AstraZeneca Antibody - Product Scorecard

Company: AstraZeneca

Type: Covid-19 Therapeutic
Product (brand name): Tixagevimab/cilgavimab (Evusheld)
0%
compliance
with criteria
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Explore the results of PAF’s research into the behaviour of AstraZeneca. Each section is given an overall score; individual criteria are also scored (see icon following the criteria heading).

Click on ‘Explanation about the score’ sign next to each entry to expand and learn more.

Category A: Commitments and Accountability

The company should publicly commit to human rights in relation to product development and marketing, by adopting an official human rights policy statement recognising the right to the highest attainable standard of health. The company should endeavour to integrate human rights into its strategies, policies, programmes, projects, and activities.

The company should also have a publicly available global access plan for their Covid-19 product, based on human rights standards, with measurable targets and lines of accountability.

A1: Does AstraZeneca publish a global access plan for its product?

AstraZeneca’s website states: “Our response to the COVID-19 pandemic, with a focus on low and middle-income countries, is one example of our equitable access strategy in action.” In its response to our questionnaire, the company mentions its collaboration with the Bill and Melinda Gates Foundation to enhance equitable access to Covid-19 medical products, and the fact that two thirds of its vaccines have gone to LMICs, as well as 250 million doses delivered through COVAX. This is not published in a specific global access plan on their website.

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A2: Does AstraZeneca commit to comply with human rights standards in relation to product development and marketing?

AstraZeneca states that it is guided by the United Nations Guiding Principles on Business and Human Rights, the Universal Declaration on Human Rights, and the UN Global Compact. 

“We commit to the Guiding Principles to respect human rights by acting with due diligence to avoid infringing on human rights and to address negative impacts. “We have ensured that the UNGC and its ten Principles have become part of our strategy, culture and day-to-day operations, and they will remain vitally important in the years ahead” —  Pascal Soriot, AstraZeneca CEO in a recommitment letter to the UNGC.

In its response to our questionnaire, AstraZeneca mentions that it is a member of Pharmaceutical Supply Chain Initiative (PSCI), and supports its principles for Responsible Supply Chain Management for ethics, labour, health and safety, environment, and related management systems. Finally, AstraZeneca also conducts Human rights due diligence to assess the human rights risks of its activities.

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Category C: International cooperation

The company should constructively engage with international initiatives for the equitable distribution of vaccines and therapeutics, such as the Covid-19 Technology Access Pool (C-TAP) or the Medicines Patent Pool (MPP), and the ACT Accelerator (COVAX). The company should also publicly commit to not enforcing the exclusive rights of Covid-19 related patents, and enter into non-exclusive, transparent licensing agreements for its Covid-19 products with other companies.

C1: Does AstraZeneca commit to C-TAP or MPP?

When asked about AZ’s support of MPP or C-TAP at an IFPMA forum in May, CEO Pascal Soirot stated that ‘’intellectual property is a fundamental part of our industry and if you don’t protect IP, then essentially, there is no incentive for anybody to innovate.’’ AZ has not demonstrated any factual support to a responsible licensing mechanism.

Their response to our questionnaire had a similar message: Vaccines are highly specialized, complex biological products which are subject to rigorous testing and quality standards and processes during their development. Our approach has been to share our technology and know-how with experienced vaccine manufacturing organizations in countries where production can be set up or ramped up at scale. We believe this offers a more effective way of scaling up production and supporting innovation, and our model has enabled us to supply more than 2.5 billion doses to 170 countries around the world in just over a year since the first international approvals. To do this we enabled technology transfer to more than 20 different supply partners, including four sublicense agreements. Our sub-licensing agreement with Serum Institute of India (SII) supports the supply to India and to low and lower-middle income countries. Each of our sub-licensing agreements is thought out in detail to ensure it supports the best strategy for broad and equitable access.  Waiving IP rights completely would not solve the challenge of rapidly scaling up manufacturing to meet global demand. Rate-limiting factors include the time it takes to transfer the technical knowledge, skills and expertise  to produce the vaccine, as well as the lack of specialized producers that can quickly set up the industrial capacity to make a safe and effective vaccine at scale.

See also Statnews article on this.

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C2: Does AstraZeneca commit to not enforcing the exclusive rights of Covid-19 related patents?

AstraZeneca has not made a statement to not enforce patents.

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C3: Does AstraZeneca supply to, or signs agreements with, the vaccines or therapeutics pillar of the ACT Accelerator?

AstraZeneca has not made an agreement to supply COVAX with Evusheld yet.

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C4: Does AstraZeneca agree to license its Covid-19 medical products to other companies?

Evusheld was licensed to AstraZeneca by Vanderbilt, an agreement under which AZ pays royalties on any future sales.

AstraZeneca signed a manufacturing agreement with Samsung Biologics in Korea. It is unclear whether this deal goes beyond fill-and-finish.

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Category E: Equality, non-discrimination & equity

The company should engage in efforts to further equitable distribution of Covid-19 vaccines/therapeutics, by equitably distributing its supplies globally, devising fair pricing strategies, and making the active ingredient for its product available to other manufacturers. The company should also engage in full technology transfer to other manufacturers, including the necessary transfer of skills, legal components, knowledge and intellectual property. Where applicable, the company should agree to waive rights in regulatory test data, and refrain from enforcing TRIPS+ measures.

E1: Does AstraZeneca make the active ingredient available on reasonable grounds? [Only for therapeutics]

AstraZeneca does not make the active ingredient for Evusheld available to other manufacturers.

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E2: Does AstraZeneca commit to full technology transfer to other manufacturers?

The manufacturing deal with Samsung Biologics is described as ‘large-scale commercial manufacturing for drug substance’. It is unclear whether this includes transfer of technology.

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E3: Does AstraZeneca commit to non-profit, ‘fair’, or differential pricing?

Evusheld will be priced commercially, unlike AstraZeneca’s vaccine. To date, it has supplied 1.7 million doses to the US for 855 million US dollars. There is no evidence of non-profit or differential pricing

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E4: Does AstraZeneca equitably distribute supplies globally? [Only applies to vaccines]

[Only applies to vaccines]

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