GLOBAL DAY OF ACTION AGAINST ROCHE’S INHUMANITY
#ROCHEGREEDKILLS
ACTIVISTS AROUND THE WORLD MARCH #ForTobeka
http://tac.org.za/news/global-day-action-against-roche%E2%80%99s-inhumanity-rochegreedkills
- Demonstrations held at Roche & pharma associations in South Africa,
Malaysia, UK, France, Zambia, Brazil, US
- 108
organisations endorse a letter to Roche
Tuesday, 7th February 2017 – Swiss multinational company Roche faced
global condemnation today from women living with cancer, families of people
with cancer, activists, scientists, researchers and health professionals from
across the world. They highlighted the immoral and unconscionable tactics
employed by Roche across the developed and developing world. Roche’s greed is
preventing women from accessing affordable versions of trastuzumab, an
essential medicine used in the treatment of breast cancer.
The global day of action was led by women living with cancer in South Africa
who gathered outside Roche’s office in Johannesburg demanding justice for
Tobeka Daki – a leading cancer activist from South Africa whose own struggle
against cancer ended last year.
“In South Africa today, we launched the Tobeka Daki Campaign for Access
to Trastuzumab. In loving memory of a fearless activist who lead our
struggle to ensure women could get this medicine,” said Salomé Meyer of the
Cancer Alliance in South Africa. “Even as the likelihood of her being able to
get trastuzumab diminished, Tobeka’s determination to ensure other women could
access the medicine only grew stronger.”
Despite being a good candidate for trastuzumab, Tobeka was never able to access
the treatment due to its high cost. In South Africa the annual price charged by
Roche in the private sector is around US$ 38 365 (ZAR 516,700). The few public
facilities which can access trastuzumab do so at a lower price of around US$ 15
735 (ZAR 211,920) per year. But, health economists have shown that a year’s
worth of trastuzumab can be produced and sold for only US$ 240, a price that
includes a 50% increase above the cost of production for profit.
Roche maintains its high prices in every way possible. Roche holds multiple
evergreened patents on trastuzumab in certain countries across the world. In
South Africa, for example, multiple patents extend Roche’s monopoly until 2033.
In countries where the patents expired or do not exist, Roche is using other
means to block potentially more affordable biosimilar versions coming to
market.
“In India Roche have embroiled India’s drug regulatory body and biosimilar
producers in long-running and increasingly complex litigation to prevent the
widespread availability of potentially affordable versions of trastuzumab,”
said Kalyani Menon Sen, a women’s rights activist from India. “Even as Roche
withdrew its patent applications on trastuzumab in India in the face of patent
oppositions that were likely to succeed, it applied new ways to continue to be
the sole supplier. We are demanding that they immediately cease all litigation
against biosimilar products.”
In
Brazil and Argentina, Roche is one of the pharmaceutical companies litigating
against those governments for their attempts to use legal international
safeguards to protect public health.
"The Brazilian government pays 73 times more than what health economists
estimate trastuzumab could be sold for. It’s just too expensive,” said Graciela
Rodriguez, a women’s rights activist from Brazil. “Worse now, Roche are also
suing our government – through a case filed by Interfarma – for attempting to
stop abusive patenting practices more broadly. Roche doesn’t like the fact that
the Brazilian government have a system of examining patent applications and
rejecting those that don’t meet our standards.”
"I stand in solidarity with people living with cancer around the world.
The high cost of my own treatment has affected my ability to follow doctors'
orders to remain healthy,” said Timothy Lunceford-Stevens of ACT UP New York, a
two-time cancer survivor who also lives with other disabilities. “I have been
refused Pharma support programs because my government assistance program for
people with disabilities disqualifies me. In the United States, seniors and
people with disabilities are particularly vulnerable to the high cost of
medicines by pharmaceutical companies like Roche, and the government's system
to help get medicines to patients is rigged."
Melanie Kennedy, a breast cancer patient and mother of two from Northern
Ireland in the UK said,
"Roche's behaviour in South Africa is an outrage. The price they are
charging for trastuzumab firmly puts their profits ahead of the lives of women
with breast cancer. As a breast cancer patient in the UK this comes as no surprise.
Roche are trying to charge a price for T-DM1, the drug I will need to take
after trastuzumab, that is so high even the UK cannot afford it. Patients in
the NHS are in the same situation as patients in South Africa - paying with
their lives for Roche's greed. They must drop the price - and if they don't our
governments must take action to protect women's lives by over-riding Roche's
patent and securing affordable versions of their medicines."
In 2015 Roche made US$ 8.9-billion profit. In the same year CEO Severin Schwan
earned US$ 12-million. It is highly plausible that Roche could cut the price of
trastuzumab dramatically and still be very profitable.
Demands to Roche:
- Drop the price of trastuzumab and T-DM1 so that all women living with HER2+
breast cancer who need these medicines can access them;
- Immediately cease all litigation against biosimilar versions of trastuzumab;
- Stop abusive patenting practices that needlessly extend patent monopoly on
trastuzumab and other medicines; and
- Immediately cease litigation against the Brazilian and Argentinian
governments for their use of TRIPS flexibilities.
Follow the twitter conversation
#RocheGreedKills
#ForTobeka
Endorsed by:
ACT
UP London, United Kingdom
ACT UP New York, United States
ACT UP Paris, France
AIDS Access Foundation, Thailand
AIDS and Rights Alliance of Southern Africa (ARASA)
All India Drug Action Network (AIDAN), India
All-Ukrainian Network of PLWHA, Ukraine
Alliance of Doctors for Ethical Healthcare, India
Asia Pacific Council of AIDS Service Organisations (APCASO), Thailand
Asia Pacific Network of People Living with HIV/AIDS (APN+)
Asia Pacific Network of Sex Workers (APNSW)
Association of Korean medicine Doctors for Health rights (AKDH), South Korea
Association of Physicians for Humanism (APH), South Korea
Brazilian Interdisciplinary AIDS Association (ABIA), Brazil
Cancer Alliance, South Africa
Cape Mental Health, South Africa
Center for Health and Social Change (SHSC), South Korea
Center for Research of Environment, Appropriate Technology, and Advocacy
(CREATA), Indonesia
Charitable Foundation of Patients "Blood drop", Ukraine
Child With Future, Ukraine
Children with Hemophilia, Ukraine
Coalition Plus, France
Community Development Centre, Malaysia
Crisis Care Home, Malaysia
Delhi Network of Positive People (DNP+), India
EVA Non-Profit Partnership, Russia
Fix the Patent Laws Coalition, South Africa
Fundación Grupo Efecto Positivo, Argentina
Global Network of Sex Work Projects (NSWP), International
Health GAP, International
Health Poverty Action, United Kingdom
HIV i-base, United Kingdom
Housing Works, United States
Human Rights Law Network, India
I-MAK, United States
Indonesia AIDS Coalition (IAC), Indonesia
Indonesia For Global Justice (IGJ), Indonesia
Indonesia Positive Women Network (IPPI), Indonesia
Initiative for Health & Equity in Society, India
Intellectual Property Left, South Korea
International Treatment Preparedness Coalition, Global
International Treatment Preparedness Coalition, Middle East and North Africa
(ITPC-MENA)
International Treatment Preparedness Coalition, Russia (ITPCru)
International Treatment Preparedness Coalition, South Asia
Jaringan Peduli Tuberkulosis Indonesia (JAPETI), Indonesia
Just Treatment, United Kingdom
Kartini Samon, Indonesia
Kesatuan Nelayan Tradisional Indonesia (KNTI), Indonesia
Knowledge Ecology International (KEI), International
Korea Alliance of Patients’ Organization, South Korea
Korea Congenital Heart Disease Patient Group, South Korea
Korea Heart Disease Patient Group, South Korea
Korea Kidney Cancer Association, South Korea
Korea Leukemia Patient Group, South Korea
Korean Dentists Association for Healthy Society (KDAH), South Korea
Korean Federation of Medical Groups for Health rights (KFHR), South Korea
Korean GIST Patients Organization, South Korea
Korean Pharmacists for Democratic Society (KPDS), South Korea
Korean Progressive Network-Jinbonet, South Korea
Lawyers Collective, India
LOCOST, India
Lusiana, Indonesia
Médecins Du Monde, France
Mr. Charles Santiago, Member of Parliament, Malaysia
Mr. Mark Cheong, Lecturer, School of Pharmacy, Monash University, Malaysia
MSF Access Campaign, International
MSF Southern Africa, South Africa
Muskan Sanstha, India
National Working Group on Patent Laws, India
Network of Marginalised Peoples JERIT, Malaysia
Patients of Ukraine
People's Health Institute, South Korea
People's Health Movement Global
People’s Solidarity for Social Progress, South Korea
Pink Ribbon of Ukraine
Positive Malaysian Treatment Access & Advocacy Group (MTAAG+), Malaysia
Positive Women, Ukraine
Rare Immune Disease, Ukraine
RED Argentina de Personas Positivas, Argentina
Red Latinoamericana por el Acceso a Medicamentos (RedLAM), Argentina
Rural Women's Assembly, South Africa
SAMA - Resource Group for Women and Health, India
SANGRAM, India
SECTION27, South Africa
Seruni, Indonesia
Socialist Party of Malaysia
Solidaritas Perempuan (Women's Solidarity for Human Rights), Indonesia
Solidarity for HIV/AIDS Human Rights-NANURI+, South Korea
Solidarity for Worker's Health (SWH), South Korea
Sonke Gender Justice, South Africa
South African Depression and Anxiety Group (SADAG), South Africa
South African Non-Communicable Diseases Alliance (SA NCD Alliance)
Spark of Hope, Ukraine
STOPAIDS, United Kingdom
Talking about Reproductive and Sexual Health Issues (TARSHI), India
Thai Network of People Living with HIV/AIDS, Thailand
Third World Network, International
Transnational Institute (TNI), International
Treatment Action Campaign (TAC), South Africa
Treatment Action Group (TAG), United States
Treatment Advocacy and Literacy Campaign (TALC), Zambia
Union for Affordable Cancer Treatment (UACT), United States
Universities Allied for Essential Medicines (UAEM), International
Veshya Anyay Mukti Parishad (VAMP), India
Vietnam Network of People living with HIV (VNP+)
Wahana Lingkungan Hidup Indonesia (WALHI), Indonesia
WOMIN, South Africa
Young Professionals Chronic Disease Network (YP-CDN), International
Youth STOPAIDS, United Kingdom
Notes:
Who is Tobeka Daki?
Tobeka Daki was a single mother from Mdantsane township in South Africa who was
diagnosed with HER2+ breast cancer in 2013. Following her diagnosis, Tobeka was
informed that she needed trastuzumab, in addition to a mastectomy and
chemotherapy, to improve her chances of survival. Despite being a good
candidate for the treatment, Tobeka was never able to access trastuzumab due to
its high cost. Her cancer metastasized and on 14 November 2016 she died in her
home. She was unable to access this treatment due to the exorbitant price
charged for trastuzumab by pharmaceutical company Roche.
Despite her declining health, Tobeka threw herself into advocating for access
to healthcare for all women during 2016. In March she gave testimony to the
United Nations Secretary General’s High Level Panel on Access to Medicines and
led a picket outside the Roche offices in Johannesburg . In July, she shared
her story at the International AIDS Conference in Durban and led a vigil at
Roche’s conference display booth. Later, in September she led a march to
the offices of the Department of Trade and Industry calling on government to
finalise delayed legal reforms that would improve medicine access in the
country.
Today, it is impossible to definitively say whether Tobeka’s life would have
been saved if she had been able to access trastuzumab treatment. However, there
is clear evidence that trastuzumab would have significantly improved Tobeka’s
chances of survival. A chance of survival that she and her family were denied -
not for medical reasons - but rather because they could not afford to buy it.
What is trastuzumab?
Trastuzumab is recommended by the World Health Organisation as an essential
medicine for the treatment HER2+ breast cancer. Clinical trials have
demonstrated that the provision of trastuzumab, in addition to chemotherapy,
improved the survival of women with early or locally advanced breast cancer by
37%. However, in many countries it is priced so high that governments cannot
afford to buy it. Women pay the price with their lives.
What prices does Roche charge for trastuzumab across the world?
The price of trastuzumab varies in countries across the world. These prices
aren’t always public. They are agreed behind closed doors.
In South Africa – USD 38 365 (ZAR 516,700) in private sector / USD 15 735 (ZAR
211,920) public sector
In Brazil – USD 17 562 (R$ 53 040)
In Malaysia – USD 17,929 (RM 80,682) in public sector
In France – USD 30,595.76 (EUR 28 459) in public sector
In India – USD 10 938 (Rs 735,000) based on two free doses
*All conversions based on exchange rate at time of print.
What is T-DM1?
Trastuzumab emtansine (T-DM1) is another drug made by Roche for the treatment
of HER2+ breast cancer. It combines trastuzumab with another drug resulting in
better targeting of cancer cells, affording women who can access it months and
often years of extra life with few side effects. The list price in the UK is
£90,000 per patient per year and although Roche have offered a confidential
discount, the UK’s medicines decision-making body, NICE, ruled it was still to
expensive for the NHS in a preliminary ruling in December. Unless that decision
is reversed when the final ruling is announced in early February women across
the UK will lose access to the drug. Campaigners have called for the UK
government to issue a compulsory licence (in UK law a Crown Use licence)
allowing an affordable, bio-similar version to be developed and used by the
health service. Taking such a step is likely to force Roche to offer a
reasonable price to the NHS.
Why is Roche suing the Brazilian and Argentinian governments?
Brazil and Argentina have taken the challenge of maintaining universal public
health systems, including free distribution of essential medicines to all. Many
lives rely on these public health policies. As the dramatic increases on the
price of new medicines is linked to the way pharmaceutical patents are examined
and granted, Brazil and Argentina have created strict standards and procedures
for patent examination in the pharmaceutical sector and have successfully blocked
several undeserved patents, ensuring generic competition and price reductions.
In 2014 and 2015, the associations of transnational pharmaceutical companies
(INTERFARMA - Associação da Indústria Farmacêutica de Pesquisa in Brazil and
CAEME - Cámara Argentina de Especialidades Medicinales in Argentina) went to
court suing the national governments for adopting pro public health measures in
intellectual property (IP) laws in the two countries. In Argentina, Big Pharma
is challenging the national patent examination guidelines. In Brazil, they are
challenging the participation of health authorities in the analysis of
pharmaceutical patent applications (known as “ANVISA’s prior consent”). Both
provisions aim to avoid the granting of unmerited pharmaceutical patents.
Details of demonstrations, letters of support & media contacts globally
BRAZIL:
Pedro Villardi | ABIA | +55 21 99438 0399 | pedro@abiaids.org.br
FRANCE:
Activists will carry out a publicity stunt in Paris to raise awareness of the
lack of availability of trastuzumab
MALAYSIA:
Activists will gather outside Roche Malaysia and deliver a memorandum
Roche (Malaysia) Sdn. Bhd. Level 21, The Pinnacle, Persiaran Lagoon, Bandar
Sunway
47500 Selangor Darul Ehsan, Malaysia.
Time: 14h00 (Malaysia time)
Ed Low | erd_2000_1999@yahoo.co.uk
| +60 12 327 8812
SOUTH AFRICA:
500+ women with breast cancer & activists will gather outside Roche offices
in Johannesburg and deliver a memorandum
Roche South Africa, 24 Fricker Rd, Illovo, Sandton, Johannesburg
Time: 10h00 – 13h00 (South Africa time)
Lotti Rutter | Treatment Action Campaign | +27 81 818 8493 | lotti.rutter@tac.org.za
Catherine Tomlinson | Cancer Alliance | +27 76 318 5632 | crtomlinson@gmail.com
UK:
Activists will gather outside the Association of the British Pharmaceutical
Industry of which Roche is a member to deliver a memorandum to Roche.
7th Floor, Southside, 105 Victoria St, Westminster, London SW1E 6QT
Time: 8h00
Diarmaid McDonald | Just Treatment | +44 7894 455 781 | diarmaid@justtreatment.org.uk
US:
Activists gathered outside Roche in New York – a video will be put online on
7th February.
Bryn Gay | Act Up New York | +1 954 482 1421 | bryn_gay@hotmail.com
ZAMBIA:
Activists from the Treatment Advocacy and Literacy Campaign (TALC) and people
with cancer will deliver a letter to Roche c/o the Swiss Consulate in Lusaka
Michael Gwaba | TALC | bagwaba@gmail.com
Felix Mwanza | TALC | felimwa@yahoo.com