David Harlow’s HealthBlawg presents Blawg Review #88, arranged with musical musings and links to some of the greatest musicians.  On putting together the review, Harlow quotes Duke Ellington, master pianist, composer and bandleader, who once said of performing: “It’s like an act of murder, you play with intent to commit something.”  Showing that bloggers stick together in order to find others who don’t think they’re nuts, the first Healthcare Blogging Summit was organized by The Medical Blog Network.

Also coming up on Christmas Day this year, Blawg Review presents the lawyers, law students and law professors who blog with this year’s Blawg Review Awards. They’re looking for submissions and recommendations for Blawg Review Awards 2006 and even if a law blog doesn’t fit one of the listed categories, you’re free to make up a new category and they’ll consider it for special recognition this year.

Don’t forget the Patent Barsistas for best coffee-themed blawg, served up daily. 

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The U.S. District Court for the Southern District of New York has denied a motion for a preliminary injunction that would have blocked further sales of its inhalable insulin medication, Exubera, in the U.S. based on public interest.
Danish drug company Novo Nordisk A/S filed a claim for patent infringement against Pfizer, alleging that Pfizer’s new diabetes drug Exubera infringes on patents held by Novo. Novo also filed a motion for a preliminary injunction seeking to enjoin Pfizer from making, using, selling, offering to sell, and/or importing Exubera into the United States. The motion for a preliminary injunction focuses solely on Pfizer’s alleged infringement of U.S. Patent No. 5,884,620.

The ’620 patent claims a system for the efficient and reproducible inhalation of aerosolized insulin through the lungs and into the bloodstream to manage the blood sugar levels of diabetics. Claim 1 of the ’620 patent provides for a:

[M]ethod of administering insulin to a human patient by inhalation and comprises: (a) exhaling a determined volume of air; (b) aerosolizing an insulin formulation; (c) inhaling the aerosolized formulation with a determined volume of air; and (d) repeating (a), (b), and (c) a plurality of times wherein the determined volume of air exhaled in (a) is substantially the same for each step (a) and the determined volume of air in (c) is substantially the same for each step (c).

Novo argues that before the ’620 patent, no one knew that repetition of a breathing technique would lead to consistent insulin dispersal in the bloodstream via the lungs, and that Exubera is dependant on their patented method.

It is noteworthy that Novo is currently in the process of creating its own inhalable insulin system in conjunction with the ’620 patent, called AERx, which is currently in clinical trials and estimated to hit the market in 2011.

The FDA approved instructions for Exubera are:

[i] Push the “blue button” on the Exubera device and “watch the insulin cloud fill the chamber”;
[ii] Breathe out normally;
[iii] In one breath, slowly and deeply breathe the insulin cloud in through your mouth; and
[iv] Breathe out normally.

Novo asserts these instructions infringe on the method of breathing covered by the ’620. Novo’s position is that the words “breathe out normally” in the above instruction infringes on its patented method of assuring uniform predetermined quantities of inhalable insulin

To get a preliminary injunction, one must prove the likelihood of success on the merits considering both patent validity and infringement. If the non-movant “raises a substantial question concerning either infringement or validity, i.e. asserts an infringement or invalidity defense that the patentee cannot prove lacks substantial merit” the preliminary injunction will not issue.

Novo contends that the ’620 patent is entitled to a presumption of validity and furthermore satisfies a long-felt need for an alternative method of insulin delivery. Although, Novo conceded that if Exubera’s instructions did not direct the user to “breathe out normally” at the outset of the insulin treatment session, Exubera would not infringe on the ’620 patent’s mandate to use a determined volume of air during the breathing method.

Pfizer contends that Exubera does not infringe upon the ’620 patent because the patent does not cover Exubera’s breathing instructions and, in the alternative, if the ’620 patent does cover Exubera it is invalid because it is anticipated by the prior art.

Pfizer argues that under Novo’s construction of “determined volume of air,” anytime a patient is instructed to inhale and exhale in a certain manner, this results in the patient inhaling or exhaling a determined volume inhalation and this would cover prior art breathing techniques such as the sort used for the treatment of asthma. Pfizer also argues that if Novo’s definition of “determined volume of air” covers Exubera, then the ’620 patent is anticipated by prior art in the field of inhalable insulin and is obvious to those with an ordinary level of skill in the field.

In the end, it was public interest that prevailed in this case

“[I]n a patent infringement case, although there exists a public interest in protecting rights secured by valid patents, the focus of the district court’s public interest analysis should be whether there exists some critical public interest that would be injured by the grant of preliminary relief” Hybritech, Inc., 849 F.2d at 1457. Enjoining the release of a new and less invasive treatment for diabetes would quite obviously be contrary to the public interest, particularly in the interval between now and trial. Pfizer contends that Exubera will allow diabetics who are currently not coping well with their diabetes or afraid to begin injecting insulin to try and control their disease in a new manner. There is a strong public interest favoring such a device. Novo argues in its briefs that it is against the public interest to start patients on a new diabetes treatment plan, only to later enjoin that method. However, at oral argument, Novo conceded that there was no medical risk in switching back from inhalable insulin to injectable insulin. (Prelim. Inj. Hr’g. 165.) While it may take a former Exubera user “some period” to adjust to a new method, without any medical harm this is clearly a risk worth taking in favor of the public interest.

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In the never-ending quest for Google to control the flow of all information on the planet, Google has now released Google Patent Search. And — big surprise — it comes with the too familiar Beta tagline that marks all things Google so that they can disavow any responsibility.

With Google Patent Search, you can now search the full text of the U.S. patents. The search results are ranked the same as with Google Web Search, according to their relevance to a given search query. It does not currently include patent applications, international patents, or U.S. patents issued over the last few months so use accordingly.

Google Patent Search covers the entire collection of patents made available by the USPTO — from patents issued in the 1790s through those issued in the middle of 2006. All patents available through Google Patent Search come from the United States Patent and Trademark Office (USPTO).

There is an Advanced Patent Search page that offers searching by Patent number, Title, Inventor Name, Assignee Name, Issue date, Current U.S. Classification, and International Classification.

You can submit a suggestion or feature request for Google Patent Search by emailing Google at patent-support@google.com.

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Patent Congress 2007I will be on a panel discussion at the American Conference Institute’s Corporate Patent Congress 2007, which will be held in New York City on January 22 and 23. The panel will include Matt Buchanan of Promote the Progress and Doug Sorocco of PHOSITA. We will be discussing “Maximizing Your Corporate Patent Portfolio and Harnessing Its Value in Changing Times.” The topics we will be covering include:

  • Utilizing aggressive offensive and counter-defensive measures to generate a steady revenue stream from your IP portfolios
  • Increasing corporate prowess and maintaining your competitive edge in the market through strategic patent acquisition
  • Incorporating patent portfolio management into your business planning and valuation strategies

Featuring industry leading attorneys and in-house counsel from the pharmaceutical, biotech, medical device, computer, software, technology and financial services sectors, this conference will provide you with a comprehensive perspective on all the pertinent issues and solutions for adapting your business and legal strategies.

For a full list of all of the conference sessions, download the attached conference flyer (PDF 206kb). Patent Baristas’ loyal fans can get $200 off of the registration fee by mentioning discount code 662L07.SBLG when registering.

Let me know if you will be attending and we’ll make time to meet at the Marriott. According to Matt, it looks like I’m buying the coffee.  Otherwise, I look forward to seeing you in NYC.

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Thailand’s Ministry Of Public Health has announced plans to grant a five-year, compulsory license to produce a lower-cost version of Merck’s antiretroviral drug Efavirenz — a move that appears to be legal under the World Trade Organization’s Doha Declaration (an amendment to the WTO’s TRIPS Agreement). Thailand is looking to save on the cost of Efavirenz by reducing the price 50% from $67 monthly to $38.5 monthly, according to the ministry’s Department of Disease Control.

Meanwhile, Merck claims it makes no profits off Efavirenz in Thailand and that the Thai government did not consult the company before deciding to issue the compulsory license. Under the license, Merck will receive a 0.5% royalty on sales of the locally produced drug.

Provisions on compulsory licensing are written into the TRIPS agreement on trade-related intellectual property rights so governments can issue compulsory licenses to allow other companies to make a patented product or use a patented process under license without the consent of the patent owner but only under certain conditions aimed at safeguarding the legitimate interests of the patent holder. TRIPS, or Trade-Related aspects of Intellectual Property Rights, is an Agreement drawn up by the World Trade Organization to ensure intellectual property rights are respected within international trade.

Efavirenz was approved by the FDA in 1998 for use in combination with other anti-retrovirals in adults and children with HIV infection. Efavirenz is used with other medications to treat human immunodeficiency virus (HIV) infection in patients with or without acquired immunodeficiency syndrome (AIDS).

Efavirenz is in a class of medications called nonnucleoside reverse transcriptase inhibitors (NNRTIs) that works by slowing the spread of HIV in the body. Efavirenz does not cure HIV infection and may not prevent someone from developing HIV-related illnesses or from spreading HIV to other people. In 2004, global combined sales of Crixivan (indinavir)/Stocrin(Efavirenz) reached $256 million.

Thailand’s Health Ministry has argued that it cannot afford to import Efavirenz and thousands of Nevirapine-resistant HIV/AIDS patients would likely die without a cheaper version of the drug on the market. By producing its own generic version of the drug, Thailand will be able to treat 100,000 HIV-positive people, compared with 17,000 who have access to the drug now.

Today, AIDS is the leading cause of death in Thailand with more than 50,000 are expected to die in Thailand from AIDS-related causes in 2006, according to a World Bank study.

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A panel of experts put together by the U.S. Food and Drug Administration looked at the safety concerns surrounding the more than $5 billion drug-coated stent industry. These so-called drug-eluting stents are small metal tubes implanted into blood vessels to help prop up clogged heart arteries after they have been cleared. By coating the stents with a drug, it can reduce the growth of scar tissue that can gradually clog arteries and lead to a heart attack. Recently, researchers are finding that drug coated stents increase the odds of a blood clot when compared to bare metal ones.In response, the FDA convened a panel of experts in Washington to look at recent data suggesting a small but significant increase in the rate of death and myocardial infarction — a heart attack — that may be due to stent thrombosis — a blood clot in the stent — in patients treated with drug. The panel conclusions about the drug-coated stents were mixed, however. The studies show that most patients with drug-coated stents have some increased risk of heart attacks and death but it’s unclear whether this is due to poor health or the devices themselves.

It seems that about 40% of the situations in which the stents are used, the blockage involves just one artery, and the patient’s heart is not significantly damaged. That’s what the FDA envisioned when it approved the use of stents. And in those cases, the panel says the benefits of the stents outweigh any clotting danger.

But the remaining 60% are cases where multiple arteries are blocked, the patient has already suffered a serious heart attack, or other complications are involved. In these more complex cases, the panelists were not confident the benefits outweigh the risk of blood clots. These included cases not originally studied before the devices received FDA approval such as patients whose arteries are narrower or more damaged, or who receive overlapping or multiple stents in a single blood vessel — so-called off-label uses.

The panel concluded that the drug-coated stents are safe when used with healthier patients with less complex problems but may put patients at risk for blood clots. Therefore, the panelists recommended stent patients take blood-thinning drugs for at least a year. They also recommended that the labels on the devices should be updated to warn doctors that off-label use won’t give the same results as seen in generally simpler cases involving healthier patients.

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The Blawg Review Editor sent me a tip about Light Cafés in Stockholm, which now offer Swedes the chance to take in a little sun with their morning coffee. Since Stockholm only receives five hours of light a day in winter, patrons at the Iglo Ljuscafé sip their morning brew while soaking in artificial sun from special lights – after taking off their shoes and slipping into white robes provided at the door, or course.

The sun-deprived can spend an hour “ljusing” (literally “brightening” in English) at the café. Breakfast and an hour of light treatment will run you 160 Swedish Krona or about $24 U.S. I can’t make it to Sweden this year (although I wish I could pick up a new XC70) so I got the funky, blue light emitting diode (LED) golite to counteract the effects of spending all my time in a north-facing office. Even Eastman Kodak is getting into the act.

Not sure if it works. I still want to through my co-workers out the window. Maybe I’ll try stronger coffee.

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Apotex’s appeal of a grant of a preliminary injunction by the United States District Court for the Southern District of New York in favor of Sanofi-Synthelabo was smacked down by the CAFC. See Sanofi-Synthelabo et al. v. Apotex (06-1613).

Sanofi markets Plavix®, a platelet aggregation inhibiting agent used to reduce thrombotic events such as heart attacks and strokes. The active ingredient of which is clopidogrel bisulfate, covered by U.S. Pat. 4,847,265.Clopidogrel is the dextrorotatory enantiomer of the free base methyl alpha-5-(4,5,6,7-tetrahydro(3,2-c)thienopyridyl)-(2-chlorophenyl) acetate, which the parties refer to as “MATTPCA.” The active ingredient in Plavix® is the bisulfate salt of the d-enantiomer of MATTPCA, which is specifically recited in claim 3 of the ’265 patent.

Apotex had filed an Abbreviated New Drug Application (“ANDA”) pursuant to the Hatch-Waxman Act seeking FDA approval to manufacture and sell a generic version of clopidogrel bisulfate. When Apotex filed a Paragraph IV certification with its ANDA asserting that the ’265 patent is invalid, Sanofi sued Apotex on the ’265 patent. Apotex counterclaimed, asserting that the patent is invalid and unenforceable.

The parties negotiated a settlement agreement that provided for actions in the event that the settlement failed to receive regulatory approval. After state attorneys general said they would not approve the settlement, litigation resumed.

Pursuant to the agreement, Apotex launched its generic clopidogrel bisulfate product on and Sanofi filed for a preliminary injunction and requested a recall of Apotex’s products that were already distributed. The district court granted the motion for injunctive relief but denied the request for recall. Noteworthy is that Apotex shipped a six-month supply of its product to distributors in the US.

In reaching its decision, the district court applied the established four-factor test for preliminary injunctive relief, and found that the factors weighed in favor of an injunction. Regarding the likelihood of success on the merits, the court noted that Apotex conceded that its accused products infringe claim 3 of the ’265 patent. The court then found that Apotex failed to establish a likelihood of proving invalidity at trial — rejecting its anticipation, obviousness, and obviousness-type double patenting invalidity defenses. The court also determined that Apotex failed to raise a substantial question as to whether the ’265 patent is unenforceable due to inequitable conduct. Additionally, the court found that the remaining three factors of the test favored issuance of a preliminary injunction. Apotex then appealed.

A preliminary injunction is granted only if a party establishes four factors: “(1) a reasonable likelihood of its success on the merits; (2) irreparable harm if an injunction is not granted; (3) a balance of hardships tipping in its favor; and (4) the injunction’s . . . impact on the public interest.” Amazon.com, 239 F.3d at 1350. Permanent injunctive relief requires success on the merits as a precondition to grant by a court.

(1) A reasonable likelihood of its success on the merits

In order to satisfy the first element of the test, Sanofi must demonstrate that, “in light of the presumptions and burdens that will inhere at trial on the merits,” Sanofi will likely prove that Apotex’s product infringes the ’265 patent and that it will withstand Apotex’s challenges to the validity and enforceability of the ’265 patent. Thus, the first element was properly found satisfied if Apotex failed to raise a “substantial question” with regard to the validity or enforceability of the ’265 patent — or, if it succeeded in doing so, Sanofi demonstrated that those defenses “lack substantial merit.”

Apotex asserted that U.S. Pat. 4,529,596 anticipates claim 3 of the ’265 patent. The district court rejected Apotex’s argument on two grounds. First, the court found that the ’596 patent does not describe clopidogrel bisulfate. Second, the court determined that the ’596 patent does not enable a person of ordinary skill in the art to make clopidogrel bisulfate without undue experimentation.

On appeal, Apotex argues that the district court erred by improperly focusing its anticipation analysis on claim 1 of the ’596 patent, which claims a broad genus of compounds, and by failing to consider claim 2, which claims the free base of clopidogrel, MATTPCA. According to Apotex, claim 2 describes clopidogrel bisulfate and thus anticipates claim 3 of the ’265 patent.3 Apotex advances two main arguments in support of this position.

Apotex argued that a person of ordinary skill in the art would interpret claim 2 of the ’596 patent in light of the specification as not only disclosing the racemate free base, but also the dextrorotatory and levorotatory enantiomers, as well as pharmaceutically acceptable salts, including the bisulfate. According to Apotex, the genus disclosed in claim 2 of the ’596 patent is a small class to which clopidogrel bisulfate belongs, which describes all members of that class.

Apotex’s anticipation argument on appeal is solely based on Apotex’s assertion that claim 3 of the ’265 patent is unpatentable in view of claim 2 of the ’596 patent. Claim 3 of the ’265 patent reads as follows:

3. Hydrogen sulfate of the dextro-rotatory isomer of methyl alpha-5 (4,5,6,7-tetrahydro (3,2-c) thienopyridyl) (2-chlorophenyl) – acetate substantially separated from the levo-rotatory isomer.

Thus, the claim consists of the following key limitations: 1) the d-enantiomer; 2) of the compound MATTPCA; 3) the bisulfate salt; and 4) substantial separation from the levorotatory isomer.

However, claim 2 of the ’596 patent, in contrast, reads as follows:

2. Methyl α-(4,5,6,7-tetrahydro-thieno(3,2-c)-5-pyridyl)-o.chlorophenyl-acetate.

Thus, claim 2 only recites the free base, MATTPCA, and does not expressly describe the dextrorotatory or levorotatory enantiomers or any salt. The CAFC held that because claim 2 fails to describe each and every limitation of claim 3 on its face, claim 2 does not anticipate claim 3.

(2) Irreparable harm if an injunction is not granted

The district court applied a presumption of irreparable harm in light of its conclusion that Sanofi established a likelihood of success on the merits. The court also found that Sanofi proffered substantial evidence establishing other forms of irreparable harm, including irreversible price erosion, loss of good will, potential lay-offs of Sanofi employees, and the discontinuance of clinical trials that are devoted to other medical uses for Plavix®.

Apotex argued that the settlement agreement entered into by Sanofi and Apotex negated any finding of irreparable harm since their settlement agreement measured the harm it would suffer in the event Apotex marketed a generic product — specifically, 40%-50% of Apotex’s net sales. The CAFC disagreed that by entering into that agreement, Sanofi bargained away its right to seek preliminary injunctive relief, and thus its right to prove irreparable harm, in the event the settlement was not approved, holding:

“[M]erely because a patentee is able to identify a monetary amount that it deems sufficient to avoid or end litigation does not necessarily mean that it automatically foregoes its right to seek a preliminary injunction or that any potential irreparable injury ceases to exist if infringement resumes.”

(3) Balance of hardships tipping in its favor

As to the third factor of the test, Apotex argued that the harms Sanofi would suffer are a result of its own conduct. The court laughed this argument off so hard it wouldn’t even consider it.

(4) The injunction’s impact on the public interest.

Apotex argued that the district court erred in failing to consider certain public harms that would result if an injunction issues stating that if the generic products were removed from the market, consumers would be inclined not to purchase their medication because of the accompanying price increase for the brand name drug, leading to possible deaths. The CAFC sided with Sanofi that the interest in encouraging pharmaceutical research and development outweighed the public interest advanced by Apotex stating:

We have long acknowledged the importance of the patent system in encouraging innovation. Indeed, the “encouragement of investment-based risk is the fundamental purpose of the patent grant, and is based directly on the right to exclude.” … Importantly, the patent system provides incentive to the innovative drug companies to continue costly development efforts.

 

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