Prosecution Insights
Last updated: September 17, 2026
Application No. 18/858,521

Combination Therapy

Non-Final OA §102
Filed
Oct 21, 2024
Priority
Apr 19, 2022 — nonprovisional of PCTUS2022025378
Examiner
SAEED, KAMAL A
Art Unit
Tech Center
Assignee
US Oncology Corporate Inc.
OA Round
1 (Non-Final)
84%
Grant Probability
Favorable
1-2
OA Rounds
2m
Est. Remaining
94%
With Interview

Examiner Intelligence

Grants 84% — above average
84%
Career Allowance Rate
1014 granted / 1210 resolved
+23.8% vs TC avg
Moderate +10% lift
Without
With
+9.8%
Interview Lift
resolved cases with interview
Fast prosecutor
2y 0m
Avg Prosecution
23 currently pending
Career history
1227
Total Applications
across all art units

Statute-Specific Performance

§101
2.5%
-37.5% vs TC avg
§103
9.0%
-31.0% vs TC avg
§102
6.8%
-33.2% vs TC avg
§112
16.6%
-23.4% vs TC avg
Black line = Tech Center average estimate • Based on career data from 1210 resolved cases

Office Action

§102
DETAILED ACTION 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 . Claims 1-20 are currently pending in this Application. Priority CONTINUING DATA This application is 371 of PCT/US2022/025378 04/19/2022 Information Disclosure Statement Applicant’s Information Disclosure Statement, filed on September 18, 2025, has been considered. Please refer to Applicant’s copies of the 1449 submitted herewith. 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. Claims 1-20 are rejected under 35 U.S.C. 102(a)(1) as being anticipated by O' Shaughnessy et al., "Efficacy and safety of weekly paclitaxel with or without oral alisertib in patients with metastatic breast cancer: a randomized clinical trial," JAMA network open, April, 20, 2021. The instant claims are directed to a method of treating cancer, comprising: administering to a patient in need thereof therapeutically effective amounts of a combination of alisertib and paclitaxel; wherein the cancer is estrogen receptor-positive and HER2-negative breast cancer and the patient has been treated with a CDK 4/6 inhibitor before being treated with the combination of alisertib and paclitaxel (see O' Shaughnessy et al. Page 2, last two paragraphs). The prior art anticipates the instant claims as presented below: Regarding Claim 1, O'Shaughnessy discloses a method of treating cancer comprising: administering to a patient in need thereof therapeutically effective amounts of a combination of alisertib and paclitaxel; wherein the cancer is estrogen receptor-positive and HER2-negative breast cancer and the patient has been treated with a CDK 4/6 inhibitor before being treated with the combination of alisertib and paclitaxel. (see O' Shaughnessy et al. Page 2, last two paragraphs). Regarding Claim 2, O'Shaughnessy discloses the method of claim 1, further comprising identifying the patient as having an estrogen receptor-positive and ERBB2-negative breast cancer. (unresectable locally recurrent breast cancer that was histologically confirmed as ER-positive, ERBB2-negative invasive breast cancer, Page 3, paragraph 3) Regarding Claim 3, O'Shaughnessy discloses the method of claim 2, wherein the identifying comprises: obtaining a biological sample containing cells from the patient (unresectable locally recurrent breast cancer that was histologically confirmed as ER-positive, ERBB2-negative invasive breast cancer, Page, 3, Paragraph 3); assaying the sample to determine whether the sample has estrogen receptor expression or over expression of HER2 protein; and based on a result of the assaying, determining that the patient has an estrogen receptor-positive and HER2-negative breast cancer. Regarding Claim 4, O'Shaughnessy discloses the method of claim 1, wherein paclitaxel (paclitaxel, Page 3, Paragraph 4) is administered intravenously (Patients were randomized to receive paclitaxel 60 mg/m2 intravenously, Page 3, Paragraph 4). Regarding Claim 5, O'Shaughnessy discloses the method of claim 4, wherein paclitaxel (paclitaxel, Page 3, Paragraph 4) is administered (Patients were randomized to receive paclitaxel, Page 3, Paragraph 4) at a dosage of 60 mg/m 2 on days 1, 8, and 15 of a 28-day cycle (60 mg/m2 intravenously (IV) on days 1, 8, and 15 plus alisertib 40 mg twice daily on days 1 to 3, 8 to 10, and 15 to 17 of a 28-day cycle, Page 3, Paragraph 4). Regarding Claim 6, O'Shaughnessy discloses the method of claim 1, wherein alisertib (oral alisertib, Page 1, Paragraph 3) is administered orally (participants were randomized to intravenous (IV) paclitaxel plus oral alisertib, Page 1, Paragraph 3). Regarding Claim 7, O'Shaughnessy discloses the method of claim 6, wherein alisertib (alisertib, Page 3, Paragraph 4) is administered (Patients were randomized to receive, Page 3, Fourth Paragraph) at a dosage of 40 mg twice daily on days 1-3, 8-10, and 15-17 of a 28-day cycle (40 mg twice daily on days 1 to 3, 8 to 10, and 15 to 17 of a 28-day cycle, Page 3, Paragraph 4). Regarding Claim 8, O'Shaughnessy discloses the method of claim 1, wherein the CDK 4/6 inhibitor (palbociclib, Page 5, Paragraph 3; CDK 4/6 inhibitor-resistant, Page 8, Paragraph 4) is palbociclib (In 30 patients who had been previously treated with palbociclib for MBC, Page 5, Paragraph 3), ribociclib, or abemaciclib. Regarding Claim 9, O'Shaughnessy discloses the method of claim 1, wherein the breast cancer (In 30 patients who had been previously treated with palbociclib for MBC, Page 5, Paragraph 3; 90 patients with ER-positive, ERBB2-negative MBC who had previously undergone endocrine therapy and CDK 4/6 inhibitor treatment, Page 8, Paragraph 4) is resistant to the treatment of a CDK 4/6 inhibitor (The CBR observed with paclitaxel plus alisertib in patients who had been pretreated with palbociclib was 61.5%, Page 5, Paragraph 3; The promising CBR in patients who were CDK 4/6 inhibitor-resistant and receiving alisertib alone corroborates the activity of alisertib seen in the patients who had been pretreated with CDK 4/6 inhibitor in this study, Page 8, Paragraph 4). Regarding Claim 10, O'Shaughnessy discloses the method of claim 1, wherein the cancer (patients with ER-positive andERBB2-negative or triple-negative metastatic breast cancer (MBC), Page 1, Paragraph 2) is metastatic breast cancer (Patients With Metastatic Breast Cancer, Page 1, Title). Regarding Claim 11, O'Shaughnessy discloses a method of treating cancer (The combination of paclitaxel with alisertib has also been investigated in a phase 1 study in patients with locally advanced or metastatic ovarian or breast cancer, Page 2, Paragraph 4; phase 2 study, Page 2, Paragraph 5; The primary objective of the study was to demonstrate the superiority of paclitaxel plus alisertib compared with paclitaxel alone in progression-free survival (PFS) in 2 MBC cohorts, Page 2, Fifth Paragraph), comprising: administering to a patient in need thereof (adding alisertib to weekly paclitaxel therapy in patients, Page 2, Paragraph 5; 169 patients received study treatment, Page 1, Paragraph 5) therapeutically effective amounts (assessed the effectiveness and safety, Page 2, Paragraph 5) of a combination of alisertib and paclitaxel (adding alisertib to weekly paclitaxel therapy in patients, Page 2, Paragraph 5); wherein the cancer is triple-negative breast cancer (patients with ER-positive, ERBB2-negative or TN MBC, Page 2, Paragraph 5). Regarding Claim 12, O'Shaughnessy discloses the method of claim 11, further comprising identifying the patient as having a triple-negative breast cancer (Eligible patients were postmenopausal women aged 18 years or older with metastatic or unresectable locally recurrent breast cancer that was histologically confirmed as ER-positive, ERBB2- negative invasive breast cancer (any progesterone receptor status), with Ki-67 greater than 15% in primary or metastatic tissue, or grade 3 TN MBC, Page 3, Paragraph 3). Regarding Claim 13, modified O'Shaughnessy discloses the method of claim 12, wherein the identifying comprises: obtaining a biological sample containing cells from the patient (unresectable locally recurrent breast cancer that was histologically confirmed as ER-positive, ERBB2-negative invasive breast cancer, Page, 3, Paragraph 3); assaying the sample to determine whether the sample has estrogen receptor expression, progesterone receptor expression, or over expression of HER2 protein; and based on a result of the assaying, determining that the patient has a triple-negative breast cancer (ERBB2-negative was defined as immunohistochemistry status of 0, 1 or more, or 2 or more. ER-negative and progesterone receptor-negative status was defined as ER and progesterone receptor less than 1% nuclei positive by immunohistochemistry, Page 3, Paragraph 3). Regarding Claim 14, O'Shaughnessy discloses the method of claim 11, wherein paclitaxel (paclitaxel, Page 3, Paragraph 4) is administered intravenously (Patients were randomized to receive paclitaxel 60 mg/m2 intravenously, Page 3, Paragraph 4). Regarding Claim 15, O'Shaughnessy discloses the method of claim 14, wherein paclitaxel (paclitaxel, Page 3, Paragraph 4) is administered (Patients were randomized to receive paclitaxel, Page 3, Paragraph 4) at a dosage of 60 mg/m 2 on days 1, 8, and 15 of a 28-day cycle (60 mg/m2 intravenously (IV) on days 1, 8, and 15 plus alisertib 40 mg twice daily on days 1 to 3, 8 to 10, and 15 to 17 of a 28-day cycle, Page 3, Paragraph 4). Regarding Claim 16, O'Shaughnessy discloses the method of claim 15, wherein alisertib (oral alisertib, Page 1, Paragraph 3) is administered orally (participants were randomized to intravenous (IV) paclitaxel plus oral alisertib, Page 1, Paragraph 3). Regarding Claim 17, O'Shaughnessy discloses the method of claim 16, wherein alisertib (alisertib, Page 3, Paragraph 4) is administered (Patients were randomized to receive, Page 3, Paragraph 4) at a dosage of 40 mg twice daily on days 1-3, 8-10, and 15-17 of a 28-day cycle (40 mg twice daily on days 1 to 3, 8 to 10, and 15 to 17 of a 28-day cycle, Page 3, Paragraph 4). Regarding Claim 18, O'Shaughnessy discloses the method of claim 11, wherein the combination of alisertib and paclitaxel is an initial treatment to the patient (wherein the patient had not received prior chemotherapy or neo Taxane, Table 1; wherein Paclitaxel plus alisertib group includes 48 individuals (69.6% of the cohort) who had not received prior chemotherapy; and only 29 who also had prior neo or adjuvant taxane, thus wherein at least 19 members of the cohort had neither prior chemotherapy or neo or adjuvant taxane therapy). Regarding Claim 19, O'Shaughnessy discloses the method of claim 11, wherein the patient (30 patients, Page 5, Paragraph 3) has been treated with a drug (In 30 patients who had been previously treated with palbociclib for MBC, Page 5, Paragraph 3) before being treated with the combination of alisertib and paclitaxel (The CBR observed with paclitaxel plus alisertib in patients who had been pretreated with palbociclib was 61.5% (95% Cl,31.6%-86.1%) vs 37.5% (95% CI, 15.2%-64.6%) in patients who had received paclitaxel alone, Page 5, Paragraph 3). Regarding Claim 20, O'Shaughnessy discloses the method of claim 11, wherein the cancer (Metastatic Breast Cancer, Page 1, Title) is metastatic breast cancer (triple-negative metastatic breast cancer (MBC), Page 1, Paragraph 2). Telephone Inquiry Any inquiry concerning this communication or earlier communications from the examiner should be directed to KAMAL A SAEED whose telephone number is (571) 272-0705. Examiner interviews are available via telephone, in-person, and video conferencing using a USPTO supplied web-based collaboration tool. To schedule an interview, applicants are 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, Adam C Milligan can be reached at (571)270-7674. 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 /Kamal A Saeed/ Primary Examiner, Art Unit 1626
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Prosecution Timeline

Oct 21, 2024
Application Filed
Sep 02, 2026
Non-Final Rejection mailed — §102 (current)

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Prosecution Projections

1-2
Expected OA Rounds
84%
Grant Probability
94%
With Interview (+9.8%)
2y 0m (~2m remaining)
Median Time to Grant
Low
PTA Risk
Based on 1210 resolved cases by this examiner. Grant probability derived from career allowance rate.

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