throbber
HIGHLY CONFIDENTIAL
`
`Page 1
`
` IVAN HOFMANN
` UNITED STATES PATENT AND TRADEMARK OFFICE
` BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
`COALITION FOR AFFORDABLE ) Case: IPR2015-00990 and
`DRUGS II, LLC, ) IPR2015-01093
` Petitioner, )
` - against - ) Patent: 7,056,886
`NPS PHARMACEUTICALS, INC., )
` Patent Owner. )
`-------------------------- )
`
` VIDEOTAPED DEPOSITION OF IVAN HOFMANN
` Atlanta, Georgia
` Friday, May 6, 2016
` 10:21 A.M.
`
` HIGHLY CONFIDENTIAL
`
`Job No: 107129
`Reported by:
`SUZANNE BEASLEY, RPR, CCR-B-1184
`
`TSG Reporting - Worldwide (877) 702-9580
`
`1
`2
`3
`
`4 5
`
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`Page 1
`
`NPS Ex. 2170
`CFAD v. NPS
`IPR2015-01093
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 2
`
` IVAN HOFMANN
` INDEX TO EXAMINATION
`
`Examination Page No.
`
` By Mr. Robinson ....................... 8
` By Mr. Blake .......................... 270
` By Mr. Robinson ....................... 292
`
` INDEX TO EXHIBITS
`
`Exhibit No. Page No.
`
`Exhibit 2161 ............................... 17
` List of drugs from Medicare.gov website
` Pharmaceutical Assistance Program
` (Medicare)
`Exhibit 2162 ............................... 24
` List of all drugs approved by the FDA
`
`Exhibit 2163 ............................... 28
` List of orphan drugs approved in the
` United States from 1983 to 2016
`
`Exhibit 2164 ............................... 30
` Medicare formulary
`Exhibit 2165 ............................... 31
` List of drugs with coupons or rebates
` from the website www.rxpharmacycoupons.com
`Exhibit 2166 ............................... 33
` Hofmann declaration and accompanying
` exhibits, consisting of 4 volumes
`
`TSG Reporting - Worldwide (877) 702-9580
`
`1
`2
`
`3 4
`
`5 6
`
`7
`8
`9
`10
`11
`12
`13
`
`14
`
`15
`16
`
`17
`
`18
`
`19
`
`20
`21
`
`22
`23
`
`24
`25
`
`Page 2
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 3
`
`1
`2
`
`3
`
`4
`
`5
`6
`
`7
`
`8
`
`9
`
`10
`
`11
`12
`
`13
`
`14
`
`15
`
`16
`
`17
`
`18
`19
`
`20
`21
`
`22
`
`23
`
`24
`25
`
` IVAN HOFMANN
`Exhibit 2167 ............................... 104
` Article entitled "Complications of
` Parenteral Nutrition" in Gastroenterology
` Clinics of North America by Ukleja
`Exhibit 2168 ............................... 111
` Printout from rebates.com
`Exhibit 2169 ............................... 124
` Review Article, "The Management of
` Long-Term Parenteral Nutrition," by
` Dibb and others
`Exhibit 2170 ............................... 133
` Excerpt from the Merck Manual, Fifteenth
` Edition
`Exhibit 2171 ............................... 137
` Wikipedia article on Refeeding Syndrome
`Exhibit 2172 ............................... 159
` Petition for Inter Partes Review of
` U.S. Patent No. 7,056,886 (Claims 46-52
` and 61-75)
`Exhibit 2173 ............................... 171
` Article called "AP Impact: Big Pharma
` Cashes in on HGH abuse"
`Exhibit 2174 ............................... 189
` Memorandum opinion from Intendis GmBH,
` et al. versus Glenmark Pharmaceuticals
` Ltd., et al.
`Exhibit 2175 ............................... 192
` Article entitled "Treatment Options for
` Acne Rosacea"
`Exhibit 2176 ............................... 201
` Drugs.com,printout, "Pharmaceutical
` Sales 2010, Top 200 Drugs for 2010 by
` Sales"
`Exhibit 2177 ............................... 201
` Actos label
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 3
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 4
`
`1
`2
`
`3
`
`4
`
`5
`6
`
`7
`
`8
`9
`
`10
`11
`
`12
`
`13
`
`14
`
`15
`
`16
`17
`
`18
`
`19
`20
`
`21
`
`22
`23
`
`24
`
`25
`
` IVAN HOFMANN
`Exhibit 2178 ............................... 201
` Drugs.com printout, "Pharmaceutical
` Sales 2010, Top 200 Drugs for 2010 by
` Units Sold"
`Exhibit 2179 ............................... 203
` National Diabetes Fact Sheet, 2011
`Exhibit 2180 ............................... 206
` Januvia label
`Exhibit 2181 ............................... 208
` Lexapro label
`Exhibit 2182 ............................... 209
` NIH mental health website printout
` Entitled "Major Depression Among Adults
`Exhibit 2183 ............................... 210
` National Institute of Mental Health
` website, Major Depression Among
` Adolescents
`Exhibit 2184 ............................... 211
` Anxiety and Depression Association of
` America website printout on GAD
`Exhibit 2185 ............................... 213
` Novolog label
`Exhibit 2186 ............................... 215
` Orphan Drug Report 2014
`Exhibit 2187 ............................... 216
` Advate label
`Exhibit 2188 ............................... 217
` Fast Facts sheet from hemophilia.org
`Exhibit 2189 ............................... 220
` Revlimid label
`Exhibit 2190 ............................... 221
` National Cancer Institute Surveillance,
` Epidemiology and End Results Program
` SEER Stat Fact Sheet: Myeloma
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 4
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 5
`
`1
`2
`
`3
`
`4
`
`5
`
`6
`
`7
`
`8
`
`9
`
`10
`11
`
`12
`13
`
`14
`15
`
`16
`17
`
`18
`
`19
`20
`
`21
`
`22
`
`23
`24
`25
`
` IVAN HOFMANN
`Exhibit 2191 ............................... 222
` Article from the American Journal of
` Medicine entitled "Epidemiology of
` Myelodysplastic Syndromes
`Exhibit 2192 ............................... 223
` Article from Clinical Cancer Research
` entitled "Biological and Prognostic
` Significance of Chromosome 5q Deletions
` in Myeloid Malignancies"
`Exhibit 2193 ............................... 225
` Article entitled "Racial Differences in
` Mantle Cell Lymphoma in the United States"
`Exhibit 2194 ............................... 227
` Velcade label
`Exhibit 2195 ............................... 240
` McKinsey report entitled Insights into
` Pharmaceuticals and Medical Products
`Exhibit 2196 ............................... 242
` Graph of NPS's stock price from 1/1/13
` 5/1/13
`Exhibit 2197 ............................... 247
` Hofmann's Original Graph, Monthly
` Adjusted Close Stock Price
`Exhibit 2198 ............................... 251
` Hofmann's Graph with Correction, Index
` of Monthly Adjusted Close Stock Price
` (Normalizing all prices to 1.0 in
` October 2012)
`Exhibit 2199 ............................... 254
` Hofmann's Graph with Correction, Extended
` Back to 2007, Index of Monthly Adjusted
` Close Stock Price (Taken back to 2007 and
` normalizing all prices to 1.0 in January
` 2007)
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 5
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 6
`
` IVAN HOFMANN
`
` Deposition of IVAN HOFMANN, taken
`on behalf of the Patent Owner, pursuant to
`the stipulations agreed to herein, before
`Suzanne Beasley, Registered Professional
`Reporter and Notary Public, at 191 Peachtree
`Street, Northeast, Suite 3800, Atlanta,
`Georgia, on the 6th day of May, 2016,
`commencing at the hour of 10:21 a.m.
`
` - - -
`
`TSG Reporting - Worldwide (877) 702-9580
`
`1
`
`2 3
`
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`Page 6
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 7
`
` IVAN HOFMANN
`APPEARANCES OF COUNSEL:
` On behalf of the Petitioner:
` JEFFREY BLAKE, Esq.
` Merchant & Gould
` 191 Peachtree Street, N.E.
` Atlanta, Georgia 30303
`
` On behalf of the Patent Owner:
` JOSEPH ROBINSON, Esq.
` HEATHER ETTINGER, Esq., Ph.D.
` Troutman Sanders
` 875 Third Avenue
` New York, New York 10022
`
`Videographer: Deidre Thomas
`
` - - -
`
`TSG Reporting - Worldwide (877) 702-9580
`
`1
`2
`3
`4
`5
`6
`7
`
`8 9
`
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`Page 7
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 8
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
` THE VIDEOGRAPHER: We are now on the
` record, and the time is approximately
` 10:21 a.m. This is the beginning of disc
` one for the video deposition of Dr. Ivan
` [sic] Hofmann.
` Will counsel please introduce
` themselves and whom they represent, after
` which the court reporter will swear in the
` witness.
` MR. ROBINSON: Joseph Robinson and
` Heather Ettinger representing NPS
` Pharmaceuticals.
` MR. BLAKE: Jeffrey Blake of the firm
` Merchant Gould on behalf of the petitioner,
` Coalition for Affordable Drugs.
` IVAN HOFMANN,
`having been duly sworn, was examined and testified
`as follows:
` EXAMINATION
`BY MR. ROBINSON:
` Q. Good morning, Mr. Hofmann.
` A. Good morning, Mr. Robinson.
` Q. I assume that you've been deposed several
`times, so you know the rules?
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 8
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 9
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
` A. I do.
` Q. Okay. I won't go through them.
` MR. ROBINSON: I'd like to mark this
` transcript confidential, highly
` confidential actually under the protective
` order.
`BY MR. ROBINSON:
` Q. The highest academic degree you hold is a
`bachelor's degree, correct?
` A. I have a bachelor's degree and then I've
`also obtained continuing education since my
`bachelor's degree, but in terms of formal education,
`that's correct.
` Q. I didn't get your name and address. Let's
`start with that.
` A. Sure. My name Ivan Hofmann, and I live at
`169 South Ridge Drive, Cranberry Township,
`Pennsylvania 16066.
` Q. So you don't have a master's degree,
`correct?
` A. No, sir.
` Q. You don't have a Ph.D., correct?
` A. No, sir.
` Q. You don't hold any university positions,
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 9
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 10
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`do you?
` A. I don't.
` Q. What is Gleason?
` A. Gleason is a specialized consulting firm
`that focuses on helping clients in the areas of
`economics, finance, and accounting.
` Q. What's Gleason's intellectual property
`practice?
` A. So I lead the intellectual property
`practice, and what we do is we help clients both in a
`dispute setting such as this, as well as outside a
`dispute setting, in looking at the economics,
`finance, and accounting issues associated with
`intellectual property.
` That could include monetizing intellectual
`property, licensing intellectual property, valuing
`intellectual property. And then in the context of a
`dispute setting, looking at economic issues with
`respect to quantifying damages, looking at questions
`of irreparable harm, looking at economic issues such
`as secondary considerations of non-obviousness, such
`as this case, et cetera.
` Q. Okay. And I think that as one of your
`qualifications for testifying, you wrote in your
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 10
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 11
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`declaration that you're a member of LES; is that
`correct?
` A. That's correct.
` Q. What's involved in becoming a member of
`LES?
` A. So to become a member of the Licensing
`Executive Society, one has to have demonstrated
`knowledge and experience with respect to licensing of
`intellectual property. The primary criteria is that,
`you know, one has experience, knowledge, and
`expertise in the area. Of course you have to pay
`dues.
` But in particular, I've also obtained the
`certification of certified licensing professional,
`which is a certification that is granted by the LES,
`which requires a more robust demonstration of
`knowledge, experience, as well as taking a test to
`demonstrate such knowledge and experience.
` Q. Are you sure that to become a member of
`LES you need to demonstrate knowledge and experience?
`I'm a member of LES. All I do is pay my dues.
` A. Yeah. I do agree with you. I think the
`primary thing they're focused on is getting the dues.
`Like I said, though, and maybe I'm blurring the
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 11
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 12
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`lines, because when I think of LES and my
`involvement, I think of my certification as a
`certified licensing professional. And that certainly
`required a number of years of knowledge and
`experience, as well as taking a test to demonstrate
`my knowledge and experience with respect to licensing
`of intellectual property.
` Q. How many times have you testified at trial
`or deposition about any secondary indicia of
`obviousness?
` MR. BLAKE: Objection to form.
` Compound question.
` THE WITNESS: Specifically with
` respect to secondary indicia of
` non-obviousness, at deposition and trial
` probably 30 to 40 times.
`BY MR. ROBINSON:
` Q. Where have you testified with respect to
`secondary indicia of obviousness?
` A. I would say the primary venues have been
`district court litigation, PTAB matters such as this,
`United States International Trade Commission. I
`think for secondary indicia, that's it. I've
`obviously testified in state court and arbitration
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 12
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 13
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`matters, but that wouldn't be on patent issues.
` Q. In how many IPRs have you testified
`concerning secondary indicia of obviousness?
` A. That have matured into testimony, I would
`say more than a half dozen.
` Q. In how many IPRs have you submitted
`declarations concerning secondary indicia of
`obviousness?
` A. I haven't tallied it up, but I would say
`somewhere around the order of maybe ten.
` Q. In those ten IPRs in which you've
`submitted declarations concerning secondary indicia
`of obviousness, did you -- how many did you represent
`the petitioner in?
` A. I think the majority have involved the
`petitioner. I'll leave it at that.
` Q. Okay. Does that mean six?
` A. I'd have to go back and look through my
`26A2 to get an accurate count.
` Q. Do you recall any IPRs in which you have
`represented the patent owner?
` A. Yes.
` Q. Which?
` A. In particular, the matter involving Merck
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 13
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 14
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`Eprova, which is a subsidiary of Merck KGaA, a brand
`new pharmaceutical company. I know I did work on
`behalf of the petitioner. Or I'm sorry, not the
`petitioner, the respondent. Like I said, I'd have to
`go back and look at my 26A2, but that one comes to
`mind.
` Q. Do you recall any other IPRs in which you
`represented the patent owner?
` A. Like I said, I'd have to go back and look
`through my 26A2, but that's the one that comes to
`mind.
` Q. Do you know the outcome of any of the IPRs
`in which you've testified -- I'm sorry, in which
`you've submitted a declaration about secondary
`indicia of obviousness?
` A. Most of them have settled.
` Q. Have been there any decisions by the PTAB,
`final decisions by the PTAB in any of the IPRs in
`which you've submitted a declaration concerning
`secondary indicia of non-obviousness?
` A. I don't know. Kind of once I -- once I
`subject myself to deposition, I don't really follow
`the outcome.
` Q. How many drugs were approved by the FDA in
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 14
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 15
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`the last five years?
` A. I don't have a tally.
` Q. You think more than a hundred?
` A. Sure.
` Q. Okay. All of the drugs that were approved
`by the FDA in the last five years were the object of
`marketing activities by the marketing company that
`launched the drug, correct?
` MR. BLAKE: Objection to form. Calls
` for speculation.
` THE WITNESS: I can't speak to each
` and every drug that has been approved by
` the FDA in the last several years one way
` or the other.
`BY MR. ROBINSON:
` Q. Do you believe that a majority of the
`drugs that have been approved by the FDA in the last
`five years have been the object of marketing
`activities by the marketing company that launched the
`drug?
` MR. BLAKE: Same objection.
` THE WITNESS: I mean, I'll agree with
` you it's not atypical for the sponsor of an
` application and a launch of a commercial
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 15
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 16
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
` product to put some marketing effort behind
` a drug. Of course that can vary by degree,
` and that can vary based on the facts and
` circumstances.
`BY MR. ROBINSON:
` Q. Okay. If drug marketing prevented a drug
`from being a commercial success, then none of the
`drugs that have been marketed would be commercial
`successes, correct?
` MR. BLAKE: Objection to form. Calls
` for speculation.
` THE WITNESS: I don't understand your
` question.
`BY MR. ROBINSON:
` Q. Okay. Let's say that 50 drugs in the last
`five years have been approved by the FDA and
`marketed, and been the object of marketing
`activities. Okay?
` A. You want me to just assume that?
` Q. Assume that.
` A. Okay.
` Q. If the marketing of those drugs prevented
`the drug from being a commercial success, then none
`of them would be a commercial success, right?
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 16
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 17
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
` MR. BLAKE: Objection.
` THE WITNESS: I still don't
` understand the question, the presupposition
` and assumptions that are embedded therein.
` MR. ROBINSON: Okay. I'll give you a
` list from the Medicare.gov website I'm
` going to mark as deposition Exhibit 2161.
` (Exhibit 2161 was marked for
` identification.)
`BY MR. ROBINSON:
` Q. If you wouldn't mind taking a look at
`that. And on the top of this Exhibit 2161, it says,
`"Pharmaceutical Assistance Program (Medicare),"
`correct?
` A. They're abbreviations that appear on top.
`I can take your representation as to what those
`representations mean.
` Q. These are drugs that have pharmaceutical
`assistance programs in the Medicare formulary. How
`many drugs on the patient Medicare formulary offer
`patient assistance today based upon Exhibit 2161?
` A. I haven't seen Exhibit 2161 before. I
`really can't comment on it.
` Q. You can't tell me how many drugs are on
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 17
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 18
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`this list? Is that what you're saying?
` MR. BLAKE: You just want him to
` count the number?
` MR. ROBINSON: That's fine with me.
` THE WITNESS: Okay.
` I'm sorry, what was the question?
`BY MR. ROBINSON:
` Q. How many drugs offer a patient assistance
`program today in the Medicare formulary of
`Exhibit 2161?
` A. Like I said, I haven't seen 2161 before.
`Just based on the numbers, I counted 46 drugs on the
`first sheet. It looks like there's 15 pages, which
`mathematically would be just shy of 750.
` Q. Okay. Let's take a look at the first
`drug, Abelcet. If the Abelcet patient assistance
`program prevented Abelcet from being a commercial
`success -- strike that.
` If patient assistance programs prevented a
`drug on this list from being a commercial success,
`then none of the drugs on this list would be a
`commercial success, the list of 2161, correct?
` A. I still don't understand your question --
` Q. Okay.
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 18
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 19
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
` A. -- and however you -- I don't understand
`your question.
` Q. Part of your testimony is that a patient
`assistance program mitigates against the commercial
`success of Gattex, correct?
` A. I don't know that that quite characterizes
`my opinions accurately. I think my opinions are
`outlined in my declaration.
` Q. What's your opinion concerning the patient
`assistance program for Gattex with respect to
`commercial success of Gattex?
` A. So my opinions are in response to the
`claims by Dr. Rausser and are outlined in my
`declaration.
` In particular, Dr. Rausser makes claims
`that the price of Gattex is high, which suggests that
`there's coalescence around the product Gattex. Still
`doesn't tie it to the '886 patent, but that's one of
`his claims.
` One of my response points is that, well,
`there's a great deal of patient insulation that
`occurs where through various tools and schemes
`undertaken by NPS and Shire, a patient is insulated
`from the true cost of Gattex. And so my opinion is
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 19
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 20
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`that the existence of the patient assistance programs
`and the significance of the patient assistance
`programs with respect to Gattex undermines the claims
`that Dr. Rausser makes with respect to the pricing
`and alleged commercial success of Gattex.
` Q. And how does the patient assistance
`program with respect to Gattex undermine the claims
`that Dr. Rausser makes with respect to the commercial
`success of Gattex?
` A. I think my opinions are outlined and laid
`out in my report, and I would be happy to, you know,
`walk through those in detail if the declaration was
`in front of me.
` But at a high level, basically, you know,
`NPS has made many public statements and has many
`public documents that talk about the ways in which
`they work hard through their concierge programs, the
`OnePath program and other programs, legacy programs
`that insulate patients from essentially feeling the
`true cost of Gattex.
` And so any claims that Dr. Rausser makes
`with respect to the high price of Gattex, any claims
`that Dr. Rausser makes in terms of the alleged
`commercial success are undermined by the fact that,
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 20
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 21
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`you know, NPS and Shire have gone to great, great
`lengths to insulate patients from the true cost of
`the product, all of which are extrinsic factors
`unrelated to the claims of the patent at issue.
` Q. What's the cost of Gattex annually for one
`patient?
` A. I think according to the Rausser
`declaration, when it launched it was on the order of
`$300,000 from a WAC perspective, and that has risen
`to north of $400,000 again on a WAC perspective, but
`for the patient, I think the aim of NPS/Shire has
`been to limit the out-of-pocket cost to zero to $300
`a month for the patient.
` Q. So that would leave somewhere between
`$399,700 and 400,000 that needs to be paid by
`someone, correct?
` A. When you say "paid by someone," not
`necessarily. Certainly third-party payers bear the
`brunt of that cost, but I think NPS and Shire have
`also absorbed a great deal of that cost with respect
`to certain patients.
` Q. How much of that cost has NPS and Shire
`absorbed with respect to certain patients?
` A. I don't know that I would quantitate a
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 21
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 22
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`hard figure on that.
` Q. And for how many patients has Shire
`absorbed a great deal of that cost?
` A. I think that all patients have some level
`of sharing because all patients are subject to some
`level of discounting, rebates, and other gross and
`net adjustments that would be part of what Shire/NPS
`absorbs with respect to patients.
` Q. And how much of a discount does Shire give
`on Gattex?
` A. I think it varies over time.
` Q. Okay. Would it be ten percent?
` A. I think that's about right. Somewhere on
`the order of that range.
` Q. And how much of a rebate does Shire give
`on Gattex?
` A. I think the amount you indicated.
`Somewhere on the order of around ten percent, from
`what I remember from the documents, is inclusive of
`discounts, rebates, et cetera.
` Q. Okay. So if we're looking at 400,000 and
`we discount it ten percent, that would be 360,000,
`correct?
` A. Yes, sir.
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 22
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 23
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
` Q. And if we now deduct the zero to $300 that
`a patient would pay out-of-pocket, that would leave
`us with $359,900 -- $359,300 to $360,000, right?
` MR. BLAKE: Objection.
` THE WITNESS: I don't think your math
` is quite right.
`BY MR. ROBINSON:
` Q. Probably not. If we deduct the zero to
`$300 that a patient would pay out-of-pocket, that
`would leave us with 359,700 through 360,000, correct?
` A. That I think is the bath. Again,
`recognizing, as I explained in my declaration, that
`there are very few patients on this product, and to
`any one formulary, there's only a handful of patients
`on the product, but I think your math is correct.
` Q. But the formulary would be paying
`somewhere between 359,300 to 360,000 annually,
`correct?
` A. I think seven hundred. 359 --
` Q. 359,700, you're right. So the formulary
`would be paying 359,700 to $360,000 a year, correct?
` A. In generalities, yes, for the very limited
`patient population that is on this.
` MR. ROBINSON: I'll show you what
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 23
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 24
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
` we're going to mark as Exhibit 2162.
` (Exhibit 2162 was marked for
` identification.)
`BY MR. ROBINSON:
` Q. I'll represent to you that Exhibit 2162 is
`a list of all drugs approved by the FDA.
` A. All right. I'll take your representation.
`I'll also say that I'm due for an eye appointment,
`and I'll do my best to read the very small typeset
`that is contained herein.
` Q. You would agree that there are over a
`thousand drugs approved by the FDA; is that correct?
` MR. BLAKE: Objection to form.
` THE WITNESS: I mean, I'm unfamiliar
` with the document you've just put in front
` of me, but I certainly wouldn't object to
` that characterization that there are at
` least a thousand approved drugs by the FDA.
`BY MR. ROBINSON:
` Q. And you would agree that a majority of the
`drugs approved by the FDA when they're approved have
`exclusivity, some sort of exclusivity, patent or data
`exclusivity, correct?
` MR. BLAKE: Objection to form. Calls
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 24
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
` for speculation.
` THE WITNESS: I don't know that I can
` agree with that. I think that many drugs,
` any exclusivity has lapsed, and I haven't
` really done a tally to figure out how many
` have exclusivities versus those that have
` had such exclusivity lapse.
`BY MR. ROBINSON:
` Q. That wasn't my question, though.
` I said you'd agree that of the drugs
`approved by the FDA, when they're approved they have
`some sort of data or patent exclusivity, correct?
` MR. BLAKE: Objection to form. Calls
` for speculation.
` THE WITNESS: Did you say data?
`BY MR. ROBINSON:
` Q. Yeah, data exclusivity. For example, NCE
`exclusivity, formulation exclusivity, method of use
`exclusivity.
` A. Yeah. I mean, I don't know that the
`majority have NCE exclusivity. Certainly if they're
`an NCE, they do. Many drugs do have other
`exclusivities, be they ODE or method of use for
`particular indications, but I think it's facts and
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 25
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 26
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`circumstances based.
` Q. Okay. And patent or data exclusivity does
`not prevent a drug from being a commercial success,
`does it?
` MR. BLAKE: Objection to form.
` THE WITNESS: I don't understand the
` question.
`BY MR. ROBINSON:
` Q. You don't know what patent exclusivity is?
` A. Sure.
` Q. What is it?
` A. You know, if one has a patent, a patent
`provides a certain amount of exclusivity. Patent
`holders self-report through the Orange Book patents
`which cover their particular products. That can
`deter and prevent others from launching products.
`But, you know, there's mechanisms under the
`Hatch-Waxman Act and others where one can challenge
`the validity of such patents.
` Q. Do you know what data exclusivity is?
` A. I think data exclusivity would fall more
`in the line of if you get approval for a particular
`indication for which product has not previously been
`approved where you've undertaken clinical trials to
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 26
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 27
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`satisfy the requirements to get approval, you know,
`one can get generally three years of exclusivity with
`respect to a particular indication.
` Q. Does patent exclusivity preclude
`commercial success?
` A. What was the question again?
` Q. Does patent exclusivity preclude
`commercial success of a drug?
` A. Okay. So I mean, commercial success as a
`term of art in an obviousness inquiry has certain
`meanings. And I think that in certain circumstances,
`yes, the existence of, for example, a compound patent
`which serves to block others from pursuing a
`particular compound -- and I think there's caselaw on
`this, not as a lawyer, but in terms of Merck v. Teva,
`I think it's well-settled caselaw that such a
`situation can prevent the objectivity of the
`commercial performance of the product from providing
`commercial success as a term of art in an obviousness
`inquiry.
` Q. And there are certain circumstances in
`which patent exclusivity does not preclude commercial
`success, correct?
` A. Depending on the facts and circumstances,
`
`TSG Reporting - Worldwide (877) 702-9580
`
`Page 27
`
`

`
`HIGHLY CONFIDENTIAL
`
`Page 28
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` IVAN HOFMANN
`that can be the case.
` Q. And there are certain circumstances under
`which data exclusivity does not preclude commercial
`success, correct?
` A. I think with each of these, one would need
`to look at the specific facts and circumstances, but
`I don't quarrel that as a generality, it depends on
`the facts and circumstances.
` MR. ROBINSON: I'll show you what
` we're going to mark as Exhibit 2163.
` (Exhibit 2163 was marked for
` identification.)
`BY MR. ROBINSON:
` Q. I'll represent to you that 2163 is a list
`of orphan drugs approved in the United States from
`1983 to 2016. Do you know what orphan drug
`exclusivity is?
` A. I do.
` Q. What is it?
` A. Under the Orphan Drug Act of 1983, certain
`drugs can apply for and obtain seven years of
`exclusivity. The criteria for I think being an
`orphan drug is that there's a patient population or a
`poten

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket