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`BEFORE THE PA TENT TRIAL AND APPEAL BOARD
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`WATSON LABO RA TORIES, INC.
`Petitioner
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`V.
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`UNITED THERAPEUTICS CORP.
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`Patent Owner
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`Cases1 IPR.2017-01621;
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`Patent 9,358,240
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`IPR 2017-01622; Patent 9,339,507
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`SECOND DECLARATION OF DR. WERNER SEEGER
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`1 The word-for-word identical paper is filed in each proceeding identified in the
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`heading.
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`UNITED THERAPEUTICS, EX. 2098
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`WATSON LABORATORIES v. UNITED THERAPEUTICS, IPR2017-01621
`Page 1 of 11
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`IPR2021-00406
`United Therapeutics EX2071
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`}PR2017-01621; IPR2017-01622
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`Declaration of Dr. Werner Seeger
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`I, Dr. Werner Seeger, hereby declare as follows:
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`1.
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`I am a named inventor of U.S. Patent No. 9,358,240 (“the ’240
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`patent”) and U.S. Patent No. 9,399,507 (“the ’507 patent”), which are based upon
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`U.S. provisional patent application No. 60/800,016 filed May 15, 2006 (“our patent
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`application”) (Ex. 2034). I amthe director of University of Giessen and Marburg
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`Lung Center (““UGMLC”), a research center at the University Hospital Giessen
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`studying pulmonary hypertension.
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`2.
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`Lama paid consultant for United Therapeutics Corporation in
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`connection with IPR2017-01621 and IPR2017-01622. My compensation does not
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`depend on the content of this declaration, the substance of any other testimonythat
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`I may offer in connection with this proceeding, or the disposition ofthis
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`proceeding.
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`3.
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`[am aco-author of the German languagearticle: Hossein Ardeschi
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`Ghofranie7 al. “Neue Therapieoptionen in der Behandlung der pulmonalarteriellen
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`Hypertonie,”” Herz, 30, 4 (June 2005): 296-302 (“the Ghofraniarticle”) (Ex.
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`2103). I understand that Watson Laboratories, Inc. (“Watson”) submitted an
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`* Thetitle is translated as “New therapies in the treatment ofpulmonary
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`hypertension” in Exhibit 1005.
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`IPR2017-01621; IPR2017-01622
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`Declaration of Dr. Werner Seeger
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`English language translation of the Ghofraniarticle in this proceeding as Exhibit
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`1005, which I have reviewed along with the original German article (Ex. 2103).
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`4.
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`As stated in my previous declaration (Ex. 2020), the Ghofraniarticle
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`was an overview review article, drafted under my direction and control by
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`members of myresearch center at University Hospital Giessen. The intent of the
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`article was to compile and review information regarding treatment of pulmonary
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`hypertension, not to communicate primary data or to teach any specific therapeutic
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`regimen.
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`5.
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`As detailed in my previous declaration, Dr. Voswinckel and I
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`contributed the following inhaled treprostinil section of the Ghofrani article:
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`Initial trials in Giessen have shown proofofefficacy of inhaled
`treprostinil for the effective reduction of the pulmonary vascular
`resistance (PVR)[6]. In this first study, 17 patients with severe pre-
`capillary pulmonary hypertension were administered inhaled
`treprostinil (15 mcg/inhalation). This led to a major reduction in
`pulmonaryselective pressure and resistance with an overall duration
`of action of > 180 min.In direct comparison with inhaled iloprost,
`inhaled treprostinil showed a stronger pulmonary selectivity, so thatit
`is possible to increase the dosage to up to 90 mcg (absolute inhaled
`dose per inhalation exercise) without adverse effects occurring [6].
`Due to these unique properties (pronounced pulmonary selectivity and
`long duration of action after an individual inhalation), it is possible to
`reduce the numberinhalations necessary to up to four per day; the
`inhalation period can be reduced to < | min. by selecting a suitable
`device. Additionally, the initial data showsthatit is technically
`feasible for there to be only one to two breaths in an application.
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`(Ex. 1005, p. 3). Although the information in this excerpt for the article was
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`compiled and composed by Dr. Voswinckel and myself, the individuals who
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`Declaration of Dr. Werner Seeger
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`designed the underlying clinical studies with inhaled treprostinil are the same as
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`the oneslisted as inventors on the patents, as explained in more detail below. We
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`of course performed the studies discussed in the Ghofraniarticle, wrote the excerpt
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`quoted above, and submitted it for publication before it was published in June 2005
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`based upon our work together designing the clinical study.
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`6.
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`Regarding dosage of inhaled treprostinil, the above excerpt from the
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`Ghofrani review article notes that patients were “administered inhaled treprostinil
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`(15 meg/inhalation).” The word “inhalation” in that sentence (in both German and
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`English) does not mean “breath,” but rather, refers to an inhalation event. This is
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`clear under ourtypical use of that terminology and because the above excerptis
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`citing the reference of endnote “[6]” for support, which used an inhalation period
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`of six minutes (reference [6] of Ex. 1005 is Ex. 1046, and p. 5 of Ex. 1046 states
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`that “6 min” was used). An inhalation event of six minutes indicates that a
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`continuous nebulizer was being used (without pulsing or an opto-acoustical
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`trigger), as in the first two studies using Optineb discussed below.
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`7.
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`Although Ghofranistates that treprostinil showed a strong pulmonary
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`selectivity “so that it is possible to increase the dosage to up to 90 meg (absolute
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`inhaled dose per inhalation exercise),”it does not report that this dosage was
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`applied in human pulmonary hypertension patients, which is evident from
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`reviewing the cited reference, “[6]” (Ex. 1046), in which this this dosage is not
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`reported. Rather, the Ghofrani review article states only that it “is possible”
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`(“méglichist” in Ex. 2103). This statement was intended to convey the ideathatit
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`maybepossible to increase the dosageto that level, not that the referenced study
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`actually performedthat particular test. Similarly, the Ghofrani review article states
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`that due to certain unique properties of treprostinil, “it is possible [“ist es méglich”
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`in Ex. 2103] to reduce the number[of] inhalations necessary to up to four per day”
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`and that the inhalation period “can be” reduced [“lasst sich bei” in Ex. 2103] to < 1
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`min. and thatit “is technically feasible [“technisch realisierbar sein wird” in Ex.
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`2103] for there to [sic] only one to two breaths in an application.” These
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`statements of possibilities do not report any conclusion of studies performed,
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`whichis evident from reviewing the cited reference, in which 6 min inhalation
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`time was reported “[6]” (Ex. 1046), but rather, suggest only future paths for
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`clinical studies.
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`8.
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`In sum, the Ghofrani review article does not explain or teach any
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`particular therapeutic regimen or necessary parameters. It merely provides a high-
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`level overview ofearly investigations into inhaled treprostinil and some
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`speculation for additional research. Similarly, the two Voswinckel references
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`provided by Watson as Ex. 1003 and 1046, both of which are abstracts and not
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`primary study reports, report only select and incomplete information of different
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`studies. Although the specific parameters used and particulars ofthe studies
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`Declaration of Dr. Werner Seeger
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`performed by my groupare not fully reported, any study that formed the basis of
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`our discussion ofinhaled treprostinil in these three references (Ex. 1005, 1003, and
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`1046) was performed by me in conjunction with my ongoing collaboration with
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`Drs. Voswinckel, Olschewski, Rubin, Schmehl, Sterritt, and Roscigno. Indeed in
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`both Voswinckel abstracts at Ex. 1003 and Ex. 1046 wenote that the study was
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`“supported by Lung Rx.” In particular, as to any of these relevant inhalation
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`studies with inhaled treprostinil, Drs. Voswinckel, Olschewski, Rubin, Schmehl,
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`Sterritt, Roscigno, and I determined the dosage amounts of administered inhaled
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`treprostinil to give to patients, determined the inhalation time and/or number of
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`breaths employed, determined what equipment and administration devices and
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`methods to use, and identified the spacing between inhalation events, as well as
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`analyzed the hemodynamic and pharmacokinetic effects over time. The other
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`authors listed in the Ghofrani review article — Drs. Ghofrani, Reichenberger, and
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`Grimminger — did not participate in the design of any ofthe studies, did not select
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`the dosing regimen, and did not conduct analysis of patient results discussed in the
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`Ghofrani review article or the two Voswinckelabstracts.
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`9.
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`Drs. Ghofrani, Reichenberger, and Grimminger were named as co-authors
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`because it was and continues to be the practice of our group, as an academic and
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`research group, to include as co-authorsall individuals working in our group that
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`run the center, assist with trials, and engage in clinical routine management and
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`administration, even when that group is broader than the individuals actually
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`involved in inventing methods or devices and designingthe trials. More
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`specifically, even though Ghofrani, Reichenberger, and Grimmingerdid not design
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`the inhaled treprostinil clinical trials, they did perform support work including help
`with identifying potentially eligible patients out ofthe group ofpatients in our
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`pulmonary hypertension clinic. Because patients with severe pulmonary
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`hypertension have multiple needs beyondtheir participation in clinical trials, such
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`as treatments involving their background medications(e.g. diuretics, anti-
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`coagulation, other pulmonary hypertension targeted co-medications, antibiotics,
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`etc.); and support for some general needs(e.g. administrative matters with
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`insurance or helping with other family members,etc.), they also carried out this
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`type of work. In still other cases, patients who discontinuedclinical trials, require
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`immediate transitioning back to their normal clinical care again, which wasalso
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`part of their responsibilities.
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`10.
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`Dr. Voswinckel and my collaboration with Drs. Rubin and
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`Olschewski and Lung Rx began in 2003. On September 30, 2003, I entered into a
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`Services Agreement (Ex. 2101) with Lung Rx, Inc. under which I served as co-
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`chair with Dr. Lewis Rubin for the development program for treprostinil
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`inhalation. As reflected in the Services Agreementitself, work included
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`developing the outline and timeline for the development program,and also
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`Declaration of Dr. Werner Seeger
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`designing the pilot and pivotal trials. Jd. I worked directly with Drs. Rubin,
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`Voswinckel, Olschewski, Schmehl, Roscigno, and Sterritt on this collaboration,
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`which resulted in the three clinical studies mentioned below that becamethe basis
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`of our patent application leading to the °240 and °507 patents.
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`11.
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`In particular, I recall a meeting in New York in 2003, Oct 22"which
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`included me, Dr. Rubin, and Dr. Olschewski, as well as participants from United
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`Therapeutics, and together we discussed the design ofclinicaltrials with inhaled
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`treprostinil to treat pulmonary hypertension patients. A copy of the agenda from
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`this meeting, which describes a detailed work plan,is attached. Ex. 2102. Certain
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`action items indicated in this agenda involved me or my co-inventors as reflected
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`by ourinitials (“LR” is Lewis Rubin, “WS”are myinitials, “HO”is Horst-
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`Olschewski, “RR” is Robert Roscigno, and “CS”is Carl Sterritt).
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`12.
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`Following this initial meeting in New York, my co-inventors and I
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`investigated various devices and alternativesto deliver inhaled treprostinil as
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`described in our patent application. One possible method involved the use of a
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`particular kind of metered dose inhaler (Ex. 2100, par. [0037] and [0047]-[0055]).
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`A different, and unrelated, alternative was the use of an ultrasonic nebulizer(id. at
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`[0066]). We beganaseries of studies with a particular ultrasonic nebulizer called
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`the Optineb device, which are summarized in our patentapplication (id. at [0062]-
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`[0089]). The first two studies initially used a 6 min. inhalation period, meaning
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`Declaration of Dr. Werner Seeger
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`that patients breathed continuously while nebulization occurred overthis time
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`period, without pulsing of aerosol generation and without an opto-acoustical
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`trigger (Ex. 2100, par. [0066], [0070], and [0071}).
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`13. Unexpectedly, when we usedtreprostinil at a much higher dose in our
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`second study with the Optineb ultrasonic nebulizer device, we discovered that
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`treprostinil has a slower transpulmonary transit time (time of drug “spillover”into
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`the blood to reach peak plasma concentration) of 10 to 15 minutes when
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`administered to pulmonary hypertension patients (id. at Fig. 12), compared to
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`iloprost (Ex. 1029, p. 1, “rapid entry of iloprost into the systemic circulation was
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`noted, peaking immediately after termination of the inhalation maneuver”). This
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`particular pharmacokinetic data is disclosed in our patent application (Ex. 2100 at
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`Fig. 12), but is not reported in either of the Voswinckel abstracts (Ex. 1003 or
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`1046) or the Ghofrani publication (Ex. 1005). This slower time to reach peak
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`plasma concentration is important. It obviously allows: a) to avoid major systemic
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`side effects even whenhightotal inhalation doses are used (nevertheless the high
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`local concentrations in the lung already provide the desired therapeutic effect); b)
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`to reduce the inhalation time to even a few breaths (made possible by switching to
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`a pulsed ultrasonic nebulizer in the further course of the studies); and c) to increase
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`the overall inhaled treprostinil dose more than one order of magnitude over the
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`overall inhaled tolerable iloprost dose.
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`14.
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`Ina subsequenttrial, we modified the Optineb device to include both
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`pulsing and an opto-acoustical trigger, while using a high enough concentration of
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`pre-aerosolized treprostinil solution to permit high dosing in a smal! numberof
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`breaths coordinated with each of the aerosol pulses (Ex. 2100, par. [0072], [0079]-
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`[0081] and [0088]), which dramatically shortened the overall time of each
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`treatment session. Drs. Voswinckel, Olschewski, Schmehl and I were involved in
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`guiding the design of these changes to the Optineb device and workingto
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`implement them into the treatment regimen. The co-inventors andI, therefore, had
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`to work directly with Nebu-tec, the manufacturer of the Optineb device, to guide
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`modifying the device to achieve all of the necessary features. Because we moved
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`to such a high concentration oftreprostinil in the aerosol, the opto-acoustical
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`trigger to guide the patient’s breathing and synchronize it to each pulse of aerosol
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`was especially important. To my knowledge, the Optineb device we created was
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`_ not one that was publicly available or otherwise publicly disclosed prior to our
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`patent application. Although the Voswinckel publication references a “pulsed”
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`Optineb nebulizer, it does not disclose any of the modifications we made,
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`including the importance of the opto-acoustical trigger for coordinating each
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`patient’s breath with each pulse of aerosolat these high treprostinil concentrations.
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`15.
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`[hereby declare that all statements made herein of my knowledgeare
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`true and that all statements made on information and belief are believed to be true;
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`and further that these statements were made with the knowledge that willful false
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`statements and the like so made are punishable by fine or imprisonment, or both
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`under Section 1001 of Title 18 of the United States Code.
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`Date: A fn 14 = 2018
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`Dr. Werner Seeger
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