Ex Parte SchäfflerDownload PDFPatent Trial and Appeal BoardAug 30, 201714305165 (P.T.A.B. Aug. 30, 2017) Copy Citation United States Patent and Trademark Office 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 APPLICATION NO. FILING DATE FIRST NAMED INVENTOR ATTORNEY DOCKET NO. CONFIRMATION NO. 14/305,165 06/16/2014 Achim Schaffler HOR0017-201C2-US 8753 101325 7590 09/01/2017 GT ORAT PATFNT GROUP - HOR EXAMINER 17014 NEW COLLEGE AVENUE CORNET, JEAN P SUITE 201 ST. LOUIS, MO 63040 ART UNIT PAPER NUMBER 1628 NOTIFICATION DATE DELIVERY MODE 09/01/2017 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): admin@globalpatentgroup.com lwilson@globalpatentgroup.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte ACHIM SCHAFFLER Appeal 2017-003 5971 Application 14/305,165 Technology Center 1600 Before RICHARD M. LEBOVITZ, ULRIKE W. JENKS, and TIMOTHY G. MAJORS, Administrative Patent Judges. LEBOVITZ, Administrative Patent Judge. DECISION ON APPEAL This appeal involves claims directed to a method of administering prednisone to a patient having rheumatoid arthritis. The Examiner rejected the claims under 35 U.S.C. § 103 as obvious. We have jurisdiction under 35 U.S.C. § 6(b). The § 103 rejections are affirmed. 1 The Appeal Brief (“Appeal Br.”) 3 lists Horizon Pharma Switzerland GmbH as the real-party-in-interest. Appeal 2017-003597 Application 14/305,165 STATEMENT OF THE CASE Claim 48—56 stand rejected by the Examiner as follows (see Final Office Action, dated Nov. 5, 2015 (“Final Act.”)): Rejection 1. Claims 48, 50, 51, and 54—56 under pre-AIA 35 U.S.C. § 103(a) as obvious in view of US Publ. Pat. App. 2007/0110807 Al, publ. May 17, 2007 (“Vergnault”); T. Sokka, Assessment of Pain in Rheumatic Diseases, Clin. Exp. Rheumatol. (Suppl. 39):S77—S84, 2005 (“Sokka”); Sterapred product specification, Nov. 2003 (“Sterapred”); and David Gotlieb, DMARDs in Rheumatoid Arthritis, Oct. 1999 (“Gotlieb”). Final Act. 3. Rejection 2. Claim 49 under pre-AIA 35 U.S.C. § 103(a) as obvious in view of Vergnault, Sokka, Sterapred, Gotlieb, and Bjorn Svensson et al., Low-Dose Prednisolone in Addition to the Initial Disease-Modifying Antirheumatic Drug in Patients With Early Active Rheumatoid Arthritis Reduces Joint Destruction and Increases the Remission Rate, A Two-Year Randomized Trial, Arthritis & Rheumatism, 52(1):3360—3370, 2005 (“Svensson”). Final Act. 7. Rejection 3. Claims 52 and 53 under pre-AIA 35 U.S.C. § 103(a) as obvious in view of Vergnault, Sokka, Sterapred, Gotlieb, and Lenore M. Buckley et al.. Effects of Low Dose Corticosteroids on the Bone Mineral Density of Patients with Rheumatoid Arthritis, J. Rheumatol., 22: 1055— 1059, 1995 (“Buckley”). Final Act. 9. Claim 48, the only independent claim on appeal, is reproduced below. Claims limitations have been numbered [1]—[7] for reference and indentations have been added for clarity. 2 Appeal 2017-003597 Application 14/305,165 48. A method of administering prednisone to a patient having rheumatoid arthritis with a [1] pain level of >50-70 mm on a 100 mm self reported visual analogue scale for pain and [2] an incomplete clinical response after prior treatment with disease-modifying antirheumatic drug (DMARD) therapy alone comprising [3] administering an oral dosage form comprising an initial dosage of 1, 2, 5, or 10 mg of prednisone, to the patient once daily at or before bedtime, wherein the oral dosage form is administered with food, [4] determining the patient’s clinical response to said administration, and [5] if said patient has a satisfactory clinical response, the method further comprises administering a maintenance dosage that is less than the initial dosage until a dosage of prednisone which will maintain a satisfactory clinical response is reached, or [6] if said patient does not have a satisfactory clinical response, the method further comprises administering an increased dosage that is more than the initial dosage until a satisfactory clinical response is determined, [7] wherein release of the prednisone from the oral dosage form is delayed for a time period (tlag) of 2-10 hours after administration of the oral dosage form. REJECTIONS 1 AND 2 The following findings of fact (“FF”) are based on the Examiner’s obviousness rejection as set forth in the Final Office Action. The preamble of claim 48 requires administering prednisone to a patient having RA who has experienced [1] a specific pain level and [2] an incomplete response to DMARD therapy. FF 1. Gotlieb teaches that patients with RA experience joint pain, and that DMARDS are administered early to treat such pain (“DMARDS should be used before development of erosive disease or deformities develop. 3 Appeal 2017-003597 Application 14/305,165 Therapy must be initiated if the pain and synovitis persists and especially if function is compromised.” Gotlieb 1.) FF2. Gotlieb further teaches that not all patients respond to DMARD (“Approximately 2/3 of patients will respond to DMARDS . . . Id. at 3.). FF3. Gotlieb also teaches that “[t]he main problem with the drugs is fall-off in efficacy over time.” Id. FF4. Thus, Gotlieb discloses that patients with RA experience [1] pain (FF1) — albeit not the specific level recited in claim 48 — and [2] an incomplete response to DMARDS (FF2, FF3). FF5. As shown in Gotlieb’s proposed algorithm for RA therapy, Gotlieb discloses administering prednisone to patients who have an incomplete response to DMARD therapy as required by limitations [2] and [3] (Gotlieb 11). FF6. The diagram of the algorithm in Gotlieb is reproduced below: 4 Appeal 2017-003597 Application 14/305,165 FF7. Under Regimen 1, Gotlieb discloses administering DMARDS “Sulphasalazine Antimalarials Minocycline” (Gotlieb 2). FF8. Gotlieb further discloses in the algorithm that, if “No response” is observed under Regimen 1, “Methotrexate +/- low dose prednisone” is administered. FF9. Thus, consistent with Gotlieb’s more general teaching (FF2, FF3), if an incomplete response to DMARD therapy (“No response”) is observed (limitation [2] of claim 48), prednisone may be administered (“+/- 5 Appeal 2017-003597 Application 14/305,165 low dose prednisone”) along with methotrexate (a DMARD), meeting limitation [3] of claim of claim 48 of administering prednisone. FF10. Svensson teaches that “low-dose prednisolone [7.5 mg] as an adjunct to DMARDs in early active RA” “retarded the progression of radiographic damage after 2 years in patients with early RA, provided a high remission rate, and was well tolerated.” Svensson 3360 (“Conclusion”). Svensson also teaches the combination was known to reduce signs and symptoms of RA. Id. at 3361 FF11. Sterapred, the package insert and instructions for administering prednisone to treat diseases, including RA, teaches limitations [4] and [5] of the claim of adjusting prednisone dosage depending upon whether a “satisfactory clinical response” is achieved. FF12. Sterapred discloses; The initial dosage of STERAPRED 5 mg, STERAPRED 5 mg 12 DAY, STERAPRED DS, STERAPRED DS 12 DAY (Prednisone Tablets) may vary from 5 mg to 60 mg of prednisone per day depending on the specific disease entity being treated. In situations of less severity lower doses will generally suffice while in selected patients higher initial doses may be required. The initial dosage should be maintained or adjusted until a satisfactory response is noted. If after a reasonable period of time there is a lack of satisfactory clinical response, prednisone should be discontinued and the patient transferred to other appropriate therapy. IT SHOULD BE EMPHASIZED THAT DOSAGE REQUIREMENTS ARE VARIABLE AND MUST BE INDIVIDUALIZED ON THE BASIS OF THE DISEASE UNDER TREATMENT AND THE RESPONSE OF THE PATIENT. After a favorable response is noted, the proper maintenance dosage should be determined by decreasing the initial drug dosage in small decrements at appropriate time intervals until the lowest dosage which will maintain an adequate clinical response is reached. 6 Appeal 2017-003597 Application 14/305,165 Sterapred, section titled “DOSAGE AND ADMINISTRATION (emphasis added). FF13. As found by the Examiner, the specifically claimed pain level (limitation [1]) is not described in Gotlieb nor is the claimed time-lag prednisone (limitation [7]). FF14. However, Sokka teaches assessing pain on self-reported visual analogue scale (VAS) in RA patients (“Visual analog pain scalesTable 1. Sokka S-78, S-80), and discloses one study in which baseline pain of 52 on the VAS scale was observed, within the claimed range of “>50-70 mm on a 100 mm self-reported visual analogue scale for pain.” FF15. Gotlieb also teaches using visual analogue score for assessing pain. Gotlieb 4. FF16. With respect to the delayed release prednisone, Vergnault describes a tablet “adapted to provide a lag time of between about 2 to 6 hours during which substantially no drug substance is released” (Vergnault, Abstract) which falls with the 2—10 hour range recited in claim 48 (limitation [7]). FF17. Vergnault teaches the advantage of administering prednisone in its time-lag tablet, providing a reason to administer prednisone at the time of day recited in claim 48 and in the recited time-lag form: Notwithstanding the general applicability of the tablets in relation to a wide range of drug substances, the present invention is particularly suited to delivery of the glucocorticosteroids aforementioned, and particularly prednisone, prednisolone and methylprednisolone. These steroids are useful in the treatment i.a, of rheumatoid arthritis and joint pain. As already stated, the symptoms of these conditions appear according to a circadian rhythm and with great predictability during the early hours of the morning. Accordingly, the glucocorticosteroids, and in 7 Appeal 2017-003597 Application 14/305,165 particular prednisone are eminently suited for delivery from tablets according to this invention not only because of their narrow absorption window, but also because a tablet may be administered in the evening before bedtime anytime around 8 pm until midnight, e.g. around 10-12 at night, to deliver maximum plasma concentration of the drug substance before maximum secretion of IL-6 (which occur around 2 am to 4 am), thereby effectively addressing the underlying causes of the morning symptoms. In this way, these symptoms are more effectively treated Id. at 178. FF18. Vergnault discloses a time-lag tablet comprising 5 mg prednisone. Id. at 145, Table 1. DISCUSSION In beginning their argument as to why the claims are non-obvious, Appellant identifies specific deficiencies in Vergnault, Sokka, and Sterapred. Appeal Br. 8—9. These arguments are not persuasive because the rejection is based on the combination of publications, not one publication alone. “Non obviousness cannot be established by attacking references individually where the rejection is based upon the teachings of a combination of references.” In re Merck & Co., 800 F.2d 1091, 1097 (Fed. Cir. 1986). The references must be read, not in isolation, but in combination for what they fairly teach as a whole. Id. Appellant contends that Gotlieb teaches away from the pending claims by suggesting that the combinations [of DMARDS] listed above, each of which contains methotrexate and excludes prednisone, are “superior.” Thus one of skill in the art, based on the teachings of Gotlieb, would choose to use one of those combinations with methotrexate in preference to the use of prednisone. Appeal Br. 10. 8 Appeal 2017-003597 Application 14/305,165 Appellant further contends that none of the publications cited in the Examiner’s rejection “provide any rationale for using the prednisone oral dosage form having delayed release in the particular patient subpopulation claimed herein.” Id. Appellant’s arguments do not persuade us that the Examiner erred. As found by the Examiner, Gotlieb clearly teaches administering prednisone after no response to a DMARD, which would constitute an incomplete response to the DMARD. FF2, FF3, FF5—FF9. Thus, Appellant’s statement that administration of prednisone to the same subpopulation of patients recited in claim 48 is not taught by Gotlieb is inconsistent with the express teachings in that publication. Claim 49 further requires administering a DMARD with the prednisone. Gotlieb teaches if there is no response to a DMARD, then another DMARD, methotrexate, is added along with prednisone, meeting the limitation of the claim. FF8, FF9. One of ordinary skill in the art would have had further reason to utilize the combination of DMARD and prednisone in view of the teaching in Svensson of retarding disease progression and high remission rate by patients taking both drugs. FF10. Appellant identifies a table from prescribing information from RAYOS, “a delayed release dosage form of prednisone falling within the claims of the subject application, that patient population can be treated effectively with such a dosage form.” Appeal Br. 10. Appellant states that the table shows: 9 Appeal 2017-003597 Application 14/305,165 said patients having a baseline assessment of 55.3 on a 100 mm self-reported visual analogue scale for pain had reduced their pain substantially to 33.0 after 12 weeks of the use of 5 mg RAYOS in combination with a DMARD, a reduction of 40%. In contrast, the reduction was from 50.5 to only 39.6, a reduction of 21 %, for DMARD alone. Id. 11 A showing of “unexpected results” can be used to demonstrate the non-obviousness of the claimed invention. In re Soni, 54 F.3d 746, 750 (Fed. Cir. 1995) (“One way for a patent applicant to rebut a prima facie case of obviousness is to make a showing of ‘unexpected results,’ i.e., to show that the claimed invention exhibits some superior property or advantage that a person of ordinary skill in the relevant art would have found surprising or unexpected.”). Those results must be “surprising or unexpected” to one of ordinary skill in the art when considered in the context of the closest prior art. Soni, 54 F.3d at 750. However, in this case, Appellant has not asserted nor provided evidence that the results reported in the table were unexpected to one of ordinary skill in the art. To the contrary, Svensson teaches that the combination of a DMARD and prednisone led to retarding disease progression, high remission, and reducing signs and symptoms of RA (FF10), indicating that the pain levels would also be reduced — a goal of drug therapy in RA (Gotlieb 1; Sokka S-77, S-79). See Ans. 14. Thus, the results reported in the table of utilizing a DMARD and prednisone would have been reasonably expected by one of ordinary skill in the art at the time of the invention. Appellant did not provide evidence that the time-lag form was responsible for the improved results, and if so, that such a result was not simply an inherent property of using the known time-lag prednisone. “Mere 10 Appeal 2017-003597 Application 14/305,165 recognition of latent properties in the prior art does not render nonobvious an otherwise known invention.” In re Baxter Travenol Labs., 952 F.2d 388, 392 (Fed. Cir. 1991). For the foregoing reasons, the rejections of claims 48 and 49 are affirmed. Claims 50, 51, and 54—56 fall with claim 48 because separate reasons for their patentability were not provided. 37 C.F.R. 41.37(c)(iv). REJECTION 3 Claim 52 and 53, depend from claim 48, and recited dosages of 2 mg and 1 mg, respectively. The Examiner found that Buckley teaches utilizing lower doses of prednisone, such 1^4 mg/day, to avoid the decline in bone mineral associated with higher dose prednisone. Final Act. 9. Appellant contends “one of skill in the art, as guided by Buckley would be hesitant to use glucocorticoids for long-term treatment of RA.” Appeal Br. 12. This argument is not persuasive because the claims do not require a specific duration of treatment. Appellant did not identify an error in the Examiner’s determination of the advantages of lower dose of prednisone. TIME PERIOD No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a)(l)(iv). AFFIRMED 11 Copy with citationCopy as parenthetical citation