In May 2026, the Medicines Patent Pool (MPP) and Roche signed a voluntary licensing agreement to expand access to baloxavir marboxil, a single-dose antiviral treatment for influenza recommended by the World Health Organization (WHO), in low- and middle-income countries (LMICs).
Through this agreement, selected generic manufacturers can develop, manufacture and supply affordable generic versions of baloxavir in 129 countries, subject to local regulatory authorisation. The selected manufacturers will also benefit from access to a technical data package, reference products for bioequivalence studies, and other assistance to facilitate regulatory approval and accelerate availability.
The agreement supports pandemic preparedness, with provisions for rapid scale-up, collaboration to address global supply needs, and the possibility to expand sublicensing in response to a health emergency.
This licence aims to strengthen equitable access to influenza treatment and support more resilient, geographically diversified manufacturing.
Key Features
Plus, MPP’s standard ‘non-infringement’ carve-outs: if there are no patent barriers in a given country, sublicensees are free to sell or supply in that country (whether or not it is within Territory).
Additional considerations:
Roche must approve the sublicensees selected by MPP, but may not unreasonably withhold or delay its approval, based only on its review of the criteria set out above.
If a high-income country comes to be included in the Territory (e.g. a licensed country is reclassified by the World Bank as a high-income country; MPP & Roche expand the Territory in response to a pandemic, etc.), royalties will be calculated as 40% of net sales value.
Notwithstanding the above, royalties are only payable on supplies in a particular country until the expiry of the last applicable patent in that country. Likewise, if there were never any applicable patents granted in that country the first place—or if the sublicensee would not infringe any relevant patents granted and in force—there is no royalty obligation.
Separately, all sublicensees are required to confer with WHO’s Pandemic Influenza Preparedness (PIP) Framework Secretariat within 3 months of first regulatory filing to discuss possible commitments or pandemic preparedness contributions.
Press and Media
The Medicines Patent Pool (MPP) is a United Nations-backed public health organisation working to increase access to and facilitate the development of innovative medicines and other health technologies for low- and middle-income countries. Through its innovative business model, MPP partners with civil society, governments, international organisations, industry, patient groups, and other stakeholders to prioritise and license needed health products and pool intellectual property to encourage generic manufacture and the development of new formulations.
To date, MPP has signed agreements with 23 patent holders for 13 HIV antiretrovirals, one HIV technology platform, three hepatitis C direct-acting antivirals, a tuberculosis treatment, a cancer treatment, four long-acting technologies, a post-partum haemorrhage medicine, one antiviral treatment for influenza, three oral antiviral treatments for COVID-19 and 16 COVID-19 technologies.
MPP was founded by Unitaid, which continues to be MPP’s main funder. MPP’s work on access to essential medicines is also funded by the Swiss Agency for Development and Cooperation (SDC), Government of Canada and Coeffient Giving. MPP’s activities in technology transfer are undertaken with the financial support of the Japanese Government, the French Ministry for Europe and Foreign Affairs, the German Agency for International Cooperation, the Government of Flanders and SDC.