Using Academic Licensing Agreements to Promote Global Social Responsibility

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Using Academic Licensing Agreements to Promote Global Social Responsibility Equitable Licensing of Medical Research Results Charité - Universitätsmedizin Berlin April 26, 2009 Dr. Ashley J. Stevens Executive Director, Technology Transfer Senior Research Associate Institute for Technology Entrepreneurship and Commercialization School of Management Boston University

Agenda Universities and Drug Discovery Licensing Approaches Issues 2

University Licensing Policies and Global Health Problem first surfaced in 2001 with Yale and Zerit d4t discovered by Drs. Tai-Shun Lin and William Prusoff Funded by NIH and Bristol-Myers Exclusively optioned then licensed to Bristol-Myers On list of Essential Medicines developed by Medécins Sans Frontieres Requested waiver of S. African patent Initially rejected by BMS Yale powerless Story in NY Times BMS agreed not to assert S. African patent 3

Was Zerit an isolated case? 4

The Public Sector and Drug Discovery Traditionally: Public sector researchers identified disease pathways and points of intervention Corporate scientists used this information to discover actual drugs Biotechnology shifted the boundary dramatically towards the public sector 5

The Contribution of Public Sector Research to the Discovery of New Drugs [1], [2], [3] [5] [4] [5] [6], Jonathan J. Jensen, Katrine Wyller, Eric R. London, Sabarni K. Chatterjee, Fiona E. Murray, Mark L. Rohrbaugh, and Ashley J. Stevens [1] Office of Technology Transfer, Boston University, Boston MA, Contributed equally to this study, [2] Norwegian Radium Hospital Research Foundation, Oslo, Norway, [3] Robert Wood Johnson Foundation, Princeton, NJ, [4] Sloan School of Management, Massachusetts Institute of Technology, Cambridge, MA [5] National Institutes of Health, Washington, D.C., [6] Office of Technology Transfer and Institute for Technology Entrepreneurship and Commercialization, Boston University, Boston, MA Corresponding Author; astevens@ bu.edu

FDA Approved Products Discovered at Public Sector Research Institutes Type of Product Number New Chemical Entity 90 Biologic 30 Vaccine 16 Over the counter 1 In-vivo diagnostic 8 Total 145 7

Therapeutic Category Therapeutic Area Number Oncology 37 Infectious Disease 36 Cardiology 12 Metabolic 12 CNS 10 Dermatology 7 Renal 7 Ophthalmology 6 Gastroenterology 4 Immunology 4 Women's Health 3 Allergy 2 Pulmonary 2 Anaesthesiology 1 Dental 1 Urology 1 Total 145 8

The Traditional Pharmaceutical Paradigm Price NDA Submission ANDA Submission NDA Approval ANDA Approvals Year 0 10 20 9

The New Pharmaceutical Paradigm NDA Submission NDA Approval Year 0 10 20 ANDA Approvals 10

How do we achieve this? We could change the patent system Or we could change the licensing system The problem isn t the patent system Patents just give you control over what happens to your IP An essential component of the innovation system We should be very cautious about changing it It s much easier (and less risky!) to change licensing behavior E.g. PCT Treaty signed 1970 Came into effect in 1978 11

Let s think about how we get a public sector discovered drug to the global market 12

The Traditional Academic Development Model 13

How do we modify this process to achieve affordability? 14

Include Developing Country Milestone and Pricing Licensee shall seek registration in a developing country by. Licensee shall make available in developing countries at prices no more than 50% more than fully burdened manufacturing cost 15

Don t Allow Patenting in Developing Countries X 16

Separate Licensees 17

Mandatory Sublicensing 18

Non-Assert X 19

20

Licensing Mechanisms (a) Voluntary Require availability in developing countries Include development milestones; Requiring affordability in developing countries Specify cost+ pricing; Include an enforcement mechanism if the specified outcomes do not occur Reserve to grant additional licenses if not available or too high priced 21

Licensing Mechanisms (b) Forced Competition Include mechanisms to achieve competition Grant non-exclusive rights in developing countries Exclude developing countries from the license Issue non-exclusive licensees in developing countries Don t patent in developing countries Require the licensee to grant sublicenses in developing countries Require the licensee to not assert the licensed IP in developing countries 22

Key Learnings Global health protections can be included in standard forms of licensing agreement relatively simply Then it just becomes another business negotiation item But a tough one! Must include in negotiations from day 1 in the term sheet

The Issues Academic technologies are embryonic, high risk and uncertain A hot academic technology is one that two companies are interested in First do no harm Where is the motivation for Universities to include global health protections? Makes the negotiation more difficult Potential show stopper Reduces income (maybe) Rarely any incentive compensation to motivate Licensing Managers Part of academic social mission Culture of academic licensing Power lies with corporate licensees Gilead, Glaxo, J&J in leadership position on voluntary licensing What licensing approaches will be acceptable to corporations? 24

AUTM 2007 Licensing Activity Survey Invention Disclosures 19,827 New US Patent Applications filed 11,797 59.5% US Patents Issued 3,622 18.3% Licenses Signed 4,391 22.1% Start-Ups formed 555 2.8% Active Licenses 30,351 25

Financial Performance Financial Contribution Number % Loss making 68 52.3% Gross profitable 27 20.8% Net profitable 14 10.8% Self sustaining 21 16.2% Total 130 26

Boston University Adopted global health licensing principles in October 2007 Process underway to make it a University policy Non-assert approach Limited to public sector programs Four licenses completed to date All faculty start-ups One preferred an alternative approach to non-assert First one approaching a big pharma partnership Including global health protections in: Therapeutics and prophylactics Diagnostics Not including in: Tools Devices 27

Status AUTM leadership totally committed Establishing a task force UNITAID, UAEM, Gilead attended 2009 Annual Meeting How do we motivate academic institutions to adopt these principles? Need a forum to discuss and develop a consensus policy e.g., Global health protections will be included whenever healthcare products are licensed Over 50% of Orange Book listings include patents held by others What is the role of the emerging patent pools? Could universities issue global health licenses to apool? cf Government Rights license Then grant Exclusive but for to the primary developer What if the pool license is a deal breaker? First do no harm 28

Questions? astevens@bu.edu 29