Fix The Patent Laws

SA’s Dept of Trade & Industry delay patent law reform, while local drug prices remain excessive

Posted on | August 7, 2013 | No Comments

PRETORIA – The Treatment Action Campaign (TAC) and Doctors Without Borders (MSF) today delivered a memorandum to the Department of Trade and Industry (dti) at the National Workshop on Intellectual Property and Public Health in Pretoria, outlining needed reforms to South Africa’s patent laws in order to expand access to more affordable drugs.

The country’s current patent laws can delay the introduction of generic medicines in South Africa, limiting access for patients to more affordable treatment. Unless specific changes are incorporated into an anticipated draft intellectual property (IP) policy from the dti, South Africans will continue to pay unbearably high prices for medicines, even when lower-cost generic alternatives are available elsewhere.

“The dti has consistently missed deadlines to release the draft IP policy for public comment,” said Julia Hill, MSF’s Access Advocacy Officer in South Africa. “We are seriously concerned that the dti is backtracking on its promises for patent law reform, and again make the urgent call for change in our memorandum.” 

TAC and MSF are asking for the IP policy to include the implementation of a substantive pre-grant patent examination system, as required by Section 34 of the existing Patents Act, as well as stricter patentability criteria. These changes, along with other patent law reforms, will promote generic competition and increase access to more affordable medicines.

TAC and MSF note that companies keep prices artificially high in South Africa by filing for multiple patents on the same medicine.  This practice, known as ‘evergreening’, extends patent monopolies and blocks generic competition.  For example, in South Africa, to treat a patient with chronic myeloid leukaemia (CML) for one year with Novartis’ cancer drug imatinib, costs over R387,000 – pricing it out of reach for most South Africans and medical aid schemes. Even though Novartis’ 20-year patent on the imatinib compound expired in South Africa in April 2013, an additional patent for a ‘new use’ of imatinib does not expire until 2022.

This additional patent delayed generic manufacturer Cipla from introducing generic imatinib onto the South African market, because Cipla’s product also indicates it can be used to treat a condition prescribed by Novartis’ extended patent. The two companies eventually settled the matter out of court under confidential terms. The Cipla product is now available in South Africa at a 46% price reduction compared to Novartis’ imatinib.  Yet, Novartis’ patent remains enforceable in South Africa which means other generic producers could face similar constraints to introducing more affordable versions of imatinib.

In countries with truly competitive markets, even further price reductions on imatinib have been realised. India, for example, has not patented imatinib, and 11 manufacturers produce the drug, offering some of the lowest prices in the world. The table below illustrates the vast price disparities between South Africa and India to treat one CML patient for a year with imatinib. (Prices per patient per year (ppy) are calculated based on a daily dosage of 400mg imatinib, over 365 days.)






R 387,834

R 237,549

39% less in India


R 208,780

R 17,816

91% less in India



R 10,694

Cheapest SA option almost 20x more expensive


Unlike South Africa, countries like India and Brazil have avoided granting secondary patents by implementing patent examination systems, and by upholding legislation that requires a high standard of innovation in order for a medicine to be granted a patent. Under Indian and Brazilian patent regimes, discovering a new use of a medicine like imatinib is not considered sufficient innovation to warrant an additional period of market exclusivity.

“As long as companies like Novartis are granted secondary patents on medicines in South Africa, generic companies risk time-consuming litigation processes that keep affordable versions of drugs away from patients,” said Hill. “To realise lower drug prices for South Africans, the dti must prioritise patent law reforms that would curb evergreening and abusive patenting of medicines.”



Kate Ribet | Media Liaison Officer, MSF South Africa

m: +27 79 872 2950 | e:



The memorandum TAC and MSF delivered at the National Workshop on Intellectual Property and Public Health in Pretoria made the following demands on behalf of ordinary South Africans:

1)    Implement a substantive patent examination system for pharmaceutical patents to limit the number of patents granted in South Africa.  Excessive patenting keeps prices artificially high and medicines unaffordable for patients.  Section 34 of the South African Patents Act requires that all patent applications are substantively examined, but to date, the dti has failed to take necessary steps to implement this provision.

2)    Curtail evergreening and abusive patenting through stricter patentability criteria. The Patents Act does not explicitly exclude patentability of new forms, new uses and new formulations of already-existing medicines.  South Africa should amend patentability criteria to interpret flexibilities available under international law in a pro-public health manner, and prevent the patenting of trivial changes to existing medicines.

3)    Enhance public transparency of the Patents Office. In South Africa, patent applications are not available for public scrutiny, and the claims of granted patents are only accessible through time-consuming case-by-case requests to the Patents Office. The lack of information available online or through easily accessible publications makes it difficult to know when patents have been applied for, and to oppose abusive patents.

4)    Allow for pre-grant and post-grant patent opposition by a broad range of third parties. Greater transparency from the Patents Office should be accompanied by changes to the law that allow patent applications and granted patents to be opposed by a broad range of third parties, including generic manufacturers, researchers, civil society, and other interested persons.  Patent opposition provides patent offices with additional input from various stakeholders regarding the public health impact a patent may have, and helps curb abusive patenting of pharmaceuticals.

5)    Broaden the grounds and facilitate procedures for issuing a compulsory license. South Africa can issue compulsory licenses for the production of generic versions of medicines that are rendered inaccessible due to high cost or limited supply—but South Africa has never issued a compulsory license for a pharmaceutical.  It would cost an estimated R1million in legal fees and takes up to three years of court proceedings to obtain a compulsory license at present—amended and easier procedures are needed.


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  • About the Campaign

    fix the patent laws
    Fix the Patent Laws is a campaign co-founded by SECTION27, Treatment Action Campaign (TAC) and Doctors Without Borders (MSF) in 2011. Since then, the coalition has grown to include 38 other organisations fighting together to push South Africa to amend its patent laws to prioritise public health. Through this blog we will highlight how amending South Africa’s Patents Act 57 of 1978 will reduce the cost of medicines, improving the health and saving the lives of millions of South Africans.

    The members of the Fix the Patent Laws Campaign are as follows: Treatment Action Campaign (TAC), Doctors Without Borders (MSF), SECTION27, the South African Non-Communicable Diseases Alliance (SANCD Alliance), DiabetesSA, EpilepsySA, Marie Stopes South Africa, Stop Stock Outs Project (SSP), South African Depression and Anxiety Group (SADAG), Cape Mental Health (CMH), the South African Federation of Mental Health (SAFMH), Schizophrenia and Bipolar Disorders Alliance (SABDA), as well as the following members of the Cancer Alliance and Advocates for Breast Cancer: Breast Course 4 Nurses, Breast Health Foundation, Cancer Association of South Africa (CANSA), Cancer Heroes, Can-Sir, CanSurvive, Care for Cancer Foundation, Childhood Cancer Foundation of South Africa (CHOC), Hospice Palliative Care Association (HPCA), Igazi Foundation, Look Good Feel Better, Love your Nuts, Lymphoedema Association of South Africa (LAOSA), Men’s Foundation, National Council Against Smoking, National Oncology Nursing Association of SA, Pancreatic Cancer Network of SA (PanCan), People Living With Cancer (PLWC), Pink Trees for Pauline, Pink Phoenix Cancer Foundation, Pocket Cancer Support, Project Flamingo, Rainbows and Smiles, Reach for Recovery, South African Oncology Social Work Forum (SAOSWF), The Pink Parasol Project, The Sunflower Fund, Vrede Foundation and Wings of Hope.

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