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` Paper No. 13
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` Entered: May 4, 2017
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`Trials@uspto.gov
`571-272-7822
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`UNITED STATES PATENT AND TRADEMARK OFFICE
`____________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`____________
`
`ALKERMES PHARMA IRELAND LTD.
`and ALKERMES, INC.,
`Petitioners,
`
`v.
`
`OTSUKA PHARMACEUTICAL CO., LTD.,
`Patent Owner.
`____________
`
`Case IPR2017-00287
`Patent 9,125,939 B2
`____________
`
`
`
`Before JACQUELINE WRIGHT BONILLA, Vice Chief Administrative
`Patent Judge, SUSAN L. C. MITCHELL and JACQUELINE T. HARLOW,
`Administrative Patent Judges.
`
`HARLOW, Administrative Patent Judge.
`
`
`
`DECISION
`Denying Institution of Inter Partes Review
`37 C.F.R. § 42.108
`
`
`
`
`
`

`

`IPR2017-00287
`Patent 9,125,939 B2
`
`
`
`I.
`INTRODUCTION
`Petitioners, Alkermes Pharma Ireland Ltd. and Alkermes, Inc.
`(collectively, “Alkermes”), filed a Petition requesting an inter partes review
`of claims 2, 6, 7, and 9 of U.S. Patent No. 9,125,939 B2 (Ex. 1001, “the
`’939 patent”). Paper 1 (“Pet.”). Patent Owner, Otsuka Pharmaceutical Co.,
`Ltd. (“Otsuka”), filed a Preliminary Response. Paper 10 (“Prelim. Resp.”).
`We have authority to determine whether to institute an inter partes review
`under 35 U.S.C. § 314, which provides that an inter partes review may not
`be instituted unless the information presented in the petition “shows that
`there is a reasonable likelihood that the petitioner would prevail with respect
`to at least 1 of the claims challenged in the petition.”
`For the reasons set forth below, we deny the Petition.
`
`A. Related Matters
`
`The parties have not identified any related proceedings in which the
`’939 patent is currently asserted. Pet. 4–5; Paper 9, 1–2.
`
`B. The ’939 Patent
`
`The ’939 patent is titled “Carbostyril derivatives and mood stabilizers
`for treating mood disorders.” Ex. 1001 [54]. The ’939 patent issued from
`U.S. Patent Application No. 10/556,600, filed on May 19, 2004. Id. [21],
`[22]. The ’939 patent claims priority to U.S. Provisional Patent Application
`No. 60/473,378, filed on May 23, 2003. Id. [60].
`The ’939 patent describes compositions and methods for the treatment
`of mood disorders, including bipolar disorder. Id. at 1:15–23. In particular,
`2
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`IPR2017-00287
`Patent 9,125,939 B2
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`the ’939 patent teaches the use of the carbostyril derivative aripiprazole, “an
`antipsychotic drug having [a] new mechanism of action which is different
`from that of other atypical antipsychotic drugs” (id. at 8:33–35), in
`combination with a mood stabilizer, such as lithium, to treat bipolar disorder
`in patients partially nonresponsive to mood stabilizer monotherapy. Id. at
`26:53–27:56.
`The ’939 patent explains that rather than acting as a dopamine-D2
`receptor antagonist like other antipsychotic medications—including other
`atypical antipsychotics—aripiprazole is a partial agonist of dopamine-D2 and
`serotonin 5-HT1A receptors, and an antagonist of serotonin 5-HT2A receptors.
`Id. at 8:35–44. The ’939 patent accordingly identifies aripiprazole as “a
`drug belonging to [a] new category defined as a dopamine-serotonin system
`stabilizer (dopamine-serotonin nervous system stabilizer[)].” Id. at 8:44–49.
`
`C. Illustrative Claim
`
`Claim 2, the sole independent claim challenged in the Petition, is
`reproduced below.
`A method of treating bipolar disorder in a patient
`2.
`partially nonresponsive to lithium or valproic acid, divalproex
`sodium or a salt thereof monotherapy comprising:
`administering separately a first amount of aripiprazole,
`and a second amount of lithium, wherein the amount of lithium
`is about 0.01 to 500 parts by weight and the amount of
`aripiprazole is about 1 part by weight,
`wherein the bipolar disorder is chosen from bipolar
`disorder I, polar [sic] disorder II, bipolar disorder with or without
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`IPR2017-00287
`Patent 9,125,939 B2
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`psychotic features, mania, acute mania, bipolar depression, and
`mixed episodes.
`Ex. 1001, 29:15–30:4.
`
`D. Prior Art Relied Upon
`
`Alkermes relies upon the following prior art references (Pet. 14–22):
`American Psychiatric Association, Practice guideline for the treatment of
`patients with bipolar disorder (Revision), 159 AM. J. PSYCHIATRY 1–50
`(2002) (“APA Guidelines”) (Ex. 1009).
`
`Citrome et al., Pharmacokinetics and safety of aripiprazole and concomitant
`mood stabilizers, Abstracts of the 2002 Annual Meeting of the American
`Psychiatric Association, NR317 (2002) (“Citrome”) (Ex. 1008).
`
`Keck et al., Aripiprazole versus placebo in acute mania, Abstracts of the
`2002 Annual Meeting of the American Psychiatric Association, NR314
`(2002) (“Keck”) (Ex. 1007).
`
`Sachs et al., The Expert Consensus Guideline Series Medication Treatment
`of Bipolar Disorder 2000, POSTGRAD MED. SPECIAL REPORT (2000) (“Expert
`Consensus”) (Ex. 1026).
`
`Tohen et al., Efficacy of olanzapine in combination with valproate or lithium
`in the treatment of mania in patients partially nonresponsive to valproate or
`lithium monotherapy, 59 ARCH. GEN. PSYCHIATRY 62-69 (2002) (“Tohen”)
`(Ex. 1006).
`
`Data demonstrate aripiprazole significantly improved symptoms of acute
`mania in patients with bipolar disorder; new data presented today at
`American Psychiatric Association Annual Meeting, PR Newswire (2002)
`(“Otsuka Press Release”) (Ex. 1028).
`
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`IPR2017-00287
`Patent 9,125,939 B2
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`E. Asserted Grounds of Unpatentability
`
`Alkermes asserts the following grounds of unpatentability (Pet. 23–
`
`24):
`
`Claims
`
`2, 6, 7, 9
`2, 6, 7, 9
`2, 6, 7, 9
`
`2, 6, 7, 9
`2, 6, 7, 9
`2, 6, 7, 9
`
`References
`Basis
`§ 103(a) APA Guidelines and Keck or Otsuka Press
`Release
`§ 103(a) Tohen and Keck or Otsuka Press Release
`§ 103(a) Expert Consensus and Keck or Otsuka Press
`Release
`§ 103(a) APA Guidelines, Tohen, and Keck or Otsuka
`Press Release
`§ 103(a) Citrome and APA Guidelines
`§ 103(a) Citrome, Tohen, and/or Keck or Otsuka Press
`Release
`
`II. ANALYSIS
`
`A. Claim Construction
`
`In an inter partes review, claim terms in an unexpired patent are given
`their broadest reasonable interpretation in light of the specification of the
`patent in which they appear. 37 C.F.R. § 42.100(b). Under the broadest
`reasonable interpretation standard, claim terms are given their ordinary and
`customary meaning as would be understood by one of ordinary skill in the
`art in the context of the entire disclosure. In re Translogic Tech., Inc.,
`504 F.3d 1249, 1257 (Fed. Cir. 2007). Only those terms that are in
`controversy need be construed, and only to the extent necessary to resolve
`the controversy. Vivid Techs., Inc. v. Am. Sci. & Eng’g, Inc., 200 F.3d 795,
`803 (Fed. Cir. 1999).
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`Patent 9,125,939 B2
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`The parties propose constructions for several claim terms. Pet. 9–11;
`Prelim. Resp. 28. For purposes of this Decision, we find it necessary to
`address only whether the following claim 2 preamble limits claim scope:
`“[a] method of treating bipolar disorder in a patient partially nonresponsive
`to lithium or valproic acid, divalproex sodium or a salt thereof monotherapy
`comprising”.
`
`1. “A method of treating bipolar disorder in a patient partially
`nonresponsive to lithium or valproic acid, divalproex
`sodium or a salt thereof monotherapy comprising”
`The preamble of claim 2 recites “[a] method of treating bipolar disorder
`in a patient partially nonresponsive to lithium or valproic acid, divalproex
`sodium or a salt thereof monotherapy comprising[.] . . .” Ex. 1001, 29:15–
`17. Otsuka contends that this preamble limits claim scope. Prelim.
`Resp. 28. Alkermes tacitly admits that the preamble is limiting. See, e.g.,
`Pet. 25–26 (“a person of ordinary skill in the art wanting to treat a patient
`with bipolar disorder who is partially nonresponsive to lithium/divalproex
`monotherapy therapy would have looked to use a combination therapy”);
`Ex. 1002 ¶ 49 (“the patient being treated with the claimed method of use is
`at least partially nonresponsive to lithium, valproic acid, or divalproex
`sodium or a salt thereof monotherapy.”). Indeed, Alkermes affirmatively
`asserts that the preamble language “a patient partially nonresponsive to
`lithium or valproic acid, divalproex sodium or a salt thereof monotherapy”
`should be construed to mean “a patient that has shown an inadequate
`response to lithium, valproic acid, or divalproex sodium or salt thereof, as a
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`monotherapy.” Pet. 10; Ex. 1002 ¶ 59.
`We agree with Otsuka that the preamble of claim 2 is limiting.
`“Whether a preamble stating the purpose and context of the invention
`constitutes a limitation of the claimed process is determined on the facts of
`each case in light of the overall form of the claim, and the invention as
`described in the specification and illuminated in the prosecution history.”
`Applied Materials, Inc. v. Advanced Semiconductor Materials Am., Inc.,
`98 F.3d 1563, 1572–1573 (Fed. Cir. 1996). The preamble recitation that the
`claimed method is directed towards treating a particular patient population,
`namely, patients partially nonresponsive to certain mood stabilizer
`monotherapies “is necessary to give life, meaning, and vitality to the claim.”
`Catalina Mktg. Int’l, Inc. v. Coolsavings.com, Inc., 289 F.3d 801, 808 (Fed.
`Cir. 2002) (internal quotation omitted). In addition, the claim 2 preamble
`provides antecedent basis for the claim phrase “wherein the bipolar disorder
`is chosen from. . .” (Ex. 1001, 30:1). See Bell Communications Research,
`Inc. v. Vitalink Communications Corp., 55 F.3d 615, 620 (Fed. Cir. 1995)
`(“[W]hen the claim drafter chooses to use both the preamble and the body to
`define the subject matter of the claimed invention, the invention so defined,
`and not some other, is the one the patent protects.”).
`Moreover, during prosecution, Patent Owner added and relied upon
`the preamble language specifying that the method claimed is directed
`towards treatment of the patient population “partially nonresponsive to
`lithium or valproic acid, divalproex sodium or a salt thereof monotherapy”
`(Ex. 1076, 1052–1055) to distinguish the claimed invention from the prior
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`art (id. at 1062–1064). That action by Patent Owner during prosecution
`reasonably “transforms the preamble into a claim limitation because such
`reliance indicates use of the preamble to define, in part, the claimed
`invention.” Catalina Mktg. Int’l, 289 F.3d at 808. Consistently, the
`description in the specification of the ’939 patent of treating patients
`partially nonresponsive to mood stabilizer monotherapy with a combination
`of aripiprazole and lithium or valproate (Ex. 1001, 26:51–27:56) lends
`further support to the conclusion that the preamble of claim 2 is limiting.
`See Corning Glass Works v. Sumitomo Electric U.S.A., Inc., 868 F.2d 1251,
`1257 (Fed. Cir. 1989) (limiting claim scope to “optical waveguides” rather
`than all optical fibers in light of specification).
`Accordingly, on the record before us, and for purposes of this decision,
`we determine that the claim 2 preamble, “[a] method of treating bipolar
`disorder in a patient partially nonresponsive to lithium or valproic acid,
`divalproex sodium or a salt thereof monotherapy comprising[,]” limits the
`scope of that claim, as well as the scope of claims 6, 7, and 9, which each
`depend from claim 2. We additionally determine that, for purposes of this
`decision, the claim 2 preamble does not require express construction, and
`should be given its plain and ordinary meaning.
`
`B. Principles of Law
`
`A patent claim is unpatentable under 35 U.S.C. § 103(a) if the
`differences between the claimed subject matter and the prior art are such that
`the subject matter, as a whole, would have been obvious at the time the
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`invention was made to a person having ordinary skill in the art to which said
`subject matter pertains. KSR Int’l Co. v. Teleflex Inc., 550 U.S. 398, 406
`(2007). The question of obviousness is resolved on the basis of underlying
`factual determinations including: (1) the scope and content of the prior art;
`(2) any differences between the claimed subject matter and the prior art;
`(3) the level of ordinary skill in the art; and (4) objective evidence of
`nonobviousness. Graham v. John Deere Co., 383 U.S. 1, 17–18 (1966).
`We are mindful that the level of ordinary skill in the art is reflected by
`the prior art of record.1 See Okajima v. Bourdeau, 261 F.3d 1350, 1355
`(Fed. Cir. 2001); In re GPAC Inc., 57 F.3d 1573, 1579 (Fed. Cir. 1995); In
`re Oelrich, 579 F.2d 86, 91 (CCPA 1978).
`We analyze the asserted grounds of unpatentability in accordance with
`the above-stated principles.
`
`
`1 Alkermes states that an ordinarily skilled artisan at the time of the
`invention would have been an “M.D. psychiatrist with significant experience
`in treating patients with psychiatric disorders, including familiarity and
`personal experience in treating bipolar disorder and mania.” Pet. 11 (citing
`Ex. 1002 ¶ 57). Otsuka does not offer an explicit definition for a relevant
`skilled artisan. See generally Prelim. Resp. We apply Alkermes’ stated
`level of ordinary skill in the art, which is supported by Dr. Frances’
`testimony, because of the type of problems encountered in the art, the
`sophistication of the technology, and the educational level of those who
`work in this area. See In re GPAC, 57 F.3d 1573, 1579 (Fed. Cir. 1995).
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`C. Obviousness Ground of Unpatentability
`Based on APA Guidelines and Keck or Otsuka Press Release
`
`Alkermes asserts that claim 2, and its dependent claims 6, 7, and 9,
`are unpatentable under 35 U.S.C. § 103(a) as obvious in view of the APA
`Guidelines and Keck or the Otsuka Press Release. Pet. 24–30, 41–49.
`Alkermes relies upon the Declaration of Allen Frances, M.D. (“Frances
`Declaration”) (Ex. 1002) and the Declaration of Jessie Au, Pharm. D., Ph.D.
`(“Au Declaration”) (Ex. 1004) to support its positions.
`Otsuka responds that Alkermes has not established that either Keck or
`the Otsuka Press Release qualifies as a publicly accessible printed
`publication, and these references, therefore, are not available as prior art.
`Prelim. Resp. 3–16. Otsuka additionally asserts that an ordinarily skilled
`artisan would not have had reason to combine, or a reasonable expectation of
`success in combining, the cited references to arrive at the claimed invention.
`Id. at 16–33. Otsuka also contends that the Petition should be denied under
`35 U.S.C. § 325(d) (id. at 33–59), and that the asserted ground of
`unpatentability over the APA Guidelines and Keck or Otsuka Press Release
`is both horizontally and vertically redundant of other grounds set forth in the
`Petition (id. at 59–62).
`
`1. Overview of APA Guidelines
`The APA Guidelines disclose that, for the treatment of acute mania,
`“[t]he combination of an antipsychotic with either lithium or valproate may
`be more effective than any of these agents alone.” Ex. 1009, 15. The APA
`Guidelines note, however, that “caution should be exercised when
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`combining medications, since side effects may be additive and metabolism
`of other agents may be affected.” Id.
`With regard to the use of combination therapy in treating patients
`exhibiting an “incomplete response to monotherapy,” the APA Guidelines
`describe studies relating exclusively to the efficacy of two atypical
`antipsychotics—olanzapine and risperidone—in cotherapy with mood
`stabilizers. Id. at 31. The APA Guidelines do not discuss aripiprazole.
`
`2. Overview of Keck
`Keck describes a study comparing “the efficacy and safety of
`aripiprazole, the first next-generation atypical antipsychotic with a unique
`mechanism of action (dopamine-serotonin system stabilizer) to placebo in
`patients with acute bipolar mania.” Ex. 1007, 2. Keck reports that treatment
`for three weeks with 30 mg of aripiprazole (reduced to 15 mg if poorly
`tolerated) produced statistically significant improvement in Young Mania
`Rating Scale (“Y-MRS”) scores versus placebo. Id. Keck additionally
`reports that “[d]iscontinuations due to adverse events did not differ between
`the aripiprazole and placebo groups, and there were no significant changes
`in weight versus placebo.” Id. Keck states that “[a]ripiprazole was effective
`and well tolerated in the treatment of acute mania in patients with bipolar
`disorder.” Id.
`
`3. Overview of Otsuka Press Release
`The Otsuka Press Release describes the study performed by Keck, and
`provides further information concerning aripiprazole. Ex. 1028, 1. For
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`example, in addition to reporting that “40 percent of patients treated with
`aripiprazole responded to treatment, compared to 19 percent of patients
`treated with placebo” (id.) as reported by Keck (Ex. 1007, 2), the Otsuka
`Press Release notes that in a second placebo-controlled study, “aripiprazole
`did not show statistical separation from placebo.” Ex. 1028, 1.
`The Otsuka Press Release explains that “[a]ripiprazole is believed to
`have a mechanism of action that is fundamentally different from available
`antipsychotics. Aripiprazole exhibits potent partial agonism of D2
`dopamine receptors, and is also associated with partial agonism of 5HT(1A)
`serotonin receptors and antagonism of 5HT(2A) serotonin receptors.” Id.
`at 2.
`
`4. Discussion
`Even assuming that Keck and the Otsuka Press Release qualify as
`printed publications, we nevertheless conclude that Alkermes has not
`demonstrated a reasonable likelihood that it would prevail in establishing
`that the combination of the APA Guidelines with Keck or the Otsuka Press
`Release would have rendered the subject matter of the challenged claims
`obvious. Specifically, as discussed in more detail below, Alkermes has not
`shown adequately that an ordinarily skilled artisan would have had a
`reasonable expectation of success in combining the cited references to arrive
`at the claimed invention.2
`
`
`2 Because we determine that Alkermes has not established a reasonable
`likelihood of prevailing on its assertion that an ordinarily skilled artisan
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`The obviousness analysis requires, inter alia, consideration of two
`factors:
`(1) whether the prior art would have suggested to those of
`ordinary skill in the art that they should make the claimed
`composition or device, or carry out the claimed process; and
`(2) whether the prior art would also have revealed that in so
`making or carrying out, those of ordinary skill would have a
`reasonable expectation of success.
`Medichem, S.A. v. Rolabo, S.L., 437 F.3d 1157, 1164 (Fed. Cir. 2006)
`(quoting Velander v. Garner, 348 F.3d 1359, 1363 (Fed.Cir.2003)). “Both
`the suggestion and the expectation of success must be founded in the prior
`art, not in the applicant’s disclosure.” In re Dow Chemical Co., 837 F.2d
`469, 473 (Fed. Cir. 1988).
`Alkermes contends that the APA Guidelines’ disclosures concerning
`the treatment of refractory bipolar disorder, i.e., bipolar disorder
`inadequately responsive to mood stabilizer monotherapy, using combination
`therapy employing atypical antipsychotics in general, and olanzapine and
`risperidone in particular, taken together with teachings by Keck or the
`Otsuka Press Release regarding the efficacy and beneficial side effect profile
`of aripiprazole monotherapy, would have created a reasonable expectation of
`success in treating bipolar disorder. Pet. 24–27.
`
`
`would have had a reasonable expectation of success in combining the APA
`Guidelines with Keck or the Otsuka Press Release to arrive at the claimed
`invention, we do not need to address whether Alkermes sufficiently
`established that either Keck or the Otsuka Press Release qualifies as a
`printed publication.
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`As an initial matter, we observe that neither Alkermes nor Dr. Frances
`expressly asserts that an ordinarily skilled artisan in possession of the cited
`references would have had a reasonable expectation of success in treating
`bipolar disorder in a patient partially nonresponsive to mood stabilizer
`monotherapy with a combination of aripiprazole and lithium. Rather,
`Alkermes and Dr. Frances contend that a relevant skilled artisan “would
`have had a reasonable expectation that the combination of aripiprazole with
`lithium would be effective to treat the patient suffering from bipolar
`disorder.” Pet. 27; Ex. 1002 ¶ 64. Such contention is insufficient to support
`a finding that an ordinarily skilled artisan would have had a reasonable
`expectation of success in “treating bipolar disorder in a patient partially
`nonresponsive to lithium or valproic acid, divalproex sodium or a salt
`thereof monotherapy” (Ex. 1001, 29:15–17 (emphasis added)), as required
`by the challenged claims. See Intelligent Bio-Sys., Inc. v. Illumina
`Cambridge Ltd., 821 F.3d 1359, 1367 (Fed. Cir. 2016) (“It is of the utmost
`importance that petitioners in the IPR proceedings adhere to the requirement
`that the initial petition identify ‘with particularity’ the ‘evidence that
`supports the grounds for the challenge to each claim.’”) (quoting 35 U.S.C.
`§ 312(a).
`Furthermore, Alkermes does not adequately explain why, in view of
`the explicit teachings of Keck (Ex. 1007, 2) and the Otsuka Press Release
`(Ex. 1008, 2) concerning the unique mechanism of action of aripiprazole, a
`relevant skilled artisan would have had a reasonable expectation of success
`in using aripiprazole and lithium combination therapy to treat bipolar
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`patients in general, much less bipolar patients refractory to mood stabilizer
`monotherapy, as required by the challenged claims. In this regard, we
`observe that Alkermes’ conclusory statements concerning the existence of an
`expectation of success in treating bipolar disorder with aripiprazole and
`lithium combination therapy (Pet. 27) are not persuasive. Dr. Frances’
`nearly identical, unsupported opinions on this issue (Ex. 1002 ¶ 64), to
`which we give little weight (37 C.F.R. § 42.65(a)), are similarly
`unpersuasive.
`Neither Keck nor the Otsuka Press Release contemplates the use of
`aripiprazole to treat refractory bipolar disorder, or as a component of
`combination therapy. Nor do these references compare the efficacy of
`aripiprazole to that of other antipsychotic medications. Moreover, Keck and
`the Otsuka Press Release each explicitly disclose aripiprazole as having a
`mechanism of action different from that of all other known atypical
`antipsychotics—including olanzapine and risperidone. Ex. 1007, 2;
`Ex. 1028, 2. In this context, Alkermes only explains how the APA
`Guidelines’ suggests that atypical antipsychotics in general may be useful in
`combination therapy. Pet. 25–27; see also Ex. 1002 ¶ 61; Ex. 1009, 15.
`Further, olanzapine and risperidone are the only specific atypical
`antipsychotics identified in the APA Guidelines as useful in combination
`therapy. Ex. 1009, 31. As noted above, however, evidence before us
`indicates that aripiprazole was known to have a different mechanism of
`action from all other atypical antipsychotics. Petitioner does not explain
`adequately why an ordinary artisan would have reasonably expected that
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`administration of aripiprazole—having a different mechanism of action than
`olanzapine and risperidone—in combination with mood stabilizers, would
`have worked to treat patients partially nonresponsive to mood stabilizer
`monotherapy. Petitioner’s lack of adequate explanation is fatal to this
`asserted ground of unpatentability.
`Alkermes asserts that an ordinarily skilled artisan would have
`understood from Keck or the Otsuka Press Release that aripiprazole “was
`safe and effective in treating bipolar disorder and, in fact, showed a
`beneficial side effect profile that made it more desirable than other atypical
`antipsychotics available” (Pet. 27; see also Ex. 1002 ¶ 64). That assertion
`has little bearing, however, on whether an ordinarily skilled artisan would
`have had a reasonable expectation of success in using aripiprazole in
`combination with a mood stabilizer to treat bipolar disorder in a patient
`partially nonresponsive to mood stabilizer monotherapy. Neither evidence
`of the efficacy of aripiprazole monotherapy as a first-line treatment for acute
`bipolar mania, nor the beneficial side effects of aripiprazole monotherapy,
`such as reduced weight gain relative to other atypical antipsychotics, would
`have been sufficient to create a reasonable expectation of success in treating
`patients partially refractory to mood stabilizer monotherapy with
`aripiprazole and mood stabilizer cotherapy. This is particularly so where, as
`here, the record indicates that aripiprazole has a different mechanism of
`action than other known atypical antipsychotics.
`Stated plainly, Alkermes has not adequately explained why a relevant
`skilled artisan would have had a reasonable expectation of success in using
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`aripiprazole in combination with a mood stabilizer to treat refractory bipolar
`disorder. Specifically, Alkermes does not address evidence of record
`indicating that ordinarily skilled artisans knew that aripiprazole worked
`differently from other antipsychotics and had only been shown to be
`effective as a monotherapy relative to placebo.3
`Accordingly, we determine that Alkermes has not established
`sufficiently for purposes of this Decision that claims 2, 6, 7, and 9 would
`have been unpatentable as obvious over the APA Guidelines and Keck or the
`Otsuka Press Release. Because we determine that Alkermes has not shown a
`reasonable likelihood in prevailing on its assertion that the challenged claims
`would have been obvious in view of the APA Guidelines and Keck, we do
`not need to address Otsuka’s assertions regarding the status of Keck and the
`Otsuka Press Release as a printed publications. We likewise decline to
`address Otsuka’s contentions regarding the exercise of our discretion under
`35 U.S.C. § 325(d) and the purported redundancy of this ground of
`unpatentability.
`
`D. Obviousness Ground of Unpatentability
`Based on Tohen and Keck or Otsuka Press Release
`
`Alkermes asserts that claims 2, 6, 7, and 9 are unpatentable under
`35 U.S.C. § 103(a) as obvious in view of Tohen and Keck or the Otsuka
`
`
`3 To the extent Alkermes attempts to rely on the ’939 patent specification to
`support its reasonable expectation of success argument (see Pet. 27, n.4), we
`observe that such reliance is improper. See Dow Chemical, 837 F.2d at 473.
`17
`
`

`

`IPR2017-00287
`Patent 9,125,939 B2
`
`
`Press Release. Pet. 30–32, 41–49. Alkermes relies upon the Frances
`Declaration (Ex. 1002) and the Au Declaration (Ex. 1004) to support its
`positions.
`Otsuka reiterates its contention that Alkermes has not established that
`either Keck or the Otsuka Press Release qualifies as a publicly accessible
`printed publication (Prelim. Resp. 3–16), and asserts that an ordinarily
`skilled artisan would not have had reason to combine, or a reasonable
`expectation of success in combining the cited references to arrive at the
`claimed invention (id. at 16–33). Otsuka also reasserts its position that the
`Petition should be denied under 35 U.S.C. § 325(d) (id. at 33–59), and
`argues that the asserted ground of unpatentability based on Tohen and Keck
`or Otsuka Press Release is both horizontally and vertically redundant of
`other grounds set forth in the Petition (id. at 59–62).
`
`1. Overview of Tohen
`Tohen describes a study conducted to determine “the efficacy of
`combined therapy with olanzapine and either valproate or lithium compared
`with valproate or lithium alone in treating acute manic or mixed bipolar
`episodes.” Ex. 1006, 1. Tohen reports that “[o]lanzapine cotherapy
`improved patients’ YMRS total scores significantly more than
`monotherapy” with either lithium or valproate. Id. Tohen additionally
`reports that weight gain was observed with cotherapy, but the amount of
`weight gain was similar to that seen with olanzapine monotherapy. Id. at 7.
`Tohen notes that olanzapine is an atypical antipsychotic that has been
`shown in prior studies to have acute anti-maniac effects, and to be “effective
`18
`
`

`

`IPR2017-00287
`Patent 9,125,939 B2
`
`
`when used in combination with other psychotropic agents.” Id. at 1. Tohen
`observes that the finding that olanzapine and mood stabilizer cotherapy
`results in improved patient Y-MRS scores versus mood stabilizer
`monotherapy is consistent with others’ findings evaluating the efficacy of
`cotherapy using typical antipsychotics and mood stabilizers, as well as
`preliminary results obtained with cotherapy using the atypical antipsychotic
`risperidone and mood stabilizers. Id. at 7. Tohen does not discuss
`aripiprazole.
`
`2. Discussion
`Alkermes relies on Tohen in much the same way that it relies on the
`APA Guidelines in the preceding asserted ground of unpatentability.
`Indeed, Alkermes’ argument concerning whether a relevant skilled artisan
`would have had a reasonable expectation of success in treating patients
`refractory to mood stabilizer monotherapy using a combination of
`aripiprazole and lithium closely mirrors that discussed above concerning the
`combination of the APA Guidelines and Keck or the Otsuka Press Release.
`Pet. 30–32. Namely, Alkermes asserts that Tohen’s teachings with regard to
`the treatment of refractory bipolar disorder using combination therapy
`employing atypical antipsychotics in general, and using olanzapine and
`lithium cotherapy in particular, considered together with teachings by Keck
`and the Otsuka Press Release regarding the efficacy and beneficial side
`effect profile of aripiprazole monotherapy, would have created a reasonable
`expectation of success in the claimed method. Pet. 30–32.
`
`19
`
`

`

`IPR2017-00287
`Patent 9,125,939 B2
`
`
`
`Alkermes discusses disclosures concerning the treatment of refractory
`illness with a combination therapy that employs atypical antipsychotics in
`general (Ex. 1006, 1), and the use of olanzapine and mood stabilizer
`combination therapy in particular (id.). Pet. 30–32. Alkermes does not
`explain sufficiently, however, why an ordinary artisan would have had a
`reasonable expectation of success in using aripiprazole––which had only
`been evaluated as a monotherapy, and was explicitly disclosed as having a
`mechanism of action that differed from that of all other known atypical
`antipsychotics (Ex. 1007, 1; Ex. 1028, 2)––in combination with mood
`stabilizers to treat patients partially nonresponsive to mood stabilizer
`monotherapy.
`Moreover, the fact that olanzapine combination therapy is associated
`with weight gain, while aripiprazole monotherapy is not, does not provide
`evidence of a reasonable expectation of success in relation to the subject
`matter of the challenged claims. The essential question is whether a relevant
`skilled artisan would have had a reasonable expectation of success in
`treating a patient partially nonresponsive to mood stabilizer monotherapy
`with aripiprazole and lithium combination therapy. Evidence that an
`ordinary artisan expected aripiprazole to exhibit a side effect profile superior
`to that of olanzapine does not sufficiently establish that an ordinarily skilled
`artisan would have had a reasonable expectation of success in treating
`refractory bipolar disorder using aripiprazole combination therapy.
`Improved side effects are immaterial to the reasonable expectation of
`
`20
`
`

`

`IPR2017-00287
`Patent 9,125,939 B2
`
`
`success analysis, absent evidence that one would have expected the recited
`method to treat a refractory bipolar disorder in the first place.
`Accordingly, we determine that Alkermes has not established
`sufficiently for purposes of this Decision that claims 2, 6, 7, and 9 would
`have been unpatentable as obvious over Tohen and Keck or the Otsuka Press
`Release. Because we deny institution of inter partes review with respect to
`this asserted ground of unpatentability, we do not need to address Otsuka’s
`arguments concerning the prior art status of Keck and the Otsuka Press
`Release. We l

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