`
`By:
`
`Jeffrey S. Ward (Reg. No. 32,774)
`MERCHANT & GOULD, P.C.
`10 E. Doty Street
`Suite 600
`Madison, WI 53703-3376
`Telephone: (608) 280-6751
`FAX: (612) 332-9081
`
`UNITED STATES PATENT AND TRADEMARK OFFICE
`_____________________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`_____________________
`
`COALITION FOR AFFORDABLE DRUGS IV LLC
`Petitioner
`
`v.
`
`PHARMACYCLICS, INC.
`Patent Owner
`
`_____________________
`
`Case No. To Be Assigned
`Patent No. 8,754,090
`_____________________
`
`DECLARATION BY DJORDJE ATANACKOVIC, M.D.,
`REGARDING U.S. PATENT NO. 8,754,090
`UNDER 37 C.F.R. § 42.63(a)
`
`Coalition for Affordable Drugs IV LLC – Exhibit 1021
`
`
`
`I, Djordje Atanackovic, M.D., declare and state as follows:
`
`I. Background and Experience
`1.
`
`I graduated from Free University of Berlin in Germany in 2000
`
`with a Doctorate of Medicine (M.D.) and completed my internal medicine
`
`residency in 2000 from the University Medical Center Hamburg-Eppendorf
`
`in Germany.
`
`2.
`
`I completed my postdoctoral training in tumor immunology in
`
`2003 from the Ludwig Institute for Cancer Research in New York.
`
`3.
`
`I am board certified in internal medicine, hematology and
`
`oncology.
`
`4.
`
`Between 2000 and 2014, I have held various research,
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`development, and clinical position of increasing responsibility including
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`positions at the University of Utah Huntsman Cancer Institute, the
`
`University Medical Center Hamburg-Eppendorf, and the Ludwig Institute
`
`for Cancer Research.
`
`5.
`
`At the University of Utah Huntsman Cancer Institute, I am the
`
`Director of the Multiple Myeloma Program and of Cancer Immunotherapy.
`
`In my role as Director, I manage several research projects including acting
`
`as the principal investigator of numerous clinical studies involving new
`
`drugs for the treatment of various cancers, including hematologic cancers.
`
`
`
`1
`
`
`
`6.
`
`I also treat patients with a variety of hematologic malignancies
`
`with a focus on Multiple Myeloma and B-cell lymphomas. Therapeutic
`
`regimens I use comprise of different types of chemotherapies including
`
`high-dose chemotherapy plus autotransplant, tyrosine kinase inhibitors,
`
`immunomodulatory drugs, proteasome inhibitors, and monoclonal
`
`antibodies.
`
`7. My research focuses on immunotherapeutic approaches for
`
`patients with hematologic malignancies, including multiple myeloma and B–
`
`cell non–Hodgkin’s lymphomas, such as mantle cell lymphoma. My
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`research has developed numerous cellular and antibody based approaches for
`
`patients with blood cancer and as a result, many of those immunotherapeutic
`
`approaches have been introduced into the clinic as part of a treatment
`
`protocol.
`
`8.
`
`I am the principal investigator in multiple clinical trials in
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`different human malignancies. One clinical study was a Phase 1/2 dose
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`escalation safety, pharmacokinetic, and efficacy study of multiple
`
`intravenous administrations of a humanized monoclonal antibody
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`(SAR640984) against CD38 in patients with selected CD38+ hematologic
`
`malignancies including different B-cell lymphomas.
`
`
`
`2
`
`
`
`9.
`
`I regularly publish peer-reviewed articles with my colleagues in
`
`medicine and science. I am the author of at least eighty (80) peer-reviewed
`
`publications.
`
`10. My most recent publication relates to the expression of certain
`
`proteins in cancers cells of patients with multiple myeloma, a blood cancer.
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`It was published in the Blood Cancer Journal in 2015.
`
`11.
`
`I am an active member of the medical and research community.
`
`I am an editor for BMC Cancer, a peer-reviewed medical journal that
`
`publishes original research on cancer. I am also a grant reviewer for several
`
`organizations including the European Commission, Leukemia &
`
`Lymphomas Research U.K., Cancer Research UK, FWF in Austria, the
`
`German Cancer Aid, the Research Foundation Flanders in Belgium, the
`
`Catalan Agency for Health Information in Spain, and the Italian Ministry of
`
`Health.
`
`12.
`
`I am a current member of the American Society of Hematology
`
`(ASH), the European Hematology Association (EHA), the American Society
`
`of Clinical Oncology (ASCO), the American Association for Cancer
`
`Research (AACR), and the European Association for Cancer Research
`
`(EACR).
`
`
`
`3
`
`
`
`13.
`
`I am also the named inventor on several patents and patent
`
`applications, including an issued patent directed to the diagnosis and therapy
`
`of hematological malignancies.
`
`14.
`
`I have won numerous awards for my research including the
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`Science Award of the Hamburg Cancer Society, the Clinical Science Award
`
`of the German Society for Immune and Targeted Therapy, and the
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`investigator award of the Cancer Research Institute (CRI).
`
`15. A copy of my CV is attached to this report as Exhibit 1022.
`
`16.
`
`I am not employed by, nor am I receiving grant support from
`
`the Petitioner or any of the other parties in interest. I am receiving
`
`compensation for my involvement in this matter based on my standard
`
`hourly consulting rate.
`
`17.
`
`I am competent to make this declaration based upon my
`
`personal knowledge and expertise in the area of treatment of and research
`
`into hematologic cancers, including B-cell non-Hodgkin’s lymphomas.
`
`II. Legal Principles Used In Analysis
`18.
`
`I have been asked to provide my opinion on whether the claims
`
`of the ’090 patent would have been anticipated or obvious to a person of
`
`ordinary skill in the art (“POSA”) at the time of the ’090 patent.
`
`
`
`4
`
`
`
`19.
`
`I understand that my analysis requires and understanding of the
`
`scope of the ’090 claims. I understand that claims subject to inter partes
`
`review are given the “broadest reasonable construction in light of the
`
`specification of the patent in which it appears.” 42 C.F.R. § 42.100(b).
`
`20.
`
`I understand that a claim is unpatentable if it is anticipated. I
`
`understand that the anticipation analysis involves comparing a claim to a
`
`prior art to determine whether each and every element of the claimed
`
`invention is disclosed in a single prior art, either expressly or inherently.
`
`21.
`
`I understand that a claim is unpatentable if it is obvious. I
`
`understand that the obviousness analysis involves comparing a claim to the
`
`prior art to determine whether the claimed invention would have been
`
`obvious to a POSA in view of the prior art and in light of the knowledge in
`
`the art. I also understand when a POSA would have reached the claimed
`
`invention through routine experimentation, the invention may be deemed
`
`obvious.
`
`22.
`
`I also understand that obviousness can be established by
`
`combining or modifying the teachings of the prior art. Specific teachings,
`
`suggestions, or motivations to combine any prior art reference with
`
`additional prior art references can be explicit or implicit. I understand that
`
`the references themselves may be one source of a specific teaching or
`
`
`
`5
`
`
`
`suggestion to combine features of the prior art, but that such suggestions or
`
`motivations to combine art may come from other sources as well.
`
`Specifically, the source may include logic, judgment, and common sense
`
`available to a person of ordinary skill rather than explicit statements in the
`
`prior art. I understand that it may not be proper to combine references when
`
`the prior art teaches away from such a combination. However, a reference’s
`
`mere disclosure of more than one alternative does not constitute teaching
`
`away from any of these alternatives.
`
`23.
`
`I further understand that whether there is a reasonable
`
`expectation of success from combining references in a particular way is also
`
`relevant to the analysis. I understand there may be a number of rationales
`
`that may support a reasonable expectation of success, including:
`
` Combining prior art elements according to known methods to
`
`yield predictable results;
`
` Substitution of one known element for another to obtain
`
`predictable results;
`
` Use of known technique to improve similar devices (methods,
`
`or products) in the same way;
`
` Applying a known technique to a known device (method, or
`
`product) ready for improvement to yield predictable results;
`
`
`
`6
`
`
`
` “Obvious to try” – choosing from a finite number of identified,
`
`predictable solutions, with a reasonable expectation of success;
`
`24.
`
`I understand that it is not proper to use hindsight to combine
`
`references or elements of references to reconstruct the invention using the
`
`claims as a guide. My analysis of the prior art is determined at the time the
`
`invention was made.
`
`25.
`
`I understand that secondary considerations may be relevant to
`
`the determination of whether a claim is obvious should the patent owner
`
`allege such evidence. Such secondary considerations can include evidence of
`
`commercial success caused by an invention, evidence of a long-felt need that
`
`was solved by an invention, evidence that others copied an invention, or
`
`evidence that an invention achieved an unexpected result. I understand that
`
`such evidence must have a nexus, or causal relationship to the elements of a
`
`claim, in order to be relevant to the obviousness or non-obviousness of the
`
`claim. I am unaware of any such secondary considerations having a nexus to
`
`the claims at issue in this proceeding.
`
`26.
`
`I understand that for a reference to be used to show a claim is
`
`obvious, the reference must be analogous art to the claimed invention. In re
`
`Bigio, 381 F.3d 1320, 1325 (Fed. Cir. 2004); see also KSR Int'l Co. v.
`
`Teleflex Inc., 550 U.S. 398, 420 (2007). I understand that a reference is
`
`
`
`7
`
`
`
`analogous to the claimed invention if the reference is from the same field of
`
`endeavor as the claimed invention, even if it addresses a different problem,
`
`or the reference is reasonably pertinent to the problem faced by the inventor,
`
`even if it is not in the same field of endeavor as the claimed invention. I
`
`understand that a reference is reasonably pertinent based on the problem
`
`faced by the inventor as reflected in the specification, either explicitly or
`
`implicitly.
`
`III. Materials Reviewed
`
`27.
`
`In preparing this Declaration, I reviewed the following
`
`documents and information:
`
`a. U.S. Patent No. 8,754,090, issued on June 17, 2014, to Buggy
`
`(“the ’090 patent”) (Ex. 1001);
`
`b. ClinicalTrials.gov Archive, Study of the Safety and Tolerability
`
`of PIC-32765 in Patients with Recurrent B-cell Lymphoma
`
`(February 23, 2009),
`
`https://clinicaltrials.gov/archive/NCT00849654/2009_02_23
`
`(“NCT00849654”) (Ex. 1002);
`
`c. U.S. Patent Application Publication No. 2008/0139582 (filed
`
`Dec. 26, 2007) (“the ‘582 publication”) (Ex. 1003); Press
`
`Release, Pharmacyclics, Pharmacyclics Initiates Phase I
`
`
`
`8
`
`
`
`Clinical Trial of Novel Oral Btk Inhibitor for Refractory B-Cell
`
`Non-Hodgkin’s Lymphoma (April 13, 2009) (“the 2009 Press
`
`Release”) (Ex. 1004); Zhengying Pan, et al., Discovery of
`
`Selective Irreversible Inhibitors for Bruton’s Tyrosine Kinase, 2
`
`ChemMedChem 58 (2007) (“Pan”) (Ex. 1005);
`
`d. Lee Honigberg et al., Targeting Btk in Lymphoma: PCI-32765
`
`Inhibits Tumor Growth in Mouse Lymphoma Models and a
`
`Fluorescent Analog of PCI-32675 Is an Active-Site Probe That
`
`Enables Assessment of Btk Inhibition In Vivo, Blood (ASH
`
`Annual Meeting Abstracts), November 2007, at 1592 (“Blood
`
`2007”) (Ex. 1006);
`
`e. Christophe Le Tourneau et al., Dose Escalation Methods in
`
`Phase I Cancer Clinical Trials, 101 J. Nat’L Cancer Inst. 708
`
`(2009) (Ex. 1007);
`
`f. Jonathan McConathy, Ph.D., & Michael J. Owens, Ph.D.,
`
`Stereochemistry in Drug Action, 5 Primary Care Companion J
`
`Clinical Psychiatry 70 (2003) (“McConathy”) (Ex. 1008);
`
`g. Stefano A. Pileri & Brunangelo Falini, Mantle Cell Lymphoma,
`
`94 Hematologica 1488 (2009) (Ex. 1009);
`
`
`
`9
`
`
`
`h. Agency For Toxic Substances and Disease Registry, Public
`
`Health Assessment Guidance Manual, (2005) (“the 2005
`
`Manual”) (Ex. 1010);
`
`i. MacPartlin et al., Bruton’s tyrosine kinase is not essential for
`
`Bcr-Abl-mediated transformation of lymphoid or myeloid cells,
`
`22 Leukemia 1354 (2008) (“Leukemia 2008”)(Ex. 1011);
`
`j. National Center for Biotechnology Information, PubChem
`
`Compound Database, CID=16126651, available at
`
`http://pubchem.ncbi.nlm.nih.gov/compound/16126651 (Ex.
`
`1012); and
`
`k. Elaine S. Jaffe, The 2008 WHO classification of lymphomas:
`
`implications for clinical practice and translational research,
`
`Hematology (2009)(“PubChem”)(Ex. 1013).
`
`IV. Opinions
`
`28.
`
`29.
`
`In sum, it is my opinion that claims 1 and 2 are anticipated.
`
`It is also my opinion that claims 1 and 2 would have been
`
`obvious to a POSA at the time the invention was made. The following
`
`sections and paragraphs provide the basis for my opinion.
`
`
`
`
`
`
`
`10
`
`
`
` Overview of United States Patent No. 8,754,090
`A.
`30. United States Patent No. 8,754,090 (“the ’090 patent”) is
`
`entitled “Use of Inhibitors of Bruton’s Tyrosine Kinase (BTK).” (Ex. 1001.)
`
`In general, the ’090 patent describes methods for treating hematological
`
`malignancies with a Btk inhibitor. The hematological malignancies
`
`identified in the specification of ’090 patent include B-cell lymphomas, such
`
`as mantle cell lymphoma (“MCL”), among others.
`
`31. The claims of the ’090 patent are narrower than the patent
`
`disclosure. Specifically, claim 1 recites: A method for treating mantle cell
`
`lymphoma in an individual who has already received at least one prior
`
`therapy for mantle cell lymphoma comprising administering to the
`
`individual once per day between about 420 mg to about 840 mg of an oral
`
`dose of an inhibitor of Bruton's tyrosine kinase (Btk) having the structure
`
`
`
`
`
`11
`
`
`
`32. Claim 2 depends from claim 1 and recites: The method of claim
`
`1, wherein the once per day oral dose is about 560 mg.
`
`33. The compound identified in the claims was also called
`
`Compound 13 in the prior art. It is now also called ibrutinib.
`
`
`Background and Overview of the Art
`B.
`34. The field of the invention relates to the treatment of and
`
`development of drugs used for treating hematologic cancers, including B-
`
`cell non-Hodgkin’s lymphomas (“NHL”). At the time of the ’090 patent,
`
`people in the field were looking for more effective ways to treat hematologic
`
`cancers, including B-cell NHLs like MCL.
`
`35. By way of scientific background, Bruton's tyrosine kinase
`
`(“Btk”) is a type of tyrosine kinase. A tyrosine kinase is an enzyme that
`
`functions as an “on” or “off” switch in many cellular functions. In healthy
`
`cells, tyrosine kinase enzymes are turned “on” and “off” as needed.
`
`Tyrosine kinases, however, can become mutated, which causes unregulated
`
`growth of the cell. Mutations can lead to the development of cancer. The
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`inhibition of tyrosine kinases has been known to be an effective treatment
`
`for cancer.
`
`36. Btk plays a crucial role in B-cell development. (Ex.1003 at
`
`[0003].) A B-cell is a type of white blood cell that is produced in human
`
`
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`12
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`
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`bone marrow. The right number of B-cells must be maintained for the
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`human body to remain healthy. B-cell lymphomas are a type of NHL caused
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`by uncontrolled growth of B-cells where activation of the B-cell receptor
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`and Btk signaling play important roles. All B-cell NHLs are believed to be
`
`caused by this uncontrolled growth of B-cells. Thus, inhibiting this
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`uncontrolled growth would be expected to inhibit B-cell NHLs.
`
`37. Mantle cell lymphoma (“MCL”) is a hematologic cancer. It is a
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`type of B-cell NHL. MCL represents from 3-10% of all NHLs. (Ex. 1009 at
`
`1488-1489.) MCL is generally regarded as an aggressive, incurable disease
`
`with the median survival of affected patients being 3-4 years. (Id.) Because
`
`MCL is incurable, patients often relapse. Relapsed MCL patients have built
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`up a tolerance to first-line therapies. Therefore, people practicing in the
`
`field were interested in finding new effective drug therapies for refractory or
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`relapsed mantle cell lymphoma, among other B-cell NHLs.
`
`38. One company exploring such treatments was Pharmacyclics,
`
`the owner of the ’090 patent. Pharmacyclics published much of its drug
`
`development work in the area, including patent applications, press releases,
`
`articles, abstracts, and clinical study recruitment documents detailing its
`
`development of a compound called PCI-32675 and its use for the treatment
`
`of relapsed or refractory B-cell NHL.
`
`
`
`13
`
`
`
`39.
`
`In 2007, Pharmacyclics filed a patent application on compounds
`
`that inhibit Btk and uses of those compounds. That patent application is
`
`United States Patent Application 11/964,285, which was published as U.S.
`
`Patent Application Publication Pub. No. 2008/0139582 (“the ’582
`
`publication”) (Ex. 1003). The ’582 publication discloses and tests
`
`compounds that inhibit Btk among 12 other named and tested compounds.
`
`(Id. at Table 2.) The ’582 publication refers to “Compound 4” and
`
`“Compound 13,” among others, and provides their chemical structures. (Id.)
`
`The ’582 publication data shows that Compound 13 is the most potent Btk
`
`inhibitor of all compounds tested by the applicant and is a highly selective
`
`compound. (Id.) The ’582 publication further teaches that the disclosed
`
`compounds are a “medicament for the inhibition of Bruton’s tyrosine kinase
`
`(Btk) activity” that can be “orally administered” to a “human” (Id. at [0029],
`
`[0030]) for the treatment of cancer, including “mantle cell lymphoma.” (Id.
`
`at [0041].) The ’582 publication also teaches a dose range of “1-1500 mg
`
`per day.” (Id. at [0399].)
`
`40.
`
`In 2007, Honigberg, a researcher at Pharmacyclics, presented
`
`his research at the American Society of Hematology (“ASH”) Annual
`
`Meeting. (Ex. 1006.) The ASH annual meeting is the most important
`
`conference in the field of hematology and only the most important research
`
`
`
`14
`
`
`
`is accepted for presentation. Honigberg’s abstract was also published in
`
`Blood, the leading journal in the field hematology. The abstract is called
`
`Targeting Btk in Lymphoma: PCI-32765 Inhibits Tumor Growth in Mouse
`
`Lymphoma Models and a Fluorescent Analog of PCI-32675 Is an Active-Site
`
`Probe That Enables Assessment of Btk Inhibition In Vivo (“Blood 2007”).
`
`(Ex. 1006.)
`
`41. Blood 2007 disclosed that there “is increasing evidence
`
`indicating that B-cell receptor (BCR) signaling is required for survival of
`
`non-Hodgkin’s lymphoma (NHL) cells” and that “there have been few
`
`highly selective small molecule inhibitors of Btk,” but now Pharmacyclics
`
`has “developed a series of covalent Btk inhibitors that target Cys-481 in
`
`Btk.” (Id.) Blood 2007 further discloses that “PCI-32765 is a Cys-481
`
`targeting Btk inhibitor that has been optimized for potency, selectivity and
`
`pharmacokinetics.” (Id.) Importantly, Blood 2007 reports that Btk inhibition
`
`by PCI-32765 induces apoptotic cell death and inhibits the growth of a
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`variety of tumor cell lines derived from patients with different low-grade
`
`(cell line DHL-4) and high-grade (cell lines DHL-6, WSU-DLCL2, OCI-
`
`Ly10, DOHH2) B-cell lymphomas in vitro and in vivo. (Id.) That PCI-
`
`32765 was shown to be effective against both low-grade and high-grade B-
`
`cell lymphoma cell lines was particularly important for the treatment of
`
`
`
`15
`
`
`
`MCL because MCL exhibits characteristics of both low-grade and high-
`
`grade lymphoma.
`
`42. Based on Blood 2007, practitioners in the field would have
`
`understood that Pharmacyclics developed a new compound that showed
`
`significant potential as a treatment of B-cell NHL and that the new agent
`
`would soon be evaluated in clinical trials for B-cell NHL. This research
`
`would have led researchers to look closely at Pharmacyclics’ development
`
`of PCI-32765 as a treatment for B-cell NHL.
`
`43. Pharmacyclics also issued an April 2009 Press Release (“the
`
`2009 Press Release”) promoting its work with PCI-32765. (Ex. 1004.) The
`
`2009 Press Release reports that Pharmacyclics “has begun treating patients
`
`in a Phase I dose-escalation study to evaluate the safety and tolerability of
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`PCI-32765, an orally available, selective inhibitor of Bruton’s tyrosine
`
`kinase, or Btk, as a potential treatment for patients with relapsed or
`
`refractory B-cell non-Hodgkin’s lymphoma (NHL).” (Id.) The 2009 Press
`
`Release further discloses that in “preclinical studies, PCI-32765 has the
`
`remarkable ability to selectively inhibit human B-cell activation without
`
`effecting T-cells.” (Id.) The 2009 Press Release further reports that
`
`“[p]reliminary results from the Phase I trial [with PCI-32765] shows good
`
`patient tolerability under conditions of Btk-drug occupancy with potent
`
`
`
`16
`
`
`
`bioactivity in targeted cell populations derived from the B-Cell lymphoma
`
`patients.” (Id.) A POSA would understand from the 2009 Press Release that
`
`PCI-32765 was potent and selective in inhibiting Btk and provided positive
`
`clinical response in patients with B-cell lymphoma.
`
`44. The prior art also includes Pharmacyclics’ Phase I clinical study
`
`with PCI-32765 recruitment publication (“NCT00849654”). (Ex. 1002.)
`
`NCT00849654 discloses that Pharmacyclics is conducting a “[s]tudy on the
`
`Safety and Tolerability of PCI-32765 in Patients with Recurrent B-cell
`
`Lymphoma” and that the “purpose of the study is to establish the safety and
`
`optimal dose of orally administered PCI-32765 in patients with recurrent B-
`
`cell lymphoma.” (Id.) NCT00849654 describes the primary outcomes of the
`
`study to measure “adverse events” and “pharmacokinetic /
`
`pharmacodynamics.” (Id.) The secondary outcome of the study was “tumor
`
`response.” (Id.) The doses to be administered in the study included 1.25,
`
`2.5, 5.0, 8.3, 12.5 and 17.5 mg/kg/day orally once per day. (Id.) The study
`
`anticipated enrolling 36 patients. (Id.)
`
`45. Thus, as of 2009, Pharmacyclics’ own prior art publications
`
`disclosed PCI-32765 and its clinical use for the treatment of B-cell NHL,
`
`including MCL, at a dose of about 560 mg.
`
`
`
`
`
`17
`
`
`
`C.
`
`The Identity of PCI-32765
`46. The ’582 publication identifies PCI-32765 as Compound 4.
`
`(Ex. 1003 at Table 6.) Compound 4 is a racemate of Compound 13 and
`
`Compound 14. (Id. at Table 2.) Another reference—PubChem— also
`
`identifies PCI-32765 as Compound 4. (Ex. 1013.)
`
`47. Although the ’582 publication and PubChem references
`
`disclose PCI-32765 as being Compound 4, a POSA would be able to deduce
`
`that the correct identity of PCI-32765 is Compound 13. In fact, other prior
`
`art references support the identity of PCI-32765 as Compound 13, the R-
`
`enantiomer of Compound 4.
`
`48. Pan and MacPartlin combine with Blood 2007 to disclose the
`
`chemical structure of PCI-32765. Pan discloses Compound 4. (Ex. 1005 at.
`
`59.) MacPartlin states that Compound 4 from Pan is known as PCI-
`
`31523. (Ex. 1011 at 1354.) MacPartlin also discloses another compound,
`
`PCI-33380, which is the “pure R-enantiomer of PCI-31523” linked to the
`
`fluorophore Bodipy-FL. (Id. at 1355.) MacPartlin cites Blood 2007 in
`
`support of this proposition. Blood 2007 discloses that to test the potency of
`
`PCI-32765, PCI-33380 was developed. PCI-33380 is a covalent Btk
`
`inhibitor linked to Bodipy-FL. (Ex. 1006.) In other words, a POSA would
`
`understand from the combination of Blood 2007, Pan and MacPartlin that, to
`
`
`
`18
`
`
`
`test the potency of PCI-32765, a probe was developed containing PCI-32765
`
`and Bodipy-FL. A POSA would further understand that PCI-32765 is the R-
`
`enantiomer of PCI-31523 (i.e., the R-enantiomer of Compound 4 in Pan,
`
`which itself is Compound 13 in Pan). (Id.) The R-enantiomer of Compound
`
`4 in Pan is now known as ibrutinib, which is Compound 13. Thus, the
`
`combination of Blood 2007, Pan and MacPartlin discloses the structure of
`
`ibrutinib in the prior art. (Id.)
`
`V. A Person of Ordinary Skill in the Art
`49.
`
`I understand that a person of ordinary skill in the art (“POSA”)
`
`is a hypothetical person who is presumed to be aware of all pertinent art.
`
`Factors I have considered in determining the level of ordinary skill in the art
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`include: (A) the “type of problems encountered in the art;” (B) “prior art
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`solutions to those problems;” (C) “rapidity with which innovations are
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`made;” (D) “sophistication of the technology;” and (E) “educational level of
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`active workers in the field.”
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`50.
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`In my opinion, a POSA at the time of the alleged invention of
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`the ’090 patent is a medical doctor specializing in hematology and having
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`several years of experience treating patients with B-cell NHL, including
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`MCL. A person of ordinary skill in the art may also include a medical
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`
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`19
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`
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`doctor or researcher with a Ph.D. in biochemistry or related field having
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`several years of experience researching treatments for B-cell NHLs.
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`VI. Claim Construction
`51.
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`I understand that in this proceeding claim terms are given their
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`broadest reasonable interpretation in light of the specification of the patent.
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`Unless noted otherwise in the discussions below, all claim terms that I
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`discuss should be given their broadest reasonable interpretation in light of
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`the specification as commonly understood by those of ordinary skill in the
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`art.
`
`52. Claims 1 and 2 use the term “treating.” The ’090 patent defines
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`“treating” as “alleviating, abating or ameliorating a disease or condition, or
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`symptoms thereof; managing a disease or condition, or symptoms thereof;
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`preventing additional symptoms; ameliorating or preventing the underlying
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`metabolic causes of symptoms; inhibiting the disease or condition, e.g.,
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`arresting the development of the disease or condition; relieving the disease
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`or condition; causing regression of the disease or condition, relieving a
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`condition caused by the disease or condition; or stopping the symptoms of
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`the disease or condition. The terms "treat," "treating" or "treatment",
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`include, but are not limited to, prophylactic and/or therapeutic
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`treatments.” (Ex. 1001 col. 27:26-37.) A POSA would understand that
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`
`
`20
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`
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`under the broadest reasonable construction of “treating,” this definition
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`includes causing any positive clinical response in an individual with relapsed
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`or refractory MCL. In fact, “ameliorating or preventing the underlying
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`metabolic causes of symptoms” would simply require inhibiting Btk in a
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`patient.
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`53. Claims 1 and 2 also use the term “about” in the context of the
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`dose to be administered. Claim 1 states that the dose is “about 420 mg to
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`about 840 mg” and claim 2 provides a dose of “about 560 mg.” (Ex. 1001 at
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`149:5.)
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`54. A POSA would understand “about” to mean of
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`“approximately.” “Approximately” would include doses that are not
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`materially different from the named dose. In this field, a POSA would
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`understand that a difference in dose of 10% or less would have no material
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`effect on patient treatment, especially given that patients come in various
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`sizes and the maximum tolerated dose of PCI-327465 has a high upper limit.
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`(Ex. 1002.) Furthermore, the ’090 patent makes no distinction between
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`doses of even greater difference in terms of efficacy, tolerability or anything
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`else. In fact, the ’090 patent does not distinguish a 560 mg dose from either
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`a 420 mg dose or an 840 g dose. Thus, “about” would include any dose that
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`is 10% or less different from the specific dose named in the claims.
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`
`
`21
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`
`
`A.
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`VII. Grounds for Anticipation
` Claims 1 and 2 of the ‘090 Patent are anticipated by
`NCT00849654.
`55. The claims of the ’090 patent would have been anticipated
`
`based on the NCT00849654 reference. To demonstrate anticipation, I will
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`address the disclosure of the claims on and element by element basis.
`
`
`A method for treating mantle cell lymphoma in an
`individual who has already received at least one prior
`therapy for mantle cell lymphoma.
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`1.
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`
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`56. NCT00849654 discloses this claim element. NCT00849654 is
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`a Phase I clinical study recruitment document involving the administration
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`of PCI-32765 to patients with “recurrent B-cell lymphoma.” (Ex. 1002.)
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`Recurrent B-cell lymphoma meant that patients enrolling on the study were
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`required to “have failed ≥1 previous treatment for lymphoma.” (Id.)
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`57. Based on the classification systems of lymphomas used by
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`numerous clinicians and researchers, a POSA would understand “B-cell
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`lymphomas” necessarily includes all of its subtypes. One subtype is MCL.
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`(Ex. 1013.)
`
`58. Furthermore, MCL accounts for 3-10% of all NHL. (Ex.1009
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`at1488.) Because it is incurable, MCL relapses after first-line therapy were
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`common. Consequently, a POSA would expect that at least some patients of
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`
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`22
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`
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`the 36 patients anticipated to be enrolled in the Phase I clinical trial
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`contemplated in NCT00849654 had refractory or relapsed MCL.
`
`59. Although it is not clear whether at the time NCT00849654 was
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`published the enrolled patients had received doses of PCI-32765, a POSA
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`would expect that PCI-32765 will “treat” the B-cell Lymphoma by
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`inhibiting Btk activity if administered. In other words, a POSA would
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`expect that treatment is inherent in the administration of PCI-32765. It is
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`my understanding that actual administration is not necessary for anticipation
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`when the result of the administration is inherent.
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`2.
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`Administering an inhibitor of Bruton's tyrosine kinase (Btk)
`having the structure:
`
`
`60. This structure corresponds to Compound 13 in the ’582
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`publication. (Ex. 1003 at Table 2.) NCT00849654 discloses that it is a
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`“Phase I Dose-Escalation Study of Bruton’s Tyrosine Kinase (Btk) Inhibitor
`
`
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`23
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`
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`PCI-32765.” (Ex. 1002.) Although NCT00849654 does not further identify
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`PCI-32765, a POSA would have known from other prior art references that
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`PCI-32765 was at least one of two compounds—Compound 4 from the ’582
`
`publication, or its R-enantiomer, Compound 13.
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`61. As noted about in Section IV.C, a POSA would deduce that
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`PCI-32765 is actually Compound 13 after reviewing MacPartlin, Pan, and
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`Blood 2007.
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`3.
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`Administering to the individual once per day between about
`420 mg to about 840 mg of an oral dose.
`
`
`62. NCT00849654 discloses that “PCI-32765 will be administered
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`in 1.25, 2.5, 5.0, 8.3, 12.5 and 17.5 mg/kg/day dose cohorts orally once per
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`day for 28 days” in order to establish the “optimal dose of . . . PCI-32765.”
`
`(Ex. 1002.)
`
`63. A POSA with knowledge of NCT00849654 seeking to find an
`
`appropriate dose amount would try the identified dosage levels to determine
`
`the optimal dose. Determining the appropriate dose would have been a
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`matter of standard and routine experimentation. For example, the phase I
`
`dose escalation study performed by Pharmacyclics used a methodology
`
`similar to that explained in a prior art reference called “Dose Escalation
`
`Methods in Phase I Cancer Clinical Trials.” (Ex. 1007.) In fact, a POSA
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`would follow the same standard and routine experimentation performed by
`
`
`
`24
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`
`
`the researchers conducting the NCT00849654 clinical trial to find the
`
`appropriate dose. A POSA would have a reasonable expectation that at least
`
`one of the identified doses would “treat” relapsed or refractory MCL.
`
`Pharmacyclics confirmed in the 2009 Press Release that the study showed
`
`efficacy using PCI-32675 for the treatment of relapsed or refractory B-cell
`
`NHL in at least one of the doses used in the study. (Ex. 1004.)
`
`64. A person of ordinary skill in the art would further understand
`
`that 70 kg is the weight used for the standard man in calculating drug doses.
`
`(Ex. 1010 at ch.7, p.16.) This standard man construct is discussed in many
`
`publications. For example, a January 2005 Public Health Assessment
`
`Guidance Manual (“the 2005 Manual”) document explains that with respect
`
`to body weight the “default assumption is that the average adult weighs 70
`
`kg (154 pounds).” (Id.) Therefore, to determine the daily dose given in
`
`NCT00849654, a POSA would multiple the doses by 70 kg. The daily dose
`
`for the 8.3 mg/kg/day cohort would be 580 mg. This is within the dose
`
`range of claim 1.
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`4. Wherein the once per day oral dose is about 560 mg.
`
`65. Claim 2 adds that the “once per day oral dose is about 560 mg.”
`
`As explained above, the 8.3 mg/kg/day equates to 580 mg in a 70 kg person.
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`580 mg differs from the stated dose of 560 mg by 20 mg or 3%. A 560 mg
`
`
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`25
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`
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`dose in a 70 kg individual would be 8.0 mg/kg/day. A POSA would
`
`understand that doses different by 10% or less will have