`UNITED STATES PATENT AND TRADEMARK OFFICE
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`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
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`
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`MYLAN PHARMACEUTICALS INC.,
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`Petitioner
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`v.
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`POZEN INC. and HORIZON PHARMA USA, INC.,
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`Patent Owners
`
`
`
`U.S. Patent No. 9,220,698 to Ault et al.
`
`
`Inter Partes Review IPR2017-01995
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`
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`DECLARATION OF DAVID C. METZ, M.D.
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`1
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`MYLAN PHARMS. INC. EXHIBIT 1002 PAGE 1
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`TABLE OF CONTENTS
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`Page
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`I.
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`QUALIFICATIONS AND BACKGROUND ................................................ 4
`A.
`Education and Experience .................................................................... 4
`B. Materials Considered ............................................................................ 7
`C.
`Scope of Work ...................................................................................... 7
`SUMMARY OF OPINIONS .......................................................................... 8
`II.
`III. LEGAL STANDARDS .................................................................................. 9
`IV. PERSON OF ORDINARY SKILL IN THE ART ....................................... 11
`V.
`BACKGROUND ON NSAID-RELATED GASTRIC INJURY ................. 11
`VI. U.S. PATENT NO. 9,220,698 (Ex. 1001) .................................................... 12
`VII. SCOPE AND CONTENT OF THE PRIOR ART REFERENCES ............. 17
`A. U.S. Patent No. 6,926,907 (Ex. 1004) ................................................ 17
`B. U.S. Patent No. 8,557,285 (Ex. 1005) ................................................ 21
`C. Howden 2005 (Ex. 1006) ................................................................... 24
`D.
`EC-Naprosyn Prescribing Information (Ex. 1009) ........................... 25
`E.
`Other Art that Informs Person of Ordinary Skill’s Knowledge ......... 25
`1.
`Zegerid (omeprazole) Powder for Oral Suspension
`Prescribing Information (2004) (Ex. 1010) ............................. 25
`Goldstein (Ex. 1011) ................................................................ 26
`2.
`Hochberg (Ex. 1012) ................................................................ 27
`3.
`VIII. UNPATENTABILITY OF THE ’698 PATENT ......................................... 28
`A.
`Claims 1-7 of the ’698 Patent Are Anticipated or Obvious over
`the ’285 Patent .................................................................................... 28
`1.
`The method of claim 1 is anticipated by or obvious over
`the ’285 patent .......................................................................... 28
`Claim 2 is anticipated by or obvious over the ’285 patent ...... 31
`Claims 3 and 4 are anticipated or obvious over the ’285
`patent ........................................................................................ 32
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`2.
`3.
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`TABLE OF CONTENTS
`(continued)
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`Page
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`4.
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`2.
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`3.
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`4.
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`5.
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`X.
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`Claims 5 and 6 are anticipated or obvious over the ’285
`patent ........................................................................................ 32
`Claim 7 is anticipated or obvious over the ’285 patent ........... 33
`5.
`B. All Claims of the ’698 Patent Are Obvious Over the ’285 patent
`in View of Howden 2005 and EC-Naprosyn ..................................... 34
`1.
`The method of claim 1 is obvious over the ’285 patent in
`view of Howden 2005 and EC-Naprosyn ................................ 34
`Claim 2 is obvious over the ’285 patent in view of
`Howden 2005 and EC-Naprosyn ............................................. 35
`Claims 3 and 4 are obvious over the ’285 patent in view
`of Howden 2005 and EC-Naprosyn ......................................... 36
`Claims 5 and 6 are obvious over the ’285 patent in view
`of Howden 2005 and EC-Naprosyn ......................................... 36
`Claim 7 is obvious over the ’285 patent in view of
`Howden 2005 and EC-Naprosyn ............................................. 36
`IX. NO SUPPOSED SECONDARY CONSIDERATIONS OVERCOME
`THE OBVIOUSNESS ANALYSIS ............................................................. 37
`A.
`The ’698 Patent Does Not Demonstrate Any Unexpected Result ..... 37
`B.
`There Is No Evidence of Industry Skepticism of the ’698 Patent ...... 39
`C.
`The ’698 Patent Has Not Met Any Long-Felt, but Unmet Need ....... 39
`CONCLUSION ............................................................................................. 40
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`1.
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`I, David C. Metz, M.D., have been retained by counsel for Petitioner
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`Mylan Pharmaceuticals Inc. (“Mylan”). I understand that Mylan is petitioning for
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`inter partes review (“IPR”) of U.S. Patent No. 9,220,698 to Ault et al. (“the ’698
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`patent”) (Ex. 1001), which is assigned to Pozen Inc. and Horizon Pharma USA,
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`Inc. (“Patent Owners”), to request that the United States Patent and Trademark
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`Office cancel certain claims of the ’698 patent as unpatentable. I submit this
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`expert declaration in support of Mylan’s IPR petition for the ’698 patent.
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`I.
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`QUALIFICATIONS AND BACKGROUND
`A. Education and Experience
`I am Professor of Medicine in the Department of Medicine at the
`2.
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`University of Pennsylvania, Philadelphia, Pennsylvania. I am also Associate Chief
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`for Clinical Affairs in the Division of Gastroenterology, Director of the Acid
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`Peptic Disorders Program, Co-Director of the Gastrointestinal (GI) Physiology
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`Lab, Co-Director of the Penn Program for Swallowing Disorders, and Co-Director
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`of the Penn Neuroendocrine Tumor Program.
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`3.
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`I have been practicing medicine in the field of gastroenterology for
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`over 30 years with a special emphasis on upper gastrointestinal (GI) tract disease
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`states. I am board certified in gastroenterology and in internal medicine, and listed
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`in Best Doctors in America (Northeast Region). The majority of my clinical
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`activity revolves around the treatment of patients with acid-peptic conditions, and I
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`have conducted many research protocols involving Proton Pump Inhibitors (PPIs).
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`As part of my medical practice, I have thousands of patients under my care.
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`4.
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`I received a Bachelor of Medicine and Bachelor of Surgery from the
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`University of the Witwatersrand Medical School, in Johannesburg, South Africa, in
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`1982. A Bachelor of Medicine and Bachelor of Surgery is the South African
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`equivalent of a doctor of medicine degree in the United States. In 1983, I interned
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`at the Johannesburg General Hospital in General Medicine and General Surgery.
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`From 1984 to 1985, I was in private practice, first in South Africa, and later in
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`London, England.
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`5.
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`From 1986 to 1988, I did an internship and residency in internal
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`medicine at the Albert Einstein Medical Center, Philadelphia, Pennsylvania. From
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`1989 to 1991, I completed a fellowship in gastroenterology in a combined program
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`with Georgetown University, the Washington Veteran’s Affairs Medical Center,
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`and the National Institutes of Health. From 1991 to 1993, I was a senior staff
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`fellow in the Digestive Diseases Branch of the National Institutes of Health,
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`Bethesda, Maryland, where I studied Zollinger-Ellison Syndrome, the prototypical
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`acid hypersecretory condition, the management of which requires, amongst other
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`interventions, therapy with PPIs.
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`6.
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`In 1993, I became an Assistant Professor of Medicine in the
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`Department of Medicine at the University of Pennsylvania, Philadelphia,
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`Pennsylvania. In 1998, I was promoted to Associate Professor of Medicine. In
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`2003, I became Professor of Medicine, a position I continue to hold today.
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`7.
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`In addition to the hospital and administrative appointments noted
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`above, I am also currently Lead Physician for the GI division at the Hospital of the
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`University of Pennsylvania, and have clinical privileges in the Division of
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`Gastroenterology, at Penn Medicine at Radnor, Radnor, Pennsylvania, and
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`Presbyterian Hospital, Philadelphia, Pennsylvania.
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`8.
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`From 2001 to 2005, I served on the FDA advisory board for
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`gastroenterology, where my duties included participating in advisory meetings that
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`are open to the public for matters pertaining to FDA approval of new drugs,
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`including PPIs.
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`9.
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`I hold numerous professional society memberships. These include the
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`American Gastroenterological Association (AGA), in which I have held many
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`leadership positions; the American College of Gastroenterology; and the North
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`American Neuroendocrine Tumor Society, in which I am a member of the Board
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`of Directors. I previously represented the AGA on the American Board of Internal
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`Medicine Liaison Committee on Recertification.
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`10.
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`I have held several editorial positions for peer-reviewed medical
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`journals, including Gastroenterology and the American Journal of
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`Gastroenterology. I also serve as a reviewer for several medical journals. I have
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`lectured by invitation over 400 times, and have published over 100 scientific
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`articles in peer-reviewed journals, and over 100 abstracts. I lecture annually to the
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`second year students at the Perelman School of Medicine at the University of
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`Pennsylvania on the pathophysiology of the stomach. I also lecture annually on
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`the physiology and pathophysiology of gastroduodenal diseases and upper GI
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`bleeding at the premier board review course for Gastroenterology in Washington,
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`D.C.
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`11. A copy of my curriculum vitae, which lists my publications and
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`describes my qualifications in detail is Exhibit A, attached hereto.
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`B. Materials Considered
`In forming my opinions set forth in this declaration, I considered and
`12.
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`relied upon my education, background, and years of experience in the practice of
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`medicine in the field of gastroenterology, including treating many patients and
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`conducting numerous clinical trials, as well as the materials listed on Exhibit B, or
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`identified in this declaration, and cited herein.
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`C.
`13.
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`Scope of Work
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`I have been retained by counsel for Mylan in connection with this
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`matter. I am being compensated for my consulting work at the rate of $700 per
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`hour. My compensation in this case is in no way dependent on the outcome of the
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`case.
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`II.
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`SUMMARY OF OPINIONS
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`14.
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`It is my opinion that the person of ordinary skill in the art would have
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`been motivated to administer a combination dosage form containing the NSAID
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`naproxen and the PPI esomeprazole, prior to the earliest patent application filing
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`date to which the ’698 patent claims priority, September 9, 2008, that results in the
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`pharmacokinetic and pharmacodynamic (or “PK / PD”) values recited in the
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`claims. The person having ordinary skill in the art would have known that the
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`combination of naproxen and esomeprazole at the claimed dosages had been
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`patented in the same multilayer structure as the dosage form described and claimed
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`in the ’698 patent.
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`15. To the extent the Patent Owners argue that the precise PK / PD values
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`in the claims were not known prior to the ’698 patent was filed, it is my
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`understanding that Mylan’s expert on PK / PD, Dr. Michael Mayersohn, explains
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`in his declaration supporting Mylan’s petition (Ex. 1003), that a person having
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`ordinary skill in the art would have been motivated to target the claimed PK / PD
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`values recited in the claims because these values were known to be in the effective
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`range. Dr. Mayersohn also explains that the person having ordinary skill would
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`have had a reasonable expectation of success because it would have been routine to
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`make and test the prior art formulation at the claimed dosages of 500 mg naproxen
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`and 20 mg esomeprazole because the prior art formulation is already claimed for
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`these dosages. See Ex. 1003. Therefore, the method of administration recited in
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`the claims is anticipated or obvious over the prior art to the person having ordinary
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`skill.
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`16.
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`It is also my opinion that there is no evidence of unexpected results or
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`industry skepticism for the claimed method of administration because the
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`formulation that results in the claimed pharmacokinetic and pharmacodynamic
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`values, and a method for administering it were already patented. And even if the
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`Patent Owners could establish that a long-felt, unmet need has been met, that need
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`would have been met by the prior art patents on the same drug.
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`III. LEGAL STANDARDS
`17. Counsel has informed me of certain legal principles to guide me in my
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`analysis. Counsel has informed me that Mylan carries the burden of proving
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`unpatentability by a preponderance of the evidence, and that this means Mylan
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`must show that unpatentability is more probable than not.
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`18. Counsel has informed me that the question of whether the claims of a
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`patent are anticipated or obvious is to be considered from the perspective of the
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`person of ordinary skill in the art. Whether an invention would have been
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`anticipated or obvious is ascertained at the time the invention was made.
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`19. Counsel has informed me that an obviousness analysis involves
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`ascertaining the scope and content of the prior art, the level of the person of
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`ordinary skill in the pertinent art, the differences between the claimed invention
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`and the prior art and whether there are additional factors present that may
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`nevertheless weigh against obviousness such as unexpected results attributable to
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`the invention or whether the invention has met a long-felt, but unmet need.
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`20. Counsel has informed me that under the existing law an invention
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`may be found obvious:
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`When there is a design need or market pressure to solve a problem
`and there are a finite number of identified, predictable solutions, a
`person of ordinary skill has good reason to pursue the known options
`within his or her technical grasp. If this leads to the anticipated
`success, it is likely the product not of innovation but of ordinary skill
`and common sense. In that instance the fact that a combination was
`obvious to try might show that it was obvious under § 103.
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`21. Counsel has informed me that a prior art reference may anticipate a
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`claimed invention if the prior art reference discloses each of the claim elements
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`either expressly or inherently. A claim element is inherent in the anticipating
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`reference if that element, or characteristic, is the natural result that flows from the
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`reference’s explicit limitations.
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`22. Counsel has also informed me that when a composition is claimed in
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`terms of its function, property, or characteristics that it possesses, and that
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`composition is in the prior art, that the claimed invention may be anticipated or
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`obvious in view of the prior art reference.
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`IV. PERSON OF ORDINARY SKILL IN THE ART
`23. The field of art here involves the knowledge of a medical doctor and
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`that of a pharmacologist or pharmacokineticist with experience in dosage form
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`design and evaluation. Thus, the hypothetical person of ordinary skill in the art is a
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`collaboration between a pharmacologist or pharmacokineticist having a Ph.D.
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`degree or equivalent training, or a M.S. degree with at least 2 years of some
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`experience in dosage form design and in in vitro and in vivo evaluation of dosage
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`form performance, and a medical doctor having at least 2 years of practical
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`experience treating patients in the gastroenterology field.
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`24. For the purposes of this report, I will be offering my opinion from the
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`perspective of the physician described above as of September 9, 2008, i.e., a
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`medical doctor in the field of gastroenterology with at least 2 years of experience
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`treating patients.
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`V. BACKGROUND ON NSAID-RELATED GASTRIC INJURY
`25. Non-steroidal anti-inflammatory drugs, commonly referred to as
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`“NSAIDs,” are a class of drugs used to treat pain and inflammation, including pain
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`and inflammation associated with arthritis. The class includes aspirin, naproxen,
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`ibuprofen, and diclofenac. NSAIDs are among the most commonly prescribed
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`medications in the world and have been in use for a long time. Naproxen was first
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`approved by the FDA in 1976 under the trade name Naprosyn. Ex 1020, 1.
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`26. NSAIDs can cause a variety of side effects that vary in severity.
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`Chronic use of NSAIDs to treat chronic conditions such as arthritis can increase
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`the risk of more serious gastric (stomach) injury, such as stomach erosions and
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`ulcers, and more serious complications such as bleeding, perforation, or
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`obstruction that can lead to hospitalization or death. These NSAID-induced side
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`effects are commonly called NSAID-related injury or gastropathy.
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`27. Long-term NSAID use may cause systemic injury by reducing the
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`amount of prostaglandin in a patient’s body, which is a chemical required for
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`proper maintenance of the stomach’s protective mucosal layer. This reduction
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`decreases the stomach’s protective layer and increases the risk of gastric injury.
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`This injury can be reduced by controlling acid in the stomach through concomitant
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`administration of a prophylactic acid inhibitor with the NSAID.
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`VI. U.S. PATENT NO. 9,220,698 (Ex. 1001)
`I have read U.S. Patent No. 9,220,698 (“the ’698 patent”), entitled
`28.
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`“Method for Delivering a Pharmaceutical Composition to Patient in Need
`
`Thereof.” The ’698 patent was filed on September 3, 2009, and claims priority to
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`provisional application no. 61/095,584, filed on September 9, 2008. The inventors
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`are listed as: Brian Ault, Mark Sostek, Everardus Orlemans, and John Plachetka.
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`29. The ’698 patent “is directed to a method for delivering a
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`pharmaceutical composition to a patient in need thereof, comprising:
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`administering to said patient a pharmaceutical composition in unit dose form
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`comprising naproxen . . . and esomeprazole.” Ex. 1001, 1:13-17.
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`30. The ’698 patent explains that “[o]ver 15 million Americans take
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`nonsteroidal anti-inflammatory drugs (NSAIDs) each day as a treatment for pain or
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`inflammation,” and that “NSAIDs are associated with a high incidence of
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`gastrointestinal complications, including gastritis, dyspepsia, gastroduodenal
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`ulcers, perforations, and bleeding.” Id. at 1:19-24.
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`31. The ’698 patent also explains that proton pump inhibitors (“PPI”),
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`such as esomeprazole, are effective at improving NSAID tolerability, and work by
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`inhibiting stomach acid secretion. Id. at 1:27-37. Cited as one example is the prior
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`art U.S. Patent No. 6,926,907 (discussed in detail below), which “is directed to [a]
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`dosage form comprising a [PPI and] . . . an NSAID,” and “can be effective in
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`improving NSAID tolerability through dosages of esomeprazole and naproxen that
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`produce the desired pharmacodynamic response and pharmacokinetic values.” Id.
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`32. According to the ’698 patent, “[t]here is a need for a clinically
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`effective therapy that delivers to a patient in need thereof . . . esomeprazole . . . for
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`a duration sufficient to achieve an intragastric pH of about 4 or greater and a
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`plasma level of naproxen that is efficacious.” Id. at 1:42-48.
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`33. The ’698 patent describes a series of embodiments in the form of
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`pharmacokinetic and pharmacodynamic values that result from administering a
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`unit dose form (i.e., a single tablet) containing naproxen and esomeprazole in the
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`AM and PM. Id. at 6:46-24:20.
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`34. The ’698 patent contains two examples. Example 1 describes a 9-day
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`study of “twice daily oral administration of three PN400 formulations (enteric
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`coated naproxen 500 mg combined with non-enteric coated esomeprazole 10, 20,
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`or 30 mg) versus the effect of twice daily oral administration of a separate 500 mg
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`non-enteric coated naproxen tablet and once daily oral administration of a separate
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`EC[, i.e., enteric coated,] esomeprazole (20 mg) capsule (Nexium® 20 mg
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`capsule).” Id. at 24:43-53. The study measured 24-hour intragastric pH and
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`certain pharmacokinetic parameters.
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`35. The ’698 patent states that “[t]he PN400 tablet is a multilayer tablet
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`comprising an inner core of naproxen surrounded by a first layer comprising an
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`enteric coating and a second layer comprising non-enteric coated esomeprazole.”
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`Id. at 24:56-59.
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`36. Example 2 describes a study that evaluated PN400 (delayed-release
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`500 mg/immediate release esomeprazole 20 mg) tablet to administrations of EC
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`naproxen (EC Naprosyn®) plus EC esomeprazole (Nexium®), or EC naproxen
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`alone, or EC esomeprazole alone. Id. at 46:26-33.
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`37. The ’698 patent contains seven (7) claims. Claim 1 is representative
`
`and recites:1
`
`1. A method for treating osteoarthritis, rheumatoid
`arthritis, or ankylosing spondylitis comprising orally
`administering to a patient in need thereof an AM unit
`dose form and, 10 hours (±20%) later, a PM unit dose
`form, wherein:
`
`the AM and PM unit dose forms each comprises:
`naproxen, or a pharmaceutically acceptable salt thereof,
`in an amount to provide 500 mg of naproxen, and
`
`esomeprazole, or a pharmaceutically acceptable salt
`thereof, in an amount to provide 20 mg of esomeprazole;
`
`said esomeprazole, or pharmaceutically acceptable salt
`thereof, is released from said AM and PM unit dose
`forms at a pH of 0 or greater,
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`the AM and PM unit dose forms target:
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`i) a pharmacokinetic (pk) profile for naproxen where:
`
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`1 The ’698 patent contains a certificate of correction. The claim recitation above
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`contains the corrections that appear on the certificate.
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`a) for the AM dose of naproxen, the mean Cmax is 86.2
`μg/mL (±20%) and the median Tmax is 3.0 hours
`(±20%); and
`b) for the PM dose of naproxen, the mean Cmax is 76.8
`μg/mL (±20%) and the median Tmax is 10 hours
`(±20%); and
`
`
`ii) a pharmacokinetic (pk) profile for esomeprazole
`where:
`a) for the AM dose of esomeprazole, the mean area
`under the plasma concentration-time curve from
`when the AM dose is administered to 10 hours
`(±20%) after the AM dose is administered (AUC0-
`10,am) is 1216 hr*ng/mL (±20%),
`b) for the PM dose of esomeprazole, the mean area
`under the plasma concentration-time curve from
`when the PM dose is administered to 14 hours
`(±20%) after the PM dose is administered (AUC0-
`14,pm) is 919 hr*ng/mL (±20%), and
`c) the total mean area under the plasma concentration-
`time curve for esomeprazole from when the AM
`dose is administered to 24 hours (±20%) after the
`AM dose is administered (AUC0-24) is 2000 hr*ng/
`mL (±20%); and
`
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`the AM and PM unit dose forms further target a mean %
`time at which intragastric pH remains at about 4.0 or
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`EXHIBIT 1002 – DECLARATION OF DAVID C. METZ, M.D.
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`greater for about a 24 hour period after reaching steady
`state that is at least about 60%.
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`
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`38. Claims 2-7 recite additional elements that relate to the intragastric pH
`
`levels, the length of administration of the dosage forms, structural aspects of the
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`dosage form, and chemical makeup of the tablet.
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`VII. SCOPE AND CONTENT OF THE PRIOR ART REFERENCES
`A. U.S. Patent No. 6,926,907 (Ex. 1004)
`39. U.S. Patent No. 6,926,907 (“the ’907 patent,” Ex. 1004) issued on
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`August 9, 2005, from application no. 10/158,216, that was filed on May 31, 2002.
`
`The ’907 patent claims priority to a provisional application filed on June 1, 2001.
`
`Ex. 1004, cover page. John Plachetka is listed as the inventor.
`
`40. The ’907 patent concerns treatments for the risks of gastrointestinal
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`ulcers and bleeding associated with long-term treatment with NSAIDs. Id. at 1:22-
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`40. The ’907 patent specification also recognizes that the problem of NSAID-
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`induced gastropathy (such as the development of gastroduodenal ulcers and other
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`gastric injury) was well known in the art. Id. at 1:22-40.
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`41. The ’907 patent notes that “more potent and longer lasting inhibitors,
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`such as proton pump inhibitors, are thought to be more protective during chronic
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`administration of NSAIDs than shorter acting agents” because gastric acidity was
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`known to play such a significant role in the development of gastroduodenal lesions.
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`Id. at 1:41-44, 1:26-34 (citing studies of effective treatment with acid inhibitors).
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`42. The ’907 patent goes on to note that it would have been well known to
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`the person of ordinary skill in the art, prior to the claimed priority date of June 1,
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`2001, that unit dosage forms combining NSAIDs and PPIs were present in the art
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`and were effective at reducing NSAID-induced gastropathy, even in the absence of
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`coordinated release:
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`Recognizing the potential benefits of PPIs for the prevention of
`NSAID-induced gastroduodenal damage, others have disclosed
`strategies for combining the two active agents for therapeutic
`purposes.
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`Id. at 2:21-24 (emphasis added).
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`43. According to the ’907 patent applicant, however, the earlier-patented
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`formulations had two drawbacks: (1) no coordinated release; and (2) no reduction
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`in gastric acid levels before release of the NSAID:
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`However, these suggestions do not provide for coordinated release or
`for reducing intragastric acid levels to a non-toxic level prior to the
`release of NSAID (U.S. Pat. Nos. 5,204,118; 5,417,980; 5,466,436;
`5,037,815).
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`Id. at 2:24-28.
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`44. According to the Detailed Description of the Invention in the ’907
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`patent, the “present invention is based upon the discovery of improved
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`pharmaceutical compositions for administering NSAIDs to patients.” Id. at 5:12-
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`14. The “compositions include acid inhibitors that are capable of raising the pH of
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`the GI tract . . . and provide for the coordinated release of therapeutic agents, i.e.,
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`for the sequential release of acid inhibitor followed by [NSAID].” Id. at 5:15-19;
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`see also, e.g., id. at Abstract, 1:11-18, 4:47-51.
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`45. Regarding the mechanism for formulating the claimed dosage forms,
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`the ’907 patent concedes that “[m]ethods for making appropriate formulations are
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`well known in the art.” Id. at 5:40-43 (citing a leading treatise, Remington’s
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`Pharmaceutical Sciences (16th ed. 1980)).
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`46. Figure 2 of the ’907 patent depicts a schematic example of the
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`claimed composition:
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`47.
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`“FIG. 2 illustrates a three layer dosage form. An acid inhibitor . . . is
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`released immediately after ingestion by a patient in order to raise the pH of the
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`[GI] tract to above a specific pH, e.g., above 4. The innermost layer contains
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`naproxen. Thus, the dosage form has a naproxen core, an enteric film coat and an
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`acid inhibitor film coat.” Id. at 5:1-7.
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`48. The ’907 patent also teaches the administration of the disclosed
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`formulation to patients. In particular, the specification describes “administering
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`[the] coordinated release . . . dosage form to achieve pain and symptom relief with
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`a reduced risk of developing gastrointestinal damage . . . .” Id. at Abstract; see
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`also, e.g., id. at 1:11-18, 3:5-7, 3:14-17, 4:18-20, 4:28-31, 4:53-60, claims 51 & 52.
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`49. Claim 1 of the ’907 patent recites:
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`1. A pharmaceutical composition in unit dosage form
`suitable for oral administration to a patient, comprising:
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`(a) an acid inhibitor present in an amount effective to
`raise the gastric pH of said patient to at least 3.5 upon the
`administration of one or more of said unit dosage forms;
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`(b) a nonsteroidal anti-inflammatory drug (NSAID) in an
`amount effective to reduce or eliminate pain or
`inflammation in said patient upon administration of one
`or more of said unit dosage forms; and
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`wherein said unit dosage form provides for coordinated
`release such that:
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`i) said NSAID is surrounded by a coating that, upon
`ingestion of said unit dosage form by said patient,
`prevents the release of essentially any NSAID from said
`dosage form unless the pH of the surrounding medium is
`3.5 or higher;
`
`ii) at least a portion of said acid inhibitor is not
`surrounded by an enteric coating and, upon ingestion of
`said unit dosage form by said patient, is released
`regardless of whether the pH of the surrounding medium
`is below 3.5 or above 3.5.
`
`
`
`
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`50. Claim 5 recites:
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`5. The pharmaceutical composition of claim 1, wherein
`said acid inhibitor is a proton pump inhibitor selected
`from the group consisting of: omeprazole, esomeprazole,
`lansoprazole, pantoprazole and rabeprazole.
`
`B. U.S. Patent No. 8,557,285 (Ex. 1005)
`51. U.S. Patent No. 8,557,285 (“the ’285 patent,” Ex. 1005) issued on
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`October 15, 2013, from application no. 13/215,855, filed on August 23, 2011. The
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`’285 patent claims priority to the same provisional application as the ’907 patent.
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`Ex. 1005, cover page. Like the ’907 patent, John Plachetka is the only named
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`inventor.
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`52. My review of the ’285 patent indicates that the specification of the
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`’285 patent is nearly identical to the specification of the ’907 patent. Because the
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`same language appears in the specification of the ’285 patent that is discussed
`
`above with respect to the ’907 patent (with some variation in the column and line
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`numbers), that discussion will not be repeated here. Suffice it to say that the ’285
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`patent discloses the same pharmaceutical composition and methods of treatment
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`disclosed in the ’907 patent. See, e.g., Ex. 1005, 6:16-18 (“The present invention
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`is based upon the discovery of improved pharmaceutical compositions for
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`administering NSAIDs to patients.”); id. at 6:18-23 (“In addition to containing one
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`or more NSAIDs, the compositions include acid inhibitors that are capable of
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`raising the pH of the GI tract . . . and provide for the coordinated release of
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`therapeutic agents, i.e., for the sequential release of acid inhibitor followed by
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`[NSAID].”); id. at 6:44-45 (“Methods for making appropriate formulations are
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`well known in the art.”); id. at Fig. 2; id. at 6:5-10 (“FIG. 2 illustrates a three layer
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`dosage form. An acid inhibitor . . . is released immediately after ingestion by a
`
`patient in order to raise the pH of the [GI] tract to above a specific pH, e.g., above
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`4. The innermost layer contains naproxen. Thus, the dosage form has a naproxen
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`core, an enteric film coat and an acid inhibitor film coat.”); id. at Abstract
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`(describing “administering [the] coordinated release . . . dosage form to achieve
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`pain and symptom relief with a reduced risk of developing gastrointestinal damage
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`. . . .”); id.at 3:14-20.
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`53. The ’285 patent contains four (4) claims.
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`54. Claim 1 recites:
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`1. A pharmaceutical composition in unit dosage form
`comprising therapeutically effective amounts of:
`(a) esomeprazole, wherein at least a portion of said
`esomeprazole is not surrounded by an enteric coating;
`and
`(b) naproxen surrounded by a coating that inhibits its
`release from said unit dosage form unless said dosage
`form is in a medium with a