Has the life sciences sector discovered a formula for growth Quarter 2 FY10 October–December 2009 What would you like to change? Published: March 2010 BioForum Edition 31 Sector puts the GFC behind it The Life Science Index ex majors continued its stellar performance in the second quarter, growing 16 per cent to 31 December 2009. Although this growth rate was half that of the previous quarter, the index ex majors continued to outperform the ASX All Ordinaries (up three per cent) and the NASDAQ Biotech Index (up 0.5 per cent). Two of the majors – Resmed (up 14.3 per cent) and Cochlear (up 3.5 per cent) – posted respectable gains but CSL’s lacklustre performance over the quarter held back the broader Life Science Index. This index grew just 1.6 per cent. The medical device index ex majors continued on its positive path with a gain of 29.2 per cent even though 44 per cent of the stocks experienced share price losses. The pharma/ biotech index ex majors grew 11 per cent. Over the past four quarters, the ex majors has gained 118 per cent and outperformed the All Ords by 85 percentage points. Its returns are now close to those achieved before the global financial crisis hit in late 2007. IPOs and secondary financing There was no Australian IPO activity in the December quarter. However, there were further signs that confidence is returning to the secondary finance market. A total of $201 million was raised, $121 million in the biotech/pharma sector and $80 million in the medical device sector. This continued the recent trend of raisings increasing each quarter. In contrast to the lack of activity in Australia, there were two US IPOs worth $294 million during the December quarter. The US market was again propelled by optimism with $4.13 billion raised through secondary financing. Total issues have doubled in recent quarters, resulting in a return to 2007 levels. VC interest promising As 2010 continues, signs point towards continued market support for biotechs. US venture capitalists have been investing more heavily in life science companies in recent quarters and there have been substantial secondary raisings both in the US and locally. Some of this growing US capital may well find its way into the local sector through M&A activity: there has been significant interest from overseas in recent quarters and many Australian companies still represent good value to US investors. Still, confidence is not uniform across the entire sector. Caution should be exercised as half the companies in the broader Life Science Index experienced share price losses during the quarter (mainly the smaller cap companies). Several companies exited the sector and IPOs have been delayed. The market is now, more than ever, ruthless in taking companies to task that don’t deliver on their promises. Feature articles This edition features four thought leadership articles. We hear from a patent attorney about the importance of patents in attracting capital and being competitive, as well as what to look for when selecting a patent attorney. A PwC publication discusses venture capitalists’ renewed interest in the pharmaceutical and life science sector in the United States. There is also an article from the PwC Pharma 2020 publication regarding the likelihood that pharmaceutical and life science companies will face a growing tax bill over the next decade. The last article featured illustrates how medical device companies can build business value through an effective compliance program. Craig Lawn PricewaterhouseCoopers Manoj Santiago PricewaterhouseCoopers Tony Gellert PricewaterhouseCoopers PricewaterhouseCoopers Australia Life Sciences and Innovation Practice contacts Australian Industry Leaders – Life Sciences Craig Lawn Phone: +617 3257 5672 Email: craig.s.lawn@au.pwc.com Manoj Santiago Phone: +612 8266 4494 Email: manoj.santiago@au.pwc.com Sydney Private Clients – Assurance Manoj Santiago Phone: +612 8266 4494 Email: manoj.santiago@au.pwc.com Private Clients – Transactions Kate Julius Phone: +612 8266 5835 Email: kate.julius@au.pwc.com Private Clients – Advisory Tony Gellert Phone: +612 8266 5776 Email: tony.gellert@au.pwc.com Corporate Finance Adrian Bunter Phone: +612 8266 5099 Email: adrian.bunter@au.pwc.com Private Clients – Tax & Accounting Craig McIlveen Phone: +612 8266 2261 Email: craig.mcilveen@au.pwc.com Private Clients – Tax Stephanie Fabian Phone: +612 4925 1278 Email: stephanie.fabian@au.pwc.com Pharmaceutical Industry Leader John Cannings Phone: +612 8266 6410 Email: john.cannings@pwclegal.com.au Financial Assurance Michelle Chiang Phone: +612 8266 7575 Email: michelle.chiang@au.pwc.com R&D Tax Sandra Mason Phone: +612 8266 0470 Email: sandra.mason@au.pwc.com Financial Assurance Ian Benham Phone: +612 8266 2409 Email: ian.benham@au.pwc.com Licensing and Forensic Accounting Cassandra Michie Phone: +612 8266 2774 Email: cassandra.michie@au.pwc.com Legal – Commercialisation & IP Megan Dyball Phone: +612 8266 6333 Email: megan.dyball@pwclegal.com.au Brisbane Melbourne Craig Lawn Phone: +617 3257 5672 Email: craig.s.lawn@au.pwc.com Nadia Carlin Phone: +613 8603 6616 Email: nadia.carlin@au.pwc.com Troy Morgan Phone: +617 3257 8934 Email: troy.morgan@au.pwc.com Sam Lobley Phone: +613 8603 3689 Email: sam.lobley@au.pwc.com Contents Contents Quarterly key findings 1 Feature articles 3 Market performance 21 Performance overview 22 Quarterly financing 24 Yearly financing 25 Top 10 performers 26 Bottom 10 performers 27 Announcements – Australia 29 Partnerships 30 Mergers, acquisitions and divestments 32 Clinical trials 33 Regulatory 35 Other news 37 Announcements – US 41 Partnerships 42 Mergers, acquisitions and divestments 43 Clinical trials 45 Regulatory 47 Appendix Companies in the PwC Life Sciences Index 53 54 Methodology 56 Acknowledgements 57 Quarterly key findings Quarterly key findings Market performance Total market cap of the life sciences industry at end of quarter Quarterly change in the life sciences industry Total market cap of the pharma/biotech sector at end of quarter Quarterly change in the pharma/biotech sector Total market cap of the medical device sector at end of quarter Quarterly change in the medical device sector Page number A$34,094m 22 1.6% 22 A$23,895 23 -2.2% 23 10,198 23 11.9% 23 Prima BioMed Limited 26 2,900% 26 Individual company performance Top individual performer Change in market cap over the last four quarters Bottom individual performer Change in market cap over the last four quarters Rockeby Biomed Limited 27 -80% 27 0 24 0 24 Financing Number of Australian life sciences companies that IPO’ed Total market cap injected into the Australian life sciences index through IPOs Number of US life sciences companies that IPO’ed Total capital raised in US life sciences IPOs Number of Australian life sciences companies that had secondary raisings Total capital raised in Australian life sciences in secondary raisings Number of US life sciences companies that had secondary raisings Total capital raised in US life sciences in secondary raisings 2 24 A$294m 24 51 24 A$201m 24 45 24 A$4,131m 24 30 Announcements Australian Total number of partnerships formed this quarter 39 Total number of mergers and acquisitions 16 32 Total announcements for clinical trials 30 33 Pre-clinical 4 33 Phase I 10 33 Phase II 8 33 Phase III 8 33 39 35 Total number of regulatory announcements US Total number of partnerships formed this quarter 10 42 Total number of mergers and acquisitions 42 43 Total announcements for clinical trials 30 45 Pre-clinical 2 45 Phase I 3 45 Phase II 6 45 Phase III 19 45 94 47 Total number of regulatory announcements BioForum: October – December 2009 | | PricewaterhouseCoopers Feature Feature articles articles Feature articles BioForum: October – December 2009 | Let’s be clear about patents Any technology-based business that wants to be competitive must protect its investment in innovation, writes patent and trademark attorney David Shoolman. To patent or not to patent? Most inventions, especially those in the life sciences arena, are the product of significant investment in time, money and ingenuity. It makes no commercial sense to allow others to have a free ride on such investment. Relying on trade secrets can sometimes provide sufficient protection for inventors. However, the technological basis of most inventions that are in the public domain can be discovered by reverse engineering or research using the disclosed invention as a springboard. Competitors are free to copy inventions that are not protected by patents. One thing a patent is not is a magic bullet. But it can be a very valuable asset to a business if used correctly. The very existence of some businesses is based on their patent protection. Some companies in competitive industries have extensive patent portfolios that provide a blanket of protection to tie up a large part of the technological space. This can give competing companies significant leverage to cross-license each other. Without patent protection, they might be bit players, or might not be able to compete at all. Others may have patent protection for a few strategic products or processes forming part of their operation, and this can give them an edge against their competitors. Yet others might have a single patent for a small but valuable aspect of a business that enables them to corner a niche market. Alternatively, a company might have a patent relating to a non-core part of its business that it might license to other companies for which that area is a core activity. A patenting strategy should ideally be considered as part of a company’s overall business plan, especially where a larger patent portfolio is involved. | PricewaterhouseCoopers A launching pad for start-ups “A patent or patent family can be the launching pad for a start-up firm,” the European Patent Office notes on its website www.epo.org in an article entitled “The economic importance of patents”. “Using their patents, small firms may be able to attract venture capital and assert their rights in front of larger companies.” The article continues: “Today, the number of high-quality patents – from the point of view of substance – held by a company increasingly defines its overall value. The stronger a company’s patent portfolio, the more it is worth on the stock market, and the higher the price a competitor must pay in the case of a takeover.” Start-ups in sectors such as biotechnology often have their roots in public research institutions, and licensing of an institution’s patent rights “funds the universities’ research and opens up new possibilities for innovation”. Indeed, as the life sciences are highly research-based, and in light of the potentially high values of the technologies worldwide, the patent system can be a useful ally to these industries. A patent gives an invention’s owner a monopoly (exclusive commercial rights to the invention) for a set time. In exchange, the inventor makes details of the invention public as part of the patent process. The life of a patent typically ends 20 years from the date the application is filed, and after that, the invention is part of the public domain, or free for all. This encourages innovation for the benefit of society as a whole. Using their patents, small firms may be able to attract venture capital and assert their rights in front of larger companies. For some businesses, especially those developing new products or processes, identifying and protecting innovation is a constant focus. However, for many businesses, innovation is incidental to their core operations. For example, a manufacturer might find an innovative solution to a problem that arises in the manufacturing process. However, such companies usually get caught up in day-today operations and overlook the fact that such solutions are potentially valuable. Companies should be aware of the possibility of protecting such innovations, as their competitors may be experiencing similar problems. On the other hand, even if a solution is innovative, careful thought should be given as to whether its innate value makes it worth protecting and warrants the cost of the patenting process. What to look for in a patent attorney The most important factor in selecting a patent attorney is whether they have the experience and technical capabilities to do the job. While qualifications may be an indication, clients should feel free to ask about an attorney’s experience. Drafting patent specifications is often considered something of an art form, as it requires properly identifying the crux of the invention, distinguishing this from what is already in the public domain, and putting it into the concise language used in patent specifications. This may involve a high degree of legalese but is often necessary due to legal requirements in most countries. Cost is an important consideration. The simple fact is that patent applications can be extremely costly. However, costs can be minimised and managed, and risks reduced. Some firms will offer fixed or capped costs for many aspects of the work and this can prevent unpleasant surprises. The key thing is transparency. One should not be afraid to ask for a clear breakdown of expected costs, including hourly charge-out rates for time-based matters. This applies to work to be done in the immediate future and also to work further down the road. The application process Patent applications can be complicated, with numerous options available. For example, there is the question of whether and when to conduct a search and which type of search may be appropriate. There are various options relating to the type of application to be filed and applications for patents in other countries. A patent attorney should outline and explain the available options, including the approximate costs, to allow the client to make an informed decision. Remember, the purpose of a patent is to add value to the business, and this value can be large. It is important to work closely with your patent attorney to make the most of your innovation. David Shoolman is the managing principal of Ascot Martin Patent & Trade Mark Attorneys. Attorneys should be proactive, and understand their client’s requirements and where the invention fits into their business. Most clients without experience of patents do not know what information their attorney needs to properly draft a patent specification. It is the attorney’s job to ask questions to elicit the required information. Many patents are not worth the paper they are written on as the attorney has not asked the right questions to properly understand the true nature of the invention. The purpose of a patent specification is not simply to describe the features of the invention, but to define in words the protection and monopoly being claimed. If your attorney is not able to explain in straightforward language that the claims are of the appropriate scope, this should give you cause for concern. BioForum: October – December 2009 | Feature articles Identifying inventions | PricewaterhouseCoopers Also driving investment in the sector, stepped-up acquisitions of smaller biotech, pharmaceutical, and medical device companies by more established ones and a promising opening in the IPO window have created new exit opportunities, Lefteroff observed. “Those opportunities, not as abundant in other sectors, appear to be encouraging venture capitalists to put more money to work in life sciences,” he said. Though still in decline, life sciences sector investment has outpaced overall venture capital funding since the third quarter of 2008 (Figure 1). For the full year 2009, life sciences sector funding totaled $6 billion in 715 deals. That figure came in lower than the $7.8 billion invested in 884 deals in 2008 and $9 billion in 899 deals in 2007. 1 0% -20% Life sciences funding 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 -60% 2008 Q3 -40% 2008 Q2 “Venture capitalists see real opportunity for growth within the sector. As the worldwide population ages and more people enter their years of greatest healthcare need, demand for new pharmaceuticals, diagnostics, and medical devices has the potential to go higher than we’ve ever seen,” Lefteroff continued. 20% 2008 Q1 “The life sciences sector continued to attract the lion’s share of funding, accounting for one-fourth of all deals in the fourth quarter of 2009,” said Tracy T. Lefteroff, global managing partner of the Venture Capital practice at PricewaterhouseCoopers LLP. Figure 1: Life sciences funding compared with total venture funding % change (Y/Y) Reflecting the relative strength of the sector during the economic downturn, life sciences captured the largest share of overall venture capital during 2009. The sector accounted for 34 percent of all venture dollars invested last year, compared with 28 percent in 2008. Total venture capital For all sectors, venture capitalists invested $17.7 billion in 2,795 deals in 2009, marking the lowest level of dollar investment since 1997. Venture investments in 2009 represented a 37 percent decrease in dollars and a 30 percent decrease in deal volume from 2008 and marked the second consecutive year of deal and dollar declines. Overall investments in the fourth quarter of 2009 totaled $5 billion in 794 deals, a 2 percent decline in dollars but a 15 percent increase in deals from the third quarter of 2009, when $5.1 billion went into 689 deals. Life sciences funding by year Compared with 2008, life sciences funding plunged 22 percent in 2009. Funding had already declined 14 percent in 2008 compared with 2007, the year that marked its historical high point (Figure 2). Sector deal activity also continued to decline in 2009, marking its lowest point in the past six years. Along with a lower number of deals, average deal size declined to $8.5 million in 2009, down from $8.8 million in 2008 and $10 million in 2007. The MoneyTree life sciences sector includes the biotechnology and medical device and equipment industries. Biotechnology is defined as “developers of technology promoting drug development, disease treatment, and a deeper understanding of living organisms; includes human, animal, and industrial biotechnology products and services. Also included are biosensors, biotechnology equipment, and pharmaceuticals.” Medical devices and equipment industries are defined as those that “manufacture and/or sell medical instruments and devices including medical diagnostic equipment (X-ray, CAT scan, MRI), medical therapeutic devices (drug delivery, surgical instruments, pacemakers, artificial organs), and other health-related products such as medical monitoring equipment, handicap aids, reading glasses, and contact lenses.” The MoneyTree life sciences sector covers the US market and all dollar figures included in the report are in US dollars. 1 PricewaterhouseCoopers LLP BioForum: October – December 2009 | Feature articles Venture capital funding for the life sciences1 sector, which includes the biotechnology and medical device industries, eked out a somewhat jagged recovery from the steep decline of 45 percent in the first quarter of 2009, according to findings from the MoneyTree™ Report by PricewaterhouseCoopers and the National Venture Capital Association (NVCA), based on data from Thomson Reuters. Figure 4: Life sciences deal volume 2007–2009 1,000 250 8 800 200 6 4 Number of deals 10 Number of deals Deal value ($ in billions) Figure 2: Life sciences funding and deal activity 2007–2009 600 400 2 200 0 0 150 100 50 0 2007 2008 2009 2007 2008 2009 Q1 2007 Q2 2008 Q3 Q4 2009 Life sciences funding by quarter Life sciences average deal size by quarter During the fourth quarter of 2009, venture capital investment in the life sciences sector regained upward movement after dropping almost $65 million in the third quarter. Sector funding grew from $1.1 billion in the first quarter of 2009 to approximately $1.7 billion in the fourth quarter, bringing it back to the same level as in the fourth quarter of 2008 (Figure 3). Average deal size increased in the last quarter of 2009, compared with the last quarter of 2008 as well as the third quarter of 2009. With the exception of the first quarter of 2007’s high point of $12 million, average deal size remained roughly consistent over the past three years (Figure 5). Figure 5: Life sciences average deal size 2007–2009 Figure 3: Life sciences funding trends 2007–2009 16 3.0 12 $ in millions $ in billions 2.5 2.0 1.5 4 1.0 0.5 0.0 8 0 Q1 2007 Q2 2008 Q3 Q4 2009 Life sciences deal volume by quarter Deal volume in the fourth quarter of 2009 (195 deals) remained lower compared with the same quarter of 2008 (202 deals). Volume improved sequentially, however, for the last three quarters of 2009. Life sciences deals accounted for one-fourth of all deals in the fourth quarter. Under recovery | PricewaterhouseCoopers Q1 2007 Q2 2008 Q3 Q4 2009 Funding for biotechnology and medical devices The life sciences sector’s investment split for 2009 remained consistent with the two previous years. Biotechnology captured 59 percent of sector investments during 2009, while medical devices claimed 41 percent (Figure 6). Similarly, biotechnology represented 56 percent of the split in 2008 and 58 percent in 2007. 2 Historically, the biotech human subsegment has received a majority of the biotechnology industry funding every quarter. For the last quarter of 2009, with $714 million in funding, the biotech human subsegment received almost as much funding as the whole medical device industry. Out of 108 biotechnology deals for the fourth quarter of 2009, 64 of those belonged to biotech human. Looking at 2009 as a whole, 244 of the 406 biotechnology deals belonged to biotech human. Figure 7: Biotechnology and medical devices funding trends 3.0 $ in billions 2.5 2.0 1.5 1.0 Biotechnology 3 Medical devices and equipment 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 2008 Q3 2008 Q2 2008 Q1 2007 Q4 2007 Q3 2007 Q2 0.0 2007 Q1 0.5 Figure 8: Life sciences funding by subsegment 2007–2009 2.0 1.5 1.0 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 0.0 2008 Q3 0.5 2008 Q2 On an annual basis, biotechnology funding declined from $5.3 billion in 2007 to $3.5 billion in 2009, while funding for medical devices plunged from $3.8 billion in 2007 to $2.5 billion in 2009. On a brighter note, biotechnology was the single largest investment sector for the year. For all of 2009, biotechnology completed 406 deals; and medical devices, 309. Investment in the biotech equipment subsegment demonstrated strong growth for the year, increasing by 67 percent to $206.5 million. 2008 Q1 For the fourth quarter of 2009, biotechnology ranked as the No. 1 industry sector for dollars invested and the only one receiving more than $1 billion. Software came in second at $959 million. Funding for the biotech human segment came in flat in the last quarter of 2009, compared with the same quarter of 2008 (Figure 8). An increase in deal size offset a small decline in deal activity. 2007 Q4 In the last quarter of 2009, biotechnology investments totaled $1 billion in 108 deals; whereas, $719 million went into 87 medical device and equipment deals. Biotechnology funding declined by 7 percent year over year, primarily because of a drop in deal activity. However, funding for medical devices increased by 14 percent compared with the same quarter in 2008. This increase reflected gains in both deal activity and deal size (Figure 7). 2007 Q3 Medical devices 2007 Q2 Biotech 2007 Q1 59% $ in billions 41% Biosensors Biotech Equip Biotech Research Biotech Animal Biotech Human Biotech Industrial Pharmaceutical Medical device funding by subsegment In the medical device industry, the medical therapeutics subsegment historically attracts the most funding every quarter. Medical therapeutics funding started to decrease, however, after the second quarter in 2009, falling from $455 million in that quarter to $439 million in the last quarter. Within the medical therapeutics subsegment, one category saw strong growth during 2009. Funding for surgical lasers jumped by 58 percent to $77.6 million. Surgical instrumentation and equipment also gained a small percentage, capturing $864.9 million for the year. PricewaterhouseCoopers LLP BioForum: October – December 2009 | Feature articles Biotechnology funding by subsegment Figure 6: Life sciences investment split 2009 Medical diagnostics recovered from $65 million in the second quarter of 2009 to $164 million in the last quarter. Medical and health products also recovered from the third quarter’s $34 million in funding to $116 million in the fourth quarter (Figure 9). Figure 10: Life sciences funding by stage 2007–2009 3.0 2.5 2.0 1.5 1.0 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 2008 Q3 2008 Q2 2008 Q1 2007 Q4 2007 Q3 Medical therapeutics Medical diagnostics Med/health products Life sciences funding by stage Life sciences funding trends show late-stage investment remaining under pressure and early-stage improving. “These trends illustrate that investors are upbeat on the sector’s possibilities for liquidity,” Lefteroff said. “Later-stage companies are finding other ways to generate cash, such as partnerships and licensing agreements with larger companies looking to expand their product pipelines,” he continued. “This takes the laterstage funding burden off venture capitalists. 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 2008 Q3 2008 Q2 2008 Q1 2007 Q4 2007 Q3 2007 Q2 0.0 2007 Q1 0.5 Early stage 2007 Q2 1.2 1.0 0.8 0.6 0.4 0.2 0.0 2007 Q1 $ in billions Figure 9: Medical devices and equipment funding by subsegment 2007–2009 Although each of the last quarters of 2008 and 2009 gained $1.7 billion in life sciences funding, early-stage dollars rose 56 percent in the last quarter of 2009 over the same quarter of 2008, while late-stage funding dropped 33 percent (Figure 10). $ in billions Although medical therapeutics decreased 4 percent compared with the fourth quarter of 2008, the other subsegments (medical and health products and medical diagnostics) grew by 118 percent and 35 percent, respectively—resulting in a growth of 14 percent for medical devices as a whole over the last quarter of 2008. Late stage Early-stage funding grew to $1 billion in the fourth quarter of 2009 from $649 million in the fourth quarter of 2008. Increases in both deal activity and deal size resulted in this rise in early-stage investment. Late-stage funding declined to $717 million in the fourth quarter of 2009, compared with $1 billion in the same quarter in 2008. Late-stage deal activity and deal size both declined in this period. Biotechnology funding by stage Biotechnology funding by stage shows a similar historical pattern as life sciences. For the last quarter of 2009, the largest share of biotech funding went to early-stage projects. During the fourth quarter of 2009, start-up/seed funding grew by 43 percent and early stage by 17 percent over the last quarter of 2008. In contrast, expansion stage declined by 49 percent; and later stage, by 17 percent. “The need for venture capital is greater for early-stage companies that don’t yet have an exit strategy. They need to funnel assets into the clinic to develop products that will make them attractive acquisitions or IPOs down the line,” Lefteroff explained. Under recovery 10 | PricewaterhouseCoopers 4 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 2008 Q3 100% Medical device funding by stage 80% Showing the same overall trends as life sciences and biotechnology, medical device investments experienced greater growth in early-stage funding. During the last quarter of 2009, start-up/seed funding climbed 194 percent; and early-stage, 143 percent over the same quarter of 2008. In contrast, both expansion and later-stage investments experienced a drop of approximately 35 percent over the same period (Figure 12). 60% Figure 12: Medical device funding by stage 2007–2009 $ in billions 1.0 0.8 0.6 0.4 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 2008 Q3 2008 Q2 2008 Q1 2007 Q4 2007 Q3 2007 Q2 2007 Q1 0.2 Early stage Late stage First-time funding compared with follow-on Recovering from a decrease suffered in the first three quarters of 2009, first-time funding improved in the last quarter to $275 million, representing 40 deals. First-time funding in the last quarter of 2009 showed a growth rate of 14 percent in comparison to the same period the year before. 5 Follow-on investment 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 2008 Q3 2008 Q2 2008 Q1 2007 Q4 0% 2007 Q3 20% Initial investment Regional funding trends The top five metropolitan regions receiving life sciences venture capital funding during 2009 were San Jose, Boston, San Diego Metro, San Francisco/Berkeley, and New York Metro. Over the past three years, San Jose ranked highest, with $4.9 billion. Boston came in second with $3.3 billion, San Diego third with $2.3 billion, and San Francisco and New York last with $1.7 billion and $1.4 billion, respectively. 1.2 0.0 40% 2007 Q2 2008 Q2 Late stage Figure 13: Life sciences follow-on compared with initial investments 2007–2009 2007 Q1 Early stage 2008 Q1 2007 Q4 2007 Q3 2007 Q2 On an annual basis, first-time funding dropped from $1.7 billion for 2007 to $916 million for 2009. Follow-on investment followed a similar decline, slipping from $7.4 billion for 2007 to $5.1 billion for 2009. 2007 Q1 $ in billions 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 Figure 14: Top five metropolitan regions 2007–2009 San Jose Boston San Diego Metro SF/Berkeley New York Metro 0 1 2007 2 3 Deal value ($ in billions) 2008 4 5 2009 PricewaterhouseCoopers LLP BioForum: October – December 2009 | 11 Feature articles In contrast, follow-on funding declined in the last quarter of 2009, compared with the same quarter in 2008. From year-end 2008, follow-on life sciences investment dropped $28 million. Figure 11: Biotechnology funding by stage 2007–2009 Funding in the San Jose area declined more steeply than the national level in 2009, while funding in the Boston metro area outperformed the national average. Both biotechnology and medical devices demonstrated stronger performance in the Boston area (Figure 15). Figure 15: Funding trends in top five regions 2007–2009 For the full year 2009, 120 US venture capital firms raised $15.2 billion. This total represented a 47 percent annual decline in dollars committed. The year ended as the slowest for fundraising activity since 1993.4 100% 80% 60% 40% Boston S/F Berkeley New York Metro 2009 Q4 2009 Q3 2009 Q2 2009 Q1 2008 Q4 2008 Q3 2008 Q2 2008 Q1 2007 Q4 2007 Q3 2007 Q2 2007 Q1 20% 0% The seed and early-stage pipeline needs replenishing across all industries, and the health of the start-up community in the next decade will be dependent upon more robust first-time financings. 2010 should be the year to begin that process in earnest. San Diego Metro San Jose Venture capital outlook The beginning of 2010 brought signs of improvement with the announcement of several venture capital financings in the life sciences sector. Several US biotech and medical device companies closed deals in the $25 million to $30 million range during the first month of 2010.2 A few larger deals ranging up to $55 million apiece raised capital for medical device, biotech, and biopharma companies.3 Looking back over the past year and ahead to the next, Mark Heesen, president of the NVCA, said: The venture capital industry had no choice but to slow the investment pace in 2009. The weak exit environment resulting from an unstable public market combined with a challenged, limited partner base sent a strong message to the venture community to pull back the reins— and the VCs listened. Now that the economy has begun to show signs of improvement, we expect to see dollars flow more freely back into those sectors that offered the most promise before the recession began: clean technology, life sciences, and IT. Despite this downturn, the venture capital industry’s outlook for 2010 remained “cautiously optimistic.” Responding to an NVCA survey conducted late last year, venture capitalists predicted gradual increases in investment levels and exit transactions in 2010 but a shrinking industry over the next five years. Respondents were almost equally divided as to whether investment in biotechnology will increase, decrease, or stay the same.5 PricewaterhouseCoopers’ Lefteroff weighs in on the optimistic side. “A recovering economy combined with growing demand for innovative products have the potential to continue to drive investment upward for the sector,” he said. Lefteroff cited advances in personalized medicine, enabling specialized pharmaceuticals, diagnostics, and devices targeted to specific patient populations as further fuel for investor optimism. Lefteroff noted that a product does not necessarily need to promise blockbuster returns to attract venture capital. “Venture capitalists have demonstrated that they are willing to place their bets on compounds with a market potential of several hundred million dollars. We have seen that this level of potential ROI has provided enough impetus to take a company public or make it attractive enough to be acquired. “History has taught us that as long as investors see a shorter horizon for an exit strategy, they will be drawn to the life sciences sector,” he concluded. 2 Marie Daghlian, “Biotech is top sector for venture investment in 2009,” The Burrill Report, Jan. 25, 2010, http://www.burrillreport.com/article-2088.html, accessed Jan. 26, 2010. 3 OnBioVC, http://www.obviovc.com, accessed Jan. 26, 2010. 4 “Despite Fourth Quarter Increase Venture Capital Industry Experiences Slowest Annual Period for Dollars Committed Since 2003,” Thomson Reuters and NVCA news release, Jan. 11, 2010. 5 “Venture Capitalists Are Optimistic for 2010 Despite Predictions for Industry Contraction,” NVCA news release, Dec. 16, 2009. Under recovery 12 | PricewaterhouseCoopers 6 Feature articles About PricewaterhouseCoopers’ Pharmaceutical and Life Sciences Industry Group PricewaterhouseCoopers’ Pharmaceutical and Life Sciences Industry Group (www.pwc.com/medtech) is dedicated to delivering effective solutions to the complex strategic, operational, and financial challenges facing pharmaceutical and life sciences companies. We provide industry-focused assurance, tax, and advisory services to build public trust and enhance value for our clients and their stakeholders. More than 163,000 people in 151 countries across our network share their thinking, experience, and solutions to develop fresh perspectives and practical advice. Contacts Tracy Lefteroff, Partner +1 (408) 817-4176 tracy.t.lefteroff@us.pwc.com Attila Karacsony, Director +1 (973) 236-5640 attila.karacsony@us.pwc.com www.pwc.com/pharma This document is for general information purposes only and should not be used as a substitute for consultation with professional advisers. © 2010 PricewaterhouseCoopers LLP. All rights reserved. “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP (a Delaware limited liability partnership) or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. *connectedthinking is a trademark of PricewaterhouseCoopers LLP (US). NY-10-0613 BioForum: October – December 2009 | 13 Tax threat to the blockbuster model Pharmaceutical and life science companies face a growing tax bill over the next decade, a new PricewaterhouseCoopers report warns. The report finds that taxes are expected to increase as a result of the global financial crisis, government pressure, changing market dynamics and rapidly evolving healthcare reforms. The corporate tax burden will rise significantly over the next decade as governments of industrialised countries struggle to repair public finances deeply damaged by the debts they have accrued in managing the global recession. Entitled Pharma 2020: Taxing times ahead – Which path will you take?, it was launched in late 2009 by PricewaterhouseCoopers’ Global Pharmaceutical & Life Sciences Industry Group and is the fifth paper in the Pharma 2020 thought leadership series. Many governments will clamp down on the practice of minimising corporate tax by shifting profits from countries with higher tax rates to countries with lower tax rates. By 2020, all multinationals will be subject to much more stringent tax regulations, and the major powers could impose trading restrictions on any tax havens that refuse to cooperate. The report explores both the challenges and opportunities the industry faces over the coming decade. In the past, big pharma companies have traditionally done everything from research and development through to commercialisation, however this blockbuster model is continuing to come under threat. Market trends and lack of innovation are driving pharmaceutical companies to form more partnerships and alliances, engage in mergers and acquisitions, and provide diverse services beyond their traditional product offerings. PwC believes that to remain competitive, big pharma companies will need to: • improve their research and development productivity • reduce their costs • expand their presence in emerging markets • switch from selling medicines to managing utcomes • embrace changes in the broader healthcare arena. Big pharma companies must either become fully diversified conglomerates capable of providing more healthcare services, or provide such services in collaboration with research and other organisations. These include academic institutions, hospitals, technology vendors and firms offering compliance programs, health screening, physiotherapy and exercise facilities. As new business models develop and large pharmaceutical companies start offering healthcare packages that comprise medicines and supporting services, we expect their effective tax rates to rise – unless they pursue strategies to mitigate the impact. We also anticipate that a number of political and economic trends – including a crackdown on tax minimisation – will contribute to increased complexity in tax planning for the pharmaceutical and life sciences industry. 14 | PricewaterhouseCoopers The tax authorities will also work more closely with their counterparts in other territories to limit the use of hybrid instruments and entities in cross-border transactions. Despite the need to replenish depleted public coffers, the competition to attract companies engaging in R&D will intensify. Some countries will offer generous tax incentives and credits – and there will be new competitors keen to build knowledge-based economies. To manage effective tax rates in this new commercial environment, pharmaceutical and life science companies will need to develop tax planning consistent with their new business models and carefully balance risk with opportunity. The industry will need tax professionals who are not only versed in international law and transfer pricing, but who also understand the broader business issues – people who can help top management structure its operations to support new ways of doing business. For further information and to download the report, go to www.pwc.com/pharma2020. Craig Lawn Partner Tax & Legal – Private Clients Ph: +617 3257 5672 Email: craig.lawn@au.pwc.com John Cannings Partner PricewaterhouseCoopers Legal Ph: +612 8266 6410 Email: john.cannings@au.pwc.com Feature articles BioForum: October – December 2009 | 15 16 | PricewaterhouseCoopers Background Through the recent overhaul of the AdvaMed Code of Ethics1, medical device companies gained the opportunity to use the renewed emphasis on ethics to revamp their approach to compliance. Most companies quickly integrated the updated Code provisions into their compliance policies and trained their employees to follow explicit guidelines about appropriate and inappropriate interactions and arrangements with healthcare professionals. Now they stand ready to take the next steps to building global compliance programs that create business advantage, foster innovation, and contribute to long-term viability. • Effective training and communication • Robust auditing and monitoring • Consistent enforcement • Prompt response to violations In addition to assimilating the new AdvaMed guidelines, medical device companies are striving to get ahead of stepped-up enforcement actions from the Department of Justice (DOJ), Securities and Exchange Commission (SEC), Federal Trade Commission (FTC), Department of Health and Human Services Office of Inspector General (OIG), Centers for Medicare and Medicaid Services (CMS), and Food and Drug Administration (FDA). Investigations and prosecutions from this alphabet soup of regulators drain an enormous amount of financial and human capital from individual companies; but the consequences of not devoting adequate resources to address compliance issues can cost even more. Financial penalties, imprisonment of company officers, and reputational damage can have a lasting negative impact on business value. A recent PricewaterhouseCoopers survey revealed that almost 60 percent of medical device companies polled do not use risk assessments to determine whether their monitoring programs effectively match limited resources to the most relevant risks. Failing to set such priorities limits compliance effectiveness from the outset. Medical device companies should understand the minimum requirements of a compliance program that builds business value: • Clearly established written policies • Executive oversight • Careful delegation of responsibility Leading medical device companies move beyond these basics to weld compliance into the framework of their corporate culture. To achieve this integration, they assess risks, audit their compliance efforts, and reinforce compliance through ongoing monitoring of key performance indicators (KPIs). Assess risk Leading companies manage — rather than eliminate — risk, knowing that they need to analyze and balance an array of sometimes competing elements before formulating an appropriate response. To effectively assess risk, companies must establish a compliance baseline and then identify the risks associated with that target. Before deciding on a tactic, prudent companies examine their risk tolerance, cost-benefit ratio, and the effects of various potential actions on business performance. After identifying risk tolerance, companies should examine business processes to see where risk lies and determine how they want to manage it. Good candidates for assessment include marketing and promotional campaigns, charitable contributions, research grants, consulting arrangements with health professionals, and educational conference sponsorships. Yet many processes go unchecked. For example, the PwC survey revealed that most of the participating medical device companies (90.6 percent) do not require their compliance departments to review sales compensation plans for incentives that could conflict with compliance laws and regulations. Compensation processes are often vulnerable to risk and lend themselves to enhanced controls, such as required completion of annual compliance training or tying bonuses to ethical behavior. For each process, the compliance assessment should identify risks and ask if an infrastructure of people, process, and technology exists to manage them. Are controls in place? Is available data sufficient to monitor compliance? Assessment tools might include personal interviews or written questionnaires for staff who carry out the process, flow charts showing the activities involved and who is responsible for them, benchmarking of practices against industry standards, and site visits to see how the process works in practice. Once the assessment is complete, companies should empower process owners to take corrective action when they detect a change in the risk environment. Such empowerment enables companies to respond more effectively to their changing risk profile and move ahead of companies that are slower to react to new risk issues. Feature articles Ana Background At hi funct analy effec Audi to co migh Their the b comp Est Altho proc of co than surve them not h the b comp In ev comm overs and p shou mana respo Setti and f mana of co comm shou perso orga Audit compliance activities Mo Auditing goes hand in hand with assessment. Medical device companies take differing approaches to compliance auditing, with the responsibility most often placed with their compliance staff, designated compliance auditors, or external auditors. Mon asse To ef comp as fo KPIs devia Com 1 Advanced Medical Technology Association Code of Ethics on Interactions with Health Care Professionals revisions effective July 1, 2009. 2 | PricewaterhouseCoopers’ KnowledgeLine BioForum: October – December 2009 | 17 • T • E a Analysis Analysis At high-performing companies, the audit function offers independent, objective analysis to evaluate and improve the effectiveness of risk management. Auditors work with functional departments to consider how new company initiatives might affect risk management controls. Their audits also inform management and the board about how well key risks and compliance priorities are addressed. Establish governance Although written disciplinary policies and procedures should govern the resolution of compliance policy infractions, more than one third of respondents to the PwC survey said their companies did not have them. Additionally, more than one third did not have formal procedures for notifying the board of pending investigations or compliance mishaps. In every company, a governing board or committee should provide compliance oversight, following written policies and procedures. Ultimately the board should assume responsibility for risk management, investigations, and response. Setting the proper tone at the top and following through to all levels of management will help establish a culture of compliance. Frequent and consistent communication by leaders to employees should emphasize the role each person plays in living the values of the organization. Monitor compliance progress Monitoring completes the cycle that assessment and auditing set in motion. To effectively monitor compliance, companies must designate KPIs to serve as formalized reporting mechanisms. KPIs can provide early warning of deviations from accepted practices. Common KPIs include: • Training metrics • Expense reporting violations and anomalies • Number and type of investigations and hotline calls • Metrics for committee activities • Measurement of development and completion of compliance plans • Metrics for due diligence on vendors • Tracking of patient complaints and their resolution • Use of a compliance incident reporting database • Tracking of number of contracts reviewed • Self assessments by business units monitors, it can send color-coded alerts to reporting dashboards and generate e-mail notifications to predetermined recipients. With so many legacy systems already in place, companies that choose to pursue BPM concepts can profit best by integrating them with their existing systems. Conversely, small companies with simple IT infrastructures can benefit from the installation of pure BPM-enabled technologies designed to monitor their most important business processes. Investigate, report, and respond Companies must clearly assign responsibility for monitoring KPIs. Although the compliance department is ultimately accountable, the business process owners should track KPIs and monitor the effectiveness of internal controls on a daily basis. How companies choose to use the information they gain from assessing, auditing, and monitoring can be critical to their survival. Highly ethical companies always document and act on compliance deficiencies, no matter how insignificant they seem. In the PwC survey, about 40 percent of respondents said they have not defined and measured KPIs to determine the effectiveness of their compliance programs, and another 40 percent are still developing KPIs. About 19 percent, however, have forged ahead in using KPIs and dashboard metrics to improve compliance reporting. Whether uncovered by internal monitoring, whistle-blowers, or external regulators, when misconduct or aberrations from accepted practices occur, companies must investigate and respond immediately. Proactive investigations help companies lessen the impact of noncompliance incidents. Moreover, they can use the information gained to improve controls and training so that the same type of incident will not recur. Use technology to aid monitoring Technology can streamline compliance monitoring. Automated software that monitors and reports on business processes can make monitoring more efficient and less labor-intensive. Realtime automation can enable timely compliance with regulatory demands, enhance control of internal operations, and lessen the risk of missing profit opportunities. Implementing monitoring systems using business process management (BPM) technology allows companies to track transactions and apply controls in gaps between stand-alone IT systems. When rules within the BPM detect an abnormality in the KPIs that the system In addition, management should encourage employees at all levels to report ethics violations and equip them with procedures and authority to handle ethical breaches. The identity of employees who report through hotlines or other channels should always be protected. Leaders should communicate to employees that they will not suffer repercussions for reporting violations. Companies that take responsibility for wrongdoing or damage to customers and pursue corrective action quickly also decrease negative impact to their reputation and financial strength. Voluntary disclosure to authorities can reduce the likelihood of criminal prosecution and lessen monetary and other penalties. PricewaterhouseCoopers’ KnowledgeLine | 3 18 | PricewaterhouseCoopers Analysis Feature articles K Analysis Novem Accepting responsibility for correcting noncompliance—even when the company itself is a victim of fraud or abuse in violation of strict policies—sends the right message to investors and customers. Boost reputation through compliance Moving forward, companies need to solidify their compliance by taking the next steps to fully assess, audit, and monitor their programs. AdvaMed will publish a list of companies certifying that they have implemented the stricter Code of Ethics on its website beginning Jan. 1, 2010. In addition, these companies may apply for a license to use AdvaMed’s “Code of Ethics Supporter” logo. The companies on this list should aspire to serve as role models; they have the ability to lift the ethical culture of the industry beyond what is required by law. In the eyes of the OIG and of many prosecutors, compliance plans are effective only if the corporate culture clearly reflects adherence to the plan. Companies that live their code of ethics day to day benefit from stronger corporate reputation, better execution of their strategic goals, fewer ethics violations, greater trust in business relationships, higher employee satisfaction, and lower compliance costs. Q. Who should be responsible for auditing compliance activities? Q. What is the role of business process management (BPM) software? A. Compliance staff, designated compliance auditors, or external auditors can be assigned this responsibility. An independent, objective analysis will help improve the effectiveness of risk management. A. BPM technology can help companies track transactions and apply controls in gaps between stand-alone IT systems. Large companies may choose to integrate BPM concepts with existing systems. Small companies may want to install pure BPM-enabled technologies to monitor their most important business processes. A. A governing board or committee should provide compliance oversight, following written policies and procedures. It’s important, however, for leaders to emphasize that each person plays a role in living the values of the organization. Peter Claude, Partner Pharmaceuticals and Life Sciences peter.claude@us.pwc.com (415) 498 5024 Doug Mowen, Managing Director Pharmaceuticals and Life Sciences doug.mowen@us.pwc.com (973) 236 5355 Jean Sands, Manager Pharmaceuticals and Life Sciences jean.sands@us.pwc.com (312) 298 3026 Attila Karacsony, Director Pharmaceuticals and Life Sciences Marketing attila.karacsony@us.pwc.com (973) 236 5640 About PricewaterhouseCoopers’ Pharmaceutical and Life Sciences Industry Group Questions and answers Q. Where does ultimate responsibility for risk management, investigations, and response lie? Contacts: Q. Why should companies disclose incidents of noncompliance? A. Taking responsibility for wrongdoing or damage to customers and pursuing correction action quickly decreases negative impact to reputation and financial strength. Voluntary disclosure to authorities can reduce the likelihood of criminal prosecution and lessen monetary and other penalties. PricewaterhouseCoopers’ Pharmaceutical and Life Sciences Industry Group (www.pwc.com/ meddevice) is dedicated to delivering effective solutions to the complex strategic, operational, and financial challenges facing medical device companies. We provide industry-focused assurance, tax, and advisory services to build public trust and enhance value for our clients and their stakeholders. More than 163,000 people in 151 countries across our network share their thinking, experience, and solutions to develop fresh perspectives and practical advice. The information contained in this document is for general guidance on matters of interest only. The application and impact of laws can vary widely based on the specific facts involved. Given the changing nature of laws, rules, and regulations, there may be omissions or inaccuracies in information contained in this document. Before making any decision or taking any action, you should consult a competent professional adviser. © 2009 PricewaterhouseCoopers LLP. All rights reserved. “PricewaterhouseCoopers” refers to PricewaterhouseCoopers LLP, a Delaware limited liability partnership, or, as the context requires, the PricewaterhouseCoopers global network or other member firms of the network, each of which is a separate and independent legal entity. This document is for general information purposes only, and should not be used as a substitute for consultation with professional advisors. PH-10-0068 Be Bu an How the A Asses Leadi Audit The a the ef Estab A gov Monit Comp report Inves Docum *con 4 | PricewaterhouseCoopers’ KnowledgeLine BioForum: October – December 2009 | 19 20 | PricewaterhouseCoopers Market performance Market performance BioForum: October – December 2009 | 21 Performance overview Figure 1: Weekly performance over the quarter of the Australian life sciences compared to major indices 20% 15% 10% 5% 0% -5% -10% -15% 30-Sep 02-Oct 09-Oct 16-Oct ASX All Ordinaries 23-Oct 30-Oct 06-Nov NASDAQ Composite 13-Nov 20-Nov 27-Nov NASDAQ Biotech 04-Dec 11-Dec Life Sciences 18-Dec 25-Dec 31-Dec Life Sciences ex majors Table 1: Quarterly movements of the Australian life sciences sector compared to major indices Index 18.0% Value 30-Sep-09 31-Dec-09 % Change ASX All Ordinaries (Index) 4,739 4,883 3.0% NASDAQ Composite (Index) 2,122 2,269 6.9% 840 844 0.5% 33,541 34,094 1.6% NASDAQ Biotech (Index) 14.0% 12.0% 10.0% 6.0% 5,856 6,786 3.0% 2.0% 0.0% Life Sciences ex majors (Market Cap A$m) 6.9% 8.0% 4.0% Life Sciences (Market Cap A$m) 15.9% 16.0% 15.9% 0.5% ASX All Ordinaries (Index) NASDAQ Composite (Index) NASDAQ Biotech (Index) 1.6% Life Sciences Life Sciences ex (Market Cap A$m) majors (Market Cap A$m) Figure 2: Two-year comparison of the Australian life sciences sector by market capitalisation compared to major indicies 10% 0% -10% -20% -30% -40% -50% -60% 31-Dec-07 31-Mar-08 30-Jun-08 ASX All Ordinaries 30-Sep-08 NASDAQ Composite 31-Dec-08 31-Mar-09 NASDAQ Biotech 30-Jun-09 Life Sciences 30-Sep-09 31-Dec-09 Life Sciences ex majors Table 2: Yearly movements of the Australian life sciences sector by market capitalisation compared to major indices Index 140.0% Value 30-Sep-09 31-Dec-09 ASX All Ordinaries (Index) 3,659 4,883 33.4% NASDAQ Composite (Index) 1,577 2,269 43.9% 730 844 15.6% 30,587 34,094 11.5% 3,108 6,786 118.3% NASDAQ Biotech (Index) Life Sciences (Market Cap A$m) Life Sciences ex majors (Market Cap A$m) 22 | PricewaterhouseCoopers % Change 118.3% 120.0% 100.0% 80.0% 60.0% 40.0% 33.4% 43.9% 15.6% 20.0% 0.0% ASX All Ordinaries (Index) NASDAQ Composite (Index) NASDAQ Biotech (Index) 11.5% Life Sciences Life Sciences ex (Market Cap A$m) majors (Market Cap A$m) Figure 3: Quarterly performance of the Australian life sciences sector and subsectors 30% 25% Market performance 20% 15% 10% 5% 0% -5% -10% 30-Sep 02-Oct 09-Oct Life Sciences 16-Oct 23-Oct 30-Oct Life Sciences ex majors 06-Nov 13-Nov 20-Nov Pharma/Biotech 27-Nov 04-Dec Pharma/Biotech ex CSL 11-Dec 18-Dec Med Device 25-Dec 31-Dec Med Device ex COH, RMD Table 3: Quarterly summary of the Australian life sciences sector’s performance Pharma/Biotech Pharma/Biotech ex CSL Med Device Med Device ex COH, RMD Life Sciences Life Sciences ex majors MCap (A$m) % of total value Companies with share price gains Proportion of subsector up Companies with share price losses Companies with share price flat Proportion of subsector flat Total number of companies 23,895 70% 28 39% 39 55% 4 6% 71 4,925 73% 28 40% 38 54% 4 6% 70 10,198 30% 21 49% 18 42% 4 9% 43 1,861 27% 19 46% 18 44% 4 10% 41 34,094 100% 49 43% 57 50% 8 7% 114 6,786 100% 47 42% 56 50% 8 7% 111 Proportion of subsector down Table 4: Quarterly movements of the Australian life sciences sectors Index 35.0% Market capitalisation (A$m) Pharma/Biotech 30-Sep-09 31-Dec-09 24,426 23,895 % Change -2.2% Pharma/Biotech ex CSL 4,415 4,925 11.6% Med Device 9,114 10,198 11.9% Med Device ex COH, RMD 1,441 1,861 29.2% Life Sciences Life Sciences ex majors 33,541 34,094 1.6% 5,856 6,786 15.9% 29.2% 30.0% 25.0% 20.0% 15.9% 15.0% 11.6% 10.0% 11.9% 5.0% 1.6% 0.0% -5.0% -2.2% Pharma/ Biotech Pharma/ Biotech ex CSL Med Device Med Device ex COH, RMD Life Life Sciences Sciences ex majors Figure 4: Two-year comparison of the Australian life sciences sectors’s performance by market cap 20% 0% -20% -40% -60% -80% 31-Dec-07 31-Mar-08 Life Sciences 30-Jun-08 Life Sciences ex majors 30-Sep-08 31-Dec-08 Pharma/Biotech 31-Mar-09 Pharma/Biotech ex CSL 30-Jun-09 Med Device 30-Sep-09 31-Dec-09 Med Device ex COH, RMD BioForum: October – December 2009 | 23 Quarterly financing IPO market Figures 5 and 6: Quarterly comparison of IPOs in Australia and the US US Australia Biotech Biotech Medical Devices 0 25 20 15 24.1 10 5 0 0 Q2FY09 0 0 Q3FY09 Q4FY09 Med Device: $6m 1000 800 1,215 600 400 219 200 0 Q1FY10 - 1200 Capital Raised (A$m) Capital Raised (A$m)* Medical Devices 1400 30 0 Q2FY10 75 6 Q2FY09 Q3FY09 Q4FY09 Q1FY10 Q2FY10 * Amounts shown are total market cap additions to the LS Index from IPOs on first day of trading Table 5: Number of Australian IPO listings Table 6: Number of US IPO listings Biotech Med Devices ASX total Biotech Med Devices Q2FY10 0 0 27 Q2FY10 1 1 Q1FY10 0 0 3 Q1FY10 2 0 Q4FY09 0 0 0 Q4FY09 0 1 Q3FY09 0 0 3 Q3FY09 0 0 Q2FY09 1 0 5 Q2FY09 0 0 Table 7: Total of quarterly Australian IPO listings Company Table 8: Total of quarterly US IPO listings Company Capital raised (A$m) Issue Price Capital raised (A$m) Nil - - Omeros Corp Total - - AGA Medical Holdings Inc 219.0 Total 293.9 74.9 Secondary finance market Figures 7 and 8: Quarterly comparison of secondary financing in Australia and the US US Australia 80 150 16 100 50 - 5 6 101 121 113 67 34 Q3FY09 10,000 Q4FY09 Q1FY10 Avg. amount Biotech raised (A$m) 970 6,000 3,161 4,000 2,000 Q2FY10 Table 9: Number of Australian secondary raisings Biotech: $172m Med Device: $65m 8,000 - 6 Q2FY09 Medical Devices 12,000 Biotech: $6m Med Device: $6m 200 Biotech Medical Devices Capital Raised (A$m) Capital Raised (A$m) Biotech 250 65 47 172 Q2FY09 647 Q3FY09 67 1,276 Q4FY09 795 1,794 Q1FY10 Q2FY10 Table 10: Number of US secondary raisings Med Devices Avg. amount raised (A$m) Biotech Med Devices Q2FY10 33 3.7 18 4.4 Q2FY10 29 16 Q1FY10 30 2.2 11 9.2 Q1FY10 40 17 Q4FY09 21 5.4 9 1.8 Q4FY09 7 3 Q3FY09 22 1.5 4 1.3 Q3FY09 15 7 Q2FY09 15 0.4 9 0.7 Q2FY09 8 4 24 | PricewaterhouseCoopers Yearly financing Figures 9 and 10: Annual comparison of IPOs in Australia and the US US Australia Biotech Medical Devices 5,000 153 250 200 105 150 100 176 118 63 50 24 22 0 FY06 Biotech 6,000 300 Capital Raised (A$m) Capital Raised (A$m) 350 FY07 FY08 Med Device: $6m 4,000 3,000 2,000 517 1,000 1,636 -FY10 - YTD FY09 1,013 Medical Devices 4,277 219 0 FY06 FY07 1,354 588 325 6 FY08 FY09 FY10 - YTD * Amount shown is total market cap addition to the LS Index from IPOs based on first day of trading Table 11: Number of Australian IPO listings Table 12: Number of US IPO listings Biotech Med Devices ASX total Biotech Med Devices FY10 - YTD 0 0 30 FY10 - YTD 3 1 FY09 1 0 24 FY09 0 1 FY08 4 3 79 FY08 8 8 FY07 6 7 245 FY07 42 12 FY06 3 8 172 FY06 20 8 Secondary finance market Figures 11 and 12: Annual comparison of secondary finance in Australia and the US Australia US 2,500 Biotech 25,000 Medical Devices Biotech Medical Devices Capital Raised (A$m) Capital Raised (A$m) 71 2,000 1,500 2,081 1,000 500 42 236 297 438 FY06 FY07 0 6,202 5,542 15,000 1,765 10,000 16,766 1,699 15,810 5,000 229 182 188 274 FY08 20,000 FY09 8,603 4,955 719 3,330 0 FY10 - YTD Table 13: Number of Australian secondary raisings Biotech Med Devices FY10 - YTD 63 29 FY09 87 41 FY08 99 FY07 FY06 FY06 FY07 FY08 FY09 FY10-YTD Table 14: Number of US secondary raisings Biotech Med Devices FY10 - YTD 69 33 FY09 48 24 66 FY08 80 29 98 75 FY07 258 59 56 28 FY06 257 123 BioForum: October – December 2009 | 25 Market Market performance financing IPO market Top 10 performers over the past four quarters 1 PRR PRIMA BIOMED LTD (PRR) SIE Return: Closing Price: MCap: BTA OBJ BZI A Prima subsidiary was granted a Japanese patent for its CVac therapeutic cancer vaccine. Additionally, the company received FDA clearance for a phase IIb clinical trial of CVac. Prima engaged two universities to research the development of an oral delivery system for cervical cancer vaccines. ACL ACR AVH SRX PCC 0% 500% 2900% $0.15 A$96.04m 1000% 1500% 2000% 2 3000% 3500% 3 SCIGEN LTD (SIE) Return: Closing Price: MCap: 2500% 900% $0.35 A$193.29m 4 BIOTA HOLDINGS LTD (BTA) OBJ LTD (OBJ) Return: Closing Price: MCap: Return: Closing Price: MCap: 619% $2.41 A$431.27m 480% $0.030 A$32.58m The company’s net operating cash flow for Q2 FY10 was US$591k. There were substantial changes to the board of directors with several resignations. SciGen appointed a new chairman and CEO, two new non-executive directors and two new executive directors. Biota received royalties from the sale of GlaxoSmithKline’s Relenza of approximately A$24.1m. The company also acquired the key assets and drug development programs of Prolysis and Max Thera. A phase III clinical trial of Biota’s anti-influenza drug CS-8958 commenced during the quarter. The company executed a materials transfer agreement with 3M. OBJ also announced a private placement to raise up to $1.9m before costs and a rights issue to raise an estimated $2.1m before costs. 5 6 7 BRAINZ INSTRUMENTS LTD (BZI) ALCHEMIA LTD (ACL) ACRUX LTD (ACR) Return: Closing Price: MCap: 443% $0.038 A$2.28m Return: Closing Price: MCap: 365% $0.70 A$136.98 Return: Closing Price: MCap: 359% $2.12 A$349.63m Alchemia completed a rights issue, raising A$15.5m with the issue oversubscribed. The company realised a net cash increase of A$21.26m during the quarter. The company received the AusBiotech 2009 Excellence Award for outstanding company contribution to the biotechnology industry. The Therapeutic Goods Administration advised that approval of Ellavie for marketing in Australia will require additional supporting data 8 9 10 AVITA MEDICAL LTD (AVH) SIRTEX MEDICAL LTD (SRX) PROBIOMICS LTD (PCC) Return: Closing Price: MCap: Return: Closing Price: MCap: BrainZ Instruments appointed James Robinson as its new company secretary. The company raised a net cash amount of A$336k from the issue of securities. Return: 358% Closing Price: $0.165 MCap: A$17.18m Avita received FDA approval to begin its clinical trial for ReCell Spray-On Skin, which is a wound, burn and chronic skin defect treatment. The company was granted a Japanese patent for various products. 348% $7.55 A$421.05m Michael Mangano was appointed president of Sirtex Medical in the US. The company settled its claims for costs in legal proceedings brought by the University of Western Australia (UWA). Under the terms of settlement, UWA agreed to pay Sirtex A$3.25m plus interest on its costs. The company signed an exclusive global distribution agreement with the Danish company Chr Hansen A/S. Under the agreement, Chr Hansen will manufacture and market Probiomics’ Lactobacillus fermentum PCC globally. Note: The company announcements referred to above were made in the latest quarter and were sourced from the Australian Securities Exchange website, www.asx.com.au 26 | PricewaterhouseCoopers 340% $0.022 A$6.47 1 RBY ROCKEBY BIOMED LTD (RBY) NSP ATW Return: -80% Closing Price: MCap: Top and bottom performers Bottom 10 performers over the past four quarters SFP $0.013 A$0.97m ICV PBT The company announced an intention to delist from the ASX, citing limited ability to raise funds from the equity markets and the cost of maintaining listing being disproportionate to its market capitalisation TDX XCD ADO CYT -90% -80% -70% -60% -50% -40% -30% -20% -10% 2 3 4 NUSEP LTD (NSP) ATOS WELLNESS LTD (ATW) SAFETY MEDICAL PRODUCTS LTD (SFP) Return: Closing Price: MCap: -72% $0.265 A$6.50m Return: Closing Price: MCap: -64% $0.015 A$2.86m Return: Closing Price: MCap: -60% $0.042 A$3.34m NuSep signed a letter of intent to purchase BioInquire, a US-based mass spectrometry software development company. The deal is worth US$2m plus additional payments contingent upon profit results. The company settled a loan from Bestempire, with no issue of shares as part of repayment. Johnson Teh was appointed as a non-executive director. ATOS Wellness had a net decrease in cash for the quarter of A$669k. 5 6 7 INCITIVE LTD (ICV) PRANA BIOTECHNOLOGY LTD (PBT) TYRIAN DIAGNOSTICS LTD (TDX) Return: Closing Price: MCap: Return: Closing Price: MCap: Return: Closing Price: MCap: -59% $0.007 A$3.57m Incitive announced that it will not proceed with its acquisition of V-Path Medical Systems. The company also entered into an agreement to raise A$750k via a placement to sophisticated investors. -52% $0.15 A$35.07m 0% The company’s share purchase plan raised $143k which will be used to further advance a Hungarian joint venture. -45% $0.016 A$7.98m The company resolved at its AGM to increase the share plan pool by 15m ordinary shares. Resolutions were passed regarding the issue of 30.75m fully paid ordinary shares and 13.5m options. Tyrian Diagnostics announced that it will not continue to collaborate with Becton, Dickson & Company to develop a point-of-care test for the diagnosis of active tuberculosis. The company completed the manufacture of several thousand prototype tests for a multi-site evaluation of the second agricultural diagnostic test as part of its collaboration with Bayer CropScience. 8 9 10 XCEED CAPITAL LTD (XCD) ANTEO DIAGNOSTICS LTD (ADO) CYTOPIA LTD (CYT) Return: Closing Price: MCap: -44% $0.022 A$4.40m The company sold its interest in PolyNovo Biomaterials to Calzada for $836k. Xceed also announced its intention to conduct a non-renounceable rights issue. Additionally, the company stated that sales revenue for its wholly owned subsidiary Boron Molecular was 33% lower in the current financial year than the equivalent period in the previous year. Return: Closing Price: MCap: -42% $0.007 A$2.80m The company announced that $350k will be raised from an entitlement issue and an additional placement to sophisticated investors. The company made a net loss of $1.95m in FY09. This was approximately A$187k greater than its previous year loss. Return: Closing Price: MCap: -42% $0.105 A$8.89m Cytopia entered into a binding agreement to merge with YM BioSciences. The company announced the retirement from the board of Roderick Lyle, a non executive director. It announced that dosing commenced in its phase I/II clinical study of CYT387 targeting Myelofibrosis and also received approval to commence dosing patients in its phase II clinical trial for CYT997. Note: The company announcements referred to above were made in the latest quarter and were sourced from the Australian Securities Exchange website, www.asx.com.au BioForum: October – December 2009 | 27 28 | PricewaterhouseCoopers Announcements – Australia Announcements – Australia BioForum: July – September 2009 | 29 Partnerships Company Pharma/biotech partner Application Total 25 Ascent Pharmahealth (APH) Pfizer Australia Not disclosed Not disclosed Ascent business Genepharm has entered into a distribution and services agreement with Pfizer Australia. Avexa (AVX) Tibotec HIV integrase program Not disclosed Extension of option agreement with Tibotec related to research and licensing of Avexa’s HIV integrase inhibitor. BioDiem (BDM) Nobilon Influenza vaccination Not disclosed BioDiem has acquired full rights for the manufacturing and marketing of its LAIV technology in Japan. The marketing rights were previously held in conjunction with Nobilon. BioProspect (BPO) Ensystex Corporation Termite solution Not disclosed International development agreement signed with US company Ensystex for BioProspect’s Termilone product. Biota Holdings (BTA) GlaxoSmithKline Neuraminidase inhibitor $24m GlaxoSmithKline has advised that Biota’s royalties from the sales of Relenza were approximately $24m. ChemGenex Pharmaceuticals (CXS) Hospira Chronic myeloid leukaemia $18m Exclusive agreement announced to license, develop and commercialise ChemGenex leukaemia drug in Europe, the Middle East and parts of Africa. CSL (CSL) National Blood Authority Plasma-derived medicines Not disclosed Eight year agreement for CSL to continue to provide plasma therapeutic products to the Australian community. Genetic Technologies (GTG) Rosetta Genomics Cancer Not disclosed Genetic Technologies has executed an exclusive test and services agreement with Rosetta. HalcyGen Pharmaceuticals (HGN) Mayne Pharma International High functionality generics Not disclosed Marketing and distribution arrangement for products sold in Australian and Asian markets. HealthLinx (HTX) Spire Healthcare Ovarian cancer diagnostic Not disclosed HealthLinx’s UK distributor has contracted with Spire Healthcare to process and market HealthLinx’s OvPlex product in the UK. Hexima (HXL) Australian Centre for Plant Functional Genomics (ACPFG) Improvement of cereal crops Not disclosed Hexima has entered into a strategic alliance with ACPFG to research and develop technologies for the improvement of cereal crops. Living Cell Technologies (LCT) Centocor Research and Development Not disclosed Not disclosed The research collaboration with Centocor has been extended. An exclusive two year option was granted for a world-wide licence of Living Cell’s encapsulation technology. Medical Therapies (MTY) Celera Lung cancer Not disclosed Medical Therapies has signed a licence agreement with Celera for the development of a lung cancer diagnostic product. Medical Therapies (MTY) Yamasa Not disclosed Not disclosed Medical Therapies has signed a non-exclusive distribution agreement for its anti-midkine antibodies for research purposes. OBJ (OBJ) 3M Not disclosed Not disclosed OBJ has executed a materials transfer agreement with 3M. Phylogica (PYC) Roche Inflammatory diseases Not disclosed Agreement with Roche to evaluate Phylogica’s Phylomer technology in transporting large molecules to attack disease targets within cells. Prima BioMed (PRR) The University of New South Wales and University of Queensland Cervical cancer Not disclosed Prima BioMed has engaged the universities to undertake a research program to develop an oral delivery system for vaccines for cervical cancer. Probiomics (PCC) Chr Hansen A/S Not disclosed Not disclosed The two companies have signed a global distribution agreement. QRxPharma (QRX) Patheon Moderate to severe chronic pain Not disclosed Contractual agreement signed to manufacture clinical supplies of QRxPharma’s controlled release dual-opioid formulation. QRxPharma (QRX) Liaoning Nuokang Medicines Co Ltd Haemostasis products US$5m Completion of strategic alliance deal to develop and commercialise QRxPharma’s venomics assets for the China market. Starpharma Holdings (SPL) US-based agricultural chemicals company Not disclosed Not disclosed Starpharma’s US subsidiary DNT has signed a research and collaboration agreement with a USbased agricultural chemicals company. Stirling Products (STI) Innovative Biotech Tuberculosis, HIV and TB/HIV co-infection Not disclosed Stirling Products has entered into an agreement to register, trial and market Dzherelo in Nigeria and other regions of Africa. Stirling Products (STI) Sheiman Ultrasonic Research Foundation Not disclosed Not disclosed Stirling Products and its joint venture partner have entered into a final agreement with Sheiman Ultrasonic Research Foundation. Biotechnolgy 30 | PricewaterhouseCoopers Value (A$m) Comments Pharma/biotech partner Application Value (A$m) Comments Stirling Products (STI) Cipla AIDS and TB drugs; OTC and generic prescription drugs Not disclosed Agreed working relationship established with Cipla, an Indian drug manufacturer. Viralytics (VLA) Royal Adelaide Head and neck cancer Not disclosed Royal Adelaide has joined forces with Viralytics to trial a revolutionary treatment for head and neck cancer. Total 14 BMDI TUTA (BMI) Unisurge International Not disclosed Not disclosed BMDI TUTA has further expanded into international markets with a five year supply agreement with Unisurge International. Compumedics (CMP) University Medical Center, Freiburg, Germany Neurology (EEG) systems $600k Compumedics Neuvo LTM system has been chosen by University Medical Center to equip its epileptology center. Compumedics (CMP) ZSL (Zentral Sleep Lab) Service GmbH Sleep diagnostics $366k Compumedics has won a sleep diagnostics devices contract with another customer in Berlin. ImpediMed (IPD) 3 Kings Holding Clinical assessment of lymphoedema Not disclosed Distribution agreement for ImpediMed’s L-Dex products in Hong Kong, China, Taiwan and Macau. KarmelSonix (KSX) Clear Sales Australia Detection of wheeze Not disclosed Distribution agreement signed for Clear Sales to market and distribute the KarmelSonix Personal WheezoMeter to retail pharmacies throughout Australia. KarmelSonix (KSX) MR Diagnostics Not disclosed Not disclosed KarmelSonix has signed an interim agreement with MR Diagnostics as exclusive distributor of its products in the Czech Republic and Slovenia. KarmelSonix (KSX) Sanrosan Not disclosed Not disclosed KarmelSonix has signed an interim agreement with Sanrosan as the exclusive distributor for Spain. KarmelSonix (KSX) Sapco Laboratories Asthma management Not disclosed KarmelSonix has received its first substantial order in India following the signing of a new distribution agreement for Southern India and Sri Lanka with Sapco. LabTech Systems (LBT) bioMérieux Not disclosed $111k LabTech Systems announces that it has received the first royalty payment under its agreement with bioMérieux. Medigard (MGZ) Not disclosed Prevention of needlestick injury Not disclosed Heads of agreement executed with an American medical device manufacturer to produce a patented blood collection device. SomnoMed (SOM) Watermark Medical and SleepQuest Sleep testing equipment Not disclosed SomnoMed has signed two independent agreements with two home sleep diagnostics and patient treatment care companies. Tyrian Diagnostics (TDX) Becton, Dickson & Company Tuberculosis Not disclosed Tyrian announced that it will not continue to collaborate with BD to develop a point-of-care test for the diagnosis of active tuberculosis. Tyrian Diagnostics (TDX) Bayer CropScience Assess grain crops for contaminants Not disclosed The company completed the manufacture of several thousand prototype tests for a multi-site evaluation of the second agricultural diagnostic test as part of its collaboration. Unilife Medical Solutions (UNI) Mikron Group Ready-to-fill syringe Not disclosed Unilife Medical Solutions has appointed Mikron Group as its contracted supply partner. Medical Devices BioForum: October – December 2009 | 31 Announcements – Australia Company Mergers, acquisitions and divestments Dominant company Target company Type of deal Total 11 Biota Holdings (BTA) Prolysis Acquisition Not disclosed Biota has acquired the key assets and programs of Prolysis. Biota Holdings (BTA) MaxThera Acquisition US$1.5m The company has acquired the assets and drug development programs of MaxThera. Cytopia (CYT) YM BioSciences Merger Not disclosed The companies have entered into a binding agreement to merge. Genetic Technologies (GTG) Perlegen Sciences Acquisition Not disclosed Genetic Technologies has executed an exclusive option to evaluate the purchase of the BREVAGen breast cancer diagnostic product from Perlegen. Incitive (ICV) V-Patch Medical Systems Acquisition Not disclosed Incitive has determined not to proceed further with the acquisition. NuSep (NSP) BioInquire Acquisition US$2m plus earn-out NuSep has signed a letter of intent to purchase BioInquire, a USbased mass spectrometry software development company. Patrys (PAB) Debiopharm Acquisition Not disclosed Patrys has acquired exclusive rights to commercialise the gastric cancer antibody product SC1. Peplin (PLI) LEO Pharma A/S Merger US$287.5m The two companies have merged after receiving approval from the majority of Peplin stockholders. Prima BioMed (PRR) Not disclosed Divestment Not disclosed Prima BioMed has completed the divestment of one of its non-core products, DCtag. Telesso Technologies (TEO) Not disclosed Acquisition Not disclosed Telesso has signed a memorandum of understanding to purchase all of the issued share capital in an undisclosed biotech. Xceed Capital (XCD) Calzada Divestment $836k Agreement to sell Xceed’s interest in PolyNovo Biomaterials to Calzada. AquaCarotene (AQL) Aurora Biofuels Divestment $2m plus a royalty agreement AquaCarotene has signed an agreement to transfer the leases held on Karratha Ponds for the production of marine algae to Aurora Biofuels. CordLife (CBB) China Stem Cell (South) Company Acquisition US$10m CordLife has completed a sale and purchase agreement with existing minority shareholders of China Stem Cell. Medic Vision (MVH) Leading Edge Instruments Divestment $6.1m Heads of agreement to sell medical simulation assets to Leading Edge Instruments. Medic Vision (MVH) Red Paragon Acquisition Not disclosed Medic Vision has signed an agreement to acquire a further 9.29% of the share capital in Red Paragon. ResMed (RMD) Laboratoires Narval Acquisition Not disclosed ResMed has acquired Laboratoires Narval for an undisclosed amount. Biotechnology Medical Devices 32 | PricewaterhouseCoopers Value (A$m) Total Comments 5 Company Drug Pre-Clinical Application Comments Total 4 Circadian Technologies (CIR) VGX-300 Cancer Circadian has achieved a key manufacturing milestone allowing the company to progress to pre-clinical development. CSL (CSL) CSL112 Acute coronary syndrome CSL is undertaking pre-clinical safety studies of CSL112, which targets acute coronary syndrome. Phase I clinical trials are anticipated to begin in 2010. Mesoblast (MSB) Not disclosed Diabetes treatment Positive pre-clinical results have been reported using Mesoblast’s patented adult stem cell technology platform. Progen Pharmaceuticals (PGL) PG545 Cancer Progen is to present its new pre-clinical data on PG545 at an international cancer therapeutics conference. Phase I 10 Bionomics (BNO) BNC210 Anxiety disorders Bionomics has announced the completion of the first stage of its current phase I clinical trial. Biotron (BIT) BIT225 Hepatitis C virus (HCV) Biotron has successfully completed a proof-of-concept study of BIT225 in HCV infected subjects. Biotron (BIT) BIT225 Chronic hepatitis C infection Phase I clinical trials have shown promising results. Phase II trial planned to commence in early 2010. Biotron (BIT) BIT225 HIV treatment Biotron is progressing protocols for a phase Ib/IIa trial of BIT225 in HIV patients. Cytopia (CYT) CYT387 Myelofibrosis Cytopia has announced that dosing in its phase I/II clinical study has commenced. Living Cell Technologies (LCT) Diabecell Diabetes Living Cell Technologies has reported that the phaseI/IIa clinical trial has shown positive results. Phosphagenics (POH) Oxycodone Patch Pain management A phase Ib clinical trial has commenced for the company’s patented oxycodone/Target Penetration Matrix transdermal patch system. Sunshine Heart (SHC) C-Pulse Heart assist system The C-Pulse heart assist system was successfully implanted in a patient under FDA approved phase I clinical trial protocol. Viralytics (VLA) Cavatak Head and neck cancer Viralytics has announced that a second hospital has commenced recruitment of patients for the company’s phase I trial. Viralytics (VLA) Cavatak Head and neck cancer Head and neck cancer phase I trial patients have completed treatment. Approval has been granted to progress to phase II. bioMD (BOD) Gynecel Adapt Pelvic floor reconstruction surgery bioMD has successfully completed a phase II clinical trial of Gynecel Adapt. Bionomics (BNO) BNC105 Mesothelioma treatment Bionomics is conducting a phase II clinical trial of its BNC105 anti-cancer drug following successful phase I trials. Cytopia (CYT) CYT997 Glioblastoma multiforme (GBM) Cytopia has received approval to commence dosing patients in its phase II clinical trial. Mesoblast (MSB) Revascor Heart failure Patients in the ongoing phase II trial have continued to show sustained improvement in heart muscle function at six months. Phosphagenics (POH) Phospha-E Metabolic syndrome Clinical trial did not meet the primary end point, although marked improvement in heart disease and diabetes risk factors was shown. Phosphagenics (POH) TPM Insulin delivery Targeted penetration matrix insulin project anticipated to return to human clinical trials in the first half of 2010. Prima BioMed (PRR) CVac Ovarian cancer FDA clearance received to commence phase IIb clinical trial of the company’s ovarian cancer treatment vaccine. pSivida (PVA) BrachySil Pancreatic cancer pSivida has announced the completion of a second pancreatic clinical trial of BrachySil. Avexa (AVX) Apricitabine (ATC) Treatment of HIV Avexa has announced that data from the phase III study is to be unblended and further analysed. Biota Holdings (BTA) CS-8958 Anti-influenza Biota Holdings has commenced the phase III trial for CS-8958. Clinuvel Pharmaceuticals (CUV) Afamelanotide Eumelanin production The phase III clinical trials in erythropoietic protoporphyria indication have shown positive four-month results. Eastland Medical Systems (EMS) ArTiMist Malaria Kigali University Teaching Hospital has approved a phase III clinical trial of ArTiMist in children. Phase II 8 Phase III 8 BioForum: October – December 2009 | 33 Announcements – Australia Clinical trials Company Drug Application Comments Pharmaxis (PXS) Bronchitol Bronchiectasis Pharmaxis has commenced screening patients in its 12-month phase III trial. pSivida (PVA) Iluvien Diabetic macular oedema (DME) pSivida has announced that the last patient in the phase III clinical trial has completed their follow-up visit. pSivida (PVA) Iluvien Diabetic macular oedema The company has received positive results from the phase III clinical trials of Iluvien, meaning that the primary efficacy endpoint was met with statistical significance. QRxPharma (QRX) MoxDuoIR Moderate to severe acute pain As part of its phase III program, QRxPharma has initiated a registration (or pivotal) study of MoxDuoIR. Antisense Therapeutics (ANP) ATL1103 Excessive growth hormone action. Antisense has completed repeat-dosing toxicology studies for ATL1103 in two species – mice and primates. Ellex Medical Lasers (ELX) Ellex 2RT Research Program Age-related macular degeneration Ellex has been awarded a $540k Victorian Government grant to conduct a clinical trial. HealthLinx (HTX ) OvPlex Ovarian cancer HealthLinx has received a $750k grant to support its next generation early stage ovarian cancer diagnostic trial. HealthLinx (HTX) OvPlex Ovarian cancer Queensland’s Mater Hospital will participate in a second and larger clinical study of OvPlex. KarmelSonix (KSX) PulmoTrack Nocturnal Asthma Management KarmelSonix clinical study published in the Journal of Asthma. Medigard (MGZ) Blood collection device Blood collection A preliminary product evaluation by Quest Diagnostics has been successful. Mesoblast (MSB) Mesenchymal Precursor Cells (MPCs) Bone marrow transplants Mesoblast has announced successful results from the first 18 patients who have received a bone marrow transplant using umbilical cord blood expanded by Mesoblast’s MPCs. Nanosonics (NAN) Trophon EPR Disinfection of ultrasound transducers Further micro-biocidal validation testing has confirmed the efficacy of Trophon EPR. NeuroDiscovery (NDL) NSL-043 Not disclosed The company will not commit to a phase II clinical trial of NSL-043, in order to preserve cash reserves. Patrys (PAB) PAT-SM6 Treatment of solid tumours and metastases Patrys scientific collaborators at the University of Melbourne have been awarded a $300,000 grant to support the development of Patrys’ lead clinical candidate PAT-SM6. Tissue Therapies (TIS) VitroGro Treatment of venous ulcers Tissue Therapies has received positive final results from the Australian human trial of VitroGro. Unilife (UNI) Unitract 1mL Syringe Successful completion of device ageing studies for product manufactured at FDA-registered manufacturing facility in Pennsylvania. Viralytics (VLA) Cavatak Anti-cancer therapy A major NSW hospital has been named as a second site to trial a late stage anti-cancer therapy. Virax Holdings (VHL) VIR201 HIV immunotherapeutic vaccine Virax Holdings has received a positive review from the second meeting of the Data Safety Monitoring Board for the Southern African trial of VIR201. Other 34 | PricewaterhouseCoopers 14 Company Product Biotechnology Application Comments Total 24 Acrux (ACR) Ellavie Estradiol spray Acrux has been advised by the Therapeutic Goods Association (TGA) that approval of Ellavie for marketing in Australia will require additional supporting data. Analytica (ALT) AutoStart Burette Intravenous fluid infusion The FDA has accepted a Pre-market Notification application for the Analytica device. Analytica (ALT) AutoStart Burette Intravenous fluid infusion Analytica’s Pre-market Notification application for the AutoStart Burette is still under the FDA’s consideration. Antisense Therapeutics (ANP) ATL1103 Acromegaly and diabetic retinopathy US Patent Office approved a patent for the ATL1103 compound. Avita Medical (AVH) Not disclosed Not disclosed The Japan Patent Office has granted Avita a Japanese patent for various undisclosed products. Avita Medical (AVH) ReCell Spray-On Skin Wound, burn and chronic skin defect treatment Avita has received FDA approval to begin its clinical trial for ReCell Spray-On Skin. Benitec (BLT) Not disclosed HIV Benitec has secured intellectual property rights that underpin its second HIV therapeutic program. Bone Medical (BNE) Capsitonin Treatment of osteoarthritic pain Bone Medical has filed an Investigational New Drug application with the FDA. ChemGenex Pharmaceuticals (CXS) Omapro Chronic myeloid leukaemia (CML) The FDA has accepted the company’s New Drug Application for Omapro. ChemGenex Pharmaceuticals (CXS) Omacetaxine mepesuccinate Treatment of chronic myeloid leukaemia (CML) European Medicines Agency has determined that the Marketing Authorisation Application for omacetaxine mepesuccinate is valid. Clinuvel Pharmaceuticals (CUV) Afamelanotide Sun-induced solar urticaria The company’s photoprotective drug Afamelanotide has been granted orphan drug designation by the FDA. CSL (CSL) Berinert Hereditary angioedema The FDA has approved the company’s Berinert product, which treats abdominal or facial attacks of hereditary angioedema. Genera Biosystems (GBI) PapType Human papillomavirus detection and genotyping test Genera Biosystems has submitted an application for PapType to be approved by the TGA. HalcyGen Pharmaceuticals (HGN) SUBA-Itraconazole Anti-fungal HalcyGen has received approval from the UK Medicines and Healthcare Products Regulatory Agency for a pharmacokinetic study in the UK. Living Cell Technologies (LCT) Xenotransplantation Life threatening diseases Living Cell Technology intends to expand its clinical trial program in Australia following lifting of a ban on xenotransplantation by the National Health and Medical Research Council. NuSep (NSP) SpermSep Assisted Reproductive Technology (ART) treatments Australian patent for SpermSep has been granted. Pharmaxis (PXS) Aridol Asthma management The FDA has determined that Pharmaxis’ New Drug Application for Aridol cannot be approved in its current form. Pharmaxis (PXS) Bronchitol Bronchiectasis The company has withdrawn its marketing application to the TGA for the use of Bronchitol to treat bronchiectasis. Pharmaxis (PXS) Bronchitol Cystic fibrosis An application to market Bronchitol for the treatment of cystic fibrosis has been submitted to the TGA. Prima BioMed (PRR) CVac Ovarian cancer treatment A Prima BioMed subsidiary has been granted a patent for its CVac therapeutic cancer vaccine, expiring in 2016. Stirling Products (STI) ProVale beta glucan Not disclosed Stirling Products has been granted a patent for its ProVale beta glucan by the South African Patents office. Tissue Therapies (TIS) VitroGro Wound healing, tissue regeneration and stem cell therapies US Patent and Trademark Office has granted a second core patent for VitroGro. Virax Holdings (VHL) TG4010 / Co-X-Gene Lung cancer treatment The FDA has granted a French licensee of Virax’s Co-XGene technology fast track development designation for its TG4010 treatment. Virax Holdings (VHL) VIR201 HIV therapeutic vaccine Patent application for VIR201 has been submitted. Total 15 Medical Devices Advanced Surgical Design & Manufacture (AMT) Active Knee Knee replacement Flagship product has been granted Class III CE mark approval. Active Knee is now fully compliant with the revised EU Medical Device Directive. BioMD (BOD) Adapt Tissue engineering process Biocompatibility testing of Adapt biomaterial has commenced at NASMA testing facility. Testing required as part of regulatory submissions to TGA/FDA/CE in late 2010. BioForum: October – December 2009 | 35 Announcements – Australia Regulatory Company Product Application Comments Compumedics (CMP) SomniLink SPAP Sleep treatment device The SPAP device has been introduced into the Australian market. Ellex Medical Lasers (ELX) Eye Cubed diagnostic ultrasound system Diagnostic ultrasound system The company has created another version of the Eye Cubed diagnostic ultrasound system. HeartWare International (HIN) Ventricular Assist System (HVAD) Bridge-to-transplant trial HeartWare has received approval from the FDA to expand the number of clinical sites participating in its US bridge-totransplant trial. HeartWare International (HIN) Ventricular Assist System (HVAD) End-stage heart failure therapy HeartWare International has filed a submission for an Investigational Device Exemption with the FDA. ImpediMed (IPD) L-Dex technology Lymphoedema An application for a Category 1 Current Procedural Terminology Code has been filed with the American Medical Association. ITL (ITL) TEGOTM Animal blood collection kit for livestock ITL has launched the TEGOTM blood collection device. KarmelSonix (KSX) PulmoTrack WheezoMeter Lung sound recorder KarmelSonix has announced that its products have been licensed by Health Canada’s Therapeutic Products Directorate. KarmelSonix (KSX) WheezeRATE Treatment of asthma American College of Chest Physicians’ Clinical Practice Committee has submitted an application to the American Medical Association for a Category III CPT code. MediVac (MDV) SunnyWipes Sanitisation A subsidiary has received licences from the Natural Health Products Directorate of Health Canada to sell its range of all-natural hand sanitising gels and hard surface wipes. SomnoMed (SOM) SomnoDent MAS oral appliance Treatment of sleep disordered breathing Japanese authorities have granted SomnoMed an import licence for the SMH BFlex material. Unilife Medical Solutions (UNI) Unifill syringe Injection Unilife has filed international trademarks for its Unifill product. Unilife Medical Solutions (UNI) Unifill Select Ready-to-fill syringe Several US patent applications have been submitted for Unifill. Universal Biosensors (UBI) Not disclosed Blood glucose monitoring Initial regulatory clearance has been granted for UBI’s product, developed in conjunction with LifeScan, a subsidiary of Johnson & Johnson. 36 | PricewaterhouseCoopers Company Product Biotechnology Application Comments Total 28 Acuvax (ACU) Acuvax has appointed Andrew Bursill as company secretary. Agenix (AGX) Agenix has appointed Graeme Tyshing to the role of CFO. Agenix (AGX) Shanghai Rui Gang Bio-Pharma Development Company has failed to pay Agenix the $7m it owed as a result of a settlement regarding Agenix’s bio-pharmaceutical investments in China. Agenix is seeking further advice thereon. Ascent Pharmahealth (APH) Ravi Seth has resigned as non-executive director and has been replaced by T.S. Rangan. Avexa (AVX) Lawrence Gozlan has resigned from the board. Bionomics (BNO) Trevor Thiele has been appointed chief financial officer and company secretary. BioPharmica (BPH) The company has changed its name to BPH Corporate. BioProspect (BPO) BioProspect has appointed Charles Pellegrino as managing director and Peter May as chief operating officer. Biotron (BIT) BIT225 Hepatitis C Biotron’s drug development program has been highlighted in a recent edition of Proceedings of the National Academy of Sciences of the United States of America. ChemGenex Pharmaceuticals (CXS) Greg Collier (CEO of ChemGenex) has received the AusBiotech 2009 Excellence Award for outstanding individual contribution to the biotechnology industry. CSL (CSL) Brian McNamee will continue as CEO and managing director for at least three to four years. Peter Turner has been appointed as chief operating officer. Gordon Naylor will replace Tony Cipa as chief financial officer in October 2010. Cytopia (CYT) The company announced the retirement from the board of Roderick Lyle, a non executive director. Genetic Technologies (GTG) Genetic Technologies has appointed Malcolm Brandon as a non-executive director. Genetic Technologies (GTG) Fred Bart has resigned as a director of the company and has been replaced by Tommaso Bonvino. Hexima (HXL) Hexima has announced the reappointment of Steven Skala as chairman. Immuron (IMC) Dr Elane Zelcer has been appointed as a director of the company. Medical Therapies (MTY) Medical Therapies has appointed Robin Beaumont as a non-executive director of the company. Neuren Pharmaceuticals (NEU) Dr John Holaday has been appointed to the board. Novogen (NRT) CEO and managing director Christopher Naughton has ceased employment with the company. David Seaton, Novogen’s CFO, has been appointed acting CEO until a replacement is found. Prima BioMed (PRR) Prima BioMed has appointed Dr Neil Frazer as chief medical officer. Progen Pharmaceuticals (PGL) Dr John Chiplin has been appointed interim chief executive officer. Rockeby Biomed (RBY) The company’s resolution to delist was approved at a shareholder meeting in November 2009. The ASX has resolved to remove the company from the list no earlier than 27 December 2009. SciGen (SIE) Adam Allerhand has resigned as charmain, CEO and director of the company. Ryszard Krauze has been appointed as the new chairman. Slawomir Ziegert has been appointed as new CEO and as a director of the company. Non-executive directors Janusz Guy and Waldemar Krzewski have resigned. Amol Shah and Mateusz Kosecki were appointed as non-executive directors. Martin Cooper and Jenny Low were appointed as executive directors. Sirtex Medical (SRX) Michael Mangano has been appointed president of Sirtex Medical in the US. He replaces Dr John Reddington. Solagran (SLA) David Croll has been appointed chief financial officer. BioForum: October – December 2009 | 37 Announcements – Australia Other news Company Product Application Comments Stirling Products (STI) Stirling has negotiated an acquisition of a new fully equipped and licensed pharmaceutical manufacturing facility in Canada from an administrator of a Canadian listed company. Stirling Products (STI) Appointment of Bob Pritchard as specialist product, brand and marketing consultant. Viralytics (VLA) Professor Flossie Wong-Staal has been appointed to the Clinical and Scientific Advisory Board of Viralytics. Medical Devices Total 19 ATOS Wellness (ATW) ATOS Wellness has appointed Johnson Teh as a nonexecutive director. BrainZ Instruments (BZI) James Robinson has been appointed company secretary, following the resignation of Ian Hadwin as secretary and Keith Aitchison as director. Clover Corporation (CLV) Andrew Beeson has been appointed as CFO. CogState (CGS) Lauren Delaney has been appointed as company secretary. Compumedics (CMP) Compumedics’s Germany based DWL business has been awarded a $200,000 grant from the German Government. Fermiscan Holdings (FER) Greg West has been appointed as company secretary of Fermiscan. Fermiscan Holdings (FER) Fermiscan’s administrator has provided memoranda of information to certain interested parties for the purchase of intellectual property, plant, equipment and business undertakings of Fermiscan. ImpediMed (IPD) ImpediMed has announced the appointment of Alden Kay as the VP of Quality and Regulatory at ImpediMed. ImpediMed (IPD) Donald Myll has been appointed as CFO. Labtech Systems (LBT) LabTech Systems has changed its name to LBT Innovations. Medic Vision (MVH) Justyn Stedwell has replaced Jitto Arulampalam as company secretary. Occupational & Medical Innovations (OMI) Loan agreements executed with Chelsea Printing and other undisclosed parties to obtain further working capital. OMI has also received litigation funding support from its US lawyers, Howrey LLP, in relation to claims made by Retractable Technologies Inc. Occupational & Medical Innovations (OMI) Unfavourable jury verdict rendered in US District Court case regarding claims made by Retractable Technologies Inc. The company is seeking advice regarding post verdict motions. Occupational & Medical Innovations (OMI) OMI was suspended from official quotation on the ASX during the quarter following an adverse audit opinion as to whether the company could continue as a going-concern. Occupational & Medical Innovations (OMI) The board has appointed David Simpson and Terrence Rose of SV Partners as voluntary administrators. Sunshine Heart (SHC) Sunshine Heart has announced the retirement of Don Rohrbaugh, who has been CEO for the past seven years and has been a director of the company. Sunshine Heart C-Pulse Heart assist system Expansion in number of sites implanting C-Pulse. Hospital approval anticipated in 2010. Unilife Medical Solutions (UNI) Unilife has obtained Australian Federal Court approval to convene security holder meetings to vote on a proposal to re-domicile the company to the US. Uscom (USC) Professor David Bennett has been appointed to the Uscom Medical Advisory Board. 38 | PricewaterhouseCoopers Announcements – Australia BioForum: October – December 2009 | 39 40 | PricewaterhouseCoopers Announcements – US USA Announcements Announcements – US BioForum: July – September 2009 | 41 Partnerships Company Pharma/biotech partner Application Value (US$m) Total 7 Acronet Corp Richmond Pharmacology Clinical research Not disclosed Strategic alliance to assist Japanese pharmaceutical firms and bioventures to conduct early phase clinical trials in Europe. As a result, Acronet is now in a position to offer clinical research services to Japanese companies. Applied NeuroSolutions Eli Lilly and Co Alzheimer’s disease $750k upfront plus potential $25.5m The companies have increased the scope of their Alzheimer’s disease drug discovery collaboration agreement. Additional value dependent on achieving milestones. Generex Biotechnology Sanofi-Aventis Deutschland Human insulin crystals Not disclosed Long term agreement for Sanofi-Aventis to manufacture recombinant human insulin crystals for a proprietary Generex product. GlaxoSmithKline NanoBio Cold sore treatment $14.5m The company has licensed a developing OTC cold sore treatment from NanoBio. Pfizer Protalix Biotherapeutics Guacher’s disease $60m Pfizer has signed an agreement for the rights to Protalix’s experimental drug for a rare metabolic disorder. Theraclone Sciences Zenyaku Kogyo Co Pandemic influenza treatment Not disclosed Strategic alliance formed to research and discover broadly protective monoclonal antibodies for the treatment of pandemic influenza and severe seasonal influenza. Unigene Laboratories Tarsa Therapeutics Phase III oral calcitonin program Not disclosed The company has licensed its phase III oral calcitonin program to Tarsa Therapeutics. Biotechnology Medical Devices Total Comments 3 Biomoda Christiana Care Health Systems’s Helen F Graham Cancer Center Lung cancer diagnostics Not disclosed The companies have entered into an agreement whereby Christiana Care will recruit a cohort of patients diagnosed with lung cancer to participate in the final stage of its phase II clinical study. Neurowave Medical Technologies Alaven Pharmaceutical Pregnancy related vomiting and nausea Not disclosed The companies have entered into an exclusive licensing agreement allowing Alaven to commercialise a patented Neurowave neuromodulation pulse generator device. Stellartech Research Corp OrthoMEMS Measurement of spinal disc pressures Not disclosed Strategic alliance to deliver a miniature implanted sensor in the spine through the design and development of a custom external reader device for non-invasively reading measurements made by the OrthoChip, a miniature, battery-less, wireless pressure sensor. 42 | PricewaterhouseCoopers Dominant company Target company Type of deal Value (US$m) Comments Total 20 Adamis Pharmaceuticals Corp La Jolla Pharmaceutical Co Merger $16.4m Adamis definitively agreed to merge with La Jolla Pharmaceutical in a reverse stock swap transaction. Almirall Prodesfarma SA Ironwood Pharmaceuticals Acquisition $15m Almirall Prodesfarma agreed to acquire an undisclosed minority stake in Ironwood Pharmaceuticals. Azimuth Opportunity MAP Pharmaceuticals Acquisition $60m Azimuth agreed to acquire 9.9% of MAP Pharmaceuticals. Biotechnology BioMarin Pharmaceutical Huxley Pharmaceuticals Acquisition $43.5m BioMarin acquired Huxley Pharmaceuticals. Boehringer Ingelheim Wyeth - Fort Dodge Animal Health Acquisition Not disclosed Boehringer Ingelheim acquired the Fort Dodge Animal Health business from Wyeth. BQ Acquisition Corp Bio-Quant Acquisition $2.78m BQ Acquisition Corp, a wholly-owned subsidiary of NexMed, acquired Bio-Quant, a provider of biotechnology services. Celgene Corp Gloucester Pharmaceuticals Acquisition $640m Celgene Corp definitively agreed to acquire Gloucester Pharmaceuticals, a Cambridge-based biotechnology company. Cubist Pharmaceuticals Calixa Therapeutics Acquisition $402.5m Cubist Pharmaceuticals acquired Calixa Therapeutics. Entest BioMedical Therinject Acquisition Not disclosed Entest BioMedical signed a letter of intent to acquire Therinject, a biotechnology research company. Myriad Pharmaceuticals Javelin Pharmaceuticals Acquisition $96m Myriad Pharmaceuticals definitively agreed to acquire Javelin Pharmaceuticals in a stock swap transaction. Ondine Biopharma Advanced Photodynamic Technologies Acquisition $0.43m Ondine Biopharma acquired Advanced Photodynamic Technologies. OXiGENE VaxGen Acquisition $22.2m OXiGENE definitively agreed to acquire VaxGen in a stock swap transaction. Pensa Pharma SA Breckenridge Pharmaceuticals Acquisition Not disclosed Pensa Pharma acquired Breckenridge Pharmaceutical. Pillar Capital Medico Labs Acquisition Not disclosed Pillar Capital acquired Medico Labs. Sana Pharma AS Immunocorp Acquisition $5.4m Sana Pharma AS acquired Immunocorp, a California- based manufacturer of pharmaceuticals. Sciele Pharma Addrenex Pharmaceuticals Acquisition $29m Sciele Pharma agreed to acquire the remaining interest in Addrenex Pharmaceuticals. Sigma Tau Finanziaria SpA Enzon Pharmaceuticals Acquisition $327m Sigma Tau Finanziaria definitively agreed to acquire the specialty pharmaceutical business of Enzon Pharmaceuticals. Teva Pharm Inds OncoGenex Pharmaceuticals Pending $430m Teva Pharmaceutical Industries agreed to acquire OncoGenex Pharmaceuticals, a manufacturer and wholesaler of pharmaceuticals. Tolmar Holdings QLT USA Acquisition $230m Tolmar Holdings acquired QLT USA, a Californiabased biopharmaceutical company. Westaim Corp Nucryst Pharmaceuticals Corp Acquisition $8.1m Westaim agreed to acquire the remaining 25% stake in Nucryst Pharmaceuticals. Medical Devices Total 22 AxioMed Spine Corp Not disclosed Divestment Not disclosed AxioMed Spine, a manufacturer of spinal implants, divested a 5% equity stake. Becton Dickinson & Co HandyLab Acquisition $275m Becton Dickinson & Co acquired HandyLab. Biomet Cartilix Acquisition Not disclosed Biomet acquired Cartilix, a manufacturer of tissue repair technology. Cardo Medical Vertebron Acquisition $1.3m Cardo Medical acquired bankrupt Vertebron, a manufacturer of spinal implant technology. Castillo TechniScan Merger Not disclosed Castillo merged with TechniScan, a manufacturer and wholesaler of breast imaging systems. Cell Biosciences Protein Forest Acquisition Not disclosed Cell Biosciences acquired Protein Forest, a manufacturer of proteomics tools. Circle Medical Devices Texcel Medical Merger Not disclosed Circle Medical Devices merged with Texcel Medical. The merged entity was renamed Cirtec Medical Systems. BioForum: October – December 2009 | 43 Announcements – US Mergers, acquisitions and divestments Dominant company Target company Type of deal Value (US$m) Comments Clarient Applied Genomics Acquisition $18.9m Clarient acquired Applied Genomics, a manufacturer of diagnostic technologies. Ethicon Acclarent Merger US$785m Ethicon, a subsidiary of Johnson & Johnson, definitively agreed to merge with Acclarent. Facet Solutions Archus OrthoArchus Orthopedics Acquisition Not disclosed Facet Solutions acquired a manufacturer of spinal implants. Fresenius Medical Care AG & Co National Quality Care Acquisition $8m Fresenius Medical Care definitively agreed to acquire National Quality Care, a manufacturer of artificial kidneys. GE Healthcare Living Independently Group Acquisition Not disclosed GE Healthcare acquired the remaining interest in Living Independently, a manufacturer of passive monitoring systems. Gen-Probe Prodesse Acquisition $85m Gen-Probe acquired Prodesse, a manufacturer of diagnostic test kits. Hospira TheraDoc Acquisition Not disclosed Hospira acquired TheraDoc, a developer of medical surveillance systems. Knee Creations Not disclosed Divestment Not disclosed Knee Creations divested a 21% equity stake. Life Technologies Corp Biotrove Acquisition $120m Life Technologies acquired BioTrove, a manufacturer of laboratory analytical instruments. Medical Imaging Holdings Acoustic Marketing Research Acquisition $8m Medical Imaging Holdings acquired Acoustic Marketing Research. Nexus Biosystems Aurora Biotechnologies Acquisition Not disclosed Nexus Biosystems acquired a manufacturer of microplates. SAIC Spectrum San Diego Acquisition $13.5m SAIC agreed to acquire a majority interest in a manufacturer of electronic imaging systems. Seaside 88 Advisors Nephros Acquisition $2m Seaside 88 Advisors agreed to acquire a 5.66% stake in a New York-based manufacturer of medical devices and equipment. Sonova Holding AG Advanced Bionics Corp Acquisition $489m Sonova Holding AG acquired Advanced Bionics Corp, a manufacturer and wholesaler of cochlear implant devices. Welltek MedX Systems Merger $21m Welltek merged with MedX Systems in a shareexchange transaction. 44 | PricewaterhouseCoopers Company Drug Application Comments Pharming Group NV rhC1INH Ischemic brain injury Pre-clinical studies have demonstrated a benefit in using rhC1INH in ischemic brain injury. PulmoBiotech PulmoBind Pulmonary vascular diagnosis The company has successfully completed the experimental work necessary for approval to commence phase I clinical trials. Total 3 Pre-clinical 2 Phase I PolyMedix PMX-30063 Acute cardiovascular disorders and infectious diseases The company has completed the first two segments of its phase Ib clinical trial of PMX-30063, with results showing the drug is safe and well-tolerated at varying levels. PolyMedix Heparin Antagonist PMX-60056 Infectious diseases and acute cardiovascular disorders The company has successfully completed its phase 1B clinical study of Heparin Antagonist PMX-60056. Soligenix SGX201 Acute radiation enteritis prevention The company has initiated a phase I/II clinical study of SGX201. Total 6 Phase II Argos Therapeutics Arcelis HIV Program HIV-1 treatment The company’s phase IIa proof-of-concept trial has shown favourable immune response, viral load and safety data. BioDelivery Sciences International BEMA Buprenorphine Pain management The primary efficacy endpoint was achieved in a phase II pain study of BEMA Buprenorphine. BioModa CyPath Early stage lung cancer diagnostics The company has entered into an agreement with Christiana Care Health System’s Helen F. Graham Cancer Center to recruit patients diagnosed with lung cancer to participate in the final stage of its phase II clinical study. ProChon Biotech BioCart Cartilage Regeneration System Cartilage regeneration The company has expanded its phase II clinical trial to have 10 study sites in the US and Israel. Raptor Pharmaceutical Delayed-release cysteamine Non-alcoholic steatohepatitis (liver disease) Preliminary results indicate that the liver disease treatment met its primary endpoint in a mid-stage trial. Ziopharm Oncology Zymafos Unresectable or metastatic soft-tissue sarcoma The company met a key efficacy goal in a mid-stage trial. Enrolment in the trial has now stopped. Phase III Total 19 Affymax Hematide Erythopoiesis stimulating agent The independent Data Monitoring Committee has completed its final review of the phase III Hematide program, with cumulative safety data generated thus far supporting the continuation of the studies. Biomoda CyPath Early-stage lung cancer The company is taking preliminary steps to launch multisite phase III clinical trials of CyPath, its in-vitro diagnostic for early stage lung cancer. Biovail Pimavanserin Parkinson’s disease psychosis The company’s phase III study did not meet its primary end point. Celsion Corporation and Yakult Honsha ThermoDox Hepatocellular carcinoma The first patient has been treated in Japan as part of Celsion’s global phase III ThermoDox Heat trial for the treatment of primary liver cancer. The study is enrolling patients in 11 countries for its 600 patient clinical trial. Delcath Systems Delcath PHP System Delivery of anti-cancer drugs The company’s phase III study for its PHP System is fully enrolled. Depomed Serada Treatment of menopausal hot flashes Two phase III clinical trials evaluating the safety and efficacy of Serada have produced varying results. Depomed DM-1796 Postherpetic neuralgia Positive results from the company’s phase III clinical trial demonstrate a statistically significant reduction in pain associated with postherpetic neuralgia. Dynavax Technologies Heplisav Hepatitis B vaccination in chronic kidney disease patients Clinical data shows increased protection rate against hepatitis B viral infection in chronic kidney disease patients. Emisphere Technologies Eligen Osteoporosis and osteoarthritis The independent Data Monitoring Committee has recommended that the company proceed with phase III clinical trials exploring the safety and efficacy of Oral Salmon Calcitonin using its Eligen drug delivery technology. Genta Genasense Injection Advanced melanoma Preliminary results from phase III clinical trials did not show a statistically significant benefit for its co-primary endpoint of progression-free survival. Genzyme FluCAM (Fludara in combination with Campath) Chronic lymphocytic leukaemia Phase III clinical trial results demonstrate that FluCAM significantly reduced the risk of disease progression or death compared with single-agent Fludara. LifeCycle Pharma LCP-Tacro De novo kidney transplants The company has submitted the protocol for its phase III clinical trial to the FDA and expects enrolment to commence in mid 2010. BioForum: October – December 2009 | 45 Announcements – US Clinical trials Company Drug Application Comments Neoprobe Lymphoseek Breast cancer and melanoma The company has completed phase III clinical trials with positive results. Pacira Pharmaceuticals Exparel (DepoBupivacaine) Analgesic for patients undergoing bunionectomy The phase III clinical study of Exparel achieved the primary pain relief endpoint. Pico-Tesla Resonator System using Magneceutical Therapy Parkinson’s disease The company has commenced phase III clinical trials of its Resonator System, which uses its proprietary Magneceutical therapy to treat Parkinson’s disease patients. Soligenix orBec Acute gastrointestinal Graft-versus-Host disease The company has initiated enrolment in its phase III clinical trial of orBec. Spinal Restoration Biostat Chronic discogenic low back pain The company has reached an agreement with the FDA concerning the design of its phase III study of Biostat. Transdel Pharmaceuticals Ketotransdel Acute soft tissue injuries Phase III clinical study results were positive for the lead topical pain drug Ketotransdel. Vical Allovectin-7 Metastatic melanoma An independent Safety Monitoring Board has completed the third safety analysis in the phase III trial and recommended the trial continue. Total 17 Other Avedro Keraflex Keratoconus treatment The company has initiated clinical trials for Keraflex, with significant corneal flattening and improved visual outcomes demonstrated from initial results. Biogen Idec and Elan Tysabri Crohn’s disease Three late-stage clinical trials have returned positive results, reducing hospitalisations of people with Crohn’s disease. Boston Scientific Promus and Taxus Express2 Stents Diabetes One year data from the Spirit IV clinical trial comparing Promus and Taxus support the benefits of paclitaxelexulting stents in diabetic patients. Cohera Medical TissuGlu Surgical adhesive product The first patient has been treated in a clinical study of TissuGlu, a surgical adhesive. CVRx Rheos Therapy Cardiovascular disease The company has enrolled its first patient in a clinical study evaluating the use of its Rheos Therapy as a nonpharmaceutical approach to heart failure treatment. EnteroMedics Maestro Obesity and gastrointestinal disorders Preliminary findings from an Empower study of the company’s Maestro system did not meet primary or secondary efficacy endpoints, but met all safety endpoints. GeneNews ColonSentry Colorectal cancer test The company has published positive validation data for its ColonSentry colorectal cancer test in the International Journal of Cancer. Gilead Sciences and GlaxoSmithKline AMBrIsentan and Tadalafil Pulmonary arterial hypertension (PAH) The companies will undertake a phase IV clinical trial, comparing first-line combination therapy and monotherapy for treating PAH. Halozyme Therapeutics Insulin Lispro plus PH20 Enzyme Diabetes Study results show reduced absorption variability when combining insulin lispro with PH20 enzyme, compared to single-agent lispro. Human Genome Sciences Benlysta Lupus treatment Positive results were obtained from the company’s second trial of Benlysta. The company now expects to obtain approval to begin production. IRIS International NADiA ProsVue Identification of postprostatectomy patients with low risk of prostate cancer recurrence The company has initiated a retrospective clinical study to assess whether NADiA ProsVue can be used to prognosticate post radical prostatectomy patients with low risk of prostate cancer recurrence. Medtronic Medtronic Deep Brain Stimulation Therapy Severe Epilepsy Long term data from an investigational study of Medtronic Deep Brain Stimulation Therapy for epilepsy has shown improvement with mid-point reduction in seizure frequency, in conjunction with antiepileptic medication. Medtronic Melody Transcatheter Pulmonary Valve Congenital Heart Disease Clinical trial results published in the Journal of the American College of Cardiology show encouraging results. Medtronic Infuse Bone Graft Bone grafting A recent study has shown the effectiveness of Infuse Bone Graft when used in maxillary sinus floor augmentation and dental restoration. Medtronic Resolute ZotarolimusEluting Coronary Stent Drug-eluting stent Clinical data in long-term follow-up shows strong and sustained efficacy and safety of the company’s Resolute drug-eluting stent. Shire Intuniv Attention deficit/hyperactivity disorder (ADHD) A study has demonstrated that Intuniv extended release tablets cause significant ADHD symptom reduction. TargeGen JAK2 Inhibitor TG101348 Myelofibrosis The company has successfully completed a multicentre clinical trial of its JAK2 Inhibitor. 46 | PricewaterhouseCoopers Regulatory Drug Biotechnology Application Comments Total 47 Acorda Therapeutics Fampridine Multiple sclerosis An FDA panel has recommended that Fampridine be approved for sale for multiple sclerosis treatment. Amylin Pharmaceuticals and Eli Lilly Company Byetta Glycemic control An expanded indication for Byetta, as a standalone medicine for glycemic control, was approved by the FDA. APP Pharmaceuticals Sumatriptan Succinate Injection Acute treatment of migraine attacks The FDA has granted approval for Sumatriptan Succinate Injection, which is therapeutically equivalent to GlaxoSmithKline’s Imitrex. Arena Pharmaceuticals Lorcaserin Not disclosed Arena has applied to the FDA for approval of its drug candidate lorcaserin. AstraZeneca Crestor Heterozygous familial hypercholesterolemia The FDA has approved Crestor for treatment of heterozygous familial hypercholesterolemia in pediatric patients between 10 and 17 years. Baxter International Celvapan H1N1 Influenza vaccine The company has received marketing authorisation from the EMEA. BioMarin Pharmaceutical 3,4-DAP Lambert eaton myasthenic syndrome The FDA has granted orphan drug designation to 3,4-DAP. An EMEA advisory committee has also recommended approval of the drug in Europe. Biomedical RAMP Influenza A/B Assay H1N1 Influenza The FDA has granted the company special clearance to add analytical reactivity information to the RAMP Influenza A/B assay package insert. Cell Therapeutics Pixatrone Diffuse large B-cell lymphoma Pixatrone has been granted orphan drug designation by the EMEA. Cepheid Xpert Flu A Panel Test H1N1 Influenza Cepheid has received Emergency Use Authorisation from the FDA for its Xpert Flu test that identifies H1N1 influenza in under an hour. CombinatoRx and Neuromed Pharmaceuticals Exalgo Not disclosed The FDA has extended its review of the companies’ Exalgo product by three months. Cornerstone Therapeutics Deconsal CT and Deconsal DM Not disclosed The FDA has sent the company a warning letter concerning the marketing of Deconsal chewable tablets without an approved application. Covidien and Nuvo Research Pennsaid Topical Solution Pain management The FDA has approved the companies’ New Drug Application (NDA) for Pennsaid. Cydex Pharmaceuticals Captisol Stabilisation and taste masking of active pharmaceutical ingredients The company has received a patent from the US Patent and Trademark Office for sulfoalkyl ether cyclodextrin. Doctors Research Group Kryptonite Bone Cement Cranioplasty Kryptonite Bone Cement has been granted approval by the FDA to treat cranial defects due to surgery and trauma. Dyax Kalbitor Hereditary angioedema The company has received FDA approval for its treatment of the rare genetic disorder hereditary angioedema. Enzon Pharmaceuticals Pegintron Metastatic melanoma An FDA advisory committee has recommended Pegintron be approved as a treatment in addition to surgery for metastatic melanoma. Generex Oral-lyn Diabetes mellitus The FDA has granted price approval for Oral-lyn under its Treatment Investigational New Drug program. GenVec TNFerade Pancreatic cancer treatment The company’s drug TNFerade has received orphan drug designation by the FDA. Genzyme Lumizyme Pompe disease The company has cancelled its current FDA application to review alternative avenues of producing the drug on a larger scale. Genzyme Clolar Acute myeloid leukaemia The FDA has recommended a randomised, controlled clinical study be conducted for Clolar before approval of Genzyme’s supplemental NDA. Gilead Sciences Aztreonam Cystic fibrosis An FDA advisory committee has recommended the aztreonam for inhalation be approved for lung infections in patients with cystic fibrosis. GlaxoSmithKline Vortient Renal cell carcinoma The FDA has approved Votrient as treatment for patients with an advanced form of kidney cancer. GlaxoSmithKline and Genmab Arzerra Chronic lymphocytic leukaemia Arzerra received accelerated approval and is available for prescription use as a monoclonal antibody. Hemispherx Biopharma Ampligen Autoimmune disease The company has received a complete response letter from the FDA indicating that its NDA for Ampligen cannot be approved in its current form. At least one additional clinical study will be necessary. Human Genome Sciences Joulferon Chronic hepatitis C treatment A marketing authorisation application to approve Joulferon in Europe has been submitted to the EMEA. BioForum: October – December 2009 | 47 Announcements – US Company Company Drug Application Comments Human Genome Sciences Zalbin Hepatitis C The company has filed for marketing approval of Zalbin from the FDA. A licensing partner will submit a similar application to the EMEA. Human Genome Sciences Raxibacumab Anthrax treatment The FDA has requested further information about Raxibacumab before a final decision on the company’s licence application can be made. Hyperbranch Medical Technology NuSeal 30 Hernia treatment The company has received a CE Mark for its NuSeal 30 hernia mesh fixation sealant product. Impax Laboratories Generic Flomax Benign prostatic hyperplasia The company’s abbreviated NDA has been granted tentative approval by the FDA. Isis Pharmaceuticals and Alnylam Pharmaceuticals RNAi Therapeutics Chemically modified RNAcontaining therapeutics The companies have received a Notice of Allowance from the USPTO for their patent application for RNAi Therapeutics. InVivo Therapeutics Not disclosed Spinal cord injury treatment The company is seeking an Investigational Drug Exemption from the FDA to advance to human clinical studies. Keryx Pharmaceuticals and AEterna Zentaris KRX-0401 (Perifosine) Relapsed/refractory multiple myeloma The FDA has granted fast track designation for the company’s pathway inhibitor compound, Perifosine. Mylan Pharmaceuticals Levetiracetam Not disclosed Final approval from FDA for Levetiracetam 1000mg has been received. NeurogesX Qutenza Postherpetic Neuralgia The FDA has approved Qutenza for neuropathic pain management. OSI Pharmaceuticals Tarceva Non-small cell lung cancer The FDA’s Oncologic Drugs Advisory Committee has voted against the approval of the company’s Tarceva drug. Pharmacia & Upjohn Co Bextra, Geodon, Zyvox and Lyrica Various applications A US District Court has imposed a $1.3bn fine and forfeiture on a Pfizer subsidiary for the misbranding of several of its products with intent to defraud or mislead. Proteo Elafin Esophagus carcinoma An EMEA advisory committee has recommended that Elafin be granted orphan drug status. Roche (through subsidiary Genentech) and Biogen Idec Rituxan Rhuematoid arthritis The companies’ application to expand the approved uses of Rituxan to include treatment for patients in the early stages of rheumatoid arthritis has been rejected by the FDA. Spectrum Pharmaceuticals Fusilev Advanced metastatic colorectal cancer Spectrum has received a complete response letter from the FDA stating that the company’s submissions did not indicate that Fusilev is non-inferior to leucovorin. Sunesis Pharmaceuticals Voreloxin Acute myeloid leukaemia The FDA has granted Voreloxin orphan drug designation. Talecris Biotherapeutics Prolastin-C Emphysema Prolastin-C has been approved by the FDA. The Medicines Company Angiox Anticoagulant for patients with heart attacks The EMEA has approved Angiox for patients undergoing emergency heart procedures. Tibotec Therapeutics Intelence (etravirine) Virologic failure with HIV-1 The FDA has granted approval for Intelence, a nonnucleoside reverse transcriptase inhibitor. Tris Pharma OralXR+ Drug delivery technology The FDA has approved two NDAs based on the company’s OralXR+ platform technology, including a liquid stained release product. Vermillon OVA1 Ovarian cancer diagnosis The FDA has approved the company’s OVA1 blood test procedure which will assist decisions as to the kinds of operations required to treat ovarian cancer. Wilmington Pharmaceuticals and Salix Pharmaceuticals Metozolv ODT Acute and recurrent diabetic gastroparesis The FDA has approved Metozolv for use in Catalent Pharma Solutions’ Zydis fast dissolve technology. Total 47 Medical Devices Abbott Diagnostics Architect Immunoassay Analyser Rheumatoid arthritis The FDA has granted the company 510(k) clearance for its Architect product. AdvanDx Staphylococcus Diagnostic Test Staphylococcus aureus and Saureus/ coagulase-negative Staphylococci The company’s Staphylococcus diagnostic test has received FDA approval. Anika Therapeutics Elevess Light Aesthetic dermatology The company’s product Elevess Light has received CE mark approval. Asthmatx Alair System Severe persistent asthma An FDA advisory committee has recommended that the company’s Alair System should be approved with conditions. ATS Medical ATS 3f Enable Aortic Bioprothesis Cardiac surgery The company has received CE Mark approval for its Enable valve, a surgical aortic valve replacement. 48 | PricewaterhouseCoopers Drug Application Comments Avioq Avioq HIV-1 Microelisa System HIV-1 detection The company has received pre-market approval from the FDA for its HIV-1 Microelisa System. BioMimetic Therapeutics Augment Bone Graft Synthetic grafting system for bone regeneration The company has received approval from Health Canada to market its Augment Bone Graft product in Canada. Boston Scientific WallFlex Fully Covered Esophageal Stent Esophageal cancer The company has received 510(k) clearance from the FDA and CE Mark approval. Boston Scientific WallFlex Biliary RXCovered Stent Tumour minimisation The company has received FDA pre-market approval to commercialise its WallFlex Biliary RX-Covered Stent device. Covidien Oral fentanyl citrate (CII) Cancer pain management The FDA has approved the company’s product, which is a generic alternative to Actiq. CryoLife BioFoam Sealing of liver parenchymal tissue The FDA has granted the company an Investigational Device Exemption to begin a human clinical trial for BioFoam surgical matrix. CryoLife SynerGraft Aortic human heart valve The company has received Humanitarian Use Device designation from the FDA. CryoLife CryoValve SG Aortic human heart valve The FDA has granted the company’s CryoValve SG device Humanitarian Use Device designation. DexCom Seven Plus Continuous Glucose Monitoring System Diabetes The company has received a CE Mark for its Seven Plus Continuous Glucose Monitoring System. Diagnostic Hybrids D(3) FastPoint L-DFA Influenza A/B Virus Identification Kit Influenza A/B identification The FDA has granted the company 510(k) clearance for its FastPoint influenza identification product. Diatherix Laboratories Diatherix H1N1 Influenza test H1N1 Influenza The FDA has granted emergency use authorisation for Diatherix H1N1 Influenza test. DUSA Pharmaceuticals Kerastick Krusher Preparation of Levulan Kerastick for Levulan Photodynamic Therapy The company has received FDA approval for its Kerastick Krusher product. Ellipse Technologies Magec Spinal Scoliosis Ellipse’s Magec system has received CE mark approval for non-invasive remote control spine therapy. Endologix IntuiTrak Endovascular abdominal aortic aneurysm repair (EVAR) The FDA has granted an investigational device exemption for the company to begin a clinical trial for a bilateral percutaneous approach to EVAR using IntuiTrak. Fenwal InterSol Storage of donated blood platelets The FDA has granted the company approval to market InterSol platelet additive solution, for use with Fenwal’s Amicus device. Flexible Stenting Solutions FlexStent Femoropopliteal Self Expanding Stent System Stent placement for vascular intervention The company has received conditional investigational device exemption approval from the FDA for its FlexStent system. GI Dynamics EndoBarrier Type 2 Diabetes and Obesity The company has received CE Mark approval for its EndoBarrier gastrointestinal liner system, an investigational, non-surgical medical device. Henry Schein Waterlase MD Removal of subgingival calculi The company has received 510(k) clearance from the FDA for its Waterlase MD product. IVAX Diagnostics Mago 4S Enzyme-linked Immunosorbent Assay System Autoimmune and infectious disease testing The company has filed a 510(k) premarket submission to the FDA for Mago 4S, which is an enhanced version of its existing Mago Plus product for autoimmune and infectious disease testing. Lumenis PolyScope Flexible Endoscope Flexible endoscopes The FDA has granted 510(k) clearance for the PolyScope Flexible Endoscope. Masimo Rainbow SET Acoustic Monitoring Respiration rate monitoring The FDA has cleared the company’s product, Raindow SET Acoustic Monitoring. Merit Medical Systems Merit Laureate hydrophilic guide wire Insertion of catheters The FDA has approved the company’s Merit Laureate hydrophilic guide wire device. NovaPharma NovaMist Oral Spray Technology Insomnia treatment The company has received a Notice of Allowance from the USPTO for a method of treating insomnia that utilises its NovaMist Oral Spray Technology. Onset Medical Corporation SoloPath TransFemoral Endovascular Access Catheter Conduit for the delivery of larger diameter devices The company has received 510(k) clearance from the FDA for its SoloPath device. OraSure Technologies OraQuick Rapid HCV Antibody Test Hepatitis C The company has received CE Mark approval for its OraQuick Rapid HCV Antibody Test. BioForum: October – December 2009 | 49 Announcements – US Company Company Drug Application Comments Ortho Clinical Diagnostics Vitros Anti-HIV 1+2 Assay Detection of antibodies to HIV types 1+2 The company has received FDA approval for the use of its Vitros test on a random access, integrated laboratory testing system. Pathway Medical Technologies Jetstream G2TM NXT Peripheral arterial disease The company has received CE Mark approval for its peripheral atherectomy catheter. Quest Diagnostics Simplexa Influenza A H1N1 test H1N1 Influenza The FDA has issued an emergency use authorisation for Quest Diagnostic’s Simplexa Influenza A H1N1 test. Reverse Medical Corporation ReStore Microcatheter Treatment of neurovascular disorders The company has received conditional investigational device exemption approval from the FDA to begin a neurothrombectomy a clinical study for its ReStore microcatheter. Solace Therapeutics Solace Balloon Non-surgical bladder control The company has received CE Mark approval for its Solace Balloon. Solta Medical re:store Dual Laser System Clearance of pigmentation and other skin conditions The company has received CE Mark approval for its re: store Dual Laser System. Spectranetics VisiSheath Tissue dilation around cardiac leads The FDA has approved VisiSheath, which can be used to help physicians dilate scar tissue around cardiac leads requiring removal. SpectraScience WavSTAT Optical Biopsy System Detection of pre-cancer and cancer in colon and cervix tissue The FDA has approved enhancements to the company’s WavSTAT Optical Biopsy System. St Jude Medical Penta Neurostimulation therapy for chronic pain management The company has received FDA approval of its Penta surgical lead. St Jude Medical Quartet Pacing system for cardiac resynchronisation therapy defibrillators The company’s Quartet device has received CE Mark approval. St Jude Medical Quadripolar pacing system Cardiac resynchronisation therapy defibrillators The company has received CE mark approval for its quadripolar pacing system. St Jude Medical EnSite Velocity Cardiac Mapping System Diagnosis of abnormal heart rhythms The FDA has approved the company’s EnSite Velocity Cardiac Mapping System. Stereotaxis Celsius RMT ThermoCool Catheter Cardiology instrument control systems The company’s Celsius RMT ThermoCool Catheter has received CE Mark approval. SynCardia Companion Driver System Power for pulsatile devices The company’s Companion Driver System has received CE Mark approval to power its CardioWest Total Artificial Heart in Europe. Vascular Solutions and Zerusa Guardian II Hemostasis valve The companies have received 510(k) clearance from the FDA for their Guardian II hemostasis valve. W.L. Gore & Associates Gore Tag Thoracic Endoprothesis Thoracic aortic aneurysms, traumatic aortic transections and thoracic aortic dissections The company has received CE Mark approval for its Gore Tag device. Wright Medical Group Conserve Plus Total Hip Resurfacing System Total surface arthroplasty The FDA has granted marketing approval for Conserve Plus, a bone-conserving alternative to traditional hip replacement. 50 | PricewaterhouseCoopers Announcements – US BioForum: October – December 2009 | 51 52 | PricewaterhouseCoopers Appendix Appendix BioForum: July – September 2009 | 53 Companies in the PwC Life Sciences Index Med Device Closing Mcap (A$m) AMT ADVANCED SURGICAL DESIGN & MANUFACTURE LIMITED ADO ANTEO DIAGNOSTICS LIMITED AQL AQUACAROTENE LIMITED ACG ATCOR MEDICAL HOLDINGS LIMITED ATW ATOS WELLNESS LTD AYX AUSTOFIX GROUP LIMITED BOD BIOMD LIMITED BRC BRAIN RESOURCE COMPANY LIMITED (THE) BZI BRAINZ INSTRUMENTS LIMITED CXD CLV COH COCHLEAR LIMITED CGS CMP Quarterly return 21.18 63% 2.80 -22% 2.93 -6% 18.57 15% 2.86 -63% 14.24 37% 5.41 -40% 27.51 9% 2.28 15% CATHRX LTD 43.54 65% CLOVER CORPORATION LIMITED 40.47 23% 3,892.22 3.5% COGSTATE LTD 20.72 29% COMPUMEDICS LIMITED 29.01 -3% CBB CORDLIFE LIMITED 59.62 40% CYC CYCLOPHARM LIMITED 18.81 41% EMS EASTLAND MEDICAL SYSTEMS LTD 26.67 15% ELX ELLEX MEDICAL LASERS LIMITED 15.28 0% GBI GENERA BIOSYSTEMS LIMITED 48.99 -1% HIN HEARTWARE INTERNATIONAL, INC IAT IATIA LIMITED IPD ITD 479.67 7% 3.96 29% IMPEDIMED LIMITED 85.04 18% ITL LIMITED 10.40 -1% KSX KARMELSONIX LIMITED 25.80 -34% LBT LABTECH SYSTEMS LIMITED 11.93 -20% MVH MEDIC VISION LIMITED 3.68 -22% MLA MEDICAL AUSTRALIA LIMITED 10.40 0% MOD MEDICAL CORPORATION AUSTRALASIA LIMITED 5.48 0% MGZ MEDIGARD LIMITED 7.38 -17% MDV MEDIVAC LIMITED 12.32 -27% MDG MEDTECH GLOBAL LIMITED NAN NANOSONICS LIMITED NDL NEURODISCOVERY LIMITED OBJ OBJ LIMITED OIL OPTISCAN IMAGING LIMITED RMD RESMED INC SFP SAFETY MEDICAL PRODUCTS LIMITED SOM SOMNOMED LIMITED 33.01 43% SHC SUNSHINE HEART, INC. 20.49 -19% TDX TYRIAN DIAGNOSTICS LIMITED 7.98 -30% UNI UNILIFE MEDICAL SOLUTIONS LIMITED 278.54 -34% UBI UNIVERSAL BIOSENSORS, INC. 290.66 31% UCM USCOM LIMITED 29.26 -18% 5.01 0% 144.17 35% 2.01 2% 32.58 480% 10.69 -25% 4,444.99 14% 3.34 -16% Pharma and Biotech ACR ACRUX LIMITED ACW ACTINOGEN LIMITED 349.63 28% 1.99 -17% ACU AGX ACUVAX LIMITED 11.09 -26% AGENIX LIMITED 8.42 ACL 0% ALCHEMIA LIMITED 136.98 31% ALT ANALYTICA LIMITED 14.90 110% ANP ANTISENSE THERAPEUTICS LIMITED 32.41 10% AOP APOLLO CONSOLIDATED LIMITED 4.85 -75% APH ASCENT PHARMAHEALTH LTD 52.38 -11% AVX AVEXA LIMITED 114.43 35% AVH AVITA MEDICAL LTD 17.18 -3% BLT BENITEC LIMITED 13.71 -17% BDM BIODIEM LIMITED 17.57 15% BNO BIONOMICS LIMITED BPH 119.15 39% BIOPHARMICA LIMITED 25.39 -23% BPO BIOPROSPECT LIMITED 19.03 70% BOS BIOSIGNAL LIMITED BTA BIOTA HOLDINGS LIMITED 54 | PricewaterhouseCoopers 3.00 0% 431.27 -12% Closing Mcap 10.88 Quarterly return -32% 13.02 -3% 9.04 -9% BNE BONE MEDICAL LIMITED CZD CALZADA LIMITED CST CELLESTIS LIMITED CDY CELLMID LIMITED CXS CHEMGENEX PHARMACEUTICALS LTD 278.72 34% CIR CIRCADIAN TECHNOLOGIES LIMITED 31.67 -17% CUV CLINUVEL PHARMACEUTICALS LIMITED 81.85 -19% CTE CRYOSITE LIMITED CSL CSL LIMITED CYT GEN GTG GENETIC TECHNOLOGIES LIMITED GIA GIACONDA LIMITED HGN HALCYGEN PHARMACEUTICALS LIMITED HTX HEALTHLINX LIMITED 10.79 -1% HXL HEXIMA LIMITED 38.15 -13% HCT HOLISTA COLLTECH LIMITED4 18.79 -24% IMC IMMURON LIMITED 23.11 14% IMU IMUGENE LIMITED 12.64 -35% ICV INCITIVE LIMITED 3.57 -22% IDT INSTITUTE OF DRUG TECHNOLOGY AUSTRALIA LIMITED 60.24 -21% LCT LIVING CELL TECHNOLOGIES LIMITED 59.96 -6% MVP MEDICAL DEVELOPMENTS INTERNATIONAL LIMITED MSB MESOBLAST LIMITED NEU NEUREN PHARMACEUTICALS LIMITED 13.03 3% NRT NOVOGEN LIMITED 60.76 -18% NSP NUSEP LIMITED 6.50 56% PAB PATRYS LIMITED 23.28 -14% PAA PHARMAUST LIMITED 11.21 -18% PXS PHARMAXIS LTD POH 314.42 -3% 11.08 26% 7.00 0% 18,970.21 -3% CYTOPIA LIMITED 8.89 -13% GENESIS RESEARCH AND DEVELOPMENT CORPORATION LIMITED 1.57 0% 15.74 -24% 3.53 -22% 94.99 47% 9.69 9% 190.86 32% 595.87 13% PHOSPHAGENICS LIMITED 50.30 -29% PYC PHYLOGICA LIMITED 31.83 23% PBT PRANA BIOTECHNOLOGY LIMITED 35.07 -36% PRR PRIMA BIOMED LTD 96.04 -14% PCC PROBIOMICS LIMITED 6.47 83% PBP PROBIOTEC LIMITED PGL 135.32 0% PROGEN PHARMACEUTICALS LIMITED. 13.59 -12% PVA PSIVIDA CORP. 77.93 -14% QRX QRXPHARMA LIMITED 79.56 -10% RBY ROCKEBY BIOMED LIMITED SIE SCIGEN LIMITED SLT SELECT VACCINES LIMITED SRX SIRTEX MEDICAL LIMITED SLA SOLAGRAN LIMITED SPL STARPHARMA HOLDINGS LIMITED STI STIRLING PRODUCTS LIMITED TEO TELESSO TECHNOLOGIES LIMITED TIS 0.97 -58% 193.29 169% 1.79 75% 421.05 56% 74.30 61% 164.87 22% 12.11 56% 2.11 6% TISSUE THERAPIES LIMITED 22.11 -22% VLA VIRALYTICS LIMITED 12.85 23% VHL VIRAX HOLDINGS LIMITED 9.42 -24% XCD XCEED CAPITAL LTD 4.40 22% Notes: 1. APOLLO LIFE SCIENCES LIMITED (AOP) – changed its name to Apollo Consolidated Limited (AOP) 2. BMDI TUTA LIMITED (BMI) – changed its name to Medical Australia Limited (MAL) 3. MEDICAL THERAPIES LIMITED (MTY) – changed its name to Cellmid Limited (CDY) 4. METABOLIC PHARMACEUTICALS LIMITED (MBP) – changed its name to Calzada Limited (CZD) 5. FERMISCAN HOLDINGS LIMITED (FER) – removed from index 6. NORWOOD ABBEY (NAL) – removed from index 7. OCCUPATIONAL AND MEDICAL INNOVATIONS LIMITED (OMI) – removed from the index 8. POLARTECHNICS LIMITED (PLT) – removed from the index 9. PEPLIN, INC (PLI) – removed from the index BioForum: October – December 2009 | 55 Appendix Pharma and Biotech BIT BIOTRON LIMITED Methodology Sources BioForum draws on historical data from the following sources: • Bloomberg • Connect 4 • the ASX • company websites • PwC Global Pharma and Life Science Quarterly Newsbriefs Market performance The Australian life sciences sector’s market performance is tracked through two indices: i) PwC Life Sciences Index ii) PwC Life Sciences Index ex majors (CSL, ResMed and Cochlear) Analysis is provided without the large-capitalisation stocks (majors) so the performance of smaller-capitalisation stocks can be observed. The PwC Life Sciences Index is based on the performance of life sciences companies listed on the Australian Securities Exchange (ASX). It comprises two subsectors: i) pharmaceutical/biotechnology ii) medical devices These sectors have been classified according to the Global Industry Classification Standard. The index includes life sciences companies primarily involved in research, development, commercialisation and manufacturing of pharmaceutical and biotechnology products and medical devices. It excludes healthcare, medical software and distribution companies. Companies included in the PwC Life Sciences Index are listed at the end of each issue of BioForum. The PwC Life Sciences Index is based on the combined market capitalisation of the listed companies and calculates the change of their value over the quarter and change over the previous year. These changes are compared to the changes in the market performance of the following indices: • ASX All Ordinaries • NASDAQ Composite • NASDAQ Biotech 56 | PricewaterhouseCoopers Different formulae are used to calculate the value of these indices and track their performance. These formulae use a combination of company market prices and a weighted average of market capitalisation. Because of these different methods of calculating value, the absolute value of the indices cannot be directly compared. Only their changes over time can be sensibly compared. Top and bottom performers Annual data on these companies is sourced from Bloomberg each quarter. Company announcements are sourced from the ASX or directly from company websites. IPO and secondary finance markets IPO and secondary financing data is sourced from the Connect 4 database’s health-care industry category. We include data from companies on the PwC Life Sciences Index only. Data on options, rights and bonus issues is excluded. The US IPO and secondary financing data is sourced from our quarterly PwC Global Pharma and Life Sciences Newsbrief. Announcements These are from companies listed on the PwC Life Sciences Index only. They are sourced from Connect 4 using the health-care industry category. We include announcements on partnerships, mergers and acquisitions and divestments, clinical results, regulatory activity and other information. Examples of other information include management and board changes, the closing or opening of offices, and successful grant applications. Announcements on the following are excluded: • trading halts • capital raisings • proposed (versus actual) mergers, acquisitions and partnerships • progress reports on clinical trials (results only are included) • market registration approval The US announcement data is sourced from our quarterly PwC Global Pharma and Life Sciences Newsbrief. Appendix Acknowledgements Written and edited by: PricewaterhouseCoopers (www.pwcglobal.com), a global professional services organisation serving the life sciences sector and other industries. External contributors: Mr David Shoolman, Managing Principal, Ascot Martin Patent & Trade Mark Attorneys PwC Global Pharmaceutical Team Quantitative research and analysis by the PricewaterhouseCoopers BioForum team: Tony Gellert, Manager, Principal Author Calvin Lim, Senior Consultant Joe Adendorff, Consultant Angelique Fitzgerald, Consultant Frank Danieli, Undergraduate Chamindu Balasuriya, Undergraduate Consultant PwC Life Sciences Practice contributors PricewaterhouseCoopers – Life Sciences Practice Craig Lawn, Partner, National Life Science Industry Leader Manoj Santiago, Partner, Sydney Life Science Industry Leader Adrian Bunter, Director Stephanie Wood, Administration External Karen Hunt, Editor and proof reader BioForum: October – December 2009 | 57 This material is intended for PricewaterhouseCoopers professionals, their clients and other life sciences professionals. 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