`Filed: April 16, 2017
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`UNITED STATES PATENT AND TRADEMARK OFFICE
`_____________________________
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`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`_____________________________
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`APOTEX INC., APOTEX CORP., ARGENTUM PHARMACEUTICALS
`LLC, ACTAVIS ELIZABETH LLC, TEVA PHARMACEUTICALS USA,
`INC., SUN PHARMACEUTICAL INDUSTIRES, LTD., SUN
`PHARMACEUTICAL INDUSTRIES, INC., AND SUN PHARMA GLOBAL
`FZE,
`Petitioners,
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`v.
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`NOVARTIS A.G.,
`Patent Owner.
`_____________________________
`
`IPR2017-008541
`Patent No. 9,187,405
`_____________________________
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`PETITIONERS’ MOTION FOR OBSERVATIONS REGARDING THE
`CROSS-EXAMINATION OF DR. JEROLD CHUN
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`1 Cases IPR2017-01550, IPR2017-01946, and IPR2017-01929 have been joined
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`with this proceeding.
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`Petitioners hereby submit observations on the deposition testimony of
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`Novartis’s declarant Dr. Jerold Chun given on April 9, 2018 (EX1063).
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`1.
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`In EX1063 at 61:10-63:17, 67:18-25, 70:13-22, 134:18-137:12, 138:17-
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`139:8, 141:5-145:6, 146:2-18, Dr. Chun testified that he has consulted for Novartis
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`since 2003, that his 16-year relationship with Novartis is his longest, that Novartis
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`paid him to participate in post-marketing and commercial activities for fingolimod,
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`and that three of his post-docs were funded by a Novartis fellowship. This is
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`relevant to Dr. Chun's credibility because it shows he has a deep and long-standing
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`financial relationship with Novartis and its fingolimod product. EX2098 (Chun
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`Decl), ¶¶1, 10-16; Paper 63 (PO Sur-Reply), 2, 6-7.
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`2.
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`In EX1063 at 77:23-84:22, 87:10-88:7, 90:5-91:10, 92:3-93:6, 94:4-16,
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`150:14-151:16, 153:12-16, Dr. Chun testified that he believed Drs. Webb and Rao
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`were the primary drafters and lead authors of the Webb paper, that he did not have
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`firsthand knowledge about who did most of the writing, that he did not know
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`which co-author wrote which portion of the Webb paper, that he did not remember
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`which co-authors did which experiments, that co-author Hale was not part of his
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`team. This is relevant to Dr. Chun's assertion that his declaration speaks for the
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`"collective judgment" of all nine authors of the Webb paper. EX2098, ¶¶7-8;
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`Paper 63, 6-7; see also EX2096 (3rd Steinman Decl), ¶40.
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`3.
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`In EX1063 at 148:19-24, Dr. Chun testified that Webb was the first
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`reference he co-authored that discussed an EAE experiment, and that his EAE
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`experience "was limited" when he began at Merck in 2001. Id., 150:7-13, 13:8-10.
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`This is relevant to Dr. Chun's assertions that his testimony regarding Webb should
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`be relied upon over Dr. Benet's. EX2098, ¶¶7-8, 17, 36-44; Paper 63, 2, 6-7.
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`4.
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`In EX1063 at 96:8-19, 97:5-22, 159:21-160:13, Dr. Chun testified that the
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`key and primary conclusion of the Webb paper was a "proof of concept" for using
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`fingolimod therapeutically to treat a model of MS in Swiss Jim Lambert (SJL)
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`mice with EAE. He testified that the abstract sets forth the key conclusions, basic
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`conclusions, and overall conclusions of the Webb paper, and the abstract makes no
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`mention of any 70% lymphopenia threshold for efficacy. Id., 153:22-155:23. This
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`is relevant to Dr. Chun's assertions that an about 70% lymphopenia threshold for
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`efficacy was a "basic" or "overall" conclusion of the Webb paper. EX2098, ¶34;
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`Paper 63, 5-7; see also, Paper 27 (POR), 16-19; EX2003 (1st Lublin Decl), ¶33;
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`EX2024 (2nd Jusko Decl), ¶¶70-75; EX2096, ¶26; Paper 56 (Pet. Reply), 11-12;
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`EX2039 (Giesser Depo), 74:1-86:8; EX1047 (Benet Decl), ¶¶38-48.
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`5.
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`Dr. Chun agreed that Webb Figure 5A demonstrates rapid improvement in
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`clinical score during administration of each of the tested doses of FTY720.
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`EX1063, 160:23-161:9. When asked whether he agreed the lower clinical scores
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`demonstrates an alleviation of the relapse and a deeper depression in clinical score
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`than what was observed in the control group, Dr. Chun agreed that there appeared
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`to be "reductions in the clinical score" in the fingolimod doses. Id., 162:7-25. This
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`is relevant to Novartis's assertion that the 0.03 mg/kg dose lacked any efficacy and
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`that Dr. Giesser's recognition of an efficacy trend in Figure 5 indicated she lacked
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`expertise. EX2098, ¶¶28-29; Paper 63, 1, 5-8; see also EX2039, 70:18-86:8; Paper
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`27, 16-17; EX2022 (1st Steinman Decl), ¶¶130-36; EX2024, ¶¶76-77.
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`6.
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`In EX1063 at 155:24-156:14, 159:8-20, Dr. Chun testified that one of
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`Webb's key conclusions is that when phosphorylated fingolimod interacts with the
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`S1P receptors on lymphocytes and thereby causes lymphocyte sequestration, that
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`this is not the only mechanism by which fingolimod is providing therapeutic
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`treatment against EAE. This is relevant to Novartis's arguments that proof of
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`persistently achieving at least 70% lymphopenia without variation was required to
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`see any efficacy against RRMS. EX2098, ¶¶5-8, 36, 43-44; Paper 63, 5-7; see also
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`Paper 27, 34-38; EX2096, ¶¶48-52; Paper 56, 11-12; EX1047, ¶¶38-65.
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`7.
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`In EX1063 at 101:14-20, 103:13-107:18, 125:17-25, Dr. Chun testified that
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`he does not have the data underlying the Webb paper, does not have access to it,
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`has not had access to it since he left Merck, has not reviewed it for ~16-years, has
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`never asked Merck for access to it, left any Webb-related materials describing the
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`data at Merck when he left Merck, did not review any summaries or descriptions of
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`it in preparing his declaration, and left Merck sometime around June 2003. This is
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`relevant to Dr. Chun's reliance on the underlying data in contravention of 37 C.F.R.
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`§ 42.65. EX2098, ¶¶1-8, 16-17, 21-44; Paper 63, 2, 6-7.
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`8.
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`In EX1063 at 126:2-127:8, 181:7-13, Dr. Chun testified that he did not
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`personally submit Webb for publication, did not know who did, and did not know
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`when any of the co-authors gave final approval for publication. Id., 181:14-182:15.
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`Dr. Chun testified that he did not know how many peer reviewers provided
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`comments on the Webb paper and did not know what revisions were made before
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`publication. Id., 271:23-272:13. This is relevant to Dr. Chun's assertion the "about"
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`70% sentence reflected the collective judgment of all nine authors of Webb.
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`EX2098, ¶¶1-8, 16-17, 21-44; Paper 63, 5-7.
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`9.
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`In EX1063 at 182:16-183:15, Dr. Chun testified that, prior to the submission
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`of the Webb manuscript for publication, he never discussed with any of co-authors
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`Hale, Tham, Lin, Lariosa-Willingham, Yu, or Mandala any correlation between
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`lymphopenia and cumulative clinical score. This is relevant to Dr. Chun's assertion
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`the "about" 70% sentence reflected the collective judgment of all nine authors of
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`Webb. EX2098, ¶¶1-8, 16-17, 21-44; Paper 63, 5-7.
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`10.
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`In EX1063 at 169:14-172:25, 173:14-175:8, 176:19-178:12, 179:23-181:6,
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`Dr. Chun testified that Webb Figure 6C correlated nadir lymphopenia at day 25 to
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`cumulative clinical score at day 25 and could not identify any graph or table in
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`Webb correlating lymphopenia to clinical efficacy not at the lymphopenia nadir.
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`This is relevant to Novartis's and Dr. Chun's arguments that correlation of
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`lymphopenia with clinical efficacy should not be taken at the lymphocyte nadir.
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`EX2098, ¶¶7, 24-33, 37-43; Paper 63, 5-7; Paper 27, 16-19.
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`11.
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`In EX1063 at 185:2-186:23, Dr. Chun testified that it was an error to say
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`"any efficacy" in the last paragraph of page 118 of Webb and that this section of
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`the paper should be read simply to say that they expected other researchers would
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`have the easiest time reproducing Webb's data if they achieved about 70%
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`lymphopenia. Dr. Chun testified that a proper way to correct the error on page 118
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`of the Webb paper would be to phrase it as saying, "In dose response experiments,
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`we found that a threshold of about 70 percent depletion of peripheral lymphocytes
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`was required to see the most consistent or predominant efficacy, " and that this
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`"would be better than" saying "any efficacy." Id., 187:19-188:6. This is all relevant
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`to the arguments of Novartis and its experts that "at least" 70% lymphopenia was
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`required to see any efficacy. EX2098, ¶¶5-8, 38; Paper 63, 5-7; see also, e.g.,
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`Paper 27, 1-2, 34-35; EX2024, ¶¶8-10, 70, 75, 92; EX2096, ¶¶26-28; Paper 56,
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`11-12; EX2039, 74:1-86:8; EX1047, ¶¶38-65.
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`12.
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`In EX1063, 188:7-189:25, Dr. Chun agreed that a scientist reading the Webb
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`paper would understand that the "about 70%" comment was merely referring to
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`"the results that were observed in that paper" for this "particular model, the SJL
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`EAE mouse," and would not interpret it as actually saying that 70% lymphopenia
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`was required to see "any" efficacy. This is relevant to Novartis's arguments that "at
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`least" 70% lymphopenia was required to see any efficacy. EX2098, ¶¶5-8, 38;
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`Paper 63, 5-7; see also, e.g., Paper 27, 1-2, 34-35; EX2024, ¶¶8, 82, 154; EX2096,
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`¶¶27, 30, 73; Paper 56, 11-12; EX2039, 74:1-86:8; EX1047, ¶¶38-65.
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`13.
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`In EX1063 at 190:2-191:5, 191:15-24, Dr. Chun testified that the statement
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`in Webb about 70% lymphopenia pertains only to SJL mice and does not establish
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`that a threshold of about 70% depletion of peripheral lymphocytes was required to
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`see efficacy in Wistar or Lewis rats. This is relevant to Novartis’s arguments that
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`"at least" 70% lymphopenia was required to see any efficacy. EX2098, ¶¶5-8, 38;
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`Paper 63, 5-7; see also, e.g., Paper 27, 1-2, 34-35; EX2024, ¶¶8, 164; EX2096,
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`¶¶3, 38; Paper 56, 11-12; EX2039, 74:1-86:8; EX1047, ¶¶38-65.
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`14.
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`In EX1063 at 272:14-273:6, Dr. Chun testified that he was not aware of any
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`subsequent prior art reference that discusses a 70% threshold of lymphopenia for
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`efficacy, or that cites the Webb paper for this proposition. This is relevant to Dr.
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`Chun's declaration testimony that he was not aware of the 70% statement in Webb
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`being retracted or criticized in any peer reviewed paper. EX2098, ¶35; Paper 63, 6;
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`see also Paper 56, 11-12; EX2039, 74:1-86:8; EX1047, ¶¶38-65.
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`15.
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`In EX1063 at 274:18-275:2, Dr. Chun testified that Webb's discussion of
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`"about" 70% lymphopenia "underscores the subjectivity or inherent variability in
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`the assay" and that "a 60 percent versus 70 percent in this assay will be very, very
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`difficult to separate experimentally." Dr. Chun agreed that about 70% was just a
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`"best guess as to what someone else in the community could do and see the same
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`thing," that it did not rule out seeing the same efficacy with 59% or 50%
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`lymphopenia, and that Webb's data "did not speak to what other kinds of
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`percentages that might be encountered" and was "further made uncertain by the
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`limited assessments of lymphopenia that were done on the mice." Id., 275:2-
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`276:21. This is relevant to Novartis’s argument that "at least" 70% lymphopenia
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`was required to see any efficacy. EX2098, ¶¶5-8, 38; Paper 63, 5-7; see also, e.g.,
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`Paper 27, 1-2, 34-35; EX2024, ¶¶8, 164; EX2096, ¶3; Paper 56, 11-12; EX2039,
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`74:1-86:8; EX1047, ¶¶38-65.
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`16.
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`In EX1063 at 278:3-279:4, 284:11-285:19, 316:16-317:12, 318:12-20, Dr.
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`Chun testified that Exhibit 1055 is the Tedesco-Silva paper published in 2005 in
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`Transplantation that is cited as citation 4 in the Keller paper (EX1054) he co-
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`authored, and that the study was funded by Novartis. Dr. Chun agreed that Exhibit
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`1055 describes its Figure 2 as showing that reductions from baseline lymphocyte
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`counts were sustained in patients receiving FTY720 throughout the treatment
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`period. EX1063, 285:20-286:25, 294:6-14. Dr. Chun agreed that the change in
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`lymphocyte counts for the FTY720 groups in Figure 2 appeared sustained "beneath
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`the control level" after week 4 through the end of treatment at the end of week 12.
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`Id., 312:3-25. This is relevant to Dr. Chun's assertions that sustained suppression of
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`lymphocytes would be needed for efficacy in humans against MS. EX2098, ¶44;
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`see also id., ¶¶8, 29, 36-40; EX2096, ¶¶42-49; Paper 63, 6-7; Paper 56, 5.
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`17.
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`In EX1063 at 294:22-295:25, 317:13-318:11, Dr. Chun testified that he
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`would want to review additional data to understand the conclusions from Tedesco-
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`Silva (Exhibit 1055) and that Exhibit 1056 (Skerjanec) was published in 2005 in
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`the Journal of Clinical Pharmacology. Dr. Chun agreed that Figure 5 of Exhibit
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`1056 provides graphs showing absolute lymphocyte counts for various doses of
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`fingolimod compared to a control group. EX1063, 296:2-297:3, 299:8-20. Dr.
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`Chun agreed that the absolute lymphocyte count between the end of week 1 and
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`the end of week 12 was about 1600 for the control and was sustained below 1000
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`mm3 for the four fingolimod treatment groups in Figure 5 "if one takes the graph at
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`face value." EX1063, 308:11-311:3. Dr. Chun did not disagree that the fingolimod
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`treatment groups cluster in a way that makes it difficult to resolve them from one
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`another with a great deal of precision. EX1063, 311:18-312:3. This is relevant to
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`Dr. Chun's assertion in his declaration that sustained suppression of lymphocytes
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`would be needed for efficacy in humans against multiple sclerosis. EX2098, ¶44;
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`see also id., ¶¶8, 29, 36-40; Paper 63, 6-7; Paper 56, 5.
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`18.
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`In EX1063 at 198:11-199:10, Dr. Chun testified that Section 3.1 of Webb
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`provides results for EAE in untreated (with fingolimod) SJL mice. Dr. Chun
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`testified that the 10-30% mortality referenced at the end of Section 3.1 on page 112
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`of Webb refers to EAE SJL mice that had not been treated with fingolimod.
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`EX1063, 201:7-19. This is relevant to Novartis's argument that deaths of 10-30%
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`of FTY-treated mice in Figure 5 demonstrates wide variability in granular data
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`underlying Figure 5 such that the undisclosed granular data proved at least 70%
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`lymphopenia was required to see any efficacy. EX2098, ¶30; Paper 63, 6-7; see
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`also, e.g., EX2096, ¶¶31-32.
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`19.
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`In EX1063 at 203:13-25, Dr. Chun testified that he did not recall the number
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`of animals used in each experiment, but only assumed it was greater than four to
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`obtain a statistical result. Dr. Chun testified that he did not know of any place in
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`the Webb paper where it says that the N value for Figure 5A is 12 and that he is
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`"not a statistician, so I do not know what was used for construction of these
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`graphs." Id., 204:12-21. Dr. Chun agreed that he does not have personal knowledge
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`about the number of mice that were included in each data point at each day for
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`each dose in Webb Figure 5. Id., 209:5-19. Dr. Chun agreed that no EAE
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`experiment where N equals 4 could possibly return an average clinical score of
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`0.75 while including one or more mouse receiving a clinical score of a 4 or a 5. Id.,
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`250:6-252:14. This is relevant to Novartis's argument that deaths of 10-30% of
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`FTY-treated mice were masked by the average and S.E.M. values graphed in
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`Figure 5. EX2098, ¶¶6-7, 18, 24-33; EX2022, ¶¶130-32; EX2096, ¶¶33-35; Paper
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`63, 6-7; see also EX1047, ¶¶41-47; Paper 56, 11-14.
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`20.
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`In EX1063 at 259:2-262:7, Dr. Chun did not know what measure of
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`statistical significance was applied to Webb Figure 5, but agreed upon review that
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`the difference in cumulative clinical score between the 0.3 mg/kg dose and the 0.03
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`mg/kg dose was about 1 (14 vs. 15), and that the 0.3 mg/kg dose was "slightly
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`above 95 percent confidence" and the 0.03 mg/kg dose was "slightly below" 95%
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`confidence. This is relevant to Novartis's arguments that Webb Figure 5 rules out
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`efficacy for the 0.03 mg/kg dose and that Dr. Giesser's interpretation of Webb
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`Figure 5 reveals an alleged lack of expertise. EX2098, ¶¶28-29; Paper 63, 1;
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`EX2039, 70:18-86:8; Paper 27, 16-17; EX2022, ¶¶130-36; EX2024, ¶¶76-77.
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`21.
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`In EX1063 at 264:24-265:13, 266:14-23, Dr. Chun agreed that the highest
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`dose in Webb Figure 5 suppressed lymphocytes for only about two days after
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`dosing ceased. He could not "resolve the number of days" after cessation of
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`treatment with fingolimod before clinical scores went as high as or above those for
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`the control group, but said "it appears" to be approximately two days. Id., 164:15-
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`165:3. This is relevant to Novartis's arguments that proof of persistently achieving
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`at least 70% lymphopenia without variation was required to see any efficacy.
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`EX2098, ¶¶5-8, 38; Paper 63, 5-7; see also, e.g., Paper 27, 34-35; EX2024, ¶164;
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`EX2096, ¶3; Paper 56, 11-12; EX1047, ¶¶38-65.
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`Date: April 16, 2016
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`Respectfully submitted,
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`/ Steven W. Parmelee /
`Steven W. Parmelee
`Reg. No. 31,990
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`CERTIFICATE OF SERVICE
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`This is to certify that I caused to be served a true and correct copy of the
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`foregoing Motion for Observations, on this 16th day of April, 2018, on the Patent
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`Owner at the correspondence address of the Patent Owner as follows:
`
`Jane M. Love, Ph.D.
`Robert W. Trenchard
`GIBSON, DUNN & CRUTCHER LLP
`200 Park Avenue, 47th Floor
`New York, NY 10166
`Email: jlove@gibsondunn.com
`Email: rtrenchard@gibsondunn.com
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`
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`Dated: April 16, 2018
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`Respectfully submitted,
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`/ Steven W. Parmelee /
` Steven W. Parmelee, Lead Counsel
` Reg. No. 31,990
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