Roche and Medicines Patent Pool expand baloxavir marboxil access across 129 low- and middle-income countries

Roche (SIX: ROG) and the Medicines Patent Pool (MPP) announced the signing of a voluntary licence agreement covering baloxavir marboxil (Xofluza), Roche’s single-dose oral influenza antiviral, enabling generic manufacturers to produce and supply the drug across 129 low- and middle-income countries and establishing a tiered royalty structure that waives payments entirely for the world’s poorest nations. The agreement, announced publicly on 18 May during the 79th World Health Assembly in Geneva, grants MPP a non-exclusive, non-transferable licence to sublicense Roche’s full intellectual property package — including patents, know-how, and manufacturing data — to qualified generic producers in the licensed territory.

Baloxavir marboxil is a cap-dependent endonuclease inhibitor that blocks influenza virus replication at an early stage of the viral lifecycle, differentiating it mechanistically from neuraminidase inhibitors such as oseltamivir. The drug is approved by the US FDA and the European Medicines Agency for treatment of uncomplicated influenza and for post-exposure prophylaxis across age groups starting from three weeks of age under some regulatory labels. The WHO has included baloxavir marboxil in its clinical practice guidelines for influenza, and the compound is active against strains that are resistant to neuraminidase inhibitors, a characteristic that the parties cited as relevant to pandemic preparedness planning.

The agreement follows MPP’s standard two-tier architecture. Roche grants MPP a head licence, and MPP in turn issues standardized sublicences to approved generic manufacturers identified through an Expression of Interest process that MPP launched concurrently with the public announcement. Sublicensees must demonstrate manufacturing capacity consistent with WHO prequalification standards or the requirements of a stringent regulatory authority, and must commit to filing for regulatory approval before at least one relevant authority within 36 months of the sublicence effective date.

To support generic development, Roche committed to provide each sublicensee with a foundational data package covering formula and composition, manufacturing process descriptions, specifications, stability data, analytical method validation, and impurity discussion. Roche also agreed to supply reference product tablets — up to 100 tablets of the 40mg oral formulation and up to 550 tablets of the 80mg formulation — free of charge per sublicensee for use in bioequivalence studies and in vitro research. Roche will additionally waive data exclusivity and market exclusivity in the licensed territory to the extent required by applicable regulatory authorities for generic approvals to proceed.

Royalty terms and territorial scope

The royalty structure is tiered by World Bank country income classification. Low-income economies, as defined by the World Bank, are excluded from royalty obligations entirely. Sublicensees supplying lower-middle income economies pay 5% of net sales value, while those supplying upper-middle income economies pay 10%. A 40% rate applies if high-income economies are ever added to the territory, a provision primarily relevant to pandemic emergency scenarios.

Royalties are invoiced quarterly in Swiss francs, with payment due within 30 days of invoice receipt. Late payments accrue interest at the Swiss National Bank base rate plus 2% per annum, compounded monthly. Royalty obligations run on a product-by-product, country-by-country basis until the last valid patent expires in each jurisdiction, at which point the sublicence converts to a perpetual, royalty-free licence under the licensed know-how.

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The licensed territory covers 129 countries listed in the agreement, including major emerging markets such as India, Brazil, Indonesia, Mexico, South Africa, Nigeria, Pakistan, Bangladesh, Egypt, Vietnam, the Philippines, Turkey, and Ukraine, alongside smaller economies across sub-Saharan Africa, the Pacific Islands, Central Asia, and the Caribbean. Countries that accede to the European common market are automatically removed from the territory under the agreement’s terms.

Baloxavir marboxil access in pandemic scenarios

The agreement contains explicit provisions for pandemic response. In the event that the WHO declares a Public Health Emergency of International Concern related to an influenza virus, or a regional intergovernmental body declares an equivalent emergency, MPP and Roche are obligated to meet promptly to assess demand and manufacturing capacity, and to negotiate in good faith to remove access barriers including supply constraints, territory restrictions, and royalties. The agreement also allows MPP to execute sublicences with additional manufacturers under modified criteria during a declared emergency, and permits the territory to be expanded to include high-income countries if pandemic conditions warrant.

Context: MPP’s expanding voluntary licensing portfolio

The Roche agreement is the first MPP voluntary licence covering an influenza antiviral and MPP’s 24th agreement overall with an innovator patent holder. MPP has previously applied the same sublicensing model to HIV antiretrovirals, hepatitis C direct-acting antivirals, tuberculosis treatments, COVID-19 antivirals, and, since 2022, oncology. In October 2022, MPP and Novartis signed a voluntary licence for nilotinib, a chronic myeloid leukaemia treatment, marking the organization’s first entry into non-communicable disease licensing. The structural template across all MPP agreements — non-exclusive sublicensing to generic manufacturers, tiered royalties calibrated by country income, and originator-provided technical support packages — is consistent with the terms disclosed in the Roche deal.

MPP is funded primarily by Unitaid, with additional support from the Swiss Agency for Development and Cooperation, the Government of Canada, and several European development agencies. Roche retains all patent management rights and the right to conduct infringement actions under the licensed patents; sublicensees have no standing to challenge or manage the underlying IP.


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