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8-K - FORM 8-K - ISTA PHARMACEUTICALS INCd274572d8k.htm
Investor Presentation
December 2011
Exhibit 99.1


ISTA PHARMACEUTICALS
2
Certain statements contained herein are “forward-looking”
statements (as such term is defined in the Private Securities
Litigation Reform Act of 1995).  Because such statements include
risks and uncertainties, actual results may differ materially from
those expressed or implied by such forward-looking statements. 
Factors that could cause actual results to differ materially from those
expressed or implied by such forward-looking statements include,
but are not limited to, failure to initiate clinical studies, failure to
achieve positive results in clinical trials, failure to receive market
clearance from regulatory agencies, and those risks and
uncertainties discussed in filings made by ISTA Pharmaceuticals,
Inc.,
with the Securities and Exchange Commission.
Safe
Harbor
Statement


ISTA PHARMACEUTICALS
3
3
1992
2000
2002
2004
2005
2009
2010
Founded as Advanced
Corneal Systems
Acquired ISTALOL & XIBROM
Name change to                                
ISTA Pharmaceuticals, Inc.
IPO on NASDAQ
ISTALOL®
VITRASE®
XIBROM™
BEPREVE®
Revenue
>$100 million
BROMDAY™
ISTA
Profitable*
* On an adjusted cash net income basis
Company Timeline


ISTA PHARMACEUTICALS
4
Thriving core Rx eye business, emerging Rx allergy franchise
Third largest branded Rx eye care company in U.S.
Obtained 5 Rx eye and allergy product approvals in 6 years
ISTALOL, VITRASE, XIBROM, BEPREVE, BROMDAY
Products are #1 or #2 in their markets with market share growth potential
Deep R&D pipeline of new product candidates
Anticipate 5 new products < 5 years
Assembled experienced management team, formidable specialty sales
force:
~ 340 employees –
half are field based
Five-year (2006 –
2011)* compounded growth rate of 38%
Achieved profitability in 2010**
* Based on estimated 2011 revenues
Rx = Prescription
** On an adjusted cash net income basis
ISTA’s Track Record
of Success


ISTA PHARMACEUTICALS
Highly successful switch from XIBROM to BROMDAY
BEPREVE projected to increase significantly over 2010
Strong pipeline progress, de-risking of programs
PROLENSA™
Phase 3 successful
BEPOMAX™
Phase 2 successful, BEPOSONE™
to enter Phase 2 shortly
OTC tear product formulated and successfully tested
T-PRED™
path forward clarified
5
2011 –
Solid Commercial and
Pipeline Progress


ISTA PHARMACEUTICALS
6
BEPREVE®
Fast growing, twice-daily
prescription eye drop for
ocular itching associated
with allergic conjunctivitis
ISTALOL®
Leading once-daily beta-
blocker eye drop for the
treatment of glaucoma
VITRASE®
Leading spreading agent
used to enhance absorption    
and dispersion of other
injected drugs
BROMDAY™
Only once-daily
prescription eye drop for
postoperative
inflammation and
reduction of ocular pain in
patients who have
undergone cataract
extraction
Current Commercial Products                            
$300 Million Mid-Term Potential Revenue


ISTA PHARMACEUTICALS
7
BROMDAY October 2011 prescriptions
equal to highest level achieved by
XIBROM
Major new managed care account wins
to drive increased share
Introduction of Twin Pack
5% of new prescriptions are Twin Pack as of
early December 2011
This added approximately $5 to the list price
No generic to BROMDAY until October
2013
Planning  synchronized switch to PROLENSA
in 2013
Patents pending 2024
The ONLY
approved once-daily
Rx non-steroidal        
anti-inflammatory (NSAID) eye drop for pain and
inflammation post-cataract surgery
Estimated
NSAID
2011
Market
Size
TRx
$:
~$367MM
BRANDED
KETOROLAC
4%
GENERIC
KETOROLAC
27%
XIBROM+
BROMDAY
35%
NEVANAC
29%
GENERIC
BROMFENAC
2%
DICLOFENAC
3%
OTHER
0%
Based on Nov 2011 Twelve Month Rolling TRx$
BROMDAY
TM
Convenient Once-Daily Dosing


ISTA PHARMACEUTICALS
8
Source –
IMS Health Monthly NPA –
All MDs
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
Oct-11
Nov-11
BROMDAY TRX$ MS
BROMDAY TRX MS
33%
24%
BROMDAY Market Shares
#1 in Total
Prescription
Dollars (TRx$)
Achieved 33%
TRx$ share in
only 13 months
BROMDAY Outlook Strong
Prescription Dollars Reflect Increasing Average Price


ISTA PHARMACEUTICALS
9
Twice-daily antihistamine eye drop to treat
itching associated with allergic conjunctivitis
Projected 2011 revenues to grow significantly
Major new managed care formulary wins to
drive market share in 2012
Currently #2 branded in NRx$ behind
Patanol/Pataday
Rx of BEPREVE generates 35-60% more
revenues than competitors
Larger package size
Patents to 2017 with extension expected to
2019
Additional patents pending through 2023
Patanol, Pataday and Lastacaft are trademarks of their respective owners
Opportunity for BEPREVE to gain additional market share
2011
Estimated
Allergy
Market
:
~$780
MM
PATADAY
40%
PATANOL
37%
BEPREVE
5%
LASTACAFT
2%
EPINASTINE
3%
AZELASTINE
5%
ALL
OTHER
8%
Nov 2011 Rolling 12 Month TRx
BEPREVE
®
Near-term tactical drivers in place


ISTA PHARMACEUTICALS
ISTALOL
Market-leading once daily beta-blocker eye drop for glaucoma
Growth through share gain and pricing
2010 market size: ~$ 180 million
Patent protection to 2018
VITRASE
Injectable biologic spreading agent, hyaluronidase, used to
enhance absorption and dispersion of other injected drugs
100% market share while competitors continue to deal with
manufacturing issues (likely through 2012)
2010 market size:  ~$13 million
10
ISTALOL and VITRASE
Established base products


ISTA PHARMACEUTICALS
11
Candidates**
Formulation
Phase 1
Phase 2
Phase 3
2015 Est.
Market Size
OTC eye products
$300 million
PROLENSA                            
Low-concentration bromfenac
$500+ million
T-PRED
Antibiotic/steroid
$150 million
BEPOMAX                     
Bepotastine nasal spray
$400 million
BEPOSONE
Bepotastine/steroid                         
combo nasal spray
$2+ billion
Bromfenac Adjunct
for Age-related Macular
Degeneration
$400+ million
Allergic Rhinitis
Ocular Inflammation / Infection
* Includes BEPOMAX/BEPOSONE partnership  
** Does not include all pre-clinical candidates
Ocular Inflammation & Pain
Dry eye
AMD
Allergic Rhinitis
Total Market Opportunity  >$3.5 billion
ISTA’s Robust Near-Term Pipeline
Launches Drive Revenues to $500 by 2015*


ISTA PHARMACEUTICALS
Over-the-Counter eye drops for treatment of dry eye and other
ocular conditions
OTC developed and tested in 2011 during prescription dry eye
Phase 3 studies
Statistically significant improvements from patient baselines
Complete stability testing -
1H 2012
2015 market potential:  ~$300
million
Looking to acquire OTC business to jump-start launch
12
Existing sales force to drive practitioner-recommended sales
OTC Eye Products
Expansion of Rx Business into High-
Operating Margin Consumer Cash Business


ISTA PHARMACEUTICALS
13
Bromfenac-based NSAID for ocular pain and inflammation                   
associated
with
cataract
extraction
projected
to
replace
BROMDAY
Positive
Phase
3
Study
Results
Reported
Oct.
2011
Clinical
work
done
Plan to file NDA with U.S. FDA 1H 2012
Launch by early 2013
2015 market potential: $500+ million
Patents pending through 2024
Key extension of successful bromfenac business
PROLENSA
New Formula with Pending Patents through 2024
Lowest number of adverse events (greater than 2%) vs. prior bromfenac trials
Optimized, lower concentration formula enhances penetration into ocular tissues
Will implement switch strategy similar to XIBROM to BROMDAY
Complete switch before BROMDAY Hatch-Waxman exclusivity expires in October 2013


ISTA PHARMACEUTICALS
14
Fixed combination prednisolone & tobramycin prescription eye
drop
For steroid-responsive inflammatory ocular conditions for which
a corticosteroid is indicated and where superficial bacterial
ocular infection or risk of infection exists
Initiate Phase 3 trials 2H 2012
2015 market potential:  ~$150
million 
Potential primary care market
Pending patent through 2025
Ideal supplemental product to leverage sales infrastructure
T-Pred
Promising Anti-Infective/Steroid


ISTA PHARMACEUTICALS
15
Single agent antihistamine nasal spray
Active ingredient, bepotastine, already approved in Rx eye drop BEPREVE
For treatment of seasonal allergic rhinitis
Positive Phase 2 Study results reported April 2011
Safety similar to placebo and other antihistamine nasal sprays
Patented through 2017
Pending patent through 2023
Additional patents filed through 2031
Large Market Opportunity Exists
2015 Potential:  ~$400+ million
BEPOMAX
Major
Extension of Allergy Franchise


ISTA PHARMACEUTICALS
16
Combination patented antihistamine / steroid
Antihistamine, bepotastine, already approved in Rx eye drop BEPREVE
For treatment of seasonal allergic rhinitis
Filed Investigational New Drug (IND) Q4 2011
Plan to initiate 4-armed Phase 2 Mountain Cedar Pollen study in December
2011
To accelerate growth, seek marketing partner for access to primary care MDs
Launch expected 2015
Patented through 2017
Pending patent  through 2023
Additional patents to be filed
Large Market Opportunity Exists
2015 Potential: $2+ Billion
BEPOSONE ™
"Holy-Grail" Rx Nasal Allergy Product


ISTA PHARMACEUTICALS
17
Higher-concentration, new formulation of bromfenac
For adjunctive treatment of age-related macular degeneration (AMD)
Paper published in Sept 2011 Issue of RETINA suggests bromfenac 0.09%
(XIBROM), administered twice daily may have an additive effect when used
with intravitreal ranibizumab (LUCENTIS®)
in reducing retinal thickness in
neovascular AMD
Determining path forward with FDA as adjunctive therapy with intravitreal
injections
2015 market potential: $400+ million
Pending patents through 2024 & 2028
Continued growth of successful bromfenac franchise
* Improvement in visual acuity not demonstrated in this study  
LUCENTIS®
is a registered trademark of Genentech, a member of the Roche Group
Bromfenac Adjunct for AMD
Lower-Risk "Back of the Eye" Approach


ISTA PHARMACEUTICALS
18
PRODUCT(S)
PATENT(S) AND EXPIRATION
KEY CLAIM(S)
BEPREVE
BEPOSONE
ISSUED
Exp: Dec 2017 , filed for extension to Sept 2019
Bepotastine API and methods of mfg. 
(composition of matter for
Bepotastine besilate)
APPLICATION
Estimated Exp:  July 2023
Aqueous formulation
BEPOMAX
APPLICATION
Estimated Exp: October 2031
Formulation and use
PROLENSA
APPLICATION
Estimated Exp:  Jan 2024
Formulation containing tyloxapol
APPLICATION
Estimated Exp: Jan 2024
Formulation and method of use
Bromfenac adjunctive
therapy
APPLICATION
Estimated Exp:  Feb 2028
Method of use in AMD (also covered
by PROLENSA patent apps)
ISTALOL
ISSUED
Exp: Nov 2018
Method of use in eye drops
T-PRED
APPLICATION
Estimated Exp:  April 2025
Formulation and method of use
ISTA’s Key Patents and
Applications


ISTA PHARMACEUTICALS
19
~$1 billion annual revenues*
* Includes BEPOMAX/BEPOSONE partnership
Marketed 
Products
Product
Pipeline
Business
Development
BEPOMAX nasal spray
BEPOSONE combo
nasal spray
Acquire OTC
business platform
Add bolt-on deals
> $300 million annual revenues
> $500 million annual revenues*
Acquire marketed products
License late stage assets
in 2013+
Acquire marketed products
Partner for access to
primary care physicians
and consumer branding
PROLENSA
(low-
concentration bromfenac)
T-PRED
OTC tear products
BROMDAY
ISTALOL                    VITRASE
BEPREVE
ISTA Strategy for Long-Term Success


ISTA PHARMACEUTICALS
Disciplined approach to evaluation of opportunities
Rx Eye and Rx Allergy for growth and commercial synergy
Acquire marketed or soon-to-be marketed products
License late-stage products
Partner for access to primary care physicians and consumer branding
OTC Eye and Allergy for  growth without heavy R&D investment
Acquire OTC business platform
License and/or develop new OTC products
Artificial tears
Ocular vitamins
Other
Goal –
To Become $1 Billion Specialty Pharmaceutical Firm
20
Business Development
External Value Creation


ISTA PHARMACEUTICALS
Outlook
$160 –
$175
21
ISTA
Fast-Growing, Niche Pharmaceutical Company


ISTA PHARMACEUTICALS
Webcast
and
Conference
call
Jan.
4,
2012
4:30
pm
ET
Internet: http://www.istavision.com/investors.html
Domestic dial-in: 866-270-6057                   
International : 617-213-8891
Passcode: 58694464 
22
2012 Guidance                                 
and Pipeline Update


ISTA PHARMACEUTICALS
"5 in 5"
5 new product launches in next 5 years
Rx Eye, Rx Allergy, Over-the-Counter
$500 million in revenues by 2015
Forecasted compounded 5-year revenue growth rate ~ 40%
Organic growth from current products drives revenues majority of
growth
Revenues include partnering for primary care access –
BEPOMAX/BEPOSONE
Accelerate revenue growth through:
Establishment of OTC business, de-risks future sales
Licensing of late-stage assets
Acquisition of marketed drugs
23
Realizing Value -
Looking to          
2015 and Beyond