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Engineering and Evolution of Synthetic Adeno-Associated Virus (AAV) Gene Therapy Vectors via DNA Family Shuffling
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Designing ARVs Patent Pool Up to Trade & Policy Evolutionary Dynamics.

Daniele Dionisio1, Vincenzo Racalbuto, Daniela Messeri

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Patent pools for antiretroviral drugs (ARVs) are crucial for public health in underserved markets and should not be delayed. This strategy prioritizes health over profit, ensuring equitable access to essential medicines globally.

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Area of Science:

  • Pharmaceutical policy
  • Intellectual property law
  • Global health equity

Background:

  • Patent pools for Fixed Dose Combination (FDC) antiretroviral drugs (ARVs) are essential for addressing urgent public health needs in underserved markets.
  • Originator companies express concerns that patent pooling may create exploitable opportunities for generic competitors, potentially undermining patent holder rights.

Purpose of the Study:

  • To analyze the concerns of the pharmaceutical brand industry regarding ARV patent pools.
  • To propose a strategy for an equitable global market that eliminates discrimination between end-users in high-income and resource-limited countries.
  • To advocate for prioritizing public health needs over profit-driven policies in ARV access.

Main Methods:

  • Analysis of originator company concerns regarding patent pooling for antiretroviral drugs.
  • Exploration of strategies to foster equitable access to medicines.
  • Review of international health policy recommendations and trade agreements.

Main Results:

  • Delayed patent pools for second and third-line FDC ARVs pose a significant risk to public health in underserved regions.
  • A proposed strategy involves initial partnerships between originator companies for rapid FDC ARV availability, followed by patent pool negotiations with generic manufacturers.
  • This approach aligns with global health recommendations and international trade principles against protectionism.

Conclusions:

  • Urgent implementation of patent pools for FDC ARVs is necessary to meet critical public health demands.
  • A collaborative strategy prioritizing health over profit can ensure equitable access to essential ARVs worldwide.
  • The proposed patent pool strategy supports global health equity and international trade commitments.