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