`_______________
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`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`_______________
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`AMERIGEN PHARMACEUTICALS LIMITED
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`and
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`ARGENTUM PHARMACEUTICALS LLC
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`Petitioners
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`v.
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`JANSSEN ONCOLOGY, INC.,
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`Patent Owner
`_______________
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`Case IPR2016-002861
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`Patent 8,822,438 B2
`_______________
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`PETITIONERS’ RESPONSE TO PATENT OWNER’S
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`MOTION FOR OBSERVATIONS ON CROSS-EXAMINATION
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`1 Case IPR2016-01317 has been joined with this proceeding.
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`1. Response to Observation No. 1
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`address the manner or extent in which the targets are in common and in which the
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`targets are different. In particular, the answer also does not address the targets in
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`common which inhibit the key components of the cortisol (glucocorticoid)
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`synthesis pathway.
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`2. Response to Observation No. 2
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`conflict with any opinions in his declaration. Paragraphs 30, 37, 39 of Dr. Ratain’s
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`declaration address evidence of adrenal toxicity and O’Donnell’s (Exh. 1003)
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`disclosure of administration of glucocorticoids with ketoconazole to treat prostate
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`cancer. Further, it is not relevant as to whether both ketoconazole and abiraterone
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`acetate were known to reduce cortisol (a glucocorticoid) levels, thereby requiring
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`administration of prednisone (replacement glucocorticoid).
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`3. Response to Observation No. 3
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`2
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`contradict that ketoconazole was known to treat prostate cancer. For example,
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`O’Donnell (Exh. 1003) states: “A direct antitumour effect of ketoconazole in vitro
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`has also been demonstrated (Eichenberger and Trachtenberg, 1988). . . . In clinical
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`trials, both agents [ketoconazole and aminoglutethimide] have shown some activity
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`as second-line agents (measured by clinical benefit as well as reduction in PSA), .
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`. . .”
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`4. Response to Observation No. 4
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`contradict that prednisone was known to treat prostate cancer, which the answer
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`does not address. In this regard, in Ex. 2124, at p. 65, l. 11-18, the witness
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`testified:
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`Q. To a person of ordinary skill in the art, would they consider reduced PSA
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`sufficient to reflect an anti-cancer effect or would the person of ordinary skill
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`require evidence of enhanced life expectancy?
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`A. A person of ordinary skill would not require evidence of life expectancy
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`nor would the FDA.
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`Further it does not contradict that prednisone was known to be used in
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`combination with other drugs for the treatment of prostate cancer. See for example
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`3
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`AMG 1091, paragraph 36, and O’Donnell (Exh. 1003) states: “A direct antitumour
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`effect of ketoconazole in vitro has also been demonstrated (Eichenberger and
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`Trachtenberg, 1988). . . . In clinical trials, both agents [ketoconazole and
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`aminoglutethimide] have shown some activity as second-line agents (measured by
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`clinical benefit as well as reduction in PSA), . . .”
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`5. Response to Observation No. 5
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`conflict with any opinions in his declaration. The cited testimony is not relevant
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`because the testimony does not contradict that dexamethasone was known to treat
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`prostate cancer, which the answer does not address. In this regard, in Ex. 2124, at
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`p. 65, l. 11-18, the witness testified:
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`Q. To a person of ordinary skill in the art, would they consider reduced PSA
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`sufficient to reflect an anti-cancer effect or would the person of ordinary skill
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`require evidence of enhanced life expectancy?
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`A. A person of ordinary skill would not require evidence of life expectancy
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`nor would the FDA.
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`6. Response to Observation No. 6
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`4
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the question is completely
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`vague and ambiguous. It is unclear what “this sentence” is or what quote in the
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`declaration is being referred to. Further, Patent Owner’s explanation of relevance
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`is attorney argument and speculation because the question is so incomprehensible.
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`7. Response to Observation No. 7
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the question is vague as to
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`whether Dr. Ratain regularly treats patients with prostate cancer now or has ever
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`regularly treated patients with prostate cancer. In fact, in Ex. 2124, at p. 24, l. 23-
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`p. 25, l. 4, the witness testified:
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`Q. Has there ever been a time in your professional career where you've
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`regularly treated patients with prostate cancer?
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`MR. CASIERI: Object to form.
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`BY THE WITNESS:
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`A. Yes.
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`8. Response to Observation No. 8
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`5
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the answer does not
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`contradict the opinion of Dr. Dorin that one would consider the delta or change in
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`cortisol in response to the Synacthen test to be a useful parameter for diagnosing
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`adrenal insufficiency but that the Δ-cortisol is more informative than peak cortisol
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`concentration for the physiologic question addressed in Study C. Exh. AMG 1093
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`at ¶ 59.
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`9. Response to Observation No. 9
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`quantify just how little glucocorticoid activity that corticosterone has as compared
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`to the glucocorticoid activity of cortisol.
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`10. Response to Observation No. 10
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because Dr. Dorin’s opinion
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`addressed what would be appropriate, not what was actually done. “Based on the
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`promising data of Barrie (AMG 1005) and O’Donnell (AMG 1003), it is evident
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`that further clinical trials assessing safety and efficacy of long-term AA in men
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`with mCRPC would be appropriate.” Exh. AMG 1093 at ¶ 31.
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`6
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`11. Response to Observation No. 11
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`address the risks versus the benefits of Patent Owner’s views concerning
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`concomitant administration of glucocorticoids. “I disagree with Dr. Auchus’
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`discussion that the risks of concomitant administration of replacement
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`glucocorticoid would be so great that POSA would be discouraged from using that
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`management strategy in men with mCRPC treated with long term AA. Auchus’
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`argument is detached from the clinical context of the treatment population of
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`metastatic prostate cancer. . . ” Exh. AMG 1093 at ¶ 29.
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`12. Response to Observation No. 12
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the question is vague and
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`ambiguous. It is unclear what “those deficiencies” are being referred to in the
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`question. Further it is unclear the extent and manner of that the clinical symptoms
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`are variable.
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`13. Response to Observation No. 13
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. Even Patent Owner failed to point out the relevancy of this testimony.
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`7
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`Regardless, there is nothing on the record to require expertise of
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`P450c17deficiency syndrome by one of ordinary skill in the art.
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`14. Response to Observation No. 14
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. There is nothing on the record to require expertise of P450c17
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`deficiency syndrome by one of ordinary skill in the art. Further, the testimony
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`does not address whether Dr. Dorin knows the clinical presentation of P450c17
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`deficiency syndrome. Finally, Patent Owner inappropriately presents attorney
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`argument in an attempt to create relevancy.
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`15. Response to Observation No. 15
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. Dr. Dorin did not claim to be an expert in prostate cancer. Rather Dr.
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`Dorin is an expert in endocrinology and metabolism engaged to rebut the opinion
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`of Patent Owner’s endocrinologist, Dr. Auchus. Exh. AMG 1093 at ¶ 7.
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`16. Response to Observation No. 16
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony does not contradict the testimony of Dr. Dorin
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`explaining that a POSA would not have questioned the data or conclusions of
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`O’Donnell that all patients in Study C had abnormal Synacthen results but that an
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`8
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`expert in endocrinology would recognize the Δ-cortisol values after AA to be “so
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`low as to be readily identified as ‘abnormal.’” Exh. AMG 1093 at ¶ 62.
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`17. Response to Observation No. 17
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`contradict Dr. Serel’s explanation that “the common inhibitory effect on cortisol
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`production and resulting increase in ACTH as a consequence of administering
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`either abiraterone acetate or ketoconazole would have plainly and sufficiently
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`suggested to a POSA the use of a glucocorticoid, such as prednisone, with both
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`compounds as glucocorticoid replacement therapy.” Exh. AMG 1095 at ¶ 7.
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`18. Response to Observation No. 18
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`Petitioners respond that the cited testimony is not relevant to this
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`proceeding. The cited testimony is not relevant because the testimony does not
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`address the terms that were used in the 2004 article of Chodak concerning benefit
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`provided by ketoconazole.
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`Dated: February 3, 2017
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`Respectfully Submitted,
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`/William D. Hare/
`William D. Hare
`Reg. No. 44,739
`McNeely Hare & War, LLP
`12 Roszel Road, Suite C104
`Princeton, NJ 08540
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`9
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`(202) 640-1801
`bill@miplaw.com
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`10
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`CERTIFICATE OF SERVICE
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`The undersigned hereby certifies that the foregoing Petitioners’ Response to
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`Patent Owner’s Motion for Observations was served on February 3, 2017 by
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`delivering copies via electronic mail on the following attorneys of record for the
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`Patent Owner:
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`Dianne B. Elderkin
`Barbara L. Mullin
`Ruben H. Munoz
`delderkin@akingump.com
`bmullin@akingump.com
`rmunoz@akingump.com
`JANS-ZYTIGA@akingump.com
`AKIN GUMP STRAUSS HAUER & FELD LLP
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`David T. Pritikin
`Bindu Donovan
`Paul J. Zegger
`Todd Krause
`Isaac Olson
`Alyssa B. Monsen
`dpritikin@sidley.com
`bdonovan@sidley.com
`pzegger@sidley.com
`tkrause@sidley.com
`iolson@sidley.com
`amonsen@sidley.com
`ZytigaIPRTeam@sidley.com
`SIDLEY AUSTIN LLP
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`Jennifer H. Roscetti
`Anthony C. Tridico
`jennifer.roscetti@finnegan.com
`anthony.tridico@finnegan.com
`FINNEGAN HENDERSON FARABOW GARRETT & DUNNER
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`11
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`Petitioners’ Response To Patent Owner’s Motion For Observations
`Petition for Inter Partes Review 2016-00286
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`Teresa Stanek Rea
`Shannon M. Lentz
`TRea@Crowell.com
`SLentz@Crowell.com
`CROWELL & MORING LLP
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`Date: February 3, 2017
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`/William D. Hare/
`William D. Hare
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`12
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