Roche has received European Commission approval for Herceptin (trastuzumab) for patients with early-stage HER2-positive breast cancer following surgery and chemotherapy. HER2-positive breast cancer affects approximately 20% to 30% of women with breast cancer and has a higher likelihood of relapse. The fast approval was based on results from the international HERA (HERceptin Adjuvant) study which showed Herceptin following standard chemotherapy significantly reduces the risk of cancer coming back by 46% compared to chemotherapy alone.

In HER2-positive breast cancer, increased quantities of the HER2 protein are present on the surface of the tumour cells. This is known as ‘HER2 positivity.’ High levels of HER2 are present in a particularly aggressive form of the disease which responds poorly to chemotherapy. Research shows that HER2-positivity affects approximately 20-30% of women with breast cancer.

Herceptin is a humanised antibody, designed to target and block the function of HER2, a protein produced by a specific gene with cancer-causing potential. In addition to its efficacy in the early-stage breast cancer setting, Herceptin also has demonstrated improved survival in the advanced (metastatic) setting, where its addition to chemotherapy allows patients to live up to one-third longer than chemotherapy alone.

Herceptin received approval in the European Union in 2000 for use in patients with metastatic breast cancer, whose tumours overexpress the HER2 protein. In addition to being indicated for use in combination with docetaxel as a first-line therapy in HER2-positive patients who have not received chemotherapy for their metastatic (advanced) disease, it is also indicated as a first-line therapy in combination with paclitaxel where anthracyclines are unsuitable, and as a single agent in third-line therapy. Herceptin is marketed in the United States by Genentech, in Japan by Chugai and internationally by Roche. Since 1998, Herceptin has been used to treat over 230,000 HER2-positive breast cancer patients worldwide.

In the US, Genentech filed a supplemental Biologic License Application (sBLA) for the use of Herceptin in early-stage HER2-positive breast cancer with the Food and Drug Administration (FDA) on February 15th, 2006. The application is based on data from the combined interim analysis of two large US trials, and Genentech has received a priority review designation.

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Forbes.com reports that Merck is close to obtaining approval for a vaccine against common viruses that lead to cervical cancer. An FDA advisory committee voted 13-0 to approve Merck’s Gardasil, a vaccine that protects against four types of sexually transmitted viruses– two of which are believed to be responsible for about 70% of cervical cancer cases. According to Merck, approval and widespread use of the vaccine could cut worldwide deaths from the disease by two-thirds.

Amid uncertainties regarding the age group for treatment, the extent of the campaign, and how routine pap smear screening will be affected, are some medical concerns. In particular, the FDA has questioned whether the vaccine could make disease progression worse among women already infected and whether the benefit is partly mooted by the fact that the vaccine does not protect against all viral strains linked to cervical cancer. Of further note, the agency is expected to discuss the five congenital defects of children born to women who were vaccinated with Gardasil around the time of conception.

The good news for Merck is that the FDA usually follows the recommendations of its outside panel of experts, who in this case all support approval of the vaccine. The final decision is expected by June 8. The anticipated cost of treatment, administered in three shots over six months is $300-500. According to analysts, this could translate into over a billion dollars in sales. This may be the break Merck needs– approval could help offset mounting legal costs as the company continues to defend against Vioxx lawsuits.

Merck recommends that the vaccine be used for females aged 9 to 26. The Advisory Committee on Immunization Practices is considering these recommendations and whether routine vaccination should be endorsed. GlaxoSmithKline PLC is working on a similar vaccine, hoping to submit it for approval by the end of the year.

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The World Health Organization (WHO) is calling on all medical studies that test treatments on humans to be registered, in order to make research more transparent and enhance the public’s trust in science.

Currently, the registration of clinical trials – scientific studies carried out in human participants – is voluntary. As a result, negative results in the early stages of a drug’s development can be kept secret. The WHO is urging research institutions and companies to register all clinical trials, including the earliest trials, whether they involve patients or healthy volunteers. It made its call as part of the International Clinical Trials Registry Platform, a major initiative aimed at standardizing the way information on medical studies is made available to the public. WHO is also recommending that 20 key details be disclosed at the time studies are begun.

The initiative seeks greater transparency regarding all clinical trials. The planned Registry Platform, however, will not be a register itself, but rather will provide a set of standards for all registers. It has not only standardized what must be reported to register a trial but is creating a global trial identification system that will confer a unique reference number on every qualified trial.

Currently, there are several hundred registers of clinical trials around the world but little coordination among them. Later this year, the WHO Registry Platform will launch a web-based search portal where scientists, patients, doctors and anyone else who is interested can search among participating registers for clinical trials taking place or completed throughout the world.

The issue at the heart of this matter is that selective reporting of trials does occur, and it distorts the body of evidence available for clinical decision making. The thinking is that a large body of collected evidence, consisting of many studies, provides the best basis for changes in medical practice. If certain trials are not revealed, then clinicians do not have all the information necessary to make the best choices. If all trials are registered in a public repository, then everyone in the chain of healthcare can evaluate the entire body of clinical evidence.

However, not everyone agrees this is a good idea. Since the policy will recommend registration of every “interventional study” (i.e. every trial for every intervention, whether marketed or not; whether randomized or not; and whether early phase or late phase), the registration process itself could act as a disincentive for doing many early studies. The information could, at best, be confusing and, at worst, later used as a club against drug companies. Phase I and other early studies have a different scope and purpose that later trials and so the results are not necessarily comparable to a fully prepared study. Since we would never rely on these studies to prove efficacy of a drug, why allow the use of this data against the drug companies?

In addition, there is concern that these new requirements could jeopardize academic or commercial competitive advantages if they apply to preliminary trials of new therapeutics. Similar concerns have been voiced about the requirement to disclose certain items–such as the scientific title of the study, the name of the treatment being tested and the outcomes expected from the study–at the time of registration. These disclosures could prevent drug companies from securing valuable IP rights for new formulations, methods of making the drugs, and new uses of the drugs.

The result is that drug companies may delay or forego certain early studies in favor or fewer, larger studies that will not necessary provide information in the patients’ best interest. More cost, less information. Not the best scenario.

Results reporting

What information does the WHO want out there? Once a trial is registered, full transparency and accountability requires that all of the trial’s results be made available to the public without any bias or selectivity in reporting. At present, there is no formal consensus on international norms and standards for results reporting. The international understanding is as follows:

  • It is understood that trial results databases would be useful for multiple constituencies (clinicians, systematic reviewers, patients, policy-makers) and are intended to complement, not replace, peer-reviewed journal publication
  • Results should be reported in at least as much detail as suggested for the ICH E3 format, with the WHO CT-UID added and the Conclusions heading removed
  • If the results are reported to a database other than the trial register(s) for the trial, there should be mutual links between the results database and the trial register(s)
  • Results should be available with at least an English summary, and should be available without charge (i.e., open access)
  • As a general standard, trial results should be disclosed within one year of study completion (“study completion” to be defined)
  • The sponsor/funder is responsible for ensuring that results are reported, unless the trial is unfunded, in which case the primary investigator is responsible.

We hope to see further discussion on this matter and better guidelines on which trials and information should be disclosed.

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Kevin Heller over at Tech Law Advisor provides a special showcase this week for Blawg Review #58. The presentation provides everything from must-reads to classifieds.

I was especially interested in Midwifery Miscellaneous by the Mommy Blogger. After using a midwife to help with the birth of our three children, our midwives’ practice is now closing due to the cost of malpractice insurance, which more than tripled between 2004 and 2006. There is a definite need for people who support independent midwifery and healthcare options.

We also enjoyed Lack of Scienter’s musings on whether or not she can get away with wearing gauchos to work (the answer seems to be “Yes“, “No” and “Don’t even get me started on culottes! “).

In other news, the Baristas will be back for an encore presentation of Blawg Review in October. We’re looking forward to it.

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Earlier, the Baristas had a post from Patent Baristas featured in the newly launched BlawgWorld 2006: Capital of Big Ideas, an eBook sampler of 51 of the most influential law blogs (blawgs). BlawgWorld is published by TechnoLawyer, a publisher of various e-mail newsletters for the legal marketplace. The Barista article, “Misconduct (and Not Just Scientific) is a Problem for Everyone,” provided a discussion of recent allegations of misconduct by U.S. researchers in light of a survey showing one in three researchers admitted to some type of professional misbehavior.

See the Patent Baristas Sampler article here.

Now, BlawgWorld is available free in its entirety just by clicking on the link here.

The is a direct link to the eBook, which means readers can download it without joining TechnoLawyer. Although, we recommend that you join TechnoLawyer using the BlawgWorld home page, and check out their legal newsletters. We especially like Fat Friday, a weekly newsletter that enables TechnoLawyer members to discuss any legal technology or practice management issue on their mind.

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Acambis, a UK biotechnology company, is fighting a patent-infringement lawsuit that may bar it from a $1.9bn contract to provide smallpox vaccines to the US government. Acambis is bidding for a US Government contract to supply an emergency-use stockpile of MVA.

Currently, the company is fighting a three-front battle with Danish vaccine maker Bavarian Nordic, which alleges that Acambis’ MVA vaccine infringes its treatment, which is based on the same smallpox strain.

First, Bavarian Nordic is seeking an exclusion order in an International Trade Commission (ITC) trial, which would in effect stop any vaccines at the border. The MVA vaccine is potentially a major product. Together with Baxter, Acambis submitted a bid for a US Government stockpiling contract for MVA in October 2005 in response to a Request for Proposals issued by the Department of Health and Human Services for making up to 20 million doses of MVA and advanced clinical testing up to and including obtaining a product license. It also includes options for the purchase of up to 60 million additional doses of MVA and warm-base manufacturing over the longer term.

Second, Acambis has filed an opposition to European Patent No. 1335987 issued to Bavarian Nordic A/S (Bavarian Nordic) on 28 December 2005 by the European Patent Office. The patent relates to Bavarian Nordic’s MVA technology, MVA-BN®. MVA is an attenuated smallpox vaccine, Modified Vaccinia Ankara, which has been used in Europe since the late 1970s. Acambis opposes the patent on the grounds that the patent is invalid. Acambis’ partner, Baxter Healthcare SA, which manufactures Acambis’ MVA vaccine, MVA3000, in Austria, has also filed an opposition to the European patent on the grounds that the patent is invalid.

And third, Bavarian Nordic has filed suit against Acambis in the US alleging that Acambis has used its trade secrets in developing MVA3000 and that it is infringing its patents. Acambis says the allegations are without foundation. A further suit was filed in Austria in February 2006. BN alleges that we have used its trade secrets in the development of our MVA3000 vaccine and that we are infringing its patents.

Acambis’ view is that BN’s patents are invalid and unenforceable believing it can show evidence that MVA-BN is not novel, that the patent is unenforceable through lack of enablement, that BN failed to provide the US Patent and Trademark Office with prior art related to its patent claims; and that the patents rely on scant scientific evidence. Acambis stated that MVA-BN is not novel because all MVA viruses, including MVA-BN and prior art strains, have similar replication characteristics.

On the question of the use of misappropriation, Acambis contends that Dr. Mayr of BN provided an MVA strain to the NIH/NIAID and the NIAID then provided a version of that strain to Acambis for use as the basis of MVA3000. Dr. Mayr did not place in writing any restriction on the NIH’s use of the transferred MVA virus and did not restrict the use of the MVA strain he provided to the NIH. When the NIH released its first RFP, it made the NIH MVA strain publicly available, stating that “collaborative opportunities from NIAID are available to all legitimate parties and include: the availability of a master seed stock of MVA from NIAID…”. Acambis requested and received the NIH MVA under a Material Transfer Agreement that granted Acambis “worldwide, non-exclusive rights to make, have made, and use” the NIH MVA “to sell and have sold, and to offer to sell Commercial Products in the Field of Use of Smallpox Vaccines”. During the procurement process for the first MVA contract, although it did not undertake a comprehensive review of intellectual property in the MVA field and encouraged us to undertake our own analysis, the NIAID stated that “prior to distribution of the material NIAID determined that it is within its rights to transfer the material to other parties”.

More here.

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The open source movement, called the Biological Innovation for an Open Society (BIOS), was initiative by molecular geneticist Dr. Richard Jefferson, founder and CEO of the CAMBIA (Centre for the Application of Molecular Biology to International Agriculture) in Canberra. BIOS is an attempt to establish an open-source technology movement in the biotechnology industry, similar to the computing industry’s open-source software movement.

BIOS provides biotechnology with its own free ‘operating system’: a public-domain toolkit and associated patents, aimed at freeing researchers worldwide to innovate without restriction, and without being forced into partnerships or unfavorable royalty agreements. They have developed a core toolkit of patented techniques that will expand into a protected ‘commons’, protected by licenses and other contracts, as biotechnology researchers and agencies around the world contribute new ideas and refinements..

Now, CAMBIA and BIOS have announced the creation of an open-access patent database collating IP data from several national patent offices called CAMBIA Patent Lens. The patent informatics and analysis component of the BiOS Initiative aims to assist in navigation of the intellectual property landscape, particularly within the life sciences, by making it more transparent.

From Patent Lens:

Why are we doing this?

The patent system was created to advance societal benefit by encouraging public disclosure of inventions and clear definition of each invention, in exchange for a strictly limited monopoly. The invention may be used wherever the patent monopoly is not in force (for example when it has expired or where it was not granted, or in technology to which the patent claims do not extend). Patent informatics tools can assist the user to determine the boundaries of intellectual property constraints on deliverable innovations, and usable building blocks for future innovations.

What can be searched?

The Patent Lens resource comprises a fully text-searchable patents database, containing over 5,500,000 patents and patent applications from the PCT, US, and EPO databases. We have the life sciences collections from these jurisdictions and have recently added all patent classifications from the US applications and granted patents. We will be expanding to all classifications in the EPO and PCT collections within the next few months.

We receive regular updates of additional patents and patent applications by subscriptions from national patent offices and WIPO. We would like to include patents and patent applications from additional classifications and jurisdictions. If your jurisdiction of interest is not included, you may want to contact the patent office in that jurisdiction to suggest the information be provided to the Patent Lens.

The CAMBIA-BiOS patent search resource also includes a user interface to search INPADOC patent family information provided by the national patent offices of over 70 countries, as well as status information provided by many of these countries. Once you have searched the patent and patent application database and identified patents of interest, a link on the search results page will allow you to obtain status information, if any is available, for the patent documents related to those you select. Although the INPADOC information that patent offices provide is not always up to date and complete, this can help to give an idea whether a patent application related to one of interest was filed in other countries, and possibly whether patents are in force or applications are still pending. Further information on a patent or patent application in a particular country of interest (which may have different claims pending or allowed than the parent application, depending on that country’s laws) may then be obtainable from that country’s patent office.

See more here.

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Amgen has filed a complaint for declaratory judgment of patent invalidity and non-infringement in the United States District Court for the District of Delaware (Amgen et al. v. Ariad Pharmaceuticals). Amgen is seeking a declaratory judgment that each of the claims contained in U.S. Patent No. 6,410,516 (‘516 Patent”) covering methods of treating human disease by regulating NF-κβ cell-signaling activity are invalid and that Amgen and its affiliated entities have not infringed any claims of the ‘516 Patent based on activities related to the products, Enbrel(R) and Kineret(R).

Earlier, Eli Lilly and Company lost a jury trial in the U.S. District Court of Massachusetts in Boston in a decision in the case of Ariad Pharmaceuticals et al. v. Eli Lilly and Company. The Jury handed down a verdict that U.S. Patent No. 6,410,516, owned by Harvard, the Massachusetts Institute of Technology, and the Whitehead Institute and licensed to Ariad Pharmaceuticals, is valid and infringed by Lilly’s sale of Evista® and Xigris®.

The ‘516 patent claims methods of treating disease by regulating a family of molecules known as NF-κβ. While Ariad contends that the patent covers all means for modulating the NF-κβ pathway, Lilly’s contention is that it discovered the drugs in question, Evista and Xigris and disclosed their medicinal properties years before the patentees’ scientists made their discovery.

The ‘516 patent issued from U.S. Patent Application Ser. No. 08/464,364 (‘364 application), filed June 5, 1995. Ariad asserts that the claims of the ‘516 patent cover “methods of treating human disease by regulating NF-κβ activity,” “methods of treating disease by inhibiting NF-κβ,” and “methods useful for treating various disease conditions through modulation of NF-κβ activity.”

Now, Amgen is seeking a determination on its Enbrel® product (etanercept), a human therapeutic product developed by Immunex through its research on lymphokines and the immune system, and its Kineret® product (anakinra), a human therapeutic product developed by Amgen through its research on lymphokines and the immune system. Obviously, Amgen is concerned that these might infringe one or more claims of the ‘516 patent.

A separate bench trial with the U.S. District Court of Massachusetts will be held on Lilly’s contention that the patent is unenforceable and will also consider the patent’s improper coverage of natural processes. In June 2005, the U.S. Patent and Trademark Office commenced a reexamination of the patent (Reexam. C.N. 90/007,503). The reexamination is currently in progress although the USPTO has not issued any substantive action.

The ‘516 patent claims are directed to methods of reducing or otherwise modifying the naturally occurring transcription factor NF-κβ activity in cells affecting gene expression:

Claim 1. A method of inhibiting expression, in a eukaryotic cell, of a gene whose transcription is regulated by NF-κβ, the method comprising reducing NF-κβ activity in the cell such that the expression of said gene is inhibited.

Claim 203. A method of inhibiting expression, in a mammalian cell, of a gene whose transcriptional activity is activated by binding of NF-κβ to said gene, comprising introducing a nucleic acid decoy molecule into the cell in an amount sufficient to inhibit expression of the gene, which decoy includes a NF-κβ binding site that binds NF-κβ.

In the reexam, the USPTO has asserted that there exists a substantial new question of patentability for claims 1-203 of the ‘516 patent. The patent at issue has a very long history. Application 08/464,364 (filed 6/5/95) issued US Pat. No. 6,410,516 is a divisional of 08/418,266 (filed 4/6/95) issued as US Pat. No. 5,804,374, which is a continuation of 07/791,898 (filed 11/13/91; abandoned 5/16/95); which is a CIP of 06/946,365 (filed 12/24/86) and a CIP of 07/341,436 filed 04/21/1989, a CIP of 07/280,173 filed 12/05/1988, a CIP of 07/318,901 filed 03/03/1989, a CIP of 07/162,680 filed 03/01/1988, a CIP of 07/155,207 filed 02/12/1988, and a CIP of 06/817,441 filed 01/09/1986.

However, for priority, the USPTO contends that the above-identified CIP applications (e.g. original specification and original claims) fail to adequately describe and/or enable the methods of the reexamination patent claims and are entitled to the filing date (e.g. 11/13/91) of continuation application 07/791,898 for purposes of prior art.

For example, the pre-November 1991 applications fail to disclose:

  1. an amino acid or nucleic acid sequence corresponding to NF- κβ;
  2. an NF- κβ inhibitor. The 07/341,436 although mentioning nucleic acid decoy molecules fails
  3. to disclose sequences thereof or a means of delivering these molecules for in vivo use.
  4. support for the ‘516 patent claim limitations including (but not limited to): “reducing NF-κβ activity” in a cell (e.g. mammalian/eukaryotic) and/or an enabling means thereof (e.g. administering a NF-κβ inhibitor) to effect various functions (e.g. inhibit expression generally, reduce cytokine expression etc.) as required in all the claims; reduce binding of NF-κβ to NF-κβ recognition sites on genes which are transcriptionally regulated by NF-Iκβ” (e.g., claims 25,36,47,69,80,93,144, and 154); inhibiting modification of an LcB protein, which modification otherwise reduces 1KB binding to NF-κβ (e.g., claims 22,33, and 44); inhibiting degradation of an Iκβ protein (e.g., claims 23,34, and 45); inhibiting dissociation of NF-κβ:Iκβ complexes (e.g., claims 24,35, and 46).

The Examiner also notes that the failure of the 06/946,365 (filed 12/24/86) (ABN: 3/24/92) application to satisfy 35 USC 112, first paragraph would render the 07/162,680; 07/155,207 and 06/817,441 applications unavailable for 35 USC 120 priority because they would not be co-pending with the 07/791,898 (filed 11/13/91) application. Even then, the Griffith document (with Holschermann et al as evidence of inherency in which its publication date is not critical), establishes a substantial new question of patentability which predates the earliest possible assertion of 35 USC 120 priority (e.g. CIP of 06/817,441 01/09/1986).

The Examiner cited the following pertinent references stating:

  • Bielinska et al.(e.g. at pages 197-198 and Fig. 1) disclose the use of nucleic acid decoy molecules to inhibit NF-κβ-dependent expression of a reporter gene in clone 13 B-lymphoblastoid cells. It is agreed that consideration of the newly cited Bielinska et al. document raises a substantial new question of patentability over the claims of the Baltimore patent since there is a substantial likelihood that a reasonable examiner would consider the teaching of this reference important in deciding whether or not the Baltimore patent claims are patentable
  • As pointed out on pages 10-11 of the request, Tanaka et al. (e.g. at pages 3070,3072 and Figures 3 and 4) disclose the use of decoy molecules (e.g. phosphorothionates containing an NF-κβ recognition/binding sequence) to inhibit NF-κβ -dependent expression of a reporter gene in HeLa cells. It is agreed that consideration of the newly cited Tanaka et al. document raises a substantial new question of patentability ^ to the Baltimore patent claims since there is a substantial likelihood that a reasonable examiner would consider the teaching of this reference important in deciding whether or not the Baltimore patent claims are patentable
  • As pointed out on pages 12-14 of the request, Eck et al. (e.g. at pages 6530-32;Figures 2, 4 and 6) disclose the use of double-stranded phosphorothionate oligonucleotides (denoted KB-PTs) containing the NF-κβ binding sequence, GGGACTTTTCC, which specifically inhibits NF-KB-mediated transcription. It is agreed that consideration of the newly cited Eck et al. document raises a substantial new question of patentability as to the Baltimore patent claims since there is a substantial likelihood that a reasonable examiner would consider the teaching of this reference important in deciding whether or not the Baltimore patent claims are patentable
  • As pointed out on pages 15-16 of the request, Staal et al. (e.g. see Abstract; page 9945; Figures 4-5) disclose a method of inhibiting TNF-a by blocking NF-κβ activation in mammalian cells (e.g. Jurkat cells) by administration of N-acetyl-L-cysteine (NAC). It is agreed that consideration of the newly cited Staal et al. document raises a substantial new question of patentability as to the Baltimore patent claims since there is a substantial likelihood that a reasonable examiner would consider the teaching of this reference important in deciding whether or not the Baltimore patent claims are patentable
  • As pointed out on pages 16-17 of the request, Schreck et al. (e.g. see Abstract, pages 1181,1186-1187; Figures 3 and 6) disclose blocking NF-κβ activation by suppressing NF-κβ dissociation from its inhibitor 1KB in IL-1 and TNF-a stimulated Jurkat cells by administration of dithiocarbamates and metal chelators. It is agreed that consideration of the newly cited Schreck et al. document raises a substantial new question of patentability as to the Baltimore patent claims since there is a substantial likelihood that a reasonable examiner would consider the teaching of this reference important in deciding whether or not the Baltimore patent claims are patentable.
  • As pointed out on pages 17-18 of the request, the Baldwin and Sharp reference disclose (e.g. pages 724-725; Fig. 2) the use of various DNA probes to compete for NF-κβ binding in nuclear extracts of various mammalian cell types. Additionally, as pointed out on page 19 of the request, the Schorpp et al., Li et al. and Hai et al. references teach that an oligonucleotides that specifically and competitively binds a transcription factor would reduce expression of a gene controlled by the transcription factor. Further, as pointed out on page 19 of the request, Chu et al. teaches methods for transfection of oligonucleotides (e.g. DNA) into eukaryotic cells, which once introduced into cells, readily enter the nucleus through pores. See Molecular Biology of THE CELL at p.423. It is agreed that consideration of the combined teaching of the newly cited Baldwin and Sharp,. Schorpp et al., Li et al., Hai et al., Chu et al. and Molecular Biology of THE CELL documents raise a substantial new question of patentability as to the Baltimore patent claims since there is a substantial likelihood that a reasonable examiner would consider the combined teaching of these references important in deciding whether or not the Baltimore patent claims are patentable.
  • Griffith et al. teach (e.g. see abstract) the administration of cyclosporin to cardiac transplant plantations. Holschermann et al teach (e.g. see page 4236, left column; Fig. 4) that the administration of cyclosporin to cardiac patients (as taught by Griffith et al.) necessarily (e.g. inherently) results in reduced NF- κβ activity. Consideration of the newly cited Griffith et al. and Ho’lschermann et al. documents would raise a substantial new question of patentability as to the ‘516 patent claims since there is a substantial likelihood that a reasonable examiner would consider the teaching of the Griffith et al. reference in view of the Holschermann et al. document (as evidence of the Griffith reference method’s reduction of NF-κβ activity) important in deciding whether or not the ‘516 patent claims are patentable.
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