Ex Parte Hill et al - Page 3



            Appeal No. 2003-1019                                                          Page 3              
            Application No. 09/524,132                                                                        
                   Townsend, the PDR and the FDA Memorandum.                                                  
                   We reverse each of these rejections.                                                       
                                               BACKGROUND                                                     
                   Premarin® (conjugated estrogens, USP)[, derived from the urine of                          
                   pregnant mares,] has been known to contain a mixture of estrogens                          
                   obtained exclusively from natural sources, occurring as the sodium salts of                
                   water-soluble estrogen sulfates blended to represent the average                           
                   composition of material derived from pregnant mares’ urine . . . [and] is                  
                   generally believed to contain a number of estrogenic compounds.                            
                   However, despite numerous attempts to characterize Premarin® [ ] over                      
                   the past several decades, the essential estrogenic compounds present in                    
                   Premarin® [ ] have remained a mystery.                                                     
            Specification, pages 1-2.                                                                         
                   According to appellants, however, “the essential estrogenic compounds present              
            in naturally derived equine conjugated estrogens have now been determined”                        
            (specification, page 4), using “[t]wo fundamental criteria” (specification, page 14).  First,     
            components of Premarin® “with a [lot-to-lot] variability of ± 50% were eliminated” from           
            consideration as essential components (id., page 15); second, “[a] structure-function             
            approach to defining estrogenicity was taken” (id.) in order to avoid the conflicting             
            results observed in various biological assays and estrogen receptor binding assays “due           
            to differences in tissue-specific responses[,] metabolic activation or degradation of             
            specific estrogens,” and “the existence of at least two receptor subtypes” (id.).                 
            Consequently, “essential estrogenic compounds” present in Premarin® and other                     
            conjugated estrogen preparations obtained from natural sources were “defined as                   
            estrogenic compounds that are consistent and controlled (i.e. less than +/- 50%                   
            variation between lots), are present in concentrations >0.1% by weight of the mixture of          
            estrogenic compounds, and have a chemical structure that has the potential to have a              
            meaningful estrogenic activity (i.e. has a phenolic A ring (at carbon 3) and a $-hydroxyl         




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