Ex Parte Grigorieva et alDownload PDFPatent Trial and Appeal BoardMay 17, 201612932295 (P.T.A.B. May. 17, 2016) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE FIRST NAMED INVENTOR 12/932,295 02/22/2011 Julia Grigorieva 20306 7590 05/18/2016 MCDONNELL BOEHNEN HULBERT & BERGHOFF LLP 300 S. WACKER DRIVE 32NDFLOOR CHICAGO, IL 60606 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. 10-095-US 9817 EXAMINER NEGIN, RUSSELL SCOTT ART UNIT PAPER NUMBER 1631 MAILDATE DELIVERY MODE 05/18/2016 PAPER 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. PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte JULIA GRIGORIEV A, HEINRICH RODER, and MAXIM TSYPIN 1 Appeal2016-002530 Application 12/932,295 Technology Center 1600 Before ERIC B. GRIMES, MELANIE L. McCOLLUM, and JOHN G. NEW, Administrative Patent Judges. GRIMES, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134 involving claims to a method of predicting whether a cancer patient is likely to benefit from a particular treatment, which have been rejected under 35 U.S.C. §§ 101 and 103(a), and for obviousness-type double patenting. We have jurisdiction under 35 U.S.C. § 6(b). We affirm. 1 Appellants identify the Real Party in Interest as Biodesix, Inc. (Appeal Br. 1.) Appeal2016-002530 Application 12/932,295 STATEMENT OF THE CASE The Specification states "[t]he assignee of the present invention, Biodesix, Inc, has developed a test known as V eriStrat which predicts whether Non-Small Cell Lung Cancer (NSCLC) patients are likely or not likely to benefit from treatment of Epidermal Growth Factor Receptor (EGFR) pathway targeting drugs." (Spec. 2:16-20.) The VeriStrat test is based on a serum sample, and "[t]hrough a combination ofMALDI-TOF mass spectrometry and data analysis algorithms implemented in a computer, it compares a set of eight integrated peak intensities at predefined m/z ranges with those from a training cohort." (Id. at 2:25 to 3:1.) The outcome labels patients as VeriStrat "good" or VeriStrat "poor": "[P]atients, whose pre- treatment serum/plasma was VeriStrat 'good', have significantly better outcome when treated with epidermal growth factor receptor inhibitor drugs than those patients whose sample results in a VeriStrat 'poor' signature." (Id. at 3:3-6.) The Specification also states that the VeriStrat test "will predict differential benefit of [a] solid epithelial tumor cancer patient from therapy with therapeutic agents or a combination of therapeutic agents targeting agonists of the receptors, receptors or proteins involved in MAPK pathways or the PKC upstream from or at Akt or ERK/JNK/p38 or PKC. EGFR inhibitors are the examples of such agents." (Id. at 5:23 to 6:4.) The Specification states "these therapeutic agents" (id. at 10:7) also include "non-steroidal anti-inflammatory drugs (NSAIDs), ... [which] have also been shown to suppress NF-KB activation," as well as "[o]ther NF-KB inhibitors" (id. at 11 :3-6). 2 Appeal2016-002530 Application 12/932,295 Claims 1, 5-7, 9, 10, 15, 16, and 18-27 are on appeal. Claim 1 is illustrative and reads as follows: 1. A method of identifying a solid epithelial tumor cancer patient as being likely to benefit from treatment with a therapeutic agent or a combination of therapeutic agents targeting agonists of the receptors, receptors or proteins involved in MAPK (mitogen-activated protein kinase), PI3K, or the PKC (protein kinase C) pathways upstream from or at Akt or ERK/JNK/p3 8 or PKC or not likely to benefit from treatment with the therapeutic agent or the combination of therapeutic agents, and whether the patient is likely to benefit from the treatment with an NF-KB inhibitor comprising the steps of: a) conducting mass spectrometry on a blood-based sample from the solid epithelial tumor cancer patient with a mass-spectrometer and thereby obtaining a mass spectrum of the blood-based sample; and, with the aid of a programmed computer: b) performing one or more predefined pre-processing steps on the mass spectrum obtained in step a); c) obtaining integrated intensity values of selected features in said mass spectrum at one or more predefined m/z ranges after the pre-processing steps on the mass spectrum in step b) have been performed; d) executing in the programmed computer a classification algorithm comparing the integrated intensity values obtained in step c) to features in a training set comprising class-labeled mass spectra produced from blood-based samples from other solid epithelial tumor cancer patients to assign a class label to the patient to identify the patient as being either likely or not likely to benefit from treatment with the therapeutic agent or a combination of therapeutic agents and wherein the patient is further identified as likely to benefit from the treatment with an NF-KB inhibitor. 3 Appeal2016-002530 Application 12/932,295 The claims stand rejected as follows: Claims 1, 9, 10, and 18-27 under 35 U.S.C. § 103(a) as obvious based on Taguchi,2 Chung,3 and Pluenneke4 (Final Rej. 5 5); Claims 6, 7, 15, and 16 under 35 U.S.C. § 103(a) as obvious based on Taguchi, Chung, Pluenneke, and Buschmann6 (Final Rej. 11 ); Claims 1, 5-7, 9, 10, 15, 16, and 18-27 under 35 U.S.C. § 101 as being "directed to a judicial exception (i.e. law of nature, a natural phenomenon, or an abstract idea) without significantly more" (Final Rej. 3); and Claims 1, 9, and 26, provisionally, for obviousness-type double patenting based on claims 3, 4, and 12 of application 12/806, 137 and Pluenneke (Final Rej. 15). 7 2 Taguchi et al., Mass Spectrometry to Classify Non-Small-Cell Lung Cancer Patients for Clinical Outcome After Treatment With Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors: A Multicohort Cross- Institutional Study, 99 J. Natl. Cancer Inst. 838-846 (2007). 3 Chung et al., Detection of Tumor Epidermal Growth Factor Receptor Pathway Dependence by Serum Mass Spectrometry in Cancer Patients, 19 Cancer Epidemiol. Biomarkers Prev. OF l-OF8 (2010). 4 Pluenneke, US 2004/014728 Al, published July 29, 2004. 5 Office Action mailed Feb. 20, 2015. 6 Buschmann et al., US 2007/0088024 Al, published Apr. 19, 2007. 7 In addition to the above double patenting rejection, the Examiner also provisionally rejected claims 1 and 9 based on claims 1 and 7 of application 14/295,783 and Pluenneke (Final Rej. 16). USPTO records show that the '783 application has been abandoned, so this provisional rejection is dismissed as moot. 4 Appeal2016-002530 Application 12/932,295 Issue I The Examiner has rejected claims 1, 9, 10, and 18-27 as obvious based on Taguchi, Chung, and Pluenneke. The Examiner has also rejected claims 6, 7, 15, and 16 as obvious based on Taguchi, Chung, Pluenneke, and Buschmann. Appellants have waived arguments based on Buschmann (see Appeal Br. 20), so we will address the§ 103(a) rejections together. The Examiner finds that Taguchi teaches using mass spectrometry (MS) to distinguish between patients with non-small cell lung cancer (NSCLC) who benefit from treatment with an EGFR thymidine kinase inhibitor (EGFR-TKI) and patients with NSCLC who do not benefit from treatment with an EGFR-TKI. (Final Rej. 7.) The Examiner finds that Taguchi teaches "pre-processing of MS data obtained from patient serum and machine learning classification using training sets of cancer patients already treated with EGFR-TKis." (Id.) The Examiner finds that Taguchi's method identifies patients as being in "good" or "poor" subgroups of patients treated with EGFR-TKis. (Id.) The Examiner finds that Chung teaches a method similar to that of Taguchi, applied to head and neck squamous cell carcinoma (HNSCC) and colorectal cancer (CRC), as well as the limitations added by some dependent claims. (Id. at 7-8.) The Examiner finds that Pluenneke teaches that "COX2 inhibitors in combination with EGFR inhibitors yield more beneficial results than the sole use of EGFR inhibitors" and therefore teaches "ibuprofen as a type ofNF-Kl3 inhibitor to address cancer." (Id. at 8.) 5 Appeal2016-002530 Application 12/932,295 The Examiner concludes that it would have been obvious "to modify the machine learning classification study as applied to NSCLC using EGFR- TKis of Taguchi et al. and Chung et al. by use of the COX2 inhibitors and NF-KB inhibitors of Pluenneke wherein the motivation would have been that COX2 and NF-KB inhibitors provide[] an additional/alternative means of inhibiting cancer cells." (Id. at 9.) Appellants contend that, "[w]hile ibuprofen has NF-KB inhibitor activity, it also has COX-1 and COX-2 inhibitor activity .... Pluenneke teaches the use of ibuprofen for its COX-2 activity. One of skill in the art would not be guided to NF-KB inhibitors by a list of COX-2 inhibitors including ibuprofen, which happens to also have NF-KB inhibitor activity." (Appeal Br. 15.) Appellants also argue that "nothing in the art suggests at all that the methods of Taguchi or Chung would work to identify solid epithelial cancer patients that would [be] likely or not likely to benefit from a combination of EGFR inhibitors and COX-2 inhibitors." (Id. at 16.) The issue with respect to the§ 103(a) rejections is whether the cited references support the Examiner's conclusion that it would have been obvious to apply Taguchi's method to patients treated with a combination of an EGFR inhibitor and a COX-2 inhibitor such as ibuprofen. Findings of Fact 1. Taguchi discloses "a predictive algorithm based on matrix-assisted laser desorption ionization (MALDI) mass spectrometry (MS) analysis of pretreatment serum to identify patients who are likely to benefit from treatment with EGFR TKis." (Taguchi 838, Background.) 6 Appeal2016-002530 Application 12/932,295 2. EGFR TKis have the properties recited in the preamble of claim 1 and include erlotinib and gefitinib. (Spec. 9: 12 to 10: 13.) 3. Taguchi discloses that "[s]erum collected from NSCLC patients before treatment with gefitinib or erlotinib were analyzed by MALDI MS." (Taguchi 838, Methods.) 4. NSCLC is a type of solid epithelial tumor. (Spec. 9:9-10.) 5. Taguchi "applied a suite of preprocessing procedures" (Taguchi 841, left col.), after which "spectra were aligned by using a set of common peaks (m/z 6434.5, 6632.1, 11686.9, 12864.8, 15131.1, 15871.5, and 28102.5)." (Id.) 6. "Each spectrum was characterized by a set of features. Features were defined as integrated, background-subtracted, and normalized intensities over a chosen m/z range containing a peak." (Id.) 7. Taguchi states that "[a]n algorithm to predict outcomes after treatment with EGFR TKis was developed from a training set of 139 patients." (Id. at 838, Methods.) "The classification algorithm we used is a straightforward implementation of a k-nearest neighbor (KNN) algorithm." (Id. at 841, left col.) 8. "Candidate features for the classification algorithm were identified as differentially expressed m/z values from spectra from patients with rapid progressive disease (training label 'poor') and from spectra from patients with long-term stable disease (training label 'good')." (Id. at 841, right col.) 9. Taguchi states that "the classifier identified patients who showed improved outcomes after EGFR TKI treatment. In one cohort, median survival of patients in the predicted 'good' and 'poor' groups was 207 and 7 Appeal2016-002530 Application 12/932,295 92 days, respectively .... In the other cohort, median survivals were 306 versus 107 days." (Id. at 838, Results.) 10. Taguchi concludes that "[t]his MALDI MS algorithm was not merely prognostic but could classify NSCLC patients for good or poor outcomes after treatment with EGFR TKis. This algorithm may thus assist in the pretreatment selection of appropriate subgroups ofNSCLC patients for treatment with EGFR TKis." (Id. at 838, Conclusion.) 11. Chung discloses that "[p ]retreatment serum or plasma from 230 patients treated with cetuximab, EGFR-TKis, or chemotherapy for recurrent/metastatic head and neck squamous cell carcinoma (HNSCC) or colorectal cancer (CRC) were analyzed by mass spectrometry. Each sample was classified into 'good' or 'poor' groups using VeriStrat." (Chung OFl, Abstract.) 12. Chung states that "[i]n the EGFR inhibitor-treated cohorts, the classification predicted survival ... whereas the chemotherapy cohort showed no survival difference." (Id.) 13. Chung states that "[t]his classification is correlated with tumor EGFR ligand levels and provides a clinically practical way to identify patients with diverse cancer types most likely to benefit from EGFR inhibitors." (Id.) 14. Pluenneke discloses "the use of EGFR inhibitors to treat a variety of cell proliferative diseases." (Pluenneke ,-i 5.) 15. Pluenneke states that "EGFR can be overexpressed in a number of cancers, and this overexpression sometimes correlates with poor prognosis. These conditions include ... melanoma ... lung, breast, head and neck, ... 8 Appeal2016-002530 Application 12/932,295 renal cell (i.e., kidney) ... [and] gastrointestinal (including pancreatic, gastric, colorectal) ... cancers." (Id. at ii 59.) 16. Pluenneke states that "combination treatments can be more effective than therapies using a single therapeutic agent." (Id. at ii 59.) 17. Pluenneke discloses a "method for reducing tumor burden comprising administering effective amounts of an EGFR inhibitor and a Cyclooxygenase-2 (COX-2) inhibitor to a patient suffering from an EGFR+ cancer." (Id. at ii 61.) 18. Pluenneke states that appropriate COX-2 inhibitors include ibuprofen. (Id. at ii 62.) 19. Pluenneke states that "[w]hen a COX-2 inhibitor is used in combination with an EGFR inhibitor, appropriate doses of either or both may be lower than doses required when either is used as a single agent." (Id.) 20. The Specification states that NSAIDs, including ibuprofen, "have also been shown to suppress NF-KB activation." (Spec. 11 :3-5.) Analysis We agree with the Examiner that the cited references support a prima facie case of obviousness. Taguchi discloses a method meeting all of the limitations of claim 1 (see FF 1-FF 10) except that it does not assign a class label that identifies whether a patient is likely or unlikely to benefit from treatment with an EGFR inhibitor and further identified as likely to benefit from the treatment with an NF-KB inhibitor. Pluenneke, however, discloses treating cancer with a combination of an EGFR inhibitor and a COX-2 inhibitor such as ibuprofen (FFl 7, FF18). 9 Appeal2016-002530 Application 12/932,295 Pluenneke states that with this combination of active agents "appropriate doses of either or both may be lower than doses required when either is used as a single agent" (FF19). Thus, it would have been obvious to modify Taguchi' s method of identifying cancer patients who are likely to benefit from treatment with an EGFR inhibitor to include identifying patients who are likely to benefit from treatment with a combination of an EGFR inhibitor and ibuprofen, in order to allow effective treatment with lower doses of active agents. Appellants acknowledge that "ibuprofen has NF-KB inhibitor activity" but argue that "Pluenneke teaches the use of ibuprofen for its COX-2 activity. One of skill in the art would not be guided to NF-KB inhibitors by a list of COX-2 inhibitors including ibuprofen, which happens to also have NF-KB inhibitor activity." (Appeal Br. 15.) This argument is not persuasive. Identifying patients who are likely to benefit from treatment with a combination of an EGFR inhibitor and ibuprofen meets the claim limitation of identifying patients who are likely to benefit from treatment with an EGFR inhibitor and an NF-KB inhibitor, because ibuprofen is an NF-KB inhibitor. The cited references therefore suggest the relevant limitation. Appellants also argue that "Pluenneke is limited to teaching treatment ofEGFR+ cancers with an EGFR inhibitor and a COX2 inhibitor. The instant invention, however, provides methods of prediction of whether solid epithelial tumor cancer patients will benefit from the specified treatments and is not limited to only EGFR+ cancers." (Appeal Br. 16.) 10 Appeal2016-002530 Application 12/932,295 This argument is also unpersuasive, because Pluenneke discloses that EGFR+ cancers include melanoma, breast cancer, renal cancer, pancreatic cancer, and colorectal cancer (FF 15), all of which are included in the Specification's definition of"solid epithelial tumor" (Spec. 9:9-11). Appellants argue that "[t]he Office has provided no evidence that teachings of patient responsiveness to EGFR inhibitors can be predictably correlated to patient responsiveness to a combination of EGFR inhibitors and COX2 inhibitors." (Appeal Br. 18.) This argument is also unpersuasive. Taguchi states that its method "could classify NSCLC patients for good or poor outcomes after treatment with EGFR TKis" (FFlO). It would have been reasonable for a skilled worker to expect that the same algorithm would effectively classify patients for treatment with an EGFR inhibitor in combination with ibuprofen because Pluenneke does not disclose that the combination changes the mechanism of action of the EGFR inhibitor, only that the combination allows use of lower doses of each of the two drugs (FF 19). With regard to claims 24-26, Appellants argue that "Taguchi, Chung and Pluenneke do not teach or suggest methods of identifying a member of a sub-group of cancer patients who (a) have a worse prognosis as compared to cancer patients who are not a member of the group, and (b) are predicted to not benefit from epidermal growth factor receptor targeting drugs." (Appeal Br. 19.) We disagree. Taguchi states that its method identifies "good" and "poor" sub-groups of cancer patients for treatment with an EGFR inhibitor, and that patients in the "poor" sub-group had survival times that were one- 11 Appeal2016-002530 Application 12/932,295 half to one-third that of patients in the "good" sub-group (FF9). Taguchi's method therefore identifies a sub-group of cancer patients who have a worse prognosis than members who are not a member of the group and who are predicted not to benefit from EGFR-targeting drugs. With regard to claim 27, Appellants argue that "[b]reast cancer is a different disease from those disclosed in Taguchi and Chung and it would not be expected that the methods outlined in Taguchi or Chung to be effective in the realm of breast cancer, because of the unpredictability of the art of prognosis of cancer." (Appeal Br. 20.) Appellants argue that "[b ]ecause of the biological difference between NSCLC, HNSCC, colorectal cancer, and breast cancer one of skill in the art could not expect that the predictions in Taguchi or Chung will work in the same way in the case of breast cancer." (Id.) This argument is also unpersuasive. Taguchi discloses a method of classifying NSCLC patients for good or poor outcomes after treatment with an EGFR inhibitor (FFlO). Chung discloses that the same method accurately classifies patients with HNSCC or colorectal cancer (FF 11, FF12). Chung concludes that "[t]his classification is correlated with tumor EGFR ligand levels and provides a clinically practical way to identify patients with diverse cancer types most likely to benefit from EGFR inhibitors" (FF13). Pluenneke discloses that EGFR is overexpressed in a number of cancers, including lung cancer, head and neck cancer, colorectal cancer, and breast cancer (FF15). Based on these disclosures, considered together, a person of ordinary skill in the art would reasonably have expected that Taguchi's method would accurately identify the subgroup of 12 Appeal2016-002530 Application 12/932,295 breast cancer patients who have a worse prognosis and are not likely to benefit from treatment with an EGFR inhibitor, as required by claim 27. Conclusion of Law The cited references support the Examiner's conclusion that it would have been obvious to apply Taguchi's method to patients treated with a combination of an EGFR inhibitor and a COX-2 inhibitor such as ibuprofen. We affirm the rejection of claims 1 and 24-2 7. Claims 9, 10, and 18- 23 have not been argued separately and therefore fall with claim 1. 37 C.F.R. § 41.37(c)(l)(iv). We also affirm the rejection of claims 6, 7, 15, and 16. II The Examiner has rejected all of the claims on appeal under 35 U.S.C. § 101 as being directed to patent-ineligible subject matter. The Examiner finds that "[t]he claim(s) does/do not include additional elements that are sufficient to amount to significantly more than the judicial exception because the additional elements to the algorithm pertain to nothing more than obtaining the data on a mass spectrometer. This rejection has been made in view of Alice Corporation Pty. Ltd. v. CLS Bank International, et al." (Final Rej. 3--4.) Appellants contend that the claims satisfy the first step of the Alice test because "there is no evidence on the record that the invention, as defined by the particular claim limitations, is simply some abstract method of 'data processing and machine learning classification of mass spectral intensity values pertaining to epithelial cancer' as alleged by the Office." (Appeal Br. 13 Appeal2016-002530 Application 12/932,295 7.) Appellants also contend that claim 1 recites specific substeps, and "[t]hese sub-steps are physical process steps performed in a computer, and data representing a specific training set. They are not abstract ideas." (Id. at 8.) Appellants contend that the claims satisfy the second step of the Alice test because "[t]he specific limitations of the instant claims act to narrow, confine, and otherwise tie down the claim so as not to cover the general abstract idea of just collecting and analyzing data." (Id. at 12.) More specifically, Appellants argue that the "claims do not cover all cancer therapy," and require using a blood-based sample, and "the same algorithm can be used in different methods." (Id. at 12-13.) Appellants argue that "the claims do not pre-empt all use of the alleged abstract idea." (Id. at 13.) We agree with the Examiner that, under the two-step test of Alice, claim 1 is not directed to patent-eligible subject matter. The Alice Court stated that "[i]n Mayo Collaborative Services v. Prometheus Laboratories, Inc., 566 U.S.--, 132 S.Ct. 1289, 182 L.Ed.2d 321 (2012), we set forth a framework for distinguishing patents that claim laws of nature, natural phenomena, and abstract ideas from those that claim patent-eligible applications of those concepts." Alice Corp. Pty. Ltd. v. CLS Bank Int 'l, 134 S. Ct. 2347, 2355 (2014). The Alice Court described the Mayo test as follows: First, we determine whether the claims at issue are directed to one of those patent-ineligible concepts. If so, we then ask, "[ w ]hat else is there in the claims before us?" To answer that question, we consider the elements of each claim both individually and "as an ordered combination" to determine whether the additional elements "transform the nature of the 14 Appeal2016-002530 Application 12/932,295 (Id.) claim" into a patent-eligible application. We have described step two of this analysis as a search for an "'inventive concept"'- i. e., an element or combination of elements that is "sufficient to ensure that the patent in practice amounts to significantly more than a patent upon the [ineligible concept] itself." The Mayo court applied its test to claims that are similar to those of the instant application. In Mayo, the claimed invention was a "method of optimizing therapeutic efficacy for treatment of an immune-mediated gastrointestinal disorder" comprising administering a certain class of drug and then determining the level of 6-thio guanine ( 6-TG) in a patient, where a level of 6-TG below or above certain amounts indicated a need to increase or decrease, respectively, the drug dosage. Mayo, 122 S. Ct. at 1295. Claim 1 of the instant application is similar, in that it is directed to a method of determining whether a given patient is or is not likely to benefit from treatment with an EGFR inhibitor (or an EGFR inhibitor combined with ibuprofen), by analyzing by mass spectrometry a blood-based sample from the patient and comparing the results to those obtained from a training set of (previously treated) patients. The Mayo Court concluded that the claims at issue in that case "set forth laws of nature-namely, relationships between concentrations of certain metabolites in the blood and the likelihood that a dosage of a thiopurine drug will prove ineffective or cause harm." Id. at 1296. Similarly here, claim 1 on appeal sets forth a law of nature-namely, a relationship between certain characteristics of mass spectral data in blood- based samples and the likelihood that treatment with an EGFR inhibitor (or an EGFR inhibitor combined with ibuprofen) is or is not likely to be 15 Appeal2016-002530 Application 12/932,295 effective. Under the first step of the Alice/Mayo test claim 1 on appeal is directed to a law of nature or natural phenomenon. The Mayo Court next turned to the question "[ w ]hat else is there in the claims before us?" Id. at 1297. The claims in Mayo included an "administering" step, a "determining" step, and a "wherein" clause. Id. The Court concluded that "[t]he upshot is that the three steps simply tell doctors to gather data from which they may draw an inference in light of the correlations." Id. at 1298. In other words, the claims inform a relevant audience about certain laws of nature; any additional steps consist of well-understood, routine, conventional activity already engaged in by the scientific community; and those steps, when viewed as a whole, add nothing significant beyond the sum of their parts taken separately. Id. The Court concluded that "the steps are not sufficient to transform unpatentable natural correlations into patentable applications of those regularities." Id. Like the steps of the claims in Mayo, the manipulative steps of claim 1 on appeal also "consist of well-understood, routine, conventional activity already engaged in by the scientific community." Id. Each of the steps of claim 1, in fact, is applied to NSCLC patients in Taguchi. All that claim 1 adds to Taguchi is the application of the same method to a broader set of patients, and the inference that the mass spectral data can predict, in addition to efficacy of EGFR inhibitor therapy, "whether the patient is likely to benefit from the treatment with an NF-KB inhibitor" such as ibuprofen (claim 1 ) . 16 Appeal2016-002530 Application 12/932,295 Thus, when claim 1 is considered as an ordered combination, it informs a relevant audience of certain laws of nature: specifically, that features of mass spectra from cancer patients with solid epithelial tumors can be used to distinguish between subgroups who are more likely or less likely to benefit from treatment with a combination of an EGFR inhibitor and ibuprofen. All of the additional steps of claim 1 consist of well-understood, routine, conventional activity already engaged in by the scientific community such as Taguchi. We conclude that, under the Alice/Mayo test, claim 1 is directed to patent-ineligible subject matter. The rejection of claim 1 under 35 U.S.C. § 101 is affirmed. Claims 5-7, 9, 10, 15, 16, and 18-27 have not been argued separately and therefore fall with claim 1. 37 C.F.R. § 41.37(c)(l)(iv). III The Examiner has provisionally rejected claims 1, 9, and 26 for obviousness-type double patenting based on claims 3, 4, and 12 of application 12/806, 137 and Pluenneke. (Final Rej. 15.) Appellants argue that "U.S. Ser. No. 12/806,137 has not yet been examined and this application still has rejections other than this 'provisional' double patenting rejection. The applicant will address this rejection when one of the two applications has only a provisional double patenting rejection remaining." (Appeal Br. 21.) Since Appellants have chosen not to address the merits of the provisional obviousness-type double patenting rejection at this time, we will 17 Appeal2016-002530 Application 12/932,295 affirm it. 37 C.F.R. § 41.37(c)(l)(iv) ("The arguments shall explain why the examiner erred as to each ground of rejection contested by appellant."). SUMMARY We affirm all of the rejections on appeal. 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. § l.136(a). AFFIRMED 18 Copy with citationCopy as parenthetical citation