CHANCERY DIVISION
PATENTS COURT
Strand, London, WC2A 2LL |
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B e f o r e :
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DR REDDY'S LABORATORIES (UK) LIMITED |
Claimant |
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- and - |
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ELI LILLY AND COMPANY LIMITED |
Defendant |
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Mr Simon Thorley QC, Mr Andrew Waugh QC, Mr Colin Birss QC and Mr Miles Copeland (instructed by Howrey LLP) for the Defendant
Hearing dates: 8, 10, 11, 14-18, 22-24 July 2008
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Crown Copyright ©
Mr Justice Floyd :
Witnesses
Background
Chlorpromazine is a phenothiazine, so called because it has two phenyl rings (on the left and right) in the structure around a thiazene central ring.
"The pathological changes responsible for the symptoms of schizophrenia are essentially unknown. Nevertheless, hypotheses on the roles of particular neurotransmitters abound and it could be stated that the number of such theories grows proportionally to the number of neurotransmitters discovered."
The chapter concludes by quoting a 1987 paper:
"Schizophrenia is most likely a multi-neurotransmitter-system disease, caused by a factor or factors that could be acting on any of these systems."
'In addition to the antidopaminergic effects, clozapine has a multiplicity of receptor interactions including muscarinic, a-adrenergic, serotonergic, and histaminergic receptors. It is at present unclear whether any specific combination of these contributes to its unique properties.' (Page 39, first paragraph).
"the chances for a major breakthrough in the field of drug treatment of schizophrenia to occur in the near future are rather slim. Progress is impeded by our profound ignorance of the real cause(s) and pathogenesis of schizophrenia".
Lilly's research leading to olanzapine
The 235 Provisional
"Specifically they are potent centrally acting compounds with neuroleptic, sedative or relaxant effects. These properties, coupled with their high therapeutic index, render them useful in the treatment of mild anxiety states and certain kinds of psychoses."
The 235 Patent
Chakrabarti 1980
"There is no definitive explanation as to how the transposition of this halogen substitution can result in a profound change in activity. Molecular topography of clozapine and HF-2046, as determined by X-ray crystallography, does not reveal any significant difference. Electron transfer reactions have been often implicated in reversible attachment of biologically active molecules at a receptor site. Such a shift in nuclear sub- stitution, as above, can contribute to the electronic imbalance between the two benzene rings of the asymmetrical tricyclic system."
i) as to the substituent R on the piperazine ring, the authors say that higher alkyl substitution (i.e. anything bigger than methyl) leads to a reduction in activity. However, compounds where R is a hydroxyalkyl group such as hydroxyethyl "retain good activity";
ii) the substitution of ring A with a halogen atom at position 7 on the retained benzene ring enhanced activity;
iii) a short alkyl substitution (methyl, ethyl, iso-propyl) at position 2 on the thiophene ring seems to increase the activity, but compounds with a bulky (tertiary butyl) or long (n-hexane) group showed only minimal activity.
"Unlike the standard neuroleptics tested, clozapine blocks the conditioned avoidance response in rats at doses which are very much lower than those required to produce catalepsy. It is thought that this profile of activity is associated with the relative lack of extrapyramidal side effects produced by this compound in the clinic. A number of compounds in the present series, e.g. 9,12,17,29, and 34, have been found to be more potent than clozapine and show a similar, if less marked, separation of activity in these two tests. This profile of activity needs further development of this class of compounds."
There are a number of things to note about this concluding paragraph.
Chakabarti 1989
"One of these compounds, flumezapine (3), in which the thiophene group is substituted with an electron-donating methyl group is more potent than clozapine and was selected as a candidate for clinical trial."
"Experience in the [structure activity relationship] of the thienobenzodiazepines led us to the design and synthesis of only a limited number of compounds in each series."
"The results obtained in these two tests are shown in Table II, where it can be seen that only the triazolobenzodiazepine series contains compounds with a significant level of activity. In general, the in vitro activity of the triazolobenzodiazepines on (3H)spiperone binding is about 10 times less than that obtained with similarly substituted thieno [2,3-b][l,5]benzodiazepines.
"As in the case of the thienobenzodiazepines, the neuroleptic activity is enhanced by halogen substitution in the 7-posítion as in compounds 6-8, 12, and 13, although further halogen substitution as in the dichloro derivative 10 reduces the ability of the compound to compete with (3H)spiperone. ….. All the active compounds have a short alkyl group at the 2-position, with ethyl being more active than methyl."
The Patent
"Moreover, there is a low incidence of only mild and transient elevation of liver enzymes in patients treated with therapeutic doses, and plasma levels of creatinine phosphokinase (CPK) are lower than with flumezapine, indicating a lower adverse effect on muscular tissue. Furthermore, the compound of the invention causes lower elevation of prolactin levels than other currently used neuroleptic drugs and this suggests fewer disturbances of the menstrual cycle, and less gynecomastia and galactorrhea. No alteration of white blood cell count has been observed in clinical studies."
"in dog toxicity studies with a closely analogous compound [2-ethyl olanzapine] … it was observed that four out of of eight dogs showed a significant rise in cholesterol levels, whereas the compound of the invention did not show any rise in cholesterol levels."
"Overall, therefore, in clinical situations, the compound of the invention shows marked superiority, and a better side effects profile than prior known antipsychotic agents, and has a highly advantageous activity level."
The Claims
Novelty: Law
"2.-(1) An invention shall be taken to be new if it does not form part of the state of the art.
(2) The state of the art in the case of an invention shall be taken to comprise all matter (whether a product, a process, information about either, or anything else) which has at any time before the priority date of that invention been made available to the public (whether in the United Kingdom or elsewhere) by written or oral description, by use or in any other way."
"If the prior inventor's publication contains a clear description of, or clear instructions to do or make, something that would infringe the patentee's claim if carried out after the grant of the patentee's patent, the patentee's claim will be shown to lack the necessary novelty".
"If I may summarise the effect of these two well-known statements, the matter relied upon as prior art must disclose subject-matter which, if performed, would necessarily result in an infringement of the patent. That may be because the prior art discloses the same invention. In that case there will be no question that performance of the earlier invention would infringe and usually it will be apparent to someone who is aware of both the prior art and the patent that it will do so. But patent infringement does not require that one should be aware that one is infringing: "whether or not a person is working [an] ... invention is an objective fact independent of what he knows or thinks about what he is doing": Merrell Dow Pharmaceuticals Inc v H N Norton & Co Ltd [1996] RPC 76, 90. It follows that, whether or not it would be apparent to anyone at the time, whenever subject-matter described in the prior disclosure is capable of being performed and is such that, if performed, it must result in the patent being infringed, the disclosure condition is satisfied. The flag has been planted, even though the author or maker of the prior art was not aware that he was doing so."
"11. This argument cannot be accepted. The concept of substance selection pre-supposes the choosing of a single compound or a specific sub-group from a group of substances. Thus the felicitous choice of the claimed threo- compound from among the multiplicity of substances covered by Formula 1 in the cited document would, of course, be a genuine selection if the cited document did not supply any further information. The compound or sub-group chosen must, of course, also be new; but that is not the case here…
12. A substance selection can come about in various ways, e.g. if an unmentioned compound or group of compounds having a formula covered by the state of the art is found, in the absence of any information as to the starting substance or substances. The present subject-matter does not involve a selection of that kind in an area which, although marked out by the state of the art, is nonetheless virgin territory.
13. However, the disclosure by description in a cited document of the starting substance as well as the reaction process is always prejudicial to novelty because those data unalterably establish the end product. If on the other hand two classes of starting substances are required to prepare the end products and examples of individual entities in each class are given in two lists of some length, then a substance resulting from the reaction of a specific pair from the two lists can nevertheless be regarded for patent purposes as a selection and hence as new."
"It cannot be denied the [semble "that"] the eight conceivable alkyl bromides are covered by all these definitions; a strict distinction must be drawn between this purely intellectual content of the definitions and their information content in the sense of a specific teaching with regard to technical action."
"When the teaching from a citation is interpreted, special attention must be paid to the material actually disclosed in the sense of a complete, specific technical rule. A group of compounds in which the substituent is characterised by a range teaches the skilled person only about the individuals specifically designated from the group. The formulation C1-C4 alkyl bromide in Process Claim 9, which is chosen in citation (A), therefore describes the corresponding 8-methyl derivatives in every detail in connection with the spiro derivatives according to Claims 3-7 envisaged therefor. "
"In its decision T 12/81 (Diastereomers, O.J. 1982, 296) the Board stated by way of obiter dictum that if two classes of starting substances are required to prepare a product and examples of individual entities in each class are given in two lists of some length, then a substance resulting from the reaction of a specific pair from the two lists can nevertheless be regarded as new (see in particular, paragraph 13). In the Board's view, this principle is clearly applicable not only for starting substances in chemical reactions but also for polysubstituted chemical substances where the individual substituents have to be selected from two or more lists of some length, such as in the present case. Therefore, on this basis, document (20) cannot be interpreted either as a specific disclosure of 3-propylxanthine or consequently of a pharmacological use (as a diuretic) of this compound. Thus, in the Board's judgement, document (20) cannot be regarded as being detrimental to the novelty of the subject-matter of the claims.
In the application of this principle in a previous case, the Board has refused to regard those compounds, which result from the reaction of one compound arbitrarily selected from a group of generically defined reactants with a single reaction partner, as being prior disclosed. Thus, N-propyl-[substituted] heneicosane was considered to be novel since this compound (in contrast to the N-methyl compound) was not regarded as being disclosed merely by the description of the reaction of [the starting] heneicosane with one of the groups of compounds, C1-C4-alkyl bromides (cf. T 181/82 O.J. 1984, 401, 410). But if a mere [semble "more"] precisely structurally defined (described by a chemical reaction) class of chemical compounds with only one generically defined substituent does not represent a prior disclosure of all the theoretical compounds encompassed by an arbitrary choice of a substituent definition, it must be clearly valid for a group of chemical substances, the general formula of which has two variable groups. Therefore, in the present case, a class of chemical compounds, defined only by a general structural formula having at least two variable groups does not specifically disclose each of the individual compounds which would result from the combination of all possible variants within such groups."
"6. The first requirement regarding novelty is to establish whether a known chemical formula evidently containing a (single) asymmetrical carbon atom destroys the novelty not only of the compound in the form of its racemate, but also of its enantiomers (d- and l-form or D- and L-form). This applies in particular to documents (1) to (3), which indisputably disclose structures overlapping those described in the contested patent, the only difference being that the latter claims D-enantiomers whereas the former makes no mention of them at all.
6.1 Here the Board is guided by the conclusions it reached in its "Spiro compounds" decision T 181/82 (OJ EPO 1984, 401) concerning the novelty of chemical entities within a group of substances of known formula. With regard to products of the reaction of specific spiro compounds with a (C1-C4)-alkyl bromide defined as a group, the Board drew a sharp distinction between the purely intellectual content of an item of information and the material disclosed in the sense of a specific teaching with regard to technical action. Only a technical teaching of this kind can be prejudicial to novelty. If any such teaching is to apply in the case of a chemical substance, an individualised description is needed. Thus, as the Board decided in that case, the purely intellectual content of the term (C1-C4)-alkyl comprises the eight groups methyl (C1), ethyl (C2), n- and iso- propyl (each C3), and n-, sec.-, iso- and tert.-butyl (each C4). Only the methyl group is disclosed in individualised form, however, since this is synonymous with the lower basic value C1- alkyl. In contrast, the special alkyl groups with two or three carbon atoms - included but not enumerated - are not disclosed in this way; nor are the four individual groups comprised in the upper basic value (C4), which discloses butyl groups only as a generic term.
6.2 The Board believes this principle applies in the present case to the extent that, judging by expert interpretations of the structural formulae and scientific designations to be found in the prior art, the latter describes only racemates. Given the asymmetrical carbon atom in the formula, the substances in question can indeed occur in many conceivable configurations (D- and L-enantiomers); that alone does not mean, however, that these configurations are disclosed in individualised form. The novelty of the D- and L-enantiomers is therefore not destroyed by the description of the racemates.
6.3 The situation is different if the state of the art includes enantiomers - howsoever designated (D, d, L, l or + or -) - which are specifically named and can be produced.
6.4 The Board's present view accords with its established case law on the novelty of chemical substances whereby the only technical teachings prejudicial to novelty are those which disclose a substance as the inevitable result of a prescribed method or in specific, i.e. individualised, form (cf. T 12/81, "Diastereomers", OJ EPO 1982, 296; T 181/82, "Spiro compounds", loc. cit.; T 7/86, "Xanthines", OJ EPO 1988, 381).
6.5 In taking this view the Board is aware that the two enantiomers, far from falling merely intellectually within the definition of the structure in question, actually exist unseparated in the racemate. Generally, the latter can also be separated by converting the enantiomers into a mixture of diastereomers, e.g. using optically active substances, then resolving the mixture and recovering the enantiomers from the resulting products. These considerations are immaterial to the question of novelty, however, and will be more usefully applied to the examination as to inventive step."
Selection patents: law
"Three general propositions may, however, I think, be asserted as true:- First, a selection patent to be valid must be based on some substantial advantage to be secured by the use of the selected members (the phrase will be understood to include the case of a substantial disadvantage to be thereby avoided). Secondly, the whole of the selected members must possess the advantage in question. Thirdly, the selection must be in respect of a quality of a special character which can fairly be said to be peculiar to the selected group."
"The third proposition requires a little explanation. If there are five thousand possible members of the group, and a hundred have been selected as possessing some new and definite advantage, it is not intended to assert that such a selection patent would be bad if it were shown as the result of further research that there existed another hundred members possessing the same advantage. If, on the other hand, it were to be established that there were a thousand unselected members which possessed the same advantage, I doubt very much whether the patent could be sustained. The quality must be of a special character. It must not be one which those skilled in the art will expect to find in a large number of the members. It would be rash to attempt a closer definition; for the question is ultimately one of appreciation."
"I must add a word on the subject of the drafting of the specification of such a patent. It should be obvious, after what I have said as to the essence of the inventive step, that it is necessary for the patentee to define in clear terms the nature of the characteristic which he alleges to be possessed by the selection for which he claims a monopoly. He has in truth disclosed no invention whatever if he merely says that the selected group possesses advantages. Apart altogether from the question of what is called sufficiency, he must disclose an invention; he fails to do this in the case of a selection for special characteristics, if he does not adequately define them."
"It is the absence of the discovery of the special advantages, as well as the fact of non-making, that makes it possible for such persons to make an invention related to a member of the class."
"in order to leave open a field for selection by a subsequent inventor it does not matter whether the original field is described by formula or enumeration".
I do not read Lord Wilberforce's judgment as deciding that every individual compound within the original field is necessarily to be regarded as disclosed. Obviousness is another matter.
"65. I think that the belief that the law of selection is concerned with obviousness to be a misconception. Obviousness only becomes relevant if the later patent is not anticipated, and the obviousness of the selected class will be decided according to the normal principles. It will no doubt help the patentee to repel an allegation of obviousness if he can point to a statement of the advantage possessed by the selected class, but I do not believe it to be essential, as I believe Lord Wilberforce makes clear.
66. The EPO view is stricter. As expressed in T198/84 Hoechst/Thiochloroformates (1985) O.J. EPO 209, it seems to be to the effect that a newly discovered effect can never add novelty to a narrower class if the class is otherwise old. The claim was to a method of making thiochloroformates using a particular catalyst in the range 0.02 to 0.2 mol per cent. The prior art was a disclosure of the process with the same catalyst present in the range 0-100 mol per cent. The Board held that there was no anticipation: in (7) they say this:
"To prevent misunderstanding, it should be expressly emphasised that when examining so-called selection inventions as to novelty the Board adheres to the principle that the sub-range singled out of a larger range is new not by virtue of a newly discovered effect occurring within it, but must be new per se ...cf. T12/81 BAYER/Diastereoisomers OJ EPO 8/1982 296 303). An effect of this kind is not therefore a prerequisite for novelty; in view of the technical disparity [sc. between the new class and the old] however, it permits the inference that what is involved is not an arbitrarily chosen specimen from the prior art, that is, not a mere embodiment of the prior description, but another invention (purposive selection)".
67. I read this as saying that so far as the EPO is concerned, there must be no disclosure of the selected class, either as to its individual members or as to the class as a whole if the invention is to be new. To give an example, if the disclosure of the seven inorganic cations was to be construed in context as a disclosure of the class but not of the individual members, the calcium salt would be new. If it were a disclosure of the individual salts made having those cations, the invention would be old. The advantage possessed by the selected class or individual over the prior art class merely confirms the conclusion to be drawn from considering the prior art disclosure as a whole."
i) In relation to lack of novelty, it is doubtful in the light of the EPO jurisprudence whether a newly discovered effect complying with Maugham J's principles could overcome a finding that a compound was specifically disclosed in a prior document.ii) Whether or not that is so, provided there is novelty on conventional grounds, obviousness is to be decided according to ordinary principles.
iii) The existence of an advantage possessed by the selected compound will be relevant to the overall assessment of obviousness, but is not an essential pre-requisite.
iv) Compliance with Maugham J's principles in IG Farbenindustrie's Patent is equally not an essential requirement for inventive step to be found.
Obviousness – Law
"In the result I would restate the Windsurfing questions thus:
(1) (a) Identify the notional "person skilled in the art"
(b) Identify the relevant common general knowledge of that person;
(2) Identify the inventive concept of the claim in question or if that cannot readily be done, construe it;
(3) Identify what, if any, differences exist between the matter cited as forming part of the "state of the art" and the inventive concept of the claim or the claim as construed;
(4) Viewed without any knowledge of the alleged invention as claimed, do those differences constitute steps which would have been obvious to the person skilled in the art or do they require any degree of invention?"
"The question of obviousness must be considered on the facts of each case. The court must consider the weight to be attached to any particular factor in the light of all the relevant circumstances. These may include such matters as the motive to find a solution to the problem the patent addresses, the number and extent of the possible avenues of research, the effort involved in pursuing them and the expectation of success."
Insufficiency – Law
"In an ordinary product claim, the product is the invention. It is sufficiently enabled if the specification and the common general knowledge enables the skilled person to make it. One method is enough."
"35. In my opinion, therefore, the decision in Biogen is limited to the form of claim which the House of Lords was there considering and cannot be extended to an ordinary product claim in which the product is not defined by a class of processes of manufacture. It is true that the House in Biogen indorsed the general principle stated by the Board of Appeal in T409/91 Fuel Oils/EXXON (1994) OJ EPO, that-
"the extent of the patent monopoly, as defined by the claims, should correspond to the technical contribution to the art in order for it to be supported or justified."
36. The judge said that in holding claim 1 insufficient, he was applying this principle. But then he treated the relevant "technical contribution to the art" as being the inventive step, namely a way of making the enantiomer. That, I respectfully consider, was a mistake. When a product claim satisfies the requirements of section 1 of the 1977 Act, the technical contribution to the art is the product and not the process by which it was made, even if that process was the only inventive step."
"Those examples form two extremes - there may be cases in between where the invention may lie in appreciating that a particular combination of desirable properties is of special value. The validity of that sort of claim will be particularly sensitive to the context of the teaching of the patent and the prior art."
Lack of novelty over 235 Provisional
Lack of novelty over Chakrabarti 1980
Lack of novelty over Schauzu
i) The numbering of the ring in the formula in Schauzu was consistent with the compounds being piperazinyl, as it started from a hetero atom which the piperidinyl compound would not have;ii) If the bridge atom in the formula was supposed to be carbon, the carbon atom would be chiral and one would expect to see the stereochemistry depicted;
iii) It is easier to make a mistake in a formula than in a title.
Conclusion on novelty
Obviousness generally
The skilled addressee
The common general knowledge
A. Well, I think in terms of saying that schizophrenia is most
20 likely a multitransmitter system disease, I think that that is
21 very fair comment. I think you have to look at this in the
22 context in which it exists. That is that the brain still
23 operates largely as a black box. Schizophrenia is a complex
24 psychiatric disorder which we still do not fully understand.
25 What we did understand in 1990 was that you could influence
2 what went on in that black box through dopamine receptors.
3 Nobody was saying that schizophrenia was purely due to
4 dopaminergic disfunction. I think people were well aware that
5 other neurotransmitters could be potentially involved.
6 What we knew at that time was a way of accessing the
7 black box and controlling that psychotic phenomena was through
8 dopamine receptors. That is why there was such a focus on
9 dopamine receptors.
The inventive concept of the Patent
Obviousness over 235 Provisional
Obviousness over Chakrabarti 1980
i) the first, which it called "obvious by SAR optimisation", involves following up Chakrabarti with a program of optimisation directed to finding the best compound;
ii) the second, which it called "obvious in the light of compound 6", is based on the statement about alkyl substitution. Given that compound 6 is ethyl olanzapine, it is obvious to change the ethyl substituent to methyl.
i) "Find lead
ii) Synthesis[e], and test exploratory series of analogues
iii) Formulate preliminary QSAR (Statistics); Design further analogs to test and expand QSAR, until
iv) Complete/satisfactory QSAR. Confidence that "best" analog has been found."
Obviousness over Chakrabarti 1989
Q. I am not asking you whether you could do it. We all know you could do it. I am suggesting to you that it would be a routine thing to do because Chakrabarti is telling you that similarly substituted thienobenzodiazepines are better than their triazolo equivalents.
A. I guess it is not clear to me what your motivation is for doing that.
Q. Well, to get a better compound.
A. How do we know there is not a better compound? They state that flumezapine is a clinical candidate.
Q. So you don't agree that having read Chakrabarti 1989 this substitution would be a routine thing to do. Is that right or not?
A. They have already published Chakrabarti 1980 where they have done a fairly comprehensive study. They have drawn their structure activity conclusions and now they have come back with the triazolo compounds and said by and large these are not so interesting. I don't understand what the motivation is to translate those substituents back to the thienobenzodiazepines.
Q. So the answer to my question is you don't think that substitution would be a routine thing to do in the light of the teaching of Chakrabarti 1989. Is that right?
A. It would be a chemically feasible transformation ----
Q. That is not what I am asking you.
A. I don't understand the motivation to do that.
A. Let me just clarify so I can give a good answer. They used what they learned in Chakrabarti 1980 to apply to these compounds.
Q. So they could make a limited number of compounds, for example, in the triazolo series.
A. Exactly, and what they generally found was that the compounds that they made were less active in the triazolo series.
Q. Yes?
A. And I don't think that necessarily leads to the conclusion that one should therefore take compounds from the triazolo series and translate them back into the thiophene series.
Q. I appreciate you don't think one should do that, but what I am putting to you is that since, in the context of your comment, to change from triazolo to a thieno is not a small change, I am putting to you, as we have discussed, that in this paper the authors of Chakrabarti were trying to substitute thieno rings with triazolo rings and their experience of the thienos led them to synthesize only a limited number of triazolos, correct?
A. Correct.
Q. And that clearly suggests that experience of the thieno has guided their choice of triazolos obviously.
A. Yes.
Q. And therefore, assuming that one wishes to look back at thienos, the reverse must be true: experience of the triazolos must guide the choice of thienos.
A. Experience with the triazolos would suggest that the thienos might be more active, yes.
Q. And the thieno analogues that Chakrabarti is referring to in the passage we have just read, "Experience in the SAR of the thienobenzodiazepines", they must have had a good therapeutic index otherwise they would not have been used as the basis for the choice of the triazolos, obviously. They must have had a good, as you put it, relationship between the CAR and the CAT.
A. The specific compounds with the particular substitutions that they used. Is that what you are asking?
Q. Yes, because it guided the choice. A limited number.
A. Yes. They no doubt took the favourite compounds and then applied the substituents on those compounds to the triazolos.
Q. Thank you.
Obviousness over Schauzu
4 Q. And if it were important, I think we are agreed, if you are
5 going to spend money on this, you would do your damnedest to
6 find out exactly what was intended and not merely trust on
7 your judgment. Is that fair?
8 A. Yes, that is right.
Commercial Success
Insufficiency
(i) In the case of an alleged selection invention, the invention lies in the discovery of a surprising advantage which the selection is said to possess over the previously disclosed class. Unless that advantage is set out in clear terms in the patent, the invention is not disclosed, either at all or with sufficient clarity and completeness.
(ii) The Patent does not contain any disclosure, or alternatively any sufficiently clear or complete disclosure, of any surprising advantage which olanzapine is alleged to possess over the preferred class, alternatively the entire class, of compounds disclosed in the Provisional Specification of GB 1 533 235.
(iii) The Patent does not enable the skilled person to conclude that olanzapine would have any advantages when compared with other members of the preferred class, alternatively the entire class, of compounds disclosed in the Provisional Specification of GB 1 533 235.
(iv) Without prejudice to the generality of the foregoing, insofar as the Court finds that there is any disclosure in the Patent of the advantages of olanzapine over any compounds within the preferred class of the '235 provisional specification, this disclosure is limited to the following:
(a) alleged lower elevation of plasma levels of CPK in patients when compared to flumezapine; and(b) alleged absence of elevation of cholesterol in dogs compared to a significant rise in cholesterol levels in dogs treated with ethyl olanzapine.The Patent does not enable the skilled person to conclude that olanzapine would have those alleged advantages when compared with other members of the preferred class, alternatively the entire class, of compounds disclosed in the Provisional Specification of GB 1 533 235.
(v) Claims 11, 14 and 17 (alleged to be independently valid) claim a dosage comprising from about 0.1 to 20 mg of olanzapine or another compound in the class claimed in claim 2 or 3. Doses of olanzapine below 0.5 mg are not clinically effective for the treatment of any psychotic disorder. Accordingly, such doses cannot enjoy any relevant advantage over the previously disclosed class. Further this dosage range overlaps with dosage ranges disclosed in the Provisional Specification of GB 1 533 235, and no advantage is disclosed in the Patent for the dosage range claimed in the said claims.
Result
1. Lilly's objective from 1974 was to discover an atypical antipsychotic with the positive properties of clozapine but without the side effects. In particular a compound was wanted which (a) had the antipsychotic effects of clozapine (b) shared the lack of EPS and which (c) did not cause agranulocytosis.
2. The research commenced in 1974 when the first compounds within Lilly's class of thienobenzodiazapines were made. Lilly's research was carried out at its Neuroscience Research Centre at Erl Wood Manor in Windlesham, Surrey. Lilly first explored a number of potential candidates, as reported in Chakrabarti 1980, and identified the most promising in the mid '70s.
Ethyl flumezapine
3. Initially, the most promising candidate was known internally as EW 5508 (ethyl flumezapine). The structure of 5508 is:
4. A project team for this compound was formed and toxicity studies were carried out throughout 1976. However, in November 1976 the conclusion was reached that the animal tests did not suggest that 5508 would have any advantage over competing products (which would have included clozapine) so far as toxicity was concerned and that successful approval of the compound would therefore depend on the demonstration of a clear cut advantage as regards efficacy.
5. In April 1977, a six-month toxicological study (started in September 1976) was completed using 5508 in dogs. Part way through this dog toxicology study, animals were found to be undergoing weight loss, anorexia, infection, blood cell changes and, in some cases, there was also enlargement of the mammary glands. Of particular concern was the fact that, like clozapine, 5508 was found to cause severe blood disorders and human volunteer studies were postponed indefinitely.
Flumezapine
6. In parallel with the development of 5508, the pharmacology department had been continuing the analysis of other compounds from the series, in particular compound 5852 (flumezapine).
7. An initial study on 5852 compared dogs treated with high doses of either 5852 or 5508. In this comparison, neutropoenia was not observed in dogs treated with 8 mg/kg of 5852. In contrast, two animals both given 5508 at 8mg/kg group experienced severe granulocytopoenic episodes. In each case a drastic fall in the number of neutrophils was observed. 5508 was accordingly dropped as a candidate for development and the 5508 Project Team disbanded.
8. Following the discovery that compound 5852 did not cause granulocytopoenia in dogs dosed at 8mg/kg/day for 40 days, in September 1978, it was decided to initiate six month studies in rats and dogs, a pilot rat production study, a pilot rabbit teratology study and acute toxicity studies in rats, mice, dogs and monkeys. Preclinical data were collected over the next two years.
9. In January 1981 an IND for 5852 was filed and from January to October 1981 Phase I safety trials were conducted in healthy human volunteers. In addition, further longer-term toxicity studies in animals were continuing throughout 1981. The conclusion reached from these tests was that 5852 had a sufficiently safe profile to enable it to be administered to patients suffering from schizophrenia. Phase II clinical trials were then initiated.
10. In early April 1982, studies in 13 schizophrenic patients showed that 5852 caused increases in the muscle enzyme creatine phosphokinase ("CPK") and the liver enzymes SGOT and SGPT. Less frequently, LDH and alkaline phosphatase were elevated. As a result, Lilly decided not to add any new patients to the clinical trials and immediately reported the fact of these raised liver enzymes to the FDA on 2 April 1982. The same day the FDA advised that patients be withdrawn from the drug as soon as possible.
11. During the very short period of clinical exposure before the hepatotoxicity was observed, 5852 was found to be an effective anti-psychotic with a rapid onset of action and very few reported acute side effects.
12. DRL suggested that Lilly was not as persistent as it could have been in seeking to persuade the FDA to allow it to continue with the human trials on flumezapine. It is clear that the decision not to progress flumezapine was Lilly's alone. The evidence surrounding the decision not to take flumezapine further is unsatisfactory. For example there are no minutes of the meeting at which the decision was taken, and Dr Pullar was not present at it. All one can say is that the human clinical trials of flumezapine encountered an initial adverse toxicological indication which Lilly chose not to investigate further.
The decision to proceed with olanzapine
13. Despite research on 5508 and 5852 spanning the period 1974 to 1983, Lilly had failed to discover a compound with the potential to develop into a drug for human use. Dr Bill Dawson, the Manager of Biology at Erl Wood, was anxious to try to salvage something from the project given that, despite the significant resources provided to Erl Wood, Erl Wood had thus far not produced a successful marketed compound. The Erl Wood scientists were thus given a final chance and a small sub-group was formed in August 1982 charged with the specific task of finding one, or possibly two replacements for 5852.
14. Seven new compounds were synthesised, all of which were methyl-substituted on the thiophene ring and one of which was olanzapine, the des-fluoro analogue (i.e. not fluorine-substituted) of 5852 which was first synthesised on or around 29th April 1982.
15. Dr Pullar explained the reason for the preference of the methyl as opposed to the ethyl group. Lilly made a connection between the agranulocytosis seen with ethyl flumezapine and the presence of the ethyl group which could be metabolised quite easily. Lilly therefore had a preference for methyl in the 2-position. Lilly submitted, and I accept that this is not information which was in the public domain. No common general knowledge reason was suggested for this preference.
16. Initial data showed that olanzapine was much less potent than 5852 which carried with it the expectation that there would be more side effects which were not related to the mechanism of action of the drug.
17. Nevertheless Lilly decided to progress olanzapine. Over the next seven years, Lilly carried out tests on olanzapine to determine its pharmacological profile. Overall, Lilly found olanzapine to be sufficiently safe to progress to human studies.
18. Thereafter, Phase I human clinical trials were carried out in 1986 and 1987 in healthy volunteers, and further clinical trials were carried out in 1989 in schizophrenic patients. Olanzapine appeared to be a safe and effective new antipsychotic product with less propensity to induce extrapyramidal symptoms and cause side effects connected with elevation of prolactin levels than conventional treatments. It was also found to be active at lower doses than were expected given the preclinical test results.
1. Only two claimed advantages versus compounds described or claimed in 235 appear in the Patent:
a. alleged lower elevation of plasma levels of the enzyme CPK when compared to flumezapineb. alleged absence of elevation of cholesterol in dogs as compared to a significant rise in dogs treated with ethyl olanzapine.2. The first problem to be met by a classical selection case is that the Patent does not even assert any quality for olanzapine which is of a special character not shared by the whole class. The advantages alleged are only over individual members of the disclosed class. There is no disclosure of whether olanzapine is special in this regard, or whether this is a property shared by a large part of the class. I accept DRL's submission that this is not enough for a valid selection patent. In this connection, the advantages over "currently used neuroleptics" are not relevant (although of course the absence of any influence on white blood cell count is relevant to the general obviousness case). The currently used neuroleptics are not part of the class of 235.
3. That is sufficient to dispose of the selection case. Lilly submitted that a broader view of the advantages of olanzapine was appropriate. I disagree, but record my findings of fact in case they are important:
a. The fact that olanzapine is a clinically approved, safe and effective treatment. This is not in dispute.b. The absence of the tendency to cause agranulocytosis. As compared with clozapine it is clearly the case that olanzapine does not cause white blood cell disorders. I have taken this fact into account in my consideration of obviousness generally.Lilly relied at trial on their own experience with ethyl flumezapine in support of a submission that olanzapine has this advantage over flumezapine (albeit not one mentioned in the Patent). There was no real challenge to Lilly's evidence that this tendency to affect white blood cells was Lilly's reason for abandoning ethyl flumezapine; but issue was not really joined on whether the data were robust enough to have supported this conclusion as it was not part of Lilly's pleaded case.c. Olanzapine has a reduced tendency to cause EPS (in particular tardive dyskinesia) as compared with FGAs. Overall this was established, although of course olanzapine has its own side effect profile including a tendency to cause weight gain. DRL's argument was that this advantage was not sufficiently established, for example the Summary of Product Characteristics says this cannot be concluded as a basis for clinical action as against haloperidol. Nevertheless, on balance, the advantage exists.d. Olanzapine causes lower prolactin levels. There is a relationship between dopamine agonists and prolactin levels: prolactin release was a known effect of anti-psychotic drugs. Lilly's case was that olanzapine had an advantage in this respect as compared with ethyl olanzapine and either flumezapine or ethyl flumezapine.The evidence focussed on ethyl olanzapine. Another pharmaceutical company, Ivax, commissioned a dog study for the purposes of United States proceedings in the course of which prolactin levels were measured. An indication of elevation of prolactin levels in the animals treated with ethyl olanzapine was observed at 13 weeks, but not in those treated with olanzapine. Lilly rely on this study, although they were not in a position to offer a repetition.There are a number of problems with this evidence. The study was not set up to measure prolactin, so no baseline measurements were taken. No measurements of prolactin level were taken after the thirteen week reading which showed the difference.Despite these reservations, in the absence of any conflicting evidence, I consider that olanzapine did show an advantage over its ethyl analogue in terms of elevation of prolactin levels in dogs.There was no real basis for a direct comparison in relation to prolactin levels between olanzapine and either flumezapine analogue.e. Raised enzyme levels. Raised enzyme levels are a potentially serious concern with any drug, if encountered at or below therapeutic doses. Lilly relies on its own experience with flumezapine which I have described in Appendix 1. As I have said, the most one can say from this history is that the human clinical trials of flumezapine encountered an initial adverse toxicological indication which Lilly chose not to investigate further. In later trials with olanzapine some raised enzyme levels were also observed, but only at higher doses than was the case with flumezapine. This enabled Dr James to say that the decision to proceed further with olanzapine in preference to flumezapine was justified from a toxicological standpoint. Neverthless Dr James accepted that a head to head comparison between the two drugs in relation to enzyme levels was not possible. Nevertheless I think Lilly is right that, on the balance of probabilities, olanzapine had an advantage over flumezapine in that olanzapine's regulatory pathway was likely to be easier than flumezapine.f. Lower cholesterol levels in dogs. Lilly contends that the evidence established that olanzapine has a lower tendency to raise cholesterol levels in dogs than ethyl olanzapine. In my judgment it was established that olanzapine does show such an advantage in female dogs. It was not established that this advantage would be replicated clinically. In fact it is now known that olanzapine does raise cholesterol levels in humans, to the extent that Lilly has warned doctors of this fact.
Note 1 Two possible substituents at the 4-position on the piperazinyl group, and three each on the phenyl and thiophene rings: 2x3x3 = 18 [Back]