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For more information about the Philadelphia Consensus Statement, please contact UAEM members:

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The Yale d4T Case
In 2001, Yale demonstrated the role universities can play to trigger dramatic price reductions in developing countries. Students, scientists, and the organization Doctors Without Borders asked Yale to help increase access to the AIDS drug stavudine or d4T in South Africa. Yale scientists discovered and patented d4T; the university subsequently licensed the drug to Bristol-Myers Squibb, which marketed it for $1,600 per patient per year. Under pressure from students, faculty, and the general public, Yale and Bristol-Myers Squibb agreed to allow generic manufacturers of d4T to compete in certain markets, thus lowering the price of the drug to $55 per patient per year—a 96 percent reduction.

The Emory - Gilead Deal
The Yale- d4T case was an isolated one. The more recent Emory – Gilead story underscores that missed opportunities have real human costs. Last year, Emory University, Gilead Sciences, and Royalty Pharma announced a deal in which Emory sold its 20% royalty rights in the ARVs Emtriva and Truvada for an up-front payment of $525 million (http://www.news.emory.edu/Releases/emtri/). Emory could have used this sale to negotiate conditions about Gilead’s licensing, registration, and patenting practices, but did not. Although Gilead’s Access Program promises to supply 97 developing countries, the drugs are only available in a fraction of them. After the transaction, Emory has significantly less leverage to ensure its drugs are available in impoverished countries. This example demonstrates the importance of universities requiring humanitarian licensing provisions for all their health-related innovations.

Yale and Ed4T
Ed4T is just one example of a promising university-developed AIDS treatments coming down the pipeline. Developed by Yale researcher Dr. Y.C. Cheng, Ed4T is based on d4T, but less toxic and more potent than its predecessor. On June 27 2006, Yale licensed Ed4T to Oncolys BioPharma of Japan. After pressure from students and the press, Yale committed not to patent the drug in low income countries or in most middle income countries. However, the licensing agreement for Ed4T has no provisions to deal with the numerous other potential legal barriers to access. Nor is the university currently pursuing any concrete strategy to make sure Ed4T is available in the developing world should it complete clinical trials.