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:
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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.
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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.
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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.
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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
Divisions 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 Crohns
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 Lillys 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 products 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 years 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 Lillys cost of raw materials
during that year. However, the purchase price for these products
will be no less than Eli Lillys 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:
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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.
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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.
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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.
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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
AstraZenecas 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
AstraZenecas 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 AstraZenecas 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 companys 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 products
effective market life. Our currently available technologies
include:
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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.
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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.
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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.
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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.
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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.
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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.
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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 Osmoticas 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. Tanabes
contribution consists of candidate compounds from its drug
discovery pipeline, while aaiPharmas contribution is its
extensive expertise in research, development and clinical trials
management with respect to new drug development. The joint
ventures revenue opportunities include: potential direct
marketing of drugs developed by the joint venture; potential
licensing opportunities for our
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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:
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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;
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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
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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.
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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 clients 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:
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our customers, to help them develop, control, and
improve their drug products;
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our Pharmaceuticals Division, to manufacture and
improve its acquired drug products; and
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our Research and Development Division, to assist
in its development of drugs and drug-delivery technologies and
product life cycle management activities.
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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 clients 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
Internationals 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
clients decision to stop a particular study, the failure
of product prototypes to satisfy safety requirements, and
unexpected or undesired results of product testing.
AAI Internationals 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 Internationals 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
Internationals 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 Internationals
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:
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Method development and validation;
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Product characterization;
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Raw materials and product release testing; and,
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Stability studies.
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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:
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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;
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Microbiological testing;
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Bioanalytical testing; and
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Biotechnology analysis and synthesis.
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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
clients 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:
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Enhance sales of our acquired products through
focused marketing and promotion;
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Strengthen brands of our acquired products
through product life cycle management;
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Launch internally developed branded products; and
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Seek attractive acquisition opportunities.
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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 clients 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 Divisions 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
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prices, without the research, development and
approval costs associated with the branded Darvon and Darvocet
products. Two of the worlds 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
FDAs 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 innovators 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
20
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.