Item 1. |
3 | |||||||
| Item 1A. | 22 | |||||||
| Item 1B. | 30 | |||||||
| Item 2. | 31 | |||||||
| Item 3. | 31 | |||||||
| Item 4. | 31 | |||||||
| Item 5. | 32 | |||||||
| Item 6. | 33 | |||||||
| Item 7. | 34 | |||||||
| Item 7A. | 44 | |||||||
| Item 8. | 45 | |||||||
| Item 9. | 73 | |||||||
| Item 9A. | 73 | |||||||
| Item 9B. | 75 | |||||||
| Item 10. | 76 | |||||||
| Item 11. | 76 | |||||||
| Item 12. | 76 | |||||||
| Item 13. | 76 | |||||||
| Item 14. | 76 | |||||||
| Item 15. | 77 | |||||||
| SIGNATURES | 78 | |||||||
| EXHIBIT 3.1 | ||||||||
| EXHIBIT 23.1 | ||||||||
| EXHIBIT 23.2 | ||||||||
| EXHIBIT 31.1 | ||||||||
| EXHIBIT 31.2 | ||||||||
| EXHIBIT 32.1 | ||||||||
Genitope Cp - Recent Material Event The terms Genitope, we, us and our as used in this Annual Report on Form 10-K refer to
Genitope Corporation.
Genitope® Corporation, Hi-GET® gene amplification technology, our logo
and MyVax® personalized immunotherapy are our registered house mark and trademarks. All
other brand names and service marks, trademarks and trade names appearing in this report are the
property of their respective owners.
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PART I
Forward-Looking Statements
This annual report on Form 10-K, including the section entitled Managements Discussion and
Analysis of Financial Condition and Results of Operations, contains forward-looking statements
within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the
Securities Exchange Act of 1934, as amended, which are subject to the safe harbor created by
those sections. These forward-looking statements include, but are not limited to, statements about:
These forward-looking statements are based on our current expectations, assumptions, estimates
and projections about our business and industry and involve known and unknown risks, uncertainties
and other factors that could cause our or our industrys actual results to differ materially from
any results, levels of activity, performance or achievements expressed in or contemplated or
implied by the forward-looking statements. Forward-looking statements are generally identified by
words such as believe, should, could, estimate, schedule, may, potential, future,
predict, continue, might, anticipates, plans, expects, will, intends and other
similar words and expressions. The risks discussed in Risk Factors, under Part I, Item 1A below,
and elsewhere in this Annual Report on Form 10-K, should be considered in evaluating our prospects
and future financial performance. We undertake no obligation to revise or update any
forward-looking statements, whether as a result of new information, future events or otherwise,
after the date of this report.
ITEM 1. BUSINESS.
BUSINESS
Overview
We are a biotechnology company focused on the research and development of novel
immunotherapies for the treatment of cancer. Until we recently
suspended its development, our lead product candidate was MyVax
personalized immunotherapy, or MyVax.
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In December 2007, we obtained data indicating that our pivotal Phase 3 clinical trial of MyVax for
the treatment of follicular B-cell NHL did not meet its primary clinical endpoint. Although the
December 2007 analysis of the primary endpoint indicated that there was no statistically
significant difference in progression-free survival of patients receiving MyVax compared to
patients receiving the control substance, an analysis of a pre-specified endpoint in the group of
patients receiving MyVax showed a highly statistically significant difference in the
progression-free survival between patients who mounted a positive immune response to the
tumor-specific target and those who did not. As a result, we met with the U.S.
Food and Drug Administration, or FDA, in March 2008 to
determine the potential for the filing of a Biologics License
Application, or BLA, on the basis of the analysis of this pre-specified
endpoint, other analyses of the Phase 3 clinical trial and other information, notwithstanding the
trials failure to meet its primary clinical endpoint. On March 6, 2008, after a review of the data and other information that we had provided, the
FDA communicated to us that, in light of the Phase 3 clinical trials failure
to meet its primary endpoint, one or more additional Phase 3 clinical trials for MyVax would be
required before the FDA would accept a BLA for FDA review. We have also been
developing a panel of monoclonal antibodies that we believe potentially represents an additional
novel, personalized approach for treating NHL. The monoclonal antibodies might reduce or eliminate
the need for chemotherapy in the early treatment of NHL.
We currently have capital resources that we believe to be sufficient to support our
operations through approximately May 2008. We are unlikely to be able to raise sufficient funds to
continue our existing operations beyond that time, particularly in light of our obligations under
the lease agreements described below. Accordingly, we do not expect to resume the conduct of our
current operations other than as a substantially restructured entity, whether as a result of
bankruptcy proceedings or otherwise. At the present time, our strategy for the benefit of our
creditors and stockholders is to take steps to preserve and support the future value, if any, of
MyVax, to seek funding for our monoclonal antibody program, to conserve our current cash to the
extent reasonably practicable and to generate cash, including potentially through the sale of
assets. To conserve cash, as discussed below, we have implemented a
plan for a substantial reduction of our workforce. We are also evaluating our
alternatives with respect to the sale of equipment and other non-critical assets. In addition, we
are pursuing strategic alternatives for our monoclonal antibody and MyVax programs, including
potentially through a spin-off or sale to a separately funded entity or entities. Stockholders
should recognize that, to satisfy our liabilities, including in
particular those under our lease
agreements, fund the development of our monoclonal antibody program and preserve
the value of our MyVax program, we may pursue strategic alternatives that result in the
stockholders of Genitope having little or no continuing interest in the monoclonal antibody or
MyVax programs or other assets of the Genitope as stockholders or otherwise.
On March 14, 2008, we provided a notice to 165 employees under the WARN Act that we plan to
conduct a mass layoff at our facility in Fremont and that their employment is expected to end on
May 13, 2008. We have also provided WARN notices to six of our nine executive officers, not
including Dan W. Denney, Jr., our Chief Executive Officer, John Vuko,
our Chief Financial Officer,
and Laura Woodhead, our Vice President, Legal Affairs, that their employment is expected to end on
May 26, 2008. We intend to also provide WARN notices on
approximately March 31, 2008 to Mr. Vuko and Ms.
Woodhead that their employment is expected to end 60 days following the date that notice is
provided. As a
result of our reductions in force, we expect that approximately 20 employees will remain as
employees of Genitope as of the end of May 2008, and that these employees will primarily be those
involved in the development of our monoclonal antibody panel. In March 2008, we retained Development Specialists, Inc., a provider of management and
consulting services, as a consultant to, among other potential services, assist in and oversee the
wind down of our business in such a fashion as to preserve a potential restart to operations, to
provide the services of one of its employees to serve as one of our officers, as necessary, and to
assist in our negotiations with creditors, including our landlord, and other stakeholders.
In May 2005, we entered into lease agreements to lease an aggregate of approximately 220,000
square feet of space located in two buildings in Fremont, California for our manufacturing facility
and corporate headquarters. There are currently 12.7 years remaining on the lease, with a total
rental obligation of $101.0 million as of February 29, 2008. We are in the process of determining whether or when to vacate
the buildings. However, even if we vacate both buildings, we will have continuing obligations
under the lease agreements that we may be unable to satisfy. We have
commenced initial settlement discussions with
our landlord to reach a settlement in connection with our remaining obligations under the lease
agreements outside the protection of federal bankruptcy laws. Depending upon the outcome of our
discussions with the landlord and our ability to raise the necessary financing to allow the
development of the monoclonal antibody panel to continue and to preserve the
value of
MyVax, we intend to look for alternative space to lease on a short-term basis. If our discussions
regarding settlement are ultimately unsuccessful or if we are unable to obtain financing to support
continued satisfaction of our lease obligations, we would likely be in default under the lease
agreements and would likely be forced to seek protection under the federal bankruptcy laws. In that
event, we may seek to reorganize our business, or we or a trustee appointed by the court may be
required to liquidate our assets. In either of these events, whether the stockholders receive any
value for their shares is highly uncertain. If we need to liquidate our assets, we might realize
significantly less from them than the values at which they are carried on our financial statements.
The funds resulting from the liquidation of our assets would be used first to pay off the debt owed
to secured and unsecured creditors, including our landlord, before any funds would be available to stockholders, and any
shortfall in the proceeds would directly reduce the amounts available for distribution, if any, to
our creditors and to our stockholders. In the event we are required to liquidate under the federal
bankruptcy laws, it is highly unlikely that stockholders would receive any value for their shares.
On February 7, 2008 and March 6, 2008, we received staff deficiency letters from the Nasdaq
Stock Market indicating that we failed to satisfy the minimum bid price and Audit Committee
composition requirements for continued maintenance of our listing on the Nasdaq Global Market. In
accordance with Nasdaq requirements, we have 180 calendar days, or until August 5, 2008, to regain
compliance with the bid price requirement. To reestablish compliance, our minimum closing bid price
must be more than $1.00 per share for at least 10 consecutive business days. The cure period with
regard to the audit committee deficiency will continue (1) until the earlier of our next annual
stockholders meeting or February 26, 2009, or (2) if
the next annual stockholders meeting is held
before
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August 25, 2008, until August 25, 2008. If we do not regain compliance within these specified
cure periods, Nasdaq will commence delisting proceedings. We may not be able to satisfy Nasdaqs
conditions for continued listing. If our common stock is delisted, it would seriously impair
stockholders ability to trade their shares, limit the liquidity of our common stock and impair our
ability to raise capital through the sale of our common stock, which could seriously harm our
business, especially at a time when we may need to raise substantial additional capital to fund the
development of our monoclonal antibody panel and preserve the value of our MyVax program. See Risk
Factors If we are unable to maintain our Nasdaq Global Market listing, the liquidity of our
common stock would be seriously limited.
The failure of our Phase 3 clinical
trial to meet its primary clinical endpoint and our recent decision
to suspend the development of MyVax have significantly depressed our stock price and impaired our
ability to raise additional funds. We are evaluating our strategic alternatives with
respect to all aspects of our business. We cannot assure you that any actions that we take would
raise or generate sufficient capital to fully address the uncertainties of our financial position.
Moreover, we may not successfully identify or implement any of these alternatives, and, even if we
determine to pursue one or more of these alternatives, we may be unable to do so on acceptable
financial terms. As a result, we may be unable to realize value from our assets and
discharge our liabilities in the normal course of business. All of
the factors discussed above raise substantial doubt about our ability
to continue as a going concern. If we become unable to continue as a going concern, we
may need to liquidate our assets, and we might realize significantly less than the values at which
they are carried on our financial statements. However, the
accompanying financial statements do not include any adjustments or charges that might be necessary
should we be unable to continue as a going concern, such as charges related to impairment of our
assets, the recoverability and classification of assets or the amounts and classification of
liabilities or other similar adjustments. In addition, the report of our independent registered public
accounting firm on the accompanying financial statements included in this Annual Report on Form
10-K contains an explanatory paragraph regarding going concern
uncertainty.
Management
has considered whether, under Statements of Financial Accounting
Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets (FAS 144), any
events or circumstances had occurred prior to December 31, 2007 that would indicate an impairment
of our long-lived assets, particularly in light of our announcement
in December 2007 of the results of our Phase 3
clinical trial of MyVax. Management considered, among other
information, the fact that the FDA
agreed to hold a meeting with us
in early 2008 and that between December 2007 and March 2008, we engaged in active discussions of our
clinical data with, and provided additional information to, the FDA with a view toward the
potential filing of a BLA. Taking into account our view of the positive implications of the data
from the Phase 3 clinical trial and the perspective of an FDA consultant engaged by us, our
management and board of directors viewed the FDAs review of data from a number of perspectives and
active engagement with us to be encouraging, leading management and the Board to believe that there
was a significant possibility of a favorable outcome from our March 2008 meeting with the FDA.
Accordingly, during this time, our board of directors and management continued to focus on the
potential path to filing of a BLA and possible eventual commercialization of MyVax as early as
2009, and there were no reductions in the level of business activities with respect to MyVax prior
to our early March 2008 meeting with the FDA. Following
our March 6, 2008 meeting with the FDA in which the FDA
communicated to us that one or more additional Phase 3 clinical
trials for MyVax would be required before the FDA would accept a BLA
for FDA review, we concluded that,
because it was not financially feasible for us to conduct additional Phase 3 clinical trials, we
would need to suspend the development of MyVax. We are currently evaluating our strategic
alternatives with respect to all aspects of our business, including with respect to MyVax.
However, we have not committed to take or made any decisions with respect to any permanent
discontinuation of any program or disposal of any significant assets. After
completing its evaluation and considering all external and internal information available as of the
impairment analysis, management concluded that, as of December 31, 2007, the carrying amount of the
long-lived assets were recoverable and therefore no impairment
existed. However,
we will continue to
evaluate the possible impairment of assets as required under FAS 144 as it relates to our financial
statements for the quarter ending March 31, 2008 and succeeding quarters. In light of the FDAs
March 2008 communication to us, we anticipate that our financial statements may reflect a charge
for an impairment of assets at the end of the quarter ending
March 31, 2008.
Corporate Information
We were incorporated in the State of Delaware on August 15, 1996. Our principal executive
offices are located at 6900 Dumbarton Circle, Fremont, California and our telephone number is (510)
284-3000.
The Immune System and Cancer
The immune system is the bodys natural defense mechanism to prevent and combat disease. The
primary disease fighting functions of the immune system are carried out by white blood cells. In
response to the presence of disease, white blood cells can mediate two types of immune responses,
referred to as innate immunity and adaptive immunity. Together the innate and adaptive arms of the
immune system generally provide an effective defense against a broad spectrum of diseases.
Innate immunity is mediated by the white blood cells that engulf and digest infecting
microorganisms known as pathogens. These white blood cells are the first line of defense against
many common infections because they do not require that the body be previously exposed to the
pathogens. The role of the innate immune system is to control infections while adaptive immunity is
being established for that pathogen.
Adaptive immunity is generated by the immune system throughout a persons lifetime as he or
she is exposed to particular pathogens. As a person is exposed to a pathogen, the adaptive immune
response will, in many cases, confer life-long protection from re-infection by the same pathogen.
This adaptive immune response is the basis for preventative vaccines that protect against viral and
bacterial infections such as measles, polio, diphtheria and tetanus.
Adaptive immunity is mediated by a subset of white blood cells called lymphocytes, which are
divided into two types, B-cells and T-cells. B-cells and T-cells recognize molecules, usually
proteins, known as antigens. An antigen is a molecule or substance that reacts with an antibody or
a receptor on a T-cell. When a B-cell recognizes a specific antigen, it secretes proteins, known as
antibodies, which in turn bind to a target containing that antigen and tag it for destruction by
other white blood cells. When a T-cell recognizes an antigen, it either promotes the activation of
other white blood cells or initiates destruction of the target cells directly. The collective group
of B-cells and T-cells can recognize a wide array of antigens, but each individual B-cell or T-cell
will recognize only one specific antigen. Because of this specificity, few lymphocytes will
recognize the same antigen.
Despite the effectiveness of the immune system in defending the body against infectious
disease, it is generally ineffective in defending the body against a cancer once it has appeared.
The immune system has developed numerous immune suppression mechanisms to prevent it from
destroying a persons normal tissue, and these same mechanisms are believed to prevent an immune
response from being mounted against cancer cells. In addition, the cancer cells themselves can make
changes that reduce the ability of the immune system to attack the tumor.
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Immunotherapy and Cancer
Immunotherapies utilize a persons immune system in an attempt to combat diseases, including
cancer. There are two forms of immunotherapy used to treat various diseases: passive and active.
Both types of immunotherapy have been used with success to treat a number of different diseases.
For example, active immunotherapies in the form of preventative vaccines have enabled the complete
or virtual elimination of viral diseases such as smallpox and polio.
Passive immunotherapy is characterized by the introduction into a patient of antibodies
specific to a particular antigen. When antibodies are infused into a cancer patient, they attach to
any cell that displays the antigen. The patients immune system then responds to eliminate those
specific cells tagged by the antibody. Alternatively, radioactive molecules or toxins can be
attached to an antibody before it is infused into the patient to kill the tagged cells directly.
Although the protection that is provided by a passive immunotherapy is immediate, it is invariably
temporary. Consequently, while passive immunotherapies have shown clinical benefits in some
cancers, and some have improved safety profiles compared to existing therapies, they require
repeated infusions and can cause the destruction of normal cells as well as cancer cells.
An active immunotherapy generates an adaptive immune response by introducing an antigen into a
patient, often in combination with other components that can enhance an immune response to the
antigen. The specific adaptive immunity generated can include both the production of
antigen-specific antibodies made by B-cells, known as humoral immunity, and the production of
antigen-specific T-cells, known as cellular immunity.
Active immunotherapies have been successful in preventing many infectious diseases, such as
measles, mumps or diphtheria, but the approach has been less successful in treating cancer.
Historically, the reasons that effective active immunotherapies for cancer have been difficult to
develop included the:
We believe that an effective active immunotherapeutic approach for cancer would result from
immunizing patients with sufficient quantities of purified, tumor-specific antigens administered
with additional components to increase the immunogenicity of these antigens. Immunogenicity is the
ability of an antigen to evoke an immune response within an organism. Utilizing this type of
immunotherapy should allow a patients own immune system to produce both B-cells and T-cells which
recognize numerous portions of the tumor antigen and generate clinically significant immune
responses. During the late 1980s, physicians at Stanford began development of an active
immunotherapy with these characteristics for the treatment of follicular B-cell NHL.
Non-Hodgkins Lymphoma
Background. NHL is a cancer of B-cell and T-cell lymphocytes. Currently, in the United States
there are over 350,000 patients diagnosed with NHL, with approximately 63,000 newly diagnosed cases
annually. Approximately 85% to 90% of patients diagnosed with NHL in the United States have B-cell
NHL. The international market for NHL is estimated to be at least equal in size to the United
States market. NHL is the sixth most common cancer and the sixth leading cause of death among
cancers in the United States.
NHL
is clinically classified by its microscopic pathology at diagnosis.
We were initially
developing MyVax for the treatment of follicular B-cell NHL and had
conducted clinical trials in diffuse
large B-cell and mantle cell NHL. Follicular B-cell NHL constitutes approximately 32% of all NHL in
the United States. Diffuse large B-cell NHL constitutes approximately 28% of all NHL. Mantle cell
NHL constitutes approximately 7% of all NHL. Although follicular B-cell NHL progresses at a slow
rate, it is viewed as an incurable cancer with the currently available therapies. According to the
American Cancer Society, the median survival time from diagnosis for patients with stage III/IV
follicular B-cell NHL is between seven and ten years. Unlike follicular B-cell NHL, approximately
40% of
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diffuse large B-cell NHL cases are cured by standard chemotherapy. The remaining patients with
diffuse large B-cell lymphoma typically require more extensive treatment regimens, and some
ultimately undergo bone marrow transplants which may or may not be effective in any individual
case. Similar to follicular B-cell NHL, mantle cell NHL is viewed as incurable.
Current Treatments. Chemotherapy alone was previously used as first-line therapy for NHL and
has been effective in managing some forms of these cancers. Although chemotherapy can substantially
reduce the tumor mass and in most cases achieve a clinical remission, the remissions have not been
durable. Follicular B-cell NHL patients invariably relapse within a few months or years of initial
treatment, and the cancer becomes increasingly resistant to further chemotherapy treatments.
Eventually, patients may become refractory to chemotherapy, meaning their response to therapy is so
brief that further chemotherapy regimens would offer no significant benefit.
Passive immunotherapies, such as Rituxan, have also demonstrated the ability to induce
remission in patients with follicular B-cell NHL. But single agent passive immunotherapy has also
failed to provide long-term remissions for most patients. In the last few years, Rituxan has been
combined with standard chemotherapy regimens for NHL, improving remission rates as compared to
chemotherapy alone. This combination has become the most common therapy for follicular B-cell NHL.
Although passive immunotherapies such as Rituxan are better tolerated than standard chemotherapy,
severe and/or life-threatening reactions, such as cytopenias and infusion reactions, can occur
during administration and require careful patient monitoring. In addition, non-neutropenic
infections have been reported especially with chemotherapy plus Rituxan combinations. More
recently, Black Box warnings have been added to the Rituxan package insert detailing the
incidents of fatal reactions, tumor lysis syndrome and severe mucocutaneous reactions.
Even with the advent of combination therapies involving passive immunotherapies, most patients
eventually relapse and/or become resistant. Salvage therapy encompasses various approaches,
including high-dose chemotherapy, which may be performed to treat refractory follicular B-cell NHL
patients or those at high risk for relapse from primary therapy. This approach results in the
destruction of essential levels of red and white blood cells and requires stem cell transplants to
be performed to restore a patients blood count. Stem cell transplants continue to be expensive and
are associated with high morbidity and significant mortality. Ultimately, even these very
aggressive treatment regimens may not provide long-term remission for most patients.
Active Idiotype Immunotherapy
The active immunotherapy developed at Stanford was focused on the treatment of a cancer of
B-lymphocytes known as follicular B-cell NHL. This immunotherapy consists of a patient-specific
tumor protein and a foreign carrier protein administered with an adjuvant to enhance the immune
response. Patient-specific tumor proteins, which include idiotype proteins, are proteins expressed
by a tumor cell that are unique to an individuals tumor cell. A foreign carrier protein is a type
of protein, which when coupled to a non-immunogenic or weakly immunogenic antigen, increases the
immunogenicity of the antigen. An adjuvant is a substance that is administered with an antigen to
enhance or increase the immune response to that antigen.
The key to the cancer immunotherapy developed at Stanford is the fact that the
patient-specific tumor protein is the antibody expressed by the cancerous B-cells. Because the
patients cancerous B-cells are replicates of a single malignant B-cell, all of the cancerous
B-cells express the same antibody. Each antibody has unique portions, collectively known as the
idiotype, which can be recognized by the immune system. This type of active immunotherapy is
referred to as an active idiotype immunotherapy. It utilizes the patient- and tumor-specific
antibody, or idiotype protein, as an antigen to direct the patients immune system to mount an
immune response against the targeted tumor cells. Because the antigen is specific to the cancerous
B-cells and not found on normal B-cells, the immune system should target the cancerous B-cells for
destruction while leaving normal B-cells unharmed.
The Stanford clinical trials began in 1988 for the treatment of follicular B-cell NHL. The
first clinical trial involved 41 patients with indolent B-cell NHL who commenced their course of
immunizations between November 1988 and December 1995. These patients were immunized while in
remission following chemotherapy. The treated patients had either a complete response to
chemotherapy, defined as no detectable tumor, or a partial response to chemotherapy, defined as at
least a 50% reduction in their tumor volume. Of the 41 patients treated, 32 were in remission
following their first course of chemotherapy, while the remaining patients were in remission
following two or three courses of chemotherapy.
Positive immune responses to the patient-specific active idiotype immunotherapy were detected
in 20 of the 41 immunized patients, including 14 of the 32 patients in first remission following
chemotherapy. The median time-to-disease progression for all 41 patients in the clinical trial was
reported to be 4.4 years from the last chemotherapy regimen. Time-to-disease progression measures
the interval of time between response to chemotherapy and recurrence of disease. The median
time-to-disease progression was further analyzed by dividing patients into two groups based upon
the presence or absence of an immune response. The median time-to-disease
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progression was calculated to be 7.9 years for the 20 immune response positive patients and
1.3 years for the 21 immune response negative patients. The median time-to-disease progression for
the 32 patients in first remission was virtually identical to that for the 41 total patients, which
suggests that patient-specific active idiotype immunotherapy may be as effective in the larger
population of relapsed patients as in the smaller population of newly diagnosed patients. Median
survival time was also measured for patients treated in the clinical trial. At the time of
publication, the median survival time of all 41 immunized patients had not been reached, and the
investigators reported that the median survival time of all 41 patients was significantly longer
than the median survival time seen in patients having the same type of NHL who were treated with
chemotherapy alone. NHL patients treated at Stanford with chemotherapy alone had a median survival
time of 10.9 years. The fact that the median survival time had not been reached for the 41
immunized patients demonstrates that these patients have a median survival time that is greater
than 10.9 years. The median survival time of the 20 immune response positive patients had not been
reached versus a median survival time of seven years calculated for the 21 immune response negative
patients. The results are statistically significant and suggest that an active idiotype
immunotherapy, similar to MyVax, may induce long-term remission and improve survival in follicular
NHL patients.
Long-term results from the first Stanford clinical trial were published in the medical
journal, Blood, in May 1997 and are presented in the following table.
An independent clinical trial of a patient-specific active idiotype immunotherapy similar to
the one tested at Stanford was conducted at the NCI to treat patients with follicular B-cell NHL.
The NCI clinical trial results were published in Nature Medicine in October 1999. Patients treated
in the NCI clinical trial had previously achieved a clinical complete response following an initial
course of chemotherapy, that is, no tumor was apparent by physical examination and CT scans.
Positive immune responses to the patient-specific active idiotype immunotherapy were reported for
19 of 20 immunized patients. Despite the fact that all 20 patients were in clinical complete
remission, 11 of these 20 patients were shown to have lymphoma cells in their peripheral blood
following chemotherapy using a very sensitive DNA-based test. After completing the course of
immunization with the active idiotype immunotherapy, eight of these 11 patients were shown to have
no lymphoma cells in their peripheral blood using the DNA-based test. These results suggest that
active idiotype immunotherapy was able to induce a molecular complete response in patients that had
minimal residual disease following chemotherapy.
Despite the results of the Stanford and NCI clinical trials, further development of an active
immunotherapeutic approach to the treatment of NHL historically has been limited by significant
manufacturing difficulties. The production technology that was used to manufacture these active
idiotype immunotherapies at Stanford and NCI is known as rescue fusion. Rescue fusion is a method
that generates cell lines, referred to as hybridomas, which are created by combining, or fusing,
the patients live tumor cells with cells from a cell line that grows indefinitely in culture. The
resulting hybridomas are screened to identify those which secrete the idiotype protein present on
the patients tumor cells. We believe that rescue fusion cannot be used to produce these
patient-specific immunotherapies for the number of patients and at a cost that would enable
widespread commercial use. The barriers to commercialization using the rescue fusion method
include:
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MyVax Personalized Immunotherapy
MyVax
is an injectable patient-specific active idiotype immunotherapy that we had been
developing initially for the treatment of follicular B-cell NHL.
MyVax combines a patient and tumor-specific
antibody, or idiotype protein, with a foreign carrier protein and is administered with an adjuvant.
We had developed a proprietary manufacturing process for MyVax, which includes our patented Hi-GET
gene amplification technology. Our manufacturing process is designed to overcome the barriers to
commercialization of active idiotype immunotherapies that are associated with the use of a
hybridoma-based process such as rescue fusion. In light
of the FDAs decision following the failure of our Phase 3 clinical trial to meet its primary
clinical endpoint, we have suspended the development of MyVax. We are pursuing strategic
alternatives with respect to our MyVax program and taking steps to preserve and support the future
value, if any, of MyVax.
Stockholders should recognize that, to satisfy our liabilities,
including in particular those under our lease agreements,
preserve the value of our MyVax program and pursue alternatives with respect
to other aspects of our business, we may pursue strategic alternatives that
result in the stockholders of Genitope having little or no continuing interest in
MyVax program or other assets of the Genitope as stockholders or otherwise.
In comparison to other cancer therapies, MyVax was designed to provide:
Efficacious and lasting treatment: We believe, based on our analysis of our clinical trials,
that (1) MyVax has the potential to provide durable remissions and extend survival in those B-cell
NHL patients who are treated with MyVax and mount a positive immune response to their
tumor-specific target, and (2) this therapeutic benefit could be greater than the benefit that is
provided by currently available therapies, including passive immunotherapies such as Rituxan.
Safety: MyVax has demonstrated an excellent safety profile to date. MyVax has been well
tolerated in clinical trials, with the majority of adverse events being only mild to moderate. In
our clinical trials, these adverse events have included injection site and systemic effects. The
most commonly reported injection adverse events were bruising, swelling, redness, itching,
inflammation, pain and other similar reactions at the injection site. The most commonly reported
systemic adverse events were fatigue, influenza-like illness, fever, chills, nausea, pain, back,
chest or muscle pain, rash and diarrhea. Furthermore, MyVax is designed to target only the idiotype
protein unique to tumor cells and, thus, should not harm normal cells or impair a patients immune
system. With an intact immune system, patients are less likely to develop significant
complications, such as infections that have been reported in patients treated with Rituxan.
Ease of administration: The administration of MyVax can be accomplished during a 30-minute
outpatient visit, which includes the immunizations followed by an observation period, with each
injection taking less than a minute. In comparison, currently available passive immunotherapies
such as Rituxan must be administered via a series of lengthy, intravenous infusions. Each infusion
of a passive immunotherapy takes hours, requires patients to be monitored for infusion reactions on
multiple occasions during the infusion and can result in serious complications for patients. The
safety and ease of administration of MyVax compared to currently available passive immunotherapies
such as Rituxan should reduce the medical intervention required on behalf of patients during and
after treatment and subsequently reduce the associated cost of care for patients with B-cell NHL
Ease of sample collection: The tumor samples used to produce MyVax are collected using
standard medical procedures that are commonly used in the diagnosis and staging of cancer patients.
Our manufacturing process is designed to require only a small number of tumor cells, which need not
be living cells, in order to produce MyVax . The required tumor samples can be acquired by surgical
or non-surgical means, can be frozen and are shipped to our central facility, eliminating the need
for on-site processing.
Efficient manufacturing: Our manufacturing process is designed to enable MyVax to be produced
within a clinically relevant time-frame for B-cell NHL patient whose tumor expresses an idiotype
protein, enabling an oncologist to schedule a patients therapy with a high degree of certainty. In
addition, our manufacturing process is designed to enable the reliable production of
patient-specific active immunotherapies utilizing a less labor-intensive process than is associated
with rescue fusion, permitting us to produce MyVax at cost levels that can yield margins that are
competitive with current cancer treatments.
Monoclonal Antibody Program
We
have also been developing a monoclonal antibody panel that we believe will potentially represent a
novel, personalized approach for treating NHL. We have filed patent applications for the
composition and therapeutic use of this panel. The monoclonal antibodies might reduce or eliminate
the need for chemotherapy in the early treatment of NHL.
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Our monoclonal antibodies are directed against specific portions of proteins, or epitopes, in
the variable regions of the B-cell receptor, or BCR. Our approach is based on the finding that even
though each NHL patients B-cell tumor expresses a unique idiotypic surface immunoglobulin, those
immunoglobulins nevertheless have characteristics that are shared across predictable patient
subsets. We have developed a panel of monoclonal antibodies that bind to BCR proteins based on
their particular genetic makeup. It is possible to classify NHL patients into subsets based on
which variable region is used by their particular tumor. This classification allows for the
production of monoclonal antibodies that are off-the-shelf, while still personalizing the treatment
for each patient. Our monoclonal antibodies should leave the majority of the B-cell repertoire of a
patients immune system intact since they target only the subpopulation of a patients B-cells that
share the same variable region as the lymphoma.
At the
present time, we are seeking funding and pursuing
strategic alternatives for our monoclonal antibody program, including potentially through a
spin-off or sale to a separately funded entity. Stockholders should recognize that, to
satisfy our liabilities, including in particular those under our lease agreements,
fund the development of our monoclonal antibody program and pursue
alternatives with respect to other aspects of our business, we may pursue strategic alternatives that result in the stockholders of Genitope having
little or no continuing interest in the monoclonal antibody or other assets of
the Genitope as stockholders or otherwise.
Our Strategy
We are evaluating our strategic alternatives with respect to all aspects of our
business. We currently have capital resources that we believe to be sufficient to support our
operations through approximately May 2008. We are unlikely to be able to raise sufficient funds to
continue our existing operations beyond that time, particularly in light of our obligations under
our lease agreements. Accordingly, we do not expect to resume the conduct of our
current operations other than as a substantially restructured entity, whether as a result of
bankruptcy proceedings or otherwise. At the present time, our strategy for the benefit of our
creditors and stockholders is to take steps to preserve and support the future value, if any, of
MyVax, to seek funding for our monoclonal antibody program, to conserve our current cash to the
extent reasonably practicable and to generate cash, including potentially through the sale of
assets. To conserve cash, we have implemented a plan for a
substantial reduction of our workforce. We are also evaluating our
alternatives with respect to the sale of equipment and other non-critical assets. In addition, we
are pursuing strategic alternatives for our monoclonal antibody and MyVax programs, including
potentially through a spin-off or sale to a separately funded entity or entities.
MyVax Clinical Development Program
The
following chart summarizes the results of our clinical trials of MyVax. As a result of
our recent decision to suspend the development of MyVax, we are in
the process of terminating all of
the clinical trials listed in the chart below. We are evaluating
whether it is possible to continue long-term follow-up of patients in
the Phase 3 or other trials.
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Pivotal Phase 3 Follicular B-cell NHL Clinical Trial the 2000-03 Trial
In November 2000, based on positive interim Phase 2 clinical trial results, we initiated a
pivotal, randomized, double-blind, placebo-controlled Phase 3 clinical trial, our 2000-03 trial, to
assess the safety and efficacy of MyVax in treating patients with previously untreated follicular
B-cell NHL, which represents approximately 32% of the cases of NHL in the United States. This Phase
3 clinical trial of MyVax included 287 patients and was conducted at 34 treatment centers in the
United States and Canada. In this clinical trial, patients first received chemotherapy to reduce
their tumor burden, followed by a rest period. Patients who maintained at least a partial response
through the rest period were then randomized to receive either MyVax or a non-specific
immunotherapy, which serves as the control for this trial.
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The following chart summarizes the treatment schedule of patients in the clinical trial.
(CHART)
Patients received seven immunizations over a 24-week period, which represented two more
immunizations than were administered in our 9901 Phase 2 clinical trial described below. Physical
evaluations of the patients were conducted monthly during the immunization period and every three to
six months after completion of the course of immunizations. A CT scan occurred prior to the first
immunization and every six months following the last immunization for the two years of follow-up to
detect disease progression. CT scans were read by an independent, central radiology group, which
was designed to ensure a consistent determination of patients responses to MyVax. The primary
endpoint of the clinical trial was progression-free survival, which was the interval of time
measured from enrollment during which a patient was alive with no evidence of disease progression.
Enrollment occurred when the patient was assigned to receive either MyVax or the control substance.
The clinical trial was designed to evaluate whether a statistically significant increase in
progression-free-survival was observed in patients receiving MyVax compared to patients receiving
the control substance. We completed the detailed follow-up period of the clinical trial in the
fourth quarter of 2007. In December 2007, we obtained data from
this Phase 3 clinical trial indicating that the trial did not
meet its primary clinical endpoint in that there was no statistically significant difference in
progression-free survival of patients receiving MyVax compared to patients receiving the control
substance. However, an analysis of a pre-specified endpoint in the group of patients receiving
MyVax showed a highly statistically significant difference in the progression-free survival between
patients who mounted a positive immune response to the tumor-specific target and those who did not.
We met with the FDA in March 2008 to discuss the potential for the filing of a BLA on the basis of
the results of the pre-specified endpoint and other analyses of the Phase 3 clinical trial,
notwithstanding the trials failure to meet its primary clinical endpoint. After a review of the
data, the FDA communicated to us that, in light of the Phase 3 clinical trials failure to meet its
primary endpoint, one or more additional Phase 3 clinical trials for MyVax would be required before
the FDA would accept a BLA for FDA review. We have determined that it is not financially
feasible at this time to pursue further Phase 3 clinical trials of MyVax prior to receipt of FDA
approval. In March 2008, based on our meeting with representatives of the
FDA, we suspended the development of MyVax, and currently, all activities related to the
development of MyVax have ceased. We are evaluating our strategic alternatives with
respect to all aspects of our business, including with respect to the
MyVax program, and
implementing steps to preserve the future value of MyVax, if any. In the future, if we determine
that there is a path forward for MyVax, we will determine what steps to take to resume the
development program for MyVax.
Supporting Phase 2 Follicular B-cell NHL Clinical Trial the 9901 Trial
In August 2001, we completed the treatment of 21 patients in a Phase 2 clinical trial, our
9901 trial, to evaluate the ability of patients to mount an immune response to MyVax and to examine
its safety profile. The clinical trial involved patients with follicular B-cell NHL in first
remission following a four-to-seven-month regimen of conventional chemotherapy. The clinical trial
was conducted at Stanford and University of Nebraska Medical Center. The primary endpoint of the
clinical trial was the generation of anti-idiotype immune response. Positive immune responses were
observed. Patients who participated in this clinical trial continue to be monitored for disease
progression and survival.
The clinical protocol for this Phase 2 clinical trial was based on the original treatment
protocols used in the Stanford and NCI clinical trials. We used MyVax, which is comprised of the
same basic components of active idiotype immunotherapy used in the Stanford and NCI trials. MyVax
includes the tumor-specific idiotype protein linked to a foreign carrier protein called keyhole
limpet hemocyanin, or KLH, which is derived from a giant sea snail, and was given in the same dose
as used in the Stanford and NCI clinical trials. The adjuvant administered with MyVax was Leukine,
a recombinant human granulocyte macrophage colony stimulating factor, or GM-CSF, which was also
used in the NCI clinical trial. In addition, we produced MyVax using our proprietary manufacturing
process instead of rescue fusion. Upon diagnosis, a biopsy was obtained to provide a tumor sample
sufficient to produce the patient-specific active idiotype immunotherapy. After obtaining an
adequate biopsy, a four-to-seven month regimen of conventional chemotherapy was administered to
reduce the tumor mass in the patient. Following an approximately six-month rest period to allow the
immune system to recuperate from the chemotherapy, the patient received a series of five
immunizations over 24 weeks. Patients were evaluated for an immune response during the course of
immunizations and two weeks following the final immunization. The entire treatment protocol from
the initiation of chemotherapy through the final immunization lasted about 18 months.
The long-term follow-up data (median 5.8 years) from patients in our 9901 trial demonstrated a
median time-to-disease progression of 37.7 months (measured from the end of chemotherapy).
Published studies in similar follicular B-cell NHL patients treated with chemotherapy alone have
shown a median time-to-disease progression of 15 months. Nine of the 21 patients in our trial
remained progression-free as of their last clinical follow-up at 726 to 100 months
post-chemotherapy (reported to us and collected from our database in the fourth quarter of 2007).
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Additional Phase 2 Follicular B-cell NHL Clinical Trials the 2000-07, 2000-04, 2002-09 and
2007-12 Trials
We have completed the treatment phase of three additional Phase 2 clinical trials to study the
use of MyVax in treating follicular B-cell NHL. One Phase 2 clinical trial, our 2000-07 trial,
evaluated the use of a reduced amount of the GM-CSF administered with MyVax. Patients in this
clinical trial were in first remission following chemotherapy after initial diagnosis. This
clinical trial was conducted at the University of Nebraska Medical Center. The 11 patients in this
clinical trial received five immunizations over 24 weeks between March 2001 and January 2002. The
primary endpoint of the clinical trial was the generation of an anti-idiotype immune response using
MyVax. Positive immune responses were observed. A median time-to-disease progression of 23.8 months
has been reached in the patients in this clinical trial. Patients who participated in this clinical
trial were monitored for disease progression and survival.
A second Phase 2 clinical trial, our 2000-04 trial, evaluated the use of MyVax as the sole
initial therapy for patients with follicular B-cell NHL. This clinical trial is being conducted at
Stanford. A significant percentage of patients with follicular B-cell NHL do not clinically require
immediate treatment upon diagnosis. As there is no curative treatment, many physicians elect to
monitor this population of patients until their clinical symptoms require treatment. Patients in
this clinical trial were initially administered five immunizations over 24 weeks. For those
demonstrating an immune response or a clinical response, three additional immunizations were
administered. The primary endpoint of the clinical trial was the generation of an anti-idiotype
immune response using MyVax. Positive immune responses were observed. Patients who participated in
this clinical trial were monitored for safety, disease progression
and survival. As a result of our recent decision to suspend the development of MyVax, we
intend to terminate this Phase 2 clinical trial.
We initiated a Phase 2 clinical trial in March 2003, our 2002-09 trial, to treat 57 patients
with follicular B-cell NHL who have relapsed following chemotherapy. This clinical trial is
designed to evaluate the use of MyVax in patients treated with Rituxan after relapsing following
chemotherapy. All 57 patients were immunized with MyVax following a course of treatment with
Rituxan and are in the follow-up phase of the study. The primary endpoint of the clinical trial is
time-to-disease progression. The clinical trial is also designed to evaluate whether an anti-idiotype immune
response can be generated. As a result of our recent decision to suspend the development of MyVax,
we intend to terminate this Phase 2 clinical trial.
We
initiated a Phase 2 clinical trial in May 2007, our 2007-12 trial, to evaluate the use of
MyVax following primary treatment with Rituxan and chemotherapy for follicular B-cell NHL. The
trial called for enrollment up to 100 patients in this multi-center, Phase 2, single-arm study at
eight cancer centers across the United States. The primary endpoint of the clinical trial is immune
response generation. As a result of our recent decision to suspend the development of MyVax, we
intend to terminate this Phase 2 clinical trial.
Phase 2 Diffuse Large B-cell and Mantle Cell NHL Clinical Trial the 9902 Trial
We also have completed the treatment phase of a Phase 2 clinical trial, our 9902 trial, to
treat patients initially diagnosed with diffuse large B-cell NHL or mantle cell NHL. This is the
first clinical trial of an active idiotype immunotherapy in newly diagnosed diffuse large B-cell
NHL or mantle cell NHL patients. Patients enrolled are in first remission following chemotherapy
after initial diagnosis. The clinical trial is being conducted at Stanford, University of Nebraska
Medical Center and Weill Medical College of Cornell University. We have enrolled 27 patients in
first remission following chemotherapy. The primary endpoint of the clinical trial is the
generation of an anti-idiotype immune response using MyVax. The trial
was designed to monitor patients
for
safety, disease progression and survival. As a result of our recent decision to suspend the development of MyVax, we
intend to terminate this Phase 2 clinical trial.
Because patients with diffuse large B-cell NHL or mantle cell NHL tend to relapse much sooner
following the completion of chemotherapy than patients with follicular B-cell NHL, the treatment
regimen was altered from the one used in follicular B-cell NHL clinical trials. Patients began
immunization three months after the end of their chemotherapy, as opposed to after a six-month rest
period. Two different administration schedules were examined: 14 patients on Schedule A received
five immunizations over a 24-week period and 13 patients on Schedule B received eight immunizations
over an 18-week period. Positive immune responses were observed on both Schedule A and Schedule B.
The patients on Schedule A have a median time-to-disease progression of 11.6 months, which
could suggest that giving five immunizations over a 24-week period does not allow for the
establishment of a clinically effective response before the fast-growing aggressive B-cell NHL
reappears following chemotherapy. In contrast, patients on Schedule B have a median time-to-disease
progression of 16.8 months. The results from Schedule B are encouraging as 11 of the 13 patients
treated on Schedule B have mantle cell lymphoma, which is a type of B-cell NHL that is viewed as
incurable.
Additional Clinical Programs
We believe active immunotherapy has the potential to be applied successfully to the treatment
of other cancers. Like NHL, CLL is primarily a B-cell cancer. We believe CLL can potentially be
treated with MyVax, and the same method of manufacturing would be
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used to produce active idiotype immunotherapies for CLL as is currently used for our
follicular and other B-cell NHL patients. We initiated a Phase 2 clinical trial in February 2006 to
evaluate MyVax for the initial treatment of CLL. This clinical trial is being conducted at eight
sites across the United States. The protocol provides that patients in this Phase 2 clinical trial
be administered 16 immunizations over 52 weeks. The primary endpoint of the Phase 2 clinical trial
is whether or not an immune response can be generated. We have completed enrollment of 76 patients
in this trial, and the immunization phase is almost complete. As a result of the recent decision to
suspend the development of MyVax, we intend to terminate this Phase 2 clinical trial.
Manufacturing Process
Our manufacturing process is divided into three phases: molecular biology, cell culture and
production, as illustrated below.
(PICTURE)
Each phase of our manufacturing process uses standard procedures that apply to each
personalized immunotherapy that we produce. The manufacturing of each patients active idiotype
immunotherapy begins with the collection of a tumor sample by routine biopsy of the patient. The
tumor samples can be acquired by surgical or non-surgical means, can be frozen and are shipped via
an overnight courier to our manufacturing facility for processing. After processing, each patients
active idiotype immunotherapy is shipped to the clinical site or the treating physician for
immunization of the patient.
Molecular Biology
Upon arrival of the tumor sample at our manufacturing facility, we extract genetic material
from the sample and isolate the genes that encode the two unique regions of a patients
tumor-specific idiotype protein. Our proprietary knowledge allows us to identify the genes encoding
the idiotype protein generally within a few weeks. We then generate a pair of expression vectors
encoding the idiotype protein. An expression vector is a DNA molecule that contains all of the
elements required for the production of the tumor-derived idiotype protein in a host cell.
Cell Culture
The expression vectors encoding the idiotype protein are then introduced into mammalian cells.
Individual mammalian cell lines producing the idiotype protein are then generated using a series of
cycles of growth and selection steps. These cycles of growth and selection, known as gene
amplification, are completed using our patented Hi-GET technology that provides for the rapid and
efficient isolation of mammalian cell lines expressing increased levels of the idiotype protein.
These cell lines are referred to as manufacturing cell lines.
In comparison to alternative methods of gene amplification, our Hi-GET technology more
efficiently and reproducibly generates stable cell lines containing increased copies of the
expression vectors that encode the patients idiotype protein. Consequently, fewer candidate cell
lines must be subjected to selection techniques in order to identify a suitable manufacturing cell
line, thus reducing the amount of time a technician must spend to identify a cell line that is
expressing sufficient levels of idiotype protein. This allows each of our technicians to work on
the development of 10 to 20 different manufacturing cell lines at the same time.
Production
Upon isolation of a manufacturing cell line, the size of the culture is expanded to allow for
the production of an appropriate amount of the idiotype protein. Following a standard purification
process, the idiotype protein is linked to KLH, a foreign carrier protein, resulting in MyVax.
After release testing, the frozen MyVax product and GM-CSF adjuvant are shipped to the clinical
trial site or the treating physician for immunization of the patient.
Additional Hi-GET Technology Applications
We believe that our patented Hi-GET technology may have additional potential applications,
such as monoclonal antibodies used in passive immunotherapies, and other therapeutic proteins. We
believe that our technology could be used to produce monoclonal antibodies for the treatment of NHL
and other therapeutic proteins that have greater patient specificity than currently available
monoclonal antibodies. Our Hi-GET technology can also be used to produce proteins for research, for
example, to support genomic companies needs to strengthen their patent positions by enabling them
to link protein function with their DNA sequences more quickly. Our Hi-GET technology has also been
used to produce both single and multi-chain proteins that are secreted into the culture medium,
proteins that are located in the cytoplasm of the cell and proteins that are located in the
membrane of the cell. Many proteins
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of therapeutic and diagnostic interest must be produced in mammalian cells in order for the
proteins to retain their characteristic features and biologic activities. Our Hi-GET technology can
be used to efficiently produce a wide variety of proteins in mammalian cell lines.
Competition
The biotechnology and biopharmaceutical industries are characterized by rapidly advancing
technologies, intense competition and a strong emphasis on proprietary products. We face
competition from many different sources, including commercial pharmaceutical and biotechnology
enterprises, academic institutions, government agencies and private and public research
institutions. Due to the high demand for new cancer therapies, research is intense and new
treatments are being sought out and developed by our competitors.
Many of our competitors have significantly greater financial resources and expertise in
research and development, manufacturing, preclinical testing, clinical trials, regulatory approvals
and marketing approved products than we do. Smaller or early-stage companies may also prove to be
significant competitors, particularly through collaborative arrangements with large and established
companies. These third parties compete with us in recruiting and retaining qualified scientific and
management personnel, establishing clinical trial sites and patient registration for clinical
trials, as well as in acquiring technologies and technology licenses complementary to our programs
or advantageous to our business.
Several companies, such as GlaxoSmithKline and Biogen Idec Inc., are involved in the
development of passive immunotherapies for the treatment of NHL. Various products are currently
marketed for treatment of NHL. Rituxan, a monoclonal antibody co-marketed by Genentech, Inc. and
Biogen Idec Inc., is approved for the first line treatment of relapsed or refractory, low grade or
follicular B-cell NHL, as well as for the first-line treatment of diffuse large B-cell NHL in
combination with chemotherapy. There are additional monoclonal antibodies, developed by a number of
other companies in various stages of development for NHL, many of which are slated to be used in
combination with Rituxan.
Other treatment approaches include radioimmunotherapy, which essentially combines a passive
immunotherapy with a radio-labeled monoclonal antibody to improve tumor cell destruction. This
approach is approved for the treatment of relapsed or refractory low grade, follicular, or
transformed B-cell NHL and is under clinical investigation for earlier use in low grade NHL.
Bortezomib, a proteosome inhibitor manufactured and marketed by Millennium Pharmaceuticals is now
approved for mantle cell NHL.
In addition, there are several companies focusing on the development of active immunotherapies
for the treatment of NHL, including Favrille, Inc. and Biovest International, Inc., a
majority-owned subsidiary of Accentia, Inc. Favrille has completed enrollment of its Phase 3
clinical trial for patients with follicular NHL and has publicly disclosed that it expects to
conduct data analysis in the third quarter of 2008, and Biovest has unblinded its Phase 3 clinical
trial for patients with follicular NHL prior to its completion and intends to file for a
conditional approval of its product candidate in the U.S. and Europe if the results are positive.
Intellectual Property
We rely on the proprietary nature of our technology and production processes for the
protection of MyVax and any other immunotherapies that we may develop. Our policy is to patent the
technology, inventions and improvements that we consider important to the development of our
business. We hold two issued U.S. patents (and one allowed) related to our core gene amplification
technology, including composition of matter claims directed to cell lines and claims directed to
methods of making proteins derived from patients tumors. Unless extended, these patents expire in
2016. We also hold one issued U.S. patent relating to treating lymphoma with custom vaccines.
Unless extended, this patent expires in 2018. Corresponding patents, although more constrained in
scope due to rules not applicable in the United States, have been issued in Australia, Canada and
South Africa, all of which expire in 2017. We have also filed additional U.S. and corresponding
foreign patent applications relating to our Hi-GET gene amplification technology and expect to
continue to file additional patent applications.
We also rely on trade secrets, technical know-how and continuing innovation to develop and
maintain our competitive position. We seek to protect our proprietary information by requiring our
employees, consultants, contractors, outside scientific collaborators and other advisors to execute
non-disclosure and assignment of invention agreements on commencement of their employment or
engagement, through which we seek to protect our intellectual property. Agreements with our
employees also prevent them from bringing the proprietary rights of third parties to us. We also
require confidentiality or material transfer agreements from third parties that receive our
confidential data or materials.
The biotechnology and biopharmaceutical industries are characterized by the existence of a
large number of patents and frequent litigation based on allegations of patent infringement. While
our active immunotherapies are in clinical trials and not being commercialized, we believe our
current activities fall within the scope of the exemptions provided by 35 U.S.C. Section 271(e) in
the
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United States and Section 55.2(1) of the Canadian Patent Act, each of which covers activities
related to developing information for submission to the FDA and its counterpart agency in Canada.
As product candidates progress toward commercialization, the possibility of an infringement claim
would increase. While we attempt to ensure that our active immunotherapies and the methods we
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