patenting compounds, compositions, and methods for viral...
TRANSCRIPT
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Patenting Compounds, Compositions, and
Methods for Viral Infections: Patent Eligibility
Considerations and Challenges
Today’s faculty features:
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WEDNESDAY, OCTOBER 7, 2020
Presenting a live 90-minute webinar with interactive Q&A
Gaby L. Longsworth, Ph.D., Director, Sterne Kessler Goldstein Fox, Washington, D.C.
Robert Greene Sterne, Founding Director, Sterne Kessler Goldstein Fox, Washington, D.C.
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Technical Minds. Legal Muscle.
Patenting Compounds,
Compositions, and Methods
for Viral Infections
Gaby L. Longsworth, Ph.D.
Robert Greene Sterne
October 7, 2020
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• Covid-19 is the 3rd major global outbreak of a coronavirus in the past 20 years
− SARS ~8000 infected, 774 killed
− MERS ~2500 infected, 858 killed since April 2012
− Covid-19 > 35 million infected, ~ 1 million dead (as of 10/5)
Critical Issues Surrounding Covid-19
Region Infected
Source: WHO Coronavirus Disease (COVID-19) Dashboard
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• Many other prior viral outbreaks:
− Ebola, Swine flu (H1N1), Bird flu (H5N1)
• Increased awareness of the IP issues surrounding patenting antiviral
research & preserving exclusive marketing rights for companies developing
products, diagnostic assays and kits, and treatments for viral infections
Critical Issues Surrounding Covid-19
1. Ebola virus – Source: WebMD
2. H1N1 – Source: CDC.gov
3. H5N1 – source: CDC.gov
Ebola H1N1H5N1
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• Investor interest in funding vaccines ebbs and flows with the
rise and fall of pandemics
− SARS appeared in 2003, then disappeared within a year
− In 2016, scientists ready to test a newly developed SARS vaccine in
healthy humans
− Investors not interested to fund testing in clinic and project went
dormant
• SARS and MERS should have triggered major federal and
private investments to develop treatments and vaccines in
anticipation of future global viral outbreaks
Critical Issues Surrounding Covid-19
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• Current funding of medical research tends to be market-driven
and reactive, rather than proactive
• Typically, it takes between 5 and 15 years to bring a vaccine to
market
− lengthy process of testing on animals, expensive clinical trials on
humans, and regulatory approvals
− New vaccines cost anywhere from US$400 million to US$2 billion from
initial research to commercial production
− Revenues from vaccine sales have remained relatively constant as
most vaccinations are only performed once in a lifetime
R&D and Market Drivers
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1. Viral mechanisms
2. Subject matter eligibility for compound, composition, and method of use
claims
3. Global best practices
We will review these and other key issues:
• What are the critical patentability issues when preparing compound or composition
patents?
• How have the courts treated medical diagnostics claims?
• What strategies should counsel employ to increase the likelihood of getting patent
protection for compounds, composition, or method of use claims for viral infections?
Outline of today’s webinar
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Viral Mechanisms and Patent
Strategies
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• Compared to bacteria, viruses have different
mechanisms and machinery to survive and replicate in a
host
• Bacteria can reproduce on their own, whereas viruses
must insert their genetic material into a host's cells to
reproduce
• The virus hijacks the host cell's machinery to reproduce
and fill the cell with viral particles
• Viral particles then either bud off or cause the cell to
rupture, and the virus spreads to other cells
Science Photo Library/
Alamy Stock Photo
http://servingnature.blogspot.com/2013/03/virology.html
The bad about viruses…..and viral infections
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• Viruses have developed many Machiavellian
strategies to evade host immune responses
• High rate of genetic change exhibited by
viruses creates a moving target
• Combating viruses with vaccines and
antiviral drugs is a constant challenge
− Antibiotics are ineffective
− Vaccines to prevent (the first line of defense)
− Antivirals to treat
The bad about viruses…..and viral infections
(Cont’d)
Image Credit: Konstantin Faraktinov/Shutterstock.com
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• Small molecule inhibitors typically arise out of a structure-based
design of the viral target
• Steps in virus life cycle can
be targeted
• This approach involves a
detailed knowledge of viral
action and lifecycle
• Different types of viruses:
− DNA or RNA (ds, ss, retro)
Small Molecule Antivirals
ChemistryViews.org
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https://www.clinicaloptions.com/
Preventing viral adhesion to
host cells (inhibitors of
host-cell receptors)
Inhibiting hemagglutinin
induced membrane fusion
Accelerating capsid assembly
• Targeting viral DNA-packaging motors
• Inhibiting viral RNA processing/packaging
(targeting viral polymerase complex)
Disrupting viral assembly
(nucleoprotein)
Enhancing intracellular
innate immunity
• Inhibiting viral escape from
endosome (protease inhibitors)
Preventing the release of
viral particles (blocking
neuraminidase)
Preventing viral reproduction
(blocking integrase or reverse
transcriptase)
Blocking ion-channels
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Oseltamivir (TAMIFLU) Remdesivir
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• Protease inhibitors: atazanavir (REYATAZ), darunavir
(PREZISTA), fosamprenavir (LEXIVA), indinavir (CRIXIVAN),
lopinavir/ritonavir (KALETRA), nelfinavir (VIRACEPT), ritonavir
(NORVIR), and saquinavir (INVIRASE).
• Prevent release of viral particles by blocking neuraminidase on
surface of flu viruses: baloxavir marboxil (XOFLUZA), zanamivir
(RELENZA), and oseltamivir (TAMIFLU)
• Reverse transcriptase inhibitor: doravirine (PIFELTRO)
Examples of small molecule antivirals (HIV):
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• Compound claims (chemical entity, solvates, crystal forms)
• Methods of treatment
− Target – “ A method of treating HIV, comprising administering X”
− Dosing – “comprising administering at least about 250 mg of X”
− Regimen – “at least about 250 mg of X at least once about every 2 days”
• Process claims (e.g., methods of making/manufacture)
• Formulation claims (drug, excipient, salts, stabilizers, etc.)
Types of patent claims obtained
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• Patents to novel small molecule antivirals are generally readily
granted at the IP5
• Second uses of known small molecules can be more difficult
− “cytokine storm” in some Covid-19 patients
• Viruses are rarely fully “cured” and many require prolonged
treatment to keep virus levels dormant
• Continued R&D (and subsequent patent filings) likely as viruses
mutate and patients are identified that are less responsive to
existing antiviral therapies
Small Molecules
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Brand Name Viral Target Patent and Representative Claim
Prezista
(darunavir)
HIV protease U.S. Patent No. 8,518,987; Title: Pseudopolymorphic forms of a
HIV protease inhibitor
1. An ethanolate solvate of the compound (3R,3aS,6aR)-
hexahydrofuro[2,3-b]furan- 3-yl(1S,2R)-3-[[(4-
aminophenyl)sulfonyl](isobutyl)amino]-1-benzyl-2-
hydroxypropylcarbamate, in which the ratio of compound to
ethanol is about 1:1.
U.S. Patent No. 10,000,504 (Child of ‘987, above)
1. A process for preparing a pseudopolymorph of the
compound (3R,3aS,6aR)-hexahydrofuro . . . comprising
combining (3R,3aS,6aR)-hexahydrofuro . . . with an organic
solvent, water, or a mixture of water and a water miscible
organic solvent, and inducing crystallization.
Exemplary Small Molecule Antiviral Drugs and
Relevant Patent Claims
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Brand Name Viral Target Patent and Representative Claim
Vosevi
(voxilaprevir)
Hepatitis C,
inhibits viral
replication
U.S. Patent No. 8,735,372; Title: Nucleoside phosphoramidate
prodrugs
1. A method of treating a human infected by hepatitis C virus,
comprising administering to the subject an effective amount of
an NS5a inhibitor and an effective amount of a compound
represented by the following formula [ ].
Exemplary Patent Claims (Cont’d)
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Brand Name Viral Target Patent and Representative Claim
Xofluza
(baloxavir
marboxil)
Influenza A/B
endonuclease
U.S. Patent No. 8,927,710; Title: Substituted polycyclic
carbamoylpyridone derivative
1. A CAP dependent endonuclease inhibitor compound
represented by formula (I), a pharmaceutically acceptable salt, or
a solvate thereof [ ].
Exemplary Patent Claims (Cont’d)
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Brand Name Viral Target Patent and Representative Claim
Sitavig
(acyclovir)
Herpes labialis
DNA
polymerase
U.S. Patent No. 8,592,434; Title: Mucoadhesive buccal tablets
for the treatment of orofacial herpes
1. A method for treating orofacial herpes comprising
administering to a patient suffering from orofacial herpes only
a single dose of a prolonged release mucoadhesive buccal
tablet comprising:
50 to 200 mg of acyclovir,
1 to 75% by weight of a diluent,
1 to 10% by weight of an alkali metal
alkylsulfate, to 5% by weight of a
binding agent,
5 to 80% by weight of natural milk proteins, and
5% to 80% by weight of at least one hydrophilic polymer that
provides a sustained release of acyclovir.
Exemplary Patent Claims (Cont’d)
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Brand Name Viral Target Patent and Representative Claim
TPOXX
(tecovirimat)
Smallpox
(variola virus),
blocks viral
particle release
U.S. Patent No. 8,802,714; Title: Compounds, compositions
and methods for treatment and prevention of orthopoxvirus
infections and associated diseases
1. A method of treating or preventing an infection caused by
an orthopox virus in a living host having or susceptible to said
infection, said method comprising administering to said living
host a therapeutically effective amount of a mixture of
compounds comprising: (a) N-[(3aR,4R,4aR,5aS,6S,6aS)-
3,3a,4,4a,5,5a,6,6a- octahydro-1,3-dioxo-4,6-ethenocycloprop
[f]isoindol-2(1H)-yl]-4-(trifluoromethyl)- benzamide; and (b) N-
[(3aR,4S,4aS,5aR,6R,6aS)-3,3a,4,4a,5,5a,6,6a-octahydro-
1,3- dioxo-4,6-ethenocycloprop [f]isoindol-2(1H)-yl]-4-
(trifluoromethyl)-benzamide, or a pharmaceutically acceptable
salt thereof.
Exemplary Patent Claims (Cont’d)
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• Vaccines are a preemptive first line of defense
• Vaccines stimulate the immune system to produce antibodies
that may remain in the body for long periods of time
• Because of such long-term
“immune memory,” a rapid
immune response typically
results upon subsequent
exposure to the virus
REMAINS/ISTOCKPHOTO
Vaccines
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• Development typically takes years (5-15 years)
− More difficult and expensive to manufacture and test in human
clinical trials than small molecule antiviral drugs
▪ US$400 million to US$2 billion
− Requires negative result—wait to see if a subject catches the
virus
− “Human Challenge” studies are controversial (vaccinate then
intentionally expose to the virus)
• Vital research for creating new viral treatments to
guarantee continued global human health
Vaccines
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Attempts to Accelerate Time to Market
• Starting trials before
completing extensive
academic and pre-clinical
research
• Combining/overlapping
Phases of the clinical trials
• Ramping up production
before final approval
• Unpredictable
NEW YORK
TIMES
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Vaccine IP
• Vaccine IP is complex:
− Many companies trying to achieve the same goal (especially for Covid)
− Can be highly collaborative
▪ Good for furthering research & development
▪ Complicates patent rights
− Political and public relations considerations
▪ Does a patent holder want to appear to be blocking vaccine development and/or
distribution?
− Multiple aspects can be patented
▪ Freedom to Operate considerations
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− Nucleic acids
− amino acid
sequences
− viral vectors
− attenuated strains
− formulations
− culturing methods
− manufacturing methods
− methods of use
− Kits
− Packaging
− devices for vaccine
administration
Vaccine IP
• Various levels of patents
Nature
World Health Organization
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Claims obtainable directed to:
• “A stable vaccine, comprising . . .”
• “A multivalent immunogenic composition . . .”
• “A live attenuated viral strain . . .”
• “A method of making a virus-like particle . . .”
• “A method of vaccinating a patient or inducing an immune
response in a subject in need thereof . . .”
Vaccine IP
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Exemplary Patent Claims in the Vaccine Space
Brand Name Viral Target Exemplary Patent Claim
INFANRIX Diphtheria
and tetanus
toxoids and
acellular
pertussis
U.S. Patent No. 9,233,151; Title: Vaccine composition
1. A multivalent immunogenic composition comprising the
following components:
(a) killed whole-cell Bordetella pertussis,
(b) tetanus toxoid,
(c) diphtheria toxoid,
(d) Hepatitis B surface antigen,
(e) a conjugate of a carrier protein and the capsular
polysaccharide of Haemophilus influenzae type
B and
(f) one or more conjugates of a carrier protein and
the capsular polysaccharide of a bacterium
selected from the group consisting of Neisseria
meningitidis type A and N. meningitidis type C.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
BIOTHRAX Bacillus
anthrax
U.S. Patent No. 8,778,359; Title: Stable anthrax vaccine
formulations
1. A stable vaccine for stimulating an immune response to
a Bacillus anthracis protective antigen comprising:
(a) a purified B. anthracis protective antigen protein;
(b) an alanine formulation buffer; and
(c) a pharmaceutically acceptable adjuvant.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
DENGVAXIA Dengue
disease
U.S. Patent No. 9,169,298; Title: Dengue serotype 1 attenuated
strain
1. A live attenuated dengue-1 virus strain which comprises an
RNA sequence having the sequence of SEQ ID NO: 3
wherein said RNA sequence comprises uridines in place of
the deoxythymidines in SEQ ID NO: 3, wherein at least
nucleotides at positions 5962 and 7947 of the RNA
sequence are mutated with reference to SEQ ID NO: 3,
with the proviso that the following nucleotides of the RNA
sequence are not mutated: 1323, 1541, 1543, 1545,
1567,1608, 2363, 2695, 2782, 5063, 6048, 6806, 7330, and
9445.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
GARDASIL 9 Human
papillomavirus
U.S. Patent No. 7,476,389; Title; Papillomavirus vaccines
1. A method of making a papillomavirus virus-like particle, which
method comprises: constructing a recombinant DNA molecule
that contains a sequence encoding
a papillomavirus L1 protein;
transfecting a host cell with the recombinant DNA molecule;
expressing papillomavirus L1 protein in the host cell;
and
obtaining papillomavirus virus-like particles from the
transfected host cell; wherein the papillomavirus is not
HPV 16.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
PROQUAD Measles,
mumps,
rubella, and
varicella
virus
U.S. Patent No. 10,350,289; Title: Methods of immunization with
varicella zoster virus antigen
1. A method of vaccinating a patient against varicella zoster
virus (VZV) infection or reactivation of latent VZV infection
comprising injecting an effective amount of a live attenuated
VZV vaccine to the epidermis or the dermis of the patient's skin
at a depth of between 100 and 700 microns from the surface of
the skin, wherein the live attenuated VZV vaccine is liquid and
comprises a live attenuated VZV strain, and wherein the VZV
vaccine is injected with an intradermal delivery device
comprising one or more hollow needles for penetrating the skin,
wherein the device is adapted for shallow intradermal delivery
of the VZV vaccine.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
IMOVAX Rabies U.S. Patent No. 9,750,800; Title: Method for purifying the rabies
virus
1. A vaccine comprising purified and inactivated rabies virus,
wherein the amount of residual DNA measured by quantitative
PCR and the amount of total protein present in one effective
dose of vaccine or in one dose of vaccine which contains 2.5 IU
as measured according to the European Pharmacopeia
monograph number 0216, are, respectively, less than 20 pg and
less than 40 μg.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
JYNNEOS Smallpox and
monkey pox
U.S. Patent No. 9,707,291; Title: Single high dose of MVA
induces a protective immune response in neonates and
infants
1. A method for inducing a protective immune response against
a poxvirus in a human neonate or infant of less than 6 months
of age comprising administering a dose of at least 108 50%
tissue culture infectious dose (TCID50) of a modified vaccinia
virus Ankara (MVA) to a human neonate, wherein the
administration induces protective T- and B-cell responses
against a poxvirus in the human neonate prior to 6 months of
age in the absence of a second administration of the MVA.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
RECOMBIVAX
HB
Hepatitis B U.S. Patent No. 6,544,757; Title: Synthesis of human virus
antigens by yeast
1. A DNA transfer vector comprising a yeast replication origin, a
yeast promoter fragment and, in correct orientation with said
promoter fragment, a DNA segment coding for the S-protein of
Hepatitis B virus.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
n/a SARS U.S. Patent No. 10,130,701; Title: Coronavirus
1. A live, attenuated coronavirus comprising a variant replicase
gene encoding polyproteins comprising a mutation in one or
both of non-structural protein(s) nsp-10 and nsp-14, wherein
the variant replicase gene encodes a protein comprising an
amino acid mutation of Pro to Leu at the position corresponding
to position 85 of SEQ ID NO: 6, and/or wherein the variant
replicase gene encodes a protein comprising an amino acid
mutation of Val to Leu at the position corresponding to position
393 of SEQ ID NO: 7.
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Exemplary Patent Claims in the Vaccine Space
(Cont’d)
Brand Name Viral Target Exemplary Patent Claim
n/a H5N1 avian
influenza
U.S. Patent No. 9,283,198; Title: Materials and methods for
treating viral infections
1. A method for treating a subject infected with H5N1 strain of
avian influenza, wherein said method comprises diagnosing a
subject as being infected with the H5N1 strain of avian
influenza; and administering to the subject an effective amount
of a salt of cysteamine.
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• Various aspects of vaccine product and development are
patentable
− Though PR reasons may discourage enforcement, freedom to operate
supports building a strong patent portfolio around vaccines
− Patents protection enhances potential outside funding, strengthens
negotiating power with potential collaborators/licensees, and helps
establish a company as a lead player in vaccine development
− Consider your potential infringer
▪ Target your competitor selling a vaccine, consider the label
▪ Not the doctor delivering the vaccine
Vaccine IP – Takeaways
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Subject Matter Eligibility
Considerations in the USPTO
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Novel compounds are patent eligible - do not exist in
nature (also crystal forms, hydrates, and solvates)
Novel Methods of Use, generally easily obtained
A new use for an old compound is typically patentable
assuming the use is novel and nonobvious
Small Molecules
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Newly discovered, wild-type strain of a virus are not patentable
A genetically modified viral strain that differs structurally from the
wild-type virus is patentable
A vaccine composition comprising a live attenuated virus are
generally considered patentable subject matter –
− a live attenuated virus has different structural and functional characteristics
than what occurs in nature
Virus-like particles and viruses obtained by recombinant DNA
technology are also patentable
Vaccines
PHOTO: KINDPNG
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Claims directed to a vaccine composition comprising an antigenic
peptide and a pharmaceutically acceptable carrier, such as water,
are not patent eligible because each component is a product of
nature
Claims directed to a vaccine composition comprising an antigenic
peptide and a novel pharmaceutically-acceptable carrier would be
patent eligible
Claims directed to a vaccine composition comprising an antigenic
peptide and a specific adjuvant would be patent eligible
Vaccines
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Diagnostics in the USPTO
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• Claims to methods of diagnosing in the U.S. are difficult to
obtain
− Keeps the cost of diagnostics down
− But, the Covid-19 outbreak has highlighted the lack of investment and
development of diagnostics
− Complicated patent issues and uncertainty could play a role in this lack
of corporate/government investment in diagnostics
Diagnostics – Patent Eligibility
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• In vitro diagnostic methods, i.e., using a biological sample
isolated from a patient, are generally not patent eligible
− A method “for detecting a paternally inherited nucleic acid” (Ariosa)
− A method “for performing a prenatal diagnosis” (Ariosa)
Ariosa Diagnostics, Inc. v. Sequenom, Inc., 788 F.3d 1371 (Fed. Cir. 2015)
• Application of diagnostic results such as method of treatment
claims eligible (Vanda)
• Method of preparation, which involves a diagnostic, eligible
(Illumina)
Diagnostics – Patent Eligibility
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Vanda Pharma Inc. v. West-Ward Pharma Int’l Ltd (Fed. Cir. 2018)
• A method for treating a patient with iloperidone, wherein the patient is suffering from
schizophrenia, the method comprising the steps of:
− determining whether the patient is a CYP2D6 poor metabolizer by:
▪ obtaining or having obtained a biological sample from the patient; and
▪ performing or having performed a genotyping assay on the biological sample to determine if the patient has a
CYP2D6 poor metabolizer genotype; and
− if the patient has a CYP2D6 poor metabolizer genotype, then internally administering
iloperidone to the patient in an amount of 12 mg/day or less, and
− if the patient does not have a CYP2D6 poor metabolizer genotype, then internally
administering iloperidone to the patient in an amount that is greater than 12 mg/day, up to 24
mg/day,
− wherein a risk of QTc prolongation for a patient having a CYP2D6 poor metabolizer genotype
is lower following the internal administration of 12 mg/day or less than it would be if the
iloperidone were administered in an amount of greater than 12 mg/day, up to 24 mg/day.
Diagnostics – Vanda
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Illumina, Inc. v. Ariosa Diagnostics, Inc. (Fed. Cir. 2020)
• A method comprising:
(a) extracting DNA comprising maternal and fetal DNA fragments from a substantially cell-free
sample of blood plasma or blood serum of a pregnant human female;
(b) producing a fraction of the DNA extracted in (a) by:
(i) size discrimination of extracellular circulatory fetal and maternal DNA fragments, and
(ii) selectively removing the DNA fragments greater than approximately 300 base pairs,
wherein the DNA fraction after (b) comprises extracellular circulatory fetal and maternal DNA
fragments of approximately 300 base pairs and less and a plurality of genetic loci of the
extracellular circulatory fetal and maternal DNA fragments; and
(c) analyzing DNA fragments in the fraction of DNA produced in (b).
• “This is not a diagnostic case. And it is not a method of treatment case. It is a method of
preparation case.”
Diagnostics – Illumina
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Diagnostics – USPTO Guidance
• To claim a diagnostic method,
you need “significantly more”
than just the diagnostic,
unpatentable, aspect:
− A method of treating a target
population, identified using a
particular diagnostic method
− A novel way of preparing a
sample, which can be part of a
diagnostic method
USPTO
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• The law around patent eligible subject matter in the US is likely
still developing
− Include different claims to diagnostic methods to anticipate potential
tightening or loosening of restrictions
• The laws are different outside the US
− Language that may be allowable can vary by country (e.g., Europe,
South Korea, Israel, and various Asian countries)
Diagnostics – Drafting Considerations
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Ongoing Effort Against
Covid-19
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• Global Alliance for Vaccines and
Immunization (GAVI)
• UNICEF
• World Health Organization
• Biomedical Advanced Research
and Development Authority
(BARDA) (US DHHS)
• National Institute of Allergy and
Infectious Diseases (NIAID) (US
NIH)
• Coalition for Epidemic
Preparedness Innovations (CEPI)
A Global Effort
(New York Times – as of September 29, 2020)
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• Altimmune
• BioNTech and Pfizer
• CytoDyn
• Gilead Sciences
• GlaxoSmithKline
• Heat Biologics
• Inovio Pharmaceuticals
• Johnson & Johnson
A Global Effort
(New York Times – as of September 29, 2020)
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• Moderna
• Novavax
• Regeneron
Pharmaceuticals
• Sanofi
• Roche
• Takeda Pharmaceutical
• Vaxart
• Vir Biotechnology
A Global Effort
(New York Times – as of September 29, 2020)
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Global Best Practices
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• Critical Issues:
1. Testing
2. Starting/Raw Materials
3. Financing
4. Incentives for the Private Sector
5. Clinical Trials and Federal Approval
6. Supply Chain
7. Dependence on Foreign
Manufacturing
8. Allocation
9. Efficacy
10. Future Mutation and/or Resurgence
What have we learned from this Pandemic?
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• For-profit pharmaceutical companies are “for-profit,” but crisis prevention
means being in front of a disease before it reaches pandemic proportions
• Governments and nonprofits must take the lead in funding proactive
vaccine research and development
• It is up to governments and the private sector around the world to step up
vaccine supplies, research, and development
• We ought to be better prepared to handle future viral outbreaks as the
disastrous effects on security, the economy, and commerce are currently
on full display with COVID-19
What have we learned from this Pandemic?
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Contact
Robert Greene Sterne
+1 (202) 772 8555
Gaby L. Longsworth, Ph.D.
+1 (202) 772 8824
mailto:[email protected]:[email protected]