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` UNITED STATES PATENT AND TRADEMARK OFFICE
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` __________________
`
` BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
` __________________
`
` AMNEAL PHARMACEUTICALS, LLC
`
` Petitioner
`
` vs.
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` SUPERNUS PHARMACEUTICALS, LLC
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` Patent Owner
`
` U.S. Patent Nos. 8,394,405,
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` 8,394,406 and 8.206,740
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` __________________________
`
` Cases IPR2013-00368, IPR2013-00371,
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` and IPR2013-00372
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` __________________________
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` CONFIDENTIAL - PURSUANT TO PROTECTIVE ORDER
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` VIDEOTAPED DEPOSITION OF GUY F. WEBSTER, M.D.
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` Friday, May 9, 2014
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` New York, New York
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`Reported by:
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`Robin LaFemina
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`Ref. No.: 11688
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`CONFIDENTIAL - PURSUANT TO PROTECTIVE ORDER
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`Page 2
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` May 9, 2014
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` 9:06 a.m.
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` Videotaped Deposition of GUY F.
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`WEBSTER, M.D., held at the offices of Paul
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`Hastings, 75 East 55th Street, New York, New
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`York, pursuant to Notice, before Robin
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`LaFemina, a Registered Professional
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`Reporter, Certified LiveNote Reporter and
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`Notary Public within and for the State of
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`New York.
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`A P P E A R A N C E S:
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` STERNE KESSLER GOLDSTEIN FOX
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` Attorneys for Petitioner
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` 1100 New York Avenue, NW
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` Washington, DC 20005
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` BY: PAUL AINSWORTH, ESQ.
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` painsworth@skgf.com
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` 202.772.8783
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` -and-
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` R. WILSON "TREY" POWERS III, Ph.D.
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` tpowers@skgf.com
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` 202.772.8876
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` PAUL HASTINGS LLP
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` Attorneys for Patent Owner
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` 191 North Wacker Drive
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` Thirteenth Floor
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` Chicago, Illinois 60606
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` BY: GREGORY A. MORRIS, PH.D., ESQ.
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` gregorymorris@paulhastings.com
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` 312.499.6064
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`APPEARANCES (Continued):
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` PAUL HASTINGS LLP
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` Attorneys for Patent Owner
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` 75 East 55th Street
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` New York, New York 10022
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` BY: EVAN D. DIAMOND, ESQ.
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` evandiamond@paulhastings.com
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` -and-
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` JENNIFER NGUYEN, ESQ. (p.m. session)
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` jennifernguyen@paulhastings.com
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` 212.318.6000
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`ALSO PRESENT:
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` ALINSON GONZALEZ, Videographer
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` Confidential
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` THE VIDEOGRAPHER: This is media
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` number 1 of the video deposition of Dr.
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` Guy Webster in the matter of Amneal
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` Pharmaceuticals, LLC versus Supernus
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` Pharmaceuticals, Inc., Case No. IPR
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` 2013-00358, IPR 2013-00371 and IPR
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` 20130-0372 on May 9, 2014 at
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` approximately 9:06 a.m.
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` My name is Alinson Gonzalez and
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` I am the legal video specialist.
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` The court reporter today is
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` Ms. Robin LaFemina.
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` Will counsel please introduce
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` themselves beginning with the party
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` noticing this proceeding.
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` MR. AINSWORTH: Paul Ainsworth
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` with Sterne Kessler Goldstein & Fox on
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` behalf of Amneal.
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` MR. POWERS: Trey Powers on
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` behalf of -- sorry -- with Sterne
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` Kessler Goldstein & Fox on behalf of
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` Amneal.
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` MR. DIAMOND: Evan Diamond from
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` Paul Hastings on behalf of Supernus and
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` the witness.
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` MR. MORRIS: Gregory Morris from
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` Paul Hastings on behalf of Supernus and
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` the witness.
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` THE VIDEOGRAPHER: Will the
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` court reporter please swear in the
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` witness.
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`G U Y F. W E B S T E R,
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` called as a Witness, having been first
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` duly sworn by Robin LaFemina, a Notary
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` Public within and for the State of New
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` York, was examined and testified as
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` follows:
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`EXAMINATION BY
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`MR. AINSWORTH:
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` Q. Good morning, Dr. Webster.
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` A. Good morning.
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` Q. Could you please state your full
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`name for the record?
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` A. Guy F. Webster.
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` Q. And, Dr. Webster, you have had
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`your deposition taken before; is that correct?
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` A. Yes.
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` Q. On how many occasions?
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` A. Three, four.
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` Q. So you're generally familiar
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`with the procedure for a deposition?
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` A. Yes.
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` Q. You understand that you're here
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`today to testify under oath?
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` A. Yes.
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` Q. And if any of my questions to
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`you today are unclear, will you let me know?
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` A. Yes.
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` Q. And if you answer my question,
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`can I assume you understood it?
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` A. You can assume I understood what
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`I thought you asked.
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` Q. Dr. Webster, you are a
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`practicing dermatologist; is that correct?
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` A. Yes.
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` Q. In your current practice,
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`approximately how many patients do you treat
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`for rosacea?
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` A. Hundreds.
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` Q. Hundreds?
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` A. (Witness nods head.)
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` Q. 500?
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` A. Probably not.
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` Q. Less than 500?
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` A. Yeah.
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` Q. Less than 300?
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` A. These aren't things that I count
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`and they come in at irregular intervals, but
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`I see rosacea patients most days.
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` Q. Okay.
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` What oral treatments do you
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`prescribe for rosacea?
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` A. I prescribe Oracea mainly.
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` Q. Any other oral treatments that
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`you prescribe for rosacea?
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` A. Doxycycline when I can't get an
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`Oracea. Oracea is the better drug by far,
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`it's got low side effects, it's
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`subantimicrobial, it is a single day --
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`single day administrated -- administered
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`drug, so it's better than the generic doxy,
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`but you can't always get generic doxy for
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`patients -- you can't always get Oracea for
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`patients, so you have to do generic doxy.
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` Q. And both Oracea and -- Oracea is
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`also a doxycycline product; correct?
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` A. Yes.
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` Q. And when you prescribe generic
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`doxycycline, at what dosage strength do you
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`prescribe it?
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` A. Typically 50, sometimes a
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`hundred.
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` Q. When you are treating a flare-up
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`of rosacea, do you prescribe higher doses of
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`doxycycline?
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` A. What --
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` MR. DIAMOND: Objection to form.
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` A. What do you mean by flare-up?
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` Q. Is flare-up a term that you ever
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`use with respect to symptoms of rosacea?
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` A. Perhaps, but I don't know what
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`you mean by it. A flare-up could be that
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`you're well maintained on drug and all of a
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`sudden you explode or it could be that
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`you're on no drug and you explode and you
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`would treat those differently.
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` Q. So -- and when you explode, you
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`mean they present symptoms of lesions; is
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`that correct?
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` MR. DIAMOND: Objection to form.
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` A. It could be that or it could be
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`severe blushing and flushing. It could be a
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`worsening of eye disease, which is also a
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`feature of rosacea.
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` Q. When someone is presently not on
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`any treatment for rosacea and they are
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`experiencing lesions, do you prescribe --
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`what dose of doxycycline do you prescribe?
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` A. I prescribe Oracea.
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` Q. Approximately between your
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`patients that you're prescribing Oracea and
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`doxycycline to, what percentage are you
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`prescribing generic doxycycline?
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` A. I've never looked at it, I don't
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`know. It would depend on what their
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`insurance covers mainly.
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` Q. Do you ever initiate therapy
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`with doxycycline at higher levels and then
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`taper down when you're treating rosacea?
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` A. I did that more in the old days
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`before Oracea. As Oracea has come out,
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`we've appreciated that it is as good for
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`most patients as higher levels of doxycycline.
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`So I have a lot in the past. I don't know
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`if I have lately. I may have.
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` Q. So on occasions you may have
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`prescribed higher doses of doxycycline?
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` MR. DIAMOND: Objection to form.
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` A. I may have.
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` Q. Do you also prescribe topical
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`treatments for treating rosacea?
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` A. I do.
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` Q. What topical treatments do you
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`prescribe?
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` A. Mainly metronidazole. There are
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`patients who also have secondary problems
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`with irritation or secondary problems with a
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`second disease like atopic dermatitis,
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`eczema, or seborrheic dermatitis, and in
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`those patients they get drugs to treat those
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`second problems as well.
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` Q. When you're prescribing topical
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`treatment, are you also prescribing it in
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`conjunction with an oral treatment?
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` A. I tend not to.
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` Q. In what situations do you not
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`prescribe a doxycycline product and only
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`prescribe a topical product?
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` A. The more severe patients will
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`get the doxycycline product. Patients with
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`milder disease or patients who say I don't
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`want to take a pill of which there is some
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`will get the cream.
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` Q. When you are placing a patient
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`on Oracea, do you ever provide them with
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`free samples when you are starting them off?
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` MR. DIAMOND: Objection to form.
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` Outside the scope.
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` A. You've hit on a hot button of
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`mine. I think free samples are a waste of
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`everybody's money. You can't judge on one
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`or two pills basis whether or not a drug is
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`going to work. I don't know what benefit
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`they prescribe, so no, I don't.
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` Q. You don't ever give out samples?
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` A. Almost never.
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` Q. Are you aware of any studies
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`evaluating the use of samples among
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`dermatologists treating acne and rosacea?
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` MR. DIAMOND: Objection to form.
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` Outside the scope.
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` A. I am not aware of any of those
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`studies.
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` Q. Are you aware that other
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`dermatologists will prescribe samples to
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`patients when they're prescribing Oracea?
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` MR. DIAMOND: Objection.
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` Outside the scope.
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` A. I am aware that samples are
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`provided, I am aware that the drug companies
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`think they're useful to their marketing.
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`There must be people who use them.
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` Q. Doctor, I am handing you what
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`has been previously marked as Amneal 1001,
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`1007 and 1009.
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` MR. DIAMOND: I just have 406.
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` MR. POWERS: One second.
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` MR. DIAMOND: Okay.
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` Q. Doctor, do you recognize --
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` MR. DIAMOND: Could you hold on
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` just a second, Paul? I haven't been
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` handed all of the exhibits. Thank you.
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` MR. AINSWORTH: Well, I'm sure
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` you've seen them before.
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` Q. Doctor --
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` MR. DIAMOND: Can you hold on
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` until I get all the exhibits? I would
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` really appreciate it.
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` Q. Doctor, have you -- are you
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`familiar with the three exhibits in front of
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`you?
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` A. I have seen them.
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` Q. And have you -- let's just focus
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`on the one marked as Amneal 1001, which is
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`the '740 patent.
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` A. Here it is.
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` Q. Have you read the '740 patent
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`before?
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` A. I've looked over it.
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` Q. You've looked over it?
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` A. Yes.
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` Q. Have you read it carefully?
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` A. No.
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` Q. Have you reviewed the claims of
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`the '740 patent, Doctor?
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` A. I've relied on the report of Dr.
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`Rudnic to determine whether or not Oracea is
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`covered under the claims of these patents.
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` Q. That wasn't my question, Doctor.
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`My question was have you reviewed the claims
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`of the '740 patent?
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` A. I've reviewed Dr. Rudnic's
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`analysis of the claims and that these drugs
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`or this drug is covered under those patents.
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` Q. Doctor, again, that wasn't my
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`question. Have you reviewed personally the
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`claims of the '740 patent?
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` A. Not farther than Dr. Rudnic's
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`analysis.
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` Q. So the answer is no?
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` MR. DIAMOND: Objection to form.
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` A. I've not reviewed the patents
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`other than looking at Dr. Rudnic's analysis
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`with regard to the claims.
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` Q. As with the '740 patent, would
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`the same answer be true for the '405 and the
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`'406 patent?
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` A. The same answer would be true
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`that I relied on Dr. Rudnic.
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` Q. Now, Doctor, what is your
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`understanding of the invention of the '740
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`patent?
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` MR. DIAMOND: Objection to form.
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` Outside the scope.
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` MR. AINSWORTH: Counsel, your
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` objections are beyond what is permitted
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` under the PTAB rules and if they
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` continue, we're going to have an issue.
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` Please keep them to the objections
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` consistent with the PTAB rules.
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` MR. DIAMOND: I believe
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` objection to form and outside the scope
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` are objections that are not only
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` consistent with the PTAB rules, but
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` objections made by your co-counsel in
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` several of our depositions, so I
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` disagree.
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` MR. AINSWORTH: If it continues,
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` counsel, we will take it to the PTAB.
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` MR. DIAMOND: I disagree.
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` Q. Doctor, what is your
`
`understanding of the invention of the '740
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`patent?
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` MR. DIAMOND: Objection to form.
`
` A. My understanding of the
`
`invention is that the '740 patent describes
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`the drug that was produced, Oracea, in the
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`30:10 composition that gave it the
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`characteristics that have been so successful,
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`that made it single dosage delayed release
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`resulted in low side effects, resulted in
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`subantimicrobial levels, all of which are
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`desirable and long awaited.
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` Q. What is your understanding of
`
`the invention of the '405 patent?
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` MR. DIAMOND: Objection to the
`
` extent it calls for legal conclusion.
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` Outside the scope.
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` A. Well, as Dr. Rudnic said, the
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`'405 patent describes the drug that we have
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`named Oracea.
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` Q. Do you have any understanding of
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`the differences between the '740 patent and
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`the '405 patent?
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` A. I --
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` MR. DIAMOND: Objection.
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` Outside the scope.
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` A. I completely relied on Dr.
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`Rudnic for any patent claims discussion.
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` Q. So you do not have an
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`understanding of the differences between the
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`'405 patent and the '740 patent?
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` A. I did not consider them for my
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`declaration.
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` Q. And the same question with
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`respect to the '406 patent. Do you have any
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`understanding of the differences as to what
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`is claimed in the '406 patent and what is
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`claimed in the '740 patent?
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` A. As far as writing my
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`declaration, I just relied on Dr. Rudnic's
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`testimony that they covered and described
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`the drug that we're talking about.
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` Q. And did you consider any
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`differences between the '740 patent and the
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`'406 patent in preparing your opinions in
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`this case?
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` A. In preparing my declaration, I
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`relied on Dr. Rudnic's assertions that the
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`drug was covered by those patents.
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` Q. Again, Doctor, that wasn't my
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`question.
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` My question was: Did you
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`consider any differences between the '740
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`patent and the '406 patent in preparing your
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`opinions in this case?
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` MR. DIAMOND: Objection to form.
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` A. I strictly relied on Dr.
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`Rudnic's acceptance and went no further in
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`analysis of the claims.
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` Q. Doctor, we're going to be here a
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`long time if you don't answer my questions.
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`My question was did you consider any
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`differences between the claims of the '740
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`patent and the '406 patent in preparing your
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`opinions today?
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` MR. DIAMOND: Objection to form.
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` Argumentative.
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` A. I relied on Dr. Rudnic's
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`consideration of whatever differences there
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`might be, accepted his conclusion and then
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`focused on my declaration.
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` Q. So with respect to your opinion,
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`Doctor, are you aware of any differences
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`between the '740 patent and the '406 patent
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`that's relevant to your opinions?
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` A. I didn't consider them that way.
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`I relied on Dr. Rudnic. I'm not aware of
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`differences relevant to my opinion.
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` Q. And is the same true for your
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`opinions with respect to the '405 patent?
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` A. The same is true.
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` Q. Doctor, I'm handing you what has
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`been previously marked as Supernus Pharms.
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`Exhibit 2018 in the IPR 2013-00368 case,
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`2018 in the 2013-0031 case and 2018 in the
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`2013-00372 case.
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` Doctor, do you recognize these
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`three exhibits?
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` A. Yes, I do.
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` Q. What are these three exhibits?
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` A. These are my declarations.
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` Q. And these are your declarations
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`for the '740 patent, the '405 patent and the
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`'406 patent; correct?
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` A. Correct.
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` Q. Are you aware of any material
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`differences between your three declarations,
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`Doctor?
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` A. The three declarations say
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`substantially the same thing. There may be
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`subtle differences, but I'm not aware of
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`them.
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` Q. For simplicity purposes, can we
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`focus on the declaration related to the '740
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`patent?
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` MR. DIAMOND: Objection to form.
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` Q. Is that fair?
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` A. What was the question?
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` Q. For simplicity purposes, can we
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`focus on your declaration related to the
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`'740 patent?
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` MR. DIAMOND: Objection to form.
`
` Q. And if you think of any
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`differences that may occur in your other
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`directions, would you let me know?
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` A. (Witness nods head.)
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` Q. And you understand, Doctor --
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`did you prepare that declaration?
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` A. With the assistance of counsel,
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`yes.
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` Q. Did you review that declaration
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`carefully?
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` A. Very.
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` Q. And did you understand that this
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`is a declaration made under penalty of
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`perjury?
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` A. Yes.
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` Q. Turning to paragraph 16 of your
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`declarations on page 9, paragraph 16 is
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`summarizing some of your opinions with
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`respect to the '740 patent; is that correct?
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` A. That is correct.
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` Q. In the first sentence, you
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`state: In my opinion, the community of
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`patients affected by rosacea and the doctors
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`who treated those patients had a long-felt
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`need that -- I'm sorry --long-felt, but
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`unmet need for a rosacea treatment that
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`could be orally administered once-daily with
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`minimal side-effects over prolonged periods
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`of time.
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` Do you see that?
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` A. I do.
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` Q. When you are referring to
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`prolonged periods of time, what periods of
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`time were you referring to?
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` A. A rosacea patient could need
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`treatment for years.
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` Q. Are you familiar with the
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`prescribing information for rosacea, Doctor?
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` MR. DIAMOND: Objection to form.
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` A. Which prescribing information?
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` Q. The label.
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` A. On?
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` Q. On Oracea.
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` A. Generally.
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` Q. Do you know what the FDA has
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`approved in terms of the period of time that
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`the efficacy has been shown for treating
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`rosacea with Oracea?
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` A. I would be happy to look at the
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`label if you have it.
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` Q. I'm just asking you, do you know?
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` A. I do not know. I would suspect
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`it's a year or under.
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` (Amneal Exhibit 1035, package
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` insert for Oracea, marked for
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` identification, as of this date.)
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` Q. Doctor, I'm handing you what has
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`been marked as Amneal 1035.
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` A. Could it be any smaller?
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` Q. Do you recognize what is marked
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`as Amneal 1035?
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` A. This is the package insert for
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`Oracea.
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` Q. Sometimes referred to as the
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`label?
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` A. Yes.
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` Q. And if you go down to
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`indications and usage, it's on the left-hand
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`column toward the bottom.
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` A. Yes.
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` Q. Do you see it states: Efficacy
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`of Oracea beyond 16 weeks and safety beyond
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`nine months have not been established?
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` A. I see that.
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` Q. Do you disagree with the
`
`statement that the efficacy of Oracea beyond
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`16 weeks and safety beyond nine months has
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`not been established?
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` MR. DIAMOND: Objection to form.
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` A. I neither agree nor disagree
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`with it in the practical sense. The FDA
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`evaluates the data that they are presented.
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`Sometimes they look for longer data when
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`they think a drug may be dangerous when used
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`chronically. They apparently didn't ask for
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`that in the case of Oracea or there would
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`have been longer data presented. They
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`believed it to be safe within these time
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`periods and presumed longer. FDA is very,
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`very cautious about approving dangerous
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`drugs for diseases that are less than life
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`threatening and safety is really paramount
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`in their view, maybe even more so than
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`efficacy for certain things.
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` Q. But with respect to Oracea, FDA
`
`has only found Oracea to be effective or is
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`not -- I'm sorry -- has found that the
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`efficacy of Oracea has not been established
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`beyond 16 weeks; correct?
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` MR. DIAMOND: Objection to form.
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` A. I think a better way to make the
`
`statement would be to say that the FDA has
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`asked for data up to 16 weeks and failed to
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`see the need for further data regarding
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`longer administration because they know full
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`well that it will be given longer and
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`they're very familiar with doxycycline.
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` Q. Doctor, but the approved
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`labeling for Oracea states that the efficacy
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`has not been established beyond 16 weeks;
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`correct?
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` MR. DIAMOND: Objection to form.
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` A. I can read the statement here,
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`as you have, but that doesn't put it in the
`
`proper perspective.
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` Q. Doctor, the FDA approved
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`labeling states that Oracea has not been
`
`found to be efficacious beyond 16 weeks;
`
`correct?
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` MR. DIAMOND: Objection to the
`
` form.
`
` A. The FDA approved labeling says
`
`that they have no data greater than 16 weeks
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`and implicit in that is that they haven't
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`asked for it and they haven't asked for it
`
`because they had no concern.
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` Q. Have you seen any well-controlled
`
`clinical studies that show efficacy beyond
`
`16 weeks for Oracea?
`
` A. I don't know.
`
` Q. And you didn't cite any such
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`studies in your declaration; correct?
`
` A. Let me look at my declaration.
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` I would have to look at the
`
`Berman and Bikowski and Del Rosso articles
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`to make sure that they didn't mention the
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`length of therapy. I didn't address it in
`
`my declaration.
`
` Q. Turning back to your
`
`declaration, paragraph 16, Doctor, in the
`
`next sentence of paragraph 16, you state:
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`Oracea - an embodiment of the '740 patent
`
`consisting of a 30 mg. immediate release and
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`a 10 mg. delayed release dose of doxycycline
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`(30 mg. IR, 10 mg. DR) for once-daily
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`administration - fulfilled that need by
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`providing a once-daily treatment for rosacea
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`that is effective and remains below blood
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`levels linked to the side effects of
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`traditional antibiotic doxycycline dosages.
`
` Do you see that?
`
` A. I do see that.
`
` Q. When you refer to the side
`
`effects of traditional antibiotic
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`doxycycline dosages, what side effects were
`
`you referring to?
`
` A. The side effects of -- first the
`
`concern about inducing antibiotic
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`resistance, which is a real concern, and
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`second -- and yeast infections and all the
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`consequences of altering the microbial
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`floor, GI upset in its various floors which
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`oral doxycycline in higher doses is
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`notorious for and which Oracea is
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`essentially free of problems, sunburning
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`which is a big deal with higher dosages.
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` Q. So I have antibiotic resistance,
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`yeast infections, GI upset and sunburning.
`
`Are those --
`
` A. And dizziness sometimes as well.
`
` Q. Dizziness?
`
` A. And there's another longer list,
`
`but those are the relevant ones that you see
`
`in practice, and you don't see them with
`
`Oracea.
`
` Q. So, Doctor, when you said -- I
`
`just want to make sure -- besides antibiotic
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`resistance, yeast resistance, GI upsets,
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`sunburning and dizziness, are there any
`
`other side effects of traditional antibiotic
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`doxycycline dosages that come to mind?
`
` A. There is the endless list which
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`is on every drug that contains every
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`horrible possible side effect, but those are
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`the common ones that are really at play in
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`every day practice.
`
` Q. Now, Doctor, in your statement
`
`here, you indicate that there are blood
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`levels linked to the side effects of these
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`traditional antibiotic doxycycline dosages;
`
`correct?
`
` A. That's what I say in my
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`declaration.
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` Q. What blood level is linked with
`
`the side effect of trading antibiotic
`
`resistant bugs?
`
` A. Blood levels in the antibiotic
`
`range.
`
` Q. So what blood levels are those?
`
` A. I don't know the blood levels
`
`offhand. I know they result from dosing at
`
`100 or 50 or 200 a day of doxycycline.
`
` Q. And what blood levels are linked
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`to the side effect of yeast infections?
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` A. Blood levels that result in
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`antibiotic activity which Oracea doesn't
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`reach.
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` Q. What blood levels are linked to
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`side effects of a GI upset?
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` A. That's a somewhat idiosyncratic
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`reaction. It also depends on how much water
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`you drink it with and what position you stay
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`in. There are patients who get it at modest
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`doses like even 50 a day and patients who do
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`fine at higher doses, so there's not exactly
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`a dose correlation. Clearly, the more you
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`take, the higher the risk.
`
` Q. You say clearly the more dosage
`
`you take, there's a higher risk of
`
`gastrointestinal upset?
`
` A. Yes. That's what you see in
`
`practice.
`
` Q. And do you see GI upset with
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`Oracea?
`
` A. I've not ever.
`
` Q. Really?
`
` A. Really. Not once.
`
` Q. We'll come back to that.
`
` Sunburning, what blood levels
`
`are linked to the side effect of sunburning
`
`with doxycycline?
`
`TransPerfect Legal Solutions
`212.400.8845 - Depo@TransPerfect.com
`
`
`
`CONFIDENTIAL - PURSUANT TO PROTECTIVE ORDER
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` A. Same answer as GI upset. Not a
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`direct correla