Date:
20130307
Docket:
T-1259-11
Citation:2013
FC 245
Ottawa, Ontario,
March 7, 2013
PRESENT: The
Honourable Mr. Justice Near
BETWEEN:
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ASTRAZENECA CANADA INC. AND
ASTRAZENECA UK LIMITED
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Applicants
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and
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TEVA CANADA LIMITED AND
THE MINISTER OF HEALTH
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Respondents
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REASONS FOR
JUDGMENT AND JUDGMENT
[1]
The
Applicants seek an order prohibiting the Minister of Health from issuing,
pursuant to the Patented Medicines (Notice of Compliance) Regulations,
SOR/93-133 [NOC Regulations], a Notice of Compliance [NOC] to the
Respondent Teva Canada Limited [Teva] in respect of quietiapine fumarate
extended release [XR] tablets until the expiry of Canadian Patent No. 2,251,944
[‘944]. The Applicants have brought two parallel applications: one addressing
Teva’s Notice of Allegation [NOA] concerning 50 mg strength tablets (Court file
no. T-1259-11), and the other addressing Teva’s NOA concerning 150, 200, 300
and 400 mg strength tablets (Court file no. T-1905-11).
[2]
For
the reasons that follow, the application is dismissed.
Background
[3]
AstraZeneca
Canada Inc. [AstraZeneca] markets the patented sustained release quetiapine
tablets in Canada under the brand name SEROQUEL XR®. The drug is used to treat
various psychiatric disorders, including schizophrenia, bipolar disorder and
major depressive disorder.
[4]
The
patent, owned by AstraZeneca UK Limited, is listed on the Health Canada Patent
Register. It was filed in Canada on May 27, 1997 [the filing date], claiming
priority from a UK application dated May 31, 1996 [the claim date], and was
issued on April 10, 2007. It expires on May 27, 2017.
[5]
Teva
filed Supplemental Abbreviated New Drug Submissions with the Minister of Health
for the issuance of an NOC for its versions of 50 mg, and 150, 200, 300 and 400
mg strength extended release quetiapine fumarate, TEVA-QUETIAPINE XR. It
delivered its NOAs for the 50 mg strength tablets and the 150, 200, 300
and 400 mg strength tablets to the Applicants on June 20, 2011 and October
14, 2011, respectively. The NOAs claim non-infringement of the ‘944 patent.
They further posit that the ‘944 patent is invalid for a number of reasons,
including obviousness, inutility, insuffiency and ambiguity. Teva has since
abandoned its claim of non-infringement, and has focused its invalidity
arguments on (A) obviousness and (B) ambiguity.
Expert
Evidence
[6]
AstraZeneca
served affidavits from five expert witnesses in these proceedings (credentials
current as of the date of the cross-examination of each):
- Dr.
Joseph Calabrese, a psychiatrist, directs the Mood Disorder Program in the
Department of Psychiatry, University Hospitals of Cleveland, Case Western Reserve University. He also holds an endowed research chair in bipolar disorder,
and is a Professor of Psychiatry at Case Western Reserve University School of
Medicine.
- Dr.
Philip Seeman, an antipsychotic drug researcher, is a Professor in the
Departments of Pharmacology and Psychiatry at the University of Toronto.
- Dr.
Christopher Moreton, a pharmaceutical formulator, is Vice President,
Pharmaceutical Sciences of FinnBrit Consulting, a company based in Massachusetts that provides consulting and advisory services to the pharmaceutical
industry.
- Dr.
Robert Prud’homme, also a pharmaceutical formulator, is a Professor in the
Department of Chemical and Biological Engineering and the Director of the
Program in Engineering Biology at Princeton University.
- Jeffrey Hames is Senior
Marketing Manager for Seroquel XR® at AstraZeneca.
[7]
For
its part, Teva served affidavits from four expert witnesses (credentials
equally current as of the date of the cross-examination of each):
- Professor
Paul Harrison, a psychiatrist, is a Professor of Psychiatry at Oxford University, an Honorary Consultant in General Adult Psychiatry at Oxford Health
Foundation NHS Trust and a Governing Body Fellow of Wolfson College in Oxford.
- Dr.
Joel Sadavoy, also a psychiatrist, is a Chair in Applied General Psychiatry at
the University of Toronto and Mount Sinai Hospital, and is a Professor of
Psychiatry at the University of Toronto. Among other positions he holds, he is
also Head of the Geriatric Psychiatry and Community Psychiatry programs at Mount Sinai Hospital, a teaching hospital of the University of Toronto.
- Dr.
Ping Lee, a pharmaceutical formulator, is a Professor and Chair in
Pharmaceutics and Drug Delivery at the Leslie Dan Faculty of Pharmacy at the University of Toronto.
- Professor
Lea Katsanis is a Professor in the Department of Marketing at the John Molson
School of Business at Concordia University.
Issues
[8]
At
issue is whether the ‘944 patent is invalid on the basis of:
A. Obviousness;
and/or
B. Ambiguity.
Analysis
Burden
of Proof
[9]
The
burden of proof in cases of invalidity has been described in several cases of
this Court (see Pfizer Canada Inc v Apotex Inc, 2007 FC 26, [2007] FCJ
No 36 (aff'd 2007 FCA 195, leave to appeal refused [2007] SCCA No 371) at paras
9-12; Pfizer Canada Inc v Mylan Pharmaceuticals ULC, 2011 FC 547, [2011]
FCJ No 686 (aff’d 2012 FCA 103) at para 188; GlaxoSmithKline Inc v
Pharmascience Inc, 2011 FC 239, [2011] FCJ No 287 at para 43; Allergan
Inc v Canada (Minister of Health), 2012 FC 767, [2012] FCJ No 906 (aff’d
2012 FCA 308) at para 42). Teva bears the burden of giving its allegations of
invalidity an air of reality. If it succeeds, the presumption of the patent’s
validity is rebutted, and AstraZeneca must establish, on a balance of
probabilities, that Teva’s allegations of invalidity are unjustified.
[10]
If
the evidence is “evenly balanced (a rare event), the applicant (first person)
will have failed to prove that the allegation of invalidity is not justified
and will not be entitled to the order of prohibition” (Eli Lilly Canada Inc
v Apotex Inc, 2009 FC 320, [2009] FCJ No 413 at para 38).
Construction
of the Claims
[11]
Claim
construction precedes an evaluation of infringement or validity (Whirlpool
Corp v Camco Inc, 2000 SCC 67, [2000] SCJ No 68 [Whirlpool] at para
43; Laboratoires Servier v Apotex Inc, 2009 FCA 222, [2009] FCJ No 821
(leave to appeal refused [2009] SCCA No 403) [Servier] at para 58). Patents
are to be construed purposively, having regard to the whole of the patent –
i.e. the description and the claims – in order to ascertain the nature of the
invention (Servier, above, at para 58).
[12]
In
the case at hand, the construction of the claims is not contested. The parties
agree that the ‘944 patent claims a sustained release formulation of
quetiapine, made up of: (i) the particular gelling agent hydroxypropyl methylcellulose
[HPMC]; (ii) the hemifumarate salt of quetiapine; and (iii) one or more
pharmaceutically acceptable excipients. The claims at issue in these
proceedings are reproduced in Annex A.
[13]
Despite
AstraZeneca’s protestations, this is not always the end of the analysis (see Apotex
Inc v Sanofi-Synthelabo Canada Inc, 2008 SCC 61, [2008] SCJ No 63 [Sanofi]
at para 77). Where, as in this case, the inventive concept of the claims is
not discernible from the claims themselves because they present a bare chemical
formula, the Court is directed to read the specification in the patent to
determine the inventive concept of the claims (Sanofi, above, at para
77; Servier, above, at para 58; Teva Canada Ltd v Pfizer Canada
Inc, 2012 SCC 60, [2012] SCJ No 60 [Teva v Pfizer] at para 50). The
Supreme Court and the Federal Court of Appeal both recently reiterated the
principle that “the entire specification, including the claims, must be
considered in determining the nature of the invention” (Teva v Pfizer,
above, at para 50; Allergan Inc v Canada (Minister of Health), 2012 FCA
308, [2012] FCJ No 1467 at para 73). However, this does not give the Court
free rein to construe the claims as broadly or as narrowly as it wishes. The
patentee is “entitled to have the question of obviousness determined by
reference to his claim and not to some vague paraphrase based upon the extent
of his disclosure in the description” (Servier, above, at para 69; Angiotech
Pharmaceuticals Inc v Conor Medsystems Inc, [2008] UKHL 49 at para 19).
[14]
Accordingly,
the ‘944 patent specifies the following:
It is desirable in the treatment of a
number of diseases, both therapeutically and prophylactically, to provide the
active pharmaceutical ingredient in a sustained release form. Desirably the
sustained release provides a generally uniform and constant rate of release
over an extended period of time which achieves a stable and desired blood
(plasma) level of the active ingredient without the need for frequent
administration of the medicament.
While there are numerous sustained
release formulations known in the art which utilize gelling agents, such as
hydroxypropyl methylcelluloses, it has been found to be difficult to formulate
sustained release formulations of soluble medicaments and gelling agents, such
as hydroxypropyl methylcellulose, for several reasons. First of all, active
ingredients which are soluble in water tend to generate a sustained release
product which is susceptible to a phenomenon known as dose dumping. That
is, release of the active ingredient is delayed for a time but once release
begins to occur the rate of release is very high. Moreover, fluctuations tend
to occur in the plasma concentrations of the active ingredient which increases
the likelihood of toxicity. Further, some degree of diurnal variation in plasma
concentration of the active ingredient has also been observed. Finally, it has
been found to be difficult to achieve the desired dissolution profiles or to
control the rate of release of the soluble medicament.
Accordingly, a need exists for sustained
release formulations of soluble medicaments, such as [quetiapine] or a
pharmaceutically acceptable salt, which overcome, or at least alleviate, one or
more of the above described difficulties and which further provide the
advantageous property of allowing the active medicament to be administered less
frequently, e.g. once a day, while achieving blood (plasma) levels similar
to those attained by administering smaller doses of the medicament more
frequently, e.g. two or more times daily.
[Emphasis added]
[15]
A
purposive and complete reading of the patent leads the Court to conclude that a
decreased occurrence of dose dumping and a less frequent dosing regimen are key
elements of the inventive concept claimed by the ‘944 patent.
A. Obviousness
General
Principles
[16]
Section
28.3 of the Patent Act, RSC, 1985, c P-4 states that the subject-matter
of a patent must not be obvious:
Invention
must not be obvious
28.3 The subject-matter
defined by a claim in an application for a patent in Canada must be subject-matter that would not have been obvious on the claim date to a person skilled
in the art or science to which it pertains, having regard to
(a) information
disclosed more than one year before the filing date by the applicant, or by a
person who obtained knowledge, directly or indirectly, from the applicant in
such a manner that the information became available to the public in Canada
or elsewhere; and
(b) information
disclosed before the claim date by a person not mentioned in paragraph (a) in
such a manner that the information became available to the public in Canada or elsewhere.
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Objet
non évident
28.3 L’objet que définit
la revendication d’une demande de brevet ne doit pas, à la date de la
revendication, être évident pour une personne versée dans l’art ou la science
dont relève l’objet, eu égard à toute communication :
a) qui a été faite, plus d’un an
avant la date de dépôt de la demande, par le demandeur ou un tiers ayant
obtenu de lui l’information à cet égard de façon directe ou autrement, de
manière telle qu’elle est devenue accessible au public au Canada ou ailleurs;
b) qui a été faite par toute
autre personne avant la date de la revendication de manière telle qu’elle est
devenue accessible au public au Canada ou ailleurs.
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[17]
As
set out in Beloit Canada Ltd v Valmet Oy, 8 CPR (3d) 289 (FCA), [1986]
FCJ No 87 at p 294,
“[t]he classical touchstone for obviousness is the technician skilled in
the art but having no scintilla of inventiveness or imagination.” In updating
the Canadian approach to obviousness in Sanofi, the Supreme Court
adopted a four-step guide for analysis with a view to inserting more
flexibility into this aspect of Canadian patent law (see Sanofi, above,
at para 67):
[67] […]
[…]
(1) (a) Identify the
notional “person skilled in the art”;
(b) Identify the
relevant common general knowledge of that person;
(2) Identify the inventive
concept of the claim in question or if that cannot readily be done, construe
it;
(3) 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;
(4) Viewed without any
knowledge of the invention as claimed, do those differences constitute steps
which would have been obvious to the person skilled in the art or do they
require any degree of invention?
[18]
Further
analysis may be required at the fourth step, namely the “obvious to try” test.
In order to find that an invention was “obvious to try,” there must be
“evidence to convince a judge on a balance of probabilities that it was more or
less self-evident to try to obtain the invention. Mere possibility that
something might turn up is not enough” (Sanofi, above, at para 66). The
word “obvious” has been defined as “very plain” (Sanofi, above, at para
66).
[19]
The
factors to take into account when assessing whether an invention was “obvious
to try” include (see Sanofi, above, at paras 69):
[…]
(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?
[20]
The
Court may also consider the actual course of conduct which culminated in the
making of the invention, particularly in cases where the skill level of the
inventors is the same as that of the hypothetical person skilled in the art (Sanofi,
above, at para 70). The Supreme Court was clear in Sanofi that these
factors are not exhaustive, are to be applied in accordance with the facts of
each case (para 69), and are to be approached cautiously, as one part to assist
in the obviousness inquiry (para 64).
[21]
As
the Patent Act sets out, the relevant time for the obviousness test is
the claim date – here, May 31, 1996 – having regard to the information
available a year prior to the Canadian filing date – here, May 27, 1996.
Application
to the Facts
(1) The
State of the Art
(a) The
Person Skilled in the Art
[22]
The
parties and the expert witnesses agree that the notional person skilled in the
art would include both (i) a person with education and experience relevant to
formulation [the formulator]; and (ii) either a clinician with relevant
experience with respect to antipsychotic drugs or a researcher familiar with
antipsychotic drugs and how they are used and work to treat psychotic disorders
[the clinician] (see Memorandum of Fact and Law of AstraZeneca Canada Inc
[AstraZeneca’s Memo] at para 31).
(b) Common
General Knowledge
Schizophrenia
and Antipsychotics
[23]
The
person skilled in the art knew, at the relevant time, that schizophrenia is a
type of psychosis, a severe psychiatric disorder. It causes both positive and
negative symptoms. While the exact cause of schizophrenia is unknown, the
prevailing theory in 1996 was the dopamine theory, under which it is posited
that the disorder is associated with excessive levels of the neurotransmitter
dopamine released in certain areas of the brain. While there were competing
theories in the course of development in 1996 -- for instance, the 5HT2
receptor occupancy theory -- the experts agree that it is generally accepted
that in order to have antipsychotic effect, a drug must interfere to some
extent with dopamine neurotransmission. I find that this is a sufficient
factual finding for the purposes of this decision, and thus do not find it
necessary to pronounce on the discrepancy in the evidence provided by Professor
Harrison and Dr. Seeman on the specifics of the dopamine receptor occupancy
required for antipsychotic efficacy.
[24]
The
first generation of antipsychotic drugs was developed in the early 1950s. These
antipsychotics are known as “typical” antipsychotics. They were not effective
in all patients, however, and caused debilitating motor and other neurological
side effects called extrapyramidal symptoms [EPS]. Such symptoms include
tremors, slowness of movements, twisting of the neck, arching of the back,
involuntary movements of the tongue, head or limbs, and chronic distortions of
posture (see Memorandum of Fact and Law of Teva Canada Limited [Teva’s Memo] at
para 9). Not surprisingly, such side effects frequently led to non-compliance
with a patient’s prescribed course of treatment.
[25]
The
development and introduction of the second generation of antipsychotics began
in the 1960s. The first “atypical” antipsychotic -- named as such because of
the absence of EPS -- was clozapine. However, this drug often caused
agranulocytosis, a potentially fatal blood disorder. As of May 1996, only
clozapine and another atypical, risperidone, were available on the market, and
the typical antipsychotics remained the most commonly prescribed of such drugs.
[26]
In
certain cases of schizophrenia, a rapid titration method of administering
antipsychotics was used. Otherwise known as the “sledgehammer approach”, this
method consisted of administering a certain dose of the drug, then increasing
it rapidly to achieve a high peak plasma level as quickly as possible, sedating
the patient. This treatment was applied in narrow circumstances, namely to
those patients in a specific subset of the acute phase of the disorder in which
violence was displayed.
[27]
The
notional skilled person further knew that, in the chronic phase of the
disorder, sedation is not a priority. Rather, maintenance and long-term
efficacy and tolerability are the focus (see Application Record [AR] Vol 18,
Tab 26, Affidavit of Professor Harrison at paras 77-78).
[28]
The
prior art discloses that many antipsychotics had a recommended dosing frequency
of two or more times per day. However, it also indicates that many
antipsychotics could be dosed once a day in certain circumstances, given the
long half-life of most of the available immediate release antipsychotic drugs.
Professor Harrison stated in his cross-examination that, all other things being
equal, the notional skilled person would use the recommended dosing regimen in
deciding what to prescribe. In many cases, this was twice or more times per
day.
Quetiapine
[29]
The
person skilled in the art knew that, as of May 1996, the immediate release version
of quetiapine had been studied in phase II and phase III clinical trials. It
was generally understood that quetiapine had antipsychotic properties with a
reduced tendency to cause EPS. The prior art further discloses the following
properties of quetiapine:
(i) Effective
dose size – Quetiapine had been studied at doses of 300 to 750 mg/day, and
was found to have antipsychotic efficacy at those levels. While AstraZeneca
points out that none of the studies conducted up to the relevant date had
determined the optimal dose of quetiapine, the evidence is clear – and
AstraZeneca states itself – that the drug was effective at doses as low as 300
mg/day (see AstraZeneca’s Memo at paras 17, 44).
AstraZeneca relies primarily on the studies
conducted by Wetzel and Fabre to support its argument about the large dose size
that quetiapine demands (see AstraZeneca’s Memo at para 17). Wetzel, in
particular, suggested that doses upwards of 750 mg ought to be tested.
However, Wetzel’s study was very small, and he stated in his own paper that
definitive conclusions with respect to the antipsychotic efficacy of quetiapine
could not be drawn. Dr. Calabrese agreed that the person skilled in the
art would not view Wetzel as a study to draw definitive conclusions (see Compendium
(Volume 2) of Teva Canada Limited, Tab 42, Cross-Examination of Dr. Calabrese
at question 367).
I find the studies relied on by Teva more
compelling. First, both Borison studies and the Link study were much larger
than Wetzel. No expert disagreed that larger studies were generally better
regarded than smaller studies. Second, while AstraZeneca argues that the
Borison studies were not designed to test the optimal dose of quetiapine,
quetiapine was nonetheless found to be effective at doses as low as 250 or 300
mg. As AstraZeneca admits as much in its memorandum, I am satisfied that this
is as far as our inquiry on this point must go.
(ii)
Metabolism – Quetiapine had been
found to be extensively metabolized, meaning that it was rapidly cleared by the
body.
(iii) Partition
coefficient – The partition coefficient of a drug describes whether it is
more soluble in water or in an oil phase. This particular characteristic of
quetiapine had not been disclosed in the prior art as of the relevant date.
(iv) Duration of
action – Quetiapine was known to have a short half-life of between 3 and 6
hours. Other antipsychotics commonly prescribed in 1996 had comparatively
longer half-lives.
(v) Solubility
– As with partition coefficient, the prior art did not disclose the solubility
of quetiapine.
Other
General
Knowledge
[30]
The
notional skilled person further knew that less frequent dosing generally leads
to better compliance with a prescribed drug regimen. While the parties dispute
the statistical significance of the difference between the benefits of
once-a-day (QD) and twice-a-day (BID) dosing in the prior art, the Court is
satisfied that the evidence shows a significant difference between three- and
four-times-a-day (TID and QID, respectively) dosing on the one hand, and BID or
QD dosing on the other. Indeed, the Greenberg paper referred to by both
parties reports a rising compliance rate from 42% (QID) to 52% (TID) to 70%
(BID) to 73% (QD). I do not find it necessary to decide on the significance of
the difference between BID and QD dosing.
[31]
Finally,
the person skilled in the art would have been aware that, while there were many
gelling agent options to choose from when making a sustained release
formulation with a hydrophilic matrix, HPMC was commonly used. As the Court
stated in Apotex Inc v Syntex Pharmaceuticals International Ltd, [1999]
FCJ No 548 at para 64, HPMC was, at the relevant date – which in that case was
1983 – “one of the most popular and widely used mechanisms to control the
release of the active ingredient in tablet formulations.” The Dow brochure
disclosed the same, and further taught that there are several grades of HPMC
available. Dr. Moreton identified that the skilled person would have known
that changing the viscosity or grade of the gelling agent, such as HPMC, would
adjust the dissolution rate of a sustained release formulation (see AR Vol 26,
Tab 34, Cross-Examination of Dr. Richard Moreton at question 667). It was also
generally known that formulation of sustained release tablets was dependent on
the particular properties of the drug in question (see Applicants’ Hearing
Compendium Part 2C: Invention Not Self-Evident, Tab 2, excerpt from Remington:
The Science and Practice of Pharmacy, Volume II).
(2) The
Inventive Concept
[32]
As
outlined above, the invention is a sustained release formulation of quetiapine
hemifumarate, made with HPMC as the gelling agent and one or more excipients,
with a view to decreasing the occurrence of dose dumping and to enabling a less
frequent dosing regimen.
(3) Differences
between (1) & (2)
[33]
The
difference between the prior art and the inventive concept is a sustained
release formulation for the specific drug quetiapine.
(4) Obvious
Steps?
[34]
The
determinative issue in this case is whether it was more or less self-evident
that if the skilled person combined quetiapine with a known sustained release
formulation, the result would be a sustained release formulation of
quetiapine. As Justice Judith Snider stated in Laboratoires Servier v
Apotex Inc, 2008 FC 825, [2008] FCJ No 1094 (aff’d 2009 FCA 222, above) [Servier
(FC)] at para 254 (see also Biovail Corporation v Canada (Minister of
Health), 2010 FC 46, [2010]
FCJ No 46 at para 84):
[254] […] a mosaic of prior art may be assembled
in order to render a claim obvious. Even uninventive skilled technicians would
be presumed to read a number of professional journals, attend different
conferences and apply the learnings from one source to another setting or even
combine the sources. However, in doing so, the party claiming obviousness must
be able to demonstrate not only that the prior art exists but how the person of
ordinary skill in the art would have been led to combine the relevant
components from the mosaic of prior art. […]
[35]
To
this effect, the parties agree that this is a case in which the “obvious to
try” test is appropriate. The Court is of the same mind.
[36]
The
parties are, however, divided about the parameters of the “obvious to try”
test. AstraZeneca focuses on the results of experimentation, maintaining that
it must be obvious that successful results will be achieved before any
experimentation is carried out. Teva, for its part, offers a less stringent
proposition, contending that a patent will be obvious if it was more or less
self-evident, in the words of Sanofi, to “try to obtain the invention”
or, in Teva’s words, to conduct routine experimentation with a fair expectation
of success.
[37]
I
find that Teva’s interpretation is more apt on the facts of this case. Lord
Justice Lewison recently remarked that in many “obvious to try” cases, it is
the idea of trying that constitutes the inventive step (Medimmune Ltd v
Novartis Pharmaceuticals UK Ltd & Ors [2012] EWCA Civ 1234 at para
184, cited with approval in Pfizer Canada Inc v Pharmascience Inc, 2013
FC 120, [2013] FCJ No 111 at para 189). AstraZeneca’s point might have been
better received were the invention in this case the idea of trying to obtain a
sustained release formulation of quetiapine. However, as already established,
the inventive concept in our case is the end product – a physical sustained
release formulation of quetiapine. Lord Justice Lewison approved of the notion
that “obviousness connotes something which would at once occur to a
person skilled in the art who was desirous of accomplishing the end” (Medimmune,
above, at para 184, emphasis Lord Justice Lewison’s). I find that this is
entirely in accord with the Canadian elaboration in Sanofi that a patent
may be found obvious if it is more or less self-evident to try to obtain the
invention (Sanofi, above, at para 66). Of course, the
jurisprudence is wary of the expansion of this notion, and thus narrowed the
scope of cases that might fall into this category by enumerating the
non-exhaustive factors of the “obvious to try” test, to which I now turn. In
my view, motivation is the key factor in this case.
1. Self-Evident?
[38]
AstraZeneca
lists a number of characteristics of quetiapine that made it a “poor candidate”
for a sustained release formulation, arguing that the prior art taught away from
such a formulation. Furthermore, AstraZeneca argues that there were a number
of possible formulations that could have been chosen. Thus, the choice of HPMC
as a gelling agent would not have been self-evident.
[39]
For
its part, Teva submits that these factors relied on by AstraZeneca are better
suited to the discussion about motivation. I agree. The question of whether
certain pharmacokinetic properties of the drug would have de-motivated the
notional skilled person will thus be addressed in the motivation section below.
[40]
Teva
offers an alternative proposition for the “self-evident” analysis. Looking to Sanofi,
it posits that two issues are raised in areas in which advances are won by
experimentation, as in the pharmaceutical industry: First, the question is
whether the experimentation conducted is routine; and second, whether there is
a fair expectation of success. I find this characterization to be an apt and
helpful description of the law, though the question about the routine nature of
the experimentation will be addressed in the next section.
[41]
Pfizer
Canada Inc v Apotex Inc, 2009 FCA 8, [2009] FCJ No 66 [Pfizer
v Apotex] intends that “fair expectation of success” is the standard to be
adopted by the Court. The Federal Court of Appeal, at para 44, described that
“predictable”, and therefore obvious, solutions are equivalent to “solutions
that provide ‘a fair expectation of success’” (Pfizer v Apotex, above).
This Court has also adopted this standard. In Pfizer Canada Inc v
Ratiopharm Inc, 2010 FC 612, [2010] FCJ No 748, for example, the Court
decided that it was self-evident or plain that the drug in that particular case
had a fair expectation of success based on the prior art to achieve the
solution the patent addressed (see para 171).
[42]
In
the case at hand, I find the following evidence given by Dr. Lee compelling:
153. As set out above, a gelling agent, and in
particular HPMC, in the quantities claimed, would have been the first choice
for a sustained release formulation of quetiapine, and the PSA would have
had a high expectation of achieving success. The use of such gelling
agents in sustained release formulations which provided the claimed sustained
release characteristics was known and conventional at the relevant date.
[Emphasis added]
[43]
While
AstraZeneca argues, as one example, that the person skilled in the art “would
not be able to predict with any certainty the precise amounts and grades of
HPMC to be used” (AstraZeneca’s Memo at para 75), the correct standard against
which to assess obviousness is not “predict with certainty,” but rather “fair
expectation of success.” Based on the evidence, I thus conclude that it was
self-evident or plain that there was a fair expectation that a sustained
release formulation of quetiapine using HPMC would be successful.
2. Extent,
Nature and Effort Required to Achieve Invention
[44]
The
Sanofi test suggests that, where the experimentation is “prolonged and
arduous” and thus not routine, it is less likely that the invention will be
obvious to try (see Sanofi, above, at para 69). Conversely, if the
experimentation is routine, it is more likely that an invention will be obvious
to try.
[45]
It
is worth noting that there was no evidence submitted specifically on the point
of how arduous the testing was for the sustained release formulation of
quetiapine. It is, however, settled law that there is no invention in
discovering properties of known substances (Biovail, above, at
para 85; Pfizer Canada Inc v Canada (Minister of Health), 2006 FCA
214, [2006] FCJ No 894 (leave to appeal refused [2006] SCCA No 335) at para
24).
[46]
AstraZeneca
notes that at least two properties of quetiapine were unknown at the relevant
time, namely its partition coefficient and solubility, particularly its
pH-related solubility. It argues that the experimentation connected with
determining these properties of quetiapine was not merely routine. For its
part, Teva argues that these two particular properties would be easily
discovered by the skilled person through routine experimentation. I am satisfied
with the evidence submitted by Teva on this point, and find that such testing
would have been routine for the notional skilled person. Even were the
experimentation with respect to these properties not routine, this alone would
not be determinative, given the principle stated in Biovail, above.
[47]
This
prong of the “obvious to try” test thus turns more centrally on whether the
choice of HPMC would have been the product of routine or prolonged and arduous
experimentation. AstraZeneca argues that this process is difficult and
complex, and that the person skilled in the art would not be able to “predict
with any certainty” the precise amounts and grades of HPMC to be used
(AstraZeneca’s Memo at para 75). Teva argues that it was straightforward and
routine, made using commonly available equipment.
[48]
Dr.
Lee described that making choices such as which type of formulation to use, the
type of gelling agent and the amount and grade of HPMC to use in a sustained
release formulation was a “routine exercise” for the person skilled in the art
(see AR Vol 21, Second Tab 30, Affidavit of Dr. Ping Lee at para
38). On cross-examination, Dr. Moreton corroborated this statement, conceding
that manufacturing hydrophilic matrix devices was “straightforward. The
processing was known. It didn’t require expensive investment” (see Compendium
(Volume 3) of Teva Canada Limited, Tab 97, Cross-Examination of Dr. Richard
Moreton at question 651). When combined with the already-established fact that
the person skilled in the art would have known that changing the viscosity or
grade of the gelling agent, such as HPMC, would adjust the dissolution rate of
a sustained release formulation, I am satisfied that the choice of HPMC and its
specific grades would have been the product of routine experimentation.
3. Motivation
[49]
Motivation
is relevant in “determining whether the skilled person has good reason to
pursue ‘predictable’ solutions or solutions that provide ‘a fair expectation of
success’” (Pfizer v Apotex, above, at para 44).
[50]
The
parties’ first point of contention pertains to the identity of the skilled
person for the purposes of motivation. AstraZeneca asserts that the Court
should focus on the clinician as the skilled person for the purposes of
motivation, whereas the formulator should be the focus of the self-evidence of
the invention criterion. I cannot accept this argument. While it is true that
the clinician and the formulator are both part of the “team” that comprises the
notional person skilled in the art in this case, it is a notional
skilled person upon whom the characteristics of the real-life team are
layered, and not a notional skilled team. As such, both clinician and
formulator are equal participants in each step of the “obvious to try” test.
[51]
The
crux of the parties’ disagreement about obviousness, however, is whether the
prior art disclosed a motive to create a sustained release formulation of
quetiapine. Teva argues (i) that there was a motive in the prior art to
decrease the dosing frequency of quetiapine. For its part, AstraZeneca focuses
its motivation submissions on two main components: (ii) first, it argues that
the prior art revealed that a number of quetiapine’s characteristics made it a
“poor candidate” for a sustained release formulation, thus teaching away from
the invention; and (iii) second, it posits that there were a number of possible
formulations that could have been chosen and that the skilled person would not
have been specifically motivated to choose HPMC as a gelling agent.
[51]
(i) Frequency
of Dosing
[52]
Teva
submits that both a general and specific motive existed in the prior art to
create a sustained release formulation, namely to reduce dosing frequency. The
Court has already found that the skilled person would know that less frequent
dosing – meaning BID or QD over TID or QID – was beneficial for compliance.
Teva relies on the Gefvert article to show that there was a specific motive to
decrease the dosing frequency of quetiapine: “Given the importance of
compliance with medication in schizophrenics, a more convenient dose regimen
would be beneficial” (see Applicants’ Hearing Compendium Part 2B: No
Motivation, Tab 48). I find this evidence compelling.
[53]
In
its oral reply submissions, AstraZeneca challenged Teva’s reliance on Gefvert
to point to a specific motivation to dose quetiapine less frequently because
(i) the article was not relied on in Teva’s NOA, and (ii) the argument was not
raised in its memorandum. It is well-established that a second person (i.e.
Teva) “cannot, in proceedings taken in Court, present argument and evidence
relating to an issue that is outside the scope of its NOA” (GlaxoSmithKline
Inc v Pharmascience Inc, 2011 FC 239, [2011] FCJ No 287 [GlaxoSmithKline]
at para 40; Abbott Laboratories v Canada (Minister of Health), 2007 FCA
83, [2007] FCJ No 270 at para 25). Furthermore, the second party may not
“shift ground or raise a new ground during the legal proceedings that has not
been raised in its NOA” (GlaxoSmithKline, above, at para 40; Pfizer
Canada Inc v Canada (Minister of Health), 2006 FC 1471, [2006] FCJ No 1848
at paras 70-71).
[54]
I
am satisfied, after reviewing the NOAs, that the issue of a specific motive to
create a sustained release version of quetiapine was squarely raised in the
NOAs (see AR Vol 3, Tab 3 at p 706 and Tab 4 at p 772; Pfizer Canada
Inc v Novopharm Ltd, 2009 FC 638, [2009] FCJ No 688 (aff’d 2010 FCA 242,
reversed 2012 SCC 60 on other grounds) [Novopharm] at para 95).
Furthermore, it is settled law that a second person may respond to matters
raised by an applicant in NOC proceedings (AstraZeneca AB v Apotex Inc, 2004 FC 313, [2004] FCJ No 386, [Apotex] at para 48; Novopharm,
above, at paras 95-96). Such a response does not constitute an expansion of
the legal and factual basis of the NOA (Apotex, above, at para 48). I
note that Dr. Seeman, one of AstraZeneca’s witnesses, referred to the Gefvert
paper in his affidavit (see Applicants’ Hearing Compendium Part 2B: No
Motivation, Tab 49, Affidavit of Philip Seeman, M.D., Ph.D.). Teva was thus
well within its rights to respond to Gefvert in its submissions.
[55]
Finally,
I cannot accept AstraZeneca’s argument that Teva raised this argument for the
first time in its oral argument. The issue of less frequent dosing as a motive
was indeed canvassed in Teva’s written submissions at paragraphs 67 through
76. While Teva does not appear to have relied on Gefvert for this specific
proposition, the rules about raising new arguments pertain to shifting or
raising new grounds for relief, and not to relying on evidence which is already
in the record to support a ground that is already in issue.
(ii) Quetiapine’s
Pharmacokinetic Properties
[56]
In
its effort to demonstrate that Teva’s allegations of invalidity are not
justified, AstraZeneca points to five characteristics of quetiapine that would
have de-motivated the person skilled in the art from trying a sustained release
formulation of the drug: (a) large dose size; (b) solubility; (c) partition
coefficient; (d) extent of metabolism; and (e) duration of action. I am not convinced
that any of these properties taught away from a sustained release formulation.
The person skilled in the art would not have viewed them as “lions in the
path”, but rather as paper tigers, to use the language of Lord Justice Jacob in
Pozzoli SPA v BDMO SA, [2007] EWCA Civ 588 at para 126, and echoed by Justice
Arnold in Teva UK Ltd & Ors v AstraZeneca AB, [2012] EWHC 655 (Pat).
(a) Dose
Size
[57]
AstraZeneca
argues that, because quetiapine was a “weak antipsychotic”, a large dose size
would necessitate a large and uncomfortable-to-swallow tablet. Its argument is
based on the assumption that a dose closer to 750 mg would be necessary in
order for the tablet to exhibit antipsychotic efficacy. However, as already
established, quetiapine was shown to be effective at doses as low as 300 mg. I
am further convinced that, even were a 750 mg dose required, the person skilled
in the art would have been motivated to split the dose into two smaller tablets
to be taken at once. At the very least, this would not have constituted a lion
in the path of the skilled person.
(b) pH
Solubility
[58]
The
arguments with respect to quetiapine’s solubility are related to its pH
profile. AstraZeneca maintains that neither of these was a known property at
the relevant time, and that the person skilled in the art would have been
de-motivated by this want of knowledge. As already established, determining
these properties would have been routine. Furthermore, the Dow brochure
revealed that: “The viscosity of the gel which forms on the tablet surface and
the rate of hydration are relatively independent of the pH environment. Release
rates of drugs will not be affected by pH unless drug solubility varies greatly
over the normal pH range” (see Compendium (Volume 3) of Teva Canada Limited,
Tab 85, Affidavit of Dr. Ping Lee at para 171). Dr. Prud’homme confirmed
in his cross-examination that the skilled person would have been using the Dow
brochures, reference being made to them even in patents filed at the time (see
Compendium (Volume 3) of Teva Canada Limited, Tab 85, Cross-Examination of Dr.
Robert Prud’homme at question 1024). I am thus not satisfied that the pH
solubility of quetiapine would have de-motivated the skilled person from
pursuing a sustained release formulation of the drug.
(c) Partition
Coefficient
[59]
The
partition coefficient of quetiapine was also unknown at the relevant time. I
am again satisfied that determining this particular property of the drug would
have been a matter of routine experimentation and would thus not have dissuaded
the person skilled in the art from pursuing a sustained release formulation,
particularly since it did not appear to cause any problems for the immediate
release version of the drug.
(d) Metabolism
[60]
AstraZeneca
argues that quetiapine’s extensive metabolism suggested at the relevant time
that it may be a poor candidate for a sustained release formulation. This is
because the faster a drug is processed by the body, the more of it is needed to
achieve the therapeutic blood concentration (see AstraZeneca’s Memo at para
66). Despite these concerns, and as previously determined, quetiapine was
found to be therapeutically effective in doses around 300 mg. Dr. Prud’homme
further confirmed this in his cross-examination (see Compendium (Volume 3) of
Teva Canada Limited, Tab 89, Cross-Examination of Dr. Robert Prud’homme at
question 717). Dr. Lee noted that, if the extensive metabolism of quetiapine
was not problematic for the immediate release version, that it would not have
been expected to cause a problem in the sustained release version (see
Compendium (Volume 3) of Teva Canada Limited, Tab 88, Affidavit of Dr. Ping Lee
at para 200). I find this to be a rational characterization, and
determine that quetiapine’s extensive metabolism would not deter the person
skilled in the art from formulating a sustained release version of the drug.
(e) Duration
of Action
[61]
AstraZeneca
argues that a drug with both a large dose and a short half-life would not be
well-suited for a sustained release formulation. Its argument on this point is
a variation on its large dose size argument, which I have already rejected (see
AstraZeneca’s Memo at para 67). Furthermore, the fact that quetiapine had a
short half-life actually indicated that there would be a motive to make a
sustained release formulation (see Compendium (Volume3) of Teva Canada Limited,
Tab 90, Affidavit of Dr. Ping Lee at paras 195, 228).
(iii) Other
Formulations
[62]
The
fact that there may have been a number of possible formulations, as posited by
AstraZeneca, does not mean that the alleged invention is not obvious (Biovail,
above, at para 100; Shire Biochem Inc v Canada (Minister of Health),
2008 FC 538, [2008] FCJ No 690 at para 79). HPMC was one of the most commonly
used gelling agents. This prior art knowledge combined with the relative
straightforward manner in which HPMC could be manufactured, discussed above,
point to a motive to choose HPMC.
4. Actual
Course of Conduct
[63]
Additionally,
Sanofi instructs that the Court may look, in certain cases, to the
actual course of conduct followed by the inventors: “For example, if the
inventor and his or her team reached the invention quickly, easily, directly
and relatively inexpensively, in light of the prior art and common general
knowledge, that may be evidence supporting a finding of obviousness, unless the
level at which they worked and their knowledge base was above what should be
attributed to the skilled person” (Sanofi, above, at para 71).
[64]
While
not central to my findings on obviousness, I find it telling that AstraZeneca
did not lead any evidence with respect to the length or difficulty of the
trials conducted, or with respect to whether their inventors possessed a
knowledge base that was above that which should be attributed to the skilled
person in this case. Satisfied as I am that Teva has given its allegations of
invalidity an air of reality, I draw an adverse inference from AstraZeneca’s
failure to provide evidence on these points.
Conclusions
on Obviousness
[65]
“[O]bviousness
connotes something which would at once occur to a person skilled in the art who
was desirous of accomplishing the end” (Medimmune, above, at para 184).
The end, or the inventive concept, here is a sustained release formulation of
quetiapine with a view to minimizing dose dumping and decreasing dosing
frequency. The skilled person would have been led to combine the elements of
the prior art to accomplish this end in the following manner: First, the prior
art – particularly Gefvert – motivated the skilled person to find the solution
the patent addresses (see Sanofi), which is to decrease dosing frequency
and avoiding dose dumping. Second, the prior art clearly taught that sustained
release formulations were commonly used to achieve this purpose, HPMC being the
most commonly used gelling agent in such formulations, in part because of the
relatively straightforward manner in which it could be manufactured. The
choice of a sustained release formulation using HPMC would thus have been
obvious steps to accomplish the claimed end for quetiapine.
[66]
I
conclude that it was more or less self-evident to try to obtain a sustained release
formulation of quetiapine using HPMC, and that the person skilled in the art
would have had a fair expectation of success. Given my conclusion with respect
to the main factors listed in Sanofi, I find it unnecessary to address
the parties’ arguments with respect to secondary considerations (i.e.
commercial success and unexpected benefits).
B. Ambiguity
[67]
Further
given my conclusions with respect to obviousness, it is not necessary to
explore the limited argument and evidence put forward by Teva with respect to
ambiguity. It is important to note the comments made by Justice Roger Hughes
in Pfizer Canada Inc v Canada (Minister of Health), 2005 FC 1725, [2005]
FCJ No 2155 that it is difficult to find a patent invalid for ambiguity: “In
short, ambiguity is truly a last resort, rarely, if ever, to be used” (para 53;
see also paras 51-52). In my view, these comments are particularly apt in this
matter.
Conclusion and
Costs
[68]
I
find that Teva’s allegations that it was more or less self-evident to try to
obtain a sustained release formulation of quetiapine have an air of reality.
AstraZeneca has failed to establish that Teva’s allegations of invalidity are
unjustified, and, as a result, its application for an order of prohibition is
dismissed.
[69]
Costs
are awarded to Teva at the usual level for these types of proceedings, viz. the
middle of Column IV of Tariff B.
JUDGMENT
THIS
COURT’S JUDGMENT is that the application is dismissed. Costs are
awarded to Teva at the middle of Column IV of Tariff B.
“ D. G. Near ”