As filed with the Securities and Exchange Commission on
October 11, 2007
Registration
No.
333-140672
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549
Post-effective Amendment No. 1
to
Form S-1
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
BIOHEART, INC.
(Exact name of Registrant as specified in its Charter)
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Florida
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8731
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65-0945967
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(State or other jurisdiction of
incorporation or organization)
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(Primary Standard Industrial
Classification Code Number)
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(I.R.S. Employer
Identification Number)
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13794 NW 4th Street, Suite 212
Sunrise, Florida 33325
(954) 835-1500
(Address, including zip code, and telephone number,
including area code, of registrants principal executive
offices)
William M. Pinon
President and Chief Executive Officer
Bioheart, Inc.
13794 NW 4th Street, Suite 212
Sunrise, Florida 33325
(954) 835-1500
(Name, address, including zip code, and telephone number,
including area code, of Agent for Service)
Copies to:
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David E. Wells, Esq.
Hunton & Williams LLP
1111 Brickell Avenue, Suite 2500
Miami, Florida 33131
(305) 810-2500
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James A. Lebovitz, Esq.
Dechert LLP
2929 Arch Street
Philadelphia, Pennsylvania 19104
(215) 994-4000
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Approximate Date of Commencement of Proposed Sale to the
Public:
As soon as practicable after the effective date of
this Registration Statement.
If any of the securities being registered on this Form are to be
offered on a delayed or continuous basis pursuant to
Rule 415 under the Securities Act of 1933, check the
following box.
o
If this Form is filed to register additional securities for an
offering pursuant to Rule 462(b) under the Securities Act,
check the following box and list the Securities Act registration
statement number of the earlier effective registration statement
for the same offering.
o
If this Form is a post-effective amendment filed pursuant to
Rule 462(c) under the Securities Act, check the following
box and list the Securities Act registration statement number of
the earlier effective registration statement for the same
offering.
o
If this Form is a post-effective amendment filed pursuant to
Rule 462(d) under the Securities Act, check the following
box and list the Securities Act registration statement number of
the earlier effective registration statement for the same
offering.
o
The Registrant hereby amends this registration statement on
such date or dates as may be necessary to delay its effective
date until the Registrant shall file a further amendment which
specifically states that this registration statement shall
thereafter become effective in accordance with Section 8(a)
of the Securities Act of 1933 or until the registration
statement shall become effective on such date as the Securities
and Exchange Commission, acting pursuant to said
Section 8(a), may determine.
The information
in this preliminary prospectus is not complete and may be
changed. These securities may not be sold until the registration
statement filed with the Securities and Exchange Commission is
effective. This preliminary prospectus is not an offer to sell
nor does it seek an offer to buy these securities in any
jurisdiction where the offer or sale is not
permitted.
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Prospectus
Subject to
Completion, Dated October 11, 2007
4,166,667 Shares
Common Stock
This is our initial public offering of shares of our common
stock. We are offering 4,166,667 shares. We expect the
initial public offering price to be between $6.00 and $8.00 per
share.
Currently no public market exists for shares of our common
stock. We have been approved for listing of our common stock on
the NASDAQ Global Market under the symbol BHRT.
Investing in our common stock involves risks.
See Risk Factors beginning on page 8 of this
prospectus.
Neither the Securities and Exchange Commission nor any other
regulatory body has approved or disapproved of these securities
or passed upon the accuracy or adequacy of this prospectus. Any
representation to the contrary is a criminal offense.
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Per Share
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Total
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Public offering price
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$
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$
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Underwriting discounts and commissions
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$
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$
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Proceeds, before expenses, to Bioheart, Inc.
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$
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$
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Bioheart, Inc. has granted the underwriters a 30-day option to
purchase up to an additional 625,000 shares of common stock to
cover over-allotments.
Merriman Curhan
Ford & Co.
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Dawson James
Securities, Inc.
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The date of this Prospectus
is ,
2007
TABLE OF CONTENTS
Through and
including ,
2007 (the 25th day after the date of this prospectus), all
dealers effecting transactions in these securities, whether or
not participating in this offering, may be required to deliver a
prospectus. This is in addition to a dealers obligation to
deliver a prospectus when acting as an underwriter and with
respect to an unsold allotment or subscription.
You should rely only on the information contained in this
prospectus. We have not authorized anyone to provide you with
information different from that contained in this prospectus. We
are offering to sell, and seeking offers to buy, shares of our
common stock only in jurisdictions where offers and sales are
permitted. The information contained in this prospectus is
accurate only as of the date of this prospectus, regardless of
the time of delivery of this prospectus or of any sale of our
common stock. In this prospectus, unless otherwise stated or the
context otherwise requires, references to Bioheart,
we, us, our company, and
similar references refer to the consolidated operations of
Bioheart, Inc. and its subsidiaries.
For investors outside of the United States: Neither we nor
any of the underwriters have done anything that would permit
this offering or possession or distribution of this prospectus
in any jurisdiction where action for that purpose is required,
other than in the United States. Persons outside the United
States who come into possession of this prospectus must inform
themselves about, and observe any restrictions relating to, the
offering of the shares of common stock and the distribution of
this prospectus outside of the United States.
PROSPECTUS SUMMARY
This summary highlights selected information described more
fully elsewhere in this prospectus. This summary may not contain
all the information that is important to you. Before investing
in our common stock, you should read the entire prospectus,
including Risk Factors, Special
Note Regarding Forward-Looking Statements and our
consolidated financial statements and related notes. The
consolidated financial statements and related notes included in
this prospectus have been prepared in accordance with accounting
principles generally accepted in the United States. Unless
otherwise stated, all figures assume no exercise of the
underwriters option to purchase additional common
shares.
Our Business
We are a biotechnology company focused on the discovery,
development and, subject to regulatory approval,
commercialization of autologous cell therapies for the treatment
of chronic and acute heart damage. Our lead product candidate is
MyoCell, an innovative clinical therapy designed to populate
regions of scar tissue within a patients heart with
autologous muscle cells, or cells from the patients body,
for the purpose of improving cardiac function in chronic heart
failure patients. The core technology used in MyoCell has been
the subject of human clinical trials conducted over the last six
years involving 84 enrollees and 70 treated patients. Our most
recent clinical trials of MyoCell include the SEISMIC Trial, a
completed 40 patient Phase II clinical trial in various
countries in Europe, and the MYOHEART Trial, a completed 20
patient Phase I dose escalation trial in the United States.
Interim results of the SEISMIC and MYOHEART Trials were
announced in January 2007 and updated interim results are
disclosed in this prospectus. We have been cleared by the U.S.
Food and Drug Administration, or the FDA, to proceed with a 330
patient, multicenter Phase II/III trial of MyoCell in North
America, Europe and Israel, or the MARVEL Trial. We intend to
seek to have final data available for the MARVEL Trial by the
third quarter of 2009. If the results of the MARVEL Trial
demonstrate statistically significant evidence of the safety and
efficacy of MyoCell, we anticipate having a basis to ask the FDA
to consider the MARVEL Trial a pivotal trial. The SEISMIC,
MYOHEART and MARVEL Trials have been designed to test the safety
and efficacy of MyoCell in treating patients with severe,
chronic damage to the heart. Upon regulatory approval of
MyoCell, we intend to generate revenue from the sale of MyoCell
cell culturing services for treatment of patients by
interventional cardiologists.
In our pipeline, we have multiple product candidates for the
treatment of heart damage, including Bioheart Acute Cell
Therapy, an autologous, adipose cell treatment for acute heart
damage, and MyoCell II with SDF-1, a therapy utilizing
autologous cells genetically modified to express additional
growth factors. We hope to demonstrate that our various product
candidates are safe and effective complements to existing
therapies for chronic and acute heart damage.
MyoCell
MyoCell is a clinical therapy intended to improve cardiac
function and designed to be utilized months or even years after
a patient has suffered severe heart damage due to a heart attack
or other cause. We believe that MyoCell has the potential to
become a leading treatment for severe, chronic damage to the
heart due to its perceived ability to satisfy, at least in part,
what we believe to be an unmet demand for more effective and/or
more affordable therapies for chronic heart damage. MyoCell uses
myoblasts, cells that are precursors to muscle cells, from the
patients own body. The myoblasts are removed from a
patients thigh muscle, isolated, grown through our
proprietary cell culturing process, and injected directly in the
scar tissue of a patients heart. An interventional
cardiologist performs this minimally invasive procedure using an
endoventricular catheter. We have entered into an agreement with
a Johnson & Johnson company to use its
NOGA
®
Cardiac Navigation System along with its
MyoStar
tm
injection catheter for the delivery of MyoCell in the MARVEL
Trial.
When injected into scar tissue within the heart wall, myoblasts
have been shown to be capable of engrafting in the damaged
tissue and differentiating into mature skeletal muscle cells. In
a number of clinical
1
and animal studies, the engrafted skeletal muscle cells have
been shown to express various proteins that are important
components of contractile function. By using myoblasts obtained
from a patients own body, we believe MyoCell is able to
avoid certain challenges currently faced by other types of
cell-based clinical therapies including tissue rejection and
instances of the cells differentiating into cells other than
muscle. Although a number of therapies have proven to improve
the cardiac function of a damaged heart, no currently available
treatment has demonstrated an ability to generate new muscle
tissue within the scarred regions of a heart.
Our clinical trials of MyoCell to date, including the SEISMIC
Trial and the MYOHEART Trial, have been primarily targeted to
patients with severe, chronic damage to the heart who are in
Class II or Class III heart failure according to the
New York Heart Association, or NYHA, heart failure
classification system. The NYHA system classifies patients in
one of four categories based on how limited they are during
physical activity. NYHA Class II heart failure patients
have a mild limitation of activity and are generally comfortable
at rest or with mild exertion while NYHA Class III heart
failure patients suffer from a marked limitation of activity and
are generally comfortable only at rest.
If the final SEISMIC Trial data is available in the first
quarter of 2008 and is generally consistent with the interim
data, we intend to seek, in the second quarter of 2008, approval
from various European regulatory bodies to market MyoCell to
treat the subclass of patients who would meet the eligibility
criteria for participation in the SEISMIC Trial and who are in
NYHA Class III heart failure, whose condition appears to be
deteriorating despite optimal medical therapy and for whom no
other promising treatment alternatives have been identified
(i.e., generally the sickest 30% of NYHA Class III heart
failure patients), or the Class III Subgroup. We intend to
seek to enroll and treat all of the clinical patients in the
MARVEL Trial by the end of the fourth quarter of 2008. If we
meet that enrollment timeline, we would expect final trial
results in the third quarter of 2009. If the final safety and
efficacy results provide what we believe is significant proof
that MyoCell is safe and effective, we anticipate submitting
such data to the FDA to obtain regulatory approval of MyoCell.
In addition to studies we have sponsored, we understand that
myoblast-based clinical therapies have been the subject of at
least eleven clinical trials involving more than 325 enrollees,
including at least 235 treated patients. Although we believe
many of the trials are different from the trials sponsored by us
in a number of important respects, it is our view that the
trials have advanced the cell therapy industrys
understanding of the potential opportunities and limitations of
myoblast-based therapies.
We believe the market for treating patients in NYHA
Class II or NYHA Class III heart failure is
significant. According to the American Heart Association Heart
Disease Statistics 2007 Update, or the AHA
Statistics, and the European Society of Cardiology Task Force
for the treatment of chronic heart failure in the United States
and Europe there are approximately 5.2 million and
9.6 million, respectively, patients with heart failure. The
AHA Statistics further indicate that after heart failure is
diagnosed, the one-year mortality rate is high, with one in five
dying and that 80% of men and 70% of women under age 65 who have
heart failure will die within eight years. We believe that
approximately 60% of heart failure patients are in either NYHA
Class II or NYHA Class III heart failure based upon a
1999 study entitled Congestive Heart Failure Due to
Diastolic or Systolic Dysfunction Frequency and
Patient Characteristics in an Ambulatory Setting by
Diller, PM, et. al.
Our operations are still in the development stage and we have
yet to successfully develop and obtain regulatory approval of
any drug, device or therapy. Our net loss for 2006 was
approximately $13.2 million and, as of June 30, 2007,
we have accumulated a deficit during our development stage of
approximately $69.6 million.
2
Our Business Strategy
Our principal objective is to become a leading company that
discovers, develops and commercializes novel, autologous cell
therapies and related devices, for the treatment of chronic and
acute heart damage. To achieve this objective, we plan to pursue
the following key strategies:
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seek to successfully commercialize our lead product candidate,
MyoCell;
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develop our sales and marketing capabilities in advance of
regulatory approval, if any;
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continue to develop and seek to successfully commercialize our
pipeline of cell-based therapy and related device candidates;
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continue to refine our MyoCell cell culturing processes to
further reduce our costs and processing times;
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expand and enhance our intellectual property rights; and
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license, acquire and/or develop complementary products and
technologies.
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Risk Factors
We face numerous risks that could materially affect our
business, results of operations or financial condition and your
investment in the common stock. These risks, include, without
limitation:
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the timely success and completion of our clinical trials;
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the occurrence of any unacceptable side effects during or after
preclinical and clinical testing of our product candidates,
including patient deaths in addition to the six that have
previously occurred during our clinical trials of MyoCell;
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regulatory approval of our product candidates;
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our ability to secure additional financing to meet future
capital requirements;
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our dependence on the success of our lead product candidate;
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our inability to predict the extent of our future losses or if
or when we will become profitable;
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our ability to protect our intellectual property rights;
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our ability to meet our obligations on our outstanding
indebtedness to BlueCrest Capital Finance, L.P., which
indebtedness imposes certain restrictions on how we conduct our
business and is secured by all of our assets except our
intellectual property; and
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intense competition.
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These risks and others are discussed more fully in Risk
Factors beginning on page 8.
Pipeline
In addition to MyoCell, we have multiple cell therapies and
related devices for the treatment of chronic and acute heart
damage in various stages of development. We have also acquired
the rights to use certain devices for the treatment of heart
damage. We intend to allocate our capital, material and
personnel resources among MyoCell and the product candidates
described below, a number of which may have complementary
therapeutic applications. For each product candidate, we have
developed or are in the process of developing a regulatory
approval plan. Assuming such proposed plans are able to be
followed, we do not anticipate that the regulatory approval of
MyoCell will be necessary for further development of our other
product candidates.
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Bioheart Acute Cell Therapy (commenced animal studies in
first quarter of 2007 and anticipate filing Investigational New
Drug, or IND, application in fourth quarter of
2007)
Autologous cell therapy for the
treatment of acute myocardial infarction, or MI, using cells
processed by the TGI 1200.
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TGI 1200 Adipose Tissue Processing System (upon approval
of IND application for Bioheart Acute Cell Therapy, anticipate
seeking cost reimbursement for use in connection with clinical
trials of Bioheart Acute Cell Therapy)
Fully
automated device for the rapid processing of patient derived fat
tissue. We have licensed the rights to use for the treatment of
acute MI and heart failure.
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MyoCell II with
SDF-1
(IND application
filed in May 2007)
Cell therapy treatment
for chronic heart damage; autologous myoblasts are modified to
express
SDF-1
protein
in an effort to stimulate angiogenesis and/or recruitment of
stem cells.
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MyoCath (Phase II clinical
trials)
Disposable endoventricular catheter
used for the delivery of biologic solutions to the myocardium.
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MyoCath II (commenced animal studies in the third
quarter of 2007)
Second generation
disposable endoventricular catheter modified to provide
multidirectional cell injection and used for the delivery of
biologic solutions to the myocardium.
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BioPace (preclinical)
Cell-therapy
treatment for chronic abnormal heart rhythm due to electrical
disturbances in the upper chambers of the heart.
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Allocell (preclinical)
Cell-therapy
treatment for chronic heart damage using myoblasts obtained from
third person donors, or allogenic myoblasts.
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Our Corporate Information
We were incorporated in the state of Florida in August 1999. Our
principal executive offices are located at 13794 NW
4th Street, Suite 212, Sunrise, Florida 33325 and
our telephone number is (954) 835-1500. Information about
our company is available on our corporate web site at
www.bioheartinc.com. Information contained on our web site does
not constitute part of, and is not incorporated by reference in,
this prospectus.
Unless otherwise indicated, all share numbers and per share
prices in this prospectus give effect to a reverse stock split
that became effective on September 27, 2007. Upon the
effectiveness of the reverse stock split, every
1.6187 shares of our common stock was combined into 1 share
of our common stock.
MyoCell
®
,
MyoCath
®
,
MyoCell II with
SDF-1
tm
,
MyoCath
II
tm
,
BioPace
tm
and
Allocell
tm
are trademarks of Bioheart, Inc. TGI
100
tm
and TGI
1200
tm
are trademarks of Tissue Genesis, Inc.
MyoStar
tm
and
NOGA
®
are trademarks of Cordis Corporation, a Johnson & Johnson
company. This prospectus also includes trademarks, trade names
and service marks of other companies. Use or display by us of
other parties trademarks, trade names or service marks is
not intended to and does not imply a relationship with, or
endorsement or sponsorship of us by, these other parties.
This prospectus contains market data and industry forecasts that
were obtained from industry publications, third-party market
research and publicly available information. These publications
generally state that the information contained therein has been
obtained from sources believed to be reliable, but the accuracy
and completeness of such information is not guaranteed. While we
believe the information from these publications is reliable, we
have not independently verified, and make no representation as
to the accuracy of, such information.
4
THE OFFERING
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Issuer
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Bioheart, Inc.
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Common stock offered by us
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4,166,667 shares
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Common stock to be outstanding after this offering
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17,500,012 shares
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Over-allotment option
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625,000 shares
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Use of proceeds
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We expect to use the net proceeds from this offering:
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to fund the MARVEL Trial through enrollment and the
MyoCell or placebo treatment of all enrollees;
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for projected payments pursuant to our license
agreements and to further develop and protect our intellectual
property portfolio;
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to repay principal and accrued interest on certain
debt obligations;
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to fund the development of a sales and marketing
force;
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to fund an initial Phase I clinical trial of
MyoCell II with
SDF-1;
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to fund the further development, preclinical testing
and/or Phase I clinical testing of our pipeline product
candidates; and
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for other general corporate purposes.
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See Use of Proceeds.
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Dividend policy
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We have not declared or paid any cash dividends on our capital
stock and do not anticipate paying any cash dividends in the
foreseeable future. See Dividend Policy and
Description of Capital Stock.
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NASDAQ Global Market symbol
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BHRT
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Risk factors
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You should carefully read and consider the information set forth
under Risk Factors and all other information set
forth in this prospectus before investing in our common stock.
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Except as otherwise noted, the number of shares of our common
stock to be outstanding after this offering excludes
901,251 shares reserved for future issuance under our
Officers and Employees Stock Option Plan and our Directors and
Consultants Stock Option Plan.
Unless otherwise indicated, all information contained in this
prospectus assumes that the underwriters do not exercise their
option to purchase up to 625,000 additional shares of our common
stock to cover over-allotments, if any.
5
SUMMARY CONSOLIDATED FINANCIAL DATA
The following summary consolidated financial data should be read
in conjunction with Managements Discussion and
Analysis of Financial Condition and Results of Operations
and our financial statements and related notes that are included
elsewhere in this prospectus. We derived the summary
consolidated statement of operations data for the years ended
December 31, 2004, 2005 and 2006 from our audited financial
statements and notes thereto that are included elsewhere in this
prospectus. We derived the summary consolidated statement of
operations data for the years ended December 31, 2002 and
2003 from our audited financial statements that do not appear in
this prospectus. We derived the consolidated statement of
operations data for the six months ended June 30, 2006 and
2007 and the consolidated balance sheet data as of June 30,
2007 from our unaudited financial statements that are included
elsewhere in this prospectus. The unaudited interim financial
statements have been prepared on the same basis as our audited
annual financial statements and, in our opinion, reflect all
adjustments, which include only normal recurring adjustments,
necessary to present fairly the results of operations for the
periods ended June 30, 2006 and 2007 and our financial
condition as of June 30, 2007. The historical results are
not necessarily indicative of the results to be expected for any
future periods and the results for the six months ended
June 30, 2007 should not be considered indicative of
results expected for the full fiscal year.
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Six Months Ended
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Year Ended December 31,
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June 30,
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2002
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2003
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2004
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2005
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2006
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2006
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2007
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(Unaudited)
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(In thousands, except per share data)
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Statement of Operations Data:
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Revenues
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$
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2
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$
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46
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$
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86
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$
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135
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$
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106
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$
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75
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$
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208
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Cost of sales
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30
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46
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87
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73
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44
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34
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Gross profit
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2
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16
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40
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48
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33
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31
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174
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Expenses:
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Research and development
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7,361
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3,502
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3,787
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4,534
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6,878
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2,669
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3,186
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Marketing, general and administrative
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1,946
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2,523
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1,731
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2,831
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6,372
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|
1,325
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|
1,751
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Depreciation and amortization
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31
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34
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46
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|
91
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30
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|
92
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Total expenses
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|
9,307
|
|
|
|
6,056
|
|
|
|
5,552
|
|
|
|
7,411
|
|
|
|
13,341
|
|
|
|
4,024
|
|
|
|
5,029
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss from operations
|
|
|
(9,305
|
)
|
|
|
(6,040
|
)
|
|
|
(5,512
|
)
|
|
|
(7,363
|
)
|
|
|
(13,308
|
)
|
|
|
(3,993
|
)
|
|
|
(4,855
|
)
|
|
Net interest income (expense)
|
|
|
47
|
|
|
|
2
|
|
|
|
(7
|
)
|
|
|
36
|
|
|
|
127
|
|
|
|
58
|
|
|
|
(186
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss before income taxes
|
|
|
(9,258
|
)
|
|
|
(6,038
|
)
|
|
|
(5,519
|
)
|
|
|
(7,327
|
)
|
|
|
(13,181
|
)
|
|
|
(3,935
|
)
|
|
|
(5,040
|
)
|
Income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss
|
|
$
|
(9,258
|
)
|
|
$
|
(6,038
|
)
|
|
$
|
(5,519
|
)
|
|
$
|
(7,327
|
)
|
|
$
|
(13,181
|
)
|
|
$
|
(3,935
|
)
|
|
$
|
(5,040
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic and diluted net loss per share
|
|
$
|
(1.54
|
)
|
|
$
|
(0.75
|
)
|
|
$
|
(0.60
|
)
|
|
$
|
(0.69
|
)
|
|
$
|
(1.10
|
)
|
|
$
|
(0.34
|
)
|
|
$
|
(0.39
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding basic and
diluted
|
|
|
6,007
|
|
|
|
8,022
|
|
|
|
9,189
|
|
|
|
10,653
|
|
|
|
12,015
|
|
|
|
11,654
|
|
|
|
13,012
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The following table presents a summary of our consolidated
balance sheet as of June 30, 2007:
|
|
|
|
|
on an actual basis; and
|
|
|
|
|
on a pro forma basis to give effect to the sale by us of shares
of our common stock at an assumed initial public offering price
of $7.00 per share, the mid-point of the range set forth on
the cover page of this prospectus, and the receipt of net
proceeds of this offering, after deducting underwriting
discounts and commissions and estimated offering expenses
payable by us. Each $1.00 increase (decrease) in the
assumed initial public offering price of $7.00 per share
would increase (decrease) each of cash and cash
equivalents, working capital, total assets and total
shareholders equity by approximately $3.9 million,
assuming that the number of shares offered by us, as set forth
on the cover page of this
|
|
6
|
|
|
|
|
prospectus, remains the same, and after deducting estimated
underwriting discounts and commissions and estimated offering
expenses payable by us.
|
|
|
|
|
|
|
|
|
|
|
|
As of June 30, 2007
|
|
|
|
|
|
|
|
Actual
|
|
|
Pro Forma
|
|
|
|
|
|
|
|
|
|
|
(Unaudited)
|
|
|
|
(in thousands)
|
|
Consolidated Balance Sheet Data:
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
12,916
|
|
|
$
|
37,884
|
|
Working capital
|
|
|
5,054
|
|
|
|
30,196
|
|
Total assets
|
|
|
17,905
|
|
|
|
41,355
|
|
Notes payable current
|
|
|
6,194
|
|
|
|
6,194
|
|
Note payable long term
|
|
|
3,806
|
|
|
|
3,806
|
|
Deficit accumulated during the development stage
|
|
|
(69,553
|
)
|
|
|
(69,553
|
)
|
Total shareholders equity
|
|
|
5,699
|
|
|
|
29,324
|
|
7
RISK FACTORS
Investing in our common stock involves a high degree of risk.
You should carefully consider the risks and uncertainties
described below together with all of the other information
included in this prospectus, including the financial statements
and related notes appearing at the end of this prospectus before
deciding to invest in our common stock. If any of the following
risks actually occur they would harm our business, prospects,
financial condition and results of operations, possibly
materially. In this event, the market price of our common stock
could decline and you could lose part or all of your investment.
Please read Special Note Regarding Forward-Looking
Statements.
Risks Related to Our Financial Position and Potential Need
for Additional Financing
We are a development stage life sciences company with a
limited operating history and a history of net losses and
negative cash flows from operations. We may never be profitable,
and if we incur operating losses and generate negative cash
flows from operations for longer than expected, we may be unable
to continue operations.
We are a development stage life sciences company and have a
limited operating history, limited capital, limited sources of
revenue and have incurred losses since inception. Our operations
to date have been limited to organizing our company, developing
and engaging in clinical trials of our lead product candidate,
MyoCell, expanding our pipeline of complementary product
candidates through internal development and third party
licenses, expanding and strengthening our intellectual property
position through internal programs and third party licenses and
recruiting management, research and clinical personnel.
Consequently, you may have difficulty in predicting our future
success or viability due to our lack of operating history. As of
June 30, 2007, we have accumulated a deficit during our
development stage of approximately $69.6 million. Our lead
product candidate has not received regulatory approval or
generated any material revenues and is not expected to generate
any material revenues until early 2009, if ever. Since
inception, we have generated substantial net losses, including
net losses of approximately $13.2 million,
$7.3 million and $5.5 million in 2006, 2005 and 2004,
respectively and substantial negative cash flows from
operations. We anticipate that we will continue to incur
significant and increasing net losses and negative cash flows
from operations for the foreseeable future as we:
|
|
|
|
|
continue the SEISMIC Trial and the MYOHEART Trial and commence
the MARVEL Trial;
|
|
|
|
continue research and development and undertake new clinical
trials with respect to our pipeline product candidates,
including clinical trials related to MyoCell II with SDF-1;
|
|
|
|
apply for regulatory approvals;
|
|
|
|
make capital expenditures to increase our research and
development and cell culturing capabilities;
|
|
|
|
add operational, financial and management information systems
and personnel and develop and protect our intellectual property;
|
|
|
|
make payments pursuant to license agreements upon achievement of
certain milestones; and
|
|
|
|
establish sales and marketing capabilities to commercialize
products for which we obtain regulatory approval, if any.
|
Our limited experience in conducting and managing preclinical
development activities, clinical trials and the application
process necessary to obtain regulatory approvals might prevent
us from successfully designing or implementing a preclinical
study or clinical trial. If we do not succeed in conducting and
managing our preclinical development activities or clinical
trials, or in obtaining regulatory approvals, we might not be
able to commercialize our product candidates, or might be
significantly delayed in doing so, which will materially harm
our business.
None of the products that we are currently developing has been
approved by the FDA or any similar regulatory authority in any
foreign country. Our ability to generate revenues from any of
our product candidates will depend on a number of factors,
including our ability to successfully complete clinical trials,
8
obtain necessary regulatory approvals and implement our
commercialization strategy. In addition, even if we are
successful in obtaining necessary regulatory approvals and
bringing one or more product candidates to market, we will be
subject to the risk that the marketplace will not accept those
products. We may, and anticipate that we will need to,
transition from a company with a research and development focus
to a company capable of supporting commercial activities and we
may not succeed in such a transition.
Because of the numerous risks and uncertainties associated with
our product development and commercialization efforts, we are
unable to predict the extent of our future losses or when or if
we will become profitable. Our failure to successfully
commercialize our product candidates or to become and remain
profitable could depress the market price of our common stock
and impair our ability to raise capital, expand our business,
diversify our product offerings and continue our operations.
Our outstanding indebtedness to BlueCrest Capital Finance,
L.P. imposes certain restrictions on how we conduct our
business. In addition, all of our assets, except our
intellectual property, are pledged to secure this indebtedness.
If we fail to meet our obligations to BlueCrest Capital, our
payment obligations may be accelerated and the collateral
securing the debt may be sold to satisfy these
obligations.
Pursuant to a Loan and Security Agreement, dated May 31,
2007, BlueCrest Capital Finance, L.P., or BlueCrest Capital,
agreed to provide us a
three-year,
$5.0 million term loan, or the BlueCrest Loan. For the
first three months of the BlueCrest Loan, we are only required
to make payments of interest. Commencing in October 2007, we are
required to make 33 equal monthly payments of principal and
interest. Interest accrues at an annual rate of 12.85%. In the
event we seek to repay the BlueCrest Loan prior to maturity, we
are subject to a prepayment penalty equal to 3% of the
outstanding principal if paid during the first year of the
BlueCrest Loan, 2% of the outstanding principal if paid during
the second year of the BlueCrest Loan and 1% of the outstanding
principal if paid during the third year of the BlueCrest Loan.
As collateral to secure our repayment obligations to BlueCrest
Capital, we have granted it a first priority security interest
in all of our assets, excluding our intellectual property but
including the proceeds from any sale of any of our intellectual
property.
The Loan and Security Agreement contains various provisions that
restrict our operating flexibility. Pursuant to the agreement,
we may not, among other things:
|
|
|
|
|
incur additional indebtedness, except for certain permitted
indebtedness. Permitted indebtedness is defined to include
accounts payable incurred in the ordinary course of business,
leases of equipment or property incurred in the ordinary course
of business not to exceed, in the aggregate, $250,000, any
unsecured debt less than $20,000 or any debt not secured by the
collateral pledged to BlueCrest Capital that is subordinated to
the rights of BlueCrest Capital pursuant to a subordination
agreement satisfactory to BlueCrest Capital in its sole
discretion;
|
|
|
|
make any principal, interest or other payments arising under or
in connection with our loan from Bank of America or any other
debt subordinate to the BlueCrest Loan;
|
|
|
|
incur additional liens on any of our assets, including any liens
on our intellectual property, except for certain permitted liens
including but not limited to
non-exclusive
licenses
or
sub-licenses
of our
intellectual property in the ordinary course of business and
licenses or sub-licenses of intellectual property in connection
with joint ventures and corporate collaborations (provided that
any proceeds from such licenses be used to pay down the
BlueCrest Loan);
|
|
|
|
|
voluntarily prepay any debt prior to maturity, except for
accounts payable incurred in the ordinary course of business,
leases of equipment or property incurred in the ordinary course
of business not to exceed, in the aggregate, $250,000 and any
unsecured debt less than $20,000;
|
|
|
|
|
convey, sell, transfer or otherwise dispose of property, except
for sales of inventory in the ordinary course of business, sales
of obsolete or unneeded equipment and transfers or our
intellectual property related to product candidates other than
MyoCell or MyoCell II with
SDF-1
to a currently
operating or newly formed wholly owned subsidiary;
|
9
|
|
|
|
|
merge with or acquire any other entity if we would not be the
surviving person following such transaction;
|
|
|
|
pay dividends (other than stock dividends) to our shareholders;
|
|
|
|
redeem any outstanding shares of our common stock or any
outstanding options or warrants to purchase shares of our common
stock except in connection with a share repurchase pursuant to
which we offer to pay our then existing shareholders not more
than $250,000;
|
|
|
|
enter into transactions with affiliates other than on
arms-length terms; and
|
|
|
|
make any change in any of our business objectives, purposes and
operations which has or could be reasonably expected to have a
material adverse effect on our business.
|
These provisions could have important consequences for us,
including (i) making it more difficult for us to obtain
additional debt financing from another lender, or obtain new
debt financing on terms favorable to us, because such new lender
will have to be willing to be subordinate to BlueCrest Capital,
(ii) causing us to use a portion of our available cash for
debt repayment and service rather than other perceived needs
and/or (iii) impacting our ability to take advantage of
significant, perceived business opportunities. Our failure to
timely repay our obligations under the BlueCrest Loan or meet
the covenants set forth in the Loan and Security Agreement could
give rise to a default under the agreement. In the event of an
uncured default, the agreement provides that all amounts owed to
BlueCrest Capital are immediately due and payable and that
BlueCrest Capital has the right to enforce its security interest
in the assets securing the BlueCrest Loan. In such event,
BlueCrest Capital could take possession of any or all of our
assets in which they hold a security interest, and dispose of
those assets to the extent necessary to pay off our debts, which
would materially harm our business.
We have a substantial amount of debt and may incur
substantial additional debt, which could adversely affect our
ability to pursue certain business objectives, obtain financing
in the future and/or react to changes in our business.
In addition to the BlueCrest Loan, on June 1, 2007, we
borrowed $5.0 million from Bank of America, N.A., or the
Bank of America Loan. Accordingly, as of the date of this
prospectus, we have an aggregate of $10.0 million in
principal amount of outstanding indebtedness. We and Bank of
America have agreed with BlueCrest Capital that we will not
individually make any payments due under the Bank of America
Loan while the BlueCrest Loan is outstanding. Certain persons,
including our Executive Chairman and two of our other directors,
have agreed to provide Bank of America in the aggregate up to
$5.5 million of funds and/or securities to make these
payments. We are required to reimburse these persons with
interest at an annual rate of 13.25% for any and all payments
made by them under the Bank of America Loan upon our repayment
in full of the BlueCrest Loan. We anticipate that the BlueCrest
Loan will need to be serviced and both the BlueCrest Loan and
any amounts advanced by the guarantors will need to be repaid
with existing cash, cash generated by this offering or cash
generated from other security or loan placements, if any. If we
are unable to generate cash through additional financings, we
may have to delay or curtail research, development and
commercialization programs.
In addition to the limitations imposed on our operational
flexibility by the BlueCrest Loan as described above, the
BlueCrest Loan, our obligations to the guarantors, and any other
indebtedness incurred by us could have significant additional
negative consequences, including, without limitation:
|
|
|
|
|
requiring the dedication of a portion of our available cash to
service our indebtedness, thereby reducing the amount of our
cash available for other purposes, including funding our
research and development programs and other capital expenditures;
|
|
|
|
increasing our vulnerability to general adverse economic and
industry conditions;
|
|
|
|
limiting our ability to obtain additional financing;
|
|
|
|
limiting our ability to react to changes in technology or our
business; and
|
10
|
|
|
|
|
placing us at a possible competitive disadvantage to less
leveraged competitors.
|
We will need substantial additional funding and may be
unable to raise capital when needed. An inability to obtain
additional financing on acceptable terms could adversely affect
our business, financial condition, results of operations, and
could even prevent us from continuing our business.
Based upon an assumed initial public offering price of $7.00 per
share (the mid-point of the range set forth on the cover page of
this prospectus), we expect to raise net proceeds of
$23.6 million in this offering. Even if we secure
approximately $23.6 million of proceeds in connection with
this offering, we believe, that after 15 months, we will
require substantial future capital in order to continue the
research and development, preclinical and clinical programs, and
regulatory activities necessary to obtain regulatory approval of
our product candidates. For instance, we anticipate that we will
need to raise or generate an additional $2.6 million of
funds to finance the completion of the MARVEL Trial. In
addition, subject to obtaining regulatory approval for any of
our product candidates, we expect to incur significant
commercialization expenses for product sales and marketing,
manufacturing the product and/or securing commercial quantities
of product from manufacturers and product distribution.
The extent of our need for additional capital will depend on
numerous factors, including, but not limited to:
|
|
|
|
|
the scope, rate of scientific progress, results and cost of our
clinical trials and other research and development activities;
|
|
|
|
the costs and timing of seeking FDA and other regulatory
approvals;
|
|
|
|
our ability to obtain sufficient third-party insurance coverage
or reimbursement for our product candidates;
|
|
|
|
the effectiveness of commercialization activities (including the
volume and profitability of any sales achieved);
|
|
|
|
our ability to establish additional strategic, collaborative and
licensing relationships with third parties with respect to the
sales, marketing and distribution of our products, research and
development and other matters and the economic and other terms
and timing of any such relationships;
|
|
|
|
the ongoing availability of funds from foreign governments to
build new manufacturing facilities;
|
|
|
|
the costs involved in any potential litigation that may occur;
|
|
|
|
decisions by us to pursue the development of new product
candidates or technologies or to make acquisitions or
investments; and
|
|
|
|
the effect of competing products, technologies and market
developments.
|
We have no commitments or arrangements from third parties for
any additional financing to fund the research and development
and commercialization of any of our product candidates. We may
need to seek substantial additional financing through public
and/or private financing, which may include equity and/or debt
financings, and through other arrangements, including
collaborative arrangements. However, financing may not be
available when we need it, or may not be available on acceptable
terms. Our ability to obtain additional debt financing may be
limited by the amount of, terms and restrictions of our then
current debt. For instance, we do not anticipate repaying the
BlueCrest Loan until its scheduled maturity in May 2010.
Accordingly, until such time, we will generally be restricted
from, among other things, incurring additional indebtedness or
liens, with limited exceptions. See We have a
substantial amount of debt... and Our
outstanding indebtedness to BlueCrest Capital Finance, L.P.
imposes certain restrictions... Additional debt financing,
if available, may involve restrictive covenants that limit or
further limit our operating and financial flexibility and
prohibit us from making distributions to shareholders. If we
raise additional funds by issuing equity, equity-related or
convertible securities, the economic, voting and other rights of
our existing shareholders, including investors who purchase
shares in this offering, may be diluted, and those securities
may have rights superior to those of our common stock. If we
obtain additional capital through collaborative
11
arrangements, we may be required to relinquish greater rights to
our technologies or product candidates than we might otherwise
have or become subject to restrictive covenants that may affect
our business. If we are unable to raise additional funds when we
need them, we may be required to delay, scale back or eliminate
expenditures for our development programs, curtail efforts to
commercialize our product candidates or reduce the scale of our
operations, any of which could adversely affect our business,
financial condition, results of operations, and could even
prevent us from continuing our business at all.
Risks Related to Product Development
All of our product candidates are in an early stage of
development and we may never succeed in developing and/or
commercializing them. We depend heavily on the success of our
lead product candidate, MyoCell. If we are unable to
commercialize MyoCell or any of our other product candidates or
experience significant delays in doing so, our business may
fail.
We have invested a significant portion of our efforts and
financial resources in our lead product candidate, MyoCell, and
depend heavily on its success. MyoCell is currently being tested
in clinical trials. Even if MyoCell progresses through clinical
trials as we anticipate, we do not expect MyoCell to be
commercially available until, at the soonest, the second quarter
of 2008. We need to devote significant additional research and
development, financial resources and personnel to develop
commercially viable products, obtain regulatory approvals and
establish a sales and marketing infrastructure.
We are likely to encounter hurdles and unexpected issues as we
proceed in the development of MyoCell and our other product
candidates. There are many reasons that we may not succeed in
our efforts to develop our product candidates, including the
possibility that:
|
|
|
|
|
our product candidates will be deemed ineffective, unsafe or
will not receive regulatory approvals;
|
|
|
|
our product candidates will be too expensive to manufacture or
market or will not achieve broad market acceptance;
|
|
|
|
others will hold proprietary rights that will prevent us from
marketing our product candidates; or
|
|
|
|
our competitors will market products that are perceived as
equivalent or superior.
|
Our approach of using cell-based therapy for the treatment
of heart damage is risky and unproven and no products using this
approach have received regulatory approval in the United States
or Europe.
No company has yet been successful in its efforts to obtain
regulatory approval in the United States or Europe of a
cell-based therapy product for the treatment of heart damage.
Cell-based therapy products, in general, may be susceptible to
various risks, including undesirable and unintended side
effects, unintended immune system responses, inadequate
therapeutic efficacy or other characteristics that may prevent
or limit their approval by regulators or commercial use. Many
companies in the industry have suffered significant setbacks in
advanced clinical trials, despite promising results in earlier
trials. One of our competitors exploring the use of skeletal
myoblasts has announced its intent to cease to enroll new
patients in its European Phase II clinical trial based on the
determination of its monitoring committee that there was a low
likelihood that the trial would result in the hypothesized
improvement in heart function. Although our clinical research to
date suggests that MyoCell may improve the contractile function
of the heart, we have not yet been able to demonstrate a
mechanism of action and additional research is needed to
precisely identify such mechanism.
If our clinical trials are unsuccessful or significantly
delayed, or if we do not complete our clinical trials, we will
not receive regulatory approval for or be able to commercialize
our product candidates.
Our lead product candidate, MyoCell, is still in clinical
testing and has not yet received approval from the FDA or any
similar foreign regulatory authority for any indication. MyoCell
may never receive regulatory approval or be commercialized in
the United States or other countries. Although we intend to seek
regulatory approval of MyoCell in the United States based upon
the results of the Phase II/III MARVEL Trial, there
12
can be no assurances that the FDA will consider the MARVEL Trial
pivotal. Accordingly, we may be required to conduct additional
trials prior to obtaining commercial approval, if ever, in the
United States.
We cannot market any product candidate until regulatory agencies
grant approval or licensure. In order to obtain regulatory
approval for the sale of any product candidate, we must, among
other requirements, provide the FDA and similar foreign
regulatory authorities with preclinical and clinical data that
demonstrate to the satisfaction of regulatory authorities that
our product candidates are safe and effective for each
indication under the applicable standards relating to such
product candidate. The preclinical studies and clinical trials
of any product candidates must comply with the regulations of
the FDA and other governmental authorities in the United States
and similar agencies in other countries.
Even if we achieve positive interim results in clinical trials,
these results do not necessarily predict final results, and
positive results in early trials may not be indicative of
success in later trials. For example, MyoCell has been studied
in a limited number of patients to date. Even though our early
data has been promising, we have not yet completed any
large-scale pivotal trials to establish the safety and efficacy
of MyoCell. A number of participants in our clinical trials have
experienced serious adverse events adjudicated or determined by
trial investigators to be potentially attributable to MyoCell.
See Risk Factors Our product candidates may
never be commercialized due to unacceptable side effects and
increased mortality that may be associated with such product
candidates. There is a risk that safety concerns relating
to our product candidates or cell-based therapies in general
will result in the suspension or termination of our clinical
trials.
We may experience numerous unforeseen events during, or as a
result of, the clinical trial process that could delay or
prevent regulatory approval and/or commercialization of our
product candidates, including the following:
|
|
|
|
|
the FDA or similar foreign regulatory authorities may find that
our product candidates are not sufficiently safe or effective or
may find our cell culturing processes or facilities
unsatisfactory;
|
|
|
|
officials at the FDA or similar foreign regulatory authorities
may interpret data from preclinical studies and clinical trials
differently than we do;
|
|
|
|
our clinical trials may produce negative or inconclusive results
or may not meet the level of statistical significance required
by the FDA or other regulatory authorities, and we may decide,
or regulators may require us, to conduct additional preclinical
studies and/or clinical trials or to abandon one or more of our
development programs;
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the FDA or similar foreign regulatory authorities may change
their approval policies or adopt new regulations;
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there may be delays or failure in obtaining approval of our
clinical trial protocols from the FDA or other regulatory
authorities or obtaining institutional review board approvals or
government approvals to conduct clinical trials at prospective
sites;
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we, or regulators, may suspend or terminate our clinical trials
because the participating patients are being exposed to
unacceptable health risks or undesirable side effects;
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we may experience difficulties in managing multiple clinical
sites;
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enrollment in our clinical trials for our product candidates may
occur more slowly than we anticipate, or we may experience high
drop-out rates of subjects in our clinical trials, resulting in
significant delays;
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we may be unable to manufacture or obtain from third party
manufacturers sufficient quantities of our product candidates
for use in clinical trials; and
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our product candidates may be deemed unsafe or ineffective, or
may be perceived as being unsafe or ineffective, by healthcare
providers for a particular indication.
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In the SEISMIC Trial, we have continued to experience delays
attributable to slower than anticipated enrollment of patients.
We may continue to experience difficulties in enrolling patients
in our clinical trials,
13
which could increase the costs or affect the timing or outcome
of these trials and could prevent us from completing these
trials.
Failures or perceived failures in our clinical trials would
delay and may prevent our product development and regulatory
approval process, make it difficult for us to establish
collaborations, negatively affect our reputation and competitive
position and otherwise have a material adverse effect on our
business.
Our product candidates may never be commercialized due to
unacceptable side effects and increased mortality that may be
associated with such product candidates.
Possible side effects of our product candidates may be serious
and life-threatening. A number of participants in our clinical
trials of MyoCell have experienced serious adverse events
potentially attributable to MyoCell, including six patient
deaths and 18 patients experiencing irregular heartbeats. A
serious adverse event is generally an event that results in
significant medical consequences, such as hospitalization,
disability or death, and must be reported to the FDA. The
occurrence of any unacceptable serious adverse events during or
after preclinical and clinical testing of our product candidates
could temporarily delay or negate the possibility of regulatory
approval of our product candidates and adversely affect our
business. Both our trials and independent trials have reported
the occurrence of irregular heartbeats in treated patients, a
significant risk to patient safety. We and our competitors have
also, at times, suspended trials studying the effects of
myoblasts, at least temporarily, to assess the risk of irregular
heartbeats and it has been reported that one of our competitors
studying the effect of myoblast implantation prematurely
discontinued a study because of the high incidence of irregular
heartbeats. While we believe irregular heartbeats may be
manageable with the use of certain prophylactic measures
including an implantable cardioverter defibrillator, or ICD, and
anti-arrhythmic drug therapy, these risk management techniques
may not prove to sufficiently reduce the risk of unacceptable
side effects. Although our early results suggest that patients
treated with MyoCell do not face materially different health
risks than heart failure patients with similar levels of damage
to the heart who have not been treated with MyoCell, we are
still in the process of seeking to demonstrate that our product
candidates do not pose unacceptable health risks. We have not
yet treated a sufficient number of patients to allow us to make
a determination that serious unintended consequences will not
occur.
We depend on third parties to assist us in the conduct of
our preclinical studies and clinical trials, and any failure of
those parties to fulfill their obligations could result in costs
and delays and prevent us from obtaining regulatory approval or
successfully commercializing our product candidates on a timely
basis, if at all.
We engage consultants and contract research organizations to
help design, and to assist us in conducting, our preclinical
studies and clinical trials and to collect and analyze data from
those studies and trials. The consultants and contract research
organizations we engage interact with clinical investigators to
enroll patients in our clinical trials. As a result, we depend
on these consultants and contract research organizations to
perform the studies and trials in accordance with the
investigational plan and protocol for each product candidate and
in compliance with regulations and standards, commonly referred
to as good clinical practice, for conducting,
recording and reporting results of clinical trials to assure
that the data and results are credible and accurate and the
trial participants are adequately protected, as required by the
FDA and foreign regulatory agencies. We may face delays in our
regulatory approval process if these parties do not perform
their obligations in a timely or competent fashion or if we are
forced to change service providers. We were recently informed by
our contract research organization for the MYOHEART Trial that
it is going out of business. Although we do not intend to engage
a replacement full service contract research organization, we
are seeking to engage alternate service providers to assist us
to complete the data management and verification processes. To
the extent we are unable to timely engage sufficient alternative
service providers, we may experience delays in our projected
timeline for receiving final results from the MYOHEART Trial.
The risk of delays is heightened for our clinical trials
conducted outside of the United States, where it may be more
difficult for us to ensure that studies are conducted in
compliance with foreign regulatory requirements. Any third
parties that we hire to conduct clinical trials may also provide
services to our competitors, which could compromise the
performance of their obligations to us. If these third parties
do not successfully carry out their
14
duties or meet expected deadlines, or if the quality,
completeness or accuracy of the data they obtain is compromised
due to their failure to adhere to our clinical trial protocols
or for other reasons, our clinical trials may be extended,
delayed or terminated or may otherwise prove to be unsuccessful.
If there are delays or failures in clinical trials or regulatory
approvals as a result of the failure to perform by third
parties, our development costs will increase, and we may not be
able to obtain regulatory approval for our product candidates.
In addition, we may not be able to establish or maintain
relationships with these third parties on favorable terms, if at
all. If we need to enter into replacement arrangements because a
third party is not performing in accordance with our
expectations, we may not be able to do so without undue delays
or considerable expenditures or at all.
Risks Related to Government Regulation and Regulatory
Approvals
Our cell-based product candidates are based on novel
technologies and the FDA and regulatory agencies in other
countries have limited experience reviewing product candidates
using these technologies.
We are subject to the risks of failure inherent in the
development of product candidates based on new technologies. The
novel nature of our product candidates creates significant
challenges in regards to product development and optimization,
government regulation, third party reimbursement and market
acceptance. These include:
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the scientific basis of our technology could be determined to be
less sound than we believe;
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the time and effort required to solve novel technical problems
could delay the development of our product candidates;
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the FDA and regulatory agencies in other countries have
relatively limited experience with therapies based upon cellular
medicine generally and, as a result, the pathway to regulatory
approval for our cell-based product candidates may be more
complex and lengthy; and
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the healthcare community has relatively little experience with
therapies based upon cellular medicine and, accordingly,
following regulatory approval, if any, our product candidates
may not become widely accepted by physicians, patients, third
party payors or the healthcare community.
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As a result, the development and commercialization pathway for
our cell-based therapies may be subject to increased
uncertainty, as compared to the pathway for new conventional
drugs.
We are subject to numerous risks associated with seeking
regulatory approval of MyoCell pursuant to a protocol that
requires the use of a catheter system which is still subject to
FDA approval. The catheter system we intend to use in connection
with our MARVEL Trial is owned by an unaffiliated third party.
Although we have entered into a two-year supply agreement for
delivery of the catheter system for use in the MARVEL Trial, we
are subject to a number of risks not addressed by the parties in
the supply agreement.
We have been cleared by the FDA to proceed under the protocol
for our MARVEL Trial, which protocol requires participating
trial investigators to use Biosense Websters, a Johnson
& Johnson company,
NOGA
®
Cardiac Navigation System along with the
MyoStar
tm
injection catheter, or MyoStar, or collectively with the
NOGA
®
Cardiac Navigation System, the MyoStar System, for the delivery
of MyoCell to patients enrolled in the trial. We further
anticipate that if MyoCell receives regulatory approval, such
approval will require MyoCell to be injected with a catheter
system that has also secured regulatory approval. Accordingly,
the commercial deployment of MyoCell is dependent upon MyoStar,
MyoCath or some other catheter system securing regulatory
approval for use with MyoCell. Although MyoStar has received CE
mark approval in Europe, neither MyoStar, MyoCath nor any other
catheter system is commercially available in the United States
and they may only be used pursuant to FDA approved
investigational protocols. Notwithstanding the devotion of
considerable resources to the development and testing of MyoStar
and MyoCath, they may never receive additional or any,
respectively, regulatory approval that will allow for their
commercial use with MyoCell.
15
We are not affiliated with Biosense Webster, the Cordis
Corporation or any other Johnson & Johnson company. Although
we entered into a supply agreement with Biosense Webster on
May 10, 2007 pursuant to which it has agreed to deliver
MyoStar to us for a two year period at an agreed upon price as
and when required by the MARVEL Trial, we currently have no
right to control the further development, clinical testing
and/or refinement of MyoStar. Biosense Webster currently has the
right to make the following types of decisions without
consulting with or even considering our views, which decisions
could directly or indirectly negatively impact our efforts
and/or ability to secure regulatory approval of MyoCell:
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the terms and conditions under which MyoStar will be made
available for use to trial investigators, if at all, after the
term of the supply agreement;
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the terms and conditions under which the diagnostic consoles
that are part of the
NOGA
®
Cardiac Navigation System will be made available for use to
trial investigators, if at all;
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the modification or not of the MyoStar System or any of its
components and its protocol for use as a result of information
obtained during trials;
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the license or sale of the MyoStar System related intellectual
property to a third party, potentially including our competitors;
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the use of the MyoStar System or any of its components in
myoblast-based clinical therapies other than ours; and
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the suspension or abandonment of other clinical trials involving
MyoStar.
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The unavailability of the MyoStar System, for any reason, would
have a material adverse effect on our product development and
commercialization efforts as we will be unable to recover the
time and money expended on the MARVEL Trial prior to such
determination of unavailability.
We must comply with extensive government regulations in
order to obtain and maintain marketing approval for our products
in the United States and abroad. If we do not obtain regulatory
approval for our product candidates, we may be forced to cease
our operations.
Our product candidates are subject to extensive regulation in
the United States and in every other country where they will be
tested or used. These regulations are wide-ranging and govern,
among other things:
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product design, development, manufacture and testing;
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product safety and efficacy;
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product labeling;
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product storage and shipping;
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record keeping;
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pre-market clearance or approval;
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advertising and promotion; and
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product sales and distribution.
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We cannot market our product candidates until we receive
regulatory approval. The process of obtaining regulatory
approval is lengthy, expensive and uncertain. Any difficulties
that we encounter in obtaining regulatory approval may have a
substantial adverse impact on our business and cause our stock
price to decline significantly.
In the United States, the FDA imposes substantial requirements
on the introduction of biological products and many medical
devices through lengthy and detailed laboratory and clinical
testing procedures, sampling activities and other costly and
time-consuming procedures. Satisfaction of these requirements
typically takes several years and the time required to do so may
vary substantially based upon the type and complexity of the
biological product or medical device.
16
In addition, product candidates that we believe should be
classified as medical devices for purposes of the FDA regulatory
pathway may be determined by the FDA to be biologic products
subject to the satisfaction of significantly more stringent
requirements for FDA approval.
The requirements governing the conduct of clinical trials and
cell culturing and marketing of our product candidates outside
the United States vary widely from country to country. Foreign
approvals may take longer to obtain than FDA approvals and can
require, among other things, additional testing and different
clinical trial designs. Foreign regulatory approval processes
generally include all of the risks associated with the FDA
approval processes. Some foreign regulatory agencies also must
approve prices of the products. Regulatory approval in one
country does not ensure regulatory approval in another, but a
failure or delay in obtaining regulatory approval in one country
may negatively impact the regulatory process in others. We may
not be able to file for regulatory approvals and may not receive
necessary approvals to market our product candidates in any
foreign country. If we fail to comply with these regulatory
requirements or fail to obtain and maintain required approvals
in any foreign country, we will not be able to sell our product
candidates in that country and our ability to generate revenue
will be adversely affected.
We cannot assure you that we will obtain FDA or foreign
regulatory approval to market any of our product candidates for
any indication in a timely manner or at all. If we fail to
obtain regulatory approval of any of our product candidates for
at least one indication, we will not be permitted to market our
product candidates and may be forced to cease our operations.
Even if some of our product candidates receive regulatory
approval, these approvals may be subject to conditions, and we
and our third party manufacturers will in any event be subject
to significant ongoing regulatory obligations and
oversight.
Even if any of our product candidates receives regulatory
approval, the manufacturing, marketing and sale of our product
candidates will be subject to stringent and ongoing government
regulation. Conditions of approval, such as limiting the
category of patients who can use the product, may significantly
impact our ability to commercialize the product and may make it
difficult or impossible for us to market a product profitably.
Changes we may desire to make to an approved product, such as
cell culturing changes or revised labeling, may require further
regulatory review and approval, which could prevent us from
updating or otherwise changing an approved product. If our
product candidates are approved by the FDA or other regulatory
authorities for the treatment of any indications, regulatory
labeling may specify that our product candidates be used in
conjunction with other therapies. For instance, we currently
anticipate that prior implantation of an ICD and treatment with
optimal drug therapy will be required at least initially as a
condition to treatment with MyoCell.
Once obtained, regulatory approvals may be withdrawn for a
number of reasons, including the later discovery of previously
unknown problems with the product. Regulatory approval may also
require costly post-marketing follow-up studies, and failure of
our product candidates to demonstrate sufficient efficacy and
safety in these studies may result in either withdrawal of
marketing approval or severe limitations on permitted product
usage. In addition, numerous additional regulatory requirements
relating to, among other processes, the labeling, packaging,
adverse event reporting, storage, advertising, promotion and
record-keeping will also apply. Furthermore, regulatory agencies
subject a marketed product, its manufacturer and the
manufacturers facilities to continual review and periodic
inspections. Compliance with these regulatory requirements are
time consuming and require the expenditure of substantial
resources.
If any of our product candidates is approved, we will be
required to report certain adverse events involving our products
to the FDA, to provide updated safety and efficacy information
and to comply with requirements concerning the advertisement and
promotional labeling of our products. As a result, even if we
obtain necessary regulatory approvals to market our product
candidates for any indication, any adverse results,
circumstances or events that are subsequently discovered, could
require that we cease marketing the product for that indication
or expend money, time and effort to ensure full compliance,
which could have a material adverse effect on our business.
17
In response to recent events regarding questions about the
safety of certain approved prescription products, including the
lack of adequate warnings, the FDA and the U.S. Congress
are currently considering new regulatory and legislative
approaches to advertising, monitoring and assessing the safety
of marketed drugs, including legislation authorizing the FDA to
mandate labeling changes for approved products, particularly
those related to safety. It is possible that congressional and
FDA initiatives pertaining to ensuring the safety of marketed
biologics and similar initiatives in other countries, or other
developments pertaining to the pharmaceutical industry, could
require us to expend additional resources to comply with such
initiatives and could adversely affect our operations.
In addition, the FDA and similar foreign governmental
authorities have the authority to require the recall of
commercialized products in the event of any failure to comply
with applicable laws and regulations or defects in design or
manufacture. In the event any of our product candidates receives
approval and is commercialized, a government-mandated or
voluntary product recall by us could occur as a result of
component failures, device malfunctions, or other negative
events such as serious injuries or deaths, or quality-related
issues such as cell culturing errors or design or labeling
defects. Recalls of any of our potential products could divert
managerial and financial resources, harm our reputation and
adversely affect our financial condition, results of operations
and stock price.
Any failure by us, or by any third parties that may manufacture
or market our products, to comply with the law, including
statutes and regulations administered by the FDA or other U.S.
or foreign regulatory authorities, could result in, among other
things, warning letters, fines and other civil penalties,
suspension of regulatory approvals and the resulting requirement
that we suspend sales of our products, refusal to approve
pending applications or supplements to approved applications,
export or import restrictions, interruption of production,
operating restrictions, closure of the facilities used by us or
third parties to manufacture our product candidates, injunctions
or criminal prosecution. Any of the foregoing actions could have
a material adverse effect on our business.
We must comply with federal, state and foreign laws,
regulations and other rules relating to the healthcare business,
and, if we do not fully comply with such laws, regulations and
other rules, we could face substantial penalties.
We are, or will be directly or indirectly through our customers,
subject to extensive regulation by the federal government, the
states and foreign countries in which we may conduct our
business. The laws that directly or indirectly affect our
ability to operate our business include the following:
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the federal Medicare and Medicaid Anti-Kickback law, which
prohibits persons from knowingly and willfully soliciting,
offering, receiving or providing remuneration, directly or
indirectly, in cash or in kind, to induce either the referral of
an individual or furnishing or arranging for a good or service,
for which payment may be made under federal healthcare programs
such as Medicare and Medicaid;
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other Medicare laws, regulations, rules, manual provisions and
policies that prescribe the requirements for coverage and
payment for services performed by our customers, including the
amount of such payment;
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the Federal False Claims Act, which imposes civil and criminal
liability on individuals and entities who submit, or cause to be
submitted, false or fraudulent claims for payment to the
government;
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the Federal False Statements Act, which prohibits knowingly and
willfully falsifying, concealing or covering up a material fact
or making any materially false statement in connection with
delivery of or payment for healthcare benefits, items or
services; and
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state and foreign law equivalents of the foregoing.
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If our operations are found to be in violation of any of the
laws, regulations, rules or policies described above or any
other law or governmental regulation to which we or our
customers are or will be subject, or if the interpretation of
the foregoing changes, we may be subject to civil and criminal
penalties, damages, fines, exclusion from the Medicare and
Medicaid programs and the curtailment or restructuring of our
operations.
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Similarly, if our customers are found non-compliant with
applicable laws, they may be subject to sanctions, which could
also have a negative impact on us. Any penalties, damages,
fines, curtailment or restructuring of our operations would
adversely affect our ability to operate our business and our
financial results. The risk of our being found in violation of
these laws is increased by the fact that many of them have not
been fully interpreted by the regulatory authorities or the
courts, and their provisions are open to a variety of
interpretations, and additional legal or regulatory change. Any
action against us for violation of these laws, even if we
successfully defend against it, could cause us to incur
significant legal expenses, divert our managements
attention from the operation of our business and damage our
reputation.
Our business involves the use of hazardous materials that
could expose us to environmental and other liability.
Our facility in Sunrise, Florida is subject to various local,
state and federal laws and regulations relating to the use and
disposal of hazardous or potentially hazardous substances,
including chemicals and micro-organisms used in connection with
our research and development activities. In the United States,
these laws include the Occupational Safety and Health Act, the
Toxic Test Substances Control Act and the Resource Conservation
and Recovery Act. Although we believe that our safety procedures
for handling and disposing of these materials comply with the
standards prescribed by these regulations, we cannot assure you
that accidental contamination or injury to employees and third
parties from these materials will not occur. Although we have
insurance coverage of up to $250,000 to cover claims arising
from our use and disposal of these hazardous substances, the
insurance that we currently hold may not be adequate to cover
all liabilities relating to our use and disposal of hazardous
substances.
Risks Related to Commercialization of our Product
Candidates
If we are successful in securing regulatory approval of
MyoCell utilizing a protocol that requires the use of MyoStar,
we will be subject to numerous risks associated with
commercializing a therapy that requires the use of a product
that we do not control.
Except for the agreement pursuant to which Biosense Webster has
agreed to deliver MyoStar to us in connection with the
MARVEL Trial, we have no agreement in place with Biosense
Webster that defines our relationship with them and our
prospective customers. Accordingly, Biosense Webster currently
has the right to make the following types of decisions without
consulting with or even considering our views, which decisions
could directly or indirectly negatively impact our efforts
and/or ability to commercialize MyoCell:
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the temporary or permanent suspension of production, marketing
or distribution of the MyoStar System;
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the terms and conditions under which the MyoStar System will be
made available to customers, if at all;
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the modification or refinement of the MyoStar System and its
protocols for use as a result of information obtained from
patients; and
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the branding and/or use of the MyoStar System in conjunction
with myoblast-based clinical therapies other than ours.
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Similarly, we have no control over the intellectual property
rights underlying MyoStar or the MyoStar System, no ability to
protect or defend any such intellectual property rights and no
ability to prevent Biosense Webster from licensing or selling
these intellectual property rights to one of our competitors.
The healthcare community has relatively little experience
with therapies based on cellular medicine and, accordingly, if
our product candidates do not become widely accepted by
physicians, patients, third party payors or the healthcare
community, we may be unable to generate significant revenue, if
any.
We are developing cell-based therapy product candidates for the
treatment of heart damage that represent novel and unproven
treatments and, if approved, will compete with a number of more
conventional
19
products and therapies manufactured and marketed by others,
including major pharmaceutical companies. We cannot predict or
guarantee that physicians, patients, healthcare insurers, third
party payors or health maintenance organizations, or the
healthcare community in general, will accept or utilize any of
our product candidates. We anticipate that, if approved, we will
market MyoCell primarily to interventional cardiologists, who
are generally not the primary care physicians for patients who
may be eligible for treatment with MyoCell. Accordingly, our
commercial success may be dependent on third party physicians
referring their patients to interventional cardiologists for
MyoCell treatment.
If we are successful in obtaining regulatory approval for any of
our product candidates, the degree of market acceptance of those
products will depend on many factors, including:
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our ability to provide acceptable evidence and the perception of
patients and the healthcare community, including third party
payors, of the positive characteristics of our product
candidates relative to existing treatment methods, including
their safety, efficacy, cost effectiveness and/or other
potential advantages;
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the incidence and severity of any adverse side effects of our
product candidates;
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the availability of alternative treatments;
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the labeling requirements imposed by the FDA and foreign
regulatory agencies, including the scope of approved indications
and any safety warnings;
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our ability to obtain sufficient third party insurance coverage
or reimbursement for our products candidates;
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the inclusion of our products on insurance company coverage
policies;
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the willingness and ability of patients and the healthcare
community to adopt new technologies;
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the procedure time associated with the use of our product
candidates;
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our ability to manufacture or obtain from third party
manufacturers sufficient quantities of our product candidates
with acceptable quality and at an acceptable cost to meet
demand; and
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marketing and distribution support for our products.
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Failure to achieve market acceptance would limit our ability to
generate revenue and would have a material adverse effect on our
business. In addition, if any of our product candidates achieve
market acceptance, we may not be able to maintain that market
acceptance over time if competing products or technologies are
introduced that are received more favorably or are more
cost-effective.
There is substantial uncertainty as to the coverage that
may be available and the reimbursement rates that may be
established for our product candidates. Any failure to obtain
third party coverage or an adequate level of reimbursement for
our product candidates will likely have a material adverse
effect on our business.
If we successfully develop, and obtain necessary regulatory
approvals for, our product candidates we intend to sell them
initially in Europe and the United States. We have not yet
submitted any of our product candidates to the Center for
Medicare and Medicaid Services, or CMS, or any private or
governmental third party payor in the United States to determine
whether or not our product candidates will be covered under
private or public health insurance plans or, if they are
covered, what coverage or reimbursement rates may be available.
Although we believe hospitals may be entitled to some procedure
reimbursement for MyoCell, we cannot assure you that such
reimbursement will be adequate or available at all.
In Europe, the pricing of prescription pharmaceutical products
and services and the level of government reimbursement generally
are subject to governmental control. Reimbursement and
healthcare payment systems in European markets vary
significantly by country, and may include both
government-sponsored healthcare and private insurance. In these
countries, pricing negotiations with governmental authorities
can take six to twelve months or longer after the receipt of
marketing approval for a product. To obtain reimbursement or
pricing approval in some countries, we may be required to
conduct one or more clinical
20
trials that compare the cost effectiveness of our product
candidates to other available therapies. Conducting one or more
clinical trials for this purpose would be expensive and result
in delays in commercialization of our product candidates. We may
not obtain coverage or reimbursement or pricing approvals from
countries in Europe in a timely manner, or at all. Any failure
to receive coverage or reimbursement or pricing approvals from
one or more European countries could effectively prevent us from
selling our product candidates in those countries, which could
materially adversely affect our business.
In the United States, our revenues will depend upon the coverage
and reimbursement rates and policies established for our product
candidates by third party payors, including governmental
authorities, managed-care providers, public health insurers,
private health insurers and other organizations. These third
party payors are increasingly attempting to contain healthcare
costs by limiting both coverage and the level of reimbursement
for new healthcare products approved for marketing by the FDA or
regulatory agencies in other countries. As a result, significant
uncertainty exists as to whether newly approved medical products
will be eligible for coverage by third party payors or, if
eligible for coverage, what the reimbursement rates will be for
those products. Furthermore, cell-based therapies like MyoCell
may be more expensive than pharmaceuticals, due to, among other
things, the higher cost and complexity associated with the
research, development and production of these therapies. This,
in turn, may make it more difficult for us to obtain adequate
reimbursement from third party payors, particularly if we cannot
demonstrate a favorable cost-benefit relationship. Third party
payors may also deny coverage or offer inadequate levels of
reimbursement for our potential products if they determine that
the product has not received appropriate clearances from the FDA
or other government regulators or is experimental, unnecessary
or inappropriate. Accordingly, we cannot assure you that
adequate third party coverage or reimbursement will be available
for any of our product candidates to allow us to successfully
commercialize these product candidates.
Coverage and reimbursement rates for our product candidates may
be subject to increased restrictions both in the United States
and in other countries in the future. Coverage policies and
reimbursement rates are subject to change and we cannot
guarantee that current coverage policies and reimbursement rates
will be applicable to our product candidates in the future.
U.S. federal, state and foreign agencies and legislatures
from time to time may seek to impose restrictions on coverage,
pricing, and reimbursement level of drugs, devices and
healthcare services in order to contain healthcare costs.
We have only limited experience culturing our cell-based
product candidates, and we may not be able to culture our
product candidates in quantities sufficient for clinical studies
or for commercial sale. We also face certain risks in connection
with our use of third party manufacturers and cell culturing
service providers.
We may encounter difficulties in the production of our
cell-based product candidates, including MyoCell, due to our
limited experience internally culturing our product candidates.
We have a cell culturing facility in Sunrise, Florida, which we
believe has the capacity to meet substantially all of our
projected demand for MyoCell in the United States for the
balance of 2007. We began culturing cells at this facility for
preclinical uses in the third quarter of 2006. Prior to such
date, we outsourced our various cell culturing needs. We
anticipate that we will begin culturing cells at this facility
for clinical uses upon commencement of the MARVEL Trial. We have
no experience in culturing our product candidates for the number
of patients that will be required for later stage clinical
studies or commercialization and may be unable to culture
sufficient quantities of our product candidates for our clinical
trials or our commercial needs on a timely and cost-effective
basis. Difficulties arising from our limited cell culturing
experience could reduce sales of our products, increase our
costs or cause production delays, any of which could adversely
affect our results of operations.
We intend to further optimize our processing times by building
our facilities or contracting with a small number of cell
culturing facilities in strategic regional locations. We
anticipate that a portion of the funds necessary to construct
new manufacturing facilities may be made available to us by the
governments of the countries where we seek to build such
facilities. To the extent these funds are not available to us,
we may be unable to construct these facilities or may need to
seek additional capital.
21
We anticipate that we will continue to use third party cell
culturing service providers, including Pharmacell and Cambrex
Bioscience, to supply a portion of our cell-based product
candidates, including MyoCell, for clinical trials and
commercial sales outside of the United States. We may not be
able to, and in our Phase I/ II clinical trial experienced
delays because we were not at times able to, obtain sufficient
quantities of MyoCell from third party cell culturing service
providers. In addition, our third party cell culturing providers
may be unable to culture commercial quantities of our product
candidates on a timely and cost-effective basis. The term of our
supply agreement with Pharmacell expires six months following
the end of completion of the SEISMIC and MARVEL Trials unless
terminated earlier. We cannot be certain that we will be able to
maintain our relationships with our third party cell culturing
service providers, including Pharmacell, or establish
relationships with other cell culturing service providers on
commercially acceptable terms.
We currently use and expect to continue to use third party
manufacturers to supply our device product candidates, including
MyoCath. Our contract with our only MyoCath manufacturer
terminated in September 2007. We anticipate negotiating a new
agreement with another manufacturer. The transition to a
replacement contract manufacturer has additional risks,
including those risks associated with the development by the
replacement contract manufacturer of sufficient levels of
expertise in the manufacturing process. If we are unable to
enter into a replacement agreement with another contract
manufacturer on reasonable terms and in a timely manner, or if
any replacement contract manufacturer is unable to develop
sufficient manufacturing expertise in a timely manner, we could
experience shortages of clinical trial materials, which could
adversely affect our business.
Our cell culturing facility and those of our contract
manufacturers and other cell culturing service providers will be
subject to ongoing, periodic inspection by the FDA to confirm
that the facilities comply with the FDAs current Good
Manufacturing Practices, or cGMP, if the facility manufactures
biologics, and quality system regulations if the facility
manufactures devices. Foreign regulatory agencies, for example,
the International Standards Organization and the European
authorities related to obtaining a CE mark on a
device in Europe, may also impose similar requirements on us and
conduct similar inspections of the facilities that manufacture
our product candidates. Failure to follow and document adherence
to such cGMP regulations or other regulatory requirements by us
or our contract manufacturers or third party cell culturing
service providers may lead to significant delays in the
availability of our product candidates for commercial use or
clinical study, may result in the delay or termination of a
clinical trial, or may delay or prevent filing of applications
for or our receipt of regulatory approval of our product
candidates. If we or such third parties fail to comply with
applicable regulations, the FDA or other regulatory authorities
could impose sanctions on us, including fines, injunctions,
civil penalties, denial of marketing approval of our product
candidates, delays, suspension or withdrawal of approvals,
license revocation, seizures or recalls of our product
candidates, operating restrictions and criminal prosecutions.
Any of these events could adversely affect our financial
condition, profitability and ability to develop and
commercialize products on a timely and competitive basis.
If we are unable to establish sales and marketing
capabilities or enter into agreements with third parties to
market and sell our product candidates, we may be unable to
generate product revenues.
We do not have a sales and marketing force and related
infrastructure and have limited experience in the sales,
marketing and distribution of our product candidates. To achieve
commercial success for any approved product, we must either
develop a sales and marketing force or outsource these functions
to third parties. Currently, we intend to internally develop a
direct sales and marketing force in both Europe and the United
States as we approach commercial approval of our product
candidates. The development of our own sales and marketing force
will result in us incurring significant costs before the time
that we may generate revenues. We may not be able to attract,
hire, train and retain qualified sales and marketing personnel
to build a significant or effective marketing and sales force
for sales of our product candidates.
22
Product liability and other claims against us may reduce
demand for our products or result in substantial damages. We
anticipate that we will need to obtain and maintain additional
or increased insurance coverage, and we may not be able to
obtain or maintain such coverage on commercially reasonable
terms, if at all.
A product liability claim, a clinical trial liability claim or
other claim with respect to uninsured liabilities or for amounts
in excess of insured liabilities could have a material adverse
effect on our business. Our business exposes us to potential
liability risks that may arise from the clinical testing of our
product candidates in human clinical trials and the manufacture
and sale of any approved products. Any clinical trial liability
or product liability claim or series of claims or class actions
brought against us, with or without merit, could result in:
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liabilities that substantially exceed our existing clinical
trial liability insurance, or any clinical trial liability or
product liability insurance that we may obtain in the future,
which we would then be required to pay from other sources, if
available;
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an increase in the premiums we pay for our clinical trial
liability insurance and any clinical trial liability or product
liability insurance we may obtain in the future or the inability
to renew or obtain clinical trial liability or product liability
insurance coverage in the future on acceptable terms, or at all;
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withdrawal of clinical trial volunteers or patients;
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damage to our reputation and the reputation of our products,
including loss of market share;
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regulatory investigations that could require costly recalls or
product modifications;
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litigation costs; and
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diversion of managements attention from managing our
business.
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Although we have clinical trial liability insurance, our current
clinical trial liability insurance is subject to deductibles and
coverage limitations. This insurance currently covers claims of
up to $5 million each and up to $10 million in the
aggregate each year. Our current clinical trial liability
insurance may not continue to be available to us on acceptable
terms, if at all, and, if available, the coverage may not be
adequate to protect us against future clinical trial liability
claims. We are currently seeking to increase our clinical trial
liability insurance coverage.
We do not currently have product liability insurance because
none of our product candidates has yet been approved for
commercialization. While we plan to seek product liability
insurance coverage if any of our product candidates are sold
commercially, we cannot assure you that we will be able to
obtain product liability insurance on commercially acceptable
terms, if at all, or that we will be able to maintain such
insurance at a reasonable cost or in sufficient amounts to
protect against potential losses.
Claims may be made by consumers, healthcare providers, third
party strategic collaborators or others selling our products if
one of our products or product candidates causes, or appears to
have caused, an injury. We may be subject to claims against us
even if an alleged injury is due to the actions of others. For
example, we rely on the expertise of physicians, nurses and
other associated medical personnel to perform the medical
procedures and processes related to our product candidates. If
these medical personnel are not properly trained or are
negligent in using our product candidates, the therapeutic
effect of our product candidates may be diminished or the
patient may suffer injury, which may subject us to liability. In
addition, an injury resulting from the activities of our
suppliers may serve as a basis for a claim against us.
We do not intend to promote, or to in any way support or
encourage the promotion of, our product candidates for off-label
or otherwise unapproved uses. However, if our product candidates
are approved by the FDA or similar foreign regulatory
authorities, we cannot prevent a physician from using them for
any off-label applications. If injury to a patient results from
such an inappropriate use, we may become involved in a product
liability suit, which will likely be expensive to defend.
These liabilities could prevent or interfere with our clinical
efforts, product development efforts and any subsequent product
commercialization efforts, all of which could have a material
adverse effect on our business.
23
Our success will depend in part on establishing and
maintaining effective strategic partnerships, collaborations and
licensing agreements.
Our strategy for the development, testing, culturing and
commercialization of our product candidates relies on
establishing and maintaining numerous collaborations with
various corporate partners, consultants, scientists,
researchers, licensors, licensees and others, including the
collaborations described in this prospectus. While we are
continually in discussions with a number of companies,
universities, research institutions, consultants, scientists,
researchers, licensors, licensees and others to establish
additional relationships and collaborations, which are typically
complex and time consuming to negotiate, document and implement,
we may not reach definitive agreements with any of them. Even if
we enter into these arrangements, we may not be able to maintain
these relationships or establish new ones in the future on
acceptable terms.
Furthermore, any collaboration that we enter into may not be
successful. The success of our collaboration arrangements, if
any, will depend heavily on the efforts and activities of our
collaborators. Possible future collaborations have risks,
including the following:
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our collaboration agreements are likely to be for fixed terms
and subject to termination by our collaborators in the event of
a material breach or lack of scientific progress by us;
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our collaborators are likely to have the first right to maintain
or defend our intellectual property rights and, although we
would likely seek to secure the right to assume the maintenance
and defense of our intellectual property rights if our
collaborators do not, our ability to do so may be compromised by
our collaborators acts or omissions;
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our collaborators may utilize our intellectual property rights
in such a way as to invite litigation that could jeopardize or
invalidate our intellectual property rights or expose us to
potential liability;
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our collaborators may underfund or not commit sufficient
resources to the testing, marketing, distribution or development
of our product candidates; and
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our collaborators may develop alternative products either on
their own or in collaboration with others, or encounter
conflicts of interest or changes in business strategy or other
business issues, which could adversely affect their willingness
or ability to fulfill their obligations to us.
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These arrangements also may require us to grant certain rights
to third parties, including exclusive marketing rights to one or
more products, or may have other terms that are burdensome to
us, and may involve the issuance of our securities. If any of
our partners terminates its relationship with us or fails to
perform its obligations in a timely manner, the development or
commercialization of our technology and product candidates may
be substantially delayed. Further, disputes may arise with our
collaborators about inventorship and corresponding rights in
know-how and inventions resulting from the joint creation or use
of intellectual property by us and our collaborators.
We have provided a non-affiliated Korean entity certain
technology to manufacture MyoCell and MyoCath and face the risk
that such action and/or the actions of the Korean entity may
materially damage our business, expose us to liability and/or
result in the termination of various intellectual property
licenses that are important to us.
On February 1, 2005, we entered into a joint venture
agreement with Bioheart Korea, Inc., pursuant to which we and
Bioheart Korea agreed to create a joint venture company called
Bioheart Manufacturing which intends to provide cell culturing
services in Korea. We do not have operating control over
Bioheart Manufacturing. In addition, our minority interest in
Bioheart Manufacturing and our agreements to provide Bioheart
Korea certain technologies are governed, in part, by South
Korean laws and do not define in a comprehensive manner our
various contractual and legal rights. As a result, at times our
various rights have been subject to varying interpretations, and
we may encounter comparable challenges in the future. We have
also had limited operational experience with Bioheart
Manufacturing and Bioheart Korea and are still in the process of
defining our relationship with them and how we will work
together.
24
Our agreements to provide Bioheart Manufacturing with the
technology to manufacture MyoCell and MyoCath are subject to
varying interpretations that may increase our risk of disputes
with Bioheart Manufacturing, Bioheart Korea and certain parties
that licensed to us certain technology related to MyoCell and/or
MyoCath. We also face the risk that Bioheart Manufacturing may
not utilize or may not be perceived as utilizing our
intellectual property rights in accordance with the terms of our
agreements with them and/or our agreements with various third
parties that have licensed technology to us. For instance, a
complaint filed against us by Peter K. Law, Ph.D. and Cell
Transplants Asia appears to question our rights to provide
certain intellectual property to Bioheart Manufacturing and/or
Bioheart Manufacturings right to use certain intellectual
property. See Legal Proceedings below for a
description of the complaint and the reasons we believe the
complaint should be dismissed. If Bioheart Manufacturing were to
misuse our intellectual property rights, such misuse could,
among other things, materially damage our business, expose us to
potential liability and/or result in the termination of various
intellectual property licenses that are important to us.
Risks Related to Our Intellectual Property
We have licensed and therefore do not own the intellectual
property that is critical to our business. Any events or
circumstances that result in the termination or limitation of
our rights under any of the agreements between us and the
licensors of our intellectual property could have a material
adverse effect on our business.
The intellectual property that is critical to our business has
been licensed to us by various third parties. The operative
terms of some of our material license agreements are vague or
subject to interpretations which may increase the risks of
dispute with our licensors.
Under certain of our patent license agreements, we are subject
to development, payment, commercialization and other obligations
and, if we fail to comply with any of these requirements or
otherwise breach those agreements, our licensors may have the
right to terminate the license in whole or in part, terminate
the exclusive nature of the license to the extent such license
is exclusive or otherwise limit our rights thereunder, which
could have a material adverse effect on our business. For
instance, we are obligated to:
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pay aggregate fees of $8 million to Cell Transplants
International, LLC, or Cell Transplants International, upon
commencement of a U.S. Phase II human clinical trial of
MyoCell and upon FDA approval of patented technology for heart
muscle regeneration;
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make certain payments to the Cleveland Clinic in the aggregate
amount of $2.25 million upon our achievement of certain
development and commercialization objectives in connection with
the development of MyoCell II with SDF-1; and
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deliver 160 units of MyoCath to a corporation that is now a
division of Abbott Laboratories.
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On March 9, 2007, Peter K. Law, Ph.D. and Cell Transplants
Asia, Limited, an entity wholly owned by Dr. Law, filed a
complaint against us and Howard J. Leonhardt, individually, in
the United States District Court for the Western District of
Tennessee alleging, among other things, certain breaches of our
licensing agreement with them. On July 26, 2007, the court
granted the motion to dismiss Mr. Leonhardt in his
individual capacity but denied the motion to dismiss the claims
against us. Dr. Law and Cell Transplants International are
the licensors of the primary patent protecting MyoCell. Please
see Legal Proceedings below for a description of the
allegations made in the complaint. While the complaint does not
appear to challenge our rights to license this patent and we
believe this lawsuit is without merit, this litigation, if not
resolved to the satisfaction of both parties, may adversely
impact our relationship with Dr. Law and could, if resolved
unfavorably to us, adversely affect our MyoCell
commercialization efforts and have a significant impact on our
results of operations and financial condition.
Any termination or limitation of, or loss of exclusivity under,
our exclusive or conditionally exclusive license agreements
would have a material adverse effect on us and could delay or
completely terminate our product development efforts.
25
We generally do not have the right under our material
license agreements to control the protection of the patents
licensed thereunder and, as a result, our licensors may take
actions and make decisions that could materially adversely
affect our business.
Under our material license agreements, including, but not
limited to, our license agreement for the primary patent for
MyoCell, our licensors generally have the right to control the
filing, prosecution, maintenance and defense of all licensed
patents and patent applications and, if a third party infringes
on any of those licensed patents, to control any legal or other
proceedings instituted against that third party for
infringement. As a result, our licensors may take actions or
make decisions relating to these matters with which we do not
agree or which could have a material adverse effect on our
business. Likewise, our licensors may in the future grant
licenses outside the field of heart damage treatment to third
parties to use the patents and other intellectual property to
which we have rights under our exclusive or conditionally
exclusive license agreements. Should our licensors elect not to
pursue the filing, prosecution or maintenance of a licensed
patent application or patent or institute legal or other
proceedings against a third party for infringements of those
patents, then we may be required to undertake these proceedings
alone or jointly with others, who may have interests that are
different from ours. Under certain of our license agreements, we
have no right to undertake these proceedings even if our
licensors refuse to do so. As a result, we may have no control
or only limited control over the prosecution, maintenance,
defense and enforcement of patent applications and patents that
are critical to our business. In that regard, certain of our
license agreements require that we contribute to the costs of
filing, prosecuting, maintaining, defending and enforcing the
licensed patent applications, patents and other intellectual
property, whether or not we agree with those actions. Further,
such actions typically require the expenditure of considerable
time and money. See Business Technology
In-Licenses and Other Agreements for further information
regarding our rights to control the protection of our patents
under our material license agreements.
We do not have patent protection for MyoCell outside of
the United States and we may not be able to effectively enforce
our intellectual property rights in certain countries, which
could have a material adverse effect on our business.
We are seeking or intend to seek regulatory approval to market
our product candidates in a number of foreign countries,
including various countries in Europe. MyoCell, however, is not
protected by patents outside of the United States, which means
that competitors will be free to sell products that incorporate
the same technologies that are used in MyoCell in those
countries, including in European countries, which we believe may
be one of the largest potential markets for these product
candidates. In addition, the laws and practices in some of those
countries, or others in which we may seek to market our other
product candidates in the future, may not protect intellectual
property rights to the same extent as in the United States. We
or our licensors may not be able to effectively obtain, maintain
or enforce rights with respect to the intellectual property
relating to our product candidates in those countries. Our lack
of patent protection in one or more countries, or the inability
to obtain, maintain or enforce intellectual property rights in
one or more countries, could adversely affect our ability to
commercialize our products in those countries and otherwise have
a material adverse effect on our business.
Our success depends on the protection of our intellectual
property rights, particularly the patents that have been
licensed to us, and our failure to secure and maintain these
rights would materially harm our business.
Our commercial success depends to a significant degree on our
ability to:
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obtain and/or maintain protection for our product candidates
under the patent laws of the United States and other countries;
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defend and enforce our patents once obtained;
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obtain and/or maintain appropriate licenses to patents, patent
applications or other proprietary rights held by others with
respect to our technology, both in the United States and other
countries;
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26
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maintain trade secrets and other intellectual property rights
relating to our product candidates; and
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operate without infringing upon the patents and proprietary
rights of third parties.
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The degree of intellectual property protection for our
technology is uncertain, and only limited intellectual property
protection may be available for our product candidates, which
may prevent us from gaining or keeping any competitive advantage
against our competitors. Although we believe the patents that
have been licensed or sublicensed to us, and the patent
applications that we own or that have been licensed to us,
generally provide us a competitive advantage, the patent
positions of biotechnology, biopharmaceutical and medical device
companies are generally highly uncertain, involve complex legal
and factual questions and have been the subject of much
litigation. Neither the U.S. Patent and Trademark Office nor the
courts have a consistent policy regarding the breadth of claims
allowed or the degree of protection afforded under many
biotechnology patents. Even if issued, patents may be
challenged, narrowed, invalidated or circumvented, which could
limit our ability to stop competitors from marketing similar
products or limit the length of term of patent protection we may
have for our products. Further, a court or other government
agency could interpret our patents in a way such that the
patents do not adequately cover our current or future product
candidates. Changes in either patent laws or in interpretations
of patent laws in the United States and other countries may
diminish the value of our intellectual property or narrow the
scope of our patent protection.
In particular, we cannot assure you that:
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we or the owners or other inventors of the patents that we own
or that have been licensed to us or that may be issued or
licensed to us in the future were the first to file patent
applications or to invent the subject matter claimed in patent
applications relating to the technologies upon which we rely;
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others will not independently develop similar or alternative
technologies or duplicate any of our technologies;
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any of our patent applications will result in issued patents;
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the patents and the patent applications that we own or that have
been licensed to us or that may be issued or licensed to us in
the future will provide a basis for commercially viable products
or will provide us with any competitive advantages, or will not
be challenged by third parties;
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the patents and the patent applications that have been licensed
to us are valid and enforceable;
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we will develop additional proprietary technologies that are
patentable;
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we will be successful in enforcing the patents that we own or
that have been licensed to us and any patents that may be issued
or licensed to us in the future against third parties; or
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the patents of third parties will not have an adverse effect on
our ability to do business.
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Accordingly, we may fail to secure meaningful patent protection
relating to any of our existing or future product candidates or
discoveries despite the expenditure of considerable resources.
Further, there may be widespread patent infringement in
countries in which we may seek patent protection, including
countries in Europe, which may instigate expensive and time
consuming litigation which could adversely affect the scope of
our patent protection. In addition, others may attempt to
commercialize products similar to our product candidates in
countries where we do not have adequate patent protection.
Failure to obtain adequate patent protection for our product
candidates, or the failure by particular countries to enforce
patent laws or allow prosecution for alleged patent
infringement, may impair our ability to be competitive. The
availability of infringing products in markets where we have
patent protection, or the availability of competing products in
markets where we do not have adequate patent protection, could
erode the market for our product candidates, negatively impact
the prices we can charge for our product candidates, and harm
our reputation if infringing or competing products are
manufactured to inferior standards.
27
The patent we believe is the primary basis for the
protection of MyoCell is scheduled to expire in the United
States in July 2009 and if we are unable to secure a patent term
extension, we will have to seek to protect MyoCell through a
combination of patents on other aspects of our technology and
trade secrets, which may not prove to be effective.
We anticipate that we will seek to collaborate with the owners
of the patent, Dr. Peter Law and Cell Transplants
International, to extend the term of this patent. In the event
MyoCell is approved by the FDA prior to the patent expiration
date and certain other material conditions are satisfied, we
believe that this patent will be eligible for a five-year
extension of its term until July 2014. It is likely, however,
that the FDA will not complete review of and grant approval for
MyoCell before this patent expires. In such event, a regular
patent term extension will not be available, but Dr. Law
and Cell Transplants International could request a one-year
interim extension of the patent term during the period beginning
six months before and ending fifteen days before the patent
expiration. The request for interim extension must satisfy a
number of material conditions including those conditions
necessary to receive a regular patent term extension. Under
certain circumstances the patent owner can request up to four
additional one-year interim extensions. However, we cannot
assure you that Dr. Law and Cell Transplants International
will seek to obtain, or will be successful in obtaining, any
regular or interim patent term extension.
Once this patent expires, competitors will not be prevented from
developing or marketing their own similar or identical
compositions for the treatment of muscle degeneration, assuming
they receive the requisite regulatory approval.
Our most important license agreement with respect to
MyoCath is co-exclusive and the co-licensor of the intellectual
property, a division of Abbott Laboratories, may also seek to
commercialize MyoCath.
In June 2003, we assigned our exclusive license to the primary
patent protecting MyoCath to Advanced Cardiovascular Systems,
Inc., or ACS, originally a subsidiary of Guidant Corporation and
now d/b/a Abbott Vascular, a division of Abbott Laboratories. In
connection with this agreement, ACS granted to us a
co-exclusive, irrevocable, fully paid-up license to this patent
for the life of the patent. Because our license is co-exclusive
with ACS, ACS may, parallel to our efforts, seek to
commercialize MyoCath if MyoCath secures regulatory approval.
Accordingly, even if ACS does nothing to assist us to secure
regulatory approval of MyoCath, ACS may become a direct
competitor in the MyoCath manufacturing and supply business. In
addition, pursuant to our agreement with ACS, we are prohibited
from contracting with third parties for the distribution of
MyoCath.
Our proposed pathway for securing regulatory approval of
Bioheart Acute Cell Therapy is dependent on Tissue Genesis
timely and successful completion of a Device Master File for the
TGI 1200.
We have developed a proposed pathway for seeking regulatory
approval of Bioheart Acute Cell Therapy, which pathway depends
on Tissue Genesis timely completing its Device Master File for
the TGI 1200. A Device Master File is a voluntary submission to
the FDA to provide confidential detailed information on a
specific manufacturing facility, process, methodology, or
component used in the manufacture, processing, or packaging of a
medical device. Based upon our discussions with Tissue Genesis,
we anticipate that the detailed information to be contained in
the Device Master File to be filed by Tissue Genesis will be
used in support of our IND application for Bioheart Acute Cell
Therapy which, assuming favorable preclinical test results, we
hope to file in the fourth quarter of 2007. We have no control
over the content of the Device Master File and limited influence
on the timing of its submission to the FDA. Our dependence upon
Tissue Genesis to timely complete the Device Master File places
us in a position where we cannot reliably predict our ability to
meet our projected development timeline for Bioheart Acute Cell
Therapy.
28
We have limited recourse available in the event that
patents necessary for the use by our customers of the TGI 1200
product candidate, certain disposable products used in
conjunction with this product candidate or processes or cells
derived from this product candidate directly or indirectly
infringe any patent rights of a third party.
Our customers use of the TGI 1200 product candidate,
certain disposable products used in conjunction with this
product candidate and processes or cells derived from this
product candidate may be determined to directly or indirectly
infringe on patent rights held by third parties, including
Thomas Jefferson University, or Third Party Patent Rights.
The recourse available to us in the event that these patents are
determined to directly or indirectly infringe any of the Third
Party Patent Rights is limited by the terms of our exclusive
license and distribution agreement with Tissue Genesis. Pursuant
to this agreement, Tissue Genesis has agreed that we and our
customers will not be liable for damages for directly or
indirectly infringing any Third Party Patent Rights for the
treatment of acute heart attacks. Tissue Genesis has, subject to
certain conditions, also agreed to indemnify and hold harmless
us and our customers from all claims that the products infringe
any patents, copyrights or trade secret rights of a third party.
However, if our use of the products is enjoined or if Tissue
Genesis wishes to minimize its liability, Tissue Genesis may, at
its option and expense, either:
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substitute a substantially equivalent non-infringing product for
the infringing product;
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modify the infringing product so that it no longer infringes but
remains functionally equivalent; or
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obtain for us the right to continue using such item.
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If none of the foregoing is feasible, Tissue Genesis is required
to accept a return of the infringing product and refund to us
the amount paid for such product. Any termination of our right
to use, lease or sell the TGI 1200, certain disposable products
used in conjunction with this product candidate and/or the
processes or cells derived from this product candidate or any
inability by Tissue Genesis to refund to us the amounts we paid
for such products could have a material adverse effect on us.
Patent applications owned by or licensed to us may not
result in issued patents, and our competitors may commercialize
the discoveries we attempt to patent.
The patent applications that we own and that have been licensed
to us, and any future patent applications that we may own or
that may be licensed to us, may not result in the issuance of
any patents. The standards that the U.S. Patent and Trademark
Office and foreign patent offices use to grant patents are not
always applied predictably or uniformly and can change.
Consequently, we cannot be certain as to the type and scope of
patent claims to which we may in the future be entitled under
our license agreements or that may be issued to us in the
future. These applications may not be sufficient to meet the
statutory requirements for patentability and therefore may not
result in enforceable patents covering the product candidates we
want to commercialize. Further, patent applications in the
United States that are not filed in other countries generally
are not published until at least 18 months after they are
first filed and patent applications in certain foreign countries
generally are not published until many months after they are
filed. Scientific and patent publication often occurs long after
the date of the scientific developments disclosed in those
publications. As a result, we cannot be certain that we or any
of our licensors was or will be the first creator of inventions
covered by our (or their) patents or applications or the first
to file such patent applications. As a result, our issued
patents and patent applications could become subject to
challenge by third parties that created such inventions or filed
patent applications before us or our licensors, resulting in,
among other things, interference proceedings in the U.S. Patent
and Trademark Office to determine priority of discovery or
invention. Interference proceedings, if resolved adversely to us
or our licensors, could result in the loss of or significant
limitations on patent protection for our products or
technologies. Even in the absence of interference proceedings,
patent applications now pending or in the future filed by third
parties may prevail over the patent applications that have been
or may be owned by or licensed to us or that we or our licensors
may file in the future or may result in patents that issue
alongside patents issued to us or our licensors or that may be
issued or licensed to us in
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the future, leading to uncertainty over the scope of the patents
owned by or licensed to us or that may in the future be owned by
us or our freedom to practice the claimed inventions.
Our patents may not be valid or enforceable, and may be
challenged by third parties.
We cannot assure you that the patents that have been issued or
licensed to us would be held valid by a court or administrative
body or that we would be able to successfully enforce our
patents against infringers, including our competitors. The
issuance of a patent is not conclusive as to its validity or
enforceability, and the validity and enforceability of a patent
is susceptible to challenge on numerous legal grounds.
Challenges raised in patent infringement litigation brought by
or against us may result in determinations that patents that
have been issued or licensed to us or any patents that may be
issued to us or our licensors in the future are invalid,
unenforceable or otherwise subject to limitations. In the event
of any such determinations, third parties may be able to use the
discoveries or technologies claimed in these patents without
paying licensing fees or royalties to us, which could
significantly diminish the value of our intellectual property
and our competitive advantage. Even if our patents are held to
be enforceable, others may be able to design around our patents
or develop products similar to our products that are not within
the scope of any of our patents.
In addition, enforcing the patents that have been licensed to us
and any patents that may be issued to us in the future against
third parties may require significant expenditures regardless of
the outcome of such efforts. Our inability to enforce our
patents against infringers and competitors may impair our
ability to be competitive and could have a material adverse
effect on our business.
Issued patents and patent licenses may not provide us with
any competitive advantage or provide meaningful protection
against competitors.
We own, hold licenses or hold sublicenses to an intellectual
property portfolio consisting of approximately 19 patents and 19
patent applications in the United States, and approximately
twelve patents and 51 patent applications in foreign countries,
for use in the field of heart muscle regeneration. However, the
discoveries or technologies covered by these patents and patent
licenses may not have any value or provide us with a competitive
advantage and many of these discoveries or technologies may not
be applicable to our product candidates at all. With the
exception of the technology related to MyoCell, we have devoted
limited resources to identifying competing technologies that may
have a competitive advantage relative to ours, especially those
competing technologies that are not perceived as infringing on
our intellectual property rights. In addition, the standards
that courts use to interpret and enforce patent rights are not
always applied predictably or uniformly and can change,
particularly as new technologies develop. Consequently, we
cannot be certain as to how much protection, if any, will be
afforded by these patents with respect to our products if we or
our licensors attempt to enforce these patent rights and those
rights are challenged in court.
The existence of third party patent applications and patents
could significantly limit our ability to obtain meaningful
patent protection. If patents containing competitive or
conflicting claims are issued to third parties, we may be
enjoined from pursuing research, development or
commercialization of product candidates or may be required to
obtain licenses, if available, to these patents or to develop or
obtain alternative technology. If another party controls patents
or patent applications covering our product candidates, we may
not be able to obtain the rights we need to those patents or
patent applications in order to commercialize our product
candidates or we may be required to pay royalties, which could
be substantial, to obtain licenses to use those patents or
patent applications. We believe we will need to, among other
things, license additional intellectual property to
commercialize a number of our product candidates, including
MyoCell II with
SDF-1,
in the form we
believe may prove to be the most safe and/or effective.
In addition, issued patents may not provide commercially
meaningful protection against competitors. Other parties may
seek and/or be able to duplicate, design around or independently
develop products having effects similar or identical to our
patented product candidates that are not within the scope of our
patents. For example, we believe that a number of our
competitors have proposed catheter designs that are apparently
intended to avoid infringing upon our catheter related
technology.
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Limitations on patent protection in some countries outside the
United States, and the differences in what constitutes
patentable subject matter in these countries, may limit the
protection we have under patents issued outside of the United
States. We do not have patent protection for our product
candidates in a number of our target markets and, under our
license agreements, we may not have the right to initiate
proceedings to obtain patents in those countries. The failure to
obtain adequate patent protection for our product candidates in
any country would impair our ability to be commercially
competitive in that country.
Litigation or other proceedings relating to patent and
other intellectual property rights could result in substantial
costs and liabilities and prevent us from commercializing our
product candidates.
Our commercial success depends significantly on our ability to
operate in a way that does not infringe or violate the
intellectual property rights of third parties in the United
States and in foreign countries. Except for the complaint filed
against us by Dr. Law and Cell Transplants Asia, we are not
currently a party to any litigation or other adverse proceeding
with regard to our patents or intellectual property rights.
However, the biotechnology, biopharmaceutical and medical device
industries are characterized by a large number of patents and
patent filings and frequent litigation based on allegations of
patent infringement. Competitors may have filed patent
applications or have been issued patents and may obtain
additional patents and proprietary rights related to products or
processes that compete with or are similar to ours. We may not
be aware of all of the patents potentially adverse to our
interests that may have been issued to others. Because patent
applications can take many years to issue, there may be
currently pending applications, unknown to us, which may later
result in issued patents that our product candidates or
proprietary technologies may infringe. Third parties may claim
that our products or related technologies infringe their
patents. Further, we, or our licensors, may need to participate
in interference, opposition, protest, reexamination or other
potentially adverse proceedings in the U.S. Patent and Trademark
Office or in similar agencies of foreign governments with
regards to our patents and intellectual property rights. In
addition, we or our licensors may need to initiate suits to
protect our intellectual property rights.
Certain of our competitors in the field have acquired patents
which might be used to attempt to prevent commercialization of
MyoCell. We are aware of at least three such patent families. We
believe the patents in these three families are narrow, and that
we do not infringe any valid claims of these patents in our
current practice. The U.S. Patent and Trademark Office has
commenced a re-examination relating to one of these patent
families. There is no assurance that we will receive a favorable
ruling in this proceeding. In the event that the proceeding
fails to result in limitation of the claims of the subject
patent, such outcome may have a material adverse effect on our
business, financial condition and results of operation.
Litigation or any other proceeding relating to intellectual
property rights, even if resolved in our favor, may cause us to
incur significant expenses, divert the attention of our
management and key personnel from other business concerns and,
in certain cases, result in substantial additional expenses to
license technologies from third parties. Some of our competitors
may be able to sustain the costs of complex patent litigation
more effectively than we can because they have substantially
greater resources. An unfavorable outcome in any patent
infringement suit or other adverse intellectual property
proceeding could require us to pay substantial damages,
including possible treble damages and attorneys fees,
cease using our technology or developing or marketing our
products, or require us to seek licenses, if available, of the
disputed rights from other parties and potentially make
significant payments to those parties. There is no guarantee
that any prevailing party would offer us a license or that we
could acquire any license made available to us on commercially
acceptable terms. Even if we are able to obtain rights to a
third partys patented intellectual property, those rights
may be non-exclusive and therefore our competitors may obtain
access to the same intellectual property. Ultimately, we may be
unable to commercialize our product candidates or may have to
cease some of our business operations as a result of patent
infringement claims, which could materially harm our business.
We cannot guarantee that our products or technologies will not
conflict with the intellectual property rights of others.
If we need to redesign our products to avoid third party
patents, we may suffer significant regulatory delays associated
with conducting additional studies or submitting technical, cell
culturing, manufacturing or other information related to any
redesigned product and, ultimately, in obtaining regulatory
approval. Further,
31
any such redesigns may result in less effective and/or less
commercially desirable products if the redesigns are possible at
all.
Additionally, any involvement of us in litigation in which we or
our licensors are accused of infringement may result in negative
publicity about us or our products, injure our relations with
any then-current or prospective customers and marketing partners
and cause delays in the commercialization of our products.
If we are not able to protect and control unpatented trade
secrets, know-how and other technological innovation, we may
suffer competitive harm.
In addition to patented intellectual property, we also rely on
unpatented technology, trade secrets, confidential information
and proprietary know-how to protect our technology and maintain
our competitive position, especially when we do not believe that
patent protection is appropriate or can be obtained. Trade
secrets are difficult to protect. In order to protect
proprietary technology and processes, we rely in part on
confidentiality and intellectual property assignment agreements
with our employees, consultants and others. These agreements
generally provide that the individual must keep confidential and
not disclose to other parties any confidential information
developed or learned by the individual during the course of the
individuals relationship with us except in limited
circumstances. These agreements generally also provide that we
shall own all inventions conceived by the individual in the
course of rendering services to us. These agreements may not
effectively prevent disclosure of confidential information or
result in the effective assignment to us of intellectual
property, and may not provide an adequate remedy in the event of
unauthorized disclosure of confidential information or other
breaches of the agreements. In addition, others may
independently discover trade secrets and proprietary information
that have been licensed to us or that we own, and in such case
we could not assert any trade secret rights against such party.
Enforcing a claim that a party illegally obtained and is using
trade secrets that have been licensed to us or that we own is
difficult, expensive and time-consuming, and the outcome is
unpredictable. In addition, courts outside the United States may
be less willing to protect trade secrets. Costly and
time-consuming litigation could be necessary to seek to enforce
and determine the scope of our proprietary rights, and failure
to obtain or maintain trade secret protection could have a
material adverse effect on our business. Moreover, some of our
academic institution licensors, collaborators and scientific
advisors have rights to publish data and information to which we
have rights. If we cannot maintain the confidentiality of our
technologies and other confidential information in connection
with our collaborations, our ability to protect our proprietary
information or obtain patent protection in the future may be
impaired, which could have a material adverse effect on our
business.
Other Risks Related to Our Business
Our operations are consolidated primarily in one facility.
A disaster at this facility is possible and could result in a
prolonged interruption of our business.
All of our administrative operations and substantially all of
our U.S. cell culturing operations are located at our facilities
in Sunrise, Florida. Our business is and will continue to be
influenced by local economic, financial and other conditions
affecting the South Florida area. This may include prolonged or
severe inclement weather in the South Florida area or a
catastrophic event such as a hurricane, tropical storm or
tornado, all of which are common events in Florida. In 2005, two
named storms made landfall in the South Florida area. Hurricane
and tropical storm damage could adversely affect our financial
condition in a number of ways. Although we have a back-up
generator and fuel tank capable of powering our offices for an
estimated five to seven days in the event of a power outage,
damage to our offices, road inaccessibility, flooding and
employee dislocation could result in our inability to advance
our research efforts or provide cell culturing services,
temporary closure and the inability of our employees to report
for work.
We depend on attracting and retaining key management and
scientific personnel and the loss of these personnel could
impair the development of our products candidates.
Our success depends on our continued ability to attract, retain
and motivate highly qualified management, clinical and
scientific personnel and on our ability to develop and maintain
important relationships with
32
academic institutions, clinicians and scientists. In March 2007,
we hired Mr. William M. Pinon to serve as our
President and Chief Executive Officer and appointed
Mr. Howard J. Leonhardt, who served as our Chief
Executive Officer from inception until March 2007, as our
Executive Chairman and Chief Technology Officer. We are highly
dependent upon our senior scientific staff, many of whom have
developed very specialized expertise in their position. The loss
of services of one or more members of our senior scientific
staff could significantly delay or prevent the successful
completion of our clinical trials or commercialization of our
product candidates. The employment of each of our employees with
us is at will, and each employee can terminate his
or her employment with us at any time. We do not have a
succession plan in place for any of our officers and key
employees. Although we are seeking to secure key
person insurance on Mr. Leonhardt and Mr. Pinon,
we do not carry insurance on any of our other key employees and,
accordingly, their death or disability may have a material
adverse effect on our business.
The competition for qualified personnel in the life sciences
field is intense. We will need to hire additional personnel,
including regulatory and sales personnel, as we continue to
expand our development activities. We may not be able to attract
and retain quality personnel on acceptable terms given our
geographic location and the competition for such personnel among
life sciences, biotechnology, pharmaceutical and other
companies. If we are unable to attract new employees and retain
existing employees, we may be unable to continue our development
and commercialization activities and our business may be harmed.
If we acquire other businesses and technologies our
performance may suffer.
If we are presented with opportunities, we may seek to acquire
additional businesses and/or technologies. The acquisition of
businesses and technologies may require significant expenditures
and management resources that could otherwise be available for
development of other aspects of our business and, despite the
expenditures and use of resources, we may not immediately seek
to further develop such technologies or seek to develop such
technologies at all. In the past, we have expended resources to
acquire rights to future product candidates which we have not
chosen to develop to date as we have focused our efforts on the
development of our lead product candidate. Future acquisitions
may require the issuance of additional shares of stock or other
securities which would further dilute your investment or the
incurrence of additional debt and liabilities which could create
additional expenses, any of which may negatively impact our
financial results and result in restrictions on our business
that may harm our future outlook and cause our stock price to
decline.
We may not be able to effectively manage our future
growth.
If we are able to commercialize one or more of our product
candidates, we may not be able to manage future growth following
such commercialization because:
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we may be unable to effectively manage our personnel and
financial operations;
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we may be unable to hire or retain key management and staff; and
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commercial success may stimulate competitive challenges that we
may be unable to meet, resulting in declining market share and
sales of our products.
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Although certain members of our management team have prior
experience in successfully developing, seeking regulatory
approval for and commercializing medical products, we have never
successfully developed, obtained regulatory approval for and
commercialized any drug, device or therapy or operated our
business outside of the development stage and our ability to
successfully do so is unproven. Any inability to manage our
growth effectively could adversely affect our business.
Expansion into international markets is important to our
long-term success, and our inexperience in operations outside
the United States increases the risk that our international
operations may not be successful.
We believe that our future growth depends on obtaining
regulatory approvals to sell our product candidates in foreign
countries and our ability to sell our product candidates in
those countries. It is our intention to initially seek
regulatory approval of MyoCell in certain countries in Europe.
We and our
33
management team have only limited experience with operations
outside the United States. We believe that many of the risks we
face in the United States are heightened in international
markets because, among other things, our existing management
team has devoted the vast majority of their professional careers
to businesses located in the United States. As a result, our
management team may be more likely than their European
counterparts to inaccurately assess, estimate or project:
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whether the foreign regulatory authorities will require, among
other things, additional testing and different clinical designs
than the FDA;
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the amount, type and relative statistical significance of the
safety and efficacy data that the foreign regulatory authorities
will require prior to granting regulatory approval of our
product candidates;
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which countries will adopt reimbursement policies that are
favorable to us;
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the number of patients that will be eligible to use MyoCell if
it ever receives regulatory approval; and
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subject to regulatory approval of our product candidates,
whether the international marketplace will accept our product
candidates.
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In addition, our goal of selling our products into international
markets will require management attention and resources and is
subject to inherent risks, which may adversely affect us,
including:
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unusual or burdensome foreign laws or regulations and unexpected
changes in regulatory requirements, including potential
restrictions on the transfer of funds;
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no or less effective protection of our intellectual property;
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foreign currency risks;
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political instability, including adverse changes in trade
policies between countries in which we may maintain operations;
and
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longer accounts receivable payment cycles and difficulties in
collecting payments.
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These factors and other factors could adversely affect our
ability to execute our international marketing strategy or
otherwise have a material adverse effect on our business.
Because we have operated as a private company, we have no
experience complying with public company obligations. Compliance
with these requirements will increase our costs and require
additional management resources, and we may still fail to
comply.
We will incur significant additional legal, accounting,
insurance and other expenses as a result of being a public
company that we have not incurred as a private company. For
example, laws and regulations affecting public companies,
including the provisions of the Sarbanes-Oxley Act of 2002, or
the Sarbanes-Oxley Act, and rules related to corporate
governance and other matters subsequently adopted by the
Securities and Exchange Commission, or the SEC, and the NASDAQ
Global Market will result in substantially increased costs to
us, including legal and accounting costs, and may divert our
managements attention from other matters that are
important to our business. These rules and any related
regulations that may be proposed in the future will likely make
it more difficult or more costly for us to obtain certain types
of insurance, including directors and officers
liability insurance, and we may be forced to accept reduced
policy limits and coverage or incur substantially higher costs
to obtain the same or similar coverage. The impact of these
laws, rules and regulations could also make it more difficult
for us to attract and retain qualified persons to serve on our
board of directors, our board committees or as executive
officers. We cannot predict or estimate the amount of the
additional costs we may incur, but we expect our operating
results will be adversely affected by the costs of operating as
a public company.
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Our internal control over financial reporting may be
insufficient to detect in a timely manner misstatements that
could occur in our financial statements in amounts that may be
material.
In connection with the audit of our financial statements for the
year ended December 31, 2005, we identified a significant
deficiency in our internal control over financial reporting
which constituted a material weakness. A material weakness is a
significant deficiency, or combination of significant
deficiencies, that results in more than a remote likelihood that
a material misstatement of the annual or interim financial
statements will not be prevented or detected. The significant
deficiency related to our year-end closing methodologies and was
based on the number and size of year-end adjustments we
recorded. As of December 31, 2006, our management
determined that this material weakness and significant
deficiency was remedied through, among other things, our
addition of a chief financial officer and a corporate
controller. We may still experience material weaknesses and
significant deficiencies in the future, which, if not
remediated, may render us unable to prevent or detect in a
timely manner material misstatements that could occur in our
monthly or interim financial statements.
Failure to achieve and maintain effective internal control
over financial reporting in accordance with Section 404 of
the Sarbanes-Oxley Act could have a material adverse effect on
our business.
As a public company, within the next 24 months, we will be
required to document and test our internal financial control
procedures in order to satisfy the requirements of
Section 404 of the Sarbanes-Oxley Act, which will require
annual management assessments of the effectiveness of our
internal control over financial reporting and a report by our
independent auditors that both addresses managements
assessments and provides for the independent auditors
assessment of the effectiveness of our internal control over
financial reporting. During the course of our testing, we may
identify deficiencies which we may not be able to remediate in
time to meet our deadline for compliance with Section 404,
and we may also identify inaccuracies or deficiencies in our
financial reporting that could require revisions to or
restatement of prior period results. Testing and maintaining
internal control over financial reporting also will involve
significant costs and can divert our managements attention
from other matters that are important to our business. We may
not be able to conclude on an ongoing basis that our internal
control over financial reporting is effective in accordance with
Section 404, and our independent registered public
accounting firm may not be able or willing to issue a favorable
assessment of our conclusions. Failure to achieve and maintain
an effective internal control environment could harm our
operating results and could cause us to fail to meet our
reporting obligations and could require that we restate our
financial statements for prior periods, any of which could cause
investors to lose confidence in our reported financial
information and cause a decline, which could be material, in the
trading price of our common stock.
We face intense competition in the biotechnology and
healthcare industries.
We face, and will continue to face, intense competition from
pharmaceutical, biopharmaceutical, medical device and
biotechnology companies developing heart failure treatments both
in the United States and abroad, as well as numerous academic
and research institutions, governmental agencies and private
organizations engaged in drug discovery activities or funding
both in the United States and abroad. We also face competition
from entities and healthcare providers using more traditional
methods, such as surgery and pharmaceutical regimens, to treat
heart failure. We believe there are a substantial number of
heart failure products under development by numerous
pharmaceutical, biopharmaceutical, medical device and
biotechnology companies, and it is likely that other competitors
will emerge. We are also aware of several competitors developing
cell- based therapies for the treatment of heart damage,
including MG Biotherapeutics, LLC (a joint venture between
Genzyme Corporation and Medtronic, Inc.), Mytogen, Inc., Baxter
International, Inc., Osiris Therapeutics, Inc., Viacell, Inc.,
Cytori Therapeutics, Inc. and potentially others. We also
recognize that there may be competitors and competing
technologies, therapies and/or products that we are not aware of.
These third parties also compete with us in recruiting and
retaining qualified personnel, establishing clinical trial sites
and registering patients for clinical trials, as well as
acquiring or licensing intellectual property and technology.
Many competitors have more experience than we do in research and
development, marketing, cell culturing, manufacturing,
preclinical testing, conducting clinical trials, obtaining FDA
and
35
foreign regulatory approvals and marketing approved products.
The competitors, some of which have their own sales and
marketing organizations, have greater financial and technical
resources than we do and may be better equipped than we are to
sell competing products, obtain patents that block or otherwise
inhibit our ability to further develop and commercialize our
product candidates, obtain approvals from the FDA or other
regulatory agencies for products more rapidly than we do, or
develop treatments or cures that are safer or more effective
than those we propose to develop. In addition, academic
institutions, governmental agencies, and other public and
private organizations conducting research in the field of heart
damage may seek patent protection with respect to potentially
competitive products or technologies and may establish exclusive
collaborative or licensing relationships with our competitors.
MyoCell is a clinical therapy designed to be utilized at least a
few months after a patient has suffered heart damage. Our
competitors may discover technologies and techniques for the
acute treatment of heart failure, which, if successful in
treating heart failure shortly after its occurrence, may reduce
the market size for treatments for chronic heart damage,
including MyoCell.
Our industry is subject to rapid technological
change.
Our industry is subject to rapid technological change and our
cellular-based therapies involve new and rapidly developing
technology. Our competitors may discover and develop new
technologies and techniques, or enter into partnerships with
collaborators in order to develop, competing products that are
more effective or less costly than the product candidates we
hope to secure regulatory approval for. In light of the
industrys limited experience with cell-based therapies and
the dedication of significant resources to a better
understanding of this field, we expect these cell-based
technologies to undergo significant change in the future. For
example, some of our competitors are exploring whether the use
of cells, other than myoblasts, is safer or more effective than
MyoCell. If there is rapid technological development or new
product introductions, our current and future product candidates
or methods may become obsolete or noncompetitive before or after
we commercialize them.
We have a contingent liability under California law due to
our issuances of some securities that may have violated
California securities laws.
We believe that we may have issued options to purchase common
stock to certain of our employees, directors and consultants in
California in violation of the registration or qualification
provisions of applicable California securities laws. As a
result, we intend to make a rescission offer to these persons
pursuant to a registration statement we expect to file after
this offering under the Securities Act of 1933, as amended, or
the Securities Act, and pursuant to California securities laws.
We will make this offer to all persons who have a continuing
right to rescission, which we believe to include two persons. In
the rescission offer, in accordance with California law, we will
offer to repurchase all options issued to these persons at 77%
of the option exercise price times the number of option shares,
plus interest at the rate of 7% from the date the options were
granted. Based upon the number of options that may be subject to
rescission as of September 1, 2007, assuming that all such
options are tendered in the rescission offer, we estimate that
our total rescission liability would be up to approximately
$350,000. However, as we believe there is only a remote
likelihood the rescission offer will be accepted by any of these
persons in an amount that would result in a material expenditure
by us, no liability has been recorded in our financial
statements.
Risks Related to This Offering
There is no prior public market for our stock. Our stock
price may be volatile and you may be unable to sell your shares
at or above the offering price.
There previously has been no public market for our common stock.
The initial public offering price for our shares was determined
by negotiations between us and representatives of the
underwriters and does not purport to be indicative of prices
that will prevail in the trading market. The market price of our
common
36
stock could be subject to wide fluctuations in response to many
risk factors described in this section and other matters,
including:
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publications of clinical trial results by clinical investigators
or others about our products and competitors products
and/or our industry;
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changes by securities analysts in financial estimates of our
operating results and the operating results of our competitors;
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publications of research reports by securities analysts about
us, our competitors or our industry;
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fluctuations in the valuation of companies perceived by
investors to be comparable to us;
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actual or anticipated fluctuations in our quarterly or annual
operating results;
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retention and departures of key personnel;
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our failure or the failure of our competitors to meet
analysts projections or guidance that we or our
competitors may give to the market;
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strategic decisions by us or our competitors, such as
acquisitions, divestitures, spin-offs, joint ventures, strategic
investments or changes in business strategy;
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the passage of legislation or other regulatory developments
affecting us or our industry;
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speculation in the press or investment community; and
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natural disasters, terrorist acts, acts of war or periods of
widespread civil unrest.
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Furthermore, the stock markets have experienced extreme price
and volume fluctuations that have affected and continue to
affect the market prices of equity securities of many companies,
especially life sciences and pharmaceutical companies. These
fluctuations often have been unrelated or disproportionate to
the operating performance of those companies. These broad market
and industry fluctuations, as well as general economic,
political and market conditions, may negatively affect the
market price of our common stock. As a result, the market price
of our common stock is likely to be similarly volatile and
investors in our common stock may experience a decrease, which
could be substantial, in the value of their stock. In the past,
many companies that have experienced volatility in the market
price of their stock have been subject to securities class
action litigation. We may be the target of this type of
litigation in the future. Securities litigation against us could
result in substantial costs and divert our managements
attention from other business concerns, which could have a
material adverse effect on our business.
Our existing shareholders, including Mr. Leonhardt,
have significant control of our management and affairs, which
they could exercise against your best interests.
Immediately following the completion of this offering, based on
shares outstanding as of September 27, 2007, our executive
officers and directors and persons and entities that were our
shareholders prior to this offering will beneficially own an
aggregate of approximately 76.2% of our outstanding common
stock, or approximately 73.6% of our outstanding common stock if
the underwriters over-allotment option is exercised in
full.
In particular, Mr. Leonhardt, our Executive Chairman and
Chief Technology Officer will own approximately 26.2% of our
outstanding common stock immediately following this offering, or
approximately 25.3% of our outstanding common stock if the
underwriters over-allotment option is exercised in full,
in each case based on shares outstanding as of
September 30, 2007.
37
Since our inception, Mr. Leonhardt has, at various times,
provided us with financial support, including by:
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providing a $3.3 million limited personal guarantee of the
Bank of America Loan and pledging securities accounts with Bank
of America to back-up this limited personal guarantee;
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providing a personal guarantee of our obligations under the
lease for our facilities in Sunrise, Florida; and
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providing a personal guarantee of our corporate credit cards.
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We anticipate that we may continue to enter into transactions
with Mr. Leonhardt in the future. Although we believe that
all prior transactions with Mr. Leonhardt were on terms no
less favorable to us than could have been obtained from
unaffiliated third parties, there can be no assurances that
future transactions or arrangements between us and
Mr. Leonhardt will be advantageous to us, that conflicts of
interest will not arise with respect to such transactions or
arrangements, or that if such conflicts arise, they will be
resolved in a manner favorable to us.
The following transactions or events, among others, could
increase Mr. Leonhardts direct or indirect influence
over our management by increasing his ownership of our common
stock and otherwise:
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Mr. Leonhardt could purchase additional shares of our
common stock pursuant to the exercise of outstanding warrants
and options;
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Mr. Leonhardt could purchase additional shares of our
common stock in the secondary market;
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Mr. Leonhardt could receive additional options to purchase
shares of our common stock in his capacity as a director, our
Executive Chairman and/or Chief Technology Officer; and
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upon our request, Mr. Leonhardt could agree to accept
shares of common stock and/or other securities, rights or
privileges as payment in kind for obligations we owe to him
under various existing and/or future obligations.
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For instance, since we do not intend to use the proceeds of this
offering to repay the Bank of America Loan, we anticipate that
we might offer common stock or other securities to satisfy our
various obligations to Mr. Leonhardt and various other
guarantors of the Bank of America Loan. We cannot predict the
terms, if any, upon which Mr. Leonhardt would agree to
accept such securities.
As a result of his current holdings of our common stock,
Mr. Leonhardt currently has, and could continue to have, a
significant influence over the outcome of all corporate actions
requiring shareholder approval, including the election of
directors. This concentration of ownership in the hands of
management or Mr. Leonhardt may have the effect of delaying
or preventing a change of control, including a merger,
consolidation or other business combination involving us, or
discouraging a potential acquirer from making a tender offer or
otherwise attempting to obtain control, even if such a change of
control would benefit our other shareholders.
An active trading market for our common stock may not
develop.
This is our initial public offering of common stock, and prior
to this offering there has been no public market for our common
stock. The initial public offering price for our common stock
will be determined through negotiations with the representatives
of the underwriters. Although we have applied to have our common
stock approved for quotation on the NASDAQ Global Market, an
active trading market for our common stock may never develop or
be sustained following this offering. If an active market for
our common stock does not develop, it may be difficult for you
to sell shares you purchase in this offering without depressing
the market price for our common stock.
38
If you purchase shares of common stock sold in this
offering, you will experience immediate and substantial
dilution. You may also experience dilution in the future.
The initial public offering price per share is substantially
higher than the net tangible book value per share immediately
after the offering. As a result, you will pay a price per share
that substantially exceeds the book value of our assets after
subtracting our liabilities. Assuming an offering price of
$7.00, the midpoint of the range set forth on the cover of this
prospectus, you will incur immediate and substantial dilution of
$5.46 in the net tangible book value per share of the common
stock from the price you paid. We also have outstanding stock
options to purchase 2,102,008 shares of our common stock at
a weighted average exercise price of $5.23 per share as of
the end of the second quarter of 2007 and outstanding warrants
to purchase 2,050,924 shares of our common stock at a
weighted average exercise price of $7.50 per share as of
the end of the second quarter of 2007. To the extent that
options and warrants with an exercise price less than the
initial public offering price are exercised, there will be
further dilution.
Under certain of our patent license agreements, including our
license agreements with Cell Transplants International and the
Cleveland Clinic, we are required to make certain large
milestone payments upon our achievement of certain development
and commercialization objectives. We may be required to or, to
the extent we do not have the cash resources necessary to
satisfy our obligations may seek to, issue shares or other
securities in satisfaction of our financial obligations under
these license agreements. To the extent we issue shares at a
price per share less than the initial public offering price per
share, you will incur dilution in the net tangible book value
per share.
Following this offering, a substantial number of our
shares of common stock will become available for sale in the
public market, which may cause the market price of our stock to
decline.
Sales of our common stock in the public market following this
offering, or the perception that those sales may occur, could
cause the market price of our common stock to decline.
Immediately upon completion of this offering, we will have
17,500,012 outstanding shares of common stock based on
shares outstanding as of September 30, 2007. In general,
the shares sold in this offering will be freely tradable without
restriction, assuming they are not held by our affiliates. The
remaining 13,333,345 shares of common stock outstanding
after this offering will be available for sale in the public
markets, pursuant to Rule 144 or Rule 701 under the
Securities Act, although 8,007,347 shares held by our directors,
officers and greater than 1% shareholders are subject to a
180 day lock-up period following the completion of this
offering (subject to extension for up to an additional
34 days under limited circumstances as described under
Underwriting).
In addition, we intend to file one or more registration
statements to register shares of common stock subject to
outstanding stock options and warrants and common stock reserved
for issuance under our Officers and Employees Stock Option Plan
and Directors and Consultants Stock Option Plan. We expect these
additional registration statements to become effective
immediately upon filing.
Furthermore, immediately after completion of this offering, the
holders of 13,006 shares of our outstanding common stock
will also have the right to require that we register those
shares under the Securities Act on several occasions and will
also have the right to include those shares in any registration
statement we file with the SEC, subject to exceptions, which
would enable those shares to be sold in the public markets,
subject to the restrictions under lock-up agreements referred to
above.
Any or all shares subject to the lock-up agreements may be
released, without notice to the public, for sale in the public
markets prior to expiration of the lock-up period at the
discretion of Merriman Curhan Ford & Co.
Our management has broad discretion in the use of the net
proceeds from this offering and may not use them
effectively.
As of the date of this prospectus, we cannot specify with
certainty the amount of net proceeds from this offering that we
will spend on particular uses. Although our management currently
intends to use the net proceeds in the manner described in
Use of Proceeds, it will have broad discretion in
the application of the
39
net proceeds. The failure by our management to apply these funds
effectively could adversely affect our ability to continue to
maintain and expand our business.
Anti-takeover provisions of Florida law, our articles of
incorporation and our bylaws may prevent or delay an acquisition
of us that shareholders may consider favorable or attempts to
replace or remove our management that could be beneficial to our
shareholders.
Our articles of incorporation and bylaws contain provisions,
such as the right of our directors to issue preferred stock from
time to time with voting, economic and other rights superior to
those of our common stock without the consent of our
shareholders, all of which could make it more difficult for a
third party to acquire us without the consent of our board of
directors. In addition, our bylaws impose restrictions on the
persons who may call special shareholder meetings. Furthermore,
the Florida Business Corporation Act contains an
affiliated transaction provision that prohibits a
publicly-held Florida corporation from engaging in a broad range
of business combinations or other extraordinary corporate
transactions with an interested shareholder unless,
among others, (i) the transaction is approved by a majority
of disinterested directors before the person becomes an
interested shareholder; (ii) the interested shareholder has
owned at least 80% of the corporations outstanding voting
shares for at least five years; or (iii) the transaction is
approved by the holders of two-thirds of the corporations
voting shares other than those owned by the interested
shareholder. An interested shareholder is defined as a person
who together with affiliates and associates beneficially owns
more than 10% of the corporations outstanding voting
shares. The Florida Business Corporation Act also prohibits the
voting of shares in a publicly-held Florida corporation that are
acquired in a control share acquisition unless the
holders of a majority of the corporations voting shares
(exclusive of shares held by officers of the corporation, inside
directors or the acquiring party) approve the granting of voting
rights as to the shares acquired in the control share
acquisition or unless the acquisition is approved by the
corporations Board of Directors. These provisions may have
the effect of delaying or preventing a change of control of our
company even if this change of control would benefit our
shareholders.
We do not intend to pay cash dividends on our common stock
in the foreseeable future and, accordingly, capital appreciation
of our common stock, if any, will be a shareholders sole
source of gain from an investment in our common stock.
Our policy is to retain earnings to provide funds for the
operation and expansion of our business and, accordingly, we
have never declared or paid any cash dividends on our common
stock or other securities and do not currently anticipate paying
any cash dividends in the foreseeable future. Consequently,
shareholders will need to sell shares of our common stock to
realize a return on their investments, if any and this capital
appreciation, if any, will be a shareholders sole source
of gain from an investment in the common stock. The declaration
and payment of dividends by us are subject to the discretion of
our Board of Directors and the restrictions specified in our
articles of incorporation and by applicable law. In addition,
under the terms of the BlueCrest Loan, we are restricted from
paying cash dividends to our shareholders while this loan is
outstanding. Any future determination to pay cash dividends will
depend on our results of operations, financial condition,
capital requirements, contractual restrictions and other factors
deemed relevant by our Board of Directors.
Our common stock may be considered a penny
stock, and thereby be subject to additional sale and
trading regulations that may make it more difficult to
sell.
Our common stock, which is not currently listed or quoted for
trading, may be considered to be a penny stock if it
does not qualify for one of the exemptions from the definition
of penny stock under
Section
3a51-1
of
the Securities Exchange Act of 1934, as amended, or the
Securities Exchange Act, once, and if, it starts trading. Our
common stock may be a penny stock if it meets one or
more of the following conditions (i) the stock trades at a
price less than $5.00 per share; (ii) it is not traded on a
recognized national exchange or (iii) it is not
quoted on the Nasdaq Global Market, or even if so, has a price
less than $5.00 per share.
40
The principal result or effect of being designated a penny
stock is that securities broker-dealers participating in
sales of our common stock will be subject to the penny
stock regulations set forth in
Rules
15-2
through
15g-9 promulgated under the Securities Exchange Act. For
example,
Rule
15g-2
requires broker-dealers dealing in penny stocks to provide
potential investors with a document disclosing the risks of
penny stocks and to obtain a manually signed and dated written
receipt of the document at least two business days before
effecting any transaction in a penny stock for the
investors account. Moreover,
Rule
15g-9
requires broker-dealers in penny stocks to approve the account
of any investor for transactions in such stocks before selling
any penny stock to that investor. This procedure requires the
broker-dealer to (i) obtain from the investor information
concerning his or her financial situation, investment experience
and investment objectives; (ii) reasonably determine, based
on that information, that transactions in penny stocks are
suitable for the investor and that the investor has sufficient
knowledge and experience as to be reasonably capable of
evaluating the risks of penny stock transactions;
(iii) provide the investor with a written statement setting
forth the basis on which the broker-dealer made the
determination in (ii) above; and (iv) receive a signed
and dated copy of such statement from the investor, confirming
that it accurately reflects the investors financial
situation, investment experience and investment objectives.
Compliance with these requirements may make it more difficult
and time consuming for holders of our common stock to resell
their shares to third parties or to otherwise dispose of them in
the market or otherwise.
41
SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
This prospectus may contain forward-looking statements that are
based on our managements beliefs and assumptions and on
information currently available to our management. Any such
forward-looking statements would be contained principally in
Prospectus Summary, Risk Factors,
Managements Discussion and Analysis of Financial
Condition and Results of Operations and
Business. Forward-looking statements include
information concerning our possible or assumed future results of
operations, business strategies, financing plans, competitive
position, industry environment, potential growth opportunities
and the effects of regulation. Forward-looking statements
include all statements that are not historical facts and can be
identified by terms such as anticipates,
believes, could, estimates,
expects, hopes, intends,
may, plans, potential,
predicts, projects, should,
will, would or similar expressions.
The forward-looking statements in this prospectus include, among
other things, statements about:
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the initiation and completion of clinical trials;
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the announcement of data concerning the results of clinical
trials for MyoCell;
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our estimates regarding future revenues and timing thereof,
expenses, capital requirements and needs for additional
financing;
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our ongoing and planned discovery programs, preclinical studies
and additional clinical trials;
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the timing of and our ability to obtain and maintain regulatory
approvals for our product candidates;
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the rate and degree of market acceptance and clinical utility of
our products;
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our ability to quickly and efficiently identify and develop
product candidates;
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our commercialization, marketing and manufacturing capabilities
and strategy; and
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our intellectual property position.
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Forward-looking statements involve known and unknown risks,
uncertainties and other factors which may cause our actual
results, performance or achievements to be materially different
from any future results, performance or achievements expressed
or implied by the forward-looking statements. We discuss many of
these risks in greater detail in Risk Factors. Given
these uncertainties, you should not place undue reliance on
these forward-looking statements. Also, forward-looking
statements represent our managements beliefs and
assumptions only as of the date of this prospectus. You should
read this prospectus and the documents that we reference in this
prospectus and have filed as exhibits to the registration
statement, of which the prospectus is a part, completely and
with the understanding that our actual future results may be
materially different from what we expect.
Except as required by law, we assume no obligation to update
these forward-looking statements publicly, or to update the
reasons actual results could differ materially from those
anticipated in these forward-looking statements, even if new
information becomes available in the future. The forward-looking
statements contained in this prospectus are not eligible for the
safe harbor protection provided by the Private Securities
Litigation Reform Act of 1995, Section 27A of the
Securities Act of 1933, as amended and Section 21E of the
Securities Exchange Act of 1934, as amended.
42
USE OF PROCEEDS
Based upon an assumed initial public offering price of
$7.00 per share (the mid-point of the range set forth on
the cover page of this prospectus), we estimate that our net
proceeds from the sale of shares of our common stock in this
offering, after deducting underwriting discounts and commissions
and estimated offering costs of approximately $5.5 million
payable by us, will be approximately $23.6 million (or
$27.7 million if the underwriters exercise their
over-allotment option in full). Of the $5.5 million of
estimated offering costs, approximately $1.3 million has
been paid as of June 30, 2007. A $1.00 increase
(decrease) in the assumed initial public offering price of
$7.00 per share would increase (decrease) the net
proceeds to us from this offering by $3.9 million, assuming
the number of shares offered by us, as set forth on the cover
page of this prospectus, remains the same and after deducting
the estimated underwriting discounts and commissions and
estimated expenses payable by us.
We intend to use the net proceeds of this offering to fund the
growth of our business, including:
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approximately $14.4 million for the MARVEL Trial, which we
estimate will be sufficient to complete enrollment in this
clinical trial and the MyoCell or placebo treatment of all
enrollees;
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approximately $3.3 million for projected payments pursuant
to our license agreements and to further develop and protect our
intellectual property portfolio;
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approximately $1.1 million for the repayment of principal
and accrued interest on the BlueCrest Loan;
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approximately $0.5 million for development of a sales and
marketing force;
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approximately $0.3 million to commence Phase I
clinical trials of MyoCell II with
SDF-1,
which we
currently estimate will be sufficient to initiate a Phase I
clinical trial; and
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approximately $0.3 million for the further development,
preclinical testing and/or commencement of Phase I clinical
testing of our other pipeline product candidates, which we
anticipate will be used in the next 15 months.
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We intend to use the balance of the proceeds for general
corporate purposes, including working capital needs.
The enumerated uses of the proceeds of this offering described
above include all the offering proceeds we expect to utilize to
make payments under our existing license agreements,
collaborative agreements, partnerships and joint ventures. We do
not have any agreements or understandings relating to the
acquisition of technologies or businesses or the establishment
of new partnerships or joint ventures with respect to which we
anticipate using the proceeds of this offering.
The amounts and timing of our actual expenditures may vary
significantly from our expectations depending upon numerous
factors, including our results of operation, financial condition
and capital requirements. Accordingly, we will retain the
discretion to allocate the net proceeds of this offering among
the identified uses described above, and we reserve the right to
change the allocation of the net proceeds among the uses
described above. Pending their use, we intend to invest the net
proceeds in short-term, interest-bearing, investment-grade
securities.
The proceeds of the $5 million BlueCrest Loan, which bears
interest at the rate of 12.85% and which is scheduled to mature
in May 2010, are anticipated to be used for general corporate
purposes. The BlueCrest Loan is secured by a first priority
security interest in all of our assets, excluding our
intellectual property but including the proceeds from any sale
of our intellectual property.
43
DIVIDEND POLICY
Our policy is to retain earnings to provide funds for the
operation and expansion of our business and, accordingly, we
have never declared or paid any cash dividends on our common
stock or other securities and do not currently anticipate paying
any cash dividends in the foreseeable future. Consequently,
shareholders will most likely need to sell shares of our common
stock to realize a return on their investments, if any and this
capital appreciation, if any, will be a shareholders sole
source of gain from an investment in the common stock. The
declaration and payment of dividends by us are subject to the
discretion of our Board of Directors and the restrictions
specified in our articles of incorporation and by applicable
law. In addition, under the terms of the BlueCrest Loan, we are
restricted from paying cash dividends to our shareholders while
this loan is outstanding. Any future determination to pay cash
dividends will depend on our results of operations, financial
condition, capital requirements, contractual restrictions and
other factors deemed relevant by our Board of Directors.
44
CAPITALIZATION
The following table presents our cash and cash equivalents and
our capitalization as of June 30, 2007:
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on an actual basis; and
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on a pro forma basis to give effect to the sale by us of shares
of our common stock at an assumed initial public offering price
of $7.00 per share, the mid-point of the range set forth on
the cover page of this prospectus, and the receipt of net
proceeds of this offering, after deducting underwriting
discounts and commissions and estimated offering expenses
payable by us. Each $1.00 increase (decrease) in the
assumed initial public offering price of $7.00 per share
would increase (decrease) each of cash and cash equivalents,
working capital, total assets and total shareholders
equity by approximately $3.9 million, assuming that the
number of shares offered by us, as set forth on the cover page
of this prospectus, remains the same, and after deducting
estimated underwriting discounts and commissions and estimated
offering expenses payable by us.
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The pro forma information below is illustrative only and our
capitalization table following the completion of this offering
will be adjusted based on the actual initial public offering
price and other terms of this offering determined at pricing.
You should read this table together with the sections of this
prospectus entitled Managements Discussion and
Analysis of Financial Condition and Results of Operations
and our financial statements and the related notes included
elsewhere in this prospectus.
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As of
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June 30, 2007
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Actual
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Pro Forma
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(In thousands, except
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share numbers)
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(Unaudited)
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Cash and cash equivalents
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$
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12,916
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$
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37,884
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Note payable long term
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3,806
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3,806
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Shareholders equity:
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Preferred stock ($0.001 par value): 3,088,898 shares authorized,
actual; 5,000,000 shares authorized, pro forma; none
issued and outstanding, actual and pro forma
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$
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$
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Common stock ($0.001 par value): 24,711,188 shares
authorized, actual; 50,000,000 shares authorized, pro
forma; 13,332,295 shares issued and outstanding, actual;
17,498,962 shares issued and outstanding, pro forma
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13
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17
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Additional paid-in capital
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75,239
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98,860
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Deficit accumulated during the development stage
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(69,553
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)
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(69,553
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)
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Total shareholders equity
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5,699
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29,324
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Total capitalization
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$
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9,505
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$
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33,130
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The table above reflects a 1-for-1.6187 reverse stock split that
became effective on September 27, 2007.
The table above excludes as of June 30, 2007:
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an aggregate of 2,102,008 shares of common stock issuable
upon exercise of outstanding options under our stock option
plans, with a weighted average exercise price of $5.23 per
share;
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an aggregate of 969,362 additional shares of common stock
reserved for future awards under our stock option plans; and
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an aggregate of 2,050,924 shares of common stock issuable
upon the exercise of outstanding warrants with a weighted
average exercise price of $7.50 per share.
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From July 1, 2007 through September 30, 2007, we
issued options to purchase an aggregate of 68,420 shares of
our common stock with a weighted average exercise price of
$8.47 per share and warrants to
45
purchase 60,118 shares of our common stock with an exercise
price of $7.69 per share. In addition, on September 30,
2007, the number of shares underlying certain of our outstanding
warrants, each with an exercise price of $7.69 per share,
increased from an aggregate of 276,213 shares to an aggregate of
315,073 shares in accordance with the terms of such warrants. We
also issued, in this same period, an aggregate of 1,050 shares
of our common stock upon the exercise of options with an
exercise price of $5.67 per share.
DILUTION
If you invest in our common stock, your interest will be diluted
to the extent of the difference between the initial public
offering price per share of our common stock in this offering
and the pro forma net tangible book value per share of our
common stock after completion of this offering.
Our net tangible book value as of June 30, 2007 was
approximately $1.8 million, or approximately $0.13 per
share of our common stock. Net tangible book value per share is
determined at any date by subtracting our total liabilities from
our total tangible assets (total assets less intangible assets)
and dividing the difference by the number of our shares of
common stock deemed to be outstanding at that date. Dilution in
net tangible book value per share represents the difference
between the amount per share paid by purchasers of shares of
common stock in this offering and the net tangible book value
per share of common stock immediately after completion of this
offering.
After giving effect to the sale of 4,166,667 shares offered
by us in this offering at an assumed initial public offering
price of $7.00 per share, the midpoint of the range set
forth on the cover page of this prospectus, and after deducting
estimated underwriting discounts and commissions and our
estimated offering expenses, our pro forma net tangible book
value as of June 30, 2007 would have been approximately
$26.9 million, or approximately $1.54 per share of
common stock. This represents an immediate increase in pro forma
net tangible book value of $1.41 per share to existing
shareholders and an immediate dilution in pro forma net tangible
book value of $5.46 per share to new investors. The
following table illustrates this per share dilution:
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Assumed initial public offering price per share
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$
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7.00
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Net tangible book value per share as of June 30, 2007
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$
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0.13
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Pro forma increase in net tangible book value per share
attributable to this offering
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$
|
1.41
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Pro forma net tangible book value per share after this offering
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$
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1.54
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Dilution per share to new investors
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$
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5.46
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The following table summarizes as of June 30, 2007, the
number of shares of our common stock purchased from us, the
total consideration paid to us, and the average price per share
paid to us by our existing shareholders and to be paid by new
investors purchasing shares of our common stock in this offering
based on an assumed public offering price of $7.00 per
share, before deducting the estimated underwriting discounts and
commissions and estimated offering expenses payable by us:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares Purchased
|
|
|
Total Consideration
|
|
|
Average
|
|
|
|
|
|
|
|
|
|
Price per
|
|
|
|
Number
|
|
|
Percentage
|
|
|
Amount
|
|
|
Percentage
|
|
|
Share
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Existing shareholders
|
|
|
13,332,295
|
|
|
|
76.2%
|
|
|
$
|
55,592,574
|
|
|
|
65.6%
|
|
|
$
|
4.17
|
|
New investors
|
|
|
4,166,667
|
|
|
|
23.8%
|
|
|
|
29,166,669
|
|
|
|
34.4%
|
|
|
|
7.00
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
17,498,962
|
|
|
|
100.0%
|
|
|
$
|
84,759,243
|
|
|
|
100.0%
|
|
|
$
|
4.84
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The number of shares of common stock outstanding in the table
above is based on the number of shares outstanding as of
June 30, 2007, reflects a 1-for-1.6187 reverse stock split
that became effective on September 27, 2007 and excludes:
|
|
|
|
|
an aggregate of 2,102,008 shares of common stock issuable
upon exercise of outstanding options under our stock option
plans, with a weighted average exercise price of $5.23 per
share;
|
46
|
|
|
|
|
an aggregate of 969,362 additional shares of common stock
reserved for future awards under our stock option plans; and
|
|
|
|
an aggregate of 2,050,924 shares of common stock issuable
upon the exercise of outstanding warrants with a weighted
average exercise price of $7.50 per share.
|
From July 1, 2007 through September 30, 2007, we
issued options to purchase an aggregate of 68,420 shares of
our common stock with an exercise price of $8.47 per share
and warrants to purchase 60,118 shares of our common stock with
a weighted average exercise price of $7.69 per share. In
addition, on September 30, 2007, the number of shares
underlying certain of our outstanding warrants, each with an
exercise price of $7.69 per share, increased from an aggregate
of 276,213 shares to an aggregate of 315,073 shares in
accordance with the terms of such warrants. We also issued, in
this same period, an aggregate of 1,050 shares of our common
stock upon the exercise of options with an exercise price of
$5.67 per share.
Because the weighted average exercise price of the outstanding
options is below the anticipated offering price, investors
purchasing common stock in this offering will suffer additional
dilution when and if these options are exercised. See
Management Our Stock Option Plans for
further information regarding our equity incentive plans.
A $1.00 increase (decrease) in the assumed initial
public offering price of $7.00 per share would increase
(decrease) our pro forma net tangible book value by
$3.9 million and the pro forma net tangible book value per
share after completion of this offering by $0.22 per share,
assuming the number of shares offered by us, as set forth on the
cover page of this prospectus, remains the same, and after
deducting the estimated underwriting discounts and commissions
and estimated offering expenses payable by us.
If the underwriters exercise their over-allotment option in
full, the net tangible book value per share after completion of
this offering would be $1.71 per share, the increase in net
tangible book value per share to existing shareholders would be
$1.58 per share and the dilution in net tangible book value
to new investors would be $5.29 per share.
47
SELECTED CONSOLIDATED FINANCIAL DATA
The following tables present selected consolidated historical
financial data. We derived the selected consolidated statement
of operations data for the years ended December 31, 2004,
2005 and 2006 and consolidated balance sheet data as of
December 31, 2005 and 2006 from our audited financial
statements and notes thereto that are included elsewhere in this
prospectus. We derived the selected consolidated statement of
operations data for the years ended December 31, 2002 and
2003 and the consolidated balance sheet data as of
December 31, 2002, 2003 and 2004 from our audited financial
statements that do not appear in this prospectus. We derived the
consolidated statement of operations data for the six months
ended June 30, 2006 and 2007 and the consolidated balance
sheet data as of June 30, 2007 from our unaudited financial
statements that are included elsewhere in this prospectus. The
unaudited interim financial statements have been prepared on the
same basis as our audited annual financial statements and, in
our opinion, reflect all adjustments, which include only normal
recurring adjustments, necessary to present fairly the results
of operations for the periods ended June 30, 2006 and 2007
and our financial condition as of June 30, 2007. The
historical results are not necessarily indicative of the results
to be expected for any future periods and the results for the
six months ended June 30, 2007 should not be considered
indicative of results expected for the full fiscal year.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Six Months Ended
|
|
|
|
Year Ended December 31,
|
|
|
June 30,
|
|
|
|
|
|
|
|
|
|
|
2002
|
|
|
2003
|
|
|
2004
|
|
|
2005
|
|
|
2006
|
|
|
2006
|
|
|
2007
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Unaudited)
|
|
|
|
(In thousands, except per share data)
|
|
Statement of Operations Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues
|
|
$
|
2
|
|
|
$
|
46
|
|
|
$
|
86
|
|
|
$
|
135
|
|
|
$
|
106
|
|
|
$
|
75
|
|
|
$
|
208
|
|
Cost of sales
|
|
|
|
|
|
|
30
|
|
|
|
46
|
|
|
|
87
|
|
|
|
73
|
|
|
|
44
|
|
|
|
34
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit
|
|
|
2
|
|
|
|
16
|
|
|
|
40
|
|
|
|
48
|
|
|
|
33
|
|
|
|
31
|
|
|
|
174
|
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Research and development
|
|
|
7,361
|
|
|
|
3,502
|
|
|
|
3,787
|
|
|
|
4,534
|
|
|
|
6,878
|
|
|
|
2,669
|
|
|
|
3,186
|
|
Marketing, general and administrative
|
|
|
1,946
|
|
|
|
2,523
|
|
|
|
1,731
|
|
|
|
2,831
|
|
|
|
6,372
|
|
|
|
1,325
|
|
|
|
1,751
|
|
Depreciation and amortization
|
|
|
|
|
|
|
31
|
|
|
|
34
|
|
|
|
46
|
|
|
|
91
|
|
|
|
30
|
|
|
|
92
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
9,307
|
|
|
|
6,056
|
|
|
|
5,552
|
|
|
|
7,411
|
|
|
|
13,341
|
|
|
|
4,024
|
|
|
|
5,029
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss from operations
|
|
|
(9,305
|
)
|
|
|
(6,040
|
)
|
|
|
(5,512
|
)
|
|
|
(7,363
|
)
|
|
|
(13,308
|
)
|
|
|
(3,993
|
)
|
|
|
(4,855
|
)
|
Net interest income (expense)
|
|
|
47
|
|
|
|
2
|
|
|
|
(7
|
)
|
|
|
36
|
|
|
|
127
|
|
|
|
58
|
|
|
|
(186
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss before income taxes
|
|
|
(9,258
|
)
|
|
|
(6,038
|
)
|
|
|
(5,519
|
)
|
|
|
(7,327
|
)
|
|
|
(13,181
|
)
|
|
|
(3,935
|
)
|
|
|
(5,040
|
)
|
Income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss
|
|
$
|
(9,258
|
)
|
|
$
|
(6,038
|
)
|
|
$
|
(5,519
|
)
|
|
$
|
(7,327
|
)
|
|
$
|
(13,181
|
)
|
|
$
|
(3,935
|
)
|
|
$
|
(5,040
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic and diluted net loss per share
|
|
$
|
(1.54
|
)
|
|
$
|
(0.75
|
)
|
|
$
|
(0.60
|
)
|
|
$
|
(0.69
|
)
|
|
$
|
(1.10
|
)
|
|
$
|
(0.34
|
)
|
|
$
|
(0.39
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding basic and diluted
|
|
|
6,007
|
|
|
|
8,022
|
|
|
|
9,189
|
|
|
|
10,653
|
|
|
|
12,015
|
|
|
|
11,654
|
|
|
|
13,012
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
48
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of December 31,
|
|
|
As of
|
|
|
|
|
|
|
June 30,
|
|
|
|
2002
|
|
|
2003
|
|
|
2004
|
|
|
2005
|
|
|
2006
|
|
|
2007
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Unaudited)
|
|
|
|
(In thousands, except per share data)
|
|
Consolidated Balance Sheet Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
2,231
|
|
|
$
|
635
|
|
|
$
|
182
|
|
|
$
|
5,158
|
|
|
$
|
5,025
|
|
|
$
|
12,916
|
|
Working capital (deficit)
|
|
|
554
|
|
|
|
(784
|
)
|
|
|
(2,000
|
)
|
|
|
4,210
|
|
|
|
3,204
|
|
|
|
5,054
|
|
Total assets
|
|
|
2,540
|
|
|
|
921
|
|
|
|
729
|
|
|
|
5,869
|
|
|
|
6,508
|
|
|
|
17,905
|
|
Notes payable-current
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6,194
|
|
Note payable-long term
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3,806
|
|
Deficit accumulated during the development stage
|
|
|
(32,449
|
)
|
|
|
(37,877
|
)
|
|
|
(44,005
|
)
|
|
|
(51,332
|
)
|
|
|
(64,513
|
)
|
|
|
(69,553
|
)
|
Total shareholders equity (deficit)
|
|
|
788
|
|
|
|
(554
|
)
|
|
|
(1,857
|
)
|
|
|
4,586
|
|
|
|
4,311
|
|
|
|
5,699
|
|
49
MANAGEMENTS DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion and analysis by our management of
our financial condition and results of operations should be read
in conjunction with our consolidated financial statements and
the accompanying notes included elsewhere in this prospectus.
This discussion and other parts of this prospectus contain
forward-looking statements that involve risks and uncertainties,
such as statements of our plans, objectives, expectations and
intentions. Our actual results could differ materially from
those discussed in the forward-looking statements. Factors that
could cause or contribute to such differences include, but are
not limited to, those discussed in Risk Factors.
Moreover, past financial and operating performances are not
necessarily reliable indicators of future performance and you
are cautioned in using our historical results to anticipate
future results or to predict future trends.
Overview
We are a biotechnology company focused on the discovery,
development and, subject to regulatory approval,
commercialization of autologous cell therapies for the treatment
of chronic and acute heart damage. Our lead product candidate is
MyoCell, an innovative clinical therapy designed to populate
regions of scar tissue within a patients heart with muscle
tissue for the purpose of improving cardiac function in chronic
heart failure patients. Since our inception in August 1999, our
principal activities have included:
|
|
|
|
|
developing and engaging in clinical trials of our lead product
candidate, MyoCell, and our MyoCath product candidate;
|
|
|
|
expanding our pipeline of complementary product candidates
through internal development and third party licenses;
|
|
|
|
expanding and strengthening our intellectual property position
through internal programs and third party licenses; and
|
|
|
|
recruiting management, research and clinical personnel.
|
Our principal objective is to become a leading company that
discovers, develops and commercializes novel, autologous cell
therapies, and related devices, for the treatment of heart
damage. To achieve this objective, we plan to pursue the
following key strategies:
|
|
|
|
|
obtain initial regulatory approval of MyoCell by targeting
patients with severe heart damage;
|
|
|
|
obtain regulatory approval of MyoCell to treat patients with
less severe heart damage;
|
|
|
|
continue to develop our pipeline of cell-based therapies and
related devices for the treatment of chronic and acute heart
damage;
|
|
|
|
develop our sales and marketing capabilities in advance of
regulatory approval, if any;
|
|
|
|
continue to refine our MyoCell cell culturing processes to
further reduce our costs and processing times;
|
|
|
|
expand and enhance our intellectual property rights; and
|
|
|
|
license, acquire and/or develop complementary products and
technologies.
|
We completed the MyoCell implantation procedure on the final
patient in the SEISMIC Trial in July 2007. If the final SEISMIC
Trial data is available in the first quarter of 2008 and is
generally consistent with the interim data we intend to seek, in
the second quarter of 2008, approval from various European
regulatory bodies to market MyoCell to treat the Class III
Subgroup.
In November 2006, we submitted our amended IND application
setting forth the proposed protocol for the MARVEL Trial to the
FDA. As further amended, this study is planned to include
330 patients, including 110 controls, at 20 sites
in the United States and Canada and up to 15 sites in Europe and
Israel. In August 2007, we received clearance from the FDA to
proceed with the MARVEL Trial.
50
We are a development stage company and our lead product
candidate has not received regulatory approval or generated any
material revenues and is not expected to until early 2009, if
ever. We have generated substantial net losses and negative cash
flow from operations since inception and anticipate incurring
significant and increasing net losses and negative cash flows
from operations for the foreseeable future as we continue
clinical trials, undertake new clinical trials, apply for
regulatory approvals, make capital expenditures, add information
systems and personnel, make payments pursuant to our license
agreements upon our achievement of certain milestones, continue
development of additional product candidates using our
technology, establish sales and marketing capabilities and incur
the additional cost of operating as a public company. In
particular, we expect that our research and development and
general and administrative expenses will increase substantially
from prior periods. As of June 30, 2007, our deficit
accumulated during our development stage was approximately
$69.6 million. From inception in August 1999 through
June 30, 2007, we have financed our operations through
private placements of our common stock in which we have raised
an aggregate of $55.6 million.
We conduct operations in one business segment. We may organize
our business into more discrete business units when and if we
generate significant revenue from the sale of our product
candidates. Substantially all of our revenue since inception has
been generated in the United States, and the majority of our
long-lived assets are located in the United States.
Financial Operations Overview
We have not generated any material revenues from our lead
product candidate. The revenues we have recognized to date are
related to (i) sales of MyoCath to ACS in connection with
the testing of MyoCell, (ii) fees associated with our
assignment to ACS of our rights relating to the primary patent
covering MyoCath, or the Primary MyoCath Patent, and
(iii) revenues generated from a paid registry trial in
Mexico.
In June 2003, we entered into agreements with ACS pursuant to
which we assigned to ACS our rights relating to the Primary
MyoCath Patent, committed to deliver 160 units of MyoCath and
sold other related intellectual property for aggregate
consideration of $900,000. We initially recorded payments
received by us pursuant to these agreements as deferred revenue.
We are recognizing the $900,000 as revenue on a pro rata basis
as the catheters are delivered.
We do not anticipate that our revenues will materially increase
unless and until our lead product candidate, MyoCell, receives
regulatory approval. Our revenue may vary substantially from
quarter to quarter and from year to year. We believe that
period-to-period comparisons of our results of operations are
not meaningful and should not be relied upon as indicative of
our future performance.
Cost of sales consists primarily of the costs associated with
the production of MyoCath and the costs associated with the
culturing of cells for paid registry trials.
Our research and development expenses consist of costs incurred
in identifying, developing and testing our product candidates.
These expenses consist primarily of costs related to our
clinical trials, the acquisition of intellectual property
licenses and preclinical studies. We expense research and
development costs as incurred.
Clinical trial expenses include costs related to the culture and
preparation of cells in connection with our clinical trials,
costs of contract research, costs of clinical trial facilities,
costs of delivery systems, salaries and related expenses for
clinical personnel and insurance costs. Preclinical study
expenses include costs of contract research, salaries and
related expenses for personnel, costs of development biopsies,
costs of delivery systems and costs of lab supplies.
51
We are focused on the development of a number of autologous
cell-based therapies, and related devices, for the treatment of
heart damage. Accordingly, many of our costs are not
attributable to a specifically identified product candidate. We
use our employee and infrastructure resources across several
projects, and we do not account for internal research and
development costs on a product candidate by product candidate
basis. From inception through June 30, 2007, we incurred
aggregate research and development costs of approximately
$48.6 million related to our product candidates. We
estimate that at least $11.5 million and $19.9 million
of these expenses relate to our preclinical and clinical
development of MyoCell, respectively, and at least
$1.8 million and $3.3 million of these expenses relate
to our preclinical and clinical development of MyoCath,
respectively.
Clinical trials and preclinical studies are time-consuming and
expensive. Our expenditures on current and future preclinical
and clinical development programs are subject to many
uncertainties. We generally test our products in several
preclinical studies and then conduct clinical trials for those
product candidates that we determine to be the most promising.
As we obtain results from clinical trials, we may elect to
discontinue or delay trials for some product candidates in order
to focus our resources on more promising product candidates.
Completion of clinical trials may take several years or more,
but the length of time generally varies substantially according
to the type, size of trial and intended use of the product
candidate.
Due to the risks inherent in the clinical trial process,
development completion dates and costs vary significantly for
each product candidate, are difficult to estimate and are likely
to change as clinical trials progress. We currently estimate
that, in addition to the costs we have incurred through
June 30, 2007, it will cost us approximately $800,000 to
complete the SEISMIC Trial and approximately $17.0 million
to complete the MARVEL Trial.
The cost of clinical trials may vary significantly over the life
of a project as a result of a variety of factors, including the
number of patients who participate in the clinical trials, the
number of sites included in the clinical trials, the length of
time required to enroll trial participants, the efficacy and
safety profile of our product candidates and the costs and
timing of and our ability to secure regulatory approvals.
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Marketing, General and Administrative
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Our marketing, general and administrative expenses primarily
consist of the costs associated with our general management and
clinical marketing and trade programs, including, but not
limited to, salaries and related expenses for executive,
administrative and marketing personnel, rent, insurance, legal
and accounting fees, consulting fees, travel and entertainment
expenses, conference costs and other clinical marketing and
trade program expenses.
Stock-based compensation reflects our recognition as an expense
of the value of stock options and other equity instruments
issued to our employees and non-employees over the vesting
period of the options.
We have granted to our employees options to purchase common
stock at exercise prices equal to the fair market value of the
underlying stock at the time of each grant, as determined by our
Board of Directors, with input from management.
We granted stock options in 2005, during the first two quarters
of 2006 and during part of the third quarter of 2006 at an
exercise price of $5.67 per share. In part of the third quarter
of 2006 and the fourth quarter of 2006, we granted stock options
at an exercise price of $7.69 per share. During the first half
of 2007, we granted stock options at an exercise price of $8.47
per share.
In valuing the common stock, our Board of Directors considered a
number of factors, including, but not limited to:
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our financial position and historical financial performance;
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the illiquidity of our capital stock as a private company;
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arms length sales of our common stock;
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the development status of our product candidates;
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the business risks we face;
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vesting restrictions imposed upon the equity awards;
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an evaluation and benchmark of our competitors; and
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the prospects of a liquidity event, such as a public offering.
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A number of factors, including, but not limited to, our
achievement of various clinical and operational milestones and
an increase in the probability of our prospects for a liquidity
event, contributed to increases in the fair value of our common
stock as determined by our Board of Directors, from $5.67 to
$7.69 in August 2006, from $7.69 to $8.47 in January 2007 and
from $8.47 to our proposed offering price range. The following
is a non-exhaustive summary of specific factors that contributed
to changes in our Boards determination of the fair value
of our common stock:
Change in Fair Value as of August 2006:
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in June 2006, the manufacturing facility at which we anticipate
culturing the vast majority of European MyoCell product
inventory was opened;
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in July 2006, we hired our current Chief Financial Officer, who
commenced his employment in August 2006;
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in July 2006, we acquired the exclusive right to negotiate with
Tissue Genesis for an exclusive agreement to use, sell or lease
the TGI 1200 and processes that use the TGI 1200 for the
treatment of acute myocardial infarction and heart failure; and
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in August 2006, we commenced a private placement pursuant to
which we sold shares of our common stock primarily to unrelated
third parties at a price per share of $7.69.
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Change in Fair Value as of January 2007:
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in January 2007, interim results of the SEISMIC and MYOHEART
Trials were presented by the lead investigators of such trials;
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in December 2006, we entered into an agreement with Tissue
Genesis for the exclusive right to use, sell or lease the TGI
1200 and processes that use the TGI 1200 for the treatment of
acute MI and heart failure; and
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in December 2006 and January 2007, our perceived prospects of
completing an initial public offering improved as our efforts to
file a registration statement appeared to progress.
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As of June 25, 2007, the date the Board last assessed the fair
value of our common stock in connection with a grant of stock
options, the Boards determination of the fair value of our
common stock had not materially changed since January 2007. The
$8.47 exercise price of the options granted to our new Vice
President of Financial Operations in July 2007 was established
in an offer letter sent on June 11, 2007. While we had continued
to achieve clinical and operational milestones, such as our
hiring of our current Chief Executive Officer, the Board also
considered our financial position, interim funding alternatives,
delays we were experiencing in our efforts to conduct an initial
public offering and the effect of potential future offering
delays on our product development timelines.
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we have received clearance from the FDA to proceed with the
MARVEL Trial;
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we have announced additional interim results of the SEISMIC and
MYOHEART Trials; and
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our perception of our ability to complete and the likelihood of
successfully completing an initial public offering has
fluctuated considerably as a result of market conditions.
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At the date of each option grant, our Board of Directors
determined that the exercise price for each option was
equivalent to the fair value of our common stock on such date.
Our Board of Directors believes it properly valued our common
stock in all periods, although we understand that the judgments
required in such efforts necessarily involve an element of
subjectivity. Contemporaneous valuations of our common stock by
an unrelated party were not obtained because we were focusing
our financial resources on expanding our business, and believed
that our Board of Directors had considerable experience in the
valuation of emerging companies.
In December 2006 and February 2007, as part of our preparation
for this offering and our 2005 and 2006 year-end audits,
management retrospectively analyzed the fair value of our common
stock as of December 31, 2005, September 30, 2006 and
December 31, 2006. In performing these analyses, management
utilized both a discounted cash flow methodology and a market
multiple methodology. In preparing the discounted cash flow
analysis, the key assumptions included a discount rate between
48% and 49%, an annual growth rate between 4% and 5% and a
marketability discount of 30%. As part of the market multiples
analysis, management developed a list of 19 companies that were
considered comparable to us, and derived appropriate valuation
multiples based on financial statements and stock data from the
comparable companies. Those valuation multiples were then used
to determine an implied total-invested-capital value for our
company. From this amount, management derived a per share value
for our common stock and then discounted the value of our common
stock using a marketability discount of 30%. Based in part upon
these analyses, we believe that our prior valuations of our
common stock during these periods are appropriate.
During 2005, 2006 and the first half of 2007, we recognized
stock-based compensation expense of $2.0 million,
$4.8 million and $695,000, respectively. A substantial
portion of the expense recognized in 2006 relates to our
issuance of common stock, stock options and stock warrants to an
employee as part of a settlement in August 2006. We intend to
grant stock options and other stock-based compensation in the
future and we may therefore recognize additional stock-based
compensation in connection with these future grants. See
Managements Discussion and Analysis of Financial
Condition and Results of Operations Liquidity and
Capital Resources.
Critical Accounting Policies
This discussion and analysis of our financial condition and
results of operations are based on our consolidated financial
statements which have been prepared in accordance with
accounting principles generally accepted in the United States.
The preparation of these financial statements requires us to
make estimates and judgments that affect the reported amounts of
assets, liabilities, revenues and expenses. We base our
estimates on historical experience and on various other
assumptions that we believe to be reasonable under the
circumstances, the results of which form the basis for making
judgments about the carrying values of assets and liabilities
that are not readily apparent from other sources. Actual results
may differ from these estimates under different assumptions or
conditions. While our critical accounting policies are described
in Note 1 to our financial statements appearing elsewhere
in this prospectus, we believe the following policies are
important to understanding and evaluating our reported financial
results:
Prior to January 1, 2006, we accounted for stock-based
compensation arrangements with employees under the intrinsic
value method specified in Accounting Principles Board Opinion
No. 25, or APB No. 25. Statement of Financial
Accounting Standards, or SFAS, No. 123,
Accounting for
Stock-Based Compensation,
as amended by
SFAS No. 148,
Accounting for Stock-Based
Compensation Transition and Disclosure,
established the use of the fair value based method of
accounting for stock-based compensation arrangements, under
which compensation cost is determined using the fair value of
stock-based compensation determined as of the grant date, and is
recognized over the periods in which the related services are
rendered. SFAS No. 123 permitted companies to elect to
continue using the intrinsic value accounting method specified
in APB No. 25 to account for stock-based compensation
related to option grants and stock awards to employees. In 2005,
we elected to retain the intrinsic value based method for such
grants and awards and disclosed the pro forma effect of using
the fair value based method to account for our stock-based
compensation in Note 1 to our
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financial statements. Option grants to non-employees are valued
using the fair value based method prescribed by
SFAS No. 123 and expensed over the period services are
provided.
In December 2004, the Financial Accounting Standards Board, or
FASB, issued SFAS No. 123 (revised 2004)
Share-Based Payment, or SFAS No. 123R.
SFAS No. 123R eliminates, among other items, the use
of the intrinsic value method of accounting and requires
companies to recognize the cost of employee services received in
exchange for awards of equity instruments, based on the grant
date fair value of those awards, in the financial statements.
SFAS No. 123R became effective for us as of
January 1, 2006, resulting in an increase in our
stock-based compensation expense. We expense amounts related to
employee stock options granted after January 1, 2006
utilizing the Black-Scholes option pricing model to measure the
fair value of stock options. We amortize the estimated fair
value of employee stock option grants over the vesting period.
Additionally, we are required to apply the provisions of
SFAS No. 123R on a modified prospective basis to
awards granted before January 1, 2006. Stock-based
compensation expense for 2006 and future periods will include
the unamortized portion of employee stock options granted prior
to January 1, 2006. Our future equity-based compensation
expense will also depend on the number of equity instruments
granted and the estimated value of the underlying common stock
at the date of grant.
Since inception, we have not generated any material revenues
from our lead product candidate. In accordance with Staff
Accounting Bulletin No. 101,
Revenue Recognition in
Financial Statements,
as amended by SEC Staff Accounting
Bulletin No. 104,
Revenue Recognition,
our
revenue policy is to recognize revenues from product sales and
service transactions generally when persuasive evidence of an
arrangement exists, the price is fixed or determined, collection
is reasonably assured and delivery of product or service has
occurred.
We initially recorded payments received by us pursuant to our
agreements with ACS as deferred revenue. Revenues are recognized
on a pro rata basis as the catheters are delivered pursuant to
those agreements.
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Research and Development Activities
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Research and development expenditures, including payments to
collaborative research partners, are charged to expense as
incurred. We expense amounts paid to obtain patents or acquire
licenses as the ultimate recoverability of the amounts paid is
uncertain.
Results of Operations
We are a development stage company and our lead product
candidate has not received regulatory approval or generated any
material revenues and is not expected to until early 2009, if
ever. We have generated substantial net losses and negative cash
flow from operations since inception and anticipate incurring
significant and increasing net losses and negative cash flows
from operations for the foreseeable future as we continue
clinical trials, undertake new clinical trials, apply for
regulatory approvals, make capital expenditures, add information
systems and personnel, make payments pursuant to our license
agreements upon our achievement of certain milestones, continue
development of additional product candidates using our
technology, establish sales and marketing capabilities and incur
the additional cost of operating as a public company. In
particular, we expect that our research and development and
marketing, general and administrative expenses will increase
substantially from prior periods.
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Comparison of Six Months Ended June 30, 2007 and
June 30, 2006
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We recognized revenues of $208,000 in the six months ended
June 30, 2007, an increase of $133,000 from revenues of
$75,000 in the six months ended June 30, 2006. Our primary
source of revenue continues to be sales of MyoCath catheters to
ACS. In June 2007, we delivered 30 MyoCath catheters to ACS
pursuant to our agreement with them, recognized $191,000 of
revenue and a corresponding decrease to deferred revenue.
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In the first six months of 2006, we recognized $57,000 of
revenue upon delivery of MyoCath catheters to ACS and a
corresponding charge to deferred revenue.
Cost of sales was $34,000 in the six months ended June 30,
2007 as compared to $44,000 in the six months ended
June 30, 2006. The costs attributable to the catheters
delivered in the first half of 2007 was less than the cost
attributable to the catheters delivered in the first half of
2006.
Research and development expenses were $3.2 million in the
six months ended June 30, 2007, an increase of $500,000
from research and development expenses of $2.7 million in
the six months ended June 30, 2006. Of the expenses
incurred in the first half of 2007, approximately $963,000
relates to the MYOHEART and SEISMIC Trials, approximately
$507,000 relates to advanced research and business development
and approximately $402,000 relates to start-up costs for the
MARVEL Trial.
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Marketing, General and Administrative
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Marketing, general and administrative expenses were
$1.8 million in the six months ended June 30, 2007, an
increase of $500,000, or approximately 32.1%, from marketing,
general and administrative expenses of $1.3 million in the
six months ended June 30, 2006. The increase in marketing,
general and administrative expenses is primarily attributable to
increases in legal fees, professional recruiting fees, salary
expense for our Chief Financial Officer hired in August 2006 and
our Chief Executive Officer hired in March 2007 and lease
expenses for additional office space.
Interest income consists of interest earned on our cash and cash
equivalents. Interest income was $116,000 in the six months
ended June 30, 2007 compared to interest income of $58,000
in the six months ended June 30, 2006. The increase in
interest income was primarily attributable to higher cash
balances in the first half of 2007 as compared to the first half
of 2006 resulting from sales of our common stock in the third
and fourth quarters of 2006 and the first quarter of 2007.
Interest expense consists of interest incurred on our
outstanding indebtedness and the amortization of related
deferred loan costs. On June 1, 2007, we entered into both
the BlueCrest Loan in the principal amount of $5,000,000 and the
Bank of America Loan in the principal amount of $5,000,000.
Interest expense attributable to these loans was $300,000 in the
six months ended June 30, 2007.
In the six months ended June 30, 2007, we incurred a loss
from operations of $5.0 million as compared to a loss from
operations of $3.9 million in the six months ended
June 30, 2006.
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Comparison of Years Ended December 31, 2006 and
December 31, 2005
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Total revenues were $106,000 and $135,000 in 2006 and 2005,
respectively. In 2006, we generated revenue primarily from
$82,000 of sales of MyoCath and $20,000 from a paid registry
trial in Mexico.
Cost of sales was $73,000 in 2006 as compared to $87,000 in
2005. Our cost of sales in 2006 consisted primarily of $55,000
of costs associated with the production of MyoCath and $18,000
of costs associated with
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the culturing of cells for the paid registry trial in Mexico.
The decrease in cost of sales in 2006 as compared to 2005 was
primarily attributable to our decreased sales of MyoCath in 2006.
Research and development expenses were $6.9 million in
2006, an increase of $2.4 million, or 51.7%, from research
and development expenses of $4.5 million in 2005. Our
increase in research and development expenses in 2006 was
primarily attributable to $1.5 million of expenses
recognized in connection with the licensing agreement with the
Cleveland Clinic, stock-based compensation costs of $303,000 and
increased clinical costs of $192,000. Approximately
$2.7 million of the expenses incurred in 2006 were related
to the MYOHEART Trial and the SEISMIC Trial, including $952,000
of fees paid to our clinical trial investigators, $632,000 of
costs related to cell culturing and $576,000 of clinical site
expenses.
On February 1, 2006, we entered into a patent licensing
agreement with the Cleveland Clinic pursuant to which we
acquired worldwide exclusive licenses to five pending U.S.
patent applications related to our MyoCell II with SDF-1 product
candidate. Pursuant to this agreement, we paid Cleveland Clinic
an upfront license fee of $250,000 and additional license fees
of $1.25 million in 2006.
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Marketing, General and Administrative
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Marketing, general and administrative expenses were
$6.4 million in 2006, an increase of $3.6 million, or
125%, from marketing, general and administrative expenses of
$2.8 million in 2005. The increase in marketing, general
and administrative expenses during 2006 was primarily
attributable to the $3.5 million of stock-based
compensation costs related to the issuance of common stock,
stock options and stock warrants to a related party pursuant to
a settlement.
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Total Net Interest Income
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Total net interest income was $127,000 in 2006 compared to total
net interest income of $37,000 in 2005. The increase in total
net interest income was primarily attributable to higher cash
balances resulting from sales of our common stock received in
the third and fourth quarters of 2006.
In 2006, we incurred a loss from operations of
$13.2 million, which was $5.9 million greater than the
loss from operations incurred in 2005.
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Comparison of Years Ended December 31, 2005 and
December 31, 2004
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Total revenues were $135,000 in 2005, an increase of $49,000
from total revenues of $86,000 in 2004. The increase in revenues
is primarily attributable to sales of MyoCath to ACS in 2005.
Cost of sales was $87,000 in 2005, an increase of $41,000 from
cost of sales of $46,000 in 2004. The increase in cost of sales
is primarily attributable to increased sales of MyoCath to ACS
in 2005.
Research and development expenses were $4.5 million in
2005, an increase of $700,000, or 18.4%, from research and
development expenses of $3.8 million in 2004, primarily
attributable to an increase in the number of patients
participating in our clinical trials in 2005. Approximately
$2.5 million of the expenses incurred in 2005 were related
to the MYOHEART and SEISMIC Trials, including costs related to
cell culturing, cell shipping, investigator fees, and clinical
site expenses. Approximately $1.2 million of the expenses
incurred in 2005 were related to our preclinical studies.
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Marketing, General and Administrative
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Marketing, general and administrative expenses were
$2.8 million in 2005, an increase of $1.1 million, or
64.7%, from marketing, general and administrative expenses of
$1.7 million in 2004. The increase in marketing, general
and administrative expenses was primarily due to stock-based
compensation expense of $1.2 million in 2005 compared to
$149,000 in 2004.
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Total Net Interest Income
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Total net interest income was $37,000 in 2005 compared to total
net interest expense of $7,000 in 2004.
In the year ended December 31, 2005, we incurred a loss
from operations of $7.3 million, which is $1.8 million
greater than the loss from operations incurred in the year ended
December 31, 2004.
Liquidity and Capital Resources
In 2007, we continued to finance our considerable operational
cash needs with cash generated from financing activities.
Net cash used in operating activities was $4.2 million in
the six months ended June 30, 2007 as compared to
$3.0 million of cash used in the six months ended
June 30, 2006.
Our use of cash for operations in the first six months of 2007
was primarily attributable to net losses of $5.0 million, a
decrease in deferred revenue of $191,000 and an increase in
prepaid expenses of $154,000. Partially offsetting these uses of
cash were stock based compensation of $695,000 and an increase
in accounts payable of $213,000. Our use of cash for operations
in the first six months of 2006 was primarily attributable to
net losses of $3.9 million, which was partially offset by
stock based compensation of $482,000 and an increase in accrued
expenses of $293,000.
Net cash used in investing activities was $41,000 in the six
months ended June 30, 2007 as compared to $49,000 in the
six months ended June 30, 2006. All of the cash utilized in
investing activities for the six months ended June 30, 2007
and 2006 related to our acquisition of property and equipment.
Net cash provided by financing activities was $12.2 million
during the six months ended June 30, 2007. In June 2007, we
borrowed funds pursuant to both the BlueCrest Loan and the Bank
of America Loan, each in the principal amount of
$5.0 million. We also generated $4.0 million from our
issuance of common stock. These sources of cash were partially
offset by $1.1 million related to the payment of offering
costs related to our planned initial public offering and
$745,000 related to the payment of costs incurred in connection
with obtaining the BlueCrest Loan and Bank of America Loan. We
did not generate or use any cash related to financing activities
in the six months ended June 30, 2006.
Net cash used in operating activities was $7.8 million in
the year ended December 31, 2006 as compared to
$5.8 million of cash used in the year ended
December 31, 2005 and $5.0 million of cash used in the
year ended December 31, 2004, primarily due to net losses
of $13.2 million, $7.3 million and $5.5 million
in 2006, 2005 and 2004, respectively.
The cash used in the year ended December 31, 2006 was
reduced by the following items:
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$3.3 million of cash conserved by our issuance of equity
instruments in lieu of cash in connection with a settlement
agreement; and
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$1.2 million of cash conserved by our issuance of
stock-based compensation in lieu of cash compensation.
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Net cash used in investing activities was $203,000 in the year
ended December 31, 2006 as compared to $326,000 in the year
ended December 31, 2005 and $59,000 in the year ended
December 31, 2004. All of the
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cash utilized in investing activities for 2006, 2005 and 2004
related to our acquisition of property and equipment.
Net cash provided by financing activities was $7.9 million
during the year ended December 31, 2006 as compared to
$11.1 million of cash provided by financing activities in
the year ended December 31, 2005 and $4.6 million of
cash provided by financing activities in the year ended
December 31, 2004. In 2006, we generated $8.1 million
of cash from our issuance of common stock, which source of cash
was partially offset by $224,000 related to the payment of
deferred offering costs related to our planned initial public
offering. Substantially all of the cash provided by financing
activities from January 1, 2004 to December 31, 2006
has been generated from our issuance of common stock in various
private placements. Since our inception in August 1999 through
December 31, 2006, we have received aggregate net proceeds
of $51.6 million from these private placements.
During 2006, we agreed to pay $153,000 in cash and issued equity
instruments with a fair value of $3.3 million in connection
with a settlement with one of our officers. We also issued
common stock with a fair value of $100,000 and warrants with a
fair value of $145,000 during this same period in exchange for
distribution rights and licenses of intellectual property.
Existing Capital Resources and Future Capital Requirements
At December 31, 2006 and June 30, 2007, we had cash
and cash equivalents totaling $5.0 million and
$12.9 million, respectively. Assuming that we secure
$23.6 million of net proceeds in connection with this
offering, we believe that the net proceeds together with our
existing cash and cash equivalents will be sufficient to fund
our currently budgeted cash needs for at least the next
15 months.
On May 31, 2007, we entered into a Loan and Security
Agreement with BlueCrest Capital pursuant to which they agreed
to provide us a three year, $5.0 million term loan. The
transaction closed on June 1, 2007. For the first
three months of the BlueCrest Loan, we are only required to
make payments of interest. Commencing in October 2007 we are
required to make 33 equal monthly payments of principal and
interest. Interest accrues at an annual rate of 12.85%. As
consideration for providing us the BlueCrest Loan, we issued to
BlueCrest Capital a warrant to purchase 65,030 shares of our
common stock at an exercise price of $7.69 per share. The
warrant, which is not exercisable until the date that is one
year following the date the warrant was issued, has a ten year
term, unless we close an initial public offering of our common
stock or undertake a merger with or into a publicly traded
corporation or similar transaction during 2007, in which case
the warrant will have a five year term. This warrant had a fair
value of $432,635, which amount was accounted for as additional
paid in capital and reflected as a component of deferred loan
costs to be amortized as interest expense over the term of the
BlueCrest Loan using the effective interest method. We also paid
BlueCrest Capital a fee of $100,000 to cover diligence and other
costs and expenses incurred in connection with the loan.
We may voluntarily prepay the BlueCrest Loan in whole but not in
part. However, we are subject to a prepayment penalty equal to
3% of the outstanding principal if paid during the first year of
the BlueCrest Loan, 2% of the outstanding principal if paid
during the second year of the BlueCrest Loan and 1% of the
outstanding principal if paid during the third year of the
BlueCrest Loan. As collateral to secure our repayment
obligations to BlueCrest Capital, we have granted them a first
priority security interest in all of our assets, excluding our
intellectual property but including the proceeds from any sale
of any of our intellectual property.
Pursuant to the agreement, we may not, among other things:
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incur additional indebtedness, except for certain permitted
indebtedness. Permitted indebtedness is defined to include
accounts payable incurred in the ordinary course of business,
leases of equipment or property incurred in the ordinary course
of business not to exceed, in the aggregate, $250,000, any
unsecured debt less than $20,000 or any debt not secured by the
collateral pledged to BlueCrest that is subordinated to the
rights of BlueCrest pursuant to a subordination agreement
satisfactory to BlueCrest in its sole discretion;
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make any principal, interest or other payments arising under or
in connection with our loan from Bank of America or any other
debt subordinate to the BlueCrest Loan;
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incur additional liens on any of our assets, including any liens
on our intellectual property, except for certain permitted liens
including but not limited to non-exclusive licenses or
sub-licenses of our intellectual property in the ordinary course
of business and licenses or sub-licenses of intellectual
property in connection with joint ventures and corporate
collaborations (provided that any proceeds from such licenses be
used to pay down the BlueCrest Loan);
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voluntarily prepay any debt prior to maturity, except for
accounts payable incurred in the ordinary course of business,
leases of equipment or property incurred in the ordinary course
of business not to exceed, in the aggregate, $250,000 and any
unsecured debt less than $20,000. However, in the event that
this offering closes before January 31, 2008 and the net
proceeds from this offering exceed $30 million, we may
prepay our debt to Bank of America;
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convey, sell, transfer or otherwise dispose of property, except
for sales of inventory in the ordinary course of business, sales
of obsolete or unneeded equipment and transfers or our
intellectual property related to product candidates other than
MyoCell or MyoCell II with
SDF-1
to a currently
operating or newly formed wholly owned subsidiary;
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merge with or acquire any other entity if we would not be the
surviving person following such transaction;
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pay dividends (other than stock dividends) to our shareholders;
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redeem any outstanding shares of our common stock or any
outstanding options or warrants to purchase shares of our common
stock except in connection with a share repurchase pursuant to
which we offer to pay our then existing shareholders not more
than $250,000;
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enter into transactions with affiliates other than on
arms-length terms; and
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make any change in any of our business objectives, purposes and
operations which has or could be reasonably expected to have a
material adverse effect on our business.
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We also are subject to certain affirmative covenants, including
but not limited to, maintaining the collateral in good operating
condition and providing BlueCrest with certain financial
information on a periodic basis.
In the event of an uncured event of default under the Loan and
Security Agreement, all amounts owed to BlueCrest Capital are
immediately due and payable and BlueCrest Capital has the right
to enforce its security interest in the assets securing the
BlueCrest Loan. Events of default include, among others, our
failure to timely make payments of principal when due, our
uncured failure to timely pay any other amounts owing to
BlueCrest Capital under the Loan and Security Agreement, our
material breach of the representations and warranties contained
in the Loan and Security Agreement, any material misstatement in
any financial statement, report or certificate delivered under
the Loan and Security Agreement, our uncured breach of any
filing of a notice of lien with respect to any of the collateral
securing the BlueCrest Loan, the entry of a money judgment
against us in excess of $100,000, a change of control of the
company, the entry of a court order that prevents us from
conducting all or any material part of our business and our
default in the payment of any debt to any of our other lenders
in excess of $100,000 or any other default or breach under any
agreement relating to such debt which gives the holders of such
debt the right to accelerate the debt.
On June 1, 2007, or the Closing Date, we entered into a
loan agreement with Bank of America pursuant to which Bank of
America agreed to provide us with an eight month,
$5.0 million term loan, or the Bank of America Loan, to be
used for working capital purposes. The Bank of America Loan
bears interest at the prime rate plus 1.5%. The prime rate was
8.25% as of June 30, 2007. As consideration for the Bank of
America Loan, we paid Bank of America a fee of $100,000.
We did not pledge any assets to Bank of America as security for
this loan. However, on the Closing Date, Mr. and
Mrs. Leonhardt provided a $1.1 million limited
personal guarantee of the Bank of America Loan and pledged
securities accounts with Bank of America to back-up this limited
personal guarantee. As discussed below, in October 2007, Mr. and
Mrs. Leonhardt guaranteed additional portions of the loan. Two
of our other
60
directors, including Dr. William Murphy and
Mr. Richard Spencer, III, or the Director Guarantors,
provided collateral on the Closing Date valued at $750,000 and
$1.5 million, respectively, to secure the Bank of America
Loan. In addition, one of our current shareholders, or the
Shareholder Guarantor and collectively with Mr. and
Mrs. Leonhardt and the Director Guarantors referred to
herein as the Guarantors, provided collateral on the Closing
Date valued at $2.2 million to secure the Bank of America
Loan. Each Director Guarantors and the Shareholder
Guarantors exposure under the Bank of America Loan is or
was limited to the collateral it provided to Bank of America.
Under the terms of the Bank of America Loan, Bank of America is
entitled to receive a semi-annual payment of interest and all
outstanding principal and accrued interest by the maturity date.
We and Bank of America have agreed with BlueCrest Capital that
we will not individually make any payments due under the Bank of
America Loan while the BlueCrest Loan is outstanding. For our
benefit, the Guarantors agreed to provide Bank of America in the
aggregate up to $5.5 million of funds and/or securities to
make these payments.
We have agreed to reimburse the Guarantors with interest at an
annual rate of 13.25% for any and all payments made by them
under the Bank of America Loan as well as to pay them certain
cash fees in connection with their provision of security for the
Bank of America Loan. We have agreed to pay these amounts to the
Guarantors upon our repayment in full of the BlueCrest Loan. In
addition, we issued to each Guarantor warrants to purchase 3,250
shares, or the Subject Shares, of our common stock at an
exercise price of $7.69 per share for each $100,000 of
principal amount of the Bank of America Loan guaranteed by such
Guarantor. The number of Subject Shares increased to
3,707 shares per $100,000 guaranteed on September 30,
2007. In the event that as of the first anniversary, second
anniversary and third anniversary of the closing date of the
Bank of America Loan, we have not reimbursed the Guarantors in
full for payments made by them in connection with the Bank of
America Loan or paid them the cash fees owed to them, the number
of Subject Shares per $100,000 guaranteed will increase to
4,634, 6,178 and 9,267 shares, respectively. The warrants have a
ten-year
term and are
not exercisable until the date that is one year following the
date the warrants were issued. In total 180,350 warrants were
issued to the Guarantors which had an aggregate fair value of
$1,199,832, which amount was accounted for as additional paid in
capital and reflected as a component of deferred loan costs to
be amortized as interest expense over the term of the Bank of
America Loan using the effective interest method.
At closing:
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In exchange for the $1.1 million limited personal
guarantee, we issued to Mr. and Mrs. Leonhardt a warrant to
purchase an aggregate of 35,745 Subject Shares (subject to
adjustment as set forth above).
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In exchange for the pledge of collateral valued at
$1.5 million, we issued to Mr. Spencer a warrant to
purchase an aggregate of 48,743 Subject Shares (subject to
adjustment as set forth above).
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In exchange for the pledge of collateral valued at $750,000, we
issued to Dr. Murphy a warrant to purchase an aggregate of
24,372 Subject Shares (subject to adjustment as set forth above).
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In exchange for the pledge of collateral valued at
$2.2 million, we issued to the Shareholder Guarantor
warrants to purchase an aggregate of 71,490 Subject Shares
(subject to adjustment as set forth above).
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Until the closing of this offering, each of the Guarantors has
the right, between November 1, 2007 and November 30,
2007, to compel us to repay (i) the BlueCrest Loan or
(ii) both the BlueCrest Loan and the Bank of America Loan.
We have agreed with Dr. Murphy to use our reasonable best
efforts to secure an additional person willing to provide
collateral to secure the Bank of America Loan in substitution of
the $400,000 of collateral being provided by Dr. Murphy
and, until Dr. Murphys obligations to Bank of America
have been released or satisfied in full, use our reasonable best
efforts to restructure, amend or renew the Bank of America Loan
in an effort to extend the maturity date of the Bank of America
Loan.
In September 2007, one of our directors, Dr. Samuel S. Ahn,
and two of our current shareholders Dan Marino and Jason Taylor,
or collectively with Dr. Ahn, the New Guarantors, agreed to
provide collateral valued at $750,000, $600,000 and $500,000,
respectively, to secure the Bank of America Loan. The collateral
61
provided by the New Guarantors fully replaced the collateral
originally provided by Mr. Spencer and partially replaced
the collateral originally provided by Dr. Murphy. The
collateral provided by Dr. Murphy now secures $400,000 of
the Bank of America Loan. Our agreements with the New Guarantors
are identical in all respects to our agreements with the
original Guarantors as described above, except that the New
Guarantors do not have the right to compel us to repay the
BlueCrest Loan or the Bank of America Loan. In consideration for
providing the collateral, we issued to the New Guarantors
warrants to purchase 3,250 shares of our common stock, or the
New Guarantor Subject Shares, at an exercise price of $7.69 per
share for each $100,000 of principal amount of the Bank of
America Loan guaranteed by such New Guarantor. The number of New
Guarantor Subject Shares increased to 3,707 shares per $100,000
guaranteed on September 30, 2007 and are subject to further
increase in the same amount and under the same conditions as the
Subject Shares underlying the warrants issued to the original
Guarantors. The warrants have a ten-year term and are not
exercisable until the date that is one year following the date
the warrants were issued. In total, 60,118 warrants were issued
to the New Guarantors, the fair value of which will be accounted
for as additional paid in capital and reflected as a component
of deferred loan costs to be amortized as interest expense over
the term of the Bank of America Loan using the effective
interest method.
In October 2007, Mr. and Mrs. Leonhardt agreed to provide
an additional $2.2 million limited personal guarantee of
the Bank of America Loan and have pledged securities accounts
with Bank of America to back-up this limited personal guarantee.
The additional collateral provided by Mr. and
Mrs. Leonhardt fully replaced the collateral originally
provided by the Shareholder Guarantor. Mr. and
Mrs. Leonhardt have now personally guaranteed an aggregate
of $3.3 million of the Bank of America Loan. Our agreement
with Mr. and Mrs. Leonhardt with respect to the additional
collateral is substantially similar to our agreement with them
in connection with the $1.1 million personal guarantee they
originally provided in June 2007. In consideration for providing
the collateral, we issued to Mr. and Mrs. Leonhardt,
warrants to purchase 81,547 shares of our common stock at an
exercise price of $7.69 per share. In the event that as of the
first anniversary, second anniversary and third anniversary of
the closing date of the Bank of America Loan, respectively, we
have not reimbursed Mr. and Mrs. Leonhardt in full for
payments made by them in connection with the Bank of America
Loan, the number of shares subject to the warrant will increase
to 101,934, 135,912 and 203,868, respectively. The warrant has a
ten-year term and is not exercisable until the date that is one
year following the date the warrant was issued. The fair value
of the warrant will be accounted for as additional paid in
capital and reflected as a component of deferred loan costs to
be amortized as interest expense over the term of the Bank of
America Loan using the effective interest method.
In October 2007, we cancelled the warrant previously issued to
the Shareholder Guarantor, which warrant included the adjustment
provisions discussed above, and, in exchange, issued to it a
warrant to purchase 101,934 shares of our common stock. The
number of shares subject to the warrant is no longer subject to
increase.
On the Closing Date, Mr. and Mrs. Leonhardt agreed with the
Shareholder Guarantor to repay to the Shareholder Guarantor any
amounts we may have owed to the Shareholder Guarantor on the
third anniversary of the Closing Date and, in exchange, assume
the Shareholder Guarantors rights to be indemnified by us
under the loan guarantee agreement. This agreement was
terminated in October 2007 in connection with the replacement by
Mr. and Mrs. Leonhardt of the collateral provided by the
Shareholder Guarantor. As consideration for agreeing to assume
this obligation, on the Closing Date, we issued to Mr. and
Mrs. Leonhardt an additional warrant to purchase 35,745
shares, or the Put Shares, of our common stock at an exercise
price of $7.69 per share. The number of Put Shares
increased to 40,774 shares on September 30, 2007. In the
event that as of the first anniversary, second anniversary and
third anniversary of the closing date of the Bank of America
Loan, we have not reimbursed the Shareholder Guarantor in full
for payments made by them in connection with the Bank of America
Loan or paid them the cash fees owed to them, the number of Put
Shares will increase to 50,967, 67,956, and 101,934 shares,
respectively. The warrant has a ten-year term and is not
exercisable until the date that is one year following the date
the warrants were issued. This warrant had a fair value of
$237,805, which amount was accounted for as additional paid in
capital and reflected as a component of deferred loan costs to
be amortized as interest expense over the term of the Bank of
America Loan using the effective interest method.
62
Our lead product candidate has not received regulatory approval
or generated any material revenues. We do not expect to generate
any material revenues or cash from sales of our lead product
candidate until early 2009, if ever. We have generated
substantial net losses and negative cash flow from operations
since inception and anticipate incurring significant and
increasing net losses and negative cash flows from operations
for the foreseeable future. To date, we have relied on proceeds
from the private placement of our common stock and our
incurrence of debt to provide the funds necessary to conduct our
research and development activities and to meet our other cash
needs.
We expect that our expenses and capital expenditures will
increase significantly during 2007 and beyond as a result of a
number of factors, including:
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costs related to our continuation of clinical trials with
respect to MyoCell;
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costs related to our continued research and development and new
clinical trials with respect to our pipeline product candidates;
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costs of applying for regulatory approvals;
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capital expenditures to increase our research and development
and cell culturing capabilities;
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costs associated with our addition of operational, financial and
management information systems and personnel and development and
protection of our intellectual property;
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our obligations to make payments pursuant to license agreements
upon achievement of certain milestones; and
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costs associated with our establishment of sales and marketing
capabilities to commercialize products for which we obtain
regulatory approval, if any.
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The magnitude of our future expenditures and cash requirements
will depend on numerous factors, including, but not limited to:
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the scope, rate of scientific progress, results and cost of our
clinical trials and other research and development activities;
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the costs and timing of seeking FDA and other regulatory
approvals;
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our ability to obtain sufficient third-party insurance coverage
or reimbursement for our product candidates;
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the effectiveness of commercialization activities (including the
volume and profitability of any sales achieved);
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our ability to establish additional strategic, collaborative and
licensing relationships with third parties with respect to the
sales, marketing and distribution of our products, research and
development and other matters and the economic and other terms
and timing of any such relationships;
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the ongoing availability of funds from foreign governments to
build new manufacturing facilities;
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the costs involved in any potential litigation that may occur;
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decisions by us to pursue the development of new product
candidates or technologies or to make acquisitions or
investments; and
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the effect of competing products, technologies and market
developments.
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See Risk Factors We may need substantial
additional funding and may be unable to raise capital when
needed, which would force us to delay or curtail the development
or commercialization of our product candidates. An inability to
obtain additional financing could adversely affect our business,
financial condition, results of operations, and could even
prevent us from continuing our business at all.
63
Effects of Being a Public Company
After completion of this offering, we will become subject to the
periodic reporting requirements of the Exchange Act and the
other rules and regulations of the SEC. We will also be subject
to various other regulatory requirements, including the
Sarbanes-Oxley
Act of
2002. In addition, upon completion of this offering, we will
become subject to the rules of the NASDAQ Global Market.
We are working with our legal and accounting advisors to
identify those areas in which changes should be made to our
financial and management control systems to manage our growth
and our obligations as a public company. These areas include
corporate governance, corporate control, internal audit,
disclosure controls and procedures and financial reporting and
accounting systems. We have made, and will continue to make,
changes in these and other areas, including our internal control
over financial reporting.
In addition, compliance with reporting and other requirements
applicable to public companies will create additional costs for
us and will require the time and attention of management. We
currently expect to incur an estimated $2.0 million of
incremental operating expenses in our first year of being a
public company and an estimated $1.9 million per year
thereafter. The incremental costs are estimates and actual
incremental expenses could be materially different from these
estimates. We cannot estimate with reasonable certainty the
amount of the additional costs we may incur, the timing of such
costs or the degree of impact that our managements
attention to these matters will have on our business.
Commitments and Contingencies
The table below summarizes our commitments and contingencies at
December 31, 2006. The information in the table reflects
future unconditional payments and is based on the terms of the
relevant agreements and appropriate classification of items
under generally accepted accounting principles currently in
effect.
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Payments Due by Period
(1)
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Less than
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12
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13-36
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37+
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Total
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Months
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Months
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Months
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Operating lease obligations
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$
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371,000
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$
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116,000
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$
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244,000
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$
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11,000
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Royalty payments
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$
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1,890,000
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$
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210,000
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$
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420,000
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$
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1,260,000
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(1)
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Amounts reflected do not include any commitments incurred after
December 31, 2006. On June 1, 2007, we closed the
$5.0 million senior BlueCrest Loan. The BlueCrest Loan has
a term of 36 months and bears interest at an annual rate of
12.85%. The first three months require payment of interest only
in an amount of $54,000 per month. The remaining 33 months
require equal principal and interest payments of $181,000 per
month. On June 1, 2007, we closed on the $5.0 million
Bank of America Loan. The Bank of America Loan bears interest at
an annual rate of prime plus 1.5%. Interest is payable by the
Guarantors six months following the date of the loan with the
remainder payable upon maturity. The Bank of America Loan is
scheduled to mature upon the date that is eight months following
the date of the loan. Total interest payable over the maximum
term of this loan is estimated to be $500,000. We will be
required to repay the Guarantors with interest at an annual rate
of 13.25% for payments made by them under the Bank of America
Loan once we have satisfied our obligations under the BlueCrest
Loan.
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We have entered into several operating lease agreements for
facilities and equipment, primarily for our office building and
cell culturing facility in Sunrise, Florida. Terms of certain
lease arrangements include renewal options, payment of executory
costs such as real estate taxes, insurance, common area
maintenance and escalation clauses.
Under our licensing agreement and related agreements with
Dr. Law and his affiliate, Cell Transplants International,
we are required to pay to Cell Transplants International a
$3 million payment upon commencement of a bona fide U.S.
Phase II human clinical trial that utilizes technology
claimed under the patent for heart muscle regeneration licensed
to us by Dr. Law and a $5 million payment upon FDA
approval of patented technology for heart muscle regeneration.
In addition, we are required to pay royalties to Cell
Transplants International equal to 5% of gross sales in the
territories where the licensed patents are issued for products
and services that read directly on the claims of the licensed
patents.
64
Our licensing agreement with the Cleveland Clinic requires us to
make certain milestone payments to the Cleveland Clinic upon
expected milestones including: (a) $200,000 upon FDA or
foreign equivalent approval of an IND application covering
product candidates derived from the licensed patents,
(b) $300,000 upon full enrollment of an FDA approved Phase
I clinical trial, (c) $750,000 upon full enrollment of the
last clinical trial needed prior to a Biologic License
Application submission to the FDA or foreign equivalent and
(d) $1.0 million upon the first commercial sale of an
FDA approved product derived from the licensed patent. At the
option of the Cleveland Clinic, we may be required to pay
one-half of any milestone payment in shares of our common stock.
The number of shares payable will be based upon the market value
of our common stock on the date of the milestone payment. To the
extent we do not complete a milestone activity by the target
completion date, we will be required to pay $100,000, or the
Extension Fee, to extend the target completion date for an
additional one year period, or the Extension Period. If such
milestone activity is achieved during the first six months of
the Extension Period, the Extension Fee will be credited against
the applicable milestone payment. We will also be required to
pay Cleveland Clinic royalty fees equal to 5% of net sales of
any products derived from the licensed patents.
In June 2000, we entered into an exclusive license agreement
with the William Beaumont Hospital to use certain patents for
the whole life of the patents in future projects. The royalty on
the gross sales of products and services that directly rely upon
the claims of these patents ranges between 2% and 4% of gross
sales depending on aggregate gross sales in the applicable
period. The patents expire in 2015. This agreement also calls
for a minimum royalty fee ranging from $10,000 per year to
$200,000 per year for the term of the agreement, which is
the remaining useful life of the patents.
Off-Balance Sheet Arrangements
We do not have any off-balance sheet arrangements that have or
are reasonably likely to have a current or future effect on our
financial condition, changes in financial condition, revenues or
expenses, results of operations, liquidity, capital expenditures
or capital resources that are material to investors.
Quantitative and Qualitative Disclosure About Market Risks
Our exposure to market risk is limited to interest income
sensitivity, which is affected by changes in the general level
of U.S. interest rates, particularly because the majority of our
investments are expected to be in short-term debt securities.
The primary objective of our investment activities is to
preserve principal while at the same time maximizing the income
we receive without significantly increasing risk. To reduce
risk, we maintain our portfolio of cash, cash equivalents and
short-term
and
long-term
investments
in a variety of
interest-bearing
instruments, including U.S. government and agency securities,
high-grade
U.S.
corporate bonds, asset-backed securities, commercial paper and
money market funds. We do not have any derivative financial
investments in our investment portfolio. Due to the nature of
our investments and expected investments, we believe that we are
not subject to any material market risk exposure.
Recent Accounting Pronouncements
We adopted the provisions of FASB Interpretation No. 48,
Accounting for Uncertainty in Income Taxes an
interpretation of FASB Statement No. 109
, on
January 1, 2007. Previously, we had accounted for tax
contingencies in accordance with Statement of Financial
Accounting Standards 5,
Accounting for Contingencies.
As
required by Interpretation No. 48, we recognize the
financial statement benefit of a tax position only after
determining that the relevant tax authority would more likely
than not sustain the position following an audit. For tax
positions meeting the
more-likely-than-not
threshold, the amount recognized in the financial statements is
the largest benefit that has a greater than 50 percent
likelihood of being realized upon ultimate settlement with the
relevant tax authority. At the adoption date, we applied
Interpretation No. 48 to all tax positions for which the
statute of limitations remained open. As a result of the
implementation of Interpretation No. 48, we did not
recognize any change in the liability for unrecognized tax
benefits.
The amount of unrecognized tax benefits as of January 1,
2007 was $0. There have been no material changes in unrecognized
tax benefits since January 1, 2007.
65
We are subject to income taxes in the U.S. federal jurisdiction,
and the State of Florida. Tax regulations within each
jurisdiction are subject to the interpretation of the related
tax laws and regulations and require significant judgment to
apply. With few exceptions, we are no longer subject to U.S.
federal, state and local income tax examinations by tax
authorities for the years before 1999.
We are not currently under examination by any federal or state
jurisdiction.
Should we record a liability for unrecognized tax benefits in
the future, corresponding interest and penalty accruals will be
recognized in operating expenses.
In September 2006, the FASB issued SFAS No. 157,
Fair Value Measurements,
or SFAS No. 157.
SFAS No. 157 defines fair value, establishes a
framework for measuring fair value, and expands disclosures
about fair value measurements. SFAS No. 157 does not
require any new fair value measurements, but provides guidance
on how to measure fair value by providing a fair value hierarchy
used to classify the source of the information.
SFAS No. 157 is effective for fiscal years beginning
after November 15, 2007. We do not expect the adoption of
SFAS No. 157 to have a material effect on our consolidated
financial statements.
In February 2007, the FASB issued SFAS No. 159,
The
Fair Value Option for Financial Assets and Financial
Liabilities,
or SFAS No. 159.
SFAS No. 159 allows an entity the irrevocable option
to elect fair value for the initial and subsequent measurement
for certain financial assets and liabilities on a
contract-by-contract
basis. Subsequent changes in fair value of these financial
assets and liabilities would be recognized in earnings when they
occur. SFAS No. 159 is effective for fiscal years
beginning after November 15, 2007. We do not expect the
adoption of SFAS No. 159 to have a material effect on our
consolidated financial statements.
A variety of proposed or otherwise potential accounting
standards are currently under study by
standard-setting
organizations and various regulatory agencies. Because of the
tentative and preliminary nature of these proposed standards,
management has not determined whether implementation of such
proposed standards would be material to the Companys
consolidated financial statements.
66
BUSINESS
Overview
We are a biotechnology company focused on the discovery,
development and, subject to regulatory approval,
commercialization of autologous cell therapies for the treatment
of chronic and acute heart damage. Our lead product candidate is
MyoCell, an innovative clinical therapy designed to populate
regions of scar tissue within a patients heart with muscle
tissue from the patients body for the purpose of improving
cardiac function in chronic heart failure patients. The core
technology used in MyoCell has been the subject of human
clinical trials conducted over the last six years involving
84 enrollees and 70 treated patients. Our most recent
clinical trials of MyoCell include the SEISMIC Trial, a
completed 40 patient Phase II clinical trial in
various countries in Europe, and the MYOHEART Trial, a completed
20 patient Phase I dose escalation trial in the United
States. Interim results of the SEISMIC and MYOHEART Trials were
announced in January 2007 and updated interim results are
disclosed in this prospectus. We have been cleared by the FDA to
proceed with a 330 patient, multicenter Phase II/III
trial of MyoCell in North America, Europe and Israel, or the
MARVEL Trial. We intend to seek to have final data available for
the MARVEL Trial by the third quarter of 2009. If the results of
the MARVEL Trial demonstrate statistically significant evidence
of the safety and efficacy of MyoCell, we anticipate having a
basis to ask the FDA to consider the MARVEL Trial a pivotal
trial. The SEISMIC, MYOHEART and MARVEL Trials have been
designed to test the safety and efficacy of MyoCell in treating
patients with severe, chronic damage to the heart. Upon
regulatory approval of MyoCell, we intend to generate revenue
from the sale of MyoCell cell culturing services to patients for
treatment of patients by interventional cardiologists.
In our pipeline, we have multiple product candidates for the
treatment of heart damage, including Bioheart Acute Cell
Therapy, an autologous, adipose cell treatment for acute heart
damage, and MyoCell II with
SDF-1,
a proposed
therapy utilizing autologous cells genetically modified to
express additional growth factors. We hope to demonstrate that
our various product candidates are safe and effective
complements to existing therapies for chronic and acute heart
damage.
MyoCell is a clinical therapy intended to improve cardiac
function and designed to be utilized months or even years after
a patient has suffered severe heart damage due to a heart attack
or other cause. We believe that MyoCell has the potential to
become a leading treatment for severe, chronic damage to the
heart due to its perceived ability to satisfy, at least in part,
what we believe to be an unmet demand for more effective and/or
more affordable therapies for chronic heart damage. MyoCell uses
myoblasts, cells that are precursors to muscle cells, from the
patients own body. The myoblasts are removed from a
patients thigh muscle, isolated, grown through our
proprietary cell culturing process, and injected directly in the
scar tissue of a patients heart. An interventional
cardiologist performs this minimally invasive procedure using an
endoventricular catheter. We have entered into an agreement with
a Johnson & Johnson company to use its
NOGA
®
Cardiac Navigation System along with its
MyoStar
tm
injection catheter for the delivery of MyoCell in the MARVEL
Trial.
When injected into scar tissue within the heart wall, myoblasts
have been shown to be capable of engrafting in the damaged
tissue and differentiating into mature skeletal muscle cells. In
a number of clinical and animal studies, the engrafted skeletal
muscle cells have been shown to express various proteins that
are important components of contractile function. By using
myoblasts obtained from a patients own body, we believe
MyoCell is able to avoid certain challenges currently faced by
other types of
cell-based
clinical
therapies including tissue rejection and instances of the cells
differentiating into cells other than muscle. Although a number
of therapies have proven to improve the cardiac function of a
damaged heart, no currently available treatment has demonstrated
an ability to generate new muscle tissue within the scarred
regions of a heart.
Interim data from the MYOHEART and SEISMIC Trials were presented
by the lead investigator of each trial on January 18, 2007
at the Third Annual International Conference on Cell Therapy for
Cardiovascular Diseases and the subject SEISMIC Trial data was
subsequently published in EuroIntervention Supplement B by
the lead investigator and other contributing authors (including
our VP of Clinical Affairs
67
and Physician Relations). The purpose of each trial is to assess
the safety and efficacy of MyoCell delivered via MyoCath. The
lead investigator for the MYOHEART Trial presented one-month
safety data for all 20 of the treated patients, and three and
six-month interim efficacy data for a subset of the treated
patients. Although not statistically significant due, in part,
to the limited number of patients treated, the lead investigator
indicated that the safety of MyoCell is strongly suggested and
the preliminary efficacy data demonstrated a trend towards an
improvement in scores for
six-minute
walk
distance, or
Six-Minute
Walk Distance, and an improvement in quality of life, or Quality
of Life. The lead investigator for the SEISMIC Trial presented
data for 16 treated patients and nine control group patients for
which at least
one-month
follow-up
data was available. He reported on three efficacy endpoints:
Six-Minute
Walk
Distance scores, NYHA Class and left ventricular ejection
fraction, or LVEF. In the EuroIntervention article summarizing
the same data presented by the lead investigator, the authors
noted that, although complete efficacy data are not yet
available and safety data are not yet fully adjudicated, these
preliminary results suggested that myoblast therapy for heart
failure is largely safe and effective. The authors further
indicated that (i) the risk of irregular heartbeats is
largely manageable with close observation and prophylactic use
of ICDs and anti-arrhythmic drug therapy and (ii) when
irregular heart beats do occur, they typically appear during the
first months following implantation and can largely be mitigated
with appropriate medical management. According to the authors,
patients treated with MyoCell also tend to show improvement in
quality of life and mechanical function over time, as evidenced
by previously completed clinical studies and the initial
reported trends from the interim SEISMIC Trial data. As
described in greater detail below in the Section entitled
Clinical Trials and Planned Clinical Trials, as of
May 2007, 17 treated patients in the MYOHEART and SEISMIC Trials
have experienced serious adverse events, including three patient
deaths, in the follow-up period. However, other than irregular
heartbeats, patients in these clinical trials have not
experienced a larger number of serious adverse events than would
be expected to be experienced by patients of similar clinical
status.
We continue to receive interim data from the MYOHEART and
SEISMIC Trials, which data, summarized in more detail below,
appears to be generally consistent with the interim data
presented in January.
We believe additional testing must be completed before we will,
if ever, have sufficient data to apply for and reasonably expect
to receive regulatory approval of MyoCell. However, if the final
SEISMIC Trial data is available in the first quarter of 2008 and
is generally consistent with the interim data, we intend to
seek, in the second quarter of 2008, approval from various
European regulatory bodies to market MyoCell to treat the
Class III Subgroup. We intend to seek to enroll and treat
all of the clinical patients in the MARVEL Trial by the end of
the fourth quarter of 2008. If we meet that enrollment timeline,
we would expect final trial results in the third quarter of
2009. If the final safety and efficacy results provide what we
believe is significant evidence that MyoCell is safe and
effective, we anticipate submitting such data to the FDA to
obtain regulatory approval of MyoCell. However, we face the
risks that future clinical test results will not assist us in
demonstrating the safety and efficacy of MyoCell and that the
results of subsequent testing will not corroborate earlier
results.
In addition to studies we have sponsored, we understand that
myoblast-based
clinical
therapies have been the subject of at least eleven clinical
trials involving more than 325 enrollees, including at least 235
treated patients. Although we believe many of the trials are
different from the trials sponsored by us in a number of
important respects, it is our view that the trials have advanced
the cell therapy industrys understanding of the potential
opportunities and limitations of myoblast-based therapies.
We believe the market for treating patients in NYHA
Class II or NYHA Class III heart failure is
significant. According to the AHA Statistics and the European
Society of Cardiology Task Force for the Treatment of Chronic
Heart Failure, in the United States and Europe there are
approximately 5.2 million and 9.6 million,
respectively, patients with heart failure. The AHA Statistics
further indicate that, after heart failure is diagnosed, the
one-year mortality rate is high, with one in five dying and that
80% of men and 70% of women under age 65 who have heart failure
will die within eight years. We believe that approximately 60%
of heart failure patients are in either NYHA Class II or
NYHA Class III heart failure based upon a 1999 study
entitled Congestive Heart Failure Due to Diastolic or
Systolic Dysfunction Frequency and Patient
Characteristics in an Ambulatory Setting by Diller, PM,
et. al.
68
Business Strategy
Our principal objective is to become a leading company that
discovers, develops and commercializes novel, autologous cell
therapies, and related devices, for the treatment of chronic and
acute heart damage. To achieve this objective, we plan to pursue
the following key strategies:
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Obtain initial regulatory approval of MyoCell by targeting
patients with severe heart damage.
In July 2007, we treated
the final patient in the SEISMIC Trial, which is comprised of 40
patients, including 26 treated patients. If the final SEISMIC
Trial data is available in the first quarter of 2008 as we
anticipate and is generally consistent with the interim data, we
intend to seek, in the second quarter of 2008, approval from
various European regulatory bodies to market MyoCell to treat
the Class III Subgroup. By targeting a class of patients
for whom existing therapies are very expensive, unavailable or
not sufficiently effective, we hope to expedite regulatory
approval of MyoCell. Assuming our U.S. clinical trial experience
is comparable to our experience to date in European trials, we
anticipate utilizing a similar strategy in our efforts to secure
U.S. regulatory approval of our lead product candidate.
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Obtain regulatory approval of MyoCell to treat patients with
less severe heart damage.
If we obtain initial regulatory
approval of MyoCell for the Class III Subgroup, we intend
to continue to sponsor clinical trials in an effort to
demonstrate that MyoCell should receive regulatory approval to
treat all patients in NYHA Class II or NYHA Class III heart
failure and, provided we believe we have a reasonable basis to
support such an indication, we intend to seek regulatory
approval for these patients.
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Continue to develop our pipeline of cell-based therapies and
related devices for the treatment of chronic and acute heart
damage.
In parallel with our efforts to secure regulatory
approval of MyoCell, we intend to continue to develop and test
other product candidates for the treatment of chronic and acute
heart damage. These efforts are expected to initially focus on
our Bioheart Acute Cell Therapy, TGI 1200, MyoCell II
with
SDF-1,
MyoCath and
MyoCath II product candidates.
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Develop our sales and marketing capabilities.
In advance
of any regulatory approval of our lead product candidate, we
intend to internally build a sales force which we anticipate
will market MyoCell primarily to interventional cardiologists.
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Continue to refine our MyoCell cell culturing processes.
We are seeking to automate a significant portion of our cell
culturing processes in an effort to further reduce our culturing
costs and processing times. In addition, we are seeking to
further optimize our processing times by building our
facilities, or contracting with a small number of cell culturing
facilities, in strategic regional locations.
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Expand and enhance our intellectual property rights.
We
intend to continue to expand and enhance our intellectual
property rights.
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License, acquire and/or develop complementary products and
technologies.
We intend to strengthen and expand our product
development efforts through the license, acquisition and/or
development of products and technologies that support our
business strategy.
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Industry Background
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Myocardial Infarction (Heart Attack)
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Myocardial infarction, or MI, commonly known as a heart attack,
occurs when a blockage in a coronary artery severely restricts
or completely stops blood flow to a portion of the heart. When
blood supply is greatly reduced or blocked for more than a short
period of time, heart muscle cells die. If the healthy heart
muscle cells do not replace the dead cells within approximately
two months, the injured area of the heart becomes unable to
function properly. In the healing phase after a heart attack,
white blood cells migrate into the affected area and remove the
dead heart muscle cells. Then, fibroblasts, the connective
tissue cells of the human body, proliferate and form a collagen
scar in the affected region of the heart. Following a heart
attack, the hearts ability to maintain normal function
will depend on the location and amount of damaged tissue. The
remaining initially undamaged heart muscle tissue must perform
more work to adequately maintain cardiac
69
output. Because the uninjured region is then compelled to work
harder than normal, the heart can progressively deteriorate
until it is unable to pump adequate blood to oxygenate the body
properly leading to heart failure and ultimately death.
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Congestive Heart Failure (CHF)
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Congestive heart failure, or CHF, is a debilitating condition
that occurs as the heart becomes progressively less able to pump
an adequate supply of blood throughout the body resulting in
fluid accumulation in the lungs, kidneys and other body tissues.
Persons suffering from NYHA Class II or worse heart failure
experience high rates of mortality, frequent hospitalization and
poor quality of life. CHF has many causes, generally beginning
in patients with a life-long history of high blood pressure or
after a patient has suffered a major heart attack or some other
heart-damaging event. CHF itself may lead to other complicating
factors such as pulmonary hypertension, edema, pulmonary edema,
liver dysfunction and kidney failure. Although medical therapy
for CHF is improving, it remains a major debilitating condition.
According to the American Heart Association Heart Disease
Statistics 2007 Update, the estimated, total direct
and indirect costs of heart failure in the United States in 2006
were approximately $33.2 billion.
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Classifying Heart Failure
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The NYHA heart failure classification system provides a simple
and widely recognized way of classifying the extent of heart
failure. It places patients in one of four categories based on
how limited they are during physical activity. NYHA Class I
heart failure patients have no limitation of activities and
suffer no symptoms from ordinary activities. NYHA Class II
heart failure patients have a mild limitation of activity and
are generally comfortable at rest or with mild exertion. NYHA
Class III heart failure patients suffer from a marked
limitation of activity and are generally comfortable only at
rest. NYHA Class IV heart failure patients generally suffer
discomfort and symptoms at rest and should remain confined to a
bed or chair.
The risk of hospitalization and death increases as patients
progress through the various stages of heart failure. The risk
of hospitalization due to heart failure for patients in NYHA
Class II, NYHA Class III and NYHA Class IV is
approximately 1.2, 2.3 and 3.7 times greater than for patients
in NYHA Class I heart failure according to a 2006 American
Heart Journal article entitled Higher New York Heart
Association Classes and Increased Mortality and Hospitalization
in Patients with Heart Failure and Preserved Left Ventricular
Function by Ahmed, A et al. Similarly, according to this
same article, the risk of death from all causes for patients in
NYHA Class II, NYHA Class III and NYHA Class IV
is approximately 1.5, 2.6 and 8.5 times greater than for
patients in NYHA Class I heart failure.
The following chart illustrates the various stages of heart
failure, their NYHA classifications and the associated current
standard of treatment.
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NYHA
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Class
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NYHA Functional Classification
(1)
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Specific Activity Scale
(2)(3)
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Current Standard of Treatment
(4)
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I
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Symptoms only with above normal physical activity
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Can perform more than 7 metabolic equivalents
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ACE Inhibitor, Beta-Blocker
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II
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Symptoms with normal physical activity
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Can perform more than 5 metabolic equivalents
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ACE Inhibitor, Beta-Blocker, Diuretics
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III
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Symptoms with minimal physical activity
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Can perform more than 2 metabolic equivalents
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ACE Inhibitor, Beta-Blocker, Diuretics, Digoxin, Bi-ventricular
pacers
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IV
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Symptoms at rest
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Cannot perform more than 2 metabolic equivalents
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ACE Inhibitor, Beta-Blocker, Diuretics, Digoxin, Hemodynamic
Support, Mechanical Assist Devices, Bi-ventricular pacers,
Transplant
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70
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(1)
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Symptoms include fatigue, palpitations, shortness of breath and
chest pain; normal activity is equivalent to walking one flight
of stairs or several blocks.
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(2)
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Based upon the Goldman Activity Classification of Heart Failure,
which classifies severity of heart failure based on estimated
metabolic cost of various activities; the four classes of the
Goldman Activity Classification system correlate to the NYHA
Classes.
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(3)
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7 metabolic equivalents = shovel snow, carry 24 lbs. up 8
stairs, recreational sports; 5 metabolic equivalents = garden,
rake, dance, walk 4 mph on level ground, have intercourse; 2
metabolic equivalents = shower without stopping, strip and make
bed, dress without stopping.
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(4)
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Source: American College of Cardiology/ American Heart
Association 2005 Guideline Update for the Diagnosis and
Management of Chronic Heart Failure in the Adult.
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Diagnosis and Management of Heart Failure
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Heart disease has been the leading cause of death from 1950
through 2003 within the United States according to the U.S.
Department of Health and Human Services. In addition, heart
failure is the single most frequent reason for hospitalization
in the elderly according to a 2007 study entitled
Long-Term Costs and Resource Use in Elderly Participants
with Congestive Heart Failure by Liao, L., et al. The
American College of Cardiology/ American Heart Association 2005
Guideline Update for the Diagnosis and Management of Chronic
Heart Failure in the Adult, or the ACC/ AHA Guidelines, provides
recommendations for the treatment of chronic heart failure in
adults with normal or low LVEF. The treatment escalates and
becomes more invasive as the heart failure worsens. Current
treatment options for severe, chronic heart damage include, but
are not limited to, heart transplantation and other surgical
procedures, bi-ventricular pacers, drug therapies, ICDs, and
ventricular assist devices. Therapies utilizing drugs, ICDs and
bi-ventricular pacers are currently by far the most commonly
prescribed treatments for patients suffering from NYHA
Class II or NYHA Class III heart failure. Since the
therapies generally each address a particular feature of heart
disease or a specific subgroup of heart failure patients, the
therapies are often complementary and used in combination.
Drug Therapies.
The ACC/ AHA Guidelines recommend that
most patients with heart failure should be routinely managed
with a combination of ACE inhibitors, beta-blockers and
diuretics. The value of these drugs has been established by the
results of numerous large-scale clinical trials and the evidence
supporting a central role for their use is, according to the
ACC/ AHA Guidelines, compelling and persuasive. ACE inhibitors
and beta blockers have been shown to improve a patients
clinical status and overall sense of well being and reduce the
risk of death and hospitalization. Side effects of ACE
inhibitors include hypotension, worsening kidney function,
potassium retention, cough and angioedema. Side effects of
beta-blockers include fluid retention, fatigue, bradycardia and
heart block and hypotension.
Bi-ventricular Pacers.
The ACC/ AHA Guidelines recommend
bi-ventricular pacers for persons who, in addition to suffering
from heart failure, have left and right ventricles that do not
contract in sync, known as ventricular dyssynchrony and who have
a LVEF less than or equal to 35%, sinus rhythm and NYHA
Class III or NYHA Class IV symptoms despite
recommended optimal medical therapy. Bi-ventricular pacers are
surgically implanted electrical generators that function
primarily by stimulating the un-damaged portion of the heart to
beat more strongly using controlled bursts of electrical
currents in synchrony. Compared with optimal medical therapy
alone, bi-ventricular pacers have been shown in a number of
clinical trials to significantly decrease the risk of all-cause
hospitalization and all-cause mortality as well as to improve
LVEF, NYHA Class and Quality of Life. According to the ACC/ AHA
Guidelines, there are certain risks associated with the
bi-ventricular pacer including risks associated with
implantation and device-related problems.
Implantable Cardioverter Defibrillators.
ACC/ AHA
Guidelines recommend ICDs primarily for patients who have
experienced a life-threatening clinical event associated with a
sustained irregular heartbeat and in patients who have had a
prior heart attack and a reduced LVEF. ICDs are surgically
implanted devices that continually monitor patients at high risk
of sudden heart attack. When an irregular rhythm is detected,
the device sends an electric shock to the heart to restore
normal rhythm. In 2001, ICDs were implanted in approximately
62,000 and 18,000 patients in the United States and Europe,
respectively. Although ICDs have not demonstrated an ability to
improve cardiac function, according to the ACC/ AHA Guidelines,
ICDs are highly effective in preventing sudden death due to
irregular heartbeats. However, according to the ACC/ AHA
71
Guidelines, frequent shocks from an ICD can lead to a reduced
quality of life, whether triggered appropriately or
inappropriately. In addition, according to the ACC/ AHA
Guidelines, ICDs have the potential to aggravate heart failure
and have been associated with an increase in heart failure
hospitalizations.
Heart Transplantation and Other Surgical Procedures.
According to the ACC/ AHA Guidelines, heart transplantation
is currently the only established surgical approach for the
treatment of severe heart failure that is not responsive to
other therapies. Heart transplantation is a major surgical
procedure in which the diseased heart is removed from a patient
and replaced with a healthy donor heart. Heart transplantation
has proven to dramatically improve cardiac function in a
majority of the patients treated and most heart transplant
recipients return to work, travel and normal activities within
three to six months after the surgery. In addition, the risk of
hospitalization and mortality for transplant recipients is
dramatically lower than the risk faced by patients in NYHA
Class III or NYHA Class IV heart failure. Heart
transplants are not, for a variety of reasons, readily available
to all patients with severe heart damage. The availability of
heart transplants is limited by, among other things, cost and
donor availability. In addition to the significant cost involved
and the chronic shortage of donor hearts, one of the serious
challenges in heart transplantation is potential rejection of
the donor heart. For many heart transplant recipients, chronic
rejection significantly shortens the length of time the donated
heart can function effectively and such recipients are generally
administered costly anti-rejection drug regimens which can have
adverse and potentially severe side effects.
There are a number of alternate surgical approaches for the
treatment of severe heart failure under development, including
cardiomyoplasty, a surgical procedure where the patients
own body muscle is wrapped around the heart to provide support
for the failing heart, the Batista procedure, a surgical
procedure that reduces the size of an enlarged heart muscle so
that the heart can pump more efficiently and vigorously, and the
Dor procedure. According to the ACC/ AHA Guidelines, both
cardiomyoplasty and the Batista procedure have failed to result
in clinical improvement and are associated with a high risk of
death. The Dor procedure involves surgically removing scarred,
dead tissue from the heart following a heart attack and
returning the left ventricle to a more normal shape. While the
early published single-center experience with the Dor procedure
demonstrated early and late improvement in NYHA Class and LVEF,
according to the ACC/ AHA Guidelines, this procedures role
in the management of heart failure remains to be defined.
Ventricular Assist Devices.
Ventricular assist devices
are mechanical heart pumps that replace or assist the pumping
role of the left ventricle of a damaged heart too weak to pump
blood through the body. Ventricular assist devices are primarily
used as a bridge for patients on the waiting list for a heart
transplant and have been shown in published studies to be
effective at halting further deterioration of the patients
condition and decreasing the likelihood of death before
transplantation. In addition, ventricular assist devices are a
destination therapy for patients who are in NYHA Class IV
heart failure despite optimal medical therapy and who are not
eligible for heart transplant. According to the ACC/ AHA
Guidelines, device related adverse events are reported to be
numerous and include bleeding, infection, blood clots and device
failure. In addition, ventricular assist devices are very
expensive, with the average first-year cost estimated at
$222,460.
We believe the heart failure treatment industry generally has a
history of adopting therapies that have proven to be safe and
effective complements to existing therapies and using them in
combination with existing therapies. It is our understanding
that there is no one or two measurement criteria, either
quantitative or qualitative, that define when a therapy for
treating heart failure will be deemed safe and effective by the
FDA. We believe that the safety and efficacy of certain existing
FDA approved therapies for heart damage were demonstrated based
upon a variety of endpoints, including certain endpoints (such
as LVEF) that individually did not demonstrate large numerical
differences between the treated patients and untreated patients.
For instance, the use of bi-ventricular pacers with optimal drug
therapy has proven to significantly decrease the risk of
all-cause hospitalization and all-cause-mortality as well as to
improve LVEF, NYHA Class and quality of life as compared to the
use of optimal drug therapy alone. In the Multicenter InSync
Randomized Clinical Evaluation (MIRACLE) trial, one of the
first large studies to measure the therapeutic benefits of
bi-ventricular pacing, 69% of the patients in the treatment
group experienced an improvement in NYHA Class by one or more
classes at six-month follow-up versus a 34% improvement in the
control group. However, patients in the treatment group
experienced on average only a 2.1% improvement in LVEF as
compared with a 1.7% improvement for patients in the control
group. Although a number of the therapies described above have
72
proven to improve the cardiac function of a damaged heart, no
currently available heart failure treatment has demonstrated an
ability to generate new muscle tissue within the scarred regions
of a heart.
Our Proposed Solution
Our lead product candidate is MyoCell. We believe MyoCell has
the potential to become a leading treatment for severe chronic
damage to the heart due to its perceived ability to satisfy, at
least in part, what we believe to be a presently unmet demand
for more effective and/or more affordable therapies for chronic
heart damage.
The human heart does not have cells that naturally repair or
replace damaged heart muscle. Accordingly, the human body
cannot, without medical assistance, repopulate regions of scar
tissue within the heart with functioning muscle. MyoCell is a
clinical therapy designed to improve cardiac function by
populating regions of scar tissue within a patients heart
with myoblasts derived from a biopsy of a patients thigh
muscle. Myoblasts are precursors to muscle cells that have the
capacity to fuse with other myoblasts or with damaged muscle
fibers to regenerate skeletal muscle. When injected into scar
tissue within the heart wall, myoblasts have been shown to be
capable of engrafting in the damaged tissue and differentiating
into mature skeletal muscle cells. In a number of clinical and
animal studies, the engrafted skeletal muscle cells have been
shown to express various proteins that are important components
of contractile function. By using myoblasts obtained from a
patients own body, we believe MyoCell is able to avoid
certain challenges currently faced by other cell-based clinical
therapies intended to be used for the treatment of chronic heart
damage including tissue rejection and instances of the cells
differentiating into cells other than muscle.
Our clinical research to date suggests that MyoCell may improve
the contractile function of the heart. However, we have not yet
been able to demonstrate a mechanism of action. The engrafted
skeletal muscle tissues are not believed to be coupled with the
surrounding heart muscle by the same chemicals that allow heart
muscle cells to contract simultaneously. The theories regarding
why contractile function may improve include:
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the engrafted muscle tissue can contract in unison with the
other muscles in the heart by stretching or by the channeling of
electric currents;
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the myoblasts acquire certain characteristics of heart muscle or
fuse with them; and/or
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the injected myoblasts release various proteins that indirectly
result in a limit on further scar tissue formation.
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As part of the MyoCell therapy, a general surgeon removes
approximately five to ten grams of thigh muscle tissue from the
patient utilizing local anesthesia, typically on an outpatient
basis. The muscle tissue is then express-shipped to a cell
culturing site. At the cell culturing site, our proprietary
techniques are used to isolate and remove myoblasts from the
muscle tissue. We typically produce enough cells to treat a
patient within approximately 21 days of his or her biopsy.
Such production time is expected to continue to decrease as we
continue to refine our cell culturing processes. After the cells
are subjected to a variety of tests, the cultured cells are
packaged in injectate media and express shipped to the
interventional cardiologist. Within four days of packaging, the
cultured myoblasts are injected via catheter directly into the
scar tissue of the patients heart. The injection process
takes on average about one hour and can be performed with or
without general anesthesia. Following treatment, patients
generally remain in the hospital for approximately
48-72 hours for monitoring.
The MyoCell injection process is a minimally invasive procedure
which presents less risk and considerably less trauma to a
patient than conventional (open) heart surgery. Patients
are able to walk immediately following the injection process and
require significantly less time in the hospital compared with
surgically treated patients. In the 70 patients who have
received MyoCell injections delivered via percutaneous catheter,
only two minor procedure-related events (2.9%) have been
reported. In both cases, however, no complications
73
resulted from the event, with the patients in each case
remaining asymptomatic at all times during and after the
procedure.
We use a number of proprietary processes to create therapeutic
quantities of myoblasts from a patients thigh muscle
biopsy. We have developed and/or licensed what we believe are
proprietary or patented techniques to:
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transport muscle tissue and cultured cells;
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disassociate muscle tissue with manual and chemical processes;
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separate myoblasts from other muscle cells;
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culture and grow myoblasts;
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identify a cell population with the propensity to engraft,
proliferate and adapt to the cardiac environment, including
areas of scar tissue; and
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maintain and test the cell quality and purity.
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We have also developed and/or licensed a number of proprietary
and/or patented processes related to the injection of myoblasts
into damaged heart muscle, including the following:
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package the cultured cells in a manner that facilitates shipping
and use by the physician administering MyoCell;
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methods of using MyoCath;
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the use of an injectate media that assists in the engraftment of
myoblasts;
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cell injection techniques utilizing contrast media to assist in
the cell injection process; and
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cell injection protocols related to the number and location of
injections.
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Assuming we secure regulatory approval of MyoCell for the
treatment of all NYHA Class II and NYHA Class III
patients, we believe MyoCell will provide a treatment
alternative for the millions of NYHA Class II and NYHA
Class III patients in the United States and Europe who
either do not qualify for or have access to heart transplant
therapy. Furthermore, we anticipate that the time incurred and
cost of identifying patients qualified to receive MyoCell as
well as the cost of MyoCell, including any ICD, drug and
bi-ventricular pacer therapies that are simultaneously
prescribed, if any, will be less expensive than the current cost
of heart transplant therapy. Moreover, MyoCell is less invasive
than a heart transplant and is not subject to the tissue
rejection and immune system suppression issues associated with
heart transplants.
We believe there is still a large population of patients
exhibiting symptoms consistent with NYHA Class II and NYHA
Class III heart failure that is seeking an effective or
more effective therapy for chronic heart damage than ICDs,
bi-ventricular pacers and drug therapies. We hope to demonstrate
that MyoCell is complementary to various therapies using ICDs,
bi-ventricular pacers and drugs. In the MYOHEART and SEISMIC
Trials, enrolled patients are required to have an ICD and to be
on optimal drug therapy to be included in the study. While we do
not require patients to have previously received a
bi-ventricular pacer to participate in our clinical trials, we
plan to accept patients in our MARVEL Trial who have had prior
placement of a bi-ventricular pacer. We are hopeful that the
results of our future clinical trials will demonstrate that
MyoCell is complementary to existing therapies for treating
heart damage.
Clinical Trials and Planned Clinical Trials of MyoCell
Several clinical trials have been conducted for the purpose of
demonstrating the safety and efficacy of MyoCell and MyoCath. We
have sponsored five clinical trials and one registry study of
MyoCell involving 84 enrollees, including 70 treated patients
and 14 control patients who received only optimal medical
therapy. In addition to studies we have sponsored, we believe
myoblast-based clinical therapies have been the subject of at
least eleven clinical trials involving more than 325 enrollees,
including at least 235 treated patients. We believe additional
testing must be completed before we will, if ever, have
sufficient data to apply for and reasonably
74
expect to receive regulatory approval of MyoCell. We face the
risks that future clinical trial results will not assist us in
demonstrating the safety and efficacy of MyoCell and that the
results of subsequent testing will not corroborate earlier
results.
The following table summarizes our planned, ongoing and
completed clinical trials of MyoCell. In addition to delivery
via MyoCath, MyoCell has been tested in certain trials using
MyoStar and Medtronics
TransAccess
tm
catheter, or the TransAccess catheter.
U.S. Focused Clinical Trials
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Number of
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Clinical Trial
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Clinical Trial
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Patients
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Sites
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Objective
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Status
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MARVEL
(Phase II/III
Clinical Trial)
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330
anticipated,
including
110
controls
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20 sites in the United States and Canada and up to 15 sites
in Europe and Israel anticipated
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Designed to be a double-blind, randomized, placebo-controlled,
multicenter trial to evaluate the safety and efficacy of MyoCell
delivered via MyoStar
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Six-month interim data anticipated in the second quarter of 2009
and final trial results anticipated in the third quarter of 2009
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MYOHEART
(Phase I Clinical Trial)
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20
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5 sites in the United States
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Phase I dose escalation study to assess safety, feasibility and
efficacy of MyoCell delivered via MyoCath
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|
Trial commenced in 2003; treatment of all 20 patients completed
in October 2006; monitoring patients through twelve month
follow-up; interim three-month data received in January 2007;
interim six-month data disclosed in this prospectus; final
twelve-month data anticipated to be presented in January 2008
|
European Clinical Trials
|
|
|
|
|
|
|
|
|
|
|
Number of
|
|
Clinical Trial
|
|
|
|
|
Clinical Trial
|
|
Patients
|
|
Sites
|
|
Objective
|
|
Status
|
|
|
|
|
|
|
|
|
|
SEISMIC
(Phase II
Clinical Trial)
|
|
40,
including
14 controls
|
|
12 sites in the Netherlands, Germany, Belgium, Spain, Poland and
the United Kingdom
|
|
Phase II European study to assess the safety and efficacy
of MyoCell delivered via MyoCath
|
|
Trial commenced in November 2005; treatment of all patients
completed in July 2007; final results anticipated in the first
quarter of 2008
|
Phase I/ II
Clinical Trial
|
|
15
|
|
3 sites in the Netherlands, Germany and Italy
|
|
Phase I/II European study to assess the safety and efficacy
of MyoCell
|
|
Trial commenced in 2002; twelve-month follow-up completed in
June 2004
|
Netherlands
Pilot Trial
|
|
5
|
|
1 site in the Netherlands
|
|
Pilot study to assess safety and feasibility of MyoCell
|
|
Trial commenced in 2001; six-month follow- up completed in
October 2003
|
2002 Trial
|
|
3
|
|
1 site in the Netherlands
|
|
Designed to evaluate the safety and efficacy of MyoCell
delivered via the TransAccess catheter
|
|
Trial commenced in 2002; discontinued upon Transvasculars
acquisition by Medtronic
|
75
Other Clinical Trials
|
|
|
|
|
|
|
|
|
|
|
Number of
|
|
Clinical Trial
|
|
|
|
|
Clinical Trial
|
|
Patients
|
|
Sites
|
|
Objective
|
|
Status
|
|
|
|
|
|
|
|
|
|
Partial
Reimbursement
Registry Studies
|
|
Up to 10
in the next
two years
|
|
6 sites in Korea, Mexico, Switzerland, The Bahamas, Singapore
and South Africa anticipated
|
|
Designed to generate additional safety and efficacy data and
revenues
|
|
Requisite regulatory approval to conduct trials received at all
sites; contracts in place with an institution in each of Mexico,
the Bahamas, Switzerland and Korea; implantation of one patient
in Mexico complete
|
Metrics Used to Evaluate
Safety and Efficacy of Heart Failure Treatments
The performance of therapies used to treat damage to the heart
is assessed using a number of metrics, which compare data
collected at the time of initial treatment to data collected
when a patient is re-assessed at follow-up. The time periods for
follow-up are usually three, six and twelve months. Statistical
data is often accompanied by a p-value, which is the
mathematical probability that the data are the result of random
chance. A result is considered statistically significant if the
p-value is less than or equal to 5%. The common metrics used to
evaluate the efficacy of these therapies include:
|
|
|
Metric
|
|
Description
|
|
|
|
NYHA Class
|
|
The NYHA heart failure classification system is a functional and
therapeutic classification system based on how much cardiac
patients are limited during physical activity.
|
Six-Minute Walk Distance
|
|
Six-Minute Walk Distance is an objective evaluation of
functional exercise capacity which measures the distance a
patient can walk in six minutes. The distance walked during this
test has been shown to correlate with the severity of heart
failure.
|
LVEF
|
|
LVEF is a measure of the hearts efficiency and can be used
to estimate the function of the left ventricle, which pumps
blood to the rest of the body. The LVEF is the amount of blood
pumped divided by the amount of blood the ventricle contains. A
normal LVEF is more than 55% of the blood volume. Damage to the
heart impairs the hearts ability to efficiently pump and
therefore reduces LVEF.
|
Quality of Life
|
|
Quality of Life is evaluated by patient questionnaire, which
measures subjective aspects of health status in heart failure
patients.
|
Number of Hospital
Admissions and Mean
Length of Stay
|
|
The Number of Hospital Admissions and Mean Length of Stay
measure the aggregate number of times that a patient is admitted
to the hospital during a defined period and the number of days a
patient remains in the hospital during each such admission.
|
Total Days Hospitalized
|
|
The Total Days Hospitalized measures the aggregate number of
days a patient is admitted to the hospital during a defined
period.
|
End-Systolic Volume
|
|
End-Systolic Volume is a measurement of the adequacy of cardiac
emptying, related to the function of the heart during
contraction.
|
End-Diastolic Volume
|
|
End-Diastolic Volume is the amount of blood in the ventricle
immediately before a cardiac contraction begins and is used as a
measurement of the function of the heart at rest.
|
LV Volume
|
|
Left Ventricular Volume, or LV Volume, is measured in terms of
left ventricular End-Diastolic Volume and left ventricular
End-Systolic Volume. Both measure the reduction in volume of
blood in the left ventricle of the heart following expansion and
contraction, respectively. Reduction in volume generally is
reflective of positive ventricular remodeling and improvement in
the hearts ability to circulate oxygenated blood through
the arteries.
|
76
|
|
|
Metric
|
|
Description
|
|
|
|
Wall Motion
|
|
Wall Motion is a test designed to show whether the heart is
receiving adequate quantities of oxygen-rich blood. Wall motion
is generally measured by a stress echocardiography test.
|
Cardiac Output
|
|
Cardiac Output is a measure of the amount of blood that is
pumped by the heart per unit time, measured in liters per minute.
|
BNP Level
|
|
B-Type Natriuretic Peptide, or BNP, is a substance secreted from
the ventricles or lower chambers of the heart in response to
changes in pressure that occur when heart failure develops and
worsens. The level of BNP in the blood increases when heart
failure symptoms worsen and decreases when the heart failure
condition is stable.
|
|
|
|
MARVEL Phase II/III Clinical Trial in the United States
Canada, Israel and certain countries in Europe
|
The MARVEL Trial is designed to be a double-blind, randomized,
placebo-controlled multicenter trial to evaluate the safety and
efficacy of MyoCell delivered via MyoStar. We submitted our
amended IND application setting forth the proposed protocol for
this clinical trial to the FDA in November 2006. In July 2007,
we submitted to the FDA an additional amendment to the trial
protocol and, in August 2007, we received clearance from the FDA
to proceed with the trial. We intend to seek to have final data
available for the MARVEL Trial by the third quarter of 2009. If
the results of the MARVEL Trial demonstrate statistically
significant evidence of the safety and efficacy of MyoCell, we
anticipate having a basis to ask the FDA to consider the MARVEL
Trial a pivotal trial, although there can be no assurances that
the FDA will consider the trial pivotal. This study is planned
to include 330 patients, including 110 controls, at
20 sites in the United States and Canada and up to
15 sites in Europe and Israel. We currently anticipate that
our primary and secondary endpoints will be measured at three
months and six months following treatment.
We anticipate that all of the patients selected for enrollment
in the MARVEL Trial will have (i) symptoms associated with
NYHA Class II or NYHA Class III heart failure,
(ii) suffered a previous heart attack at least 90 days
prior to the date of treatment, (iii) a LVEF of less than
or equal to 35%, (iv) been on optimal drug therapy for at
least two months prior to enrollment and (v) had prior
placement of an ICD at least 60 days prior to enrollment.
We anticipate that patients will be required to use Amiodarone,
an anti-arrhythmic drug therapy, at least 24 hours prior to
MyoCell implantation.
We anticipate that the patients will be divided into three
groups. Patients in the first group will undergo treatment
consisting of 16 injections of an aggregate dosage of
approximately 800 million myoblast cells. Patients in the
second group will undergo treatment consisting of 16 injections
of an aggregate dosage of approximately 400 million
myoblast cells. Patients in the third group will receive 16
placebo injections.
77
We anticipate the MARVEL Trial will measure the following safety
and efficacy endpoints of the MyoCell treatment:
|
|
|
|
|
|
|
Primary Safety
|
|
Primary Efficacy
|
|
Secondary Efficacy
|
|
Tertiary Efficacy
|
Endpoint
|
|
Endpoints
|
|
Endpoints
|
|
Endpoints
|
|
|
|
|
|
|
|
|
Number of serious adverse events in treatment group as compared
to control group
|
|
Change in Six-Minute Walk Distance from baseline to six months
as compared to control group, or
Quality of Life scores assessed using Minnesota Living with
Heart Failure questionnaire from baseline to six months as
compared to control group
|
|
Total Days Hospitalized in treatment group as compared to
control group
Cause-specific hospitalizations in treatment group as compared
to control group
Proportion of patients with an improved NYHA Class from
baseline to six months as compared to control group
Total days alive out of hospital over the six-month study
period
Change in LVEF from baseline to six months as compared to
control group
Change in LV Volume and wall motion from baseline to six months
as compared to control group
Change in BNP Level from baseline to six months as compared to
control group
|
|
Total cost and healthcare utilization within six months
Time to death or CHF hospitalization
Change in degree of mitral regurgitation from baseline to six
months
Change in Six-Minute Walk Distance from baseline to three
months as compared to control group
Quality of Life scores assessed using Minnesota Living with
Heart Failure questionnaire from baseline to three months as
compared to control group
Proportion of patients with improved NYHA Class from baseline
to three months as compared to control group
|
We intend to seek to enroll and treat all of the clinical
patients in the MARVEL Trial by the end of the fourth quarter of
2008. If we meet that enrollment timeline, we would expect final
trial results in the third quarter of 2009. If the results of
the MARVEL Trial demonstrate statistically significant evidence
of the safety and efficacy of MyoCell, we anticipate having a
basis to ask the FDA to consider the MARVEL Trial a pivotal
trial.
|
|
|
MYOHEART Phase I Dose Escalation Clinical Trial in the
United States
|
In October 2006, we completed the MyoCell implantation procedure
on the final patient in our 20 patient Phase I dose escalation
MYOHEART Trial in the United States. The purpose of the MYOHEART
Trial was to assess the safety, feasibility and efficacy of
MyoCell delivered via MyoCath. We divided the patients into four
cohorts of five and each group received a progressively
increasing dose of myogenic cells, ranging from 25 million
(first cohort) to 675 million (fourth cohort). Safety
endpoints were the evaluation of the nature and frequency of
serious adverse events during the twelve month period following
MyoCell treatment. The
78
MYOHEART Trial was conducted at five clinical sites.
Dr. Warren Sherman, the lead investigator, as well as two
of the other MYOHEART Trial investigators, Dr. Nicolas
Chronos and Dr. Stephen Ellis, are members of our
Scientific Advisory Board.
All of the patients selected for enrollment in the MYOHEART
Trial had (i) symptoms associated with NYHA Class II
or NYHA Class III heart failure, (ii) suffered a
previous heart attack at least twelve weeks prior to the date of
treatment, (iii) a LVEF of between 20% to 40%,
(iv) been on optimal drug therapy and (v) prior
placement of an ICD at least one month prior to enrollment. The
patients in the MYOHEART Trial did not take Amiodarone to reduce
the potential incidence of irregular heartbeats.
We have summarized below the interim safety and efficacy data
from the MYOHEART Trial available to us as of May 17, 2007.
Due, in part, to the limited number of patients treated in the
MYOHEART Trial, this trial was not designed to, and to our
knowledge does not, conclusively demonstrate the statistical
significance of any of the efficacy endpoints. We do not
currently have or expect to have in the next few months
sufficient data to independently calculate whether or not the
results described below are statistically significant (i.e.,
p-value less than or equal to .05). However, we have certain
data that suggest preliminary p-values indicative of
significance for some, but not all, of the interim data related
to Six Minute Walk Distance and Quality of Life.
|
|
|
|
|
Six-Minute Walk Distance:
|
|
|
|
|
|
for the 18 surviving patients able to complete the test at three
months, patients treated in the first, second, third and fourth
cohorts demonstrated a 6%, 10%, 22% and 13% respective
improvement relative to their cohort baseline in their mean
Six-Minute Walk Distance at three months as depicted in the
chart below; and
|
79
|
|
|
|
|
for the 14 surviving patients able to complete the test at six
months, patients treated in the first, second, third and fourth
cohorts demonstrated a 5%, 23%, 6% and 9% respective improvement
relative to their cohort baseline in their mean Six-Minute Walk
Distance at six months as depicted in the chart below.
|
One surviving patient was too ill to complete the test at three
months. Four surviving patients were unable to complete the test
at six months for various reasons, including knee replacement
surgery, hip pain, inability to walk without crutches and
sprained ankles.
80
|
|
|
|
|
Quality of Life.
Relative to a baseline Quality of Life
score, for the 17, 14 and ten patients for whom we had three,
six and twelve-month data available, respectively, there was
reported improvement in mean Quality of Life scores at three
months, six months and twelve months as depicted in the chart
below.
|
81
|
|
|
|
|
LVEF.
As depicted in the chart below, LVEF scores for the
19 surviving patients at three months improved, on average, from
23.7% at baseline to 24.8% at three months following treatment
and LVEF scores for the 18 surviving patients at six months
following treatment improved, on average, from 23.7% at baseline
to 25.6% at six months following treatment. For the 19, 18 and
13 patients for whom we had three, six and twelve-month data
available, the chart below depicts the mean increase or decrease
in LVEF for each cohort at three, six and twelve months:
|
82
Please note that the foregoing discussion summarizes our
internal interim analysis of the available efficacy data as of
the dates indicated. The data has not yet been peer reviewed nor
have our validation processes with respect to the above data
been completed. Accordingly, this interim data is subject to
change as we continue to collect data and undertake the
processes necessary to confirm the accuracy of the data.
In line with our expectations for the study, as of May 17,
2007, 16 serious adverse events were reported in eight patients
during follow-up. Two of the 20 patients died, adjudicated as
possibly related to MyoCell. Six patients experienced irregular
heartbeats, four of which have been adjudicated as possibly
related to MyoCell. Of these six patients experiencing irregular
heartbeats, three patients had previously suffered from this
condition prior to MyoCell implantation.
At the January 18, 2007 Third Annual International
Conference on Cell Therapy for Cardiovascular Diseases,
Dr. Sherman presented one month safety data for all 20 of
the patients treated in the MYOHEART Trial. He also presented
three-month, six-month and twelve-month interim efficacy data on
the Six-Minute Walk Distance, Quality of Life and LVEF endpoints
for as many as 16, 14 and 10, respectively, of the patients
treated depending on the data then available for the particular
endpoint.
With regards to efficacy, Dr. Sherman indicated in his
presentation that the interim data from the MYOHEART Trial
demonstrates a preliminary trend towards an improvement in
Six-Minute Walk Distance scores and an improvement of Quality of
Life. In addition, although not statistically significant due,
in part, to the limited number of patients treated,
Dr. Sherman indicated in his January presentation that the
safety of MyoCell is strongly suggested by the MYOHEART results
available at that time. There have been no additional serious
adverse events reported since the interim safety data presented
by Dr. Sherman in January 2007.
We believe the interim safety and efficacy data as of
May 17, 2007 summarized above is generally consistent with
the data presented by Dr. Sherman in January 2007. We
expect to receive and present final twelve month data from this
trial in January 2008.
|
|
|
SEISMIC Phase II clinical trial in Europe
|
The purpose of the SEISMIC Trial is to assess the safety and
efficacy of MyoCell delivered via MyoCath. 26 patients, or the
Treatment Group Patients, will receive a dosage of between
150 million and 800 million myoblast cells and 14
patients will comprise the control group, or the Control Group
Patients. The primary efficacy endpoint is the change in LVEF at
three-month and six-month follow-up as compared to baseline LVEF
and secondary efficacy endpoints include change in NYHA Class,
change in Six-Minute Walk Distance, the effect of MyoCell
treatment on hospitalizations or the need for medical treatment
outside of hospitalizations and improvements in global
contractility, wall thickness, coronary perfusion and change in
scar size. The primary safety endpoint is the relative incidence
of serious adverse events at three-month and six-month follow-up
experienced by the Treatment Group Patients as compared to the
Control Group Patients. Serious adverse events are defined to
include any adverse events that are fatal, life-threatening,
result in permanent impairment or surgery to preclude permanent
impairment of a body function, or require in-patient
hospitalization that is not specifically required by the
clinical trial protocol or is elective. Secondary safety
endpoints include the Number of Hospital Admissions and Mean
Length of Stay in the six-month period following MyoCell
treatment in the Treatment Group Patients as compared to the
Control Group Patients.
All of the patients selected for enrollment in the SEISMIC Trial
have (i) symptoms associated with NYHA Class II or
NYHA Class III heart failure, (ii) suffered a previous
heart attack at least 90 days prior to the date of
treatment, (iii) a LVEF of between 20% to 45%,
(iv) been on optimal drug therapy for at least two months
prior to enrollment and (v) had prior placement of an ICD
at least six months prior to enrollment. All of the patients in
the SEISMIC Trial were prescribed Amiodarone to reduce the
potential incidence of irregular heartbeats. In Europe, twelve
cardiology centers in six countries, including the Netherlands,
Germany, Belgium, Spain, Poland and the United Kingdom are
conducting the SEISMIC Trial. One of the SEISMIC Trial
investigators, Pr. Nicholas Peters, MD, PhD, is a member of our
Scientific Advisory Board.
83
We originally anticipated that up to 46 patients would be
randomized as part of the SEISMIC Trial, with 30 of these
patients allocated to the treatment arm of the study so that
approximately two-thirds of the patients would be randomized as
Treatment Group Patients. As of July 31, 2007, we have 40
patients in follow-up, including 26 Treatment Group Patients and
14 Control Group Patients. We had previously made the
determination to close enrollment of patients in the SEISMIC
Trial at the end of March 2007 so that we could focus on
commencement of the MARVEL Trial and, accordingly, we expect the
final SEISMIC Trial results to include data on a total of 26
Treatment Group Patients and 14 Control Group Patients.
We have summarized below the interim safety and efficacy data
from the SEISMIC Trial available to us as of May 14, 2007.
Due, in part, to the limited number of patients treated in the
SEISMIC Trial, this trial was not designed to and, to our
knowledge does not, conclusively demonstrate the statistical
significance of any of the efficacy endpoints. We do not
currently have or expect to have in the next few months
sufficient data to independently calculate whether or not the
results described below are statistically significant (i.e.,
p-value less than or equal to .05).
For the efficacy metrics Six-Minute Walk Distance, NYHA Class
and LVEF, we have presented mean and median data measured at
baseline and at three and six months following treatment for
each Treatment Group Patient and Control Group Patient for which
we have follow-up data for such metric at the measurement point,
or the Follow-Up Patients. The baseline data presented in the
following tables only includes the baseline measurements for the
Follow-Up Patients, or the Subset Baseline, and, accordingly,
excludes the baseline measurements for patients for whom we do
not have available follow-up data at this time. The median for
each of the metrics presented is the midpoint of the data after
sorting all of the data in ascending order.
Six-Minute Walk Distance:
The table below presents the mean and median Six-Minute Walk
Distance data measured at the Subset Baseline and at three and
six months following treatment for each Follow-Up Patient. The
three-month data includes the test results of two Control Group
Patients who completed the Six-Minute Walk Distance Test more
than three months following MyoCell implantation and the
six-month data includes the test results of two Treatment Group
Patients who completed the Six-Minute Walk Distance Test more
than six months following MyoCell implantation.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Six-Minute Walk Distance Data (Meters)
|
|
|
|
|
|
Treatment Group
|
|
|
Treatment Group
|
|
|
Control Group Subset
|
|
|
Control Group
|
|
|
|
Subset Baseline
|
|
|
Follow-Up Data
|
|
|
Baseline
|
|
|
Follow-Up Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three-Month Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# of Follow-Up Patients
|
|
|
17
|
|
|
|
17
|
|
|
|
9
|
|
|
|
9
|
|
|
Mean
|
|
|
414
±
84.7
|
|
|
|
470
±
70.7
|
|
|
|
397
±
132.7
|
|
|
|
448
±
99.3
|
|
|
Median
|
|
|
437
±
84.7
|
|
|
|
471
±
70.7
|
|
|
|
430
±
191
|
|
|
|
446
±
99.3
|
|
Six-Month Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# of Follow-Up Patients
|
|
|
13
|
|
|
|
13
|
|
|
|
7
|
|
|
|
7
|
|
|
Mean
|
|
|
419
±
90.4
|
|
|
|
461
±
89.6
|
|
|
|
446
±
88.6
|
|
|
|
484
±
226.0
|
|
|
Median
|
|
|
437
±
90.4
|
|
|
|
477
±
89.6
|
|
|
|
430
±
88.6
|
|
|
|
432
±
226.0
|
|
NYHA Class:
The table below presents the mean and median NYHA Class data
measured at the Subset Baseline and at three and six months
following treatment for each Follow-Up Patient. The three-month
data includes the test results of three Control Group Patients
whose NYHA class was measured more than three months following
MyoCell implantation and the six-month data includes the test
results of three Treatment Group Patients whose NYHA class was
measured more than six months following MyoCell implantation.
84
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NYHA Class Data
|
|
|
|
|
|
Treatment Group
|
|
|
Treatment Group
|
|
|
Control Group
|
|
|
Control Group
|
|
|
|
Subset Baseline
|
|
|
Follow-Up Data
|
|
|
Subset Baseline
|
|
|
Follow-Up Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three-Month Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# of Follow-Up Patients
|
|
|
17
|
|
|
|
17
|
|
|
|
10
|
|
|
|
10
|
|
|
Mean
|
|
|
2.4
±
0.51
|
|
|
|
2.2
±
0.53
|
|
|
|
2.2
±
0.42
|
|
|
|
2.4
±
0.52
|
|
|
Median
|
|
|
2.0
±
0.51
|
|
|
|
2.0
±
0.53
|
|
|
|
2.0
±
0.42
|
|
|
|
2.0
±
0.52
|
|
Six-Month Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# of Follow-Up Patients
|
|
|
13
|
|
|
|
13
|
|
|
|
7
|
|
|
|
7
|
|
|
Mean
|
|
|
2.5
±
0.52
|
|
|
|
2.2
±
0.69
|
|
|
|
2.3
±
0.46
|
|
|
|
2.5
±
0.53
|
|
|
Median
|
|
|
3.0
±
0.52
|
|
|
|
2.0
±
0.69
|
|
|
|
2.0
±
0.38
|
|
|
|
2.0
±
0.53
|
|
At three months following treatment, 27% of the Treatment Group
Patients had improved by at least one NYHA Class. In contrast,
none of the Control Group Patients had improved by at least one
NYHA Class at three months following treatment. At six months
following treatment, 38% of the Treatment Group Patients had
improved by at least one NYHA Class. In contrast, 13% of the
Control Group Patients improved by at least one NYHA Class at
six months following treatment.
LVEF:
The table below presents the mean and median LVEF data measured
at the Subset Baseline and at three and six months following
treatment for each Follow-Up Patient. The three-month data
includes the test results of one Treatment Group Patient whose
LVEF class was measured more than three months following MyoCell
implantation and the six-month data includes the test results of
two Treatment Group Patients whose LVEF class was measured more
than six months following MyoCell implantation.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LVEF Data
|
|
|
|
|
|
Treatment Group
|
|
|
Treatment Group
|
|
|
Control Group Subset
|
|
|
Control Group
|
|
|
|
Subset Baseline
|
|
|
Follow-Up Data
|
|
|
Baseline
|
|
|
Follow-Up Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three-Month Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# of Follow-Up Patients
|
|
|
13
|
|
|
|
13
|
|
|
|
8
|
|
|
|
8
|
|
|
Mean
|
|
|
31.1
±
10.1
|
|
|
|
29.3
±
8.0
|
|
|
|
32.8
±
11.1
|
|
|
|
35.8
±
12.5
|
|
|
Median
|
|
|
28.0
±
10.1
|
|
|
|
27.0
±
8.0
|
|
|
|
32.5
±
11.1
|
|
|
|
38.0
±
12.5
|
|
Six-Month Data
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
# of Follow-Up Patients
|
|
|
7
|
|
|
|
7
|
|
|
|
6
|
|
|
|
6
|
|
|
Mean
|
|
|
31.7
±
11.5
|
|
|
|
28.0
±
14.7
|
|
|
|
33.8
±
12.5
|
|
|
|
32.7
±
9.3
|
|
|
Median
|
|
|
28.0
±
11.5
|
|
|
|
25.0
±
14.7
|
|
|
|
34.0
±
12.5
|
|
|
|
31.0
±
9.3
|
|
85
The table below presents, as of May 14, 2007, the baseline
measurement data we had available with respect to Six-Minute
Walk Distance, NYHA Class and LVEF for 22 Treatment Group
Patients and 13 Control Group Patients, or Full Population
Baseline Data, as follows:
|
|
|
|
|
|
|
|
|
|
Full Population Baseline Data
|
|
|
|
|
|
Treatment Group
|
|
|
Control Group
|
|
|
|
|
|
|
|
|
# of Patients
|
|
|
22
|
|
|
|
13
|
|
|
Six Minute Walk (Meters)
|
|
|
|
|
|
|
|
|
|
Mean
|
|
|
414
±
98.5
|
|
|
|
430
±
191
|
|
|
Median
|
|
|
437
±
98.5
|
|
|
|
430
±
191
|
|
NYHA Class
|
|
|
|
|
|
|
|
|
|
Mean
|
|
|
2.4
±
0.49
|
|
|
|
2.2
±
0.44
|
|
|
Median
|
|
|
2.0
±
0.49
|
|
|
|
2.0
±
0.44
|
|
LVEF
|
|
|
|
|
|
|
|
|
|
Mean
|
|
|
30.0
±
9.3
|
|
|
|
33.8
±
12.9
|
|
|
Median
|
|
|
28.5
±
9.3
|
|
|
|
32.5
±
12.9
|
|
Please note that the foregoing discussion summarizes our
internal interim analysis of the available efficacy data as of
the dates indicated. The data has not yet been peer reviewed nor
have our validation processes with respect to the above data
been completed. Accordingly, this interim data is subject to
change as we continue to collect data and undertake the
processes necessary to confirm the accuracy of the data.
As of May 14, 2007, we have safety data available for 22
Treatment Group Patients and 13 Control Group Patients. Nine of
the 22 Treatment Group Patients (40.9%) experienced fifteen
serious adverse events, including one patient death from
multiple organ failure 30 days following MyoCell treatment
determined by the investigator as possibly attributable to
MyoCell. Nine of the fifteen total serious adverse events
experienced by the Treatment Group Patients involved irregular
heartbeats, eight of which have been investigator determined to
be possibly attributable to MyoCell. However, one-third of the
patients experiencing irregular heartbeats following MyoCell
treatment did not comply with the trials protocol for
Amiodarone use and all of these patients had experienced
irregular heartbeats prior to MyoCell implantation. Five Control
Group Patients have experienced 21 serious adverse events,
including 14 events involving irregular heartbeats. The
Independent Data Safety and Monitoring Board for the SEISMIC
Trial reviewed the serious adverse events experienced by the
Treatment Group Patients and has not asked us to alter or
terminate the trial and is expected to continue to monitor the
occurrence of any serious adverse events.
Interim data from the SEISMIC Trial, including interim safety
data and interim efficacy data on the Six-Minute Walk Distance,
NYHA Class and LVEF endpoints, was presented by Professor
Patrick Serruys, MD, PhD, the lead investigator, at the Third
Annual International Conference on Cell Therapy for
Cardiovascular Diseases on January 18, 2007 and the subject
SEISMIC Trial data was subsequently published in
EuroIntervention Supplement B by Pr. Serruys and other
contributing authors (including our VP of Clinical Affairs and
Physician Relations) with respect to the 16 Treatment Group
Patients and nine Control Group Patients, for which at least one
month follow-up data was available. The 16 Treatment Group
Patients received an average a dosage of 598 +/-110 million
myoblast cells.
In the EuroIntervention article summarizing the same data
presented by Pr. Serruys, the authors noted that, although
complete efficacy data are not yet available and safety data are
not yet fully adjudicated, these preliminary results suggest
that myoblast therapy for heart failure is largely safe and
effective. The authors further indicated that the risk of
irregular heartbeats is largely manageable with close
observation and prophylactic use of ICDs and anti-arrhythmic
drug therapy and that when irregular heart beats do occur, they
typically appear during the first months following implantation
and can largely be mitigated with appropriate medical
management. According to the authors, patients treated with
MyoCell also tend to show improvement in quality of life and
mechanical function over time, as evidenced by previously
completed clinical studies and the initial reported trends from
the interim SEISMIC Trial data. We believe the interim safety
86
and efficacy data as of May 14, 2007 summarized above is
generally consistent with the data presented by Pr. Serruys in
January 2007.
We expect final six-month data for the balance of the SEISMIC
Trial patients to be available during the first quarter of 2008.
If the final SEISMIC Trial data is generally consistent with the
interim data, in the second quarter of 2008, we intend to seek
approval from various European regulatory bodies to market
MyoCell and MyoCath to treat the Class III Subgroup.
|
|
|
Phase I/ II Clinical Trials in Europe
|
We were one of the financial sponsors of a five patient pilot
clinical trial of MyoCell in 2002. The primary endpoint of the
study was to assess the safety and feasibility of MyoCell,
measured by occurrence of serious adverse events at six months
following treatment. The secondary endpoint was to assess
improvement of LVEF at one, three and six months following
treatment. The trial was performed in the Netherlands by
physicians at the Thorax Center of the Erasmus Medical Center.
Each patient enrolled in this clinical trial had
(i) symptoms associated with NYHA Class II, NYHA
Class III or NYHA Class IV heart failure,
(ii) suffered a previous heart attack at least four weeks
prior to the date of treatment and (iii) a LVEF between 20%
to 45%. Patients received injections of between 25 million
and 293 million myoblast cells.
For the five patients who participated in the trial, it was
reported that, on average, the patients LVEF increased
from 36
±
11% at the
baseline to 41
±
9% at
three months (p = .009) and 45
±
8% at six months (p =
.23).
Although not statistically significant due, in part, to the
limited number of patients treated, of these patients, we noted
that:
|
|
|
|
|
100% and 60% of the patients improved one NYHA Class at three
months and six months following therapy, respectively;
|
|
|
|
40% of the patients improved two NYHA Classes at both three
months and six months following therapy;
|
|
|
|
100% of the patients LVEF improved by at least 4% at three
months following therapy; and
|
|
|
|
60% of the patients LVEF improved by at least 20% at six
months following therapy.
|
All of the MyoCell injection procedures in the pilot clinical
trial were without complication and no serious adverse events
occurred during the follow-up period. One patient who
experienced irregular heart contractions received an ICD within
six months of the injection procedure.
The results of this pilot clinical trial were published by the
physicians conducting the trial in the Journal of the American
College of Cardiology in December 2003. In the published
article, the physicians concluded that the pilot study was the
first to demonstrate the potential and feasibility of
percutaneous skeletal myoblast delivery as a stand-alone
procedure for myocardial repair in patients with post-heart
attack heart failure. The physicians further concluded that more
data was needed to confirm safety.
|
|
|
Phase I/ II Clinical Trial
|
We conducted a non-randomized, multicenter 15 patient Phase I/
II clinical trial of MyoCell at institutions located in the
Netherlands, Germany and Italy in 2003 to assess the safety of
MyoCell and its effect on global ventricular function. As part
of this clinical trial, we also assessed the safety and
feasibility of MyoCell delivery via MyoCath. Each patient
enrolled in the Phase I/ II clinical trial had (i) symptoms
associated with NYHA Class II or NYHA Class III heart
failure, (ii) suffered a previous heart attack at least
four weeks prior to the date of treatment, (iii) a LVEF of
between 20% to 40% and (iv) been using beta-blocker therapy
unless these drugs were not tolerated or clearly
contraindicated. Following treatment of the first six patients
participating in this clinical trial, we amended the trial
protocol to require that patients have placement of an ICD at
least one month prior to enrollment and use of Amiodarone to
reduce the potential incidence of irregular heartbeats at least
two months prior to and for at least two months following the
87
MyoCell implantation. Patients received injections of between
40 million and 448 million myoblast cells, with an
average dosage of
214
±
117 million
myoblast cells.
The primary efficacy endpoint of the Phase I/ II clinical trial
was the effect of MyoCell on global ventricular function at
three, six and twelve months following implantation as
determined by, among other things, NYHA Class, LVEF,
End-Diastolic Volume, End-Systolic Volume, Cardiac Output and
Wall Motion as measured by stress echocardiography at rest and
at low dose. The primary safety endpoint was the clinical status
of the patient as measured by, among other things, a comparison
of serious adverse events occurring before and following MyoCell
implantation.
The clinical trial investigators observed a tendency towards
statistically significant improvement in systolic function at
six and twelve-month follow-up. Efficacy data from this trial is
summarized in more detail in the following table:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Endpoints
|
|
Baseline
|
|
3-month
|
|
p-value
|
|
6-month
|
|
p-value
|
|
12-month
|
|
p-value
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NYHA
Class
(1)
|
|
|
2.8
|
|
|
|
2.1
|
|
|
|
|
|
|
|
1.6
|
|
|
|
|
|
|
|
1.9
|
|
|
|
|
|
LVEF
(2)
|
|
36.3
±
8.0
|
|
34.3
±
9.1
|
|
|
0.3
|
|
|
34
±
7.8
|
|
|
0.3
|
|
|
38.7
±
9.4
|
|
|
0.4
|
|
End-Diastolic
Volume
(2)
|
|
225
±
83
|
|
186
±
59
|
|
|
0.03
|
|
|
214
±
37
|
|
|
0.7
|
|
|
197
±
30
|
|
|
0.4
|
|
End-Systolic
Volume
(2)
|
|
145
±
64
|
|
124
±
49
|
|
|
0.05
|
|
|
143
±
37
|
|
|
0.9
|
|
|
122
±
29
|
|
|
0.2
|
|
Cardiac
output
(3)
|
|
4.6
±
0.91
|
|
|
N/A
|
|
|
|
N/A
|
|
|
5.6
±
1.6
|
|
|
0.06
|
|
|
5.4
±
1.5
|
|
|
0.05
|
|
Wall motion as measured by stress echocardiography at
rest
(1)
|
|
3.0
±
0.5
|
|
2.9
±
0.6
|
|
|
0.65
|
|
|
2.8
±
0.6
|
|
|
0.95
|
|
|
2.8
±
0.7
|
|
|
0.70
|
|
Wall motion as measured by stress echocardiography at low
dose
(3)
|
|
2.8
±
0.4
|
|
2.6
±
0.5
|
|
|
0.65
|
|
|
2.5
±
0.5
|
|
|
0.95
|
|
|
2.5
±
0.6
|
|
|
0.70
|
|
|
|
(1)
|
Matched data provided for 13 of the 15 patients.
|
|
(2)
|
Matched data provided for eight of the 15 patients.
|
|
(3)
|
Matched data provided for five of the 15 patients.
|
Although the data showed a decrease in End-Diastolic Volume,
trends towards a reduction in End-Systolic Volume and an
increase in LVEF, the data cannot be considered statistically
significant. The clinical trial investigators were, however,
able to conclude from this data that global left ventricular
function remained stable and that no further deterioration of
the left ventricles occurred during the twelve months following
treatment, which, given the clinical status of the patient
group, was determined by the researchers to be a significant
observation.
Although not statistically significant due, in part, to the
limited number of patients treated, we noted that:
|
|
|
|
|
85% and 62% of the 13 surviving patients improved one NYHA Class
at six months and twelve months following therapy, respectively;
|
|
|
|
31% and 23% of the 13 surviving patients improved two NYHA
Classes at six months and twelve months following therapy,
respectively;
|
|
|
|
of the eleven patients for which we have six-month data
regarding LVEF, 36% of such patients LVEF improved by at
least 4% and 9% of such patients LVEF improved by at least
20% at six months following therapy; and
|
|
|
|
of the twelve patients for which we have twelve-month data
regarding LVEF, 50% of such patients LVEF improved by at
least 4% and 17% of such patients LVEF improved by at
least 20% at twelve months following therapy.
|
Eleven serious adverse events were reported in nine of the 15
patients during follow-up, seven of which were investigator
determined to be possibly attributable to MyoCell. Two of the
seven serious adverse events potentially attributable to MyoCell
were death, which occurred relatively shortly after receiving
the MyoCell therapy. In the course of describing the cause of
death, electrophysiologists who reviewed and analyzed the data
indicated that one of the deaths was most likely attributable to
irregular heart contractions brought on by the MyoCell injection
procedure. The cause of death for the other patient is unknown
as permission for histology and autopsy analysis were denied by
the patients family. Following these patient deaths, we
88
requested an assessment by an independent European Data Safety
Monitoring Board who, following their investigation and our
incorporation of their recommendations to, among other things,
require prior placement of an ICD and require holter and ICD
readings every week for the first month following the MyoCell
injection procedure, supported the continuation of the trial.
The other five serious adverse events possibly attributable to
MyoCell also involved irregular heart contractions. These
patients recovered and no other adverse events were reported for
such patients.
The results of this trial were presented at the 2005 Annual
Meeting of the American College of Cardiology.
In May 2002, we initiated a clinical trial of MyoCell in the
Netherlands in collaboration with Transvascular, Inc., or the
2002 Trial, to evaluate the safety and efficacy of MyoCell using
the investigational TransAccess catheter. Three patients were
treated in this clinical trial, which was discontinued for
reasons unrelated to the trial following the acquisition of
Transvascular by Medtronic in August 2003. All of the patients
selected for enrollment in the 2002 Trial had (i) symptoms
associated with NYHA Class II, NYHA Class III or NYHA
Class IV heart failure, (ii) suffered a previous heart
attack at least four weeks prior to the date of treatment,
(iii) a LVEF of between 20% to 40%, (iv) been on
optimal drug therapy and (v) prior placement of an ICD at
least one month prior to enrollment. The primary safety endpoint
of the study was the clinical status of the patient as measured
by, among other things, a comparison of serious adverse events
occurring before and following MyoCell implantation. The primary
efficacy endpoints were the same endpoints used in the Phase I/
II trial we conducted in Europe. Twelve month follow-up on these
three patients showed one death adjudicated by the physicians
conducting the trial as unrelated to MyoCell, with the other two
patients event-free.
Paid Registry Studies
We have taken steps to initiate paid registry studies of MyoCell
and MyoCath in six centers and countries, including Korea,
Mexico, Switzerland, The Bahamas, Singapore and South Africa and
finalized contracts with an institution in each of Korea,
Mexico, Switzerland and The Bahamas. A paid registry study is a
research study conducted at a private hospital or research
institution in accordance with a specific protocol approved by
the appropriate regulators in the country and agreed to by
contract between us and the institution conducting the study.
The institution conducting the registry study and/or the
patients enrolled in the trial reimburse us for some or all of
the costs of cell culturing, biopsy processing and MyoCath.
These registry studies are primarily designed to generate
revenues and to gather additional clinical research data
regarding the safety and efficacy of MyoCell and MyoCath.
As of August 1, 2007, one patient has undergone the MyoCell
implantation procedure at the Mexico center.
Other Trials of Myoblast Implantation in the Heart
In addition to studies we have sponsored, we believe
myoblast-based clinical therapies have been the subject of at
least eleven clinical trials involving more than 325 enrollees,
including at least 235 treated patients. In an article published
by Pr. Serruys and other contributing authors (including our VP
of Clinical Affairs and Physician Relations) in EuroIntervention
Supplement B, the authors, summarily commented on the state of
the field based upon their review of preclinical studies and at
least seven Phase I or Phase II clinical trials involving, in
the aggregate, at least 80 treated patients. The authors noted
that previous data derived from pre-clinical studies
demonstrated that the implantation of autologous skeletal
myoblasts may lead to replacement of non-functioning scar tissue
in the heart with functional contractile tissue and consistent
improvement in global LVEF, regional wall motion and viability.
The authors further noted that results from the Phase I or II
clinical trials reviewed suggest that skeletal myoblast
implantation during coronary artery bypass graft
(CABG) surgery may lead to similar effects, as do recent
studies using percutaneous delivery of myoblasts as a
stand-alone procedure. We believe that the results
89
of these clinical trials, as well as the results of our clinical
trials to date and the results of the MAGIC Trial discussed
below, generally provide support for our theory that MyoCell may
add a new dimension to the interventional management of
deterioration of cardiac function in patients with severe heart
damage.
MG Therapeutics Myoblast Autologous Grafting in Ischemic
Cardiomyopathy (MAGIC) Trial
The following summary of the results of the Myoblast Autologous
Graft in Ischemic Cardiomyopathy (MAGIC) clinical trial
sponsored by MG Biotherapeutics, LLC is based upon a
presentation given by Philippe Menasché, M.D., Ph.D. at the
American Heart Associations Scientific Sessions 2006 and
news reports of the presentation.
Dr. Menasché reported that the MAGIC trial was a Phase
II, randomized, double blind, placebo-controlled multicenter
clinical trial in various countries in Europe to assess the
safety and efficacy of skeletal myoblast implantation injected
during CABG surgery into the scarred region of the heart. 97
patients were enrolled in the MAGIC trial before it was
discontinued after an analysis by an independent data-monitoring
board indicated the trial was unlikely to show that the
treatment was superior to placebo on the primary efficacy
endpoints: (i) functional improvements in Wall motion and
(ii) LVEF, as measured by echocardiography six months
following myoblast implantation. The secondary efficacy
endpoints included End-Systolic Volume and End-Diastolic Volume
at six months.
Dr. Menasché reported that the 97 patients were
randomized into three groups. The high-dose group (30 patients)
received direct injections of myoblasts in and around the
scarred area totaling about 800 million myoblasts via 30
injections, the low-dose group (33 patients) received direct
injections of about 400 million myoblasts and the third
group, the placebo group (34 patients), received injections of
the suspension medium without active cells.
Dr. Menasché reported that all of the patients
selected for enrollment in the MAGIC trial had (i) suffered
a heart attack at least four weeks prior to myoblast
implantation, (ii) a LVEF between 15% and 35% and
(iii) a planned CABG. All patients in the MAGIC trial
received ICDs before hospital discharge.
Although the study failed to find any significant differences in
Wall Motion or LVEF as measured by echocardiography, a
significant decrease, or improvement, was documented (by 12-13%
from baseline preoperative values) of LV Volume in patients
receiving the high dose of cells whereas there were no
significant changes in the placebo group. Reduction in LV volume
generally is reflective of positive ventricular remodeling and
improvement in the hearts ability to circulate oxygenated
blood through the arteries. Because LV Volumes are often
predictors of outcomes, we believe that finding may be
clinically relevant. Furthermore, LVEF was also measured by
radionuclide or nuclear angiography in a subgroup of 48 patients
and was then found to be significantly increased in those that
had received the high dose of myoblasts compared with the
placebo group. In these patients, Dr. Menasché
reported that the absolute change in LVEF in the high-dose group
was 3%, significantly greater than in the placebo group, where
LVEF was unchanged from baseline at six months.
The primary safety endpoints of the study were the nature and
frequency of serious adverse events and ventricular arrhythmias
during the six months following myoblast implantation. There
were no statistically significant differences between either the
high-dose or low-dose treatment and placebo groups in terms of
major adverse cardiac events and irregular heartbeats when
measured over six months. Serious adverse event rates and
irregular heartbeats were no different between the groups and
none of the deaths in the myoblast groups were attributable to
the procedure or to irregular heartbeats.
We were surprised and were happy to show there was
apparently no increased risk in the procedure, and we also were
encouraged by what appeared to be happening with the heart
volume, noted Dr. Menasché.
Pipeline
In addition to MyoCell, we have multiple cell therapies and
related devices for the treatment of chronic and acute heart
damage in various stages of development. We have also acquired
the rights to use certain devices for the treatment of heart
damage. We intend to allocate our capital, material and
personnel resources among MyoCell and the product candidates
described below, a number of which may have complementary
therapeutic applications. For each product candidate, we have
developed or are in the process of developing a
90
regulatory approval plan. Assuming such proposed plans are able
to be followed, we do not anticipate that the regulatory
approval of MyoCell will be necessary for our further
development of our other product candidates.
|
|
|
|
|
|
|
Candidate
|
|
Proposed Use or Indication
|
|
Status/Phase
|
|
Comments
|
|
|
|
|
|
|
|
Bioheart Acute Cell Therapy
|
|
Acute, autologous cell therapy treatment for acute MI
|
|
Preclinical
|
|
Animal studies expected to be completed in the fourth quarter of
2007; subject to favorable test results and completion by Tissue
Genesis of the Device Master File for TGI 1200 by October 2007,
anticipate filing IND application in the fourth quarter of 2007
|
TGI 1200 Adipose Tissue Processing System
|
|
Fully automated device for the rapid processing of patient
derived fat tissue
|
|
Tissue Genesis performing validation studies and preparing
Device Master File
|
|
Upon approval of IND application for Bioheart Acute Cell
Therapy, anticipate seeking cost reimbursement for supplying TGI
1200 and related disposable kits for use in connection with
Bioheart Acute Cell Therapy clinical trials, Tissue Genesis
filed for CE Mark approval in the third quarter of 2007 and
expects to file for 510(k) approval in the fourth quarter of 2007
|
MyoCell II with SDF-1
|
|
Autologous cell therapy treatment for severe chronic damage to
the heart; cells modified to express angiogenic factors
|
|
IND application filed in May 2007
|
|
Upon approval of IND application, anticipate commencing Phase I
clinical trials during the first quarter of 2008
|
MyoCath
|
|
Disposable endoventricular catheter used for the delivery of
biologic solutions to the myocardium
|
|
Used in European Phase II clinical trials of MyoCell; used in
Phase I clinical trials of MyoCell
|
|
Anticipate seeking certification to apply the CE Mark for
commercial sale and distribution within the European Union in
the first quarter of 2008 provided we enter into a long term
manufacturing contract with an entity that satisfies the
requirements of the International Standards Organization
|
MyoCath II
|
|
Second generation disposable endoventricular catheter modified
to provide multidirectional cell injection and used for the
delivery of biologic solutions to the myocardium
|
|
Preclinical
|
|
Laboratory studies currently being conducted; commenced animal
studies in the third quarter of 2007
|
BioPace
|
|
Treatment of chronic abnormal heart rhythm due to electrical
disturbances in the upper chambers of the heart
|
|
Preclinical
|
|
Preclinical development by Bioheart
|
AlloCell
|
|
Allogenic cell-therapy treatment for severe chronic damage to
the heart
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Preclinical
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Preclinical development by Bioheart
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Bioheart Acute Cell Therapy
and TGI 1200 Adipose Tissue Processing System
We are seeking to develop Bioheart Acute Cell Therapy, a patient
derived cell therapy for the treatment of acute MI. Unlike
MyoCell, which is intended to be used to treat severe heart
damage months or even years after a heart attack, Bioheart Acute
Cell Therapy is being designed to be used for the treatment of
muscle damage immediately following a heart attack. We hope to
demonstrate that the injection of endothelial progenitor and
stem cells derived from fat tissue by the TGI 1200 is a safe and
effective means of limiting or reversing some of the effects of
acute MI and preventing or slowing a patients progression
from MI to CHF. Fat tissue is an abundant and readily available
source of endothelial progenitor and stem cells and is easily
extractable from a patient using minimally invasive techniques.
If approved, we intend to market the Bioheart Acute Cell Therapy
primarily to interventional cardiologists.
We have secured the exclusive, worldwide right to sell or lease
to medical practitioners and related healthcare entities the
following items for the treatment of acute MI:
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the TGI 1200 and certain disposable products used in conjunction
with the TGI 1200, or the TGI 1200 Licensed Products;
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the processes that use the TGI Licensed Products, or the TGI
Licensed Processes; and
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the cells derived using the TGI Licensed Products and/or TGI
Licensed Processes.
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The TGI 1200 system is a compact, fully automated cell isolation
device for the rapid processing of patient-derived fat tissue to
separate, isolate and produce large yields of endothelial
progenitor and stem cells. The fat tissue is extracted from the
patient using a minor liposuction-like procedure and processed
using the TGI 1200. We anticipate that the TGI 1200 will process
cells within a one-hour time period.
We have developed a proposed pathway for seeking securing
regulatory approval of Bioheart Acute Cell Therapy. Preclinical
studies involving pigs testing the safety and efficacy of
Bioheart Acute Cell Therapy commenced in the first quarter of
2007 at Indiana University and are expected to be completed in
the fourth quarter of 2007. Assuming favorable preclinical test
results and provided that Tissue Genesis completes its Device
Master File for the TGI 1200 by October 2007, we anticipate
submitting to the FDA an IND with respect to Bioheart Acute Cell
Therapy in the fourth quarter of 2007. Provided we secure FDA
approval of the Phase I protocol set forth in the IND by the
first quarter of 2008, we anticipate commencing Phase I trials
of Bioheart Acute Cell Therapy in that quarter.
Until the TGI 1200 is readily available for research and
clinical applications, we have been manually isolating and
separating endothelial progenitor and stem cells from fat tissue
using Tissue Genesis TGI 100 Wound Dressing Kit and its
related manual cell isolation techniques. We are currently in
the process of negotiating a research agreement with Indiana
University. To date, we have provided training as well as the
TGI 100 Wound Dressing Kits and catheters to Indiana University
for use in connection with these preclinical studies.
Tissue Genesis has finalized the design of the TGI 1200 and has
completed validation studies demonstrating that the TGI 1200
produces a pulpy composition comparable to the TGI 100. It is
our understanding that the TGI 1200 is now available for
research and clinical applications. Tissue Genesis has informed
us that it filed for CE Mark approval in the third quarter of
2007 and anticipates filing for 510(k) approval in the fourth
quarter of 2007. Tissue Genesis has informed us that it has
entered into an agreement for the manufacture of the TGI 1200.
Upon approval of our IND application for Bioheart Acute Cell
Therapy, we anticipate that we will seek cost reimbursement for
supplying TGI 1200 and the related disposable kits for use in
connection with our clinical trials of Bioheart Acute Cell
Therapy.
MyoCell II with SDF-1
Our MyoCell II with SDF-1 product candidate, which has recently
completed preclinical testing, is intended to be an improvement
to MyoCell. In February 2006, we signed a patent licensing
agreement with the Cleveland Clinic of Cleveland, Ohio which
gave us exclusive license rights to pending patent applications
in connection with MyoCell II with SDF-1. We expect this
collaboration to give us access to the extensive
92
underlying animal studies supporting the patent applications. In
addition, in connection with our establishment of this
relationship with the Cleveland Clinic, Dr. Marc Penn, the
Medical Director of the Cardiac Intensive Care Unit at the
Cleveland Clinic and a staff cardiologist in the Departments of
Cardiovascular Medicine and Cell Biology, joined our Scientific
Advisory Board.
We anticipate that MyoCell II with SDF-1 will be similar to
MyoCell, except that the myoblast cells to be injected will be
modified prior to injection by an adenovirus vector or non-viral
vector so that they will release extra quantities of the SDF-1
protein, which expresses angiogenic factors. Following injury
which results in inadequate blood flow to the heart, such as a
heart attack, the human body naturally increases the level of
SDF-1 protein in the heart. By modifying the myoblasts to
express additional SDF-1 prior to injection, we are seeking to
increase the SDF-1 protein levels present in the heart. We are
seeking to demonstrate that the presence of additional
quantities of SDF-1 protein released by the myoblasts will
stimulate the recruitment of the patients existing stem
cells to the cell transplanted area and, thereafter, the
recruited stem cells will assist in the tissue repair and blood
vessel formation process. Preclinical animal studies showed a
definite improvement of cardiac function when the myoblasts were
modified to express additional SDF-1 protein prior to injection
as compared to when the myoblasts were injected without
modification.
We filed an IND application in May 2007 for Phase I clinical
trials of MyoCell II with SDF-1 and received comments from the
FDA in August 2007. Assuming FDA approval of the protocol for a
Phase I Trial of MyoCell II with SDF-1 in the fourth quarter of
2007, we hope to begin enrolling patients in the Phase I Trial
during the first quarter of 2008.
MyoCath and MyoCath
II
MyoCath is a disposable endoventricular catheter used for the
delivery of biologic solutions to a targeted treatment site
within the myocardium, the inner wall of the heart. MyoCath
provides for multiple injections to a pre-determined needle
insertion depth with a single core needle of 25 gauge diameter
that can be advanced and retracted from the tip of the catheter.
MyoCath is intended for use with commercially available
Becton-Dickinson 1 milliliter and 3 milliliter syringes.
Although we hope to prove that MyoCell can be administered with
a variety of different catheters, such as MyoStar, MyoCath has
been specifically designed to be used for the delivery of
MyoCell and has been used as the delivery mechanism in the
majority of our clinical trials to date.
We are also developing MyoCath II, a second generation catheter.
MyoCath II provides a modified injection needle which has a
closed tip and side holes that result in multidirectional cell
injection rather than injection solely from the tip of the
needle. We are seeking to determine whether MyoCath II will
increase the bioretention of the cells injected in the heart and
disperse the cells more efficiently throughout the scar tissue.
We commenced animal studies of MyoCath II in the third quarter
of 2007. Tricardia, LLC has granted us a sublicenseable license
to certain patents and patent applications covering the modified
injection needle we intend to use as part of MyoCath II, which
license is exclusive with respect to products developed under
these patents for the delivery of therapeutic compositions to
the heart.
It is our hope that MyoCath and/or MyoCath II will prove to be
more cost effective than, and as safe and effective as, other
catheters at delivering MyoCell. Although MyoCath and MyoCath II
have been designed for use with MyoCell, we believe that there
are a number of other clinical therapies to treat heart disease
currently in development by other companies that could be
delivered via MyoCath and/or MyoCath II including gene, protein,
cytokine and growth factor therapies. Three clinical trials have
been initiated by biopharmaceutical companies and other
institutions utilizing MyoCath to deliver growth factors in an
effort to increase blood supply to a damaged heart.
BioPace
BioPace is an autologous cell-based therapy intended to be used
as a biological pacemaker for the treatment of sino-atrial nodal
dysfunction disease, a disease in which the natural pacemaker
cells of the heart do not properly function due to electrical
disturbances in the upper chambers of the heart and which
results in an abnormal heart rhythm. The sino-atrial node is the
impulse generating tissue located in the right atrium of
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the heart. As part of the BioPace therapy, cells from the
sino-atrial node are removed from the right atrium of a
patients heart and cultured in our temperature controlled
cell culturing facility. These cells are cultured in vitro in a
solution containing oxygen and nutrients. While the cells are
being cultured, we anticipate the patient will receive an
external pacemaker to pace the remaining portions of the
patients sino-atrial node. The cultured cells are then
implanted into the myocardial tissue of the right ventricle to
provide biological pacing for the heart. We are currently
establishing a preclinical development plan for BioPace.
Allocell
We anticipate that Allocell will be similar to MyoCell, except
that the myoblast cells to be injected will be taken from third
party donors. Like MyoCell, we hope to demonstrate that
allogenic myoblasts are a safe and effective treatment of severe
heart damage. We anticipate that Allocell may be administered in
conjunction with immunosuppressive drugs to reduce the risk of
tissue rejection. We are exploring the storage life of myoblast
cells and the feasibility of maintaining an inventory of
Allocell from which interventional cardiologists can select to
perform the myoblast implantation procedure.
We believe our license agreement with Dr. Law and Cell
Transplants International provides us a conditionally exclusive
license in the United States to certain patents that include
claims we believe cover the use of cultured allogenic myoblast
cells for the administration to diseased muscle within the field
of heart muscle repair and angiogenesis.
We are currently establishing a preclinical development plan for
Allocell.
Collaboration with Biosense Webster involving MyoStar and the
MyoStar System
We have been cleared by the FDA to proceed under the protocol
for the MARVEL Trial, which protocol will require participating
trial investigators to use MyoStar for the delivery of MyoCell
to patients enrolled in the trial.
MyoStar is a multi-electrode, percutaneous catheter with a
deflectable tip and injection needle designed to inject agents
into the heart. The tip of the catheter is equipped with a
Biosense Webster location sensor and a retractable, hollow
27-gauge
needle for
fluid delivery. Use of the MyoStar is coupled with the NOGA
XP Cardiac Navigation System, which is a 510(k) cleared
electroanatomical mapping system used to create a 3D real-time
mapping of a patients heart. The location information
displayed on the NOGA display screen is the location of the
catheter tip sensor, which allows for precise targeting of
injections into infracted tissue.
We are not affiliated with Biosense Webster, the Cordis
Corporation or any other Johnson and Johnson company. On
May 10, 2007, we entered into a supply agreement with
Biosense Webster pursuant to which they have agreed to:
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deliver MyoStar to us at an agreed upon price as and when
required for the MARVEL Trial;
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facilitate our purchasing access to its FDA approved mapping and
reference catheters, Nogastar and Reference Patch, respectively
by setting us up as an approved purchaser; and
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providing technical training on the MyoStar System.
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This supply agreement will terminate upon the earlier of
(i) two years and (ii) three months after treatment of
the last patient enrolled in the MARVEL Trial. In addition,
either party may terminate the agreement upon 30 days
notice if the principal investigator for the MARVEL Trial
becomes unable or unwilling to continue performance of the trial.
Except as set forth above, we have no right to control the
further development, clinical testing and/or refinement of
MyoStar or the MyoStar System. See Risk
Factors
We are subject to numerous risks
associated with seeking regulatory approval of MyoCell pursuant
to a protocol that requires the use of a catheter system which
is still subject to FDA approval. The catheter system we intend
to use in connection with our MARVEL Trial is owned by an
unaffiliated third party. Although we have entered into a
two-year
supply
94
agreement for delivery of the catheter system for use in the
MARVEL Trial, we are subject to a number of risks not addressed
by the parties in the supply agreement
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Research
We supervise and perform experimental work in the areas of
improving cell culturing, cell engraftment, and other advanced
research projects related to our product candidates from our
Sunrise cell culturing facility. The primary focus of a
substantial majority of our employees is advancing our clinical
trials, preclinical studies, research and product development.
In addition, we work with a number of third parties within and
outside the United States on various research and product
development projects, including:
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preclinical small and large animal testing for lead product
candidate enhancements and pipeline product candidate
development; and
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contract research for clinical and preclinical testing of our
pipeline product candidates.
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Cell Culturing
We have an approximately 2,000 square foot cell culturing
facility at our headquarters in Sunrise, Florida. We began
culturing cells at this facility for preclinical uses in the
third quarter of 2006. We anticipate that we will begin
culturing cells at this facility for clinical uses upon
commencement of the MARVEL Trial. We believe our cell
culturing facility and processes comply with cGMP. We anticipate
that this facility will manufacture approximately 90% of the
capacity needed in the United States through 2007 for the
MARVEL Trial.
Over the last two years, we have significantly improved our
ability to:
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culture in excess of 800 million myoblast cells per biopsy;
and
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produce cell cultures with a high percentage of viable myoblast
cells.
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Accordingly, we have been able to increase the maximum dosage of
myoblast cells injected as part of the MyoCell therapy to
approximately 800 million myoblast cells, which we believe
will be the most effective therapeutic dose. We expect that we
will seek to further refine our MyoCell cell culturing
processes. We are seeking to automate a significant portion of
our cell culturing processes in an effort to reduce our
culturing costs and processing times. We have licensed patents
from Dr. Law relating to this automation process.
We have historically met and, with respect to the cell culturing
of our product candidates in Europe, expect to meet, our cell
culturing needs by contracting with third party manufacturers.
In December 2006, we entered into a non-exclusive supply
agreement with Pharmacell BV, or Pharmacell. We anticipate that
approximately 90% of MyoCell inventory to be cultured or
purchased in Europe between the date of this prospectus and the
end of 2007 will be cultured by Pharmacell at their facility in
Massetricht, Netherlands, which opened in June 2006. Pursuant to
the supply agreement, Pharmacell has agreed to provide us with
MyoCell cell culturing at its cost plus a certain percentage per
culture. We have no minimum purchase obligation under the supply
agreement. The supply agreement expires six months following the
completion of the SEISMIC and MARVEL Trials unless
terminated earlier. Either party may terminate the supply
agreement upon the other partys insolvency or the other
partys material default or breach of any provision of the
supply agreement.
We also have cell culturing contracts with Cambrex Bioscience
for the culturing of cells at their facilities in Maryland,
United States and Verviers, Belgium. Pursuant to our agreements
with Cambrex Bioscience, we do not have any minimum purchase
commitment and, while Cambrex has agreed to use reasonable
efforts to meet our manufacturing needs, they have not
guaranteed that they will be able to do so. We compensate
Cambrex for its cell culturing services on a per patient basis
at a fixed cost per culture and at hourly rates for services
they provide to us not directly related to the scheduling and
processing of a biopsy.
95
For the balance of 2007, we expect that we will meet our cell
culturing needs in Europe pursuant to our agreement with
Pharmacell as well as from our Florida facility and pursuant to
our agreement with Cambrex Bioscience.
We are seeking to further optimize our processing times by
building facilities or contracting with a small number of cell
culturing facilities in strategic regional locations. We have
established and/or are currently evaluating establishing joint
venture manufacturing relationships in Korea, China and
Australia. We anticipate that a portion of the funds necessary
to construct new manufacturing facilities may be made available
to us by the governments of the countries where we seek to build
such facilities.
Supply Agreements
In June 2007, we entered into an agreement with BioLife
Solutions, Inc., or BioLife, pursuant to which BioLife agreed to
sell and we agreed to purchase all of our preservation media
products during the term of the agreement. The initial term of
the agreement is for ten years and is subject to renewal for
additional one-year periods thereafter. Pursuant to the
agreement, the purchase prices we will be required to pay for
these products will be at various discounts to the prevailing
list prices. We are also required to pay BioLife an annual fee,
which we do not believe is material. Upon the occurrence of
certain events, including, but not limited to, BioLifes
uncured material breach of the agreement, the cessation of
BioLifes business operations, or BioLifes inability
to supply us with the quantities of products we request in any
two calendar quarters under the term of the agreement, BioLife
has agreed to grant us a non-transferable, non-exclusive,
worldwide, fully
paid-up,
royalty free
license to its intellectual property, including its formulation
and manufacturing processes to permit us to manufacture, or
cause to be manufactured, the preservation media products
subject to this agreement. Either party may terminate the
agreement upon the other partys uncured material breach of
the agreement.
Third Party Reimbursement
Government and private insurance programs, such as Medicare,
Medicaid, health maintenance organizations and private insurers,
fund the cost of a significant portion of medical care in the
United States. As a result, government imposed limits on
reimbursement of hospitals and other healthcare providers have
significantly impacted their spending budgets and buying
decisions. Under certain government insurance programs, a
healthcare provider is reimbursed a fixed sum for services
rendered in treating a patient, regardless of the actual cost of
such treatment incurred by the healthcare provider. Private
third party reimbursement plans are also developing increasingly
sophisticated methods of controlling healthcare costs through
redesign of benefits and exploration of more cost-effective
methods of delivering healthcare. In general, we believe that
these government and private measures have caused healthcare
providers to be more selective in the purchase of medical
products.
As of the date of this prospectus, CMS has agreed to reimburse
certain of the centers that are participating in the
MYOHEART Trial for costs deemed routine in
nature for patients suffering from heart failure. Examples of
these reimbursable costs include, but are not limited to, costs
associated with physical examination of the patients,
x-rays,
holter
monitoring, MUGA scan and echocardiography. However, at present,
CMS reimbursement does not cover the cost of MyoCell
implantation.
Reimbursement for healthcare costs outside the United States
varies from country to country. In European countries, the
pricing of prescription pharmaceutical products and services and
the level of government reimbursement are subject to
governmental control. In these countries, pricing negotiations
with governmental authorities can take six to twelve months or
longer after the receipt of marketing approval for a product. To
obtain reimbursement or pricing approval in some countries, we
may be required to conduct one or more clinical trials that
compares the cost effectiveness of our product candidates to
other available therapies. Conducting one or more clinical
trials would be expensive and result in delays in
commercialization of our product candidates.
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Research Grants
Historically, part of our research and development efforts have
been indirectly funded by research grants to various centers
and/or physicians that have participated in our MyoCell and
MyoCath clinical trials. As part of our development strategy, we
intend to continue to seek to develop research partnerships with
centers and/or physicians.
Patents and Proprietary Rights
We own or hold licenses or hold sublicenses to an intellectual
property portfolio consisting of approximately 19 patents
and 19 patent applications in the United States, and
approximately twelve patents and 57 patent applications in
foreign countries, for use in the field of heart muscle
regeneration. We have described our most material license and
sublicense agreements below in the section entitled
Business Technology
In-Licenses
and Other
Agreements. References in this prospectus to
our patents and patent applications and other
similar references include the patents and patent applications
that are owned by, or licensed or sublicensed to us, and
references to patents and patent applications that are
licensed to us and other similar references refer to
patents, patent applications and other intellectual property
that are licensed or sublicensed to us.
Our intellectual property strategy emphasizes method, product
and device patents. We rely primarily on one U.S. patent
for MyoCell, or the Primary MyoCell Patent, one U.S. patent
for MyoCath, or the Primary MyoCath Patent and a number of
patents for MyoCath II. We rely on three pending
U.S. patent applications and corresponding foreign patent
applications for MyoCell II with
SDF-1
and three
U.S. patents for BioPace. For most of our other product
candidates, we rely on one primary patent, multiple patents in
combination and/or proprietary processes.
The following provides a description of our key patents and
pending applications and is not intended to represent an
assessment of claims, limitations or scope.
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Expiration Date Assuming
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Patent
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Subject Matter
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Related Product(s)
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No Patent Extension
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US5,130,141
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Compositions for and methods of treating muscle degeneration and
weakness
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MyoCell; MyoCell II with SDF-1
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July 14, 2009
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US5,972,013
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Direct Pericardial Access Device with Deflecting Mechanism and
Method
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MyoCath; MyoCath II
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Sep. 19, 2017
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US6,241,710
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Hypodermic Needle with Weeping Tip and Method of Use
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MyoCath II
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Dec. 20, 2019
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US6,547,769
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Catheter Apparatus with Weeping Tip and Method of Use
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MyoCath II
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Dec. 20, 2019
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US6,855,132
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Apparatus with Weeping Tip and Method of Use
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MyoCath II
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Dec. 20, 2019 (with 101 day adjustment: Mar. 30,
2020)
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US6,949,087
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Apparatus with Weeping Tip and Method of Use
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MyoCath II
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Dec. 20, 2019
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Patent Application
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Subject Matter
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Related Product(s)
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WO 04/056186 (US03/34411)(PCT)
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Cell-Based VEGF Delivery
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MyoCell II with SDF-1
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US2004/0037811
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Stromal Cell-Derived Factor-1 Mediates Stem Cell Homing and
Tissue Regeneration in Ischemic Cardiomyopathy
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MyoCell II with SDF-1
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WO 04/017978
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Stromal Cell-Derived Factor-1 Mediates Stem Cell
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MyoCell II with SDF-1
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(US03/26013) (PCT)
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Homing and Tissue Regeneration in Ischemic Cardiomyopathy
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Patent life determination depends on the date of filing of the
application or the date of patent issuance and other factors as
promulgated under the patent laws. Under the U.S. Drug
Price Competition and Patent Term Restoration Act of 1984, as
amended, a patent which claims a product, use or method of
manufacture covering drugs and certain other products, including
biologic products, may be extended for up to five years to
compensate the patent holder for a portion of the time required
for research and FDA review of the product. Only one patent
applicable to an approved drug or biologic product is eligible
for a patent term extension. This law also establishes a period
of time following approval of a drug or biologic product during
which the FDA may not accept or approve applications for certain
similar or identical drugs or biologic products from other
sponsors unless those sponsors provide their own safety and
efficacy data.
We anticipate that we will seek to collaborate with the owners
of the patent, Dr. Law and Cell Transplants International,
to extend the term of this patent. In the event MyoCell is
approved by the FDA prior to the patent expiration date and
certain other material conditions are satisfied, we believe that
this patent will be eligible for a five-year extension of its
term until July 2014. It is likely, however, that the FDA will
not complete review of and grant approval for MyoCell before
this patent expires. In such event, a regular patent term
extension will not be available, but Dr. Law and Cell
Transplants International could request a one-year interim
extension of the patent term during the period beginning six
months before and ending fifteen days before the patent
expiration. The request for interim extension must satisfy a
number of material conditions including those conditions
necessary to receive a regular patent term extension. Under
certain circumstances the patent owner can request up to four
additional one-year interim extensions. However, we cannot
assure you that Dr. Law and Cell Transplants International
will seek to obtain, or will be successful in obtaining, any
regular or interim patent term extension.
MyoCell is not protected by patents outside of the United
States, which means that competitors will be free to sell
products that incorporate the same or similar technologies that
are used in MyoCell without infringing our patent rights in
those countries, including in European countries, which we
believe may be one of the largest potential markets for MyoCell.
As a result, MyoCell, if approved for use in any of these
countries, may be vulnerable to competition. In addition, many
of the patent and patent applications that have been licensed to
us that pertain to our other product candidates do not cover
certain countries within Europe.
Our commercial success will depend to a significant degree on
our ability to:
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defend and enforce our patents and/or compel the owners of the
patents licensed to us to defend and enforce such patents;
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obtain additional patent and other proprietary protection for
MyoCell and our other product candidates;
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obtain and/or maintain appropriate licenses to patents, patent
applications or other proprietary rights held by others with
respect to our technology, both in the United States and other
countries;
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preserve trade secrets and other intellectual property rights
relating to our product candidates; and
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operate without infringing the patents and proprietary rights of
third parties.
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In addition to patented intellectual property, we also rely on
trade secrets and proprietary know-how to protect our technology
and maintain our competitive position, especially when we do not
believe that patent protection is appropriate or can be
obtained. Our policy is to require each of our employees,
consultants and advisors to execute a confidentiality and
inventions assignment agreement before beginning their
employment, consulting or advisory relationship with us. The
agreements generally provide that the individual must keep
confidential and not disclose to other parties any confidential
information developed or learned by the individual during the
course of the individuals relationship with us except in
limited circumstances. These agreements generally also provide
that we shall own all inventions conceived by the individual in
the course of rendering services to us. Moreover, some of our
academic institution licensors, collaborators and scientific
advisors have rights to publish data and information to which we
have rights, which may impair our ability to protect our
proprietary information or obtain patent protection in the
future.
We work with others in our research and development activities
and one of our strategies is to enter into collaborative
agreements with third parties to develop our proposed products.
Disputes may arise about inventorship and corresponding rights
in know-how and inventions resulting from the joint creation or
use of intellectual property by us and our licensors,
collaborators, consultants and others. In addition, other
parties may circumvent any proprietary protection we do have. As
a result, we may not be able to maintain our proprietary
position.
Except for the complaint filed against us by Dr. Law and
Cell Transplants Asia, we are not currently a party to any
litigation or other adverse proceeding with regard to our
patents or intellectual property rights. However, if we become
involved in litigation or any other adverse intellectual
property proceeding, for example, as a result of an alleged
infringement, or a third party alleging an earlier date of
invention, we may have to spend significant amounts of money and
time and, in the event of an adverse ruling, we could be subject
to liability for damages, including treble damages, invalidation
of our intellectual property and injunctive relief that could
prevent us from using technologies or developing products, any
of which could have a significant adverse effect on our
business, financial condition and results of operation. In
addition, any claims relating to the infringement of third party
proprietary rights, or earlier date of invention, even if not
meritorious, could result in costly litigation, lengthy
governmental proceedings, divert managements attention and
resources and require us to enter royalty or license agreements
which are not advantageous, if available at all.
See Risk Factors Risks Related to Our
Intellectual Property for a discussion of additional risks
we face with respect to our intellectual property rights.
Technology
In-Licenses
and Other
Agreements
Primary MyoCell
Patent
The Primary MyoCell Patent includes claims we believe cover a
composition for the treatment of muscle degeneration, comprised
of cultured myogenic cells for use in their administration to
diseased muscle. The Primary MyoCell Patent expires in the
United States in July 2009. In the event MyoCell is approved by
the FDA prior to the patent expiration date and certain other
material conditions are satisfied, we believe that this patent
will be eligible for a five-year extension of its term until
July 2014. It is likely, however, that the FDA will not complete
review of and grant approval for MyoCell before this patent
expires. In such event, a regular patent term extension will not
be available, but Dr. Law and Cell Transplants
International could request a one-year interim extension of the
patent term during the period beginning six months before and
ending fifteen days before the patent expiration. The request
for interim extension must satisfy a number of material
conditions including those conditions necessary to receive a
regular patent term extension. Under certain circumstances the
patent owner can request up to four additional one-year interim
extensions.
In February 2000, we entered into a License Agreement, or the
Law License Agreement, with Dr. Law and Cell Transplants
International pursuant to which Dr. Law and Cell
Transplants International granted us a conditionally exclusive
license (i.e., a non-exclusive license with a right of
first refusal) to certain patent and patent applications,
including the Primary MyoCell Patent, or, collectively, the Law
Patents, for the life of such Law Patents as well as future
developments related to heart muscle regeneration and
angiogenesis for the
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purpose of developing a commercially viable product within the
field of heart muscle repair and angiogenesis, or, collectively,
the Law IP. We are not permitted to sublicense our rights under
the Law License Agreement to third parties. If Dr. Law or
Cell Transplants International desires to license or otherwise
convey any rights in and to any of the Law Patents, including
the Primary MyoCell Patent, or any of their technology,
inventions or other patent rights in the field of heart muscle
regeneration or angiogenesis to a third party, we have a right
of first refusal, exercisable within thirty days, to obtain
either an exclusive or non-exclusive license for such rights.
Dr. Law and Cell Transplants International have agreed that
they will not consider any such third party offer if the
aggregate consideration offered is less than $14 million.
Pursuant to the Law License Agreement, the exercise price of our
right of first refusal will be equal to the lesser of the price
offered by the third party or $25 million.
Under the Law License Agreement, we are required to pay to Cell
Transplants International a $3 million payment upon
commencement of a bona fide U.S. Phase II human
clinical trial that utilizes technology claimed under the
Primary MyoCell Patent and a $5 million payment upon FDA
approval of patented technology for heart muscle regeneration.
In addition, we are required to pay royalties to Cell
Transplants International equal to 5% of gross sales in the
territories where the licensed patents are issued for products
and services that are covered by the Law IP.
Dr. Law and Cell Transplants International have agreed to
use reasonably diligent and prompt efforts to enforce the
patents licensed pursuant to the Law License Agreement by
instituting litigation against all third parties to whom
Dr. Law and/or Cell Transplants International have a
reasonable basis for claiming infringement. Dr. Law and
Cell Transplants International are entitled to any and all
damages recovered in connection with any such litigation. We do
not have the right to initiate or exercise any control over the
prosecution, maintenance, defense or enforcement of the Law IP.
See Risk Factors Risks Related to Our
Intellectual Property for a discussion of additional risks
we face with respect to our intellectual property rights.
Our interpretation of certain terms of the Law License
Agreement, as well as our performance of certain obligations
under the Law License Agreement, have been disputed by
Dr. Law and Cell Transplants Asia, as described in
Legal Proceedings.
Primary MyoCath
Patent
The Primary MyoCath Patent includes device claims that we
believe covers, among other things, the structure of MyoCath.
The Primary MyoCath Patent expires in the United States in
September 2017. A patent application for the Primary MyoCath
Patent has been filed in Europe and is currently pending.
In January 2000, we entered into a license agreement with
Comedicus, Incorporated pursuant to which Comedicus granted us a
royalty-free, fully
paid-up,
non-exclusive
and irrevocable license to the Primary MyoCath Patent in
exchange for a payment of $50,000. This agreement was amended in
August 2000 to provide us an exclusive license to the Primary
MyoCath Patent in exchange for a payment of $100,000 and our
loan of $250,000 to Comedicus. Pursuant to this amendment we
also received the right, but not the obligation, with
Comedicus consent, which consent is not to been
unreasonably withheld, to defend the Primary MyoCath Patent
against third party infringers.
In June 2003, we entered into agreements with ACS pursuant to
which we assigned our rights under the license agreement with
Comedicus, as amended, committed to deliver 160 units of
MyoCath and sold certain of our other catheter related
intellectual property, or, collectively, with the Primary
MyoCath Patent, the Catheter IP, for aggregate consideration of
$900,000. In connection with these agreement, ACS granted to us
a
co-exclusive,
irrevocable, fully
paid-up
license to the
Catheter IP for the life of the patents related to the
Catheter IP.
ACS has the exclusive right, at its own expense, to file,
prosecute, issue, maintain, license, and defend the Catheter IP,
and the primary right to enforce the Catheter IP against third
party infringers. If ACS fails to enforce the Catheter IP
against a third party infringer within a specified period of
time, we have the right to do so at our expense. The party
enforcing the Catheter IP is entitled to retain any recoveries
resulting from such
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enforcement. The asset purchase agreement only pertains to the
Catheter IP developed or acquired by us prior to June 24,
2003. Our subsequent catheter related developments and/or
acquisitions, such as MyoCath II, were not sold or licensed
to ACS.
MyoCell II with
SDF-1
Patents
To develop our MyoCell II with
SDF-1
product
candidate, we intend to rely primarily on patents we have
licensed from the Cleveland Clinic in addition to the Primary
MyoCell Patent. These patents relate to methods of repairing
damaged heart tissue by transplanting myoblasts that express
SDF-1
and other
therapeutic proteins capable of recruiting other stem cells
within a patients own body to the cell transplant area. We
believe we will also need to, among other things, license some
additional intellectual property to commercialize
MyoCell II with
SDF-1
in the form we
believe may prove to be the most safe and/or effective.
In February 2006, we signed a patent licensing agreement with
the Cleveland Clinic which provides us with the worldwide,
exclusive rights to three pending U.S. patent applications and
certain corresponding foreign filings in the following
jurisdictions: Australia, Brazil, Canada, China, Europe and
Japan, or, collectively, the Cleveland Clinic IP, related to
methods of repairing damaged heart tissue by transplanting
myoblasts that express SDF-1 and other therapeutic proteins
capable of recruiting other stem cells within a patients
own body to the cell transplant area. The term of our agreement
with the Cleveland Clinic extends to the date on which the last
of the Cleveland Clinic IP expires, at which time our license
will become irrevocable, paid up and royalty-free. Certain terms
of this patent licensing agreement were amended in March 2007.
We have paid the Cleveland Clinic aggregate fees of
$1.5 million and are required to pay an annual maintenance
fee of $150,000.
In addition, we are required to make payments upon our
achievement of certain milestone activities which we have agreed
to use commercially reasonable efforts to complete by target
dates agreed to by the parties. The table below sets forth the
milestone activity, required milestone payment and target
completion date.
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Milestone
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Milestone Activity
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Payment
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Target Completion Date
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FDA or foreign equivalent approval of an IND application
covering product candidates derived from the Cleveland Clinic IP
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$
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200,000
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60 days following completion of FDA required safety study, or
IND Target Completion Date
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Full enrollment of an FDA approved Phase I clinical trial
for the first product candidate derived from the Cleveland
Clinic IP
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$
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300,000
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One year following IND Target Completion Date
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Full enrollment of the last clinical trial needed prior to a
Biologic License Application submission to the FDA or foreign
equivalent related to the first product candidate derived from
the Cleveland Clinic IP
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$
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750,000
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Two years following IND Target Completion Date
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First commercial sale of an FDA approved product derived from
the Cleveland Clinic IP
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$
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1,000,000
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Four years following IND Target Completion Date
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In August 2007, we received correspondence from the FDA
requesting certain additional information regarding the IND
application for MyoCell II submitted in May 2007. To provide
this information, we will need to complete an additional safety
study of MyoCell II with SDF-1, which we completed in September
2007 and expect to receive results from in the fourth quarter of
2007.
To the extent we do not complete a milestone activity by the
target completion date, we will be required to pay $100,000, or
the Extension Fee, to extend the target completion date for an
additional one year period,
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or the Extension Period. If such milestone activity is achieved
during the first six months of the Extension Period, the
Extension Fee will be credited against the applicable milestone
payment. We will also be required to pay Cleveland Clinic
royalty fees equal to 5% of net sales of any product derived
from the Cleveland Clinic IP until the expiration of the
patents. In addition, in the event we do not complete a
milestone activity by the target completion date and fail to
achieve such milestone activity within 90 days of receiving
written notice from the Cleveland Clinic, our license to the
Cleveland Clinic IP will automatically convert into a
non-exclusive license. In the event such milestone activity
remains uncompleted one year following the target completion
date and is not completed within 90 days of receiving
written notice from the Cleveland Clinic, our license to the
Cleveland Clinic IP will automatically terminate.
Pursuant to our license agreement with the Cleveland Clinic, we
are permitted to sublicense the Cleveland Clinic IP. However,
prior to enrollment of the first human in an FDA approved
clinical trial, we are required to pay Cleveland Clinic 20% of
all revenue received from our granting of sublicenses to the
Cleveland Clinic IP. Following enrollment of the first human in
an FDA approved clinical trial, we will be required to pay
Cleveland Clinic 10% of all revenue received from our granting
of sublicenses to the Cleveland Clinic IP. These sublicense fees
do not include amounts paid by a sublicensee to us relating to,
among other things, net sales of products derived from the
Cleveland Clinic IP.
The Cleveland Clinic has agreed to diligently prosecute and
maintain the rights to the Cleveland Clinic IP and has the
right, but not the obligation, to prosecute and/or defend, at
its own expense, any infringement of, and/or challenge to, the
patent rights. To the extent the Cleveland Clinic determines not
to initiate suit against any infringer, we have the right, but
not the obligation, to commence litigation for such alleged
infringement. Any damages recovered will be treated as royalties
received by us from sublicensees and shared by us and the
Cleveland Clinic accordingly.
In addition to the Cleveland Clinics right to terminate
due to our failure to complete milestone activities as described
above, the Cleveland Clinic may terminate our agreement with the
Cleveland Clinic if we breach the agreement and fail to cure
such breach within a specified cure period. The agreement also
will terminate automatically in the event of our bankruptcy.
Upon the Cleveland Clinics termination of the agreement
due to our default, breach or bankruptcy, we have granted the
Cleveland Clinic an automatic, non-exclusive, no-cost, royalty
free license, with the right to sublicense, to any patents
created by us and our affiliates during the term of the license
agreement that are required for the development of product
candidates derived from the Cleveland Clinic IP. Upon such
termination, we have also granted the Cleveland Clinic the
exclusive right to negotiate for a license on a worldwide basis,
in the field of use and upon commercially reasonable terms, to
license any patent rights created by us or our affiliates that
may be useful for the development of the product candidates
derived from the Cleveland Clinic IP.
In April 2006, we entered into an agreement with Tricardia, LLC
pursuant to which Tricardia granted us a sublicenseable license
to certain patents and patent applications in the United States,
Australia, Canada, Europe and Japan covering the modified
injection needle we intend to use as part of MyoCath II, or
the MyoCath II Patents, in exchange for a one time payment
of $100,000. Our license covers and is exclusive with respect to
products developed under the MyoCath II Patents for the
delivery of therapeutic compositions to the heart. Unless
earlier terminated by mutual consent of the parties, our
agreement with Tricardia will terminate upon the expiration date
of the last MyoCath II Patent.
Tricardia has the obligation to take all actions necessary to
file, prosecute and maintain the MyoCath II Patents. We are
required to reimburse Tricardia, on a pro-rata basis with other
licensees of Tricardia of the MyoCath II Patents, for all
reasonable out-of-pocket costs and expenses incurred by
Tricardia in prosecuting and maintaining the MyoCath II
Patents. To the extent we do not wish to incur the cost of any
undertaking or defense of any opposition, interference or
similar proceeding involving the MyoCath II Patents with
respect to any jurisdiction, the license granted to us pursuant
to agreement will be automatically amended to exclude such
jurisdiction.
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Tricardia also has the first right, but not the obligation, to
take any actions necessary to prosecute or prevent any
infringement or threatened infringement of the MyoCath II
Patents. To the extent Tricardia determines not to initiate suit
against any infringer, we have the right, but not the
obligation, to commence litigation for such alleged
infringement. Our share of any recovery will equal 50% in the
event Tricardia commences litigation and 90% in the event we
commence litigation.
On December 12, 2006, or the Effective Date, we entered
into an agreement with Tissue Genesis, or the Tissue Genesis
Agreement, that provides us an exclusive, worldwide right to
individually use or to sell or lease to medical practitioners
and related healthcare entities the following items, for the
treatment of acute MI and heart failure, or the Field of Use:
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the TGI 1200 and certain disposable products used in
conjunction with the devices, or, the TGI Licensed Product
Candidates;
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processes that use the TGI Licensed Product Candidates, or the
TGI Licensed Processes; and
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the cells derived using the TGI Licensed Product Candidates
and/or the TGI Licensed Processes, or the TGI Licensed Cells.
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Under the Tissue Genesis Agreement, we are restricted from
transferring or sublicensing our rights to distribute and use,
respectively, the TGI Licensed Product Candidates and related
technology, or the TGI Product Candidate Technology.
Under the Tissue Genesis Agreement, we have agreed to diligently
pursue commercialization of the TGI Licensed Product Candidates
for the treatment of acute MI and heart failure. We have also
agreed to use commercially reasonable efforts to obtain FDA
approval for the TGI Licensed Product Candidates within five
years of the Effective Date and to make the first sale of a TGI
Licensed Product Candidate within seven years of the Effective
Date. Tissue Genesis has agreed to provide us with reasonable
assistance to obtain regulatory approvals.
Tissue Genesis has agreed to sell us equipment and disposables
on pricing terms as favorable as the terms offered to any other
direct customer. Tissue Genesis has agreed to provide us with
any reasonably available information and instructions related to
the operation and maintenance of any equipment we purchase.
We have granted Tissue Genesis an exclusive, worldwide license
to use, for purposes other than the treatment of acute MI and
heart failure, any improvements we make to the TGI Product
Candidate Technology. Tissue Genesis has granted us a right of
first refusal to acquire any improvements made or acquired by
Tissue Genesis to the TGI Licensed Product Candidates or TGI
Product Candidate Technology.
We may terminate the Tissue Genesis Agreement for any reason
upon 90 days written notice to Tissue Genesis. In the event
we terminate the Tissue Genesis Agreement, the warrant we
granted Tissue Genesis (described below) will immediately become
fully vested. In the event we fail to obtain FDA approval for a
TGI Licensed Product Candidate within seven years of the
Effective Date, our exclusive license and distribution right
will automatically become non-exclusive. In the event we fail to
obtain FDA approval for a TGI Licensed Product Candidate within
eight years of the Effective Date, our license and distribution
right will automatically terminate. In the event we pay Tissue
Genesis royalties of less than $1 million over any one year
royalty period at any time after two years following the receipt
of FDA approval for a TGI Licensed Product Candidate, our
exclusive license and distribution right will automatically
terminate 30 days after receipt of notice from Tissue
Genesis unless we demonstrate that we continue to pursue
commercialization and FDA approval of TGI Licensed Product
Candidates and have spent at least the following cumulative
amounts toward our commercialization and FDA approval efforts:
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$500,000 within two years of the Effective Date;
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$1,250,000 within three years of the Effective Date;
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$2,000,000 within four years of the Effective Date; and
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an additional $100,000 each year after four years of the
Effective Date.
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Tissue Genesis also has the right to terminate the agreement if
we are in material breach thereof and we do not cure the breach
within 30 days of receiving written notice of such breach.
We have the right, but not the obligation, to request that
Tissue Genesis commence litigation against a third party
infringer of the patents, including certain patents licensed by
Tissue Genesis from Thomas Jefferson University, or the TJU
Patents, necessary for our customers use of the TGI
Licensed Product Candidates, the TGI Licensed Processes and the
TGI Licensed Cells within the Field of Use. In the event
(i) Tissue Genesis fails to bring suit within 120 days
of receipt of our written request, which request must be
accompanied by an opinion of counsel as to the alleged
infringement and (ii) sales of the infringing products
reduce our net sales of the TGI Licensed Product Candidates by
at least $250,000 per year, we will be relieved of our
obligation to pay Tissue Genesis royalty fees until Tissue
Genesis initiates litigation against the third party infringer
or obtains discontinuance of the infringement. If requested by
Tissue Genesis, we may be required to pay for one third of the
expenses, including legal fees, of any such litigation. To the
extent we are required to contribute to the costs of litigation,
we will have the right to participate in the prosecution of the
alleged infringement and to receive one third of any damages
recovered by Tissue Genesis.
As consideration for the license, we have issued to Tissue
Genesis 13,006 shares of our common stock and granted
Tissue Genesis a warrant to purchase 1,544,450 shares of
our common stock at an exercise price of $7.69 per share. The
warrant is scheduled to vest and become exercisable as follows:
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617,780 shares will vest upon our successful completion of any
internationally recognized Phase I clinical trial of a TGI
Licensed Product Candidate;
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463,335 shares will vest upon the earlier of our net sales of
$10 million of TGI Licensed Product Candidates or our
receipt of $2 million of net profits from the sale of TGI
Licensed Product Candidates; and
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463,335 shares will vest upon the earlier of our net sales of
$100 million of TGI Licensed Product Candidates or our
receipt of $20 million of net profits from the sale of TGI
Licensed Product Candidates.
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In the event we merge or are acquired, the warrant will
immediately become fully vested as to all 1,544,450 shares.
Any vested portion of the warrant will be exercisable at any
time and from time to time until December 31, 2026.
We have also agreed to pay Tissue Genesis royalty fees equal to
2% of net sales of any TGI Licensed Product Candidate, TGI
Licensed Processes and TGI Licensed Cells, up until such time as
the items are no longer qualified for legal protection by a
valid patent claim or trade secret.
Tissue Genesis has agreed that we and our customers will not be
liable for damages for directly or indirectly infringing various
patents, including the TJU patents necessary for our
customers use of the TGI Licensed Product Candidates, the
TGI Licensed Processes and the TGI Licensed Cells for the
treatment of acute MI. Tissue Genesis has, subject to certain
conditions, also agreed to indemnify and hold harmless us and
our customers from all claims that the products infringe any
patents, copyrights or trade secret rights of a third party.
However, if our use of the products is enjoined or if Tissue
Genesis wishes to minimize its liability, Tissue Genesis may, at
its option and expense, either:
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substitute a substantially equivalent non-infringing product for
the infringing product;
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modify the infringing product so that it no longer infringes but
remains functionally equivalent; or
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obtains for us the right to continue using such item.
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If none of the foregoing is feasible, Tissue Genesis is required
to accept a return of the infringing product and refund to us
the amount paid for such product. Our agreement with Tissue
Genesis provides that Tissue
104
Genesis entire liability and obligation with respect to
claims of infringement are limited to the liabilities and
obligations described above.
In June 2000, we entered into an agreement with William Beaumont
Hospital, or WBH, pursuant to which WBH granted to us a
worldwide, exclusive, non-sublicenseable license to two U.S.
method patents covering the inducement of human adult myocardial
cell proliferation in vitro, or the WBH IP. We utilize the
methods under these patents in connection with our BioPace and
certain other product candidates in development. We do not have
rights to patents outside the United States relating to BioPace.
In addition to a payment of $55,000 we made to acquire the
license, we are required to pay WBH an annual license fee of
$10,000 and royalties ranging from 2% to 4% of net sales of
products that are covered by the WBH IP. In order to maintain
these exclusive license rights, our aggregate royalty payments
in any calendar year must exceed a minimum threshold as
established by the agreement. The minimum threshold was $30,000
and $50,000 for 2004 and 2005, respectively. This minimum
threshold increased to $100,000 in 2006 and will increase to
$200,000 for 2007 and thereafter. To the extent that our annual
net sales of products covered by the WBH IP do not exceed the
minimum threshold for such year, we have the option of paying
any shortfall in cash to WBH by the end of the applicable year
or having our license to the WBH IP become non-exclusive. In
addition to the patents licensed from WBH, we purchased a
U.S. patent and its corresponding Japanese filing, which
are directed to biological pacemakers, by assignment from
Angeion Corporation on September 1, 2000.
As of the date of this prospectus, we have not made any payments
to WBH other than the initial payment to acquire the license.
Accordingly, WBH may terminate the license to the WBH IP at any
time at their sole option. We are currently in negotiations with
WBH to amend the terms of the license agreement. Unless earlier
terminated by WBH or by either party upon the other partys
breach of the agreement, the agreement will terminate upon the
expiration date of the last patent covered by the WBH Agreement.
Sales and Marketing
In advance of any expected commercial approval of our lead
product candidate, we intend to internally develop a direct
sales and marketing force in both Europe and the United States.
We anticipate the team will be comprised of salespeople,
clinical and reimbursement specialists and product marketing
managers.
We intend to market MyoCell to interventional cardiologists. In
the typical healthcare system the interventional cardiologist
functions as a gate keeper for determining the
course of appropriate medical care for our target patient
population.
We anticipate our marketing efforts will be focused on informing
interventional cardiologists of the availability of a our
treatment alternative through the following channels of
communication: (i) articles published in medical journals
by widely recognized interventional cardiologists, including
cardiologists that have participated in our clinical trials;
(ii) seminars and speeches featuring widely recognized
interventional cardiologists; and (iii) advertisements in
medical journals.
Collaborative Arrangements for Seeking Regulatory Approvals
and Distribution of Products Outside of the United States and
Europe
On November 19, 2001, we entered into an agreement with
Getz Brothers Co., Ltd. pursuant to which we appointed Getz
Brothers as the exclusive distributor of all of our products in
Japan. Pursuant to this agreement, during the three-year period
following the Reimbursement Date (as defined below), Getz
Brothers has agreed to purchase a minimum number of units of our
products per year at prices to be negotiated upon our receipt of
approval from the Japanese Ministry of Health, Labor and Welfare
to sell our products in Japan, or the Japan Regulatory Approval.
Under this distribution agreement, Getz Brothers has agreed to
use its best efforts to obtain government approval for, promote
and distribute our products in Japan using generally the same
channels and methods, exercising the same diligence and adhering
to the same
105
standards which Getz Brothers employs for its own products and
other medical products it distributes. To assist Getz Brothers
in registering and marketing our products in Japan, we have
agreed to provide them with, among other things, written
materials necessary to obtain the Japan Regulatory Approval,
information on our marketing and promotional plans for our
products, certificates of analysis concerning any products
purchased by Getz Brothers, certificates of free sale, trademark
authorizations and any other documents they may reasonably
request.
This agreement with Getz Brothers terminates five years
following the date that the necessary Japanese regulatory
authorities approve reimbursement for MyoCell, or the
Reimbursement Date. Getz Brothers may terminate the agreement
upon 30 days written notice. In the event that the
Reimbursement Date does not occur by November 19, 2009, we
may terminate the agreement upon 30 days written notice. If
our agreement with Getz Brothers is not terminated prior to the
end of the five year period following the Reimbursement Date,
the agreement will be automatically renewed for additional
one-year periods unless either party provides 180 days
advance written notice to the other party of its desire not to
renew the agreement.
We may also terminate this agreement at any time upon
180 days notice subject to our one-time payment of a
buy-out fee to Getz Brothers. If we exercise this buy-out option
prior to our receipt of the Japan Regulatory Approval, the
payment to Getz Brothers will be equal to the greater of
(i) $5 million and (ii) two times the sum of Getz
Brothers expenditures incurred in connection with seeking
regulatory approvals and conducting clinical trials for our
product candidates. If we exercise this buy-out option
subsequent to our receipt of the Japan Regulatory Approval, the
payment to Getz Brothers will be equal to the greater of
(ii) $10 million and (ii) the product of 24 and
the monthly average of Getz Brothers gross revenues
received from sales of our products during the six months
preceding our exercise of this buy-out option.
On February 1, 2005, we entered into a joint venture
agreement with Bioheart Korea, Inc. pursuant to which we and
Bioheart Korea agreed to create a joint venture company called
Bioheart Asia Manufacturing, or Bioheart Manufacturing, located
in Korea to own and operate a cell culturing facility. The joint
venture agreement contemplates that we will engage Bioheart
Manufacturing to provide all cell culturing processes for our
products and processes sold in Korea for a period of no less
than ten years. Pursuant to the joint venture agreement, we
agreed to contribute approximately $59,000 for an
18% equity interest in Bioheart Manufacturing, and Bioheart
Korea agreed to contribute approximately $9,592,032 for an
82% equity interest in Bioheart Manufacturing. On
April 1, 2006, we entered into an in-kind investment
agreement with Bioheart Manufacturing pursuant to which we
agreed to provide Bioheart Manufacturing with the technology to
manufacture MyoCell and MyoCath and, in exchange, received
15,090 common shares of Bioheart Manufacturing.
Pursuant to the joint venture agreement, we have agreed to
provide Bioheart Manufacturing with standard operating
procedures, tests and testing protocols, cell selection methods,
cell characterization methods, and all materials necessary to
carry out the activities of the cell culturing facility in the
manner required by us. Under the joint venture agreement, we
agreed to enter into a shareholders agreement with Bioheart
Korea which will include, among others, a provision providing
for a
five-member
board
of directors and provisions setting forth certain operation
related matters that will require prior written agreement by us
and Bioheart Korea.
The joint venture agreement terminates upon Bioheart
Manufacturings inability to continue its operations by
reason of operation of law, governmental order or regulation or
Bioheart Manufacturings dissolution or liquidation for any
reason.
It is our understanding that in February 2006, Bioheart
Manufacturing entered into an industrial site lease with
Gyeonggi Provincial Government of the Republic of Korea and
commenced construction of a cell culturing facility in September
2006. It is our understanding that the manufacturing facility is
targeting an opening in the first quarter of 2008. Since
September 2006, our employees have been visiting Korea to train
Bioheart Manufacturings employees regarding how to culture
myoblasts.
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In August 2007, we entered into a clinical registry supply
agreement with Bioheart Korea pursuant to which we agreed to
supply MyoCell and MyoCath to Bioheart Korea for use in registry
studies of MyoCell anticipated to be conducted by Bioheart Korea
at purchase prices established by the agreement. We may
terminate this agreement at any time.
Government Regulation
The research and development, preclinical studies and clinical
trials, and ultimately, the culturing, manufacturing, marketing
and labeling of our product candidates are subject to extensive
regulation by the FDA and other regulatory authorities in the
United States and other countries. We believe MyoCell and
MyoCath are subject to regulation in the United States and
Europe as a biological product and a medical device,
respectively.
Biological products are subject to regulation under the Federal
Food, Drug, and Cosmetic Act, or the FD&C Act, the Public
Health Service Act, or the PHS Act and their respective
regulations as well as other federal, state, and local statutes
and regulations. Medical devices are subject to regulation under
the FD&C Act and the regulations promulgated thereunder as
well as other federal, state, and local statutes and
regulations. The FD&C Act and the PHS Act and the
regulations promulgated thereunder govern, among other things,
the testing, cell culturing, manufacturing, safety, efficacy,
labeling, storage, record keeping, approval, clearance,
advertising and promotion of our product candidates. Preclinical
studies, clinical trials and the regulatory approval process
typically take years and require the expenditure of substantial
resources. If regulatory approval or clearance of a product is
granted, the approval or clearance may include significant
limitations on the indicated uses for which the product may be
marketed.
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FDA Regulation Approval of Biological
Products
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The steps ordinarily required before a biological product may be
marketed in the United States include:
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completion of preclinical studies according to good laboratory
practice regulations;
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the submission of an IND application to the FDA, which must
become effective before human clinical trials may commence;
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performance of adequate and well-controlled human clinical
trials according to good clinical practices to establish the
safety and efficacy of the proposed biological product for its
intended use;
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satisfactory completion of an FDA pre-approval inspection of the
manufacturing facility or facilities at which the product is
manufactured, processes, packaged or held to assess compliance
cGMP; and
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the submission to, and review and approval by, the FDA of a
biologics license application, or BLA, that includes
satisfactory results of preclinical testing and clinical trials.
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Preclinical tests include laboratory evaluation of the product
candidate, its formulation and stability, as well as animal
studies to assess the potential safety and efficacy of the
product candidate. The FDA requires that preclinical tests be
conducted in compliance with good laboratory practice
regulations. The results of preclinical testing are submitted as
part of an IND application to the FDA together with
manufacturing information for the clinical supply, analytical
data, the protocol for the initial clinical trials and any
available clinical data or literature. A
30-day
waiting period
after the filing of each IND application is required by the FDA
prior to the commencement of clinical testing in humans. In
addition, the FDA may, at any time during this
30-day
waiting period
or any time thereafter, impose a clinical hold on proposed or
ongoing clinical trials. If the FDA imposes a clinical hold,
clinical trials cannot commence or recommence without FDA
authorization.
Clinical trials to support BLAs involve the administration of
the investigational product to human subjects under the
supervision of qualified investigators. Clinical trials are
conducted under protocols detailing, among other things, the
objectives of the study, the parameters to be used in monitoring
safety and the efficacy criteria to be evaluated.
107
Clinical trials are typically conducted in three sequential
phases, but the phases may overlap.
In Phase I clinical trials, the initial introduction of the
biological product candidate into human subjects or patients,
the product candidate is tested to assess safety, dosage
tolerance, absorption, metabolism, distribution and excretion,
including any side effects associated with increasing doses.
Phase II clinical trials usually involve studies in a
limited patient population to identify possible adverse effects
and safety risks, preliminarily assess the efficacy of the
product candidate in specific, targeted indications; and assess
dosage tolerance and optimal dosage.
If a product candidate is found to be potentially effective and
to have an acceptable safety profile in Phase II
evaluations, Phase III trials are undertaken within an
expanded patient population at multiple study sites to further
demonstrate clinical efficacy and safety, further evaluate
dosage and establish the risk-benefit ratio of the product and
an adequate basis for product labeling.
Phase IV, or post-marketing, trials may be mandated by
regulatory authorities or may be conducted voluntarily.
Phase IV trials are typically initiated to monitor the
safety and efficacy of a biological product in its approved
population and indication but over a longer period of time, so
that rare or long-term adverse effects can be detected over a
much larger patient population and time than was possible during
prior clinical trials. Alternatively, Phase IV trials may
be used to test a new method of product administration, or to
investigate a products use in other indications. Adverse
effects detected by Phase IV trials may result in the
withdrawal or restriction of a drug.
If the required Phase I, II and III clinical testing is
completed successfully, the results of the required clinical
trials, the results of product development, preclinical studies
and clinical trials, descriptions of the manufacturing process
and other relevant information concerning the safety and
effectiveness of the biological product candidate are submitted
to the FDA in the form of a BLA. In most cases, the BLA must be
accompanied by a substantial user fee. The FDA may deny a BLA if
all applicable regulatory criteria are not satisfied or may
require additional data, including clinical, toxicology, safety
or manufacturing data. It can take several years for the FDA to
approve a BLA once it is submitted, and the actual time required
for any product candidate may vary substantially, depending upon
the nature, complexity and novelty of the product candidate.
Before approving an application, the FDA will inspect the
facility or facilities where the product is manufactured. The
FDA will not approve a BLA unless it determines that the
manufacturing processes and facilities are in compliance with
cGMP requirements.
If the FDA evaluations of the BLA and the manufacturing
facilities are favorable, the FDA may issue either an approval
letter or an approvable letter. The approvable letter usually
contains a number of conditions that must be met to secure final
FDA approval of the BLA. When, and if, those conditions have
been met to the FDAs satisfaction, the FDA will issue an
approval letter. If the FDAs evaluation of the BLA or
manufacturing facility is not favorable, the FDA may refuse to
approve the BLA or issue a non-approvable letter that often
requires additional testing or information.
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FDA Regulation Approval of Medical
Devices
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Medical devices are also subject to extensive regulation by the
FDA. To be commercially distributed in the United States,
medical devices must receive either 510(k) clearance or
pre-market approval, or PMA, from the FDA prior to marketing.
Devices deemed to pose relatively low risk are placed in either
Class I or II, which requires the manufacturer to submit a
pre-market notification requesting permission for commercial
distribution, or 510(k) clearance. Devices deemed by the FDA to
pose the greatest risk, such as life-sustaining, life-supporting
or implantable devices, devices deemed not substantially
equivalent to a previously 510(k) cleared device and certain
other devices are placed in Class III which requires PMA.
We anticipate that MyoCath will be classified as a
Class III device.
To obtain 510(k) clearance, a manufacturer must submit a
pre-market notification demonstrating that the proposed device
is substantially equivalent in intended use and in safety and
efficacy to a previously
108
510(k) cleared device, a device that has received PMA or a
device that was in commercial distribution before May 28,
1976. The FDAs 510(k) clearance pathway usually takes from
four to twelve months, but it can last longer.
After a device receives 510(k) clearance, any modification that
could significantly affect its safety or efficacy, or that would
constitute a major change in its intended use, requires a new
510(k) clearance or could require PMA. The FDA requires each
manufacturer to make this determination, but the FDA can review
any such decision. If the FDA disagrees with a
manufacturers decision not to seek a new 510(k) clearance,
the agency may retroactively require the manufacturer to seek
510(k) clearance or PMA. The FDA also can require the
manufacturer to cease marketing and/or recall the modified
device until 510(k) clearance or PMA is obtained.
A product not eligible for 510(k) clearance must follow the PMA
pathway, which requires proof of the safety and efficacy of the
device to the FDAs satisfaction. The PMA pathway is much
more costly, lengthy and uncertain than the 510(k) approval
pathway. A PMA application must provide extensive preclinical
and clinical trial data and also information about the device
and its components regarding, among other things, device design,
manufacturing and labeling. As part of the PMA review, the FDA
will typically inspect the manufacturers facilities for
compliance with quality system regulation requirements, which
impose elaborate testing, control, documentation and other
quality assurance procedures. Upon acceptance by the FDA of what
it considers a completed filing, the FDA commences an in-depth
review of the PMA application, which typically takes from one to
two years, but may last longer. The review time is often
significantly extended as a result of the FDA asking for more
information or clarification of information already provided.
If the FDAs evaluation of the PMA application is
favorable, and the applicant satisfies any specific conditions
(e.g., changes in labeling) and provides any specific additional
information (e.g., submission of final labeling), the FDA will
issue a PMA for the approved indications, which can be more
limited than those originally sought by the manufacturer. The
PMA can include post-approval conditions that the FDA believes
necessary to ensure the safety and efficacy of the device
including, among other things, restrictions on labeling,
promotion, sale and distribution. Failure to comply with the
conditions of approval can result in an enforcement action,
which could have material adverse consequences, including the
loss or withdrawal of the approval.
Even after approval of a pre-market application, a new PMA or
PMA supplement is required in the event of a modification to the
device, its labeling or its manufacturing process.
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FDA Regulation Post-Approval
Requirements
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Even if regulatory clearances or approvals for our product
candidates are obtained, our products and the facilities
manufacturing our products will be subject to continued review
and periodic inspections by the FDA. For example, as a condition
of approval of a new drug application, the FDA may require us to
engage in post-marketing testing and surveillance and to monitor
the safety and efficacy of our products. Holders of an approved
new BLA, PMA or 510(k) clearance product are subject to several
post-market requirements, including the reporting of certain
adverse events involving their products to the FDA, provision of
updated safety and efficacy information, and compliance with
requirements concerning the advertising and promotion of their
products.
In addition, manufacturing facilities are subject to periodic
inspections by the FDA to confirm the facilities comply with
cGMP requirements. In complying with cGMP, manufacturers must
expend money, time and effort in the area of production and
quality control to ensure full compliance. For example,
manufacturers of biologic products must establish validated
systems to ensure that products meet high standards of
sterility, safety, purity, potency and identity. Manufacturers
must report to the FDA any deviations from cGMP or any
unexpected or unforeseeable event that may affect the safety,
quality, or potency of a product. The regulations also require
investigation and correction of any deviations from cGMP and
impose documentation requirements.
109
In addition to regulations enforced by the FDA, we are also
subject to regulation under the Occupational Safety and Health
Act, the Environmental Protection Act, the Toxic Substances
Control Act, the Resource Conservation and Recovery Act and
other federal, state and local regulations. Our research and
development activities involve the controlled use of hazardous
materials, chemicals, biological materials and radioactive
compounds.
Our product candidates are subject to regulation in every
country where they will be tested or used. Whether or not we
obtain FDA approval for a product candidate, we must obtain the
necessary approvals from the comparable regulatory authorities
of foreign countries before we can commence testing or marketing
of a product candidate in those countries. The requirements
governing the conduct of clinical trials and the approval
processes vary from country to country and the time required may
be longer or shorter than that associated with FDA approval.
In the European Economic Area, composed of the 25 European
Union Member States, plus Norway, Iceland and Lichtenstein,
marketing authorization applications for medicinal products may
be submitted under a centralized or national procedure. Detailed
preclinical and clinical data must accompany all marketing
authorization applications that are submitted in the European
Union. The centralized procedure provides for the grant of a
single marketing authorization, referred to as a community
authorization, that is valid for the entire European Economic
Area. Under the national or decentralized procedure, a medicinal
product may only be placed on the market when a marketing
authorization, referred to as a national authorization, has been
issued by the competent authority of a European Economic Area
country for its own territory. If marketing authorization is
granted, the holder of such 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. We believe that, by virtue of the nature
of MyoCell, we are eligible to seek commercial approval of
MyoCell under either the centralized or national procedure. We
anticipate that we will first seek to obtain commercial approval
of MyoCell in the Netherlands, Belgium and Germany pursuant to
the national procedure.
Under the mutual recognition procedure, products are authorized
initially in one member state, and other member states where
approval is sought are subsequently requested to recognize the
original authorization based upon an assessment report prepared
by the original authorizing competent authority. The other
member states then have 90 days to recognize the decision
of the original authorizing member state. If the member states
fail to reach an agreement because one of them believes that
there are grounds for supposing that the authorization of the
medicinal product may present a potential serious risk to public
health, the disagreement may be submitted to the Committee for
Medicinal Products for Human Use of the European Medicines
Agency for arbitration. The decision of this committee is
binding on all concerned member states and the marketing
authorization holder. Other member states not directly concerned
at the time of the decision are also bound as soon as they
receive a marketing application for the same product. The
arbitration procedure may take an additional year before a final
decision is reached and may require the delivery of additional
data.
The European Economic Area requires that manufacturers of
medical devices obtain the right to affix the CE Mark to their
products before selling them in member countries. The CE Mark is
an international symbol of adherence to quality assurance
standards and compliance with applicable European medical device
directives. In order to obtain the right to affix the CE Mark to
a medical device, the medical device in question must meet the
essential requirements defined under the Medical Device
Directive (93/42/ EEC) relating to safety and performance, and
the manufacturer of the device must undergo verification of
regulatory compliance by a third party standards certification
provider, known as a notified body. Provided that we enter into
a long term manufacturing contract with an entity that satisfies
the requirements of the International Standards Organization, we
anticipate that we will file an application to obtain the right
to affix the CE Mark to MyoCath in the first quarter of 2008.
110
In addition to regulatory clearance, 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 may control clinical trials. No clinical trial may
be started without authorization by the national competent
authority and favorable ethics approval.
Manufacturing facilities are subject to the requirements of the
International Standards Organization. In complying with these
requirements, manufacturers must expend money, time and effort
in the area of production and quality control to ensure full
compliance.
Despite efforts to harmonize the registration process in the
European Union, the different member states continue to have
different national healthcare policies and different pricing and
reimbursement systems. The diversity of these systems may
prevent a simultaneous pan-European launch, even if centralized
marketing authorization has been obtained.
In some cases, we plan to submit applications with different
endpoints or other elements outside the United States due to
differing practices and requirements in particular
jurisdictions. However, in cases where different endpoints will
be used outside the United States, we expect that such
submissions will be discussed with the FDA to ensure that the
FDA is comfortable with the nature of human trials being
conducted in any part of the world. 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.
Competition
Our industry is subject to rapid and intense technological
change. We face, and will continue to face, competition from
pharmaceutical, biopharmaceutical, medical device and
biotechnology companies developing heart failure treatments both
in the United States and abroad, as well as numerous academic
and research institutions, governmental agencies and private
organizations engaged in drug funding or discovery activities
both in the United States and abroad. We also face competition
from entities and healthcare providers using more traditional
methods, such as surgery and pharmaceutical regimens, to treat
heart failure. We believe there are a substantial number of
heart failure products under development by numerous
pharmaceutical, biopharmaceutical, medical device and
biotechnology companies, and it is likely that other competitors
will emerge.
Many of our existing and potential competitors have
substantially greater research and product development
capabilities and financial, scientific, marketing and human
resources than we do. As a result, these competitors may succeed
in developing competing therapies earlier than we do; obtain
patents that block or otherwise inhibit our ability to further
develop and commercialize our product candidates; obtain
approvals from the FDA or other regulatory agencies for products
more rapidly than we do; or develop treatments or cures that are
safer or more effective than those we propose to develop. These
competitors may also devote greater resources to marketing or
selling their products and may be better able to withstand price
competition. In addition, these competitors may introduce or
adapt more quickly to new technologies or scientific advances,
which could render our technologies obsolete, and may introduce
products that make the continued development of our product
candidates uneconomical. These competitors may also be more
successful in negotiating third party licensing or collaborative
arrangements and may be able to take advantage of acquisitions
or other strategic opportunities more readily than we can.
Our ability to compete successfully will depend on our continued
ability to attract and retain skilled and experienced
scientific, clinical development and executive personnel, to
identify and develop viable heart failure product candidates and
to exploit these products and compounds commercially before
others are able to develop competitive products.
We believe the principal competitive factors affecting our
markets include, but are not limited to:
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the safety and efficacy of our product candidates;
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the freedom to develop and commercialize cell-based therapies,
including appropriate patent and proprietary rights protection;
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111
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the timing and scope of regulatory approvals;
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the cost and availability of our products;
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the availability and scope of third party reimbursement
programs; and
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the availability of alternative treatments.
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We are still in the process of determining, among other things:
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if MyoCell is safe and effective;
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the timing and scope of regulatory approvals; and
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the availability and scope of third party reimbursement programs.
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Accordingly, we have a limited ability to predict how
competitive MyoCell will be relative to existing treatment
alternatives and/or treatment alternatives that are under
development. See Business Diagnosis and
Management of Heart Failure.
If approved, MyoCell will compete with surgical, pharmaceutical
and mechanical based therapies. Surgical options include heart
transplantation and left ventricular reconstructive surgery.
Although not readily accessible, heart transplantation has
proven to be an effective treatment for patients with severe
damage to the heart who locate a donor match and are in
sufficiently good health to undergo major surgery. Mechanical
therapies such as biventricular pacing, ventricular restraint
devices and mitral valve therapies have been developed by
companies such as Medtronic, Inc., Acorn Cardiovascular, Inc.,
St. Jude Medical, Inc., World Heart Corporation, Guidant
Corporation, a part of Boston Scientific, and Edwards
Lifesciences Corp. Pharmaceutical therapies include
anti-thrombotics, calcium channel blockers such as Pfizers
Norvasc
®
and ACE inhibitors such as Sanofis
Delix
®
.
The field of regenerative medicine is rapidly progressing, as
many organizations are initiating or expanding their research
efforts in this area. We are also aware of several competitors
seeking to develop cell-based therapies for the treatment of
cardiovascular disease, including MG Biotherapeutics, LLC (a
joint venture between Genzyme Corporation and Medtronic, Inc.),
Mytogen, Inc., Baxter International, Inc., Osiris Therapeutics,
Inc., Viacell, Inc., Cytori Therapeutics, Inc., and potentially
others.
It is our understanding that some of our large competitors have
devoted considerable resources to developing a myoblast-based
cell therapy for treating severe damage to the heart. For
instance, Mytogen and MG Biotherapeutics, like Bioheart, have
been seeking to develop cell-based therapies utilizing skeletal
myoblasts isolated from muscle, expanded in culture, and
injected into a patients heart to repair scar tissue. In
September 2006, Mytogen completed treating patients enrolled in
its U.S. Phase I clinical trial of catheter injections of
myoblasts and announced results in March 2007. Mytogen has
announced that they anticipate they will commence enrollment in
a Phase II, double blind, placebo-controlled clinical trial
in early to mid- 2007. MG Biotherapeutics announced in February
2006 that it had ceased enrollment of new patients in its
Phase II trial, the MAGIC Trial, after its data monitoring
committee concluded there was a low likelihood that the trial
would result in the hypothesized improvements in heart function.
Some organizations are involved in research using alternative
cell sources, including bone marrow, embryonic and fetal tissue,
umbilical cord and peripheral blood, and adipose tissue. For
instance, Baxter Healthcare is currently conducting a U.S.
Phase II study using stem cells extracted from peripheral
blood as an investigational treatment for myocardial ischemia.
Osiris Therapeutics is conducting a Phase I study using
mesenchymal stem cells isolated from donor bone marrow, expanded
in culture to treat damage caused by acute MI. Cytori
Therapeutics is developing adipose-tissue derived stem cells
intended to be used in cardiac patients in an autologous manner
and is in preclinical investigations using large animal models.
ViaCell is currently in preclinical development using allogeneic
cells derived from umbilical cord blood for cardiac disease and
they are expected to enter clinical trials in 2007.
For further information regarding our competitive risks, see
Risk Factors We face intense competition in the
biotechnology and healthcare industries.
112
Legal Proceedings
On March 9, 2007, Peter K. Law, Ph.D. and Cell
Transplants Asia, Limited, or the Plaintiffs, filed a complaint
against us and Howard J. Leonhardt, individually, in the
United States District Court, Western District of Tennessee. On
February 7, 2000, we entered a license agreement, or the
Original Law License Agreement, with Dr. Law and Cell
Transplants International pursuant to which Dr. Law and
Cell Transplants International granted us a license to certain
patents, including the Primary MyoCell Patent, or the Law IP.
The parties executed an addendum to the Original Law License
Agreement, or the License Addendum, in July 2000, the provisions
of which amended a number of terms of the Original License
Agreement.
More specifically, the License Addendum provided, among other
things:
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The parties agreed that we would issue, and we did issue, to
Cell Transplants International a five-year warrant exercisable
for 1.2 million shares of our common stock at an exercise
price of $8.00 per share instead of, as originally
contemplated under the Original Law License Agreement, issuing
to Cell Transplants International or Dr. Law
600,000 shares of our common stock and options to purchase
600,000 shares of our common stock at an exercise price of
$1.80. The share amounts and exercise prices do not take into
account any subsequent recapitalizations or reverse stock splits.
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The parties agreed that our obligation to pay Cell Transplants
International a $3 million milestone payment would be
triggered upon our commencement of a bona fide U.S.
Phase II human clinical trial that utilizes technology
claimed under the Law IP instead of, as originally contemplated
under the Original Law License Agreement, upon initiation of a
FDA approved human clinical trial study of such technology in
the United States.
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The Plaintiffs are not challenging the validity of our license
of the Law IP, but rather are alleging and seeking, among
other things, a declaratory judgment that the License Addendum
fails for lack of consideration. Based upon this argument, the
Plaintiffs allege that we are in breach of the terms of the
Original Law License Agreement for failure to, among other
things, (i) issue to Cell Transplants International or
Dr. Law the 600,000 shares of our common stock and
options to purchase 600,000 shares of our common stock
contemplated by the Original Law License Agreement and
(ii) pay Cell Transplants International the $3 million
milestone payment upon our commencement of an FDA approved human
clinical study of MyoCell in the United States.
The Plaintiffs have alleged, among other things, certain other
breaches of the Original Law License Agreement not modified by
the License Addendum including a purported breach of our
obligation to pay Plaintiffs royalties on gross sales of
products that directly read upon the claims of the Primary
MyoCell Patent and a purported breach of the contractual
restriction on sublicensing the Primary MyoCell Patent to third
parties. The Plaintiffs are also alleging that we and
Mr. Leonhardt engaged in a civil conspiracy against the
Plaintiffs and that the court should toll any periods of
limitation running against the Plaintiffs to bring any causes of
action arising from or which could arise from the alleged
breaches.
In addition to seeking a declaratory judgment that the License
Addendum is not enforceable, the Plaintiffs are also seeking an
accounting of all revenues, remunerations or benefits derived by
us or Mr. Leonhardt from sales, provision and/or
distribution of products and services that read directly on the
Law
IP, compensatory and punitive monetary damages and preliminary
and permanent injunctive relief to prohibit us from sublicensing
our rights to third parties.
We believe this lawsuit is without merit and intend to defend
the action vigorously. We have filed a motion to dismiss the
proceeding against both us and Mr. Leonhardt. In our motion
to dismiss, we have pointed out that the Plaintiffs claims
against us should be dismissed due to, among other things, the
passage of the statute of limitations and the Plaintiffs
failure to describe why the License Addendum should be viewed as
being made without consideration. In our motion to dismiss, we
have also described why the Plaintiffs claims against
Mr. Leonhardt should be dismissed due to the failure to
state a claim and lack of personal jurisdiction. On July 26,
2007, the court granted our motion to dismiss Mr. Leonhardt in
his individual capacity and the civil conspiracy claim. The
court denied our motion to dismiss all other claims. We have
filed and served our answer to the Plaintiffs complaint.
We have also asserted counterclaims against the Plaintiffs
113
for declaratory judgment that the License Addendum is a valid
and subsisting agreement, and for breach of contract with
respect to various obligations undertaken by the Plaintiffs in
the Original License Agreement, as amended by the License
Addendum. Trial of the action is currently scheduled for
September 2008 and the parties recently commenced discovery.
While the complaint does not appear to challenge our rights to
license the Law IP and we believe this lawsuit is without
merit, this litigation, if not resolved to the satisfaction of
both parties, may adversely impact our relationship with
Dr. Law and could, if resolved unfavorably to us, adversely
affect our MyoCell commercialization efforts.
Except as described above, we are not presently engaged in any
material litigation and are unaware of any threatened material
litigation. However, the biotechnology and medical device
industries have been characterized by extensive litigation
regarding patents and other intellectual property rights. In
addition, from time to time, we may become involved in
litigation relating to claims arising from the ordinary course
of our business. See Risk Factors for a discussion
of various litigation related risks we face.
Facilities
Our headquarters are located in Sunrise, Florida and consist of
8,600 square feet of space, which we lease at a current
rent of approximately $116,000 per year. The lease expires
in January 2010. In addition to our corporate offices, at this
location, we maintain:
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our MyoCell cell culturing facility for supply within the United
States; and
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a fully equipped cell culturing laboratory where we perform
experimental work in the areas of improving cell culturing, cell
engraftment, and other advanced research projects related to our
core business.
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We believe the space available at our headquarters will be
sufficient to meet the needs of our operations for the
foreseeable future.
Employees
As of September 30, 2007, we had 29 employees,
including six executive officers. A substantial majority of our
employees work in our Sunrise, Florida headquarters. Each
employee has signed a confidentiality, inventions assignment and
proprietary rights agreement and a non-compete and
non-solicitation agreement. None of our employees is covered by
a collective bargaining agreement. We have never experienced
employment-related work stoppages and consider our employee
relations to be good.
114
MANAGEMENT
Executive Officers and Directors
Set forth below is information regarding our executive officers
and directors as of September 30, 2007.
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Name
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Age
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Position
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William M. Pinon
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44
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President, Chief Executive Officer and Director
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Howard J. Leonhardt
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45
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Executive Chairman and Chief Technology Officer
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William H. Kline
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62
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Chief Financial Officer
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Richard T. Spencer IV
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35
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Vice President of Clinical Affairs and Physician Relations
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Nicholas M. Burke
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35
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Vice President of Financial Operations
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Catherine Sulawske-Guck
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38
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Vice President of Administration and Human Resources
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Samuel S. Ahn, M.D., MBA
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53
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Director
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Bruce Carson
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44
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Director
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Peggy A. Farley
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60
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Director
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David J. Gury
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68
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Director
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William P. Murphy, Jr., M.D.
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83
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Director
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Richard T. Spencer III
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71
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Director
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Mike Tomas
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42
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Director
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Linda Tufts
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53
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Director
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Executive Officers
William M. Pinon.
Mr. Pinon was appointed as our
President and Chief Executive Officer in March 2007 and as a
director in June 2007. He has nearly 20 years of
operational and sales experience in the cardiovascular treatment
industry. Mr. Pinon spent the past four years at Cordis
Corporation, a Johnson & Johnson company, where he served
most recently, from May 2006 until February 2007, as Worldwide
Vice President of Sales and Marketing for the cardiovascular
business and the drug eluting
CYPHER
tm
stent. In that position, he was responsible for all aspects of
sales and marketing management for interventional cardiology
products worldwide. He previously served, from January 2005 to
April 2006, as General Manager and Vice President of the Cordis
business unit, Biologics Delivery Systems, a company focused on
the delivery of biologics to treat congestive heart failure.
There he helped to develop the company into a fully-integrated
business, and managed all aspects of sales and marketing,
including profitability, company vision, and long-range
strategic planning. Mr. Pinon also served, from January
2003 until December 2004, as Vice President of Commercial
Operations for Cordis Cardiology, the business unit of Cordis
focused on cardiovascular disease management. Prior to joining
Cordis, Mr. Pinon worked for Centocor, Inc., also a Johnson
& Johnson company, where he served as Executive Director of
Sales for its cardiovascular business unit from August 2000
through December 2002, and before that for Boehringer Mannheim
Corporation Therapeutics from March 1992 to February 1998, where
he managed the congestive heart failure business. Mr. Pinon
received a B.S. in Biology from the University of Oregon in 1988.
Howard J. Leonhardt.
Mr. Leonhardt is the co-founder
of Bioheart. He has served as our Chairman of the Board since
our incorporation in August 1999 and served as our Chief
Executive Officer from August 1999 until March 2007. Effective
March 2007, Mr. Leonhardt began serving as our Executive
Chairman and Chief Technology Officer. In 1986,
Mr. Leonhardt founded World Medical Manufacturing
Corporation, or World Medical, and served as its Chief Executive
Officer from 1986 until December 1998 when World Medical was
acquired by Arterial Vascular Engineering, Inc., or AVE. AVE was
acquired by Medtronic, Inc. in January 1999. Mr. Leonhardt
was the co-inventor of World Medicals primary product, the
TALENT (Taheri-Leonhardt) stent graft system. From December 1998
until June 1999, Mr. Leonhardt served as President of
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World Medical Manufacturing Corporation, a subsidiary of
Medtronic. Scientific articles written by Mr. Leonhardt
have been published in a number of publications including
Techniques in Vascular and Endovascular Surgery and the Journal
of Cardiovascular Surgery. Mr. Leonhardt received a diploma
in International Trade from the Anoka-Hennepin Technical
College, attended the University of Minnesota and Anoka-Ramsey
Community College and holds an honorary Doctorate Degree in
Biomedical Engineering from the University of Northern
California.
William H. Kline.
Mr. Kline has served as our Chief
Financial Officer since August 2006. Previously, from October
1999 until August 2006, Mr. Kline served as Senior Vice
President for WildCard Systems, Inc., a debit card processing
company that provides technology for electronic stored-value
accounts and related Web-based software. At WildCard Systems,
Mr. Kline was responsible for, among other things, the
implementation of accounting, financial reporting and budget
systems. He also was involved in all capital transactions at
WildCard Systems, including the sale of the company to eFunds,
Inc. in July 2005. Prior to joining WildCard Systems,
Mr. Kline was the Partner-in-charge of the financial
services practice for KPMG LLP in South Florida. Mr. Kline
has over 30 years of diversified financial, operational and
managerial experience and was the managing partner of
KPMGs healthcare practice in Tulsa and Boston.
Mr. Kline received an M.B.A. in Finance and Accounting from
the Wharton School of the University of Pennsylvania in 1972, an
M.S. in Statistics from the University of Delaware in 1971, and
a B.A. in Mathematics from Harvard College in 1967.
Richard T. Spencer IV.
Mr. Spencer has served as our
Vice President of Clinical Affairs and Physician Relations since
September 2004. Mr. Spencer has eight years of experience
in the medical device industry, including two years, from 1997
until 1999, as Technical Support Manager of Marketing at
Medtronic Vascular, Inc., a company dedicated to the treatment
of vascular disease and more recently, from August 2000 until
September 2004, as Product Director of Global Drug Eluting Stent
Marketing for the Cordis Cardiology Division of
Johnson & Johnson, a cardiology concern dedicated to
the treatment of coronary artery disease. Mr. Spencer
received an M.B.A. from Columbia Business School in 2000, a J.D.
from the University of Florida in 1997, and a B.A. in Political
Science from Columbia University in 1994.
Nicholas M. Burke, C.P.A.
Mr. Burke was appointed as
our Vice President of Financial Operations in July 2007. From
October 2001 through June 2007, Mr. Burke served as Vice
President and Controller of Viragen, Inc., a publicly-traded
bio-pharmaceutical company engaged in the research, development,
manufacture and commercialization of therapeutic proteins for
the treatment of cancers and viral diseases. Prior to joining
Viragen, from October 1999 until October 2001, Mr. Burke
served as Corporate Controller of SmartDisk Corporation, a
computer peripherals technology company whose securities were
publicly traded from October 1999 until May 2003. From September
1994 until September 1999, Mr. Burke was a senior member of
the audit staff of Ernst & Young LLP, concentrating his
practice in the computer technology and biotechnology
industries. Mr. Burke received a Masters Degree in
Accounting from Florida International University in 1996 and a
Bachelors Degree in Accounting from Florida International
University in 1993.
Catherine Sulawske-Guck.
Since January 2007,
Ms. Sulawske-Guck has served as our Vice President of
Administration and Human Resources. Ms. Sulawske-Guck
joined Bioheart in the full-time capacity as Director of
Administration and Human Resources in January 2004 after having
served us in a consulting capacity since December 2001. Prior to
joining Bioheart, from May 1989 until November 2001,
Ms. Sulawske-Guck served as Director of Operations and
Customer Service for World Medical.
Board of Directors
Samuel S. Ahn, M.D., MBA.
Dr. Ahn has served as a
member of our Board of Directors since January 2001. Since April
2006, Dr. Ahn has served as the President of University
Vascular Associates, a medical practice, and Vascular Management
Associates, a healthcare management business. From July 1986 to
April 2006, Dr. Ahn served as the Professor of Surgery in
the Division of Vascular Surgery at UCLA, where he was also the
Director of the Endovascular Surgery Program. Dr. Ahn is a
member of the board of directors of several private companies.
Dr. Ahn received an M.D. from Southwestern Medical School
in Dallas in 1978 and a B.A. in biology from the University of
Texas in 1974. He also received an M.B.A. from the UCLA
116
Anderson School of Management in August 2004. Dr. Ahn
serves on five vascular journal editorial boards, and has
published over 125 peer-reviewed manuscripts, 50 book
chapters, and five textbooks, including one of the first
textbooks on endovascular surgery. During the past
15 years, he has provided consulting services to over
40 biomedical companies, both new and established, and has
authored over 15 patents.
Bruce C. Carson.
Mr. Carson has served as a member
of our Board of Directors since January 2001. Since May 2001,
Mr. Carson has served as the Vice President of Sales of
FinishMaster, Inc., a privately held company specializing in the
distribution of paints and products to the automotive and
industrial refinishing industries. From 1987 until May 2001,
Mr. Carson was President of Badger Paint Plus, Inc., a
privately held distributor of paints and products, until Badger
Paint Plus merger with FinnishMaster, Inc. Mr. Carson
is co-owner of the Southern Minnesota Express Hockey Club, a
member of the North American Hockey League. Mr. Carson is
also the founder and President of the Athletic Performance
Academy in Eden Prairie, Minnesota, a privately held athletic
training facility that has specialized in sports specific
training for elite athletes since August 2004.
David J. Gury.
Mr. Gury has served as a member of
our Board of Directors since July 2005. Since June 2004,
Mr. Gury has served as the principal of Gury Consulting,
LLC in Boca Raton, Florida. In May 1984, Mr. Gury joined
Nabi Biopharmaceuticals, a publicly traded biopharmaceutical
company that primarily develops products for hepatitis and
transplant, gram-positive bacterial infections and nicotine
addiction, as President and Chief Operating Officer. He was
elected Chairman of the Board, Chief Executive Officer and
President in April 1992 and served in such positions until his
retirement in May 2004. Prior to joining Nabi
Biopharmaceuticals, Mr. Gury was employed in various
administrative and executive positions with Alpha Therapeutics
Corporation, a spin off of Abbott Laboratories. Since December
2003, Mr. Gury has been a member of the board of directors
of Oragenics, Inc., a publicly traded emerging biotechnology
company, and was elected as Chairman in December 2004. In April
2005, Mr. Gury was appointed by Floridas Governor Jeb
Bush to serve as a Director on the Scripps Florida Funding
Corporation Board. Mr. Gury received an M.B.A. from the
University of Chicago in 1962 specializing in accounting and
finance and an A.B. in economics from Kenyon College, Gambier,
Ohio, in 1960. Mr. Gury is Chairman of the Florida Research
Consortium and past Chairman and a member of BioFlorida,
Floridas independent statewide bioscience organization.
Peggy A. Farley.
Ms. Farley has served as a member
of our Board of Directors since January 2007. Ms. Farley
was appointed to our Board as a representative of Ascent Medical
Technology Funds. Since January 1998, Ms. Farley has served
as a managing director of the general partner and co-founder of
the Ascent Medical Technology Funds. She is also the President
and Chief Executive Officer of Ascent Capital Management, Inc.
From 1984 until 1997, Ms. Farley was Chief Executive
Officer of a set of firms that she developed as the locus for
investment in the United States for non-US investors, engaging
in venture capital investments, identifying and conducting
acquisition transactions in the United States and South Asia as
well as directing the management of private and corporate
assets. From 1978 to 1984, she was with Morgan
Stanley & Co. Incorporated, in the International Group
of the Corporate Finance Division. Prior to joining Morgan
Stanley, Ms. Farley served as consultant to U.S.
corporations, including Avon, Ingersoll-Rand, Citibank, and
Morgan Stanley. Her career in business began in the mid-1970s in
Citibanks Athens-based Middle East and North Africa
Regional Office. She received an M.A. from Columbia University
in 1972 and an A.B. from Barnard College in 1970.
William P. Murphy, Jr., M.D.
Dr. Murphy has served
as a member of our Board of Directors since June 2003.
Dr. Murphy founded Small Parts, Inc., a supplier of high
quality mechanical components for design engineers, in 1964 and
served as its Chairman until his retirement in April 2005. Small
Parts, Inc. was acquired by Amazon.com, Inc. in March 2005. From
October 1999 until October 2004, Dr. Murphy served as the
Chairman and Chief Executive Officer of Hyperion, Inc., a
medical diagnosis company which had an involuntary bankruptcy
filed against it in December 2003. Dr. Murphy is the
founder of Cordis Corporation (now Cordis Johnson &
Johnson) which he led as President, Chairman and Chief Executive
Officer at various times during his 28 years at Cordis
until his retirement in October 1985. Cordis Johnson &
Johnson is a leading firm in cardiovascular instrumentation.
Dr. Murphy received an M.D. in 1947 from the University of
Illinois and a B.S in pre-medicine from Harvard College in 1946.
He also studied physiologic instrumentation
117
at Massachusetts Institute of Technology, or MIT. After a two
year rotating internship at St. Francis Hospital in Honolulu, he
become a Research Fellow in Medicine at the Peter Bent Brigham
Hospital in Boston where he was the dialysis engineer on the
first clinical dialysis team in the United States. He continued
as an Instructor in Medicine and then a research Associate in
Medicine at Harvard Medical School. Dr. Murphy is the
author of numerous papers and owns 17 patents. He is the
recipient of a number of honors, including the prestigious
Lemelson-MIT Lifetime Achievement Award, the MIT Corporate
Leadership Award, the Distinguished Service Award from North
American Society of Pacing and Electrophysiology, and the Jay
Malina Award from the Beacon Council of Miami, Florida.
Richard T. Spencer, III.
Mr. Spencer has served as a
member of our Board of Directors since December 2001. From April
1982 until July 1987, Mr. Spencer was President of the
Marketing Division of Cordis Corporation (now Cordis
Johnson & Johnson) and a member of its executive
committee and a Vice President of Cordis Dow Corporation, a
joint venture of the Dow Chemical Company and Cordis to
manufacture hollow fiber dialysers and machinery for dialysis.
Mr. Spencer was Chief Operating Officer and held other
executive positions with World Medical from 1993 to January
1999. Mr. Spencer received a B.A. in Economics in 1959 from
the University of Michigan. He has studied business theory, case
studies and financial management while attending executive
programs at the Stanford University School of Business, the
University of Pennsylvanias Wharton School of Business and
the Clemson University School of Business. Between his
University of Michigan studies and embarking on a career in
healthcare, Mr. Spencer served in Europe with the U.S. Army
Counter Intelligence Corps as a military intelligence analyst
with top secret security clearance. Mr. Spencer is also the
founder and a member of the board of directors of Viacor, Inc.,
a private company that is developing techniques for the
percutaneous repair of heart mitral valves.
Mike Tomas.
Mr. Tomas has served as a member of our
Board of Directors since April 2003. Mr. Tomas was
appointed to our Board as a representative of The Astri Group.
Since January 2001, Mr. Tomas has served as President of
The Astri Group, an early-stage private equity investment
company providing capital, business development and strategic
marketing support to emerging private companies. Prior to this,
Mr. Tomas was President of Apex Capital from June 2000
until January 2001, when the private equity investment company
was acquired by The Astri Group. From 1984 until June 2000,
Mr. Tomas was Chief Marketing Officer at Avantel-MCI, MCI
Worldcoms joint venture with Grupo Financiero Banamex.
Mr. Tomas is also a member of the board of directors of
several private companies. Mr. Tomas received an M.B.A.
from the University of Miami in 2000 and a B.A. in Industrial
Organizational Psychology from Florida International University
in 1990.
Linda Tufts.
Ms. Tufts has served as a member of our
Board of Directors since October 2004. Ms. Tufts was
appointed to our Board as a representative of Tyco
International, or Tyco. In connection with the recent spin-off
of one of Tycos businesses into the entity now known as
Covidien, Ltd., Tycos investment in our common stock is
currently held by Covidien and Ms. Tufts serves as a
representative of Covidien. Since 1989, Ms. Tufts has
served as a Vice President and Partner of Fletcher Spaght, Inc.
and leads its Healthcare/ Life Sciences Practice Group.
Ms. Tufts is also a General Partner of Fletcher Spaght
Ventures, a venture capital fund investing in emerging growth
high technology and healthcare companies. Fletcher Spaght has
been engaged by Tyco to manage certain of Tycos
investments, including Tycos investment in Bioheart. Prior
to joining Fletcher Spaght in 1989, Ms. Tufts was
affiliated with the Sony Corporation of America as an internal
consultant. From 1982 until 1988, Ms. Tufts was a manager
with Bain & Company, a leading worldwide strategy
consultancy. At Bain, she managed assignments in healthcare and
service industries and was also a manager of Travenol Management
Services, a Bain-Baxter joint program which provided consulting
services to hospitals and other health providers. Before joining
Bain in 1982, Ms. Tufts was a Consultant with Strategic
Planning Associates, now Mercer Management Consulting.
Ms. Tufts is also a member of the board of directors for
several private companies. Ms Tufts received an S.M. in
Management from the Sloan School of MIT in 1978 as well as an
S.B. in Electrical Engineering and Computer Science and an S.B.
in Humanities and Science from MIT in 1975.
118
Information Regarding the Board of Directors and Corporate
Governance
Director Independence
Our Board of Directors has affirmatively determined that
Ms. Farley, Mr. Gury, Mr. Tomas and
Ms. Tufts meet the definition of independent
director under Rule 4200(a)(15) of the National
Association of Securities Dealers listing standards.
Family Relationships
Mr. Spencer, III, a member of our Board of Directors, is
the father of Mr. Spencer, IV, our Vice President of
Clinical Affairs and Physician Relations.
Mr. Leonhardt, our Executive Chairman and Chief Technology
Officer, is the cousin of Scott Bromley, our Vice President of
Public Relations, and the brother-in-law of
Ms. Sulawske-Guck, our Vice President of Administration and
Human Resources.
Other than as set forth above, there are no family relationships
among our officers and directors.
Director Appointment
Rights
Pursuant to a Stockholder Agreement, dated February 5,
2001, among us, Tyco Sigma Limited and Mr. Leonhardt,
Mr. Leonhardt agreed that, for as long as he owns at least
one-third of the outstanding shares of our common stock, there
would either be a director designated by Tyco on the Board of
Directors or that he would use commercially reasonable efforts
to nominate at least one director reasonably acceptable to Tyco.
In connection with the recent spin-off of one of Tycos
businesses into the entity now known as Covidien, Ltd.,
Tycos investment in our common stock is currently held by
Covidien. Ms. Tufts is Covidiens current designee to
our Board of Directors. Covidiens director designation
rights will terminate upon the closing of this offering.
Pursuant to a Stockholder Agreement, dated March 31, 2003,
among us, The Astri Group, LLC and Mr. Leonhardt,
Mr. Leonhardt agreed that, for a period of three years from
the date of the agreement, he would vote all shares owned by him
and all other shares that he has the right to vote pursuant to
proxies executed in his favor to elect a director designated by
The Astri Group. Mr. Tomas was designated to our Board of
Directors pursuant to this agreement.
Pursuant to a Stockholder Agreement, dated August 31, 2006,
among us, Ascent Medical Technology Fund II and
Mr. Leonhardt, Mr. Leonhardt agreed that, for a period
of three years from the first annual meeting of shareholders
following the date Ascent acquires an aggregate of
390,177 shares of our common stock in accordance with the
terms of the Subscription Agreement between Ascent and us, he
would vote all shares owned by him and all other shares that he
has the right to vote pursuant to proxies executed in his favor
to elect a director designated by Ascent. In January 2007,
Ms. Farley was appointed to the Board of Directors as
Ascents designee. Ascents director designation
rights will terminate upon the closing of this offering.
Board Committees
The Board has three committees: the Audit Committee, the
Compensation Committee and the Governance & Nominating
Committee.
The Board of Directors has adopted a written charter for each of
the Audit Committee, the Compensation Committee and the
Governance & Nominating Committee. The full text of
these Committee charters are available on our website located at
www.bioheartinc.com.
119
The following table describes the current members of each of the
Board Committees:
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Governance
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and
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Audit
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Compensation
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Nominating
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Howard J. Leonhardt
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William M. Pinon
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Samuel S. Ahn, M.D., MBA
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X
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Bruce Carson
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X
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David J. Gury*
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X
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(1)
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Peggy A. Farley*
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X
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X
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(1)
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William P. Murphy, Jr., M.D.
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X
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Richard T. Spencer III
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X
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Mike Tomas*
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X
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(1)
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X
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Linda Tufts*
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X
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(1)
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Currently serves as Chairperson of the Committee.
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The Audit Committees primary function is to assist the
Board in fulfilling its oversight responsibilities relating to
(i) the quality and integrity of our financial statements
and corporate accounting practices, (ii) our compliance
with legal and regulatory requirements, (iii) the
independent auditors qualifications and independence and
(iv) the performance of our internal audit function and
independent auditors. The specific responsibilities in carrying
out the Audit Committees oversight role are delineated in
the Audit Committee Charter.
The Board of Directors has determined that each member of the
Audit Committee, other than Mr. Spencer, III and
Dr. Murphy, is independent pursuant to
Rule 4200(a)(15) of the NASDAQ Marketplace Rules. The SEC
Rules and NASDAQ Marketplace Rules require us to have one
independent Audit Committee member upon initial listing of our
securities, a majority of independent Audit Committee members
within 90 days of the initial listing of our securities and
all independent Audit Committee members within one year of the
initial listing of our securities. We intend to comply with
these independence requirements within the time periods
specified.
The Compensation Committees primary objectives include
making recommendations to the Board of Directors regarding the
compensation of our directors, executive officers, non-officer
employees and consultants and administering our stock option
plans, including our Officers and Employees Stock Option Plan
and our Directors and Consultants Stock Option Plan.
The Board of Directors has determined that each member of the
Compensation Committee, other than Mr. Carson, is
independent pursuant to Rule 4200(a)(15) of the NASDAQ
Marketplace Rules. The NASDAQ Marketplace Rules require us to
have one independent Compensation Committee member upon initial
listing of our securities, a majority of independent Audit
Committee members within 90 days of the initial listing of
our securities and all independent Compensation Committee
members within one year of the initial listing of our
securities. We intend to comply with these independence
requirements within the time periods specified.
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Governance & Nominating Committee
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The primary objectives of the Governance & Nominating
Committee include: (i) assisting the Board by identifying
individuals qualified to become Board members and recommending
to the Board the director
120
nominees for the next Annual Meeting of Shareholders;
(ii) overseeing the governance of the corporation including
recommending Corporate Governance Guidelines to the Board of
Directors; (iii) leading the Board in its annual review of
the Boards performance; and (iv) recommending to the
Board director nominees for each Board Committee.
The Board of Directors has determined that each member of the
Governance & Nominating Committee, other than
Dr. Ahn, is independent pursuant to Rule 4200(a)(15)
of the NASDAQ Marketplace Rules.
The Governance & Nominating Committee was established
in January 2007.
The Governance & Nominating Committees Charter
provides that shareholder nominees to the Board of Directors
will be evaluated using the same guidelines and procedures used
in evaluating nominees nominated by other persons. In evaluating
director nominees, the Governance & Nominating Committee
will consider the following factors:
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the appropriate size and the diversity of our Board;
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our needs with respect to the particular talents and experience
of our directors;
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the knowledge, skills and experience of nominees, including
experience in technology, business, finance, administration or
public service, in light of prevailing business conditions and
the knowledge, skills and experience already possessed by other
members of the Board;
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familiarity with national and international business matters;
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experience in political affairs;
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experience with accounting rules and practices;
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whether such person qualifies as an audit committee
financial expert pursuant to the SEC Rules;
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appreciation of the relationship of our business to the changing
needs of society; and
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the desire to balance the considerable benefit of continuity
with the periodic injection of the fresh perspective provided by
new members.
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In identifying director nominees, the Governance &
Nominating Committee will first evaluate the current members of
the Board of Directors willing to continue in service. Current
members of the Board with skills and experience that are
relevant to our business and who are willing to continue in
service shall be considered for re-nomination, balancing the
value of continuity of service by existing members of the Board
with that of obtaining a new perspective. Generally, the
Governance & Nominating Committee strives to assemble a
Board of Directors that brings to us a variety of perspectives
and skills derived from business and professional experience. In
doing so, the Governance & Nominating Committee will also
consider candidates with appropriate non-business backgrounds.
If any member of the Board does not wish to continue in service
or if the Governance & Nominating Committee or the Board
decides not to re-nominate a member for re-election, the
Governance & Nominating Committee will identify the desired
skills and experience of a new nominee in light of the criteria
above. Other than the foregoing, there are no specific, minimum
qualifications that the Governance & Nominating Committee
believes that a Committee-recommended nominee to the Board of
Directors must possess, although the Governance & Nominating
Committee may also consider such other factors as it may deem
are in our and our shareholders best interests.
In its deliberations, the Governance & Nominating Committee
is aware that our Board must, within one year of the date of our
initial listing on the NASDAQ Global Market, be comprised of a
majority of independent directors, as such term is
defined by the NASDAQ Marketplace Rules. The Governance &
Nominating Committee also believes it appropriate for certain
key members of our management to participate as members of the
Board.
The Governance & Nominating Committee and Board of Directors
are polled for suggestions as to individuals meeting the
criteria of the Governance & Nominating Committee. Research
may also be performed to identify qualified individuals.
121
Communications with the Board of Directors
In January 2007, the Board of Directors adopted a Shareholder
Communication Policy for shareholders wishing to communicate
with various Board committees and individual members of the
Board of Directors. Shareholders wishing to communicate with the
Board of Directors, the Governance & Nominating Committee
and specified individual members of the Board of Directors can
send communications to the Board of Directors and, if
applicable, to the Governance & Nominating Committee or
to specified individual directors in writing c/o Catherine
Sulawske-Guck,
Bioheart, Inc., 13794 NW 4th Street, Suite 212,
Sunrise, FL 33325. We do not screen such mail and all such
letters will be forwarded to the intended recipient.
Legal Proceedings
There are no pending, material legal proceedings to which any
director, officer or affiliate of Bioheart, any owner of record
or beneficially of more than five percent of any class of voting
securities of Bioheart, or any associate of any such director,
officer, affiliate of Bioheart, or security holder is a party
adverse to Bioheart or any of its subsidiaries or has a material
interest adverse to Bioheart.
Code of Business Conduct and Ethics
We have adopted a Code of Ethics that applies to our principal
executive officer, principal financial officer, principal
accounting officer and persons performing similar functions. We
have also adopted a Code of Business Conduct and Ethics
applicable to all employees, officers, directors and consultants
of the Company. Copies of the Code of Ethics and the Code of
Business Conduct and Ethics are available on our website at
www.bioheartinc.com.
Whistleblower Policy
In January 2007, the Board of Directors adopted Procedures for
the Submission, Receipt and Handling of Concerns and Complaints
Regarding Internal Controls and Auditing Matters, or a
whistleblower policy. This policy outlines the process for the
submission, receipt, retention and treatment of concerns and
complaints received by us regarding our and our affiliates
respective accounting, auditing and internal controls practices
and procedures, including the process for the confidential,
anonymous submission by our directors, officers and employees of
concerns regarding questionable accounting or auditing matters.
Compensation Committee Interlocks and Insider
Participation
No member of the Compensation Committee has been an officer or
employee of ours at any time. Also, none of our executive
officers serves, nor served in 2006, on the board of directors
or compensation committee of a company with an executive officer
serving on our Board of Directors or Compensation Committee.
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COMPENSATION DISCUSSION & ANALYSIS
The primary goals of our Compensation Committee with respect to
executive compensation are to attract and retain the most
talented and dedicated executives possible, to assure that our
executives are compensated effectively in a manner consistent
with our strategy and competitive practice and to align
executives incentives with shareholder value creation. To
achieve these goals, our Compensation Committee, with
managements input, recommends executive compensation
packages to our Board of Directors that are generally based on a
mix of salary, discretionary bonus and equity awards. Although
our Compensation Committee has not adopted any formal guidelines
for allocating total compensation between equity compensation
and cash compensation, we believe it is important for these
executives to have equity ownership in our company to provide
them with long-term incentives to build value for our
shareholders. Accordingly, we generally award our executive
officers, other than our Executive Chairman and Chief Technology
Officer, initial option grants upon the commencement of their
employment with us and ongoing option grants as circumstances
warrant. Our Executive Chairman and Chief Technology Officer
owns a significant percentage of our outstanding common stock
and, accordingly, we believe his interests are strongly aligned
with the interests of our shareholders. We intend to implement
and maintain compensation plans that tie a substantial portion
of our executives overall compensation to achievement of
corporate goals and
value-creating
milestones. We believe that performance and equity-based
compensation are important components of the total executive
compensation package for maximizing shareholder value while, at
the same time, attracting, motivating and retaining high-quality
executives.
We have not retained a compensation consultant to review our
policies and procedures with respect to executive compensation.
We conduct an annual review of the aggregate level of our
executive compensation, as well as the mix of elements used to
compensate our executive officers. The Compensation Committee
develops our compensation plans by utilizing publicly available
compensation data for national and regional companies in the
biopharmaceutical industry and/or the South Florida market. We
believe that the practices of this group of companies provide us
with appropriate compensation benchmarks, because these
companies have similar organizational structures and tend to
compete with us for executives and other employees. For
benchmarking executive compensation, we typically review the
compensation data we have collected from the complete group of
companies, as well as a subset of the data from those companies
that have a similar number of employees as our company.
Our Compensation Committee may retain the services of
third-party executive compensation specialists from time to
time, as it sees fit, in connection with the establishment of
cash and equity compensation and related policies.
Elements of Compensation
Our Compensation Committee evaluates individual executive
performance with a goal of setting compensation at levels the
Compensation Committee believes are comparable with executives
in other companies of similar size and stage of development
operating in the biopharmaceutical industry and/or the South
Florida market. The compensation received by our executive
officers consists of the following elements:
Base Salary.
Base salaries for our executives are
established based on the scope of their responsibilities and
individual experience, taking into account competitive market
compensation paid by other companies for similar positions
within our industry and geographic market. Base salaries are
reviewed at least annually, and adjusted from time to time to
realign salaries with market levels after taking into account
individual responsibilities, performance and experience.
Discretionary Annual Bonus.
In addition to base salaries,
our Compensation Committee has the authority to award
discretionary annual bonuses to our executive officers. In 2006,
the Compensation Committee awarded discretionary cash bonuses of
$1,000 to each of our executive officers. The annual incentive
bonuses are intended to compensate officers for achieving
corporate goals and for achieving what the Compensation
Committee believes to be
value-creating
milestones. Our annual bonus is paid in cash in an amount
reviewed and approved by our Compensation Committee. Each
executive officer is eligible for a discretionary annual bonus
up to an amount equal to 50% of such executive officers
salary.
123
The Compensation Committee expects to adopt a more formal
process for discretionary annual bonuses in 2007. The
Compensation Committee intends to utilize annual incentive
bonuses to compensate officers for achieving financial and
operational goals and for achieving individual annual
performance objectives. These objectives will vary depending on
the individual executive, but will relate generally to strategic
factors such as establishment and maintenance of key strategic
relationships, development of our product candidates,
identification and advancement of additional product candidates,
and to financial factors such as improving our results of
operations and increasing the price per share of our common
stock.
Long-Term Incentive Program.
At present, our long-term
compensation consists primarily of stock options. Our option
grants are designed to align managements performance
objectives with the interests of our shareholders. Our
Compensation Committee grants options to key executives in order
to enable them to participate in the
long-term
appreciation
of our shareholder value, while personally feeling the impact of
any business setbacks, whether
Company-specific
or
industry based. We have not adopted stock ownership guidelines,
and, other than for Mr. Leonhardt, our equity benefit plans
have provided the principal method for our executive officers to
acquire equity or
equity-linked
interests
in our company.
Since inception, we have granted equity awards to our executive
officers through our Officers and Employees Stock Option Plan,
which was adopted by our Board of Directors and shareholders to
permit the grant of stock options to our officers and employees.
The initial option grant made to each executive upon joining us
is primarily based on competitive conditions applicable to the
executives specific position. In addition, the
Compensation Committee considers the number of options owned by
other executives in comparable positions within our company and
has established stock option targets for specified categories of
executives. We believe this strategy is consistent with the
approach of other development stage companies in our industry
and, in our Compensation Committees view, is appropriate
for aligning the interests of our executives with those of our
shareholders over the long term.
We do not have any program, plan or obligation that requires us
to grant equity compensation on specified dates and, because we
have not been a public company, we have not made equity grants
in connection with the release or withholding of material
non-public information. Authority to make equity grants to
executive officers rests with our Compensation Committee,
although our Compensation Committee does consider the
recommendations of our Executive Chairman for officers other
than himself.
In 2006, certain named executive officers were awarded stock
options under our Officers and Employees Stock Option Plan in
the amounts indicated in the section below entitled Grants
of Plan Based Awards. These equity awards included the
grant of a stock option and warrant for an aggregate of 471,058
shares of common stock to Mr. Bromley, our Vice President
of Public Relations, pursuant to the terms of a letter agreement
we entered into with Mr. Bromley in August 2006, or the
Bromley Letter Agreement. Mr. Bromley was also issued
47,658 shares of our common stock pursuant to the Bromley Letter
Agreement. Prior to entering the Bromley Letter Agreement,
certain disputes had arisen between Mr. Bromley and us as
to the number of stock options he had been awarded since he
commenced his employment with us in December 1999. The shares,
options and warrants granted to Mr. Bromley pursuant to the
Bromley Letter Agreement were issued in settlement of any unpaid
salary or other compensation for services provided to us by
Mr. Bromley from December 1999 through August 2006 and in
consideration for Mr. Bromleys release of any claims
he may have against us related to or arising from his employment
or any compensation owed to him.
Other Compensation.
We maintain broad-based benefits that
are provided to full-time employees, including health insurance,
life and disability insurance, dental insurance and vision
insurance. In 2006, we agreed to reimburse Mr. Bromley for
federal and state income taxes he pays in connection with our
issuance to him of 47,658 shares of our common stock
pursuant to the terms of the Bromley Letter Agreement. The
perquisite was negotiated as part of our settlement with
Mr. Bromley and we do not anticipate providing similar
perquisites to him or any of our executive officers on a
going-forward basis.
Compensation of New Chief Executive Officer.
Mr. Pinon was appointed as our Chief Executive Officer
in March 2007. His base salary for 2007 has been set at $275,000
and he received options to purchase 169,890 shares of our common
stock upon the commencement of his employment with an exercise
price of $8.47. The options are scheduled to vest ratably over a
four year period.
124
Compensation Committee Report
The Compensation Committee has reviewed and discussed the
Compensation Discussion & Analysis set forth above with
management and, based upon such review and discussions, the
Compensation Committee has recommended to the Board of Directors
that the Compensation Discussion & Analysis be included in
this prospectus.
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THE COMPENSATION COMMITTEE OF THE
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BOARD OF DIRECTORS
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Mike Tomas
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Bruce Carson
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Peggy A. Farley
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Summary Compensation Table
The following table sets forth, for the fiscal year ended
December 31, 2006, the aggregate compensation awarded to,
earned by or paid to Mr. Leonhardt, who served as our Chief
Executive Officer in 2006, both persons who served as our Chief
Financial Officer during 2006, and our two other most highly
compensated executive officers who were serving at
December 31, 2006, or collectively, the Named Executive
Officers.
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Long-Term Compensation Awards
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Annual Compensation
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Stock
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Option
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All Other
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Name and Principal Position
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Year
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Salary
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Bonus
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Awards
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Awards(1)
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Compensation
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Total
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Howard J. Leonhardt
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2006
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$
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151,000
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$
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1,000
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$
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152,000
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Executive Chairman and Chief Technology
Officer
(2)
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William H.
Kline
(3)
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2006
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$
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51,000
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$
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1,000
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$
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97,500
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(4)
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$
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149,500
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Chief Financial Officer
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Brian Neill
(5)
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2006
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$
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45,000
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$
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45,000
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Former Chief Financial Officer
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Richard T. Spencer, IV
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2006
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$
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126,000
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$
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1,000
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$
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19,500
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(6)
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$
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146,500
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Vice President of Clinical Affairs and Physician Relations
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Scott Bromley
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2006
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$
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131,000
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$
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1,000
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$
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366,429
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(7)
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$
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2,928,000
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(8)
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$
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153,000
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(9)
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$
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3,579,429
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Vice President of Public Relations
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(1)
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Amount reflects the expensed fair value of stock options granted
in 2006, calculated in accordance with
SFAS No. 123(R). See Note 9 of the Notes to
Consolidated Financial Statements Stock
Options for the year ended December 31, 2006 for a
discussion of assumptions made in determining the grant date
fair value and compensation expense of our stock options.
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(2)
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Mr. Leonhardt served as our Chief Executive Officer during
all of 2006.
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(3)
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Mr. Kline commenced his employment with us in August 2006.
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(4)
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Represents the expensed fair market value of options to purchase
154,445 shares of our common stock granted August 7, 2006,
with an exercise price of $5.67 per share. The options vest in
four equal installments on each of August 7, 2007,
August 7, 2008, August 7, 2009 and August 7, 2010.
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(5)
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Mr. Neill resigned effective April 30, 2006.
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(6)
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Represents the expensed fair market value of options to purchase
15,445 shares of our common stock granted April 19, 2006,
with an exercise price of $5.67 per share. The options vest in
four equal installments on each of April 19, 2007,
April 19, 2008, April 19, 2009 and April 19, 2010.
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(7)
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Relates to a grant of 47,658 shares to Mr. Bromley in
accordance with the terms of the Bromley Letter Agreement.
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(8)
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Represents the expensed fair market value of (i) options to
purchase 282,635 shares of our common stock granted
August 24, 2006, with an exercise price of $5.67 per share
and (ii) a warrant to purchase 188,423 shares of our
common stock granted August 24, 2006, with an exercise
price of $5.67 per share.
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125
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(9)
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Relates to amounts to be paid to Mr. Bromley to reimburse
him for federal and state income taxes due in connection with
his receipt of 47,658 shares of our common stock in
accordance with the Bromley Letter Agreement.
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Bromley Letter
Agreement
On August 24, 2006, we entered into the Bromley Letter
Agreement with Mr. Bromley. Prior to entering into the
Bromley Letter Agreement, certain disputes had arisen between
Mr. Bromley and us as to the number of stock options
awarded to Mr. Bromley and the amount of unpaid salary and
other compensation owed to Mr. Bromley since he commenced
his employment with us in December 1999. The shares, options and
warrants granted to Mr. Bromley pursuant to the Bromley
Letter Agreement were issued to settle the disputed items and in
consideration of the officers release of any claims he may
have against the Company related to arising from his employment
or any compensation owed to him. Pursuant to the Bromley Letter
Agreement:
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we issued to Mr. Bromley 47,658 shares of our common stock
and agreed to reimburse Mr. Bromley for federal and state
income taxes he will be required to pay in connection with his
receipt of such shares;
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we granted to Mr. Bromley a
fully-vested
incentive
stock option to purchase 282,635 shares of our common stock at
an exercise price of $5.67 per share; and
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we granted to Mr. Bromley a fully-vested warrant to
purchase 188,423 shares of our common stock at an exercise
price of $5.67 per share.
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Pursuant to the Bromley Letter Agreement, we also agreed to pay
Mr. Bromley an annual base salary of $130,000 for his
continued provision of services as our Vice President of Public
Relations. Mr. Bromleys employment with us may be
terminated by him or us at any time and for any reason. Other
than this agreement, we do not have any employment agreements
with any of our Named Executive Officers.
Grants of Plan Based
Awards
In 2006, the Compensation Committee approved option awards under
our Officers and Employees Stock Option Plan to certain of our
Named Executive Officers and awarded stock and warrants to
Mr. Bromley. Our Compensation Committee has not established
guidelines for the grant of
plan-based
awards for
2007. Set forth below is information regarding awards granted
during 2006.
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All Other
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Option
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All Other
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Awards:
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Grant Date
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Stock Awards:
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Number of
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Exercise or Base
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Fair Value of
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Number of
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Securities
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Price of Option
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Stock and
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Shares of
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Underlying
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Awards
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Option
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Name
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Grant Date
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Stock (#)
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Options (#)
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($/share)
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Awards
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William H. Kline
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8/7/06
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154,445
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(1)
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$
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5.67
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$
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960,000
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Richard T. Spencer, IV
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4/19/06
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15,445
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(2)
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$
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5.67
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$
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96,000
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Scott Bromley
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8/24/06
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47,658
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$
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366,429
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8/24/06
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471,058
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(3)
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$
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5.67
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$
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2,928,000
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(1)
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The options vest in four equal installments on each of
August 7, 2007, August 7, 2008, August 7, 2009
and August 7, 2010.
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(2)
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The options vest in four equal installments on each of
April 19, 2007, April 19, 2008, April 19, 2009
and April 19, 2010.
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(3)
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Includes (i) options to purchase 282,635 shares of our
common stock granted August 24, 2006, with an exercise
price of $5.67 per share and (ii) a warrant to
purchase 188,423 shares of our common stock granted
August 24, 2006, with an exercise price of $5.67 per
share.
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Our Stock Option
Plans
In December 1999, our Board of Directors and shareholders
adopted our Officers and Employees Stock Option Plan, or the
Employee Plan, and the Directors and Consultants Stock Option
Plan, or the Directors Plan. The Employees Plan and the
Directors Plan are collectively referred to herein as the Plans.
The Plans are administered by the Compensation Committee. The
objectives of the Plans include attracting and retaining key
personnel by encouraging stock ownership in the Company by such
persons.
126
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Options Available for Issuance
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There are an aggregate of 3,088,898 shares of common stock
authorized for options grants under the Employee Plan and
Director Plan. As of June 30, 2007, an aggregate of 969,362
shares of common stock were available for grant under the Plans.
The options to be delivered under the Plans will be made
available, at the discretion of the Compensation Committee, from
authorized but unissued shares or outstanding options that
expire or are cancelled. If shares covered by an option cease to
be issuable for any reason such number of shares will no longer
count against the shares authorized under the Plans and may
again be granted under the Plans.
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Material Terms of the Plans
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The Employee Plan provides for the grant of options to employees
and officers, and the Director Plan provides for the grant of
options to directors, consultants and certain other
non-employees. Only the Employee Plan permits the granting of
incentive stock options within the meaning of
Section 422 of the Internal Revenue Code of 1986, as
amended from time to time, or the Code, and both Plans permit
grants of
non-qualified
options (options that are not incentive stock options). As of
the date of this prospectus, all options granted to employees
under the Plans are incentive stock options and all options
granted to persons other than employees are
non-qualified
options.
The Compensation Committee determines those individuals who
shall receive options, the time period during which the options
may be partially or fully exercised, the number of shares that
may be purchased under each option and the option price, as well
as other terms in their discretion. However, in no event shall
an option be exercisable after the expiration of 10 years
from the date of the grant of the option. In addition, no person
is entitled to be granted options to purchase more than an
aggregate of 370,668 shares of our common stock pursuant to the
Plans. Unless otherwise provided in any option agreement, each
outstanding option shall become fully exercisable in the event
of a change in control (as such term is defined in
the Plans). In connection with a liquidation of the company or
any merger, reorganization or similar corporate transaction in
which we are not the surviving corporation and the successor
corporation does not assume our outstanding options, the
Compensation Committee or Board of Directors may cancel any
options that remain unexercised effective as of the closing of
such transaction.
Each option is evidenced by an option agreement. In granting
options, the Compensation Committee takes into consideration the
contribution the person has made to our success and such other
factors as the Compensation Committee shall determine. The Plans
provide for circumstances under which the options shall
terminate.
The option price per share of any option shall be any price
determined by the Compensation Committee but shall not be less
than the par value per share; provided, that in no event shall
the option price per share of any incentive stock option be less
than the Fair Market Value (as determined under the
Plans) of the shares underlying such option on the date the
option is granted.
127
Outstanding Equity Awards at
Fiscal Year End
The following table sets forth outstanding equity awards held by
our Named Executive Officers as of December 31, 2006.
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Number of Securities
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Underlying Unexercised
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Options and Warrants
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Option
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Option
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Name
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Exercisable
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Unexercisable
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Exercise Price
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Expiration Date
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Howard J. Leonhardt
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23,167
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$
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5.67
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12/31/11
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3,212
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$
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5.67
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12/31/15
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William H. Kline
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154,445
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(1)
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$
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5.67
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8/7/16
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Brian Neill
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Richard T. Spencer, IV
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30,889
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30,889
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(2)
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$
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5.67
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10/1/14
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309
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$
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5.67
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12/31/15
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15,445
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(3)
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$
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5.67
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4/19/16
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Scott Bromley
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61,778
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$
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1.28
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12/25/09
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25,947
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$
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5.67
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12/18/10
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309
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$
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5.67
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12/31/15
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282,635
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$
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5.67
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8/24/16
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188,423
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$
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5.67
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8/24/16
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(1)
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The options vest in four equal installments on each of
August 7, 2007, August 7, 2008, August 7, 2009
and August 7, 2010.
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(2)
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The options vest in two equal installments on each of
October 1, 2007 and October 1, 2008.
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(3)
|
The options vest in four equal installments on each of
April 19, 2007, April 19, 2008, April 19, 2009
and April 19, 2010.
|
Option Exercises
During the 2006 fiscal year, none of our Named Executive
Officers exercised any options to purchase shares of our common
stock.
Pension Benefits
We do not have any plan that provides for payments or other
benefits at, following, or in connection with the retirement of
any of our employees.
Nonqualified Defined
Contribution and Other Nonqualified Deferred Compensation
Plans
We do not have any defined contribution or other plan that
provides for the deferral of compensation on a basis that is not
tax-qualified.
Potential Payments Upon
Termination or Change-In Control
We do not have any contract, agreement, plan or arrangement that
provides for any payment to any of our Named Executive Officers
at, following, or in connection with a termination of the
employment of such Named Executive Officer, a change in control
of the Company or a change in such Named Executive
Officers responsibilities.
Director Compensation
We currently have eight non-employee directors that qualify for
compensation. Our non-employee directors do not receive cash
compensation for their services as directors. However, in August
of each year, each non-employee director receives a grant of
options to purchase 6,178 shares of our common stock
provided that he or she has served as a member of our Board of
Directors for at least six months and one day of the twelve
month period immediately preceding the date of grant. In
addition, we reimburse non-employee directors for actual
out-of-pocket expenses incurred. The following table sets forth,
for the fiscal year ended December 31, 2006, the aggregate
compensation awarded to, earned by or paid to our non-employee
directors.
128
Ms. Farley joined the Board of Directors in January 2007
and, accordingly, did not receive any compensation for serving
as a director in 2006.
|
|
|
|
|
|
|
|
|
|
|
Option
|
|
|
|
Name
|
|
Awards(1)(2)(3)
|
|
|
Total
|
|
|
|
|
|
|
|
|
Samuel S. Ahn, M.D., MBA
|
|
$
|
36,700
|
|
|
$
|
36,700
|
|
Bruce Carson
|
|
$
|
36,700
|
|
|
$
|
36,700
|
|
David J. Gury
|
|
$
|
36,700
|
|
|
$
|
36,700
|
|
William P. Murphy, Jr., M.D.
|
|
$
|
36,700
|
|
|
$
|
36,700
|
|
Richard T. Spencer III
|
|
$
|
36,700
|
|
|
$
|
36,700
|
|
Mike Tomas
|
|
$
|
36,700
|
(4)
|
|
$
|
36,700
|
|
Linda Tufts
|
|
$
|
36,700
|
(5)
|
|
$
|
36,700
|
|
|
|
(1)
|
Amount reflects the expensed fair value of stock options granted
in 2006, calculated in accordance with
SFAS No. 123(R). See Note 9 of the Notes to
Consolidated Financial Statements Stock
Options for the year ended December 31, 2006 for a
discussion of assumptions made in determining the grant date
fair value and compensation expense of our stock options.
|
|
(2)
|
Each person listed received options to purchase 6,178 shares of
our common stock granted August 1, 2006, with an exercise
price of $7.69 per share. The options vested immediately
upon grant.
|
|
(3)
|
The grant date fair value of the stock options issued to
directors in 2006 is equal to the expensed fair value of such
stock options.
|
|
(4)
|
Options were issued in the name of the Astri Group, LLC, over
which Mr. Tomas has shared voting and investment power.
|
|
(5)
|
Options were issued in the name of Tyco International.
Ms. Tufts does not have voting and investment power over
these securities and disclaims beneficial ownership thereof.
|
Limitations on Liability and
Indemnification
Our articles of incorporation require us to indemnify and limit
the liability of directors to the fullest extent permitted by
the Florida Business Corporation Act, or the FBCA, as it
currently exists or as it may be amended in the future.
Pursuant to the FBCA, a Florida corporation may indemnify any
person who may be a party to any third party proceeding by
reason of the fact that such person is or was a director,
officer, employee or agent of the corporation, or is or was
serving at the request of the corporation as a director,
officer, employee, or agent of another entity, against liability
incurred in connection with such proceeding (including any
appeal thereof) if he or she acted in good faith and in a manner
he or she reasonably believed to be in, or not opposed to, the
best interests of the corporation, and, with respect to any
criminal action or proceeding, had no reasonable cause to
believe his or her conduct was unlawful.
In addition, in accordance with the FBCA, a Florida corporation
is permitted to indemnify any person who may be a party to a
derivative action if such person acted in any of the capacities
set forth in the preceding paragraph, against expenses and
amounts paid in settlement not exceeding, in the judgment of the
board of directors, the estimated expenses of litigating the
proceeding to conclusion, actually and reasonably incurred in
connection with the defense or settlement of such proceeding
(including appeals), provided that the person acted under the
standards set forth in the preceding paragraph. However, no
indemnification shall be made for any claim, issue, or matter
for which such person is found to be liable unless, and only to
the extent that, the court determines that, despite the
adjudication of liability, but in view of all the circumstances
of the case, such person is fairly and reasonably entitled to
indemnification for such expenses which the court deems proper.
Any indemnification made under the above provisions, unless
pursuant to a courts determination, may be made only after
a determination that the person to be indemnified has met the
standard of conduct described above. This determination is to be
made by a majority vote of a quorum consisting of the
disinterested directors of the board of directors, by duly
selected independent legal counsel or by a majority vote of the
disinterested shareholders. The board of directors also may
designate a special committee of disinterested directors to make
this determination. Notwithstanding the foregoing, a Florida
corporation must indemnify
129
any director, officer, employee or agent of a corporation who
has been successful in the defense of any proceeding referred to
above.
Generally, pursuant to the FBCA, a director of a Florida
corporation is not personally liable for monetary damages to our
company or any other person for any statement, vote, decision,
or failure to act, regarding corporate management or policy,
unless: (a) the director breached or failed to perform his
duties as a director; and (b) the directors breach
of, or failure to perform, those duties constitutes (i) a
violation of criminal law, unless the director had reasonable
cause to believe his conduct was lawful or had no reasonable
cause to believe his or her conduct was unlawful, (ii) a
transaction from which the director derived an improper personal
benefit, either directly or indirectly, (iii) an approval
of an unlawful distribution, (iv) with respect to a
proceeding by or in the right of the company to procure a
judgment in its favor or by or in the right of a shareholder,
conscious disregard for the best interest of the company, or
willful misconduct, or (v) with respect to a proceeding by
or in the right of someone other than the company or a
shareholder, recklessness or an act or omission which was
committed in bad faith or with malicious purpose or in a manner
exhibiting wanton and willful disregard of human rights, safety,
or property. The term recklessness, as used above,
means the action, or omission to act, in conscious disregard of
a risk: (a) known, or so obvious that it should have been
known, to the directors; and (b) known to the director, or
so obvious that it should have been known, to be so great as to
make it highly probable that harm would follow from such action
or omission.
Furthermore, under the FBCA, a Florida corporation is authorized
to make any other further indemnification or advancement of
expenses of any of its directors, officers, employees or agents
under any bylaw, agreement, vote of shareholders or
disinterested directors, or otherwise, both for actions taken in
an official capacity and for actions taken in other capacities
while holding such office. However, a corporation cannot
indemnify or advance expenses if a judgment or other final
adjudication establishes that the actions of the director,
officer, employee, or agent were material to the adjudicated
cause of action and the director, officer, employee, or agent
(a) violated criminal law, unless the director, officer,
employee, or agent had reasonable cause to believe his or her
conduct was unlawful, (b) derived an improper personal
benefit from a transaction, (c) was or is a director in a
circumstance where the liability for unlawful distributions
applies, or (d) engaged in willful misconduct or conscious
disregard for the best interests of the corporation in a
proceeding by or in right of the corporation to procure a
judgment in its favor.
We maintain a liability insurance policy, pursuant to which our
directors and officers may be insured against liability they
incur for serving in their capacities as directors and officers
of our company.
We believe that the limitation of liability provision in our
articles of incorporation and the liability insurance policy
that we maintain will facilitate our ability to continue to
attract and retain qualified individuals to serve as our
directors and officers.
These limitation of liability and indemnification provisions may
discourage a shareholder from bringing a lawsuit against
directors for breach of their fiduciary duties. The provisions
may also reduce the likelihood of derivative litigation against
directors and officers, even though an action, if successful,
might benefit us and our shareholders. A shareholders
investment may be adversely affected to the extent we pay the
costs of settlement and damage awards against directors and
officers pursuant to these limitation of liability and
indemnification provisions.
130
SCIENTIFIC ADVISORY BOARD
The members of our scientific advisory board, none of whom are
our officers or employees, assist us with various projects and
matters including, but not limited to, (i) product design
evaluation and development strategies, (ii) evaluation of
instructional and training materials for physicians,
(iii) clinical and consultation support to centers using
our products candidates and (iv) clinical trials and design
of clinical protocols. We consider our advisory board members to
be the opinion leaders in their respective fields.
As of September 1, 2007, our Scientific Advisory Board
consisted of the following members:
|
|
|
|
|
Name
|
|
Specialty
|
|
Position
|
|
|
|
|
|
Samuel S. Ahn, M.D., MBA
|
|
Endovascular specialist
|
|
President
University Vascular Associates
Vascular Management Associates
Los Angeles, California
|
Barry J. Byrne, M.D., Ph.D.
|
|
Preclinical research
|
|
Professor and Associate Chair of Pediatrics,
Molecular Genetics & Microbiology
University of Florida
Gainesville, Florida
|
Juan C. Chachques, M.D., Ph.D.
|
|
Preclinical research
|
|
Director of Surgical and Clinical Research
Broussais and Pompidou Hospitals
Paris, France
|
Ray Chiu, M.D., Ph.D.
|
|
Preclinical research
|
|
Professor of Surgery
McGill University
Quebec, Canada
|
Nicolas Chronos, M.D., MRCP, FACC, FESC, FAHA
|
|
Interventional cardiology
|
|
Chief Medical and Scientific Officer
American Cardiovascular Research Institute
Atlanta, Georgia
|
Eric Crumpler, Ph.D.
|
|
Preclinical research
|
|
Assistant Professor of Bioreactors, Bioengineering, and
Biomaterials
Florida International University
Miami, Florida
|
Edward Diethrich, M.D.
|
|
Cardiac surgery and endovascular specialist
|
|
Director
Arizona Heart Hospital
Phoenix, Arizona
|
Stephen G. Ellis, M.D.
|
|
Interventional cardiology
|
|
Director
Sones Cardiac Catheterization Laboratory
Cleveland Clinic Foundation
Cleveland, Ohio
|
Jorge Genovese, M.D.
|
|
Preclinical research
|
|
Research Professor
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania
|
Miranda Grounds, Ph.D.
|
|
Preclinical research
|
|
Professor, School of Anatomy
and Human Biology
The University of Western Australia
Crawley, Western Australia
|
Richard Ham, Ph.D.
|
|
Preclinical research and cell- culturing
|
|
Professor Emeritus of Molecular, Cellular
and Developmental Biology
University of Colorado
Boulder, Colorado
|
Richard Heuser, M.D.
|
|
Interventional cardiology
|
|
Director of Cardiology
Phoenix Heart Institute
Phoenix, Arizona
|
131
|
|
|
|
|
Name
|
|
Specialty
|
|
Position
|
|
|
|
|
|
Race L. Kao, Ph.D.
|
|
Preclinical research and cell- culturing
|
|
Professor and Carroll H. Long Chair of Excellence
for Surgical Research
James H. Ouillen College of Medicine,
East Tennessee State University
Johnson City, Tennessee
|
Barry T. Katzen, M.D.
|
|
Interventionist and endovascular specialist
|
|
Medical Director of the Miami Cardiac
and Vascular Institute
and Clinical Professor of Radiology University of Miami
School of Medicine
Miami, Florida
|
Wendell King
|
|
Preclinical research
|
|
Chairman
Gateway Alliance II (consulting firm)
St. Paul, Minnesota
Inventor of biological pacemaker
|
George J. Magovern, M.D.
|
|
Cardiac surgery
|
|
Retired Chairman,
Department of Cardiothoracic Surgery
Allegheny Hospital
Pittsburgh, Pennsylvania
|
Keith March, M.D., Ph.D.
|
|
Preclinical research
|
|
Director
Indiana University Center for Vascular Biology
Indianapolis, Indiana
|
James Margolis, M.D.
|
|
Interventional cardiology
|
|
Director of Cardiovascular Research and Education
Miami International Cardiology Consultants
Miami, Florida
|
Dr. P.A. Merrifield
|
|
Preclinical research
|
|
Associate Professor, Department of
Anatomy & Cell Biology
University of Western Ontario
Ontario, Canada
|
Dr. Christopher M. OConnor
|
|
Congestive heart failure and ischemic heart disease
|
|
Director, Duke Heart Failure Program
/Associate Director, Duke Clinical Research Institute
Duke University Durham,
North Carolina
|
Harold Ott, M.D., Ph.D.
|
|
Preclinical research
|
|
Research Associate, Center for Cardiovascular Repair
University of Minnesota
Minneapolis, Minnesota
|
Marc Penn, M.D., Ph.D.
|
|
Preclinical Research
|
|
Medical Director, Coronary Intensive Care Unit
Director, Experimental Animal Laboratory
and Associated Director
The Cleveland Clinic Foundation
Cleveland, Ohio
|
Nicholas S. Peters, M.D., Ph.D.
|
|
Electrophysiology
|
|
Professor of Cardiology,
Head of Cardiac Electrophysiology
St. Marys Hospital and Imperial College
University of London, UK
Director of Electrophysiology Research
American Cardiovascular Research Institute
Atlanta, Georgia
|
Philip Poole-Wilson, M.D., Ph.D.
|
|
Heart failure specialist
|
|
Professor of Cardiology,
National Heart and Lung Institute
Faculty of Medicine,
Imperial College London,
Royal Brompton and Harefield Hospitals
London, England
|
132
|
|
|
|
|
Name
|
|
Specialty
|
|
Position
|
|
|
|
|
|
Felipe Prósper, Ph.D.
|
|
Preclinical Research
|
|
Associate Professor of Medicine
Universidad de Navarra
Attending Physician, Hematology
and Cell Therapy Area
Navarra, Spain
|
Dr. Sergio Pinski
|
|
Cardiology and electrophysiology
|
|
Head, Section of Cardiac Pacing
and Electrophysiology
Department of Cardiology
Cleveland Clinic Florida
Weston, Florida
|
Stephen Ramee, M.D.
|
|
Interventional Cardiology
|
|
Director,
Cardiac Catheterization Laboratory
Ochsner Clinic Foundation
New Orleans, Louisiana
|
Camillo Ricordi, M.D.
|
|
Preclinical research and cell- culturing
|
|
Stacy Joy Goodman Professor of
Surgery and Medicine
Chief of the Division of Cellular Transplantation
Scientific Director and Chief Academic Officer
of the Diabetes Research Institute
University of Miami
Miami, Florida
|
Robert S. Schwartz, M.D.
|
|
Preclinical research
|
|
Research Cardiologist
Minneapolis Heart Institute
Minneapolis, Minnesota
|
Warren Sherman, M.D., FACC
|
|
Interventional cardiology
|
|
Director of Medical Education and Associate
Director, Cardiac Catheterization Laboratories
The Zena and Michael A. Wiener
Cardiovascular Institute
Mount Sinai Hospital
New York, New York
|
Doris A. Taylor, Ph.D.
|
|
Preclinical research and cell- culturing
|
|
Medtronic Bakken Chair and
Director of the Center for Cardiovascular Repair
University of Minnesota
Minneapolis, Minnesota
|
Syde A. Taheri, M.D.
|
|
Preclinical Research
|
|
Cardiovascular and Thoracic Surgeon
Millard Fillmore Hospital
Buffalo, New York
|
Robert Van Tassel, M.D.
|
|
Interventional cardiology
|
|
Senior Consultant in Cardiology
Minneapolis Heart Institute
Minneapolis, Minnesota
|
Stuart Williams, Ph.D.
|
|
Preclinical Research
|
|
Professor of Biomedical Engineering, Surgery,
Physiology, and Material Science Engineering
University of Arizona Health Sciences Center
Tucson, Arizona
|
Zachariah P. Zachariah, M.D.
|
|
Interventional cardiology
|
|
Cardiologist
Holy Cross Hospital
Ft. Lauderdale, Florida
|
The Scientific Advisory Board meets in person at least once each
year and individual members of the Scientific Advisory Board
regularly consult with our management and the Board of Directors
upon request.
Members of the Scientific Advisory Board generally serve
three-year terms, subject to earlier termination for cause by
us. As compensation for his or her services as members of the
Scientific Advisory Board, each member receives a one-time grant
of between 927 to 39,538 options to purchase shares of our
common stock, which options vest in three equal annual
installments. However, Dr. Sherman, the lead investigator
in the MYOHEART Trial, and Dr. Penn elected not to receive
any options or other securities from us. We reimburse members of
the Scientific Advisory Board for reasonable expenses incurred
in performing services to the Company.
133
On September 18, 2002, we entered into a consulting
agreement with Wendell King, a member of the Scientific Advisory
Board, for a one-year term. In addition to the one-time grant of
options to purchase shares of our common stock, Mr. King
may receive $2,000 per month as compensation for his consulting
services and, if his consulting services exceed 16 hours in a
given month, an additional $125 per hour.
Effective August 31, 2006, we entered into a consulting
agreement with March Consulting, LLC, pursuant to which Keith
March, M.D. serves as a member of the Scientific Advisory Board
for a one-year term. In addition to the one-time grant of
options to purchase shares of our common stock, Dr. March
may receive a maximum monthly compensation of $3,750 and a
maximum annual compensation of $40,000.
CERTAIN RELATIONSHIPS AND RELATED-PARTY TRANSACTIONS
Stock Sales
Since January 1, 2004, the following executive officers,
directors and holders of more than 5% of our common stock have
acquired shares of our common stock from us in the amounts, as
of the dates and for the consideration set forth below:
|
|
|
|
|
|
|
|
|
|
|
|
|
Aggregate
|
|
|
|
|
|
Consideration
|
|
Directors and Executive Officers
|
|
Shares
(1)
|
|
|
Paid(2)
|
|
|
|
|
|
|
|
|
Howard J. Leonhardt
|
|
|
110,957
|
(3)
|
|
$
|
628,617
|
(3)
|
Samuel S. Ahn, M.D., MBA
|
|
|
142,090
|
|
|
$
|
805,000
|
(4)
|
David J. Gury
|
|
|
9,267
|
|
|
$
|
52,500
|
(4)
|
William P. Murphy, Jr., M.D.
|
|
|
46,334
|
|
|
$
|
281,250
|
(4)
|
Richard T. Spencer, III
|
|
|
18,535
|
|
|
$
|
100,002
|
(4)
|
|
|
(1)
|
Share amounts listed give effect to a 1-for-1.6187 reverse stock
split that became effective September 27, 2007.
|
|
(2)
|
Per share purchase prices ranged from $5.67 per share to
$7.69 per share.
|
|
(3)
|
Includes (i) 15,150 shares issued to Mr. Leonhardt in
satisfaction of accrued salary and (ii) 95,807 shares
issued to Mr. Leonhardt in satisfaction of advances he made
on our behalf. See Conversion of Cash Advances and Accrued
Salary into Common Stock below for more information.
|
|
(4)
|
Aggregate consideration paid in cash.
|
Transactions with Management
The following is a description of transactions since
January 1, 2004 to which we were or are a party, in which
the amount involved exceeded or exceeds $120,000, and in which
any of our directors, executive officers or holders of more than
five percent of our capital stock had or will have a direct or
indirect material interest.
Conversion of Cash Advances
and Accrued Salary into Common Stock
On various occasions, Mr. Leonhardt has agreed to accept
shares of our common stock in satisfaction of accrued salary or
advances he has made on our behalf. More specifically:
|
|
|
|
|
|
in December 2004, we issued 15,150 shares of our common stock to
Mr. Leonhardt in satisfaction of $85,830 of accrued salary
earned by Mr. Leonhardt during the fiscal year ended
December 31, 2004; and
|
|
|
|
|
in October 2005, we issued 95,807 shares of our common stock to
Mr. Leonhardt in satisfaction of $542,787 of expense
reimbursements owed to him for expenses he advanced during the
fiscal years ended December 31, 2001, 2002 and 2003.
|
134
Bromley Letter
Agreement
On August 24, 2006, we entered into the Bromley Letter
Agreement with Mr. Bromley. Prior to entering into the
Bromley Letter Agreement, certain disputes had arisen between
Mr. Bromley and us as to the number of stock options
awarded to Mr. Bromley and the amount of unpaid salary and
other compensation owed to Mr. Bromley since he commenced
his employment with us in December 1999. The shares, options and
warrants granted to Mr. Bromley pursuant to the Bromley
Letter Agreement were issued to settle the disputed items and in
consideration of the officers release of any claims he may
have against the Company related to arising from his employment
or any compensation owed to him. Pursuant to the Bromley Letter
Agreement:
|
|
|
|
|
we issued to Mr. Bromley 47,658 shares of our common stock
and agreed to reimburse Mr. Bromley for federal and state
income taxes he will be required to pay in connection with his
receipt of such shares;
|
|
|
|
we granted to Mr. Bromley
fully-vested
incentive
stock options to purchase 282,635 shares of our common
stock at an exercise price of $5.67 per share; and
|
|
|
|
we granted to Mr. Bromley a
fully-vested
warrant to
purchase 188,423 shares of our common stock at an exercise price
of $5.67 per share.
|
Pursuant to the Bromley Letter Agreement, we also agreed to pay
Mr. Bromley an annual base salary of $130,000 for his
continued provision of services as our Vice President of Public
Relations.
|
|
|
Consulting Agreements with Directors
|
We have, from time to time, entered into consulting agreements
and arrangements with certain members of our Board of Directors.
These agreements and arrangements are summarized in the table
set forth below:
|
|
|
|
|
|
|
|
|
|
|
Consideration Paid for
|
|
Term of
|
Director
|
|
Nature of Consulting Services
|
|
Consulting Services
|
|
Arrangement
|
|
|
|
|
|
|
|
Bruce C. Carson
|
|
Consulting services included (i) assisting us to meet our
financial goals, (ii) providing leadership training to our
directors, officers, employees and consultants,
(iii) providing guidance regarding strategic partnerships
and (iv) appearing at selected events Consulting services
included (i)
|
|
Grant of option to purchase 61,778 shares of common stock at an
exercise price of $5.67(1)
|
|
February 2004 to December 2004
|
Bruce C. Carson
|
|
Consulting services included (i) assisting us to meet our
financial goals, (ii) providing leadership training to our
directors, officers, employees and consultants,
(iii) providing guidance regarding strategic partnerships
and (iv) appearing at selected events
|
|
Grant of option to purchase 61,778 shares of common stock at an
exercise price of $5.67(2)
|
|
January 2005 to October
|
Richard T. Spencer, III
|
|
Consulting services include (i) assisting us to meet our
financial goals, (ii) providing leadership training to our
directors, officers, employees and consultants and
(iii) appearing at selected events
|
|
Grant of option to purchase 49,423 shares of common stock at an
exercise price of $5.67(3)
|
|
March 2004 to March 2007
|
135
|
|
|
|
|
|
|
|
|
|
|
Consideration Paid for
|
|
Term of
|
Director
|
|
Nature of Consulting Services
|
|
Consulting Services
|
|
Arrangement
|
|
|
|
|
|
|
|
Samuel S. Ahn
|
|
Consulting services included (i) serving as our consultant
for cardiomyoplasty, (ii) providing advice to us with
respect to cardiomyoplasty and related technologies and matters,
and (iii) performing other services from time to time as we
request
|
|
Grant of options to purchase 35,214 shares of common stock
at an exercise price of $2.83 and 4,325 shares of common
stock at an exercise price of $5.67(4)
|
|
March 2000 to March 2003
|
Samuel S. Ahn
|
|
Consulting services included (i) assisting us to meet our
financial goals, (ii) providing leadership training to our
directors, officers, employees and consultants,
(iii) providing guidance regarding strategic partnerships
and (iv) appearing at selected events
|
|
Grant of option to purchase 61,778 shares of common stock at an
exercise price of $5.67(2)
|
|
February 2004 to October 2005
|
|
|
(1)
|
1
/
4
of the options vested on each December 31, 2005 and
December 31, 2006. The remaining
1
/
2
of the options are scheduled to vest equally on
December 31, 2007 and December 31, 2008.
|
|
(2)
|
The options vested on October 1, 2005 upon our attainment
of various financial goals.
|
|
(3)
|
1
/
3
of the options vested on each of March 18, 2005 and
March 18, 2006. The remaining
1
/
3
of the options are scheduled to vest on March 18, 2007.
|
|
(4)
|
35,214 options vested on February 14, 2003 and 4,325
options vested on July 14, 2003.
|
Dr. Samuel S. Ahn, a member of our Board of Directors,
is also a member of our Scientific Advisory Board and has
entered into our standard Scientific Advisory Board agreement.
Pursuant to his agreement, which expired in January 2007, we
granted Dr. Ahn a stock option to purchase
6,487 shares of our common stock with an exercise price of
$2.83 per share as consideration for his service on our
Scientific Advisory Board.
|
|
|
Bank of America Financing
|
On June 1, 2007, or the Closing Date, we entered into the
Bank of America Loan. We did not pledge any assets to Bank of
America as security for this loan. However, Mr. and
Mrs. Leonhardt provided a $1.1 million limited
personal guarantee of the Bank of America Loan and pledged
securities accounts with Bank of America to back-up this limited
personal guarantee. As discussed below, in October 2007, Mr. and
Mrs. Leonhardt guaranteed additional portions of this loan. Two
of our other directors, including Dr. William Murphy and
Mr. Richard Spencer, III, or the Director Guarantors,
each provided collateral on the Closing Date valued at $750,000
and $1.5 million, respectively, to secure the Bank of
America Loan. In addition, one of our current shareholders, or
the Shareholder Guarantor, and collectively with Mr. and
Mrs. Leonhardt and the Director Guarantors referred to
herein as the Guarantors, provided collateral on the Closing
Date valued at $2.2 million to secure the Bank of America
Loan. Each of the Director Guarantors and the Shareholder
Guarantors exposure under the Bank of America Loan is or
was limited to the collateral it provided to Bank of America.
Under the terms of the Bank of America Loan, Bank of America is
entitled to receive a semi-annual payment of interest and all
outstanding principal and accrued interest by the maturity date.
We and Bank of America have agreed with BlueCrest Capital that
we will not individually make any payments due under the Bank of
America Loan while the BlueCrest Loan is outstanding. For our
benefit, the Guarantors agreed to provide Bank of America in the
aggregate up to $5.5 million of funds and/or securities to
make these payments.
We have agreed to reimburse the Guarantors with interest at an
annual rate of 13.25% for any and all payments made by them
under the Bank of America Loan as well as to pay them certain
cash fees in
136
connection with their provision of security for the Bank of
America Loan. We have agreed to pay these amounts to the
Guarantors upon our repayment in full of the BlueCrest Loan. In
addition, we issued to each Guarantor warrants to purchase 3,250
shares, or the Subject Shares, of our common stock at an
exercise price of $7.69 per share for each $100,000 of
principal amount of the Bank of America Loan guaranteed by such
Guarantor. The number of Subject Shares increased to 3,707
shares per $100,000 guaranteed on September 30, 2007. In
the event that as of the first anniversary, second anniversary
and third anniversary of the closing date of the Bank of America
Loan, we have not reimbursed the Guarantors in full for payments
made by them in connection with the Bank of America Loan or paid
them cash fees owed to them, the number of Subject Shares per
$100,000 guaranteed will increase to 4,634, 6,178 and
9,267 shares, respectively. The warrants have a
ten-year
term and are
not exercisable until the date that is one year following the
date the warrants were issued.
On the Closing Date:
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In exchange for the $1.1 million limited personal
guarantee, we issued to Mr. and Mrs. Leonhardt a warrant to
purchase an aggregate of 35,745 Subject Shares (subject to
adjustment as set forth above).
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In exchange for a pledge of collateral valued at
$1.5 million, we issued to Mr. Spencer a warrant to
purchase an aggregate of 48,743 subject to shares (subject to
adjustment as set forth above).
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In exchange for the pledge of collateral valued at $750,000, we
issued to Dr. Murphy a warrant to purchase an aggregate of
24,372 Subject Shares (subject to adjustment as set forth above).
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In exchange for the pledge of collateral valued at
$2.2 million, we issued to the Shareholder Guarantor
warrants to purchase an aggregate of 71,490 Subject Shares
(subject to adjustment as set forth above).
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Until the closing of this offering, each of the Guarantors has
the right, between November 1, 2007 and November 30,
2007, to compel us to repay (i) the BlueCrest Loan or
(ii) both the BlueCrest Loan and the Bank of America Loan.
We have agreed with Dr. Murphy to use our reasonable best
efforts to secure an additional person willing to provide
collateral to secure the Bank of America Loan in substitution of
the $400,000 of collateral being provided by Dr. Murphy
and, until Dr. Murphys obligations to Bank of America
have been released or satisfied in full, use our reasonable best
efforts to restructure, amend or renew the Bank of America Loan
in an effort to extend the maturity date of the Bank of America
Loan.
In September 2007, one of our directors, Dr. Samuel S. Ahn,
and two of our current shareholders, Dan Marino and Jason
Taylor, or, collectively with Dr. Ahn, the New Guarantors,
agreed to provide collateral valued at $750,000, $600,000 and
$500,000, respectively, to secure the Bank of America Loan. The
collateral provided by the New Guarantors fully replaced the
collateral originally provided by Mr. Spencer and partially
replaced the collateral originally provided by Dr. Murphy.
The collateral provided by Dr. Murphy now secures $400,000
of the Bank of America Loan. Our agreements with the New
Guarantors are identical in all respects to our agreements with
the original Guarantors as described above, except that the New
Guarantors do not have the right to compel us to repay the
BlueCrest Loan or the Bank of America Loan. In consideration for
providing the collateral, we issued to the New Guarantors
warrants to purchase 3,250 shares of our common stock, or the
New Guarantor Subject Shares, at an exercise price of $7.69 per
share for each $100,000 of principal amount of the Bank of
America Loan guaranteed by such New Guarantor. The number of New
Guarantor Subject Shares increased to 3,707 shares per $100,000
guaranteed on September 30, 2007 and are subject to further
increase in the same amount and under the same conditions as the
Subject Shares underlying the warrants issued to the original
Guarantors. The warrants have a ten-year term and are not
exercisable until the date that is one year following the date
the warrants were issued. In total, 60,118 warrants were issued
to the New Guarantors, the fair value of which will be accounted
for as additional paid in capital and reflected as a component
of deferred loan costs to be amortized as interest expense over
the term of the Bank of America Loan using the effective
interest method.
In October 2007, Mr. and Mrs. Leonhardt agreed to provide
an additional $2.2 million limited personal guarantee of
the Bank of America Loan and have pledged securities accounts
with Bank of America to back-up this limited personal guarantee.
The additional collateral provided by Mr. and
Mrs. Leonhardt fully replaced the collateral originally
provided by the Shareholder Guarantor. Mr. and
Mrs. Leonhardt have now
137
personally guaranteed an aggregate of $3.3 million of the
Bank of America Loan. Our agreement with Mr. and
Mrs. Leonhardt with respect to the additional collateral is
substantially similar to our agreement with them in connection
with the $1.1 million personal guarantee they originally
provided in June 2007. In consideration for providing the
collateral, we issued to Mr. and Mrs. Leonhardt, warrants
to purchase 81,547 shares of our common stock at an exercise
price of $7.69 per share. In the event that as of the first
anniversary, second anniversary and third anniversary of the
closing date of the Bank of America Loan, respectively, we have
not reimbursed Mr. and Mrs. Leonhardt in full for payments
made by them in connection with the Bank of America Loan, the
number of shares subject to the warrant will increase to
101,934, 135,912 and 203,868, respectively. The warrant has a
ten-year term and is not exercisable until the date that is one
year following the date the warrant was issued. The fair value
of the warrant will be accounted for as additional paid in
capital and reflected as a component of deferred loan costs to
be amortized as interest expense over the term of the Bank of
America Loan using the effective interest method.
In October 2007, we cancelled the warrant previously issued to
the Shareholder Guarantor, which warrant included the adjustment
provisions discussed above, and, in exchange, issued to it a
warrant to purchase 101,934 shares of our common stock. The
number of shares subject to the warrant is no longer subject to
increase.
On the Closing Date, Mr. and Mrs. Leonhardt agreed with the
Shareholder Guarantor to repay to the Shareholder Guarantor any
amounts we may owe to the Shareholder Guarantor on the third
anniversary of the Closing Date and, in exchange, assume the
Shareholder Guarantors rights to be indemnified by us
under the loan guarantee agreement. This agreement was
terminated in October 2007 in connection with the replacement by
Mr. and Mrs. Leonhardt of the collateral provided by the
Shareholder Guarantor. As consideration for agreeing to assume
this obligation, on the Closing Date, we issued to Mr. and
Mrs. Leonhardt an additional warrant to purchase
35,745 shares, or the Put Shares, of our common stock at an
exercise price of $7.69 per share. The number of Put Shares
increased to 40,774 shares on September 30, 2007. In
the event that as of the first anniversary, second anniversary
and third anniversary of the closing date of the Bank of America
Loan, we have not reimbursed the Shareholder Guarantor in full
for payments made by them in connection with the Bank of America
Loan or paid them in cash fees owed to them, the number of Put
Shares will increase to 50,967, 67,956, and 101,934 shares,
respectively. The warrant has a ten-year term and is not
exercisable until the date that is one year following the date
the warrants were issued.
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Guarantees provided by Mr. Leonhardt
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In addition to the guarantee arrangement described above, from
time to time, Mr. Leonhardt has, without compensation,
personally guaranteed certain of our financial obligations. As
of the date of this prospectus, he is the guarantor of our
obligations under the lease for our facilities in Sunrise,
Florida. He is also the guarantor of our obligations under
corporate credit cards issued by Bank of America.
Mr. Leonhardt does not receive any compensation for
providing these guarantee services.
Mr. Leonhardt has guaranteed Dr. Murphy, a director,
the repayment of his initial $200,000 investment in the Company.
In connection with our private placement of 390,177 shares
of our common stock in May 2007 pursuant to a subscription
agreement executed prior to February 13, 2007, we paid to
Ascent Medical Technology Fund, an affiliate of Ms. Farley,
a fee of $150,000.
138
PRINCIPAL SHAREHOLDERS
The following table sets forth certain information regarding
beneficial ownership of our common stock as of
September 30, 2007 (after giving effect to a 1-for-1.6187
reverse stock split that became effective on September 27,
2007), and as adjusted to reflect the sale of common stock in
this offering, by
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each person or group known by us to own beneficially more than
5% of our common stock;
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each of our directors;
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each of our Named Executive Officers; and
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all of our current directors and executive officers as a group.
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Beneficial ownership is determined in accordance with
Rule
13d-3
of the
Securities Exchange Act of 1934. Percentage of beneficial
ownership before this offering is based on
13,333,345 shares of our common stock outstanding as of
September 30, 2007, giving effect to a
1-for-1.6187
reverse
stock split that became effective on September 27, 2007.
Percentage of beneficial ownership after this offering is based
on 17,500,012 shares of common stock outstanding
immediately after this offering, after giving effect to sale of
4,166,667 shares of our common stock in this offering.
Stock options and warrants that will be outstanding after this
offering and that are exercisable by a person or group within
60 days of September 30, 2007 are deemed to be
currently outstanding for purposes of calculating such
persons or groups percentage beneficial ownership,
but not for purposes of calculating the percentage beneficial
ownership of any other person or group. Except as otherwise
indicated in the footnotes to this table and subject to
applicable community property laws, each shareholder named in
the table is assumed to have sole voting and investment power
with respect to the number of shares listed opposite the
shareholders name. Unless otherwise indicated, the address
of each of the individuals and entities named below is:
c/o Bioheart, Inc., 13794 NW 4th Street,
Suite 212, Sunrise, Florida 33325.
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Percentage of Shares
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Beneficially Owned
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Number of Shares
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Before the
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After the
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Name of Beneficial Owner
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Beneficially Owned
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Offering (%)
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Offering (%)
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Howard J. Leonhardt
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4,609,950
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(1)
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34.5
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26.3
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William M. Pinon
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(2)
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*
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*
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William H. Kline
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38,612
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(3)
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*
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*
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Scott Bromley
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606,750
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(4)
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4.4
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3.4
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Richard T. Spencer, IV
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55,576
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(5)
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*
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*
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Samuel S. Ahn, M.D.
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293,139
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(6)
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2.2
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1.7
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Bruce Carson
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344,413
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(7)
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2.6
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2.0
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David J. Gury
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21,623
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(8)
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*
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*
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Peggy A. Farley
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494,410
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(9)
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3.7
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2.8
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William P. Murphy, M.D.
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92,668
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(10)
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*
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*
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Richard T. Spencer, III
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92,670
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(11)
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*
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*
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Mike Tomas
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366,696
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(12)
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2.7
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2.1
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Linda Tufts
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*
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*
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All directors and executive officers as a group (13 persons)
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7,016,507
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48.8
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37.8
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*
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Indicates less than one percent
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(1)
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Consists of (i) 4,583,571 shares directly and jointly
owned by Mr. Leonhardt and his spouse and
(ii) 26,379 shares issuable upon the exercise of
presently exercisable stock options at an exercise price of
$5.67 per share. Does not include 163,095 shares
issuable upon the exercise of warrants at an exercise price of
$7.69 per share that are not subject to exercise within
60 days.
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(2)
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Does not include 169,890 shares issuable upon the exercise
of stock options at an exercise price of $8.47 per share
that are not subject to exercise within 60 days.
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139
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(3)
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Does not include 115,833 shares issuable upon the exercise
of stock options at an exercise price of $5.67 per share
that are not subject to exercise within 60 days.
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(4)
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Consists of (i) 47,658 shares directly owned by
Mr. Bromley, (ii) 61,778 shares issuable upon the
exercise of presently exercisable stock options at an exercise
price of $1.28 per share, (iii) 308,891 shares
issuable upon the exercise of presently exercisable stock
options at an exercise price of $5.67 per share and
(iv) 188,423 shares issuable upon the exercise of a
vested warrant at an exercise price of $5.67 per share.
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(5)
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Consists of (i) 5,071 shares directly owned by
Mr. Spencer, IV and (ii) 50,505 shares
issuable upon the exercise of presently exercisable stock
options at an exercise price of $5.67 per share. Does not
include 27,027 shares issuable upon the exercise of stock
options at an exercise price of $5.67 per share that are
not subject to exercise within 60 days.
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(6)
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Consists of (i) 172,979 shares directly owned by
Dr. Ahn, (ii) 41,701 shares issuable upon the
exercise of presently exercisable stock options at an exercise
price of $2.83 per share, (iii) 72,281 shares
issuable upon the exercise of presently exercisable stock
options at an exercise price of $5.67 per share and
(iv) 6,178 shares issuable upon the exercise of
presently exercisable stock options at an exercise price of
$7.69 per share. Does not include 27,801 shares issuable
upon the exercise of warrants at an exercise price of $7.69 per
share that are not subject to exercise within 60 days.
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(7)
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Consists of (i) 208,501 shares directly owned by
Mr. Carson, (ii) 129,734 shares issuable upon the
exercise of presently exercisable stock options at an exercise
price of $5.67 per share and (iii) 6,178 shares
issuable upon the exercise of presently exercisable stock
options at an exercise price of $7.69 per share.
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(8)
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Includes (i) 9,267 shares directly owned by
Mr. Gury, (ii) 6,178 shares issuable upon the
exercise of presently exercisable stock options at an exercise
price of $5.67 per share and (iii) 6,178 shares
issuable upon the exercise of presently exercisable stock
options at an exercise price of $7.69 per share.
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(9)
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Includes (i) 27,010 shares beneficially owned by
Ms. Farley and (ii) 77,223 shares owned by Ascent
Medical Technology Fund, LP, over which Ms. Farley has
shared voting and investment power and
(iii) 390,177 shares owned by Ascent Medical
Technology Fund II, LP, over which Ms. Farley has
shared voting and investment power.
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(10)
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Includes (i) 74,134 shares directly owned by trusts
controlled by Dr. Murphy and his spouse,
(ii) 12,356 shares issuable upon the exercise of
presently exercisable stock options at an exercise price of
$5.67 per share and (iii) 6,178 shares issuable
upon the exercise of presently exercisable stock options at an
exercise price of $7.69 per share. Does not include
27,801 shares issuable upon the exercise of warrants at an
exercise price of $7.69 per share that are not subject to
exercise within 60 days.
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(11)
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Includes (i) 18,535 shares directly owned by
Mr. Spencer, III, (ii) 67,957 shares issuable
upon the exercise of presently exercisable stock options at an
exercise price of $5.67 per share and
(iii) 6,178 shares issuable upon the exercise of
presently exercisable stock options at an exercise price of
$7.69 per share. Does not include 55,601 shares
issuable upon the exercise of warrants at an exercise price of
$7.69 per share that are not subject to exercise within
60 days.
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(12)
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Includes (i) 354,340 shares held by the Astri Group,
LLC, over which Mr. Tomas has shared voting and investment
power, (ii) 6,178 shares issuable upon the exercise of
presently exercisable stock options issued in the name of the
Astri Group, LLC at an exercise price of $5.67 per share,
over which Mr. Tomas has shared voting and investment power
and (iii) 6,178 shares issuable upon the exercise of
presently exercisable stock options issued in the name of the
Astri Group, LLC at an exercise price of $7.69 per share,
over which Mr. Tomas has shared voting and investment power.
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DESCRIPTION OF CAPITAL STOCK
After giving effect to a 1-for-1.6187 reverse stock split that
became effective on September 27, 2007, our authorized
capital stock consists of 24,711,188 shares of common
stock, par value $.001 per share, and 3,088,898 shares
of preferred stock, par value $.001 per share. As of
September 30, 2007, there were 13,333,345 shares of
common stock outstanding, held of record by approximately
480 shareholders and zero shares of preferred stock
outstanding. On September 27, 2007, our Articles of
Incorporation were amended and restated to provide for total
authorized capital consisting of 50,000,000 shares of
common stock and 5,000,000 shares of undesignated preferred
stock.
Upon the closing of this offering based on the number of shares
outstanding as of September 30, 2007, a total of
17,500,012 shares of common stock will be outstanding after
giving effect to the sale of common stock we are offering
hereunder, which does not include any exercise of the
underwriters over-allotment option or of any options or
warrants.
Common Stock
The holders of common stock are entitled to one vote for each
share held of record on all matters submitted to a vote of the
shareholders. Subject to preferential rights with respect to any
outstanding Preferred Stock, holders of common stock are
entitled to receive ratably such dividends as may be declared by
the Board
140
of Directors out of funds legally available therefor. In the
event of a liquidation, dissolution or winding up of the
Company, holders of common stock are entitled to share ratably
in all assets remaining after payment of liabilities and
satisfaction of preferential rights with respect to any
outstanding shares of Preferred Stock and have no rights to
convert their common stock into any other securities. The issued
and outstanding shares of common stock are, and the common stock
to be issued and outstanding upon completion of this offering
will be, fully paid and non-assessable.
Preferred Stock
The Board of Directors is authorized to issue the preferred
stock in one or more classes or series and to fix the rights,
preferences, privileges and restrictions, including the dividend
rights, conversion rights, voting rights, redemption rights and
prices, liquidation preferences and the number of shares
constituting any such class or series of preferred stock
(including without limitation, rights and preferences of
preferred stock that are superior to rights of holders of the
common stock with respect to voting, dividend and liquidation or
other rights), without any further vote or action by the
shareholders. The issuance of preferred stock may adversely
affect the voting power and other rights of the holders of
common stock. We have no present plans to issue any shares of
preferred stock.
Anti-Takeover Effects of Certain Provisions of our Articles
of Incorporation, Bylaws and Florida Law
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Issuance of preferred stock
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As noted above, our Board of Directors, without shareholder
approval, has the authority under our articles of incorporation
to issue preferred stock with rights superior to the rights of
the holders of common stock. As a result, preferred stock could
be issued quickly and easily, could adversely affect the rights
of holders of common stock and could be issued with terms
calculated to delay or prevent a change of control or make
removal of management more difficult.
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Requirements for advance notification of shareholder
nominations and proposals
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Our bylaws contain advance notice procedures with respect to
shareholder proposals and the nomination of candidates for
election as directors, other than nominations made by or at the
direction of the Board of Directors or a committee thereof. Our
bylaws also specify certain requirements as to the form and
content of a shareholders notice. These provisions may
preclude our shareholders from bringing matters before our
annual meeting of shareholders or from making nominations for
directors at our annual meeting or a special meeting of
shareholders.
Our articles of incorporation and bylaws provide that our
shareholders may call a special meeting only upon the request of
holders of at least a majority of the outstanding shares
entitled to vote at such meeting. Additionally, the Board of
Directors, the Chairman of the Board or the Chief Executive
Officer may call special meetings of shareholders.
Our bylaws provide that shareholders can amend the bylaws only
upon the affirmative vote of the holders of at least
75 percent of the outstanding shares of the capital stock
then entitled to vote, voting together as a single class.
The FBCA prohibits the voting of shares in a publicly held
Florida corporation that are acquired in a control share
acquisition unless the holders of a majority of the
corporations voting shares (exclusive of shares held by
officers of the corporation, inside directors or the acquiring
party) approve the granting of voting rights as to the shares
acquired in the control share acquisition or unless the
acquisition is approved by
141
following ranges of voting power: (i) one-fifth or more but
less than one-third of all voting power; (ii) one-third or
more but less than a majority of all voting power; and
(iii) more than a majority of all voting power.
The FBCA also contains an affiliated transaction
provision that prohibits a publicly held Florida corporation
from engaging in a broad range of business combinations or other
extraordinary corporate transactions with an interested
shareholder unless, among others, (i) the transaction
is approved by a majority of disinterested directors before the
person becomes an interested shareholder; (ii) the
interested shareholder has owned at least 80% of the
corporations outstanding voting shares for at least five
years; or (iii) the transaction is approved by the holders
of two-thirds of the corporations voting shares other than
those owned by the interested shareholder. An interested
shareholder is defined as a person who together with affiliates
and associates beneficially owns more than 10% of the
corporations outstanding voting shares.
We are subject to the Florida anti-takeover provisions under the
FBCA because we have not elected to opt out of those provisions
in our articles of incorporation or bylaws as permitted by the
Florida law.
Transfer Agent And Registrar
The transfer agent and registrar for our common stock is
Continental Stock Transfer & Trust Company.
NASDAQ Global Market Listing
We have been approved for listing of our common stock on the
NASDAQ Global Market under the symbol BHRT.
SHARES ELIGIBLE FOR FUTURE SALE
Prior to this offering, there has been no market for our common
stock, and a liquid trading market for our common stock may not
develop or be sustained after this offering. Future sales of
substantial amounts of common stock, including shares issued
upon exercise of outstanding options and warrants, in the public
market after this offering or the anticipation of those sales
could adversely affect market prices prevailing from time to
time and could impair our ability to raise capital through sales
of our equity securities.
Sale of Restricted Shares and Lock-Up Agreements
After the closing of this offering, we will have
17,500,012 shares of common stock outstanding, assuming no
exercise of the underwriters over-allotment option and no
exercise of outstanding options or warrants. Of these shares,
the shares sold in this offering will be freely tradable without
restriction under the Securities Act unless purchased by any of
our affiliates as that term is defined in
Rule 144 under the Securities Act. The remaining shares of
common stock outstanding held by existing shareholders are
restricted shares as that term is defined in
Rule 144 and 8,007,347 of these restricted shares are also
subject to the
lock-up
agreements described in Underwriting. Though these
restricted shares subject to
lock-up
agreements may
be eligible for earlier sale under the provisions of the
Securities Act, absent a waiver of the
lock-up
agreements with
Merriman Curhan Ford & Co. and Dawson James Securities,
Inc., none of these
locked-up
shares may be
sold until 181 days after the date of this prospectus. The
180-day
restricted
period will be automatically extended if: (1) during the
period that begins on the date that is 15 calendar days
plus three business days before the last day of the
180-day
restricted
period, we issue an earnings release or announce material news
or a material event; or (2) prior to the expiration of the
180-day
restricted
period, we announce that we will release earnings results during
the
16-day
period
following the last day of the
180-day
period, in
which case the restrictions described in the preceding paragraph
will continue to apply until the expiration of the date that is
15 calendar days plus three business days after the date on
which the earnings release is issued or the material news or
material event occurs.
Immediately after the date of the prospectus, approximately
5,829,275 restricted shares will be eligible for resale.
Beginning 91 days after the date of this prospectus,
approximately 5,872,581 additional restricted shares will
be eligible for resale under Rule 144 or Rule 701,
subject to the volume, manner of sale and other limitations
under those rules. The remaining 1,631,489 restricted
shares will become eligible for resale under Rule 144 from
time to time after the date of this prospectus upon expiration
of their respective holding periods. These amounts do not take
into consideration the effect of lock-up agreements described in
142
Underwriting. In addition, as of September 30,
2007, there were outstanding options to purchase 2,169,925
shares of common stock and warrants to purchase
2,149,903 shares of common stock. Approximately 40% of the
shares issued upon exercise of these options and warrants will
be subject to
lock-up
agreements.
Rule 144 and Rule 144(k)
In general, under Rule 144 as currently in effect, a
person, or persons whose shares are aggregated, who has
beneficially owned restricted shares for at least one year is
entitled to sell within any three-month period up to that number
of shares that does not exceed the greater of: (i) 1% of
the number of shares of common stock then outstanding, which
immediately following this offering is expected to equal
175,000 shares, or (ii) the average weekly trading
volume of the common stock during the four calendar weeks
preceding the filing of a Form 144 with respect to the
sale. Sales under Rule 144 are also subject to certain
manner of sale provisions and notice requirements
and to the requirement that current public information about the
issuer be available. Under Rule 144(k), a person who is not
deemed to have been an affiliate of the issuer at any time
during the three months preceding a sale, and who has
beneficially owned the shares proposed to be sold for at least
two years, including the holding period of any prior owner
except an affiliate, is entitled to sell those shares without
complying with the manner of sale, public information, volume
limitation or notice provisions of Rule 144.
Rule 701
Rule 701 under the Securities Act permits resales of
qualified shares held by some affiliates in reliance upon
Rule 144 but without compliance with some restrictions,
including the holding period requirement, of Rule 144.
Rule 701 further provides that non-affiliates may sell
shares in reliance on Rule 144 without having to comply
with the holding period, public information, volume limitation
or notice provisions of Rule 144. Any of our employees,
officers, directors or consultants who purchased his or her
shares pursuant to a written compensatory plan or contract may
be entitled to rely on the resale provisions of Rule 701.
All holders of shares of common stock to which Rule 701 is
applicable are required to wait until 90 days after the
date of this prospectus before selling shares. The holders of
approximately 124,976 outstanding shares of our common
stock will be eligible to sell these shares 90 days after
the date of this prospectus in reliance on Rule 701.
Approximately 1,210 shares issued pursuant to Rule 701
are subject to the lock-up agreements referred to above and
absent a waiver of the lock-up agreements with Merriman Curhan
Ford & Co. and Dawson James Securities, Inc., will only
become eligible for sale upon the expiration of the 180-day
lock-up.
We intend to file, shortly after the effectiveness of this
offering, a registration statement on
Form
S-8
under the
Securities Act covering all shares of common stock reserved for
issuance under our equity incentive plan. Shares of common stock
issued upon exercise of options under the
Form
S-8
will be
available for sale in the public market, subject to limitations
under Rule 144 applicable to our affiliates and subject to
the lock-up agreements described above.
Registration Rights
Pursuant to various shareholders agreements among certain
purchasers of our common stock, Mr. Leonhardt and us, the
holders of an aggregate of 13,006 shares of our common stock
outstanding immediately after this offering and the holders of
warrants to purchase an aggregate of 1,924,554 shares of our
common stock subject to certain vesting conditions are entitled
to include their shares in any registration statement we file
under the Securities Act to register any of our securities,
subject to exceptions, and also to include those shares in any
underwritten offering contemplated by that registration
statement.
These registration rights are subject to conditions and
limitations, including the right of the underwriters of an
offering to limit the number of shares included in the offering.
In addition, no shareholder will have any rights under the
agreement to include shares in a registration statement if all
shares held by such holder may be sold pursuant to Rule 144
under the Securities Act in any three month period.
143
UNDERWRITING
Merriman Curhan Ford & Co. and Dawson James Securities, Inc.
are acting as the representatives of the underwriters. Subject
to the terms and conditions stated in the underwriting agreement
dated the date of this prospectus, each underwriter named below
has severally agreed to purchase from us, and we have agreed to
sell to such underwriter, the respective number of shares of
common stock shown opposite its name below.
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Underwriter
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Number of Shares
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Merriman Curhan Ford & Co.
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Dawson James Securities, Inc.
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Total
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4,166,667
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The underwriting agreement provides that the obligations of the
underwriters to purchase the shares included in this offering
are subject to approval of legal matters by counsel and to other
conditions. The underwriters are obligated to purchase all of
the shares (other than those covered by the over-allotment
option described below) if they purchase any of the shares.
The representatives have advised us that the underwriters
propose to offer the shares directly to the public at the public
offering price presented on the cover page of this prospectus
and to selected dealers, who may include the underwriters, at
the public offering price less a selling concession not in
excess of
$ per
share. The underwriters may allow, and the selected dealers may
reallow, a concession not in excess of
$ per
share to brokers and dealers. If all of the shares are not sold
at the initial offering price, the underwriters may change the
public offering price and the other selling terms. The
representatives have advised us that the underwriters do not
intend to confirm sales to any accounts over which they exercise
discretionary authority.
We have granted to the underwriters an option to purchase up to
an aggregate of 625,000 shares of common stock, exercisable
solely to cover over-allotments, if any, at the public offering
price less the underwriting discounts and commissions shown on
the cover page of this prospectus. The underwriters may exercise
this option in whole or in part at any time on or before the
30th day after the date of the underwriting agreement. To the
extent the underwriters exercise this option, each underwriter
will be committed, so long as the conditions of the underwriting
agreement are satisfied, to purchase a number of additional
shares proportionate to that underwriters initial
commitment as indicated in the preceding table.
We, our directors and executive officers and beneficial owners
of more than 1% of our common stock have agreed with the
underwriters, subject to certain exceptions, not to dispose of
or hedge any shares of common stock or securities convertible
into or exchangeable for shares of common stock, subject to
specified exceptions, during the period from the date of this
prospectus continuing through the date 180 days after the
date of this prospectus, except with the prior written consent
of Merriman Curhan Ford & Co. See Shares Eligible
for Future Sale for a discussion of certain transfer
restrictions on existing holders of shares of our common stock.
Merriman Curhan Ford & Co. in its sole discretion may
release any of the securities subject to these lock-up
agreements at any time without notice.
The 180-day restricted period described in the preceding
paragraph will be automatically extended if: (1) during the
period that begins on the date that is 15 calendar days plus
three business days before the last day of the 180-day
restricted period, we issue an earnings release or material news
or a material event occurs; or (2) prior to the expiration
of the 180-day restricted period, we announce that we will
release earnings results during the 16-day period following the
last day of the 180-day period, in which case the restrictions
described in the preceding paragraph will continue to apply
until the expiration of the date that is 15 calendar days plus
three business days after the date on which the earnings release
is issued or the material news or material event occurs.
144
The following table summarizes the underwriting discounts and
commissions that we will pay to the underwriters in connection
with this offering. These amounts are shown assuming both no
exercise and full exercise of the underwriters option to
purchase additional shares of common stock.
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Per Share
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Total
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Without
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With
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Without
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With
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Over-
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Over-
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Over-
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Over-
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Allotment
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Allotment
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Allotment
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Allotment
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Underwriting discounts and commissions paid by us
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$
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$
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$
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$
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Expenses payable by us
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$
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$
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$
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$
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Prior to this offering, there has been no public market for our
common stock. The initial public offering price will be
negotiated among the representatives and us.
We have been approved for listing of our common stock on the
NASDAQ Global Market under the symbol BHRT.
The underwriters may engage in over-allotment transactions,
stabilizing transactions, syndicate covering transactions,
penalty bids or purchases and passive market making for the
purposes of pegging, fixing or maintaining the price of the
common stock, in accordance with Regulation M under the
Securities Exchange Act of 1934.
Over-allotment transactions involve sales by the underwriters of
shares in excess of the number of shares the underwriters are
obligated to purchase, which creates a syndicate short position.
The short position may be either a covered short position or a
naked short position. In a covered short position, the number of
shares over-allotted by the underwriters is not greater than the
number of shares that they may purchase in the over-allotment
option. In a naked short position, the number of shares involved
is greater than the number of shares in the over-allotment
option. The underwriters may close out any short position by
either exercising their over-allotment option and/or purchasing
shares in the open market.
Stabilizing transactions permit bids to purchase the underlying
security so long as the stabilizing bids do not exceed a
specific maximum.
Syndicate covering transactions involve purchases of the common
stock in the open market after the distribution has been
completed to cover syndicate short positions. In determining the
source of shares to close out the short position, the
underwriters will consider, among other things, the price of
shares available for purchase in the open market as compared to
the price at which they may purchase shares through the
over-allotment option. If the underwriters sell more shares than
could be covered by the over-allotment option, thus creating a
naked short position, the position can only be closed out by
buying shares in the open market. A naked short position is more
likely to be created if the underwriters are concerned that
there could be downward pressure on the price of the shares in
the open market after pricing that could adversely affect
investors who purchase in the offering.
Penalty bids permit the underwriters to reclaim a selling
concession from a syndicate member when the common stock
originally sold by the syndicate member is purchased in a
stabilizing or syndicate covering transaction to cover syndicate
short positions.
In passive market making, market makers in the common stock who
are underwriters or prospective underwriters may, subject to
limitations, make bids for or purchase shares of our common
stock until the time, if any, at which a stabilizing bid is made.
These stabilizing transactions, syndicate covering transactions,
penalty bids and passive market making may have the effect of
raising or maintaining the market price of our common stock or
preventing or retarding a decline in the market price of our
common stock. As a result, the price of our common stock may be
higher than the price that might otherwise exist in the open
market. These transactions may be effected on the NASDAQ Global
Market or otherwise and, if commenced, may be discontinued at
any time.
145
Neither we nor any of the underwriters make any representation
or prediction as to the direction or magnitude of any effect
that the transactions described above may have on the price of
our common stock. In addition, neither we nor any of the
underwriters make any representation that the underwriters will
engage in these stabilizing transactions or that any
transaction, once commenced, will not be discontinued without
notice.
Merriman Curhan Ford & Co. and Dawson James Securities,
Inc. and their affiliates may, from time to time, engage in
transactions with and perform services for us in the ordinary
course of its business. Other than the foregoing, Merriman
Curhan Ford & Co. and Dawson James Securities, Inc. do
not have any material relationship with us or any of our
officers, directors or controlling persons, except with respect
to their contractual relationship with us entered into in
connection with this offering and that we have granted, if
certain conditions are met, to Merriman Curhan Ford & Co.,
the right, from the consummation of this offering through
June 1, 2008, to act as the sole bookrunner and lead
underwriter for any underwritten registered public offering of
the Companys securities and a right of first refusal from
June 1, 2008 through June 1, 2010, to act as our
investment banker, underwriter, placement agent, bookrunner or
otherwise in any transaction in which we hire an investment
banker.
A prospectus in electronic format may be made available on the
Internet sites or through other online services maintained by
one or more of the underwriters participating in this offering,
or by their affiliates. In those cases, prospective investors
may view offering terms online and depending upon the particular
underwriter, prospective investors may be allowed to place
orders online. The underwriters may agree with us to allocate a
specific number of shares for sale to online brokerage account
holders. Any such allocation for online distributions will be
made on the same basis as other allocations.
Other than the prospectus in electronic format, the information
on any underwriters web site and any information contained
in any other web site maintained by an underwriter is not
intended to be part of the prospectus or the registration
statement of which this prospectus forms a part, has not been
approved and/or endorsed by us or any underwriter in its
capacity as underwriter and should not be relied upon by
investors.
We have agreed to indemnify the underwriters against certain
liabilities, including liabilities under the Securities Act, or
to contribute to payments the underwriters may be required to
make because of any of those liabilities.
U.S. FEDERAL TAX CONSIDERATIONS FOR NON-U.S. HOLDERS
The following discussion of certain material U.S. federal income
tax considerations relevant to Non-U.S. Holders (as defined
below) of our common stock is for general information only.
Accordingly, all prospective Non-U.S. Holders of our common
stock are urged to consult their own tax advisors with respect
to the U.S. federal, state and local and foreign tax
consequences of the acquisition, ownership and disposition of
our common stock.
As used in this prospectus, the term Non-U.S. Holder
is a person who is an owner of our common stock other than:
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a citizen or resident of the United States;
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a corporation, partnership or other entity taxable as a
corporation for U.S. federal income tax purposes created or
organized in or under the laws of the United States, any of its
states or the District of Columbia;
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an estate the income of which is includable in gross income for
U.S. federal income tax purposes regardless of its source; or
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the tax consequences for the shareholders, beneficiaries or
holders of other beneficial interests in a Non-U.S. Holder;
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special tax rules that may apply to selected Non-U.S. Holders,
including without limitation, Non-U.S. holders of interests in
domestic or foreign partnerships, partnerships, banks or other
financial
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146
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institutions, insurance companies, dealers in securities,
traders in securities, tax-exempt entities, controlled foreign
corporations, passive foreign investment companies that
accumulate earnings to avoid U.S. federal income tax, and U.S.
expatriates; or
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special tax rules that may apply to a Non-U.S. Holder that holds
our common stock as part of a straddle, hedge, conversion,
synthetic security, or constructive sale transaction for U.S.
federal income tax purposes, or a Non-U.S. Holder that does not
hold our common stock as a capital asset within the meaning of
Section 1221 of the U.S. Internal Revenue Code of 1986, as
amended, or the Code.
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If a partnership, including any entity treated as a partnership
for U.S. federal income tax purposes, is a holder, the tax
treatment of a partner in the partnership will generally depend
upon the status of the partner and the activities of the
partnership. A holder that is a partnership, and partners in
such partnership, should consult their own tax advisors
regarding the tax consequences of the purchase, ownership and
disposition of our common stock.
The following discussion is based on provisions of the Code,
applicable Treasury regulations and administrative and judicial
interpretations, all as of the date of this prospectus, and all
of which are subject to change, possibly with retroactive
effect. We have not requested a ruling from the U.S. Internal
Revenue Service or an opinion of counsel with respect to the
U.S. federal income tax consequences of the purchase, ownership
or disposition of our common stock to a Non-U.S. Holder. There
can be no assurance that the U.S. Internal Revenue Service will
not successfully take a position contrary to such statements or
that any such contrary position taken by the U.S. Internal
Revenue Service would not be sustained.
YOU ARE URGED TO CONSULT YOUR TAX ADVISOR WITH RESPECT TO THE
APPLICATION OF THE U.S. FEDERAL INCOME TAX LAWS TO YOUR
PARTICULAR SITUATION AS WELL AS ANY TAX CONSEQUENCES ARISING
UNDER THE U.S. FEDERAL ESTATE OR GIFT TAX RULES OR UNDER
THE LAWS OF ANY STATE, LOCAL, FOREIGN OR OTHER TAXING
JURISDICTION OR UNDER ANY APPLICABLE TAX TREATY.
Dividends
We do not anticipate paying cash dividends on our common stock
in the foreseeable future. See Dividend Policy. In
the event, however, that distributions are made on shares of our
common stock, such distributions paid to a Non-U.S. Holder
generally will be subject to withholding of U.S. federal income
tax at a 30% rate on the gross amount of the distribution or
such lower rate as may be provided by an applicable income tax
treaty.
Dividends that are effectively connected with a Non-U.S.
Holders conduct of a trade or business in the United
States or attributable to a permanent establishment in the
United States under an applicable income tax treaty, known as
U.S. trade or business income, are generally not
subject to the 30% withholding tax if the Non-U.S. Holder files
the appropriate U.S. Internal Revenue Service form with the
payor. However, such U.S. trade or business income, net of
specified deductions and credits, is taxed at the same graduated
rates applicable to U.S. persons. Any U.S. trade or business
income received by a Non-U.S. Holder that is a corporation may
also, under certain circumstances, be subject to an additional
branch profits tax at a 30% rate or such lower rate
as specified by an applicable income tax treaty.
A Non-U.S. Holder of our common stock who claims the benefit of
an applicable income tax treaty generally will be required to
satisfy applicable certification and other requirements prior to
the distribution date. Non-U.S. Holders are urged to consult
their own tax advisors regarding their entitlement to benefits
under a relevant income tax treaty.
A Non-U.S. Holder that is eligible for a reduced rate of U.S.
withholding tax or other exclusion from withholding under an
income tax treaty but that did not timely provide required
certifications or other requirements, or that has received a
distribution subject to withholding in excess of the amount
properly treated as a dividend, may generally obtain a refund or
credit of any excess amounts withheld by filing an appropriate
claim for a refund with the U.S. Internal Revenue Service.
147
Sale or Other Taxable Disposition of Common Stock
A Non-U.S. Holder generally will not be subject to U.S. federal
income tax in respect of gain recognized on a disposition of our
common stock unless:
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the gain is U.S. trade or business income, in which case the
regular corporate income tax and the branch profits tax
described above may apply to a corporate Non-U.S. Holder;
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the Non-U.S. Holder is an individual who is present in the
United States for more than 182 days in the taxable year of
the disposition and meets other requirements;
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we are or have been a U.S. real property holding
corporation for U.S. federal income tax purposes at any
time during the shorter of the five-year period ending on the
date of disposition or the period that the Non-U.S. Holder held
our common stock.
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Generally, a corporation is a U.S. real property holding
corporation if the fair market value of its U.S.
real property interests equals or exceeds 50% of the sum
of the fair market value of its worldwide real property
interests plus its other assets used or held for use in a trade
or business. The tax imposed on stock in a U.S. real
property holding corporation generally will not apply to a
Non-U.S. Holder whose holdings, direct or indirect, have not
exceeded 5% of our common stock. We believe we have never been,
are not currently, and are not likely to become a U.S. real
property holding corporation for U.S. federal income tax
purposes.
Federal Estate Tax
Common stock owned or treated as owned by an individual who is a
Non-U.S. Holder at the time of death will be included in the
individuals gross estate for U.S. federal estate tax
purposes and might be subject to U.S. federal estate tax, unless
an applicable estate tax or other treaty provides otherwise.
Information Reporting and Backup Withholding Tax
We must report annually to the U.S. Internal Revenue Service and
to each Non-U.S. Holder the amount of dividends paid to such
holder and the tax withheld with respect to such dividends.
Copies of the information returns reporting dividends and
withholding may also be made available to the tax authorities in
the country in which the Non-U.S. Holder is a resident under the
provisions of an applicable income tax treaty or other agreement.
U.S. federal backup withholding generally will not apply to
payments of dividends made by us or our paying agents, in their
capacities as such, to a Non-U.S. Holder of our common stock, if
the holder has provided the required certification, under
penalties of perjury, as to its Non-U.S. Holder status in
accordance with applicable U.S. Treasury Regulations.
Payments of the proceeds of a sale of common stock within the
United States or conducted through certain U.S.-related
financial intermediaries is subject to information reporting
and, depending on the circumstances, backup withholding unless
the holder certifies under penalties of perjury that it is a
Non-U.S. Holder and the payer does not know or have reason to
know that the holder is a U.S. person, or the holder otherwise
establishes an exemption.
Any amounts withheld under the backup withholding rules from a
payment to a Non-U.S. Holder that result in an overpayment of
taxes will generally be refunded, or credited against the
holders U.S. federal income tax liability, if any,
provided that the required information is furnished to the U.S.
Internal Revenue Service.
LEGAL MATTERS
We are represented by Hunton & Williams LLP, Miami, Florida.
Dechert LLP, Philadelphia, Pennsylvania, is acting as counsel to
the underwriters.
148
EXPERTS
The financial statements as of December 31, 2005 and 2006
and for each of the three years in the period ended
December 31, 2006 included in this prospectus have been so
included in reliance on the report of Grant Thornton LLP, an
independent registered public accounting firm (which report
expresses an unqualified opinion and contains an explanatory
paragraph relating to the adoption of SFAS 123(R)), given
on the authority of said firm as experts in auditing and
accounting in giving said report.
WHERE YOU CAN FIND MORE INFORMATION
We have filed with the SEC a registration statement on
Form
S-1
under the
Securities Act with respect to the shares of common stock
offered in this prospectus. This prospectus, which forms a part
of the registration statement, does not contain all of the
information included in the registration statement. Certain
information is omitted and you should refer to the registration
statement and its exhibits for that information. With respect to
references made in this prospectus to any contract or other
document of Bioheart, Inc., such references are not necessarily
complete and you should read the entire text of those documents,
which have been filed as exhibits to the registration statement
of which this prospectus is a part, for complete information.
You may review a copy of the registration statement, including
exhibits and any schedule filed therewith, and obtain copies of
such materials at prescribed rates, at the SECs Public
Reference Room at 100 F Street, NE, Room 1580, Washington,
D.C. 20549. You may obtain information on the operation of the
Public Reference Room by calling the SEC at 1-800-SEC-0330. The
SEC maintains a web site (http://www.sec.gov) that contains
reports, proxy and information statements and other information
regarding registrants, such as Bioheart, Inc., that file
electronically with the SEC.
149
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Index to Consolidated Financial Statements
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F-2
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F-3
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F-4
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F-5
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F-6
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F-7
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F-25
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F-26
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F-27
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F-28
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F-29
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F-1
Report of Independent Registered Public Accounting Firm
Board of Directors
Bioheart, Inc.
We have audited the accompanying consolidated balance sheets of
Bioheart, Inc. and Subsidiaries (a Development Stage Company)
(the Company) as of December 31, 2006 and 2005,
and the related statements of operations, stockholders
equity (deficit) and cash flows for each of the three years
in the period ended December 31, 2006 and the period from
August 12, 1999 (date of inception) through
December 31, 2006. These financial statements are the
responsibility of the Companys management. Our
responsibility is to express an opinion on these financial
statements based on our audits.
We conducted our audits in accordance with the standards of the
Public Company Accounting Oversight Board (United States). Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are
free of material misstatement. An audit includes consideration
of internal control over financial reporting as a basis for
designing audit procedures that are appropriate in the
circumstances, but not for the purpose of expressing an opinion
on the effectiveness of the Companys internal control over
financial reporting. Accordingly, we express no such opinion. An
audit also includes examining, on a test basis, evidence
supporting the amounts and disclosures in the financial
statements, assessing the accounting principles used and
significant estimates made by management, as well as evaluating
the overall financial statement presentation. We believe that
our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above
present fairly, in all material respects, the consolidated
financial position of Bioheart, Inc. and Subsidiaries (a
Development Stage Company) as of December 31, 2006 and
2005, and the results of their consolidated operations and their
consolidated cash flows for each of the three years in the
period ended December 31, 2006 and the period from
August 12, 1999 (date of inception) through
December 31, 2006 in conformity with accounting principles
generally accepted in the United States of America.
As described in Note 1 to the financial statements,
effective January 1, 2006, the Company changed its method
of accounting for share-based compensation to adopt Statement of
Financial Accounting Standard SFAS No. 123(R),
Share-Based Payment
.
/s/
Grant Thornton LLP
Fort Lauderdale, Florida
June 1, 2007 (except for Note 15, as to which
the date is September 27, 2007 and except for
paragraphs seven, eight and nine of Note 14, as to
which the date is October 10, 2007)
F-2
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Consolidated Balance Sheets
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As of December 31,
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2006
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2005
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ASSETS
|
Current assets
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Cash and cash equivalents
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$
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5,025,383
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|
|
$
|
5,157,872
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Receivables
|
|
|
79,843
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|
|
|
72,037
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|
|
Inventory
|
|
|
163,821
|
|
|
|
160,352
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|
Prepaid expenses
|
|
|
96,162
|
|
|
|
54,302
|
|
|
|
|
|
|
|
|
|
|
Total current assets
|
|
|
5,365,209
|
|
|
|
5,444,563
|
|
Property and equipment, net
|
|
|
526,901
|
|
|
|
414,348
|
|
Deferred offering costs
|
|
|
547,016
|
|
|
|
|
|
Other assets
|
|
|
68,854
|
|
|
|
10,159
|
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$
|
6,507,980
|
|
|
$
|
5,869,070
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND SHAREHOLDERS EQUITY
|
Current liabilities
|
|
|
|
|
|
|
|
|
|
Accounts payable
|
|
$
|
803,625
|
|
|
$
|
225,058
|
|
|
Accrued expenses
|
|
|
700,687
|
|
|
|
353,267
|
|
|
Deferred revenue
|
|
|
656,500
|
|
|
|
656,500
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities
|
|
|
2,160,812
|
|
|
|
1,234,825
|
|
|
Deferred rent
|
|
|
36,524
|
|
|
|
47,813
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
2,197,336
|
|
|
|
1,282,638
|
|
Commitments and contingencies
|
|
|
|
|
|
|
|
|
Shareholders equity
|
|
|
|
|
|
|
|
|
|
Preferred stock ($0.001 par value) 3,088,898 shares
authorized, none issued and outstanding
|
|
|
|
|
|
|
|
|
|
Common stock ($0.001 par value) 24,711,188 shares
authorized, 12,785,472 and 11,652,207 shares issued and
outstanding as of December 31, 2006 and December 31,
2005, respectively
|
|
|
12,785
|
|
|
|
11,652
|
|
|
Additional paid-in capital
|
|
|
68,810,382
|
|
|
|
56,087,982
|
|
|
Deferred compensation
|
|
|
|
|
|
|
(181,325
|
)
|
|
Deficit accumulated during the development stage
|
|
|
(64,512,523
|
)
|
|
|
(51,331,877
|
)
|
|
|
|
|
|
|
|
|
|
Total shareholders equity
|
|
|
4,310,644
|
|
|
|
4,586,432
|
|
|
|
|
|
|
|
|
|
|
Total liabilities and shareholders equity
|
|
$
|
6,507,980
|
|
|
$
|
5,869,070
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements
F-3
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Consolidated Statements of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cumulative
|
|
|
|
|
|
|
|
|
|
Period from
|
|
|
|
|
|
|
|
|
|
August 12,
|
|
|
|
|
|
1999 (date of
|
|
|
|
Years Ended December 31,
|
|
|
inception) to
|
|
|
|
|
|
|
December 31,
|
|
|
|
2006
|
|
|
2005
|
|
|
2004
|
|
|
2006
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues
|
|
$
|
105,503
|
|
|
$
|
135,350
|
|
|
$
|
85,500
|
|
|
$
|
435,513
|
|
Cost of sales
|
|
|
72,510
|
|
|
|
87,427
|
|
|
|
46,430
|
|
|
|
254,367
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit
|
|
|
32,993
|
|
|
|
47,923
|
|
|
|
39,070
|
|
|
|
181,146
|
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Research and development
|
|
|
6,878,225
|
|
|
|
4,533,820
|
|
|
|
3,786,604
|
|
|
|
45,381,255
|
|
|
Marketing, general and administrative
|
|
|
6,372,098
|
|
|
|
2,830,926
|
|
|
|
1,731,441
|
|
|
|
19,424,897
|
|
|
Depreciation and amortization
|
|
|
90,713
|
|
|
|
46,320
|
|
|
|
33,588
|
|
|
|
250,286
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
13,341,036
|
|
|
|
7,411,066
|
|
|
|
5,551,633
|
|
|
|
65,056,438
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss from operations
|
|
|
(13,308,043
|
)
|
|
|
(7,363,143
|
)
|
|
|
(5,512,563
|
)
|
|
|
(64,875,292
|
)
|
Interest income
|
|
|
128,145
|
|
|
|
45,122
|
|
|
|
5,570
|
|
|
|
388,884
|
|
Interest expense
|
|
|
(748
|
)
|
|
|
(8,536
|
)
|
|
|
(12,158
|
)
|
|
|
(26,115
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net interest income (expense)
|
|
|
127,397
|
|
|
|
36,586
|
|
|
|
(6,588
|
)
|
|
|
362,769
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss before income taxes
|
|
|
(13,180,646
|
)
|
|
|
(7,326,557
|
)
|
|
|
(5,519,151
|
)
|
|
|
(64,512,523
|
)
|
Income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss
|
|
$
|
(13,180,646
|
)
|
|
$
|
(7,326,557
|
)
|
|
$
|
(5,519,151
|
)
|
|
$
|
(64,512,523
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss per share basic and diluted
|
|
$
|
(1.10
|
)
|
|
$
|
(0.69
|
)
|
|
$
|
(0.60
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding basic and diluted
|
|
|
12,015,090
|
|
|
|
10,652,727
|
|
|
|
9,189,343
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements
F-4
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Consolidated Statement of Shareholders Equity
(Deficit)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deficit
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated
|
|
|
|
|
|
Common Stock
|
|
|
Additional
|
|
|
|
|
|
|
During the
|
|
|
|
|
|
|
|
|
Paid-In
|
|
|
Deferred
|
|
|
Contributed
|
|
|
Development
|
|
|
|
|
|
Shares
|
|
|
Amount
|
|
|
Capital
|
|
|
Compensation
|
|
|
Capital
|
|
|
Stage
|
|
|
Total
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of August 12, 1999 (date of inception)
|
|
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
Issuance of common stock
|
|
|
4,324,458
|
|
|
|
4,324
|
|
|
|
395,676
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
400,000
|
|
|
Stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
98,000
|
|
|
|
(98,000
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization of stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
49,000
|
|
|
|
|
|
|
|
|
|
|
|
49,000
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(903,290
|
)
|
|
|
(903,290
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 1999
|
|
|
4,324,458
|
|
|
$
|
4,324
|
|
|
$
|
493,676
|
|
|
$
|
(49,000
|
)
|
|
$
|
|
|
|
$
|
(903,290
|
)
|
|
$
|
(454,290
|
)
|
|
Issuance of common stock (net of issuance costs of $61,905)
|
|
|
1,493,575
|
|
|
|
1,494
|
|
|
|
9,607,201
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9,608,695
|
|
|
Stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
2,559,000
|
|
|
|
(2,559,000
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fair value of warrants granted in exchange for licenses and
intellectual property
|
|
|
|
|
|
|
|
|
|
|
5,220,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,220,000
|
|
|
Amortization of stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,080,692
|
|
|
|
|
|
|
|
|
|
|
|
1,080,692
|
|
|
Contributed capital
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,050,000
|
|
|
|
|
|
|
|
1,050,000
|
|
|
Common stock issued in exchange for services
|
|
|
7,964
|
|
|
|
8
|
|
|
|
51,993
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
52,001
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(14,113,933
|
)
|
|
|
(14,113,933
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2000
|
|
|
5,825,997
|
|
|
$
|
5,826
|
|
|
$
|
17,931,870
|
|
|
$
|
(1,527,308
|
)
|
|
$
|
1,050,000
|
|
|
$
|
(15,017,223
|
)
|
|
$
|
2,443,165
|
|
|
Issuance of common stock (net of issuance costs of $98,996)
|
|
|
985,667
|
|
|
|
986
|
|
|
|
6,282,018
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6,283,004
|
|
|
Stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
779,000
|
|
|
|
(779,000
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization of stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,523,000
|
|
|
|
|
|
|
|
|
|
|
|
1,523,000
|
|
|
Conversion of contributed capital to common stock
|
|
|
81,084
|
|
|
|
81
|
|
|
|
1,049,919
|
|
|
|
|
|
|
|
(1,050,000
|
)
|
|
|
|
|
|
|
|
|
|
Common stock issued in exchange for services
|
|
|
8,291
|
|
|
|
8
|
|
|
|
53,993
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
54,001
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(8,173,464
|
)
|
|
|
(8,173,464
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2001
|
|
|
6,901,039
|
|
|
$
|
6,901
|
|
|
$
|
26,096,800
|
|
|
$
|
(783,308
|
)
|
|
$
|
|
|
|
$
|
(23,190,687
|
)
|
|
$
|
2,129,706
|
|
|
Issuance of common stock
|
|
|
1,092,883
|
|
|
|
1,093
|
|
|
|
7,075,105
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7,076,198
|
|
|
Stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
143,521
|
|
|
|
(143,521
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization of stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
613,083
|
|
|
|
|
|
|
|
|
|
|
|
613,083
|
|
|
Common stock issued in exchange for services
|
|
|
35,137
|
|
|
|
35
|
|
|
|
227,468
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
227,503
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(9,257,954
|
)
|
|
|
(9,257,954
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2002
|
|
|
8,029,059
|
|
|
$
|
8,029
|
|
|
$
|
33,542,894
|
|
|
$
|
(313,746
|
)
|
|
$
|
|
|
|
$
|
(32,448,641
|
)
|
|
$
|
788,536
|
|
|
Issuance of common stock
|
|
|
561,701
|
|
|
|
562
|
|
|
|
3,181,712
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3,182,274
|
|
|
Stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
(155,893
|
)
|
|
|
155,893
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization of stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
79,371
|
|
|
|
|
|
|
|
|
|
|
|
79,371
|
|
|
Common stock issued in exchange for services
|
|
|
144,300
|
|
|
|
144
|
|
|
|
823,743
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
823,887
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(6,037,528
|
)
|
|
|
(6,037,528
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2003
|
|
|
8,735,060
|
|
|
$
|
8,735
|
|
|
$
|
37,392,456
|
|
|
$
|
(78,482
|
)
|
|
$
|
|
|
|
$
|
(38,486,169
|
)
|
|
$
|
(1,163,460
|
)
|
|
Issuance of common stock
|
|
|
808,570
|
|
|
|
809
|
|
|
|
4,580,104
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4,580,913
|
|
|
Stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
637,858
|
|
|
|
(637,858
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization of stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
148,812
|
|
|
|
|
|
|
|
|
|
|
|
148,812
|
|
|
Common stock issued in exchange for services
|
|
|
17,004
|
|
|
|
17
|
|
|
|
96,314
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
96,331
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(5,519,151
|
)
|
|
|
(5,519,151
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2004
|
|
|
9,560,634
|
|
|
$
|
9,561
|
|
|
$
|
42,706,732
|
|
|
$
|
(567,528
|
)
|
|
$
|
|
|
|
$
|
(44,005,320
|
)
|
|
$
|
(1,856,555
|
)
|
|
Issuance of common stock (net of issuance costs of $32,507)
|
|
|
1,994,556
|
|
|
|
1,994
|
|
|
|
11,265,560
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
11,267,554
|
|
|
Issuance of common stock in lieu of cash compensation
|
|
|
1,210
|
|
|
|
1
|
|
|
|
6,852
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6,853
|
|
|
Stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
1,566,147
|
|
|
|
(1,566,147
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization of stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,952,350
|
|
|
|
|
|
|
|
|
|
|
|
1,952,350
|
|
|
Issuance of common stock in exchange for release of accrued
liabilities
|
|
|
95,807
|
|
|
|
96
|
|
|
|
542,691
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
542,787
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(7,326,557
|
)
|
|
|
(7,326,557
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2005
|
|
|
11,652,207
|
|
|
$
|
11,652
|
|
|
$
|
56,087,982
|
|
|
$
|
(181,325
|
)
|
|
$
|
|
|
|
$
|
(51,331,877
|
)
|
|
$
|
4,586,432
|
|
|
Reclassification of deferred compensation due to adoption of
SFAS No. 123(R)
|
|
|
|
|
|
|
|
|
|
|
(181,325
|
)
|
|
|
181,325
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of common stock (net of issuance costs of $100,038)
|
|
|
1,069,699
|
|
|
|
1,069
|
|
|
|
8,123,623
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
8,124,692
|
|
|
Equity instruments issued in connection with settlement agreement
|
|
|
47,657
|
|
|
|
48
|
|
|
|
3,294,381
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3,294,429
|
|
|
Common stock issued in exchange for services
|
|
|
2,903
|
|
|
|
3
|
|
|
|
16,440
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
16,443
|
|
|
Common stock issued in exchange for distribution rights and
intellectual property
|
|
|
13,006
|
|
|
|
13
|
|
|
|
99,984
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
99,997
|
|
|
Fair value of warrants granted in exchange for licenses and
intellectual property
|
|
|
|
|
|
|
|
|
|
|
144,867
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
144,867
|
|
|
Stock-based compensation
|
|
|
|
|
|
|
|
|
|
|
1,224,430
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,224,430
|
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(13,180,646
|
)
|
|
|
(13,180,646
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2006
|
|
|
12,785,472
|
|
|
$
|
12,785
|
|
|
$
|
68,810,382
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
(64,512,523
|
)
|
|
$
|
4,310,644
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements
F-5
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Consolidated Statements of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cumulative
|
|
|
|
|
|
|
|
|
|
Period from
|
|
|
|
|
|
August 12, 1999
|
|
|
|
Years Ended December 31,
|
|
|
(date of inception)
|
|
|
|
|
|
|
to December 31,
|
|
|
|
2006
|
|
|
2005
|
|
|
2004
|
|
|
2006
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss
|
|
$
|
(13,180,646
|
)
|
|
$
|
(7,326,557
|
)
|
|
$
|
(5,519,151
|
)
|
|
$
|
(64,512,523
|
)
|
|
Adjustments to reconcile net loss to net cash used in operating
activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
90,713
|
|
|
|
46,320
|
|
|
|
33,588
|
|
|
|
250,286
|
|
|
|
Write off of note receivable
|
|
|
|
|
|
|
|
|
|
|
45,000
|
|
|
|
165,000
|
|
|
|
Warrants granted in exchange of licenses and intellectual
property
|
|
|
144,867
|
|
|
|
|
|
|
|
|
|
|
|
5,364,867
|
|
|
|
Equity instruments issued in connection with settlement agreement
|
|
|
3,294,429
|
|
|
|
|
|
|
|
|
|
|
|
3,294,429
|
|
|
|
Common stock issued in exchange for services
|
|
|
16,443
|
|
|
|
6,853
|
|
|
|
96,330
|
|
|
|
1,277,017
|
|
|
|
Common stock issued in exchange for distribution rights and
intellectual property
|
|
|
99,997
|
|
|
|
|
|
|
|
|
|
|
|
99,997
|
|
|
|
Stock-based compensation
|
|
|
1,224,430
|
|
|
|
1,952,350
|
|
|
|
148,812
|
|
|
|
6,670,738
|
|
|
|
Change in assets and liabilities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Receivables
|
|
|
(7,806
|
)
|
|
|
(72,037
|
)
|
|
|
|
|
|
|
(79,842
|
)
|
|
|
|
Inventory
|
|
|
(3,469
|
)
|
|
|
182,148
|
|
|
|
(342,500
|
)
|
|
|
(163,821
|
)
|
|
|
|
Prepaid expenses
|
|
|
(41,860
|
)
|
|
|
6,044
|
|
|
|
(3,742
|
)
|
|
|
(96,162
|
)
|
|
|
|
Other assets
|
|
|
(58,695
|
)
|
|
|
(815
|
)
|
|
|
(54,344
|
)
|
|
|
(68,854
|
)
|
|
|
|
Accounts payable
|
|
|
357,403
|
|
|
|
(399,063
|
)
|
|
|
398,305
|
|
|
|
582,461
|
|
|
|
|
Accrued expenses and deferred rent
|
|
|
234,697
|
|
|
|
(40,698
|
)
|
|
|
303,043
|
|
|
|
1,013,563
|
|
|
|
|
Deferred revenue
|
|
|
|
|
|
|
(120,000
|
)
|
|
|
(81,000
|
)
|
|
|
656,500
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in operating activities
|
|
|
(7,829,497
|
)
|
|
|
(5,765,455
|
)
|
|
|
(4,975,659
|
)
|
|
|
(45,546,344
|
)
|
Cash flows from investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Acquisition of property and equipment
|
|
|
(203,266
|
)
|
|
|
(326,211
|
)
|
|
|
(58,500
|
)
|
|
|
(777,187
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(203,266
|
)
|
|
|
(326,211
|
)
|
|
|
(58,500
|
)
|
|
|
(777,187
|
)
|
Cash flows from financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proceed from note payable
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
200,000
|
|
|
|
|
Repayment of note payable
|
|
|
|
|
|
|
(200,000
|
)
|
|
|
|
|
|
|
(200,000
|
)
|
|
|
|
Proceeds from issuance of common stock, net
|
|
|
8,124,692
|
|
|
|
11,267,554
|
|
|
|
4,580,913
|
|
|
|
51,573,332
|
|
|
|
|
Deferred offering costs
|
|
|
(224,418
|
)
|
|
|
|
|
|
|
|
|
|
|
(224,418
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by financing activities
|
|
|
7,900,274
|
|
|
|
11,067,554
|
|
|
|
4,580,913
|
|
|
|
51,348,914
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents
|
|
|
(132,489
|
)
|
|
|
4,975,888
|
|
|
|
(453,246
|
)
|
|
|
5,025,383
|
|
Cash and cash equivalents, beginning of period
|
|
|
5,157,872
|
|
|
|
181,984
|
|
|
|
635,230
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of period
|
|
$
|
5,025,383
|
|
|
$
|
5,157,872
|
|
|
$
|
181,984
|
|
|
$
|
5,025,383
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Disclosure of cash flow information
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest paid
|
|
$
|
748
|
|
|
$
|
8,536
|
|
|
$
|
12,158
|
|
|
$
|
26,115
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income taxes paid
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements
F-6
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial Statements
December 31, 2006, 2005 and 2004
|
|
1.
|
Organization and Summary of Significant Accounting
Policies
|
Organization and Business
Bioheart, Inc. (the Company) is a biotechnology
company focused on the discovery, development and, subject to
regulatory approval, commercialization of autologous cell
therapies for the treatment of chronic and acute heart damage.
The Companys lead product candidate is MyoCell, an
innovative clinical therapy designed to populate regions of scar
tissue within a patients heart with living muscle tissue
for the purpose of improving cardiac function. The Company was
incorporated in Florida on August 12, 1999.
Development Stage
The Company has operated as a development stage enterprise since
its inception by devoting substantially all of its effort to
raising capital, research and development of products noted
above, and developing markets for its products. Accordingly, the
financial statements of the Company have been prepared in
accordance with the accounting and reporting principles
prescribed by Statement of Financial Accounting Standards
No. 7,
Accounting and Reporting by Development Stage
Enterprises
(SFAS No. 7), issued by the
Financial Accounting Standards Board (FASB).
Prior to marketing its products in the United States, the
Companys products must undergo rigorous preclinical and
clinical testing and an extensive regulatory approval process
implemented by the Food and Drug Administration (the
FDA) and other regulatory authorities. There can be
no assurance that the Company will not encounter problems in
clinical trials that will cause the Company or the FDA to delay
or suspend clinical trials. The Companys success will
depend in part on its ability to successfully complete clinical
trials, obtain necessary regulatory approvals, obtain patents
and product license rights, maintain trade secrets, and operate
without infringing on the proprietary rights of others, both in
the United States and other countries. There can be no assurance
that patents issued to or licensed by the Company will not be
challenged, invalidated, or circumvented, or that the rights
granted thereunder will provide proprietary protection or
competitive advantages to the Company. The Company will require
substantial future capital in order to meet its objectives. The
Company currently has no committed sources of capital. The
Company will need to seek substantial additional financing
through public and/or private financing, and financing may not
be available when the Company needs it or may not be available
on acceptable terms.
Basis of Consolidation
The accompanying consolidated financial statements include the
accounts of Bioheart, Inc. and its wholly-owned subsidiaries.
The Company has established subsidiaries in various foreign
countries, and through December 31, 2006, these foreign
entities have been largely inactive. All intercompany
transactions are eliminated in consolidation.
Cash and Cash Equivalents
Cash and cash equivalents consist of cash and money market funds
with maturities of three months or less when purchased. The
carrying value of these instruments approximates fair value. The
Company generally invests its excess cash in high credit quality
debt instruments or U.S. government securities. These
investments are periodically reviewed and modified to take
advantage of trends in yields and interest rates. The related
interest income is accrued as earned.
F-7
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
Inventory
Inventory, consisting primarily of finished catheters, is stated
at the lower of cost or market, including provisions for
obsolescence and expiration. Cost is determined by the first-in,
first-out (FIFO) method for valuing inventories.
Revenue Recognition
The Companys revenue policy is to recognize sales revenue
upon delivery of the product sold or completion of the service
transaction. Revenues from product sales and service
transactions are recognized when persuasive evidence of an
arrangement exists, the price is fixed or determined, collection
is reasonably assured and delivery of product or service has
occurred.
Based on an asset purchase arrangement entered into in June
2003, the Company recognizes revenue related to a joint
licensing transaction and product delivery agreement with a
minority shareholder requiring the delivery of 160 catheters.
Payments of $900,000 received pursuant to this agreement were
initially recorded as deferred revenue. The Company is
recognizing the $900,000 as revenue on a pro rata basis as the
catheters are delivered.
Research and Development Expenses
Research and development expenditures, including payments to
collaborative research partners, are charged to expense as
incurred. The Company expenses amounts paid to obtain patents or
acquire licenses as the ultimate recoverability of the amounts
paid is uncertain.
Marketing Expense
The Company expenses the cost of marketing as incurred.
Marketing expense was $3,878,700, $247,460 and $254,186 for the
years ended December 31, 2006, 2005 and 2004, respectively,
and $5,490,240 for the cumulative period from August 12,
1999 (date of inception) to December 31, 2006. Marketing
expense for 2006 included $3,513,277 of equity-based
compensation.
Income Taxes
The Company accounts for income taxes under
SFAS No. 109,
Accounting for Income Taxes.
Deferred tax assets and liabilities are determined based
upon differences between financial reporting and tax bases of
assets and liabilities and are measured using the enacted tax
rates and laws that will be in effect when the differences are
expected to reverse. A valuation allowance is provided when it
is more likely than not that some portion or all of a deferred
tax asset will not be realized.
Stock Options
SFAS No. 123,
Accounting for Stock-Based
Compensation,
as amended by SFAS No. 148,
Accounting for Stock-Based Compensation
Transition and Disclosure
(SFAS No. 123), which establishes the use
of the fair value based method of accounting for stock-based
compensation arrangements, under which compensation cost is
determined using the fair value of stock-based compensation
determined as of the grant date, and is recognized over the
periods in which the related services are rendered.
SFAS No. 123 also permits companies to elect to
continue using the intrinsic value accounting method specified
in Accounting Principles Board Opinion No. 25,
Accounting for Stock Issued to Employees
(APB
No. 25), to account for stock-based compensation
related to option grants and stock awards to employees. The
Company had elected to retain the intrinsic value based method
for such grants and awards, and disclosed the pro forma effect
of using the fair value based method to account for its
stock-based compensation. Option grants to nonemployees are
F-8
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
valued using the fair value based method prescribed by
SFAS No. 123 and expensed over the period services are
provided.
Beginning January 1, 2006, the Company has recognized
compensation expense under SFAS No. 123R for the
unvested portions of outstanding share-based awards previously
granted under our stock option plans, over the periods these
awards continue to vest. Share-based awards granted subsequent
to January 1, 2006 are valued using the fair value method
and compensation expense is recognized on a straight-line basis
over the vesting periods.
Prior to January 1, 2006, the Company applied the intrinsic
value-based method of accounting for share-based payment
transactions with our employees, as prescribed by APB
No. 25,
Accounting for Stock Issued to Employees,
and related interpretations including FASB Interpretation
No. 44,
Accounting for Certain Transactions Involving
Stock Compensation An Interpretation of APB Opinion
No. 25.
Under the intrinsic value method, compensation expense was
recognized only if the current market price of the underlying
stock exceeded the exercise price of the share-based payment
award as of the measurement date (typically the date of grant).
SFAS No. 123 established accounting and disclosure
requirements using a fair value-based method of accounting for
stock-based employee compensation plans. As permitted by
SFAS No. 123 and by Statement of Financial Accounting
Standards No. 148,
Accounting for Stock-Based
Compensation Transition and Disclosure,
the
Company disclosed on a pro forma basis the net income and
earnings per share that would have resulted had we adopted
SFAS No. 123 for measurement purposes.
Adjusted pro forma information regarding net loss is required by
SFAS No. 123 and has been determined as if the Company
had accounted for its employee stock options under the fair
value method of SFAS No. 123. The fair value of these
options was estimated at the date of grant using the
Black-Scholes pricing model with the following assumptions:
risk-free interest rate of 6.00%; estimated volatility of
100.0%; dividend yield of 0%; and a weighted average expected
life of the options of 5.0 years.
For purposes of adjusted pro forma disclosures, the estimated
fair value of the options is amortized to expense over the
vesting period. The Companys adjusted pro forma
information is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31,
|
|
|
|
|
|
|
|
2005
|
|
|
2004
|
|
|
|
|
|
|
|
|
Net loss as reported
|
|
$
|
(7,326,557
|
)
|
|
$
|
(5,519,151
|
)
|
Deduct: Stock compensation expense determined under fair value
method
|
|
|
(466,944
|
)
|
|
|
(345,664
|
)
|
|
|
|
|
|
|
|
Adjusted pro forma net loss
|
|
$
|
(7,793,501
|
)
|
|
$
|
(5,864,815
|
)
|
|
|
|
|
|
|
|
Loss per share basic and diluted:
|
|
|
|
|
|
|
|
|
|
Loss per share as reported
|
|
$
|
(0.69
|
)
|
|
$
|
(0.60
|
)
|
|
|
|
|
|
|
|
|
Loss per share pro forma
|
|
$
|
(0.73
|
)
|
|
$
|
(0.64
|
)
|
|
|
|
|
|
|
|
Fair Value of Financial Instruments
The fair value of cash equivalents, receivables, and accounts
payable approximate their carrying amounts due to their short
term nature.
Earnings (Loss) Per Share
Basic earnings (loss) per share is computed by dividing net
earnings (loss) for the period by the weighted average
number of common shares outstanding during the period. Diluted
earnings (loss) per share is
F-9
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
computed by dividing net earnings (loss) for the period by
the weighted average number of common shares outstanding during
the period, plus the dilutive effect of common stock
equivalents, such as stock options. For all periods presented,
all common stock equivalents were excluded because their
inclusion would have been anti-dilutive. Potentially dilutive
common stock equivalents as of December 31, 2006 include
stock options and warrants to purchase up to 3,703,435 shares of
common stock at exercise prices ranging from $1.28 to $7.69.
Deferred Offering Costs
Deferred offering costs consist principally of legal and
accounting fees incurred through the balance sheet date that are
related to the Companys planned initial public offering
and that will be charged to additional paid-in capital upon the
receipt of the capital or charged to expense if not completed
within a reasonable period of time.
Use of Estimates
The preparation of financial statements in conformity with
accounting principles generally accepted in the United States of
America requires management to make estimates and assumptions
that affect the reported amounts of assets and liabilities, and
the disclosure of contingent assets and liabilities as of the
date of the financial statements, and the reported amounts of
revenues and expenses during the reporting period. Actual
results could differ from those estimates.
Recent Accounting Pronouncements
In May 2005, the FASB issued SFAS No. 154,
Accounting Changes and Error Corrections,
(SFAS No. 154) which changes the
requirements for the accounting and reporting of a change in
accounting principle. SFAS No. 154 applies to all
voluntary changes in accounting principle as well as to changes
required by an accounting pronouncement that does not include
specific transition provisions. SFAS No. 154 requires
that changes in accounting principle be retrospectively applied.
SFAS No. 154 is effective for accounting changes and
corrections of errors made in fiscal years beginning after
December 15, 2005. The Company does not expect the adoption
of this standard to have a material effect on the Companys
financial statements.
In June 2006, the FASB issued FASB Interpretation Number 48
(FIN No. 48),
Accounting for
Uncertainty in Income Taxes an interpretation of
FASB Statement No. 109.
The interpretation contains a
two step approach to recognizing and measuring uncertain tax
positions accounted for in accordance with
SFAS No. 109. The first step is to evaluate the tax
position for recognition by determining if the weight of
available evidence indicates it is more likely than not that the
position will be sustained on audit, including resolution of
related appeals or litigation processes, if any.
The second step is to measure the tax benefit as the largest
amount which is more than 50% likely of being realized upon
ultimate settlement. The interpretation is effective for the
first interim period in fiscal years beginning after
December 15, 2006. The Company adopted the provisions of
FIN No. 48 on January 1, 2007. Previously, the
Company had accounted for tax contingencies in accordance with
Statement of Financial Accounting Standards 5,
Accounting for
Contingencies.
As required by FIN No. 48, the
Company recognized the financial statement benefit of a tax
position only after determining that the relevant tax authority
would more likely than not sustain the position following an
audit. For tax positions meeting the more-likely-than-not
threshold, the amount recognized in the financial statements is
the largest benefit that has a greater than 50 percent
likelihood of being realized upon ultimate settlement with the
relevant tax authority. At the adoption date, the Company
applied FIN No. 48 to all tax positions for which the
statute of
F-10
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
limitations remained open. As a result of the implementation of
FIN No. 48, the Company did not recognize any change
in the liability for unrecognized tax benefits.
In September 2006, the FASB issued SFAS No. 157,
Fair Value Measurements
(SFAS No. 157). SFAS No. 157
defines fair value, establishes a framework for measuring fair
value, and expands disclosures about fair value measurements.
SFAS No. 157 does not require any new fair value
measurements, but provides guidance on how to measure fair value
by providing a fair value hierarchy used to classify the source
of the information. SFAS No. 157 is effective for
fiscal years beginning after December 15, 2006. The Company
does not expect the adoption of this standard to have a material
effect on the Companys financial statements.
In September 2006, the SEC issued Staff Accounting
Bulletin No. 108,
Considering the Effects of Prior
Year Misstatements when Quantifying Misstatements in Current
Year Financial Statements
(SAB No. 108), which provides
interpretive guidance on the consideration of the effects of
prior year misstatements in quantifying current year
misstatements for the purpose of a materiality assessment.
SAB No. 108 requires registrants to quantify
misstatements using both the balance sheet and income statement
approaches and to evaluate whether either approach results in
quantifying an error that is material based on relevant
quantitative and qualitative factors. The guidance is effective
for the first fiscal period ending after November 15, 2006.
The adoption of this standard did not have a material effect on
the Companys financial statements.
In February 2007, the FASB issued SFAS No. 159,
The
Fair Value Option for Financial Assets and Financial Liabilities
(SFAS No. 159). SFAS No. 159
allows an entity the irrevocable option to elect fair value for
the initial and subsequent measurement for certain financial
assets and liabilities on a contract-by-contract basis.
Subsequent changes in fair value of these financial assets and
liabilities would be recognized in earnings when they occur.
SFAS No. 159 is effective for the Companys
financial statements for the year beginning January 1,
2008, with earlier adoption permitted. The Company does not
expect adoption of this statement to have an impact on its
consolidated financial position and results of operations.
A variety of proposed or otherwise potential accounting
standards are currently under study by standard-setting
organizations and various regulatory agencies. Because of the
tentative and preliminary nature of these proposed standards,
management has not determined whether implementation of such
proposed standards would be material to the Companys
consolidated financial statements.
2. Collaborative License and
Research/ Development Agreements
The Company has entered into a number of contractual
relationships for technology licenses and research and
development projects. The following provides a summary of the
Companys significant contractual relationships:
During February 2000, the Company entered into an agreement (the
Agreement) with a collaborative research partner for
the full license of all patents, patents pending and future
developments related to heart muscle function improvement and
angiogenesis. As consideration for the Agreement, the Company
paid $1,000,000 in cash and issued warrants to purchase
1.2 million shares of Company common stock at an exercise
price of $8.00 per share. The share amounts and exercise prices
do not take into account any subsequent recapitalizations or
reverse stock splits.
The warrants had a fair value of $4.35 per warrant at the date
of grant as computed using the Black-Scholes option valuation
model using the following assumptions; estimated volatility of
65%, expected holding period of four years, and a risk free rate
of 6%. During the year ended December 31, 2000, the Company
recorded approximately $5,220,000 of expense related to these
warrants, which is included as part of research and development
expenses in the accompanying consolidated statements of
operations. Under the terms of the
F-11
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
Agreement, the Company is required to pay consideration of
$3,000,000 upon the entering of a FDA Phase II clinical trial
utilizing the technology of the research collaborator. In
addition, if the Company obtains FDA approval of a method of
heart muscle regeneration utilizing the patented technology
contemplated under the Agreement, the Company will be required
to pay additional consideration of $5,000,000. Further, if the
Company produces successful commercial products that result
directly from the patents contemplated under the Agreement, the
Company will be required to pay royalties of 5% from specific
sales as determined in the Agreement over the period of the
patents useful lives.
During 2000, the Company entered into an agreement with a
certain research scientist (the Scientist), who at
the time was a member of the Companys Board of Directors,
for various services and for intellectual property assigned to
the Company. As part of the Scientists compensation, upon
the satisfaction of certain defined conditions, the Company was
obligated to grant options to purchase 247,112 shares of
the Companys common stock at an exercise price of
$6.47 per share. The Scientists options would have
been granted if the Scientists intellectual property
produced successful commercial products for the Company that
resulted directly from the Scientists intellectual
property and generated in excess of $10,000,000 in
U.S. revenue for the Company over a consecutive twelve
month period during the term of the agreement. As the
performance conditions had not been met, the Company did not
record any related expense. In addition, the Company paid the
Scientist $160,000 for the cumulative period from
August 12, 1999 (date of inception) to December 31,
2006.
In February 2006, the Company entered into an exclusive license
agreement with The Cleveland Clinic Foundation for various
patents to be used in the MyoCell II with
SDF-1
project. In
exchange for the license, the Company 1) paid $250,000 upon
the closing of the agreement; 2) paid $1,250,000 in 2006;
3) will pay a maintenance fee of $150,000 per year for
the duration of the license starting in the second year;
4) will be required to make various milestone payments
ranging from $200,000 upon the approval of an Investigational
New Drug application by the FDA and $1,000,000 upon the first
commercial sale of an FDA approved licensed product, 50% of
which may be paid in the form of common stock; and 5) will pay a
5% royalty on the net sales of products and services that
directly rely upon the claims of the patents for the first
$300,000,000 of annual net sales and a 3% royalty for any annual
net sales over $300,000,000. The royalty percentage shall be
reduced by 0.5% for each 1.0% of license fees paid to any other
entity. However, the royalty percentage shall not be reduced
under 2.5%.
In April 2006, the Company entered into an agreement to license
from TriCardia, LLC various patents to be used in the
MyoCath II project. In exchange for the license, the
Company agreed to do the following: 1) pay $100,000 upon
the closing of the agreement; and 2) issue a warrant
exercisable for 32,515 shares of the Companys common
stock at an exercise price of $7.69 per share. The warrant
shall vest on a straight line basis over a 12 month period
and expires on February 28, 2016. The fair value of this
warrant of approximately $193,000 as determined using the Black
Scholes pricing model, is being amortized to research and
development expense on a straight line basis over the twelve
month vesting period. The Company recorded $144,867 of expense
in 2006.
In December 2006, the Company entered into an agreement with
Tissue Genesis, Inc. (Tissue Genesis), for exclusive
distribution rights to Tissue Genesis products and a license for
various patents to be used in the treatment of acute myocardial
infarction and heart failure. In exchange for the license, the
Company agreed to do the following: 1) issue
13,006 shares of the Companys common stock at a price
of $7.69; and 2) issue a warrant exercisable for
1,544,450 shares of the Companys common stock to
Tissue Genesis at an exercise price of $7.69 per share and
expires on December 31, 2026. This warrant shall vest in
three parts as follows: i) 617,780 shares vesting only upon
the Companys successful completion of human safety testing
of the licensed technology, ii) 463,335 shares vesting
only upon the Company exceeding net sales of $10 million or
net profit of $2 million from the licensed technology, and
iii) 463,335 shares vesting only upon the Company
exceeding net sales of $100 million or net profit of
$20 million from the licensed
F-12
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
technology. Since the vesting of this warrant is contingent upon
the achievement of the specific milestones, the fair value of
this warrant at the time the milestones are met, will be
expensed to research and development. In the event of an
acquisition (or merger) of the Company by a third party, all
unvested shares of common stock subject to the warrant shall
immediately vest prior to such event. In addition, the Company
will pay a 2% royalty of net sales of licensed products.
3. Property and Equipment
Property and equipment as of December 31 is summarized as
follows:
|
|
|
|
|
|
|
|
|
|
|
2006
|
|
|
2005
|
|
|
|
|
|
|
|
|
Laboratory and medical equipment
|
|
$
|
267,835
|
|
|
$
|
177,891
|
|
Furniture, fixtures and equipment
|
|
|
124,689
|
|
|
|
117,174
|
|
Computer equipment
|
|
|
27,657
|
|
|
|
10,783
|
|
Leasehold improvements
|
|
|
357,006
|
|
|
|
3,000
|
|
|
|
|
|
|
|
|
|
|
|
777,187
|
|
|
|
308,848
|
|
Less accumulated depreciation and amortization
|
|
|
(250,286
|
)
|
|
|
(159,573
|
)
|
|
|
|
|
|
|
|
|
|
|
526,901
|
|
|
|
149,275
|
|
Construction in process
|
|
|
|
|
|
|
265,073
|
|
|
|
|
|
|
|
|
|
|
$
|
526,901
|
|
|
$
|
414,348
|
|
|
|
|
|
|
|
|
Property and equipment is stated at cost and depreciated over
the estimated useful lives of the assets, ranging from three to
seven years, using the straight-line method. Leasehold
improvements are amortized over the shorter of 15 years or
the remaining life of the lease. Improvements that extend the
life of an asset are capitalized. Repairs and maintenance are
charged to expense as incurred.
4. Accrued Expenses
Accrued expenses consist of the following as of December 31:
|
|
|
|
|
|
|
|
|
|
|
2006
|
|
|
2005
|
|
|
|
|
|
|
|
|
Contract research and development
|
|
$
|
140,457
|
|
|
$
|
152,295
|
|
Royalty fees
|
|
|
250,000
|
|
|
|
140,000
|
|
Payroll, employee benefits and payroll taxes
|
|
|
193,036
|
|
|
|
51,714
|
|
Professional fees
|
|
|
111,434
|
|
|
|
|
|
Other
|
|
|
5,760
|
|
|
|
9,258
|
|
|
|
|
|
|
|
|
|
|
$
|
700,687
|
|
|
$
|
353,267
|
|
|
|
|
|
|
|
|
5. Debt
The Company had a $200,000 note payable to a bank that was paid
in full along with accrued interest during September 2005.
Interest was charged at a rate of 5.25% per annum. The note
payable was personally guaranteed by the Companys CEO.
F-13
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
In May 2005, the Company entered into a line of credit agreement
with a bank with all principal and all accrued interest to be
paid on or before May 27, 2006. The promissory note was for
$1,200,000 at a variable interest rate of LIBOR plus 2.00%
(6.34% as of December 31, 2005) due each month starting in
June 2005. The Company did not borrow against the line of credit
and did not renew the line of credit upon expiration. The line
of credit was personally guaranteed by the Companys CEO.
6. Commitments and
Contingencies
The Company entered into several operating lease agreements for
facilities and equipment. Terms of certain lease arrangements
include renewal options, escalation clauses, payment of
executory costs such as real estate taxes, insurance and common
area maintenance.
In November 2006, the Company amended its facility lease to
include additional space through 2010. The amendment for the
additional space contains terms similar to the terms of the
existing facility lease, including escalation clauses.
Approximate annual future minimum lease obligations under
noncancelable operating lease agreements as of December 31,
2006 are as follows:
|
|
|
|
|
Year Ending December 31,
|
|
|
|
|
|
2007
|
|
$
|
116,000
|
|
2008
|
|
|
120,000
|
|
2009
|
|
|
124,000
|
|
2010
|
|
|
11,000
|
|
|
|
|
|
Total
|
|
$
|
371,000
|
|
|
|
|
|
Rent expense was $113,631, $110,093 and $115,648 for the years
ended December 31, 2006, 2005 and 2004, respectively and
$1,033,382 for the cumulative period from August 12, 1999
(date of inception) to December 31, 2006.
During 2005, the Company was provided with a tenant improvement
allowance of $60,150 towards its improvements. Pursuant to
SFAS No. 13,
Accounting for Leases,
and
FASB Technical
Bulletin
88-1,
Issues Related to Accounting for Leases,
the Company has
recorded the tenant-funded improvements and the related deferred
rent in its consolidated balance sheets. The deferred rent is
being amortized as a reduction to rent expense over the
remaining life of the lease.
Royalty Payments
The Company is obligated to pay royalties on commercial sales of
certain products that may be developed and sold under various
licenses and agreements that have been obtained by the Company.
The Company has entered into various licensing agreements which
include the potential for royalty payments, as follows:
William Beaumont Hospital
In June 2000, the Company entered into an exclusive license
agreement to use certain patents for the life of the patents in
future projects. The royalty on the gross sales of products and
services that directly rely upon
F-14
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
the claims of the patents range between 2% and 4% depending on
gross sales. The patents expire in 2015. The agreement also
calls for a minimum royalty fee ranging from $10,000 per
year to $200,000 per year for the term of the agreement,
which is the remaining useful life of the patents expiring in
2015. As of December 31, 2006 and 2005, the Companys
liability under this agreement is $250,000 and $140,000,
respectively, which is reflected as a component of accrued
expenses on the consolidated balance sheet. During 2006, 2005,
and 2004 and for the cumulative period from August 12, 1999
(date of inception) to December 31, 2006, the Company
incurred expenses of $110,000, $60,000, $40,000 and $250,000,
respectively.
Approximate annual future minimum obligations under this
agreement as of December 31, 2006 are as follows:
|
|
|
|
|
Year Ending December 31,
|
|
|
|
|
|
2007
|
|
$
|
210,000
|
|
2008
|
|
|
210,000
|
|
2009
|
|
|
210,000
|
|
2010
|
|
|
210,000
|
|
2011
|
|
|
210,000
|
|
2012 2015
|
|
|
840,000
|
|
|
|
|
|
Total
|
|
$
|
1,890,000
|
|
|
|
|
|
Contingency
The Company believes that it may have issued options to purchase
common stock and common stock upon conversion of options to
certain of its employees, directors and consultants in
California in violation of the registration or qualification
provisions of applicable California securities laws. As a
result, the Company intends to make a rescission offer to these
persons pursuant to a registration statement it expects to file
after the Companys planned initial public offering under
the Securities Act and pursuant to California securities laws.
The Company will make this offer to all persons who have a
continuing right to rescission, which it believes to include two
persons. In the rescission offer, in accordance with California
law, the Company will offer to repurchase all unexercised
options issued to these persons at 77% of the option exercise
price times the number of option shares, plus interest at the
rate of 7% from the date the options were granted. The Company
will also offer to repurchase all shares issued to these persons
at the fair market value of such shares on the date of issuance.
As the Company believes there is only a remote likelihood the
rescission offer will be accepted by any of these persons in an
amount that would result in a material expenditure by the
Company, no liability has been recorded as of December 31,
2006 or 2005.
Legal Proceedings
The Company is subject to legal proceedings that arise in the
ordinary course of business. In the opinion of management, as of
December 31, 2006, the amount of ultimate liability with
respect to such matters, if any, in excess of applicable
insurance coverage, is not likely to have a material impact on
the Companys business, financial position, consolidated
results of operations or liquidity. However, as the outcome of
litigation and other claims is difficult to predict significant
changes in the estimated exposures could exist.
|
|
7.
|
Related Party Transactions
|
As of December 31, 2004, accrued expenses included $600,000
of estimated travel and other related expenses advanced to the
Company by the Companys Executive Chairman and Chief
Technology Officer (who served as the Companys CEO from
inception until March 2007). During 2005, this debt to the
F-15
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
Companys Executive Chairman was converted to shares in the
Companys common stock valued at $542,787, as it was
determined that the actual advances were only $542,787.
The son of one of the Companys directors is an officer of
the Company. The amount paid to this individual as salary for
the years ended December 31, 2006, 2005 and 2004 and for
the period from August 12, 1999 (date of inception) to
December 31, 2006 was $125,000, $119,839, $29,808 and
$274,647, respectively.
A cousin of the Companys Executive Chairman is an officer
of the Company. During 2006, 2005, and 2004 and for the period
from August 12, 1999 (date of inception) to
December 31, 2006, the Company paid this individual salary
of $131,000, $130,500, $136,500 and $636,752, respectively. In
addition, the Company utilized a printing entity controlled by
this individual and paid this entity $14,289, $9,511, $18,790
and $404,988, respectively for the years ended December 31,
2006, 2005, and 2004 and for the period from August 12,
1999 (date of inception) to December 31, 2006.
The
sister-in
-law of
the Companys Executive Chairman is an officer of the
Company. The amount paid to this individual as salary for the
years ended December 31, 2006, 2005, 2004 and for the
period from August 12, 1999 (date of inception) to
December 31, 2006 was $61,566, $60,523, $58,253 and
$180,342, respectively.
On August 24, 2006, the Company entered into an agreement,
or the Settlement Agreement, with an officer of the Company that
is the cousin of the Companys Executive Chairman. Prior to
entering into the Settlement Agreement, certain disputes had
arisen between the officer and the Company as to the number of
stock options awarded to the officer and the amount of unpaid
salary and other compensation owed to the officer since he
commenced his employment with the Company in December 1999. The
shares, options and warrants granted to the officer pursuant to
the Settlement Agreement were issued to settle the disputed
items and in consideration for the officers release of any
claims he may have against the Company related to or arising
from his employment or any compensation owed to him.
Pursuant to the Settlement Agreement:
|
|
|
|
|
The Company issued 47,658 shares of the Companys
common stock and agreed to pay the officers income taxes
related to the receipt of the Companys common stock
estimated to be approximately $153,000. Based on a fair value of
the common stock of $7.69 per share, which was based on a
current valuation of the Company, the related liability for the
issuance of the common stock and the $153,000 in cash is
$519,699, which was expensed in August 2006.
|
|
|
|
As consideration for continued employment as an officer of the
Company, the officer will receive an annual salary of $130,000
per year.
|
|
|
|
The Company issued to the officer a warrant to purchase
188,423 shares of the Companys common stock at an
exercise price of $5.67 per share. This warrant is exercisable
immediately and expires 10 years from the date of grant.
The approximate fair value of this warrant of $1,200,000 was
recorded as compensation expense in August 2006.
|
|
|
|
The Company issued to the officer stock options to purchase up
to 282,635 shares of the Companys common stock at an
exercise price of $5.67 per share. These stock options are
exercisable immediately and expire 10 years from the date
of grant. The fair value of these stock options of approximately
$1,800,000 was recorded as compensation expense in August 2006.
|
As indicated above, the Company recognized various expenses upon
the execution of the Settlement Agreement, when the expense
amounts were first known and quantifiable.
F-16
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
The fair value of the warrant and the stock options was
estimated at the date of grant by using the Black-Scholes
pricing model with the following assumptions: risk-free rate of
6%; volatility of 100%; and an expected holding period of
5 years.
In 2006, the Company sold 1,069,699 shares of common stock
at a price of $7.69 per share to various investors. The Company
also issued 63,566 shares in exchange for services at a
price ranging from $5.67 to $7.69 per share.
In 2005, the Company sold 1,994,556 shares of common stock at a
price of $5.67 per share to various investors. The Company also
issued 1,210 shares in exchange for services and issued
95,807 shares in exchange for debt at a price of $5.67 per
share.
In 2004, the Company sold 808,570 shares of common stock at a
price of $5.67 per share to various investors. The Company also
issued 1,854 shares to various vendors in exchange for
services valued at $10,500. The Company also issued
15,150 shares to the Companys Executive Chairman as
compensation for services valued at $85,830.
In March 2003, the Company effected a recapitalization, issuing
1,811,759 additional shares of the Companys common
stock. The recapitalization provided two shares of common stock
for every one share issued as of that date. The Companys
Executive Chairman and founding shareholder, who owned
4,405,541 shares of common stock, did not participate in
the recapitalization. The number of shares and prices per share
in the accompanying financial statements has been adjusted to
reflect the effect of the recapitalization.
After the 2003 recapitalization, the Company sold 561,701 shares
of common stock at a price of $5.67 per share to various
investors. The Company issued 72,980 shares valued at
$416,383 to employees as compensation for services related to
the closing of various locations. The Company also issued
4,248 shares to various vendors in exchange for services
valued at $24,066 and issued 67,073 shares to the
Companys Executive Chairman as compensation for services
provided to the Company during 2003 and 2002.
In 2002, the Company sold 1,092,883 shares of common stock
at a price of $6.47 per share to various investors. The Company
also issued 35,137 shares to various vendors in exchange
for services valued at $227,503.
In 2001, the Company sold 985,668 shares of common stock at a
price of $6.47 per share to various investors. The Company also
issued 8,291 shares to various vendors in exchange for
services valued at $54,001 and issued 81,084 shares to the
Companys Executive Chairman as compensation for services
provided to the Company during 2001.
In 2000, the Company sold 1,493,575 shares of common stock at a
price of $6.47 per share to various investors. Of the
1,493,575 shares sold in 2000, payment on 77,222 of these
shares was not received until January 2001. The Company also
issued 7,964 shares to various vendors in exchange for
services valued at $52,001.
In 1999, the Companys Executive Chairman and founding
shareholder contributed $400,000 to the Company in exchange for
4,324,458 shares of common stock.
F-17
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
|
|
|
CEO Paid in and Contributed Capital
|
In 2006, the Companys CEO was issued 2,903 shares of
the Companys common stock at a price of $5.67 per share in
exchange for $16,443 of services provided during the year.
During 2005, the Companys CEO was issued 95,807 shares of
the Companys common stock at a price of $5.67 per share in
exchange for $542,787 of debt due to travel and other related
expenses advanced by the Companys CEO during the previous
three years.
The Companys CEO elected not to receive salary payments of
$85,830, $130,000 and $250,000 for services provided to the
Company during 2004, 2003 and 2002, respectively. Such amounts
were converted into 15,150, 22,946 and 44,127 shares of the
Companys common stock at a price of $5.67 per share on
December 31, 2004 and 2003, respectively, where the 2003
and 2002 shares were both issued in 2003.
In 2001, the Companys CEO also elected not to receive a
salary payment or a stock conversion of $250,000 for services
provided during 2001.
In 2000, the Companys CEO and founding shareholder
contributed $800,000 to the Company and elected not to receive
payment for $250,000 of salary related to services provided to
the Company during 2000. Such amounts were recorded as
contributed capital during 2000. On June 28, 2001, the
Companys Board of Directors approved the conversion of
this contributed capital and salary deferral into
81,084 shares of the Companys common stock at a price
of $12.94 per share.
9. Stock Options and Warrants
In December 1999, the Company adopted two stock option plans; an
employee stock option plan and a directors and consultants stock
option plan (collectively referred to as the Stock Option
Plans), under which a total of 1,235,559 shares of common
stock were reserved for issuance upon exercise of options
granted by the Company. In 2001, the Company amended the Stock
Option Plans to increase the total shares of common stock
reserved for issuance to 1,698,894. In 2003, the Company
approved an increase of 308,890 shares, making the total
2,007,784 shares available for issuance under the Stock Option
Plans. In 2006, the Company approved an increase of 1,081,114
shares, making the total 3,088,898 shares available for issuance
under the Stock Option Plans. The Stock Option Plans provide for
the granting of incentive and non-qualified options. The terms
of stock options granted under the plans are determined by the
Compensation Committee of the Board of Directors at the time of
grant, including the exercise price, term and any restrictions
on the exercisability of such option. The exercise price of
incentive stock options must equal at least the fair value of
the common stock on the date of grant, and the exercise price of
non-qualified stock options may be no less than the per share
par value. The options have terms of up to ten years after the
date of grant and become exercisable as determined upon grant,
typically over either three or four year periods from the date
of grant. Certain outstanding options vested over a one-year
period and some vested immediately.
As a result of the recapitalization in March 2003, the exercise
price per share of all outstanding options was revalued to
reflect the change in the outstanding number of shares.
F-18
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
A summary of option activity is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted-
|
|
|
|
|
|
|
|
Weighted-
|
|
|
Average
|
|
|
|
|
|
Shares
|
|
|
Average
|
|
|
Remaining
|
|
|
Aggregate
|
|
|
|
Under
|
|
|
Exercise
|
|
|
Contractual
|
|
|
Intrinsic
|
|
|
|
Option
|
|
|
Price
|
|
|
Term (in years)
|
|
|
Value
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options outstanding at December 31, 2005
|
|
|
1,777,779
|
|
|
$
|
4.74
|
|
|
|
|
|
|
|
|
|
|
Granted
|
|
|
560,853
|
|
|
|
5.95
|
|
|
|
|
|
|
|
|
|
|
Exercised
|
|
|
(138
|
)
|
|
|
5.67
|
|
|
|
|
|
|
|
|
|
|
Forfeited
|
|
|
(400,447
|
)
|
|
|
5.67
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options outstanding at December 31, 2006
|
|
|
1,938,047
|
|
|
$
|
4.90
|
|
|
|
6.9
|
|
|
$
|
5,398,984
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options exercisable at December 31, 2006
|
|
|
1,527,889
|
|
|
$
|
4.65
|
|
|
|
6.4
|
|
|
$
|
4,645,154
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Available for grant at December 31, 2006
|
|
|
1,150,714
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The weighted average fair value per share of options granted
during 2006, 2005 and 2004 was $6.18 for 2006 and $2.98 for 2005
and 2004.
During 2006, 2005 and 2004, the Company recognized $4,518,859,
$1,952,350, $148,812 in stock-based compensation costs,
respectively. No tax benefits were attributed to the stock-based
compensation expense because a valuation allowance was
maintained for substantially all net deferred tax assets. During
2006, the Company elected to adopt the alternative method of
calculating the historical pool of windfall tax benefits as
permitted by FASB Staff Position
(FSP) No. SFAS
123R-c,
Transition Election Related to Accounting for the Tax Effects
of Share-Based Payment Awards.
This is a simplified method to determine the pool of windfall
tax benefits that is used in determining the tax effects of
stock compensation in the results of operations and cash flow
reporting for awards that were outstanding as of the adoption of
SFAS No. 123R. As of December 31, 2006, the
Company had approximately $1.5 million of unrecognized
compensation costs related to non-vested stock option awards
that is expected to be recognized over a weighted average period
of 2.1 years.
The following information applies to options outstanding and
exercisable at December 31, 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options Outstanding
|
|
|
Options Exercisable
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted-
|
|
|
|
|
|
|
|
|
|
Average
|
|
|
Weighted-
|
|
|
|
|
Weighted-
|
|
|
|
|
|
Remaining
|
|
|
Average
|
|
|
|
|
Average
|
|
|
|
|
|
Contractual
|
|
|
Exercise
|
|
|
|
|
Exercise
|
|
|
|
Shares
|
|
|
Term (in years)
|
|
|
Price
|
|
|
Shares
|
|
|
Price
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1.28
|
|
|
347,196
|
|
|
|
3.0
|
|
|
$
|
1.28
|
|
|
|
347,196
|
|
|
$
|
1.28
|
|
$2.83
|
|
|
41,701
|
|
|
|
3.1
|
|
|
$
|
2.83
|
|
|
|
41,701
|
|
|
$
|
2.83
|
|
$5.67
|
|
|
1,468,307
|
|
|
|
7.8
|
|
|
$
|
5.67
|
|
|
|
1,095,746
|
|
|
$
|
5.67
|
|
$7.69
|
|
|
80,843
|
|
|
|
9.7
|
|
|
$
|
7.69
|
|
|
|
43,246
|
|
|
$
|
7.69
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,938,047
|
|
|
|
6.9
|
|
|
$
|
4.90
|
|
|
|
1,527,889
|
|
|
$
|
4.65
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The Company uses the Black-Scholes option-pricing model to
determine the fair value of stock options on the date of grant.
This model derives the fair value of stock options based on
certain assumptions related to expected stock price volatility,
expected option life, risk-free interest rate and dividend
yield. The Companys expected volatility is based on the
historical volatility of other publicly traded development stage
companies in the same industry. The estimated expected option
life is based primarily on historical employee exercise
F-19
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
patterns and considers whether and the extent to which the
options are in-the-money. The risk-free interest rate assumption
is based upon the U.S. Treasury yield curve appropriate for the
term of the expected life of the options.
For 2006 and 2005, the fair value of each option grant was
estimated on the date of grant using the following
weighted-average assumptions.
|
|
|
|
|
|
|
|
|
|
|
Years Ended
|
|
|
|
December 31,
|
|
|
|
|
|
|
|
2006
|
|
|
2005
|
|
|
|
|
|
|
|
|
Expected dividend yield
|
|
|
00.0
|
%
|
|
|
00.0
|
%
|
Expected price volatility
|
|
|
100.0
|
%
|
|
|
56.0
|
%
|
Risk free interest rate
|
|
|
6.0
|
%
|
|
|
4.4
|
%
|
Expected life of options in years
|
|
|
5
|
|
|
|
5
|
|
The Company does not have a formal plan in place for the
issuance of stock warrants. However, at times, the Company has
issued warrants to both employees and non-employees. The
exercise price, vesting period, and term of these warrants is
determined by the Companys Board of Directors at the time
of issuance. As of December 31, 2006 the Company had
warrants outstanding for the purchase of 1,765,388 shares of the
Companys common stock. The following information applies
to warrants outstanding and exercisable at December 31,
2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Warrants Outstanding
|
|
|
Warrants Exercisable
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted-
|
|
|
|
|
|
|
|
|
|
Average
|
|
|
Weighted-
|
|
|
|
|
Weighted-
|
|
|
|
|
|
Remaining
|
|
|
Average
|
|
|
|
|
Average
|
|
|
|
|
|
Contractual
|
|
|
Exercise
|
|
|
|
|
Exercise
|
|
|
|
Shares
|
|
|
Term (in years)
|
|
|
Price
|
|
|
Shares
|
|
|
Price
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5.67
|
|
|
188,423
|
|
|
|
9.6
|
|
|
$
|
5.67
|
|
|
|
188,423
|
|
|
$
|
5.67
|
|
$7.69
|
|
|
1,576,965
|
|
|
|
19.8
|
|
|
$
|
7.69
|
|
|
|
24,388
|
|
|
$
|
7.69
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,765,388
|
|
|
|
18.7
|
|
|
$
|
7.47
|
|
|
|
212,811
|
|
|
$
|
5.90
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The weighted average fair value per share of warrants issued in
2006 was $6.31. The aggregate intrinsic value of the outstanding
and exercisable warrants as of December 31, 2006 was
approximately $383,000 and $382,000, respectively.
10. Deferred Compensation
During 2006, 2005 and 2004, the Company granted 63,664, 443,950
and 187,938 stock options, respectively, to various consultants
and advisory board members. For accounting purposes, the
measurement date for these options is when the
counterpartys performance is complete and, therefore, are
required to be remeasured as of each balance sheet date. The
Company computed the fair value of the options using the
Black-Scholes option valuation model in accordance with
SFAS No. 123. Through December 31, 2005, such
amount had been recorded as deferred compensation and is being
amortized over the vesting period of the related options, which
is generally three years. Subsequent to December 31, 2005,
the Company is amortizing the expense over the vesting period of
the related options.
F-20
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
11. Income Taxes
Deferred income taxes reflect the net tax effects of temporary
differences between the carrying amount of assets and
liabilities for financial reporting purposes and the amounts
used for income tax purposes. Significant components of the
Companys net deferred income taxes are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
December 31,
|
|
|
|
|
|
|
|
2006
|
|
|
2005
|
|
|
2004
|
|
|
|
|
|
|
|
|
|
|
|
Deferred tax assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Stock-based compensation
|
|
$
|
3,298,000
|
|
|
$
|
2,165,000
|
|
|
$
|
1,421,000
|
|
|
Net operating loss carryforward
|
|
|
20,928,000
|
|
|
|
17,102,000
|
|
|
|
15,088,000
|
|
|
|
|
|
|
|
|
|
|
|
Total deferred tax assets
|
|
|
24,226,000
|
|
|
|
19,267,000
|
|
|
|
16,509,000
|
|
Valuation allowance for deferred tax assets
|
|
|
(24,226,000
|
)
|
|
|
(19,267,000
|
)
|
|
|
(16,509,000
|
)
|
|
|
|
|
|
|
|
|
|
|
Net deferred tax assets
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
|
|
|
|
|
|
|
|
|
SFAS No. 109 requires a valuation allowance to reduce
the deferred tax assets reported if, based on the weight of the
evidence, it is more likely than not that some portion or all of
the deferred tax assets will not be realized.
After consideration of all the evidence, both positive and
negative, management has determined that a valuation allowance
of $24,226,000 as of December 31, 2006 is necessary to
reduce the deferred tax assets to the amount that will more
likely than not be realized. The change in the valuation
allowance for the current year is $4,959,000. The effective tax
rate of 0% differs from the statutory rate of 35% for all
periods presented due primarily to the valuation allowance.
As of December 31, 2006 and 2005, the Company had federal
income tax net operating loss carryforwards of approximately
$55,614,000 and $45,448,000 respectively. The operating loss
carryforwards will expire beginning in 2019.
12. Supplemental Disclosure of
Cash Flow Information
During the years ended December 31, 2006, 2005, and 2004
and for the period from August 12, 1999 (date of inception)
through December 31, 2006, the Company incurred non-cash
compensation related to a settlement agreement through the
issuance of equity instruments of $3,294,429, $0, $0, and
$3,294,429, respectively.
During the years ended December 31, 2006, 2005, and 2004
and for the period from August 12, 1999 (date of inception)
through December 31, 2006, the Company incurred non-cash
stock compensation expense for stock options issued of
$1,224,430, $1,952,350, $148,812, and $6,670,738, respectively.
In 2000, the Company incurred an expense of $5,220,000 related
to the issuance of a warrant in exchange for licenses and
intellectual property.
As of December 31, 2006, the Company accrued $322,598 of
deferred offering costs that were incurred but not paid.
In 2005, the Company issued 95,807 shares of the Companys
common stock valued at $542,787 to its Executive Chairman.
During the years ended December 31, 2006, 2005, and 2004
and for the period from August 12, 1999 (date of inception)
through December 31, 2006, the Company issued common stock
in exchange for services of $16,443, $6,853, $96,330, and
$1,277,017, respectively.
F-21
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
During the years ended December 31, 2006, 2005, and 2004
and for the period from August 12, 1999 (date of inception)
through December 31, 2006, the Company issued warrants for
licenses and intellectual property resulting in expense of
$144,867, $0, $0, and $5,364,867, respectively.
13. Planned Offering
On February 13, 2007, the Company filed a Registration
Statement on
Form
S-1
and
prospectus with the Securities and Exchange Commission for the
purpose of raising capital through the sale of its common stock.
14. Subsequent Events
Complaint by Dr. Law
and Cell Transplants Asia, Limited
On March 9, 2007, Peter K. Law, Ph.D. and Cell Transplants
Asia, Limited (the Plaintiffs) filed a complaint
against the Company and Mr. Leonhardt, the Companys
Executive Chairman and Chief Technology Officer, individually,
in the United States District Court, Western District of
Tennessee. On February 7, 2000, the Company entered a
license agreement (the Original Law License
Agreement) with Dr. Law and Cell Transplants
International pursuant to which Dr. Law and Cell
Transplants International granted the Company a license to
certain patents, including the Primary MyoCell Patent (the
Law IP). The parties executed an addendum to the
Original Law License Agreement (the License
Addendum) in July 2000, the provisions of which amended a
number of terms of the Original License Agreement.
The Plaintiffs are alleging and seeking, among other things, a
declaratory judgment that the License Addendum fails for lack of
consideration. Based upon this argument, the Plaintiffs allege
that the Company is in breach of the terms of the Original Law
License Agreement.
In addition to seeking a declaratory judgment that the License
Addendum is not enforceable, the Plaintiffs are also seeking an
accounting of all revenues, remunerations or benefits derived by
the Company or Mr. Leonhardt from sales, provision and/or
distribution of products and services that read directly on the
Law IP, compensatory and punitive monetary damages and
preliminary and permanent injunctive relief to prohibit the
Company from sublicensing its license rights to third parties.
The Company believes this lawsuit is without merit and intends
to defend the action vigorously. The Company filed a motion to
dismiss the proceeding against both the Company and
Mr. Leonhardt. While the complaint does not appear to
challenge the Companys rights to license this patent, this
litigation, if not resolved to the satisfaction of both parties,
may adversely impact the Companys relationship with
Dr. Law and could, if resolved unfavorably to the Company,
adversely affect the Companys MyoCell commercialization
efforts. The action is in its early stages and there has been no
formal discovery in the case. Due to the early stages of these
proceedings, any potential loss cannot presently be determined.
On June 1, 2007, the Company closed on a $5.0 million
senior loan with a term of 36 months which bears interest
at an annual rate of 12.85%. The first three months require
payment of interest only with equal principal and interest
payments over the remaining 33 months. As consideration for
the loan, the Company issued to the lender a warrant to purchase
65,030 shares of the Companys common stock at an exercise
price of $7.69 per share. The warrant has a ten-year term and is
not exercisable until one year following the date the warrant
was issued. This warrant has a fair value of $432,635, which
will be accounted for as additional paid in capital and
reflected as a component of deferred loan costs to be amortized
as interest expense over the term of the loan using the
effective interest method. The loan may be prepaid with a
prepayment penalty and is secured by a first priority security
interest in all of the Companys assets, excluding
intellectual property. The
F-22
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
loan has certain restrictive terms and covenants including among
others, restrictions on the Companys ability to incur
additional indebtedness or make interest or principal payments
on other subordinate loans.
On June 1, 2007, the Company entered into a loan agreement
with another lender for an eight month, $5.0 million term
loan, to be used for working capital purposes. The loan bears
interest at the prime rate plus 1.5%. The prime rate was 8.25%
as of the date of the loan. To the extent the planned offering
closes on or before August 13, 2007 and the net proceeds of
this offering are at least $30 million, the Company is
required under agreements with the loan guarantors to repay the
loan within five days of the offering closing date. Under the
terms of the loan, the lender is entitled to receive a
semi-annual payment of interest and all outstanding principal
and accrued interest by the maturity date. The Company has
provided no collateral for this loan. For the Companys
benefit, certain members of the Companys Board of
Directors and a shareholder have provided collateral to
guarantee the loan. Except for a $1.1 million personal
guaranty (backed by collateral) provided by the Companys
Executive Chairman and his spouse, these guarantees are limited
to the collateral each provided to the lender. The Company will
reimburse the guarantors with interest at an annual rate of
13.25% for any and all payments made by them under the loan as
well as to pay them certain cash fees in connection with their
provision of security for the loan. In addition, the Company
issued to each guarantor warrants to purchase 3,250 shares of
common stock at an exercise price of $7.69 per share for each
$100,000 of principal amount of the loan guaranteed by such
guarantor. The warrants have a ten-year term and are not
exercisable until the date that is one year following the date
the warrants were issued. Warrants to purchase an aggregate of
216,095 shares of the Companys common stock were issued to
the guarantors. These warrants had an aggregate fair value of
$1,437,637, which amount will be accounted for as additional
paid in capital and reflected as a component of deferred loan
costs to be amortized as interest expense over the term of the
loan using the effective interest method. The number of shares
subject to the warrants increased to 246,498 on
September 30, 2007 as the loan remained outstanding at that
date. The fair value of the additional 30,403 shares subject to
the warrants will be accounted for as additional paid in capital
and reflected as a component of deferred loan costs to be
amortized as interest expense over the term of the loan using
the effective interest method. In the event that as of the first
anniversary, second anniversary and third anniversary of the
closing date of this loan the Company has not reimbursed the
guarantors in full for payments made by them in connection with
this loan or paid them the fees owed to them, the number of
shares subject to the warrants will further increase.
In September 2007, one of the Companys directors and two
of the Companys current shareholders agreed to provide
collateral valued at $750,000, $600,000 and $500,000,
respectively, to secure this loan. The collateral provided by
these new guarantors fully replaced the collateral originally
provided by one of the Companys directors and partially
replaced the collateral originally provided by another director
whose collateral now secures $400,000 of the loan. In
consideration for providing the collateral, the Company issued
to the new guarantors warrants to purchase 3,250 shares of the
Companys common stock at an exercise price of $7.69 per
share for each $100,000 of principal amount of the loan
guaranteed. The number of shares subject to the warrant will
increase in the same amount and under the same conditions as the
shares underlying the warrants issued to the original
guarantors. The warrants have a ten-year term and are not
exercisable until the date that is one year following the date
the warrants were issued. Warrants to purchase an aggregate of
60,118 shares of the Companys common stock were issued to
the new guarantors, the fair value of which will be accounted
for as additional paid in capital and reflected as a component
of deferred loan costs to be amortized as interest expense over
the term of the loan using the effective interest method. As a
result of the replacement of prior guarantors, the unamortized
fair value of the warrants issued to the prior guarantors, which
was previously reflected as a component of deferred loan costs,
will be expensed to interest expense in September 2007.
F-23
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Financial
Statements (Continued)
In October 2007, the Companys Executive Chairman and his
spouse agreed to provide an additional $2.2 million limited
personal guarantee of this loan and have pledged securities
accounts to backup this limited personal guarantee. The
additional collateral provided by the Companys Executive
Chairman and his spouse fully replaced the collateral originally
provided by one of the Companys shareholders. The
Companys Executive Chairman and his spouse have now
personally guaranteed an aggregate of $3.3 million of this
loan. The Companys agreement with the Companys
Executive Chairman and his spouse with respect to the additional
collateral is substantially similar to the Companys
agreement with them in connection with the $1.1 million
personal guarantee they originally provided in June 2007. In
consideration for providing the collateral, the Companys
issued to the Companys Executive Chairman and his spouse,
warrants to purchase 81,547 shares of the Companys common
stock at an exercise price of $7.69 per share. In the event that
as of the first anniversary, second anniversary and third
anniversary of the closing date of this loan, respectively, the
Company has not reimbursed the Companys Executive Chairman
and his spouse in full for payments made by them in connection
with this loan, the number of shares subject to the warrant will
increase to 101,934, 135,912 and 203,868, respectively. The
warrant has a ten-year term and is not exercisable until the
date that is one year following the date the warrant was issued.
The fair value of the warrant will be accounted for as
additional paid in capital and reflected as a component of
deferred loan costs to be amortized as interest expense over the
term of this loan using the effective interest method.
As a result of the replacement of the collateral originally
provided by one of the Companys shareholders, the
unamortized fair value of the warrant issued to the shareholder
guarantor, which was reflected as a component of deferred loan
costs, will be expensed to interest expense in October 2007. In
October 2007, the Company cancelled the warrant previously
issued to the shareholder guarantor, which warrant included the
adjustment provisions discussed above, and, in exchange, issued
to them a warrant to purchase 101,934 shares of the
Companys common stock. The number of shares subject to the
warrant is no longer subject to increase.
15. Reverse Stock Split
On September 27, 2007, in connection with the
Companys planned initial public offering, the Company
completed a
1-for-1.6187
reverse
stock split of the Companys common stock. All common share
numbers and per share amounts contained in the consolidated
financial statements have been retroactively adjusted to reflect
the reverse stock split.
F-24
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Consolidated Balance Sheets
|
|
|
|
|
|
|
|
|
|
|
|
|
June 30,
|
|
|
December 31,
|
|
|
|
2007
|
|
|
2006
|
|
|
|
|
|
|
|
|
|
|
(Unaudited)
|
|
|
|
ASSETS
|
Current assets:
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
12,916,294
|
|
|
$
|
5,025,383
|
|
|
Receivables
|
|
|
60,877
|
|
|
|
79,843
|
|
|
Inventory
|
|
|
196,140
|
|
|
|
163,821
|
|
|
Prepaid expenses
|
|
|
250,591
|
|
|
|
96,162
|
|
|
|
|
|
|
|
|
|
|
Total current assets
|
|
|
13,423,902
|
|
|
|
5,365,209
|
|
Property and equipment, net
|
|
|
475,868
|
|
|
|
526,901
|
|
Deferred offering costs
|
|
|
1,517,571
|
|
|
|
547,016
|
|
Deferred loan costs, net
|
|
|
2,418,945
|
|
|
|
|
|
Other assets
|
|
|
68,854
|
|
|
|
68,854
|
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$
|
17,905,140
|
|
|
$
|
6,507,980
|
|
|
|
|
|
|
|
|
LIABILITIES AND SHAREHOLDERS EQUITY
|
Current liabilities:
|
|
|
|
|
|
|
|
|
|
Accounts payable
|
|
$
|
981,941
|
|
|
$
|
803,625
|
|
|
Accrued expenses
|
|
|
728,616
|
|
|
|
700,687
|
|
|
Deferred revenue
|
|
|
465,286
|
|
|
|
656,500
|
|
|
Notes payable
|
|
|
6,194,322
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities
|
|
|
8,370,165
|
|
|
|
2,160,812
|
|
|
Deferred rent
|
|
|
30,610
|
|
|
|
36,524
|
|
|
Note payable-long term
|
|
|
3,805,678
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
12,206,453
|
|
|
|
2,197,336
|
|
Commitments and contingencies
|
|
|
|
|
|
|
|
|
Shareholders equity
|
|
|
|
|
|
|
|
|
|
Preferred stock ($0.001 par value) 3,088,898 shares
authorized, none issued and outstanding
|
|
|
|
|
|
|
|
|
|
Common stock ($0.001 par value) 24,711,188 shares
authorized, 13,332,295 and 12,785,472 shares issued and
outstanding as of June 30, 2007 and December 31, 2006,
respectively
|
|
|
13,332
|
|
|
|
12,785
|
|
|
Additional paid-in capital
|
|
|
75,238,219
|
|
|
|
68,810,382
|
|
|
Deficit accumulated during the development stage
|
|
|
(69,552,864
|
)
|
|
|
(64,512,523
|
)
|
|
|
|
|
|
|
|
|
|
Total shareholders equity
|
|
|
5,698,687
|
|
|
|
4,310,644
|
|
|
|
|
|
|
|
|
|
|
Total liabilities and shareholders equity
|
|
$
|
17,905,140
|
|
|
$
|
6,507,980
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements
F-25
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Consolidated Statements of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cumulative
|
|
|
|
|
|
Period from
|
|
|
|
For the Six-Month Periods
|
|
|
August 12,
|
|
|
|
Ended June 30,
|
|
|
1999 (date of
|
|
|
|
|
|
|
inception) to
|
|
|
|
2007
|
|
|
2006
|
|
|
June 30, 2007
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Unaudited)
|
|
|
|
(Unaudited)
|
|
|
|
Revenues
|
|
$
|
208,414
|
|
|
$
|
74,987
|
|
|
$
|
643,927
|
|
Cost of sales
|
|
|
34,021
|
|
|
|
43,558
|
|
|
|
288,388
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit
|
|
|
174,393
|
|
|
|
31,429
|
|
|
|
355,539
|
|
Expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Research and development
|
|
|
3,186,251
|
|
|
|
2,669,018
|
|
|
|
48,567,506
|
|
|
|
Marketing, general and administrative
|
|
|
1,750,676
|
|
|
|
1,325,555
|
|
|
|
21,175,573
|
|
|
|
Depreciation and amortization
|
|
|
92,226
|
|
|
|
29,585
|
|
|
|
342,512
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
5,029,153
|
|
|
|
4,024,158
|
|
|
|
70,085,591
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss from operations
|
|
|
(4,854,760
|
)
|
|
|
(3,992,729
|
)
|
|
|
(69,730,052
|
)
|
Interest income
|
|
|
115,781
|
|
|
|
57,535
|
|
|
|
504,665
|
|
Interest expense
|
|
|
(301,362
|
)
|
|
|
|
|
|
|
(327,477
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
Net interest (expense) income
|
|
|
(185,581
|
)
|
|
|
57,535
|
|
|
|
177,188
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss before income taxes
|
|
|
(5,040,341
|
)
|
|
|
(3,935,194
|
)
|
|
|
(66,552,864
|
)
|
Income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss
|
|
$
|
(5,040,341
|
)
|
|
$
|
(3,935,194
|
)
|
|
$
|
(69,552,864
|
)
|
|
|
|
|
|
|
|
|
|
|
Loss per share basic and diluted
|
|
$
|
(0.39
|
)
|
|
$
|
(0.34
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding basic and diluted
|
|
|
13,012,328
|
|
|
|
11,654,164
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements
F-26
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Consolidated Statement of Shareholders Equity
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deficit
|
|
|
|
|
|
|
|
|
|
Accumulated
|
|
|
|
|
|
Common Stock
|
|
|
Additional
|
|
|
During the
|
|
|
|
|
|
|
|
|
Paid-in
|
|
|
Development
|
|
|
|
|
|
Shares
|
|
|
Amount
|
|
|
Capital
|
|
|
Stage
|
|
|
Total
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2006
|
|
|
12,785,472
|
|
|
$
|
12,785
|
|
|
$
|
68,810,382
|
|
|
$
|
(64,512,523
|
)
|
|
$
|
4,310,644
|
|
Issuance of common stock (net issuance costs of $150,000)
|
|
|
529,432
|
|
|
|
530
|
|
|
|
3,920,186
|
|
|
|
|
|
|
|
3,920,716
|
|
Exercise of stock options
|
|
|
17,391
|
|
|
|
17
|
|
|
|
98,508
|
|
|
|
|
|
|
|
98,525
|
|
Stock based compensation
|
|
|
|
|
|
|
|
|
|
|
460,023
|
|
|
|
|
|
|
|
460,023
|
|
Amortization of fair value of warrants granted in exchange for
services
|
|
|
|
|
|
|
|
|
|
|
48,289
|
|
|
|
|
|
|
|
48,289
|
|
Amortization of fair value of warrants granted in exchange for
licenses and intellectual property
|
|
|
|
|
|
|
|
|
|
|
30,559
|
|
|
|
|
|
|
|
30,559
|
|
Issuance of warrants in connection with notes payable
|
|
|
|
|
|
|
|
|
|
|
1,870,272
|
|
|
|
|
|
|
|
1,870,272
|
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(5,040,341
|
)
|
|
|
(5,040,341
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of June 30, 2007
|
|
|
13,332,295
|
|
|
$
|
13,332
|
|
|
$
|
75,238,219
|
|
|
$
|
(69,552,864
|
)
|
|
$
|
5,698,687
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements
F-27
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Consolidated Statements of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cumulative
|
|
|
|
|
|
Period from
|
|
|
|
For the Six-Month Periods
|
|
|
August 12, 1999
|
|
|
|
Ended June 30,
|
|
|
(date of
|
|
|
|
|
|
|
inception)
|
|
|
|
2007
|
|
|
2006
|
|
|
to June 30, 2007
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Unaudited)
|
|
|
|
(Unaudited)
|
|
|
|
Cash flows from operating activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss
|
|
$
|
(5,040,341
|
)
|
|
$
|
(3,935,194
|
)
|
|
$
|
(69,552,864
|
)
|
|
Adjustments to reconcile net loss to net cash used in operating
activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
92,226
|
|
|
|
29,585
|
|
|
|
342,512
|
|
|
|
Bad debt expense
|
|
|
|
|
|
|
|
|
|
|
165,000
|
|
|
|
Amortization of warrants granted in exchange for licenses and
intellectual property
|
|
|
48,289
|
|
|
|
48,289
|
|
|
|
5,413,156
|
|
|
|
Amortization of warrants granted in connection with notes payable
|
|
|
155,856
|
|
|
|
|
|
|
|
155,856
|
|
|
|
Amortization of loan costs
|
|
|
50,404
|
|
|
|
|
|
|
|
50,404
|
|
|
|
Amortization of warrants granted in exchange for services
|
|
|
30,559
|
|
|
|
|
|
|
|
30,559
|
|
|
|
Equity instruments issued in connection with settlement agreement
|
|
|
|
|
|
|
|
|
|
|
3,294,429
|
|
|
|
Common stock issued in exchange for services
|
|
|
|
|
|
|
16,443
|
|
|
|
1,277,017
|
|
|
|
Common stock issued in exchange for distribution rights and
intellectual property
|
|
|
|
|
|
|
|
|
|
|
99,997
|
|
|
|
Stock-based compensation
|
|
|
460,023
|
|
|
|
416,974
|
|
|
|
7,130,761
|
|
|
|
Change in assets and liabilities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Receivables
|
|
|
18,965
|
|
|
|
8,140
|
|
|
|
(60,877
|
)
|
|
|
|
Inventory
|
|
|
(32,319
|
)
|
|
|
(35,172
|
)
|
|
|
(196,140
|
)
|
|
|
|
Prepaid expenses
|
|
|
(154,429
|
)
|
|
|
33,057
|
|
|
|
(250,590
|
)
|
|
|
|
Other assets
|
|
|
|
|
|
|
|
|
|
|
(68,854
|
)
|
|
|
|
Accounts payable
|
|
|
212,650
|
|
|
|
124,434
|
|
|
|
920,384
|
|
|
|
|
Accrued expenses and deferred rent
|
|
|
125,906
|
|
|
|
292,741
|
|
|
|
1,014,196
|
|
|
|
|
Deferred revenue
|
|
|
(191,214
|
)
|
|
|
(15,000
|
)
|
|
|
465,286
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in operating activities
|
|
|
(4,223,425
|
)
|
|
|
(3,015,703
|
)
|
|
|
(49,769,768
|
)
|
Cash flows from investing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Acquisition of property and equipment
|
|
|
(41,193
|
)
|
|
|
(49,409
|
)
|
|
|
(818,381
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(41,193
|
)
|
|
|
(49,409
|
)
|
|
|
(818,381
|
)
|
Cash flows from financing activities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proceeds from notes payable
|
|
|
10,000,000
|
|
|
|
|
|
|
|
10,200,000
|
|
|
|
|
Repayment of note payable
|
|
|
|
|
|
|
|
|
|
|
(200,000
|
)
|
|
|
|
Proceeds from issuance of common stock, net
|
|
|
4,019,242
|
|
|
|
|
|
|
|
55,592,574
|
|
|
|
|
Deferred offering costs
|
|
|
(1,118,243
|
)
|
|
|
|
|
|
|
(1,342,661
|
)
|
|
|
|
Deferred loan costs
|
|
|
(745,470
|
)
|
|
|
|
|
|
|
(745,470
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by financing activities
|
|
|
12,155,529
|
|
|
|
|
|
|
|
63,504,443
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents
|
|
|
7,890,911
|
|
|
|
(3,065,112
|
)
|
|
|
12,916,294
|
|
Cash and cash equivalents, beginning of period
|
|
|
5,025,383
|
|
|
|
5,157,872
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of period
|
|
$
|
12,916,294
|
|
|
$
|
2,092,760
|
|
|
$
|
12,916,294
|
|
|
|
|
|
|
|
|
|
|
|
Disclosures of cash flow information:
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest paid
|
|
$
|
54,477
|
|
|
$
|
|
|
|
$
|
80,592
|
|
Income taxes paid
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements
F-28
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial Statements
June 30, 2007 and 2006
(Unaudited)
|
|
1.
|
Organization and Summary of Significant Accounting
Policies
|
|
|
|
Organization and Business
|
Bioheart, Inc. (the Company) is a biotechnology
company focused on the discovery, development and, subject to
regulatory approval, commercialization of autologous cell
therapies for the treatment of chronic and acute heart damage.
The Companys lead product candidate is MyoCell, an
innovative clinical therapy designed to populate regions of scar
tissue within a patients heart with living muscle tissue
for the purpose of improving cardiac function. The Company was
incorporated in Florida on August 12, 1999.
The Company has operated as a development stage enterprise since
its inception by devoting substantially all of its effort to
raising capital, research and development of products noted
above, and developing markets for its products. Accordingly, the
financial statements of the Company have been prepared in
accordance with the accounting and reporting principles
prescribed by Statement of Financial Accounting Standards
No. 7,
Accounting and Reporting by Development Stage
Enterprises
(SFAS No. 7), issued by the
Financial Accounting Standards Board (FASB).
Prior to marketing its products in the United States, the
Companys products must undergo rigorous preclinical and
clinical testing and an extensive regulatory approval process
implemented by the Food and Drug Administration (the
FDA) and other regulatory authorities. There can be
no assurance that the Company will not encounter problems in
clinical trials that will cause the Company or the FDA to delay
or suspend clinical trials. The Companys success will
depend in part on its ability to successfully complete clinical
trials, obtain necessary regulatory approvals, obtain patents
and product license rights, maintain trade secrets, and operate
without infringing on the proprietary rights of others, both in
the United States and other countries. There can be no assurance
that patents issued to or licensed by the Company will not be
challenged, invalidated, or circumvented, or that the rights
granted thereunder will provide proprietary protection or
competitive advantages to the Company. The Company will require
substantial future capital in order to meet its objectives. The
Company currently has no committed sources of capital. The
Company will need to seek substantial additional financing
through public and/or private financing, and financing may not
be available when the Company needs it or may not be available
on acceptable terms.
|
|
|
Interim Financial Statements
|
The accompanying unaudited consolidated interim financial
statements have been prepared pursuant to the rules and
regulations of the Securities and Exchange Commission for
reporting of interim financial information.
Pursuant to such rules and regulations, certain information and
footnote disclosures normally included in financial statements
prepared in accordance with accounting principles generally
accepted in the United States have been condensed or omitted.
The accompanying unaudited consolidated interim financial
statements should be read in conjunction with the Companys
audited consolidated financial statements and the notes thereto
included elsewhere in this prospectus.
In the opinion of management, the accompanying unaudited
consolidated interim financial statements of the Company contain
all adjustments (consisting of only normal recurring
adjustments) necessary to present fairly the financial position
of the Company as of June 30, 2007, the results of its
operations for the six month periods ended June 30, 2007
and 2006 and its cash flows for the six month periods ended
June 30, 2007 and 2006. The results of operations and cash
flows for the six month period ended June 30, 2007 are not
F-29
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
necessarily indicative of the results of operations or cash
flows which may be reported for future quarters or for the year
ending December 31, 2007.
The accompanying unaudited consolidated interim financial
statements include the accounts of Bioheart, Inc. and its
wholly-owned subsidiaries. The Company has established
subsidiaries in various foreign countries, and through
June 30, 2007, these foreign entities have been largely
inactive. All intercompany transactions are eliminated in
consolidation.
The preparation of financial statements in conformity with
accounting principles generally accepted in the United States of
America requires management to make estimates and assumptions
that affect the reported amounts of assets and liabilities, and
the disclosure of contingent assets and liabilities as of the
date of the financial statements, and the reported amounts of
revenues and expenses during the reporting period. Actual
results could differ from those estimates.
|
|
|
Stock Options and Warrants
|
On January 1, 2006, the Company adopted the provisions of
Statement of Financial Accounting Standards No. 123R,
Share-Based Payment
(SFAS No. 123R)
using the modified prospective transition method.
SFAS No. 123R requires the Company to measure all
share-based payment awards granted after January 1, 2006,
including those with employees, at fair value. Under
SFAS No. 123R, the fair value of stock options and
other equity-based compensation must be recognized as expense in
the statements of operations over the requisite service period
of each award.
Beginning January 1, 2006, the Company has recognized
compensation expense under SFAS No. 123R for the
unvested portions of outstanding share-based awards previously
granted under our stock option plans, over the periods these
awards continue to vest. This compensation expense is recognized
based on the fair values and attribution methods that were
previously disclosed in our prior period financial statements.
The Company accounts for certain share-based awards, including
warrants, with non-employees in accordance with
SFAS No. 123R and related guidance, including EITF
No.
96-18,
Accounting for Equity Instruments That Are Issued to Other
Than Employees for Acquiring, or in Conjunction with Selling
Goods or Services
. The Company estimates the fair value of
such awards using the Black-Scholes valuation model.
The Company adopted the provisions of FASB Interpretation
No. 48,
Accounting for Uncertainty in Income Taxes,
(FIN No. 48) on January 1, 2007.
Previously, the Company had accounted for tax contingencies in
accordance with Statement of Financial Accounting Standards 5,
Accounting for Contingencies
. As required by
Interpretation 48, which clarifies Statement 109,
Accounting
for Income Taxes,
the Company recognizes the financial
statement benefit of a tax position only after determining that
the relevant tax authority would more likely than not sustain
the position following an audit. For tax positions meeting the
more-likely-than-not threshold, the amount recognized in the
financial statements is the largest benefit that has a greater
than 50 percent likelihood of being realized upon ultimate
settlement with the relevant tax authority. At the adoption
date, the Company applied FIN No. 48 to all tax
positions for which the statute of limitations remained open. As
a result of the implementation of FIN No. 48, the
Company did not recognize any change in the liability for
unrecognized tax benefits.
F-30
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
The amount of unrecognized tax benefits as of January 1,
2007, was $0. There have been no material changes in
unrecognized tax benefits since January 1, 2007.
The Company is subject to income taxes in the U.S. federal
jurisdiction, and the State of Florida. Tax regulations within
each jurisdiction are subject to the interpretation of the
related tax laws and regulations and require significant
judgment to apply. With few exceptions, the Company is no longer
subject to U.S. federal, state and local income tax examinations
by tax authorities for the years before 1999.
The Company is not currently under examination by any federal or
state jurisdiction.
Should the Company record a liability for unrecognized tax
benefits in the future, corresponding interest and penalty
accruals will be recognized in operating expenses.
|
|
|
Recent Accounting Pronouncements
|
In September 2006, the FASB issued SFAS No. 157,
Fair Value Measurements
(SFAS No. 157). SFAS No. 157
defines fair value, establishes a framework for measuring fair
value, and expands disclosures about fair value measurements.
SFAS No. 157 does not require any new fair value
measurements, but provides guidance on how to measure fair value
by providing a fair value hierarchy used to classify the source
of the information. SFAS No. 157 is effective for
fiscal years beginning after November 15, 2007. The Company
does not expect the adoption of SFAS No. 157 to have a material
effect on its consolidated financial statements.
In February 2007, the FASB issued SFAS No. 159,
The
Fair Value Option for Financial Assets and Financial
Liabilities
(SFAS No. 159).
SFAS No. 159 allows an entity the irrevocable option
to elect fair value for the initial and subsequent measurement
for certain financial assets and liabilities on a
contract-by-contract basis. Subsequent changes in fair value of
these financial assets and liabilities would be recognized in
earnings when they occur. SFAS No. 159 is effective
for fiscal years beginning after November 15, 2007. The Company
does not expect the adoption of SFAS No. 159 to have a material
effect on its consolidated financial statements.
A variety of proposed or otherwise potential accounting
standards are currently under study by standard-setting
organizations and various regulatory agencies. Because of the
tentative and preliminary nature of these proposed standards,
management has not determined whether implementation of such
proposed standards would be material to the Companys
consolidated financial statements.
|
|
2.
|
Collaborative License and Research/Development Agreements
|
The Company has entered into a number of contractual
relationships for technology licenses and research and
development projects. The following provides a summary of the
Companys significant contractual relationships:
In February 2006, the Company entered into an exclusive license
agreement with The Cleveland Clinic Foundation for various
patents to be used in the MyoCell II with
SDF-1
project. In
exchange for the license, the Company 1) paid $250,000 upon
the closing of the agreement; 2) paid $1,250,000 in 2006;
3) will pay a maintenance fee of $150,000 per year for the
duration of the license starting in the second year;
4) will be required to make various milestone payments
ranging from $200,000 upon the approval of an Investigational
New Drug application by the FDA and $1,000,000 upon the first
commercial sale of an FDA approved licensed product, 50% of
which may be paid in the form of common stock; and 5) will
pay a 5% royalty on the net sales of products and services that
directly rely upon the claims of the patents for the first
$300,000,000 of annual net sales and a 3% royalty for any annual
net sales over $300,000,000. The royalty percentage shall be
F-31
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
reduced by 0.5% for each 1.0% of license fees paid to any other
entity. However, the royalty percentage shall not be reduced
under 2.5%.
In April 2006, the Company entered into an agreement to license
from TriCardia, LLC various patents to be used in the MyoCath II
project. In exchange for the license, the Company agreed to do
the following: 1) pay $100,000 upon the closing of the
agreement; and 2) issue a warrant exercisable for 32,515
shares of the Companys common stock at an exercise price
of $7.69 per share. The warrant vested on a straight line basis
over a 12 month period and expires on February 28,
2016. The fair value of this warrant of approximately $193,000
as determined using the Black Scholes pricing model, was
amortized to research and development expense on a straight line
basis over the twelve month vesting period. The Company recorded
$144,867 of expense in 2006 and the remaining $48,289 of expense
in the six months ended June 30, 2007.
In December 2006, the Company entered into an agreement with
Tissue Genesis, Inc. (Tissue Genesis), for exclusive
distribution rights to Tissue Genesis products and a license for
various patents to be used in the treatment of acute myocardial
infarction and heart failure. In exchange for the license, the
Company agreed to do the following: 1) issue 13,006 shares
of the Companys common stock at a price of $7.69; and
2) issue a warrant exercisable for 1,544,450 shares of the
Companys common stock to Tissue Genesis at an exercise
price of $7.69 per share and expires on December 31, 2026.
This warrant shall vest in three parts as follows:
i) 617,780 shares vesting only upon the Companys
successful completion of human safety testing of the licensed
technology, ii) 463,335 shares vesting only upon the
Company exceeding net sales of $10 million or net profit of
$2 million from the licensed technology, and
iii) 463,335 shares vesting only upon the Company exceeding
net sales of $100 million or net profit of $20 million
from the licensed technology. Since the vesting of this warrant
is contingent upon the achievement of the specific milestones,
the fair value of this warrant at the time the milestones are
met, will be expensed to research and development.
In the event of an acquisition (or merger) of the Company by a
third party, all unvested shares of common stock subject to the
warrant shall immediately vest prior to such event. In addition,
the Company will pay a 2% royalty of net sales of licensed
products.
On June 1, 2007, the Company closed on a $5.0 million
senior loan with a term of 36 months which bears interest
at an annual rate of 12.85%. The first three months require
payment of interest only with equal principal and interest
payments over the remaining 33 months. As consideration for
the loan, the Company issued to the lender a warrant to purchase
65,030 shares of the Companys common stock at an exercise
price of $7.69 per share. The warrant has a ten-year term and is
not exercisable until one year following the date the warrant
was issued. This warrant had a fair value of $432,635, which was
accounted for as additional paid in capital and reflected as a
component of deferred loan costs to be amortized as interest
expense over the term of the loan using the effective interest
method. The loan may be prepaid with a prepayment penalty and is
secured by a first priority security interest in all of the
Companys assets, excluding intellectual property. The loan
has certain restrictive terms and covenants including among
others, restrictions on the Companys ability to incur
additional indebtedness or make interest or principal payments
on other subordinate loans.
On June 1, 2007, the Company entered into a loan agreement
with another lender for an eight month, $5.0 million term
loan, to be used for working capital purposes. The loan bears
interest at the prime rate plus 1.5%. The prime rate was 8.25%
as of June 30, 2007.
To the extent the Company completes an initial public offering
of its common stock on or before August 13, 2007 and the
net proceeds of this offering are at least $30 million, the
Company is required under
F-32
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
agreements with the loan guarantors to repay the loan within
five days of the offering closing date. Under the terms of the
loan, the lender is entitled to receive a semi-annual payment of
interest and all outstanding principal and accrued interest by
the maturity date. The Company has provided no collateral for
this loan.
For the Companys benefit, certain members of the
Companys Board of Directors and a shareholder have
provided collateral to guarantee the loan, except for a
$1.1 million personal guaranty (backed by collateral)
provided by the Companys Executive Chairman and his
spouse, these guarantees are limited to the collateral each
provided to the lender. The Company will reimburse the
guarantors with interest at an annual rate of 13.25% for any and
all payments made by them under the loan as well as to pay them
certain cash fees in connection with their provision of security
for the loan. In addition, the Company issued to each guarantor
warrants to purchase 3,250 shares of common stock at an exercise
price of $7.69 per share for each $100,000 of principal amount
of the loan guaranteed by such guarantor. The warrants have a
ten-year term and are not exercisable until the date that is one
year following the date the warrants were issued. Warrants to
purchase an aggregate of 216,095 shares of the Companys
common stock were issued to the guarantors. These warrants had
an aggregate fair value of $1,437,637, which amount was
accounted for as additional paid in capital and reflected as a
component of deferred loan costs to be amortized as interest
expense over the term of the loan using the effective interest
method. The number of shares subject to the warrants increased
to 246,498 on September 30, 2007 as the loan remained
outstanding at that date. The fair value of the additional
30,403 shares subject to the warrants will be accounted for as
additional paid in capital and reflected as a component of
deferred loan costs to be amortized as interest expense over the
term of the loan using the effective interest method. In the
event that as of the first anniversary, second anniversary and
third anniversary of the closing date of this loan the Company
has not reimbursed the guarantors in full for payments made by
them in connection with this loan or paid them the fees owed to
them, the number of shares subject to the warrants will further
increase.
In September 2007, one of the Companys directors and two
of the Companys current shareholders agreed to provide
collateral valued at $750,000, $600,000 and $500,000,
respectively, to secure this loan. The collateral provided by
these new guarantors fully replaced the collateral originally
provided by one of the Companys directors and partially
replaced the collateral originally provided by another director
whose collateral now secures $400,000 of the loan. In
consideration for providing the collateral, the Company issued
to the new guarantors warrants to purchase 3,250 shares of the
Companys common stock at an exercise price of $7.69 per
share for each $100,000 of principal amount of the loan
guaranteed. The number of shares subject to the warrant will
increase in the same amount and under the same conditions as the
shares underlying the warrants issued to the original
guarantors. The warrants have a ten-year term and are not
exercisable until the date that is one year following the date
the warrants were issued. Warrants to purchase an aggregate of
60,118 shares of the Companys common stock were issued to
the new guarantors, the fair value of which will be accounted
for as additional paid in capital and reflected as a component
of deferred loan costs to be amortized as interest expense over
the term of the loan using the effective interest method. As a
result of the replacement of prior guarantors, the unamortized
fair value of the warrants issued to the prior guarantors, which
was previously reflected as a component of deferred loan costs,
will be expensed to interest expense in September 2007.
In October 2007, the Companys Executive Chairman and his
spouse agreed to provide an additional $2.2 million limited
personal guarantee of this loan and have pledged securities
accounts to backup this limited personal guarantee. The
additional collateral provided by the Companys Executive
Chairman and his spouse fully replaced the collateral originally
provided by one of the Companys shareholders. The
Companys Executive Chairman and his spouse have now
personally guaranteed an aggregate of $3.3 million of this
loan. The Companys agreement with the Companys
Executive Chairman and his spouse with respect to the additional
collateral is substantially similar to the Companys
agreement with them in connection with the
F-33
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
$1.1 million personal guarantee they originally provided in
June 2007. In consideration for providing the collateral, the
Company issued to the Companys Executive Chairman and his
spouse, warrants to purchase 81,547 shares of the Companys
common stock at an exercise price of $7.69 per share. In the
event that as of the first anniversary, second anniversary and
third anniversary of the closing date of this loan,
respectively, the Company has not reimbursed the Companys
Executive Chairman and his spouse in full for payments made by
them in connection with this loan, the number of shares subject
to the warrant will increase to 101,934, 135,912 and 203,868,
respectively. The warrant has a ten-year term and is not
exercisable until the date that is one year following the date
the warrant was issued. The fair value of the warrant will be
accounted for as additional paid in capital and reflected as a
component of deferred loan costs to be amortized as interest
expense over the term of this loan using the effective interest
method.
As a result of the replacement of the collateral originally
provided by one of the Companys shareholders, the
unamortized fair value of the warrant issued to the shareholder
guarantor, which is reflected as a component of deferred loan
costs, will be expensed to interest expense in October 2007. In
October 2007, the Company cancelled the warrant previously
issued to the shareholder guarantor, which warrant included the
adjustment provisions discussed above, and, in exchange, issued
to them a warrant to purchase 101,934 shares of the
Companys common stock. The number of shares subject to the
warrant is no longer subject to increase.
|
|
4.
|
Related Party Transactions
|
The son of one of the Companys directors is an officer of
the Company. The amount paid to this individual as salary for
the six month periods ended June 30, 2007 and 2006 was
$65,000 and $62,500, respectively.
A cousin of the Companys Executive Chairman and Chief
Technology Officer (who served as the Companys Chief
Executive Officer from inception until March 2007) is an officer
of the Company. During the six month periods ended June 30,
2007 and 2006, the Company paid this individual salary of
$65,000 for each period. In addition, the Company utilized a
printing entity controlled by this individual and paid this
entity $7,084 and $3,185 for the six month periods ended
June 30, 2007 and 2006, respectively.
The sister-in-law of the Companys Executive Chairman is an
officer of the Company. The amount paid to this individual as
salary for the six month periods ended June 30, 2007 and
2006 were $43,000 and $30,000, respectively.
In connection with our private placement of 390,177 shares of
the Companys common stock in May 2007 pursuant to a
subscription agreement executed prior to February 13, 2007,
the Company paid a fee of $150,000 to an affiliate of one of the
Companys directors.
5. Shareholders Equity
Capital Stock
Commencing in 2006, the Company initiated capital raising
activities through the use of a rolling private placement.
During the six month period ended June 30, 2007, the
Company raised net proceeds of approximately $3.9 million
through the sale of 529,432 shares of common stock at a
price of $7.69 per share to various investors.
6. Stock Options and Warrants
In December 1999, the Company adopted two stock option plans; an
employee stock option plan and a directors and consultants stock
option plan (collectively referred to as the Stock Option
Plans), under which
F-34
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
a total of 1,235,559 shares of common stock were reserved
for issuance upon exercise of options granted by the Company. In
2001, the Company amended the Stock Option Plans to increase the
total shares of common stock reserved for issuance to 1,698,894.
In 2003, the Company approved an increase of
308,890 shares, making the total 2,007,784 shares
available for issuance under the Stock Option Plans. In 2006,
the Company approved an increase of 1,081,114 shares,
making the total 3,088,898 shares available for issuance
under the Stock Option Plans. The Stock Option Plans provide for
the granting of incentive and non-qualified options. The terms
of stock options granted under the plans are determined by the
Compensation Committee of the Board of Directors at the time of
grant, including the exercise price, term and any restrictions
on the exercisability of such options. The exercise price of
incentive stock options must equal at least the fair value of
the common stock on the date of grant, and the exercise price of
non-qualified stock options may be no less than the per share
par value. The options have terms of up to ten years after the
date of grant and become exercisable as determined upon grant,
typically over either three or four year periods from the date
of grant. Certain outstanding options vested over a one-year
period and some vested immediately.
The following information applies to options outstanding and
exercisable at June 30, 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted-Average
|
|
|
|
|
|
|
|
|
|
Remaining
|
|
|
Aggregate
|
|
|
|
Shares Under
|
|
|
Weighted-Average
|
|
|
Contractual Term
|
|
|
Intrinsic
|
|
|
|
Option
|
|
|
Exercise Price
|
|
|
(in years)
|
|
|
Value
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options outstanding at January 1, 2007
|
|
|
1,938,047
|
|
|
$
|
4.90
|
|
|
|
|
|
|
|
|
|
|
Granted
|
|
|
206,744
|
|
|
|
8.47
|
|
|
|
|
|
|
|
|
|
|
Exercised
|
|
|
(17,391
|
)
|
|
|
5.67
|
|
|
|
|
|
|
|
|
|
|
Forfeited
|
|
|
(25,392
|
)
|
|
|
6.16
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options outstanding at June 30, 2007
|
|
|
2,102,008
|
|
|
$
|
5.23
|
|
|
|
6.7
|
|
|
$
|
6,797,493
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options exercisable at June 30, 2007
|
|
|
1,566,384
|
|
|
$
|
4.68
|
|
|
|
5.9
|
|
|
$
|
5,931,313
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Available for grant at June 30, 2007
|
|
|
969,362
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The weighted average fair value per share of options granted
during the six month period ended June 30, 2007 was $6.56.
For the six month period ended June 30, 2007, the Company
recognized $460,023 in stock-based compensation costs of which
$146,262 represents research and development and the remaining
amount is marketing, general and administrative expense. No tax
benefits were attributed to the stock-based compensation expense
because a valuation allowance was maintained for all net
deferred tax assets. The Company elected to adopt the
alternative method of calculating the historical pool of
windfall tax benefits as permitted by FASB Staff Position
(FSP)
No. SFAS
123R-c,
Transition Election Related to Accounting for the Tax Effects
of Share-Based Payment Awards.
This is a simplified method
to determine the pool of windfall tax benefits that is used in
determining the tax effects of stock compensation in the results
of operations and cash flow reporting for awards that were
outstanding as of the adoption of SFAS No. 123R. As of
June 30, 2007, the Company had approximately
$2.4 million of unrecognized compensation costs related to
non-vested stock option awards that is expected to be recognized
over a weighted average period of 2.5 years.
F-35
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
The following information applies to options outstanding and
exercisable at June 30, 2007:
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options Outstanding
|
|
|
|
|
|
|
|
|
Options Exercisable
|
|
|
|
|
|
Weighted-Average
|
|
|
|
|
|
|
|
|
|
|
Remaining Contractual
|
|
|
Weighted-Average
|
|
|
|
|
Weighted-Average
|
|
|
|
Shares
|
|
|
Term (in years)
|
|
|
Exercise Price
|
|
|
Shares
|
|
|
Exercise Price
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$1.28
|
|
|
347,196
|
|
|
|
2.5
|
|
|
$
|
1.28
|
|
|
|
347,196
|
|
|
$
|
1.28
|
|
$2.83
|
|
|
41,701
|
|
|
|
2.6
|
|
|
$
|
2.83
|
|
|
|
41,701
|
|
|
$
|
2.83
|
|
$5.67
|
|
|
1,431,702
|
|
|
|
7.3
|
|
|
$
|
5.67
|
|
|
|
1,129,905
|
|
|
$
|
5.67
|
|
$7.69
|
|
|
74,665
|
|
|
|
9.2
|
|
|
$
|
7.69
|
|
|
|
47,582
|
|
|
$
|
7.69
|
|
$8.47
|
|
|
206,744
|
|
|
|
9.7
|
|
|
$
|
8.47
|
|
|
|
|
|
|
$
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,102,008
|
|
|
|
6.7
|
|
|
$
|
5.23
|
|
|
|
1,566,384
|
|
|
$
|
4.68
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The Company uses the Black-Scholes option-pricing model to
determine the fair value of stock options on the date of grant.
This model derives the fair value of stock options based on
certain assumptions related to expected stock price volatility,
expected option life, risk-free interest rate and dividend
yield. The Companys expected volatility is based on the
historical volatility of other publicly traded development stage
companies in the same industry. The estimated expected option
life is based primarily on historical employee exercise patterns
and considers whether and the extent to which the options are
in-the-money. The risk-free interest rate assumption is based
upon the U.S. Treasury yield curve appropriate for the term of
the expected life of the options.
For the six month period ended June 30, 2007 and the six
month period ending June 30, 2006, the fair value of each
stock option grant was estimated on the date of grant using the
following weighted-average assumptions.
|
|
|
|
|
|
|
|
|
|
|
For the Six Months Ended
|
|
|
|
|
|
|
|
June 30, 2007
|
|
|
June 30, 2006
|
|
|
|
|
|
|
|
|
Expected dividend yield
|
|
|
00.0
|
%
|
|
|
00.0
|
%
|
Expected price volatility
|
|
|
100.0
|
%
|
|
|
100.0
|
%
|
Risk free interest rate
|
|
|
6.0
|
%
|
|
|
6.0
|
%
|
Expected life of options in years
|
|
|
5
|
|
|
|
5
|
|
In July and August 2007, the Company issued stock options to
purchase an aggregate of 81,547 shares of its common stock
at an exercise price of $8.47 per share.
The Company does not have a formal plan in place for the
issuance of stock warrants. However, at times, the Company will
issue warrants to both employees and non-employees. The exercise
price, vesting period, and term of these warrants is determined
by the Companys Board of Directors at the time of
issuance. As of June 30, 2007 and December 31, 2006,
the Company had warrants outstanding for the purchase of shares
of
F-36
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
the Companys common stock of 2,050,924 and 1,765,388,
respectively. The following information applies to warrants
outstanding and exercisable at June 30, 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Warrants Outstanding
|
|
|
Warrants Exercisable
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted-Average
|
|
|
|
|
|
|
|
|
|
Remaining Contractual
|
|
|
Weighted-Average
|
|
|
|
|
Weighted-Average
|
|
|
|
Shares
|
|
|
Term (in years)
|
|
|
Exercise Price
|
|
|
Shares
|
|
|
Exercise Price
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$5.67
|
|
|
192,834
|
|
|
|
9.1
|
|
|
$
|
5.67
|
|
|
|
192,834
|
|
|
$
|
5.67
|
|
$7.69
|
|
|
1,858,090
|
|
|
|
17.9
|
|
|
$
|
7.69
|
|
|
|
32,515
|
|
|
$
|
7.69
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,050,924
|
|
|
|
17.1
|
|
|
$
|
7.50
|
|
|
|
225,349
|
|
|
$
|
5.96
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7. Legal Proceedings
On March 9, 2007, Peter K. Law, Ph.D. and Cell Transplants
Asia, Limited (the Plaintiffs) filed a complaint
against the Company and Mr. Leonhardt, the Companys
Executive Chairman and Chief Technology Officer, individually,
in the United States District Court, Western District of
Tennessee. On February 7, 2000, the Company entered a
license agreement (the Original Law License
Agreement) with Dr. Law and Cell Transplants
International pursuant to which Dr. Law and Cell
Transplants International granted the Company a license to
certain patents, including the Primary MyoCell Patent (the
Law IP). The parties executed an addendum to the
Original Law License Agreement (the License
Addendum) in July 2000, the provisions of which amended a
number of terms of the Original License Agreement.
The Plaintiffs are alleging and seeking, among other things, a
declaratory judgment that the License Addendum fails for lack of
consideration. Based upon this argument, the Plaintiffs allege
that the Company is in breach of the terms of the Original Law
License Agreement.
In addition to seeking a declaratory judgment that the License
Addendum is not enforceable, the Plaintiffs are also seeking an
accounting of all revenues, remunerations or benefits derived by
the Company or Mr. Leonhardt from sales, provision and/or
distribution of products and services that read directly on the
Law IP, compensatory and punitive monetary damages and
preliminary and permanent injunctive relief to prohibit the
Company from sublicensing its license rights to third parties.
The Company believes this lawsuit is without merit and intends
to defend the action vigorously. The Company filed a motion to
dismiss the proceeding against both the Company and
Mr. Leonhardt. On July 26, 2007, the court granted the
Companys motion to dismiss Mr. Leonhardt in his
individual capacity and one count of the complaint alleging a
civil conspiracy. The court denied the Companys motion to
dismiss all other claims. While the complaint does not appear to
challenge the Companys rights to license this patent, this
litigation, if not resolved to the satisfaction of both parties,
may adversely impact the Companys relationship with
Dr. Law and could, if resolved unfavorably to the Company,
adversely affect the Companys MyoCell commercialization
efforts. The action is in its early stages and there has been no
formal discovery in the case. Due to the early stages of these
proceedings, any potential loss cannot presently be determined.
8. Contingency
The Company believes that it may have issued options to purchase
common stock and common stock upon conversion of options to
certain of its employees, directors and consultants in
California in violation of the registration or qualification
provisions of applicable California securities laws. As a
result, the Company intends to make a rescission offer to these
persons pursuant to a registration statement it expects to file
after the Companys planned initial public offering under
the Securities Act and pursuant to California securities laws.
The Company will make this offer to all persons who have a
continuing right to rescission, which it believes to include two
persons. In the rescission offer, in accordance with California
law, the Company will
F-37
Bioheart, Inc. and Subsidiaries
(A development stage enterprise)
Notes to Consolidated Interim Financial
Statements (Continued)
(Unaudited)
offer to repurchase all unexercised options issued to these
persons at 77% of the option exercise price times the number of
option shares, plus interest at the rate of 7% from the date the
options were granted. The Company will also offer to repurchase
all shares issued to these persons at the fair market value of
such shares on the date of issuance. As the Company believes
there is only a remote likelihood the rescission offer will be
accepted by any of these persons in an amount that would result
in a material expenditure by the Company, no liability has been
recorded as of June 30, 2007.
9. Supplemental Disclosure of
Cash Flow Information
During the six month periods ended June 30, 2007 and 2006
and for the period from August 12, 1999 (date of inception)
through June 30, 2007, the Company issued common stock in
exchange for services of $0, $16,443, and $1,277,017,
respectively.
During the six month periods ended June 30, 2007 and 2006
and for the period from August 12, 1999 (date of inception)
through June 30, 2007, the Company recorded expense for the
amortization of warrants issued for licenses and intellectual
property of $48,289, $48,289, and $5,413,156, respectively.
During the six month periods ended June 30, 2007 and 2006
and for the period from August 12, 1999 (date of inception)
through June 30, 2007, the Company recorded expense for the
amortization of warrants issued in connection with notes payable
of $155,856, $0, and $155,856, respectively.
During the six month periods ended June 30, 2007 and 2006
and for the period from August 12, 1999 (date of inception)
through June 30, 2007, the Company recorded expense for the
amortization of loan costs of $50,404, $0, and $50,404,
respectively.
During the six month periods ended June 30, 2007 and 2006
and for the period from August 12, 1999 (date of inception)
through June 30, 2007, the Company recorded expense for the
amortization of warrants issued for services of $30,559, $0, and
$30,559, respectively.
During the six month period ended June 30, 2007, the Company
issued warrants in connection with notes payable with an
aggregate fair value of $1,870,272.
As of June 30, 2007, the Company accrued $174,910 of
offering costs.
10. Reverse Stock Split
On September 27, 2007, in connection with the
Companys planned initial public offering, the Company
completed a
1-for-1.6187
reverse
stock split of the Companys common stock. All common share
numbers and per share amounts contained in the consolidated
financial statements have been retroactively adjusted to reflect
the reverse stock split.
F-38
4,166,667 Shares
Bioheart, Inc.
Common Stock
Merriman Curhan Ford & Co.
Dawson James Securities, Inc.
,
2007
PART II
INFORMATION NOT REQUIRED IN PROSPECTUS
|
|
Item 13.
|
Other Expenses of Issuance and Distribution
|
The following table sets forth the costs and expenses, other
than underwriting discounts and commissions, payable by us in
connection with the sale of the common stock being registered
hereby. All amounts are estimates except the SEC Registration
Fee, the NASDAQ Global Market filing fee and the NASD filing fee.
|
|
|
|
|
|
|
Amount to
|
|
|
|
be Paid
|
|
|
|
|
|
SEC registration fee
|
|
$
|
4,820
|
|
NASD filing fee
|
|
|
7,500
|
|
NASDAQ Global Market filing fee
|
|
|
100,000
|
|
Printing expenses
|
|
|
400,000
|
|
Legal fees and expenses
|
|
|
2,000,000
|
|
Accounting fees and expenses
|
|
|
500,000
|
|
Blue Sky qualification fees and expenses
|
|
|
15,000
|
|
Transfer Agent and registrar fees
|
|
|
20,000
|
|
Miscellaneous
|
|
|
452,680
|
|
|
|
|
|
Total
|
|
$
|
3,500,000
|
|
|
|
|
|
|
|
Item 14.
|
Indemnification of Directors and Officers
|
We are incorporated under the laws of the State of Florida. Our
articles of incorporation require us to indemnify and limit the
liability of directors to the fullest extent permitted by the
Florida Business Corporation Act (the FBCA), as it
currently exists or as it may be amended in the future.
Pursuant to the FBCA, a Florida corporation may indemnify any
person who may be a party to any third party proceeding by
reason of the fact that such person is or was a director,
officer, employee or agent of the corporation, or is or was
serving at the request of the corporation as a director,
officer, employee, or agent of another entity, against liability
incurred in connection with such proceeding (including any
appeal thereof) if he or she acted in good faith and in a manner
he or she reasonably believed to be in, or not opposed to, the
best interests of the corporation, and, with respect to any
criminal action or proceeding, had no reasonable cause to
believe his or her conduct was unlawful.
In addition, in accordance with the FBCA, a Florida corporation
is permitted to indemnify any person who may be a party to a
derivative action if such person acted in any of the capacities
set forth in the preceding paragraph, against expenses and
amounts paid in settlement not exceeding, in the judgment of the
board of directors, the estimated expenses of litigating the
proceeding to conclusion, actually and reasonably incurred in
connection with the defense or settlement of such proceeding
(including appeals), provided that the person acted under the
standards set forth in the preceding paragraph. However, no
indemnification shall be made for any claim, issue, or matter
for which such person is found to be liable unless, and only to
the extent that, the court determines that, despite the
adjudication of liability, but in view of all the circumstances
of the case, such person is fairly and reasonably entitled to
indemnification for such expenses which the court deems proper.
Any indemnification made under the above provisions, unless
pursuant to a courts determination, may be made only after
a determination that the person to be indemnified has met the
standard of conduct described above. This determination is to be
made by a majority vote of a quorum consisting of the
disinterested directors of the board of directors, by duly
selected independent legal counsel, or by a majority vote of the
disinterested shareholders. The board of directors also may
designate a special committee of disinterested directors to make
this determination. Notwithstanding the foregoing, a Florida
corporation must indemnify
II-1
any director, officer, employee or agent of a corporation who
has been successful in the defense of any proceeding referred to
above.
Generally, pursuant to the FBCA, a director of a Florida
corporation is not personally liable for monetary damages to our
company or any other person for any statement, vote, decision,
or failure to act, regarding corporate management or policy,
unless: (a) the director breached or failed to perform his
duties as a director; and (b) the directors breach
of, or failure to perform, those duties constitutes (i) a
violation of criminal law, unless the director had reasonable
cause to believe his conduct was lawful or had no reasonable
cause to believe his conduct was unlawful, (ii) a
transaction from which the director derived an improper personal
benefit, either directly or indirectly, (iii) an approval
of an unlawful distribution, (iv) with respect to a
proceeding by or in the right of the company to procure a
judgment in its favor or by or in the right of a shareholder,
conscious disregard for the best interest of the company, or
willful misconduct, or (v) with respect to a proceeding by
or in the right of someone other than the company or a
shareholder, recklessness or an act or omission which was
committed in bad faith or with malicious purpose or in a manner
exhibiting wanton and willful disregard of human rights, safety,
or property. The term recklessness, as used above,
means the action, or omission to act, in conscious disregard of
a risk: (a) known, or so obvious that it should have been
known, to the directors; and (b) known to the director, or
so obvious that it should have been known, to be so great as to
make it highly probable that harm would follow from such action
or omission.
Furthermore, under the FBCA, a Florida corporation is authorized
to make any other further indemnification or advancement of
expenses of any of its directors, officers, employees or agents
under any bylaw, agreement, vote of shareholders or
disinterested directors, or otherwise, both for actions taken in
an official capacity and for actions taken in other capacities
while holding such office. However, a corporation cannot
indemnify or advance expenses if a judgment or other final
adjudication establishes that the actions of the director,
officer, employee, or agent were material to the adjudicated
cause of action and the director, officer, employee, or agent
(a) violated criminal law, unless the director, officer,
employee, or agent had reasonable cause to believe his or her
conduct was unlawful, (b) derived an improper personal
benefit from a transaction, (c) was or is a director in a
circumstance where the liability for unlawful distributions
applies, or (d) engaged in willful misconduct or conscious
disregard for the best interests of the corporation in a
proceeding by or in right of the corporation to procure a
judgment in its favor.
At present, there is no pending litigation or proceeding
involving any of our directors or executive officers as to which
indemnification is required or permitted and we are not aware of
any threatened litigation or proceeding that may result in a
claim for indemnification.
We maintain a liability insurance policy, pursuant to which our
directors and officers may be insured against liability they
incur for serving in their capacities as directors and officers
of our company, including liabilities arising under the
Securities Act or otherwise.
We plan to enter into an underwriting agreement which provides
that the underwriters are obligated, under some circumstances,
to indemnify our directors, officers and controlling persons
against specified liabilities, including liabilities under the
Securities Act.
|
|
Item 15.
|
Recent Sales of Unregistered Securities
|
Since January 1, 2004, we have issued the following
securities in unregistered transactions pursuant to
Section 4(2) of the Securities Act and following
regulations promulgated thereunder, Rule 701 and
Regulation D.
Rule 701
Between January 1, 2004 and September 30, 2007, we
issued to directors, employees and consultants an aggregate of
3,063 shares of our common stock for a deemed aggregate sales
price of $17,353, stock options to purchase an aggregate of
1,699,553 shares of our common stock with exercise prices
ranging from $5.67 to $8.47 and an aggregate exercise price of
$10,327,173 and warrants to purchase an aggregate of
198,127 shares of our common stock with an exercise price
of $5.66 and an aggregate exercise price of $1,122,478. Between
January 1, 2004 and September 1, 2007, we have issued
19,551 shares of our common stock upon the exercise of
options described above.
II-2
The issuances listed above were deemed exempt from registration
under the Securities Act of 1933, as amended, pursuant to
Rule 701 thereunder. In accordance with Rule 701, the
shares were issued pursuant to a written compensatory benefit
plan and/or written compensation contract and the issuances did
not, during any consecutive 12 month period, exceed 15% of
the then outstanding shares of our common stock, calculated in
accordance with the provisions of Rule 701.
Rule 506 of Regulation D and Section 4(2)
Between January 1, 2004 and September 30, 2007, we
issued an aggregate of 4,651,071 shares of our common stock at
prices between $5.67 and $7.69 per share for an aggregate sales
price of $29,074,135. The shares of common stock issued after
the initial filing of this registration statement on
February 13, 2007 were issued pursuant to a previously
executed subscription agreement. In connection with $3,000,000
of the foregoing issuances we paid to an affiliate of one of our
directors a fee of $150,000. In connection with $5,140,000 of
the foregoing issuances, we issued to two of our directors and
one of our consultants options and warrants to purchase up to
240,855 shares of common stock at exercise prices equal to then
prevailing common stock sales price (between $2.83 per
share and $5.67 per share). An indeterminate portion of the
securities we issued to our Vice President of Public Relations
in a settlement were in consideration in part for his efforts
assisting us raise capital since January 1, 2004.
In December 2006, in consideration for entering into an
exclusive distribution and license agreement with us, we issued
a third party 13,006 shares of our common stock for a deemed
aggregate sales price of $99,997 and a warrant with a per share
exercise price of $7.69 to purchase 1,544,450 shares of our
common stock.
In June 2007, we issued BlueCrest Capital a warrant to purchase
65,030 shares of our common stock with a per share exercise
price of $7.69 in connection with the BlueCrest Loan. In June
2007, we issued to Mr. and Mrs. Leonhardt, the Director
Guarantors and the Shareholder Guarantor warrants to purchase an
aggregate of 216,095 shares of our common stock with a per
share exercise price of $7.69 in connection with their
collateralization of the Bank of America Loan. In September
2007, we issued to the New Guarantors warrants to purchase an
aggregate of 60,118 shares of our common stock with a per share
exercise price of $7.69 in connection with their
collateralization of the Bank of America Loan. In October 2007,
we issued to Mr. and Mrs. Leonhardt a warrant to purchase 81,547
shares of our common stock with a per share exercise price of
$7.69 in connection with their collateralization of the Bank of
America Loan. In October 2007, we issued to the Shareholder
Guarantor a warrant to purchase 101,934 shares of our common
stock with a per share exercise price of $7.69.
The sales of the above securities were deemed to be exempt from
registration in reliance on Section 4(2) of the Securities
Act or Regulation D promulgated thereunder as transactions
by an issuer not involving any public offering. All recipients
were either accredited or sophisticated investors, as those
terms are defined in the Securities Act and the regulations
promulgated thereunder. The recipients of securities in each
transaction represented their intention to acquire the
securities for investment only and not with a view to or for
sale in connection with any distribution thereof and appropriate
legends were affixed to the share certificates and other
instruments issued in such transactions. All recipients either
received adequate information about us or had access, through
employment or other relationships, to such information.
Rescission Offer
We believe that we may have issued options to purchase common
stock to certain of our employees, directors and consultants in
California in violation of the registration or qualification
provisions of applicable California securities laws. As a
result, we intend to make a rescission offer to these persons
pursuant to a registration statement we expect to file after the
offering under the Securities Act and pursuant to California
securities laws. We will make this offer to all persons who have
a continuing right to rescission, which we believe to include
two persons. In the rescission offer, in accordance with
California law, we will offer to repurchase all options issued
to these persons at 77% of the option exercise price times the
number of option shares, plus interest at the rate of 7% from
the date the options were granted. Based upon the number of
options that may be subject to rescission as of
September 1, 2007, assuming that all such options are
tendered in the rescission offer, we estimate that our total
rescission liability would be up to approximately $350,000.
II-3
However, as we believe there is only a remote likelihood the
rescission offer will be accepted by any of these persons in an
amount that would result in a material expenditure by us, no
liability has been recorded in our financial statements.
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Item 16.
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Exhibits and Financial Statement Schedules
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(a) Exhibits
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Exhibit
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Number
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Description
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1
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.1(1)
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Form of Underwriting Agreement
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3
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.1(1)
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Amended and Restated Articles of Incorporation of the
registrant, as amended.
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3
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.3(1)
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Amended and Restated Bylaws
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4
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.1
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Reference is made to exhibits 3.1 through 3.3
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4
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.2(1)
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Form of Common Stock Certificate
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4
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.3(1)
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Loan and Security Agreement, dated as of May 31, 2007 by
and between BlueCrest Capital Finance, L.P. and the registrant
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5
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.1(1)
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Opinion of Hunton & Williams, LLP
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10
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.1**(1)
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1999 Officers and Employees Stock Option Plan
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10
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.2**(1)
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1999 Directors and Consultants Stock Option Plan
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10
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.3(1)
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Form of Option Agreement under Officers and Employees Stock
Option Plan
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10
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.4(1)
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Form of Option Agreement under Directors and Consultants Stock
Option Plan
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10
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.5(1)
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Consulting Agreement between the registrant and Richard Spencer
III, dated March 18, 2004.
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10
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.6**(1)
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Employment Letter Agreement between the registrant and Scott
Bromley, dated August 24, 2006.
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10
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.7(1)
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Lease Agreement between the registrant and Sawgrass Business
Plaza, LLC, as amended, dated November 14, 2006.
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10
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.8(1)
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Asset Purchase Agreement between the registrant and Advanced
Cardiovascular Systems, Inc., dated June 24, 2003.
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10
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.9(1)
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Conditionally Exclusive License Agreement between the
registrant, Dr. Peter Law and Cell Transplants
International, LLC, dated February 7, 2000, as amended.
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10
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.10(1)
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Intentionally Omitted
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10
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.11(1)
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Loan Guarantee, Payment and Security Agreement, dated as of
June 1, 2007, by and between the registrant, Howard J.
Leonhardt and Brenda Leonhardt
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10
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.12(1)
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Loan Guarantee, Payment and Security Agreement, dated as of
June 1, 2007, by and between the registrant and William P.
Murphy Jr., M.D.
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10
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.13(1)
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Loan Guarantee, Payment and Security Agreement, dated as of
June 1, 2007, by and between the registrant and the R&A
Spencer Family Limited Partnership
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10
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.14(1)
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Loan Guarantee, Payment and Security Agreement, dated as of
June 1, 2007, by and between the registrant and Magellan
Group Investments, LLC
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10
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.15(1)
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Loan Agreement, dated as of June 1, 2007, by and between
the registrant and Bank of America, N.A.
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10
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.16(1)
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Warrant to purchase shares of the registrants common stock
issued to Howard J. Leonhardt and Brenda Leonhardt
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10
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.17(1)
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Warrant to purchase shares of the registrants common stock
issued to Howard J. Leonhardt and Brenda Leonhardt
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10
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.18(1)
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Warrant to purchase shares of the registrants common stock
issued to William P. Murphy Jr., M.D.
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10
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.19(1)
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Warrant to purchase shares of the registrants common stock
issued to the R&A Spencer Family Limited Partnership
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10
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.20(1)
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Material Supply Agreement, dated May 10, 2007, by and
between the registrant and Biosense Webster
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II-4
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Exhibit
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Number
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Description
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10
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.21(1)
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Supply and License Agreement, dated June 7, 2007, by and
between the registrant and BioLife Solutions, Inc.***
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10
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.22(1)
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Warrant to purchase shares of the registrants common stock
issued to BlueCrest Capital Finance, L.P.
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10
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.23(1)
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Loan Guarantee, Payment and Security Agreement, dated as of
September 12, 2007, by and between the registrant and
Samuel S. Ahn, M.D.
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10
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.24(1)
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Loan Guarantee, Payment and Security Agreement, dated as of
September 12, 2007, by and between the registrant and Dan
Marino
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10
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.25(1)
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Warrant to purchase shares of the registrants common stock
issued to Samuel S. Ahn, M.D.
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10
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.26(1)
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Warrant to purchase shares of the registrants common stock
issued to Dan Marino
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10
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.27(1)
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Loan Guarantee, Payment and Security Agreement, dated as of
September 19, 2007, by and between the registrant and Jason
Taylor
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10
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.28(1)
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Warrant to purchase shares of the registrants common stock
issued to Jason Taylor
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10
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.29(2)
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Loan Guarantee, Payment and Security Agreement, dated as of
October 10, 2007, by and between the registrant and Howard
and Brenda Leonhardt
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10
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.30(2)
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Warrant to purchase shares of the registrants common stock
issued to Howard and Brenda Leonhardt
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10
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.31(2)
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Second Amendment to Loan Guarantee, Payment and Security
Agreement, dated as of October 10, 2007, by and between the
registrant and Howard and Brenda Leonhardt
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10
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.32(2)
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Second Amendment to Loan Guarantee, Payment and Security
Agreement, dated as of October 10, 2007, by and between the
registrant and William P. Murphy, Jr., M.D.
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14
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.1(1)
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Code of Ethics for Chief Executive Officer, Chief Financial
Officer, Chief Accounting Officer and persons performing similar
functions
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14
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.2(1)
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Code of Business Conduct and Ethics
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23
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.1(2)
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Consent of Grant Thornton LLP, Independent Registered Public
Accounting Firm
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23
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.2(1)
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Consent of Hunton & Williams LLP (See Exhibit 5.1).
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24
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.1(1)
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Power of Attorney (included on signature page)
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**
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Indicates management contract or compensatory plan.
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***
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Portions of this documents have been omitted and were filed
separately with the SEC on August 9, 2007 pursuant to a
request for confidential treatment.
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(1)
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Previously filed
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(2)
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Filed herewith
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(b) Schedules have been omitted because they are
inapplicable or the requested information is shown in our
financial statements or notes thereto.
The undersigned hereby undertakes to provide to the underwriters
at the closing specified in the underwriting agreement
certificates in such denominations and registered in such names
as required by the underwriters to permit prompt delivery to
each purchaser.
Insofar as indemnification for liabilities arising under the
Securities Act may be permitted to our directors, officers and
controlling persons pursuant to the provisions described in
Item 14 or otherwise, we have been advised that in the
opinion of the SEC such indemnification is against public policy
as expressed in the Securities Act, and is, therefore,
unenforceable. In the event that a claim for indemnification
against such liabilities (other than the payment by us of
expenses incurred or paid by one of our directors, officers, or
controlling persons in the successful defense of any action,
suit or proceeding) is asserted by such director, officer or
controlling person in connection with the securities being
registered hereunder, we will, unless in the opinion of our
counsel the matter has been settled by controlling precedent,
submit to a court of appropriate jurisdiction the question of
whether such indemnification by it is against public policy as
expressed in the Securities Act and will be governed by the
final adjudication of such issue.
II-5
We hereby undertake that:
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(1) For purposes of determining any liability under the
Securities Act, the information omitted from the form of
prospectus filed as part of this registration statement in
reliance upon Rule 430A and contained in a form of
prospectus filed by us pursuant to Rule 424(b)(1) or
(4) or 497(h) under the Securities Act shall be deemed to
be part of this Registration Statement as of the time it was
declared effective.
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(2) For the purpose of determining any liability under the
Securities Act, each post-effective amendment that contains a
form of prospectus shall be deemed to be a new registration
statement relating to the securities offered therein, and this
offering of such securities at that time shall be deemed to be
the initial
bona fide
offering thereof.
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II-6
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the
registrant has duly caused this registration statement to be
signed on its behalf by the undersigned, thereunto duly
authorized, in the city of Miami, in the County of Miami-Dade,
State of Florida, on the 11th day of October, 2007.
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William M. Pinon
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President and Chief Executive Officer
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Pursuant to the requirements of the Securities Act of 1933, this
Registration Statement has been signed by the following persons
in the capacities and on the dates indicated.
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Signature
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Title
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Date
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/s/
William M. Pinon
William
M. Pinon
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President, Chief Executive Officer
and Director
(principal executive officer)
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October 11, 2007
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/s/
William H. Kline
William
H. Kline
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Chief Financial Officer
(principal financial and accounting officer)
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October 11, 2007
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*
Howard
J. Leonhardt
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Executive Chairman and Chief Technology Officer
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October 11, 2007
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*
David
Gury
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Director
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October 11, 2007
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*
William
P. Murphy, Jr., M.D.
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Director
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October 11, 2007
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*
Richard
T. Spencer III
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Director
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October 11, 2007
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*
Linda
Tufts
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Director
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October 11, 2007
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*
Mike
Tomas
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Director
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October 11, 2007
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*
Peggy
Farley
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Director
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October 11, 2007
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Bruce
Carson
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Director
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October , 2007
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Sam
Ahn, M.D.
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Director
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October , 2007
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*By:
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/s/
William M. Pinon
William
M. Pinon
Attorney-in-Fact
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II-7
EXHIBIT INDEX
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Exhibit
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Number
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Description
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10.29
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Loan Guarantee, Payment and Security Agreement, dated as of
October 10, 2007, by and between the registrant and Howard
and Brenda Leonhardt
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10.30
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Warrant to purchase shares of the registrants common stock
issued to Howard and Brenda Leonhardt
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10.31
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Second Amendment to Loan Guarantee, Payment and Security
Agreement, dated as of October 10, 2007, by and between the
registrant and Howard and Brenda Leonhardt
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10.32
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Second Amendment to Loan Guarantee, Payment and Security
Agreement, dated as of October 10, 2007, by and between the
registrant and William P. Murphy, Jr., M.D.
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23.1
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Consent of Grant Thornton LLP, Independent Registered Public
Accounting Firm
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