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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
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ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934 |
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FOR THE FISCAL YEAR ENDED DECEMBER 31, 2004 |
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OR |
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934 |
COMMISSION FILE NUMBER 0-19871
STEMCELLS, INC.
(Exact name of Registrant as specified in its charter)
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Delaware
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94-3078125 |
(State or other jurisdiction
of incorporation or organization) |
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(I.R.S. Employer
Identification No.) |
3155 PORTER DRIVE, PALO ALTO, CA 94304
(Address of principal offices) (zip code)
Registrants telephone number, including area code:
(650) 475 3100
Securities registered pursuant to Section 12(b) of the
Act:
NONE
Securities registered pursuant to Section 12(g) of the
Act:
COMMON STOCK, $.01 PAR VALUE
JUNIOR PREFERRED STOCK PURCHASE RIGHTS
Title of class
Indicate by check mark whether the Registrant (1) has filed
all reports required to be filed by Section 13 or 15(d) of
the Securities Exchange Act of 1934 during the preceding
12 months (or for such shorter period that the registrant
was required to file such reports), and (2) has been
subject to such filing requirements for the past
90 days. Yes þ No o
Indicate by check mark if disclosure of delinquent filers
pursuant to Item 405 of Regulation S-K is not
contained herein, and will not be contained, to the best of
registrants knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this
Form 10-K or any amendment to this
Form 10-K. þ
Indicate by check mark whether the registrant is an accelerated
filer as defined in Exchange Act
Rule 126(2). Yes þ No o
Aggregate market value of Common Stock held by non-affiliates at
June 30, 2004: $81,006,548. Inclusion of shares held
beneficially by any person should not be construed to indicate
that such person possesses the power, direct or indirect, to
direct or cause the direction of management policies of the
registrant, or that such person is controlled by or under common
control with the Registrant.
Common stock outstanding at March 8, 2005:
62,417,451 shares.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the registrants definitive Proxy Statement
relating to the registrants 2005 Annual Meeting of
Stockholders to be filed with the Commission pursuant to
Regulation 14A are incorporated by reference in
Part III of this report.
FORWARD LOOKING STATEMENTS
THIS REPORT CONTAINS FORWARD-LOOKING STATEMENTS AS DEFINED UNDER
THE FEDERAL SECURITIES LAWS. ACTUAL RESULTS COULD VARY
MATERIALLY. FACTORS THAT COULD CAUSE ACTUAL RESULTS TO VARY
MATERIALLY ARE DESCRIBED HEREIN AND IN OTHER DOCUMENTS FILED
WITH THE SECURITIES AND EXCHANGE COMMISSION. READERS SHOULD PAY
PARTICULAR ATTENTION TO THE CONSIDERATIONS DESCRIBED IN THE
SECTION OF THIS REPORT ENTITLED MANAGEMENTS
DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS AS WELL AS EXHIBIT 99 TO THIS REPORT,
ENTITLED CAUTIONARY FACTORS RELEVANT TO FORWARD-LOOKING
INFORMATION. READERS SHOULD ALSO CAREFULLY REVIEW ANY RISK
FACTORS DESCRIBED IN OTHER DOCUMENTS WE FILE FROM TIME TO TIME
WITH THE SECURITIES AND EXCHANGE COMMISSION.
Table of Contents
2
Overview
We are engaged in research aimed at the development of therapies
that would use stem and progenitor cells to treat, and possibly
cure, human diseases and injuries such as neurodegenerative
diseases (for instance, Battens, Parkinsons, and
Alzheimers diseases, and other metabolic genetic
disorders), demyelinating disorders (for instance, Multiple
Sclerosis), spinal cord injuries, stroke, hepatitis, chronic
liver failure, and diabetes. We believe that our stem cell
technologies, if successfully developed, may provide the basis
for effective therapies for these and other conditions. Our aim
is to return patients to productive lives and significantly
reduce the substantial health care costs often associated with
these diseases and disorders. The body uses certain key cells
known as stem cells to produce all the functional mature cell
types found in normal organs of healthy individuals. Progenitor
cells are cells that have already developed from the stem cells,
but can still produce one or more types of mature cells within
an organ. We use cells derived from fetal or adult tissue
sources, and are not developing embryonic stem cells for
therapeutic use. Neither are we involved in any activity
directed toward human cloning; our programs are all directed
toward the use of tissue-derived cells for treating or curing
diseases and injuries.
Many diseases, such as Alzheimers, Parkinsons,
lysosomal storage diseases and other degenerative diseases of
the brain or nervous system, involve the failure of organs that
cannot be transplanted. Other diseases, such as hepatitis and
diabetes, involve organs such as the liver or pancreas that can
be transplanted, but there is a very limited supply of those
organs available for transplant. We estimate that these neural,
liver and pancreatic conditions affect more than 50 million
people in the United States and account for more than
$300 billion annually in health care costs.(1)
Our stem cell discovery engine relies upon our state of the art
cell sorting capabilities and our library of proprietary
monoclonal antibodies to human proteins. Using this library of
monoclonal antibodies, we have successfully identified,
purified, and characterized the human central nervous system
stem cell. We have also used our proprietary monoclonal
antibodies to make significant advances in our search for stem
or progenitor cells of the liver and the pancreas. We have
established an intellectual property position in all three areas
of our stem cell research the nervous system, the
liver and the pancreas by patenting our discoveries
and entering into exclusive in-licensing arrangements. We
believe that, if successfully developed, our platform of stem
cell technologies may create the basis for therapies that would
address a number of conditions with significant unmet medical
needs. We are concentrating our efforts on the preclinical and
clinical development of our neural stem cell program and
research endeavors in characterizing the candidate
stem/progenitor cells for the liver and pancreas programs.
In late December 2004, we submitted our first Investigational
New Drug application (IND), for a clinical trial in Batten
Disease. That IND is currently on clinical hold, and discussions
with the U.S. Food and Drug Administration (FDA) are
continuing as the Company formulates plans to respond to the
FDAs questions and concerns.
Cell Therapy Background
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Role of Cells in Human Health and Traditional
Therapies |
Cells maintain normal physiological function in healthy
individuals by secreting or metabolizing substances, such as
sugars, amino acids, neurotransmitters and hormones, which are
essential to life. When
(1) This estimate is based on information from the
Alzheimers Association, the Alzheimers Disease
Education & Referral Center (National Institute on
Aging), the National Institutes of Healths National
Institute on Neurological Disorders and Stroke, the Foundation
for Spinal Cord Injury Prevention, Care & Cure, the
Centers for Disease Control and Prevention, the American
Association of Diabetes Educators, the University of Georgia
College of Pharmacy, the Wisconsin Chapter of the
Huntingtons Disease Society of America, the Cincinnati
Childrens Hospital Medical Center, JAIDs, the American
Liver Foundation, the Northwest Parkinsons Foundation and
the Parkinsons Action Network.
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cells are damaged or destroyed, they no longer produce,
metabolize or accurately regulate those substances. Impaired
cellular function is associated with the progressive decline
common to many degenerative diseases of the nervous system, such
as Parkinsons disease and Alzheimers disease. Recent
advances in medical science have identified cell loss or
impaired cellular function as leading causes of degenerative
diseases. Biotechnology advances have led to the identification
of some of the specific substances or proteins that are
deficient in some diseases, such as dopamine which is deficient
in the brains of individuals with Parkinsons disease as a
result of the loss of dopamine producing neurons. While
administering these substances or proteins as medication does
overcome some of the limitations of traditional pharmaceuticals
such as lack of specificity, there is no existing technology
that can deliver them to the precise sites of action and in the
appropriate physiological regulation and quantities or for the
duration required to cure the degenerative condition. Cells,
however, can do this naturally. As a result, investigators have
considered supplementing the failing cells that are no longer
producing the needed substances or proteins by implanting stem
or progenitor cells. Where there has been irreversible tissue
damage or organ failure, transplantation of these stem or
progenitor cells offers the possibility of generating new and
healthy mature cells, thus potentially restoring the organ
function and the patients health.
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The Potential of our Tissue-Derived Stem Cell-Based
Therapy |
We believe that, if successfully developed, stem cell-based
therapy the use of stem or progenitor cells to treat
diseases has the potential to provide a broad
therapeutic approach comparable in importance to traditional
pharmaceuticals and genetically engineered biologics.
Stem cells are rare and only available in limited supply,
whether from the patients themselves or from donors. Cells
obtained from the same person who will receive them may be
abnormal if the patient is ill or the tissue is contaminated
with disease-causing cells. Also, such cells can often be
obtained only through significant surgical procedures. The
challenge, therefore, has been three-fold:
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1) to identify the stem or progenitor cells of a particular
organ; |
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2) to create techniques and processes that can be used to
expand these rare cells in sufficient quantities to transplant
into multiple patients; and |
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3) to establish a bank of normal human stem or progenitor
cells that can be used for transplantation into individuals
whose own cells are not suitable because of disease or other
reasons. |
We have developed techniques for discovering novel monoclonal
antibodies that can be used to label markers on the cell surface
to identify and isolate specific cell types, and particularly
stem and progenitor cells. This methodology allows us to purify
the stem cell population and eliminate other unwanted cell
types. For example, we have discovered and patented the use of
monoclonal antibodies to identify human central nervous system,
or CNS, stem cells, as well as a candidate human liver stem-like
cell and a candidate pancreatic stem/progenitor cell.
We have also developed a process, based on a proprietary
in vitro culture system in chemically defined media,
that reproducibly grows normal human CNS, stem and progenitor
cells. We believe this is the first reproducible process for
growing normal human CNS stem cells. Together, these discoveries
enable us to select normal human CNS stem cells and to expand
them in culture to produce a large number of pure stem cells.
This process facilitates the banking of large quantities of
individual vials of these cells, which could then be used for
distribution to transplant centers worldwide for administration
to patients.
Because these cells have not been genetically modified, they may
be especially suitable for transplantation and may provide a
safer and more effective alternative to therapies that are based
on cells derived from cancer cells, from cells modified by a
cancer gene to make them grow, from an unpurified mixture of
many different cell types, or from animal derived cells. We
believe our proprietary stem cell technologies may be used to
restore function by replacing specific cells that have been
damaged or destroyed. In our research, we have shown that when
human stem cells of the central nervous system are transplanted
into animals, they are accepted, migrate, and successfully
specialize to produce mature neurons and glial cells.
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More generally, because the tissue-derived stem cell is the
pivotal cell that produces all the functional mature cell types
of the organ from which it originates, we believe these cells,
if successfully identified, expanded and stored as frozen cell
banks, may serve as platforms for five major areas of
regenerative medicine and biotechnology:
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tissue repair and replacement, |
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correction of genetic disorders, |
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drug discovery and screening, |
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gene discovery and use, and |
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diagnostics. |
We intend to research, develop, and commercialize the
therapeutic uses of our stem and progenitor cells alone or in
partnership with third parties. We also intend to monetize
non-core uses of our stem cell technology, such as diagnostics,
gene discovery and use, drug discovery and drug screening, by
engaging in a number of non-exclusive agreements
Stem Cell Technology
Stem cells have two defining characteristics:
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some of the cells developed from stem cells produce all the
kinds of mature cells making up the particular organ; and |
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they self renew that is, other cells developed from
stem cells are themselves new stem cells, thus permitting the
process to continue again and again. |
Stem cells are known to exist for a number of systems of the
human body, including the blood and immune system, the central
and peripheral nervous systems (including the brain), the skin,
bone, and even the hair. They are thought to exist for many
others, including the liver and pancreas endocrine systems, gut,
muscle, and heart. Stem cells are responsible for organ
regeneration during normal cell replacement and, to greater or
lesser extent, after injury. We believe that further research
and development will allow stem cells to be cultivated and
administered in ways that enhance their natural function, so as
to form the basis of therapies that will replace specific
subsets of cells that have been damaged or lost through disease,
injury or genetic defect.
We also believe that the person or entity that first identifies
and isolates a stem cell and defines methods to culture any of
the finite number of different types of human stem cells will be
able to obtain patent protection for the methods and the
composition, making the commercial development of stem cell
treatment and possible cure of currently intractable diseases
financially feasible.
Our strategy is to be the first to identify, isolate and patent
multiple types of human stem and progenitor cells, derived from
human tissue, with commercial importance. We have also obtained
rights to certain inventions relating to stem cells and
progenitor cells from academic institutions. We expect to
continue to expand our search for, and to seek to acquire rights
from third parties relating to, new stem and progenitor cells,
and to further develop our intellectual property positions with
respect to them in-house and through research at scholarly
institutions. Our portfolio of issued patents includes a method
of culturing normal human central nervous system stem and
progenitor cells in our proprietary chemically defined media,
and our published studies show that these cultured and expanded
cells give rise to all three major cell types of the central
nervous system. In rodents, we have shown that these cells
exhibit the unique properties of stem cells: They migrate and
colonize throughout the organ from which they were derived and
mature into the specialized cells, such as neurons and glial
cells, that are normally found in that region of the organ. We
also have patent applications pending in connection with our
search for liver and pancreas stem and progenitor cells.
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Neurological disorders such as Parkinsons disease,
Alzheimers disease, the side effects of stroke, and the
neural degeneration that accompanies genetic disorders such as
Gauchers Disease, Tay-Sachs Disease, and Batten Disease
affect a significant portion of the U.S. population and
there currently are no effective long-term therapies for them.
We believe that therapies based on our process for identifying,
isolating and culturing neural stem and progenitor cells may be
useful in treating such diseases. We are continuing our research
into, and have initiated the development of, human central
nervous system stem and progenitor cell-based therapies for some
of these diseases.
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Our Neural Stem Cell Program |
We have published the results of a study showing that human
central nervous system stem cells can be successfully isolated
by markers present on the surface of freshly obtained brain
cells. We believe this is the first reproducible process for
isolating highly purified populations of well-characterized
normal human central nervous system stem cells. We own or have
exclusive licenses to U.S. patents on this process, as well
as issued patents and pending patent applications for
compositions of matter. Because the cells are highly purified
and have not been genetically modified, they may be especially
suitable for transplantation and may provide a safer and more
effective alternative than therapies that are based on cells
derived from cancer cells, or from cells modified by a cancer
gene to make them grow, or from an unpurified mixture of many
different cell types or cells derived from animals. We are the
exclusive licensee of a U.S. patent issued in December,
2002, covering the transplantation of central nervous system
stem cells (U.S. Patent No. 6,497,872, Neural
transplantation using proliferated multipotent neural stem cells
and their progeny). We have also filed patent applications
covering the growth and expansion of these purified normal human
central nervous system cells.
In 2001, we also announced the results of a new study (published
in 2002) in which we used novel human specific monoclonal
antibodies to demonstrate the extent of engraftment, migration
and site-specific formation of the human neural stem cells into
mature neurons. These neuronal cells integrate in a
3-dimensional array within the normal architecture of the mouse
brain. Astrocytes and oligodendrocytes, the other two principle
types of central nervous system cells, are also generated from
the human neural stem cells.
In 2003, we announced results of three preclinical studies
showing proof of principle of the human CNS-SC for a
neurodegenerative disease using the mouse model for Infantile
Batten Disease (a rare lysosomal storage disease), for spinal
cord injury using a spinal cord crush mouse model and for
myelination in the shiverer mouse model. We also demonstrated in
a mouse model for the Batten disease mouse model that the
Companys human CNS-SC engraft, migrate throughout the
brain and produce the enzyme that is missing in this transgenic
mouse. The transplanted human cells are able to neuroprotect
specific neurons, in the transgenic mouse, from death and
quantitatively reduce the insoluble storage material in the
brain, a characteristic hallmark of this disease. We discussed
these results with the FDA, and began preparations toward the
filing of an Investigational New Drug application (IND).
At the October, 2004 Society for Neuroscience meeting in
San Diego, the Company presented an update to the
preclinical data demonstrating the secretion from the human
neural stem cells of the enzyme that is missing in Batten
disease. The secreted enzyme can be taken up by cells in culture
derived from Battens patients, which provides additional
evidence for the Companys hypothesis that these purified
and expanded human neural stem cells may provide a source of
enzyme to deficient cells. The Company also presented data in
the transgenic mouse model for Batten disease showing the steady
rise in enzyme levels in the brains of these mice over time.
In late December 2004, the Company filed an IND for a
Phase I clinical trial of StemCells proprietary
neural cell therapy product (HuCNS SC)-in Batten disease. The
FDA has informed the Company that it has suggestions and
questions related to the proposed trial that require additional
information from the Company and has placed the proposed trial
on clinical hold. StemCells expects to be in active dialogue
with the FDA to address the outstanding issues. We note that
none of the FDAs suggestions or questions are related to
contaminated embryonic stem cells that have been the matter of
media attention. StemCells, Inc. does not use embryonic stem
cells, and does not use mouse feeder cells in any way in
preparing its stem cells. All cells
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prepared by StemCells, Inc. are grown in serum-free media and do
not come into contact with cells from animals.
The Companys proprietary human neural stem cells have also
shown promising results in preclinical results in spinal cord
injury. Drs. Aileen Anderson and Brian Cummings of the
Reeve-Irvine Center at the University of California presented
the data from their study in mice at theTenth Annual Conference
of the American Society for Neural Transplantation and Repair on
May 2, 2003, showing that the Companys stem
cell technology has the potential to protect and regenerate
damaged nerves and nerve fibers in patients with spinal cord
injuries. In quantitative tests designed to measure functional
recovery from complete hind limb paralysis to normal walking,
the Companys researchers reported that injured mice
transplanted with the Companys human neural stem cells
(hCNS-SC) showed improved motor function compared to control
animals. Inspection of the spinal cords from these mice showed
significant levels of human neural cells derived from the
transplanted stem cells. Previously, injured rats have been
given stem cells from other rats or mice, but not stem cells
from humans. The performance of the human cells in this rodent
injury model suggests the possibility that similar results may
be obtainable in humans. We believe that the significance of
this study is that there is now hope in treating two aspects of
spinal cord injury: nerve damage and loss of motor function.
In November 2003, the Company presented data at the
33rd Annual Society for Neuroscience Meeting showing
production of myelin, the insulator for nerve cells. In the
mutant shiverer mouse, which is deficient in myelin production,
transplantation of hCNS-SC into the brain resulted in widespread
engraftment of human cells that matured into oligodendrocytes,
the myelin producing cells. Analysis of the brain tissue of
these mice shows the human cells juxtaposed to the mouse nerves
where the myelin produced by the human cells now ensheath the
mouse nerve, providing the proper layers of insulation. Further
studies are in progress to demonstrate proper function of the
newly produced myelin. Loss of myelin characterizes conditions
such as spinal cord injury, multiple sclerosis, cerebral palsy
and certain genetic disorders (for example, Krabbes
disease, metachormatic leukodystrophy, Tay Sachs disease).
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Our Other Stem Cell Programs |
We continue to advance our research programs on the candidate
liver and pancreas stem and/or progenitor cells. Liver stem
cells may be useful in the treatment of diseases such as
hepatitis, liver failure, blood-clotting disorder, cirrhosis of
the liver and liver cancer. Islet cells are the pancreas cells
that produce insulin, so pancreatic stem cells may be useful in
the treatment of Type 1 diabetes and those cases of Type 2
diabetes where insulin secretion is defective. These programs
are discussed below.
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Note on State and Federal Grants |
In November 2004, California State Proposition 71 (Prop. 71),
the California Stem Cell Research and Cures Initiative, was
adopted by the electorate. It is intended to encourage stem cell
research in the State of California, and to finance such
research with State funds of approximately $295 million
annually for 10 years beginning with 2005. It is our
understanding that the California Institute for Regenerative
Medicine to be created under the Initiative will provide grants,
primarily but not exclusively to academic institutions, to
advance both embryonic stem cell research and adult stem cell
research; the latter is the current and exclusive focus at
StemCells. StemCells, Inc. is eligible to receive Prop. 71
generated funds and we do intend to apply for such funding. We
also remain eligible for federal government support from the
National Institute of Health (NIH) due to our focus on
adult stem cells. NIH grants to the Company or to its academic
collaborators assist research in the use of our cells for
various diseases and conditions such as Alzheimers disease
and spinal cord injuries. Prop. 71 funds will not go to any
project that receives NIH funding. The Company considers
government grants to be important confirmation of the quality of
its science and intellectual property, but does not rely on them
as a significant source of financial support.
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Expected Advantages of Our Stem Cell Technology
To our knowledge, no one has developed an FDA-approved method
for replacing lost or damaged tissues from the human nervous
system. Replacement of tissues in other areas of the human body
is mainly limited to those few sites, such as bone marrow or
peripheral blood cell transplants, where transplantation of the
patients own cells is now feasible. In a few additional
areas, including the liver, transplantation of donor organs is
now used, but is limited by the scarcity of organs available
through donation. We believe that our stem cell technologies
have the potential to reestablish function in at least some of
the patients who have suffered the losses referred to above.
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Replaced Cells May Provide Normal Function for the Life of
the Patient |
Because stem cells can duplicate themselves, or self-renew, and
specialize into the multiple kinds of cells that are commonly
lost in various diseases, transplanted stem cells may be able to
migrate limited distances to the proper location within the
body, to expand and specialize and to replace damaged or
defective cells, facilitating the return to proper function. We
believe that such replacement of damaged or defective cells by
functional cells is unlikely to be achieved with any other
treatment.
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Stem Cell Therapy Targets the Root Cause of the
Disease |
Most approved therapies for the diseases being targeted by the
Company are palliative in nature, primarily treating the
symptoms of the disease. Stem cell therapy, by contrast, has the
potential to arrest or slow down the progression of the disease
or even cure the patient.
Research and Development Programs
We have devoted substantial resources to our research programs
to isolate and develop a series of stem and progenitor cells
that we believe can serve as a basis for replacing diseased or
injured cells. Our efforts to date have been directed at methods
to identify, isolate and culture large varieties of stem and
progenitor cells of the human nervous system, liver and pancreas
and to develop therapies utilizing these stem and progenitor
cells.
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The following Table lists the potential therapeutic indications
for, and current status of, our primary research and product
development programs and projects. The table is qualified in its
entirety by reference to the more detailed descriptions of such
programs and projects appearing elsewhere in this report. We
continually evaluate our research and product development
efforts and reallocate resources among existing programs or to
new programs in light of experimental results, commercial
potential, availability of third party funding, likelihood of
near-term efficacy, collaboration success or significant
technology enhancement, as well as other factors. Our research
and product development programs are at relatively early stages
of development and will require substantial resources to
commercialize.
Research and Product Development Programs
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Human Neural Stem Cell
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Preclinical/IND filing |
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Repair or replace damaged central nervous system tissue
(including spinal cord, stroke-damaged tissue, and tissue
affected by certain genetic disorders)
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Demonstrated the ability to reproducibly
identify and purify human neural stem cells
(hCNS-SC). Demonstrated the ability
to create human neural stem cell banks. |
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Demonstrated in vitro the
ability to initiate and expand stem cell-containing human neural
cultures and specialization into three types of central nervous
system cells. |
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Demonstrated in rodent studies that
transplanted human brain-derived stem cells are accepted and
properly specialized into the three major cell types of the
central nervous system with no tumor formation. |
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Commenced preclinical testing of human
neural stem cells in well-characterized small animal models of
human diseases. |
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Batten Disease Indication
(Preclinical): |
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Demonstrated in
vivo proof of principle showing in a mouse model that
hCNS-SC can continuously produce the enzyme that is deficient in
Infantile Batten disease. |
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An Investigational
New Drug (IND) application was filed at the end of 2004; the IND
is currently on holdpending response to FDA questions and
concerns. |
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Spinal Cord Injury: Demonstrated
in vivo proof of principle in a mouse model that
transplanted cells show preferential migration towards injured
sites |
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Stroke Indication: Demonstrated
in vivo proof of principle shows functional integration
of myelin onto the mouse nerve axons. |
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| Program Description and Objective |
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Stage/Status(1) |
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Liver Stem Cell
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Research |
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Repair or replace liver tissue damaged or destroyed by cirrhosis
and certain metabolic genetic diseases
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Identified a candidate human liver stem
cell-like population referred to as a human liver engrafting
cell (hLEC). |
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Identified in vitro culture
assay for growth of human liver progenitor cells that express
markers for both bile duct cells and hepatocytes |
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Shown that the in vitro
culture of human liver progenitor cells also can grow human
hepatitis virus; this is a potential assay system to screen for
novel anti-viral compounds. |
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Demonstrated the engraftment and
survival of the candidate hLEC in an in vivo mouse model. |
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Detected human albumin in mouse serum in
animals transplanted with hLECs. |
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Pancreas Islet Stem Cell
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Research |
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Repair or replace damaged pancreas islet tissue
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Identified markers on the surface of a rare human
stem-cell-like pancreatic cell, which is a candidate pancreatic
stem/progenitor cell. |
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Commenced testing of a candidate human pancreatic
stem/progenitor cell in vitro and in vivo in
small animal model. |
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Research refers to early stage research and product
development activities in vitro, including the
selection and characterization of product candidates for
preclinical testing. Preclinical refers to further
testing of a defined product candidate in vitro and
in animals prior to clinical studies. |
Our portfolio of stem cell technology results from our exclusive
licensing of central nervous system, stem and progenitor cell
technology, animal models for the identification and/or testing
of stem and progenitor cells and our own research and
development efforts to date. We believe that therapies using
stem cells represent a fundamentally new approach to the
treatment of diseases caused by lost or damaged tissue. We have
assembled an experienced team of scientists and scientific
advisors to consult with and advise our scientists on their
continuing research and development of stem and progenitor
cells. This team includes founding scientists Irving L.
Weissman, M.D., of Stanford University, Fred H.
Gage, Ph.D., of The Salk Institute, and David
Anderson, Ph.D., of the California Institute of Technology,
as well as other occasional consultants including William C.
Mobley, M.D., Ph.D., Maria Millan, M.D., Ben
Barres, Ph.D., and Seung Kim, M.D., Ph.D., all of
Stanford University, and Stephen Back, M.D., of the Oregon
Health Science University.
We began our work with central nervous system stem and
progenitor cell cultures in collaboration with NeuroSpheres,
Ltd., in 1992. We believe that NeuroSpheres was the first to
invent these cultures. We are the exclusive, worldwide licensee
from NeuroSpheres to such inventions and associated patents and
patent applications for all uses, including transplantation in
the human body, as embodied in these patents. See
NeuroSpheres Ltd. under License
Agreements below.
In 2000, using our proprietary markers on the surface of the
cell, our researchers succeeded in identifying, isolating and
purifying human CNS stem cells from brain tissue. We believe
that this study, published in Proceedings of the National
Academy of Science in December 2000, was the first to show a
reproducible
10
process for isolating highly purified populations of
well-characterized normal human CNS stem cells. Because the
cells are normal human CNS stem cells and have not been
genetically modified, they may be especially suitable for
transplantation and may provide a safer and more effective
alternative to therapies that are based on cells derived from
cancer cells or from an unpurified mix of many different cell
types, or from animal derived cells. Even more importantly, in
our view, our researchers have been able to take these purified
and expanded stem cells and transplant them into the normal
brains of immunodeficient mouse hosts, where they take hold and
grow into neurons and glial cells.
We have found, during the course of long-term studies using a
number of our cell lines, that the transplanted human CNS stem
cells survived for as long as one year and migrated to specific
functional domains of the host brain, with no sign of
tumor formation or adverse effects on the animal recipients;
moreover, the cells were still dividing. These findings show
that when CNS stem cells isolated and cultured with our
proprietary processes are transplanted, they adopt the
characteristics of the host brain and act like normal stem
cells. In other words, the study suggests the possibility of a
continual replenishment of normal human brain cells.
The company has established a number of research collaborations
in the neural field to assess the effects of transplanting the
human CNS stem cells into preclinical animal models, including
the spinal cord injury collaboration with Drs. Aileen
Anderson and Brian Cummings of the Reeve-Irvine Center at the
University of California and a collaboration with the laboratory
of Dr. Gary Steinberg, Chairman of the Department of
Neurosurgery of Stanford University School of Medicine and
Co-director of the Stanford Stroke Center, pertaining to the
evaluation of our human neural stem cells in animal models of
stroke. Pilot studies have been initiated with Stephen A.
Back, M.D., Ph.D., of the Oregon Health Sciences
University and with Jeffery D. Kocsis, Ph.D., of the Yale
University School of Medicine for understanding myelin
production and repair, as well as with Jay Pasricha, M.D.,
of The University of Texas Medical Branch and with Martin
Marsala, M.D., of the University of California,
San Diego, regarding the formation of specific populations
of neurons; (UCSD). In addition, we have an NIH-funded
collaboration with Dr. George A. Carlson of the McLaughlin
Research Institute, to understand the role of Alzheimers
plaques in neuronal cell death in Alzheimers disease.
As noted above, human CNS stem and progenitor cells harvested,
purified and expanded using our proprietary processes may be
useful for creating therapies for the treatment of degenerative
brain diseases like Parkinsons and Alzheimers
diseases and genetic disorders affecting the brain such as
Batten Disease. These conditions affect about 5 million
people in the United States and there are no effective long-term
therapies currently available. We believe our ability to purify
human brain stem cells directly from tissue and to expand them
into cell banks is important because:
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it provides an enriched source of normal stem cells; |
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it opens the way to a better understanding of the properties of
these cells and how they might be manipulated to treat specific
diseases. For example, in certain genetic diseases such as Tay
Sachs and Battens, a key metabolic enzyme required for
normal development and function of the brain is absent.
Brain-derived stem cells might produce enough enzyme after
transplantation to delay disease progression, or, if not enough
enzyme is made naturally, the cells might be genetically
modified to produce those proteins. The native or modified brain
stem cells could be transplanted into patients with these
genetic diseases; |
| |
| |
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the efficient acceptance of these non-transformed normal human
stem cells into host brains means that the cell product can be
tested in animal models for its ability to correct deficiencies
caused by various human neurological diseases. This technology
could also provide a unique animal model for the testing of
drugs that act on human brain cells either for effectiveness of
the drug against the disease or its toxicity to human nerve
cells. |
StemCells Inc holds a substantial portfolio of issued and
allowed patents in the neural field. See Patents,
Proprietary Rights and Licenses.
11
We initiated our discovery work for the liver stem and
progenitor cell through a sponsored research agreement with
Markus Grompe, Ph.D., of Oregon Health Sciences University.
Dr. Grompes work focuses on the discovery and
development of a suitable method for identifying and assessing
liver stem and progenitor cells for use in transplantation. We
have also obtained rights to a novel mouse model of liver
failure for evaluating cell transplantation developed by
Dr. Grompe: The FAH transgenic mouse. This
mouse lacks a key enzyme (FAH, or fumaryl-acetoacetate
hydrolase), which results in build-up of a toxic substance which
causes liver damage. In addition, we obtained an exclusive
license to U.S. Patent No. 6,132,708, claiming a
method of regenerating a functional liver by transplantation of
pancreas cells in mammals, including humans.
Approximately 1 in 10 Americans suffers from diseases and
disorders of the liver for many of which there are currently no
effective, long-term treatments. Our researchers continue to
advance methods for establishing enriched cell populations
suitable for transplantation in preclinical animal models. We
are focused on discovering and utilizing proprietary methods to
identify and isolate liver stem and progenitor cells and to
evaluate these cells in culture and in preclinical animal models.
The Company focuses on discovering and utilizing proprietary
methods to identify and isolate liver stem and progenitor cells
and to evaluate these cells in culture and in preclinical animal
models. The Company intends to use these advanced methods, as
they become available, to establish enriched cell populations
suitable for transplantation.
StemCells has devised a culture assay that it uses in its
efforts to identify liver stem and progenitor cells. In
addition, the culture assay can support the growth of an early
human liver bipotent progenitor cell a cell that can
develop into two kinds of mature liver cells: bile duct cells
and hepatocytes. Further, since cells in this culture can be
infected with human hepatitis virus, it provides a valuable
system for study of the virus. This technology also could
provide a unique in vitro model for the testing of
drugs that act on, or are metabolized by, human liver cells.
The Companys scientists have identified proprietary
monoclonal antibodies that permit us to purify a population of
human liver-engrafting cells, including a candidate human liver
stem cell (hLEC). When tested in the Companys
in vitro culture assay, these antibody-enriched cells
produce human serum albumin, a measure of hepatocyte generation.
Studies to date show that these hLECs can produce human serum
albumin in mouse serum following transplantation into
immunodeficient mice, suggesting that the human liver-engrafting
cell, once transplanted, becomes a functional cell. The program
will focus on demonstrating the robust engraftment and function
of these hLECs in a preclinical animal model of liver
degeneration for proof of principle of a therapeutic cell for
liver disease. A source of defined human cells capable of
engraftment and substantial liver regeneration could provide a
cell-based therapeutic product available to a wider patient base
than liver transplants. An in vitro culture system that can
reproducibly grow human liver progenitor cells might also
provide cells for genetic modification to correct inborn errors
of metabolism.
The Companys scientists have again used StemCells
monoclonal antibody-based search engine to identify a rare
subset of human pancreatic cells that may be candidate
pancreatic stem/progenitor cells. The Company has filed a patent
application on the monoclonal antibodies used. In 2002, the
Company established a collaboration with Dr. Seung Kim of
Stanford University to pursue other avenues to identify an
insulin-producing cell. Dr. Kims laboratory is
studying the developmental biology and controlling events of
generating insulin-producing cells. We believe that these
approaches may lead to the development of cell-based treatments
for Type 1 diabetes and that portion of Type 2 diabetes
characterized by defective secretion of insulin. The Company has
developed what we believe to be an appropriate animal model to
test the biological activity of the purified candidate
pancreatic stem cells.
12
Subsidiary
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StemCells California, Inc. |
On September 26, 1997, we acquired by merger StemCells
California, Inc., a California corporation, in exchange for
1,320,691 shares of our common stock and options and
warrants for the purchase of 259,296 common shares. StemCells
California remains our wholly-owned subsidiary, and the owner or
licensee of most of our intellectual property. The members of
its Board of Directors are Irving L. Weissman, M.D., David
J. Anderson, Ph.D., and Fred H. Gage, Ph.D., who were
the founders of StemCells California, as well as John J.
Schwartz, Ph.D. and Martin McGlynn. Drs. Weissman and
Schwartz and Mr. McGlynn are also members of the Board of
the parent company; Mr. McGlynn is President of StemCells
California as well as President and CEO of StemCells, Inc.
References in this annual report to the Company,
we, us, and similar words include this
subsidiary.
License Agreements
We have entered into a number of research-plus-license
agreements with academic organizations including The Scripps
Research Institute (Scripps), the California Institute of
Technology (Cal Tech), the Oregon Health Sciences University
(OHSU), and the University of Texas Medical Branch (UTMB). The
research components of the UTMB agreement is in progress, but
those with the other institutions mentioned have been concluded
and have resulted in a number of license agreements for
resultant technology. Under the license agreements, we are
typically subject to obligations of due diligence and the
requirement to pay royalties on products that use patented
technology licensed under such agreements. The license
agreements with these institutions relate largely to stem or
progenitor cells and or to processes and methods for the
isolation, identification, expansion or culturing of stem or
progenitor cells. Generally speaking, these license agreements
will terminate upon expiration, revocation or invalidation of
the patents licensed to us, unless governmental regulations
require a shorter term. They also will terminate earlier if we
breach our obligations under the agreement and do not cure the
breach, or if we declare bankruptcy, and we can terminate the
license agreements at any time upon notice.
In the case of Scripps, we must pay $50,000 upon the initiation
of the Phase II trial for our first product using Scripps
licensed technology, and upon completion of that Phase II
trial we must pay Scripps an additional $125,000. Upon approval
of the first product for sale in the market, we must pay Scripps
$250,000.
Pursuant to the terms of our license agreement with Cal Tech and
our acquisition of our wholly owned subsidiary, StemCells
California, we issued 14,513 shares of our common stock to
Cal Tech. We issued an additional 12,800 shares of common
stock to Cal Tech with a market value of approximately $40,000
in May 2000, upon execution of an amendment adding four families
of patent applications to the license agreement. We must pay an
additional $10,000 upon the issuance of the patent licensed to
us under the relevant agreement and $5,000 on the first
anniversary of the issuance of the patent licensed to us under
the relevant agreement. These amounts are creditable against
royalties we must pay under the license agreements. The maximum
royalties that we will have to pay to the California Institute
of Technology will be $2 million per year, with an overall
maximum of $15 million. Once we pay the $15 million
maximum royalty, the licenses will become fully paid and
irrevocable. In August 2002 we acquired an additional license
from Cal Tech to different technology, pursuant to which we
issued 27,535 shares of our common stock with a market
value of approximately $35,000; we have also issued
9,535 shares of our common stock with a market value of
approximately $15,000 to Cal Tech on the issuance of two patents
covered under this additional license.
Pursuant to the terms of the license agreement with OHSU and our
acquisition of StemCells California, we issued 4,838 shares
of our common stock and an option to purchase up to 62,888
additional shares to OHSU with an exercise price of
$.01 per share. The option has vested as to
9,675 shares for which shares were issued on March 31,
2002; the remaining option was terminated and we issued
4,000 shares of our common stock, with a market value of
approximately $3,900, to OHSU in January 2003, pursuant to an
amendment to the license agreement.
13
In 2002, we issued a license to BioWhittaker, Inc., for the
exclusive right to make, sell and distribute one of our
proprietary cells for the research market only. In 2003 and 2004
respectively, we issued non-exclusive licenses to StemCell
Technologies, Inc. to make, use and sell certain proprietary
mouse and rat neural stem cells and culture media for all
mammalian neural stem cells, and to R&D Systems to make, use
and sell certain stem cell expansion kits, also for the research
market. These licenses are not expected to generate material
revenues.
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Signal Pharmaceuticals, Inc. |
In December 1997, we entered into two sublicense agreements with
Signal Pharmaceuticals (Signal), Inc. under which each party
sublicensed to the other certain patent rights and biological
materials for use in defined fields. Signal has now been
acquired by Celgene, which in 2004 relinquished its license to
the University of California, which then terminated the
sublicense to StemCells for lack of diligence. The remaining
sublicense with Signal will terminate no later than at the
expiration of all patents licensed under it, but StemCells can
terminate it earlier if Celgene breaches its obligations under
the agreement or declares bankruptcy; Celgene can terminate the
agreement at any time upon notice to StemCells.
In March 1994, we entered into a Contract Research and License
Agreement with NeuroSpheres, Ltd., which was clarified in a
License Agreement dated as of April 1, 1997. Under the
agreement as clarified, we obtained an exclusive patent license
from NeuroSpheres in the field of transplantation, subject to a
limited right of NeuroSpheres to purchase a nonexclusive license
from us, which right was not exercised and has expired. We have
developed additional intellectual property relating to the
subject matter of the license. We entered into an additional
license agreement with NeuroSpheres as of October 30, 2000,
under which we obtained an exclusive license in the field of
non-transplant uses, such as drug discovery and drug testing.
Together, our rights under the licenses are exclusive for all
uses of the technology. We made up-front payments to
NeuroSpheres of 65,000 shares of our common stock in
October 2000 and $50,000 in January 2001, and we will make
additional cash payments when milestones are achieved in the
non-transplant field, or in any products employing NeuroSpheres
patents for generating cells of the blood and immune system from
neural stem cells. In addition, in October 2000 we reimbursed
Neurospheres for patent costs amounting to $341,000. Milestone
payments, payable at various stages in the development of
potential products, would total $500,000 for each product that
is approved for market. The first milestone for a potential
product is $50,000, became due in 2004 when the product
candidate for Batten disease entered pre-clinical development in
a non-rodent model. The next milestone for that product
candidate will be $75,000, due upon acceptance of our
Investigational New Drug (IND) application with the
U.S. Food and Drug Administration (FDA) and the
commencement of clinical trials in human patients. In addition,
we made our first annual payment of $50,000 in 2004; the annual
payments are due by the last day of the year and are fully
creditable against royalties due to NeuroSpheres. Our agreements
with NeuroSpheres will terminate at the expiration of all
patents licensed to us, but can terminate earlier if we breach
our obligations under the agreement and do not cure the breach,
or if we declare bankruptcy. We have a security interest in the
licensed technology.
Manufacturing
We believe that our facility in Palo Alto has the capacity to be
used for cell processing under FDA-determined Good Manufacturing
Practices-like conditions in quantities sufficient for clinical
trials, and we have developed a robust and replicable process
for producing and processing the cells.
Marketing
Because of the early stage of our stem and progenitor cell
programs, we have not yet addressed questions of channels of
distribution and marketing of potential future products.
14
Patents, Proprietary Rights And Licenses
We believe that proprietary protection of our inventions will be
critical to our future business. We vigorously seek out
intellectual property that we believe might be useful in
connection with our products, and have an aggressive program of
protecting our intellectual property. We believe that our
know-how will also provide a significant competitive advantage,
and we intend to continue to develop and protect our proprietary
know-how. We may also from time to time seek to acquire licenses
to important externally developed technologies.
We have exclusive or non-exclusive rights to a portfolio of
patents and patent applications related to various stem and
progenitor cells and methods of deriving and using them. These
patents and patent applications relate to compositions of
matter, methods of obtaining such cells, and methods for
preparing, transplanting and utilizing such cells. Currently,
our U.S. patent portfolio includes forty-three issued
U.S. patents, three of which issued in 2004. More than
thirty additional patent applications are pending, two of which
have been allowed. In addition, we have foreign counterparts to
many of the U.S. applications and patents; counterparts to
fourteen of our U.S. patents or applications have issued in
various countries, making a total of about 130 individual
non-U.S. patents from those fourteen cases. In 2003, one
party filed an opposition to two of our issued European patent
cases. While we are confident that we will overcome the
opposition, there is no guarantee that we will prevail. If we
are unsuccessful in our defense of the opposed patents, all
claimed rights in the opposed patents will be lost in Europe.
U.S. counterparts to these patents are part of our issued
patent portfolio; they are not subject to opposition, since that
procedure does not exist under U.S. patent law, although
other types of proceedings may be available to third parties to
contest our U.S. patents.
In December 1998, the U.S. Patent and Trademark Office
granted Patent No. 5,851,832, covering our methods for the
human CNS cell cultures containing central nervous system stem
cells, for compositions of human CNS cells expanded by these
methods, and for use of these cultures in human transplantation.
These human CNS stem and progenitor cells expanded in culture
may be useful for repairing or replacing damaged central nervous
system tissue, including the brain and the spinal cord.
U.S. Patent No. 5,968,829, entitled Human CNS
Neural Stem Cells, which covers our composition of matter
for human CNS stem cells, was granted in 1999, and
U.S. Patent No. 6,103,530, covering our media for
culturing human CNS stem cells, was granted in 2000.
In 2002, the U.S. Patent Office issued a key strategic
patent to us: U.S. Patent Number 6,468,794, entitled
Enriched central nervous system stem cell and progenitor
cell populations, and methods for identifying, isolating and
enriching for such populations. The patent issued on
October 22, 2002 and covers the identification and
purification of the human CNS stem cell. In 2001, we were
granted U.S. Patent No. 6,238,922 (Use of
collagenase in the preparation of neural stem cell
cultures) which described methods to advance the in
vivo culture and passage of human CNS stem cells that result
in a 100-fold increase in CNS stem and progenitor cell
production after 6 passages. We believe the methodologies of
these two patents together will augment our leadership position
in the stem cell field by providing a reproducible proprietary
method for obtaining and expanding stem cells for therapeutic
uses.
Another significant patent in the neural field, of which we are
the exclusive licensees, was also issued in 2002, and, we
believe, may prove even more important: We believe that
U.S. Patent Number 6,497,872, entitled Neural
transplantation using proliferated multipotent neural stem cells
and their progeny, covers transplanting any neural stem
cells or their differentiated progeny, whether the cells have
been cultured in suspension or as adherent cells, for the
treatment of any disease. The patent gives us the right to
exclude others from practicing the claimed invention.
In 2003, two neurogenin-related patents were issued
(U.S. Patents Numbers 6,555,337 and 6,566,496) as well as
U.S. Patent Number 6,638,501, covering the use of
multipotent neural stem cell progeny to augment non-neural
tissues and U.S. Patent Number 6,541,251, covering a novel
pancreatic progenitor gene and its uses.
In 2004, U.S. Patent Number 6,777,233, covering a cell
culture composition of multipotent human neural stem cells
regardless of the source of tissue from which the cells are
derived, was issued to the Company. In
15
addition, U.S. Patent Number 6,824,774, covering antibodies
that specifically bind to a neuron-restrictive silencer factor
protein, and U.S. Patent Number 6,753,153, covering markers
for identification and isolation of certain pancreatic islet
progenitors, were issued; these patents are exclusively licensed
to the Company.
These new patents, together with U.S. Patent Number
6,294,346 (Use of multipotent neural stem cells and their
progeny for the screening of drugs and other biological
agents), which issued September 25, 2001, have
strengthened our already extensive patent portfolio and, we
believe, give StemCells the dominant intellectual property
position in the field, covering methods for identification,
isolation, expansion, and transplantation of neural stem cells
as well as drug discovery and testing.
The following table lists our issued U.S. patents and
published international patent applications:
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| U.S. Patent Number |
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Subject |
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Owned by StemCells
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5,968,829
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Human CNS neural stem cells |
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6,103,530
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Human CNS neural stem cells culture media |
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6,238,922
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Use of collagenase in the preparation of neural stem cell
cultures |
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6,468,794
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|
Enriched neural stem cell populations, and methods for
identifying, isolating and enriching for neural stem cells |
| |
6,498,018
|
|
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Human CNS neural stem cells |
| |
6,777,233
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Cultures of human CNS neural stem cells. |
|
Licensed from NeuroSpheres
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5,750,376
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In vitro genetic modification |
| |
5,851,832
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In vitro proliferation |
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5,980,885
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Methods for inducing in vivo proliferation of precursor cells |
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5,981,165
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In vitro production of dopaminergic cells from mammalian central
nervous system multipotent stem cell compositions |
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6,071,889
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Methods for in vivo transfer of a nucleic acid sequence to
proliferating neural cells |
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6,093,531
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Generation of hematopoietic cells from multipotent neural stem
cells |
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6,165,783
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Methods of inducing differentiation of multipotent neural stem
cells |
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6,294,346
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Methods for screening biological agents |
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6,368,854
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Hypoxia-mediated neurogenesis |
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6,399,369
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cDNA libraries derived from populations of non-primary neural
cells |
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6,497,872
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Neural transplantation using proliferated multipotent neural
stem cells and their progeny |
| |
6,638,501
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Use of multipotent neural stem cell progeny to augment
non-neural tissues |
|
Licensed from University of California, San Diego
|
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5,766,948
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Method of production of neuroblasts |
| |
6,013,521
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Method of production of neuroblasts |
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6,020,197
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Method of production of neuroblasts |
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6,045,807
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Method of production of neuroblasts |
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6,265,175
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Method of production of neuroblasts |
| |
6599695
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Method for assaying for early gene expression in neuroblasts |
16
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| U.S. Patent Number |
|
|
Subject |
| |
|
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|
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Licensed from the California Institute of Technology
|
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5,589,376
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Mammalian neural crest stem cells |
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5,629,159
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Immortalization and disimmortalization of cells |
| |
5,654,183
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Genetically engineered mammalian neural crest stem cells |
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5,672,499
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Methods for immortalizing multipotent neural crest stem cells |
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5,693,482
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In vitro neural crest stem cell assay |
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5,824,489
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Methods for isolating mammalian multipotent neural crest stem
cells |
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5,849,553
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Immortalizing and disimmortalizing multipotent neural crest stem
cells |
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5,928,947
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Mammalian multipotent neural crest stem cells |
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5,935,811
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Neuron restrictive silencer factor proteins |
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6,001,654
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Methods for differentiating neural stem cells to neurons or
smooth muscle cells (TGFb) |
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6,033,906
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Differentiating mammalian neural stem cells to glial cells using
neuregulins |
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6,270,990
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Neuron restrictive silencer factor proteins |
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6,555,337
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Neurogenin |
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6,566,496
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|
|
Neurogenin |
| |
6,824,774
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|
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Antibodies that bind neuron-restrictive silencer factor proteins |
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Licensed from the Scripps Research Institute
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6,242,666
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An animal model for identifying a common stem/ progenitor to
liver cells and pancreatic cells |
| |
6,541,251
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Pancreatic progenitor 1 gene and its uses |
| |
6,753,153
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Markers for identification and isolation of pancreatic islet
alpha and beta progenitors |
|
Licensed from Oregon Health Sciences University
|
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6,132,708
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Liver regeneration using pancreas cells |
17
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|
| Published International Patent Applications |
|
|
Subject |
| |
|
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Owned by StemCells
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WO 99/11758
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Cultures of human CNS neural stem cells |
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WO 00/47762
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|
Enriched neural stem cell populations and methods of
identifying, isolating, and enriching neural stem cells |
| |
WO 00/50572
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|
|
Use of collagenase in the preparation of neural stem cell
cultures |
| |
WO 04/020597
|
|
|
Enriched central nervous system stem cell and progenitor cell
populations, and methods for identifying, isolating, and
enriching for such populations |
|
Licensed from NeuroSpheres
|
|
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|
| |
WO 93/01275
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|
|
Mammalian central nervous system multipotent stem cell
compositions |
| |
WO 94/09119
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|
|
Remyelination using mammalian central nervous system multipotent
stem cell compositions |
| |
WO 94/10292
|
|
|
Biological factors useful in differentiating mammalian central
nervous system multipotent stem cell compositions |
| |
WO 94/16718
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|
|
Genetically engineered mammalian central nervous system
multipotent stem cell compositions |
| |
|