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England and Wales Court of Appeal (Civil Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Cairnstores Ltd. Generics (UK) Ltd. & Anor v Aktiebolaget Hassle [2002] EWCA Civ 1504 (22 October 2002) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2002/1504.html Cite as: [2002] EWCA Civ 1504 |
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COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM CHANCERY DIVISION
MR JUSTICE LADDIE
Strand, London, WC2A 2LL | ||
B e f o r e :
LORD JUSTICE TUCKEY
and
LORD JUSTICE LONGMORE
____________________
CAIRNSTORES LIMITED GENERICS (UK) LIMITED | Claimants/ Respondents | |
- and - | ||
AKTIEBOLAGET HÄSSLE | Defendant/Appellant |
____________________
Mr Christopher Floyd QC and Mr Michael Tappin (instructed by S.J. Berwin) for the Respondent/Claimant Cairnstores
Mr Christopher Floyd QC and Mr Adrian Speck (instructed by Taylor Wessing) for the Respondent/Claimant Generics (UK) Ltd
Hearing dates : 4th, 5th, 7th October 2002
____________________
Crown Copyright ©
“Omeprazole is however susceptible to degradation/transformation in acid reacting and neutral media. The half-life of omeprazole in water solutions at pH-values less than four is shorter than ten minutes. Also at neutral pH-values the degradation reaction proceeds rapidly, e.g. at pH = 7 the half-life of omeprazole is about 14 hours, while at higher pH-values the stability in solution is much better (Pilbrant and Cederberg, Scand. J. Gastroenterology 1985; 20 (suppl. 108) p. 113-120). The stability profile is similar in solid phase. The degradation of omeprazole is catalyzed by acidic reacting compounds and is stabilized in mixtures with alkaline reacting compounds. The stability of omeprazole is also affected by moisture and organic solvents.
From what is said about the stability properties of omeprazole, it is obvious that an oral dosage form of omeprazole must be protected from contact with the acid reacting gastric juice in order to reach the small intestine without degradation.
In human pharmacological studies it was found that the rate of release of omeprazole from a pharmaceutical dosage form can influence the total extent of absorption of omeprazole to the general circulation (Pilbrant and Cederberg, Scand. J. Gastroenterology 1985; 20 (suppl. 108) p. 113-120). A fully bioavailable dosage form of omeprazole must release the active drug rapidly in the proximal part of the gastrointestinal canal.
In order to obtain a pharmaceutical dosage form of omeprazole which prevents omeprazole from contact with acidic gastric juice, the cores must be enteric coated.”
“When such an alkaline core is enteric coated with an amount of a conventional coating polymer such as for example, cellulose acetate phthalate, that permits the dissolution of the coating and the active drug contained in the cores in the proximal part of the small intestine, it also will allow some diffusion of water of gastric juice through the enteric coating into the cores, during the time the dosage form resides in the stomach before it is emptied into the small intestine. The diffused water of gastric juice will dissolve parts of the core in the close proximity of enteric coating layer and there form an alkaline solution inside the coated dosage form. The alkaline solution will interfere with the enteric coating and eventually dissolve it.”
“If a conventional formulation of omeprazole is made, the stability is not satisfactory, particularly in resistance to humidity, and special moisture-proof packing has been adopted to minimise the troubles. However, this provides no satisfactory solution to the problems in today’s drug distribution system, and also leads to increased costs. Under the circumstances, there has been a demand for the development of new enteric preparations of omeprazole with better stability.”
“The object of the present invention is to provide an enteric coated dosage form of omeprazole, which is stable to discolouration and which is resistant to dissolution in acid media and which dissolves rapidly in neutral to alkaline media and which has a good stability during long-term storage.”
“An oral, pharmaceutical preparation stable to discolouration containing omeprazole as the active ingredient characterized in that it is composed of core material in the form of small beads or tablets containing omeprazole together with an alkaline reacting compound, or an alkaline salt of omeprazole optionally together with an alkaline reacting compound, and on said core material one or more inert reacting subcoating layers comprising tablet excipients which are soluble or rapidly disintegrating in water, or polymeric, water soluble, filmforming compounds, optionally containing pH-buffering, alkaline compounds between the alkaline reacting core and an outer layer, which is an enteric coating.”
“23. The other witness was Dr Rees. He clearly is highly qualified and has great experience in the formulation field. There was no attack on his expertise. However Mr Floyd did suggest that Dr Rees’ approach was more akin to that of an advocate than an expert. He said that this might well have been because of over exposure to the patentee’s case, having been involved on Hässle’s side in similar litigation in Australia, Canada, Norway, Israel and the EPO.
24. It would have been much more pleasing to say that Dr Rees was as impressive a witness as Dr Rue, but I cannot. He was cross-examined with courtesy but great precision by Mr Floyd. The overwhelming impression on me was of an able man who was acting as an advocate for the defendant’s case. Reading the transcript does not give a full feel for how the cross-examination went. As it progressed, Dr Rees appeared to experience growing difficulty in answering questions. Towards the end there were frequent and embarrassingly long pauses while he tried to find answers to simple, but telling, questions put to him by Mr Floyd. Furthermore, when one looks at his evidence as a whole, the impression is given of an attempt, no doubt unwitting, to think up as many alternatives as possible to the use of a separating layer between the enteric coating and the omeprazole-containing core. All of these were then said to be more likely to be thought of than the use of a separating layer. Indeed, he said that he did not believe that, before the priority date, the skilled formulator would have thought of using any kind of subcoat (Bundle G Tab 1 paragraph 155). This resulted in him advocating possible alternative routes which were obviously untenable. Some of these I will have to touch upon later in this judgment. At this stage it might be useful to refer to just a few examples of the difficulties with his evidence.”
“32. Mr Floyd relied on other areas where he said that Dr Rees’ evidence appeared to be unbalanced. Some of those will be mentioned below. In his reply speech he submitted that Dr Rees’ evidence must be treated with caution and that it is to be contrasted with that of Dr Rue which was straightforward, objective and fair. I accept that submission.”
“46. However, I am not satisfied that the approach suggested by Dr Rees would have been that adopted by the notional skilled addressee in 1986. Dr Rue gave compelling and convincing evidence that the simple and logical course, and the course which would be adopted by virtually all formulators, would be to test the new drug against excipients before they are all combined into a dosage formulation, i.e. at the pre-formulation stage. This view was supported by a number of standard textbooks which were referred to in the trial and put to the witnesses.”
“57. I have found it difficult to accept Dr Rees’ evidence on this issue. It is based on his theory that the enteric coating is stable and will not react with the new drug. This, in turn, appears to be based on his experience of a single enterically coated product at Abbott. However, as Dr Rue pointed out (see paragraph 39 above), each drug is a novel chemical whose chemical reactivity is little understood. Dr Rees’ theory involves an assumption that all excipients will be stable and will not react with any new drug, no matter what its reactivity. Even ignoring the contents of Pharmaceutical Dosage Forms (Tablets) and other basic literature in this field, which I will turn to in a moment, I do not accept that it would have been regarded as safe to assume that the new drug and an enteric coating material would not interact. Dr Rue said that no such assumption would or could be made by a skilled worker. I accept that evidence which accords with common sense. It also accords with the published literature. The passage from Pharmaceutical Dosage Forms (Tablets)…”
“69. Once again, the claimants’ case is simple. Use of multi-layer tablets was well known. Physical separation of ingredients in a tablet was known. It was obvious to try to overcome the incompatibility between a new drug and the coating film by keeping them apart. Use of an intermediate layer between them was an obvious route to try. Indeed, the claimants argue that this suggestion was made in a number of publications before the priority date. Before turning to the detailed evidence on this issue, it is worth bearing in mind just how basic the concept is. The idea of placing a physical barrier between two reacting chemicals is the rationale behind the use of enteric coatings. They create a physical barrier between the acid in the stomach and the acid-sensitive drug in the tablet. As already noted, this was so well known that it was taught to undergraduates.
70. Furthermore it was common knowledge that one could physically separate components which have a tendency to react with each other. I have already referred to the knowledge of enteric coatings, but there is more. For example it was well known that if two proposed ingredients in a tablet core were incompatible, they could be separated by leaving one in the core and dispersing the other in a coating layer. Dr Rees accepted that this was well known (Transcript Day 3 p 278). It was also well known that one could make multi-layered tablets to keep incompatible components away from each other. …”
“80. Dr Rue’s evidence was that at the priority date well known uses of separating layers, which could be made in a variety of ways with a variety of materials, included separating components, for example as in the case of layered tablets where non-reactive pharmaceutical excipients would be used to form the separating layer. I accept that evidence which is consistent with all the documents in the case, including Dr Rees’ Australian evidence. It is only contradicted by Dr Rees’ evidence given in these proceedings, evidence which I do not find convincing.”
“The question is whether the fair-minded and informed observer, having considered the facts, would conclude that there was a real possibility that the tribunal was biased.”
“493. In our judgment, those principles are not directly applicable to the question whether a trial was fair, but they are of assistance. They are not directly applicable because the question is not whether there was a real possibility or real danger that the trial was unfair, but whether it was unfair. We can see no reason why this court (or any court of review) should not be able to judge whether or not the trial was in fact unfair, once it has considered all the relevant circumstances.
494. The principles are, however, of assistance because they stress that the question must be viewed through the eyes of the reasonable observer or litigant. The same principle seems to us to apply here. Thus the question is not whether a disappointed litigant thinks the trial was unfair, but whether a reasonable person in his or her position would think so, having regard to all the circumstances of the case. The circumstances are of importance because, before concluding that a trial is unfair, the court must consider all the relevant circumstances. As appears below, this is in our opinion important on the facts of the case.”
“… shows … that the description ‘apparent bias’ traditionally given to this head of bias is not entirely apt, for if despite the appearance of bias the court is able to examine all the relevant material and satisfy itself that there was no danger [possibility] of the alleged bias having in fact caused injustice, the impugned decision will be allowed to stand. The famous aphorism of Lord Hewart CJ in R v Sussex Justices, ex p McCarthy [1924] 1 KB 256 at 259, [1923] All ER Rep 233 at 234 that ‘justice … should manifestly and undoubtedly be seen to be done’ is no longer, it seems, good law, save of course in the case where the appearance of bias is such as to show a real danger of bias. In the present case the court’s task is to ascertain the relevant circumstances and ask itself whether, having regard to these circumstances, there was a real danger of bias on the part of HM Coroner for Inner West London in the sense that he might have unfairly regarded with disfavour the cases of the applicants as parties to an issue under consideration by him.”
“35. The central question raised is whether the nature and frequency of the trial judge’s interventions, combined with the deficiencies found by the Court of Appeal in his summing-up, were such as to render the proceedings against the applicant unfair. The Court recalls that, in determining issues of fairness of proceedings for the purposes of Article 6 of the Convention, the Court must consider the proceedings as a whole, including the decision of the appellate court (see, for example, the above-mentioned Edwards judgment, § 34).”
“A judge who observes the demeanour of the witnesses while they are being examined by counsel has from his detached position a much more favourable opportunity of forming a just appreciation than a judge who himself conducts the examination. If he takes the latter course he, so to speak, descends into the arena and is liable to have his vision clouded by the dust of the conflict. Unconsciously he deprives himself of the advantage of calm and dispassionate observation. It is further to be remarked, as everyone who has had experience of these matters knows, that the demeanour of a witness is apt to be very different when he is being questioned by the judge to what it is when he is being questioned by counsel, particularly when the judge’s examination is, as it was in the present case, prolonged and covers practically the whole of the crucial matters which are in issue.”
i) On Day 3 at pages 300-3 Mr Floyd was cross-examining Dr Rees about two potentially inconsistent passages between his original written evidence (paras 127-128) and his written evidence in reply (para 25) in relation to the observation of discolouration or degradation in the course of the formulation of an omeprazole-containing core by the technique of wet granulation. Dr Rees’ answer at 309 lines 12-21 appeared to say that his original evidence was correct viz. that the formulator would see discolouration rather than his reply in evidence to the effect (based on the Pilbrant data referred to in the patent) that minimal degradation could be expected. Mr Floyd then asked:
“On what basis do you now predict, contrary to what you say you predict from Pilbrant, that you would see that [discolouration]?”
Dr Rees replied:
“The reason for saying that was on the basis of an assumption that, under the circumstances described, that the discolouration would occur.”
The judge:
“Dr Rees, it is very important because in this court experts are here to help the court, that is their primary function. I am afraid to say that you have left me very confused. I thought I understood you to say that as a result of the material in the Pilbrant you would expect there to be degradation on wet granulation, that is what you said first. Mr Floyd put to you paragraph 25 in your second statement, which appears to say the reverse. Obviously, Mr Floyd is going to suggest to me at some stage that that is an inconsistency, which somebody is going to have to resolve. I want you to explain to me now what makes you believe that there would have been more than minimal degradation if there had been a wet granulation. What is the source of your belief that there would be, if it is still your belief. If it is that having looked at all of this material you do not think it is your belief tell me. If it is your belief that there would have been, would you please explain to me why?”
Mr Thorley submitted that this intervention by the judge completely disconcerted Dr Rees and, indeed, his answer to the judge is not at all easy to follow.
ii) On day 3 at pages 343-348 Mr Floyd asked questions about the prior art as contained in a publication of 1969 “Up-to-date Pharmaceutical Technology Series ‘No 1’ Coating of Drugs”. That appeared, on one view, to say that a substance called TC-5 was used as an undercoating agent for the purpose of preventing coatings from reacting with active components. Dr Rees denied this could be obvious because, he said, the 1969 publication had been written in the context of sugar coating. When pressed on the question whether someone experienced in the field would do tests on the substance to see if it could be used for omeprazole, he said he would go back to the manufacturer rather than embarking on a work of uncertain outcome. The judge then intervened in the following terms:
“Can you help me with this, Doctor. I understand you are saying that some of these things may have been covered with sugar layers. Assume that it is true that on the outside of the enteric preparation there is a sugar layer, what does that have to do with this teaching? This is talking about a reaction between the enteric base and the active ingredient which says we can stop that by putting something in between. What difference does it make if there is sugar on the outside? This is talking about stopping a reaction between an enteric layer that kept the film there and the active ingredient. What difference does it make if there is sugar? I am having a difficulty understanding the significance. This is just teaching you that wherever the reaction is we can stop it. Will you explain to me the fact that it may have something to do with sugar coating, what does that have to do with teaching of this?”
Mr Thorley submitted that this was a series of 4 questions, which counsel would never have been allowed to ask together before waiting for a reply; he, moreover, characterised the intervention as judicial brow-beating.