Back to GetFilings.com
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
| |
|
|
|
(Mark One)
|
|
|
|
þ
|
|
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
| |
|
For the fiscal year ended December 31, 2004 |
|
or |
| |
|
o
|
|
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 |
| |
| |
|
For the transition period
from to . |
Commission file number: 000-24647
Dynavax Technologies Corporation
(Exact name of registrant as specified in its charter)
| |
|
|
|
Delaware |
|
33-0728374 |
|
(State or other jurisdiction of |
|
(IRS Employer |
|
incorporation or organization) |
|
Identification No.) |
2929 Seventh Street, Suite 100
Berkeley, CA 94710-2753
(510) 848-5100
(Address, including Zip Code, and telephone number, including
area code, of the registrants principal executive
offices)
Securities registered pursuant to Section 12(b) of the
Act:
| |
|
|
| Title of Each Class: |
|
Name of Each Exchange on Which Registered: |
| |
|
|
|
None |
|
None |
Securities Registered Pursuant to Section 12(g) of the
Act:
Common Stock, par value $0.001 per share
(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 the registrants knowledge, in
definitive proxy or information statements incorporated by
reference in Part III of this Form 10-K or any
amendment to this
Form 10-K. þ
Indicate by check mark whether the
registrant is an accelerated filer (as defined in
Rule 12b-2 of the
Act). Yes o No þ
The aggregate market value of the voting
stock held by non-affiliates of the registrant, based upon the
closing sale price of the common stock on June 30, 2004 as
reported on the Nasdaq National Market, was approximately
$99,932,028. Shares of common stock held by each officer and
director and by each person known to the Company who owns 5% or
more of the outstanding common stock have been excluded in that
such persons may be deemed to be affiliates. This determination
of affiliate status is not necessarily a conclusive
determination for other purposes.
As of February 28, 2005, registrant
had outstanding 24,745,201 shares of common stock.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the Proxy Statement for the registrants 2005
Annual Meeting of Stockholders are incorporated by reference
into Part III of this Form 10-K.
INDEX
DYNAVAX TECHNOLOGIES CORPORATION
2
FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-K contains forward-looking
statements within the meaning of Section 27A of the
Securities Act of 1933 and Section 21E of the Securities
Exchange Act of 1934 which are subject to a number of risks and
uncertainties. All statements that are not historical facts are
forward-looking statements, including statements about our
business strategy, our future research and development, our
preclinical and clinical product development efforts, the timing
of the introduction of our products, the effect of GAAP
accounting pronouncements, uncertainty regarding our future
operating results and our profitability, anticipated sources of
funds and all plans, objectives, expectations and intentions.
These statements appear in a number of places and can be
identified by the use of forward-looking terminology such as
may, will, should,
expect, plan, anticipate,
believe, estimate, predict,
future, intend, or certain
or the negative of these terms or other variations or comparable
terminology, or by discussions of strategy.
Actual results may vary materially from those in such
forward-looking statements as a result of various factors that
are identified in Item 7
Managements Discussion and Analysis of Financial Condition
and Results of Operations and elsewhere in this document.
No assurance can be given that the risk factors described in
this Annual Report on Form 10-K are all of the factors that
could cause actual results to vary materially from the
forward-looking statements. All forward-looking statements speak
only as of the date of this Annual Report on Form 10-K.
Readers should not place undue reliance on these forward-looking
statements and are cautioned that any such forward-looking
statements are not guarantees of future performance. We assume
no obligation to update any forward-looking statements.
This Annual Report on Form 10-K includes trademarks and
registered trademarks of Dynavax Technologies Corporation.
Products or service names of other companies mentioned in this
Annual Report on Form 10-K may be trademarks or registered
trademarks of their respective owners. Investors and security
holders may obtain a free copy of the Annual Report on
Form 10-K and other documents filed by Dynavax with the
Securities and Exchange Commission (SEC) at the SECs
website at http://www.sec.gov. Free copies of the Annual Report
on Form 10-K and other documents filed by Dynavax with the
SEC may also be obtained from Dynavax by directing a request to
Dynavax, Attention: Jane M. Green, Ph.D., Vice President,
Corporate Communications, 2929 Seventh Street, Suite 100,
Berkeley, CA 94710-2753, (510) 848-5100.
PART I
Overview
Dynavax Technologies Corporation (the Company,
we or us) discovers, develops and
intends to commercialize innovative products to treat and
prevent allergies, infectious diseases and chronic inflammatory
diseases using versatile, proprietary approaches that alter
immune system responses in highly specific ways. Our clinical
development programs are based on immunostimulatory sequences,
or ISS, which are short DNA sequences that enhance the ability
of the immune system to fight disease and control chronic
inflammation.
Our most advanced clinical programs are based on our ISS
technology and include:
|
|
|
| |
|
AIC for Ragweed Allergy. We have developed a novel
injectable product candidate to treat ragweed allergy that we
call AIC. AIC is an immunotherapeutic intervention for ragweed
allergy, the most common seasonal allergy in North America.
Unlike existing products that treat chronic ragweed allergy
symptoms, our product candidate targets the underlying cause of
ragweed-induced seasonal allergic rhinitis. AIC has completed
Phase II trials, and is currently completing a two-year
Phase II/III clinical trial. At the end of 2004, we
reported that the one-year interim analysis of this
Phase II/ III trial showed a clear positive trend relative
to the trials major endpoint of nasal symptom scores, as
well as other secondary endpoints, following the 2004 ragweed
season. The interim analysis indicated that AIC was safely
administered and systemic adverse reactions were similar between
the AIC and control arms. We intend to complete the
Phase II/ III clinical trial as planned. We |
3
|
|
|
| |
|
anticipate initiating a supportive Phase III clinical trial
in a pediatric indication in the first half of 2005. Pending the
outcome of discussions with the US Food and Drug Administration
(FDA) in 2005 and the results of the Phase II/III
study, we plan to initiate a pivotal Phase III clinical
program in early 2006. |
| |
| |
|
Hepatitis B Prophylaxis. A Phase II program in
adolescents conducted in Canada has been completed. In these
trials our hepatitis B vaccine induced more rapid immunity with
fewer immunizations than currently available vaccines. Based on
these results, we believe that our hepatitis B vaccine has the
potential to increase compliance and decrease the spread of the
disease. Results from Phase I and Phase II trials
demonstrated that our hepatitis B vaccine was well tolerated and
conferred protective hepatitis B antibody levels following two
injections over a two-month period. A Phase II/ III trial
in subjects who are less responsive to conventional vaccine is
currently underway in Singapore. Results from an interim
analysis of the Phase II/ III trial showed that our vaccine
demonstrated statistically significant superiority in protective
antibody response and robustness of protective effect after two
vaccinations when compared to GlaxoSmithKlines
Engerix-Btm
vaccine. We anticipate initiating Phase III trials in
Canada, Europe and Asia in 2005, pending the outcome of the
current trial. Our intention is to initially commercialize our
hepatitis B vaccine outside of the United States. |
| |
| |
|
Asthma. We have an inhaled therapeutic product candidate
for treatment of asthma, which has completed a Phase IIa
trial in Canada. Unlike current treatments for asthma, which
require chronic use, our product may provide long-term relief
following a single course of administration. Results from our
Phase I trial demonstrated that our product candidate was
well tolerated in healthy volunteers and may have the potential
to suppress both clinical symptoms and the underlying
inflammatory response associated with asthma. Results from a
Phase IIa asthma challenge study confirmed the safety of
inhaled immunostimulatory sequences in asthmatic patients, and
showed substantial and statistically significant pharmacological
activity, based upon the induction of genes associated with a
reprogrammed immune response. After allergen challenges at weeks
two and four, no significant changes in pulmonary function were
observed between placebo and treated groups. We anticipate
initiating a Phase II study in asthma in late 2005. |
We have preclinical programs focused on other allergies, chronic
inflammation, antiviral therapies and improved, next-generation
vaccines using ISS and other technologies. These include an
early-stage research program focused on a new class of
oligonucleotides called immunoregulatory sequence (IRS)
technology, as well as a program focused on developing orally
available small molecules in the thiazolopyrimidine
(TZP) class, to treat autoimmune disease.
The Immune System
The immune system is the bodys natural defense mechanism
against infectious pathogens, such as bacteria, viruses and
parasites, and plays an important role in identifying and
eliminating abnormal cells, such as cancer cells. The
bodys first line of defense against any foreign substance
is a specialized function called innate immunity, which serves
as a rapid response that protects the body during the days or
weeks needed for a second longer-term immune response, termed
adaptive immunity, to develop. Unique cells called dendritic
cells have two key functions in the innate immune response. They
produce molecules called cytokines that contribute to the
killing of viruses and bacteria. In addition, they ensure that
pathogens and other foreign substances are made highly visible
to specialized helper T cells, called Th1 and Th2 cells, which
coordinate the longer-term adaptive immune response. Dendritic
cells recognize different types of pathogens or offending
substances and are able to guide the immune system to make the
most appropriate type of response. When viruses, bacteria and
abnormal cells such as cancer cells are encountered, dendritic
cells trigger a Th1 response, whereas detection of a parasite
infection leads dendritic cells to initiate a Th2 response. Th1
and Th2 responses last for extended periods of time in the form
of Th1 and Th2 memory cells, conferring long-term immunity.
4
The diagram above is a visual representation of how the immune
system reacts when it encounters antigen. Upon encountering
antigen, a cascade of events is initiated that leads to either a
Th1 or a Th2 immune response, as described more fully in the
paragraphs above.
The Th1 response leads to the production of specific cytokines,
including interferon-alpha, interferon-gamma and
interleukin 12, or IL-12, as well as the generation of
killer T cells, a specialized immune cell. These cytokines and
killer T cells are believed to be the bodys most potent
anti-infective weapons. In addition, protective IgG antibodies
are generated that also help rid the body of foreign antigens
and allergens. Once a population of Th1 cells specific to a
particular antigen or allergen is produced, it persists for a
long period of time in the form of memory Th1 cells, even if the
antigen or allergen target is eliminated. If another infection
by the same pathogen occurs, the immune system is able to react
more quickly and powerfully to the infection, because the memory
Th1 cells can reproduce immediately. When the Th1 response to an
infection is insufficient, chronic disease can result. When the
Th1 response is inappropriate, diseases such as rheumatoid
arthritis can result, in part from elevated levels of Th1
cytokines.
Activation of the Th2 response results in the production of
other cytokines, IL-4, IL-5 and IL-13. These cytokines attract
inflammatory cells such as eosinophils, basophils and mast cells
capable of destroying the invading organism. In addition, the
Th2 response leads to the production of a specialized antibody,
IgE. IgE has the ability to recognize foreign antigens and
allergens and further enhances the protective response. An
inappropriate activation of the Th2 immune response to
allergens, such as plant pollens, can lead to chronic
inflammation and result in allergic rhinitis, asthma and other
allergic diseases. This inflammation is sustained by memory Th2
cells that are reactivated upon subsequent exposures to the
allergen, leading to a chronic disease.
ISS and the Immune System
Our principal product development efforts are based on a
technology that uses short synthetic DNA molecules called ISS
that stimulate a Th1 immune response while suppressing Th2
immune responses. ISS contain specialized sequences that
activate the innate immune system. ISS are recognized by a
specialized subset of dendritic cells containing a unique
receptor called Toll-Like Receptor 9, or TLR-9. The
interaction of TLR-9 with ISS triggers the biological events
that lead to the suppression of the Th2 immune response and the
enhancement of the Th1 immune response.
5
We believe ISS have the following benefits:
|
|
|
| |
|
ISS work by changing or reprogramming the immune responses that
cause disease rather than just treating the symptoms of disease. |
| |
| |
|
ISS influence helper T cell responses in a targeted and highly
specific way by redirecting the response of only those T cells
involved in a given disease. As a result, ISS do not alter the
ability of the immune system to mount an appropriate response to
infecting pathogens. In addition, because TLR-9 is found only in
a specialized subset of dendritic cells, ISS do not cause a
generalized activation of the immune system, which might
otherwise give rise to an autoimmune response. |
| |
| |
|
ISS, in conjunction with an allergen or antigen, establish
populations of memory Th1 cells, allowing the immune system to
respond appropriately to each future encounter with a specific
pathogen or allergen, leading to long-lasting therapeutic
effects. |
We have developed a number of proprietary ISS compositions and
formulations that make use of the different ways in which the
innate immune system responds to ISS. Depending on the
indication for which ISS is being explored as a therapy, we use
ISS in different ways.
ISS Linked to Allergens
We link ISS to allergens that are known to cause specific
allergies. By chemically linking ISS to allergens, rather than
simply mixing them, we generate a superior Th1 response due to
the fact that the ISS and allergen are presented simultaneously
to the same part of the immune system. The linked molecules
generate an increased Th1 response by the immune system in the
form of IgG antibodies and interferon-gamma. In addition, the
ISS-linked allergens have a highly specific and potent
inhibitory effect on the Th2 cells, thereby reprogramming the
immune response away from the Th2 response that causes specific
allergies. Upon subsequent natural exposure to the allergens,
the Th1 memory response is triggered, providing long-term
suppression of allergic responses.
ISS Linked to or Combined with Antigens
We also link ISS to antigens associated with cancer and
pathogens such as viruses and bacteria to stimulate an immune
response that will attack and destroy infected or abnormal
cells. ISS, linked to or combined with appropriate antigens,
increase the visibility of the antigen to the immune system and
induce a highly specific and enhanced Th1 response, including
increased IgG antibody production. As with ISS linked to
allergens, this treatment also generates memory T cells,
conferring long-term protection against specific pathogens. This
treatment may also have the potential for synergy with other
cancer or infectious disease therapies.
ISS Alone
We use ISS alone in diseases like asthma, where a large variety
of allergens may be associated with an inappropriate immune
response. ISS administered alone may suppress the Th2
inflammatory response caused by any number of allergens,
modifying the underlying cause of inflammation, as well as
providing symptomatic relief. ISS may also be used in
conjunction with a variety of anti-tumor monoclonal antibodies
as a combination therapy, with the goal of stimulating the
elimination of cancer cells.
Advanced ISS Technologies
We have developed proprietary technologies that modify the
molecular structure of ISS to significantly increase its
versatility and potency. We are using these technologies in most
of our preclinical programs and believe that they will be
essential to our future product development efforts. Our
advanced ISS technologies include novel ISS-like compounds,
which we call CICs, as well as advanced ISS formulations.
CICs are molecules that are a mixture of nucleotide and
non-nucleotide components. We have identified optimal sequences
that induce particular immune responses, including potent
interferon-alpha induction.
6
CICs can be tailored to have specific immunostimulatory
properties and can be administered alone, or linked to allergens
or antigens.
We have also developed novel formulations for ISS and CICs that
can dramatically increase their potency. These advanced
formulations can be used in situations where high potency is
required to see a desired clinical outcome and can decrease the
dosage of ISS or CICs required to achieve therapeutic effect.
Our Primary Development Programs
We are using a proprietary ISS, a 22-base synthetic DNA molecule
called 1018 ISS, in our clinical development programs for
ragweed allergy, hepatitis B prophylaxis and asthma. To date, we
have administered 1018 ISS to more than 700 people without
observing any serious, drug-related, adverse events. We have
demonstrated the clinical benefit of AIC and our hepatitis B
vaccine, which are both 1018 ISS-based product candidates, in
Phase II/ III clinical trials. Our principal programs are
Seasonal Allergy Immunotherapy, Hepatitis B Products and Chronic
Inflammation, as described below.
Seasonal Allergy Immunotherapy
|
|
|
AIC for Ragweed Allergy and its Benefits |
Our lead anti-allergy product, AIC, consists of 1018 ISS linked
to the purified major allergen of ragweed, called Amb a 1. AIC
targets the underlying cause of seasonal allergic rhinitis
caused by ragweed and offers a convenient six-week treatment
regimen potentially capable of providing long-lasting
therapeutic results. The linking of ISS to Amb a 1 ensures that
both ISS and ragweed allergen are presented simultaneously to
the same immune cells, producing a highly specific and potent
inhibitory effect and suppressing the Th2 cells responsible for
inflammation associated with ragweed allergy. Moreover, this
treatment reprograms the immune response away from the Th2
response and toward a Th1 memory response so that, upon
subsequent natural exposure to the ragweed allergen, long-term
immunity is achieved.
Over the last several years, we have generated a substantial
amount of clinical data on AIC. AIC has been tested in fourteen
clinical trials in the U.S., France and Canada, and more than
3,000 AIC injections have been administered in more than
500 patients. In these trials, AIC was shown to be safe and
well tolerated, to provide measurable improvements in allergy
symptoms and to reduce medication use. We are conducting a
two-year multi-site Phase II/ III trial in the U.S. to
evaluate the efficacy of AIC. We have enrolled 462 eligible
patients. Prior to the 2004 ragweed season, patients received a
six-week regimen of either placebo or escalating doses of up to
30 micrograms of AIC. Some patients will receive two additional
booster shots of AIC prior to the 2005 ragweed season. The
primary endpoint of this trial is the change in nasal symptoms
(i.e., congestion, runny nose, itchy nose, sneezing) relative to
placebo following the 2005 ragweed season. At the end of 2004,
we reported that the one-year interim analysis of this
Phase II/ III trial showed a clear positive trend relative
to the trials major endpoint of nasal symptom scores, as
well as other secondary endpoints, following the 2004 ragweed
season. The interim analysis indicated that AIC was safely
administered and systemic adverse reactions were similar between
the AIC and control arms. We intend to complete the two-year
clinical trial as planned, a decision that was endorsed by an
independent Drug Safety Monitoring Board. Pending the outcome of
discussions with the US Food and Drug Administration
(FDA) in 2005 and the results of the Phase II/III study, we
will determine the design, target populations and timing of
initiating a pivotal Phase III clinical program in early
2006. In addition, Dynavax will discuss with the FDA plans to
initiate a supportive Phase III trial in a pediatric
indication in 2005.
Medical management of seasonal allergic rhinitis is a
multibillion-dollar global market. In the U.S. alone,
approximately 40 million people suffer from allergic
rhinitis. The direct costs of prescription interventions for
7
allergic rhinitis in the U.S. were $8 billion in 2004.
Ragweed is the single most common seasonal allergen, affecting
up to 75% of those with allergic rhinitis, or 30 million
Americans. In addition, 20-30% of those who suffer from allergic
rhinitis progress to asthma, leading to increased morbidity and
disease management costs. We believe that a significant market
opportunity exists for AIC in the treatment of ragweed allergic
individuals currently undergoing conventional immunotherapy or
using multiple prescription or over-the-counter
(OTC) medications. In addition, the product may also play a
role in earlier stage disease, potentially preventing the
allergic march from allergic rhinitis to asthma.
|
|
|
Current Allergy Treatments and their Limitations |
Drug Treatments Many individuals turn
to prescription and OTC pharmacotherapies such as
antihistamines, corticosteroids, anti-leukotriene agents and
decongestants to manage their seasonal allergy symptoms.
Although currently available pharmacotherapies may provide
temporary symptomatic relief, they can be inconvenient to use
and can cause side effects. Most importantly, these
pharmacotherapies need to be administered chronically and do not
modify the underlying disease state.
Allergy Shots (Immunotherapy) Allergy
shots, or immunotherapy, are employed to alter the underlying
immune mechanisms that cause allergic rhinitis. Patients are
recommended for allergy immunotherapy only after attempts to
reduce allergic symptoms by drugs or limiting exposure to the
allergen have been deemed inadequate. Conventional immunotherapy
is a gradual immunizing process in which increasing
individualized concentrations of pollen extracts are mixed by
the allergist and administered to induce increased tolerance to
natural allergen exposure. The treatment regimen generally
consists of weekly injections over the course of six months to a
year, during which the dosing is gradually built up to a
therapeutic level so as not to induce a severe allergic
reaction. Once a therapeutic dosing level is reached,
individuals then receive bi-weekly or monthly injections to
build and maintain immunity over another two to four years. A
patient typically receives between 60 and 90 injections over the
course of treatment. Adverse reactions to conventional allergy
immunotherapy are common and can range from minor swelling at
the injection site to systemic reactions, and, in extremely rare
instances, death. Other major drawbacks from the patients
perspective include the inconvenience of repeated visits to
doctors offices for each injection, the time lag between
the initiation of the regimen and the reduction of symptoms, and
the total number of injections required to achieve a therapeutic
effect. Consequently, patient compliance is a significant issue.
|
|
|
Other Seasonal Allergy Immunotherapy Candidates |
As AIC progresses through clinical development, we intend to
produce similar ISS-allergen linked product candidates for the
treatment of other major seasonal allergies. Each of grass,
birch and cedar-induced seasonal allergic rhinitis is caused by
an allergic immune system response to identified and
characterized allergens. Consequently, product candidates for
each can be produced in a manner similar to AIC. For example,
the major grass allergen, Lol p 1, and the major cedar tree
allergen, Cry j 1, can be linked to ISS. As with AIC, we
believe our approach may provide distinct advantages over
conventional immunotherapy for these allergies, including a
potentially favorable safety profile, significantly shorter
dosing regimen and long-term therapeutic benefits.
AIC and our other seasonal allergy products should be well
positioned to compete against not only currently available
immunotherapies, but also other interventions targeting the
symptoms of seasonal allergic rhinitis. We believe that our
additional seasonal allergy products will present the same
advantages over symptomatic interventions as described for AIC.
As a result of these advantages and by providing a broader set
of seasonal allergy immunotherapies, we may ultimately achieve
an expansion into the large group of patients that currently
choose pharmacotherapies over existing immunotherapies.
|
|
| |
ISS for Peanut Allergy and its Benefits |
We believe that ISS linked with a major peanut allergen, Ara
h 2, may be able to suppress the Th2 response and reduce or
eliminate the allergic reaction without inducing anaphylaxis
during the course of
8
immunotherapy. Our anticipated advantage in this area is the
potentially increased safety that may be achieved by linking ISS
to the allergen. By using ISS to block recognition of the
allergen by IgE and therefore prevent subsequent histamine
release, we may be able to administer enough of the ISS-linked
allergen to safely reprogram the immune response without
inducing a dangerous allergic reaction. We believe the resulting
creation of memory Th1 cells may provide long-term protection
against an allergic response due to accidental exposure to
peanuts.
We are developing a peanut allergy product candidate that
consists of ISS linked to a major peanut allergen, Ara h 2. We
have demonstrated in mice that peanut allergen linked to ISS
induces much higher levels of Th1-induced IgG antibodies and
lower levels of IgE than natural peanut allergen. ISS-linked Ara
h 2 also induces much higher levels of interferon-gamma and much
lower levels of IL-5 than unmodified Ara h 2 in mice.
Immunization with our product candidate has also been shown to
protect peanut allergic animals from anaphylaxis and death
following exposure to peanut allergen. In addition, we have
demonstrated that ISS-linked Ara h 2 has significantly reduced
allergic response as measured by in vitro histamine release
assays using blood cells from peanut allergic patients.
Peanut allergy accounts for the majority of severe food-related
allergic reactions. Approximately 1.5 million people in the
U.S. have a potentially life-threatening allergy to peanuts
and the incidence is growing rapidly. There are an estimated 100
to 200 deaths from severe peanut allergy in the U.S. each
year.
|
|
| |
Current Peanut Allergy Treatments and their
Limitations |
There are currently no products available that prevent peanut
allergy. People allergic to peanuts must take extreme avoidance
measures, carefully monitoring their exposure to peanuts and
peanut byproducts. Emergency treatment following peanut exposure
and the onset of allergic symptoms primarily consists of the
administration of epinephrine to treat anaphylaxis. Our peanut
allergy immunotherapy is designed to allow patients to tolerate
exposure to higher levels of peanut products without
experiencing severe reactions.
|
|
|
License and Development Agreement with UCB |
In February 2004, Dynavax and UCB Farchim, S.A., a subsidiary of
UCB, S.A., or UCB, established a strategic partnering agreement
for the development and commercialization of seasonal allergy
products. In March 2005, Dynavax and UCB agreed to end their
collaboration. Under the terms of the agreement, UCB will return
all rights to the allergy program to Dynavax and the current
ongoing Phase II/ III clinical trial of our AIC
immunotherapy for ragweed allergy will be completed as planned.
Dynavax will assume financial responsibility for all further
clinical, regulatory, manufacturing and commercial activities
related to AIC and for preclinical development programs in grass
and in peanut allergy.
Hepatitis B Products
|
|
| |
Our Hepatitis B Vaccine Product Candidate and its
Benefits |
Current hepatitis B vaccines consist of hepatitis B surface
antigen combined with alum as an adjuvant. Our vaccine candidate
is composed of hepatitis B surface antigen combined with 1018
ISS and, unlike conventional vaccines, appears to require only
two immunizations over two months to achieve protective
hepatitis B antibody responses. In clinical trials we have been
able to reduce both the time and number of injections required
to reach protective hepatitis B antibody responses because of
the potent immune-enhancing properties of ISS, which we believe
may lead to protective hepatitis B antibody responses after one
or two immunizations and thus provide superior field efficacy as
compared to current hepatitis B vaccines.
9
Results from Phase I and from Phase II trials showed
that our vaccine candidate was well tolerated and induced more
rapid immunity with fewer immunizations than Engerix-B®, a
major currently available vaccine. Our Phase I trial
investigated the effects of escalating doses of ISS, from
0.3 mg to 3.0 mg, in each case administered with the
same amount of hepatitis B surface antigen as used in
conventional vaccines. In this trial we enrolled 48 subjects and
demonstrated that all subjects who received two injections of at
least 0.65 mg ISS with hepatitis B surface antigen achieved
protective hepatitis B antibody responses. We conducted a
Phase II trial in Canada evaluating the efficacy of two
injections of our vaccine candidate (hepatitis B surface antigen
plus 3.0 mg of 1018 ISS) compared to Engerix-B®. A
total of 99 healthy young adults were enrolled in this study,
randomized to our vaccine or Engerix-B®. Results show that
our vaccine induces a 79% rate of protective hepatitis B
antibody response after one injection and protective hepatitis B
antibody response in 100% of recipients after the second
injection at two months. In contrast, subjects receiving
Engerix-B® had protective hepatitis B antibody responses
after the first and second injections in 12% and 64% of
recipients, respectively. We are also conducting a
Phase II/ III trial in Singapore to evaluate the efficacy
of our vaccine in older subjects (ages 40-70 years)
who have a diminished ability to respond to current commercial
vaccines. Data from an interim analysis of the Companys
hepatitis B virus (HBV) vaccine Phase II/ III clinical
trial showed statistically significant superiority in protective
antibody response and robustness of protective effect after two
vaccinations when compared to GlaxoSmithKlines
Engerix-B®. The primary endpoint of the ongoing
Phase II/ III trial is seroprotection four weeks after
administration of the third dose. Pending the outcome of the
current trial, we intend to pursue a broad Phase III
clinical program in multiple age groups in mid-2005 with primary
endpoints of protective hepatitis B antibody responses after
each injection.
Hepatitis B is a common chronic infectious disease with an
estimated 350 million chronic carriers worldwide.
Prevention of hepatitis caused by the hepatitis B virus is
central to managing the spread of the disease, particularly in
regions of the world with large numbers of chronically infected
individuals. While many countries have instituted infant
vaccination programs, compliance is not optimal. Moreover, there
are large numbers of individuals born prior to the
implementation of these programs who are unvaccinated and are at
risk for the disease. In addition, not all individuals respond
to currently approved vaccines. Annual sales of hepatitis B
vaccines exceed $1.0 billion globally.
We are pursuing a diversified development and commercialization
strategy for its hepatitis B vaccine. Our clinical strategy is
to determine the effect of a two-dose regimen in adolescents and
young adults as well as a three-dose regimen in older patients
who are typically less responsive to conventional vaccines. The
vaccine may also be developed for the perinatal immunization of
infants born to infected mothers, a particularly high-risk
segment where transmission rates exceed 90%. We also plan to
develop our hepatitis B vaccine for high-risk populations that
may include the pre-hemodialysis market segment.
We plan to commercialize our hepatitis B vaccine initially in
various markets outside the U.S. We are also evaluating the
potential of developing more potent second-generation vaccines
that may offer advantages particularly for high-risk populations.
|
|
|
Current Hepatitis B Vaccines and their Limitations |
Current hepatitis B vaccines consist of a three-dose
immunization regimen administered over six months. If completed,
current hepatitis B vaccination confers protective hepatitis B
antibody responses to approximately 95% of healthy young adults.
However, the protective hepatitis B antibody responses achieved
by conventional vaccines is lower for persons who are overweight
or who smoke. Additionally, there is an inversely proportional
relationship between age and the degree to which current
vaccines confer protective hepatitis B antibody responses: the
older you are, the less effective current vaccines are.
Compliance with the immunization regimen is also a significant
issue, as many patients fail to receive all three doses.
According to a survey of U.S. adolescents and adults
published by the Centers for Disease Control, of those who
received
10
the first dose of vaccine, only 53% received the second dose of
vaccine and only 30% received the third. We believe that
compliance rates in other countries are similar or worse. For
healthy young adults, protective hepatitis B antibody responses
after the first dose are reported to be between 10% and 12% and
improve to only 38% to 56% after the second dose. Consequently,
an unacceptably large number of individuals who start the
immunization series remain susceptible to infection. Poor field
efficacy is of particular concern in regions with high hepatitis
B prevalence and constitutes a major public health issue.
|
|
|
Benefits of our Approach to Hepatitis B Therapy |
Our product candidate for hepatitis B therapy, in which advanced
ISS is both linked to and combined with hepatitis B surface
antigen, may provide a more effective alternative for the
elimination of infection in chronic carriers, in conjunction
with existing antiviral therapies. Our immunotherapy is expected
to induce a potent immune response against virus-infected cells
in the liver and has the potential to eradicate the infection.
Preclinical experiments in mice have shown that our product
candidate for hepatitis B therapy redirects the immune response
toward Th1-based immunity, producing strong interferon-gamma and
cytotoxic T cell responses. Interferon-gamma and cytotoxic T
cell responses are thought to be important for the control
and/or elimination of chronic hepatitis B infection.
Hepatitis B infection is a major cause of acute and chronic
viral hepatitis, with morbidities ranging from asymptomatic
infection to liver failure, cancer and death. There is a large
population chronically infected with hepatitis B, including an
estimated one million patients in the U.S., two million in
Europe, nine million in Japan and 350 million in the rest
of the world. In many countries in Southeast Asia and the
Pacific Basin, HBV endemicity is as high as 20-25% of the
population.
|
|
|
Currently Available Hepatitis B Therapies and their
Limitations |
Currently available therapies for chronic hepatitis B infection
include interferon alpha and antiviral drugs. Interferon-alpha
has been shown to normalize liver enzyme function in
approximately 40% of individuals treated. The approved antiviral
drugs, which work by inhibiting viral replication, reduce
hepatitis B viral load approximately 3,000-fold and normalize
liver enzymes in 50% to 75% of patients. However, both
interferon-alpha and antiviral drugs are expensive and may
induce significant side effects. In addition, patients typically
become resistant to antiviral drugs within one year of
initiating treatment, ultimately rendering them ineffective as
long-term therapies.
|
|
|
License and Supply Agreement with Berna Biotech |
In October 2003, we entered into an agreement with Berna
Biotech, a publicly traded company based in Bern, Switzerland,
in which Berna agreed to supply us with its proprietary
hepatitis B surface antigen for use in our Phase III
clinical trials for our hepatitis B vaccine and, if merited, its
subsequent commercialization. According to terms of the
agreement, we will receive adequate supplies of hepatitis B
surface antigen for clinical development, and then will pay
fixed amounts for use of the antigen in the potential commercial
vaccine.
11
Chronic Inflammation
|
|
|
Inhaled ISS for Asthma and its Benefits |
In most people, asthma is an allergic inflammatory disease
caused by multiple allergens. As a result, an approach relying
on the linkage of ISS to a large number of allergens would be
technically and commercially challenging. To address this issue,
we have formulated ISS for pulmonary delivery with no linked
allergen, relying on natural exposure to multiple allergens to
produce specific long-term immunity. We anticipate that ISS
would be administered initially on a weekly basis. Once the
immune response to asthma-causing allergens has been
reprogrammed to a Th1 response, it may be possible to reduce
administrations of ISS to longer periodic intervals or only as
needed. In addition, based on preclinical data, we believe that
this therapy may lead to reversal of airway remodeling caused by
asthma.
We conducted a Phase I trial to evaluate the safety and
tolerability of inhaled 1018 ISS in 54 healthy subjects. In the
first part of the trial, ISS was found to be well tolerated at
escalating doses. In the second part of the trial, measurable
increases in the expression of cytokines induced by 1018 ISS
were observed in treated patients relative to placebo,
confirming our understanding of its mechanism of action. We have
completed a Phase IIa trial in Canada to evaluate the
preliminary safety and tolerability of 1018 ISS in mild
asthmatics and assess the efficacy of the treatment following
allergen challenge. In this trial, 39 patients were given
four weekly doses of either 1018 ISS or placebo. The primary
endpoint of this trial was a comparison between 1018 ISS and
placebo of the allergen-induced clinical symptoms following the
final dose. The safety results of the trial showed no
differences in treatment-emergent or drug-related adverse events
or in serious adverse events. ISS produced statistically
significant elevations, in both peripheral blood and induced
sputum, of genes induced by alpha interferon, the main agent in
the biological cascade triggered by ISS. No induction of these
genes was observed in the placebo-treated patients. After
allergen challenges at weeks two and four, no significant
changes in pulmonary function were observed between placebo and
treated groups. We anticipate initiating a Phase II study
in late 2005.
Asthma is a chronic disorder caused primarily by allergic
inflammation of the airways, leading to recurrent episodes of
wheezing, breathlessness, chest tightness, and coughing,
particularly in the night or early morning. If not properly
managed, asthma can be life threatening. Asthma affects more
than 300 million individuals worldwide. In the
U.S. alone, asthma is estimated to afflict 20 million
people. The incidence of asthma is increasing and often occurs
in response to triggering allergens. It is estimated that at
least 75% of patients with asthma also complain of allergic
symptoms and 20-30% of those with allergic rhinitis also have
asthma. Sales of asthma drugs worldwide approximated
$9.0 billion in 2002.
|
|
|
Current Asthma Therapies and their Limitations |
Current asthma therapies are aimed at suppressing or
manipulating the immune and inflammatory components of asthma.
The most common therapy is the use of inhaled corticosteroids
that reduce swelling and inflammation. The requirement for daily
administration of inhaled corticosteroids to treat chronic
asthma often leads to poor compliance, especially in younger
patients. Other approaches include inhaled beta-agonists for
bronchodilation and leukotriene inhibitors to control
inflammation (these are delivered orally but demonstrate only
modest efficacy). The most recent entrant to the asthma
treatment market is an anti-IgE antibody, co-promoted by Tanox,
Genentech and Novartis, that is administered every two to four
weeks by injection for moderate to severe allergic asthma and is
priced at over $10,000 per year.
12
Additional Programs
In addition to our primary product portfolio, we are pursuing
earlier stage programs in Next-Generation Vaccines, Cancer,
Antiviral Applications and Chronic Inflammation, as described
below.
We are using our advanced ISS technology to develop an improved
anthrax vaccine that we expect will be well tolerated and
provide protective immunity after one or two immunizations. The
only available anthrax vaccine, Anthrax Vaccine Adsorbed, or
AVA, was approved in the U.S. in 1970 and has been used
extensively by the military. The vaccine has been reported to
cause relatively high rates of local and systemic adverse
reactions. In addition, the administration of AVA requires six
subcutaneous injections over 18 months with subsequent
annual boosters. Our vaccine candidate will be composed of
recombinant anthrax protective antigen, or rPA, combined with
advanced ISS enhanced by a proprietary formulation. The use of
advanced ISS in this formulation should enhance both the speed
and magnitude of the antibody response developed against rPA
compared to AVA and other rPA-based products in development.
Preclinical experiments have demonstrated that rPA combined with
our advanced ISS formulations has generated significantly higher
toxin neutralizing antibody responses compared to rPA alone or
rPA combined with the standard vaccine adjuvant, alum. In the
third quarter of 2003, the National Institute of Allergy and
Infectious Diseases, or NIAID, awarded us a $3.7 million
grant over three and a half years to fund research and
development of an advanced anthrax vaccine as part of its
biodefense program.
Human viral influenza is an acute respiratory disease of global
dimension with high morbidity and mortality in annual epidemics.
In the U.S., there are an estimated 20,000 viral
influenza-associated deaths per year. Pandemics occur
infrequently, on average every 33 years, with high rates of
infection resulting in increased mortality. The last pandemic
occurred 37 years ago, and virologists anticipate that a
new pandemic strain could emerge any time.
Current flu vaccines are directed against specific surface
antigen proteins. These proteins vary significantly each year,
requiring the vaccine to be reconfigured and administered
annually. Our approach links advanced ISS to nucleoprotein, one
of the flu antigens that varies little from year to year, and
then adds it to conventional vaccine to augment its activity.
While nucleoprotein alone is not capable of inducing a
protective immune response, we believe that linked
ISS-nucleoprotein added to conventional vaccine will not only
increase antibody responses capable of blocking viral infections
but also confer protective immunity against divergent influenza
strains. In the third quarter of 2003 we were awarded a
$3.0 million grant over three and a half years to fund
research and development of an advanced pandemic influenza
vaccine under an NIAID program for biodefense administered by
the National Institutes of Health.
We are evaluating the potential of 1018 ISS to enhance the
cytotoxic effects of monoclonal antibodies on cancer cells. This
strategy has been shown to be effective in preclinical models
utilizing various anticancer monoclonal antibodies. We have
conducted an open-label Phase I, dose-escalation trial of
1018 ISS in combination with Rituxan® in 20 patients
with a cancer of the blood called non-Hodgkins lymphoma
(NHL) to evaluate the safety, tolerability,
pharmacokinetics and pharmacodynamics of 1018 ISS administered
in combination with Rituxan®. Results of this study showed
interferon-alpha/beta inducible gene expression, without
significant toxicity. These results provide a rationale for
further testing of this combination immunotherapy approach to
NHL.
13
Increasing the resistance of individuals to a wide range of
potential pathogens by stimulating their innate immune response
would provide a complementary approach to vaccination against
specific pathogens. As the most likely route of exposure to
biological weapons is through the air, stimulation of innate
immune mechanisms in the lungs would be particularly important.
We have shown in animal models that ISS enhances innate immunity
and increases resistance to a variety of pathogens in both
prophylactic and therapeutic settings. We are currently
evaluating the effects of advanced ISS as prophylaxis against a
broad spectrum of biological agents in both mouse and primate
models. In the third quarter of 2003, we were awarded an NIAID
biodefense grant of $1.7 million over two and one-half
years. This grant will fund research and development of a
product candidate using pulmonary delivery to elicit
prophylactic innate immunity to airborne biological agents.
Tumor necrosis factor alpha, or TNF-alpha, is a cytokine that
plays a major role in the bodys response to infectious
diseases. Following bacterial or viral infection, TNF-alpha is
normally released as part of a Th1-dominated immune response to
fight the invading pathogen. In a number of diseases, such as
rheumatoid arthritis, Crohns disease and psoriasis,
however, inappropriately high levels of this cytokine are
produced, leading to the debilitating symptoms of these
conditions. A number of published studies have shown that
inhibition of TNF-alpha is effective in the treatment of these
diseases.
We are developing drugs based on a novel class of chemical
compounds called thiazolopyrimidines, or TZPs, for the treatment
of rheumatoid arthritis, a form of inflammatory bowel disease
called Crohns disease and other TNF-alpha mediated
diseases. TZPs are our proprietary small molecules that inhibit
the production of TNF-alpha and IL-12. They appear to have a
novel mechanism of action, including a high degree of
specificity, increasing their potential to be used as drugs.
We are conducting preclinical studies to determine the mechanism
of action of TZPs as well as evaluate their activity ex-vivo.
Based on the outcome of these studies, we will determine whether
to initiate clinical trials using TZPs in rheumatoid arthritis,
Crohns disease or potentially in other inflammatory
diseases.
In June 2003, we entered into a development collaboration
agreement with BioSeek, Inc. to conduct studies to determine the
mechanism of action for TZPs. Under the terms of the agreement,
a milestone payment is payable to BioSeek upon the achievement
of a milestone and royalties are payable if we partner or
commercialize our TZP program. The agreement may be terminated
by either party. As of December 31, 2004, BioSeek achieved
the contractual milestone, and as a result, we recorded an
accrual for $0.3 million.
We have pioneered a new approach to treating autoimmune disease
based upon a novel class of oligonucleotides, named
immunoregulatory sequences (IRS), that specifically inhibit the
toll-like receptor (TLR)-induced inflammatory response
implicated in disease progression. We are exploring development
of an IRS-based treatment for autoimmune disease, including
systemic lupus erythematosis (SLE or lupus). Based upon this
initial research, in the fourth quarter of 2004, the Alliance
for Lupus Research (ALR) awarded us a $0.5 million
grant over two years to explore new treatment approaches for SLE
based on the Companys novel IRS technology.
Intellectual Property
Our intellectual property portfolio can be divided into three
main technology areas: ISS, TZP and vaccines using DNA. We have
entered into exclusive, worldwide license agreements with the
Regents of the University of California for technology and
related patent rights in these three technology areas.
|
|
|
| |
|
ISS technology: We have seventeen issued U.S. and foreign
patents, thirty-two pending U.S. patent applications, and
eighty-six pending foreign applications that seek worldwide
coverage of compositions and methods using ISS technology. Some
of these patents and applications have been exclusively licensed
worldwide from the Regents of the University of California.
Among others, we hold issued |
14
|
|
|
| |
|
U.S. patents covering 1018 ISS as a composition of matter;
the use of ISS alone to treat asthma; and ISS linked to
allergens and viral or tumor antigens. |
| |
| |
|
TNF-alpha inhibitors: We have sixteen issued U.S. and
foreign patents and six pending U.S. and foreign patent
applications providing worldwide rights to a group of
small-molecule TNF-alpha synthesis inhibitors including TZPs. We
hold exclusive, worldwide licenses to these patents and patent
applications held by the Regents of the University of California. |
| |
| |
|
Vaccines using DNA: We have fourteen issued U.S. and
foreign patents and nine pending U.S. and foreign patent
applications covering methods and compositions for vaccines
using DNA and methods for their use. We hold an exclusive,
worldwide license from the Regents of the University of
California for patents and patent applications relating to
vaccines using DNA, and we have the right to grant sublicenses
to third parties. Effective January 1998, we entered into a
cross-licensing agreement with Vical, Inc. that grants each
company exclusive, worldwide rights to combine the other
firms patented technology for DNA immunization with its
own for selected indications. |
Under the terms of our license agreements with the Regents of
the University of California, we are required to pay license
fees, make milestone payments and pay royalties on net sales
resulting from successful products originating from the licensed
technologies. We may terminate these agreements in whole or in
part on 60 days advance notice. The Regents of the
University of California may terminate these agreements if we
are in default for failure to make royalty payments, produce
required reports or fund internal research and we do not cure a
breach within 60 days after being notified of the breach.
Otherwise, the agreements do not terminate until the last patent
claiming a product licensed under the agreement or its
manufacture or use expires, or in the absence of patents, until
the date the last patent application is abandoned, except for
the TZP agreement, which will expire on such date or in October
2013, whichever is later.
Although we believe our patents and patent applications,
including those that we license, provide a competitive
advantage, the patent positions of pharmaceutical and
biopharmaceutical companies are highly uncertain and involve
complex legal and factual questions. We and our collaborators or
licensors may not be able to develop patentable products or be
able to obtain patents from pending patent applications. Even if
patent claims are allowed, the claims may not issue, or in the
event of issuance, may not be sufficient to protect the
technology owned by or licensed to us. These current patents, or
patents that issue on pending applications, may be challenged,
invalidated, infringed or circumvented, and the rights granted
in those patents may not provide proprietary protection or
competitive advantages to us. Patent applications filed before
November 29, 2000 in the U.S. are maintained in
secrecy until patents issue; later filed U.S. applications
and patent applications in most foreign countries generally are
not published until at least 18 months after they are
filed. Scientific and patent publication often occurs long after
the date of the scientific discoveries disclosed in those
publications. Accordingly, we cannot be certain that we were the
first to invent the subject matter covered by any patent
application or that we were the first to file a patent
application for any inventions.
Our commercial success depends significantly on our ability to
operate without infringing patents and proprietary rights of
third parties. A number of pharmaceutical companies,
biotechnology companies, including Coley Pharmaceutical Group,
or Coley, as well as universities and research institutions may
have filed patent applications or may have been granted patents
that cover technologies similar to the technologies owned or
licensed to us. We cannot determine with certainty whether
patents or patent applications of other parties may materially
affect our ability to make, use or sell any products. The
existence of third-party patent applications and patents could
significantly reduce the coverage of the patents owned by or
licensed to us and limit our ability to obtain meaningful patent
protection.
If patents containing competitive or conflicting claims are
issued to third parties, we may be enjoined from pursuing
research, development or commercialization of products or be
required to obtain licenses to these patents or to develop or
obtain alternative technology. In addition, other parties may
duplicate, design around or independently develop similar or
alternative technologies to ours or our licensors. If another
party controls patents or patent applications covering our
products, we may not be able to obtain the rights we need
15
to those patents or patent applications in order to
commercialize our products. We have developed second-generation
technology that we believe reduces many of these risks.
Litigation may be necessary to enforce patents issued or
licensed to us or to determine the scope or validity of another
partys proprietary rights. U.S. Patent Office
interference proceedings may be necessary if we and another
party both claim to have invented the same subject matter. Coley
has issued U.S. patent claims, as well as patent claims
pending with the U.S. Patent and Trademark Office, that, if
held to be valid, could require us to obtain a license in order
to commercialize one or more of our formulations of ISS in the
U.S., including AIC. In December 2003 the United States Patent
and Trademark Office declared an interference to resolve
first-to-invent disputes between a patent application filed by
the Regents of the University of California, which is
exclusively licensed to us, and an issued U.S. patent owned
by Coley relating to immunostimulatory DNA sequences. The
declaration of interference names the Regents of the University
of California as senior party, indicating that a patent
application filed by the Regents of the University of California
and licensed to us was filed prior to a patent application owned
by Coley that led to an issued U.S. patent. The
interference provides the first forum to challenge the validity
and priority of certain of Coleys patents. If successful,
the interference action would establish our founders as the
inventors of the inventions in dispute. On March 10, 2005,
the U.S. Patent and Trademark Office issued a decision in the
interference which did not address the merits of the case, but
dismissed it on a legal technicality related to the timing of
Dynavaxs filing of its claims and request for
interference. Dynavax has appealed this non-final decision. If
we do not prevail in the interference proceeding, we may not be
able to obtain patent protection on the subject matter of the
interference, which would have a material adverse impact on our
business. In addition, if Coley prevails in the interference, it
may seek to enforce its rights under issued claims, including,
for example, by suing us for patent infringement. Consequently,
we may need to obtain a license to issued and/or pending claims
held by Coley by paying cash, granting royalties on sales of our
products or offering rights to our own proprietary technologies.
Such a license may not be available to us on acceptable terms,
if at all.
We could incur substantial costs if:
|
|
|
| |
|
litigation is required to defend against patent suits brought by
third parties; |
| |
| |
|
we participate in patent suits brought against or initiated by
our licensors; |
| |
| |
|
we initiate similar suits; or |
| |
| |
|
we pursue an interference proceeding. |
In addition, we may not prevail in any of these actions or
proceedings. An adverse outcome in litigation or an interference
or other proceeding in a court or patent office could:
|
|
|
| |
|
subject us to significant liabilities; |
| |
| |
|
require disputed rights to be licensed from other
parties; or |
| |
| |
|
require us to cease using some of our technology. |
We also rely on trade secrets and proprietary know-how,
especially when we do not believe that patent protection is
appropriate or can be obtained. Our policy is to require each of
our employees, consultants and advisors to execute a
confidentiality and inventions agreement before beginning their
employment, consulting or advisory relationship with us. These
agreements generally provide that the individuals must keep
confidential and not disclose to other parties any confidential
information developed or learned by the individuals during the
course of their relationship with us except in limited
circumstances. These agreements also generally provide that we
own all inventions conceived by the individuals in the course of
rendering services to us.
In the future, we may collaborate with other entities on
research, development and commercialization activities. Disputes
may arise about inventorship and corresponding rights in
know-how and inventions resulting from the joint creation or use
of intellectual property by us and our collaborators, licensors,
scientific collaborators and consultants. In addition, other
parties may circumvent any proprietary protection we do have. As
a result, we may not be able to maintain our proprietary
position.
16
Manufacturing
The process for manufacturing oligonucleotides such as ISS is
well established and uses commercially available equipment and
raw materials. To date, we have manufactured small quantities of
our oligonucleotide formulations for research purposes. We have
relied on a single contract manufacturer to produce our ISS for
clinical trials. We have identified several additional
manufacturers with whom we could contract for the manufacture of
ISS.
AIC consists of ISS linked to Amb a 1, the principal
ragweed allergen, which is purified from ragweed pollen
purchased on an as-needed basis from commercial suppliers of
ragweed pollen. If we are unable to purchase ragweed pollen from
commercial suppliers, we may be required to contract directly
with collectors of ragweed pollen which may in turn subject us
to unknown pricing and supply risks.
As we develop product candidates addressing other allergies,
including grass, tree and plant allergies, we may face similar
supply risks. In the past, AIC was produced for us by a single
contract manufacturer. Our existing supplies of AIC are
sufficient for us to conduct our currently planned
Phase III clinical trial in a pediatric indication. We plan
to qualify and enter into manufacturing agreements with one or
more new commercial manufacturers to produce additional supplies
of AIC as required for completion of clinical trials and
commercialization.
Our hepatitis B vaccine consists of ISS combined with clinical
grade hepatitis B surface antigen using standard fill and finish
processes. Hepatitis B surface antigen is manufactured worldwide
by several companies. We have acquired hepatitis B surface
antigen for our clinical trials to date from a single commercial
manufacturer. We entered into a license and supply agreement
with Berna Biotech, under which Berna will provide a supply of
antigen necessary to permit us to commence our planned
Phase III trials and to commercialize our hepatitis B
vaccine product candidate.
Marketing
We have no sales, marketing or distribution capability. We
intend to seek global or regional partners to help us market
certain product candidates. Although we have not yet determined
our commercialization strategy for our other product candidates,
we are inclined to license commercial rights to larger
pharmaceutical or biotechnology companies with appropriate
marketing and distribution capabilities, except in instances
where it may prove feasible to build a small direct sales
organization targeting a narrow specialty or therapeutic area.
Competition
The biotechnology and pharmaceutical industries are
characterized by rapidly advancing technologies, intense
competition and a strong emphasis on proprietary products. Many
of our competitors, including biotechnology and pharmaceutical
companies, academic institutions and other research
organizations, are actively engaged in the discovery, research
and development of products that could compete directly or
indirectly with our products under development.
If AIC is approved and commercialized, it will compete directly
with conventional allergy immunotherapy. Conventional allergy
immunotherapy products are mixed by allergists and customized
for individual patients from commercially available plant
material extracts. Because conventional immunotherapies are
customized on an individual patient basis, they are not marketed
or sold as FDA approved pharmaceutical products. Other companies
such as ALK-Abello and Allergy Therapeutics are developing
enhanced allergy immunotherapeutic products formulated for both
injection and sublingual delivery. We believe that our AIC
program for ragweed allergy is the more advanced and, if
developed, approved and commercialized, could reach the market
ahead of these other products. A number of companies, including
GlaxoSmithKline Plc, Merck & Co., Inc., and AstraZeneca
Plc, produce pharmaceutical products, such as antihistamines,
corticosteroids and anti-leukotriene agents, which manage
seasonal allergy symptoms. We consider these pharmaceutical
products to be indirect competition for AIC because although
they are targeting the same disease, they do not attempt to
treat the underlying cause of the disease.
17
Our hepatitis B vaccine, if it is approved and commercialized,
will compete directly with existing, three-injection vaccine
products produced by Merck & Co., Inc., GlaxoSmithKline
Plc, and Berna Biotech AG, among others. There are also
two-injection hepatitis B vaccine products in clinical
development, including a vaccine being developed by
GlaxoSmithKline Plc. In addition, our hepatitis B vaccine will
compete against a number of multivalent vaccines that
simultaneously protect against hepatitis B in addition to other
diseases. Our hepatitis B immunotherapy, if developed, approved
and commercialized, will compete directly with existing
hepatitis B therapeutic products (including antiviral drugs and
interferon alpha) manufactured by Roche Group, Schering-Plough
Corporation, Gilead Sciences, Inc., GlaxoSmithKline Plc and
other companies.
Our inhaled 1018 ISS asthma product candidate would indirectly
compete with existing asthma therapies, including
corticosteroids, leukotriene inhibitors and IgE monoclonal
antibodies, including those produced by Novartis Corporation,
AstraZeneca Plc, Schering-Plough Corporation and GlaxoSmithKline
Plc. We consider these existing therapies to be indirect
competition because they only attempt to address the symptoms of
the disease and, unlike our product candidate, do not attempt to
address the underlying cause of the disease. We are also aware
of a preclinical injectable product, which may target the
underlying cause of asthma, rather than just the symptoms, which
is being developed by Aventis Group under a collaboration
agreement with Coley Pharmaceutical Group. This product, if
approved and commercialized, may compete directly with our
asthma product candidate.
Many of the entities developing and marketing these competing
products have significantly greater financial resources and
expertise in research and development, manufacturing,
preclinical testing, conducting clinical trials, obtaining
regulatory approvals and marketing than us. Smaller or
early-stage companies may also prove to be significant
competitors, particularly for collaborative agreements with
large, established companies and access to capital. These
entities may also compete with us in recruiting and retaining
qualified scientific and management personnel, as well as in
acquiring technologies complementary to, or necessary for, our
programs.
We expect that competition among products approved for sale will
primarily be based on the efficacy, ease of use, safety profile,
and price. Our ability to compete effectively, develop products
that can be manufactured cost-effectively and market them
successfully based on differentiated label claims will depend on
our ability to:
|
|
|
| |
|
show efficacy and safety in our clinical trials; |
| |
| |
|
obtain required government and other public and private
approvals on a timely basis; |
| |
| |
|
enter into collaborations to manufacture, market and sell our
products; |
| |
| |
|
maintain a proprietary position in our technologies and
products; and |
| |
| |
|
attract and retain key personnel. |
Regulatory Considerations
The advertising, labeling, storage, record-keeping, safety,
efficacy, research, development, testing, manufacture,
promotion, marketing and distribution of our potential products
are subject to extensive regulation by numerous governmental
authorities in the U.S. and other countries. In the U.S.,
pharmaceutical products are subject to rigorous review by the
Food and Drug Administration (FDA) under the Federal Food,
Drug, and Cosmetic Act, the Public Health Service Act and other
federal statutes and regulations. The steps ordinarily required
by the FDA before a new drug or biologic may be marketed in the
U.S. are similar to steps required in most other countries
and include: