Category Archives: Uncategorized

Much HEALTH and happy holidays to you all!

As the second year of the pandemic draws to a close, it is easy to find reasons to complain: they sometimes come conveniently arranged in alphabetical order (Delta, Omicron…)!

But we also want to remember the many things we are grateful for: vaccines, for example, but especially your friendship and support in 2021.

May 2022 be a good year to you and your loved ones. May you face 2022 armed with hope, courage, empathy, resilience and joy.

The Gitti and Partners life sciences team.

Italy Recognizes Legal Effects to Documents Based on Blockchain Technologies.

Under Italian law a document saved through blockchain technologies can have legal effects.

According to Law Decree 135/2018 (“Decreto Semplificazioni”), which was recently confirmed into law by Law 12/2019, technologies based on distribuited records can have the same legal effects as electronic time stamps under section 41 of EU Regulation 910/2014. Such effects will be obtained if certain technical standards are met and the regulatory body Agenzia per l’Italia Digitale is entrusted with the task of setting forth such standards within 90 days.

Technologies based on distributed records are defined as “technologies and information protocols that use a shared register that is distributed, replicable, simultaneously accessible, architectural decentralized on cryptographic basis, such as to allow the recording, validation, updating and archiving of data both in accessible format and further protected by cryptography verified by each member, not alterable and not modifiable”. The scope of the definition is wide and intends to include blockchain technologies, which can be varied.

Similarly, technologies based on distributed records will also allow so called “smart contracts” to have legal effects. Smart contracts will be presumed to have legal effects when the contractual parties have been previously identified on the basis of technologies based on distributed records. Again, details will be up to the Agenzia per l’Italia Digitale.

Italy’s effort to pioneer the embrace of new technologies in the legal field is commendable, but there is a risk that standards set forth by the Agenzia will not be the same as other national or international standards that may be emerging in the near future.

Sunshine Act, Transparency and Ethics: a Seminar Hosted by Gitti and Partners

Do you have a “Sunshine Act” in your jurisdiction? Any other piece of legislation that mandates that all interactions between the industry and health care professionals are made public?

Italy is about to enact one. You may find the proposed bill here.

In our seminar, which will be held on January 31 at 5 p.m. at our offices in via Dante 9, Milano (the full program can be found here) we will discuss how transparency and ethics interact. We will also ask ourselves how the behaviour of doctors, patients and life sciences’ companies may change following the introduction of the Sunshine Act, which promises disclosure of any exchange of value over €10. We will also ponder upon the use of the data rendered public by the media (see an interesting point of view here).

The topic of conflicts of interest seems especially “hot” these days, since Advamed just revised its code of ethics on interactions with US healthcare professionals and stories about conflicts of interest between doctors and industry continue to be in the media.

We look forward to this interesting opportunity of dialogue on a crucial aspect of healthcare.

Presentation on GDPR and scientific research at the Paperless Lab Academy

Paola Sangiovanni will be speaking at the Paperless Lab Academy event (http://www.paperlesslabacademy.com/) on March 20, 2018 in Baveno (NO), Italy, on the topic of the impact of the new GDPR for science.

Sofie van der Meulen, Senior Supervision Officer at Dutch Data Protection Authority, will offer a special introduction titled “Why Privacy Matters”.

This promises to be an interesting event. See you there!

 

 

Merry holidays and happy 2017! We’re moving and merging!

Dear Clients and Friends,

We are very pleased to inform you that, as of January 1, 2017, Studio Legale Bernascone e Soci – Italy Legal Focus will join forces with the law firm Gitti and Partners (www.grplex.com).

Gitti and Partners brings together talented attorneys who provide excellent independent legal advice in connection with complex and sophisticated transactions, some of which made history in the Italian market. After the combination, the firm will be powered by over 50 professionals with specific expertise in the areas of M&A/PE, Real Estate, Capital Markets, Banking & Restructuring, Litigation, Regulatory, Tax, Labour and Life Sciences.

Our clients will surely benefit from an increased spectrum of practice areas and industries’ focus, while continuing to rely on the excellence of client service that has always been a common feature of both firms”, commented Gabriele Bernascone, founding partner of Studio Legale Bernascone e Soci – Italy Legal Focus, whose roots trace back to 35 years ago and with a reputation as “an experienced and reliable firm” (The Legal 500, 2016).

As from December 30, 2016,  we will relocate to Via Dante 9, 20123 Milan, while our telephone numbers will remain unchanged. We are very excited by this new chapter of our professional lives and look forward to your continued support. We will continue to collect our reflections on law and innovation in this blog: stay tuned in 2017!

Best wishes from the blog’s contributors,

Paola Sangiovanni, Flavio Monfrini, Marco Bertucci

 

Is Privacy Really a Fundamental Right?

Privacy of individuals is framed as a fundamental right in the European Union. In fact, the new European Union Regulation no. 2016/679 reiterates this in the very first of its “whereas”.

Yet, it is clear to everyone that such “fundamental” nature is regularly questioned by various factors, and particularly:

  • Technological progress, coupled with people’s growing addiction to smartphones, allowing the collection of an amazing number of personally identifiable information and leading to big banks of intrusive data; and
  • Security threats that prompt governments to closely monitor citizens’ behavior.

Once upon a time courts were called to decide on how to balance conflicting rights. These days, the act of balancing privacy and other issues has become much more common and it is in the hands of a variety of subjects, such as data processors, who must carry out a data protection impact assessment according to Section 35 of the EU Regulation no. 2016/679, and data protection authorities, who provide both general guidelines and specific advice.

A couple of recent decisions by the Italian Data Protection Authority have led me to believe that the Authority is readier than before to accept that there are justified limits to the right to privacy:

  • On July 14, 2016, the Italian Data Protection Authority has decided that a bank is allowed to analyze behavioral/biometric information regarding its customers (such as mouse movements or pressure on the touch screen) as a measure to fight identity theft and internet banking fraud. Of course, a number of limitations have been set by the Authority, in addition to consent of the customer/data subject, such as specific safety measures, purpose and time limitations, and the segregation of the customer names from the bank’s IT provider.
  • On July 28, 2016, the same Authority has granted its favorable opinion to the use of a face recognition software at the Olimpico stadium during soccer games in order to check that the data on the ticket and the face of the person actually attending the event correspond. Provided that strong security measures are used and that the processing is carried out by police forces, the processing was deemed to be necessary.

A tougher stance, instead, is adopted by the Italian Data Protection Authority in cases of processing aimed at marketing purposes, as in this decision, for example. (I note, however, that the code of conduct applying to data processing for the purposes of commercial information that will enter into force on October 1, 2016, blessed by the Italian Data Protection Authority, continues to allow the dispatching of commercial communications to individuals whose personal data is included in public listings, even without the data subject’s express consent).

Balancing rights and interests is inherent to law and justice. It remains to be seen, considering the obvious (and absolutely reasonable) limitations to which the right to privacy is subject, if it will continue to make sense to frame it as “fundamental” right.

The Italian Administrative Supreme Court Opens New Perspectives for Therapeutic Equivalents

By rejecting an appeal from Novartis, the Italian Administrative Supreme Court, with its decision n. 1306 of April 1st, 2016, focused on the notion of therapeutic equivalence under Italian law. Having underlined the difference with the concept of bioequivalence and having broadened its possible future application, the decision is likely to push forward the trend of public health care institutions to increase competition between pharmaceutical companies in the context of public tender offers, possibly for the benefit of taxpayers and patients.

The controversy arose from an opinion issued by the Italian Medicines Agency (“AIFA”) which, in a tender procedure held by Tuscany region, evaluated the drug Lucentis by Novartis (active ingredient ranibizumab) as a therapeutic equivalent to Eylea by Bayer (active ingredient aflibercept). This allowed the regional public administration to have the said drugs compete against each other in the same tender offer.

Debates as to whether Lucentis and Eylea are equivalent in terms of functions are not indeed new in the pharmaceutical scene and have caused many headaches to Novartis, let alone the critical issues raised in relation to Lucentis by the Italian Antitrust Authority.  Not a surprise, then, that Novartis tried to defend its product, alleging the illegitimacy and erroneousness of AIFA’s evaluation, which stated that the cheaper option by Bayer (Euro 780) is equally safe and effective in the treatment of macular degeneration as it is its more expansive (Euro 902) drug.

Novartis, nevertheless, failed in its claims. The Italian Administrative Supreme Court confirmed the validity and correctness of AIFA’s evaluation, together with the decision of the lower court, affirming, inter alia, that:

  • therapeutic equivalence is different from bioequivalence because the latter implies the identity of the active ingredient whether the former does not (indeed, FDA’s indications on the issue are rather similar);
  • the authority of AIFA in determining therapeutic equivalence is legitimate under Italian law;
  • evaluations regarding therapeutic equivalence cannot be based exclusively on the products’ leaflet: they are instead well motivated if they verify that (i) the drugs belong to the same Anatomical Therapeutic Chemical class; (ii) the drugs are subject to a similar route of administration and (iii) the drugs release the active ingredient in comparable ways.

Therapeutic equivalence, as it has recently emerged from Italian legislation and case law (in particular, from the decision discussed herein), is seen as a threat by pharmaceutical companies, unnerved by the increased competition effects.

Indeed, the debate has been escalated to a more general level by the Italian association of pharmaceutical companies, which challenged in many ways AIFA’s guidelines on therapeutic equivalence. As a consequence, a few days ago AIFA precautionary suspended for ninety days the said guidelines.

It looks like the match has just begun. Nevertheless, pharmaceutical companies should consider carefully on which side they should play. In fact, the expansion of the application of therapeutic equivalence, as a general trend, does not seem to be stoppable in a constant spending review context. Perhaps pharmaceutical companies should positively contribute to shape, rather than to stop, therapeutic equivalence and exploit its potential for the business in terms of new opportunities to access tender offer procedures.