't Hoen Ellen F M, Boulet Pascale, Baker Brook K
University of Groningen, University Medical Center Groningen, Global Health Unit, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.
Consultant Medicines Law & Policy, 105 route de Lossiège, 74130 Contamine sur Arve, France.
J Pharm Policy Pract. 2017 Jun 28;10:19. doi: 10.1186/s40545-017-0107-9. eCollection 2017.
The challenge of providing access to high-priced patented medicines is a global problem affecting all countries. A decade and a half ago the use of flexibilities contained in the World Trade Organization Agreement on Trade Related Aspects of Intellectual Property Rights, in particular compulsory licensing, was seen as a mechanism to respond to high-price medicines for the treatment of HIV/AIDS in low- and middle-income countries. Today a number of upper-income European Union (EU) Member States are contemplating the use of compulsory licensing in their efforts to reduce expenditure on pharmaceutical products. EU regulation of clinical test data protection and the granting of market exclusivity interfere with the effective use of compulsory licensing by EU Member States and can even prevent access to off-patent medicines because they prohibit registration of generic equivalents. EU pharmaceutical legislation should be amended to allow waivers to data and market exclusivity in cases of public health need and when a compulsory or government use license has been issued. Such an amendment can be modelled after existing waivers in the Allowing a public health/compulsory license exception to data and market exclusivity would bring greater coherence between EC regulation of medicinal products and national provisions on compulsory licensing and ensure that Member States can take measures to protect public health and promote access to medicines for all.
提供高价专利药品的可及性这一挑战是一个影响所有国家的全球性问题。十五年前,利用世界贸易组织《与贸易有关的知识产权协定》中的灵活性条款,尤其是强制许可,被视为应对低收入和中等收入国家治疗艾滋病毒/艾滋病的高价药品问题的一种机制。如今,一些高收入的欧盟成员国正在考虑利用强制许可来努力减少药品支出。欧盟对临床试验数据保护和给予市场独占权的监管干扰了欧盟成员国对强制许可的有效利用,甚至可能阻止非专利药品的可及性,因为这些监管禁止通用等效药品的注册。欧盟药品立法应予以修订,以便在出现公共卫生需求以及已颁发强制或政府使用许可的情况下,允许豁免数据和市场独占权。这样的修订可以仿照现有豁免条款进行。允许对数据和市场独占权设置公共卫生/强制许可例外,将使欧盟药品监管与国家强制许可规定之间更加协调一致,并确保成员国能够采取措施保护公众健康,促进所有人获得药品。