Item 1. Our Business
Overview
We are a specialty pharmaceutical company with market leadership in pain
management. We are engaged in the research, development, sale and marketing of
branded and generic prescription pharmaceuticals used primarily to treat and
manage pain. According to IMS Health data, the total U.S. market for pain
management pharmaceuticals, excluding over-the-counter products, totaled $14
billion for the 12 months ended December 31, 2001. Our primary area of focus is
analgesics, which according to IMS Health data was the second most prescribed
class of medication in the United States in 2001.
Endo was incorporated on November 18, 1997 under the laws of the state of
Delaware and has its principal executive offices at 100 Painters Drive, Chadds
Ford, Pennsylvania 19317 (telephone number: (610) 558-9800).
We have a portfolio of branded products that includes established brand
names such as Percocet®, Lidoderm®, Percodan® and Zydone®. Branded products
comprised approximately 68%, 76% and 67% of net sales for fiscal years 1999,
2000 and 2001, respectively. Through a national dedicated contract sales force
of approximately 230 sales representatives, we market our branded pharmaceutical
products to doctors, retail pharmacies and other healthcare professionals
throughout the United States.
We have established research and development expertise in analgesics and
devote significant resources to this effort so that we can maintain and develop
our product pipeline. We enhance our financial flexibility by outsourcing many
of our functions, including manufacturing. Currently, our primary suppliers of
contract manufacturing services are Bristol-Myers Squibb Pharma Company (f/k/a
DuPont Pharmaceuticals), Novartis Consumer Health, Inc. and Teikoku Seiyaku
Pharmaceuticals.
Our Strategy
Our business strategy is to continue to strengthen our position as a
market leader in pain management, while opportunistically pursuing other
markets, especially those with a complementary therapeutic or physician base.
The elements of our strategy include:
Capitalizing on our established brand names through focused marketing and
promotion. We consider two of our brands, Percocet® and Percodan®, to be "gold
standards" of pain management. Percocet® has been prescribed by physicians since
1971, while Percodan® has been prescribed since 1950. We believe that we have
established credibility with physicians as a result of these products' history
of demonstrated effectiveness and safety. We plan to continue to capitalize on
this brand awareness to market new products, as well as new formulations and
dosages of our existing branded products. We also believe that our strong
corporate and product reputation leads to more rapid adoption of our new
products by physicians.
Developing proprietary products and selected generics. To capitalize on
our expertise in pain management, we are developing new products to address
acute, chronic and neuropathic pain conditions by treating moderate-to-severe
pain. We are also developing new patent protected products that leverage our
patent portfolio covering the combination of a number of compounds, including
opioids and N-methyl-D-aspartate (NMDA)-receptor antagonists, drugs that may
substantially improve the treatment of pain by addressing the underlying
processes associated with acute and chronic pain, including those processes
relating to increased sensitivity to pain signals and the development of
analgesic tolerance. These products include MorphiDex®, a patented combination
of morphine and the NMDA-receptor antagonist, dextromethorphan, which is
currently in Phase III clinical trials. We anticipate resubmitting an amendment
to the existing new drug application (also known as an NDA), with the U.S. Food
and Drug Administration (or the FDA), in the late third quarter or during the
fourth quarter of 2002. In addition, we are co-developing an oral
extended-release (ER) version of oxymorphone with Penwest Pharmaceuticals. This
product is currently in Phase III clinical trials along with an
immediate-release (IR) form of oxymorphone, and we continue to anticipate filing
NDAs for both of these products with the FDA in the second half of 2002.
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We have also developed extended-release version of oxycodone, an AB-rated
generic version of OxyContin®, a product of The Purdue Frederick Company.
According to IMS Retail Provider Perspective data, OxyContin® generated U.S.
sales of approximately $1.5 billion in 2001, up from approximately $1.0 billion
in 2000. We have filed and amended an abbreviated new drug application (or ANDA)
with the FDA for bioequivalent versions of the 10mg, 20mg, 40mg and 80mg
strengths of OxyContin®. We believe we are the first company to have filed an
ANDA with the FDA for the bioequivalents of the 10mg, 20mg and 40mg strengths of
OxyContin®, thereby entitling us to 180 days of marketing exclusivity with
respect to these strengths of this product. See "Item 3. Legal Proceedings."
Developing and marketing product line extensions for our existing brands.
We plan to continue to develop and market extensions of existing products
through new formulations, dosages and delivery platforms. During the fourth
quarter of 1999, we complemented the existing Percocet® 5.0/325 with three new
formulations: Percocet® 2.5/325, Percocet® 7.5/500 and Percocet® 10.0/650.
Additionally, during the fourth quarter of 2001, we launched two new
formulations: Percocet® 7.5/325 and Percocet®10.0/325. Net sales of Percocet®
products increased from $92.4 million in 2000 to $101.0 million in 2001. We have
also implemented this strategy with a line extension of our Zydone® product, a
combination of hydrocodone and acetaminophen.
Acquiring and in-licensing complementary products, compounds and
technologies. We look to continue to enrich our product line through selective
product acquisitions and in-licensing, or acquiring licenses to products,
compounds and technologies from third parties. In July 2000, we acquired Algos
and the rights to the patented development-stage product MorphiDex®. Through
this acquisition, we also acquired rights to a portfolio of patents, including
those covering the combination of the NMDA-antagonist, dextromethorphan, with
opioids. In November 1998, we in-licensed Lidoderm®, which became the first
FDA-approved product for the relief of the pain of post-herpetic neuralgia, a
chronic, painful condition that may follow an attack of shingles. We launched
this product in September 1999. Net sales of Lidoderm® increased from $22.5
million in 2000 to $40.9 million in 2001. In September 1997, we entered into a
collaboration agreement with Penwest Pharmaceuticals under which we are
co-developing an oral extended-release version of oxymorphone. We also entered
into a collaboration agreement with Lavipharm Laboratories Inc., under which we
obtained rights to certain of Lavipharm's existing drug-delivery platforms in
combination with defined drug substances.
Our Competitive Strengths
We believe that we have established a position as a market leader among
pain-focused pharmaceutical companies by capitalizing on our following core
strengths:
Established portfolio of branded products. We have assembled a core
portfolio of branded pharmaceutical products to treat and manage pain. These
products include Percocet® and Percodan®, which have been marketed since 1971
and 1950, respectively, and which we consider to be "gold standards" of pain
management based on their long history of demonstrated product safety and
effectiveness. According to IMS Health data, approximately 86% of oxycodone with
acetaminophen prescriptions are written as "Percocet." We believe our close
relationships with physicians who we consider to be pain management "thought
leaders" in pain centers, hospitals, and other pain management institutions
enable us to improve our penetration in these types of institutions. We believe
this interaction has also allowed us to pursue, through in-licensing, products
targeted at additional or novel indications, such as Lidoderm® for post-herpetic
neuralgia.
Substantial pipeline focused on pain management. As a result of our
focused research and development effort, we have three products in Phase III and
three products in Phase II clinical trials. If clinical studies progress as we
anticipate, we expect to file NDAs with the FDA in 2002 for our three products
currently in Phase III clinical trials. These are MorphiDex®, oxymorphone ER and
oxymorphone IR.
Research and development expertise. Our research and development effort is
focused on expanding our product portfolio by capitalizing on our core expertise
with narcotic analgesics. We have assembled an experienced and multi-disciplined
research and development team of scientists and technicians with a proven
expertise working with opioids and complex formulations. We believe this
expertise allows for timely FDA
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approval of our products. We have demonstrated our ability to commercialize our
research and development efforts during the last four years through the launch
of a number of new products and product extensions all of which, in the
aggregate, contributed approximately 54% of our net sales in 2001.
Selective focus on generic products. Our generic product portfolio
includes products focused on pain management. Development of these products
involves barriers to entry such as complex formulation, regulatory or legal
challenges or difficulty in raw material sourcing. We believe products with
these characteristics will face a lesser degree of competition and therefore
provide longer product life cycles and higher profitability than commodity
generic products. We have executed this strategy successfully with products such
as morphine sulfate extended-release tablets, which we introduced in
November 1998 as a bioequivalent of MS Contin®, a Purdue Frederick product. In
addition, we believe we are the first company to have filed an ANDA with the FDA
for the bioequivalent versions of the 10mg, 20mg and 40mg strengths of
OxyContin®. We believe it is a significant advantage to be the first successful
filer of an ANDA for a generic drug. See "- Governmental Regulation."
Targeted national sales and marketing infrastructure. We market our
products directly to physicians through a dedicated contract sales force of
approximately 160 community-based field representatives and 70 specialty/
institutional representatives. The sales force focuses on high-prescribing
physicians in pain management, surgery, oncology and primary care. These sales
representatives, as well as regional and district managers, are provided
exclusively to us pursuant to an agreement with Ventiv Health U.S. Sales Inc. We
have a flexible arrangement with Ventiv, whereby we have the option to hire all
of these sales representatives and managers as our full time employees at any
time. We maintain an internal sales management infrastructure to direct and
focus these sales force efforts.
Experienced and dedicated management team. With an average of
approximately 20 years of experience in the pharmaceutical industry, our
management team has a proven track record of building our business through
internal growth as well as acquisitions and licensing. Members of our senior
management led the purchase of the company from The DuPont Merck Pharmaceutical
Company in August 1997. In September 1999, management in-licensed and launched
Lidoderm®, an orphan drug for the treatment of the pain of post-herpetic
neuralgia. In July 2000, we acquired Algos to obtain its patent-protected
platform and technology. Management has received FDA approval on more than
fifteen new products and product extensions since 1997 and has grown net sales
from approximately $108.4 million in 1998 to approximately $252.0 million in
2001. In addition, management has vested stock options to acquire up to 11% of
our common stock and has the potential to receive as much as an additional 9% of
our common stock through options that vest if the price of our common stock
reaches specified defined targets. These options are exercisable solely for
shares currently held by Endo Pharma LLC, and their exercise will not dilute the
ownership of our other common stockholders.
Our Industry
According to IMS Health data, the total U.S. market for pain management
pharmaceuticals, excluding over-the-counter products, totaled $14.3 billion for
the 12 months ended December 31, 2001. This represents an approximately 28%
compounded annual growth rate since 1998. Our primary area of focus within this
market is analgesics. In 2001, analgesics were the second most prescribed
medication in the United States with over 232 million prescriptions written for
this classification. These products are used primarily for the treatment of pain
associated with orthopedic fractures and sprains, back injuries, migraines,
joint diseases, cancer and various surgical procedures.
Opioid analgesics comprised approximately 76% of the analgesics
prescriptions in 2001. This market segment has grown to $3.6 billion for the
12 months ended December 31, 2001, representing a compound annual growth rate of
31% since 1998. If branded products were substituted for generic products, we
believe
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the dollar value of this market segment would be substantially larger. The
growth in this segment has been primarily fueled by the:
• increasing physician recognition of the need and patient demand for
effective treatment of pain;
• aging population (according to the U.S. Census Bureau, in 1990 the
population aged 65 and older reached 31 million people and is expected to
grow to 40 million people by 2010, representing 29% growth over this
period);
• introduction of new and reformulated branded products; and
• increasing number of surgical procedures.
Product Overview
The following table summarizes select pain products in our portfolio as
well as those in development:
Product Active ingredient Branding Status
Percocet® oxycodone and acetaminophen Branded Marketed
Lidoderm® lidocaine 5% Branded Marketed
Percodan® oxycodone and aspirin Branded Marketed
Zydone® hydrocodone and acetaminophen Branded Marketed
Morphine Sulfate ER morphine sulfate Generic Marketed
MorphiDex® morphine and dextromethorphan Branded Phase III
Oxymorphone ER oxymorphone hydrochloride Branded Phase III
Oxymorphone IR oxymorphone hydrochloride Branded Phase III
HydrocoDex™ hydrocodone, acetaminophen, Branded Phase II
and dextromethorphan
OxycoDex™ oxycodone and dextromethorphan Branded Phase II
PercoDex™ oxycodone, acetaminophen and Branded Phase II
dextromethorphan
Oxycodone ER oxycodone Generic ANDA filed; subject
to litigation(1)
(1) See "Item 3. Legal Proceedings."
Branded Products
Percocet®. We consider Percocet® to be a "gold standard" of pain
management. Launched in 1971, Percocet® is approved for the treatment of
moderate-to-severe pain. Although Percocet® has faced generic competition for
more than 15 years, in 2001, according to the IMS National Prescription Audit,
approximately 12.5 million prescriptions for this combination of oxycodone
hydrochloride and acetaminophen were written for the brand name Percocet®, of
which, due to generic substitution, only approximately 14% were filled by
pharmacists with our brand Percocet®.
During the fourth quarter of 1999, we introduced three new strengths of
Percocet®: Percocet® 2.5/325, Percocet® 7.5/500 and Percocet® 10.0/650,
complementing the existing Percocet® 5.0/325. Prior to the launch of these
products, physician prescribing practices had indicated that over 80% of
prescriptions were written for amounts other than the label amount. As an
example, the current prescription information for the original Percocet®,
Percocet® 5.0/325, calls for one tablet every six hours. Approximately 30% of
prescriptions written directed patients to take two tablets every four hours,
translating into a dosage of 10mg every four hours. By offering new prescription
strengths, we have enabled physicians to prescribe one tablet of the proper dose
for their patients, facilitating greater ease and compliance. On January 3,
2000, the Food and Drug Administration approved another manufacturer's ANDA for
a generic equivalent to Percocet® 7.5/500 and
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Percocet® 10.0/650. This generic equivalent became available in April 2001.
During the fourth quarter of 2001, we launched two new formulations: Percocet®
7.5/325 and Percocet® 10.0/325. These new dosage forms allow physicians the
flexibility of increasing the dose of narcotic while still maintaining a low
level of acetaminophen. There is currently no generic equivalent available for
these new dosage forms. All of the Percocet® products were responsible for net
sales of $51.5 million, $92.4 million and $101.0 million in the years 1999, 2000
and 2001, respectively. The Percocet® franchise accounted for approximately 40%
of our 2001 net sales.
Lidoderm®. Lidoderm® was launched in September 1999. A patented, topical
patch product containing lidocaine, it is the first FDA-approved product for the
relief of the pain from post-herpetic neuralgia. There are approximately 200,000
patients per year who suffer from this condition in the United States, the
majority of whom are elderly. The FDA has granted Lidoderm® orphan status,
meaning that no other lidocaine-containing patch product can be approved for
this indication until March 2006. In 1999, 2000 and 2001, Lidoderm® net sales
were $5.7 million, $22.5 million and $40.9 million, respectively. Lidoderm®
accounted for approximately 16% of our 2001 net sales.
Percodan®. Launched in 1950 for the treatment of moderate-to-severe pain,
we also consider Percodan® to be a "gold standard" of pain management. In 2001,
according to the IMS National Prescription Audit, approximately 398,000
prescriptions for oxycodone hydrochloride and oxycodone terephthalate in
combination with aspirin were written for the brand name Percodan®. Due to
generic substitution, only approximately 21% of these prescriptions were filled
by pharmacists with Percodan®.
Zydone®. In February 1999, we launched Zydone® tablets, branded
hydrocodone/acetaminophen products for the relief of moderate-to-severe pain.
Zydone® is available in three strengths, 5.0mg, 7.5mg and 10.0mg, each in
combination with 400mg acetaminophen.
Other. The balance of our branded portfolio consists of a number of
products, none of which accounted for more than 5% of our total net sales in the
2001 fiscal year.
Generic Products
When a branded pharmaceutical product is no longer protected by the
relevant patents, normally as a result of a patent's expiration, third parties
have an opportunity to introduce generic counterparts to such branded product.
Generic pharmaceutical products are therapeutically equivalent to their
brand-name counterparts and are generally sold at prices significantly less than
the branded product. Accordingly, generic pharmaceuticals may provide a safe,
effective and cost-effective alternative to users of branded products.
Our generic portfolio is currently comprised of products that cover a
broad range of indications, most of which are focused in pain management. Our
primary generic product is morphine sulfate extended-release tablets, which
accounted for 17% of our total net sales in 2001. Launched in November 1998,
morphine sulphate extended-release tablets are a bioequivalent of MS Contin®. In
November 1998, we launched the 15mg, 30mg and 60mg strengths, in May 2001, we
launched the 100mg strength and in September 2001, we launched the 200mg
strength, thereby completing the product line. We also have a generic oxycodone
hydrochloride and acetaminophen product, Endocet®, which accounted for 9% of our
total net sales in 2001. The balance of our generic portfolio consisted of
several products, none of which accounted for more than 5% of our total net
sales for 2001.
We principally pursue the development and marketing of generic
pharmaceuticals that have one or more barriers to entry. The characteristics of
the products that we may target for generic development may include:
• complex formulation or development characteristics;
• regulatory or legal challenges; or
• difficulty in raw material sourcing.
We believe products with these characteristics will face a lesser degree
of competition, and, therefore provide longer product life cycles and/or higher
profitability than commodity generic products.
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Products in Development
Our pipeline portfolio contains products intended to address acute pain,
chronic pain and neuropathic pain conditions. We cannot predict when or if any
of these products will be approved by the FDA.
MorphiDex®. We are currently conducting Phase III clinical trials of
MorphiDex®, a patented combination of morphine and the NMDA-receptor antagonist,
dextromethorphan. A new drug application was submitted to the FDA by Algos for
MorphiDex® in August 1998. In August 1999, Algos received a "not-approvable"
letter received from the FDA. A not-approvable letter is issued by the FDA for
various reasons and outlines deficiencies that must be corrected prior to a
product's approval. Following our acquisition of Algos in July 2000, we met with
the FDA in September 2000 to discuss MorphiDex®. At this meeting, the FDA
requested, among other things, the submission of a second pivotal chronic
multiple dosing study to support the intended indication of MorphiDex®. We have
initiated three chronic multiple dosing studies of MorphiDex®. If successful,
these studies will complement the already successful pivotal chronic multiple
dosing study previously submitted to the FDA and provide the data necessary for
the commercial optimization of the product. We intend to file with the FDA an
amendment to the existing NDA for MorphiDex® as soon as possible and, subject to
the successful completion of these studies, including successful patient
recruitment, currently expect to be in a position to file this reapplication in
the late third quarter or during the fourth quarter of 2002. Under the
guidelines included in the Prescription Drug User Fee Act of 1992, as amended,
we anticipate that the FDA will respond within six months after its acceptance
of the reapplication. Once approved, we expect MorphiDex® to compete in the $2
billion severe pain market.
Oxymorphone ER. We are currently conducting Phase III clinical trials of
an oral extended-release version of oxymorphone. We have marketed oxymorphone in
the U.S. for over 40 years in injection and suppository form. We are
co-developing this oral extended-release version of oxymorphone with Penwest
Pharmaceuticals and currently expect to be in a position to file the NDA
application in the second half of 2002. Once approved, we expect oxymorphone ER
will also compete in the $2 billion severe pain market.
Other. In addition to MorphiDex® and our oral extended-release version of
oxymorphone, we have a third product in Phase III clinical trials (oxymorphone
immediate release (IR)), three in Phase II (HydrocoDex™, OxycoDex™ and
PercoDex™) and other products in various stages of development. These analgesic
products address the broad spectrum of pain management.
Competition
The pharmaceutical industry is highly competitive. Our competitors vary
depending upon therapeutic and product categories. Competitors include the major
brand name and generic manufacturers of pharmaceuticals, especially those doing
business in the United States, including, Abbott Laboratories, Johnson &
Johnson, The Purdue Frederick Company, Roxane Laboratories, Inc. and Watson
Pharmaceuticals, Inc.
We compete principally through our targeted product development
strategies. In addition to product development, other competitive factors in the
pharmaceutical industry include product quality and price, reputation and access
to technical information.
The competitive environment of the branded product business requires us to
continually seek out technological innovations and to market our products
effectively. However, our branded products not only face competition from other
brands, but also from generic versions. Generic versions are generally
significantly less expensive than branded versions, and, where available, may be
required in preference to the branded version under third-party reimbursement
programs, or substituted by pharmacies. The entrance of generic competition to
one of our branded products generally reduces our market share and adversely
affects our profitability and cash flows.
Newly introduced generic products with limited or no other generic
competition are typically sold at higher selling prices. As competition from
other generic products increases, selling prices of the generic products
typically decline. Consequently, the maintenance of profitable operations in
generic pharmaceuticals depends, in part, on our ability to select, develop and
launch new generic products in a timely and cost efficient manner and to
maintain efficient, high quality manufacturing relationships.
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We have witnessed a consolidation of our customers as chain drug stores
and wholesalers merge or consolidate. In addition, a number of our customers
have instituted source and bundling programs that enhance the access that
suppliers who participate in such source programs have to the customers of the
wholesaler. Consequently, there is heightened competition among drug companies
for the business of this smaller and more selective customer base of chain drug
stores and large wholesalers.
Research and Development
We devote significant resources to research and development. At
December 31, 2001, our research and development staff consisted of 52 employees,
primarily based in Garden City, New York and at our corporate headquarters in
Chadds Ford, Pennsylvania. For fiscal years 1999, 2000 and 2001, our
expenditures on research and development were $9.4 million, $26.0 million and
$39.0 million, respectively. In addition to our internal research and
development staff, we have agreements and arrangements with various contract
research organizations to conduct and coordinate our toxicology and clinical
studies.
Seasonality
Although our business is affected by the purchasing patterns and
concentration of our customers, our business is not materially impacted by
seasonality. Generally, the fourth fiscal quarter has relatively higher net
sales than each of the first three fiscal quarters.
Customers
We sell our products directly to a limited number of large pharmacy chains
and through a limited number of wholesale drug distributors who, in turn, supply
products to pharmacies, hospitals, governmental agencies and physicians. Three
distributors individually accounted for 27%, 20% and 13% of our net sales in
1999. Three distributors and one pharmacy chain individually accounted for 26%,
16%, 12% and 10%, respectively, of our net sales in 2000. Three distributors and
one pharmacy chain individually accounted for 28%, 24%, 19% and 10%,
respectively, of our net sales in 2001.
Recently, there have been numerous mergers and acquisitions among
wholesale distributors as well as rapid growth of large retail drug store
chains. As a result, a small number of large wholesale distributors control a
significant share of the market, and the number of independent drug stores and
small drug store chains has decreased.
Patents, Trademarks, Licenses and Proprietary Property
We currently hold 12 U.S. issued patents and three foreign issued patents,
approximately 15 U.S. patent applications pending and approximately 50 foreign
patent applications pending with respect to our products. We have licenses for
31 U.S. issued patents, one U.S. patent application pending, 66 foreign issued
patents and 26 foreign patent applications pending. The effect of these issued
patents is that they provide us patent protection for the claims covered by the
patents.
We believe that our patents, the protection of discoveries in connection
with our development activities, our proprietary products, technologies,
processes and know-how and all of our intellectual property are important to our
business. All of our brand products and certain generic products, such as
Endocet® and Endodan®, are sold under trademarks. To achieve a competitive
position, we rely on trade secrets, non-patented proprietary know-how and
continuing technological innovation, where patent protection is not believed to
be appropriate or attainable. In addition, as outlined above, we have a number
of patent licenses from third parties, some of which may be important to our
business. See "- Licenses and Collaboration Agreements." There can be no
assurance that any of our patents, licenses or other intellectual property will
afford us any protection from competition.
We rely on confidentiality agreements with our employees, consultants and
other parties to protect, in part, trade secrets and other proprietary
technology. There can be no assurance that these agreements will not
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be breached, that we will have adequate remedies for any breach, or that others
will not independently develop equivalent proprietary information or other third
parties will not otherwise gain access to our trade secrets and other
intellectual property.
We may find it necessary to initiate litigation to enforce our patent
rights, to protect our intellectual property and to determine the scope and
validity of the proprietary rights of others. Litigation is costly and
time-consuming, and there can be no assurance that our litigation expenses will
not be significant in the future or that we will prevail in any such litigation.
See "Item 3. Legal Proceedings."
Governmental Regulation
The manufacture, testing, packaging, labeling, distribution, sales and
marketing of our products and our ongoing product development activities are
subject to extensive and rigorous regulation at both the federal and state
levels. The Federal Food, Drug and Cosmetic Act, the Controlled Substances Act
and other federal statutes and regulations govern or influence the testing,
manufacture, safety, packaging, labeling, storage, record keeping, approval,
advertising, promotion, sale and distribution of pharmaceutical products.
Noncompliance with applicable requirements can result in fines, recall or
seizure of products, total or partial suspension of production and/or
distribution, refusal of the government to enter into supply contracts or to
approve NDA and ANDAs, civil sanctions and criminal prosecution.
FDA approval is required before each dosage form of any new drug can be
marketed. Applications for FDA approval must contain information relating to
efficacy, safety, toxicity, pharmacokinetics, product formulation, raw material
suppliers, stability, manufacturing processes, packaging, labeling, and quality
control. The FDA also has the authority to revoke previously granted drug
approvals. Product development and approval within this regulatory framework
requires a number of years and involves the expenditure of substantial
resources.
We cannot determine what effect changes in regulations or legal
interpretations, when and if promulgated, may have on our business in the
future. Changes could, among other things, require expanded or different
labeling, the recall or discontinuance of certain products, additional record
keeping and expanded documentation of the properties of certain products and
scientific substantiation. Such changes, or new legislation, could have a
material adverse effect on our business, financial condition and results of
operations.
The evolving and complex nature of regulatory requirements, the broad
authority and discretion of the FDA and the generally high level of regulatory
oversight results in a continuing possibility that from time to time, we will be
adversely affected by regulatory actions despite ongoing efforts and commitment
to achieve and maintain full compliance with all regulatory requirements.
NDA Process
FDA approval is required before any new drug can be marketed. An NDA is a
filing submitted to the FDA to obtain approval of new chemical entities and
other innovations for which thorough applied research is required to demonstrate
safety and effectiveness in use. The NDA must contain complete pre-clinical and
clinical safety and efficacy data or a right of reference to such data sponsored
by the applicant. Before dosing a new drug in healthy human subjects or patients
may begin, stringent government requirements for preclinical data must be
satisfied. The preclinical data, typically obtained from studies in animals, as
well as from laboratory studies, are submitted in an Investigational New Drug
application, or IND, or its equivalent in countries outside the United States
where clinical trials are to be conducted. The preclinical data must provide an
adequate basis for evaluating both the safety and the scientific rationale for
the initiation of clinical trials.
Clinical trials are typically conducted in three sequential phases,
although the phases may overlap.
• In Phase I, which frequently begins with the initial introduction of the
compound into healthy human subjects prior to introduction into patients,
the product is tested for safety, adverse effects, dosage, tolerance
absorption, metabolism, excretion and other elements of clinical
pharmacology.
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• Phase II typically involves studies in a small sample of the intended
patient population to assess the efficacy of the compound for a specific
indication, to determine dose tolerance and the optimal dose range as well
as to gather additional information relating to safety and potential adverse
effects.
• Phase III trials are undertaken to further evaluate clinical safety and
efficacy in an expanded patient population at typically dispersed study
sites, in order to determine the overall risk- benefit ratio of the compound
and to provide an adequate basis for product labeling.
Each trial is conducted in accordance with certain standards under
protocols that detail the objectives of the study, the parameters to be used to
monitor safety and efficacy criteria to be evaluated. Each protocol must be
submitted to the FDA as part of the IND. In some cases, the FDA allows a company
to rely on data developed in foreign countries or previously published data,
which eliminates the need to independently repeat some or all of the studies.
Data from preclinical testing and clinical trials are submitted to the FDA
in an NDA for marketing approval and to other health authorities as a marketing
authorization application. The process of completing clinical trials for a new
drug may take several years and require the expenditures of substantial
resources. Preparing an NDA or marketing authorization application involves
considerable data collection, verification, analysis and expense, and there can
be no assurance that approval from the FDA or any other health authority will be
granted on a timely basis, if at all. The approval process is affected by a
number of factors, primarily the risks and benefits demonstrated in clinical
trials as well as the severity of the disease and the availability of
alternative treatments. The FDA or other health authorities may deny an NDA or
marketing authorization application if the regulatory criteria are not
satisfied, or such authorities may require additional testing or information.
As a condition of approval, the FDA or other regulatory authorities may
require further studies, including Phase IV post-marketing studies to provide
additional data on safety. The post-marketing studies could be used to gain
approval for the use of a product as a treatment for clinical indications other
than those for which the product was initially tested. Also, the FDA or other
regulatory authorities require post-marketing reporting to monitor the adverse
effects of the drug. Results of post-marketing programs may limit or expand the
further marketing of the products.
ANDA Process
FDA approval of an ANDA is required before a generic equivalent of an
existing, or listed drug can be marketed. We usually receive approval for such
products by submitting an ANDA to the FDA. The ANDA process is abbreviated in
that the FDA waives the requirement of conducting complete preclinical and
clinical studies and instead relies on bioequivalence studies. "Bioequivalence"
compares the rate of absorption and levels of concentration of a generic drug in
the body with those of the previously approved drug. When the rate and extent of
absorption of the test and reference drugs are the same, the two drugs are
bioequivalent and regarded as therapeutically interchangeable.
An ANDA also may be submitted for a drug authorized by approval of an ANDA
suitability petition. Such petitions may be submitted to secure authorization to
file an ANDA for a product that differs from a previously approved drug in
active ingredient, route of administration, dosage form or strength. For
example, the FDA has authorized the substitution of acetaminophen for aspirin in
certain combination drug products and switching the drug from a capsule to
tablet form. Bioequivalence data may be required, if applicable, as in the case
of a tablet in place of a capsule, although the two products would not be rated
as interchangeable.
The timing of final FDA approval of ANDA applications depends on a variety
of factors, including whether the applicant challenges any listed patents for
the drug and whether the manufacturer of the listed drug is entitled to one or
more statutory exclusivity periods, during which the FDA is prohibited from
approving, generic products. In certain circumstances, a regulatory exclusivity
period can extend beyond the life of a patent, and thus block ANDAs from being
approved on the patent expiration date. For example, the FDA may now extend the
exclusivity of a product by six months past the date of patent expiry if the
manufacturer undertakes studies on the effect of their product in children, a
so-called pediatric extension.
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The Generic Drug Enforcement Act of 1992 allows the FDA to impose
debarment and other penalties on individuals and companies that commit certain
illegal acts relating to the generic drug approval process. In some situations,
the Generic Act requires the FDA to not accept or review ANDAs for a period of
time from a company or an individual that has committed certain violations. It
also provides for temporary denial of approval of applications during the
investigation of certain violations that could lead to debarment and also, in
more limited circumstances, provides for the suspension of the marketing of
approved drugs by the affected company. Lastly, the Generic Act allows for civil
penalties and withdrawal of previously approved applications. Neither we nor, we
believe, any of our employees have ever been subject to debarment.
Patent and Non-Patent Exclusivity Periods
A sponsor of an NDA is required to identify in its application any patent
that claims the drug or a use of the drug subject to the application. Upon NDA
approval, the FDA lists these patents in a publication referred to as the Orange
Book. Any person that files an ANDA to secure approval of a generic version of
this first, or listed, drug, or an NDA that relies upon the data in the
application for which the patents are listed, must make a certification in
respect to listed patents. The FDA may not approve such an application for the
drug until expiration of the listed patents unless (1) the later applicant
certifies that the listed patents are invalid, unenforceable or not infringed by
the proposed generic drug and gives notice to the holder or the NDA for the
listed drug of the bases upon which the patents are challenged, and (2) the
holder of the listed drug does not sue the later applicant for patent
infringement within 45 days of receipt of notice. If an infringement suit is
filed, the FDA may not approve the later application for 30 months or such time
as the court may order.
In addition, the holder of the NDA for the listed drug is entitled to
certain non-patent exclusivity before which the FDA cannot approve an
application for a competitive product. If the listed drug is a new chemical
entity, the FDA may not accept for review any application for five years; if it
is not a new chemical entity, the FDA may not approve a competitive application
before expiration of three years. Certain other periods of exclusivity may be
available if the listed drug is indicated for use in a rare disease or is
studied for pediatric indications.
Quality Assurance Requirements
The FDA enforces regulations to assure that the methods used in, and
facilities and controls used for, the manufacture, processing, packing and
holding of drugs conform with current good manufacturing practices, or cGMP. The
cGMP regulations the FDA enforces are comprehensive and cover all aspects of
operations, from receipt of raw materials to finished product distribution,
insofar as they bear upon whether drugs meet all the identity, strength,
quality, purity and safety characteristics required of them. To assure
compliance requires a continuous commitment of time, money and effort in all
operational areas.
The FDA conducts pre-approval inspections of facilities engaged in the
manufacture, processing, packing, testing and holding of the drugs subject to
NDAs and ANDAs. If the FDA concludes that the facilities to be used do not meet
cGMP requirements, it will not approve the application. Corrective actions to
remedy the deficiencies must be performed and verified in a subsequent
inspection. In addition, manufacturers of active pharmaceutical ingredients, or
APIs, used to formulate the drug also ordinarily undergo a pre-approval
inspection, although the inspection can be waived when an API manufacturer has
had a passing cGMP inspection in the immediate past. Failure of any facility to
pass a pre-approval inspection will result in delayed approval and would have a
material adverse effect on our business, results of operations and financial
condition.
The FDA also conducts periodic inspections of facilities to assess their
cGMP status. If the FDA were to find serious cGMP non-compliance during such an
inspection, it could take regulatory actions that could adversely affect our
business, results of operations and financial condition. Imported API and other
components needed to manufacture our products could be rejected by U.S. Customs.
In respect to domestic establishments, the FDA could initiate product seizures
or require product recalls and seek to enjoin a product's manufacture and
distribution. In certain circumstances, violations could support civil penalties
and criminal prosecutions. In addition, if the FDA concludes that a company is
not in compliance with cGMP
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requirements, sanctions may be imposed that include preventing the company from
receiving the necessary licenses to export its products and classifying the
company as an "unacceptable supplier", thereby disqualifying the company from
selling products to federal agencies.
We believe that we and our suppliers and outside manufacturers are
currently in compliance with cGMP requirements.
Other FDA Matters
If there are any modifications to an approved drug, including changes in
indication, manufacturing process or labeling or a change in a manufacturing
facility, an application seeking approval of such changes must be submitted to
the FDA or other regulatory authority. Additionally, the FDA regulates
post-approval promotional labeling and advertising activities to assure that
such activities are being conducted in conformity with statutory and regulatory
requirements. Failure to adhere to such requirements can result in regulatory
actions that could have a material adverse effect on our business, results of
operations and financial condition.
Drug Enforcement Agency
We also sell products that are "controlled substances" as defined in the
Controlled Substances Act, which establishes certain security and record keeping
requirements administered by the U.S. Drug Enforcement Agency, or DEA. The DEA
is concerned with the control of registered handlers of controlled substances,
and with the equipment and raw materials used in their manufacture and
packaging, in order to prevent loss and diversion into illicit channels of
commerce.
The DEA regulates controlled substances as Schedule I, II, III, IV or V
substances, with Schedule I substances considered to present the highest risk of
substance abuse and Schedule V substances the lowest risk. The active
ingredients in some of our current products and products in development,
including oxycodone, oxymorphone, morphine and hydrocodone, are listed by the
DEA as Schedule II or III substances under the Controlled Substances Act of
1970. Consequently, their manufacture, shipment, storage, sale and use are
subject to a high degree of regulation. For example, all Schedule II drug
prescriptions must be signed by a physician, physically presented to a
pharmacist and may not be refilled without a new prescription. Furthermore, the
amount of scheduled substances we can obtain for clinical trials and commercial
distribution is limited by the DEA.
To meet its responsibilities, the DEA conducts periodic inspections of
registered establishments that handle controlled substances. Facilities that
conduct research, manufacture or distribute controlled substances must be
registered to perform these activities and have the security, control and
accounting mechanisms required by the DEA to prevent loss and diversion. Failure
to maintain compliance, particularly as manifested in loss or diversion, can
result in regulatory action that could have a material adverse effect on our
business, results of operations and financial condition. The DEA may seek civil
penalties, refuse to renew necessary registrations, or initiate proceedings to
revoke those registrations. In certain circumstances, violations could eventuate
in criminal proceedings.
We and our third-party API suppliers, dosage form manufacturers,
distributors and researchers have necessary registrations, and we believe all
registrants operate in conformity with applicable requirements.
Government Benefit Programs
Medicaid, Medicare and other reimbursement legislation or programs govern
reimbursement levels, including requiring that all pharmaceutical companies
rebate to individual states a percentage of their net sales arising from
Medicaid-reimbursed products. The federal and/or state governments may continue
to enact measures in the future aimed at reducing the cost of prescription
pharmaceuticals to the public. We cannot predict the nature of such measures or
their impact on our profitability and cash flows.
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Service Agreements
We contract with various third parties to provide certain critical
services including manufacturing, sales representatives, warehousing,
distribution, customer service, certain financial functions, certain research
and development activities and medical affairs.
Third Party Manufacturing/ Supply Agreements
We contract with various third party manufacturers and suppliers to
provide us with our raw materials used in our products and finished goods
including, among others, Bristol-Myers Squibb (f/k/a DuPont Pharmaceuticals),
Novartis Consumer Health and Teikoku Seiyaku Pharmaceuticals. While we generally
have not had difficulty obtaining finished goods, raw materials and components
from suppliers in the past, we cannot assure you that these necessary finished
goods, raw materials and components will continue to be available on
commercially acceptable terms in the future. If for any reason we are unable to
obtain sufficient quantities of any of the finished goods or raw materials or
components required for our products, this may have a material adverse effect on
our business, financial condition and results of operations. In addition, we
have incurred and expect to continue to incur significant costs in obtaining the
regulatory approvals and taking other steps necessary to begin commercial
production at other manufacturers, including Novartis, of all our products
currently manufactured at Bristol-Myers Squibb. A description of the material
terms of the material third party manufacturing/ supply contracts follows:
Bristol-Myers Squibb Pharma Company (f/k/a DuPont Pharmaceuticals).
Bristol-Myers Squibb (f/k/a DuPont Pharmaceuticals) currently manufactures a
significant number of our brand and generic pharmaceutical products.
Bristol-Myers Squibb manufactures certain of the products that we purchased from
DuPont Pharmaceuticals as a result of our August 1997 acquisition from DuPont
Pharmaceuticals, as well as some of our new products. The products are
manufactured at either the Bristol-Myers Squibb facility in Garden City, New
York or the Bristol-Myers Squibb facility in Manati, Puerto Rico. Both of these
facilities are FDA- and DEA-approved. Under the terms of this agreement, we are
able to introduce the manufacture of new products that we have developed in
those plants. For these manufacturing services, we currently pay Bristol-Myers
Squibb compensation in the form of (1) a fixed amount to cover Bristol-Myers
Squibb's fixed manufacturing costs for both manufacturing facilities, (2) an
amount, adjusted on an annual basis, to cover Bristol-Myers Squibb's variable
manufacturing costs for our products in both facilities and (3) an additional
fee, paid annually, based upon a predetermined formula.
In addition to manufacturing services, Bristol-Myers Squibb currently
provides other ancillary services to us in connection with the manufacture of
our products such as raw material procurement, product development, inventory
management and quality control services. Compensation for these services is
included in the compensation for manufacturing services. The initial term of
this agreement is five years, expiring on August 26, 2002, and is renewable, at
our option, for a period of time not to exceed five years (through August 2007)
with pricing terms to be negotiated. We have begun discussions with
Bristol-Myers Squibb concerning arrangements to manufacture certain of our
products following the expiration of the initial term in August 2002. If
Bristol-Myers Squibb determines to sell or otherwise transfer either the Garden
City plant facility or the Manati plant facility and we determine that the
acquirer of such facility would not be an acceptable manufacturer of our
products, Bristol-Myers Squibb shall implement, at its cost, appropriate
arrangements for the manufacture and supply of the products elsewhere.
Teikoku Seiyaku Co., Ltd. Under the terms of this agreement, Teikoku, a
Japanese manufacturer, manufactures Lidoderm® at its Japanese facility for
commercial sale by us in the United States. We also have an option to extend the
supply area to other territories within a defined period of time. We are
required to purchase, on an annual basis, a minimum amount of product from
Teikoku. The purchase price for the product is equal to a predetermined amount
per unit of product. The term of this agreement is from November 23, 1998 until
the shorter of (1) the expiration of the last to expire patent that is licensed
to us from Hind Healthcare Inc. or (2) November 20, 2011. This agreement may be
terminated for material breach by either party and by us if the Hind Healthcare
license agreement is terminated.
Novartis Consumer Health, Inc. On May 3, 2001, we entered into a long-term
manufacturing and development agreement with Novartis Consumer Health, Inc.
whereby Novartis has agreed to manufacture certain of our commercial products
and products in development. We are required to purchase, on an annual
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basis, a minimum amount of product from Novartis. The purchase price per product
is equal to a predetermined amount per unit, subject to periodic adjustments.
This agreement has a five-year term, with automatic five-year renewals
thereafter. Either party may terminate this agreement on three-years' notice,
effective at any time after the initial five-year term. In addition, we may
terminate this agreement effective prior to the fifth anniversary of the
agreement upon three-years' notice and the payment of certain early termination
fees. Either party may also terminate this agreement on account of a material
breach by the other.
Mallinckrodt Inc. Under the terms of this agreement, Mallinckrodt will
manufacture and supply to us narcotic active drug substances, in bulk form, and
upon the expiration of Mallinckrodt's existing supply agreement with
Bristol-Myers Squibb, raw materials for inclusion in our controlled substance
pharmaceutical products. We are required to purchase a fixed percentage of our
annual requirements of each narcotic active drug substance from Mallinckrodt.
The purchase price for these substances is equal to a fixed amount, adjusted on
an annual basis. The initial term of this agreement is July 1, 1998 until
June 30, 2013, with an automatic renewal provision for unlimited successive
one-year periods. Either party may terminate this agreement for a material
breach.
In addition, under a separate agreement, Mallinckrodt exclusively
manufactures and supplies to us a narcotic active drug substance that is not
covered under the previously discussed Mallinckrodt agreement. We are required
to purchase a fixed percentage of our annual requirements of this narcotic
active drug substance from Mallinckrodt. The purchase price of the substance is
a fixed amount that may be adjusted annually in the event of Mallinckrodt
product cost increases. The term of this agreement is April 1, 1998 until
June 30, 2004, as extended pursuant to an amendment, dated as of May 8, 2000,
with an automatic renewal provision for unlimited successive one-year periods.
This agreement may also be terminated for material breach by either party.
Other Service Agreements
In addition to the long-term manufacturing agreements described above, we
have agreements with (1) Livingston Healthcare Services, Inc. (n/k/a UPS Supply
Chain Management, Inc.) for customer service support, warehouse and distribution
services and certain financial functions, (2) Kunitz and Associates Inc. for
medical affairs and (3) Ventiv Health U.S. Sales Inc. for sales. We also have
agreements and arrangements with various contract research organizations for our
toxicology and clinical studies. Although we have no reason to believe that
these agreements will not be honored, failure by any of these third parties to
honor their contractual obligations would have a materially adverse effect on
our business, financial condition and results of operations.
A description of the material terms of these agreements follows:
Livingston Healthcare Services Inc. (n/k/a UPS Supply Chain Management,
Inc.) Under the terms of this agreement, we appointed Livingston to provide
customer service support, chargeback processing, accounts receivables management
and warehouse and distribution services for our products in the United States.
During the term of the agreement, the Livingston personnel responsible for
providing our customer service, chargeback processing and accounts receivable
management services may not provide these services to any third party for any
third party products which directly compete with our products covered under the
agreement. We pay Livingston a (1) start-up fee, payable in three installments,
(2) a fixed monthly fee for all services and (3) certain miscellaneous
out-of-pocket expenses, which, in the aggregate, may, depending on the facts and
circumstances at the time, represent material costs to us. For the year ended
December 31, 2001, these fees and expenses were approximately $5.0 million. The
term of the agreement for customer service support and chargeback processing
services is February 1, 2000 to January 31, 2003; for accounts receivable
services, February 1, 2000 to January 31, 2003; and for warehouse and
distribution services, February 1, 2000 to February 28, 2005. The agreement may
be renewed upon mutual agreement of the parties. The agreement may be terminated
for material breach by us, with prior notice: (1) for a sale of our company or a
sale of substantially all of our business; by us, with prior notice, for a
change in our stock ownership or company control; (2) if we decide to have these
services provided in-house or by an affiliate or (3) if Livingston fails to
15
provide additional storage space for our products upon request. In the event of
termination under certain circumstances, we are required to pay Livingston for
certain capital investments and wind-down expenses.
Kunitz and Associates Inc. Under the terms of the agreement, we appointed
Kunitz as our exclusive provider in the United States of pharmacovigilance,
medical communications, product information support, adverse drug experience
surveillance and medical literature search support, with respect to all of our
products. During the term of this agreement, Kunitz may not provide identical or
similar services to or for any third party whose products directly compete with
our products in the prescription pain management therapeutic category. For these
services, we pay Kunitz a fixed amount, in equal monthly installments. This
agreement will expire on July 31, 2002, unless we exercise our option to renew
the agreement for up to two successive one-year periods through July 31, 2004.
The agreement may be terminated by either party for material breach or by us,
with notice, for no reason.
Ventiv Health U.S. Sales Inc. Under the terms of this agreement, a team of
Ventiv professional sales representatives, under our management's direction,
exclusively promotes certain of our products to healthcare professionals in the
United States. The term of this agreement is until December 31, 2003, but will
automatically renew for one-year periods thereafter. The agreement may be
terminated by either party for material breach, by us (with 90 days' notice) for
no reason or by Ventiv (with 180 days' notice) for no reason. Under the
agreement, we reserve the option to hire all of these sales representatives and
managers as our full-time employees at any time.
Licenses and Collaboration Agreements
We enter into licenses and collaboration agreements to develop, use,
market and promote certain of our products from or with other pharmaceutical
companies and universities.
Virginia Commonwealth University. We have licensed from Virginia
Commonwealth University certain patents and pending patent applications in the
field of pain management. These include patents covering MorphiDex® and other
combinations of the NMDA-receptor antagonist, dextromethorphan, with opioids.
Under this license, we are required to pay royalties equal to 4% of sales of
products resulting from the licensed patents. In addition, we will pay Virginia
Commonwealth University 50% of royalty payments received from any sublicensees
until such payments total $500,000 for a given year, 33% until the payments
total an additional $500,000 for such year and 25% thereafter. This license
lasts until the underlying patents expire.
Penwest Pharmaceuticals. In September 1997, we entered into a
collaboration agreement with Penwest Pharmaceuticals to exclusively co-develop
opioid analgesic products for pain management, using Penwest's patent-protected
proprietary technology, for commercial sale worldwide. Under the terms of this
agreement, we are currently developing an opioid product for the treatment of
pain. We currently share on an equal basis the costs and profits of products
developed under this agreement. At this point in time, we cannot predict the
cost of this agreement. We have exclusive U.S. marketing rights with respect to
products developed under this collaboration, subject to the terms and conditions
contained in this agreement. See "Management's Discussion and Analysis of
Financial Condition and Results of Operations - Liquidity and Capital
Resources."
Hind Healthcare Inc. In November 1998, we entered into a license agreement
with Hind Healthcare Inc. for the sole and exclusive right to develop, use,
market, promote and sell Lidoderm® in the United States. We paid Hind up-front
fees and milestone payments on the occurrence of certain events. From now until
the shorter of (1) the life of the last-to-expire patent license pursuant to
this license agreement and (2) November 20, 2011, we will pay Hind
non-refundable royalties, including a minimum annual royalty of at least
$500,000 per year, on net sales of the product in the future. Because these
royalty payments are based on the net sales of the product, the maximum cost of
these royalty payments is uncertain at this time. During 2001, we accrued
$3.3 million for this royalty. Either party may terminate this agreement for
material breach and we may terminate it immediately upon termination of our
supply agreement with Teikoku. In September 1999, we launched Lidoderm®, the
first FDA-approved product for the treatment of the pain of post-herpetic
neuralgia. In March 2002, we extended this license with Hind to cover Lidoderm®
in Canada and Mexico.
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Environmental Matters
Our operations are subject to substantial and evolving federal, state and
local environmental laws and regulations concerning, among other matters, the
generation, handling, storage, transportation, treatment and disposal of toxic
and hazardous substances. We believe that our facilities and the facilities of
our third party service providers are in substantial compliance with all
provisions of federal, state and local laws concerning the environment and do
not believe that future compliance with these provisions will have a material
adverse effect on our financial condition or results of operations.
Summary of Recent Transactions
On August 1, 2001, we moved into our new corporate headquarters at
100 Painters Drive, Chadds Ford, Pennsylvania. We lease this space from
Painters' Crossing One Associates, L.P. See "Item 2. Properties."
On October 17, 2001, we sold 11,400,000 additional shares of common stock
at a price of $8.00 per share in a follow-on public offering. On November 16,
2001, we closed the sale of an additional 1,525,000 shares of common stock, at
$8.00 per share, in connection with the exercise by the underwriters of their
over-allotment option in connection with this public offering. A total of
12,925,000 shares common stock were issued and sold by the Company in this
offering for a total of $96.2 million in net proceeds.
On October 29, 2001, we used $84.9 million of the net proceeds from the
recently completed public offering plus $16.1 million from our cash balance to
repay in full the term loans under the then current credit facility. On
December 21, 2001, we amended and restated our credit facility. The details of
this amendment and restatement are set forth below. See "- Description of Credit
Facility."
On December 5, 2001, we commenced a tender offer to purchase up to
13,500,000 of our outstanding Class A Transferable Warrants (Nasdaq: ENDPW) and
any and all of our outstanding Class B Non-Transferable Warrants. This tender
offer expired at midnight on January 25, 2002. We accepted an aggregate of
8,576,762 Class A Warrants and 8,500 Class B Warrants for payment at a purchase
price of $0.75 per warrant, or approximately $6.4 million in the aggregate. We
used cash on hand to finance the purchase of tendered warrants. Following of the
purchase of these warrants by us, approximately 9.2 million Class A Warrants and
approximately 18,500 Class B Warrants remained outstanding as of January 28,
2002.
Description of Credit Facility
On August 26, 1997, we entered into a credit agreement with a number of
lenders and The Chase Manhattan Bank (n/k/a JPMorgan Chase Bank), as
administrative agent. On October 29, 2001, we repaid in full the $101.1 million
of term loans that were outstanding thereunder, and on December 21, 2001, we
amended and restated this credit agreement. As of December 31, 2001, no amounts
were outstanding under the credit agreement.
Under the credit agreement, we have the ability to borrow on a revolving
basis up to $75.0 million. The revolving loans have a final maturity of
December 21, 2006. The credit agreement also provides for a delayed draw term
loan that must be utilized, if at all, by August 26, 2002 solely for the purpose
of paying off the outstanding promissory notes that are payable to Bristol-Myers
Squibb. The aggregate principal amount of this term loan is $25.0 million. The
term loan, once borrowed and repaid, may not be reborrowed, and it has a final
maturity date of December 21, 2006. As of December 31, 2001, we have not
borrowed under either the revolving loans or the term loan.
These loans bear interest at an agreed-upon spread over the applicable
base rate (as defined in the credit agreement) or over the London Interbank
Offered Rate. The loans outstanding under the credit agreement are secured by a
first priority security interest in substantially all of our assets. These loans
are subject to mandatory repayment in limited circumstances. Voluntary
prepayments of these loans and voluntary reductions of the credit facility are
permitted, in whole or in part, at our option in minimum principal amounts,
without premium or penalty, subject to reimbursement of the lenders' costs under
specified circumstances.
17
The credit agreement contains representations and warranties, covenants,
events of default and other provisions customarily found in similar agreements.
Employees
As of December 31, 2001, we had 167 employees, of which 52 are engaged in
research and development, 15 in regulatory work, 30 in sales and marketing, 18
in quality assurance and 52 in general and administrative capacities. Our
employees are not represented by unions, and we believe that our relations with
our employees are good.
Dividend Policy
We have never paid cash dividends on our common stock. Furthermore, the
payment of cash dividends from earnings is currently restricted by our credit
facility. Assuming removal of this restriction, the payment of cash dividends is
subject to the discretion of our board of directors and will be dependent on
many factors, including our earnings, capital needs and general financial
condition. We anticipate that, for the foreseeable future, we will retain our
earnings in order to finance the expansion of our business.
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