An ongoing dialogue on HIV/AIDS, infectious diseases,
June 13th, 2011
More on Generic Antiretrovirals …
In the recent post on the approval of generic Combivir — and the lack of availability of generic Epivir (lamivudine, 3TC), which was both anticipated and likely to be more useful — I speculated there were several possible causes of this surprising turn of events.
But ultimately I concluded, “In sum, the real reason there’s no generic 3TC remains a mystery.”
Last week, however, I received a fascinating email from an industry representative, who has asked that I summarize the turn of events from their perspective:
- The Epivir patent in the US expired in May 2010.
- A generic company was granted exclusive rights to market a generic in the US for 6 months. (This is part of patent law.)
- The particular company that was granted exclusivity was not been able to manufacture a product that has met approvability standards by the FDA.
- During the period of exclusivity, furthermore, no other company can market a generic either — again, patent law in action.
Mystery solved — and thank you for the clarification.
But I hasten to add that this information was not widely known by HIV/ID specialists, and furthermore not easy to find. One of my colleagues has likened reading rulings on patent law for generics akin to learning English as a second language, a very apt analogy.
Categories: HIV, Infectious Diseases, Patient Care, Policy
Tags: 3tc, Combivir, Epivir, generic antiretrovirals, generics, HIV, lamivudine
You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.
One Response to “More on Generic Antiretrovirals …”

Paul E. Sax, MD
Associate Editor
NEJM Clinician
Biography | Disclosures & Summaries
Learn more about HIV and ID Observations.
Search this Blog
Follow HIV and ID Observations Posts via Email
Archives
Most Popular Posts
Sorry. No data so far.
-
From the Blog — Most Recent Articles
- Farewell to This Blog — and Hello to NEJM Voices March 2, 2026
- Some Ruminations on CROI — Still the Best HIV Meeting February 26, 2026
- Two Things Can Be True: The FDA Process Was Inconsistent, and the mRNA Vaccine Data Were Disappointing February 17, 2026
- Sometimes You Just Need to Get Input from a Real Human Being February 12, 2026
- Mystifying Abbreviations — Infectious Diseases Edition February 4, 2026
FROM NEJM — Recent Infectious Disease Articles- Honoring the Legacy of the HIV Epidemic September 12, 2026Progress against the U.S. HIV epidemic is stalling, owing in part to government attacks and fear. But clinicians, patients, and activists can learn from the epidemic’s early heroes and find ways to advance.
- Neuroinvasive Trichodysplasia Spinulosa–Associated Polyomavirus Infection September 10, 2026Trichodysplasia spinulosa–associated polyomavirus was identified as a likely cause of neuroinvasive infection in a 16-year-old patient who had undergone renal transplantation.
- Case 25-2026: A 65-Year-Old Man with Fever and Rash September 10, 2026A 65-year-old man was admitted to this hospital because of fever, intermittent abdominal pain, and rash. The fever began 5 weeks earlier, and palpable purpura developed 1 week before admission. A diagnosis was made.
- A Zoonotic Orthonairovirus from Febrile Patients in China September 3, 2026A new pathogenic orthonairovirus was identified in patients with a febrile illness in China. This virus was found in Haemaphysalis longicornis ticks in the same region.
- Fluid Resuscitation in Patients with Sepsis — For Whom the Balance Tolls September 3, 2026Improving the clinical treatment of patients with sepsis remains a major focus of critical care physicians worldwide.1,2 To date, few studies in either the pediatric or adult literature have established universal management principles that reliably improve outcomes, which attests to the heterogeneity of this syndrome. Fluid resuscitation is...
- Honoring the Legacy of the HIV Epidemic September 12, 2026
-
Tag Cloud
- Abacavir AIDS antibiotics antiretroviral therapy ART atazanavir baseball Brush with Greatness CDC C diff COVID-19 CROI darunavir dolutegravir elvitegravir etravirine FDA HCV hepatitis C HIV HIV cure HIV testing ID fellowship ID Learning Unit Infectious Diseases influenza Link-o-Rama lyme disease medical education MRSA PEP PrEP prevention primary care raltegravir Really Rapid Review resistance Retrovirus Conference rilpivirine sofosbuvir TDF/FTC tenofovir Thanksgiving vaccines zoster

A great way to be introduced to patent law for generics and the sordid strategies used by pharmaceutical industry is through the reading of “The Truth About the Drug Companies” by Marcia Angell.