Date: 20131220
Docket: T-8-12
Citation: 2013
FC 1270
Ottawa, Ontario,
December 20, 2013
PRESENT: The
Honourable Mr. Justice Barnes
BETWEEN:
|
GILEAD SCIENCES, INC. AND
GILEAD SCIENCES CANADA, INC.
|
|
|
Applicants
|
and
|
|
THE MINISTER OF HEALTH AND
TEVA CANADA LIMITED
|
|
|
Respondents
|
PUBLIC REASONS FOR JUDGMENT
AND JUDGMENT
[1]
This
is an application under the Patented Medicines (Notice of Compliance)
Regulations, SOR/93-133 as amended (NOC Regulations) for an Order
prohibiting the Minister of Health (Minister) from issuing a Notice of
Compliance (NOC) to Teva Canada Limited (Teva) for a generic version of the
Applicants’ (collectively Gilead) Truvada® medication.
[2]
The
patents in issue in this proceeding are Canadian Letters Patent No. 2,261,619
(the 619 Patent) and Canadian Letters Patent No. 2,298,059 (the 059
Patent). Teva asserts that both patents are invalid.
[3]
The
active pharmaceutical agent (API) that underlies both patents is tenofovir or
PMPA. Tenofovir disoproxil or bis(POC)PMPA, a prodrug of tenofovir, is claimed
by the 619 Patent and its salt form, tenofovir disoproxil fumarate (TDF),
is the subject of the 059 Patent.
[4]
TDF
is indicated for use on its own and in combination with other pharmaceutical
compounds for the treatment of HIV/AIDS. Gilead markets two different drugs
containing TDF. These are Truvada® and Viread®. Bristol Myers Squibb (BMS)
markets Atripla®, which also contains TDF. Each of these products has a
different drug identification number and received its own NOC pursuant to Part
C, Division 8 of the Food and Drug Regulations, CRC, c 870. Teva served
Gilead with a separate Notice of Allegation (NOA) with respect to each of Truvada®
and Viread®. Another NOA was served upon BMS with respect to Atripla®. In
response, Gilead and BMS commenced three separate applications (Court files
T-8-12, T-280-12 and T-1708-12) seeking orders prohibiting the Minister from
issuing NOCs to Teva until the expiry of the 619 and 059 Patents.
[5]
Although
these applications were commenced separately and they remain separate, they
raise identical issues and arguments. The parties agreed and the Prothonotary
ordered that the Applications would be brought together and the validity issues
determined under Court file T‑8‑12. The parties further agreed that
my decision and reasons with respect to T-8-12 will apply equally to T‑280-12
and T-1708-12, although separate orders will be issued for each of those
applications.
[6]
Most
of the relevant evidence in this proceeding was provided by expert witnesses.
Drs. Ronald Borchardt, Allan Myerson, Richard Elion and Hans Maag gave
evidence on behalf of Gilead. Drs. Robert Zamboni, Lawrence Kruse, Larry
Sternson, Michael Parniak and Peter Ford gave evidence on behalf of Teva. Fact
evidence on behalf of Gilead was also provided by Drs. William Lee and
Reza Oliyai. This fact evidence was primarily directed at the history of the
development of tenofovir disoproxil. All of the expert witnesses were
qualified to opine on the subjects they addressed and no significant
credibility issues were raised.
[7]
Among
other arguments raised, Teva contends that the claimed discoveries of tenofovir
disoproxil and TDF would have been obvious to the person skilled in the art and
that the patents in suit amount to the “evergreening” of the now expired patent
over tenofovir. Teva also argues that the 619 Patent is invalid on the
basis that the claimed discovery of tenofovir disoproxil was anticipated by an earlier
patent application. Gilead argues that the discovery of a suitable prodrug and
a prodrug salt form of tenofovir were delicate, complicated and unpredictable
and therefore inventive.
Medicinal
Background
[8]
Tenofovir
was known to be an effective antiviral agent useful to treat HIV/AIDS. It
falls within the class of compounds known as acyclic phosphonate nucleotides
and its antiviral efficacy arises from its disruption of the process of viral
replication (reverse transcriptase) in human cells. In that capacity tenofovir
acts as a nucleoside reserve transcriptase inhibitor or NRTI. Although
tenofovir had been shown to be a very promising compound for the treatment of
HIV/AIDS, it did not receive regulatory approval for medicinal use until it was
converted firstly to a prodrug or intermediate form (tenofovir disoproxil) and
then to a salt form (TDF).
[9]
It
is undisputed that the discovery of tenofovir in the 1990’s responded to a
critical unmet need in the treatment of HIV/AIDS. This point is described in
the affidavit of Gilead’s expert, Dr. Elion.
[10]
Dr.
Elion is a Board Certified Physician who has provided clinical care to HIV/AIDS
patients since 1984. Since 2007 Dr. Elion has held the position of Director of
Clinical Research at Whitman Walker Health in Washington, D.C. Between 1984 and
2007, he held several positions relevant to his understanding of the historical
treatment of HIV/AIDS, including as medical advisor to the New York Department
of Public Health (1990-1991) and a member of the protocol development team for
the National Institute of Health's Community Research Program on AIDS
(1993-1994). Dr. Elion was also principal and co-investigator on several
clinical trials involving the treatment of HIV (1998-2007).
[11]
According
to Dr. Elion, the first commercial test for HIV was approved in 1985, but there
was no means of treating the primary cause of AIDS and clinicians were left to
treat only the underlying symptoms (Elion Affidavit at paragraph graphs
33-34). Through research, it was learned that:
38. …HIV is a retrovirus whose genetic
material is encoded in RNA rather than the customary DNA as for most cells.
Upon entering the cell, HIV's RNA is converted by the viral enzyme reverse
transcriptase to DNA. The newly transcribed viral DNA integrates into the
genetic code of the host cell. The viral DNA uses the host cell's replication
machinery to produce copies of the virus. The infected cell then multiplies,
creating an incurable and deadly infection.
[12]
Researchers
sought to develop drugs that would stop the replication process at various
points along the replication chain, including reverse transcriptase.
[13]
In
1987, the first HIV treatment drug, zidovudine (AZT), received approval from
the Food and Drug Administration (the “FDA”). By 1996, the FDA had approved
nine drugs for the treatment of HIV. Unfortunately, all of these therapies
were associated with toxicity issues that caused unpleasant, and sometimes
life-threatening, side effects. Patient adherence to drug regimes was also an
issue, as patients were often reluctant to take medication that made them feel
sick to treat a virus that was not presently making them feel sick (Elion
Affidavit at paragraphs 42-51). Another concern with the available therapies
was the ability of the virus to build up resistance to these antiviral agents
(Elion Affidavit at paragraphs 52-56).
[14]
The
regulatory approval of TDF in 2001 represented a significant improvement over
previous treatment options as it was dosed once daily, had a better
toxicity/side effect profile and was less prone to viral resistance (Elion
Affidavit at paragraphs 76-78). Based on his clinical experiences, Dr. Elion
believed TDF to be more effective than the previous alternatives (Elion
Affidavit at paragraphs 81-82). TDF in combination with other therapies has
since become the “gold standard” in HIV treatment (Elion Affidavit at paragraph
85).
[15]
The
primary medicinal problem presented by tenofovir was its limited
bioavailability (the ability to get to the target cell) when taken orally. For
long-term treatment of HIV/AIDS, effective oral administration of any drug was
considered to be essential and IV administration impractical.
[16]
The
poor bioavailability of tenofovir is described by Dr. Borchardt at paragraph 65
of his affidavit:
62. PMPA [tenofovir] poorly passes through
these cellular membranes because all cell membranes in animals and humans are
made up of lipids, which are oily in nature. Charged compounds, like the
ionized form of PMPA, associate with water rather than with oily lipids. This
causes them to poorly partition into cell membranes and cell interiors. The
oral bioavailability of PMPA is low in animals and humans. For this reason,
PMPA is of limited use as an orally administered pharmaceutical antiviral
agent.
[Footnotes omitted]
[17]
Dr. Kruse
also confirmed that drugs like tenofovir that contain phosphonates “are very
polar, and therefore are unable to cross cell membranes” (Kruse affidavit at
paragraph 37).
[18]
One
well-known means by which the bioavailability of an API can be improved is the
development of a prodrug. A prodrug is described by Dr. Borchardt in the
following passage from his affidavit:
43. A prodrug is generally defined as a modified
drug made by attaching a promoiety to a parent compound. A prodrug is generally
pharmacologically inactive. After oral administration, a prodrug is metabolized
by a series of enzymes to produce the pharmacologically active parent compound
in the body. This was well known prior to July 26, 1996 and is discussed in
many references.
44. To treat an infection, after oral administration
a prodrug must remain stable through acidic and enzyme-laden environments as it
passes through the gut, crosses the intestinal mucosa into the blood, and
penetrates the infected cells. Inside the infected cells, the prodrug must be
processed by several enzymes within the infected cell to produce the
pharmacologically active drug.
[Footnotes omitted]
[19]
Dr.
Kruse offered the following description of a prodrug in his affidavit:
24. A prodrug is a drug which is inactive per
se but is transformed in the body into the active compound (the “parent
compound”). The term “prodrug” was coined by Dr. Adrien Albert in 1958. This
transformation may be due to enzymatic activation or may be simply caused by a
chemical reaction (for instance, the cleavage of a chemical bond as the prodrug
moves into a more chemically reactive environment).
25. A prodrug is used for one or more of the
following reasons:
a. to improve the
stability and/or solubility characteristics of the parent compound;
b. to improve the bioavailability
of the parent compound;
c, to increase the
duration of the pharmacological effects;
d. to increase the
ability of the compound to target a specific site; and
e. to decrease toxicity
and adverse effects associated with the parent compound.
26. A prodrug should have a number of
properties, including:
a. adequate chemical
stability from a formulation perspective;
b. chemical stability in
the pH environment of the gastrointestinal tract;
c. adequate solubility in the
gastrointestinal tract;
d. the ability to
withstand cleavage by enzymes in the gastrointestinal tract;
e. good cell permeability;
f. the ability to easily
revert to the parent compound once absorbed into the blood stream or when it
reaches its cellular target; and
g. non-toxic degradation byproducts.
The
619 Patent - Validity
[20]
I
accept that Teva’s evidence concerning the 619 Patent and the 059 Patent is
sufficient to fulfill its obligation to overcome the presumption of validity
created by subsection 43(2) of the Patent Act, RSC 1985, c P-4, and the
ultimate burden of proof on a balance of probabilities thus falls upon Gilead.
[21]
The
person of skill to whom the 619 Patent is directed is someone with an
advanced degree in biochemistry, pharmaceutical chemistry, medicinal chemistry,
organic chemistry or chemical engineering with practical experience in drug
development including general knowledge of the design of prodrugs.
[22]
Only
Claim 32 of the 619 Patent is in issue. It is not disputed that Claim 32 is
directed to tenofovir disoproxil and its salts. The inventive concept of Claim
32 is the use of the carbonate promoiety disoproxil with the antiviral compound
tenofovir. Teva has acknowledged that it is seeking a Notice of Compliance for
a pharmaceutical product containing tenofovir disoproxil and it is common
ground that the Teva product will infringe if Claim 32 is valid.
Is
Claim 32 of the 619 Patent anticipated by the 214 Application?
[23]
In
Free Word Trust v Electro Santé Inc., 2000 SCC 66, [2000] 2 S.C.R. 1024 at
para 26, the Court applied Hugessen’s J.A.’s classic statement of the
disclosure element for anticipation by prior publication from Beloit Canada
Ltd. v Valmet OY:
The test for anticipation is difficult to meet:
One must, in effect, be able to look at a prior, single
publication and find in it all the information which, for practical purposes,
is needed to produce the claimed invention without the exercise of any
inventive skill. The prior publication must contain so clear a direction that a
skilled person reading and following it would in every case and without
possibility of error be led to the claimed invention.
(Beloit Canada Ltd. v. Valmet OY (1986), 8
CPR (3d) 289 (FCA), per Hugessen JA, at p. 297)
[24]
The
above statement continues to be the legal standard on this issue (see Bell Helicopter v Eurocopter, 2013 FCA 219 at paras 109-110, [2013] FCJ No
1043).
[25]
The
prior art reference relied upon by Teva to establish anticipation is the 214
Application. The 214 Application was filed by Bristol-Myers Squibb Co. (BMSC)
on September 10, 1991. It described the invention of “novel orally active
prodrugs of phosphonate nucleotide analogs” and their salts suitable to
overcome the bioavailability problems associated “with nucleotides and other
ionic organophosphate esters”. Teva’s NOA asserted that the 214 Application
“discloses prodrug forms of, inter alia, PMPA and, in particular, prodrugs in
which the phosphate functionality had been esterified to improve oral
bioavailability” (Applicants’ Record, Volume 1, Tab 1 at p 32).
[26]
All
of the witnesses agree that tenofovir disoproxil is not expressly identified in
the 214 Application - a point that is acknowledged at page 18 of Teva’s
NOA. Dr. Kruse also acknowledged under cross-examination that the 214
Application does not exemplify a carbonate prodrug (see Applicants’ Record,
Volume 28, Tab 238 at p 8249). Nevertheless, according to Dr. Kruse
the person of skill would read the 214 Application to include tenofovir
disoproxil on the strength of the following approach:
56. R4 is defined as a physiologically
hydrolyzable ester group and although it gives examples of these groups, a
medicinal chemist would understand that R4 is not limited to those
groups since the language at page 5, line 1 is “such as”. Further, a medicinal chemist
would understand that the exemplified groups are not all traditional esters
(i.e., CH2C(O)NR52, which is an ester
substituted with an amide). Accordingly, a medicinal chemist would understand
that the term is broader and includes all functional groups that will act
like an ester. It follows that a skilled person would understand that all
of these groups are within the definition of R4 as defined on page 5
of the 214 Application.
[Emphasis added]
According to this view tenofovir
disoproxil falls within the class of “functional groups” that act like an ester
and is, therefore, disclosed to the skilled reader. Also see Dr. Zamboni’s
affidavit at paragraph 58.
[27]
Dr.
Borchardt answered this evidence in the following way:
96. The definition of R4 in the EP
‘214 Application recites a “physiologically hydrolyzable ester”. A carbonate is
not a physiologically hydrolyzable ester as defined in the EP ‘214 Application
and would not be understood to be such by a POSITA.
97. In paragraph 56 of his affidavit, Dr.
Kruse relies upon the phrase “such as” to read into the definition of R4
of the EP ‘214 Application to expand the definition of “physiologically
hydrolyzable ester” beyond the groups it exemplifies to include “all functional
groups that will act like an ester”. He then draws on this expanded definition
to import compounds that are not specifically disclosed by the EP ‘214
Application. Teva’s interpretation of the definition of R4 would
include thousands or millions of compounds.
98. Dr. Kruse provides a table of promoieties
that he considers to be “readily hydrolysable esters” following paragraph 56 of
his affidavit. Carbonate esters of nucleotide phospohonates [sic] were not
known to be “readily hydrolysable esters” in the context of the EP ‘214 Application
(i.e., useful as prodrugs). In paragraph 59, Dr. Kruse states that the EP
‘214 Application specifically exemplified 47 compounds, which he set out in
Exhibit 2 of his affidavit. Tenofovir disoproxil is not exemplified in
the EP ‘214 Application.
99. This same, misunderstanding forms the
basis for Dr. Zamboni’s statements in paragraphs 58(c) and 71 of his
affidavit that the definition of “hydrolyzable ester group” in the EP ‘214
Application includes carbonates. In fact, Dr. Zamboni later corrects his
earlier misunderstanding in paragraph 97, where he distinguishes between an
ester and a carbonate on the basis of chemical stability. In his own words, “I
have always considered a carbonate to be more stable than an ester.”
100. Tenofovir disoproxil is not anticipated by
the EP ‘214 Application. As noted above, the definition of R4
in the EP ‘214 Application does not include a carbonate.
101. “Carbonate” is a clear and unambiguous
chemical term, because it represents a unique structure, -OC(O)O-, that was
known to POSITAs at the relevant time. If the inventors of the EP ‘214
Application intended to include carbonates, they would have done so explicitly
by disclosing that structure and providing an example of a compound containing
it (i.e., enabling a carbonate prodrug of a nucleotide phosphonate).
102. Without such a disclosure, a POSITA would
not have understood the EP ‘214 Application to disclose carbonates.
[28]
Dr.
Maag also disagreed with Teva’s witnesses for the reasons set out below:
79. The Kruse and Zamboni
analysis of the ‘214 Application and their allegations in respect of novelty
hinge on the definition of the R4 group defined at page 5 of the ‘214
Application.
80. Drs. Kruse and Zamboni
have misinterpreted the definition of R4 in the ‘214 Application in an attempt
to include all functional groups that will act like an ester (including the
carbonates disclosed in the ‘619 Patent).
81. This is incorrect. The
ester groups defined in R4 of the ‘214 Application do not cover carbonates. Drs.
Kruse and Zamboni attempt to extend the definition of R4 because of the phrase
“such as” (see for example Kruse affidavit at para. 56). This extended
definition would allow the ester groups to include anything, including
compounds that are not described. A person skilled in the art would not
understand the definition of R4 to include carbonates.
82. Drs. Kruse and Zamboni
concede to this fact in their affidavits by relying on “such as” to extend the
very specific limited defined ester groups in R4.
83. Clearly, if the
inventors had intended to include carbonates, they would have included an
appropriate chemical definition for such groups and disclosed and enabled such
groups, which they did not.
[29]
Teva’s
evidence rests heavily on the significance of the words “such as” found in the
214 Application. Drs. Kruse and Zamboni say that the person of skill
would interpret the 214 Application expansively in light of that
open-ended language and readily conclude that tenofovir disoproxil was
included.
[30]
The
person of skill is “trying to understand what the author of the description [in
the prior patent] meant” (see Apotex v Sanofi, 2008 SCC 61, [2008] 3 SCR
265 at para 25). If there is doubt about what the prior art reference
includes, it cannot be taken to meet the definition of anticipation. Faced
with uncertainty, the person of skill would not be inclined to read up the
prior art language or to draw grammatical inferences of the sort made by Teva’s
witnesses. Here the uncertainty would be magnified by the absence of any
extant prior art describing a carbonate prodrug of a phosphonate nucleotide. I
reject the suggestion by Teva’s witnesses and, in particular, by Dr. Kruse at paragraph 56
of his affidavit, that by listing a few compounds preceded by the words “such
as” a person of skill would conclude that the reference to “physiologically
hydrolyzable ester group” means “all functional groups that act like an
ester”. It seems to me that, in the absence of any evidence of bad faith or
misrepresentation and in the face of a stark disagreement among the expert
witnesses about whether the 214 Application would be read by the person of
skill to include tenofovir disoproxil, what is left is uncertainty and not
anticipation. Essentially the same point was made by Justice Judith Snider in Merck
& Co. Inc. v Apotex Inc., 2010 FC 1265 at para 602, [2010] FCJ No 1646,
where she said that “where the existence of the compound alleged to be
anticipatory cannot be reasonably or consistently predicted from a large
universe of possibilities, I cannot see how this could possibly meet the test
for disclosure.” I do not agree that the 214 Application would be read by
a person of skill to include tenofovir disoproxil. It teaches nothing about a
carbonate prodrug solution to overcome the bioavailability limitations of
tenofovir. Gilead has met its burden of proof on this issue.
[31]
It
necessarily follows from this finding that Claim 32 of the 619 Patent is not a
selection of tenofovir disoproxil from the 214 Application and Teva’s selection–related
invalidity assertions also fail.
The
619 Patent - Obviousness
[32]
The
principles of obviousness are set out in section 28.3 of the Patent Act.
The parties agree that the relevant date for assessing whether Claim 32 of the
619 Patent was obvious is the claim date of July 26, 1996.
[33]
In
Sanofi, above, the Supreme Court of Canada set out the following
four-part test for determining if a patent claim is obvious:
(a) Identify the notional ‘person skilled in
the art’ and the relevant common general knowledge of that person;
(b) Identify the inventive concept of the
claim in question or if that cannot readily be done, construe it;
(c) Identify what, if any, differences exist
between the matter cited as forming part of the ‘state of the art’ and the
inventive concept of the claim or the claim as construed; and
(d) Viewed without any knowledge of the
alleged invention as claimed, do those differences constitute steps which would
have been obvious to a person skilled in the art or do they require any degree
of invention.
The fourth step of an obviousness
inquiry may require an “obvious to try” analysis which the Court in Sanofi
described in the following way:
(1) Is it more or less self-evident that what
is being tried ought to work? Are there a finite number of identified
predictable solutions known to persons skilled in the art?
(2) What is the extent, nature and amount of
effort required to achieve the invention? Are routine trials carried out or is
the experimentation prolonged and arduous, such that the trials would not be
considered routine?
(3) Is there a motive provided in the prior
art to find the solution the patent addresses?
An obviousness challenge will not
succeed if the prior art only establishes that something might work. It also
cannot be built upon a selective analysis of the prior art.
[34]
As
with Justice Roger Hughes in Novartis Pharmaceuticals Canada Inc. v Teva
Canada Limited., 2013 FC 283 at para 161, 2013 FCJ No 303 , I endorse the
view of obviousness and obvious to try expressed in the following passage from
by Kitchin L. J. in MedImmune Ltd. v Novartis Pharmaceuticals UK, [2012] EWCA Civ 1234:
90. One of the matters which it may be
appropriate to take into account is whether it was obvious to try a particular
route to an improved product or process. There may be no certainty of success
but the skilled person might nevertheless assess the prospects of success as
being sufficient to warrant a trial. In some circumstances this may be
sufficient to render an invention obvious. On the other hand, there are areas
of technology such as pharmaceuticals and biotechnology which are heavily
dependent on research, and where workers are faced with many possible avenues
to explore but have little idea if any one of them will prove fruitful.
Nevertheless they do pursue them in the hope that they will find new and useful
products. They plainly would not carry out this work if the prospects of
success were so low as not to make them worthwhile. But denial of patent
protection in all such cases would act as a significant deterrent to research.
91. For these reasons, the judgments of the
courts in England and Wales and of the Boards of Appeal of the EPO often reveal
an enquiry by the tribunal into whether it was obvious to pursue a particular
approach with a reasonable or fair expectation of success as opposed to a hope
to succeed. Whether a route has a reasonable or fair prospect of success will
depend upon all the circumstances including an ability rationally to predict a
successful outcome, how long the project may take, the extent to which the
field is unexplored, the complexity or otherwise of any necessary experiments,
whether such experiments can be performed by routine means and whether the
skilled person will have to make a series of correct decisions along the way.
Lord Hoffmann summarised the position in this way in Conor at [42]:
"In the Court of Appeal, Jacob LJ dealt
comprehensively with the question of when an invention could be considered
obvious on the ground that it was obvious to try. He correctly summarised the
authorities, starting with the judgment of Diplock LJ in Johns-Manville
Corporation's Patent [1967] RPC 479, by saying that the notion of something
being obvious to try was useful only in a case where there was a fair
expectation of success. How much of an expectation would be needed depended on
the particular facts of the case."
92. Moreover, whether a route is obvious to
try is only one of many considerations which it may be appropriate for the
court to take into account. In Generics (UK) Ltd v H Lundbeck, [2008]
EWCA Civ 311, [2008] RPC 19, at [24] and in Conor [2008] UKHL 49,
[2008] RPC 28 at [42], Lord Hoffmann approved this statement of principle
which I made at first instance in Lundbeck:
"The question of obviousness must be considered
on the facts of each case. The court must consider the weight to be attached to
any particular factor in the light of all the relevant circumstances. These may
include such matters as the motive to find a solution to the problem the patent
addresses, the number and extent of the possible avenues of research, the
effort involved in pursuing them and the expectation of success."
93. Ultimately the court has to evaluate all
the relevant circumstances in order to answer a single and relatively simple
question of fact: was it obvious to the skilled but unimaginative addressee to
make a product or carry out a process falling within the claim…
Also see Eli Lilly and Company v
Janssen Alzheimer Immotherapy, [2013] EWHC 1737 at para 232.
[35]
The
strength of the ability to predict success is the lynchpin to an obvious to try
analysis and not necessarily whether the means or methods employed to arrive at
the result were well-known. This point was recently emphasized by Pelletier J.
A. in the following passage from Apotex Inc. v Sanofi-Aventis, 2013 FCA
186, [2013] FCJ No 856:
78 As a result, the Trial Judge found himself
in exactly the same position as did the Supreme Court when it decided Plavix,
cited above. The focus of the obviousness analysis in Plavix was not the
difficulty in seperating [sic] the racemates covered by the '875 genus Patent -
which included PCR 4099 - but the unknown properties of the resulting
enantiomers. :
The method to obtain the invention of the '777
patent were common general knowledge. It can be assumed that there was a motive
to find a non-toxic efficacious product to inhibit platelet aggregation in the
blood. However, it was not self-evident from the '875 patent or common
general knowledge what the properties would be and therefore that what was
being tried ought to work.
Plavix, cited above, at paragraph 92
79 The reasons of the Trial Judge make it
clear that, as was the case in Plavix, it was not possible to predict
the properties of the separated enantiomers: Reasons, at paragraphs 673 and
676. The lack of knowledge as to these properties is precisely what led the
Supreme Court in Plavix, cited above, to hold that it was not
self-evident that what was being tried ought to work (Plavx [sic], at
paragraph 92, quoted above). Simply put, the person skilled in the art would
not think of separating PCR 4099 and testing its enantiomers in order to obtain
the benefit of its properties when the existence and nature of those properties
were unknown.
80 It follows that although the resolution of
PCR 4099 was part of the common general knowledge, nothing turns on this as it
is the unknown nature of the properties of the enantiomers which explains why
the invention was not "obvious to try".
81 Given that the Trial Judge applied the
test for obviousness set out in Plavix, and given that he applied it to
the same material facts as the Supreme Court, he ought to have come to the same
conclusion. His error lay in failing to recognize that the unknown nature of
the properties of the enantiomers of PCR 4099, or of any of the other compounds
of the '875 Patent, was fatal to the "obvious to try" analysis. Put
another way, the distance between the common general knowledge and the
inventive concept of the '777 Patent could not be bridged by routine
experimentation since the results to be obtained were unknown. On the facts,
this was confirmed by the fact that the inventors, who had more knowledge that
the person of ordinary skill in the art, attempted to resolve a number of other
compounds before finally trying PCR 4099: see Reasons, at paragraphs 752-759.
82 As a result, the Trial Judge erred in
finding that the invention of the '777 Patent was obvious.
[Emphasis in the original]
[36]
Tenofovir
disoproxil was the first example of a carbonate prodrug on a phosphonate
nucleotide. Because there were no direct comparators, Teva’s case is built
primarily around the person of skill drawing several inferences from the prior
art dealing with prodrugs of other parent compounds where some success had been
achieved.
[37]
In
their application of the prior art to the discovery of tenofovir disoproxil,
Drs. Kruse and Zamboni essentially isolated each choice that the person of
skill would face and, in doing so, they failed to view the problem in context.
By proceeding in this way they fail to recognize that if at the junction of
each investigatory pathway or choice an element of uncertainty arises, the
cumulative level of uncertainty must be taken into account. In considerable
measure, the Teva witnesses made untenable extrapolations by glossing over or
ignoring the degree of scientific uncertainty that would have confronted the
person of skill and the inventors at several points along the pathway to
tenofovir disoproxil. I do not agree that the prior art illuminates that
pathway as clearly as the Teva witnesses suggest. In my view, the evidence from
these witnesses is selective and reflects a classic hindsight analysis.
[38]
I
am satisfied from the evidence that a person of skill would have considered
tenofovir to be a worthy candidate for development as a prodrug and in the
search for promoiety options that person would have looked, at some point, at
the carbonates. However, I do not agree with Teva that the carbonates or the
carbomates would be considered by the person of skill to be the only reasonable
or viable options. I also do not agree that a person of skill would have
predicted directly and without difficulty that any of the potential promoiety
options would work. Indeed, the history of prodrug development described in
the prior art included many failures and unpredictable outcomes.
[39]
Dr.
Kruse was questioned during cross examination (Applicants’ Record, Volume 28,
Tab 238) about the properties that were required for the development of a
successful prodrug and, in particular about paragraph 26 of his affidavit. His
responses reflect the general complexity of the problem facing the person of
skill:
199 Q. I think you start that around
paragraph 24. You have some pictorials there, and you set out in paragraph 25
some of the kinds of things where a prodrug might have an implication, but I am
looking at 26, and you say that a prodrug should have a number of properties. I
think you have seven of them there. Do you see that?
A. Yes.
200 Q. Am I correct in my understanding
that what you are saying here is that for a prodrug to be practically
successful, it would have to, for example, have adequate chemical stability
when you make the thing?
A. For a prodrug to be successful,
it would have to have enough of the properties on the list that it actually
gets into the target in the body.
201 Q. Right. You put them, I think,
kind of in this order, so the first step would be that, chemically, it has to
be stable enough that you can make it into a formulation that will remain in
the chemical state you want it to remain in?
A. Yes.
202 Q. If you have achieved that, now it
goes into the body if we are dealing with an oral, and now it goes into the
stomach and the lumen, and now it is exposed to the gastric juices and whatnot.
I think the second one is it needs to be stable in that environment?
A. It is going to vary
from compound to compound, depending upon where the drug is absorbed, but
presumably, it would need to navigate the acid pH of the stomach,
203 Q. Right, because if it got into the
stomach, and at that pH it lost its stability and broke up at that point, you
wouldn’t have the prodrug anymore.
A. That’s right.
204 Q. You would now be back to the
active - -
A. That’s right.
205 Q. Am I correct in my understanding
that when we speak of prodrugs, we generally have a component which I am going
to call the “active moiety”?
A.
Yes.
206 Q. That active moiety, scientists
know will have some desirable properties if it got to a cell and did something.
Is that generally what happens?
A. Yes.
207 Q. For some reason, that active
moiety chemically can’t be made adequately or won’t go through the body or
won’t stay in the plasma but ultimately can’t get to the cell for some reason?
A. For some reason;
correct.
208 Q. Some of these reasons are what
may lead a scientist to say, “Maybe we can use a prodrug approach to bring this
thing which itself isn’t going to get into where we want it, but somehow we
will get it in.”
A. Yes.
209 Q. We were, say, at (b), so we
needed this prodrug that you made to be at least stable enough to survive the
pH environment of the stomach and the GI, otherwise it would be broken down
right there. You would be back to your active moiety, which the scientist knows
isn’t getting in somehow?
A.
Yes.
210 Q. In (c), for instance, when you
say, “Adequate Solubility,” I guess that is a sine qua non because it has no
solubility. I think the expression is it is “brick dust,” and it just goes
through the GI?
A. You have been hanging with
scientists too long. That’s the exact slang, exactly; yes.
211 Q. It has to be sufficiently soluble
so that it can somehow at least have a shot at getting through into the
intestine?
A. Yes.
212 Q. Then, of course, when you say,
(e), by “Permeability” - - I just want to make sure I understand - - you mean
permeability through the intestinal wall which, I guess, would be the endothelium?
A. Yes. I mean it could be
any cell permeability. It could be the intestinal wall; it could be the target
cell; it could be the nucleus of the target cell. If it is the central nervous
system, it could be the blood-brain barrier. So this is kind of a wish list,
and a successful prodrug should have a number of these properties. It is almost
like a menu that several are probably going to be necessary for any particular
drug, but they may differ depending upon the target and so on and so forth.
213 Q. Just on the permeability, I think
you are right because to get in through the endothelium into the intestine, it
has to get into the cells that are in the intestine. So it has to be permeable
at that level, right?
A. Yes.
214 Q. Then, as you mentioned, if it
ultimately gets into circulation and is exposed to the target cell that you are
interested in, it is now facing another membrane.
A. There are plenty of
cases where cleavage of the prodrug occurs in the plasma or even fairly fast in
the intestine, and it is still a pretty good prodrug. Enough of it gets into
the plasma, or sometimes, the parent that the prodrug is cleaved - - parent in
plasma, and it still gets to the target cell.
215 Q. I think, just going back to your
original point, that when you get to the target cell, you have another membrane
that has to be crossed, generally. Right?
A.
That’s
correct.
216 Q. Then, you mentioned the nucleus,
and it too has a - - am I correct calling it a membrane - - around the nucleus?
A. Correct.
217 Q. So if this particular drug needs
to intervene in the nucleus for whatever reason, it would have another barrier
to cross?
A. Yes.
218 Q. So when you say “permeability” in
(e), it could be permeability at a number of levels - -
A. - - or only one.
219 Q. Right; depending on the drug and
where it needs to be active in the body?
A. Yes.
[40]
When
he was later asked about the ability to predict efficacy with phosphonates by
extrapolation from prodrug strategies utilized with carboxylic acids, he
responded that he would not be able to do so without experimentation (see Applicants’
Record, Volume 28, Tab 238 at p 8225 and pp 8252-8253). This evidence does not
differ materially from that of Dr. Borchardt at paragraph 148 of his
affidavit:
Needless to say, this complex interplay of opposing
chemical and metabolic properties makes for a process that defies rational drug
design in that it is entirely unpredictable and completely empirical.
Also see the Maag affidavit at
paragraph 100.
[41]
Notwithstanding
the above evidence, Dr. Kruse makes several material extrapolations in
concluding that the discovery of tenofovir disoproxil was obvious (see
paragraph 124 of his affidavit). For instance, Dr. Kruse surmises that
the person of skill would understand from the 214 Application that a
prodrug strategy for phosphonate nucleotide analogs would include “a
carbonate”. Dr. Kruse also assumes that prodrug strategies used with adefovir
would be interchangeable with tenofovir. Because carbonate promoieties had
been successfully used to mask the hydroxyl group of carboxylic acids, Dr.
Kruse similarly surmises that they could be successfully employed with
phosphonic acids. Despite acknowledging the structural differences between the
POM and POC prodrug moieties, Dr. Kruse maintains that the skilled person
would expect them to behave in the same way. These assumptions are summarized at
paragraph 138 of Dr. Kruse’s affidavit:
138. The skilled person would anticipate, based
on the prior art, that the [(alkoxycarbony1)oxy]alkyl prodrug moiety would
break down in a similar manner as the acyloxyalkyl prodrug moieties and at
about the same rate of hydrolysis. In addition, the skilled person would expect
that an [(alkoxycarbonyl)oxy]alkyl prodrug would work with a phosphonate by
reference to the antibiotic prior art. Specifically, considering that (1) both
acyloxyalkyl and [(alkoxycarbonyl)oxy]alkyl prodrug groups were successfully
used with antiobiotics, and (2) the acyloxyalkyl prodrug group was known to
work successfully with adefovir and tenofovir (phosphonates), it follows that
the [(alkoxycarbonyl)oxy]alkyl group should also work with tenofovir.
[42]
It
is unnecessary to deal with all of the points of disagreement among the expert
witnesses in this case because there are sufficient material elements of
predictive uncertainty in the evidence to dispel Teva’s assertion of
obviousness.
Carboxylic
Acid Experience
[43]
Dr.
Kruse states at paragraph 77 of his affidavit that the person of skill
would look to prodrug moieties found to be useful with carboxylic acids in
searching for a prodrug for tenofovir. Dr. Kruse asserts that the prior
art taught that prodrug moieties used for carboxylic acids could be used with
phosphonic acids. Since carbonates had been used with some success with
carboxylic acids, he postulates they could be used with tenofovir.
[44]
It
seems to me that this evidence over-simplifies the comparative similarities
between phosphonates and carboxylic acids. At paragraph 40 of his
affidavit, Dr. Kruse vaguely asserts that the two classes are “quite
similar”. He jumps from that to the conclusion that in looking for a prodrug
for a phosphonate the person of skill would look to strategies that had been
successfully used with carboxylic acids. This generalization is repeated at
paragraphs 138 and 139 of his affidavit followed by the assertion that the
testing methods required to prove the expectation of efficacy were well-known
and routine. At paragraph 157 Dr. Kruse makes the point again:
157. A priori there is no reason why
a prodrug moiety that works for a drug containing a carboxylic acid would not
work for drugs containing a phosphonate. This is especially true considering
that the pivaloyloxyinethyl prodrug moiety (POM) was successfully used on
multiple antibiotics containing carboxylic groups (such as pivampicillin), as
well as on antivirals containing phosphonate groups (such as adefovir and
PMPA). Accordingly, the [(alkoxycarbonyl)oxy]alkyl groups, successfully used
on antibiotics, should also work on the phosphonate containing antivirals.
[Emphasis added]
This is rather an odd way to
express the problem. The sole fact that something is known to work in one
context does not logically support an inference that it ought to work in
another. The absence of reasons to dispel an inference do not support the
drawing of that inference.
[45]
Gilead’s
witnesses contend that even if one was to look in the direction of carboxylic
acids very little would emerge that would point to a carbonate solution let
alone to the selection of tenofovir disoproxil. Gilead contends that the
prodrug experiences with carboxylic acids offered no predictive value in the
search for prodrugs either within that class of compounds or outside of it
(ie. the phosphonate class). This point is made by Dr. Borchardt at
paragraph s 218-220 of his affidavit:
218. Teva raises this allegation in an attempt
to rationalize the application of prior art related to carboxylic acids (e.g.,
antibiotics) to the phosphonate groups at issue in the instant proceeding.
Rather, the prior art (Ferres (1983)) warns about generalizing across different
structural classes: “[o]bviously, an attempt to generalize to the extent
implied in Fig. 27 is fraught with difficulties. . . . Certainly, attempts to
transfer penicillin pro-drug ideas to cephalosporins have only met with partial
success.” Ferres (1983) makes this statement in regards to two different
carboxylic acid prodrugs, which are far more similar to each other than
carboxylic acid prodrugs are to phosphonate prodrugs.
219. Teva’s allegation that properties of
carboxylic acid prodrugs are predictive of the properties of phosphonate
prodrugs are unsound for the following reasons:
a. Carboxylic acids and
phosphonates are not chemically and biochemically quite similar:
(i) Carboxylic acids
contain a carbon atom, whereas phosphonates contain a phosphorus atom. Carbon
and phosphorus are different atoms with different chemical and physical
properties, and their presence in structures naturally leads to different
effects and activities;
(ii) Regardless of the
fact that both carboxylic acids and phosphonates have double-bonded oxygens as
well as hydroxyl groups, a POSITA would not assume that the chemistry of these
two groups will be the same, and indeed it is not the same;
(iii) The phosphonate group
contains two hydroxyls (-OH), and thus requires two chemical modifications
to mask the negative charge. In contrast the carboxylic acid group only
contains one hydroxyl, and thus only one chemical modification is required;
(iv) Different enzymes
would participate in the removal of the promoieties from carboxylic acid prodrugs
versus phosphonate prodrugs to release the parent drug into the body; and
(v) There was great
skepticism that it was even possible to make these compounds, especially since
there were no carbonate derivatives of nucleotide phosphates know at the relevant
time.
b. There was nothing in
the literature that would motivate a POSITA to look at carboxylic acid prodrugs
with any expectation that the promoieties could be applied successfully to
phosphonate prodrugs, or predict their properties:
(i) For example, PMPA is
a bisphosphonate, and thus as described above requires two promoieties to mask
the negative charges. Hence, its chemistry is completely unrelated to
carboxylic acids. In my opinion, the carboxylic acid esterification literature
does not provide a POSITA with any expectation of success regarding phosphonate
prodrugs; and
(ii) There was no
literature that would support a reasonable expectation of success of taking the
promoiety of a carboxylic acid and applying it to a phosphonate to make a chemically
stable and orally bioavailable antiviral drug.
c. Notably, the examples
and/or literature cited by Teva and its experts contradicts the very
proposition being advanced by Teva. The teaching of carboxylic acid prodrugs is
not transferable to phosphonate prodrugs as alleged by Teva.
d. In fact, and as set
out below, the prior art taught that it is not predictable to generalize
application of a given prodrug strategy from:
(i) One carboxylic acid
prodrug to another carboxylic acid prodrug;
(ii) One carboxylic acid
prodrug to a phosphonate prodrug; and even
(iii) One phosphonate
prodrug to another phosphonate prodrug;
with any expectation that the first prodrug would
result in the same properties for the second prodrug, including for example, chemical
stability and/or improved oral bioavailability.
220. In summary, Teva fails to appreciate that
properties of prodrugs of one type (e.g., phosphonate nucleotides) are not
interchangeable or predictable on the basis of previous known prodrugs (e.g.,
carboxylic acids); rather the properties of prodrugs must be empirically
determined.
[Footnotes omitted]
[46]
Dr. Maag
also challenged Teva’s evidence by identifying the “significant” chemical and
biological differences between phosphonates and carboxylic acids:
170. Paragraph 40: Dr. Kruse
states “A phosphonate is chemically and biochemically quite similar to a
carboxylic acid.” This is misleading and incorrect. There are significant
chemical and biological differences between a phosphonate and carboxylic acid.
For example, carboxylic acids have one oxygen available for modification by a
prodrug moiety, while a phosphonate has two oxygens, which must be modified to
eliminate the double negative charge of a phosphonate under physiological
conditions. Metabolism of ester prodrugs of carboxylic acids is typically
carried out by esterases, while the metabolism of phosphonate esters requires
the action of a phosphodiesterase or a phosphotriesterase. Thus, the enzymes
involved with the metabolism of carboxylic acid esters are distinct from the
enzymes involved with the metabolism of phosphonate esters. As such a person
skilled in the art could not predict the behaviour of phosphonate esters
prodrugs from carboxylic acid ester prodrugs. Therefore a medicinal chemist
would not look to promoieties of drugs containing carboxylic acids to design
prodrug moieties for phosphonate groups.
171. Paragraph 42: Dr. Kruse states that the
person skilled in the art would look at prodrug moieties which have been
successfully employed with carboxylic acids to arrive at prodrug moieties for
phosphonic acid groups. In particular, he states that “.... given the
similarities between a carboxylic acid groups and a phosphonic acid group, the
skilled person would look at prodrug moieties that had been successfully used
with carboxylic acids and apply those to phosphonic acids”. I do not agree with
this statement. A person skilled in the art understood that the metabolic enzymes
are different in the two cases (esterases vs. phosphodiesterases for instance)
and would endeavor to look for prodrug moieties which are preferentially metabolized
by phosphodiesterases.
A person
skilled in the art would not expect such prodrug moieties to be the same as
those identical with groups metabolized by esterases.
Also see the evidence of
Dr. Borchardt at paragraph s 121-122 of his affidavit and the
evidence of Dr. Maag at paragraph s 158-165 and 174 of his
affidavit.
[47]
Dr.
Borchardt also pointed to failures that arose when carboxylic acid prodrugs were
attempted with PMEA (see paragraph s 28 to 30 of his affidavit). This
concern is borne out in a 1983 paper by Ferres who cautioned against
generalizing about prodrug strategies even within the carboxylic acid group of
compounds:
Obviously, an attempt to generalise to the extent
implied in Fig. 27 is fraught with difficulties. The scheme at least provides a
useful starting point. There are probably a number of newer penicillins, with
complicated side-chains which will defy over- simplified attempts to make
predictions on oral absorption along the lines suggested in Fig. 27. Certainly,
attempts to transfer penicillin pro-drug ideas to cephalosporine have only met
with partial success.
[48]
Carbonate
esters also did not work in animal studies with the anti-inflammatory
carboxylic acid drugs ibuprofen and naproxen. This was the conclusion reached
by Samara and others in a 1995 paper “Pharmacokinetic Analysis of
Diethylcarbonate Prodrugs of Ibuprofen and Naproxen” Biopharmaceutics and
Drugs Disposition, Volume 16, 201-210 at p 209 (Applicants’ Record, Volume 9,
Tab 107 at p 2615):
The diethylcarbonate esters of
ibuprofen and naproxen investigated in this study, ibudice and napdice, did not
offer any pharmacokinetic or pharmacodynamic advantages over the parent compounds.
They were found to be unstable in the GI tract and therefore underwent rapid
conversion to the parent compounds. Thus, neither ibudice nor napdice exhibited
any sustained release characteristics following oral dosing to dogs.
[49]
Although
the expert witnesses disagree about the significance of some of the prior art
references (ie. Samara, above, and Safadi 1993 (Applicants’
Record, Volume 15, Tab 55)) my reading of them indicates that the person of
skill would at least be cognizant of the issues they raised and, unlike
Dr. Kruse, would not dismiss them out of hand as irrelevant.
[50]
Under
cross-examination Dr. Kruse acknowledged a number of structural
differences between phosphonates and carboxylic acids (see Application Record
at pp 8221-8222). More importantly, the evidence of the Teva witnesses
failed to address, let alone challenge, most of the specific points raised by
Drs. Borchardt and Maag and which discounted the comparative value of
carboxylic prodrug strategies. In the result, I accept the evidence from the Gilead witnesses to the extent that it discounts the significance of carboxylic acid
prodrug models in the search for a promoiety for tenofovir.
Comparing
Adefovir/Tenofovir and POM/POC
[51]
It
is common ground that adefovir and tenofovir were known phosphonate antiviral
drugs. They are structurally similar but not identical. Unlike adefovir,
tenofovir contains a methyl group on its side chain. Both compounds were
understood to have poor bioavailability profiles. BMS had attempted to overcome
the bioavailability problems with adefovir and racemic tenofovir by
experimenting with a number of promoieties including (pivaloyloxy) methyl or
POM. There was, however, a toxicity problem associated with POM in that it
produces pivalic acid and depletes the natural stores of carnitine in the human
body. Although carnitine depletion could be addressed with dietary
supplements, it was preferable to identify a promoiety that avoided the problem
entirely.
[52]
Teva’s
witnesses say that the prior art references concerning the search for prodrugs
for adefovir would lead the person of skill directly and without difficulty to
the choice of tenofovir disoproxil. I do not agree.
[53]
The
supposed simplicity of extrapolating from the prior art concerning adefovir as
expressed by Drs. Kruse and Zamboni is belied in no small measure by the
high number of assumptions that are required (see for example paragraph 124
of the Kruse affidavit). To the extent that the Teva witnesses draw support
from the ostensible teachings of the 214 Application and the carboxylic acid
experiences noted in the prior art their positions are, as discussed above,
untenable. Indeed the 214 Application exemplifies 47 compounds not one of
which is a carbonate. The supposed simplicity of the exercise described by
Teva’s witnesses is further belied by the numerous prodrug options that had
been attempted with phosphonate nucleotides not one of which identified a
useful carbonate promoiety (see, for example, Starrett 1994 (Applicants’
Record, Volume 15, Tab 66) and Krise and Stella 1996 (Applicants’ Record,
Volume 28, Tab 246)). If the exercise was as simple and uninventive as
suggested by Teva, one is left to wonder why the carbonate solution to the
bioavailability problem associated with phosphonate nucleotides was not
unequivocally expressed in the prior art.
[54]
Although
Dr. Kruse is undoubtedly correct that adefovir and tenofovir are structurally
very similar, his evidence under cross-examination left room for some
uncertainty. For instance, he could only state that “small structural changes
don’t greatly perturb a big, complicated molecule” and the additional
methyl group with tenofovir is “at a point where it doesn’t affect things very
much”. This evidence is not sufficiently
compelling to displace Dr. Maag’s opinion that a person of skill would not
assume “that the prodrug experience with adefovir could be applied to
tenofovir” (see paragraph 109 of the Maag Affidavit and
paragraph s 235-236 of the Borchardt Affidavit). Although Teva argues
that Gilead’s own research with tenofovir began by examining prodrug moieties
that had worked with adefovir, the results, according to Dr. Lee, did not
establish a helpful correlation (see Lee Affidavit at paragraph 39).
[55]
The
Teva witnesses also contend that the POM and POC promoieties would be
understood at the time to be effectively interchangeable and that the person of
skill would assume them to behave the same way in improving oral
bioavailability of their parent compounds. To the extent that they rely upon
the 214 Application and the prior art concerning carboxylic acids, these
opinions are unsustainable. Dr. Kruse’s evidence on this point is further
undermined by a material misstatement in his affidavit where he deposed that
there were examples in the prior art of prodrugs of tenofovir known to improve
oral bioavailability. Under examination he retreated from this statement and
conceded the following:
667 Q. Dr. Kruse, can you go to “(b)
Inventive Concept,” paragraph 125. I will read this to you:
“The active parent compound tenofovir was already
known, as were prodrugs of phosphonate nucleotide derivatives, including adefovir
and PMPA, that had improved oral bioavailability.” (As read)
Would you please identify for me,
Dr. Kruse, where in the prior art that you cite at the end of your affidavit,
you find examples of prodrugs of PMPA that have improved oral bioavailability?
A. I could certainly cite the
patent in suit.
668 Q. The only example that you can
refer us to that demonstrates improved oral bioavailability is what is referred
to as the 619 patent? Is there anything in the prior art?
A. That may be the only
example of oral bioavailability, but I refer back to the Srinavas paper for
bioavailability in general for PMPA.
669 Q. Once again, we are referring to
the anti-HIV activity that spoke to the in vitro culture testing that was done?
A. Yes.
670 Q. That is what you are using to say
that - -
A. That shows improved - -
671 Q. That prodrugs of PMPA showed
improved oral bioavailability over the parent compound?
A. It showed improved bioavailability
but not oral bioavailability.
672 Q. So there is no example of oral
bioavailability in the prior art?
A. I am unable to recall
it.
673 Q. In the next sentence, you say:
“In fact, the bioavailabilities of these known
prodrugs of adefovir and PMPA were comparable with the prodrugs of tenofovir disclosed
in the 619 patent.
In essence, the only example that
you are able to point me to is what is disclosed in the patent, so there is
nothing that you are comparing?
A. I believe that’s
correct.
674 Q. Finally, you say:
“There is no mention in the 619 patent of particular
advantages of the disclosed prodrugs over other prior art prodrugs of
tenofovir.”
However, we just established that
you weren’t able to identify any examples of prodrugs of tenofovir in which any
oral bioavailability testing was done prior to the 619 patent.
A. I believe that’s
correct with respect to oral, but I don’t make the statement “oral” here.
675 Q. Right; but with respect to oral,
only oral bioavailability, you would agree with my statement?
A. Yes.
[56]
In
the absence of reliable data, I do not agree that a person of skill would
readily assume that the bioavailability properties associated with POM prodrugs
would be associated with POC prodrugs. Instead I prefer the evidence of
Dr. Borchardt at paragraph 188 of his affidavit. I also accept
Dr. Maag’s evidence that the person of skill would be at least concerned
about potential stability problems associated with these promoiety classes (see
Dr. Maag’s Affidavit at paragraph s 112-117 and the 1993
Srinivas paper (Applicants’ Record, Volume 15, Tab 65 at p 4424)).
What
the Prior Art Did Teach
[57]
The
overall complexity of the problem confronting a person of skill at the time is accurately
reflected in a 1996 review article authored by Jeffrey Krise and Valentino
Stella “Prodrugs of phosphates, phosphonates, and phosphinates” in Advanced
Drug Delivery Reviews, Volume 19, pp 281-310 (Applicants’ Record, Volume
28, Tab 246). The paper describes itself as a review of the available
literature “on the use of prodrugs to overcome the drug delivery obstacles
associated with phosphate, phosphonate and phosphinate functional group
containing drugs”. It begins with a statement that the “ability to orally
deliver these drugs and to target them to desired sites has led to limited
success”. The authors describe in considerable detail the prodrug strategies
that had been utilized for this group of compounds and the mixed results that
had been achieved. The issues that needed to be addressed to obtain a viable
prodrug were described in the paper in the following way:
Although alterations in apparent
clearance rates may be important, the principal goals of most prodrug modification
efforts on phosphate, phosphonate and phosphinate drugs is alteration of
membrane permeability to improve oral (GI permeability), brain, tumor and
cellular delivery (mainly to virally infected cells) of these agents.
When these prodrugs are used for
improving oral bioavailability, various issues dealing with GI absorption of
drugs must be considered. The ability to address these issues will ultimately
determine the proper selection of the prodrug system and its likely success.
The optimal scenario for enhanced systemic delivery of prodrugs after oral
dosing is as follows:
1. The prodrug must
display adequate chemical stability for formulation purposes as well as stability
in the variable pH environment of the GI tract.
2. The prodrug should have
adequate solubility in the GI tract environment to allow for dissolution.
3. Once dissolved, the
prodrug should also display enzymatic stability to lumenal contents as well as
the enzymes found in the brush border membrane.
4. The prodrug should
have properties that allow for good permeability (generally associated with an
adequate log P value).
5. After permeation of
the lumenal membrane, the prodrug could revert to the parent drug either in the
enterocyte or once absorbed into systemic circulation. Post-enterocyte
reversion is desired because conversion in the enterocyte would also allow for
back diffusion into the GI lumen, a problem which is not generally recognized.
When the prodrug is formulated to
increase cellular permeability into viral-infected cells, tumor cells or across
barriers like the blood brain barrier, the desired characteristics might
change. Replacing the desire for complete and rapid post absorption reversion,
is a need for balance in lability. The most optimal scenario, however unrealistic,
would be for the prodrug to have complete enzymatic and chemical stability
during the absorption process and in blood but readily revert to the parent
compound once it has permeated the targeted cell, thereby ‘trapping’ the drug
in the cell (Scheme 2).
Considering both of these scenarios,
prodrugs for improved oral delivery and prodrugs for improved cell targeted
delivery, the rate of bioreversion is a very important process that must be
considered in detail when designing prodrug systems. For example, if
bioreversion is very fast and non-specific, prodrug reversion may take place
before the limiting barrier is overcome. On the other hand, if reversion is
slow and inefficient at all sites, the prodrug may readily reach the site of
action but never release enough parent drug to elicit a pharmacological response.
With these factors in mind, choosing a suitable bioreversible protective group
for phosphates, phosphonates and phosphinates presents a major challenge.
[Applicants’ Record at pp 8282-8283]
The paper concludes with an
acknowledgement of the advances that had been achieved in this area with a
recognition that “more innovative research was still required to overcome the
barriers to the delivery of polar drug molecules”:
Great strides have been made toward solving the
problems associated with the in vivo delivery and targeting of phosphate,
phosphonate and phosphinate functional group-containing drugs using prodrugs.
With few exceptions, most efforts have involved technologies applied to alter the
polarity of other functional groups like carboxylic acids. Some new chemistry
and innovative findings have been presented. Alternative chemistry and more
imaginative approaches may be necessary before more complete success is
realized. It is our hope that this review will bring its readers reasonably up
to date on the current literature in this important area of prodrug research.
Additionally, we hope it helps stimulate further and more innovative prodrug
research into overcoming the barriers to the delivery of polar drug molecules.
[Applicants’ Record at p 8297]
[58]
I
do not agree with Teva that a person of skill would have discounted the Krise
and Stella research paper because the authors were likely motivated by a desire
for research funding. This is pure speculation. There is no evidence to
suggest that these apparently competent investigators overstated the predictive
uncertainty of the prior art. To my thinking the person of skill would
approach a timely review article written by respected research scientists with
no less confidence than a paper written by someone working in an industrial
setting. Indeed, a thorough overview of current research on a given subject is
likely to offer more insight to the person of skill than any single piece of
research directed at overcoming one problem among many others.
[59]
A
1995 review paper by David Fleisher et al published in the Advanced Drug
Delivery Review titled “Improved oral drug delivery: solubility limitations
overcome by the use of prodrugs” (Fleisher, David et al, "Improved oral
drug delivery: solubility limitations overcome by the use of pro drugs"
(1996) 19 Advanced Drug Delivery Reviews 115 at 128; Applicants’ Record,
Volume 8, Tab 89(19)) also addressed the problems associated with the
development of prodrugs at that time. The authors attributed the relative lack
of success in developing oral prodrugs to the selection of “the wrong drug
candidate” and to the need to overcome the “formidable challenge” to balance
“the properties of prodrug chemical stability and enzymatic lability in concert
with prodrug solubility and parent drug or prodrug intestinal permeability”.
[60]
The
state of the prior art was not one of scientific consensus or certainty and
carbonate promoieties were apparently not a particular focus of study. The
1994 Starrett, above, reference fairly expresses the state of knowledge at the
relevant time and it effectively undermines the opinion evidence relied upon by
Teva:
Relatively few examples of phosphonate prodrugs or prodrugs
of closely related analogues of phosphonates have appeared in the literature.
Farquhar and co-workers have reported the use of (acyloxy)alkyl prodrugs of
organophosphates to phosphates to increase permeation across biological membranes.
The acyloxy alkyl ester of phosphonoformate has been prepared, and Krapcho et
al. have employed (acyloxy)alkyl prodrugs to improve the bioavailability of
phosphinates. A prodrug of PMEA has been synthesized by linking a synthetic
polymer bearing mannosylated residues to PMEA.1 In contrast to phosphonates, a
much wider range of prodrugs have been successfully employed for preparation of
carboxylic acid prodrugs. Acyloxyalkyl esters, as well as glycolamide esters,
alkyl esters, and amides, have been extensively used. The goal of the present
study was to build on the carboxylic acid experience and evaluate a wide array
of structural types as potential prodrugs of the phosphonate functionality.
Preliminary results describing in vitro antiviral activity of the bis[(pivaloyloxy)methyl]
prodrug of PMEA (10a) against HIV, HCMV (human cytomegalovirus), HSV-1, and HSV-2
have recently been published in communication form. We herein report on the
synthesis, oral bioavailability, and antiviral activity of several different
classes of phosphonate-derived prodrugs of PMEA.
[Applicants’ Record at p 4434] [Footnotes omitted] [Emphasis
added]
The authors then conclude the paper
by observing that their data “should provide the impetus for further
exploration of this exciting class of compounds” (POM not POC).
[61]
The
prior art belies Teva’s argument that the creation of an efficacious prodrug
for tenofovir was a simple linear exercise devoid of ingenuity. To my thinking
Dr. Maag’s evidence at paragraph 98 to 100 fairly expresses the
problem faced by the person of skill looking for a promoiety for tenofovir and
establishes that the discovery of tenofovir disoproxil was inventive:
98. For any given parent
compound for which a prodrug form is desirable, there are often a large number
of possibilities from which to choose. There is no way to predict in advance
which prodrug moieties will be both sufficiently stable to allow the drug to
pass through gastrointestinal tract and enter the blood stream and at the same
time be sufficiently labile to be cleaved and thereby release the parent drug in
the cells where it can be effective. As discussed further below, this
complexity is naturally compounded when, as is the case with tenofovir, the
parent drug requires multiple promoieties to mask multiple negative charges,
each of which must be cleaved at the appropriate point by different enzymatic
mechanisms. Furthermore, given the impact that structural changes can have on
the properties of a parent drug compound, knowledge of prodrug moieties used
for a given parent compound is of limited use when searching for a prodrug for
a different compound. The addition of a prodrug moiety can alter the whole
molecule’s chemical and biological properties, including its solubility and
ability to be recognized by enzymes.
99. The other level of
complexity in designing prodrug moieties is that one has to consider the
breakdown products that will be released when the moiety is cleaved from the
parent compound as well. Such breakdown products should not be toxic as they
will be released into the body.
100. In summary, prodrug
design is a multi-faceted complex problem that has no clear, predictable
solution. If the person skilled in the art was seeking to develop a prodrug
form of the compounds described in the ‘619 Patent, there would have been many
prodrug approaches to consider and pursue. There was no way to predict in
advance which prodrug moieties would work.
The
Inventive History
[62]
The
evidence of the work that Gilead carried out to develop tenofovir disoproxil
also tips the evidentiary scales in its favour. Professionals working in the
field are not overly prone to devoting time and resources pursuing lines of
enquiry that are unpromising. As with the notional person of skill, they tend
to be knowledgeable and reasonably up-to-date in their fields of work and in
many cases – unlike the person of skill – they bring inventive minds to the
workbench. Gilead had such a skilled and motivated team that included
researchers who had worked with tenofovir at BMS. At the time Gilead was relatively small with no marketable products. If anyone had a motivation to
quickly overcome the bioavailability problems associated with tenofovir, it
would be the research scientists at Gilead.
[63]
There
is no evidence on the record before me to suggest that the Gilead team was
intellectually inferior to the person of skill or that the invention narrative
set out in the affidavits of Dr. Lee and Dr. Oliyia is overstated or
disingenuous. It is true that NOC proceedings are not the best forum for
testing all of the relevant evidence and in this case the record may be
incomplete. Nevertheless that record is all I have.
[64]
[omitted]
[65]
[omitted]
In early 1994, Gilead filed an investigational new drug application in the United States to permit the use of adefovir dipivoxil to treat HIV. Although the studies
that followed showed that adefovir dipivoxil had antiviral properties, toxicity
concerns were present. In 1999, those concerns led the FDA to decline to
approve adefovir dipivoxil for the treatment of HIV.
[66]
[omitted]
Tenofovir had exhibited antiviral activity comparable to adefovir and it was
selected as the lead compound for development of a prodrug form. From its
experience with adefovir dipivoxil, Gilead knew to avoid the POM prodrug
moiety. According to Dr. Lee, Gilead’s criteria for developing a prodrug of
tenofovir included adequate stability and solubility, metabolic lability and a
capacity to break down to yield the parent compound at a place where it would
have its desired cellular effect. Dr. Lee’s affidavit explains in considerable
detail the steps that Gilead then took to develop tenofovir disoproxil:
38. [omitted]
39. This was an empirical process that
involved synthesizing the prodrugs, testing in a variety of in vitro and
in vivo models, and analyzing the results. In our efforts to find a
prodrug of PMPA we started by synthesizing PMPA prodrugs utilizing prodrug
moieties that we had found to work with PMEA, expecting that there may be some
correlation between the prodrug moieties that worked for PMEA and those that
would work for PMPA. We were surprised to discover that many prodrug moieties
that worked with PMEA did not work with PMPA.
40. [omitted]
41. [omitted]
42. As of early 1996, none of the PMPA
prodrugs we had synthesized were showing the necessary balance of chemical
stability, solubility, acceptable pharmacokinetics, safety and metabolism that
we thought we needed, Looking at all of the screens that we performed (chemical
screens, metabolic tissue screens from multiple species and multiple animal
bioavailability screens), we were unable to identify a molecule that had the
appropriate physical properties and metabolic stability to provide suitable
bioavailability in humans.
43. Gilead consulted with an eminent pharmaceutical
chemist, Dr. Valentino Stella, of the University of Kansas. Dr. Stella was a
nationally recognized expert in pharmaceutics and prodrug design. In February
1996, Dr. Stella came out to Gilead in order to take a fresh look at the PMPA
prodrug program. We presented to Dr. Stella an overview of the prodrug work
which had been attempted for PMPA and which, to that point, had not yielded a
suitable prodrug.
44. [omitted]
45. [omitted]
46. Dr. Murty Arimilli, Dr. Joseph Dougherty
and others working together under Dr. Chung Kim (now retired) synthesized a
variety of carbonate and carbamate prodrugs of PMPA. Examples of the prodrugs
that were invented at this time are represented in Table 1 of Canadian
Patent No. 2,261,619.
47. [omitted]
48. Multiple alkyl carbonates were synthesized
and found to be stable to chemical hydrolysis, which had been doubted
previously. In addition, these compounds performed quite well in metabolic
stability screens we conducted. The POC prodrug demonstrated good bioavailability
in animals. Since the POC prodrug moiety does not break down to pivalic acid,
there were no concerns about carnitine depletion as there had been with POM.
49. Bis(POC)PMPA (tenofovir disoproxil) was
selected for clinical development as an anti-HIV agent on the basis of its
enhanced cellular permeability, solubility, efficacy, low toxicity, stability
and improved oral bioavailability over PMPA. A stable crystalline fumarate salt
of Bis(POC)PMPA was identified in the fall of 1996 and we moved forward through
formulation and clinical development.
50. Tenofovir disoproxil fumarate received
regulatory approval from the FDA on October 26, 2001 for the treatment of HlV
and is sold under the brand name Viread®.
[67]
The
importance of evidence bearing on the history of a discovery has recently been
emphazied in Apotex Inc. v. Sanofi-Aventis, 2013 FCA 186, [2013] FCJ No
856, where Justice Johanne Gauthier stated at paragraph s. 137-139:
137 The Trial Judge believed that the evidence
before him with respect to the separation of the enantiomers was significantly
different from the evidence before the Supreme Court of Canada in Plavix
because: i) he found that a line had been drawn in the sand at the time the
application was filed, and that as part of the process of developing a racemic
drug a sponsor would be motivated to separate the enantiomers to get
information to pre-empt expected new regulatory requirements (See Reasons at
paragraphs 748-749); and ii) in his view, the separation itself did not involve
substantial difficulties and was routine. However, Rothstein J. made it clear
in Plavix that whether the separation or resolution of the enantiomers
was routine or involved arduous work would assume small significance in this
case when one considers the whole course of conduct that led to the decision to
separate (See Plavix at paragraph 89).
138 It appears to me that the Trial Judge did
not really weigh the extent, nature, and amount of efforts required to arrive
at a decision to actually develop PCR 4099, as opposed to any other racemic
compound covered by the '875 Patent to the point that separation will become
relevant. As mentioned by Pelletier J.A. above at paragraph 73, Rothstein
J. found in Plavix that the '875 Patent did not differentiate between
the efficacy and toxicity of any of the compounds it covered. The Trial Judge
essentially agreed and held that the '875 Patent did not point either directly
or indirectly to PCR 4099, even if PCR 4099 itself was known as one of the 21
compounds used in the examples of the '875 Patent.
139 The Trial Judge did not find that the
person skilled in the art would obviously start a development project based on
the '875 Patent compound with PCR 4099 as opposed to any other compound,
including the 21 compounds expressly used in the examples. In fact, Sanofi's
actual course of action militates against such a conclusion.
[68]
The
lengthy and multi-step process followed by Gilead to develop tenofovir
disoproxil belies Teva’s assertion that the person of skill would have come to
that “self-evident” solution without difficulty. I am satisfied that the
discovery of tenofovir disoproxil was inventive and, by definition,
non-obvious. Gilead is therefore entitled to an order prohibiting the Minister
from issuing a NOC to Teva until the expiry of the 619 Patent.
The
059 Patent - Validity
[69]
There
is no substantive disagreement about the qualifications of the person of skill
with respect to the 059 Patent. The 059 Patent is directed to a
pre-formulation scientist with experience in the selection and preparation of
salt and solid state forms of pharmaceutical compounds. Such a person could
have an advanced degree in physical pharmacy, organic chemistry or a related
field and a number of years of academic or industrial experience or both.
[70]
The
059 Patent describes the superior qualities of the fumarate salt of tenofovir
disoproxil for use in pharmaceutical formulation. The validity of Claim 3 and
Claim 4 of the 059 Patent are at issue in this application. The parties
substantively agree on the construction of the claims. Claim 3 describes
crystalline forms of the fumarate salt of the compounds described in the Claim
1 of the patent. Claim 4 describes the compounds described in Claim 1 enriched
or resolved at a particular chiral center.
[71]
Teva
says that, as of the priority date of July 25, 1997, the 059 Patent was invalid
by reason of obviousness. The parties agree that the inventive concept of the
059 Patent is the choice of the fumarate salt form of tenofovir disoproxil.
According to the specification, TDF, had “an unexpectedly superior combination
of physico-chemical properties compared to the free base and other salts”.
Was
the Choice of the Fumarate Salt Form of Tenofovir Disoproxil Inventive?
[72]
Fumarate
is a salt form that had been previously approved in pharmaceutical preparations
and would, therefore, be understood to be safe for human use. Both PMPA
(tenofovir) and bis(POM)PMPA (tenofovir disoproxil) were known and disclosed in
the prior art. The difference between the inventive concept and the state of
the art as of July 1997 is the fumarate salt of the compounds described in the
Claim 1 of the patent. This includes the fumarate salt of bis(POM)PMPA
(tenofovir disoproxil fumarate), which is specifically at issue in this
application. These points are not in dispute. The validity of the patent turns
on whether using fumaric acid as a salt former with bis(POM)PMPA was “obvious
to try” and whether it was more or less self-evident that a suitable
pharmaceutical salt would result.
[73]
Teva
says the methodology for selecting an appropriate salt for pharmaceutical
formulation is routine. Teva asserts that fumaric acid was obvious to try as it
had already been used in several other drugs approved by the FDA and was listed
in the prior art as a salt former along with other weak acids for
closely-related compounds. Moreover, the skilled person would have a high
expectation that fumaric acid would form a suitable salt when combined with
tenofovir disoproxil; that synthesizing and testing the resulting salt would
require a minimal degree of effort; and, that the skilled person would be
motivated to select fumaric acid as one of the potential salt formers in light
of the prior art.
[74]
Gilead
argues that although fumarate was known, it was rarely used in FDA approved
pharmaceuticals and that any references in the prior art are irrelevant to the
059 Patent. Gilead says that at the relevant time, it would be impossible to
predict whether a salt would form by using fumaric acid. Further, if a salt did
form, it would be impossible to predict whether it would have suitable
properties for pharmaceutical formulation.
[75]
Gilead
points to the “Rule of 2 or 3” to support the position that fumaric acid was
not obvious to try. In his affidavit, Dr. Myerson, Gilead’s expert, explains:
27. Salts of pharmaceutical drug compounds are
formed by reacting the parent or “free” form of the drug with an acid or base.
If the parent is basic, the drug is reacted with and acid; if acidic, it is
reacted with a base. Acids are defined as compounds that in an aqueous solution
can release a solvated proton; bases are compounds that accept a proton.
28. The dissociation of a monoprotic acid can
be described by an equilibrium relation between the acid and the ion of the
acid and a hydrogen ion. The equilibrium between the unionized acid and the two
ions is characterized by an equilibrium constant Ka. Because the values of
equilibrium constants are very small numbers, they are normally expressed in
terms of their negative logarithms, and are generally known as pKa.
29. For a monobasic compound, the dissociation
equilibrium is expressed in terns of the protonated base in equilibrium with a
hydrogen ion and the neutral base, and thus a pKa is also defined for this
equilibrium. The pKa is very important in selecting the potential counterions
in attempting to form a salt of either an acidic or basic drug.
30. Salt screening falls under the general
category of solid form selection. Solid form selection refers to the decision
of what type of crystalline (or amorphous) solid of the active pharmaceutical
ingredient (“API”) is to be employed in the final drug product.
31. At the relevant time, in order to find
stable salts, a person skilled in the art (“POSA”) would undertake a salt
screen. A salt screen for a freebase involved picking potential acidic salt
formers whose pKa was less than that of the free base by 2-3 units or more. A
POSA would also pick solvents or solvent mixtures that would allow dissolution
of the free base and the acidic salt former.
[76]
Dr.
Myerson points out that the pKa difference between the free base tenofovir
disoproxil and fumaric acid is 0.73. Taking this into account, the person of
skill could not have predicted that a stable salt would form. As a result, the
person of skill would not have chosen fumaric acid as a salt former (see the Myerson
Affidavit at paragraph 98.
[77]
Teva’s
expert, Dr. Sternson says that the “Rule of 2 and 3” is not a hard and fast
rule; rather it is “one of the many factors that may be considered when
selecting a potential salt form of a compound” (see the Sternson Reply
Affidavit at paragraph 2). Teva notes that, as of July 1997, the papers
cited by Dr. Myerson include examples where the rule does not apply. Further,
the art taught that weak acids could be used to form salts with structurally
related compounds.
[78]
I
agree with Teva’s expert on this point. There are sufficient references in the
art to exceptions to the “Rule of 2 or 3” to suggest that it is not a hard and
fast rule. Although fumarate salts were not the most commonly used
pharmaceutical salts, the FDA had approved formulations using these salts at
the relevant time. Further, fumaric acid was known to form suitable salts with
related compounds (see the Sternson Affidavit at paragraph 70). Since a
preformulation scientist would likely look to salt formers that have already
received approval from the FDA, this is sufficient to establish that fumaric
salt would be, at least, one of several obvious salt formers the person of
skill would try in attempting to develop a pharmaceutically acceptable salt of
tenofovir disoproxil.
[79]
This
does not end the inventiveness inquiry. I must also assess whether it was more
or less self-evident that the inventors would successfully arrive at a
pharmaceutically acceptable salt of tenofovir disoproxil.
[80]
Teva
cites Ratiopharm Inc v Pfizer Ltd, 2009 FC 711, [2009] FCJ No 967 aff’d
2010 FCA 204, [2010] FCJ No 968 [Amlodipine], for the premise that salt
selection is a routine procedure. In Amlodipine, Justice Hughes
considered the validity of a patent claiming the besylate salt of the compound
amlodipine. The Canadian filing date for the patent in that case was April 2,
1987. Therefore, the date to assess the knowledge of the person of skill in
that case is approximately a decade earlier than the knowledge of the person of
skill in the present application. Justice Hughes found the patent to be
invalid by reason of obviousness. He made factual findings with respect to the
motivation of the person of skill to try specific salt formers and the
predictability of success (at paragraph 170). Most relevant to this
application, he described salt screening to be a “well-known” and “routine
pre-formulation procedure” for the person of skill (at paragraph s 155 and
167).
[81]
As
of July 1997, salt selection was no less routine than it was in the Amlodipine
case. Dr. Sternson, Teva’s expert, discusses in his affidavit that
tenofovir disoproxil could theoretically form salts with many different acids.
He concedes that identifying the “best” salt is important and that this
involves testing for various properties to find a suitable formulation (i.e.
stability, dissolution rate, solubility, etc.). However, Dr. Sternson goes on
to explain that the procedures for selecting potential salt formers and
screening any resulting salts for the desired properties is a matter of “using
methods that were routine and well-known to persons of skill in the art”
(Sternson Affidavit at paragraph 65). Notably, Dr. Myerson conceded in
cross-examination that once the salts are formed characterization of the
properties of those salts can be undertaken in four to six weeks via a salt
screen (Applicants’ Record, Volume 23, Tab 190 at p 6903).
[82]
Gilead
argues that there were multiple choices available to person of skill in
developing a suitable salt for tenofovir disoproxil such that there was no
clear pathway to fumaric acid. The fact that there were multiple pathways
available to the person of skill does not necessarily lead to the result that a
claimed invention was non-obvious: see Hoffman-La Roche Ltd v Apotex Inc,
2013 FC 718, [2013] FCJ No 844 at paras 316-341. Although a person of skill
may not have predicted with a high degree of certainty that fumaric acid could
be used to produce an acceptable salt formulation for tenofovir disoproxil,
there would still be an expectation that, with routine screening of a handful
of acidic salt formers, one or more acceptable compounds would emerge. The
idea that fumaric acid was an unlikely candidate is belied, in part, by the
fact that Gilead included only one other acid in its screening, that being
citric acid. According to Dr. Myerson, the person of skill would have
known at that time that citric acid was likely to be unstable (Applicants’
Record, Volume 23, Tab 190 at pp 6944-6945).
[83]
In
this case it is noteworthy that, despite its assertion that the choice of fumaric
acid was counterintuitive and that its success as a useful salt former was
unpredictable, Gilead presented no evidence of the inventive history behind the
059 Patent. Specifically, Gilead produced no evidence to show that it
unsuccessfully screened numerous promising acidic salt formers and only
resorted to fumaric acid as a last resort. It seems to me that if historical
evidence of the sort produced by Gilead in support of the 619 Patent is to
receive meaningful consideration, the absence of such evidence may well lead to
an opposite inference (see AstraZeneca Canada Inc v Teva Canada Ltd, 2013
FC 245, [2013] FCJ No 241 at para 64).
[84]
In
the face of an obviousness attack, the absence of evidence uniquely in the
possession of Gilead leads me to conclude that the development of TDF was
routine and not the end product of an onerous or inventive process of
discovery. On the evidence before me, the choice of a salt form for tenofovir
disoproxil that met Gilead’s needs and that was shown by a routine screen to be
better than the free base and one other salt form of questionable value is
neither surprising nor inventive.
Conclusion
[85]
For
the foregoing reasons, this application is allowed in part. A declaration is
granted prohibiting the Minister from issuing a Notice of Compliance to Teva in
respect of its proposed tenofovir disoproxil fumarate product until the expiry
of Canadian Letters Patent 2, 261,619.
[86]
At
the request of the parties, the issue of costs is reserved. If the parties
cannot agree on costs, written submissions not to exceed 10 pages in length
will be considered. I will allow Gilead 21 days to file its submission and
Teva will be allowed 14 days to respond.
JUDGMENT
THIS
COURT’S JUDGMENT is that:
a)
The
application is allowed in part;
b)
The
Minister is prohibited from issuing a Notice of Compliance to Teva in respect
of its tenofovir disoproxil fumarate product until the expiry of Canadian
Letters Patent 2, 261,619; and
c)
The
issue of costs is reserved pending further written submissions from the
parties.
"R.L.
Barnes"