Item 1. Business
The terms "we", "us" or "our" in this Form 10-K include aaiPharma Inc.,
its corporate predecessors and its subsidiaries, except where the context may
indicate otherwise. Our corporation was incorporated in 1986, although its
corporate predecessor was founded in 1979. In 1999, we merged with Medical &
Technical Research Associates, Inc.
Our principal executive offices are located at 2320 Scientific Park Drive,
Wilmington, North Carolina (telephone: 910-254-7000).
Our Internet address is www.aaipharma.com. We make available through our
internet website our annual reports on Form 10-K, quarterly reports on Form
10-Q, current reports on Form 8-K, and amendments to those reports filed or
furnished pursuant to Section 13(a) of the Securities Exchange Act of 1934 as
soon as reasonably practicable after we electronically file such material with,
or furnish it to, the Securities and Exchange Commission.
Trademarks and Trade Names
We own the following registered and unregistered trademarks: Darvon®,
Darvon-N®, Darvocet-N®, M.V.I.®, M.V.I.-12®, M.V.I. Pediatric™, M.V.I. Adult™,
Aquasol®, Aquasol A®, Aquasol E®, Brethine®, ProSorb®, ProSorb-D™, ProSLO™,
ProSLO II™, ProCore®, ProSpher®, ProLonic™, ProMelt®, NeoSan™, AzaSan™,
aaiPharma™, and AAI®. References in this document to Darvon are to Darvon® and
Darvon-N® collectively and references to Darvocet are to Darvocet-N®. We also
reference trademarks owned by other companies. Cataflam® is a registered
trademark of Novartis Corporation, Infuvite® is a registered trademark of Sabex
Inc., Oxycontin® is a registered trademark of Purdue Pharma L.P., Prilosec® is a
registered trademark of AstraZeneca AB, Proventil® is a registered trademark of
Schering Corporation, Prozac® is a registered trademark of Eli Lilly and
Company, Volmax® is a registered trademark of GlaxoSmithKline, Imuran® is a
registered trademark of Prometheus Laboratories, Inc. and Ultram® is a
registered trademark of Johnson & Johnson. All references in this document to
any of these terms lacking the "®" or "™" symbols are defined terms that
reference the products, technologies or businesses bearing the trademarks with
these symbols.
Overview
We are a science-based specialty pharmaceutical company focused on the
commercialization of branded pharmaceutical products that we develop or acquire.
We have over 23 years of pharmaceutical research and development experience,
with operations primarily in the United States and Europe. We have acquired
three branded product lines since August 2001 - the M.V.I. and Aquasol family of
products, Brethine and the Darvon and Darvocet family of products. In addition,
we are developing our own proprietary products, as well as developing
improvements and line extensions to our acquired products, by applying our
scientific expertise and portfolio of proprietary and in-licensed drug-delivery
technologies. Historically, we have generated our revenues by providing a
comprehensive spectrum of pharmaceutical research and development services on a
fee-for-service basis to a broad base of customers, including large
pharmaceutical companies such as AstraZeneca PLC, Bayer AG, Eli Lilly and
Company, Novartis Corporation, Medicis Pharmaceuticals Corp., and Roche
Pharmaceuticals.
In 2001, we began acquiring established, branded pharmaceutical products
within our targeted therapeutic classes -critical care, pain management, and
gastrointestinal diseases. We seek to acquire products whose sales we believe
can be increased through enhanced marketing and promotion and that we can
improve by applying our significant research and development capabilities.
We operate through the following businesses:
• Pharmaceuticals Division. The Pharmaceuticals Division of aaiPharma
(including our wholly-owned subsidiary aaiPharma LLC, formerly NeoSan
Pharmaceuticals, Inc.) (collectively, the "Pharmaceuti-
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cals Division") commercializes branded pharmaceutical products in our
targeted therapeutic classes. We market and promote our branded products
directly through our sales force to high-prescribing physicians of our
products and other products in our targeted therapeutic classes. When we
acquire products, we seek products that we believe will benefit from our
sales promotion and to which we can apply the scientific expertise of our
other divisions to develop product line extensions and improvements. The
Pharmaceuticals Division had $128.5 million of net revenues in 2002.
• Research and Development Division. Our Research and Development Division
(the "Research and Development Division") provides research and development
expertise and our portfolio of drug-delivery technologies and intellectual
property rights, which we use to enhance and develop products that are
innovative, safer or more effective, convenient or cost-efficient. This can
result in renewed regulatory or patent exclusivity, adding to the
commercially valuable life of the product. We apply this expertise to
internally develop our own new products and improve our acquired products.
In addition, we offer these product improvement, or life cycle management,
activities to our customers for royalties, milestone payments and fees. Net
revenues for the Research and Development Division in 2002 were $19.6
million.
• AAI International. AAI International offers a comprehensive range of
pharmaceutical product development services to our customers on an
international basis. These services include formulation, development,
analytical, microbiological, bioanalytical and stability testing services,
biotechnology analysis and synthesis, human clinical trials, regulatory
consulting, and manufacturing. These services generally are provided on a
fee-for-service basis. Net revenues for AAI International in 2002 were $82.4
million.
Pharmaceuticals Division - Our Product Sales Business
The Pharmaceuticals Division commercializes branded pharmaceutical
products that we develop and acquire in our targeted therapeutic classes -
critical care, pain management, and gastrointestinal diseases. We market and
promote our branded products directly through our sales force to
high-prescribing physicians. We directly hire and manage our own internal sales
force and, as of February 28, 2003, we had a sales force of approximately 80
representatives, which we plan to significantly expand during the remainder of
2003 to 150 sales representatives. We use data generated by third-parties to
identify physicians who prescribe our products and other products in our
targeted therapeutic classes. When we acquire products, we seek products that we
believe will benefit from our sales promotion and to which we can apply the
scientific expertise of our other divisions to develop product line extensions
and improvements.
In August 2001, we acquired from AstraZeneca the U.S. rights to the M.V.I.
and Aquasol branded product lines of critical care injectable and oral
nutritional products, which provide nutrients to cancer, AIDS, post-operative
and nutritionally compromised patients. In December 2001, we acquired from
Novartis the U.S. rights to the Brethine branded product line, which treats
asthma. In February 2002, we acquired from Aesgen Inc. the U.S. rights to
calcitriol, an injectable vitamin D nutritional product, as a line extension
opportunity for the Aquasol product line. In March 2002, we acquired from Eli
Lilly the U.S. rights to the Darvon and Darvocet branded product lines, which
treat mild-to-moderate pain.
Through the Pharmaceuticals Division, we seek commercially stable products
within our targeted therapeutic classes with strong brand recognition and high
gross margins. We also seek to acquire and commercialize established
pharmaceutical products that we believe have not been actively marketed and
promoted for at least several years prior to our acquiring them. Our goal is to
increase the value of the brands that we acquire by promoting them to
high-prescribing physicians, using one-on-one meetings, product sampling,
educational programs, advertising, direct mail, and website promotion. In the
future, we intend to acquire products that we can promote to our existing
customer base, thereby leveraging our sales force.
We also plan to apply the scientific expertise of AAI International and
the Research and Development Division's portfolio of patents and proprietary and
in-licensed drug-delivery technologies and other intellectual property to
develop new formulations, delivery systems, indications, dosage forms and line
extensions for our branded products that will improve their safety, efficacy,
convenience or cost effectiveness
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or reduce their side effects. Once approved by the FDA, we intend to market
these products under the acquired brand names, thereby leveraging the value of
the existing brands for our product improvements and line extensions.
Additionally, we will seek renewed regulatory or patent exclusivity for these
improved products. A new indication for an existing product or changes in
product composition, method of use, formulation and process may, in appropriate
cases with the addition of Phase III studies showing efficacy and safety,
provide three-year non-patent regulatory exclusivity or longer-term patent
protection.
Additionally, through the development expertise of the Research and
Development Division, our Pharmaceuticals Division is continuing internal
development efforts on our own branded pharmaceutical products. Product
candidates in the later stages of development include an imidapril tablet, which
is an angiotensin converting enzyme (ACE) inhibitor, for treatment of
cardiovascular disease. Earlier stage products include a quick-dissolving
omeprazole tablet for treatment of stomach and ulcer ailments and a controlled
release mesalamine tablet for treatment of ulcerative colitis, or Crohn's
disease, a particular type of gastrointestinal disease. The details of our
pipeline of product candidates from the development work of our Research and
Development Division is discussed in "Research and Development Division - Our
Product Development Business." However, because of the inherent uncertainties of
pharmaceutical development, we do not know whether we will ever be able to
successfully commercialize any of these product candidates.
Darvon and Darvocet
On March 28, 2002, we acquired from Eli Lilly the U.S. rights to the
Darvon and Darvocet branded product lines in the U.S. (and the existing
inventory of these products) for $211.4 million in cash, subject to adjustments
described below. The Darvon and Darvocet products are prescribed for the
treatment of mild-to-moderate pain. The acquired products include Darvon
(propoxyphene hydrochloride), Darvocet-N (propoxyphene napsylate and
acetaminophen) and Darvon-N (propoxyphene napsylate).
These product lines have been sold in the U.S. for over 25 years, with the
initial marketing of Darvon beginning in 1957. Darvon lost its patent
exclusivity in 1973 and Darvon-N and Darvocet-N in 1985. The first generic
version of Darvon was introduced in 1973, and by 1985, numerous generic products
were being marketed for substitution for Darvon and Darvocet. We believe that
Eli Lilly ceased actively promoting these brands in approximately 1993.
Acquisition Terms. We paid $211.4 million in cash for the rights in the
U.S. to these products and Eli Lilly's existing inventory of these products. In
addition, we have agreed to pay Eli Lilly royalties upon sales of our future
developed improvements to the Darvon and Darvocet products or other products
containing the active ingredient propoxyphene and any other pharmaceutical
products sold under the name Darvon, Darvocet or certain other trademarks. We
will pay a royalty on sales of each of these future products during each
calendar quarter for a ten-year period beginning upon the product's commercial
introduction, provided that the total net sales of all of these future products,
combined with the total net sales of the current Darvon and Darvocet products,
exceed $15.8 million in the applicable calendar quarter. We will not owe any
royalties on the sales of the Darvon and Darvocet products themselves that we
acquired from Eli Lilly.
Supply of Product. Under a manufacturing agreement that we have entered
into with Eli Lilly, Eli Lilly agreed to supply a specified percentage of our
requirements from and after closing for the existing twelve Darvon and Darvocet
product presentations (form and dosage). The supply agreement will extend
through December 31, 2004. Upon the satisfaction of certain conditions,
including payment by us of a $4.0 million extension fee, we may extend the
agreement for an additional six months, during which Eli Lilly will use
commercially reasonable efforts to supply the Pharmaceuticals Division with a
full calendar year's supply of products during the extension period, subject to
certain maximum and minimum quantities. Under this agreement, we have agreed to
order the manufacture of certain minimum amounts of Darvon and Darvocet products
and certain minimum percentages of our requirements: 60% of our requirements in
the first year, 50% in the second year, and 40% in the third year. Also under
this agreement, the supply obligation of Eli Lilly is subject to a maximum
amount of the Darvon and Darvocet products over the life of the contract. We
anticipate that this maximum supply obligation of Eli Lilly is sufficient to
cover all of our supply needs through the end of 2005. We will purchase these
products manufactured by Eli Lilly for a fixed unit cost,
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subject to a percentage increase on each January 1 plus any increase in Eli
Lilly's cost of raw materials during that year. However, the purchase price for
these products will be no less than Eli Lilly's standard cost of manufacturing,
which includes raw materials, direct labor, and plant overhead attributable to
the Darvon and Darvocet products. Prior to expiration of this agreement, we
intend to have FDA approval permitting the transfer of the manufacturing of
these products to our manufacturing facilities, one or more third-party
manufacturing facilities, or a combination of these facilities. This approval,
however, could require significant expense and time, and it is possible that we
never receive it.
Brethine
On December 13, 2001, we acquired the U.S. rights to the Brethine branded
product line from Novartis Pharmaceuticals Corporation and Novartis Corporation
for $26.6 million in cash. Brethine is administered in oral and injectable forms
for the prevention and reversal of bronchospasm in patients age 12 and older
with asthma and reversible bronchospasm associated with bronchitis and
emphysema. Although physicians also prescribe Brethine to stop premature labor,
this drug has not been approved by the FDA for this indication and thus it
cannot be marketed or promoted for this use. Brethine was initially marketed
beginning in 1975. We believe that Novartis ceased actively promoting Brethine
in the early 1990s, although Novartis selectively marketed and promoted Brethine
since then and a third party provided marketing support for Brethine during 1999
and 2000.
Brethine, or terbutaline sulfate, is a beta-adrenergic agonist
bronchodilator, meaning that it aids in the flow of air through the bronchial
tubes for people suffering from asthma, emphysema, chronic bronchitis, and other
lung diseases. IMPAX Laboratories has been marketing a generic form of the oral
form of Brethine since July 2001. There are no approved generic forms of the
injectable form of this drug. Major branded products competing against Brethine
to treat these ailments include Volmax, Proventil, and branded and generic forms
of albuterol.
Supply of Product. We entered into an interim supply agreement with
Novartis providing for its manufacture and packaging of the oral and injectable
form of Brethine for sale by us in the U.S. through December 13, 2004. We may
terminate the manufacturing component of the supply agreement on twelve months'
notice and the packaging component on six months' notice. Under the supply
agreement, we may purchase the products for a fixed unit cost during the term of
the agreement, subject to an annual price adjustment on January 1, 2003 and
January 1, 2004 tied to the Consumer Price Index and to a downward adjustment in
the event product packaging is moved to a third party. We intend to transfer the
Brethine manufacturing processes to our own facilities prior to expiration of
the supply agreement. This move, however, is subject to FDA approval, and it is
possible that this approval will involve significant expense and will not be
obtained on a timely basis, if at all.
M.V.I. and Aquasol
On August 17, 2001, we acquired the U.S. rights to a line of critical care
injectable and oral nutritional products from AstraZeneca. These products are
M.V.I.-12, M.V.I. Pediatric, Aquasol A and Aquasol E. The M.V.I.-12, M.V.I.
Pediatric and Aquasol A products are administered by intravenous or injected
solution to provide nutrients to severely ill patients for whom oral nutrition
is not feasible. Aquasol E is administered by oral solution. We acquired these
products for up to $100 million in cash, of which we paid $52.5 million at
closing of the acquisition. A post-acquisition guaranteed payment of $1.0
million was paid in August 2002. A second guaranteed payment of $1.0 million is
due in August 2003. The acquisition agreement provided for future contingent
payments. A contingent payment of $2.0 million would have been due in August
2003 if the FDA had approved by December 31, 2002 the reformulated M.V.I.-12
product with a minimum shelf life of 12 months. In addition, a contingent
payment of up to $43.5 million is due in August 2004 if FDA approval of the
reformulated M.V.I.-12 product is received on or before December 31, 2003, with
the $43.5 million payment being reduced by $1.0 million for each month after
December 31, 2002 during which FDA approval has not been obtained. The $43.5
million payment will become zero in the event FDA approval is not obtained on or
before December 31, 2003. An application for approval of this reformulated
product was submitted to the FDA in February 2003.
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The initial M.V.I. product and Aquasol A were approved for marketing over
45 years ago, and M.V.I. Pediatric was approved in 1983. No FDA approval is
necessary to market Aquasol E.
The M.V.I. products and Aquasol A are approved by the FDA for the
following uses:
• M.V.I.-12 is a multivitamin solution for intravenous use as a daily
multivitamin for adults and children over 11 years receiving parenteral
nutrition. It also is used in other situations where intravenous dosing is
required due to nutrient depletion, including in surgery, for extensive
burns, fractures and other trauma, for severe infectious diseases, and for
comatose states.
• M.V.I. Pediatric is a sterile powder intended for reconstitution as a
solution for intravenous use as a daily multivitamin for infants and
children up to 11 years of age receiving parenteral nutrition. It also is
used in other situations where intravenous dosing is required due to
nutrient depletion, including in surgery, for extensive burns, fractures and
other trauma, for severe infectious diseases, and for comatose states.
• Aquasol A (vitamin A) is an injectable vitamin solution used to provide
vitamin A. Aquasol E Drops, which do not require FDA approval to be
marketed, are nutritional supplements taken orally to provide vitamin E.
The FDA has examined the product formulation and the current state of
medical thought on the vitamin and nutrient levels needed in M.V.I.-12. After
examining data from a public workshop between the FDA and the American Medical
Association as to the appropriate dosage level of vitamins in parenteral
multivitamin preparations, the FDA increased the targeted dosage levels of
vitamins B1, B6, C and folic acid to be included in multivitamin injectable
products to a level greater than that included in any existing product and
required the inclusion of Vitamin K. Prior to our acquisition of the M.V.I.
product line from AstraZeneca, we had been working with AstraZeneca on a
fee-for-service basis to reformulate M.V.I.-12 to meet these guidelines.
Supply of Product. In connection with the M.V.I. and Aquasol acquisition,
we entered into an interim supply arrangement with AstraZeneca to supply us with
M.V.I.-12 in single-dose vials, multi-dose vials and bulk, Aquasol A and Aquasol
E. The initial term of this interim supply agreement was for two years through
August 17, 2003, and we have exercised the option to extend the term for an
additional year, through August 17, 2004. Under the interim supply agreement, we
may purchase the products for a fixed unit cost for the first two years equal to
AstraZeneca's variable cost of goods sold during 2000 for the relevant product,
adjusted in August 2002 for changes in the cost of raw materials and adjusted
(limited to changes in the Consumer Price Index) for changes in other
manufacturing costs. During the third year of supply, the price will increase to
AstraZeneca's full variable and fixed costs plus 20%. If we obtain FDA approval
for the reformulated M.V.I.-12 product, AstraZeneca will supply the reformulated
product to us at a price equal to AstraZeneca's costs, including materials,
labor and variable overhead. In addition, AstraZeneca assigned to us its
manufacturing agreement with a third-party supplier for the production of M.V.I.
Pediatric for an indefinite period of time, provided that either party can
terminate this agreement upon at least four years' prior notice.
M.V.I. product line shortages existed in the mid-1990s due to third-party
manufacturing problems, which were resolved in 2000 when AstraZeneca brought
manufacturing of M.V.I.-12 in-house. Similarly, M.V.I. Pediatric product line
shortages existed after a September 2001 inspection by the FDA of the facilities
of our third party supplier in which this product is manufactured, which led to
a cessation of production until the manufacturer resumed production in February
2002. Shipments of new M.V.I. Pediatric products recommenced to our customers in
April 2002. This product is currently being manufactured at full production
levels.
We expect to transfer the manufacture of the Aquasol products to our
Charleston and Wilmington manufacturing facilities, and to either bring the
manufacture of the M.V.I. product lines in-house or contract with third-party
manufacturers to ensure a continued, long-term supply on market terms.
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Calcitriol
On February 13, 2002, we acquired from Aesgen, Inc. the rights to its
calcitriol product, a generic injectable vitamin D nutritional product that we
intend to market as a line extension to our Aquasol product line. This product
is used primarily to treat chronic kidney dialysis patients with abnormally low
levels of calcium in their circulating blood. We paid $1.0 million for this
product at the time of acquisition and agreed to make additional contingent
milestone payments of up to $1.5 million and certain royalty payments for the
eight-year period following the first commercial sale of this product. To date,
we have paid an additional $500,000 to Aesgen with respect to this product.
On February 20, 2003, we were notified by the FDA of marketing approval
for our calcitriol product, with shared 180-day marketing exclusivity for this
drug product with a second company. No other companies will be approved for the
sale of calcitriol until the expiration of this market exclusivity period. In
March 2003, we commenced commercial sales of our calcitriol product and also
entered into a long-term manufacturing and co-promotion agreement with another
company with respect to such other company's calcitriol product under their
regulatory approval. We also sell product manufactured by another source
pursuant to purchase orders issued by us.
Azasan
We have developed, and recently received FDA approval to market, three
line extensions to our current 50 milligram azathioprine tablet product: 25
milligram, 75 milligram and 100 milligram tablets. Azathioprine is an
immunosuppression agent used in the prevention of organ rejection in kidney
transplants and for the management of severe, active rheumatoid arthritis
unresponsive to rest, aspirin or other nonsteroidal anti-inflammatory drugs, or
NSAIDs. These azathioprine products are generic forms of Imuran, a branded
product sold by Prometheus Laboratories, Inc., and will be sold by us as branded
products under our Azasan trademark. Our 50 milligram azathioprine tablet
product was previously developed by us and launched in 1999 by Geneva
Pharmaceuticals, Inc.
These three new line extension products are intended to provide better
patient compliance and convenience to the patients, as patients typically begin
treatment with 25 milligram dosages of azathioprine and move up over time in
dosages to 150 to 200 milligrams per day, and greater flexibility to the
prescribing physician to tailor the dose for the patient. Our Azasan products
are manufactured in our own facilities.
Sales and Distribution of Pharmaceutical Products
We have our own sales force to sell our pharmaceutical product lines. As
of February 28, 2003, we had a sales force of approximately 80 sales
representatives, with plans to increase the size of our sales force to 150
during 2003.
We have contracted with a subsidiary of Cardinal Health, Inc. to provide
warehousing, distribution, inventory tracking, customer service and financial
administrative assistance related to the distribution program (including
management of applicable rebates, chargebacks and accounts receivable
collection).
Manufacturing Capability
We currently manufacture certain high-potency and high-toxicity drug
products, along with controlled substance products, for clients in our
manufacturing facility in Wilmington, North Carolina. Our manufacturing
generally covers small volume products, and our manufacturing capability has
been upgraded to allow manufacture of a portion of the Darvon and Darvocet
family of products in our own facility. We also manufacture certain drugs
developed on behalf of clients for commercial sale. We also operate a 48,000
square foot sterile facility in Charleston, South Carolina where we manufacture
sterile, injectable products. We also provide manufacturing, packaging and
labeling of clinical trial materials.
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Research and Development Division - Our Product Development Business
The Research and Development Division provides research and development
expertise and a portfolio of proprietary and in-licensed drug-delivery
technologies and intellectual property rights, which we use to enhance and
develop products that are innovative, safer, or more effective, convenient or
cost-efficient. This can result in renewed regulatory or patent exclusivity,
adding to the commercially valuable life of the product. We offer these product
improvement, or life cycle management, activities to our customers for
royalties, milestone payments and fees. In addition, we apply this expertise to
improve our acquired products and internally develop our own new products. Net
revenues for the Research and Development Division in 2002 were $19.6 million.
In addition to product development, the Research and Development Division
seeks to develop proprietary drug-delivery technologies for licensing to our
clients. We also dedicate a portion of our technical resources and operating
capacity to internal drug and technology development with the objective of
licensing marketing rights to third parties.
Our internal product and technology development program has resulted in
multiple product applications filed with the FDA and European regulatory
agencies. Many of these products have been licensed or sold. Others are still in
development. The internal development program has also resulted in patents
covering drugs and drug technology and numerous pending patent applications.
We have significant experience in providing product life cycle management
services to our clients, which we leverage to develop our own proprietary
products. Product life cycle management offers product improvement and line
extension opportunities to clients, generally for marketed products facing
patent expiration and that could commercially benefit from improvements or line
extensions. Product improvements and line extensions offer clients an
opportunity to improve product or product delivery characteristics, thus
enhancing and extending the commercial value of a branded product line. Improved
product characteristics may include enhancement of product stability, creation
of additional absorption profiles (e.g., quick or sustained release), higher
drug absorption or bioavailability (permitting reduced drug loads per dose with
the potential for lower costs and side effects), improved taste, more attractive
appearance, or better dosage regimes (e.g., once a day versus multiple doses per
day). Product line extensions may include new dosage forms, such as solids,
liquids and chewables, to increase patient populations who can benefit from such
drugs (e.g., pediatric or geriatric patient populations), as well as new dosage
strengths that may be more convenient for doctors and patients under current
treatment regimens. Product modifications and line extensions offer clients the
opportunity to target new patient populations and improve patient compliance and
convenience. Product life cycle management activities also can lead to new
inventions and discoveries in the course of the research and development work,
providing new opportunities for long-term patent protection for the modified
products and potential long-term value for licensees of our technologies.
Our Drug-Delivery Technologies
Our portfolio of internally developed and in-licensed drug-delivery
technologies provide us with some opportunities for the expansion of a drug
product's effective market life. Our currently available technologies include:
• ProCore - a patented multiparticulate technology for controlled release of a
drug incorporated into a two-layer coated pellet. The first layer allows for
control of the lag time before an active agent begins its release while the
second layer controls the rate of release, and thus the duration of the
sustained release effect for the product.
• ProSorb - technologies designed to accelerate absorption rates and thus
permit weakly acidic compounds to exhibit a shorter onset of action relative
to conventional dosage forms. The concept of the technology is that the
acidic drugs incorporated into the technology form a dispersion pattern upon
release in the stomach that allows faster and more complete absorption.
ProSorb is a broad-based technology primarily used with liquid or
encapsulated drug products. Using this technology with
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diclofenac, a non-steroidal anti-inflammatory drug, has resulted in our
proprietary ProSorb-D product candidate, which is discussed below.
• ProLonic - a drug-delivery technology specifically designed to release an
active agent in the colon. This patented technology can be incorporated into
a tablet, a pellet, or a capsule dosage form and uses conventional
manufacturing equipment and processes. The advantage represented by this
technology is the ability to control the location and timing of release.
• ProMelt - a fine particle, rapidly disintegrating technology that allows for
creation of a fast melt tablet dosage form while also permitting taste
masking, targeted delivery or controlled release of the active agent. The
technology is particularly applicable to pediatric and geriatric treatments
for patients who have difficulty swallowing more traditional dosage forms
such as tablets and capsules.
• ProSpher - an injectable, depot formulation for controlled release of active
agents lasting from days to months. It is capable of delivering
therapeutically important agents with reduced "burst effect," or immediate
release, upon administration, as compared to other depot technologies. The
technology is designed to allow the development of convenient single dose
treatment for drug therapies lasting up to six months.
• ProSLO and ProSLO II - an osmosis technology designed for controlled release
product therapy with either a single drug or a combination of drugs. Osmotic
action is the natural movement of water through a membrane and is used to
make oral drug administration more accurate, precise and convenient. Our
technology can also have an immediate release component in the outside layer
of a laser drilled tablet. This allows a combination of multiple active
ingredients with different release requirements. The advantages over
existing technologies are its easy scalability, the ability to use it with
numerous active ingredients, the ability to create both a long- and
short-acting drug combination, and its ability to handle what normally are
insoluble active ingredients.
The ProCore and ProSorb technologies are proprietary to us. The ProSLO and
ProSLO II technologies are available for use by us and our clients in the U.S.
through a recently amended agreement with Osmotica Corporation. During January
2003, we agreed to amend the original agreement from an exclusive arrangement to
a non-exclusive arrangement. As such, Osmotica is permitted to develop its own
products for use in the U.S. without our involvement, but we may also jointly
develop products using Osmotica's technology upon mutual agreement.
Additionally, the ProLonic, ProMelt and ProSpher technologies are
available to us pursuant to a joint development agreement with Tanabe Seiyaku
Co. Ltd. This agreement with Tanabe provides for the joint development by us and
Tanabe of certain mutually agreeable drug technologies developed by Tanabe.
Under this agreement, we have an exclusive worldwide license, other than in
certain Asian countries, to the developed technologies and we are required to
pay Tanabe a portion of all down payments, milestone payments and royalties,
received by us in connection with the commercialization of products using these
jointly developed technologies.
The Research and Development Division has continued our internal
development of products to be licensed to third parties that have additional
marketing and distribution capabilities or a therapeutic focus different than
ours. We have entered into multiple licensing agreements for products that are
currently in development. The terms of the agreements vary as to amounts of
milestone payments and fees, as well as methods and extent of revenue
participation such as royalties. While we anticipate that most of our product
licensing agreements will provide that prospective clients will ultimately
sponsor the approved product, in certain instances we have made submissions for
internally developed products in our own name.
In 2002, aaiPharma and Tanabe Holding America, the U.S. subsidiary of
Tanabe Seiyaku of Japan, formed a joint venture whose objectives are to develop,
manufacture, sell and potentially license pharmaceutical products. Tanabe's
contribution consists of candidate compounds from its drug discovery pipeline,
while aaiPharma's contribution is its extensive expertise in research,
development and clinical trials management with respect to new drug development.
The joint venture's revenue opportunities include: potential direct marketing of
drugs developed by the joint venture; potential licensing opportunities for our
9
Pharmaceuticals Division; potential third-party licensing opportunities; and
potential third-party co-promotion. The initial therapeutic focus areas of the
joint venture are cardiovascular diseases and gastrointestinal diseases.
Our Internal Product Development Pipeline
We have a number of proprietary pharmaceutical products under development,
which include the products in the chart below. We are pursuing internal product
development candidates in three primary categories:
• existing active pharmaceutical ingredients or chemical compounds, where the
development of product line extensions, new forms (such as different
dosages, formulations or delivery mechanisms - e.g., liquids versus
tablets), or combination drugs involving two known active ingredients, offer
potential therapeutic or marketing advantages. Examples of this type of
product development include ProSorb-D and our planned line extensions for
most of our acquired branded drug products, as well as for a
fexofenadine/pseudoephedrine 24-hour combination allergy product that we
have licensed to a third party;
• new active ingredients or compounds that are chemically similar to currently
marketed products with established therapeutic and safety profiles, and that
offer improved characteristics over the marketed products. An example for
this category of development includes 6-omeprazole; and
• new active ingredients or chemical entities that fall within our targeted
therapeutic classes, including some that are marketed in other countries but
not currently marketed in the United States. An example for us in this
category of product development is imidapril.
Our product development strategy focuses on products that we expect will
have some period of market exclusivity, such as through patent or regulatory
exclusivity, without competition from generic substitutes or other third-party
products that infringe the patents covering our line extensions or other
developed products.
In addition to the line extensions to our acquired products discussed
above in "Pharmaceuticals Division - Our Product Sales Business," we are
developing the following products:
Darvon/Darvocet Line Extensions. We plan to develop improved products and
line extensions with improved product delivery and therapeutic characteristics
and potential regulatory and patent exclusivity. For example, we are considering
the development of a liquid form of Darvocet, formulations which can be taken
less frequently than every four hours and some products that would combine
propoxyphene, the active ingredient in Darvon and Darvocet, with a
non-steroidal, anti-inflammatory drug.
M.V.I. Line Extensions. Our product line strategy for M.V.I. and Aquasol
will also focus on developing and marketing new products, product improvements
and product line extensions. The reformulation of M.V.I.-12 to add vitamin K
will create additional product line opportunities within and outside the U.S. We
also plan to formulate M.V.I. products to be used for patients in specialized
markets.
Brethine Line Extensions. Our strategy for Brethine also involves product
line extensions and improvements. We are developing a glass vial form of the
injectable Brethine product, rather than the current glass ampoule presentation,
to improve the safety and convenience of administering this drug. We are also
taking steps to reduce aluminum in the product to address potential aluminum
issues, and we are exploring new indications for the Brethine product as well as
development of the single chiral isomer product.
Imidapril. We are developing an imidapril tablet for sale in the United
States. Imidapril is an angiotensin converting enzyme (ACE) inhibitor for the
treatment of cardiovascular disease. It has been sold in Japan since 1993 by
Tanabe Seiyaku Co., Ltd. under the name Tanatril for the treatment of
hypertension, or high blood pressure. In addition, Tanabe has recently obtained
approval in Japan to market Tanatril for the treatment of kidney disease
associated with Type I insulin dependent diabetes mellitus. We licensed the U.S.
rights to this product from Tanabe in January 2002.
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Imidapril is also approved for sale in Europe for hypertension. We are
presently obtaining the clinical data from the European dossier used by Tanabe
to obtain approval for sale of imidapril in Europe as a basis for our regulatory
filings with the FDA for approval to sell imidapril in the United States.
ProSorb-D. ProSorb-D is a softgel capsule that combines diclofenac, a
proven pain medication, with our ProSorb rapid-absorption technology. We are
developing this product for the management of pain and have recently completed
Phase III clinical trials and plan to file a New Drug Application, or NDA,
following further discussions with the FDA.
6-Omeprazole. We acquired the exclusive U.S. rights to the ProMelt
technology in 2001 from Tanabe Seiyaku Co. Ltd. We are using this technology
with an isomer of omeprazole patented by us to develop a convenient
quick-dissolving tablet for the treatment of ulcers, heartburn and symptoms
associated with gastroesophageal reflux disease. The ProMelt technology allows
specially coated fine particles of omeprazole in a tablet dosage form to rapidly
disintegrate in the mouth. Our patented isomer of omeprazole is potentially more
stable than existing omeprazole products.
Fexofenadine/pseudoephedrine. Using our ProSLO II technology licensed from
Osmotica Corporation, we are developing a product that combines an immediate
release of fexofenadine with a controlled release of pseudoephedrine. This new
product will only require one dose per day as opposed to the currently approved
product, which requires two doses per day. The currently approved product is
indicated for the relief of symptoms associated with seasonal allergic rhinitis
in adults and children age 12 and older.
We have completed the scale-up of the manufacturing process at our
client's manufacturing facilities. Pivotal batches of this product were placed
on stability studies in the fourth quarter of 2002 and a pivotal bioequivalence
study was begun. The pivotal batches will also be used for a clinical study
comparing the pharmacokinetic effect of this product with fed and fasted
persons. We do not believe that the FDA will require any additional clinical
trials.
We have licensed the rights to this fexofenadine/pseudoephedrine product
to a client for milestones and royalty payments. The latest milestone payment
was received in the fourth quarter of 2002.
Other Product Candidates. In addition to the specifically identified
products named above, we have targeted and will target additional products to
develop. As we continue our product development activities and evaluate our
interim results and other information, we may decide to change the scope and
direction of any of our development programs and projects and we may change how
we allocate our research and development spending to pursue more promising
product candidates. Moreover, we may not be able to successfully develop,
commercialize or license any of the products discussed in this Form 10-K.
AAI International - Our Development Services Business
AAI International offers a comprehensive range of pharmaceutical product
development services to our customers on a worldwide basis. These services
include formulation development, analytical, microbiological, bioanalytical and
stability testing services, production scale-up, biotechnology analysis and
synthesis, human clinical trials, regulatory consulting, and manufacturing.
These services generally are provided on a fee-for-service basis. Net revenues
for AAI International were $82.4 million in 2002.
Prior to our transition to a specialty pharmaceutical company, this
development services business was the core of our operations. AAI International
provides its services, both individually and in an integrated fashion, to:
• our customers, to help them develop, control, and improve their drug
products;
• our Pharmaceuticals Division, to manufacture and improve its acquired drug
products; and
• our Research and Development Division, to assist in its development of drugs
and drug-delivery technologies and product life cycle management activities.
Since our founding in 1979, we have contributed to the submission,
approval or continued marketing of many client products, encompassing a wide
range of therapeutic categories and technologies. We believe that
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our ability to offer an extensive portfolio of high quality drug development and
support services enables us to effectively compete as pharmaceutical and
biotechnology companies look for a mixture of standalone and integrated drug
development solutions that offer cost-effective results on an accelerated basis.
We have a strong base of resources, expertise and ideas that allows us to
develop and improve drug products and carry out product life cycle management
activities both for our customers and ourselves. Our expertise covers many
therapeutic categories and types of pharmaceutical products. We are enhancing
our expertise in the key therapeutic areas of pain management, critical care,
and gastrointestinal products.
We focus on our customers' individual needs when marketing our services,
often placing our technical personnel with our clients' development teams to
participate in planning meetings for the development or improvement of a
product. We assign our sales and technical personnel as contacts for our larger
clients, understanding that technical personnel may be better able to identify
the full scope of our client's needs and suggest innovative approaches.
Additionally, we host several technical seminars each year to help our customers
stay abreast of the latest developments in their industries.
Our organization has a long history of focus on the needs of our clients.
In order to further enhance our ability to meet the needs of our clients,
fulfill our mandate to provide the highest level of quality, and improve our
operating efficiency, we have dedicated resources to "Operation Excellence," our
internal continuous process improvement effort. This commitment has already paid
benefits to us by providing a focal point for improvement initiatives throughout
our AAI International operations.
Our third-party product development contracts typically provide for
upfront fees and milestone payments. The commercialization of the products on
which AAI International works is the responsibility of our client. We typically
provide signed service estimates estimating fees for specified services. During
our performance of a project, clients often adjust the scope of services to be
provided by us, at which time the amount of fees is adjusted accordingly.
Generally, AAI International's fee-for-service contracts are terminable by the
client upon notice of 30 days or less. Although the contracts typically permit
payment of certain fees for winding down a project, the loss of a large contract
or the loss of multiple contracts could adversely affect our future revenue and
profitability in our development services business. Contracts may be terminated
for a variety of reasons, including the client's decision to stop a particular
study, the failure of product prototypes to satisfy safety requirements, and
unexpected or undesired results of product testing.
AAI International's core services are organized internally along
pharmaceutical, analytical, biopharmaceutical, clinical and regulatory affairs
lines to mirror the movement of pharmaceutical products through the drug
development pipeline.
Pharmaceutical Services
AAI International provides a variety of pharmaceutical services to its
customers, including drug formulation development, niche manufacturing, and
storage and distribution of clinical trial supplies. The services are organized
to help clients from the pre-clinical to post-marketing stages.
Formulation Development Services. AAI International provides integrated
formulation development services for its customers' pharmaceutical products, by
which it takes a compound and works to develop a safe and stable product with
desired characteristics. AAI International provides formulation development
services during each phase of the drug development process, from new compounds
to modifications of existing products. AAI International's formulation
development projects may support a small segment of critical development
activities for a short duration or may last for several years, ranging from
early formulation development to a validated, production-scale, commercial
product.
In addition to new drug development, AAI International's formulations team
provides product modification and line extension services to clients through
product life cycle management contracts we enter into, generally for marketed
products facing patent expiration or that can benefit from formulation
improvements. Modifications of existing products offer clients an opportunity to
improve product characteristics, increasing product market viability. Improved
product characteristics include enhancement of stability, absorption profiles
(e.g., quick, controlled or sustained release), taste, and appearance. Product
line
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extensions may include new dosage forms, such as solids, liquids and chewables,
as well as new dosage strengths. Product modifications and line extensions offer
clients the opportunity to target new patient populations and improve patient
acceptance of the product. AAI International's product optimization services
also cover investigation of impurities, contaminants and degradation, the
updating of mature products to meet current regulatory standards and laboratory
validation services.
Manufacture of Clinical Trial Supplies. AAI International manufactures
clinical trials materials for Phase I through IV drug-product clinical trials.
It has expertise in manufacturing tablets, capsules, sachets, liquids and
suspensions, creams, gels, lotions and ointments. Outsourcing of clinical supply
manufacturing is particularly attractive to pharmaceutical companies that
maintain large, commercial-quantity, batch facilities, where clinical supply
manufacturing would divert resources from revenue-producing manufacturing. AAI
International has a dedicated 25,000 square foot facility in Wilmington, North
Carolina and another facility in Neu-Ulm, Germany to distribute and track
clinical trial materials used in clinical studies, with the capacity for
controlled substance storage and handling. In addition, AAI International
provides its clients with assistance in scaling up production of clinical supply
quantities to commercial quantity manufacturing.
Analytical Services
AAI International provides a wide variety of analytical services, as well
as services pertaining to method development and validation, drug product and
active pharmaceutical ingredient characterization and control, microbiological
support, stability storage and studies, and technical support and problem
solving with respect to pharmaceuticals. In support of the drug development and
compliance programs of its customers, AAI International offers laboratory
services to characterize and measure drug components and impurities. We have
more than two decades of experience in providing analytical testing services
dedicated exclusively to the drug industry and have developed the scientific
expertise, technologically advanced equipment, and broad range of scientific
methods to accurately and quickly analyze almost any compound or product. Our
analytical services include:
• Method development and validation;
• Product characterization;
• Raw materials and product release testing; and,
• Stability studies.
Biopharmaceutical Services
AAI International integrates a Phase I clinical study capability with
strong bioanalytical and biotechnology expertise to provide biopharmaceutical
services to its customers. The analysis of drugs, metabolites and endogenous
compounds in biological samples is a core service of AAI International. Our
biopharmaceutical services include:
• Phase I clinical services from our 60-bed Phase I clinical trial facility
located in Research Triangle Park, North Carolina, and a 76-bed facility in
Neu-Ulm, Germany;
• Microbiological testing;
• Bioanalytical testing; and
• Biotechnology analysis and synthesis.
Phase I to IV Clinical Services
AAI International provides a broad range of Phase I through IV clinical
services to customers in the pharmaceutical, biotechnology and medical device
industries for assistance in the drug development and regulatory approval
process in North America. The clinical services include clinical trial
management and monitoring, site selection, medical affairs (including safety
surveillance and serious adverse event management), data management and
statistics.
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Regulatory and Other Consulting Services
AAI International provides consulting services with respect to regulatory
affairs, quality compliance, and process validations. It assists in the
preparation of regulatory submissions for drugs, devices and biologics, audits a
client's vendors and client operations, conducts seminars, provides training
courses, and advises clients on applicable regulatory requirements. AAI
International also assists clients in designing development programs for new or
existing drugs intended to be marketed in the United States and Europe.
aaiPharma - Our Strategy
We believe that our ability to apply our scientific expertise to develop
new and improved products and product line extensions, to leverage our marketing
and promotion organization and our strong relationships with many large
pharmaceutical companies and to identify and acquire branded pharmaceutical
products, positions our company for continued growth. Specifically, we intend to
pursue the following growth strategies:
• Enhance sales of our acquired products through focused marketing and
promotion;
• Strengthen brands of our acquired products through product life cycle
management;
• Launch internally developed branded products; and
• Seek attractive acquisition opportunities.
Information Technology
We have made significant investments in information technology. Our
customized data management system connects analytical instruments with multiple
software architectures permitting automated data capture. We believe that
information technology will enable us to expedite the development process by
designing innovative services for individual client needs, providing project
execution, monitoring and control capabilities that exceed a client's internal
capabilities, streamlining and enhancing data presentation to the FDA and
enhancing our own internal operational productivity while maintaining quality.
We continue to upgrade and expand our enterprise wide financial and
operational integrated management information system, which includes significant
systems licensed from SAP. Initial financial components became operational at
year-end 1998, other operational management systems followed in 1999 and 2000,
and we continue the implementation of these systems company-wide.
Customers
Historically, our primary customers have been large and small
pharmaceutical and biotechnology companies serviced by the Research and
Development Division and AAI International. Recently, our largest customers have
been large medical wholesalers and distributors of our pharmaceutical products
sold into the marketplace.
Significant research and development projects have a defined cycle, and
accordingly, the composition of our customer group in the AAI International and
Research and Development Division areas of our business changes from year to
year. In addition, because of the project nature of engagements in these
segments of our business, we may have a concentration of business among some
large customers in one period that we would not expect to continue into
subsequent periods. We have experienced concentration in these areas of our
business in the past, and we do not believe that this is unusual for companies
in the same markets as the Research and Development Division and AAI
International.
The Pharmaceuticals Division's customers are primarily large
well-established medical wholesalers and distributors. Cardinal Health, Inc.,
AmerisourceBergen Corporation and McKesson Corporation accounted for
approximately 19%, 18% and 12% of our consolidated net revenues, respectively.
We do not believe that revenues from any large pharmaceutical company or other
customer of the Research and Development Division or AAI International is likely
to exceed 10% of our consolidated net revenues in future years.
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Backlog
Backlog consists of anticipated net revenues from signed fee-for-service
contracts for which services have not been completed. Once contracted work
begins, net revenues are recognized as the service is performed. Backlog does
not include anticipated net revenues for work performed for internal clients or
for any variable-priced contracts. In addition, during the course of a project,
the client may substantially adjust the requested scope of services and
corresponding adjustments are made to the price of services under the contract.
We believe that our backlog as of any date is not a meaningful predictor
of future results for much of our business due to rapid signing and completion
of many of our contracts. Additionally, the backlog can be affected by a number
of factors, including variable size and duration of contracts and adjustments in
the scope of a contracted project as interim results become available. At
December 31, 2002 and 2001, backlog was approximately $57 million and $66
million, respectively. Of the 2002 amount, we do not expect to fill
approximately $12 million by December 31, 2003.
Competition
We compete with companies and organizations in multiple segments of the
pharmaceutical industry. The branded drug products of our Pharmaceuticals
Division are subject to competition from the branded and generic products of
other pharmaceutical companies, ranging from other small specialty
pharmaceutical companies to the large pharmaceutical companies who are among the
customers of the development services business of AAI International.
The main competition for M.V.I.-12 is Infuvite Adult, which is marketed by
Baxter Healthcare Corporation. The main competition of M.V.I. Pediatric is
Infuvite Pediatric, which also is marketed by Baxter Healthcare Corporation.
Aquasol A is the only injectable Vitamin A product on the market. Aquasol E
competes with various other vitamin E products.
The main competition of calcitriol is Calcijex and Zemplar, marketed by
Abbott Laboratories. Other competitors include Hectorol, marketed by Bone Care
International, Inc.; a generic calcitriol product in ampoule form, approved but
not yet marketed by American Pharmaceutical Partners, Inc.; and, following the
180-day regulatory exclusivity period that is triggered by the commercial sales
of calcitriol by us, certain additional generic suppliers of calcitriol
products. Calcitriol has been approved by the FDA as a generic substitute for
Calcijex, although our calcitriol product will be packaged in a vial, rather
than an ampoule, form. We believe the vial format will be more attractive to
medical professionals than competing products in ampoule form, due to safety and
convenience reasons.
Brethine competes in the market for the treatment of asthma and related
bronchial ailments, which is a market led by Volmax, Proventil, and branded and
generic forms of albuterol sulfate.
Darvon and Darvocet compete primarily in the broad pain management market,
especially with products indicated for the management of mild-to-moderate pain.
Competitive products indicated for the management of mild-to-moderate pain
include Ultram and other non-steroidal anti-inflammatory drugs such as
ibuprofen. Additionally, major promotional efforts in the U.S. pain management
market today involve a relatively new class of drugs, the cyclo-oxygenase 2, or
the COX-2, enzyme inhibitors. They are designed to work as effectively as Darvon
and Darvocet and NSAIDs, but without side effects such as ulcers and
gastrointestinal bleeding. These new COX-2 inhibitors are more selective than
traditional NSAIDS. The non-selective inhibition of both COX-1 and COX-2 enzymes
in other NSAIDs is responsible for the toxicities and side effects. However, the
existence of actual improvement in gastrointestinal side effects of COX-2
inhibitors over diclofenac-based products is presently unclear, with the FDA
noting in June 2002, after review of a large clinical study of a major COX-2
inhibitor product, that the COX-2 inhibitor product did not show a safety
advantage in upper gastrointestinal events in comparison to either ibuprofen or
diclofenac.
The Darvon and Darvocet product lines no longer have patent exclusivity.
While precise data on generic substitution for these products is not available,
we believe a vast majority of the prescriptions written for Darvon and Darvocet
are filled with generic products. These generic substitutes are sold at
significantly lower
15
prices, without the research, development and approval costs associated with the
branded Darvon and Darvocet products. Two of the world's largest manufacturers
of generic products, Teva Pharmaceutical Industries Ltd. and Mylan Laboratories
Inc., sell propoxyphene generic substitutes to Darvon and Darvocet.
Sellers of generic products typically do not bear the related research and
development costs associated with branded products and, thus, are able to offer
their products at considerably lower prices. There are, however, a number of
factors that enable branded products to remain profitable once patent protection
has ceased. These include the establishment of a strong brand image with the
prescriber or the consumer, supported by the development of improved products
and line extensions to differentiate the branded products from the generic
competition.
Our AAI International and Research and Development Divisions compete
primarily with in-house research, development, quality control, and other
support service departments of pharmaceutical and biotechnology companies, as
well as university research laboratories and other contract research
organizations. In addition, we believe that although there are numerous
fee-for-service competitors in our industry, there are few competitors that
offer the depth or breadth of scientific capabilities that we provide. Some of
our competitors, however, may have significantly greater resources than we do.
Competitive factors generally include reliability, turn-around time, reputation
for innovative and quality science, capacity to perform numerous required
services, financial viability, and price. We believe that we compete favorably
in each of these areas.
Government Regulation
The services that we perform and the pharmaceutical products that we
develop and manufacture are subject to various rigorous regulatory requirements
designed to ensure the safety, effectiveness, quality and integrity of
pharmaceutical products, primarily under the Federal Food, Drug, and Cosmetic
Act, including current Good Manufacturing Practice regulations. These
regulations are commonly referred to as the cGMP regulations and are
administered by the FDA in accordance with current industry standards. Our
services and development efforts performed outside the U.S. and products
intended to be sold outside the U.S. are also subject to additional foreign
regulatory requirements and government agencies.
U.S. laws and federal regulations apply to all phases of investigational
and commercial development (i.e. manufacturing, testing, promotion and
distribution of drugs, including with respect to our personnel, record keeping,
facilities, equipment, control of materials, processes, laboratories, packaging,
labeling, storage and advertising.) If we fail to comply with these laws and
regulations, our drugs, drug improvements, and product line extensions will not
be approved by the FDA or will be withdrawn from the market and the data we
collect may be out of specification and not acceptable to the FDA requirements,
which may result in not being permitted to market our products. Additionally, we
could be subject to significant monetary fines, recalls and seizures of
products, closing of our facilities, revocation of drug approvals previously
granted to us, and criminal prosecution. Any of these regulatory actions could
materially and adversely affect our business, financial condition and results of
operations.
To help assure our compliance with applicable laws and regulations, we
have quality assurance controls in place at our facilities and we use FDA
regulations and guidelines, as well as applicable international standards, as a
basis for our quality policies and standard operating procedures. We regularly
audit test data, inspect our facilities and revise our standard operating
procedures to meet current cGMPs in preparation for routine and periodic FDA
inspections. A system for monitoring product-related complaints for all of our
commercial products has been established.
The balance of adhering to FDA compliance while bringing products to
market requires us to continuously improve our operating standards in order to
reduce the possible risk of additional FDA actions. In the event of any such
action of a material nature, the resulting restrictions on our business could
materially and adversely affect our business, financial condition and operating
results.
All of our drugs, investigational and commercial, must be manufactured in
conformity with International Conference on Harmonization, or ICH, guidances,
cGMP regulations and FDA guidances and guidelines.
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Drug products subject to an approved FDA-application must be manufactured,
processed, packaged, held and labeled in accordance with information contained
in the application. Modifications, enhancements or changes in manufacturing
sites of approved products are in many cases subject to additional FDA
inspections and supplemental approvals to the existing application. The
circumstances requiring inspections and supplemental filings may require a
lengthy application process. Our facilities, including the facilities used in
our development services business, and those of our third-party manufacturers
are periodically subject to inspection by the FDA and other governmental
agencies. If such inspections prove unsatisfactory, the operations at these
facilities could be interrupted or halted for lengthy periods of time.
Failure to comply with FDA or other governmental regulations can result at
first in warning letters. If those warning letters are not adequately addressed,
further actions may lead to fines, unanticipated compliance expenditures, recall
or seizure of products or total or partial suspension of production or
distribution. For drugs under FDA review, failure to be compliant at
manufacturing facilities could stop the FDA's review of our drug approval
application that could, in certain circumstances, extend to the termination of
ongoing research, disqualification of data for submission to regulatory
authorities, enforcement actions, injunctions and criminal prosecution. Under
certain circumstances, the FDA also has the authority to revoke previously
granted drug approvals. Although we have instituted internal compliance programs
that consistently comply with cGMPs through strong training and corporate
quality oversight, we are cognizant that if these programs do not meet
regulatory agency standards or if compliance is deemed deficient in any
significant way, it could have a material adverse effect on us, our third party
manufacturers and our vendors. Most of our vendors are subject to similar
regulations and periodic inspections.
Some of our development and testing activities, including the manufacture,
development and testing of the Darvon and Darvocet products, are subject to the
Controlled Substances Act, administered by the Drug Enforcement Administration,
or the DEA, which strictly regulates all narcotic and habit-forming substances.
We maintain separate, restricted-access facilities and heightened control
procedures for projects involving such substances due to the level of security
and other controls required by the DEA.
Our business also involves the controlled storage, use and disposal of
hazardous materials and biological hazardous materials. We are subject to
numerous federal, state, local and foreign environmental regulations governing
the use, storage, handling and disposal of these materials. Although we believe
that our safety procedures for handling and disposing of these hazardous
materials comply in all material respects with the standards prescribed by law
and regulation in each of our locations, the risk of accidental contamination or
injury from hazardous materials cannot be completely eliminated. We maintain
liability insurance for some environmental risks that our management believes to
be appropriate and in accordance with industry practice. However, we may not be
able to maintain this insurance in the future on acceptable terms. In the event
of an accident, we could be held liable for damages that are in excess or
outside of the scope of our insurance coverage or that deplete all or a
significant portion of our resources.
We are also governed by federal, state and local laws of general
applicability, such as laws regulating intellectual property, including patents
and trademarks, working conditions, equal employment opportunity, and
environmental protection.
In connection with our activities outside the U.S., we also are subject to
foreign regulatory requirements governing the testing, approval, manufacture,
labeling, marketing and sale of pharmaceutical products, which requirements vary
from country to country. Whether or not FDA approval has been obtained for a
product, approval by comparable regulatory authorities of foreign countries must
be obtained prior to marketing the product in those countries. For example, some
of our foreign operations are subject to regulations by the European Medicines
Evaluations Agency and the U.K. Medicines Control Agency. The approval process
may be more or less rigorous from country to country, and the time required for
approval may be longer or shorter than that required in the U.S., therefore
pharmaceutical product approval and policies for pricing required for marketing
will vary from country to country due to different regulations and policies
required by each.
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The Drug Development Regulatory Process
New Drug Approval Process. FDA approval is required before any new drug
can be marketed and sold in the U.S. This approval is obtained through the new
drug application, or NDA, process, which involves the submission to the FDA of
complete pre-clinical data about new compounds and their characteristics and
then clinical data obtained from studies in humans showing the safety and
effectiveness of the drug for the proposed therapeutic use.
Before introducing a new drug into humans, stringent government
requirements for pre-clinical data must be satisfied. The pre-clinical data is
obtained from laboratory studies, and tests performed on animals, which are
submitted to the FDA in an investigational new drug application, or an IND. The
pre-clinical data must provide an adequate basis for evaluating both the safety
and the scientific rationale for the initiation of clinical trials of the new
drug in humans. Pursuant to the IND, the new drug is tested in humans for
safety, adverse effects, dosage, tolerance absorption, metabolism, excretion and
other elements of clinical pharmacology, and for effectiveness for the proposed
therapeutic use.
Clinical trials are conducted in three sequential phases (i.e., Phase I,
Phase II, and Phase III). The clinical development plan, or the process of
completing clinical trials during the investigational period, for a new drug may
take several years and require the expenditure of substantial operational and
financial resources. Phase I clinical trials frequently begin with the initial
introduction of the investigational drug product into healthy humans and test
primarily for safety. Phase II clinical trials typically involve a small sample
of the intended patient population to assess the efficacy of the investigational
drug product for a specific indication, to determine dose tolerance and the
optimal dose range and to gather additional information relating to safety and
potential adverse effects. Phase III clinical trials are studies with a
statistically qualified larger study population that compares the active drug
product against a placebo. These studies, conducted in a randomized group where
the drug and placebo are blinded from the patient, further evaluate clinical
safety and efficacy at different study sites to determine the overall
risk-benefit ratio of the drug and provide an adequate basis for product
labeling
Each clinical trial is conducted in accordance with rules, or protocols,
that are developed to detail the objectives of the study, including methods to
monitor safety and efficacy and the precise criteria to be evaluated. These
protocols 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.
Once sufficient data have been developed pursuant to the IND, the NDA is
submitted to the FDA to request approval to market the new drug. Preparing an
NDA involves substantial data collection, verification and analysis, and
expense, and there is no assurance that FDA approval of an NDA can be obtained
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 might not approve an NDA if the regulatory criteria are not
satisfied or, alternatively, may require additional studies to enhance the
overall risk-benefit ratio prior to an approval action.
Referencing and Relying on New Drug Applications. With respect to the
branded pharmaceutical products (i.e., Darvon and Darvocet) that we acquire, we
are often able to reference the original NDA that we acquired along with the
marketing rights to the products. As a result, when improving these products or
developing product line extensions, we are permitted to file a supplemental NDA,
or a new drug application known as a 505(b)(2) NDA, that directly cross
references all of the data in the original application. This provision in the
Food, Drug and Cosmetic Act allows us to shorten our development process for
improvements and line extensions. For example, we may be able to reduce the
number of clinical trials in a clinical development plan with less extensive,
less time-consuming, and less costly Phase II and Phase III testing, with
respect to any new products that we may select to develop.
Similarly, a 505(b)(2) application allows us to cross reference NDAs, or
information therein, that we do not own and are not authorized to reference
directly. The 505(b)(2) NDA may, in certain cases, permit us to meet NDA
approval requirements with less original scientific data than would normally be
required, and may
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allow us to begin drug development in a later phase, so as to reduce the time
and expense involved in any particular phase, for any new products we select to
develop. Applications under 505(b)(2) are subject to certain patent and
non-patent exclusivity rights applicable to the NDAs on which they rely, if such
rights remain in effect when such applications are submitted. If we are unable
to proceed with anticipated 505(b)(2) applications for several of the products
that we are developing, our FDA approval costs will increase.
Abbreviated New Drug Application Process for Generic Products. A generic
drug contains the same active ingredient as a specified brand name drug and
usually can be substituted for the brand name drug by the pharmacist. FDA
approval is required before a generic drug can be marketed. Approval of a
generic drug is obtained through the filing of an abbreviated new drug
application, or an ANDA, under section 505(j) of the Food, Drug and Cosmetic
Act. Submission and approval of an ANDA is subject to certain patent and
non-patent exclusivity rights applicable to the brand name drug, if such rights
remain in effect when the ANDA is submitted. When processing an ANDA, the FDA
waives the requirement of conducting full clinical studies provided that the
drug is proven bioequivalent to the innovator's drug (i.e., the applicant of the
NDA) in a Phase I study conducted in a small number of healthy volunteers.
Bioavailability relates to the rate and extent of absorption and levels of
concentration of a drug active ingredient in the blood stream needed to produce
a therapeutic effect. Bioequivalence compares the bioavailability of one drug
with another that contains the same active ingredient, and when established,
indicates that the rate and extent of absorption and levels of concentration of
a generic drug in the body are the same as the previously approved brand name
drug. An ANDA may be submitted for a drug on the basis that it is the equivalent
to a previously approved drug or, in the case of a new dosage form or other
close variant, is suitable for use under the conditions specified.
The timing of final FDA approval of ANDAs depends on a variety of factors,
including whether the applicant challenges any listed patents for the brand name
drug and whether the brand-name manufacturer is entitled to one or more
non-patent statutory exclusivity periods, during which the FDA is prohibited
from accepting or approving applications for generic drugs.
Under section 505(j), the FDA may 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 FDA is required not to
accept or review ANDAs for a period of up to three years from a company or an
individual that has committed certain violations. The FDA may temporarily deny
approval of ANDAs during the investigation of certain violations that could lead
to debarment and also, in more limited circumstances, suspend the marketing of
approved generic drugs by the affected company. The FDA also may impose civil
penalties and withdraw previously approved ANDAs. Neither we nor any of our
employees have ever been the subject of debarment procedures.
Manufacturing Requirements. Before approving a drug, the FDA also requires
that our procedures and operations conform to cGMP regulations, ICH guidances
and manufacturing guidelines and guidances published by FDA. We must closely be
in compliance with all of the regulatory and quality regulations at all times
during the manufacture of our products. To help insure compliance with the
regulatory and quality regulations, we must continue to spend time, money and
effort in the areas of production and quality control to ensure full technical
compliance. If the FDA believes a company is not in compliance with its
regulations, it may withhold new drug approvals, as well as approvals for
supplemental changes to existing approvals, preventing the company from
exporting its products. It may also classify the company as an unacceptable
supplier, thereby disqualifying the company from selling products to federal
agencies. We believe we are currently in compliance with the cGMP regulations.
Post-approval Requirements. After initial FDA approval for the marketing
of a drug has been obtained, further studies, including Phase IV studies,
typically regarded as post-marketing studies, may be required to provide
additional data on safety or effectiveness. Also, the FDA may 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 drug.
Further, if there are any modifications to the drug, including changes in
indication, manufacturing process, or manufacturing facility, a supplemental
application seeking approval of the modifications must be submitted to the FDA
or other regulatory authority. Prospectively, the FDA
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regulates our post-approval promotional labeling and advertising activities to
assure that such activities are being conducted in conformity with statutory and
regulatory requirements.
Health Care Fraud and Abuse Laws
Federal and state health care fraud and abuse laws have been applied to
restrict certain marketing practices in the pharmaceutical industry in recent
years. These laws include antikickback statutes and false claims statutes. The
federal health care program antikickback statute makes it illegal for anyone to
knowingly and willfully make or receive "kickbacks" in return for any health
care item or service reimbursed under any federally financed healthcare program.
This statute applies to arrangements between pharmaceutical companies and the
persons to whom they market, promote, sell and distribute their products. In
August 1994, the Office of the Inspector General of the Department of Health and
Human Services issued a "Special Fraud Alert" describing pharmaceutical
companies' activities that may violate the statute. There are a number of
exemptions and safe harbors protecting certain common marketing activities from
prosecution. These include exemptions or safe harbors for product discounts,
payments to employees, personal services contracts, warranties, and
administrative fees paid to group purchasing organizations. These exemptions and
safe harbors, however, are drawn narrowly.
Federal false claims laws prohibit any person from knowingly making a
false claim to the federal government for payment. Recently, several
pharmaceutical companies have been investigated or prosecuted under these laws,
even though they did not submit claims to government healthcare programs. The
prosecutors alleged that they were inflating drug prices they report to pricing
services, which are in turn used by the government to set Medicare and Medicaid
reimbursement rates. Pharmaceutical companies also have been prosecuted under
these laws for allegedly providing free products to customers with the
expectation that the customers would seek reimbursement under federal programs
for the products.
Additionally, the majority of states have laws similar to the federal
antikickback law and false claims laws. Sanctions under these federal and state
laws include monetary penalties, exclusion from reimbursement for products under
government programs, criminal fines and imprisonment.
We have internal policies and practices requiring and detailing compliance
with the health care fraud and abuse laws and false claims laws. Because of the
breadth of these laws and the narrowness of the safe harbors, however, it is
possible that some of our business practices could be subject to challenge under
one or more of these laws, which could have a material adverse effect on our
business, financial condition and results of operations.
Employees
At December 31, 2002, we had approximately 1,160 full-time equivalent
employees, of which 82 hold Ph.D. or M.D. degrees, or the foreign equivalent. We
believe that our relations with our employees are good. None of our employees in
the U.S. are represented by a union. German and French laws provide certain
representative rights to our employees in those jurisdictions.
Our continued performance depends on our ability to attract and retain
qualified professional, scientific and technical staff. The level of competition
among employers for these skilled personnel is high. We believe that our
employee benefit plans enhance employee morale, professional commitment and work
productivity and provide an incentive for employees to remain with aaiPharma. We
have experienced difficulty in attracting and retaining qualified staff for
certain positions in our Phase II and III operations, where high turnover is an
industry-wide problem. It is possible that as competition for these skilled
employees increases at our other locations, we could experience similar problems
there as well.
Intellectual Property
Our ability to successfully commercialize new branded products or
technologies is significantly enhanced by our ability to secure strong
intellectual property rights - generally patents - covering these products and
technologies and to avoid infringement of valid third-party patents. We intend
to seek patent protection in the
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United States and selected foreign countries and to vigorously prosecute patent
infringements, as we deem appropriate. We currently own 29 patents issued by the
U.S. Patent and Trademark Office, and we currently have 17 patent applications
filed and pending with the Patent and Trademark Office. Additionally, we have
assigned or transferred an additional six of our patents to third parties for
value.
Our patents cover proprietary processes and techniques, or formulation
technologies, that may be applied to both new and existing products and chemical
compounds. Our patents also cover new chemical entities or compounds,
pharmaceutical formulations, and methods of using certain compounds. We also
seek to patent discoveries of new structures of known compounds, new physical
and chemical characteristics of known compounds, and previously unknown
compounds.
We have two exclusive licenses in the U.S. and some other countries to use
the patents, patent applications, and know-how associated with four
pharmaceutical formulation technologies for mutually acceptable drug candidates.
The ProSLO and ProSLO II technologies are licensed from Osmotica Corporation.
The other three technologies, ProLonic, ProMelt and ProSpher are licensed from
Tanabe Seiyaku. Like our own formulation technologies mentioned above, these
technologies may be used to develop mutually acceptable new drug products or
improve the physical characteristics of mutually acceptable existing products
and compounds.
In addition to our patents, we rely upon trade secrets and unpatented
proprietary know-how where we believe the public disclosures and limited patent
life associated with obtaining patent protection would not be in our best
strategic interest. We seek to protect these assets as permitted under state or
federal law and by requiring our employees, consultants, licensees, and other
companies to enter into confidentiality and nondisclosure agreements and, when
appropriate, assignment of invention agreements.
In the case of strategic partnerships or collaborative arrangements
requiring the sharing of data, our policy is to disclose to our partner only
such data as relevant to the partnership or arrangement during its term and so
long as our partner agrees to keep that data confidential.
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