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Patent Pooling and the
Experience of the MPP–

A model
for sharing the value of innovation to ensure access
The MPP Background
Created to increase access to quality,
appropriate medicines for people living with
HIV in developing countries

Works by addressing a key challenge in HIV
medicines access: the need to share patents

Founded at the request of the international
community in 2010 through the innovative
financing mechanism UNITAID
Endorsed by WHO, the UN High Level Meeting on
AIDS, and the Group of 8 as a promising approach
to improving access to HIV medicines
The Treatment Gap

35.3
million people
live with HIV
worldwide and will
eventually need
treatment

26

million need
treatment now*

9.7
have it

*According to the WHO

Source: UNAIDS, WHO
MPP: Driving Innovation and
Access for Developing Countries

MILLIONS WAIT
FOR LIFE-SAVING
HIV TREATMENT.

How can we deliver?

Share Patents
• “Pool” patents &
technology through a
collaborative
voluntary licensing
system
• Create win-win
solutions for all
stakeholders

Advancing innovation,
access, and public health

Reward
Innovation

Spur New
Innovation

• Ensure continued
incentives for
innovation
• Facilitate
innovations
targeted at
developing
countries

• Enable development
of new fixed dose
combinations that
address treatment
needs
• Promote development
of adapted
formulations for
children

Ensure Access
• Accelerate
availability of more
affordable versions
of new ARVs in
developing countries
• Ensure access to
innovative products
in developing
countries
Needed HIV Medicines

Newer medicines
recommended by
the World Health
Organization

Fixed-dose
combinations
simplify treatment,
increase adherence

Special
formulations
needed for children
living with HIV

At this moment in time, the world faces both a great challenge
and a great opportunity in the fight against the HIV epidemic.
Increased Patenting of ARVs in
Developing Countries
Median number of developing countries in which basic
patents on ARV were filed (out of 75)

40
35
30
25
20
15
10
5
0
Pre-1995 ARVs

Post-1995 ARVs
Source: Medicines Patent Pool Patent Status
Database on Selected ARVs
6
How the MPP works
PATENT
HOLDERS

GENERIC
MANUFACTURERS

SubLicences

Licences

PEOPLE LIVING
WITH HIV

Medicines

ROYALTIES

Prioritise HIV
Medicines

Invite patent
holders to
negotiate

Negotiate
public-health
licences

Sign
agreements

Sub-licence
to generics

Manage
licensees

Increase
access
Promoting FDCs
through Patent Sharing
Generic access

Generic access

Patented

Generic access

Generic access

Patented, but
licensed to MPP

•  Fixed-dose combinations
improve treatment adherence
for adults and children alike

U

•  But face particular patent
challenges:
•  Patents on just one
component can have
impact on access to
entire regimen
•  There are also patents
on the combinations
themselves
The Public Health Perspective
•  MPP seeks public health orientated
licenses covering:
–  Widest number of developing countries
–  Highest proportion of PLWHIV
–  Non-restrictive terms to ensure competition
–  Tech transfer provisions
–  Flexibility to use in combinations
–  Full transparency of terms
(These go beyond traditional B2B licensing
agreement between generic and originator )
MPP: Partnership Model

Pharmaceutical
Industry
Governments

IGOs

Medicines
Patent
Pool

People Living
with HIV
Results to-date
•  Licenses signed on 7 priority ARVs, including
WHO preferred 1st line treatment for both
adults and children
•  6 ARV manufacturers have licensed from the
MPP and are working on the development
and registration to cover up to 100 to 118
developing countries.
•  1 hybrid agreement includes price reduction
(90%) of brand product covering 138
countries
11
Work In Progress
•  Started negotiation for a key WHO preferred
pediatric treatment.
•  In advanced negotiation for the two most
important awaited new ARVs.
•  Finalizing agreements with 2 HIV
manufactures to develop and manufacture
paediatric medicines.

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Patent Pooling and the Experience of the MPP

  • 1. Patent Pooling and the Experience of the MPP– A model for sharing the value of innovation to ensure access
  • 2. The MPP Background Created to increase access to quality, appropriate medicines for people living with HIV in developing countries Works by addressing a key challenge in HIV medicines access: the need to share patents Founded at the request of the international community in 2010 through the innovative financing mechanism UNITAID Endorsed by WHO, the UN High Level Meeting on AIDS, and the Group of 8 as a promising approach to improving access to HIV medicines
  • 3. The Treatment Gap 35.3 million people live with HIV worldwide and will eventually need treatment 26 million need treatment now* 9.7 have it *According to the WHO Source: UNAIDS, WHO
  • 4. MPP: Driving Innovation and Access for Developing Countries MILLIONS WAIT FOR LIFE-SAVING HIV TREATMENT. How can we deliver? Share Patents • “Pool” patents & technology through a collaborative voluntary licensing system • Create win-win solutions for all stakeholders Advancing innovation, access, and public health Reward Innovation Spur New Innovation • Ensure continued incentives for innovation • Facilitate innovations targeted at developing countries • Enable development of new fixed dose combinations that address treatment needs • Promote development of adapted formulations for children Ensure Access • Accelerate availability of more affordable versions of new ARVs in developing countries • Ensure access to innovative products in developing countries
  • 5. Needed HIV Medicines Newer medicines recommended by the World Health Organization Fixed-dose combinations simplify treatment, increase adherence Special formulations needed for children living with HIV At this moment in time, the world faces both a great challenge and a great opportunity in the fight against the HIV epidemic.
  • 6. Increased Patenting of ARVs in Developing Countries Median number of developing countries in which basic patents on ARV were filed (out of 75) 40 35 30 25 20 15 10 5 0 Pre-1995 ARVs Post-1995 ARVs Source: Medicines Patent Pool Patent Status Database on Selected ARVs 6
  • 7. How the MPP works PATENT HOLDERS GENERIC MANUFACTURERS SubLicences Licences PEOPLE LIVING WITH HIV Medicines ROYALTIES Prioritise HIV Medicines Invite patent holders to negotiate Negotiate public-health licences Sign agreements Sub-licence to generics Manage licensees Increase access
  • 8. Promoting FDCs through Patent Sharing Generic access Generic access Patented Generic access Generic access Patented, but licensed to MPP •  Fixed-dose combinations improve treatment adherence for adults and children alike U •  But face particular patent challenges: •  Patents on just one component can have impact on access to entire regimen •  There are also patents on the combinations themselves
  • 9. The Public Health Perspective •  MPP seeks public health orientated licenses covering: –  Widest number of developing countries –  Highest proportion of PLWHIV –  Non-restrictive terms to ensure competition –  Tech transfer provisions –  Flexibility to use in combinations –  Full transparency of terms (These go beyond traditional B2B licensing agreement between generic and originator )
  • 11. Results to-date •  Licenses signed on 7 priority ARVs, including WHO preferred 1st line treatment for both adults and children •  6 ARV manufacturers have licensed from the MPP and are working on the development and registration to cover up to 100 to 118 developing countries. •  1 hybrid agreement includes price reduction (90%) of brand product covering 138 countries 11
  • 12. Work In Progress •  Started negotiation for a key WHO preferred pediatric treatment. •  In advanced negotiation for the two most important awaited new ARVs. •  Finalizing agreements with 2 HIV manufactures to develop and manufacture paediatric medicines.