throbber
(12)
`
`United States Patent
`Scharschmidtet al.
`
`(10) Patent No.:
`(45) Date of Patent:
`
`US 9,095,559 B2
`Aug. 4, 2015
`
`US009095559B2
`
`METHODS OF THERAPEUTIC
`MONITORING OF NITROGEN SCAVENGING
`DRUGS
`
`(58)
`
`(54)
`
`(71)
`
`(72)
`
`Applicant: Horizon Therapeutics, Inc., Palo Alto,
`CA (US)
`
`Inventors:
`
`Bruce Scharschmidt, San Francisco,
`CA (US); Masoud Mokhtarani, Walnut
`Creek, CA (US)
`
`(73)
`
`Assignee:
`
`HORIZON THERAPEUTICS,INC.,
`Deerfield, IL (US)
`
`Notice:
`
`Subject to anydisclaimer, the term of this
`patent is extended or adjusted under 35
`U.S.C. 154(b) by 230 days.
`
`(21)
`
`Appl. No.: 13/775,000
`
`(22)
`
`Filed:
`
`Feb. 22, 2013
`
`Field of Classification Search
`CPC vee AG6IK 31/216; GOIN 31/221; Y1OT
`436/175383
`USPC wees 424/9.2; 514/432, 433, 544, 570, 533;
`436/4, 113
`See applicationfile for complete search history.
`
`56)
`
`References Cited
`
`U.S. PATENT DOCUMENTS
`
`4,284,647 A
`4,457,942 A
`5,654,333 A
`5,968,979 A
`6,050,510 A
`
`8/1981 Brusilowetal.
`7/1984 Brusilow
`8/1997 Samid
`10/1999 Brusilow
`4/2000 Bonnewitz
`
`(Continued)
`
`FOREIGN PATENT DOCUMENTS
`
`WO
`Wo
`
`WO94/22494
`WO 2005/053607 Al
`
`10/1994
`6/2005
`
`(Continued)
`OTHER PUBLICATIONS
`
`Batshaw, M.L. et al. (Aug. 1981) “New Approachesto the Diagnosis
`and Treatment of Inborn Errors of Urea Synthesis,” Pediatrics
`68(2):290-297.
`
`(Continued)
`
`Primary Examiner — Savitha Rao
`
`Prior Publication Data
`
`US 2013/0210914 Al
`
`Aug. 15, 2013
`
`Related U.S. Application Data
`
`Divisionofapplication No. 13/417,137,filed on Mar.
`9, 2012, now Pat. No. 8,404,215.
`
`Provisional application No. 61/542,100,filed on Sep.
`30, 2011, provisional application No. 61/564,668,
`filed on Nov. 29, 2011.
`
`(65)
`
`(62)
`
`(60)
`
`(52)
`
`ABSTRACT
`(57)
`Int. Cl.
`(51)
`The present disclosure provides methodsfor evaluating daily
`AGIK 49/00
`(2006.01)
`ammonia exposure based onasingle fasting ammonia blood
`AGIP 13/00
`level measurement, as well as methodsthat utilize this tech-
`(2006.01)
`AG6IK 31/216
`(2006.01)
`nique to adjust the dosage of a nitrogen scavenging drug,
`GOIN 31/22
`(2006.01)
`determine whether to administer a nitrogen scavenging drug,
`U.S. Cl.
`and treat nitrogenretention disorders.
`CPC veces AGIK 31/216 (2013.01); GOIN 31/221
`(2013.01); Y/OT 436/175383 (2015.01)
`
`15 Claims, 3 Drawing Sheets
`
`Page 1 of 22
`
`Horizon Exhibit 2005
`Horizon Exhibit 2005
`Lupin v. Horizon
`Lupin v. Horizon
`IPR2017-01159
`IPR2017-01159
`
`Page 1 of 22
`
`

`

`US 9,095,559 B2
`Page 2
`
`(56)
`
`References Cited
`U.S. PATENT DOCUMENTS
`
`6,083,984 A
`6,219,567 Bl
`8,094,521 B2
`8,404,215 Bl
`8,642,012 B2
`2003/0195255 Al
`2004/0229948 Al
`2005/0273359 Al
`2006/0135612 Al
`2008/0119554 Al
`2010/0008859 Al
`2010/0016207 Al
`2012/0022157 Al
`2012/0220661 Al
`2013/0210914 Al
`2013/0281530 Al
`2014/0142186 Al
`
`FOREIGN PATENT DOCUMENTS
`
`OTHER PUBLICATIONS
`
`7/2000 Brusilow
`4/2001 Eggers
`1/2012 Levy
`3/2013 Scharschmidtetal.
`2/2014 Scharschmidt
`10/2003 Summar
`11/2004 Summaretal.
`12/2005 Young
`6/2006 Ferrante
`5/2008 Jalan et al.
`1/2010 Scharschmidt
`1/2010 Waurtman etal.
`1/2012 Scharschmidt
`8/2012 Lee
`8/2013 Scharschmidt
`10/2013 Scharschmidtet al.
`5/2014 Scharschmidtet al.
`
`Monteleone,JPR, et al., (2012) “Population pk Analysis ofGlycerol
`Phenylbutyrate (GPB) and Sodium PhenylbutyrateeNAPBA)
`in
`Adult and Pediatric Patients with Urea Cycle Discorders,” Mol Genet
`Metab 105:343.
`Ong, J. P., et al., (2003) “Correlation Between Ammonia Levels and
`the Severity of Hepatic Encephalopathy,” Am.J. Med. 114:188-193.
`Perrine, S. P., (2008) “Fetal Globin Stimulant Therapiesin the Beta-
`Hemoglobinopathies: Principles and Current Potential,” Pediatr Ann
`37(5):339-346.
`Ryu, H., et al., (2005) “Sodium Phenylbutyrate Prolongs Survival
`and Regulates Expression of Anti-Apoptotic Genes in Transgenic
`Amyotrophic Lateral Sclerosis Mice,” J Neurochem 93: 1087-1098.
`Stauch, et al., (1998) “Oral L-omithine-L-aspartate therapy of
`chronic hepatic encephalopathy: results of a placebo-controlled
`double-blind study” J Hepatology 28(5):856-864
`Xie, G., et al., (2012) “Role of Differentiation of Liver Sinusoidal
`Endothelial Cells in Progression and Regression of Hepatic Fibrosis
`in Rats,” Gastroenterology 142:S918.
`European Patent Office, Extended European Search Report for
`EP09739263 completed Nov. 2, 2011.
`European Patent Office, International Search Report and Written
`Opinion for PCT/US2009/055256 completed Dec. 18, 2009 and
`mailed Dec. 30, 2009.
`6/2006
`WO2006/056794
`WO
`for British
`Examination Report
`1/2007
`WO 2007/005633
`WO
`GB1013468.2 dated Oct. 28, 2011.
`7/2009
`WO 2009/087474
`WO
`
`WO WO 2009/134460 Al—11/2009
`International Preliminary Report on Patentability (Ch I) for PCT/
`WO
`WO 2010/025303 Al
`3/2010
`US2012/028620 completed Jun. 4, 2012 and mailed on Apr. 10, 2014.
`WO
`WO 2012/028620
`3/2012
`International Preliminary Report on Patentability (Ch II) for PCT/
`WO
`WO2013/048558
`4/2013
`US2012/028620, completed Aug. 22, 2013 and mailed Sep. 4, 2013.
`WO
`WO2013/158145
`10/2013
`United States Patent and Trademark Office, International Search
`Report and Written Opinion for PCT/US2009/030362 mailed Mar. 2,
`2009.
`United States Patent and Trademark Office, International Search
`Brahe, C., et al., (2005) “Phenylbutyrate Increases SMN Gene
`Report and Written Opinion for PCT/US2012/028620 mailed Jun.
`20, 2012.
`Expression in Spinal Muscular AtrophyPatients,” Eur J Hum Genet
`United States Patent and Trademark Office, International Search
`13:256-259.
`Report and Written Opinion for PCT/US2012/54673 mailed Nov. 20,
`Brunetti-Pierri, N., et al., (2011) “Phenylbutyrate Therapy for Maple
`2012.
`Syrup Urine Disease,” Hum Mol Genet 20(4):63 1-640.
`United States Patent and Trademark Office, International Search
`Chung,Y.L., et al., (2000) “A Novel Approach for Nasopharyngeal
`Report and Written Opinion for PCT/US2013/71333 mailed Mar. 28,
`Carcinoma Treatment Uese Phenylbutyrate as a Protein Kinase C
`2014.
`Modulator: Implications for Radiosensitization and EBV-Targeted
`Ambrose, A.M.et al. (1933). “Further Studies on the Detoxification
`Therapy,” Clin Cancer Res 6:1452-1458.
`ofPhenylacetic Acid.” J. Bio. Chem. 101:669-675.
`Cudkowiez, ALS (2009) “Phase 2 Study ofSodium Phenylbutyrate in
`Batshaw, M.L. et al. (Dec. 1980). “Treatment of Hyperammonemic
`ALS,” Amyotrophic Lateral Sclerosis 10:99-106.
`Diaz, G.A.. et al.. “Phase 3 Blinded. Randomized, Crossover Com-
`Coma Caused by Inborn Errors of Urea Synthesis,” J. Pediatr.
`97(6):893-900.
`parison of Sodium Phenylbutyrate
`(NaPBA) and Glycerol
`Batshaw, M.L. et al. (Aug. 1981). “New Approachesto the Diagnosis
`Phenylbutyrate (GPB): Ammonia (NH3) Controlin Adults with Urea
`and Treatment of Inborn Errors of Urea Synthesis,” Pediatrics
`Cycle Disorders (UCDs},” Mol. Genet. Metab. 102:276, Society of
`Inherited Metabolic Disease (SMID) Abstract.
`68(2):290-297,.
`Batshaw MLL.et al. (Jun. 10, 1982). “Treatment of Inborn Errors of
`Enns, G.M., et al.,
`(2007) “Survival After Treatment with
`Urea Synthesis: Activation of Alternative Pathways of Waste Nitro-
`Phenylacetate and Benzoate for Urea-Cycle Disorders,” NV. Eng J
`Med 356:2282-2292.
`gen Synthesis and Excretion,” N. Engl. J. Med. 306(23): 1387-1392.
`Batshaw, M.L.(1984). “Hyperammonemia,” in Current Problemsin
`Gropman,A.(2010) “Brain Imaging in Urea Cycle Disorders,” Mol
`Genet Metab 100:S20-S30.
`Pediatrics, Lockhart, J.D. ed.: Year Book Medical Publishers, pp.
`2-69.
`Hines, P., et al.,
`(2008) “Pulsed-Dosing with Oral Sodium
`
`Phenylbutyrate Increases HemoglobinFin a Patient with Sickle Cell Berry, G. T., et al., “Long-Term Managementof Patients with Urea
`Anemia,” Pediatr Blood Cancer50:357-359.
`Cycle Disorders,” J. Pediatrics (2001) 138:S56-S61.
`Hogarth, P., et al., (2007) “Sodium Phenylbutyrate in Huntington’s
`Brusilow,S., et al., “Amino Acid Acylation: A Mechanism ofNitro-
`Disease: A Dose-Finding Study,” Mov Disord 22(13):1962-1964.
`gen Excretion in Inborn Errors of Urea Synthesis,” Science 207:659-
`661 (1980).
`Huang, H.H., et al., (2012) “Cannabinoid Receptor 2 AgonistAme-
`liorates Mesenteric Angiogenesis and Portosystemic Collaterals in
`Bnusilow, S. W., et al., “Phenylacetylglutamine May Replace Urea as
`Cirrhotic Rats,” Hepatology 56:248-258.
`a Vehicle for Waste Nitrogen Excretion,” Pediatr. Res, 29:147-150
`(1991).
`Hyperion Therapeutics “Hyperion Therapeutics Announces Enroll-
`mentofFirst Patient in Phase 1/2 Clinical Trial of GT4Pin Patients
`Brusilow, S.w. et al. (Sep. 1, 1979). “New Pathways of Nitrogen
`with Urea Cycle Disorders” Announcement, | page (Oct. 23, 2007).
`Excretion in Inborn Errors of Urea Synthesis.” Lancet 2(8 140):452-
`454.
`Mercuri, E., et al., (2004) “Pilot Trial of Phenylbutyrate in Spinal
`Muscular Atrophy.” Neuromuscul Disord 14:130-135.
`Brusilow, S.w. (Jun. 21, 1984). “Treatment of Episodic Hyperam-
`Mokhtarani, M., et al., (2012) “Elevated Phenylacetic Acid (PAA)
`monemiain Children With Inborn Errors ofUrea Synthesis,” N. Engl.
`Levels Appear Linked to Neurological Adverse Events in Healthy
`J. Med. 3 10(25): 1630-1634.
`Brusilow, S.w. (Amendment Dated Jul. 25, 1994). “Protocols for
`Adults But Not in Urea Cycle Disorder (UCD)Patients,’ Mol Genet
`Metab 105:342.
`ManagementofIntercurrent Hyperammonemiain Patients with Urea
`Moldave,K.. et al., (1957) “Synthesis of Phenylacetylglutamine by
`Cycle Disorders,’ FDA Application to Market a New Drug for
`Human Tissue.” J. Biol. Chem. 229:463-476.
`Human Useor an Antibiotic Drug for Human Use, Fourteen pages.
`
`Patent
`
`Application No.
`
`Page 2 of 22
`
`Page 2 of 22
`
`

`

`US 9,095,559 B2
`Page 3
`
`(56)
`
`References Cited
`OTHER PUBLICATIONS
`
`Gropman,A. L., et al., “IH MRS Allows Brain Phenotype Differen-
`tiation in Sisters with Late Onset Omithine Transcarbamylase Defi-
`ciency (OTCD)and Discordant Clinical Presentations,” Mol. Genet.
`Metab. 94(1):52-60 (2008).
`Brusilow, S.w.et al. (1991). “Treatment of Urea Cycle Disorders,”
`Gropman, A.L., et al., “1H MRS Identifies Symptomatic and
`Chapter 5 in Treatment of Genetic Diseases, Desnik, R.J. et al. eds,
`Asymptomatic Subjects with Partial Ornithine Transcarbamylase
`Churchill Livingstone, New York, NewYork, pp. 79-94.
`Deficiency,” Mol. Genet. Metab. 95:2 1-30 (2008).
`Brusilow, S.W.et al. (1995). “Urea Cycle Enzymes,” Chapter 32 in
`Hyperion Therapeutics. (Mar. 30, 2009). “Hyperion Therapeutics
`The Metabolic and Molecular bases ofInherited Diseases, Scriver,
`Announces Results for Phase II Study in Urea Cycle Disorders,”
`C.R.et al. eds., McGraw-Hill, Inc. New York, New York, pp. 1187-
`located
`at
`<http://www.hyperiontx.compress/release/pr
`1232.
`1238518388,> last visited on Apr. 27, 2011, three pages.
`Brusilow, S.W., et al. (1996).“Urea Cycle Disorders: Diagnosis,
`Hyperion Therapeutics. (Jun. 2, 2009.) “Hyperion Therapeutics
`Pathophysiology, and Therapy,” Adv. Pediatr. 43:127-170.
`AnnouncesResults ofPhase I Study in Patients with Liver Cirrhosis”
`Brusilow, S.W., et al. (1995). “Urea Cycle Disorders: Clinical Para-
`located
`at<http://www.hyperiontx.compress/release/pr
`digm of Hyperammonemic Eneephalopathy,” Progress in Liver Dis-
`1243891161>, last visited on Apr. 27, 2011, three pages.
`eases (1995) 12:293-309.
`International Preliminary Report on Patentability mailed on Mar. |,
`Brusilow, S. W., et al., “Restoration of Nitrogen Homeostasis in a
`2011, for PCT Application No. PCT/US2009/030362,filed on Jan. 7,
`Man with Omithine Transcarbamylase Deficiency,’ J. Metabolism
`2009, seven pages.
`(1993) 42: 1336-1339.
`International Preliminary Report on Patentability mailed on Mar. 1,
`Calloway, D.H.et al. (1971). “Sweat and Miscellaneous Nitrogen
`Losses in Human BalanceStudies,” J. Nutrition 101:775-786.
`2011, for PCT Application No. PCT/US2009/055256, filed on Aug.
`27, 2009, six pages.
`Calloway, D.H. et al. (1971). “Variation in Endogenous Nitrogen
`James, M.O. et al. (1972). “The Conjugation of Phenylacetic Acid in
`Excretion and Dietary Nitrogen Utilization as Determinants of
`Man, Sub-Human Primates and Some Other Non-Primates Species,”
`Human Protein Requirements,” J. Nutrition 101:205-216.
`Proc. R. Soc. London 182:25-35.
`Camacho, LH. et al. (2007, e-pub. Oct. 20, 2006). “Phase I Dose
`John, BAet al. (Mar. 2009). “The Disposition of HPN-100, A Novel
`Escalation Clinical Trial of Phenyl butyrate Sodium Administered
`Pharmaceutical Under Development for Potential Treatment of
`Twice Daily to Patients With Advanced Solid Tumors,” Invest. New
`Hyperammonemia, in Cynomologus Monkeys,”abstract presentedat
`Drugs 25:131-138.
`ACMG2009, one page.
`Chang J.-G., et al., “Treatment of Spinal Muscular Atrophy by
`John, BAet al. (Mar. 2009). “The Disposition of HPN-100, A Novel
`Sodium Butyrate,” PNAS USA (2001) 98(17):9808-9813.
`ClinicalTrials.Gov/ Archive View ofNCT00551200 on Dec. 11, 2007
`Pharmaceutical Under Development
`for Potential Treatment of
`Hyperammonemia, in Cynomolgus Monkeys,” ACMG 2009 ADME,
`
`
`
`
`“Dose-Escalation of—GlycerylSafety Study Tri
`poster, two pages.
`(4-Phenylbutyrate)(GT4P) to Treat Urea Cycle Disorders” [accessed
`Oct. 5, 2009], 4 pages.
`Kasumoy,T,, et al., “New Secondary Metabolites of Phenylbutyrate
`Combined Search and Examination Report mailed on Sep. 9, 2010,
`in Humans and Rats,” Drug Metabolism and Disposition (2004)
`32(1):10-19.
`for Great Britain Patent Application No. 1013468.2, filed on Aug. 27,
`Lee, B. et al. (Aug. 2009). “Dosing and Therapeutic Monitoring of
`2009, six pages.
`Ammonia Scavenging Drugs and Urinary Phenylacetylglutamine
`Combined Search and Examination Report mailed on Oct. 9, 2009,
`(PAGN)as a Biomarker; Lessons From a Phase 2 Comparison of a
`for Great Britain Patent Application No. GB0915545.8, filed on Aug.
`Novel Ammonia Scavenging Agent With Sodium Phenylbutyrate
`27, 2009, eight pages.
`(NaPBA).”abstract presented at ICIEM 2009, San Diego, CA, one
`Comte, B., et al., “Identification of Phenylbutyrylglutamine, A new
`page.
`Metabolite of Phenylbutyrate Metabolism in Humans,” Journal of
`Lee, B. et al. (Aug. 2009). “Dosing and Therapeutic Monitoring of
`Mass Spectrometry (2002) 37(6):581-590.
`Deferrari, G. et al. (1981). “Brain Metabolism of Amino Acids and
`Ammona Scavenging Drugs and Urinary Phenylacetylglutamine
`(PAGN)as a Biomarker: Lessons From a Phase 2 Comparison ofa
`Ammonia in Patients with Chronic Renal Insufficiency,” Kidney
`International 20:505-510.
`Novel Ammonia Scavenging Agent with Sodium Phenyl butyrate
`Diaz, G.A., et al., “Phase 3 Blinded, Randomized, Crossover Com-
`(NAPBA),”presented at ICIEM 2009, San Diego, CA, poster, one
`page.
`parison of Sodium Phenylbutyrate
`(NaPBA) and Glycerol
`Lee, B. et al. (Mar. 2009). “Phase 2 Study of a Novel Ammonia
`Phenylbutyrate (GPB): Ammonia (NH3) Control in Adults with Urea
`Scavenging Agent in Adults With Urea Cycle Disorders (UCDs),”
`Cycle Disorders (UCDs),” Mol. Genet. Metab. 102:276 (2011).
`abstract presented at ACMG 2009, one page.
`Examination Report mailed on Oct. 27, 2010, for United Kingdom
`Lee, B. et al. (Mar. 2009). “Phase 2 Study of a Novel Ammonia
`Patent Application No, GB0915545.8, filed on Aug. 27, 2009, two
`pages.
`Scavenging Agent in Adults with Urea Cycle Disorders (UCDs),”
`presented at ACMG 2009, seventeen pages.
`Examination Report mailed Feb. 5, 2010, for United KingdomPatent
`Application No. GB0915545.8, filed on Aug. 27, 2009, two page.
`Lee, B.et al. (Aug. 2008). “Preliminary Data on Adult Patients with
`Urea Cycle Disorders (UCD)in an Open-Label, Switch-Over, Dose-
`Examination Report mailed May 11, 2010, for United Kingdom
`Escalation Study Comparing a New Ammonia Scavenger, Glyceryl
`Patent Application No. GB0915545.8, filed on Aug. 27, 2009, one
`page.
`Tri
`(4-Phenylbutyrate)
`[HPN-100],
`to Buphenyl® (Sodium
`Phenylbutyrate [PBAj),” abstract presented at SSIEM 2008, Lisbon,
`FDA. (Aug. 2003). “Buphenyl® (Sodium Phenylbutyrate) Label”
`Portugal, one page.
`nine pages.
`Lee, B. et al. (Sep. 2008). “Preliminary Data on Adult Patients with
`FDA Label for Buphenyl, 6 pages.
`Gargosky, S. (2006). “High Ammonia Levels Are Associated With
`Urea Cycle Disorders (UCD)in an Open-Label, Switch-Over, Dose
`Increased Mortality and Coma.” Ucyclyd Pharma,Inc., one page.
`Escalation Study Comparing a New Ammonia Scavenger, Glyceryl
`Gargosky, S. et al. (Oct. 14, 2005). “Results of a Twenty-two Year
`Tri
`(4-Phenylbutyrate)
`[HPN-100],
`to Buphenyl® (Sodium
`Phenylbutyrate [PBA],”presented at SSIEM 2008, Lisbon,Portugal,
`Clinical Trial: Actue, Adjunctive Pharmacological ‘Treatment of
`Hyperammonemic Episodes
`in Patients with Deficiencies
`in
`Poster, one page.
`Lee, B., et al.."Phase 2 Comparison ofa Novel Ammonia Scavenging
`Enzymesofthe Urea Cycle,” poster, Ucyclyd Pharma, Inc., one page.
`Agent with Sodium Phenylbutyrate in Patients with Urea Cycle Dis-
`Gargosky, S. (Aug. 2, 2005). “Improved Survival of Neonates Fol-
`orders: Safety, Pharmacokinetics and Ammonia Control.” Mol.
`lowing Administration of Ammonul® (Sodium Phenyl acetate &
`Genet. Metab. 100:22 1-228 (2010).
`Sodium Benzoate) 10%110% Injection,” SSIEM Poster, six pages.
`Lee, B., et al., “Preliminary Data on Adult Patients with Urea Cycle
`Gharbril, M..,et al., “Glycerol Phenylbutyrate (GPB) Administration
`Disorders (UCD) in an Open-Label, Switch-Over, Dose-Escalation
`in Patients with Cirrhosis and Episodic Hepatic Encephalopathy
`Study Comparing a New Ammonia Scavenger, Glyceryl Tri(4-
`(HE),” accepted for presentation at Digestive Disease Week, 2012.
`
`Page 3 of 22
`
`Page 3 of 22
`
`

`

`US 9,095,559 B2
`Page 4
`
`(56)
`
`References Cited
`OTHER PUBLICATIONS
`
`Phenylbutyrate) (HPN-100), to Buphenyl (Sodium Phenylbutyrate
`(PBA)).”J. Inherit. Metab. Dis. 31(Suppl. 1):91 (2008).
`Lewis, H.B. (1914). “Studies in the Synthesis ofHippuric Acid in the
`Animal Organism.II. The Synthesis and Rate of Elimination of
`Hippuric Acid After Benzoate Ingestion in Man,” J. Bioi. Chem. 18
`:225-231.
`Liang, K.Y., et al., “Longitudinal Data Analysis Using Generalized
`Linear Models,” Biometrika 73(1):13-22 (1986).
`Lichter-Konecki, U., et al., “Ammonia Controlin Children with Urea
`Cycle Disorders
`(UCDs); Phase 2 Comparison of Sodium
`Phenylbutyrate and Glycerol Phenylbutyrate,” Mol. Genet. Metab.
`103:323-329 (2011).
`MacArthur.R. B., et al., “Pharmacokinetics ofSodium Phenylacetate
`and Sodium Benzoate Following Intravenous Administration as Both
`a Bolus and Continuous Infusion to Healthy Adult Volunteers,” Mol.
`Genet. Metab. 8 1:S67-S73 (2004).
`Mansour, A. et al. (Oct. 1997). “Abdominal Operations in Patients
`with Cirrhosis: Still a Major Surgical Challenge,’ Surgerv
`122(4):730-735. (Abstract Only.).
`Masetri, N.E. et al. (Aug. 1992). “Plasma Glutamine Concentration:
`A Guidein the Management ofUrea Cycle Disorders,”J. Pediatr. 121
`(2):259-261.
`McGuire, B. M., et al., “Pharmacology and Safety of Glycerol
`Phenylbutyrate in Healthy Adults and Adults with Cirrhosis,”
`Hepatol. 5 1:2077-2085 (2010).
`McGuire, B.M.et al. (2009). “Pharmacokinetic (PK) and Safety
`Analyses of a Novel Ammonia-Reducing Agent in Healthy Adults
`and Patients with Cirrhosis,” Hyperion Therapeutics, poster, one
`page.
`McGuire, B.M.et al. (May 2009). “Pharmacokinetic (PK) and Safety
`Analyses of a Novel Ammonia-Reducing Agent in Healthy Adults
`and Patients with Cirrhosis,” abstract presented at DDW, May 2009,
`two pages.
`McGuire, B. et al. (Apr. 2008). Pharmacokinetic Safety Study of
`Sodium Phenylacetate and Sodium Benzoate Administered to Sub-
`jects With Hepatic
`Impairments, Liver
`International 28:743.
`(Abstract Only).
`McGuire, B.et al. (Apr. 2008). “Pharmacokeinetic (PK) Safety Study
`of Sodium Phenylacetate and Sodium Benzoate Administered to
`Subjects with Hepatic Impairment,”abstract ofThe 13th International
`Symposium, Abano(Padova),Italy, Apr. 28-May |, 2008, two pages.
`McQuadeP.S. (1984). “Analysis and the Effects of Some Drugs on
`the Metabolism of Phenylethylamine and Phenylacetic Acid,”
`Neuropsychopharmacol. Bioi. Psychiat. 8:607-614.
`Piscitelli, S.C. et al. (1995). “Disposition of Phenyl butyrate andits
`Metabolites, Phenylacetete and Phenylacetylglutamine,” J. Clin.
`Pharmacal. 35:368-373.
`Propst, A. et al. (Aug. 1995). “Prognosis and Life Expectancy in
`Chronic Liver Disease,” Dig Dis Sci 40(8):1805-1815. (Abstract
`Only).
`Riley, T.R. et al. (Nov. 15, 2001). “Preventive Strategies in Chronic
`Liver Disease: Part II. Cirrhosos,” Am. Fam. Physician 64(10):1735-
`1740. (Abstract Only).
`Rudman, D., et al., “Maximal Rates of Excretion and Synthesis of
`Urea in Normal and Cirrhotic Subjects,” J. Clin. Invest. (1973)
`52:2241-2249.
`Shiple, G.J. et al. (1922). “Synthesis of Amino Acids in Animal
`Organisms. I. Synthesis of Glycocoll and Glutamine in the Human
`Organism,” J. Am. Chem. Soc. 44:618-624.
`Simell, O., et al., “Waste Nitrogen Excretion Via Amino Acid Acyla-
`tion: Benzoate and Phenylacetate in Lysinuric Protein Intolerance,”
`Pediatr. Res. 20(1 1): 1117-1121 (1986).
`Singh, “Consensus Statement from a Conference for the Manage-
`mentof Patients with Urea Cycle Disorders,” Suppl. to J. Pediatrics
`(2001) 138(1):S1-S5.
`Summar, M.L. et al. (Oct. 2008, e-pub. Jul. 17, 2008). “Diagnosis,
`Symptoms, Frequency and Mortality of260 Patients with Urea Cycle
`Disorders From a 21-Year, Multicentre Study of Acute Hyperam-
`monaemic Episodes,” Acta Paediatr. 97:1420-1425.
`
`Summar, M.et al. (2007). “Description and Outcomesof 316 Urea
`Cycle Patients From a 21-Year, Multicenter Study of Acute
`Hyperammonemic Episodes.” Abstract, presented at Annual Sympo-
`sium CCH—Congress Centre Hamburg, Sep. 4-7, 2007, GSSIEM
`2007, two pages.
`Swedish Orphan International. (Jan. 12, 2007). “Urea Cycle Disor-
`ders an International Perspective,” Poster, Symposium Swedish
`Orphan International, Barcelona, Spain, Jan. 12, 2007, one page.
`Tanner, L. M., et al., “Nutrient Intake in Lysinuric Protein Intoler-
`ance,”J. Inherit. Metab. Dis. 30:7 16-721 (2007).
`Thibault, A., et al., “A Phase I and Pharmacokinetic Study ofIntra-
`venous Phenylacetate in Patients with Cancer,” Cancer Res. 54:1690-
`1694 (1994).
`Thibault, A., et al., “Phase I Study of Phenylacetate Administered
`Twice Daily to Patients with Cancer,” Cancer 75:2932-2938 (1995).
`Tuchman, M. et al. (2008, e-pub. Jun. 17, 2008). “Cross-Sectional
`Multicenter Study of Patients With Urea Cycle Disorders in the
`United States,” Malec. Genetics Metab. 94:397-402.
`Waterlow,J.C. (Mar. 1963). “The Partition ofNitrogen in the Urine of
`Malnourished Jamaican Infants,” Am. J. of Clin, Nutrition 12:235-
`240.
`Zeitlin, P.L. et al. (Jul. 2002). “Evidence ofCFTR Function in Cystic
`Fibrosis After System Administration of 4-Phenylbutyrate,” Mol.
`Therapy 6(1):119-126.
`Amodio,P., et al., “Detection of Minimal Hepatic Encephalopathy:
`Normalization and Optimization of the Psychometric Hepatic
`Encephalopathy Score. A Neuropsychological and Quantified EEG
`Study,” J. Hepatol. 49:346-353 (2008).
`ANDANotice Letter, Par Pharmaceutical, Inc. to Hyperion Thera-
`peutics, inc.. Re: Glycerol Phenylbutyrate 1.1 gm/mloralliquid; U.S.
`Pat. No. 8.404.215 and U.S. Pat. No. 8,642,012 Notice of Paragraph
`IVCertification Mar. 12, 2014.
`Bajaj, J. S., et al., “ReviewArticle: The Design of Clinical Trials in
`Hepatic Encephalopathy—An International Society for Hepatic
`Encephalopathy and Nitrogen Metabolism (ISHEN) Consensus
`Statement,” Aliment Pharmacol Ther. 33 (7):739-747 (2011).
`Barsotti, Measurement of Ammonia in Blood, 138 J. Pediatrics,
`S11-S20 (2001).
`Batshaw,et al., Treatment of Carbamyl Phosphate Synthetase Defi-
`ciency with Keto Analogues of Essential Amino Acids, 292 The New
`
`England J. Medicine, 1085{_]90 (1975).
`Batshaw, M. L. et. al., Alternative Pathway Therapy for Urea Cycle
`Disorder: Twenty Years Later, 138 J. Pediatrics S46 (2001).
`Blau, Duran, Blaskovics, Gibson (editors), Physician’s Guide to the
`Laboratory Diagnosis of Metabolic Diseases, 261-276 (2d ed. 1996).
`Blei, A. T., et al., “Hepatic Encephalopathy,’ Am. J. Gastroenterol.
`96(7):1968-1976 (2001 ).
`Burlina, A.B.
`et
`al., Long-Term Treatment with Sodium
`Phenylbutyrate in Ornithine Transcarbamylase-Deficient Patients, 72
`Molecular Genetics and Metabolism 351-355 (2001).
`Carducci, M., Phenylbutyrate Induces Apoptosis in Human Prostate
`Cancer and Is More Potent Than Phenylacetate, 2 Clinical Cancer
`Research 379 (1996).
`Carducci, M.A.et al., A Phase I Clinical and Pharmacological Evalu-
`ation of Sodium Phenylbutyrate on an 120-h Infusion Schedule, 7
`Clin. Cancer Res. 3047 (2001).
`Center for Drug Evaluation and Research, Clinical Pharmacology
`and Biopharmaceutics Review for New Drug Application No. 20-645
`(Ammonul®) (2005).
`Center for Drug Evaluation and Research, Labeling for New Drug
`Application No. 20-645 (Ammonul®) (2005).
`Center for Drug Evaluation and Research, Medical Review for New
`Drug Application No. 20-645 (Ammonul®) (2005).
`Chen,Z. et al., Tributyrin: A Prodrug of Butyric Acid for Potential
`Clinical Application in Differentiation Therapy, 54 Cancer Research
`3494 (1994).
`Clay, A. et. al, Hyperammonemiain the ICU, 132 Chest 1368 (2007).
`Collins, A.F. et al. Oral Sodium Phenylbutyrate Therapy in
`Homozygous Beta Thalassemia: A Clinical Trial, 85 Blood 43
`(1995).
`
`Page 4 of 22
`
`Page 4 of 22
`
`

`

`US 9,095,559 B2
`Page 5
`
`(56)
`
`References Cited
`OTHER PUBLICATIONS
`
`Conn, H. O., et al.. “Liver Physiology and Disease: Comparison of
`Lactulose and Neomycin in the Treatment of Chronic Portal-Sys-
`temic Encephalopathy. A Double Blind ControlledTrial,” Gastroen-
`terology 72(4):573-583 (1977).
`Cordoba,J., “New Assessment of Hepatic Encephalopathy,” Journal
`of Hepatology 54: 1030-1040 (2011 ).
`Darmaun,D.et al., Phenylbutyrate-Induced Glutamine Depletion in
`Humans: Effect on Leucine Metabolism, 5 Am. J. of Physiology:
`Endocrinology and Metabolism E801 (1998).
`Diaz, G.A., et al., “Ammonia Control and Neurocognitive Outcome
`Among Urea Cycle Disorder Patients Treated with Glycerol
`Phenylbutyrate,” Hepatology 57(6):2 171-2179 (2013).
`Dixon, M. A. and Leonard,J.V., IntercurrentIllness in Inborn Errors
`ofIntermediary Metabolism, 67 Archives of Disease in Childhood
`1387 (1992).
`Dover, G.et al, Induction of Fetal Hemoglobin Production in Sub-
`jects with Sickle Cell Anemia by Oral Sodium Phenylbutyrate, 54
`Cancer Research 3494 (1994).
`Endo,F. et al., Clinical Manifestations of Inbom Errors of the Urea
`Cycle and Related Metabolic Disorders During Childhood, 134 J.
`Nutrition 1605S (2004).
`European Medicines Agency, Annex I: Summary of Product Charac-
`teristics for Ammonaps.
`European Medicines Agency, European Public Assessment Report:
`Summary for the Public forAmmonaps(2009).
`European Medicines Agency, Scientific Discussion for Ammonaps
`(2005).
`European Medicines Agency, Scientific Discussion for Carbaglu
`(2004).
`FDA Label for Carbaglu, seven pages. (Mar. 2010).
`Feillet, F. and Leonard, J.V., Alternative Pathway Therapy for Urea
`Cycle Disorders, 21 J. Inher. Metab. Dis. 101-111 (1998).
`Feoli-Fonseca, M. L., Sodium Benzoate Therapy in Children with
`Inborn Errors ofUrea Synthesis: Effect on Carnitine Metabolism and
`Ammonia Nitrogen Removal, 57 Biochemical and Molecular Medi-
`cine 31 (1996).
`Ferenci, P., etal., “Hepatic Encephalopathy—Definition, Nomencla-
`ture, Diagnosis, and Quantification: Final Report of the Working
`Party at the 11th World Congresses of Gastroenterology, Vienna,
`1998,” Hepatology 35:716-721 (2002).
`Fernandes, Saudubray, Berghe (editors), Inborn Metabolic Diseases
`Diagnosis and Treatment, 219-222 (3d ed. 2000).
`Geraghty. M.T. and Brusilow, S.W., Disorders of the Urea Cycle, in
`Liver Disease in Children 827 (F.J. Suchy et al., eds. 2001).
`Ghabril, M. et al., “Glycerol Phenylbutyrate in Patients with Cirrho-
`sis and Episodic Hepatic Encephalopathy: A Pilot Study of Safety
`and Effect on Venous Ammonia Concentration,” Clinical Pharmacol-
`ogy in Drug Development 2(3): 278-284 (2013).
`Gilbert,J. et al., A Phase I Dose Escalation and Bioavailability Study
`of Oral Sodium Phenylbutyrate in Patients with Refractory Solid
`Tumor Malignancies, 7 Clin. Cancer Research 2292-2300 (2001).
`Gore,S. et al., Impact of the Putative Differentiating Agent Sodium
`Phenylbutyrate on Myelodysplastic Syndromes and Acute Myeloid
`Leukemia, 7 Clin. Cancer Res. 2330 (2001).
`Gropman,A.L.et al., Neurological Implications of Urea Cycle Dis-
`orders, 30 J. Inherit Metab Dis. 865 (2007).
`Hassanein, T.
`I.,
`et
`al., “Randomized Controlled Study of
`Extracorporeal Albumin Dialysis for Hepatic Encephalopathy in
`Advanced Cirrhosis,” Hepatology 46: 1853-1862 (2007).
`Hassanein, T. [., et al., “Introduction to the Hepatic Encephalopathy
`Scoring Algorithm (HESA),” Dig. Dis. Sci. 53:529-538 (2008).
`Hassanein, T., et al., “Performance of the Hepatic Encephalopathy
`Scoring Algorithm in a Clinical Trial of Patients With Cirrhosis and
`Severe Hepatic Encephalopathy,” Am. J. Gastroenterol. 104:1392-
`1400 (2009).
`Honda, S.et al., Successful Treatment of Severe Hyperammonemia
`Using Sodium Phenylacetate Power Prepared in Hospital Pharmacy,
`25 Biol. Pharm. Bull. 1244 (2002).
`
`International Search Report and Written Opinion for PCT/US09/
`30362, mailed Mar. 2, 2009, 8 pages.
`International Search Report and Written Opinion for PCT/US2009/
`055256, mailed Dec. 30, 2009, 13 pages.
`Kleppe,S. et al., Urea Cycle Disorders, 5 Current Treatment Options
`in Neurology 309-319 (2003).
`Kubota, K. and Ishizaki, T., Dose-Dependent Pharmacokinetics of
`Benzoic Acid Following Oral Administration ofSodium Benzoate to
`Humans, 41 Eur. J. Clin. Pharmacol. 363 (1991).
`Lee, B. and Goss, J., Long-Term Correction ofUrea Cycle Disorders,
`138 J. Pediatrics S62 (2001).
`Lee, B. et al., Considerations in the Difficult-to-Manage Urea Cycle
`Disorder Patient, 21 Crit. Care Clin. S19 (2005).
`Lee, B., et al., “Optimizing Ammonia (NH3) Control in Urea Cycle
`Disorder (UCD) Patients: A Predictive Model,” Oral Abstract Plat-
`form Presentations, Biochemical Genetics, Phoenix, AZ, Mar. 22,
`2013.
`Leonard, J.V., Urea Cycle Disorders, 7 Semin. Nenatol. 27 (2002).
`Lizardi-Cervera, J. et al., Hepatic Encephalopathy: A Review, 2
`Annals of Hepatology 122-120 (2003).
`Maestri NE, et al., Prospective treatment of urea cycle disorders. J
`Paediatr 1991;119:923-928.
`Maestri, N.E., et al. Long-Term Survival of Patients with
`Argininosuccinate Synthetase Deficiency, 127 J. Pediatrics 929
`(1993).
`Maestri, N.E., Long-Term Treatment of Girls with Omithine
`Transcarbamylase Deficiency, 355 N. Engl. J. Med. 855 (1996).
`Majeed, K., Hyperammonemia, eMedicine.com (Dec. 2001).
`Marini, J.C. et al., Phenylbutyrate Improves Nitrogen Disposal via an
`Alternative Pathway without Eliciting an Increase in Protein Break-
`down and Catabolism in Control and Ornithine Transcarbamylase-
`Deficient Patients, 93 Am. J. Clin. Nutr. 1248 (2011).
`Matsuda, I., Hyperammonemia in Pediatric Clinics: A Review of
`Ornithine Transcarbamylase Deficiency (OTCD) Based on our Case
`Studies, 47 JMAJ 160 (2004).
`McGuire, B.M. et al., Pharmacokinetic (PK) and Safety Analyses of
`a Novel Ammonia-Reducing Agent in Healthy Adults and Patients
`with Cirrhosis, Hyperion Therapeutics, poster, one page (2009).
`Mizutani, N. et al., Hyperargininemia: Clinical Course and Treat-
`ment with Sodium Benzoate and Phenylacetic Acid, 5 Brain and
`Development 555 (1983).
`Mokhtarani, M., et al., (2013) “Elevated Phenylacetic Acid Levels Do
`Not Correlate with Adverse Events in Patients with Urea Cycle Dis-
`orders o rHepatic Encephalopathy and Can Be Predicted Based onthe
`Plasma PAA to PAGNRatio,” Mol Genet Metab 1 10(4):446-453.
`Mokhtarani, M., et al., (2012) “Urinary Phenylacetylglutamine as
`Dosing Biomarker for Patients with Urea Cycle Disorders,’ Mol
`Genet Metab 107(3):308-314.
`Monteleone, JPR, et al., (2013) “Population Pharmacokinetic Mod-
`eling and Dosing Simulations of Nitrogen-Scavenging Compounds:
`Disposition of Glycerol Phenylbutyrate and Sodium Phenylbutyrate
`in Adult and Pediatric Patients with Urea Cycle Disorders,” J. Clin.
`Pharmacol. 53(7): 699-710.
`Munoz,S.J., “Hepatic Encephalopathy,” Med. Clin. N. Am. 92:795-
`812 (2008).
`Nassogne, M.C., Urea Cycle Defects: Management and Outcome, 28
`J. Inherit. Metab. Dis. 407 (2005).
`New England Consortium ofMetabolic Programs, Acute Illness Pro-
`tocol: Urea Cycle Disorders: The Infant/Child with Argininosuc-
`cinate Lyase Deficiency, adapted from Summar, M and Tuchman, M,
`Proceedings of a Consensus Conference for the Management of
`Patients with Urea Cycle Disorders, 138 J. Peds. Suppl. S6 (2001).
`New England Consortium ofMetabolic Programs, AcuteIllness Pro-
`tocol: Urea Cycle Disorders: The Infant/Child with Citrullinemia,
`adapted from Summar, M and Tuchman, M,Proceedings of a Con-
`sensus Conference for the ManagementofPatients with Urea Cycle
`Disorders, 138 J. Peds. Suppl. S6 (2001).
`Newmark, H. L. and Young, W. C., Butyrate and Phenylacetate as
`Differentiating Agents: Practical Problems and Opportunities, 22 J.
`Cellular Biochemistry 247 (1995).
`Ortiz, M., et al., “Developmentofa Clinical Hepatic Encephalopathy
`Staging Scale,” Aliment Pharmacol Ther 26:859-867 (2007).
`
`Page 5 of 22
`
`Page 5 of 22
`
`

`

`US 9,095,559 B2
`Page 6
`
`(56)
`
`References Cited
`OTHER PUBLICATIONS
`
`Summar, M., Urea Cycle Disorders Overview, Gene Reviews, www.
`genetests.org (Apr. 2003).
`Summar, M.et al., Unmask

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