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Page 8 of 16                  Fetro. Rare Dis Orphan Drugs J 2023;2:7  https://dx.doi.org/10.20517/rdodj.2023.06

               form of market exclusivity, as in the case of orphan drugs (7 years in the United States, 10 years in Europe).


               Patents can cover the existing product, its underlying chemical or biological make-up, as well as new
               indications, dosage regimes, or mechanisms of delivery. Supplementary protection certificates are
               intellectual property rights that serve as an extension to a patent right. They all give the owner the right to
               prevent others from making, using, or selling the drug without permission. Patent protection is critical for
               developing a new therapy.


               It is challenging to obtain strong patent protection when repurposing compounds. By definition, the
               structure of a repurposed drug is known and a novel patent claim to the active pharmaceutical ingredient is
               not possible. Composition of matter (COM) claims, which exclude any use of the COM, are one of the
               classic and powerful claim types. They cannot be proposed to be repurposed drugs in the vast majority of
               cases. Repurposed drugs are eligible for patent protection through use claims or method of treatment
               (MOT) claims. MOT patents may be perceived as second-tier to composition patents; however, it seems to
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               be, in some cases, a good way of protection and commercial success for some companies .
               Intellectual property (IP) position is critical in ensuring the ability to achieve a collaboration based on
               partnership and dialogue. IP may fall into two major categories, leading to different issues: it can be active
               or expired.


               IP is still in force
               Alpelisib is an example of a successful academia-industry DR collaboration in this category leading to a
               treatment for patients, although the company was not interested in its development at the very beginning.
               Alpelisib was being evaluated for breast cancer at that time.


               If an academic researcher has discovered a new indication for an approved or investigational drug, then
               early engagement with the potential industry partner is highly recommended since the company is the
               patent owner. It will be a crucial step in the process. The objective is twofold: to know if the company is
               interested in the development and to obtain access to the drug/compound and potential funding of studies
               performed under a material transfer agreement (MTA).

               Pharmaceutical companies frequently engage in preclinical research collaboration with academics. Complex
               knowledge transfer processes and substantial challenges in terms of IP may arise. Generating new IP has to
               be discussed, anticipated, and validated in a consortium agreement in order to organize the rights and
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               obligations of all stakeholders and protect the researchers’ discovery and IP . If the company holding the IP
               agrees to provide the drug but refuses to provide funding to support preclinical or clinical programs, it will
               be difficult for the researcher alone to move forward with the drug, except if new patent protection can be
               obtained. New formulations or drug forms for a known active pharmaceutical ingredient (API) may be
               developed for a new indication and provide academics with an opportunity for patent protection. Academic
               investigators may also decide to perform clinical studies without the support of the company and with no
               guarantee -even if the trial is successful- of a newly approved indication. Repurposing an approved API for
               a new indication would only benefit the original manufacturer who owns the IP for the composition.
               Scientific and nonscientific understandable reasons may explain the company’s refusal, such as insufficient
               remaining patent life, a lack of expertise and interest in the new therapeutic area, or anticipated regulatory
               risks. A recent study explored innovative mechanisms to fund independent clinical research initiated and
               led by researchers from academia with repurposed medicines . Focus is put on social impact bonds,
                                                                      [29]
               crowdfunding, or public-private partnerships to conduct expensive phase III clinical trials with, again, no
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