US courts have long held that consent agreements should be given "great weight" by the USPTO when determining whether there is a likelihood of confusion between an applied-for mark and an existing registration. Indeed, the USPTO's Trademark Manual of Examining Procedure (TMEP) specifically states that the USPTO "should not substitute its judgment concerning likelihood of confusion for the judgment of the real parties in interest without good reason, that is, unless the other relevant factors clearly dictate a finding of a likelihood of confusion". Recently, however, in In re Bay State Brewing Company, Inc, the Trademark Trial and Appeal Board (TTAB) issued a precedential decision in which it decided to affirm a likelihood of confusion refusal, notwithstanding the fact that the parties at issue had entered into a consent agreement.