Amicus Curiae Brief — Hikma Pharmaceuticals USA Inc., et al., Petitioners v. Amarin Pharma, Inc., et al.
Supreme Court briefMar 9, 2026
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No. 24-889
IN THE
Supreme Court of the United States
HIKMA PHARMACEUTICALS USA INC. AND
HIKMA PHARMACEUTICALS PLC,
v.
Petitioners,
AMARIN PHARMA, INC., ET AL.,
Respondents.
On Writ of Certiorari
to the United States Court of Appeals
for the Federal Circuit
BRIEF OF AMICI CURIAE
PATENT LAW PROFESSORS
PAUL R. GUGLIUZZA AND JACOB S. SHERKOW
IN SUPPORT OF NEITHER PARTY
PHILLIP R. MALONE
Counsel of Record
NINA K. SREJOVIC
JUELSGAARD INTELLECTUAL
PROPERTY AND
INNOVATION CLINIC
MILLS LEGAL CLINIC AT
STANFORD LAW SCHOOL
559 Nathan Abbott Way
Stanford, CA 94305
(650) 725-6369
pmalone@stanford.edu
Counsel for Amici Curiae
TABLE OF CONTENTS
INTEREST OF AMICI CURIAE ................................. 1
INTRODUCTION AND SUMMARY OF ARGUMENT
...................................................................................... 2
ARGUMENT ................................................................ 3
I.
Inducing Infringement Under § 271(b) Requires Encouraging, Recommending, or Promoting Infringement. ............................................ 3
II. Hatch-Waxman Does Not Alter the Requirements for Induced Infringement Liability Under § 271(b). ........................................................... 6
III. The Federal Circuit’s Labeling-Based Theory
of Inducement Improperly Expands § 271(b)
Beyond Its Statutory Limits ................................. 8
A.
The Federal Circuit’s decision continues
the trend of imposing inducement liability for regulated statements by generic
drug companies. ............................................ 9
B.
Labeling reflects regulatory compliance
rather than affirmative encouragement. ............. …………………………………11
C.
Labeling cannot be inducement without
evidence of causation. ................................. 13
IV. This Court Should Reaffirm Existing Inducement Law ............................................................. 15
A.
“Skinny labels” and other labeling should
not, alone, create liability for inducement. ............................................................ 15
B.
The plain text of § 271(b) requires a
causal connection between communication and infringement ................................. 17
CONCLUSION ........................................................... 19
TABLE OF AUTHORITIES
Page(s)
Cases
Allergan v. Alcon Labs., Inc.,
324 F.3d. 1322 (Fed. Cir. 2003).............................. 7
Amarin Pharma, Inc. v. Hikma Pharms.
USA Inc.,
104 F.4th 1370 (Fed. Cir. 2024) ............................. 9
Aro Mfg. Co. v. Convertible Top
Replacement Co. (Aro II),
377 U.S. 476 (1964) ............................................ 4, 6
Caraco Pharmaceutical Laboratories,
Ltd. v. Novo Nordisk A/S,
566 U.S. 399 (2012) ......................................... 8, 16
Commil USA, LLC v. Cisco Systems,
Inc.,
575 U.S. 632 (2015) ............................................ 6, 8
Corcept Therapeutics, Inc. v. Teva
Pharms. USA, Inc., 709 F. Supp. 3d
138 (D.N.J. 2023), aff’d,
2026 WL 468866 (Fed. Cir. Feb. 19,
2026) ...................................................................... 16
Corcept Therapeutics, Inc. v. Teva
Pharms. USA, Inc., No. 2024-1346,
2026 WL 468866 (Fed. Cir. Feb. 19,
2026) ..................................................................... 18
DSU Med. Corp. v. JMS Co.,
471 F.3d 1293 (Fed. Cir. 2006)............................... 5
Eli Lilly & Co. v. Medtronic, Inc.,
496 U.S. 661 (1990) ................................................ 7
Gershwin Pub. Corp. v. Columbia Artists
Mgmt., Inc.,
443 F. 2d 1159 (2d Cir. 1971) ................................. 4
GlaxoSmithKline LLC v. Teva Pharms.
USA, Inc. (GSK),
7 F.4th 1320 (Fed. Cir. 2021) ... 2, 9, 10, 12, 14, 16,
19
GlaxoSmithKline LLC v. Teva Pharms.
USA, Inc.,
25 F.4th 949 (Fed. Cir. 2022) ............................... 10
Global-Tech Appliances, Inc. v. SEB
S.A.,
563 U.S. 754 (2011) .......................... 3, 4, 5, 6, 8, 17
Henry v. A. B. Dick Co.,
224 U.S. 1 (1912) .................................................... 6
Inwood Labs., Inc. v. Ives Labs., Inc.,
456 U.S. 844 (1982) ................................................ 5
Merck KGaA v. Integra Lifesciences I,
Ltd.,
545 U.S. 193 (2005) ................................................ 8
Metro-Goldwyn-Mayer Studios Inc. v.
Grokster, Ltd.,
545 U.S. 913 (2005) ........................................ 3, 4, 5
PLIVA, Inc. v. Mensing,
564 U.S. 604 (2011) .............................................. 12
Sanofi v. Watson Laboratories Inc.,
875 F.3d 636 (Fed. Cir. 2017)............................... 13
Sony Corp. v. Universal City Studios,
Inc.,
464 U.S. 417 (1984)............................................. 4, 5
Takeda Pharms. U.S.A., Inc. v. WestWard Pharm. Corp.,
785 F.3d 625 (Fed. Cir. 2015)............................. 5, 8
United Therapeutics Corporation v.
Liquidia Technologies,
74 F.4th 1360 (Fed. Cir. 2023) ......................... 2, 11
Vanda Pharmaceuticals v. West-Ward
Pharmaceuticals International Ltd.,
887 F.3d 1117 (Fed. Cir. 2018)......................... 2, 10
Warner-Lambert Co. v. Apotex Corp.,
316 F.3d 1348 (Fed. Cir. 2003)............................... 6
Water-Technologies Corp. v. Calco, Ltd.,
850 F.2d 660 (Fed. Cir. 1988)................................. 5
William R. Warner & Co. v. Eli Lilly &
Co.,
265 U.S. 526 (1924)................................................. 5
Statutes
Drug Price Competition and Patent
Term Restoration Act of 1984 (HatchWaxman Act), Pub. L. No. 98-417,
98 Stat. 1585 ........................................................... 6
21 U.S.C.
§ 355(j) ..................................................................... 6
§ 355(j)(2)(A)(v) ..................................................... 11
§ 355(j)(2)(A)(viii) .................................................. 12
35 U.S.C.
§ 271(b) ......................................................... 3, 7, 17
§ 271(c) ................................................................ 3, 5
§ 271(e) ................................................................ 6, 7
§ 271(e)(1) ................................................................ 8
§ 271(e)(2) ................................................................ 7
Other Authorities
Am. Med. Ass’n, Prescription Product
Labeling H-115.994 (2025),
https://policysearch.amaassn.org/policyfinder/detail/H115.994?uri=%2FAMADoc%2FHOD.
xml-0-141.xml ....................................................... 14
David A. Simon, Off-Label Inducement,
111 Iowa L. Rev. (forthcoming 2026),
https://dx.doi.org/10.2139/ssrn.55333
01 ........................................................................... 14
H.R. Rep. No. 82-1923 (1952) ...................................... 4
H.R. Rep. No. 98-857, pt. 1 (1984)............................... 7
Jacob S. Sherkow & Paul R. Gugliuzza,
Infringement by Drug Label, 78 Stan.
L. Rev. 131 (2026) ... 1, 2, 3, 9, 11, 12, 14, 16, 17, 18
Mark A. Lemley, Inducing Patent
Infringement, 39 U.C. Davis L. Rev.
225 (2005) ............................................................ 4, 5
Paul R. Gugliuzza & Jacob S. Sherkow,
Corcept v. Teva Oral Argument:
Infringement by Drug Label, Again,
Patently-O (July 8, 2025),
https://patentlyo.com/patent/2025/07/
corcept-argument-infringement.html .................. 17
Paul R. Gugliuzza & Jacob S. Sherkow,
Drug Labels as Evidence of Patent
Infringement — A Troubling Legal
Trend, 394 NEJM 630 (2026) .......................... 1, 11
U.S. Food & Drug Admin., Use of
Approved Drugs for Unlabeled Indications, 12 FDA Drug Bull. 4 (Apr.
1982) ...................................................................... 14
1
INTEREST OF AMICI CURIAE
Paul R. Gugliuzza is the Thomas W. Gregory Professor of Law at the University of Texas at Austin
School of Law. Jacob S. Sherkow is the Richard W. and
Marie L. Corman Professor of Law at the University of
Illinois College of Law.1 Amici teach and research patent law, including patent litigation under the HatchWaxman Act. Their scholarship includes two recent
articles examining the intersection of drug labels, the
Hatch-Waxman Act, and induced patent infringement.
See Jacob S. Sherkow & Paul R. Gugliuzza, Infringement by Drug Label, 78 Stan. L. Rev. 131 (2026); Paul
R. Gugliuzza & Jacob S. Sherkow, Drug Labels as Evidence of Patent Infringement — A Troubling Legal
Trend, 394 NEJM 630 (2026) [hereinafter Gugliuzza
& Sherkow, Trend].
Amici have no personal interest in this case. Their
sole interest is in the orderly development of induced
infringement doctrine in a way that is faithful both to
longstanding patent law and to Congress’s policy
choices in the Hatch-Waxman Act.
1 No counsel for a party authored this brief in whole or in part,
and no party or counsel for a party made a monetary contribution
intended to fund its preparation or submission. No person other
than the amici or their counsel made a monetary contribution to
the preparation or submission of this brief. Amici’s affiliations are
provided for identification purposes only; they are participating
in their individual capacity and not on behalf of their institutions.
2
INTRODUCTION AND SUMMARY OF
ARGUMENT
The decision below is the latest in a line of Federal
Circuit pharmaceutical cases that have turned decades of patent inducement jurisprudence on its head.
Across GlaxoSmithKline LLC v. Teva Pharmaceuticals USA, Inc., United Therapeutics Corp. v. Liquidia
Technologies, Inc., Vanda Pharmaceuticals Inc. v.
West-Ward Pharmaceuticals International Ltd., and
now this case, the Federal Circuit has improperly relied on Food and Drug Administration (FDA)regulated drug labeling to expand inducement liability
beyond its proper boundaries.
By allowing inducement to rest on a bare textual
reading of a drug label combined with anodyne public
statements about generic equivalence, the Federal
Circuit has embraced a theory of liability that amici
have called “infringement by label.” Sherkow & Gugliuzza, supra, at 131. Infringement by label departs
from the common and statutory law of inducement and
patent infringement. Instead of asking whether a generic company has intentionally encouraged and
caused infringement, the Federal Circuit has imposed
liability simply because a generic’s label could be read
to “contain” a patented method of use and the generic
holds itself out as, well, a generic.
Applying common law infringement principles,
this Court has long held that patent inducement liability exists only when a party actively encourages,
recommends, or promotes infringement by taking affirmative acts with the intent to cause direct infringement by another. Nothing in the 1952 Patent Act or
the Hatch-Waxman Act changes these core principles.
3
The Federal Circuit’s recent decisions, by contrast, improperly base inducement liability on FDA-mandated
drug labels and unremarkable statements about generic equivalence.
Generics do not write their drugs’ labels; FDA law
generally requires them to copy that of the reference
brand drug. Even brand drug labels are produced under intense agency scrutiny and constraints of federal
law. Sherkow & Gugliuzza, supra, at 135, 141. And
physicians rarely rely on these labels for prescribing
decisions. The Federal Circuit’s approach to inducement is inconsistent with this Court’s command that
inducement demands “purposeful, culpable expression
and conduct” demonstrated through clear acts taken
to foster infringement. Cf. Metro-Goldwyn-Mayer Studios Inc. v. Grokster, Ltd., 545 U.S. 913, 937 (2005).
In resolving this case, the Court should reaffirm
that inducement requires evidence of voluntary, targeted efforts that influence prescribing behavior—not
a textual exegesis of isolated phrases from mandatory
labels and innocuous statements about “generic equivalence.”
ARGUMENT
I.
Inducing Infringement Under § 271(b) Requires Encouraging, Recommending, or
Promoting Infringement.
Section 271(b) of the 1952 Patent Act imposes liability on those who “actively induce[] infringement of
a patent.” 35 U.S.C. § 271(b). That section, along with
§ 271(c), was “designed to ‘codify in statutory form
principles of contributory infringement’” that had been
“part of our law for about 80 years.” Global-Tech
4
Appliances, Inc. v. SEB S.A., 563 U.S. 754, 761 (2011)
(quoting Aro Mfg. Co. v. Convertible Top Replacement
Co (Aro II)., 377 U.S. 476, 485–86 n.6 (1964) (quoting
H.R. Rep. No. 82-1923, at 9 (1952))).
As this Court has recognized in the context of copyright infringement, indirect infringement is based on
“doctrines of secondary liability [that] emerged from
common law principles and are well established in the
law.” Grokster, 545 U.S. at 930 (citing Sony Corp. v.
Universal City Studios, Inc., 464 U.S. 417, 486 (1984)
(Blackmun, J., dissenting)). Therefore “[o]ne infringes
contributorily by intentionally inducing or encouraging direct infringement.” Id. (citing Gershwin Pub.
Corp. v. Columbia Artists Mgmt., Inc., 443 F. 2d 1159,
1162 (2d Cir. 1971)).
As with other forms of secondary liability, indirect
patent infringement liability arose to ensure patent
law could efficiently hold culpable actors liable even
when they do not themselves directly practice the invention. See Mark A. Lemley, Inducing Patent Infringement, 39 U.C. Davis L. Rev. 225, 227–28 (2005).
Before enactment of the 1952 Patent Act, indirect infringement consisted of contributory infringement—
the aiding and abetting of direct infringement—with
inducement treated as evidence of the intent required
for such liability. Glob.-Tech, 563 U.S. at 764; Lemley,
supra, at 227. While courts were comfortable assuming intent when the indirect infringer sold products
useful only for infringing acts, they required affirmative acts demonstrating infringement when products
could be used for noninfringing purposes. See Lemley,
supra, at 227.
When indirect infringement was codified in
§ 271(c) and § 271(b), the basic distinction was
5
between liability for contributory infringement and liability for inducing infringement. While contributory
infringement requires the sale of products “especially
made or especially adapted for use in an infringement,” 35 U.S.C. § 271(c), inducing infringement requires “‘other acts’ that direct, facilitate, or abet infringement.” Lemley, supra, 227 (2005).
The rule of inducement “as developed in the early
cases is no different today.” Grokster, 545 U.S. at 936.
Inducement “must involve the taking of affirmative
steps to bring about the desired result,” Glob.-Tech,
563 U.S. at 760, and requires proof that the defendant
“actively and knowingly aid[ed] and abett[ed] another’s direct infringement.” DSU Med. Corp. v. JMS
Co., 471 F.3d 1293, 1305 (Fed. Cir. 2006) (citing Water
Techs. Corp. v. Calco, Ltd,, 850 F.2d 660, 668 (Fed.
Cir. 1988)). Furthermore, those acts must “encourage,
recommend, or promote infringement.” Takeda
Pharms. USA, Inc. v. West-Ward Pharm. Corp.,
785 F.3d 625, 631 (Fed. Cir. 2015).
Reflecting inducement’s common law origins, this
Court has applied the same principles to patent, copyright, and trademark law. See, e.g., Grokster, 545 U.S.
at 936 (citing Sony, 464 U.S. at 417) (adopting patent
law’s inducement rule as “a sensible one for copyright”); Glob.-Tech, 563 U.S. at 763 (citing Grokster,
545 U.S. at 913); see also Inwood Labs., Inc. v. Ives
Labs., Inc., 456 U.S. 844, 854 (1982) (“[I]f a manufacturer or distributor intentionally induces another to
infringe a trademark . . . [it] is contributorily responsible.”) (citing William R. Warner & Co. v. Eli Lilly &
Co., 265 U.S. 526 (1924)).
Nor does inducement change based on the industry in which the patent arises or the presence of
6
overlapping regulatory schemes. See Glob.-Tech,
563 U.S. at 762–64 (consumer appliances) (deriving
the inducement knowledge standard from Aro II,
377 U.S. 476 (automobile parts), and Henry v. A. B.
Dick Co., 224 U.S. 1 (1912) (office equipment)); Commil USA, LLC v. Cisco Sys., Inc., 575 U.S. 632 (2015)
(telecommunications) (reaffirming inducement framework from Glob.-Tech, 563 U.S. 754, and Aro II,
377 U.S. 476).
II. Hatch-Waxman Does Not Alter the Requirements for Induced Infringement
Liability Under § 271(b).
Just as inducement principles are the same across
various forms of intellectual property and among different industries, those principles remain unaltered in
cases involving generic drugs. Decades ago, Congress
enacted the Drug Price Competition and Patent Term
Restoration Act of 1984 (“Hatch-Waxman Act”), Pub.
L. No. 98-417, 98 Stat. 1585, which established a litigation framework that allows generic drugs to enter
the market as soon as patent protection for a brandname drug ends. 35 U.S.C. § 271(e); 21 U.S.C. § 355(j).
In order to achieve that goal, the Act created “an ‘artificial’ act of infringement that creates case-or-controversy jurisdiction” enabling early judicial resolution of
patent disputes between brand name and generic drug
companies. Warner-Lambert Co. v. Apotex Corp.,
316 F.3d 1348, 1365 (Fed. Cir. 2003).
However, “once jurisdiction is established . . . the
substantive determination whether actual infringement or inducement will take place is determined by
traditional patent infringement analysis[.]” Id. This is
confirmed by the Act’s own legislative history: “The
7
provisions of [the Hatch Waxman Act] relating to the
litigation of disputes involving patent . . . infringement are not intended to modify existing patent law
with respect to the burden of proof and the nature of
the proof to be considered by the courts in determining
whether a patent is . . . infringed.” H.R. Rep. No. 98857, pt. 1, at 27–28 (1984).
Therefore, whether a claim is made under
35 U.S.C. § 271(b), which codified the common law
standard for inducing patent infringement, or
§ 271(e)(2), under the Hatch-Waxman Act, the inquiry
about inducement is the same. See Allergan v. Alcon
Labs., Inc., 324 F.3d. 1322, 1337 (Fed. Cir. 2003)
(Schall, J., concurring) (noting that a cause of action
exists for “induced infringement under section 271(e)(2)” because otherwise “the owner of a
method of use patent . . . will bring a section 271(b)
induced infringement action, after the ANDA has been
approved[.]”).
When resolving other infringement questions
arising under the Hatch-Waxman Act, this Court has
adhered to ordinary infringement principles rather
than inventing a pharmaceutical-specific doctrine. In
Eli Lilly & Co. v. Medtronic, Inc., 496 U.S. 661 (1990),
the Court described § 271(e)(2)’s submission-based
trigger as a “highly artificial act of infringement,” created solely to permit premarket adjudication. Id. at
678. But the Court did not alter what counts as infringement. To the contrary, it analyzed liability by
reference to the traditional categories in § 271(a) of
making, using, and selling—confirming that HatchWaxman changes when suit may be brought, not what
must be proved. Id. at 670–71, 678.
8
Likewise, in Merck KGaA v. Integra Lifesciences I,
Ltd., 545 U.S. 193, 201 (2005), the Court, relying on
the Hatch-Waxman Act’s text and structure, treated
§ 271(e)(1) as a safe harbor from liability, not as a redefinition of substantive patent rights. In doing so, the
Court rejected arguments that the safe harbor provision should be narrowly construed. The Court left the
underlying standards of infringement untouched. Id.
at 201–02.
And in Caraco Pharmaceutical Laboratories,
Ltd. v. Novo Nordisk A/S, 566 U.S. 399, 403 (2012)—
a case about a particular provision of the Hatch-Waxman Act regarding “use codes”—this Court, again, did
not alter any substantive requirements of the law of
infringement, treating the Hatch-Waxman Act simply
as procedural scaffolding to facilitate generic entry. Id.
at 404.
None of these decisions—nor any others from this
Court—suggest that the doctrine of patent inducement should be treated differently under the HatchWaxman Act. Inducement liability under § 271(b) thus
continues to require proof that the alleged inducer had
knowledge of the patent, intended that the induced
acts constitute infringement, and engaged in affirmative acts that caused direct infringement. Glob.-Tech,
563 U.S. at 766; Commil, 575 U.S. at 642; Takeda,
785 F.3d at 631.
III. The Federal Circuit’s Labeling-Based
Theory of Inducement Improperly Expands
§ 271(b) Beyond Its Statutory Limits.
Despite widespread acknowledgment that the
Hatch-Waxman Act does not change the standard for
inducement, a line of Federal Circuit cases has made
9
up a special rule about inducement in generic drug patent cases: “infringement by label.” This theory predicates inducement liability on a generic drug’s label
text alongside common-place statements about “generic equivalence.” Sherkow & Gugliuzza, supra, at
134. That approach is wrong under the common law,
distorts patent inducement doctrine, misunderstands
the FDA’s labeling framework, and thwarts the HatchWaxman Act.
A.
The Federal Circuit’s decision continues the trend of imposing inducement
liability for regulated statements by generic drug companies.
In this case, the Federal Circuit reversed the district court’s holding that Amarin had not adequately
pleaded the facts necessary to find Hikma induced infringement by marketing a generic version of Amarin’s
brand name drug, Vascepa. Amarin Pharma, Inc. v.
Hikma Pharms. USA Inc., 104 F.4th 1370, 1380 (Fed.
Cir. 2024). The Federal Circuit ruled that, notwithstanding Hikma’s use of a skinny label to carve out the
indication claimed in Amarin’s patents, Amarin adequately alleged inducement based on “Hikma’s press
releases, website, and product label evidence.” Id. at
1375. The Federal Circuit ruled that those statements
could plausibly induce physicians to prescribe the
medication for a patented use. Id. at 1380.
The Federal Circuit’s reasoning in this case follows from that court’s earlier decision in GlaxoSmithKline LLC v. Teva Pharmaceuticals USA, Inc.
(GSK), 7 F.4th 1320 (Fed. Cir. 2021) in which it ruled
that the generic’s carved-out label “intentionally encouraged” infringement. Id. at 1338. In that case, Teva
10
launched a generic version of GlaxoSmithKline’s
Coreg with a section viii carve-out omitting the patented congestive heart failure (CHF) indication and
retaining only unpatented indications. Id. at 1323–24.
Even though the purpose of the CHF carve-out was to
avoid having physicians practice an infringing use, the
Federal Circuit concluded that the remaining indications fell “within the definition of congestive heart failure.” Id. at 1330. Combined with Teva’s statements
that its generic product was a “therapeutic equivalent”—a term of art under FDA law—the court concluded that Teva had encouraged substitution for all
the drug’s uses. Id. at 1335.
In dissent, Judge Prost pointed out that Teva complied with the Hatch-Waxman Act by removing the patented use, that unrebutted evidence showed physicians rarely rely on labels, and that it makes little
sense to infer culpable intent from describing a drug
as “equivalent” in a system that requires generics to
be equivalent. Id. at 1360–61. In a subsequent dissent
from the denial of rehearing en banc in that case,
Judge Prost further cautioned that, under the court’s
view of inducement, “no skinny-label generic is safe.”
GlaxoSmithKline LLC v. Teva Pharms. USA, Inc.,
25 F.4th 949, 955 (Fed. Cir. 2022) (Prost, J., dissenting).
Notwithstanding Judge Prost’s critique, the
flawed reasoning in GSK has been replicated in other
Federal Circuit decisions. In Vanda Pharmaceuticals v. West-Ward Pharmaceuticals International Ltd.,
887 F.3d 1117, 1130–31 (Fed. Cir. 2018), the Federal
Circuit affirmed an inducement finding based on an
FDA-required warning in a generic’s label, one which
the generic had no authority to alter or modify, and
11
which was copied directly from the brand’s label. And
in United Therapeutics Corporation v. Liquidia Technologies, 74 F.4th 1360, 1370 (Fed. Cir. 2023), the
court sustained inducement liability because following
the label’s instructions could hypothetically infringe,
even absent evidence that physicians read the label or
that the label influenced any physician’s prescribing
decisions.
B.
Labeling reflects regulatory compliance
rather than affirmative encouragement.
The Federal Circuit’s infringement-by-label case
law, including the decision below, allows inducement
liability to rest on cobbled-together snippets of label
text and anodyne equivalence statements. It also fails
to account for how drug labels are developed and regulated. FDA regulations require every prescription
drug, made by either a brand or generic company, to
include a document describing indications, dosing,
contraindications, clinical trial results, and safety
measures, known as the drug’s package insert. Gugliuzza & Sherkow, Trend, supra, at 630. This insert is
not unilaterally prepared by the drug company or the
FDA. Rather, it is the result of negotiations between
the companies and the federal government. Sherkow
& Gugliuzza, supra, at 135, 140.
Practically, this means that drug companies cannot include in their labeling any information that has
not been approved by the FDA, down to such minutiae
as comma placement. Id. at 141. FDA drug labeling is
not a marketing document, but a legally mandated
regulatory instrument. See 21 U.S.C. § 355(j)(2)(A)(v).
It reflects what a drug company must say, not what it
12
wishes to promote. Sherkow & Gugliuzza, supra, at
188.
FDA regulations are even more restrictive for generic drug labels which must, absent specific and narrow exceptions, copy the brand drug’s label. As Judge
Prost explained in her GSK dissent, the statutory design of the Hatch-Waxman Act makes it untenable to
infer culpable intent from what the law mandates.
7 F.4th at 1357 (Prost, J., dissenting). Physicians understand that a generic is, by definition, therapeutically equivalent to its brand counterpart, and generics
are required to communicate that equivalence to participate in the regime Congress created. See id. at 1360
(Prost, J., dissenting) (“Given that the Hatch-Waxman
Act’s framework requires ANDA generics to be the
same as a brand drug, and that doctors understand
what being a generic means, [inducement] seems a dubious proposition.”).
This Court has recognized the same reality, explaining that generic companies operate under an ongoing federal “duty of ‘sameness.’” PLIVA, Inc. v.
Mensing, 564 U.S. 604, 616 (2011). Accordingly, the
“sameness” of these labels reflects federal law; something physicians and other market participants readily understand when they encounter a generic equivalent.
“Skinny labels,” which omit patented indications
while retaining unpatented ones, similarly reflect regulatory compliance rather than volitional advocacy to
promote direct infringement. See § 355(j)(2)(A)(viii).
As Judge Prost explained in her GSK dissent, a skinny
label that omits the patented indication demonstrates
that the generic “very much intended not to encourage
infringement.” 7 F.4th at 1350 (Prost, J., dissenting).
13
Inferring inducement from a label that has “intentionally omitted everything that the brand said covers that
method” is inconsistent with the requirement of purposeful encouragement to establish inducement. Id.
The Federal Circuit’s embrace of “infringement by
label” converts 35 U.S.C. § 271(b)’s narrow, intentbased doctrine into a form of strict liability triggered
by paperwork rather than actual persuasion.
C.
Labeling cannot be inducement without evidence of causation.
The Federal Circuit’s recent cases have not fully
articulated how drug labels and equivalence statements affect physician behavior. Instead, the court’s
approach makes all information provided by a generic
potentially inducing, creating a regime of text-based
liability that is untethered from both causation and intent.
An extreme example is Sanofi v. Watson Laboratories Inc., 875 F.3d 636 (Fed. Cir. 2017), in which a
clinical trial describing the patented use was mentioned in the Indications and Usage section of the
package insert, with the summary statistics of that
trial in the separate Clinical Trials section. The Federal Circuit did not ask whether physicians would
have examined the Indications and Usage section,
turned to the Clinical Trials section, and, based on
that information, prescribe the drug for the patented
use. Instead, the court found it sufficient that the patented method of use was in the label, skipping any
causal analysis. Id. at 645–46.
Focusing on a label’s text, rather than its effect,
rests on the assumption that physicians review and
14
adhere to every section of a package insert. Sherkow
& Gugliuzza, supra, at 142. However, both empirical
data and clinical experience indicate that physicians
rarely consult labels when making treatment decisions.
Instead, physicians prescribe medications guided
by clinical judgment, peer-reviewed literature, and established professional guidelines—not regulatory disclosures. As noted by Judge Prost in her GSK dissent,
“every expert cardiologist at trial said he didn’t even
read the label to make prescribing decisions.” 7 F.4th
at 1342 (Prost, J., dissenting); see also Sherkow &
Gugliuzza, supra, at 180–82 (describing the prevalence of off-label prescribing); David A. Simon, Off-Label Inducement, 111 Iowa L. Rev. (forthcoming 2026)
(manuscript
at
7–9),
https://dx.doi.org/10.2139/ssrn.5533301 (same). The
American Medical Association (“AMA”) confirms this
clinical reality, stating that official labeling “should
not be regarded as the sole standard of acceptable or
accepted medical practice,” nor should it serve as a
“substitute for clinical judgment or experience.” Am.
Med. Ass’n, Prescription Product Labeling H-115.994
(2025), https://perma.cc/7QN8-V2N8. Rather, the
AMA clarifies that FDA-approved statements merely
“establish the parameters governing advertising or
promotion.” Id.
The AMA’s statements demonstrate that physicians view the label as a regulatory boundary for drug
companies, not a directive for patient care. The FDA
has also stated that it views the package insert as “informational only” in relation to its role in medical practice and that unlabeled uses may be “appropriate and
rational in certain circumstances.” U.S. Food & Drug
15
Admin., Use of Approved Drugs for Unlabeled Indications, 12 FDA Drug Bull. 4, 5 (Apr. 1982). If physicians
neither read nor rely on the label, then the label cannot be said to “induce” anything.
IV. This Court Should Reaffirm Existing
Inducement Law.
The Federal Circuit’s recent decisions have created a system in which generic companies that adhere
to FDA requirements may still face liability if any portion of their products’ labeling, such as warnings or descriptions of clinical trials, could be interpreted as referencing a patented method of use. In resolving this
case, the Court should reaffirm that inducement requires active, volitional conduct that encourages, recommends, or promotes infringement and that actually
influences physicians’ prescribing behavior. Moreover,
the Court should make clear that FDA-mandated labeling, coupled with rote statements about generic
equivalence, are not, alone, sufficient to establish inducement.
A.
“Skinny labels” and other labeling
should not, alone, create liability for inducement.
If complying with FDA-mandated labeling requirements can trigger inducement liability, market
entry by generics becomes legally precarious and economically untenable, particularly for drugs with multiple indications. Faced with legal uncertainty, generic
companies may forgo or delay entry, resulting in prolonged high prices and restricted patient access. This
outcome subverts the purpose of the Hatch-Waxman
Act: to encourage the development of new drugs and
16
lower the costs of generic entry. Sherkow & Gugliuzza,
supra, at 145; see also Caraco, 566 U.S. at 405 (“As we
have previously recognized, this process is designed to
speed the introduction of low-cost generic drugs to
market.”). A “skinny label” carve-out should be strong
evidence that the generic lacks the intent to encourage
infringement—though that inference can of course be
countered with evidence of a generic’s promotional
conduct and other real-world evidence of inducement.
Sherkow & Gugliuzza, supra, at 188.
Grounding the inducement inquiry in the regulatory and commercial reality of the pharmaceutical
market would also resolve a procedural quandary
plaguing these cases. Namely, the Federal Circuit has
treated the interpretation of mandatory label text as
presenting a question of fact to be decided by a jury
and entitled to deference on review. E.g., GSK, 7 F.4th
at 1330 (“[T]he district court erred by treating this fact
question—whether the post-MI LVD indication [in the
generic label] instructs a physician to prescribe carvedilol for a [patented] use—as though it were a legal one
for it to decide de novo.”). By focusing on a generic company’s actual promotional activity, courts can avoid
resting the factual determination of inducement on
the interpretation of legally mandated label text.
Sherkow & Gugliuzza, supra, at 188.
And when a patent owner cannot point to realworld conduct encouraging an infringing use (independent of the FDA-mandated label) there should be
no plausible claim of inducement as a matter of law.
Disposing of deficient claims early would avoid years
of costly litigation. Cf. Corcept Therapeutics, Inc. v.
Teva Pharms. USA, Inc., 709 F. Supp. 3d 138, 142
(D.N.J. 2023) (“The [c]ourt denied the parties’ cross-
17
motions for summary judgment, observing that it was
critical to hear ‘expert testimony regarding [the generic] label’s dosing regimens[.]’”), aff’d per curiam,
No. 2024-1346, 2026 WL 468866 (Fed. Cir. Feb. 19,
2026); see also Paul R. Gugliuzza & Jacob S. Sherkow,
Corcept v. Teva Oral Argument: Infringement by Drug
Label,
Again,
Patently-O
(July 8,
2025),
https://perma.cc/4YXX-CRYN (“Teva wasn’t really
able to dispute that the patented method is in its label—albeit in a section discussing safety and warnings—even if no doctor in the real world would ever
practice the patented method.”).
Conversely, in cases where there are plausible allegations and genuine, disputed evidence of inducement beyond the mere wording of a label, both brands
and generics would retain their right to have those factual disputes resolved at trial. A clear distinction between regulatory disclosures that, on their own, cannot establish a claim of inducement, and active affirmative promotion of infringement, which can, would ensure that § 271(b) remains a tool for penalizing culpable conduct rather than a mechanism for imposing (or
threatening to impose) significant litigation costs.
Sherkow & Gugliuzza, supra, at 188–89.
B.
The plain text of § 271(b) requires a
causal connection between communication and infringement.
Section 271(b) targets conduct that persuades
others to infringe; this Court has repeatedly emphasized that inducement requires “affirmative steps.”
Glob.-Tech, 563 U.S. at 760. Rather than relying on labeling or marketing statements about generic equivalence, courts should ask concrete, behavioral
18
questions: Did physicians read the challenged statements? And were they induced to act in accordance
with them? Those questions cannot be answered by
parsing language in the abstract. It requires evidence
of real-world effect. Brand companies should be required to provide evidence of a demonstrated connection between what the generic communicated and how
physicians actually behaved. Sherkow & Gugliuzza,
supra, at 187.
Inducement turns on actual influence, not on conjecture about what someone might have inferred from
regulatory language. Applied in the pharmaceutical
context, that principle yields a straightforward rule.
Liability must rest on communications or conduct that
shapes prescribing behavior—targeted promotional efforts such as sales calls, marketing materials directed
toward healthcare providers, “Dear Doctor” letters, advertising, or direct communications with healthcare
decisionmakers—not the mere existence of FDAmandated label text or unremarkable statements
about generic equivalence. Sherkow & Gugliuzza, supra, at 188.
A recent nonprecedential Federal Circuit decision
reflects a more appropriate approach to claims of infringement by label. In Corcept, 2026 WL 468866, at
*3, the Federal Circuit made clear that “outside-thelabel evidence” that physicians had not and were not
likely to practice the patented methods could defeat a
claim of inducement, regardless of what the label said.
CONCLUSION
Expanding indirect infringement liability to encompass passive labeling, regulatory compliance, and
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unheeded information—as the Federal Circuit has
done in GSK, the decision below, and several other recent opinions—untethers inducement doctrine from
its common-law roots, converting a narrow secondaryliability rule into a sweeping form of strict liability.
However the Court resolves this case, it should reject
the Federal Circuit’s embrace of infringement by label
and reaffirm the settled rule that inducement requires
active encouragement, direction, or promotion of infringing conduct that causes direct infringement.
Respectfully submitted,
Phillip R. Malone
Counsel of Record
Nina K. Srejovic
JUELSGAARD INTELLECTUAL
PROPERTY AND INNOVATION
CLINIC
MILLS LEGAL CLINIC AT
STANFORD LAW SCHOOL
559 Nathan Abbott Way
Stanford, CA 94305
(650) 725-6369
pmalone@stanford.edu
March 9, 2026
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.