Blanchard, Carine et al.Download PDFPatent Trials and Appeals BoardSep 13, 201914429147 - (D) (P.T.A.B. Sep. 13, 2019) 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. 14/429,147 03/18/2015 Carine Blanchard 3712036-02395 3259 29157 7590 09/13/2019 K&L Gates LLP-Chicago P.O. Box 1135 Chicago, IL 60690 EXAMINER THOMAS, TIMOTHY P ART UNIT PAPER NUMBER 1611 NOTIFICATION DATE DELIVERY MODE 09/13/2019 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): USpatentmail@klgates.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE __________ BEFORE THE PATENT TRIAL AND APPEAL BOARD __________ Ex parte CARINE BLANCHARD and SEBASTIEN HOLVOET __________ Appeal 2019-003848 Application 14/429,147 Technology Center 1600 __________ Before DEMETRA J. MILLS, FRANCISCO C. PRATS, and DAVID COTTA, Administrative Patent Judges. MILLS, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134(a). The Examiner has rejected the claims for obviousness. We have jurisdiction under 35 U.S.C. § 6(b). We reverse. Appeal 2019-003848 Application 14/429,147 2 STATEMENT OF CASE The following claim 1 is representative. 1. A method for treatment of eosinophilic esophagitis in an individual in need thereof, the method comprising administering to the individual a composition comprising plant phenols that are plant extracts from thyme, pomegranate, and green coffee. Cited References Straumann et al., “Pediatric and adult eosinophilic esophagitis: similarities and differences,” 67 Allergy 477–490 (2012). Singh et al., “Dietary polyphenols in the prevention and treatment of allergic diseases,” Clinical & Experimental Allergy 1–14 (2011). Farah et al., “Chlorogenic Acids from Green Coffee Extract are Highly Bioavailable in Humans,1,2 ” 138 J. Nutr. 2309–2315 (2008). Rogerio et al., “The activity of medicinal plants and secondary metabolites on eosinophilic inflammation,” 62 Pharmacological Research 298–307 (2010). Sanbongi et al., “Rosmarinic acid in perilla extract inhibits allergic inflammation induced by mite allergen, in a mouse model,” 34 Clin. Exp. Allergy 971–977 (2004). Grounds of Rejection Claims 1, 6, 9–11, 15–17, and 20 are rejected under pre-AIA 35 U.S.C. § 103(a) as being unpatentable over Straumann in view of Singh, Farah, Rogerio, and Sanbongi. Appeal 2019-003848 Application 14/429,147 3 FINDINGS OF FACT The Examiner’s findings of fact are set forth in the Answer at pages 3–22. The following facts are highlighted. 1. Straumann teaches that evidence has accumulated that eosinophilic esophagitis (EoE) represents a T-helper (Th)2-type inflammatory disease; remodeling of the esophagus is a hallmark of EoE, leading to esophageal dysfunction and bolus impaction; there is a significant allergic bias in the EoE population, with the majority of patients having concurrent allergic rhinitis, asthma, eczema and/or a history of atopy; in children, EoE seems to be primarily a food antigen-driven disease (abstract). Final Act. 5. 2. Straumann teaches that eosinophils are not normally found in the esophageal epithelium, and the quantity of intraepithelial eosinophils is a crucial component in the diagnosis of EoE; over time, in children, intraepithelial eosinophils may increase (p. 479, 3rd paragraph). Final Act. 5. 3. Straumann teaches that Drug therapies include systemic and topical corticosteroids, effective in evoking histologic and symptomatic EoE remission (p. 484–485) and biologic agents, including mepolizumab, a humanized anti-lL-5 antibody and monoclonal anti-lL-5 antibodies used in adult and pediatric clinical trials, and elimination diets, which eliminate foodsensitizers (p. 185). Final Act. 5. 4. Straumann does not specifically discuss plant phenols administered, or any of the plant extracts of claim 5. 5. Straumann establishes eosinophilic esophagitis (EoE) is a T- helper (Th)2-type inflammatory disease, with a majority of children having food antigen-driven disease; characteristic of the disease is the presence of eosinophils in the inflamed esophagus. Final Act. 5-6. Appeal 2019-003848 Application 14/429,147 4 6. Singh teaches allergic disorders encompass skin, food and respiratory allergies. Sensitization to a normally harmless allergen results in the immune system being biased to a predominant T-helper type 2 response. Abstract. Re-exposure to the same allergen leads to a robust secretion of allergy- related mediators that eventually triggers symptoms. Our understanding of these disorders has enabled the search of therapeutic approaches that can either modulate the sensitization process or impact on allergic mediators, thus helping manage allergic symptoms. Abstract; Final Act. 6. 8. Singh teaches that polyphenols are one such class of compounds that are found in foods and plant sources and have been investigated for their anti-allergic effect in different disease models and in human clinical trials. Their anti- inflammatory profile is known to impact on the recruitment of immune cells to the skin and in preventing the development of secondary infections following disruption of the skin barrier. The interaction of polyphenols with proteins can modulate the process of allergic sensitization and their direct effect on allergic effector cells such as mast cells inhibit mediator release, resulting in the alleviation of symptoms. In addition, their endogenous antioxidant ability limits the extent of cellular injury from free radicals during the allergic insult. Final Act. 6. 9. Singh teaches that polyphenols hold promise as anti-allergy agents capable of influencing multiple biological pathways and immune cell functions in the allergic immune response and deserve further investigation (Summary; p. 2). Dietary polyphenols are a class of bioactive compounds that are found in abundance in plant (tea, cocoa, coffee, etc.) and fruit (apple, grapes, pomegranate, etc.) sources and have been studied extensively in numerous disease models. The safety profile of dietary polyphenols and their presence in the daily diet suggest that these compounds should be evaluated further as antiallergy agents (pp. 1-2, bridging paragraph). Final Act. 7. Appeal 2019-003848 Application 14/429,147 5 10. Singh, Figure 2, displays the mechanism of action of polyphenols in allergic disorders: Polyphenols can impact the development of allergic immune responses at two critical stages: allergic sensitization and during re-exposure to the allergen. Polyphenols can form insoluble complexes with allergenic proteins and render them hypoallergenic. This leads to inefficient antigen presentation by specialized cells such as dendritic cells (DCs). Polyphenols can also directly modulate DC maturation and function. During re-exposure, polyphenols can inhibit T cell proliferation and cytokine production and also impact on antibody production via B cells. Polyphenols such as quercetin can inhibit mediator release from allergic effector cells such as mast cells (p. 5). Final Act. 7. 11. Singh teaches polyphenols include ellagic acid (Figure 1), luteolin, found in thyme (Table 1), chlorogenic acid, a phenolic acid found in coffee (Table 1), caffeic acid (Table 3), luteolin, rosmarinic acid and rutin, found in thyme (Table 3); chlorogenic and caffeic acid, from coffee (Table 4). Chlorogenic and caffeic acid inhibited pulmonary eosinophilia and reactive oxygen species; chlorogenic acid decreased specific IgE and Th2 cytokines (Table 4). The section bridging pp. 8-9 indicates polyphenols inhibit airway inflammation and tissue eosinophilia, inhibiting Th-2-driven allergic inflammation in animal models of allergic airway disease. Final Act. 8. 12. Singh teaches routes of administration of polyphenols include oral (p. 10, 7th paragraph); oral administration of apple extract was used in a clinical study (p. 10, 2nd paragraph). Use as dietary interventions (construed as administration of plant extracts as part of oral nutritional supplements) (p. 10, 8th paragraph); it is noted that plant extracts, such as those administered orally in a clinical trial at p. 10, 2nd paragraph are also construed as oral nutritional supplements. Final Act. 8. 13. Singh establishes that a series of polyphenols function to treat allergic disorders, including those that involve activating a T- Appeal 2019-003848 Application 14/429,147 6 helper type 2 response; some polyphenols, including chlorogenic acid and caffeic acid, in coffee, inhibit eosinophilia and reactive oxygen species, and chlorogenic acid decreased specific IgE and Th2 cytokines. Final Act. 8. 14. Farah teaches chlorogenic acids (CGA) are produced from green coffee, which is a major source of CGA found in nature (abstract); the major CGA in green coffee include 3- caffeoylquinic acid (3-CQA; p. 2309, 2nd paragraph). As shown in Table 1 (p. 2310) the contents of green coffee extract includes 3-CQA, in the second highest amount. 15. Farah establishes that chlorogenic acid, taught to be in coffee by Singh, may be obtained from green coffee extract as a major plant source of this polyphenol compound. Final Act. 8. 15. Rogerio teaches eosinophils are leukocytes that are present in several body compartments and in the blood at relatively low numbers under normal conditions. However, an increase in the number of eosinophils, in the blood or in the tissues, is observed in allergic or parasitic disorders. Plant-derived secondary metabolites are the basis for many drugs currently used to treat pathologic conditions, including eosinophilic diseases. Final Act. 10. 16. Rogerio discloses several studies have demonstrated that plant extracts and secondary metabolites can reduce eosinophilia and eosinophil recruitment in different experimental animal models. In this review, we summarize these studies and describe the anti-eosinophilic activity of various plant extracts, such as Ginkgo biloba, Allium cepa, and Lafoensia pacari, as well as those of secondary metabolites (compounds isolated from plant extracts), such as quercetin and ellagic acid. In addition, Rogerio highlights the medical potential of these plant-derived compounds for treating eosinophil-mediated inflammation, such as asthma and allergy (abstract). Initial exposure of the immune system to allergens or parasitic antigens leads to the activation of a subset of T cells, known as T helper 2 (TH2) Appeal 2019-003848 Application 14/429,147 7 cells, which orchestrate the immune response to these exogenous antigens by secreting cytokines, including IL-4, IL-5 and IL-13 (p. 299, 2nd paragraph). Initial exposure of the immune system to allergens or parasitic antigens leads to the activation of a subset of T cells, known as T helper 2 (TH2) cells, which orchestrate the immune response to these exogenous antigens by secreting cytokines, including IL-4, IL-5 and IL-13 (p. 299, 4th paragraph). Although the drugs described above have potent anti-inflammatory activity (individually or combined), they also have adverse side effects that severely limit their long-term use (p. 299, last paragraph). Among the secondary metabolites with anti-eosinophil activity, Table 3 names ellagic acid, as a polyphenol. Final Act. 11. 17. Rogerio discusses studies using extracts of L pacari, including in an asthma model induced by T. canis infection, which decreased the number of eosinophils recruited to several tissues and compartments; in an OVA-induced asthma model, where the extract was effective in decreasing eosinophil recruitment and the production of IL-4, IL-5 and IL-13; in a model of peritonitis induced in mice by exposure to H. capsulatum yeast wall, the assay permitted isolation and chemical characteri- zation of the compound ellagic acid, a polyphenol, as the major active component in the L pacari extract, the first study to demonstrate the ability of ellagic acid to inhibit eosinophil recruitment; it was shown that ellagic acid, at 1 and 10 mg/kg, p.a. (Applicant elected oral administration of a composition comprising plant phenols), induced reduction in the numbers of eosinophils and lung parenchyma in the asthma model; and ellagic acid was effective in decreasing the concentrations of IL-4, IL-5 and IL-13. Ellagic acid also demonstrates several other biologic effects, including anti-oxidant, anti-cancer and antiallergic activity. Concerning its toxicity, intake of pomegranate juice (extract of pomegranate; construed as an oral nutritional supplement) with an equivalent concentration of 121 mg/L of ellagic acid produced no toxic effect in humans over 3 years and conferred the benefits of reduced common carotid intima-media thickness, blood pressure and low-density Appeal 2019-003848 Application 14/429,147 8 lipoprotein (LDL) oxidation (p. 202, 1st paragraph). Final Act. 12. 18. Rogerio establishes that ellagic acid, in the form of pomegranate juice, is effective in decreasing eosinophil levels, and reducing cytokines IL-4, IL-5 and IL-13 and has other effects, including anti-oxidant, and anti-allergic activity. Final Act. 12-13. 19. Sanbongi teaches perilla and its constituent rosmarinic acid have been suggested to have anti-allergic activity (Summary; Background). The purpose was to evaluate the effect of oral administration of perilla leaf extract, which contains high amount of rosmarinic acid, on a murine model of allergic asthma induced by house dust mite allergen (Summary; Objective). C3H/He mice were sensitized by intratracheal administration of Dermatophagoides farinae (Der f). Final Act. 12–13. 20. Sanbongi teaches that mice were orally treated with rosmarinic acid in perilla extract (PE) (1.5 mg/mouse/day) (Summary; Methods). Der f challenge of sensitized mice elicited pulmonary eosinophilic inflammation, accompanied by an increase in lung expression of IL-4 and IL-5, and eotaxin. Daily treatment with rosmarinic acid in PE significantly prevented the increases in the numbers of eosinophils in bronchoalveolar lavage fluids and also in those around murine airways. Final Act. 13. 21. Sanbongi teaches Rosmarinic acid in PE treatment also inhibited the enhanced protein expression of IL-4 and IL-5, and eotaxin in the lungs of sensitized mice. Der f [Dermatopha- goides farina] challenge also enhanced allergen-specific lgG1, which were also inhibited by rosmarinic acid in PE (Summary; Results). These results suggest that oral administration of perilla-derived rosmarinic acid is an effective intervention for allergic asthma, possibly through the amelioration of increases in cytokines, hemokines, and allergen-specific antibody (Summary; Conclusion). Final Act. 13. Appeal 2019-003848 Application 14/429,147 9 22. Sanbongi establishes that the polyphenol compound rosmarinic acid is effective to reduce levels of eosinophils in a mouse model of allergic asthma, and is accompanied by decreases in IL-4, IL-5 and eotaxin levels, as well as IgG1 levels relative to untreated challenge sensitized mice. Abstract; Final Act. 13. 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). Obviousness Rejection Claims 1, 6, 9–11, 15–17, and 20 are rejected under pre-AIA 35 U.S.C. 103(a) as being unpatentable over Straumann in view of Singh, Farah, Rogerio, and Sanbongi. The Examiner finds that Straumann teaches eosinophilic esophagitis (EoE) is a T-helper (Th) 2-type inflammatory disease. Ans. 5; FF1. Singh teaches allergic disorders and food allergies are a Th-2 inflammatory condition. FF6. The Examiner finds that Singh discloses that polyphenols are a class of compounds that are found in foods and plant sources and have been investigated for their anti-allergic effect in different disease models and in human clinical trials. Their anti-inflammatory profile is known to impact on the recruitment of immune cells to the skin and in preventing the development of secondary infections following disruption of the skin barrier. The interaction of polyphenols with proteins can modulate the process of allergic sensitization and their direct effect on Appeal 2019-003848 Application 14/429,147 10 allergic effector cells such as mast cells inhibit mediator release, resulting in the alleviation of symptoms. Final Act 6. Singh discloses that polyphenols modulate different phases of the allergic response. P.2, col. 1, FF8. Singh discloses that, using animal models of allergic airway disease, polyphenols have been shown to inhibit Th-2-driven allergic inflammation. P. 8, col. 2, FF11. According to the Examiner, “[p]olyphenols can form insoluble complexes with allergenic proteins and render them hypoallergenic.” Final Act. 7. Singh specifically mentions that the effect of many plant polyphenols on respiratory allergies have been studied, including coffee polyphenols. P. 9, FF 11. Farah teaches chlorogenic acids (CGA) are produced from green coffee. Final Act. 8. The Examiner concludes that the skilled artisan would have found it obvious at the time of the instant invention to administer polyphenols taught by Singh, including those found in extracts from green coffee taught by Farah, i.e., containing chlorogenic acid, in treating the children with eosinophilic esophagitis (EoE), a T-helper (Th)2-type inflammatory disease, including the majority of children having this food antigen-driven disease, taught by Straumann. The motivation would have been the expectation that the inhibition of eosinophilia and ROS [reactive oxygen species] by chlorogenic acid and caffeic acid from coffee taught by Singh would have been expected to provide a benefit in these children, where increased levels are present, by reducing the number of eosinophils and ROS in symptoms and pathology. Additionally, the decreases in IgE and Th2 cytokines taught by Singh from chlorogenic acid would have been expected to reduce the severity of inflammation associated with eosinophilic esophagitis. Additionally, reduction of the severity of other allergic conditions present in the majority of these children would also have motivated administration of green Appeal 2019-003848 Application 14/429,147 11 coffee extract to these children, including those in Applicant elected age range from 6 to 18 years. Final Act. 8–9. Rogerio and Sanbongi teach well known polyphenols for the treatment of eosinophilic inflammation and allergic inflammation, generally (not specific to esophageal eosinophilic inflammation). Rogerio and Sanbongi Abstracts. The Examiner concludes that it would have been obvious to one of ordinary skill in the art at the time of the instant invention, to combine … [the] elected combination of an extract of green coffee, containing chlorogenic acid, an extract of pomegranate, containing ellagic acid, and an extract of thyme, containing rosmarinic acid (i.e., the combination of claims 1 & 15), and to orally administer this combination composition as an oral nutritional supplement to children with eosinophilic esophagitis, giving the methods of the instant claims. Final Act. 14. Appellants contend that eosinophilic esophagitis is an inflammatory condition of the esophagus that can be triggered by an antigen. Symptoms include functional abdominal pain, vomiting, difficulty to thrive, swallowing difficulty, food impaction, and heartburn. The disease was initially described in children, but occurs in adults as well. See specification, page 1, second paragraph. Appellant has surprisingly discovered that extracts of thyme, pomegranate, green coffee, and mixtures thereof decrease the presence of eosinophils. Administration of a composition comprising these extracts is useful for the treatment of eosinophilic esophagitis, which is characterized by an increase of the number of eosinophils in certain tissues. See Appeal 2019-003848 Application 14/429,147 12 specification, page 6, first paragraph; and page 7, second paragraph. App. Br. 5. Appellants argue that, “there is no reason or motivation for the skilled artisan to combine or modify the teachings of Straumann with the teachings of the other references to administer a composition comprising plant phenols that are plant extracts from thyme, pomegranate, and green coffee to an individual having eosinophilic esophagitis.” App. Br. 6. Appellants contend that, “the skilled artisan would not have combined these [the cited] references to arrive at the claimed invention with a reasonable expectation of success.” App. Br. 13. ANALYSIS Appellants’ have made the following elections in the application: (i-c) each plant extract containing a plant polyphenol from claim 5 (i.e., a mixture of extracts from thyme, pomegranate and green coffee); (ii) oral administration from claim 6; (iii-b) an oral nutritional supplement from claim 11; and (iv-b) an older child between the ages of 6–18 years from claim 10. 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. Accordingly, we limit our discussion to that single issue and take no position respecting the patentability of the broader generic Appeal 2019-003848 Application 14/429,147 13 claims, including the remaining, non-elected species. See Ex parte Ohsaka, 2 USPQ2d 1461 (BPAI 1987). To support patentability, and in response to the Examiner’s prima facie case, the Appellants rely on two Declarations of Carine Blanchard dated May 24, 2017 (Dec I), and January 29, 2018 (Dec II). Appellants contend that, “the skilled artisan would not have combined these [the cited] references to arrive at the claimed invention with a reasonable expectation of success.” App. Br. 13. Appellants argue that, Declaration I and Declaration II and the experimental data therein (e.g., the data demonstrating that apple extract did not reduce eosinophilia in the esophagus and lungs), establish that contrary to the allegation by the Examiner, the skilled artisan would not have extrapolated the results disclosed by the cited references to eosinophilic esophagitis[,] and moreover would not have had a reasonable expectation of success even if such extrapolation was attempted. App. Br. 13. Appellants argue that the Declaration evidence shows that polyphenols which act on the lung do not predictably act in the esophagus to reduce eosinophil levels. Reply Br. 3. In particular, Appellants argue that there is no evidence in the record that the polyphenols having effects on lung inflammation as disclosed in the cited references would have the same or similar effects on eosinophilic esophagitis. Further, as discussed in Declaration II, Appellant found that some [polyphenol] ingredients were potent on EoE, but were not able to significantly decrease clinical skin score of atopic dermatitis or lung inflammation. Not all polyphenols are equivalent at decreasing allergic features, and the model used or the type of allergen may influence the potency of the polyphenols. See Declaration 11, paragraphs 3-26. Appeal 2019-003848 Application 14/429,147 14 Reply Br. 3. Polyphenol treatment effectiveness of various tissues are shown in the tables below, and are reproduced from Declaration I ¶ 6. The above Tables from Declaration I ¶ 6 show that some polyphenols tested were not effective in the lungs but were effective in the esophagus, and that whether a specific polyphenol is effective in the esophagus or other tissues is not predictable. See also Declaration II ¶¶ 15, 18, 26. This table shows that thyme, pomegranate and green coffee polyphenols were effective in the esophagus to reduce eosinophil counts but were not effective in the lungs. Thus, the cited references dealing with polyphenols effective for the treatment of pulmonary eosinophilia and asthma are not reliable predictors of efficacy in the esophagus. Appeal 2019-003848 Application 14/429,147 15 We produce the Table from paragraph 15 of Declaration II. The main objective of this study was to confirm that Thyme extracts given in management reduce the TEWL (Transepidermal water loss) scores (compared to the positive control group) during the first 3 days after patch 2 (thyme) removal. This reducing effect was indeed observed, especially at day 3. In response, the Examiner argues that the rejection is based on the documentation that each of the plant extracts from thyme, pomegranate and green coffee reduce eosinophils and inflammatory cytokines, including IL-4, IL-5 and IL-13, and have anti-inflammatory and anti-allergy effects in an allergic asthma or other allergy animal model. Even though the allergic models differ from EoE, based on the teachings of Straumann that EoE is believed to be triggered by aero- and food allergens, the allergic disorders scheme of Singh Figure 2, is directly relevant for applying polyphenols with desirable characteristics to treating EoE. Ans. 17. The Examiner argues that, “While there are differences in effects of eosinophils in lungs (thyme and pomegranate having no effect, but green coffee having decrease), it is not clear how this is being argued to overcome obviousness.” Ans. 26. What is missing from the Examiner’s analysis is an understanding that differences in polyphenol response in the lungs versus the esophagus have a bearing on the finding of an expectation of success and Appeal 2019-003848 Application 14/429,147 16 ultimately on the obviousness determination. In fact, Dr. Blanchard concluded in Declaration II, ¶ 26 that, While the results with apple extract is surprising considering the previous published data, this emphasizes that all polyphenols may not be equivalent at decreasing allergic features and that the model used (IgE mediated, IgG mediated or T cell mediated) or the type of allergen may influence the potency of the polyphenols. An extract containing a variety of polyphenols, such as cocoa containing both epicatechin and procyanidins may thus cover a larger spectrum of allergic diseases. The question of obviousness is resolved on the basis of underlying factual determinations including: (1) the scope and content of the prior art; (2) the level of ordinary skill in the art; (3) the differences between the claimed invention and the prior art; and (4) secondary considerations of nonobviousness, if any. Graham v. John Deere Co., 383 U.S. 1, 17 (1966). “When prima facie obviousness is established and evidence is submitted in rebuttal, the decision-maker must start over.” In re Rinehart, 531 F.2d 1048, 1052 (CCPA 1976); In re Hedges, 783 F.2d 1038, 1039 (Fed. Cir. 1986) (“If a prima facie case is made in the first instance, and if the applicant comes forward with reasonable rebuttal, whether buttressed by experiment, prior art references, or argument, the entire merits of the matter are to be reweighed”). On weighing the evidence presented in the Blanchard Declarations, we find that Appellants have established a lack of expectation of success on the part of one of ordinary skill in the art. The evidence presented in Declarations I and II shows that the polyphenols used in the prior art to treat allergies and pulmonary eosinophilia do not produce predictable results in Appeal 2019-003848 Application 14/429,147 17 different body tissues and therefore the cited references do not provide an expectation of success for the treatment of esophageal eosinophilia. KSR Int’l v. Teleflex Inc., 550 U.S. 398, 418–19 (2007) held that, “[t]he combination of familiar elements according to known methods is likely to be obvious when it does no more than yield predictable results.” Id. at 416 emphasis added. Singh, p. 2, discloses that different polyphenols modulate different phases of the allergic response. Thus, consistent with Appellants’ arguments and Declaration evidence, it appears that different polyphenols act upon different tissues in different ways. The only cited reference dealing with eosinophilic esophagitis, Straumann, did not mention polyphenols, let alone the combination of three polyphenols claimed. The facts of the present case do not establish an expectation of success or yield predictable results, and thus do not support a finding of obviousness. The obviousness rejection is reversed. CONCLUSION OF LAW The Examiner’s obviousness rejection is reversed with respect to the elected species. REVERSED Copy with citationCopy as parenthetical citation