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`US00770494 7B2
`
`c12) United States Patent
`Currie et al.
`
`(IO) Patent No.:
`(45) Date of Patent:
`
`US 7,704,947 B2
`* Apr. 27, 2010
`
`(54) METHODS AND COMPOSITIONS FOR THE
`TREATMENT OF GASTROINTESTINAL
`DISORDERS
`
`(75)
`
`Inventors: Mark G. Currie, Sterling, MA (US);
`Shalina Mahajan-Miklos, Stanford, CA
`(US); Thea Norman, San Diego, CA
`(US); G. Todd Milne, Brookline, MA
`(US)
`
`(73) Assignee: Ironwood Pharmaceuticals, Inc.,
`Cambridge, MA (US)
`
`( *) Notice:
`
`Subject to any disclaimer, the term ofthis
`patent is extended or adjusted under 35
`U.S.C. 154(b) by 51 days.
`
`This patent is subject to a terminal dis(cid:173)
`claimer.
`
`(21) Appl. No.: 11/930,696
`
`(22) Filed:
`
`Oct. 31, 2007
`
`(65)
`
`Prior Publication Data
`
`US 2009/0005534 Al
`
`Jan. 1, 2009
`
`Related U.S. Application Data
`
`(62) Division of application No. 10/766,735, filed on Jan.
`28, 2004, now abandoned.
`
`(60) Provisional application No. 60/443,098, filed on Jan.
`28, 2003, provisional application No. 60/471,288,
`filed on May 15, 2003, provisional application No.
`60/519,460, filed on Nov. 12, 2003.
`
`(51)
`
`Int. Cl.
`C07K 7108
`(2006.01)
`(52) U.S. Cl. ........................................... 514/2; 530/327
`(58) Field of Classification Search ....................... None
`See application file for complete search history.
`
`(56)
`
`References Cited
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`(Continued)
`
`Primary Examiner-Christopher R. Tate
`Assistant Examiner-Roy Teller
`(74) Attorney, Agent, or Firm-Honigman Miller Schwartz
`and Cohn LLP; Kelly T. Murphy; Johnathan P. O'Brien
`
`(57)
`
`ABSTRACT
`
`The present invention features compositions and related
`methods for treating IBS and other gastrointestinal disorders
`and conditions ( e.g., gastrointestinal motility disorders, func(cid:173)
`tional gastrointestinal disorders, gastroesophageal reflux dis(cid:173)
`ease (GERD), Crohn's disease, ulcerative colitis, Inflamma(cid:173)
`tory bowel disease,
`functional heartburn, dyspepsia
`(including functional dyspepsia or nonulcer dyspepsia), gas(cid:173)
`troparesis, chronic intestinal pseudo-obstruction ( or colonic
`pseudo-obstruction), and disorders and conditions associated
`with constipation, e.g., constipation associated with use of
`opiate pain killers, post-surgical constipation, and constipa(cid:173)
`tion associated with neuropathic disorders as well as other
`conditions and disorders using peptides and other agents that
`activate the guanylate cyclase C (GC-C) receptor.
`
`16 Claims, 19 Drawing Sheets
`
`Bausch Health Ireland Exhibit 2015, Page 1 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`US 7,704,947 B2
`Page 2
`
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`
`* cited by examiner
`
`Bausch Health Ireland Exhibit 2015, Page 2 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

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`Bausch Health Ireland Exhibit 2015, Page 3 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

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`Bausch Health Ireland Exhibit 2015, Page 4 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

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`
`Bausch Health Ireland Exhibit 2015, Page 5 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`-....l = N
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`
`PEPTIDE CC)NCENTRATION (nrn)
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`'i ,:3
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`Bausch Health Ireland Exhibit 2015, Page 6 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`-....l = N
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`FIG~, 3A
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`Bausch Health Ireland Exhibit 2015, Page 7 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`-....l = N
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`Bausch Health Ireland Exhibit 2015, Page 8 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`U.S. Patent
`
`Apr. 27, 2010
`
`Sheet 7 of 19
`
`US 7,704,947 B2
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`Bausch Health Ireland Exhibit 2015, Page 9 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`U.S. Patent
`
`Apr. 27, 2010
`
`Sheet 8 of 19
`
`US 7,704,947 B2
`
`f
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`Bausch Health Ireland Exhibit 2015, Page 10 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`-....l = N
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`
`Bausch Health Ireland Exhibit 2015, Page 11 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`U.S. Patent
`
`Apr. 27, 2010
`
`Sheet 10 of 19
`
`US 7,704,947 B2
`
`-.... J•-•r..>».
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`Bausch Health Ireland Exhibit 2015, Page 12 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`U.S. Patent
`
`Apr. 27, 2010
`
`Sheet 11 of 19
`
`US 7,704,947 B2
`
`-,m
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`Bausch Health Ireland Exhibit 2015, Page 13 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`--..l = N
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`
`Bausch Health Ireland Exhibit 2015, Page 14 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`U.S. Patent
`
`Apr. 27, 2010
`
`Sheet 13 of 19
`
`US 7,704,947 B2
`
`........ ··r-
`
`1
`!
`f
`!L
`
`0
`('{)
`
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`
`.,....-....,
`rn
`X
`
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`
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`
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`
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`
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`
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`
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`ro
`0
`0
`
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`
`0
`
`❖
`
`0
`
`Bausch Health Ireland Exhibit 2015, Page 15 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`-....l = N
`~
`\0
`~ = ~
`d r.,;_
`
`-....l
`
`....
`0 ....
`....
`.....
`rJJ =(cid:173)
`
`.i;...
`
`('D
`('D
`
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`
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`~--l
`N
`:-:
`> "e
`
`0 ....
`
`0
`
`~ = ~
`
`~
`~
`~
`•
`r:J).
`~
`
`FIG. 7
`
`'.~, p<O. 05 as eornpared to '*vehicle't va!ue
`
`,,,' .
`".:i-·1
`
`. ,~.. . .j __
`---~ E·'.· Q Ir)·· N'. · ·c, . ..,,
`
`. ¼.J t t:>
`
`·1:. "N 8-<' --
`
`,••••••-..•••••-•------------..-,
`
`·..-.'..o•'-:,•,-: '' o.o•,A.c .. •,-,v.-.,...,...,-,
`
`•~,'-<"'H
`
`:C:A
`
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`:~~()
`
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`,.
`
`·".•.-"
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`..... , ... '. ..........•• ,,,,J.---.----wm.-.·.-·•·•:•·••·•••'.•'.•'.-'.
`
`1
`I
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`f
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`-:5 . .J
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`--•"'••·•·•••"'•'•'•••'••'••·•,•••-••-·-•'.~,.J .• , •.• , •.•. •.•·'
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`
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`
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`
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`
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`Vehiclfr +
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`
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`
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`
`'
`
`··••••••'
`
`. · . '
`
`'
`
`•••• "'N •••••••••••••
`
`.••----•'
`
`.N=•=M•,•-•-•-•-•····"··"-----• .,. •••• .,•.•
`
`COLOREC.TAL DiS'T.ENS!ON l~.SSAY
`
`IN RAT TNBS
`
`EFFECT OF SEQ ID NO: 31
`
`0
`
`(i ....
`
`f !
`I
`'1 {) -,J
`
`.
`
`. ,.) -··
`1t:;
`
`.❖"':. .. ;.J 7
`S·) f>
`f
`
`~ z
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`vb m
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`tr)
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`
`~+❖Y
`~.-.•>"
`
`Bausch Health Ireland Exhibit 2015, Page 16 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`--..l = N
`~
`\0
`~ = ~
`
`--..l
`rJl.
`d
`
`....
`0 ....
`Ul
`....
`.....
`rJJ =(cid:173)
`
`('D
`('D
`
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`
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`~-...J
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`:-:
`> "e
`
`0 ....
`
`0
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`~ = ~
`
`~
`~
`~
`•
`00
`~
`
`' I
`
`•• ••••• : .... •• :. • i
`
`'-.<h. . .U'\
`(~•"·::a !r-" .N···)·· ')t'l IN~\ !'i.t.ru(:'E--\~/f:J!Tf--.J!N· G'::S A·•.<::'..'(:'IJ.Y'
`vic.;r:ER ,\l .J:,,Nrr1·~-1nr·1r•e::r .. ·r1, 1.1-:;; c FF~crT· ·c:-. t)·. F···
`
`<,.:,?t:,
`
`,.'i;.•.-' ..... ___
`
`•:.t
`
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`
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`. l~ ~ . .1 ~JI ...,:., L.,.
`
`. -t
`
`,. Li C. ,.,_c,
`, ~t ·~ .. r'-' .
`
`FIG. 8A
`
`indornethacin
`
`SEQ !D NO: 28
`
`rrtcJ/krt
`
`.v,;
`
`•-.;,.}'
`
`--"•• .•. A ••• q.
`
`. /. <..
`f'>'!Cglk~g"
`
`. I
`
`... 1 .................................. tT_:···J~-~ j
`
`i
`
`I
`
`;1
`
`.,,. ..
`
`mg/kg
`0)3
`
`µ9/kg
`
`'i
`
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`
`. -
`
`········ ... ·········t ..................... .
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`i
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`............... L .. ----................ ,
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`.•.•.•.•.•.•.•.•.•_.,_,_,_,__.,_ .... -,,.•.•.-,.-.-,,~-----• .. •••••• .. •••••••W••• ••• •••••••--• •• ••••••
`
`,,_,.,~. ".• J.; • ••••••••••••--•••• --••
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`'1
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`writh1ngs 20
`Number of
`
`"
`
`25
`
`30 I ,;
`i
`' !
`35'1
`
`Bausch Health Ireland Exhibit 2015, Page 17 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`N
`~--:i
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`:-:
`> "e
`
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`
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`~
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`
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`
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`
`•
`
`-,
`
`i r--! ,~e::i /-\~'~: r-\Y
`-.;:;n;:;(,< uJ \u: s:,'i ii",i --. IV! .J,, de:. iii '\.
`' H, l A "'C ! J<'• r·· -11',Jf:>1··,·--1._1 ir,l .. , ,; s· S' {'., --
`r•r·: .....
`V!SCEE.!\L ANT!NOCICEF'~f!VE FFfECTS OF
`
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`"l f"
`
`-....l = N
`~
`\0
`~ = ~
`d r.,;_
`
`-....l
`
`FIG. 8B
`
`-•
`
`•~~~-••'""'"•"'•"'''-••-----M-M---•
`
`1ndornethad n
`
`-::n:..· . • Pl J: , i
`r•,cc·to··· 1-□·) td("" 3,1
`
`rn~1/kg
`
`.:>
`
`;•·i
`
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`
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`
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`
`(L3
`
`µglkg
`10
`
`µq/kg
`
`,, ... ~,
`
`') r.:;
`
`'k
`pg1 g
`'l
`
`Vehk:!e
`
`....
`0 ....
`....
`......
`rJJ =(cid:173)
`
`O'I
`
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`('D
`
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`
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`
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`. -';/ /;/:>:>> //_....
`·2/_:.--:,,,_/////1_
`~;'f-;"::.:;.,;>:,:;/~<~>i<i
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`
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`:
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`:
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`
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`
`wrUhings
`Nurnber of
`
`Bausch Health Ireland Exhibit 2015, Page 18 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`-....l = N
`~
`\0
`~ = ~
`
`-....l
`rJl.
`d
`
`FIG" 9
`
`SEQ iD NO: 31, Log (M)
`
`"5
`
`w6
`
`.,.7
`
`•••8
`
`"9
`
`" ·10
`
`,, 11
`
`-12
`0
`
`....
`0 ....
`..... ....
`rJJ =(cid:173)
`
`--.J
`
`('D
`('D
`
`1,0
`
`> "e :-:
`
`N
`~--.J
`N
`
`0 ....
`
`0
`
`· ,_ , · · · ·"
`

`
`········ · ·
`
`25 l · ·
`
`I
`
`; -:;·
`
`, , , n:\
`
`11-:: ..
`
`:· 1
`
`5(J '"°ii
`
`('¼> B/Bo)
`
`·i2sl,--MM..,77f3
`
`w.~«· ______________________ .,....
`
`.• ~ •·1 1:· ;,;.;·--..... -.... ~
`
`K,d = 4,5 nM
`
`·7·5 ,.,-;,,--,. !JJ
`
`~ •
`
`1 00 · i · · · · ... · , · .. _,, · ·
`
`~ = ~
`
`~
`~
`~
`•
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`~
`
`corv1 PETiT!VE RADIOL!GAND BIN CH NG
`
`,., r ~; t:, :,/. I t .. , ! ~ ,., ,
`()t:'. s. t···; c·" u·) fU ()' ') 'l
`
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`
`!4 •.• d
`-~ ")le·
`
`Bausch Health Ireland Exhibit 2015, Page 19 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`....
`0 ....
`..... ....
`rJJ =(cid:173)
`
`QO
`
`('D
`('D
`
`1,0
`
`> "e :-:
`
`N
`~--.J
`N
`
`0 ....
`
`0
`
`~ = ~
`
`~
`~
`~
`•
`00
`~
`
`-....l = N
`~
`\0
`~ = ~
`d r.,;_
`
`-....l
`
`1 r,;c1
`r .......................... •.•'.'""" 000H•00";••
`
`"-'.-"'
`
`.•"
`
`FIG. 10A
`Tirne (min)
`
`100
`
`0
`
`* Urnit of detection 0.061 p.fJ/ml
`
`Dosing at ·10 mg/kg
`
`. ,.. :»··-·:;:·=:'.':: .
`
`5J
`
`.
`
`Q Irr , ~.·.. . . .. '11' .·. .
`
`J
`
`(based on EUSA)
`< 2-2~10 Bloavfiilab!e
`
`···············""-~-··········•··············l
`
`. ......... ., ,, ·~··" .. ··················· ················· ..
`
`... ;}
`;:.;
`
`Concentration
`
`(p{J/rni)
`
`·15 r-··~·········· ............... ., · ··--·--~~, .. ,,.,,...... . ......
`
`1
`l
`i
`I
`
`•••••••·• ·•
`
`•
`
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`
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`\ •nit ,rm,
`
`11
`
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`w~..-.-,.,,,,,-,., ................. .,.~·.,,,,i._.;:.:...;.~w ,.---~•'-•••:;;;:••·••• .. •••••..
`,
`I
`
`··· ·~-~. --················•···········••w,~•-~. "'-••····················
`.
`
`')5 ~·
`i• • •.•.
`
`l
`20 !···
`
`II
`
`f«.1,>-'.'•
`
`.
`
`;-••••••••••••••'-'•••••••••••••••••·•••••••.•••••••••••••••••••••.••,•••••••u••••-•u_•_••
`
`. '~'-.,/, ...;;
`
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`
`"-11.IN!MU~.1 SYSTE·l"l,11c·" t.-E·JSOf'ip•·J·'ION n1::· <:>Fr' 1· r;·· 1\1.t"'-• ,,i
`
`'
`'
`'E.3A. ""E•··O 1""'·· 1 E! ic:;•A,,,
`Z") , .. , .. dN .. : .• P.} , 1
`1 ·
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`
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`
`IV! .....•. fl
`
`Bausch Health Ireland Exhibit 2015, Page 20 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`U.S. Patent
`
`Apr. 27, 2010
`
`Sheet 19 of 19
`
`US 7,704,947 B2
`
`200
`
`240
`
`FIG 108
`
`Bausch Health Ireland Exhibit 2015, Page 21 of 66
`Mylan v. Bausch Health Ireland - IPR2022-00722
`
`

`

`US 7,704,947 B2
`
`1
`METHODS AND COMPOSITIONS FOR THE
`TREATMENT OF

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