Ex Parte EL-Naggar et al - Page 2

                 Appeal 2007-2834                                                                                      
                 Application 09/943,048                                                                                

                 (Specification 1).  In contrast, “[f]lavonoids are shown to possess anti-                             
                 inflammatory efficacy without the ulcerogenic side effects” (id.).                                    
                        Treatment of inflammation with COX-2 selective inhibitors is also                              
                 “associated with decreased incidence of adverse gastric events as a result of                         
                 minimal inhibition of gastroprotective COX-1, but with equivalent anti-                               
                 inflammatory benefit through inhibition of COX-2” (id. at 2).  Despite the                            
                 positive aspects of COX-2 inhibitor administration, “recent clinical reports                          
                 suggested increased thrombotic events in patients taking COX[-]2 inhibitors                           
                 suggesting the urgent need for the use of the COX[-]1 inhibitory efficacy of                          
                 aspirin to improve such serious adverse outcome when using COX[-]2                                    
                 inhibitors for long term” (id. at 2-3).                                                               
                        The Specification discloses “a method of preventing thrombotic                                 
                 complications due the long-term use of COX[-]2 inhibitors and to enhance                              
                 its anti-inflammatory and anticancer efficacy by combining it with low dose                           
                 enteric coated aspirin and flavanoids” (id. at 3).                                                    
                                                   DISCUSSION                                                          
                 1.  CLAIMS                                                                                            
                        Claims 10-13, 15, and 18-24 are pending and on appeal.  Claim 18 is                            
                 representative and reads as follows:                                                                  
                        18.  A pharmaceutical composition, comprising a therapeutic                                    
                        composition for treating inflammatory disorders in a mammal,                                   
                        said therapeutic composition comprising: (i) a standard                                        
                        therapeutic dose of a COX[-]2 inhibitor selected from the group                                
                        consisting of celecoxib and rofecoxib; (ii) low dose aspirin in                                
                        an amount of 70-85 mg; and (iii) an antioxidant selected from                                  
                        the group consisting of a flavanoid, a flavonoid, an isoflavone,                               
                        and combinations thereof.                                                                      


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