Ex Parte Belanoff - Page 4

                Appeal  2007-1155                                                                                
                Application 10/230,575                                                                           
                providing methods of administering glucocorticoid receptor antagonists to                        
                improve cognitive function in DS patients” (Specification 4: ¶ 10).                              

                OBVIOUSNESS:                                                                                     
                       Claims 1-15 stand rejected under 35 U.S.C § 103(a) as unpatentable                        
                over the combination of Schatzberg ‘596 and Sekijima.  Claim 1 is directed                       
                to a method of inhibiting cognitive deterioration in an adult patient with                       
                Down’s syndrome but without dementia. Claims 2-15 ultimately depend                              
                from claim 1.  The claimed method comprises the single step of                                   
                administering a glucocorticoid receptor antagonist to an adult patient with                      
                Down’s syndrome, but without dementia, in an amount that is effective to                         
                inhibit cognitive deterioration.  According to Appellant’s Specification,                        
                “dementia was previously known to be treated by glucocorticoid                                   
                antagonists” (Specification 12: ¶ 43).  Therefore, “Down syndrome patients                       
                with dementia are outside the scope of this invention” (id.).  In this regard,                   
                we recognize that the claim method requires that the patient must not                            
                otherwise be in need of treatment with a glucocorticoid receptor antagonist.                     
                       Appellant’s Specification defines the term “dementia” according to                        
                the “American Psychiatric Association: Diagnostic and Statistical Manual of                      
                Mental Disorders, Fourth Edition [(DSM-IV)] . . . as characterized by                            
                multiple cognitive deficits that include impairments in memory . . .”                            
                (Specification 6: ¶ 22).  In contrast, “[t]he term ‘cognitive deterioration’                     
                refers to a loss of ability to remember concrete facts (names or objects) or to                  
                solve logical problems” (Specification 6: ¶ 21).  According to Appellant’s                       
                Specification, “[w]here cognitive deterioration in adults with DS is severe,                     
                patients may meet the criteria for clinical dementia, as set forth in the DSM-                   

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