Amerigen Pharmaceuticals v. Ucb Pharma Gmbh , 913 F.3d 1076 ( 2019 )


Menu:
  •   United States Court of Appeals
    for the Federal Circuit
    ______________________
    AMERIGEN PHARMACEUTICALS LIMITED,
    Appellant
    v.
    UCB PHARMA GMBH,
    Appellee
    ______________________
    2017-2596
    ______________________
    Appeal from the United States Patent and Trademark
    Office, Patent Trial and Appeal Board in No. IPR2016-
    01665.
    ______________________
    Decided: January 11, 2019
    ______________________
    WILLIAM HARE, McNeely Hare & War LLP, Princeton,
    NJ, argued for appellant. Also represented by SHYAM
    DIXIT, Dixit Law Firm, Tampa, FL.
    JEFFREY J. OELKE, Fenwick & West, New York, NY,
    argued for appellee. Also represented by RYAN JOHNSON,
    LAURA MORAN, JAMES TRAINOR.
    ______________________
    Before LOURIE, CHEN, and STOLL, Circuit Judges.
    LOURIE, Circuit Judge.
    2          AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    Amerigen Pharmaceuticals Limited (“Amerigen”) ap-
    peals from the decision of the United States Patent and
    Trademark Office Patent Trial and Appeal Board (the
    “Board”) in an inter partes review (“IPR”) holding that
    claims 1–5 and 21–24 of U.S. Patent 6,858,650 (the “’650
    patent”) are not unpatentable as obvious. Mylan Pharm.
    Inc. v. UCB Pharma GmbH, No. 2016-00510 (P.T.A.B.
    July 19, 2017) (“Decision”). We conclude that the Board
    did not err in its conclusions and affirm.
    I. BACKGROUND
    A.
    UCB Pharma GmbH (“UCB”) owns the ’650 patent,
    which covers certain chemical derivatives of 3,3-
    diphenylpropylamines, including a compound called
    fesoterodine. Fesoterodine is an antimuscarinic drug
    marketed as Toviaz® to treat urinary incontinence.
    The chemical structure of fesoterodine is depicted be-
    low:
    Fesoterodine
    On the upper left hand benzene ring above, we will refer
    to the position of the hydroxymethyl group as the 5-
    position, and the position of the isobutyryl ester as the 2-
    position.
    Fesoterodine is a prodrug. Unlike a typical drug, a
    prodrug is an inactive molecule as-delivered and requires
    transformation within the body into its active therapeutic
    form. A prodrug may be employed when administering
    the active molecule itself is infeasible because of poor
    4          AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    B.
    Mylan Pharmaceuticals Inc. petitioned for IPR of the
    ’650 patent, and the Board instituted review of claims 1–5
    and 21–24 on two grounds: (1) obviousness over the
    Detrol Label, 2 Postlind, 3 Bundgaard, 4 Bundgaard PCT, 5
    and Berge 6; and (2) obviousness over Brynne, 7
    Bundgaard, Bundgaard PCT, and Johansson. 8 After
    institution, Amerigen and two other companies were
    joined as parties to the proceeding. Only Amerigen has
    appealed.
    1.
    The references fall into three general categories.
    First, the Detrol Label, Postlind, and Brynne discuss
    tolterodine and its metabolism and pharmacokinetics.
    Second, Bundgaard and Bundgaard PCT focus on prodrug
    design principles. Third, Berge and Johansson relate to
    focused on the motivation to make the claimed alkyl ester,
    which we do as well.
    2   Detrol® Prescribing Information (1998).
    3   Hans Postlind et al., Tolterodine, a New Musca-
    rinic Receptor Antagonist, Is Metabolized by Cytochromes
    P450 2D6 and 3A in Human Liver Microsomes, 26 Drug
    Metabolism & Disposition 289 (1998).
    4   Hans Bundgaard, Design of Prodrugs (1985).
    5   International Application WO 92/08459.
    6   Stephen M. Berge et al., Pharmaceutical Salts, 66
    J. Pharm. Sci. 1 (1977).
    7   Niclas Brynne et al., Influence of CYP2D6 Poly-
    morphism on the Pharmacokinetics and Pharmacodynam-
    ics of Tolterodine, 63 Clinical Pharmacology &
    Therapeutics 529 (1998).
    8   International Application WO 94/11337.
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH              5
    pharmaceutical salts. We will summarize each group in
    turn.
    The Detrol Label discloses the structure of tolterodine
    and its metabolism to 5-HMT via the enzyme CYP2D6.
    The metabolite 5-HMT is reported to have antimuscarinic
    activity similar to tolterodine and contribute to toltero-
    dine’s therapeutic effect. The Detrol Label taught that a
    subset of the population (known as “poor metabolizers”)
    lacks CYP2D6 activity and instead metabolizes toltero-
    dine by means of the enzyme CYP34A. Since the CYP34A
    pathway metabolizes tolterodine more slowly than
    CYP2D6, poor metabolizers have higher concentrations of
    tolterodine and negligible concentrations of 5-HMT.
    However, because the sum of unbound tolterodine and 5-
    HMT concentrations is similar in extensive (i.e., patients
    with normal CYP2D6 activity) and poor metabolizers, the
    Detrol Label teaches that the net therapeutic activity of
    tolterodine would be similar between both groups.
    Brynne is a research paper that describes the influ-
    ence of patients’ varying CYP2D6 activity on tolterodine
    activity. Like the Detrol Label, Brynne posits that “the
    CYP2D6 polymorphism does not appear to be of great
    importance in the antimuscarinic effect, probably because
    of the additive action of parent drug and active metabo-
    lite.” J.A. 301. However, Brynne did observe that
    “[t]olterodine is tenfold more lipophilic than 5-HM[T], and
    consequently tolterodine penetrates membranes more
    rapidly.” J.A. 310. The reference suggests that this
    difference might contribute to poor metabolizers experi-
    encing a slightly worse side effect than extensive metabo-
    lizers.    But ultimately, Brynne concludes that the
    variation in CYP2D6 activity between poor and extensive
    metabolizers “does not appear to be of great pharmacody-
    namic importance.” 
    Id. Postlind, another
    published research paper, focuses
    on tolterodine metabolism. J.A. 296. Postlind cautions
    6          AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    that tolterodine has a potential for drug-drug interactions
    because other drugs are metabolized by CYP2D6 and that
    CYP2D6 poor metabolizers could be particularly affected
    by such interactions.
    Bundgaard describes prodrugs and their design prin-
    ciples. The reference defines a prodrug as “a pharmaco-
    logically inactive derivative of a parent drug molecule
    that requires spontaneous or enzymatic transformation
    within the body in order to release the active drug, and
    that has improved delivery properties over the parent
    drug molecule.” J.A. 316. Thus, “[t]he prodrug per se is
    an inactive species, and therefore, once its job is complet-
    ed, intact prodrug represents unavailable drug.” J.A. 319.
    Esters are listed as common prodrug substituents. Specif-
    ically, “[a]ctive drug species containing hydroxyl or car-
    boxyl groups can often be converted to prodrug esters
    from which the active forms are regenerated by esterases
    within the body.” J.A. 319; see J.A. 320 (listing ester
    prodrugs). Bundgaard further states that esters can be
    used to improve aqueous solubility of drugs containing a
    hydroxy group and that with esterification “it is feasible
    to obtain derivatives with almost any desirable hydro-
    philicity or lipophilicity.” J.A. 321. Relatedly, Bundgaard
    PCT discloses an ester prodrug of morphine that improves
    transdermal delivery and is more lipophilic than the
    parent drug.
    Berge and Johannson both disclose pharmaceutical
    salts including fumarate salts.
    2.
    In its obviousness analysis, the Board accepted that a
    person of ordinary skill would have chosen 5-HMT as a
    lead compound for development in order to reduce the
    number of potential metabolic steps and to avoid
    CYP2D6-related drug-drug interactions. Decision, slip op.
    at 22. However, after considering expert testimony from
    both the petitioners and UCB, the Board found that a
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH               7
    person of ordinary skill would not have been motivated to
    modify 5-HMT to make a prodrug by replacing the 2-
    position hydroxy group with an alkyl ester of six or fewer
    carbons. 
    Id. at 34–35,
    40–41. This factual determination
    was premised on several subsidiary findings that Ameri-
    gen challenges on appeal. We summarize these findings
    here.
    The Board found that a person of ordinary skill would
    not have been motivated to modify 5-HMT to improve its
    bioavailability. Decision, slip op. at 32–33. Petitioners’
    expert, Dr. Patterson, testified that 5-HMT was insuffi-
    ciently lipophilic because of its two hydroxy groups, and
    that its lipophilicity would cause bioavailability problems.
    In support, Dr. Patterson pointed to Brynne’s statement
    that tolterodine is 10-fold more lipophilic than 5-HMT
    and could penetrate cell membranes more rapidly. UCB
    responded that no prior art reference suggested that 5-
    HMT would not be well-absorbed, and that the lipophilici-
    ty of 5-HMT relative to tolterodine, a known, well-
    absorbed drug, did not show that 5-HMT had a bioavaila-
    bility problem.
    Furthermore, UCB’s expert, Dr. Roush, conducted an
    analysis of 5-HMT using the “Rule of 5” discussed in a
    research article on drug delivery by Lipinski. 9 Dr. Patter-
    son agreed that a person of ordinary skill would consider
    the Rule of 5. The Rule of 5 assesses four inherent prop-
    erties of a compound that may help to predict whether it
    will have a bioavailability problem. 10 Dr. Roush consid-
    9   Christopher Lipinski et al., Experimental and
    Computational Approaches to Estimate Solubility and
    Permeability in Drug Discovery and Development Settings,
    23 Advanced Drug Delivery Reviews 3 (1997).
    10 Specifically, poor absorption is more likely under
    the Rule of 5 if: (1) there are more than 5 hydrogen-bond
    8          AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    ered these properties as they pertained to 5-HMT and
    concluded that none of them indicated that 5-HMT had a
    bioavailability problem. Dr. Patterson did not rebut this
    analysis. The Board thus credited Dr. Roush and deter-
    mined that a person of ordinary skill would not have been
    motivated to modify 5-HMT because of bioavailability
    concerns. Decision, slip op. at 32–33.
    Given its determination that 5-HMT did not have a
    bioavailability problem, the Board found that a person of
    ordinary skill would not have made a 5-HMT prodrug to
    solve a bioavailability problem that did not exist. Deci-
    sion, slip op. at 35. Designing a prodrug was a complex
    endeavor, the Board found, as toxicity, bioavailability,
    and other drug characteristics must be monitored for two
    compounds rather than just one. 
    Id. The Board
    also
    found that Bundgaard defined the prodrug form of a
    compound as inactive, but the petitioners did not demon-
    strate that esters of 5-HMT would be inactive. 
    Id. at 36.
    Moreover, the petitioners did not point to any prodrugs
    analogous to fesoterodine, for example, prodrugs in the
    same chemical class, with the same mechanism of action,
    or in the same field of treatment. 
    Id. at 36–37.
    The
    Board thus found that a person of ordinary skill would not
    have been motivated to develop a prodrug of 5-HMT.
    Even assuming that a person of ordinary skill would
    have been motivated to modify 5-HMT, the Board found
    that producing the specific claimed compounds would not
    have been a matter of routine optimization. 
    Id. at 40–43.
    No prior art reference disclosed the molecule fesoterodine.
    
    Id. at 38,
    40. Considering competing expert testimony,
    the Board determined that there were many possible
    donors; (2) there are more than 10 hydrogen-bond accep-
    tors; (3) the molecular weight is greater than 500; and
    (4) the calculated log P is greater than 5.
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH                9
    molecular modifications of 5-HMT consistent with a
    prodrug design. 
    Id. at 40.
    For example, Bundgaard
    explained that diesters could be used in a prodrug. 
    Id. The Board
    credited Dr. Roush’s testimony that a person of
    ordinary skill would have considered esterifying the
    hydroxy groups at both the 2- and 5-positions. 
    Id. at 42.
    And even if a person of ordinary skill only considered
    esterifying the 2-position hydroxy group, the Board cred-
    ited Dr. Roush’s testimony that there was no scientific
    justification to limit the ester to six carbons or fewer. 
    Id. at 43.
    Finally, even if the universe of possible esters was
    limited to alkyl esters of six carbons or fewer at the 2-
    position, that still left 86 possible monoesters. The Board
    found that it would not have been routine to test each one.
    
    Id. at 41.
    Altogether, the Board held that the prior art
    did not suggest modifying 5-HMT to make the specific
    claimed compounds. 
    Id. at 40.
        Regarding the dependent claims, the Board held that
    it would not have been obvious to make the R-enantiomer
    or a fumarate salt of the claimed compounds. 
    Id. at 45,
    47. As we resolve this appeal with respect to independent
    claim 1, we do not further discuss the Board’s findings on
    the dependent claims.
    Petitioners also argued, in a footnote in the petition,
    that a person of ordinary skill would have been motivated
    to modify 5-HMT because at the time of the invention 5-
    HMT was covered by a patent. 
    Id. at 23.
    The Board gave
    little weight to this argument. 
    Id. at 24.
    Based on the
    above findings, the Board concluded that the petitioners
    did not sustain their burden to prove any of the instituted
    claims unpatentable as obvious over the references in
    either ground. 
    Id. at 48–50.
        Amerigen appealed. UCB moved to dismiss for lack of
    standing, which we denied without prejudice to UCB
    raising its standing arguments at the merits stage.
    Amerigen Pharm. Ltd. v. UCB Pharma GmbH, No. 17-
    10         AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    2596, ECF No. 23 (Fed. Cir. Mar. 15, 2018). As UCB’s
    standing challenge implicates our jurisdiction, we begin
    with standing and then turn to the merits.
    II. DISCUSSION
    A. Standing
    UCB argues that Amerigen lacks standing to appeal
    from the Board’s decision because the Food and Drug
    Administration (“FDA”) will not approve Amerigen’s
    abbreviated new drug application (“ANDA”) until the
    expiration of the ’650 patent, previously upheld in a
    separate suit in the District of Delaware, in 2022. Accord-
    ingly, UCB contends that Amerigen is foreclosed from
    infringing the ’650 patent, and without a possibility of
    infringement there can be no justiciable dispute. Sepa-
    rately, UCB argues any alleged injury is traceable to
    Amerigen’s own conduct, not UCB’s, because Amerigen
    acquiesced to the Delaware district court’s infringement
    and validity holdings.
    Amerigen responds that its ANDA product has al-
    ready secured tentative approval from the FDA, that the
    ’650 patent delays entry of its competing product, and
    that invalidating the claims of the ’650 patent would
    advance the launch of its product. By blocking its release
    of a competing drug, Amerigen argues that the ’650
    patent imposes a concrete injury sufficient for Article III
    standing.
    Although we have jurisdiction to review final deci-
    sions of the Board under 28 U.S.C. § 1295(a)(4)(A), an
    appellant must meet “the irreducible constitutional
    minimum of standing,” Lujan v. Defenders of Wildlife, 
    504 U.S. 555
    , 560 (1992), even if there is no such requirement
    in order to appear before the administrative agency being
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH               11
    reviewed, Consumer Watchdog v. Wis. Alumni Research
    Found., 
    753 F.3d 1258
    , 1261 (Fed. Cir. 2014). 11 Standing
    requires an appellant to have “(1) suffered an injury in
    fact, (2) that is fairly traceable to the challenged conduct
    of the defendant, and (3) that is likely to be redressed by a
    favorable judicial decision.” Spokeo, Inc. v. Robins, 136 S.
    Ct. 1540, 1547 (2016). As the party seeking judicial
    review, the appellant bears the burden of proving that it
    has standing. Phigenix, Inc. v. Immunogen, Inc., 
    845 F.3d 1168
    , 1171 (Fed. Cir. 2017). We accept as true Amerigen’s
    material representations of fact for purposes of assessing
    its standing. See Warth v. Seldin, 
    422 U.S. 490
    , 501
    (1975); James v. J2 Cloud Servs., LLC, 
    887 F.3d 1368
    ,
    1372 (Fed. Cir. 2018); see also Am. Inst. of Certified Pub.
    Accountants v. IRS, 
    804 F.3d 1193
    , 1197 (D.C. Cir. 2015).
    We agree with Amerigen that it has standing to ap-
    peal from the Board’s decision because the launch of its
    tentatively approved drug is blocked by the ’650 patent,
    and invalidation of the patent would advance its drug’s
    launch. The ’650 patent is listed in the FDA’s “Orange
    Book” 12 entry for Toviaz®. Amerigen has a Paragraph III
    certification for the ’650 patent, 13 which means that the
    11  However, “where Congress has accorded a proce-
    dural right to a litigant, such as the right to appeal an
    administrative decision, certain requirements of stand-
    ing—namely immediacy and redressability, as well as
    prudential aspects that are not part of Article III—may be
    relaxed.” Consumer 
    Watchdog, 753 F.3d at 1261
    (citing
    Massachusetts v. EPA, 
    549 U.S. 497
    , 517–18 (2007)).
    12  This publication is formally entitled “Approved
    Drug Products with Therapeutic Equivalence Evalua-
    tions.”
    13  Amerigen had initially filed a Paragraph IV certi-
    fication against the ’650 patent.         See 21 U.S.C.
    12          AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    FDA will only approve Amerigen’s ANDA after the ’650
    patent has expired. 21 U.S.C. § 355(j)(5)(B)(ii). However,
    if the ’650 patent is held unpatentable through reversal of
    the Board’s decision, then the New Drug Application
    (“NDA”) holder 14 must “promptly notify” the FDA that the
    patent “no longer meet[s] the statutory requirements for
    listing.” 21 C.F.R. § 314.53(f)(2)(i). And § 314.53 express-
    ly states that a patent does not meet the requirements for
    listing “if there has been a judicial finding of invalidity for
    a listed patent, from which no appeal has been or can be
    taken.” 
    Id. After a
    notification from the NDA holder that
    a patent may no longer be listed, the FDA “will remove a
    patent . . . from the list if there is no first applicant eligi-
    ble for 180–day exclusivity based on a paragraph IV
    certification to that patent or after the 180–day exclusivi-
    ty period of a first applicant based on that patent has
    expired or has been extinguished.” 
    Id. Amerigen has
    represented that its “ANDA has al-
    ready received tentative approval and would be able to
    obtain final approval for launch in 2019 if the ’650 patent
    is invalidated.” Reply Br. 13. The ’650 patent expires on
    July 3, 2022. UCB’s other earlier-expiring patents listed
    § 355(j)(2)(A)(vii)(IV). Pfizer and UCB then sued Ameri-
    gen for patent infringement under 35 U.S.C. § 271(e)(2),
    Amerigen stipulated to infringement, and the district
    court held the ’650 patent not invalid. Pfizer v. Sandoz,
    No. 12-1110-GMS, 
    2016 WL 1611377
    , at *6, *10 (D. Del.
    Apr. 20, 2016). Amerigen waived its right to appeal. The
    district court’s holding that the ’650 patent was not inva-
    lid and was infringed resulted in the conversion of Ameri-
    gen’s Paragraph IV certification to a Paragraph III. See
    21 C.F.R. § 314.94(a)(12)(viii)(A).
    14   The NDA holder is Pfizer Inc., which holds a li-
    cense to UCB’s ’650 patent.
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH              13
    in the Orange Book, which are not at issue in this appeal,
    expire on May 11, 2019. Consequently, there would be a
    roughly three-year period beginning in May 2019 during
    which Amerigen’s sales would be blocked by the ’650
    patent. The record is unclear whether a different compa-
    ny’s generic product is eligible for the 180–day exclusivity
    period. However, even assuming that another generic
    product is entitled to 180-day exclusivity, a conclusion
    from this court that the instituted claims of the ’650
    patent are unpatentable and the FDA’s consequent delist-
    ing of the patent would enable Amerigen to launch its
    competing product substantially earlier than it otherwise
    could upon the patent’s expiration. We thus conclude that
    Amerigen has a concrete, economic interest in the sales of
    its tentatively approved drug obstructed by the listing of
    the ’650 patent, and has thereby demonstrated a contro-
    versy “of sufficient immediacy and reality” for Article III
    standing. MedImmune, Inc. v. Genentech, Inc., 
    549 U.S. 118
    , 127 (2007); see E.I. DuPont de Nemours & Co. v.
    Synvina C.V., 
    904 F.3d 996
    , 1004 (Fed. Cir. 2018).
    UCB’s arguments that Amerigen lacks standing are
    largely premised on the theory that under the Hatch-
    Waxman Act, 21 U.S.C. §§ 355, 360 (2012), a “Paragraph
    IV certification is the fundamental, jurisdictional basis
    enabling parties to litigate Orange Book-listed patents in
    the Article III courts,” and without that basis there can be
    no injury in fact. Appellee’s Br. 27. But this case does not
    arise under the Hatch-Waxman Act, and the causes of
    action available under that Act do not necessarily control
    the standing inquiry in an appeal from an IPR decision.
    They do not control here because Amerigen does not rely
    on a risk of infringement liability as a basis for injury in
    fact; rather, it contends that the mere listing of the ’650
    patent in the Orange Book inflicts a concrete commercial
    injury redressable by this court.
    We have previously recognized that listing a patent in
    the Orange Book may create a cognizable injury inde-
    14         AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    pendent of the prospect of infringement liability. In
    Apotex, Inc. v. Daiichi Sankyo, Inc., one generic company,
    Apotex, sought to cause the forfeiture of a third-party
    generic company’s 180-day exclusivity period by securing
    a declaratory judgment of noninfringement of Daiichi’s
    patent that had been disclaimed. 
    781 F.3d 1356
    , 1359–61
    (Fed. Cir. 2015). 15 Apotex could not show harm via in-
    fringement because the disclaimed patent could not be
    infringed. But Apotex could show harm from the fact that
    the patent was still listed in the Orange Book, because
    the listing delayed the start of the third party’s 180-day
    exclusivity period, which in turn delayed the date on
    which Apotex could market its drug. Apotex argued that
    a declaratory judgment of noninfringement, in accelerat-
    ing the end of the third party’s exclusivity period, “would
    allow it to enter the market earlier than it could without
    the judgment.” 
    Id. at 1360.
    We agreed that Apotex
    demonstrated a controversy “of sufficient immediacy and
    reality” for Article III standing. 
    Id. at 1361–62
    (quoting
    
    MedImmune, 549 U.S. at 127
    ). That controversy origi-
    nated from the “listing of [a] patent, with its current
    consequence of preventing FDA approval” of Apotex’s
    proposed drug during the other generic company’s exclu-
    sivity period. 
    Id. at 1362.
    15  The Hatch-Waxman Act, as amended by the Med-
    icare Modernization Act (“MMA”), Pub. L. No. 108-173,
    117 Stat. 2066 (2003), provides for forfeiture of a first
    filer’s 180-day exclusivity under certain conditions, in-
    cluding via a declaratory judgment of non-infringement in
    favor of a different generic company.           21 U.S.C.
    § 355(j)(5)(D)(i)(I)(bb). Such a judgment triggers a 75-day
    period for the first filer to market its drug—and start its
    180 days of exclusivity—or otherwise lose its period of
    exclusivity. 
    Id. AMERIGEN PHARMACEUTICALS
    v. UCB PHARMA GMBH               15
    This case presents the same essential scenario, where
    the listing of a drug company’s patent delays the launch
    of a competing generic product. If Amerigen succeeds in
    invalidating the ’650 patent here and having the patent
    delisted, then it, like Apotex, could launch its proposed
    drug substantially earlier than it otherwise could. Conse-
    quently, “by any common-sense measure,” Amerigen has a
    “substantial, concrete stake[] in whether” it succeeds in
    proving the invalidity of the ’650 patent. 
    Id. at 1363.
         UCB contends that this case is controlled by Janssen
    Pharmaceutica, N.V. v. Apotex, Inc., 
    540 F.3d 1353
    (Fed.
    Cir. 2008), not Daiichi. Similar to Daiichi, Janssen
    involved one generic company, coincidentally also Apotex,
    seeking a declaratory judgment of noninfringement of
    Janssen’s listed patent in order to trigger another generic
    company’s 180-day exclusivity period, thereby advancing
    the launch of Apotex’s 
    drug. 540 F.3d at 1358
    –60. How-
    ever, unlike Daiichi, Janssen applied the pre-MMA ver-
    sion of the Hatch-Waxman Act that did not provide an
    express path for one generic firm to trigger the forfeiture
    of the first filer’s 180-day exclusivity period. 
    Daiichi, 781 F.3d at 1367
    –68. Janssen thus concluded that the inabil-
    ity of the later filing generic company “to promptly launch
    its generic [product] because of [the first filer’s] 180–day
    exclusivity period is not a cognizable Article III controver-
    sy, but a result envisioned by the Hatch-Waxman 
    Act.” 540 F.3d at 1361
    .
    The America Invents Act (“AIA”) and its provisions
    governing IPRs do not support an analogous statutory
    implication. Congress granted parties broad access to
    challenge patents through the IPR procedure. Any “per-
    son who is not the owner of a patent may file with the
    [Patent] Office a petition to institute an [IPR] of the
    patent.” 35 U.S.C. § 311. Likewise, any “party dissatis-
    fied with the final written decision of the [Board] . . . may
    appeal the decision . . . .” 
    Id. § 319.
    The AIA thus pro-
    vides no basis for us to premise standing in an appeal
    16         AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    from an IPR decision on the availability of particular
    causes of action under the Hatch-Waxman Act. Rather,
    an appellant must demonstrate an injury consistent with
    the generally applicable requirements of Article III, i.e., a
    controversy “of sufficient immediacy and reality” to war-
    rant the requested judicial relief. 
    MedImmune, 549 U.S. at 127
    ; 
    DuPont, 904 F.3d at 1004
    . Because Amerigen has
    demonstrated such a controversy traceable to UCB’s ’650
    patent and redressable by this court, it has standing to
    appeal from the Board’s decision even though it may be
    incapable (as a Paragraph III filer) of maintaining a
    parallel Hatch-Waxman suit.
    We are not persuaded by UCB’s remaining argu-
    ments. UCB contends that any delisting-based relief
    would be too speculative to support standing. However,
    as Amerigen has already been granted tentative approval
    for its proposed drug, the only uncertainty is whether
    Amerigen would have to wait for another generic compa-
    ny’s potential 180-day exclusivity period to expire. As we
    have explained, Amerigen’s launch would be substantially
    advanced even if another generic company has 180 days of
    exclusivity.
    UCB additionally disputes whether Amerigen’s al-
    leged injury is traceable to UCB. The injury plainly is
    caused by UCB’s listing of the ’650 patent; absent that
    entry barrier, approval of Amerigen’s proposed drug
    would be advanced. See 
    Daiichi, 781 F.3d at 1363
    .
    For the foregoing reasons, we conclude that Amerigen
    has standing to appeal from the Board’s decision. We
    therefore proceed to the merits.
    B. Obviousness
    Amerigen argues that the Board did not properly con-
    sider the evidence in support of obviousness. In particu-
    lar, Amerigen alleges that: (1) the Board misunderstood
    Amerigen’s arguments concerning lipophilicity, and it
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH              17
    should have recognized that a person of ordinary skill
    would have increased the lipophilicity of 5-HMT for its
    own sake; (2) the Board placed an excessive burden on
    Amerigen to show a motivation to make a 5-HMT pro-
    drug; and (3) the Board failed to recognize that arriving at
    the specific claimed compounds would have been routine
    optimization. Amerigen additionally contends that the
    Board ignored its argument concerning the effect of the
    patent covering 5-HMT.
    UCB responds that Amerigen points to no legal error
    and that substantial evidence supports the Board’s find-
    ings.
    Our review of a Board decision is limited. In re Baxter
    Int’l, Inc. 
    678 F.3d 1357
    , 1361 (Fed. Cir. 2012). While we
    review the Board’s legal determinations de novo, In re
    Elsner, 
    381 F.3d 1125
    , 1127 (Fed. Cir. 2004), we review
    the Board’s factual findings underlying those determina-
    tions for substantial evidence, In re Gartside, 
    203 F.3d 1305
    , 1316 (Fed. Cir. 2000). A finding is supported by
    substantial evidence if a reasonable mind might accept
    the evidence as adequate to support the finding. Consol.
    Edison Co. v. NLRB, 
    305 U.S. 197
    , 229 (1938).
    Under 35 U.S.C. § 103 (2006), 16
    [a] patent may not be obtained . . . if the
    differences between the subject matter
    sought to be patented and the prior art are
    such that the subject matter as a whole
    would have been obvious at the time the
    invention was made to a person having
    16    Because the application of the ’650 patent was
    filed before March 16, 2013, the pre-Leahy-Smith America
    Invents Act version of § 103 applies. See Pub L. No. 112-
    29, 125 Stat. 284 (2011).
    18         AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    ordinary skill in the art to which said sub-
    ject matter pertains.
    Obviousness is a question of law based on underlying
    facts, including the scope and content of the prior art,
    differences between the prior art and the claims at issue,
    the level of ordinary skill, and relevant evidence of sec-
    ondary considerations. Graham v. John Deere Co., 
    383 U.S. 1
    , 17–18 (1966). Whether a person of ordinary skill
    would have been motivated to modify the teachings of a
    reference is a question of fact. WBIP, LLC v. Kohler Co.,
    
    829 F.3d 1317
    , 1327 (Fed. Cir. 2016). In an IPR, the
    petitioner has the burden of proving unpatentability by a
    preponderance of the evidence. 35 U.S.C. § 316(e).
    We agree with UCB that the Board did not legally err
    and that substantial evidence supports the Board’s find-
    ings. We address Amerigen’s arguments in turn.
    Amerigen argues that a person of ordinary skill would
    have been motivated to modify 5-HMT to increase its
    lipophilicity. Based on the analysis of UCB’s expert, Dr.
    Roush, the Board disagreed. Decision, slip op. at 31–33.
    Petitioners argued that 5-HMT’s lower lipophilicity com-
    pared to tolterodine suggested that 5-HMT had a bioa-
    vailability problem. 
    Id. at 28
    (“Petitioner argues that ‘a
    person of ordinary skill in the art would have appreciated
    that 5-HMT was [too hydrophilic] and needed to be modi-
    fied in a way to improve bioavailability . . . .’” (alteration
    in original)). Dr. Roush, however, testified that since 5-
    HMT did not violate any of the Lipinski rules, a person of
    ordinary skill would not have thought 5-HMT had a
    bioavailability problem. 
    Id. at 29–30.
    Specifically, Dr.
    Roush testified that Lipinski predicts a potential bioa-
    vailability problem if a compound meets two of the follow-
    ing four factors: (1) more than 5 hydrogen bond donors;
    (2) a molecular weight over 500; (3) a logP over 5; and (4)
    more than 10 hydrogen bond acceptors. According to Dr.
    Roush, 5-HMT had: (1) 2 hydrogen bond donors; (2) a
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH             19
    molecular weight of 341.5; (3) a logP of 3.7; and (4) 3
    hydrogen bond acceptors. As 5-HMT satisfied none of the
    Lipinski factors, Dr. Roush found that “there would have
    been no reason to suspect that 5-HMT would possess poor
    oral absorption.” J.A. 1295. Petitioners’ expert, Dr.
    Patterson, agreed that a person of ordinary skill would
    have considered Lipinski in assessing bioavailability and
    did not rebut Dr. Roush’s analysis. Decision, slip op. at
    30.
    The Board weighed the unrebutted testimony of Dr.
    Roush against petitioners’ argument based on the relative
    lipophilicity of 5-HMT to tolterodine and Dr. Patterson’s
    testimony that 5-HMT’s two hydroxy groups suggested a
    bioavailability problem. 
    Id. at 31.
    The Board found that
    Dr. Roush better addressed the bioavailability issue and
    that the lipophilicity of 5-HMT relative to tolterodine did
    not demonstrate a bioavailability problem. 
    Id. at 31–32.
    We agree with UCB that a reasonable fact finder could
    have weighed Dr. Roush’s testimony over Dr. Patterson’s.
    Based on the record before us, we conclude that substan-
    tial evidence supports the Board’s finding that a person of
    ordinary skill would not have been motivated to modify 5-
    HMT to increase its lipophilicity.
    On appeal, Amerigen does not point to a specific error
    in the Board’s findings, but generally argues that “there
    need not be a specific problem with bioavailability of 5-
    HMT for one of ordinary skill in the art to be motivated to
    modify 5-HMT to further improve its bioavailability.”
    Appellant’s Br. 33. While that may be true in some cases,
    Amerigen’s conclusory argument is not sufficient to
    overcome the substantial evidence to the contrary under-
    pinning the Board’s analysis. The Board found that a
    person of ordinary skill would have considered prodrug
    development to involve tradeoffs, including having to
    monitor “the toxicity, bioavailability, receptor affinity,
    pharmacokinetics, and pharmacodynamics of” two com-
    pounds: the prodrug and the active compound. Decision,
    20         AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    slip op. at 35. Given such complexities, the Board deter-
    mined that a person of ordinary skill would not have
    turned to a prodrug approach “to solve an undefined
    problem.” 
    Id. We see
    no reversible error in the Board’s
    findings.
    Amerigen then argues that increasing lipophilicity “in
    and of itself” (i.e., independent of bioavailability concerns)
    would have motivated a person of ordinary skill to modify
    5-HMT. Appellant’s Br. 32. However, Amerigen did not
    present this theory to the Board, points us to no evidence
    in the record in support of it, and does not explain why a
    skilled artisan would modify a drug to increase its lipo-
    philicity independent of bioavailability. We thus do not
    consider Amerigen’s argument persuasive.
    Even assuming that a person of ordinary skill would
    have had some motivation to modify 5-HMT, the Board
    additionally found that the petitioners did not prove that
    a skilled artisan would have made the specific modifica-
    tions leading to the claimed compounds. Amerigen argues
    that the Board erred in its findings. We disagree.
    The Board held that the petitioners did not sustain
    their burden of proof for primarily three reasons. First,
    the Board considered Bundgaard’s teaching that the
    prodrug form of a drug is inactive. Decision, slip op. at
    35–36; see J.A. 316 (defining a prodrug as “a pharmacolog-
    ically inactive derivative of a parent drug molecule that
    requires spontaneous or enzymatic transformation within
    the body in order to release the active drug, and that has
    improved delivery properties over the parent drug mole-
    cule.”); J.A. 319 (“The prodrug per se is an inactive spe-
    cies, and therefore, once its job is completed, intact
    prodrug represents unavailable drug.”).         Petitioners
    presented no evidence that an ester of 5-HMT would be
    inactive, and the Board thus found that this deficiency
    supported nonobviousness.       Decision, slip op. at 36.
    Amerigen argues that the Board imposed an “insur-
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH              21
    mountable burden” on petitioners, Appellant’s Br. 38, but
    we disagree. The Board sensibly found that a skilled
    artisan would “seek some degree of certainty that a pro-
    drug of a particular molecule would be inactive before
    embarking on the process of attempting to create the
    prodrug,” and the petitioners failed to provide any such
    certainty. Decision, slip op. at 36.
    This deficiency is compounded by the Board’s second
    finding that the petitioners did not point to any prodrugs
    analogous to 5-HMT. Specifically, the Board found no
    evidence of prodrugs in the same chemical class, with the
    same mechanism of action, or in the same field of treat-
    ment. 
    Id. Again, Amerigen
    argues that the Board im-
    posed too high a burden on petitioners, effectively a
    “[r]equirement for a [p]rior [t]eaching of a 5-HMT [a]nalog
    [p]rodrug.” Appellant’s Br. 39. But the Board did not
    require such evidence, Decision, slip op. at 37 (“Petitioner
    does not have to demonstrate explicitly that there were
    prodrug examples analogous to 5-HMT . . . .”); it just
    found that the absence of such evidence supported UCB’s
    argument that at the time of the invention skilled arti-
    sans had not considered “a prodrug of an antimuscarinic
    drug or any sort of overactive bladder drug.” 
    Id. Alt- hough
    not dispositive, the Board did not err in inquiring
    whether there existed at the time of the invention pro-
    drugs similar to the claimed compounds.
    Third, the Board found that it would not have been
    routine to make the claimed molecular modifications to 5-
    HMT to produce the claimed compounds. Citing Dr.
    Roush, the Board found: (1) that a skilled artisan would
    have considered diester substitutions as well as other
    prodrug moieties taught in Bundgaard, 
    id. at 40;
    (2) that
    a person of ordinary skill would have considered modify-
    ing the 5-position in addition to the 2-position, 
    id. at 41–
    42; and (3) that Bundgaard did not specifically teach the
    isobutyryl ester of fesoterodine, 
    id. at 40.
    22         AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    Amerigen argues that Bundgaard disclosed esters as
    prototypical prodrug moieties and that modifying the 2-
    position alone would have been the most obvious choice.
    While the Board considered Bundgaard’s disclosure of
    ester prodrugs, 
    id. at 39,
    the Board also observed, citing
    Dr. Roush, that Bundgaard taught many other prodrug
    substitutions that a person of ordinary skill would have
    considered, 
    id. at 40.
    Dr. Roush testified that these
    additional substitutions included ethers, carbamates,
    carbonates, phosphate esters, Mannich bases, and mac-
    romolecular prodrugs. Moreover, the Board also found
    that a person of ordinary skill would have considered
    modifications at the 5-position because the prior art did
    not indicate a preference for either the 2- or 5-position,
    and the inventors themselves considered modifying the 5-
    position. 
    Id. at 42.
    The Board did not consider the con-
    trary evidence persuasive: Dr. Patterson argued that
    modifying only the 5-position would pose a risk of trans-
    esterification, but did not sufficiently explain that risk,
    and petitioners primarily relied on a separate theory
    altogether regarding possible metabolic complications at
    the 5-position that was devoid of evidentiary support, 
    id. at 42.
    Amerigen has demonstrated no discernible error in
    the Board’s technical analysis, and asks this court to
    reweigh these matters on appeal. We conclude that
    substantial evidence supports the Board’s determination
    that the prior art did not suggest making the claimed
    monoester substitutions solely at the 2-position.
    Altogether, the Board found that the petitioners nei-
    ther established a general motivation to make a 5-HMT
    prodrug nor proved that the specific claimed modifications
    would have been obvious. We conclude that Amerigen’s
    factual challenges to the Board’s decision are without
    merit and that substantial evidence supports the Board’s
    findings.
    Amerigen additionally contends that the Board did
    not give sufficient weight to its theory—presented in a
    AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH             23
    single-sentence footnote to its argument about salt forms
    of fesoterodine—that a skilled artisan would have been
    motivated to modify 5-HMT because 5-HMT was patented
    at the time of invention. However, even accepting, for the
    sake of discussion, that a patent on 5-HMT would provide
    a commercial motivation for a skilled artisan to modify 5-
    HMT, such a motivation would not be sufficient to prove
    that the claimed compounds would have been obvious. It
    was Amerigen’s burden to show that the “prior art would
    have suggested making the specific molecular modifica-
    tions necessary to achieve the claimed invention.” Takeda
    Chem. Indus., Ltd. v. Alapharm Pty., Ltd., 
    492 F.3d 1350
    ,
    1356 (Fed. Cir. 2007) (emphasis added) (quoting In re
    Deuel, 
    51 F.3d 1552
    , 1558 (Fed. Cir. 1995)). A general
    motivation to modify 5-HMT based on a prior patent
    would not suffice, and as we have already explained,
    Amerigen did not otherwise meet its burden to prove that
    the specific claimed modifications to 5-HMT would have
    been obvious. Any compound may look obvious once
    someone has made it and found it to be useful, but work-
    ing backwards from that compound, with the benefit of
    hindsight, once one is aware of it does not render it obvi-
    ous.
    Amerigen also challenges the Board’s findings con-
    cerning whether it would have been routine to optimize
    the possible monoesters at the 2-position and whether the
    particular salts and enantiomer claimed in the dependent
    claims would have been obvious. The Board held in
    UCB’s favor for each issue. Decision, slip op. at 42–47.
    However, we conclude that these findings were not neces-
    sary to the Board’s judgment, and we do not rely on them
    for ours.
    CONCLUSION
    We have considered Amerigen’s remaining arguments
    but do not find them persuasive. For the foregoing rea-
    sons, we affirm the Board’s decision.
    24   AMERIGEN PHARMACEUTICALS v. UCB PHARMA GMBH
    AFFIRMED