Roundtable on Clinical Trials and Access to Essential Medicines in African Countries. University of Maryland Carey School of Law October 29 30, 2015

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Roundtable on Clinical Trials and Access to Essential s in African Countries October 29 30, 2015 Jointly sponsored by UM Carey Law s Law & Health Care and International and Comparative Law Programs and the University of Maryland Baltimore Center for Global Education Initiatives Thursday, October 29, 2015 3:15 3:30 Registration 3:30 3:45 Welcome and Introductions 3:45 4:30 Access to Essential s as a Human Right Opening Remarks and facilitator: Peter Danchin, Professor of Law and Director, International and Comparative Law Program, What are the barriers (historical/political/legal/socioeconomic) to access to medicines in the African context? What can a human rights framework offer to this conversation as a matter of both national and international law and policy? 4:30 4:45 Break 1) Danwood Chirwa, LLB, LLM, PhD, Professor, University of Cape Town Law Faculty 2) Hilda Kaluwa Soko, Law Lecturer, University of Malawi Chancellor College of Law 3) Lucie E. White, Louis A. Horvitz Professor of Law, Harvard Law School 4:45 6:00 Discussion: Access to Essential s as a Human Right 6:00 Dinner for invited guests Friday, October 30, 2015 9:00 9:45 Continental Breakfast

9:45 11:15 The Law and Ethics of Clinical Trials: What Rules Should Govern Clinical Research in Africa? 11:15 11:30 Coffee Break Opening Remarks and Facilitator: Diane Hoffmann, Professor of Law and Director, Law & Health Care Program, Consent (ethical standards v. procedures; universal v. culturally relativism; individual v. community based; issues of domination and subordination) Privacy and Stigmatization Host country laws that make certain identities/conduct illegal and may jeopardize clinical trial and/or participants safety (e.g., laws against homosexuality or sex work may threaten HIV research) Standard of care in multinational research 1) Victor Mwapasa, MBBS MPH PhD, Associate Professor, University of Malawi College of 2) Miriam Laufer, MD, MPH, Associate Professor, University of Maryland School of 3) Mark Barnes, JD, LLM, Partner, Ropes & Gray, LLP 11:30 1:00 What do Clinical Researchers and Sponsors Owe to Host Communities? 1:00 2:00 Lunch Opening Remarks and Facilitator: Leslie Meltzer Henry, Professor of Law, University of Maryland Carey School of Law Interpretations of the requirement to provide reasonable availability of any product developed during the trial to the host country/research population (e.g., CIOMS/Declaration of Helsinki/NBAC) Ancillary care obligations Provision of fair benefits 1) Joseph Mfutso Bengo, PhD, Professor of Bioethics and Director of Centre for Bioethics, University of Malawi College of 2) David S. Wendler, MA, PhD, Head, Section on Research Ethics, Department of Bioethics, National Institutes of Health 3) Seema Shah, JD, Faculty Member, Clinical Center Department of Bioethics, National Institutes of Health 2:00 3:30 Legal Regimes and Obstacles: Free Trade, Intellectual Property, and Access to

Opening Remarks and Facilitator: Robert Suggs, JD, Professor of Law, University of Maryland Carey School of Law (moderator) Effects of TRIPS and GATT on access to essential medicines Impact of patents and other IP rules on drug development and access to medicine in Africa Role of human rights arguments in IP related cases to increase access to medicines Legal and policy developments in the SADC and COMESA regions 1) Chikosa Banda, LLM, LLB Faculty of Law, University of Malawi Chancellor College of Law (and co organizer) 2) Lisa Forman, LLB, MA, SJD, Assistant Professor, Dalla Lana School of Public Health, University of Toronto 3) Heinz Klug, JD, SJD, Professor and Director, Global Legal Studies Center, University of Wisconsin 4) Sean Flynn, JD, Associate Director, Program on Information Justice and Intellectual Property, American University Washington College of Law 3:30 4:00 Conclusion, Final Remarks

Roundtable on Clinical Trials and Access to Essential s in African Countries October 29 30, 2015 Organizers 1. Diane Hoffmann, Professor and Director, Law & Health Care Program, University of Maryland Carey School of Law 2. Leslie Meltzer Henry, Professor, 3. Peter Danchin, Professor and Director, International and Comparative Law Program, Speakers 1. Chikosa Banda, LLM, LLB Faculty of Law, University of Malawi Chancellor College of Law (and co organizer) 2. Mark Barnes, JD, LLM, Partner, Ropes & Gray, LLP 3. Danwood Chirwa, LLB, LLM, PhD, Professor, University of Cape Town Law Faculty 4. Lisa Forman, LLB, MA, SJD, Assistant Professor, Dalla Lana School of Public Health, University of Toronto 5. Burcu Kilic, Legal Counsel, Public Citizen Global Access to Program 6. Heinz Klug, JD, SJD, Professor and Director, Global Legal Studies Center, University of Wisconsin 7. Miriam Laufer, MD, MPH, Associate Professor, University of Maryland School of 8. Joseph Mfutso Bengo, PhD, Professor of Bioethics and Director of Centre for Bioethics, University of Malawi College of 9. Victor Mwapasa, MBBS MPH PhD, Associate Professor, University of Malawi College of 10. Osward Nyirenda, Clinical Coordinator, Blantyre Malaria Project, Malawi 11. Seema Shah, JD, Faculty Member, Clinical Center Department of Bioethics, National Institutes of Health 12. Hilda Kaluwa Soko, Law Lecturer, University of Malawi Chancellor College of Law 13. Robert Suggs, JD, Professor of Law, (moderator) 14. David S. Wendler, MA, PhD, Head, Section on Research Ethics, Department of Bioethics, National Institutes of Health 10/27/15

15. Lucie E. White, JD, Louis A. Horvitz Professor of Law, Harvard Law School Invited Guests 1. William A. Blattner, MD, Professor and Associate Director, Institute of Human Virology, University of Maryland School of 2. Doug Colbert, JD, Professor, 3. The Honorable Necton D. Mhura, Malawian Ambassador to the United States 4. Myaing M. Nyunt, MD, MPH, PhD, Assistant Professor, University of Maryland School of 5. Karen Rothenberg, MPA, JD, Marjorie Cook Professor of Law University of Maryland Carey School of Law 6. Henry J. Silverman, MD, MA, Professor of, University of Maryland School of 7. Michael R. Ulrich, JD, MPH, Research Scholar, Senior Fellow in Health Law, and Lecturer in Law, Yale School of Law 10/27/15