Dear Mr O’Day, 

We write to request that Gilead take immediate actions to ensure rapid availability, affordability, and accessibility of its experimental therapy remdesivir for the treatment of COVID-19, pending the results of the clinical trials demonstrating its efficacy. 

The COVID-19 pandemic has spread across all continents and, to date, over 720,000 people have been infected, causing more than 30,000 deaths. Making effective therapeutics available and accessible rapidly for all people based on their medical needs is essential for all countries to combat the pandemic and may save many thousands of lives. 

We are seriously concerned with Gilead’s current approach to remdesivir, which may obscure access to this potentially critical treatment for COVID-19. Gilead holds primary patents of remdesivir in more than 70 countries that may block generic entry until 2031. Despite public health emergency declarations in multiple states and cities in the United States (US) since the end of February, Gilead still sought an orphan drug designation from the US Food and Drug Administration on remdesivir with the aim to obtain further exclusive rights in the US, and only applied to rescind this exclusivity after public criticism in late March. Recently, faced with an overwhelming demand for individual compassionate use of remdesivir, Gilead announced its inability to ensure timely supply and reduced the scale of the programme. 

The COVID-19 pandemic affects every person. It is unacceptable for Gilead’s remdesivir to be put under the company’s exclusive control taking into account that the drug was developed with considerable public funding for both early-stage research and clinical trials, the extraordinary efforts and personal risks that both healthcare workers and patients have faced in using the medicine in clinical trial settings, and the unprecedented disaster all countries are facing for their people, their healthcare systems, and their economies. Gilead has a poor track record for ensuring universal access to lifesaving treatments and the company’s recent actions with remdesivir provide scant assurance that the company can be trusted to act in the public interest. 

We request Gilead to fully recognise the scale and potential consequences of pursuing exclusive rights as opposed to enabling the scale-up of production and affordable supply of remdesivir during this pandemic. We therefore urge Gilead to take immediate actions to: 

Declare that Gilead will not enforce and claim exclusive rights on patents and regulatory and trial data, or any other types of exclusivity anywhere in the world; 

make publicly available all data, sample products, and know-how that are needed for generic development and for regulatory processes, to facilitate the production and supply by generic manufacturers worldwide;

and improve transparency by disclosing its manufacturing capacity and existing supply and allow independent and proper governance over the allocation of the treatment according to medical

 An exclusivity and monopoly-based approach will fail the world in combating the COVID-19 pandemic. Gilead must act in the public interest now.

SIGNATORIES: 

Organisations:

1. Access to Medicines Ireland
2. Access to Medicines Research Group (China)
3. Action against AIDS Germany
4. ADIN (Africa Development Interchange Network)
5. AFT (American Federation of Teachers)
6. AHF India
7. AIDES France
8. AIDS Access Foundation (Thailand)
9. AIDS Action Europe
10. AIDS and Rights Alliance for Southern Africa (ARASA)
11. AIDS Healthcare Foundation
12. All India Agricultural Workers Union
13. All India Drug Action Network (AIDAN)
14. Alliance of Filipino Workers (AFW)
15. Alliance of Women Human Right Defenders ( NAWHRD), Nepal
16. American Medical Student Association
17. ARAS - Romanian Association against AIDS
18. ARK Foundation , Nagaland, India
19. Asia Pacific Forum on Women, Law & Development (APWLD)
20. Asian Peoples Movement on Debt and Development (APMDD)
21. Associação Brasileira Interdisciplinar de AIDS (ABIA)
22. Bangladesh Krishok Federation
23. Centre for Health Policy and Law, Northeastern University, School of Law, US
24. Centre for Peace Education and Community Development, Taraba State, Nigeria
25. Colombian Oversight and Cooperation Committee (Comité de Veeduría y Cooperación en Salud - Colombia)
26. Comité des Volontaires Contre le Coronavirus Burkina Faso
27. Consumer Association of Penang
28. CurbingCorruption
29. DAWN (Development Alternatives with Women for a New Era)
30. Deutsche Aidshilfe
31. Digo Bikas Institute, Nepal
32. DNDi (Drugs for Neglected Diseases Initiative)
33. Doctors for America
34. Drug Study Group (Thailand)
35. Drug System Monitoring and Development Centre (Thailand)
36. Ecologistas en Acción (Spain)
37. Ecumenical Academy (Czech Republic)
38. Educating Girls and Young Women for Development-EGYD
39. Faith in Healthcare
40. Families USA
41. Focus on the Global South
42. Food Sovereignty Alliance, India
43. Fórum de ONGs AIDS do Estado de São Paulo (FOAESP)
44. Forum for Trade Justice, India
45. Foundations for Consumers (Thailand)
46. FTA Watch (Thailand)
47. Fundación Grupo Efecto Positivo, Argentina
48. FUNDACION IFARMA, Colombia
49. Global Coalition of TB Activists, New Delhi, India
50. Global Health Advocates France
51. Global Humanitarian Progress Corporation GHP Corp. Colombia
52. Global Justice Now
53. Global South
54. GNP+, Global Network of People living with HIV
55. Groupe sida Genève
56. Grupo de Apoio à Prevenção da AIDS - Rio Grande do Sul (GAPA - RS)
57. Grupo de Resistência Asa Branca (GRAB)
58. Grupo de Trabalho sobre Propriedade Intelectual (GTPI)
59. Grupo Incentivo à Vida (GIV)
60. Health Action International (HAI)
61. Health and Development Foundation (Thailand)
62. Health Equity Initiatives
63. Health GAP (Global Access Project)Housing Works, USA
64. Human Rights Research Documentation Centre, Uganda
65. Human Touch Foundation Goa, India
66. IDRIS Association, Kuala Lumpur
67. I-MAK
68. Indonesia AIDS Coalition
69. International Women's Rights Action Watch Asia Pacific (IWRAW Asia Pacific)
70. IT for Change
71. ITPC (International Treatment Preparedness Coalition)
72. ITPC-LATCA (International Treatment Preparedness Coalition Latin American and Caribbean)
73. Kamayani Bali Mahabal , Convenor Jan Swasthya Abhitan Mumbai, India
74. KEI (Knowledge Ecology International)
75. Kolkata Rishta, India
76. Korean Federation Medical Activist Groups for Health Rights (Association of Korea Doctors for health rights, Association of Physicians for Humanism, Korean Dentist's Association for Healthy Society, Korean Pharmacists for Democratic Society, Solidarity for worker's health)
77. Kripa Foundation Nagaland, India
78. Labor Education and Research Network, Inc (LEARN), Philippines
79. Lawyers Collective, India
80. Lower Drug Prices Now, USA
81. Madhyam (India)
82. Malawi Health Equity Network
83. Malaysian AIDS Council
84. Médecins Sans Frontières Access Campaign
85. Medical Mission Sisters
86. Medical Mission Institute Würzburg
87. Medico International, Germany
88. MyWATCH (Malaysian Women's Action on Tobacco Control and Health)
89. Nelson Mandela TB HIV Community Information and Resource Centre CBO, Kisumu Kenya
90. Nepal Development Initiative
91. NETWORK Lobby for Catholic Social Justice,
92. USANGO Forum on Asian Development Bank
93. NTFP EP Philippines (Non-Timber Forest Products Philippines)
94. Oxfam
95. Pacific Network on Globalisation (PANG)
96. Pan African Positive Women's Coalition-Zimbabwe
97. Pan-African Treatment Access Movement (PATAM)
98. People PLUS. Belarus
99. People’s Health Institute (South Korea)
100. People's Action, USA
101. People's Health Movement, Uganda
102. Pharmaceutical Accountability Foundation
103. Pharmacists without Borders Germany
104. PHM Germany (People’s Health Movement, Germany)
105. Pink Triangle Foundation
106. Project on Organising Development Education and Research- PODER
107. Positive Malaysian Treatment Access & Advocacy Group (MTAAG+).
108. Prescrire
109. Public Citizen
110. Public Eye, Switzerland
111. Public Services International
112. Red Latinoamericana por el Acceso a Medicamentos, Argentina
113. Rede Nacional de Pessoas Vivendo com HIV - São Paulo (RNP + SP)
114. Religious of the Sacred Heart of Mary NGO, USA
115. Rural Area Development Programme (RADP), Nepal
116. Sahayog Odisha, India
117. Salud por Derecho
118. Sankalp Rehabilitation Trust, India
119. Sentro Ng Mag Nagkakaisa, Progresibong Manggagawa (SENTRO)
120. Sisters of Charity Federation
121. Social Security Works
122. Society for International Development (SID)
123. Solidaritas Perempuan (Women’s Solidarity for Human Rights), Indonesia
124. STOPAIDS
125. Swasthya Adhikar Manch, India
126. T1InternationalTest Aankoop/Test Achats (Belgian consumer organisation)
127. Thai Network of People Living with HIV/AIDS (Thailand)
128. Third World Network (TWN), Malaysia
129. Transnational Institute (TNI), The Netherlands
130. Transparency International Health Initiative
131. TranspariMED
132. Treatment Action Group (TAG)
133. Treatment Preparedness Coalition in Eastern Europe and Central Asia (ITPCru)
134. Trisuli Plus Communtiy action Group, Nepal
135. Universities Allied for Essential Medicines (UAEM)
136. Universities Allied for Essential Medicines Europe
137. Viet Labor Movement, Vietnam
138. Voice of Patient, India
139. War on Want (UK)
140. Woman Health Philippines
141. Women, Law and Development, (MULEIDE), Mozambique
142. World Vision Deutschland V.Yale
143. Global Health Justice Partnership
144. Yolse Switzerland
145. Youth Engage, Zimbabwe 

Individuals:

1. Achal Prabhala, Shuttleworth Fellow and coordinator of the AccessIBSA project
2. Arjun Kumar Bhattarai, Nepal Development Initiative
3. Dr med. Christiane Fischer
4. Dr Hafiz Aziz ur Rehman, International Islamic University, Islamabad Pakistan
5. Dr Mohga Kamal-Yanni MPhil. MBE. Global Health and Access to Medicines Consultant
6. Dr Prabir Chatterjee MD, State Health Resource Centre, Chhattisgarh (India)
7. Jordan Jarvis, London School of Hygiene & Tropical Medicine, UK
8. Kamayani Bali Mahabal , Convenor Jan Swasthya Abhitan Mumbai, India
9. Katrina Perehudoff PhD, Dalla Lana School of Public Health, University of Toronto, Canada
10. Marcela Vieira, Researcher, Global Health Centre, Graduate Institute of Geneva
11. Professor Brook K. Baker, Northeastern University, School of Law, US
12. Tracy Swan, ITPC Global