Docket: T-1478-15
Citation:
2016 FC 525
Toronto, Ontario, May 26, 2016
PRESENT: Case Management Judge Kevin R. Aalto
BETWEEN:
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JANSSEN INC.
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Applicant
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and
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CELLTRION
HEALTHCARE CO., LTD
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AND MINISTER OF
HEALTH
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Respondents
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and
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THE KENNEDY
TRUST FOR RHEUMATOLOGY RESEARCH
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Respondent Patentee
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AMENDED ORDER AND REASONS
[1]
This is a motion brought by the Respondent, Celltrion
Healthcare Co. Ltd. (Celltrion) to strike this application pursuant to section
6(5)(b) of the Patented Medicines (Notice of Compliance) Regulations,
SOR/93-133 as amended (the PMNOC Regulations). The Applicant, Janssen
Inc. (Janssen) opposes the motion.
[2]
The facts are somewhat unique. On January 15,
2014, Celltrion received a Notice of Compliance (NOC) for its drug called INFLECTRA
(infliximab) for use in the treatment of rheumatoid arthritis, ankylosing
spondylitis, psoriatic arthritis and plaque psoriasis (collectively the RA Indications).
Celltrion currently markets INFLECTRA in Canada with respect to those
indications. At the time of filing its new drug submission on November 14,
2012 Celltrion did not have to address the patent in dispute (the 630 Patent).
[3]
The 630 Patent is owned by the Respondent
Patentee, The Kennedy Trust for Rheumatology Research.
[4]
The 630 Patent was filed August 1, 1997 and will
therefore expire on August 1, 2017. The 630 patent was granted on December 4,
2012 and is now listed on the Patent Register in connection with the drug
REMICADE® (infliximab) sold by Janssen. It was listed on the register on
December 6, 2012.
[5]
In 2015, Celltrion then filed a Supplementary
New Drug Submission (SNDS) seeking approval for additional uses for INFLECTRA
in the treatment of diseases related to various forms of inflammatory bowel
disease being Crohn’s Disease; fistulising Crohn’s Disease; and ulcerative
colitis (collectively the IBD indications).
[6]
On July 20, 2015 Celltrion served Janssen with a
Notice of Allegation (NOA) pursuant to the PMNOC Regulations alleging
that none of the intended uses (the IBD Indications) would infringe the 630
Patent. On September 2, 2015 Janssen commenced this application seeking a
prohibition order.
[7]
In its NOA, Celltrion sets out at length the
reasons why it will not infringe the 630 Patent. Essentially, Celltrion alleges
that none of the intended uses i.e. the IBD Indications are referred to in the
claims of the 630 Patent and that the uses for which the 630 Patent is sold by
Janssen are only the RA Indications. As noted, Celltrion has an NOC for the RA
Indications. The RA Indications are not part of this application
notwithstanding the arguments of Janssen.
I.
The PMNOC Regulations
[8]
The Court may strike an application in whole or
in part pursuant to Section 6(5) of the PMNOC Regulations which reads as
follows:
6(5) Subject to subsection (5.1), in a proceeding in respect of an
application under subsection (1), the court may, on the motion of a second
person, dismiss the application in whole or in part
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6(5) Sous réserve du paragraphe (5.1), lors de l’instance relative
à la demande visée au paragraphe (1), le tribunal peut, sur requête de la
seconde personne, rejeter tout ou partie de la demande si, selon le cas :
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(a) in respect of those patents that are not eligible for
inclusion on the register; or
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a) les brevets en cause ne sont pas admissibles à l’inscription au
registre;
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(b) on the ground that it is redundant, scandalous, frivolous or
vexatious or is otherwise an abuse of process in respect of one or more
patents.
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b) il conclut qu’elle est inutile, scandaleuse, frivole ou vexatoire
ou constitue autrement, à l’égard d’un ou plusieurs brevets, un abus de
procédure.
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(5.1) In a proceeding in respect of an application under
subsection (1), the court shall not dismiss an application in whole or in
part solely on the basis that a patent on a patent list that was submitted
before June 17, 2006 is not eligible for inclusion on the register.
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(5.1) Lors de l’instance relative à la demande visée au paragraphe
(1), le tribunal ne peut rejeter tout ou partie de la demande pour la seule
raison qu’un brevet inscrit sur une liste de brevets présentée avant le 17
juin 2006 n’est pas admissible à l’inscription au registre.
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[9]
The approach to be applied on a motion pursuant
to section 6(5) of the PMNOC Regulations has been usefully summarized in
a number of cases but most recently in Bayer Inc. v. Pharmaceutical Partners
of Canada Inc., 2015 FC 388. In that decision Prothonotary Roger R.
Lafrenière made the following observations regarding the purpose and
application of section 6(5) of the PMNOC Regulations, he stated as
follows:
[16] The
purpose of s. 6(5) is to enable the Court to expeditiously dispose of
unmeritorious applications by first persons which have no chance of succeeding
at hearing. The parties agree that dismissal of an application pursuant to
subsection 6(5)(b) is an extraordinary remedy. Such relief will only be granted
when the application is “clearly futile” or it is “plain and obvious” that the
application has no chance of success: Sanofi-Aventis Canada Inc v Novopharm
Ltd, 2007 FCA 163 [Sanofi-Aventis] at para 28 and 36. The moving party bears
the entire burden of proof in a s. 6(5)(b) motion: Pfizer Canada Inc v Apotex
Inc, 2009 FC 671 at para 33.
[17] A
second person may move under s. 6(5)(b) to dismiss a first person’s application
on the basis that the first person’s affidavit evidence is insufficient to
prove the second person’s allegations of infringement are not justified:
Novopharm Limited v Sanofi-Aventis Canada Inc, 2007 FCA 167 [Novopharm], at
para 13. In order to make such a determination, the motions judge must be able
to make the necessary findings of fact, viewed in the light most favourable to
the first person, and apply the law to the facts.
[18] A
motion to dismiss will only be granted where it is apparent that there is no
arguable case on the merits of the application. The court is not justified in
embarking on anything resembling a trial of the action on conflicting
affidavits in order to evaluate the strength of either party’s case.
II.
Positions of the Parties
A.
Janssen
[10]
For its part, Janssen relies upon a plethora of
cases which are argued to stand for the proposition that where there are
complex issues of statutory interpretation, where there are issues involving
the construction of the claims of a patent and the like, it should all be
allowed to proceed to a hearing to be dealt with on a full record. Among the
many cases cited by Janssen, all of which have been considered, are the
following: Safilo Canada Limited v. Contour Optik Inc., 2004 FC 1534; Procter
& Gamble Pharmaceuticals Canada Inc. v. Canada (Minister of Health),
2003 [1 F.C. 402] (CA).
[11]
Janssen also argues that on a section 6(5)
motion there is no burden on Janssen and that the entire burden rests with
Celltrion to demonstrate that the application is plainly and obviously without
the slightest chance of success. For that proposition Janssen cites among
others Pfizer Canada Inc. v. Apotex Inc., 2009 FC 671. That point was
made by Janssen in part in response to the fact that little evidence was filed
by Janssen in response to this motion. Janssen argues as they have no burden
they are not required to file any evidence in support of their position and
therefore rely upon Celltrion’s motion record, cross-examinations, and the
Notice of Application.
[12]
Janssen casts this motion as being extremely
complicated with several novel issues for determination. In particular,
Janssen argues that there are a least 5 significant and different issues in
play in this application, several of which involve questions of statutory interpretation
and issues of law and fact which simply cannot be determined on an
interlocutory motion such as this, without the benefit of a full record.
[13]
Janssen argues that the evidence filed by
Celltrion on this motion, being an affidavit of Bon Joong Kim, a Regulatory Affairs
employee at Celltrion (Kim Affidavit) and Dr. Steven Sullivan (Sullivan
Affidavit), a gastroenterologist, do not provide evidence that is of any
assistance on this motion. Janssen argues that the evidence of these two
individuals is of no assistance to the Court in construing the claims of the
630 Patent. The Kim Affidavit speaks to regulatory issues and the timing of
new drug submissions and the NDS and the approvals for which Celltrion seeks
for INFLECTRA. The Sullivan Affidavit addresses the differences between the RA
Indications and the IBD Indications and notes that gastroenterologists diagnose
and treat diseases referred to in the IBD Indications which are medically
distinct from the RA Indications. Further, it is a rheumatologist who would
prescribe INFLECTRA for diseases referred to in the RA Indications.
[14]
Even though it argued it had no burden, Janssen
did file two affidavits in response to the Celltrion evidence. Janssen filed
an affidavit of Jane P. Castoris, the President of Regulatory Solutions Inc.
(the Castoris Affidavit), a consultant in the pharmaceutical, natural health
product and medical device industry and the affidavit of Dr. Janet E. Pope
(Pope Affidavit), a rheumatologist.
[15]
The Castoris Affidavit provided evidence
regarding references in the Celltrion SNDS to studies involving the RA
Indications in seeking approval for the new IBD Indications. Further, it
contains opinions regarding the leveraging of RA information from the original
NDS with respect to safety in the SNDS. Having reviewed both the Celltrion NDS
and SNDS, the Castoris Affidavit concludes that the drug product used to treat
RA patients, for which Celltrion has an NOC, is the same drug that is used to
treat IBD patients.
[16]
The Pope Affidavit discusses the prescribing
practices with respect to INFLECTRA by Canadian rheumatologists and whether
there is an overlap in prescribing practices for patients with both rheumatoid
arthritis and gastrointestinal diseases. As a rheumatologist her evidence is to
the effect that there is some overlap between treatment of the RA Indications
and the IBD Indications in a few patients. Janssen also makes much of the fact
that the product labelling for Celltrion’s drug product will be the same,
regardless of which indication the drug will be prescribed. The Pope Affidavit
refers to a small number of patients who suffer from both RA and IBD diseases
and might receive INFLECTRA for these diseases. However, it is clear from the
Pope Affidavit that rheumatologists treat patients with RA with the use of
infliximab for RA, while gastroenterologists treat patients with IBD diseases
with the use of infliximab. They are prescribed by different specialists, for
different uses, in different doses, and administered in the case of RA with
methotrexate.
[17]
Janssen argues that based on the evidence before
the Court, Celltrion has not and cannot meet the high burden on a motion under
s. 6(5)(b). Relief under s. 6(5)(b) should only be granted in exceptional
circumstances [see for example Nycomed Gmbh v Canada (Health),
2008 FC 330].
[18]
Further, as it is necessary on this motion to
interpret the PMNOC Regulations, summary motions are not the venue
to determine complex issues of statutory interpretation. For that proposition
they cite Apotex Inc. v Merck & Co. Inc., 2004 FC 1452. However,
that case is distinguishable as it deals with interpretations relating to
section 8 and was an action not an application. They also cite jurisprudence
that suggests that proper interpretation of sections of the PMNOC Regulations
should only be made in circumstances where there is clear cut authority to
support the interpretation or clear cut authority to strike. They argue that
the facts of this case do not give rise to the remedy sought on the motion.
[19]
The first statutory interpretation issue which
Janssen raises relates to section 5(2) of the PMNOC Regulations.
Section 5(2) provides as follows:
5(2) If a second person files a supplement to a submission
referred to in subsection (1) seeking a notice of compliance for a change in
formulation, a change in dosage form or a change in use of the medicinal
ingredient and the supplement directly or indirectly compares the drug
with, or makes reference to, another drug that has been marketed in Canada
under a notice of compliance issued to a first person and in respect of which
a patent list has been submitted, the second person shall, in the supplement,
with respect to each patent on the register in respect of the other drug.
(emphasis added)
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5(2) Dans le
cas où la seconde personne dépose un supplément à la présentation visée au
paragraphe (1), en vue d’obtenir un avis de conformité à l’égard d’une
modification de la formulation, d’une modification de la forme posologique ou
d’une modification de l’utilisation de l’ingrédient médicinal, lequel
supplément, directement ou indirectement, compare celle-ci à une autre drogue
commercialisée sur le marché canadien aux termes de l’avis de conformité
délivré à la première personne et à l’égard duquel une liste de brevets a été
présentée — ou y fait renvoi — , cette seconde personne doit, à l’égard de
chaque brevet ajouté au registre pour cette autre drogue, inclure dans son
supplément
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[20]
Janssen argues that the relevant comparison for
section 5(2) of the Regulations is between the generic drug and the
innovator drug. On the basis of their analysis of section 5(2) Janssen’s
position is that it is the drugs that must be compared, not the uses
of the drugs. On this basis alone Janssen argues that Celltrion’s approach to
interpreting the section must fail [see Apotex Inc. v Canada (Minister
of Health), 2004 FC 650 and AstraZeneca Canada Inc. v Canada (Minister
of Health), [2006 2 FCR 560].
[21]
However, these cases relied upon by Janssen are
not directly on point. The Apotex case was a judicial review proceeding
dealing with the eligibility for the listing of a patent. The Court found that
the issues raised in the judicial review properly belonged as part of
prohibition proceedings and specifically refrained from deciding on the correct
interpretations of the PMNOC Regulations. The Court did observe that in
section 5 (1) of the PMNOC Regulations that it is drugs that are
referred to and not uses of a product. However, the section relied upon by
Celltrion, section 5 (3), specifically refers to “use
of the drug”.
[22]
The AstraZeneca case is not helpful to
Janssen as it was a case dealing with the bioequivalence of drugs and not uses
of drugs.
[23]
Janssen raises two other statutory
interpretation issues. One of those issues deals with the argument that
Celltrion has not compared its drug to the drug named in the 630 Patent.
Rather, Celltrion and its NOA has only addressed the IBD Indications and not
dealt with the RA Indications. That issue flows into the third statutory
interpretation issue which Janssen relates to the “register
freeze” exception in the PMNOC Regulations. Celltrion did not
have to address the 630 Patent with respect to its original ANDS because that
was filed prior to the listing of the 630 Patent on the register. Now that the
630 Patent has been registered, the PMNOC Regulations require Celltrion
to address the 630 Patent.
[24]
Finally, Janssen argues that there is no
evidence before the Court which would assist in the construction of the claims
of the 630 Patent. The 630 Patent has 42 claims which deal with various
pharmaceutical compositions and medicaments as being useful for various
purposes. To that end, in order for this application to be bereft of any
chance of success it is argued that the Court must find that the Celltrion drug
will not infringe the 630 Patent claims. To that end, Janssen has cited many
authorities for the proposition that while construction of patent claims is a
determination to be made by the Court it should be made on the basis of
guidance by expert opinions [see for example Unilever PLC v Procter and
Gamble Inc., [1995 FCJ 1005; Bayer Inc. v Cobalt Pharmaceuticals,
2015 FCA 116]. In the Bayer case, Justice Davis Stratas did
observe:
[17] Overall, a court nearly always
reads a patent through goggles supplied by the experts whom the judge considers
to be credible and accurate. Because of that, in practice, the standard of
review of palpable and overriding error will often apply. This Court has
acknowledged this practical reality for a while now:
While the construction of a patent is for
the court, it is not initially to be undertaken simply in the manner a court
would construe an ordinary contract or a statute, for example, but with the
knowledge of the skilled artisan to the extent that such knowledge is revealed
by expert evidence accepted at trial. In short, construction turns heavily on
the evidence of a person skilled in the art.
(Unilever PLC v. Procter & Gamble
Inc. (1995), 61 C.P.R. (3d) 499 at pages 506-07, 184 N.R. 378 (Fed. C.A.).)
[25]
Notably, Justice Stratas uses the phrase “nearly always”. There are circumstances where the
Court does not need the goggles supplied by an expert. In my view, this is one
of those circumstances where expert evidence is not required as is further
discussed below.
[26]
While Janssen raised other arguments, these are
the main issues raised.
B.
Celltrion
[27]
For its part, Celltrion argues that this
application can only relate to the allegations of non- infringement in the NOA
and that those allegations deal only with the IBD Indications. Celltrion
argues that the PMNOC Regulations support this approach in that section
5(2)(b)(iv) provides as follows:
5(2)(b)(iv) no claim for the
medicinal ingredient, no claim for the formulation, no claim for the dosage
form and no claim for the use of the medicinal ingredient would be
infringed by the second person making, constructing, using or selling the drug for
which the supplement is filed. (emphasis added)
This means, as Celltrion argues, that the
IBD indications cannot infringe the claims of the 630 Patent since all of the
claims of the 630 Patent are directed to the treatment of the RA Indications.
Further, Celltrion notes that Janssen in the Notice of Application does not
assert that the IBD Indications infringe the claims of the 630 Patent.
[28]
As noted above, there was a consensus within the
evidence on the motion that the RA Indications and the IBD Indications are
medically distinct. Patients who would ordinarily receive Celltrion’s drug and
are suffering from RA would be referred to a rheumatologist for treatment while
those suffering from any of the IBD diseases would be referred to a gastroenterologist.
Janssen endeavoured to demonstrate that there could be an overlap of patients
receiving the Celltrion drug for both RA and IBD issues. However, those
patients are de minimis as on the cross- examinations only one scenario
was identified and it was acknowledged that there were not many patients who
suffer from both.
[29]
Celltrion further argues that the PMNOC Regulations
are designed to prevent infringement and find support for that
interpretation in Bristol-Myers Squibb Co. v Canada (Attorney-General),
2005 SCC 26 wherein the Court stated:
Secondly, it is not every use of the
patented invention that will trigger the NOC Regulations. Section
55.2(4) is specifically directed to preventing infringement by
persons who use “the patented
invention” for the “early working” exception and the “stockpiling” exception
set out earlier in ss. 55.2(1) and 55.2(2).
That is all the Governor in Council in authorized to regulate.
(The stockpiling exception was repeated by S.C. 2001, c. 10, s. 2(1); assented
to June 14, 2001.)
[30]
For purposes of the disposition this is a
sufficient summary of Celltrion’s arguments.
III.
Analysis and Conclusion
[31]
This motion consumed that better part of two
days and was akin to arguing a full PMNOC Application on its merits. Because
it is a PMNOC Application with the attendant two year time limitation, it is
necessary to issue these reasons for decision without fully canvassing the
extensive arguments of both parties in this decision. In my view the reasons
herein adequately deal with the positions of the parties.
[32]
Thus, for these brief reasons the motion is
granted but on specific terms as noted below.
[33]
In my view many of the arguments of Janssen, while
at first blush seemingly substantial, on balance do not stand up to scrutiny.
[34]
It is to be remembered that the underlying
premise of the PMNOC Regulations is to prevent infringement. What is
unique about this case is that Celltrion currently has an NOC for the RA
Indications. It remains in effect and no Court has been asked to set it
aside.
[35]
The Claims of the 630 Patent on their face without
any need for expert evidence, speak specifically and directly to and only to the
RA Indications. For example, Claim 17 contains the following “. . . for use in performing adjunctive therapy with a
medicament comprising methotrexate on an individual suffering from
rheumatoid arthritis . . .” [emphasis added]. This language
referring to the RA Indications is found throughout the 630 Patent. There is
no reference in the Claims to anything other than the RA Indications.
[36]
However, in a preamble to the Claims, the 630 Patent
does speak to Crohn’s Disease in addition to the RA Indications as follows:
Therefore, in one embodiment, the invention
relates to a method of treating and/or preventing rheumatoid arthritis in an
individual comprising co-administering an anti-TNF antibody or a fragment
thereof and methotrexate to the individual in therapeutically effective
amounts. In a second embodiment, the invention relates to a method of treating
and/or preventing Crohn’s disease in an individual comprising co-administering
an anti-TNF antibody or a fragment thereof and methotrexate to the individual
in therapeutically effective amounts. In a third embodiment, the invention
relates to a method of treating and/or preventing other autoimmune diseases
and/or acute or chronic immune disease associated with a transplantation in an
individual, comprising co-administering an anti-TNF antibody or a fragment
thereof and methotrexate to the individual in therapeutically effective
amounts.
[37]
Notwithstanding this reference the claims are
the fence-posts surrounding any possible viable or valid claim for infringement
of a patent. The claims of the 630 Patent only speak to and address rheumatoid
arthritis. Thus, it is not necessary to have expert evidence to construe the
claims of the 630 Patent. It is sufficient to read the claims of the 630 Patent
which, given a plain and ordinary construction on their face, relate only to the
RA Indications not any indications beyond the RA Indications. They do not in
any way discuss nor allude to the IBD Indications. Thus, notwithstanding
counsel’s efforts to convince the Court otherwise, Celltrion, if it were to
obtain an NOC for its SNDS, could not infringe the claims of the 630 Patent.
[38]
This alone should be sufficient to dispose of
the motion. However, Janssen raises issues concerning the application and
interpretation of the PMNOC Regulations. In particular, whether the PMNOC
Regulations dictate that a generic manufacturer must relate the drug and
not the intended uses of the drug. As noted above, Janssen relies upon Apotex
for this proposition. However, on a careful reading of the case it did not
deal with this issue and the comment regarding relating drugs to drugs is a
comment made in passing by the trial judge and is obiter.
[39]
There is no doubt the PMNOC Regulations
refer is section 5 (2) make reference to “drug” and
not uses of the drug, save and except that the word “drug”
in section 5(2)(b)(iv) specifically refers to “for
which the supplement is filed” and further in section 5 (3)(b)(i)to “use of the drug in respect of which the submission or
supplement has been filed”. In my view, given that the PMNOC
Regulations have as their underlying objective the prevention of
infringement, it only makes contextual sense that if a submission refers to
uses of a drug that do not infringe and on the plain and ordinary meaning of the
claims of the patent those uses do not infringe it should be the end of the
matter. Section 5(3) makes specific reference to the use of the drug.
[40]
While Janssen argues that interpretations of the
PMNOC Regulations should not be made on motions but on a full record
before the hearings judge, there was no indication of what or, if any, additional
evidence might be made available before the hearings judge. In my view, there
is no need for expert evidence to provide the Court with a view of the claims
through a person skilled in the art. The PMNOC Regulations will not
change and the facts relating to the claims in issue will not change. That is,
the NDS relates to IBD Indications and the claims of 630 Patent only cover the
RA Indications.
[41]
Notwithstanding the very forceful arguments of
counsel for Janssen, I am not persuaded that the issue relating to the
interpretation of the PMNOC Regulations should go to a hearing. In
these circumstances, giving a purposive interpretation to the PMNOC
Regulations, the uses to which the drug will be put and the determination
of any possibility of claim infringement is the aim of the section noted above.
This outcome, in my view, fits the admonition of the Supreme Court of Canada
in the recent case of Hryniak v Mauldin [2014] 1 R.C.S. 87 wherein
Justice Karakatsanis stated at paras 1 2:
Ensuring access to justice is the greatest
challenge to the rule of law in Canada today. Trials have become
increasingly expensive and protracted. Most Canadians cannot afford to
sue when they are wronged or defend themselves when they are sued, and cannot
afford to go to trial. Without an effective and accessible means of
enforcing rights, the rule of law is threatened. Without public
adjudication of civil cases, the development of the common law is stunted.
Increasingly, there is recognition that a
culture shift is required in order to create an environment promoting timely
and affordable access to the civil justice system. This shift entails
simplifying pre-trial procedures and moving the emphasis away from the
conventional trial in favour of proportional procedures tailored to the needs
of the particular case. The balance between procedure and access struck
by our justice system must come to reflect modern reality and recognize that
new models of adjudication can be fair and just.
[42]
Janssen argues that the proposed monograph for
Celltrion’s drug product also refers to the RA Indications and therefore it
will infringe Claims 1-42 of the 630 Patent. The problem with this argument is
that Celltrion already has an NOC for the use of its drug for the RA
Indications. The RA Indications do not come into play in this proceeding. Janssen
has an infringement action ongoing against Celltrion for the RA Indications.
That is a separate action but does not impact this proceeding.
[43]
Notably, Janssen in this application does not
allege that that the IBD Indications infringe the claims of the 630 Patent. That
is because based on a plain reading of the claims the IBD Indications are not
referred to and in any event would not infringe. There is simply no evidence
of infringement before the Court on this motion. The highest at which Janssen
can put an argument of infringement is in para. 105 of its written
representations wherein it is argued that:
However, Celltrion’s argument [that there is
no infringement] is also at oddswith the claims of the 630 Patent that relate
to pharmaceutical compositions and manufactures of medicaments. For these
claims, even assuming Celltrion’s construction, Celltrion would be infringing
because it would be making INFLECTRA for use in RA, which was then sold and
used for RA. That is direct infringement.
[44]
However, given that Celltrion already has an NOC
for the RA Indications, that argument does not stand up to scrutiny. While
there are other arguments raised, in my view, those arguments would not affect
the end result and these reasons are sufficient to dispose of the matter.
[45]
In all of the circumstances, I am not persuaded
that this matter should proceed to a hearing. In coming to this conclusion I
have considered and reviewed the relevant jurisprudence relating to the section
6 (5) motions and to the many cases dealing with striking proceedings including
Hunt v. Carey Canada Inc., [1990] 2 S.C.R. 959 and David Bull Laboratories (Canada) Inc. v. Pharmacia Inc., [1995] 1 FC 588 (C.A.).
However, given the ramifications of this decision, I will stay the effect of
this order for 30 days to allow Janssen to take whatever steps they deem
appropriate.