1. Writ petition concerning exorbitant pricing of life-saving patented medicines for cancer treatment under Patents Act, 1970. (Para 2 , 3 , 4 )
IN THE HIGH COURT OF KERALA AT ERNAKULAM
Harisankar V. Menon, J
...... – Appellant
Versus
UNION OF INDIA – Respondent
WP(C) 18999/2022
1. Writ petition concerning exorbitant pricing of life-saving patented medicines for cancer treatment under Patents Act, 1970. (Para 2 , 3 , 4 )
2. Whether Central Government is duty-bound to invoke Section 92/100 of Patents Act to ensure affordable patented medicines. (Para 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 )
3. Section 100 includes entitlement to use patent for Government purposes, including public health under Article 21 and 47. (Para 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 )
4. Section 100 of Patents Act can be invoked by Government when life-saving patented medicines are unaffordable due to exorbitant pricing. (Para 37 , 38 , 39 , 40 )
5. Government required to collate data and decide on invoking Section 100 based on affordability of patented medicines. (Para 44 )
Yes. Section 100 includes Government's entitlement to use patent for manufacturing medicines and supplying them on non-commercial basis to needy patients for public health. (Para 27 , 28 , 30 , 35 , 37 )
It includes making, using, exercising or vending for Central Government, State Government or Government undertaking, but also covers public health duty under Article 47. (Para 24 , 25 , 30 )
Yes. Section 100 is required to be invoked when a medicine is unaffordable due to exorbitant price, as patent grants are subject to public interest under Section 83. (Para 35 , 37 )
The court cannot issue positive direction to invoke Section 100 as it is a policy decision for the Central Government based on collected data and circumstances. (Para 38 , 39 , 40 , 42 )
“C.R.”
JUDGMENT
The captioned writ petition was initially filed by a retired Bank employee, stated to have been receiving a monthly pension of Rs.28,400/-. Her husband is also a retired Bank employee, receiving Rs.46,000/- as monthly pension. She was diagnosed with HR+/HER2-Metastatic Breast Cancer being treated with ‘targeted therapy’ – CDK 4/6 inhibitors. The medicine “Ribociclib” is stated to be one among them. The said medicine is stated to block proteins called cyclin-dependent kinases 4/6 and thereby slow the Cancer’s growth. This medicine is stated to be a costly one, costing about Rs.58,140/- for 21 days (three tablets per day). It is further stated that there are three major types of Breast Cancer, and treatment and medicines differ for each category. The major types are stated to be:
i. Invasive Breast Cancer ii. Non-invasive Breast Cancer
iii. Cancerous Phyllodes Tumors.
Invasive Breast Cancer is again stated to be classified into four categories as under:
i. HR+/HER2 – (“Luminal A”)
ii. HR-/HER2- (“Triple Negative”)
iii. HR+/HER2+ (“Luminal B”)
iv. HR-/HER2+(“HER2-enriched”)
2. The petitioner is stated to be suffering from the first type - Luminal A HR+/HER2-. The petitioner contends that the financial assistance from the part of the Government for the treatment of Breast Cancer is minimal, and that steps are required to be taken for reducing the price of such medicines. Reference is made to the statutory provisions under the Patents Act, 1970 (hereinafter referred to as the ‘Act’) to contend that the Government is to intervene with reference to the provisions under Section 92/100, since on account of the grant of patent to the medicine, the same is exorbitantly costly, thereby affecting the life of patients like the petitioner. In such circumstances, the petitioner has instituted the captioned writ petition on 02.06.2022, seeking the following reliefs:
“i. To declare that the concerned among the respondent nos. 1 to 3 is duty bound to take steps either under Section 92 or under Section 100 of the Patents Act, 1970 for Ribociclib and ensure availability of the same at a reasonably affordable price;
ii. To issue a writ of mandamus directing the concerned among the respondent nos.1 to 3 to take steps either under Section 92 or under Section 100 of the Patents Act, 1970 for Ribociclib and ensure availability and access of the same at a reasonably affordable price;
iii. To issue a writ of mandamus directing the first respondent to for a scheme to provide treatment for HER2-Negative Metastatic Breast Cancer patients including the petitioner, to provide Ribociclib at free of cost as part of National Cancer Control Programme; v. To issue a writ of mandamus directing the 6th respondent to maintain the data with respect to each category of Breast Cancer cases registered each year in India and publish the same in the official website;”
(SIC)
3. While the writ petition was pending, the petitioner succumbed to her illness. Taking note of the afore as well as the submissions made by the learned counsel for the petitioner, this Court issued the following order on 16.09.2022:
“Learned Counsel for the petitioner reports that the petitioner has succumbed to her illness and submits that the noble cause espoused by the petitioner should not go in vain.
I am also of the considered opinion that the unfortunate death should not result in the cause espoused through this writ petition being rendered infructuous. Therefore, this writ petition shall continue on the board of this Court, as a matter in which this Court has taken suo motu cognizance on the issue of exorbitant pricing of life saving patented medicines.
Adv.Maitreyi Sachidananda Hegde is appointed as Amicus Curiae to assist the Court.
Registry is directed to substitute the petitioner’s name as ‘In Re Exorbitant Pricing of Life Saving Patented Medicines’.”
4. Pending the writ petition, additional respondents 7, 10 and 15 were also permitted to be impleaded pursuant to the orders dated 02.09.2022, 19
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