Endo Pharmaceuticals Solutions Inc. v. Custopharm, Inc.
Endo Pharmaceuticals Solutions Inc. v. Custopharm, Inc.
Opinion of the Court
OPINION
I. INTRODUCTION
This action arises out of the filing of Abbreviated New Drug Application (“ANDA”) No. 207583 by defendant Paddock Laboratories, LLC seeking to produce and market a generic testosterone undecanoate intramuscular injection. (D.I. 67 at ¶ 10) On November 20, 2014, plaintiffs Endo Pharmaceuticals Solutions Inc., Bayer Intellectual Property GmbH, and Bayer Pharma AG (collectively “plaintiffs”) brought this action alleging infringement of U.S. Patent Nos. 7,718,640 (the “’640
II. FINDINGS OF FACT AND CONCLUSIONS OF LAW
A. Technology at Issue
The ’640 patent was filed on March 12, 2004 and issued on May 18, 2010. (JTX 1) The ’395 patent was filed on February 24, 2009 and issued on December 25, 2012.
A method of treating a disease or symptom associated with deficient endogenous levels of testosterone in a man, comprising administering by intramuscular injection a composition comprising testosterone undecanoate (TU) and a vehicle consisting essentially of castor oil and a co-solvent, the castor oil being present in the vehicle at a concentration of 42 percent or less by volume, the method further comprising:
(i) an initial phase comprising 2 initial intramuscular injections of a dose of TU at an interval of 4 weeks between injections, each dose including 500 mg to 1000 mg of TU, followed by,
(ii) a maintenance phase comprising subsequent intramuscular injections of a dose of TU at an interval of 10 weeks between injections, each dose including 500 mg to 1000 mg of TU.
The embodiment of the invention is Aveed, which contains testosterone unde-canoate (TU) as an active ingredient. It is approved by the FDA as a testosterone replacement therapy in adult males for conditions associated with testosterone deficiency or absence of endogenous testosterone. Aveed is sold in the United States as a series of 3 ml (750 mg) intramuscular injections given at initiation, at four weeks, and then every 10 weeks thereafter. Each vial of Aveed contains 750 mg testosterone undecanoate dissolved in a mixture of 885 mg castor oil and 1500 mg benzyl ben-zoate. (D.I. 67, ex. 1 at ¶¶ 6-7) Hypogonadism is a chronic condition requiring lifelong therapy. (D.I. 73 at 524:12-18)
B. Obviousness Standard
“A patent may not be obtained ... if the differences between the subject matter sought to be patented and the prior art are such that the subject matter as a whole would have been obvious at the time the invention was made to a person having ordinary skill in the art.” 35 U.S.C. § 103(a). Obviousness is a question of law, which depends on underlying factual inquiries.
Under § 103, the scope and content of the prior art are to be determined; differences between the prior art and the claims at issue are to be ascertained; and the level of ordinary skill in the pertinent art resolved. Against this background the obviousness or nonobvi-ousness of the subject matter is determined. Such secondary considerations as commercial success, long felt but unsolved needs, failure of others, etc., might be utilized to give light to the circumstances surrounding the origin of the subject matter sought to be patented.
KSR Int’l Co. v. Teleflex Inc., 550 U.S. 398, 406, 127 S.Ct. 1727, 167 L.Ed.2d 705 (2007) (quoting Graham v. John Deere Co. of Kansas City, 383 U.S. 1, 17-18, 86 S.Ct. 684, 15 L.Ed.2d 545 (1966)).
“[A] patent composed of several elements is not proved obvious merely by demonstrating that each of its elements was, independently, known in the prior art.” KSR, 550 U.S. at 418, 127 S.Ct. 1727. Likewise, a defendant asserting obviousness in view of a combination of references has the burden to show that a person of ordinary skill in the relevant field had a reason to combine the elements in the manner claimed. Id. at 418-19, 127 S.Ct. 1727. The Supreme Court has emphasized the need for courts to value “common sense” over “rigid preventative rules” in determining whether a motivation to combine existed. Id. at 419-20, 127 S.Ct. 1727. “[A]ny 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, 127 S.Ct. 1727. In addition to showing that a person
A combination of prior art elements may have been “obvious to try” where there existed “a design need or market pressure to solve a problem and there [were] a finite number of identified, predictable solutions” to it, and the pursuit of the “known options within [a person of ordinary skill in the art’s] technical grasp” leads to the anticipated success. Id. at 421, 127 S.Ct. 1727. In this circumstance, “the fact that a combination was obvious to try might show that it was obvious under § 103.” Id.
A fact finder is required to consider secondary considerations, or objective indi-cia of nonobviousness, before reaching an obviousness determination, as a “check against hindsight bias.” See In re Cyclobenzaprine Hydrochloride Extended-Release Capsule Patent Litig., 676 F.3d 1063, 1079 (Fed. Cir. 2012). “Such secondary considerations as commercial success, long felt but unsolved needs, failure of others, etc., might be utilized to give light to the circumstances surrounding the origin of the subject matter sought to be patented.” Graham, 383 U.S. at 17-18, 86 S.Ct. 684.
“Patents are presumed to be valid, and overcoming that presumption requires clear and convincing evidence.” 35 U.S.C. § 282; Spectrum Pharm., Inc. v. Sandoz Inc., 802 F.3d 1326, 1333 (Fed. Cir. 2015) (citing Microsoft Corp. v. 141 Ltd. P’ship., 564 U.S. 91, 95, 131 S.Ct. 2238, 180 L.Ed.2d 131 (2011) (holding that an invalidity defense must be proved by clear and convincing evidence)). In conjunction with this burden, the Federal Circuit has explained that,
[w]hen no prior art other than that which was considered by the PTO examiner is relied on by the attacker, he has the added burden of overcoming the deference that is due to a qualified government agency presumed to have properly done its job, which includes one or more examiners who are assumed to have some expertise in interpreting the references and to be familiar from their work with the level of skill in the art and whose duty it is to issue only valid patents.
PowerOasis, Inc. v. T-Mobile USA, Inc., 522 F.3d 1299, 1304 (Fed. Cir. 2008) (citations omitted).
C. Prior Art
A trio of prior art scientific articles— Behre,
Behre compared the half-life of a single dose of 1,000 mg TU' in castor oil with a single dose of 1000 mg TU in tea seed oil. (JTX 3) Nieschlag investigated the suitability 'of using four intramuscular injections of 1000 mg TU in castor oil at six week intervals. (JTX 4) von Eckardstein described a clinical trial investigating the efficacy and safety of prolonged TU treatment at extended injection intervals over a 3.2 year period. Seven patients (who had participated in the study described in Nieschlag) received four injections at six week intervals, followed by a gradual increase in the interval between the fifth and tenth injections. After the tenth injection, the interval was increased to twelve weeks. (JTX 5)
Pushpalatha
The 2002 guidelines 'of the American Association of Clinical Endocrinologists (AACE) (“the AACE guidelines”) describe a normal testosterone range as “generally between 280 and 800 ng/dl” (9.7 to 27.7 nmol/1). (JTX 41 at 448) The FDA refers to a normal testosterone range'of 300-1000 ng/dl.
D. Evidence
Defendant’s expert, Dr. Peter Schlegel (“Dr. Schlegal”),
1. Co-solvent
Dr. Tarantino explained that although the Articles only disclosed dissolving TU in castor oil, “the issues of viscosity and ... solubility would make it obvious that another vehicle was being used.” (D.I. 72 at 91:13-93:10; 107:13-20) He admitted that he did not cite to any prior art data or do any testing of the solubility of TU in castor oil for his opinions. Instead, he testified based on what he “saw here” and his knowledge of lipidation.
Dr. Tarantino opined that a person of ordinary skill would look to marketed products (which provide knowledge of safety, tolerance, and injectability) first. A formulator would be “remiss” in not trying the vehicle of Proluton since “both drugs are closely related chemically. Sometimes even when drugs aren’t closely related chemically, co-solvent systems that were used in prior products are used.” It is
Plaintiffs expert, Dr. Robert Williams, III (“Dr. Williams”),
2. Using a lower dose of TU
Dr. Schlegel explained that “[t]he two most common changes that are made in terms of treating patients with injectable agents are to change the dose amount or the dose interval, frequency between injections.” (D.I. 73 at 264:21-265:2, 287:1-23) Dr. Schlegel testified that he uses the AACE guidelines (which reflected the state of the art at that time) in his practice. (Id. at 271:24-274:23, 308:9-13, 349:10-350:2) He relied on the AACE guidelines for the normal range of testosterone (280 to 800 ng/dl) to formulate his opinions. According to Dr. Schlegel, although the FDA sometimes refers to a 300-1000 ng/dl range, a testosterone level
Dr. Schlegal testified that a person of ordinary skill would not need to know the exact composition of the formulation before modifying the dose amount because “it [was] common practice to adjust doses based on the results that you get with serum testosterone levels, and that is independent of the exact formulation of the medication.” (D.I. 73 at 280:9-17) He analyzed Nieschlag and explained that “a proportion of patients who are treated with a single dose of 1000. mg [of TU] are going to, have testosterone levels above 800” ng/dl (27.7 nanomoles per liter). He observed. that the first dose provides an overdose and the subsequent injections also overdose the patient. He concluded that it would be obvious to reduce the 1000 mg dose to get the patient into normal range •without “overshooting” the target. Dr. Schlegel. opined that Behre and von Eck-ardstein describe similar overdosing. He concluded that the reduction from 1000 mg (given in 4 ml) to 750 mg is an obvious change as it would be easy to draw up 3 ml (“a whole millimeter change”).
Dr. Schlegel agreed that the Articles do not suggest lowering the dose of TU from 1000 mg to 750 mg, but maintained' that they “pointed out specifically overdosing” certain patients.
Dr. Sliwinski
Plaintiffs’ expert, Dr. Hartmut Deren-dorf (“Dr. Derendorf’),
3. Two-phase dosing
Dr. Schlegel pointed out that drug accumulation was noted in Nieschlag. “In Nies-chlag, without changing the interval of injections, the [authors] noticed increasing ... testosterone ... with subsequent injections, suggesting the need to have a second interval of injection after .., reaching] a steady state.” The “data on serum testosterone levels with increasing intervals of injection” supports the concept of a maintenance phase. He opined that von Eckardstein “really is a two-phase treatment regimen, [with t]he second phase of treatment ... really designed to figure out” the appropriate interval. Further, an initial or loading dose is common, “[Decreasing the amount of the initial dose would prevent the overshooting in terms of testosterone levels.” He explained that once a steady state of testosterone is reached, a clinician “can allow a longer period of time for that testosterone to be absorbed into the body and still maintain normal testosterone levels, [which is] observed in the increasing intervals that are provided in von Eckardstein.” (D.I. 73 at 281:18-286:3)
Dr. Derendorf explained that drug accumulation is a "normal phenomenon.” (Id. at 365:13-22) He testified that the Articles did not disclose a different interval between the first and second injections compared to subsequent injections, Moreover, he opined that having a different dosing interval between the first two injections and subsequent injections is unusual. (Id. at 406:1-17)
4. Pharmacokinetics
Dr. Derendorf explained that as a phar-macokineticist, his “role is to help ... identify the dose and dose regimen that has the highest probability of success. [His] role is usually to identify a population dose, something that would be used for the approval of a product where it ends up in a label .
Dr. Derendorf explained that when trying “to identify the optimum dosing regimen,” the starting point “is the assessment of dose linearity.” The use of predictive models is easier with linear pharmacoki-netics. (Id. at 368-369) He analyzed the Articles and opined that the published data and graphs are inconsistent with linear pharmacokinetics. He explained that “[a]n oily depot injection of a prodrug is a very complex route of drug administration.” Some sources of variability are partition coefficient, viscosity, and patient effects.
On cross-examination, Dr. Derendorf was asked a series of questions about certain statements made in the literature, such as, “drug absorption from an oil solution follows first-order kinetics after intramuscular administration.” He responded that such statements were too general and explained that there were other variables to consider. (Id. at 411-426; JTX 11, 32, 38) He was also asked about an article published in 2006. He explained that the Cmax are “not proportional ... after later doses” and the “data [does not] confirm[ ] linearity,” but conceded that the Cavg value
Dr. Willliams explained that the iterative process of formulation development requires that a formulator develop prototypes and then test them. If the prototype is deemed unacceptable, the process starts anew. (D.I. 73 at 454:17-458:15) He agreed that pharmacokinetic testing and research occurs prior to clinical testing. (Id. at 504:14-505:20)
C. Motivation to Combine
The parties generally agree that the person of ordinary skill in the art would consist of a team made up of a pharmacok-ineticist, a clinician, and a formulation scientist. (D.I. 73 at 263:21-23, 267:8-12, 360:8-12, 462:23-453:10, 453:20^58:3) There is no dispute that the prior art does not disclose the use of a 750 mg TU injection dose or the specific interval regimen.
Defendant argues that plaintiffs focus on the motivation to create a long-acting testosterone replacement therapy (a problem identified in the patent) to the exclusion of other motivations such as problems of solubility and viscosity of a high TU concentration formulation or providing a safe and effective therapy to patients. KSR Int’l Co. v. Teleflex Inc., 550 U.S. 398, 420, 127 S.Ct. 1727, 167 L.Ed.2d 705 (2007) (“[A]ny 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.”). Regardless, the patents and the prior art describe solving the same problem—treating men with hypogonadism. It is defendant’s burden to prove by clear
Defendant first argues that a person of ordinary skill would have recognized that the formulation disclosed in the Articles must have used a co-solvent, and that such co-solvent was benzyl benzoate. The expert testimony on this point consists of opinion on whether or not the stated concentration of TU “could” have dissolved in the volume of castor oil. Beyond that question, the cited prior art (Riffkin and Proluton) does suggest the use of a co-solvent. However, it is certainly not a given (as defendant argues) that a person of ordinary skill would have understood that the particular co-solvent was benzyl benzoate, as opposed to one of the other co-solvents known in the art. (JTX 6) Dr. Williams pointed out that there are other co-solvents to choose firom. Moreover, even knowing the co-solvent would not provide a person of ordinary skill the particular ratio disclosed by the patents-in-suit. The court concludes that the Articles do not disclose benzyl benzoate as a co-solvent (or the particular ratio used by the patents-in-suit).
Dr. Schlegal used the AACE guidelines to the exclusion of other published ranges for the normal levels of testosterone, and reached his opinion based on the notion that the Articles suggested “overdosing” of patients. He opined that the overdosing would provide a reason for a person of ordinary skill to reduce the TU dose from 1000 mg to 750 mg. This reasoning is contradicted by the fact that after Nies-chlag, the same authors undertook another study (von Eckardstein) using 1000 mg of TU. Dr. Schlegal also opined that after reducing the dose, a person of ordinary skill would use routine experimentation to come up with the particular dosing regimen disclosed by the patents-in-suit. He bolstered this opinion by explaining that clinicians routinely make dose and regimen adjustments for testosterone therapies. In contrast, Dr. Derendorf opined that such dose and regimen changes would require more than routine experimentation.
The record demonstrates that there were a number of co-solvents that could have been used for the formulation. Although defendant has successfully identified the elements of the asserted claims (but not the specific quantities of TU and solvents) in the prior art, defendant has not met its burden, by clear and convincing evidence, to show that a person of ordinary skill would combine the elements in the manner claimed.
D. Inherency
Defendant’s contention that the Nebido composition is inherently disclosed in the prior art misapplies the doctrine of inherency. In the context of an obviousness inquiry, inherency may supply a missing
D. Secondary Considerations
Plaintiffs allege a long-felt but unmet need for a long-acting testosterone replacement. Dr. Sliwinski testified that the available therapies required frequent visits and resulted in unstable testosterone levels. The therapies also required clinicians to adjust dosages for individual patients. (D.I. 74 at 528:16-629:17, 526:11-21,) Dr. Sliwinski testified that he uses Aveed for certain of his patients, who find it convenient to come for an injection just five times a year. The testosterone levels are “smooth.” He conceded that Aveed does not work for all patients. He opined that the occurrence of pulmonary oil micro-embolisms (“POME”), which prompted additional measures by the FDA for Aveed’s administration, were likely due to improper injection technique. (Id. at 534-538) In his opinion, in 2003, there existed a need for long term therapy, notwithstanding the available therapies (including an implantable pellet, Testopel). (Id. at 540-541)
Dr. Schlegel explained that Testopel was longer-acting than Aveed. Assuming there was a need, Dr. Schlegel explained that Aveed does not fulfil it due to the occurrence of POME and the additional measures required by the FDA. The additional measures make it difficult for busy offices to administer the injections. He concluded that Aveed “did and did not” meet the long
The court concludes that, on the record at bar, there existed a need for a long-acting testosterone therapy. Defendant offers testimony (based on Aveed’s commercial success) that Aveed did not fill such need. This testimony is more indicative of a lack of commercial success, a secondary consideration not advanced by plaintiffs.
III. CONCLUSION
For the foregoing reasons, the court finds that defendant has not met its burden to prove, by clear and convincing evidence, that claim 2 of the ’640 patent and claim 18 of the ’395 patent are invalid for obviousness. An appropriate order shall issue.
ORDER
At Wilmington this 10th day of February 2017, consistent with the. opinion issued this same date;
IT IS ORDERED that:
1. The asserted claims of the ’640 and ’395 patents are valid.
2. The clerk of court is directed to enter judgment in favor of plaintiffs and against defendant.
.In the FDA’s “Approved Drug Products with Therapeutic Equivalence Evaluations” ("Orange Book”), the '640 and ’395 patents are listed in the entry for Aveed® (“Aveed”).
. Paddock was substituted with new defendant Custopharm, Inc. ("defendant”). (D.I. 79, so ordered January 13, 2017)
. The patents-in-suit have a priority date of March 14, 2003.
. Hermann M. Behre et al., Intramuscular injection of testosterone undecanoate for the treatment of male hypogonadism: phase I studies, 140 Eur. J. Endocrinol. 414 (1999). (JTX 3)
. Eberhard Nieschlag et al., Repeated intramuscular injections of testosterone undeca-noate for substitution therapy in hypogonadal men, 51 Clin. Endocrinol. 757 (1999). (JTX 4)
. Sigrid von Eckardstein and Eberhard Nies-chlag, Treatment of Male Hypogonadism with Testosterone Undecanoate Injected at Extended Intervals of 12 Weeks: A Phase II Study, 23(3) J. Androl. 419 (2002). (JTX 5)
.The specifications of the patents-in-suit reference Behre and von Eckardstein. ('640 patent, 2:10-16, 37-44) Dr. Jan-Peter Ingwersen ("Dr. Ingwersen”), plaintiffs’ 30(b)(6) desig-nee on issues related to the development of the product and inventor on the patents, testified that the background section of the patent does not disclose the particular vehicle used
. Saad 2007 disclosed for the first time that the composition used in the Nieschlag article was what is now sold as Nebido® ("Nebido”). (D.I. 67, ex. 1 at ¶ 15; D.I. 72 at 92:9-18, 185:11-188:11); Farid Saad et ah, More than eight years’ hands-on experience with the novel long-acting parenteral testosterone undeca-noate, 9(3) Asian J. Androl 291 (2007), (DTX 20)
. Pushpalatha, T. et al„ Effect of prenatal exposure to hydroxyprogesterone on steroidogenic .enzymes in male rats, 90 Naturwissenschaften 40 (2003). (JTX 42)
. Riffkin, C. et ah, Castor Oil as A Vehicle for Parenteral Administration of Steroid Hormones, 53(8) J. Pharm. Sci. 891 (1964). (JTX 6)
. A book chapter edited by defendant's expert stated that "[t]he most common- [testosterone range] in clinical practice is a Food & Drug Administration 'range of 300 to 1000 nanograms per deciliter.” The book also refers to the AACE range. (D.I. 73 at 322:3-24)
. A urologist.
. Plaintiffs’ expert, Dr. Anthony Sliwinski ("Dr. Sliwinski”), testified that he also made routine dose adjustments for injectable testosterone in about 30-40% of his patients, but did so "within the confines of the package insert.” (D.I. 74 at 548:18-549:19, 528:16-24)
. A formulation scientist.
. On cross-examination, Dr. Tarantino was presented with documents that he had not seen before and asked whether such documents suggested that 250 mg TU is able to dissolve in 1 ml of castor oil in order to "impeach" his testimony. He did not give a definitive answer. (D.I. 72 at 123-138) The court does not find such testimony helpful to answer the ultimate question of solubility, as plaintiffs’ expert did not opine on the disclosures of these documents.
. He testified that it would be "next to impossible” to inject pure castor oil though a standard syringe needle, because of the viscosity. (D.I. 72 at 140:1-141:18)
. Defendant’s citation to the testimony of Dr. Frank Diana, plaintiffs' 30(b)(6) witness, regarding the disclosures of plaintiffs' internal information about the dissolution of TU in castor oil is not prior art and not properly considered in the obviousness analysis. (D.I. 72 at 214:25-220:13; DTX25, 39)
. A formulation scientist.
. Dr. Ingwersen testified that the viscosity of castor oil would cause difficulties during injection. (D.I. 72 at 203:9-204:6)
, He testified that he did not rely on the , underlying data (not publicly disclosed) to form this opinion, (D.I. 73 at 351:13-352:12) As the underlying data is not prior art, the court declines to discuss the opinions and arguments based thereon. (PTX 208)
. He described plaintiffs' disclosure to the FDA iñ 2013, wherein the testosterone dose was decreased to 750 mg after a 1000 mg dose was evaluated in a study and found to yield levels exceeding criteria set by the FDA. (D.I. 73 at 352:13-354:13)
. A urologist.
. A pharmacokinetics expert.
. On cross-examination, Dr. Derendorf agreed that claim 18 could be directed to a population dose or individual dose. (D.I. 73 at 439:25-441:12)
. Dr. Schlegel admitted that different ratios of castor oil and co-solvent might yield different pharmacokinetic data and different Cmax levels (highest concentration). (D.I. 73 at 334:24-335:6; see also D.I. 72 at 147:15-22)
. Average steady state concentration.
. Defendant’s inherency argument is analyzed below.
. Defendant criticizes Dr. Derendorf's testimony as not reflective of the opinions of a person of ordinary skill. (D.I. 76 at 32-34) The court finds that Dr. Derendorf's disagreement with certain general statements (paired with his explanations thereof) do not discredit his opinions. Defendant also argues that an excerpt from a book (edited by E. Nieschlag and H.M. Behre) makes it clear that pharma-cokinetic computer simulation was performed. (D.I. 76 at 31-32) The excerpt provides that "[a]s in the first study the duration of action of intramuscular testosterone unde-canoate was six to eight weeks. Follow-up studies with multiple injections of 1000 milligram testosterone undecanoate every six to eight weeks are currently being performed which are based on pharmacokinetic computer simulation." (JTX 10 at 343) The court will not, absent expert testimony, conclude that such statement undermines Dr. Derendorf’s opinions.
. In conjunction with the issue of inherency, defendant alleges that the claimed invention is invalid because the examiner's allowance was based on his purported misunderstanding that the concentration of castor oil in the co-solvent was not present in the prior art. (D.I. 76 at 27-28; D.I. 68 at ¶ 4) Defendant’s contention misses the mark. The Articles did not teach a vehicle consisting of the claimed ratio of castor oil and benzyl benzoate. (TEX 3-5) The fact that the studies forming a basis for the Articles contained a vehicle consisting of 40.7% by volume castor oil and 59.3% by volume benzyl benzoate does not mean that the teachings in the Articles themselves were so limited.
. The court reads In re Cyclobenzaprine, supra, as requiring a review of such evidence even where it is apparent that defendant cannot meet its burden to prove obviousness by clear and convincing evidence.
. The court declines to summarize the testimony herein.
Reference
- Full Case Name
- ENDO PHARMACEUTICALS SOLUTIONS INC., Bayer Intellectual Property GmbH, and Bayer Pharma AG v. CUSTOPHARM, INC.
- Status
- Published