November 2024
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00 issues in this vol.

AMAZON PLANS TO EXPAND REACH INTO GENERIC PHARMACEUTICALS WITH ONLINE PHARMACY

MARKET DYNAMICS

Amazon recently announced the launch of their online pharmacy, allowing customersto purchase generic medications, including insulin and inhalers, directly through itsplatform. Prime members without insurance can receive discounted medications, andall members will have their medications delivered directly to their doorstep withoutthe need for an in-person pharmacy visit. Amazon first ventured into the sector withthe $750 million PillPack acquisition in 2018, a startup focused on direct-to-consumerprescription drugs, which is likely to play a large role in this larger market play.

Amazon's market entry has the potential to disrupt the $359 billion pharmacy industry dominated by CVS and Walgreens, providing a more convenient and potentially less costly alternative to traditional pharmacy outlets.

GLENMARK PHARMACEUTICALS LAUNCHES GENERIC GLAUCOMA TREATMENT IN THE U.S.

OPHTHALMOLOGY

Glenmark Pharmaceuticals has launched ageneric version of Travoprost OphthalmicSolution USP, 0.004%, in the U.S., which isbioequivalent to the Sandoz brand TravatanZ. Glenmark's portfolio now includes 200products in the U.S. and 51 ANDAsubmissions awaiting FDA approval,highlighting their commitment to expandingtheir market presence and product offerings.

Travatan Z last year achieved sales of approximately $66.2 million for the year ending September 2024, demonstrating ample demand for the treatment, which Glenmark will look to benefit from.

PATENT LAWSUITS CONTINUE TO RAISE BARRIERS TO ENTRY INTO GENERICS MARKETS

REGULATORY ACTION

Barriers to entry in the generics market are rising, driven byincreased patent-related legal action as manufacturers defendexclusivity against competitors. Pfizer recently sued Sandoz,alleging its generic version of Inlyta, a kidney cancer treatment,infringes on a patent for crystalline forms of axitinib. Roche filed a similar lawsuit against Natco Pharma and ZydusLifesciences, challenging their FDA bids for generic versions ofEvrysdi, the only noninvasive treatment for spinal muscularatrophy. Incyte also recently secured an injunction blocking SunPharma's generic JAK inhibitor Leqselvi, safeguarding Jakafi'smarket share until its patent expires in late 2026."

The patent lawsuits and injunctions recently filed by Pfizer, Roche and Incyte, all serve to limit competition for some of the highestgrossing products for the respective manufacturers, thereby maintaining prices at their current levels until the expiration of their patents.

EU FINES TEVA FOR HINDERING COMPETITION IN SECTOR

MARKET DYNAMICS

The European Commission has fined Teva, the world'slargest generic drugmaker, €462.6 million for abusingits dominant position by artificially extending the patentprotection of its multiple sclerosis drug Copaxone andspreading misleading information about a competingproduct. Teva plans to appeal the decision, but theCommission asserts that enforcing competition laws inthe pharmaceutical sector is essential for keeping drugsaffordable, preserving treatment choices, and benefitingEU patients and national healthcare systems.

This fine follows previous penalties imposed on Teva, including a €60.5 million fine in 2020 for price-fixing and a $1.2 billion fine in the US in 2015 for anticompetitive practices, highlighting a pattern of similar behavior from the company.

GILEAD AGREES TO PARTNERSHIPS WITH GENERIC MANUFACTURERS TO EXPAND HIV TREATMENT ACCESS

ANTIVIRALS

Gilead Sciences has reached royalty-free voluntarylicensing agreements with six generic manufacturers toproduce and distribute generic versions of lenacapavir,an investigational HIV prevention drug, in 120 resourcelimited countries primarily across Africa and Asia. Theseagreements closely follow the release of results fromthe PURPOSE trials, which demonstrated the drug’ssuperiority over current standard PrEP medications.Regulatory filings are expected to begin by the end of2024, and Gilead plans to provide lenacapavir at noprofit until the generic manufacturers can fully meetmarket demand.

Estimates indicate that at least 40 million people in the target countries lack consistent access to HIV treatment or prevention options, which Gilead is attempting to remedy by expanding the availability of its treatment through these partnerships.

GENERIC GLP-1 ANTAGONISTS SEEK TO ALLEVIATE SHORTAGES AND LOWER COSTS FOR PATIENTS

DIABETES & METABOLIC DISORDERS

As the demand for GLP-1 agonist treatments continues tosurge, several generic alternatives are nearing approval toenter markets across the globe. In the US, AmnealPharmaceuticals gained FDA approval for exenatide, one ofthe first generic GLP-1 injectables, while telehealthprovider Hims & Hers Health plans to offer a genericversion of liraglutide (Victoza), expanding its existing GLP-1agonist offerings. In the UK, The British GenericManufacturers Association announced that at least fourcompanies are poised to receive authorizations for genericweight loss drugs like liraglutide (formerly Saxenda andVictoza) to address UK supply shortages.

The introduction of generic alternatives to the market for GLP-1 treatments will increase treatment accessibility for patients, alleviating some of the global supply shortages while also reducing the cost faced by patients through competitive pricing effects.

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