Item 405 of
Regulation S-K is not contained herein, and will not be contained, to the best
of registrant’s 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, a non-accelerated filer or a smaller reporting company. See
definitions of “large accelerated filer,” “accelerated filer” and “smaller
reporting company” in Rule 12b-2 of the Exchange Act. (check
one):
|
Large
accelerated filer o
|
Accelerated
filer
x
|
Non-accelerated
filer o
|
Smaller
reporting company o
|
Indicate
by check mark whether the registrant is a shell company (as defined in
Rule 12b-2 of the Act). Yes o No x
The
approximate aggregate market value of voting stock held by non-affiliates of the
registrant was $136,173,000 as of October 31, 2007.
(1)
226,210,617
(Number
of shares of common stock outstanding as of July 10, 2008)
DOCUMENTS INCORPORATED BY
REFERENCE
Part III
of this report incorporates certain information by reference from the
registrant’s proxy statement for the annual meeting of stockholders, which proxy
statement will be filed no later than 120 days after the close of the
registrant’s fiscal year ended April 30, 2008.
|
(1)
Excludes 2,976,758 shares of common stock held by directors and officers,
and any stockholder whose ownership exceeds five percent of the shares
outstanding as of October 31, 2007.
|
PEREGRINE
PHARMACEUTICALS, INC.
FORM
10-K ANNUAL REPORT
FISCAL
YEAR ENDED APRIL 30, 2008
TABLE
OF CONTENTS
|
PART
I
|
||
|
Item
1.
|
Business
|
|
|
Item
1A.
|
Risk
Factors
|
|
|
Item
1B.
|
Unresolved
Staff Comments
|
|
|
Item
2.
|
Properties
|
|
|
Item
3.
|
Legal
Proceedings
|
|
|
Item
4.
|
Submission
of Matters to a Vote of Security Holders
|
|
|
PART
II
|
||
|
Item
5.
|
Market
for Registrant’s Common Equity, Related Stockholder Matters and Issuer
Purchases of Equity Securities
|
|
|
Item
6.
|
Selected
Financial Data
|
|
|
Item
7.
|
Management’s
Discussion and Analysis of Financial Condition and Results of
Operations
|
|
|
Item
7A.
|
Quantitative
and Qualitative Disclosures About Market Risk
|
|
|
Item
8.
|
Financial
Statements and Supplementary Data
|
|
|
Item
9.
|
Changes
in and Disagreements with Accountants on Accounting and Financial
Disclosures
|
|
|
Item
9A
|
Controls
and Procedures
|
|
|
Item
9B.
|
Other
Information
|
|
|
PART
III
|
||
|
Item
10.
|
Directors,
Executive Officers and Corporate Governance
|
|
|
Item
11.
|
Executive
Compensation
|
|
|
Item
12.
|
Security
Ownership of Certain Beneficial Owners and Management and Related
Stockholder Matters
|
|
|
Item
13.
|
Certain
Relationships and Related Transactions, and Director
Independence
|
|
|
Item
14.
|
Principal
Accountant Fees and Services
|
|
|
PART
IV
|
||
|
Item
15.
|
Exhibits
and Consolidated Financial Statement Schedules
|
|
|
Signatures
|
|
|
i
PART I
In this
Annual Report, the terms “we”, “us”, “our”, “Company” and “Peregrine” refer to
Peregrine Pharmaceuticals, Inc., and our wholly owned subsidiary, Avid
Bioservices, Inc. This Annual Report contains forward-looking
statements that involve risks and uncertainties. The inclusion of
forward-looking statements should not be regarded as a representation by us or
any other person that the objectives or plans will be achieved because our
actual results may differ materially from any forward-looking
statement. The words “may,” “should,” “plans,” “believe,”
“anticipate,” “estimate,” “expect,” their opposites and similar expressions are
intended to identify forward-looking statements, but the absence of these words
does not necessarily mean that a statement is not forward-looking. We
caution readers that such statements are not guarantees of future performance or
events and are subject to a number of factors that may tend to influence the
accuracy of the statements, including but not limited to, those risk factors
outlined in the section titled “Risk Factors” as well as those discussed
elsewhere in this Annual Report. You should not unduly rely on these
forward-looking statements, which speak only as of the date of this Annual
Report. We undertake no obligation to publicly revise any
forward-looking statement to reflect circumstances or events after the date of
this Annual Report or to reflect the occurrence of unanticipated
events. You should, however, review the factors and risks we describe
in the reports that we file from time to time with the Securities and Exchange
Commission (“SEC”) after the date of this Annual Report.
Our
Annual Report on Form 10-K, quarterly reports on Form 10-Q, current
reports on Form 8-K, and all amendments to those reports filed with or
furnished to the SEC are available, free of charge, through our website at www.peregrineinc.com
as soon as reasonably practicable after such reports are electronically filed
with or furnished to the SEC. The information on, or that
can be accessed through, our website is not part of this Annual
Report.
Certain technical terms used in the
following description of our business are defined in the “Glossary of
Terms”.
In
addition, we own or have rights to the registered trademark Cotara® and Avid
Bioservices, Inc. All other company names, registered trademarks,
trademarks and service marks included in this Annual Report are trademarks,
registered trademarks, service marks or trade names of their respective
owners.
Item
1. BUSINESS
We are a
clinical stage biopharmaceutical company developing monoclonal antibodies
for the treatment of cancer and hepatitis C virus (HCV)
infection. We are advancing three separate clinical programs with our
first-in-class compounds bavituximab and Cotara® that employ our two platform
technologies: Anti-Phosphatidylserine (“Anti-PS”) therapeutics and
Tumor Necrosis Therapy (“TNT”).
Our lead
Anti-PS product, bavituximab, is being studied in two separate clinical trial
programs for the treatment of various solid tumors and HCV
infection. We have completed a Phase Ib cancer trial assessing the
safety and anti-tumor activity of bavituximab administered in combination with
chemotherapy in patients with solid cancers and announced top-line results in
May 2007. Data gathered from that Phase Ib study was utilized in the
design of three separate Phase II trials of bavituximab in combination with
chemotherapy for the treatment of solid tumors. Two of the trials are
designed to evaluate the combination of bavituximab and chemotherapy in patients
with advanced breast cancer and the third trial is designed to evaluate
bavituximab in combination with chemotherapy in patients with non-small cell
lung cancer (NSCLC). In addition, a Phase I safety trial evaluating
bavituximab as monotherapy in patients with advanced solid cancers is continuing
in the U.S. For the anti-viral program, we have completed two Phase I
studies of bavituximab as monotherapy in patients with chronic HCV infection,
and we are currently dosing patients in a third Phase I clinical study to
evaluate the safety, pharmacokinetics and anti-viral activity of bavituximab
over a longer dosing period in patients co-infected with HCV and the human
immunodeficiency virus (“HIV”).
Our lead
TNT technology product candidate, Cotara®, is a monoclonal antibody conjugated
to a radioisotope that is being assessed in clinical trials for the treatment of
glioblastoma multiforme (GBM), a deadly form of brain cancer. We have
completed a number of clinical trials of Cotara having treated in excess of 85
patients with advanced solid cancers. Positive data from these prior
trials provided the foundation for the two Cotara brain cancer studies currently
underway: A Phase II clinical trial is enrolling patients to assess
the safety and anti-tumor activity of Cotara in GBM patients at first
relapse. In addition, we are continuing to enroll patients in a dose
confirmation and dosimetry trial in patients with recurrent GBM to further
characterize the distribution characteristics of Cotara and to assess safety and
anti-tumor activity.
The following table summarizes our
current clinical trial programs:
|
Product
|
Indication
|
Trial
Design
|
Trial
Status
|
|
Bavituximab
|
Solid
tumor cancers
|
Phase
I monotherapy repeat dose safety study designed to treat up to 28
patients.
|
Patient
enrollment is continuing in this study.
|
|
Bavituximab
plus docetaxel
|
Advanced
breast cancer
|
Phase
II study designed to treat up to 15 patients initially. Study
may be expanded to treat up to a total of 46 patients if six or more
objective tumor responses are observed in the initial 15
patients.
|
Patient
enrollment for the first 15 patients is complete and the pre-defined
primary endpoint of six or more objective tumor responses was achieved
with seven of fourteen evaluable patients achieving objective tumor
response at the first eight week evaluation point. The design
of the clinical trial now allows for an additional 31 study patients to be
enrolled. Patients are continuing to be monitored for secondary
endpoints.
|
|
Bavituximab
plus carboplatin
and
paclitaxel
|
Advanced
breast cancer
|
Phase
II study designed to treat up to 15 patients initially. Study
may be expanded to treat up to a total of 46 patients if promising results
are observed in the initial 15 patients.
|
Patient
enrollment is expected to begin shortly in this trial.
|
|
Bavituximab
plus carboplatin
and
paclitaxel
|
Non-small
cell lung cancer (NSCLC)
|
Phase
II study designed to treat 21 patients initially. Study may be expanded to
treat up to a total of 49 patients if promising results are observed in
the initial 21 patients.
|
Patient
enrollment was initiated in June 2008 and enrollment is
continuing.
|
|
Cotara
|
Glioblastoma
multiforme (GBM)
|
Dosimetry
and dose confirmation study designed to treat up to 12 patients with
recurrent GBM.
|
Study
enrollment is continuing in this study.
|
|
Cotara
|
Glioblastoma
multiforme (GBM)
|
Phase
II safety and efficacy study to treat up to 40 patients at first
relapse.
|
Study
enrollment is continuing in this study.
|
|
Bavituximab
|
Chronic
hepatitis C virus (“HCV”)
infection
co-infected with HIV
|
Phase
Ib repeat dose safety study designed to treat up to 24
patients.
|
Study
enrollment is continuing in this
study.
|
In
addition to our clinical programs, we have a number of earlier-stage
technologies that are potential candidates for partnering. These
programs include potential new therapeutics, vaccine adjuvants and diagnostic
agents.
In
addition to our research and development efforts, we operate a wholly owned cGMP
(current Good Manufacturing Practices) contract manufacturing subsidiary, Avid
Bioservices®, Inc. (“Avid”). Avid provides contract manufacturing
services for biotechnology and biopharmaceutical companies on a fee-for-service
basis, from pre-clinical drug supplies up through commercial-scale drug
manufacture. In addition to these activities, Avid provides critical
services in support of Peregrine’s product pipeline including manufacture and
scale-up of pre-clinical and clinical drug supplies.
We were originally incorporated in
California in June 1981 and reincorporated in the State of Delaware on September
25, 1996. Our principal executive offices are located at 14282
Franklin Avenue, Tustin, California, 92780 and our telephone number is (714)
508-6000. Our internet website address is www.peregrineinc.com. Information
contained on our website does not constitute any part of this Annual
Report.
Our
Technology Platforms
Our three products in clinical trials
fall under two technology platforms: Anti-Phosphatidylserine
(“Anti-PS”) technology and Tumor Necrosis Therapy (“TNT”)
technology.
Anti-PS
Technology Platform
Peregrine’s new class of
anti-phosphatidylserine (“anti-PS”) therapeutics are monoclonal antibodies that
target and bind to components of cells normally found only on the inner surface
of the cell membrane. This target is a specific phospholipid known as
phosphatidylserine (“PS”). PS becomes exposed on the outside of cells
under stress conditions, including on the surface of tumor blood vessels and
during certain viral infections. Our first-in-class anti-PS
therapeutic agent, bavituximab, is believed to help stimulate the body's immune
defenses to destroy disease-associated cells that have exposed PS on their
surface. In addition to this direct effect, researchers believe that
anti-PS therapies also have a secondary mechanism of action that occurs under
certain stressful conditions at the cellular level. This secondary
mechanism involves the immunosuppressive effects of PS molecules expressed on
the surface of the cell, which act to dampen the body’s normal immune
response. By binding to the PS molecule and blocking its effects,
agents such as bavituximab may have the potential to turn-off this
immunosuppressive signal, allowing the immune system to generate a robust immune
response.
Tumor
Necrosis Therapy (“TNT”) Technology Platform
Our TNT technology uses monoclonal
antibodies that target and bind to DNA and associated histone proteins released
by the dead and dying (“necrotic”) cells found at the core of solid
tumors. Most solid tumors develop this core of necrotic cells due to
the lack of oxygen and nutrients at their center. This makes
the necrotic center of tumors an abundant but selective target for TNT-based
monoclonal antibodies. Similar to a guided missile, TNT antibodies
are also capable of carrying a variety of therapeutic agents into the interior
of these tumors, including radioisotopes and chemotherapeutic agents, which then
kill the neighboring tumor cells from the inside out, while sparing healthy
tissue. Our most advanced TNT product, Cotara, is an antibody
attached to the radioactive isotope, Iodine 131.
Our
Products in Clinical Trials
Bavituximab
for the Treatment of Solid Tumors
Scientists working with Peregrine have
determined that the Anti-PS target for bavituximab becomes specifically exposed
on tumor blood vessels. In pre-clinical cancer studies a bavituximab
equivalent (a mouse version of the human antibody) has demonstrated promising
anti-tumor activity as a stand-alone treatment for the treatment of breast,
prostate and pancreatic tumors. Researchers have shown in
pre-clinical studies that common cancer treatments such as chemotherapy and
radiation therapy stress the cells that line the tumor blood vessels and thereby
increase the exposure of the PS target on tumor blood vessels and significantly
enhanced the anti-tumor effects of either agent alone.
On May 31, 2007, we reported positive
top-line results from the Phase Ib open label trial. This trial,
which was conducted in India, was designed to assess the safety and tolerability
of up to eight weekly doses of bavituximab given in combination with standard
chemotherapy regimens including docetaxel, gemcitabine and
carboplatin/paclitaxel in 12 patients with late stage cancer who had failed
prior therapy. Patients in the trial were also assessed for tumor
response, although efficacy assessments were not formal endpoints of the
study. Patients were evaluated for tumor response according to
Response Evaluation Criteria in Solid Tumors (RECIST) parameters, receiving CT
or MRI scans prior to therapy and at the end of the combination treatment
course. In these patients, the safety profile of bavituximab in
combination with chemotherapy appeared similar to that seen in advanced cancer
patients undergoing chemotherapy alone. The combination of
bavituximab and chemotherapy showed positive signs of clinical activity,
achieving objective tumor response or stable disease in 50% of the patients who
were evaluable for tumor response. Patients receiving bavituximab in
combination with gemcitabine had positive signs of clinical activity, with 75%
achieving an objective tumor response or stable disease, while 50% of patients
receiving bavituximab with carboplatin/paclitaxel also achieved an objective
tumor response. Tumor types in the trial included cancers of the
breast, lung and ovary, among others.
Clinical
data gathered from the Phase Ib study was utilized in the design of three
separate Phase II bavituximab studies. These trials all have a
two-stage design. An initial cohort of patients is first enrolled, dosed and
evaluated and then the study may be expanded if a sufficient number of patients
in the initial cohort meet the primary endpoint and the safety profile is
positive. The primary endpoint of the Phase II studies is to assess
overall response rate to the combination of bavituximab and
chemotherapy. Secondary objectives include measuring time to tumor
progression, duration of response, overall patient survival and safety
parameters. Tumor responses in all of the studies are being evaluated
using Response Evaluation Criteria in Solid Tumors (RECIST)
parameters. The trials are being conducted according to International
Conference on Harmonization (ICH) and Good Clinical Practices (GCP)
standards.
The first bavituximab Phase II trial
was initiated in January 2008 in advanced breast cancer
patients. Patients in this trial are being treated with the
combination of bavituximab and the chemotherapeutic agent docetaxel, a chemotherapy drug commonly
used in the treatment of breast cancer. We have completed enrollment
in the initial cohort of 15 patients in the Republic of Georgia. On
July 2, 2008, we announced that we met the pre-specified primary endpoint of six
or more objective tumor responses in the initial 15
patients. Fourteen of the 15 patients enrolled in Stage 1 were deemed
evaluable for tumor response, with seven achieving partial tumor responses and
seven having stable disease at week eight according to Response Evaluation
Criteria in Solid Tumors (RECIST) criteria. Patients may continue to
receive bavituximab as long as the cancer does not progress and side effects are
acceptable. The design of the clinical trial now allows for an
additional 31 study patients to be enrolled.
Patient enrollment in a second
bavituximab Phase II trial was initiated in June 2008 in India using bavituximab
in combination with the chemotherapeutic agents carboplatin and paclitaxel in
patients with non-small cell lung cancer (NSCLC). The study is
designed to assess the combination therapy in 21 patients initially, and could
be expanded to include up to an additional 28 patients if promising results are
seen in the first cohort. Patients may continue to receive
bavituximab as long as the cancer does not progress and side effects are
acceptable.
A third bavituximab Phase II trial for
advanced breast cancer patients is expected to begin shortly in
India. Patients will be treated with the combination of bavituximab
and chemotherapeutic agents carboplatin and paclitaxel. Fifteen
patients will be enrolled in the first cohort and the study can then be expanded
to include up to an additional 31 patients if promising results are
observed. Patients may continue to receive bavituximab as long as the
cancer does not progress and side effects are acceptable.
In
addition to our three Phase II bavituximab cancer trials, we are currently
enrolling patients in a multi-center Phase I monotherapy trial in the U.S. for
which most solid cancer types are eligible for enrollment. The
clinical trial is designed to enroll up to 28 patients with advanced solid
tumors that no longer respond to standard cancer treatments. The
objectives of this open-label, single and repeat dose escalation study are to
determine the safety and tolerability of bavituximab administered intravenously
to patients with advanced cancer; characterize the pharmacokinetic profile of
bavituximab and define the dose-limiting toxicities, maximum tolerated dose
and/or maximum effective dose of bavituximab. Patients who
demonstrate an objective response to therapy may be offered continued treatment
with an extension protocol. Patient screening and enrollment are
currently ongoing.
We
originally experienced delays in enrolling patients for this study, initially
due to certain FDA mandated requirements in the study’s protocol which limited
the number of cancer patients eligible for the study and the number of patients
willing to participate in the study due to the length of time between
treatments. We subsequently presented the FDA with data sufficient to allow us
to amend the protocol and lessen such requirements as well as make other changes
to the protocol in an effort to make it more appealing to both physicians and
patients. While we are hopeful that such changes will enable us to increase the
rate of patient enrollment, due to the competition with other cancer trials
being conducted in the United States, we continue to face enrollment challenges
in the United States.
Cotara®
for the Treatment of Brain Cancer
Cotara®, our first Tumor Necrosis
Therapy (“TNT”) based agent, is a monoclonal antibody targeting agent conjugated
to Iodine 131, a therapeutic radioisotope that kills tumor cells near the site
of localization. Cotara binds to DNA and associated histone proteins
that become accessible in dead and dying cells found at the core of
tumors. In prior clinical studies, Cotara has demonstrated
encouraging results in patients with advanced brain cancer. One study
demonstrated a 58% increase in expected median survival time in a group of
patients suffering from recurrent glioblastoma multiforme (“GBM”) who were
treated with Cotara at the anticipated therapeutic dose being used in current
studies. This was considered a promising development in this serious
and deadly disease.
Cotara is
currently in a dose confirmation and dosimetry clinical trial for the treatment
of recurrent GBM at several clinical sites in the U.S. The
multi-center open label study is designed to treat up to 12 GBM patients who
have recurrent disease. Patients are receiving Cotara by
convection-enhanced delivery (CED), a National Institute of Health
(NIH)-developed technique that delivers the agent to the tumor with great
precision. The study’s main objectives are to confirm the dose
limiting toxicities and maximum tolerated dose and to characterize the
biodistribution and radiation dosimetry of Cotara.
On August
2, 2007, Peregrine announced first patient dosing in a Phase II trial in India
to assess Cotara in up to 40 GBM
patients who have experienced a first relapse. This study,
which is ongoing, is expected to be an integral part of the overall Cotara brain
cancer development program. Patients receive a single infusion of the
drug using the CED delivery method, and the study’s primary objective is to
confirm the maximum tolerated dose of Cotara in these
patients. Secondary objectives include estimates of overall patient
survival, progression-free survival and the proportion of patients alive at six
months post-treatment. The study is being conducted according to
internationally accepted ICH (International Conference on Harmonization) and GCP
(Good Clinical Practices) guidelines at multiple clinical
centers. Patient enrollment and dosing are ongoing.
Taken
together, the study results from Peregrine’s two ongoing Cotara trials should
provide the safety, dosimetry and initial efficacy data needed to support the
design of the Phase III study. Cotara has been granted FDA orphan
drug status and fast track designation for the treatment of GBM.
We have
experienced delays in both these studies for reasons outside our
control. The dose confirmation and dosimetry trial was originally
co-sponsored and primarily managed by the NCI-funded New Approaches to Brain
Tumor Therapy (NABTT) consortium. Due to funding reductions at NABTT,
within the last year, we have assumed full sponsorship and control of the trial
and initiated several additional clinical trial centers. The phase II
India study initially experienced regulatory delays due to the serial nature of
manufacturing and clinical trial approvals as well as changes in key personnel
at the Drug Controller General office. Additionally, we have had to
invest in institutional infrastructure and coordination at the clinical site
level in order to enroll patients. While we are hopeful that such
changes will enable us to increase the rate of patient enrollment in both of
these studies, we expect to continue facing enrollment challenges.
Bavituximab
for the Treatment of HCV Infection
Bavituximab
is a monoclonal antibody that targets and binds to PS. Our
researchers and collaborators have discovered that PS, the target for
bavituximab, becomes exposed on the surface of a broad class of viruses known as
enveloped viruses, as well as on the cells they infect. These
pathogens are responsible for about half of all human viral diseases, including
hepatitis C virus (HCV), influenza, human immunodeficiency virus (HIV),
cytomegalovirus (CMV) and other virus strains that cause serious and
life-threatening conditions. Scientists studying bavituximab believe
the drug’s mechanism of action may help stimulate the body's natural immune
defenses to destroy both the virus particles and the cells they
infect. Since the target for bavituximab is only exposed on diseased
cells, healthy cells should not be affected by bavituximab.
We filed the first Investigational New
Drug (“IND”) application for bavituximab for the treatment of chronic hepatitis
C virus (“HCV”) infection in April 2005. Peregrine initiated and
completed a Phase Ia single dose escalation study in thirty (30) patients
chronically infected with HCV who had failed prior therapies. The
primary goal of the Phase Ia study was to assess the safety and pharmacologic
profile of bavituximab in patients with chronic HCV
infection. Changes in viral load, measured as serum HCV RNA levels,
were also monitored. In the study, 30 patients with chronic HCV
infection were administered one of five doses of bavituximab including 0.1, 0.3,
1, 3 and 6 milligrams per kilogram (mg/kg) of body weight. After a
single dose of bavituximab, among the patients administered 1, 3 and 6 mg/kg
doses, 50% achieved a maximum peak reduction in serum HCV levels of greater than
75% (0.6 log), with one patient having a maximum peak 97% (1.5 log)
reduction. In this study, approximately 90% of the subjects were
infected with the genotype 1 form of HCV, which is the most common and
difficult-to-treat strain of the virus. At all five dose levels,
bavituximab appeared to be safe and well tolerated with no dose-limiting
toxicities or serious adverse events. Reported adverse events were
mostly mild, infrequent, transient and likely not drug-related. We
reported initial results of this study on June 7, 2006 and final results were
presented at the annual meeting of the American Association for the Study of
Liver Diseases in Boston, MA on October 30, 2006.
These
results supported the initiation and completion of a Phase Ib repeat dose HCV
trial during fiscal year 2007. In November 2007, at the 58th Annual
Meeting of the American Association for the Study of Liver Disease (AASLD), we
presented results from the Phase Ib repeat dose HCV trial. The
primary objective of the Phase Ib study was to determine the safety,
distribution and pharmacokinetic properties of multiple doses of single agent
bavituximab in patients with chronic HCV infection. Changes in viral
load, measured as serum HCV RNA levels, were also
monitored. Twenty-four patients (four cohorts of six patients each)
were enrolled in the study, with each cohort scheduled to receive four doses of
bavituximab over a 14-day period. Patients received twice-weekly
doses of bavituximab at escalating dose levels of 0.3, 1, 3 or 6 mg/kg of body
weight. Patients in all cohorts were followed for 12
weeks. The results indicate that bavituximab was generally safe and
well-tolerated, with no dose-limiting toxicities or serious adverse events
reported. Anti-viral activity (decline of greater than or equal to
0.5 log10 reduction in HCV RNA) was observed at all dose levels. In
the study, 83% of patients at the 3 mg/kg dose level demonstrated a maximum peak
reduction in HCV RNA levels of at least a 75% (0.6 log), with an average of an
84% (0.8 log) peak reduction for those patients.
Based on
the data from these earlier HCV clinical studies and on pre-clinical data
indicating the potential of bavituximab to bind to HIV and HIV-infected cells,
Peregrine advanced bavituximab into a trial in HCV patients co-infected with
HIV. On October 10, 2007, Peregrine announced the dosing of the first
patient in this trial. Patient enrollment and dosing is currently
ongoing. The study is an open-label, dose escalation study designed
to assess the safety and pharmacokinetics of bavituximab in up to 24 patients
chronically infected with HCV and HIV. Patient cohorts are receiving
ascending dose levels of bavituximab weekly for up to 8 weeks. HCV and HIV
viral titers and other biomarkers are being tracked, although they are not
formal study endpoints. In the U.S. alone, an estimated 300,000
individuals are co-infected with HIV and HCV, representing up to 30% of all
HIV-infected patients. Co-infected patients have been shown to have a
lower response to current HCV regimens and the adverse effects of these regimens
can be especially problematic for some HIV patients.
We also
have worked with top academic researchers and research organizations to study
the potential use of bavituximab to treat other viral
infections. These pre-clinical programs have primarily focused on
evaluating the potential of bavituximab and other anti-PS antibodies in viral
infections with significant economic impact including HIV, influenza and CMV, as
well as biodefense applications. The promising results of these
pre-clinical studies have contributed to Peregrine’s understanding of the
mechanism of action of bavituximab and its broad potential in viral
indications.
Government
Contract With The Defense Threat Reduction Agency
On June
30, 2008, we were awarded a five-year contract worth up to $44.4 million to test
and develop bavituximab and an equivalent fully human antibody as potential
broad-spectrum treatments for viral hemorrhagic fever infections. The
initial contract was awarded through the Transformational Medical Technologies
Initiative (TMTI) of the U.S. Department of Defense's Defense Threat Reduction
Agency (DTRA). In pre-clinical animal models, bavituximab has
demonstrated encouraging anti-viral activity as a potential treatment for viral
hemorrhagic fevers. This federal contract is expected to provide us
with up to $22.3 million in funding over a 24-month base period, with $5
million appropriated immediately for the current federal fiscal year ending
September 30, 2008. The remainder of the $22.3 million in funding is
expected to be appropriated over the remainder of the two-year base period
ending June 29, 2010. Subject to the progress of the program and
budgetary considerations in future years, the contract can be extended beyond
the base period to cover up to $44.4 million in funding over the five-year
contract period. Work under this contract commenced on June 30,
2008.
Earlier-Stage
Technologies / Pre-Clinical Studies
We have
historically developed several earlier stage technologies including
Vasopermeation Enhancement Agents (“VEAs”) that are intended to be used as an
adjuvant to improve the performance of standard cancer drugs, Anti-Angiogenesis
Agents, and Vascular Targeting Agents (“VTAs”), that complement our other
anti-cancer platforms. In order to focus our efforts and resources on
our current clinical programs, we have curtailed our efforts in developing these
pre-clinical programs and we are actively seeking partners to further develop
these technologies.
In
addition, we also conduct pre-clinical studies relevant to bavituximab and our
anti-PS technology platform. Positive scientific results were
reported on a number of these programs in fiscal year 2008.
In
September 2007, a study published in Clinical
Cancer Research confirmed the potential of bavituximab combined with
radiation in lung cancer, showing that a bavituximab equivalent combined with
radiation reduced tumor growth by 80% in a mouse lung cancer model. The study
also confirmed key aspects of bavituximab's mechanism of action in combination
with radiation therapy.
On April 15, 2008 at the 2008 Annual
Meeting of the American Association for Cancer Research (AACR), Peregrine
reported that pre-clinical study results confirmed a unique mechanism by which
bavituximab is thought to affect the tumor microenvironment and contribute to
its anti-tumor efficacy. The research showed similar effects for
bavituximab and for PGN635, a fully human version of the bavituximab
antibody. In the in vitro and
in vivo studies, Peregrine researchers
showed that both bavituximab and PGN635 cause the destruction of targeted cells.
They demonstrated that by blocking the anti-inflammatory signals of the
phosphatidylserine found on the surface of targeted cells, these anti-PS
antibodies could create a unique tumor microenvironment, by enhancing production
of pro-inflammatory cytokines and decreasing production of anti-inflammatory
cytokines. In addition, the studies showed that similar to
bavituximab, PGN635 localizes to tumors but not to healthy tissue.
At the
2008 AACR meeting, Peregrine also reported pre-clinical study results
demonstrating the vaccine-like ability of immunocytokine proteins combining its
anti-PS antibodies and cytokines, such as IL-2, to generate robust and
protective immune responses in a highly aggressive mouse brain cancer
model. Eighty percent of the mice receiving prophylactic
pre-treatment with irradiated breast cancer and immunocytokine cells did not
develop any tumors and remained tumor-free through 270 days post-treatment,
while all of the control animals receiving irradiated breast tumor cells alone
developed lethal tumors.
Peregrine also reported pre-clinical
study results at the 2008 AACR meeting demonstrating that a mouse equivalent of
Peregrine's bavituximab, administered in combination with the chemotherapeutic
agent docetaxel, demonstrated excellent signs of efficacy in a model of
hormone-refractory prostate cancer. This data confirmed and extended
the results of previous studies of Peregrine's anti-PS antibodies in models of
prostate cancer. Researchers reported that in a mouse model of
hormone-refractory prostate cancer, the combination of the bavituximab
equivalent antibody and docetaxel significantly decreased the growth of tumors,
eliminated detectable metastases and prevented tumor
re-growth. Survival time was more than doubled in animals receiving
combination therapy compared to controls, and was substantially longer than the
survival of animals treated with either therapy alone. This increase in
anti-tumor efficacy and anti-metastatic activity was achieved with no apparent
increase in toxicity compared to docetaxel alone.
In-Licensing
Collaborations
The
following discussions cover our collaborations and in-licensing obligations
related to our products in clinical trials:
Tumor
Necrosis Therapy (“TNT”)
We
acquired the rights to the TNT technology in July 1994 after the merger between
Peregrine and Cancer Biologics, Inc. was approved by our
stockholders. The assets acquired from Cancer Biologics, Inc.
primarily consisted of patent rights to the TNT technology. To date,
no product revenues have been generated from our TNT technology.
In October 2004, we entered into a
worldwide non-exclusive license agreement with Lonza Biologics (“Lonza”) for
intellectual property and materials relating to the expression of recombinant
monoclonal antibodies for use in the manufacture of Cotara®. Under
the terms of the agreement, we will pay a royalty on net sales of any products
we market that utilize the underlying technology. In the event a
product is approved and we or Lonza do not manufacture Cotara®, we would owe
Lonza 300,000 pounds sterling per year in addition to an increased royalty on
net sales.
Anti-PhosphatidylSerine
(“Anti-PS”) Immunotherapeutics
In August
2001, we exclusively in-licensed the worldwide rights to this technology
platform from the University of Texas Southwestern Medical Center at
Dallas. During November 2003 and October 2004, we entered into two
non-exclusive license agreements with Genentech, Inc. to license certain
intellectual property rights covering methods and processes for producing
antibodies used in connection with the development of our Anti-PS
Immunotherapeutics program. During December 2003, we entered into an
exclusive commercial license agreement with an unrelated entity covering the
generation of the chimeric monoclonal antibody, bavituximab. In March
2005, we entered into a worldwide non-exclusive license agreement with Lonza
Biologics for intellectual property and materials relating to the expression of
recombinant monoclonal antibodies for use in the manufacture of
bavituximab.
Under our
in-licensing agreements relating to the Anti-PS Immunotherapeutics technology,
we typically pay an up-front license fee, annual maintenance fees, and are
obligated to pay future milestone payments based on development progress, plus a
royalty on net sales and/or a percentage of sublicense income. Our
aggregate future milestone payments under the above in-licensing agreements are
$6,850,000 assuming the achievement of all development milestones under the
agreements through commercialization of products, of which, $6,400,000 is due
upon approval of the first Anti-PS Immunotherapeutics product. In
addition, under one of the agreements, we are required to pay future milestone
payments upon the completion of Phase II clinical trial enrollment in the amount
of 75,000 pounds sterling, the amount of which will continue as an annual
license fee thereafter, plus a royalty on net sales of any products that we
market that utilize the underlying technology. In the event we
utilize an outside contract manufacturer other than Lonza to manufacture
bavituximab for commercial purposes, we would owe Lonza 300,000 pounds sterling
per year in addition to an increased royalty on net sales.
During
fiscal years 2008 and 2006, we expensed $50,000 and $450,000,
respectively under in-licensing agreements covering our Anti-PS
Immunotherapeutics technology platform, which is included in research and
development expense. We did not incur any milestone related expenses
during fiscal year 2007.
Out-Licensing
Collaborations
In
addition to internal product development efforts and related licensing
collaborations, we remain committed to our existing out-licensing collaborations
and the pursuit of select partnerships with pharmaceutical, biopharmaceutical
and diagnostic companies based on our broad intellectual property
position. The following represents a summary of our key out-licensing
collaborations:
During
September 1995, we entered into an agreement with Cancer Therapeutics, Inc., a
California corporation, whereby we granted to Cancer Therapeutics Laboratories,
Inc. (“CTL”) the exclusive right to sublicense TNT to a major pharmaceutical
company solely in the People’s Republic of China. In addition, we are
entitled to receive 50% of the distributed profits received by Cancer
Therapeutics, Inc. from the Chinese pharmaceutical company. Cancer
Therapeutics, Inc. has the right to 20% of the distributed profits under the
agreement with the Chinese pharmaceutical company. During March 2001,
we extended the exclusive licensing period granted to Cancer Therapeutics, which
now expires on December 31, 2016. In exchange for this extension,
Cancer Therapeutics, Inc. agreed to pay us ten percent (10%) of all other
consideration received by Cancer Therapeutics, Inc. from the Chinese
pharmaceutical company, excluding research funding. During January
2007, we filed a lawsuit against CTL alleging various breaches of contract under
the agreement. The lawsuit is currently in the discovery phase as
further discussed in Part I, Item 3 under “Legal Proceedings” of this Annual
Report. Through fiscal year ended April 30, 2008, we have not
received any amounts under the agreement.
During
October 2000, we entered into a licensing agreement with Merck KGaA to
out-license a segment of our TNT technology for use in the application of
cytokine fusion proteins. During January 2003, we entered into an
amendment to the license agreement, whereby we received an extension to the
royalty period from six years to ten years from the date of the first commercial
sale. Under the terms of the agreement, we would receive a royalty on
net sales if a product is approved under the agreement. Merck KGaA
has not publicly disclosed the development status of its program.
During
February 2007, we entered into an amended and restated license agreement with
SuperGen, Inc. (“SuperGen”) revising the original licensing deal completed with
SuperGen in February 2001, to license a segment of our VTA technology,
specifically related to certain conjugates of vascular endothelial growth factor
(“VEGF”). Under the terms of the amended and restated license
agreement, we will receive annual license fees of up to $200,000 per year
payable in cash or SuperGen common stock until SuperGen files an Investigational
New Drug Application in the United States utilizing the VEGF conjugate
technology. In addition, we could receive up to $8.25 million in
future payments based on the achievement of all clinical and regulatory
milestones combined with a royalty on net sales, as defined in the agreement, as
amended. We could also receive additional consideration for each
clinical candidate that enters a Phase III clinical trial by
SuperGen. As of April 30, 2008, SuperGen has not filed an
Investigational New Drug Application in the United States utilizing the VEGF
conjugate technology.
During
December 2002, we granted the exclusive rights for the development of diagnostic
and imaging agents in the field of oncology to Schering A.G. under our VTA
technology. Under the terms of the agreement, we received an up-front
payment of $300,000, which we amortized as license revenue over an estimated
period of 48 months through December 2006 in accordance with SAB No.
104. Under this license agreement, the obligation period was not
contractually defined and we exercised judgment in estimating the period of time
over which certain deliverables will be provided to enable the licensee to
practice the license. The estimated period of 48 months was primarily
determined based on the historical experience with Schering A.G. under a
separate license agreement. In addition, under the terms of the
agreement, we could receive up to $1.2 million in future payments for each
product based on the achievement of all clinical and regulatory milestones
combined with a royalty on net sales, as defined in the
agreement. Under the same agreement, we granted Schering A.G. an
option to obtain certain non-exclusive rights to the VTA technology with
predetermined up-front fees and milestone payments as defined in the
agreement. Schering A.G. has not publicly disclosed the development
status of its program.
Contract
Manufacturing Services
During
January 2002, we commenced the operations of our wholly owned subsidiary, Avid
Bioservices, Inc. (“Avid”), which was formed from the facilities and expertise
of Peregrine. Avid provides an array of contract manufacturing
services, including contract manufacturing of antibodies and proteins, cell
culture development, process development, and testing of biologics for
biopharmaceutical and biotechnology companies under current Good Manufacturing
Practices (“cGMP”). Avid’s current manufacturing capacity includes
the following four bioreactors: 1,000 liter, 300 liter, 100 liter and
22.5 liter.
Operating
a cGMP facility requires highly specialized personnel and equipment that must be
maintained on a continual basis. Prior to the formation of Avid, we
manufactured our own antibodies for over 10 years and developed the
manufacturing expertise and quality systems to provide the same service to other
biopharmaceutical and biotechnology companies. We believe Avid’s
existing facility is well positioned to meet the growing needs of the
industry. Avid is also well positioned to increase its capacity in
the future in order to become a significant supplier of contract manufacturing
services.
Avid
provides an array of services for Peregrine as well as working with a variety of
companies in the biotechnology and pharmaceutical industries. Even
though much of the process is very technical, knowledge of the process should
assist you in understanding the overall business and complexities involved in
cGMP manufacturing. The manufacturing of monoclonal antibodies and
recombinant proteins under cGMP is a complex process that includes several
phases before the finished drug product is released for clinical or commercial
use. The first phase of the manufacturing process is to receive the
production cell line (the cells that produce the desired protein) and any
available process information from the client. The cell line must be
adequately tested according to FDA guidelines by an outside laboratory to
certify that it is suitable for cGMP manufacturing. This testing
generally takes between one and three months to complete, depending on the
necessary testing. The cell line that is used may either be from a
master cell bank (base cells from which all future cells will be grown), which
is already fully tested or may represent a research cell line. In the
case of a research cell line, Avid can use the research cell line to produce
master and working cell banks. Clients often request further
development through media screening and adaptation followed by small scale
bioreactor process development in 1 to 5 liter bioreactor systems. In
parallel to the production of the master and working cell banks, the growth and
productivity characteristics of the cell line may be evaluated in the process
development labs. The whole manufacturing process (master cell bank
characterization, process development, assay development, raw materials
specifications, test methods, downstream processing methods, purification
methods, testing methods and final release specifications) must be developed and
documented prior to the commencement of manufacturing in the
bioreactors. The second phase of the process is in the manufacturing
facility. Once the process is developed, pilot runs are generally
performed using smaller scale bioreactors, such as the 22.5 liter bioreactor, in
order to verify the process. Once the process is set, a pilot run or
full scale runs will be performed to finalize manufacturing batch
records. Material produced during these runs is often used for
toxicology studies. After completing the pilot batch run(s),
full-scale cGMP manufacturing is typically initiated. Once the cGMP
run(s) is completed, batch samples are sent to an outside lab for various
required tests, including sterility and viral testing. Once the test
results verify that the antibodies meet specifications, the product is released
for clinical or commercial use.
Each
product manufactured is tailored to meet the specific needs of Peregrine or the
client. Full process development from start to product release can
take ten months or longer. Research and development work can take
from two months to over six months. All stages of manufacturing can
generally take from one to several weeks depending on the manufacturing method
and process. Product testing and release can take up to three months
to complete.
Given its
inherent complexity, necessity for detail, and magnitude (contracts may be into
the millions of dollars), the contract negotiations and sales cycle for cGMP
manufacturing services can take a significant amount of time. Our
anticipated sales cycle from client introduction to signing an agreement will
take anywhere from between three to six months to over one
year. Introduction to Avid’s services will usually come from
exhibiting at trade shows, exposure from attending conferences and through word
of mouth. The sales cycle consists of the introduction phase, the
proposal phase, the audit phase, the contract phase and the project initiation
phase.
To date, Avid has been audited and
qualified by large, small, domestic and foreign biotechnology companies
interested in the production of monoclonal antibodies for clinical trials and,
as discussed below, commercial use. Additionally, Avid has been audited by the
European Regulatory authorities, the United States Food and Drug Administration
(“FDA”) and the California Department of Health.
In 2005, Avid was inspected by the FDA
in a Pre-Approval Inspection (“PAI”) supporting a New Drug Application for
commercial application by a client company. The Los Angeles District
FDA office recommended to Washington that the facility be approved as a site for
the Active Pharmaceutical Ingredient (“API”) for the client
company. The client’s New Drug Application w