )

REPORT FROM THE COMMISSION. Annual Report ( ) EUROPEAN COMMISSION Brussels, 18.12.2012 COM(2012) 775 final REPORT FROM THE COMMISSION Annual Report (-) on the application of Council Regulation (EC) No 953/2003 of 26 May 2003 to avoid trade diversion

More information

reductions Untangling the web of price reductions: 6th Edition eligibility pricecountries company price countries price

reductions Untangling the web of price reductions: 6th Edition eligibility pricecountries company price countries price company price countries reductions pricecountries price eligibility reductions Untangling the web of price reductions: a pricing guide for the purchase of ARVs for developing countries 6th Edition 19th

More information

EXPRESSION OF INTEREST New Horizons Advancing Pediatric HIV Care Donation Program

EXPRESSION OF INTEREST New Horizons Advancing Pediatric HIV Care Donation Program EXPRESSION OF INTEREST New Horizons Advancing Pediatric HIV Care Donation Program Background With the release of the 2014 UNAIDS 90-90- 90 treatment target, programs are expected to scale- up efforts to

More information

WOMENS INTERAGENCY HIV STUDY ANTIRETROVIRAL DOSAGE FORM SECTION A. GENERAL INFORMATION

WOMENS INTERAGENCY HIV STUDY ANTIRETROVIRAL DOSAGE FORM SECTION A. GENERAL INFORMATION WOMENS INTERAGENCY HIV STUDY ANTIRETROVIRAL DOSAGE FORM SECTION A. GENERAL INFORMATION A1. PARTICIPANT ID: ENTER NUMBER HERE - - - ONLY IF ID LABEL IS NOT AVAILABLE A2. VISIT #: A3. VERSION DATE: 1 0 /

More information

HIV Drugs and the HIV Lifecycle

HIV Drugs and the HIV Lifecycle HIV Drugs and the HIV Lifecycle Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject All HIV drugs work by interrupting different steps in HIV's

More information

HIV MEDICATIONS AT A GLANCE. Atripla 600/200/300 mg tablet tablet daily. Complera 200/25/300 mg tablet tablet daily

HIV MEDICATIONS AT A GLANCE. Atripla 600/200/300 mg tablet tablet daily. Complera 200/25/300 mg tablet tablet daily HIV MEDICATIONS AT A GLANCE Generic Name Trade Name Strength DIN Usual Dosage Single Tablet Regimen (STR) Products Efavirenz/ Emtricitabine/ rilpivirine/ elvitegravir/ cobicistat/ alafenamide Emtricitabine/

More information

The Global Accelerator for Paediatric Formulations (GAP-f) Ensuring children have accelerated access to optimal drug formulations

The Global Accelerator for Paediatric Formulations (GAP-f) Ensuring children have accelerated access to optimal drug formulations Slide 1 The Global Accelerator for Paediatric Formulations (GAP-f) Ensuring children have accelerated access to optimal drug formulations Sébastien Morin (International AIDS Society, Switzerland) 9 th

More information

Resolution adopted by the General Assembly. [without reference to a Main Committee (A/62/L.39 and Add.1)]

Resolution adopted by the General Assembly. [without reference to a Main Committee (A/62/L.39 and Add.1)] United Nations General Assembly Distr.: General 7 March 2008 Sixty-second session Agenda item 47 Resolution adopted by the General Assembly [without reference to a Main Committee (A/62/L.39 and Add.1)]

More information

The Global Health Impact Index

The Global Health Impact Index The Global Health Impact Index Ranking Explanation Reference Table Drug Abbreviation Drug Name 1. AL 1. Artemether-Lumefantrine 2. AS+AQ 2. Artesunate + Amodiaquine 3. AS+MQ 3. Artesunate + Mefloquine

More information

THE ROADMAP. The HIV Drug Pipeline and its Patents. August

THE ROADMAP. The HIV Drug Pipeline and its Patents. August THE ROADMAP The HIV Drug Pipeline and its Patents August 2013 www.i-mak.org Table of Contents Abbreviations... Introduction & Methodology... Executive summary... Context... Summary guidance... Current

More information

British HIV Association Guidelines for the Management of Hepatitis Viruses in Adults Infected with HIV 2013 Appendix 2

British HIV Association Guidelines for the Management of Hepatitis Viruses in Adults Infected with HIV 2013 Appendix 2 British HIV Association Guidelines for the Management of Hepatitis Viruses in Adults Infected with HIV 2013 Appendix 2 Systematic literature search 2.1 Questions and PICO criteria Data bases: Medline,

More information

Innovation, Access and Use Department of Essential Medicines and Health Products WHO

Innovation, Access and Use Department of Essential Medicines and Health Products WHO MARKETS FOR QUALITY-ASSURED PRODUCTS Sarah Garner and Francisco Blanco Innovation, Access and Use Department of Essential Medicines and Health Products WHO 1 Objectives Indicate market needs for medicines

More information

Better Partner Health

Better Partner Health 4 Better Partner Health Building strategic partnerships with like-minded organizations, companies and government bodies better positions Mylan to reach patients and achieve our mission. From R&D to manufacturing

More information

ART and Prevention: What do we know?

ART and Prevention: What do we know? ART and Prevention: What do we know? Biomedical Issues Trip Gulick, MD, MPH Chief, Division of Infectious Diseases Professor of Medicine Weill Cornell Medical College New York City ART for Prevention:

More information

What's new in the WHO ART guidelines How did markets react?

What's new in the WHO ART guidelines How did markets react? WHO 2013 ARV Guidelines What's new in the WHO ART guidelines How did markets react? Dr. J. Perriëns Coordinator, HIV Technology and Commodities HIV department, WHO, Geneva When to start in adults Starting

More information

UNITAID Increasing access to quality medicines and diagnostics for HIV/AIDS,TB and Malaria

UNITAID Increasing access to quality medicines and diagnostics for HIV/AIDS,TB and Malaria UNITAID Increasing access to quality medicines and diagnostics for HIV/AIDS,TB and Malaria The HIV Medicines Patent Pool Initiative Briefing for Delegates to the 62 nd WHA, Geneva, 20 May 2009 Ellen 't

More information

HIV in the Brain MANAGING COMORBIDITIES IN PATIENTS WITH HIV

HIV in the Brain MANAGING COMORBIDITIES IN PATIENTS WITH HIV HIV in the Brain MANAGING COMORBIDITIES IN PATIENTS WITH HIV Shibani S. Mukerji MD, PhD Massachusetts General Hospital, Division of Immunologic, Inflammatory and Infectious Neurological Diseases Dana-Farber

More information

Second-Line Therapy NORTHWEST AIDS EDUCATION AND TRAINING CENTER

Second-Line Therapy NORTHWEST AIDS EDUCATION AND TRAINING CENTER NORTHWEST AIDS EDUCATION AND TRAINING CENTER Second-Line Therapy David Spach, MD Clinical Director, Northwest AETC Professor of Medicine, Division of Infectious Diseases University of Washington Presentation

More information

Clinical Commissioning Policy: Use of cobicistat as a booster in treatment of HIV positive adults and adolescents

Clinical Commissioning Policy: Use of cobicistat as a booster in treatment of HIV positive adults and adolescents Clinical Commissioning Policy: Use of cobicistat as a booster in treatment of HIV positive adults and adolescents Reference: NHS England F03/P/b NHS England INFORMATION READER BOX Directorate Medical Commissioning

More information

UNITAID. Dr Philippe Duneton Deputy Executive Director Copenhagen September 2012

UNITAID. Dr Philippe Duneton Deputy Executive Director Copenhagen September 2012 UNITAID Dr Philippe Duneton Deputy Executive Director Copenhagen September 2012 Challenges Achievements WHO Prequalification UNITAID support for prequalification of medicines Since 2007 UNITAID support

More information

Industry Data Request

Industry Data Request Industry Data Request Purpose: reported data will be used internally to populate patient forecasting models that are used for business planning. Business planning includes stock requirement forecasts,

More information

11TH EDITION 11th EDITION JULY 2008

11TH EDITION 11th EDITION JULY 2008 UNTANGLING UNTANGLING THE WEB THE OF WEB ANTIRETROVIRAL OF ARV PRICE PRICE REDUCTIONS 11TH EDITION 11th EDITION JULY 2008 Disclaimer: Untangling the Web of Antiretroviral Price Reductions is a pricing

More information

Page 1. Outline. Outline. Building specialized knowledge: HIV. Biological interactions. Social aspects of the epidemic. Programmatic actions

Page 1. Outline. Outline. Building specialized knowledge: HIV. Biological interactions. Social aspects of the epidemic. Programmatic actions Harvard-Brazil Collaborative Public Health Field Course January 2014 Lecture # 8 Building specialized knowledge: HIV Aluisio Segurado Department of Infectious Diseases School of Medicine, University of

More information

The Cost of Antiretrovirals

The Cost of Antiretrovirals The Cost of Antiretrovirals Maximizing Value for Money Veronika J. Wirtz, National Institute of Public Health, Cuernavaca, Mexico Steven S. Forsythe, Futures Institute Atanacio Valencia Mendoza, National

More information

WHO WIPO WTO Trilateral symposium

WHO WIPO WTO Trilateral symposium WHO WIPO WTO Trilateral symposium Public Health, Intellectual Property, and TRIPS at 20: Innovation and Access to Medicines : Learning from the Past, Illuminating the Future Access to Medicines: Achievements

More information

Criteria for Oral PrEP

Criteria for Oral PrEP Oral PrEP New Drugs Roy M. Gulick, MD, MPH Chief, Division of Infectious Diseases Professor of Medicine Weill Medical College of Cornell University New York City Safe Criteria for Oral PrEP Penetrates

More information

Evolution of Antiretroviral Drug Costs in Brazil in the Context of Free and Universal Access to AIDS Treatment

Evolution of Antiretroviral Drug Costs in Brazil in the Context of Free and Universal Access to AIDS Treatment Evolution of Antiretroviral Drug Costs in Brazil in the Context of Free and Universal Access to AIDS Treatment Amy S. Nunn 1*, Elize M. Fonseca 2,3, Francisco I. Bastos 2, Sofia Gruskin 1,4, Joshua A.

More information

POST-EXPOSURE PROPHYLAXIS, PRE-EXPOSURE PROPHYLAXIS, & TREATMENT OF HIV

POST-EXPOSURE PROPHYLAXIS, PRE-EXPOSURE PROPHYLAXIS, & TREATMENT OF HIV POST-EXPOSURE PROPHYLAXIS, PRE-EXPOSURE PROPHYLAXIS, & TREATMENT OF HIV DISCLOSURE Relevant relationships with commercial entities none Potential for conflicts of interest within this presentation none

More information

Medication Errors Focus on the HIV-Infected Patient

Medication Errors Focus on the HIV-Infected Patient Medication Errors Focus on the HIV-Infected Patient Nimish Patel, Pharm.D., Ph.D., AAHIVP Associate Professor Albany College of Pharmacy & Health Sciences I do not have any conflict of interest in relation

More information

Dr Alan Winston. Imperial College Healthcare NHS Trust London. 7-8 October 2010, Queen Elizabeth II Conference Centre, London.

Dr Alan Winston. Imperial College Healthcare NHS Trust London. 7-8 October 2010, Queen Elizabeth II Conference Centre, London. BHIVA AUTUMN CONFERENCE 2010 Including CHIVA Parallel Sessions Dr Alan Winston Imperial College Healthcare NHS Trust London 7-8 October 2010, Queen Elizabeth II Conference Centre, London BHIVA AUTUMN CONFERENCE

More information

Item 4.7. Draft Global Health Sector Strategy for HIV,

Item 4.7. Draft Global Health Sector Strategy for HIV, Item 4.7 Draft Global Health Sector Strategy for HIV, 2011 2015 Context of EB Discussions Following the request to the Director General in resolution WHA63.19 to submit a WHO HIV/AIDS strategy for 2011

More information

Too small, too soon: antiretroviral prophylaxis and treatment in preterm and low birth weight infants

Too small, too soon: antiretroviral prophylaxis and treatment in preterm and low birth weight infants Too small, too soon: antiretroviral prophylaxis and treatment in preterm and low birth weight infants Mark Mirochnick, MD Boston University School of Medicine, Boston, MA, USA Full Term Full Term 34 wks

More information

PHARMACOKINETICS OF ANTIRETROVIRAL AND ANTI-HCV AGENTS

PHARMACOKINETICS OF ANTIRETROVIRAL AND ANTI-HCV AGENTS 8. PHARMACOKINETICS OF ANTIRETROVIRAL AND ANTI-HCV AGENTS David Burger José Moltó Table 8.1a: INFLUENCE OF FOOD ON ABSORPTION (AREA UNDER THE CURVE) OF ANTIRETROVIRAL AGENTS NUCLEOSIDE ANALOGUES NtRTI

More information

ViiV Healthcare s Position on Continuous Innovation in Prevention, Testing, Treatment & Care of HIV

ViiV Healthcare s Position on Continuous Innovation in Prevention, Testing, Treatment & Care of HIV ViiV Healthcare s Position on Continuous Innovation in Prevention, Testing, Treatment & Care of HIV ViiV Healthcare is a company 100% committed to HIV, and we are always looking to move beyond the status

More information

ARVs on an Empty Stomach: Food Interaction Studies in a resource Limited Setting

ARVs on an Empty Stomach: Food Interaction Studies in a resource Limited Setting ARVs on an Empty Stomach: Food Interaction Studies in a resource Limited Setting Dr. Andrew D Kambugu, FRCP (UK) Infectious Diseases Institute, Makerere University Outline of Discussion Key Definitions

More information

HIV and the Central Nervous System Impact of Drug Distribution Scott L. Letendre, MD. Professor of Medicine University of California, San Diego

HIV and the Central Nervous System Impact of Drug Distribution Scott L. Letendre, MD. Professor of Medicine University of California, San Diego HIV and the Central Nervous System Impact of Drug Distribution Scott L. Letendre, MD Professor of Medicine University of California, San Diego Disclosures Grant/research support Abbvie Gilead Sciences

More information

ASEAN Activities on Increasing Access to ARV and HIV Related Supplies

ASEAN Activities on Increasing Access to ARV and HIV Related Supplies ASEAN Activities on Increasing Access to ARV and HIV Related Supplies Consultation on Integrating Prevention and Management of STI/HIV/AIDS into Reproductive, Maternal and Newborn Health Services and the

More information

Q&A on Second-Line HIV/AIDS Treatment

Q&A on Second-Line HIV/AIDS Treatment Q&A on Second-Line HIV/AIDS Treatment Q. What are second-line antiretrovirals? How are they different from first-line ARVs and why do they cost more? A. Over time, a patient s initial regimen of ARV medications

More information

Antiretrovial Crushable/Liquid Formulation Chart

Antiretrovial Crushable/Liquid Formulation Chart Antiretrovial Crushable/Liquid Formulation Chart Eliza Dollard, PharmD; Nafeesa Chin-Beckford, PharmD; Laura Aragon, PharmD Last Updated: 04/2016 Agent How Supplied Crushable Status **Products listed in

More information

Philanthropy and Intellectual Property voluntary licenses: current trends and remaining challenges

Philanthropy and Intellectual Property voluntary licenses: current trends and remaining challenges Philanthropy and Intellectual Property voluntary licenses: current trends and remaining challenges Dr Peter Beyer 1 Public health, innovation and intellectual property What is a license? Contract between

More information

WOMEN'S INTERAGENCY HIV STUDY METABOLIC STUDY: MS01 SPECIMEN COLLECTION FORM

WOMEN'S INTERAGENCY HIV STUDY METABOLIC STUDY: MS01 SPECIMEN COLLECTION FORM WOMEN'S INTERAGENCY HIV STUDY METABOLIC STUDY: MS01 SPECIMEN COLLECTION FORM ID LABEL HERE ---> VERSION DATE 10/01/07 - - - VISIT #: FORM COMPLETED BY: A1. DATE OF BLOOD DRAW: / / M D Y A2. Do you take

More information

Transaction Prices for Antiretroviral Medicines from 2010 to Global Price Reporting Mechanism

Transaction Prices for Antiretroviral Medicines from 2010 to Global Price Reporting Mechanism SUMMARY report AIDS medicines and diagnostics service Transaction Prices for Antiretroviral Medicines from 2010 to 2013 Global Price Reporting Mechanism December 2013 AIDS medicines and diagnostics service

More information

Antiretroviral Drugs

Antiretroviral Drugs Antiretroviral Drugs Dr Paddy Mallon UCD HIV Molecular Research Group Associate Dean for Research and Innovation UCD School of Medicine and Medical Science paddy.mallon@ucd.ie UCD School of Medicine &

More information

Simplifying HIV Treatment Now and in the Future

Simplifying HIV Treatment Now and in the Future Simplifying HIV Treatment Now and in the Future David M. Hachey, Pharm.D., AAHIVP Professor Idaho State University Department of Family Medicine Nothing Disclosure 1 Objectives List current first line

More information

State of Industry Readiness for the New Demand Following the New Treatment Guidelines

State of Industry Readiness for the New Demand Following the New Treatment Guidelines JOINT MEDICINES PATENT POOL & WHO SATELLITE ON BRIDGING THE NEW TREATMENT GAP: WHAT WILL IT TAKE? State of Industry Readiness f the New Demand Following the New Treatment Guidelines Louis J. Riceberg,

More information

GPRM - Global Price Reporting Mechanism November Transaction prices for Antiretroviral Medicines and HIV Diagnostics from 2008 to October 2009

GPRM - Global Price Reporting Mechanism November Transaction prices for Antiretroviral Medicines and HIV Diagnostics from 2008 to October 2009 Transaction prices for Antiretroviral Medicines and HIV Diagnostics from 2008 to October 2009 A summary report from the Global Price Reporting Mechanism Contents Abbreviations. 5 Table 1 : of first-line

More information

Recommended Comparator Products: Medicines for HIV/AIDS and Related Diseases

Recommended Comparator Products: Medicines for HIV/AIDS and Related Diseases Medicines for HIV/AIDS and Related Diseases Comparator products should be purchased from a well-regulated market with a stringent regulatory authority. 1 Invited medicinal products Abacavir, 60 mg, 300

More information

Selected Issues in HIV Clinical Trials

Selected Issues in HIV Clinical Trials Selected Issues in HIV Clinical Trials Judith S. Currier, M.D., MSc Professor of Medicine Division of Infectious Diseases University of California, Los Angeles Issues Evolving Global and Domestic Epidemic

More information

Guidance for cost-sensitive HIV therapy prescribing in NHS Scotland 2017

Guidance for cost-sensitive HIV therapy prescribing in NHS Scotland 2017 Guidance for cost-sensitive HIV therapy prescribing in NHS Scotland 2017 Scottish Health Protection Network HIV Clinical Leads FINAL Approved for circulation 17 May 2017 Version No. 6.2 (04/05/17) Date

More information

Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) in the Long Term Care Setting Part 2: HIV Medications

Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) in the Long Term Care Setting Part 2: HIV Medications Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) in the Long Term Care Setting Part 2: HIV Medications Carrie Allen PharmD, CGP, BCPS, BCPP, CCHP Overview - Part 2: HIV

More information

Selected Issues in HIV Clinical Trials

Selected Issues in HIV Clinical Trials Selected Issues in HIV Clinical Trials Judith S. Currier, M.D., MSc Professor of Medicine Division of Infectious Diseases University of California, Los Angeles Issues Evolving Global and Domestic Epidemic

More information

MDR-TB: Medicine quality and rational use

MDR-TB: Medicine quality and rational use MDR-TB: Medicine quality and rational use Hans V. Hogerzeil, MD, PhD, FRCP Edin Director, Essential Medicines and Pharmaceutical Policies WHO, Geneva 1 Can we rely on essential medicines against TB? (1)

More information

HIV Treatment Evolution. Kimberly Y. Smith MD MPH Vice President and Head, Global Research and Medical Strategy Viiv Healthcare

HIV Treatment Evolution. Kimberly Y. Smith MD MPH Vice President and Head, Global Research and Medical Strategy Viiv Healthcare HIV Treatment Evolution Kimberly Y. Smith MD MPH Vice President and Head, Global Research and Medical Strategy Viiv Healthcare Overview of the Evolution of Antiretroviral Therapy Early Treatment 1987

More information

Integrase Strand Transfer Inhibitors on the Horizon

Integrase Strand Transfer Inhibitors on the Horizon NORTHWEST AIDS EDUCATION AND TRAINING CENTER Integrase Strand Transfer Inhibitors on the Horizon David Spach, MD Clinical Director, Northwest AETC Professor of Medicine, University of Washington Presentation

More information

The Legal Conundrums and Solutions of Polypharmacy. Professor Amir Attaran Canada Research Chair Faculty of Law and Faculty of Medicine

The Legal Conundrums and Solutions of Polypharmacy. Professor Amir Attaran Canada Research Chair Faculty of Law and Faculty of Medicine The Legal Conundrums and Solutions of Polypharmacy Professor Amir Attaran Canada Research Chair Faculty of Law and Faculty of Medicine WHO Essential Medicines: patent situation (2003) There are 319 WHO

More information

The road towards universal access

The road towards universal access The road towards universal access JAN 2006 Issues Paper Requests... that the UNAIDS Secretariat and its Cosponsors assist in facilitating inclusive, country-driven processes, including consultations with

More information

GPRM - Global Price Reporting Mechanism December Transaction prices for Antiretroviral Medicines and HIV Diagnostics from 2008 to October 2010

GPRM - Global Price Reporting Mechanism December Transaction prices for Antiretroviral Medicines and HIV Diagnostics from 2008 to October 2010 Transaction prices for Antiretroviral Medicines and HIV Diagnostics from 2008 to October 2010 A summary report from the Global Price Reporting Mechanism Contents Background and Methods................................

More information

What next? Francois Venter. ART new drugs, new studies. Wits Reproductive Health & HIV Institute

What next? Francois Venter. ART new drugs, new studies. Wits Reproductive Health & HIV Institute Thanks: Polly Clayden, Francesca Conradie, Loyd Mulenga, Gary Maartens, Andrew Hill, David Ripin, Elli Katabira, Chris Duncombe, Nathan Ford, Marco Vitoria, WHO Industry: Gilead, Janssen, ViivV Abbott,

More information

25 October 2005 INTRODUCTION

25 October 2005 INTRODUCTION Relative market share of different antiretroviral compounds in low and middle income countries in 2004 and 2005: an analysis of 2 public domain data bases Prepared by the AIDS Medicines and Diagnostics

More information

Cancer prevention and control in the context of an integrated approach

Cancer prevention and control in the context of an integrated approach SEVENTIETH WORLD HEALTH ASSEMBLY A70/A/CONF./9 Agenda item 15.6 25 May 2017 Cancer prevention and control in the context of an integrated approach Draft resolution proposed by Brazil, Canada, Colombia,

More information

The ART of Managing Drug-Drug Interactions in Patients with HIV

The ART of Managing Drug-Drug Interactions in Patients with HIV The ART of Managing Drug-Drug Interactions in Patients with HIV Bradley L. Smith, Pharm.D. smith.bradley1@mayo.edu Pharmacy Grand Rounds December 19, 2017 2017 MFMER slide-1 Presentation Objectives Describe

More information

The pathway to better medicines for children

The pathway to better medicines for children The pathway to better medicines for children As the World Health Organization counts down to 2015 and the Millennium Development Goal to reduce under five-year-old mortality by two-thirds, we reflect on

More information

PRAC recommendations on signals

PRAC recommendations on signals 6 August 2018 1 EMA/PRAC/414645/2018 Pharmacovigilance Risk Assessment Committee (PRAC) Adopted at the 9-12 July 2018 PRAC meeting This document provides an overview of the recommendations adopted by the

More information

Comprehensive Guideline Summary

Comprehensive Guideline Summary Comprehensive Guideline Summary Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents AETC NRC Slide Set Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and

More information

HIV Update Objectives. Epidemiology. Epidemiology, Transmission and Natural History. Transmission Risk by Exposure. Transmission 9/29/2014

HIV Update Objectives. Epidemiology. Epidemiology, Transmission and Natural History. Transmission Risk by Exposure. Transmission 9/29/2014 Objectives HIV Update 2014 Jay Sizemore, MD, MPH Medical Director Chattanooga CARES Assistant Professor UTCOM Chattanooga 2October 2014 Review HIV epidemiology and screening/testing guidelines Discuss

More information

HIV associated CNS disease in the era of HAART

HIV associated CNS disease in the era of HAART HIV associated CNS disease in the era of HAART CSF/CNS penetration and efficacy Acknowledgements Peter Portegies Department of Neurology, AMC Mark van der Valk Department of Internal Medicine/Infectious

More information

Clinical Commissioning Policy: Use of cobicistat as a booster in treatment of HIV infection (all ages) Reference: NHS England F03/P/b

Clinical Commissioning Policy: Use of cobicistat as a booster in treatment of HIV infection (all ages) Reference: NHS England F03/P/b Clinical Commissioning Policy: Use of cobicistat as a booster in treatment of HIV infection (all ages) Reference: NHS England F03/P/b NHS England INFORMATION READER BOX Directorate Medical Commissioning

More information

Distribution and Effectiveness of Antiretrovirals in the Central Nervous System

Distribution and Effectiveness of Antiretrovirals in the Central Nervous System Distribution and Effectiveness of Antiretrovirals in the Central Nervous System Scott Letendre, MD Associate Professor of Medicine HIV Neurobehavioral Research Center and Antiviral Research Center University

More information

Transaction Prices for Antiretroviral Medicines and HIV Diagnostics from 2008 to July 2011

Transaction Prices for Antiretroviral Medicines and HIV Diagnostics from 2008 to July 2011 Transaction Prices for Antiretroviral Medicines and HIV Diagnostics from 28 to July 211 WHO AIDS Medicines and Diagnostic Services Global Price Reporting Mechanism WHO Library Cataloguing-in-Publication

More information

The role of market intelligence in access to anti-malarial medicines: funding, procurement, and policy

The role of market intelligence in access to anti-malarial medicines: funding, procurement, and policy The role of market intelligence in access to anti-malarial medicines: funding, procurement, and policy Brenda Waning Boston University School of Medicine November 20, 2009 American Society of Tropical

More information

2 Médecins Sans Frontières July 2007 Untangling the Web of Price Reductions

2 Médecins Sans Frontières  July 2007 Untangling the Web of Price Reductions Médecins Sans Frontières www.accessmed-msf.org July 007 Untangling the Web of Price Reductions Table of Contents 3 Table of contents 5 Background 11 Methodology Product Cards 1 How to read the product

More information

U=U NHIVNA HIV, Fertility and Contraception in the era of

U=U NHIVNA HIV, Fertility and Contraception in the era of HIV, Fertility and Contraception in the era of U=U NHIVNA 2018 Yvonne Gilleece Consultant in HIV and Sexual Health Brighton &Sussex University Hospitals NHS Trust Honorary Senior Lecturer Brighton & Sussex

More information

HIV/AIDS treatment in developing countries: The battle for long-term survival has just begun. Benjamin Bechet

HIV/AIDS treatment in developing countries: The battle for long-term survival has just begun. Benjamin Bechet HIV/AIDS treatment in developing countries: The battle for long-term survival has just begun Benjamin Bechet Introduction Over three million people living with HIV/AIDS in the developing world receive

More information

Antiretroviral Pregnancy Registry

Antiretroviral Pregnancy Registry Preterm Birth, low birth weight and fetal antiretroviral exposure: Estimated gestational age and birth weight data from singleton live births, 1989 through 31 January 2009 K. Beckerman, J. Albano, M. Martinez-Tristani,

More information

HIV Treatment: New and Veteran Drugs Classes

HIV Treatment: New and Veteran Drugs Classes HIV Treatment: New and Veteran Drugs Classes Jonathan M Schapiro, MD National Hemophilia Center Stanford University School of Medicine Rome, March 2013 Overview Many excellent antiretroviral agents are

More information