`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`___________
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`WEST-WARD PHARMACEUTICALS INTERNATIONAL LIMITED,
`Petitioner,
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`v.
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`NOVARTIS PHARMACEUTICALS CORP.,
`Patent Owner.
`_________
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`Case IPR2017-01592
`Patent 8,410,131 B2
`___________
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`Before SHERIDAN K. SNEDDEN, ROBERT A. POLLOCK, and
`JACQUELINE T. HARLOW, Administrative Patent Judges
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`RORBERT A. POLLOCK, Administrative Patent Judge
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`ON BEHALF OF THE PETITIONER:
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`MICHAEL B. COTTLER, ESQUIRE
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`KEITH ZULLOW, ESQUIRE
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`MARTA DELSIGNORE, ESQUIRE
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`Goodwin Procter, LLP
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`The New York Times Building
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`620 Eighth Avenue
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`New York, NY 10018
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`ON BEHALF OF PATENT OWNER:
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`CHRISTINA SCHWARZ, ESQUIRE
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`NICHOLAS KALLAS, ESQUIRE
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`Fitzpatrick, Cella, Harper & Scinto
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`1290 Avenue of the Americas
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`New York, NY 10104-3800
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`ALSO PRESENT:
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`JOHN INTOTT
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`Case IPR2017-01592
`Patent 8,410,131 B2
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`The above-entitled matter came on for hearing Wednesday,
`September 19, 2018, commencing at 1:00 p.m., at the U.S. Patent and
`Trademark Office, 600 Dulany Street, Alexandria, Virginia.
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`P R O C E E D I N G S
`JUDGE POLLOCK: Okay. Thank you for your patience. This
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`is the final hearing in IPR2017-01592 involving West-Ward
`Pharmaceuticals International and Novartis Pharmaceuticals Corporation.
`Today's hearing is open to the public, and a full transcript of the hearing will
`be made part of the record. I am Judge Pollock joined by Judge Snedden,
`and Judge Harlow joining us remotely.
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`Before we begin with the substance of the hearing, I would ask
`parties to introduce themselves. Counsel for West-Ward, would you please
`introduce yourself and your colleagues?
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`MR. COTTLER: Good morning -- good afternoon, Your
`Honors. My name is Michael Cottler from the law firm Goodwin Procter.
`With me, also from Goodwin Proctor, is Keith Zullow.
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`MR. ZULLOW: Good morning, Your Honor.
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`MR. COTTLER: Behind me from Goodwin Procter is Marta
`Delsignore.
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`who is our
`-- who's our hot-seat person.
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`JUDGE POLLOCK: Good morning -- afternoon. You got me
`saying it wrong. Counsel for Patent Owner Novartis, would you please
`introduce yourself and your colleagues?
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`MS. SCHWARZ: Good afternoon, Your Honors. Christina
`Schwarz and Nicholas Kallas from Fitzpatrick, Cella, on behalf of Patent
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`MS. DELSIGNORE: Good morning -- or afternoon.
`MR. COTTLER: And also at the table is John Intott (phonetic),
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`Owner Novartis.
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`JUDGE POLLOCK: Good afternoon. Each side will have a
`total of 60 minutes to present arguments, notwithstanding the recent pretrial
`conference on September 12th. Each side is free to discuss its motions to
`exclude and other issues raised at the conference.
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`Petitioner will open the hearing and may present arguments
`regarding the challenged claims, which the Board has instituted at trial, and
`its motion to exclude desire. Patent Owner will then respond to Petitioner's
`arguments and may additionally present its arguments regarding its motion
`to exclude. Petitioner may reserve up to 30 minutes of rebuttal to respond to
`Patent Owner's arguments on all issues, and Patent Owner may reserve up to
`10 minutes for surrebuttal.
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`The Panel will attempt to keep track of time, but each party is
`responsible for monitoring the remaining time for argument and a few issues
`of housekeeping. When discussing any particular demonstrative, please
`refer to it by slide or page number to help maintain a clear transcript. This is
`particularly important today as Judge Harlow is attending remotely and
`cannot view what you have on the screen.
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`When introducing a demonstrative for the first time, please note
`whether information on that slide is subsumed within your opponent's
`motions to exclude. And, finally, counsel may not interrupt the opposing
`party during the proceeding. To the extent counsel feels they must lodge an
`objection for the record, they may do so during their next allotted time, or, if
`no time remains, at the end of the presentations. Any objections will be
`taken under advisement.
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`Okay. Petitioner, you have the burden of showing
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`unpatentability to challenged claims. How much time, if any, would you
`like to reserve for rebuttal?
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`MR. COTTLER: Twenty minutes, Your Honor.
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`JUDGE POLLOCK: You may begin.
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`MR. COTTLER: Thank you. Your Honors, Claims 1 through
`3 and 5 through 9 of the 131 patent, which are -- which cover a method of
`inhibiting the growth of advanced solid kidney tumors by administering the
`mTOR inhibitor, everolimus, were clearly and unambiguously disclosed on
`page 17 lines 20 -- lines 19 to 26 of Wasik Exhibit 1002, and are obvious
`modifications of the publicized use of another mTOR inhibitor,
`temsirolimus, for inhibiting the growth of advanced renal cell carcinoma, a
`type of kidney tumor.
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`JUDGE POLLOCK: Pardon me, Mr. Cottler. Do you have
`copies of slides for the panel?
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`MR. COTTLER: I do, Your Honor. May I approach?
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`JUDGE POLLOCK: Please.
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`MR. COTTLER: My presentation today will focus on Grounds
`1, 4, and 5 as they pertain to Claims 1 through 3 of the 131 patent. If those
`claims are found unpatentable, Novartis has not argued that Claims 5
`through 9, which are dose related, are separately patentable. And, of course,
`I'll take the Board's questions on any ground throughout my presentation.
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`So with that, I'd like to start with Wasik Ground 1. Could I
`have Slide 9, please?
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`JUDGE POLLOCK: Mr. Cottler --
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`MR. COTTLER: Yes.
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`JUDGE POLLOCK: -- I don't want to cut short in your
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`planned talk, but I am particularly interested in Ground 4. So if you could
`find time to focus on that, I would appreciate it.
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`MR. COTTLER: Yes, Your Honor. Is it okay if I start with
`Ground 1 for now?
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`JUDGE POLLOCK: It's your time.
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`MR. COTTLER: I will definitely have time for --
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`JUDGE POLLOCK: It's your time.
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`MR. COTTLER: -- Ground 4. Thank you. Wasik 1002 builds
`off what was known about everolimus's biological activity including its
`activity as an immunosuppressant. As Dr. Pantuck explained in Exhibit 10
`at paragraphs 199 to 209, Wasik reports data showing that everolimus
`inhibits the growth of lymphoma in animal models. In view that data, it is
`not surprising that part of Wasik's invention includes the use of everolimus
`and other related compounds for treating lymphoproliferative disorders,
`including lymphomas. But Wasik's invention extends beyond those uses. In
`view of the data I just mentioned, a POSA would have understood that
`Wasik contemplated that everolimus could do much more.
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`Slide 10, please. Slide 10 contains evidence subject to motion
`to exclude, it's Exhibit 1010 at 211 to 216, 244, 246, and 247. On page 17 of
`Wasik's -- Wasik at lines 19 to 26, Wasik contemplates that in another
`embodiment -- that being key language -- another embodiment, everolimus
`can be used to inhibit the establishment of a tumor in a mammal, and Wasik
`does not qualify that that tumor must be a lymphatic tumor or a lymphoma.
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`He goes on to explain that this method involves administering
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`everolimus to a mammal to an amount sufficient to inhibit the establishment
`of a second tumor derived from a first tumor. And it goes on to explain that
`that first tumor can be a tumor of the brain, kidney, liver, breast, and ovary,
`and I highlight kidney. As Dr. Pantuck testified, a person of skill in the art
`would recognize that this portion of Wasik, at page 17 lines 19 to 26,
`discloses the method of using a therapeutically effective amount of
`everolimus for inhibiting the growth of an advanced solid kidney tumor.
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`First, a person of skill in the art would recognize that the first
`kidney tumor is any tumor that originates from the kidney, solid or liquid.
`Wasik does not limit that first tumor to lymphoma or a lymphatic tumor.
`And that is consistent with a POSA's understanding that a tumor could be
`liquid or solid. As Novartis explained in page 5 of its response, tumors are
`classified as either liquid or solid based on the cell type of origin.
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`Second, there's no dispute that establishment of a second tumor
`from a first tumor is indicative of an advanced tumor. The parties agree that
`an advanced tumor refers to a tumor that has spread to adjacent or distant
`tissue. Thus, by stating that everolimus can inhibit the formation of a second
`tumor from a first kidney tumor, Wasik is stating that everolimus can inhibit
`the growth of advanced kidney tumors including advanced solid kidney
`tumors. And, therefore, a person of skill in the art would interpret this
`portion of Wasik, as disclosed, that everolimus can inhibit the growth of
`advanced solid kidney tumors, a method covered by the challenged claims.
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`And there's no statement in Wasik that limits the commonly
`understood meaning of tumor to liquid tumors. And, in fact, subsequent
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`disclosures in Wasik make it even clearer that disclosures on page 17 lines
`19 to 26 are not limited to lymphomas.
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`Slide 12, please. On this slide, on Exhibit 1159, paragraphs 242
`to 243 are subject to the motion to exclude. On this slide we see an excerpt
`that extends from line 26 on page 17 through line 9 on page 18. On page 17,
`at the bottom, Wasik elaborates on other embodiments of the invention.
`And those include inhibiting tumor formation, inhibiting metastasis,
`inhibiting tumor cell growth, inhibiting tumor cell proliferation, induction --
`inhibiting induction, sorry, induction of tumor cell death. And again here
`there is no qualification that the tumor must be lymphoma or a lymphatic
`tumor.
`And then the next paragraph, which extends from page 17 to
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`page 18, Wasik's invention gets even broader. Wasik states that everolimus
`can be used to treat any disorder characterized by supernormal or
`inappropriate cellular proliferation. That does not limit it to lymphoma and
`it's not limited to lymphoproliferative disorders.
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`Slide 13, please. On this slide, Exhibit 1010, at 26, 47, 198,
`and 211, are subject to the motion to exclude as is paragraph 242 of Exhibit
`1159. So there's more evidence that the term "tumor" on page 17 lines 19
`through 26 is not limited to liquid tumors. That is Novartis does not now
`dispute Wasik incorporates by reference Cottens Exhibit 1026 in its entirety.
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`Cottens says that -- excuse me, at page 32 lines 20 to 21 of
`Wasik, Wasik says that all references are incorporated in its entirety. And
`Cottens discloses the use of everolimus for the treatment of proliferative
`disorders, including tumors. And, again, “tumors” is not limited to
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`lymphatic tumors. And, in fact, during prosecution of the 131 patent,
`Novartis admitted that that disclosure in Cottens covers both solid and liquid
`tumors.
`As the Board recognized on page 15 of the Institution decision,
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`that incorporation by reference is important. As Dr. Pantuck testified,
`because Wasik incorporates a subject matter of Cottens, and because Cottens
`contemplates both solid and liquid tumors, a POSA would understand that
`Wasik, likewise, contemplates solid and liquid tumors. And a POSA would
`have understood that the method of treating lymphatic tumors of Wasik may
`be applicable to the treatment of solid tumors.
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`Slide 17, please. Like to briefly address Novartis's arguments
`in response to Petitioner's evidence regarding Ground 1. On Slide 17,
`Exhibits 1147, 1085, and 1159, at paragraph 299 are subject to Novartis's
`motion to exclude.
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`First, Novartis argues that the term tumor in Wasik has a
`narrower meaning as compared to how the term is ordinarily understood in
`the art. Novartis relies heavily on the fact that Wasik is generally directed to
`inhibition or treatment of lymphoproliferative disorders in lymphoma.
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`Can we pull up PX 10 again, please? But as you saw before,
`Wasik is broad enough to cover both solid and liquid tumors on page 17
`lines 19 through 26. Wasik instructed to inhibiting the growth of a second
`tumor that metastasizes from substantially any type of first tumor. That is,
`again, not limited to lymphatic tumors.
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`And if we look at the excerpts of Wasik that Novartis relies
`upon, which talk about using everolimus for treating lymphatic tumors, and
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`compare that to the disclosure on page 17 lines 19 through 26, we see that
`Wasik makes it clear that when he wants to talk about lymphatic tumors, he
`uses the phrase lymphatic tumors. And on page 17 lines 19 to 26, it doesn't
`mention lymphatic tumors. And, in fact, in that paragraph that's highlighted
`here. Lymphatic tumors and lymphoma is not mentioned -- are not
`mentioned at all.
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`Slide 18, please. Slide 18 has the same objections to evidence
`as Slide 17. Novartis argues that tumors must be limited to liquid tumors in
`Wasik because solid tumors and lymphomas respond differently to
`medications. But a POSA would have been aware of drugs that had been
`used to inhibit the growth of both solid and liquid tumors.
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`Slide 20, please. On this slide Exhibit 1085 is subject to
`Novartis's motion. As of February 2001, temsirolimus, an mTOR inhibitor,
`had undergone Phase I evaluation in a number of tumor types, including
`solid kidney tumors, that's RCC, breast tumors, lung tumors, and lymphoma,
`a liquid tumor. And activity wasn't, in fact, reported in almost tumor types.
`And that is reported on page 6683 of Hidalgo Exhibit 1006.
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`Slide 21, please. And Slide 21 is subject to the same objections
`as the -- as Slide 18.
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`I finally want to address Dr. Komanduri's testimony, and that
`was briefly discussed during the prehearing conference. Though it is true
`that Dr. Komanduri has expertise regarding the treatment of lymphoma, but
`he is not an expert in the treatment of solid excretory system tumors, or solid
`kidney tumors. In his residency, his one-year residency in which he had
`some exposure to the treatment of such diseases, does not qualify him to
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`provide an opinion from the vantage of a POSA who has had experience
`dealing with those types of tumors. And he's not qualified to look at Wasik,
`at page 17 lines 19 through 26, and opine from the prospective of a POSA
`whether that disclosure says something about the treatment of solid kidney
`tumors.
`And even if Dr. Komanduri was qualified to do that analysis,
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`his analysis was incomplete. In particular, he did not consider the teachings
`of the Cottens reference, which I referenced before, which is incorporated in
`its entirety into Wasik. And that testimony of his can be found at page 121
`line 23 through page 122 line 25 in Exhibit 1127.
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`And, in fact, in that excerpt, counsel for Novartis objected to
`any questions about Cottens as being outside the scope of Dr. Komanduri's
`report, or declaration. And I would want to note the party's dispute with
`respect to Ground 1 stops at the issue as to whether tumors of the kidney
`include solid kidney tumors.
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`And unless Your Honors have any more questions about
`Ground 1 or Grounds 2 and 3, I'll move on to Ground 4.
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`JUDGE POLLOCK: Please go ahead.
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`MR. COTTLER: Slide 35, please. Let's start with
`temsirolimus. As I mentioned before, temsirolimus was a known mTOR
`inhibitor and it was a promising compound with respect to its anti-cancer
`activity. What we know, and it is not disputed, is that skilled artisans
`noticed that rapamycin, another mTOR inhibitor, had anti-cancer activity in
`pre-clinical models. But because of certain issues, it cannot be given to
`humans. So companies developed analogs of rapamycin, including
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`temsirolimus, as noted in Hidalgo Exhibit 1006 at 6680.
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`temsirolimus was studied in two clinical trials, and the
`preliminary results of those trials was studied in the literature. Hidalgo is a
`review paper and summarizes those results, but more broadly attributes
`temsirolimus's activity to its ability to inhibit mTOR. It also discusses the
`history of the development of rapamycin and its analogs.
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`Slide 36, please. On this slide, Exhibit 1010 at 179 to 185 and
`290 are subject to Novartis's motion. On Slide 36 we see an excerpt from
`page 6680 of Hidalgo. As we see from the title, Hidalgo identifies the
`rapamycin sensitive pathway as a target for cancer therapy, and that pathway
`has been known in the art as the mTOR pathway.
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`Hidalgo notes that the anti-proliferative actions of rapamycin
`are due to its ability to modulate critical signal transduction pathways
`required for the cell cycle to traverse from the G1 to S phases. And this
`page goes on to explain that CCI-779, another name for temsirolimus, is a
`soluble ester analog of rapamycin that was selected for development as an
`anti-cancer agent. And the introduction of Hidalgo concludes that the paper
`summarizes the principle mechanisms of action of rapamycin, specifically
`its effect on the rapamycin-sensitive signal transduction pathways.
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`Slide 37, please. On this slide, Exhibit 1010 at 180 and 183, are
`subject to Novartis's motion. On page 6681, Hidalgo discusses the
`mechanism of action of rapamycin and rapamycin analog. So we can see
`that in the highlighted portion in the top left portion of this slide.
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`And we knew at least two analogs of rapamycin in February
`2001, those were everolimus and temsirolimus. Figure 1 provides a version
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`of the -- a simplified version of the mTOR pathway and shows how the
`mTOR -- how an mTOR inhibitor can block that pathway. And Dr. Pantuck
`walks through those steps in paragraph 183 of Exhibit 1010.
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`And as we can see in the summary of Figure 1 on Slide 37, first
`the rapamycin, or its analog, binds to FKBP-12 and that complex then
`blocks mTOR, and then the blocking of mTOR inhibits two proteins, 480-
`BP1 and p70-S6K. And the inhibition of those two proteins results in a
`decrease in the translation of mRNA of protein essential for cell cycle
`progression from the G1 to S phase.
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`As Dr. Pantuck explained, a POSA would have understood that
`there was a correlation between mTOR inhibition and the anti-tumor action
`of rapamycin and its derivatives, or analogs.
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`Slide 38, please. On this slide paragraphs 188, 284, and 290 of
`Exhibit 1010 are subject to Novartis's motion. On page 6683, Hidalgo
`summarizes the preliminary results from two Phase I trials of temsirolimus.
`Notably, major tumor responses were identified in patients with renal cell
`carcinoma, a solid kidney tumor. And there is no dispute that the patients in
`those trials, in fact, had advanced renal cell carcinoma.
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`The fact that activity was observed would have informed a
`person of skill in the art that therapeutically effective amounts of
`temsirolimus were given in those studies. In fact, Hidalgo concludes in the
`abstract on page 6680 that temsirolimus had impressive anti-tumor activity
`in several types of refractory neoplasms. And, of course, renal cell
`carcinoma is one of those neoplasms.
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`As Dr. Pantuck testified in paragraph 290 of Exhibit 1010,
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`Hidalgo, therefore, teaches a method for inhibiting the growth of advanced
`solid kidney tumors using an effective amount of an mTOR inhibitor
`temsirolimus. And, again, the activity is due to temsirolimus's ability to
`inhibit mTOR.
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`Slide 39, please. On Slide 39 paragraph 172 of Exhibit 1010 is
`subject to Novartis's motion. Slide 39 summarizes the disclosures of
`Alexandre, which is Exhibit 1007. Alexandre, in abstract, provides similar
`teaching as Hidalgo. Is summarizes the preliminary results of one of the two
`Phase I trials mentioned in Hidalgo of temsirolimus.
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`It notes that significant tumor regressions were rapidly
`observed in patients with advanced renal cell carcinoma. Alexandre also
`attributes that activity to the drug's ability to inhibit mTOR, and that is again
`consistent with Hidalgo's teachings. So what we understand from Hidalgo
`and Alexandre is that therapeutically effective amounts of temsirolimus
`inhibit the growth of advanced renal cell carcinoma, a type of kidney tumor,
`and that that activity is associated with the compound's ability to inhibit
`mTOR.
`JUDGE POLLOCK: Mr. Cottler, how much weight should we
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`give to these reports of Phase I studies in terms of the effectiveness of
`mTOR inhibitors improving RCC?
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`MR. COTTLER: I think in the context of these claims and in
`the context of Petitioner's burden of proving obviousness, these trials should
`be given weight and a person of skill in the art would have given them
`weight because the trials report that this drug was active in patients with
`advanced renal cell carcinoma. And, in fact, if we turn to Slide 47 -- for the
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`record, on Slide 47 Exhibits 1081, 1080, and 1131 are subject to Novartis's
`motion -- we see that in five separate conferences investigators reported the
`results of temsirolimus in terms of its activity in Phase I trials, including
`with respect to its activity in inhibiting the growth of advanced renal cell
`carcinoma. That clearly shows that these results were significant to persons
`of skill in the art.
`
`
`Furthermore, the next slide --
`
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`JUDGE POLLOCK: Do these conference reports, do they
`discuss the same results as the papers you were talking about?
`
`
`MR. COTTLER: That is correct, Your Honor. The two Phase I
`trials were reported at several conferences.
`
`
`JUDGE POLLOCK: Thank you.
`
`
`MR. COTTLER: Turn to Slide 48 -- okay, we're there already.
`On Slide 48, Exhibit 1010 at paragraph 116, Exhibit 1159 at 100, and
`Exhibits 1039 and 1081 are subject to Novartis's motion.
`
`
`In addition to being reported at those five conferences, as I
`mentioned, the results of the Phase I trials were also mentioned in Hidalgo,
`which we discussed before, they were mentioned in Exhibit 1081
`Hutchinson, in the journal called The Lancet, in the news article, and they
`were also discussed in a patent application, and that was published as
`Exhibit 1039. And that patent application reported that these results are
`particularly surprising considering that the patients in the studies had
`advanced cancers that were generally refractory to standard treatment and
`also considering that these were Phase I clinical trials in which efficacy is
`often limited, as the primary objective of Phase I trial is to determine the
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`safety and tolerability of the drug being evaluated.
`
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`So the fact that these results were reported in so many different
`references, and the fact that these results were praised as they were,
`demonstrates that a person of skill in the art would have given them
`significant weight.
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`JUDGE HARLOW: Counsel, Patent Owner points out that
`Hidalgo and Alexandre didn't include controls. How do we weigh the strong
`results from those references against the fact that there wasn't a control?
`
`
`MR. COTTLER: That's a good question, Your Honor. So in
`terms of proving that a drug is safe and effective for FDA approval in such --
`in terms of the data that it needs to pass a Phase III trial, yes, a control would
`be important, but these claims do not require FDA approval. They don't
`require it at the same level of efficacy from a Phase III trial that the FDA
`requires to approve a drug. These claims require that the drug everolimus
`inhibit the growth of advanced kidney tumors. And the data from the prior
`art regarding temsirolimus demonstrates that mTOR inhibitors do have
`activity against such tumors.
`
`
`Do Slide 39 again, please. So getting back to temsirolimus, a
`POSA would have noted that temsirolimus, while in development also as an
`oral agent, was being evaluated only as an IV drug. Dr. Pantuck testified at
`paragraph 115 of Exhibit 1010 that oral administration is preferred for
`cancer treatment because of better patient compliance. And that is further
`supported by Demario Exhibit 1084 at 2557.
`
`
`In view of these compliance issues, a person of skill in the art
`would have been motivated to replace temsirolimus with a drug that could
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`be administered orally. And a search of an mTOR inhibitor that could be
`given orally would have led a person of skill in the art to everolimus.
`Everolimus was disclosed a number of patents and scientific references by
`February 2001, including Crowe, Schuler, Neumayer, and Navarro.
`
`
`Slide 40, please. The evidence on Slide 40 subject to Novartis's
`motion is Exhibit 1010 at 295, 296. So Slide 40 has an excerpt from Crowe
`Exhibit 1004. Crowe states that everolimus is an analog of rapamycin and
`shares the same mechanism of action. And if you recall, we talked about
`rapamycin's mechanism of action in Hidalgo 1006.
`
`
`Slide 41, please. So Slide 41 contains excerpts from Schuler
`Exhibit 1008, which is cited in Crowe. And this reference teaches that
`everolimus is a new orally active rapamycin derivative and has been selected
`for development. That is on page 36. Schuler states that like rapamycin,
`everolimus inhibits p70S6K. The fact that a compound inhibits that protein
`is a sign that it also inhibits mTOR as mTOR is upstream of that protein.
`
`
`If you could return to Slide 37. So we see here at the bottom
`left portion of the slide, the Figure 1 from Hidalgo, I'm pointing to p70S6K,
`this is what Schuler reported that everolimus inhibited and we see that
`mTOR is directly upstream of that indicating that everolimus also binds
`mTOR.
`And we understand everolimus combined to mTOR was further
`
`
`confirmed by Sedrani, Exhibit 1020. That reference reported, at page 2193,
`that everolimus bound to FKBP12, and that this complex of FKBP12 to
`everolimus was expected to block mTOR just as rapamycin did.
`
`
`Go back to Slide 41. Moreover, consistent with Hidalgo,
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`Schuler explained that rapamycin acts as a later -- acts at a later stage of a
`cell cycle arresting the cells at the late G1 stage of the cell cycle preventing
`them from entering the S phase. That is explained in paragraph 152 of
`Exhibit 1010 and page 36 of Schuler.
`
`
`In view of these teachings, a person of skill in the art would
`have understood that like rapamycin and temsirolimus, everolimus, a
`rapamycin analog, was an mTOR inhibitor. And that's supported at Petition
`at 22, citing Dr. Pantuck's testimony in Exhibit 1010 at 154 to 156.
`
`
`In fact, we see here on this excerpt from the abstract on Slide 41
`that when administered orally, everolimus has at least the same
`(indiscernible) activity as rapamycin. And that is because, as Schuler
`explains, that everolimus exhibits favorable PK properties when compared
`to rapamycin and that more favorable PK properties promise to provide a
`clinical advantage. And that comes from page 41 of Schuler. And on top of
`all this, everolimus had already been administered to humans.
`
`
`Slide 42, please. On this slide Exhibit 1010 at 164 to 166, 160
`to 170, and 294 are subject to Novartis's motion, and there's a correction for
`the cite to Exhibit 1009 Neumayer on the slide, it should be pages 694 and
`700 not 994 and 700.
`
`
`So on PDX-42 we see an excerpt from Neumayer, 1009. And
`that reports that in Phase I trials of everolimus, which we're evaluating
`everolimus as an immunosuppressant, doses as high as 25 milligrams of
`everolimus were found to be safe. And Neumayer also states at page 694
`that everolimus had a similar mechanism of action as rapamycin and that the
`structural modification made to rapamycin to get everolimus allowed the
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`development of a solid dosage formulation that is more convenient to
`administer than rapamycin. And that's from Petition at 23 to 24 and Dr.
`Pantuck's declaration Exhibit 1010 at 165 to 166.
`
`
`So Neumayer provides teachings consistent with Schuler and
`Crowe, and further teachers that oral doses of everolimus up to 25
`milligrams were safe when given to humans. And we know now that this
`dose range encompasses therapeutically effective amount of everolimus as
`according to the 131 patent Claims 5 through 9.
`
`
`Slide 43, please. From this slide, paragraphs 219 to 222 of
`Exhibit 1010 are subject to Novartis's motion. On Slide 43 we see excerpts
`from Navarro Exhibit 1003. Navarro discloses suitable oral unit dosage
`forms containing 0.1 to 10 milligrams of everolimus for the treatment of
`tumors. And Dr. Pantuck explains in Exhibit 1010 that a POSA would have
`been motivated to combine the temsirolimus literature, and that is Hidalgo
`and Alexandre, with the everolimus literature, that is Crowe, Schuler,
`Neumayer, and Navarro.
`
`
`temsirolimus showed promising activity against advanced renal
`cell carcinoma, and that that activity was correlated with the drug's ability to
`inhibit mTOR. Despite that drugs activity, however, a POSA would have
`been motivated to use an agent that could be given orally, and that agent was
`everolimus. The everolimus art teaches that like rapamycin and
`temsirolimus, everolimus was an mTOR inhibitor. And that art regarding
`everolimus further provides therapeutically effective amounts of everolimus,
`including for the treatment of tumors, as taught in Navarro.
`
`
`And as Dr. Pantuck explains in paragraph 293 of Exhibit 1010,
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`a POSA would have reasonably expected that everolimus would have been
`effective to inhibit the growth of advanced renal cell carcinoma in view of
`temsirolimus's activity in Phase I trials, and the fact that everolimus,
`rapamycin, and temsirolimus were all known to be mTOR inhibitors. And
`that's reported in Petition at page 487. And for these reasons, Your Honors,
`as the challenge claims are obvious in view of Hidalgo, Alexandre, Crowe,
`Schuler, Neumayer and Navarro.
`
`
`If I could briefly address some of Novartis's arguments in
`response to Petitioner's evidence. Go to Slide 46, please. So from 46,
`Exhibit 1010 at 183 to 185 is subject to Novartis's motion. Novartis argues,
`as Judge Harlow mentio