Gerald Kamstra Isabelle Romet Dr. Walter Maiwald European Patent Attorney Maiwald Patentanwalts GmbH (Germany) Joann Neth and Jennifer Swan Finnegan, Henderson, Farabow, Garrett & Dunner LLP (USA) Achieving total patent protection
drug salts, polymorphs, enantiomers, purity profiles
Achieving total patent protection
USA: 35 USC §102(b) may act as statutory bar if “the invention was patented or described in a printed publication in this or a foreign country or in public use or on sale in this country more than one year prior to the date of the application for patent in the United States.” (emphasis added)
USA: Patent term may be adjusted as result of prosecution delay by USPTO (extension of term) or applicant (reduction of term)
Achieving total patent protection
Directive 2004/27/EC: all salts, esters, isomers, mixtures of isomers, complexes or derivatives “shall be considered to be the same active substance unless they differ significantly” in safety and/or efficacy
regulatory obstacle to generic variants lowered
adequate scope of patent and Supplementary Protection Certificate protection even more important now
Achieving total patent protection Scope and essential similarity (cont.)
New Drug Applications (NDA’s) – for innovaterdrugs requiring detailed showings of safety and efficacy
Abbreviated New Drug Applications (ANDA’s) – for generic drugs that are the “same as” innovaterdrug; approved on basis of chemistry and bioequivalence data
Federal Food Drug and Cosmetic Act § 505(b)(2) –for drugs incorporating changes to innovater drug, e.g. different salt, enantiomer, etc. of active ingredient; approved by reliance on safety and effectiveness of approved innovater drug. Achieving total patent protection
arbitrary parameters having little technical significance do not confer inventive step (Raychem’s Patent)
essential to check that there is no uncertainty regarding the measurement of the parameters characterizing the claim (e.g. First Instance Court of Paris, May 12, 2000, Purac Biochem v. Xyrofin)
Achieving total patent protection
The “product-by-property” claim (cont.)
functional definitions may provide wider protective scope, but may cause problems proving infringement in litigation
“product-by-process” claims more controversial!
Conflict in court decisions re: validityScripps Clinic v. Genentech (Fed. Cir. 1991) – patentability of product does not depend on its method of productionAtlantic Thermoplastics Co. v. Faytex Corp. (Fed. Cir. 1992) –“process terms in product-by process claims serve as limitations. . .”
Achieving total patent protection
Does the variant have any material effect upon the way the invention works? If not,
would it have been obvious to a man skilled in the art that the variant would work in the same way? If so,
would the skilled man in the art nevertheless have understood from the language of the claim that the patentee intended that strictcompliance with the primary meaning was an essential requirement of the invention?
Achieving total patent protection
Do the claimed means implement a novel function? If so,
Does the variant perform the same function for the same resultas the claimed means? If so,
Does the variant go directly and unambiguously against theteachings of the patent?
Achieving total patent protection
Does the infringement solve the same object as the inventionwith objectively similarly effective means?
Could a skilled person have found such means based on hisexperience and knowledge?
Did the patent provide basis for considering that no equivalentreplacement of the claimed feature, by such means, wasintended? (BGH, “Custodiol I” and “Custodiol II”)
Achieving total patent protection WarnerJenkinson v. Hilton Davis (US S. Ct. 1997)
does device perform substantially same function, in substantially same way, to achieve substantially same result
But – DOE “is not a license to ignore or erase structural or functional limitations of the claim. . .” Athletic Alternatives v. Prince (CAFC 1996)Festo Corp. v. Shoketsu (US S. Ct. 2002) – All claim amendments presumed to be narrowing, eliminating DOE; presumption rebuttable on showing amendment to claim element was “unforseeable at time of application” or “for some other reason” not included in original claim
Key patent litigation in US, UK, Germany and across Europe
Zantac (ranitidine hydrochloride Form 2)
Key patent litigation in US, UK, Germany and across Europe
Zantac (ranitidine hydrochloride Form 2) (cont.)
USA – Glaxo v. Novopharm (Fed. Cir. 1997)
Form 1 and Form 2 ranitidine hydrochloride – patents on both forms
Novopharm filed ANDA claiming its product only contained Form 1
District Court and CAFC held Form 2 patent not infringed
Glaxo: only examine product described in ANDA; since Novopharm’sANDA allowed for 10% Form 2, don’t need to prove Novopharm’s tablets actually contain Form 2
Key patent litigation in US, UK, Germany and across Europe
Zantac (ranitidine hydrochloride Form 2)
USA – Glaxo v. Novopharm (Fed. Cir. 1997) (cont.)
CAFC: “In a case . . . Involving a compound capable of existing in various forms . . . Statute requires an infringement inquiry on what is to be sold following FDA approval.”
The “inquiry in a [Hatch-Waxman] suit is . . . Whether, if the drug were approved based upon the ANDA, the manufacture, use, or sale of that drug would infringe the patent in the conventional sense.”
“This inquiry is based on all the relevant evidence, including the ANDA.”
“[A]ctual samples . . . Required by the FDA generally removes much of the uncertainty from a court’s otherwise hypothetical inquiry.”
Novopharm provided Glaxo samples, but Glaxo did not offer sample analyses at trial, therefore no infringement
Key patent litigation in US, UK, Germany and across Europe
Germany - Supplementary Protection Certificate and formulation patent found invalid (confirmed by ECJ)
France - Supplementary Protection Certificate expired April 15, 2004 and formulation patent under challenge
USA - formulation patent found valid but not infringed by Schwarz Pharma (but by other generics) by District Court and CAFC
In re Omeprazole Patent Litig. Astia Aktiebolag v. Andrex, et al. (Fed. Cir. 2003)
Key patent litigation in US, UK, Germany and across Europe
Paxil (paroxetine hydrochloride hemihydrate)
hemihydrate patent challenged only by Apotex and none of the generics purport to sell hemihydrate - no trial date
anhydrate patent challenged unsuccessfully by BASF, validity affirmed on appeal, then challenged successfully by Apotex - appeal pending
hemihydrate patent: Request for interlocutory injunction rejected
UTM for anhydrate: cancelled by GPTO, confirmed by Federal Patent Court and German Supreme Court
Key patent litigation in US, UK, Germany and across Europe
Paxil (paroxetine hydrochloride hemihydrate) (cont.)
SmithKline Beecham Corp. v. Apotex Corp., 247 F.Supp.2d 1011 (N.D.Ill. 2003)–
Apotex filed an ANDA for approval to market paroxetinehydrochloride anhydrate SB argued that Apotex's anhydrate converts to paroxetine hydrochloride hemihydrate
District Court finds that anhydrate converts to hemihydrate but found no infringement based on claim construction
The '723 patent notes that hemihydrate is not hygroscopic and thus has certain manufacturing benefits
District court limited claim 1 to "commercially significant" amounts of hemihydrate "High double digits to contribute any commercial value"
Key patent litigation in US, UK, Germany and across Europe
Paxil (paroxetine hydrochloride hemihydrate)
SmithKline Beecham Corp. v. Apotex Corp., 365 F.3d 1306 (Fed. Cir. 2004). (cont.)
SB did not establish Apotex will make "high double digits" amounts thus, Apotex does not benefit from hemihydrate.
District Court found that SB was responsible for seeds of hemihydrate
Thus, district court found that Apotex was not responsible for the hemihydrate in its product
The Federal Circuit agreed with SB's claim construction, and found Apotex’s product infringed. Key patent litigation in US, UK, Germany and across Europe
Paxil (paroxetine hydrochloride hemihydrate)
SmithKline Beecham Corp. v. Apotex Corp., 365 F.3d 1306 (Fed. Cir. 2004). –
Ultimately, SB did not prevail in the litigation because the Federal Circuit found the claim invalid for public use under 102(b).
SB conducted clinical trials with the hemihydrate crystalline form in the United States in May-June, 1985, to establish that paroxetinehydrochlloride worked as an antidepressant. SB filed its patent application in the United States in October, 1986, more than one year after the first use of the hemihydrate in the United States.
The Federal Circuit held that the clinical trials performed by SB were not an experimental because the claim did not literally recite any intended use, thus (according to the Court), SB had no right to experiment to determine whether P-HCL hemihydrate worked for its intended purpose.
The Federal Circuit agreed with SB's claim construction, and found Apotex’s product infringed. Key patent litigation in US, UK, Germany and across Europe
Paxil (paroxetine hydrochloride hemihydrate)
SmithKline Beecham Corp. v. Apotex Corp., 365 F.3d 1306 (Fed. Cir. 2004). –
Ultimately, SB did not prevail in the litigation because the Federal Circuit found the claim invalid for public use under 102(b).
SB conducted clinical trials with the hemihydrate crystalline form in the United States in May-June, 1985, to establish that paroxetine hydrochlloride worked as an antidepressant. SB filed its patent application in the United States in October, 1986, more than one year after the first use of the hemihydrate in the United States.
The Federal Circuit held that the clinical trials performed by SB were not an experimental because the claim did not literally recite any intended use, thus (according to the Court), SB had no rightto experiment to determine whether P-HCL hemihydrate worked for its intended purpose.
Key patent litigation in US, UK, Germany and across Europe
composition patent found to lack novelty and second medical use (periodicity) patent found invalid as a method of therapy, at first instance and on appeal - permission to appeal to House of Lords refused
Key patent litigation in US, UK, Germany and across Europe
USA - Merck v. Teva (D. Del. 2003)
patent covering weekly administration held valid and infringed by District Court
Teva stipulated infringement if patent valid
Teva argued collateral estoppel on factual findings underlying validity, based on British High Court’s finding that counterpart EP was invalid. D. Del. found obviousness vs. inventive step standards different and denied
D. Del. found not obvious over other prior art; on appeal to CAFC
Key patent litigation in US, UK, Germany and across Europe Fosamax (alendronate)
USA - Merck v. Teva (Fed. Cir. 2003)
patent covering method of using alendronate held valid and infringed by District Court and CAFC
Claim to method using alendronate acid; Merck FDA-approved product – alendronate sodium salt
Teva’s ANDA: alendronate sodium salt; no infringement because claim is to alendronate acid, not salt
CAFC: Persons skilled in art recognize acid is active agent, and is administered in form of the salt; no evidence claimed method of treatment not achieved by the salt; claim infringed by acid, whether administered pure or as salt
Key patent litigation in US, UK, Germany and across Europe
patent covering paroxetine mesylate (PMS) found at first instance to be anticipated by teachings of Synthon patent application because judge concluded that these were the “same invention”
Court of Appeal rejected this reasoning and found patent valid on basis of established test of novelty - teachings would not give PMS as claimed
litigation stayed, pending decision by Dutch Court on cross-border injunction
Key patent litigation in US, UK, Germany and across Europe
– USA - SKB v. Synthon (M. Dist. North Carolina)
PMS product for which Synthon sought FDA approval accused of infringement of counterpart US PMS patent
Synthon challenged validity – similar arguments as in UK
case settled before trial on confidential terms
Key patent litigation in US, UK, Germany and across Europe
USA - Schering vs Geneva et al., D. New Jersey and CAFC
Patent for metabolite of previously patented antihistamine (Claritin/loratadine) invalid as inherently anticipated, even though prior art did not disclose any compound identifiable as claimed invention
Metabolite (DesCarboethoxylLoratadine – “DCL”) “necessarily” formed upon ingestion of previously patented antihistamine under normal conditions
Continental Can v. Monsanto (Fed. Cir. 1991) – “To serve as an anticipation when the reference is silent about the asserted inherent characteristic, such gap in the reference may be filled by reference to extrinsic evidence. Such evidence must make clear that missing descriptive matter is necessarilypresent . . .” (emphasis added)
Patent claims broadly construed to cover DCL in any form – whether metabolized within human body or synthetically produced in purified and isolated form
Narrower claim (synthetically produced?) = different result?
New forms and polymorphs
SB’s paroxetine hydrochloride anhydrate patent claims a process for making crystals substantially free of bound organic solvent by use of a displacing agent
SB vs Apotex: Apotex process found at first instance not to infringe: judge concluded that the resulting material substantially free of bound organic solvent was not produced by a displacement step
no reported litigation in the same matter
In another matter, a solution characterized by its active ingredient, its sterility and limpidity, was held lacking novelty since the active ingredient was known (First Instance Court of Paris, Fisons v. Europhta, June 15, 1999)
New forms and polymorphs
SB’s anhydrate UTM cancelled for lack of novelty
Litigation pending against various defendants in Philadelphia and cases consolidated for discovery. New forms and polymorphs
“Showing that some types of implementation of a general teaching will produce a product within a subsequent claim may show that the subsequent claim is invalid for obviousness. By itself it does not prove anticipation” per Laddie J in Inhale vs QuadrantNew forms and polymorphs
A process described in the prior art anticipates a product only if the skilled person could:
obtain the product when implementing the known process,
identify the obtained product with the methods available at this time
As an example of product claim which is not anticipated by a process because the prior art document does not provide all the parameters leading to the product: Court of Appeal of Paris, March 10, 2004, Rhodia v. Asec
Regarding inherency, French caselaw is in line with the EPO (G2/88 and G6/88): First Instance Court of Paris, 3e Ch, March 14, 2000 (not published) Abbott v. Wyeth Nutrition:
« It does not anticipate claim 15 since, even though it covers a food product having the samecomposition as the one described in the claim, it does not anticipate the results described in the claim, i.e. the stimulation of repair and the regeneration of intestinal cells in infants and in adults ». New forms and polymorphs
What a skilled person necessarily finds when practising the prior art,
is anticipated by said prior art (BGH, “Thrombozytenzählung”)
New forms and polymorphs
Prior art reference may anticipate when claim limitation(s) not expressly found
in reference are nonetheless in herent in it. MEHL/Biophile v. Milgraum (Fed.
Continental Can v. Monsanto – must be “necessarily” present; “Inherency . . .
May not be established by probabilities or possibilities. The mere fact that a
certain thing may result . . . Is not sufficient.” (emphasis in original)
MEHL/Biophile – “Occasional results are not inherent.”
New forms and polymorphs
UK - paroxetine mesylate patent/Synthon vs SKB - see above
New forms and polymorphs
The cases of the “disappearing polymorph”
paroxetine hydrochloride anhydrate patent - 407 patent gives paroxetine hydrochloride hemihydrate (more stable pseudo polymorph)
New forms and polymorphs
The cases of the “disappearing polymorph” (cont)
Form 1 ranitidine – Glaxo v. Novopharm
Ritonavir/Norvir (Organic Process Res. & Dev. 2000, 4, 413-417)
From ritonavir discovery until NDA filing, only one crystalline form known
2 years after Abbott launched Norvir, some lots failed dissolution spec.
Investigation revealed new crystal form (Form II) than known one (Form I)
Form II didn’t work in FDA-approved semi-solid formulation because less soluble
Form II spread within Abbott Chicago facility, and then to Italy – SEEDS!
Developed new formulation accommodating presence of Form II
paroxetine hydrochloride hemihydrate - SB vs Apotex
“SmithKline’s experts applied the disappearing polymorph theory to show that Apotex’s PHC anhydrate tablets inevitably convert to hemihydratewhen combined with moisture, pressure and practically ubiquitous PHC seeds.”
New manufacturing processes - impurities and novelty
US best mode requirement – 35 USC §112: “The specification shall contain a written description of the invention . . . In such full clear, precise and exact terms as to enable any person skilled in the art . . . To make and use the same, and shall set forth the best mode contemplated by the inventor of carrying out his invention.” (emphasis added)
biological/fermentation processes not easily reverse engineered or copied
New manufacturing processes - impurities and novelty
Simvastatin, Choline salicylate, Citalopram, Amlodipine
Simvastatin made by biological process - limited generic supplies available
Merck’s “Dimeric contamination” patent revoked in Germany
EPO: Opposition proceedings on recrystallization patent
UK: settlement following inspection of Lagap’s process
New manufacturing processes - impurities and novelty
Simvastatin, Choline salicylate, Citalopram, Amlodipine (cont.)
US - Pfizer v. Dr. Reddy’s Labs. (Fed. Cir. 2004)
Central issue was whether Patent Term Extension (“PTE”; 35 USC §156) applied to full scope of claim (amlodipine + acid addition salts), or whether limited to commercial product (Norvasc), amlodipine besylate
Dr. Reddy’s sought to market amlodipine maleate and argued PTE applied only to amlodipine besylate so free to market anlodipine maleate
CAFC: “35 USC 156(f) makes clear that “drug product” means the active ingredient “including any salt or ester of the active ingredient”
“active ingredient” = amlodipine, whether as besylate or maleate salt
PTE extends to amlodipine and any salt or ester ∴Dr. Reddy’s maleateproduct infringes
New manufacturing processes - infringement
Taxol case, First Instance Court of Paris, March 27, 2002,Aventis Pharma v. Bristol-Myers Squibb
New formulations
Formulation science is predominantly empirical and therefore susceptible to erroneous hindsight analysis
e.g. claim to drug active tablet formulated with known excipients
Relatively easy to get regulatory approval for sub-optimal non-literal infringements
e.g. formulation in which a claimed feature is missing or an excluded feature is added
New formulations
Different active in a known formulation
Each drug active presents its own delivery problems, e.g. topical vssystemic, susceptibility to low/high/physiological pH, bioavailability/peak concentration/AUC requirements, etc
Known formulation solutions may be available but was there real expectation of success?
Was there a “teach away” from the known solution?
Enantiomers, pro-drugs and metabolites may all be novel and inventive but are they sufficiently advantageous for the market to pay more for them?
New formulations
Known active in a (compositionally defined) new formulation
Delayed or controlled release formulations
but will market pay for improved formulation?
US yes, UK no, France and Germany in many cases: yes
New formulations
Known active in a functionally defined formulation
Characterisation by stability, delivery profile, bioavailability, avoidance of toxicity
New formulations
Caselaw about infringement of patents covering numerical ranges
UK: leading authority (Catnic) was about the word “vertical”
In Auchincloss a range was interpreted as meaning the range and no more -but not considered by Court of Appeal
A value outside the claimed range excludes infringement if said range is:
essential for distinguishing the claim from prior art
or essential for performing the function of the claimed means
Germany: leading authority (Custodiol) is about numerical range limits;
recites Auchincloss. Equivalence possible, but practically limited to
standard deviation from numerical value. New formulations
Caselaw about infringement of patents covering numerical ranges
USA: USPTO and courts find claims anticipated where prior art teaches:
a species falling within claimed range – Titanium Metals v. Banner(Fed. Cir. 1985)
a range overlapping the claimed range – Chester v. Miller (Fed. Cir. 1990)
a range falling within the claimed range – In re Mindick(CCPA 1967)
a range sharing an end point with the claimed range – In re Nehrenberg (CCPA 1960)
Use of “about” or “approximately” may avoid strict numerical boundary,
but cannot be used to render limitation meaningless
Hilton Davis v. Warner-Jenkinson (Fed. Cir. 1997) – process performed at pH of 5 found equivalent to claimed pH range of “from approximately 6.0 to 9.0
New metabolites
Terfenadine: infringement/novelty squeeze not argued in House of Lords as parties agreed novelty only should be in issue
However, a metabolite is likely to be held novel if it could not be identified in the past,
According to the rules about contributory infringement, the sale of the prodrug should be infringing only if there is a reference to the metabolite
Terfenadine: no infringement, since competitors’ products were subject-matter of expired(older) patent on terfenadine.
Metabolite patent validity not attacked (probably valid)
New metabolites Marion Merrell Dow v. Baker Norton (S.D. Florida 1996)
Baker Norton sought FDA approval of generic Seldane (terfenadine) after MMD’s basic patent expired
MMD sued on ‘129 patent to terfenadine acid metabolite (TAM); patents taking generic terfenadine will produce TAM in vivo, inducing patients’infringement
Dispute whether claimed “compound” includes in vivo conversion (MMD) or is limited to synthetic means (Baker Norton)
Court construed claim to be limited to TAM made synthetically not metabolically
Cancellation of claim including “essentially pure” in response to rejection of that claim and broader one without
New metabolites Marion Merrell Dow v. Geneva (D. Colorado 1994)
Geneva sought FDA approval of generic terfenadine
MMD sued on TAM patent; same in vivo infringement argument
Geneva attacked validity: earlier ‘217 patent disclosed terfenadine, which when taken orally inherently metabolizes to TAM and therefore anticipates
Court denied summary judgment of non-infringement and invalidity
Note: In 1997, Hoescht Marion Roussel and Baker Norton voluntarily
discontinued distribution of all terfenadine-containing antihistamine products in U.S., on basis it caused serious and potentially fatal heart condition when taken with other medications. HMM replaced Seldanewith Allegra. New metabolites Schering Corp. v. Geneva (Fed. Cir. 2003)
Earlier patent to loratadine inherently anticipated later claims to its metabolite, DesCarboethoxylLoratadine (DCL), based on inevitable in vivo conversion of loratadine to DCL
CAFC noted that metabolites may be patentable, but not as “bare”compound claims; applicant may be able to claim purified isolated metabolite or composition containing the metabolite
New metabolites
Synthetic intermediates - as part of process claim may provide scope to prevent importation of direct product of the process
Metabolic intermediates - likely to present the same infringement/novelty problems that arose in Terfenadine
New metabolites Monsanto vs Merck: 10-9 molar quantity of enol tautomer in vivo de minimisand not an infringement
SB vs Apotex: Jacob J suggestion that preliminary injunction may not be granted unless alleged infringement contained more than 10% paroxetinehydrochloride hemihydrate
However, infringement is unlikely if the product is present in a quantity too low
Germany - “Relevant technical effect” must be provided by claimed feature in the
New metabolites Deuterium Corp. v. U.S.(U.S. Cl. Ct. 1990) – “This court questions whether
any infringing use can be de minimus. Damages for extremely small infringing
use may be de minimus, but infringement is not a question of degree.”
Embrex v. Service Eng’g Corp. (Fed. Cir. 2000) – Defendant’s two
experiments, in course of designing around patented in ovo injection found to
be directed to commercial purpose, not “for amusement to satisfy idle curosity,
or for strictly philosophical inquiry” and thus not de minimus infringement. SmithKline v. Apotex (Fed. Cir. 2003) – small amounts of patented paroxetine
hydrocholoride hemihydrate in paroxetine hydrocholoride anhydrate tablets
New therapies/indications
Carvedilol, “Knochenzellenpräparat”
Carvedilol: use of beta blocker for congestive heart disease
DE: Federal Patent Court found no new indication
Biocyte: claims to umbilical cord stem cells in cryopreservative revoked by EPO
DE: Federal Patent Court found dosage regime (“Therapy plan”) basically patentable (but, in this case, not novel). Second medical use claims and disguised therapeutical methods
Second medical use claim result of prohibition in EPC of claims covering methods of therapy
typical form: use of known compound X for the preparation of a medicament for the treatment of disease Y
claims can cover use of class of compounds, specific compounds and/or effects such as blood levels or toxicity
Second medical use claims and disguised therapeutical methods
Mode of administration and means of delivery
Claims can be limited to mode of administration, e.g. simultaneous or sequential delivery of a combination
Claims can be limited to a means of delivery, e.g. oral formulation
Second medical use claims and disguised therapeutical methods
Claims can be limited to dosage regimens and/or infusion regimens
but possibly not valid in UK because of Taxol decision
probably valid in DE, “Knochenzellenpräparat”
Second medical use claims and disguised therapeutical methods
UK: Court of Appeal found claim to use of Taxol for the preparation of a medicament for the administration of a defined dose of taxol over a period of 3 hours for the treatment of cancer to be a method of therapy
EPO: Opposition Division did not find claim invalid on this ground
Bristol-Meyers Squibb v. Boehringer Ingelheim (D. New Jersey 2000): Preambles of method of treatment claims reciting purpose limitations; claims invalid over prior art, because it carried out claimed method steps
Bristol-Meyers Squibb v. Benvenue Labs. (Fed. Cir. 2001): Preamble merely expresses a purpose and intended result; steps of claim same regardless of achieving purpose in preamble; affirmed invalidity
Second medical use claims and disguised therapeutical methods
UK: Court of Appeal found claim covering use of PDE inhibitors for
the preparation of a medicament for the treatment of male erectile dysfunction invalid for obviousness
EPO: Opposition Division came to same conclusion - appeal pending
Second medical use claims and disguised therapeutical methods
USA: proceedings pending in District Court
Pfizer sued on claim to method of treating erectile dysfunction comprising using an effective amount of a PDE-5 inhibitor (broad claim!)
Second medical use claims and disguised therapeutical methods
USA: proceedings pending in District Court
Cases not consolidated but parties ordered to coordinate discovery
PTO Commissioner ordered reexamination of all Pfizer claims;
D. Del. stayed both litigations pending outcome of reexamination
Second medical use claims and disguised therapeutical methods
UK: Court of Appeal found claim to use of rapamycin for the preparation of a medicament for inhibiting organ transplant rejection not infringed but valid - no basis on which it would have been obvious that derivative SDZ RAD would work
Second medical use claims and disguised therapeutical methods
Infringement and regulatory considerations
European Union: currently applicant under abridged procedure required to have harmonised summary of product characteristics - if therapeutic indications include one covered by a second medical use claim, then risk of infringement
from 20 November 2005 EC Regulation 726/2004 permits SMPC to omit indications or dosage forms which are still covered by patents
Please RegisteR at least 72 HOURs PRiOR tO sURgeRY Your Checklist 3-5 Days Before Surgery Call the Pre-Operative Nurse to schedule an appointment for Pre-Procedure Registration and Testing at (702) 477-6520. Your procedure or surgery may need to be cancelled if your pre-admission testing is not completed beforehand. This will require 1-2 hours of your time. If required, you will b
Double compétence: PhD Biologie/Mastère Management des industries de Santé Docteur en biologie récemment diplômée du Mastère Spécialisé en Management des industries de la Santé de l'ESC,mes expériences professionnelles m'ont permis d'avoir une vision pluriculturelle et d'acquérir une multicompétence. Dans le cadre du mastère, j’ai réalisé un stage médico-marketing en diabéto