`194
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 1 of 86 PageID #:5230
`
`IN THE UNITED STATES DISTRICT COURT
`NORTHERN DISTRICT OF ILLINOIS
`EASTERN DIVISION
`
`Docket Nos. 16 C 651
` 17 C 7903
`
`Chicago, Illinois
`July 17, 2018
`10:23 a.m.
`
`)))))))))
`
`HOSPIRA, INC.,
`
`Plaintiff,
`
`vs.
`
`FRESENIUS KABI USA, LLC,
`
`Defendant.
`
`VOLUME 2A
`TRANSCRIPT OF PROCEEDINGS - Bench Trial
`BEFORE THE HONORABLE REBECCA R. PALLMEYER
`
`APPEARANCES:
`
`For the Plaintiff:
`
`For the Defendant:
`
`Also Present:
`
`JENNER & BLOCK LLP
`BY: MR. BRADFORD P. LYERLA
`MR. YUSUF ESAT
`MR. AARON A. BARLOW
`MR. REN-HOW H. HARN
`MS. SARA T. HORTON
`353 North Clark Street
`Chicago, Illinois 60654
`
`SCHIFF HARDIN LLP
`BY: MR. IMRON T. ALY
`MR. JOEL M. WALLACE
`MS. TARA L. KURTIS
`MR. KEVIN M. NELSON
`233 South Wacker Drive, Suite 6600
`Chicago, Illinois 60606
`
`SCHIFF HARDIN LLP
`BY: MR. AHMED M.T. RIAZ
`666 Fifth Avenue, 17th Floor
`New York, New York 10103
`
`Mr. Michael P. Bauer, Hospira
`Mr. Ryan Daniel, Fresenius Kabi
`Mr. Ali Ahmed, Fresenius Kabi
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`195
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 2 of 86 PageID #:5231
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`Court Reporter:
`
`FRANCES WARD, CSR, RPR, RMR, FCRR
`Official Court Reporter
`219 S. Dearborn Street, Suite 2144D
`Chicago, Illinois 60604
`(312) 435-5561
`frances_ward@ilnd.uscourts.gov
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`Cedergren - direct by Wallace
`196
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 3 of 86 PageID #:5232
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`MR. WALLACE: Good morning, your Honor.
`
`Joel Wallace on behalf of Fresenius Kabi.
`
`We are calling adversely Dr. Robert Cedergren, one
`
`of the inventors of the patents-in-suit.
`
`THE COURT: Okay.
`
`Sir, can I ask you to raise your right hand.
`
`ROBERT CEDERGREN, DEFENDANT'S ADVERSE WITNESS, SWORN
`
`DIRECT EXAMINATION
`
`BY MR. WALLACE:
`
`Q.
`
`A.
`
`Q.
`
`Good morning, Dr. Cedergren.
`
`Good morning.
`
`Can you please state your full name and address for the
`
`record.
`
`A.
`
`Robert Cedergren, 310 Cyprus Lane, Libertyville,
`
`Illinois.
`
`Q.
`
`And you received your undergraduate degree from the
`
`University of Illinois, correct?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`Yes.
`
`And that was a bachelor's of science?
`
`Yes.
`
`And that was 1988, correct?
`
`Correct.
`
`Okay. And then after you received your bachelor's of
`
`science, you went to work for Baxter, correct?
`
`A.
`
`Correct.
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`Cedergren - direct by Wallace
`197
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 4 of 86 PageID #:5233
`
`Q.
`
`And Baxter is a pharmaceutical company here in the
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`Chicago area?
`
`A.
`
`Q.
`
`Yes.
`
`And at Baxter, you worked on the research and
`
`development of injectable drug products, correct?
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`A.
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`Q.
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`A.
`
`Q.
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`A.
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`Q.
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`Yes.
`
`And how long did you work there?
`
`About three years.
`
`Okay. So after -- so from about 1988 to about 1991?
`
`Correct.
`
`So after leaving Baxter, then you went into a Ph.D.
`
`program, correct?
`
`A.
`
`Q.
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`A.
`
`Q.
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`A.
`
`Q.
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`A.
`
`Q.
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`A.
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`Q.
`
`Yes.
`
`And where was that?
`
`Michigan State University.
`
`Okay. Did you complete that program?
`
`Yes.
`
`And when did you receive your Ph.D.?
`
`1996.
`
`And that program was in biochemistry; is that correct?
`
`Yes.
`
`Okay. So after receiving your Ph.D. in biochemistry,
`
`then you went to work at Abbott Laboratories, right?
`
`A.
`
`Q.
`
`Yes.
`
`And you also started in 1996 there?
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`Cedergren - direct by Wallace
`198
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 5 of 86 PageID #:5234
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`A.
`
`Q.
`
`At the end of 1996, correct.
`
`Okay. Thank you.
`
`At first you worked in the diagnostics division of
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`Abbott Laboratories?
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`A.
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`Q.
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`Correct.
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`And you worked there for about one-and-a-half years; is
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`that right?
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`A.
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`Q.
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`Yes.
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`And then you moved to the hospital products division
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`within Abbott, correct?
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`A.
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`Q.
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`Yes.
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`And within the hospital products division, you performed
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`analytical support for formulations and product development,
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`correct?
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`A.
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`Q.
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`Yes.
`
`And you continued working in the hospital products
`
`division all the way through when it was split off from
`
`Abbott, correct?
`
`A.
`
`Q.
`
`Yes.
`
`And then you were one of the employees that picked up
`
`and moved over to Hospira, right?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`Yes.
`
`And that was in 2004?
`
`Yes.
`
`Okay. And in 2004 -- I'm sorry.
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`Cedergren - direct by Wallace
`199
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 6 of 86 PageID #:5235
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`In 2005, you then became a senior group leader at
`
`Hospira, correct?
`
`A.
`
`Q.
`
`Yes.
`
`And you continued your work in formulation -- or in the
`
`analytical department, supporting formulation and product
`
`development, correct?
`
`A.
`
`Q.
`
`Yes.
`
`Okay. So in about 2006, you were assigned the task of
`
`working on the dexmedetomidine molecule at Hospira, correct?
`
`A.
`
`Q.
`
`Correct.
`
`And at the time you began working on dexmedetomidine,
`
`you had had your Ph.D. and more than ten years of experience
`
`within the pharmaceutical industry, right?
`
`A.
`
`Q.
`
`Yes.
`
`And then you ended up leaving Hospira near the end of
`
`2008, correct?
`
`A.
`
`Q.
`
`Yes.
`
`So whatever work you did on dexmedetomidine, your work
`
`was done by the end of 2008, right?
`
`A.
`
`Q.
`
`Yes.
`
`And you understand that there were patents filed based
`
`on some of the data that was done by Hospira for the
`
`dexmedetomidine product?
`
`A.
`
`Q.
`
`Yes.
`
`And you understand those were filed in January of 2012?
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`Cedergren - direct by Wallace
`200
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 7 of 86 PageID #:5236
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`A.
`
`Q.
`
`I can't say exactly when they were filed.
`
`If they were filed in January of 2012, that's more than
`
`three years after you left the company, right?
`
`A.
`
`Q.
`
`Correct.
`
`Now, you left Hospira and you went to work for Zoetis,
`
`correct?
`
`THE COURT: For what?
`
`MR. WALLACE: Zoetis.
`
`THE COURT: Can you spell that?
`
`THE WITNESS: Actually, I went to work for Abbott
`
`again, Abbott's animal health division.
`
`THE COURT: Oh, Abbott. Okay.
`
`BY MR. WALLACE:
`
`Q.
`
`And then you went -- and then eventually you went to
`
`Zoetis?
`
`A.
`
`That division was sold to Zoetis, Z-o-e-t-i-s.
`
`THE COURT: I'm sorry. What?
`
`THE WITNESS: Z-o-e-t-i-s.
`
`THE COURT: Z-o-e-t-i-s. Okay. Got it. Thank
`
`you.
`
`BY MR. WALLACE:
`
`Q.
`
`A.
`
`Q.
`
`A.
`
`And Zoetis, that's a veterinary products company?
`
`Correct.
`
`And Zoetis has a dexmedetomidine product also, correct?
`
`I believe they do.
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`Cedergren - direct by Wallace
`201
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 8 of 86 PageID #:5237
`
`Q.
`
`A.
`
`Q.
`
`And have you ever worked on that product at Zoetis?
`
`No.
`
`Okay.
`
`THE COURT: Are you still employed at Zoetis?
`
`THE WITNESS: Yes.
`
`THE COURT: Okay. Thank you.
`
`BY MR. WALLACE:
`
`Q.
`
`A.
`
`Q.
`
`That's also out in the Chicago suburbs, correct?
`
`I work from the Chicago suburbs. I work remotely.
`
`So in 2006, you start your work on the dexmedetomidine
`
`product, right?
`
`A.
`
`Q.
`
`Yes.
`
`And your boss comes to you in 2006, and the instructions
`
`you were given from management were to develop a premix
`
`injectable formulation of dexmedetomidine, correct?
`
`A.
`
`Q.
`
`Yes.
`
`And by "premix product," they meant a product that was
`
`ready to use, right?
`
`A.
`
`Q.
`
`Correct.
`
`And so management came to you and said, we want a
`
`ready-to-use formulation of dexmedetomidine, right?
`
`A.
`
`Q.
`
`Yes.
`
`And you don't know who at Hospira had the idea to
`
`formulate the ready-to-use dexmedetomidine product, right?
`
`A.
`
`I don't recall.
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`Cedergren - direct by Wallace
`202
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 9 of 86 PageID #:5238
`
`Q.
`
`And in order to meet the goal of having a ready-to-use
`
`dexmedetomidine product, the concentration of dexmedetomidine
`
`in that product you were to make had to match the
`
`concentration that was used in the old product when it was
`
`actually given to patients, correct?
`
`A.
`
`Q.
`
`That was the goal, yes.
`
`And the information about what concentration is given to
`
`patients, that would be available in the label for Precedex
`
`concentrate, right?
`
`A.
`
`Q.
`
`Correct.
`
`And as part of your development work, you looked at the
`
`Precedex concentrate label, correct?
`
`A.
`
`Q.
`
`I probably did, correct.
`
`When used in patients, the Precedex concentrate is
`
`diluted to 4 micrograms per milliliter, right?
`
`A.
`
`Q.
`
`Yes.
`
`And that was -- the goal of your project was to create a
`
`new product that also had a concentration of
`
`4 micrograms per milliliter of dexmedetomidine, correct?
`
`A.
`
`Q.
`
`Yes.
`
`Now, Dr. Cedergren, you remember being deposed by me
`
`about a year-and-a-half ago, in November of 2016, correct?
`
`A.
`
`Q.
`
`Yes.
`
`And at that time we talked about the work that you did
`
`on the dexmedetomidine project?
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`Cedergren - direct by Wallace
`203
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 10 of 86 PageID #:5239
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`A.
`
`Q.
`
`Yes.
`
`And we talked about meetings you attended as part of
`
`that project?
`
`A.
`
`Q.
`
`Yes.
`
`And you told me about presentations that you gave about
`
`dexmedetomidine within the company, right?
`
`A.
`
`Q.
`
`I believe so.
`
`Okay.
`
`Now, counsel for Hospira has represented that you
`
`don't remember what you did.
`
`So is that true, that today you now don't know what
`
`happened at Hospira?
`
`A.
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`I don't remember specifics of these meetings and
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`presentations.
`
`Q.
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`Okay. So the work that you did on dexmedetomidine, that
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`wasn't memorable, as far as your career goes?
`
`A.
`
`Q.
`
`I don't remember specifics, no.
`
`Because it was just routine work that you typically did
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`in the analytical department at Hospira, right?
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`A.
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`I don't know if I would say typical, but I worked on a
`
`lot of projects.
`
`Q.
`
`Now, the reason that you wanted to make a ready-to-use
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`version of dexmedetomidine was to make the product more
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`convenient for physicians and patients, correct?
`
`A.
`
`Yes.
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`Cedergren - direct by Wallace
`204
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 11 of 86 PageID #:5240
`
`Q.
`
`And when you began your work on that product in 2006,
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`you understood that if you were successful, then the product
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`would be more convenient for physicians, correct?
`
`A.
`
`Q.
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`Yes.
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`And before 2012, it was known that taking a concentrated
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`product, putting it in a premix formulation, that would make
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`the formulation easier to administer for physicians, right?
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`A.
`
`Q.
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`Yes.
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`And, in fact, it was common sense that, if they don't
`
`have to do the dilution step, it would be easier for
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`physicians to use, right?
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`A.
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`Q.
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`Yes.
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`And it was common sense that, if they don't have to do
`
`the dilution step, physicians will save time, right?
`
`A.
`
`Q.
`
`I'm sorry. Could you repeat that?
`
`Sure.
`
`It was common sense that, if physicians don't have
`
`to do the dilution step, they will save time?
`
`A.
`
`Q.
`
`Correct.
`
`And that understanding, that wasn't based on internal
`
`secret Hospira documents, right?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`I don't recall.
`
`It was common sense to you?
`
`Yes.
`
`So your bosses come to you in 2006 and said, we need you
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`Cedergren - direct by Wallace
`205
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 12 of 86 PageID #:5241
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`to make a premix dexmedetomidine. And so now your team's job
`
`was to come up with a container, right?
`
`A.
`
`Q.
`
`A container and a formulation.
`
`And the first thing that Hospira thought of were plastic
`
`containers, syringes, and glass vials, right?
`
`A.
`
`Q.
`
`I believe so.
`
`And Hospira proposed -- before they could get the
`
`product going, they had to make a proposal of these products
`
`to the management to get the funding; is that right?
`
`A.
`
`Q.
`
`I don't recall.
`
`Okay. You helped develop a concept proposal for the
`
`ready-to-use dexmedetomidine product?
`
`A.
`
`Q.
`
`I believe so.
`
`And in general, glass is used in the development of
`
`pharmaceutical products as storage containers because, absent
`
`evidence to the contrary, the assumption is that it will be
`
`nonreactive, correct?
`
`A.
`
`Q.
`
`Correct.
`
`I want to bring up JTX72, if we could. It's in your
`
`binder. Also it's on your screen, whichever you prefer,
`
`Dr. Cedergren.
`
`Now, this is the product development concept
`
`proposal dated September 22nd, 2006.
`
`Do you see that, Dr. Cedergren?
`
`A.
`
`Yes.
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`Cedergren - direct by Wallace
`206
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 13 of 86 PageID #:5242
`
`Q.
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`Do you see your name on the front page here?
`
`Yes.
`
`And you represent the R&D group?
`
`Yes.
`
`And this proposal, this was prepared by many units
`
`within the Hospira team, correct?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`Correct.
`
`Now, this is called "Precedex Line Extension."
`
`Do you see that?
`
`Yes.
`
`And "line extension" means creating a new product with
`
`the same drug, right?
`
`A.
`
`Q.
`
`In this case, yeah.
`
`And your understanding was that Hospira wanted to create
`
`a new product with dexmedetomidine because it would be more
`
`convenient, right?
`
`A.
`
`Q.
`
`Yes.
`
`So I think that's even spelled out in the document.
`
`MR. WALLACE: If we could, look at Page 2, and look
`
`at the customer needs, "Defining Customer Needs." I think
`
`it's down another box, please. There you are.
`
`BY MR. WALLACE:
`
`Q.
`
`So the key customer needs for this project proposal,
`
`according to the box on the right there, was that it would
`
`reduce the inconvenience the hospitals are faced with by the
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`Cedergren - direct by Wallace
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`need for their pharmacy department to dilute the product,
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`right?
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`A.
`
`Q.
`
`Yes.
`
`And at that time, that was a barrier to growth for the
`
`Precedex product, according to --
`
`A.
`
`Q.
`
`According to this document.
`
`You don't have any reason to doubt what's in this
`
`document, correct?
`
`A.
`
`Q.
`
`No.
`
`Okay. So if we go to the next page, JTX72 at Page 3, we
`
`have the proposals.
`
`These are -- this is the first thoughts that had
`
`come to mind for Hospira, right?
`
`A.
`
`Q.
`
`Yes.
`
`And what's shown here is, we have got two ready-to-use
`
`syringes. We have got three ADD-Vantage products and two
`
`glass containers.
`
`Do you see that?
`
`A.
`
`Q.
`
`Yes.
`
`Okay. The ADD-Vantage, that's a plastic system,
`
`correct?
`
`A.
`
`I'm not sure if it's a glass or plastic vial that's
`
`attached to an IV bag.
`
`Q.
`
`Okay. And the reason those are higher concentrations is
`
`because that's a concentrate that's attached to a bag that's
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`then diluted sort of at the site; is that correct?
`
`A.
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`Q.
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`Yes.
`
`So that's not a ready-to-use product. That's something
`
`that requires dilution?
`
`A.
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`Q.
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`Yes.
`
`And you don't know who came up with these ideas, right,
`
`Dr. Cedergren?
`
`A.
`
`Q.
`
`I don't recall.
`
`I want to turn to Page 4 of this document. I want to
`
`look at the IP at the bottom, "Competitive Overview."
`
`So at this time, Precedex was unique within the
`
`sedative market; is that right, Dr. Cedergren?
`
`A.
`
`Q.
`
`According to this document.
`
`And it was unique because it was the only drug that was
`
`being promoted at this time; is that right, Dr. Cedergren?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`Does it say that in this document?
`
`Do you know that?
`
`I don't know.
`
`Okay. This was Hospira's only branded product at that
`
`time, though, correct?
`
`A.
`
`Q.
`
`As far as I remember.
`
`So it was very important to keep this franchise extended
`
`as long as possible, right?
`
`A.
`
`I'm not sure about that.
`
`MR. WALLACE: Okay. I want to look at the
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`competitive environment, if we could, Mr. Haw. It's in the
`
`middle of the -- there we go.
`
`BY MR. WALLACE:
`
`Q.
`
`And at this time it was seen that dexmedetomidine was
`
`competing against these other products.
`
`Do you see that?
`
`Yes.
`
`And those are midazolam, lorazepam, and propofol?
`
`Yes.
`
`And those were the other sedatives that were on the
`
`A.
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`Q.
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`A.
`
`Q.
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`market at this time; is that right?
`
`A.
`
`Q.
`
`According to this document.
`
`Okay. Now I want to look at Page 5. There is a
`
`technology assessment here.
`
`And the technology assessment, was that something
`
`that your group would have worked on, R&D?
`
`A.
`
`Q.
`
`I don't recall specifically.
`
`Okay. And so what's being shown here in the technology
`
`assessment was Hospira's thinking about the potential
`
`problems or issues that might arise from each of the proposed
`
`containers.
`
`Do you see that, Dr. Cedergren?
`
`A.
`
`Q.
`
`Yes.
`
`So first we have flex premix.
`
`Do you see that?
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`A.
`
`Q.
`
`A.
`
`Q.
`
`Yes.
`
`And that's a plastic bag, right?
`
`Yes.
`
`And for plastic bags, there was concern about absorption
`
`of dexmedetomidine, right?
`
`A.
`
`Q.
`
`Yes.
`
`And that was because dexmedetomidine is a lipophilic
`
`compound, right?
`
`A.
`
`Q.
`
`Correct.
`
`So could you explain briefly what a lipophilic compound
`
`means.
`
`THE COURT: You know what? I am going to ask you
`
`to spell that, too.
`
`THE WITNESS: L-i-p-o-p-h-i-l-i-c.
`
`THE COURT: Okay. Lipophilic. Thanks.
`
`MR. WALLACE: From the Greek "lipo" for the fat and
`
`"philic," like.
`
`THE COURT: Got it.
`
`BY MR. WALLACE:
`
`Q.
`
`A.
`
`Q.
`
`What does lipophilic mean, Dr. Cedergren?
`
`It is -- it likes nonpolar solvents.
`
`And nonpolar solvent, that would be like plastic,
`
`correct?
`
`A.
`
`Q.
`
`Yes.
`
`So it prefers plastic over water.
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`Is that how it's normally defined?
`
`A.
`
`Q.
`
`Well, it depends on the salt form or the formulation.
`
`Sure. But if dexmedetomidine is lipophilic, it's more
`
`likely to interact with plastic containers. Is that fair?
`
`A.
`
`If it was truly lipophilic, yes.
`
`THE COURT: I'm sorry to do this.
`
`Tell me what you mean by a nonpolar solvent.
`
`THE WITNESS: Solvents that aren't water. Water is
`
`polar, and a nonpolar solvent would be a solvent like a
`
`hexane or something like that.
`
`THE COURT: "Polar" is the word for water?
`
`THE WITNESS: Water is very polar. It's very
`
`polar.
`
`THE COURT: Oh, so there could be something else
`
`that's polar, but water is known to be very polar.
`
`THE WITNESS: Right.
`
`THE COURT: All right. Thank you.
`
`BY MR. WALLACE:
`
`Q.
`
`So the next container that's discussed here is
`
`ADD-Vantage.
`
`Do you see that, Dr. Cedergren?
`
`Yes.
`
`And we see in the -- I don't know -- fourth bullet point
`
`A.
`
`Q.
`
`there is a discussion about, that this would be needed
`
`because there is still -- the issue that the ADD-Vantage
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`vials are connected to PVC bags, right?
`
`A.
`
`Q.
`
`Yes.
`
`And so that would still have the possible concern of
`
`absorption onto the plastic bag.
`
`That was a concern within Hospira?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`Yes.
`
`And then we see "Syringe For Use in Syringe Pumps."
`
`Do you see that heading?
`
`Yes.
`
`And then for syringes, again we have the issue that
`
`there is possible absorption, right, for the Ansyr syringes?
`
`A.
`
`Q.
`
`Yes, that's what it says.
`
`And the Ansyr syringes, that's another polymer syringe,
`
`correct?
`
`A.
`
`Q.
`
`Yes.
`
`And that was a type of syringe that was proprietary to
`
`Hospira at the time?
`
`A.
`
`Q.
`
`I'm not sure.
`
`Okay. That's fair.
`
`But in the second bullet point, it says that if
`
`Ansyr syringes are not feasible, referring to the potential
`
`for absorption, then they would switch to glass syringes.
`
`Do you see that?
`
`Yes.
`
`And so the thought was that if plastic doesn't work, a
`
`A.
`
`Q.
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`glass syringe is more likely to work. Is that fair?
`
`A.
`
`I don't know if it's more likely, but it's another
`
`option.
`
`Q.
`
`It's another option.
`
`Now, we see "Glass Premix" is the next entry.
`
`Do you see that?
`
`Yes.
`
`And in September of 2006, within Hospira, you foresaw no
`
`A.
`
`Q.
`
`major issues with glass premix, correct?
`
`A.
`
`Q.
`
`That's what the document states, yes.
`
`And this is the only proposed container for which there
`
`are no major issues predicted, correct, Dr. Cedergren?
`
`A.
`
`Q.
`
`That's what it appears.
`
`And at this point it was understood that premix -- when
`
`it says "glass premix" -- that referred to the
`
`4 micrograms-per-milliliter concentration of dexmedetomidine?
`
`A.
`
`Q.
`
`Yes.
`
`So this September 2006 document was the first place that
`
`it was proposed that a concentration of dexmedetomidine at
`
`4 micrograms per milliliter in a glass container -- is that
`
`accurate? It was the first proposal?
`
`A.
`
`Q.
`
`I'm sorry. Can you repeat the question?
`
`Sure.
`
`In September of 2006, it was proposed to place that
`
`concentration, 4 micrograms per milliliter, in glass
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`containers. Is that accurate?
`
`A.
`
`Q.
`
`That's one of the options presented.
`
`Okay. Now we want to look the last box on that page,
`
`the "Other Needed Capabilities."
`
`Do you see this?
`
`MR. WALLACE: And if we could also have this bridge
`
`over to the next page as well.
`
`BY MR. WALLACE:
`
`Q.
`
`Again, this is a discussion of the -- on the second
`
`bullet point, those Ansyr syringes.
`
`Do you see that?
`
`A.
`
`Yes.
`
`MR. WALLACE: The bullet point, for the record, is
`
`on Page 6 of JTX72.
`
`BY MR. WALLACE:
`
`Q.
`
`There were concerns about plastic absorption with the
`
`Ansyr syringes, correct?
`
`That's what we saw above?
`
`A.
`
`Q.
`
`Correct.
`
`And so if they can't use plastic, then the option for
`
`Hospira is, they are going to have to go buy glass syringes,
`
`correct?
`
`A.
`
`Q.
`
`That's what it states.
`
`Okay. I want to look down on the same page, 6. We have
`
`some -- there were the four configurations.
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`So again, we have -- there is only really two
`
`options here.
`
`There is glass containers or plastic containers,
`
`right, Dr. Cedergren?
`
`A.
`
`Q.
`
`Correct.
`
`And for these specific configurations, you don't know
`
`who came up with these, right?
`
`A.
`
`I don't recall specifically who came up with each
`
`option.
`
`Q.
`
`Okay. So as of September 2006, it was thought that a
`
`glass syringe would present fewer issues with compatibility
`
`than an Ansyr plastic syringe?
`
`A.
`
`Q.
`
`That's what it states.
`
`And each of the presentations that were proposed within
`
`Hospira, those were containers that had already been used in
`
`a pharmaceutical product in the United States previously,
`
`correct?
`
`A.
`
`Q.
`
`As far as I know.
`
`And to look at the No. 1 bullet point, it's talking
`
`about 50 milliliters and 100 milliliters.
`
`Do you see that?
`
`Yes.
`
`How were those volumes chosen?
`
`I don't know specifically how they were chosen.
`
`Okay. But these were standard-size glass containers,
`
`A.
`
`Q.
`
`A.
`
`Q.
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`correct?
`
`A.
`
`They are typical sizes.
`
`MR. WALLACE: I want to do a side-by-side, if we
`
`can, here of JTX72, this document, Page 6, these proposals;
`
`and on the other side, JTX2, which is the '049 patent.
`
`BY MR. WALLACE:
`
`Q.
`
`Do you understand the '049 patent is one of the patents
`
`in which you are named as an inventor?
`
`A.
`
`Q.
`
`Yes.
`
`Okay. And I just want to make sure that we are on the
`
`same page here.
`
`So you have patented -- or you have offered your
`
`name to a patent that says "a ready-to-use liquid
`
`pharmaceutical composition."
`
`That's the premix, correct? That's the glass
`
`premix?
`
`A.
`
`Q.
`
`Yes.
`
`And the Claim 1 says that it's for parenteral
`
`administration.
`
`And you understood at that time was that Precedex
`
`was administered parenterally, correct?
`
`A.
`
`Q.
`
`Yes.
`
`And the range or the concentration of dexmedetomidine in
`
`the claim is .005 to about 50 micrograms per milliliter.
`
`Do you see that?
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`A.
`
`Q.
`
`Yes.
`
`So the proposal in 2006 was to make a
`
`4 micrograms-per-milliliter product, correct?
`
`A.
`
`Q.
`
`Yes.
`
`In the claim it says it's supposed to be disposed within
`
`a sealed glass container.
`
`Do you see that?
`
`A.
`
`Q.
`
`Yes.
`
`And the proposal here, No. 1, was to put the product in
`
`a glass container, correct?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`Yes.
`
`And that glass container would need to be sealed?
`
`Yes.
`
`And then the final element here is the pH.
`
`Now, the pH of dexmedetomidine in water, it's
`
`between 2 and 10, correct?
`
`A.
`
`Q.
`
`I don't recall what the pH is.
`
`But the pH, that would be something that you would see
`
`on the label, correct?
`
`A.
`
`Q.
`
`I'm not sure if it's on the label or not.
`
`Okay.
`
`Have you ever formulated a product that had a pH of
`
`lower than 2, Dr. Cedergren?
`
`A.
`
`Q.
`
`Not that I recall.
`
`Have you ever formulated a product with a pH of above
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`10?
`
`A.
`
`Q.
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`Not that I recall.
`
`And that's because, as you get to the extremes, those
`
`would be dangerous to administer to a patient, correct?
`
`A.
`
`Q.
`
`I can't say that.
`
`Now, Precedex premix, the ready-to-use product, that was
`
`not the first ready-to-use product available on the market,
`
`right?
`
`A.
`
`Q.
`
`I don't believe so.
`
`And it's not the first product on the market to use
`
`dexmedetomidine, right?
`
`A.
`
`Q.
`
`No.
`
`And it's not the first product even that would be used
`
`using dexmedetomidine at 4 micrograms per milliliter,
`
`correct?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`After dilution?
`
`Sure.
`
`Correct.
`
`And the old product, the Precedex concentrate product,
`
`that was sold in a sealed glass container also, wasn't it,
`
`Dr. Cedergren?
`
`A.
`
`Q.
`
`I believe so.
`
`And that was -- I am going to move on.
`
`Now, testing stoppers for extractables, that's a
`
`routine pharmaceutical development work, right?
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`A.
`
`Q.
`
`It's typically done.
`
`And container compatibility studies are a routine part
`
`of pharmaceutical development work with injectable products?
`
`A.
`
`Q.
`
`It's typically done.
`
`And component compatibility studies are a routine part
`
`of pharmaceutical work with injectable products, correct?
`
`A.
`
`Q.
`
`It's typically done.
`
`Okay.
`
`Now, the type of glass you ultimately chose -- or
`
`that was experimented on for the dexmedetomidine premix
`
`project was Type 1 glass, correct?
`
`A.
`
`Q.
`
`I don't exactly recall which type.
`
`In your experience, is Type 1 glass the least reactive
`
`type of glass for liquid pharmaceutical products?
`
`A.
`
`Q.
`
`Yes.
`
`And so if there were a concern about the stability of a
`
`product, the logical choice would be to use Type 1 glass,
`
`correct?
`
`A.
`
`Q.
`
`Yes.
`
`And coated stoppers are typically used in the
`
`pharmaceutical industry for injectable products, correct,
`
`Dr. Cedergren?
`
`A.
`
`Q.
`
`A.
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`Did you say they are typically used?
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`Yes.
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`I don't know how typical the products are.
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`Cedergren - direct by Wallace
`220
`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 27 of 86 PageID #:5256
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`Q.
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`A.
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`Q.
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`Sure. Have you used coated stoppers, Dr. Cedergren?
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`Yes.
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`And the reason one would use a coated stopper is to
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`prevent interaction between the formulation and the stopper,
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`correct?
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`A.
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`Q.
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`Correct.
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`And so if one were concerned about stability of a
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`product, a formulator or someone who works in the
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`pharmaceutical industry would choose a coated stopper,
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`correct?
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`A.
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`Q.
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`Yes.
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`I want to turn to DTX90. And this is a document
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`entitled "Precedex Lifecycle Management Strategy Session."
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`Do you see that, Dr. Cedergren?
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`Yes.
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`And that was dated November 7th, 2006.
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`Do you see that?
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`Yes.
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`And we talked about this at the deposition, but this was
`
`A.
`
`Q.
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`A.
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`Q.
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`a presentation that you were at, right, Dr. Cedergren?
`
`A.
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`If my name is on here, then, I suppose I was. I don't
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`recall being there, but --
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`Q.
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`So this moves us ahead a little bit.
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`We had the proposal in September, and now we are
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`moving to some sort of presentation in November, which is
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`Cedergren - direct by Wallace
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`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 28 of 86 PageID #:5257
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`sort of fast-forwarded a few months; is that right?
`
`A.
`
`Q.
`
`Okay. Sure.
`
`Now let's turn to Page 5 of this document.
`
`We have "LCM" at the top. That's Lifecycle
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`Management, correct?
`
`A.
`
`Q.
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`Yes.
`
`Okay. And on this slide we have some of the discussion
`
`of why Hospira is engaging in lifecycle management for the
`
`Precedex product, correct, Dr. Cedergren?
`
`A.
`
`Q.
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`Yes.
`
`And the first point here -- I think we talked about this
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`before, but it's the only proprietary product for Hospira.
`
`Do you see that?
`
`Yes.
`
`And proprietary product, that means it's their only
`
`A.
`
`Q.
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`branded product; is that fair?
`
`A.
`
`Q.
`
`Yes.
`
`All the other products Hospira was selling at this time
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`were generic products, right?
`
`A.
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`Q.
`
`Correct.
`
`And it says in the second bullet point, there is a large
`
`investment into expanding the label.
`
`Do you see that?
`
`Yes.
`
`Do you know what that was referring to?
`
`A.
`
`Q.
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`Cedergren - direct by Wallace
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`Case: 1:16-cv-00651 Document #: 137 Filed: 08/07/18 Page 29 of 86 PageID #:5258
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`A.
`
`Q.
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`I wasn't involved in that, no.
`
`That's fair.
`
`Now, the third bullet point here identifies that
`
`the reason for lifecycle management at Hospira was to protect
`
`the market from generic competition when the patent expires.
`
`Do you see that?
`
`Yes.
`
`And the patent that that's talking about is the patent
`
`A.
`
`Q.
`
`on the compound of dexmedetomidine, correct?
`
`A.
`
`Q.
`
`A.
`
`Q.
`
`I assume so. I don't know.
`
`And that was expiring in July 2013, correct?
`
`That's what it states.
`
`So the goal within Hospira was to get a new product on
`
`the market to extend the life of the Precedex product line,
`
`correct?
`
`A.
`
`Q.
`
`I couldn't say that.
`
`It was explained to you that it was important to get a
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`new product on the market to protect the Precedex brand from
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`generic competition, right?
`
`A.
`
`Q.
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`That's what this document says.
`
`And that's the type of information you would have
`
`expected to be communicated to you in this meeting?
`
`A.
`
`Q.
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`If I was at this meeting,