Ex Parte ABREUDownload PDFPatent Trials and Appeals BoardMar 27, 201913554349 - (D) (P.T.A.B. Mar. 27, 2019) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 13/554,349 07/20/2012 78198 7590 Studebaker & Brackett PC 8255 Greensboro Drive Suite 300 Tysons, VA 22102 03/29/2019 FIRST NAMED INVENTOR Marcia Marc ABREU UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O. Box 1450 Alexandria, Virginia 22313-1450 www .uspto.gov ATTORNEY DOCKET NO. CONFIRMATION NO. 813315-678402 5428 EXAMINER QAZI, SABIHA NAIM ART UNIT PAPER NUMBER 1621 NOTIFICATION DATE DELIVERY MODE 03/29/2019 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address(es): info@sbpatentlaw.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte MARCIO MARC ABREU Appeal2018-000376 Application 13/554,349 1 Technology Center 1600 Before DONALD E. ADAMS, RYAN H. FLAX, and RACHEL H. TOWNSEND, Administrative Patent Judges. TOWNSEND, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134(a) involving claims to a method for reducing muscle contraction of normal muscle around an eye, which have been rejected as obvious. We have jurisdiction under 35 U.S.C. § 6(b ). We affirm. STATEMENT OF THE CASE Botulinum toxin is known to treat a variety of neuromuscular disorders including muscle hyperactivity and muscle over contraction by the injection of the toxin directly into the hyperactive or hypertonic muscle or in 1 Appellant identifies Geelux Holdings, Ltd. as the assignee and the real party in interest as Marcio Marc Abreu. (Br. 2.) Appeal2018-000376 Application 13/554,349 the surrounding area of that muscle. (Spec. 2-3.) "For the treatment of blepharospasm and hemifacial spasm[,] injections ofbotulinum toxin are done at multiple sites in the eyelid and facial musculature to decrease the spastic state or hyperactive state of said muscles." (Id. at 4.) Glaucoma is "characterized by decreased filtration of eye fluid and increase of intraocular pressure to values which the eye cannot withstand." (Spec. 1.) The eye is subject to factors outside the eye that also "cause change in pressure inside the eye." (Id. at 2.) The present invention is directed at "treating the external pressure effects acting on the eye or around the eye by the administration of compounds that reduce and/ or modulate said external pressure effects [by modulating blinking and facial musculature and eye muscles] and achieve long lasting reduction of: pressure fluctuation, pressure spikes and baseline eye pressure while preserving normal eye muscle function. (Id. at 5---6.) Claims 10-18 are on appeal. Claim 10 is representative and reads as follows: 10. A method for reducing muscle contraction of normal muscle around an eye, the eye having one of glaucoma and diabetic retinopathy, said method comprising the steps of: treating damaging external pressure effects acting on the eye by obtaining a chemomodulating agent capable of reducing muscle tension of the normal muscle around the eye, the normal muscle being involved in eyelid function; and injecting an effective amount of said chemomodulating agent into or adjacent to said normal muscle to thereby reduce the muscle tension of said normal muscle and to thereby reduce pressure applied on the eye by the normal muscle around the eye to reduce eye pressure in the eye while simultaneously preserving normal eye function, the injecting of the chemomodulating agent into or adjacent said normal muscle 2 Appeal2018-000376 Application 13/554,349 causing eyelid function to be lowered to a less than normal strength, wherein the normal muscle being injected is an orbicularis muscle; wherein the normal muscle being injected and involved with eyelid function is also a muscle of Riolan. (Supplemental Br., filed Feb. 16, 2017, Appendix of Appealed Claims at 1.) The following grounds of rejection by the Examiner are before us on review: Claims 10-15 under 35 U.S.C. § I03(a) as unpatentable over Donovan,2 Fogel, 3 Scott, 4 Rosenbaum, 5 and Koch. 6 2 Donovan, US 6,306,403 Bl, issued Oct. 23, 2001. 3 Fogel, WO 00/28999, published May 25, 2000. 4 Alan B. Scott, MD, Botulinum Toxin Injection of Eye Muscles to Correct Strabismus, LXXIX Tr. Am. Ophth. Soc., 734--70 (1981). The Examiner refers to this reference as Alan Scot or Alan Scott (Final Action 4-- 5), and erroneously as Ian Scot or Ian Scott (Final Action 12). 5 Rosenbaum et al., Botulinum Toxin Therapy in the Management of Strabismus and Lid Disorders, W. J. Med., 456-57 (1986). The Examiner refers to this reference as Scott, Rosendbaum. (Final Action 4, 12.) We refer to it, instead, as Rosenbaum. 6 Paul S. Koch, MD, Efficacy of lidocaine 2% jelly as a topical agent in cataract surgery, 25(5) J. Cataract & Refractive Surgery, 632-34 (1999) 3 Appeal2018-000376 Application 13/554,349 Claims 16-18 under 35 U.S.C. § 103(a) as unpatentable over Donovan, Fogel, Scott, Rosenbaum, Weber,7 Lev, 8 Koch, and DiSanto. 9 DISCUSSION The Examiner finds that Donovan teaches that botulinum toxin has been used to treat strabismus ( a neuromuscular disorder of the eye) by intramuscular injection into extra ocular muscles and that the amount injected can vary based upon the size of the muscle to be injected and the extent of muscle paralysis desired. (Final Action 4 ). The Examiner also finds that Donovan teaches botulinum toxin has been used to treat blepharospasm 1 ° ( a neuromuscular disorder of the eye) by intramuscular injection in to the orbicularis oculi muscle. (Id.) The Examiner also finds that Donovan teaches local administration of a neurotoxin "at or to the vicinity of a site on or within an animal body, at which site a biological effect of the pharmaceutical is desired, (lines 44--50 in col. 15)." (Id.) According to the Examiner, this reference "demonstrates that the direct administration of a pharmaceutical could be made at or on the vicinity of a 7 Paul A. Weber, MD, Neovascular Glaucoma: Current Management, 26(3) Surv. of Ophthalmology, 149--53 (1981). The Examiner refers to this reference as Webber. 8 Lev et al., Prophylactic lidocaine use preintubation: A review, 12(4) J. EmERGENCY Med., 499-508 (1994). The Examiner relied on the Abstract only. 9 DiSanto, US 6,117,912, issued Sept. 12, 2000. 10 The Examiner explains that blepharospasm "is a condition that involves continually recurring involuntary eye closure or excessive forceful blinking." (Id. at 7.) 4 Appeal2018-000376 Application 13/554,349 site, on or within an animal body, at which a biological effect of the pharmaceutical is desired." (Id. at 5.) The Examiner finds that Fogel discloses injection of botulinum toxin into orbicularis oculi muscles adjacent to the eye "is [a] mainstay of treatment [ for blepharospasm ]" and that the injections "weaken the muscles responsible for eye closure, thereby mitigating the involuntary movements of those muscles." (Id.) The Examiner finds that Scott teaches injection ofbotulinum toxin into eye muscle is an alternative treatment to surgical manipulation to treat strabismus, and that the injection of the drugs into the eye muscle weakens it. (Id.) The Examiner notes that Scott teaches that "botulinum type A appears to have great muscle paralytic effect in humans." (Id. at 6.) The Examiner further finds that Scott teaches that there is an "effect of the drug on adjacent muscles" where the injected muscle itself receives a strongly weakening effect. (Id. ( emphasis omitted).) The Examiner finds that Rosenbaum, like Scott, teaches botulinum toxin injection in orbicularis muscle to treat strabismus, and that the injection reduces muscle contraction. (Id. at 6.) The Examiner finds that, in light of the fact that intramuscular injection of Botox (i.e., botulinum toxin) to muscles (a) near the eye, such as in the orbicularis oculi, to treat blepharospasm is known to weaken the muscles, or reduce muscle activation and thus reduce the blinking of the eyelid and (b) into extra ocular muscles to treat strabismus is known to reduce muscle tension and that adjacent muscles are affected when the injected muscle receives a strongly weakening effect, it would be inherent that this weakening of the muscle activity would also result in reducing 5 Appeal2018-000376 Application 13/554,349 intraocular pressure ("IOP"). (Id. at 7-8.) The Examiner concludes that the foregoing inherent effect of reducing IOP would result even when the muscle is normal and the patient has glaucoma or retinal diabetic retinopathy. (Id. at 8.) The Examiner concludes that it would have been obvious to inject botulinum to orbicularis oculi muscle to reduce muscle contraction in that muscle or Riolan, which is near it and is also a muscle that is outside the eye in patients who had a preexisting condition such as glaucoma. (Id. at 9 ("Therefore, it would have been obvious to one skilled in the art to prepare a composition of botulinum A or B-G and apply to a muscle including muscle near the eye to reduce the muscle contraction on an eye and reducing eye pressure in patient of any preexisting eye condition i.e. having any one of glaucoma, diabetic retinopathy, the muscle contraction caused by a muscle orbicularis or Riolin which is outside the eye.").) 11 The Examiner contends that reducing IOP would have been an inherent consequence of causing the reduced muscle contraction. (Id.) We agree with Appellant that in the rejection "the Examiner has emphasized the results produced by the cited references instead of the steps of the method of the invention." (Br. 9.) However, we conclude, as did the Examiner, that the prior art renders the claims prima facie obvious. 11 The Examiner also asserts that one would have been motivated "to reduce IOP in the eye by injecting Botulin." (Final Action 8; see also id. at 10-11.) We do not rely on this statement because the claims are not directed to a method for reducing IOP in the eye, but to reducing muscle contraction of muscle around the eye which thereby results in reducing IOP, as will be discussed herein. 6 Appeal2018-000376 Application 13/554,349 "[T]he examiner bears the initial burden ... of presenting a prima facie case ofunpatentability. If that burden is met, the burden of coming forward with evidence or argument shifts to the applicant." In re Oetiker, 977 F.2d 1443, 1445 (Fed. Cir. 1992). We have considered those arguments made by Appellant in the Appeal Brief (no Reply Brief was submitted); arguments not so presented in the Brief are waived. See 37 C.F.R. § 41.3 7 ( c )( 1 )(iv) (2015); see also Ex parte Borden, 93 USPQ2d 14 73, 14 7 4 (BP AI 2010) (informative) ("Any bases for asserting error, whether factual or legal, that are not raised in the principal brief are waived."). Appellant's invention requires two steps. The first is to obtain a chemomodulating agent that is capable of reducing muscle tension in normal muscle around the eye of a patient having glaucoma or diabetic retinopathy. We note that the claim indicates that, in some way, obtaining this compound "treat[ s] damaging external pressure effects." We understand that the treating is more likely the result of injecting the agent, which is the recited second step. The second step requires injecting the obtained chemomodulating agent intramuscularly into a muscle of Riolan or near that muscle of an eye that has glaucoma or diabetic retinopathy. The amount injected is required to be an effective amount to reduce the muscle tension and reduce pressure applied on the eye to reduce pressure in the eye. The injection is also required to cause eyelid function to be lowered to a less than normal strength. While the claim refers to reduction of eye pressure, we agree with the Examiner that this is the natural result of the effective amount to reduce the muscle tension. (See, e.g., Final Action 11.) As Appellant's Specification explains, increased eye pressure occurs with the closure of the eyelid during blinking and forceful closure of the eyelid. (Spec. 2.) Thus 7 Appeal2018-000376 Application 13/554,349 reducing blepharospasm by weakening the tension of the eyelid (see Fogel 9) causes eyelid function to be reduced to less than normal strength, which reduces blinking and in so doing will inherently result in reducing IOP. Appellant's claim does not recite treating glaucoma or diabetic retinopathy by reducing intraocular pressure in the patient's eye and injecting an effective amount of a chemomodulating agent to effect that result. Nor does Appellant's claim recite a "method of use of a muscle tension reducing agent for the treatment of increased intraocular pressure" as asserted by Appellant. (Br. 6.) The invention sought to be patented is "[a] method for reducing muscle contraction" of muscle around the eye in a patient that has glaucoma or diabetic retinopathy. The steps of the method require injecting an effective amount of a chemomodulating agent into or around the muscle to thereby reduce muscle tension in the eye. While the effective amount is also required to be one that "thereby reduce[ s] pressure applied on the eye ... to reduce eye pressure in the eye," the reduction in muscle tension, as explained in the Specification, will inherently reduce pressure applied on the eye and thereby reduce IOP. (See, Spec. 2 (noting that "Increased eye pressure, eye pressure spikes and fluctuation of pressure [is caused by] external pressure effects such as blinking, forceful closure of the eyelid, and eyelid muscle tension."); see also Spec. 11.) We note that the claim requires that the eye being treated has glaucoma or diabetic retinopathy, but does not exclude the eye also having blepharospasm. We conclude that the Examiner has made out a prima facie case of obviousness of the claims on appeal. Appellant does not contest that it was known in the art to inject botulinum toxin into eye muscles to treat strabismus, which is a 8 Appeal2018-000376 Application 13/554,349 misalignment of the eyes. (Br. 7.) Appellant, however, contends that the muscles involved in such treatment are (1) not normal muscle involved in eyelid function and (2) were not normal muscle at all, but rather unhealthy muscle that adversely affect the movement of the eyeball. (Id. at 7-8.) Appellant argues that the Examiner's rejection is improper because "the person of ordinary skill in the art would find no teaching whatsoever in the prior art suggesting that injection into or adjacent to any normal muscle involved in eyelid function could affect intraocular pressure by moderating the effect ofblinking." (Id. at 8 (emphasis omitted).) We do not find Appellant's arguments persuasive. As to the first point regarding muscle normally involved in eyelid function, Appellant ignores the fact mentioned in the Specification (Spec. at 4), and explained in Donovan (Donovan 11 :24--28) and Fogel (Fogel at 9), that botulinum toxin was known to be injected into the orbicularis oculi muscles of the upper and lower lid, which are muscles normally involved in lid opening and closing, to treat blepharospasm. As Fogel explains, "[t]hese injections weaken the muscles responsible for eye closure." (Fogel 9.) Moreover, it was known in the art that the Riolan muscles are an orbicularis oculi muscle. (See Ans. 23-25 (Figures 1--4 ). ) In addition, it was known that the injection ofbotulinum toxin into extraocular muscles to treat strabismus, if it provided a strongly weakening effect, affects adjacent muscles similarly. (Scott 766, see also id. at 767 ("It is a practical problem to restrain effect to an individual vertical muscle without effect on adjacent muscles.").) It is not disputed that the extraocular muscles for treating strabismus are not the orbicularis oculi muscle but the rectus muscles. (See, e.g., Rosenbaum 456.) However, we find no reason 9 Appeal2018-000376 Application 13/554,349 that one of ordinary skill in the art would not reasonably conclude that this same weakening of adjacent muscles would apply when other muscles of the eyelid are injected with botulinum toxin, such as when injecting orbicularis oculi to treat blepharospasm. 12 Thus, we agree with the Examiner's position that the art teaches injection into eyelid muscle normally involved in eyelid opening and closing. Moreover, given that the orbicularis oculi muscle was injected to treat blepharospasm, we find that it is likely injection was either directly into Riolan muscles and resulted in their weakening or such muscles were affected because other muscles of the eyelid were strongly weakened when they were injected. 13 12 We do not agree, however, with the Examiner that Donovan supports such a conclusion. (Final Action 6-7.) After reviewing clinical settings in which botulinum toxin type A has been used including for treating strabismus and blepharospasm (Donovan 11: 12-62), Donovan teaches intracranial administration of botulinum toxin to treat movement disorder where the intracranial administration permits the blood brain barrier to be bypassed (see, e.g., id. at 17: 21--45, 18:18-59.) The activity of the neurotoxin is said to be injected into specific target tissue where diffusion is minimized, or is provided by way of implant to control the continuous release of therapeutic amount of the toxin at the desired location over a prolonged period. (See, e.g., id. at 22:3-14.) The injection is directed at affecting cholinergic neurons, there is nothing to indicate that the administration near a target site is directed at reducing muscle tension. (See, e.g., id. 13:18-39.) 13 The Examiner also stated in the answer that The muscle orbicularis oculi and muscle of Riolan are close/adjacent to each other and are near the eye. When the same drug is injected in muscle orbicularis oculi .... The involvement and effect of adjacent riolan muscles is expected because it is in the same area as shown in figures and since there is no evidence indicating that the injected drug is 10 Appeal2018-000376 Application 13/554,349 As for Appellant's second point above regarding the absence of teaching in the art regarding treatment of "normal muscle," we note that Appellant argues that the muscles described as receiving botulinum A toxin "were unhealthy, enlarged and restricted in motion so as to adversely affect the movement of the eyeball in its socket." (Br. 8 (referring to inferior rectus muscles being injected and affecting movement of the eyeball in its socket).) Appellant's argument in this regard is focused on the prior art use of botulinum toxin to treat strabismus, not blepharospasm. Moreover, Appellant does not define the claim term "normal" in the Specification or claims themselves. Appellant does not provide any evidence to substantiate the argument that the eye muscles injected with botulinum toxin disclosed in the cited prior art were not normal in either the treatment of strabismus, much less blepharospasm. "Attorney's argument in a brief cannot take the place of evidence." In re Pearson, 494 F.2d 1399, 1405 (CCPA 1974); see also Johnston v. IVAC Corp., 885 F.2d 1574, 1581 (Fed. Cir. 1989) ("Attorneys' argument is no substitute for evidence."). Moreover, as the Examiner explained (Final Action 7), and Appellant does not contest, blepharospasm is a problem directed at contraction of the muscles of the eyelids. There is no evidence of record that these muscles are necessarily "unhealthy." Furthermore, blepharospasm is not a condition that completely confined within those muscle cells directly injected with the drug and will not effect at all to adjacent muscles in blinking the eyes to lower the eye pressure. Ans. 25. We do not rely on this finding of apparent seepage of the drug to other muscles after injecting into orbicularis oculi for our determination that claim 10 would have been obvious from the teachings of the prior art as it is not supported by reference to the prior art. 11 Appeal2018-000376 Application 13/554,349 concerns movement of the eyeball in its socket. Thus, for these reasons we do not find Appellant's argument that the muscles injected with botulinum toxin to treat blepharospasm were unhealthy. Furthermore, we agree with the Examiner that injecting this toxin into healthy tissue would have been expected to result in lowering IOP by weakening the muscles that cause the eyelid to raise and lower. 14 That is the blinking would be less and/or less forceful. As the Specification indicates, it was known that increased eye pressure results from external effects such as blinking and forceful closure of the eyelid. (Spec. 2.) Appellant provides no argument or evidence contradicting that reducing IOP is an inherent result of reducing blinking or causing it to be less forceful. Instead, Appellant argues just that "the person of ordinary skill in the art would find no teaching whatsoever in the prior art suggesting that injection into or adjacent to any normal muscle involved in eyelid function could affect intraocular pressure by moderating the effect of blinking." (Br. 8 ( emphasis omitted)). That the art does not expressly recite this result does not change the fact that it is inherent. In sum, the evidence of record establishes that it would have been prima facie obvious to treat blepharospasm with the method that falls within the scope of Appellant's claim 10. The question, therefore, distills down to whether the prior art treatment of an eye experiencing blepharospasm 14 The Examiner mentions in the Answer that the prior art teaches botulinum toxins are useful to lower IOP in patients. (Ans. 27.) We do not agree with the Examiner's finding. That the results might be inherent is not the same thing as teaching that result. Thus, we do not rely on this finding in our conclusion that the Examiner has made out a proper prima facie case of obviousness. 12 Appeal2018-000376 Application 13/554,349 encompasses, within its genus, the treatment of eyes that may also have glaucoma or diabetic retinopathy? We find that it does. In addition, we find that Appellant has not provided persuasive evidence or argument to establish an evidentiary basis on this record to support a contrary conclusion. Arguments not made are waived. See 37 C.F.R. § 4I.37(c)(l)(iv). Thus, a person of ordinary skill in the art, when treating blepharospasm in a patient with glaucoma or diabetic retinopathy, would have been motivated to inject botulinum toxin intramuscularly into the orbicularis oculi, including into the Riolan muscle or near it, to reduce blinking in that patient, just as it would have been in a patient that has blepharospasm but not having glaucoma or diabetic retinopathy. Doing so would not only reduce the muscle contraction of the orbicularis oculi muscle, and thus, meet the requirement of claim 10 of "a method for reducing muscle contraction of normal muscle around an eye, the eye having one of glaucoma and diabetic retinopathy," but it would necessarily meet the claim 10 requirement that the effective amount of the chemomodulating agent injected "thereby reduce pressure applied on the eye by the normal muscle around the eye to reduce eye pressure in the eye while simultaneously preserving normal eye function." (See Spec. 2 (explaining that it was known that increased eye pressure results from external effects such as blinking and forceful closure of the eyelid).) In short, the claimed process here is not directed to a new use; it is the same use, and it consists of the same steps as described by the prior art, and simply identifies another result that is unspecified in the prior art, but that is an inherent result. Such newly discovered results of known processes are not patentable. Bristol- Myers Squibb Co. v. Ben Venue Labs., Inc., 246 F.3d 1368, 1376 (Fed. Cir. 13 Appeal2018-000376 Application 13/554,349 2001). For the foregoing reasons, therefore, we do not find the Examiner erred in rejecting claim 10 as obvious over Donovan, Fogel, and Scott. We do not find it necessary to rely on the Examiner's findings with respect to Rosenbaum or Koch. However, we note that, in affirming a multiple reference rejection under 35 U.S.C. § 103, we may rely on fewer than all of the references relied on by the Examiner in an obviousness rationale and we may do so without designating it as a new ground of rejection. In re Bush, 296 F.2d 491,496 (CCPA 1961). In light of the foregoing, we affirm the Examiner's rejection of claim 10 for obviousness over Donovan, Fogel, Scott, Rosenbaum, and Koch. Claims 11-15 have not been argued separately and therefore fall with claim 10. 37 C.F.R. § 4I.37(c)(l)(iv). Appellant also does not provide a different argument for why the Examiner erred in rejecting claims 16-18. (See Br. 9 ("These claims are dependent from independent claim 10. As such they should be allowable for the same reasons as claim 10 is allowable.") For the reasons just discussed, we are not persuaded by Appellant's argument that the rejection of claim 10 was improper. SUMMARY We affirm the rejection of claims 10-15 under 35 U.S.C. § 103(a) as unpatentable over Donovan, Fogel, Scott, Rosenbaum, and Koch. We affirm the rejection of claims 16-18 under 35 U.S.C. § 103(a) as unpatentable over Donovan, Fogel, Scott, Rosenbaum, Weber, Lev, Koch, and DiSanto. 14 Appeal2018-000376 Application 13/554,349 TIME PERIOD FOR RESPONSE No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). AFFIRMED 15 Copy with citationCopy as parenthetical citation