It is time for our government to put science and public health ahead of private profit.
All of us desperately await the day when we can send our children to school, spend time with our grandparents and grandkids, and live without fear of COVID-19.
An ad campaign from the pharmaceutical industry’s largest lobbying group promises us that “science is how we get back to normal.” They’re right that science can defeat COVID-19, but they’re wrong about the kind of science we need most.
Big pharma’s secretive, profit-driven model of science is making the invention and dissemination of COVID treatments and vaccines more difficult than it needs to be. Big pharma generally prefers to keep its scientific advances on COVID-19 as secret as possible, even though this secrecy needlessly slows down the process of developing effective treatments and vaccines. And our law currently lets them.
For example, in the spring, Gilead announced that the drug remdesivir is the first antiviral proven effective against COVID-19 but declined, at first, to share its clinical trial results, leaving doctors and researchers in the dark. AstraZeneca recently halted a major trial of its COVID-19 vaccine candidate because of safety concerns—which might conceivably affect other vaccines, too—but has so far refused to disclose any details. If and when we do have a working vaccine, knowledge vital to scale up manufacturing and distribution around the entire world is likely to be held as trade secrets, slowing the global public health response and perpetuating the pandemic.
(As I’ve co-written elsewhere, big pharma’s efforts through the COVID-19 pandemic to keep scientific knowledge proprietary are particularly galling given that the U.S. and other governments have invested billions of dollars of public money to create that knowledge.)
There is a better way: open science. Open science means broad, ready, equitable access to scientific knowledge, and to the data that generates that knowledge, across drugs’ and vaccines’ entire lifecycles, through the pandemic and beyond.
Open science is essential to focus research and development activity on the most crucial health needs, accelerate R&D, expand competition and prevent monopolization, reduce costs, and ensure affordable, equitable access. We must provide access to the “means, methods, and materials” of biomedical innovation, including various preclinical, clinical, and financial data that is currently kept mostly hidden by industry—and too often by government and academia, too.
This could be done in two phases. In phase one, the National
Institutes of Health (NIH), the Food and Drug Administration (FDA), and
other public agencies should begin discretionary sharing of preclinical and clinical data they hold.
Government-held results of experiments and clinical trials, and
information on the costs of this research, can and should be shared
regardless of whether the results are generated by government, industry,
or academia. Such data sharing would make it easier for researchers to
replicate research findings, reduce redundancy and other inefficiency,
and speed the development of new therapies.
Phase one could be achieved immediately, through agency discretion, without changes to existing law. However, Congress could maximize public benefit by making this data sharing mandatory.
Phase two would extend open science to manufacturing. Sharing data and know-how on manufacturing processes would accelerate development of new drugs, especially biologics and biosimilars. This would break anti-competitive monopolies and lower sky-high prices.
To achieve this, Congress should amend federal statute (such as the Food, Drug, and Cosmetic Act or the Biologics Price Competition and Innovation Act) to require manufacturers and the FDA to share information that is currently protected as trade secrets once the appropriate exclusivity period has passed. Congress should also provide the FDA and Department of Health and Human Services (HHS) discretion to share manufacturing information—and clinical data, too—sooner, before the exclusivity period expires, to accelerate competition in the event of anticompetitive conduct or pressing public health needs.
The COVID-19 pandemic has confirmed that we must change our laws to
prevent drug companies from keeping valuable medical knowledge secret
for years, even decades. It is time for our government to put science
and public health ahead of private profit, by passing new laws to ensure
broad, ready, equitable access to scientific and medical knowledge,
from test tube to pharmacy.
This op-ed is part of an ongoing series on public medicines. View the first in the series here, the second here, the third here, and the fourth here.