UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
For Annual and Transition Reports Pursuant to
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE OR
Commission File Number: 000-26658
PHARMACYCLICS, INC.
995 E. Arques Avenue
Securities registered pursuant to Section 12(b) of the Act: None
Securities registered pursuant to Section 12(g) of the Act: 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
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 Registrant's knowledge, in definitive proxy or information statements
incorporated Indicate by check mark whether the
Registrant is an accelerated filer (as defined in Rule 12b-2 of the
of the Securities Exchange Act of 1934). Yes
The aggregate market value of the voting stock held by nonaffiliates of
the Registrant as of December 31, 2002, was approximately $56,153,000 based on
the closing price of the Common Stock of the Registrant as reported on the
Nasdaq Stock Market on such date. The number of outstanding shares of the
Registrant's Common Stock as of August 31, 2003
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the following document are incorporated by reference into
Part III of this Form 10-K: the Proxy Statement
PHARMACYCLICS, INC. ANNUAL REPORT ON FORM 10-K TABLE OF CONTENTS PART I Page Item 1. Business Item 2. Properties Item 3. Legal Proceedings Item 4. Submission of Matters to a Vote of Security Holders
PART II Item 5. Market for Registrant's Common Equity and Related Stockholder
Matters Item 6. Selected Financial Data Item 7. Management's Discussion and Analysis of Financial Condition and
Results of Operations Item 7A. Quantitative and Qualitative Disclosures About Market Risks
Item 8. Financial Statements and Supplementary Data Item 9. Changes in and Disagreements With Auditors on Accounting and
Financial Disclosure Item 9A. Controls and Procedures PART III Item 10. Directors and Executive Officers of the Registrant
Item 11. Executive Compensation Item 12. Security Ownership of Certain Beneficial Owners and Management
and Related Stockholder Matters Item 13. Certain Relationships and Related Transactions PART IV Item 14. Principal Accountant Fees and Services Item 15. Exhibits, Financial Statement Schedules, Exhibits and Reports on
Form 8-K Signatures Exhibits Index PHARMACYCLICS®, the Pentadentate
Logo®
Part I Item 1. Business We are a biopharmaceutical company developing a patented new
class of drugs to treat cancer and atherosclerosis. Our pharmaceutical agents,
known as texaphyrins, are synthetic molecules designed to possess a variety of
biological and chemical properties. These ring shaped molecules have a central
core that is capable of binding various metal ions. The properties of these
molecules may be modified by substitution of different metal ions into the
central cavity. This approach enables us to synthesize a number of agents, each
possessing unique properties. By making slight alterations of the chemical
structure, we can produce an agent intended to perform a particular biologic
function. Two lead product candidates have been produced and are being evaluated
in clinical trials: Xcytrin® (motexafin gadolinium),
is now in a pivotal randomized Phase 3 trial. It is a molecule designed to
selectively localize in cancer cells and, by disrupting metabolism, induce cell
death through a cellular process known as apoptosis. Xcytrin has the potential
to be used for treating many types of cancer. Several Phase 1 and Phase 2
clinical trials are in progress evaluating Xcytrin as a stand alone agent, and
in combination with chemotherapy, radiation therapy or biologic therapy with
monoclonal antibodies. One of Xcytrin's chemical features allows it to be
visualized in the body using standard magnetic resonance imaging (MRI)
procedures. Using MRI, we have established that Xcytrin localizes selectively in
cancers. Antrin® (motexafin lutetium), has
completed Phase 1 clinical trials for the treatment of atherosclerosis
involving the coronary arteries of the heart. Antrin targets the inflammatory
cell component of a form of atherosclerosis known as vulnerable plaque, the
leading cause of heart attacks. Using interventional cardiology procedures,
Antrin is selectively activated at the diseased arterial site by light energy
delivered into the blood vessel through an optical fiber. Cellular metabolism is the biologic process through which
cells produce energy necessary for their survival and synthesize simple building
blocks into complex molecules necessary for life. Many diseased cells, including
cancer cells and inflammatory cells in vulnerable plaque, have metabolic
derangements that distinguish them from normal cells. Texaphyrins target these
metabolic disturbances and accumulate at the disease site in minutes to a few
hours after administration of the drugs. Texaphyrins can be cytotoxic to
diseased cells, such as the case with Xcytrin, or they may be designed to be
activated selectively at the site of disease, such as with light energy
activation of Antrin. Texaphyrins are being developed to provide more selective
therapy for diseases such as cancer and vulnerable plaque. Market Overview Cancer Cancer results from the uncontrolled multiplication of
cells, which invade and interfere with the normal function of adjacent tissues
and organs. Frequently, cancer cells become dislodged from their primary site
and spread, or metastasize, to other places in the body. Approximately 1.2
million new cases of cancer are diagnosed annually in the United States. The
appropriate cancer therapy for each patient depends on the cancer type and
careful assessment of the size, location and existence of spread of the tumor
using diagnostic imaging procedures. Therapy typically includes some combination
of surgery, radiation therapy, chemotherapy or biologic therapy. Most existing therapies of cancer tend to indiscriminately
destroy both healthy and diseased cells and may cause serious side effects. As a
result, substantial cancer research has been directed toward developing novel
treatments that are more selective for the cancer and less toxic to normal
tissues. These approaches seek to identify drugs, radiation therapy procedures
or biologicals, which are capable of targeted destruction of the tumor with
fewer side effects than existing treatments. Ideal agents would be those that
are easy to deliver to the patient and capable of being used in combination with
other cancer therapies to enhance efficacy without increasing toxicity to normal
tissues. In addition to therapies intended to potentially cure patients, much of
cancer therapy is utilized for palliation; it is given for reducing the pain and
suffering from cancer. The following is a description of the market for current
therapies used in the treatment of cancer: Surgery. Surgical removal of tumors is attempted
whenever the tumor appears to be localized in a single, accessible site.
Although potentially curative for localized cancers, many patients have disease
that is inaccessible to complete surgical removal or has spread from the primary
site. Spread of cancer from the primary site, known as metastases, usually
requires some form of systemic therapy with agents that distribute to all parts
of the body. Radiation Therapy. Approximately 3,000 physicians
specializing in radiation oncology administer radiation therapy to more than
700,000 patients annually in the United States. Radiation therapy is a localized
treatment that may cure patients with tumors that are limited in size and have
not spread from the primary site. Radiation therapy is frequently used to
ameliorate the symptoms or signs of disease. This approach is not curative and
is done to palliate or lesson patient suffering caused by tumor growth at a
particular anatomic site. Radiation is usually applied to the tumor site
several times per week over a period of two to six weeks. Radiation therapy
often has toxic effects on healthy tissue surrounding the tumor because the
radiation cannot be adequately targeted. An estimated 50% of newly diagnosed
cancer patients, including those with cancers of the lung, breast, prostate, or
head and neck region, will receive radiation therapy as part of their initial
treatment. In addition, approximately 150,000 patients with persistent or
recurrent cancer also will receive radiation therapy. A growing trend in
radiation oncology is to deliver the radiation concomitantly with drugs in order
to enhance radiation's effectiveness. Depending on the complexity and duration
of treatment, a course of radiation therapy for cancer can cost between $10,000
and $25,000. Chemotherapy. More than 350,000 patients each
year in the United States receive chemotherapy for treatment of many types of
cancer. The serious or life-threatening side effects of chemotherapy agents,
many of which are due to lack of selectivity, limit the effectiveness of this
treatment. Chemotherapy drugs tend to distribute themselves throughout the body
in normal tissues as well as in the tumor. Because of their toxicity to normal
tissues, chemotherapy drugs can be administered only in small dosages and
accordingly, the therapeutic benefits may be limited. Cancer cells also can
become resistant to chemotherapy drugs, which has stimulated great interest in
the identification of new agents with unique mechanisms of action. Targeted Therapy. Recently, monoclonal
antibodies have been approved for the treatment of some cancers. Although more
selective for certain cancers and usually safer than radiation and chemotherapy,
these treatments are, so far, limited to only a few diseases such as cancers of
the lymphoid system. Most patients with cancer are treated with a combination of
drugs or approaches that are intended to eradicate as much of the cancer as
possible. The selection of agents is based on their mechanism of action and
safety profile. The goal of combination therapy is to increase tumor
destruction without causing unacceptable toxicity. Substantial research efforts
are directed to finding new agents with novel mechanisms of action that can be
added to existing combination therapy regimens. Atherosclerosis Atherosclerosis, or hardening of the arteries, is a
disease in which cholesterol, other fatty materials and inflammatory cells are
deposited in the walls of blood vessels, forming a build-up known as plaque. The
accumulation of plaque narrows the interior of the blood vessels, reducing blood
flow. Atherosclerosis in the coronary arteries can lead to heart attacks and
death. In other blood vessels, atherosclerosis can lead to decreased mobility,
loss of function, loss of limbs and other complications such as stroke.
Atherosclerosis also can often result from the accumulation of inflammatory
cells in the vessel wall. These diseased areas are vulnerable to mechanical
stress and can acutely rupture causing a blood clot to form in the vessel.
Recent evidence has established that most heart attacks are caused by rupture of
a vulnerable plaque in the coronary arteries. New treatment approaches are
needed to address this problem, which is believed to be responsible for over 80%
of heart attacks. Current treatments for atherosclerosis include coronary by-
pass surgery and other techniques aimed at removing or relieving the plaque.
Balloon angioplasty is a procedure using catheter devices inserted inside the
vessels to mechanically compress or remove the obstruction. Currently, more than
600,000 patients per year in the United States undergo these procedures for
treatment of atherosclerosis in the coronary arteries. These procedures require
the use of anti-clotting drugs and, frequently, the use of devices known as
stents inserted inside the vessels to reduce the incidence of reclosure, which
results from traumatic damage to the vessel wall. Generally, these techniques
have been limited to treating only focal areas or short sections of the diseased
vessel. Vulnerable plaque remains an unmet medical need as balloon angioplasty
and stents do not adequately address this condition. Our Business Strategy The key elements of our business strategy include: Focusing on proprietary drugs that address large
markets for the treatment of cancer. Although our versatile technology
platform can be used to develop a wide range of pharmaceutical agents, we have
focused our initial efforts in oncology where we have established strength in
preclinical and clinical development and where accelerated regulatory approval
and favorable pricing may be possible. Evaluating Xcytrin in many types of cancer including
its use as a single agent, in combination with radiation therapy and in
combination with chemotherapy. We are leveraging both our oncology
experience and Xcytrin's versatility by conducting clinical trials in a variety
of cancer types and clinical situations. Creating diverse product opportunities based on our
texaphyrin technology. Our texaphyrin-based technology platform can be used
to target many different types of disease. In addition to oncology, our research
and development efforts are focused on developing new uses for texaphyrins to
address unmet medical needs such as the treatment of vulnerable plaque. Build oncology development capability and partner
other product opportunities when adequate value in these products has
been established. We intend to establish strategic alliances for the
development and commercialization of potential products that are outside the
oncology area. Status of Products Under Development The table below summarizes our product candidates and their stage of
development: (1) "Phase 1" means initial human clinical
trials designed to establish the safety, dose tolerance and sometimes
distribution of a compound. "Phase 2" means human clinical trials designed
to establish safety, optimal dosage and preliminary activity of a compound.
"Phase 3" means human clinical trials designed to lead to accumulation of
data sufficient to support a new drug application, including substantial
evidence of safety and efficacy. (2) One Phase 3 trial has been completed for brain
metastases from a variety of cancers. See "Cancer Therapy - Clinical
Status." (3) Studies conducted by the National Cancer Institute.
Cancer Therapy with Xcytrin Cancer cells have derangements in their metabolism, which
distinguishes tumors from normal tissues. Many existing chemotherapy drugs are
intended to exploit the metabolic abnormalities of cancer cells, which is the
basis for mode of action of many of these drugs. Xcytrin's selective uptake in
tumor cells occurs within minutes of administration and persists for hours,
effectively concentrating the drug's effect in the tumor. The targeting of
tumors is based on Xcytrin's novel mechanism of action. It reacts directly with
various substances and growth factors, which are more abundant in cancer cells
than in normal cells. These reactions inhibit the function of growth factors
and produce by-products, which weaken, or in some cases, kill the cancer cells.
In laboratory studies, cancer cells incubated with Xcytrin undergo either growth
arrest or apoptosis, a programmed sequence of events leading to cell death. The
sensitivity of cancer cells to Xcytrin varies, depending on the type of cancer.
Also in laboratory studies, Xcytrin enhances the activity of several commonly
used chemotherapy agents and radiation. In published preclinical studies,
animals receiving Xcytrin in combination with radiation therapy or chemotherapy
had greater tumor response rates as compared to the control groups receiving
equivalent doses of either radiation therapy or chemotherapy alone. Preclinical
studies further indicate that Xcytrin increases the effect of radiation therapy
at the tumor site, with no increased damage to surrounding healthy tissues. An
additional feature of Xcytrin is that it is detectable by magnetic resonance
imaging scanning (MRI), providing a method for monitoring its distribution in
patients and for determining the precise size and location of tumors. For our first product candidate, we intend to seek FDA
approval of Xcytrin for treatment of patients receiving whole brain radiation
therapy for non-small cell lung cancer that has spread to the brain. Patients
with this problem, known as brain metastases, develop devastating complications,
including severe headache, seizures, paralysis, blindness and impaired ability
to think. Radiation therapy for treatment of this problem is performed on
approximately 90,000 patients per year in the United States and is intended to
prevent or reduce these complications. We believe that Xcytrin could eventually
be used in many other tumor types and clinical situations requiring radiation
therapy and chemotherapy. Clinical Status. We have completed a Phase 1
clinical trial of Xcytrin in 38 adult patients with advanced cancer who received
radiation therapy. This trial was designed to determine the toxicity of a single
dose of the drug. Reversible kidney toxicity was found at the highest doses of
drug tested. Accumulation of Xcytrin in lung cancer, breast cancer and other
tumors has been confirmed using magnetic resonance imaging. The results of this
study were published in the journal Clinical Cancer Research in 1999.
We have also completed an international multicenter Phase
1b/2 clinical trial in 61 patients to evaluate the safety and efficacy of
Xcytrin in cancer patients receiving radiation therapy for treatment of tumors
which had spread to the brain. Ten once-daily treatments were well tolerated.
The maximally tolerated dose was 6.3 mg/kg. Dose limiting toxicity was found to
be reversible elevation of liver function tests. The most common side effects
were transient skin discoloration. Other adverse events occurring in at least
ten percent of patients included nausea, vomiting, rash, headache and weakness.
Xcytrin's tumor selectivity was established by MRI. The radiologic tumor
response rate was 72% in the Phase 2 portion of the study. These results
were published in 2001 in the Journal of Clinical Oncology. Although
there was no control group in the study, the results suggested that Xcytrin
increased tumor control in the brain beyond that expected with radiation alone.
Based on the results of our Phase 1b/2 trial, we conducted a
randomized, controlled Phase 3 trial with Xcytrin for the treatment of patients
with brain metastases (i.e. cancer that has spread to the brain from another
part of the body) who were undergoing whole brain radiation therapy. The study
was conducted at more than 50 leading cancer centers in the United States,
Canada and Europe and enrolled 401 patients: 251 with lung cancer, 75 with
breast cancer and 75 with other tumor types. The results of this study were
published in July 2003 in the Journal of Clinical Oncology. This study was designed to compare the safety and efficacy of
standard whole brain radiation therapy (WBRT) to standard WBRT plus Xcytrin. The
study had co-primary efficacy endpoints of survival and time to neurologic
progression. Time to neurologic progression is a clinical benefit endpoint of
special importance in patients with brain metastases since the majority of
patients with brain metastases experience neurologic decline despite the use of
WBRT. Physicians administer WBRT to patients with brain metastases primarily to
prolong the time before the neurologic progression occurs. An independent
events review committee (ERC), blinded to the treatment assignment, determined
neurologic progression based on prespecified criteria. The trial design also
included evaluation of neurologic progression determined by standardized
investigator assessments. The trial did not meet its primary endpoints for the entire
patient population. However, there was a significant improvement in time to
neurologic progression in the pre-specified stratum of lung cancer patients
receiving Xcytrin. Over 60% of the patients on the study had lung cancer
representing the largest sub-group of patients. Results from the events review
committee and the investigators consistently showed that lung cancer patients
receiving Xcytrin had a benefit in time to neurologic progression. By investigator neurologic assessment, treatment with Xcytrin
was associated with improved time to neurologic progression in the entire 401
patient population (P=0.018, unadjusted) with the benefit primarily confined to
the lung cancer patients. These results were confirmed by the events review
committee, which also found a benefit in the lung cancer population (P=0.048,
unadjusted). The majority of patients with brain metastases have extensive
disease outside the brain and frequently die from causes unrelated to tumor
growth in the brain. There was no significant difference in survival in patients
who received Xcytrin (median 5.2 months) or who did not receive Xcytrin (median
4.9 months). We believe this lack of survival difference is due to death from
tumor progression outside the brain, which would not be expected to be
controlled by whole brain radiation therapy. In our trial, patients with lung cancer differed
substantially from patients with breast and other cancers. Lung cancer patients
more often presented with brain metastases concomitantly with their initial
primary tumor diagnosis, had brain as the only known site of metastases, had
smaller tumor volume and less prior therapy. There are several possible reasons
for the observed benefit in time to neurologic progression seen in the lung
cancer sub-group. We believe that less extensive extracranial disease, more
rapid and reversible development of central nervous system signs and symptoms
and less exposure to prior neurotoxic chemotherapies provided a greater
opportunity to demonstrate a clinical benefit in this group of patients. Similar
results have been observed in other studies. Neurocognitive function was one of the secondary endpoints of
our study. Performance on neurocognitive tests is related to the patient's
ability to manage finances, recognize safe and unsafe behaviors, and remember
and comply with medication regimens. Consistent with the results of the ERC and
investigator time to neurologic progression, neurocognitive testing revealed a
benefit in prolonging time to neurocognitive progression in six tests of memory
and executive function for lung cancer patients treated with Xcytrin. The administration of Xcytrin was well tolerated with 96% of
the intended doses delivered during the trial. Serious drug related adverse
events that were noted include hypertension (5.8%), asthenia (2.6%),
hyponatremia (2.1%), leukopenia (2.1%), hyperglycemia (1.6%) and vomiting
(1.6%). Based on the clinical activity seen in our Phase 3 trial in
patients with brain metastases from lung cancer, we have begun a pivotal Phase 3
clinical trial to confirm the potential clinical benefits observed in patients
with brain metastases from non-small cell lung cancer, known as the SMART
(Study of Neurologic Progression with Motexafin Gadolinium
And Radiation Therapy) trial. We plan to enroll 550
patients in this international, randomized controlled trial. We plan to complete
enrollment in this trial in the fourth calendar quarter of 2004. Patients will
be randomized to receive either Xcytrin plus WBRT or WBRT alone. A battery of
neurologic and neurocognitive assessments will be made with the goal of
establishing that the function of the brain is improved with Xcytrin. Time to
neurologic progression, the primary study endpoint, will be determined by a
blinded events review committee. Secondary endpoints of this trial will include
survival, neurocognitive function and time to loss of functional
independence. We requested and received a Special Protocol Assessment from
the FDA for the SMART trial. Special Protocol Assessment provides for sponsors
of clinical trials to receive official FDA evaluation, guidance and agreement on
pivotal trials that will form the basis for final approval. The FDA has indicated that our Phase 3 trial's primary
endpoint of time to neurologic progression is an endpoint that can provide the
basis for approval of the drug. This trial is now open at more than 90 centers
in the U.S., Europe and Australia. We have also completed patient enrollment in a multicenter
Phase 2 trial with Xcytrin and radiation for the treatment of glioblastoma
multiforme, a malignant primary brain tumor. In addition to our studies using
Xcytrin in combination with radiation, the National Cancer Institute is
sponsoring several clinical trials with Xcytrin and radiation for additional
cancer types including primary brain tumors, pediatric brain tumors, lung cancer
and pancreatic cancer. Our strategy is to evaluate Xcytrin for the treatment of a
diverse range of cancer types and in various clinical situations including
Xcytrin as a single agent and in combination with chemotherapy and/or radiation
therapy. We have begun Phase 2 clinical trials with Xcytrin used alone in
hematologic cancers such as lymphomas. Phase 1 trials are underway
evaluating Xcytrin given in combination with doxorubicin and with docetaxel
(Taxotere®) for lung, prostate, ovarian and breast cancer. We
expect interim results from an ongoing Phase 1 trial with Xcytrin combined
with radiation and chemotherapy for the treatment of newly diagnosed, advanced
head and neck cancer patients to be presented at a major medical conference in
late 2003. Atherosclerosis Therapy Antrin Phototherapy of Vulnerable Plaque Preclinical studies conducted by Pharmacyclics and our
collaborators have demonstrated that texaphyrins accumulate in vascular plaque
caused by atherosclerosis. Preclinical studies have indicated that following
intravenous injection of Antrin, light delivered into the blood vessel using an
optical fiber resulted in non-mechanical reduction or elimination of the plaque
without damage to the lining of the vessel. These studies have shown that Antrin
and other texaphyrins accumulate in the inflammatory cells within
atherosclerosis and that following phototherapy the number of these cells is
reduced. We believe that these results suggest that Antrin Phototherapy has the
potential to eliminate or reduce plaque without complications such as thrombosis
and reclosure. Additional preclinical studies further indicated that Antrin
Phototherapy could be used to treat longer segments of blood vessels, which is
not possible with other currently available techniques. Vulnerable plaque is
rich in inflammatory cells and prone to rupture causing a sudden blood clot and
closure of the vessel. It is now believed that the majority of heart attacks are
caused by rupture of vulnerable plaque, which is frequently present in multiple
locations throughout the coronary arteries. Removal of inflammatory cells
suggests that Antrin may reduce or stabilize vulnerable plaque and this may be
achievable over long segments of the coronary arteries. Clinical Status. Our Phase 1 clinical trial with
Antrin Phototherapy for the treatment of coronary artery disease in 79 patients
receiving balloon angioplasty and stents was published in the September 2003
issue of the journal Circulation. This study was primarily designed to
evaluate the safety of various doses of drug and light. Patients received
follow-up angiograms six months after treatment to evaluate effects of the
treatment on the blood vessels. No major treatment-related angiographic or
biochemical adverse effects or abnormalities were observed and no dose-limiting
toxicities were noted. No instances of emergency coronary artery bypass, death,
stroke or myocardial infarction occurred in patients who received both Antrin
infusion and endovascular illumination and activation of the drug. The most
frequently reported side effects were mild, transient rash and reversible mild
tingling in the hands and feet, some of which lasted days to weeks, but did not
require clinical intervention. Optimum drug and light doses were identified for
use in subsequent clinical trials. We believe that Antrin phototherapy may be useful in the
treatment or stabilization of vulnerable plaque. We currently plan to establish
a corporate alliance for Antrin before performing any additional clinical
development. Research, Clinical Development and Marketing
Collaborations We rely on relationships with third parties to expand
certain research, clinical development, process development, manufacturing, and
sales and marketing functions. In the photodynamic therapy field, we have used
outside collaborations for development of light sources and delivery devices for
use in our preclinical studies and clinical trials with Antrin. National Cancer Institute Collaboration. In April
1997, the Decision Network Committee of the National Cancer Institute's Division
of Cancer Treatment, Diagnosis and Centers voted unanimously to sponsor and fund
clinical development of Xcytrin as a radiation enhancer for cancer treatment.
Under this cooperative research and development agreement, Pharmacyclics and the
National Cancer Institute jointly select clinical trials which will be conducted
at leading medical centers for various types of cancer. The National Cancer
Institute is conducting several separate clinical trials for treatment of brain
tumors and cancers involving the lung and pancreas. We believe that these
National Cancer Institute-sponsored trials will supplement our own clinical
development efforts for Xcytrin. Although third parties will be conducting the
trials, we will provide clinical supplies of our drugs and we intend to monitor
the progression and results of these trials. The University of Texas Agreements. We collaborate
with and sponsor research and development programs at The University of Texas at
Austin, through a group headed by Jonathan Sessler, Ph.D., Professor of
Chemistry at The University of Texas at Austin. Such collaborations and programs
extend our research capabilities in the field of expanded porphyrin chemistry.
We have entered into two license agreements with The University of Texas at
Austin that grant us the worldwide, exclusive right to patents or patent
applications that relate to or result from research conducted at The University
of Texas at Austin on the use, development and syntheses of expanded porphyrin
molecules, and research conducted at The University of Texas at Dallas on the
incorporation of paramagnetic metals into zeolites for use as MRI contrast
agents. These agreements require us to pay royalties as a percentage of net
sales to The University of Texas for products incorporating the licensed
technology, including each of our current product candidates. In addition, we
and The University of Texas at Austin have entered into sponsored research
agreements which expand the products, inventions and discoveries developed by
The University of Texas at Austin to which our license rights apply. Patents and Proprietary Technology We believe our success depends upon our ability to
protect our proprietary technology. We, therefore, aggressively pursue,
prosecute, protect and defend patent applications, issued patents, trade
secrets, and licensed patent and trade secret rights covering certain aspects of
our technology. Our patents, patent applications, and licensed patent rights
cover various compounds, pharmaceutical formulations and methods of use. We own
or have license rights to: 71 issued U.S. patents; and 15 other pending U.S. patent applications. The issued U.S. patents expire between 2009 and 2019. We also
own or license 196 issued non-U.S. patents including 154 patents issued
throughout Europe and 85 pending non-U.S. patent applications filed regionally
under the Patent Cooperation Treaty and with the European Patent Office, and
nationally in Canada, Japan, Australia and certain other countries. We may be unsuccessful in prosecuting our patent applications
or patents may not issue from our patent applications. Even if patents are
issued and maintained, these patents may not be of adequate scope to benefit us,
or may be held invalid and unenforceable against third parties. We also rely upon trade secrets, technical know-how and
continuing technological innovation to develop and maintain our competitive
position. We require all of our employees, consultants, advisors and the like to
execute appropriate confidentiality and assignment-of-inventions agreements.
These agreements typically provide that all materials and confidential
information developed or made known to the individual during the course of the
individual's relationship with us is to be kept confidential and not disclosed
to third parties; except in specific circumstances, and that all inventions
arising out of the relationship with Pharmacyclics shall be our exclusive
property. Drug and Device Supply Agreements We currently use third parties to manufacture various
components of our products under development. Texaphyrin-based Products. We have entered into
commercial supply agreements with three manufacturers who each manufacture a
separate component related to the complete manufacturing of our Xcytrin drug
substance. In fiscal 2001, we took delivery of commercial quantities of Xcytrin
drug substance. We have also entered into a commercial supply agreement for the
formulation, filling, packaging and labeling of commercial quantities of
Xcytrin. We utilize the same contract manufacturer for the formulation, filling,
packaging and labeling of clinical quantities of Xcytrin and Antrin. Light Production and Delivery Devices. In connection
with our development of Antrin phototherapy, we have developed certain light
sources and delivery methods, such as lasers and fiber optic devices. We have
purchased laser devices capable of producing the required wavelength of light
for use with Antrin phototherapy. We have acquired, from a contract supplier,
cylindrically diffusing light fibers for animal studies and for use in our
Antrin clinical trials. In addition, we may seek other suppliers of light
delivery devices for clinical trials and commercial purposes, although we cannot
be certain that any agreements will be reached with such suppliers on terms
commercially reasonable to us, if at all. Competition We face intense competition from pharmaceutical
companies, universities, governmental entities and others in the development of
therapeutic and diagnostic agents for the treatment of diseases which we target.
Although the FDA has not yet approved any agents for the
treatment of brain metastases, we expect significant competition in this field,
as we believe that one or more companies, such as Allos Therapeutics, Inc., are
developing and testing products which may compete directly with our Xcytrin
product under development. Allos' product was tested in a Phase 3 trial and
appeared to improve survival in a subset of patients with brain metastases from
breast cancer, although the trial's primary endpoints were not met. These
companies may succeed in developing technologies and products that are more
effective than ours or would render our products or technologies obsolete.
Moreover, certain existing chemotherapy agents also are used as radiation
enhancers. See "Risk Factors - We face rapid technological change and intense
competition." We also face intense competition in the treatment of
atherosclerosis, which currently includes the use of pharmaceutical agents and
devices. Various drugs also have been shown to reduce or prevent
atherosclerosis. Balloon angioplasty and stents are widely used and generally
accepted techniques to reduce the narrowing of vessels by atherosclerosis.
Recently, drug eluting stents have been approved for use in preventing re-
stenosis following balloon angioplasty. No agents or devices have been approved
for treatment of vulnerable plaque. Government Regulation and Product Approval Process The FDA and comparable regulatory agencies in state and
local jurisdictions and in foreign countries impose substantial requirements
upon the clinical development, manufacture and marketing of pharmaceutical
products. These agencies and other federal, state and local entities regulate
research and development activities and the testing, manufacture, quality
control, safety, effectiveness, labeling, storage, record keeping, approval,
advertising and promotion of our products. We believe that our products will be
regulated as drugs or as a combination of drug and device, by the FDA rather
than as biologics or solely devices. The process required by the FDA before our products may be
marketed in the U.S. generally involves the following: preclinical laboratory and animal tests; submission of an Investigational New Drug (IND)
application, which must become effective before clinical trials may begin; adequate and well-controlled human clinical trials to
establish the safety and efficacy of the proposed pharmaceutical in our intended
use; and FDA approval of a new drug application. The testing and approval process requires substantial time,
effort, and financial resources; and we cannot be certain that any approval will
be granted on a timely basis, if at all. Preclinical tests include laboratory evaluation of the
product, its chemistry, formulation and stability, as well as animal studies to
assess the potential safety and efficacy of the product. We then submit the
results of the preclinical tests, together with manufacturing information and
analytical data, to the FDA as part of an IND, which must become effective
before we may begin human clinical trials. The IND automatically becomes
effective 30 days after receipt by the FDA, unless the FDA, within the 30-day
time period, raises concerns or questions about the conduct of the trials as
outlined in the IND. In such a case, the IND sponsor and the FDA must resolve
any outstanding concerns before clinical trials can begin. Our submission of an
IND may not result in FDA authorization to commence clinical trials. Further, an
independent Institutional Review Board at the medical center proposing to
conduct the clinical trials must review and approve any clinical study. Human clinical trials are typically conducted in three
sequential phases which may overlap: Phase 1: The drug is initially introduced
into healthy human subjects or patients and tested for safety, dosage tolerance,
absorption, metabolism, distribution and excretion. Phase 2: Involves studies in a limited
patient population to identify possible adverse effects and safety risks, to
determine the efficacy of the product for specific targeted diseases and to
determine dosage tolerance and optimal dosage. Phase 3: When Phase 2 evaluations
demonstrate that a dosage range of the product is effective and has an
acceptable safety profile, Phase 3 trials are undertaken to further
evaluate dosage, clinical efficacy and to further test for safety in an expanded
patient population at geographically dispersed clinical study sites. In the case of products for severe or life-threatening
diseases such as cancer, the initial human testing is often conducted in
patients rather than in healthy volunteers. Since these patients already have
the target disease, these studies may provide initial evidence of efficacy
traditionally obtained in Phase 2 trials and thus these trials are
frequently referred to as Phase 1/2 trials. We cannot be certain that we
will successfully complete Phase 1, Phase 2 or Phase 3 testing of our
product candidates within any specific time period, if at all. Furthermore, the
FDA, the relevant Institutional Review Board or the sponsor may suspend clinical
trials at any time on various grounds, including a finding that the subjects or
patients are being exposed to an unacceptable health risk. The results of product development, preclinical studies and
clinical studies are submitted to the FDA as part of a new drug application, or
NDA, for approval of the marketing and commercial shipment of the product. The
FDA may not file the NDA for review if the applicable regulatory criteria are
not satisfied or may require additional clinical data. Even if such data is
accepted for filing, the FDA may ultimately decide that the new drug application
does not satisfy the criteria for approval. Once issued, the FDA may withdraw
product approval if compliance with regulatory standards is not maintained or if
problems occur after the product reaches the market. In addition, the FDA may
require testing and surveillance programs to monitor the effect of approved
products which have been commercialized, and the agency has the power to prevent
or limit further marketing of a product based on the results of these
post-marketing programs. On November 21, 1997, President Clinton signed into law the
Food and Drug Administration Modernization Act. That act codified the FDA's
policy of granting "Fast Track" approval for cancer therapies and other
therapies intended to treat severe or life-threatening diseases. Previously, the
FDA approved cancer therapies primarily based on patient survival rates and/or
data on improved quality of life. The FDA considered evidence of partial tumor
shrinkage, while often part of the data relied on for approval, insufficient by
itself to warrant approval of a cancer therapy, except in limited situations.
Under the FDA's new policy, which became effective on February 19, 1998, the FDA
has broadened authority to consider evidence of partial tumor shrinkage or other
clinical outcomes for approval. This new policy is intended to facilitate the
study of cancer therapies and shorten the total time for marketing
approvals. In addition to the drug approval requirements applicable to
our Antrin product for phototherapy of atherosclerosis, we will also need to
obtain FDA approval for the laser and associated light delivery devices used in
such treatments. To obtain approval of such devices, Pharmacyclics and the
manufacturers of such devices must submit additional clinical data obtained from
the use of such devices with Antrin, which may further delay or hinder the
approval process for these photosensitizers. Manufacturers of such light
delivery devices currently are under no obligation to us to file or pursue such
applications, and any delay or refusal on their part to do so could have a
material adverse effect on us. Satisfaction of the above FDA requirements or similar
requirements of state, local and foreign regulatory agencies typically takes
several years and the actual time required may vary substantially, based upon
the type, complexity and novelty of the pharmaceutical product. Government
regulation may delay or prevent marketing of potential products for a
considerable period of time and to impose costly procedures upon our activities.
We cannot be certain that the FDA or any other regulatory agency will grant
approval for any of our products under development on a timely basis, if at all.
Success in preclinical or early stage clinical trials does not assure success in
later stage clinical trials. Data obtained from preclinical and clinical
activities is not always conclusive and may be susceptible to varying
interpretations which could delay, limit or prevent regulatory approval. Even if
a product receives regulatory approval, the approval may be significantly
limited to specific indications. Further, even after regulatory approval is
obtained, later discovery of previously unknown problems with a product may
result in restrictions on the product or even complete withdrawal of the product
from the market. Delays in obtaining, or failures to obtain regulatory approvals
would have a material adverse effect on our business. Marketing our products
abroad will require similar regulatory approvals and is subject to similar
risks. In addition, we cannot predict what adverse governmental regulations may
arise from future U.S. or foreign governmental action. Any products manufactured or distributed by us pursuant to
FDA clearances or approvals are subject to pervasive and continuing regulation
by the FDA, including record-keeping requirements and reporting of adverse
experiences with the drug. Drug manufacturers and their subcontractors are
required to register their establishments with the FDA and certain state
agencies, and are subject to periodic unannounced inspections by the FDA and
certain state agencies for compliance with Good Manufacturing Practices, which
impose certain procedural and documentation requirements upon us and our third
party manufacturers. We cannot be certain that we or our present or future
suppliers will be able to comply with the GMP regulations and other FDA
regulatory requirements. The FDA regulates drug labeling and promotion activities. The
FDA has actively enforced regulations prohibiting the marketing of products for
unapproved uses. Under the Modernization Act of 1997, the FDA will permit the
promotion of a drug for an unapproved use in certain circumstances, but subject
to very stringent requirements. We and our products are also subject to a
variety of state laws and regulations in those states or localities where our
products are or will be marketed. Any applicable state or local regulations may
hinder our ability to market our products in those states or localities. We are
also subject to numerous federal, state and local laws relating to such matters
as safe working conditions, manufacturing practices, environmental protection,
fire hazard control, and disposal of hazardous or potentially hazardous
substances. We may incur significant costs to comply with such laws and
regulations now or in the future. The FDA's policies may change and additional government
regulations may be enacted which could prevent or delay regulatory approval of
our potential products. Moreover, increased attention to the containment of
health care costs in the U.S. and in foreign markets could result in new
government regulations which could have a material adverse effect on our
business. We cannot predict the likelihood, nature or extent of adverse
governmental regulation which might arise from future legislative or
administrative action, either in the U.S. or abroad. Employees As of June 30, 2003, we had 112 employees, 3 of whom were
part-time. Eighty-nine of our employees are engaged in research, development,
preclinical and clinical testing, manufacturing, quality assurance and quality
control and regulatory affairs and 24 in marketing, finance, administration and
operations. Twenty-two of our employees have an M.D. or Ph.D. degree. Our future
performance depends in significant part upon the continued service of our key
scientific, technical and senior management personnel, none of whom is bound by
an employment agreement requiring service for any defined period of time. The
loss of the services of one or more of our key employees could harm our
business. None of our employees are represented by a labor union. We consider
our relations with our employees to be good. Important Factors Regarding Forward-Looking Statements This
report contains forward-looking statements. These statements relate to future
events or our future financial performance. In some cases, you can identify
forward-looking statements by terminology such as "anticipate,"
"believe," "continue," "could,"
"estimate," "expect," "intend," "may,"
"might," "plan," "possible,"
"potential," "predict," "should" or
"will" or the negative of such terms or other comparable terminology.
In particular, forward-looking statements include:
Section 13 or 15(d) of the Securities Exchange Act of 1934
SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended June 30, 2003
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES
EXCHANGE ACT OF 1934
(Exact name of Registrant as Specified in its Charter)
Sunnyvale, California 94085-4521
(Address of Principal Executive Offices including Zip Code)
(408) 774-0330
(Registrant's Telephone Number, Including Area Code)
Common Stock, $.0001 Par Value
No
by reference in Part III of this Form 10-K, or any amendment to
this Form 10-K.
No
was 16,238,434.
for the Registrant's 2003 Annual
Meeting of Stockholders scheduled to be held on December 11, 2003.
FOR THE FISCAL YEAR ENDED JUNE 30, 2003
,
Xcytrin® and Antrin® are registered U.S.
trademarks of Pharmacyclics, Inc. Other trademarks, trade names or service
marks used herein are the property of their respective owners.
- --------------------------------------------------------------------------------------------------
Product Disease Indication Phase of Development(1) Status
- --------------------------------------------------------------------------------------------------
CANCER THERAPY
XCYTRIN Brain metastases from Phase 3 Enrolling (2)
lung cancer
Primary brain tumor Phase 2 Complete
Advanced cancers Phase 1 Enrolling
- --------------------------------------------------------------------------------------------------
Lymphoma Phase 2 Enrolling
Head and neck cancer Phase 1 Enrolling
Pancreatic cancer(3) Phase 1 Enrolling
Childhood gliomas(3) Phase 1 Enrolling
Lung cancer(3) Phase 1 Enrolling
- --------------------------------------------------------------------------------------------------
ATHEROSCLEROSIS THERAPY
ANTRIN Coronary artery disease Phase 1 Complete
Phototherapy
- --------------------------------------------------------------------------------------------------
information concerning possible or assumed future results of operations, trends in financial results and business plans;
statements about our product development schedule;
statements about our expectations for regulatory approvals for any of our product candidates;
statements about the level of our costs and operating expenses;
statements about our future capital requirements and the sufficiency of our cash, cash equivalents, investments and other financing proceeds to meet these requirements;
other statements about our plans, objectives, expectations and intentions; and
other statements that are not historical fact.
From time to time, we also may provide oral or written forward-looking statements in other materials we release to the public. Forward-looking statements are only predictions that provide our current expectations or forecasts of future events. Any or all of our forward-looking statements in this report and in any other public statements are subject to unknown risks, uncertainties and other factors may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, performance or achievements. You should not place undue reliance on these forward-looking statements.
We undertake no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise. You are advised, however, to consult any further disclosures we make on related subjects in our Quarterly Reports on Form 10-Q and Current Reports on Form 8-K. Also note that we provide a cautionary discussion of risks, uncertainties and possibly inaccurate assumptions relevant to our business under the caption Risk Factors in this report. These are risks that we think could cause our actual results to differ materially from expected or historical results.
Factors that may affect future operating results
Risks Related to Pharmacyclics
We operate in an environment that involves a number of risks and uncertainties. The risks and uncertainties described below are not the only risks and uncertainties we face. Additional risks and uncertainties not presently known to us or that we currently deem immaterial also may impair our business operations. If any of the following risks actually occur, our business, results of operations and financial condition would suffer. The risks discussed below also include forward-looking statements, and our actual results may differ substantially from those discussed in these forward-looking statements.
All of our product candidates are in development, and we cannot be certain that any of our products under development will be commercialized
To be profitable, we must successfully research, develop, obtain regulatory approval for, manufacture, introduce, market and distribute our products under development. The time frame necessary to achieve these goals for any individual product is long and uncertain. Before we can sell any of our products under development, we must demonstrate through preclinical (animal) studies and clinical (human) trials that each product is safe and effective for human use for each targeted disease. We have conducted and plan to continue extensive and costly clinical trials to assess the safety and effectiveness of our potential products. We cannot be certain that we will be permitted to begin or continue our planned clinical trials for our potential products, or if permitted, that our potential products will prove to be safe and produce their intended effects.
The completion rate of our clinical trials depends upon, among other factors, the rate of patient enrollment. We may fail to obtain adequate levels of patient enrollment in our clinical trials. Delays in planned patient enrollment may result in increased costs, delays or termination of clinical trials, which could have a material adverse effect on us.
Additionally, demands on our clinical staff have been increasing and we expect they will continue to increase due to our monitoring of additional large-scale clinical trials. We may fail to effectively oversee and monitor these many simultaneous clinical trials, which would result in increased costs or delays of our clinical trials. Even if these clinical trials are completed, we may fail to complete and submit a new drug application as scheduled for many reasons, including, as is the case with our first Phase 3 trial of Xcytrin, failure to meet our primary endpoints. Even if we are able to submit a new drug application, the Food and Drug Administration may refuse to file our application or may not approve our application in a timely manner or at all.
Data already obtained from preclinical studies and clinical trials of our products under development do not necessarily predict the results that will be obtained from later preclinical studies and clinical trials. Moreover, data from clinical trials we are conducting is susceptible to varying interpretations which could delay, limit or prevent regulatory approval. A number of companies in the pharmaceutical industry have suffered significant setbacks in advanced clinical trials, even after promising results in earlier trials. The failure to adequately demonstrate the safety and effectiveness of a product under development could delay or prevent regulatory clearance of the potential product and would materially harm our business. Our clinical trials may not demonstrate the sufficient levels of safety and efficacy necessary to obtain the requisite regulatory approval or may not result in marketable products. In this regard, our initial Phase 3 trial of Xcytrin failed to meet its co-primary endpoints even though our Phase 1b/2 trial showed a benefit for treated patients. The outcome of the current Phase 3 trial may delay or prevent the regulatory clearance of Xcytrin as a treatment for brain metastases in patients with lung cancer and may result in material harm to our business.
We have a history of operating losses and we expect to continue to have losses in the future
We have incurred significant operating losses since our inception in 1991 and, as of June 30, 2003, had an accumulated deficit of approximately $186.6 million. We expect to continue to incur substantial additional operating losses until the commercialization of our products generates sufficient revenues to cover our expenses. Our achieving profitability depends upon our ability, alone or with others, to successfully complete the development of our products under development, and obtain required regulatory clearances and successfully manufacture and market our proposed products. Our lead product, Xcytrin, currently being developed for the potential treatment of brain metastases originating from non-small cell lung cancer, may receive regulatory clearance on a delayed basis or may not receive such clearance at all, which would have a material impact on our ability to become profitable. To date, we have not generated revenue from the commercial sale of our products.
Failure to obtain product approvals or comply with ongoing governmental regulations could adversely affect our business
The manufacture and marketing of our products and our research and development activities are subject to extensive regulation for safety, efficacy and quality by numerous government authorities in the United States and abroad. Before receiving U.S. Food and Drug Administration (FDA) clearance to market a product, we will have to demonstrate that the product is safe and effective on the patient population and for the diseases that will be treated. Clinical trials, and the manufacturing and marketing of products, are subject to the rigorous testing and approval process of the FDA and equivalent foreign regulatory authorities. The Federal Food, Drug and Cosmetic Act and other federal, state and foreign statutes and regulations govern and influence the testing, manufacture, labeling, advertising, distribution and promotion of drugs and medical devices. As a result, clinical trials and regulatory approval can take a number of years to accomplish and require the expenditure of substantial resources. Data obtained from clinical trials are susceptible to varying interpretations which could delay, limit or prevent regulatory clearances. Data from our completed initial Phase 3 clinical trial of Xcytrin was not sufficient to obtain regulatory clearance. Any approval of Xcytrin will require at least an additional clinical trial. Conducting additional large-scale trials will cause significant delays in approval and consume additional resources and may not be sufficient to obtain regulatory clearance.
In addition, we may encounter delays or rejections based upon additional government regulation from future legislation or administrative action or changes in FDA policy during the period of product development, clinical trials and FDA regulatory review. We may encounter similar delays in foreign countries. We may be unable to obtain requisite approvals from the FDA and foreign regulatory authorities and even if obtained, such approvals may not be on a timely basis, or they may not cover the clinical uses that we specify.
Furthermore, clearance may entail ongoing requirements for post-marketing studies. The manufacture and marketing of drugs are subject to continuing FDA and foreign regulatory review and later discovery of previously unknown problems with a product, manufacturer or facility may result in restrictions, including withdrawal of the product from the market. Any of the following events, if they were to occur, could delay or preclude us from further developing, marketing or realizing full commercial use of our products, which in turn would have a material adverse effect on our business, financial condition and results of operations:
Manufacturers of drugs also must comply with the applicable FDA Good Manufacturing Practice regulations, which include quality control and quality assurance requirements as well as the corresponding maintenance of records and documentation. Manufacturing facilities are subject to ongoing periodic inspection by the FDA and corresponding state agencies, including unannounced inspections, and must be licensed before they can be used in commercial manufacturing of our products. We or our present or future suppliers may be unable to comply with the applicable Good Manufacturing Practice regulations and other FDA regulatory requirements. We have not been subject to a Good Manufacturing Practice inspection by the FDA or any state agency. We may be subject to delays in commercializing our products for Antrin phototherapy due to delays in approvals of the third-party light sources required for this product.
Acceptance of our products in the marketplace is uncertain, and failure to achieve market acceptance will harm our business
Even if approved for marketing, our products may not achieve market acceptance. The degree of market acceptance will depend upon a number of factors, including:
Physicians, patients, payors or the medical community in general may be unwilling to accept, utilize or recommend any of our products.
We may fail to adequately protect or enforce our intellectual property rights or secure rights to third-party patents
A number of third-party patent applications have been published, and some have issued, relating to biometallic and expanded porphyrin chemistries. It is likely that competitors and other third parties have and will continue to file applications for and receive patents relating to similar or even the same compositions, methods or designs as those of our products. If any third-party patent claims are asserted against the company's products and are upheld as valid and infringed by our products, we could be prevented from practicing the subject matter claimed in such patents, require license(s) or have to redesign our products or processes to avoid infringement. Such licenses may not be available or, if available, may not be on terms acceptable to us. Alternatively, we may be unsuccessful in any attempt to redesign our products or processes to avoid infringement. Litigation or other legal proceedings may be necessary to defend against claims of infringement, to enforce our patents, or to protect our trade secrets, and could result in substantial cost to the company and diversion of our efforts.
We are aware of several U.S. patents owned or licensed by Schering AG that relate to pharmaceutical formulations and methods for enhancing magnetic resonance imaging. We have obtained the opinion of outside patent counsel that our magnetic resonance imaging detectable compounds do not infringe the claims of such patents. Nevertheless, Schering AG may still choose to assert one or more of those patents. If any of our products were legally determined to be infringing a valid and enforceable claim of any of Schering AG's patents, our business could be materially adversely affected. Further, any allegation by Schering AG that we infringed their patents would likely result in significant legal costs and require the diversion of substantial management resources. We are aware that Schering AG has asserted patent rights against at least one other company in the contrast agent imaging market and that a number of companies have entered into licensing arrangements with Schering AG with respect to one or more of such patents. We cannot be certain that we would be successful in defending a lawsuit or able to obtain a license on commercially reasonable terms from Schering AG, if required.
We also rely upon trade secrets, technical know-how and continuing technological innovation to develop and maintain our competitive position. We require our employees, consultants, advisors and the like to execute appropriate confidentiality and assignment-of-inventions agreements with us. These agreements typically provide that all materials and confidential information developed or made known to the individual during the course of the individual's relationship with us is to be kept confidential and not disclosed to third parties, except in specific circumstances, and that all inventions arising out of the relationship with Pharmacyclics shall be our exclusive property. These agreements may be breached, and in some instances, we may not have an appropriate remedy available for breach of the agreements. Furthermore, our competitors may independently develop substantially equivalent proprietary information and techniques, reverse engineer our information and techniques, or otherwise gain access to our proprietary technology. We may be unable to meaningfully protect our rights in unpatented proprietary technology.
We rely heavily on third parties
We currently depend heavily and will depend heavily in the future on third parties for support in product development, clinical development, manufacturing, marketing and distribution of our products. We rely on contract clinical research organizations (CROs) for various aspects of our clinical development activities including clinical trial monitoring, data collection and data management. Any failure of such CROs to successfully accomplish these activities could have a material adverse effect on our ability to complete clinical development of our products.
We have no expertise in the development of light sources and associated light delivery devices required for our Antrin phototherapy product under development. Successful development, manufacturing, approval and distribution of this product will require third party participation for the required light sources, associated light delivery devices and other equipment. Failure to develop such relationships may require us to develop additional supply sources which may require additional clinical trials and regulatory approvals and could materially delay commercialization of our Antrin product under development. We may be unable to establish or maintain relationships with other supply sources on a commercially reasonable basis, if at all, or alternatively, the enabling devices may not receive regulatory approval.
We have limited manufacturing experience and thus rely heavily upon contract manufacturers
We have no manufacturing facilities and we currently rely on third parties for manufacturing and storage activities related to all of our products in development. Our manufacturing strategy presents the following risks:
Any of these factors could delay clinical trials or commercialization of our products under development and entail higher costs.
We lack marketing and sales experience
We currently have limited marketing, sales and distribution experience. We must develop a sales force with technical expertise. We have no experience in developing, training or managing a sales force. We will incur substantial additional expenses in developing, training and managing such an organization. We may be unable to build such a sales force, the cost of establishing such a sales force may exceed any product revenues, or our direct marketing and sales efforts may be unsuccessful. In addition, we compete with many other companies that currently have extensive and well-funded marketing and sales operations. Our marketing and sales efforts may be unable to compete successfully against those of such other companies.
Our capital requirements are uncertain and we may have difficulty raising needed capital in the future
We have expended and will continue to expend substantial funds to complete the research, development and clinical testing of our products. We will expend additional funds for these purposes, to establish additional clinical-and commercial-scale manufacturing arrangements and to provide for the marketing and distribution of our products. In this regard, we may require additional funds to complete our current Phase 3 trial with Xcytrin for the potential treatment of brain metastases in lung cancer patients.
Additional funds may not be available on acceptable terms, if at all. If adequate funds are unavailable from operations or additional sources of financing, we may have to delay, reduce the scope of or eliminate one or more of our research or development programs which would materially and adversely affect our business, financial condition and operations.
We believe that our cash, cash equivalents and investments, will be adequate to satisfy our capital needs through at least fiscal year 2005. As described in Item 7., Management's Discussion and Analysis of Financial Condition and Results of Operations, this is a forward-looking statement and is subject to risks and uncertainties. Our actual capital requirements will depend on many factors, including:
We may seek to raise any necessary additional funds through equity or debt financings, collaborative arrangements with corporate partners or other sources which may be dilutive to existing stockholders or subject us to restrictive covenants. In addition, in the event that additional funds are obtained through arrangements with collaborative partners or other sources, such arrangements may require us to relinquish rights to some of our technologies, product candidates or products under development that we would otherwise seek to develop or commercialize ourselves.
Risks Related to Our Industry
We face rapid technological change and intense competition
The pharmaceutical industry is subject to rapid and substantial technological change. Developments by others may render our products under development or technologies noncompetitive or obsolete, or we may be unable to keep pace with technological developments or other market factors. Technological competition in the industry from pharmaceutical and biotechnology companies, universities, governmental entities and others diversifying into the field is intense and is expected to increase. Many of these entities have significantly greater research and development capabilities than we do, as well as substantially more marketing, manufacturing, financial and managerial resources. These entities represent significant competition for us. Acquisitions of, or investments in, competing pharmaceutical or biotechnology companies by large corporations could increase such competitors' financial, marketing, manufacturing and other resources.
We are a relatively new enterprise and are engaged in the development of novel therapeutic technologies. As a result, our resources are limited and we may experience technical challenges inherent in such novel technologies.
Competitors have developed or are in the process of developing technologies that are, or in the future may be, the basis for competitive products. Some of these products may have an entirely different approach or means of accomplishing similar therapeutic effects than our products. Our competitors may develop products that are safer, more effective or less costly than our products and, therefore, present a serious competitive threat to our product offerings.
The widespread acceptance of therapies that are alternatives to ours may limit market acceptance of our products even if commercialized. The diseases for which we are developing our therapeutic products can also be treated, in the case of cancer, by surgery, radiation and chemotherapy, and in the case of atherosclerosis, by surgery, angioplasty, drug therapy and the use of devices to maintain and open blood vessels. These treatments are widely accepted in the medical community and have a long history of use. The established use of these competitive products may limit the potential for our products to receive widespread acceptance if commercialized.
The price of our common stock may be volatile
The market prices for securities of small capitalization biotechnology companies, including ours, have historically been highly volatile. The market has from time to time experienced significant price and volume fluctuations unrelated to the operating performance of particular companies. The market price of our common stock may fluctuate significantly due to a variety of factors, including:
In addition, if any of the risks described in these "Risk Factors" actually occurred, it could have a dramatic and material adverse impact on the market price of our common stock.
We are subject to uncertainties regarding health care reimbursement and reform
The continuing efforts of government and insurance companies, health maintenance organizations and other payors of healthcare costs to contain or reduce costs of health care may affect our future revenues and profitability, and the future revenues and profitability of our potential customers, suppliers and collaborative partners and the availability of capital. For example, in certain foreign markets, pricing or profitability of prescription pharmaceuticals is subject to government control. In the United States, given recent federal and state government initiatives directed at lowering the total cost of health care, the U.S. Congress and state legislatures will likely continue to focus on health care reform, the cost of prescription pharmaceuticals and on the reform of the Medicare and Medicaid systems. While we cannot predict whether any such legislative or regulatory proposals will be adopted, the announcement or adoption of such proposals could have a material adverse effect on our business, financial condition and results of operations.
Our ability to commercialize our products successfully will depend in part on the extent to which appropriate reimbursement levels for the cost of our products and related treatment are obtained from governmental authorities, private health insurers and other organizations, such as HMOs. Third-party payors are increasingly challenging the prices charged for medical products and services. Also, the trend toward managed health care in the United States and the concurrent growth of organizations such as HMOs, which could control or significantly influence the purchase of health care services and products, as well as legislative proposals to reform health care or reduce government insurance programs, may all result in lower prices for or rejection of our products. The cost containment measures that health care payors and providers are instituting and the effect of any health care reform could materially adversely affect our ability to operate profitably.
Our business exposes us to product liability claims
The testing, manufacture, marketing and sale of our products involve an inherent risk that product liability claims will be asserted against us. Although we are insured against such risks in connection with clinical trials and commercial sales of our products, our present product liability insurance may be inadequate. A successful product liability claim in excess of our insurance coverage could have a material adverse effect on our business, financial condition and results of operations. Any successful product liability claim may prevent us from obtaining adequate product liability insurance in the future on commercially desirable or reasonable terms. In addition, product liability coverage may cease to be available in sufficient amounts or at an acceptable cost. An inability to obtain sufficient insurance coverage at an acceptable cost or otherwise to protect against potential product liability claims could prevent or inhibit the commercialization of our pharmaceutical products. A product liability claim or recall would have a material adverse effect on our reputation, business, financial condition and results of operations.
Our business involves environmental risks
In connection with our research and development activities and our manufacture of materials and products, we are subject to federal, state and local laws, rules, regulations and policies governing the use, generation, manufacture, storage, air emission, effluent discharge, handling and disposal of certain materials, biological specimens and wastes. Although we believe that we have complied with the applicable laws, regulations and policies in all material respects and have not been required to correct any material noncompliance, we may be required to incur significant costs to comply with environmental and health and safety regulations in the future. Our research and development involves the controlled use of hazardous materials, including but not limited to certain hazardous chemicals and radioactive materials. Although we believe that our safety procedures for handling and disposing of such materials comply with the standards prescribed by state and federal regulations, we cannot completely eliminate the risk of accidental contamination or injury from these materials. In the event of such an occurrence, we could be held liable for any damages that result and any such liability could exceed our resources.
Executive Officers and Directors
Executive officers and directors of the company, and their ages as of August 31, 2003, are as follows:
|
Name |
Age |
Position |
|
Richard A. Miller, M.D. |
52 |
President, Chief Executive Officer and Director |
|
Timothy G. Whitten |
46 |
Senior Vice President, Commercial Operations |
|
Leiv Lea |
49 |
Vice President, Finance and Administration and Chief Financial Officer and Secretary |
|
Hugo Madden, Ph.D. |
54 |
Vice President, Chemical Operations |
|
See-Chun Phan, M.D. |
39 |
Vice President, Clinical Research |
|
Markus F. Renschler, M.D. |
42 |
Vice President, Oncology Clinical Development |
|
Miles R. Gilburne (2)(3) |
52 |
Director |
|
Loretta M. Itri, M.D. (2)(3) |
54 |
Director |
|
Richard M. Levy, Ph.D. (1)(3) |
65 |
Director |
|
William R. Rohn (1)(3) |
60 |
Director |
|
Craig C. Taylor (2)(3) |
53 |
Director |
__________
(1) Member of Compensation Committee.
(2) Member of Audit Committee.
(3) Member of Nominating and Corporate Governance Committee.
Dr. Miller has served as President, Chief Executive Officer and a Director since he co-founded the company in April 1991. Dr. Miller was a co-founder of IDEC Pharmaceuticals Corporation and from 1984 to February 1992 served as Vice President and a Director. Dr. Miller also is a Clinical Professor of Medicine (Oncology) at Stanford University Medical Center. Dr. Miller received his M.D. from the State University of New York Medical School and is board certified in both Internal Medicine and Medical Oncology.
Mr. Whitten has served as Senior Vice President, Commercial Operations since September 2001. From 1985 through 2001, Mr. Whitten served in a variety of positions at Bristol-Myers Squibb, most recently as: Vice President, Global Marketing, Oncology, from February 2000 to September 2001; Vice President Global Marketing, Oncology and Immunology from February 1999 to February 2000; Vice President, Pravastatin Initiative, from November 1997 to February 1999; Vice President, Marketing, Oncology and Immunology for the U.S. Business Unit, from April 1996 to October 1997. Mr. Whitten received his B.S. in Pharmacy from West Virginia University and an M.B.A. from the University of Virginia.
Mr. Lea has served as Vice President, Finance and Administration and Chief Financial Officer since December 1998 and Secretary since June 2003. Prior to that, Mr. Lea served as Vice President, Finance and Administration from December 1997 to December 1998. From September 1996 through November 1997, he served as a financial consultant for high technology companies and was Acting Chief Financial Officer for Global Village Communications, Inc. From 1987 through June 1996 he served as Vice President and Chief Financial Officer of Margaux, Inc., a public company that manufactured refrigeration equipment. Mr. Lea received a B.S. degree in Agricultural Economics from the University of California, Davis and an M.B.A. from the University of California, Los Angeles.
Dr. Madden has served as Vice President, Chemical Operations since June 1998. From 1995 to June 1998, he served as Plant Manager and as Director of Process Development at Catalytica Pharmaceuticals, Inc., a contract pharmaceutical manufacturer. From 1977 to 1995, Dr. Madden served in a variety of positions with Syntex Corporation, a pharmaceutical company. His positions at Syntex included Technical Director at the Bahamas Chemical Division and Manager of Process Development and Engineering at the Technology Center in Boulder, Colorado. Dr. Madden received a B.A. degree in Chemistry from the University of Oxford and a Ph.D. from the University of London.
Dr. Phan has served as Vice President, Clinical Research since June 2003. Prior to that, Dr. Phan served as Director, Clinical Development from June 2000 to June 2003 and as Associate Director, Clinical Development from July 1998 to June 2000. Dr. Phan trained in Internal Medicine, Hematology and Medical Oncology at Stanford University. He is board certified in Internal Medicine and Medical Oncology. Dr. Phan received his M.D. from Columbia University College of Physicians and Surgeons and his B.S. degree in Molecular Biophysics and Biochemistry from Yale University.
Dr. Renschler has served as Vice President, Oncology Clinical Development since May 2001. Prior to that, Dr. Renschler served as Senior Director of Clinical Development from May 1998 to May 2001. Prior to that, Dr. Renschler served as Director of Clinical Development from January 1996 to May 1998. Dr. Renschler is also a Clinical Assistant Professor of Medicine/Oncology at Stanford University School of Medicine. He is board certified both in Medical Oncology and Internal Medicine. Dr. Renschler received his M.D. from Stanford University and a B.A. degree in Public and International Affairs from Princeton University.
Mr. Gilburne was elected as a Director of the company in March 2000. Mr. Gilburne has been a managing member of ZG Ventures, a venture capital and investment company since 2000. From February 1995 through December 1999, he was Senior Vice President, Corporate Development for America Online, Inc., an internet services company. He is currently a member of the board of directors of AOL Time Warner Inc. Prior to joining America Online, Mr. Gilburne was a founding partner of the Silicon Valley office of the law firm of Weil, Gotshal and Manges and a founding partner of the Cole Gilburne Fund, an early stage venture capital fund focused on information technology. Mr. Gilburne received an A.B. degree from Princeton University and a law degree from the Harvard Law School.
Dr. Itri was elected as a Director of the company in July 2001. She has served as President, Pharmaceutical Development, and Chief Medical Officer of Genta Incorporated, a biopharmaceutical company since May 2003. She joined Genta in March 2001 as Executive Vice President, Clinical Development and Chief Medical Officer. From November 1990 to January 2000 she was Senior Vice President, Worldwide Clinical Affairs, and Chief Medical Officer at Ortho Biotech Inc., a Johnson & Johnson Company. Dr. Itri earned her M.D. from New York Medical College, and is Board certified in Internal Medicine. She completed a fellowship in Medical Oncology at Memorial Sloan-Kettering Cancer Center.
Dr. Levy was elected as a Director of the company in June 2000. He has served as President and Chief Executive Officer and a director of Varian Medical Systems, Inc., a medical equipment company, since April 1999 and as its Chairman of the Board since February 2003, and as Executive Vice President of Varian Associates, Inc., the predecessor company from which Varian Medical Systems, Inc. was spun out, since 1992. Dr. Levy holds a B.A. degree from Dartmouth College and a Ph.D. in nuclear chemistry from the University of California at Berkeley.
Mr. Rohn was elected as a Director of the company in March 2000. He has served as the President and Chief Operating Officer of IDEC Pharmaceuticals Corporation, a biopharmaceutical company, since January 2002. He joined IDEC in August 1993 as Senior Vice President, Commercial and Corporate Development and was appointed Senior Vice President, Commercial Operations in April 1996 and Chief Operating Officer in May 1998. On June 23, 2003 IDEC announced its proposed merger with Biogen, Inc. The transaction remains subject to various closing conditions, including approval of the stockholders of IDEC and Biogen and other regulatory approvals and filings and is expected to be completed late in the third quarter or early in the fourth quarter of 2003. From 1984 to 1993, he was employed by Adria Laboratories, most recently as Senior Vice President of Sales and Marketing. Mr. Rohn is currently a Director of Cerus Corporation. Mr. Rohn received a B.A. in Marketing from Michigan State University.
Mr. Taylor was elected as a Director of the company in June 1991. Mr. Taylor is a General Partner of AMC Partners 89, L.P., and the General Partner of Asset Management Associates 1989, L.P., a private venture capital partnership. Mr. Taylor has been a Managing Member of Alloy Ventures, a venture management firm which succeeded Asset Management Company (the prior management firm for the Asset Management funds), since 1998. Mr. Taylor had been with Asset Management Company from 1977 to 1998, as General Partner since 1982. Mr. Taylor is a Director of Lynx Therapeutics, Inc. and several private companies. Mr. Taylor holds B.S. and M.S. degrees in Physics from Brown University and an M.B.A. from Stanford University.
Our corporate offices are located in Sunnyvale, California, where we lease approximately 90,000 square feet under two leases that expire in December 2003 and December 2007. We have subleased 18,000 square feet of this space through December 2003. These facilities include administrative and research and development space. Both leases are non-cancelable operating leases. We believe that our existing facilities are adequate to meet our current and foreseeable needs or that suitable additional space will be available as needed.
None.
Item 4. Submission of Matters to a Vote of Security Holders
None.
PART II
Item 5. Market for Registrant's Common Equity and Related Stockholder Matters
Our common stock began trading publicly on the Nasdaq Stock Market on October 24, 1995 and is traded under the symbol "PCYC." Prior to that date, there was no public market for our common stock. The following table sets forth for the periods indicated the high and low sales prices of the common stock.
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FISCAL YEAR ENDED JUNE 30, 2002
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FISCAL YEAR ENDED JUNE 30, 2003
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As of June 30, 2003, there were 163 holders of record of our common stock. We have not paid cash dividends on our common stock since our inception and we do not anticipate paying any in the foreseeable future.
Item 6. Selected Financial Data
The data set forth below should be read in conjunction with Management's Discussion and Analysis of Financial Condition and Results of Operations and the financial statements and related notes included elsewhere herein.
Period
from
Inception
(April 1991)
Years Ended June 30, through
----------------------------------------------------- June 30,
2003 2002 2001 2000 1999 2003
--------- --------- --------- --------- --------- ---------
(in thousands, except per share amounts)
STATEMENT OF OPERATIONS DATA:
Revenues:
License, milestone and grant
revenues ............................ $ -- $ -- $ -- $ 1,000 $ 750 $ 7,855
Contract revenues ..................... -- -- 3,121 604 1,291 5,847
--------- --------- --------- --------- --------- ---------
Total revenues .................... -- -- 3,121 1,604 2,041 13,702
--------- --------- --------- --------- --------- ---------
Operating expenses:
Research and development .............. 23,912 33,981 37,974 28,590 21,889 197,479
Marketing, general and administrative . 6,167 7,791 6,548 4,409 2,762 35,739
--------- --------- --------- --------- --------- ---------
Total operating expenses .......... 30,079 41,772 44,522 32,999 24,651 233,218
--------- --------- --------- --------- --------- ---------
Loss from operations .................... (30,079) (41,772) (41,401) (31,395) (22,610) (219,516)
Interest income ......................... 1,809 5,152 10,604 7,778 3,398 34,508
Interest expense and other
income (expense), net ................ (28) 45 (128) (13) (34) (1,557)
--------- --------- --------- --------- --------- ---------
Net loss................................. $ (28,298) $ (36,575) $ (30,925) $ (23,630) $ (19,246) $(186,565)
========= ========= ========= ========= ========= =========
Basic and diluted net
loss per share(1)..................... $ (1.75) $ (2.27) $ (1.92) $ (1.60) $ (1.55)
========= ========= ========= ========= =========
Shares used to compute basic and
diluted net loss per share(1) ......... 16,205 16,143 16,075 14,723 12,378
========= ========= ========= ========= =========
June 30,
-----------------------------------------------------
2003 2002 2001 2000 1999
--------- --------- --------- --------- ---------
(in thousands)
BALANCE SHEET DATA:
Cash, cash equivalents and marketable
securities ............................ $ 87,735 $ 114,918 $ 152,782 $ 178,247 $ 50,005
Total assets ............................ 91,853 121,012 160,973 185,123 55,557
Capital lease obligations ............... -- -- -- 59 275
Deficit accumulated during
development stage ..................... (186,565) (158,267) (121,692) (90,767) (67,137)
Total stockholders' equity .............. 89,410 117,608 154,355 181,414 49,957
__________
(1) See Note 1 to the financial statements for a description of the computation of basic and diluted net loss per share.
Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations
In addition to historical information, this report contains predictions, estimates and other forward looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended and Section 21E of the Securities Exchange Act of 1934, as amended. Actual results could differ materially from any future performance suggested in this report as a result of the factors, including those discussed in "Risk Factors," elsewhere in this report.
Overview
Pharmacyclics is a pharmaceutical company focused on the development of products that improve existing therapeutic approaches to cancer and atherosclerosis. To date we have devoted substantially all of our resources to the research and development of our products and have not derived any commercial revenues from the sale of our products. We have two primary drug products, or research and development programs, for which we are currently focusing our efforts: Xcytrin® and Antrin®.
We have begun enrollment in a pivotal Phase 3 trial of Xcytrin for the potential treatment of lung cancer patients with brain metastases. This randomized controlled study, known as the SMART (Study of Neurologic Progression with Motexafin Gadolinium And Radiation Therapy) trial, will enroll about 550 patients; and we plan to complete enrollment in this trial in the fourth quarter of calendar 2004. The trial will compare the effects of whole brain radiation therapy (WBRT) alone to WBRT plus Xcytrin in lung cancer patients with brain metastases. The primary efficacy endpoint will be time to neurologic progression as determined by a blinded events-review committee. Survival and neurocognitive function will also be assessed as secondary endpoints of the trial. We requested and received a Special Protocol Assessment from the FDA for the SMART trial. Special Protocol Assessment provides for sponsors of clinical trials to receive official FDA evaluation, guidance and agreement on pivotal trials that will form the basis for final approval.
The SMART trial is based on the results of our completed large randomized trial in patients with brain metastases from solid tumors. That trial enrolled 401 patients and compared WBRT alone to WBRT plus Xcytrin. The primary end points were survival and time to neurologic progression. The overall trial did not meet its end points, but a benefit was seen in lung cancer, the largest sub-group of patients (N=251). There was an improvement in time to neurologic progression as assessed by investigators and by a blinded events review committee for lung cancer patients receiving Xcytrin. Lung cancer patients treated with Xcytrin were also found to have a reduction in death due to brain tumor progression as assessed by investigators and had improved time to neurocognitive progression.
We have completed patient enrollment in a multicenter Phase 2 trial with Xcytrin for the treatment of glioblastoma multiforme, a malignant primary brain tumor. We have begun Phase 2 clinical trials with Xcytrin used alone in hematologic cancers such as lymphoma. Phase 1 trials are underway evaluating Xcytrin given in combination with doxorubicin and with docetaxel (Taxotere®) for lung, prostate, ovarian and breast cancer and combined with radiation and chemotherapy for the treatment of newly diagnosed, advanced head and neck cancer patients. Through our Cooperative Research and Development Agreement, the National Cancer Institute is conducting Phase 1 trials of Xcytrin for treatment of both primary adult and pediatric brain tumors, pancreatic cancer and lung cancer.
We also completed a Phase 1 clinical trial with Antrin phototherapy for the treatment of coronary artery disease in patients receiving balloon angioplasty and stents. This study was primarily designed to evaluate the safety of various doses of drug and light. Results of this trial were published in the September 2003 issue of the journal Circulation. 79 patients were treated on this protocol, which demonstrated the safety and feasibility of Antrin phototherapy and determined optimum doses of drug and light for future trials. No major treatment-related angiographic or biochemical adverse effects or abnormalities were observed and no dose-limiting toxicities were noted. No instances of emergency coronary artery bypass, death, stroke or myocardial infarction occurred in patients who received both Antrin infusion and endovascular illumination and activation of the drug. The most frequently reported side effects were mild, transient rash and reversible mild tingling in the hands and feet, some of which lasted days to weeks, but did not require clinical intervention.
We have incurred significant operating losses since our inception in 1991, and as of June 30, 2003, had an accumulated deficit of approximately $186.6 million. We expect to continue to incur significant operating losses until the commercialization of our products generates sufficient revenues to cover our expenses. We expect that losses will fluctuate from quarter to quarter and that such fluctuations may be substantial. Our achieving profitability depends upon our ability, alone or with others, to successfully complete the development of our products under development, and obtain required regulatory clearances and successfully manufacture and market our products. See "Risk Factors - All of our product candidates are in development, and we cannot be certain that any of our products under development will be commercialized," "- Acceptance of our products in the marketplace is uncertain, and failure to achieve market acceptance will harm our business," "- We have a history of operating losses and we expect to continue to have losses in the future," "- Failure to obtain product approvals or comply with ongoing governmental regulations could adversely affect our business" and "- Our capital requirements are uncertain and we may have difficulty raising needed capital in the future."
Results of Operations
Comparison of Years Ended June 30, 2003, 2002 and 2001
Revenues. We had no revenues for the years ended June 30, 2003 and 2002, and revenues of $3,121,000 for the year ended June 30, 2001. Revenues for the year ended June 30, 2001 resulted primarily from a non-recurring fee paid by Nycomed to terminate their collaboration agreement to sell and market a photodynamic therapy cancer product outside the United States, Canada and Japan and contract revenue received from Nycomed prior to the termination of the agreement.
Research and Development Expenses. Research and development expenses were $23,912,000, $33,981,000 and $37,974,000 for the years ended June 30, 2003, 2002, and 2001, respectively. The $10,069,000 decrease from 2002 to 2003 was primarily due to a reduction in headcount, the timing of clinical trial expenses related to our Xcytrin program and continued reduced spending on our Antrin program. The $3,993,000 decrease from 2001 to 2002 was primarily due to decreased expenses with our Antrin program. Direct costs consist of personnel costs directly associated with a program, preclinical study costs, clinical trial costs, and related clinical drug and device development and manufacturing costs, drug formulation costs, contract services and other research expenditures. Indirect costs consist of personnel costs not directly associated with a program, overhead and facility costs and other support service expenses.
Research and development costs are identified as either directly attributed to one of our research and development programs or as an indirect cost, with only direct costs being tracked by specific program. Prior to 1999, we did not track our historical research and development costs by specific program. For this reason we cannot accurately estimate our total historical costs on a specific program basis. Direct costs by program and indirect costs are as follows:
Program 2003 2002 2001
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