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UNITED STATES
SECURITIES AND EXCHANGE COMMISION

Washington, D.C. 20549

FORM 10-Q

[X]   Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.
 
    For the quarterly period ended March 31, 2004
 
[   ]   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
000-50438

Myogen, Inc.

(Exact name of Registrant as specified in its charter)
     
Delaware   84-1348020
(State or other jurisdiction of
incorporation or organization)
  (I.R.S. Employer
Identification No.)

7575 West 103rd Avenue, Suite 102
Westminster, CO 80021
(303) 410-6666

(Address, including zip code, and telephone number,
including area code, of principal executive offices)

     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 [X] No [   ]

     Check whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).

Yes [   ] No [X]

     As of May 7, 2004 there were 26,484,611 shares of the Registrant’s Common Stock outstanding, par value $0.001 per share.

     This quarterly report on Form 10-Q consists of 29 pages.

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MYOGEN, INC.
FORM 10-Q

INDEX

         
           Number   Page
    3  
    3  
    3  
    4  
    5  
    7  
    12  
    25  
    26  
    27  
    27  
    27  
    27  
    27  
    27  
    27  
    28  
EXHIBIT INDEX
    29  
 Certification of Principal Executive Officer
 Certification of Principal Financial Officer
 Section 1350 Certification

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PART I. FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

MYOGEN, INC.
(A Development Stage Enterprise)

CONSOLIDATED BALANCE SHEETS
(Unaudited)
                 
    March 31,   December 31,
    2004
  2003
ASSETS
               
Current assets:
               
Cash and cash equivalents
  $ 17,827,890     $ 44,337,721  
Short-term investments
    76,316,568       69,914,627  
Accrued interest receivable
    614,025       607,393  
Trade accounts receivable
    1,170,470       1,274,861  
Research and development contract amounts due within one year
    2,547,961       1,625,000  
Inventories
    793,616       724,282  
Prepaid expenses and other current assets
    1,274,754       1,434,174  
 
   
 
     
 
 
Total current assets
    100,545,284       119,918,058  
Long-term investments
    3,503,210        
Property and equipment, net
    1,476,635       1,304,028  
Other assets
    46,960       51,238  
 
   
 
     
 
 
Total assets
  $ 105,572,089     $ 121,273,324  
 
   
 
     
 
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities:
               
Accounts payable
  $ 7,894,652     $ 7,594,935  
Accrued liabilities
    923,230       1,350,114  
Current portion of deferred revenue
    1,666,667       1,666,667  
Current portion of capital lease obligations
    38,770       37,015  
Current portion of notes payable, net of discount
    1,683,226       1,639,246  
 
   
 
     
 
 
Total current liabilities
    12,206,545       12,287,977  
Deferred revenue, net of current portion
    2,531,362       2,948,029  
Capital lease obligations, net of current portion
    113,053       121,617  
Notes payable, net of current portion and discount
    1,556,271       1,993,906  
Commitments and contingencies (See Note 9)
               
Stockholders’ equity:
               
Preferred Stock, $0.001 par value; 5,000,000 shares authorized at March 31, 2004 and December 31, 2003, no shares issued or outstanding
           
Common stock, $0.001 par value; 100,000,000 shares authorized and 26,465,885 and 26,457,927 shares issued and outstanding as of March 31, 2004 December 31, 2003, respectively
    26,466       26,458  
Additional paid-in-capital
    228,919,923       229,080,380  
Deferred stock-based compensation
    (5,348,315 )     (6,730,195 )
Other comprehensive income
    30,238       22,185  
Deficit accumulated during the development stage
    (134,463,454 )     (118,477,033 )
 
   
 
     
 
 
Total stockholders’ equity
    89,164,858       103,921,795  
 
   
 
     
 
 
Total liabilities and stockholders’ equity
  $ 105,572,089     $ 121,273,324  
 
   
 
     
 
 

The accompanying notes are an integral part of these consolidated financial statements.

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MYOGEN, INC.
(A Development Stage Enterprise)

CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
                         
                    Cumulative
                    Period from
    For the Three Months Ended   June 10, 1996
    March 31,   (Inception) to
    2004
  2003
  March 31, 2004
Revenues:
                       
Product sales
  $ 851,647     $ 656,385     $ 8,275,361  
Research and development contracts
    1,339,628             2,349,933  
 
   
 
     
 
     
 
 
 
    2,191,275       656,385       10,625,294  
 
   
 
     
 
     
 
 
Costs and expenses:
                       
Cost of product sold
    271,130       206,897       2,957,816  
Research and development (excluding stock-based compensation expense of $615,948, $438,354 and $3,471,657, respectively)
    14,624,436       6,351,237       103,344,106  
Selling, general and administrative (excluding stock-based compensation expense of $595,906, $333,296 and $2,665,679, respectively)
    2,235,278       931,523       20,074,027  
Stock-based compensation expense
    1,211,854       771,650       6,137,336  
 
   
 
     
 
     
 
 
 
    18,342,698       8,261,307       132,513,285  
 
   
 
     
 
     
 
 
Loss from operations
    (16,151,423 )     (7,604,922 )     (121,887,991 )
Interest income, net
    171,878       27,296       2,571,873  
 
   
 
     
 
     
 
 
Loss before income taxes
    (15,979,545 )     (7,577,626 )     (119,316,118 )
Income taxes
    6,876       2,315       67,673  
 
   
 
     
 
     
 
 
Net loss
    (15,986,421 )     (7,579,941 )     (119,383,791 )
Accretion of mandatorily redeemable convertible preferred stock
          (3,670,185 )     (32,499,556 )
Deemed dividend related to beneficial conversion feature of preferred stock
                (39,935,388 )
 
   
 
     
 
     
 
 
Net loss attributable to common stockholders
  $ (15,986,421 )   $ (11,250,126 )   $ (191,818,735 )
 
   
 
     
 
     
 
 
Basic and diluted net loss per common share
  $ (0.60 )   $ (10.95 )        
 
   
 
     
 
         
Weighted average common shares outstanding
    26,461,163       1,027,618          
 
   
 
     
 
         

The accompanying notes are an integral part of these consolidated financial statements.

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MYOGEN, INC.
(A Development Stage Enterprise)

CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
                         
                     
         
    For the Three Months Ended
March 31,
  Cumulative
Period From
June 10, 1996
   
  (Inception) to
    2004
  2003
  March 31, 2004
Cash Flows From Operating Activities:
                       
Net loss
  $ (15,986,421 )   $ (7,579,941 )   $ (119,383,791 )
Adjustments to reconcile net loss to net cash used in operating activities:
                       
Depreciation and amortization
    113,449       110,929       1,125,684  
Amortization of deferred stock-based compensation
    1,211,854       771,650       6,137,336  
Amortization of debt discount
    34,404       34,404       182,834  
Amortization of investment premium
    222,893       60,450       461,743  
Stock exchanged for license
                1,163,229  
Loss on disposal of property and equipment
          321       34,309  
Changes in operating assets and liabilities:
                       
Trade accounts receivable
    73,777       (1,971 )     (416,686 )
Research and development contract amounts
    (922,961 )           (1,547,961 )
Inventories
    (69,334 )     23,630       (793,616 )
Prepaid expenses, accrued interest and other assets
    145,310       728,519       (2,158,429 )
Accounts payable
    353,210       (1,236,613 )     7,339,223  
Deferred revenue
    (416,667 )           3,198,029  
Accrued liabilities
    (426,268 )     689,436       683,638  
 
   
 
     
 
     
 
 
Net cash used in operating activities
    (15,666,754 )     (6,399,187 )     (103,974,458 )
 
   
 
     
 
     
 
 
Cash Flows From Investing Activities:
                       
Acquisitions of property and equipment
    (287,741 )     (57,591 )     (2,724,297 )
Proceeds from sale of property and equipment
                332,473  
Purchases of investments
    (37,719,991 )     (5,763,490 )     (361,063,402 )
Proceeds from maturities of short-term investments
    27,600,000       7,561,942       280,974,600  
 
   
 
     
 
     
 
 
Net cash (used in) provided by investing activities
    (10,407,732 )     1,740,861       (82,480,626 )
 
   
 
     
 
     
 
 
Cash Flows From Financing Activities:
                       
Proceeds from issuance of mandatorily redeemable convertible preferred stock, net of issuance costs
                127,151,604  
Proceeds from issuance of common stock, net of issuance costs
    9,576       5,468       73,560,789  
Proceeds from notes payable
                5,250,000  
Payments on notes payable
    (428,059 )           (1,769,678 )
Proceeds from related party note
                370,275  
Repayments of related party note
                (289,887 )
Payments on capital leases
    (6,809 )     (6,319 )     (63,701 )
 
   
 
     
 
     
 
 
Net cash (used in) provided by financing activities
    (425,292 )     (851 )     204,209,402  
 
   
 
     
 
     
 
 
Effect of exchange rates on cash
    (10,053 )     (89,466 )     73,572  
Net (decrease) increase in cash and cash equivalents
    (26,509,831 )     (4,748,643 )     17,827,890  
Cash and cash equivalents, beginning of period
    44,337,721       6,993,146        
 
   
 
     
 
     
 
 
Cash and cash equivalents, end of period
  $ 17,827,890     $ 2,244,503     $ 17,827,890  
 
   
 
     
 
     
 
 

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    For the Three Months Ended
March 31,
  Cumulative
Period From
June 10, 1996
   
  (Inception) to
    2004
  2003
  March 31, 2004
Supplemental Disclosure of Non-Cash Financing Activities:
                       
Acquisition of property and equipment under capital leases
  $ 3,016           $ 214,985  
Common stock issued in exchange for notes receivable
                81,362  
Convertible preferred stock issued in exchange for license
                1,163,229  
Mandatorily redeemable convertible preferred stock issued in lieu of cash commission on issuance of Series D mandatorily redeemable convertible preferred stock
                928,961  

The accompanying notes are an integral part of these consolidated financial statements.

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MYOGEN, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Note 1: Basis of Presentation

     The accompanying unaudited consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States and with the instructions to Form 10-Q and Article 10 of Regulation S-X for interim financial information. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation have been included. Operating results for the three-month period ended March 31, 2004 are not necessarily indicative of the results that may be expected for the year ending December 31, 2004. For further information, refer to the consolidated financial statements and footnotes thereto as of and for the year ended December 31, 2003, included in the Annual Report on Form 10-K of Myogen Inc. (the “Company” or “Myogen”) filed with the Securities and Exchange Commission on March 1, 2004.

     The Company has generated limited revenue to date and its activities have consisted primarily of developing products, licensing products, raising capital and recruiting personnel. Accordingly, the Company is considered to be in the development stage as of March 31, 2004 as defined in Statement of Financial Accounting Standards (“SFAS”) No. 7, Accounting and Reporting by Development Stage Enterprises.

Note 2: Liquidity

     The Company has incurred significant losses and negative cash flows from operations in every fiscal period since June 10, 1996 (Inception). For the three months ended March 31, 2004, the Company incurred losses from operations of $16,151,423 and negative cash flows from operations of $15,666,754. For the years ended December 31, 2003, 2002 and 2001, the Company incurred losses from operations of $42,972,596, $28,815,118 and $17,770,643, respectively, and negative cash flows from operations of $31,706,160, $26,459,454 and $16,409,817, respectively. As of March 31, 2004, the Company had a deficit accumulated during the development stage of $134,463,454. Management anticipates that operating losses and negative cash flows from operations will continue for at least the next several years.

     To date, the Company has satisfied its cash commitments primarily through public and private placements of equity securities. From Inception to March 31, 2004, the Company raised $200,712,393 of net cash proceeds from the sale of equity securities.

     Management believes that the cash on hand will be sufficient to continue operations for at least the next 12 months. Failure to generate sufficient revenues or raise additional capital could have a material adverse effect on the Company’s ability to achieve its intended business objectives. Management plans on raising additional financing to meet future working capital and capital expenditure needs. There can be no assurance that such additional financing will be available or, if available, that such financing can be obtained on terms satisfactory to the Company.

Note 3: Inventory Components

                 
    March 31,   December 31,
    2004
  2003
Finished products
  $ 280,426     $ 207,262  
Raw materials
    513,190       517,020  
 
   
 
     
 
 
Total inventories
  $ 793,616     $ 724,282  
 
   
 
     
 
 

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Note 4: Comprehensive Loss

     A reconciliation of net loss to comprehensive loss is as follows:

                 
    Three Months Ended
    March 31,
    2004
  2003
Net loss
  $ (15,986,421 )   $ (7,579,941 )
Change in unrealized gain (loss) on investments available for sale
    12,403       34,488  
Foreign currency translation adjustment
    (4,350 )     (86,786 )
 
   
 
     
 
 
Total comprehensive loss
  $ (15,978,368 )   $ (7,632,239 )
 
   
 
     
 
 

Note 5: Revenue Recognition

     Myogen recognizes revenue in accordance with SEC Staff Accounting Bulletin No. 104 “Revenue Recognition in Financial Statements” (SAB 104). The Company considers this methodology to be the most appropriate for its business model and current revenue streams.

  Product Sales

     Sales are recognized when the following four revenue recognition criteria are met: (i) persuasive evidence of an arrangement exists; (ii) product is shipped from the distributor to the customer; (iii) the selling price is fixed or determinable; and (iv) collection is reasonably assured. Once the product is shipped to the customer, the Company does not allow product returns.

  Research and development contracts

     Myogen may enter into collaborative agreements with pharmaceutical companies where the other party receives exclusive marketing and distribution rights for certain products for set time periods and set geographic areas. The rights associated with this research and development are assigned or can be assigned to the collaborator through a license at the collaborator’s option. The terms of the collaborative agreements can include nonrefundable funding of research and development efforts, licensing fees, payments based on achievement of certain milestones, and royalties on product sales.

     Non-refundable license fees received are recorded as deferred revenue once received or irrevocably committed and are recognized ratably over the longer of the development period to which they relate or the expected duration of the contractual relationship. Where there are two or more distinct phases embedded into one contract (such as product development and subsequent commercialization or manufacturing), the contracts may be considered multiple element arrangements. When it can be demonstrated that each of these phases are at fair value, they are treated as separate earnings processes with upfront fees being recognized over only the initial product development phase. The relevant time period for the product development phase is based on management estimates and could vary depending upon the outcome of clinical trials and the regulatory approval process. As a result, management continually reviews the appropriate time period.

     Milestones based on designated achievement points that are considered at risk and substantive at the inception of the collaborative contract are recognized as earned when the earnings process is complete and the corresponding payment is reasonably assured. The Company evaluates whether milestones are at risk and substantive based on the contingent nature of the milestone, specifically reviewing factors such as the technological and commercial risk that needs to be overcome and the level of investment required. Milestone payments related to arrangements under which the Company has continuing performance obligations are recognized as revenue upon achievement of the milestone only if all of the following conditions are met: the milestone payments are non-refundable; achievement of the milestone was not reasonably assured at the inception of the arrangement; substantive effort is involved in achieving the milestone; and the amount of the milestone is reasonable in relation to the effort expended or the risk associated with the achievement of the milestone. If any of these conditions are not met, the milestone

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payments are deferred and recognized as revenue over the term of the arrangement as the Company completes its performance obligations.

     Revenue from research funding is recognized when the services are performed in order to match revenues to expenses incurred and are typically based on the fully burdened cost of a researcher working on a collaboration. Revenue is recognized ratably over the period as services are performed, with the balance reflected as deferred revenue until earned.

Note 6: Net Loss Per Common Share

     Net loss per common share is calculated in accordance with SFAS No. 128, Earnings Per Share (“SFAS 128”) and SEC Staff Accounting Bulletin No. 98 (“SAB 98”). Under the provisions of SFAS 128 and SAB 98, basic net loss per common share is computed by dividing the net loss attributable to common stockholders for the period by the weighted average number of common shares outstanding during the period and diluted net loss per common share is computed by giving effect to all dilutive potential common stock, including options, mandatorily redeemable convertible preferred stock, convertible preferred stock and warrants.

     Diluted net loss per common share for all periods presented is the same as basic net loss per share because the potential common shares were anti-dilutive. Anti-dilutive common shares not included in net loss attributable to common stockholders are summarized as follows:

                 
    Three Months Ended
    March 31,
    2004
  2003
Common stock related to options
    2,315,388       1,799,894  
Warrants
    38,592       25,188  
Convertible preferred stock
          160,721  
Mandatorily redeemable convertible preferred stock
          13,625,321  
 
   
 
     
 
 
Total
    2,353,930       15,611,124  
 
   
 
     
 
 

     The Company’s historical capital structure is not indicative of its prospective structure due to the automatic conversion of all shares of preferred stock into common stock concurrent with the closing of the Company’s initial public offering. The 2003 anti-dilutive common shares are not indicative of the 2004 anti-dilutive common shares. Accordingly, historical basic net loss per common share should not be used as an indicator of future earnings per common share.

Note 7: Stock-Based Compensation

     The Company measures compensation expense to employees using the intrinsic value method as prescribed by Accounting Principles Board Opinion (“APB”) No. 25, Accounting For Stock Issued to Employees (“APB 25”) and provides pro forma disclosures of net loss as if the fair value based method was applied as prescribed by SFAS No. 123, Accounting for Stock-Based Compensation (“SFAS 123”). Accordingly, as allowable under SFAS 123, the Company does not recognize compensation expense for options granted to employees when the exercise price equals or exceeds the fair value of common stock as of the grant date. Stock-based awards to consultants are accounted for under the provisions of SFAS 123 and Emerging Issues Task Force (“EITF”) Issue 96-18, Accounting for Equity Instruments That Are Issued to Other Than Employees for Acquiring, or in Conjunction with Selling, Goods or Services.

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     Had employee compensation cost for the Company’s stock-based compensation plan been determined based on the fair value at the grant dates for awards using the Black-Scholes model prescribed by SFAS 123, the Company’s pro forma net loss and pro forma net loss per share would be as follows:

                 
    Three Months Ended
    March 31,
    2004
  2003
Net loss attributable to common stockholders, as reported
  $ (15,986,421 )   $ (11,250,126 )
Add: Total stock-based employee compensation expense included in reported net loss
    1,159,673       593,416  
Deduct: Total stock-based employee compensation expense determined under fair value based method
    (1,392,767 )     (582,420 )
 
   
 
     
 
 
Pro forma net loss
  $ (16,219,515 )   $ (11,239,130 )
 
   
 
     
 
 
Pro forma basic and diluted net loss per share
  $ (0.61 )   $ (10.94 )
 
   
 
     
 
 
Basic and diluted net loss per share, as reported
  $ (0.60 )   $ (10.95 )
 
   
 
     
 
 

Note 8: Accounts Payable

     Accounts payable are comprised of the following:

                 
    March 31,   December 31,
    2004
  2003
Trade
  $ 229,492     $ 679,827  
Research and development
    7,279,958       6,510,549  
Related party
    385,202       404,559  
 
   
 
     
 
 
 
  $ 7,894,652     $ 7,594,935  
 
   
 
     
 
 

Note 9: Commitments and Contingencies

     In the ordinary course of its business, the Company makes certain indemnities, commitments and guarantees under which it may be required to make payments in relation to certain transactions. These include indemnities of clinical investigators, consultants and contract research organizations involved in the development of the Company’s clinical stage products, indemnities of distributors of its marketed product, indemnities to its lenders and indemnities to directors and officers of the Company to the maximum extent permitted under the laws of the State of Delaware. The duration of these indemnities, commitments and guarantees varies, and in certain cases, is indefinite. The majority of these indemnities, commitments and guarantees do not provide for any limitation of the maximum potential future payments the Company could be obligated to make. The Company has not recorded any liability for these indemnities, commitments and guarantees in the accompanying consolidated balance sheets. However, the Company accrues for losses for any known contingent liability, including those that may arise from indemnification provisions, when future payment is probable and in accordance with SFAS No. 5, Accounting for Contingencies. No such losses have been recorded to date.

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Note 10: Business Segments

     The Company operates in the United States and in certain countries throughout Europe under one operating segment. All product sales from Inception to March 31, 2004 have occurred in Europe through the Company’s subsidiary.

                 
    Three Months Ended
    March 31,
    2004
  2003
Product sales:
               
Germany
  $ 189,671     $ 156,263  
Netherlands
    242,223       171,635  
United Kingdom
    147,729       121,144  
Italy
    179,881       99,295  
France
    80,267       99,161  
Other
    11,876       8,887  
 
   
 
     
 
 
 
  $ 851,647     $ 656,385  
 
   
 
     
 
 
                 
    March 31,   December 31,
    2004
  2003
Long-lived assets:
               
United States
  $ 1,411,757     $ 1,234,685  
Europe
    64,878       69,343  
 
   
 
     
 
 
 
  $ 1,476,635     $ 1,304,028  
 
   
 
     
 
 

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Forward-Looking Statements

     This quarterly report on Form 10-Q, including this Management’s Discussion and Analysis of Financial Condition and Results of Operations, contains forward-looking statements regarding future events and our future results, such as statements of our plans, objectives, expectations, beliefs, assumptions and intentions. Words such as “expect,” “anticipate,” “target,” “goal,” “project,” “intend,” “plan,” “believe,” “seek,” “estimate,” variations of such words, and similar expressions are intended to identify such forward-looking statements. In addition, any statements which refer to projections of our future financial performance, our anticipated growth and trends in our business, and other characterizations of future events or circumstances, are forward-looking statements. These forward-looking statements are only predictions and are subject to risks, uncertainties, and assumptions. Our actual results could differ materially from those discussed in the forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in “Risk Factors,” other cautionary statements included in this report and in our annual report filed on Form 10-K on March 1, 2004. We are providing the information in this quarterly report filed on Form 10-Q as of the date of this report. Except as required by law, we undertake no duty to update any forward-looking statements to reflect the effect on those statements of subsequent events or changes in our expectations or assumptions.

Overview

     We are a biopharmaceutical company focused on the discovery, development and commercialization of small molecule therapeutics for the treatment of cardiovascular disorders. We believe that our advanced understanding of the biology of cardiovascular disease combined with our clinical development expertise in cardiovascular therapeutics provide us with the capability to discover novel therapies, as well as identify, license or acquire products that address serious, debilitating cardiovascular disorders that are not adequately treated with existing therapies.

     We have three product candidates in late-stage clinical development: enoximone capsules for the treatment of chronic heart failure, ambrisentan for the treatment of pulmonary arterial hypertension and darusentan for the treatment of resistant hypertension. We are evaluating enoximone capsules in four Phase III trials, one of which was completed in February 2004. If these trials progress as planned, we expect the two trials that we believe will be required for regulatory approval will be fully enrolled before the end of May and patients will have completed treatment by the end of 2004. We completed a Phase II clinical trial of ambrisentan in September 2003 and announced the initiation of the two pivotal Phase III trials, ARIES-1 and -2, in January 2004. We expect to complete patient enrollment in ARIES-1 and -2 in the first half of 2005. This timing is somewhat uncertain due to on-going competing trials for the same indication. We intend to begin Phase IIb clinical evaluation of darusentan in 2004. All of our product candidates are orally administered small molecules that we believe offer advantages over currently available therapies. In addition, we currently market an intravenous formulation of enoximone, Perfan I.V., for the treatment of acute decompensated heart failure in eight countries in Europe.

     On March 25, 2004, we announced preliminary results of EMOTE, a non-pivotal Phase III study of enoximone capsules in 201 patients with the most advanced stages of chronic heart failure who are dependent on intravenous (i.v.) inotrope therapy. The study was designed to evaluate enoximone capsules as effective treatment to wean patients off of i.v. inotrope therapy and potentially support the two ongoing Phase III pivotal studies, ESSENTIAL I & II. Analysis of the primary endpoint, wean success at 30 days, demonstrated a wean success rate of 61% in the enoximone-treated group and 51% in the placebo-treated group. This difference did not reach statistical significance. The key secondary endpoints, which also evaluated wean from i.v. inotrope therapy, but over time rather than at a fixed 30-day time point, were achieved, demonstrating a therapeutic benefit over a range of time periods. The safety results demonstrated no statistical difference in serious adverse events or mortality between the groups receiving placebo or enoximone capsules.

     Through our internal research program and academic collaborations, we are developing an advanced understanding of the biological pathways of heart disease and have discovered several novel molecular targets that we believe play a key role in heart failure. To further advance our discovery research program, we entered into a research collaboration with the Novartis Institutes for BioMedical Research, Inc. (“Novartis”) for the discovery and development of novel drugs for the treatment of cardiovascular disease

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in October 2003. In exchange for license payments and a commitment to fund our research, Novartis has an exclusive right to license drug targets and compounds developed through the collaboration.

     We are in the development stage and since inception have devoted substantially all of our efforts to the discovery, in-licensing and development of drugs to treat cardiovascular disease. We have incurred losses each year since our inception and had an accumulated deficit of $134.5 million as of March 31, 2004. We incurred operating losses of $16.2 million and $7.6 million for the three months ended March 31, 2004 and 2003, respectively and $43.0 million, $28.8 million and $17.8 million for the years 2003, 2002 and 2001, respectively. Our research and development expenses have historically been much higher than our revenues.

     Our current revenue is derived from research and development contract revenues from our agreement with Novartis signed in October 2003 and sales of Perfan I.V. in eight European countries. Even if our research and development contract revenues continue to increase and our sales and marketing efforts lead to modest increases in Perfan I.V. sales in future periods, we do not expect that such increases will result in a material reduction in our overall net loss. Our cost of product sold reflects the cost of Perfan I.V., which we purchase exclusively from contract manufacturers, and the cost of royalties payable to Aventis.

     Our primary business activities have been focused on the development of enoximone capsules, ambrisentan and darusentan. From inception to March 31, 2004, we have incurred expenses of approximately $58.0 million, $22.5 million and $6.3 million for the development of enoximone capsules, ambrisentan and darusentan, respectively. These expenses represent both clinical development costs and the costs associated with non-clinical support activities such as toxicological testing, manufacturing process development and regulatory consulting services. We also report the costs of product licenses in this category, including our milestone obligations associated with the licensing of enoximone, ambrisentan and darusentan.

     While some of our research and development expenses are the result of the internal costs related directly to our employees, a majority of the expenses are charged to us by external service providers, including clinical research organizations and contract manufacturers. The cost of our clinical trial programs is the most significant portion of our development expenses, with the number of patients enrolled in a trial and the attendant level of contract research organization and clinical site activity being the principal cost determinants. We expect that expenses in the research and development category will increase for the foreseeable future as we add personnel and expand our clinical trial activities. The amount of the increase is difficult to predict due to the uncertainty inherent in the timing of clinical trial initiations, the rate of patient enrollment and the detailed design of future trials. In addition, the results from our trials, as well as the results of trials of similar drugs under development by others, will influence the number, size and duration of planned and unplanned trials.

Results of Operations

Three Months Ended March 31, 2004 and 2003

Revenues

                 
    Three Months Ended
    March 31,
    2004
  2003
    (In thousands)
Revenues:
               
Product sales
  $ 852     $ 656  
Research and development contracts
    1,340        
 
   
 
     
 
 
 
  $ 2,192     $ 656  
 
   
 
     
 
 

     Product sales

     Product sales were derived from sales of Perfan I.V. in Europe. We had an increase of approximately 22% in sales volume, partially offset by a decrease in the average selling price. Approximately $110,000 of the increase in 2004 as compared to 2003 was due to a favorable change in the euro exchange rate. We do not anticipate future growth in Perfan I.V. sales.

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     Research and development contracts revenue

     Research and development contracts revenues for the three months ended March 31, 2004 were related to the research collaboration with Novartis entered into in October 2003; therefore, there was no corresponding revenue in the prior period. The research and development revenue consists of license revenue totaling $417,000 and research support funding of $923,000. The license revenue is related to the non-refundable upfront payment from Novartis, which is recognized ratably over three-years. The research support funding is related to the fully burdened cost of the researchers working on the further development of specific potential drug targets and is recognized in the period in which the services are performed and expenses are incurred