`
`
`
`
`
`
`
`
` Paper 7
`
`
` Entered: May 7, 2019
`
`Trials@uspto.gov
`571-272-7822
`
`
`
`
`
`UNITED STATES PATENT AND TRADEMARK OFFICE
`____________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`____________
`
`GRÜNENTHAL GMBH,
`Petitioner,
`
`v.
`
`ANTECIP BIOVENTURES II LLC,
`Patent Owner.
`
`
`Case PGR2019-00003
`Patent 9,867,839 B2
`
`
`
`Before TONI R. SCHEINER, GRACE KARAFFA OBERMANN, and
`SHERIDAN K. SNEDDEN, Administrative Patent Judges.
`
`SCHEINER, Administrative Patent Judge.
`
`
`DECISION
`Instituting Post Grant Review of Claims 1–30
`35 U.S.C. § 324
`
`
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`I. INTRODUCTION
`Grünenthal GMBH (“Petitioner”) filed a Petition (Paper 2, “Pet.”)
`requesting post grant review of claims 1–30 of U.S. Patent No. 9,867,839 B2
`(Ex. 1001, “the ’839 patent”). Antecip Bioventures II LLC (“Patent
`Owner”) did not file a preliminary response. Applying the standard set forth
`in 35 U.S.C. § 324(a), which requires demonstration that it is more likely
`than not that at least one challenged patent claim is unpatentable, we
`institute a post grant review of the challenged claims based on the grounds
`of unpatentability identified in the Petition. Pet. 8–9 (statement of grounds).
`The following preliminary findings of fact and conclusions of law are
`made for the sole purpose of determining whether Petitioner meets the
`threshold for initiating review. Any final decision shall be based on the full
`trial record, including any response timely filed by Patent Owner. Taking
`account of the information presented, we determine that Petitioner shows
`sufficiently the following facts for the purposes of trial institution.
`A. Related Proceedings
`In addition to this Petition, Petitioner has filed post-grant review
`
`petitions against five patents closely related to the ’839 patent, albeit from
`two different families:
`US Patent 9,283,239 (Case PGR2017-00008);
`US Patent 9,408,862 (Case PGR2017-00022);
`US Patent 9,539,268 (Case PGR2018-00001);
`US Patent 9,707,245 (Case PGR2018-00062); and
`US Patent 9,820,999 (Case PGR2018-00092).
`
`2
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`Pet. 5; Paper 3, 2. “All of these patents have the same inventor as the ’839
`patent” (Pet. 5), and all are directed to treating pain with bisphosphonate
`drugs. Post-grant review was instituted in all five cases, and final decisions
`have been entered in PGR2017-00008, PGR2017-00022, and PGR2018-
`00001.
`Petitioner represents that “the ’839 patent is not currently involved in
`any other judicial or administrative matters that would affect, or be affected
`by, a decision in this proceeding.” Pet. 6.
`
`B. The ’839 Patent (Ex. 1001)
`The ’839 patent is titled “Osteoclast Inhibitors for Joint Conditions”
`(Ex. 1001, (54)), and issued on January 16, 2018 from application number
`15/438,513 (“the ’513 application”), filed February 21, 2017. According to
`the specification of the ’839 patent, bisphosphonate compounds, such as
`neridronic acid and zoledronic acid, “are potent inhibitors of osteoclast
`activity, and are used clinically to treat bone-related conditions such as
`osteoporosis and Paget’s disease of bone; and cancer-related conditions
`including multiple myeloma, and bone metastases from solid tumors.” Id. at
`1:46–50. In addition, according to the Specification, “neridronic acid and
`zoledronic acid, in an acid or a salt form, can be used to treat or alleviate
`pain or related conditions, such as joint conditions” (id., Abstract), including
`osteoarthritis, rheumatoid arthritis, and complex regional pain syndrome
`(CRPS) (id. at 14:21–24).
`
`3
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`“Commonly used measures of pain intensity include the visual analog
`scale (VAS) and the numerical rating scale (NRS).” Id. at 8:61–62. “With
`the VAS approach, patients rate the severity of their pain by marking a point
`on a 10-cm (or 100 mm) VAS . . . [w]ith the NRS approach, patients rate the
`severity of their pain by verbally responding to a 10-pt NRS.” Id. at 8:62–
`67. With either approach, 0 equals no pain, and 10 equals the worst possible
`pain. Id. at 8:67–9:1. “Knee pain in a person with a VAS score of 5 cm . . .
`or higher, or an NRS score of 5 or higher, may be referred to herein as
`moderate to severe knee pain.” Id. at 9:6–9.
`Finally, the specification teaches that “the daily oral dose of
`neridronate[1] is about 10 mg to about 1,000 mg, about 50 mg to about 500
`mg, about 100 mg to about 500 mg, or about 150 mg to about 300 mg,” and
`“the parenteral dose . . . is about 5 mg to about 500 mg, about 5 mg to about
`200 mg, or about 10 mg to about 150 mg.” Id. at 30:17–22.
`
`
`
`C. Illustrative Claim
`Claims 1 and 15, the only independent claims, are illustrative:
`1. A method of treating pain associated with a joint
`comprising: administering neridronic acid in an acid form or
`a salt form to a patient who has suffered for at least 3
`months with 1) pain associated with a joint and 2) a pain
`intensity of 5 or greater measured using the 0–10 numerical
`rating scale (NRS) or 5 cm or greater using the 10 cm visual
`analog scale (VAS).
`
`1 Dr. Poree explains that “‘neridronate’ is synonymous with neridronic
`acid.” Ex. 1003 ¶ 150 (citing Ex. 1001, 32:6).
`4
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`
`15. A method of treating pain associated with a joint
`comprising: orally administering zoledronic acid in an acid
`form or a salt form to a patient having 1) pain associated
`with a joint and 2) a pain intensity of 5 or greater measured
`using the 0–10 NRS or 5 cm or greater using the 10 cm
`VAS, wherein a total of about 400 mg to about 600 mg of
`zoledronic acid is administered in 2 or 3 individual doses
`within a period of about a month.
`Ex. 1001, 105:38–44, 106:14–21.
`
`D. Evidence Relied Upon
`M. Varenna et al., Treatment of complex regional pain syndrome type I with
`neridronate: a randomized, double-blind, placebo-controlled study, 52
`RHEUMATOLOGY 534–42 (2012) (Ex. 1005, “Varenna 2012”).
`M. Muratore et al., Il neridronato nel trattamento dell’algodistrofia
`simpatico riflessa del’anca: confront in aperto con il clodronato, 5
`PROGRESSI IN RHEUMATOLOGIA, ABSRACT BOOK VII CONGRESSO
`NATIONALE COLLEGIO DEI REUMATOLOGI OSPEDALIERI 89 (2004) (certified
`English translation: Neridronate in the treatment of reflex sympathetic hip
`algodystrophy: open comparison with clodronate) (Ex. 1006, “Muratore”).
`D. Gatti et al., Neridronic acid for the treatment of bone metabolic diseases,
`5 EXPERT OPIN. DRUG METAB. TOXICOL. 1305–11 (2009) (Ex. 1007,
`“Gatti”).
`G.S.E. Dowd et al., Complex regional pain syndrome with special emphasis
`on the knee, 89-B JOURNAL OF BONE AND JOINT SURGERY 285–290 (2007)
`(Ex. 1009, “Dowd”).
`M. Walsh, WO 2007/092338 A2, published August 16, 2007 (Ex. 1010,
`“Walsh”).
`D. Thompson at al., WO 2005/107751 A1, published November 17, 2005
`(Ex. 1011, “Thompson”).
`Fox et al., US 2004/0063670 A1, published April 1, 2004 (Ex. 1012, “Fox”).
`5
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`M. Rossini et al., Intra-articular clodronate for the treatment of knee
`osteoarthritis: dose ranging study vs hyaluronic acid, 48 RHEUMATOLOGY
`773–78 (2009) (Ex. 1013, “Rossini”).
`M. Varenna, Efficacy Study of Neridronate to treat Painful Osteoarthritis of
`the Knee With Bone Marrow Lesions (2013) available at
`https://clinicaltrials.gov/ct2/show/record/NCT01803360?view=record (Ex.
`1014, “Varenna Protocol”).
`A. de Castro et al., Zoledronic acid to treat complex regional pain syndrome
`type I in adult, 12 REV DOR. SÃO PAULO 71–73 (2011) (Ex. 1015, “de
`Castro”).
`J. Zaspel et al., Treating CRPS I in the early stage – cortisone (methyl
`prednisone) versus bisphosphonate (zoledronic acid), GERMAN CONGRESS
`FOR ORTHOPEDICS AND TRAUMA SURGERY (2007) (Ex. 1016, “Zaspel”).
`M. Hanna et al., WO 2011/097269, published August 11, 2011 (Ex. 1017,
`“Hanna”).
`
`The Petition is supported by the Declaration of Lawrence Poree,
`M.D., Ph.D. Ex. 1003. For purposes of this decision, we find that Dr. Poree
`is qualified to opine about the perspective of a person of ordinary skill in the
`art at the time of the invention. See Ex. 1004 (Dr. Poree’s curriculum vitae).
`
` F. The Asserted Grounds of Unpatentability
`Petitioner asserts that the challenged claims are unpatentable on the
`
`following grounds:
`
`
`
`1
`
`2
`
`Claims
`
`Statutory Basis
`
`Prior Art References
`
`1–14
`
`1–14
`
`35 U.S.C. § 112(a),
`Written Description
`35 U.S.C. § 112(a),
`Enablement
`
`
`
`
`
`6
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`
`
`Claims
`
`Statutory Basis
`
`Prior Art References
`
`Varenna 2012, Muratore,
`Gatti 2009, Dowd
`Varenna Protocol, Rossini
`Walsh, Thompson, Fox,
`Gatti, Rossini
`De Castro, Zaspel, Dowd,
`Hanna
`
`1–14
`
`35 U.S.C. § 103
`
`1–9, 13, 14 35 U.S.C. § 103
`
`1–9, 13, 14 35 U.S.C. § 103
`
`15–30
`
`35 U.S.C. § 103
`
`3
`
`4
`
`5
`
`6
`
`
`
`II. ANALYSIS
`We organize our analysis into four main sections. First, we address
`
`the eligibility of the ’839 patent for post-grant review. Second, we address
`the level of ordinary skill in the art at the time of the invention. Third, we
`discuss claim construction. Finally, taking the information presented into
`account, we consider whether Petitioner meets the threshold showing for
`post-grant review under the asserted grounds of unpatentability. In that
`fourth section, we further divide our analysis into subparts, addressing the
`asserted grounds based on lack of written description, lack of enablement,
`and obviousness.
`
`A. Eligibility for Post Grant Review
`The post-grant review provisions set forth in Section 6(d) of the AIA2
`apply only to patents subject to the first-inventor-to-file provisions of the
`
`
`2 Leahy-Smith America Invents Act, Pub. L. No. 112-29, 125 Stat. 284
`(2011) (“AIA”).
`
`7
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`AIA. See AIA § 6(f)(2)(A) (“The amendments made by subsection (d)
`. . . shall apply only to patents described in section 3(n)(1).”). Transitional
`provision AIA section 3(n)(1) is as follows:
`
`(n) EFFECTIVE DATE.—
`
`(1) IN GENERAL.—Except as otherwise provided in this
`section, the amendments made by this section shall take effect
`upon the expiration of the 18-month period beginning on the date
`of the enactment of this Act, and shall apply to any application
`for patent, and to any patent issuing thereon, that contains or
`contained at any time—
`(A) a claim to a claimed invention that has an effective
`filing date as defined in section 100(i) of title 35, United
`States Code, that is on or after the [March 16, 2013]
`effective date . . . ; or
`(B) a specific reference under section 120, 121, or 365(c)
`of title 35, United States Code, to any patent or application
`that contains or contained at any time such a claim.
`AIA § 3(n)(1), 125 Stat. 293.
`The term “effective filing date” for a claimed invention in a patent or
`application for patent means “the filing date of the earliest application for
`which the patent or application is entitled, as to such invention, to a right of
`priority under section 119, 365(a), or 365(b) or to the benefit of an earlier
`filing date under section 120, 121, or 365(c).” 35 U.S.C. § 100(i)(1)(B); see
`also AIA § 3(a), 125 Stat. 285 (amending 35 U.S.C. § 100).
`Petitioner represents that challenged claims 1–14 and 26–30 of the
`’839 patent “are not entitled to a priority date earlier than March 16, 2013.”
`Pet. 18. Petitioner contends that the ’839 patent claims priority to ten
`8
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`provisional applications filed before March 16, 2013 (Pet. 16 (listing “pre-
`AIA applications,” Exs. 1030–1039)), but none of those applications
`describes zoledronic acid “in the form of a molecular complex with an
`amino acid,” as required by claims 26–30 of the ’839 patent (id. at 18). On
`this record, we are satisfied that claims 26–30 are not entitled to a priority
`date earlier than March 16, 2013, and the ’839 patent is an AIA first-
`inventor-to-file patent under AIA section 3(n)(1)(A). Patent Owner is free
`to dispute that finding in a timely filed response.
`Petitioner further represents that the pre-AIA applications fail to
`describe the “suffered for at least 3 months limitation of claims 1–14.” Pet.
`20. Petitioner contends that “[t]he pre-AIA applications do not describe any
`duration of pain symptoms, let alone 3 months specifically” (id.), that
`“statements concerning pain duration were not introduced to specifications
`in the ’839 patent family until Application No. 14/063,979, filed October 25,
`2013” (id.), and “the specific duration of 3 months did not appear until the
`’513 application was filed on February 21, 2017” (id.). On this record, we
`are satisfied that claims 1–14 are not entitled to a priority date earlier than
`March 16, 2013 because the pre-AIA applications do not describe the
`“suffered for at least 3 months limitation of claims 1–14.” Again, Patent
`Owner is free to dispute that finding in a timely filed response.
`An additional requirement for post-grant review eligibility is that “[a]
`petition for a post-grant review may only be filed not later than the date that
`is 9 months after the date of the grant of the patent.” 35 U.S.C. § 321(c); see
`
`9
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`37 C.F.R. § 42.202(a). The Petition was accorded a filing date of October
`16, 2018 (Paper 5), exactly nine months from the grant of the ’839 patent.
`See 35 U.S.C. § 321(c). Petitioner further certifies that it has standing to
`seek a post-grant review of the ’077 patent. Pet. 8.
`Accordingly, on this record, we determine that the ’839 patent is an
`AIA first-inventor-to-file patent and is eligible for post-grant review.
`B. Level of Ordinary Skill in the Art
`We consider the grounds of unpatentability in view of the
`
`understanding of a person of ordinary skill in the art at the time of the
`invention. Petitioner argues that a person of ordinary skill in the art would
`have had “an M.D. or a Ph.D. in a pain-medicine-relevant discipline, such as
`clinical health psychology or neuroscience, and at least 3–5 years of
`experience in the treatment of joint pain and/or other related types of pain, or
`in the study of joint pain and/or other related types of pain.” Pet. 13–14
`(citing Ex. 1003 ¶¶ 18–21).
`
`Petitioner’s definition is not challenged at this stage of the proceeding
`and is comparable to the level of skill reflected in the asserted prior art
`references. On this record, we find that the prior art itself is sufficient to
`demonstrate the level of ordinary skill in the art at the time of the inventions.
`See Kadima v. Boudreau, 261 F.3d 1350, 1355 (Fed. Cir. 2001) (the prior art
`itself can reflect the appropriate level of ordinary skill in the art). To the
`extent a more specific declaration is required, for purposes of this decision,
`we adopt the unopposed definition advanced in the Petition. Pet. 13–14.
`
`10
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`C. Claim Construction
`For petitions filed before November 13, 2018, we interpret claims in
`an unexpired patent using the “broadest reasonable construction in light of
`the specification of the patent in which [they] appear[].” 37 C.F.R.
`§ 42.300(b) (2018).3 Under this standard, we interpret claim terms using
`“the broadest reasonable meaning of the words in their ordinary usage as
`they would be understood by one of ordinary skill in the art, taking into
`account whatever enlightenment by way of definitions or otherwise that may
`be afforded by the written description contained in the applicant’s
`specification.” In re Morris, 127 F.3d 1048, 1054 (Fed. Cir. 1997); see In re
`Smith Int’l, Inc., 871 F.3d 1375, 1382–83 (Fed. Cir. 2017) (“[The] broadest
`reasonable interpretation . . . is an interpretation that corresponds with what
`and how the inventor describes his invention in the specification.”). “Under
`a broadest reasonable interpretation, words of the claim must be given their
`plain meaning, unless such meaning is inconsistent with the specification
`and prosecution history.” Trivascular, Inc. v. Samuels, 812 F.3d 1056, 1062
`(Fed. Cir. 2016).
`
`
`3 Petitioner filed the Petition on October 16, 2018, prior to the effective date
`of the rule change that replaces the broadest reasonable interpretation
`standard with the federal court claim interpretation standard. See Changes to
`the Claim Construction Standard for Interpreting Claims in Trial
`Proceedings Before the Patent Trial and Appeal Board, 83 Fed. Reg. 51,340
`(Oct. 11, 2018) (“This rule is effective on November 13, 2018 and applies to
`all IPR, PGR and CBM petitions filed on or after the effective date.”).
`
`
`11
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`Petitioner proposes constructions for two terms, listed in the chart
`below.
`
`Term
`“A method of treating
`pain associated with a
`joint”
`
`“pain associated with a
`joint”
`
`Claims Petitioner’s Proposed Construction
`1–30
`Requires that the neridronic acid
`(claims 1–14) or zoledronic acid (claims
`15–30) be administered to a patient
`having pain associated with a joint for
`the purpose of diagnosing, curing,
`mitigating, or preventing pain
`associated with a joint, or for activity
`that otherwise affects the structure or
`any function of the body in a patient
`with pain associated with a joint.
`
`1–30 Any pain related to a joint in any way.
`
`Pet. 14 (chart identifying Petitioner’s proposed claim constructions).
`At this stage of the proceeding, for purposes of this decision, we adopt
`Petitioner’s unopposed constructions, which are supported by citations to the
`specification and the testimony of Dr. Poree. Pet. 14–15 (citing Ex. 1001,
`6:45–51; Ex. 1003 ¶¶ 39–43).
`We emphasize that those constructions are preliminary and invite
`Patent Owner to address them as necessary in a response to the Petition.
`
`D. The Asserted Grounds of Unpatentability
`1. Written Description Support
`Petitioner asserts that claims 1–14 lack written description support
`
`because “the ’839 patent specification nowhere describes . . . administering
`12
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`neridronic acid to a patient having pain associated with a joint measuring ≥5
`cm on the VAS for at least 3 months, as recited in claim 1” (Pet. 22 (citing
`Ex. 1003 ¶ 63)). Petitioner acknowledges that “the ’839 patent specification
`generally discusses administration of bisphosphonates to a patient that has
`‘suffered from [an] inflammatory condition for at least 1 month, at least 2
`months, at least 3 months, at least 6 months, or at least 1 year,’” but
`contends that “disease duration is not the same as pain duration.” Id. at 23
`(citing Ex. 1001, 8:19–25). “Consequently,” Petitioner contends that the
`’839 patent’s disclosure “would not demonstrate to a POSA that the inventor
`was in possession of and actually invented methods of treating patients
`having pain associated with a joint measuring ≥5 cm on the VAS for
`particular periods of time, such as “‘at least 3 months.’” Id. (citing Ex. 1003
`¶¶ 66-68).
`
`Nevertheless, it is well settled that “original claims constitute
`their own description.” In re Koller, 613 F.2d 819, 823 (CCPA 1980);
`see also In re Gardiner, 475 F.2d 1389, 1391 (CCPA 1973) (“[A]n
`original claim, in itself constituted a description in the original
`disclosure equivalent in scope and identical in language to the total
`subject matter now being claimed.”).
`Claim 1, as originally filed, is as follows:
`A method of treating pain associated with a joint comprising:
`administering neridronic acid in an acid or a salt form to a
`patient that has suffered for at least 3 months with 1) pain
`associated with a joint and 2) a pain intensity of 5 or greater
`
`13
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`measured using the 0–10 numerical rating scale (NRS) or 5 cm
`or greater using the 10 cm visual analog scale (VAS).
`Ex. 1002, 14 (file history of the ’839 patent). Original claim 1 is
`equivalent in scope and virtually identical in language to the subject
`matter of challenged claim 1. Accordingly, we determine that claim 1
`constitutes its own description.
`
`On this record, we are not persuaded that Petitioner has established
`that claims 1–14 are more likely than not unpatentable for lack of written
`description support.
`
`2. Enablement
`Petitioner contends that claims 1–144 lack enablement because the
`specification does not teach one of ordinary skill in the art how to administer
`neridronic acid to a patient who has suffered for at least 3 months with
`complex regional pain syndrome (CRPS). Pet. 46. Petitioner notes that
`“[t]he ’839 specification does not contain any examples of methods of
`treatment involving neridronic acid, let alone examples of the use of
`neridronic acid to treat pain associated with CRPS wherein the patient has
`been suffering for 3 months from CRPS and a specific pain intensity.” Id. at
`48 (citing Ex. 1003 ¶¶ 72–73). Petitioner further notes that the specification
`
`
`4 Petitioner notes that claims 10, 11, and 12 depend from claims 1, 2, and 3
`respectively and each specifies that the patient to be treated is suffering from
`complex regional pain syndrome (CRPS). Pet. 46. Petitioner contends that
`claims 1–9, 13, and 14 also lack enablement because they encompass
`treatment of CRPS.
`
`14
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`“broadly posits that ‘any suitable amount’ of a bisphosphonate may be
`used,” and “[t]he only disclosure specific to neridronate dosing in the
`specification states only that the daily oral dose may range anywhere from
`about 10 mg to about 1,000 mg and that the parenteral dose may range
`anywhere from about 5 mg to about 500 mg.” Id. (citing Ex. 1001, 32:4–35;
`Ex. 1003 ¶ 74). According to Petitioner, “[t]hat broad dosage range is not
`tied to any particular disease or duration of treatment, and the specification
`mentions various different conditions that may be treated.” Id. at 48–49
`(citing Ex. 1001 30:17–22; Ex. 1003 ¶¶ 75–76).
`Citing In re Wands, 858 F.2d 731 (Fed. Cir. 1988), Petitioner
`contends that “the ’839 patent claims are unpatentable for lack of
`enablement” because “a significant amount of experimentation would be
`required to practice the invention.” Id. at 48.
`“[T]o be enabling, the specification of a patent must teach those
`skilled in the art how to make and use the full scope of the claimed invention
`without ‘undue experimentation.’” In re Wright, 999 F.2d 1557, 1561 (Fed.
`Cir. 1993). “That some experimentation may be required is not fatal; the
`issue is whether the amount of experimentation required is ‘undue.’” In re
`Vaeck, 947 F.2d 488, 495 (Fed. Cir. 1991). Some experimentation, even a
`considerable amount, is not “undue” if, for example, the specification
`provides a reasonable amount of guidance as to the direction in which the
`experimentation should proceed. Wands, 858 F.2d at 737.
`The determination of what constitutes undue experimentation in
`a given case requires the application of a standard of
`15
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`reasonableness, having due regard for the nature of the invention
`and the state of the art . . . . The test is not merely quantitative,
`since a considerable amount of experimentation is permissible, if
`it is merely routine, or if the specification in question provides a
`reasonable amount of guidance with respect to the direction in
`which the experimentation should proceed to enable the
`determination of how to practice a desired embodiment of the
`invention claimed.
`Ex parte Forman, 230 USPQ 546, 547 (BPAI 1986). “The key word is
`‘undue,’ not ‘experimentation.’” In re Angstadt, 537 F.2d 498, 504 (CCPA
`1976).
`
`Even accepting that “significant experimentation” would be required
`to determine the appropriate dose of neridronic acid for a given patient, the
`information advanced in the Petition is insufficient to establish that the
`experimentation would have been anything other than straightforward,
`routine, and empirical, for one of skill in the art.
`
`Moreover, the information advanced in the Petition does not account
`adequately for the general knowledge of the ordinarily skilled artisan as
`demonstrated by Varenna 2012 (Ex. 1005, discussed in detail below). Based
`on the information presented at this stage of the proceeding, we find that the
`disclosure of Varenna 2012 would have informed an ordinary artisan, before
`the critical date, exactly how to administer neridronic acid to humans
`suffering from CRPS with a reasonable expectation of mitigating pain
`associated with that condition. See Ex. 1005, 534 (Abstract), 535 (Study
`design), 536 (Results and Efficacy in double-blind phase), 538 (Table 2 and
`
`16
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`discussion of improvement in pain symptoms upon treatment with
`neridronate).
`At this stage of the proceeding, we are not persuaded that Petitioner
`has established that claims 1–14 are more likely than not unpatentable for
`lack of an enabling disclosure.
`
`3. Obviousness of Claims 1–14 over Varenna 2012, or
`Muratore and Gatti, and Dowd (Ex. 1009)
`Claims 1–14 are directed, in relevant part, to a method of treating pain
`
`associated with a joint comprising administering neridronic acid in acid or
`salt form to a patient who has suffered pain of a specified intensity for at
`least 3 months. Claim 6 depends from claim 1 and specifies that the joint is
`a knee. Claim 10 also depends from claim 1 and specifies that that the
`patient is suffering from complex regional pain syndrome.
`Petitioner argues that the subject matter of claims 1–14 would have
`been obvious because “it was well known in the prior art that neridronic acid
`could be administered to treat CRPS pain, a type of pain that is often
`associated with a joint” (Pet. 24 (citing Ex. 1003 ¶¶ 83–84)), particularly the
`knee (id. at 26 (citing Ex. 1009, 286)).
`
`Varenna (Ex. 1005)
`According to Varenna 2012, complex regional pain syndrome type I
`
`(CRPS-I) “is a severely disabling pain syndrome.” Ex. 1005, 534. Varenna
`2012 discloses the results of a randomized, double blind, placebo-controlled
`human clinical study in which neridronic acid or placebo was administered
`17
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`to eighty-two patients with pain associated with CRPS-I of the hands or feet.
`Id. at 534, 535. Eligibility criteria for the study included disease duration
`“no longer than 4 months” and “spontaneous pain intensity in the affected
`limb of at least 50 mm on a visual analogue scale (VAS) ranging from 0 (no
`pain) to 100 mm (maximal pain).” Id. at 535. Patients in the treatment arm
`of the study received four intravenous infusions of 100 mg neridronic acid
`over ten days. Treatment outcomes were assessed by, among other things,
`“pain evoked by passive motion (ankle for foot involvement and wrist and
`finger joints for hand involvement).” Id.
`
`Varenna 2012 concludes that the clinical study “has shown
`significant, clinically relevant and persistent benefit to patients with acute
`CRPS-I following an [intravenous] neridronate course, providing . . .
`conclusive evidence that the use of bisphosphonates, at appropriate doses, is
`the treatment of choice for CRPS-I.” Id. at 541.
`Muratore (Ex. 1006)
`Muratore teaches that reflex sympathetic algodystrophy5 is a
`
`syndrome characterized by, among other things, the presence of localized
`pain and severe functional limitation. Ex. 1006, 89. Eighteen patients, all
`suffering from femoral head algodystrophy with average duration of the
`
`
`5 According to Dr. Poree, “‘reflex sympathetic algodystropy’ and
`‘algodystrophy’ are synonyms for CRPS.” Ex. 1003 ¶ 31 (citing Ex. 1023,
`713; Ex. 1005, 534, 540).
`
`18
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`disease of 4.1±2.0 months, received either intravenous neridronate every 4
`days, 4 times, or intravenous clodronate daily for 12 days. Id.
`Muratore reports that both drugs were “efficacious in the treatment of
`Reflex Sympathetic Algodystrophy but the speed of improvement of pain
`symptoms with recovery of functional/motor capability . . . was
`demonstrated to be statistically more significant in patients treated with
`Neridronate.” Id.
`
`Gatti (Ex. 1007)
`Gatti teaches that bisphosphonates, particularly neridronic acid, “are
`
`increasingly used for the treatment of reflex sympathetic dystrophy
`syndrome or algodystrophy,” and “the most effective dose is 100 mg diluted
`in 250 ml of saline solution given intravenously over 4 days.” Ex. 1007,
`1305, 1308. According to Gatti, “[w]ith this treatment regimen, the
`proportion of patients experiencing rapid (in 7 – 12 days) > 70%
`symptomatic improvements is close to 80%.” Id. at 1308. “The efficacy
`was assessed by visual analogue scale for spontaneous pain and tenderness
`and by an arbitrary score (from 0 = normal to 4 = worst finding) of motion.”
`Id.
`In addition, Gatti teaches that neridronic acid “has three peculiarities
`
`of some clinical value.” Id. at 1309. For example, “a unique advantage” of
`neridronic acid is that it can be administered intramuscularly, to “patients
`who cannot take oral bisphosphonates” or when “access to hospital services
`for [intravenous] infusions is either cumbersome or too expensive.” Id.
`
`19
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`
`Dowd (Ex. 1009)
`Dowd teaches that complex regional pain syndrome involves “an
`
`exaggerated response to injury of a limb, manifested by intense prolonged
`pain.” Ex. 1009, 285. According to Dowd, CRPS commonly affects the
`knee. Id. Dowd also teaches that pharmacological agents used to treat knee
`pain include bisphosphonates. Id. at 288.
`Discussion
`With respect to claims 1, 6, and 10, Petitioner contends that a person
`
`of ordinary skill in the art “would plainly recognize that Varenna 2012
`discloses that neridronic acid treats CRPS pain, including pain . . . associated
`with a joint.” Pet. 28 (citing Ex. 1003 ¶¶ 94–98; Ex. 1005, 535–538, 541).
`Moreover, Petitioner contends, “the VAS and pain duration ranges taught by
`Varenna 2012 overlap the ≥5 cm on the VAS for at least 3 months ranges
`recited in [the] claims.” Id. (citing Ex. 1003 ¶¶ 91–93). Inasmuch, as Dowd
`“teaches that CRPS can affect the knee and cause knee pain, a type of pain
`associated with a joint” (id. at 31 (citing Ex. 1003 ¶ 89)), Petitioner contends
`a person of ordinary skill in the art “would have been motivated to combine
`the teachings of Varenna 2012 and Dowd because both references concern
`. . . the use of bisphosphonates to treat CRPS.” Pet. 31–32 (citing Ex. 1003
`¶ 110).
`
`In any case, “[t]o the extent they do not independently disclose
`treatment of joint pain,” Petitioner contends one of ordinary skill in the art
`“would have been motivated to apply the teachings of Varenna 2012 or
`
`20
`
`
`
`
`PGR2019-00003
`Patent 9,867,839 B2
`
`Muratore and Gatti 2009, to the teachings of Dowd, and administer
`neridronic acid to a patient suffering from knee pain, where that knee pain is
`caused by CRPS.” Id. at 31 (citing Ex. 1003 ¶ 110).
`Petitioner concludes that it would have been obvious for one of
`ordinary skill in the art “to administer neridronic acid, as disclosed in
`Varenna 2012 or Muratore and Gatti 2009, for the treatment of CRPS pain
`affecting the knee, as taught by Dowd.” Pet. 31 (citing Ex. 1003 ¶¶ 89, 108,
`112).
`Having considered the arguments and evidence presented in the
`Petition, which are unrebutted at this stage of the proceeding, we are
`satisfied that Petitioner demonstrates that it is more likely than not that the
`subject matter of at least claims 1, 6, and 10 of the ’839 patent would have
`been obvious over Varenna 2012, or Muratore and Gatti, and Dowd. Pet.
`24–32, 35 (and evidence cited therein). In addition, having considered the
`arguments and evidence presented regarding dependent claims 2–5, 7–9, and
`11–14, at this stage of the proceeding, we are satisfied that Petitioner shows
`sufficiently that the dependent claims also would have been obvious over
`Varenna 2012, or Muratore and Gatti, and Dowd. Pet. 32–37 (and evidence
`cited therein).
`
`4. Obviousness of Claims 1–9, 13, and 14 over the
`Varenna Protocol and Rossini
`Petitioner contends that claims 1–9, 13, and 14 are also obvious over
`the Varenna Protocol (E