Katie Lee August 10 2022 Janssen succeeds on infringement against Apotex in macitentan combination patent case Smart & Biggar | Healthcare & Life Sciences - Canada Katie Lee Healthcare & Life Sciences FactsDecisionIn a public decision dated 6 July 2022 in an action under the Patented Medicines (Notice of Compliance) Regulations, Justice Pallotta of the Federal Court found that Apotex would infringe Janssen's patent relating to Janssen's Opsumit (macitentan) by selling Apo-Macitentan.(1) Apotex did not challenge validity.FactsCanadian Patent No. 2,659,770 (the 770 patent) was the subject of an earlier section 6(1) action involving Janssen and Sandoz, in which the Court rejected Sandoz's validity attacks (for further details, see "Federal Court finds Janssen's macitentan combination therapy patent valid"). The 770 patent relates to macitentan in combination with a phosphodiesterase type-5 inhibitor (PDE5-I) (eg, sildenafil) to treat diseases where vasoconstriction is involved, including pulmonary arterial hypertension (PAH).DecisionThe Court held that:Apotex would not directly infringe claims 1-5 and 10-20; andApotex would indirectly infringe claims 1-5 and 21-31 by inducing others, notably prescribing physicians, to infringe.While the specific indication in Apotex's product monograph was redacted in the reasons, Apotex argued that "the PM does not suggest that physicians or patients should use APO-MACITENTAN in combination with a PDE5-I" and the Court noted that:Based on a side-by-side comparison of the OPSUMIT and APO-MACITENTAN PMs, the APO-MACITENTAN PM does not include certain references to combination therapy that are found in the [Opsumit] PM.Direct infringementThe Court found that Apotex would not infringe claims 1-5 and 10-20 directly, as the evidence did not show that Apotex would:make, use or sell a product that contains macitentan in combination with a PDE5-I;combine a product that contains macitentan with a PDE5-I to treat PAH; oruse macitentan in combination with a PDE5-I to manufacture a medicament.Indirect infringementThe Court, however, found that Apotex would indirectly infringe, finding Janssen had shown that each element of the Corlac Inc v Weatherford Canada Ltd(2) three-prong test had been met:direct infringement – the expert witnesses agreed that combination therapy is the standard of care for most PAH patients. The evidence established that physicians and patients would directly infringe the 770 patent, and, if approved, Apo-Macitentan would be combined with a PDE5-I (sildenafil, or more commonly, tadalafil) for the treatment of PAH;influence – the Court found that prescribing physicians would review the information in the Apo-Macitentan product monograph, which included a clinical trial called the "Seraphin trial" – a landmark study showing that both monotherapy and combination therapy was effective in PAH patients – and rely on that information before prescribing Apo-Macitentan; andknowledge – the Court found that Apotex knew or ought to have known that the content of the Apo-Macitentan product monograph would influence physicians to complete the acts of infringement.Apotex has appealed.(3)For further information on this topic please contact Katie Lee at Smart & Biggar by telephone (+1 416 593 5514) or email ([email protected]). The Smart & Biggar website can be accessed at www.smartbiggar.ca.Endnotes(1) Janssen Inc v Apotex Inc, 2022 FC 996.(2) 2011 FCA 228.(3) A-131-22.