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`UNITED STATES PATENT AND TRADEMARK OFFICE
`_____________________________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
`_____________________________
`
`
`MYLAN PHARMACEUTICALS INC.,
`Petitioner,
`
`v.
`
`ALLERGAN, INC.,
`Patent Owner.
`
`_____________________________
`
`Patent No. 8,633,162
`
`_____________________________
`
`
`DECLARATION OF MANSOOR AMIJI, PH.D.
`
`
`
`TEVA - EXHIBIT 1002
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`
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`TABLE OF CONTENTS
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`
`
`I.
`
`QUALIFICATIONS ........................................................................................... 1
`
`II.
`
`SCOPE OF WORK ............................................................................................ 3
`
`III. OVERVIEW OF THE ’162 PATENT .................................................................... 3
`
`IV. FILE HISTORY OF THE ’162 PATENT ................................................................ 7
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`V.
`
`LEGAL STANDARDS ..................................................................................... 11
`
`VI. LEVEL OF ORDINARY SKILL AND RELEVANT TIME ........................................ 14
`
`VII. CLAIM CONSTRUCTION ................................................................................ 15
`
`VIII. THE STATE OF THE ART................................................................................ 20
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`IX. ASSERTED REFERENCES DISCLOSE OR SUGGEST EACH OF THE
`CLAIMED FEATURES OF THE ’162 PATENT .................................................... 27
`
`
`
`
`
`
`
`GROUND 1. THE TEACHINGS OF DING ’979 AND SALL MAKE
`CLAIMS 1-10, 12-14, 16-20, AND 22-24 OBVIOUs. ........................................ 43
`
`GROUND 2. THE TEACHINGS OF DING ’979, SALL, AND
`ACHEAMPONG MAKE CLAIMS 11 AND 21 OBVIOUS. ..................................... 59
`
`GROUND 3. THE TEACHINGS OF DING ’979, SALL, AND
`GLONEK MAKE CLAIM 15 OBVIOUS. ............................................................ 61
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`X. NO UNEXPECTED RESULTS ........................................................................... 64
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`XI. CONCLUDING STATEMENTS .......................................................................... 79
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`XII. APPENDIX – LIST OF EXHIBITS ..................................................................... 81
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`
`
`i
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`I, Mansoor Amiji, declare as follows:
`
`I.
`
`QUALIFICATIONS
`
`1.
`
`My name is Mansoor Amiji. I am currently the Bouvé College
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`Distinguished Professor in the Department of Pharmaceutical Sciences in the
`
`School of Pharmacy at Northeastern University. I have been a member of the
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`faculty at Northeastern since 1993. I am also an affiliate faculty member in the
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`Departments of Chemical Engineering and Biomedical Engineering within the
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`College of Engineering at Northeastern, as well as a Distinguished Adjunct
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`Professor within the Faculty of Pharmacy at King Abdulaziz University.
`
`2.
`
`I received a B.S. in Pharmacy from Northeastern University in
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`1988, and a Ph.D. in Pharmaceutics/Biomaterials Science from Purdue University
`
`in 1992. I have also conducted research as a Senior Research Scientist at the
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`Columbia Research Laboratories in Madison, Wisconsin, as well as served as a
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`Visiting Research Scholar in the Department of Chemical Engineering at MIT.
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`3.
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`My current research focuses on the development of biocompatible
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`materials from natural and synthetic polymers, target-specific drug and gene
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`delivery systems for cancer and infectious diseases, and nanotechnology
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`applications for medical diagnosis, imaging and therapy. I have extensive
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`experience with pharmaceutical formulations, including oil-in-water emulsions
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`containing various types of oils, including castor oil, as well as with sterile
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`formulations and dosage forms for use in the eye. I have also taught courses on the
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`development and characterization of ophthalmic formulations to undergraduate
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`pharmacy and graduate students.
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`-1-
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`4.
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`I have had extensive experience in the development and
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`characterization of lipid-based drug delivery systems, including oil-in-water
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`emulsion formulations intended for parenteral and oral administration. I have also
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`worked on emulsion formulations that are targeted to different parts of the body,
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`including the brain.
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`5.
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`My research has been funded by such organizations as the National
`
`Institute of Health (NIH) and the National Science Foundation (NSF), as well as
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`other government agencies and foundations. I also serve, or have served, on the
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`editorial board of thirteen peer-reviewed journals such as Drug Design:
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`Development and Therapy, Expert Opinion on Drug Delivery, Pharmaceutical
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`Formulations and Quality, and Tissue Barriers. I have also served as a reviewer
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`for 39 peer-reviewed journals including Science, Angewandte Chemie
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`International Edition, European Journal of Pharmaceutical Sciences, Journal of
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`Pharmaceutical Sciences, and Nature Communications.
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`6.
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`I have authored or co-authored more than 200 peer-reviewed
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`journal articles. I have also authored 43 book chapters and been listed as an
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`inventor on 16 patents and patent applications. I have given over 170 invited
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`seminars at scientific symposia and educational institutions.
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`7.
`
`I have received numerous honors and awards, including my 2014
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`induction into the College of Fellows at the Controlled Release Society,
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`appointment as an Honorary Member in the Phi Lambda Sigma Pharmacy
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`Leadership Society, a fellowship as well as the Meritorious Manuscript Award
`
`
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`-2-
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`
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`from the American Association of Pharmaceutical Sciences, and the Eurand Award
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`for Outstanding Research in Oral Drug Delivery.
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`8.
`
`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. Ex. 1003.
`
`II.
`
`SCOPE OF WORK
`
`9.
`
`I understand 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. 8,633,162
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`(“the ’162 patent,” Ex. 1001). I have been retained by the Petitioner as a technical
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`expert to provide analysis and opinions regarding the ’162 patent. I have reviewed
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`the ’162 patent and relevant sections of its prosecution history in the United States
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`Patent and Trademark Office. Ex. 1004. I have also reviewed and considered
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`various other documents in arriving at my opinions, and cite them in this
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`declaration. For convenience, documents cited in this declaration are listed in the
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`Appendix in Section XII.
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`10.
`
`I am compensated at the rate of $870/hour for my work. I have no
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`financial interest in the outcome of this matter.
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`III. OVERVIEW OF THE ’162 PATENT
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`11.
`
`The ’162 patent issued January 21, 2014. The ’162 patent is entitled
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`“Methods of Providing Therapeutic Effects using Cyclosporin Components.” The
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`first page of the patent states that an application for the ’162 patent (U.S.
`
`Application No. 13/967,179, “the ’179 application”) was filed on August 14, 2013
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`and claims priority through a series of continuations to U.S. Application No.
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`
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`-3-
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`
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`10/927,857 (“the ’857 application,” Ex. 1005), and thereby to U.S. Provisional
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`Patent Application No. 60/503,137, filed on September 15, 2003.
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`12.
`
`The ’162 patent is generally directed to methods of treatment of
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`ocular disorders using pharmaceutical compositions of cyclosporin A (referred to
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`herein as “CsA”). Claim 1 of the ’162 patent recites the following:
`1.
`comprising topically administering to the eye of a human in need
`
`A method of treating dry eye disease, the method
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`thereof an emulsion at a frequency of twice a day, wherein the
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`emulsion comprises cyclosporin A in an amount of about 0.05% by
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`weight, polysorbate 80, acrylate/C10-30 alkyl acrylate cross-polymer,
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`water, and castor oil in an amount of about 1.25% by weight; and
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`wherein the topical ophthalmic emulsion is effective at treating
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`dry eye disease.
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`Ex. 1001, col. 15, ll. 22-30.
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`13.
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`Claim 2 depends from claim 1 and recites that the emulsion further
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`comprises a tonicity agent or a demulcent component. Claim 3 further depends
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`from claim 2, and recites that the tonicity agent or demulcent component is
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`glycerine. Claim 4 depends from claim 1, reciting that the emulsion further
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`comprises a buffer; claim 5 further depends from claim 4, and recites that the
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`buffer is sodium hydroxide. Claims 6-9 also depend from claim 1, reciting that the
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`topical ophthalmic emulsion further comprises glycerine and a buffer, that the
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`emulsion comprises polysorbate 80 in an amount of 1.0% by weight, that the
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`emulsion comprises acrylate/C10-30 alkyl acrylate cross-polymer in an amount of
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`about 0.05% by weight, and that the emulsion further comprises glycerine in an
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`amount of 2.2% by weight and a buffer, respectively. Claim 10 depends from
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`
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`-4-
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`
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`claim 9, reciting that the buffer is sodium hydroxide. Percent values refer to % by
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`weight throughout this declaration unless otherwise indicated.
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`14.
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`Claim 11 depends from claim 1, and recites that when the emulsion
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`is topically administered to the human eye, “the blood of the human has
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`substantially no detectable concentration of cyclosporin A.” Id. at col. 15, ll. 51-
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`53. Claim 12 depends from claim 6, reciting that the emulsion has a pH in the
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`range of about 7.2 to about 7.6. Claims 13 and 14 depend from claim 1, reciting
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`that the emulsion is “as substantially therapeutically effective as” and “achieves at
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`least as much therapeutic effectiveness as,” a similar emulsion comprising
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`cyclosporin A in an amount of 0.1% by weight and castor oil in an amount of
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`1.25% by weight. Id. at col. 15, l. 56 – col. 16, l. 4. Similarly, claim 15 depends
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`from claim 1, reciting that the emulsion breaks down more quickly in the eye of a
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`human, “thereby reducing vision distortion” as compared to a second emulsion that
`
`contains only 50% as much castor oil. Id. at col. 16, ll. 5-9. Claim 16 depends
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`from claim 1, reciting that the emulsion, when administered to the human eye,
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`demonstrates “a reduction in adverse events” as compared to a second emulsion
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`comprising 0.1% by weight cyclosporin A and 1.25% castor oil. Id. at col. 16, ll.
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`10-17. Claim 17 further depends from claim 16, reciting that the adverse events
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`are side effects.
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`15.
`
`Claim 18 of the ’162 patent is an independent claim to a method of
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`treatment, and recites the following:
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`18. A method of reducing side effects in a human being
`
`treated for dry eye syndrome, the method comprising the step of
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`
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`-5-
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`
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`topically administering to the eye of the human in need thereof an
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`emulsion at a frequency of twice a day, wherein the emulsion
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`comprises:
`
`cyclosporin A in an amount of about 0.05% by weight;
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`castor oil in an amount of 1.25% by weight;
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`polysorbate 80 in an amount of about 1.0% by weight;
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`acrylate/C10-30 alkyl acrylate cross-polymer in an amount of about
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`0.05% by weight;
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`a tonicity component or a demulcent component in an amount of
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`about 2.2% by weight;
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`a buffer; and
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`water;
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`wherein the topical ophthalmic emulsion has a pH in the range of
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`about 7.2 to about 7.6.
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`Id. at col. 16, ll. 20-36.
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`16. Claims 19-22 depend from claim 18, and recite that the buffer is
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`sodium hydroxide, the tonicity/demulcent component is glycerine, that “when the
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`emulsion is administered to the eye of a human for treating dry eye syndrome, the
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`blood of the human has substantially no detectable concentration of the cyclosporin
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`A,” and that the emulsion is effective in treating dry eye disease. Id. at col. 16, ll.
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`37-46.
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`17.
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`Claim 23 of the ’162 patent is an independent claim to a method for
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`the treatment of keratoconjunctivitis sicca, and recites the following:
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`23. A method of treating dry eye disease, the method
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`comprising the step of topically administering to an eye of a human in
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`need thereof an emulsion at a frequency of twice a day, the emulsion
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`comprising:
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`
`
`-6-
`
`
`
`cyclosporin A in an amount of about 0.05% by weight;
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`castor oil in an amount of about 1.25% by weight;
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`polysorbate 80 in an amount of about 1.0% by weight;
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`acrylate/C10-30 alkyl acrylate cross-polymer in an amount of about
`
`0.05% by weight;
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`glycerine in an amount of about 2.2% by weight;
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`sodium hydroxide; and
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`water; and
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`wherein the emulsion is effective in treating dry eye disease.
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`Id. at col. 16, ll. 47-60.
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`Finally, claim 24 depends from claim 23, reciting that the emulsion has a pH
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`in the range of about 7.2 to about 7.6.
`IV. FILE HISTORY OF THE ’162 PATENT
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`18. As noted above, the instant patent that issued from the ’179
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`application resulted from continuations of the ’857 application. During
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`prosecution of the ’857 application, the applicant expressly admitted that the
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`emulsion, referred to as Composition II, and which remains the emulsion recited
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`in the method of treatment claims in the ’162 patent, was squarely within the
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`teachings of U.S. Patent No. 5,474,979 (filed May 17, 1994) to Ding et al. (“Ding
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`’979,” Ex. 1006). The applicant stated:
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`The applicants concede that it would have been obvious to modify
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`examples 1A-1E of the Ding [’979] reference to arrive at Composition
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`II of the present application. The differences are insignificant. One
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`need only use the cyclosporin concentration of Example 1E (0.05%),
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`the castor oil concentration of Example 1D (1.250%), and the
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`remaining ingredients of those examples. As the examiner correctly
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`observes, one of ordinary skill in the art “would readily envisage”
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`-7-
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`
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`such a composition, especially in view of Example 1B: having
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`selected 0.05% as the concentration of cyclosporin, Example 1B
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`(wherein the ratio of cyclosporin to castor oil is 0.04) teaches that the
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`concentration of castor oil should be 1.250% (0.05% / 1.250% =
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`0.04). The applicants concede that in making this selection (0.05%
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`cyclosporin and 1.250% castor oil) there would have been a
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`reasonable expectation of success; the differences between Examples
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`1A-1E and Composition II are too small to believe otherwise.
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`The formulation of Composition II is squarely within the teachings of
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`the Ding [’979] reference, and the Office should disregard any
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`statements by the applicants suggesting otherwise[.]
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`Ex. 1005 at 0435.
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`As discussed below, I agree with these statements.
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`19.
`
`I have reviewed the content of the ’857 application concurrently
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`with that of the ’162 patent and find Composition II of the ’857 application to be
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`indistinguishable from the emulsion claimed in the ’162 patent. A table submitted
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`by the applicant during prosecution of the ’857 application has been included
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`below, and extended to include the emulsion of the ’162 patent for convenient
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`comparison.
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`
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`-8-
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`
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`Ex. 1005 at 0434 (right-most column added). The ’857 application was ultimately
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`abandoned. Ex. 1004 at 0002.
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`20.
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`As mentioned above, the ’179 application resulted from a series of
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`continuations from the abandoned ’857 application. Id. During prosecution of the
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`’179 application, the applicants acknowledged their prior admissions, stating that
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`they had been collecting evidence to support the patentability of the claims “[s]ince
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`these comments have been filed.” Ex. 1004 at 0007. The examiner thereafter
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`rejected the claims under 35 U.S.C. § 103 as being obvious over Ding ’979 and for
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`double patenting over Ding ’979. Id. at 0126-43.
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`21.
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`On October 3, 2013, the examiner conducted an interview with four
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`representatives of applicants. Id. at 0194. According to the applicants’ interview
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`summary, the applicants presented “Data demonstrating unexpected results and
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`commercial success of the claimed method” and “Data and information regarding
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`-9-
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`the claimed method’s satisfaction of a long-felt need.” Id. Applicants’ principal
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`argument was that “the evidence of non-obviousness presented at the interview
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`overcomes the prima facie obviousness rejection.” Id.
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`22.
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`On October 14, 2013, the applicants amended the claims to, among
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`other things, substitute the generic term “acrylate/C10-30 alkyl acrylate cross-
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`polymer” for the trade name Pemulen® and substitute the full term
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`“keratoconjunctivitis sicca” for the acronym “KCS.” Id. at 0189-93. The applicants
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`stated without elaboration that “the prima facie case of obviousness has not been
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`properly established against the pending claims,” but based their argument on their
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`assertion that “the unexpected results, commercial success, and satisfaction of long
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`felt need obtained with the claimed methods and the failure of others overcome the
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`prima facie obviousness rejection asserted in the Office Action.” Id. at 0195. The
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`applicants submitted four declarations in support of their assertions: two by Rhett
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`Schiffman, one by Mayassa Attar, and one by Aziz Mottiwala. Specifically,
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`applicants argued, based on one Schiffman declaration (“Schiffman Declaration
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`1”) and the Attar Declaration that “there are new and unexpected results
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`relative to the prior art.” Id. at 0196 (emphasis in original). The applicants
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`relied on “unexpected results compared to the prior art” in Schirmer Tear Testing
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`and decreased corneal staining, as well as reduction of blurred vision and
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`decreased use of artificial tears. Id. I discuss Schiffman Declaration 1, as well as
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`the Attar declaration, in Section X below.
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`23.
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`The examiner issued a Notice of Allowance on December 6, 2013.
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`Id. at 0393. The examiner concluded that applicants had failed to demonstrate
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`-10-
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`commercial success or long-felt need. Id. at 0403-05. However, relying on
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`Schiffman Declaration 1 and the Attar Declaration, the examiner concluded that,
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`“the specific combination of 0.05% by weight cyclosporin A with 1.25% by weight
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`castor oil is surprisingly critical for therapeutic effectiveness in the treatment of
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`dry eye or keratoconjunctivitis sicca,” and therefore, “demonstrate[s] surprising
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`and unexpected results.” Id. at 0407.
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`24.
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`As set forth in detail throughout this declaration, I disagree with the
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`opinions of Dr. Schiffman and Dr. Attar that the results in the submitted
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`declarations were unexpected or surprising.
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`V. LEGAL STANDARDS
`
`25.
`
`I understand that a claim is not patentable under 35 U.S.C. § 102,
`
`for lack of novelty, if each and every element of the claim is described, either
`
`expressly or inherently, in a single prior art reference.
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`26.
`
`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
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`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 September 15, 2003.
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`-11-
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`27.
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`I have been instructed that, a determination of obviousness requires
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`inquiries into (i) the scope and content of the art when the invention was made; (ii)
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`the differences between the art and the claims at issue; (iii) the level of ordinary
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`skill in the pertinent art when the invention was made; and, to the extent they exist,
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`any secondary considerations.
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`28.
`
`I understand that a claim can be found to be obvious if all the
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`claimed elements were known in the prior art and one skilled in the art could have
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`combined the elements as claimed by known methods with no change in their
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`respective functions, and the combination would have yielded nothing more than
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`predictable and expected results to one of ordinary skill in the art.
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`29.
`
`I understand that improper hindsight must not be used when
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`comparing the prior art to the invention for obviousness. Thus, a conclusion of
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`obviousness must be firmly based on the knowledge and skill of a person of
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`ordinary skill in the art at the time the invention was made.
`
`30.
`
`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 be demonstrated by showing that it would have been obvious to combine the
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`teachings of more than one item of prior art. I understand that in order for a
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`combination of references or teachings to render the claimed invention obvious,
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`there must be some supporting rationale for combining the cited references or
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`teachings as proposed.
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`
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`-12-
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`31.
`
`I am informed that the following are examples of principles that
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`may indicate that it would have been obvious to combine multiple teachings,
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`resulting in the claimed combination, if the claimed combination involves: (i) the
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`combination of prior art elements according to known methods to yield predictable
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`results; (ii) the simple substitution of one known element for another to obtain
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`predictable results; (iii) the use of a known technique to improve similar methods
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`or products in the same way; (iv) the application of a known technique to a known
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`method or product ready for improvement to yield predictable results; (v) the
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`application of a technique or approach that would have been “obvious to try” (e.g.,
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`choosing from a finite number of identified, predictable solutions, with a
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`reasonable expectation of success); (vi) predictable variations of a known work in
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`one field of endeavor prompted for use in either the same field or a different field
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`based on design incentives or other market forces; or (vii) some teaching,
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`suggestion, or motivation in the prior art that would have led one of ordinary skill
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`to modify the prior art reference or to combine prior art reference teachings to
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`arrive at the claimed invention.
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`32.
`
`I also understand that “secondary considerations” may be weighed
`
`against evidence of obviousness where appropriate.
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`33.
`
`I understand that such secondary considerations, where in evidence,
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`may include: (i) commercial success of a product due to the merits of the claimed
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`invention; (ii) a long-felt, but unsatisfied need for the invention; (iii) failure of
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`others to find the solution provided by the claimed invention; (iv) deliberate
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`copying of the invention by others; (v) unexpected results achieved by the
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`
`
`-13-
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`
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`invention; (vi) praise of the invention by others skilled in the art; (vii) lack of
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`independent simultaneous invention within a comparatively short space of time;
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`and (viii) teaching away from the invention in the prior art. Secondary
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`considerations are relevant where there is a nexus between the evidence and the
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`claimed invention.
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`VI. LEVEL OF ORDINARY SKILL AND RELEVANT TIME
`
`34.
`
`I have been advised that “a person of ordinary skill in the relevant
`
`field” is a hypothetical person who is presumed to have known the relevant art at
`
`the time of the invention. A person of ordinary skill in the art is also a person of
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`ordinary creativity. I understand that the relevant timeframe for assessing the
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`validity of claims of the ’162 patent for the purposes of this declaration is assumed
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`to be September 15, 2003, the earliest alleged priority date of the application that
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`led to the ’162 patent. Unless otherwise specifically noted, all of my opinions
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`expressed herein regarding a person of ordinary skill in the art apply to a person of
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`ordinary skill in the art as of September 15, 2003.
`
`35.
`
`By virtue of my education, experience, and training, I am familiar
`
`with the level of skill in the art of the ’162 patent prior to September 15, 2003. In
`
`my opinion, a person of ordinary skill in the relevant field as of September 15,
`
`2003 would typically have an advanced degree, such as a medical degree, or a
`
`Ph.D. in organic chemistry, pharmaceutical chemistry, medicinal chemistry,
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`pharmaceutics, physical pharmacy, or a related field, or could have less education
`
`but considerable professional experience in one or more of these fields.
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`Additionally, a person of ordinary skill in the art would have been aware of the
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`
`
`-14-
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`
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`information known in the art relating to dry eye/KCS, its causes and known, useful
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`treatments, whether palliative or therapeutic.
`
`36.
`
`In particular, one of ordinary skill in the art would likely have some
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`combination of the following skills and experience: (i) experience formulating
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`pharmaceutical products; (ii) experience designing and preparing drug
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`formulations intended for topical ocular administration; (iii) the ability to
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`understand results and findings presented or published by others in the field,
`
`including the publications discussed in this declaration.
`
`VII. CLAIM CONSTRUCTION
`
`37.
`
`I have been advised that, in the present proceeding, the ’162 patent
`
`claims are to be given their broadest reasonable interpretation in view of the
`
`specification. I also understand that, absent some reason to the contrary, claim
`
`terms are typically given their ordinary and accustomed meaning as would be
`
`understood by one of ordinary skill in the art. I have followed these principles in
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`my analysis throughout this declaration. The ’162 patent provides definitions for
`
`certain claim terms. In my opinion, these definitions are conventional. Certain
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`claim terms are not defined in the ’162 patent. I discuss a few terms below and
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`what I understand as constructions of these terms.
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`38.
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`Claims 4-6, 9, 10, 18, and 19 recite that the emulsion of the claimed
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`method comprises a “buffer,” while claims 5, 10, and 19 recite that “the buffer is
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`sodium hydroxide.” As discussed in the specification, “[t]he pH of the emulsions
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`can be adjusted in a conventional manner using sodium hydroxide . . . to a
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`physiological pH level.” Ex. 1001, col. 12, ll. 25-27. The specification also notes
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`-15-
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`
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`that “suitable buffer components, for example, and without limitation, phosphates,
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`citrates, acetates, borates and the like and mixtures thereof, may be employed to
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`maintain a suitable pH.” Id. at col. 12, ll. 32-35. Based on the specification of the
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`’162 patent, a person of ordinary skill in the art would understand the term “buffer”
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`to include “sodium hydroxide.”
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`39.
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`Claims 11 and 21 recite that following administration of the
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`claimed emulsion, “the blood of a human has substantially no detectable
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`concentration of the cyclosporin A.” According to the specification: “Cyclosporin
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`component concentration in blood preferably is determined using a liquid
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`chromatography-mass spectroscopy-mass spectroscopy (LC-MS/MS), which test
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`has a cyclosporin component detection limit of 0.1 ng/ml. Cyclosporin component
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`concentrations below or less than 0.1 ng/ml are therefore considered substantially
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`undetectable.” Ex. 1001, col. 5, l. 64 – col. 6, l. 3. Notably, neither the claims nor
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`the specification discuss the time point at which the blood levels of CsA are
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`measured. A person of ordinary skill in the art could measure blood concentration
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`at either peak or trough levels, e.g., taking blood samples at serial time points, and
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`determining the maximal concentration, or by taking and testing a blood sample
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`just prior to a second administration of the drug to determine the trough level of the
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`drug in the blood. Taking the broadest reasonable construction for the purposes of
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`this proceeding, the phrase “substantially no detectable concentration” of CsA
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`includes CsA blood levels measured at a concentration below 0.1 ng/mL taken at
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`either peak or trough levels.
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`-16-
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`40.
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`Independent claims 1 and 23 state that the emulsion is “effective in
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`treating dry eye disease.” Dependent claim 22 recites that the emulsion of
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`independent claim 18 is also “effective in treating dry eye disease.” The ’162
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`patent identifies that cyclosporin “acts to enhance or restore lacrimal gland tearing
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`in providing the desired therapeutic effect.” Ex. 1001, col. 9, ll. 14-17. During
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`prosecution, the applicants relied on an increase in tearing as demonstrated by the
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`Schirmer Tear Test to assert unexpected efficacy of the claimed emulsion for
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`treating dry eye disease/KCS. See, e.g., Ex. 1004 at 0200 (arguing that the claimed
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`method was “therapeutically effective for the treatment of dry eye or
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`keratoconjunctivitis sicca . . . according to corneal staining score, Schirmer score,”
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`and other measures). In light of the discussion above and in the context of the
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`specification of the ’162 patent, I understand that an emulsion effective in
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`increasing tear production is an example of an emulsion effective in treating dry
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`eye disease/KCS.
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`41.
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`Dependent claims 13 and 14 respectively describe the emulsion as
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`being “as substantially therapeutically effective as” and having “at least as much
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`therapeutic effectiveness as” a second emulsion with 0.10% CsA and 1.25% castor
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`oil. The word “therapeutic” means “[r]elating to . . . the treatment, remediating, or
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`curing of a disorder or disease.” Ex. 1022 at 0007. This includes palliative
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`treatments, which focus on remediation of a disease—i.e., they alleviate the
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`symptoms of the disease. Id. at 0004-05. This comports with what the art
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`recognized as a treatment for dry eye disease/KCS. See Medications for Dry Eye
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`(1999) In PHYSICIANS’ DESK REFERENCE FOR OPHTHALMOLOGY (27th ed.)
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`-17-
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`
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`Montvale, NJ: PDR Network (“Ophthalmic PDR,” Ex. 1013) at 13 (“Dry eye is
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`treated with artificial tear preparations and ophthalmic lubricants.”) A person of
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`ordinary skill in the art would not understand the phrases “therapeutically
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`effective” or “therapeutic effectiveness” to be limited to treatment of an immune-
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`mediated response sometimes contributing to the condition.
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`42.
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`Claims 13 and 14 each depend from claim 1, and therefore a person
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`of ordinary skill in the art would understand the phrases “as substantially
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`therapeutically effective as” and “at least as much therapeutic effectiveness as” to
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`refer back to the efficacy recited in claim 1, “effective in treating dry eye disease.”
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`Accordingly, the plain meanings of these terms include “as substantially
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`therapeutically effective in increasing tear production as” and “at least as much
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`therapeutic effectiveness in increasing tear production as.”
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`43.
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`Claims 16 and 17 respectively recite that the emulsion of the
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`claimed method has fewer “adverse events” relative to a second emulsion, and that
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`the “adverse events” are “side effects.” The specification further refers to adverse
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`events as “e.g. side effects, drug interactions and the like.” Ex. 1001, col. 15, ll. 9-
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`16. The plain meaning of the phrase “side effects” is “A result of a drug or other
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`therapy in addition to or in extension of the desired therapeutic effect; usually but
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`not necessarily, denoting an undesired effect.” Ex. 1022 at 0006. Accordingly, I
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`understand “adverse events” to include undesirable side effects as well as other
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`negative reactions to the drug. In the context of an agent topically administered to
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`the eye, undesirable side effects commonly include burning, stinging, and general
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`eye pain. See Ex. 1007 at 636, Table 3.
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`-18-
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`44.
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`The specification also gives an example of side effects “which may
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`result from the presence of the cyclosporin component in the blood of the human
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`or animal being treated.” Id. at col. 4, ll. 64-66. The ’162 patent also teaches
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`“[o]ne of the important advantages of the present invention is the reduced
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`concentration of the cyclosporin component in the blood of the human or animal,”
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`and that “[o]ne very useful embodiment of the present administering step provides
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`no substantial detectable concentration of cyclosporin component in the blood.”
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`Id. at col. 5, ll.58-60. A person of ordinary skill in the art would understand that
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`the subset of side effects in the context of the ’162 patent “which may result in the
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`presence of the cyclosporin component in the blood” do not occur when there is no
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`substantial detectable concentration of cyclosporin component in the blood.
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`45. Claim 15 recites that the first emulsion “breaks down” more quickly
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`in the eye of a human as compared to a second emulsion containing only 50% as
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`much castor oil. The ’162 patent states that “a relatively