Oncternal Therapeutics, Inc. - Quarter Report: 2010 June (Form 10-Q)
Table of Contents
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
þ | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended June 30, 2010
OR
o | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission file number: 000-50549
GTx, Inc.
(Exact name of registrant as specified in its charter)
Delaware | 62-1715807 | |
(State or other jurisdiction of | (I.R.S. Employer Identification No.) | |
incorporation or organization) | ||
175 Toyota Plaza | ||
7th Floor | ||
Memphis, Tennessee | 38103 | |
(Address of principal executive offices) | (Zip Code) |
(901) 523-9700
(Registrants telephone number, including area code)
(Registrants telephone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed
by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or
for such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. Yes þ No o
Indicate by check mark whether the registrant has submitted electronically and posted on its
corporate web site, if any, every Interactive Data File required to be submitted and posted
pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period
that the registrant was required to submit and post such files). Yes o No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated
filer, a non-accelerated filer, or a smaller reporting company. See the definitions of large
accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the
Exchange Act.
Large accelerated filer o | Accelerated filer þ | Non-accelerated filer o | Smaller reporting company o | |||
(Do not check if a smaller reporting company) |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act). Yes
o
No þ
As of August 4, 2010, 36,420,901 shares of the registrants Common Stock were outstanding.
GTx, INC.
FORM 10-Q FOR THE QUARTER ENDED JUNE 30, 2010
INDEX
FORM 10-Q FOR THE QUARTER ENDED JUNE 30, 2010
INDEX
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5 | ||||||||
6 | ||||||||
14 | ||||||||
27 | ||||||||
27 | ||||||||
27 | ||||||||
48 | ||||||||
Exhibit 12.1 | ||||||||
Exhibit 31.1 | ||||||||
Exhibit 31.2 | ||||||||
Exhibit 32.1 | ||||||||
Exhibit 32.2 |
2
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PART I: FINANCIAL INFORMATION
ITEM 1. | FINANCIAL STATEMENTS |
GTx, Inc.
CONDENSED BALANCE SHEETS
(in thousands, except share data)
June 30, | December 31, | |||||||
2010 | 2009 | |||||||
(unaudited) | ||||||||
ASSETS |
||||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ | 19,990 | $ | 40,219 | ||||
Short-term investments |
8,374 | 8,825 | ||||||
Accounts receivable, net |
369 | 406 | ||||||
Inventory |
124 | 116 | ||||||
Prepaid expenses and other current assets |
6,326 | 1,109 | ||||||
Total current assets |
35,183 | 50,675 | ||||||
Property and equipment, net |
2,680 | 3,291 | ||||||
Intangible and other assets, net |
1,915 | 3,755 | ||||||
Total assets |
$ | 39,778 | $ | 57,721 | ||||
LIABILITIES AND STOCKHOLDERS EQUITY (DEFICIT) |
||||||||
Current liabilities: |
||||||||
Accounts payable |
$ | 851 | $ | 1,268 | ||||
Accrued expenses |
4,150 | 4,730 | ||||||
Deferred revenue current portion |
1,344 | 9,954 | ||||||
Total current liabilities |
6,345 | 15,952 | ||||||
Deferred revenue, less current portion |
7,394 | 49,898 | ||||||
Other long term liabilities |
598 | 621 | ||||||
Commitments and contingencies |
||||||||
Stockholders equity (deficit): |
||||||||
Common stock, $0.001 par value: 60,000,000 shares
authorized; 36,420,901 shares issued and outstanding
at June 30, 2010 and December 31, 2009 |
37 | 36 | ||||||
Additional paid-in capital |
362,180 | 359,388 | ||||||
Accumulated deficit |
(336,776 | ) | (368,174 | ) | ||||
Total stockholders equity (deficit) |
25,441 | (8,750 | ) | |||||
Total liabilities and stockholders equity (deficit) |
$ | 39,778 | $ | 57,721 | ||||
The accompanying notes are an integral part of these financial statements.
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GTx, Inc.
CONDENSED STATEMENTS OF OPERATIONS
(in thousands, except share and per share data)
(unaudited)
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2010 | 2009 | 2010 | 2009 | |||||||||||||
Revenues: |
||||||||||||||||
Product sales, net |
$ | 599 | $ | 949 | $ | 1,398 | $ | 1,708 | ||||||||
Collaboration revenue |
336 | 2,873 | 56,114 | 5,745 | ||||||||||||
Total revenue |
935 | 3,822 | 57,512 | 7,453 | ||||||||||||
Costs and expenses: |
||||||||||||||||
Cost of product sales |
134 | 431 | 285 | 779 | ||||||||||||
Research and development expenses |
9,477 | 7,746 | 17,127 | 16,058 | ||||||||||||
General and administrative expenses |
4,325 | 6,981 | 8,834 | 13,492 | ||||||||||||
Total costs and expenses |
13,936 | 15,158 | 26,246 | 30,329 | ||||||||||||
Income (loss) from operations |
(13,001 | ) | (11,336 | ) | 31,266 | (22,876 | ) | |||||||||
Other income, net |
60 | 76 | 132 | 121 | ||||||||||||
Income (loss) before income taxes |
(12,941 | ) | (11,260 | ) | 31,398 | (22,755 | ) | |||||||||
Income tax benefit |
| | | 194 | ||||||||||||
Net income (loss) |
$ | (12,941 | ) | $ | (11,260 | ) | $ | 31,398 | $ | (22,561 | ) | |||||
Net income (loss) per share: |
||||||||||||||||
Basic and diluted |
$ | (0.36 | ) | $ | (0.31 | ) | $ | 0.86 | $ | (0.62 | ) | |||||
Weighted average shares used in
computing net income (loss) per share: |
||||||||||||||||
Basic and diluted |
36,420,901 | 36,417,056 | 36,420,901 | 36,410,866 | ||||||||||||
The accompanying notes are an integral part of these financial statements.
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GTx, Inc.
CONDENSED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
Six Months Ended | ||||||||
June 30, | ||||||||
2010 | 2009 | |||||||
Cash flows from operating activities: |
||||||||
Net income (loss) |
$ | 31,398 | $ | (22,561 | ) | |||
Adjustments to reconcile net income (loss) to net cash used in
operating activities: |
||||||||
Depreciation and amortization |
849 | 903 | ||||||
Share-based compensation |
2,697 | 2,039 | ||||||
Directors deferred compensation |
96 | 84 | ||||||
Deferred revenue amortization |
(51,114 | ) | (5,745 | ) | ||||
Impairment of intangible assets |
1,687 | | ||||||
Changes in assets and liabilities: |
||||||||
Short-term investments, trading |
| 744 | ||||||
Accounts receivable, net |
37 | 76 | ||||||
Inventory |
(8 | ) | (23 | ) | ||||
Prepaid expenses and other current assets |
(5,217 | ) | (846 | ) | ||||
Accounts payable |
(417 | ) | (1,322 | ) | ||||
Accrued expenses and other long term liabilities |
(557 | ) | (1,227 | ) | ||||
Net cash used in operating activities |
(20,549 | ) | (27,878 | ) | ||||
Cash flows from investing activities: |
||||||||
Purchase of property and equipment |
(85 | ) | (248 | ) | ||||
Purchase of short-term investments, held to maturity |
(6,939 | ) | | |||||
Proceeds from maturities of short-term investments, held
to maturity |
7,390 | | ||||||
Net cash provided by (used in) investing activities |
366 | (248 | ) | |||||
Cash flows from financing activities: |
||||||||
Proceeds from exercise of employee stock options |
| 116 | ||||||
Payments on capital lease and financed equipment obligations |
(46 | ) | (2 | ) | ||||
Net cash (used in) provided by financing activities |
(46 | ) | 114 | |||||
Net decrease in cash and cash equivalents |
(20,229 | ) | (28,012 | ) | ||||
Cash and cash equivalents, beginning of period |
40,219 | 95,510 | ||||||
Cash and cash equivalents, end of period |
$ | 19,990 | $ | 67,498 | ||||
The accompanying notes are an integral part of these financial statements.
5
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GTx, Inc.
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
1. Business and Basis of Presentation
Business
GTx, Inc. (GTx or the Company), a Delaware corporation incorporated on September 24, 1997
and headquartered in Memphis, Tennessee, is a biopharmaceutical company dedicated to the discovery,
development and commercialization of small molecules that selectively target hormone pathways for
the treatment and prevention of cancer, the treatment of side effects of anticancer therapy, cancer
supportive care, and other serious medical conditions. GTx operates in one business segment.
GTx is developing toremifene 80 mg, a selective estrogen receptor modulator (SERM) for the
reduction of fractures and treatment of other estrogen deficiency side effects of androgen
deprivation therapy (ADT) in men with prostate cancer. GTx has completed a pivotal Phase III
clinical trial evaluating toremifene 80 mg for this indication. In December 2008, the Company
submitted a New Drug Application (NDA) for toremifene 80 mg to reduce fractures in men with
prostate cancer on ADT to the U.S. Food and Drug Administration (FDA). In October 2009, the
Company received a Complete Response Letter from the FDA regarding its NDA for toremifene 80 mg
notifying the Company that the FDA would not approve the Companys NDA in its present form as a
result of certain clinical deficiencies identified in the Complete Response Letter. The Company
met with the FDA in December 2009 to better understand the Companys options for addressing the
deficiencies identified by the FDA in the Complete Response Letter. In April 2010, the Company
submitted to the FDA a proposed protocol for a second pivotal Phase III clinical trial evaluating
toremifene 80 mg to reduce fractures in men with prostate cancer on ADT to address in a single
clinical trial the deficiencies identified by the FDA in the Complete Response Letter. In July
2010, the Company met with the FDA and is continuing to work with the FDA to finalize the protocol
for a second pivotal Phase III clinical trial. GTx has licensed to Ipsen Biopharm Limited
(Ipsen) exclusive rights in the European Union, Switzerland, Norway, Iceland, Lichtenstein, the
Commonwealth of Independent States, Australia, and certain countries in North Africa, the Middle
East and Asia, excluding Japan, (collectively, the Ipsen Territory) to develop and commercialize
toremifene in all indications which the Company has licensed from Orion Corporation (Orion),
which include all indications except the treatment and prevention of breast cancer outside of the
United States. In March 2010, the Company amended its collaboration and license agreement with
Ipsen primarily to expand its partnership for the development and commercialization of toremifene
80 mg to reduce fractures in men with prostate cancer on ADT and to fund a second pivotal Phase III
clinical trial of toremifene 80 mg. See Note 4, Collaboration and License Agreements, for further
discussion.
The Company also has been developing toremifene 20 mg for the prevention of prostate cancer in
high risk men with precancerous prostate lesions called high grade prostatic intraepithelial
neoplasia (high grade PIN). In May 2010, the Company announced that toremifene 20 mg failed to
meet the primary efficacy endpoint in a recently completed Phase III clinical trial evaluating
toremifene 20 mg for this indication. In the Phase III clinical trial, toremifene 20 mg treatment
compared to placebo resulted in a reduction in prostate cancer incidence, but the results were not
statistically significant. The Company is reviewing all data from the Phase III clinical trial to
better understand the trial results and the ability of toremifene 20 mg
to reduce cancer among high
risk men, but the Company does not currently expect to conduct additional clinical trials
evaluating toremifene 20 mg
for the prevention of prostate cancer in high risk men with high grade
PIN or to submit a NDA to the FDA for this indication.
Additionally, the Company is developing selective androgen receptor modulators (SARMs), a
new class of drugs with the potential to treat cancer cachexia (cancer induced muscle loss) and
chronic sarcopenia, which is the loss of skeletal muscle mass resulting in reduced physical
strength and ability to perform activities of daily living, as well as other musculoskeletal
wasting or muscle loss conditions. In March 2010, the Company reacquired full rights to its SARM
program, including ostarineTM, following the termination by the Company and Merck & Co.,
Inc. (Merck) of their exclusive license and collaboration agreement for SARM compounds and
related SARM products. See Note 4, Collaboration and License Agreements, for further discussion.
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GTx, Inc.
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
GTx is also developing GTx-758 which is a selective estrogen receptor alpha agonist for the
first line treatment of advanced prostate cancer. In February 2010, the Company initiated a Phase
II proof of concept clinical trial evaluating the ability of
GTx-758 to reduce testosterone to
castrate levels in healthy male volunteers.
The Company markets FARESTON® (toremifene citrate) 60 mg tablets, approved for the
treatment of metastatic breast cancer in postmenopausal women in the United States.
Basis of Presentation
The accompanying unaudited condensed financial statements reflect, in the opinion of
management, all adjustments (consisting of normal recurring adjustments) necessary for a fair
presentation of GTxs financial position, results of operations and cash flows for each period
presented in accordance with accounting principles generally accepted in the United States for
interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation
S-X. Accordingly, information and footnote disclosures normally included in financial statements
prepared in accordance with accounting principles generally accepted in the United States have been
condensed or omitted from the accompanying condensed financial statements. These interim condensed
financial statements should be read in conjunction with the audited financial statements and
related notes thereto, which are included in the Companys Annual Report on Form 10-K for the year
ended December 31, 2009. Operating results for the three and six months ended June 30, 2010 are
not necessarily indicative of the results that may be expected for the entire fiscal year ending
December 31, 2010.
Use of Estimates
The preparation of condensed financial statements in conformity with accounting principles
generally accepted in the United States requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities, the disclosure of contingent assets and
liabilities at the date of the condensed financial statements, and the reported amounts of revenues
and expenses during the reporting period. Actual amounts and results could differ from those
estimates.
Revenue Recognition
The Company recognizes revenue from product sales of FARESTON® less deductions for
estimated sales discounts and sales returns. Revenue from product sales is recognized when
persuasive evidence of an arrangement exists, title passes, the price is fixed or determinable, and
collectability is reasonably assured. The Company accounts for rebates to certain governmental
agencies as a reduction of product sales. The Company allows customers to return product within a
specified time period prior to and subsequent to the products labeled expiration date. The
Company estimates an accrual for product returns, which is recorded as a reduction of product
sales, based on factors which include historical product returns and estimated product in the
distribution channel which is expected to exceed its expiration date. At June 30, 2010 and
December 31, 2009, the Companys accrual for product returns was $797 and $494, respectively.
Collaboration revenue consists of non-refundable upfront payments, license fees,
reimbursements for research and development activities, and milestone payments associated with the
Companys collaboration and license agreements discussed in Note 4. Revenues from licensing
agreements are recognized based on the performance requirements of the specific agreements. The
Company analyzes agreements with multiple element arrangements to determine whether the
deliverables under the agreement, including license and performance obligations such as joint
steering committee participation and research and development activities, can be separated or
whether all of the deliverables must be accounted for as a single unit of accounting. For these
arrangements for which the Company is not able to identify evidence of fair value for the
undelivered elements, the Company will recognize any consideration for a single unit of accounting
in the same manner as revenue is recognized for the final deliverable, which is ratable over the
performance period. The performance period is estimated at the inception of each agreement and is
reevaluated at each reporting period. Revenues from milestone payments for which the Company
has no continuing performance obligations are recognized upon achievement of the performance
milestone, as defined in the related agreement, provided the milestone is substantive and a
culmination of the earnings process has occurred. Performance obligations typically consist of
significant milestones in the development life cycle of the related product candidates and
technology, such as initiation of clinical trials, achievement of specified clinical trial
endpoints, filing for approval with regulatory agencies and approvals by regulatory agencies. Due
to the termination of the Companys license and collaboration agreement with Merck in March 2010,
the Company recognized collaboration revenue of $54,856 in the first quarter of 2010 as the
agreement was terminated and the Company has no further performance obligations. See Note 4,
Collaboration and License Agreements, for further discussion.
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GTx, Inc.
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
Research and Development Expenses
Research and development expenses include, but are not limited to, the Companys expenses for
personnel, supplies, and facilities associated with research activities, screening and
identification of product candidates, formulation and synthesis activities, manufacturing,
preclinical studies, toxicology studies, clinical trials, regulatory and medical affairs, quality
assurance activities and license and royalty fees. The Company expenses these costs in the period
in which they are incurred. The Company estimates its liabilities for research and development
expenses in order to match the recognition of expenses to the period in which the actual services
are received. As such, accrued liabilities related to third party research and development
activities are recognized based upon the Companys estimate of services received and degree of
completion of the services in accordance with the specific third party contract.
Cash, Cash Equivalents and Short-term Investments
The Company considers highly liquid investments with initial maturities of three months or
less to be cash equivalents.
At June 30, 2010, short-term investments consisted of U.S. treasury securities and
certificates of deposit with original maturities of greater than three months and less than one
year. At December 31, 2009, short-term investments consisted solely of certificates of deposit.
As the Company has the positive intent and ability to hold these investments until maturity, the
investments have been classified as held to maturity investments and are stated at cost, which
approximates fair value.
Impairment of Long-Lived Assets
The Company reviews long-lived assets for impairment whenever events or changes in facts and
circumstances, both internally and externally, may indicate that an impairment of long-lived assets
held for use are present. An impairment loss is recognized when estimated future cash flows are
less than the carrying amount. The cash flow estimates are based on managements best estimates,
using appropriate and customary assumptions and projections at the time.
During the three months ended June 30, 2010, the Company determined that, based on the results
of the Phase III clinical trial evaluating toremifene 20 mg for the prevention of prostate cancer
in high risk men with high grade PIN, it does not currently expect to conduct additional clinical
trials or submit a NDA to the FDA for toremifene 20 mg for this indication. Based upon this
determination, a triggering event occurred requiring the Company to perform an impairment review of
the toremifene 20 mg intangible assets. After analyzing future cash flows and estimates of fair
market value from a market participant perspective, the Company determined that an impairment
existed and recorded an impairment charge of $1,687 during the three months ended June 30, 2010.
The impaired intangible assets consisted of the unamortized portions of capitalized license fees
paid to Orion and the University of Tennessee Research Foundation (UTRF) related to the Companys
toremifene 20 mg program. Of the $1,687 impairment charge, $1,515 related to unamortized license
fees paid to Orion under the amended and restated license and supply agreement for the Companys
exclusive license from Orion to develop and commercialize toremifene-based products, as
approximately half of the original payment to Orion was allocated to the Companys toremifene
20 mg program. The remaining impairment charge of $172 related to the Companys amended and
restated license agreement with UTRF with respect to the Companys toremifene 20 mg program.
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GTx, Inc.
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
The
impairment charge was included in research and development expenses
in the condensed statement of
operations for the three and six months ended June 30, 2010.
Income Taxes
The Company accounts for deferred taxes by recognition of deferred tax assets and liabilities
for the expected future tax consequences of events that have been included in the financial
statements or tax returns. Under this method, deferred tax assets and liabilities are determined
based on the difference between the financial statement and tax basis of assets and liabilities
using enacted tax rates in effect for the year in which the differences are expected to reverse. A
valuation allowance is provided when it is more likely than not that some portion or all of the
deferred tax assets will not be realized. Accordingly, at June 30, 2010 and December 31, 2009, net
of the valuation allowance, the net deferred tax assets were reduced to zero. Income taxes are
described more fully in Note 9 to the Companys financial statements included in the Companys
Annual Report on Form 10-K for the year ended December 31, 2009.
For the six months ended June 30, 2009, the Company recognized a federal income tax benefit of
$194 due to the adoption of a provision in the Housing and Economic Recovery Act of 2008 that
allowed the Company to claim a refund for a portion of its pre-2006 research and development tax
credits.
Other Income, Net
Other income, net consists of interest earned on the Companys cash, cash equivalents and
short-term investments, interest expense, and foreign currency transaction gains and losses.
Reclassification
The prior period foreign currency transaction gains and losses and interest expense have been
reclassified to other income, net from general and administrative expenses in the condensed
statement of operations.
Subsequent Events
The Company has evaluated all events or transactions that occurred after June 30, 2010 up
through the date the condensed financial statements were issued. There were no material
recognizable or nonrecognizable subsequent events during the period evaluated.
2. Share-Based Compensation
Share-based payments include stock option grants under the Companys stock option and equity
incentive plans and deferred compensation arrangements for the Companys non-employee directors.
The Company recognizes compensation expense for its share-based payments based on the fair value of
the awards over the period during which an employee or non-employee director is required to provide
service in exchange for the award. The Companys share-based compensation plans are described more
fully in Note 3 to the Companys financial statements included in the Companys Annual Report on
Form 10-K for the year ended December 31, 2009.
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GTx, Inc.
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
Total share-based compensation expense for the three months ended June 30, 2010 was $1,079, of
which $454 and $625 were recorded in the condensed statement of operations as research and
development expenses and general and administrative expenses, respectively. Total share-based
compensation expense for the three months ended June 30, 2009 was $1,064, of which $389 and $675
were recorded in the condensed statement of operations as research and development expenses and
general and administrative expenses, respectively. Total share-based compensation
expense for the six months ended June 30, 2010 was $2,793, of which $1,300 and $1,493 were
recorded in the condensed statement of operations as research and development expenses and general
and administrative expenses, respectively. Total share-based compensation expense for the six
months ended June 30, 2009 was $2,123, of which $769 and $1,354 were recorded in the condensed
statement of operations as research and development expenses and general and administrative
expenses, respectively. Share-based compensation expense for the three months ended June 30, 2010
and 2009 included share-based compensation expense related to deferred compensation arrangements
for the Companys non-employee directors of $46 and $39, respectively. Share-based compensation
expense for the six months ended June 30, 2010 and 2009 included share-based compensation expense
related to deferred compensation arrangements for the Companys non-employee directors of $96 and
$84, respectively.
The Company uses the Black-Scholes-Merton option pricing valuation model to value stock
options. The expected life of options is determined by calculating the average of the vesting term
and the contractual term of the options. The expected price volatility is based on the Companys
historical stock price volatility. The risk-free interest rate is determined using U.S. Treasury
rates where the term is consistent with the expected life of the stock options. Expected dividend
yield is not considered as the Company has not made any dividend payments and has no plans of doing
so in the foreseeable future. The amount of share-based compensation expense recognized is reduced
ratably over the vesting period by an estimate of the percentage of options granted that are
expected to be forfeited or canceled before becoming fully vested. The fair value of options
granted was estimated using the following assumptions for the periods presented:
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2010 | 2009 | 2010 | 2009 | |||||||||||||
Expected price volatility |
64.2 | % | 58.9 | % | 64.6 | % | 54.7 | % | ||||||||
Risk-free interest rate |
3.3 | % | 2.3 | % | 3.4 | % | 1.9 | % | ||||||||
Weighted average expected life in years |
6.0 years | 6.4 years | 6.5 years | 6.9 years |
The following is a summary of stock option transactions for all of the Companys stock option
and equity incentive plans since the Companys most recent fiscal year end:
Weighted | ||||||||
Average | ||||||||
Exercise Price | ||||||||
Number of Shares | Per Share | |||||||
Options outstanding at December 31, 2009 |
3,364,871 | $ | 13.55 | |||||
Options
granted |
1,288,500 | 4.16 | ||||||
Options forfeited or
expired |
(116,832 | ) | 13.06 | |||||
Options outstanding at June 30, 2010 |
4,536,539 | 10.89 | ||||||
3. Basic and Diluted Net Income (Loss) Per Share
Basic and diluted net income (loss) per share attributable to common stockholders is
calculated based on the weighted average number of common shares outstanding during the period.
Diluted net income (loss) per share also gives effect to the dilutive potential of common stock
consisting of stock options. The weighted average shares for the three and six months ended June
30, 2009 included 5,547 and 18,423 shares, respectively, related to the exercise of employee stock
options and issuance of common stock under deferred compensation arrangements. Weighted average
options outstanding to purchase shares of common stock of 4,536,821 and 3,587,530 for the three
months ended June 30, 2010 and 2009, respectively, and 4,526,796 and 3,544,501 for the six months
ended June 30, 2010
and 2009, respectively, were excluded from the calculations of diluted net income (loss) per
share as inclusion of the options would have had an anti-dilutive effect on the net income (loss)
per share for the periods.
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GTx, Inc.
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
4. Collaboration and License Agreements
Ipsen Collaboration and License Agreement
In September 2006, the Company entered into a collaboration and license agreement with Ipsen
(the Ipsen Collaboration Agreement) pursuant to which the Company granted Ipsen exclusive rights
in the European Union, Switzerland, Norway, Iceland, Lichtenstein, and the Commonwealth of
Independent States (the European Territory) to develop and commercialize toremifene in all
indications which the Company has licensed from Orion, which include all indications in humans
except the treatment and prevention of breast cancer outside of the United States.
In accordance with the terms of the Ipsen Collaboration Agreement, Ipsen agreed to pay the
Company 23,000 as a license fee and expense reimbursement, of which 1,500 was paid in equal
installments over a three year period from the date of the Ipsen Collaboration Agreement. In
October 2006, the Company received 21,500 (approximately $27,100) from Ipsen as the initial
payment for the license fee and expense reimbursement. In September 2009, 2008, and 2007, the
Company received 500 (approximately $726, $711, and $688, respectively) from Ipsen for the
three annual installment payments. In February 2008, the Company earned a milestone of 1,000
(approximately $1,482) with the achievement of the primary endpoint in the toremifene 80 mg ADT
Phase III clinical trial. This amount was recognized as collaboration revenue in the first quarter
of 2008.
In March 2010, the Company amended the Ipsen Collaboration Agreement primarily to expand its
collaboration for the development and commercialization of toremifene 80 mg to reduce fractures in
men with prostate cancer on ADT and to fund a second pivotal Phase III clinical trial of toremifene
80 mg. In accordance with the terms of the Ipsen Collaboration Agreement, as amended (the Amended
Ipsen Collaboration Agreement), Ipsen agreed to pay the Company up to 42,000 in clinical
development milestones for the purpose of conducting a second pivotal Phase III clinical trial
evaluating toremifene 80 mg to reduce fractures in men with prostate cancer on ADT. Such milestone
payments, if any, will be paid to the Company upon initiation of the clinical trial and completion
of specific clinical development milestones throughout the course of the clinical trial, as
outlined in the Amended Ipsen Collaboration Agreement. Although Ipsen has committed to fund up to
42,000 for a second pivotal Phase III clinical trial of toremifene 80 mg, if the projected cost
of such second pivotal Phase III clinical trial of toremifene 80 mg exceeds 42,000, the Company
is required to pay the excess amount. However, there is an established threshold of clinical trial
costs in excess of 42,000 at which the Company or Ipsen may determine not to initiate the
trial, in which event, Ipsen would not be obligated to provide any additional funding for the
trial. In addition, if the FDA does not consider the proposed protocol for a second pivotal Phase
III clinical trial to be sufficient to satisfy the deficiencies set forth in the Complete Response
Letter and imposes additional requirements for a second clinical trial that the Company and Ipsen
believe to be too burdensome and costly, the Company or Ipsen may determine not to pursue a second
clinical trial for toremifene 80 mg required by the FDA for marketing approval of the product
candidate. Accordingly, the Company may never receive any of the 42,000 in clinical
development milestones under the Amended Ipsen Collaboration Agreement.
In exchange for Ipsens commitment to fund a second toremifene 80 mg ADT Phase III clinical
trial, the Company granted Ipsen certain additional rights, including an expansion of the territory
in which Ipsen has the right to develop and commercialize toremifene beyond the European Territory
to include Australia and certain countries in North Africa, the Middle East and Asia (excluding
Japan), (collectively, the Ipsen Territory). In addition, Ipsen received the right to co-promote
the Companys toremifene 80 mg product candidate for the ADT indication in the United States or, at
Ipsens election in lieu of co-promotion, the right to receive a double digit royalty on net sales
of the Companys toremifene 80 mg product candidate for the ADT indication in the United States
which declines as net sales increase beyond an established base. Additionally, Ipsen was released
of the obligation to pay certain potential milestone payments totaling 18,000 related to the
European approval of toremifene 80 mg and pricing
approvals and received a reduction in the royalty payable to the Company on aggregate net
sales of the Companys toremifene 80 mg product candidate for the ADT indication. Ipsen also
received the right of first negotiation, subject to certain conditions, with respect to
development, marketing, sale and distribution in the Ipsen Territory of GTx-758.
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GTx, Inc.
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
Ipsen has agreed to be responsible for and to pay all clinical development, regulatory and
launch activities to commercialize toremifene in the Ipsen Territory for both the high grade PIN
indication and ADT indication. The Company will remain similarly responsible for all development
and regulatory activities outside of the Ipsen Territory. However, in addition to the 42,000
committed by Ipsen to fund a second pivotal Phase III clinical trial for toremifene 80 mg, Ipsen
has agreed to pay a portion of the Companys toremifene 20 mg development costs in the United
States, if certain conditions are met. Under the Amended Ipsen Collaboration Agreement, Ipsen must
elect to retain its rights to commercialize toremifene and other products containing toremifene for
the high grade PIN indication. Depending on when Ipsen exercises this election, Ipsen may be
required to pay an additional license fee as well as a premium on its share of the development and
clinical trial expenses incurred by the Company in the United States since January 1, 2006, on
account of toremifene for high grade PIN. If Ipsen does not exercise its election, Ipsen will not
be obligated to pay the Company for a portion of the development and clinical trial expenses
incurred by the Company in the United States since January 1, 2006, on account of toremifene for
the high grade PIN indication. The Company and Ipsen are reviewing all data from the Phase III
clinical trial to better understand the trial results and the ability of toremifene 20 mg to reduce
cancer among high risk men, but the Company does not currently expect to conduct additional
clinical trials evaluating toremifene 20 mg for the prevention of prostate cancer in high risk men
with high grade PIN or to submit a NDA to the FDA for this indication.
If Ipsen exercises its election for toremifene 20 mg, the Company is entitled to receive from
Ipsen up to an aggregate of 20,000 in milestone payments, depending on the successful
development and launch of toremifene 20 mg in certain countries of the Ipsen Territory, subject to
certain conditions. However, in lieu of Ipsen paying up to 20,000 in aggregate milestone
payments and its share of development and clinical trial expenses for the high grade PIN
indication, Ipsen may elect to receive a reduction in the royalty payable by the Company on net
sales of the Companys toremifene 80 mg product candidate for the ADT indication in the United
States which Ipsen is entitled to receive under the Amended Ipsen Collaboration Agreement. If
Ipsen does not exercise its election for toremifene 20 mg, all of Ipsens rights to toremifene 20
mg will revert to the Company.
Ipsen has agreed to pay the Company a royalty equal to a graduating percentage of aggregate
net sales in the Ipsen Territory of the Companys toremifene 20 mg product candidate and a fixed
percentage (12%) of aggregate net sales in the Ipsen Territory of the Companys toremifene 80 mg
product candidate for the ADT indication. The Company will remain responsible for paying upstream
royalties on toremifene to both Orion and UTRF for toremifene 20 mg and to Orion only for
toremifene 80 mg. Ipsen will purchase the bulk drug product supply directly from Orion and is
responsible for the packaging and labeling of the final product. With respect to the development
and commercialization of toremifene-based products, the term of the Amended Ipsen Collaboration
Agreement will continue until the parties are no longer developing and commercializing
toremifene-based products. Ipsen may terminate the Amended Ipsen Collaboration Agreement for the
Companys uncured breach, upon the Companys bankruptcy, with 12 months prior written notice for
any reason and with 30 days prior written notice as a result of legitimate and documented safety
concerns, or in the event that either the UTRF license for the chemoprevention of prostate cancer
or the license and supply agreement with Orion terminates early.
Under the original Ipsen Collaboration Agreement, the Company recorded deferred revenue of
$29,330 related to the Ipsen upfront license fee and expense reimbursement which is being amortized
into revenue on a straight-line basis over an estimated ten year development period for toremifene
in the Ipsen Territory. The estimated development period was extended from six years to ten years
during the quarter ended June 30, 2010 due to the Companys increased obligation period associated
with conducting a second toremifene 80 mg ADT Phase III clinical trial. The Company recognized as
collaboration revenue $336 and $1,464 for the three months ended June 30, 2010 and 2009,
respectively, and $1,258 and $2,927 for the six months ended June 30, 2010 and 2009, respectively,
from the amortization of the Ipsen deferred revenue.
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GTx, Inc.
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
NOTES TO THE CONDENSED FINANCIAL STATEMENTS
(in thousands, except share and per share data)
(unaudited)
Merck & Co., Inc. Collaboration and License Agreement
In December 2007, GTx and Merck entered into a global exclusive license and collaboration
agreement (the Merck Collaboration Agreement) governing the Companys and Mercks joint research,
development and commercialization of SARM compounds and related SARM products for all potential
indications of interest. In March 2010, the Company reacquired full rights to its SARM program,
including ostarineTM, following the termination by the Company and Merck of the Merck
Collaboration Agreement.
Under the Merck Collaboration Agreement, the Company granted Merck an exclusive worldwide
license under its SARM-related patents and know-how. The Company conducted preclinical research of
SARM compounds and products, and Merck was primarily responsible under the terms of the agreement
for conducting and funding development and commercialization of products developed under the Merck
Collaboration Agreement. Merck paid the Company an upfront licensing fee of $40,000 and purchased
approximately $30,000 of the Companys common stock. In addition, Merck agreed to pay the Company
$15,000 in guaranteed cost reimbursements for research and development activities in equal annual
installments over a three year period beginning on the first anniversary of the effective date of
the Merck Collaboration Agreement. The Company received $5,000 from Merck in both December 2008
and December 2009 as the first and second annual payments of cost reimbursements for research and
development activities.
The Company deferred the recognition of the upfront licensing fee of $40,000 and the $10,800
in equity premium received that represented the difference between the purchase price and the
closing price of the Companys common stock on the date the stock was purchased by Merck. These
payments were being recognized as collaboration revenue over the period of the Companys
performance obligation, which the Company estimated to be ten years. The $5,000 of cost
reimbursements received in both December 2008 and December 2009 were being recognized as
collaboration revenue over the remaining period of the Companys performance obligation. In March
2010, the Company reacquired full rights to the Companys SARM program following the termination by
the Company and Merck of the Merck Collaboration Agreement. Merck remains obligated to pay the
Company the final $5,000 payment for research and development activities cost reimbursement due
under the terms of the Merck Collaboration Agreement in December 2010 for which the Company has no
further performance obligations. In the first quarter of 2010, the Company recognized as
collaboration revenue all of the remaining $49,856 unamortized revenue that was deferred as of
December 31, 2009, as well as the final $5,000 research and development activities cost
reimbursement. The Company recognized as collaboration revenue $1,409 and $2,818 for the three and
six months ended June 30, 2009, respectively, from the amortization of the Merck deferred revenue.
University of Tennessee Research Foundation License Agreements
The Company and UTRF are parties to a consolidated, amended and restated license agreement
(the SARM License Agreement) pursuant to which the Company was granted exclusive worldwide rights
in all existing SARM technologies owned or controlled by UTRF, including all improvements thereto,
and exclusive rights to future SARM technology that may be developed by certain scientists at the
University of Tennessee or subsequently licensed to UTRF under certain existing inter-institutional
agreements with The Ohio State University. Additionally, the Company and UTRF have entered into an
amended and restated license agreement (the SERM License Agreement) pursuant to which the Company
was granted exclusive worldwide rights to UTRFs method of use patents relating to SERMs, including
toremifene for chemoprevention of prostate cancer as well as future related SERM technologies that
may be developed by certain scientists at the University of Tennessee. Under the SARM License
Agreement and the SERM License Agreement, the Company is obligated to pay UTRF annual license
maintenance fees and royalties on sublicense revenues and net sales of products.
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ITEM 2. | MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS |
The following discussion should be read in conjunction with the condensed financial statements
and the notes thereto included in Part 1, Item 1 of this Quarterly Report on Form 10-Q.
Forward-Looking Information
This Quarterly Report on Form 10-Q contains forward-looking statements. The forward-looking
statements are contained principally in the sections entitled Managements Discussion and Analysis
of Financial Condition and Results of Operations and Risk Factors. These statements involve
known and unknown risks, uncertainties and other factors that may cause our actual results,
performance or achievements to be materially different from any future results, performances or
achievements expressed or implied by the forward-looking statements. Forward-looking statements
include statements about:
| the anticipated progress of our research, development and clinical programs, including whether current and future clinical trials will achieve similar results to clinical trials that we have successfully concluded; |
| the timing, scope and anticipated completion of current and future clinical trials; |
| the timing of regulatory submissions and the timing, scope and anticipated outcome of related regulatory actions; |
| potential future licensing fees, milestone payments and royalty payments, including any milestone payments or royalty payments that we may receive under our collaborative arrangement with Ipsen Biopharm Limited, or Ipsen; |
| our and Ipsens ability to obtain and maintain regulatory approvals of our product candidates and any related restrictions, limitations, and/or warnings in the label of an approved product candidate; |
| our and Ipsens ability to market, commercialize and achieve market acceptance for our product candidates or products that we may develop; |
| our ability to generate additional product candidates for clinical testing; |
| our ability to protect our intellectual property and operate our business without infringing upon the intellectual property rights of others; and |
| our estimates regarding the sufficiency of our cash resources. |
In some cases, you can identify forward-looking statements by terms such as anticipates,
believes, could, estimates, expects, intends, may, plans, potential, predicts,
projects, should, will, would and similar expressions intended to identify forward-looking
statements. Forward-looking statements reflect our current views with respect to future events,
are based on assumptions and are subject to risks, uncertainties and other important factors. We
discuss many of these risks in this Quarterly Report on Form 10-Q in greater detail in the section
entitled Risk Factors under Part II, Item 1A below. Given these risks, uncertainties and other
important factors, you should not place undue reliance on these forward-looking statements. Also,
forward-looking statements represent our estimates and assumptions only as of the date of this
Quarterly Report on Form 10-Q. You should read this Quarterly Report on Form 10-Q completely and
with the understanding that our actual future results may be materially different from what we
expect. Except as required by law, we assume no obligation to update any forward-looking
statements publicly, or to update the reasons actual results could differ materially from those
anticipated in any forward-looking statements, even if new information becomes available in the
future.
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Overview
Business Overview
We are a biopharmaceutical company dedicated to the discovery, development and
commercialization of small molecules that selectively target hormone pathways for the treatment and
prevention of cancer, the treatment of side effects of anticancer therapy, cancer supportive care,
and other serious medical conditions.
Business Highlights
We are developing toremifene 80 mg, a selective estrogen receptor modulator, or SERM, for the
reduction of fractures and treatment of other estrogen deficiency side effects of androgen
deprivation therapy, or ADT, in men with prostate cancer. We commenced a pivotal Phase III
clinical trial evaluating toremifene 80 mg for this indication in November 2003. In the first
quarter of 2008, we announced that the Phase III clinical trial results for toremifene 80 mg to
reduce fractures and treat other estrogen deficiency side effects of ADT in men with prostate
cancer showed that toremifene 80 mg reduced new morphometric vertebral fractures, met other key
endpoints of bone mineral density, or BMD, lipid profiles and gynecomastia, and also showed that
toremifene 80 mg demonstrated a reduction in hot flashes in a subset of patients. In December
2008, we submitted a New Drug Application, or NDA, for toremifene 80 mg to reduce fractures in men
with prostate cancer on ADT to the U.S. Food and Drug Administration, or FDA. In October 2009, we
received a Complete Response Letter from the FDA regarding our NDA for toremifene 80 mg notifying
us that the FDA would not approve our NDA in its present form as a result of certain clinical
deficiencies identified in the Complete Response Letter. The FDA identified two deficiencies in
the Complete Response Letter and recommended that the following information be provided to the FDA
to address these clinical deficiencies: (i) results of a second adequate and well-controlled Phase
III clinical trial demonstrating the safety and efficacy of toremifene 80 mg to reduce fractures in
men with prostate cancer on ADT and (ii) results from an adequate and well-controlled clinical
trial demonstrating that toremifene 80 mg treatment to reduce fractures in men with prostate cancer
on ADT does not have a detrimental effect on either time-to-disease progression or overall
survival. We met with the FDA in December 2009 to better understand our options for addressing the
points made by the FDA in the Complete Response Letter. In April 2010, we submitted a proposed
protocol for a second pivotal Phase III clinical trial evaluating toremifene 80 mg to reduce
fractures in men with prostate cancer on ADT, which we refer to as
TREAT 2 (Toremifene for Reduction of fractures and other Estrogen deficiency side effects in men on Androgen deprivation Therapy), to address in a single clinical trial the deficiencies
identified by the FDA in the Complete Response Letter. In July 2010, we met with the FDA and are
continuing to work with the FDA to finalize the protocol for a second pivotal Phase III clinical
trial. If we and the FDA agree on a protocol for a second pivotal Phase III clinical trial
sufficient to address each of the deficiencies identified in the FDAs Complete Response Letter,
and we and Ipsen approve any projected costs of such trial which may be in excess of the threshold
established under our amended license and collaboration agreement, we plan to initiate a second
pivotal Phase III clinical trial in the first quarter of 2011.
We also have been developing toremifene 20 mg for the prevention of prostate cancer in high
risk men with precancerous prostate lesions called high grade prostatic intraepithelial neoplasia,
or high grade PIN. In May 2010, we announced that toremifene 20 mg failed to meet the primary
efficacy endpoint in a recently completed Phase III clinical trial evaluating toremifene 20 mg for
this indication. In the Phase III clinical trial, toremifene 20 mg treatment compared to placebo
resulted in a reduction in prostate cancer incidence, but the results were not statistically
significant. We are reviewing all data from the Phase III clinical trial to better understand the
trial results and the ability of toremifene 20 mg to reduce cancer among high risk men, but we do
not currently expect to conduct additional clinical trials evaluating toremifene 20 mg for the
prevention of prostate cancer in high risk men with high grade PIN or to submit a NDA to the FDA
for this indication.
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In September 2006, we licensed to Ipsen exclusive rights in the European Union, Switzerland,
Norway, Iceland, Lichtenstein and the Commonwealth of Independent States, which we collectively
refer to as the European Territory, to develop and commercialize toremifene in all indications
which we have licensed from Orion Corporation, or Orion, which include all indications in humans
except the treatment and prevention of breast cancer outside of the United States. In March 2010,
we amended our collaboration and license agreement with Ipsen, or the Amended Ipsen Collaboration
Agreement, primarily to expand our collaboration for the development and commercialization of
toremifene 80 mg to reduce fractures in men with prostate cancer and to fund a second pivotal Phase
III clinical trial of toremifene 80 mg. Under the Amended Ipsen Collaboration Agreement, Ipsen
agreed to
pay us up to 42.0 million in clinical development milestones for the purpose of conducting
a second pivotal Phase III clinical trial evaluating toremifene 80 mg to reduce fractures in men
with prostate cancer on ADT. Such milestone payments, if any, will be paid to us upon initiation
of the clinical trial and completion of specific clinical development milestones throughout the
course of the clinical trial as outlined in the Amended Ipsen Collaboration Agreement. Although
Ipsen has committed to fund up to 42.0 million for a second pivotal Phase III clinical trial of
toremifene 80 mg, if the projected cost of such second pivotal Phase III clinical trial of
toremifene 80 mg exceeds 42.0 million, we are required to pay the excess amount. However,
there is an established threshold of clinical trial costs in excess of 42.0 million at which we
or Ipsen may determine not to initiate the trial, in which event, Ipsen would not be obligated to
provide any additional funding for the trial. In addition, if the FDA does not consider the
proposed protocol for a second pivotal Phase III clinical trial to be sufficient to satisfy the
deficiencies set forth in the Complete Response Letter and imposes additional requirements for a
second clinical trial that we and Ipsen believe to be too burdensome and costly, we or Ipsen may
determine not to pursue a second clinical trial for toremifene 80 mg and to cease further
development of the product candidate.
In exchange for Ipsens commitment to fund a second Phase III clinical trial of toremifene 80
mg, we granted Ipsen certain additional rights, including an expansion of the territory in which
Ipsen has the right to develop and commercialize toremifene beyond the European Territory to
include Australia and certain countries in North Africa, the Middle East and Asia (excluding
Japan), which we collectively refer to as the Ipsen Territory. In addition, Ipsen received the
right to co-promote our toremifene 80 mg product candidate for the ADT indication in the United
States or, at Ipsens election in lieu of co-promotion, the right to receive a double digit royalty
on net sales of our toremifene 80 mg product candidate for the ADT indication in the United States,
which declines as net sales increase beyond an established base. Additionally, Ipsen was released
of the obligation to pay certain potential milestone payments totaling 18.0 million related to
the European approval of toremifene 80 mg and pricing approvals and received a reduction in the
royalty payable to us on aggregate net sales of our toremifene 80 mg product candidate for the ADT
indication. Ipsen also received the right of first negotiation, subject to certain conditions,
with respect to development, marketing, sale and distribution in the Ipsen Territory of GTx-758.
We are also entitled to receive from Ipsen up to an aggregate of 20.0 million in milestone
payments, depending on the successful development and launch of toremifene 20 mg in certain
countries of the Ipsen Territory, subject to certain conditions. Depending on when Ipsen exercises
this election, Ipsen may be required to pay an additional license fee as well as a premium on its
share of the development and clinical trial expenses incurred by us in the United States since
January 1, 2006, on account of toremifene for high grade PIN. We and Ipsen are reviewing all data
from the Phase III clinical trial to better understand the trial results and the ability of
toremifene 20 mg to reduce cancer among high risk men, but we do not currently expect to conduct
additional clinical trials evaluating toremifene 20 mg for the prevention of prostate cancer in
high risk men with high grade PIN or to submit a NDA to the FDA for this indication. Ipsen retains
its election rights for toremifene 20 mg to treat high risk men with high grade PIN. However, we
do not currently anticipate Ipsen will exercise its election rights. Nevertheless, if Ipsen elects
to retain its rights to toremifene 20 mg, it may exercise its right under the Amended Ipsen
Collaboration Agreement to be released from its obligation to pay up to 20.0 million in
aggregate milestone payments and its share of development and clinical trial expenses for the high
grade PIN indication in exchange for a reduction in the royalty payable by us on net sales of our
toremifene 80 mg product candidate for the ADT indication in the United States. Ipsen has agreed
to pay us a royalty equal to a graduating percentage of aggregate net sales of products sold in the
Ipsen Territory containing toremifene 20 mg and a fixed percentage (12%) of aggregate net sales of
products sold in the Ipsen Territory containing toremifene 80 mg.
Additionally, we are developing selective androgen receptor modulators, or SARMs, a new class
of drugs with the potential to treat cancer cachexia (cancer induced muscle loss), chronic
sarcopenia, which is the loss of skeletal muscle mass resulting in reduced physical strength and
ability to perform activities of daily living, and other musculoskeletal wasting or muscle loss
conditions. In December 2006, we announced that ostarine met its primary endpoint in a Phase II
proof of concept, double blind, randomized, placebo controlled clinical trial in 60 elderly men and
60 postmenopausal women. In October 2008, we announced that ostarine met its primary endpoint in
a Phase II clinical trial evaluating absolute change in total lean body mass (muscle) compared to
placebo. In March 2010, we reacquired full rights to our SARM program, including ostarine,
following the termination by us and Merck & Co., Inc., or Merck, of our exclusive license and
collaboration agreement for SARM compounds and related SARM products, which was entered into in
December 2007. Merck remains obligated to pay us the final
$5.0 million cost reimbursement payment for research and development activities in December 2010. We are pursuing a partnership for the development of SARMs, which includes
ostarine, our lead SARM, for the treatment of cancer cachexia.
We do not anticipate significant development progress on ostarine, or our SARM program in
general, including the initiation of any additional clinical trials, unless and until we enter into
one or more new collaborations with third parties or otherwise obtain additional funding.
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We are also developing GTx-758 which is a selective estrogen receptor, or ER, alpha agonist
for the first line treatment of advanced prostate cancer. In preclinical animal models, GTx-758
has demonstrated the potential to reduce testosterone concentrations in blood to castrate levels,
increase BMD, and prevent hot flashes. In 2009, we completed two Phase I clinical trials, a single
ascending dose clinical trial and a multiple ascending dose clinical trial, evaluating GTx-758 in
healthy male volunteers. GTx-758 was well tolerated in both trials. In February 2010, we
initiated a Phase II proof of concept clinical trial evaluating the ability of GTx-758 to reduce
testosterone to castrate levels in 70 healthy male volunteers. We expect results of this clinical
trial in the third quarter of 2010.
We market FARESTON® (toremifene citrate) 60 mg tablets, approved for the treatment
of metastatic breast cancer in postmenopausal women in the United States. We are increasing our
promotional efforts in an attempt to increase commercial sales of FARESTON®.
FARESTON® has efficacy, safety and pharmacokinetic properties which we believe makes it
an appropriate treatment option for certain postmenopausal women with metastatic breast cancer.
The active pharmaceutical ingredient in FARESTON® is the same as in our toremifene 80 mg
and toremifene 20 mg product candidates.
Financial Highlights
Our net income for the six months ended June 30, 2010 was $31.4 million. Our net income
included the recognition of the remaining $49.9 million of unamortized revenue from our exclusive
license and collaboration agreement with Merck and the final payment from Merck of $5.0 million of
cost reimbursement for research and development activities that will be received from Merck in December 2010. Our net income also included FARESTON® net product sales of $1.4 million for the
six months ended June 30, 2010.
We have financed our operations and internal growth primarily through public offerings and
private placements of our common stock, as well as payments from our current and former
collaborations. As a result of the recognition of $49.9 million in deferred revenue and the final payment from
Merck of $5.0 million of cost reimbursement, we expect to report net income for the year ending
December 31, 2010. However, while recognition of this revenue is expected to result in net income
for 2010, we expect to incur significant operating losses in 2011 and for the foreseeable future
and we do not expect to obtain FDA or any other regulatory approvals to market any of our product
candidates in the near future, if at all. In addition, significant additional clinical development
will be required in order to potentially obtain FDA approval of toremifene 80 mg, including a
second pivotal Phase III clinical trial of toremifene 80 mg.
At June 30, 2010, we had cash, cash equivalents and short-term investments of $28.4 million,
compared to $49.0 million at December 31, 2009. We estimate that our current cash and cash
equivalent balances, short-term investments, interest income, product revenue from the sale of
FARESTON®,
and the final payment from Merck of $5.0 million of cost
reimbursement will be sufficient to meet our projected operating requirements through the
next twelve months. We have based this estimate on our current business plan and assumptions that
may prove to be wrong, and we could utilize our available capital resources sooner than we
currently expect. In addition, this estimate does not include any costs related to any additional
clinical development of our SARM program, nor does it include any additional costs that we may be
required to bear to continue the development of toremifene 80 mg if the funding from Ipsen is not
sufficient to pay all clinical trial costs of a second pivotal Phase III clinical trial of
toremifene 80 mg. Before undertaking any of these additional activities and requirements, we will
need to raise additional funds and/or receive commitments from partners to pay for some or all of
these additional costs. With the exception of payments that we may receive under our collaboration
with Ipsen, we do not currently have any commitments for future external funding.
The Patient Protection and Affordable Care Act and the Health Care and Education
Reconciliation Act were signed into law in March of this year, but certain provisions applied
retroactively as of January 1, 2010. The legislation, among other things: increased drug rebates
under Medicaid; applied those rebates to Medicaid managed care enrollees for the first time; and
expanded 340B discounted drug pricing to more categories of providers. In particular, as a result
of the new legislation, minimum percentage Medicaid drug rebates on FARESTON® increased
from 15.1% to 23.1% of our average manufacturer price. We do not expect these changes to have
a significant impact on our statement of operations for the year ending December 31, 2010.
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Research and Development
Since our inception in 1997, we have been focused on drug discovery and development programs.
Research and development expenses include, but are not limited to, our expenses for personnel
associated with our research activities, screening and identification of product candidates,
formulation and synthesis activities, manufacturing, preclinical studies, toxicology studies,
clinical trials, regulatory affairs activities, quality assurance activities and license fees.
We expect that future research and development expenditures will be focused on the following:
| activities relating to our efforts to obtain regulatory approvals of toremifene 80 mg to reduce fractures and treat other estrogen deficiency side effects of ADT in men with prostate cancer, including potentially a second pivotal Phase III clinical trial of toremifene 80 mg; |
| our ongoing research and development efforts for ostarine and other SARMs; |
| the continued clinical development of GTx-758; and |
| the continued preclinical development of other product candidates. |
There is a risk that any drug discovery and development program may not produce revenue.
Moreover, because of uncertainties inherent in drug discovery and development, including those
factors described in Part II, Item 1A Risk Factors of this Quarterly Report on Form 10-Q, we may
not be able to successfully develop and commercialize any of our product candidates.
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Product Candidates
The following table identifies the development phase and status for each of our clinical
product candidates:
Product | ||||||
Candidate/ | Development | |||||
Program | Proposed Indication | Phase | Status | |||
SERM
|
Toremifene | |||||
80 mg To reduce fractures in men with prostate cancer on ADT |
Completed pivotal Phase III clinical trial |
Received a Complete Response Letter from the FDA regarding the NDA in October 2009; met with the FDA in July 2010 and plan to continue working with the FDA to finalize the protocol for a second pivotal Phase III clinical trial (TREAT 2). |
||||
Toremifene | ||||||
20 mg Prevention of prostate cancer in high risk men with high grade PIN |
Completed pivotal Phase III clinical trial |
Clinical trial results reported in May 2010; toremifene 20 mg failed to meet the primary efficacy endpoint in the Phase III clinical trial; no additional clinical trials of toremifene 20 mg for this indication are expected. |
||||
SARM
|
OstarineTM | |||||
Treatment of cancer cachexia | Phase II clinical trial | Phase II clinical trial completed in September 2008. | ||||
OstarineTM | ||||||
Treatment of chronic sarcopenia | Phase II clinical trial | Phase II clinical trial completed in December 2006. | ||||
Selective
|
GTx-758 | |||||
ER alpha agonist
|
Treatment of advanced prostate cancer | Phase II clinical trial | Results expected in the third quarter of 2010. |
Sales and Marketing
We market FARESTON® (toremifene citrate) 60 mg tablets, approved for the treatment
of metastatic breast cancer in postmenopausal women in the United States. We are increasing our
promotional efforts in an attempt to increase commercial sales of FARESTON®.
FARESTON® has efficacy, safety, and pharmacokinetic properties which we believe makes it
an appropriate treatment option for certain postmenopausal women with metastatic breast cancer. In
order to commercialize any future products, we must broaden our sales and marketing infrastructure
or collaborate with third parties with sales and marketing experience and personnel. We have
partnered with Ipsen to commercialize toremifene 80 mg and toremifene 20 mg in the Ipsen Territory
if approved for commercial sale. We are continuing to seek partners to market toremifene 80 mg in Japan and other markets outside of the United States and the Ipsen Territory.
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General and Administrative Expenses
Our general and administrative expenses consist primarily of salaries and other related costs
for personnel serving executive, finance, legal, human resources, information technology, investor
relations and marketing functions. General and administrative costs include facility costs,
insurance costs, and professional fees for legal, accounting, public relations, and marketing
services, and FARESTON® selling and distribution expenses. We expect our general and
administrative expenses for fiscal year 2010 to be less than fiscal year 2009 since fiscal year
2009 general and administrative expenses included spending on sales and marketing, medical
education and other supporting activities in anticipation of regulatory approval of our toremifene
product candidates that we will not incur in 2010, as well as the December 2009 reduction in our
workforce.
Critical Accounting Policies and Significant Judgments and Estimates
Our managements discussion and analysis of our financial condition and results of operations
is based on our condensed financial statements, which have been prepared in accordance with
accounting principles generally accepted in the United States of America for interim financial
statements. The preparation of these financial statements requires us to make estimates and
assumptions that affect the reported amounts of assets and liabilities and the disclosure of
contingent assets and liabilities at the date of the condensed financial statements as well as the
reported revenues and expenses during the reporting periods. On an ongoing basis, we evaluate our
estimates and judgments related to revenue recognition, income taxes, intangible assets, long-term
service contracts and other contingencies. We base our estimates on historical experience and on
various other factors that we believe are reasonable under the circumstances, the results of which
form the basis for making judgments about the carrying value of assets and liabilities that are not
readily apparent from other sources. Actual results may differ from these estimates under
different assumptions or conditions.
While our significant accounting policies are more fully described in Note 2 to our financial
statements appearing in our Annual Report on Form 10-K for the year ended December 31, 2009 filed
with the SEC, we believe that the following accounting policies are most critical to aid you in
fully understanding and evaluating our reported financial results.
Revenue Recognition
Our revenues consist of product sales of FARESTON® and revenues derived from our
collaboration and license agreements.
Collaboration revenue consists of non-refundable upfront payments, license fees,
reimbursements for research and development activities, and milestone payments associated with our
collaboration and license agreements and is based on the performance requirements of the specific
agreements. We analyze any of our agreements with multiple element arrangements to determine
whether the deliverables under the agreement, including license and performance obligations such as
joint steering committee participation and research and development activities, can be separated or
whether all of the deliverables must be accounted for as a single unit of accounting. For
arrangements for which we are not able to identify evidence of fair value for the undelivered
elements, we will recognize any consideration for a single unit of accounting in the same manner as
the revenue is recognized for the final deliverable, which is ratable over the performance period.
The performance period is estimated at the inception of the agreement and is reevaluated at each
reporting period. Cost reimbursements for research activities are recognized as collaboration
revenue if amounts are determinable and collection of the related receivable is reasonably assured.
Revenues from milestone payments for which we have no continuing performance obligations are
recognized upon achievement of the performance milestone, as defined in the related agreement,
provided the milestone is substantive and a culmination of the earnings process has occurred.
Performance obligations typically consist of significant milestones in the development life cycle
of the related product candidates and technology, such as initiation of clinical trials,
achievement of specified clinical trial endpoints, filing for approval with regulatory agencies and
approvals by regulatory agencies.
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The factors that drive the actual development period of a pharmaceutical product are
inherently uncertain and include determining the timing and expected costs to complete the project,
projecting regulatory approvals and anticipating potential delays. We use all of these factors in
initially estimating the economic useful lives of our performance obligations, and we also
continually monitor these factors for indications of appropriate revisions. We have estimated the
performance obligation period to be ten years for the development of toremifene under our
collaboration agreement with Ipsen which is based upon the estimated development period for
toremifene 80 mg. We estimated the performance obligation period to be ten years for our
collaboration agreement with Merck. However, due to the termination of our license and
collaboration agreement with Merck in March 2010, we recognized as collaboration revenue in the
first quarter of 2010 all of the remaining $49.9 million of unamortized revenue that was deferred
as of December 31, 2009, as well as the final payment of $5.0 million for cost reimbursement for
research and development activities that we will receive from Merck in December 2010 as we have no
further performance obligations.
We recognize revenue from product sales of FARESTON® less deductions for estimated
sales discounts and sales returns. We recognize revenue from product sales when persuasive
evidence of an arrangement exists, title passes, the price is fixed or determinable, and
collectability is reasonably assured. We account for rebates to certain
governmental agencies as a reduction of product sales. We allow customers to return product within
a specified time period prior to and subsequent to the products labeled expiration date. As a
result, we estimate an accrual for product returns, which is recorded as a reduction of product
sales. We consider historical product return trend information that we continue to update each
period. We estimate the number of months of product on hand and the amount of product which is
expected to exceed its expiration date and be returned by the customer by receiving information
from our three largest wholesale customers about the levels of FARESTON® inventory held
by these customers. These three largest wholesale customers accounted for 96% of our product sales
of FARESTON® for the six months ended June 30, 2010. Based on this information and
other factors, we estimate an accrual for product returns. At June 30, 2010 and December 31, 2009,
our accrual for product returns was $797,000 and $494,000, respectively. In the second quarter of
2010, we increased the price of FARESTON®. While we do not expect a material increase
in the volume of product returns in future periods as a result of the price increase, the price
increase resulted in an increase in the product returns accrual since certain product returns are
accepted at or near the current sales price of FARESTON®.
Research and Development Expenses
Research and development expenses include, but are not limited to, our expenses for personnel,
supplies, and facilities associated with research activities, screening and identification of
product candidates, formulation and synthesis activities, manufacturing, preclinical studies,
toxicology studies, clinical trials, regulatory affairs, quality assurance activities and license
fees. We expense these costs in the period in which they are incurred. We estimate our
liabilities for research and development expenses in order to match the recognition of expenses to
the period in which the actual services are received. As such, accrued liabilities related to third
party research and development activities are recognized based upon our estimate of services
received and degree of completion of the services in accordance with the specific third party
contract.
Research and development expenses for the three and six months ended June 30, 2010 included an
impairment charge of $1.7 million related to unamortized portions of capitalized license fees paid
to Orion and the University of Tennessee Research Foundation related to our toremifene 20 mg
program.
Share-Based Compensation
We have stock option and equity incentive plans that provide for the purchase of our common
stock by certain of our employees and non-employee directors. We recognize compensation expense
for our share-based payments based on the fair value of the awards on the grant date and recognize
the expense over the period during which an employee or non-employee director is required to
provide service in exchange for the award.
The determination of the fair value of share-based payment awards on the date of grant include
the expected life of the award, the expected stock price volatility over the expected life of the
awards, expected dividend yield, and risk-free interest rate. We estimate the expected life of
options by calculating the average of the vesting term and contractual term of the options. We
estimate the expected stock price volatility based on the historical volatility of our common
stock. The risk-free interest rate is determined using U.S. Treasury rates where the term is
consistent with the expected life of the stock options. Expected dividend yield is not considered
as we have not made any dividend payments and have no plans of doing so in the foreseeable future.
The amount of share-based compensation expense recognized is reduced ratably over the vesting
period by an estimate of the percentage of options granted that are expected to be forfeited or
canceled before becoming fully vested. This estimate is adjusted periodically based on the extent
to which actual forfeitures differ, or are expected to differ, from the previous estimate.
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Total share-based compensation expense for the three months ended June 30, 2010 was $1.1
million, of which $454,000 and $625,000 were recorded in the condensed statement of operations as
research and development expenses and general and administrative expenses, respectively. Total
share-based compensation expense for the three months ended June 30, 2009 was $1.1 million, of
which $389,000 and $675,000 were recorded in the condensed statement of operations as research and
development expenses and general and administrative expenses, respectively. Total share-based
compensation expense for the six months ended June 30, 2010 was $2.8 million, of which $1.3 million
and $1.5 million were recorded in the condensed statement of operations as research and development
expenses and general and administrative expenses, respectively. Total share-based compensation
expense for the six months ended June 30, 2009 was $2.1 million, of which $769,000 and $1.4
million were recorded in the condensed statement of operations as research and development expenses
and general and administrative expenses, respectively. Included in share-based compensation
expense for the three months ended June 30, 2010 and 2009 was share-based compensation expense
related to deferred compensation arrangements for our non-employee directors of $46,000 and
$39,000, respectively, and $96,000 and $84,000 for the six months ended June 30, 2010 and 2009,
respectively. At June 30, 2010, the total compensation cost related to non-vested awards not yet
recognized was approximately $13.2 million with a weighted average expense recognition period of
2.09 years.
Recent Accounting Pronouncements
In
October 2009, the Financial Accounting Standards Board, or FASB, issued Accounting Standards
Update No. 2009-13, Revenue Recognition (Topic 605): Multiple-Deliverable Revenue Arrangements (a
consensus of the FASB Emerging Issues Task Force) (ASU No. 2009-13). ASU No. 2009-13 amends
revenue recognition guidance related to multiple deliverable arrangements to provide new guidance
concerning the determination of whether an arrangement involving multiple deliverables contains
more than one unit of accounting and the manner in which arrangement consideration should be
allocated to such deliverables. The amended guidance is effective for revenue arrangements entered
into or materially modified in fiscal years beginning on or after June 15, 2010 and may be applied
prospectively or retroactively. We do not expect the adoption of ASU No. 2009-13 to have a
material impact on our financial position or results of operations.
In April 2010, the FASB issued Accounting Standards Update No. 2010-17, Revenue Recognition
(Topic 605): Milestone Method of Revenue Recognition (a consensus of the FASB Emerging Issues Task
Force) (ASU No. 2010-17). ASU No. 2010-17 allows an entity to make an accounting policy election
to recognize a payment that is contingent upon the achievement of a substantive milestone in its
entirety in the period in which the milestone is achieved. Additionally, ASU No. 2010-17 provides
guidance in identifying milestones and determining whether the milestones are substantive. The
amended guidance is effective for revenue arrangements entered into or materially modified in
fiscal years beginning on or after June 15, 2010 and may be applied prospectively or retroactively.
We do not expect the adoption of ASU No. 2010-17 to have a material impact on our financial
position or results of operations.
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Results of Operations
Three Months Ended June 30, 2010 and 2009
Revenues. Revenues for the three months ended June 30, 2010 were $935,000, as compared to $3.8
million for the same period of 2009. Revenues included net sales of FARESTON® marketed
for the treatment of metastatic breast cancer in postmenopausal women, collaboration revenue
from Ipsen for the three months ended June 30, 2010 and collaboration revenue from Ipsen and Merck for the three months ended June 30, 2009. During the three months ended June 30, 2010 and 2009, FARESTON® net product
sales were $599,000 and $949,000, respectively, while cost of product sales were $134,000 and
$431,000, respectively. FARESTON® net product sales for the three months ended June 30,
2010 decreased from the same period in the prior year due to a decrease in sales volume and an
increase in the provision for product returns due to an increase in the price of
FARESTON® in the second quarter of 2010. While we do not expect a material increase in
the volume of product returns in future periods as a result of the price increase, the price
increase resulted in an increase in the product returns accrual since certain product returns are
accepted at or near the current sales price of FARESTON®. These decreases were
partially offset by an increase in the sales price of FARESTON® during the second
quarter of 2010. Cost of product sales decreased from the same period in the prior year due to the
lower sales volume as well as a reduction in the royalty payable to Orion on our net sales of
FARESTON®. Collaboration revenue was $336,000 for the three months ended June 30, 2010
and $2.9 million for the three months ended June 30, 2009. Collaboration revenue for the three
months ended June 30, 2010 consisted solely of the amortization of deferred revenue from Ipsen.
Collaboration revenue for the three months ended June 30, 2009 consisted of $1.5 million and $1.4
million from the amortization of deferred revenue from Ipsen and Merck, respectively. The
collaboration revenue recognized from Ipsen for the three months ended June 30, 2010 decreased from
the same period of the prior year as we extended the estimated development period to ten years due
to our increased obligation period associated with a second toremifene 80 mg Phase III clinical
trial.
Research and Development Expenses. Research and development expenses increased 22% to $9.5 million
for the
three months ended June 30, 2010 from $7.7 million for the three months ended June 30, 2009.
Research and development expenses for the three months ended June 30, 2010 included an impairment
charge of $1.7 million related to the our toremifene 20 mg intangible assets. This amount is
included in Toremifene 20 mg in the table below. Research and development for past periods is
not indicative of spending in future periods. The following table identifies the research and
development expenses for each of our clinical product candidates, as well as research and
development expenses pertaining to our other research and development efforts, for both of the
periods presented.
Product | Three Months Ended | |||||||||||||
Candidate/ | June 30, | Increase/ | ||||||||||||
Program | Proposed Indication | 2010 | 2009 | (Decrease) | ||||||||||
(in thousands) | ||||||||||||||
SERM |
Toremifene | |||||||||||||
80 mg | ||||||||||||||
To reduce fractures in men with prostate cancer on ADT |
$ | 1,260 | $ | 654 | $ | 606 | ||||||||
Toremifene | ||||||||||||||
20 mg | ||||||||||||||
Prevention of prostate | 2,831 | 1,472 | 1,359 | |||||||||||
cancer in high risk men | ||||||||||||||
with high grade PIN | ||||||||||||||
SARM |
OstarineTM | |||||||||||||
Treatment of cancer cachexia | 818 | 230 | 588 | |||||||||||
Selective |
GTx-758 | |||||||||||||
ER alpha |
Treatment of advanced prostate cancer | 2,507 | 2,314 | 193 | ||||||||||
agonist |
||||||||||||||
Other research
and development |
2,061 | 3,076 | (1,015 | ) | ||||||||||
Total research and development expenses |
$ | 9,477 | $ | 7,746 | $ | 1,731 |
General and Administrative Expenses. General and administrative expenses decreased during the
three months ended June 30, 2010 to $4.3 million from $7.0 million for the three months ended June
30, 2009. This decrease was primarily due to decreased personnel related expenses of $1.3 million
resulting from the reduction in our workforce in December 2009, reduced marketing expenses of
$777,000, and reduced medical affairs expenses of $182,000, in each case, as a result of our not
receiving regulatory approval of our toremifene 80 mg product candidate.
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Six
Months Ended June 30, 2010 and 2009
Revenues. Revenues for the six month periods ended June 30, 2010 and 2009 were $57.5 million and
$7.5 million, respectively and included net sales of FARESTON® and collaboration revenue
from Ipsen and Merck. In the first six months of 2010 and 2009, FARESTON® net product
sales were $1.4 million and $1.7 million, respectively, while cost of product sales were $285,000
and $779,000, respectively. FARESTON® net product sales for the six months ended June
30, 2010 decreased from the same period in the prior year primarily as a result of an increase in
the provision for product returns due to an increase in sales price in the second quarter of 2010.
This decrease was partially offset by an increase in both sales volume and the price of
FARESTON®. Cost of product sales decreased from the same period in the prior year due
to a reduction in the royalty payable to Orion on our net sales of FARESTON®.
Collaboration revenue was $56.1 million for the six months ended June 30, 2010 and consisted of
$1.3 million from Ipsen and $54.9 million from Merck. As a result of the termination of our
license and collaboration agreement with Merck in March 2010, we recognized as collaboration
revenue the remaining $49.9 million of unamortized deferred revenue in the first quarter of 2010,
as well as the final payment of $5.0 million of cost reimbursement that will be received from Merck
in December 2010. Collaboration revenue was $5.7 million for the six months ended June 30, 2009 and
consisted of $2.9 million and $2.8 million from the amortization of deferred revenue from Ipsen and
Merck, respectively.
Research and Development Expenses. Research and development expenses increased by 7% to $17.1
million for the six months ended June 30, 2010 from $16.1 million for the six months ended June 30,
2009. Research and development expenses for the six months ended June 30, 2010 included an
impairment charge of $1.7 million
related to the our toremifene 20 mg intangible assets. This amount is included in Toremifene 20
mg in the table below. The following table identifies the research and development expenses for
each of our clinical product candidates, as well as research and development expenses pertaining to
our other research and development efforts, for both of the periods presented.
Product | Six Months Ended | |||||||||||||
Candidate/ | June 30, | Increase/ | ||||||||||||
Program | Proposed Indication | 2010 | 2009 | (Decrease) | ||||||||||
(in thousands) | ||||||||||||||
SERM |
Toremifene | |||||||||||||
80 mg | ||||||||||||||
To reduce fractures in men with prostate cancer on ADT |
$ | 2,220 | $ | 1,191 | $ | 1,029 | ||||||||
Toremifene | ||||||||||||||
20 mg | ||||||||||||||
Prevention of prostate | 4,450 | 3,592 | 858 | |||||||||||
cancer in high risk men | ||||||||||||||
with high grade PIN | ||||||||||||||
SARM |
OstarineTM | |||||||||||||
Treatment of cancer cachexia | 1,485 | 538 | 947 | |||||||||||
Selective |
GTx-758 | |||||||||||||
ER alpha agonist |
Treatment of advanced prostate cancer | 4,830 | 4,479 | 351 | ||||||||||
Other research and development |
4,142 | 6,258 | (2,116 | ) | ||||||||||
Total research and development expenses |
$ | 17,127 | $ | 16,058 | $ | 1,069 |
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General and Administrative Expenses. General and administrative expenses decreased during the
six months ended June 30, 2010 to $8.8 million from $13.5 million for the six months ended June 30,
2009. This decrease was primarily due to decreased personnel related expenses of $2.2 million
resulting from the reduction in our workforce in December 2009, reduced marketing expenses of $1.7
million, and reduced medical affairs expenses of $374,000, in each case, as a result of our not
receiving regulatory approval of our toremifene 80 mg product candidate.
Liquidity and Capital Resources
At June 30, 2010, we had cash, cash equivalents and short-term investments of $28.4 million,
compared to $49.0 million at December 31, 2009. Net cash used in operating activities was $20.5
million and $27.9 million for the six months ended June 30, 2010 and 2009, respectively, and
resulted primarily from funding our operations for the periods.
Net cash provided by investing activities was $366,000 for the six months ended June 30, 2010
and resulted from the maturities of short-term investments of $7.4 million, offset by the purchase
of short-term investments of $6.9 million and the purchase of information technology equipment and
research and development equipment of approximately $85,000. For the six month period of 2009, net
cash used in investing activities of $248,000 was for the purchase of information technology
equipment, software, and research and development equipment.
Net cash used in financing activities was $46,000 for six months ended June 30, 2010 and was
related to payments on capital lease and financed equipment obligations. For the six months ended
June 30, 2009, net cash provided by financing activities was
$114,000 and was provided primarily from
proceeds from the exercises of employee stock options.
We estimate that our current cash and cash equivalent balances, short-term investments,
interest income, product revenue from the sale of
FARESTON®,
and the final payment from Merck of $5.0 million of cost
reimbursement will be sufficient to
meet our projected operating requirements through the next twelve months. We have based this
estimate on our current business plan and assumptions that may prove to be wrong, and we could
utilize our available capital resources sooner than we currently expect. In addition, this
estimate does not include any costs related to any additional clinical development of our SARM
program, nor does it include any additional costs that we may be required to bear to continue the
development of toremifene 80 mg if the funding from Ipsen is not sufficient to pay all clinical
trial costs of a second pivotal Phase III clinical trial of toremifene 80 mg. Before undertaking
any of these additional activities and requirements, we will need to raise additional funds and/or
receive commitments from partners to pay for some or all of these additional costs. In addition,
we may never receive any of the 42.0 million in toremifene 80 mg clinical development milestone
payments under our collaboration agreement with Ipsen, particularly if the FDA does not consider
the proposed protocol for a second pivotal Phase III clinical trial of toremifene 80 mg to be
sufficient to satisfy the deficiencies set forth in the Complete Response Letter.
Our estimate of the period of time through which our financial resources will be adequate to
support our projected operating requirements is a forward-looking statement and involves risks and
uncertainties, and actual results could vary as a result of a number of factors, including the
factors discussed under Part II, Item 1A Risk Factors section of this Quarterly Report on Form
10-Q. Because of the numerous risks and uncertainties associated with the development and
potential commercialization of our product candidates and other research and development
activities, including risks and uncertainties that could impact the rate of progress of our
development and commercialization activities, we are unable to estimate with certainty the amounts
of increased capital outlays and operating expenditures associated with our current and anticipated
clinical trials, other research and development activities, and commercialization activities. Our
future funding requirements will depend on many factors, including:
| matters related to our collaborative arrangement with Ipsen, including a determination as to whether and to what extent we and Ipsen determine to continue the development of toremifene and any additional costs that we may be required to bear with respect to any such continued development, including with respect to a second pivotal Phase III clinical trial of toremifene 80 mg; |
| the scope, rate of progress and cost of our, Ipsens and/or any potential future collaborators clinical trials and other research and development activities; |
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| future clinical trial results; |
| the terms and timing of any future collaborative, licensing and other arrangements that we may establish; |
| the cost and timing of regulatory filings and/or approvals to commercialize our product candidates, and any related restrictions, limitations, and/or warnings in the label of an approved product candidate; |
| potential future licensing fees, milestone payments and royalty payments, including any milestone payments that we may receive under our collaborative arrangement with Ipsen; |
| the cost and timing of establishing medical education, sales, marketing and distribution capabilities; |
| the cost of establishing clinical and commercial supplies of our product candidates and any products that we, Ipsen, and/or any potential future collaborators may develop; |
| the effect of competing technological and market developments; |
| the cost of filing, prosecuting, defending and enforcing any patent claims and other intellectual property rights, and the cost of defending any other litigation claims; and |
| the extent to which we acquire or invest in businesses, products and technologies, although we currently have no commitments or agreements relating to any of these types of transactions. |
Until we can generate a sufficient amount of product revenue, we expect to finance future cash
needs through public or private equity offerings, debt financings or collaboration and licensing
arrangements, as well as through interest income earned on the investment of our cash balances and
short-term investments and revenues from the sale of FARESTON®. With the exception of
payments that we may receive under our collaboration with Ipsen, we do not currently have any
commitments for future external funding. In December 2009, we announced a reduction of
approximately 26% of our workforce in order to reduce our operating expenses in connection with the
receipt of the Complete Response Letter regarding our NDA for toremifene 80 mg and the associated
delay in the potential regulatory approval of toremifene 80 mg. If we are unable to raise
additional funds in the near term, we may need to further reduce our expenditures, perhaps
significantly, to preserve our cash. The cost-cutting measures we have taken and may take in the
future may not be sufficient to enable us to meet our cash requirements, and they may negatively
affect our business and growth prospects. To the extent that we raise additional funds by issuing
equity securities, our stockholders may experience dilution, and debt financing, if available, may
involve restrictive covenants. Any debt financing or additional equity that we raise may contain
terms that are not favorable to us or our stockholders. To the extent that we raise additional
funds through collaboration and licensing arrangements, such as our arrangement with Ipsen, it may
be necessary to relinquish some rights to our technologies or product candidates, or grant licenses
on terms that are not favorable to us. Our ability to raise additional funds and the terms upon
which we are able to raise such funds may be adversely impacted by the uncertainty regarding our
ability to gain FDA approval of toremifene 80 mg, the results in our Phase III clinical trial of
toremifene 20 mg, the termination of our license and collaboration agreement with Merck, and/or
current economic conditions, including the effects of the disruptions to and continuing volatility
in the credit and financial markets in the United States and worldwide. As a result of these and
other factors, we cannot be certain that additional funding will be available on acceptable terms,
or at all. If adequate funds are not available when we need them, we may be required to further
delay, reduce the scope of or eliminate one or more of our research or development programs,
including our SARM and toremifene programs, conduct additional workforce or other expense
reductions, or obtain funds through collaborations with others that are on unfavorable terms or
that may require us to relinquish rights to some of our technologies or product candidates that we
would otherwise seek to develop on our own.
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ITEM 3. | QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK |
During the six months ended June 30, 2010, there were no material changes to our market risk
disclosures as set forth in Part II, Item 7A of our Annual Report on Form 10-K for the year ended
December 31, 2009.
ITEM 4. | CONTROLS AND PROCEDURES |
We maintain disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) of
the Securities and Exchange Act of 1934, as amended (the Exchange Act) that are designed to
ensure that information required to be disclosed in the reports that we file or submit under the
Exchange Act is recorded, processed, summarized, and reported within the time periods specified in
the SECs rules and forms and that such information is accumulated and communicated to our
management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to
allow for timely decisions regarding required disclosures.
We have carried out an evaluation, under the supervision and with the participation of our
management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness
of the design and operation of our disclosure controls and procedures (as defined in Rules
13a-15(e) and 15d-15(e) of the Exchange Act) as of the end of the period covered by this report.
Based on the evaluation of these disclosure controls and procedures, our Chief Executive Officer
and Chief Financial Officer have concluded that our disclosure controls and procedures were
effective.
There were no changes in our internal control over financial reporting during the second
quarter of 2010 that have materially affected, or are reasonably likely to materially affect, our
internal control over financial reporting.
PART II: OTHER INFORMATION
ITEM 1A. | RISK FACTORS |
We have identified the following additional risks and uncertainties that may have a material
adverse effect on our business, financial condition or results of operations. Investors should
carefully consider the risks described below before making an investment decision. Our business
faces significant risks, and the risks described below may not be the only risks we face.
Additional risks not presently known to us or that we currently believe are immaterial may also
significantly impair our business operations. If any of these risks occur, our business, results
of operations or financial condition could suffer, the market price of our common stock could
decline and you could lose all or part of your investment in our common stock.
We have marked with an asterisk (*) those risks described below that reflect substantive
changes from the risks described under Part I, Item 1A Risk Factors included in our Annual Report
on Form 10-K filed with the Securities and Exchange Commission on March 15, 2010.
Risks Related to Our Financial Results and Need for Additional Financing
We have incurred losses since inception, and we anticipate that we will incur continued losses
for the foreseeable future.*
We have a limited operating history. As of June 30, 2010, we had an accumulated deficit of
$336.8 million, of which $96.3 million related to non-cash dividends and adjustments to the
preferred stock redemption value. Net income was $31.4 million for the six months ended June 30,
2010. However, we have incurred losses in each year since our inception in 1997, including net
losses of $46.3 million and $51.8 million in 2009 and 2008, respectively. Due to the termination
of our collaboration with Merck & Co., Inc., or Merck, and the associated recognition in the first
quarter of 2010 of $49.9 million in deferred revenue and the final payment to be received from
Merck later this year of $5.0 million of cost reimbursement for research and development
activities, we expect to report net income for the year ending December 31, 2010. However, while
recognition of this revenue is expected to result in net income for 2010, we expect to incur
significant operating losses in 2011 and for the foreseeable future. In addition, we do not expect
to obtain FDA or any other regulatory approvals to market any of our product candidates in the near
future, if at all. These losses have had and will continue to have an adverse effect on our
stockholders equity and working capital.
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In October 2009, we received a Complete Response Letter from the U.S. Food and Drug
Administration, or FDA, regarding our New Drug Application, or NDA, for toremifene 80 mg to reduce
fractures in men with prostate cancer on ADT notifying us that the FDA would not approve our NDA in
its present form as a result of certain clinical deficiencies identified in the Complete Response
Letter. As a result, FDA approval of toremifene 80 mg, if it occurs, will be substantially
delayed. In addition, significant additional clinical development will be required in order to
potentially obtain FDA approval of toremifene 80 mg, including a second pivotal Phase III clinical
trial of toremifene 80 mg. We recently expanded our collaboration with Ipsen Biopharm Limited, or
Ipsen, pursuant to which Ipsen committed, subject to certain conditions, up to 42.0 million to
fund a second pivotal Phase III clinical trial of toremifene 80 mg in exchange for certain
additional rights we granted to Ipsen as well as a reduction or, in some cases, an elimination of
Ipsens potential future milestone and royalty obligations to us under our original agreement with
Ipsen. If the projected cost of such second pivotal Phase III clinical trial exceeds 42.0
million, we are required to pay the excess amount. However, there is an established threshold of
clinical trial costs in excess of 42.0 million at which we or Ipsen may determine not to
initiate the trial, in which event, Ipsen would not be obligated to provide any additional funding
for the trial. In addition, if the FDA does not consider the proposed protocol for a second
pivotal Phase III clinical trial to be sufficient to satisfy the deficiencies set forth in the
Complete Response Letter and imposes additional requirements for a second clinical trial that we
and Ipsen believe to be too burdensome and costly, we or Ipsen may determine not to pursue a second
clinical trial for toremifene 80 mg and either of us may determine to cease further development of
the product candidate. Moreover, in May 2010,
we announced that toremifene 20 mg failed to meet its primary efficacy endpoint in our Phase
III clinical trial of toremifene 20 mg for the prevention of prostate cancer in high risk men with
high grade prostatic intraepithelial neoplasia, or high grade PIN, and due to the results in the
trial, we and Ipsen (or either of us individually) may determine to cease further development of
toremifene 20 mg for the high grade PIN indication. Any determination to further delay or
eliminate our toremifene development program could have a material adverse effect on our business
and growth prospects.
Because of the numerous risks and uncertainties associated with developing and commercializing
small molecule drugs, we are unable to predict the extent of any future losses or when we will
become profitable, if at all. We have financed our operations and internal growth primarily
through public offerings and private placement of our common stock, as well as payments from our
current and former collaborators, including Merck and Ipsen. In March 2010, we and Merck agreed to
terminate our collaboration and, as a result, we will not receive any milestone payments or
royalties for the development or sale of selective androgen receptor modulators, or SARMs, from
Merck. We do not anticipate significant development progress on ostarine, or our SARM program in
general, including the initiation of any additional clinical trials, unless and until we enter into
one or more new collaborations with third parties or otherwise obtain additional funding.
FARESTON® is currently our only commercial product and, until such time that we receive
regulatory approval to market any of our product candidates, if ever, we expect that
FARESTON® will account for all of our product revenue. For the six months ended June
30, 2010, we recognized $1.4 million in net revenues from the sale of FARESTON®. If we,
Ipsen, and/or any potential future collaborators are unable to develop and commercialize any of our
product candidates, if development is further delayed or eliminated, or if sales revenue from any
product candidate that receives marketing approval is insufficient, we may never become profitable
and we will not be successful.
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We need to raise substantial additional funding in the near term and may be unable to raise
capital when needed, which would force us to further delay, reduce or eliminate our product
development programs or commercialization efforts.*
We will need to raise substantial additional capital in the near term to:
| fund our operations and conduct clinical trials; | ||
| continue our research and development; and | ||
| commercialize our product candidates, if any such product candidates receive regulatory approval for commercial sale. |
We estimate that our current cash and cash equivalent balances, short-term investments,
interest income, product revenue from the sale of
FARESTON®,
and the final payment from Merck of $5.0 million of cost
reimbursement will be sufficient to
meet our projected operating requirements through the next twelve months. We have based this
estimate on our current business plan and assumptions that may prove to be wrong, and we could
utilize our available capital resources sooner than we currently expect. In addition, this
estimate does not include any costs related to additional clinical development of our SARM program,
nor does it include any additional costs that we may be required to bear to continue the
development of toremifene 80 mg if the funding from Ipsen is not sufficient to pay all clinical
trial costs of a second pivotal Phase III clinical trial of toremifene 80 mg. Before undertaking
any of these additional activities and requirements, we will need to raise additional funds and/or
receive commitments from partners to pay for some or all of these additional costs. In addition,
we may never receive any of the 42.0 million in toremifene 80 mg clinical development milestone
payments under our collaboration agreement with Ipsen, particularly if the FDA does not consider
the proposed protocol for a second pivotal Phase III clinical trial of toremifene 80 mg to be
sufficient to satisfy the deficiencies set forth in the Complete Response Letter. Our future
funding requirements will depend on many factors, including:
| matters related to our collaborative arrangement with Ipsen, including a determination as to whether and to what extent we and Ipsen determine to continue the development of toremifene and any additional costs that we may be required to bear with respect to any such continued development, including with respect to a second pivotal Phase III clinical trial of toremifene 80 mg; | ||
| the scope, rate of progress and cost of our, Ipsens and/or any potential future collaborators clinical trials and other research and development activities; | ||
| future clinical trial results; | ||
| the terms and timing of any future collaborative, licensing and other arrangements that we may establish; | ||
| the cost and timing of regulatory filings and/or approvals to commercialize our product candidates and any related restrictions, limitations, and/or warnings in the label of an approved product candidate; | ||
| potential future licensing fees, milestone payments and royalty payments, including any milestone payments that we may receive under our collaborative arrangement with Ipsen; | ||
| the cost and timing of establishing medical education, sales, marketing and distribution capabilities; | ||
| the cost of establishing clinical and commercial supplies of our product candidates and any products that we, Ipsen, and/or any potential future collaborators may develop; | ||
| the effect of competing technological and market developments; | ||
| the cost of filing, prosecuting, defending and enforcing any patent claims and other intellectual property rights, and the cost of defending any other litigation claims; and | ||
| the extent to which we acquire or invest in businesses, products and technologies, although we currently have no commitments or agreements relating to any of these types of transactions. |
Until we can generate a sufficient amount of product revenue, we expect to finance future cash
needs through public or private equity offerings, debt financings or collaboration and licensing
arrangements, as well as through interest income earned on the investment of our cash balances and
short-term investments, and revenues from the sale of FARESTON®. With the exception of
payments that we may receive under our collaboration with Ipsen, we do not currently have any
commitments for future external funding. In December 2009, we announced a reduction of
approximately 26% of our workforce in order to reduce our operating expenses in connection with the
receipt of the Complete Response Letter regarding our NDA for toremifene 80 mg and the associated
delay in the potential regulatory approval of toremifene 80 mg. If we are unable to raise
additional funds in the near term, we may need to further reduce our expenditures, perhaps
significantly, to preserve our cash. The cost-cutting measures we have taken and may take in the
future may not be sufficient to enable us to meet our cash requirements, and they may negatively
affect our business and growth prospects.
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To the extent we raise additional funds by issuing equity securities, our stockholders may
experience dilution, and debt financing, if available, may involve restrictive covenants. Any debt
financing or additional equity that we raise may contain terms that are not favorable to us or our
stockholders. To the extent we raise additional funds through collaboration and licensing
arrangements, such as our arrangement with Ipsen, it may be necessary to relinquish rights to some
of our technologies or product candidates, or grant licenses on terms that are not favorable to us.
Our ability to raise additional funds and the terms upon which we are able to raise such funds may
be adversely impacted by the uncertainty regarding our ability to gain FDA approval of toremifene
80 mg, the results in our Phase III clinical trial of toremifene 20 mg, the termination of our
license and collaboration agreement with Merck, and/or current economic conditions, including the
effects of the disruptions to and continuing volatility in the credit and financial markets in the
United States and worldwide. As a result of these and other factors, we cannot be certain that
additional funding will be available on acceptable terms, or at all. If adequate funds are not
available when we need them, we may be required to further delay, reduce the scope of or eliminate
one or more of our research or development programs, including our SARM and toremifene programs,
conduct additional workforce or other expense reductions, or obtain funds through collaborations
with others that are on unfavorable terms or that may require us to relinquish rights to some of
our technologies or product candidates that we would otherwise seek to develop on our own.
Risks Related to Development of Product Candidates
We will not be able to commercialize our product candidates if our preclinical studies do not
produce successful results or if our or our collaborators clinical trials do not demonstrate
safety and efficacy in humans.*
Preclinical and clinical testing is expensive, can take many years and has an uncertain
outcome. Success in preclinical testing and early clinical trials does not ensure that later
clinical trials will be successful, and interim results of a clinical trial do not necessarily
predict final results. Typically, the failure rate for development candidates is high.
Significant delays in clinical testing could materially impact our product development costs. We
do not know whether planned clinical trials will begin on time, will need to be restructured or
will be completed on schedule, if at all.
In clinical studies, the efficacy and/or safety results from the trial may be insufficient to
support the submission or approval of a NDA with the FDA. For example, we received a Complete
Response Letter in October 2009 from the FDA regarding our NDA for toremifene 80 mg to reduce
fractures in men with prostate cancer on ADT, notifying us that the FDA would not approve our NDA
in its present form as a result of certain clinical deficiencies identified in the Complete
Response Letter, which deficiencies may only be addressed by conducting an additional pivotal Phase
III clinical trial of toremifene 80 mg. In April 2010, we submitted a proposed protocol for a
second pivotal Phase III clinical trial evaluating toremifene 80 mg to reduce fractures in men with
prostate cancer on ADT to address in a single clinical trial the deficiencies identified by the FDA
in the Complete Response Letter; however, if the FDA does not consider the proposed protocol for a
second pivotal Phase III clinical trial to be sufficient to satisfy the deficiencies set forth in
the Complete Response Letter and imposes additional requirements for a second clinical trial that
we and Ipsen believe to be too burdensome and costly, we and Ipsen may determine not to pursue a
second clinical trial for toremifene 80 mg and either of us may determine to cease further
development of the product candidate. In addition, in May 2010, we announced that toremifene 20 mg
failed to meet its primary efficacy endpoint in our Phase III clinical trial of toremifene 20 mg
for the prevention of prostate cancer in high risk men with high grade PIN. As a result, we will
not be able to seek marketing approval for toremifene 20 mg in the timeframe we anticipated or at
all, and we and Ipsen (or either of us individually) may determine to cease further development of
this product candidate.
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We, Ipsen, or any potential future collaborators may experience numerous unforeseen events
during, or as a result of, preclinical testing and the clinical trial process that could delay or
prevent our or our collaborators ability to commercialize our product candidates, including:
| regulators or institutional review boards may not authorize us, Ipsen, or any potential future collaborators to commence a clinical trial or conduct a clinical trial at a prospective trial site; | ||
| preclinical or clinical trials may produce negative or inconclusive results, which may require us, Ipsen, or any potential future collaborators to conduct additional preclinical or clinical testing or to abandon projects that we expect to be promising; | ||
| registration or enrollment in clinical trials may be slower than we currently anticipate, resulting in significant delays; | ||
| we, Ipsen, or any potential future collaborators may suspend or terminate clinical trials if the participating patients are being exposed to unacceptable health risks; | ||
| regulators or institutional review boards may suspend or terminate clinical research for various reasons, including noncompliance with regulatory requirements; and | ||
| our product candidates may not have the desired effects or may include undesirable side effects. |
If any of these events were to occur and, as a result, we, Ipsen, or any potential future
collaborators have significant delays in or termination of clinical trials, our costs could
increase and our ability to generate revenue could be impaired, which would adversely impact our
financial results.
If we, Ipsen, or any potential future collaborators observe serious or other adverse events
during the time our product candidates are in development or after our products are approved and on
the market, we, Ipsen, or any potential future collaborators may be required to perform lengthy
additional clinical trials, may be denied
regulatory approval of such products, may be forced to change the labeling of such products or
may be required to withdraw any such products from the market, any of which would hinder or
preclude our ability to generate revenues.*
Although the results from our Phase III clinical trial for toremifene 80 mg to reduce
fractures and treat other estrogen deficiency side effects of ADT in men with prostate cancer
showed that the drug was well tolerated and had a generally favorable safety profile, more
subjects experienced a venous thromboembolic event, or VTE, in the toremifene 80 mg treatment
group, 17 (2.6%) compared to 7 (1.1%) in the placebo group. Even though the majority of VTEs
recorded in the clinical trial occurred in men who were at high risk for a VTE (including: age
greater than 80 years, history of VTEs, recent surgical procedure or immobilization) and data from
the clinical trial showed that the number of men without any of these independent risk factors for
VTEs in whom a VTE occurred during the clinical trial was 5 in the toremifene 80 mg treatment group
versus 3 in the placebo group, the FDA will consider the overall safety profile from the clinical
trial when making its determination whether to grant marketing approval and to require potential
warnings in the label if approval is granted. In our Phase III clinical trial of toremifene
20 mg for the prevention of prostate cancer in high risk men with high grade PIN, the data
has shown that the drug was generally well tolerated with similar safety profile. Although not
statistically significant, there was a higher number of subjects in the toremifene 20 mg treatment
group that experienced a VTE, 7 (0.9%) versus 4 (0.5%) in the placebo group.
As part of our effort to complete the requirements for the submission of applications for
regulatory approval to commercialize toremifene 80 mg and 20 mg, we have conducted a number of
studies of toremifene in addition to our clinical trials, including a Thorough QT study (toremifene
80 mg and toremifene 20 mg), a bioequivalence study (toremifene 80 mg), a series of drug-drug
interaction studies (toremifene 80 mg and toremifene 20 mg), and a semen quality study (toremifene
20 mg) to assess the effect of toremifene. The results of the Thorough QT study of 250 healthy
male volunteers, with 5 parallel cohorts receiving 20 mg, 80 mg or 300 mg doses of toremifene,
moxifloxacin, or placebo, showed that toremifene prolonged the QT interval in a dose dependent
manner. The mean change in QTcB (a measurement of QT interval corrected by Bazetts formula) from
baseline relative to placebo for toremifene 20 mg was 5.79 milliseconds, for toremifene 80 mg, it
was 22.43 milliseconds, and for moxifloxacin, it was 8.83 milliseconds. Since we market
FARESTON® in the United States under a license agreement with Orion Corporation, or
Orion, we notified the FDA of the Thorough QT study results and have proposed modifications to the
FARESTON® label in the United States. FDA action on the proposed label changes is
pending. Separately, Orion recommended label changes to the European Medicines Agency, or EMEA. In
January 2009, the EMEA recommended that the FARESTON® label within the European Union
reflect that toremifene should not be given to patients at risk of prolonged QT intervals or other
certain heart problems. The results of these completed studies have been included as a part of the
NDA submission to the FDA for our toremifene 80 mg product candidate to reduce fractures in men
with prostate cancer on ADT and will be used to update the label for FARESTON®. The
study results could lead to the inclusion of restrictions, limitations and/or warnings in
the label of FARESTON® or an approved toremifene product candidate, which may adversely
affect the marketability of the product or limit the patients to whom the product is prescribed.
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In addition, in our Phase II clinical trial for ostarine for the treatment of cancer cachexia
(cancer induced muscle loss), we observed mild elevations of hepatic enzymes in a few patients, and
in our preclinical studies for ostarine, only at the highest doses, we observed expected selective
effects on the reproductive and other target organs in the male population consistent with the
stimulating and inhibiting effects on the androgen receptor which is located in these organs.
If the incidence of the events described above increases in number or severity, if a
regulatory authority believes that these or other events constitute an adverse effect caused by the
drug, or if other effects are identified during clinical trials that we, Ipsen, or any potential
future collaborators may conduct in the future or after any of our product candidates are approved
and marketed:
| we, Ipsen, or any potential future collaborators may be required to conduct additional preclinical or clinical trials, make changes in labeling of any such approved products, reformulate any such products, or implement changes to or obtain new approvals of our contractors manufacturing facilities; | ||
| regulatory authorities may be unwilling to approve our product candidates or may withdraw approval of our products; | ||
| we may experience a significant drop in the sales of the affected products; | ||
| our reputation in the marketplace may suffer; and | ||
| we may become the target of lawsuits, including class action suits. |
Any of these events could prevent approval or harm sales of the affected product candidates or
products, or could substantially increase the costs and expenses of commercializing and marketing
any such products.
Risks Related to Our Dependence on Third Parties
We are dependent upon our collaborative arrangement with Ipsen to further develop and
commercialize toremifene in Ipsens licensed territories. We may also be dependent upon additional
collaborative arrangements to complete the development and commercialization of some of our other
product candidates. These collaborative arrangements may place the development and
commercialization of our product candidates outside our control, may require us to relinquish
important rights or may otherwise be on terms unfavorable to us.*
In September 2006, we entered into a collaboration agreement with Ipsen for the development
and commercialization of toremifene, which collaboration was amended in March 2010 to, among other
things, expand Ipsens licensed territory for the development and commercializing of toremifene
product candidates. Pursuant to the collaboration agreement, as recently amended, Ipsen committed
up to 42.0 million to fund a second pivotal Phase III clinical trial of toremifene 80 mg in
exchange for certain additional rights we granted to Ipsen, including an expansion of its licensed
territory, as well as a reduction in or, in some cases, an elimination of Ipsens potential future
milestone and royalty obligations to us under our original agreement with Ipsen. The loss of Ipsen
as a collaborator in the development or commercialization of toremifene, any dispute over the terms
of our collaboration with Ipsen, or any other adverse developments in our relationship with Ipsen
could materially harm our business and would substantially increase our need for additional
capital. For example, if we were to lose Ipsen as a collaborator, we may not be able to obtain
sufficient additional funding to complete the development of toremifene 80 mg. In addition, Ipsen
is obligated to initiate and conduct appropriate clinical studies as required by the appropriate
regulatory authorities in order to obtain marketing approvals of toremifene in its licensed
territory. Any failure on the part of Ipsen to initiate these studies could delay the
commercialization of toremifene in its licensed territory. In addition, the receipt of the
Complete Response Letter from the FDA in October 2009 has delayed Ipsens plans to seek marketing
approval of toremifene 80 mg in its licensed territory. Moreover, if we and Ipsen (or either of us
individually) determines that clinical development of toremifene 80 mg and/or toremifene 20 mg
should be further delayed or discontinued, our potential future milestone payments and potential
future revenues from the commercialization of toremifene would be reduced or eliminated.
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We may not be successful in entering into additional collaborative arrangements with other
third parties, and even if we do enter into collaborative arrangements with other parties, such
arrangements may not be successful. If we fail to enter into additional collaborative arrangements
on favorable terms, it could delay or impair our ability to develop and commercialize our other
product candidates and could increase our costs of development and commercialization.
Dependence on collaborative arrangements, including our collaborative arrangement with Ipsen
for the development and commercialization of toremifene subjects us to a number of risks,
including:
| we are not able to control either the amount and timing of resources that Ipsen devotes to toremifene; | ||
| we may not be able to control the amount and timing of resources that our potential future collaborators may devote to our product candidates; | ||
| Ipsen or any potential future collaborations may experience financial difficulties or changes in business focus; | ||
| we may be required to relinquish important rights such as marketing and distribution rights; | ||
| under certain circumstances, Ipsen may not be required to commercialize toremifene in its licensed territory if Ipsen determines that it is not commercially reasonable for it to do so; | ||
| pricing reimbursement constraints in Europe, which is part of Ipsens licensed territory, may diminish the prospects of our receiving royalty payments from Ipsen on aggregate net sales of toremifene in some or all of the countries in Europe; | ||
| should a collaborator fail to develop or commercialize one of our compounds or product candidates, we may not receive any future milestone payments and will not receive any royalties for the compound or product candidate; | ||
| business combinations or significant changes in a collaborators business strategy may also adversely affect a collaborators willingness or ability to complete its obligations under any arrangement; | ||
| under certain circumstances, a collaborator could move forward with a competing product candidate developed either independently or in collaboration with others, including our competitors; and | ||
| collaborative arrangements are often terminated or allowed to expire, such as our former collaboration with Merck, which would delay the development and may increase the cost of developing our product candidates. |
We may not realize the anticipated benefits from our collaborative arrangement with Ipsen, and
may not receive the anticipated benefits from any future collaboration arrangements that we might
establish.*
We may not receive any future milestone payments provided for under our collaborative
arrangement with Ipsen if our agreement with Ipsen is terminated, if certain clinical development
and regulatory milestones under our agreement with Ipsen are not achieved or if Ipsen fails to
develop and commercialize toremifene in its licensed territory. In addition, although Ipsen has
committed, subject to certain conditions, up to 42.0 million to fund a second pivotal Phase
III clinical trial of toremifene 80 mg to address the deficiencies identified by the FDA in the
Complete Response Letter we received in October 2009, if the projected cost of such second pivotal
Phase III clinical trial of toremifene 80 mg exceeds 42.0 million, we are required to pay the
excess amount. However, there is an established threshold of clinical trial costs in excess of
42.0 million at which we or Ipsen may determine not to initiate the trial, in which event,
Ipsen would not be obligated to provide any additional funding for the trial. In addition, if the
FDA does not consider the proposed protocol for a second pivotal Phase III clinical trial to be
sufficient to satisfy
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the deficiencies set forth in the Complete Response Letter and imposes
additional requirements for a second clinical trial that we and Ipsen believe to be too burdensome
and costly, we or Ipsen may determine not to pursue a second clinical trial for toremifene 80 mg
and either of us may determine to cease further development of the product candidate. In
addition, in May 2010, we announced that toremifene 20 mg failed to meet its primary efficacy
endpoint in our Phase III clinical trial of toremifene 20 mg for the prevention of prostate cancer
in high risk men with high grade PIN, and, as a result, we and Ipsen (or either of us
individually) may determine to cease further development of the product candidate for the high
grade PIN indication. In connection with a determination to cease further development of
toremifene 80 mg and/or toremifene 20 mg, Ipsen may elect to terminate our collaboration. Even if
required regulatory approvals to market toremifene are obtained, it is possible that Ipsen will
not successfully market and sell any toremifene products in which case we would not receive
royalties to the extent that we currently anticipate. Furthermore, our royalty rates under our
collaboration and license agreement with Ipsen are subject to a possible reduction if a generic
version of toremifene achieves specified sales levels in a major country within its licensed
territory. Ipsen also may be entitled to offset a portion of any royalties due to us if Ipsen
licenses patent rights from a third party that would otherwise be infringed by Ipsens use,
manufacture, sale or import of toremifene compounds. Moreover, we have agreed to grant Ipsen
co-promotion rights in the United States with respect to toremifene 80 mg for the ADT indication,
which may, if toremifene 80 mg receives regulatory approval and is commercialized, reduce the
amount of product revenue that we would have otherwise received had we commercialized toremifene
80 mg in the United States solely ourselves.
Under our agreement with Ipsen, we and Ipsen have agreed that neither party will seek to
commercialize, promote, market or sell certain products within its licensed territory for an
agreed period of time subsequent to the time of the first commercial launch of toremifene within
its licensed territory. We and Ipsen have also agreed to grant to the other a right of first
negotiation with respect to the development, marketing, sale and distribution of any new
SERM-based products for the field of the prevention and treatment of prostate cancer or related
side effects, or any other indication the parties agree on. We have also agreed to grant to Ipsen
a right of first negotiation, subject
to certain conditions, with respect to the development, marketing, sale and distribution of
GTx-758 in Ipsens licensed territory. However, there can be no assurance that we will be able to
reach an agreement with Ipsen on reasonable terms, or at all, for any new SERM-based products or
GTx-758, as applicable.
Ipsen may terminate the license and collaboration agreement, as amended, for our uncured
breach, upon our bankruptcy, with 12 months prior written notice for any reason and with 30 days
prior written notice as a result of legitimate and documented safety concerns, or in the event that
either the UTRF license for chemoprevention of prostate cancer or the license and supply agreement
with Orion terminates early. If our agreement with Ipsen is terminated, the anticipated future
benefits to us from this agreement would be eliminated and the development and commercialization of
toremifene in Ipsens licensed territory would be delayed and could be abandoned. In any such or
similar events, we may not realize the anticipated benefits from our collaborative arrangement with
Ipsen.
Besides Ipsen, we have in the past established and intend to continue to establish
collaborations with third parties to develop and commercialize some of our current and future
product candidates, and these collaborations may not be successful or we may otherwise not realize
the anticipated benefits from these collaborations. For example, in March 2010, following Mercks
determination to discontinue internal development of ostarine, we and Merck mutually agreed to
terminate our collaboration and, as a result, we will not receive any milestone payments or
royalties for the development or sale of SARMs from Merck. In the future, we may not be able to
locate third-party collaborators to develop and market our product candidates, and we may lack the
capital and resources necessary to develop our product candidates alone.
If third parties do not manufacture our product candidates in sufficient quantities, in the
required timeframe, and at an acceptable cost, clinical development and commercialization of our
product candidates would be delayed.*
We do not currently own or operate manufacturing facilities, and we rely, and expect to
continue to rely, on third parties for the production of clinical and commercial quantities of our
product candidates. Our current and anticipated future dependence upon others for the manufacture
of our product candidates may adversely affect our future profit margins, if any, and our ability
to develop product candidates and commercialize any product candidates on a timely and competitive
basis.
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We have agreed to purchase from Orion our worldwide requirements of toremifene in a finished
tablet form at specified prices under a license and supply agreement. Similarly, Ipsen has agreed
to purchase from Orion toremifene tablets for clinical testing and commercial sale in its licensed
territory under an amended supply agreement with Orion. As such, both we and Ipsen rely on Orion
as the single source supplier of toremifene.
Orion may terminate its supply obligations at its election at any time as a result of our
failure to obtain regulatory approval of one of our toremifene product candidates in the United
States prior to December 31, 2009. If Orion elects to terminate its obligation to manufacture and
supply us and Ipsen with toremifene, any arrangements we make for an alternative supply would have
to be made with a qualified alternative supplier with appropriate FDA approval in order for us to
obtain our supply requirements for toremifene. In addition, although Orions composition of matter
patents have expired, and as such, neither we nor Ipsen would be prevented from manufacturing
toremifene within the United States or European Territory, there is no obligation on the part of
Orion to transfer its manufacturing technology to us or Ipsen or to assist us or Ipsen in
developing manufacturing capabilities to meet our respective supply needs. We and Ipsen have
mutually agreed to cooperate in the manufacture of toremifene in the event that Orion elects to
terminate its obligation to manufacture and supply us and Ipsen with toremifene. Although we and
Ipsen have agreed to cooperate with each other in the event either of our supply rights are
terminated by Orion for any reason, a disruption in the supply of toremifene could delay the
development of and impair our and Ipsens ability to commercialize toremifene. In addition, in the
event of such a termination by Orion, Ipsen could elect to exercise its right to terminate our
collaboration agreement on limited notice to us.
We also rely on Orion to cooperate with us in the filing and maintenance of regulatory filings
with respect to the manufacture of toremifene, and Orion may terminate its obligation to assist us
in obtaining and maintaining regulatory approval of toremifene at its election at any time. If
Orion terminates its obligation to cooperate in these activities, or does not cooperate with us or
otherwise does not successfully file or maintain these regulatory filings, we would be required to
make arrangements with a qualified alternative supplier, which could further delay or prevent
regulatory approval of toremifene.
Historically, we have relied on third party vendors for the manufacture of ostarine drug
substance. However, Merck assumed primary manufacturing responsibilities for ostarine under our
exclusive license and collaboration agreement with Merck, which agreement was terminated in March
2010. In connection with the termination of the agreement with Merck, Merck agreed to return to us
all remaining inventory of ostarine drug substance. If this supply of ostarine becomes unusable
or if we are unsuccessful in identifying a contract manufacturer or negotiating a manufacturing
agreement on a timely basis for our ostarine or other SARM product candidates supply needs, we
could experience a further delay in conducting any additional clinical trials of ostarine or other
SARM product candidates. We may not be able to maintain or renew our existing or any other
third-party manufacturing arrangements on acceptable terms, if at all. If we are unable to
continue the relationship with Orion for toremifene, or to do so at an acceptable cost, or other
suppliers fail to meet our requirements for ostarine or other SARM product candidates for any
reason, we would be required to obtain alternate suppliers. Any inability to obtain alternate
suppliers, including an inability to obtain approval from the FDA of an alternate supplier, would
delay or prevent the clinical development and commercialization of these product candidates.
Use of third-party manufacturers may increase the risk that we will not have adequate supplies
of our product candidates.*
Reliance on third-party manufacturers entails risks, to which we would not be subject if we
manufactured product candidates or products ourselves, including:
| reliance on the third party for regulatory compliance and quality assurance; | ||
| the possible breach of the manufacturing agreement by the third party because of factors beyond our control; | ||
| the possible termination or non-renewal of the agreement by the third party, based on its own business priorities, at a time that is costly or inconvenient for us; | ||
| drug product supplies not meeting the requisite requirements for clinical trial use; and | ||
| the possible exercise by Orion of its right to terminate its obligation to supply us with toremifene, which it may do at its election at any time. |
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If we are not able to obtain adequate supplies of our product candidates, it will be more
difficult for us to develop our product candidates and compete effectively. Our product candidates
and any products that we, Ipsen and/or our potential future collaborators may develop may compete
with other product candidates and products for access to manufacturing facilities. For example,
the active pharmaceutical ingredient in our toremifene 80 mg and toremifene 20 mg product
candidates is also the active pharmaceutical ingredient in FARESTON®. Further, Orion
has agreed to supply toremifene tablets to Ipsen for clinical trials and commercial supply in its
licensed territory. Orion also manufactures toremifene for third parties for sale outside the
United States for the treatment of metastatic breast cancer in postmenopausal women.
Our present or future manufacturing partners may not be able to comply with FDA-mandated
current Good Manufacturing Practice regulations, other FDA regulatory requirements or similar
regulatory requirements outside the United States. Failure of our third-party manufacturers or us
to comply with applicable regulations could result in sanctions being imposed on us, including
fines, injunctions, civil penalties, failure of regulatory authorities to grant marketing approval
of our product candidates, delays, suspension or withdrawal of approvals, license revocation,
seizures or recalls of product candidates or products, operating restrictions and criminal
prosecutions, any of which could significantly and adversely affect supplies of our product
candidates.
If third parties on whom we rely do not perform as contractually required or expected, we may
not be able to obtain regulatory approval for or successfully commercialize our product candidates.
We do not have the ability to independently conduct clinical trials for our product
candidates, and we must rely on third parties, such as contract research organizations, medical
institutions, clinical investigators and contract laboratories to conduct our clinical trials. In
addition, we rely on third parties to assist with our preclinical development of product
candidates. If these third parties do not successfully carry out their contractual duties or
regulatory obligations or meet expected deadlines, if the third parties need to be replaced, or if
the quality or accuracy of the data they obtain is compromised due to the failure to adhere to our
clinical protocols or regulatory
requirements or for other reasons, our preclinical development activities or clinical trials
may be extended, delayed, suspended or terminated, and we may not be able to obtain regulatory
approval for or successfully commercialize our product candidates.
Risks Related to Our Intellectual Property
If we lose our licenses from the University of Tennessee Research Foundation, or UTRF, we may
be unable to continue a substantial part of our business.*
We have licensed intellectual property rights and technology from UTRF used in a substantial
part of our business. These license agreements may be terminated by UTRF if we are in breach of
our obligations under, or fail to perform any terms of, the agreement and fail to cure that breach.
If any of these agreements were terminated, then we may lose our rights to utilize the technology
and intellectual property covered by that agreement to market, distribute and sell our licensed
products, which may prevent us from continuing a substantial part of our business and may result in
a serious adverse effect on our financial condition, results of operations and any prospects for
growth. Additionally, the termination of our UTRF license for chemoprevention of prostate cancer
could lead to a termination of our license and collaboration agreement with Ipsen, which would
result in a loss of any potential milestone or royalty payments from Ipsen related to the high
grade PIN indication and could impact the rights and benefits we are to receive from Ipsen on
account of the ADT indication.
If some or all of our, or our licensors, patents expire or are invalidated or are found to be
unenforceable, or if some or all of our patent applications do not result in issued patents or
result in patents with narrow or unenforceable claims, or if we are prevented from asserting that
the claims of an issued patent cover a product of a third party, we may be subject to competition
from third parties with products with the same active pharmaceutical ingredients as our product
candidates.*
Our commercial success will depend in part on obtaining and maintaining patent and trade
secret protection for our product candidates, the methods for treating patients in the product
indications using these product candidates and the methods used to synthesize these product
candidates. We will be able to protect our product candidates and the methods for treating
patients in the product indications using these product candidates from unauthorized use by third
parties only to the extent that we or our exclusive licensors own or control such valid and
enforceable patents or trade secrets. Additionally, Ipsens ability to successfully market
toremifene within a substantial portion of its licensed territory may depend on having marketing
and data exclusivity from the appropriate regulatory authorities.
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Our rights to certain patent applications relating to SARM compounds that we have licensed
from UTRF are subject to the terms of UTRFs inter-institutional agreements with The Ohio State
University, or OSU, and our rights to future related improvements in some instances are subject to
UTRFs exercise of exclusive options under its agreements with OSU for such improvements. In
addition, under the terms of some of our agreements with diagnostic companies to which we provided
clinical samples from our clinical trials of toremifene 20 mg, we will not obtain any intellectual
property rights in any of their developments, including any test developed to detect high grade PIN
or prostate cancer.
Even if our product candidates and the methods for treating patients for prescribed
indications using these product candidates are covered by valid and enforceable patents and have
claims with sufficient scope and support in the specification, the patents will provide protection
only for a limited amount of time. For example, the patent that we have licensed from Orion
covering the composition of matter of toremifene has expired in the United States and abroad. As a
result, we will need to rely primarily on the protection afforded by method of use patents relating
to the use of toremifene for the relevant prescribed indications that have been issued or may be
issued from our owned or licensed patent applications. Also, within its licensed territories,
Ipsen may need to rely primarily on the protection afforded by marketing and data exclusivity for
the toremifene products that may be sold within the respective territory. To date, many of our
applications for method of use patents filed for toremifene outside of the United States are still
pending and have not yielded issued patents. Loss of marketing and data exclusivity for any
toremifene products that may be commercialized within the territories licensed to Ipsen could
adversely affect Ipsens ability to successfully commercialize these products.
Our and our licensors ability to obtain patents can be highly uncertain and involve complex
and in some cases unsettled legal issues and factual questions. Furthermore, different countries
have different procedures for obtaining patents, and patents issued in different countries provide
different degrees of protection against the use of a patented
invention by others. Therefore, if the issuance to us or our licensors, in a given country,
of a patent covering an invention is not followed by the issuance, in other countries, of patents
covering the same invention, or if any judicial interpretation of the validity, enforceability or
scope of the claims in a patent issued in one country is not similar to the interpretation given to
the corresponding patent issued in another country, our ability to protect our intellectual
property in those countries may be limited. Changes in either patent laws or in interpretations of
patent laws in the United States and other countries may diminish the value of our intellectual
property or narrow the scope of our patent protection.
Even if patents are issued to us or our licensors regarding our product candidates or
methods of using them, those patents can be challenged by our competitors who can argue such
patents are invalid or unenforceable or that the claims of the issued patents should be limited or
narrowly construed. Patents also will not protect our product candidates if competitors devise
ways of making or using these product candidates without legally infringing our patents. The
Federal Food, Drug, and Cosmetic Act and FDA regulations and policies create a regulatory
environment that encourages companies to challenge branded drug patents or to create non-infringing
versions of a patented product in order to facilitate the approval of abbreviated new drug
applications for generic substitutes. These same types of incentives encourage competitors to
submit new drug applications that rely on literature and clinical data not prepared for or by the
drug sponsor, providing another less burdensome pathway to approval.
We also rely on trade secrets to protect our technology, especially where we do not believe
that patent protection is appropriate or obtainable. However, trade secrets are difficult to
protect. Our employees, consultants, contractors, outside scientific collaborators and other
advisors may unintentionally or willfully disclose our confidential information to competitors, and
confidentiality agreements may not provide an adequate remedy in the event of unauthorized
disclosure of confidential information. Enforcing a claim that a third party illegally obtained
and is using our trade secrets is expensive and time-consuming, and the outcome is unpredictable.
Moreover, our competitors may independently develop equivalent knowledge, methods and know-how.
Failure to obtain or maintain trade secret protection could adversely affect our competitive
business position.
Off-label sale or use of toremifene products could decrease sales of toremifene 80 mg and
toremifene 20 mg tablets if approved for commercial sale, and could lead to pricing pressure if
such products become available at competitive prices and in dosages that are appropriate for the
indications for which we and Ipsen may continue to develop toremifene.*
In all countries in which we hold or have licensed rights to patents or patent applications related to toremifene,
the composition of matter patents we license from Orion have expired. As a result, we will need to rely primarily
on the protection afforded by method of use patents. Our method of use patents may not protect toremifene from the
risk of off-label sale or use of other toremifene products in place of toremifene 80 mg and toremifene 20 mg tablets if
approved for commercial sale. Physicians are permitted to prescribe legally available drugs for uses that are not described
in the drugs labeling and that differ from those uses tested and approved by the FDA or its equivalent. Such off-label uses
are common across medical specialties and are particularly prevalent for cancer treatments.
Any off-label sales of other toremifene products may adversely affect our or Ipsens ability to
generate revenue from the sale of toremifene 80 mg and 20 mg tablets if
we continue their development and they are approved for commercial sale.
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Even in the event that patents are issued from our pending method of use patent applications,
competitors could market and sell toremifene products for uses for which FARESTON® has
already been approved. Thus, physicians in such countries would be permitted to prescribe these
other toremifene products for indications that are protected by our method of use patents or method
of use patents issuing from pending patent applications, even though these other toremifene
products would not have been approved for those uses, and in most cases, the physician would not be
liable for contributing to the infringement of our patents or potential patents. Moreover, because
Orion has licensed and could further license other parties to market, sell and distribute
toremifene for breast cancer outside the United States, physicians in such countries could
prescribe these products sold pursuant to another Orion license off-label. This further increases
the risk of off-label competition developing for toremifene for the indications for which we and
Ipsen may continue to develop this product candidate. In addition, if no patents are issued with
respect to our pending method of use patent applications related to the use of toremifene in the
countries outside of the United States where these applications are currently pending, we would not
have as extensive patent coverage to prevent competitors from marketing and selling generic
versions of toremifene at doses and in formulations equivalent to toremifene 80 mg and toremifene
20 mg tablets for the indications covered by our pending method of use patent applications. Also,
regulatory authorities may not recognize marketing and data exclusivity for toremifene in the
territory we licensed to Ipsen under our collaboration for the treatment of prostate cancer and
estrogen deficiency side effects resulting from ADT. If generic versions of toremifene are able to
be sold in countries within the territory we licensed to Ipsen for the indications for which Ipsen
could potentially market toremifene, the royalties to be paid to us by Ipsen will be reduced if the
total generic sales exceed a certain threshold for a certain period of time.
Our license agreement with Orion excludes the use of toremifene in humans to treat breast
cancer outside the United States and may limit our ability to market toremifene for human uses
outside the United States.
Our exclusive license and supply agreement from Orion excludes the use of toremifene for the
treatment of metastatic breast cancer in postmenopausal women outside the United States. Orion has
licensed to other parties the right to market, sell and distribute toremifene for the treatment of
advanced breast cancer outside the United States and could license additional parties to market,
sell and distribute toremifene for this indication outside the United States.
Under the terms of our license agreement with Orion, Orion may require us and Ipsen to modify
our final toremifene development plans for specified major markets outside the United States if
those development plans could adversely affect Orions or Orions other licensees activities
related to FARESTON® for breast cancer outside the United States or toremifene-based
animal health products. Although we do not believe that our or Ipsens development plans adversely
affect these activities, any future modifications to our or Ipsens plans imposed by Orion may
limit our and Ipsens ability to maximize the commercial potential of toremifene.
If we infringe intellectual property rights of third parties, it may increase our costs or
prevent us from being able to commercialize our product candidates.
There is a risk that we are infringing the proprietary rights of third parties because
numerous United States and foreign issued patents and pending patent applications, which are owned
by third parties, exist in the fields that are the focus of our drug discovery, development, and
manufacture and process synthesis efforts. Others might have been the first to make the inventions
covered by each of our or our licensors pending patent applications and issued patents and might
have been the first to file patent applications for these inventions. In addition, because patent
applications can take many years to issue, there may be currently pending applications, unknown to
us or our
licensors, which may later result in issued patents that cover the production, manufacture,
synthesis, commercialization, formulation or use of our product candidates. In addition, the
production, manufacture, synthesis, commercialization, formulation or use of our product candidates
may infringe existing patents of which we are not aware. Defending ourselves against third-party
claims, including litigation in particular, would be costly and time consuming and would divert
managements attention from our business, which could lead to delays in our development or
commercialization efforts. If third parties are successful in their claims, we might have to pay
substantial damages or take other actions that are adverse to our business.
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As a result of intellectual property infringement claims, or to avoid potential claims, we
might:
| be prohibited from selling or licensing any product that we, Ipsen and/or any potential future collaborators may develop unless the patent holder licenses the patent to us, which the patent holder is not required to do; | ||
| be required to pay substantial royalties or grant a cross license to our patents to another patent holder; or | ||
| be required to redesign the formulation of a product candidate so that it does not infringe, which may not be possible or could require substantial funds and time. |
In addition, under our collaboration and license agreement with Ipsen, Ipsen may be entitled
to offset a portion of any royalties due to us in any calendar year on account of product sales to
pay for costs incurred by Ipsen to obtain a license to any dominant intellectual property rights
that are infringed by the products at issue.
Risks Related to Regulatory Approval of Our Product Candidates
If we, Ipsen, or any potential future collaborators are not able to obtain required regulatory
approvals, we or such collaborators will not be able to commercialize our product candidates, and
our ability to generate revenue will be materially impaired.*
Our product candidates and the activities associated with their development and
commercialization are subject to comprehensive regulation by the FDA, other regulatory agencies in
the United States and by comparable authorities in other countries. Failure to obtain regulatory
approval for a product candidate will prevent us or any collaborator from commercializing the
product candidate. We have not received regulatory approval to market any of our product
candidates in any jurisdiction, and we do not expect to obtain FDA or any other regulatory
approvals to market any of our product candidates in the near future, if at all. In addition, we
will not receive a substantial majority of the milestone payments provided under our collaboration
and license agreement with Ipsen for our toremifene 20 mg product candidate or any royalty payments
associated with either our toremifene 80 mg or toremifene 20 mg product candidates if we and/or
Ipsen determine to discontinue the development of toremifene or, if such development continues, if
Ipsen is unable to obtain the necessary regulatory approvals to commercialize toremifene within its
licensed territory. The process of obtaining regulatory approvals is expensive, often takes many
years, if approval is obtained at all, and can vary substantially based upon the type, complexity
and novelty of the product candidates involved.
Changes in the regulatory approval policy during the development period, changes in or the
enactment of additional regulations or statutes, or changes in regulatory review for each submitted
product application, may cause delays in the approval or rejection of an application. For example,
the FDA announced in 2008 that, due to staffing and resource limitations, it has given its managers
discretion to miss certain timing goals for completing reviews of NDAs set forth under the
Prescription Drug User Fee Act, or PDUFA. Although the FDA has since publicly expressed a
recommitment to meeting PDUFA deadlines, it remains unclear whether and to what extent the FDA will
adhere to PDUFA deadlines in the future. If the FDA were to miss a PDUFA timing goal for one of
our product candidates, the development and commercialization of the product candidate could be
delayed. In addition, the Food and Drug Administration Amendments Act of 2007, or the FDA
Amendments Act, which was enacted in September 2007, expands the FDAs authority to regulate drugs
throughout the product life cycle, including enhanced authority to require post-approval studies
and clinical trials. Other proposals have been made to impose additional requirements on drug
approvals, further expand post-approval requirements and restrict sales and promotional activities.
This new legislation, and the additional proposals if enacted, may make it more difficult or
burdensome for us or our potential future collaborators to obtain approval of our product
candidates. Even if the FDA approves a product candidate, the approval may impose significant
restrictions on the indicated uses, conditions for use, labeling, advertising, promotion, marketing
and/or production of such product, and may impose
ongoing requirements for post-approval studies, including additional research and development
and clinical trials. The approval may also impose risk evaluation mitigation strategies, or REMS,
on a product if the FDA believes there is a reason to monitor the safety of the drug in the market
place. REMS may include requirements for additional training for health care professionals, safety
communication efforts and limits on channels of distribution, among other things. The sponsor
would be required to evaluate and monitor the various REMS activities and adjust them if need be.
The FDA also may impose various civil or criminal sanctions for failure to comply with regulatory
requirements, including withdrawal of product approval.
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Furthermore, the approval procedure and the time required to obtain approval varies among
countries and can involve additional testing beyond that required by the FDA. Approval by one
regulatory authority does not ensure approval by regulatory authorities in other jurisdictions.
The FDA has substantial discretion in the approval process and may refuse to accept any
application or may decide that our data are insufficient for approval and require additional
preclinical, clinical or other studies. For example, in October 2009, we received a Complete
Response Letter from the FDA regarding our NDA for toremifene 80 mg to reduce fractures in men with
prostate cancer on ADT notifying us that the FDA would not approve our NDA in its present form as a
result of certain clinical deficiencies identified in the Complete Response Letter. As a result,
FDA approval of toremifene 80 mg, if it occurs, will be substantially delayed. In addition, we
completed our Phase III clinical trial of toremifene 80 mg to reduce fractures and treat other
estrogen deficiency side effects of ADT in men with prostate cancer under a Special Protocol
Assessment, or SPA, with the FDA. A SPA is designed to facilitate the FDAs review and approval of
drug products by allowing the FDA to evaluate the proposed design and size of clinical trials that
are intended to form the primary basis for determining a drug products efficacy and safety. If
agreement is reached with the FDA, a SPA documents the terms and conditions under which the design
of the subject trial will be adequate for submission of the efficacy and human safety portion of a
NDA. However, there are circumstances under which we may not receive the benefits of a SPA,
notably if the FDA subsequently identifies a substantial scientific issue essential to determining
the products safety or efficacy, and we may be required to conduct significant additional
development in order to obtain regulatory approval notwithstanding a SPA with the FDA. For
example, even though our Phase III clinical trial of toremifene 80 mg to reduce fractures in men
with prostate cancer on ADT was completed under a SPA, we were unable to obtain approval of our NDA
for toremifene 80 mg that we submitted in December 2008. In addition, varying interpretations of
the data obtained from preclinical and clinical testing could delay, limit or prevent regulatory
approval of a product candidate. Furthermore, even if we submit an application to the FDA for
marketing approval of a product candidate, it may not result in marketing approval from the FDA.
We do not expect to receive regulatory approval for the commercial sale of any of our product
candidates that are in development, including toremifene 80 mg in the near future, if at all. In
October 2009, we received a Complete Response Letter from the FDA regarding our NDA for toremifene
80 mg to reduce fractures in men with prostate cancer on ADT identifying two deficiencies in our
application and requesting that clinical trials be conducted to address the deficiencies.
Furthermore, it is not anticipated that Ipsen will receive the appropriate regulatory approvals to
market toremifene within its licensed territory any sooner than we will achieve regulatory approval
in the United States, and it likely will be thereafter. The inability to obtain FDA approval or
approval from comparable authorities in other countries for our product candidates would prevent
us, Ipsen, or any potential future collaborators from commercializing these product candidates in
the United States or other countries. See the section entitled Business Government Regulation
of our Annual Report on Form 10-K, filed with the SEC on March 15, 2010, for additional information
regarding risks associated with marketing approval, as well as risks related to post-approval
requirements.
Risks Related to Commercialization
The commercial success of any products that we, Ipsen, and/or any potential future
collaborators may develop, including any toremifene products, will depend upon the market and the
degree of market acceptance among physicians, patients, healthcare payors and the medical
community.*
Any products that we, Ipsen, and/or any potential future collaborators may develop may not
gain market acceptance among physicians, patients, health care payors and the medical community.
If these products do not achieve an adequate level of acceptance, we may not generate material
product revenues or receive royalties to the
extent we currently anticipate, and we may not become profitable. The degree of market
acceptance of our product candidates, if approved for commercial sale, will depend on a number of
factors, including:
| efficacy and safety results in clinical trials; | ||
| the prevalence and severity of any side effects; |
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| potential advantages over alternative treatments; | ||
| whether the products we commercialize remain a preferred course of treatment; | ||
| the ability to offer our product candidates for sale at competitive prices; | ||
| relative convenience and ease of administration; | ||
| the strength of marketing and distribution support; and | ||
| sufficient third-party coverage or reimbursement. |
As part of our effort to complete the requirements for the submission of applications for
regulatory approval to commercialize toremifene 80 mg and toremifene 20 mg, we have conducted a
number of studies of toremifene in addition to our clinical trials, including a Thorough QT study
(toremifene 80 mg and toremifene 20 mg), a bioequivalence study (toremifene 80 mg), a series of
drug-drug interaction studies (toremifene 80 mg and toremifene 20 mg), and a semen quality study
(toremifene 20 mg) to assess the effect of toremifene. The results of the Thorough QT study of 250
healthy male volunteers, with 5 parallel cohorts receiving 20 mg, 80 mg or 300 mg doses of
toremifene, moxifloxacin, or placebo, showed that toremifene prolonged the QT interval in a dose
dependent manner. The mean change in QTcB (a measurement of QT interval corrected by Bazetts
formula) from baseline relative to placebo for toremifene 20 mg was 5.79 milliseconds, for
toremifene 80 mg, it was 22.43 milliseconds, and for moxifloxacin, it was 8.83 milliseconds. Since
we market FARESTON® in the United States under a license agreement with Orion, we
notified the FDA of the Thorough QT study results and have proposed modifications to the
FARESTON® label in the United States. FDA action on the proposed label changes is
pending. Separately, Orion recommended label changes to the European Medicines Agency, or EMEA. In
January 2009, the EMEA recommended that the FARESTON® label within the European Union
reflect that toremifene should not be given to patients at risk of prolonged QT intervals or other
certain heart problems. The results of these completed studies were included as a part of the NDA
submission to the FDA for our toremifene 80 mg product candidate to reduce fractures in men with
prostate cancer on ADT and will be used to update the label for FARESTON®. The study
results could lead to the inclusion of restrictions, limitations and/or warnings in the label of
FARESTON® or an approved toremifene product candidate, which may adversely affect the
marketability of the product or limit the patients to whom the product is prescribed.
Our only marketed product generating revenue is FARESTON®, which is subject to a
number of risks. These risks may cause sales of FARESTON® to continue to decline.*
FARESTON® is currently our only marketed product. FARESTON® is
indicated for the treatment of metastatic breast cancer in postmenopausal women.
FARESTON® competes against tamoxifen, fulvestrant, and several aromatase inhibitors,
including anastrozole, letrozole, and exemestane, for hormonal treatment of breast cancer. Sales
of pharmaceuticals for breast cancer in the SERM class have declined in recent years as aromatase
inhibitors have gained market share and we believe this trend will continue. Further, the branded
competitors have greater resources and generic competitors are preferred by insurers. Continued
sales of FARESTON® also could be impacted by many other factors. The occurrence of one
or more of the following risks may cause sales of FARESTON® to decline more than we
currently anticipate:
| the loss of the availability of Orions website to market FARESTON®, which is an important source of advertising; | ||
| the loss of one or more of our three largest wholesale drug distributors, which together accounted for approximately 96% of our product sales of FARESTON® for the six months ended June 30, 2010; | ||
| any restrictions, limitations, and/or warnings added to the FARESTON® label as a result of our studies of toremifene, including a Thorough QT study and drug interaction studies, or otherwise; | ||
| the continued success of competing products, including aromatase inhibitors; | ||
| the loss of coverage or reimbursement for FARESTON® from Medicare and Medicaid, private health insurers or other third-party payors; |
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| exposure to product liability claims related to the commercial sale of FARESTON®, which may exceed our product liability insurance; | ||
| the failure of Orion to maintain regulatory filings or comply with applicable FDA requirements with respect to FARESTON®; | ||
| the introduction of generic toremifene products that compete with FARESTON® for the treatment of breast cancer; and | ||
| the loss of Orion, upon which we rely as a single source, as our supplier of FARESTON®. |
If we are unable to expand our sales and marketing capabilities or establish and maintain
agreements with third parties to market and sell our product candidates, we may be unable to
generate product revenue from such candidates.*
We have a limited number of people in the Company to undertake the sales, marketing and
distribution of pharmaceutical products. There are risks involved in expanding our own sales and
marketing capabilities, as well as entering into arrangements with third parties to perform these
services. We would be relying on Ipsen to market and distribute our toremifene product candidates
if their development continues and they are approved for commercial sale through Ipsens
established sales and marketing network within its licensed territory. If our collaboration and
license agreement with Ipsen is terminated for any reason, our ability to sell any of our
toremifene product candidates that may be approved for commercial sale in Ipsens licensed
territory would be adversely affected, and we may be unable to develop or engage an effective sales
force to successfully market and sell such toremifene product candidates in Ipsens licensed
territory. Currently, we do not have a partner outside of Ipsens licensed territory and our
success in regions other than Ipsens licensed territory may be dependent on our ability to find
suitable partners in other regions of the world. In addition, to the extent that we enter into
arrangements with third parties to perform sales, marketing and distribution services, our product
revenues are likely to be lower than if we market and sell any products that we develop ourselves.
If we, Ipsen, and/or any potential future collaborators are unable to obtain reimbursement or
experience a reduction in reimbursement from third-party payors for products we sell, our revenues
and prospects for profitability will suffer.*
Sales of products developed by us, Ipsen, and/or any potential future collaborators are
dependent on the availability and extent of reimbursement from third-party payors. Changes in the
reimbursement policies of these third-party payors that reduce reimbursements for
FARESTON® and any other products that we, Ipsen and/or any potential future
collaborators may develop and sell could negatively impact our future operating and financial
results.
The Medicare Prescription Drug, Improvement and Modernization Act of 2003 established
comprehensive Medicare coverage and reimbursement of prescription drugs under Medicare Part D. The
prescription drug program established by this legislation may have the effect of reducing the
prices that we, Ipsen, or any potential future collaborators are able to charge for products we,
Ipsen, and/or any potential future collaborators develop and sell through the program. This
legislation may also cause third-party payors other than the federal government, including the
states under the Medicaid program, to discontinue coverage for products that we, Ipsen, and/or any
potential future collaborators may develop or to lower the amount that they pay. State Medicaid
programs are increasingly requesting manufacturers to pay supplemental rebates and requiring prior
authorization for use of drugs where supplemental rebates are not provided.
In March 2010, the United States Congress enacted the Patient Protection and Affordable Care
Act and the Health Care and Education Reconciliation Act. This health care reform legislation will
increase the number of
individuals who receive health insurance coverage and will close a gap in drug coverage under
Medicare Part D as established in 2003. However, the newly-enacted legislation also implements
cost containment measures that could adversely affect our revenues. These measures include
increased drug rebates under Medicaid starting in 2010 for brand name prescription drugs, such as
FARESTON®, and extension of these rebates to Medicaid managed care, which would reduce
the amount of net reimbursement received for FARESTON® or any other products that we,
Ipsen, and/or any potential future collaborators may develop and sell. Also effective for 2010,
the legislation extends 340B discounted pricing on outpatient drugs to childrens hospitals,
critical access hospitals, and rural health centers, which extension reduces the amount of
reimbursement received for drugs purchased by these new 340B-covered entities.
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Additional provisions of the health care reform legislation, which become effective in 2011,
may negatively affect our revenues and prospects for profitability in the future. Along with other
pharmaceutical manufacturers and importers of brand name prescription drugs, we will be assessed a
fee based on our proportionate share of sales of brand name prescription drugs to certain
government programs, including Medicare and Medicaid. As part of the health care reform
legislations provisions closing a funding gap that currently exists in the Medicare Part D
prescription drug program (commonly known as the donut hole), we will also be required to provide
a 50% discount on brand name prescription drugs, including FARESTON®, sold to
beneficiaries who fall within the donut hole.
In the aftermath of the 2010 health care reform legislation, private health insurers and
managed care plans are likely to continue challenging the prices charged for medical products and
services, and many of these third-party payors may limit reimbursement for newly-approved health
care products. In particular, third-party payors may limit the indications for which they will
reimburse patients who use any products that we, Ipsen, and/or any potential future collaborators
may develop or sell. These cost-control initiatives could decrease the price we might establish
for products that we, Ipsen, or any potential future collaborators may develop or sell, which would
result in lower product revenues or royalties payable to us.
Similar cost containment initiatives exist in countries outside of the United States,
particularly in the countries of the European Union, where the pricing of prescription
pharmaceuticals is subject to governmental control. In these countries, pricing negotiations with
governmental authorities can take six to twelve months or longer after the receipt of regulatory
marketing approval for a product. To obtain reimbursement or pricing approval in some countries,
we, Ipsen, or any potential future collaborators may be required to conduct a clinical trial that
compares the cost effectiveness of our product candidates or products to other available therapies.
The conduct of such a clinical trial could be expensive and result in delays in our, Ipsens or a
potential future collaborators commercialization efforts. Third-party payors are challenging the
prices charged for medical products and services, and many third-party payors limit reimbursement
for newly-approved health care products. In particular, third-party payors may limit the
indications for which they will reimburse patients who use any products that we, Ipsen, and/or any
potential future collaborators may develop or sell. Cost-control initiatives could decrease the
price we might establish for products that we, Ipsen, or any potential future collaborators may
develop or sell, which would result in lower product revenues or royalties payable to us.
Another development that could affect the pricing of drugs would be proposed congressional
action regarding drug reimportation into the United States. The Medicare Prescription Drug,
Improvement and Modernization Act of 2003 gives discretion to the Secretary of Health and Human
Services to allow drug reimportation into the United States under some circumstances from foreign
countries, including from countries where the drugs are sold at a lower price than in the United
States. Provisions allowing for the direct reimportation of drugs under certain circumstances were
not included in the 2010 health care reform legislation, but could be revisited in the future. If
legislation or regulations were passed allowing the reimportation of drugs, they could decrease the
price we, Ipsen, or any potential future collaborators receive for any products that we, Ipsen,
and/or any potential future collaborators may develop, negatively affecting our revenues and
prospects for profitability.
Health care reform measures could hinder or prevent our product candidates commercial
success.*
Among policy makers and payors in the United States and elsewhere, there is significant
interest in promoting health care reform, as evidenced by the recent enactment in the United
States of the Patient Protection and Affordable Care Act and the Health Care and Education
Reconciliation Act. It is likely that federal and state
legislatures within the United States and foreign governments will continue to consider
changes to existing health care legislation. These changes adopted by governments may adversely
impact our business by lowering the price of health care products in the United States and
elsewhere.
We operate in a highly regulated industry and new laws, regulations or judicial decisions, or
new interpretations or existing laws, regulations or decisions, related to health care
availability, method of delivery or payment for health care products and services, or sales,
marketing and pricing practices could negatively impact our business, operations and financial
condition.
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If product liability lawsuits are brought against us, we may incur substantial liabilities and
may be required to limit commercialization of any products that we may develop.*
We face an inherent risk of product liability exposure related to our commercial sale of
FARESTON® and the testing of our product candidates in human clinical trials and will
face an even greater risk if we commercially sell any product that we may develop. If we cannot
successfully defend ourselves against claims that our product candidates or products caused
injuries, we will incur substantial liabilities. Regardless of merit or eventual outcome,
liability claims may result in:
| decreased demand for any product candidates or products; | ||
| injury to our reputation; | ||
| withdrawal of clinical trial participants; | ||
| costs to defend the related litigation; | ||
| substantial monetary awards to trial participants or patients; | ||
| loss of revenue; and | ||
| the inability to commercialize any products for which we obtain or hold marketing approvals. |
We have product liability insurance that covers our clinical trials and commercial products up
to a $25 million annual aggregate limit. Insurance coverage is increasingly expensive. We may not
be able to maintain insurance coverage at a reasonable cost and we may not be able to obtain
insurance coverage that will be adequate to satisfy any liability that may arise.
If our competitors are better able to develop and market products than any products that we,
Ipsen, and/or any potential future collaborators may develop, our commercial opportunity will be
reduced or eliminated.*
We face competition from commercial pharmaceutical and biotechnology enterprises, as well as
from academic institutions, government agencies and private and public research institutions. Our
commercial opportunities will be reduced or eliminated if our competitors develop and commercialize
products that are safer, more effective, have fewer side effects or are less expensive than any
products that we, Ipsen, and/or any potential future collaborators may develop. In addition,
significant delays in the development of our product candidates could allow our competitors to
bring products to market before us and impair any ability to commercialize our product candidates.
Various products are currently marketed or used off-label for some of the diseases and
conditions that we are targeting in our pipeline, and a number of companies are or may be
developing new treatments. These product uses, as well as promotional efforts by competitors
and/or clinical trial results of competitive products, could significantly diminish any ability to
market and sell any products that we, Ipsen, and/or any potential future collaborators may develop.
For example, although there are no products that have been approved by the FDA to reduce fractures
or treat estrogen deficiency related side effects of ADT, we are aware of a number of drugs,
including drugs marketed by Eli Lilly & Co. (Evista®), Merck (Fosamax®),
Sanofi-Aventis and Warner Chilcott (Actonel®), Pfizer Inc. (Effexor®),
Boehringer Ingelheim (Catapres®), Novartis (Zometa®) and generic megestrol
acetate, that are prescribed to treat single side effects of ADT; that external beam radiation and
tamoxifen are used to treat breast pain and enlargement, or gynecomastia. ProliaTM
(denosumab), a monoclonal antibody developed by Amgen, is approved in the United States, Europe and
Australia for the treatment of osteoporosis in postmenopausal women and
additionally in Europe for the treatment of bone loss associated with hormone ablation in men
with prostate cancer at increased risk of fractures, and is under regulatory review for cancer
specific indications including prostate cancer. Testosterone and other anabolic agents are used to
treat involuntary weight loss in patients who have acute muscle loss. There are other SARM product
candidates in development that may compete with our product candidates. Pfizer Inc., Eli Lilly &
Co., and Amgen have myostatin inhibitors in development that may compete with ostarine if approved
for commercial sale. In addition, Cytokinetics, Inc. is developing a troponin activator with a
muscle specific mechanism in a Phase I study. Moreover, there are other categories of drugs in
development, including ghrelin receptor agonists and growth hormone secretagogues that may have
some muscle activity. Other appetite stimulants such as megestrol acetate and dronabinol are also
used off-label for cancer cachexia. Competition could result in reduced sales and pricing pressure
on our product candidates, if approved, which in turn would reduce our ability to generate revenue
and have a negative impact on our results of operations.
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Many of our competitors have significantly greater financial resources and expertise in
research and development, manufacturing, preclinical testing, conducting clinical trials, obtaining
regulatory approvals and marketing approved products than we do. Smaller or early-stage companies
may also prove to be significant competitors, particularly through collaborative arrangements with
large and established companies. These third parties compete with us in recruiting and retaining
qualified scientific and management personnel, establishing clinical trial sites and patient
registration for clinical trials, as well as in acquiring technologies and technology licenses
complementary to our programs or advantageous to our business.
Risks Related to Employees and Growth
If we fail to attract and keep senior management and key scientific personnel, we may be
unable to successfully develop or commercialize our product candidates.
Our success depends on our continued ability to attract, retain and motivate highly qualified
management, clinical and scientific personnel and on our ability to develop and maintain important
relationships with leading academic institutions, clinicians and scientists. If we are not able to
attract and keep senior management and key scientific personnel, particularly Dr. Mitchell S.
Steiner, we may not be able to successfully develop or commercialize our product candidates. All
of our employees are at-will employees and can terminate their employment at any time. We do not
carry key person insurance covering members of senior management, other than $25 million of
insurance covering Dr. Steiner.
In December 2009, we announced a reduction of approximately 26% of our workforce in order to
reduce our operating expenses in connection with the receipt of the Complete Response Letter
regarding our NDA for toremifene 80 mg and the associated delay in the potential regulatory
approval of toremifene 80 mg. This and any future workforce reductions may negatively affect our
ability to retain or attract talented employees.
We will need to hire additional employees in order to commercialize our product candidates in
the future. Any inability to manage future growth could harm our ability to commercialize our
product candidates, increase our costs and adversely impact our ability to compete effectively.*
In order to commercialize our product candidates in the future, we will need to expand the
number of our managerial, operational, financial and other employees and the competition for
qualified personnel in the biotechnology field is intense.
Future growth will impose significant added responsibilities on members of management,
including the need to identify, recruit, maintain and integrate additional employees. Our future
financial performance and our ability to commercialize our product candidates and to compete
effectively will depend, in part, on our ability to manage any future growth effectively.
Risks Related to Our Common Stock
Market volatility may cause our stock price and the value of your investment to decline.*
The market prices for securities of biotechnology companies in general have been highly
volatile and may continue to be so in the future. The following factors, in addition to other risk
factors described in this section, may have a significant impact on the market price of our common
stock:
| the results of our discussions with the FDA regarding the actions necessary to address the deficiencies identified by the FDA in the Complete Response Letter we received in October 2009 regarding our NDA for toremifene 80 mg, and any related announcements by us and/or Ipsen with respect to the same; | ||
| announcements by us and/or Ipsen with respect to the continued development of toremifene, including any announcements that either we or Ipsen have determined to discontinue the development of toremifene 80 mg or toremifene 20 mg or both; | ||
| adverse results or delays in our clinical trials; |
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| the timing of achievement of, or failure to achieve, our, Ipsens and any potential future collaborators clinical, regulatory and other milestones, such as the commencement of clinical development, the completion of a clinical trial or the receipt of regulatory approval; | ||
| announcement of FDA approval or non-approval of our product candidates or delays in the FDA review process; | ||
| actions taken by regulatory agencies with respect to our product candidates or products, our clinical trials or our sales and marketing activities, including regulatory actions requiring or leading to restrictions, limitations and/or warnings in the label of FARESTON® or an approved toremifene product candidate; | ||
| the commercial success of any product approved by the FDA or its foreign counterparts; | ||
| developments with respect to our collaboration with Ipsen, including any determination by Ipsen to terminate the collaboration; | ||
| introductions or announcements of technological innovations or new products by us, Ipsen, potential future collaborators, or our competitors, and the timing of these introductions or announcements; | ||
| market conditions for equity investments in general, or the biotechnology or pharmaceutical industries in particular; | ||
| the terms and timing of any future collaborative, licensing or other arrangements that we may establish; | ||
| regulatory developments in the United States and foreign countries; | ||
| changes in the structure or reimbursement policies of health care payment systems; | ||
| any intellectual property infringement lawsuit involving us; | ||
| actual or anticipated fluctuations in our results of operations; | ||
| changes in financial estimates or recommendations by securities analysts; | ||
| sales of large blocks of our common stock; | ||
| sales of our common stock by our executive officers, directors and significant stockholders; | ||
| changes in accounting principles; and | ||
| the loss of any of our key scientific or management personnel. |
The stock markets in general, and the markets for biotechnology stocks in particular, have
experienced significant volatility that has often been unrelated to the operating performance of
particular companies. Recently, the financial markets have faced almost unprecedented turmoil,
resulting in a decline in investor confidence and concerns about the proper functioning of the
securities markets, which decline in general investor confidence has resulted in depressed stock
prices for many companies notwithstanding the lack of a fundamental change in their
underlying business models or prospects. These broad market fluctuations may adversely affect
the trading price of our common stock.
In the past, class action litigation has often been instituted against companies whose
securities have experienced periods of volatility in market price. Any such litigation brought
against us could result in substantial costs, which would hurt our financial condition and results
of operations and divert managements attention and resources, which could result in delays of our
clinical trials or commercialization efforts.
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Our executive officers, directors and largest stockholders have the ability to control all
matters submitted to stockholders for approval.*
As of June 30, 2010, our executive officers, directors and holders of 5% or more of our
outstanding common stock beneficially owned approximately 66.0% of our outstanding common stock,
and our executive officers and directors alone beneficially owned approximately 48.9% of our
outstanding common stock. As a result, these stockholders, acting together, may or will have the
ability to control all matters requiring approval by our stockholders, including the election of
directors and the approval of mergers or other business combination transactions. The interests of
this group of stockholders may not always coincide with our interests or the interests of other
stockholders.
Anti-takeover provisions in our charter documents and under Delaware law could make an
acquisition of us, which may be beneficial to our stockholders, more difficult and may prevent
attempts by our stockholders to replace or remove our current management.
Provisions in our certificate of incorporation and our bylaws may delay or prevent an
acquisition of us or a change in our management. In addition, these provisions may frustrate or
prevent any attempts by our stockholders to replace or remove our current management by making it
more difficult for stockholders to replace members of our Board of Directors. Because our Board of
Directors is responsible for appointing the members of our management team, these provisions could
in turn affect any attempt by our stockholders to replace current members of our management team.
These provisions include:
| a classified Board of Directors; | ||
| a prohibition on actions by our stockholders by written consent; | ||
| the ability of our Board of Directors to issue preferred stock without stockholder approval, which could be used to institute a poison pill that would work to dilute the stock ownership of a potential hostile acquirer, effectively preventing acquisitions that have not been approved by our Board of Directors; and | ||
| limitations on the removal of directors. |
Moreover, because we are incorporated in Delaware, we are governed by the provisions of
Section 203 of the Delaware General Corporation Law, which prohibits a person who owns in excess of
15% of our outstanding voting stock from merging or combining with us for a period of three years
after the date of the transaction in which the person acquired in excess of 15% of our outstanding
voting stock, unless the merger or combination is approved in a prescribed manner. Finally, these
provisions establish advance notice requirements for nominations for election to our Board of
Directors or for proposing matters that can be acted upon at stockholder meetings. These
provisions would apply even if the offer may be considered beneficial by some stockholders.
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If there are substantial sales of our common stock, the market price of our common stock could
drop substantially, even if our business is doing well.*
For the 12-month period ended June 30, 2010, the average daily trading volume of our common
stock on the NASDAQ Global Market was 406,412 shares. As a result, future sales of a substantial
number of shares of our common stock in the public market, or the perception that such sales may
occur, could adversely affect the then-prevailing market price of our common stock. As of June 30,
2010, we had 36,420,901 shares of common stock outstanding.
Moreover, J.R. Hyde, III, and Oracle Investment Management, Inc., two of our largest
stockholders, and their affiliates, have rights, subject to some conditions, to require us to file
registration statements covering the approximately 10.8 million shares of common stock they hold in
the aggregate which are subject to registration rights or to include these shares in registration
statements that we may file for ourselves or other stockholders. If any of these large
stockholders were to sell large blocks of shares in a short period of time, the market price of our
common stock could drop substantially.
ITEM 6. EXHIBITS
The exhibits listed on the accompanying Exhibit Index are filed or incorporated by reference
(as stated therein) as part of this Quarterly Report on Form 10-Q.
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly
caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
GTx, Inc. |
||||
Date: August 9, 2010 | By: | /s/ Mitchell S. Steiner | ||
Mitchell S. Steiner, Chief Executive Officer | ||||
and Vice-Chairman of the Board of Directors | ||||
Date: August 9, 2010 | By: | /s/ Mark E. Mosteller | ||
Mark E. Mosteller, Vice President | ||||
and Chief Financial Officer | ||||
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EXHIBIT INDEX
Number | Description | |||
3.1 | Restated Certificate of Incorporation of GTx, Inc.(1) |
|||
3.2 | Amended and Restated Bylaws of GTx, Inc.(2) |
|||
4.1 | Reference is made to Exhibits 3.1 and 3.2 |
|||
4.2 | Specimen of Common Stock Certificate(3) |
|||
4.3 | Amended and Restated Registration Rights Agreement between Registrant and Oracle
Partners, L.P. dated August 7, 2003(3) |
|||
4.4 | Amended and Restated Registration Rights Agreement between Registrant and J. R. Hyde,
III dated August 7, 2003(3) |
|||
4.5 | Consent, Waiver and Amendment between the Registrant and Oracle Partners, L.P., Oracle
Investment Management, Inc. and Oracle Institutional Partners, L.P. dated November 29,
2007(4) |
|||
4.6 | Consent, Waiver and Amendment between Registrant and J. R. Hyde, III and Pittco
Associates, L.P. dated December 3, 2007(4) |
|||
12.1 | * | Statement of Computation of Deficiency of Earnings Available to Cover Fixed Charges |
||
31.1 | * | Certification of Chief Executive Officer, as required by Rule 13a-14(a) or Rule 15d-14(a) |
||
31.2 | * | Certification of Chief Financial Officer, as required by Rule 13a-14(a) or Rule 15d-14(a) |
||
32.1 | * | Certification of Chief Executive Officer, as required by Rule 13a-14(b) or Rule
15d-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code (18
U.S.C. §1350) (5) |
||
32.2 | * | Certification of Chief Financial Officer, as required by Rule 13a-14(b) or Rule
15d-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code (18
U.S.C. §1350) (5) |
* | Filed herewith. | |
(1) | Filed as Exhibit 4.1 to the Registrants registration statement on Form S-3 (File No. 333-127175), filed with the SEC on August 4, 2005, and incorporated herein by reference. | |
(2) | Filed as the like numbered Exhibit to the Registrants Current Report on Form 8-K (File No. 000-50549), filed with the SEC on July 26, 2007, as amended, and incorporated herein by reference. | |
(3) | Filed as the like numbered Exhibit to the Registrants registration statement on Form S-1 (File No. 333-109700), initially filed with the SEC on October 15, 2003, as amended, and incorporated herein by reference. | |
(4) | Filed as the like numbered Exhibit to the Registrants registration statement on Form S-3 (File No. 333-148321), filed with the SEC on December 26, 2007, and incorporated herein by reference. | |
(5) | This certification accompanies the Form 10-Q to which it relates, is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of the Registrant under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended (whether made before or after the date of the Form 10-Q), irrespective of any general incorporation language contained in such filing. |
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