Item 405 of Regulation S-K
(Section 229.405 of this chapter) is not contained herein, and will not be contained, to the best
of the registrants knowledge, in definitive proxy or information statements incorporated by
reference in Part III of this Form 10-K or any amendment to this Form 10-K.o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer,
or a non-accelerated filer. See definition of accelerated filer and large accelerated filer in
Rule 12b-2 of the Exchange Act. ( Check one ):
Large accelerated filer o Accelerated filer o Non-accelerated filer þ
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act). Yes o No þ
The aggregate market value of the voting common equity held by non-affiliates of the
registrant was approximately $42.5 million based on the closing price of the registrants Common
Stock as reported on the Nasdaq Global Market on December 29, 2006.
As of August 31, 2007, the number of shares outstanding of the issuers common stock, $0.00000002
par value, was 68,854,938.
Documents Incorporated by Reference
Portions of this registrants definitive proxy statement for its 2007 annual meeting to be filed
with the U.S. Securities and Exchange Commission no later than 120 days after the end of the fiscal
year are incorporated by reference in Part III of this Annual Report on Form 10-K.
MARSHALL EDWARDS, INC.
TABLE OF CONTENTS
TABLE OF CONTENTS
| Page | ||||
PART I |
||||
Item 1: Business |
6 | |||
Item 1A: Risk Factors |
21 | |||
Item 1B: Unresolved Staff Comments |
34 | |||
Item 2: Properties |
34 | |||
Item 3: Legal Proceedings |
34 | |||
Item 4: Submissions of Matters to a Vote of Security Holders |
34 | |||
PART II |
||||
Item 5: Market for the Registrants Common Equity, Related Stockholder
Matters and Issuer Purchases of Securities |
35 | |||
Item 6: Selected Financial Data |
39 | |||
Item 7: Managements Discussion and Analysis of Financial Condition
and results of Operations |
39 | |||
Item 7a: Quantitative and Qualitative Disclosures about Market Risk |
50 | |||
Item 8: Financial Statements and Supplementary Data |
51 | |||
Item 9: Changes in and Disagreements with Accountants on Accounting
and Financial Disclosure |
71 | |||
Item 9a: Controls and Procedures |
71 | |||
Item 9b: Other Information |
71 | |||
PART III |
||||
Item 10: Directors and Officers of the Registrant |
72 | |||
Item 11: Executive Compensation |
72 | |||
Item 12: Security Ownership of Certain Beneficial Owners and
Management and Related Stockholder Matters |
72 | |||
Item 13: Certain Relationships and Related Transactions |
72 | |||
Item 14: Principle Accountant Fees and Services |
72 | |||
PART IV |
||||
Item 15: Exhibits and Financial Statement Schedules |
73 | |||
2
Cautionary Statement about Forward-Looking Statements
This Annual Report on Form 10-K includes 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. All statements other than statements of historical facts contained in this Annual
Report, including statements regarding the future financial position, business strategy and plans
and objectives of management for future operations, are forward-looking statements. The words
believe, may, will, estimate, continue, anticipate, intend, should, plan,
expect, and similar expressions, as they relate to us, are intended to identify forward-looking
statements. We have based these forward-looking statements largely on current expectations and
projections about future events and financial trends that we believe may affect financial
condition, results of operations, business strategy and financial needs. These forward-looking
statements are subject to a number of risks, uncertainties and assumptions, including, without
limitation, those described in Risk Factors and elsewhere in this Form 10-K, including, among
other things:
| | our limited operating history; | |
| | our inability to obtain required additional financing or financing available to us on acceptable terms; | |
| | costs and delays in the development and/or receipt of U.S. Food and Drug Administration (the FDA) or other required governmental approvals, or the failure to obtain such approvals, for our product candidates; | |
| | uncertainties in clinical trial results; | |
| | our failure to successfully commercialize our product candidates; | |
| | our inability to maintain or enter into, and the risks resulting from our dependence upon, collaboration or contractual arrangements necessary for the development, manufacture, commercialization, marketing, sales and distribution of any products; | |
| | our inability to control the costs of manufacturing our products; | |
| | continued cooperation and support of Novogen Limited, our parent company; | |
| | competition and competitive factors; | |
| | our inability to protect our patents or proprietary rights and obtain necessary rights to third party patents and intellectual property to operate our business; | |
| | our inability to operate our business without infringing the patents and proprietary rights of others; | |
| | costs stemming from our defence against third party intellectual property infringement claims; | |
| | difficulties in enforcement of civil liabilities against our officers and directors who are residents of jurisdictions outside the United States; | |
| | general economic conditions; |
3
| | the failure of any products to gain market acceptance; | |
| | technological changes; | |
| | government regulation generally and the receipt of the regulatory approvals; | |
| | changes in industry practice; and | |
| | one-time events. |
These risks are not exhaustive. Other sections of this Annual Report on Form 10-K includes
additional factors which could adversely impact our business and financial performance. Moreover,
we operate in a very competitive and rapidly changing environment. New risk factors emerge from
time to time and it is not possible for us to predict all risk factors, nor can we assess the
impact of all factors on our business or the extent to which any factor, or combination of factors,
may cause actual results to differ materially from those contained in any forward-looking
statements.
You should not rely upon forward looking statements as predictions of future events. We cannot
assure you that the events and circumstances reflected in the forward looking statements will be
achieved or occur. Although we believe that the expectations reflected in the forward looking
statements are reasonable, we cannot guarantee future results, levels of activity, performance or
achievements.
4
PART I
Item 1. Business
Overview of Our Business
We are a developmental stage pharmaceutical company listed on the Nasdaq Global Market under the
symbol MSHL. We were incorporated on December 1, 2000 as a wholly-owned subsidiary of Novogen
Limited (Novogen), an Australian company. Novogens ordinary shares trade on the Australian Stock
Exchange under the symbol NRT, and American Depositary Receipts trade in the United States under
the symbol NVGN on the Nasdaq Global Market. As at the date of this report Novogen owns
approximately 71.9% of our outstanding common stock.
We commenced operation in May 2002 and our business purpose is the development and
commercialization of drugs for the treatment of cancer. We are presently engaged in the clinical
development and commercialization of a drug candidate called phenoxodiol which we have licensed
from a subsidiary of Novogen. We believe that phenoxodiol may have broad application against a wide
range of cancers. Phenoxodiol appears to target a number of key components involved in cancer cell
survival and proliferation based on the emerging field of signal transduction regulation, with
little or no effect on normal cells detected in pre-clinical testing. We have also licensed two
other anti-cancer compounds, NV-196 and NV-143, from a subsidiary of Novogen.
Our strategy is to undertake further clinical development and testing of phenoxodiol, focusing on
those therapeutic indications that will expedite drug marketing approval by regulatory bodies,
leading to phenoxodiols commercialization and wide scale distribution. We also plan to develop
NV-196 and NV-143 for therapeutic indications not currently targeted by phenoxodiol.
Phenoxodiol commenced Phase I clinical studies in Australia in 2000 and currently is undergoing a
pivotal Phase III study in combination with carboplatin for women with platinum-resistant ovarian
cancer (ovarian cancer that does not respond to platinum based anti-cancer agents such as cisplatin
and carboplatin), and has recently completed a Phase Ib study in the United States in patients with
cervical cancer and a Phase Ib study in Australia in patients with hormone-refractory prostate
cancer.
NV-196 is being developed initially in oral form for pancreatic and bile duct cancer and has
completed a Phase I human clinical trial. NV-143 is targeted for the treatment of melanoma also in
oral dose form and is in the pre-clinical testing stage.
Recent Developments
In April 2007, we announced that we had renegotiated with Novogen the timing of the payments of our
annual $8.0 million milestone license payments for phenoxodiol due under the terms of our license
agreement. Under the terms of an Amendment Deed to the original license agreement the payment of
the future milestone license fees due on December 31, 2007 and each year subsequently will now
commence at the end of the calendar year in which the FDA approves a new drug application for
phenoxodiol or phenoxodiol first receives approval for marketing in the U.S. or any other country.
In April 2007, we announced that Novogen had advised us that it had been granted patent claims in
the United States to pharmaceutical compositions of phenoxodiol. These rights are included in the
patent rights licensed to us under the terms of our license agreement.
5
On August 1, 2007, we entered into a securities subscription agreement with certain accredited
investors providing for the private placement of 5,464,001 shares of our common stock at a purchase
price of $3.00 per share. The investors in the transaction also received a warrant to purchase an
additional 4 shares of common stock for every block of 10 shares of common stock purchased. The
warrants have an exercise price of $3.60 per share. The warrants may be exercised beginning
February 6, 2008 and will expire five years from the date of issuance, on August 6, 2012. We also
issued 62,091 warrants to Blue Trading, LLC, which acted as the placement agent in the private
placement, as part of the placement fee. The warrants issued to Blue Trading, LLC have an exercise
price of $3.00 per share and each warrant is convertible for 4 shares of common stock. These
warrants may be exercised immediately and will expire five years from the date of issuance, on
August 6, 2012. We closed the private placement on August 6, 2007 and we received gross proceeds of
$16.4 million.
We have entered into a registration rights agreement with the investors party to the securities
subscription agreement, and Blue Trading, LLC, and have agreed to file a registration statement with the U.S. Securities
and Exchange Commission (the SEC) for the common stock and the common stock issuable upon
exercise of the warrants sold pursuant to the Securities Subscription Agreement for resale
thereunder.
In addition, we have terminated our Standby Equity Distribution Agreement (the SEDA), dated as of
July 11, 2006, with Cornell Capital Partners, LP, as amended.
Recent Clinical Developments
During fiscal year 2007, we made progress in the clinical development of phenoxodiol including:
| | In September 2006, we announced the results of a preclinical study conducted at Purdue University which suggests that phenoxodiol may be effective in the treatment of prostate cancer through its ability to target a protein, the 75 alpha protein, an isoform of tumor-associated NADH oxidase (or tNOX), which appears to be the particular tNOX isoform found in prostate cancer patients. This study provides further support that a surface oxidase is a target for phenoxodiol. | ||
| | In November 2006, we announced that the first patient commenced treatment in the Phase III OVATURE clinical trial (known as OVATURE). The OVATURE trial is being conducted under a Special Protocol Assessment (SPA) where the U.S. Food and Drug Administration (the FDA) in the U.S. reviewed and agreed with the study design of the pivotal Phase III study of phenoxodiol in combination with carboplatin for women with platinum-resistant ovarian cancer. The SPA process allows for FDA evaluation of a clinical trial protocol that will form the basis of an efficacy claim for a marketing application, and provides acknowledgement that the study design including patient numbers, clinical endpoints and analyses, are acceptable to the FDA. As a fast track product, phenoxodiol will be eligible to apply for accelerated approval and priority review of the marketing application by the FDA for this indication. |
New Director
In March 2007, the Board of Directors appointed Mr. William Rueckert to the Board. Mr. Rueckert is
the Managing Member of Oyster Management Group LLC an investment fund specializing in community
banks. Mr. Rueckert is a Director of Emergency Filtration Products, Inc., a public manufacturer and
marketer of respiratory filtration devices and Mr. Rueckert is a
member of the Board of Directors of
6
Glycotex, Inc. an 81.3 percent owned unlisted subsidiary of Novogen Limited. Prior
to his current positions, from 1991 to 2006 he was president and director of Rosow & Company, a
private investment firm based in Connecticut. Mr. Rueckert has been president and director of
Eastern Capital Development, LLC from 1999 to 2005, treasurer of Moore & Munger, Inc., a company
with interests in the petroleum and resort development industries, from 1988 until 1990, and was
president of United States Oil Company, a publicly traded oil exploration business, from 1981 to
1988. Among his many civic associations, Mr. Rueckert is director and president of the Cleveland H.
Dodge Foundation, a private philanthropic organization in New York City and Chairman of the Board
of the Trustees of Teachers College, Columbia University.
In June 2007, we announced that Dr Graham Kelly had retired as a member of our Board of Directors.
Scientific Overview
Phenoxodiol, NV-196 and NV-143 belong to a class of drugs that we refer to as Multiple Signal
Transduction Regulators (MSTRs).
Signal transduction refers to the means by which cells respond to chemical signals that come from
within the cell itself, from neighboring cells, and from elsewhere in the body. These signals
regulate such vital functions as the growth and survival of the cell. We believe that malfunctions
in key components of the signal transduction process (whereby a series of chemical signals within a
cell leads to the expression of a particular function) are fundamental to neoplastic diseases such
as cancer, where cells respond abnormally to normal levels of signals, typically by over-responding
to them with increased cell growth and survival.
We believe that identifying malfunctions in the signal transduction process and then designing
drugs to block or correct them has become a basis for the development of the next generation of
anti-cancer drugs. These drugs have become known as signal transduction inhibitors. These drugs are
being designed to target a specific signaling pathway, which typically is over-active in a tumor
cell, and by blocking progression of the signal, prevent or reduce the ability of the tumor cell to
divide or to survive. We believe that single signal transduction inhibitors, while displaying
anti-tumor activity against a small number of different types of cancer, generally have failed to
provide more than modest prolongation of survival of cancer patients. We believe this is because
most human cancers involve errors of multiple signaling pathways, and inhibition of a single
pathway by any one drug alone cannot reasonably be expected to provide more than a temporary halt
to cancer progression.
We believe that our three drug candidates increase the potency of signal transduction inhibitors by
targeting multiple signaling pathways, and in particular, those pathways vital to the survival of
most, if not all, human cancer cells. In the term MSTR, multiple refers to the fact that more
than one signaling pathway is targeted by the drug, and regulator refers to the fact that while
the drug predominantly inhibits errant pro-survival signaling pathways, it conversely can also
activate pro-death signaling pathways to facilitate cancer cell death.
We believe that our three drug candidates are able to exert a multiplicity of effects, including
both pro-survival and pro-death signaling systems, as a result of the primary target on the
tumor cell being a protein whose function in the tumor cell is so fundamental to cell biochemistry
that to shut it down produces a broad range of adverse biochemical consequences.
The potential explanation for this effect on the fundamental biochemistry of tumor cells was
provided by a discovery of a research team at Purdue University in Indiana. This team has a
long-standing research interest in a family of proteins at the cell surface that are involved in
7
electron
transport across the cell membrane. This function is so fundamental to normal cell function and viability, that any
loss of function of this electron pump will disrupt a wide range of biochemical processes. One of
the key components of this electron pump mechanism is a cell surface protein known as NADH oxidase.
These proteins are situated on the outside of the cell membrane of all living matter, and regulate
the flow of waste hydrogen across the cell membrane. The Purdue University studies have now shown
that all forms of human cancer express a variant form of the surface oxidase, known as
tumor-specific NADH oxidase. In cancer cells, phenoxodiol appears to block the surface oxidase,
with the resulting inhibition of hydrogen ion removal (H+ efflux) from the cell. This leads to
extensive disruption to signaling pathways and to eventual inhibition of cell proliferation and
activation of apoptosis, the process of programmed cell death by which a cell dies naturally.
Phenoxodiol appears to have little or no effect on the normal cell form of oxidase, providing an
explanation for how phenoxodiol selectively targets cancer cells for its cytotoxic effects.
A research
team at Victoria University in New Zealand, headed by Professor Michael Berridge, head
of the Malaghan Institute of Medical Research at the University of Wellington School of Medicine,
has independently validated the mechanism of action of phenoxodiol via surface oxidase inhibition.
Phenoxodiol inhibited plasma membrane electron transport and cell proliferation in cancer cell
lines and some primary immune cells.
Other
studies at The Hanson Institute, Centre for Cancer Research at Royal Adelaide Hospital in Australia have
demonstrated that the potent anti-tumour and anti-angiogenic properties of phenoxodiol are
associated with down regulation of a key signal transduction molecule, sphingosine kinase.
Sphingosine kinase is a terminal component of the plasma membrane sphingomyelin pathway leading to
the formation of sphingosine-1-phosphate, a key pro-survival secondary messenger acting via the
signal transduction protein kinase (Akt). Two important biological outcomes of this are (i)
cytostasis, through p53-independent induction of the cell cycle regulatory protein, p21WAF1/CIP1,
and (ii) apoptosis, through inhibition of phosphorylation of the anti-apoptotic factors, XIAP
(inhibitor of apoptosis protein) and FLIPshort (caspase-8 inhibitory protein ) ,
thereby facilitating activation of executioner caspases via the tumour necrosis factor (TNF) family
of death receptors. The Purdue group have shown this effect is a consequence of the interaction
between phenoxodiol and the surface oxidase on cancer cells.
This finding is relevant because of results from laboratory studies at Yale University that have
revealed that the killing effect of phenoxodiol on cancer cells occurs through the loss of the
ability of the tumor cell to manufacture anti-apoptosis proteins such as XIAP and c-FLIP.
Collectively, these third party studies provide a rational mechanism of action of phenoxodiol
starting with the inhibition of surface oxidase, leading in turn to the loss of intracellular
sphingosine-1-phosphate (S-1-P), and eventually to the loss of anti-apoptosis proteins.
Recent laboratory studies conducted by Novogen and Yale University have confirmed that this chain
of biochemical events following exposure of tumor cells to phenoxodiol also provides an explanation
for why phenoxodiol is able to reverse resistance to standard anti-cancer drugs such as platinums,
gemcitabine and taxanes.
Phenoxodiol appears to restore sensitivity to these drugs in cells such as ovarian cancer cells
that have acquired resistance to these drugs. In addition, pretreatment of tumor cells with
phenoxodiol considerably increases the sensitivity of non-resistant tumor cells to the cytotoxic
effects of standard chemotherapy drugs. These effects are achieved without increasing the toxicity
of the standard chemotherapy drugs to non tumor-cells.
8
Overall Clinical Development Strategy for Phenoxodiol, NV-196 and NV-143
Phenoxodiol
Based on the early clinical and pre-clinical work conducted on phenoxodiol, we believe that
phenoxodiol has the potential to become a treatment option for a wide range of human cancers, and
to be employed at various stages of cancer development ranging from early-stage cancer through to
late-stage cancer.
The immediate priority is to focus on those therapeutic indications that will expedite drug
marketing approval of phenoxodiol by regulatory bodies. To this end, we will continue to focus on
three forms of cancer ovarian cancer, prostate adenocarcinoma, and squamous cell carcinoma of the
cervix and vagina.
In ovarian cancer, we are testing the ability of phenoxodiol to overcome chemotherapy drug
resistance mechanisms, reversing resistance to platinums and taxanes in particular. This is a Phase
III pivotal study (known as OVATURE) in patients who have become resistant or refractory to at
least 2 lines of platinum therapy, where phenoxodiol will be tested in combination with weekly
carboplatin to delay tumor progression as measured by progression-free survival.
Phenoxodiol also is being developed for use in squamous cell carcinoma (SCC) of the cervix, vagina
and vulva. A Phase I study is ongoing with a view to providing evidence of both a biological and
clinical effect in this aggressive form of cancer. A positive outcome in the current study could
lead to two potential therapeutic indications: (i) the use of phenoxodiol as a monotherapy in
early-stage disease including pre-malignant disease; and (ii) the use of phenoxodiol in combination
with standard drugs such as cisplatin for the treatment of non-resectable disease.
Prostate cancer is the third tumor type that we believe is likely to be responsive to phenoxodiol
therapy. We have completed a Phase II study in advanced hormone refractory disease and we are
currently assessing the feasibility of conducting a Phase II study using phenoxodiol as first line
treatment in early stage disease. Both of these studies address areas of unmet medical need in this
common cancer. Our ability to proceed with all these studies concurrently will depend on available
financial resources.
NV-196 and NV-143
NV-196, is a synthetic anti-cancer compound developed by Novogen, based on an isoflavan ring
structure. Similar to phenoxodiol, NV-196 is a signal transduction inhibitor. Preliminary screening
studies conducted by Novogen have identified NV-196 as a candidate for product development showing
a favorable in vitro toxicity profile against normal cells and broad activity against cancer cells.
NV-196 is currently in Phase I human testing and is being developed initially in oral form for the
treatment of pancreatic and bile duct cancers.
NV-143 is currently in pre-clinical testing. Preliminary screening studies have identified broad
anti-cancer activity against cancer cells representative of melanoma, glioma, prostate, ovarian,
breast and lung cancer. NV-143 also exhibits broadly acting chemo-sensitizing activity or the
ability to increase the sensitivity of cells to chemotherapeutic drugs that are used to control the
growth of cancer cells. Ongoing research is being undertaken to establish the mechanisms by which
NV-143 elicits its anti-cancer/chemo-sensitizing effect. NV-143 is initially being developed to
target the treatment of melanoma.
9
Both of these new drug candidates are analogues of phenoxodiol, but exhibit significantly different
biologies to phenoxodiol. In parallel with phenoxodiol, both drug candidates display pre-clinical
anti-cancer activity across a broad range of tumor types, high selectivity for cancer cells, and
the ability to chemo-sensitize tumor cells to the cytotoxic effects of most standard chemotoxic
drugs. However, both drugs differ from phenoxodiol in showing a substantially greater ability to
induce apoptosis in pancreatic cancer, bile duct cancer, and melanoma cells; they also show an
ability to increase the sensitivity of cancer cells to radiotherapy (radiosensitizers).
We are now engaged in a program that seeks to bring both drug candidates to market as agents that
will provide chemo-sensitization and/or radio-sensitization across a number of tumor types, but
particularly pancreatic cancer, bile duct cancer for NV-196 and malignant melanoma for NV-143.
The first NV-196 Phase Ia study in three patients confirmed the bioavailability of the oral dosage
form. That study showed that an oral dosing regimen had the potential to deliver
therapeutically-relevant plasma levels of the drug, and that short-term therapy with NV-196 was
well tolerated. NV-196 has also completed a second Phase Ia safety and pharmacokinetic (how the
drug is absorbed and metabolised) study in nine patients at the Brisbane Mater Hospital.
NV-143 is still undergoing pre-clinical evaluation for determination of its potential in the
treatment of malignant melanoma and is not expected to enter clinical trials until the results of
pre-clinical testing are complete.
Competition
The development of phenoxodiol and other drug candidates is highly competitive. A number of other
companies have products or drug candidates in various stages of pre-clinical or clinical
development that are intended for the same therapeutic indications for which phenoxodiol is being
developed. Some of these potential competing drugs are further advanced in development than
phenoxodiol and may be commercialized sooner. Even if we are successful in developing effective
drugs, phenoxodiol may not compete successfully with products produced by our competitors.
Our competitors include pharmaceutical companies and biotechnology companies, as well as
universities and public and private research institutions. In addition, companies active in
different but related fields represent substantial competition for us. Many of our competitors
developing oncology drugs have significantly greater capital resources, larger research and
development staffs and facilities and greater experience in drug development, regulation,
manufacturing and marketing than we do. These organizations also compete with Novogen, our services
provider, in recruiting qualified personnel. They compete with us in recruiting eligible patients
to participate in clinical studies and in attracting partners for joint ventures. They also licence
technologies that are competitive with our technologies. As a result, our competitors may be able
to more easily develop technologies and products that would render our technologies or our drug
candidates obsolete or non-competitive.
Intellectual Property
Novogen has been granted patents and has additional patent applications pending in a number of
countries which cover a family of chemically related compounds with potentially broad ranging and
complementary anti-cancer effects. Novogen has granted to us an exclusive licence, with respect to
its patent rights and intellectual property know-how to develop, market and distribute any one of
these compounds, phenoxodiol, NV-143 and NV-196. as anti-cancer agents, except in topical form.
10
Phenoxodiol
We have licensed from Novogen the rights to the Novogen patents and applications as they relate to
phenoxodiol as an anti-cancer agent. Excluded from these rights is phenoxodiol in a topical
formulation. The patent rights we have licensed from Novogen can be largely classified into two
broad groups: patent rights relating to phenoxodiol used as an anti-cancer agent, which we refer to
as therapeutic patent rights, and patent rights relating to the manufacture of phenoxodiol for
anti-cancer purposes, which we refer to as manufacturing patent rights. The pending and issued
Novogen patent rights can be further broken down into four families, three families belonging to
the therapeutic patent rights and one family belonging to the manufacturing patent rights. The
three families in the therapeutic patent rights relate to:
| | phenoxodiol in the treatment of cancer (thirteen patents pending and ten patents issued); | ||
| | compositions and methods for protecting skin from ultraviolet induced immunosuppression and skin damage, including phenoxodiol (five patents pending and eight patents issued); and | ||
| | therapeutic methods and compositions involving isoflav-3-ene and isoflavan structure, including phenoxodiol (twelve patents pending and one patent granted). |
The family relating to the manufacturing patent rights relate to:
| | the production of isoflavone derivatives, including phenoxodiol (fourteen patents pending and four patents issued; one of these pending applications has recently been allowed and is anticipated to proceed to grant in the coming months). |
Regarding the treatment of cancer, Novogen has been granted a U.S. Patent (No. 6,649,648) by the
United States Patent and Trademark Office (USPTO) relating to the treatment of cancerous disease
with isoflavone derivatives including phenoxodiol. U.S. Patent 6,649,648 also includes claims
specifically directed to the treatment of ovarian cancer, breast cancer, prostate cancer, uterine
cancer, bowel cancer, testicular cancer, endometrial cancer, leukemia and metastatic cancer with
isoflavone derivatives including phenoxodiol.
More recently, Novogen has been granted U.S. Patent No. 7,202,273 with broad claims to
pharmaceutical compositions comprising phenoxodiol.
NV-143 and NV-196
We have also licensed from Novogen the rights to patent applications as they relate to two novel
anti-cancer compounds, NV-143 and NV-196. These compounds are isoflavan derivatives of phenoxodiol.
The licensed patent rights relate to the novel compounds themselves (composition of matter
rights) and to uses of these compounds as anti-cancer agents and sensitizers of cancer cells and
tumors to chemotherapy and radiotherapy. The patent rights fall into two families of patent
applications:
| | composition of matter rights in respect of NV-143 and NV-196 and uses of these compounds as anti-cancer agents (four national patents, twelve pending patent applications and one international Patent Co-operation Treaty (PCT) pending); and | ||
| | uses of NV-143 and NV-196 as chemo-sensitizers and radiosensitizers of tumors and cancer cells (eleven patents pending). |
11
As patent applications in the United States are maintained in secrecy until published by the USPTO
at 18 months from filing, for all cases filed after November 29, 2000, or at issue, for cases filed
prior to November 29, 2000. We cannot be certain that Novogen was the first to make the inventions covered
by the Novogen patents and applications referred to above. Additionally, publication of discoveries
in the scientific or patent literature often lag behind the actual discoveries. Moreover, pursuant
to the terms of the Uruguay Round Agreements Act, patents filed on or after June 8, 1995 have a
term of twenty years from the date of such filing, irrespective of the period of time it may take
for such patent to ultimately issue. This may shorten the period of patent protection afforded to
therapeutic uses of phenoxodiol or to NV-143 or NV-196, as patent applications in the
biopharmaceutical sector often take considerable time to issue. However, in some countries the
patent term may be extended.
In order to protect the confidentiality of our technology, including trade secrets and know-how and
other proprietary technical and business information, we require all of our consultants, advisors
and collaborators to enter into confidentiality agreements that prohibit the use or disclosure of
information that is deemed confidential. The agreements also oblige our consultants, advisors and
collaborators to assign to us developments, discoveries and inventions made by such persons in
connection with their work with us relating to our products. We cannot be sure that confidentiality
will be maintained or disclosure prevented by these agreements. We also cannot be sure that our
proprietary information or intellectual property will be protected by these agreements or that
others will not independently develop substantially equivalent proprietary information or
intellectual property.
The pharmaceutical industry is highly competitive and patents may have been applied for by, and
issued to, other parties relating to products competitive with phenoxodiol, NV-143 or NV-196. Use
of these compounds and any other drug candidates may give rise to claims that they infringe the
patents or proprietary rights of other parties, existing now and in the future. An adverse claim
could subject us to significant liabilities to such other parties and/or require disputed rights to
be licensed from such other parties. We cannot be sure that any licence required under any such
patents or proprietary rights would be made available on terms acceptable to us, if at all. If we
do not obtain such licences, we may encounter delays in product market introductions, or may find
that the development, manufacture or sale of products requiring such licences may be precluded. We
have not conducted any searches or made any independent investigations of the existence of any
patents or proprietary rights of other parties.
Relationship with Novogen
Novogen has been granted patents and has additional patent applications pending in a number of
countries pertaining to phenoxodiols family of compounds (and to phenoxodiol itself) in their use
in anti-cancer therapeutics. Novogen has granted to us an exclusive licence under its patent rights
and intellectual property rights in its relevant know-how to develop, market and distribute all
forms of administering phenoxodiol for anti-cancer applications, except topical applications.
In May 2006, under the terms of the licence option deed with Novogen, we licenced two oncology
compounds, NV-196 and NV-143, which qualified as option compounds. NV-196 is being developed
initially in oral form for pancreatic and bile duct cancer and is currently in Phase I human
testing. NV-143 is targeted for the treatment of melanoma, also in oral dose form, and is in
pre-clinical testing stage. Under the terms of the licence agreement for NV-196 and NV-143, Novogen
has granted to us an exclusive licence under its patent rights and the intellectual property rights
in its relevant know-how to develop, market and distribute all forms of administering NV-196 and
NV-143 for anti-cancer applications, except topical applications.
12
Novogen is active in the discovery and development of new drugs based on the emerging field of
signal transduction regulation. Signal transduction regulators offer the potential for effective,
well-tolerated treatment of common diseases, including cancer. Novogen has developed a family of
chemically related compounds with potentially broad ranging and complementary anti-cancer effects.
We have entered into certain key agreements with Novogen which are discussed below.
Phenoxodiol
Under the licence agreement, Novogen granted us an exclusive world-wide, non-transferable licence,
under the Novogen patent rights, to conduct clinical trials and commercialize and distribute all
forms of administering phenoxodiol except topical applications. The agreement covers uses of
phenoxodiol in the field of prevention, treatment or cure of cancer in humans. Our business is
currently focused on advancing the clinical program underway for the development of phenoxodiol.
NV-196 and NV-143
Under a second licence agreement, Novogen granted us an exclusive world-wide, non-transferable
licence, under the Novogen patent rights, to conduct clinical trials and commercialize and
distribute all forms of administering NV-196 and NV-143, except topical applications. The agreement
covers uses of NV-196 and NV-143 in the field of prevention, treatment or cure of cancer in humans.
Our business is also currently focused on advancing the clinical program underway for the
development of NV-196 and NV-143.
Licence Option deed
Under a licence option deed, Novogen granted us an exclusive first right to accept and an exclusive
last right to match any proposed dealing by Novogen with its intellectual property rights in other
synthetic compounds developed by Novogen that have known or potential anti-cancer applications in
all forms, other than topical applications.
Services
Pursuant to a services agreement, Novogen provides services reasonably required by us relating to
the development and commercialization of phenoxodiol, NV-196, NV-143, or other option compounds in
relation to which we have exercised our rights under the licence option deed. We do not currently
intend to directly employ any staff and are reliant upon Novogen for the provision of resources to
conduct our business.
Manufacturing
Under a manufacturing licence and supply agreement, we have granted Novogen a sublicence to
manufacture and supply phenoxodiol to us in its primary manufactured form for both the OVATURE
clinical program and phenoxodiols ultimate commercial use. Novogen has taken the
strategic decision not to manufacture commercial scale Active Pharmaceutical Ingredients (API) for
cancer drugs, including phenoxodiol, as these can be more economically supplied by third parties
with particular expertise in this area. We have contracts with third parties to validate the
developed scalable manufacturing method to ensure that sufficient quantities of phenoxodiol can be
manufactured in compliance with cGMP (Current Good Manufacturing Practices) and to complete the
analytical and stability work necessary for a New Drug Application (NDA) submission. An NDA will
be submitted if the Phase III study is successful, and approval of the NDA is required to market
phenoxodiol. We will need to arrange similar contracts in the future to secure the supply of NV-196
and NV-143.
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Research and Development
The objective of our research and development program is the generation of data sufficient to
achieve regulatory approval of phenoxodiol, NV-196 and NV-143 in one or more dosage forms in major
markets such as the United States, and/or to allow us to enter into a commercial relationship with
another party. The data are generated by our clinical trial programs.
The key aspects of this program are to provide more complete characterization of the following:
| | the relevant molecular targets of action of phenoxodiol, NV-196 and NV-143; | ||
| | the relative therapeutic benefits and indications of phenoxodiol, NV-196 and NV-143 as a monotherapy or as part of combinational therapy with other chemotoxics; | ||
| | the most appropriate cancer targets for phenoxodiol, NV-196 and NV-143; and | ||
| | the relative therapeutic indications of different dosage forms of phenoxodiol, NV-196 and NV-143. |
Research expenses were $5.761 million for the year ended June 30, 2007, $3.427 million for the year
ended June 30, 2006 and $2.279 million for the year ended June 30, 2005.
Regulation
U.S. Regulatory Requirements
The U.S. Food and Drug Administration, or FDA, and comparable regulatory agencies in other
countries, regulate and impose substantial requirements upon the research, development,
pre-clinical and clinical testing, labeling, manufacture, quality control, storage, approval,
advertising, promotion, marketing, distribution and export of pharmaceutical products including
biologics, as well as significant reporting and record-keeping obligations. State governments may
also impose obligations in these areas.
In the United States, pharmaceutical products are regulated by the FDA under the Federal Food,
Drug, and Cosmetic Act or FDCA and other laws including in the case of biologics, the Public Health
Service Act. We believe, but cannot be certain, that our products will be regulated as drugs by the
FDA. The process required by the FDA before drugs may be marketed in the United States generally
involves the following:
| | pre-clinical laboratory evaluations, including formulation and stability testing, and animal tests performed under the FDAs Good Laboratory Practices regulations to assess potential safety and effectiveness; | ||
| | submission and approval of an Investigation New Drug, or IND, application, including results of pre-clinical tests and protocols for clinical tests, which must become effective before clinical trials may begin in the United States; |
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| | obtaining approval of Institutional Review Boards or IRBs to administer the products to human subjects in clinical trials; | ||
| | adequate and well-controlled human clinical trials to establish the safety and efficacy of the product for the products intended use; | ||
| | development of manufacturing processes which conform to FDA current Good Manufacturing Practices, or cGMPs, as confirmed by FDA inspection; | ||
| | submission of pre-clinical and clinical test results, and chemistry, manufacture and control information on the product to the FDA in a New Drug Approval Application, or NDA; and | ||
| | FDA review and approval of an NDA, prior to any commercial sale or shipment of a product. |
The testing and approval process requires substantial time, effort, and financial resources, and we
cannot be certain that any approval will be granted on a timely basis, if at all.
The results of the pre-clinical tests, together with initial specified manufacturing information,
the proposed clinical trial protocol, and information about the participating investigators are
submitted to the FDA as part of an IND, which must become effective before we may begin human
clinical trials in the U.S. Additionally, an independent IRB must review and approve each study
protocol and oversee conduct of the trial. An IND becomes effective 30 days after receipt by the
FDA, unless the FDA, within the 30-day period, raises concerns or questions about the conduct of
the trials as outlined in the IND and imposes a clinical hold. If the FDA imposes a clinical hold,
the IND sponsor must resolve the FDAs concerns before clinical trials can begin. Pre-clinical
tests and studies can take several years to complete, and there is no guarantee that an IND we
submit based on such tests and studies will become effective within any specific time period, if at
all.
Human clinical trials are typically conducted in three sequential phases that may overlap.
Phase I: The drug is initially introduced into healthy human subjects or patients and tested for
safety and dosage tolerance. Absorption, metabolism, distribution, and excretion testing is
generally performed at this stage.
Phase II: The drug is studied in controlled, exploratory therapeutic trials in a
limited number of subjects with the disease or medical condition for which the new drug is intended
to be used in order to identify possible adverse effects and safety risks, to determine the
preliminary or potential efficacy of the product for specific targeted diseases or medical
conditions, and to determine dosage tolerance and the optimal effective dose.
Phase III: When Phase II studies demonstrate that a specific dosage range of the drug is likely
to be effective and the drug has an acceptable safety profile, controlled, large-scale therapeutic
Phase III trials are undertaken at multiple study sites to demonstrate clinical efficacy and to
further test for safety in an expanded patient population.
We cannot be certain that we will successfully complete Phase I, Phase II, or Phase III testing of
our products within any specific time period, if at all. Furthermore the FDA, the IRB or we may
suspend or terminate clinical trials at any time on various grounds, including a finding that the
subjects or
patients are being exposed to an unacceptable health risk.
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Results of pre-clinical studies and clinical trials, as well as detailed information about the
manufacturing process, quality control methods, and product composition, among other things, are
submitted to the FDA as part of an NDA seeking approval to market and commercially distribute the
product on the basis of a determination that the product is safe and effective for its intended
use. Before approving an NDA, the FDA will inspect the facilities at which the product is
manufactured and will not approve the product unless cGMP compliance is satisfactory. If applicable
regulatory criteria are not satisfied, the FDA may deny the NDA or require additional testing or
information. As a condition of approval, the FDA also may require post-marketing testing or
surveillance to monitor the products safety or efficacy. Even after an NDA is approved, the FDA
may impose additional obligations or restrictions (such as labeling changes), or even suspend or
withdraw a product approval on the basis of data that arise after the product reaches the market,
or if compliance with regulatory standards is not maintained. We cannot be certain that any NDA we
submit will be approved by the FDA on a timely basis, if at all. Also, any such approval may limit
the indicated uses for which the product may be marketed. Any refusal to approve, delay in
approval, suspension or withdrawal of approval, or restrictions on indicated uses could have a
material adverse impact on our business prospects.
Each NDA must be accompanied by a user fee, pursuant to the requirements of the Prescription Drug
User Fee Act, or PDUFA, and its amendments. According to the FDAs fee schedule, effective on
October 1, 2006 for the fiscal year 2007, the user fee for an application requiring clinical data,
such as an NDA, is $896,200. The FDA adjusts the PDUFA user fees on an annual basis. PDUFA also
imposes an annual product fee for prescription drugs and biologics ($49,750), and an annual
establishment fee ($313,100) on facilities used to manufacture prescription drugs and biologics. A
written request can be submitted for a waiver for the application fee for the first human drug
application that is filed by a small business, but there are no waivers for product or
establishment fees. We are not at the stage of development with our products where we are subject
to these fees, but they are significant expenditures that may be incurred in the future and must be
paid at the time of application submissions to FDA.
Satisfaction of FDA requirements typically takes several years. The actual time required varies
substantially, based upon the type, complexity, and novelty of the pharmaceutical product, among
other things. Government regulation imposes costly and time-consuming requirements and restrictions
throughout the product life cycle and may delay product marketing for a considerable period of
time, limit product marketing, or prevent marketing altogether. Success in pre-clinical or early
stage clinical trials does not ensure success in later stage clinical trials. Data obtained from
pre-clinical and clinical activities are not always conclusive and may be susceptible to varying
interpretations that could delay, limit, or prevent marketing approval. Even if a product receives
marketing approval, the approval is limited to specific clinical indications. Further, even after
marketing approval is obtained, the discovery of previously unknown problems with a product may
result in restrictions on the product or even complete withdrawal of the product from the market.
After product approval, there are continuing significant regulatory requirements imposed by the
FDA, including record-keeping requirements, obligations to report adverse side effects in patients
using the products, and restrictions on advertising and promotional activities. Quality control and
manufacturing procedures must continue to conform to cGMPs, and the FDA periodically inspects
facilities to assess cGMP compliance. Additionally, post-approval changes in ingredient
composition, manufacturing processes or facilities, product labeling, or other areas may require
submission of an NDA Supplement to the FDA for review and approval. New indications will require
additional clinical tests
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and submission of an NDA Supplement. Failure to comply with FDA regulatory requirements may result in
an enforcement action by the FDA, including Warning Letters, product recalls, suspension or
revocation of product approval, seizure of product to prevent distribution, impositions of
injunctions prohibiting product manufacture or distribution, and civil and criminal penalties.
Maintaining compliance is costly and time-consuming. We cannot be certain that we, or our present
or future suppliers or third-party manufacturers, will be able to comply with all FDA regulatory
requirements, and potential consequences of noncompliance could have a material adverse impact on
our business prospects.
The FDAs policies may change, and additional governmental regulations may be enacted that could
delay, limit, or prevent regulatory approval of our products or affect our ability to manufacture,
market, or distribute our products after approval. Moreover, increased attention to the containment
of healthcare costs in the United States and in foreign markets could result in new government
regulations that could have a material adverse effect on our business. Our failure to obtain
coverage, an adequate level of reimbursement, or acceptable prices for our future products could
diminish any revenues we may be able to generate. Our ability to commercialize future products will
depend in part on the extent to which coverage and reimbursement for the products will be available
from government and health administration authorities, private health insurers, and other
third-party payers. European Union and U.S. government and other third-party payers increasingly
are attempting to contain healthcare costs by consideration of new laws and regulations limiting
both coverage and the level of reimbursement for new drugs. We cannot predict the likelihood,
nature or extent of adverse governmental regulation that might arise from future legislative or
administrative action, either in the United States or abroad.
Our activities also may be subject to state laws and regulations that affect our ability to develop
and sell our products. We are also subject to numerous federal, state, and local laws relating to
such matters as safe working conditions, clinical, laboratory, and manufacturing practices,
environmental protection, fire hazard control, and disposal of hazardous or potentially hazardous
substances. We may incur significant costs to comply with such laws and regulations now or in the
future, and the failure to comply may have a material adverse impact on our business prospects.
The FDCA includes provisions designed to facilitate and expedite the development and review of
drugs and biological products intended for treatment of serious or life-threatening conditions that
demonstrate the potential to address unmet medical needs for such conditions. These provisions set
forth a procedure for designation of a drug as a fast track product. The fast track designation
applies to the combination of the product and specific indication for which it is being studied. A
product designated as fast track is ordinarily eligible for additional programs for expediting
development and review, but products that are not in fast track drug development programs may also
be able to take advantage of these programs. These programs include priority review of NDAs and
accelerated approval. Drug approval under the accelerated approval regulations may be based on
evidence of clinical effect on a surrogate endpoint that is reasonably likely to predict clinical
benefit. A postmarketing clinical study will be required to verify clinical benefit, and other
restrictions to assure safe use may be imposed.
Under the Drug Price Competition and Patent Term Restoration Act of 1984 (the Patent Act), a
sponsor may obtain marketing exclusivity for a period of time following FDA approval of certain
drug applications, regardless of patent status, if the drug is a new chemical entity or if new
clinical studies were required to support the marketing application for the drug. This marketing
exclusivity prevents a third party from obtaining FDA approval for an identical or nearly identical
drug under an Abbreviated New Drug Application (ANDA) or a 505(b)(2) New
17
Drug Application. The
statutealso allows a patent owner to obtain an extension of applicable patent terms for a period equal to
one-half the period of time elapsed between the filing of an IND and the filing of the
corresponding NDA plus the period of time between the filing of the NDA and FDA approval, with a
five year maximum patent extension. We cannot be certain that Novogen will be able to take
advantage of either the patent term extension or marketing exclusivity provisions of these laws.
The Best Pharmaceuticals for Children Act, signed into law on January 4, 2002, provides an
additional six months of marketing exclusivity for new or marketed drugs, for which specific
pediatric studies were conducted at the written request of the FDA. On December 3, 2003, the
Pediatric Research Equity Act was signed into law, authorizing the FDA to require pediatric studies
for drugs and biological products to ensure the drugs or products safety and effectiveness in
children. This Act required that NDAs or supplements to NDAs contain data assessing the safety and
effectiveness for the claimed indication in all relevant pediatric subpopulations. Dosing and
administration must be supported for each pediatric subpopulation for which the drug is safe and
effective. The FDA may grant deferrals for submission of data, or full or partial waivers.
Australian Regulatory Requirements
The Therapeutic Goods Act 1989, or 1989 Act, sets out the legal requirements for the import,
export, manufacture and supply of pharmaceutical products in Australia. The 1989 Act requires that
all pharmaceutical products to be imported into, supplied in, manufactured in or exported from
Australia be included in the Australian Register of Therapeutic Goods, or ARTG, unless specifically
exempted under the Act.
In order to ensure that a product can be included in the ARTG, a sponsoring company must make an
application to the Therapeutic Goods Administration, or TGA. The application usually consists of a
form accompanied by data (based on the European Union requirements) to support the quality, safety
and efficacy of the drug and payment of a fee. Application details are available on the TGA
website http://www.tga.gov.au.
The first phase of evaluation, known as the Application Entry Process, is usually a short period
during which an application is assessed on an administrative level to ensure that it complies with
the basic guidelines. The TGA must decide within at least 40 working days whether it will accept
the application for evaluation.
Once an application is accepted for evaluation, aspects of the data provided are allocated to
evaluators within the different relevant sections, who prepare evaluation reports. Following
evaluation, the chemistry and quality control aspects of a product may be referred to a
sub-committee of the Australian Drug and Evaluation Committee, or ADEC, to review the relevant
evaluation reports. The evaluation reports (along with any resolutions of the ADEC sub-committee)
are then sent to the sponsoring company who then has the opportunity to comment on the views
expressed within the evaluation report, provide corrections and to submit supplementary data to
address any issues raised in the evaluation reports.
Once the evaluations are complete, the TGA prepares a summary document on the key issues on which
advice will be sought from the ADEC. This summary is sent to the sponsoring company which is able
to submit a response to the ADEC dealing with issues raised in the summary and those not previously
addressed in the evaluation report. The ADEC provides independent advice on the quality,
risk-benefit, effectiveness and access of the drug and conduct medical and scientific evaluations
of the application. The ADECs resolutions are provided to the sponsoring company after 5 working
days after the ADEC meeting.
The TGA takes into account the advice of the ADEC in reaching a decision to approve or reject a
product. Any approval for registration on the ARTG may have conditions associated with it.
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From the time that the TGA accepts the initial application for evaluation, the TGA must complete
the evaluation and make a decision on the registration of the product within at least 255 working
days. The TGA also has a system of priority evaluation for products that meet certain criteria,
including where the product is a new chemical entity that it is not otherwise available on the
market as an approved product, and is for the treatment of a serious, life-threatening illness for
which other therapies are either ineffective or not available.
European Union Regulatory Requirements
Outside the United States, our ability to market our products will also be contingent upon
receiving marketing authorizations from the appropriate regulatory authorities and compliance with
applicable post-approval regulatory requirements. Although the specific requirements and
restrictions vary from country to country, as a general matter, foreign regulatory systems include
risks similar to those associated with FDA regulation, described above. Under EU regulatory
systems, marketing authorizations may be submitted either under a centralized or a national
procedure. Under the centralized procedure, a single application to the European Medicines Agency
(EMEA) leads to an approval granted by the European Commission which permits the marketing of the
product throughout the EU. The centralized procedure is mandatory for certain classes of medicinal
products, but optional for others. For example, all medicinal products developed by certain
biotechnological means, and those developed for cancer and other specified diseases and disorders,
must be authorized via the centralized procedure. We assume that the centralized procedure will
apply to our products that are developed by means of a biotechnology process. The national
procedure is used for products that are not required to be authorized by the centralized procedure.
Under the national procedure, an application for a marketing authorization is submitted to the
competent authority of one member state of the EU. The holders of a national marketing
authorization may submit further applications to the competent authorities of the remaining member
states via either the decentralized or mutual recognition procedure. The decentralized procedure
enables applicants to submit an identical application to the competent authorities of all member
states where approval is sought at the same time as the first application, while under the mutual
recognition procedure, products are authorized initially in one member state, and other member
states where approval is sought are then requested to recognize the original authorization based
upon an assessment report prepared by the original authorizing competent authority. Both the
decentralized and mutual recognition procedures should take no longer than 90 days, but if one
member state makes an objection, which under the legislation can only be based on a possible risk
to human health, the application will be automatically referred to the Committee for Medicinal
Products for Human Use (CHMP) of the EMEA. If a referral for arbitration is made, the procedure is
suspended. However, member states that have already approved the application may, at the request of
the applicant, authorize the product in question without waiting for the result of the arbitration.
Such authorizations will be without prejudice to the outcome of the arbitration. For all other
concerned member states, the opinion of the CHMP, which is binding, could support or reject the
objection or alternatively could reach a compromise position acceptable to all EU countries
concerned. The arbitration procedure may take an additional year before a final decision is reached
and may require the delivery of additional data.
As with FDA approval we may not be able to secure regulatory approvals in Europe in a timely
manner, if at all. Additionally, as in the United States, post-approval regulatory requirements,
such as those regarding product manufacture, marketing, or distribution, would apply to any product
that is approved in Europe, and failure to comply with such obligations could have a material
adverse effect on our ability to successfully commercialize any product.
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The conduct of clinical trials in the European Union is governed by the European Clinical Trials
Directive (2001/20/EC), which was implemented in May 2004. This Directive governs how regulatory
bodies in member states control clinical trials. No clinical trial may be started without a
clinical trial authorization granted by the national competent authority and favorable ethics
approval.
Accordingly, there is a marked degree of change and uncertainty both in the regulation of clinical
trials and in respect of marketing authorizations which face us for our products in Europe.
Government Funding
Novogen received financial support for the phenoxodiol drug program from the Australian government
under what is known as the START Program. The START Program is a merit-based program designed to
encourage and assist Australian companies to undertake research and development and
commercialization through a range of grants and loans. The START Program is administered by the
Industry Research and Development, or IR&D Board. The IR&D Board is made up of private sector and
academic members with expertise and experience in research and development and commercialization.
In 1998, the Australian government agreed to provide A$2.7 million (approximately U.S. $1.8
million) to Novogen, enabling it to expedite phenoxodiol into clinical trials, provided that the
grant money was matched by an equal expenditure by Novogen. The START grant was awarded after the
governments review of the pertinent research results, the intellectual property driving the
program, and the likelihood and potential for commercial success of the drug.
The terms of the grant require Novogen to obtain the consent of the Australian government to deal
with the intellectual property rights which have arisen through the program conducted to date.
Novogen has obtained the consent of the Australian government to the grant of the licence to us and
to the other arrangements between us and Novogen concerning the development and commercialization
of phenoxodiol.
Under the START Program, Novogen must meet certain project development and commercialization
obligations. Novogen has met the project development obligations and has received final payment
thereon. Novogen believes that it is currently in compliance with its commercialization schedule
and that it has fulfilled all of its obligations under the terms of the START Program and expects
to continue to do so in the future. For additional information on the consequences to us in the
event Novogen fails to comply with its obligations under the START Program, see the Intellectual
Property and Risk Factors sections of this annual report.
Employees
We do not have any employees. Novogen provides us with staff and other financial and administrative
services under our services agreement with Novogen.
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Item 1A. Risk Factors
In addition to the other information in this Annual Report the following risk factors should be
considered carefully in evaluating us and our business.
Risks Related to Our Business
We will need additional funds to complete the OVATURE Phase III clinical trial for phenoxodiol and
to progress the clinical trial program for NV-196 and NV-143. The actual amount of funds we will
need will be determined by a number of factors, some of which are beyond our control.
We will need additional funds to complete the OVATURE Phase III clinical trial for phenoxodiol and
to progress the clinical trial program for NV-196 and NV-143. The actual amount of funds that we
will need to complete these projects will be determined by a number of factors, some of which are
beyond our control. These factors may include the following:
| | the number of sites included in the trials; | ||
| | the length of time required to enroll suitable patients; | ||
| | the number of patients that participate in the trials and the rate that they are recruited; | ||
| | the number of treatment cycles patients complete while they are enrolled in the trials; and | ||
| | the efficacy and safety profile of the product. |
If we are unable to obtain additional funds on favourable terms we may be required to cease or
reduce our operations. Also, if we raise more funds by selling additional shares of our common
stock or securities convertible into or exercisable for shares of our common stock, the ownership
interests of our common stockholders will be diluted.
We may not complete our OVATURE Phase III trial on schedule, or at all, or it may be conducted
improperly, which will delay or preclude FDA marketing approval and increase costs.
The completion of our OVATURE clinical trial may be delayed or terminated for many reasons,
including, but not limited to, if:
| | we are unable to identify and contract clinical trial sites and clinical investigators at the rate we expect or those sites are delayed from commencing patient recruitment due to regulatory hospital ethics committee approvals or those investigators do not perform to our anticipated patient recruitment schedule or comply with the clinical trial protocol; | ||
| | patients are not available to enrol at the rate we currently expect, or that trial sites are unable to recruit their target patient numbers due to the strict inclusion criteria of the OVATURE protocol which may reduce the patient pool available to participate in the trial; | ||
| | subjects experience an unacceptable rate or severity of adverse side effects; | ||
| | third party clinical investigators do not conduct the trial in compliance with Good Clinical Practice and regulatory requirements, or other third parties do not perform data collection and analysis in a timely or accurate manner; | ||
| | one or more IRB suspends or terminates the trial at an investigational site, precludes enrolment of additional subjects, or withdraws its approval of the trial; or |
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| | one or more of our clinical investigators withdraws from our trials or deviates from our approved protocol. |
Our costs will increase if we have material delays in our OVATURE pivotal trial, or if we are
required to modify, suspend, terminate or repeat it.
If the data from our OVATURE Phase III clinical trial do not demonstrate the safety and
effectiveness of phenoxodiol to the FDAs satisfaction, we will not receive FDA approval to market
phenoxodiol in the United States.
In 2004, the FDA granted phenoxodiol fast track status for patients with recurrent late stage
ovarian cancer that is resistant or refractory to platins and taxanes. More recently we completed
an SPA where the FDA reviewed and agreed with the design of a Phase III study of phenoxodiol in
combination with carboplatin in women with platinum-resistant ovarian cancer (ovarian cancer that
does not respond to platinum based anti-cancer agents such as cisplatin). If the FDA concludes,
using agreed clinical endpoints, that the data from our pivotal clinical trial have failed to
demonstrate the safety and effectiveness of phenoxodiol to the satisfaction of the FDA, we will not
receive FDA approval to market phenoxodiol in the United States. We cannot assure you that the
results of our Phase III trial will be successful.
The third-party manufacturers that we rely upon for the production of phenoxodiol for our
clinical trials, and for future commercial quantities, may not be in compliance with FDA regulatory
requirements.
The conduct of our clinical trials and approval of our marketing application for phenoxodiol
may be delayed or adversely affected if the third-party manufacturers that we rely upon for the
production of phenoxodiol fail to comply with FDAs regulatory requirements for cGMPs. FDA requires
drug manufacturers to establish and maintain quality control procedures for manufacturing,
processing, and holding drugs and investigational products, and products must be manufactured in
accordance with defined specifications. The failure of contract manufacturers to supply
investigational product in compliance with the defined specifications for phenoxodiol may delay the
completion of our clinical trials. As part of the pre-market approval process, the manufacturer
will be inspected by FDA to ensure compliance with cGMPs. The failure of contract manufacturers to
comply with applicable regulations may result in a delay or prevent approval of our marketing
application.
If we do not receive marketing approval, our commercial prospects for phenoxodiol will be impaired.
Clinical trials have a high risk of failure. A number of companies in the pharmaceutical industry,
including biotechnology companies, have suffered significant setbacks in advanced clinical trials,
even after achieving promising results in earlier trials. If our clinical trials are unsuccessful,
our prospects for commercializing phenoxodiol will be impaired and we may be required to cease or
reduce our operations. This will have a significant impact on our share price.
Final approval by regulatory authorities of our drug candidates for commercial use may be delayed,
limited or prevented, any of which would adversely affect our ability to generate operating
revenues.
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Any of the following factors may serve to delay, limit or prevent the final approval by regulatory
authorities of our drug candidates for commercial use:
| | NV-196 and NV-143 are in the early stages of clinical development and we will need to conduct significant clinical testing to prove safety and efficacy before applications for marketing can be filed with the FDA, or with the regulatory authorities of other countries; | ||
| | data obtained from pre-clinical and clinical tests can be interpreted in different ways, which could delay, limit or prevent regulatory approval; | ||
| | development and testing of product formulation, including identification of suitable excipients, or chemical additives intended to facilitate delivery of our drug candidates; | ||
| | it may take us many years to complete the testing of other drug candidates, and failure can occur at any stage of this process; and | ||
| | negative or inconclusive results or adverse medical events during a clinical trial could cause us to delay or terminate our development efforts. |
While we have not encountered any material delays or adverse events from the factors described
above to date, we cannot assure you that such delays or adverse events will not be encountered in
the future.
We have a limited operating history, and we are likely to incur operating losses for the
foreseeable future.
You should consider our prospects in light of the risks and difficulties frequently encountered by
early stage and developmental companies. Although we were incorporated in December 2000, we have
only been in operation since May 2002. We have incurred net losses of $39,321,000 since our
inception, including net losses of $13,820,000, $7,386,000 and $6,421,000 for the years ended June
30, 2007, 2006 and 2005, respectively. We anticipate that we will incur operating losses and
negative operating cash flow for the foreseeable future. We have not yet commercialized any drug
candidates and cannot be sure that we will ever be able to do so, or that we may ever become
profitable. We have expanded our clinical trials significantly with the commencement of the OVATURE
trial, which will result in increasing losses and we may continue to incur substantial losses in
future even if we begin to generate revenues from the distribution and sale of phenoxodiol.
We may not be able to establish the strategic partnerships necessary to develop, market and
distribute phenoxodiol.
A key part of our business plan is to establish relationships with strategic partners. We must
successfully contract with third parties to package, market and distribute phenoxodiol. We have not
yet established any strategic partnerships. Potential partners may not wish to enter into
agreements with us due to Novogens current equity position as our majority stockholder or our
contractual relationships with Novogen. Similarly, potential partners may be discouraged by our
limited operating history. Additionally, our relative attractiveness to potential partners and
consequently, our ability to negotiate acceptable terms in any partnership agreement will be
affected by the results of our clinical program. For example, if phenoxodiol is shown to have high
efficacy against a broad range of cancers we may generate greater interest from potential partners
than if phenoxodiol was demonstrated to be less effective or applicable to a narrower range of
cancers. There is no assurance that we
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will be
able to negotiate commercially acceptable licensing or other agreements for the future exploitation of
phenoxodiol, including the continued clinical development, manufacture or marketing of phenoxodiol.
If we are unable to successfully contract for these services, or if arrangements for these services
are terminated, we may have to delay our commercialization program for phenoxodiol which will
adversely affect our ability to generate operating revenues.
We have not yet submitted an IND for NV-196 or NV-143 product candidates with the FDA and until an
IND becomes effective, we will not be able to perform human clinical trials in the United States.
Although we have conducted two Phase I clinical trials of NV-196 in Australia, we have not yet
submitted an IND to the FDA. NV-143 has not yet commenced clinical trials in humans. Until an IND
becomes effective, we will not be able to perform human clinical trials of our NV-196 or NV-143
product candidates in the United States. Approval to begin clinical testing in the United States
requires submission of: (i) adequate information on the safety and manufacturing of NV-196 or
NV-143 to assure the proper identification quality, purity and strength of the investigational
product, (ii) summary of pharmacological and toxicological effects, pharmacokinetics (how the drug
is absorbed and metabolised) and biological disposition in animals, (iii) the proposed protocol for
any planned clinical study, and (iv) a brief description of the overall plan for investigating the
product. Although we intend to prepare an IND to be submitted to the FDA, we do not know whether or
when the IND will become effective.
Our commercial opportunity will be reduced or eliminated if competitors develop and market products
that are more effective, have fewer side effects or are less expensive than phenoxodiol.
The development of phenoxodiol and other drug candidates is highly competitive. A number of other
companies have products or drug candidates in various stages of pre-clinical or clinical
development that are intended for the same therapeutic indications for which phenoxodiol is being
developed. Some of these potential competing drugs are further advanced in development than
phenoxodiol and may be commercialized sooner. Even if we are successful in developing effective
drugs, phenoxodiol may not compete successfully with products produced by our competitors.
Our competitors include pharmaceutical companies and biotechnology companies, as well as
universities and public and private research institutions. In addition, companies active in
different but related fields represent substantial competition for us. Many of our competitors
developing oncology drugs have significantly greater capital resources, larger research and
development staffs and facilities and greater experience in drug development, regulation,
manufacturing and marketing than us. These organizations also compete with Novogen, our services
provider, to recruit qualified personnel, and with us to attract partners for joint ventures and to
license technologies that are competitive with ours. As a result, our competitors may be able to
more easily develop technologies and products that would render our technologies or our drug
candidates obsolete or non-competitive.
We have no direct control over the costs of manufacturing phenoxodiol, NV-196 or NV-143 and
increases in these costs would increase the costs of conducting clinical trials and could adversely
affect future profitability if these costs increase significantly.
We do not intend to manufacture phenoxodiol or NV-196 or NV-143 ourselves and we will be relying on
third parties for our supplies of phenoxodiol both for clinical trials and for commercial
quantities in the future. Novogen, has taken the strategic decision not to manufacture on a large
scale APIs for cancer drugs, including phenoxodiol, as these can be more economically supplied by
third parties with particular
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expertise
in this area. The contract facilities that have been identified are
registered with the FDA, have a track record of large scale APIs manufacture and have already invested in capital
and equipment. We have completed the novation to Marshall Edwards Pty Limited (MEPL) of contracts
that Novogen had entered into with third parties to validate the developed scalable manufacturing
method to ensure that sufficient quantities of phenoxodiol can be manufactured in compliance with
the FDAs current Good Manufacturing Practices
(cGMP) and to complete the analytical and stability work
necessary for a New Drug Application (NDA) submission for
marketing approval. An NDA will
be submitted if the planned Phase III study is successful, and approval of the NDA is required to
market phenoxodiol. We will need to arrange similar contracts in the future to secure the supply of
NV-196 and NV-143. We have no direct control over the costs of manufacturing our product
candidates. If the costs of manufacturing increase or if the cost of the materials used increases,
these costs will be passed on to us making the cost of conducting clinical trials more expensive.
Increases in manufacturing costs could adversely affect our future profitability if we are unable
to pass all of the increased costs along to our customers.
We may not be able to secure and maintain suitable research institutions to conduct our clinical
trials.
We rely on suitable research institutions, of which there are many, to conduct our clinical trials.
Our reliance upon research institutions, including hospitals and cancer clinics, provides us with
less control over the timing and cost of clinical trials and the ability to recruit patients than
if we had conducted the trials on our own. Further, there is a greater likelihood that disputes may
arise with these research institutions over the ownership of intellectual property discovered
during the clinical trials. If we are unable to reach agreement with suitable research institutions
on acceptable terms, or if any resulting agreement is terminated and we are unable to quickly
replace the applicable research institution with another qualified institution on acceptable terms,
the research could be delayed and we may be unable to complete development, or commercialize
phenoxodiol, NV-196 or NV-143, which will adversely affect our ability to generate operating
revenues.
We face a risk of product liability claims and may not be able to obtain adequate insurance.
Our business exposes us to the risk of product liability claims. This risk is inherent in the
manufacturing, testing and marketing of human therapeutic products. We have product liability
insurance coverage of up to approximately $17.4 million. Although we believe that this amount of
insurance coverage is appropriate for our business at this time, it is subject to deductibles and
coverage limitations, and the market for such insurance is becoming more restrictive. We may not be
able to obtain or maintain adequate protection against potential liabilities. If we are unable to
sufficiently insure against potential product liability claims, we will be exposed to significant
liabilities, which may materially and adversely affect our business development and
commercialization efforts.
Our rights to develop and exploit phenoxodiol and the anti-cancer compounds NV-196 and NV-143 are
subject to the terms and conditions of agreements we have entered into with Novogen, and under
these agreements our rights may be terminated under certain circumstances, some of which may be
beyond our control.
We have licensed the intellectual property in the phenoxodiol technology and the anti-cancer
compounds NV-196 and NV-143 from Novogen. Under the terms of the license agreement for phenoxodiol,
all forms of administering phenoxodiol for the treatment of cancer are licensed to us, excluding
topical applications. Under the terms of the license agreement for NV-196 and NV-143, all forms of
administering drugs containing
25
the
anti-cancer compounds NV-196 and NV-143 are licensed to us, excluding topical applications. If we fail to meet our obligations under our license
agreements, the manufacturing license and supply agreement or the services agreement with Novogen,
any or all of these agreements may be terminated by Novogen and we could lose our rights to develop
phenoxodiol or anti-cancer drugs containing NV-196 and NV-143. To date, we have no reason to
believe that we will be unable to satisfy our obligations under these agreements. In addition, each
of these agreements may be terminated immediately by Novogen in the event that we undergo a change
of control without the consent of Novogen. A change of control means a change in control of more
than half the voting rights attaching to the shares of our subsidiary, a change in control of more
than half of the issued shares of our subsidiary (not counting any share which carries no right to
participate beyond a specified amount in the distribution of either profit or capital) or a change
in control of the composition of the board of directors of our subsidiary. Each of these agreements
may also be terminated if we cease for any reason to be able to lawfully carry out all the
transactions required by each respective agreement.
Our license rights are fundamental to our business and therefore a loss of these rights will likely
cause us to cease operations.
The rights granted to us under the license agreements, the manufacturing license and supply
agreement and the license option deed with Novogen are fundamental to our business. The license
agreement for phenoxodiol grants us the right to make, have made, market, distribute, sell, hire or
otherwise dispose of phenoxodiol products in the field of prevention, treatment or cure of cancer
in humans by pharmaceuticals delivered in all forms except topical applications. The license
agreement for NV-196 and NV-143 grants us the right to make, have made, market, distribute, sell,
hire or otherwise dispose of anti-cancer drugs containing the compounds NV-196 and NV-143 in the
field of prevention, treatment or cure of cancer in humans by pharmaceuticals delivered in all
forms except topical applications. Our business purpose is to develop and commercialize cancer
drugs including phenoxodiol and drugs containing the compounds NV-196 and NV-143, which we would be
unable to pursue without the rights granted to us under the license agreements. The license option
deed grants us an exclusive first right to accept and exclusive last right to match any proposed
dealing by Novogen with its intellectual property rights with a third party relating to certain
compounds (other than phenoxodiol) developed by Novogen and its affiliates which have applications
in the field of prevention, treatment or cure of cancer in humans. The license option deed is
important to our business because it allows us to maintain control over the sale by Novogen of
complementary as well as potentially competitive intellectual property rights to third party
competitors. Any loss of the rights under any of these agreements will likely cause us to cease
operations.
The success of our product candidates is largely dependent on Novogens ability to obtain and
maintain patent protection and preserve trade secrets, which cannot be guaranteed.
Patent protection and trade secret protection are important to our business and our future will
depend, in part on our ability and the ability of Novogen to maintain trade secret protection,
obtain patents and operate without infringing the proprietary rights of others both in the United
States and abroad. Litigation or other legal proceedings may be necessary to defend against claims
of infringement, to enforce our patents, or to protect our trade secrets or the trade secrets of
Novogen. Such litigation could result in substantial costs and diversion of our managements
attention. Novogen has not been involved in any opposition re-examination trade secret dispute,
infringement litigation or any other litigation or legal proceedings pertaining to the licensed
patent rights.
26
The patent positions of pharmaceutical and biotechnology companies can be highly uncertain and
involve complex legal and factual questions. Novogen has applied for patents in a number of
countries with respect to the use of phenoxodiol for the treatment, prevention or cure of cancer. We have
licensed both issued patents and