Ex Parte Piemonti et alDownload PDFPatent Trial and Appeal BoardSep 12, 201813500544 (P.T.A.B. Sep. 12, 2018) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 13/500,544 04/05/2012 26201 7590 09/14/2018 FISH & RICHARDSON P.C. (AU) P.O BOX 1022 Minneapolis, MN 55440-1022 UNITED ST A TES OF AMERICA FIRST NAMED INVENTOR Lorenzo Piemonti 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. 3638 l-0003US 1 8864 EXAMINER CRUZ, KATHRIEN ANN ART UNIT PAPER NUMBER 1621 NOTIFICATION DATE DELIVERY MODE 09/14/2018 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): P ATDOCTC@fr.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte LORENZO PIEMONTI, LUISA DAFFONCHIO, and MARCELLO ALLEGRETTI 1 Appeal2017-000095 Application 13/500,544 Technology Center 1600 Before DEMETRA J. MILLS, ERIC B. GRIMES, and JEFFREY N. FREDMAN, Administrative Patent Judges. Opinion for the Board filed by Administrative Patent Judge DEMETRA J. MILLS. Opinion Dissenting filed by Administrative Patent Judge ERIC B. GRIMES. MILLS, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134. The Examiner has rejected the claims for obviousness. We have jurisdiction under 35 U.S.C. § 6(b ). We affirm. 1 Appellants identify DOMPE PARMACEUTICI S.P.A. as the real party in interest. App. Br. 1. Appeal2017-000095 Application 13/500,544 STATEMENT OF CASE The following claim is representative. 23. A method of treating an individual receiving a pancreatic islet cell transplant, the method comprising: identifying an individual diagnosed with Type 1 diabetes; and administering to the individual, before and after the individual undergoes pancreatic islet cell transplantation, a medicament comprising a compound effective to inhibit CXCL8 biological activity derived from CXCRl and/or CXCR2 activation. Cited References Hezi-Yamit US 2005/0261762 Al Nov. 24, 2005 M. James Shapiro, Islet Transplantation in Seven Patients with Type 1 Diabetes Mellitus Using a Glucocorticoid-Free Immunosupresive Regimen, 343 THE NEW ENGLAND J. OF MEDICINE NO 4, 230-23 8 (July 27, 2000) (hereinafter "Shapiro"). Bertini, Noncompetitive allosteric inhibitors of the Inflammatory Chemokine Receptors CXCRJ and CXCR2: Prevention of Reperfusion Injury, IOI PNAS NO 32, 11791-11796 (2004) (hereinafter "Bertini"). Grounds of Rejection Claims 23-31 are rejected under pre-AIA 35 U.S.C. § I03(a) as being unpatentable over Shapiro, Bertini, and Hezi-Yamit. 2 Appeal2017-000095 Application 13/500,544 FINDINGS OF FACT The Examiner's findings of fact are set forth in the Final Action at pages 2-13. The following facts are highlighted. 1. There is an election of species in this case. Appellants elected Group II (claims 23-28) is elected for examination (May 6, 2013). The elected species is [(4-isobutylphenyl)propionyl] methane- sulfonamide, listed in paragraph [0042] of the published application (US 2012/0202884). 2 PRINCIPLES OF LAW In making our determination, we apply the preponderance of the evidence standard. See, e.g., Ethicon, Inc. v. Quigg, 849 F.2d 1422, 1427 (Fed. Cir. 1988) (explaining the general evidentiary standard for proceedings before the Office). "The combination of familiar elements according to known methods is likely to be obvious when it does no more than yield predictable results." KSR Int'! Co. v. Teleflex Inc., 550 U.S. 398,416 (2007). When the examiner has required the applicant to elect single chemical species for examination, the issue on appeal is the patentability of the single elected species. It is appropriate to limit discussion to that single issue and take no position respecting the patentability of the broader generic claims, including the remaining, non-elected species. See Ex parte Ohsaka, 2 USPQ2d 1461 (Bd. Pat. App. Int. 1987). 2 Response to Election Requirement, dated May 6, 2013. 3 Appeal2017-000095 Application 13/500,544 To differentiate between proper and improper applications of "obvious to try," this court outlined two classes of situations where "obvious to try" is erroneously equated with obviousness under § 103. In the first class of cases, what would have been "obvious to try" would have been to vary all parameters or try each of numerous possible choices until one possibly arrived at a successful result, where the prior art gave either no indication of which parameters were critical or no direction as to which of many possible choices is likely to be successful. In re Kubin, 561 F.3d 1351, 1359 (Fed. Cir. 2009) (citing In re O'Farrell, 853 F.2d 894, 903 (Fed. Cir. 1988)). Obviousness Rejection The Examiner finds that, "Shapiro teaches that seven consecutive patients ... who had had type 1 diabetes mellitus ... underwent islet transplantation." Final Act. 6. In all seven patients, exogenous insulin therapy quickly became unnecessary once sufficient numbers of islets were transplanted. Id. Shapiro discloses the administration of a glucocorticoid free immunosuppressive regime. Id. "Shapiro disclose that islet transplantation has been investigated as a treatment for type 1 diabetes mellitus in selected patients with inadequate glucose control despite insulin therapy (page 230, right column, first paragraph)." Id. Shapiro discloses that immunosuppression was initiated immediately before transplantation. Id. at 7. The Examiner admits that, "Shapiro does not disclose the addition of the elected species, R)-ibuprofen methanesulfonamide (repertaxin), to the immunosuppressive regimen." The Examiner relies on Bertini and Hezi- Yamit to make up for this deficiency. Final Act. 7. 4 Appeal2017-000095 Application 13/500,544 Bertini discloses that chemokine CXC ligand 8 (CXCL8)/IL-8 and related agonists recruit and activate polymorphonuclear cells by binding the CXC chemokine receptor 1 (CXCRl) and CXCR2. Ans. 6. Bertini discloses the unique mode of action of a small-molecule inhibitor (Repertaxin which is R-ibuprofen methanesulfonamide) against organ reperfusion injury. Id. Hezi-Yamit discloses that DF-1681 is also known as repertaxin and is being developed for treatment of transplant rejection. Id. Hezi-Yamit discloses that DF-1681 is believed to be an anti-inflammatory/ immunosuppressant, specifically an IL-8 antagonist. Id. DF-1681 has the chemical name 2(R)-( 4-isobutylphenyl)-N-( methylsulfonyl)propionamide (paragraph 0049). Id. The Examiner concludes that It would have been obvious to one of ordinary skills in the art at the time of the invention to administer glucocorticoid- free immunosuppressive and R)-ibuprofen methanesulfonamide jointly to an individual with diabetes type 1 and having islet cell transplant. One would have been motivated to administer a glucocorticoid free immunosuppressive agent and R)-ibuprofen methanesulfonamide for the treatment of an individual with diabetes type 1 and having islet cell transplant because it was known in the art at the time of the invention was made to administer a glucocorticoid free immune-suppressive agents for patients with type 1 diabetes and islet transplantation and is also known that R)-ibuprofen methanesulfonamide is effective in the protection of organs against reperfusion injury as well as a anti-inflammatory/immunosuppressant, specifically an IL-8 antagonist. Final Act. 9. Appellants argue that 1. Repertaxin is not immunosuppressive. App. Br. 6. 5 Appeal2017-000095 Application 13/500,544 2. The immunosuppressants of Shapiro, Bertini, and Hezi-Yamit are not used for the same purpose as repertaxin. App. Br. 4. 3. There is no expectation of success that repertaxin would work for islet cell transplantation. App. Br. 7. 4. Solid organ transplants and islet cell transplants are different. App. Br. 5. ANALYSIS We agree with the Examiner's fact finding, statement of the rejection and responses to Appellants' arguments as set forth in the Answer. We find that the Examiner has provided evidence to support a prima facie case of obviousness. We provide the following additional comment to the Examiner's argument set forth in the Final Rejection and Answer. Appellants argue that repertaxin is not immunosuppressive, and that the immunosuppressants of Shapiro, Bertini, and Hezi-Yamit are not for the same purpose as repertaxin. App. Br. 4, 6. We are not persuaded by Appellants' arguments. Shapiro states that sirolimus 3 and tacrolimus are effective glucocorticoid-free immune- suppressants useful in pancreatic islet transplantation in patients with type- I diabetes. Abstract. Hezi-Yamit discloses that repertaxin (DF-1681, R(-)-2- [( 4-isobutylphenyl)propionyl]-methanesulfonamide) is also a known anti- inflammatory agent/immune-suppressant for the treatment of transplant rejection. Hezi Yamit ,, 10, 49. The Examiner has therefore provided 3 Sirolimus is also known as rapamycin. See, https://en. wikipedia.org/wiki/Sirolimus. 6 Appeal2017-000095 Application 13/500,544 evidence on this record, that sirolimus, tacrolimus, and repertaxin are immunosuppressive agents known to be useful in organ transplantation. We recognize that Appellants (and the Dissent) challenge the direct statement by Hezi-Yamit that "DF-1681 is also known as repertaxin and is being developed by Dompe Farmaceutici for treatment of transplant rejection. It is believed to be an anti-inflammatory/immunosuppressant, specifically an IL-8 antagonist." Hezi-Yamit ,r 49. However, "a prior art publication cited by an examiner is presumptively enabling barring any showing to the contrary by a patent applicant." In re Antor Media Corp., 689 F.3d 1282, 1288 (Fed. Cir. 2012). In this case, neither Appellants nor the Dissent point to persuasive evidence that rebuts the teaching of Hezi-Yamit that repertaxin was expected to function as both an anti-inflammatory agent and as an immunosuppressant useful to prevent transplant rejection. Appellants point to two references regarding transplantation that omit IL-8 inhibitors (App. Br. 6) and one reference that uses repertaxin for another purpose of reperfusion injury4 (App.Br. 6-7), but none of these references specifically address, much less rebut, the express teaching of Hezi-Yamit that repertaxin has anti-inflammatory activity and is useful for transplant rejection. Hezi-Yamit ,r 49. The Dissent also presents arguments concerning Shapiro, which were not previously argued by Appellants. 4 We note that the reference cited by Appellants, Cavalieri, 18 Int. J. Immun. Path. 475 (2005), also suggests the use of repertaxin in transplantation, stating "Liver transplantation has become an accepted therapy for end-stage liver diseases, but graft injury after reperfusion has been one of "the critical problems to overcome ... we have demonstrated repertaxin efficacy in preventing post-ischemic injury 24 hours after reperfusion." (Cavalier 484). 7 Appeal2017-000095 Application 13/500,544 In the present case, the Examiner combines multiple known immuno-suppressants useful in organ transplantation, including, in the case of Shapiro, islet cell transplantation, citing In re Kerkhoven, 626 F.2d 846 (CCPA 1980). During oral hearing on August 21, 2018, Appellants argued that the facts of the present case are similar to those of In re Geiger, 815 F .2d 686 (Fed. Cir. 1987). We however, find that the facts of the present case can be distinguished from those of Geiger. In Geiger, the claims were directed to a method of inhibiting scale formation on and corrosion of metallic parts in cooling water systems by use of compositions containing (1) a sulfonated styrene/maleic anhydride (SSMA) copolymer, (2) a water soluble zinc compound, and (3) an organo-phosphorus acid compound or water soluble salt thereof. The claims were rejected over Ii, Snyder and Hwa patents. Ii disclosed the use in cooling water systems of scale and corrosion prevention compositions comprised of a polymeric component in combination with one or more compounds selected from the group consisting of inorganic phosphoric acids and water soluble salts thereof, phosphonic acids and water soluble salts thereof, organic phosphoric acid esters and water soluble salts thereof, and polyvalent metal salts. Although the Ii polymeric component may contain maleic acid and styrene monomers, there is no disclosure of the specific copolymer, SSMA, required in applicant's claims. Id. at 687. The Snyder patent disclosed a method for treating cooling water systems prone to scale formation by the addition of a composition comprised of an acrylic acid/lower alkyl/hydroxy acrylate copolymer and another 8 Appeal2017-000095 Application 13/500,544 polymeric component, which may be SSMA or a styrene/maleic anhydride (SMA) copolymer. Id. at 687. The Hwa patent was directed to a method for treating boiler water systems that are prone to scale formation by addition of a composition comprised of SSMA and an organo-phosphorus acid compound. In re Geiger at 687. In Geiger, The Federal Circuit concluded that: Hwa does disclose the specifically-recited organo-phosphorus acid compound. It provides, however, no suggestion to add a zinc compound to its disclosed combination of SSMA and organ-ophosphorus acid compounds, or to use SSMA in combination with an organo-phosphorus acid compound in the treatment of a cooling water system, where the characteristics may significantly differ from those in Hwa's boiler water system. Hwa also provides no suggestion that SSMA could prevent precipitation of the zinc (II) ion in alkaline cooling water in the manner ascribed to the polymeric component of Ii. In re Geiger at 688. The Federal Circuit concluded in Geiger that there was no prima face case obviousness because, "[a]t best, in view of these disclosures, one skilled in the art might find it obvious to try various combinations of these known scale and corrosion prevention agents. However, this is not the standard of 35 U.S.C. § 103." In re Geiger, at 688. On the other hand, the KSR also addressed the "obvious to try" issue: When there is a design need or market pressure to solve a problem and there are a finite number of identified, predictable solutions, a person of ordinary skill has good reason to pursue the known options within his or her technical grasp. If this leads to the anticipated success, it is likely the product not of innovation but of ordinary skill and common sense. In that 9 Appeal2017-000095 Application 13/500,544 instance the fact that a combination was obvious to try might show that it was obvious under § 103. KSR Int'! Co. v. Teleflex Inc., 550 U.S. 398,421 (2007). In KSR, the Supreme Court held that an "obvious to try" fact situation may be enough to support a prima facie case of obviousness. Under a KSR "obvious to try" analysis, Shapiro and Hezi-Yamit disclose a finite number of predictable immunosuppressants for use in organ transplantation known to those of ordinary skill in the art. Because the selection or combination of known organ transplant immunosuppressants leads to the anticipated immunosuppressive success, the result is likely not a product of innovation but of ordinary skill and common sense. It is prima facie obvious to combine two compositions each of which is taught by the prior art to be useful for the same purpose, in order to form a third composition which is to be used for the very same purpose. In re Susi, 58 CCPA 1074, 1079--80, 440 F.2d 442,445 (1971); In re Crockett, 47 CCPA 1018, 1020-21, 279 F.2d 274, 276-77 (1960). As explained in Crockett, the idea of combining them flows logically from their having been individually taught in the prior art. In re Kerkhoven, 626 F.2d 846 (CCPA 1980). While the Federal Circuit did not reach the unexpected results or secondary considerations in Geiger, Appellants, in that case, provided data in that case showing that the Hwa system was relatively ineffective in a coo ling system. 10 Appeal2017-000095 Application 13/500,544 In the present case, Appellants further argue that it was known in the art from Gao, 5 that not all immunosuppressive agents were useful in islet cell transplants. Appellants argue that, in Gao, "many of the [immunosuppressant] drugs commonly used, including sirolimus and tacrolimus ... have negative effects on beta-cell function and viability in vitro." (footnote omitted). Therefore, Appellants argue that, "there would have been no reasonable expectation that the modification of Shapiro's protocol with another immunosuppressant would have improved or maintained the outcome described by Shapiro." App. Br. 7. We are not persuaded by Appellants' argument. Gao concluded that "sirolimus and daclizumab are amenable for use in clinical islet transplantation." Gao, 1025. Shapiro also supports this fact. Abstract. In Gao, "Sirolimus and tacrolimus showed a small positive effect on effect on islet cell proliferation. Gao, 1022. "Tacrolimus and sirolimus did not affect the DNA content of islet cells." Gao, 1023. While Gao discloses that reductions in insulin content of islet cells was seen in tacrolimus and mycophenolate mofetil (MMF) islet studies, "[t]he differences in absolute amounts of insulin were not statistically significant due to considerable variation in cell compositions among different batches of starting tissue." Gao, 1023, col. 1. Gao further indicated that some issues with sirolimus could be overcome with use of a higher proportion of beta cells. Gao, 1025, col. 2. 5 Gao, et al., "Effects of Immunosuppressive Drugs on In Vitro Neogenesis of Human Islets," 7 AMERICAN JOURNAL OF TRANSPLANTATION, 021-26 (2007). 11 Appeal2017-000095 Application 13/500,544 While Gao discloses that various immunosuppressive agents have costs that must be weighed against their benefits ( tacrolimus and sirolimus may have some negative effects on beta cell function and viability (Gao, p. 1021, col.2.)), the fact that the motivating benefit (immunosuppression) comes at the expense of another benefit (islet cell proliferation, Gao, Fig. 2A), should not nullify its use as a basis to modify the disclosure of one reference with the teachings of another. Instead, the benefits, both lost and gained, should be weighed against one another." Medi chem S.A. v. Rolabo S.L., 437 F.3d 1157, 1165 (Fed. Cir. 2006). Nor is this a case of improper application of the "obvious to try" principle where "obvious to try" is erroneously equated with obviousness under § 103 as described in In re Kahn. The present case is one of cost benefit determination analyzing the use of known immunosuppressive agents for organ transplantation, and is not a case where the prior art gave either no indication of which parameters were critical or no direction as to which of many possible choices is likely to be successful. The use of known immunesuppressive agents and the general conditions for their known use in organ transplantation in this case, reasonably suggests that the ordinary artisan would optimize these result effective variables to maximize desirable immunosuppression while minimizing other side effects. Indeed, Bertini teaches treatment "with an optimal dose of Repertaxin" (Bertini 11792, col. 1) while Hezi-Yamit teaches "[p ]referably, the optimum dosages will be the highest non-toxic" dose (Hezi-Yamit ,r 82). "[W]here the general conditions of a claim are disclosed in the prior art, it is not inventive to discover the optimum or workable ranges by routine experimentation." Aller, 220 F.2d at 456. This rule is limited to cases in which the optimized 12 Appeal2017-000095 Application 13/500,544 variable is a "result-effective variable." In re Antonie, 559 F.2d 618, 620 (CCPA 1977); see Boesch, 617 F.2d at 276 ("[D]iscovery of an optimum value of a result effective variable ... is ordinarily within the skill of the art."). In re Applied Materials, 692 F.3d 1289, 1295 (Fed. Cir. 2012) [emphasis original]. Appellants have not come forward with evidence of unexpected results in this case. Appellants have not come forward with evidence that one of ordinary skill in the art would have been dissuaded from selecting repertaxin for use as in immunosuppressant in islet cell transplantation, based upon its known, effective use in organ transplantation, generally. Repertaxin is acting in its expected manner, as an immunosuppressive agent for use in organ transplant, as suggested by Hezi-Yamit, and is combined with other immunosuppressants specifically known to be useful in islet cell transplantation (Shapiro) to achieve the expected benefit of immunosuppression. Appellants have not established that issues associated with organ transplantation generally are not similar in the case of pancreas and/or islet cell transplantation. In both instances, organ viability is a concern addressed by those of ordinary skill in the art, and immune suppressant ability is a known parameter which those of ordinary skill in the art optimize to achieve organ viability. We limit this decision to the elected species and take no position with respect to the patentability of the broader generic claims, including the remaining, non-elected species. See Ex parte Ohsaka, 2 USPQ2d 1461 (Bd. Pat. App. Int. 1987). 13 Appeal2017-000095 Application 13/500,544 CONCLUSION OF LAW The cited references support the Examiner's obviousness rejection, which is affirmed for the reasons of record. All pending, rejected claims fall. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). See 37 C.F.R. § 41.50(±). AFFIRMED 14 UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte LORENZO PIEMONTI, LUISA DAFFONCHIO, and MARCELLO ALLEGRETTI Appeal2017-000095 Application 13/500,544 Technology Center 1600 Before DEMETRA J. MILLS, ERIC B. GRIMES, and JEFFREY N. FREDMAN, Administrative Patent Judges. GRIMES, Administrative Patent Judge, dissenting. I respectfully dissent. In my view, the Examiner's conclusion that a person of ordinary skill in the art would have considered it obvious to add repertaxin6 to the immunosuppressive agents used by Shapiro is not supported by a preponderance of the evidence or by the rationale of In re Kerkhoven, 626 F .2d 846 (1980). Rather, I agree with Appellants that "the glucocorticoid-free immunosuppressive agents of Shapiro and the Repertaxin of Bertini and Hezi-Yamit were not understood by one of ordinary skill in the art at the time of the invention to be useful for the same purpose, and there was no reasonable expectation that the modification of Shapiro would have yielded a protocol useful for islet cell transplantation." Appeal Br. 4. 6 Repertaxin is also referred to as DF-1681 or 2(R)-(4-isobutylphenyl)-N- (methylsulfonyl)propionamide (Hezi-Yamit, 49) or, by the Examiner, as R)-ibuprofen methanesulfonamide (Ans. 8). Appeal2017-000095 Application 13/500,544 The Examiner concludes that "it would have been prima facie obvious to combine glucocorticoid-free immunosuppressive agents and rapertaxin [sic] composition cojointly in a formulation as a immune suppressive agents to treat rejection of pancreatic islet transplant." Final Action7 10. The Examiner cites In re Kerkhoven for the proposition that "[i]t is prima facie obvious to combine two compositions each of which is taught by the prior art to be useful for the same purpose, in order to form a third composition which is to be used for the very same purpose." Id. at 9-10. The only evidence in the cited references, however, that repertaxin isw an immunosuppressant is provided by Hezi-Yamit, which states that "repertaxin ... is being developed by Dompe Farmaceutici for treatment of transplant rejection. It is believed to be an anti-inflammatory/ immunosuppressant, specifically an IL-8 antagonist." Hezi-Yamit ,r 49. Hezi-Yamit does not disclose that repertaxin is actually effective in the treatment of transplant rejection, or that it is in fact an immunosuppressant, much less that it is effective as an immunosuppressant in pancreatic islet cell transplantation. In addition, the evidence of record shows that, even if repertaxin was known to be an immunosuppressant, not all immunosuppressants are effective in preventing rejection of islet cells. Shapiro states that islet cell transplantations carried out using a "regimen of immunosuppression consist[ing] of antibody induction with an antilymphocyte globulin combined with cyclosporine, azathioprine, and glucocorticoids" resulted in only 12.4% of patients reaching insulin independence for periods of more than one week and only 8.2% having done 7 Office Action mailed Aug. 24, 2015. 2 Appeal2017-000095 Application 13/500,544 so for more than one year. Shapiro 230, right col. Shapiro also discloses that, although the "combination of sirolimus, low-dose tacrolimus, and glucocorticoids in liver, kidney, and pancreas transplantation has been associated with extremely low rates of rejection," glucocorticoids have a diabetogenic effect; for islet cell transplantion, Shapiro replaced the glucocorticoids with a monoclonal antibody against the interleukin-2 receptor. Id. at 237, left col. Shapiro therefore provides evidence that simply because a compound was known to be an effective immunosuppressant-and the cited evidence does not show that repertaxin was-that alone would not suggest that it would be effective in the specific context of islet cell transplantation. The evidence of record therefore does not support the Examiner's conclusion that Shapiro's combination of immunosuppressants, on the one hand, and repertaxin, on the other, were "taught by the prior art to be useful for the same purpose" (Final Action 10), and In re Kerkhoven does not apply to the facts of this case. The Examiner alternatively reasons that it would have been obvious to add repertaxin to Shapiro's islet cell transplantation procedure, because Bertini discloses that repertaxin protects organs against reperfusion injury. Ans. 9. Bertini indeed discloses that "[ r ]epertaxin ... protects organs against reperfusion injury." Bertini 11791, abstract. Bertini also states that "RI [reperfusion injury] plays an important role under different pathological conditions, including ... transplantation" and "is unavoidable in organ transplantation, occurring during organ retrieval and storage." Id. at 11796, left col. 3 Appeal2017-000095 Application 13/500,544 As Appellants have pointed out (Appeal Br. 5), however, islet cells are not organs. The Examiner has not pointed to evidence in the record showing that islet cells are subject to reperfusion injury during an islet cell transplantation procedure. The Examiner's conclusion that combining repertaxin with Shapiro's procedure in order to avoid reperfusion injury is therefore not supported by a preponderance of the evidence. In summary, I do not find the cited evidence sufficient to support either of the Examiner's rationales for combining repertaxin with Shapiro's islet cell transplantation procedure. I would reverse the rejection. 4 Copy with citationCopy as parenthetical citation