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Case IPR2022-00722
`U.S. Patent No. 7,041,786
`
`UNITED STATES PATENT AND TRADEMARK OFFICE
`__________________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`__________________
`
`MYLAN PHARMACEUTICALS INC.,
`
`Petitioner,
`
`v.
`
`BAUSCH HEALTH IRELAND LIMITED,
`
`Patent Owner.
`
`__________________
`
`Case IPR2022-00722
`U.S. Patent No. 7,041,786
`__________________
`
`DECLARATION OF KUNWAR SHAILUBHAI
`
`Bausch Health Ireland Exhibit 2023, Page 1 of 18
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`

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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
`
`
`I, Kunwar Shailubhai, under penalty of perjury, declare as follows:
`INTRODUCTION
`1.
`I am of legal age and otherwise competent to make this declaration.
`
`I.
`
`2.
`
`I am the first named inventor on U.S. Patent No. 7,041,786 (Ex. 1001,
`
`“the ’786 patent”). I have been asked to submit a declaration attesting to how the
`
`data disclosed in Table 4 in the specification of the ’786 patent and other relevant
`
`data related to the peptides disclosed in the ’786 patent were generated.
`
`II. EDUCATION AND WORK EXPERIENCE
`3.
`I graduated from the Maharaja Sayajirao University of Baroda with a
`
`Ph.D. in Microbiology in 1984 and from the University of Missouri-Saint Louis
`
`with an M.B.A. in 2002.
`
`4.
`
`I am currently employed by the Pennsylvania Biotechnology Center
`
`and Baruch S. Blumberg Institute as a Senior Advisor and Professor.
`
`III. BIOLOGICAL ACTIVITY DATA IN TABLE 4 OF THE ’786 PATENT
`5.
`I was involved in synthesizing and testing of guanylate cyclase (“GC-
`
`C”) receptor agonists that enhance intracellular production of cyclic guanosine
`
`monophosphate (“cGMP”), including the peptides of the experimental examples
`
`reported in the ’786 patent. As such, I have first-hand knowledge of how the
`
`peptides reported below were made and tested.
`
`1
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`I directed the synthesis and testing of the GC-C receptor agonist
`
`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`6.
`
`peptides in order to examine biological activity as disclosed in Table 4 of the ’786
`
`patent.
`
`7.
`
`Human T84 colon carcinoma cells were obtained from the American
`
`Type Culture Collection. (Id. at 15:27-29). Cells were grown in a 1:1 mixture of
`
`Ham’s F-12 medium and Dulbecco’s modified Eagle’s medium (“DMEM”)
`
`supplemented with 10% fetal bovine serum, 100 U penicillin/ml, and 100 μg/ml
`
`streptomycin. (Id. at 15:29-32). The cells were fed fresh medium every third day
`
`and split at a confluence of approximately 80%. (Id. at 15:32-34).
`
`8.
`
`Peptides were custom synthesized by Multiple Peptide Systems, San
`
`Diego, California, and by Princeton Biomolecules, Langhorne, Pennsylvania. (Id.
`
`at 15:36-38). Biological activity of the synthetic peptides was assayed. (Id. at
`
`15:38-39). The confluent monolayers of T84 cells in 24-well plates were washed
`
`twice with 250 μl of DMEM containing 50 mM HEPES (pH 7.4), pre-incubated at
`
`37°C for 10 minutes with 250 μl DMEM containing 50 mM HEPES (pH 7.4) and 1
`
`mM isobutylmethylxanthine (“IBMX”), followed by incubation with peptides (0.1
`
`nM to 10 μM) for 30 minutes. (Id. at 15:40-46). The medium was aspirated, and
`
`the reaction was terminated by the addition of 3% perchloric acid. (Id. at 15:46-
`
`47). Following centrifugation, and neutralization with 0.1 N NaOH, the
`
`2
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`Bausch Health Ireland Exhibit 2023, Page 3 of 18
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`supernatant was used directly for measurements of cGMP using an ELISA kit
`
`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`(Caymen Chemical, Ann Arbor, Michigan). (Id. at 15:47-50).
`
`9.
`
`As indicated in the following table, the peptides were custom
`
`synthesized and purified (>95% purity) using a published procedure (procedure
`
`from Klodt, et al., J. Peptide Res. 50:222-230 (1997)). (Id. at 15:53-54, 18:32).
`
`Peptides were evaluated in the T84 cell-based assay for their ability to enhance
`
`intracellular levels of cGMP. (Id. at 15:55-56). The results of this test are shown
`
`in Table 4 below.
`
`(Id. at 16:1-19). I note that the p value below Table 4 contains a typographical
`
`
`
`error and should say p < 0.05. (Id. at 16:19).
`3
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`Bausch Health Ireland Exhibit 2023, Page 4 of 18
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`IV. DATA IN STUDY NUMBER SP-PH-001
`10.
`I directed the preparation and testing of the ability of SP-304
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`(plecanatide) to stimulate cGMP production in T84 human colon carcinoma cells
`
`in vitro and evaluated the effects of SP-304, uroguanylin, and other peptides. (Ex.
`
`2027 at TRUL00018209).
`
`11. SP-304, uroguanylin, and two other peptides (SP-302 and SP-303)
`
`were tested at concentrations ranging from 10-9 M to 10-5 M. (Id.). Cell culture
`
`supernatants were prepared following 30-minute incubation, and cGMP levels
`
`were measured using a commercial ELISA assay. (Id.).
`
`12. Human colon carcinoma cells T84 (ATCC Number CCL-248),
`
`provided by Dr. Lenard Forte, University of Missouri at Columbia, MO, were used
`
`in these assays. (Ex. 2027 at TRUL00018210). The cells were cultured in DMEM
`
`and Ham’s F-12 medium (1:1) containing 5% fetal bovine serum and 60 μg of
`
`penicillin plus 100 μg of streptomycin per ml. (Id.). Cells were split every 5-6
`
`days by trypsinization. (Id.). Frozen stocks of cells were stored in liquid nitrogen.
`
`(Id.).
`
`13. The following test peptides were synthesized by BACHEM
`
`Biosciences, Inc. (King of Prussia, PA) as the trifluoroacetic acid salt form:
`
`4
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`
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`
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`(Id. at TRUL00018210, TRUL00018218).
`
`14. All peptides were prepared as stock solutions at a concentration of 1
`
`mM in deionized water. (Id. at TRUL00018210). For each peptide, cGMP levels
`
`were tested at concentrations ranging from 10-9 M (0.001 μM) to 10-5 M (10 μM).
`
`(Id.). Control wells contained no peptide. (Id.).
`
`15. The potency of test peptides to stimulate cGMP synthesis in T84 cells
`
`was assessed using a published procedure. (Ex. 2027 at TRUL00018211).
`
`Confluent monolayers of T84 cells in 24-well plates were washed twice with 250
`
`μl of DMEM and containing 50 mM N-(2-hydroxyethyl)piperazine-N’-(2-
`
`ethanesulfonic acid) (“HEPES”) (pH 7.4) and pre-incubated at 37°C for 10 minutes
`
`with 250 μl of DMEM containing 50 mM HEPES (pH 7.4) and 1 mM IBMX.
`
`(Id.). The test peptides were then incubated for 30 min. (Id.). The medium was
`
`then aspirated and the reaction was terminated by the addition of 3% perchloric
`
`5
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`acid. (Id.). Following centrifugation and the addition of NaOH (0.1 N) to
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`neutralize the pH, intracellular cGMP levels were determined in lysates using a
`
`cGMP ELISA kit (Cat No. 581021, Cayman Chemical, Ann Arbor, MI.). (Id.).
`
`Samples were run in duplicate incubations and each sample was run as duplicates
`
`in ELISA test. (Id.).
`
`16. As illustrated by Table 1 and Figure 1 below, the results of this study
`
`demonstrated that SP-304 stimulated cGMP production in T84 colon carcinoma
`
`cells in a concentration-related manner, with an EC50 of 1.1 x 10-7 M (185 ng/mL).
`
`(Ex. 2027 at TRUL0001822-TRUL00018224). Uroguanylin showed an EC50 of
`
`2.3 x 10-7, SP-302 showed an EC50 of 3.5 x 10-7, and SP-303 showed an EC50 of 2.4
`
`x 10-7. (Id.).
`
`6
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`Bausch Health Ireland Exhibit 2023, Page 7 of 18
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`
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`(Ex. 2027 at TRUL00018222).
`
`
`
`7
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`Bausch Health Ireland Exhibit 2023, Page 8 of 18
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`
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`
`
`(Ex. 2027 at TRUL00018223).
`
`V. DATA IN STUDY NUMBER SP-PH-004
`A. Uroguanylin and SP-304 Topoisomeric Properties
`17.
`I directed the preparation and testing of topoisomeric conformations
`
`of SP-304 (plecanatide) and uroguanylin monitored by HPLC analysis and further
`
`evaluated by NMR to characterize their three-dimensional structures. (Ex. 2028 at
`
`TRUL00018269).
`
`18. Sample SP-304 (10 μM) and uroguanylin (10 μM) were incubated for
`
`16 hours at 37°C in a pH 3.0 solution comprised of 25 mM sodium acetate, 150
`
`mM NaCl, and then analyzed by HPLC. (Id.).
`
`19. Peptide solutions were subjected to reverse phase chromatography on
`
`an HPLC system attached with a VYDAC C18 column using a 20-40% gradient of
`
`8
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`solvent A (0.1% TFA in water) and solvent B (0.1 % TFA in Acetonitrile). The
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`column flow rate was adjusted to 1 ml/min. Under these conditions, the
`
`biologically active and inactive fractions were eluted at 21.4 and 23.7 minutes,
`
`respectively. (Ex. 2028 at TRUL00018268).
`
`20. As shown in Figure 1 below, after the 16-hour incubation,
`
`uroguanylin showed two major peaks and two minor peaks. (Ex. 2028 at
`
`TRUL00018269). In contrast, SP-304 showed only a single peak. (Id.).
`
`
`
`(Id.).
`
`B.
`
`21.
`
`pH Dependency of cGMP Stimulation by SP-304, Uroguanylin,
`SP-302, and SP-303
`I directed the preparation and testing of SP-304, uroguanylin, and two
`
`other peptides (SP-302 and SP-303) in T84 cells to determine if cGMP stimulation
`
`9
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`by 0.1 μM concentrations was affected by the pH of culture medium. (Ex. 2028 at
`
`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`TRUL00018269). I tested a range of pH values (pH 5.5-7.0). (Id.).
`
`22. Human colon carcinoma T84 cells (ATCC Number CCL-248),
`
`provided by Dr. Lenard Forte, University of Missouri at Columbia, MO, were used
`
`in these assays. (Ex. 2028 at TRUL00018267). The cells were cultured in DMEM
`
`and Ham’s F-12 medium (1:1) containing 5% fetal bovine serum and 60 μg of
`
`penicillin plus 100 μg of streptomycin per ml. (Id.). Cells were split every 5-6
`
`days by trypsinization. (Id.). Frozen stocks of cells were stored in liquid nitrogen.
`
`(Id.).
`
`23. Confluent monolayers of cultured T84 colon carcinoma cells were
`
`washed and pre-incubated with Hanks Balanced Salt Solution containing IBMX at
`
`pH 5.5, 6.0, 6.5, or 7.0 for 10 minutes, and were then incubated with test peptides
`
`(uroguanylin, SP-302, SP-303, or SP-304) for 30 minutes at a concentration of 0.1
`
`μM at pH 5.5, 6.0, 6.5, or 7.0, respectively. (Ex. 2028 at TRUL00018277; see
`
`infra Section V.C (discussing procedure)). The reactions were then terminated,
`
`cells were lysed, and the resulting lysates were assayed for intracellular cGMP
`
`content using ELISA. (Id.).
`
`24. The results of the study are shown in Figure 2 below.
`
`10
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
`
`
`
`
`
`
`
`(Ex. 2028 at TRUL00018270). The raw data reported in Figure 2 are presented in
`
`Table 2 below.
`
`(Ex. 2028 at TRUL00018273).
`
`C. Thermostability of SP-304, Uroguanylin, SP-302, and SP-303
`25.
`I directed the preparation and testing of SP-304, uroguanylin, SP-302,
`
`and SP-303 to stimulate cGMP after incubation at 95°C for various lengths of time
`
`11
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`to compare their thermostability to high temperature. (Ex. 2028 at
`
`Case IPR2022-00722
`U.S. Patent No. 7,041,786
`
`TRUL00018270).
`
`26. Human colon carcinoma T84 cells (ATCC Number CCL-248),
`
`provided by Dr. Lenard Forte, University of Missouri at Columbia, MO, were used
`
`in these assays. (Ex. 2028 at TRUL00018267). The cells were cultured in DMEM
`
`and Ham’s F-12 medium (1:1) containing 5% fetal bovine serum and 60 μg of
`
`penicillin plus 100 μg of streptomycin per ml. (Id.). Cells were split every 5-6
`
`days by trypsinization. (Id.). Frozen stocks of cells were stored in liquid nitrogen.
`
`(Id.).
`
`27. Peptides for analysis were prepared as 1 mM stock solutions in
`
`deionized water. (Ex. 2028 at TRUL00018277). The potency of test peptides to
`
`stimulate cGMP synthesis in T84 cells was assessed using a published procedure
`
`(procedure from Shailubhai, K., et al., Uroguanylin treatment suppresses polyps
`
`formation in APCmin/+ mouse and induces apoptosis in human colon
`
`adenocarcinoma cells by a cGMP dependent mechanism, Cancer Res. 60:5151-
`
`5157 (2000)). (Id.). Confluent monolayers of T84 cells in 24-well plates were
`
`washed twice with 250 μl of DMEM containing 50 mM HEPES (pH 7.4) and pre-
`
`incubated at 37°C for 10 minutes with 250 μl of DMEM containing 50 mM
`
`HEPES (pH 7.4) and 1 mM IBMX. (Id.). Monolayers of T84 cells were then
`
`incubated with 250 μl of a solution of DMEM, 40 mM HEPES (pH 7.4) plus
`12
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`peptide for 30 minutes. (Id.). Control cells were incubated in the above solution
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`minus peptide. (Id.). After 30 minutes, the medium was aspirated and the reaction
`
`was terminated by the addition of 3% perchloric acid to cells. (Id.). Following
`
`centrifugation and the addition of NaOH (0.1 N) to neutralize the pH, cell lysates
`
`were made and intracellular cGMP levels measured using a cGMP ELISA kit (Cat.
`
`No. 581021, Cayman Chemical, Ann Arbor, MI.). (Id.). All incubations were
`
`performed in duplicate. Cell lysates subjected to ELISA determinations were also
`
`performed in duplicate. (Id.).
`
`28. Test peptides (uroguanylin, SP-302, SP-303, or SP-304) were
`
`dissolved in phosphate buffered saline solution (pH 7.4) at a concentration of
`
`0.1 μM and were incubated at 95°C for times ranging from 0-90 minutes. (Ex.
`
`2028 at TRUL00018268). After the incubation, the peptide solutions were rapidly
`
`cooled to 4°C and then assayed for stimulation of cGMP production in T84 cells
`
`using the standard cGMP T84 cell assay. (Id.). This involved taking confluent
`
`monolayers of cultured T84 colon carcinoma cells, washed and pre-incubated with
`
`DMEM and IBMX for 10 minutes, and then incubating them for 30 minutes with
`
`the test peptides (1 μM) obtained from the earlier 95°C incubations. (Id.). The
`
`reactions were terminated, cells were lysed, and the resulting lysates were assayed
`
`for intracellular cGMP levels using ELISA. (Id.).
`
`29. Figure 3 below shows the results from the study.
`13
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
`
`
`
`(Ex. 2028 at TRUL00018271). The raw data for Figure 3 are presented in Table 3
`
`below.
`
`
`
`
`
`(Ex. 2028 at TRUL00018273).
`
`14
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
`
`
`VI. DATA DISCLOSED IN TABLE 4 OF THE ’786 PATENT, STUDY NO.
`SP-PH-001, AND STUDY NO. SP-PH-004
`30. Based on my involvement with the synthesis and testing of GC-C
`
`receptor agonist peptides in order to examine their isomerization, biological
`
`activity, and heat stability as disclosed in Table 4 of the ’786 patent, Study No. SP-
`
`PH-001, and Study No. SP-PH-004, I have first-hand knowledge of how these test
`
`data disclosed were generated.
`
`31.
`
`I hereby certify that each of the records for Study No. SP-PH-001 and
`
`Study No. SP-PH-004 (i.e., Ex. 2027 and Ex. 2028):
`
`(A) were made or obtained at or near the time of occurrence of the matters
`
`set forth in the records, by, or from information transmitted by, a person
`
`with personal knowledge of those matters;
`
`(B) were kept in the course of regularly conducted business activity;
`
`(C) were created or obtained as a regular business practice; and
`
`(D) are the types of information created, obtained, and used in the ordinary
`
`course of business.
`
`32.
`
`I declare that all statements made herein of my knowledge are true
`
`and that all statements made on information and belief are believed to be true; and
`
`further, that these statements were made with knowledge that willful false
`
`15
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`statements and the like so made are punishable by fine or imprisonment, or both,
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`Case IPR2022-00722
`U.S. Patent No. 7,041,786
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`under 18 U.S.C. § 1001.
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`16
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`Bausch Health Ireland Exhibit 2023, Page 18 of 18
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`

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