Prosecution Insights
Last updated: April 19, 2026
Application No. 18/023,325

METHODS FOR THE TREATMENT OF CARDIOVASCULAR DISEASE WITH CYCLODEXTRINS

Final Rejection §103
Filed
Feb 24, 2023
Examiner
MILLER, DALE R
Art Unit
1693
Tech Center
1600 — Biotechnology & Organic Chemistry
Assignee
Beren Therapeutics P B C
OA Round
2 (Final)
62%
Grant Probability
Moderate
3-4
OA Rounds
2y 8m
To Grant
78%
With Interview

Examiner Intelligence

Grants 62% of resolved cases
62%
Career Allow Rate
434 granted / 699 resolved
+2.1% vs TC avg
Strong +16% interview lift
Without
With
+16.3%
Interview Lift
resolved cases with interview
Typical timeline
2y 8m
Avg Prosecution
40 currently pending
Career history
739
Total Applications
across all art units

Statute-Specific Performance

§101
4.2%
-35.8% vs TC avg
§103
39.3%
-0.7% vs TC avg
§102
16.7%
-23.3% vs TC avg
§112
23.3%
-16.7% vs TC avg
Black line = Tech Center average estimate • Based on career data from 699 resolved cases

Office Action

§103
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 . DETAILED ACTION This Office Action is in response to Applicants’ Amendment and Remarks filed on 1/21/2026 in which claim 3 is cancelled and claims 1, 17, 18, 26 and 27 are amended. No claims are newly added. Claims 1, 2, 4-8, 10-12, 14, 15, 17, 18 and 26-30 are pending in the instant application and are examined on the merits herein. Priority The application is a National Stage entry of PCT/US2021/48084 filed on 8/27/2021, which claims priority to provisional application 63/071257 filed on 8/27/2020. Information Disclosure Statement The information disclosure statements (IDS) dated 1/21/2026 comply with the provisions of 37 CFR 1.97, 1.98 and MPEP § 609, except where noted. Accordingly, the IDS documents have been placed in the application file and the information therein has been considered as to the merits. Withdrawn Rejections All rejection(s) of record for claim(s) 3 is/are hereby withdrawn due to the cancellation of said claim(s) rendering said rejection(s) moot. Applicant’s amendment, filed on 1/21/2026, with respect to the rejection of claims 1, 2, 4-8, 10-12, 14, 15, 17 and 18 under 35 U.S.C. 103 as being unpatentable over Zimmer et al. (Sci. Trans. Med., 2016); claim 26 under 35 U.S.C. 103 as being unpatentable over Zimmer et al. (Sci. Trans. Med., 2016), in view of Kannel (Clin. Therap., 1998); and claims 27-30 under 35 U.S.C. 103 as being unpatentable over Zimmer et al. (Sci. Trans. Med., 2016), in view of Fornoni et al. (US 2019/0262385A1), has been fully considered and is persuasive. Zimmer does not teach administering to humans at a dose of 50-2000 mg/kg. Kannel and Fornoni do not remedy the deficiency of Zimmer. The rejections are hereby withdrawn. Rejections Necessitated by Amendment The following are new ground(s) or modified rejections necessitated by Applicants' amendment, filed on 1/21/2026, wherein instant independent claim 1 is amended. Therefore, new rejections are made. New Rejections 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 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 of this title, 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. This application currently names joint inventors. In considering patentability of the claims the examiner presumes that the subject matter of the various claims was commonly owned as of the effective filing date of the claimed invention(s) absent any evidence to the contrary. Applicant is advised of the obligation under 37 CFR 1.56 to point out the inventor and effective filing dates of each claim that was not commonly owned as of the effective filing date of the later invention in order for the examiner to consider the applicability of 35 U.S.C. 102(b)(2)(C) for any potential 35 U.S.C. 102(a)(2) prior art against the later invention. The factual inquiries set forth in Graham v. John Deere Co., 383 U.S. 1, 148 USPQ 459 (1966), that are applied 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, 2, 4-8, 10-12, 14, 15, 17 and 18 are rejected under 35 U.S.C. 103 as being unpatentable over Zimmer et al. (Sci. Trans. Med., 2016, IDS), with Zimmer et al. (Sci. Trans. Med., 2016, Supplementary Materials, PTO-892). Zimmer et al. discloses a method for treating atherosclerosis in mice and in human carotid plaques, by reducing plaque size and cholesterol crystal load, by administering 2-hydroxypropyl-beta-cyclodextrin (HP-b-CD), at a dose of 2 g/kg in mice. (Abstract, Figures 2 and 6-8) Zimmer also discloses that HP-b-CD is effective to increase the level of 27-hydroxycholesterol production, by a factor of 3-15, such that HP-b-CD increases the metabolism of free cholesterol and could thereby lower the potential for its phase transition into crystals. (p. 4, Col. 1; Figure 4G-H) Zimmer discloses that HP-b-CD is effective to increase cholesterol crystal dissolution showing reduction in crystal size versus control by almost 50%. (Figure 3F) Zimmer also concludes, “Because CD treatment in humans is safe and CD beneficially affects key mechanisms of atherogenesis, it may therefore be used clinically to prevent or treat human atherosclerosis” (Abstract) and “CD, on the other hand, is already in clinical use in humans for the delivery of lipophilic drugs and has not shown relevant toxicity. Hence, repurposing CD for the treatment or prevention of atherosclerosis would be feasible. Our studies provide a proof of principle that therapies aimed at increasing the solubility and removal of macrophage cholesterol could be an effective strategy for the treatment of atherosclerosis.” (p. 9, Col. 2) Zimmer further discloses that human subjects with Niemann-Pick type C were intravenously administered HP-b-CD and it was observed that cholesterol content in the urine increased during HP-b-CD administration indicating that HP-b-CD enhances in vivo reverse cholesterol transport and can directly extract and transport cholesterol for excretion. (Figure 6D) Zimmer does not teach treating atherosclerosis or reducing development of cholesterol rich plaque, in human subjects. Zimmer et al. (Supplementary Materials) discloses that human subjects with Niemann-Pick type C were intravenously administered HP-b-CD at 2000 mg/kg. (p. 9) One of ordinary skill in the art would have been motivated to apply the method of Zimmer in treating atherosclerosis in mice or reducing development of cholesterol rich plaque in human carotid plaque samples, to yield a method for treating atherosclerosis or reducing development of cholesterol rich plaque, in human subjects, thereby arriving at the instant invention, because Zimmer advises that HP-b-CD may be clinically used to treat human atherosclerosis. Moreover, Zimmer (Supp Mater) discloses that administering HP-b-CD, at 2000 mg/kg, is effective to increase cholesterol clearance in human subjects. Thus, Zimmer shows successful administration of HP-b-CD, within the claimed range, in both ex vivo and in vivo human systems. Given the data and suggestions of Zimmer, when taken as a whole, POSITA would have a reasonable assurance of success in administering HP-b-CD, at 2000 mg/kg, to human patients, to treat atherosclerosis. With respect to claim 4, the dose range claimed is obvious over Zimmer. Given the dosage of 2 g/kg of Zimmer, combined with an appropriate accommodation for the average mass difference between mice and humans, it is well within the technical capability of one of ordinary skill to arrive at a human dose with the range of 4g-250 g, by routine optimization. With respect to claims 5, 10, 11, 14, Zimmer discloses that HP-b-CD is effective in humans at 2000 mg/kg. Thus the 2000 mg/kg amount of HP-b-CD administered by Zimmer is clearly “an effective amount” as prescribed by claim 1. While Zimmer is silent on measuring the levels of HP-b-CD or 27-hydroxycholesterol, the levels are sufficient to achieve a therapeutic effect. Due to the active method step, the administered compound (i.e. HP-b-CD) and the dosage of the administered compound (i.e. 2000 mg/kg) in Zimmer being structurally identical, to that of the instant claims, whatever natural consequence of these structurally identical components/limitations will inherently occur via the machinations of the subjects’ in vivo biochemistry. Thus, the method of Zimmer would inherently result in levels of HP-b-CD in the range 0.6-3 mM or the levels of 27-hydroxycholesterol in the range of 40 nanograms/mL or greater (or at least 40 nanograms/mg or at least 90 nanograms/mg), regardless of the fact that Zimmer is silent on these features. The prior art teaches the same active step to administer the same composition, in the same amount, so the properties applicant discloses and/or claims are necessarily present. Ex parte Novitski, 26 USPQ2d 1389 (Bd. Pat. App. & Inter. 1993). See also MPEP § 2112.02. With respect to claim 17 and the limitation regarding levels of ABCA1 or ABCG1, this limitation is not accorded patentable weight because of the inseparable connection between an administered composition and the mechanism of action within the subject to which the composition is administered. The active method step in the instant claim is administering the HP-b-CD composition whereas the in vivo levels of ABCA1 or ABCG1 is an effect which will necessarily occur and does not delineate a manipulative difference between the instant method and the method of the prior art. Therefore, because the combined prior art teaches the same active step to administer the same composition, the properties applicant discloses and/or claims are necessarily present. Ex parte Novitski, 26 USPQ2d 1389 (Bd. Pat. App. & Inter. 1993). See also MPEP § 2112.02. Accordingly, the instant claims are prima facie obvious over the teachings of the prior art. Response to Arguments As applicable to the new rejections, Applicants’ response with respect to the prior art of Zimmer has been fully considered but is not persuasive. Applicant argues that Zimmer only offers an invitation to continue experimentation on treating atherosclerosis in humans but does not actually discloses treating human subjects, that the Office is relying on an obvious to try rationale, based on the generic statement of Zimmer. Applicants’ argument is not persuasive because Zimmers’ disclosure, along with the supplementary materials, provides more than just an invitation to continue experimentation. Zimmer discloses in vivo administration of HP-b-CD to human subjects, showing improved cholesterol clearance. The combination of the mouse model system data and the data on human subjects, provides a clear teaching and suggestion to treat atherosclerosis in humans by administering HP-b-CD, with the motivation to treat humans lying in the fact that atherosclerosis is a common problem in humans leading to heart attacks, stroke and peripheral vascular disease. Applicant further argues that Zimmer does not provide an experimental bridge between the mouse model system and humans to allow one to reasonably predict therapeutic success for the mouse dosages in humans. Applicant supports the argument noting that it has been established in the art that translating animal dosages to humas is not routine or predictable. Applicants’ argument is not persuasive because Zimmer, taking into account the supplementary materials, does provide an experimental bridge between mice and humans. Zimmer discloses in vivo administration of HP-b-CD, at 2000 mg/kg to human subjects, showing improved cholesterol clearance. This data shows that one could reasonably predict that the 2000 mg/kg dose in mice is translatable to humas because the same dose was shown to be effective in humans. Applicant further argues that the data in the specification demonstrates unexpected results when human subject was administered HP-b-CD at 500-1000 mg/kg. It is acknowledged that the data in Figures 1A and 2C shows the effectiveness of HP-b-CD from 500-1000 mg/kg at impacting the amount of free cholesterol, and its metabolites, in blood plasma of a human atherosclerotic patient. However, this data is not unexpected in view of Zimmer. There is no comparative data showing that a dose of 500-1000 mg/kg is unexpectedly different than the 2000 mg/kg dose administered to humans by Zimmer. Applicant is requested to note that it is well-settled that the evidence including a comparison with the closest prior art is one of elements to be considered as unexpected results (see for example, In re Merchant, 575 F.2d 865, 869, 197 USPQ 785, 788 (CCPA 1978), which is provided either in the specification or an affidavit or declaration submitted during prosecution on the issue. Claim 26 is rejected under 35 U.S.C. 103 as being unpatentable over Zimmer et al. (Sci. Trans. Med., 2016, IDS), with Zimmer et al. (Sci. Trans. Med., 2016, Supplementary Materials, PTO-892), in view of Kannel (Clin. Therap., 1998, reference of record). The disclosure of Zimmer et al. is referenced as discussed above. Zimmer does not teach treating a subject at least 30 years old. Kannel discloses a multivariate analysis of subjects experiencing atherosclerotic events, where multiple metrics show an increased severity of effects in age bracket 65-94 compared to age bracket 35-64. (Figure 1, Table II) It would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention that the subject population targeted in the method of Zimmer would be those at least 30 years old, based on the data of Kannel. The data of Kannel motivate one to target subject populations of those 65-94 years old due to the increased severity of atherosclerotic events in this subject population. Accordingly, the instant claims are prima facie obvious over the teachings of the prior art. Response to Arguments Applicant argues that the combined prior art does not render the independent claims prima facie obvious for the reasons outlined above, thus the rejection of dependent claims that reply on the teachings of said combined prior art, should be withdrawn. Applicants' arguments are not persuasive because the rejection of the independent claims is maintained as prima facie obvious over said combined prior art, as per the response to arguments above. The rejection is still deemed proper and is maintained. Claims 27-30 are rejected under 35 U.S.C. 103 as being unpatentable over Zimmer et al. (Sci. Trans. Med., 2016, IDS), with Zimmer et al. (Sci. Trans. Med., 2016, Supplementary Materials, PTO-892), in view of Fornoni et al. (US 2019/0262385A1, IDS). The disclosure of Zimmer et al. is referenced as discussed above. Zimmer does not teach the claimed dosing regimen. Fornoni discloses a method for administering HP-b-CD to sequester cholesterol where the dosing regimen is as follows: (Claims 1, 2, 7, 10, 11) Dosage ranges for administering a compound in accordance with a method of the subject invention comprise from about 2-20 mg/kg/day to about 4000 mg/kg three to five times per week (totaling up to about 20,000 mg/kg/week), and can be administered at least two times per week up to about three times per day. (¶0026) Hydroxypropyl Beta Cyclodextrin (HP-b-CD) is safe when administered to mice at a dose ranging from about 2 to about 20 mg/kg/day and can be administered in amounts up to about 4,000 mg/kg from three times to five times per week (totaling about 20,000 mg/kg/week). (¶0067) After establishing a dose and a mode of administration based on preliminary toxicology studies, we treated 4-week old BTBR mice with subcutaneous administration of three weekly injections of hydroxypropyl-b-cyclodextrin (CD, 4,000 mg/kg body weight) for five months. (¶0101) The formulation may be such that an application, administration, or injection is required on a daily, weekly, monthly or other periodic basis, depending on the concentration and amount of a provided compound, the biodegradation rate of a polymer used in the formulation, and other factors known to those of skill in the art. (¶0060) It would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to optimize the dosing regimen in the method of Zimmer based on the disclosure of the analogous art of Fornoni. The dosing regimen of Fornoni renders obvious the claimed limitations of administering a first dose at one time point (e.g. upon first diagnosis, 3X-5X per week) and then administering a second dose at a second later time point (e.g. up to five months post first diagnosis). Accordingly, the instant claims are prima facie obvious over the teachings of the prior art. Response to Arguments Applicant argues that the combined prior art does not render the independent claims prima facie obvious for the reasons outlined above, thus the rejection of dependent claims that reply on the teachings of said combined prior art, should be withdrawn. Applicants' arguments are not persuasive because the rejection of the independent claims is maintained as prima facie obvious over said combined prior art, as per the response to arguments above. The rejection is still deemed proper and is maintained. Conclusion No claims are allowed. Applicant's amendment necessitated the new and/or modified ground(s) of rejection presented in this Office action. Accordingly, THIS ACTION IS MADE FINAL. See MPEP § 706.07(a). Applicant is reminded of the extension of time policy as set forth in 37 CFR 1.136(a). A shortened statutory period for reply to this final action is set to expire THREE MONTHS from the mailing date of this action. In the event a first reply is filed within TWO MONTHS of the mailing date of this final action and the advisory action is not mailed until after the end of the THREE-MONTH shortened statutory period, then the shortened statutory period will expire on the date the advisory action is mailed, and any extension fee pursuant to 37 CFR 1.136(a) will be calculated from the mailing date of the advisory action. In no event, however, will the statutory period for reply expire later than SIX MONTHS from the mailing date of this final action. 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. Any inquiry concerning this communication or earlier communications from the examiner should be directed to DALE R MILLER whose telephone number is (571) 272-6146. The examiner can normally be reached on M-F 7:00 AM – 3:30 PM EST. If attempts to reach the examiner by telephone are unsuccessful, the examiner’s supervisor, Scarlett Goon can be reached on (571) 270-5341. The fax phone number for the organization where this application or proceeding is assigned is 571-273-8300. Information regarding the status of an application may be obtained from Patent Center and the Private Patent Application Information Retrieval (PAIR) system. Status information for published applications may be obtained from Patent Center or Private PAIR. Status information for unpublished applications is available through Patent Center and Private PAIR to authorized users only. Should you have questions about access to the Private PAIR system, contact the Electronic Business Center (EBC) at 866-217-9197 (toll-free). /DALE R MILLER/Primary Examiner, Art Unit 1693
Read full office action

Prosecution Timeline

Feb 24, 2023
Application Filed
Jul 18, 2025
Non-Final Rejection — §103
Jan 21, 2026
Response Filed
Mar 16, 2026
Final Rejection — §103 (current)

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Prosecution Projections

3-4
Expected OA Rounds
62%
Grant Probability
78%
With Interview (+16.3%)
2y 8m
Median Time to Grant
Moderate
PTA Risk
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