Prakash, Satya et al.Download PDFPatent Trials and Appeals BoardJan 3, 202013111105 - (D) (P.T.A.B. Jan. 3, 2020) Copy Citation UNITED STATES PATENT AND TRADEMARK OFFICE UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O. Box 1450 Alexandria, Virginia 22313-1450 www.uspto.gov APPLICATION NO. FILING DATE FIRST NAMED INVENTOR ATTORNEY DOCKET NO. CONFIRMATION NO. 13/111,105 05/19/2011 Satya Prakash UAS003US1 4868 100340 7590 01/03/2020 Jonathan M Kaplan P.O. Box 521 Capitola, CA 95010 EXAMINER AFREMOVA, VERA ART UNIT PAPER NUMBER 1653 NOTIFICATION DATE DELIVERY MODE 01/03/2020 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address(es): eofficeaction@appcoll.com jonathan@kaplan-iplaw.com tracie@kaplan-iplaw.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE ____________________ BEFORE THE PATENT TRIAL AND APPEAL BOARD ____________________ Ex parte SATYA PRAKASH, MITCHELL LAWRENCE JONES, and CHRISTOPHER MARTONI ____________________ Appeal 2018-004374 Application 13/111,105 Technology Center 1600 ____________________ Before FRANCISCO C. PRATS, TAWEN CHANG, and DAVID COTTA, Administrative Patent Judges. CHANG, Administrative Patent Judge DECISION ON APPEAL Pursuant to 35 U.S.C. § 134(a), Appellant1 appeals from the Examiner’s decision to reject claims 3–6, 8–12, 14, 15, and 26–36.2 We have jurisdiction under 35 U.S.C. § 6(b). We REVERSE. 1 We use the word “Appellant” to refer to “applicant” as defined in 37 C.F.R. § 1.42. Appellant identifies the Real Party in Interest as UAS Laboratories LLC. Appeal Br. 3. 2 An oral hearing was held on Sept. 12, 2019. Appeal 2018-004374 Application 13/111,105 2 BACKGROUND Elevated LDL cholesterol is involved in atherosclerosis and coronary artery disease (CAD). Spec. ¶ 5. In contrast, high-density lipoproteins (HDL) “play a key role in ‘reverse cholesterol transport’, a pathway by which excess cholesterol is removed from extrahepatic cells and returned to the liver for excretion from the body.” Id. ¶ 6. Upon return to the liver, cholesterol may be metabolized into bile salts and excreted from the body. Id. According to the Specification, “highly bile salt hydrolase (bsh) active bacteria provide an improved agent for reducing serum cholesterol, serum lipids, body fat, and atherogenic index and for prophylaxis and treatment of atherosclerosis, cardiovascular and cerebrovascular diseases.” Id. ¶ 22. Further according to the Specification, [t]he present disclosure relates to an improved oral composition of a highly bsh active bacteria, isolate or supernatant thereof and processes for preparing the improved composition. The present disclosure also relates to methods and uses of the improved oral composition for reducing serum cholesterol, serum lipids, body fat, or atherogenic index and for prophylaxis and treatment of atherosclerosis, cardiovascular or cerebrovascular diseases. Spec. ¶ 2. CLAIMED SUBJECT MATTER The claims are directed to a bile salt hydrolase (BSH) active bacteria and oral compositions comprising such bacteria. Claims 3, 33, and 34 are illustrative: 3. An oral composition, comprising the BSH active bacteria of claim 34; wherein said first BSH activity degrades >2253 μmol glycodeoxycholic acid (GDCA)/gram wet bacterial pellet/hr when Appeal 2018-004374 Application 13/111,105 3 measured over 30 minutes, wherein said high BSH activity is stable so that at least about 69.2% of said BSH activity is retained when said highly BSH active bacteria are stored for a time period of at least 3 weeks. 33. A bile salt hydrolase (BSH) active bacteria, comprising a first BSH activity that results from growth in an optimized plurality of growth medium components, wherein said first BSH activity is between 6.1 and 113.6 fold higher than a second BSH activity that results from the growth of said BSH active bacteria in de Man, Rogosa, Sharpe (MRS) medium. 34. The BSH active bacteria of claim 33, wherein said first BSH activity is between 8.9 and 113.6 fold higher than said second BSH activity. Appeal Br. 27, 29–30 (Claims App.). REJECTIONS The Examiner rejects claims 3–6, 8–11, 15, and 26–363 under 35 U.S.C. § 101 as being directed to a judicial exception (i.e., a law of nature, a natural phenomenon, or an abstract idea) without significantly more. Ans. 4. The Examiner rejects claims 3–5, 8, 9, 26, 28, 30, and 33–36 under pre-AIA 35 U.S.C. § 102(b) as being anticipated by or, in the alternative, under pre-AIA 35 U.S.C. § 103(a) as obvious over, De Smet.4 Ans. 9. 3 In the Answer, the Examiner states that “[c]laims 3–6, 11, 15, and 26–32 are rejected under 35 U.S.C. § 101.” Ans. 4 (emphasis added). However, the body of the rejection makes clear that the rejection encompasses claims 33–36 as well. Ans. 8 (stating that “the claimed bacteria and compositions therewith are naturally occurring bacteria products (claims 33–36, 5, 6, 8– 11, 15, 26–32)” (emphasis added)), 4–5 (analyzing claims 33–36 under § 101). 4 I. De Smet et al., Significance of Bile Salt Hydrolytic Activities of Lactobacilli, 79 J. APPLIED BACTERIOLOGY 292 (1995). Appeal 2018-004374 Application 13/111,105 4 The Examiner rejects claims 3–6, 8, 9, and 26–36 under pre-AIA 35 U.S.C. § 102(a) as being anticipated by or, in the alternative, under pre-AIA 35 U.S.C. § 103(a) as obvious over, Stanton.5 Ans. 13. The Examiner rejects claims 3–6, 8, 9, 26–28, 30, 31, and 33–36 under pre-AIA 35 U.S.C. § 102(a) as being anticipated by or, in the alternative, under pre-AIA 35 U.S.C. § 103(a) as obvious over, Casas.6 Ans. 15. The Examiner rejects claims 3–6, 8, 9, 26, 27, 30, 31, and 33–36 under pre-AIA 35 U.S.C. § 102(a) as being anticipated by or, in the alternative, under pre-AIA 35 U.S.C. § 103(a) as obvious over, Irmak.7 Ans. 16–17. The Examiner rejects claims 3–5, 8–10, 26, 28, 30, and 33–36 under pre-AIA 35 U.S.C. § 103(a) as being unpatentable over De Smet and Martoni.8 Ans. 19. The Examiner rejects claims 3–5, 8–10, 26–28, 30, 31, and 33–36 under pre-AIA 35 U.S.C. § 103(a) as being unpatentable over De Smet, Martoni, and Sridevi.9 Ans. 20. The Examiner rejects claims 3–5, 8–12, 14, 15, 26–28, 30, 31, and 33–36 under pre-AIA 35 U.S.C. § 103(a) as being unpatentable over De 5 Stanton et al., US 7,223,543 B2, issued May 29, 2007. 6 Casas et al., US 5,534,253, issued July 9, 1996. 7 Sibel Irmak et al., Biocatalysis of Linoleic Acid to Conjugated Linoleic Acid, 41 LIPIDS 771 (2006). 8 Christopher Martoni et al., Microencapsulated Bile Salt Hydrolase Producing Lactobacillus reuteri for Oral Targeted Delivery in the Gastrointestinal Tract, 81 APPLIED MICROBIOLOGY AND BIOTECHNOLOGY 225 (2008). 9 N. Sridevi et al., Hypocholesteremic Effect of Bile Salt Hydrolase from Lactobacillus buchneri ATCC 4005, 42 FOOD RESEARCH INT’L 516 (2009). Appeal 2018-004374 Application 13/111,105 5 Smet, Martoni, Sridevi, DeSimone,10 Truong-Le,11 Shah,12 and Capela.13 Ans. 22–23. The Examiner rejects claims 3–6,14 8–12, 14, 15, and 26–36 under pre-AIA 35 U.S.C. § 103(a) as being unpatentable over De Smet, Martoni, Sridevi, DeSimone, Truong-Le, Shan, Capela, Stanton, Casa, and Irmak. Ans. 24–25. I. Issue The Examiner has rejected claims 3–6, 8–11, 15, and 26–36 under 35 U.S.C. § 101 as being directed to a judicial exception (i.e., a law of nature, a natural phenomenon, or an abstract idea) without significantly more. The Examiner finds that the [c]laims as a whole [are] directed to a natural product that is a bacteria and/or an oral composition comprising the bacteria, wherein the bacteria are derived from nature (or are not genetically engineered microorganisms) and wherein the bacteria are characterized by their natural bacterial properties including biological function such as enzymatic activity including bile salt hydrolase (BSH) 10 DeSimone, US RE40,023 E, reissued Jan. 22, 2008. 11 Truong-Le, US 8,067,017 B2, issued Nov. 29, 2011. 12 N.P. Shah et al., Microencpasulation of Probiotic Bacteria and Their Survival in Frozen Fermented Dairy Desserts, 55 AUSTRALIAN J. DIARY TECH. 139 (2000). 13 P. Capela et al., Effect of Cryoprotectants, Prebiotics and Microencapsulation on Survival of Probiotic Organisms in Yoghurt and Freeze-dried Yoghurt, 39 FOOD RES. INT’L 203 (2006). 14 In the Answer, the Examiner states that claims 1–6, 8–12, 14, 15, and 26– 36 are rejected over De Smet, Martoni, Sridevi, DeSimone, Truong-Le, Shan, Capela, Stanton, Casa, and Irmak. Ans. 24–25. However, claims 1 and 2 have been canceled. Appeal Br. 27 (Claims App.). Appeal 2018-004374 Application 13/111,105 6 activity and including stability of the biological function including enzymatic activity. Ans. 4. Appellant contends that bacteria having an increased BSH activity of between 6.1 and 113.6 fold over the MRS medium do not occur in nature. Appeal Br. 9. Appellant likewise contends that stabilized BSH activity as recited in claim 3 has not been reported in nature. Id. at 19. Finally, Appellant further argues that the claims include additional elements that are significantly more than a judicial exception. Id. at 18–19. The issue with respect to this rejection is whether a preponderance of the evidence of record supports the Examiner’s determination that the claims are directed to a natural phenomenon without significantly more. Analysis We analyze this case under the framework set forth by the Supreme Court in Mayo Collaborative Services v. Prometheus Laboratories, Inc., 566 U.S. 66 (2012), and applied by our reviewing court in Ariosa Diagnostics, Inc. v. Sequenom, Inc., 788 F.3d 1371 (Fed. Cir. 2015). As the Ariosa court explained: In Mayo . . . , the Supreme Court set forth a framework for distinguishing patents that claim laws of nature, natural phenomena, and abstract ideas from those that claim patent-eligible applications of those concepts. First, we determine whether the claims at issue are directed to a patent-ineligible concept. . . . If the answer is yes, then we next consider the elements of each claim both individually and “as an ordered combination” to determine whether additional elements “transform the nature of the claim” into a patent-eligible application. . . . The Supreme Court has described the second step of this analysis as a search for an “inventive concept”—i.e., an element or Appeal 2018-004374 Application 13/111,105 7 combination of elements that is “sufficient to ensure that the patent in practice amounts to significantly more than a patent upon the [ineligible concept] itself.” Id. at 1375. As an initial matter, we construe the claim limitation, “[a] bile salt hydrolase (BSH) active bacteria, comprising a first BSH activity that results from growth in an optimized plurality of growth medium components,” under the broadest reasonable interpretation standard. See, e.g., In re Morris, 127 F.3d 1048, 1055 (Fed. Cir. 1997). Under this standard, “words of the claim must be given their plain meaning, unless such meaning is inconsistent with the specification and prosecution history.” Trivascular, Inc. v. Samuels, 812 F.3d 1056, 1061–1062 (Fed. Cir. 2016). In this case, the claims require a bacteria “comprising” a certain amount of BSH activity, and we conclude that the plain meaning of this phrase requires that the bacteria presently possesses the recited BSH activity. Cf. Straight Path IP Group, Inc. v. Sipnet EU S.R.O., 806 F.3d 1356, 1360–1363 (rejecting the Board’s construction of phrase “a query as to whether the second process is connected to computer network” because use of the present tense verb “is” plainly requires determination of whether the second unit is connected at the time that the query is sent and not at registration). Accordingly, we construe “[a] bile salt hydrolase (BSH) active bacteria, comprising a first BSH activity that results from growth in an optimized plurality of growth medium components,” to mean a BSH active bacteria grown in an optimized plurality of growth medium components such that it possesses the level of recited “first BSH activity” in the presence of the appropriate substrate at the time such activity is being measured. Appeal 2018-004374 Application 13/111,105 8 We turn next to the first step of the Mayo test. On January 7, 2019, the Director of the USPTO issued the “2019 Revised Patent Subject Matter Eligibility Guidance” (“Revised Guidance”), which provides further details regarding how the Patent Office analyzes patent-eligibility questions under 35 U.S.C. § 101. 84 Fed. Reg. 50–57 (Jan. 7, 2019). Under the Revised Guidance, the first step of the Mayo test (i.e., Step 2A of the Revised Guidance) is “a two-pronged inquiry.” Id. at 54. In prong one, we evaluate whether the claim recites a judicial exception, such as laws of nature, natural phenomena, or abstract ideas. Id. If the claim recites a judicial exception, the claim is further analyzed under prong two, which requires “evaluat[ion of] whether the claim recites additional elements that integrate the exception into a practical application of that exception.” Id. Pursuant to prong one of Step 2A of the Revised Guidance, therefore, we begin by evaluating whether the claims recite a judicial exception when they recite, e.g., “[a] bile salt hydrolase (BSH) active bacteria” that comprises a certain level of BSH activity. As discussed below, we find that they do not. As explained in both case law and the Revised Guidance, natural phenomena, including naturally occurring organisms, are not patentable. In re Roslin Institute (Edinburgh), 750 F.3d 1333, 1335– 1336 (Fed. Cir. 2014). Two Supreme Court cases, Funk Brothers and Chakrabarty, elucidate the analysis for determining whether an organism is “naturally occurring.” In Funk Brothers, “bacteria produced by the laboratory methods of culture are placed in a powder or liquid base and packaged for sale to and use by agriculturists in the inoculation of the seeds of leguminous Appeal 2018-004374 Application 13/111,105 9 plants.” Funk Bros. Seed Co. v. Kalo Inoculant Co., 333 U.S. 127, 129 (1948). The Supreme Court concluded that such a mixture of bacteria was not patent eligible: “The qualities of these bacteria, like the heat of the sun, electricity, or the qualities of metals, are part of the storehouse of knowledge of all men. They are manifestations of laws of nature, free to all men and reserved exclusively to none.” Id. at 130; see also Roslin, 750 F.3d at 1336 (explaining that “while the method of selecting the strains of bacteria [in Funk Brothers] might have been patent eligible, the natural organism itself – the mixture of bacteria – was unpatentable because its ‘qualities are the work of nature’ unaltered by the hand of man”) (citation omitted). In contrast, in Chakrabarty, the Supreme Court held certain genetically engineered bacterium to be patent-eligible. 447 U.S. 303, 310 (1980). In that case, the invention was directed to “a bacterium from the genus Pseudomonas containing therein at least two stable energy-generating plasmids, each of said plasmids providing a separate hydrocarbon degradative pathway.” Id. at 305. “This human-made, genetically engineered bacterium is capable of breaking down multiple components of crude oil,” a property “possessed by no naturally occurring bacteria.” Id. The Supreme Court found that, in contrast to the mixture of bacteria in Funk Brothers, “the patentee has produced a new bacterium with markedly different characteristics from any found in nature and one having the potential for significant utility.” Chakrabarty, 447 U.S. at 310 (emphasis added). Keeping our claim construction and the principles articulated in Funk Brothers and Chakrabarty in mind, we are persuaded by Appellant’s contention that, while BSH active bacteria are naturally occurring, a BSH Appeal 2018-004374 Application 13/111,105 10 active bacteria comprising the claimed BSH activity (i.e., “a first BSH activity . . . wherein said first BSH activity is between 6.1 and 113.6 fold higher than a second BSH activity that results from the growth of said BSH active bacteria in de Man, Rogosa, Sharpe (MRS) medium”), has markedly different characteristics (i.e., in the level of BSH activity) from the bacteria found in nature. We recognize that this case is different from Chakrabarty in that the claimed bacteria does not possess a characteristic (BSH activity) entirely absent from naturally occurring bacteria but rather possesses it to a degree that does not naturally occur. However, the Examiner has not cited, and we are not aware of, any authority that a significant difference in the degree to which a phenotypic characteristic is exhibited cannot be considered a “markedly different” characteristic for purposes of Section 101 analysis. Neither has the Examiner presented persuasive evidence that such a BSH active bacteria would be found in nature, absent human intervention (i.e., optimization of the growth medium) as described in the Specification. For example, the Examiner has not persuasively shown that the 6.1 to 113.6 fold increase in BSH activity (over bacteria grown in the MRS medium) falls within the expected variation in BSH activity in naturally occurring BSH bacteria. In short, we find this case to be closer to Chakrabarty, where the “discovery is not nature’s handiwork,” 447 U.S. at 310, than to Funk Brothers, where the claims were directed to the mere packaging of a plurality of selected, naturally occurring strains of different bacteria that were mutually non-inhibitive, 333 U.S. at 131. Appeal 2018-004374 Application 13/111,105 11 We also find Roslin to be instructive. In Roslin, our reviewing court found that claims to a “live-born clone” of a donor mammal are not directed to patent-eligible subject matter. Roslin, 750 F.3d at 1337. In particular, although patent applicants contended that “copies (clones) are eligible for protection because they are ‘the product of human ingenuity’ and not ‘nature’s handiwork, but [their] own,”’ the Roslin Court found that a clone is not patentable because it is “an exact genetic replica” of the donor mammal and “does not possess ‘markedly different characteristics from any [farm animals] found in nature.”’ Id. (brackets in original and citations omitted). In response to Roslin’s argument that “‘environmental factors’ lead to phenotypic differences that distinguish its clones from their donor mammals,” the Court noted that such phenotypic difference are unclaimed and that, as Roslin acknowledged, “any phenotypic difference came about or were produced ‘quite independently of any effort of the patentee.’” Id. at 1338. In contrast, the claims here recite the phenotypic difference (i.e., level of BSH activity) alleged to differentiate the claimed bacteria from naturally occurring bacteria. Moreover, the phenotypic difference came about through the effort of the patentee in selecting the optimized media components. The Examiner asserts that “the core structure of claimed bacteria is the same as the structure of natural bacteria” because they are genetically identical, and “[t]he genetically identical natural bacteria is reasonably expected to manifest [the] same relative increase in enzymatic activity under growth conditions.” Ans. 4, 27, 28. The Examiner asserts that “[t]he relative increase as claimed does not indicate what structural changes in a bacterial product provide[] for increase in its BSH function.” Id. at 4. Appeal 2018-004374 Application 13/111,105 12 We are not persuaded. The Examiner cites no authority, and we are not aware of any, that only genetic differences can impart “markedly different characteristics” distinguishing patent-eligible subject matter from natural phenomenon. Indeed, as discussed above, Roslin suggests that phenotypic differences may be considered to impart “markedly different characteristics” so long as these differences are claimed and came about or were produced through the effort of the applicant. Roslin, 750 F.3d at 1338; see also 2014 Interim Guidance on Patent Subject Matter Eligibility (Dec. 16, 2014) (“Interim Guidance”), Example 9 (explaining that a claim to “[a]n isolated man-made human pacemaker cell expressing marker Z” would be patent-eligible where naturally occurring pacemaker cells do not express marker Z, even if they “contain genes that are capable of expressing . . . marker Z”). Neither has the Examiner provided persuasive evidence that the growth conditions that allegedly resulted in the claimed increase in relative enzymatic activity are naturally occurring and that, therefore, bacteria having the recited enzymatic activity is also naturally occurring. The Examiner points to claim 3, which recites an oral composition comprising the highly BSH active bacteria recited in claim 34 “wherein [the] high BSH activity is stable so that at least about 69.2% of said BSH activity is retained when said highly BSH active bacteria are stored for a time period of at least 3 weeks.” The Examiner asserts that, based on the claim, “it is unclear if the high activity is a transient characteristics of the bacterial product” and further asserts that “[o]nce the activity reduces to the level of ‘at least 69.2%’ this is not ‘significantly more’ to make it patent eligible over the natural product since now the activity is not much higher than that of the natural product.” Ans. 27–28; see also id. at 5–6. Appeal 2018-004374 Application 13/111,105 13 We are not persuaded. We agree with the Examiner that a claim may encompass natural phenomenon and thus patent-ineligible subject matter if the markedly different characteristic is transient and if the claim encompasses bacteria that no longer possesses the markedly different characteristic. Claim 33, however, is directed only to BSH active bacteria that have the characteristic of heightened BSH activity (i.e., a BSH activity between 6.1 and 113.6 fold higher than the activity of bacteria grown on MRS medium). The Examiner cites no authority, and we are not aware of any, that a transient characteristic may not also be a “markedly different” characteristic that distinguishes patent-eligible subject matter from natural phenomenon, so long as the claim is limited to subject matter that possesses that transient characteristic.15 Neither has the Examiner persuasively explained why 69.2% of the original high level of BSH activity (i.e., between 8.9 and 113.6 fold higher than activity of the bacteria when grown in MRS medium) would not be considered a “markedly different” characteristic. 15 We are cognizant of the Examiner’s concern that claim 3 may be read as encompassing an oral composition comprising BSH active bacteria that does not have the high level of BSH activity recited in claim 34, because claim 3 encompasses bacteria whose BSH activity has decreased to 69.2% of its original level. However, claim 3 may simply require a bacteria whose BSH activity is such that 69.2% of its highest level of BSH activity would still be between the 8.9 and 113.6 fold higher activity recited in claim 34. In addition, claim 3 specifies that the degraded activity may be found “when said highly active bacteria are stored for a time period of at least 3 weeks.” The claimed bacteria could thus currently have the activity recited in claim 34 and have the activity recited in claim 3 if the measurement were taken three weeks later. Furthermore, to the extent the claims are ambiguous, the appropriate rejection would be indefiniteness rather than ineligibility under Section 101. Appeal 2018-004374 Application 13/111,105 14 The Examiner asserts that the rejected claims do not recite “the purported inventive feature and the patent eligible matter,” which is “the specific medium that causes [the recited] high [BSH] activity” and also do not recite “incorporation of lyoprotectant materials that provide for enhanced stability.”16 Ans. 4, 7, 27, 28. The Examiner further asserts that “it is routine and conventional to add several components to optimize growth” and that “[t]he product-by-process limitation, i.e. growing in an ‘optimized’ medium, is . . . conventional and routine in the art.” Id. The Examiner asserts that “[a] generic natural bacteria having BSH activity inherently expresses BSH to a relatively better degree when exposed to a relatively better and/or “optimized” natural environment.” Id. at 4–5. Likewise, the Examiner asserts that “[a] generic composition with a natural bacteria having BSH activity is inherently characterized by stable expression of BSH.” Id. at 5–6, 6–7. We are not persuaded. The claims recite the phenotypic difference that is asserted to be “markedly different” from bacteria occurring in nature. The Examiner has not cited authority, and we are not aware of any, that a claim must also recite the steps taken to achieve the characteristic(s) alleged to be markedly different from natural phenomenon, in order to be patent- eligible under Section 101. In Example 9 of the Interim Guidance, for instance, the PTO explained that a claim to “[a]n isolated man-made human pacemaker cell expressing marker Z” would be patent-eligible where naturally occurring pacemaker cells do not express marker Z, even though 16 The Examiner states that “[c]laims 12 and 14 are patent-eligible under 35 USC 101 because the use and/or incorporation of specific materials as claimed provides for claimed stability of claimed BSH activity.” Ans. 7. Appeal 2018-004374 Application 13/111,105 15 the claim does not recite the process required to make such cells (i.e., culturing isolated stem cells in a particular growth medium, in the presence of growth factor A, at various temperatures). The Examiner asserts that the declarations provided by Appellant do not support the conclusion that BSH activity increases “as [a] result from growth on a specially designed combination (or ‘plurality’) of . . . nutrients.” Ans. 29. We are not persuaded. The relevant question with respect to Section 101 is whether the claimed bacteria has “markedly different characteristics” from bacteria occurring in nature. To the extent the Specification does not enable a skilled artisan to produce the claimed bacteria (e.g., because the disclosed combination of growth medium components do not result in the claimed BSH activity increase), the appropriate rejection is one of lack of enablement. The Examiner asserts that, based upon the data provided by Appellant, “the BSH activity of natural bacterial of [De Smet] is comparable or even higher than the claimed bacteria (claim 3).” Ans. 6, 30. The Examiner asserts that, to the extent the BSH activity of the claimed bacteria cannot be realistically compared to the bacteria described in De Smet, “the claimed BSH activity cannot be considered as a markedly different phenotypic characteristic as argued by appellants for [at] least [the] reason that it [has] not [been] compared.” Id. We are not persuaded. As discussed in greater detail below with respect to the prior art rejections, the Examiner has not persuasively shown that the BSH activity of the bacteria in De Smet is in fact comparable or higher than the BSH activity required by claim 3. For instance, claim 3 Appeal 2018-004374 Application 13/111,105 16 depends from claim 34, which requires BSH activity between 8.9 and 113.6 fold higher than the activity of the bacteria grown on MRS medium. The Examiner has not persuasively shown that the bacteria taught by De Smet exhibits BSH activity between 8.9 and 113.6 fold higher than the bacteria grown on MRS medium. As to the Examiner’s argument that the claimed bacteria cannot be considered to possess markedly different characteristics to the extent it cannot be realistically compared with those described in De Smet, we are not persuaded. “[T]he examiner bears the initial burden, on review of the prior art or on any other ground, of presenting a prima facie case of unpatentability.” In re Oetiker, 977 F.2d 1443, 1445 (Fed. Cir. 1992). Where the Examiner has not persuasively shown that a bacteria in nature exhibits the claimed level of BSH activity, such a prima facie case of unpatentability has not been established. Accordingly, we conclude that prong one of Step 2A of the Revised Guidance, and thus the first threshold under Mayo, is not met: That is, the claimed subject matter does not recite and therefore is not directed to a natural product or another judicial exception. We reverse the Examiner’s rejection based on that ground. II. Issue The Examiner rejects claims 3–5, 8, 9, 26, 28, 30, and 33–36 under pre-AIA 35 U.S.C. § 102(b) as being anticipated by or, in the alternative, under pre-AIA 35 U.S.C. § 103(a) as obvious over, De Smet. The Examiner rejects claims 3–5, 8–10, 26, 28, 30, and 33–36 as obvious over De Smet and Appeal 2018-004374 Application 13/111,105 17 Martoni. The same issue is dispositive for both rejections; we therefore discuss them together. The Examiner finds that De Smet teaches “compositions comprising highly bile salt hydrolase (BSH) active bacteria Lactobacillus.” Ans. 9. The Examiner finds that De Smet teaches a natural strain of Lactobacillus, H364, characterized by BSH activity of 7.103 µmol GDCA degraded per 1010 cells per minute. Id. at 10. Taking the weight of 1 bacteria cell to be about 10-12 g, the Examiner finds that strain H364 as taught by De Smet has BSH activity of 710 µmol per 1 g of cells per minute, or about 42600 µmol per 1 g of cells per 60 minutes. Id. The Examiner finds that strain H364 thus meets the limitation in claim 3 of a BSH active bacteria comprising “BSH activity [that] degrades > 2253 µmol glycodeoxycholic acid (GDCA)/gram wet bacterial pellet/hr when measured over 30 minutes.” Id. With respect to the limitations in claim 3 relating to stability and retention of BSH activity, the Examiner notes that [t]he reference by De Smet discloses that BSH activity was measured at a stationary phase . . . . During the stationary phase the bacterial cultures are maintained at a stable stationary state with the same concentrations of viable and active cells. The same level of BSH activity is reasonably expected to be retained for an indefinite period of time including “at least 3 weeks” when cultures are constantly maintained or “stored” at the same conditions that provide for the expression of high BSH activity. Id. at 11. With respect to independent claim 33, the Examiner finds that, “although the cited reference describes culturing bacteria on MRS medium, the claimed bacteria and the claimed ‘optimized’ conditions are generic and thus culturing in MRS reads on this product-by-process limitation.” Id. at Appeal 2018-004374 Application 13/111,105 18 10. Accordingly, the Examiner finds that “the differences [between De Smet and claim 33], if any, are considered either anticipated for the reasons set forth or are considered so slight as to render it obvious based on the optimization of the growth medium,” as discussed further below. Id. at 10– 11. The Examiner further asserts that “[o]nce a product appearing to be substantially identical is found and a 102/103 rejection is made the burden shifts to applicant.” Id. at 11. The Examiner finds that De Smet teaches a bacteria substantially identical to the claimed bacteria in part because De Smet describes BSH producing bacteria cultured on media under proper conditions and teaches a plurality of growth medium components including “various carbon sources (at least a glucose in the MRS medium), various nitrogen sources (yeast extract, beef extract and peptone in the MRS medium) and also a generic reducing agent (yeast extract, for example).” Id. at 11–12. Thus, under the broadest reasonable interpretation, the Examiner finds that the BSH activity of De Smet’s bacteria results from “growth in an optimized plurality of growth medium components” as recited in the product-by-process limitation of claim 33. Id. at 11. Finally, the Examiner finds that De Smet . . . clearly recognizes that survival and activity of BSH-producing strains depends on the presence of nutrients including carbon source . . . ; and that bile acid resistance of BSH producing bacteria, particularly in the presence of nutrients, directly correlates with higher level of BSH. Therefore, the cited reference teaches and suggests modification of BSH activity of BSH-producing bacterial strains by fermentation in the presence of various grown medium components to produce a highly active bacteria. Thus, if the bacteria disclosed by De[]Smet is Appeal 2018-004374 Application 13/111,105 19 not anticipated, it is clearly rendered obvious since De[]Smet teaches manipulating the growth medium in order to tweak the BSH activity of the bacteria. Id. at 12. Appellant contends that the cited art does not literally or inherently disclose or suggest all elements of the claims, that a skilled artisan would not have had a reasonable expectation of success in creating the claimed subject matter based, and that the claimed subject matter “was a surprising result that has resulted in commercial success.” Appeal Br. 22. The issue with respect to this rejection is whether a preponderance of the evidence of record supports the Examiner’s determination that De Smet anticipates and/or render obvious claims 3–5, 8, 9, 26, 28, 30, and 33–36. Analysis On balance, we find Appellant to have the better case. Claim 33, the only independent claim, requires a BSH active bacteria comprising a BSH activity that is between 6.1 and 113.6 fold higher than the BSH activity it would have had if the bacteria were grown on the MRS medium. The Examiner has not persuasive shown that De Smet teaches, explicitly or inherently, a BSH bacteria that meets this limitation. Neither has the Examiner persuasively shown that a skilled artisan would have had a reasonable expectation of success in modifying De Smet’s disclosures to arrive at a BSH bacteria having the recited BSH activity. The Examiner asserts that De Smet teaches a natural strain of Lactobacillus, H364, characterized by a BSH activity that is greater than the BSH activity recited in claim 3. Ans. 10. Appeal 2018-004374 Application 13/111,105 20 We are not persuaded. Claim 3 recites an oral composition comprising the BSH active bacteria of claim 34 (i.e., the BSH active bacteria of claim 33 wherein the BSH activity is between 8.9 and 113.6 fold higher than the BSH activity of the bacteria grown on MRS medium), and further recites that “BSH activity is stable so that at least about 69.2% of [the] BSH activity is retained when said . . . BSH active bacteria are stored for a time period of at least 3 weeks.” Appeal Br. 27 Claims App. As an initial matter, because claim 3 depends from claim 34 (which in turn depends from claim 33), the anticipation and/or obviousness rejection must still show that De Smet teaches or renders obvious the level of comparative BSH activity recited in claim 34, namely that the BSH activity is between 8.9 and 113.6 fold higher than the BSH activity of the bacteria grown in MRS medium, even assuming that De Smet teaches a BSH active bacteria comprising a BSH activity greater than the “absolute” level of BSH activity recited in claim 3. Furthermore, we are not persuaded that the Examiner has shown that the H364 strain taught in De Smet has a BSH activity greater than that recited in claim 3 (i.e., “BSH activity [that] degrades > 2253 µmol glycodeoxycholic acid (GDCA)/gram wet bacterial pellet/hr when measured over 30 minutes”). As Appellant points out, the Examiner’s initial calculation of BSH activity was based on the activity per gram of bacterial cell, even though claim 3 recites BSH activity per gram of wet bacterial pellet. While the Examiner has revised her calculations based on the statement in the First Martoni Declaration17 that “the concentration of 17 Declaration of Christopher J. Martoni under 37 C.F.R. § 1.132 (May 12, 2015). Appeal 2018-004374 Application 13/111,105 21 bacterial cells in a wet cell pellet is about 6 x 1010 Colony Forming Units (CFU)/g cell wet weight” (First Martoni Decl. ¶ 10; Ans. 30), the Examiner has not provided persuasive rebuttals as to the other points raised in the First Martoni Declaration regarding the calculation, such as the fact that the BSH activity in De Smet is expressed per 10 log10 cfu initially present per ml of incubation mixture, even though the activity itself is measured at a later stationary phase. First Martoni Decl. ¶ 11. The Examiner asserts that “[o]nce a product appearing to be substantially identical is found and a 102/103 rejection is made the burden shifts to applicant.” Ans. 11. The Examiner finds that De Smet teaches a bacteria substantially identical to the claimed bacteria in part because De Smet describes BSH producing bacteria cultured on media under proper conditions and teaches a plurality of growth medium components including “various carbon sources (at least a glucose in the MRS medium), various nitrogen sources (yeast extract, beef extract and peptone in the MRS medium) and also a generic reducing agent (yeast extract, for example).” Id. at 11–12. Accordingly, the Examiner asserts that “the differences [between De Smet and claim 33], if any, are considered either anticipated . . . or are considered so slight as to render it obvious based on the optimization of the growth medium,” particularly in view of De Smet’s clear recognition that “survival and activity of BSH-producing strains depends on the presence of nutrients including carbon source . . . ; and that bile acid resistance of BSH producing bacteria, particularly in the presence of nutrients, directly correlates with higher level of BSH.” Id. at 10–12. We are not persuaded. We agree that, “[w]here . . . the claimed and prior art products are identical or substantially identical . . . the PTO can Appeal 2018-004374 Application 13/111,105 22 require an applicant to prove that the prior art products do not necessarily or inherently possess the characteristics of his claimed product.” In re Best, 562 F.2d 1252, 1255 (CCPA 1977) (citation omitted). However, the Examiner has not persuasively shown that, despite the difference in the culture medium used in the cited prior art and the Specification, the differences are so slight as to render the media to be “identical or substantially identical.” Likewise, to the extent the Examiner argues that De Smet inherently discloses the claimed BSH activity, we note that the alleged “inherent result must inevitably result from the disclosed steps; ‘[i]nherency . . . may not be established by probabilities or possibilities.’” In re Montgomery, 677 F.3d 1375, 1380 (Fed. Cir. 2012) (citations omitted, alteration in original). As to the Examiner’s reliance on routine optimization to show obviousness, we are not persuaded. Assuming De Smet provides a reason for optimizing the growth medium to increase BSH activity, the Examiner does not persuade us that De Smet provides a reasonable expectation of success that optimizing bacterial culture media would increase BSH activity to the extent claimed. Accordingly, we reverse the Examiner’s rejection of claim 33 as anticipated and/or obvious over De Smet. We reverse the Examiner’s rejection of claims 3–5, 8, 9, 26, 28, 30, and 34–36, which depend from claim 33, for the same reasons. Cf. In re Fritch, 972 F.2d 1260, 1266 (Fed. Cir. 1992) (“[D]ependent claims are nonobvious if the independent claims from which they depend are nonobvious.”). Appeal 2018-004374 Application 13/111,105 23 III. Issue The Examiner rejects claims 3–6, 8, 9, and 26–36 as being anticipated by or obvious over Stanton. The Examiner rejects claims 3–6, 8, 9, 26–28, 30, 31, and 33–36 as being anticipated by or obvious over Casas. The Examiner rejects claims 3–6, 8, 9, 26, 27, 30, 31, and 33–36 as being anticipated by or obvious over Irmak. The same issues are dispositive for each of these rejections; we thus discuss them together. The Examiner finds that Stanton, Casas, and Irmak each teaches an oral composition, or composition suitable for oral administration, comprising Lactobacillus reuteri bacterial strain(s) that are “absolutely identical bacterial strains as required by [certain claims encompassed by the rejection,] as explicitly evidenced by their totally identical . . . accession numbers,” and/or “belong to the same bacterial genus and species as recited in [these and other claims encompassed by the rejection].” Ans. 13; see also id. at 15, 17. The Examiner finds that the cited references are silent with respect to BSH activity and/or stability. (Id. at 13; see also id. at 15, 17) However, the Examiner finds that the references anticipate the claims enumerated in the rejections because the cited bacterial compositions are identical compositions as claimed because the identical bacterial st[r]ains inherently possess the same biological functions and characteristics including the same BSH activity and the same stability under the same conditions as encompassed by claim 3 and 4 and the same relative BSH increase under generic suitable conditions as encompassed by claims 33– 36. Ans. 13; see also id. at 15, 17. Appeal 2018-004374 Application 13/111,105 24 In the alternative, the Examiner asserts that, with regard to some unidentified characteristics including specific value or level of BSH and stability, the culture conditions of the cited strains include the use of suitable culture medium . . . containing suitable “growth medium components” including a carbon source such as glucose and a nitrogen sources including yeast extract, beef extract and peptone as well as a generic reducing agent (yeast extract, for example) as encompassed by claims 3, 8, 9 and 28. Thus, all cited bacteria . . . were cultured on "an optimized plurality of growth medium components" as encompassed by the claimed invention; and, therefore, their BSH activity and stability “result from a plurality of growth medium components” to the same degree as encompassed by the pending claims. . . . Therefore, the differences between that which is disclosed and that which is claimed are considered to be so slight that the referenced bacterial compositions are likely inherently possess the same characteristics of the claimed bacterial compositions particularly in view of the fact that they are identical strains and, therefore, are capable to provide for identical activity and stability under identical conditions. Thus the claimed bacterial compositions would have been obvious to those skilled in the art within the meaning of USC 103. Ans. 12-13; see also id. at 14–15, 16–17. Appellant contends that the cited art does not literally or inherently disclose or suggest all elements of the claims, that a skilled artisan would not have had a reasonable expectation of success in creating the claimed subject matter based, and that the claimed subject matter “was a surprising result that has resulted in commercial success.” Appeal Br. 22. The issue with respect to these rejections is whether a preponderance of the evidence of record supports the Examiner’s determination that Appeal 2018-004374 Application 13/111,105 25 Stanton, Casa, or Irmak anticipate and/or render obvious the claims enumerated in the rejections. Analysis On balance, we find Appellant to have the better case. Although Stanton, Casa, and Irmak each disclose Lactobacillus reuteri strains that have the same accession numbers as those recited in the claims, the Examiner has not provided persuasive evidence that these strains comprise BSH activity between 6.1 and 113.6 fold higher than if the bacteria were grown in MRS medium, as recited by independent claim 33. We acknowledge the Examiner’s position that “identical bacterial st[r]ains inherently possess the same biological functions and characteristics including the same BSH activity and the same stability under the same conditions as encompassed by claim 3 and 4 and the same relative BSH increase under generic suitable conditions as encompassed by claims 33– 36.” Ans. 13; see also id. at 15, 17. We agree that “[a] reference may anticipate inherently if a claim limitation that is not expressly disclosed ‘is necessarily present, or inherent, in the single anticipating reference.’” In re Montgomery, 677 F.3d at 1379– 80 (citations omitted). However, “[t]he inherent result must inevitably result from the disclosed steps; ‘[i]nherency . . . may not be established by probabilities or possibilities.’” Id. at 1380 (citations omitted, second bracket in original). In this case, the Examiner has not provided persuasive evidence that Stanton, Casa, and Irmak teach growing their Lactobacillus reuteri strains in conditions that would result in the recited BSH activity. Thus, the Examiner has not shown that Stanton, Casa, and Irmak inherently anticipate the claims. Appeal 2018-004374 Application 13/111,105 26 The Examiner notes that the cited references teach culturing their Lactobacillus reuteri strains in media “containing suitable ‘growth medium components’ including a carbon source such as glucose and a nitrogen sources including yeast extract, beef extract and peptone as well as a generic reducing agent (yeast extract, for example),” which are very similar to the growth medium components disclosed in some of the dependent claims. See, e.g. Ans. 14. The Examiner asserts that the differences between the prior art and the claims “are . . . so slight that the referenced bacterial compositions are likely [to] inherently possess the same characteristics of the claimed bacterial compositions,” especially because they are identical strains to those claimed and thus capable of providing for the same activity and stability under identical conditions. Accordingly, the Examiner assert in the alternative that the claimed bacterial compositions would have been obvious to those skilled in the art within the meaning of 35. U.S.C. § 103. See, e.g., id. at 13 (emphasis added). Although we understand the Examiner’s point, we remain unpersuaded. Once again, “‘[i]nherency . . . may not be established by probabilities or possibilities.’” In re Montgomery, 677 F.3d at 1380 (citations omitted, alteration in original). Furthermore, while we agree that, “[w]here . . . the claimed and prior art products are identical or substantially identical . . . the PTO can require an applicant to prove that the prior art products do not necessarily or inherently possess the characteristics of his claimed product,” In re Best, 562 F.2d at 1255 (citation omitted), the Examiner has not persuasively shown that, the differences between the culture media used in the cited prior art and the media used Specification are so slight as to render the media “identical or substantially identical.” Appeal 2018-004374 Application 13/111,105 27 Accordingly, we reverse the Examiner’s rejection of claim 33 as anticipated by and/or obvious over Stanton, Casa, or Irmak. We reverse the Examiner’s rejection of claims 3–6, 8, 9, 26–32, and 34–36, which depend from claim 33, for the same reasons. Cf. In re Fritch, 972 F.2d 1260, 1266 (Fed. Cir. 1992) (“[D]ependent claims are nonobvious if the independent claims from which they depend are nonobvious.”). IV. Issue The Examiner rejects claims 3–5, 8–10, 26–28, 30, 31, and 33–36 as obvious over De Smet, Martoni, and Sridevi. The Examiner rejects claims 3–5, 8–12, 14, 15, 26–28, 30, 31, and 33–36 as obvious over De Smet, Martoni, Sridevi, DeSimone, Truong-Le, Shah, and Capela. The Examiner rejects claims 3–6, 8–12, 14, 15, and 26–36 as obvious over De Smet, Martoni, Sridevi, DeSimone, Truong-Le, Shan, Capela, Stanton, Casa, and Irmak. The same issues are dispositive for each of these rejections; we thus discuss them together. The Examiner finds that De Smet and Martoni disclose “compositions comprising highly BSH active bacteria belonging to Lactobacillus, Bifidobacteria, including the species of Lactobacillus reuteri that degrade GDCA and TDCA.” Ans. 20. The Examiner finds that De Smet discloses a “plurality of grow[th] medium components” comprising “various carbon sources (glucose in MRS medium), various nitrogen sources (yeast extract, beef extract and peptone in MRS medium) and also a generic reducing agent (yeast extract) within the meaning of claims 8 and 9.” Id.; see also id. at 21. The Examiner finds that De Smet teaches that “survival and activity of BSH-producing strains Appeal 2018-004374 Application 13/111,105 28 depends on the presence of nutrients including carbon source” and that “bile acid resistance of BSH producing bacteria, particularly in the presence of nutrients, directly correlates with the higher level of BSH.” Id. at 21–22. Similarly, the Examiner finds that Sridevi teaches “optimization of BHS activities of bacterial strains belonging to the genus of Lactobacillus . . . by using carbon sources including sucrose, maltose, fructose . . . and nitrogen sources including various combinations of beef extract, malt extract, yeast extract and peptone.” Id. at 21. Accordingly, the Examiner concludes that it would have been obvious to [one of] ordinary skill in the art at the time the claimed invention was made to modify and/or to improve activity of the oral bacterial compositions by modifying appropriate fermentation medium components and by increasing amounts of biologically active bacteria that are capable to degrade GDCA and TDCA in order to provide for the increased BSH effects of the oral bacterial compositions with a reasonable expectation of success because the prior art clearly recognizes that presence of bacterial nutrients and optimization of bacterial culture media provide for enhanced BSH activity as adequately taught and/or suggested by De Smet and by Sridevi. Id. at 22.18 Appellant contends that the cited art does not literally or inherently disclose or suggest all elements of the claims, that a skilled artisan would not 18 The Examiner also cites Martoni, DeSimone, Truong-Le, Shan, and Capela for teaching limitations relating to various depending claims, such as inclusion of cysteine in the growth medium components, techniques and materials for preserving and storing biologically active bacteria, inclusion of additional agents in the claimed oral composition. Id. at 21, 23–24. The Examiner cites Stanton, Casa, and Irmak for the specific strains of Lactobacillus reuteri recited in certain dependent claims as well as various growth media components. Id. at 25–26. Appeal 2018-004374 Application 13/111,105 29 have had a reasonable expectation of success in creating the claimed subject matter based, and that the claimed subject matter “was a surprising result that has resulted in commercial success.” Appeal Br. 22. The issue with respect to these rejections is whether a preponderance of the evidence of record supports the Examiner’s determination that Stanton, Casa, or Irmak anticipate and/or render obvious the claims enumerated in the rejections. Analysis On balance, we find Appellant to have the better case. As discussed above, we find that De Smet does not anticipate the limitation in independent claim 33 regarding BSH activity. In this set of rejections the Examiner asserts that the claims are nevertheless obvious in light of, e.g., De Smet and Sridevi, because these prior art references teaches that “presence of bacterial nutrients and optimization of bacterial culture media provide for enhanced BSH activity.” Ans. 22. We agree with the Examiner that, “where the general conditions of a claim are disclosed in the prior art, it is not inventive to discover the optimum or workable ranges by routine experimentation.” In re Aller, 220 F.2d 454, 456 (CCPA 1955). In this case, however, the general conditions of a claim are not disclosed in De Smet and Sridevi, because neither De Smet nor Sridevi provides a skilled artisan with a reasonable expectation that optimizing bacterial culture media could increase BSH activity to the extent claimed. For instance, although Sridevi teaches optimizing culture conditions in order to increase BSH activity, it also teaches only a 2.9-fold increase in BSH production, not the at least 6.1-fold increase in BSH activity recited in the claims. Sridevi Abstract. Appeal 2018-004374 Application 13/111,105 30 Accordingly, we reverse the Examiner’s rejection of claim 33 as obvious over (1) De Smet, Martoni, and Sridevi, (2) De Smet, Martoni, Sridevi, DeSimone, Truong-Le, Shah, and Capela, and (3) De Smet, Martoni, Sridevi, DeSimone, Truong-Le, Shan, Capela, Stanton, Casa, and Irmak. We reverse the Examiner’s rejections of claims 3–6, 8–12, 14, 15, 26–32, and 34–36 for the same reasons. In re Fritch, 972 F.2d 1260, 1266 (Fed. Cir. 1992) (“[D]ependent claims are nonobvious if the independent claims from which they depend are nonobvious.”). SUMMARY For the reasons above, we reverse the Examiner’s decision rejecting claims 3–6, 8–12, 14, 15, and 26–36. Claims Rejected 35 U.S.C. § Reference(s)/Basis Affirmed Reversed 3–6, 8–11, 15, 26–36 101 3–6, 8–11, 15, 26–36 3–5, 8, 9, 26, 28, 30, 33–36 102(b) De Smet 3–5, 8, 9, 26, 28, 30, 33–36 3–5, 8, 9, 26, 28, 30, 33–36 103(a) De Smet 3–5, 8, 9, 26, 28, 30, 33–36 3–6, 8, 9, 26– 36 102(a) Stanton 3–6, 8, 9, 26–36 3–6, 8, 9, 26– 36 103(a) Stanton 3–6, 8, 9, 26–36 3–6, 8, 9, 26- 28, 30, 31, 33–36 102(a) Casas 3–6, 8, 9, 26–28, 30, 31, 33–36 3–6, 8, 9, 26- 28, 30, 31, 33–36 103(a) Casas 3–6, 8, 9, 26–28, 30, 31, 33–36 Appeal 2018-004374 Application 13/111,105 31 Claims Rejected 35 U.S.C. § Reference(s)/Basis Affirmed Reversed 3–6, 8, 9, 26, 27, 30, 31, 33–36 102(a) Irmak 3–6, 8, 9, 26, 27, 30, 31, 33–36 3–6, 8, 9, 26, 27, 30, 31, 33–36 103(a) Irmak 3–6, 8, 9, 26, 27, 30, 31, 33–36 3–5, 8–10, 26, 28, 30, 33–36 103(a) De Smet, Martoni 3–5, 8–10, 26, 28, 30, 33–36 3–5, 8–10, 26–28, 30, 31, 33–36 103(a) De Smet, Martoni, Sridevi 3–5, 8–10, 26–28, 30, 31, 33–36 3–5, 8–12, 14, 15, 26– 28, 30, 31, 33–36 103(a) De Smet, Martoni, Sridevi, DeSimone, Truong-Le, Shah, Capela 3–5, 8–12, 14, 15, 26– 28, 30, 31, 33–36 3–6, 8–12, 14, 15, 26–36 103(a) De Smet, Martoni, Sridevi, DeSimone, Truong-Le, Shah, Capela, Stanton, Casa, Irmak 3–6, 8–12, 14, 15, 26– 36 Overall Outcome 3–6, 8–12, 14, 15, 26– 36 REVERSED Copy with citationCopy as parenthetical citation