Ex Parte 6011040 et alDownload PDFPatent Trial and Appeal BoardOct 26, 201790011935 (P.T.A.B. Oct. 26, 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. 90/011,935 10/04/2011 6011040 Re-Exam of USPN 6,011,040 6314 7590 10/26/2017 MILLEN WHITE ZELANO & BRANIGAN Arlington Courthouse Plaza 1 2200 Clarendon Blvd. Suite 1400 Arlington, VA 22201 EXAMINER DIAMOND, ALAN D ART UNIT PAPER NUMBER 3991 MAIL DATE DELIVERY MODE 10/26/2017 PAPER Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE 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. 90/013,445 02/17/2015 6011040 8270 7590 10/26/2017 MILLEN WHITE ZELANO & BRANIGAN ARLINGTON COURTHOUSE PLAZA I 2200 CLARENDON BOULEVARD SUITE 1400 ARLINGTON, VA 22201 EXAMINER DIAMOND, ALAN D ART UNIT PAPER NUMBER 3991 MAIL DATE DELIVERY MODE 10/26/2017 PAPER Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE ____________ BEFORE THE PATENT TRIAL AND APPEAL BOARD ____________ Ex parte HANS RUDOLF MILLER, MARTIN ULMANN, and RUDOLF MOSER ____________ Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 Technology Center 3900 ____________ Before JEFFREY B. ROBERTSON, SHERIDAN K. SNEDDEN, and WESLEY B. DERRICK, Administrative Patent Judges. DERRICK, Administrative Patent Judge. DECISION ON APPEAL STATEMENT OF THE CASE1 This merged proceeding arose out of two requests for ex parte reexamination and reissue examination of U.S. Patent No. 6,011,040 (âthe â040 patentâ) to Muller et al., issued January 4, 2000.2 1 Appellants identify Merck & Cie as the real party in interest. Appeal Brief filed March 6, 2017 (âAppeal Br.â), 2. 2 Ex parte Reexamination Control Nos. 90/011,935 (âREX â935â) and 90/013,445 (âREX â445â) were merged in a âDecision Merging Reexamination Proceedingsâ mailed May 26, 2015. Subsequently, the Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 2 Patent Owner appeals under 35 U.S.C. § 134 from the Examinerâs maintained rejection of claims 16 and 158â177. Final Office Action issued September 6, 2016 (âFinal Act.â); Examinerâs Answer issued April 10, 2017 (âAns.â). Claims 16 and 158â177 are pending.3 Amended claim 16 and new claims 158â177 stand rejected under reissue.4 Ans. 2â3, 21â101. Related cases, as identified by the Examiner, include IPR 2013-00117 for the â040 patent. Ans. 9. The Boardâs Final Written Decision in IPR 2013-00117, Gnosis S.P.A. v. Merck & CIE, 2014 WL 2875385 (PTAB 2014) (âIPR 2013-00117 Decisionâ), was affirmed by the Federal Circuit in Merck & CIE v. Gnosis S.P.A., 808 F.3d 829 (Fed. Cir. 2015) (âGnosis Iâ). The Examiner further identifies IPRs 2013-00116, 2013-00118, and 2013- 0119, reviewing U.S. Patents 5,997,915, 6,673,381, and 7,172,778, respectively, as related on the basis that our reviewing court identified the appeal from these reviews as a companion case to the appeal from IPR 2013- 00117. S. Ala. Med. Sci. Found. v. Gnosis S.P.A., 808 F.3d 823, 826 (Fed. Cir. 2015) (âGnosis IIâ). Further reexamination proceedings pertaining to these patents are also identified as related on this basis. Ans. 9â10. examination of Reissue Application No. 14/502,489 for the â040 patent was merged with the Reexaminations in a âDecision Granting Petition to Merge Reissue and Reexamination Proceedingsâ mailed September 24, 2015. 3 Issued claims 1â15 and 17â22 and reissue claims 23â157 have been canceled. See Advisory Action dated December 13, 2016. 4 As to claim 16, actions and responses, including amendment, in the merged proceeding apply to both reissue examination and ex parte reexamination. 37 C.F.R. § 1.565(d). Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 3 THE INVENTION The disclosed invention relates to the clinical use of tetrahydrofolates in natural stereoisomeric form. â040 patent col. 1, ll. 10â17. Amended claim 16 and new claims 158 and 164, reproduced from the Appeal Brief filed March 6, 2017 (âAppeal Br.â) (Claims App.), 84-85, are representative (with underlining showing additions and bracketing showing deletions relative to the originally issued claims). 16. A method [according to claim 4,] of preventing prenatal neural tube deficiencies associated with increased maternal homocysteine levels comprising administering at least one tetrahydrofolate in natural stereoisomeric form to a female human subject, wherein said increased maternal [levels of] homocysteine levels [in the human body] are associated with [thermolabile] methylene tetrahydrofolate reductase deficiency and wherein said [the] at least one tetrahydrofolate is 5-methyl-(6S)- tetrahydrofolic acid, or a pharmaceutically compatible salt thereof. 158. A method of treating a cardiovascular disease associated with increased levels of homocysteine in the human body comprising: administering to a human subject a formulation comprising a tetrahydrofolate in natural stereoisomeric form, wherein said tetrahydrofolate consists essentially of 5-methyl- (6S)-tetrahydrofolic acid or a pharmaceutically compatible salt thereof, and one or more vitamin B group vitamins selected from (a) vitamin B12 or (b) vitamin B12 and vitamin B6; wherein said formulation is in the form of a capsule or tablet, Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 4 wherein said formulation is administered as a single administration, and wherein each said capsule or tablet contains 1 to 15 mg of said tetrahydrofolate. 164. A method of treating a neurological disease associated with increased levels of homocysteine in the human body comprising administering a formulation comprising: a tetrahydrofolate in natural stereoisomeric form to a human subject, wherein said tetrahydrofolate consists essentially of 5-methyl-(6S)-tetrahydrofolic acid or a pharmaceutically compatible salt thereof, and said formulation does not contain a B group vitamin; wherein said formulation is in the form of a capsule or tablet, wherein said formulation is administered as a single administration, and wherein said each capsule or tablet contains 1 to 15 mg of said tetrahydrofolate. Independent claims 161 and 167 mirror independent claim 158 in the steps recited in the body of the claims, but are directed to â[a] method of preventing prenatal neural tube deficiencies associated with increased maternal homocysteine levelsâ and to â[a] method of decreasing homocysteine levels in the human body,â respectively. New dependent claims further limit the administered tetrahydrofolate to its pharmaceutically compatible salts, including particularly the calcium salt, and to consisting of 5-methyl-(6S)-tetrahydrofolic acid or a pharmaceutically compatible salt, or to consisting of a pharmaceutically compatible salt of 5-methyl-(6S)-tetra- hydrofolic acid, particularly the calcium salt. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 5 THE REJECTIONS Rejection 1 - The Examiner maintains the 35 U.S.C. § 102(b) rejection of claims 158 and 167 as anticipated by Serfontein (EP 0 595 005 A1, published May 4, 1994), as evidenced by the Miller Declaration.5 Rejection 2 - The Examiner maintains the 35 U.S.C. § 102(e) rejection of claims 158, 164, and 167 as anticipated by Smith (US 6,008,221, issued December 28, 1999), as evidenced by MĂŒller (US 5,324,836, issued June 28, 1994). The Examiner maintains the rejection of claims 16 and 158â177 under 35 U.S.C. § 103(a) as follows: Rejection 3 - claims 158â160, 167â170, 173, 174, and 177 over Serfontein in view of Marazza et al. (US 5,194,611, issued March 16, 1993), Ambrosini et al. (EP 0 627 435 A1, published December 7, 1994), and Ubbink et al. (Vitamin B-12, vitamin B-6, and folate nutritional status in men with hyperhomo- cysteinemia, Am. J. Clin. Nutr., 57: 47â53 (1993)); Rejection 4 - claims 16, 161â163, 171, and 175 over Serfontein in view of Marazza, Ambrosini, Ubbink, Mills et al. (Homocysteine and Neural Tube Defects, J. Nutr. 126: 756Sâ 760S (1996) (Am Institute Supplement for June 14, 1995, meeting)), Minns (Folic acid and neural tube defects, Spinal Cord, 34: 460â65 (1996)), Scott et al. (Folic acid to prevent neural tube defects, The Lancet 338: 505 (August 24, 1991)), 5 Declaration of Joshua W. Miller, Ph.D., dated January 28, 2015, filed with Request for Reexamination in REX â445 on February 17, 2015. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 6 Lucock et al. (The Lancet 338: 894â95 (October 5, 1991)), Leeming et al. (The Lancet 338: 895 (October 5, 1991)), and Barford et al. (British Med. J. 282: 1793 (May 30, 1981)); Rejection 5 - claims 158â160, 164â170, 172â174, 176, and 177 over Smith in view of Marazza and Ambrosini; Rejection 6 - claims 158â163, 167â171, 173â175, and 177 over Bailey et al. (WO 1997 027764 A1, published August 7, 1997) in view of Serfontein and Mills; and Rejection 7 - claims 164â169, 172, 173, 176, and 177 over Regland et al. (Homocysteinemia and schizophrenia as a case of methylation deficiency, J Neural Transm [GenSect] 98: 143â 152 (1994)) (âRegland 1â), Regland et al. (Homocysteinemia is a common feature of schizophrenia, J Neural Transm [Gen Sect] 100: 165â169 (1995)) (âRegland 2â), Godfrey et al. (Enhancement of recovery from psychiatric illness by methylfolate, The Lancet 336: 392â395 (August 18, 1990)), Le Grazie (EP 0 388 827 A1, published September 26, 1990), Marazza, and Ambrosini, and optionally Serfontein.6 6 We address, and affirm as discussed below, the rejection as set forth in the combination including Serfontein. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 7 DISCUSSION Anticipation Rejection 1 Claims 158 and 167 require, inter alia, administration of a capsule or tablet containing, inter alia, 1 to 15 mg of a tetrahydrofolate âconsist[ing] essentially of 5-methyl-(6S)-tetrahydrofolic acid or a pharmaceutically compatible salt thereof.â The Examiner finds âSerfontein discloses âa pharmaceutical preparation . . . [that] includes âfolate or a suitable active metabolite of folate or a substance which releases folate in vivo,â vitamin B6, and vitamin B12.â Final Act. 14 (citing Serfontein 4, ll. 37â42). In particular, the Examiner finds Serfontein to teach three alternatives for administration, i.e., folate, a suitable active metabolite of folate, or a substance which releases folate in vivo. Ans. 22. The Examiner relies on the disclosure of âa suitable active metabolite of folateâ as a disclosure of 5-methyl-(6S)-tetrahydrofolic acid as evidenced by the Miller Declaration. Final Act. 15; Ans. 22; Miller Decl. ¶ 8. The Examiner further finds Serfontein discloses in a table a preferred dosage of folate of 1.0 or 5.0 mg, and relies on this disclosure for the recited limitation as to the amount of tetrahydrofolate. Final Act. 14 (citing Serfontein 8, ll. 19â50). Appellants argue, inter alia, that the relied on disclosure of the amount of folate is limited to being a disclosure of folic acid or folate and, thus, there is no anticipation. Appeal Br. 11. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 8 We agree with Appellants and find the relied on disclosure of amounts of folate fails to anticipate the claims reciting 1 to 15 mg of tetrahydrofolate, a different compound than folate (or folic acid). The error is further manifest in that the Examiner finds Serfontein discloses folate and suitable active metabolites of folate as distinct alternatives, and then relies on the disclosure as to the amount of folate as supplying the necessary disclosure as to the amount of the relied on suitable active metabolite (5-methyl-(6S)- tetrahydrofolate). Accordingly, we do not sustain the rejection of claims 158 and 167 as anticipated by Serfontein. Rejection 2 Claims 158, 164 and 167 require administration of a capsule or tablet containing, inter alia, 1 to 15 mg of a tetrahydrofolate âconsist[ing] essentially of 5-methyl-(6S)-tetrahydrofolic acid or a pharmaceutically compatible salt thereof.â Claims 158 and 167 also require âone or more vitamin B group vitamins selected from (a) vitamin B12 or (b) vitamin B12 and vitamin B6,â while claim 164 requires the formulation to ânot contain a B group vitamin.â As found by the Examiner, Smith teaches treatment of occlusive vascular disease and Alzheimerâs disease, a cardiovascular disease and a neurological disease, respectively, wherein the patient has elevated blood levels of homocysteine. Final Act. 23 (citing Smith Abstract, col. 1, ll. 8â 29, col. 2, ll. 29â42). Smith discloses administration of a formulation including a therapeutically effective amount of a drug from a list of nine identified as suitable, which includes 5-methyltetrahydrofolate, for lowering blood levels of homocysteine. Final Act. 23â24 (citing Smith col. 4, ll. 11â Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 9 23, claims 6, 15). The Examiner further finds that the disclosure of 5- methyltetrahydrofolate constitutes a disclosure of a racemic 1:1 mixture of the R and S diastereomers as evidenced by MĂŒller, and that Smithâs oral dosages constitute disclosure of dosages of 5-methyl-(6S)-tetrahydrofolate within the claimed range. Final Act. 24â25 (citing Smith col. 6, ll. 22â44). With respect to claim 164, as to treating Alzheimerâs disease, Smithâs particular disclosure that the B vitamins are optional constitutes disclosure of a formulation that does not include a B vitamin. Final Act. 25 (citing Smith, col. 2, ll. 43â52). With respect to claims 158 and 167, Smithâs disclosure of B vitamins includes vitamins B6 and B12. Final Act. 25 (citing Smith col. 2, ll. 43â52, col. 6, ll. 41â47, col. 9, ll. 44â46). Appellants contend that the disclosure of âa racemate does not anticipate the optical isomers thereofâ because it is âa different chemical entity, namely the 5-methyltetrahydrofolate racemic mixture.â Appeal Br. 42â43. Appellants contend that the broadest reasonable interpretation of the claims does not encompass 5-methyl-(6S)-tetrahydro-folate present in the 5- methyltetrahydrofolate racemate disclosed in Smith. In support of this position, Appellants point to the phrase âtetrahydrofolate in natural stereoisomeric formâ and the transition phrase âconsisting essentially of.â Appeal Br. 42â43; see also Appeal Br. 5â9 (citing Dr. Gregoryâs declaration dated September 24, 2013; IPR 2013-00117 Exhibit 2001 (âGregoryâs IPR Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 10 Declarationâ), ¶¶ 56â60).7 Appellants further contend that the racemate does not anticipate a stereoisomer. Id. We begin our analysis by determining the scope and meaning of the claims, giving claim terms the broadest reasonable interpretation consistent with the Specification as they would be interpreted by one of ordinary skill in the art. In re NTP, Inc., 654 F.3d 1279, 1288 (Fed. Cir. 2011) (citing In re Suitco Surface, Inc., 603 F.3d 1255, 1259 (Fed. Cir. 2010)). In doing so, we turn first to the claims themselves. See, e.g., Rappaport v. Dement, 254 F.3d 1053, 1059 (Fed. Cir. 2001). Regarding the phrase âconsisting essentially of,â it has long been understood to permit more than what is recited in the claim provided any additional materials or steps do not âmaterially affect the basic and novel properties of the invention.â AK Steel Corp. v. Sollac, 344 F.3d 1234, 1239 (Fed. Cir. 2003). Nothing in the claims or the Specification, indicates that the phrase â5-methyl-(6S)-tetrahydrofolic acidâ itself excludes the natural isomer when it is present in a racemic mixture with the non-natural isomer, i.e., 5-methyl- (6R)-tetrahydrofolic acid. There is no clear definition to this effect in the Specification, and absent such, we will not import such into the claims. Innova/Pure Water, Inc. v. Safari Water Filtration Sys., Inc., 381 F.3d 1111, 1117 (Fed. Cir. 2004) (â[E]ven where a patent describes only a single embodiment, claims will not be âread restrictively unless the patentee has demonstrated a clear intention to limit the claim scope using âwords or 7 Gregoryâs IPR Declaration was submitted in the merged reexamination proceeding on September 14, 2015, in an information disclosure statement, prior to subsequent merger with the reissue proceeding. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 11 expressions of manifest exclusion or restriction.ââ (quoting Liebel-Flarsheim Co. v. Medrad, Inc., 358 F.3d 898, 906 (Fed. Cir. 2004)); In re Van Geuns, 988 F.2d 1181, 1184 (Fed. Cir. 1993) (â[L]imitations are not to be read into the claims from the specification.â). As to Appellantsâ relied on opinion evidence that a person of ordinary skill in the art would interpret âthe phrase â5-methyl-(6S)-tetrahydrofolic acidâ as affirmatively denoting the single S-isomer which is . . . essentially free of the unnatural isomerâ (Gregoryâs IPR Declaration ¶ 57), we find it lacks sufficient factual corroboration for it to bear the weight required of it in Appellantsâ arguments. In re Am. Acad. of Sci. Tech Ctr., 367 F.3d 1359, 1368 (Fed. Cir. 2004) (â[T]he Board is entitled to weigh the declarations and conclude that the lack of factual corroborations warrants discounting the opinions expressed in the declarations.â); Yorkey v. Diab, 601 F.3d 1279, 1284 (Fed. Cir. 2010) (The Board has discretion to give more weight to one item of evidence over another âunless no reasonable trier of fact could have done so.â); Velander v. Garner, 348 F.3d 1359, 1371 (Fed. Cir. 2003) (âIn giving more weight to prior publications than to subsequent conclusory statements by experts, the Board acted well within [its] discretion.â). In particular, the cited portions of Dr. Millerâs September 4, 2013, deposition (âMillerâs IPR Depositionâ)8 fail to sufficiently corroborate Dr. Gregoryâs opinion that one of ordinary skill in the art would not understand the phrase â5-methyl-(6S)-tetrahydrofolic acidâ to refer to the isomer in a mixture with 8 Millerâs IPR Deposition was submitted in the merged reexamination proceeding on September 14, 2015, in an information disclosure statement, prior to subsequent merger with the reissue proceeding. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 12 its enantiomer, including in a racemic mixture. Gregoryâs IPR Declaration ¶¶ 56â60. We are, likewise, directed to neither persuasive argument nor evidence that the presence of the 5-methyl-(6R)-tetrahydrofolic acid in the racemic mixture âmaterially affects the basic and novel properties of the invention.â AK Steel Corp. v. Sollac, 344 F.3d at 1239; see also In re De Lajarte, 337 F.2d 870, 874 (CCPA 1964) (Applicants have the burden of showing that a component in a reference would materially affect the basic and novel characteristics of a claimed composition.). Appellants contend that âone of ordinary skill in the art would recognize that the racemate would affect the basic and novel characteristics of the natural stereoisomeric form which consists essentially of the natural isomer.â Appeal Br. 7. Appellants further rely on Bills,9 Marazza, and Lucock in contending that the skilled artisan would recognize the racemate to be different than the recited 5- methyl-(6S)-tetrahydrofolic acid (or salts thereof). Appeal Br. 8â9. Appellants contend the Examiner erred in relying on Bills because the comparison was between twice a quantity of racemic 5-methyl-THF as the amount of folate, rather than any comparison of racemic 5-methyl-THF and its 6S stereoisomer. Appeal Br. 9. Appellants direct us to no evidence, however, establishing that the 6R isomer present in the racemic 5-methyl- THF has any effect on the activity and/or uptake of the 5-methyl-(6S)-THF. Further, Bills finds âbiologic activity of racemic . . . 5-methyltetra- hydrofolate was half that of folic acid, and the R isomer did not affect 9 Bills et al., Biological Activity of Racemic Folate Mixtures Fed to Folate- Depleted Rats, J. Nutr. 121: 1643â48 (1991). Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 13 growth at the levels fedâ and that the result âsuggests that the unnatural 6R isomer [of 5-CH3-THF] did not adversely affect the utilization and metabolism of the natural 6S isomer.â Bills, pp. 1643 (abstract), 1647. Appellants cite to Gnosis I and to Marazza, column 2, lines 15â32, for Marazzaâs disclosure âof studies that suggest âthat the D-5-MTHF may interfere with the transport of folate through the cell membrane in mammals.ââ Appeal Br. 9. The cited disclosure, however, is not evidence that the unnatural 6R isomer has any effect, but rather only that it has been âpostulated, that the unnatural (6R)-diastereoisomer could interfere to the folate transport system through the cell membranes of mammals, including humansâ (emphasis added). Marazza col. 2, ll. 15â20. Similarly, Gnosis I characterizes Marazza as âdiscuss[ing] previous studies suggesting that the unnatural enantiomer Dâ5âMTHF may interfere with the transport of folate through the cell membranes in humansâ before âaddress[ing] this issueâ by separating the stereoisomers (emphasis added). Gnosis I, 808 F.3d at 832. Appellants also cite to the Examinerâs reliance on Lucock as âwarn[ing] of the unknown and possible negative consequences of the unnatural isomer of 5-MTHFâ (emphasis added). Appeal Br. 9 (citing Final Act. 22). While evidencing concern as to the possibility of negative consequences, there is no evidence that there were any consequences. In sum, Appellants have failed to establish that the presence of the 5- methyl-(6R)-tetrahydrofolic acid in the racemic mixture materially affects the basic and novel properties of the invention. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 14 In the absence of such a showing, Appellantsâ reliance on case law that distinguishes single optical isomers from racemate by requiring levels of substantial purity from the unwanted isomer is unavailing because, as explained above, the claims with the âconsisting essentially ofâ transition phrase do not require the single optical isomer, or exclude in any manner the non-natural isomer. See, e.g., Appeal Br. 7â8 (citing Sanofi-Synthelabo, 550 F.3d 1075, 1081). As to Appellantsâ reliance on In re May, 574 F.2d 1082, 1090 (CCPA 1978) (see, e.g., Appeal Br. 7â9; Reply Br. 3â4), we likewise find it fails to support patentability because while the claims at issue in May did not include any customary words of exclusion, the claims were directed to a composition, or its use, that required the composition to have properties that were not met by the racemate due to the presence of the non-recited isomer, May, 574 F.2d at 1084, 1091â92, 1093â94. Such a difference in the recited properties of the claimed composition has not been shown in this case, and absent such, the recited composition according to the claims is met by Smithâs composition comprising 5-methyltetrahydrofolate racemate. On this record, accordingly, we affirm the Examinerâs rejection of claims 158, 164 and 167 as anticipated by Smith as evidenced by MĂŒller. Obviousness We have reviewed the grounds of rejection for obviousness set forth by the Examiner, Appellantsâ arguments and proffered evidence, including evidence of secondary considerations, and the Examinerâs response. On this record, we are not persuaded that the Examiner erred reversibly in determining that one of ordinary skill in the art, at the time of the invention, armed with the knowledge of the cited prior art, would have been led to the Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 15 subject matter of the claims within the meaning of 35 U.S.C. § 103(a) as discussed below. Rejection 3 The Examiner relies on Serfontein for its disclosure relating to, inter alia, administration of a formulation including a suitable active metabolite of folate for lowering levels of homocysteine or for prophylaxis or treatment of elevated levels of homocysteine, including treatment of cardiovascular and neurological disease due to elevated levels of homocysteine resulting from hereditary enzyme defects. Final Act. 15â16 (citing Serfontein p. 2, ll. 34â 38, 45, 47â48, p. 3, ll. 17, 20â23, p. 4, ll. 25, 37â42). Further, the Examiner relies on Serfonteinâs disclosure to teach including vitamin B6 and vitamin B12 in the formulation, as well as details as to dosages and forms, and that the use of the invention can be optimized by âmonitoring homocysteine levels in âhuman plasma.ââ Final Act. 15â16 (citing Serfontein p. 4, ll. 40â 42, p. 6, l. 41âp. 7, l. 3, p. 8, l. 19, table, p. 12, ll. 32â33). The Examiner relies on Marazza for its disclosure relating to chiral resolution of racemic 5-methyl-tetrahydrofolate into its (6R) and (6S) diastereoisomers, for identifying the natural diastereomer, and preparation of the calcium salt of 5-methyl-(6S)-tetrahydrofolic acid. Final Act. 17 (citing Marazza col. 1, ll. 12â16, 21â28, 55â67, col. 2, ll. 15â32, col. 3, ll. 32â40, col. 7, ll. 8â29, col. 11, ll. 9â35 (Example 3)). The Examiner further relies on Marazza for disclosing an interest in using 5-methyl-(6S)-tetrahydrofolic acid as a therapeutic agent for folate deficient states. Final Act. 17 (citing Marazza col. 1, ll. 21â28, 55â67). Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 16 The Examiner relies on Ambrosini for its disclosure of 5-methyl-(6S)- tetrahydrofolic acid and its identification as an âin vivo active form[] of folic acidâ that âfind[s] an application in all of the forms of folate deficiencies.â Final Act. 18 (citing Ambrosini p. 2, ll. 4â8, 30â33). The Examiner further relies on Ambrosini for teaching that âthe therapeutically acceptable derivatives of [5-methyl-(6S)-tetrahydrofolic acid] . . . include [its] alkali and alkaline earth metal saltsâ and the preparation of â >97% pure calcium salt of 5-methyl-(6S)-tetrahydrofolic acid.â Final Act. 18 (citing Ambrosini p. 4, ll. 48â59 (Example 4)). The Examiner relies on Ubbink, âa study assessing vitamin B12, vitamin B6, and âfolate nutritional statusâ in men with hyperhomo- cysteinemia,â for its disclosure as to the association of elevated plasma homocysteine concentrations with vascular disease and that the reasons for hyperhomocysteinemia include enzyme defects, including possession of a thermolabile variant of methylenetetrahydrofolate reductase. Final Act. 18 (citing Ubbink, p. 47, Title and Abstract, p. 50, 2nd col.). The Examiner concludes, inter alia, that it would have been obvious to one of ordinary skill in the art at the time of the invention to have used the calcium salt of 5-methyl-(6S)-tetrahydrofolic acid, as disclosed in Marazza and Ambrosini as an active metabolite of folate, in Serfonteinâs formulation and method. Final Act. 19. The Examiner also concludes that one of ordinary skill in the art would have had a reasonable expectation of success in treating elevated levels of homocysteine, including that due to a possession of a thermolabile variant of methylenehydrofolate reductase, and Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 17 the diseases due to elevated levels of homocysteine, including cardiovascular disease, as taught by Serfontein and Ubbink. Final Act. 19. Appellants contend that the cited prior art does not teach or suggest the use of a formulation consisting essentially of 5-methyl-(6S)-tetra- hydrofolic acid or a pharmaceutically compatible salt thereof, particularly of the calcium salt. Appeal Br. 25â28. Appellants further contend that the Examiner has failed to establish the requisite reasonable expectation of success for the combination to establish a prima facie case of obviousness. Appeal Br. 29â36. We do not find Appellantsâ contentions well-grounded. We further note that our reviewing court likewise found much these same arguments directed to rejections over Serfontein in view of Marazza and Ubbink unavailing. See Gnosis I, 808 F.3d 829. Appellantsâ arguments that the prior art does not teach or suggest the formulation as claimed are grounded on the references individually and fail to take account of the teachings of the references as a whole, and, thus, are not persuasive of reversible error. Cf. In re Keller, 642 F.2d 413, 426 (CCPA 1981) (â[O]ne cannot show non- obviousness by attacking references individually where, as here, the rejections are based on combinations of references.â). In particular, Appellants focus in turn on the failure of Serfontein to identify 5-methyl-(6S)-tetrahydrofolate as an active metabolite of folate, the absence of teachings in Marazza and Ambrosini to teach using 5-methyl- (6S)-tetrahydrofolate to lower homocysteine levels so as to treat disease, despite their teachings identifying it as the natural isomer and teaching its use for treating all manner of folate deficiencies, and on Ubbinkâs disclosure Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 18 focusing on the use of folate. Appeal Br. 25â28. Appellants argue that Serfontein is in effect limited to teaching the use of folic acid or folates, as is Ubbink, and that the disclosures of Marazza and Ambrosini would be inadequate to overcome the prejudice against the use of reduced folates, particularly where folateâs usefulness was recognized. Appeal Br. 25â28 (citing Dr. Gregoryâs declaration dated September 14, 2015 (âGregoryâs 2nd Declarationâ), ¶¶ 41, 48, 50â56).10 We find the proffered evidence insufficient to establish error for the reasons expressed by the Examiner, which we adopt expressly herein, including those identified from the Federal Circuitâs decision affirming the Boardâs decision addressing the combination of Serfontein, Marazza, and Ubbink, finding â[t]he record amply supports the Boardâs finding of a motivation to combine Serfontein and Marazza.â Ans. 41â49; Gnosis I, 808 F.3d at 833â34, 836. As to the argument that the Examinerâs Answer fails to clearly identify which of Appellantsâ arguments were addressed by reference to the IPR 2013-00117 Decision, in the absence of identifying any particular argument that was not addressed, we are apprised of no reversible error in the absence of any particular identification of an argument. Reply Br. 2. As to the requisite reasonable expectation of success for a prima facie case, Appellants maintain both that no such finding was made by the Board in the IPR 2013-00117 Decision, despite its affirmance by our reviewing 10 In addition to Gregoryâs IPR Declaration (cited above), Appellants rely on two further declarations by Dr. Gregory during the reexamination proceedings, which we identify in like manner as Appellants for consistency and ease of reference. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 19 court in Gnosis, 808 F.3d 829 (Appeal Br. 29â30), and that there is, in fact, no reasonable expectation of success (id. at 31â36). Appellantsâ reliance on the argued absence of an explicit finding in the IPR 2013-00117 Decision is without merit as to this proceeding because the Examiner has made such a finding (Final Act. 19) supported with articulated reasoning (see, e.g., Ans. 49â56). The issue remaining, accordingly, is whether Appellantsâ argument and proffered evidence is persuasive of reversible error in the Examinerâs finding that there was a reasonable expectation of success. On this record, we are not persuaded that the Examiner erred as discussed further below. Appellants rely on Dr. Gregoryâs declaration dated April 13, 2015 (âGregoryâs 1st Declarationâ), for the proposition that, prior to 1997, reduced folates, such as 5-methyl-(6S)-tetrahydrofolic acid, were not considered suitable for treating diseases associated with high levels of homocysteine. Appeal Br. 31 (citing Gregoryâs 1st Declaration ¶ 13). Appellants discuss in turn references relied on in Gregoryâs 1st Declaration and proffered as support: Horne et al., J. Bio. Chem. 253: 3529â35 (1978) (âHorneâ); Ueland et al., J. Lab. Clin. Med. 114: 473â501 (1989) (âUelandâ); Harpey et al., J. Pediatr. 98: 275â78 (1981) (âHarpey Iâ); and Harpey et al., J. Pediatr. 103: 1007 (1983), as well as deposition testimony by Dr. Miller dated May 6, 2013) (âMillerâs ITC Depositionâ). We note that these references were relied on by Appellants in the IPR 2013-00117 proceeding, as well as Gregoryâs IPR Declaration, and that the arguments that there was no reasonable expectation of success grounded on them were found unpersuasive by our reviewing court in Gnosis I. Ans. 51. Further, we are directed to no particular basis to support the position Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 20 that the expectation of success for the claims subject to this rejection would differ from that as to the claims at issue in Gnosis I. Rather, Appellants merely contend that the evidence and arguments are entitled to further review because it includes further evidence and arguments without identifying how they differ in substance. Appeal Br. 35â36; Reply Br. 2. Appellantsâ further argument as to Marazza fails, as explained above, to address the rejection grounded on the combination including Serfontein, where our reviewing court found âmotivation to use the method disclosed in Serfontein and Marazza to treat elevated homocysteine levels . . . supported by substantial evidence.â Gnosis I, 808 F.3d at 836. On this record, further, we do not find the evidence bears the weight necessary to establish that there is no reasonable expectation of success in treating diseases associated with elevated levels of homocysteine. As to the reliance on Horne, we find Gregoryâs 1st Declaration fails to provide sufficient reasoning why the data from in vitro experiments with cultured liver cells under the conditions in Horneâs study from 1991 would have reasonably led the skilled artisan to understand that administration to patients would not have led to sufficient retention and metabolism of 5- methyl-(6S)-tetrahydrofolate by, if not liver cells, other cells within the body to have an effect on homocysteine levels. Appeal Br. 31â32 (citing Gregory 1st Declaration ¶¶ 26â28). In particular, the opinion is grounded on reasoning that â[a] compound that is not retained by cells or metabolized to any significant degree cannot be used by the body effectively for its intended purposeâ (Gregory 1st Declaration ¶ 28), but this reasoning fails to account for other studies of record in which 5-methyl-(6S)-tetrahydrofolate or its Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 21 racemate is demonstrated to provide clinically useful effects (see, e.g., Le Grazie, Godfrey, Harpey I, Harpey II). Further, while Appellants contend that it was understood in the art that 5-methyl-(6S)-tetrahydrofolate was a poor substrate for the required polyglutamylation that would allow for it to become metabolically active within a cell, there is an insufficient evidence on this record to support the contention that one skilled in the art would not reasonably still expect sufficient uptake, retention, and activity for an effect. Appeal Br. 32â33 (citing Gregory 1st Declaration ¶¶ 29â32). This is borne out by the factual findings relied on by our reviewing court in its analysis that despite âsome prior art references suggest[ing] that L-5MTHF is a poor substrate for polyglutatamation,â other prior art discloses that â5-MTHF does, in fact, accumulate in the cellâ and that, as to activity, in discussing Harpey I and II, our reviewing court found that âalthough, switching to 5-MTHF may have correlated with a slight increase in homocysteine, the net effect is still a reduction of homocysteine levels.â Ans. 52â53 (quoting Gnosis I, 808 F.3d at 834â35). Appellants do not squarely address that other references do in fact show that â5-MTHF does, in fact accumulate in the cellâ (see generally Appeal Br.; Reply Br.). Likewise, we find the proffered evidence as to the import of Harpey I and Harpey II (Gregoryâs 1st Declaration ¶¶ 19â22) insufficient to establish error in the determination by the Examiner, as well as that by our reviewing court, that âsubstantial evidence supports the Boardâs finding that a person of ordinary skill in the art would not understand the Harpey references to teach that 5âMTHF would increase previously untreated homocysteine Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 22 levelsâ (Gnosis I, 808 F.3d at 334). Specifically, the proffered opinion fails to sufficiently explain why the observed limited increase in homocysteine does not reasonably support the position that the drug would be understood by the skilled artisan as having a beneficial effect, particularly where the homocysteine levels absent prior treatment with a different drug were much higher and the treatment with 5-MTHF was admittedly discontinued due to its instability rather than lack of efficacy. Gregoryâs 1st Declaration ¶ 20. It follows that we do not find âHarpey I and Harpey II demonstrated that in their study 5-MTHF was completely ineffective in lowering homocysteine levelsâ as contended by Appellants. Appeal Br. 34â35. Further, as found by our reviewing court, and relied on by the Examiner, âother prior art references show that 5-MTHF would nonetheless be effective for lowering homocysteine levels.â Ans. 54 (quoting Gnosis I, 808 F.3d at 835). We find this is also borne out by the improvement of conditions understood to be associated with, or due to, elevated homocysteine levels upon administration of 5-MTHF, including Godfrey and Le Grazie, as explained below in our discussion of Rejection 7. As to Appellantsâ further arguments grounded on the âuncertain predictability of biological response . . . not provid[ing] a reasonable likelihood of successful treatment with any selected stereoisomerâ (Appeal Br. 35), we find Appellantsâ arguments unpersuasive of reversible error. A finding of obviousness does not require certainty. See, e.g., In re OâFarrell, 853 F.2d 894, 903-904 (Fed. Cir. 1988) (âObviousness does not require absolute predictability of success. . . . [A]ll that is required is a reasonable expectation of success.â). Further, âobviousness cannot be avoided simply Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 23 by a showing of some degree of unpredictability in the art so long as there was a reasonable probability of success.â Pfizer, Inc. v. Apotex, Inc., 480 F.3d 1348, 1364 (Fed. Cir. 2007). As to Appellantsâ reliance on Millerâs ITC Deposition (Appeal Br. 33â34), Appellants rely on a portion of deposition testimony that was relied on in IPR 2013-00117. In that proceeding, this same evidence was found lacking because the âreportâ at issue was neither properly identified, nor a copy provided, and the testimony does not indicate that Dr. Miller was told to consider the testimony in the context of what the ordinary artisan would have understood in 1997 or earlier. IPR 2013-00117 Decision, 2014 WL 2875385, *13 fn.7. On this record, likewise, we find the same deficiencies and, accordingly, likewise find it lacking weight. Rejection 4 Claims 16, 161â163, 171, and 175 are directed to prevention of neural tube deficiencies. The Examiner relies on Serfontein, Marazza, Ambrosini, and Ubbink, as in Rejection 3, further identifying teaching from Serfontein as to the applicability of Serfonteinâs invention to lower total homocysteine blood levels if elevated by any known cause, including elevation due to pregnancy. Final Act. 19 (citing Serfontein p. 4, ll. 43â48). The Examiner relies on Mills for teaching, inter alia, that sufficiently large doses of folic acid, when taken periconceptionally, can prevent many neural tube defects that appear to result from a metabolic defect characterized in that women carrying affected fetuses have significantly higher levels of homocysteine due to their relative inability to metabolize Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 24 homocysteine, which could result from a cystathionine synthase defect, a methionine synthase defect or a 5,10 methylene tetrahydrofolate reductase defect. Final Act. 20 (Mills Abstract, 758S). The Examiner relies on Minns for teaching, inter alia, that higher elevated homocysteine levels were known for mothers of neural tube defect patients, including in association with various enzyme defects, and for teaching supplementation with folic acid or folate to prevent recurrences of neural tube defects. Final Act. 20â21 (Minns p. 461â62). The Examiner relies on Scott for disclosing the âuse of 5-MTHF instead of folic acid when administering folate for the prevention of neural tube defects in order to avoid exposing the mother and fetus to unmetabolized folic acid, considered to be a neurotoxin.â Final Act. 21 (citing Scott). The Examiner further relies on Scott for suggesting studies with doses of 200 ÎŒg or 400 ÎŒg of 5-MTHF. Id. The Examiner relies on Lucock, in commenting on Scott, for warning of unknown and possible negative consequence of the unnatural isomer of 5- MTHF, thereby recommending the natural isomer, and disclosing that it is likely that 5-MTHF, rather than folic acid itself, prevents neural tube defects. Final Act. 22 (citing Lucock pp. 894â95). The Examiner relies on Leeming for, inter alia, teaching there were concerns as âto unmetabolized folic acid causing âdamaging effectââ and for contrasting folic acid to the major natural folate 5-methyltetrahydrofolic acid and for âexplain[ing] that â[h]igh-dose folic acid may therefore damage neural tissue during early embryonic development.â Final Act. 22 (citing Leeming). Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 25 The Examiner relies on Barford for teaching that an inhibitory effect of folate on dihydropteridine reductase could cause serious problems in developing fetuses and that use of âa reduced folate such as calcium leucovorinâ âwould be prudent to avoid any problems that may be caused by folic acid.â Final Act. 22â23 (citing Barford p. 1793). The Examiner concludes that: It would have been obvious to one of ordinary skill in the art at the time the invention was made to have used the pharmaceutical preparation of Serfontein in view of Marazza, Ambrosini and Ubbink for treating a woman so as to lower homocysteine levels that have been increased due to 5, 10- methylenetetrahydrofolate reductase and/or cystathionine synthesase abnormalities, as taught by Serfontein, Ubbink, Mills and Minns, and thus, prevent neural tube defects, as taught by Mills, Minns and Scott, and so as to avoid the neurotoxicity dangers with respect to folic acid identified by Scott, Lucock, Leeming and Barford. Final Act. 23. Appellants contend that Mills and Minns are both limited to disclosing the use of folic acid, rather than 5-methyl-(6S)-tetrahydrofolate, to prevent neural tube defects. Appeal Br. 37. Appellants contend that Scott speculates as to which of folic acid or the metabolite 5-methyltetrahydrofolate is effective and that Scott âclearly does not suggest replacing the folic acid used in the method of Serfontein with a tetrahydrofolate in natural stereoisomeric form . . . with a reasonable expectation of success.â Appeal Br. 37â38 (citing Gregoryâs 2nd Declaration ¶¶ 68â69). Appellants further contend that it âis incorrectâ that âScott discloses the use of 5-MTHF instead of folic acid for preventing Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 26 neural tube defectsâ as stated in the Final Office Action. Appeal Br. 38 (citing Gregoryâs 2nd Declaration ¶¶ 68â69). In regards to the disclosure in Scott as to further trials, including those using 5-MTHF, the Appellants note that âScott speculates about possible further trials involving a high dose folic acid arm and a low dose folic acid arm, and further alludes to the possibility of an arm using a relatively low dose of 5-MTHF.â Appeal Br. 38 Appellants further argue that the publication of Mills and Minns five years after Scott and their use of folic acid without mention or suggestion of the use of 5-MTHF âdemonstrates that Scottâs mere proposal of a potential study involving a low dose arm using 5-MTHF does not suggest replacing the folic acid in the method of Serfontein . . . [and that] [a]s evidenced by the art, Scottâs musing seem to have been rejected by those skilled in the art.â Appeal Br. 38. Appellants dismiss Lucockâs cited teachings, like Scottâs, as âsimply more speculationâ and likewise discount such teachings on the basis that later published Mills and Minns do not âmention or suggest the use of 5- MTHF.â Appeal Br. 38â39. Similarly, Appellants dismiss Barfordâs teaching to use a reduced form of reduced folate calcium leucovorin on the basis that later published Mills and Minns do not mention or suggest the use of a reduced folate. Appeal Br. 39â40. Appellants contend that Leeming merely âechoes Scottâs concerns about possible damaging effects due to the use of high dosages of folic acid . . . [but] do[es] not suggest that low dosages of folic acid will have such possible damaging effects.â Appeal Br. 39. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 27 Appellants further contend, citing again to the arguments as to Horne, Harpey I, Harpey II, and Ueland, that there is no reasonable expectation of success, and raise that â[o]ne of ordinary skill in the art is charged with knowledge of . . . relevant art that teaches away from the claimed invention.â Appeal Br. 40â41. Appellants further reiterate arguments as to Serfontein and Marazza, discussed above, and contend that the combined disclosures of Serfontein, Mills, and Minns do not teach or suggest the use of 5-methyl-(6S)- tetrahydrofolic acid in Serfonteinâs method to lower homocysteine levels, but rather the use of folic acid. Appeal Br. 40â41. As explained above in our discussion of Rejection 3, Appellantsâ reliance on Horne, Harpey I, Harpey II, and Ueland is unavailing, and we are not persuaded that the Examiner erred in Rejection 3, grounded on Serfontein in view of Marazza, Ambrosini, and Ubbink. Being unpersuaded that these references do not teach or suggest, inter alia, the use of the calcium salt of 5-methyl-(6S)-tetrahydrofolic acid to lower homocysteine levels, we turn to Appellantsâ arguments as to the further references relied on in Rejection 4 and also find them unpersuasive of reversible error. Appellantsâ arguments focusing on Mills and Minns teaching the use of folic acid and on Barford teaching the use of L-5-MTHF, a different metabolite than the 5-methyl-(6S)-tetrahydrofolate recited in the claims, fail to squarely address what is suggested by the references as combined, in which reduced forms are taught as preferred in supplementation to prevent neural tube defects in order to avoid toxicity to fetuses, see, e.g., Scott, Leeming, and Barford. Further, contrary to Appellantsâ characterization of Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 28 Scottâs relevant disclosure as being mere speculation (Appeal Br. 38), and the opinion that âScott only recommends administering folic acidâ (Gregoryâs 2nd Declaration), Scott explicitly discloses 5-MTHF as an alternative to be used instead of folic acid, at least in a trial, because reduced forms of folate were expected to be less toxic than folate (Scott). The absence of certainty as to the effect, as discussed above, does not establish that there is no reasonable expectation of success. OâFarrell, 853 F.2d at 903â904. Appellantsâ further argument grounded on the absence of mention or suggestion in Mills and Minns to use a reduced folate, despite these references coming later than Scott and Barford, is without persuasive merit. In effect, Appellantsâ argument is that Mills and Minns teach away from use of the earlier taught reduced folates, including 5-MTHF, in failing to disclose any form of reduced folate; however, we will not read such into these references. See, e.g., DyStar Textilfarben GmbH & Co. Deutschland KG v. C.H. Patrick Co., 464 F.3d 1356, 1364 (Fed. Cir. 2006) (âWe will not read into a reference a teaching away from a process where no such language exists.â); Syntex (U.S.A.) LLC v. Apotex, Inc., 407 F.3d 1371, 1380 (Fed. Cir. 2005) (âUnder the proper legal standard, a reference will teach away when it suggests that the developments flowing from its disclosures are unlikely to produce the objective of the applicantâs invention.â). We are unpersuaded by Appellantsâ further arguments addressing Leeming and Scott. Appeal Br. 39. The high doses of folic acid raising concern in Scott and Leeming are doses of 4 or 5 mg of folic acid per day, respectively. The amounts administered in the relied on combination also Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 29 include corresponding high doses and as such, Appellantsâ arguments fail to address the Examinerâs well founded determination that concerns that high levels of folate were toxic would have led one of ordinary skill in the art to the use of reduced forms of folate in the method of Serfontein as modified in the combination. See also Ans. 62. Rejection 5 The Examiner relies on Smith, as in Rejection 2, further applying the teachings to the dependent claims subject to this rejection. Final Act. 25â26. The Examiner further relies on Smith for disclosing that ânot only does the patient have elevated levels of homocysteine, but also has at least moderately reduced blood levels of folate.â Final Act. 26 (citing Smith col. 1, ll. 9â15). The Examiner relies on Marazza and Ambrosini as relied on in Rejection 3, including for identifying the active isomer of 5-methyltetra- hydrofolate and for teaching the use of the calcium salt of 5-methyl-(6S)- tetrahydrofolic acid as a therapeutically acceptable form of 5-methyl- tetrahydrofolate, and concludes that it would have been obvious to one of ordinary skill in the art at the time of the invention to have used the calcium salt of 5-methyl-(6S)-tetrahydrofolate in Smithâs method with a reasonable expectation of success. Final Act. 26â27. Appellants contend that Smith does not disclose or suggest the use of tetrahydrofolate in natural stereoisomeric form. Appeal Br. 44. Appellants contend that Marazza fails to overcome the prejudice against the use of reduced folates such that one of ordinary skill in the art would use them instead of folic acid. Appeal Br. 44â45. Appellants contend that Ambrosini Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 30 fails to suggest using a tetrahydrofolate in natural stereoisomeric form to lower homocysteine levels, and that âdisclosure by Ambrosini of the calcium salt of 5-methyl-(6S)-tetrahydrofolic acid (Example 4) does not provide one of ordinary skill in the art motivation to overcome the prejudice against the use of reduced folates.â Appeal Br. 45. Appellants further, by citing earlier discussion, rely on the Gregoryâs 2nd Declaration and the arguments grounded on Horne, Harpey I, Harpey II, and Ueland. Appeal Br. 44â45. Appellantsâ arguments are unpersuasive of reversible error because they fail to squarely address the rejection grounded on Smith identifying a reduced folate, specifically, 5-methyltetrahydrofolate, as suitable for lowering blood levels of homocysteine, and for disclosing its use to treat cardiovascular, or neurological disease, and on Marazza and Ambrosini for their teachings, inter alia, as to which optical isomer is the active form and that the calcium salt of the active form, i.e., 5-methyl-(6S)-tetrahydrofolate is a therapeutically acceptable form of 5-methyl-tetrahydrofolate. Ans. 66â 67, 69; see also Final Act. 25â26. As to Appellantsâ contentions grounded on prejudice against reduced folates, and to contended deficiencies in Marazza and Ambrosini, these are unpersuasive for the reasons discussed above and as set forth by the Examiner. See, e.g., Ans. 67â69. Likewise, for reasons discussed above, we find the arguments grounded on the lack of a reasonable expectation of success unpersuasive. Rejection 6 The Examiner relies on Bailey for disclosing a composition including natural isomers of reduced folate, such as 5-methyl-(6S)-tetrahydrofolic acid, to supply folate, for disclosing the composition in tablet form in an Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 31 amount rounding to 1 mg, for disclosing the inclusion of vitamin B6, and for teaching that the calcium salt can be used. Final Act. 28 (citing Bailey Abstract, p. 6. ll. 17â31, p. 17, ll. 29â32, p. 21, ll. 21â25). Further, the Examiner relies on Baileyâs teaching that the ânatural isomer of reduced folate, e.g., said 5-methyl-(6S)-tetrahydrofolic acid (III) disodium salt or said calcium salt is an improved source compared to folic acid.â Final Act. 28 (citing Bailey p. 5, l. 9âp. 6, l. 31). The Examiner further relies on Bailey for disclosing that âa significant correlation has been discovered between vitamin deficiency, especially of folate, and peripheral vascular disease, a major cause of death. A high percentage of individuals have abnormal blood levels of homocysteine.â Final Act. 27 (citing Bailey pp. 1â2). The Examiner relies on Serfontein for disclosing, inter alia, ââa pharmaceutical preparation for lowering levels of homocysteine or for the prophylaxis or treatment of elevated levels of homocysteine in a patient . . . , [t]his preparation includ[ing] âfolate or a suitable active metabolite of folate or a substance which release folate in vivo,â vitamin B6, and vitamin B12.â Final Act. 28â29 (citing Serfontein p. 4, ll. 37â42). The Examiner relies on Mills for teaching, inter alia, that a sufficiently large dose of folic acid, when taken periconceptionally, can prevent many neural tube defects that appear to result from a metabolic defect characterized in that women carrying affected fetuses have significantly higher levels of homocysteine due to their relative inability to metabolize homocysteine, which could result from a cystathionine synthase Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 32 defect, a methionine synthase defect, or a 5,10 methylene tetrahydrofolate reductase defect. Final Act. 29â30 (Mills Abstract, 758S). The Examiner concludes, inter alia, that: It would have been obvious to one of ordinary skill in the art at the time the invention was made to have administered Bailey's composition for preventing/treating vascular disease or neural tube defects, wherein such vascular disease or neural tube defects are associated with elevated levels of homocysteine, because Bailey refers to an association with âabnormal blood levels of homocysteineâ, and there are cardiovascular disease and neural tube defects associated with elevated levels of homocysteine, as taught by Serfontein and Mills. In fact, as noted above, Serfontein teaches administering âfolate or a suitable active metabolite of folate or a substance which releases folate in vivoâ for lowering homocysteine levels associated with cardiovascular disease and pregnancy. Likewise, as noted above, Mills teaches administering folic acid to prevent neural tube defects associated with elevated levels of homocysteine. Further rationale is based on the fact that, as noted above, Baileyâs natural isomer of reduced folate, e.g. said 5-methyl-(6S)-tetrahydrofolic acid (Ill) disodium salt or said calcium salt, is an improved source compared to folic acid, whose oral bioavailability has been shown to be widely variable. Final Act. 30. Appellants contend that Bailey does not disclose a correlation between peripheral vascular disease or neural tube defects and increased levels of homocysteine levels and, thus, âdoes not disclose treating neural tube defects or vascular disease associated with increased levels of homocysteine.â Appeal Br. 46. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 33 As to Serfontein, Appellants contend Serfontein suggests neither âthe racemic compound 5-methyltetrahydrofolic acid . . . [nor] 5-methyl-(6S)- tetrahydrofolic acid or a pharmaceutically compatible salt thereofâ despite disclosing the use of a âcomposition contain[ing] a compound which is selected from the genus comprising folic acid (folate), suitable metabolites of folate, and substances which release folate in vivo.â Appeal Br. 46. The argument is grounded, in the main, on the contention that â[t]he only specific compound disclosed by Serfontein for use in lowering levels of homocysteine is folic acid.â Appeal Br. 47. As to Mills, Appellants contend that it is consistent with Serfontein wherein folic acid is used because it âdo[es] not mention or suggest the use of tetrahydrofolate in natural stereoisomeric form in the treatment or prevention of neural tube defects.â Appeal Br. 47. Appellants further contend that âthe combined disclosures . . . would at best suggest using folic acid to treat cardiovascular disease associated with increased levels of homocysteine or to prevent prenatal neural tube deficiencies associated with increased maternal homocysteine levels.â Appeal Br. 48. Appellantsâ arguments are unpersuasive because they fail to squarely address that the combination includes, inter alia, Baileyâs teaching that the calcium salt of 5-methyl-(6S)-tetrahydrofolate is an improved source of folate relative to folic acid (or folate) and Serfonteinâs teaching that the included source of folate can be selected from âfolic acid (folate), suitable metabolites of folate, and substances which release folate in vivoâ (Appeal Br. 46). Cf. Keller, 642 F.2d at 426 (â[O]ne cannot show non-obviousness Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 34 by attacking references individually where, as here, the rejections are based on combinations of references.â). As set forth by the Examiner, Appellantsâ arguments as to the lack of sufficient association in Bailey between homocysteine levels and âneural tube defects or vascular diseaseâ fail to account for the further teachings from Serfontein and Mills. Ans. 70â72. Appellantsâ arguments as to Serfontein are likewise unpersuasive because, contrary to being limited to teaching the administration of folic acid, Serfontein also includes express teaching to administer âsuitable metabolitesâ and âsubstances which release folate in vivoâ and the combination includes, inter alia, Baileyâs teaching that the calcium salt of 5- methyl-(6S)-tetrahydro-folate is an improved source of folate. Ans. 70â72. Rejection 7 The Examiner relies on Regland 1 for, inter alia, stating âthat â[t]heoretically, MTHF [i.e., methyltetrahydrofolate] should be the optimal treatmentâ for the patientâ in its disclosure relating to a patient with schizophrenia with a significantly increased serum level of homocysteine and for its teaching that a defect in methylenetetrahydrofolate reductase activity indicates a deficiency in methyltetrahydrofolate. Final Act. 34 (Regland 1 Abstract). The Examiner further relies on Regland 1 for its disclosure relating to âthe combination of homocysteinemia and a psychotic disorder.â Final Act. 35 (citing Regland 1 p. 150). The Examiner relies on Regland 2, which cites Regland 1 for, inter alia, âreport[ing] that âa significant proportion of patients with schizophrenia have increased homocysteine levels.â Final Act. 35 (citing Regland 2 p. 165); see also Ans. 72 (citing Regland 2 pp. 165, 168). Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 35 The Examiner relies on Godfrey for, inter alia, teaching the use of the âmethyl derivative of folate for treatment [of acute psychiatric disorders, e.g., major depression or schizophrenia] as it is this form [i.e., the methyl derivative] which is actively transported across the blood brain barrier and which is detectable in the cerebrospinal fluid in concentrations three times greater than in serum.â Final Act. 35â36 (citing Godfrey Abstract, p. 392). The Examiner identifies the methyl derivative in Godfrey as âmethyltetrahydrofolate.â Final Act. 36. The Examiner relies on Le Grazie for, inter alia, âteach[ing] the use of 5-MTHF âin the therapy of organic mental disturbances . . . with depression of mood,â the use of MTHF calcium salt, âpharmaceutical composition, e.g., a tablet, containing preferably 10 to 50 mg of the 5- MTHF.â Final Act. 36 (citing Le Grazie pp. 2â3, 7). The Examiner further finds Le Grazie to disclose both the racemic mixture of R and S isomers of 5-methyl tetrahydrofolic acid, in reciting (±)-L-5-methyl-5,6,7,8- tetrahydrofolic acid, and 5-methyl-(6S)-tetrahydrofolic acid, i.e., the compound recited in the claims, in reciting (-)-L-5-methyl-5,6,7,8- tetrahydrofolic acid. Ans. 74 (citing Le Grazie p. 2, ll. 8â10). The Examiner determines that Le Grazie discloses a pharmaceutical composition to treat organic mental disturbances that includes 5-methyl-(6S)- tetrahydrofolic acid or its salt. Ans. 74. The Examinerâs determination is not contested.11 See generally Reply Br. 11 We, accordingly, find Appellantsâ argument and proffered opinion evidence fails to bear the required weight as to any contended failure of Le Grazie to disclose 5-methyl-(6S)-tetrahydrofolic acid and its salts. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 36 The Examiner relies on Marazza and Ambrosini as in Rejection 3. Final Act. 36. The Examiner further relies on Serfontein for its teachings relating, inter alia, to a pharmaceutical preparation, e.g., tablet, containing of a pharmaceutical preparation including âa suitable active metabolite of folate or substance which releases folate in vivo, for lowering homocysteine levels and treating the conditions associated therewith, such as homocysteine- associated psychiatric problems.â Final Act. 37 (citing Serfontein p. 3, ll. 20â23, p. 4, ll. 37â48, p. 6, l. 41âp. 7, l. 3). The Examiner concludes that one of ordinary skill in the art at the time of the rejection, armed with the cited prior art, including Serfontein, would have found it obvious to have treated depression and/or schizophrenia associated with increased levels of homocysteine using the active form of methyl tetrahydrofolate, e.g., the calcium salt of 5-methyl-(6S)- tetrahydrofolic acid, based on the teachings of correlations between increased homocysteine levels and certain mental disorders, including depression and/or schizophrenia, the teachings as to treating organic mental disturbance using methyltetrahydrofolate, and the teachings as to the active stereoisomeric form and active salts, including the calcium salt of 5-methyl- (6S)-tetrahydrofolic acid. Final Act. 36â37. As to the Examinerâs reliance on Regland 1, Appellants again contend that one of ordinary skill in the art would not have had a reasonable expectation of success because of the âproblems associated with MTHF as a substrate for glutamation and the uptake thereof by the cells.â Appeal Br. Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 37 51â52 (citing the discussion regarding Horne, Harpey I, Harpey II, and Ueland). Appellantsâ repeated argument is again unpersuasive for the same reasons as discussed above. Appellantsâ argue that âRegland 2 does not repeat the theory of Regland 1 regarding supplementing such patients [with schizophrenia having increased levels of homocysteine] with MTHFâ and that neither Godfrey nor Le Grazie tested or monitored patients with respect to homocysteine levels. Appeal Br. 52â53; Reply Br. 11. Appellants argue the references do not, therefore, disclose the treatment of diseases associated with increased levels of homocysteine. Reply Br. 11. Appellantsâ arguments are not persuasive of reversible error because, as well-expressed by the Examiner, the absence of these teachings in these particular references is of no import as the rejection is grounded on their provision from other references in the combination, including Serfontein. Ans. 72â74 (finding Regland 1, which cites Godfrey, Regland 2, and Serfontein teach elevated levels of homocysteine in patients with mental disorders). Further, regardless of whether Godfrey or Le Grazie reasonably teach that their treatments lowered homocysteine levels, it is not disputed that they disclose the administration of methyltetrahydrofolate or 5-MTHF to treat the cited neurological disturbances. Cf. Alcon Research, LTD v. Apotex Inc., 687 F.3d 1362, 1368 (Fed. Cir. 2012) (â[T]he motivation to modify a prior art reference to arrive at the claimed invention need not be the same motivation that the patentee had.â). Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 38 As to Appellantsâ further argument âthat Le Grazie do[es] not disclose how to separate (-)-5-MTHF from the racemic mixtureâ (Appeal Br. 53), the Examiner finds that such separation was known in the art at the time of the instant invention (Ans. 75), which is not contested by Appellants (see generally Reply Br.). Further, the disclosures of a prior art reference are presumed to be enabled. Amgen Inc. v. Hoechst Marion Roussel, Inc., 314 F.3d 1313, 1354â55 (Fed. Cir. 2003). Appellants bear the burden of showing Le Grazie is not enabled (id. at 1355), but have not done so on this record. As to Appellantsâ further contention that Marazza, Ambrosini, and Serfontein âdo not suggest the use of L-MTHF (or salts thereof) [i.e., 5- methyl-(6S)-tetrahydrofolic acid (or salts thereof)] for the treatment of disease associated with increased levels of homocysteineâ (Appeal Br. 53 (citing earlier arguments as to these references and to Horne, Harpey I, Harpey II, and Ueland), the contention, and referenced arguments, is unpersuasive for the reasons discussed above. Secondary Considerations Notwithstanding what the teachings of the prior art would have suggested to one of ordinary skill in the art at the time of the invention, the totality of the evidence submitted, including objective evidence of nonobviousness may lead to the conclusion that the claimed invention would not have been obvious to one of ordinary skill in the art. In re Piasecki, 745 F.2d 1468, 1471â72 (Fed. Cir. 1984). Objective evidence of non- obviousness may include solving a long-felt but unsolved need, failure of others, unexpected results, commercial success, copying, licensing, industry Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 39 praise, and industry skepticism. Graham v. Deere, 383 U.S. 1, 17 (1966); Transocean Offshore Deepwater Drilling, Inc. v. Maersk Drilling USA, Inc., 699 F.3d 1340, 1347, 1349â55 (Fed. Cir. 2012). Appellants must establish a nexus between the proffered objective evidence and the merits of the claimed invention for the objective evidence to be accorded substantial weight. In re Kao, 639 F.3d 1057, 1068 (Fed. Cir. 2011). âA prima facie case of nexus is made when the patentee shows both that there is commercial success, and that the product that is commercially successful is the invention disclosed and claimed in the patent.â Crocs, Inc. v. Intâl Trade Commân, 598 F.3d 1294, 1310â11 (Fed. Cir. 2010) (citing In re GPAC Inc., 57 F.3d 157, 1580 (Fed. Cir. 1995)). âWhere the offered secondary consideration actually results from something other than what is both claimed and novel in the claim, there is no nexus to the merits of the claimed invention.â Kao, 639 F.3d at 1068. Addressing the Examinerâs âassert[ion] that âApplicants [sic] arguments remain unpersuasive and there remains a lack of nexus with the claims,ââ Appellants contend that they have established a prima facie case of nexus because there is evidence of commercial success for products related to the claimed methods, i.e., products corresponding to the compositions or formulations administered in the claims. Appeal Br. 54â55 (citing Final Act. 107). Appellants further maintain that the âExaminerâs arguments do not dispute nexusâ and fail to rebut the prima facie case of a nexus because â[t]he Examiner merely asserts that the commercial products contain further ingredientsâ and that â[t]here is no suggestion that, for example, the Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 40 commercial success of the commercial products is associated with these further ingredients.â Reply Br. 11â12. In their arguments, Appellants further contend that ââ[w]hile objective evidence of non-obviousness lacks a nexus if it exclusively relates to a feature that was âknown in the prior art,â Ormco Corp. v. Align Tech., Inc., 463 F.3d 1299, 1312 . . . (Fed. Cir. 2006), the obviousness inquiry centers on whether âthe claimed invention as a wholeâ would have been obvious.ââ Appeal Br. 57 (quoting Rambus Inc. v. Rao, 731 F.3d 1248, 1257 (Fed. Cir. 2013)). Appellants contend that the evidence of record with respect to secondary considerations is sufficient to support that the claims are nonobvious. Appeal Br. 57â82. On this record, we are neither persuaded that that the Examiner failed to dispute the nexus, nor that the Examiner has failed to properly consider the proffered evidence of secondary considerations. As set forth in detail by the Examiner, the calcium salt of 5-methyl-(6S)-tetrahydrofolic acid, and its use in amounts according to the claims for the treatment of neurological disease, was known in the prior art, particularly as disclosed in Le Grazie. Ans. 94â95 (citing Godfrey, Le Grazie, and Smith). Thus, we agree with the Examiner that there is no nexus between any evidence grounded on Appellantsâ DeplinÂź product which contains the calcium salt of 5-methyl- (6S)-tetrahydrofolic acid, which was identified in the prior art as being used to treat organic mental disorders and as a preferred folate source for remedying folate deficiencies, including for the treatment of associated diseases. Ans. 94â96; see Kao, 639 F.3d at 1068. As to Appellantsâ Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 41 MetafolinÂź product, there is likewise no nexus where it is simply âsubstantially chirally-pure 5-methyl-(6S)-tetrahydrofolic acid (L-5-MTHF), as a calcium salt.â Ans. 92. As to Appellantsâ further products relied on for evidence of secondary considerations, i.e., the mixed products MetanxÂź, CerefolinÂź, CerefolinNACÂź, NeevoÂź, and NeevoDHAÂź, the Examiner explains that these include the same calcium salt of 5-methyl-(6S)-tetrahydrofolic acid and, variously, a vitamin B12 or vitamins B12 and B6. Ans. 94. We agree with the Examiner. The lack of novelty as to a tablet, as well as its use relating to neural tube defects and vascular disease, including the combination of the calcium salt of 5-methyl-(6S)-tetrahydrofolic acid and a vitamin B12 or vitamins B12 and B6, is evidenced by Baileyâs disclosure. Ans. 99â100 (citing Bailey p. 21, ll. 21â25; example bridging pp. 19â20); see also Ans. 96 (citing Bailey p. 17, ll. 29â32, p. 21, ll. 21â25; example bridging pp. 19â20. Appellants further argue that commercial success need not be shown for the entire scope of the claimed invention, namely for multiple embodiments within a claim. Appeal Br. 55â56 (citing, inter alia, In re Glatt Air Techniques Inc., 630 F.3d 1026, 1030 (Fed. Cir. 2011) (âThe fact that Glattâs commercial products only contain one type of shielding does not make its commercial success evidence irrelevant.â); Kao, 639 F.3d at 1069 (â[A]n applicant âneed not sell every conceivable embodiment . . . so long as what was sold was within the scope of the claims.â (quoting In re DBC, 545 F.3d 1373, 1384 (Fed. Cir. 2008))). Appellants proffer arguments relating to the commercial products including further ingredients and to the content and Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 42 weight of the declaration of Mr. Ladner dated October 15, 2013 (âLadner Declaration) and the declaration of Dr. Jacobs dated October 15, 2013 (âJacobs Declarationâ). Appeal Br. 55â56; Reply Br. 12â14. Appellantsâ position, most fully developed in the Reply Brief, is grounded on contended synergistic effects due to the combination of the 5-methyl-(6S)-tetrahydro- folic acid with pyridoxal 5âČ-phosphate, the active form of vitamin B6, and methylcobalamin, a particular form of vitamin B12. Reply Br. 12â14 (citing Ladner Declaration ¶¶ 38, 48; Jacobs Declaration ¶ 44). Appellants contend in effect that there is a nexus because the recitation of vitamin B6 and B12 encompasses these particular forms of vitamins B6 and B12. Appeal Br. 55â56; Reply Br. 12â14. Appellantsâ argument fails, however, because the issue is not that the combination is merely an embodiment of what is claimed, but rather that what is recited in the claim is not novel. See Kao, 639 F.3d at 1068 (âWhere the offered secondary consideration actually results from something other than what is both claimed and novel in the claim, there is no nexus to the merits of the claimed invention.â). In particular, the claims reciting the combination of 5-methyl-(6S)-tetrahydrofolic acid with vitamin B12, or with vitamins B12 and B6, are not directed to novel aspects and, thus, there is insufficient nexus. For these reasons, we are not persuaded of error in the Examinerâs findings with respect to the secondary considerations, and the weight accorded them by the Examiner. On balance, as to each of Rejections 3â7, in view of the strength of the evidence in favor of obviousness and the noted deficiencies in the Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 43 evidence of nonobviousness, the evidence of record weighs most heavily in favor of the Examinerâs conclusion of obviousness. Thus, we sustain the obviousness rejections of claims 16 and 158â177. DECISION The Examinerâs decision rejecting claims 158 and 167 under 35 U.S.C. § 102(b) is REVERSED. The Examinerâs decision rejecting claims 158, 164, and 167 under 35 U.S.C. § 102(e) is AFFIRMED. The Examinerâs decision rejecting claims 16 and 158â177 under 35 U.S.C. § 103(a) is AFFIRMED. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a)(1)(iv). AFFIRMED Appeal 2017-009209 Reexamination Control 90/011,935 and 90/013,445 Reissue Application No. 14/502,489 Patent 6,011,040 44 PATENT OWNER: MILLEN WHITE ZELANO & BRANIGAN Arlington Courthouse Plaza 1 2200 Clarendon Blvd. Suite 1400 Arlington, VA 22201 THIRD PARTY REQUESTER: Michael J. Terapane, Ph.D., J.D. PABST PATENT GROUP LLP 1545 Peachtree St., NE, Suite 320 Atlanta, GA 30309 JOSEPH E. CWIK, AMIN TALATI & UPADHYE, LLC 100 South Wacker Drive Suite 2000 Chicago, IL 60606 Copy with citationCopy as parenthetical citation