throbber
Nos. 19-1434, -1452, and -1458
`
`IN THE
`Supreme Court of the United States
`
`UNITED STATES OF AMERICA, Petitioner,
`v.
`ARTHREX, INC., ET AL.
`
`SMITH & NEPHEW, INC. AND
`ARTHROCARE CORP., Petitioners,
`v.
`ARTHREX, INC. AND THE
`UNITED STATES OF AMERICA.
`
`ARTHREX, INC., Petitioner,
`v.
`SMITH & NEPHEW, INC., ARTHROCARE CORP.,
`AND THE UNITED STATES OF AMERICA.
`
`ON WRITS OF CERTIORARI
`TO THE UNITED STATES COURT OF APPEALS
`FOR THE FEDERAL CIRCUIT
`
`BRIEF OF THE COALITION AGAINST PATENT
`ABUSE AS AMICUS CURIAE IN SUPPORT OF NO
`PARTY
`
`CHARLES DUAN
`Counsel of Record
`1801 Columbia Road, Suite 101
`Washington DC 20009
`(202) 713-5799
`supremecourt.gov@cduan.com
`
`Counsel for amicus curiae
`
`

`

`TABLE OF CONTENTS
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`TABLE OF AUTHORITIES .
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`INTEREST OF AMICUS CURIAE .
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`SUMMARY OF ARGUMENT .
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`ARGUMENT .
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`I. The Patent Trial and Appeal Board Has Proven Its
`Merit in Reviewing Patents That Wrongfully Raise
`Drug Prices and Harm American Consumers .
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`A. Alzheimer’s Disease .
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`B. Opioid Addiction .
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`C.
`Insulin .
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`D. Prostate Cancer .
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`E. Ulcerative Colitis .
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`F. Heart Disease .
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`G. Anemia .
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`II. The Appointments Clause Should Not Undermine
`the Impartiality and Objectivity of the Board .
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`A. The Board Is and Ought to Be Structured
`to Minimize Political Actors’ Influence over
`Patent Decisions .
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`B. What the Federal Circuit Thought the Appoint-
`ments Clause Requires, This Court’s Justices
`Have Vigorously Denounced .
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`C. Courts, Not Political Officers, Supervise Board
`Decisions That Are Largely Matters of Pure
`Law .
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`D. To Ensure the Board’s Impartiality, This Court
`Should Find It Constitutional or Apply a Mini-
`mally Disruptive Remedy .
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`CONCLUSION .
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`ii
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`(i)
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`

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`TABLE OF AUTHORITIES
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`CASES AND ADMINISTRATIVE DECISIONS
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`Accord Healthcare Inc. v. Daiichi Sankyo Co.,
`No. IPR2015-00864 (P.T.A.B. Sept. 12, 2016) (final
`written decision) .
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`Alappat, In re,
`33 F.3d 1526 (Fed. Cir. 1994) (en banc)
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`Arthrex, Inc. v. Smith & Nephew, Inc.,
`941 F.3d 1320 (Fed. Cir. 2019)
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`. 23, 30
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`BioDelivery Sciences International, Inc.
`v. RB Pharmaceuticals Ltd.,
`667 F. App’x 997 (Fed. Cir. 2016) .
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`. 13
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`BioDelivery Sciences International, Inc.
`v. RB Pharmaceuticals Ltd.,
`No. IPR2014-00325 (P.T.A.B. June 30, 2015) (final
`written decision) .
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`. 13
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`BTG International Ltd.
`v. Amneal Pharmaceuticals LLC,
`923 F.3d 1063 (Fed. Cir. 2019)
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`. 16–17
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`Cleveland Clinic Foundation
`v. True Health Diagnostics LLC,
`760 F. App’x 1013 (Fed. Cir. 2019) .
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`Consumer Watchdog
`v. Wisconsin Alumni Research Foundation,
`753 F.3d 1258 (Fed. Cir. 2014)
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`Cuozzo Speed Technologies, LLC v. Lee,
`136 S. Ct. 2131 (2016) .
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`Daiichi Sankyo Co. v. Accord Healthcare Inc.,
`706 F. App’x 679 (Fed. Cir. 2017) .
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`(ii)
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`

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`(iii)
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`Dr. Falk Pharma GmbH v. GeneriCo, LLC,
`No. 17-2312 (Fed. Cir. June 12, 2019) (nonpreceden-
`tial)
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`. 18
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`Edmond v. United States,
`520 U.S. 651 (1997) .
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`Free Enterprise Fund
`v. Public Co. Accounting Oversight Board,
`561 U.S. 477 (2010) .
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`Freytag v. Commissioner,
`501 U.S. 868 (1991) .
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`General Electric Co. v. United Technologies Corp.,
`928 F.3d 1349 (Fed. Cir. 2019)
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`GeneriCo, LLC v. Dr. Falk Pharma GmbH,
`No. IPR2016-00297 (P.T.A.B. May 19, 2017) (final
`written decision) .
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`Graham v. John Deere Co. of Kansas City,
`383 U.S. 1 (1966) .
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`Great Atlantic & Pacific Tea Co.
`v. Supermarket Equipment Corp.,
`340 U.S. 147 (1950) .
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`Hospira, Inc. v. Janssen Pharmaceuticals, Inc.,
`No. IPR2013-00365 (P.T.A.B. Oct. 24, 2013)
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`Indivior Inc. v. Dr. Reddy’s Laboratories, SA,
`930 F.3d 1325 (Fed. Cir. 2019)
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`Lantus Direct Purchaser Antitrust Litigation, In re,
`950 F.3d 1 (1st Cir. 2020)
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`Lucia v. SEC,
`138 S. Ct. 2044 (2018) .
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`Markman v. Westview Instruments, Inc.,
`517 U.S. 370 (1996) .
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`(iv)
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`Morrison v. Olson,
`487 U.S. 654 (1988) .
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`Mylan Pharmaceuticals Inc.
`v. Sanofi-Aventis Deutschland GmbH,
`No. IPR2018-01678 (P.T.A.B. May 29, 2020) (final
`written decision) .
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`. 14–15
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`Nidec Motor Corp.
`v. Zhongshan Broad Ocean Motor Co.,
`868 F.3d 1013 (Fed. Cir. 2017)
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`Novartis AG v. Noven Pharmaceuticals Inc.,
`853 F.3d 1289 (Fed. Cir. 2017)
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`Novartis Pharmaceuticals Corp.
`v. Par Pharmaceutical, Inc.,
`48 F. Supp. 3d 733 (D. Del. 2015) .
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`. 10–11
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`Novartis Pharmaceuticals Corp.
`v. Watson Laboratories, Inc.,
`611 F. App’x 988 (Fed. Cir. 2015) (nonpreceden-
`tial)
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`Oil States Energy Services, LLC
`v. Greene’s Energy Group, LLC,
`138 S. Ct. 1365 (2018) .
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`Rivastigmine Patent Litigation, In re,
`No. 1:05-md-1551 (S.D.N.Y. Sept. 22, 2005) .
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`. 24–25
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`. 9
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`Sanofi-Aventis Deutschland GmbH
`v. Mylan Pharmaceuticals Inc.,
`No. 20-1871 (Fed. Cir. June 10, 2020)
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`Sanofi-Aventis Deutschland GmbH
`v. Mylan Pharmaceuticals Inc.,
`No. 2012-1368, -1369 (Fed. Cir. Nov. 19, 2019)
`(nonprecedential)
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`

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`(v)
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`Seila Law LLC
`v. Consumer Financial Protection Bureau,
`140 S. Ct. 2183 (2020) .
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`Teva Pharmaceuticals USA, Inc. v. Sandoz, Inc.,
`135 S. Ct. 831 (2015) .
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`Thryv, Inc. v. Click-to-Call Technologies, LP,
`140 S. Ct. 1367 (2020) .
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`United States v. Indivior Solutions, Inc.,
`No. 1:19-cr-16 (W.D. Va. dismissed Nov. 12, 2020) .
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`Wi-Fi One, LLC v. Broadcom Corp.,
`878 F.3d 1364 (Fed. Cir. 2018) (en banc) .
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`Winans v. New York & Erie Railroad Co.,
`62 U.S. (21 How.) 88 (1858) .
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`. 27
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`Yissum Research Development Co. of the Hebrew
`University of Jerusalem v. Sony Corp.,
`626 F. App’x 1006 (Fed. Cir. 2015) (affirmed without
`opinion) .
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`CONSTITUTIONAL PROVISIONS
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`U.S. CONST. art. II, § 2, cl. 2 .
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`——— art. III .
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`STATUTES
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`35 U.S.C. § 3(a)(2)(A)
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`——— § 6(a) .
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`——— § 6(c) .
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`——— § 102 .
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`

`

`(vi)
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`35 U.S.C. § 103 .
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`——— § 311(b)
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`——— § 314(b)
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`OTHER SOURCES
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`Abiraterone Acetate, 10 DRUGS R & D 261 (2010) .
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`. 16
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`A New Way to Treat Prostate Cancer: The Story of
`Abiraterone, INST. CANCER RES. (May 26, 2011),
`https://www.icr.ac.uk/news-features/latest-features/
`a-new-way-to-treat-prostate-cancer-the-story-of-
`abiraterone .
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`ASS’N FOR ACCESSIBLE MEDS., GENERIC DRUG AC-
`CESS & SAVINGS IN THE U.S. (2017), https://
`accessiblemeds.org/resources/blog/2017-generic-
`drug-access-and-savings-us-report .
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`

`

`(vii)
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`. 7
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`

`

`(viii)
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`

`

`(ix)
`
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`

`

`(x)
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`PATENT TRIAL & APPEAL BD., STANDARD OPERAT-
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`https://www.uspto.gov/sites/default/files/documents/
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`. 13
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`

`

`(xi)
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`SANOFI-AVENTIS U.S. LLC, HOW MUCH SHOULD I
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`The Patent Trial and Appeal Board and the Ap-
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`of Professor Arti Rai), https://docs.house.gov/
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`OPMENT SPENDING, AND MERGER AND ACQUISITION
`DEALS (Nov. 2017), https://www.gao.gov/assets/690/
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`
`

`

`(xii)
`
`Christopher J. Walker & Melissa F. Wasserman, The
`New World of Agency Adjudication, 107 CAL. L.
`REV. 141 (2019)
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`. 5
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`

`

`INTEREST OF AMICUS CURIAE
`The Coalition Against Patent Abuse1 is a coalition of
`healthcare providers, consumer groups, patient advocacy
`organizations, free market advocates, employers, and
`others fighting abuses of the patent system that can ex-
`tend government-granted monopolies that illegitimately
`keep drug prices high for years, or even decades. CAPA
`produces research and analysis on patents and drug costs
`aimed at educating lawmakers and policy experts on
`issues vital to American health care.2
`
`SUMMARY OF ARGUMENT
`Perhaps unexpectedly, a case on the constitutionality
`of the Patent Trial and Appeal Board has major signifi-
`cance to the pressing policy crisis of drug prices in the
`United States. Erroneously issued patents monopolize
`medical therapies, making them unaffordable or inacces-
`sible to numerous Americans. The inter partes review
`proceedings that the Board conducts have repeatedly and
`successfully overcome such patents, enabling competi-
`tion and dramatically lowering prices. This Court should
`ensure the continued viability of the Board and of inter
`
`1Pursuant to Supreme Court Rule 37.3(a), all parties received
`appropriate notice of this brief and granted blanket consent for the
`filing of briefs of amici curiae. Pursuant to Rule 37.6, no counsel for a
`party authored this brief in whole or in part, and no counsel or party
`made a monetary contribution intended to fund the preparation or
`submission of the brief. No person or entity, other than amicus,
`its members, or its counsel, made a monetary contribution to the
`preparation or submission of this brief.
`2A list of CAPA members may be found on the website https://
`www.capanow.org/. Opinions expressed herein reflect the views of
`the coalition but not necessarily those of the individual members.
`
`1
`
`

`

`2
`
`partes review, by preserving the Board’s objectivity and
`independence from executive branch political influence.
`1.
`In the eight years that it has been in effect, inter
`partes review and related patent challenge proceedings
`have proven effective in overcoming abuse of patents
`that improperly block competition, raise prices, and stifle
`future innovation. That critical role is plainly observable
`in the context of drug patents, where infirmities in patent
`examination allow pharmaceutical firms to obtain ques-
`tionable patents that wrongly block generic competition
`and cost Americans hundreds of millions of dollars every
`year. Inter partes review has successfully distinguished
`patents representing genuine innovation from those that
`serve largely to preserve pharmaceutical monopoly prof-
`its without concomitant public benefit.
`Case studies of key inter partes reviews on drug
`patents reveal the effectiveness and value of those
`proceedings and the Board that conducts them. The
`case studies show that patents declared erroneous
`in those proceedings are manifestly uninventive “sec-
`ondary” patents designed to extend monopoly prices
`beyond the congressionally specified patent term. They
`show that cancellation of those patents can lower drug
`prices by 98%, because they enable multiple competi-
`tors, even ones beyond the firms bringing the patent
`challenges, to compete vigorously on prices. And they
`show why the Board has proven to be an effective venue
`for such challenges: because the administrative patent
`judges on the Board have the qualifications to understand
`complex technological facts in patent cases and apply
`patent law to those facts objectively, such that judicial
`review affirms the Board over 80% of the time.
`
`

`

`3
`
`Impartiality is key to why the Board succeeds.
`2.
`Congress structured the Board to conduct inter partes
`reviews impartially based on the law,
`largely free of
`political pressures from powerful lobbies such as the phar-
`maceutical industry. Indeed, members of this Court have
`already vigorously denounced attempts by the Director
`of the U.S. Patent and Trademark Office to manipulate
`the Board’s outcomes through a practice called “panel
`stacking.”
`Yet as important as impartiality is to fair adjudication,
`the Federal Circuit read the Appointments Clause to
`encourage—even require—executive power to meddle
`with Board decisions on patentability. The Constitution
`does not demand that level of political influence. Indeed,
`heavyhanded Director oversight of the Board is superflu-
`ous given that the Board’s patentability decisions, being
`almost entirely matters of law, are already rigorously
`reviewed by the federal judiciary.
`Impartiality and objectivity of the Board should lead
`this Court to approve the structure that Congress de-
`signed. In the alternative, should this Court find that
`some structural remedy is required, that remedy should
`impose minimal political interference upon the Board, to
`ensure that its decisions on patentability remain credible,
`reliable, and impartial. Furthermore, the Court should
`disapprove the Federal Circuit’s improper remanding of
`all pending decisions, which wastefully unsettles expec-
`tations of competitive drug companies and patients who
`depend on them. In a case with widespread implications
`for the health of all Americans, this Court should apply
`to inter partes review that classic principle of medicine:
`first, do no harm.
`
`

`

`ARGUMENT
`I. THE PATENT TRIAL AND APPEAL BOARD HAS
`PROVEN ITS MERIT IN REVIEWING PATENTS
`THAT WRONGFULLY RAISE DRUG PRICES AND
`HARM AMERICAN CONSUMERS
`When it created the Patent Trial and Appeal Board
`in 2011 to adjudicate inter partes review proceedings,
`Congress hoped to overcome serious and systematic
`flaws in the American patent system that enabled wrong-
`fully issued patents to block competition and injure the
`American public.3
`In the context of pharmaceutical
`patents,4 the Board and inter partes review have been
`invaluable to approaching the United States drug pricing
`crisis.
`Skyrocketing drug prices today certainly merit the
`term “crisis.” Eight in ten surveyed Americans describe
`the cost of prescription drugs as “unreasonable,”5 and
`the “rising price of prescription drugs was an important
`factor” to a majority of voters of all parties.6 Unaf-
`
`3See H.R. REP. NO. 112-98, at 46–48 (2011); Joe Matal, A Guide to
`the Legislative History of the America Invents Act: Part II of II, 21
`FED. CIR. B.J. 539, 600–02 (2012).
`4For simplicity, this brief throughout uses the terms “pharma-
`ceuticals” and “drugs” to refer to the broad class of chemical thera-
`peutic medicines, and “generics” to refer to subsequent competitive
`products that are roughly market substitutes. In industry parlance,
`those terms refer only to small-molecule products, while large-
`molecule therapeutics are analogously designated “biologics” and
`“biosimilars”; the differences are immaterial to this case.
`5See Ashley Kirzinger et al., KFF Health Tracking Poll—
`February 2019: Prescription Drugs, KAISER FAM. FOUND. (Mar. 1,
`2019), available online. Locations of authorities available online are
`shown in the Table of Authorities.
`6COAL. AGAINST PATENT ABUSE & MORNING CONSULT, RE-
`FORMING THE PATENT SYSTEM 1 (Nov. 2020), available online.
`
`4
`
`

`

`5
`
`fordability has harmed Americans, with nearly a third
`of surveyed adults reported not taking medicines as
`prescribed because of costs, and 29% of them reportedly
`became sicker as a result.7 Indeed, researchers attribute
`between 112,000 and 125,000 deaths a year to patients
`who fail to take necessary medications because they
`cannot afford them.8
`The most straightforward approach to overcoming
`this drug pricing problem is competition.9 Having mul-
`tiple firms selling a drug can cut prices tremendously—
`over 95% in some cases, a U.S. Food and Drug Adminis-
`tration study finds.10 The Government Accountability Of-
`fice similarly concludes that generics cost on average 75%
`less than the brand-name equivalent, and substitution of
`generic drugs between 1999 and 2010 saved Americans
`more than $1 trillion.11 Because patents by definition are
`government-granted privileges to escape competition,
`multiple surveys find that Americans overwhelmingly
`
`7See Kirzinger et al., supra note 5.
`8See XCENDA AMERSOURCEBERGEN, MODELING THE POPULA-
`TION OUTCOMES OF COST-RELATED NONADHERENCE: MODEL RE-
`PORT 13 tbl.6 (2020), available online; ASS’N FOR ACCESSIBLE MEDS.,
`GENERIC DRUG ACCESS & SAVINGS IN THE U.S. 26 (2017), available
`online.
`9See U.S. GOV’T ACCOUNTABILITY OFFICE, GAO-18-40, DRUG
`INDUSTRY: PROFITS, RESEARCH AND DEVELOPMENT SPENDING,
`AND MERGER AND ACQUISITION DEALS 47–50 (Nov. 2017), available
`online (citing studies).
`10RYAN CONRAD & RANDALL LUTTER, U.S. FOOD & DRUG AD-
`MIN., GENERIC COMPETITION AND DRUG PRICES: NEW EVIDENCE
`LINKING GREATER GENERIC COMPETITION AND LOWER GENERIC
`DRUG PRICES 3 (Dec. 2019), available online.
`11See Letter from John E. Dicken, U.S. Gov’t Accountability Office,
`to Orrin G. Hatch, U.S. Senate, GAO-12-371R: Savings from Generic
`Drug Use (Jan. 31, 2012), available online.
`
`

`

`6
`
`blame pharmaceutical patents and the firms that hold
`them for the unreasonable costs of drugs.12
`Inter partes reviews conducted by the Board have
`played a key role in stemming these harms. The case
`studies that follow were gathered by correlating drug
`patent inter partes review outcomes where all patent
`claims were canceled, against Medicaid and other data on
`drug prices.13 Several key features of the Board emerge
`from this study, pointing to inter partes review being a
`strong mechanism for overcoming the ongoing problems
`of skyrocketing drug prices.
`1. Most obviously, the effect of inter partes review
`on questionable drug patents is to lower prices—often
`dramatically. Cancellation of erroneous patents on a
`drug opens the door to generic competition, and that
`competition brings prices down on average 75%, saving
`American consumers over $100 billion a year according
`to the Government Accountability Office.14 The case
`studies repeatedly show competition following rapidly
`after a Board decision in inter partes review, with almost
`immediate savings of up to 93%.
`2. Monopoly drug prices might be tolerable if the
`patents backing those prices represented genuine in-
`novation, but the patents that the Board has declared
`
`12See COAL. AGAINST PATENT ABUSE & MORNING CONSULT,
`supra note 6, at 1; Kirzinger et al., supra note 5.
`13Specifically, this analysis uses National Average Drug Acqui-
`sition Cost (NADAC) weekly reference data, which is based on
`monthly pharmacy surveys and other data. See CTRS. FOR MEDI-
`CARE & MEDICAID SERVS., METHODOLOGY FOR CALCUL ATING
`THE NATIONAL AVERAGE DRUG ACQUISITION COST (NADAC) FOR
`MEDICAID COVERED OUTPATIENT DRUGS 20 (Nov. 2013), available
`online.
`14See Dicken, supra note 11; U.S. GOV’T ACCOUNTABILITY OFFICE,
`supra note 9, at 47–50.
`
`

`

`7
`
`erroneous do not. Instead, the case studies reflect bald
`manipulation of the patent system to extend monopoly
`control over drugs that ought to be open to competition.15
`The challenged patents involve mere combinations of
`well-known drugs, predictable dosage adjustments, and
`trivial modifications to drug delivery. These “inventions”
`offered insignificant benefits or even caused harm, in
`one case being the centerpiece of a drug company’s
`fraudulent scheme that led to a $1.7 billion fine.
`These “follow-on” or “secondary” patents, so called
`because they are directed not to the active ingredient
`of a drug but to uses or formulations,16 regularly fail in
`litigation against generics17 and are often described as
`as “weak” or “less solid” even by the very companies ob-
`
`15By contrast, there is no evidence of the Board being overbearing
`on legitimately issued patents. A study of inter partes reviews
`between 2012 and 2017 found that only 7 out of 198 challenged
`drug patents were directed to active ingredients, with only 2 such
`challenges successful in canceling all disputed patent claims. See
`Jonathan J. Darrow et al., The Generic Drug Industry Embraces
`a Faster, Cheaper Pathway for Challenging Patents, 17 APPLIED
`HEALTH ECON. & HEALTH POL’Y 47, 51 (2018). Moreover, while
`there were some initial concerns about abuse of inter partes review
`to manipulate drug companies’ stock prices, those practices were
`apparently “a complete failure” and now are largely “all but over.”
`Matthew Bultman, Hedge Fund Drug Patent Challenges in Doubt
`After Bass’ Test, LAW360 (Mar. 31, 2017), available online.
`16On secondary patents, see generally KEVIN T. RICHARDS ET AL.,
`CONG. RESEARCH SERV., REPORT NO. R46221, DRUG PRICING AND
`PHARMACEUTICAL PATENTING PRACTICES 9, 16–19 (Feb. 11, 2020),
`available online.
`17See, e.g., C. Scott Hemphill & Bhaven Sampat, Drug Patents at
`the Supreme Court, 339 SCIENCE 1386, 1387 (2013); COMPETITION
`DIR.-GEN., EUROPEAN COMM’N, PHARMACEUTICAL SECTOR IN-
`QUIRY: FINAL REPORT para. 501, at 191 (July 8, 2009), available
`online.
`
`

`

`8
`
`taining them.18 Nevertheless, the number of secondary
`patents is large and growing,19 with pharmaceutical firms
`acknowledging that those patents have the intended
`purpose of “extending the term of the existing compound
`patent.”20
`3. Why the Board is especially important in over-
`coming improper secondary drug patents is another in-
`sight to be gleaned from these case studies. Members
`of the Board are required to have “competent legal
`knowledge and scientific ability,”21 and that expertise
`has proven valuable to the correct disposition of drug
`patent cases that can involve difficult scientific facts. On
`at least one occasion the appellate court praised the
`Board for providing “ample” evidence in support of its
`conclusions; the fact that the Board is affirmed on appeal
`more frequently than the district courts further confirms
`its competence.22
`4. The case studies further show that the outcome
`of inter partes review is not just that the challenger may
`enter the market, but that other generic manufacturers
`
`18COMPETITION DIR.-GEN., EUROPEAN COMM’N, supra note 17,
`para. 504, at 192 (quoting pharmaceutical firm); see C. Scott Hemphill
`& Bhaven N. Sampat, When Do Generics Challenge Drug Patents?,
`8 J. EMPIRICAL LEGAL STUD. 613, 644 (2011).
`19See Robin Feldman, May Your Drug Price Be Evergreen, 5 J.L.
`& BIOSCIENCES 590, 630 & tb

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