throbber
UNITED STATES PATENT AND TRADEMARK OFFICE
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`————————————————
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
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`————————————————
`
`MYLAN PHARMACEUTICALS INC.,
`MSN LABORATORIES PRIVATE LTD.,
`and MSN PHARMACEUTICALS INC.,
`Petitioners,
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`v.
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`BAUSCH HEALTH IRELAND LIMITED,
`Patent Owner.
`
`————————————————
`Case IPR2022-007221
`Patent 7,041,786
`————————————————
`
`PETITIONERS’ REPLY TO PATENT OWNER RESPONSE
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`1 IPR2023-00016 has been joined with this proceeding.
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`

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`I.
`II.
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`TABLE OF CONTENTS
`Introduction ...................................................................................................... 1
`Argument ......................................................................................................... 1
`A.
`Bausch’s Arguments Are Legally Erroneous. ....................................... 2
`B.
`Bausch’s Lead-Compound Arguments Are Wrong. .............................. 4
`1.
`Bausch Fails to Show Maximizing Potency Would Lead
`Away from Modifying Uroguanylin. .......................................... 6
`Bausch Fails to Show Topoisomerism Led Away from
`Modifying Uroguanylin. ............................................................. 7
`Bausch’s Arguments Against [Glu3]-Substitution are Wrong. ............ 11
`1.
`Potential Interconversion Provides Additional
`Motivation. ................................................................................ 12
`Bausch’s Exhibits Support Making the Conservative,
`Homologous [Glu3]-Substitution. ............................................. 14
`Asp3 Was Not Required to Maintain Activity. .......................... 16
`3.
`Bausch’s Buried Asp and Glu pKa Values are Inapposite. ....... 20
`4.
`Aspartimide Formation Provides Additional Motivation. ........ 21
`5.
`Bausch’s Unexpected Results Arguments Are Unsupported. ............. 22
`1.
`Bausch’s Potency and Affinity Results Show Neither
`Unexpected Improvement Nor Difference in Kind. ................. 24
`Bausch’s Heat Stability Results Show Neither
`Unexpected Improvement Nor Difference in Kind. ................. 26
`Bausch’s Topoisomerism Experiment Shows Neither
`Unexpected Improvement Nor Difference in Kind. ................. 27
`III. Conclusion ..................................................................................................... 28
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`C.
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`D.
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`2.
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`2.
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`2.
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`3.
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`TABLE OF AUTHORITIES
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`Cases
`Altana Pharma AG. v. Teva Pharms., 566 F.3d 999 (Fed. Cir. 2009) ...................... 3
`Bristol-Myers Squibb v. Teva Pharms., 752 F.3d 967 (Fed. Cir. 2014) .................... 3
`DuPont v. Synvina, 904 F.3d 996 (Fed. Cir. 2018) .................................................23
`In re Fulton, 391 F.3d 1195 (Fed. Cir. 2004) ............................................................ 3
`Intel Corp. v. PACT XXP Schweiz AG, 2023 WL 2469631 (Fed. Cir. 2023) ........... 3
`Intelligent Bio-Systems v. Illumina Cambridge, 821 F.3d 135 (Fed. Cir.
`2016) ..................................................................................................................... 2
`KSR Int’l v. Teleflex Inc., 550 U.S. 398 (2007) ......................................................... 3
`McCarty v. Lehigh Valley R. Co., 160 U.S. 110 (1895) ..........................................22
`Pfizer v. Apotex, 480 F.3d 1348 (Fed. Cir. 2007) ....................................................14
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`Statutes
`35 U.S.C. §112 .........................................................................................................16
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`I.
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`INTRODUCTION
`Making and using [Glu3]-uroguanylin2 would have been obvious before the
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`critical date. Bausch’s Patent Owner Response (POR) counters with legally- and
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`factually-erroneous arguments. The legally-proper standard does not require
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`proving uroguanylin was the only promising lead compound or Glu3 was the only
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`obvious substitution. Bausch also fails to show a POSA would have been “led
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`away” from modifying uroguanylin; instead pursuing the toxic potency and pH
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`insensitivity of the pathogenic, heat-stable E. coli enterotoxins (STs). Bausch’s
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`arguments ignore the literature and skill in the art, misconceive obviousness law,
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`and thus should be rejected.
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`II.
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`ARGUMENT
`The POR presents no independent arguments against Grounds 2-4 (claims 2-
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`6), instead they stand or fall with claim 1. POR, 67. Claim 1 recites a peptide
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`consisting of amino-acid sequence SEQ ID NO: 20, which is [Glu3]-uroguanylin.
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`For claim 1, Bausch first argues a POSA would not have selected uroguanylin as
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`lead compound because enterotoxins were more potent and interconverting
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`topoisomers allegedly made uroguanylin unattractive. POR, i. Bausch next argues
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`a POSA had no reason to substitute Asp3 with Glu3. POR, ii. Bausch last alleges
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`2 Human unless otherwise indicated.
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`unexpected, superior results counter reasonable expectation of success. POR, iii.
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`Each Bausch argument is wrong.
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`Bausch’s Arguments Are Legally Erroneous.
`A.
`Bausch implies claim 1 recites limitations (e.g., pathogenic potency or no
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`topoisomerism) that are clearly absent. E.g., POR, i-ii, 2, 26, 38 (arguing
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`reasonable expectation of success required re same). Claim 1 merely recites [Glu3]-
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`uroguanylin peptide sequence, not any level of potency or topoisomerism.
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`EX1063, ¶¶114-117; EX1060, 20:3-14 (“Claim 1 is for a peptide of the given
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`sequence, and that’s all”), 111:17-112:13, 108:22-110:15 (SEQ ID NO. 20 “just
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`gives you the linear sequence”). Bausch’s arguments are not commensurate with
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`its claims.
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`Reasonable expectation of success is only required for what is claimed.
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`Intelligent Bio-Systems v. Illumina Cambridge, 821 F.3d 1359, 1367 (Fed. Cir.
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`2016). Yet a POSA could make [Glu3]-uroguanylin easily using known methods.
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`See, e.g., Pet., 21-22, EX1002, ¶¶66-67; Pet., 24, EX1002, ¶¶130-31; Pet., 35-36;
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`EX1005, 3:8-45; EX1002, ¶¶130-31. This evidence is unrebutted. EX1060, 130:9-
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`20, 126:10-128:4; EX1063, ¶¶8, 115. Bausch’s reasonable-expectation arguments
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`are wrong.
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`Bausch improperly requires a POSA to choose a synthetic enterotoxin over a
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`synthetic uroguanylin, arguing a POSA would only maximize potency and
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`minimize topoisomerism. E.g., POR, i-ii, 2-3, 26, 41. But obviousness is not that
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`rigid. KSR Int’l v. Teleflex Inc., 550 U.S. 398, 419 (2007) (“neither the particular
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`motivation nor the avowed purpose of the patentee controls”).
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`Despite Board cautions (Paper 16 at 20-23), Bausch continues erroneously
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`arguing another compound’s obviousness precludes [Glu3]-uroguanylin from being
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`obvious. See, e.g., POR 1-2, 8, 24, 28, 34-35, 37 (linaclotide), 40 (third disulfide
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`bridge), 45 ([Glu2]). However, a petitioner need only identify “some reason” that
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`would have sufficed for a chemist to modify a known compound, including that the
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`“new compound will have similar properties to the old.” Bristol-Myers Squibb v.
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`Teva Pharms., 752 F.3d 967, 973 (Fed. Cir. 2014). Other obvious compounds and
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`modifications, even superior compounds, do not render the proposed compound
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`nonobvious. Altana Pharma AG. v. Teva Pharms., 566 F.3d 999, 1007-08 (Fed.
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`Cir. 2009) (legally impermissible to require the prior art to “point to only a single
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`lead compound”); In re Fulton, 391 F.3d 1195, 1200 (Fed. Cir. 2004) (no
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`requirement “that the combination is the most desirable combination available”);
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`Intel Corp. v. PACT XXP Schweiz AG, 2023 WL 2469631, *5 (Fed. Cir. 2023)
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`(reversing requirement to show modification “was an ‘improvement’ in a
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`categorical sense”; “suitable option” sufficient). Bausch invites error by insisting
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`only one lead compound and only one modification exist.
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`Another obvious compound cannot negate the claimed compound’s
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`obviousness. Pet. 38-39; EX1002, ¶¶29, 121-123, 144-46, 154-56 ([Glu3]-
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`uroguanylin obvious); EX2026, 67:23-68:6 (both Glu2- and Glu3-uroguanylin
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`obvious). Good reason existed for making [Glu3]-uroguanylin as a rational design.
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`EX1063, ¶¶21, 50, 54, 69, 108. Bausch’s contrary argument is legal error.
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`Bausch’s Lead-Compound Arguments Are Wrong.
`B.
`Uroguanylin’s known properties were very promising for synthesizing an
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`analogue. Uroguanylin is a natural ligand the body produces to draw water into the
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`intestinal lumen, increasing cyclic guanosine monophosphate (cGMP) levels by
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`activating the GC-C receptor, which is expressed “throughout the entire length of
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`the small and large intestines” but with higher density in the proximal small
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`intestine. Pet., 17; EX1002, ¶¶58-59; EX1016, E957, E962; EX1020, 222 & Fig. 2;
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`EX1018, G635-36, G639-41; EX1019, G708; EX1017, 807; see also EX2021, 3:1-
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`2; EX1063, ¶9; EX1062, 62:7-67:6; EX1064, ¶¶23-24. At relevant intestinal pH
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`uroguanylin had enhanced potency attributed to acidic residues (aspartate or
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`glutamate) at positions 2 and 3. Pet., 18-19; EX1002, ¶¶61-65, 91; EX1021, 2705,
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`2709; EX1063, ¶13. Its oral administration markedly stimulated intestinal-fluid
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`secretion, identifying uroguanylin as a good candidate for oral administration to
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`treat constipation. Pet., 19-20; EX1018, G641-G642; EX1002, ¶¶99, 59-60, 85-86,
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`107; EX1005, 1:34-44, 1:50-55, 2:6-24, 2:53-65, 6:11-22; EX1063, ¶10; EX2025,
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`¶¶32-35, 41, 44 (adding fluid was a known method of treating constipation).
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`Uroguanylin’s known properties thus made it very promising.
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`For example, Currie acknowledged enterotoxins’ higher potency yet
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`identified uroguanylin as a very promising lead compound for further modification.
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`EX1063, ¶¶10-12. Currie recognized the placement and import of uroguanylin’s
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`disulfide bridges, and observed this natural ligand’s “physiological characteristics”
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`suggested it “is important to medical science in the study of regulators of guanylate
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`cyclase.” EX1005, 1:47-63, 2:3-7. Currie explained uroguanylin stimulates
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`“increases in cyclic GMP levels in a manner similar to guanylin and the STs” (heat
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`stable enterotoxins) and is “an endogenous stimulator of intestinal guanylate
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`cyclase,” that is “useful for the control of intestinal absorption,” able to displace
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`ST binding, and may “act as a laxative and be useful in patients suffering from
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`constipation[.]” EX1005, 2:6-24. In contrast, STs are peptides from “[p]athogenic
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`strains of E. coli,” requiring three disulfide bridges “for full expression of
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`bioactivity,” that cause “secretory diarrhea” and potentially death, “particularly in
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`the infant population” and “domestic animals.” EX1005, 1:21-23, 1:31-44. Currie
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`thus suggests exploiting uroguanylin’s natural laxative effects and discloses
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`uroguanylin’s activity was desirable because it was effective but not as toxic as
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`enterotoxins. EX1063, ¶12; Pet., 22-24; EX1002, ¶¶88-90; EX1005, 6:11-15, Fig.
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`3A; EX1006, 45. Considering uroguanylin’s known properties and enterotoxins’
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`higher toxicity, uroguanylin was a natural GC-C ligand a POSA would have
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`selected for further modification.
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`Creating synthetic-peptide analogues to known hormones was a known
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`technique for studying their properties to understand their functionalities and
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`structure-activity relationships. Pet., 20-22, 24, 35-36, 38; EX1002, ¶¶66-67, 71,
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`80-81, 136 (routinely creating analogues to characterize their properties
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`(discussing EX1025, EX1028- EX1030)), 66-67 (synthesis was routine), 106, 130-
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`31 (Currie taught straightforward synthesis); EX1005, 1:47-63, 2:3-7, 3:8-45, 6:7-
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`18 (uroguanylin important to “medical science”); see also EX1063, ¶10-11, 14, 37-
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`38; EX2020, 229; EX2010, 230. Accordingly, ample reasons made uroguanylin a
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`very promising starting point. EX1063, ¶¶9-15.
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`1.
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`Bausch Fails to Show Maximizing Potency Would Lead
`Away from Modifying Uroguanylin.
`Bausch argues a desire to maximize potency without pH sensitivity would
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`teach away from selecting uroguanylin for modification. POR, 35-36. But Bausch
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`ignores prior-art teachings that maximizing potency beyond uroguanylin was not
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`necessarily desirable, as discussed above. Even a pharmaceutically-controlled
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`dosage can be too potent, resulting in diarrhea and potentially death. EX1063,
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`¶¶16-18; EX1064, ¶¶42-46; EX1062, 62:5-64:13, 76:13-79:20; EX1071. As Dr.
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`Peterson explains, toxins’ potency is dangerous precisely because small amounts
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`induce very powerful effects. EX1063, ¶19. Moreover, a POSA understood
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`replicating enterotoxin’s potency and lack of pH sensitivity might cause severe
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`diarrhea and even death. Id.; POR, 63; EX2025, ¶110 (potency in colon contributes
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`to diarrhea), 73 (proposing to ameliorate enterotoxin’s toxic potency). A POSA
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`would not have focused singularly on maximizing potency relative to enterotoxins.
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`EX1063, ¶¶19-22.
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`2.
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`Bausch Fails to Show Topoisomerism Led Away from
`Modifying Uroguanylin.
`Bausch argues “topoisomerism” was a “plague” that would have dissuaded a
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`POSA from making a uroguanylin analogue and instead choose an enterotoxin—an
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`actual plague. POR, 2, 29-31; EX1063, ¶¶23-24. But Bausch vastly overstates
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`topoisomerism’s extent and relevance. EX1063, ¶¶24-25; EX1064, ¶¶37-41.
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`Bausch argues uroguanylin was known as “freely convertible” at “acidic
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`pH,” such that 25% of each uroguanylin topoisomer interconverted to the other
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`within 24 hours at body temperature. POR, 1-2, 30. But this was observed only at
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`acidic pH of 4.5. EX2010, 236. As Drs. Peterson and Epstein explain, a POSA
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`normally would have expected oral uroguanylin not to be exposed to this low pH
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`for over an hour, with no more than 1% interconversion. EX1063, ¶¶25-26;
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`EX1064, ¶¶25-31, 39; EX2010, 236; EX1070. Uroguanylin was known as stable
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`and effective in vivo after oral administration. EX1063, ¶27; EX1018, G641-G642;
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`EX2021, 2:28-3:1. Moreover, most uroguanylin would be used and eliminated very
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`early in the small intestines where the receptors are concentrated, interconversion
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`at intestinal pH was slow and non-material, and outlier-patient pH environments
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`would not discourage modifying uroguanylin. EX1063, ¶¶29, 31-32; EX1065,
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`Abstract, 34-36; EX1006, 53; EX1064, ¶23-29, 40. Bausch’s in vivo
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`interconversion arguments are therefore misplaced.
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`Indeed, Bausch’s exhibits (Marx and Klodt) specifically teach uroguanylin
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`might not topoisomerically interconvert in the intestines, not all uroguanylins
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`inherently interconvert, and any interconversion can be modulated by modification.
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`EX1063, ¶¶29-30; EX2010, 236, 238-239; EX2020, 227-28. Moreover, if
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`interconversion arose in vivo and presented any concern, it was easily addressed
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`using routine, controlled-release formulations. EX1063, ¶¶27-28; EX1064, ¶32;
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`EX1002, ¶¶97-98, 112, 189, 193; EX1007, 39-40, 47; EX1046, 28-29; EX1047,
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`3708. Hyperbole against in vivo “stability” of the body’s natural ligand for
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`enhancing intestinal water content should be rejected.
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`Bausch speculates (POR, 32) that a POSA might consider uroguanylin
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`difficult to purify or store. EX1063, ¶¶34-37. But Drs. Davies and Peterson
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`testified purifying topoisomers was straightforward. EX1063, ¶¶34, 40; EX2010,
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`230-232 (“standard chromatography techniques”); EX1060, 114:19-116:10 (“You
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`would expect the topoisomers to run at different retention time[s] by HPLC, so you
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`would be purifying…one of them out of the rest.”). Again, Bausch’s Klodt and
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`Marx praised uroguanylin because its topoisomers could be separated and
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`characterized. EX1063, ¶¶36-37; EX2020, Abstract, 223 (“by HPLC”); EX2010,
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`Abstract (conformational interconversion “retarded significantly”), 236 (guanylins
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`“interconvert much more rapidly”). The evidence contradicts Bausch’s speculation.
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`Purifying and storing uroguanylin analogues would not have been
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`considered unduly burdensome. EX1063, ¶¶39-40. Bausch admits avoiding severe
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`diarrhea from enterotoxin required purification and special handling. POR, 36.
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`Moreover, the evidence undercuts Bausch’s arguments about storage instability.
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`“[S]low pH-dependent mutual isomerization” favored the active topoisomer and
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`was eliminated under common storage conditions. EX1063, ¶¶39-40; EX2010,
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`Abstract (“stable at low temperature”), 236 (“completely stable” at 0°C even under
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`acidic conditions; lyophilized uroguanylin isomers not converted after long-term
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`storage).3 Purification and storage were no obstacle to modifying uroguanylin.
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`EX1063, ¶35.
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`Bausch asserts potential topoisomerism taught away, but no reference rejects
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`uroguanylins: topoisomerism is just flagged for study as new analogues are made.
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`Indeed, Klodt and Marx reflect good reason to make (and success at making)
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`uroguanylin analogues. EX1063, ¶33; EX2020, 226 (Table 1); EX2010, 235
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`(advocating “systematic substitution of amino acids contained in uroguanylin and
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`3 Bausch’s self-serving, belated, hearsay letter from its supplier is not prior art.
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`guanylin”). They proposed additional ligand studies. EX1063, ¶¶37-38; EX2020,
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`229; EX2010, 230. The literature reflects artisans making uroguanylin analogues,
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`not paralyzing fear about FDA approval or manufacturing optimization. EX1063,
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`¶35.
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`If anything, uroguanylin topoisomerism provided additional reason to
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`synthesize uroguanylin analogues. EX1063, ¶¶41-42. For example, Klodt and
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`Marx suggest any naturally-occurring inactive topoisomer would provide a useful
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`ligand reservoir ready to convert into the thermodynamically-favored active
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`topoisomer over time. EX1063, ¶41; EX2010, 238 (“a storage form of isomer A”);
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`EX2020, 229 (“a storage form of the GC-C binding ligand”); EX1064, ¶38. The art
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`contradicts Bausch’s “plague” characterization.
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`Bausch also argues the active topoisomer amount might vary. POR, 30-32.
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`Yet, administering pharmaceuticals as mixtures of interconverting active and
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`inactive forms was common, e.g., racemic drugs like ibuprofen. EX1063, ¶42;
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`EX1066, Abstract. Bausch fails to prove a natural mixture of uroguanylin
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`topoisomers was seen as impure. A POSA would not have expected a natural
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`uroguanylin isoform (localized to the gastrointestinal tract) to have negative “off-
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`target effects.” EX1063, ¶¶42-44; EX1005, 1:46-67, 2:3-8; EX1064, ¶41. No
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`Bausch argument demonstrates topoisomerism would have discouraged
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`synthesizing a uroguanylin analogue. EX1063, ¶45; EX1064, ¶¶37-41.
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`-10-
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`The involved patent squarely contradicts Bausch’s allegations against
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`uroguanylin: known, natural uroguanylin properties are its sole basis for asserting
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`its utility. EX1063, ¶¶46-48; EX1001, 3:13, 6:33-40, 7:4-7, 7:25-31 (uroguanylin
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`natural GC-C agonist), 9:19-23 (“known to possess high biological activity”),
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`7:31-37 (“heat-resistant, acid-resistant, and proteolysis-resistant peptide”;
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`favorable for “oral or systemic administration” for being “effectively employed in
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`treatment methods”), 4:7-13, 6:25-32, 6:46-53 (“expected to eliminate or at least
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`retard the onset of inflammatory diseases of the GI tract”); EX1060, 95:11-97:19,
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`97:21-98:8, 99:2-100:3, 92:9-95:10, 86:7-87:8, 96:6-18. The patent’s admissions
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`that uroguanylin’s known properties made it useful for treatment contradict
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`Bausch’s lead-compound arguments. EX1063, ¶48.
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`Bausch’s Arguments Against [Glu3]-Substitution are Wrong.
`C.
`Good reasons existed to synthesize [Glu3]-uroguanylin with a reasonable
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`expectation of success. See, e.g., Pet., 21-22, 34-39; EX1002 ¶¶73-75
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`(conservative substitution likely to retain excellent GC-C activity), 132-136
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`(conserved in homologous species), ¶¶66-67 (routine synthesis and
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`characterization), ¶¶137-152 (Li narrows substitution choices at position 3 to acidic
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`Glu), 165-170 (fine tune pH response), 175-179 (eliminate pairings causing
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`aspartimide formation). This evidence shows good reason and reasonable
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`-11-
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`expectation of success for Glu3-substitution. EX1063, ¶¶50-51. None of Bausch’s
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`arguments undermine any of these rationales.
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`Potential Interconversion Provides Additional Motivation.
`1.
`Bausch argues a POSA would add a third disulfide bridge so uroguanylin
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`would “closely resemble[] heat stable E. Coli agonist” with decreased
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`topoisomerism. POR, 39-40; EX2010, 229-230. As discussed (§II.B.2), Bausch’s
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`topoisomerism arguments are misplaced. EX1063, ¶¶35, 54, 58; EX1064, ¶¶37-41.
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`Bausch overstates the amount and likelihood of interconversion, and ignores
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`contrary evidence. EX1063, ¶¶24-27, 29, 31-32, 58.
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`Interconversion does not teach away. EX1063, ¶¶29-30, 33, 36-38. Bausch
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`also ignores evidence that in vivo interconversion was easily addressed through
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`formulation and that purification was straightforward. EX1063, ¶¶27-28, 34-37,
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`39-40, 52; EX2011, 30; EX2025, ¶55; EX1064, ¶32. A POSA considering
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`topoisomeric interconversion had additional reason to synthesize uroguanylin
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`analogues to explore topoisomer storage forms or natural binding interactions.
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`EX1063, ¶¶41-43, 58; EX2010, 238; EX2020, 229; EX1064, ¶38. Thus,
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`topoisomerism is no better reason to ignore Glu3-substitution than it is to ignore
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`uroguanylin entirely.
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`Bausch argues a POSA would add a third disulfide bridge to make the
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`synthetic agonist pH-independent, like enterotoxin. POR, 55. This blunt approach
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`PROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIAL PROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIAL PROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIAL PROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIAL PROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIALPROTECTIVE ORDER MATERIAL
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`might work for pathogens, but does not lead away from the [Glu3]-modification.
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`EX1063, ¶55. Evolution concentrated GCC receptors where pH would activate the
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`natural ligand instead of evolving enterotoxins’ pathogenic approach. Id.; EX1062,
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`78:22-79:5; EX1064, ¶¶42-46. Regardless, even if another modification was also
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`obvious, a POSA had good reason to make [Glu3]-uroguanylin. EX1063, ¶¶50, 55.
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`Bausch incorrectly argues Marx proposed adding a third disulfide bridge to
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`uroguanylin. Marx evaluated a third bridge’s feasibility, but only to predict which
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`topoisomer better matches the enterotoxin conformation. EX1063, ¶57; EX2010,
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`234. Rather than add a third bridge, Marx proposed “systematic substitution of
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`amino acids contained in uroguanylin and guanylin.” EX2010, 236. The petition
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`provided just such a substitution, starting with one of the most conservative
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`possible choices. Bausch misunderstands Marx, which suggested a modification
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`different than a third bridge. EX1063, ¶56.
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`Bausch also argues “nothing in the art suggested” [Glu3]-substitution would
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`reduce interconversion. POR, 2, 27, 38-39. Yet Klodt observed the “sterical bulk”
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`of “other residues” far from the C-terminus may influence interconversion.
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`EX2020, 228. Marx observed “the ionization state of the isomeric molecules
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`strongly influences the kinetics of the transition,” and the ionizable side chains of
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`Asp2, Asp3, and Glu5 “may be involved in the control of stabilization of the two
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`isomers.” EX2010, 236, 238. Though extending the amino-terminal region does
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`not reduce topoisomerism, this does not contradict Marx’s teaching that ionizable
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`side-chains at positions 2-3 may affect topoisomerism. EX1063, ¶178. A POSA
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`considering topoisomeric conversion thus had additional reason for the [Glu3]-
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`substitution, an ionizable side-chain modification at position 3. EX1063, ¶¶50, 60.
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`2.
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`Bausch’s Exhibits Support Making the Conservative,
`Homologous [Glu3]-Substitution.
`Bausch simultaneously argues conservative substitutions have minimal
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`effect on biological activity but also are so unpredictable a POSA could have no
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`expectation regarding [Glu3]-substitution. POR, 22, 41-42. Yet Bausch’s exhibits
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`confirm Dr. Peterson’s testimony that [Glu3]-substitution was an obvious,
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`conservative modification expected to retain activity. EX1063, ¶62; EX2041, 37-
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`38 (“In the case of aspartic acid, the obvious replacement is glutamic acid…these
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`are certainly the only really conservative substitutions that would be possible.”);
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`EX2035, 397 (“In protein engineering the concept of conservative mutations is
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`frequently used.”). Reasonable expectation of success does not require guaranteed
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`success. Pfizer v. Apotex, 480 F.3d 1348, 1364 (Fed. Cir. 2007) (“obviousness
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`cannot be avoided simply by a showing of some degree of unpredictability”).
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`Bausch argues substituting Glu for Asp could affect certain peptide
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`structures. POR, 21, 50 (citing EX2036 out of context). Although Fiser found Asp
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`overrepresented in buried rings/loops, uroguanylin’s third position is not buried in
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`a ring/loop. EX1063, ¶¶63-65; EX2036, Abstract, 225-28; EX2010, 233, 235.
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`When an image of the peptide including position 3 is used, Bausch’s misstatement
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`of Fiser’s teachings is apparent. EX2010, Fig. 4 (details, Isomer A column,
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`showing unburied position 3, annotated with red coloring).
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`Bausch argues Jonson found an exception in a different peptide to the
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`“common belief that a Glu to Asp mutation is conservativ

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