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In Novartis AG v. Union of India, (2013) 6 SCC 1, the Supreme Court interpreted 'efficacy' in Section 3(d) Patents Act 1970 to mean:

Answer & Solution
Correct answer: A.
1. In Novartis AG v. Union of India (2013), the Supreme Court denied Novartis a patent for the beta crystalline form of Imatinib Mesylate (Glivec). 2. The Court interpreted 'efficacy' in Section 3(d) to mean 'THERAPEUTIC EFFICACY' for pharmaceutical substances — measurable medical benefit (improved bioavailability alone was held NOT sufficient to demonstrate enhanced therapeutic efficacy). 3. The Court emphasised that Section 3(d) aimed to prevent EVERGREENING of patents. 4. The decision strengthened India's generic pharma industry's position. 5. Hence option B is correct. _Source: Patents Act 1970 / Copyright Act 1957 / Trade Marks Act 1999 (Bare Acts, IPIndia portal + Copyright Office) — Novartis AG v. Union of India, (2013) 6 SCC 1_
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