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UNITED STATES PATENT AND TRADEMARK OFFICE
`
`BEFORE THE PA TENT TRIAL AND APPEAL BOARD
`
`WATSON LABO RA TORIES, INC.
`Petitioner
`
`V.
`
`UNITED THERAPEUTICS CORP.
`
`
`Patent Owner
`
`Cases1 IPR.2017-01621;
`
`Patent 9,358,240
`
`
`IPR 2017-01622; Patent 9,339,507
`
`
`
`SECOND DECLARATION OF DR. WERNER SEEGER
`
`
`
`
`
`1 The word-for-word identical paper is filed in each proceeding identified in the
`
`
`
`
`
`heading.
`
`UNITED THERAPEUTICS, EX. 2098
`
`
`
`WATSON LABORATORIES v. UNITED THERAPEUTICS, IPR2017-01621
`Page 1 of 11
`
`IPR2021-00406
`United Therapeutics EX2071
`
`

`

`}PR2017-01621; IPR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`I, Dr. Werner Seeger, hereby declare as follows:
`
`1.
`
`I am a named inventor of U.S. Patent No. 9,358,240 (“the ’240
`
`patent”) and U.S. Patent No. 9,399,507 (“the ’507 patent”), which are based upon
`
`U.S. provisional patent application No. 60/800,016 filed May 15, 2006 (“our patent
`
`application”) (Ex. 2034). I amthe director of University of Giessen and Marburg
`
`Lung Center (““UGMLC”), a research center at the University Hospital Giessen
`
`studying pulmonary hypertension.
`
`2.
`
`Lama paid consultant for United Therapeutics Corporation in
`
`connection with IPR2017-01621 and IPR2017-01622. My compensation does not
`
`depend on the content of this declaration, the substance of any other testimonythat
`
`I may offer in connection with this proceeding, or the disposition ofthis
`
`proceeding.
`
`3.
`
`[am aco-author of the German languagearticle: Hossein Ardeschi
`
`Ghofranie7 al. “Neue Therapieoptionen in der Behandlung der pulmonalarteriellen
`
`Hypertonie,”” Herz, 30, 4 (June 2005): 296-302 (“the Ghofraniarticle”) (Ex.
`
`2103). I understand that Watson Laboratories, Inc. (“Watson”) submitted an
`
`* Thetitle is translated as “New therapies in the treatment ofpulmonary
`
`hypertension” in Exhibit 1005.
`
`

`

`IPR2017-01621; IPR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`English language translation of the Ghofraniarticle in this proceeding as Exhibit
`
`1005, which I have reviewed along with the original German article (Ex. 2103).
`
`4.
`
`As stated in my previous declaration (Ex. 2020), the Ghofraniarticle
`
`was an overview review article, drafted under my direction and control by
`
`members of myresearch center at University Hospital Giessen. The intent of the
`
`article was to compile and review information regarding treatment of pulmonary
`
`hypertension, not to communicate primary data or to teach any specific therapeutic
`
`regimen.
`
`5.
`
`As detailed in my previous declaration, Dr. Voswinckel and I
`
`contributed the following inhaled treprostinil section of the Ghofrani article:
`
`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.
`
`(Ex. 1005, p. 3). Although the information in this excerpt for the article was
`
`compiled and composed by Dr. Voswinckel and myself, the individuals who
`2
`
`

`

`IPR2017-01621; IPR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`designed the underlying clinical studies with inhaled treprostinil are the same as
`
`the oneslisted as inventors on the patents, as explained in more detail below. We
`
`of course performed the studies discussed in the Ghofraniarticle, wrote the excerpt
`
`quoted above, and submitted it for publication before it was published in June 2005
`
`based upon our work together designing the clinical study.
`
`6.
`
`Regarding dosage of inhaled treprostinil, the above excerpt from the
`
`Ghofrani review article notes that patients were “administered inhaled treprostinil
`
`(15 meg/inhalation).” The word “inhalation” in that sentence (in both German and
`
`English) does not mean “breath,” but rather, refers to an inhalation event. This is
`
`clear under ourtypical use of that terminology and because the above excerptis
`
`citing the reference of endnote “[6]” for support, which used an inhalation period
`
`of six minutes (reference [6] of Ex. 1005 is Ex. 1046, and p. 5 of Ex. 1046 states
`
`that “6 min” was used). An inhalation event of six minutes indicates that a
`
`continuous nebulizer was being used (without pulsing or an opto-acoustical
`
`trigger), as in the first two studies using Optineb discussed below.
`
`7.
`
`Although Ghofranistates that treprostinil showed a strong pulmonary
`
`selectivity “so that it is possible to increase the dosage to up to 90 meg (absolute
`
`inhaled dose per inhalation exercise),”it does not report that this dosage was
`
`applied in human pulmonary hypertension patients, which is evident from
`
`reviewing the cited reference, “[6]” (Ex. 1046), in which this this dosage is not
`
`+2
`
`

`

`IPR2017-01621; IPR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`reported. Rather, the Ghofrani review article states only that it “is possible”
`
`(“méglichist” in Ex. 2103). This statement was intended to convey the ideathatit
`
`maybepossible to increase the dosageto that level, not that the referenced study
`
`actually performedthat particular test. Similarly, the Ghofrani review article states
`
`that due to certain unique properties of treprostinil, “it is possible [“ist es méglich”
`
`in Ex. 2103] to reduce the number[of] inhalations necessary to up to four per day”
`
`and that the inhalation period “can be” reduced [“lasst sich bei” in Ex. 2103] to < 1
`
`min. and thatit “is technically feasible [“technisch realisierbar sein wird” in Ex.
`
`2103] for there to [sic] only one to two breaths in an application.” These
`
`statements of possibilities do not report any conclusion of studies performed,
`
`whichis evident from reviewing the cited reference, in which 6 min inhalation
`
`time was reported “[6]” (Ex. 1046), but rather, suggest only future paths for
`
`clinical studies.
`
`8.
`
`In sum, the Ghofrani review article does not explain or teach any
`
`particular therapeutic regimen or necessary parameters. It merely provides a high-
`
`level overview ofearly investigations into inhaled treprostinil and some
`
`speculation for additional research. Similarly, the two Voswinckel references
`
`provided by Watson as Ex. 1003 and 1046, both of which are abstracts and not
`
`primary study reports, report only select and incomplete information of different
`
`studies. Although the specific parameters used and particulars ofthe studies
`
`4
`
`

`

`IPR2017-01621; IPR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`performed by my groupare not fully reported, any study that formed the basis of
`
`our discussion ofinhaled treprostinil in these three references (Ex. 1005, 1003, and
`
`1046) was performed by me in conjunction with my ongoing collaboration with
`
`Drs. Voswinckel, Olschewski, Rubin, Schmehl, Sterritt, and Roscigno. Indeed in
`
`both Voswinckel abstracts at Ex. 1003 and Ex. 1046 wenote that the study was
`
`“supported by Lung Rx.” In particular, as to any of these relevant inhalation
`
`studies with inhaled treprostinil, Drs. Voswinckel, Olschewski, Rubin, Schmehl,
`
`Sterritt, Roscigno, and I determined the dosage amounts of administered inhaled
`
`treprostinil to give to patients, determined the inhalation time and/or number of
`
`breaths employed, determined what equipment and administration devices and
`
`methods to use, and identified the spacing between inhalation events, as well as
`
`analyzed the hemodynamic and pharmacokinetic effects over time. The other
`
`authors listed in the Ghofrani review article — Drs. Ghofrani, Reichenberger, and
`
`Grimminger — did not participate in the design of any ofthe studies, did not select
`
`the dosing regimen, and did not conduct analysis of patient results discussed in the
`
`Ghofrani review article or the two Voswinckelabstracts.
`
`9.
`
`Drs. Ghofrani, Reichenberger, and Grimminger were named as co-authors
`
`because it was and continues to be the practice of our group, as an academic and
`
`research group, to include as co-authorsall individuals working in our group that
`
`run the center, assist with trials, and engage in clinical routine management and
`
`5
`
`

`

`IPR2017-01621; [PR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`administration, even when that group is broader than the individuals actually
`
`involved in inventing methods or devices and designingthe trials. More
`
`specifically, even though Ghofrani, Reichenberger, and Grimmingerdid not design
`
`the inhaled treprostinil clinical trials, they did perform support work including help
`with identifying potentially eligible patients out ofthe group ofpatients in our
`
`pulmonary hypertension clinic. Because patients with severe pulmonary
`
`hypertension have multiple needs beyondtheir participation in clinical trials, such
`
`as treatments involving their background medications(e.g. diuretics, anti-
`
`coagulation, other pulmonary hypertension targeted co-medications, antibiotics,
`
`etc.); and support for some general needs(e.g. administrative matters with
`
`insurance or helping with other family members,etc.), they also carried out this
`
`type of work. In still other cases, patients who discontinuedclinical trials, require
`
`immediate transitioning back to their normal clinical care again, which wasalso
`
`part of their responsibilities.
`
`10.
`
`Dr. Voswinckel and my collaboration with Drs. Rubin and
`
`Olschewski and Lung Rx began in 2003. On September 30, 2003, I entered into a
`
`Services Agreement (Ex. 2101) with Lung Rx, Inc. under which I served as co-
`
`chair with Dr. Lewis Rubin for the development program for treprostinil
`
`inhalation. As reflected in the Services Agreementitself, work included
`
`developing the outline and timeline for the development program,and also
`
`6
`
`

`

`1PR2017-01621; [PR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`designing the pilot and pivotal trials. Jd. I worked directly with Drs. Rubin,
`
`Voswinckel, Olschewski, Schmehl, Roscigno, and Sterritt on this collaboration,
`
`which resulted in the three clinical studies mentioned below that becamethe basis
`
`of our patent application leading to the °240 and °507 patents.
`
`11.
`
`In particular, I recall a meeting in New York in 2003, Oct 22"which
`
`included me, Dr. Rubin, and Dr. Olschewski, as well as participants from United
`
`Therapeutics, and together we discussed the design ofclinicaltrials with inhaled
`
`treprostinil to treat pulmonary hypertension patients. A copy of the agenda from
`
`this meeting, which describes a detailed work plan,is attached. Ex. 2102. Certain
`
`action items indicated in this agenda involved me or my co-inventors as reflected
`
`by ourinitials (“LR” is Lewis Rubin, “WS”are myinitials, “HO”is Horst-
`
`Olschewski, “RR” is Robert Roscigno, and “CS”is Carl Sterritt).
`
`12.
`
`Following this initial meeting in New York, my co-inventors and I
`
`investigated various devices and alternativesto deliver inhaled treprostinil as
`
`described in our patent application. One possible method involved the use of a
`
`particular kind of metered dose inhaler (Ex. 2100, par. [0037] and [0047]-[0055]).
`
`A different, and unrelated, alternative was the use of an ultrasonic nebulizer(id. at
`
`[0066]). We beganaseries of studies with a particular ultrasonic nebulizer called
`
`the Optineb device, which are summarized in our patentapplication (id. at [0062]-
`
`[0089]). The first two studies initially used a 6 min. inhalation period, meaning
`
`7
`
`

`

`IPR2017-01621; IPR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`that patients breathed continuously while nebulization occurred overthis time
`
`period, without pulsing of aerosol generation and without an opto-acoustical
`
`trigger (Ex. 2100, par. [0066], [0070], and [0071}).
`
`13. Unexpectedly, when we usedtreprostinil at a much higher dose in our
`
`second study with the Optineb ultrasonic nebulizer device, we discovered that
`
`treprostinil has a slower transpulmonary transit time (time of drug “spillover”into
`
`the blood to reach peak plasma concentration) of 10 to 15 minutes when
`
`administered to pulmonary hypertension patients (id. at Fig. 12), compared to
`
`iloprost (Ex. 1029, p. 1, “rapid entry of iloprost into the systemic circulation was
`
`noted, peaking immediately after termination of the inhalation maneuver”). This
`
`particular pharmacokinetic data is disclosed in our patent application (Ex. 2100 at
`
`Fig. 12), but is not reported in either of the Voswinckel abstracts (Ex. 1003 or
`
`1046) or the Ghofrani publication (Ex. 1005). This slower time to reach peak
`
`plasma concentration is important. It obviously allows: a) to avoid major systemic
`
`side effects even whenhightotal inhalation doses are used (nevertheless the high
`
`local concentrations in the lung already provide the desired therapeutic effect); b)
`
`to reduce the inhalation time to even a few breaths (made possible by switching to
`
`a pulsed ultrasonic nebulizer in the further course of the studies); and c) to increase
`
`the overall inhaled treprostinil dose more than one order of magnitude over the
`
`overall inhaled tolerable iloprost dose.
`
`

`

`[PR2017-01621; IPR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`14.
`
`Ina subsequenttrial, we modified the Optineb device to include both
`
`pulsing and an opto-acoustical trigger, while using a high enough concentration of
`
`pre-aerosolized treprostinil solution to permit high dosing in a smal! numberof
`
`breaths coordinated with each of the aerosol pulses (Ex. 2100, par. [0072], [0079]-
`
`[0081] and [0088]), which dramatically shortened the overall time of each
`
`treatment session. Drs. Voswinckel, Olschewski, Schmehl and I were involved in
`
`guiding the design of these changes to the Optineb device and workingto
`
`implement them into the treatment regimen. The co-inventors andI, therefore, had
`
`to work directly with Nebu-tec, the manufacturer of the Optineb device, to guide
`
`modifying the device to achieve all of the necessary features. Because we moved
`
`to such a high concentration oftreprostinil in the aerosol, the opto-acoustical
`
`trigger to guide the patient’s breathing and synchronize it to each pulse of aerosol
`
`was especially important. To my knowledge, the Optineb device we created was
`
`_ not one that was publicly available or otherwise publicly disclosed prior to our
`
`patent application. Although the Voswinckel publication references a “pulsed”
`
`Optineb nebulizer, it does not disclose any of the modifications we made,
`
`including the importance of the opto-acoustical trigger for coordinating each
`
`patient’s breath with each pulse of aerosolat these high treprostinil concentrations.
`
`15.
`
`[hereby declare that all statements made herein of my knowledgeare
`
`true and that all statements made on information and belief are believed to be true;
`
`9
`
`

`

`IPR2017-01621; IPR2017-01622
`
`Declaration of Dr. Werner Seeger
`
`and further that these statements were made with the knowledge that willful false
`
`statements and the like so made are punishable by fine or imprisonment, or both
`
`under Section 1001 of Title 18 of the United States Code.
`
`Date: A fn 14 = 2018
`
`Dr. Werner Seeger
`
`

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