Caraco v. Novo Nordisk (Prandin®):
Code CaseOn April 17, 2012, the U.S. Supreme Court issued a unanimous decision delivered by Justice
Kagan in Caraco Pharmaceutical Laboratories Ltd. v. Novo Nordisk A/S, reversing the Federal
Circuit and holding that a generic manufacturer (Caraco) may force correction of an
Orange Book use code that inaccurately describes a brand company’s (Novo’s) patent as
covering a particular method of using the drug in question under 21 U.S.C. §355(j)(5)(C)(i )(I)
(“the counterclaim provision”). Justice Kagan’s opinion was accompanied by a concurring
As background, when submitting a New Drug Application (“NDA”), an innovator (or “brand”)
pharmaceutical company must identify any patents that claim the drug that is the subject
of the application or any method of using such drug. Once the NDA is approved, the FDA
publishes the patent information in a database commonly known as the “Orange Book.”
Specifical y for patents that claim a method of use, the FDA requires that the NDA holder
provide a description of the relevant claimed subject matter (“use code”), for which the
FDA then assigns a use code number based on that description. A drug product may be
approved for multiple uses and have more than one use code.
FDA’s patent use codes play an important role in the Hatch-Waxman statutory scheme.
When a method of use patent is listed in the Orange Book, a prospective generic applicant
(i.e., “ANDA applicant”) has one of two options if it wishes to obtain marketing approval prior
to the expiration of that patent: first, it may submit a so-cal ed section vi i statement, which
means that the generic applicant only seeks approval for one or more methods of use not
covered by the listed patent, or second, it may file a so-cal ed paragraph IV certification,
which means that the generic applicant seeks approval for all methods of use, including
any that are claimed by the patent. When submitting a section vi i statement, the generic
applicant “carves-out” portions of its label that recite the patented use. Importantly, a section
vi i statement does not give rise to litigation, but a paragraph IV certification does. The scope
of the patent use code determines whether the FDA will al ow a generic applicant to submit
a section vi i statement or not. The FDA will not al ow a section vi i statement if the generic’s
proposed carve-out label has any overlap with the brand’s use code.
In Caraco, the brand drug product (repaglinide) has three approved uses for treating diabetes:
(1) repaglinide monotherapy; (2) repaglinide in combination with thiazolidinediones; and (3)
repaglinide in combination with metformin. Novo listed the ‘358 patent in the Orange Book,
which claims the use of repaglinide in combination with metformin, only one of the approved
uses for repaglinide. The other two uses—repaglinide monotherapy or in combination with
thiazolidinediones — are unpatented. Initial y, the use code narrative corresponding to
the ‘358 patent recited the “[u]se of repaglinide in combination with metformin to lower
blood glucose,” consistent with the claim scope. In its ANDA, Caraco submitted a section
vi i statement as to the ‘358 patent and “carved out” the patented combined use with
metformin. Novo then amended the use code and broadened it to recite “[a] method for
improving glycemic control in adults with type 2 diabetes.” As amended, the use code
For any questions regarding this topic, please contact the attorneys listed on Page 2.
encompassed (i.e., “overlapped”) the unpatented uses as well as the combined use with
metformin claimed in the ‘358 patent. Because of the overlap, the FDA rejected Caraco’s
section vi i statement and corresponding labeling carve out.
21 U.S.C. §355(j)(5)(C)(i )(I) authorizes an ANDA applicant sued for patent infringement to
“assert a counterclaim seeking an order requiring the [brand] to correct or delete the patent
information submitted by the [brand] under subsection (b) or (c) [of §355] on the ground that
the patent does not claim either— (aa) the drug for which the [brand’s NDA] was approved;
or (bb) an approved method of using the drug.”
After being sued by Novo, Caraco asserted a counterclaim seeking an order requiring the
brand to correct the use code, i.e., to change it back to the previous use code that tracked
the claim language of treating diabetes by administering repaglinide in combination with
metformin. The district court granted summary judgment to Caraco, enjoining Novo to
“correct . . . its inaccurate description of the ‘358 patent [i.e., the patent with claims directed
to treating diabetes using repaglinide in combination with metformin].” The Federal Circuit
held that use codes are not subject to correction by counterclaim and reversed. The Supreme
Court in turn reversed the Federal Circuit and remanded, holding that Caraco may force
correction of the overly broad use code under the statute. In addition, the Supreme Court
states that the statute language “under subsection (b) or (c)” should be given a broad
meaning and includes “information to other patent materials the FDA demands in the
regulatory process.” The Court’s statement indicates that a counterclaim may be available
to generic companies in Hatch-Waxman litigations to seek an order requiring the brand
company to correct or delete patent material or information, in addition to use codes.
The decision in Caraco v. Novo is likely to have an impact on both brand and generic
companies in Orange Book use code listing and chal enging strategies. For example, brand
companies will have an incentive to obtain patents with broad method of use claims such
that a broad use code narrative can be drafted, making section vi i carve outs more difficult.
On the other hand, the decision makes clear that generic companies can counterclaim to
The Court’s decision may also prompt the FDA to clarify its guidance to the industry regarding
use codes. Justice Sotomayor commented in her concurring opinion that “FDA’s guidance
as to what is required of brand manufacturers in use codes [is] remarkably opaque,” and
that the litigation arose “in some aspects because of FDA’s opacity in describing what is
required of brand manufacturers.” It will be interesting to see if the FDA provides clearer
If you have questions or would like additional information on this topic, please contact:
2012 Sterne, Kessler, Goldstein & Fox P.L.L.C. MIND + MUSCLE
Sterne, Kessler, Goldstein & Fox P.L.L.C. 1100 New York Avenue, NW Washington, DC 20005 www.skgf.com
Symposium 7 Symposium on Transporters and Relevance to Exposure Levels Chairs: Professor Gabrielle Hawksworth, University of Aberdeen and Professor Frans Russel, (Radboud University Nijmegen, The Netherlands) The first speaker of the symposia was Professor Frans G.M. Russel (Radboud University Nijmegen Medical Centre, The Netherlands). Professor Russel started his talk by explaining the
Get ready…. get set……GO! Just a few more weeks until we get started in NET 2410. Hopefully you have been using the information letter you received to get ready so that you can have the smoothest possible transition into the fall. Important Reminders (are there any reminders that AREN’T important??) DEADLINE TO SUBMIT CLINICAL REQUIREMENTS: AUGUST 3!! Make sure appropriate