`571-272-7822
`
`Paper 9
`Entered: October 2, 2023
`
`
`
`UNITED STATES PATENT AND TRADEMARK OFFICE
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
`MYLAN PHARMACEUTICALS INC.,
`Petitioner,
`v.
`NOVO NORDISK A/S,
`Patent Owner.
`
`IPR2023-00722
`Patent 8,536,122 B2
`
`
`
`
`
`
`
`
`
`Before JOHN G. NEW, SUSAN L. C. MITCHELL, and
`ROBERT A. POLLOCK, Administrative Patent Judges.
`POLLOCK, Administrative Patent Judge.
`
`DECISION
`Denying Institution of Inter Partes Review
`35 U.S.C. § 314
`
`
`
`
`
`
`
`
`
`IPR2023-00722
`Patent 8,536,122 B2
`
`INTRODUCTION
`I.
`Petitioner, Mylan Pharmaceuticals Inc., filed a Petition for inter partes
`review of claims 1, 2, 4–11, 13, and 15 of U.S. Patent No. 8,536,122 B2 (Ex.
`1001, “the ’122 patent”). Paper 1 (“Pet.”). Patent Owner, Novo Nordisk A/S,
`timely filed a Preliminary Response. Paper 6 (“Prelim. Resp.”). Petitioner
`further filed an authorized Reply to the Preliminary Response (Paper 7,
`“Reply”); Patent Owner filed a responsive Sur-Reply (Paper 8, “Sur-reply”).
`For the reasons provided below, we determine Petitioner has not
`satisfied the threshold requirement set forth in 35 U.S.C. § 314(a). Because
`Petitioner has not demonstrated a reasonable likelihood that at least one
`claim of the ’122 patent is unpatentable, we do not institute an inter partes
`review on the Grounds raised in the Petition. See SAS Inst., Inc. v. Iancu,
`138 S. Ct. 1348, 1359–60 (2018); PGS Geophysical AS v. Iancu, 891 F.3d
`1354, 1360 (Fed. Cir. 2018) (interpreting the statute to require “a simple yes-
`or-no institution choice respecting a petition, embracing all challenges
`included in the petition”); see also Guidance on the Impact of SAS on AIA
`Trial Proceedings (April 26, 2018). 1
`A. Real Parties in Interest
`Petitioner identifies Mylan Pharmaceuticals Inc., Mylan Inc., and
`Viatris Inc. as the real parties-in-interest. Pet. 2. Patent Owner identifies
`Novo Nordisk A/S and Novo Nordisk Inc. as real parties-in-interest. Paper 4,
`1.
`
`
`
`
`1 Available at https://www.uspto.gov/patents-application-process/patent-
`trial-and-appeal-board/trials/guidance-impact-sas-aia-trial (“Guidance”).
`
`2
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`IPR2023-00722
`Patent 8,536,122 B2
`B. Related Matters
`In addition to the current matter, Petitioner challenges claims 1–6 of
`U.S. Patent No. 8,129,343 B2 (Ex. 1002, “the ’343 patent”) in IPR2023-
`00723. The ’122 patent is a continuation of application No. 11/908,834 that
`issued as the ’343 patent.
`According to the parties, the ’122 patent is at issue in the following
`pending actions involving the parties, among other litigations:
`Novo Nordisk Inc. v. Mylan Pharmaceuticals Inc., No. 22-cv-
`01040-CFC (D. Del.);
`Novo Nordisk Inc. v. Viatris Inc., No. 1:23-cv-00013-TSK
`(N.D. W. Va.);
`Novo Nordisk Inc. v. Viatris Inc., No. 1:23-cv-00101-CFC (D.
`Del); and
`In re: Ozempic (Semaglutide) Patent Litig., No. 22-md-3038-
`CFC (D. Del.).
`Pet. 2–3; Paper 4, 1–2.
`C. The ’122 Patent and Relevant Background
`The ’122 patent, titled “Acylated GLP-1 Compounds,” is directed to
`modified analogs of glucagon-like peptide 1 (GLP-1). Ex. 1001, code (54),
`1:59–2:7. GLP-12 is a naturally-occurring insulinotropic peptide hormone
`derived from a 37-amino acid precursor by the enzymatic removal of amino
`acids 1–6 and modification of amino acids 8 and 26. See, e.g., id. at 3:27–30,
`
`
`2 Although the unprocessed peptide is sometimes referred to as GLP-1 (see
`Pet. 17–18), we generally understand the term to refer to a processed form.
`See, e.g., Ex. 1002, 3:27–30. For additional specificity, GLP-1 peptides may
`be identified with reference to its amino acid sequence as compared to the 37
`amino acid precursor form. For example, GLP-1(1–37) may refer to the full-
`length parent molecule, and GLP-1(7–37) to a post-cleavage form in which
`amino acids 1–6 have been removed. See Prelim. Resp. 6, n.3.
`
`
`3
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`IPR2023-00722
`Patent 8,536,122 B2
`Ex. 1011, 677. 3, 4 The structure of a naturally-occurring mature form is
`shown below.
`
`
`
`Pet. 18; Prelim. Resp. 7. 5 The above figure illustrates the structure of GLP-
`1(7–37) including the modifications to the alanine 7 and lysine 26.
`In the body, GLP-1 is rapidly degraded by dipeptidyl aminopeptidase
`IV (DPP-IV), such that “the natural hormone is not very useful as a drug.”
`Ex. 1011, 677. According to the ’122 patent, the prior art discloses various
`“approaches . . . for modifying the structure of glucagon-like peptide 1
`(GLP-1) compounds in order to provide a longer duration of action in vivo,”
`but indicates that, because of the short half-lives, prior art GLP-1
`compounds must be administered at least once daily. See Ex. 1001, 1:23–43.
`The ’122 patent discloses improved GLP-1 analogs intended to allow
`for reduced dosing frequency when treating type 2 diabetes. Id. at 1:52–2:7.
`In particular, the ’122 patent describes GLP-1 analogs with modifications
`“of at least one non-proteogenic amino acid residue in positions 7 and/or 8
`relative to the sequence GLP-1(7-37) (SEQ ID No. 1), which is acylated
`
`
`3 L. B. Knudsen et al., GLP-1 derivatives as novel compounds for the
`treatment of type 2 diabetes: selection of NN2211 for clinical development,
`26(7) DRUGS OF THE FUTURE 677–685 (2001). (“Knudsen 2001”).
`4 We generally refer to the original page numbers of cited art rather than to
`the numbering assigned by the parties.
`5 Naturally occurring GLP-1 also occurs as an amide, GLP-1(7-36) amide.
`See Ex. 1011, 677.
`
`4
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`IPR2023-00722
`Patent 8,536,122 B2
`with a moiety to the lysine residue in position 26,” and wherein the moiety
`includes at least two acidic groups. Id. at 1:57–63, 4:4–16, Ex. 1011, 677.
`The non-proteogenic amino acid residue in positions 7 and/or 8 protects the
`modified compounds from DPP-IV degradation as compared to native GLP-
`1. See Ex. 1002, 4:4–19; 6:18–25. The acylated GLP-1 analog binds to
`albumin and the GLP-1 receptor simultaneously. Id. at 5:4–6. Specifically,
`the acylated GLP-1 analog is acylated “with a lipophilic albumin binding
`moiety containing at least two free acidic chemical groups attached via a
`non-natural amino acid linker to the lysine residue in position 26.” Id. at
`6:11–14.
`The ’122 patent discloses a number of specific compounds, including
`semaglutide, N-ε26-[2-(2-[2-(2-[2-(2-[4-(17-Carboxyheptadecanoylamino)-
`4(S)-carboxybutyrylamino]ethoxy)ethoxy]acetylamino)ethoxy]ethoxy)
`acetyl][Aib8,Arg34]GLP-1-(7-37)peptide. Id. at 57:1–58:37 (Example 4);
`Ex. 1020 ¶ 100. The structure of semaglutide may also be illustrated as:
`
`
`
`Ex. 1020 ¶ 100.
`D. Relevant Prosecution History
`The ’122 patent was filed as Application No. 13/412,283 and claims
`priority as a continuation of Application no. 11/908,834, having a filing date
`of March 20, 2006, that issued as the ’343 patent. Accordingly, we discuss
`the prosecution history both the ’343 and ’122 patents below.
`
`5
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`IPR2023-00722
`Patent 8,536,122 B2
`1. The ’343 Patent Prosecution History
`In a first (and only) Office Action on the merits,6 the Examiner
`rejected certain claims in view the Knudsen Patent7 and Larsen.8 Ex. 1004,
`41–45. The Examiner found that the Knudsen Patent discloses a genus of
`GLP-1 analogs that encompassed the claimed genus. Id. at 41–42. The
`Examiner further found that the Knudsen Patent teaches attaching lipophilic
`substituents to the GLP-1 moiety to “obtain a satisfactory protracted profile
`of action.” Id. at 43. The lipophilic substituents may be attached by means of
`a hydrophilic spacer. See id. The Examiner also found that Larsen teaches
`modifying GLP-1 with alpha-amino-isobutyric acid (Aib) at position 8 and a
`lipophilic substituent. Id. at 45. The Examiner determined that one of
`ordinary skill in the art would have been motivated to select GLP-1 analogs,
`spacers and lipophilic substituents taught by the Knudsen Patent, further
`modified with Larsen’s Aib amino acid at position 8. Id. at 44–45.
`According to the Examiner, a person of ordinary skill in the art would have
`been motivated to make the modifications to produce analogs with increased
`stability and a satisfactory protracted profile of action. See id.
`In response, the Applicant cancelled the all claims and entered new
`claims that are substantially identical to those of the ’2 patent. Ex. 1004, 31–
`
`
`6 Prior to this Office Action, Applicants engaged in an initial Examiner
`interview, submitted a preliminary amendment, and elected semaglutide for
`examination in response to a restriction requirement. See Ex. 1004, 68, 72,
`100–103.
`7 L.B. Knudsen et al., US 6,268,343 B1, issued July 31, 2001. (“Knudsen
`Patent”) (“Knudsen 2004”) (Ex. 1012).
`8 P.J. Larsen et al., Systemic Administration of the Long-Acting GLP-1
`Derivative NN2211 Induces Lasting and Reversible Weight Loss in Both
`Normal and Obese Rats, 50 DIABETES 2530 (2001) (“Larsen”) (Ex. 1086).
`
`6
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`IPR2023-00722
`Patent 8,536,122 B2
`33. The Applicant noted “that the new claims are directed to the compound
`disclosed in Example 4.” Id. at 35. Following an Examiner’s amendment to
`correct the sequence of the claimed formula, the Examiner issued a Notice of
`Allowance. See id. at 20–27.
`2. The ’122 Patent Prosecution History
`In a first Action, the Examiner required election of species between
`claims directed to compounds (claims 1–26) and methods of using the
`compounds (claims 27–29). Ex. 1003, 88–89. The Examiner further required
`election of a single disclosed species for prosecution on the merits. Id. at 90.
`In response, the Applicant cancelled the originally filed claims, and entered
`new claims 32–47, reciting a genus of GLP-1 analogs. Id. at 75–80. Within
`the genus, Applicant elected the compound of Example 5 (semaglutide) as
`the species. Id. at 81–82.
`Following the Amendment, the Examiner issued a Notice of
`Allowance. See id. at 38–45.
`E. Illustrative Claims
`Claim 1 is the only independent claim of the ’122 patent. See Ex.
`1001, 123:2–124:43. Of these, Petitioner challenges claims 1, 2, 4–11, 13,
`and 15. Pet. 1. There is no dispute that the challenged claims encompass
`semaglutide, the active ingredient in Patent Owner’s Ozempic, Rybelsus,
`and Wegovy products. See Prelim. Resp. 1,7–8; Pet. 2, 6, 67.
`Challenged claim 1 is reproduced below.
`
`7
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`IPR2023-00722
`Patent 8,536,122 B2
`1. A compound of formula II (SEQ ID No. 3):
`
`
`
`wherein
`Xaa7 is L-histidine, D-histidine, desamino-histidine,
`2-amino-histidine, β-hydroxy-histidine, homohistidine,
`Nα-acetyl-histidine, a-fluoromethyl-histidine,
`a-methyl-histidine, 3-pyridylalanine, 2-pyridylalanine, or
`4-pyridylalanine;
`Xaa8 is Gly, Val, Leu, Ile, Lys, Aib, (1-aminocyclopropyl)
`carboxylic acid, (1-aminocyclobutyl) carboxylic acid,
`(1-aminocyclopentyl) carboxylic acid, (1-aminocyclohexyl)
`carboxylic acid, (1-aminocycloheptyl) carboxylic acid, or
`(1-aminocyclooctyl) carboxylic acid;
`Xaa16 is Val or Leu;
`Xaa18 is Ser, Lys, or Arg;
`Xaa19 is Tyr or Gln;
`Xaa20 is Leu or Met;
`Xaa22 is Gly, Glu, or Aib;
`Xaa23 is Gln, Glu, Lys, or Arg;
`Xaa25 is Ala or Val;
`Xaa27 is Glu or Leu;
`
`8
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`IPR2023-00722
`Patent 8,536,122 B2
`Xaa33 is Ala, Glu, or Arg;
`Xaa33 is Val or Lys;
`Xaa34 is Lys, Glu, Asn, or Arg;
`Xaa35 is Gly or Aib;
`Xaa36 is Arg, Gly, Lys, or is absent;
`Xaa37 is Gly, Ala, Glu, Pro, Lys, or is absent;
`Xaa38 is Lys, Ser, amide, or is absent; and
`where U is a spacer selected from
`
`
`
`
`
`
`
`
`
`
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`9
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`IPR2023-00722
`Patent 8,536,122 B2
`
`
`
`and
`
`
`
`
`
`where n is 12, 13, 14, 15, 16, 17, or 18,
`l is 12, 13, 14, 15, 16, 17, or 18,
`m is 0, 1, 2, 3, 4, 5, or 6,
`s is 0, 1, 2, or 3,
`p is 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20,
`21, 22, or 23; and
`where B is an acidic group selected from
`and
`
`
`
`
`
`
`Ex. 1001, 1:2–124:43; Certificate of Correction 1.
`With respect to the challenged dependent claims, claims 2, and 4–11
`recite compounds within the genus of claim 1. See id. at 124:44–126:41.
`Claim 13 recites a pharmaceutical compound comprising a compound of
`claim 1. Id. at 131:16–18. Claim 15 recites a method of treating
`hyperglycemia and/or type 2 diabetes by administering a GLP-1 analog
`according to claim 1. Id. at 131:22–132:17.
`
`10
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`IPR2023-00722
`Patent 8,536,122 B2
`F. Asserted Grounds of Unpatentability
`Petitioner asserts that claims 1, 2, 4–11, 13, and 15 would have been
`unpatentable on the following grounds:
`Claim(s)
`Reference(s)/Basis
`Challenged 35 U.S.C. §
`Knudsen 2004, 9
`1, 2, 4–11,
`103
`Knudsen Patent, Dong,10
`13, 15
`Bridon 11
`Knudsen 2001, 12
`1, 2, 4–11,
`Knudsen Patent, Dong, Bridon
`13, 15
`Knudsen 2004, Knudsen 2001,
`1, 2, 4–11,
`Knudsen Patent, Dong, Bridon
`13, 15
`Petitioner further relies, inter alia, on the Declarations of Peter Flatt,
`
`Ph.D. (Ex. 1020), Christopher J. Soares, Ph.D. (Ex. 1022), Paul Dalby,
`
`103
`
`103
`
`Ground
`1
`
`2
`
`313
`
`
`9 L. B. Knudsen, Glucagon-like Peptide-1: The Basis of a New Class of
`Treatment for Type 2 Diabetes, 47 J. MED. CHEM. 4128–4134 (2004). (Ex.
`1010).
`10 J. Z. Dong et al., Glucagon-Like Peptide-I Analogs with Significantly
`Improved in vivo Activity, in PEPTIDES: THE WAVE OF THE FUTURE,
`PROCEEDINGS OF THE SECOND INTERNATIONAL AND THE SEVENTEENTH
`AMERICAN PEPTIDE SYMPOSIUM 670–671 (2001). (“Dong”) (Ex. 1013).
`11 D.P. Bridon et al., US 6,514,500 B1, issued Feb. 4, 2003. (“Bridon”)
`(Ex. 1014).
`12 L. B. Knudsen et al., GLP-1 derivatives as novel compounds for the
`treatment of type 2 diabetes: selection of NN2211 for clinical development,
`26(7) DRUGS OF THE FUTURE 677–685 (2001). (Ex. 1011).
`13 Petitioner casts Ground 3 as directed to “[o]bviousness over the prior art
`and common drug development principles.” Pet. 5. Insofar as Petitioner’s
`review of the “Scope and Content of the Prior Art,” addresses only Knudsen
`2004, Knudsen 2001, Knudsen Patent, Dong, and Bridon, we infer that
`Ground 3 is also limited to these five references. See id. at 19–26; see also
`Reply, 1 (Petitioner’s statement that “Ground 3 relies on the same prior art
`as Grounds 1 and 2.”).
`
`11
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`IPR2023-00722
`Patent 8,536,122 B2
`Ph.D. (Ex. 1024), and John Bantle, M.D. (Ex. 1026). Patent Owner’s
`Preliminary Response does not identify the testimony of subject matter
`declarant(s).
`
`II. ANALYSIS
`
`A. Legal Standards
`“In an [inter partes review], the petitioner has the burden from the
`onset to show with particularity why the patent it challenges is
`unpatentable.” Harmonic Inc. v. Avid Tech., Inc., 815 F.3d 1356, 1363 (Fed.
`Cir. 2016) (citing 35 U.S.C. § 312(a)(3) (2012) (requiring inter partes
`review petitions to identify “with particularity . . . the evidence that supports
`the grounds for the challenge to each claim”)). This burden of persuasion
`never shifts to Patent Owner. See Dynamic Drinkware, LLC v. Nat’l
`Graphics, Inc., 800 F.3d 1375, 1378 (Fed. Cir. 2015) (discussing the burden
`of proof in inter partes review).
`A claim is unpatentable under 35 U.S.C. § 103 if the differences
`between the claimed invention and the prior art are such that the claimed
`invention as a whole would have been obvious before the effective filing
`date of the claimed invention to a person having ordinary skill in the art to
`which the claimed invention pertains. See KSR Int’l Co. v. Teleflex Inc., 550
`U.S. 398, 406 (2007). The question of obviousness is resolved on the basis
`of underlying factual determinations including: (1) the scope and content of
`the prior art; (2) any differences between the claimed subject matter and the
`prior art; (3) the level of ordinary skill in the art; and (4) objective evidence
`of nonobviousness, if any. Graham v. John Deere Co., 383 U.S. 1, 17–18
`(1966).
`
`12
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`IPR2023-00722
`Patent 8,536,122 B2
`In analyzing the obviousness of a combination of prior art elements, it
`can be important to identify a reason that would have prompted one of skill
`in the art “to combine . . . known elements in the fashion claimed by the
`patent at issue.” KSR, 550 U.S. at 418. A precise teaching directed to the
`specific subject matter of a challenged claim is not necessary to establish
`obviousness. Id. Rather, “any need or problem known in the field of
`endeavor at the time of invention and addressed by the patent can provide a
`reason for combining the elements in the manner claimed.” Id. at 420.
`Accordingly, a party that petitions the Board for a determination of
`unpatentability based on obviousness must show that “a skilled artisan
`would have been motivated to combine the teachings of the prior art
`references to achieve the claimed invention, and that the skilled artisan
`would have had a reasonable expectation of success in doing so.” In re
`Magnum Oil Tools Int’l, Ltd., 829 F.3d 1364, 1381 (Fed. Cir. 2016) (internal
`quotations omitted).
`The Federal Circuit provides a two-prong analysis to determine
`whether a new chemical compound is prima facie obvious over particular
`prior art. The fact finder first determines whether a chemist of ordinary skill
`would have selected one or more prior art compounds as lead compounds, or
`starting points, for further development efforts. (Otsuka Pharm. Co. v.
`Sandoz Inc., 678 F.3d 1280, 1291 (Fed. Cir. 2012). The Court defines a lead
`compound as “a compound in the prior art that would be most promising to
`modify in order to improve upon its . . . activity and obtain a compound with
`better activity,” (Takeda Chem. Indus., Ltd. v. Alphapharm Pty., Ltd., 492
`F.3d 1350, 1357 (Fed. Cir. 2007), or “a natural choice for further
`development efforts.” Altana Pharma AG v. Teva Pharm. USA, Inc., 566
`F.3d 999, 1008 (Fed. Cir. 2009). The second step involves determining
`
`13
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`IPR2023-00722
`Patent 8,536,122 B2
`“whether the prior art would have supplied one of ordinary skill in the art
`with a reason or motivation to modify a lead compound to make the claimed
`compound with a reasonable expectation of success.” Otsuka, 678 F.3d at
`1292 (citing Takeda, 492 F.3d at 1357).
`B. Level of Ordinary Skill in the Art
`In determining the level of skill in the art, we consider the type of
`problems encountered in the art, the prior art solutions to those problems, the
`rapidity with which innovations are made, the sophistication of the
`technology, and the educational level of active workers in the field. See
`Custom Accessories, Inc. v. Jeffrey-Allan Industries, Inc., 807 F.2d 955, 962
`(Fed. Cir. 1986); see also Orthopedic Equip. Co. v. United States, 702 F.2d
`1005, 1011 (Fed. Cir. 1983).
`In addressing the level of ordinary skill in the art, Petitioner contends
`that “[t]he claimed subject matter falls within the medicinal chemical and
`pharmacological arts and encompasses the skills, education, and expertise of
`a team of individuals working together to develop and formulate GLP-1
`analogs to treat patients having type-2 diabetes or related conditions.” Pet. 7.
`The persons of ordinary skill in the art (“POSA”) making up the team would
`have
`
`an M.D., Pharm.D., or doctoral degree(s) in chemistry,
`biochemistry, pharmaceutics, pharmaceutical sciences, chemical
`engineering, biochemical engineering or related fields, with at
`least two years of experience in developing therapeutic peptides
`or proteins, and experience with the development, design,
`manufacture, formulation, or administration of therapeutic
`peptides or proteins, and the literature concerning protein or
`peptide formulation and design or diabetes treatments.
`
`14
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`IPR2023-00722
`Patent 8,536,122 B2
`Id. at 7–8 (citing Ex. 1020 ¶ 26; Ex. 1022 ¶ 26; Ex. 1024 ¶ 20; Ex. 1026
`¶ 24). 14 Patent Owner does not offer a different level of ordinary skill in the
`art. See generally Prelim. Resp.
`On the current record, and for the purposes of this decision, we accept
`Petitioner’s proposed definition, as it appears consistent with the level of
`skill in the art reflected in the prior art of record and the disclosure of the
`’122 Patent. See Okajima v. Bourdeau, 261 F.3d 1350, 1355 (Fed. Cir. 2001)
`(“the prior art itself [may] reflect[] an appropriate level” as evidence of the
`ordinary level of skill in the art) (quoting Litton Indus. Prods., Inc. v. Solid
`State Sys. Corp., 755 F.2d 158, 163 (Fed. Cir. 1985)).
`C. Claim Construction
`We interpret a claim “using the same claim construction standard that
`would be used to construe the claim in a civil action under 35 U.S.C.
`282(b).” 37 C.F.R. § 42.100(b) (2020). Under this standard, we construe the
`claim “in accordance with the ordinary and customary meaning of such
`claim as understood by one of ordinary skill in the art and the prosecution
`history pertaining to the patent.” Id. Moreover, “the specification ‘is always
`highly relevant to the claim construction analysis. Usually it is dispositive; it
`is the single best guide to the meaning of a disputed term.’” In re Abbott
`Diabetes Care Inc., 696 F.3d 1142, 1149 (Fed. Cir. 2012) (quoting Phillips
`v. AWH Corp., 415 F.3d 1303, 1315 (Fed. Cir. 2005) (en banc)).
`The parties contend that no claim term requires construction. Pet. 16.
`Prelim. Resp. 16. Having considered the record, we determine that no
`express claim construction of any claim term is necessary to reach our
`
`
`14 We need not consider Petitioner’s similar, but alternative, definitions. See
`id. at 8–9.
`
`15
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`IPR2023-00722
`Patent 8,536,122 B2
`decision. See Nidec Motor Corp. v. Zhongshan Broad Ocean Motor Co. Ltd.
`v. Matal, 868 F.3d 1013, 1017 (Fed. Cir. 2017) (“[W]e need only construe
`terms ‘that are in controversy, and only to the extent necessary to resolve the
`controversy.’” (quoting Vivid Techs., Inc. v. Am. Sci. & Eng’g, Inc., 200
`F.3d 795, 803 (Fed. Cir. 1999))).
`D. Overview of Asserted References
`Petitioner’s Grounds are based on a combinations of Knudsen 2004
`and/or Knudsen 2001 with Knudsen Patent, Dong, and Bridon, which we
`briefly address below.
`Knudsen 2004 (Ex. 1010)
`1.
`Knudsen 2004 provides an overview of GLP-1 based compounds in
`development. Ex. 1010. By way of background, Knudsen 2004 discloses that
`“GLP-1 was discovered in 1984 and found to be an important incretin. It is a
`product of the preproglucagon gene and is released from the L-cells in the
`intestine upon food intake and potently releases insulin from the β-cells in
`the pancreas.” Id. at 4128. “GLP-1 exists in two equipotent naturally
`occurring forms, GLP-1(7-37) and GLP-1(7-36)amide, the former
`corresponding to proglucagon(78-108).” Id. Knudsen 2004 explains that
`“[t]he numbering of GLP-1 starts with 7 because it was originally believed
`that GLP-1(1-37) was the active hormone.” The current numbering system
`began when it was discovered that the active hormone is formed upon
`removal of the first 6 N-terminal amino acids. Id. The naturally-occurring
`“hormone is degraded rapidly by the enzyme dipeptidyl peptidase IV (DDP-
`IV) and cleared by the kidneys resulting in a half-life of less than 2 min after
`iv administration and a clearance higher than that of the normal cardiac
`output.” Id.
`
`16
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`IPR2023-00722
`Patent 8,536,122 B2
`Knudsen 2004 explains that because natural GLP-1 “has a very short
`half-life because of cleavage by DPP-IV and rapid clearance,” the challenge
`in making GLP-1 receptor peptide-therapeutics “is to make a stable
`compound with a long half-life.” Id. at 1429, 4130. In this respect, Knudsen
`2004 discloses that there are two subclasses of GLP-1 analogs in clinical
`development as treatments for Type 2 Diabetes: one based on natural GLP-1
`and the other based on exendin-4, a peptide agonist isolated from the venom
`of the lizard Heloderma Suspectum, which shows a 53% structural
`homology to GLP-1. Id. at 4129. 15 Knudsen 2004 notes that exendin-4 is
`more resistant to proteolytic degradation than GLP-1, but that certain
`modifications designed to further increase its stability “may . . . be at the
`expense of an immune reaction to the peptide.” Id. at 4130.
`With respect to GLP-1, Knudsen 2004 illustrates the structure-activity
`relationships of GLP-1(7–37) in Figure 3, reproduced below.
`
`
`15 We presume without deciding that exendin-4 derivatives, such as
`exenatide, are GLP-1 analogs within the meaning of the ’122 patent.
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`Figure 3 is a color-coded representation of GLP-1 amino acids 7–37.
`Ex. 1010, 4130. According to Knudsen 2004, “it has been proposed that the
`N-terminal part of the peptide is responsible for the high-affinity binding to
`the core of the receptor, whereas the C-terminal is more responsible for the
`selectivity by interacting with the large N-terminal of the receptor.” Id. With
`respect to the individual amino acids shown in Figure 3, Knudson 2004
`discloses that Ala8, colored blue, may be modified for DPP-IV stability,
`whereas amino acids Ser18, Gln23, Lys26, Glu27, Lys34, and Arg36, colored
`green, may be derivatized with a long fatty acid. Id.
`Knudsen 2004 lists seven known GLP-1 analogs, but states that most
`of these compounds “are in the discovery phase or in small-scale ½ phase
`clinical development” and “very little is published in peer-reviewed
`journals.” See Ex. 1010, 4129, 4131. In contrast, Knudsen 2004 discloses
`that Novo Nordisk completed phase 2 clinical trials with liraglutide, (γ-L-
`glutamyl(N-α-hexadecanoyl))-Lys26,Arg34-GLP-1(7–37) (NN2211). Id. at
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`4130. 16 Referencing “[s]everal preclinical and clinical studies,” Knudsen
`2004 states that “Liraglutide is equipotent to GLP-1 and has a half-life that is
`more than 10-fold larger that of exendin-4, 8 h vs 26 min after iv
`administration,[] respectively.” Id. “Liraglutide is part of a series of acylated
`derivatives of GLP-1 that are aimed at being long-acting via two
`independent mechanisms, self-association and noncovalent binding to
`plasma albumin fatty acid binding sites, resulting in a pharmacokinetic
`profile with slow absorption and a long half-life.” Id. Liraglutide in
`particular is acylated at Lysine 26 with ((γ-L-glutamoyl(N-ε-hexadecanoyl)).
`Id. Knudsen explains that acylation at different sites on GLP-1 may improve
`half-life while retaining potency or, alternatively, destroy potency. See id.
`With respect to the latter, Knudsen 2004 cautions that “[a] potency-
`destroying SAR[17] has . . . been generated in which acylation in the N-
`terminus position 8 leads to a compound about 20 times less potent than
`GLP-1,” whereas, “[a]cylation with two fatty acids on both naturally present
`lysines in positions 26 and 34 destroys potency.” Id.
`
`2. Knudsen 2001 (Ex. 1011)
`Knudsen 2001 explains that GLP-1’s mode of action suggests it would
`provide “the ideal treatment of type 2 diabetes.” Ex. 1011, 679. However,
`GLP-1 is “metabolized rapidly by DPP-IV” and “cleared very rapidly from
`the kidneys.” Id. To address the short physiological half-life, Knudsen 2001
`discloses GLP-1 derivatives for treating type 2 diabetes, specifically
`
`
`16 By way of context, liraglutide is now the active ingredient in Saxenda and
`Victoza commercial products. See Exs. 3002, 3003.
`17 “SAR” refers to Structure-Activity-Relationship. See Ex. 1020 ¶ 80.
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`NN2211, later named liraglutide. See id. at 677, 680 (Table 1, compound 5).
`According to Knudsen 2001,
` [f]atty acid derivatization has been used successfully to
`protract the action of insulin by facilitating binding to plasma
`albumin. The same principle has been used to design
`derivatives of GLP-1 with half-lives longer than 10 h, thereby
`being optimal for once-daily administration. Fatty acids or fatty
`diacids, optionally extended with a “spacer” between the
`epsilon-amino group of the lysine side chain and the carboxyl
`group of the fatty acid, were used. Acylation with simple fatty
`acids increases the net negative charge of the resulting molecule
`with one (by blocking the epsilon-amino group of the lysine),
`whereas peptides acylated with a L-glutamoyl-spacer or with
`diacids provides a further increase of the negative charge. The
`addition of a negative charge to the acylated molecule is
`expected to improve solubility at physiological pH.
`Id. at 679 (internal citations omitted).
`Knudsen 2001 provides twenty-two examples of GLP-1 “derivatized
`on position 8, 18, 23, 26, 27, 34, 36 or 38 with fatty acids and optionally a
`spacer.” See, e.g., id. at 677, 680 (Table 1). “All compounds acylated with a
`fatty acid equal to or longer than 12 carbon atoms were considerabl[y]
`protracted compared to native GLP-1, which had a half-life after s.c.
`administration of only 1.2 h.” Id. Focusing on a set of examples derivatized
`with a γ-Glu-C16 monoacid, Knudsen 2001 notes that “[m]any different
`positions in the C-terminal part of GLP-1 could be derivatized with quite
`long fatty acids, visualized with compounds 3-9 (EC50 30-121 pM) without
`affecting the potency.” Id. at 680 (referencing compound numbers and
`potency data from Table 1). Focusing on a series of compounds derivatized
`on lysine 26, however, Knudsen further notes that, “[w]ithin the γ-Glu
`spacer monoacid series (5, 16-18), derivatization with a C18 acid (16, 194
`pM ) led to a significant loss of activity compared to C16 (5, 68 pM), C14
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`(17, 22 pm) and C12 (18, 27 pm). Id. Moreover, “[w]ithin the diacid series
`(14, 15), the diacid could be no longer than a C14 (15, 72 pM) before a loss
`in potency (14, 154 pM), compared to the y-Glu spacer monoacid series (17,
`18, 22-27 pM) was seen.” Id.
`Of the twenty-two compounds listed in Table 1, Knudsen 2001
`identifies compounds 4, 5, 7, 8, 18, 20 and 21 as “very potent,” with
`compounds 5, 7, and 8, showing “dramatic differences in plasma half-lives”
`as compared to naturally-occurring GLP-1. Id. at 679–680 (Table II).
`Knudsen 2001 explains that, although “[a] number of compounds were both
`very potent and had plasma half-lives above 10 h, making them suitable as
`drugs for the treatment of type 2 diabetes using once-daily administration,”
`only liraglutide (compound 5) was selected for clinical development. Id. at
`681–682. According to Knudsen 2001, liraglutide showed “equal potency to
`GLP-1” in in vitro testing, and its “mechanism of protraction involves
`binding to albumin, metabolic stability towards DPP-IV and slow release
`from the injection site.” Id. Knudsen 2001 further describes the specific
`attributes of liraglutide and the reasons for choosing it as the best compound
`for clinical development. Id. Knudsen 2001 reports, for example, that
`acylation of lysine 26 with a γ-L-Glu spacer “gave the most potent” and
`“metabolically stable compound” with a half-life of 20 hours. Id. Although
`“[a]mino acid substitutions in position 8 can give better metabolic stability
`against DPP-IV,” that was not needed for liraglutide because “quite a
`substantial protection against DPP-IV was obtained by acylation alone, and
`since any amino acid substitution poses a risk of immunogenicity.” Id.
`Knudsen 2001, concludes:
`[liraglutide] is a metabolically stable compound with potency
`equal to GLP-1. It has been characterized to act as a GLP-1
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`compound in several animal models, including the ability to
`lower body weight. [liraglutide] is currently the only GLP-1
`compound in clinical development that has been shown to
`possess pharmacokinetic properties applicable to once-daily
`administration. The only study carried out thus far in type 2
`diabetic patients has confirmed its efficacy. Ongoing phase 2
`clinical trials will reveal the potential of [liraglutide] as a
`promising new treatment for type 2 diabetes.
`Id. at 682.
`
`3. Knudsen Patent (Ex. 1012)
`Knudsen Patent is a U.S. Patent for “Derivatives of GLP-1 Analogs.”
`Ex. 1012, code (54). Knudsen Patent describes GLP-1 derivatives having a
`lipophilic substituent resulting in a protracted profile of action. Id. at
`code (57).
`Knudsen Patent describes various modifications to naturally occurring
`GLP-1. See Ex. 1012, 8:13–23. Knudsen Patent states, For example, “[t]he
`GLP-1 derivatives of the present invention preferably have only one or two
`Lys wherein the ε-amino group of one or both Lys is substituted with a
`lipophilic substituent.” Id. at 12:24–26. The lipophilic substituent may be
`attached via a spacer, wherein suitable spacers are α, ω-amino acids, such as
`“succinic acid, Lys, Glu or Asp, or a dipeptide such as Gly-Lys.” Id. at
`17:55–60. “Other preferred spacers are Nε-(γ-L-glutamyl[)], Nε-(β-L-
`asparagyl), Nε-glycyl, and N-(α-(γ-aminobutanoyl)[)].” Id. at 18:11–13.
`“The lipophilic substituents preferably comprises 4–40 carbon atoms . . .
`T