Carmel -Haifa University Economic Corporation Ltd.Download PDFPatent Trials and Appeals BoardJun 1, 20202019005415 (P.T.A.B. Jun. 1, 2020) 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. 14/345,695 03/19/2014 Yoram Yovell 58539 5522 67801 7590 06/01/2020 MARTIN D. MOYNIHAN d/b/a PRTSI, INC. c/o Purrfect Patents LLC 11213 Piedmont Drive Fredericksburg, VA 22407 EXAMINER SOROUSH, LAYLA ART UNIT PAPER NUMBER 1627 NOTIFICATION DATE DELIVERY MODE 06/01/2020 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): usptomail@ipatent.co.il PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE __________ BEFORE THE PATENT TRIAL AND APPEAL BOARD __________ Ex parte YORAM YOVELL __________ Appeal 2019-005415 Application1 14/345,695 Technology Center 1600 __________ Before FRANCISCO C. PRATS, RACHEL H. TOWNSEND, and JAMIE T. WISZ, Administrative Patent Judges. TOWNSEND, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134 involving claims to a method of treating acute suicidality, which have been rejected as obvious. We have jurisdiction under 35 U.S.C. § 6(b). We affirm-in-part. STATEMENT OF THE CASE Appellant’s Specification states that “[s]uicide is a major cause of death worldwide” and that “[a]s of now, there are no effective pharmacological treatments for acute suicidality.” (Spec. 1.) Appellant’s 1 We use the word “Appellant” to refer to “applicant” as defined in 37 C.F.R. § 1.42. Appellant identifies the real party in interest as Carmel - Haifa University Economic Corporation Ltd. (Appeal Br. 2.) Appeal 2019-005415 Application 14/345,695 2 Specification further states that “[d]espite their established antidepressant effect, it is doubtful whether antidepressant medications exhibit a direct anti- suicidal effect.” (Id.) The Specification indicates that “[s]everal lines of evidence have recently suggested that suicidality, while being one of the symptoms of depression, is at least partially independent of depression, and may respond differently to treatment.” (Id.) Appellant’s claims on appeal are directed to a method of treating acute suicidality with the mixed opioid agonist-antagonist buprenorphine, a compound “used in narcotic detoxification and in maintenance programs for people with opioid dependence.” (Id. at 2–3.) Claims 54–65, 75, and 76 are on appeal. Claims 54 and 75 are representative and reads as follows: 54. A method of treating acute suicidality in a subject in need thereof, the method being effected by administering to a subject determined as having acute suicidality a therapeutically effective amount of buprenorphine, or a pharmaceutically acceptable salt thereof, thereby treating said acute suicidality in a subject in need thereof, wherein said subject is not afflicted by a depressive disorder. 75. A method of treating acute suicidality in a subject in need thereof, the method comprising: determining a presence of acute suicidality in a subject; and administering to a subject determined as having acute suicidality a first therapeutically effective amount of buprenorphine, or a pharmaceutically acceptable salt thereof, during a first time period, said first therapeutically effective amount being in a range of from 0.05 to 0.12 mg per day, thereby treating said acute suicidality in a subject in need thereof. (Appeal Br. 23, 25.) Appeal 2019-005415 Application 14/345,695 3 The prior art relied upon by the Examiner is: Name Reference Date ClinicalTrials.gov. National Library of Medicine, A Double-Blind Study of Buprenorphine Treatment of Acute Suicidality, Identifier NCT00863291 (2009), retrieved from https://clinicaltrials.gov/ct2/show/NCT00863291 (“Yovell”) R. Sittl et al., Analgesic Efficacy and Tolerability of Transdermal Buprenorphine in Patients with Inadequately Controlled Chronic Pain Related to Cancer and Other Disorders: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial, 25.1 Clinical Therapeutics 150– 68 (2003) The following grounds of rejection by the Examiner are before us on review: Claims 54–62, 64, 65, 75, and 76 under 35 U.S.C. § 103(a) as unpatentable over Yovell. Claim 63 under 35 U.S.C. § 103(a) as unpatentable over Yovell and Sittl. DISCUSSION The Examiner finds that Yovell “teaches administration of buprenorphine showed reduction in acute suicidality” and that “[t]he buprenorphine dosage ranged from 0.2-1.6 mg/day but with a starting dose of 0.2 mg/day.” (Final Action 7.) The Examiner concludes that [i]t would have been obvious to one of ordinary skill in the art at the time of the invention to treat patients exhibiting acute suicidality without depression. The motivation comes from the teaching of Yovel[l] et al. that acute suicidality was treated with buprenorphine. (Id.) The Examiner also explains that: The claimed subject matter would have been obvious because the skilled artisan would have appreciated that certain factors Appeal 2019-005415 Application 14/345,695 4 would influence the dosage regimen required to effectively treat the subject for the purpose taught by the references, including, but not limited to the severity of the disease or disorder, previous treatments, the weight, general health and/or age of the subject and the presence of other diseases. (Id. at 8.) A. Claim 54 Appellant argues that the Examiner’s rejection of claim 54 is in error because, inter alia, it “is an error of fact to allege that Yovell teaches that successful treatment of suicidality with buprenorphine occurred.” (Appeal Br. 7.) Appellant argues that “Yovel[l] merely describes a clinical trial based upon a mere hypothesis without presenting positive results, and thus would not suggest to a skilled person that the tested drug is effective against the indicated condition” and provided the Declaration of Yovell, dated June 13, 2017, in support of the foregoing. (Appeal Br. 7–9.) According to Appellant, withdrawing the allegation of fact, necessarily obviates the Examiner’s grounds for rejection. (Id. at 9.) Appellant also argues that the Examiner has not established that “it would have been obvious to modify the teachings of Yovel[l] to treat acute suicidality in patients not afflicted by a depressive disorder” where (1) Yovell “relates to a clinical trial performed only on depressed patients” and (2) “the only potential mechanism of action suggested [in Yovell] is that buprenorphine is a reported antidepressant.” (Appeal Br. 10.) According to Appellant “there is no apparent rationale for expecting success in treating [condition X] without [condition Y] with an agent, merely because of a prior art treatment of [condition X] with [condition Y] with the agent.” (Id. at 11.) We conclude that the Examiner has not established a prima facie case of obviousness of claim 54, which requires the treatment of acute suicidality Appeal 2019-005415 Application 14/345,695 5 be of a subject that is not afflicted by a depressive disorder. “An Examiner bears the initial burden of presenting a prima facie case of obviousness. Once the examiner establishes a prima facie case of obviousness, the burden shifts to the applicant to rebut that case.” In re Huai-Hung Kao, 639 F.3d 1057, 1066 (Fed. Cir. 2011) (citations omitted). We agree with Appellant, that Yovell cannot be deemed to describe a clinical trial that was carried out and demonstrated effective treatment of acute suicidality. Indeed, in a Declaration by Professor Yovell dated June 13, 2017, submitted by Appellant, Professor Yovell explains that the mere fact that this reference states the drug was being studied for its efficacy to treat acute suicidality, does not mean “that experimental evidence existed showing efficacy of buprenorphine against acute suicidality.” (Yovell Declaration 2.) However, such does not establish error in the Examiner’s rejection of claim 54 for obviousness. “Where claimed subject matter has been rejected as obvious . . . , a proper analysis under § 103 requires, inter alia, consideration of two factors: (1) whether the prior art would have suggested to those of ordinary skill in the art that they should . . . carry out the claimed process; and (2) whether the prior art would also have revealed that in so . . . carrying out, those of ordinary skill would have had a reasonable expectation of success.” In re Vaeck, 947 F.2d 488, 493 (Fed. Cir. 1991); In re Dow Chemical Co., 837 F.2d 469, 473 (Fed. Cir. 1988) (“The consistent criterion for determination of obviousness is whether the prior art would have suggested to one of ordinary skill in the art that this process should be carried out and would have a reasonable likelihood of success, viewed in the light of the prior art.”). Appeal 2019-005415 Application 14/345,695 6 It cannot reasonably be disputed that Yovell would have suggested to one of ordinary skill in the art to carry out a process of treating a subject with acute suicidal depression with buprenorphine: it is after-all a clinical trial designed for just that purpose. (See Yovell 1 (“A Double-Blind Study of Buprenorphine Treatment of Acute Suicidality”); see also Ans. 7 (noting Yovell states: “The proposed double-blind study will examine the effect of buprenorphine on acutely suicidal inpatients.”).) As the Examiner explains: It is clear that the prior art intends to use buprenorphine for the treatment of acute suicidality, therefore, rendering obvious the use of buprenorphine for the treatment of acute suicidality. (Ans. 7.) We next turn to the question of a reasonable expectation of success. We acknowledge that Professor Yovell states in his June 2017 declaration that “[o]ne of ordinary skill in the art would not have presumed - based on the teachings of Yovell - that buprenorphine has efficacy against acute suicidality.” (Yovell Declaration 2.) However, we understand this statement in context of the Declaration—directed at establishing that no clinical trials for using this drug to treat acute suicidality had been carried out and thus no “experimental evidence existed showing” such efficacy is provided by Yovell (id.)—to mean that no absolute predictability that buprenorphine has efficacy in treating acute suicidality could be presumed from Yovell. We arrive at that interpretation of Yovell’s Declaration because Yovell itself hypothesizes in a document that was used to obtain permission from a regulatory agency to carry out the clinical study that the depressed and acutely suicidal patient will “show rapid improvements in objective and subjective measures of suicidality and depression” which is a conclusion premised in part on “[a]necdotal evidence and several clinical Appeal 2019-005415 Application 14/345,695 7 studies [that] found the mixed opioid agonist-antagonist buprenorphine to be an effective antidepressant with a rapid onset of action.” (Yovell 1 (Purpose).) That there would not be an absolute predictability of success, is not the standard by which obviousness is measured; there only need be a reasonable expectation of success. In re O’Farrell, 853 F.2d 894, 903–04 (Fed. Cir. 1988) (“Obviousness does not require absolute predictability of success. Indeed, for many inventions that seem quite obvious, there is no absolute predictability of success until the invention is reduced to practice.”). “That the inventors were ultimately successful is irrelevant to whether one of ordinary skill in the art, at the time the invention was made, would have reasonably expected success.” Life Techs. Inc. v. Clontech Labs. Inc., 224 F.3d 1320, 1326 (Fed. Cir. 2000). We determine Yovell provides a reasonable expectation of success at least with respect to treating patients who have depression and acute suicidality. However, as we noted above, claim 54 is directed at a patient population that does not have depression. We agree with Appellant that the Examiner has not established a suggestion to treat a patient with acute suicidality that “is not afflicted by a depressive disorder” as required by claim 54 with a reasonable expectation of achieving treatment of the acute suicidality. The Examiner has not provided evidence that it was known generally that drug treatments that are used to treat depression are known to be effective as treatments of acute suicidality in non-depressed patients, nor has the Examiner provided evidence that the same chemical imbalance or biological trigger leads to both depression and acute suicidality such that it would have been expected that a drug that treats the imbalance or addresses Appeal 2019-005415 Application 14/345,695 8 the trigger would be expected to treat both conditions independently, i.e., without the other condition being present. Moreover, Yovell itself would have suggested the contrary as to drugs with anti-depressant activity. In particular, the “purpose” section of Yovell states that anti-depressant medication administered to many suicidal patients, “despite the[] established antidepressant effect” has “not shown a clear anti-suicidal benefit.” (Yovell 1 (“Purpose”).) The Yovell June 2017 Declaration explains that the phase III study was not based on prior clinical or preclinical data establishing the efficacy of buprenorphine for treating acute suicidality.2 Thus, for this reason only, we conclude that the Examiner has not established obviousness of the claimed method of treatment set forth in claim 54 based on Yovell alone. Accordingly, we do not affirm the Examiner’s rejection of claims 54– 62, 64, and 65. B. Claim 63 Regarding the rejection of claim 63, the Examiner’s reliance on Sittl, directed to the use of buprenorphine as an analgesic, does not cure the 2 We note that the patient population to be treated in Yovell is identified as “Depressed Inpatients.” (Yovell 1 (“Purpose: Official Title”).) That Yovell states that the compound “may” treat “acute suicidality, especially in the context of depression” (Ans. 8) does not establish that the patient population will necessarily include a patient that does not have depression. Rather, we understand this to mean, given the identified patient population to be treated, one would reasonably expect treatment of acute suicidality in those patients who have depression. Appeal 2019-005415 Application 14/345,695 9 deficiency noted above regarding Yovell. That is because Sittl, which describes that “[b]uprenorphine is a potent opioid analgesic” (Sittl 150 (Abstract)), that “has high analgesic potency relative to morphine” and that is “partial agonist at μ-opioid receptors and an antagonist at the kappa- receptor” (id. at 151), does not address the effects of buprenorphine on acute suicidality, nor does it provide evidence of a link between drugs that treat pain and those that treat acute suicidality, or evidence that the biological activity that buprenorphine is directed to agonizing or antagonizing in the treatment of pain is an activity that is also an activity that is a cause of or involved in acute suicidality. Accordingly, we do not affirm the Examiner’s rejection of claim 63 as being obvious over Yovell and Sittl. C. Claims 75 and 76 Unlike claim 54, claim 75 does not exclude treatment of patients that have both acute suicidality and a depressive disorder. For the reasons discussed above, we conclude that the Examiner, even considering the Yovell Declaration (Appeal Br. 15), has provided a prima facie case of obviousness of claim 75 based on Yovell. As to the specific dosage range recited in the claim, the Examiner contends that a prima facie case exists from the teachings of Yovell as the recited range of 0.05 mg to 0.12 mg per day is close to the range of 0.2 to 1.6 mg per day recited in Yovell. (Final Action 4–5 (citing Titanium Metals Corp. v. Banner, 778 F.2d 775, 783 (Fed. Cir. 1985).) We agree with the Examiner. A claimed range overlaps with a prior art range if the two ranges share a common endpoint. In re Geisler, 116 F.3d 1465, 1469 (Fed. Cir. 1997). We agree with the Examiner that the end point of 0.12 mg per day of Appeal 2019-005415 Application 14/345,695 10 the claim is close to the 0.2 mg per day starting point of the range of Yovell and one of ordinary skill in the art would have expected the therapeutic effects to be similar. Thus, we do not find Appellant’s argument that the Examiner’s rejection is in error because it relies on Titanium Metals to be persuasive (Appeal Br. 18–19). Appellant argues that the data in the Specification shows unexpected superiority between a dose of 0.1 mg/day compared to 0.2 mg/day because the side effect-related dropout rate was reduced considerably but “treatment outcome was not compromised, with no observable reduction in therapeutic effect.” (Appeal Br. 16–17.) According to Appellant, “it would be completely illogical” “to take the position that 0.1 mg/day is expected to have a similar therapeutic effect as 0.2 mg/day because the values are so close, while simultaneously taking the position [that] the reduction in side effect related dropout rate associated with 0.1 mg/day is expected because it is considerably lower than 0.2 mg/day.” (Id. at 17.) We do not find that the data Appellant relies on establishes unexpected results. First, regarding the final BSI score analysis that Appellant asserts demonstrates “no observable reduction in therapeutic effect” (Appeal Br. 16 (referring to Spec. 71)), we note that this analysis only mentions the starting dose and not the final dose. That is, although the Specification indicates that the difference between final BSI score versus baseline BSI score for those receiving a starting dose of 0.1 mg/day compared to those receiving a starting dose greater than 0.1 mg/day, it does not indicate what the dose at the end of the study period was for either group. (Spec. 70–71.) It would appear from the study discussion that it was not 0.1 mg/day in either case. In particular, it is noted that: Appeal 2019-005415 Application 14/345,695 11 The starting dose [being 0.1 mg per day] was gradually titrated upwards to a maximal dose of 0.8 mg/day or less by the end of the study period (except for the 3 subjects mentioned above, of whom 1 received buprenorphine and 2 received placebo, at a final dose of 1.6 mg/day). . . . Of the 25 patients who received buprenorphine, 12 received a maximal dose of 0.2 mg/day, another 8 patients received a maximal dose of 0.4 mg/day, 2 received a maximal dose of 0.6 mg/day, 2 received a maximal dose of 0.8 mg/day, and 1 received a maximal dose of 1.6 mg/day. (Spec. 68.) Thus, the data Appellant relies on does not establish the same efficacy for a patient administered a therapeutically effective amount of 0.1 mg/day as compared to a patient administered a therapeutically effective amount of 0.2 mg/day.3 Furthermore, we agree with the Examiner that “it would [have] be[en] obvious that lower concentrations of the same drug would have less adverse side effects than a high[er] concentration of the same drug.” (Ans. 9.) Appellant does not respond to the Examiner’s position. For the foregoing reasons, we affirm the Examiner’s rejection of claims 75 and 76 as being obvious over Yovell. 3 We note that Appellant also relies on a Declaration of Professor Yovell dated May 23, 2016 (Yovell May Declaration), which it asserts “further corroborate[s]” the Appellant’s argument. (Appeal Br. 17.) However, we find that this May 2016 Declaration relies on the same data at page 71 of Appellant’s Specification to assert “the therapeutic effect of the buprenorphine” was not compromised (Yovell May Declaration ¶ 2) and is, therefore, similarly unpersuasive. Appeal 2019-005415 Application 14/345,695 12 DECISION SUMMARY In summary: Claims Rejected 35 U.S.C. § Reference(s)/Basis Affirmed Reversed 54–62, 64, 65, 75, 76 103(a) Yovell 75, 76 54–62, 64, 65, 63 103(a) Yovell, Sittl 63 Overall Outcome 75, 76 54–65 TIME PERIOD FOR RESPONSE No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). See 37 C.F.R. § 1.136(a)(1)(iv). AFFIRMED-IN-PART Copy with citationCopy as parenthetical citation