AIDS Healthcare Foundation, Inc. v. Gilead Sciences, Inc. et al, No. 3:2016cv00443 - Document 108 (N.D. Cal. 2016)

Court Description: ORDER GRANTING MOTIONS TO DISMISS by Judge Alsup granting 80 Motion to Dismiss; granting 81 Motion to Dismiss; granting 83 Motion to Dismiss. (whalc1, COURT STAFF) (Filed on 7/6/2016)
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AIDS Healthcare Foundation, Inc. v. Gilead Sciences, Inc. et al Doc. 108 1 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE NORTHERN DISTRICT OF CALIFORNIA 8 9 11 For the Northern District of California United States District Court 10 AIDS HEALTHCARE FOUNDATION, INC., Plaintiff, 12 13 No. C 16-00443 WHA v. 15 GILEAD SCIENCES, INC., JOHNSON & JOHNSON, INC., JANSSEN SCIENCES IRELAND UC, JAPAN TOBACCO, INC., 16 Defendants. 14 ORDER GRANTING MOTIONS TO DISMISS / 17 18 19 INTRODUCTION In this action claiming antitrust violations and patent invalidity involving 20 pharmaceutical treatments for human immunodeficiency virus, defendants move to dismiss. 21 For the reasons stated below, defendants’ motions are GRANTED. 22 23 STATEMENT This case concerns the compound tenofovir, which was discovered in 1984 and is useful 24 in treating human immunodeficiency virus (“HIV”). Plaintiff AIDS Healthcare Foundation, 25 Inc., is a non-profit purchaser of drugs that contain “prodrugs” of tenofovir, which are 26 compounds that are converted into their active ingredient once metabolized in the human body. 27 AIDS Healthcare contends that defendant Gilead Sciences, Inc., improperly used the complex 28 regulatory regime of the Food and Drug Administration that governs pharmaceutical drugs to 1 protect its position in the market for prodrugs of tenofovir. This order first explains the 2 applicable regulations. 3 1. FDA REGULATORY REGIME. 4 New pharmaceutical drugs, such as those containing tenofovir prodrugs, can only be 5 sold or marketed upon approval by the FDA. A company seeking approval for a new drug must 6 conduct extensive research and clinical testing to establish the safety and efficacy of the drug 7 and submit the results of that research as part of a “new drug application” (“NDA”) before 8 winning approval. A manufacturer seeking approval for a drug via an NDA must identify all 9 patents (regardless of the patent owner) that it believes cover the drug in question, which the 11 For the Northern District of California United States District Court 10 FDA lists in a publication called the “Orange Book.” In 1984, the Hatch-Waxman Act introduced a new procedure intended to encourage the 12 entry of safe, effective, and affordable generic versions of drugs. Pursuant to the Hatch- 13 Waxman Act, a manufacturer that wishes to make an identical copy of a drug that has already 14 been approved can avoid duplicating the expense of research and clinical testing required as 15 part of an NDA by filing an “abbreviated new drug application” (“ANDA”), which can be 16 approved based on the clinical data from the original NDA. The filer of an ANDA must assure 17 the FDA that its generic drug will not infringe the patents listed in the Orange Book for that 18 drug. It can do so by stating, for each listed patent, that it will not market the generic version 19 until the patent expires (if it has not already expired) or by stating that the patent is invalid or 20 not infringed by the generic product. 21 The latter certification (invalidity/non-infringement) is known as a Paragraph IV 22 certification and constitutes an artificial act of patent infringement. If the patent owner initiates 23 litigation against the ANDA filer within forty-five days, the FDA cannot approve that ANDA’s 24 drug for thirty months or until a court issues final judgment invalidating the patent or finding 25 that the ANDA’s product will not infringe, whichever is earlier. 26 The Hatch-Waxman Act provides incentives to the first generic manufacturer to file a 27 Paragraph IV certification for a given drug. Specifically, it guarantees (subject to limited 28 exceptions) that the first-filing manufacturer will receive 180 days of exclusivity during which 2 1 the FDA may not approve any other ANDAs covering that drug. In other words, it guarantees a 2 period of duopoly between the brand-name manufacturer and the first generic manufacturer to 3 file an ANDA with a Paragraph IV certification. 4 The first-filing generic manufacturer is guaranteed that exclusivity period even if it 5 settles litigation with a patent owner without resolving the invalidity or non-infringement 6 issues. No later-filing manufacturer can obtain that exclusivity right from the FDA. Thus, 7 when a patent owner settles litigation with the first generic manufacturer to file an ANDA with 8 a Paragraph IV certification, the incentive for a later-filing generic manufacturer to press a 9 challenge to the validity or scope of the patents listed in the Orange Book is significantly diminished. This is because, unlike the first filer, later filers will need to wait until the first filer 11 For the Northern District of California United States District Court 10 has exhausted its exclusivity period before any later filers’ ANDAs can be approved. The later 12 filers would face competition from any other later filers, driving the margins on the generic 13 products toward zero. 14 Generic drug manufacturers may alternatively seek approval of a modified generic 15 version of a drug if the original drug has already won FDA approval. (Brand-name 16 manufacturers may also use this process for modifications to their own drugs.) A modification 17 might involve a substitution of certain ingredients, a change in dosage, or approval for a new 18 indication. Although the modifications on the approved drug preclude a generic manufacturer 19 from winning approval with an ANDA, the generic manufacturer may use a special kind of 20 NDA under Section 505(b)(2) of the Hatch-Waxman Act. 21 Unlike a regular NDA, a Section 505(b)(2) application does not require an applicant to 22 develop and submit original safety and efficacy data covering the product as a whole. Instead, 23 the Section 505(b)(2) applicant may refer to the safety and efficacy data submitted as part of an 24 NDA for a previously-approved drug. The applicant may then provide additional data that 25 demonstrates the safety and efficacy of the proposed modifications. 26 As with an ANDA, a Section 505(b)(2) application requires the applicant to assure the 27 FDA that the proposed product will not infringe the relevant patents in the Orange Book. Upon 28 approval, the applicant for a modified version of a previously-approved drug is entitled to three 3 1 years during which the FDA will not approve an ANDA that relies on the supplemental safety 2 and efficacy data submitted with the Section 505(b)(2) application (although a manufacturer 3 could win approval with its own NDA supported by new data). 4 To offset generic manufacturers’ ability to free-ride on the safety and efficacy data 5 developed by the brand-name manufacturers via the ANDA and Section 505(b)(2) procedures, 6 the Hatch-Waxman Act provides an incentive to brand-name manufacturers to encourage them 7 to develop new products that contain ingredients never before approved by the FDA. 8 Specifically, it grants such applicants a five-year period of “new chemical entity” (“NCE”) 9 exclusivity, which operates independent of any patent protection. NCE exclusivity bars the FDA from approving any application for a drug containing the covered new chemical entity for 11 For the Northern District of California United States District Court 10 five years following approval of the first NDA containing that ingredient. The FDA also cannot 12 receive applications for drugs containing that ingredient until the fourth year following the 13 approval of the first NDA. 14 This order now turns to the drugs in question in our case. 15 2. 16 In its initial formulation, tenofovir needed to be injected intravenously. In 1997, 17 defendant Gilead Sciences, Inc., obtained a patent on a “prodrug” of tenofovir, which could be 18 administered orally and converted into its active ingredient once metabolized in the human 19 body. That prodrug was called tenofovir disoproxil fumarate (“TDF”). 20 DEVELOPMENT OF TENOFOVIR THERAPIES. In 2001, Gilead received FDA approval to offer TDF as a standalone drug and as part of 21 several fixed-dose combination pills that combined TDF with other active ingredients. 22 Physicians used the fixed-dose combination pills as part of a multi-drug regimen called 23 highly-active antiretroviral therapy. That regimen gave physicians flexibility to prescribe 24 different drug combinations to optimize treatment for patients with various needs (such as 25 differing symptoms). 26 TDF had side effects involving bone and kidney toxicity. In 2002, Gilead hired 27 physicians to conduct safety and efficacy research into an alternative formulation of a tenofovir 28 prodrug, called tenofovir alafenamide fumarate (“TAF”). Meanwhile, in 2004, Gilead publicly 4 1 announced that it had abandoned development of TAF, although it filed seven patent 2 applications relating to the use of TAF between 2004 and 2005. Gilead then resumed its 3 clinical trials in 2011. In 2014, it published a study concluding that TAF had a higher 4 absorption rate than TDF, thereby reducing the bone and kidney toxicity side effects. In 2015, two years before the expiration of the patents covering TDF, Gilead sought 5 6 FDA approval of three new combination drugs, which were new versions of Gilead’s marquee 7 drugs that substituted TAF for TDF, while keeping the remaining active ingredients the same. 8 It licensed TAF to defendants Japan Tobacco, Inc., and Janssen Sciences Ireland UC, for use in 9 combination with other ingredients for the manufacture of three new fixed-dose combination drugs.1 Below is a chart of the ingredients in Gilead’s new drugs: 11 For the Northern District of California United States District Court 10 12 DRUG LICENSEE INGREDIENTS 13 Genvoya Japan Tobacco elvitefragir, cobicistat, emtricitabine, and TAF Descovy Japan Tobacco emtricitabine and TAF Odefsey Janssen rilpivirine, emtricitabine, and TAF 14 15 16 17 The FDA approved the first drug listed, Genvoya, in November 2015. Because TAF 18 was a new chemical entity, the FDA also granted Gilead a five-year NCE exclusivity period 19 over any product containing TAF, which period began in November 2015. Accordingly, no 20 generic drug containing TAF can be approved by the FDA until November 2020. (The FDA 21 may not receive applications until November 2019.) Additionally, Gilead listed twelve patents 22 in the Orange Book covering Genvoya with expiration dates ranging from 2015 to 2032. 23 Gilead’s NCE exclusivity bears no relationship to the exclusive rights conferred by its patents. 24 The FDA approved Descovy and Odefsey in 2016. Because those drugs also contained 25 TAF, they also fell within the protection of Gilead’s NCE exclusivity period. Thus, the FDA 26 may not approve any generic version of them until November 2020. 27 1 28 Johnson & Johnson, Inc., is a distinct corporate entity from Janssen Sciences Ireland UC (although they are related). AIDS Healthcare defines them collectively as “Janssen” in its complaint. Johnson & Johnson joins in Janssen’s motion to dismiss. 5 1 In the first quarter of 2016, Gilead applied for FDA approval of a standalone version of 2 TAF for use in treating hepatitis B virus. It expects the application to be approved in 3 November.2 4 * 5 * * Plaintiff AIDS Healthcare Foundation, Inc., provided HIV medical care nationwide to 6 hundreds of thousands of patients. It purchased millions of dollars worth of drugs from Gilead 7 and began purchasing Genvoya, Odefsey, and Descovy for pharmacies located in California and 8 Nevada soon after they became available. AIDS Healthcare solicited various pharmaceutical 9 manufacturers to begin making either a standalone TAF product or generic versions of the fixed-dose combination drugs. None responded. 11 For the Northern District of California United States District Court 10 AIDS Healthcare asked Gilead for a covenant not to sue for infringement if it ultimately 12 began to sell a generic product containing TAF. (The proposed covenant did not cover claims 13 against any generic manufacturers that might choose to develop a product containing TAF.) 14 Gilead refused. AIDS Healthcare recognized that Gilead’s patents covering TAF and Japan 15 Tobacco’s patent covering a combination therapy that included TAF served as barriers to entry 16 for any generic TAF patent. Accordingly, it curbed or forestalled investment in research, 17 education, and preparation for the distribution of generic TAF products as well as its efforts to 18 encourage generic manufacturers to provide generic substitutes.3 19 AIDS Healthcare commenced this action in January 2016. After several defendants 20 moved to dismiss, AIDS Healthcare amended its complaint. Several defendants were dismissed 21 without prejudice by stipulation. The complaint now asserts seven claims: (1) declaratory 22 judgment of patent invalidity, (2) monopolization in violation of Section 2 of the Sherman 23 Antitrust Act, (3) conspiracy in violation of Section 1 of the Sherman Antitrust Act, (4) tying in 24 violation of Section 1 of the Sherman Antitrust Act, (5) foreclosure of competition in violation 25 26 27 28 2 The fact that Gilead began developing standalone TAF does not appear in the complaint, but AIDS Healthcare concedes that fact in its brief, citing Gilead’s December 2014 Form 10-K filed with the SEC, of which judicial notice is taken (Dkt. No. 35-2). 3 AIDS Healthcare states in its brief that Japan Tobacco also refused a covenant not to sue. That allegation does not appear in the complaint, and Japan Tobacco contends it is factually false. 6 1 of the Cartwright Act, (6) violations of the California Unfair Competition Law, and 2 (7) violations of the Nevada Unfair Trade Practices Law. Gilead moves to dismiss on all 3 claims. Janssen and Johnson & Johnson move to dismiss the only claims against them, which 4 are the Section 1 claims and the state law antitrust claims. Finally, Japan Tobacco moves to 5 dismiss the only claims against it, which are the declaratory judgment claim, the Section 1 6 claims, and the state law antitrust claims. This order follows full briefing and oral argument. ANALYSIS 7 8 1. 9 AIDS Healthcare seeks declaratory judgment of invalidity of five patents that cover the various combination drugs containing TAF, identified below: 11 For the Northern District of California United States District Court 10 DECLARATORY JUDGMENT OF PATENT INVALIDITY. PATENT 12 7,390,791 — “Prodrugs of phosphonate nucleotide Gilead analogues.” 13 PATENT OWNER 14 7,800,788 — “Prodrugs of phosphonate nucleotide Gilead analogues.” 15 8,754,065 — “Tenofovir alafenamide hemifumarate.” Gilead 8,148,374 — “Modulators of pharmacokinetic properties of therapeutics.” Gilead 8,633,219 — “Combination Therapy.” Japan Tobacco 16 17 18 19 20 21 22 23 24 25 26 27 28 Gilead and Japan Tobacco contend that AIDS Healthcare’s prayer for declaratory judgment does not present a justiciable case or controversy and thus must be dismissed. In MedImmune, Inc. v. Genentech, Inc., 549 U.S. 118, 127 (2007), the Supreme Court abrogated the Federal Circuit’s stricter “reasonable apprehension of suit” test for determining the scope of jurisdiction over claims for declaratory judgment in patent suits in favor of a traditional test. Under MedImmune, a party seeking to establish declaratory judgment jurisdiction for a claim of patent invalidity must demonstrate that “the facts alleged, under all the circumstances, show that there is a substantial controversy, between parties having adverse legal interests, of sufficient immediacy and reality to warrant the issuance of a declaratory judgment.” Ibid. “Immediacy” is measured based on consideration of “how far in the future 7 1 potential infringement is, whether the passage of time might eliminate or change any dispute, 2 and how much if any harm the potential infringer is experiencing a the time of suit that an 3 adjudication might redress.” Sandoz, Inc. v. Amgen, Inc., 773 F.3d 1274, 1278 (Fed. Cir. 2014). 4 “Reality” is measured by considering “any uncertainties about whether the plaintiff will take an 5 action that will expose it to potential infringement liability and, if so, exactly what action.” 6 Ibid. 7 AIDS Healthcare contends that this dispute is sufficiently real and immediate because it 8 sought to encourage generic manufacturers to develop products that contain TAF, but none has 9 responded. AIDS Healthcare presumes that no manufacturers have taken up that effort because TAF is protected by the above-identified patents. This ignores the fact that TAF is also 11 For the Northern District of California United States District Court 10 protected by Gilead’s NCE exclusivity, which bars the FDA from receiving any application for 12 a drug containing TAF until November 2019 and from approving that drug until November 13 2020. 14 In Benitec Australia, Ltd. v. Nucleonics, Inc., 495 F.3d 1340, 1345 (Fed. Cir. 2007), a 15 generic drug manufacturer filed counterclaims for declaratory judgment of invalidity and 16 unenforceability of patents covering a biologic product. The patent owner had charged the 17 generic manufacturer with patent infringement but later dismissed those claims because the 18 alleged infringement had not yet begun, although the generic manufacturer was “developing and 19 submitting information to the FDA related to” the patent technology. Applying MedImmune 20 (following supplemental briefs on that decision, which had come down after oral argument in 21 Benitec), the Federal Circuit held that “the fact that [the generic manufacturer] may file an NDA 22 in a few years does not provide the immediacy and reality required for a declaratory judgment” 23 and affirmed the district court’s judgment that it lacked subject matter jurisdiction over the 24 claims for declaratory judgment. 25 In Sandoz, 773 F.3d at 1279, the Federal Circuit noted that it had never found a 26 justiciable case or controversy before a drug manufacturer had applied for FDA approval. 27 Although that decision declined to “adopt a categorical rule,” the decision held that a generic 28 manufacturer’s ongoing preparations for a clinical trial could not establish a case or controversy 8 1 because “[a]ny dispute about patent infringement is at present subject to significant 2 uncertainties — concerning whether it will actually arise and if so what specific issues will 3 require decision.” Id. at 1280. 4 Here, generic manufacturers are still several steps behind even the manufacturers in 5 Benitec or Sandoz, and there is significant uncertainty about the nature of any hypothetical 6 product. The NCE exclusivity ensures that the first act of “artificial infringement” (the filing of 7 an ANDA) will not occur until 2019, at the earliest, and any proposed generic product cannot be 8 approved until 2020. AIDS Healthcare’s efforts to get a product to market on the early range of 9 that timeline do not eliminate the uncertainty that the Federal Circuit identified as fatal in 11 For the Northern District of California United States District Court 10 Benitec and Sandoz. If we were writing on a clean slate, this order would hold that AIDS Healthcare, at least 12 as a purchaser seeking to encourage manufacturers to prepare to make TAF-containing 13 products as soon as Gilead’s NCE exclusivity expires, could pursue its invalidity theories in 14 district court as the first step in solving a multi-layered problem. (This would contrast with the 15 competitors that could not pursue declaratory judgment in the decisions addressed above.) If 16 AIDS Healthcare were to succeed in clearing away the allegedly invalid patents, then generic 17 manufacturers would be all the sooner poised to apply for FDA approval for TAF-containing 18 products when the application period opens in three-plus years. This would reduce the barriers 19 to speedily bringing low-cost effective drugs to victims of HIV and AIDS. But our Federal 20 Circuit’s holdings insist that generic manufacturers must first wait until they can seek FDA 21 approval to sue to invalidate the relevant patents. This delay will be compounded by the 22 likelihood that the first generic manufacturer to challenge the patents via a Paragraph IV 23 certification can be expected to withdraw that challenge as part of a settlement with Gilead or 24 Japan Tobacco, a story regularly told under the Hatch-Waxman regime. See Scott Hemphill, 25 26 27 28 9 1 Paying for Delay: Pharmaceutical Patent Settlement as a Regulatory Design Problem, 81 2 N.Y.U. L. REV. 1553, 1579 (2006).4 But the slate isn’t clean. The Federal Circuit’s interpretation of Article III prevents 3 4 challenges of patents in district court at least until a generic drug manufacturer has neared 5 completion of a product (and perhaps until the manufacturer has “infringed” by seeking FDA 6 approval). This effectively extends NCE exclusivity beyond its five-year period by tacking on 7 the time it takes to successfully challenge bad patents covering the new chemical entity. 8 The closest decision on point is Consumer Watchdog v. Wisconsin Alumni Research decision from the Patent Trial and Appeal Board affirming the validity of a patent. That 11 For the Northern District of California Foundation, 753 F.3d 1258, 1261 (2014). There, a consumer advocacy group appealed a 10 United States District Court 9 decision largely focused on alleged injuries relating to the consumer group’s procedural rights 12 to seek an appeal before the PTAB. Before reaching that issue, however, the Federal Circuit 13 swiftly and without much discussion determined that the advocacy group lacked standing 14 because it had not “engaged in any activity involving [the patented technology] that could form 15 the basis for an infringement claim” and it did not “intend to engage in such activity.” Also 16 insufficient was the alleged burden the patent placed on taxpayer-funded research relating to the 17 patented technology. The Federal Circuit cited no authority for that proposition, but it indicated 18 that the Federal Circuit would extend the rule set forth in Benitec to entities other than 19 competitors. (Consumer Watchdog predated Sandoz.) 20 Here, although AIDS Healthcare has encouraged manufacturers to make infringing 21 products, and it has made preparations to encourage the use of such products, the infringing 22 nature of that activity remains dependent on the resolution of the uncertainty identified in 23 24 25 26 27 4 28 Entering pay-for-delay agreements is just one of many methods drug manufacturers use to delay generic entry. See Robin Feldman, Fixing the Generic Regulatory Process, SAN FRANCISCO DAILY JOURNAL, June 30, 2016, at 7. 10 1 Sandoz and Benitec, since, as stated, no manufacturer can even apply for FDA approval of an 2 infringing product until 2019. Under the Federal Circuit’s rule, that is insufficient.5 3 Accordingly, AIDS Healthcare’s claim for declaratory judgment of patent invalidity is 4 DISMISSED. No leave to amend may be sought because AIDS Healthcare cannot plead facts to 5 overcome the hypothetical nature of any proposed infringing product. 6 7 8 2. SHERMAN ACT CLAIMS. A. Tying. AIDS Healthcare alleges that Gilead entered into agreements with Janssen and Japan combining them into fixed-dose combination drugs (Genvoya, Descovy, and Odefsey) in 11 For the Northern District of California Tobacco to tie sales of TAF to sales of Janssen’s and Japan Tobacco’s respective drugs by 10 United States District Court 9 violation of Section 1 of the Sherman Antitrust Act. To plead a claim for tying, a plaintiff must 12 allege “(1) that there exist two distinct products or services in different markets whose sales are 13 tied together; (2) that the seller possesses appreciable economic power in the tying product 14 market sufficient to coerce acceptance of the tied product; and (3) that the tying arrangement 15 affects a not insubstantial volume of commerce in the tied product market.” Paladin Assocs., 16 Inc. v. Mont. Power Co., 328 F.3d 1145, 1159 (9th Cir. 2003) (internal quotations omitted). 17 Defendants argue that AIDS Healthcare fails on the first element because, regardless of 18 the alleged demand for a standalone-TAF product, TAF has not been approved by the FDA for 19 sale as a distinct product. (Rather, Gilead has only won FDA approval for the very 20 combinations of products challenged as an illegal tying arrangement.) AIDS Healthcare 21 responds that this is a factual challenge to its market definition, which must be resolved on a 22 full factual record and that the proper test for the existence of two distinct products “turns not 23 on the functional relation between them, but rather on the character of demand for the two 24 items.” Jefferson Parish Hosp. Dist. No. 2 v. Hyde, 466 U.S. 2, 19 (1984). 25 26 27 28 5 AIDS Healthcare could have pursued its anticipation and obviousness theories (but not its subject matter theory) through the inter partes review procedure at the United States Patent and Trademark office where it would have enjoyed a more favorable claim construction standard, but it could not have asserted its theories that the patents covered unpatentable subject matter or failed to enable one to make or use the invention. See Cuozzo Speed Techs., LLC v. Lee, 15-446, 2016 WL 3369425 (U.S. June 20, 2016). 11 1 AIDS Healthcare contends that the unique safety profile of TAF (as compared to TDF) 2 and Gilead’s plan to release a standalone TAF product demonstrate that the consumer demand 3 for TAF is separable from that of the alleged tied products. The extent of consumer demand for 4 standalone TAF is irrelevant because TAF cannot be sold as a standalone product as a matter of 5 law. That is, far from possessing appreciable economic power in the market for standalone 6 TAF, Gilead lacks any power to sell standalone TAF until the FDA approves Gilead’s NDA for 7 that drug, which required Gilead to undertake additional clinical testing and research. 8 The only decision to evaluate a tying arrangement involving a product that could not be 1335, 1355–56 (S.D. Fla. 2002) (Judge Frederico A. Moreno), the plaintiff challenged the 11 For the Northern District of California sold legally is in accord. In General Cigar Holdings, Inc. v. Altadis, S.A., 205 F. Supp. 2d 10 United States District Court 9 defendant’s efforts to leverage the promise of future sales of Cuban cigars (contingent on their 12 becoming legal for sale in the United States) to force consumers to purchase the defendant’s 13 non-Cuban cigars. Because the ability to actually sell the alleged tying product was conditioned 14 on the speculative possibility that the United States would lift the embargo on Cuban cigars, 15 plaintiff could not state a claim for tying. So too here. 16 Whether or not there existed demand for a standalone TAF, that demand could not be 17 met until the FDA approved it for sale. True, Gilead elected not to seek approval of TAF until 18 several months after it released the first combination drug containing TAF, but it had no duty to 19 pursue FDA approval of the standalone version. To hold otherwise would require 20 manufacturers to seek approval of each component of the drug before seeking approval of the 21 combination drug. This could entirely undermine the FDA’s policy of encouraging the 22 development of combination drugs. See Food and Drug Administration, New Chemical Entity 23 Exclusivity Determinations for Certain Fixed-Combination Drug Products, GUIDANCE FOR 24 INDUSTRY (October 2014) (Dkt. No. 81-2 at 2). 25 At all relevant times, the FDA has prohibited the sale of TAF as a standalone product. 26 As such, AIDS Healthcare has failed to plead the existence of a market for a tying product in 27 AIDS Healthcare’s tying claim and Gilead’s market power therein. Thus AIDS Healthcare’s 28 fourth claim must be DISMISSED. 12 1 2 AIDS Healthcare may not seek leave to amend its tying claim, inasmuch as it cannot plead around the defect that no market for the tying product exists. 3 B. Monopolization. 4 AIDS Healthcare also claims that Gilead engaged in monopolization in violation of 5 Section 2 of the Sherman Antitrust Act. “There are three essential elements to a successful 6 claim of Section 2 monopolization: (a) the possession of monopoly power in the relevant 7 market; (b) the willful acquisition or maintenance of that power; and (c) causal ‘antitrust’ 8 injury.” Allied Orthopedic Appliances, Inc. v. Tyco Health Care Grp., LP, 592 F.3d 991, 998 9 (9th Cir. 2010). In its amended complaint, AIDS Healthcare alleges that Gilead improperly bundled TAF 11 For the Northern District of California United States District Court 10 with the other ingredients in Genvoya, Descovy, and Odefsey as a means of maintaining its 12 dominance in the TAF market. Specifically, it alleges that by bundling TAF with the other 13 ingredients, it insulated the allegedly weak patents covering TAF from challenges, because any 14 generic manufacturer seeking to produce a TAF product would need to invalidate all the patents 15 listed in the Orange Book for those drugs before it could win FDA approval, rather than just the 16 TAF patents. 17 In opposing Gilead’s motion to dismiss, AIDS Healthcare entirely abandons this theory 18 under Section 2, asserting it instead as a claim under California’s Unfair Competition Law. 19 Nevertheless, this order addresses the defects in AIDS Healthcare’s Section 2 claim as pled. 20 First, AIDS Healthcare’s Section 2 claim relies on the premise that Gilead possesses 21 monopoly power over TAF-containing drugs. Nowhere in the complaint does AIDS Healthcare 22 allege facts supporting a market definition limited to TAF-containing drugs. This failure to 23 plead a market definition is fatal. 24 Second, AIDS Healthcare fails to allege any anticompetitive conduct on the part of 25 Gilead. Gilead elected to release TAF as part of a combination drug before seeking approval 26 for TAF as a standalone. “As a general rule, any firm, even a monopolist . . . may bring its 27 products to market whenever and however it chooses.” Foremost Pro Color, Inc. v. Eastman 28 Kodak Co., 703 F.2d 534, 545 (9th Cir. 1983). There is no legal basis for concluding that 13 1 Gilead had a duty to release TAF as a standalone product. See Allied Orthopedic, 592 F.3d at 2 1002 (“[A] monopolist has no duty to help its competitors survive or expand when introducing 3 an improved product design.”). 4 Third, AIDS Healthcare acknowledged in its brief on this motion that Gilead has already 5 sought FDA approval of standalone TAF, which is expected to be granted by November 2016. 6 Thus, no anticompetitive effect can result because Gilead has already taken steps to expose the 7 alleged vulnerabilities of the patents protecting TAF several years before its NCE exclusivity 8 will expire and the first possible generic TAF products can enter the market. NCE exclusivity period could file a Section 505(b)(2) application for such a new product. The 11 For the Northern District of California Fourth, any competitor seeking to market TAF in a new product after expiration of the 10 United States District Court 9 application would require the competitor to conduct its own clinical trials about the differences 12 between its product and the already-approved combination drug, but a change in formulation 13 could enable the competitor to isolate the TAF patents (by certifying that any other patents are 14 not infringed because the ingredients simply aren’t present), thus defeating AIDS Healthcare’s 15 “insulation” theory. 16 In its brief, AIDS Healthcare pivots to a new theory that Gilead used its monopoly in 17 TAF to monopolize an “aftermarket” for drugs used in combination with TAF, although that 18 theory is not pled as the basis for its Section 2 claim. As argued, this theory fails for the same 19 reason AIDS Healthcare’s tying claim fails. There is no “foremarket” for TAF — it is only sold 20 as one of several ingredients in the combination drugs Genvoya, Odefsey, and Descovy, and it 21 is not yet approved for sale on its own. Accordingly, AIDS Healthcare’s Section 2 claim must 22 be DISMISSED. 23 24 25 26 AIDS Healthcare may seek leave to amend its monopolization claim to more clearly state the theory it intends to pursue. C. Conspiracy. AIDS Healthcare also claims that defendants conspired to commit the alleged 27 monopolization already discussed in violation of Section 1 of the Sherman Antitrust Act. AIDS 28 Healthcare does not address its conspiracy claim in its opposition brief at all. In any case, the 14 1 conspiracy claim fails for the same reason the monopolization claim fails. AIDS Healthcare 2 may seek leave to amend this claim. 3 3. CARTWRIGHT ACT AND NEVADA CLAIMS. 4 AIDS Healthcare’s claims under California’s Cartwright Act and Nevada’s Unfair Trade 5 Practices Act mirror its claims under the Sherman Act. See Dimidowich v. Bell & Howell, 803 6 F.2d 1473, 1477 (9th Cir. 1986) (California); Boulware v. State of Nevada Dep’t of Human 7 Res., 960 F.2d 793, 800 (9th Cir. 1992) (Nevada). The primary difference is that neither state 8 law statute limits claims by indirect buyers to the exceptions set forth in Illinois Brick v. Illinois, 9 431 U.S. 720 (1977), and its progeny. Just as AIDS Healthcare’s Sherman Act claims fail, so too do its claims under the Cartwright Act and the Nevada Unfair Trade Practices Act. 11 For the Northern District of California United States District Court 10 4. 12 California’s Unfair Competition Law prohibits “unlawful, unfair, or fraudulent business UCL CLAIMS. 13 act[s] or practices.” Cal. Bus. & Prof. Code § 17200. “When determining whether a practice is 14 ‘unlawful,’ section 17200 ‘borrows’ violations of other laws . . . .” AICCO, Inc. v. Ins. Co. of 15 N. Am., 90 Cal. App. 4th 579, 587 (2001). Here, AIDS Healthcare seeks to “borrow” the 16 violations asserted in its antitrust claims addressed above. As stated, those claims fail. Thus, 17 AIDS Healthcare cannot state a claim under the unlawful prong. 18 AIDS Healthcare also asserts two theories under the “unfair” prong of the UCL. It first 19 contends that defendants conspired to game the FDA system to insulate TAF from patent 20 challenges by combining it with additional patented ingredients. This theory has already been 21 rejected as a basis for a Section 2 claim, in part because Gilead had no duty to release a 22 standalone TAF product. In Chavez v. Whirlpool Corp., 93 Cal. App. 4th 363, 375 (2001), the 23 California Court of Appeal held that conduct that is “deemed reasonable and condoned under 24 the antitrust laws” could not support a claim under the unfair prong of the UCL. “To permit a 25 separate inquiry into essentially the same question under the unfair competition law would only 26 invite conflict and uncertainty and could lead to the enjoining of procompetitive conduct.” Ibid. 27 Thus, AIDS Healthcare’s insulation theory cannot support its UCL claim. 28 15 1 AIDS Healthcare’s second theory (which appears only in its brief, not in its complaint) 2 fares no better. AIDS Healthcare contends that Gilead knew of the efficacy and safety benefits 3 of TAF in 2004 but shelved its clinical trials until 2011, leading to FDA approval (and a grant 4 of NCE exclusivity) in 2015, just before the patents on TDF were set to expire. This, AIDS Healthcare contends, delayed the expiration date of Gilead’s NCE 5 6 exclusivity and thus delayed the moment that competitors would seek to challenge Gilead’s 7 patents on TAF. Further, it left consumers to bear the higher bone and kidney toxicity of TDF 8 longer than necessary. Gilead’s patents gave it a monopoly over both TDF and TAF. It had no obligation to introduce 11 For the Northern District of California AIDS Healthcare fails to explain how this “delay” constituted unfair competition. 10 United States District Court 9 the improved product at an earlier date. Any competitor could have beaten Gilead to market 12 (and thus NCE exclusivity). “Without more, it is not unlawful [under antitrust law] for any 13 competitor in any market to delay the introduction of a new product or an entire line of new 14 products until, as [the plaintiff] alleged in this case, the competition forces such introduction.” 15 Foremost Pro Color, Inc. v. Eastman Kodak Co., 703 F.2d 534, 545 (9th Cir. 1983). Under 16 Chavez, AIDS Healthcare cannot recast its claim that Gilead unreasonably restrained 17 competition by allegedly delaying the release of TAF as a claim under the unfair prong of the 18 UCL. 19 20 21 Accordingly, AIDS Healthcare’s UCL claim must be DISMISSED. AIDS Healthcare may seek leave to amend this claim. CONCLUSION 22 For the reasons stated above, all three defendants’ motions to dismiss are GRANTED. 23 AIDS Healthcare may seek leave to amend its monopolization, conspiracy, and state law 24 claims within FOURTEEN CALENDAR DAYS of this order with a formal motion noticed on the 25 standard 35-day calendar. The motion must affirmatively identify how the proposed 26 amendments cure the defects identified above. AIDS Healthcare should plead its best case, and 27 it should address all defects identified in defendants’ motions, not just those addressed herein. 28 It should also specifically plead the theories it raised for the first time in its opposition to the instant motion. Theories raised for the first time in a brief will not be considered. 16 1 Both sides requested judicial notice of various documents reflecting FDA policy, 2 financial disclosures of the parties, publications discussing tenofovir, and the patents-in-suit. 3 To the extent not referred to above, the cited documents were not necessary to this order. 4 Accordingly, the parties’ requests for judicial notice are DENIED AS MOOT. 5 6 IT IS SO ORDERED. 7 8 Dated: July 6, 2016. WILLIAM ALSUP UNITED STATES DISTRICT JUDGE 9 11 For the Northern District of California United States District Court 10 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 17