`
`
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
`
`
`INNOPHARMA LICENSING, LLC.
`
`Petitioner
`
`V.
`
`ASTRAZENECA AB
`
`Patent Owner
`
`
`
`Case IPR2017-00905
`
`US. Patent 8,466,139
`
`
`DECLARATION OF LISBETH ILLUM, Ph.D. IN SUPPORT OF PATENT
`OWNER’S PRELIMINARY RESPONSE
`
`AstraZeneca Exhibit 2001 p. 1
`InnoPharma Licensing LLC V. AstraZeneca AB IPR2017-00905
`
`
`
`TABLE OF CONTENTS
`
`Page
`
`I)
`
`II)
`
`INTRODUCTION ......................................................................................... .. 1
`
`QUALIFICATIONS AND EXPERIENCE ................................................... ..1
`
`III) MY UNDERSTANDING OF THE PROCEEDING .................................... ..4
`
`IV) MY OPINIONS AND THEIR BASES ......................................................... ..4
`
`V)
`
`DOCU1VIENTS CONSIDERED .................................................................... ..5
`
`VI)
`
`THE ’139 PATENT SPECIFICATION AND CLAIMS .............................. ..6
`
`VII) PERSON OF ORDINARY SKILL IN THE ART ........................................ ..9
`
`VIII) LEGAL PRINCIPLES ................................................................................. ..10
`
`IX) CLAIM CONSTRUCTION ........................................................................ ..11
`
`X)
`
`STATE OF THE RELEVANT ART ........................................................... ..15
`
`A)
`
`B)
`
`Formulation Background ................................................................... .. 15
`
`The Claimed Blood Plasma Levels Are Critical To The
`Inventions .......................................................................................... .. 1 5
`
`C)
`
`Formulation Options ......................................................................... .. 17
`
`XI) REFERENCES CITED IN THE PETITION AND BURGESS
`DECLARATION ......................................................................................... ..20
`
`A) McLeskey (EX. 1008) ........................................................................ ..22
`
`1)
`
`2)
`
`3)
`
`4)
`
`5)
`
`McLeskey Describes A “Treatment Failure” .......................... ..23
`
`McLeskey Did Not Test Formulations For Human Use ......... ..23
`
`McLeskey Provides No Pharmacokinetic Data ...................... ..25
`
`McLeskey Does Not Disclose The Units For The
`Excipient Percentages ............................................................. ..25
`
`McLeskey Does Not Disclose Any Solubility
`Information .............................................................................. ..30
`
`B)
`
`C)
`
`D)
`
`E)
`
`F)
`
`Howell 1996 (EX. 1007) .................................................................... ..33
`
`DeFriend (EX. 1038) .......................................................................... ..36
`
`Riffl<in (EX. 1033) ............................................................................ ..39
`
`O’Regan (Exhibit 1009) .................................................................... ..43
`
`Dukes 1989 (EX. 1047) ...................................................................... ..45
`
`AstraZeneca Exhibit 2001 p. 2
`
`
`
`TABLE OF CONTENTS
`
`(continued)
`
`G)
`
`Gellert Declaration (Ex. 1020) .......................................................... ..47
`
`1)
`
`2)
`
`Background Of The Gellert Declaration ................................. ..47
`
`The Gellert Declaration Describes Extensive
`Experimentation Based On Information Not Known In
`The Art .................................................................................... ..48
`
`Page
`
`XII) THE SKILLED FORMULATOR’S APPROACH TO
`FORMULATING FULVESTRANT ........................................................... ..5 9
`
`A)
`
`B)
`
`C)
`
`D)
`
`The Fulvestrant Art Taught Once-A-Day Administration And
`Once-A-Month Administration ......................................................... ..5 9
`
`The Formulator Would Prefer Oral Fulvestrant Formulations ......... ..62
`
`The Formulator Would Not Have Excluded Oral Formulations ...... ..64
`
`The Formulator Would Be Concerned About Intramuscular
`Administration Of Fulvestrant .......................................................... ..70
`
`E)
`
`The Prior Art Disclosed Numerous Fulvestrant Formulations ......... ..7l
`
`XIII) NON-OBVIOUSNESS OVER HOWELL (GROUND ONE) .................... ..74
`
`A)
`
`B)
`
`C)
`
`D)
`
`The Board Already Rejected The Same Argument Based On
`Routine Experimentation ................................................................... ..75
`
`The Skilled Formulator Would Not Have Been Motivated To
`Combine The Howell Reference With The Specific Amounts
`Of Specific Excipients ....................................................................... ..77
`
`l)
`
`2)
`
`The Choices Of Potential Excipients Would Be Infinite ........ ..77
`
`Routine Experimentation Would Not Lead To The
`Claimed Excipient Amounts ................................................... ..84
`
`Dr. Burgess Fails To Address A Reasonable Expectation Of
`Success Regarding The Physiological Effects Of The
`Formulation ....................................................................................... . . 88
`
`There Is No Way To Predict How A Formulation Will Behave
`Upon Injection ................................................................................... ..94
`
`XIV) NON-OBVIOUSNESS OVER HOWELL COMBINED WITH
`MCLESKEY (GROUND TWO) ................................................................. ..97
`
`A)
`
`The Board Already Considered Howell As The Starting Point
`And Correctly Denied Institution ...................................................... ..97
`
`B)
`
`No Reason To Combine Howell And McLeskey ............................. ..98
`
`ii
`
`AstraZeneca Exhibit 2001 p. 3
`
`
`
`TABLE OF CONTENTS
`
`(continued)
`
`Page
`
`1)
`
`2)
`
`3)
`
`4)
`
`5)
`
`There Would Have Been No Reason To Assume That
`The Howell Formulation Was Disclosed In The Prior Art ..... ..99
`
`The Skilled Artisan Would Not Choose A Formulation
`Based Solely On Fulvestrant Concentration ......................... .. 101
`
`McLeskey Disparaged The Results Of Howell 1996 ........... .. 103
`
`The Formulator Would Not Have Found McLeskey ............ .. 104
`
`McLeskey Described Fulvestrant As A “Treatment
`Failure” .................................................................................. .. 105
`
`C)
`
`D)
`
`E)
`
`The Skilled Formulator Would Not View The Castor Oil-Based
`Formulation Of McLeskey As “Matching” Howell ........................ .. 107
`
`Other Prior Art Formulations Were Closer To Howell Than
`McLeskey ........................................................................................ ..111
`
`The Combination Of Howell 1996 And McLeskey Could Not
`Have Been Expected To Result In The Claimed Inventions. ......... ..114
`
`1)
`
`2)
`
`3)
`
`4)
`
`5)
`
`6)
`
`McLeskey Used Experimental Animal Formulations That
`Would Not Be Viewed As Suitable For Human Use ........... ..115
`
`No Approved Product Used The Same Combination Of
`Excipients As McLeskey ...................................................... ..116
`
`Making The McLeskey Formulation Would Introduce
`Additional Unpredictability .................................................. .. 1 17
`
`The McLeskey Formulation Would Not Be Expected To
`Work When Administered Monthly Instead Of Weekly ...... ..118
`
`The McLeskey Formulation Would Not Be Expected To
`Work When Administered Intramuscularly Instead Of
`Subcutaneously ..................................................................... .. 1 19
`
`The Concentration/Castor Oil Theory Of Dr. Burgess Is
`Contradicted By The Literature ............................................ .. 123
`
`F)
`
`The Gellert Declaration And The Sawchuk Declaration Are
`Consistent And Both Support The Patentability Of The
`Challenged Claims .......................................................................... .. 131
`
`XV) NON-OBVIOUSNESS OVER HOWELL COMBINED WITH
`MCLESKEY AND O’REGAN (GROUND THREE) .............................. .. 135
`
`A)
`
`O’Regan Does Not Fill The Fatal Gaps In InnoPharma’s
`Combination Of Howell And McLeskey ........................................ ..135
`
`iii
`
`AstraZeneca Exhibit 2001 p. 4
`
`
`
`TABLE OF CONTENTS
`
`(continued)
`
`Page
`
`XVI) UNEXPECTED RESULTS ....................................................................... ..l37
`
`A)
`
`B)
`
`The Unexpected Results Of The Claimed Inventions ..................... .. 137
`
`The Superior Solubility Of Fulvestrant In The Claimed
`Formulation Was Unexpected And Not Suggested By The Prior
`Art .................................................................................................... .. 140
`
`XVII) CONCLUSION .......................................................................................... .. 143
`
`iV
`
`AstraZeneca Exhibit 2001 p. 5
`
`
`
`I, Lisbeth Illum, Ph.D., do hereby make the following declaration:
`
`I)
`
`INTRODUCTION
`
`1.
`
`2.
`
`I am over the age of eighteen and competent to make this declaration.
`
`I have been retained as an expert witness on behalf of AstraZeneca
`
`AB for the above-captioned Inter Partes Review (IPR).
`
`I am being compensated at
`
`my customary rate of £500 per hour for my consultation in connection with this
`
`proceeding. My compensation is in no way dependent on the outcome of my
`
`analysis or opinions rendered in this proceeding. A copy of my curriculum vitae,
`
`which includes my educational background, work / research history, and lists of
`
`selected publications and presentations, is attached to this declaration as Exhibit A.
`
`II)
`
`QUALIFICATIONS AND EXPERIENCE
`
`3.
`
`My name is Lisbeth Illum, Ph.D.
`
`I am a Danish citizen, born in
`
`Aalborg, Denmark in 1947. Currently, I am a resident of the United Kingdom, and
`
`have been since 1987.
`
`I gained my Danish A levels at Horsens Statsskole in 1966,
`
`my MPharm First Class Honours Degree from the Royal Danish School of
`
`Pharmacy in 1972, and my Ph.D. and D.Sc. in Pharmaceutical Sciences in 1978
`
`and 1987, respectively, both from the Royal Danish School of Pharmacy.
`
`4.
`
`I worked as a lecturer / senior lecturer in the Royal Danish School of
`
`Pharmacy between 1972 and 1990.
`
`I upheld a Postgraduate Scholarship between
`
`1975 and 1978 and a Senior Research Fellowship between 1982 and 1985.
`
`I was a
`
`AstraZeneca Exhibit 2001 p. 6
`
`
`
`Visiting Research Fellow in the Pharmacy Department at University of
`
`Nottingham during several periods between 1981 and 1990.
`
`5.
`
`I was made a Docent (Full Professor equivalent) in the Department of
`
`Pharmaceutical Sciences, Royal Danish School of Pharmacy, in 1989.
`
`I was made
`
`a Special Professor at the University of Nottingham, UK, in the Department of
`
`Pharmaceutical Sciences in 1990, and in the Department of Chemistry in 2007.
`
`6.
`
`I was the founder, and for twelve years the Managing Director, of
`
`DanBioSyst UK Ltd. (later West Pharmaceutical Services, now Archimedes Ltd)
`
`(1989-1998), a company that specializes in development of drug delivery systems
`
`for pharmaceutical drugs, and when sold to West Pharmaceutical Services
`
`employed 45 scientists. In addition, I was the founder and Managing Director of
`
`Phaeton Research Ltd. (2003-2005) until it was sold and the CEO of Critical
`
`Pharmaceuticals Ltd, a drug delivery company based in BioCity in Nottingham
`
`from 2007-2011.
`
`I am presently the Founder and Director of Eurocage Ltd., a drug
`
`delivery consultancy company, the directors of which also act as pharmaceutical
`
`experts in litigation cases.
`
`7.
`
`My research expertise covers the area of novel drug delivery systems
`
`for difficult to formulate drugs such as peptides, proteins, polar and lipophilic
`
`small molecular weight compounds.
`
`I have extensive experience in novel
`
`AstraZeneca Exhibit 2001 p. 7
`
`
`
`approaches to the delivery of such drugs including the use of various routes of
`
`delivery such as oral, nasal, buccal, pulmonary, vaginal and parenteral.
`
`8.
`
`I have published more than 350 scientific papers (about 90 in the last
`
`ten years) and I am among the top 100 most cited scientists on pharmacology, with
`
`an h index of more than 60.
`
`I have co-edited four books related to drug delivery,
`
`drug therapy, and drug transport.
`
`I am the inventor or co-inventor on nearly fifty
`
`patent family applications on novel drug delivery systems. A large number of
`
`patents has been granted worldwide from this patent portfolio.
`
`9.
`
`I have been the recipient of several scientific awards and have been
`
`elected a Fellow of the American Association of Pharmaceutical Scientists and of
`
`the Controlled Release Society as one of the first recipients.
`
`I have lectured widely
`
`throughout the world at conferences and workshops on drug delivery systems. I
`
`am or have been on the Editorial Boards of eleven pharmaceutical scientific
`
`journals, and a reviewer for many more journals.
`
`I was in 2008/2009 the President
`
`of the U.S.-based Controlled Release Society, with over 2000 members dedicated
`
`to the science of delivery of bioactive agents.
`
`10. A list of US. cases in which I have testified at trial or by deposition
`
`within the preceding four years is attached at Exhibit B.
`
`AstraZeneca Exhibit 2001 p. 8
`
`
`
`III) MY UNDERSTANDING OF THE PROCEEDING
`
`11.
`
`I have been informed that this proceeding is a petition for Inter Partes
`
`Review before the Patent Trial and Appeal Board of the United States Patent and
`
`Trademark Office (“the Board”).
`
`I have been informed that an Inter Partes Review
`
`is a proceeding to review the patentability of one or more issued claims in a United
`
`States patent on the grounds that the patent is the same as or rendered obvious in
`
`view of the prior art.
`
`12.
`
`I have been informed that InnoPharma Licensing, LLC
`
`(“InnoPharma”) filed a Petition requesting Inter Partes Review (“Petition”) of US.
`
`Patent No. 8,466,139 (“the ’ 139 Patent”), which issued to John R Evans and
`
`Rosalind U Grundy on June 18, 2013 and is assigned to AstraZeneca AB.
`
`I have
`
`reviewed the Petition, and understand that it alleges that claims 1,3, 10, 11, 13, and
`
`20 of the ’139 Patent are unpatentable over Howell 1996 (EX. 1007) and,
`
`alternatively, over the combination of Howell 1996 (EX. 1007) with McLeskey
`
`(EX. 1008), and the combination of Howell 1996 (EX. 1007) with McLeskey (EX.
`
`1008) and O’Regan (EX. 1009).
`
`IV) MY OPINIONS AND THEIR BASES
`
`13.
`
`I have been asked to give my opinion on whether InnoPharma has
`
`shown with reasonable likelihood that a person of ordinary skill in the art
`
`(“POSA”) would understand claims 1, 3, 10, 11, 13, and 20 of the ’139 Patent to be
`
`AstraZeneca Exhibit 2001 p. 9
`
`
`
`
`
`rendered obvious by: (1) Howell 1996 (Ex. 1007), (2) the combination of Howell
`
`1996 (Ex. 1007) with McLeskey (Ex. 1008), or (3) the combination of Howell
`
`1996 (Ex. 1007) with McLeskey (Ex. 1008) and O’Regan (Ex. 1009). Most of my
`
`opinions herein are a direct repeat of the opinions in my declaration submitted in
`
`support of AstraZeneca’s Preliminary Patent Owner Response in Mylan
`
`Pharmaceuticals Inc. v. AstraZeneca AB, Case IPR2016-01325 (see AstraZeneca
`
`Ex. 2001) attached hereto for the Board’s convenience as Ex. 2135 (Illum Decl.).
`
`14.
`
`As part of this opinion, I considered the level of ordinary skill in the
`
`art around January 2000, which represents the filing date of GB 0000313, to which
`
`the ’ 139 Patent claims priority.
`
`15.
`
`For the reasons explained below, in my opinion, InnoPharma has not
`
`shown that there is a reasonable likelihood that it would prevail in an inter partes
`
`review of claims 1, 3, 10, 11, 13, and 20 ofthe ’139 Patent.
`
`V)
`
`DOCUMENTS CONSIDERED
`
`16.
`
`The materials that I have considered, in addition to the exhibits to the
`
`Petition, are listed in Exhibit C. My opinions as stated in this Declaration are
`
`based on the understanding of a POSA in the art as defined above and in 11 25,
`
`below.
`
`AstraZeneca Exhibit 2001 p. 10
`
`
`
`VI) THE ’139 PATENT SPECIFICATION AND CLAIMS
`
`17.
`
`I have been informed that the priority date of the ’139 Patent is
`
`January 10, 2000. The invention relates to “a novel sustained release
`
`pharmaceutical formulation adapted for administration by injection containing the
`
`compound [fulvestrant], more particularly to a formulation adapted for
`
`administration by injection containing the compound [fulvestrant] in solution in a
`
`ricinoleate vehicle which additionally comprises at least one alcohol and a non-
`
`aqueous ester solvent which is miscible in the ricinoleate vehicle.” EX. 1001 at
`
`Abstract.
`
`18.
`
`The specification of the ’ 139 Patent explains that “[f]ulvestrant shows,
`
`along with other steroidal based compounds, certain physical properties which
`
`make formulation of these compounds difficult.” EX. 1001 at 2:46-48.
`
`Specifically, “[f]ulvestrant is a particularly lipophilic molecule, even when
`
`compared with other steroidal compounds, and its aqueous solubility is extremely
`
`low at around 10 ngml'l.” EX. 1001 at 2:48-51.
`
`19.
`
`The inventors of the ’ 139 Patent “surprisingly found that the
`
`introduction of a non-aqueous ester solvent which is miscible in the castor oil and
`
`an alcohol surprisingly eases the solubilisation of fulvestrant into a concentration
`
`of at least 50 mgml'l.” EX. 1001 at 5:57-61. This was surprising because “[t]he
`
`solubility of fulvestrant in non-aqueous ester solvents .
`
`.
`
`. is significantly lower
`
`AstraZeneca Exhibit 2001 p. 11
`
`
`
`than the solubility of fulvestrant in an alcohol” and “in castor oil.” Ex. 1001 at
`
`5:62-67. In addition, the inventors noted that “[s]imply solubilising fulvestrant in
`
`an oil based liquid formulation is not predictive of a good release profile or lack of
`
`precipitation of drug after injection at the injection site.” Ex. 1001 at 9: 19-21.
`
`20.
`
`Therefore, the inventors further found that the claimed inventions
`
`“provide, after intra-muscular injection, satisfactory release of fulvestrant over an
`
`extended period of time.” Ex. 1001 at 8:34-36. The specification of the ’139
`
`Patent states that “[b]y use of the term ‘therapeutically significant levels’ we mean
`
`that blood plasma concentrations of at least 2.5 ngml'l, ideally at least 3 ngml'l, at
`
`least 8.5 ngml'l, and up to 12 ngml'1 of fulvestrant are achieved in the patient.” Ex.
`
`1001 at 9: 1-5. Further, the specification describes “extended release” as “at least
`
`two weeks, at least three weeks, and, preferably at least four weeks of continuous
`
`release of fulvestrant is achieved.” Ex. 1001 at 9:6-8. In addition, the inventors
`
`found that “the castor oil formulation showed a particularly even release profile
`
`with no evidence of precipitation of fulvestrant at the injection site.” Ex. 1001 at
`
`10:30-32.
`
`21.
`
`Independent claim 1 of the ’ 139 Patent is provided below.
`
`1. A method for treating a hormonal dependent benign
`
`or malignant disease of the breast or reproductive tract
`
`comprising administering intramuscularly to a human in
`
`need of such treatment a formulation comprising:
`
`AstraZeneca Exhibit 2001 p. 12
`
`
`
`about 50 mng'1 of fulvestrant;
`
`a mixture of from 17-23% w/v of ethanol and benzyl
`
`alcohol;
`
`12-18% w/v of benzyl benzoate; and
`
`a sufficient amount of castor oil vehicle;
`
`wherein the method achieves a blood plasma
`
`fulvestrant concentration of at least 2.5 nng'1 for
`
`at least two weeks.
`
`22.
`
`Claims 3 and 13 limit claims 1 and 11; respectively, to a method
`
`wherein the formulation comprises:
`
`about 10% w/v of ethanol;
`
`about 10% w/v of benzyl alcohol; and
`
`about 15% w/v of benzyl benzoate.
`
`23.
`
`Claims 10 and 20 limit claims 3 and 13; respectively; to a method
`
`wherein the hormonal dependent benign or malignant disease of the breast or
`
`reproductive tract is breast cancer and the blood plasma fulvestrant concentration is
`
`attained for at least 4 weeks.
`
`24.
`
`Independent claim 11 of the ’139 Patent is provided below.
`
`11. A method of treating a hormonal dependent benign
`
`or malignant disease of the breast or reproductive tract
`
`comprising administering intramuscularly to a human in
`
`need of such treatment a formulation consisting
`
`essentially of:
`
`about 50 mgml'1 of fulvestrant;
`
`AstraZeneca Exhibit 2001 p. 13
`
`
`
`a mixture of from 17-23% w/v of ethanol and benzyl
`
`alcohol;
`
`12-18% w/v of benzyl benzoate; and
`
`a sufficient amount of castor oil vehicle;
`
`wherein the method achieves a blood plasma fulvestrant
`
`concentration of at least 2.5 ngml-l for at least two
`
`weeks.
`
`VII) PERSON OF ORDINARY SKILL IN THE ART
`
`25.
`
`I have been asked to provide my opinion on the novelty and
`
`obviousness of the asserted claims from the perspective of a person of ordinary
`
`skill in the relevant art. The skilled person with respect to the ’ 139 Patent is a
`
`person having a bachelor’s or advanced degree in a discipline such as pharmacy,
`
`pharmaceutical sciences, endocrinology, medicine or related disciplines, and
`
`having at least two years of practical experience in drug development and/or drug
`
`delivery, preclinical models, or the clinical treatment of hormone dependent
`
`diseases of the breast and reproductive tract. Because the drug discovery and
`
`development process is complicated and multidisciplinary, it would require a team
`
`of individuals including, at least, medical doctors, pharrnacokineticists, and
`
`forrnulators.
`
`26.
`
`As considered from the perspective of the forrnulator member of that
`
`team, the invention of the ’139 Patent is novel, and not obvious, for the following
`
`reasons.
`
`AstraZeneca Exhibit 2001 p. 14
`
`
`
`VIII) LEGAL PRINCIPLES
`
`27.
`
`I am not a lawyer.
`
`I have relied on the explanations of counsel for an
`
`understanding of certain principles of US. patent law that govern the
`
`determination of patentability. The discussion set forth below regarding the law of
`
`obviousness is intended to be illustrative of the legal principles I considered while
`
`preparing my declaration, and not an exhaustive list.
`
`28.
`
`I understand that to institute an inter partes review, InnoPharrna must
`
`show that there is a reasonable likelihood that it would prevail in an inter partes
`
`review.
`
`I am informed by counsel that there is no presumption of validity. If an
`
`inter partes review is instituted, InnoPharrna must show unpatentability by a
`
`preponderance of the evidence, and preponderance of the evidence means “more
`
`probable than not.”
`
`29.
`
`I am informed by counsel that for a patent claim to be invalid as
`
`anticipated by a prior art reference, that reference must disclose every limitation of
`
`the claim. Thus, if the limitations of a patent claim were already disclosed, in their
`
`entirety, by a single prior art reference, that claim is anticipated and not novel.
`
`30.
`
`I am informed by counsel that for an invention to be obvious, the
`
`patent statute requires that the differences between the invention and the prior art
`
`be such that the “subject matter as a whole would have been obvious at the time
`
`10
`
`AstraZeneca Exhibit 2001 p. 15
`
`
`
`the invention was made to a person of ordinary skill in the art to which such
`
`subject matter pertains.”
`
`3 l.
`
`I understand that the obviousness evaluation must be from the
`
`perspective of the time the invention was made. In the current proceeding, I
`
`understand that the relevant date is considered to be the earliest priority date of the
`
`applications, which is January 10, 2000. The obviousness inquiry must guard
`
`against slipping into use of hindsight.
`
`32.
`
`I understand that even in circumstances where each component of an
`
`invention can be found in the prior art, there must have been an apparent reason to
`
`combine the known elements in the fashion claimed by the patent at issue. For an
`
`invention to be found obvious, to protect against the distortion caused by hindsight
`
`bias, there must be a reason that would have prompted a person of ordinary skill in
`
`the relevant field to combine the elements in the way the claimed new invention
`
`does.
`
`33.
`
`To be obvious, the claimed method of treatment must have been
`
`among a finite number of identified, predictable solutions to the problems at hand.
`
`IX) CLAIM CONSTRUCTION
`
`34.
`
`In independent claims 1 and 11, the term “wherein the method
`
`achieves a blood plasma fulvestrant concentration of at least 2.5 nng'1 for at least
`
`two weeks” is a claim limitation entitled to patentable weight. Independent claims
`
`11
`
`AstraZeneca Exhibit 2001 p. 16
`
`
`
`l and 11 do not specify the total amount of fulvestrant to administer to the patient.
`
`Instead, the desired blood plasma level of fulvestrant, for example, limits the
`
`methods of claim 1 and 11 to an amount of fulvestrant that achieves and maintains
`
`2.5 nng'1 for at least two weeks after injection. The claimed methods cannot be
`
`practiced without knowing the target blood plasma levels, which then allows
`
`administration of an appropriate amount of fulvestrant to reach those levels.
`
`Hence, the blood plasma levels absolutely inform how the method of administering
`
`the fulvestrant formulation to a human patient is carried out.
`
`35.
`
`The forrnulator would understand “wherein the method achieves a
`
`blood plasma fulvestrant concentration of at least 2.5 ngml'1 for at least two
`
`weeks” to mean that the blood plasma fulvestrant concentration of at least 2.5
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`nng'1 is achieved and maintained for at least two weeks. The plain meaning of
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`the words “achieves” and “at least” indicate to the forrnulator that the patient’s
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`blood plasma level must remain at or above 2.5 for the entire specified time period.
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`This is consistent with the Board’s finding in Mylan Pharmaceuticals Inc. v.
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`AstraZeneca AB, Case IPR20l6-Ol325, Paper No. 11 (Dec. 14, 2016) (EX. 101 l)
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`(“PTAB Decision”) which InnoPharma does not dispute. EX. lOll (PTAB
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`Decision) at 18 (“[W]e interpret ‘achieves’ in the wherein clauses as meaning that
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`the concentration of fulvestrant in a patient’s blood plasma is at or above the
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`specified minimum concentration for the specified time period”); Petition at 18.
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`12
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`AstraZeneca Exhibit 2001 p. 17
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`
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`Further, these limitations give meaning to and provide defining characteristics of
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`the method of treatment.
`
`36.
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`Indeed, as the Board previously held, “rather than merely stating the
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`result of intramuscularly administering the recited formulation, [] the wherein
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`clause dictates both the administration duration and dose of the formulation, i.e., an
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`amount sufficient to provide a therapeutically significant blood plasma fulvestrant
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`concentration of at least 2.5 nng'1 for at least four weeks.” EX. 1011 at 17 (citing
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`EX. 2136 (Robertson Decl.) at 1111 37-39, EX. 2135 (Illum Decl.) at 1111 33-37. And,
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`“[t]hat these parameters are further limited in claim 2, [] further indicates that the
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`wherein clauses provide defining characteristics.” Id. (citing EX. 2133 (Sawchuk
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`Decl.) at 11 60). InnoPharma does not dispute this finding. Petition at 18. This
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`understanding is also supported by authoritative treatises in the art. EX. 2080
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`(Remington’s Ch. 91) at 6 (“The objective in designing a sustained-release system
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`is to deliver drug at a rate necessary to achieve and maintain a constant drug
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`level”) (emphasis added); see also EX. 1010 (Order by Judge Bumb of the District
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`of New Jersey).
`
`37.
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`The specification indicates that a goal of the invention is sustained
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`release. The specification describes the problem of formulating fulvestrant: “when
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`using the best oil based solvent, castor oil, we have found that it is not possible to
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`dissolve fulvestrant in an oil based solvent alone so as to achieve a high enough
`
`13
`
`AstraZeneca Exhibit 2001 p. 18
`
`
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`concentration to dose a patient in a low volume injection and achieve a
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`therapeutically significant release rate.” EX. 1001 at 5:36-40. The inventors noted
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`that “[s]imply solubilising fulvestrant in an oil based liquid formulation is not
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`predictive of a good release profile or lack of precipitation of drug after injection at
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`the injection site.” EX. 1001 at 9: 19-21. Thus, the inventors faced the problem not
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`only of dissolving a sufficient amount of fulvestrant in a formulation but also
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`engineering a therapeutically significant release rate and duration and furthermore
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`developing a formulation that could provide such a pharmacokinetic profile
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`without causing precipitation at the injection site.
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`38.
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`The inventors “surprisingly found that the introduction of a non-
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`aqueous ester solvent which is miscible in the castor oil and [in] an alcohol
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`surprisingly eases the solubilisation of fulvestrant into a concentration of at least
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`50 mgml'l.” EX. 1001 at 5:57-61. The inventors further found that the claimed
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`formulations “provide, after intra-muscular injection, satisfactory release of
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`fulvestrant over an extended period of time.” EX. 1001 at 8:34-36. In addition,
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`Table 4 of the patent showed that the claimed methods avoid precipitation that
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`occurred in other fulvestrant formulations. EX. 1001, Table 4. The inventors
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`concluded that “the castor oil formulation showed a particularly even release
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`profile with no evidence of precipitation of fulvestrant at the injection site.” EX.
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`1001 at 10:30-32.
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`14
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`AstraZeneca Exhibit 2001 p. 19
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`
`
`X)
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`STATE OF THE RELEVANT ART
`
`A) Formulation Background
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`39.
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`“The development of an optimum formulation is not an easy task, and
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`many factors readily influence formulation properties.” EX. 2081 (Remington’s
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`Ch. 75) at 5. Such factors include biopharrnaceutical considerations, drug factors,
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`and therapeutic considerations. EX. 2082 (Aulton Ch. 1) at 5.
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`40. A successful formulation of an active pharmaceutical ingredient must
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`deliver the active ingredient in such a way that it is biologically effective. This
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`often requires meeting certain parameters, such as blood plasma concentrations
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`and/or duration. EX. 1091 (Ansel Ch. 4) at 5 (“The magnitude of the response is
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`related to the concentration of the drug achieved at the site of its action”). In such
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`cases, the delivery method and formulation must ensure that a sufficient amount of
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`the active ingredient enters the circulation when introduced into the body to deliver
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`the active ingredient to the site of action (normally via the bloodstream).
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`B) The Claimed Blood Plasma Levels Are Critical To The Inventions
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`41.
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`The skilled formulator would know that the release profile of a drug
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`from the formulation, its absorption into the blood stream and hence its
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`pharmacokinetic profile are critical factors influencing the action of the drug on the
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`patient. EX. 1091 (Ansel Ch. 4) at 43 (“[T]he objective of pharmacokinetic dosing
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`is to design a dosage regimen that will continually maintain a drug’s therapeutic
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`serum or plasma concentration within the drug’s therapeutic index, i.e., above the
`
`15
`
`AstraZeneca Exhibit 2001 p. 20
`
`
`
`minimum effective concentration but below the minimum toxic level”); Ex. 2080
`
`(Remington’s Ch. 91) at 5 (“The goal of any drug delivery system is to provide a
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`therapeutic amount of drug to the proper site in the body to achieve promptly, and
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`then maintain, the desired drug concentration”).
`
`42. Depot formulations are particularly challenging. For instance, if too
`
`much drug is released immediately from the formulation, the blood plasma
`
`concentration may reach the minimum toxic level and cause side effects. Ex. 2080
`
`(Remington’s Ch. 91) at 5. Additionally, if too much of a drug reaches the blood
`
`stream immediately after the injection and is eliminated, insufficient drug will be
`
`left at the depot to sustain the therapeutic levels over the long term. On the other
`
`hand, if too little drug reaches the blood stream immediately after injection, the
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`therapeutic effect of the treatment could be delayed or be limited. Ex. 2080
`
`(Remington’s Ch. 91) at 5. If the release rate is inconsistent and plasma levels
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`spike and plummet, the biological threshold necessary to trigger a therapeutic
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`response may not be reached at all.
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`43.
`
`The inventors surprisingly discovered a treatment method that
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`combined a specific pharrnacokinetic profile (fulvestrant blood plasma levels
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`maintained over a particular time) with a specific administration method for
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`therapeutic action. From my perspective as a formulator, the fulvestrant blood
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`plasma levels in the claims are a clear limitation on the frequency of administration
`
`16
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`AstraZeneca Exhibit 2001 p. 21
`
`
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`(every two weeks) and of the amount of fulvestrant to be dosed. That the claims
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`differ make that clear. The entire combination of the invention ensures that the
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`level of fulvestrant in the patient’s blood plasma is consistent, steady, and
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`maintained over a relatively long period of time at therapeutically effective levels.
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`The successful use of the benzyl benzoate ingredient was particularly surprising in
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`that the addition of benzyl benzoate to the formulation would have been predicted
`
`to be associated with a lower fulvestrant solubility in the formulation, leading to a
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`greater chance of precipitation. In sum, the claimed inventions (and, with that, the
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`use of benzyl benzoate) surprisingly achieved and maintained therapeutically
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`significant fulvestrant plasma levels, as compared to oth