Edited by Chantal Saunders and Beverley Moore

Listing of Drug on Register of Innovative Drugs Maintained

Teva Canada Limited v. Canada (Health)
Drug: Eloxatin®

The Federal Court of Appeal (FCA) dismissed Teva's appeal of a decision dismissing Teva's judicial review of a decision of the Minister of Health refusing to remove the drug Eloxatin® from the Register of Innovative Drugs. The full text of the Application Judge's decision can be found here and our summary of the decision can be found here. The FCA did not determine which standard should be used to review the Minister's decision.

Teva requested that the drug be removed from the Register of Innovative Drugs alleging it not to fit the definition of an "innovative drug". An "innovative drug" is defined in the Food and Drug Regulations to mean "a drug that contains a medicinal ingredient not previously approved..." by the Minister. There is no definition of "previously approved". Teva argued that it must be held to include mass authorizations under the Special Access Program (SAP), as in this case, Eloxatin® had been widely available abroad for many years and had been available in Canada for more than eight years under the SAP.

The FCA discussed the approval process for drugs and held that authorizations under the SAP are not an approval for the drug, as drugs available under the SAP are not founded upon data and studies that have established safety and effectiveness. Furthermore, the current Regulations have a clarity and certainty as to when a drug is approved: the issuance of a Notice of Compliance (NOC) and Drug Identification Number (DIN). If the Court were to adopt Teva's interpretation of drug approval, this clarity and certainty would disappear as complicated factual inquiries would have to be undertaken in order to determine whether a drug had actually been approved. This is contrary to the scheme of the Regulations. Finally, the subsection of the Regulations relating to data protection was held to be a limited special purpose section designed to implement certain specific treaty obligations. Teva's interpretation of "previously approved" would undercut those treaty provisions.

The Court also dismissed Sanofi's cross-appeal holding that it was directed against the Federal Court reasons and as such was improper. However, the Court did consider each of the preliminary objections on the merits. The Court found that Teva did have standing to bring the application for judicial review. Furthermore, the FCA held that as the Minister is obligated to "maintain" the Register of Innovative Drugs, the decision refusing Teva's request to remove the drug was a fresh exercise of discretion and susceptible to a judicial review; it was not merely the same decision it had previously made in adding Eloxatin® to the Register of Innovative Drugs.

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