`_____________________________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
`_____________________________
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`
`
`MYLAN PHARMACEUTICALS INC.,
`Petitioner,
`
`v.
`
`BAYER INTELLECTUAL PROPERTY GmbH,
`Patent Owner.
`
`_____________________________
`
`Patent No. 7,157,456
`
`_____________________________
`
`
`
`DECLARATION OF JACK HIRSH, M.D.
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`
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`MYLAN - EXHIBIT 1003
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`TABLE OF CONTENTS
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`I. QUALIFICATIONS .................................................................................................. 1
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`II. SCOPE OF WORK.................................................................................................... 3
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`III. OVERVIEW OF THE ’456 PATENT ............................................................................ 3
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`IV. FILE HISTORY OF THE ’456 PATENT ....................................................................... 5
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`V. LEGAL STANDARDS .............................................................................................. 6
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`VI. LEVEL OF ORDINARY SKILL AND RELEVANT TIME ................................................. 9
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`VII. CLAIM CONSTRUCTION ....................................................................................... 10
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`VIII.THE STATE OF THE ART ...................................................................................... 11
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`IX. ASSERTED REFERENCES DISCLOSE OR SUGGEST EACH OF THE CLAIMED
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`FEATURES OF THE ’456 PATENT. ...................................................................... 14
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`GROUND 1. The Teachings of Ewing, the ’111 Publication, Riedl and
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`Chiba Make Claims 13, 24, 26, and 30 Obvious. ............................................ 20
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`X. CONCLUDING STATEMENTS ................................................................................ 25
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`XI. APPENDIX – LIST OF EXHIBITS ........................................................................... 26
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`
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`-i-
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`
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`I, Jack Hirsh, declare as follows:
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`I.
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`QUALIFICATIONS
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`1. My name is Jack Hirsh. I am currently a consultant to the Faculty of
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`Health Sciences at McMaster University and the Hamilton Health Sciences
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`Corporation regarding intellectual property and commercialization matters as well as a
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`Professor Emeritus in the Department of Medicine at McMaster University in Ontario,
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`Canada. I have over 50 years of experience in the field of medicine.
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`2.
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`I received a Bachelor of Medicine, Bachelor of Surgery degree from the
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`Melbourne University in 1958 and an M.D. from Melbourne University in 1962. I
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`began my medical career as an Assistant Hematologist at the Royal Melbourne
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`Hospital in Victoria, and continued as a Research Fellow at the Department of Internal
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`Medicine at Washington University in St. Louis, Missouri. I have also served as a
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`Visiting Research Scientist in the Department of Medicine and Blood and Vascular
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`Research Unit at the University of Toronto, Ontario, Canada.
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`3.
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`I have also served as an Assistant Professor, and as a Professor, in the
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`Department of Pathology and Medicine at McMaster University in Ontario Canada,
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`after which I became a Chairman of the Department Medicine at McMaster. From
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`1988 to 2003 I served as Director of the Hamilton Civic Hospitals Research Center in
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`Ontario, Canada. I served as Vice-President of Research at Vascular Therapeutics
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`
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`1
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`
`
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`Inc. from 1994-1999, at GlycoDesign, Inc. from 1999-2003, at Hamilton Health
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`Sciences from 2000-2002, and at Inflazyme from 2003-2004.
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`4. My research has been funded by many grants and scholarships from
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`organizations such as the Canadian Heart and Stroke Foundation, the Ministry of
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`Health, and the Ontario Research Development Challenge Fund. I have served on the
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`editorial board of peer-reviewed journals such as Haemostasis, Blood, Thrombus
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`Research, the American Journal of Hematology, Review of Haematological Practice,
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`Thrombosis & Haemostasis, Arteriosclerosis and Thrombosis, and the American
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`Journal of Medicine.
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`5.
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`I have authored or co-authored many hundreds of publications of peer-
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`reviewed journal articles as well as hundreds book chapters. I have received numerous
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`honors and awards, including the Canadian Cardiovascular Society Research
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`Achievement Award, the Outstanding Service Award as well as the Distinguished
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`Research Professorship Award from the Heart and Stroke Foundation of Ontario, the
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`Gairdner Foundation International Award for Achievement in Medical Science, the
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`Henry M. Stratton Medal from the American Society of Hematology, and the Queen
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`Elizabeth II Diamond Jubilee Medal.
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`-2-
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`6.
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`A summary of my education, experience, publications, awards and
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`honors, patents, publications, and presentations is provided in my CV, a copy of
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`which is submitted separately. EX1005.
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`II.
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`SCOPE OF WORK
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`7.
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`I have been informed that a petition is being filed with the United States
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`Patent and Trademark Office for Inter Partes Review of U.S. Patent No. 7,157,456
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`(“the ’456 patent,” EX1001). I have been asked to analyze the ’456 patent. As part of
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`my analysis, I reviewed the ’456 patent and portions of its prosecution history.
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`EX1006. I have cited in this declaration various other documents that I reviewed in
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`preparing my opinions. I have listed those documents in the Appendix in Section XI.
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`8.
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`I am being compensated at the rate of $700 per hour for my work. My
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`compensation does not depend on the outcome of this matter.
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`III. OVERVIEW OF THE ’456 PATENT
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`9.
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`The ’456 patent is titled “Substituted Oxazolidinones and their use in the
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`field of Blood Coagulation.” Claims 1-6, 10, 14, and 16 of the ’456 patent recite
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`oxazolidinones. Claim 16 is the most specific of these claims and recites the
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`following:
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`16. A compound having the following formula:
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`
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`-3-
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`
`
`
`
`O
`
`N
`
`O
`
`O
`
`N
`
`O
`
`NH
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`S
`
`O
`
`Cl
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`
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`I understand claims 1-6, 10, and 14 to comprise the structure as defined in claim 16.
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`10.
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`I am informed that the compound of claim 16 is also known as (S)-5-
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`chloro-N-((2-oxo-3-(4-(3-oxomorpholino)phenyl)oxazolidin-5-yl)methyl)thiophene-2-
`
`carboxamide. For convenience, I will refer to this compound as “rivaroxaban.”
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`11. Claims 8 and 17-19 recite pharmaceutical compositions comprising an
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`oxazolidinone of claims 1, 6, 14, and 16, respectively, and one or more
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`pharmacologically acceptable auxiliaries or excipients. Independent claim 27 recites a
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`pharmaceutical composition comprising rivaroxaban which is free of impurities
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`associated with the compound’s enantiomer. Claim 28 depends from claim 27 and
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`recites a pharmaceutical composition as in claims 8 and 17-19. Claims 13, 24, 26, and
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`30 describe administering an oxazolidinone of claim 1 or one of the claimed
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`pharmaceutical compositions comprising the oxazolidinones of claims 1, 6, or 14, for
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`the treatment of thromboembolic disorders, including myocardial infarct, pulmonary
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`embolism and deep vein thrombosis.
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`-4-
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`IV. FILE HISTORY OF THE ’456 PATENT
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`12. The ’456 patent issued from U.S. Application No. 10/181,051, which
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`was filed as a national stage entry of Application No. PCT/EP00/12492, filed
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`December 11, 2002. A restriction requirement was mailed on October 3, 2003 along
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`with a rejection of all claims due to a lack of unity of invention. EX1006 at 3468-75.
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`The applicant chose to retain claims which recited of phenylmorpholinone-substituted
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`oxazolidinones. Id. at 3463-64. The claims were again rejected on April 19, 2004 for
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`failure to comply with the written description requirement under 35 U.S.C. § 112. Id.
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`at 3416-20. To overcome the rejection, the claims were amended and new claims
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`directed toward the compound rivaroxaban were added. Id. at 0751-758.
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`13. Citing 35 U.S.C. § 112 for lack of enablement, the Examiner again
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`rejected claims which contained language regarding prodrugs, as well as claims which
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`improperly depended from other claims, on January 25, 2005. Id. at 0720-28. The
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`prodrug limitations were removed by applicants and dependent claims were corrected
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`to be properly formatted and to comply with 35 U.S.C. § 112. Id. at 0697-0715.
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`Claims reciting the treatment/prevention of disorders other than myocardial infarction,
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`atherosclerosis, pulmonary embolism or deep venous thrombosis were rejected in a
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`Final Rejection, mailed July 25, 2005, for lack of enablement. Id. at 0678-90. The
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`claims were then amended to only comprise “methods for the prevention or treatment
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`-5-
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`
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`of disorders within the group that the Examiner found enabled,” (id. at 0657),
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`however, a second final rejection, dated February 3, 2006, was mailed, citing a lack of
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`enablement for the prevention of the thromboembolic disorders recited in the claims.
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`Id. at 0619-29. Following the prevention limitations being removed from the claims
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`(id. at 0615-16), a Notice of Allowance was then mailed April 27, 2006. Id. at 0598-
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`91.
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`V. LEGAL STANDARDS
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`14.
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`I have been informed that a claimed invention is not patentable under 35
`
`U.S.C. § 103, for obviousness, if the differences between the invention and the prior
`
`art are such that the subject matter as a whole would have been obvious at the time the
`
`invention was made to “a person having ordinary skill in the art” to which the subject
`
`matter of the invention pertains. I understand that “a person of ordinary skill in the
`
`art” is a hypothetical person who is presumed to have known the relevant art at the
`
`time of the invention. As discussed above, I understand that prior art for the purpose
`
`of this declaration includes references that were published at least before December
`
`24, 1999.
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`15.
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`I have been instructed that, a determination of obviousness requires
`
`inquiries into (i) the scope and content of the art when the invention was made; (ii) the
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`differences between the art and the claims at issue; (iii) the level of ordinary skill in
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`
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`-6-
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`
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`the pertinent art when the invention was made; and, to the extent they exist, any
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`secondary considerations.
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`16.
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`I understand that a claim can be found to be obvious if all the claimed
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`elements were known in the prior art and one skilled in the art could have combined
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`the elements as claimed by known methods with no change in their respective
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`functions, and the combination would have yielded nothing more than predictable and
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`expected results to one of ordinary skill in the art.
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`17.
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`I understand that improper hindsight must not be used when comparing
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`the prior art to the invention for obviousness. Thus, a conclusion of obviousness must
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`be firmly based on the knowledge and skill of a person of ordinary skill in the art at
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`the time the invention was made.
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`18.
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`I have been informed that obviousness may also be shown by
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`demonstrating that it would have been obvious to modify what is taught in a single
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`piece of prior art to create the patented invention. I understand that obviousness may
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`be demonstrated by showing that it would have been obvious to combine the teachings
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`of more than one item of prior art. I understand that in order for a combination of
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`references or teachings to render the claimed invention obvious, there must be some
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`supporting rationale for combining the cited references or teachings as proposed.
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`-7-
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`19.
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`I am informed that the following are examples of principles that may
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`indicate that it would have been obvious to combine multiple teachings, resulting in
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`the claimed combination, if the claimed combination involves: (i) the combination of
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`prior art elements according to known methods to yield predictable results; (ii) the
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`simple substitution of one known element for another to obtain predictable results;
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`(iii) the use of a known technique to improve similar methods or products in the same
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`way; (iv) the application of a known technique to a known method or product ready
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`for improvement to yield predictable results; (v) the application of a technique or
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`approach that would have been “obvious to try” (e.g., choosing from a finite number
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`of identified, predictable solutions, with a reasonable expectation of success); (vi)
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`predictable variations of a known work in one field of endeavor prompted for use in
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`either the same field or a different field based on design incentives or other market
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`forces; or (vii) some teaching, suggestion, or motivation in the prior art that would
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`have led one of ordinary skill to modify the prior art reference or to combine prior art
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`reference teachings to arrive at the claimed invention.
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`20.
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`I also understand that “secondary considerations” may be weighed
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`against evidence of obviousness where appropriate.
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`21.
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`I understand that such secondary considerations, where in evidence, may
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`include: (i) commercial success of a product due to the merits of the claimed
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`-8-
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`
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`invention; (ii) a long-felt, but unsatisfied need for the invention; (iii) failure of others
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`to find the solution provided by the claimed invention; (iv) deliberate copying of the
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`invention by others; (v) unexpected results achieved by the invention; (vi) praise of
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`the invention by others skilled in the art; (vii) lack of independent simultaneous
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`invention within a comparatively short space of time; and (viii) teaching away from
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`the invention in the prior art. Secondary considerations are relevant where there is a
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`nexus between the evidence and the claimed invention.
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`VI. LEVEL OF ORDINARY SKILL AND RELEVANT TIME
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`22.
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`I have been advised that “a person of ordinary skill in the relevant field”
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`is a hypothetical person who is presumed to have known the relevant art at the time of
`
`the invention. I have been informed that a person of ordinary skill in the art is also a
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`person of ordinary creativity. I have assumed for the purposes of this declaration that
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`the relevant timeframe for assessing the validity of claims of the ’456 patent for the
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`purposes of this declaration is December 24, 1999. However, my opinions regarding a
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`person of ordinary skill in the art would not change if the data were assumed to occur
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`on December 11, 2002 or July 27, 2006.
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`23.
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`I am familiar with the level of skill in the art of the ’456 patent prior to
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`December 24, 1999 because of my education and because of my experience with
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`blood coagulation disorders for the past 50 years. In my opinion, a person of ordinary
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`-9-
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`
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`skill in the relevant field as of December 24, 1999 would typically have, or would be a
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`member of a team with individuals having, an M.D. with experience in the field of
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`blood coagulation disorders, a Ph.D. with experience as a medicinal chemist and
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`information about the role of factor Xa inhibitors in the anticoagulation pathway, or
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`less education but considerable professional experience in one or more of these fields.
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`One of ordinary skill in the art would also be capable of understanding work published
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`in the field, including the publications discussed in this declaration. In addition, as
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`pharmaceutical development is an inherently collaborative process, the skilled artisan
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`would have access to, or be part of a team including, other skilled individuals such as
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`medicinal chemists, organic chemists, pharmacologists, toxicologists, formulators,
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`and clinicians.
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`VII. CLAIM CONSTRUCTION
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`24.
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`I have been advised that, in the present proceeding, the ’456 patent
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`claims are to be given their broadest reasonable interpretation in view of the
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`specification. I also understand that, absent some reason to the contrary, claim terms
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`are typically given their ordinary and accustomed meaning as would be understood by
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`one of ordinary skill in the art. I have followed these principles in my analysis
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`throughout this declaration.
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`-10-
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`
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`VIII. THE STATE OF THE ART
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`25. Below I describe some of the relevant aspects of what was generally
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`known in the art as of December 24, 1999.
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`26. A thrombus (blood clot) is an insoluble blood deposit made up of fibrin
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`and red blood cells with variable platelet and erythrocyte components. Carville, D. G.
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`M., et al., Thrombus precursor protein (TpPTM): marker of thrombosis early in the
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`pathogenesis of myocardial infarction, 42 CLIN. CHEM. (1996) 1537-41 (“Carville,”
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`EX1035). Thromboembolic disorders relate to the undesired formation of thrombi in
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`the body, and include conditions in which a blood clot or a collection of blood clots
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`create a blockage of a vein (thrombosis) or artery (thrombosis or embolism) in the
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`body. Id. at 1537. Carville teaches: “Thrombosis plays a key role in the pathogenesis
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`of many disease states, including myocardial infarction (MI), stroke, unstable angina
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`(UA), deep vein thrombosis (DVT), and pulmonary embolism.” Id.
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`27. Carville teaches “the role of thrombosis in MI has been understood for
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`some time,” and notes “coronary artery thrombosis is the leading cause of mortality in
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`the US, with 1.5 million cases of MI each year resulting in >700,000 deaths. In
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`addition, >1 million cases of UA present to the emergency room (ER) each year in the
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`US, of which 10-15% progress to MI.” Id. at 1537-38.
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`
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`-11-
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`28.
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`In addition to myocardial infarction and unstable angina, Carville notes
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`additional thrombus-based disorders which can be deadly, including “[p]ostoperative
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`DVT[, which] is responsible for increased mortality in surgical patients, its clinical
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`sequela of pulmonary embolism being the largest single cause of postoperative
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`mortality.” Id. at 1541. Thus, Carville teaches many disorders which were known to
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`be related to thrombus formation, noting “great strides have been made in developing
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`interventional and prophylactic therapies for postoperative thrombosis.” Id.
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`29. Prior to 1999, physicians commonly used anticoagulants such as heparin,
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`low molecular weight heparin, and warfarin to prevent and/or treat thromboembolic
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`disorders. For example, anticoagulants such as warfarin were widely used to treat and
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`prevent complications of acute ischemic syndromes including acute myocardial
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`infarction and unstable angina. Anand, S. S., et al., Long-Term Oral Anticoagulant
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`Therapy in Patients with Unstable Angina or Suspected Non-Q-Wave Myocardial
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`Infarction 98 CIRCULATION (1998) 1064-1070 (“Anand,” EX1036). Anand teaches
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`that administration of effective doses of anticoagulants resulted in a clinically relevant
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`risk reduction in disorders involving thromboembolic events, such as myocardial
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`infarction, ischemic stroke, and unstable angina:
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`Previous trials of patients after MI indicate that moderate-intensity
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`warfarin is both efficacious and safe. These trials were conducted without
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`-12-
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`
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`aspirin use but demonstrated a 35% to 40% RR reduction in major
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`vascular events. Three randomized controlled trials have demonstrated
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`the benefits of variable-intensity warfarin (INR range, 1.5 to 4.5) in the
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`prevention of thromboembolic events and stroke in patients with atrial
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`fibrillation. The recent SPAF-III trial in which high-risk patients with
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`chronic atrial fibrillation were randomized to warfarin (INR, 2 to 3) or
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`aspirin plus fixed low-dose warfarin (INR, 1.2 to 1.4) demonstrated that
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`moderate-intensity warfarin alone was more effective than low-dose
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`warfarin and aspirin and resulted in a 67% risk reduction in ischemic
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`strokes.
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`Furthermore, trials in patients with unstable angina in which moderate-
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`intensity warfarin was combined with aspirin demonstrate promising
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`results that are consistent with the results of phase 2 of the OASIS pilot
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`study.
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`Id. at 1068.
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`30. Though anticoagulants such as heparin and warfarin were widely used for
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`treatment of these conditions, each of these anticoagulants was associated with certain
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`complications and drawbacks. E.g., Taylor, F. C., et al., Evaluation of patients’
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`knowledge about anticoagulant treatment, 3 QUALITY IN HEALTH CARE 79-85, at 79
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`(1994) (“Taylor,” EX1037). For example, it was reported that “life-threatening
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`bleeding and re-thrombosis” could occur if patients treated with warfarin or heparin
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`“are over anticoagulated or under anticoagulated.” Id. It was well-established at the
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`
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`-13-
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`
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`time that the efficacy of the standard oral anticoagulant (warfarin) “can be adversely
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`affected by many factors, including the patients’ concurrent drug treatment, changes
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`in diet or alcohol intake, and physical illness.” Id.
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`31. As another example, Palareti identifies bleeding as “the most serious
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`complication of the use of oral anticoagulation in the prevention and treatment of
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`thromboembolic complications.” Palareti, G., et al., Bleeding complications of oral
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`anticoagulant treatment: an inception-cohort, prospective collaborative study
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`(ISCOAT) 348 LANCET 423-28 (1996) (“Palareti,” EX1038) at 423.
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`32. Because of the widespread adoption of oral anticoagulant therapy for
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`treatment of thromboembolic disorders and the recognition that currently-available
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`oral anticoagulants had certain drawbacks, undesired interactions, and risks, there
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`remained in December 1999 a desire to develop additional oral anticoagulants to treat
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`thromboembolic disorders.
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`IX. ASSERTED REFERENCES DISCLOSE OR SUGGEST EACH OF THE CLAIMED
`FEATURES OF THE ’456 PATENT.
`
`A. Brief Overview of the Asserted References
`
`33.
`
`I understand that the references described below may be applied in
`
`assessing the validity of the ’456 patent.
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`
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`-14-
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`
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`(i) Ewing
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`34. Ewing, W. R., et al., Progress in the design of inhibitors of coagulation
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`factor Xa, 24 DRUGS OF THE FUTURE 771-87 (1999) (“Ewing,” EX1007) was
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`published in July 1999. I understand that Ewing can be applied in assessing the
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`validity of the ’456 patent claims.
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`35. Ewing discloses anticoagulants as “a crucial component in both acute
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`intervention procedures and chronic prevention strategies for treatment and
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`management of” thromboembolic-based disorders, including “myocardial infarction,
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`stroke, deep vein thrombosis and pulmonary embolism.” EX1007 at 771.
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`36. Ewing teaches certain advantages of anticoagulants that target factor Xa
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`in comparison to then-existing anticoagulant therapeutics of the day: unfractionated
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`heparin (UFH), low molecular weight heparins (LMWHs), and warfarin. Id. at 771,
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`773. For example, Ewing states: “Direct inhibition of factor Xa activity in the
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`prothrombinase complex blocks the single physiological source of thrombin
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`generation.” Id. at 774. Ewing also states that “[i]nhibiting the source of thrombin
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`generation [i.e., factor Xa] rather than its catalytic activity” could “afford superior
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`anticoagulant agents.” Id.
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`37. Ewing also reflects a high level of interest and optimism that existed at
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`the time for developing factor Xa inhibitors. For example, Ewing states that “direct
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`-15-
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`
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`inhibition of factor Xa activity should provide a potent anticoagulant devoid of the
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`potentially limiting side effects observed with thrombin inhibitors.” Id. at 771. Ewing
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`states that “[d]irect inhibition of factor Xa activity should have minimal impact upon
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`normal hemostatic response/regulation processes…. As a consequence, the risk of
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`bleeding complications might be minimized.” Id. at 774. Ewing also states that “[t]he
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`risk of provoking prothrombotic rebound episodes observed with heparin and
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`thrombin inhibitors would be minimized as well.” Id. Ewing was not alone in
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`expressing this optimism. This state of thinking at the time motivated significant
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`interest in developing Xa inhibitors.
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`38. Ewing teaches that a variety of potent factor Xa inhibitors had been
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`developed, that factor Xa inhibitors with strong oral pharmacokinetic and
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`pharmacodynamics properties were desired, and that such improved factor Xa
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`inhibitors may be obtained by using less basic factor Xa binding moieties. Id. at 783-
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`84.
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`(ii) The ’111 Publication
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`39. WO 00/39111 to Beight et al. published July 6, 2000 (“the ’111
`
`publication,” EX1009) based on the December 15, 1999 International Application
`
`Number PCT/US99/29832 and the December 23, 1998 U.S. Provisional Application
`
`No. 60/113,778 (“the ’778 application” EX1010). I understand that the ’111
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`
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`-16-
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`
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`publication can be applied in assessing the validity of the ’456 patent, and have only
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`utilized subject material in the ’111 publication that is also found in the ’778
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`application. I have coupled citations to the ’111 publication with the relevant passages
`
`of the ’778 application to illustrate that the information cited can be found in both
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`documents.
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`40. The ’111 publication describes specific examples of inhibitors of factor
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`Xa that it describes as useful “as anticoagulants for prophylaxis and treatment of
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`thromboembolic disorders such as venous thrombosis, pulmonary embolism, arterial
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`thrombosis, in particular myocardial ischemia, myocardial infarction and cerebral
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`thrombosis[.]” EX1009, 1:9-20; EX1010, 0005:5-16.
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`41. The ’111 publication outlines the blood coagulation cascade, including
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`the role of factor Xa as a catalytic promoter of thrombin activation, and thereby,
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`conversion of soluble fibrinogen to insoluble fibrin. EX1009, 1:26-2:27; EX1010,
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`0005:22-0006:27. The ’111 publication also describes a continuing desire to develop
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`factor Xa inhibitors for anticoagulant therapies. EX1009, 2:28-34; EX1010, 0006:28-
`
`34.
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`42. The ’111 publication teaches that factor Xa inhibitors may be used for
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`either “treatment and/or prophylaxis” of numerous thromboembolic disorders
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`“includ[ing] venous thrombosis and pulmonary embolism, arterial thrombosis, such as
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`-17-
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`
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`in myocardial ischemia, myocardial infarction, unstable angina, thrombosis-based
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`stroke and peripheral arterial thrombosis.” EX1009, 19:29-34; EX1010, 0023:29-34.
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`43. The ’111 publication also teaches standard factor Xa inhibition assays
`
`which were “standard assays known to those in the art.” EX1009, 27:7; EX1010,
`
`0031:7.
`
`(iii) Riedl
`
`44. Riedl, B. et al., Recent Developments with Oxazolidinone Antibiotics, 9
`
`EXP. OPIN. THER. PATENTS 625-633 (1999) (“Riedl,” EX1008) published in May
`
`1999. I understand that Riedl can be applied in assessing the validity of the ’456
`
`patent claims.
`
`45. Riedl discloses linezolid as having an “advantageous pharmacokinetic
`
`profile” including a “favourable safety profile.” Id. at 626. Riedl notes that linezolid
`
`achieved high plasma concentrations and was “well-tolerated in humans at clinically
`
`relevant doses.” Id. The structure of linezolid is shown below.
`
`F
`
`O
`
`O
`
`N
`
`N
`
`O
`
`linezolid
`(U-100766)
`
`NH
`
`O
`
`CH3
`
`
`
`
`
`-18-
`
`
`
`
`
`46. Riedl notes that pharmaceutical formulations of linezolid were known
`
`and discloses that linezolid was being evaluated in Phase III clinical trials. EX1008 at
`
`626-27. Riedl notes that linezolid was administrable both orally and intravenously.
`
`EX1008 at 627.
`
`(iv) Chiba
`
`47. Chiba, K., et al., Absorption, Distribution, Metabolism, and Excretion of
`
`the Oxazolidinone Antibiotic Linezolid (PNU-100766) in the Sprague Dawly Rat,
`
`ICAAC, SAN DIEGO, CA September 24-27, 1998 (“Chiba,” EX1011), published in
`
`1998. I understand that Chiba can be applied in assessing the validity of the ’456
`
`patent.
`
`48. Chiba describes pharmacokinetic and pharmaceutical properties of
`
`linezolid, including its 100% oral bioavailability. EX1011 at 39. Chiba also describes
`
`the relatively low serum protein binding (32%), of linezolid, which means that most of
`
`the linezolid administered to the patient is available to act on a blood-localized target.
`
`Id.
`
`B. Detailed Analysis of the Claims
`
`49.
`
`I have read and reviewed the declaration of Dr. Salvatore D. Lepore and
`
`understand that, in his opinion, the compound having the structure recited in claims 1-
`
`6, 10, 14, and 16, referred to herein for convenience as rivaroxaban , as well as the
`
`
`
`-19-
`
`
`
`
`pharmaceutical formulations recited in claims 8, 17-19, and 27-28 of the ’456 patent,
`
`would have been obvious to a person of ordinary skill in the art designing a factor Xa
`
`inhibitor prior to December 24, 1999 in view of Ewing, Riedl, the ’111 publication,
`
`and Chiba. As explained in detail below, it is my opinion that it would have been
`
`obvious to a person of ordinary skill in the art to administer an effective amount of the
`
`factor Xa inhibitor rivaroxaban for the purposes and to the patients described in claims
`
`13, 24, 26, and 30. For example, it would have been obvious to administer an
`
`effective amount of a factor Xa inhibitor to inhibit thrombus formation in a patient
`
`with a myocardial infarct, pulmonary embolism, or deep vein thrombosis, as recited in
`
`claims 13, 24, 26, and 30 of the ’456 patent.
`
`50. Claims13, 24, 26, and 30 are presented below followed by my analysis of
`
`the claims. The analysis below identifies exemplary disclosure of the cited references
`
`with respect to the corresponding claim elements, and is not meant to be exhaustive.
`
`GROUND 1. The Teachings of Ewing, the ’111 Publication, Riedl and Chiba
`Make Claims 13, 24, 26, and 30 Obvious.
`
`51. As discussed above, I understand that Ewing (EX1007), the ’111
`
`publication (EX1009), Riedl (EX1008), and Chiba (EX1011) can be considered in
`
`evaluating the validity of the claims of the ’456 patent. Based upon my review of the
`
`declaration of Dr. Salvatore D. Lepore, I understand his opinion to be that the
`
`
`
`-20-
`
`
`
`
`structure recited in claims 1-6, 10, 14, and 16, referred to herein for convenience as
`
`rivaroxaban , as well as the pharmaceutical formulations recited in claims 8, 17-19,
`
`and 27-28 of the ’456 patent, would have been obvious to a person of skill in the art
`
`seeking to design a factor Xa inhibitor prior to December 24, 1999. As discussed in
`
`detail below, the use of a factor Xa inhibitor for the treatment of each of the
`
`conditions recited in claims 13, 24, 26, and 30 would have been obvious prior to
`
`December 24, 1999.
`
`Claim 13:
`
`A method for the treatment of a thromboembolic disorder
`
`comprising administering to a patient in need thereof an
`
`effective amount of a compound of claim 1, wherein the
`
`thromboembolic disorder is myocardial infarct, pulmonary
`
`embolism or deep venous thrombosis.
`
`Claim 24:
`
`A method for the treatment of myocardial infarct, pulmonary
`
`embolism or deep venous thrombosis comprising
`
`administering an effective amount of the composition of claim
`
`17 to a patient in need thereof.
`
`Claim 26:
`
`A method for the treatment of myocardial infarct, pulmonary
`
`embolism or deep venous thrombosis comprising
`
`administering an effective amount of the composition of claim
`
`18 to a patient in need thereof.
`
`
`
`-21-
`
`
`
`
`
`Claim 30:
`
`A method for the treatment of myocardial infarct, pulmonary
`
`embolism or deep venous thrombosis comprising
`
`administering an effective amount of the composition of claim
`
`28 to a patient in need thereof.
`
`52. As noted above, I understand that Dr. Lepore’s opinion to be that a
`
`person of ordinary skill in the art would have found it obvious to design the compound
`
`of claim 1 as a factor Xa inhibitor in view of the disclosures of Ewing, the ’111
`
`publication, Riedl, and Chiba. I also understand it would have been obvious to
`
`formulate an oxazolidinone such as rivaroxaban in a pharmaceutical composition as
`
`described in claims 17, 18 and 28 of the ’456 patent.
`
`53. Ewing describes antithrombotic therapy as “a crucial component in both
`
`acute intervention procedures and chronic prevention strategies for treatment and
`
`management” of thromboembolic-based disorders, including “myocardial infarction,
`
`stroke, deep vein thrombosis and pulmonary embolism.” EX1007 at 771 (emphasis
`
`added).
`
`54. Ewing evidences the knowledge of a person of ordinary skill in the art
`
`that factor Xa inhibitors were understood to be useful as anticoagulants in the
`
`inhibition of thrombus formation. For example, Ewing teaches “direct inhibition of
`
`factor Xa activity should provide a potent anticoagulant devoid of the potentially
`
`
`
`-22-
`
`
`
`
`limiting side effects observed with thrombin inhibitors.” Id. Ewing also teaches that
`
`“[d]irect inhibition of factor Xa activity in the prothrombinase complex blocks the
`
`single physiological source of thrombin generation.” EX1007 at 774.
`
`55.
`
`In addition to blocking the source of thrombin generation, Ewing notes
`
`that direct factor Xa inhibition may have benefits over the inhibition of other targets in
`
`the blood coagulation cascade: “Direct in