The oncology generics company at the centre of India's two landmark patent fights: the first compulsory licence, for sorafenib in 2012, and the Supreme Court's 2013 refusal of Novartis's imatinib patent.
Natco Pharma was founded in 1981 by V. C. Nannapaneni in Hyderabad and built its name on branded oncology generics for the Indian market, including one of the first generic imatinibs (Veenat) sold when India did not yet grant product patents. In March 2012 the Indian Patent Office granted Natco the country's first compulsory licence, for Bayer's sorafenib (Nexavar), at a price of about 8,800 rupees a month against Bayer's 280,000 rupees, with a royalty later set at 7% on appeal. On 1 April 2013 the Supreme Court upheld the refusal of Novartis's patent on the beta-crystalline form of imatinib mesylate under section 3(d) of the Patents Act, keeping generic imatinib on the market at a small fraction of the Glivec price. Natco later became a significant US generics player (lenalidomide under a volume-limited settlement from March 2022, pomalidomide) and in 2025 bought a 35.75% stake in South Africa's Adcock Ingram.
The drug that started the targeted therapy era in 2001, turning chronic myeloid leukaemia into a manageable condition with near-normal life expectancy.
The first drug ever to extend life in advanced liver cancer (2007), now mostly a comparator arm that newer combinations are measured against.
Lenalidomide is a thalidomide descendant that glues the proteins IKZF1 and IKZF3 to cereblon so the cell destroys them, killing plasma cells and rousing T cells. It is the backbone of myeloma treatment and maintenance, also used in mantle cell and follicular lymphoma, and generic since 2022.
The third-generation thalidomide analogue for myeloma that has failed lenalidomide, and since 2020 the first new drug for Kaposi sarcoma in two decades.
Shares Sorafenib, Secrecy and intellectual property block collaboration, Imatinib, Prices and value.
Shares Global access and affordability roadmap: essential medicines and generics → biosimilars and frugal trials → reliance, pooling and homegrown innovation, Imatinib, Prices and value, Most of the world has almost no cancer care.
Shares Global access and affordability roadmap: essential medicines and generics → biosimilars and frugal trials → reliance, pooling and homegrown innovation, Imatinib, Prices and value, Most of the world has almost no cancer care.
Shares Nexavar compulsory licence (India, 2012), Secrecy and intellectual property block collaboration, Imatinib, Prices and value.
Shares Nexavar compulsory licence (India, 2012), Global access and affordability roadmap: essential medicines and generics → biosimilars and frugal trials → reliance, pooling and homegrown innovation, Prices and value, Most of the world has almost no cancer care.
Shares Secrecy and intellectual property block collaboration, Imatinib, Prices and value.
Shares Global access and affordability roadmap: essential medicines and generics → biosimilars and frugal trials → reliance, pooling and homegrown innovation, Prices and value, Most of the world has almost no cancer care.
Shares Global access and affordability roadmap: essential medicines and generics → biosimilars and frugal trials → reliance, pooling and homegrown innovation, Prices and value, Most of the world has almost no cancer care.