Ex Parte HewesDownload PDFPatent Trial and Appeal BoardJul 20, 201612129935 (P.T.A.B. Jul. 20, 2016) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 12/129,935 05/30/2008 25291 7590 07/22/2016 Pfizer Inc, Attn:Legal Patent Department, Chief IP Counsel 235 East 42nd Street NEW YORK, NY 10017 FIRST NAMED INVENTOR Becker Hewes UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O. Box 1450 Alexandria, Virginia 22313-1450 www .uspto.gov ATTORNEY DOCKET NO. CONFIRMATION NO. PC69808A 3004 EXAMINER CHONG,YONGSOO ART UNIT PAPER NUMBER 1627 NOTIFICATION DATE DELIVERY MODE 07/22/2016 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): -IPGSMadisonDocketing@pfizer.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte BECKER HEWES 1 Appeal2014-007550 Application 12/129,935 Technology Center 1600 Before ERIC B. GRIMES, MELANIE L. McCOLLUM, and TIMOTHY G. MAJORS, Administrative Patent Judges. MAJORS, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134 involving claims to methods of treating imatinib-resistant leukemia, which have been rejected as obvious. We have jurisdiction under 35 U.S.C. § 6(b ). We affirm. STATEMENT OF THE CASE Patients with chronic myelogenous leukemia ("CML") are often treated with imatinib, a drug sold under the trade name Gleevec or Glivec (also known as STI-571). (Spec. i-fi-12-3.) This drug "blocks the tyrosine 1 Appellant identifies the Real Party in Interest as Wyeth LLC. (App. Br. 3.) Appeal2014-007550 Application 12/129,935 kinase protein 'BcrAbl,' an abnormal protein driving overproduction of abnormal white blood cells characteristic of leukemia." (Id. at i-f 2.) Some patients, however, develop resistance to imatinib "due to point mutations in the bcr/abl gene" of the cancerous cells. (Id. at i-f 4.) According to the Specification, it has "been discovered that a significant number of patients having known point mutations associated with resistance to imatinib respond favorably to treatment with SK-606" - a drug also known as bosutinib, and having the chemical name 4-[(2,4-Dichloro-5-methoxy-phenyl)amino ]-6- methoxy-7-[3-( 4-methyl-1-piperazinyl)propoxy ]-3-quinolinecarbonitrile. (Id. at i-f 13; see also id. at i-f 9.) Claims 17-28 are on appeal. Claim 17 is illustrative: 17. A method for treating a BcrAbl positive leukemia in a subject that is resistant to imatinib which comprises administering to the subject a therapeutically effective amount of 4-[(2,4-Dichloro-5- methoxy-phenyl)amino ]-6-methoxy-7-[3-( 4-methyl-1- piperazinyl)propoxy ]-3-quinolinecarbonitrile, \vherein the subject has at least one mutation in BcrAbl protein selected from M351 T; H396P; I432T; F486S; M244V; L248V; G250E; Y253F; K263E; L273M; F317L; and N331 S. The claims stand rejected as follows: I. Claims 17-20, 23, and 24 under 35 U.S.C. § 103(a) over Manley. 2 2 Manley et al., Advances in the structural biology, design and clinical development of Ber-Ahl kinase inhibitors for the treatment of chronic myeloid leukaemia, 1754 BIOCHIMICA ET BIOPHYSICA ACTA 3-13 (2005) ("Manley"). 2 Appeal2014-007550 Application 12/129,935 II. Claims 17-28 under 35 U.S.C. § 103(a) over Boschelli3 and Shah. 4 DISCUSSION - I Issue Has the Examiner established by a preponderance of the evidence that claims 17-20, 23, and 24 would have been obvious under 35 U.S.C. § 103(a) over Manley? Findings of Fact FF 1. The Examiner's findings of fact and statement of the rejection of claims 17-20, 23, and 24 under 35 U.S.C. § 103(a) over Manley may be found at pages 4--7 of the Final Action dated July 3, 2013. (See also Ans. 3- 5 and 7-9.) We adopt those findings here unless otherwise stated, and discuss below various material teachings of the prior art. FF 2. Manley discloses that "patients who have progressed to advanced phases of CML frequently fail to respond to imatinib or develop resistance to therapy and relapse." (Manley Abstract.) Manley teaches this resistance is "often due to the emergence of clones expressing mutant forms of Bcr-Abl, which exhibit a decreased sensitivity towards inhibition by imatinib." (Id.) Manley identifies the "most prevalent imatinib-resistant 3 Boschelli et al. (US 2005/010780 Al, publ. May 12, 2005) ("Boschelli"). 4 Shah et al., Multiple BCR-ABL kinase domain mutations confer polyclonal resistance to the tyrosine kinase inhibitor imatinib (STI57 l) in chronic phase and blast crisis chronic myeloid leukemia, 2 CANCER CELL 117-125 (2002) ("Shah"). 3 Appeal2014-007550 Application 12/129,935 mutant forms of the enzymes identified in patients" as including G250E, Y253H, F317L, M351 T, and F486S, among others. (Id. at 6, Table I.) FF 3. Manley discloses drugs designed for treatment of imatinib- resistant CML. (Manley Abstract.) In particular, Manley teaches "two classes of drug candidates are being evaluated as monotherapies in early clinical trials for the treatment of CML. These are the second generation selective Bcr-Abl kinase inhibitor, AMN107 and the dual Abl-Src inhibitors, BMS-354825, AZD05340, and SKI-606." (Id. at 5.) Manley teaches: Since Src family kinases regulate downstream elements of the Bcr-Abl signalling [sic] cascade, inhibition of these enzymes could therefore provide synergy with Bcr-Abl inhibition and potentially counteracting the availability of alternative survival pathways which CML cells could utilise in the face of Bcr-Abl inhibition .... Therapy with combined Bcr-Abl and Src-family kinase inhibitors might also counteract the oncogenic potential of drug-resistant mutant forms of Bcr-Abl in CML and/or ALL. (Id. at 7.) Table 1 of Manley discloses therapeutic activity (e.g., effect on autophosphorylation and cell proliferation) for the dual Abl-Src inhibitor, BMS-354825, relative to the most prevalent imatinib-resistant mutants. (Id. at 6.) Manley further describes testing of SKI-606, which demonstrated "induced GI arrest and enhanced apoptosis in CD34+ cells isolated from blast crisis CML patients, including those harbouring Y253H, E255K or F359V mutant BCR-ABL." (Id. at 9.) Analysis Appellant argues the patentability of claims 17-20, 23, and 24 as a group. (App. Br. 4---6.) So, in this discussion, we focus on the rejection of claim 1 7, which is representative. 4 Appeal2014-007550 Application 12/129,935 The Examiner concludes that claim 17 would have been obvious over Manley. (Ans. 3-5.) The Examiner finds that Manley teaches "imatinib resistance is due to emergence of clones expressing mutant forms of Bcr- Abl, which exhibit decreased sensitivity towards inhibition of imatinib." (Id. at 5.) According to the Examiner, "Manley et al. teach that a promising class of new chronic myeloid leukaemia (CML) drugs for patients with imatinib resistance is the dual Bcr-Abl/Src inhibitor, SKI-606." (Id.) With respect to another of the "promising" dual Abl-Src inhibitors -BMS- 3 54825 - the Examiner finds that "In Table 1, BMS-3 54825 is shown to have activity for not only the four mentioned mutants, F317V>T315A>T315I>F317L, but also other mutant forms of Bcr-Abl." (Id. at 8.) The Examiner finds that "[i]n the same manner, SKI-606 or bosutinib, is expected to have activity towards the mutant forms listed in that section, but also other mutant forms that are mentioned in Manley and that are instantly claimed." (Id.) The Examiner thus concludes that it would have been obvious to administer SKI-606 to the imatinib-resistant subject expressing the most prevalent mutant forms of Bcr-Abl, which overlap with mutant forms recited in claim 17, and that the skilled artisan would have done so with a reasonable expectation of success. (Id. at 5, 8.) Appellant raises several arguments in response. First, Appellant argues the Examiner "inappropriately conflates unrelated sections of the Manley review article" to arrive at the claimed invention. (App. Br. 4.) In particular, Appellant argues the Examiner improperly combined teachings concerning Section 2.2.1 (related to dasatinib/BMS-354825) with teachings in Section 2.2.3 (related to bosutinib/SKI-606). (Id.) Second, Appellant 5 Appeal2014-007550 Application 12/129,935 argues the Examiner's rejection invokes an unsupported "obvious to try" rationale that is inappropriate because cancer treatments are unpredictable. (Id. at 5.) Third, Appellant argues the Examiner should have provided "crystal structure data comparing and contrasting bosutinib' s and imatinib' s respective interactions with Bcr-Abl" or other evidence to properly support the rejection. (Id. at 6.) Appellant's first argument fails to persuade us the Examiner erred in combining Manley's disclosures. Rather than consider any one disclosure of Manley in isolation, in a Section 103 inquiry, we consider the prior art for all that it teaches and suggests to the skilled artisan. In re Lamberti, 545 F.2d 747, 750 (CCPA 1976) ("[A]ll disclosures of the prior art, including unpreferred embodiments, must be considered.") Here, the Examiner has drawn from Manley's teachings concerning two "promising" Abl-Src inhibitors - dasatinib and bosutinib - designed to treat imatinib-resistant CML subjects, along with Manley's teachings concerning the "most prevalent mutant forms" expressed in these subjects. (FF 1, 3.) We agree with the Examiner that the skilled artisan would have had reason to use the Abl-Src inhibitor, bosutinib, for treatment of imatinib- resistant cells expressing the most prevalent mutant forms. (FF 3.) And, absent persuasive evidence to the contrary, we agree with the Examiner that the person of ordinary skill in the art would have reasonably expected bosutinib to exhibit treatment of these mutations similar to dasatinib. (Manley p. 6, Table 1 (describing effects for dasatinib/BMS-354825 against most prevalent mutant forms).) This would have included the mutant forms G250E, F317L, M351 T, and F486S-each of which is recited in claim 17. 6 Appeal2014-007550 Application 12/129,935 Insofar as Appellant argues the "implication" from Section 2.2.3 of Manley is that bosutinib is "ineffective" against any mutant form beyond the four listed in that section, we disagree. (App. Br. 4--5.) There is nothing to suggest the listing in Section 2.2.3 represents a closed set, or that would indicate bosutinib was tested against other mutations and did not work. Section 2.2.3 instead reflects that bosutinib was at an earlier stage of clinical testing compared to dasatinib. But we find nothing in that section- or elsewhere in Manley- that would have discouraged the skilled artisan from using bosutinib to treat other mutations as discussed above. Appellant's argument that the Examiner misinterprets portions of Section 2.2.1 also fails to persuade us the rejection is flawed. (Id. at 5 ("Manley mere[ly] states [in Section 2.2.1] that F317V, T315A, T315I and F317 are frequently-occurring in the limited universe of dasatinib-resistant [not imatinib-resistant] patients.").) The Examiner cited four mutations in Section 2.2.1 as examples only, and further pointed to Table 1 of Manley, which discloses a more comprehensive listing of the "most prevalent imatinib-resistant mutant forms" against which the Abl-Src inhibitor dasatinib was shown to have effect. (Ans. 8; FF 3.) Appellant provides no persuasive argument or evidence in response showing why the skilled artisan would not predictably treat these mutant forms with another Abl-Src inhibitor - bosutinib, as in claim 1 7. Appellant's second and third arguments are also unpersuasive. Contrary to Appellant's characterization of the rejection, the Examiner has not advanced an "obvious to try" rationale. Rather, the Examiner reasons that bosutinib would have been expected to exhibit similar activity and 7 Appeal2014-007550 Application 12/129,935 treatment against mutant forms of Bcr-Abl as compared to dasatinib. (Ans. 8.) Manley discloses a handful of promising Abl-Src inhibitors (including bosutinib and dasatinib) and a finite number of the most prevalent mutant forms. (FF 2-3.) Also, Manley teaches that bosutinib had shown effect in preliminary testing against four of these mutations, and that dasatinib, which Manley discloses was further along in clinical development (Manley Abstract), had shown effect against almost all of the prevalent mutations (id. at Table 1 ), including the same four identified with respect to testing of bosutinib. Manley thus suggests a greater degree of predictability in treating the commonly-occurring mutant forms with dual Abl-Src inhibitors than Appellant's arguments suggest - even if the precise effect of bosutinib against the mutations in claim 17 is not expressly stated in Manley. Pfizer, Inc. v. Apotex, Inc., 480 F.3d 1348, 1364 (Fed. Cir. 2007) ("obviousness cannot be avoided simply by a showing of some degree of unpredictability in the art so long as there was a reasonable probability of success.") Under these circumstances, we are not persuaded the Examiner erred in concluding that claim 17 would have been obvious. Nor are we persuaded the Examiner was required to provide even more detailed evidence (such as analysis of the crystal structure data) to establish the prima facie case. Manley's teachings and the Examiner's rationale are sufficient. Conclusion of Law We conclude that the Examiner established by a preponderance of the evidence that claim 17 would have been obvious under 35 U.S.C. § 103(a) over Manley. 8 Appeal2014-007550 Application 12/129,935 Claims 18-20, 23, and 24 have not been argued separately and therefore fall with claim 17. 37 C.F.R. § 41.37(c)(l)(iv). DISCUSSION - II Issue Has the Examiner established by a preponderance of the evidence that claims 17-28 would have been obvious under 35 U.S.C. § 103(a) over Boschelli and Shah? Findings of Fact FF 4. The Examiner's findings of fact and statement of the rejection of claims 17-28 under 35 U.S.C. § 103(a) over Boschelli and Shah may be found at pages 8-13 of the Final Action dated July 3, 2013. (See also Ans. 5-7 and 9-11.) We adopt those findings here unless otherwise stated, and discuss below various material teachings of the prior art. FF 5. Boschelli teaches "[i]nhibition of the tyrosine kinase activity of Bcr-Abl is an effective strategy for targeting CML as demonstrated by the clinical efficacy of STI-571 [imatinib/Gleevec]." (Boschelli i-f 3.) Boschelli further teaches: Although the selective Abl kinase inhibitor STI-571 is efficacious and well tolerated by most patients in chronic-stage CML, patients in accelerated and blast crises stages of the disease tend to be less responsive. Consequently, there is a need for alternative agents that are effective in late-stage disease. (Id. at i-f 4.) Boschelli teaches that"[ o ]ther molecules, including Src family kinases, play a role in downstream signaling from Bcr-Abl, and as such, are 9 Appeal2014-007550 Application 12/129,935 potential therapeutic targets for the treatment of STI-571-resistant disease." (Id. at if 3.) FF 5. Boschelli teaches compounds "for treating, preventing, or inhibiting CML." (Id. at if 45.) In particular, Boschelli teaches the compound with the chemical name 4-[(2,4-Dichloro-5-methoxy- phenyl)amino ]-6-methoxy-7-[3-( 4-methyl-1-piperazinyl)propoxy ]-3- quinolinecarbonitrile. (Id. at iii! 5, 13-14, 115.) This compound is also known as SKI-606 or bosutinib. (Spec. if 9.) Boschelli discloses that bosutinib exhibits dual Abl-Src inhibitory activity. (Boschelli iii! 86, 137- 139; claim 20.) Boschelli discloses that "[c]ompounds of formula I [e.g., bosutinib] ... originally identified as a Src inhibitor, are shown here to be a potent antiproliferative and proapoptotic agent against CML cells in culture." (Id. at if 139.) Boschelli teaches that bosutinib may be administered alone or with Gleevec to treat CML. (Id. at claims 21-22.) FF 6. Shah teaches that experimental results "establish the primary role of BCR-ABL kinase domain mutations as the cause of imatinib resistance in CML" and further that "[k ]inase domain mutations are detected in 90% of CML patients who relapse after responding to imatinib." (Shah 118.) Shah identifies the mutations, including M244V, G250E, Y253F, E255K, F317L, and M351 T, among others. (Id. at Figs. 1, 3, Tables 1, 2.) Shah teaches that "E255K, in addition to the mutations T315I and M315T, accounted for over 60% of the cases." (Id. at 118.) Shah further teaches: [R ]ecent insights gained from structural analysis of ABL bound to imatinib versus the dual ABL/SRC inhibitor indicate that two different inhibitors can bind to the same kinase in different conformational states. . . . If a significant number of the mutations that cause imatinib resistance do so by preventing the 10 Appeal2014-007550 Application 12/129,935 kinase domain from achieving the closed conformation necessary for imatinib binding ... one can envision that inhibitors that bind ABL in the open configuration might retain activity against many of these mutants. Indeed, we have evidence that the E255K mutant remains sensitive to such a dual ABL/SRC inhibitor. (Id. at 123.) Analysis Appellant argues the patentability of claims 17-28 over Boschelli and Shah as a group. (App. Br. 6-10.) We address claim 17 as representative. The Examiner concludes that claim 17 would have been obvious over Boschelli and Shah. The Examiner finds that Boschelli teaches that bosutinib "play[s] a role in downstream signaling from Bcr-Abl, [and] therefore [is] useful in the treatment of STI-571 resistant disease." (Ans. 7.) The Examiner finds that Shah teaches that the majority of subjects with CML relapse despite treatment with STI-571/imatinib, and that Shah identifies the mutations in the Bcr-Abl protein responsible for imatinib- resistance, including F317L, M351 T, M244V, and others that overlap with the mutations recited in claim 17. (Id.) In further support, the Examiner finds that both Boschelli and Shah teach or suggest treating imatinib- resistant CML with Abl-Src kinase inhibitors. (Id. at 11.) Based on these (and other) teachings of Boschelli and Shah, the Examiner concludes it would have been obvious to treat the mutations identified in Shah (e.g., M351 T) with the second-generation dual Abl-Src inhibitor, bosutinib, as disclosed in Boschelli - thus satisfying all the elements of claim 1 7. 11 Appeal2014-007550 Application 12/129,935 Appellant raises three arguments: (i) the Examiner's downstream signaling argument is unsupported; (ii) use ofbosutinib to treat CML associated with Shah-listed mutations is not suggested; and (iii) the prior art teaches away from the proposed combination of Boschelli and Shah. These arguments are unpersuasive for the reasons discussed below. Appellant argues that "Boschelli does not teach or suggest that bosutinib would, or even could, affect signaling downstream from Ber/ Abl." (App. Br. 7.) According to Appellant, when Boschelli teaches that "other molecules, including Srcfamily kinases, play a role in downstream signaling from Bcr-Abl," Boschelli is "referring to other biological proteins, and not to specific drug compounds that might inhibit activity of such proteins." (Id.) We are, however, not persuaded. Appellant's argument does not adequately consider Boschelli's teachings in full context. Boschelli discusses development of imatinib resistance in late-stage CML subjects. (Boschelli i-fi-12, 3.) There it expressly discloses Src family kinases play a role in downstream signaling from Bcr-Abl, and identifies these molecules as "potential therapeutic targets for the treatment of S TI-5 71-resistant diseases." (FF 4.) Boschelli states that there "is a need for alternative agents [to STI-571] that are effective in late-stage disease" (Boschelli i14), and then immediately introduces its inventive compounds, including the dual Abl-Src inhibitor bosutinib (id. at i-fi-15, 13, 14). Later, Boschelli expressly teaches that bosutinib "inhibit[s] src kinase in vitro." (Id. at i-fi-186, 138.) And Boschelli discloses that bosutinib showed anti-proliferative activity against Ahl-dependent CML cells. (Id. at i-fi-f 112, 115, 137-139.) We thus find that Boschelli teaches, or at least reasonably implies, that bosutinib 12 Appeal2014-007550 Application 12/129,935 inhibits downstream signaling proteins from Bcr-Abl, and that the skilled artisan would have understood that bosutinib was designed to provide effective treatment of CML in imatinib-resistant subjects. Appellant's second argument fails as well. Appellant argues Boschelli and Shah individually, which does not persuasively show that claim 17 is nonobvious. In re Merck & Co., 800 F.2d 1091, 1097 (Fed. Cir. 1986) ("Non-obviousness cannot be established by attacking references individually where the rejection is based upon the teachings of a combination of references. . . . [The reference] must be read, not in isolation, but for what it fairly teaches in combination with the prior art as a whole.") For example, Appellant argues that "Shah mentions specific mutations ... but does not suggest using bosutinib, or any other specific compound, to address imatinib resistance." (App. Br. 7.) True, Shah does not name bosutinib as a treatment for imatinib-resistant CML. That teaching is supplied in Boschelli. (FF 4--5.) Also, Appellant's contention that Shah does not suggest using any other compound to address imatinib-resistance is incorrect. To the contrary, Shah suggests treatment with second generation dual Abl-Src inhibitors may be beneficial, and cites to early testing against at least one of the mutations in support. (FF 6.) One such dual Abl-Src inhibitor is bosutinib, as disclosed in Boschelli. (FF 4--5.) The Examiner's rejection is based on the combination of Boschelli and Shah. And the Examiner's reasoning, which draws on the teachings of Boschelli and Shah 13 Appeal2014-007550 Application 12/129,935 discussed above, is sufficient to establish a prima face case that claim 17 would have been obvious. 5 Appellant's final argument is that Puttini6 and Shah teach away from the use ofbosutinib to treat the mutations recited in claim 17. (App. Br. 8- 9.) According to Appellant, Puttini shows that "mutants can confer imatinib resistance in a multitude of different ways" and that for the point mutants T315I and E255K, Puttini showed that bosutinib was "ineffective" or "only partially effective." (Id. at 8.) We are unpersuaded. As the Examiner correctly points out, "the mutant, T315I, that was claimed to be ineffective for bosutinib [in Puttini], is not even claimed [by applicant]." (Ans. 10.)7 Moreover, as other references of record show, T315I appears to be an outlier among the mutations, and has proven difficult to treat with a variety of drugs. (See, e.g., Manley, Table 1; p. 10 ("Although clinical candidates which address the currently intractable T315I mutant have not yet been identified, such drugs are likely to be discovered in the near future.").) Also, Puttini's other teachings do not help Appellant. Quite the opposite, they reinforce the obviousness of claim 17. 5 For similar reasons, we disagree with Appellant's contention that the Examiner is invoking an improper "obvious to try" rationale. (App. Br. 7- 8.) The express disclosures of Boschelli and Shah would have reasonably led to the Examiner's proposed combination. 6 Puttini et al., In vitro and In vivo Activity of SKI-606, a Novel Src-Abl inhibitor against Imatinib-Resistant Ber-Ahl+ Neoplastic Cells, 66, no. 23 CANCER RES. 11314--11322 (2006) ("Puttini"). 7 We agree with Appellant that Puttini may be considered for its evidentiary value (e.g., whether it "teaches away") even if Puttini "was not a reference used in the instant rejections." (App. Br. 8, n. 2.) 14 Appeal2014-007550 Application 12/129,935 Indeed, for three of the four mutants forms tested (all but T315I), Puttini teaches that bosutinib "induced a statistically significant decrease in the rate of tumor growth and prolonged event-free survival." (Puttini 11319; see also id. at Figure 5 incl. caption.) One of those mutant forms is Y253F- a mutation recited in claim 17. (Id.) On balance, Puttini teaches towards the subject matter of claim 17, not away from it. We are likewise unpersuaded that Shah teaches away from the Examiner's proposed combination. Appellant cites a statement in Shah that it is "difficult to envision a single second generation ABL kinase inhibitor that would have activity against all mutants." (App. Br. 9 (quoting Shah 123).) Appellant argues that this statement (and another) in Shah "suggest[] that alternate kinase inhibitors like bosutinib may not be the best way to treat imatinib-resistance, and that other approaches [e.g., Hsp90 inhibitors] may be more productive." (App. Br. 9.) But Appellant misapprehends what it means to teach away. "The prior art's mere disclosure of more than one alternative does not constitute a teaching away from ... alternatives because such disclosure does not criticize, discredit, or otherwise discourage the solution claimed." In re Fulton, 391F.3d1195, 1200-1201 (Fed. Cir. 2004). ("[T]he question is whether there is something in the prior art as a whole to suggest the desirability, and thus the obviousness, of making the combination, not whether there is something in the prior art as a whole to suggest that the combination is the most desirable combination available.") (Citation omitted). The portions of Shah cited by Appellant, at most, suggest that alternative approaches to treating imatinib resistance should be pursued. They do not rise to the level of a teaching away. 15 Appeal2014-007550 Application 12/129,935 Conclusion of Law We conclude that the Examiner established by a preponderance of the evidence that claim 17 would have been obvious under 35 U.S.C. § 103(a) over Boschelli and Shah. Claims 18-28 have not been argued separately and therefore fall with claim 17. 37 C.F.R. § 41.37(c)(l)(iv). SUMMARY We affirm the rejection of claims 17-20, 23, and 24 under 35 U.S.C. § 103(a) over Manley. We affirm the rejections of claims 17-28 under 35 U.S.C. § 103(a) over Boschelli and Shah. 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). AFFIRMED 16 Copy with citationCopy as parenthetical citation