Gilead Close to Sending $84,000 Drug to Poor Countries

Source: Bloomberg

8 Sep 2014

Gilead Sciences Inc. (GILD) is close to a pact with generic drugmakers to bring low-cost versions of its $84,000 hepatitis C drug Sovaldi to about 80 developing countries including India, Indonesia, and Pakistan.

The broad licensing deal could be completed as soon as mid-September and would allow the generic manufacturers to produce Sovaldi and an experimental pill that combines Sovaldi with another Gilead hepatitis drug, said Gregg Alton, an executive vice president for Gilead, in a telephone interview.

The company plans to sell the branded Sovaldi itself in certain lower income countries, including India, at $900 for 12 weeks of therapy. Patients stay on the drug for 12 or 24 weeks. In the U.S., the drug sells for $1,000 a pill, or $84,000 for 12 weeks, a price that has drawn criticism from pharmacy benefit managers, as well as questions from U.S. Senators Charles Grassley and Ron Wyden, who have demanded detailed answers on how Gilead came up with its price.

Getting multiple generic companies involved “is critical” to ensure enough capacity to produce large amounts of the drug and distribute it widely in developing countries, said Alton, who wouldn’t confirm the companies that are part of Gilead’s discussions. “We are talking to five or six companies right now and we will see whether all six sign a license with us,” he said.

Among the companies that have been involved in the talks are Hetero Drugs Ltd., Mylan Inc. (MYL), and Cipla Ltd. (CIPLA), according to a person familiar with the talks, who asked not to be named because the discussions are private. The person said that countries likely to be in the agreement also include South Africa, Vietnam, Egypt, and Mongolia.

‘Several Partners’

“We are talking to them,” Cipla Chairman Yusuf Hamied said in an interview on Aug. 21, referring to Gilead. “Other companies are talking to them. Everybody wants a product. There should be plenty of potential for several partners. There’s a capability and availability to supply.”

Hamied said he didn’t know the price his company might sell the drug for because it hasn’t scaled up manufacturing yet and doesn’t know the final terms of any agreement. The $900 price for 12 weeks of Sovaldi which the Egyptian government was able to secure from Gilead earlier this year, “can be taken as a benchmark,” he said.

A spokeswoman for Mylan declined to comment in an e-mail. Hetero declined to respond to e-mailed questions. Cipla spokesman Anant Atal said yesterday that the company doesn’t comment on partner discussions and is “constantly” in talks with multiple parties on potential opportunities.

Liver Complications

The proposed hepatitis drug agreement is similar to a licensing deal that Gilead has had in place since 2006 for generic companies to sell versions of its anti-HIV drugs in lower-income countries. Once the deal is completed, inexpensive versions of Sovaldi won’t be available immediately, as the medicine will have to be approved in various countries, a process Gilead is working on intensively, Alton said.

As many as 150 million people worldwide have chronic hepatitis C infection and half a million people die from liver complications of the disease every year, according to the World Health Organization. The regions most affected by the disease are Central and East Asia and North Africa, according to the WHO.

The licensing agreements would be legally binding documents that would permit the sale of product only in the specified countries, and the generic companies would agree to work with Gilead to minimize diversion of product outside those countries, said Nick Francis, a spokesman for Gilead, the world’s biggest maker of HIV treatments.

Lengthy Negotiations

Gilead, based in Foster City, California, has been talking to generic companies and non-governmental organizations for months to iron out a deal to get the drug to developing countries, Alton said. A major subject of discussions has been exactly how many countries will be included in the agreement, he said.

In response to input from groups such as Doctors Without Borders, Gilead increased the number of countries included to about 80 from an original proposal of more than 60, and may add a few more before the pact is finished, Alton said. The generic drugmakers will also pay a single-digit royalty on sales of Sovaldi as part of the deal, he said.

The deal has taken time because “there are a lot of negotiations occurring,” Alton said. “It is not as if we say take it or leave it.”

Price Defense

As far as the U.S. price for Sovaldi, Alton said the total cost of Sovaldi-based regimens is similar to older regimens that required people to stay on the injected drug interferon for longer periods of time. People looking for revealing internal documents on how Gilead came up with the price “are looking for something that is really not there,” he said.

“We didn’t base it on our R&D costs, and we didn’t base it on our acquisition costs,” he said, referring to Gilead’s $11 billion purchase of Pharmasset Inc. to get the drug. “The most basic answer we give is the regimen cost was the same as the old regimen cost.”

U.S. payers shouldn’t have been shocked by the price, he aid.

“We spoke to all the payers many times, and the price is no different from what they were paying last year, so how can they be surprised?” he said.

To contact the reporters on this story: Ketaki Gokhale in Mumbai at; Robert Langreth in New York

To contact the editors responsible for this story: Anjali Cordeiro at; Reg Gale at Andrew Pollack

This entry was posted in Generics, Hepatitis C, Sofosbuvir. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s