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` Paper No. 10
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` Filed: September 28, 2017
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`Trials@uspto.gov
`571.272.7822
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`UNITED STATES PATENT AND TRADEMARK OFFICE
`____________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`____________
`
`LUPIN LTD. and LUPIN PHARMACEUTICALS, INC.,
`Petitioners,
`
`v.
`
`HORIZON THERAPEUTICS, LLC,
`Patent Owner.
`____________
`
`Case IPR2017-01160
`Patent 9,326,966 B2
`____________
`
`
`
`Before GRACE KARAFFA OBERMANN, DEBORAH KATZ, and
`RAMA G. ELLURU, and, Administrative Patent Judges.
`
`KATZ, Administrative Patent Judge.
`
`
`
`
`
`DECISION
`Institution of Inter Partes Review
`37 C.F.R. § 42.108
`
`I.
`
`BACKGROUND
`
`Lupin Ltd. and Lupin Pharmaceuticals, Inc. (“Petitioner”) filed a
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`request for an inter partes review (“IPR”) of claims 1–15 of U.S. Patent No.
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`9,326,966 B2 (Ex. 1003 (“the ’966 patent”) (Paper 3 (“Pet.”))). Horizon
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`Case IPR2017-01160
`Patent 9,326,966 B2
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`Therapeutics, Inc. (“Patent Owner”) filed a Preliminary Response (Paper 7
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`(“Prelim. Resp.”)).
`
`Under 35 U.S.C. § 314(a), an inter partes review may not be instituted
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`unless Petitioner shows that there is “a reasonable likelihood that the
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`petitioner would prevail with respect to at least 1 of the claims challenged in
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`the petition.” Petitioner makes that showing with respect to the grounds for
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`unpatentability of claims 1–11 and 13 and we institute review as to those
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`claims. Patent Owner filed a statutory disclaimer of claims 12, 14, and 15
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`under 35 U.S.C. § 253(a). Accordingly, we do not institute review as to
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`those claims. See 37 C.F.R. § 42.107(e).
`
`Our findings of fact and conclusions of law are based on the record
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`developed thus far, prior to Patent Owner’s Response under 37 C.F.R.
`
`§ 42.120. This is not a final decision as to the patentability of any
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`challenged claim. If a final decision is issued in this case, it will be based on
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`the full record developed during trial.
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`A.
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`Related proceedings
`
`The challenged ’966 patent is part of a family of patents involved in
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`litigations and other inter partes reviews. The great grandparent of the
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`application that issued as the ’966 patent became patent 8,404,215 (“the
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`’215 patent”). The grandparent of the application that issued as the
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`’966 patent became patent 9,095,559 (“the ’559 patent”). The parent of the
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`application that issued as the ’966 patent became patent 9,254,278 (“the
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`’278 patent”). Each of these patents is or was the subject of a petition for
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`inter partes review.
`
`Specifically, the ’215 patent was the subject of IPR2015-01127, filed
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`by Par Pharmaceutical, Inc. (“Par”). IPR2016-00284 filed by Petitioner, was
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`2
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`Case IPR2017-01160
`Patent 9,326,966 B2
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`instituted and joined with the IPR2015-01127 proceeding. The claims
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`challenged in that review are similar to the claims challenged in the present
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`review, wherein fasting blood ammonia levels are measured, compared to
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`the upper limited of normal, and an adjusted dose of drug is administered if
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`“the fasting blood ammonia level is greater than half the upper limit of
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`normal for blood ammonia level.” See Par Pharm., Inc. v. Horizon
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`Therapeutics, LLC, Case IPR2015-01127, slip op. at 6–7 (PTAB September
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`29, 2016) (Paper 49). Those claims were held to be unpatentable.
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`The ’559 patent was the subject of IPR2016-00829, filed by
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`Petitioner. The claims challenged in that review also are similar to the
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`claims challenged in the present review, wherein fasting blood ammonia
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`levels are measured and compared to the upper limit of normal, and an
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`adjusted dose of drug is administered relative to the upper limit of normal
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`for fasting plasma ammonia levels. See Prelim. Resp. 5. Those claims were
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`held to be unpatentable. See See Lupin, Ltd. v. Horizon Therapeutics, LLC,
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`Case IPR2016-00829 (PTAB September 26, 2017) (Paper 42).
`
`Petitioner also filed a petition for review of the claims of the ’278
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`patent (IPR2017-01159) on the same day the instant petition was filed. That
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`review is instituted concurrently with this review. See Lupin Ltd. v. Horizon
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`Therapeutics, LLC, Case IPR2017-01159 (PTAB September 28, 2017)
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`(Paper 10).
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`In addition, on July 13, 2017, Par filed petitions for review of the
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`’559 patent, the ’278 patent, and the ’966 patent (IPR2017-01768, IPR2017-
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`01767, and IPR2017-01769, respectively). A decision on whether to
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`institute trial based on these pending petitions has not yet been made.
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`3
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`We note that patent 8,642,012 is not related by lineage to the currently
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`challenged ’966 patent, but the publication of the application from which it
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`issued (publication 2010/0008859 (Ex. 1007)) is cited by Petitioner as prior
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`art in the current challenges. The claims of patent 8,642,012 were
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`challenged in IPR2015-01117, though it was determined that Petitioner
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`failed to show that the claims were unpatentable. That decision has been
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`appealed to the Court of Appeals for the Federal Circuit (App. No. 2017-
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`1451).1
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`In addition, the parties report the following infringement suits in the
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`District of New Jersey:
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`Horizon Therapeutics Inc. v. Par Pharmaceutical Inc., Case No. 1:16-
`
`cv-3910-RBK-JS (D. N.J.) filed on June 30, 2016, asserting infringement of
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`the ’559 patent, the ’278 patent, and the ’966 patent;
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`Horizon Therapeutics Inc. v. Lupin Ltd. and Lupin
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`Pharmaceuticals Inc., Case No. 1:15-cv-07624-RBK-JS (D. N.J.) filed on
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`October 19, 2015, asserting infringement of the ’559 patent;
`
`Horizon Therapeutics Inc. v. Lupin Ltd. and Lupin Pharmaceuticals
`
`Inc., Case No. 1:16-cv-4438-RBK-JS (D. N.J.) filed on July 21, 2016,
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`asserting infringement of the ’278 patent and the ’966 patent.
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`Patent Owner reports the following related patent applications:
`
`application 15/074,625, filed March 18, 2016;
`application 15/074,666, filed March 18, 2016;
`application 15/074,691, filed March 18, 2016; and
`
`
`1 Infringement of patent 8,642,012 was asserted in the Eastern District of
`Texas in Hyperion Therapeutics Inc. v. Par Pharmaceutical, Inc., Case No.
`2:14-cv-00384-JRG-RSP (E.D. Tex.) filed on April 23, 2014. That case
`reportedly has been stayed pending the resolution of the appeal to the
`Federal Circuit. Paper 6, 4.
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`4
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`application 15/457,643, filed March 13, 2017.
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`(See Paper 6.)
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`B.
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`The ’966 Patent (Ex. 1003)
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`The claims of the ’966 patent are directed to methods of using a drug,
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`glyceryl tri-[4-phenylbutryate] (also called “HPN-100”), to treat subjects
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`with urea cycle disorders. Patients suffering from urea cycle disorders
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`(“UCDs”) are unable to remove excess nitrogen waste, which is normally
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`excreted in the urine. See Ex. 1002 ¶ 27; Ex. 2006 ¶ 34. When the body
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`functions normally, dietary amino acids are converted first to ammonia and
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`then to urea in the urea cycle and, finally, excreted in the urine. Ex. 1002
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`¶ 28. In those with UCDs, the enzymes controlling the urea cycle are
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`deficient, leading to high levels of ammonia in the blood and toxicity, brain
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`damage, coma, and even death. See Ex. 1002 ¶ 29; Ex. 2006 ¶¶ 35–36.
`
`C.
`
`Asserted Grounds of Unpatentability
`
`Petitioner challenges the patentability of the ’966 patent claims 1–15
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`as follows:
`
`
`
`Ground
`1
`
`Legal Basis
`35 U.S.C. § 102
`
`References
`’859 Publication2
`
`2
`
`35 U.S.C. § 103 Blau3, Simell4, and the ’859
`Publication
`
`Claims
`12, 14, and
`15
`1–15
`
`
`2 U.S. Patent Publication 2010/0008859 A1, was filed on January 7, 2009,
`and published on January 14, 2010 (Ex. 1007).
`3 PHYSICIAN’S GUIDE TO THE LABORATORY DIAGNOSIS OF METABOLIC
`DISEASES, 261–76 (Nenad Blau et al. eds., 2d ed. 1996) (Ex. 1006).
`4 Olli Simell et al., Waste Nitrogen Excretion Via Amino Acid Acylation:
`Benzoate and Phenylacetate in Lysinuric Protein Intolerance, 20 PEDIATRIC
`RESEARCH 1117–21 (1986) (Ex. 1005).
`
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`5
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`II.
`
`Analysis
`
`A. Ground 1
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`Petitioner argues that claims 12, 14, and 15 would have been
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`anticipated by the ’859 publication under 35 U.S.C. § 102. Pet. 18–21.
`
`Patent Owner does not present arguments to the contrary and
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`represents that on June 28, 2017 it statutorily disclaimed claims 12, 14, and
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`15 of the ’966 patent. Accordingly, Petitioner’s Ground 1 is moot and we do
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`not institute a trial based on challenges to these claims. See 37 C.F.R.
`
`§ 42.107.
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`B. Ground 2
`
`Petitioner argues that claims 1–15 would have been obvious under
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`35 U.S.C. § 103 over Blau, Simell, and the ’859 publication. Pet. 22–42.
`
`Under 35 U.S.C. § 103, subject matter is unpatentable “if the
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`differences between the subject matter sought to be patented and the prior art
`
`are such that the subject matter as a whole would have been obvious at the
`
`time the invention was made to a person having ordinary skill in the art to
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`which said subject matter pertains.” In KSR Int’l Co. v. Teleflex Inc., 550
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`U.S. 398, 421 (2007), the Supreme Court explained that if the person of
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`ordinary skill could have arrived at the claimed subject matter using
`
`common sense to combine different teachings of the prior art, that subject
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`matter is likely obvious, not innovative.
`
`Claim 1 of the ’966 patent recites:
`
`A method of treating a subject with a urea cycle disorder who
`has previously been administered an initial dosage of glyceryl tri-[4-
`phenylbutyrate] and who has a fasting plasma ammonia level less than
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`
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`6
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`the upper limit of normal for plasma ammonia level, the method
`comprising:
`(a) measuring a fasting plasma ammonia level for the subject;
`(b) comparing the fasting plasma ammonia level to the upper
`limit of normal for plasma ammonia level; and
`(c) administering an adjusted dosage of glyceryl tri-[4-
`phenylbutyrate] that is greater than the initial dosage if the fasting
`plasma ammonia level is greater than half the upper limit of normal
`for plasma ammonia level,
`wherein the upper limit of normal for plasma ammonia level is
`in the range of 26-64 µmol/L.
`
`Ex. 1003, 24:11–25.
`
`Independent claim 6 is similar to claim 1 but is directed to treating a
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`“pediatric subject” and does not restrict the upper limit of normal to a
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`specific range. Ex. 1003, 24:38–50. Independent claim 9 is almost identical
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`to claim 6, but is directed to an “adult subject.” Ex. 1003, 24:57–25:2.
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`For reasons that follow, based on the information presented in the
`
`Petition and Preliminary Response, we are persuaded that Petitioner is
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`reasonably likely to prevail at trial on Ground 2.
`
`1.
`
`The ’859 publication teaches oral administration of nitrogen
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`scavenging drugs, including HPN-100, to treat urea cycle disorders. See
`
`Ex. 1007 ¶¶ 2, 20–21, and 189; see Pet. 15. The ’859 publication also
`
`teaches administering nitrogen scavenging drugs to adults and children. See
`
`Ex. 1007 ¶¶ 16 and 195. See Pet. 27. Furthermore, the ’859 publication
`
`teaches methods of adjusting drug dosage, including HPN-100, based in part
`
`on plasma ammonia levels. See Ex. 1007 ¶¶ 88–92, 95–99, 107–108, 226,
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`232; see Pet. 24–25.
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`The ’859 publication teaches comparing a patient’s plasma ammonia
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`level to the upper limit of normal plasma ammonia level. Ex. 1007 ¶ 201
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`see Pet. 16. The ’859 publication teaches that “plasma levels of ammonia
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`are acceptable when they are at or below a level considered normal for the
`
`subject, and commonly this would mean plasma ammonia level is below
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`about 40 µmol/L.” Ex. 1007 ¶ 94; see also id. ¶¶ 182, 226. See Pet. 30.
`
`The ’859 publication teaches increasing the dosage of nitrogen
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`scavenging drugs when ammonia control is inadequate. See Ex. 1007 ¶¶ 91,
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`92, 94–99; see Pet. 30–31. In the ’859 publication normal plasma ammonia
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`levels are identified as “below about 40 µmol/L” (Ex. 1007 ¶ 94), but the
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`upper limit of normal plasma ammonia levels is identified as “between 26 to
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`35 µmol/L.” Ex. 1007 ¶ 94; see also id. ¶ 201; see Pet. 30.
`
`Simell and Blau both teach measuring plasma ammonia levels after a
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`fast. See Ex. 1005, abstract and 1117–18; Ex. 1006, 273 (Table 11.9); see
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`Pet. 27–29.
`
`Exhibits 1010 and 1015 teach that measuring plasma ammonia is
`
`recommended after the patient has fasted. Ex. 1010, 4; Ex. 1015 at S11; see
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`Pet. 28, n.4.
`
`Petitioner’s witness, Dr. Vaux, testifies that one of ordinary skill in
`
`the art would have desired to maintain the patient at normal ammonia levels,
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`and would have known that variation in ammonia levels due to time of day
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`and/or ingestion of food would potentially take the patient outside of normal
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`levels. Ex. 1002 ¶ 134 (citing Ex. 1006, 268, Table 11.5; Ex. 1012, 213; Ex.
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`1017, 164, Table II; Ex. 1016, S58, Ex. 1015, S19); see Pet. 33.
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`Dr. Vaux testifies that
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`in order to maintain a patient’s plasma ammonia levels within
`normal limits, a person of ordinary skill in the art would have
`been motivated to administer more drug to reduce ammonia
`levels even in cases where the fasting plasma ammonia level was
`above half the ULN but below the ULN. For example, in the case
`of a patient with a fasting plasma ammonia level approaching the
`ULN, a person of ordinary skill in the art would have desired to
`maintain the patient at normal ammonia levels, and would have
`known that variation in ammonia levels due to time of day and/or
`ingestion of food would potentially take the patient outside of
`normal levels. Thus, even though the patient’s fasting plasma
`ammonia level was already below the ULN, a person of ordinary
`skill in the art would have been motivated to increase the dose of
`drug to lower the patient’s baseline ammonia and to help ensure
`that the patient routinely stayed within normal plasma ammonia
`limits.
`
`Ex. 1002 ¶ 122; see Pet. 26–27.
`
`Dr. Vaux testifies that because it was desired to maintain plasma
`
`ammonia at normal levels, but it was known that plasma ammonia levels
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`vary due to time of day or eating:
`
`for a patient with fasting plasma ammonia levels approaching the
`ULN, a person of ordinary skill in the art would have been
`motivated to increase the dose of drug to lower the patient’s
`baseline ammonia and to help ensure that the patient routinely
`stayed within normal plasma ammonia limits.
`
`Ex. 1002 ¶ 90; see also id. ¶ 134. See Pet. 33.
`
`The ’859 publication teaches that “HPN-100 exhibits no indications of
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`toxicity at equimolar doses when compared to the approved PBA
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`[phenylbutyric acid] dosage of 20 g/day and a dose 2-3 times the equivalent
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`of 20 grams of PBA is unlikely to produce [adverse effects].” Ex. 1007
`
`¶ 86. The ’859 publication also teaches that “[i]n some patients or clinical
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`settings, HPN-100 doses well above the approved PBA dosage are expected
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`to be beneficial . . . .” Id.; see also Ex. 1007 ¶ 203. See Pet. 18.
`
`Dr. Vaux testifies that there is no minimum level of blood ammonia
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`that must be maintained for normal body function and that he is not aware of
`
`any negative effects of ammonia levels that are low or even absent. See
`
`Ex. 1002 ¶ 29; see Pet. 7.
`
`Petitioner argues that those of ordinary skill in the art looking to
`
`adjust the dosage of a nitrogen scavenging drug such as HPN-100 would
`
`have combined the teachings of Simell, Blau, and the ’859 publication
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`because they teach different aspects of treating UCDs, including guidance on
`
`when to take plasma ammonia samples for measurement and guidance on
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`choosing an effective dosage of nitrogen scavenging drug and how to adjust
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`the dosage. See Pet. 22–23 (citing Ex. 1002 ¶¶ 114–117).
`
`Based on the evidence it cites, Petitioner argues that it would have
`
`been obvious to maintain a patient’s plasma ammonia levels within normal
`
`limits and that one of ordinary skill in the art would have been motivated to
`
`administer sufficient drug to reduce ammonia levels and maintain them
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`within normal levels, even after eating. Pet. 24–27. Petitioner also argues
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`that it would have been obvious to target a fasting ammonia level because it
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`was known that ingestion of food could make ammonia levels fluctuate. See
`
`Pet. 24–33.
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`Petitioner argues further that those of skill in the art would have had a
`
`reasonable expectation of success in combining the references to achieve the
`
`claimed method because the steps of the method are well-known and routine
`
`in the art and the claims do not require any particular efficacy. Pet. 34. In
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`addition, Petitioner argues that the ordinary artisan would have had a
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`reasonable expectation of success in combining the cited references to
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`achieve the limitations of the claims because when HPN-100 was
`
`administered to subject 1006 in Example 3 of the ’859 publication, the
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`subject demonstrated plasma ammonia levels of less than one half the upper
`
`limit of normal. Pet. 39 (citing Ex. 1007, table following ¶ 201); see also
`
`¶ 226.
`
`We note that at this point in the proceeding, we agree with the parties
`
`that the claim term “upper limit of normal” (“ULN”) means the highest
`
`value in a range of normal values. See Pet. 11; Prelim. Resp. 15–16.
`
`Therefore, we determine, at this time, that “less than the upper limit of
`
`normal” means any value less than the highest value in the range of normal
`
`values. See Cuozzo Speed Techs., LLC v. Lee, 136 S. Ct. 2131, 2144–46
`
`(2016) (upholding the use of the broadest reasonable interpretation
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`standard); see 37 C.F.R. § 42.100(b). Thus, at this point in the proceeding
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`we consider the claims to encompass adjusting drug dosage even when the
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`subject’s plasma ammonia levels are only slightly less than the upper limit
`
`of normal.
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`2.
`
`Patent Owner argues that Petitioner’s obviousness analysis depends
`
`on Dr. Vaux’s testimony, but because his testimony is contrary to the prior
`
`art and Dr. Vaux is not one of ordinary skill in the art, it is unsupported.
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`Prelim. Resp. 12–14 and 26–30. We do not agree, at this point in the
`
`proceeding.
`
`Dr. Vaux testifies that he is Professor and Clinical Chief of the
`
`Division of Medical Genetics in the Department of Medicine at University
`
`of California – San Diego. Ex. 1002 ¶ 1. Dr. Vaux testifies: “Since 1994, I
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`have regularly diagnosed and treated patients with urea cycle disorders
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`(‘UCD’), and continue to do so today. In treating UCD patients, I regularly
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`prescribe nitrogen scavenging drugs and treat patients who are maintained
`
`on therapy with nitrogen scavenging drugs.” (Id.) Although Patent Owner
`
`argues that Dr. Vaux lacks the extensive training and certifications necessary
`
`to manage treatment of UCD patients (Prelim. Resp. 12–15), Dr. Vaux
`
`testifies that he has treated such patients for over twenty years, including
`
`prescribing medication for them. On this record, we are persuaded that Dr.
`
`Vaux is qualified to opine about how one of ordinary skill in the art would
`
`treat UCD patients.
`
`Patent Owner argues that the testimony of its own witness, Dr. Enns,
`
`(Ex. 2006) is more reliable than Dr. Vaux’s and that we can deny institution
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`based on it because it is substantially the same as his declaration in a prior
`
`inter partes review, IPR2016-00829 (Ex. 2001). See Prelim. Resp. 5.
`
`According to Patent Owner, because of this similarity and because Petitioner
`
`cross-examined Dr. Enns in the prior proceeding, Dr. Enns’s testimony need
`
`not be viewed in the light most favorable to Petitioner when deciding
`
`whether to institute a trial as provided in 37 C.F.R. § 41.108(c). See Prelim
`
`Resp. 6. We are not persuaded that the circumstances of Dr. Enns’s prior
`
`cross-examination override application of Rule 37 C.F.R. § 41.108(c) in this
`
`case. For example, the issues of fact raised in this proceeding may not be
`
`exactly the same as the issues of the prior proceeding. Accordingly, we
`
`refuse to deny institution of a trial in this proceeding because Petitioner has
`
`not had an opportunity to cross-examine Dr. Enns with regard to the specific
`
`issues raised by Petitioner in this proceeding.
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`Patent Owner also argues that a trial should not be instituted because
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`an ordinarily skilled artisan would not have been motivated to increase the
`
`dosage of HPN-100 based on normal plasma ammonia levels, as recited in
`
`the preambles of independent claims 1, 6, and 9. Prelim. Resp. 17–30.
`
`According to Patent Owner, Petitioner fails to cite any single prior art
`
`reference suggesting a person or ordinary skill in the art should administer
`
`increased dosages of drug when a patient already has a normal plasma
`
`ammonia level or to target a plasma level within the range of normal values.
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`Prelim. Resp. 17.
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`At this point in the proceeding we are not persuaded that Petitioner is
`
`not reasonably likely to prevail because the challenges are based on
`
`obviousness. Petitioner need not show that a single reference expressly
`
`teaches increasing the dosage of HPN-100 as claimed in order to prevail. At
`
`this time we consider the cited prior art references and Dr. Vaux’s testimony
`
`to show sufficiently that those of skill in the art would have administered
`
`increased drug dosages to patients whose plasma ammonia levels were
`
`approaching the upper limit of normal because the prior art teaches that a
`
`goal of treatment for UCDs was to maintain plasma ammonia levels at or
`
`below a level considered to be normal. See Pet. 32–33 (citing Ex. 1002
`
`¶¶ 134, Ex. 1007 ¶¶ 83 and 94).
`
`Patent Owner cites to several references, including the
`
`’859 publication, the ’157 publication (Ex. 2012), Häberle (Ex. 2019), and
`
`Brusilow ’84 (Ex. 1004), to argue that the teachings in the prior art were to
`
`increase drug dosages only when plasma ammonia levels were above the
`
`upper limit of normal. Prelim. Resp. 20–22. At this point in the proceeding,
`
`these references are not persuasive because Dr. Vaux testifies that ordinarily
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`skilled artisans would have considered it obvious to have increased drug
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`dosages at plasma levels for reasons other than those reported in these
`
`references. See Ex. 1002 ¶ 122.
`
`Patent Owner characterizes the prior art as “teaching away” from the
`
`claimed methods because it establishes that normal plasma ammonia levels
`
`were acceptable and only addresses increasing the dosage of medication
`
`when levels were well above the upper limit of normal. Prelim. Resp. 17–
`
`18. For example, Patent Owner interprets paragraph 94 of the ’859
`
`publication as teaching that when levels were normal or below normal, no
`
`more drug would be required. Id. at 19. Patent Owner cites to other
`
`portions of the ’859 publication for similar teachings (see Ex. 1007 ¶ 85 (“a
`
`plasma ammonia level that was normal, e.g., a level of less than about 40
`
`µmol/L, or of not greater than 35 µmol/L, would indicate the treatment was
`
`effective.”)) and for teachings that drug levels should be increased when
`
`plasma ammonia levels are above normal (see Ex. 1007 ¶¶ 73, 83).
`
`We are not persuaded at this time that the ’859 publication teaches
`
`away from the claimed methods as defined in the case law. “A reference
`
`may be said to teach away when a person of ordinary skill, upon reading the
`
`reference, would be discouraged from following the path set out in the
`
`reference, or would be led in a direction divergent from the path that was
`
`taken by the applicant.” In re Gurley, 27 F.3d 551, 553 (Fed. Cir. 1994).
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`Patent Owner does not provide a sufficient explanation why teachings in the
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`’859 publication that plasma levels are effective when within the normal
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`range or to increase drug dosage when plasma ammonia levels are above
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`normal would not necessarily discourage one of ordinary skill from
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`increasing drug dosages at other plasma ammonia levels. Patent Owner has
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`not cited to prior art that clearly discourages increasing drug dosages when
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`plasma ammonia levels are anywhere within the normal range.
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`We also are not persuaded at this point in the proceeding that one of
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`ordinary skill in the art would have adjusted drug dosages only when a
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`patient’s plasma ammonia levels are above the upper limit of normal. See,
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`e.g. Prelim. Resp. 19–21 (citing Ex. 2012, Ex. 2019, Ex. 1004). Dr. Vaux’s
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`testimony and the evidence he cites in support demonstrate that there was a
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`reason to adjust drug dosage at lower plasma ammonia levels.
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`We have considered Patent Owner’s arguments that the prior art
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`taught possible side effects of too much nitrogen scavenging drugs but do
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`not find them to be persuasive. See Prelim. Resp. 22–23 (citing Ex. 2013,
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`2031, 2032). In light of the evidence that Petitioner cites regarding the
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`relative safety of HPN-100, we are not persuaded by Patent Owner’s
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`argument at this point in the proceeding. See Pet. 18 (citing Ex. 1007 ¶¶ 86
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`and 203).
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`Patent Owner argues that before the time of the invention described in
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`the ’966 patent, those of ordinary skill in the art would have rejected the
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`concept of a “baseline” ammonia level and would have considered increases
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`to be too unreliable to be the basis for increasing drug dosages, especially
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`when a patient was within normal plasma ammonia levels. Prelim.
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`Resp. 23–24. We are not persuaded by this argument at this point in the
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`proceeding because the claimed methods do not depend on the determination
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`of a “baseline” plasma ammonia level. Instead, at this time, we credit
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`Dr. Vaux’s testimony that one of ordinary skill in the art would have
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`increased drug dosages when a patient’s plasma ammonia levels were
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`approaching the upper limit of normal to prevent a patient from exceeding
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`the upper limit of normal. Specifically, as discussed above, at this point in
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`the proceeding, we are persuaded by Dr. Vaux’s testimony that a person of
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`ordinary skill in the art would have desired to maintain the patient at normal
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`ammonia levels, and would have known that variation in ammonia levels
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`due to time of day and/or ingestion of food would potentially take the patient
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`outside of normal levels because this testimony is supported by the prior art.
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`See Ex. ¶ 122; Ex. 1006, 268, Table 11.5; Ex. 1012, 213; Ex. 1017, 164,
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`Table II; Ex. 1016, S58, Ex. 1015, S19.)
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`Patent Owner also argues that variation in plasma ammonia levels
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`would have indicated that plasma ammonia levels are an unreliable indicator
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`of the effectiveness of an overall treatment program, not an indication to
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`increase drug dosages. Prelim. Resp. 24–25 (citing Ex. 2006 ¶ 93, 101);
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`Ex. 1012, 1006, 2012, 2015. At this point in the proceeding, we are
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`persuaded that those of skill in the art would have relied on plasma ammonia
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`levels, even if they would have relied on other indicators as well, because
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`the ’859 publication teaches relying, at least in part, on plasma ammonia
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`levels to adjust drug dosages. Ex. 1007 ¶¶ 88–92, 95–99, 107–108, 226,
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`232; see Pet. 15–16. We note that the challenged claims employ the
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`transitional term “comprising,” thus allowing for other determinations of
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`drug dosage.
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`Patent Owner also argues that Petitioner has failed to show that a
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`person of ordinary skill in the art would have been motivated to combine the
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`cited prior art because there are significant differences between them.
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`Prelim. Resp. 30–35. At this point in the proceeding, we are not persuaded
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`by Patent Owner’s arguments because Petitioner cites Simell and Blau for
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`their teachings regarding measurement of ammonia levels after a patient has
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`fasted, not for their teachings about drug dosing with particular drugs or for
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`particular situations or conditions.
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`Patent Owner argues that Petitioner has failed to establish a
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`reasonable expectation of success in combining the references cited because
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`Petitioner fails to show why the claimed method would be successful in
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`treating UCDs, that is, in reducing the incidence and frequency of
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`hyperammonemia. Prelim. Resp. 37–38. We are not persuaded by this
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`argument at this point in the proceeding because the challenged claims do
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`not require any specific degree of efficacy or treatment of any specific
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`aspect of UCDs. As Petitioner notes, Example 3 of the ’859 publication
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`demonstrates that administration of HPN-100 can lower plasma ammonia
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`levels, a known treatment for UCDs. See Pet. 17–18 (citing Ex. 1007, table
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`following ¶ 201).
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`3.
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`Claims 4, 7, 10, and 13 of the ’966 patent recite the additional method
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`step wherein the measuring, comparing, and administering steps (a) to (c) of
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`independent claims 1, 6, 9, and 12, respectively, are repeated until the
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`subject exhibits a fasting plasma ammonia level at or below half the upper
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`limit of normal for plasma ammonia level. See Ex. 1003, 24:32–35 (claim
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`4), 24:51–54 (claim 7), 25:3–6 (claim 10), 26:7–10 (claim 13).
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`Petitioner argues that these claims would have been obvious over the
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`prior art, citing the knowledge that maintenance of plasma ammonia levels
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`within the normal range was a goal of those in the art (see Pet. 38 (citing
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`Ex. 1007 ¶¶ 83, 46, 74, 182, 209, 226, Ex. 1016, S58)) and the knowledge
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`that plasma ammonia levels vary throughout the day (see Pet. 38–39 (citing
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`Ex. 1006, 286, Table 11.5, Ex. 1015, S19)). Because, according to
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`Dr. Vaux, it was also known that there is no minimum level of plasma
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`ammonia required for normal body function (see Ex. 1002 ¶ 29) and HPN-
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`100 was known to be well tolerated (see Ex. 1007 ¶ 226), Petitioner argues
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`that it would have been obvious to repeat the steps of the independent claims
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`of the ’966 patent until the fasting plasma ammonia level was at or below
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`half the upper limit of normal for plasma ammonia level. Pet. 39.
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`Based on this evidence, Petitioner argues that it would have been
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`obvious to maintain a patient’s plasma ammonia levels within normal limits
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`and that one of ordinary skill in the art would have been motivated to
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`administer sufficient drug to reduce baseline ammonia levels so that plasma
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`ammonia could be maintained within normal levels, even after eating.
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`Pet. 19–20.
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`Patent Owner raises arguments similar to those against the challenges
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`to the independent claims of the ’966 patent. For the reasons discussed
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`above, based on the information presented in the Petition and Preliminary
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`Response, we are persuaded that Petitioner is reasonably likely to prevail at
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`trial on this ground.
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`4.
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` We are persuaded by the information presented in the Petition and
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`Preliminary Response that there is a reasonable likelihood Petitioner will
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`prevail on the challenges raised in Ground 2.
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`III. CONCLUSION
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`We are persuaded that there is a reasonable likelihood that Petitioner
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`will prevail as to the unpatentability of claims 1–11 and 13 of Patent
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`Owner’s ’966 patent under 35 U.S.C. § 103(a) over Blau, Simell and the
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`’859 publication.
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`Our findings of fact and conclusions of law are based on the record
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`developed thus far, prior to Patent Owner’s Response. This is not a final
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`decision as to the patentability of any challenged claim. If a final decision is
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`issued in this case, it will be based on the full record developed during trial.
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`For the reasons given, it is
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`IV. ORDER
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`ORDERED that an inter partes review is instituted as to claims 1–11
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`and 13 of Patent Owner’s ’966 patent under 35 U.S.C. § 103(a) over Blau,
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`Simell, and the ’859 publication;
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`FURTHER ORDERED that pursuant to 35 U.S.C. § 314(a), inter
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`partes review of the ’966 Patent is hereby instituted commencing on the
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`entry date of this Order, and pursuant to 35 U.S.C. § 314(c) and 37 C.F.R.
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`§ 42.4, notice is hereby given of the institution of a trial.
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`Petitioner:
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`Elizabeth J. Holland
`Cynthia Lambert Ha