ANTI-EMETICS (A4A)
Granisetron - a pharmaceutical product manufactured by or for SmithKline Beecham for anti-emetic use in the Republic of South Africa under the
brand name Kytril.
TOPICAL ANTI-BIOTICS (D6A)
Polysporin - a pharmaceutical product manufactured by or for Glaxo Wellcome in topical ointment form and sold in the Republic of South Africa
for use in the treatment of superficial skin lesions and other infected wounds and burns.
Cicatrin - a pharmaceutical product manufactured by or for Glaxo Wellcome in powder and ointment form sold in the Republic of South Africa for
use in the prevention of superficial infections in minor abrasions, burns and cuts.
Neosporin - a pharmaceutical product manufactured by or for Glaxo Wellcome in topical ointment form and sold in the Republic of South Africa
for use in the treatment and prevention of infected wounds, burns or skin grafts.
ANTI-VIRALS (EXCLUDING ANTI-HIV) (J5B)
Famciclovir - a pharmaceutical product manufactured by or for SmithKline Beecham in oral form and sold in the Republic of South Africa for use
in treatment of genital herpes and herpes zoster infections under the brand name Famvir.
19.
Drafts of the terms of these license conditions which meet our approval are attached to this decision as Appendixes “A”,
“B” and “C”.
Public interest considerations
20.
On the day of the hearing we received a submission regarding the merger from the Aids Law Project which acts as the legal representatives
of the Treatment Action Campaign (TAC). The TAC is a voluntary organization that campaigns for affordable healthcare in the country,
particularly for people living with HIV/AIDS. They requested that we approve the merger on condition that the merging parties allow
generic competition for all medicines needed for the treatment of opportunistic infections in HIV/AIDS and anti-retrovirals for HIV.
The TAC claimed that the merging parties dominated the market in the above medicines and identified a number of products manufactured
or imported by the merging parties. The TAC complained about high prices of drugs used for the treatment of patients with HIV/AIDS.
They claimed that if the merger is allowed to go through without the proposed condition relating to generic products the merging
firms could charge excessive prices that would make it difficult for most HIV/AIDS patients to afford treatment.
21.
The TAC submitted to us that this merger will give the parties a monopoly in the market for the production of HIV anti-retrovirals
(J5C) and drugs used for the treatment of opportunistic infections associated with HIV/AIDS. Regarding the latter the TAC submitted
a list of drugs manufactured by Glaxo Wellcome and SmithKline Beecham. The TAC did not however classify the products into therapeutic
categories to determine overlaps resulting from the merger.
22.
We requested the Commission to investigate the concerns raised by the TAC.
23.
The Commission found that Glaxo Wellcome produces a number of HIV anti-retrovirals, but no evidence that SmithKline Beecham also produces
drugs falling under this therapeutic category. The Commission concluded therefore that there was no product overlap in this therapeutic
category and recommended that we not impose another condition on the merging parties relating to this therapeutic category.
24.
With regard to drugs used for the treatment of opportunistic infections associated with HIV/AIDS the Commission also recommended that
no further condition be imposed on the merging parties. Using the ATC3 classification the Commission found that the only overlap
in the drugs listed by the TAC was in relation to drugs falling under the therapeutic category A4A (anti-emetics). The drugs in this therapeutic category are used for the prevention and relief of nausea and vomiting by both patients with HIV/AIDS
and those who do not have the disease. Since the merging parties had already undertaken to out license Granisteron (“Kytril”)
the Commission found that the overlap in this therapeutic category raised no competition concerns.
25.
The Commission, however, noted the concerns of the TAC and undertook to liaise with them to consider whether to launch an investigation
pursuant to the TAC’s submission.
26.
We are sympathetic to the cause of the TAC. However, in the absence of proof of product overlaps in the HIV treatment category in
this merger we agree with the recommendations of the Commission. We find no basis to impose a further condition on the merging parties
pursuant to the submission by the TAC.
27.
With regard to the effect of the merger on employment, there is not enough information at this stage for us to make a finding. Decisions
relating to how the restructuring necessitated by the merger will be effected have not been finalised. The information given to us
by the parties suggests that the merger will result in some job losses as the two firms consolidate their operations. According to
the parties this will affect mostly white-collar workers who are highly skilled and experienced who can easily find alternative employment.
The parties also indicated that they would provide support to all affected employees to help them secure other employment. We note
that the South African Chemical Workers Union, which represents most of the merging parties’ employees was notified of the
merger and did not file any submissions with the Commission or with us.
_______________
28 July 2000
N.M. Manoim
Date
Concurring: D.H. Lewis; U. Bhoola
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