throbber
UNITED STATES PATENT AND TRADEMARK OFFICE
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`____________
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`BEFORE THE PATENT TRIAL AND APPEAL BOARD
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`____________
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`COALITION FOR AFFORDABLE DRUGS II LLC
`Petitioner
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`v.
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`NPS PHARMACEUTICALS, INC.
`Patent Owner
`____________
`
`Case IPR2015-00990
`Patent 7,056,886
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`
`____________
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`DECLARATION OF JOHN F. CARPENTER, PH.D.
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`IN SUPPORT OF PATENT OWNER’S RESPONSE
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`TABLE OF CONTENTS
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`Page
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`INTRODUCTION .......................................................................................... 1
`I.
`SUMMARY OF QUALIFICATIONS ........................................................... 1
`II.
`III. MATERIALS CONSIDERED ....................................................................... 4
`IV. UNDERSTANDING OF THIS PROCEEDING ........................................... 4
`V.
`LEGAL PRINCIPLES APPLIED AND LEVEL OF SKILL ........................ 6
`VI. THE ‘886 PATENT AND THE CHALLENGED CLAIMS ......................... 7
`VII. TECHNICAL BACKGROUND AND STATE OF THE ART IN 1999 ..... 11
`VIII. THE COMMERCIAL EMBODIMENT OF THE ‘886 PATENT .............. 18
`IX. THE PETITIONER’S CHALLENGES - OBVIOUSNESS ........................ 23
`X.
`SUMMARY OF NON-OBVIOUSNESS OF EACH CHALLENGED
`CLAIM.......................................................................................................... 28
`XI. THE FIELD OF THE INVENTION AND LEVEL OF ORDINARY
`SKILL IN THIS ART ................................................................................... 34
`XII. THE PRIOR ART ......................................................................................... 36
`A. Drucker ‘379 ....................................................................................... 36
`B. Drucker ‘600 ....................................................................................... 37
`C. Osterberg ............................................................................................ 38
`D. Kornfelt............................................................................................... 39
`E.
`Holthiuis ............................................................................................. 42
`F. Munroe ............................................................................................... 43
`XIII. SURPRISING AND UNEXPECTED RESULTS OF THE ‘886
`PATENT INVENTION ................................................................................ 43
`XIV. STABILIZATION OF GLUCAGON IS NOT PREDICTIVE OF
`STABILIZATION OF GLP-2 ...................................................................... 46
`XV. HISTIDINE IS A PROBLEMATIC EXCIPIENT ....................................... 51
`XVI. THERE IS NO MOTIVATION TO COMBINE, AND THERE ARE
`CLEAR TEACHINGS AWAY FROM PETITIONER’S
`COMBINATIONS ........................................................................................ 54
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`I.
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`INTRODUCTION
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`1.
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`2.
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`I, John Frank Carpenter, Ph.D., hereby declare as follows:
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`I have been retained by counsel for Patent Owner NPS
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`Pharmaceuticals, Inc. as an expert in formulation science to address topics relevant
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`to the subject matter of this inter partes review proceeding involving certain claims
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`of U.S. Patent No. 7,056,886 (Ex. 1003; the “ʼ886 patent”). I am being
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`compensated at the rate of $690 per hour. My compensation is in no way
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`dependent on the outcome of this case.
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`II.
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`SUMMARY OF QUALIFICATIONS
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`3. My curriculum vitae is Ex. 2043.
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`4.
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`I am a tenured Professor of Pharmaceutical Sciences and the Co-
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`Director of the Center for Pharmaceutical Biotechnology at the University of
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`Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences.
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`5.
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`I received a Bachelor of Science degree in Zoology from Duke
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`University, a Masters of Science from Oregon State University, and a Ph.D. in
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`Biology from the University of Louisiana, Lafayette in 1978, 1981, and 1985,
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`respectively.
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`6.
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`I was a Visiting Lecturer at the University of California, Davis from
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`1987-1988 and also a Postdoctoral Research Associate in Biophysics during that
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`time at UC Davis.
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`7.
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`8.
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`I was a Senior Scientist at CryoLife, Inc. from 1988-1992.
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`I was an Assistant Professor of Pharmaceutical Biotechnology at the
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`University of Colorado from 1993 to 1998; from 1998-2004, I was a tenured
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`Associate Professor of Pharmaceutical Biotechnology at the University of
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`Colorado Health Sciences Center; and from 2004 until present I have been a
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`tenured Professor of Pharmaceutical Sciences at the University of Colorado Health
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`Sciences Center.
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`9.
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`Since 1993 I have been Graduate Faculty at University of Colorado
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`Health Sciences Center.
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`10. Since 1997 I have been the Co-Founder and Co-Director of the Center
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`for Pharmaceutical Biotechnology at University of Colorado.
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`11. Since 1997 I have also been Graduate Faculty as the University of
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`Colorado, Boulder.
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`12. From 2000 to 2003, I was Associate Director of the Pharmaceutical
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`Sciences Graduate Training Program in the Department of Pharmaceutical
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`Sciences, University of Colorado.
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`13. From 2004 to 2008, I was Director of the Pharmaceutical Sciences
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`Graduate Training Program in the Department of Pharmaceutical Sciences,
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`University of Colorado.
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`14. From 2001 to 2010, I was Co-Director, NIH Training Grant,
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`Leadership Training in Pharmaceutical Biotechnology, University of Colorado.
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`15. Since 2012, I have been Director of Business Development,
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`University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences.
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`16.
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`I have published more that 250 peer-reviewed publications in the field
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`of protein/peptide formulation, consulted for dozens of pharmaceutical companies
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`internationally, and have been an invited lecturer at conferences, pharmaceutical
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`companies and universities around the world.
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`17.
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`I was elected a Fellow of the American Association for the
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`Advancement of Science in 2009. I was awarded a Research Achievement Award
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`in Biotechnology, American Association of Pharmaceutical Scientists in 2007. I
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`was awarded the Ebert Prize, AphA, Journal of Pharmaceutical Sciences, in 2007.
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`My other scientific honors and awards are listed in my curriculum vitae, which
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`also includes a list of my publications, patents, grant activity, presentations, and
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`teaching activity.
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`18. Over the course of my career, I have more than three decades of
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`experience in studies including protein/peptide formulation development;
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`protein/peptide degradation and stabilization during processing storage and
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`administration to patients; rational development of stable lyophilized formulations;
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`mechanisms by which excipients provide stabilization or fail to stabilize
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`proteins/peptide during freezing, drying and storage in the dried solid; and
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`development and testing of advanced analytical methods.
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`III. MATERIALS CONSIDERED
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`19.
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`In reaching the conclusions set forth below, I have relied on my close
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`to three decades of experience in pharmaceutical studies and have specifically
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`considered the '886 patent, relevant portions of the Coalition For Affordable Drugs
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`II LLC’s (“Petitioner”) Petition for inter partes review (“IPR”) (Paper 1; the
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`“Petition”) and exhibits thereto, Patent Owner’s Preliminary Response (Paper 19),
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`the declaration of Dr. Anthony Palmieri (the “Palmieri Declaration”; Exh. 1001),
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`the transcript of the deposition of Dr. Anthony Palmieri on December 10, 2015 (the
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`“Palmieri Dep; Exh. 2042) and the other materials cited below.
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`IV. UNDERSTANDING OF THIS PROCEEDING
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`20.
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`I understand that this is an inter partes review (“IPR”) proceeding
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`conducted before the Patent Trial and Appeal Board (“Board”) of the U.S. Patent
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`and Trademark Office (“PTO”) to determine if claims 46-52 and 61-75 of the '886
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`patent (the challenged claims) should be cancelled as unpatentable. I understand
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`that Petitioner requested institution of this proceeding through a Petition dated
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`April 1, 2015, and that the Petition asserted that the challenged claims of the '832
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`patent are invalid as obvious over combinations of references. Pet. at 8. The
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`Petition was accompanied by a declaration of Dr. Anthony Palmieri.
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`21.
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`I understand that on July 24, 2015 Patent Owner submitted a
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`Preliminary Response in opposition to Petitioner’s Petition.
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`22.
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`I understand that the Board, in a decision on October 23, 2015,
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`decided to institute an IPR.
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`23.
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`I understand that the Board has not made any determination that the
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`challenged claims are in fact obvious; the Board has only determined that, on the
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`record then before it, the Petition satisfied the threshold standard for instituting this
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`proceeding, by showing a “reasonable likelihood that Petitioner would prevail in
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`establishing the unpatentability” of the challenged claims.
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`24.
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`I am not an attorney. However, I have been advised of the following
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`legal principles, and they have helped to form my conclusions in this report.
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`25. An invention that is patentable in the United States must not be, inter
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`alia, obvious. 35 U.S.C. § 103.
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`26. Obviousness is a question of law based upon (1) the scope and content
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`of the prior art, (2) the claims at issue, (3) the level of ordinary skill in the art, and
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`(4) objective evidence of secondary considerations. Routine experimentation does
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`not render an otherwise obvious claim valid. Obviousness only calls for a
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`reasonable expectation of success, not a guarantee.
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`27. To establish obviousness in view of a combination of references,
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`Petitioner must set forth sufficiently articulated reasoning with rational
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`underpinnings of why one skilled in the art would have been motivated to combine
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`the teachings of those references to derive the claimed subject matter and would
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`have had a reasonable expectation of success in doing so. Bumble Bee Foods, LLC
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`v. Kowalski, IPR2014-00224, Paper 18, 25-26 (PTAB June 20, 2014).
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`Furthermore, “[a] reference may be said to teach away when a person of ordinary
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`skill, upon reading the reference would be discouraged from following the path set
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`out in the reference or would be led in a direction divergent form the path taken by
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`the applicant.” Ricoh Corp. v. Quanta Computer Inc., 550 F.3d 1325, ____
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`(Fed.Cir. 2008).
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`V. LEGAL PRINCIPLES APPLIED AND LEVEL OF SKILL
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`28.
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`I understand that the ʼ886 patent must be read from the perspective of
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`a person of ordinary skill in the relevant art at the time the invention was made,
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`which here is approximately 1999—the earliest filing date listed on the face of the
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`patent is December 30, 1999. I understand the person of ordinary skill in the art is
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`a hypothetical person who is presumed to know the relevant art at the time of the
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`invention.
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`29. The subject to which the challenged claims of the '866 patent are
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`directed are formulations of GLP-2 or an analog that are stabilized at a
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`pharmaceutically tolerable or acceptable pH by a combination of L-histidine,
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`phosphate buffer, and mannitol (46-51) or mannitol or sucrose (52), kits containing
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`the latter formulations (61-68), and methods of using the latter formulations to treat
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`serious intestinal diseases (69-75). These formulations are at a pH that can be
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`administered without patient reactions that preclude further administration (i.e.,
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`pharmaceutically tolerable/acceptable) and are stable, particularly when
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`lyophilized (i.e., six months at ambient temperature, 18 months at 4oC with less
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`than about 5% peptide degradation). This invention resulted in a successfully
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`marketed GLP-2 analog product and an approved drug treatment for short bowel
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`syndrome - GATTEX®. Therefore, the person(s) of ordinary skill to whom the
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`patent is directed would need to have a good understanding of at least: i) peptide
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`formulations; ii) peptide formulation development; iii) and peptide degradation
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`pathways.
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`30.
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`In my opinion, the person(s) of ordinary skill in the art to whom the
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`'886 patent is directed would have been a pharmaceutical protein or peptide
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`formulation scientist with a Ph.D. in pharmaceutical sciences or one of the
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`biological sciences, including molecular biology, biochemistry, and protein
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`chemistry, and would have had relevant post-doctorate experience in designing
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`pharmaceutical formulations of proteins or peptides sufficient to lead, or be an
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`integral part of, a development team.
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`VI. THE ‘886 PATENT AND THE CHALLENGED CLAIMS
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`31. The ’886 patent discloses GLP-2/GLP-2 analog formulations
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`“exhibiting superior stability following storage and/or exposure to elevated
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`temperatures.” Ex. 1003, Abstract. These formulations are at a pH that can be
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`administered without patient reactions that preclude further administration (i.e.,
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`pharmaceutically/physiologically tolerable/acceptable) and are stable, particularly
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`when lyophilized (i.e., six months at ambient temperature, 18 months at 4oC with
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`less than about 5% peptide degradation). Ex. 1003, 11:29-67.
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`32.
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`Independent ‘886 patent claim 46 is directed to formulations of a
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`specified amount of GLP-2 or an analog, a specified amount of L-histidine, an
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`amount of phosphate buffer sufficient to adjust the pH of the formulation to a
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`pharmaceutically tolerable level, and a specified amount of mannitol.
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`33. Claim 47 (dependent from claim 46) specifies that the GLP-2 analog
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`is h(Gly2)GLP-2 which is human GLP-2 in which amino acid residue 2 has been
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`substituted with a glycine residue.
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`34. Claim 48 (dependent from claim 47 specifies that the formulation is
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`lyophilized (i.e., freeze-dried).
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`35. Claim 49 (dependent from claim 47) specifies that the pH of the
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`formulation is greater than about 6.0 or from about 6.9 to about 7.9.
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`36. Claim 50 (dependent from claim 49) specifies that the pH of the
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`formulation is from about 7.3 to about 7.4.
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`37. Claim 51 (dependent from claim 46, specifies that the GLP-2 analog
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`has one or more amino acid substitutions, additions, deletions, or modifications
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`and that it has GLP-2 receptor binding activity.
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`38.
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`Independent claim 52 is directed to formulations of a medically useful
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`amount of a natural GLP-2 peptide or an analog, an amount of phosphate buffer
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`sufficient to adjust the pH of the formulation to a physiologically tolerable level,
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`an amount of L-histidine sufficient to stabilize the formulation, and mannitol or
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`sucrose.
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`39.
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`Independent claim 61 is directed to a kit that includes a lyophilized
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`formulation of a GLP-2 or an analog, an amount of phosphate buffer sufficient to
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`adjust the pH of the formulation to a pharmaceutically acceptable level, L-
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`histidine, and mannitol or sucrose. The kit also includes a vial of sterile water for
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`injection and instructions directing how to perform reconstitution.
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`40. Claim 62 (dependent from claim 61) specifies that the pH of the
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`formulation is greater than about 6.0 or from about 6.9 to about 7.9.
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`41. Claim 63 (dependent from claim 62) specifies that the pH of the
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`formulation is from about 7.3 to about 7.4.
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`42. Claim 64 (dependent from claim 63) specifies that the GLP-2 analog
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`is h(Gly2)GLP-2.
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`43. Claim 65 (dependent from claim 61) adds an injection device to the
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`kit.
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`44. Claim 66 (dependent from claim 61) specifies that following
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`reconstitution the formulation in the kit is stable for at least about 12 hours.
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`45. Claim 67 (dependent from claim 61) specifies that the formulation in
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`the kit is stable for up to about 24 hours.
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`46. Claim 68 (dependent from claim 61) specifies that the GLP-2 analog
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`in the formulation in the kit has one or more amino acid substitutions, additions,
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`deletions, or modifications and that it has GLP-2 receptor binding activity.
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`47.
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`Independent claim 69 is directed to a method of treating humans or
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`animals with a GI disorder, disease, or condition for which GLP-2 treatment is
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`indicated. The method includes administering a therapeutically effective amount
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`of a GLP-2 formulation. The formulation includes a GLP-2 or an analog, an
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`amount of phosphate buffer sufficient to adjust the pH of the formulation to a
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`pharmaceutically tolerable level, L-histidine, and mannitol or sucrose. The
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`treatment enhances, maintains, or promotes the growth or function of the GI tract.
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`48. Claim 70 (dependent from claim 69) specifies that the pH of the
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`formulation used in the method of treatment is greater than about 6.0 or from about
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`6.9 to about 7.9.
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`49. Claim 71 (dependent from claim 70) specifies that the pH of the
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`formulation used in the method of treatment is from about 7.3 to about 7.4.
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`50. Claim 72 (dependent from claim 70) specifies that the GLP-2 analog
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`in the formulation used in the method of treatment is h(Gly2)GLP-2.
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`51. Claim73 (dependent from claim 69) specifies that the administration
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`is by injection.
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`52. Claim74 (dependent from claim 69) specifies that the administration
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`is by infusion.
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`53. Claim 75 (dependent from claim 69) specifies that the GLP-2 analog
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`in the formulation used in the method of treatment has one or more amino acid
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`substitutions, additions, deletions, or modifications and that it has GLP-2 receptor
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`binding activity.
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`VII. TECHNICAL BACKGROUND AND STATE OF THE ART IN 1999
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`54. The formulation of therapeutic proteins and peptides was, before
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`December 30, 1999, and continues to be, a highly unpredictable, complicated and
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`specialized art.
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`55. Protein and peptide therapeutics must be stable during processing
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`steps (e.g., filling of vials or syringes; freeze-drying), immediately after
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`manufacture as well throughout their designated shelf lives to ensure product
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`safety and efficacy. There are numerous physical and chemical factors that can
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`affect the quality and stability of protein and peptide biopharmaceutical products.
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`This is particularly true during long-term storage in a container–closure system
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`likely to be subject to variations in temperature, light, and agitation with shipping
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`and handling. Compared with traditional chemical or small molecule
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`pharmaceuticals, proteins are considerably larger molecular entities with inherent
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`physio-chemical complexities.
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`56. Peptides and proteins differ from conventional chemical entities such
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`as small molecules in their sensitivity to different degradation pathways and
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`stresses. Also, unlike small molecule drugs, which are often administered orally,
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`therapeutic peptides and proteins are administered parenterally; i.e., by injection
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`and infusion. With parenteral administration there are additional product quality
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`and safety requirements including sterility and specifications (e.g., USP 788) levels
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`of subvisible particles. Proteins and peptides are typically more sensitive to slight
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`changes in solution chemistry. They usually remain stable only within a relatively
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`narrow range of pH, are subjected to a variety of chemical and physical
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`degradation processes. The challenges in formulating a protein or peptide are often
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`more difficult than those in formulating a small molecule.
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`57. Formulation scientists typically refer to two broad categories of
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`protein or peptide degradation- physical and chemical. Chemical degradation refers
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`to the formation or destruction of covalent bonds within a protein or peptide.
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`Chemical modifications of protein include hydrolysis, oxidation, disulfide bond
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`scrambling, deamidation, Malliard reaction, succinimide formation,
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`diketopiperazine formation, deglycosylation and desialylation, and enzymatic
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`proteolysis due to proteases. Unfolding, dissociation, denaturation, aggregation,
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`particle formation, fragmentation, adsorption to interfaces, fibril formation,
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`gelation and precipitation are among modifications known as physical degradation
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`of peptides and proteins. Different protein and peptide degradation pathways can
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`promote each other for a given protein or peptide and a given formulation. A
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`chemical event may trigger a physical event, such as when oxidation is followed
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`by aggregation. And unfolding may foster chemical degradation such oxidation of
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`an interior methionine residue that is exposed to solvent in a fully- or partially-
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`unfolded protein molecules.
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`58. Even small levels of degradation can compromise a therapeutic
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`protein or peptide product. For example, even a few percent or less of protein or
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`peptide aggregation or precipitation (i.e., examples of many types of physical
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`degradation) can render a product medically unacceptable.
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`59. One reason that a protein or peptide medicine can often be
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`pharmaceutically unacceptable is if visible particles are observed in the solution,
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`for example, after reconstitution of a lyophilized product. The mass percent of the
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`protein or peptide in these visible particles can be quite low and even less than 1%.
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`Development of a formulation for a given protein or peptide that gives enough
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`stabilization to prevent this is extremely challenging.
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`60. Traces of physical degradation of even a few percent or less of the
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`protein or peptide to soluble aggregates or subvisible particles may result in
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`adverse, unwanted immunogenicity in patients (resulting in loss of drug efficacy),
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`as well as dangerous infusion reactions.
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`61. The foregoing reasons are examples of showing why a relative
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`decrease in degradation of a given protein or peptide during processing and storage
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`is not of value. One must provide quantitative reduction in degradation that keeps
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`degradation to an absolute minimum.
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`62. Chemical degradation of a protein or peptide in a pharmaceutical
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`formulation can result in similar problems, including adverse immunogenicity and
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`reduced potency of the medicine. Chemical degradation may also make the protein
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`or peptide more sensitive to physical degradation.
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`63. This is why every key route of degradation for a given protein or
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`peptide, not just selected ones, should be characterized and inhibited as much as
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`possible for a successful, commercial protein- or peptide-based formulation. The
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`success of a protein or peptide drug often depends upon the delivery of the
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`biologically active form of the protein or peptide to the site of action, as well as
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`minimizing key degradation pathways (which are unique for each product). Failure
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`to develop an adequately stabilized product can result directly in failure to gain
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`approval by regulatory agencies, halting of clinical trials due inadequate product
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`stability, as well as development-halting adverse events during clinical trials. Thus,
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`the medical and commercial success of a therapeutic peptide or protein product is
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`absolutely dependent of meeting the great challenge of developing a properly
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`stabile formulation.
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`64. Each protein and peptide is unique in that it has its own physico-
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`chemical properties, degradation routes, sensitivities to processing stresses (e.g.,
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`the freezing and drying steps of the lyophilization process) and responses to
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`stabilizing excipients. Proteins or peptides with similar sequences may have
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`widely different degradation pathways. They may also have widely different
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`condition requirements for optimal stability and optimal response to stabilizing
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`excipients. For example, typically when formulating a given protein or peptide, the
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`formulation scientist empirically determines the optimal pH in order to minimize
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`physical and chemical degradation pathways. With respect to GLP-2 and glucagon,
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`it has been determined that GLP-2 precipitates to insoluble aggregates at acidic
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`pH’s, whereas glucagon is soluble and resistant to aggregation at very acid
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`conditions of pH 2.8 and lower.
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`65. Formulation science is unpredictable. Protein or peptide formulation
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`development requires extensive and often complicated experimentation. Many
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`excipients that are available to stabilize proteins or peptides during processing
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`(such as during lyophilization) and storage may not yield sufficient stability to a
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`particular protein or peptide because of that protein’s or peptide’s unique critical
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`degradation pathways its unique responses to a specific excipient. In additional,
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`degradation products effects on safety and efficacy are different for each protein or
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`peptide. One illustrative, but non-limiting, example is that oxidation of a
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`methionine residue in one peptide may render it biologically inactive, but oxidation
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`of methionine in a different peptide methionine oxidation may not alter activity at
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`all. There is no way reasonably to predict whether a particular excipient will
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`provide a pharmaceutically necessary degree of stability in a given protein or
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`peptide product.
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`66. Dr. Jeffery L. Cleland from Genentech, Inc. and Dr. Robert Langer
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`from Massachusetts Institute of Technology are prominent protein/peptide
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`formulation scientists. They stated that “[e]ach molecule has its own unique
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`physical and chemical properties which determine in vitro stability. The
`
`formulation scientist must also be concerned about the in vivo stability of the drug.
`
`Thus, the development of successful formulations is dependent upon the ability to
`
`study both the in vitro and in vivo characteristics of the drug as well as its intended
`
`application.” Ex. 1024, 2. I agree, and these considerations still apply today.
`
`Accordingly, a formulation scientist should consider the clinical indication,
`
`pharmacokinetics, toxicity, and physicochemical stability of the protein or peptide
`
`drug.
`
`67.
`
`Individual analysis and balancing of the rates of individual
`
`degradation pathways of a protein or peptide are necessary and must be undertaken
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`to achieve the most stabile formulation possible. Additionally, formulation
`
`components must be considered and balanced in terms, for example, of protein or
`
`peptide stability and administration route.
`
`68. Although a formulation scientist’s approach to formulation
`
`development may be systematic, it is not like a cookbook and is not formulaic.
`
`69. Cleland, Figure 2 illustrates one example of a system for formulating
`
`therapeutic proteins and peptides. This is only one system; there are many others.
`
`This process, like most other protein or peptide formulation development systems,
`
`list first variables and then other variables within the first ones that are to narrow
`
`the possible substituents.
`
`70. These processes are undertaken in light of an individual formulation
`
`scientist’s artfulness, experience, and inventiveness. This is not a simple recipe for
`
`success, as the possible solutions are virtually endless, even in light of Cleland’s
`
`process diagram. For example, Cleland lists at least three first variables -
`
`individual protein or peptide physicochemical properties, in vivo parameters, and
`
`degradation pathways. Ex. 1020, 1-6. Each first variable has several secondary
`
`variables (and there are even more known to those of ordinary skill in the art. Id.
`
`There are three or more for physicochemical properties, four for in vivo
`
`information, and five for degradation pathways, which amounts to over 17,000 (3!
`
`x 3! x 4! x 5!) combinations of variables. Id. You can multiply this by thousands
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`more to address the combinations of constituents for each second variable. This
`
`holds true even if some of these variables are eliminated through analysis of a
`
`given protein or peptide.
`
`71.
`
`It is my opinion that understanding and implementing this type of
`
`discovery process and finding the right combination of components that yield a
`
`successful formulation is inventive. Furthermore, what is claimed in the ‘886
`
`patent is a good example of such an invention.
`
`VIII. THE COMMERCIAL EMBODIMENT OF THE ‘886 PATENT
`
`72.
`
`I have been advised that commercial embodiment of the ’886 patent
`
`invention is the product marketed as GATTEX®. I understand from the label for
`
`GATTEX (Ex. 2027), that GATTEX is a formulation of the GLP-2 analog
`
`[Glyn2]GLP-2 (which is also called teduglutide) that is stabilized at a
`
`pharmaceutically tolerable or acceptable pH by a combination of L-histidine,
`
`phosphate buffer, and mannitol. Each single-use vial of GATTEX contains 5 mg
`
`of teduglutide, 3.88 mg L-histidine, 15 mg mannitol, 0.644 mg monobasic sodium
`
`phosphate monohydrate, and 3.434 mg dibasic sodium phosphate heptahydrate as a
`
`white lyophilized powder for solution for subcutaneous injection. Based on my
`
`review of the Gattex product label (Ex. 2027), I have calculated the concentration
`
`of certain components in the Gattex formulation to determine whether Gattex is
`
`covered by the claims of the ‘886 patent. Those concentrations are provided in the
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`chart below.
`
`Component 
`Teduglutide 
`L-His 
`Mannitol 
`NaH2PO4·H2O 
`Na2HPO4·7H2O 
`Total phosphate buffer 
`
`
`
`
`Amount, mg/mL
`10 
`7.76 
`30 
`6.868 
`1.288
`8.156
`
`Amount, %1 or [conc]
`1 %2 
`0.776 % 
`3 % 
`25.62 mM3 
`9.33 mM 
`34.95 mM
`
`
`1 % are given as weight/volume percentages of formulated product prior to
`
`lyophilization in gms/mL (x100).
`
`2 Because wt % values are based on g/100 ml, convert mg/ml into g/100ml:
`
`divide mg/ml by 1000 mg/g = g/ml. Then multiple g/ml by 100 (actually
`
`100/100) = g/100 ml. For example, 10 mg/ml / 1000 mg/g = 0.01 g/ml; 0.01 g/ml
`
`x 100/100 = 1g/100ml = 1 wt %.
`
`3 The concentrations of the buffers are calculated by first converting mg/ml to g/l
`
`and then dividing the amount by the molecular weight of the buffering salt. E.g.,
`
`[NaH2PO4·H2O] = 6.868 mg/mL = 6.868 g/l; 6.868 g/l / 268.1 g/mol = 0.02562
`
`mol/l = 0.02562 M = 25.62 mM.
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`73. The following table illustrates that GATTEX is a product as claimed
`
`in the challenged ‘886 patent claims and its use is a method as claimed in the
`
`challenged ‘886 patent claims.
`
`‘886 Patent Claim Language
`46. A GLP-2 formulation comprising:
`
`(a) about 0.1 to about 50 mg/ml of a
`GLP-2 peptide or an analog thereof;
`
`(b) a phosphate buffer in an amount
`sufficient to adjust the pH of the
`formulation to a pharmaceutically
`tolerable level;
`
`(c) about 0.5 to about 1% L-histidine;
`and
`(d) about 2 to about 5% mannitol.
`
`47. The GLP-2 formulation of claim 46,
`wherein the GLP-2 is h(Gly2)GLP-2.
`48. The GLP-2 formulation of claim 47,
`wherein the formulation is lyophilized.
`49. The GLP-2 formulation of claim 47,
`wherein the pH of the formulation is
`selected from the group consisting of
`greater then about 6.0, and from about
`6.9 to about 7.9.
`50. The GLP-2 formulation of claim 49,
`wherein the pH of the formulation is
`from about 7.3 to about 7.4.
`51. The GLP-2 formulation of claim 46,
`wherein said GLP-2 analog has one or
`more amino acid substitutions,
`additions, deletions, or modifications
`
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`GATTEX®
`GATTE

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