Prosecution Insights
Last updated: April 19, 2026
Application No. 16/975,877

CHITINASE PROTEINS IN NEUROLOGIC DISEASE

Non-Final OA §101§102§103§112§DP
Filed
Aug 26, 2020
Examiner
OGUNTADE, ELIZABETH BISOLA
Art Unit
1677
Tech Center
1600 — Biotechnology & Organic Chemistry
Assignee
Dignity Health
OA Round
3 (Non-Final)
0%
Grant Probability
At Risk
3-4
OA Rounds
3y 2m
To Grant
0%
With Interview

Examiner Intelligence

Grants only 0% of cases
0%
Career Allow Rate
0 granted / 1 resolved
-60.0% vs TC avg
Minimal +0% lift
Without
With
+0.0%
Interview Lift
resolved cases with interview
Typical timeline
3y 2m
Avg Prosecution
11 currently pending
Career history
12
Total Applications
across all art units

Statute-Specific Performance

§101
6.3%
-33.7% vs TC avg
§103
36.3%
-3.7% vs TC avg
§102
18.8%
-21.2% vs TC avg
§112
28.8%
-11.2% vs TC avg
Black line = Tech Center average estimate • Based on career data from 1 resolved cases

Office Action

§101 §102 §103 §112 §DP
Notice of Pre-AIA or AIA Status The present application, filed on or after March 16, 2013, is being examined under the first inventor to file provisions of the AIA . Continued Examination Under 37 CFR 1.114 A request for continued examination (RCE) under 37 CFR 1.114, including the fee set forth in 37 CFR 1.17(e), was filed in this application after final rejection. Since this application is eligible for continued examination under 37 CFR 1.114, and the fee set forth in 37 CFR 1.17(e) has been timely paid, the finality of the previous Office action has been withdrawn pursuant to 37 CFR 1.114. Applicant's submission filed on 10/31/2025 has been entered. Status of the Claims Claims 1, 4-6, and 29-41 are pending. Claim 1 is amended to clarify the claimed subject matter. Claims 2-3 and 7-28 were canceled during previous prosecution. Claims 29-41 are newly added. Claims 1, 4-6, and 29-41 are examined herein. Priority The present application, filed 10/31/2025 is an RCE of U.S. Patent Application 16/975,877, filed 08/26/2020, which is a 371 of PCT/US2019/019671, filed 02/26/2019, which claims benefit of U.S. Provisional Patent Applications 62/634,984 and 62/639,273, filed 02/26/2018 and 03/06/2018 respectively. The benefit is acknowledged and the claims examined herein are treated as having an effective filing date of 02/26/2018. Information Disclosure Statement The Information Disclosure Statement(s) filed 01/23/2025 are acknowledged and have been considered. Specification The disclosure is objected to because of the following informalities: The abstract contains a grammatical error. In line 6 of the abstract, the phrase “a one or more chitinase proteins” should read “one or more chitinase proteins.” Appropriate correction is required. In paragraph [0027] of the specification, the text discusses subject matter that corresponds to Figures 3A and 3B, but does not explicitly identify or reference Figures 3A and 3B by number. Figures 3A and 3B themselves are present in the drawings and are properly labeled, but the omission occurs in the specification text, not in the drawings. Appropriate correction is required. Claim Rejections - 35 USC § 112 The following is a quotation of 35 U.S.C. 112(b): (b) CONCLUSION.—The specification shall conclude with one or more claims particularly pointing out and distinctly claiming the subject matter which the inventor or a joint inventor regards as the invention. The following is a quotation of 35 U.S.C. 112 (pre-AIA ), second paragraph: The specification shall conclude with one or more claims particularly pointing out and distinctly claiming the subject matter which the applicant regards as his invention. Claims 31, 32, 37, and 38 are rejected under 35 U.S.C. 112(b) or 35 U.S.C. 112 (pre-AIA ), second paragraph, as being indefinite for failing to particularly point out and distinctly claim the subject matter which the inventor or a joint inventor (or for applications subject to pre-AIA 35 U.S.C. 112, the applicant), regards as the invention. The term “at least about” in claims 31, 32, 37, and 38 is a relative term which renders the claim indefinite. The term is not defined by the claim, the specification does not provide a standard for ascertaining the requisite degree, and one of ordinary skill in the art would not be reasonably apprised of the scope of the invention. In particular, the term “at least about” poses to be problematic because it combines a minimum threshold (“at least”) with an undefined approximation (“about”). Since “about” commonly includes values both above and below the stated number, the claims fail to clearly define where the lower boundary lies. For example, it is unclear whether the following concentrations would satisfy “at least about 28 ng/mL” in Claims 31 and 37: 27.9 ng/mL, 27 ng/mL, or 25 ng/mL. Likewise, it is unclear whether “at least about 390 ng/mL” in Claims 32 and 38 includes values such as: 389 ng/mL, 380 ng/mL, or 360 ng/mL. Since the claims do not specify how far below the stated values the term “about” extends, a person having ordinary skill in the art (PHOSITA) cannot determine with reasonable certainty whether a given concentration meets or falls outside the claimed threshold. Although a term of degree may be definite if the specification provides guidance sufficient to inform a PHOSITA its scope, the present specification does not supply such guidance. Specifically, the specification does not specify acceptable measurement uncertainty at the recited concentration levels, or otherwise provide an objective standard for determining whether a measured value satisfies the “at least about” limitation. Due to the absence of such guidance, the scope of Claims 31, 32, 37, and 38 remains ambiguous. For purposes of compact prosecution, these claims will be interpreted to encompass any biomarker concentration that is approximately equal to, slightly below, or greater than the recited numerical value, without a clearly defined lower boundary, as the term “about” is not objectively limited by the claims or specification. Appropriate correction is required. Claim Rejections - 35 USC § 101 35 U.S.C. 101 reads as follows: Whoever invents or discovers any new and useful process, machine, manufacture, or composition of matter, or any new and useful improvement thereof, may obtain a patent therefor, subject to the conditions and requirements of this title. Claims 1, 4-6, and 29-41 are rejected under 35 U.S.C. 101 because the claimed invention is directed to a judicial exception, specifically a law of nature (a natural correlation between chitinase biomarker concentrations and ALS progression) and an abstract idea (mental processes of evaluation and diagnosis). The claims do not integrate the judicial exception into a practical application and do not include additional elements sufficient to amount to significantly more than the judicial exception itself. This rejection is made in accordance with Patent Subject Matter Eligibility as set forth in MPEP §2106. Analysis of subject-matter eligibility under 35 U.S.C. §101 requires consideration under these steps as followed: Step 1: Are the claims to a statutory category (process, machine, manufacture, or composition of matter)? Step 2A (Prong 1): Are the claims directed to a judicial exception (law of nature, natural phenomenon, or an abstract idea)? Step 2A (Prong 2): Do the claims recite additional elements that integrate the judicial exception into a practical application? Step 2B: Do the claims recite additional elements that amount to significantly more than the judicial exception (inventive concept)? Step 1 – Statutory Category (Refer to MPEP §2106.03): Claims 1, 4-6, and 29-41 are drawn to a process, which fall within a statutory category under 35 U.S.C. §101. Step 2A, Prong One – Recitation of a Judicial Exception (Refer to MPEP §2106.04): According to MPEP §2106.04(b), a concept that have been held by the courts to constitute law of nature/natural phenomena, wherein the correlation between the presence of myeloperoxidase in a bodily sample (such as blood or plasma) and cardiovascular disease risk based on Cleveland Clinic Foundation v. True Health Diagnostics, LLC. Claim 1 states “a method of categorizing for treatment a subject suspected of having or at risk of having Amyotrophic Lateral Sclerosis (ALS)” and “wherein an increased concentration of Chit-1 in the biological fluid sample relative to a control concentration of Chit-1, CHI3L1, or both obtained from a control biological fluid sample is indicative of fast progressing ALS in the subject and the subject is confirmed as a candidate for a neurologic treatment.” Here, claim 1 recites a naturally occurring correlation between chitinase biomarker concentration and ALS progression. This relationship exists in nature independent of human action and therefore constitutes a law of nature. Furthermore, in MPEP §2106.04(a), the courts consider mental processes (thinking) that can be performed in the human mind to be an abstract idea. Examples of mental processes include observations, evaluations, judgments, and opinions. Hence, claim 1 recites mental processes of the following: evaluating information, making a classification, and drawing a diagnostic conclusion. These actions can be performed in the human mind or by a human using a pen and paper, constituting an abstract idea. Claims 4-6 are dependent of Claim 1 and add limitations specifying: “wherein recovery by the immunoassay to determine the concentration of Chit-1 is at least 70%, at least 80%, at least 90%, or at least 95%” (Claim 4), “wherein inter-assay variability of the immunoassay to determine the concentration of Chit-1 is less than 11%” (Claim 5), “wherein intra-assay variability of the immunoassay to determine the concentration of Chit-1 is less than 6%” (Claim 6). These claims retain the same natural correlation and mental evaluation steps recited in Claim 1. Indicating assay performance/validation parameters and revealing assay precision/repeatability metrics does not remove the claims from the recited judicial exceptions. Accordingly, claims 4-6 each recite a law of nature and an abstract idea. Also, claims 29-41 are dependent of Claim 1 and add limitations specifying: “wherein the immunoassay comprises a goat anti-human Chit-1 antibody, and a goat anti-mouse IgG-HRP conjugate” (Claim 29), “wherein the immunoassay is performed with a Tris-based buffer solution comprising sodium chloride, ProClin 300, and BSA at a pH of 7.6” (Claim 30), “wherein a Chit-1 concentration of at least about 28 ng/ml in the biological fluid sample of the subject is indicative of fast progressing ALS” (Claim 31), “wherein a CHI3L1 concentration of at least about 390 ng/mL in the biological fluid sample of the subject is indicative of fast progressing ALS” (Claim 32), “determining a concentration of phosphorylated neurofilament heavy chain (pNFH) in the biological fluid sample” (Claim 33), “wherein correlation between increased Chit-1 and increased pNFH indicates neuroinflammation linked to ALS progression” (Claim 34), “determining a concentration of CHI3L2 in the biological fluid sample” (Claim 35), “wherein an increased CHI3L2 concentration is indicative of microglial activation,” (Claim 36), “wherein the subject's baseline Chit-1 concentration is at least about 28 ng/mL” (Claim 37), “wherein the subject's baseline CHI3L1 concentration is at least about 390 ng/mL,” (Claim 38), “wherein a decreased or maintained Chit-1 concentration during a treatment period is indicative of therapeutic efficacy,” (Claim 39), “wherein determining an increased concentration of Chit-1 distinguishes ALS from other neurological diseases selected from Alzheimer's disease, Parkinson's disease, multiple sclerosis, or neuropathy” (Claim 40), “wherein the immunoassay is capable of differentiating a bulbar-onset ALS subtype from a limb-onset ALS subtype., and the Chit-1 concentration differentiates the onset subtype” (Claim 41). Again, these claims retain the same natural correlation and mental evaluation steps recited in Claim 1. The added limitations in these dependent claims are largely reagent/buffer details, additional biomarker-based classification correlations, numeric baseline thresholds, and interpretive conclusions does not remove the judicial exceptions from the claims. Therefore, claims 29-41 each recite a law of nature and an abstract idea. Step 2A, Prong Two – Integration into a Practical Application (Refer to MPEP §2106.04 (d)): The additional elements recited in Claim 1 include: “performing an immunoassay to determine a concentration of Chitinase 1 (Chit-1), Chitinase-3 like-protein-1 (CHI3L1), or both”; “wherein the immunoassay is a sandwich enzyme-linked immunosorbent assay (ELISA)”; “wherein the biological fluid sample is cerebrospinal fluid (CSF)”; and “wherein the limit of detection of the immunoassay for Chit-1 and/or CHI3L1 is less than about 0.08 ng/mL.” These additional elements merely describe how data is acquired so that the judicial exceptions (the natural correlation and mental diagnosis) may be evaluated. The immunoassay, ELISA format, sample type, and assay sensitivity function as data-gathering steps that supply input to the natural correlation and diagnostic inference. Hence, Claim 1 does not integrate the judicial exception into a practical application. On the other hand, MPEP §2106.04(d)(1) indicates that one way to demonstrate such integration is when the claimed invention improves the functioning of a computer or improves another technology or technology field. Although [0061] of the specifications states that “in one aspect, an improved immunoassay for detecting a chitinase protein is a sandwich enzyme linked immunosorbent assay (ELISA). Improvements over commercially available ELISA’s for chitinases include use of preferred capture antibodies and detection antibodies, and improved buffers, washes and washing agents,” MPEP §2106.04(d)(1) further highlights that if the specification sets forth an improvement in technology, the claim must be evaluated to ensure that the claim itself reflects the disclosed improvement. That is, the claim includes the components or steps of the invention that provide the improvement described in the specification. Here, claim 1 does not recite the “improved” features from the specifications. Accordingly, those improvements cannot be considered when determining whether the claim integrates the judicial exception into a practical application. The additional elements of claim 1 merely recite performing a sandwich ELISA to obtain biomarker data, which is then evaluated to determine what the data “is indicative of.” Such data-gathering and diagnostic evaluation do not integrate the judicial exception in to a practical application. Furthermore, MPEP §2106.04(d)(2) indicates that another way to demonstrate such integration is when the additional elements apply or use the recited judicial exception to effect a particular treatment or prophylaxis for a disease or medical condition. Although Claim 1 recites “categorizing for treatment” and “confirmed as candidate for a neurologic treatment,” the claim does not recite administering a treatment, selecting a specific therapy, or altering treatment based on the outcome. Instead, the claim concludes with an informational outcome based on the correlation. Therefore, Claim 1 still does not integrate the judicial exception into a practical application. Additionally, the additional elements introduced by Claims 4-6 and 29-41 are limited to the following: assay performance characteristics (Claims 4-6); assay implementation details such as reagents and buffer compositions (Claims 29-30); numerical thresholds or baselines that quantify the same natural correlation (Claims 31-32, 37-38); additional biomarker measurements (Claims 33, 35); additional correlations or interpretive conclusions regarding disease state, progression, response, differentiation, or subtype (Claims 34, 36, 39-41). These additional elements constitute refined data gathering, measurement precision, or the articulation of the same biological correlations and diagnostic classifications. They do not apply the judicial exception in a manner that effects a particular treatment or improves another technology or technical field. Rather, the claims end in informational outcomes (e.g., “indicative of,” “distinguishes,” “differentiates”) without reciting a concrete action that uses the result in a transformative way. Accordingly, Claims 4-6 and 29-41 do not integrate the judicial exception into a practical application. Step 2B, Inventive Concept (Refer to MPEP §2106.05): According to MPEP §2106.05(d), one consideration when determining whether a claim recites significantly more than a judicial exception is whether the additional element(s) are well-understood, routine, conventional actional activities previously known to the industry. If, however, the additional element (or combination of elements) is no more than well-understood, routine, conventional activities previously known to the industry, which is recited at a high level of generality, then this consideration does not favor eligibility. For example, the additional elements recited in Claim 1 include: performing an immunoassay; using a sandwich ELISA format; analyzing cerebrospinal fluid; and achieving a specified limit of detection. These additional elements recited in Claim 1 were previously taken by those in field as demonstrated by Filippou et al. (A new enzyme-linked immunosorbent assay (ELISA) for human free and bound kallikrein 9. Clinical Proteomics. Vol. 14, No. 1, January 2017) and Varghese et al. (Chitotriosidase – A Putative Biomarker for Sporadic Amyotrophic Lateral Sclerosis. Clinical Proteomics. Vol. 10, No. 1, December 2013 – IDS entered 08/26/2020). Specifically, with respect to performing an immunoassay and using a sandwich ELISA format with a defined limit of detection, Filippou et al. discloses how “a sandwich type ELISA immunoassay was developed using mouse monoclonal antibodies as capture and biotinylated detection antibodies, respectively” (page 5) and “the limit of detection (LOD) was around 15 pg/mL” (page 6). These disclosures demonstrate that performing an immunoassay, employing a sandwich ELISA, and achieving a specified detection limit were conventional laboratory practices. With respect to analyzing cerebrospinal fluid (CSF), Varghese et al. report that “the present study was designed to identify the factor(s) which are differentially expressed in the cerebrospinal fluid (CSF) of patients with sporadic amyotrophic lateral sclerosis, and could be associated with the pathogenesis of this disease” (page 1). Here this reveals evidence that CSF analysis for biomarkers in ALS was already routine in the field. Therefore, these additional elements do not add an inventive concept because they merely apply well-understood, routine, and conventional laboratory techniques to acquire data so that the natural correlation may be evaluated. Claim 1 does not recite a new or unconventional assay technique, nor does it improve the functioning of the immunoassay itself; hence, these elements do not transform the judicial exception into patent-eligible subject matter. Accordingly, Claim 1 does not recite additional elements that amount to significantly more than the judicial exception. Moreover, the additional elements recited in Claims 4-6 and 29-41 consist of assay performance parameters, assay components, sample conditions, measurement steps, and biomarker thresholds, all of which constitute well-understood, routine, and conventional activities in the field of immunoassay-based diagnostics. None of these limitations introduce a non-conventional assay architecture, new detection chemistry, or technological improvement to immunoassay operation itself. Rather, they describe routine implementation details used to obtain or evaluate data related to the judicial exceptions. This is one aspect to how the additional elements of Claims 4-6 and 29-41 do not amount to significantly more than the judicial exception. Another aspect to how the additional elements of Claims 4-6 and 29-41 do not amount to significantly more than the judicial exception is based on MPEP §2106.05(g). According to MPEP §2106.05(g), another consideration when determining whether a claim recites significantly more in Step 2B is whether the additional elements add more than insignificant extra-solution activity to the judicial exception. The term “extra-solution activity” can be understood as activities incidental to the primary process or product that are merely a nominal or tangential addition to the claim. Examples of activities that the courts have found to be insignificant extra-solution activity: performing clinical tests on individuals to obtain input for an equation, determining the level of a biomarker in blood, assessing or measuring data derived from an ultrasound scan – to be used in a diagnosis. This indicates that the additional elements in Claims 4-6 and 29-41 also constitute insignificant extra-solution activity, because they primarily relate to: data gathering (measuring biomarker concentrations), data refinement (assay precision and validation), and data evaluation (comparing values, identifying correlations, reporting what the results “indicate”). These steps do not add a new use, new transformation, or technological/therapeutic action beyond enabling the correlation to be evaluated. Thus, this is another aspect to how the additional elements of Claims 4-6 and 29-41 do not amount to significantly more than the judicial exception. Ultimately, claims 1, 4-6, and 29-41, when considered individually and as an ordered combination are directed to a law of nature and an abstract idea, are not integrated into a practical application, and do not recite additional elements sufficient to amount to significantly more than the judicial exception. Claim Rejections - 35 USC § 102 The following is a quotation of the appropriate paragraphs of 35 U.S.C. 102 that form the basis for the rejections under this section made in this Office action: A person shall be entitled to a patent unless – (a)(1) the claimed invention was patented, described in a printed publication, or in public use, on sale, or otherwise available to the public before the effective filing date of the claimed invention. (a)(2) the claimed invention was described in a patent issued under section 151, or in an application for patent published or deemed published under section 122(b), in which the patent or application, as the case may be, names another inventor and was effectively filed before the effective filing date of the claimed invention. Claim 1 is rejected under 35 U.S.C. 102(a)(1) as being anticipated by Steinacker et al. (Chitotriosidase (CHIT1) is increased in microglia and macrophages in spinal cord of amyotrophic lateral sclerosis and cerebrospinal fluid levels correlate with disease severity and progression. Journal of Neurology, Neurosurgery and Psychiatry. Vol. 89, No. 3, published online first November 2017) as evidenced by MBL ELISA (2017, retrieved from ASIA-https://www.mblbio.com/bio/g/dtl/P/?pcd=CY-8074). In particular, Steinacker et al. reports that “CSF was obtained by lumbar puncture, centrifuged, aliquoted and stored within 2 hours at -80 °C until analysis” (page 240) and “ELISA kits were used for CHIT1 (MBL)” (page 240). Here Steinacker et al. reveals: the use of an ELISA immunoassay for CHIT1, in CSF samples, using a commercial MBL ELISA kit. Additionally, Steinacker et. al further teaches that CHIT1 concentration is used to determine ALS progression, stating “in ALS, CHIT1 CSF levels were higher compared with controls” (page 239) and CSF “CHIT1 concentrations were correlated with ALS disease progression and severity” (page 239). Also, Steinacker et al. further discloses that CHIT1 can distinguish fast-progressing ALS patients, stating that based on CSF CHIT1 levels, the “sensitivity and specificity for discrimination of ALS cases with fast PRs (progression rates) were 88% and 90% at a cut-off of 2848 pg/mL, and for discrimination of slowly progressing cases at a cut-off of 2088 pg/mL 84% and 80%,” (page 242). These disclosures teach: detecting CHIT1 concentration and comparing to controls, using ELISA, and determining fast-progressing ALS based on the detected concentration. Since Steinacker et. al identifies MBL ELISA as the manufacturer of the CHIT1 ELISA kit used in the study – as evidenced by MBL ELISA, the documentation discloses every structural and functional element of the immunoassay. Specifically, MBL ELISA states “the MBL Research Product CircuLex Human Chitotriosidase ELISA Kit employs the quantitative sandwich enzyme immunoassay technique” (page 2). This discloses the sandwich ELISA format recited in amended Claim 1. MBL ELISA further discloses analytical sensitivity, stating that “the limit of detection is better than 48.3 pg/mL of sample” (page 10). A detection limit of 48.3 pg/mL = 0.0483 ng/mL, which is below the claimed “less than about 0.08 ng/mL” threshold. Here, the exact numerical LOD recited in Claim 1 is anticipated. Therefore, Steinacker et al.’s disclosure as implemented using the identified MBL ELISA anticipates Claim 1 in its entirety. Claim Rejections - 35 USC § 103 In the event the determination of the status of the application as subject to AIA 35 U.S.C. 102 and 103 (or as subject to pre-AIA 35 U.S.C. 102 and 103) is incorrect, any correction of the statutory basis (i.e., changing from AIA to pre-AIA ) for the rejection will not be considered a new ground of rejection if the prior art relied upon, and the rationale supporting the rejection, would be the same under either status. The following is a quotation of 35 U.S.C. 103 which forms the basis for all obviousness rejections set forth in this Office action: A patent for a claimed invention may not be obtained, notwithstanding that the claimed invention is not identically disclosed as set forth in section 102, if the differences between the claimed invention and the prior art are such that the claimed invention as a whole would have been obvious before the effective filing date of the claimed invention to a person having ordinary skill in the art to which the claimed invention pertains. Patentability shall not be negated by the manner in which the invention was made. The factual inquiries for establishing a background for determining obviousness under 35 U.S.C. 103 are summarized as follows: 1. Determining the scope and contents of the prior art. 2. Ascertaining the differences between the prior art and the claims at issue. 3. Resolving the level of ordinary skill in the pertinent art. 4. Considering objective evidence present in the application indicating obviousness or nonobviousness. Claims 1, 31, 33, 34, 35, 37, 39, 40, and 41 are rejected under 35 U.S.C. 103 as being unpatentable over Thompson et al. (Cerebrospinal Fluid Macrophage Biomarkers in Amyotrophic Lateral Sclerosis. Annals of Neurology. Vol. 83, No. 2, January 2018 – IDS entered 08/26/2020) in view of Steinacker et al. (Chitotriosidase (CHIT1) is increased in microglia and macrophages in spinal cord of amyotrophic lateral sclerosis and cerebrospinal fluid levels correlate with disease severity and progression. Journal of Neurology, Neurosurgery and Psychiatry. Vol. 89, No. 3, published online first November 2017), Varghese et al. (Chitotriosidase – A Putative Biomarker for Sporadic Amyotrophic Lateral Sclerosis. Clinical Proteomics. Vol. 10, No. 1, December 2013 – IDS entered 08/26/2020), and Filippou et al. (A new enzyme-linked immunosorbent assay (ELISA) for human free and bound kallikrein 9. Clinical Proteomics. Vol. 14, No. 1, January 2017) as evidenced by MBL ELISA (2017, retrieved from ASIA-https://www.mblbio.com/bio/g/dtl/P/?pcd=CY-8074). Regarding Claim 1, Thompson et al. teaches how “three macrophage-derived chitinases showed increased abundance in ALS: chitotriosidase (CHIT1), chitinase-3-like protein 1 (CHI3L1), and chitinase-3-like protein 2 (CHI3L2)” (page 258). These “chitinase levels correlated with disease progression rate” (page 258), supporting the clinical relevance of measuring “effective biomarkers to help reduce diagnostic delay, stratify, and monitor response in therapeutic trials” (page 259). Although Thompson et al. teaches measuring CHIT1 and/or CHI3L1 in CSF for ALS progression assessment and stratification, Thompson et al. does not mention the following: the specific immunoassay format (e.g., sandwich ELISA), provide explicit fast-progressor cut-off values, and the specific limit of detection (LOD) thresholds. While, Steinacker et al. teaches that in “ALS, CHIT1 CSF levels were higher compared with controls” (page 239) and CSF “CHIT1 concentrations were correlated with ALS disease progression and severity” (page 239). Steinacker et al. further discloses that CHIT1 can distinguish fast-progressing ALS patients, stating that based on CSF CHIT1 levels, the “sensitivity and specificity for discrimination of ALS cases with fast PRs (progression rates) were 88% and 90% at a cut-off of 2848 pg/mL, and for discrimination of slowly progressing cases at a cut-off of 2088 pg/mL 85% and 80%,” (page 242). Steinacker et al. also expressly frames CHIT1 as suitable for stratification, revealing that “CHIT1 could be a potentially useful marker for differential diagnosis and prediction of disease progression in ALS and, therefore, seems suitable as a supplemental marker for patient stratification in therapeutic trials” (page 239). Although Steinacker et al. uses ELISA to measure CHIT1 and profoundly teaches the central inference recited in Claim 1 of an “increased concentration of Chit-1 in the biological fluid sample relative to a control concentration of Chit-1, CHI3L1, or both obtained from a control biological fluid sample is indicative of fast progressing ALS in the subject” - Steinacker et al. does not disclose measuring CHI3L1 as part of the methodology. However, Varghese et al. discloses “the first report demonstrating an increase in the levels of four proteins namely, CHIT-1, osteopontin, CHI3L2 and CHI3L1 in the CSF of ALS patients using the novel and precise quantitative proteomics and ELISA” (page 3). Although Varghese teaches that CHIT1 and CHI3L1 are measured in ALS CSF using ELISA – confirming technical feasibility of immunoassay measurement, Varghese does not classify patients by progression rate or specific assay performance thresholds. But, Filippou et al. teaches routine analytical validation parameters of sandwich ELISA assays and explicitly discloses limits of detection, stating that “the limit of blank (LOB) was estimated at 10 pg/mL (matrix was 6% BSA) and the limit of detection (LOD) was around 15 pg/mL (LOD = LOB + 1.64 * SD)” (page 6). Here a limit of detection of 15 pg/mL equates to 0.015 ng/mL. Although Filippou et al. discloses an LOD well below the claimed LOD of “less than about 0.08 ng/mL,” Filippou et al. is not relied upon for ALS biology. Lastly, MBL ELISA is relied upon solely as evidence of routine ELISA implementation available prior to the effective filing date of the claimed invention. The MBL ELISA product information demonstrates that quantitative ELISA measurement of human CHIT1 was commercially available and routinely implemented, and the product page expressly cites Varghese et al., confirming that such ELISA kits were actually used in ALS research well before the effective filing date. Here, MBL ELISA is used to further show that a PHOSITA had access to suitable ELISA tools for measuring CHIT1 and/or CHI3L1 . Accordingly, it would have been obvious to a PHOSITA before the effective filing date to combine the teachings of Thompson et al., Steinacker et. al, Varghese et al., and to implement those teachings using routine sandwich ELISA techniques as evidenced by Filippou and MBL ELISA, for at least the following reasons: First, the clinical problem and target biomarkers were clearly identified in the art. Thompson et al. teaches that CHIT1 and CHI3L1 are increased in ALS, correlate with disease progression, and are useful for patient stratification. A PHOSITA would therefore have been motivated to quantitatively measure CHIT1 and/or CHI3L1 in ALS patients in order to assess disease progression and treatment relevance. Second, Steinacker et al. establishes that CSF-CHIT1 specifically discriminates fast-progressing ALS patients, providing a further clear incentive to quantitatively measure CHIT1 in CSF for stratification. Third, Varghese et al. confirms that ELISA-based measurement of CHIT1 and CHI3L1 in ALS CSF was already practiced in the field, making ELISA the natural choice of measurement platform. Fourth, Filippou demonstrates that achieving an LOD well below 0.08 ng/mL was a predictable result of routine ELISA optimization, and MBL ELISA confirms that such assays were commercially available and actually used in ALS research prior to the filing date. Finally, the references are fully compatible and present no teaching away; rather, they collectively point toward applying routine, sensitive sandwich ELISA assays to measure CSF CHIT1 and/or CHI3L1 for ALS progression stratification, yielding predictable results. Therefore, Claim 1 represents no more than the application of known analytical techniques to known biomarkers for their known purpose. Regarding Claim 31, Steinacker et al. reports quantitative CSF CHIT1 concentrations for fast progressing ALS patients, disclosing that in fast progression ALS, CSF CHIT1 levels have a median value of 15023 pg/mL (or 15.024 ng/mL) and the range is 5,880 – 40,211 pg/mL (or 5.88 – 40.21 ng/mL) (Table 1, page 240). Additionally, Varghese et al. independently confirms quantitative CSF CHIT 1 concentrations in ALS patients measured by ELISA, stating that “in the ALS-CSF, the level of CHIT-1 ranged between 5000 – 54,000 pg/ml (or 5 – 54 ng/mL)” (page 3). Taken together, the prior art demonstrates that CSF CHIT1 concentrations in ALS patients routinely fall within and above the claimed threshold in claim 31, that elevated CHIT1 levels are associated with faster disease progression, quantitative ELISA-based measurement of CHIT1 in ALS CSF was routine. In view of these teachings, a PHOSITA would therefore have been motivated to select a CHIT1 concentration of about 28 ng/mL (or 28,000 pg/mL) to identify fast-progressing ALS patients with a reasonable expectation of success. This represents routine optimization and a selection of a value from a known range yields predictable results and require no inventive skill. Regarding Claim 33, Thompson et al. discloses that phosphorylated neurofilament heavy chain (pNFH), are measured in CSF and correlated with ALS disease progression. Specifically, Thompson et al. reveals that “the neurofilament protein, pNFH, is a marker of axonal damage, and multiple studies have shown significant elevation in ALS CSF that also show correlation with disease progression rate” (page 262). Here Thompson et. al discloses that pNFH is a known ALS biomarker, pNFH concentration is determined in CSF, and pNFH levels are used in ALS disease assessment and stratification. Once a PHOSITA is motivated, as taught by Claim 1 and its applied references, to perform ELISA-based biomarker measurements in ALS for stratification and disease-progression assessment, including an additional well-established ALS biomarker such as pNFH in the same immunoassay workflow would have been a routine and predictable variation with a reasonable expectation of success. Regarding Claim 34, Thompson et al. already establishes that since CHIT1 levels increase with ALS progression, and reveals that “neuroinflammatory mechanisms have been consistently implicated through various experimental paradigms. These results support a key role for macrophage activity in ALS pathogenesis, offering novel target engagement and pharmacodynamic biomarkers for neuroinflammation-focused ALS therapy” (page 258). Thompson et al. also discloses “neuroinflammation undoubtedly occurs in ALS” (page 259). On the other hand, Steinacker et al. independently confirms that pNFH increases with ALS severity, highlighting that similar to CHIT1 concentrations, pNFH “correlated with ALS disease progression and severity” (page 239). Steinacker et al. further discloses that “concentrations of pNFH were significantly higher in ALS compared with controls” (page 242). Given that ALS progression is understood in the art to involve interacting neuroinflammatory and neurodegenerative mechanisms, a PHOSITA would have been motivated to interpret concurrent increases in CHIT1 and pNFH as indicative of neuroinflammation linked to ALS progression. Such interpretation represents a predictable synthesis of known biomarker information, requires no inventive step, and merely applies known biomarkers for their established purposes in ALS disease assessment. Regarding Claim 35, Thompson et. al discloses that CHI3L2 is measured as a part of an ALS biomarker, CHI3L2 levels increased in ALS, and CHI3L2 levels “correlated with disease progression rate” (page 258). Claim 35 does not recite a new assay format, a cutoff value, or a new interpretation step. Once a PHOSITA is motivated to perform ELISA-based biomarker measurements for ALS as recited in Claim 1, extending that same assay to measure an additional known ALS-associated biomarker such as CHI3L2 would have been a routine and predictable modification with a reasonable expectation of success. Regarding Claim 37, given that Steinacker et al. reports ALS CHIT1 concentrations spanning and exceeding 28 ng/mL, it would have been obvious to a PHOSITA before the effective filing date of the claimed invention to adopt a baseline CHIT1 concentration of at least about 28 ng/mL. Such selection constitutes the use of a result-effective variable derived from known quantitative data and would have yielded predictable results with a reasonable expectation of success, consistent with routine optimization and interpretation of biomarker thresholds in the art. Regarding Claim 39, Thompson et al. discloses that measuring CHIT1 levels can “help reduce diagnostic delay, stratify, and monitor response in therapeutic trials” (page 259). Steinacker et al. also teaches that “CHIT1 could be a potentially useful marker for differential diagnosis and prediction of disease progression in ALS and, therefore, seems suitable as a supplemental marker for patient stratification in therapeutic trials” (page 239). Claim 39 does not require: a new assay format, a specific treatment regiment, or a novel biological mechanism. Rather, it recites a clinical interpretation step that flows directly and logically from the known relationship between CHIT1 concentration and ALS disease progression disclosed in the prior art. Thus, it would have been obvious to a PHOSITA before the effective filing date of the claimed invention to interpret decreased or maintained CHIT1 concentration during a treatment period as indicative of therapeutic efficacy. A PHOSITA would therefore reasonably expect that an effective treatment would reduce or stabilize a biomarker known to increase with disease progression, making the claimed interpretation a predictable application of established biomarker principles. Regarding Claim 40, Steinacker et al. reports numerical median values and ranges of CSF CHIT1 concentrations for ALS and non-ALS neurological diseases, stating the following CSF CHIT1 concentrations (pg/mL): “ALS – CHIT1 (pg/mL): 115023 (5880-40211), Alzheimer’s disease – CHIT1 (pg/mL): 2470 (1523-4538), Parkinson’s disease – CHIT1 (pg/mL): 1335 (605-6045), Polyneuropathy: CHIT1 (pg/mL): 2440* (890-14280)” (Tables 1 and 2, pages 240-241). Since Steinacker et al. reports that ALS patients exhibit substantially higher CHIT1 concentrations than patients with other neurological diseases and demonstrates CHIT1 as suitable for differential diagnosis and disease characterization, a PHOSITA would therefore have been motivated to use increased CHIT1 concentration to distinguish ALS from other neurological diseases with a reasonable expectation of success, yielding predictable results. Claim 40 merely recites the application of expressly disclosed numerical CSF CHIT1 differences to the routine task of differential diagnosis. The claim does not recite a new biomarker or unexpected property. Regarding Claim 41, Thompson et al. explicitly incorporates onset site (bulbar vs spinal) into statistical models evaluating CHIT1 levels, disclosing that “multiple linear regression models controlling for the effect of age, sex, absolute ALSFRS-R, progression rate, and site of onset (bulbar vs spinal) on chitinase protein level demonstrated significant positive correlation with disease progression rate for CHIT1, CHI3L1, and CHI3L2” (page 261) and “CHIT1, p < 0.001; gradient = 0.27 log abundance units per unit increase in log disease progression rate” (page 261-262). These disclosures demonstrate that CHIT1 concentration is analyzed in the art while explicitly accounting for onset site (bulbar vs. spinal) and that CHIT1 correlates with disease progression and survival independent of onset subtype. A PHOSITA would therefore have been motivated to apply CHIT1 concentration as a stratification parameter across onset subtypes with a reasonable expectation of success, yielding predictable results. Claim 4 is rejected under 35 U.S.C. 103 as being unpatentable over Thompson et al., Steinacker et al., Varghese et al., and Filippou et al. as applied to Claim 1 above, and further in in view of Andreasson et al. (A practical guide to immunoassay method validation. Frontiers in Neurology. Vol. 6, August 2015) and Novus CHIT1 ELISA (2017, retrieved from https://www.novusbio.com/products/chitotriosidase-chit1-elisa-kit_nbp2-75274). While Thompson et al., Steinacker et al., Varghese et al., and Filippou et al., as applied to Claim 1 above, motivate and teach quantitative immunoassay measurement of CHIT1 and/or CHI3L1 in ALS, these references do not expressly describe numerical recovery validation parameters and therefore do not address the additional limitation of Claim 4. However, Andreasson et al. teaches that recovery testing is a known and standard validation parameter in immunoassay development, stating that “the recovery of an analyte in an assay is the detector response obtained from an amount of the analyte added to and extracted from the biological matrix, compared to the detector response obtained for the true concentration of the analyte in solvent (page 6). Andreasson et al. further discloses that recovery is determined by spiking known analyte and calculating recovery using an established %Recovery formula, and the “acceptance range for the recovery is usually 80-120%” (page 6). Although Andreasson et al. teaches the following: recovery experiments are routine, analyte spiking is standard practice, and percent recovery is calculated as a validation metric – Andreasson et al. does not provide numerical recovery values. On the other hand, Novus CHIT1 ELISA, which was commercially available before the effective filing date of the claimed invention- provides numerical recovery data for a CHIT1 sandwich ELISA and therefore supplies the missing evidentiary support. Specifically, Novus CHIT1 ELISA reports “the recovery of Human CHIT1 spiked at three different levels in samples throughout the range of the assay was evaluated in various matrices” (page 9) and the average recovery values include “91% in serum, 100% in EDTA plasma, with recovery ranges falling between 84-106% (page 9)” – depending on the sample type. Accordingly, it would have been obvious to a PHOSITA, once motivated by Claim 1’s teachings to measure CHIT1 using an immunoassay in the ALS context, to perform routine recovery validation as taught by Andreasson et al., and to reasonably expect recovery values within or exceeding 70-95%, as demonstrated by Novus CHIT1 ELISA. The combination therefore represents routine assay validation using art-recognized ELISA systems, yielding predictable results, and does not require inventive skill. Claims 5 and 6 are rejected under 35 U.S.C. 103 as being unpatentable over Thompson et al., Steinacker et al., Varghese et al., and Filippou et al. as applied to Claim 1 above, and further in in view of Crowther (The ELISA Guidebook: Second Edition. Humana Press. 2009) and Novus CHIT1 ELISA. As discussed above with respect to Claim 1, Thompson et al., Steinacker et al., Varghese et al., and Filippou et al., collectively teach and motivate measuring CHIT1 concentration in cerebrospinal fluid using immunoassay techniques for assessing ALS disease progression and stratification, and establish that ELISA-based measurement of CHIT1 in ALS CSF was known, feasible, and routinely practiced. However, these references do not expressly address assay precision requirements, including inter-assay variability (Claim 5) and intra-assay variability (Claim 6). Crowther expressly teaches that assessment of assay precision is a routine and necessary component of ELISA development, stating that “evidence that an assay is repeatable is necessary for further development. This is accomplished by calculating the intra- and inter-plate variation using the same samples run in different plates and on different days (and with different operators)” (page295) and “coefficients (CVs) of variation (standard deviation [SD] of replicates, of mean of replicates, of equal to or less than 15% for the raw OD values indicate adequate repeatability at this stage of assay development” (page 295). While Crowther describes the methodology for evaluating assay precision, it does not provide numerical precision values. Novus CHIT1 ELISA provides such numerical evidence, reporting for inter-assay precision testing in which “3 samples with low, mid-range and high level Human CHIT1 were tested on 3 different plates, 20 replicates in each plate” (page 9), with reported inter-assay %CV values of “5.08%, 5.05%, and 4.78%” (page 9); and intra-assay precision testing in which “3 samples with low, mid range and high level Human CHIT1 were tested 20 times on one plate, respectively” (page 9), with reported intra-assay %CV values of “6.09%, 5.89%, and 3.13%,” (page 9). These values are well below the variability thresholds recited in Claims 5 and 6, respectively. Accordingly, it would have been obvious to a PHOSITA before the effective filing date of the claimed invention, to combine: the motivation to measure CHIT1 using an immunoassay in the ALS context by Claim 1’s teachings, the standard ELISA repeatability and inter- and intra-assay precision assessment taught by Crowther, and the commercially demonstrated inter- and intra-assay CV performance of the Novus CHIT1 ELISA, because once motivated to implement a CHIT1 immunoassay in the ALS context, that PHOSITA would necessarily assess inter- and intra-assay variability as part of routine validation and would have reasonably expected to achieve precision values within the claimed ranges, as expressly demonstrated by art-recognized commercial CHIT1 ELISA kits. The claimed precision limitations therefore represent routine assay optimization using result-effective variables, yielding predictable results, rather than an inventive contribution. Claims 29 and 30 are rejected under 35 U.S.C. 103 as being unpatentable over Thompson et al., Steinacker et al., Varghese et al., and Filippou et al. as applied to Claim 1 above, and further in in view of Crowther and R&D Systems AF3559 (https://www.rndsystems.com/products/human-chitotriosidase-chit1-antibody_af3559?keywords=AF3559 - available at least since 2009 as evidence by the reference of Agapov et al. Macrophage Chitinase 1 Stratifies Chronic Obstructive Lung Disease. American Journal of Respiratory Cell and Molecular Biology. Vol. 41, No. 4, October 2009), R&D Systems MAB5591 (https://www.rndsystems.com/products/human-chitotriosidase-chit1-antibody-397513_mab35591?keywords=MAB35591 - available at least since 2009 as evidence by the reference of Agapov et al.), and R&D Systems HAF007 (https://www.rndsystems.com/products/mouse-igg-horseradish-peroxidase-conjugated-antibody_haf007?keywords=HAF007 - available at least since 2013 as evidence by the reference of DeVay et al. Characterization of Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Trafficking Reveals a Novel Lysosomal Targeting Mechanism via Amyloid Precursor-like Protein 2 (APLP2). The Journal of Biological Chemistry. Vol. 288, No.15, April 2013). As discussed above with respect to Claim 1, Thompson et al., Steinacker et al., Varghese et al., and Filippou et al. collectively teach and motivate ELISA-based measurement of CHIT1 in CSF for assessing ALS disease progression and stratification, and establish that immunoassay-based quantification of CHIT1 in ALS CSF was known, feasible, and routinely practiced prior to the effective filing date of the claimed invention. However, these references do not expressly teach in-house ELISA reagent configuration, including selection of antibody species. But, Crowther teaches that in-house immunoassays require routine selection, characterization, and maintenance of assay reagents, including antibodies, and that such activities are conventional laboratory practice. Specifically, Crowther highlights that “with in-house assays, new reagents must be thoroughly characterized, and once this is done the controls can be restricted to those used for monitoring assay performance. Regular checks are needed to examine deterioration in reagents” (page 320). Although Crowther does not prescribe any inventive antibody species or conjugation, R&D Systems product webpages publicly disclose the identity, species origin, and ELISA applicability of each antibody component recited in Claim 29. Specifically, the R&D Systems AF3559 product webpage (available at least as early as 2009) identifies a polyclonal goat IgG antibody recognizing human CHIT1 and validated for ELISA use, providing the complementary capture/detection antibody species recited in Claim 29. The corresponding R&D systems MAB35591 product webpage (available at least as early as 2009) identifies a monoclonal mouse IgG antibody specific for human CHIT1 and suitable for ELISA applications, confirming availability of a mouse anti-human CHIT1 antibody prior to the effective filing date of the claimed invention. Lastly, the R&D Systems HAF007 product webpage (available at least as early as 2013) discloses a polyclonal goat anti-mouse IgG antibody conjugated to horseradish peroxidase (HRP) and states that it detects mouse IgG subclasses in direct ELISAs, thereby disclosing the precise secondary antibody and enzyme conjugate recited in Claim 29. Therefore, it would have been obvious to a PHOSITA before the effective filing date of the claimed invention, to combine: the motivation to conduct ELISA-based measurement of CHIT1 in ALS CSF by Claim 1’s teachings, the routine in-house ELISA development principles taught by Crowther, and the commercially available, ELISA-validated antibody reagents disclosed on the R&D System webpages for AF3559, MAB5591, and HAF007, because once motivated to construct an ELISA for measuring CHIT1, a PHOSITA would have routinely selected a conventional sandwich ELISA configuration employing: primary antibodies raised in different species (e.g., mouse and goat) against the same antigen, and an HRP-conjugated anti-mouse IgG secondary antibody for enzymatic detection, as revealed on the reagent webpages and corroborated by third-party, pre-filling ELISA publications. The combination represents the predictable application of known immunoassay components according to their established functions, with a reasonable expectation of success and no teaching away, and therefore does not require inventive skill. Regarding Claim 30 and as discussed with respect to Claim 1, Thompson et al., Steinacker et al., Varghese et al., and Filippou et al. collectively teach and motivate ELISA-based measurement of ALS-related biomarkers, in CSF, thereby establishing the overall immunoassay framework. However, these references do not explicitly disclose buffer composition, blocking agents, or preservative formulation details. But, Crowther expressly teaches that Tris-based buffers are commonly used in ELISA assays, stating that “the coating buffers most used are 50 mM carbonate, pH 9.6; 20mM Tris-HCl, pH 8.5; and 10 mM phosphate-buffered saline (PBS), pH 7.2” (page 45). Crowther further teaches routine buffer evaluation, disclosing that “Different coating buffers should be investigated when problems are encountered or compared at the beginning of assay development” (page 45). Crowther also teaches that preservatives are routinely included in ELISA reagents and expressly recommends “a commercial product ProClin™ from Rohm and Haas, Spring House, PA” (page 321). Crowther describes ProClin™ “to be a broad-spectrum biocide, having good compatibility and stability and low toxicity at in-use levels. It eradicates bacteria, fungi, and yeast cells at very low concentration, does not interfere with enzyme reactions, and can be disposed of without restrictions” (page 321). In addition, Crowther discloses that bovine serum albumin (BSA) is a commonly used ELISA blocking agent (Table 3, page 59) and explains that its selection is a routine assay-development consideration. Therefore, it would have been obvious to a PHOSITA before the effective filing date of the claimed invention to combine the ALS-motivated ELISA framework by Claim 1’s teachings and the routine ELISA buffer formulation, blocking, and preservation practices taught by Crowther because Crowther teaches selecting a Tris-based buffer containing sodium chloride, BSA, and ProClin™ (e.g., ProClin 300) at an appropriate pH, ultimately represents a predictable application of well-established ELISA formulation principles, yielding expected results with a reasonable expectation of success, and does not require inventive skill. Claims 32 and 38 are rejected under 35 U.S.C. 103 as being unpatentable over Thompson et al., Steinacker et al., Varghese et al., and Filippou et al. as applied to Claim 1 above, and further in in view of Crag-Schapiro et al. (YKL-40: A Novel Prognostic Fluid Biomarker for Preclinical Alzheimer's Disease. Biological Psychiatry. Vol. 68. No. 10, November 2010). As discussed with respect to Claim 1, Thompson et al., Steinacker et al., Varghese et al., and Filippou et al. collectively teach the following: CHI3L1 is increased in ALS and correlates with disease progression – providing the biological motivation to quantify CHI3L1 ALS stratification, and confirmed technical feasibility of measuring this biomarker in the claimed disease context. However, neither of these references disclose a specific numerical cutoff for CHI3L1 concentration. On the other hand, Craig-Schapiro et al. reports absolute CSF CHI3L1 (YKL-40) concentrations in ng/mL, measured by ELISA, stating that “cerebrospinal fluid from the discovery cohort (CDR 0, n = 24; CDR 1, n = 23) was analyzed for YKL-40 by enzyme-linked immunosorbent assay (CDR 0 = 293.6 ± 23.9; CDR 1 = 422.2 ± 30.0, ng/mL, mean ± SEM)” (page 905) and “cerebrospinal fluid from a larger, independent sample set (n = 292) was analyzed for YKL-40 by enzyme-linked immunosorbent assay (CDR 0 = 282.1 ± 6.7; CDR 0.5 = 358.9 ± 16.9; CDR 1 = 351.7 ± 22.6, ng/mL, mean ± SEM)” (page 905). These disclosures establish that CSF CHI3L1 (YKL-40) is measured in ng/mL, values extend into and beyond the claimed “at least about 390 ng/mL” range recited in Claim 32, and that ELISA-based quantification of CHI3L1 was routine. Although Craig-Schapiro et al. is not centered around ALS biology, it would have been obvious for a PHOSITA before the effective filing date of the claimed invention to combine the motivation to measure CHI3L1 in ALS and the ELISA-based measurement of CHI3L1 in ALS CSF provided by Claim 1’s teachings, and the known quantitative CSF CHI3L1 ranges disclosed by Craig-Schapiro et al. A PHOSITA would have been motivated to select a CHI3L1 concentration threshold of at least about 390 ng/mL to identify faster progressing ALS patients with a reasonable expectation of success and predictable results. Moreover, since claim 38 recites a baseline CHI3L1/YKL-40 concentration threshold of at least about 390 ng/mL. Claim 38 does not introduce a new assay format, a new biomarker, or a new biological relationship; rather, it merely specifies a numerical cutoff value within the known quantitative range of CSF CHI3L1/YKL-40 concentrations. As discussed above, Craig-Schapiro et al. expressly discloses CSF CHI3L1 values measured by ELISA that meet or exceed the claimed threshold, thereby rendering the selection of a threshold of at least about 390 ng/mL an obvious result-effective variable. Once a PHOSITA is motivated to measure CHI3L1 ALS progression assessment (Claim 32), further selecting a cutoff value within the expressly disclosed quantitative range would have been a routine optimization step yielding predictable results. Claim 36 is rejected under 35 U.S.C. 103 as being unpatentable over Thompson et al., Steinacker et al., Varghese et al., and Filippou et al. as applied to Claims 1 and/or 35 above, and further in in view of Sanfilippo et al. (CHI3L1 and CHI3L2 overexpression in motor cortex and spinal cord of sALS patients. Molecular and Cellular Neuroscience. Vol. 85, December 2017). As discussed with respect to Claims 1 and/or 35, Thompson et al. expressly teaches that CHI3L2 is macrophage-derived and increased in ALS, and places these biomarkers in a neuroinflammatory context. Thompson, Steinacker, Varghese and Filippou differs from claim 36 in failing to teaching that an increased in CHI3L2 concentration is indicative of microglial activation. On the other hand, Sanfilippo et al. discloses that “the increase CHI3L1 and CHI3L2 could be connected to the immune-activation of microglia and astrocytes. The secretion of CHI3L1 and CHI3L2 by microglia/astrocytes could increase the monocyte/macrophages infiltration, new angiogenesis and neuron death” (Figure 6, page 167). Hence, a PHOSITA would have been motivated to interpret increased CHI3L2 concentration is indicative of microglial activation in ALS with a reasonable expectation of success because microglial activation is well known as a hallmark of ALS and Sanfilippo clearly discloses that CHI3L1 is produced by astrocytes and activated microglia, therefore, a skilled artisan would have had a reasonable expectation of success in concluding that an increased in CHI3L2 is indicative of microglial activation. This interpretation represents a predictable application of known neuroinflammatory biology. Ultimately, claims 1, 4-6, and 29-41 are rejected under 35 U.S.C. 103 because the claimed invention represents no more than the predictable application of known analytical techniques to known biomarkers for their established clinical purposes, with a reasonable expectation of success. Double Patenting The nonstatutory double patenting rejection is based on a judicially created doctrine grounded in public policy (a policy reflected in the statute) so as to prevent the unjustified or improper timewise extension of the “right to exclude” granted by a patent and to prevent possible harassment by multiple assignees. A nonstatutory double patenting rejection is appropriate where the conflicting claims are not identical, but at least one examined application claim is not patentably distinct from the reference claim(s) because the examined application claim is either anticipated by, or would have been obvious over, the reference claim(s). See, e.g., In re Berg, 140 F.3d 1428, 46 USPQ2d 1226 (Fed. Cir. 1998); In re Goodman, 11 F.3d 1046, 29 USPQ2d 2010 (Fed. Cir. 1993); In re Longi, 759 F.2d 887, 225 USPQ 645 (Fed. Cir. 1985); In re Van Ornum, 686 F.2d 937, 214 USPQ 761 (CCPA 1982); In re Vogel, 422 F.2d 438, 164 USPQ 619 (CCPA 1970); In re Thorington, 418 F.2d 528, 163 USPQ 644 (CCPA 1969). A timely filed terminal disclaimer in compliance with 37 CFR 1.321(c) or 1.321(d) may be used to overcome an actual or provisional rejection based on nonstatutory double patenting provided the reference application or patent either is shown to be commonly owned with the examined application, or claims an invention made as a result of activities undertaken within the scope of a joint research agreement. See MPEP § 717.02 for applications subject to examination under the first inventor to file provisions of the AIA as explained in MPEP § 2159. See MPEP § 2146 et seq. for applications not subject to examination under the first inventor to file provisions of the AIA . A terminal disclaimer must be signed in compliance with 37 CFR 1.321(b). The filing of a terminal disclaimer by itself is not a complete reply to a nonstatutory double patenting (NSDP) rejection. A complete reply requires that the terminal disclaimer be accompanied by a reply requesting reconsideration of the prior Office action. Even where the NSDP rejection is provisional the reply must be complete. See MPEP § 804, subsection I.B.1. For a reply to a non-final Office action, see 37 CFR 1.111(a). For a reply to final Office action, see 37 CFR 1.113(c). A request for reconsideration while not provided for in 37 CFR 1.113(c) may be filed after final for consideration. See MPEP §§ 706.07(e) and 714.13. The USPTO Internet website contains terminal disclaimer forms which may be used. Please visit www.uspto.gov/patent/patents-forms. The actual filing date of the application in which the form is filed determines what form (e.g., PTO/SB/25, PTO/SB/26, PTO/AIA /25, or PTO/AIA /26) should be used. A web-based eTerminal Disclaimer may be filled out completely online using web-screens. An eTerminal Disclaimer that meets all requirements is auto-processed and approved immediately upon submission. For more information about eTerminal Disclaimers, refer to www.uspto.gov/patents/apply/applying-online/eterminal-disclaimer. Claim 1 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of U.S. Patent No. 12050217 referred as ‘217, in view of Steinacker et al. as evidenced by MBL ELISA. Patented claims 1-3 of ‘217 recites a similar method of categorizing a human subject suspected of having or at risk of ALS for treatment, comprising: determining CHI3L1 and Chit-1 optimal cutoff concentrations, performing an immunoassay to determine CHI3L1 and Chit-1 concentrations in a CSF sample, comparing the concentrations to the optimal cutoff concentrations, categorizing the subject as having fast progressing ALS, and providing a neurologic treatment by administering an anti-inflammatory agent when the cutoff conditions are met. Instant claim 1 differs from the claims of ‘217 in that instant claim 1 specifies that the immunoassay is a sandwich ELISA and recites a limit of detection (LOD) of less than about 0.08 ng/mL. However, these differences do not render the claim patentably distinct. Steinacker et al. teaches the quantitative measurement of CHIT1 concentration and comparing to controls, using ELISA, and determining fast-progressing ALS based on the detected concentration. Since Steinacker et. al identifies MBL ELISA as the manufacturer of the CHIT1 ELISA kit used in the study – as evidenced by MBL ELISA, the documentation discloses every structural and functional element of the immunoassay. The MBL kit employs a quantitative sandwich enzyme immunoassay technique and specifies an assay detection limit of 0.0483 ng/mL. Hence, it would have been obvious to a PHOSITA, when practicing the method of claims 1-3 of ‘217, to implement the required immunoassay using a sandwich ELISA having an appropriate limit of detection, as such assay format and sensitivity constitute predictable assay performance characteristics and do not modify the underlying method steps or ALS categorization framework claimed in ‘217. Therefore, instant claim 1 is not patentably distinct from claims 1-3 of ‘217 and constitutes an obvious variation thereof. Next, claim 4 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Novus CHIT1 ELISA and Andreasson et al. Novus CHIT1 ELISA evidences that such recovery levels are routinely achieved, and Andreasson et al. teaches that recovery testing is a known and standard validation parameter in immunoassay development. Accordingly, specifying acceptable recovery levels represents routine assay validation and predictable optimization of the same immunoassay already required by ‘217 and does not render instant claim 4 patentably distinct from claims 1-3 of ‘217. In addition, claims 5 and 6 are rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Crowther and Novus CHIT1 ELISA. Crowther teaches that precision and repeatability metrics are routinely evaluated for ELISAs, and Novus CHIT1 ELISA exemplifies that such variability levels are routinely achieved. The variability thresholds recited in instant claims 5 and 6 merely constrain how well the immunoassay performs and do not alter the method steps or clinical decision logic of ‘217. Moreover, claim 29 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Crowther and R&D systems antibody reagents (AF3559, MAB35591, HAF007). Crowther teaches conventional sandwich ELISA architectures, and the R&D Systems reagents exemplify commercially available antibody combinations routinely used in such assays. The claimed antibody configuration recited in instant claim 29 reflects a routine and conventional immunoassay design choice when practicing the ‘217 method. Similarly, claim 30 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Crowther. Instant claim 30 specifies a Tris-based buffer with salts, BSA, preservative, and controlled pH. Crowther teaches that such buffer systems are standard ELISA assay conditions. The claimed buffer composition represents a conventional formulation choice that does not render the method patentably distinct. Also, claims 31 and 37 are rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Steinacker et al. Patented claims 1-3 of ‘217 recite categorizing ALS and ALS progression by quantitatively measuring Chit-1 in CSF using an immunoassay and applying cutoff-based interpretation, including identification of fast-progressing ALS. Instant claim 31 merely specifies that a Chit-1 concentration of at least about 28 ng/mL is indicative of fast—progressing ALS, representing a particular numerical cutoff within the same quantitative framework. While, instant claim 37 recites the same Chit-1 concentration threshold, but characterizes it as a baseline measurement, which constitutes a routine temporal application of the same method. Steinacker et al. discloses CSF CHIT1 concentrations in ALS patients that extend into and beyond approximately 28 ng/mL, demonstrating that the recited threshold falls within known quantitative ranges obtained when practicing the method of ‘217. Accordingly, both the fast-progression determination of instant claim 31 and the baseline framing of instant claim 37 represent predictable numerical and temporal refinements of the same immunoassay-based method and do not render the claims patentably distinct from claims 1-3 of ‘217. Likewise, claims 32 and 38 are rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Craig-Schapiro et al. Patented claims 1-3 of ‘217 teach categorizing ALS and ALS progression by quantitatively measuring CHI3L1 in CSF using an immunoassay and applying cutoff-based interpretation, including identification of fast-progressing ALS. Instant claim 32 merely specifies that a CHI3L1 concentration of at least about 390 ng/mL is indicative of fast-progressing ALS, while instant claim 38 recites the same concentration threshold characterized as a baseline value. Craig-Schapiro et al. discloses CSF CHI3L1 (YKL-40) concentrations measured by ELISA that extend into and beyond approximately 390 ng/mL, demonstrating that the recited threshold falls within known quantitative ranges obtained when practicing the method of ‘217. Accordingly, both the fast-progression determination of instant claim 32 and the baseline framing of instant claim 38 represent predictable numerical and temporal refinements of the same quantitative immunoassay-based method and do not render the claims patentably distinct from claims 1-3 of ‘217. Additionally, claim 33 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Thompson et al. Instant claim 33 merely adds determining pNFH concentration in the same CSF sample. Thompson et al. discloses measurement of pNFH as a biomarker associated with ALS progression, rendering the addition of pNFH measurement a routine multi-biomarker implementation within the same quantitative framework. Accordingly, instant claim 39 is not patentably distinct from claims 1-3 of ‘217. Furthermore, claim 34 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Thompson et al. and Steinacker et al. Patented claims 1-3 of ‘217 teach categorizing ALS and ALS progression by quantitatively measuring Chit-1/CHI3L1 in CSF. Instant claim 34 merely interprets a correlation between increased Chit-1 and increased pNFH. Thompson et al. discloses pNFH as an ALS biomarker, and Steinacker et al. confirms that pNFH increases with ALS severity and correlates with disease progression, similar to CHIT1. Interpreting correlated increases of known ALS biomarkers is a routine clinical inference within the same framework, rendering instant claim 34 not patentably distinct from claims 1-3 of ‘217. Also, claim 35 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Thompson et al. Instant claim 35 merely adds the step of determining a concentration of CHI3L2 in the same CSF sample. Thompson et al. discloses measurement of chitinase-family biomarkers in CSF, including CHI3L2, and their association with ALS disease status and progression, making the addition of CHI3L2 a routine biomarker expansion within the same quantitative framework already claimed in ‘217. Accordingly, claim 35 is not patentably distinct from claims 1-3 of ‘217. Moreover, claim 36 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Sanfilippo et al. Instant claim 36 merely interprets an increased CHI3L2 concentration as being indicative of microglial activation. Sanfilippo et al. discloses that increased CHI3L2 levels could be connected to microglial activation, making this interpretation a known biological inference when practicing the same quantitative immunoassay-based method claimed in ‘217. Accordingly, instant claim 36 is not patentably distinct from claims 1-3 of ‘217. In addition, claim 39 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Thompson et al. Instant claim 39 merely interprets a decreased or maintained Chit-1 concentration during a treatment period as indicative of therapeutic efficacy. Thompson et al. discloses that measuring CHIT1 levels can be used to reduce diagnostic delay, stratify ALS patients, and monitor response in therapeutic trials, demonstrating that longitudinal assessment of CHIT1 levels is a known and predictable application of the same biomarker measurement already claimed in ‘217. Accordingly, instant claim 39 is not patentably distinct from claims 1-3 of ‘217. Furthermore, claim 40 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Steinacker et al. Instant claim 40 recites distinguishing ALS from other neurological diseases using Chit-1. Steinacker et al. teaches biomarker-based differentiation of ALS from other neurological conditions, demonstrating that applying the chitinase measurement of ‘217 for differential diagnosis represents a predictable clinical application of ‘217 for differential diagnosis represents a predictable clinical application of the same biomarker framework. Thus, instant claim 40 is not patentably distinct from claims 1-3 of ‘217. Lastly, claim 41 is rejected on the ground of nonstatutory obviousness-type double patenting as being unpatentable over claims 1-3 of ‘217 in view of Thompson et al. Instant claim 41 recites differentiation of bulbar-onset versus limb-onset ALS based on Chit-1. Thompson et al. teaches that CHIT1 levels differ by ALS onset subtype, demonstrating that using chitinase levels to distinguish bulbar and limb onset ALS is a known and predictable stratification within the same biomarker-based framework already claimed in ‘217. Accordingly, instant claim 41 is not patentably distinct from claims 1-3 of ‘217. Therefore, the instant claims 1, 4-6, 29-41 merely recite routine assay optimizations, conventional immunoassay configurations, additional known biomarkers, or predictable clinical interpretations of the same immunoassay-based ALS categorization method claimed in ‘217. The differences between the instant claims and the claims of ‘217 are obvious variations in scope that do not render the claims patentably distinct. Response to Arguments Applicant’s argument filed 31 October 2025 have been fully considered but are not persuasive. First, the rejection of claims 1 and 4-6 under 35 U.S.C. 101 is maintained for the reasons set forth above and as detailed below. For Step 2A, Prong One - Recitation of a Judicial Exception, applicant does not meaningfully dispute that amended claim 1 recites a law of nature, namely the correlation between levels of chitinase biomarkers (CHIT1 and/or CHI3L1) in cerebrospinal fluid and ALS disease state and progression. As previously explained, the claim recites steps of detecting biomarker concentrations and inferring disease status from those concentrations. Such correlations constitute a law of nature. Accordingly, amended claim 1 remains directed to a judicial exception. For Step 2A, Prong Two – Integration into a Practical Application, applicant argues that amended claim 1 integrates the judicial exception into a practical application by reciting: a sandwich ELISA, a CSF sample, and a limit of detection below 0.08 ng/mL. These arguments are not persuasive. These additional elements merely describe how data is acquired so that the judicial exceptions (the natural correlation and mental inference) may be evaluated. The immunoassay, ELISA format, sample type, and assay sensitivity function as data-gathering steps that supply input to the natural correlation and diagnostic inference. The additional limitations relied upon by applicant are generic laboratory techniques: Sandwich ELISA is a well-established immunoassay format routinely used prior to the effective filing date of the claimed invention; use of CSF as biological sample for neurological biomarkers was well known; assay sensitivity/limit of detection represents a result-effective variable, achieved through routine optimization. Claim 1 does not recite how the asserted limit of detection is achieved, nor does it recite any non-conventional assay architecture, reagents, or procedural steps that would improve the functioning of the assay itself. Instead, the claim merely recites a desired performance outcome. As such, the claim continues to merely apply the natural correlation using conventional laboratory tools, which does not amount to integration under Step 2A, Prong Two. Furthermore, applicant argues that the amended claim 1 reflects a “technological improvement” in immunoassay performance. However, the claims do not recite any technical solution responsible for such improvement. Claim 1 merely states: an ELISA is performed, and the assay has a certain sensitivity. This is not an improvement to the assay technology itself, but rather an instruction to apply known assays to observe a natural correlation. In addition, applicant’s reliance on Rapid Litigation Management Ltd v. CellzDirect, Inc is misplaced. In CellzDirect, the claims recited a new laboratory technique that changed how cells were preserved, producing a new laboratory capability. Here, by contrast: the assay steps are conventional, the sample is conventional, and the claimed advance lies solely in the recognition and use of a natural correlation. Moreover, applicant further analogizes the claims to Vanda Pharmaceuticals Inc. v. West-Ward Pharmaceuticals Int’l Ltd. This analogy is unpersuasive. In Vanda, the claims required administering a specific drug at a specific dosage based on genetic testing. The treatment step changed patient treatment in a concrete and mandatory way. Here, amended claim 1 does not require administering any treatment, nor does it mandate a particular therapeutic action. The claim merely identifies a subject based on a measured biomarker level. Such diagnostic classification claims are distinguishable from Vanda. Additionally, amended claim 1 does not recite an inventive concept under Step 2B. The additional elements relied upon by applicant: ELISA, CSF sampling, assay validation metrics, are well-understood, routine, and conventional activities in the field of clinical immunoassays. Merely claiming a particular sensitivity threshold does not transform these routine steps into an inventive concept. Accordingly, the claim does not amount to “significantly more” than the judicial exception. Claims 4-6 and 29-41 depend from claim 1 and do not add limitations sufficient to overcome the judicial exception. As such, claims 4-6 and 29-41 fall with claim 1 for at least the same reasons. Thus, applicant’s amendments and arguments do not overcome the 35 U.S.C. 101 rejection. The claims remain directed to a law of nature, and the additional limitations merely recite routine laboratory techniques used to observe and report the law. Second, the rejection of claim 1 under 35 U.S.C. 102 is maintained for the reasons set forth below. Applicant argues that amendment of Claim 1 to recite: a sandwich enzyme-linked immunosorbent assay (ELISA), cerebrospinal fluid (CSF) as the biological sample, and a limit of detection (LOD) of less than about 0.08 ng/mL, overcomes the anticipation rejection. This argument is not persuasive. Steinacker et al. discloses measuring CHIT1 concentrations in cerebrospinal fluid of ALS patients using ELISA, and further teaches that increased CSF CHIT1 concentration correlates with disease severity and progression, including discrimination of fast-progressing ALS patients. Steinacker et al. teaches: obtaining CSF samples from ALS patients; measuring CHIT1 concentrations using a commercially available ELISA kit manufactured by MBL; and interpreting elevated CHIT1 concentration as indicative of ALS disease progression, including fast progression rates. Accordingly, Steinacker et al. discloses each substantive limitation of Claim 1 relating to the biomarker (CHIT1), sample type (CSF), assay format (ELISA), and diagnostic inference. Applicant asserts that Steinacker does not disclose CHI3L1 and therefore cannot anticipate Claim 1. This argument is unavailing. Claim 1 recites detection of “Chit-1 and/or CHI3L1.” Since the claim is satisfied by detection of CHIT1, the absence of CHI3L1 disclosure does not negate anticipation. A reference need not disclose every optimal alternative recited in the claim. Furthermore, applicant further argues that Steinacker et al. does not disclose fast- versus slow-progressing ALS. This assertion is factually incorrect. Steinacker et al. discloses that CSF CHIT1 concentrations discriminate ALS patients with fast progression rates, reporting sensitivity and specificity values for identifying fast progressors based on CSF CHIT1 concentration thresholds. Thus, Steinacker et al. expressly discloses the claimed diagnostic correlation between elevated CHIT1 concentration and fast-progressing ALS. Also, applicant contends that neither Steinacker et al. nor the MBL ELISA discloses a limit of detection below about 0.08 ng/mL. This argument is not persuasive. The MBL ELISA kit used by Steinacker et al. discloses a limit of detection of 48.3 pg/mL, which corresponds to 0.0483 ng/mL – well below the claimed threshold of less than about 0.08 ng/mL. Thus, the exact ELISA assay employed in Steinacker et al inherently and expressly satisfies the claimed LOD limitation. Therefore, Steinacker et al, as evidenced by MBL ELISA, expressly discloses an immunoassay having a limit of detection that meets the amended claim requirement. Since Steinacker et al. uses MBL ELISA, the reference discloses every limitation of amended Claim 1, including the sandwich ELISA format, CSF sample type, and an LOD below 0.08 ng/mL, Claim 1 is anticipated. Additionally, applicant’s arguments regarding claims 4-6 have been considered. While Steinacker et al. does not expressly disclose the additional assay validation parameters recited in Claims 4-6, these claims remain unpatentable under 35 U.S.C. 103. These additional limitations of Claims 4-6 are directed to routine immunoassay validation and performance characteristics, which are well-understood, conventional, and predictable in view of the cited prior art. Applicant has not provided persuasive evidence to rebut the findings regarding motivation to combine or reasonable expectation of success. Third, applicant’s arguments filed in response to the prior rejections made for claims 1 and 4-6 under 35 U.S.C. 103 have been fully considered. For the reasons set forth below, the rejections of claims 1 and 4-6 are maintained, albeit on revised grounds and combinations of references. Applicant’s arguments are not persuasive. Applicant’s arguments directed to the prior Steinacker et al. and Novus CHIT1 ELISA rejection do not overcome the present rejection, which relies on a broader and more complete combination of references. Specifically, for claim 1, applicant argues that Steinacker et al. does not disclose CHI3L1, does not teach fast-progressing ALS, and that ELISA references merely provide measurement tools without clinical stratification. These arguments are not persuasive for at least the following reasons. Thompson et al. teaches that CHIT1, CHI3L1, and CHI3L2 are elevated in ALS and that their levels correlate with disease progression, establishing the clinical motivation to measure these biomarkers for stratification and therapeutic relevance. Steinacker et al. goes further by teaching that CSF CHIT1 concentrations discriminate fast-progressing ALS patients, providing explicit disease-progression stratification based on biomarker levels. Varghese et al. independently confirms that CHIT1 and CHI3L1 are elevated in ALS CSF and are measured using ELISA, thereby confirming technical feasibility of the immunoassay-based measurements in the same disease context. Applicant’s argument that Steinacker et al. alone does not disclose CHI3L1 is not persuasive, because obviousness does not require a single reference to disclose all elements, and Thompson et al. and Varghese et al. expressly supply this teaching. Furthermore, applicant further argues that the prior art does not teach the specific immunoassay format or analytical sensitivity recited in claim 1. This argument is not persuasive. Filippou et al. teaches routine analytical validation of sandwich ELISA assays, including explicit limits of detection in the low pg/mL range, demonstrating that achieving an LOD below 0.08 ng/mL is a predictable result of routine assay optimization, not an inventive advance. Also, the MBL ELISA, which is the assay expressly used by Steinacker et al and Varghese et al., further confirms that commercial sandwich ELISA assays for CHIT1 were available prior to the effective filing date and possessed analytical sensitivity well below the claimed threshold, reinforcing reasonable expectation of success. Next, applicant further argues that none of the ELISA references teach fast-progressing ALS. This argument misapprehends the rejection. Disease stratification is supplied by Thompson et al. and Steinacker et al, while the ELISA references provide the known and routine measurement tools used to implement that stratification. Combining a known biomarker correlation with known measurement techniques for their established purpose is a classic case of obviousness. Also, applicant’s reliance on figures in the specification does not rebut the prima facie case of obviousness. The asserted results merely confirm the expected correlation between biomarkers and disease progression already taught in the art, and no evidence has been provided showing results that are unexpected relative to Thompson et al. and Steinacker et al. Accordingly, claim 1 represents the predictable application of routine sandwich ELISA techniques to known ALS-relevant biomarkers for their known purpose of disease stratification, with a reasonable expectation of success. Thus, the rejection of claim 1 under 35 U.S.C. 103 is therefore maintained. Moreover, applicant’s arguments do not overcome the rejection of claim 4. Claim 4 recites assay recovery thresholds, which constitute routine immunoassay validation parameters. Andreasson et al. teaches that: recovery experiments are standard in immunoassay validation; analyte spiking and percent recovery calculation are routine; and acceptable recovery ranges are typically 80-120%. Novus CHIT1 ELISA is an art-recognized commercial sandwich ELISA that provides explicit numerical recovery data, demonstrating that such recovery values were routinely achieved prior to the effective filing date of the claimed invention. Once Thompson et al. motivates measurement of CHIT1 in ALS, a PHOSITA would necessarily perform routine recovery validation and would reasonably expect to achieve recovery values meeting or exceeding those recited in Claim 4. Thus, the rejection of claim 4 under 35 U.S.C. 103 is therefore maintained. Therefore, applicant’s arguments do not overcome the rejection of claims 5 and 6. Claims 5 and 6 recite inter-assay and intra-assay precision limitations. Crowther teaches that: assay repeatability is assessed by calculating intra- and inter-assay CV; and CV values equal to or less than 15% indicate acceptable repeatability during assay development. While, the Novus CHIT1 ELISA provides explicit precision data showing inter- and intra-assay CV values well below the thresholds recited in Claims 5 and 6, demonstrating that such performance characteristics were routine and predictable. Once Thompson et al. motivates CHIT1 measurement in ALS, a PHOSITA would necessarily evaluate assay precision using CV metrics as taught by Crowther and would reasonably expect to achieve CV values within the claimed ranges using established commercial ELISA platforms. Accordingly, claims 5 and 6 are unpatentable under 35 U.S.C. 103, and the rejections are maintained. Lastly, applicant argues, with respect to a prior double patenting rejection over co-pending Application No. 17/157,387, that the rejection should be held in abeyance until allowable subject matter is reached in the instant application. Applicant’s argument is not persuasive for the reasons set forth below. The present nonstatutory obviousness-type double patenting rejection is not based on co-pending Application No. 17/157,387, but rather is based on claims 1-3 of U.S. Patent No. 12050217 referred as ‘217, which is an issued patent. Based on MPEP 804, A complete response to a nonstatutory double patenting (NSDP) rejection is either a reply by applicant showing that the claims subject to the rejection are patentably distinct from the reference claims, or the filing of a terminal disclaimer in accordance with 37 CFR 1.321 in the pending application(s) with a reply to the Office action (see MPEP § 1490 for a discussion of terminal disclaimers). Such a response is required even when the nonstatutory double patenting rejection is provisional. As filing a terminal disclaimer, or filing a showing that the claims subject to the rejection are patentably distinct from the reference application’s claims, is necessary for further consideration of the rejection of the claims, such a filing should not be held in abeyance. Therefore, an application must not be allowed unless the required compliant terminal disclaimer(s) is/are filed and/or the withdrawal of the nonstatutory double patenting rejection(s) is made of record by the examiner. Applicant has not presented any substantive argument explaining why the pending claims are patentably distinct from the claims of ‘217. Specifically, applicant has not shown that: the instant claims recite a different invention, or the differences between the instant claims and the claims of ‘217 are anything other than obvious variations of the same immunoassay-based CSF biomarker method for categorizing ALS subjects for treatment and progression. Thus, applicant’s request to hold the rejection in abeyance is not persuasive because the present nonstatutory obviousness-type double patenting rejection is based on the issued patent ‘217 rather than the co-pending application. Accordingly, the rejection of the claims under the doctrine of nonstatutory obviousness-type double patenting over ‘217 is maintained. Conclusion No claims are allowable. Any inquiry concerning this communication or earlier communications from the examiner should be directed to ELIZABETH OGUNTADE whose telephone number is (571)272-6802. The examiner can normally be reached Monday-Friday 6:00 AM - 3 PM. Examiner interviews are available via telephone, in-person, and video conferencing using a USPTO supplied web-based collaboration tool. To schedule an interview, applicant is encouraged to use the USPTO Automated Interview Request (AIR) at http://www.uspto.gov/interviewpractice. If attempts to reach the examiner by telephone are unsuccessful, the examiner’s supervisor, Bao-Thuy Nguyen can be reached at 571-272-0824. The fax phone number for the organization where this application or proceeding is assigned is 571-273-8300. Information regarding the status of published or unpublished applications may be obtained from Patent Center. Unpublished application information in Patent Center is available to registered users. To file and manage patent submissions in Patent Center, visit: https://patentcenter.uspto.gov. Visit https://www.uspto.gov/patents/apply/patent-center for more information about Patent Center and https://www.uspto.gov/patents/docx for information about filing in DOCX format. For additional questions, contact the Electronic Business Center (EBC) at 866-217-9197 (toll-free). If you would like assistance from a USPTO Customer Service Representative, call 800-786-9199 (IN USA OR CANADA) or 571-272-1000. /E.O./Examiner, Art Unit 1677 /BAO-THUY L NGUYEN/Supervisory Patent Examiner, Art Unit 1677 January 20, 2026
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Prosecution Timeline

Aug 26, 2020
Application Filed
Feb 24, 2024
Non-Final Rejection — §101, §102, §103
Aug 19, 2024
Response Filed
Jun 20, 2025
Response Filed
Aug 08, 2025
Final Rejection — §101, §102, §103
Oct 31, 2025
Request for Continued Examination
Nov 04, 2025
Response after Non-Final Action
Jan 16, 2026
Non-Final Rejection — §101, §102, §103 (current)

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3-4
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3y 2m
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High
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