Adequacy of damages as a remedy
11 Docetaxel is an anti cancer drug used in chemotherapy. It accounts for about 5% of the chemotherapy market in Australia. Before January 2011 sanofi-aventis supplied docetaxel (under the name Taxotere®) in a two vial dosage form to its customers (being a concentrated product in a single-dose vial accompanied by a sterile solvent). Customers are wholesalers, compounders and hospitals. In January 2011 sanofi-aventis launched a one vial docetaxel dosage form. By September 2011 sanofi-aventis intend to have phased out the two vial dosage from and to have replaced it with the new one vial dosage form.
12 Taxotere represents about 95% of sanofi-aventis's oncology portfolio in Australia. sanofi-aventis proposes to expand that portfolio. It has two new oncology products in the pipeline scheduled for release in 2012 and 2013.
13 The entry of Interpharma and Hospira into the monopoly market for the supply of docetaxel after 6 February 2011 and before expiry of the patent on 3 July 2012 will cause sanofi-aventis to lose sales which it would otherwise make. I refer to the date of expiry of the patent (3 July 2012), because the cross-claim filed by the Aventis parties alleges infringement and seeks orders (including interlocutory orders) solely by reference to the patent. Consistent with this pleading the applications proceeded on the apparently common assumption (which I adopt), that there would be no impediment to any generic company entering the docetaxel market after 3 July 2012.
14 The evidence discloses (and I accept) that the lost sales represent substantial sums of money. In addition, I also accept that sanofi-aventis will lose money because it is likely the competing products will lead to substantial price discounting. As a result, May & Baker and Aventis Pharma will also suffer loss (due to the terms of the licensing agreements between the Aventis parties).
15 Insofar as these two consequences (substantial lost sales of and decreased profits from Taxotere) are concerned, I am satisfied that damages will be an adequate remedy for the Aventis parties. As noted, the compound patent expires on 6 February 2011 and the patent on 3 July 2012. Accordingly, on the available evidence, the time period for which the Aventis parties enjoy the benefit of a monopoly on the supply of docetaxel ends in about 18 months (assuming the validity of the patent). But for any entry into that market by a generic product (if not restrained by interlocutory injunction), every supply of docetaxel in Australia within that period will be a supply by the Aventis parties at a price which is known (at today's date) or, I infer, could be evaluated readily (to take into account possible price changes over the limited period of 18 months). Hence, every supply of docetaxel by any generic company after 6 February 2011 will be a supply that the Aventis parties otherwise would have made for the 18 month period at the known or calculable price. Thereafter, the "head-start" the generic companies would have obtained assuming the patent to be valid (that is, by reason of the fact that they should not have entered the market until after 3 July 2012) is also susceptible to orthodox techniques for the assessment of damages. So too is any permanent reduction in price due to continued discounting.
16 Contrary to the Aventis parties' submissions these conclusions are not premised on the mere fact that they currently control 100% of the market (a factor which will be present in all cases of threatened rather than actual patent infringement). These conclusions arise from the evidence about docetaxel. Docetaxel is a chemotherapy drug used to treat certain cancers. It is supplied in a vial (or vials) with a sterile solvent. Before it can be administered the drug and solvent must be combined (a process known as compounding) and then diluted in a perfusion fluid. The perfusion fluid may then be injected into the patient. Docetaxel is chemotoxic and thus must be compounded, diluted and administered by trained technicians. The primary prescribers of docetaxel are oncologists. Taxotere is the most widely used chemotherapy regimen for early breast and prostate cancers and the second to fifth most used for certain other cancers where other products are preferred as first line therapies. Sales of Taxotere have increased over the past three years. It is not apparent, however, whether that increase is due to increased cancer detection and thus treatment rates or changes in the assessment of the efficacy of Taxotere compared to other available chemotherapies.
17 This description discloses that there is no meaningful comparison available between the evidence about the market for Taxotere and, say, the market for anti-depressants as considered by Sundberg J in Sigma Pharmaceuticals (Australia) Pty Ltd v Wyeth (2009) 81 IPR 339; [2009] FCA 595. In Sigma v Wyeth, at [55], Sundberg J referred to evidence about the market for anti-depressants as follows:
Mr Nobes, Wyeth Australia's Director of Corporate Affairs and Health Strategy, gave evidence that the market for antidepressants is highly competitive and subject to influences such as socio-economic conditions. Accordingly it is difficult to predict changes to the size of the market or the individual market shares of particular products. Having regard to the fact that Efexor-XR is currently the largest selling antidepressant, any change will have a greater impact on it relative to any other antidepressant.
18 It is not apparent that the market for docetaxel is highly competitive. There is evidence of other and complementary chemotherapy regimes for the same cancers but the extent and basis of competition between them (in the sense of selection of one over the other) is unclear. It is not apparent that the market is subject to socio-economic conditions. Hence, there is not a sound evidentiary basis to infer that entry of generics will change the size of the market at all or the market shares of the potentially competing products. In summary, nothing in the evidence persuades me that the consequences of lost sales, price discounts (temporary or permanent) or the "head-start" which generics will gain if they enter the market after 6 February 2011 and before 3 July 2012 (assuming the patent to be valid) represent a form of irreparable harm for which damages will not be an adequate remedy for the Aventis parties. This is so in respect of not only the proposed supplies by Interpharma and Hospira but also if any other generic chooses to enter the market. Given the nature of the product and the market, the same considerations apply to other generics as well.
19 The Aventis parties identified other types of consequences which they described as unquantifiable. These were described in the affidavits of Leah Goodman, sanofi-aventis's director of portfolio development. The principal consequences on which the Aventis parties relied were: - (i) although no price reduction under the Pharmaceuticals Benefits Scheme (PBS) will be required by entry of generic products onto the market, the PBS price disclosure regime will be triggered involving extensive reporting obligations and the prospect of ex- manufacturer approved price reductions, (ii) hospitals and others will be entitled to issue fresh tenders for supply agreements which will typically be awarded on the lowest price basis, (iii) due to losses the Aventis parties will have to cut back the services currently offered in association with Taxotere including trained marketing, medical, hospital and key accounts management teams thereby compromising the clinical and patient support offered, as well as in-house oncology expertise and ability to support oncology trials, having regard particularly to the large costs associated with oncology trials and the two new products scheduled for release in 2012 and 2013, (iv) re-assembling this team if the Aventis parties succeed at final hearing will involve unknown time and costs, and (v) as sole supplier of a significant product with substantial support services the Aventis parties enjoy significant goodwill which they will lose, including by reason of loss of the support services, doctor and patient confusion, loss of customer loyalty and reduction in brand visibility.
20 Although Ms Goodman was not cross-examined, on analysis, it is difficult to conclude that any of these potential consequences are a likely result of generic competitors entering the market after 6 February 2011 and before 3 July 2012. Hence:
(1) PBS consequences: the entry of generic competitors onto the market will not trigger an automatic price reduction. It will trigger price disclosure requirements. The effect will be that the Aventis parties must comply with those requirements earlier than otherwise would have been the case. Any further price consequence as a result of these disclosure obligations is speculative. The record keeping obligations will ensure that all suppliers have documents proving sales and thus assisting in any calculation of damages or an account of profits if required.
(2) Hospital and other tenders: the fact that the Aventis parties may be subject to fresh tenders is properly characterised as a species of lost sale which is quantifiable.
(3) Reduced support services: irrespective of the intentions of any generic supplier, the Aventis parties are confronting the loss of the monopoly on 3 July 2012. The evidence does not explain why the entry of generics onto the market eighteen months earlier than would otherwise be the case would have the effects identified as opposed to the foreseeable end of the monopoly. In any event, given the Aventis parties' intention to increase their oncology portfolio, the two new drugs they have in the pipeline and the overall size and diversity of their Australian portfolio it is difficult to accept that the consequences will be anywhere near as dire as Ms Goodman predicts. Impacts on or compromise of the products scheduled for release in 2012 and 2013 (which must represent a substantial investment already) appears to be wholly speculative. Further, the consequences (if they occur) will be the direct result of management and administrative decisions that the Aventis parties themselves make and implement. Those parties control the allocation of their resources including to the support, patient, clinical and trial services in which they are currently involved. As such, they will be able to control these consequences, at least for the period for which they otherwise would have enjoyed the protection of the patent.
(4) Re-assembly of teams: this issue is answered by the same considerations as discussed under (3) above.
(5) Loss of goodwill: given the nature of the product and the market for it this class of loss also seems highly speculative. As to the support services, see above. As to doctor and patient confusion, the nature of the product and its means of administration suggest this is highly unlikely (in contrast, say, to anti-depressants as considered in Sigma v Wyeth). As to customer loyalty and brand visibility, again, the nature of the product suggests this issue lacks materiality.
21 In summary, the classes of unquantifiable losses on which the Aventis parties relied appear neither likely to occur nor as serious as suggested (if they do occur) given the nature of the product. Otherwise, the suggested consequences appear to be largely within the control of the Aventis parties themselves, in circumstances where the very same issues would need to be confronted by reason of expiry of the patent on 3 July 2012 in any event.
22 The evidence does not satisfy me that, if the interlocutory relief sought is not granted, the Aventis parties will suffer any irreparable harm for which damages will not be an adequate remedy. To the contrary the evidence indicates that on the facts of this case damages will be an adequate remedy for the Aventis parties.
23 An issue was raised about the financial capacity of Interpharma to meet any order to pay damages. Interpharma addressed that concern by proffering an undertaking to put in place a bank guarantee with the ANZ banking group in the sum of $10 million on the terms set out in Exhibit B (reproduced as Annexure A to the orders in NSD 1373 of 2010). The giving of the undertaking is required in order to support the conclusion that damages would be an adequate remedy and the orders will be framed to ensure it is given.
24 For these reasons, the Aventis parties should not be granted interlocutory relief.