API and IP Newsletter

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CDSCO New Drugs Approvals


CDSCO publishes the list of new approvals. 

Recently the of List of New Drugs approved in the year 2023 till date is published. It is updated till July 2023. This year, till July 2023, 21 new drugs are approved. List is here. In this link one would notice, name of MA holder is not mentioned. One must search somewhere else at the same CDSCO site or search in public domain for an educated guess. 


New drugs as define under Rule 122-E of Drugs and Cosmetics Rules include unapproved drugs, modified or new claims, namely, indications, dosage forms (including sustained release dosage form) and route of administration of already approved drugs and combination of two or more drugs


In this write-up we are covering drugs approved in May-June and July 2023. 


Sr

Name of drug

Indication

Date of issue

SIDVIM comments

1

Niraparib Tablet 100mg

Niraparib is indicated
as monotherapy for the maintenance
treatment of adult patients with advanced
epithelial high grade ovarian, fallopian tube or primary
peritoneal cancer 

01.05.2023

GSK was granted approval in October 2022 to market the product in India. 


This new marketing authorisation in May 2023, could be for generic company. If it is for generic company, it could be surely launch at a risk by the generic company. 


In our brief check we could notice, an equivalent of compound patent would be valid in India till January 2028. So, if generic company launches before January 2028 it would be at risk. 

2

Polmacoxib Bulk Drug, Polmacoxib Capsule
2mg

Indicatged for treatment of Idiopathic
(primary) osteoarthritis of Hip/Knec

01.05.2023

It was developed by  CrystalGenomics, Inc, and approved for use in South Korea in February 2015. 


This approval could be for Hetero Labs. Hetero submitted P-III study result in February 2023. 

3

Amines, N- C10-16-alkyl trimethylenedi-,
reaction products with chloro acetic acid
1.0000% w/w

Surface celaning, aerial Misting, Hand
Sanitization (Not for covid use)

04.05.2023


4

Squaric Acid 0.748 mg/ml & Squaric Acid
1.745 mg/ml Solution (Spray)

Disinfection of Inanimate surface like floor, toilet, garbage areas only

04.05.2023


5

Dalbavancin Hydrochloride Bulk Drug,
Dalbavancin Injection 500mg

Dalbavancin for injection is indicated for
the treatment of adult patients with acute
bacterial skin and skin structure
infections (ABSSSI)

23.05.2023

This approval is for Gufic Biosciences Limited, they informed SEBI on 30 May 2023. This is the first approval in India. 

The drug was approved by the FDA in May 2014 and the EMA in February 2015

6

Lobeglitazone Sulfate 0.5mg+ Glimepiride 1mg
Tablets

Indicated an adjunct to diet and exercise to improve glycemic control in adults
with type 2 diabetes mellitus 

23.05.2023

Lobeglitazone is not approved for use by either USFDA, Health Canada, or by the European Medicines Agency for use in the management of diabetes. 


But it is reasonably popular in India. Glenmark, Akums sought approvals for mono products earlier. 


This approval is for the combination, it could be have been issued to Synokem Pharmaceuticals Ltd. The firm presented the proposal before
the committee along with justification for BE and Phase III clinical trial study
waiver in May 2023.

7

Sovateltide Bulk Drug & Sovateltide Injection
30 µg

Cerebral ischemic Stroke.

31.05.2023

Pharmazz, announced that The Directorate General of Health Services, India on 31 May 2023, granted the manufacture and marketing license for Sovateltide Injection. 


USFDA also has issued a proceed forward letter regarding the Company’s Investigational New Drug (“IND”) application

8

Lifitegrast Bulk drug & Lifitegrast Ophthalmic
Solution 5%w/v

Indicated for the treatment of signs and symptoms of dry eye disease (DED)

05.06.2023

This approval seems to be for Micro Labs. It could be a launch at risk if Micro launches the product. In brief analysis, we noticed, compound patent is valid in India till November 2024. Perhaps Micro had to wait till November 2024 for generic launch.

9

Plecanatide Bulk Drug & Plecanatide Tablets
3mg

  1. Chronic idiopathic constipation (CIC)

  2. Irritable bowel syndrome with
    constipation (IBS-C)

08.06.2023

This approval could be for MSN. It is mentioned at CDSCO site, "In light of earlier SEC recommendation
dated 23.11.2021, the firm presented the Phase III clinical trial results for
manufacturing and marketing of
Plecanatide 3mg tablets." 


MSN is litigating in US with Bausch Health Ireland Limited and Salix Pharmaceuticals, Inc. and one can expect litigations in India after this approval.

10

Treprostinil Bulk Drug and Treprostinil Solution
for infusion 1mg/ml & 10mg/ml 

For the treatment of idiopathic or heritable pulmonary arterial hypertension (PAH) to improve exercise tolerance and symptoms of disease 

27.07.2023

This approval could be issued to Dr. Reddys (DRL). DRL presented the case to the committee. The committee had earlier noted that the drug is already approved in countries like US, EU, Canada & Japan and also drug is designated as orphan drug & indicated for serious and life threatening disorder and there is an unmet medical need in the
country.



General information


Johnson & Johnson is replacing its iconic logo


Johnson & Johnson is replacing its instantly recognizable logo that’s been in use for 135 years.

Gone is the cursive, which was based off the handwritten signature of company co-founder James Wood Johnson, and in its place is the name written in modernized font as the newly spun-off company focuses on medical devices and medications.

News here.



US FDA to seek public opinion before banning popular cough syrup ingredient


The U.S. Food and Drug Administration said on Thursday it would seek public opinion before finalizing its decision to remove a decongestant widely used in cough syrups from the agency's list of ingredients for over-the-counter (OTC) use.

The FDA's clarification follows a unanimous vote by its panel of outside experts on Tuesday against the effectiveness of oral OTC medicines made with phenylephrine, an ingredient widely used in cold and cough syrups.

News here


Intellectual Property 


BMS has been accused of using fraudulent patents and other illegal tactics for Pomalyst


Bristol Myers Squibb has been accused in a new lawsuit of using fraudulent patents and other illegal tactics to maintain its monopoly on blockbuster blood cancer drug Pomalyst for years after it should have faced generic competition. The complaint was filed by Louisiana Health Service & Indemnity Company. 


Natco, Teva, Aurobindo and Eugia are other defendants.


Patents in complaint are owned by Celgene. Bristol Myers Squibb took over Celgene in  2019. 


Louisiana accused Bristol-Meyers Squibb and Celgene of patent fraud, alleged the firm misrepresented and hidden data about Pomalyst’s properties, formulations, and uses.


The lawsuit also contends that Bristol-Meyers Squibb and Celgene abused the federal judicial system by launching “sham lawsuits” against generic companies trying to enter the U.S. market for pomalidomide, which is the generic formulation sold under the brand name Pomalyst. 


BMS and Co have been accused of anti-competitive practices, including paying off competitors to drop legal challenges to pomalidomide patents.


Louisiana alleged, there are several fraudulent submissions to patent office for various OB listed and non-OB listed patents. Some of those are mentioned in this article.


  1. During the prosecution of OB US 8,198,262 (’262) patent, the PTO focused on whether the prior art taught pomalidomide or taught treating multiple myeloma. Prior art D’Amato (2001) teaches not just one, but both, of these critical points. This fact appears to have been lost on the PTO (Patent Office), likely due to confusion regarding nomenclature (the study refers to pomalidomide as 3-aminothalidomide instead of 4-aminothalidomide)


  1. Patent applicant/inventors of Celgene Dr. Zeldis, Mr. Insogna, and Ms. Moon knew this material information, but fraudulently omitted to disclose the truth about D’Amato (2001) to the PTO because it undermined the patentability of the claimed invention. 


  1. Dr. Zeldis, Mr. Insogna, and Ms. Moon submitted to the PTO a “List of Referenced Cited by the Applicant,” which included D’Amato (2001).


  1. The ’262 patent application and D’Amato (2001) included diagrams that made clear the application and D’Amato (2001) were referring to the same compound.

A diagram of chemical structures

Description automatically generated with medium confidence


  1. First, Celgene misrepresented that the treatment of multiple myeloma with pomalidomide had not been publicly disclosed previously. That was knowingly false. 


  1. Second, Celgene misrepresented that the use of one thalidomide compound over another had not been publicly disclosed previously. That was knowingly false. 


  1. Third, Celgene misrepresented that pomalidomide combined with dexamethasone produced unexpected results for treating relapsed or refractory multiple myeloma patients. That was knowingly false, as there was nothing surprising about these results.


  1. In short, Celgene’s response to PTO was intended to deceive the examiner into withdrawing prior rejections, having the examiner not appreciate the full prior public disclosures regarding the potential to treat multiple myeloma using pomalidomide, and to believe the ostensible unexpected results were a lawful basis to allow the claims


  1. On February 8, 2017, at least seven generic manufacturers (Teva, Natco/Breckenridge, Apotex, Hetero, Par, Aurobindo, and Mylan) filed ANDAs to market generic Pomalyst. At least nine ANDAs have been filed to date. 


  1. On May 4, 2017, Celgene filed its first Pomalyst patent infringement lawsuit. The suit, against Par and Teva, alleged infringement of four patents. On May 11, 2017, Celgene sued Hetero, Aurobindo/Eugia, Apotex, Mylan, and Natco/Breckenridge, for infringement of the same patents: 

8,198,262 Method of treatment 

8,673,939 Method of treatment 

8,735,428 Method of treatment


  1. In another alleged fraudulent act, in the Spring of 2018, Celgene pursued a formulation patent (the ’5939) through fraud. Celgene’s quest to acquire additional Pomalyst patents to block generic competition continued unabated. 

  2. On May 10, 2018, Celgene filed application no. 15/976,808. Celgene filed this patent application more than a year after receiving seven paragraph IV letters describing in detail the ANDA products those generic manufacturers sought to bring to market:


Generic manufacturer

Date of paragraph IV letter

Teva

March 30, 2017

Natco/Breckenridge

April 11, 2017

Apotex

March 30, 2017

Hetero

March 29, 2017

Par

April 12, 2017

Aurobindo

April 5, 2017

Mylan

April 6, 2017


  1. One more alleged wrong practice was in late 2018 to early 2019, the Celgene obtained the polymorph patents and promptly filed new sham litigation as to those three patents. 

  2. On October 9, 2018, the three polymorph patents (the ’647, ’648, and ’649) issued. Celgene had not even applied for the polymorph patents until months after receiving the ANDA filers’ paragraph IV letters. 

  3. Celgene nevertheless promptly filed new lawsuits against the generic manufacturers alleging infringement of the newly issued polymorph patents (‘647, 648, and ‘649):


According to the complaint Louisiana Health Service, this is not right business practice to sue on later OB listed polymorph patents. 


Generic manufacturer

Date sued for polymorph patents

Mylan

February 14, 2019

Hetero

February 14, 2019

Natco/Breckenridge

February 14, 2019

Apotex

February 14, 2019

Teva

March 19, 2019

Synthon/Alvogen

April 12, 2019


  1. Celgene’s claims of infringement were doomed from the start by a catch-22 of Celgene’s own making: if an earlier-in-time ANDA product would infringe one of Celgene’s later-intime polymorph patents, then the patent is invalid as anticipated and/or obvious in light of the prior art. 


  1. Earlier, on July 24, 1996, Celgene filed patent application no. 08/690,258, which led to the 5,635,517 (the “’517 patent”). 


  1. The ’517 patent identified analogs of thalidomide, including lenalidomide and pomalidomide, as compounds decreasing TNFα levels. 


  1. As the ’517 patent explains, “decreasing TNFα levels . . . constitutes a valuable therapeutic strategy for the treatment of many inflammatory, infectious, immunological or malignant diseases. . . . These include but are not limited to . . . cancer . . . .”


  1. The ’517 patent also claimed the compound lenalidomide, an analog to thalidomide (having one fewer oxygen atom and one more nitrogen atom), and method of using lenalidomide to reduce undesirable levels of TNFα. (The ’517 patent would later become the foundation of Celgene’s Revlimid franchise, earning it $35 billion in the U.S. in the last five years alone. Revlimid, in combination with the steroid dexamethasone, is used primarily in the treatment of multiple myeloma).


  1. As Teva (Natco’s Revlimid marketing partner) described it: with its Revlimid settlements, Celgene set up a “profit share.” 


  1. The royalty-free generic license prior to true generic competition constitutes a large reverse payment from Celgene to the generic that equates to hundreds of millions of dollars in the first year of generic sales alone. 


  1. And the most-favoured entry clause deters other generics from continuing to challenge Celgene’s patents and provides assurance to Natco that it will receive the most favourable entry date and retain its lucrative exclusivity period.


  1. It was alleged in the complaint that Celgene would continue this pattern with other generics, engaging in a series of payoffs to would-be lenalidomide competitors. In the lenalidomide settlements, Celgene’s payoffs took the form of market allocation agreements in which Celgene sequentially granted small, volume limited licenses to each generic company to sell lenalidomide starting in 2022 and going to early 2026 (at which time there would be unconstrained competition). The volume-limited license agreements, which also contain no royalties to Celgene, significantly reduce the extent of price reduction and effectively allocate the market amongst competitors


  1. In short, Celgene and Natco worked anticompetitive arrangements in the past by settling patent litigation and did so with respect to a product used in a complementary way to treat the same conditions. The date for bona fide agreed entry in the lenalidomide settlement is the first quarter of 2026, the same quarter to which the pomalidomide Celgene-Natco agreement delays pomalidomide entry. And Celgene is a repeat offender in reaching anticompetitive, market allocation agreements in the same period it reached the Celgene-Natco agreement.


  1. The facts surrounding the disclosure of the settlement also show that the Celgene-Natco agreement contains an anticompetitive reverse payment.


  1. Nearly all the generics that had a Pomalyst ANDA also had a Revlimid ANDA. After being sued by Celgene for infringement of Celgene’s Pomalyst and Revlimid patents, a generic often settled the two matters concurrently.


ANDA filer(s)

Date Pomalyst consent judgment filed with the court

Date Revlimid settlement disclosed to the public

Alvogen

May 9, 2019

March 29, 2019

Apotex

April 19, 2021

March 9, 2021

Hetero

August 18, 2021

September 24, 2021

Mylan

N/A – November 2021 is estimated settlement date.

July 21, 2021

Dr. Reddy’s

January 28, 2022

September 17, 2020



Summary:

  1. Thus there are lot of allegations in 151 pages complaint by Louisiana. We covered very few in this write-up.

  2. There are allegations for reverse payments to, and market allocation with, would-be competitors. 

  3. In summary, Louisiana said in the complaint that BMS and others violated U.S. antitrust law and had caused purchasers of the drug to overpay "by many hundreds of millions, if not billions, of dollars."

  4. The anticompetitive reverse payment settlements occurred in the wake of Celgene’s litigations against the would-be generic competitors. 

  5. Now acquired by Bristol Myers and knowing that Celgene would not prevail in the patent litigation, Celgene and Bristol Myers paid off at least several of the first-to-file generic companies including Aurobindo, Eugia, Breckenridge, Natco, and Teva to have each discontinue its challenge to the pomalidomide patents and delay their entry into the U.S. market. 

  6. While the form of the payment is cloaked under an effort at absolute secrecy, each of the reverse payment agreements include a payment well into nine figures, and each vastly exceeds the net revenues any one of the generic companies could hope to earn even if it had prevailed in the patent litigation. 

  7. Each also allocates the pomalidomide market. Had Celgene and Bristol Myers not paid off their would-be competitors, generic pomalidomide would have been available sooner than it will be.


Complaint  here










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