Evidence map›Paper›PMID 38867208›Full record

ArticleGlobalization and health2024

The potential impact of the Comprehensive and Progressive Agreement for Prans-Pacific Partnership on Thailand's hepatitis C treatment program.

Brigitte Tenni, Joel Lexchin, Chutima Akaleephan, Chalermsak Kittitrakul, Deborah Gleeson

Abstract read
In one paragraph

Article in Globalization and health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Brigitte TenniSchool of Psychology and Public Health, La Trobe University, Melbourne, Australia. btenni@unimelb.edu.au.ORCID 0000-0002-3356-4967
Joel LexchinSchool of Health Policy and Management, York University, Toronto, Canada.ORCID 0000-0001-5120-8029
Chutima AkaleephanInternational Health Policy Programme, Ministry of Public Health, Bangkok, Thailand.
Chalermsak KittitrakulAIDS Access Foundation Bangkok, Bangkok, Thailand.
Deborah GleesonSchool of Psychology and Public Health, La Trobe University, Melbourne, Australia.ORCID 0000-0001-8021-9130

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThailand has expressed interest in joining the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP), a twelve-country plurilateral trade agreement whose original incarnation included the United States of America (USA). When the USA withdrew from this agreement, key intellectual property clauses relevant to pharmaceuticals were suspended. These could be reinstated should the CPTPP Parties decide to do so.

methodsThis study uses two scenarios to cost the impact the CPTPP would have had on Thailand's 2020 hepatitis C treatment regime if Thailand joined the CPTPP and suspended clauses were reinstated.

resultsJoining the CPTPP could have increased the cost more than tenfold if suspended CPTPP clauses were reinstated and Thailand was not willing or able to issue compulsory licenses. Based on the 2020 budget, the price for this possible scenario could have reduced hepatitis C treatment coverage by 90%.

conclusionsAcceding to trade agreements such as the CPTPP that require increasing intellectual property protection, could compromise Thailand's hepatitis C program and other national treatment programs reliant on affordable generic medicines. The CPTPP could also prevent Thailand from relying on its own pharmaceutical capabilities to manufacture medicines needed to sustain its treatment programs.

Indexed as

Hepatitis CInternational CooperationAntiviral AgentsDrugs, GenericHumansIntellectual PropertyThailandUnited StatesAntiviral AgentsDrugs, GenericCompulsory licencingDirect-acting antiviralsGeneric medicinesHepatitis CIntellectual propertyPatentsTrade agreementsTRIPS flexibilitiesTRIPS-plus

Identifiers

PMID38867208
PMCPMC11170909

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.