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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
FOR ANNUAL AND TRANSITION REPORTS
PURSUANT TO SECTIONS 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934.
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(Mark One)
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ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
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For the fiscal year ended December 31, 2004 |
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
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For the transition period from
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Commission file number: 0-21872
Gen-Probe Incorporated
(Exact name of registrant as specified in its charter)
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Delaware
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33-0044608 |
(State or other jurisdiction of
incorporation or organization) |
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(I.R.S. Employer
Identification Number) |
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10210 Genetic Center Drive, San Diego, CA
(Address of principal executive office) |
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92121-4362
(Zip Code) |
Registrants telephone number, including area code:
(858) 410-8000
Securities registered pursuant to Section 12(b) of the
Act:
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Name of Each Exchange on Which Registered |
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None
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None |
Securities to be registered pursuant to Section 12(g) of
the Act:
Common Stock, par value $.0001 per share
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 if disclosure of delinquent filers
pursuant to Item 405 of Regulation S-K is not
contained herein, and will not be contained, to the best of the
registrants knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this
Form 10-K or any amendment to this
Form 10-K. o
Indicate by check mark whether the registrant is an accelerated
filer (as defined in Exchange Act
Rule 12b-2). Yes þ No o
As of June 30, 2004, the last business day of the
registrants most recently completed second fiscal quarter,
the aggregate market value of the registrants common stock
held by non-affiliates of the registrant was approximately
$2.3 billion, based on the closing price of the
registrants common stock on the Nasdaq National Market on
June 30, 2004 of $47.32 per share.
As of March 1, 2005, 50,402,454 shares of
registrants common stock, $0.0001 par value, were
outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the Companys definitive Proxy Statement to be
filed with the Securities and Exchange Commission within
120 days after close of the fiscal year are incorporated by
reference into Part III of this report.
GEN-PROBE INCORPORATED
TABLE OF CONTENTS
FORM 10-K
For the Year Ended December 31, 2004
INDEX
i
PART I
TRADEMARKS AND TRADE NAMES
ACCUPROBE®, APTIMA®, APTIMA COMBO 2®,
DTStm,
GEN-PROBE®, LEADER®, PACE®, TIGRIS®,
TMAtm
and our other logos and trademarks are the property of Gen-Probe
Incorporated. PROCLEIX® and
ULTRIOtm
are trademarks of Chiron Corporation. VERSANT® is a
trademark of Bayer Corporation. All other brand names or
trademarks appearing in this Annual Report on Form 10-K are
the property of their respective holders. Use or display by us
of other parties trademarks, trade dress or products in
this Annual Report is not intended to, and does not imply a
relationship with, or endorsements or sponsorship of, us by the
trademark or trade dress owners.
FORWARD-LOOKING STATEMENTS
This Annual Report and the information incorporated herein by
reference contain forward-looking statements that involve a
number of risks and uncertainties, as well as assumptions that,
if they never materialize or prove incorrect, could cause our
results to differ materially from those expressed or implied by
such forward-looking statements. Although our forward-looking
statements reflect the good faith judgment of our management,
these statements can only be based on facts and factors
currently known by us. Consequently, forward-looking statements
are inherently subject to risks and uncertainties, and actual
results and outcomes may differ materially from results and
outcomes discussed in the forward-looking statements.
Forward-looking statements can be identified by the use of
forward-looking words such as believes,
expects, hopes, may,
will, plans, intends,
estimates, could, should,
would, continue, seeks,
pro forma or anticipates, or other
similar words (including their use in the negative), or by
discussions of future matters such as the development of new
products, technology enhancements, possible changes in
legislation and other statements that are not historical. These
statements include but are not limited to statements under the
captions Business, Risk Factors, and
Managements Discussion and Analysis of Financial
Condition and Results of Operations as well as other
sections in this Annual Report. You should be aware that the
occurrence of any of the events discussed under the heading
Item 1. Business Risk Factors and
elsewhere in this Annual Report could substantially harm our
business, results of operations and financial condition. If any
of these events occurs, the trading price of our common stock
could decline and you could lose all or a part of the value of
your shares of our common stock.
The cautionary statements made in this Annual Report are
intended to be applicable to all related forward-looking
statements wherever they may appear in this Annual Report. We
urge you not to place undue reliance on these forward-looking
statements, which speak only as of the date of this Annual
Report.
Overview
We are a global leader in the development, manufacture and
marketing of rapid, accurate and cost-effective nucleic acid
probe-based products used for the clinical diagnosis of human
diseases and for screening donated human blood. Founded in 1983,
we pioneered the scientific and commercial development of
nucleic acid testing, or NAT. By utilizing nucleic acid probes
that specifically bind to nucleic acid sequences known to be
unique to target organisms, NAT enables detection of
microorganisms that are difficult or time-consuming to detect
with traditional laboratory methods. We have received United
States Food and Drug Administration, or FDA, approvals or
clearances for a broad portfolio of products that use our
patented technologies to detect a variety of infectious
microorganisms, including those causing sexually transmitted
diseases, tuberculosis, strep throat, pneumonia and fungal
infections. Our FDA-approved human immunodeficiency virus
(type 1), or HIV-1, assay, hepatitis C virus, or HCV,
assay, and our investigational test for West Nile virus, our
Procleix WNV assay, are currently utilized to screen over 80% of
the United States donated blood supply for HIV-1, HCV and WNV.
In addition, our TIGRIS DTS instrument, or TIGRIS
instrument, is the only integrated, fully-automated,
high-throughput instrument approved for NAT testing in clinical
diagnostic applications by the FDA. The TIGRIS instrument is
also currently used for investigational use in blood screening
applications
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in the United States and is approved in Europe for use with our
Procleix Ultrio assay. We have more than 20 years of
nucleic acid detection research and product development
experience, and our products are used daily in clinical
laboratories and blood collection centers throughout the world.
We generate revenues primarily from sales of clinical diagnostic
and blood screening assays. Our clinical diagnostic products are
marketed to clinical laboratories, public health institutions
and hospitals in the United States and Canada through our direct
sales and service force of approximately 49 representatives. Our
blood screening products are marketed and distributed by Chiron
Corporation, or Chiron. In addition, we have agreements with
Bayer, bioMérieux and Fujirebio, through its subsidiary
Rebio Gen, Inc., to market some of our products in various
global markets. In addition to product sales, we also generate
revenues through research collaborations with government
organizations and healthcare companies and through licensing of
our patented NAT technologies.
We have achieved a leading position in the industry because of
our technologically advanced and reliable NAT assays and
instruments and the capabilities of our sales force and
technical support group. Our investment in research and
development has enabled us to develop a portfolio of proprietary
and patented technologies that we combine to create NAT products
to meet our customers changing needs for rapid, accurate
and cost-effective assays. We also have worked with outside
vendors to develop a range of instrument systems to perform our
assays.
We have developed what we believe to be the worlds first
fully automated, integrated, high-throughput, NAT instrument
system, the TIGRIS instrument. We believe the TIGRIS instrument
significantly reduces labor costs and contamination risks in
high-volume diagnostic testing environments and also enables
large blood collection centers to individually test donors
blood. The TIGRIS instrument is intended initially for clinical
diagnostic applications. In December 2003, we received
approval from the FDA for sexually transmitted disease, or STD,
testing on the TIGRIS instrument using our APTIMA Combo 2
assay. We have developed and manufacture the only FDA-approved
blood screening assay for the simultaneous detection of HIV-1
and HCV, the Procleix HIV-1/HCV assay, which is marketed by
Chiron. We have also developed the Procleix Ultrio assay, in
collaboration with Chiron, which adds an assay for
hepatitis B virus, or HBV, to the previously FDA-approved
Procleix HIV-1/HCV assay. In January 2004, the Procleix
Ultrio assay, running on our semi-automated instrument system,
received its Conformite Europeene, or CE, mark which permitted
Chiron to launch the product in the European Economic Area. We
filed a Biologics License Application, or BLA, for our Procleix
Ultrio assay for use on our semi-automated Procleix system and
our TIGRIS instrument, with the FDA in the third quarter of
2004. The TIGRIS instrument, and our Procleix Ultrio assay for
use on the TIGRIS instrument, received CE marks in
December 2004. We filed a BLA with the FDA for our Procleix
WNV assay in January 2005 for use on our TIGRIS instrument
and our semi-automated instrument platform.
We were incorporated under the laws of the state of Delaware in
1987. In September 2002, we were spun off from Chugai
Pharmaceutical, Ltd., our former indirect parent, as a separate,
stand-alone company. Our common stock began trading on the
Nasdaq National Market on September 16, 2002.
We make available free of charge on or through our Internet
website our annual reports on Form 10-K, quarterly reports
on Form 10-Q, current reports on Form 8-K and all
amendments to those reports as soon as reasonably practicable
after such material is electronically filed with or furnished to
the Securities and Exchange Commission. Our Internet address is
http://www.gen-probe.com. The information contained in, or that
can be accessed through, our website is not part of this Annual
Report.
Technology
Nucleic acid testing technology is based on detection of unique
portions of nucleic acids, which store and transfer genetic
information in all living organisms. The two main types of
nucleic acids are deoxyribonucleic acid, or DNA, and ribonucleic
acid, or RNA. DNA functions as a stable repository of genetic
information, while RNA typically serves to transfer the
information stored within DNA to the cells machinery for
making proteins.
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DNA and RNA are both composed of chains of chemical subunits
called nucleotides. There are four types of nucleotides in DNA,
which differ in one chemical part called a base. The four
different bases are: adenine, thymine, guanine and cytosine
(abbreviated A, T, G and C). These four nucleotides form the
building blocks of all DNA. The sequence of the individual A, T,
G and C nucleotides in a DNA molecule encodes the genetic
information that instructs the cell how to make particular
proteins. Because DNA sequences determine which proteins a cell
will make, the differences in a cells DNA sequences make
the cells of one organism differ from the cells of another.
Most DNA in cells exists in the form of a double-stranded
structure that resembles a twisted ladder. In double-stranded
DNA, the nucleotides on opposite sides of the ladder are always
paired in a precise way. An A nucleotide binds only
to a T nucleotide on the opposite strand, and vice
versa. Likewise, a G nucleotide binds only to a
C nucleotide, and vice versa. Each combination of an
A nucleotide with a T nucleotide (or a
C with a G) is referred to as a
base pair. The way in which each type of nucleotide
binds only to one other type of nucleotide is called
complementary base pairing. As a result of
complementary base pairing, the sequence of nucleotides on one
strand of a DNA molecule necessarily determines the sequence of
nucleotides on the opposite strand.
The attraction of a nucleotide sequence to its
complementary sequence allows a scientist to use pieces of
nucleic acid as probes to detect the presence of a target
nucleic acid in a test sample. If two complementary pieces of
DNA (or RNA) are present in a solution under the right
conditions, the complementary bases will come together and bind
to form double strands. This method is commonly known as
nucleic acid hybridization. Nucleic acid
hybridization techniques can be applied in a diagnostic test to
detect an infectious organism (the target organism) by the use
of a probe that is designed to bind specifically to a nucleic
acid sequence known to be unique to the target organism. The
sample suspected of containing the infectious organism is
treated to break open the organism, release its nucleic acids
into the solution, and render them single-stranded, if
necessary. The specific probe is then added, and conditions
conducive to hybridization are established.
If the target organism is present in the sample, the probe
should bind to the target organisms nucleic acids because
the sequence of the probe has been designed to be complementary
to them. By attaching a detectable label to a probe, it is
possible to determine how much, if any, probe has bound to
sequences from the target organism.
Current Market Opportunity
The NAT market developed in response to a need for more rapid,
sensitive and specific diagnostic tests for the detection of
infectious microorganisms than were previously available using
traditional laboratory procedures, such as culture and
immunoassays. Culture methods require the growth of a
microorganism in a controlled medium and can take several days
or longer to yield a definitive diagnostic result. By contrast,
nucleic acid probes, which specifically bind to nucleic acid
sequences that are known to be unique to the target organisms,
can generally deliver a diagnostic result in just hours. For
example, culture tests for Mycobacterium tuberculosis can
take six to eight weeks for a traditional culture-based
diagnosis, compared to only a few hours for NAT. The greater
sensitivity and increased specificity of NAT allows for the
detection of the presence of a lower concentration of the target
organism and helps clinicians distinguish between harmful and
benign microorganisms, even when the organisms are closely
related, reducing the potential for false negative
results and thus the number of undiagnosed individuals or
individuals who are incorrectly diagnosed as having the disease.
For example, the greater sensitivity of amplified NAT allows for
the rapid, direct detection of a target organism like
Chlamydia trachomatis in urine, even when it is present
in low concentrations. In addition, without amplified NAT, more
invasive methods of collection like cervical or urethral swabs
must be used.
According to Boston Biomedical Consultants, Inc., the worldwide
in vitro diagnostic, or IVD, NAT market in 2004, was
approximately $1.9 billion. While NAT represents only a
small portion of the estimated $28 billion worldwide IVD
market, it is the fastest growing segment. Boston Biomedical
Consultants, Inc.,
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reported that the worldwide NAT market grew approximately 17%
from 2003 to 2004. We focus our business on market opportunities
in two principal segments of the NAT market, clinical
diagnostics and blood screening. The clinical diagnostic market
currently accounts for the majority of our NAT sales. According
to Sannes and Associates, Inc., our products represented
approximately 53% of the total chlamydia and gonorrhea tests
sold in the United States in 2004. In addition, according to a
January 2004 survey by the Centers for Disease Control and
Prevention, or CDC, our sales represented approximately 75% of
the United States amplified tuberculosis testing market at that
time. We also are exploring opportunities to develop products to
address emerging segments of the NAT market. The diagram below
illustrates existing and emerging worldwide NAT markets with
some examples of product targets of Gen-Probe and others within
each category.
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The Product Categories in Which We Compete |
Clinical Diagnostics for the Detection of Non-Viral
Microorganisms. NAT assays currently are used to detect the
microorganisms causing various STDs, including chlamydia and
gonorrhea, as well as those causing various other infectious
diseases, such as Mycobacterium tuberculosis,
Group A Streptococcus and Group B Streptococcus.
Chlamydia, the common name for the condition of infection with
the bacterium Chlamydia trachomatis, is the most
prevalent bacterial sexually transmitted infection in the United
States, with an estimated 2.8 million new cases in the
United States each year according to the CDC. The clinical
consequences of undiagnosed and untreated chlamydia infections
include pelvic inflammatory disease, ectopic pregnancy and
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infertility. Gonorrhea, the disease caused by the bacterium
Neisseria gonorrhoeae, is the second most frequently
reported bacterial STD in the United States, according to the
CDC. The CDC estimates that each year approximately 700,000
people in the United States develop gonorrhea. Untreated
gonorrhea is also a major cause of pelvic inflammatory disease,
which may lead to infertility or abnormal pregnancies. In
addition, recent data suggest that gonorrhea facilitates HIV
transmission. Chlamydia and gonorrhea infections frequently
co-exist, complicating the clinical differential diagnosis.
Because chlamydia and gonorrhea infections are often
asymptomatic, screening programs are important in high-risk
populations such as sexually active men and women between the
ages of 15 and 25. Currently, most of the testing for chlamydia
and gonorrhea occurs in the United States.
Tuberculosis, or TB, the disease caused by the microorganism
Mycobacterium tuberculosis, remains one of the deadliest
diseases in the world. The World Health Organization, or WHO,
estimates that each year there are more than eight million new
cases of tuberculosis worldwide and approximately two million
people die from the disease. Group B Streptococcus, or GBS,
represents a major infectious cause of illness and death in
newborns in the United States and can cause epilepsy, cerebral
palsy, visual impairment, permanent brain damage and
retardation. Group A Streptococcus, or GAS, is the cause of
strep throat, which if left untreated may cause
serious complications, such as rheumatic fever and rheumatic
heart disease.
Clinical Diagnostics for the Detection of Viral
Microorganisms. NAT assays can be used to detect viral DNA
or RNA in a patient sample. These tests can be qualitative,
meaning that the tests simply provide a yes-no
answer for the presence or absence of the virus, or
quantitative, meaning that the quantity of virus is determined
in the patient sample. Quantitative tests are useful in
monitoring the efficacy of treatments to reduce the amount of
virus in circulation. NAT assays currently are used to detect
viruses such as HIV, HCV and HBV.
HIV is the virus responsible for acquired immune deficiency
syndrome, or AIDS. In 2003, there were approximately 930,000
reported cases of AIDS in the United States, according to the
CDC. Individuals with AIDS show progressive deterioration of
their immune systems and become increasingly susceptible to
various diseases, including many that rarely pose a threat to
healthy individuals.
HCV is a blood-borne pathogen posing one of the greatest health
threats in developing countries. According to WHO, about 80% of
newly infected patients progress to develop chronic infection,
which can lead to both cirrhosis and liver cancer. In addition,
WHO reports that approximately 170 million people are
infected worldwide with HCV. According to the CDC, an estimated
3.9 million people in the United States have been infected
with HCV, of whom 2.7 million are chronically infected.
The CDC estimates that almost 73,000 additional people in the
United States are infected with HBV each year. Chronic HBV
infection can lead to the development of severe, potentially
fatal complications, such as cirrhosis of the liver.
Blood Screening. We believe the field of blood screening
is one of the fastest growing areas for NAT assays. According to
WHO, approximately 80 million units of blood are drawn
annually worldwide. Before being used for transfusion, blood
must be screened to ensure that it does not contain infectious
agents. The most serious threats to recipients of donated blood
are HIV, HCV and HBV. There is also growing concern over the
presence of other viruses in the donated blood supply, including
WNV, parvo B19 and hepatitis A virus, or HAV. In the
United States, most blood collection centers perform NAT
screening of donated blood by taking samples from individual
units of blood and then combining these samples into pools of 16
or 24 samples. These pooled samples are then tested to determine
whether HIV or HCV is present. If the presence of a virus is
detected, additional testing is then conducted to determine
which sample in the pool contains the virus. Some of our
customers, such as the United States military, test blood units
individually rather than in pools.
Prior to the introduction of NAT for blood screening, blood
collection centers used immunoassays to determine the presence
of blood-borne pathogens through the detection of virus-specific
antibodies and viral antigens. These tests either directly
detect the viral antigens or detect antibodies formed by the
body in response to the virus. Consequently, if the donor has
not developed detectable antibodies or detectable
5
amounts of viral antigens as of the time of the donation,
recipients of that blood may be unwittingly exposed to serious
disease. In the case of HIV-1, antibodies are detectable in the
blood approximately 22 days after infection. With HCV, the
window between the time of infection and the detection of the
antibodies is much longer, approximately 70 days or more.
NAT technology can narrow both windows significantly through
amplification and detection of the nucleic acid material of the
viruses themselves rather than requiring the development of
detectable levels of antibodies or viral antigens. According to
the CDC, NAT will reduce the window period for HIV-1 detection
from 22 days for tests relying on HIV-1 antibodies to
12 days. We believe that NAT reduces the window period for
HCV detection by approximately 50%, compared to tests relying on
HCV antibodies. We believe that individual donor testing, or
IDT, NAT assays may reduce the window period for HBV detection
by up to 42%, compared to HBV antibody tests for detection of
HBV surface antigen. We also believe that the only effective
means of accomplishing individual donor testing, or IDT, with
HBV is using our TIGRIS instrument. IDT on our TIGRIS instrument
was recently demonstrated as part of our Procleix
WNV TIGRIS Investigational New Drug application, or IND,
for IDT.
Adoption of amplified screening technology. We believe
that the market for clinical diagnostic products for the
detection of non-viral microorganisms, particularly STDs, will
expand due to the adoption of amplified screening technology.
Target amplification is particularly advantageous when screening
for the presence of a microorganism when the level of that
microorganism in clinical samples might be insufficient to
permit detection with other methods. While many potential
carriers of STDs forego diagnosis due to the current invasive
methods of testing, we believe amplified NAT technology, which
can use samples collected non-invasively, such as urine, will
expand screening of high-risk populations and asymptomatic
individuals. We believe expansion of the screening of these
populations will be accelerated by adoption of guidelines by the
Health Plan Employer Data and Information Set, or HEDIS, an
organization that provides information about, and
recommendations to, managed health care organizations, that call
for routine screening of certain populations, such as women
between the ages of 16 and 25, to improve early detection
and treatment of chlamydia.
Advances in automated testing. We believe that the
introduction of automated instrumentation, such as our TIGRIS
instrument, will facilitate growth in both the clinical
diagnostics and blood screening segments of the NAT market. It
is becoming increasingly difficult for clinical laboratories to
recruit and retain skilled laboratory technologists. Within the
STD segment, we anticipate that demand for automated testing
will increase as the technology is applied to diagnose new
target viral microorganisms, including human papillomavirus, or
HPV, which has been linked to cervical cancer, and the herpes
simplex virus. The rate of market growth for testing additional
STD-related microorganisms will depend heavily upon automation,
as well as continuing advances in testing methodologies that
address the issues of specificity, sensitivity, contamination,
ease of use, time to results and overall cost effectiveness.
Additionally, we believe there will be significant demand for
automation if blood collection centers begin the screening of
individual blood donations, rather than the current widespread
practice of testing of pooled samples, in an effort to further
improve the safety of the nations blood supply. Individual
unit screening at larger blood centers currently is impractical
without automated instrumentation because of the throughput
limitations of current semi-automated instruments. We believe
that the availability of automation will encourage adoption of
additional blood screening tests, such as tests for HBV and WNV.
Responsiveness to newly emerging threats. We believe that
our ability to respond rapidly to the emergence of new
infectious diseases, such as WNV, will contribute to the growth
of our blood screening and diagnostic businesses. Our platform
of generic reagents and assay formats allows us to rapidly
develop new assays for our blood screening or diagnostic
businesses as soon as we know the genetic sequence of a new
organism.
Increased focus on safety of blood supply. We believe
blood collection centers will continue to focus on improving the
safety of donated blood by adopting the most advanced blood
screening technologies available. In addition, we believe that
some blood collection centers will seek to adopt individual
donor testing for some
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or all organisms, rather than the testing of pooled samples, as
automated instrumentation technologies make such testing
feasible. During the peak period of the WNV season in 2004, some
blood centers used our technology and assays, under an
investigational exemption, for individual unit testing.
Approximately 1200 infected units have been intercepted using
our WNV assay since July of 2003.
Growth in viral load testing. We expect increased
monitoring of patients on antiviral therapies to contribute to
the growth in the market for NAT products. Antiviral therapies
are managed by periodic measurement of the concentration of
virus present in the blood, or the viral load.
Monitoring the viral load can be used to determine when therapy
is appropriate, to monitor the course of therapy and to
determine the optimal time for a change in therapy. NAT tests
can also provide additional information useful in managing
patients with these viral infections, including identification
of subtypes that are known to be resistant to certain antiviral
agents or that are associated with different responses to
certain treatments. The primary viral infections for which viral
monitoring is useful include those caused by HIV, HCV and HBV.
Nucleic acid viral load tests for HIV have been widely adopted
by clinical laboratories over the past seven years, but we
expect market growth in the short-term because of the
introduction of new therapies and increased testing worldwide.
In addition, we expect increases in monitoring for HCV in
connection with the emergence of new antiviral therapies for
HCV. Numerous research programs exist today in anti-viral
therapy, with novel anti-viral therapeutics in development that
have the potential to produce additional diagnostic
opportunities. As these therapies are developed and marketed, we
expect a corresponding increase in demand for NAT products to
monitor the efficacy of these therapies.
Development of emerging markets for NAT technology. We
believe markets will continue to develop for new applications
for NAT technology in both clinical and non-clinical fields.
Among clinical fields, we believe NAT technology will be
utilized in the areas of new analytes, such as cancer diagnosis,
genetic predisposition testing and pharmacogenomics, which
involves the study of the relationship between nucleic acid
variations and an individuals response to a particular
drug.
New markers to detect the presence of cancer cells in tumors are
being discovered at an ever-increasing rate, and we believe that
once these markers have been clinically validated, there will be
a large market for NAT-based cancer diagnostic products. Our
license and collaboration agreement with DiagnoCure and our
license agreement with Corixa Corporation, or Corixa, could
represent an innovative application of our NAT technology to
detect genetic markers in urine for prostate cancer. These
markers are called PCA3 (DD3) and AMACR, respectively.
We believe that NAT diagnostic assays will be used in the field
of pharmacogenomics to screen patients prior to administering
new drugs. Many genetic variations are caused by a single
mutation in nucleic acid sequence, a so-called single
nucleotide polymorphism, or SNP. Individuals with a
specific SNP in a drug metabolism gene may not respond to a drug
or may have an adverse reaction to that drug because the body
may not metabolize the drug in a normal fashion. We believe the
emergence of pharmacogenomics and individually targeted
therapeutics will create opportunities for diagnostic companies
to develop tests to detect genetic variations that affect
responses to drug therapies.
Genetic testing to identify individuals at risk of certain
diseases and pathological syndromes is emerging as an additional
market for NAT technology. NAT-based testing for SNPs and other
genetic anomolies can be used to determine an individuals
predisposition to such conditions as thrombosis or
bloodclotting. Our license of bioMérieuxs
intellectual property rights for the factor V and prothrombin
mutation tests could allow us to access this market.
Emerging non-clinical markets for NAT include water, food,
beverage, bioterrorism, pharmaceutical manufacturing, personal
care products manufacturing and environmental testing. Today,
these markets predominately use traditional methods for
microbiological testing, such as culture. However, we believe
NAT testing has the potential to provide more rapid and
efficient tests in this new market.
Improvements in Detection Technologies. Current amplified
nucleic acid tests generally provide an end point
result, requiring that the amplification and detection processes
are completed before a result is obtained. New technology now in
development is likely to permit kinetic or real time
detection of target
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analytes as amplification proceeds, permitting conclusions to be
drawn before the amplification process is complete, and thereby
reducing the time to an end point result. Real time
detection methods also offer the advantage of providing both a
qualitative and quantitative result from a single test.
Our Competitive Strengths
Our competitive strengths form the foundation for our business
and position us to compete effectively within the NAT market.
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Proprietary Core Technologies |
We believe that we have developed one of the broadest arrays of
core NAT technologies in the industry. Our products incorporate
these technologies, which, in combination, have significantly
advanced NAT assays, making them more specific, more sensitive,
easier to use and faster than products based on competing NAT
technologies. For example, our proprietary
Transcription-Mediated Amplification, or TMA, technology offers
significant advantages over other available amplification
methods, including Polymerase Chain Reaction, or PCR. We believe
TMA technology allows our products to offer a higher degree of
sensitivity, less risk of contamination and greater ease of use
than our competitors amplification products. We believe
our target capture technology, which is used to extract specific
target sequences from a complex clinical specimen, can remove
inhibitory substances that interfere with amplification, can be
easily automated, and can be performed in an extremely short
duration of time. In the past, we have leveraged our core
technologies to develop products that have achieved leading
positions in new NAT markets, such as blood screening and
tuberculosis testing. We plan to continue to use our core NAT
technologies, and technologies that we may acquire, as a
platform for the development of additional products addressing
emerging segments of the NAT market.
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Extensive Product and Intellectual Property
Portfolio |
We believe that we are unique in offering our customers a broad
portfolio of both non-amplified and amplified NAT assays, as
well as multiple instrumentation platforms on which to perform
our NAT assays. Our expertise in NAT products has enabled us to
develop FDA-approved products for the detection of
microorganisms causing infectious diseases. In February 2002, we
received FDA approval for our Procleix HIV-1/ HCV assay, which
is currently utilized to screen over 80% of the United States
donated blood supply for HIV-1 and HCV. Prior to FDA approval,
our Procleix HIV-1/ HCV assay was used pursuant to IND
protocols. In 2004, we conducted clinical testing in United
States blood centers of our WNV assay to detect the virus in
freshly donated human blood. Our NAT assays currently are
performed on our proprietary luminometers and our semi-automated
Direct Tube Sampling, or DTS, and TIGRIS (in the case of our
APTIMA Combo 2 and Procleix Ultrio assays) instruments. Our
products and technologies are covered by 390 United States and
foreign patents, and we proactively pursue an aggressive patent
strategy designed to protect both existing products and new
innovations.
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Innovative Product Research and Development |
We pioneered the development of the NAT market with our
introduction of the first FDA-approved probe-based assay in
1985. As of January 31, 2005, our world-class research and
development group consisted of more than 225 employees, 92 of
whom hold advanced degrees. From our PACE family of products to
our amplified APTIMA Combo 2 assay, which can detect both
chlamydia infections and gonorrhea in urine samples from
symptomatic or asymptomatic patients, our scientists have
developed proprietary assays that have brought significant
innovation to the market for NAT clinical diagnostics. To
complement these products, we have developed and continue to
develop instrumentation technologies that enable our customers
to increase throughput while improving accuracy in a
cost-effective manner. We have developed what we believe to be
the worlds first fully automated, integrated,
high-throughput, NAT instrument system, known as the TIGRIS
instrument. Our current initiatives to expand our position in
clinical diagnostics and blood screening while applying our core
NAT technologies to cancer detection, genetic testing
pharmacogenomics and industrial testing, are consistent with our
philosophy of designing innovative products to meet the existing
needs of our customers as well as the emerging needs of new
markets.
8
We believe that we benefit from significant brand name
recognition and customer loyalty among laboratories and
physicians in the market for NAT assays. We believe our history
of technological innovation, quality manufacturing,
comprehensive sales capabilities and commitment to customer
support has resulted in customer satisfaction and retention. We
estimate that greater than 90% of our STD product sales during
2004 were to repeat customers. We believe that our brand name
also facilitates market acceptance of our new products,
providing us with opportunities for growth. Since 1998, the
American Red Cross has used us as its sole source for NAT assays
for blood screening, which is an example of our standing in the
industry.
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Sales and Technical Support Capabilities |
As of January 31, 2005, our direct sales force consisted of
approximately 31 representatives and an 18-member technical
field support group. We believe that these individuals comprise
one of the most knowledgeable and effective sales and support
organizations in the molecular diagnostics industry. Our sales
representatives have an average of 15 years of overall
sales experience, with an average of six years focused on sales
of NAT products. We view our long-standing relationships with
laboratory customers and the value-added services that our sales
force and technical field specialist group offer, including
technical product assistance, customer support and new product
training, as central to our success in the United States
clinical diagnostics market. We complement our sales force with
leading international distributors and the direct sales
organizations of our collaborative partners.
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Regulatory, Clinical and Quality Assurance
Experience |
Our products, design control and manufacturing processes are
regulated by numerous third parties, including the FDA, foreign
governments, independent standards auditors and customers. Our
team of approximately 99 regulatory, clinical and quality
systems professionals has successfully led us through multiple
quality and compliance audits. We began production in our blood
screening product manufacturing facility in 1999. This facility
meets the strict standards set by the FDAs Center for
Biologics Evaluation and Research, or CBER, for the production
of blood screening products. In addition, we have obtained ISO
9001 and EN 13485 certification from the TUV, a global leader in
independent testing and assessment services. We believe our
expertise in regulatory, clinical and quality assurance and our
manufacturing facilities enables us to efficiently and
effectively design, manufacture and secure approval for new
products and technologies that meet the rigorous standards set
by governing bodies and our customers.
Our Growth Strategy
We have successfully created and maintained a leadership
position in the NAT testing market. From this strong position,
we plan to grow our business through the following strategies:
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Establish Leadership Positions in New Markets by
Leveraging Our Core Technologies |
We have had a successful track record in identifying new market
opportunities and becoming the market leader in a number of NAT
testing segments by providing innovative product solutions based
on our proprietary technology base. In the past we have utilized
our patented technology portfolio, innovation and market
development expertise to establish leadership positions in a
number of areas, including chlamydia, gonorrhea and tuberculosis
testing. Our ability to strategically identify and assume
leadership roles in new markets was evidenced by our entrance
into the blood screening market. We successfully developed the
first FDA-approved NAT assay for HIV-1/ HCV detection, our
Procleix HIV-1/ HCV assay, which is currently used to screen
over 80% of the United States donated blood supply. Our WNV
assay, which is available for use by United States blood centers
for investigational clinical testing of the virus in freshly
donated human blood, also is currently being used to screen more
than 80% of the United States blood supply. We developed the WNV
assay for use in conjunction with our TIGRIS instrument to
enable high volume IDT in the blood screening market. We
received CE mark clearance for the use of the Procleix Ultrio
assay in conjunction with our TIGRIS instrument for Europe,
which represents the first fully automated blood screening NAT
system
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cleared for commercial distribution in Europe. We currently are
exploring opportunities and expect to develop new products for
emerging NAT markets. We developed our first cancer-related
product, a TMA-based assay for the detection of chronic
myelogenous leukemia, or CML, and commercialized it in Japan.
Our license and collaboration agreements with DiagnoCure and
Corixa could represent an innovative application of our NAT
technology to detect new, highly specific genetic markers for
prostate cancer. In the industrial market, we developed a NAT
assay for Listeria monocytogenes, a food pathogen, that
is used by the dairy industry in Europe, and a NAT assay for
mycoplasma that is used by tissue culture facilities to detect
contamination of cell lines. We also are evaluating additional
product opportunities in genetics, pharmacogenomics, food and
industrial testing.
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Deliver Proprietary Automated and Fully Integrated Systems
for NAT Assays |
We will continue to develop instruments that complement our
established product lines in clinical diagnostics and blood
screening. For example, we have developed and received FDA
approval for STD testing on the TIGRIS instrument. The TIGRIS
instrument should significantly reduce the time, labor costs,
risk of contamination and complexity associated with performing
NAT assays and blood screening. We believe that the increased
utility of this platform will lead to significant advances in
both the clinical diagnostics and blood screening markets. The
automation and increased throughput of the TIGRIS instrument
will enable blood collection centers to process the large
testing volumes necessary to screen each individual unit of
donated blood for the presence of life-threatening viruses. In
addition to the TIGRIS instrument, we currently are developing
other next-generation systems to meet customers needs for
increased productivity. Ultimately, we believe this approach of
providing our customers with the latest generation of systems
solutions will allow us to sustain and reinforce our market
position and brand recognition.
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Expand Our Menu of NAT Probe Assays through Innovative
Research and Development |
We will continue to use a systems approach to product
development, which involves combining elements of our core
proprietary technologies to create products that best meet our
customers needs. For example, our APTIMA Combo 2 assay,
which was launched in August 2001, integrates over 20 of our
proprietary technologies. The Procleix Ultrio assay, which we
developed in collaboration with Chiron, adds an assay for HBV to
the previously approved Procleix HIV-1/ HCV assay and is
designed to detect the presence of all known HIV-1 groups and
subtypes and HCV and HBV genotypes in human plasma during the
very early stages of infection, when those agents are present
but cannot be detected by immunodiagnostic tests. By
understanding how our technologies complement one another and by
combining reagents in our new products, we expect to capitalize
on the substantial product development work that went into some
of our prior products. We believe that this approach and our
experience in bringing FDA-approved products to market will
reduce development cycle times for new products. This, in turn,
will help us expand our menu of clinical diagnostic and blood
screening products available to be performed on the instruments
we place with our customers.
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Pursue Future Licensing and Acquisition
Opportunities |
We historically have supplemented our internal research and
development efforts by obtaining licenses to new technologies.
To maintain our leadership position in NAT testing, we intend to
selectively obtain rights to complementary technologies through
licenses and acquisitions. For us to enter emerging NAT markets
such as cancer testing, genetics, pharmacogenomics and
industrial testing, we may need to obtain rights to new
technologies and disease markers, as these markers are
discovered and clinically validated by third parties. For
example, in 2003, we acquired a majority of the outstanding
shares of Molecular Light Technology Limited and its
subsidiaries, providing us with a base for operations in Europe.
We also signed a license and collaboration agreement with
DiagnoCure to develop an innovative urine test to detect the
PCA3 gene marker for prostate cancer. In addition, in November
2004, we signed an exclusive option agreement with Qualigen,
Inc. to develop a point-of-use NAT testing platform using
Qualigens FDA-approved FastPack® technology. In
December 2004, we entered into a license agreement with AdnaGen
AG, or AdnaGen, under which we received an exclusive license to
AdnaGen technology that may help increase the accuracy of
molecular diagnostic tests for prostate and other cancers. In
addition, in December 2004 we entered into a license
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agreement with Corixa Corporation pursuant to which we received
rights to approximately 50 potential genetic markers in the
areas of prostate, ovarian, kidney, lung, colon and other
cancers.
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Expand Collaborative Relationships to Accelerate New
Product Development and Enhance Our Global Marketing
Capabilities |
We will pursue collaborative relationships that enable us to
implement our strategies, particularly with respect to the
development of new products and entry into new markets. We seek
to partner with industry leaders who can offer access to
intellectual property or who can complement our
commercialization capabilities by distributing co-developed
products through their sales organizations. For example, our
collaboration with Chiron for the blood screening market has
allowed us to combine our NAT technology with Chirons
patent portfolio relating to HCV and to leverage Chirons
distribution and sales resources.
Our Proprietary NAT Technologies
We have developed technologies that make NAT assays practical
and effective for commercial use, thereby overcoming many of the
limitations of previous DNA probe assays that restricted their
use to research laboratories. Our products incorporate a
combination of patented technologies that have significantly
advanced NAT assays, making them more specific, more sensitive,
easier to use and faster than products based on competing
technologies. These technologies include the following:
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targeting of ribosomal RNA, or rRNA |
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target capture/nucleic acid extraction technology, |
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Transcription-Mediated Amplification technology, and |
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chemiluminescent detection using Hybridization Protection Assay
and Dual Kinetic Assay technologies. |
Together, these technologies have allowed us to commercialize
new diagnostic tools that provide results in hours instead of
days or weeks. This has led to quicker time to result and
diagnosis, thereby making a difference in patient treatment and
outcome.
Targeting Ribosomal RNA. We have developed and patented a
technique that detects and identifies organisms by targeting
their rRNA. The major benefits in targeting rRNA include the
following:
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Each bacterial cell contains up to 10,000 copies of rRNA, as
compared with only a few copies of DNA. Most NAT assays target
DNA, which is present in only one or two copies in each target
organism cell. Therefore, by using a probe that hybridizes to
rRNA, the sensitivity of the test is increased thousands of
times. This has allowed us to develop indirect and direct probe
tests that are used with cultured samples or samples drawn
directly from the patient. Because of our patented rRNA
technology, we are the only company able to offer convenient and
sensitive non-amplified NAT assays for the detection of
non-viral microorganisms in the United States. |
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The high number of rRNA targets also offers significant
advantages when target-amplified assays are used. When very
small numbers of organisms are present in a sample, they may not
be present in the portion of the sample used for the assay,
despite being present in the sample. This would result in a
negative test result. By breaking open the organisms prior to
sampling, the multiple copies of rRNA targets are dispersed
throughout the sample volume and the likelihood of detecting
them is increased many fold. Thus, the likelihood of obtaining a
false negative result is significantly less than is the case
when single-copy DNA is targeted. |
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rRNA molecules naturally exist as single strands that can
directly hybridize with our chemiluminescent labeled DNA probes.
This is in contrast to most DNA targets, which exist as double
strands that must be separated before a probe can bind. These
separated DNA strands tend to hybridize to each other rather
than to the DNA probe, thus limiting the amount of DNA probe
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rRNA molecules are present in all bacteria, fungi and parasites.
This gives us the ability to design diagnostic products for any
emerging infectious disease caused by these pathogens. |
Target Capture/ Nucleic Acid Extraction Technology.
Detection of target organisms that are present in small numbers
in a large-volume clinical sample requires that target organisms
be concentrated to a detectable level. One way to accomplish
this is to isolate the particular nucleic acid of interest by
binding it to a solid support, which allows the support, with
the target bound to it, to be removed from the original sample.
We refer to such techniques as target capture.
We have developed target capture techniques to immobilize
nucleic acids on magnetic beads by the use of a capture
probe that attaches to the bead and to the target nucleic
acid. We use a magnetic separation device to concentrate the
target by drawing the magnetic beads to the sides of the sample
tube, while the remainder of the sample is washed away and
removed from the reaction tube. We use these techniques in
conjunction with our patented amplification methods in our
current generation of amplified assays. When used in conjunction
with our patented amplification methods, target capture
techniques concentrate the target organisms and also remove
materials in the sample that might otherwise interfere with
amplification.
Target capture offers the following benefits:
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Concentration of target organisms from large volume samples,
without the need for centrifugation steps, |
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Elimination of potential inhibitors of amplification, |
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Increased ability to test a variety of clinical samples,
including urine and blood, |
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Capture of multiple targets by using capture probes that
hybridize to one or more specific nucleic acid
sequences, and |
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Enhanced specificity through selective capture of target and
removal of contaminants that may produce a false positive signal. |
Transcription-Mediated Amplification. The goal of
amplification technologies is to produce millions of copies of
the target nucleic acids that are present in samples in small
numbers, which can then be detected using DNA probes.
Amplification technologies can yield results in only a few hours
versus the several days or weeks required for traditional
culture methods.
Some amplification-based NAT assays for routine clinical
laboratory use a technology known as Polymerase Chain Reaction,
or PCR, to amplify DNA. With additional steps, PCR also can be
used to amplify RNA. Since most organisms contain only one or
two copies of DNA, there are fewer target molecules to initiate
amplification when DNA targets are used, and sometimes
amplification does not begin at all. In such cases, assays using
PCR can fail to produce results. PCR also uses repeated heating
and cooling steps requiring complex and expensive thermocyclers.
Because PCR produces large amounts of DNA, which is a stable
molecule, there is an increased risk of cross-contamination from
one PCR assay to another, potentially leading to a high number
of false positive results.
Our patented TMA technology is designed to overcome the many
problems faced with other target amplification methods such as
PCR. TMA is a transcription-based amplification system that uses
two different enzymes to drive the process. The first enzyme is
a reverse transcriptase that creates a double-stranded DNA copy
from an RNA or DNA template. The second enzyme, an RNA
polymerase, makes thousands of copies of the complementary RNA
sequence, known as the RNA amplicon, from the
double-stranded DNA template. Each RNA amplicon serves as a new
target for the reverse transcriptase and the process repeats
automatically, resulting in an exponential amplification of the
original target that produces over a billion copies of amplicon
in less than 30 minutes.
TMA offers the following benefits:
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The TMA process takes place in one tube at one temperature
without the need of expensive thermocyclers required by PCR. All
reagents are added to the tube and nothing is removed. This |
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makes the test simpler to use and suitable for automation, and
it minimizes the possibility of carry-over contamination and
false positive test results; |
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TMA is very robust and often can be used with clinical samples
with little or no purification; |
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The RNA nucleic acid that is synthesized in the TMA reaction is
much more labile when outside the reaction tube and in the lab
environment than the DNA that is produced in the PCR method.
This reduces the possibility of carry-over contamination; |
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TMA is able to amplify RNA and DNA targets, whereas PCR requires
additional reagents and steps to amplify RNA; and |
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TMA can be used in end-point chemiluminescent as well as
real time qualitative and quantitative fluorescent
assays. |
Chemiluminescent Technologies and Hybridization Protection
Assay. Our current DNA probes use chemiluminescent
acridinium esters, or AE molecules, that generate light as a
label for detection. The AE technology is much more sensitive
than fluorescence or absorbance techniques used by our
competitors. When AE-labeled DNA probes are mixed with chemical
activators, a light signal is produced. Many DNA probe assays
and immunoassays use enzyme or radioisotope labels. Assays that
use enzyme-labeled DNA probes are complex and can be inhibited
by contaminants present in the sample. Radioisotopes offer a
strong signal but are difficult to handle, difficult to dispose
of and dangerous because they give off harmful radiation.
We have simplified testing, further increased test sensitivity
and specificity and increased convenience with our patented
Hybridization Protection Assay, or HPA, technology. With HPA, we
introduced the first NAT assay that did not require the
cumbersome wash steps needed with conventional probe tests and
immunoassays. In the HPA process, the AE molecule is protected
within the double-stranded helix that is formed when the probe
binds to its specific target. Prior to activating the AE
molecule, known as lighting off, a chemical is added
that destroys the AE molecule on any unbound probes, leaving the
label on the bound probes unaffected. When the light
off reagent is added to the specimen tube, only the label
attached to the hybridized probe produces a signal indicating
the target organisms DNA or RNA is present. All of these
steps occur in a single tube or microtiter plate and without any
wash steps.
Our Dual Kinetic Assay, or DKA, technology uses two types of AE
molecules one that flashes and another
one that glows. By using DKA, we have created NAT
assays that can detect two separate targets simultaneously.
APTIMA Technology. We have combined target capture, TMA
and DKA together into an integrated family of technologies known
as APTIMA. APTIMA assays represent the latest generation of
nucleic acid amplification testing, simplifying sample handling,
minimizing contamination and allowing for the simultaneous
detection of two analytes in one tube. APTIMA assays offer
modern clinical laboratories the significant advantage of
carrying out all steps of the assay in a single tube. APTIMA
thereby increases assay performance, reduces laboratory costs
and improves laboratory efficiency. APTIMA technology combined
with automation such as the TIGRIS instrument supports true
walk-away automation, allowing hundreds of specimens to be
tested by an individual technician in a single run.
Our Products
We have applied our core technologies to develop multiple
product lines, all of which utilize our expertise in NAT probes,
sample collection and processing. We categorize our products
into clinical diagnostic products and blood screening products.
Clinical Diagnostic
Products.
Within our clinical diagnostic product group, we have developed
products for the detection of non-viral and viral microorganisms.
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Clinical Diagnostic Products for the Detection of Non-Viral
Microorganisms. We have developed FDA-approved amplified and
non-amplified NAT assays that detect non-viral microorganisms.
We have established a market-leading position in non-amplified
NAT assays, particularly with respect to assays for the
detection of chlamydia and gonorrhea, and we have obtained FDA
approval for an amplified STD test to compete in that market
segment. Our principal products for the detection of non-viral
microorganisms include our non-amplified AccuProbe and
non-amplified PACE family of products and our amplified
Mycobacterium Tuberculosis Direct Test and amplified APTIMA
Combo 2 product, as set forth below.
Clinical Diagnostic Products for the Detection of Non-Viral
Microorganisms
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AccuProbe Culture Identification |
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Non-amplified detection of rRNA from culture isolate by
Hybridization Protection Assay |
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Blastomyces dermatitidis Campylobacter
Coccidioides immitis
Enterococcus
Histoplasma capsulatum
Haemophilus influenzae
Group B Streptococcus
Group A Streptococcus
Mycobacterium avium
Complex
Mycobacterium avium
Mycobacterium gordonae
Mycobacterium intracellulare
Mycobacterium kansasii
Mycobacterium tuberculosis
Neisseria gonorrhoeae
Streptococcus pneumoniae
Staphylococcus aureus
Listeria monocytogenes |
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September 1990
November 1989
October 1990
November 1989
February 1990
March 1990
November 1989
November 1990
May 1990
August 1990
April 1990
August 1990
November 1990
April 1990
November 1989
August 1990
August 1990
June 1990 |
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Gen-Probe North America
bioMérieux
Rebio Gen and
other distributors Rest
of World |
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GASDirect |
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Non-amplified detection of rRNA from a swab sample by
Hybridization Protection Assay |
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Group A Streptococcus |
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March 1994 |
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Gen-Probe North America
bioMérieux,
Rebio Gen and
other distributors Rest of
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PACE Product Family |
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Non-amplified detection of rRNA from patient sample by
Hybridization Protection Assay |
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Chlamydia trachomatis and Neisseria gonorrhoeae,
including combined detection |
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PACE December 1987 PACE
2 April 1992
PACE 2C October 1994 |
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bioMérieux,
Rebio Gen and
other distributors Rest of
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Mycobacterium Tuberculosis Direct
Test (or MTD) |
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Mediated
Amplification of
rRNA in patient
sample and detection
by Hybridization
Protection Assay |
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Mycobacterium tuberculosis |
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bioMérieux,
Rebio Gen and
other distributors Rest
of World |
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APTIMA Combo 2 |
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Target Capture, Transcription-Mediated Amplification of rRNA and
detection by Dual Kinetic Assay |
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Chlamydia trachomatis and Neisseria gonorrhoeae in
swab specimens and urine samples from symptomatic and
asymptomatic males and females |
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