Apotex announces launch of generic clopidogrel, flouting settlement agreement
August 8, 2006 | Shelley Wood

Toronto, ON - Apotex Corp (Toronto, ON) today launched its version of generic clopidogrel bisulfate 75-mg tablets, backing out of a settlement agreement with Plavix manufacturer and marketers Bristol-Myers Squibb (BMS) and Sanofi-Aventis that would have delayed a generic version for another five years.

Earlier today, BMS had announced in a filing with US regulators that it predicted the arrival of a generic drug on the market soon. BMS has held the patent for Plavix since 1997; it is marketed by Sanofi-Aventis outside the US.

Both BMS and Sanofi have said they will be exploring ways of blocking the generic's sales, although a New York judge has already denied a request from the companies to do so. An earlier agreement reached between the three companies prevents Sanofi and BMS from putting a temporary restraining order on an Apotex launch. They are also prohibited from seeking a preliminary injunction until at least five business days after Apotex begins shipments, the Apotex press release notes.

Apotex has 180 days of market exclusivity for the product, since it was the first generic company to file an abbreviated new drug application (ANDA) with the FDA, the press release also points out. However, should successive litigation find Apotex guilty of patent infringement, the company faces the prospect of paying millions in damages.

Apotex actually obtained the ANDA in January 2006 and had entered into the settlement agreement in March, putting an end to patent litigation. In the settlement, Apotex agreed to not sell its generic drug until 2011, slightly before patent expiration, in return for payments from BMS and Sanofi-Aventis, rumored to start at $40 million. Late last month, however, a group of US state attorneys general rejected the deal. Meanwhile, the US Department of Justice is conducting a criminal investigation of antitrust activity at BMS and Sanofi: media reports note that the FBI has confiscated documents at BMS's Manhattan head office, while both companies have been served with grand jury subpoenas.


What's good for the goose

In the announcement today, Apotex CEO Dr Barry Sherman said, "We are confident that the patent will be held invalid and that the courts will find inequitable conduct before the Patent Office on the part of Sanofi. Accordingly, Apotex has launched prior to trial so that patients and public and private healthcare payers can begin benefiting from a quality, low-cost alternative to Plavix immediately rather than years from now."

Meanwhile, Tony Plohoros, a BMS corporate spokesperson, told heartwire that the company will be seeking "injunctive relief" to defend its patent. "We believe the patent is valid and that it has been infringed and together with our partner, Sanofi-Aventis, will vigorously defend our intellectual property rights. We are actively evaluating legal and commercial options available to us."

Under the preexisting agreement, he adds, all parties were required to cooperate and use all reasonable efforts to facilitate regulatory review of the agreements.

In the press statement, Sherman declares that the company's decision to move ahead now with generic clopidogrel "is a testament to our commitment to patients, consumers, and taxpayers."

Plohoros disagrees. "Generic Plavix is not good news for patients. In the long-term, an at-risk launch of generic clopidogrel by Apotex would have an adverse impact on the long-term research and development plans for Plavix and other products we are developing. Bristol-Myers Squibb and its partner, Sanofi-Aventis, have a long-term R&D plan for Plavix that could not be sustained with the exclusivity loss that the Apotex launch would cause."

More broadly, he said, "intellectual property rights are essential for the research-based pharmaceutical and biotech industry to continue to develop innovative medicines to treat serious diseases. Decisions that weaken patent protection and allow early generic entries into the market before the original patent expires, as in this case, ultimately result in a negative environment for research and development in general and adversely affect the industry's innovation model, to the detriment of patients."

Plavix reaped more than $6 billion in sales last year, one of the world's top-selling drugs. Shares at BMS had fallen almost 7% on Tuesday.


Your comments
Apotex announces launch of generic clopidogrel, flouting settlement agreement
# 1 of 5
August 9, 2006 11:43 (EDT)
Arik Wolak
Great news!
My patients and I havve been waiting for these news for a long time.
# 2 of 5
August 11, 2006 08:45 (EDT)
Tammuz Fattah
super
great idea
# 3 of 5
August 11, 2006 02:21 (EDT)
Jeffrey Zaleski
Bad for Research, good for patients
While a generic version of the Brand Name Plavix may have benefits for patients as far as copays, there are too many pending questions about how to use this drug out there, that may never be discovered.

Just because it is generic does not mean it will be inexpensive. Which may keep many insurance companies restricting drug use.

With Aspirin still only pennies and conflicting study results, formularies may become even more restictive because new data won't be available.

So, potentially in the long run, it may worsen patient outcomes!
# 4 of 5
August 12, 2006 10:55 (EDT)
Melissa Walton-Shirley
Hold the tissue:
Jeffrey,
You stated exactly my initial concerns when I first heard of a generic clopedigrel development, however a closer look at the business practices of Bristol Meyers Squibb stopped me just short of grabbing a Kleenex. Instead, I felt nothing but anger and contempt when I learned that CEO Peter Dolan took home 41 million dollars despite a documented 48% decline in stock over a 4 year period. Talk about a good "pay- for- performance" deal. Combine that with the number of patients who have died or re-infarcted for lack of the ability to pay for their daily Plavix fix. And we don't get off so easily ourselves for pariticpating in the DES feeding frenzy without once stopping to ask about patient compliance or affordabilityprior to implanting.
I'm just sorry that the generic drug cost is only undercutting the brand name by 1 US dollar per day, roughly 120$ to 90$ per month and still far out of reach for some patients.
The fact that a mere change in structure in the recent past and consolidation of services "saved BMS 1 billion dollars" combined with their's CEO bonus tells you there is an amoral amount of corporate waste. To continue those practices while innocent , less resourceful and impoverished patients die amounts to nothing less than social terrorism cloaked in altruistic rhetoric.
My rant takes nothing away from the many dedicated, talented researchers and employees of BMS. They deserve better than to stand in the shadows of such shameful practices.
So Jeffrey, Someone needs to stop the madness. No crocodile tears and no Kleenex for Bristol Meyers Squibb today. A healthy dose of social responsibility is in order.
Melissa
# 5 of 5
August 15, 2006 03:06 (EDT)
Fahim Jafary
Relief
In some ways we're better off in that "generic" Plavix has been available here for around 4 years. We're grateful for it because the cost difference is humungous - almost $3 per dose of "real" Plavix vs. $0.25 for the generic version. That said, even the latter is unaffordable for some patients. Of course the $3 price-tag meant that prior to the generic's availability, we simply used Ticlopidine, something you can't do long-term (ie. for DES) .......... so thank god for the generics.

Despite our initial concerns, there hasn't been a spate of stent thromboses once we switched to the locally manufactured product. In fact I feel perfectly safe in using it.

Regards

Fahim H. Jafary
Aga Khan University Hospital
Karachi, Pakistan.

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