Teva Canada Limited v. Canada (Health)

Teva Canada Limited v. Canada (Health)
Court (s) Database
Federal Court Decisions
Date
2011-05-02
Neutral citation
2011 FC 507
File numbers
T-1172-10
Notes
Digest
Decision Content
Federal Court
Cour fédérale
Date: 20110502
Docket: T-1172-10
Citation: 2011 FC 507
Toronto, Ontario, May 2, 2011
PRESENT: The Honourable Mr. Justice Campbell
BETWEEN:
TEVA CANADA LIMITED
Applicant
and
THE MINISTER OF HEALTH AND
SANOFI-AVENTIS CANADA INC.
Respondents
REASONS FOR ORDER AND ORDER
[1] The present Application raises three issues important to the innovator and generic drug manufacturer industries in Canada: what is the content of the authority provided to the Minister of Health (the Minister) as the entity charged with maintaining a Register of Innovative Drugs (the Register) pursuant to C.08.004.(9) of the Food and Drug Regulations (C.R.C., c. 870) (the Regulations); is judicial review available to hold the Minister accountable for decisions made in exercising the authority; and what is the correct interpretation of the term “approved” in the definition of “innovative drug” in C.08.004.1(1) of the Regulations?
[2] In maintaining the Register, the Minister extends an open invitation to innovators and generics to make a request of the Minister with respect to the Register, and commits to supply a response to each request. Given this invitation, by letter dated March 19, 2010, the generic manufacturer Teva Canada Ltd. (Teva) wrote to the Minister requesting that the June 15, 2007 authorization issued to the innovator manufacturer sanofi-aventis Canada, Inc. (Sanofi) pursuant to C08.004.1 to sell the “innovative drug” ELOXATIN be deleted from the Register. The definition of this term is stated in C08.004.1(1) :
“innovative drug” means a drug that contains a medicinal ingredient not previously approved in a drug by the Minister and that is not a variation of a previously approved medicinal ingredient such as a salt, ester, enantiomer, solvate or polymorph. (drogue innovante)
« drogue innovante » S’entend de toute drogue qui contient un ingrédient médicinal non déjà approuvé dans une drogue par le ministre et qui ne constitue pas une variante d’un ingrédient médicinal déjà approuvé tel un changement de sel, d’ester, d’énantiomère, de solvate ou de polymorphe. (innovative drug)
Thus, to be authorized to sell ELOXATIN as an innovative drug it was necessary for Sanofi to establish that the drug does not contain a medicinal ingredient that has been “previously approved” by the Minister. The history with respect to approval of ELOXATIN is that on June 15, 2007, the Minister issued a “Notice of Compliance” (NOC) for the drug and, in a separate decision on or about that date, the Minister listed ELOXATIN on the Register. Prior to that time, ELOXATIN had neither an NOC nor a Drug Identification Number (DIN). In granting Sanofi the authorization to sell ELOXATIN as an innovative drug, the Minister determined that the medicinal ingredient in the drug, being oxaliplatin, had not been previously approved in a drug, meaning that the safety and efficacy of oxaliplatin had not been established by the rigorous testing process dictated by the Regulations. In the present Application, Teva’s primary argument is that ELOXATIN had been the subject of a previous “approval” on a factual basis prior to June 15, 2007 and the Minister’s failure to include this form of approval in reaching the decision of June 21, 2010 constitutes an error in law.
[3] In 1999, Sanofi was authorized to sell ELOXATIN for the treatment of life-threatening colorectal cancer pursuant to the “Sale of New Drug for Emergency Treatment” provision found in C.08.010(1) of the Regulations, which is known in the pharmaceutical industry as the “Special Access Program” (the SAP). A drug authorized for sale under the SAP is exempt from the requirements of C08.004.1 of the Regulations meaning that the safety and effectiveness of ELOXATIN was not required to be established pursuant to the Regulations prior to an SAP authorization being granted.
[4] It is the evidence of Sanofi’s wide-scale and high volume sale of ELOXATIN under the SAP between 1999 and 2005 that grounds Teva’s arguments that, by authorizing those sales, the Minister approved the safety and efficacy of the drug, and, thus, the Minister erred in law in granting Sanofi the innovative drug status. After providing procedural fairness to Sanofi, in June 2010, the Minister rejected Teva’s request on a finding that no error in law had been made.
[5] To challenge the Minister’s decision, on July 22, 2010, Teva launched the present judicial review Application. Prior to the hearing of the Application the positions taken by Sanofi on the one hand, and Teva and the Minster on the other, were diametrically opposed on the preliminary issues of: whether the Minister has the authority to make the decision in issue; whether the decision is subject to judicial review; and whether Teva has standing to bring the present Application. As a result, interlocutory motions were filed by the parties on each issue. At the hearing of the present Application, Teva and the Minister argued in favour of a positive result on each of the preliminary issues which would allow the judicial review Application to proceed to hearing, a position which Sanofi opposed. As to whether the Minister was correct in the legal finding made in rejecting Teva’s request, assuming the Application would proceed to hearing, Sanofi and the Minister argued that the Minister was correct in finding no error of law was made, a position which Teva opposed. Determination of the motions is merged into the present reasons.
[6] For the reasons which follow, I agree with Teva and the Minister on each preliminary issue to find no impediment to reaching the present decision on the Application, and with respect to the merits, I agree with Sanofi and the Minister that the decision was not made in reviewable error.
I. What is Content of the Minister’s Authority as the Person Charged with
Maintaining the Register?
[7] With respect to this issue, C.08.004.1(9) of the Regulations expresses the delegation of authority:
(9) The Minister shall maintain a register of innovative drugs that includes information relating to the matters specified in subsections (3) and (4).
SOR/95-411, s. 6; SOR/2006-241, s. 1.
(9) Le ministre tient un register des drogues innovantes,
lequel contient les renseignements relatifs à l’application des paragraphes (3) et (4).
DORS/95-411, art. 6; DORS/2006-241, art. 1.
[8] At the operational level, in maintaining the Register, the Minister invites innovator and generic manufacturers to engage in the dialogue as outlined in the Minister’s “Guidance Document on Data Protection” (Guidance Document):
[…] a drug is eligible for listing on the Register of Innovative Drugs if it meets the definition of an innovative drug. Protection for the innovative drug applies only where an innovative drug has received an NOC and is marketed in Canada. If the listing is questioned on either of these grounds, the letter of inquiry should provide details. The OPML will confirm to both the originator of the inquiry and in innovative company that the drug’s status has been questioned. […] The OPML will provide the results of the assessment to both parties and will provide 30 days to each party to make representations. After consideration of any representations received, the OPML will endeavour to make its decision available to both parties within 30 days.
(Application Record of the Applicant, p. 913)
With respect to the scope of the Minister’s authority to provide the response of June 21, 2010 to Teva’s request of March 19, 2010, the Minister takes the following firm position with which Teva agrees:
As to the first subject, the Minister regards Health Canada’s letter to the parties of June 21, 2010 as constituting the decision here under review. That letter was essentially a refusal of the Applicant’s request to remove ELOXATIN from the Register of Innovative Drugs. The refusal was not based on any position that the Minister had no authority to remove it. Rather, it was based on the fact that notwithstanding Teva’s representations, the Minister’s officials were not persuaded that ELOXATIN is not an “innovative drug”. It therefore qualified for continued inclusion on the Register.
Had the Minister’s officials been persuaded that ELOXATIN is not an “innovative drug”, no explicit authority would have been required for its removal from the Register. The Minister has a duty to “maintain” the Register under subsection C.08.004.1(9) of the Food and Drugs Regulations. Such a duty clearly implies a power both to add and to delete information from the Register, as appropriate.
Further, the initial decision to include information on the Register does not represent the kind of situation in which functus officio principles have any place. Those principles concern the finality of judgments, and the jurisdiction of a Court or administrative tribunal to reopen a matter in which it has made a final ruling. Such is not the situation here. Rather than a process involving anything akin to a hearing and a resulting final decision, this matter involves ongoing dynamics. Under subsection C.08.004.1(3), the Minister has a continuing duty, for the specified time period, not to accept or approve a generic drug submission made on the basis of a comparison to an “innovative drug”. If, for example, the Minister becomes aware of circumstances indicating that in a particular case the comparison is made to a drug that is not an “innovative drug”, the Minister must (assuming all other requirements are satisfied) accept and approve the submission (under sections C.08.002.1 and C.08.004).
In this regard, it should be noted that parties other than the innovator, including other drug manufacturers, have no opportunity to participate in the initial decision to place information on the Register of Innovative Drugs. Indeed, any interest that those parties have may not even arise until well after that decision.
Thus, the Minister may, for example, entertain a request to remove a drug from the Register. Similarly, if the request is refused, and was made by a person who would have standing under the Federal Court Act, the refusal may be subject to judicial review.
[Emphasis in the original]
(The Minister’s Supplemental Argument, April 5, 2011)
[9] As mentioned, Teva’s concern in making the March 19, 2010 request was directed to the correctness of the 2007 decision in which the Minister authorized ELOXATIN to be placed on the Register as an “innovative drug” based on its own interpretation of the meaning of the word “approved”. Teva did not challenge the 2007 decision by way of judicial review but, in the present Application, has challenged the June 21, 2010 decision as a “fresh decision” on the correctness of the 2007 authorization. The Minister accepted the obligation to answer the request, and takes the position that it is a fresh decision subject to judicial review. Sanofi makes the following broad and detailed objection to the Minister’s “fresh decision” position:
The Minister’s letter of June 21, 2010 does not constitute a “fresh decision” with respect to any previous actions taken by the Minister.
The eligibility of Eloxatin for listing on the register was determined by the Minister’s June 15, 2007 decision. The June 15, 2007 decision has not been challenged by way of a proper application for judicial review to the Federal Court.
In its letter of March 19, 2010, Teva did not assert that it had identified any new facts subsequent to the June 15, 2007 decision by which a “fresh decision” was said to be required or authorized. A “fresh decision” cannot be triggered merely because a party writes a letter to a decision maker in order to provoke a reply, with the intention that the reply will thereby be reviewable on the very issue considered in the original decision. At minimum, new facts other than the mere exchange of correspondence is required.
To hold otherwise would permit for the circumvention of the finality of administrative decisions outside of the usual judicial review framework and time limits.
Moreover, a “fresh decision” can only be found where the Minister had the authority to issue one. A clear grant of statutory authority is required to give the Minister the power to revisit or reopen her decision of June 15, 2007 in relation to the grounds asserted by Teva. No such grant of authority exists in relation to the request of Teva by its letter of March 19, 2010.
While the Minister has a broad jurisdiction over matters pertaining to the health and safety of the public, Teva’s letter is not said to relate to this authority.
As regards the data protection regime of section C.08.004.1 of the Food and Drug Regulations, the legislative grant describes situations where the Minister could be seen to be authorized to render a “fresh decision” in the face of new facts. By way of example, support could be found for the removal of a drug from the register if the drug is no longer marketed in Canada (section C.08.004.1(5)).
However, there is no provision in the Food and Drugs Act and the Food and Drug Regulations that would provide the Minister with the authority to revisit or reopen the June 15, 2007 for the reasons asserted by Teva and in the absence of new facts.
The Health Canada Guidance Document on Data Protection does not provide a legislative grant of jurisdiction, although it describes a mechanism by which a party may make an inquiry. As noted in the Foreword to the Guidance Document on Data Protection “Guidance documents are administrative instruments not having force of law and, as such, allow for flexibility in approach.”
A broad authority to reopen the June 15, 2007 decision for the reasons asserted by Teva does not arise from section C.08.004. 1(9) that provides that the Minister “shall maintain a register of innovative drugs that includes information relating to the matters specified in subsections (3) and (4)”.
Such authority cannot be found by analogy with the legislative regime of the Patented Medicines (Notice of Compliance) Regulations (“PMNOC Regulations”), which provides a clear grant of statutory authority to the Minister to revisit an earlier decision to list a patent on the Patent Register. Section 3(2) of the PMNOC Regulations authorizing the Minister to maintain a patent register states that “To maintain the register, the Minister may refuse to add or may delete any patent or other information that does not meet the requirements of that section.” That language was added to the PMNOC Regulations by amendments introduced in 1998.
No such language is found in section C.08,004.1 of the Food and Drug Regulations, notwithstanding that this section was introduced some eight years after the amendments to the express scope of the Minister’s powers to “maintain” under section 3(2) of the PMNOC Regulations. Had the Legislator intended to provide for such broad authority with regard to data protection, similar language would have been used.
In addition, the application of Teva raises matters which are not justiciable at the request of Teva.Whether the problem is expressed as a lack of standing by Teva to challenge the decision, or rather that the decision raises issues which are not justiciable at the request of Teva, the outcome is the same: Teva cannot raise these matters in an effort to attack the decision of the Minister.
[Emphasis in the original]
(Sanofi’s Supplemental Argument, April 5, 2011)
The Minister’s response specifically with respect to Sanofi’s argument that no legislative approval exists to substantiate the Minister’s position draws a parallel to the conduct of the patented medicines regulatory regime:
In its supplementary representations, Sanofi refers to the specific language used in subsection 3(2) of the Patented Medicines (Notice of Compliance) Regulations, permitting the Minister to add or delete information to or from the Patent Register “maintained” under those Regulations. Sanofi notes that the language is not repeated in section C.08.004.1(9) of the Food and Drug Regulations.
That language was added to the PM(NOC) Regulations in 1998. However, as Teva has noted, the Federal Court had previously decided (in Merck Frosst Canada v. Canada (1997), 74 C.P.R. (3d) 307) that the duty to “maintain” the Register implies authority both to add and to delete information to or from the Register. The amendment in 1998 was clearly made simply for greater certainty.
(The Minister’s Supplemental Argument, April 7, 2011)
[10] I find that, because by statutory authority the PMNOC Regulations detail the content of the authority provided to the Minister to maintain the Patent Register and the Regulations presently under consideration do not, the PMNOC Regulations are not a comparator for interpreting the Minister’s authority under the Regulations. However, I also find that no basis exists in the present record to support Sanofi’s argument that, because similar statutory authority does not appear in the Regulations, the Regulations should not be interpreted to provide the Minister with authority to add and delete from the Register. In my opinion, logic dictates the correct result.
[11] It is not logically possible for the Minister to maintain the Register without an open dialogue with the innovator and generic manufacturers based on the understanding that, in an appropriate case, the Minister would take action to amend the Register.
[12] In the April 7, 2011 supplemental argument advanced in opposition to the Minister’s position, Sanofi makes the observation that the Guidance Document only describes a mechanism for making an inquiry, and, with one noted exception, implies that any reply that the Minister might give can lead to no action. I do not accept this general proposition because, if accepted, it establishes a situation which renders the Register a dead directory and the Minister a passive apologist. If this were the result, no matter how serious the concern about an entry, and how obvious it is that action should be taken with respect to the entry, it would be an exercise in futility to talk to the Minister about it because he or she would say that nothing can be done. In my opinion, this assertion does not allow for the proper maintenance of the Register.
[13] The one exception that Sanofi does acknowledge is that, if new facts are presented to the Minister which directly affects an authorization on the Register, then the Minister’s consideration of the new facts and determination on them, is capable of being considered a “fresh decision” which can have legal force and effect in amending the Register. The example which exposes this possibility as reasonable is new evidence that an entry made on the Register was gained by fraud. It seems that Sanofi would not object to the removal of the entry if the new evidence is accepted by the Minister as establishing new facts. In my opinion, the principle of what is required to maintain the Register should not be limited to this obvious example; the same logic can be applied, at the very least, to an argument that an entry on the Register is contrary to law as is argued by Teva in the present case.
[14] As a result, I agree that the Minister had authority to issue the “fresh decision” of June 21, 2010.
II. Is Judicial Review Available to Hold the Minister Accountable
for the Decision of June 21, 2010?
[15] In its letter of March 19, 2010, Teva made a request for a legal determination, and the Minister made a determination; but not the determination that Teva requested. Given that the Minister has the authority to make the legal finding expressed in the decision of June 21, 2010, the issue is whether judicial review is available to Teva to question the decision, and whether Teva can take advantage of it if it is available. The Minister does not object to being held accountable before this Court (see: Minister’s Letter, March 21, 2011, p. 2).
[16] Teva is not a passive observer of the Register. It is a generic manufacturer which has a public as well as an economic interest in selling generic drugs into the marketplace in Canada. In bringing the Application, Teva advances the former interest and does not deny the latter interest. In its letter of March 19, 2010, Teva asserts that “to maintain ELOXATIN on the Register not only undermines the purpose and intent of the Data Provisions, but also imposes a significant hardship on Canada’s health care system with a corresponding unjust enrichment of Sanofi” (Application Record of the Applicant, p. 716). The hardship that Teva is referring to is that, by the registration of ELOXATIN as an “innovative drug” pursuant to C.08.004.1(1), Sanofi is protected from generic competition by operation of the “Data Protection Provisions” of C.08.004.1(3) of the Regulations (see paragraph 21 of these reasons for a full description of the “data protection” operation of C.08.004.1(3)). This enduring obstacle placed in Teva’s path towards entering the marketplace with its generic version of ELOXATIN, is, understandably, of utmost interest to it. The question is whether this interest is sufficient to give Teva standing to bring the present Application.
[17] Generally, there is no disagreement among the parties to the present Application that judicial review is available to provide the opportunity to question a decision of the Minister made within authority. However, in the initial arguments of the parties filed in November and December 2010, the Minister and Sanofi objected to Teva’s “standing” to bring the present Application essentially for the reason that Teva is not someone “directly affected by the matter in respect of which relief is sought” which is a requirement to bring the present Application pursuant to s. 18.1(1) of the Federal Courts Act. Both the Minister and Sanofi took the position that in order to prove that it is directly affected, Teva must have justified its interest in the decision presently under review by having made an attempt to enter the market by filing an Amended Abbreviated New Drug Submission (ANDS). This argument was made even though the ANDS would most certainly be rejected because of the protection provided by C.08.004.1(3).
[18] Nevertheless, it is important to note that, well prior to the hearing of the present Application, on January 17, 2011, Teva did attempt to file an ANDS which was rejected by the Minister. As a result of the attempt to file, the Minister formally abandoned the objection to Teva’s standing to bring the present Application (see: Minister’s Letter, March 21, 2011, p. 2). However, at the hearing of the present Application, Sanofi maintained the argument that in order for the ANDS to have effect on Teva’s standing it must have been in place prior to the present Application being launched. Acceptance of this argument would mean that to challenge the Minister’s decision, Teva would have to abandon the present Application and commence a new application with all the same arguments being reintroduced, but for Sanofi’s argument on standing. In my opinion, this course of action would do nothing to improve delivery of justice to any party to this Application, but would only produce delay and lost costs for no good purpose. Therefore, I dismiss Sanofi’s objection, and find that, by attempting to file an ANDS, in any event of its rejection, Teva has perfected its standing to bring the present Application.
[19] One evidentiary issue initiated by Teva on which motions were crossed, and not otherwise dealt with in these reasons, concerns whether evidence not before the Minister can be added to the judicial review record. The additional affidavit evidence initially sought to be added by Teva included substantiations concerning Sanofi’s activity in the SAP program which was intended by Teva to establish that ELOXATIN had gained widespread use. Since this evidence already existed in the contents of Teva’s March 19, 2010 letter to the Minister, at the hearing of the Application, Teva abandoned its evidentiary motion, but with one exception. Teva continues to maintain that a “monograph” of ELOXATIN is relevant to the present review. Because this piece of evidence was not in the record upon which the Minister made the decision presently under review, and because the document is intended to prove the safety and efficacy of ELOXATIN and, therefore, is not background information, I dismiss the motion for its admission.
III. What is the correct interpretation of “approved” in the definition of “innovative drug” in s. C.08.004.1(1) of the Regulations?
[20] Sanofi supports the Minister’s position on this issue.
[21] With respect to how C.08.004.1 works within the scheme of the Regulations, the Minister takes the position that safety and effectiveness are the considerations with respect to a drug approved for public use, and that proof that a drug meets these considerations guides the administration of the Regulations. The Minister provides the following summary of the factors in play:
This application requires consideration of four aspects of the legislated framework within which drugs are regulated. They relate to drug submissions for new drugs, to submissions for Drug Identification Numbers (“DIN”), to the Special Access Programme, and to data protection.
Drug Submissions for New Drugs
A new drug may not be marketed in Canada unless its manufacturer has first obtained a notice of compliance (“NOC”) pursuant to Part C, Division 8 of the Regulations. The manufacturer files a submission, and if the Minister finds that the information in it satisfies him that the drug is safe and effective, she issues an NOC.
A new drug submission (“NDS”) is filed under section C.08.002, typically by a brand name drug manufacturer. It usually contains voluminous clinical trial data and detailed studies. These form the basis on which the drug is approved for sale.
An abbreviated new drug submission (“ANDS”) is available under section C.08.002.1 to generic drug manufacturers who wish to copy a marketed drug without having to provide clinical data demonstrating safety and effectiveness. The manufacturer must show instead that the generic drug is bioequivalent to a Canadian reference product, based on pharmaceutical and, where necessary, bioavailability characteristics.
Demonstrating bioequivalence by a comparison to a Canadian reference product permits a generic drug manufacturer to establish the safety and effectiveness of its product without making a direct assessment on the basis of clinical studies. In doing so, the generic drug manufacturer is relying on the information established about the Canadian reference product as filed in the NDS by the brand name drug manufacturer, which provides the primary knowledge about the safety and effectiveness of the drug and its conditions of use.
Drug Identification Number Submissions
No manufacturer may sell any drug unless a drug identification number (“DIN”) has been assigned to it. A DIN is an eight-digit numerical code that identifies drug product characteristics including manufacturer, brand name, medicinal ingredient, strength of the medicinal ingredient, pharmaceutical form, and route of administration. Through the DIN, a drug can readily be tracked or recalled in the event of an adverse drug reaction in the population.
In the case of a new drug, a drug submission filed pursuant to Division 8 of the Food and Drug Regulations serves as an application for a DIN. When a drug is not “new” (as that term is defined), it is not subject to the requirements of Division 8. In that case, the application for a DIN is made through a DIN submission, and the drug is regulated primarily under Part C, Division 1 of the Regulations. To receive a DIN, a drug manufacturer must file sufficient data to allow the Minister to evaluate the safety and efficacy of the drug for its intended use, and the Minister may refuse to issue a DIN where he believes the drug to be unsafe or ineffective.
After receiving a DIN, a manufacturer may make changes to the drug or to the information associated with it by filing a new DIN submission or a notification for changes. The Minister will assess the proposed change and may require the filing of an NDS if the change is deemed to bring the drug within the definition of “new drug”. In such cases, the requirements for an NOC under Division 8 of the Regulations must be met.
The Special Access Programme
The Special Access Programme, or “SAP”, is provided for in the
Regulations under the heading “Sale of New Drug for Emergency Treatment” [C.08.010 and C.08.011].
Thus, the SAP involves exceptional emergency situations, and is explicitly an exception to the requirements of the Regulations. A drug administered under the SAP is, when sold in accordance with its conditions, exempt from the requirements of the Regulations and, specifically, is exempt from the requirements of section C.08.002.
[…]
The operation of the SAP has recently been summarized by the Federal Court of Appeal [in Hospira Healthcare Corp. v. Canada (Attorney General), 2010 FCA 345] as follows:
¶4 …the Director (Assistant Deputy Minister, Health Products and Food Branch, Health Canada) may authorize the sale of a new drug to a physician under the Special Access Programme (“SAP”) for the emergency treatment of a patient
¶10 When requesting Health Canada for an authorization under the SAP, a physician must: (i) describe the patient’s medical condition; (ii) explain why the medicine is the best choice for treating the condition; and (iii) provide data on the use, safety and efficacy of the medicine requested. If granted, an SAP authorization authorizes, but does not require, a manufacturer to sell a specified quantity of the medicine to the requesting physician for the emergency treatment of a specified condition of a named patient under the care of the physician. The physician must report to Health Canada on the use of the medicine, including any adverse effects.
¶11 SAP authorizations…are normally granted for serious or life-threatening conditions when conventional treatments have proved ineffective or are not suitable for the particular patient. Typically, medicines authorized under the SAP are treatments of last resort and are not subject to the same level of scrutiny for safety and efficacy as medicines for which an NOC has been issued. Nonetheless, Health Canada reviews the SAP request and any other available data on the new medicine in order to “manage the risk” of its use.
Data Protection
The amended “data protection” provisions in section C.08.004.1 of the Food and Drug Regulations came into force on October 5, 2006.
As specified in subsection C.08.004.1(2), these provisions apply to the implementation of Article 1711 of the North American Free Trade Agreement and of paragraph 3 of Article 39 of the Trade Related Aspects of Intellectual Property Rights Agreement. Under these commitments, generally speaking, where a person submits undisclosed data for approval of a pharmaceutical product, and the product utilizes a new chemical entity, signatories are to prevent other persons from making “unfair commercial use” of the data and (for a reasonable time) from relying on the data in their own applications for approval.
Accordingly, to summarize section C.08.004.1, a generic drug manufacturer may not file a submission on the basis of a comparison to an “innovative drug” within the first six years of the eight-year period after the drug has received an NOC. In addition, the Minister may not issue an NOC to the generic drug manufacturer before the end of the eight-year period’. It is these prohibitions that result in what is known as “data protection”.
An “innovative drug” is defined in subsection C.08.004.l(1) as “a drug that contains a medicinal ingredient not previously approved in a drug by the Minister and that is not a variation of a previously approved medicinal ingredient such as a salt, ester, enantiomer, solvate or polymorph.”
The administration of the data protection provisions by the Office of Patented Medicines and Liaison (“OPML”) is outlined in Health Canada’s guidance document entitled Data Protection under C.08.004.1 of the Food and Drug Regulations.
When determining if a drug is an “innovative drug”, the OPML first considers whether the medicinal ingredient was previously approved in a drug by the Minister, including a drug that received a DIN. If it was, the drug is not an “innovative drug”, and is not eligible for data protection.
[Emphasis in original]
(The Minister’s Memorandum of Fact and Law, paras. 5 - 21)
[22] Prior to ELOXATIN being approved as an innovative drug, Sanofi obtained an NOC for the drug on the basis of an NDS. As a result, the details of the new drug provisions of the Regulations are important to consider. A quotation of C.08.004.(1) is next provided, followed by the opening to C.08.002 to which it refers. The balance of C.08.002, C.08.002.1, C.08.003, and C.08.005.1 are quoted in the ADDENDUM to these reasons:
C.08.004. (1) Subject to section C.08.004.1, the Minister shall, after completing an examination of a new drug submission or abbreviated new drug submission or a supplement to either submission,
(a) if that submission or supplement complies with section C.08.002, C.08.002.1 or C.08.003, as the case may be, and section C.08.005.1, issue a notice of compliance;
or
(b) if that submission or supplement does not comply with section C.08.002, C.08.002.1 or C.08.003, as the
case may be, or section C.08.005.1, notify the manufacturer that the submission or supplement does not so comply.
C.08.004. (1) Sous réserve de l’article C.08.004.1, après avoir terminé l’examen d’une présentation de drogue nouvelle, d’une présentation abrégée de drogue nouvelle ou d’un supplément à l’une de ces présentations, le ministre :
a) si la présentation ou le supplément est conforme
aux articles C.08.002, .08.002.1 ou C.08.003, selon le cas, et à l’article C.08.005.1, délivre un avis de conformité;
b) si la présentation ou le supplément n’est pas conforme aux articles C.08.002, C.08.002.1 ou C.08.003, selon le cas, ou à l’article C.08.005.1, en informe le fabricant.
C.08.002. (1) No person shall sell or advertise a new drug unless
(a) the manufacturer of the new drug has filed with the Minister a new drug submission or an abbreviated new drug submission relating to the new drug that is satisfactory to the Minister;
(b) the Minister has issued, pursuant to section C.08.004, a notice of compliance to the manufacturer of the new drug in respect of the new drug submission or abbreviated new drug submission;
(c) the notice of compliance in respect of the submission has not been suspended pursuant to section C.08.006; and
(d) the manufacturer of the new drug has submitted to the Minister specimens of the final version of any labels, including package inserts, product brochures and file cards, intended for use in connection with that new drug, and a statement setting out the proposed date on which those labels will first be used.
(2) A new drug submission shall contain sufficient information and material to enable the Minister to assess the safety and effectiveness of the new drug, including the following:
[Emphasis added]
C.08.002. (1) Il est interdit de vendre ou d’annoncer une drogue nouvelle, à moins que les conditions suivantes ne soient réunies :
a) le fabricant de la drogue nouvelle a, relativement à celle-ci, déposé auprès du ministre une présentation de drogue nouvelle ou une présentation abrégée de drogue nouvelle que celui-ci juge acceptable;
b) le ministre a, aux termes de l’article C.08.004, deliver au fabricant de la drogue nouvelle un avis de conformité relativement à la présentation de drogue nouvelle ou à la présentation abrégée de drogue nouvelle;
c) l’avis de conformité relatif à la présentation n’a pas été suspendu aux termes de l’article C.08.006;
d) le fabricant de la drogue nouvelle a présenté au ministre, sous leur forme définitive, des échantillons des étiquettes — y compris toute notice jointe à l’emballage, tout dépliant et toute fiche sur le produit — destinées à être utilisées pour la drogue nouvelle, ainsi qu’une déclaration indiquant la date à laquelle il est prévu de commencer à utiliser ces étiquettes.
(2) La présentation de drogue nouvelle doit contenir suffisamment de renseignements et de matériel pour permettre au ministre d’évaluer l’innocuité et l’efficacité de la drogue nouvelle, notamment :
[Non souligné dans l’original]
The list of what must be included in a new drug submission pursuant to C.08.002.(1) is exhaustive and includes: a list of the ingredients of the new drug; details of the tests to be applied to control the potency, purity, stability and safety of the new drug; detailed reports of the tests made to establish the safety of the new drug for the purpose and under the conditions of use recommended; and substantial evidence of the clinical effectiveness of the new drug for the purpose and under the conditions of use recommended.
[23] There is ample support for the Minister’s position that, with the exception of approvals under the SAP, proof of safety and effectiveness is at the base of the approval process under the Regulations.
[24] Teva’s first argument to the Minister was that safety and effectiveness can be proved by conduct and not by a formal authorization process:
As at June 15, 2007, Eloxatin was not an “innovative drug” (as defined in the Food and Drug Regulation) because oxaliplatin had been previously approved by the Minister through the widespread authorization of the drug under the Special Access Programme (“SAP”). Eloxatin therefore did not meet the requirements for listing on the Register (Page 2).
[…]
The Minister would not have permitted such pervasive use of Eloxatin (and other drugs containing oxaliplatin) under SAP if she were not satisfied as to the safety and efficacy of Sanofi’s oxaliplatin products and generic oxaliplatin products. The safety and efficacy of Sanofi’s oxaliplatin products had been established through the worldwide approval of Sanofi’s oxaliplatin products, sold under the brand name Eloxatin, at the relevant time as well as the worldwide approval of generic oxaliplatin products (Page 6).
[Emphasis added]
(Letter of March 19, 2010)
The Minister rejected this argument:
[…] Contrary to Teva’s submission, the OPML did not proceed on the assumption that the term “innovative drug’ is tied to the issuance of a notice of compliance, but rather, the OPML proceeded on the basis that the term ‘innovative drug” is defined by reference to the approval of a drug containing the medicinal ingredient, whether by notice of compliance or otherwise. More specifically, the OPML is of the position that under the definition of an “innovative drug”, drugs that contain medicinal ingredients that have been previously approved in Canada—including drugs that have previously received a notice of compliance and/or a drug identification number—will not be afforded data protection.
[…] Drugs sold under the SAP have not undergone full regulatory review and, therefore, have not received market authorization by the Minister. As such, for the purposes of subsection C.08.004.1(1) of the Regulations, the OPML was of the view that it could not be said that a medicinal ingredient authorized for sale under the SAP, such as oxaliplatin, had been previously approved in a drug by the Minister. The OPML remains of this view.
[…]
Notwithstanding Teva’s submissions, the OPML must, in determining the eligibility for data protection under section C.08.004.1 of the Regulations, determine whether a drug contains a medicinal ingredient previously approved in a drug in Canada under the Regulations. As indicated above, drugs sold under the SAP have not received market authorization (i.e. approval) b