CLAT-2027 Blog

Cancer Cure Must Not Be Hostage to Big Pharma — Keytruda, Patents & Section 3(d) (CLAT 2027)

CURRENT AFFAIRS | 17 APRIL 2026

CLAT GK + CONSTITUTIONAL LAW & RELEVANT AREA

A joint investigation by the International Consortium of Investigative Journalists and the Indian Express has spotlighted the affordability crisis around Merck’s flagship immunotherapy drug Keytruda (pembrolizumab). In India, a single vial costs roughly Rs 1.5 lakh, with a full course running over six months. The underlying patent on pembrolizumab is valid until 2028, blocking cheaper biosimilar entry.

This is shaping up to be the next big India-IP story after Novartis AG v UoI (2013) and Bayer v Natco (2012). For CLAT 2027, expect a passage on Section 3(d) of the Patents Act 1970 (the anti-“evergreening” provision), TRIPS Article 31 on compulsory licensing, the Doha Declaration 2001 on public-health flexibilities, and the right-to-health jurisprudence under Article 21.

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Constitutional & Legal Framework

Patents Act 1970, Section 3(d) is India’s bulwark against “evergreening” — new forms of a known substance are not patentable unless they show “enhanced therapeutic efficacy”. Famously upheld in Novartis AG v UoI (2013), which denied a patent on Glivec (imatinib mesylate beta-crystalline form).

Section 84 allows any interested person, after three years from grant of a patent, to seek a compulsory licence if the patented invention is unworked, unaffordable or unavailable. India’s first compulsory licence was granted in Bayer v Natco (2012) for the cancer drug Nexavar (sorafenib), cutting price by over 97 per cent.

TRIPS Agreement Article 31 permits WTO members to grant compulsory licences subject to procedural safeguards (adequate remuneration, non-exclusive, predominantly for domestic market). Article 33 requires minimum 20-year patent term.

Doha Declaration 2001 affirmed that TRIPS “can and should be interpreted and implemented in a manner supportive of WTO Members’ right to protect public health”, expressly endorsing compulsory licensing and parallel imports.

Right to health under Article 21: Paschim Banga Khet Mazdoor Samity v State of West Bengal (1996) held denial of emergency medical aid violates the right to life. Bandhua Mukti Morcha (1984) laid the earlier foundation.

Why This Matters for CLAT 2027

The Keytruda story converges constitutional law, IP law and international trade law in one CLAT-ready package. Candidates should keep three distinctions sharp:

  • Section 3(d) is NOT anti-innovation — it only bars patents on minor tweaks of known molecules designed to extend monopoly. This is the “evergreening” frame CLAT passages love.
  • Biosimilars are not generics. Generics are exact chemical copies of small-molecule drugs; biosimilars are “highly similar” versions of biological drugs produced in living cells, requiring 4-8x longer to develop.
  • Compulsory licence ≠ patent revocation. The patent remains; a third party gets a non-exclusive licence on royalty.
  • Doha Declaration 2001 is persuasive but not binding in itself — its weight flows from WTO member consensus.

Key Facts at a Glance

Provision / Case Import
Patents Act Sec 3(d) Bars evergreening; requires enhanced efficacy
Patents Act Sec 84 Compulsory licence after 3 years
Novartis AG v UoI (2013) Glivec patent denied; Sec 3(d) constitutional
Bayer v Natco (2012) India’s first compulsory licence (Nexavar)
TRIPS Art 31 / 33 Compulsory licensing / 20-year term
Doha Declaration 2001 Public-health flexibilities endorsed
Paschim Banga Khet Mazdoor (1996) Right to emergency medical aid under Art 21

Mnemonic: PATENT

Pembrolizumab · Affordability crisis · TRIPS Art 31 · Evergreening blocked by Sec 3(d) · Novartis 2013 · Treatment access

Practice Quiz — 10 CLAT-Style Questions

Click an option to reveal the answer and explanation.

With Keytruda’s patent cliff due in 2028, expect a new wave of compulsory-licence applications under Section 84. Attempt the quiz above to lock in the doctrine before the next CLAT sectional.

Quick answers

Which provision of the Indian Patents Act 1970 bars 'evergreening' by disallowing patents on new forms of known substances lacking enhanced efficacy?
Section 3(d). Section 3(d) disallows patenting of new forms of known substances unless they show 'enhanced therapeutic efficacy', famously upheld in Novartis (2013).
In Novartis AG v Union of India (2013), the Supreme Court denied patent protection for which cancer drug?
Glivec (imatinib mesylate). Novartis (2013) upheld Section 3(d) and denied a patent on Glivec (imatinib mesylate beta-crystalline form), calling it evergreening.
India's first compulsory licence was granted in 2012 by the Controller of Patents in the case of:
Bayer Corp v Natco Pharma. Bayer Corp v Natco Pharma (2012) was India's first compulsory licence under Section 84 of the Patents Act, for the cancer drug Nexavar (sorafenib).
Which Article of the TRIPS Agreement permits compulsory licensing of patented inventions?
Article 31. TRIPS Article 31 permits compulsory licensing subject to procedural safeguards. Article 27 deals with patentable subject matter.
The Doha Declaration on TRIPS and Public Health (2001) affirmed member states' right to:
Grant compulsory licences to protect public health. The Doha Declaration 2001 clarified that TRIPS flexibilities, including compulsory licensing, could be used to protect public health.
Under Section 84 of the Patents Act 1970, a compulsory licence may be sought after how many years from grant of patent?
Three years. Section 84 permits any interested person to apply for a compulsory licence after three years from grant, on specified grounds.
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