throbber
US00843l163B2
`
`
`
`
`
`
`
`(12) United States Patent
`Baldassarre et al.
`
`
`
`
`
`
`(10) Patent N0.:
`
`
`(45) Date of Patent:
`
`
`
`
`US 8,431,163 B2
`
`
`
`*Apr. 30, 2013
`
`
`
`
`
`
`
`
`
`
`EP
`
`WO
`
`WO
`
`WO
`
`
`
`
`FOREIGN PATENT DOCUMENTS
`
`
`1682672
`7/2006
`
`
`W02005004884
`1/2005
`
`
`W02006127907
`11/2006
`
`
`2/2010
`W02010019540
`
`
`OTHER PUBLICATIONS
`
`
`Kieler-Jensen et al., “Inhaled nitric oxide in the evaluation of heart
`
`
`
`
`
`
`
`
`transplant candidates with elevated pulmonary vascular resistance”,
`
`
`
`
`
`
`
`J. Heart Lung Transplant, vol. 13, pp. 366-375 (1994).
`
`
`
`
`
`
`
`
`
`Kinsella et al., “Inhaled nitric oxide in premature neonates with
`
`
`
`
`
`
`
`
`severe hypoxaemic respiratory faliure: a randomised controlled
`
`
`
`
`
`
`trial,” The Lancet, vol. 354, pp. 1061-1065 (1999).
`
`
`
`
`
`
`
`
`Konduri et al., “A Randomized Trial ofEarlyVersus Standard Inhaled
`
`
`
`
`
`
`
`Nitric Oxide Therapy in Term and Near-Term Newborn Infants with
`
`
`
`
`
`
`
`
`
`Hypoxic Respiratory Failure,” Pediatrics, vol. 113 No. 3, pp. 559-564
`
`
`
`
`
`
`
`
`
`(2004).
`
`Krasuski et al., “Inhaled Nitric Oxide Selectively Dilates Pulmonary
`
`
`
`
`
`
`
`Vasculature in Adult Patients With Pulmonary Hypertension, Irre-
`
`
`
`
`
`
`
`spective of Etiology,” Journal ofthe American College of Cardiology
`
`
`
`
`
`(JACC), vol. 36, No. 7, pp. 2204-2211 (2000).
`
`
`
`
`
`
`
`Krohn, “Effect of inhaled nitric oxide on left ventricular and pulmo-
`
`
`
`
`
`
`
`
`
`nary vascular function,” The Journal of Thoracic and Cardiovascular
`
`
`
`
`
`
`
`
`Surgery, vol. 117(1), pp. 195-196 (1999).
`
`
`
`
`
`
`Kulik, “Inhaled nitric oxide in the management of congenital heart
`
`
`
`
`
`
`
`
`disease,” Current Opinion in Cardiology, vol. 11, pp. 75-80 (1996).
`
`
`
`
`
`
`
`
`
`Lavigne et al., “Cardiovascular Outcomes of Pediatric Seroreverters
`
`
`
`
`
`
`Perinatally Exposed to HAART,” Cardiovascular Toxicology, vol. 4,
`
`
`
`
`
`
`pp. 187-197 (2004).
`
`
`
`Letter ofAcceptance for AU 2010202422, dated Oct. 7, 2010.
`
`
`
`
`
`
`
`Letter of acceptance of AU application 2009202685, dated Aug. 10,
`
`
`
`
`
`
`2010, 3 pages.
`
`
`Lipschultz, “The effect of dexrazoxane on myocardial injury in
`
`
`
`
`
`
`
`
`doxorubicin-treated children with acute lymphoblastic leukemia,”
`
`
`
`
`
`New England Journal of Medicine, vol. 351, pp. 145-153 (2004).
`
`
`
`
`
`
`
`
`
`Lipschultz, “The incidence of pediatric cardiomyopathy in two
`
`
`
`
`
`
`
`regions ofthe United States,” New England Journal ofMedicine, Apr.
`
`
`
`
`
`
`
`
`2003.
`<<http://www.nejm.org/doi/full/10.1056/
`24,
`
`
`
`NEJMoa021715>>.
`
`Lipshultz, “Ventricular dysfunction clinical research in infants, chil-
`
`
`
`
`
`
`
`dren and adolescents,” Progress in Pediatric Cardiology, vol. 12, pp.
`
`
`
`
`
`
`
`
`
`1-28 (2000).
`
`
`Lipshultz, “Chronic Progressive Cardiac Dysfunction Years After
`
`
`
`
`
`
`
`Doxorubicin Therapy for Childhood Acute Lymphoblastic Leuke-
`
`
`
`
`
`
`
`mia,” Journal of Clinical Oncology, vol. 23, No. 12, 8 pages (2005).
`
`
`
`
`
`
`
`
`
`
`Lipshultz, “Clinical research directions in pediatric cardiology,” Cur-
`
`
`
`
`
`
`
`rent Opinion in Pediatrics, vol. 21, pp. 585-593 (2009).
`
`
`
`
`
`
`
`
`Lipshultz, “Establishing norms for echocardiographic measurement
`
`
`
`
`
`of cardiovascular structures and function in children,” J. Appl.
`
`
`
`
`
`
`
`
`Physiol., vol. 99, pp. 386-388 (2005).
`
`
`
`
`
`
`Lipshultz et al., “Cardiovascular status of infants and children of
`
`
`
`
`
`
`
`
`
`women infected with HIV-1 (P2C2 HIV): a cohort study,” The Lan-
`
`
`
`
`
`
`
`
`
`
`cet, vol. 360, pp. 368-373 (2002).
`
`
`
`
`
`
`Lipshultz et al., “Cardiovascular Trials in Long-Term Survivors of
`
`
`
`
`
`
`
`Childhood Cancer,” Journal ofClinical Oncology, vol. 22, No. 5, pp.
`
`
`
`
`
`
`
`
`
`769-773 (2004).
`
`
`Lipshultz et al., “Long-Term Enalapril Therapy for Left Ventricular
`
`
`
`
`
`
`
`Dysfunction in Doxorubicin-Treated Survivors of Childhood Can-
`
`
`
`
`
`cer,” Journal of Clinical Oncology, vol. 20, No. 23, pp. 4517-4522
`
`
`
`
`
`
`
`
`
`
`(2002).
`
`Lipshultz, “Frequency of clinically unsuspected myocardial injury at
`
`
`
`
`
`
`a children’s hospital,” American Heart Journal, vol. 151, No. 4, pp.
`
`
`
`
`
`
`
`
`
`
`916-922 (2006).
`
`
`
`(54) METHODS OF REDUCING THE RISK OF
`
`
`
`
`
`OCCURRENCE OF PULMONARY EDEMA
`
`
`
`ASSOCIATED WITH INHALATION OF
`
`
`
`NITRIC OXIDE GAS
`
`
`
`
`(71) Applicant: INO Therapeutics LLC, Hampton, NJ
`
`
`
`
`
`
`(US)
`
`
`(72)
`
`
`Inventors: James S. Baldassarre, Doylestown, PA
`
`
`
`
`(US); Ralf Rosskamp, Chester, NJ (US)
`
`
`
`
`
`
`(73) Assignee:
`
`
`
`INO Therapeutics LLC, Hampton, NJ
`
`
`
`
`(US)
`
`
`( * ) Notice:
`
`
`
`
`Subject to any disclaimer, the term of this
`
`
`
`
`
`
`patent is extended or adjusted under 35
`
`
`
`
`U.S.C. 154(b) by 0 days.
`
`
`
`This patent is subject to a terminal dis-
`
`
`
`
`
`claimer.
`
`
`
`
`
`(21) Appl.No.: 13/651,660
`
`(22)
`
`
`
`Filed:
`
`
`Oct. 15, 2012
`
`
`
`
`(65)
`
`
`
`Prior Publication Data
`
`
`
`US 2013/0040000 A1
`Feb. 14,2013
`
`
`
`
`
`
`Related U.S. Application Data
`
`
`
`
`(63) Continuation of application No. 12/821,041, filed on
`
`
`
`
`
`
`
`Jun. 22, 2010, now Pat. No. 8,293,284, which is a
`
`
`
`
`
`
`
`
`continuation of application No. 12/494,598, filed on
`
`
`
`
`
`Jun. 30, 2009, now abandoned.
`
`
`
`
`
`
`(51)
`
`
`(2006.01)
`
`(2006.01)
`
`(2006.01)
`
`(2006.01)
`
`
`Int. Cl.
`
`
`A01N 59/00
`
`
`A61K 33/00
`
`
`C01B 21/24
`
`
`A6]M 16/00
`
`
`(52) U.S. Cl.
`
`
`USPC ..................... .. 424/718; 128/200.24; 423/405
`
`
`
`
`
`(58) Field of Classification Search ...................... .. None
`
`
`
`
`
`See application file for complete search history.
`
`
`
`
`
`
`
`
`
`
`(56)
`
`
`
`
`References Cited
`
`
`U.S. PATENT DOCUMENTS
`
`
`
`9/1996 Bathe etal.
`
`
`
`7/1997 Briendetal.
`
`
`2/1999 Zapolet al.
`
`
`
`5/2000 Zapolet al.
`
`
`
`11/2000 Headet al.
`
`
`
`8/2003 Bloch et al.
`
`
`
`7/2009 Rothbard et al.
`
`
`
`12/2002 Krebs
`
`
`
`7/2003 Stenzler
`
`
`
`6/2004 Whitehurst et al.
`
`
`
`
`1/2009 Oppenheimer et al.
`
`
`
`
`1/2009 Elliott
`
`
`
`6/2009 Starket al.
`
`
`
`
`7/2009 Blackburn et al.
`
`
`
`
`
`5,558,083 A
`
`5,651,358 A
`
`5,873,359 A
`
`6,063,407 A
`
`6,142,147 A
`
`6,601,580 B1
`
`
`7,557,087 B2
`
`
`2002/0185126 A1
`
`
`2003/0131848 A1
`
`
`2004/0106954 A1
`
`
`2009/0018136 A1
`
`
`2009/0029371 A1
`
`
`2009/0149541 A1
`
`
`2009/0176772 A1
`
`
`
`(Continued)
`
`
`Primary Examiner — Ernst Arnold
`
`
`
`(74) Attorney, Agent, or Firm — Fish & Richardson P.C.
`
`
`
`
`
`(57)
`ABSTRACT
`
`
`Disclosed are methods of reducing the risk of occurrence of
`
`
`
`
`
`
`
`pulmonary edema associated with a medical treatment com-
`
`
`
`
`
`
`
`prising inhalation of nitric oxide gas.
`
`
`
`
`
`25 Claims, No Drawings
`
`
`
`
`
`
`
`001
`
`PRAXAIR ET AL. 1001
`
`001
`
`

`
`
`
`US 8,431,163 B2
`Page 2
`
`
`
`
`OTHER PUBLICATIONS
`
`
`Loh et al ., “Cardiovascular Effects ofInhaled Nitric Oxide in Patients
`
`
`
`
`
`
`
`with Left Ventricular Dsyfunction,” Circulation, vol. 90, pp. 2780-
`
`
`
`
`
`
`
`
`
`2785 (1994).
`
`
`Macrae et al., “Inhaled nitric oxide therapy in neonates and children:
`
`
`
`
`
`
`
`
`
`reaching a European consensus,” Intensive Care Med., vol. 30, pp.
`
`
`
`
`
`
`
`
`
`372-380 (2004).
`
`
`Madriago et al., “Heart Failure in Infants and Children,” Pediatrics in
`
`
`
`
`
`
`
`
`Review, vol. 31, pp. 4-12 (2010).
`
`
`
`
`
`
`Magee et al., “Comparison of Supplemental Oxygen and Nitric
`
`
`
`
`
`
`
`Oxide for Inhalation plus oxygen in the evaluation ofthe reactivity of
`
`
`
`
`
`
`
`the pulmonary vasculature during Acute PulmonaryVasodilator Test-
`
`
`
`
`
`
`
`ing,” Oct. 1, 2004-Oct. 31, 2006, Research project description,
`1
`
`
`
`
`
`
`
`
`page, http://Www.rbht.nhs.uldresearch.
`
`
`Vlalloy, “Nitric Oxide Weaning, RT: for Decision Makers in Respi-
`
`
`
`
`
`
`
`
`
`ratory Care,” http://rtmagazine.com/issues/articles/2000-12_05.
`
`
`
`asp, 3 pages, Dec. 2000.
`
`
`
`
`Vlartinez et al., “Dermatological Cryosurgery in Primary Care with
`
`
`
`
`
`
`
`Dimethyl Ether Propane Spray in Comparison with Liquid Nitro-
`
`
`
`
`
`
`
`
`gen,” Atnecion Primaria, vol. 18, No. 5, pp. 211 and 216 (1996).
`
`
`
`
`
`
`
`
`
`
`
`Vlatsumoto et al., “Effect of Inhaled Nitric Oxide on Gas Exchange in
`
`
`
`
`
`
`
`
`Patients with Congestive Heart Failure,” Annals ofInternal Medicine,
`
`
`
`
`
`
`
`
`vol. 130, No. 1, pp. 40-44 (1999).
`
`
`
`
`
`
`Vleyler’s Side Effects of Drugs: The International Encyclopedia of
`
`
`
`
`
`
`
`Adverse Drug Reactions and Interactions, Nitric Oxide, Fifteenth
`
`
`
`
`
`
`
`
`Edition, Elsevier B.V (2006).
`
`
`
`
`Vlichelakis et al., “Oral Sildenafil Is an Effective and Specific Pul-
`
`
`
`
`
`
`
`
`
`monary Vasodilator in Patients with Pulmonary Arterial Hyperten-
`
`
`
`
`
`
`
`sion: Comparison with Inhaled Nitric Oxide,” Circulation vol. 105,
`
`
`
`
`
`
`
`
`
`pp. 2398-2403 (2002).
`
`
`
`Vliller et al., “Nutrition in Pediatric Cardiomyopathy,” Prog. Pediatr.
`
`
`
`
`
`
`
`Cardiol. vol. 24(1), pp. 59-71 (2007).
`
`
`
`
`
`
`\/lone, “Effects of Environmental Exposures on the Cardiovascular
`
`
`
`
`
`
`System: Prenatal Period Through Adolescence,” Pediatrics. vol. 1 13,
`
`
`
`
`
`
`
`
`\Io. 4, pp. 1058-1069 (2004).
`
`
`
`
`Vlorales-Blanhir et al., “Clinical value of vasodilator test with
`
`
`
`
`
`
`
`
`inhaled nitric oxide for predicting long-term response to oral
`
`
`
`
`
`
`
`
`
`vasodilators in pulmonary hypertension,” Respiratory Medicine, vol.
`
`
`
`
`
`
`98, pp. 225-234 (2004).
`
`
`
`
`Vloss et al., “Moss and Adams’ Heart Disease in Infants, Children,
`
`
`
`
`
`
`
`
`
`and Adolescents,” Coarctation of the Aorta, vol. 1, p. 991 in part
`
`
`
`
`
`
`
`
`
`
`(2007).
`
`Vlurray, “Angiotensin Converting Enzyme Inhibitory Peptides
`
`
`
`
`
`
`Derived from Food Proteins: Biochemistry, Bioactivity and Produc-
`
`
`
`
`
`
`
`
`tion,” Current Pharmaceutical Design, pp. 773-791 (2007).
`
`
`
`
`
`
`
`Vlurray et al., “Nitric Oxide and Septic Vascular Dysfunction,”
`
`
`
`
`
`
`
`
`Anesth. Analg. vol. 90, pp. 89-101 (2000).
`
`
`
`
`
`
`
`\Tatori et al., “Inhaled Nitric Oxide Modifies Left Ventricular Dias-
`
`
`
`
`
`
`
`
`
`tolic Stress in the Presence of Vasoactive Agents in Heart Failure,”
`
`
`
`
`
`
`
`
`Am. J. Respir Crit. Care Med, vol. 167, pp. 895-901 (2003).
`
`
`
`
`
`
`
`
`
`
`\TIH CC: Critical Care Services, http://www.cc.nih.gov/ccmd/clini-
`
`
`
`
`
`
`cal_services.html; retrieved Mar. 10, 2011, 3 pages.
`
`
`
`
`
`
`“NIH Clinical Center 2 Critical Care Medicine Department Sample
`
`
`
`
`
`
`
`
`Rotations, Updated Jan. 2007 <<http://www.cc.nih.gov/ccmd/prof_
`
`
`
`
`
`opps/rotation.html>>”.
`
`NIH Clinical Center Services, retrieved at <http://www.cc.nih.gov/
`
`
`
`
`
`ccmd/clinical_services.html>> on Aug. 18, 2010.
`
`
`
`
`NIH Clinical Center, Department Policy and Procedure Manual for
`
`
`
`
`
`
`
`
`the Critical Care Therapy and Respiratory Care Section; Nitric Oxide
`
`
`
`
`
`
`
`
`
`
`Therapy, sections 3.1-3.1.2 & 5.2.3 (2000).
`
`
`
`
`
`NIH Clinical Center 2 Critical Care Medicine Department Sample
`
`
`
`
`
`
`
`
`Rotations, Updated Jan. 2007.
`
`
`
`
`Notification of Reason for Rejection, mailed Jul. 30, 2010, from
`
`
`
`
`
`
`
`
`
`Japanese Patent Application No. 2009-157623.
`
`
`
`
`
`Office Action for AU 2010202422 dated Jul. 9, 2010, 3 pages.
`
`
`
`
`
`
`
`
`Office Action from AU 2009202685 dated Mar. 15, 2010.
`
`
`
`
`
`
`
`
`Office Action from AU 2010206032 dated Aug. 16, 2010 (3 pages).
`
`
`
`
`
`
`
`
`
`Office Action Response for AU 2009202685 to Mar. 15, 2010 OA,
`
`
`
`
`
`
`
`
`
`filed Jun. 8, 2010 (16 pages).
`
`
`
`
`
`Office Action Response for JP2007157623 filed on Nov. 12, 2009 (no
`
`
`
`
`
`
`
`
`English translation).
`
`
`Office Action Response to AU 2010202422 OA dated Jul. 9, 2010,
`
`
`
`
`
`
`
`response filed Sep. 1, 2010.
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`002
`
`wwW.fda.gov/doWnloads/Drugs/
`
`GuidanceComplianceRegulatorylnformation/Guidance/
`ucm073087.pdf, Mar. 1995.
`
`
`
`Office Action in U.S. Appl. No. 12/494,598, mailed Aug. 13, 2010
`
`
`
`
`
`
`
`
`
`(26 pages).
`
`
`Notice ofAbandonment in U.S. Appl. No. 12/494,598, mailed Sep.
`
`
`
`
`
`
`
`10, 2010 (2 pages).
`
`
`
`Office Action in U.S. Appl. No. 12/820,866, mailed Sep. 23, 2010 (26
`
`
`
`
`
`
`
`
`
`
`pages).
`
`Lee & Hayes, Reply Amendment (Accelerated Exam-Transmittal
`
`
`
`
`
`Amendment/Reply) in U.S. Appl. No. 12/820,866 mailed Sep. 23,
`
`
`
`
`
`
`
`2010, filed Oct. 1, 2010 (22 pages).
`
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/820,866, mailed Nov. 2, 2010 (25
`
`
`
`
`
`
`
`
`
`pages).
`
`Lee & Hayes, Reply Amendment (Accelerated Exam-Transmittal
`
`
`
`
`
`
`Amendment/Reply) in U.S. Appl. No. 12/820,866 mailed Nov. 2,
`
`
`
`
`
`
`
`2010, filed Jan. 14, 2011 (12 pages).
`
`
`
`
`
`
`
`Advisory Action in U.S. Appl. No. 12/820,866, mailed Feb. 23, 2011
`
`
`
`
`
`
`
`
`
`(2 pages).
`
`
`Lee & Hayes, Reply After Final (Accelerated Exam-Transmittal
`
`
`
`
`
`
`Amendment/Reply) in U.S. Appl. No. 12/820,866 mailed Sep. 23,
`
`
`
`
`
`
`
`2010, filed Mar. 1, 2011 (9 pages).
`
`
`
`
`
`Lee & Hayes, Reply After Final (Accelerated Exam-Transmittal
`
`
`
`
`
`
`AmendmentJReply) in U.S. Appl. No. 12/820,866 mailed Sep. 23,
`
`
`
`
`
`
`
`2010, filed Mar. 1, 2011 (5 pages).
`
`
`
`
`
`Advisory Action in U.S. Appl. No. 12/820,866, mailed Mar. 25, 2011
`
`
`
`
`
`
`
`
`
`(3 pages).
`
`
`Lee & Hayes, Reply After Final (Accelerated Exam-Transmittal
`
`
`
`
`
`
`
`AmendmentJReply) in U.S. Appl. No. 12/820,866 mailed Nov. 2,
`
`
`
`
`
`
`
`2010, filed May 2, 2011 (9 pages).
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/820,866, mailed Jun. 8, 2011 (32
`
`
`
`
`
`
`
`
`
`pages).
`
`Office Action in U.S. Appl. No. 12/820,866, Aug. 24, 2011 (23
`
`
`
`
`
`
`
`
`
`pages).
`
`Fish & Richardson, P.C., Reply Brief in U.S. Appl. No. 12/820,866,
`
`
`
`
`
`
`
`
`filed Dec. 16,2011 (21 pages).
`
`
`
`
`
`Fish & Richardson, P.C., Supplement to Reply Brief in U.S. Appl.
`
`
`
`
`
`
`
`No. 12/820,866, filed Jan. 3, 2012 (3 pages).
`
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/820,980, mailed Aug. 17, 2010
`
`
`
`
`
`
`
`
`
`(33 pages).
`
`
`Lee & Hayes, Reply Amendment in U.S. Appl. No. 12/820,980,
`
`
`
`
`
`
`
`mailed Aug. 17, 2010, filed Sep. 17, 2010 (25 pages).
`
`
`
`
`
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/820,980, mailed Oct. 28, 2010 (23
`
`
`
`
`
`
`
`
`
`
`pages).
`
`Supplemental Office Action in U.S. Appl. No. 12/820,980, mailed
`
`
`
`
`
`
`
`Nov. 2, 2010 (4 pages).
`
`
`
`Lee & Hayes, Reply after Final (Accelerated Exam-Transmittal
`
`
`
`
`
`
`Reply) in U.S. Appl. No. 12/820,980, mailed Nov. 2, 2010, filed Nov.
`
`
`
`
`
`
`
`
`
`12, 2010 (53 pages).
`
`
`
`
`Advisory Action in U.S. Appl. No. 12/820,980, mailed Nov. 29, 2010
`
`
`
`
`
`
`
`
`
`(3 pages).
`
`
`Lee & Hayes, Reply after Final (Accelerated Exam-Transmittal
`
`
`
`
`
`
`
`Reply) in U.S. Appl. No. 12/820,980, mailed Nov. 2, 2010, filed May
`
`
`
`
`
`
`
`
`
`
`2,2011 (23 pages).
`
`
`
`Office Action in U.S. Appl. No. 12/820,980, mailed Jun. 10,2011 (29
`
`
`
`
`
`
`
`
`
`pages).
`
`Lee & Hayes, Amendment in Reply to Office Action in U.S. Appl.
`
`
`
`
`
`
`
`No. 12/820,980, mailed Jun. 10, 201 1, filedJul. 11, 2011 (115 pages).
`
`
`
`
`
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/820,980, mailed Sep. 9, 2011 (25
`
`
`
`
`
`
`
`
`
`pages).
`Notice of Abandonment in U.S. Appl. No. 12/820,980, mailed Apr.
`
`
`
`
`
`
`
`11, 2012 (2 pages).
`
`
`
`Office Action in U.S. Appl. No. 12/821,020, mailed Aug. 13, 2010
`
`
`
`
`
`
`
`
`
`(24 pages).
`
`
`Lee & Hayes, Response to Office Action in U.S. Appl. No.
`
`
`
`
`
`
`
`
`12/821,020, mailed Aug. 13, 2010, filed Feb. 14,2011 (18 pages).
`
`
`
`
`
`
`
`
`
`
`Lee & Hayes, Supplemental Reply Amendment in U.S. Appl. No.
`
`
`
`
`
`
`
`12/821,020, filed Apr. 12,2011 (9 pages).
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/821,020, mailed Jun. 27, 2011 (28
`
`
`
`
`
`
`
`
`
`
`pages).
`
`Fish & Richardson, P.C., Amendment in Reply to Office Action, in
`
`
`
`
`
`
`
`U.S. Appl. No. 12/821,020, mailed Jun. 27, 2011, filed Dec. 27,2011
`
`
`
`
`
`
`
`
`
`
`
`(31 pages).
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`002
`
`

`
`
`
`US 8,431,163 B2
`Page 3
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`Office Action in U.S.Appl. No. 12/821,020, mailed Jan. 31, 2012 (23
`
`
`
`
`
`
`
`
`
`pages).
`
`Interview Summary in U.S. Appl. No. 12/821,020, mailed Apr. 17,
`
`
`
`
`
`
`
`
`
`2012 (4 pages).
`
`
`Fish & Richardson, P.C., Statement of Substance of Interview and
`
`
`
`
`
`
`
`Comments on Examiner’s Interview Summary, in U.S. Appl. No.
`
`
`
`
`
`
`
`12/821,020, filed Apr. 23, 2012 (8 pages).
`
`
`
`
`
`
`Fish & Richardson, PC., Supplemental Amendment, in U.S. Appl.
`
`
`
`
`
`
`No. 12/821,020, filed Apr. 30, 2012 (10 pages).
`
`
`
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/821,020, mailed Jun. 15, 2012 (56
`
`
`
`
`
`
`
`
`
`
`
`pages).
`
`Fish & Richardson, P.C., Amendment in Reply, in U.S. Appl. No.
`
`
`
`
`
`
`
`12/821,020, mailed Jun. 15, 2012, filed Aug. 15, 2012 (15 pages).
`
`
`
`
`
`
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/821,041, mailed Aug. 17, 2010
`
`
`
`
`
`
`
`
`
`
`(32 pages).
`
`
`Lee & Hayes, Reply Amendment in U.S. Appl. No. 12/821,041,
`
`
`
`
`
`
`
`mailed Aug. 17, 2010, filed Feb. 14, 2011 (28 pages).
`
`
`
`
`
`
`
`
`
`
`Lee & Hayes, Supplemental Reply Amendment in U.S. Appl. No.
`
`
`
`
`
`
`
`12/821,041, mailed Aug. 17, 2010, filed Apr. 13,2011 (9 pages).
`
`
`
`
`
`
`
`
`
`Office Action in U.S. Appl. No. 12/821,041, mailed Jun. 27, 2011 (35
`
`
`
`
`
`
`
`
`
`
`pages).
`
`Fish & Richardson, P.C., Amendment in Reply to Office Action in
`
`
`
`
`
`
`
`U.S. Appl. No. 12/821,041, mailed Jun. 27, 2011, filed Jan. 6, 2012
`
`
`
`
`
`
`
`
`
`
`
`(155 pages).
`
`
`Office Action in U.S. Appl. No. 12/821,041, mailed Feb. 10, 2012 (36
`
`
`
`
`
`
`
`
`
`
`pages).
`
`Fish & Richardson, P.C., in U.S. Appl. No. 12/821,041, Supplemen-
`
`
`
`
`
`
`
`
`tal Amendment and Remarks, filed May 11, 2012 (32 pages).
`
`
`
`
`
`
`
`
`
`Office Action in U.S.Appl. No. 12/821,041, mailed Jun. 19, 2012 (61
`
`
`
`
`
`
`
`
`
`pages).
`
`Fish & Richardson, P.C., Amendment in Reply to Office Action, in
`
`
`
`
`
`
`
`U.S.Appl.No. 12/821,041,mailedJun. 19,2012,filedAug. 15,2012
`
`
`
`
`(17 pages).
`
`
`Lee & Hayes Amendment in Reply to Office Action in U.S. Appl. No.
`
`
`
`
`
`
`
`
`
`12/820,866, mailed Jun. 8, 2011, filed Jul. 8, 2011 (23 pages).
`
`
`
`
`
`
`
`
`
`Fish & Richardson, Brief on Appeal in U.S. Appl. No. 12/820,866,
`
`
`
`
`
`
`
`
`filed Oct. 4, 2011 (211 pages).
`
`
`
`
`
`Interview Summary in U.S. Appl. No. 12/821,020, mailed Jan. 25,
`
`
`
`
`
`
`
`
`2012 (4 pages).
`
`
`Ameduri et al., Heart Failure in Children, MED-Continuing Medical
`
`
`
`
`
`
`
`Education, University of Minnesota. Jul. 29, 2009 (cited Nov. 12,
`
`
`
`
`
`
`
`
`
`2010); available from URL: ttp://www.cme.unm.edu/prod/groups/
`
`
`
`
`
`med/@pub/@med/@cme/documents/content/med_content_
`
`124593 .pdf.
`
`
`Konduri, “Early inhaled nitric oxide therapy for term and near-term
`
`
`
`
`
`
`
`
`
`
`infants
`with
`hypoxic
`respiratory
`newborn
`failure:
`
`
`
`
`
`
`neurodevelopmental follow-up,” J. Pediatr. vol. 150(3), pp. 235-240,
`
`
`
`
`
`
`
`240.e.1 (2007).
`
`
`Barrington et al., “Inhaled nitric oxide for respiratory failure in
`
`
`
`
`
`
`
`
`
`preterm infants (review),” The Cochrane Collaboration, Wiley Pub-
`
`
`
`
`
`
`
`
`lishers, 3 pages (2009).
`
`
`
`Barst, Pediatr., “Vasodilator Testing with Nitric Oxide and/or Oxy-
`
`
`
`
`
`
`
`
`
`gen in Pediatric Pulmonary Hypertension,” Cardiol., vol. 31, pp.
`
`
`
`
`
`
`
`
`598-606 (2010).
`
`
`Macrae, “Drug therapy in persistent pulmonary hypertension of the
`
`
`
`
`
`
`newborn,” Semin. Neonatal, vol. 2, pp. 49-58 (1997).
`
`
`
`
`
`
`
`Miller et al., “Guidelines for the safe administration of inhaled nitric
`
`
`
`
`
`
`
`
`
`oxide,” Archives of Disease in Childhood, vol. 10, pp. F47-F49
`
`
`
`
`
`
`
`
`
`(1994).
`
`Ovodov et al., “Nitric Oxide: Clinical Applications,” Seminars in
`
`
`
`
`
`
`
`Aneshesia, Saunders, CO, NewYork,, NY, vol. 19, No. 2, pp. 88-97
`
`
`
`
`
`
`
`
`
`
`(2000).
`
`Pazopanib Plus Lapatinib Compared to Lapatinib Alone in Subjects
`
`
`
`
`
`
`
`With Inflammatory Breast Cancer, p. 4, ClinicalTrials.gov, <<http://
`
`
`
`
`
`
`clinicaltrials.gov/ct2/show/NCT00558103>> Apr. 22, 2010.
`
`
`
`
`PCT/US2010/038652 Search Report dated Jul. 29, 2010, 16 pages.
`
`
`
`
`
`
`
`
`Pepke-Zaba et al., “Inhaled nitric oxide as a cause of selective pul-
`
`
`
`
`
`
`
`
`monary vasodilation in pulmonary hypertension,” The Lancet, vol.
`
`
`
`
`
`
`
`338, pp. 1173-1174 (1991).
`
`
`
`
`Ratnasamy et al., “Associations between neurohormonal and inflam-
`
`
`
`
`
`
`
`matory activation and heart failure in children,” American Heart
`
`
`
`
`
`
`
`
`
`Journal, pp. 527-533 (2008).
`
`
`
`
`
`
`
`
`
`Response filed Aug. 18, 2010 to EP Search Report dated May 10,
`
`
`
`
`
`
`
`
`
`
`2010 for EP09251949.
`
`
`
`Ricciardi et al., “Inhaled Nitric Oxide in Primary Pulmonary Hyper-
`
`
`
`
`
`
`
`
`tension: A Safe and Effective Agent for Predicting Response to
`
`
`
`
`
`
`
`
`Nifedipine,” Journal of the American College of Cardiology (JACC)
`
`
`
`
`
`
`
`vol. 32, No. 4, pp. 1068-1073 (1998).
`
`
`
`
`
`
`Roberts, “Inhaled Nitric Oxide and Persistent Pulmonary Hyperten-
`
`
`
`
`
`
`
`
`sion of the Newborn,” The New England Journal of Medicine, vol.
`
`
`
`
`
`
`
`
`
`336, No. 9, pp. 605-610 (1997).
`
`
`
`
`
`Roberts, “Nitric Oxide and the Lung,” Marcel Dekker, Inc., New
`
`
`
`
`
`
`
`
`
`York, NY, pp. 333-363 (1997).
`
`
`
`
`
`Rosales et al., “Hemodynamic Effects Observed with Inhaled Nitric
`
`
`
`
`
`
`
`
`OxideAfter Surgical Repair of Total Anamolous Pulmonary Venous
`
`
`
`
`
`
`
`Return,” Pediatric Cardiology, vol. 20, pp. 224-226 (1999).
`
`
`
`
`
`
`
`
`Rosenberg, “Inhaled nitric oxide in the premature infant with severe
`
`
`
`
`
`
`
`
`
`hypoxemic respiratory failure: A time for caution,” The Journal of
`
`
`
`
`
`
`
`
`Pediatrics, vol. 133, Issue 6 , pp. 720-722 (1998).
`
`
`
`
`
`
`
`Sadiq et al., “Inhaled Nitric Oxide in the Treatment of Moderate
`
`
`
`
`
`
`
`
`Persistent Pulmonary Hypertension of the Newborn: A Randomized
`
`
`
`
`
`Controlled, Multicenter Trial,” Journal of Perinatology, vol. 23, pp.
`
`
`
`
`
`
`
`
`98-103 (2003).
`
`
`Search Report from EP 09251949 dated May 10, 2010.
`
`
`
`
`
`
`
`Sehgal et al., “Experience with Inhaled Nitric Oxide Therapy in
`
`
`
`
`
`
`
`
`Hypoxic Respiratory Failure of the Newborn,” Indian J. Chest Dis.
`
`
`
`
`
`
`
`
`Allied. Sci., vol. 47, pp. 245-249 (2005).
`
`
`
`
`
`
`
`Semigran et al., “Hemodynamic Effects of Inhaled Nitric Oxide in
`
`
`
`
`
`
`
`Heart Failure,” Journal of American College of Cardiology (JACC),
`
`
`
`
`
`
`
`vol. 24, No. 4, pp. 982-988 (1994).
`
`
`
`
`
`
`Shapiro et al., “Diagnostic Dilemmas: Diastolic Heart Failure Caus-
`
`
`
`
`
`
`
`
`ing Pulmonary Hypertension and Pulmonary Hypertension Causing
`
`
`
`
`
`
`
`Diastolic Dysfunction,” Advances in Pulmonary Hypertension, vol.
`
`
`
`
`
`
`5(1), pp. 13-20 (2006) http://www.phaonlineuniv.org/sites/default/
`
`
`
`
`
`files/spr_2006 .pdf.
`
`
`Sibutramine—metf0rmin Combination vs. Sibutramine andMetformin
`
`
`
`
`
`Monotherapy in Obese Patients, p. 3, ClinicalTrials.gov, <<http://
`
`
`
`
`
`
`
`by
`clinicaltrials.gov/ct2/showNCT009413 82>>
`Sponsored
`
`
`
`
`Laboratorios Silanes S.A. de C.V. and Jorge Gonzalez Canudas, Jul.
`
`
`
`
`
`
`
`
`
`15, 2009.
`
`
`Singh et al., “Nitric Oxide, the biological mediator ofthe decade: fact
`
`
`
`
`
`
`
`
`of fiction?,” Eur. Respir. J. , vol. 10, pp. 699-707 (1997).
`
`
`
`
`
`
`
`
`
`Smyth, “Inhaled nitric oxide treatment for preterm infants with
`
`
`
`
`
`
`
`
`
`hypoxic respiratory failure,” Thorax, vol. 55 (Suppl 1), pp. S51-S55
`
`
`
`
`
`
`
`
`(2000).
`
`et
`pediatric
`in
`rehabilitation
`“Exercise
`al.,
`Somarriba
`
`
`
`
`
`
`cardiomyopathy,” Progress in Pediatric Cardiology, vol. 25, pp.
`
`
`
`
`
`
`91-102 (2008).
`
`
`Soto et al., “Cardiopulmonary Hemodynamics in Pulmonary Hyper-
`
`
`
`
`
`
`tension: Pressure Tracings, Waveforms, and More,” Advances in
`
`
`
`
`
`
`
`Pulmonary Hypertension Winter, vol. 7(4), pp. 386-393 (2008).
`
`
`
`
`
`
`
`
`Steinhorn et al., “Inhaled nitric oxide enhances oxygenation but not
`
`
`
`
`
`
`
`
`
`survival in infants with alveolar capillary dysplasia,” The Journal of
`
`
`
`
`
`
`
`
`Pediatrics, pp. 417-422 (1997).
`
`
`
`
`Steinhorn, “Persistent Pulmonary Hypertension in the Newborn and
`
`
`
`
`
`
`
`Infant”, vol. 1(2), pp. 287-299 (1987)
`[downloadedfrom www.
`
`
`
`
`
`
`
`
`Emedicine.com on Jun. 10, 2008.
`
`
`
`
`Persistent-Newborn”,
`Steinhorn,
`“Pulmonary Hypertension,
`
`
`
`
`Updated Apr.
`19, 2007, http://emedicine.medscape.com/article/
`
`
`
`
`
`898437-overview.
`
`Steudel et al., “Inhaled nitric oxide”, Anesthesiology, vol. 91, pp.
`
`
`
`
`
`
`
`
`1090-1121 (1999).
`
`Strauss et al., “Pediatric Cardiomyopathy—A Long Way to Go”, The
`
`
`
`
`
`
`
`
`New England Journal of Medicine, vol. 348, No. 17, pp. 1703-1705
`
`
`
`
`
`
`
`
`
`
`(2003).
`
`Toshniwal, et al., “Study of Comparative Effects of Oral Clonidine
`
`
`
`
`
`
`
`vs. Oral Diazepam Pre-Medication on the Extent and Duration of
`
`
`
`
`
`
`
`
`Sensory Blockade in Patients Undergoing Vaginal Hysterectomy
`
`
`
`
`
`
`Under Spinal Anaesthesia”,
`InterenetJournal of Anesthesiology
`
`
`
`
`
`
`(2009)
`<<http://www.britannica.com/bps/additionalcontent/ 18/
`
`
`41575 5 51/Study-of-Comparative-Effects-Oral-Clonidine-vs-Oral-
`
`
`Diazepam-Pre-Medication-on-the-Extent-and-Duration-of-Sen-
`
`Blockade-in-Patients-Undergoing-Vaginal-Hysterectomy-
`sory-
`
`
`Under-Spinal-Anaesthesia>>.
`
`
`
`
`
`
`
`O03
`
`003
`
`

`
`
`
`US 8,431,163 B2
`Page 4
`
`
`
`
`The American Illustrated Medical Dictionary (Dorland, 7th ed., p.
`
`
`
`
`
`
`
`
`
`1 13) (1914).
`
`
`
`The Effects of Nitric Oxide for Inhalation on the Development of
`
`
`
`
`
`
`
`
`Chronic Lung Disease in Pre-Term Infants, from ClinicalTrials.gov
`
`
`
`
`
`
`
`archive, NCT00551642, Oct. 30, 2007, 3 pages.
`
`
`
`
`
`
`The Encarta Webster’s Dictionary of the English Language (2004) is
`
`
`
`
`
`
`
`the second edition of the Encarta World Dictionary, published 1999,
`
`
`
`
`
`
`
`
`<<http://encarta.msn.com/encnet/features/dictionary/
`
`dictionaryhome.aspx>>; used to look up the definitions of “precau-
`
`
`
`
`
`tion” and “exclusion”.
`
`
`
`The Neonatal Inhaled Nitric Oxide Study Group, The New England
`
`
`
`
`
`
`
`
`
`Journal of Medicine, vol. 336(9), pp. 597-604 (1997).
`
`
`
`
`
`
`
`The NIH, Critical Care Therapy and Respiratory Care Section, Nitric
`
`
`
`
`
`
`
`
`
`
`Oxide Therapy, 13 pages (2000).
`
`
`
`
`Towbin et al., “Incidence, Causes, and Outcomes of Dilated
`
`
`
`
`
`
`
`
`Cardiomyopathy in Children”, JAMA, vol. 296, No. 15, pp. 1867-
`
`
`
`
`
`
`
`
`
`1876 (2006).
`
`
`The Japanese Office Action mailed Feb. 15, 2011 for Japanese Patent
`
`
`
`
`
`
`
`
`
`
`
`Application No. 2009-157623, a counterpart foreign application for
`
`
`
`
`
`
`
`U.S. Appl. No. 12/494,598.
`
`
`
`
`Troncy et al. “Inhaled nitric oxide: clinical applications, indications,
`
`
`
`
`
`
`
`
`and toxicology”, Can. J. Anaesth, vol. 44 (9), pp. 972-988 (1997).
`
`
`
`
`
`
`
`
`
`UCI General Clinical Research Center, Federal Regulations 21 CFR
`
`
`
`
`
`
`
`
`Part 312, <<http://www.gcrc.uci.edu/rsa/aer.cfm>>, retrieved Sep.
`
`
`
`
`
`13, 2010, 2 pages.
`
`
`
`University of Alabama, NCT00732537 at Clinicaltrials. gov (2008).
`
`
`
`
`
`
`“Use of Inhaled Nitric Oxide”, American Academy of Pediatrics—
`
`
`
`
`
`
`
`Committee on Fetus and Newborn, Pediatrics vol. 106, No. 2, pp.
`
`
`
`
`
`
`
`
`
`344-345 (2000).
`
`
`UTMB Respiratory Care Services, “Delivery of Inhaled Nitric Oxide
`
`
`
`
`
`
`
`
`Therapy through an Adult or Pediatric Nasal Carmula,” 4 pages
`
`
`
`
`
`
`
`
`(2003).
`
`van Dalen, “Treatment for Asymptomatic Anthracycline-Induced
`
`
`
`
`
`
`Cardiac Dysfunction in Childhood Cancer Survivors: The Need for
`
`
`
`
`
`
`
`Evidence,” Journal of Clinical Oncology, vol. 21, No. 17, pp. 3375-
`
`
`
`
`
`
`
`
`
`
`3379 (2003).
`
`
`Watson et al., “Clinical and Economic Effects of iNO in Premature
`
`
`
`
`
`
`
`
`Newborns With Respiratory Failure at 1 Year”, Pediatrics, vol. 124,
`
`
`
`
`
`
`
`
`pp. 1333-1343 (2009).
`
`
`
`Weinberger et al., “The Toxicology of Inhaled Nitric Oxide,” Toxi-
`
`
`
`
`
`
`
`
`cological Sciences, vol. 59, pp. 5-16 (2001).
`
`
`
`
`
`
`
`Weinberger et al., “Nitric Oxide in the lung: therapeutic and cellular
`
`
`
`
`
`
`
`
`
`mechanisms of action,” Pharmacology & Therapeutics, vol. 84, pp.
`
`
`
`
`
`
`
`401-411 (1999).
`
`Wessel et al., “Improved Oxygenation in a Randomized Trial of
`
`
`
`
`
`
`
`Inhaled Nitric Oxide for Persistent Pulmonary Hypertension of the
`
`
`
`
`
`
`
`
`Newborn,” Pediatrics, vol. 100, No. 5, p. E7 (1997).
`
`
`
`
`
`
`
`Wessel et al., “Managing low cardiac output syndrome after congeni-
`
`
`
`
`
`
`
`
`
`tal heart surgery,” Crit. Care Med., vol. 29(10) pp. S220-S230 (2001).
`
`
`
`
`
`
`
`
`
`
`
`Wheeler et al., “The Central Nervous System in Pediatric Critical
`
`
`
`
`
`
`
`
`Illness and Injury,” Pediatric Critical Care Medicine, Springer, p. 278
`
`
`
`
`
`
`
`
`
`(2007).
`
`Wilkinson et al., “Epidemiological and outcomes research in children
`
`
`
`
`
`
`
`with pediatric cardiomyopathy; discussions from the international
`
`
`
`
`
`
`
`workshop on primary and idiopathic cardiomyopathies in children,”
`
`
`
`
`
`
`Progress in Pediatric Cardiology, vol. 25, pp. 23-25 (2008).
`
`
`
`
`
`
`
`
`Yoshida, “Well-illustrated Diagnostics and Treatment of Heart Fail-
`
`
`
`
`
`
`
`ure,” Professor of Kawasaki Medical University, cardiovascular
`
`
`
`
`
`
`
`internal medicine, Circulation, Up-to-Date vol. 2, No. 4, pp. 23-28
`
`
`
`
`
`
`
`
`(2007).
`
`Fish & Richardson P.C., Supplemental Remarks in U.S. Appl. No.
`
`
`
`
`
`
`
`12/821,020, filed May 9, 2012 (22 pages).
`
`
`
`
`
`
`Fish & Richardson P.C., Statement of the Substance of the Interview
`
`
`
`
`
`
`and Comments on Examiner’ s Interview Summary, in U.S. Appl. No.
`
`
`
`
`
`
`
`
`12/821,020, mailed Jan. 25, 2012, filed Feb. 27, 2012 (7 pages).
`
`
`
`
`
`
`
`
`
`
`Examiner’s Answer in U.S. Appl. No. 12/820,866, mailed Nov. 2,
`
`
`
`
`
`
`
`
`2011 (27 pages).
`
`
`
`Notice ofAbandonment in U.S. Appl. No. 12/820,866, mailed Dec.
`
`
`
`
`
`
`
`20, 2012 (2 pages).
`
`
`
`Adatia eta1., “Inhaled Nitric Oxide and Hemodynamic Evaluation of
`
`
`
`
`
`
`
`
`Patients With Pulmonary Hyptertension Before Transplantation,”
`
`
`
`
`
`
`Journal of the American College of Cardiology, Elsevier, NewYork,
`
`
`
`
`
`
`
`NY, vol. 25, No. 7, p. 1663, Jun. 1, 1995.
`
`
`
`
`
`
`
`
`
`
`
`
`004
`
`Advances in Pulmonary Hypertension, vol. 7(4), pp. 1-418, Winter
`
`
`
`
`
`
`
`2008-2009 (entire issue).
`
`
`
`Al-Alaiyan et al., “Inhaled nitric oxide in persistent pulmonary
`
`
`
`
`
`
`
`hypertension of the newborn refractory to high-frequency ventila-
`
`
`
`
`
`
`tion,” Crit. Care, vol. 3, No. 1, pp. 7-10 (1999).
`
`
`
`
`
`
`
`
`Argenziano et al., “Inhaled Nitric Oxide is not a Myocardial Depres-
`
`
`
`
`
`
`
`
`sant in a Porcine Model of Heart Failure,” The Journal of Thoracic
`
`
`
`
`
`
`
`
`and Cardiovascular Surgery, vol. 115, pp. 700-704 (1998).
`
`
`
`
`
`
`
`
`Atz et al., “Combined Effects of Nitric Oxide and Oxygen During
`
`
`
`
`
`
`
`
`
`Acute Pulmonary Vasodilator Testing,” Journal ofthe American Col-
`
`
`
`
`
`
`
`lege of Cardiology (JACC), vol. 33, No. 3, pp. 813-819 (1999).
`
`
`
`
`
`
`
`
`
`Atz et al., “Inhaled nitric oxide in the neonate with cardiac disease,”
`
`
`
`
`
`
`
`
`
`Seminars in Perinatology, vol. 21(5), pp. 441-455 (1997).
`
`
`
`
`
`
`
`AU 2009202685 Office Action dated Jun. 17, 2010 (3 pages).
`
`
`
`
`
`
`
`
`
`AU 2009202685 Office Action Response dated Jul. 29, 2010, 19
`
`
`
`
`
`
`
`
`
`pages.
`Azeka et al., “Effects of Low Doses of Inhaled Nitric Oxide Com-
`
`
`
`
`
`
`
`
`
`bined with Oxygen for the Evaluation of Pulmonary Vascular Reac-
`
`
`
`
`
`
`
`
`tivity in Patients with Pulmonary Hypertension,” Pedatric Cardio1.,
`
`
`
`
`
`
`
`vol. 23, pp. 20-26 (2002).
`
`
`
`
`
`Barrington et al., “Inhaled Nitric Oxide for Preterm Infants: A Sys-
`
`
`
`
`
`
`
`tematic Review,” Pediatrics, vol. 120; pp. 1088-1099, DOI: 10.1542/
`
`
`
`
`
`
`
`
`
`peds (2007).
`
`
`Barst et al., “Nitric Oxide in Combination with Oxygen versus Either
`
`
`
`
`
`
`
`
`
`Oxygen Alone or Nitric Oxide Alone for Acute Vasodilator Testing in
`
`
`
`
`
`
`
`
`Children with Pulmonary Hypertension

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket