Brigham and Women's Hospital v. Perrigo Company

Court of Appeals for the Federal Circuit·Decided February 28, 2019·No. 17-1950·Unpublished

Opinion

NOTE: This disposition is nonprecedential.

United States Court of Appeals for the Federal Circuit

BRIGHAM AND WOMEN'S HOSPITAL, INC., INVESTORS BIO-TECH, L.P., Plaintiffs-Cross-Appellants

v.

PERRIGO COMPANY, L. PERRIGO COMPANY, Defendants-Appellants

2017-1950, 2017-2021, 2017-2555, 2018-1243

Appeals from the United States District Court for the District of Massachusetts in No. 1:13-cv-11640-RWZ, Judge Rya W. Zobel.

Decided: February 28, 2019

JAMES M. BOLLINGER, Troutman Sanders LLP, New York, NY, argued for plaintiffs-cross-appellants. Also represented by TIMOTHY P. HEATON, PHOENIX S. PAK, GERALD EAMES PORTER; LINDSAY MITCHELL HENNER, DOUGLAS SALYERS, Atlanta, GA.

JEFFREY R. GARGANO, Morgan, Lewis & Bockius LLP, Chicago, IL, argued for defendants-appellants. Also 2 BRIGHAM AND WOMEN'S HOSPITAL v. PERRIGO COMPANY

represented by PETER M. SIAVELIS, Barnes & Thornburg LLP, Chicago, IL.

Before LOURIE, O’MALLEY, and STOLL, Circuit Judges.

LOURIE, Circuit Judge.

Perrigo Company and L. Perrigo Company (collectively , “Perrigo”) appeal from the order of the U.S. District Court for the District of Massachusetts denying judgment of invalidity as a matter of law of U.S. Patent 5,229,137 (the “’137 patent”) on the basis of anticipation and obviousness . Brigham & Women’s Hosp., Inc. v. Perrigo Co., 280 F. Supp. 3d 192, 205–06 (D. Mass. 2017) (“Decision”). Brigham and Women’s Hospital, Inc. and Investors Bio- Tech, L.P. (collectively, “Brigham”) cross-appeal from the same order granting judgment of noninfringement as a matter of law. Id. at 205. Because the district court did not err in its judgment of noninfringement, we affirm and do not reach the remaining issues.

I. BACKGROUND

Brigham’s ’137 patent is directed to a method for treating episodic heartburn by coadministering two known types of heartburn medications, H2-receptor antagonists (known as H2-blockers) and antacids. Antacids were known to provide fast but momentary relief from heartburn ; in contrast, H2-blockers were known to provide slower but longer-lasting relief. Critically, the method of treatment as claimed requires that coadministering an antacid and H2-blocker achieves a certain clinical result: “immediate and sustained relief from pain, discomfort and/or symptoms associated with episodic heartburn.” ’137 patent col. 7 ll. 23–25 (emphasis added). The dispositive issue on appeal is whether Perrigo’s product meets the “immediate and sustained relief” limitation.

BRIGHAM AND WOMEN'S HOSPITAL v. PERRIGO COMPANY 3

A.

Claim 1 of the ’137 patent is the sole independent claim asserted by Brigham and reads as follows:

1. A method of providing immediate and sustained relief from pain, discomfort and/or symptoms associated with episodic heartburn in a human, said method comprising: orally administering to a human together or substantially together an antacid in an amount effective to substantially neutralize gastric acid and a histamine H2-receptor antagonist in an amount effective to substantially inhibit or block gastric acid secretion for providing the human with immediate and sustained relief from pain, discomfort and/or symptoms associated with episodic heartburn, the immediate and sustained relief provided lasting longer in duration than when the human is orally treated with only the antacid and the immediate and sustained relief provided being faster than and lasting at least about as long in duration as when the human is orally treated with only the histamine H2-receptor antagonist.

Id. col. 7 ll. 23–42 (emphasis added). The specification defines “immediate and sustained relief,” disclosing:

It should therefore be appreciated that by the term “immediate and sustained relief,” it means herein immediate, temporary and sustained relief which starts within about 5-10 minutes following ingestion of the active ingredients and continues and remains constant for at least about 4-6 hours after ingestion of the active ingredients; the actual ingredients being an antacid and a histamine H2-receptor antagonist.

Id. col. 3 ll. 22–29 (emphasis added).

4 BRIGHAM AND WOMEN'S HOSPITAL v. PERRIGO COMPANY

B.

The ’137 patent was filed on May 6, 1992, issued in 1993, and expired on May 6, 2012. Brigham exclusively licensed the patent in 1996 to Johnson & Johnson Merck Consumer Pharmaceuticals (“J&J”), also giving J&J the right to pursue any infringement claims. In December 2004, Perrigo sent Brigham a Paragraph IV notice letter informing Brigham that it had submitted an Abbreviated New Drug Application (“ANDA”) to market a combination H2-blocker/antacid tablet prior to the expiration of the ’137 patent, and Brigham relayed this information to J&J soon thereafter. J&J declined to assert the ’137 patent against Perrigo but did sue on a different patent. Perrigo prevailed and then launched its generic product in 2008. Several years later, in 2013, Brigham brought the present suit accusing Perrigo’s generic product of infringing the ’137 patent ’s independent claim 1 and dependent claims 4, 5, 6, 7, and 12. Perrigo counterclaimed, asserting that the ’137 patent was invalid as anticipated and obvious.

At claim construction, the district court construed the term “immediate and sustained relief” to mean “relief obtained from pain, discomfort and/or symptoms associated with episodic heartburn which starts within about 5–10 minutes following ingestion of the active ingredients and continues for at least about 4–6 hours.” J.A. 1380–82; Decision , 280 F. Supp. 3d at 200.

The parties proceeded to trial. A key dispute was whether Perrigo’s generic product provided immediate relief as defined by the ’137 patent. The main evidence regarding this limitation came from clinical data underpinning J&J’s branded H2-blocker/antacid product, Pepcid Complete®. Brigham argued that the clinical data demonstrated that Pepcid Complete® provides immediate relief, and since Perrigo’s generic product has the same active ingredients and dosages as Pepcid Complete®, Perrigo ’s generic product must also provide immediate relief.

BRIGHAM AND WOMEN'S HOSPITAL v. PERRIGO COMPANY 5

The clinical data came from three studies presented in the New Drug Application (“NDA”) for Pepcid Complete®. The first, Study 98, measured 23 qualifying patients’ esophageal and stomach pH levels after administering Pepcid Complete® and compared changes in these pH values to controls (an antacid or H2-blocker alone, or a placebo ). Undisputedly, lower (more acidic) esophageal pH may correspond to episodic heartburn, which results from reflux of stomach acid into the esophagus that can cause pain associated with episodic heartburn. In the study, “[a]n episode of acidic reflux was counted as a drop from pH 5 or more to 4 or below . . . .” J.A. 7044. The study was designed to show that Pepcid Complete® would raise esophageal pH faster than an H2-blocker alone and comparably fast to an antacid alone.

Although the NDA’s description of Study 98 does not directly state whether Pepcid Complete® provided symptomatic relief from episodic heartburn starting within about 5–10 minutes, as required by claim 1, the NDA does include a figure of the patients’ mean esophageal pH measured over one minute intervals before and after administration of an antacid, Pepcid Complete® (“FACT”), an H2-blocker (“famotidine”), or a placebo. We reproduce this figure— Figure 7—below:

6 BRIGHAM AND WOMEN'S HOSPITAL v. PERRIGO COMPANY

J.A. 7044.

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