Ex Parte Teng et alDownload PDFPatent Trial and Appeal BoardJul 30, 201813852773 (P.T.A.B. Jul. 30, 2018) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 13/852,773 03/28/2013 27148 7590 08/01/2018 POLSINELLI PC 900 WEST 48TH PLACE SUITE 900 KANSAS CITY, MO 64112-1895 FIRST NAMED INVENTOR Joyce M.C. Teng 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. 064072-454671 9278 EXAMINER WANG, SHENGTIJN ART UNIT PAPER NUMBER 1627 NOTIFICATION DATE DELIVERY MODE 08/01/2018 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): uspt@polsinelli.com PTOL-90A (Rev. 04/07) UNITED ST ATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte JOYCE M.C. TENG, ANNA K. HAEMEL, andMARLAJ. AHLGRIMM 1 Appeal 2017-007881 Application 13/852, 773 Technology Center 1600 Before JOHN G. NEW, RICHARD J. SMITH, and RY ANH. FLAX, Administrative Patent Judges. NEW, Administrative Patent Judge. DECISION ON APPEAL 1 Appellants state that the real party-in-interest is INNOVA DERMACEUTICALS, LLC. App. Br. 1. Appeal 2017-007881 Application 13/852, 773 SUMMARY Appellants file this appeal under 35 U.S.C. § 134(a) from the Examiner's Final Rejection of claims 1-3 and 7-11 2, which stand rejected as unpatentableunder 35 U.S.C. § 103(a) as being obvious over A. Rauktys et al., Topical Rapamycinlnhibits Tuberous Sclerosis Tumor Growth in a Nude Mouse Model, 8(1) BMC Dermatology 1-9 (2008) ("Rauktys"). Claims 1-3 and 7-11 also stand rejected under 35 U.S.C. § 103(a) as being obvious over the combination of Rauktys and Ormerod et al. (US 6,958,153 B 1, October 25, 2005) ("Ormerod"). 3 We have jurisdiction under35 U.S.C. § 6(b). We AFFIRM. 2 In the Final Action, the Examiner includes claim 12 among the rejected claims. See, e.g., Final Act. 4. Claim 12 is canceled, and we consequently do not reach it. See App. Br. 20. 3 Claims 1-3 and 7-11 were also rejected by the Examiner as unpatentable under 35 U.S.C. § 112, first paragraph as failing to comply with the written description requirement, and under 3 5 U.S. C. § 112, second paragraph as being indefmite. Final Act. 4--5. The Examiner has withdrawn those rejections. Ans. 10. The Examiner also provisionally rejected claims 1-3 and 7-11 as unpatentable over claims 1-3 and 7-9 of Appellants' copendingApplication Ser. No. 13/852,779underthejudicially-created doctrine of obviousness-type double patenting. Final Act. 3. Appellants have indicated that they will file a terminal disclaimer upon receiving indication of allowable subject matter in the instant application. Appellants' Argument 13, July 20, 2016. Because Appellants do not argue the merits of this rejection on appeal, and because we affrrm the Examiner's rejections under 35 U.S.C. §103(a), we summarily affrrm the rejection upon this ground. 2 Appeal 2017-007881 Application 13/852, 773 NATURE OF THE CLAIMED INVENTION Appellants' invention is directed to a method and a topical composition to treat facial angiofibromas in Tuberous Sclerosis by applying from about 0.25% to about 2% rapamycin to a small body surface area. Abstract. REPRESENT AT IVE CLAIM Claim 1 is representative of the claims on appeal and recites: 1. A method of reducing a facial angiofibroma in Tuberous Sclerosis in a human subject in need thereof, the method compnsmg: topically administering to a local skin area affected with the facial angiofibroma a composition comprising no more than about 2% by weight rapamycin and a dermatologically acceptable carrier, wherein after about three months of twice daily topical administration of the composition to the local skin area of the subject, the serum rapamycin level of the human subject is less than 2 ng/ml. App. Br. 19. ISSUES AND ANALYSES We are persuaded by, and expressly adopt, the Examiner's fmdings, reasoning, and conclusions establishing that Appellants' claims are prima faci e obvious over the cited prior art. We address the arguments raised by Appellants below. 3 Appeal 2017-007881 Application 13/852, 773 A. Rejection of claims 1-3 and 7-11 over Rauktys Issue 1 Appellants argue the Examiner erred because Rauktys neither teaches nor "suggests reducing a facial angiofibroma in Tuberous Sclerosis (T SC) in a human by topically administering a composition comprising no more than about 2% by weight rapamycin and a dermatologically acceptable carrier, where serum rapamycin levels are less than 2 nglml after about three months of twice daily topical administration." App. Br. 5. Analysis The Examiner finds that Rauktys teaches the utility of topical rapamycin as a therapeutic strategy for tuberous sclerosis ("T SC") skin disease by evaluating its efficacy on TSC-related tumors in a preclinical model. Final Act. 6 ( citing Rauktys 2). The Examiner fmds Rauktys teaches a topical ointment comprised of rapamycin and petroleum jelly administered, inter ali a, topically to nude mice. Id. ( citing Rauktys 2-3 ). The Examiner fmds Rauktys teaches that a concentration of rapamycin used was 0. 8% and 0.4%, and that 24 hours after the topical application of a composition comprising 0.4% or 0. 8% rapamycin, the systemic concentration of rapamycin detected was greater than 3 nglml. Id. ( citing Rauktys 5). However, the Examiner fmds that Rauktys teaches that 48 hours after the application the concentration may drop below systemic effective concentration ( 1. 7 ± 0. 9 nglml) for the O. 4 % of rapamycin treatment group. Id. The Examiner fmds Rauktys concludes that topical administration of rapamycin is an effective treatment for TSC-related tumors, and suggests that it is likely that the effect of topical rapamycin in the experiments was due to systemic rapamycin exposure. Id. ( citing Rauktys 7). 4 Appeal 2017-007881 Application 13/852, 773 The Examiner concludes that it would have beenprimafacie obvious for a person of ordinary skill in the art to apply rapamycin, as taught by Rauktys, to human for treatment of T SC, and facial angiofibromas in particular. Final Act. 7. The Examiner further concludes that a person of ordinary skill in the art would have been motivated to apply the ointment rapamycin composition to humans for treatment of T SC, and facial angiofibromas in particular, because it is known that topical administration of rapamycin is an effective treatment for T SC-related tumors, including facial angiofibromas. Id. The Examiner also concludes that it would have been obvious to try topical rapamycin compositions with and without systemic absorption to apply the therapy of the preclinical model to a human patient the preclinical model on human with a reasonable expectation of success. Id. Finally, the Examiner concludes that it would have been obvious to a person of ordinary skill in the art to vary and/ or optimize the amount of rapamycin provided in the composition, and any other pharmaceutical excipients that might affect the systemic absorption according to the guidance provided by Rauktys. Id. at 8. Appellants argue that Rauktys teaches only that rapamycin was applied to nude mice, and that doing so resulted in systemic levels of rapamycin that produced a therapeutic effect. App. Br. 5. Appellants assert that Rauktys teaches that topical rapamycin applied to mouse skin achieves a systemic blood concentration in an amount effective to impede TSC-tumor growth. Id. Appellants argue that Rauktys also expressly teaches that a rapamycin systemic blood concentration is necessary for treatment of the TSC-tumor. Id. Appellants contend that a person of ordinary skill in the art would have learned from Rauktys that a TSC-tumor is treatable via topical 5 Appeal 2017-007881 Application 13/852, 773 administration of rapamycin by achieving a systemic concentration of the drug within its known therapeutic range of 3-15 ng/ml. Id. at 6 ( citing Rauktys4). Appellants argue, therefore, that Rauktys teaches methods of administration intended to achieve 24 hour blood levels of at least 3 ng/ml. App. Br. 6. Appellants assert that Rauktys expressly teaches that the rapamycin effect was due to systemic exposure in the known therapeutic range for rapamycin, whereas, in contrast, the claimed method comprising topically administering a rapamycin composition such that the serum rapamycin level is less than 2 ng/ml. Id. Appellants argue further that Rauktys fails to teach or suggest any method involving topical administration of a rapamycin composition to human skin. App. Br. 6. Nor, argue Appellants, does Rauktys teach or suggest that rapamycin can, following topical administration to human skin, reach levels in the human dermis that are therapeutically effective against cutaneous vascular lesions, in the absence of systemic exposure to a blood level in the known therapeutic range. Id. Appellants point out that Rauktys teaches using a nude mouse model for testing topical administration of rapamycin. Id. However, Appellants assert, topical administration of rapamycin in nude mice is not comparable to topical administration in humans. Id. (citing Declaration of Dr. Joyce Teng4, December 16, 2014 (the "Teng Declaration")). Consequently, Appellants argue, Rauktys cannot be said to teach that the topical dosage would be the same for humans or that the topical absorption through the skin would be the same. Id. at 7. Rather, 4 We note that Dr. Teng is one of the named inventors of the application on appeal. 6 Appeal 2017-007881 Application 13/852, 773 Appellants contend, Rauktys teaches only that the systemic, whole blood levels of rapamycin in the mice were in the therapeutic range of systemic levels that have been used for humans. Id. Appellants maintain that Rauktys teaches that to be therapeutically effective in humans, the whole blood level of rapamycin must be in the known human therapeutic range of 3-15 nglml, which is above the 2 nglml maximum recited in the claims. Id. Appellants argue further that Rauktys fails to teach or suggest that there is less than 2 nglml rapamycin in the subject's serum after three months of twice daily administration, as required by the claims. App. Br. 7. According to Appellants, Rauktys teaches that 24 hours after application the rapamycin systemic concentration was greater than 3 nglml and 48 hours after application the rapamycin systemic concentration was below 1. 7 nglml. Id. ( citing Rauktys 2). However, Appellants point out, Rauktys applied rapamycin once per day, three days per week, and tested serum levels 24 hours or 48 hours after the last treatment; treatment was stopped after the tumorreacheda volume of3000mm3 • Id. (citing Rauktys4). Appellants dispute the Examiner's fmding that that the level of rapamycin "would have been reasonably expected to drop to less than 2 nglml after three months of treatment." App. Br. 7 ( quoting Final Act. 13). Appellants argue that this statement is no more than conjecture by the Examiner, based on the drop in systemic rapamycin levels observed in mice after48 hours with no further administration of rapamycin. Id. Finally, Appellants argue that Rauktys does not teach or suggest a dose of no more than 2% rapamycin being sufficient for reducing facial angiofibromas in a human subject. App. Br. 8. Appellants assert that the 0.4% and 0. 8% rapamycin ointments applied to nude mice, as taught by Rauktys, would not have informed one of skill in the art what topical 7 Appeal 2017-007881 Application 13/852, 773 concentration of rapamycin would be effective in treating facial angiofibromas on human skin. Id. We are not persuaded by Appellants' arguments. The obviousness analysis requires that the cited prior art teaches or suggests the limitations of the claims on appeal. See CFMT, Inc. v. Yieldupint'l Corp., 349 F.3d 1333, 1342 (Fed. Cir. 2003). Rauktys teaches that: "there is evidence that systemic treatment with rapamycin or other mTOR inhibitors may be a useful approach to targeted therapy for the kidney and brain manifestations. Here we investigate topical rapamycin in a mouse model for T SC-related tumors." Rauktys Abstr. Rauktys teaches that: "0.4% and 0. 8% rapamycin ointments were applied to nude mice bearing subcutaneous, T SC-related tumors" and that "Topical rapamycin treatment resulted in systemic drug levels within the known therapeutic range." Id. Specifically, Rauktys teaches that: The rapamycin level in whole blood 24 hours after a single 0.8% dose of topical rapamycin was 13.0 ± 2.5 nglml. After a single 0.4% dose the rapamycin level was 5.9 ± 0.5 nglml. These 24 hour levels are within the typical therapeutic range for rapamycin when used for immunosuppression after organ transplantation (3-15 nglml). 48 hour levels were also measured and show that in animals treated with a single 0.4% dose, rapamycin levels dropped below therapeutic range (1. 7 ± 0.9 nglml) while those treated with a single 0.8% dose did not (4.1 ± 2.3 nglml). Rauktys 4--5. Rauktys expressly concludes that: "transdermal delivery of rapamycin is feasible and topical rapamycin should be further investigated as a novel treatment approach for T SC skin disease such as facial angiofibromas." Id. at 7. 8 Appeal 2017-007881 Application 13/852, 773 Claim 1 requires: "a composition comprising no more than about 2% by weight rapamycin." Rauktys teaches application of 0.4 and 0. 8 wt% rapamycin in a "topical vehicle" (see Rauktys 2); both concentrations fall within the recited "no more than about 2% by weight rapamycin." We agree with Appellants that Rauktys teaches that, in the nude mouse model, serum levels exceed the "less than 2 ng/ml" at 24 hours for both 0.4 and 0. 8 wt% and similarly at 48 hours for 0. 8 wt%, though not for 0.4 wt%. Nevertheless, as we explain in the following sections, the knowledge of a person of ordinary skill in this art, as explained at least in part by the Teng Declaration, would have made it obvious to such a skilled artisan that, by altering the dosages of topically applied rapamycin when applied to a human patient, the serum level of rapamycin could be optimized, and thereby satisfy the requirement of the claims. Where a skilled artisan merely pursues "known options" from a "fmite number of identified, predictable solutions," obviousness under § 103 arises. KSRint'l Co. v. Teleflex Inc., 550U.S. 398,421 (2007). Furthermore: "where the general conditions of a claim are disclosed in the prior art, it is not inventive to discover the optimum or workable ranges by routine experimentation." In re Aller, 220 F.2d454, 456 (C.C.P .A. 1955). This rule is limited to cases in which the optimized variable is a "result-effective variable." In re Applied Materials, Inc., 692 F.3d 1289, 1295 (Fed. Cir. 2012) (citing In re Antonie, 559 F.2d 618,620 (C.C.P.A. 1977); see also In re Boesch, 617 F.2d272, 276 (C.C.P.A. 1980) ("[D]iscoveryofanoptimum value of a result effective variable ... is ordinarily within the skill of the art"). Rauktys teaches that the serum concentrations of rapamycin reflect the rapamycin concentration of the topically applied composition; thus, the 9 Appeal 2017-007881 Application 13/852, 773 concentration of topically applied rapamycin is a result effective variable. Consequently, and as we explain further below, we agree with the Examiner that it would be well within the abilities of, and obvious to, a person of ordinary skill in the art to optimize the concentration of the topically-applied rapamycin composition to achieve the claimed results. Issue 2 Appellants next argue that a person of ordinary skill in the art would have had no reasonable expectation of success in reducing facial angiofibromas in humans based on the teachings ofRauktys. App. Br. 8. Analysis Appellants argue that a skilled artisan with knowledge of the teachings of Rauktys would have had no expectation of success that rapamycin, when topically applied to provide a serum level of less than 2 nglml, will reduce facial angiofibromas associated with Tuberous Sclerosis in a human. App. Br. 8. According to Appellants, Rauktys teaches that a topical formulation which provides a systemic blood concentration of rapamycin is necessary for a therapeutic effect. Id. Therefore, assert Appellants, there is no basis in Rauktys to form an expectation that administering rapamycin topically to provide a less than therapeutic blood level would reduce facial angiofibromas. Id. Furthermore, Appellants contend, Rauktys neither teaches nor suggests that such therapeutic results could be achieved afterthreemonths of twice daily, i.e., chronic, topical application. Id. We are not persuaded by Appellants' arguments. The limitations of claim 1 require that, upon administration of less than about 2% rapamycin in 10 Appeal 2017-007881 Application 13/852, 773 a suitable carrier, a serum level of rapamycin is obtained that is less than 2 nglml after the recited administration regimen. Rauktys teaches that 0.4% and 0.8% concentrations ofrapamycin, applied topically, result in serum concentrations that exceed the required serum concentrations of rapamycin in a nude mouse model. We fmd that it would be within the skill of an ordinary artisan to further alter the concentration of the topically-applied rapamycin concentration to reduce the serum rapamycin levels in nude mice. We address Appellants' arguments concerning the differences between transdermal absorption of rapamycin in the nude mouse model and humans, as presented in the Teng Declaration, below. Finally, Rauktys expressly encourages the use of topically-applied rapamycin in humans with facial angiofibromas: "Our data demonstrates [sic] that transdermal delivery of rapamycin is feasible and topical rapamycin should be further investigated as a novel treatment approach for T SC skin disease such as facial angiofibromas." Rauktys 7. We fmd that this teaching of Rauktys, together with the data presented in the reference, would give a person of ordinary skill a reasonable expectation of success in topically applying rapamycin to achieve the serum levels recited in claim 1. Issue 3 Appellants argue that, at the time of filing, it would not have been predictable or foreseeable that topically administering a composition with no more than about 2% rapamycin to a human would reduce facial angiofibromas while having a serum level of rapamycin less than 2 nglml. App. Br. 9. 11 Appeal 2017-007881 Application 13/852, 773 Analysis Appellants point to the Teng Declaration as evidence demonstrating the unexpected therapeutic effects on facial angiofibromas in human skin by low-dose, topical administration of rapamycin over a period of months. App. Br. 9. Appellants contend the Examiner has not adduced evidence sufficient to rebut the evidence presented in the Teng Declaration. Id. at 10. Appellants assert that it was well known in the art that mouse skin is not an optimal equivalent for human skin, because the very thin skin of nude mice provides a relatively poor absorption barrier such that a topically applied therapeutic agent essentially amounts to systemic administration of the agent in the nude mouse. App. Br. 10. Appellants point to Dr. Teng' s statement that: The thickness and the structure of an animal's skin is a significant factor in the rate and extent of topical medication absorption and thus systemic exposure in humans and other animals. There is a near 10 fold difference in the thickness of the skin in nude mice compared to humans.... [T]he very thin skin of nude mice provides a relatively poor absorption barrier such that a topically applied therapeutic agent essentially amounts to systemic administration of the agent in the nude mouse. I further submit that this is confrrmed by the results described in Rauktys. Id. (quoting TengDecl. ,r,r 6-7). Appellants further quote Dr. Teng's Declaration as averring that: [M]y co-inventors and I were also faced with ample literature teaching that rapamycin is too large a molecule to sufficiently penetrate intact human skin to achieve a subcutaneous, therapeutic level. The molecular weight of rapamycin is approximately 914 g/mol, which was generally considered too large to be absorbed through intact human skin. . . . We therefore believed that rapamycin topically applied to intact human skin was highly unlikely to penetrate through the stratum comeum layer and thus unlikely to have much, if any, effect on cutaneous 12 Appeal 2017-007881 Application 13/852, 773 neoplasms. As such, we were very surprised to observe the results we did in the patient described in Example 1 of the '779 application, especially when we further observed that there was no measurable systemic absorption of the rapamycin even after three months of topical application of 1 % rapamycin to approximately 1 % of the body surface area. Id. at 10-11 (quoting TengDecl. ,r 10). (Emphasis omitted). Appellants, relying on these statements in the TengDeclaration, therefore contend that Appellants developed a method for reducing facial angiofibromas by daily, topical administration ofrapamycin, while maintaining less than2 ng/ml ofrapamycin in the serum. App. Br. 11. In addition to reducing facial angiofibromas, Appellants argue, the chronic topical administration does not result in measurable systemic blood levels of rapamycin, thus avoiding the negative effects associated with higher systemic levels of rapamycin. Id. We find the statements of the Teng Declaration insufficient to overcome the Examiner's primafacie conclusion of obviousness. As an initial matter, reviewing Dr. Teng's qualifications, as set forth in the Teng Declaration, we fmd Dr. Teng sufficiently qualified to provide an expert opinion in this matter, and we accord her statements due probative weight. Claim 1 requires: (1) topically applying a composition of less than 2 wt% rapamycin in a suitable carrier, such that; (2) the resulting blood serum level is less than 2 ng/ml after the recited administration regimen. Appellants, relying upon the Teng Declaration, argue that it was well known in the art that there is a near 10-fold difference in permeability between human and nude mouse skin and that a large molecular weight compound such as rapamycin, would have a difficult time permeating such a barrier. We fmd that a person of ordinary skill, familiar with these facts, and 13 Appeal 2017-007881 Application 13/852, 773 knowing that Rauktys teaches that 0.4 and 0. 8 wt% rapamycin compositions, when topically applied to nude mouse skin, produce serum rapamycin concentrations in the range of 1. 7 to 13. 0 nglml, might reasonably expect that applying a concentration of high molecular weight rapamycin of approximately an order of magnitude greater onto human skin, which is at least an order of magnitude more resistant to transdermal penetration, would reasonably produce serum concentrations less than 2. 0 nglml: indeed, even 0 nglml falls within the claimed range. We agree with the Examiner that altering the result effective concentration of topically applied rapamycin to achieve that outcome would be within the skill of a person of ordinary skill to achieve and optimize. See Aller, 220 F.2d at 456. We consequently affirm the Examiner's rejection of the claims. B. Rejection of claims 1-3 and 7-11 over Rauktys and Ormerod Issue 1 Appellants argue that the Examiner erred because Ormerod neither teaches nor suggests topical administration of rapamycin for the treatment of facial angiofibromas, or achieving less than 2 nglml rapamycin in the 14 Appeal 2017-007881 Application 13/852, 773 subject's serum after three months of twice daily administration. App. Br. 12. Analysis Appellants repeat their arguments, presented supra, that the claims on appeal are not obvious over Rauktys and assert that Ormerod fails to cure the alleged deficiencies of Rauktys. App. Br. 12. Appellants argue further that Ormerod teaches a topical formulation of an immunosuppressive macrolide and a permeation modulator to produce a minimal systemic effect. App. Br. 12(citing Ormerod col. 2, 11. 38--47). According to Appellants, Ormerod is directed to the use of topical rapamycin in inflammatory skin diseases, such as psoriasis. Id. ( citing Ormerod col. 1, 11. 9-32). Appellants dispute the Examiner's fmding that Ormerod suggests modifying Rauktys by teaching a desire to minimize the systemic absorption of topical rapamycin. App. Br. 13 (citing Final Act. 10). Appellants assert that this fmding ignores the divergent approaches to therapy taught by Rauktys and Ormerod. Id. First, Appellants argue, there is no basis to assert that the compositions of Ormerod, designed for treating inflammatory skin diseases, would be effective to treat the facial angiofibromas in the mice of Rauktys. Id. According to Appellants, Ormerod is directed to the use of topical rapamycin in inflammatory skin diseases such as psoriasis, which are completely unrelated to non-inflammatory conditions such as facial angiofibromas. Id. Appellants assert that Ormerod teaches only the treatment of psoriasis and fails to teach or suggest treatment for any non- inflammatory conditions, such as facial angiofibromas. Id. 15 Appeal 2017-007881 Application 13/852, 773 Appellants point out that inflammatory skin disease and facial angiofibromas have different disease morphologies and pathogenesis, and, thus, call for different treatment strategies. App. Br. 13. Appellants argue that it was well known in the art that inflammatory skin conditions such as psoriasis disrupt the skin's barrier function and are considered immune dysregulation disorders, whereas facial angiofibromas on the other hand result from uncontrolled cell proliferation and vascular neogenesis and do not have a disrupted skin barrier. Id. ( citing Teng Deel. ,r 12-13 ). Appellants argue further that Ormerod neither teaches nor suggests the limitation of claim 1 requiring serum concentrations less than 2 nglml rapamycin in the subject's serum after three months of twice daily, i.e., chronic, topical administration of less than 2 % rapamycin. App. Br. 14. We are not persuaded by Appellants' arguments. As we have explained in Section A, we conclude that the claims are obvious over Rauktys. Rauktys further teaches that: [T]ransdermal delivery of rapamycin is feasible and topical rapamycin should be further investigated as a novel treatment approach for T SC skin disease such as facial angiofibromas. Furthermore, the utility of topical rapamycin should be further investigated for other skin disorders such as psoriasis, Kaposi's Sarcoma, basal cell carcinoma, and squamous cell carcinoma. Rauktys 7 ( emphasis added). Rauktys thus expressly suggests that topical treatment with rapamycin may be useful in the treatment of both T SC- related facial angiofibroma and psoriasis. This contradicts Appellants' contention that the two conditions and their treatments are wholly unrelated. Ormerod is directed, in relevant part, to: [ A] topical formulation for the treatment of a dermatological condition . . . [that] further comprises a permeation modulator 16 Appeal 2017-007881 Application 13/852, 773 and the permeation modulator and the macrocyclic lactone or macrolide or the biologically active analogue, derivative or pro- drug thereof are present in relative amounts such that when a therapeutic amount is applied to the skin a minimal systemic effect is produced. Ormerod Abstr. The Examiner relies upon Ormerod as providing: "guidance as how to manipulate the absorption rate of topical rapamycin. With the knowledge, it would have been within the purview of ordinary skill in the art to optimize the rate of absorption for an optimal therapeutic efficacy." Final Act. 13. Appellants' claims on appeal are directed to the use of: "a composition comprising no more than about 2% by weight rapamycin and a dermatologically acceptable carrier." The use of the term "comprising" does not prohibit the inclusion of additional elements in the composition. See Crystal Semi conductor Corp. v. Tri Tech Microelectronics Int' l, Inc., 246 F.3d 1336, 1348 (Fed. Cir. 2001) ("Use of the transition 'comprising' in the language of a claim creates a presumption ... that the claim does not exclude additional, unrecited elements"). Consequently, addition of a permeation modulator is within the scope of the claims. Ormerod teaches that its compositions comprising: [T]he permeation modulator and the macrocyclic lactone antibiotic, immunosuppressive macrolide or a pharmacologically active analogue, derivative or pro-drug [ and, expressly, rapamycin] are present in relative amounts such that when a therapeutic amount is applied to the skin, a minimal systemic effect is produced. By the term "minimal systemic effect", [it] is meant that the amount of active principal detectable in the blood stream is preferably less than 0.3 nglnl over 4 to 24 hours after administration, more preferably below 0.1 nglml over the same period. 17 Appeal 2017-007881 Application 13/852, 773 Ormerod col. 2, 11. 42-52. We agree with the Examiner that a person of ordinary skill in the art would be motivated to combine the teachings and suggestions ofRauktys with those of Ormerod to regulate the systemic levels of rapamycin to achieve the minimal systemic effects both taught by Ormerod and required by the claims. Finally, Appellants' argument that Ormerod is not directed to the treatment of T SC-related facial angiofibromas is irrelevant. We have explained above why Rauktys teaches that rapamycin could be an effective treatment for both facial angiofibromas and psoriasis. Ormerod is cited as teaching a permeation modulator to limit the systemic penetration of topically applied rapamycin. "[O]ne cannot show non-obviousness by attacking references individually where ... the rejections are based on combinations of references." In re Keller, 642 F.2d413, 426 (C.C.P.A. 1981). Issue 2 Appellants argue the Examiner erred because the combination of references fails to teach the claimed method. App. Br. 15. Analysis Appellants essentially repeat their arguments presented in Section A supra, and argue that Ormerod fails to cure the alleged deficiencies of Rauktys. See App. Br. 15-17. For the reasons we have explained supra, we do not fmd Appellants' arguments persuasive. We consequently affirm the Examiner's rejection for the reasons discussed above. 18 Appeal 2017-007881 Application 13/852, 773 DECISION The Examiner's rejection of claims 1-3 and 7-11 under35 U.S.C. § 103(a) is affrrmed. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a)(l )(iv). AFFIRMED 19 Copy with citationCopy as parenthetical citation