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Wiki Wiki Summary
Phases of clinical research The phases of clinical research are the stages in which scientists conduct experiments with a health intervention to obtain sufficient evidence for a process considered effective as a medical treatment. For drug development, the clinical phases start with testing for safety in a few human subjects, then expand to many study participants (potentially tens of thousands) to determine if the treatment is effective.
Randomized controlled trial A randomized controlled trial (or randomized control trial; RCT) is a form of scientific experiment used to control factors not under direct experimental control. Examples of RCTs are clinical trials that compare the effects of drugs, surgical techniques, medical devices, diagnostic procedures or other medical treatments.
Adaptive clinical trial An adaptive clinical trial is a dynamic clinical trial that evaluates a medical device or treatment by observing participant outcomes (and possibly other measures, such as side-effects) on a prescribed schedule, and, uniquely, modifying parameters of the trial protocol in accord with those observations. This is in contrast to traditional randomized clinical trials (RCTs) that are static in their protocol and do not modify any parameters until the trial is completed.
Pragmatic clinical trial A pragmatic clinical trial (PCT), sometimes called a practical clinical trial (PCT), is a clinical trial that focuses on correlation between treatments and outcomes in real-world health system practice rather than focusing on proving causative explanations for outcomes, which requires extensive deconfounding with inclusion and exclusion criteria so strict that they risk rendering the trial results irrelevant to much of real-world practice.\n\n\n== Examples ==\nA typical example is that an anti-diabetic medication in the real world will often be used in people with (latent or apparent) diabetes-induced kidney problems, but if a study of its efficacy and safety excluded some subsets of people with kidney problems (to escape confounding), the study's results may not reflect well what will actually happen in broad practice.
Preregistration (science) Preregistration is the practice of registering the hypotheses, methods, and/or analyses of a scientific study before it is conducted. This can include analyzing primary data or secondary data.
Clinical trials on Ayurveda Clinical trials on Ayurveda refers to any clinical trials done on Ayurvedic treatment. Ayurveda is a traditional medicine system in India and like other cultural medical practices includes both conventional medicine and also complementary and alternative medicine.
Phase III offensive Phase III of the Tet offensive of 1968 (also known as the August offensive or Third offensive) was launched by the People's Army of Vietnam (PAVN) and Viet Cong (VC) from 17 August to 27 September 1968. The offensive was divided into two waves of attacks from 17 to 31 August 1968 and from 11 to 27 September of that same year.
Covaxin Kurt Donald Cobain (February 20, 1967 – c. April 5, 1994) was an American singer, songwriter and artist.
Bhadla Solar Park Bhadla Solar Park is the largest solar park in the world as of 2021, and is spread over a total area of 5,700 hectares (14,000 acres) in Bhadla, Phalodi tehsil, Jodhpur district, Rajasthan, India.The park has a total capacity of 2245 MW. The park had witnessed the lowest bid for solar power in India as of December 2020 at ₹2.44 (3.2¢ US) per kilowatt-hour. In September 2018, Acme Solar announced that it had commissioned India's cheapest solar power: 200 MW at Bhadla.
Regulation Regulation is the management of complex systems according to a set of rules and trends. In systems theory, these types of rules exist in various fields of biology and society, but the term has slightly different meanings according to context.
Technology Technology is the result of accumulated knowledge and application of skills, methods, and processes used in industrial production and scientific research. Technology is embedded in the operation of all machines, with or without detailed knowledge of their function, for the intended purpose of an organization.
Language technology Language technology, often called human language technology (HLT), studies methods of how computer programs or electronic devices can analyze, produce, modify or respond to human texts and speech. Working with language technology often requires broad knowledge not only about linguistics but also about computer science.
Information technology consulting In management, information technology consulting (also called IT consulting, computer consultancy, business and technology services, computing consultancy, technology consulting, and IT advisory) is a field of activity which focuses on advising organizations on how best to use information technology (IT) in achieving their business objectives.\nOnce a business owner defines the needs to take a business to the next level, a decision maker will define a scope, cost and a time frame of the project.
Bachelor of Technology A Bachelor of Technology (Latin Baccalaureus Technologiae, commonly abbreviated as B.Tech. or BTech; with honours as B.Tech.
Discovery Channel Discovery Channel (known as The Discovery Channel from 1985 to 1995, and often referred to as simply Discovery) is an American cable channel owned by Warner Bros. Discovery, a publicly traded company run by CEO David Zaslav.
Medication Meditation is a practice in which an individual uses a technique – such as mindfulness, or focusing the mind on a particular object, thought, or activity – to train attention and awareness, and achieve a mentally clear and emotionally calm and stable state.Meditation is practiced in numerous religious traditions. The earliest records of meditation (dhyana) are found in the Upanishads of Hindu philosophy, and meditation plays a salient role in the contemplative repertoire of Buddhism and Hinduism.
Pharmaceutics Pharmaceutics is the discipline of pharmacy that deals with the process of turning a new chemical entity (NCE) or old drugs into a medication to be used safely and effectively by patients. It is also called the science of dosage form design.
Pharmacy Pharmacy is the clinical health science that links medical science with chemistry and it is charged with the discovery, production, disposal, safe and effective use, and control of medications and drugs. The practice of pharmacy requires excellent knowledge of drugs, their mechanism of action, side effects, interactions, mobility and toxicity.
Teva Pharmaceuticals Teva Pharmaceutical Industries Ltd. (also known as Teva Pharmaceuticals) is an Israeli multinational pharmaceutical company with headquarters in Petah Tikva, Israel.
Pharmaceutical code Pharmaceutical codes are used in medical classification to uniquely identify medication. They may uniquely identify an active ingredient, drug system (including inactive ingredients and time-release agents) in general, or a specific pharmaceutical product from a specific manufacturer.
Sun Pharma Sun Pharmaceutical Industries Limited (d/b/a Sun Pharma) is an Indian multinational pharmaceutical company headquartered in Mumbai, Maharashtra, that manufactures and sells pharmaceutical formulations and active pharmaceutical ingredients (APIs) in more than 100 countries across the globe. It is largest pharma company in India and the fourth largest specialty generic pharmaceutical company in the world, with a total revenue of over US$4.5 billion as of June 2021.
Janssen Pharmaceuticals Janssen Pharmaceuticals is a pharmaceutical company headquartered in Beerse, Belgium, and wholly-owned by Johnson & Johnson. It was founded in 1953 by Paul Janssen.
Collaborative fiction Collaborative fiction is a form of writing by a group of authors who share creative control of a story.\nCollaborative fiction can occur for commercial gain, as part of education, or recreationally – many collaboratively written works have been the subject of a large degree of academic research.
Collaborative writing Collaborative writing, or collabwriting is a method of group work that takes place in the workplace and in the classroom. Researchers expand the idea of collaborative writing beyond groups working together to complete a writing task.
Raytheon Technologies Raytheon Technologies Corporation is an American multinational aerospace and defense conglomerate headquartered in Waltham, Massachusetts. It is one of the largest aerospace, intelligence services providers, and defense manufacturers in the world by revenue and market capitalization.
Renaissance Technologies Renaissance Technologies LLC, also known as RenTech or RenTec, is an American hedge fund based in East Setauket, New York, on Long Island, which specializes in systematic trading using quantitative models derived from mathematical and statistical analysis. Their signature Medallion fund is famed for the best record in investing history.
Lumen Technologies Lumen Technologies, Inc. (formerly CenturyLink) is an American \ntelecommunications company headquartered in Monroe, Louisiana, that offers communications, network services, security, cloud solutions, voice, and managed services.
Arrested Development Arrested Development is an American television sitcom created by Mitchell Hurwitz, which originally aired on Fox for three seasons from 2003 to 2006, followed by a two-season revival on Netflix from 2013 to 2019. The show follows the Bluths, a formerly wealthy dysfunctional family.
Sustainable development Sustainable development is an organizing principle for meeting human development goals while also sustaining the ability of natural systems to provide the natural resources and ecosystem services on which the economy and society depend. The desired result is a state of society where living conditions and resources are used to continue to meet human needs without undermining the integrity and stability of the natural system.
Development/For! Development/For! (Latvian: Attīstībai/Par!, AP!) is a liberal political alliance in Latvia.
Research and development Research and development (R&D or R+D), known in Europe as research and technological development (RTD), is the set of innovative activities undertaken by corporations or governments in developing new services or products, and improving existing ones. Research and development constitutes the first stage of development of a potential new service or the production process.
Management development Management development is the process by which managers learn and improve their management skills.\n\n\n== Background ==\nIn organisational development, management effectiveness is recognized as a determinant of organisational success.
Limited liability partnership A limited liability partnership (LLP) is a partnership in which some or all partners (depending on the jurisdiction) have limited liabilities. It therefore can exhibit elements of partnerships and corporations.
Legal liability In law, liable means "responsible or answerable in law; legally obligated". Legal liability concerns both civil law and criminal law and can arise from various areas of law, such as contracts, torts, taxes, or fines given by government agencies.
Risk Factors
These statements relate to future events or our future financial performance
In some cases, forward-looking statements can be identified by terminology such as “may, “should,” “could,” “expect,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “intend,” “potential” or “continue” or the negative of such terms or other comparable terminology
These statements are only expectations
We cannot assure our investors that our expectations and assumptions will prove to have been correct
We undertake no intention or obligation to update or revise any forward-looking statements, 17 ______________________________________________________________________ whether as a result of future events, new information or otherwise
Actual events or results may differ materially due to a number of factors, including those set forth in this section and elsewhere in this Form 10-K These factors include, but are not limited to, the risks set forth below
Risks Related to Our Development of DG031 The Phase III clinical trial for DG031 will require the recruitment of patients based on ethnicity and haplotype status; recruitment rates may be lower than we expect thus delaying the trial and hurting our commercial prospects
In our Phase III clinical trial for DG031, we will be testing the hypothesis whether African American patients who (a) carry the HapK haplotype in LTA4H and (b) have experienced a hospitalization and/or admission for procedures and testing for unstable angina or myocardial infarction will experience reduced rates of acute cardiovascular events when treated with DG031, as compared to placebo on top of concomitantly administered standard of care
In order to recruit a sufficient number of patients to obtain statistically significant evidence for the efficacy of DG031, we will require the participation of a large number of African American patients willing to be tested for haplotype status and to participate in the clinical trial for at least 12 months
Many factors outside our control may reduce the willingness of patients to be tested and participate in the clinical trial
If we fail to recruit a sufficient number of patients in a timely manner the trial may be delayed or we may fail to show the efficacy of the drug
This may delay or prevent the marketing approval of DG031, which could adversely impact our financial results and commercial prospects
We have only indirect evidence from biomarkers studies about the effectiveness of DG031 and this data may not be validated in the Phase III clinical trial
The data collected during the Phase I and Phase II clinical trials for DG031, which is the basis for our continuing development of this drug, does not provide evidence of whether DG031 will prove to be an effective treatment to reduce the rate of acute cardiovascular events in the prospective treatment population
In order to prove or disprove the validity of our assumption about the efficacy of DG031, we will have to conduct the Phase III trial, which will be of at least 36 months duration from the recruitment of the first patient, although the time may vary due to unforeseen circumstances
Various factors which we do or do not control may cause delays in the launch of the clinical trial or cause the trial to be lengthier or costlier than anticipated
Until data from the trial can be collected and analyzed we will not know whether DG031 is an effective treatment and regulatory review by the FDA will ultimately determine whether the drug gains marketing approval
The outcome of this process is uncertain and delays or failure to gain market approval could adversely impact our financial results and commercial prospects
Our patent protection for DG031 may provide marketing exclusivity for only a limited term
The patents we licensed from Bayer for DG031 expire in 2009 and 2012
While we will seek to obtain one or more use patents protecting our proprietary rights to specific uses of this compound for a longer period, we cannot be certain that we will obtain such patents or that they will adequately protect us
In addition, although we may seek to extend the term of one of the patents we licensed from Bayer and to obtain marketing exclusivity under the Hatch-Waxman Act and equivalent foreign statutes, we cannot be certain that we will be successful
Expiration of the patent(s) prior to regulatory approval may affect our ability to gain the full benefit of such possible term extension/marketing exclusivity
Further, even if regulatory approval is received before patent expiration, the US Patent and Trademark Office and/or FDA may not rule on our application for term extension in a timely manner
If we cannot obtain new patents or fully extend the term of patent protection under one of the patents we licensed from Bayer, the amount of revenues that we will be able to derive from an approved product based on these patents may be adversely affected
18 ______________________________________________________________________ Risks Related to Our Business We may not successfully develop or derive revenues from any products
We use our technology and research capabilities to identify genes and gene variations that contribute to certain diseases and then develop small molecule drugs that target proteins produced by these genes
Although we have identified genes that we believe are likely to cause certain diseases, we may not be correct and may not be successful in identifying any other similar genes or in developing drugs based on these discoveries
Many experts believe that some of the diseases we are targeting are caused by both genetic and environmental factors
Even if we identify specific genes that are partly responsible for causing diseases, any therapeutic or diagnostic products we develop as a result of our genetic work may not detect, prevent, treat or cure a particular disease
Any pharmaceutical or diagnostic products that we or our collaborators are able to develop will fail to produce revenues unless we: · establish that they are safe and effective; · successfully compete with other technologies and products; · ensure that they do not infringe on the proprietary rights of others; · establish that they can be manufactured in sufficient quantities at reasonable costs; · obtain and maintain regulatory approvals for them; and · can market them successfully
We may not be able to meet these conditions
We expect that it will be years, if ever, before we will recognize significant revenue from the development of therapeutic or diagnostic products
If we continue to incur operating losses longer than anticipated, or in amounts greater than anticipated, we may be unable to continue our operations
We incurred a net loss of dlra62dtta8 million, 57dtta3 million and dlra35dtta1 million for the years ended December 31, 2005, 2004 and 2003, respectively, and had an accumulated deficit of dlra450dtta2 million at December 31, 2005
We have never generated a profit and we have not generated revenues except for payments received in connection with our research and development collaborations with Roche, Merck and others, from contract services, Emerald BioSystems products and instruments, and under grants
Our research and development expenditures and general and administrative costs have exceeded our revenue to date, and we expect to spend significant additional amounts to fund research and development in order to enhance our core technologies and undertake product development (including drug development and related clinical trials)
We do not expect to receive royalties or other revenues from commercial sales of products developed using our technology in the near term
It may be several years before product revenues materialize, if they do at all
If the time required to generate product revenues and achieve profitability is longer than we currently anticipate or the level of losses is greater than we currently anticipate, we may not be able to continue our operations
19 ______________________________________________________________________ If our assumption about the role of genes in disease is wrong, we may not be able to develop useful products
The products we hope to develop involve new and unproven approaches
They are based on the assumption that information about genes may help scientists to better understand complex disease processes
Scientists generally have a limited understanding of the role of genes in diseases, and few products based on gene discoveries have been developed
Of the products that exist, all are diagnostic products
To date, we know of no therapeutic products based on disease-gene discoveries
If our assumption about the role of genes in the disease process is wrong, our gene discovery programs may not result in products
In order to conduct clinical trials and to market our drugs we will have to develop methods to produce these drugs using clinically approved methods and at commercially viable rates In order to conduct clinical trials we may need to contract with third parties in order to obtain sufficient amounts of our drugs
These contractors need to implement the necessary technology and obtain the necessary ingredients in order to produce the drugs to exacting standards set by us and the regulatory bodies
This is an uncertain and time consuming process and any disruption in it may delay or harm our ability to continue clinical development
For drugs which have reached the last stage of clinical trials we will have to develop methods to scale up the production of the drug at commercially viable rates, securing both a contractor or partner with the ability to implement this process and obtain a secure and economical supply of the necessary ingredients
If we are not able to scale the process in a timely manner or do not have the ability to produce the drug economically, we may not have the ability to enter the market with a viable product
This would harm our financial and commercial prospects
Clinical trials required for our product candidates or the products of our customers and partners are expensive and time-consuming, their outcome is uncertain and we may not achieve our projected development goals in the timeframes we have announced and expect
Before obtaining regulatory approvals for the commercial sale of any of our products under development, we must demonstrate through pre-clinical studies and clinical trials that the product is safe and effective for use in each target indication
Pre-clinical testing and clinical development are long, expensive and uncertain processes
It may take several years to complete testing for a product and failure can occur at any stage of testing
The length of time necessary to complete clinical trials varies significantly and may be difficult to predict
Factors that can cause delay or termination of our clinical trials include: · slower than expected patient enrollment due to the nature of the protocol, the proximity of patients to clinical sites, the eligibility criteria for the study, competition with clinical trials for other drug candidates or other factors; · lower than expected retention rates of patients in a clinical trial; · delayed approval of study protocol and pharmacogenomic components of studies by regulatory agencies in different countries, some of which are still developing policies with respect to pharmacogenomic testing; · inadequately trained or insufficient personnel at the study site to assist in overseeing and monitoring clinical trials; · delays in approvals or failure to obtain approval from the pertinent review boards or regulatory authorities; · longer treatment time required to demonstrate effectiveness or determine the appropriate product dose; · lack of sufficient supply of the product candidate; 20 ______________________________________________________________________ · adverse medical events or side effects in treated patients; · lack of effectiveness of the product candidate being tested; and · regulatory changes
Even if we obtain positive results from pre-clinical or clinical trials for a particular product, we may not achieve the same success in future trials of that product
In addition, some or all of the clinical trials we undertake may not demonstrate sufficient safety and efficacy to obtain the requisite regulatory approvals, which could prevent the creation of marketable products
Our product development costs will increase if we have delays in testing or approvals, if we need to perform more or larger clinical trials than planned or if our trials are not successful
Delays or termination of clinical trials that we conduct for our partners or customers may also harm our financial results as payments under these contracts may be delayed, reduced or curtailed
Co-development of therapeutic and diagnostic products may be required, and delays in the development and approval of a commercially available diagnostic may delay drug approval or impede market acceptance of the therapeutic product
The use of some of our therapeutic products may be dependent upon the selection of patients using both clinical and genetic markers
This may require co-development and clinical testing of the therapeutic drug and a related diagnostic product
In the United States, drug approval could be delayed until we successfully obtain FDA approval of the related diagnostic product
In addition, if the diagnostic test cannot be performed on a commercially viable basis, it may impede market acceptance of our approved therapeutic products
To successfully co-develop and market a drug and diagnostic we may also need to establish and maintain successful partnerships with manufacturing and marketing partners for diagnostic products
If necessary partnerships can not be established or maintained, the development of our therapeutics and/or diagnostics may be delayed or may fail
If we are not able to obtain sufficient additional funding to meet our capital requirements, we may be forced to reduce or terminate our research and product development programs
We have spent substantial amounts of cash to fund our research and development activities and expect to continue to spend substantial amounts for these activities over the next several years
We expect to use cash to collect, generate and analyze genotypic and disease data from volunteers in our disease-gene research programs; to conduct drug discovery and development activities (including clinical trials); and to continue other research and development activities
Many factors will influence our future capital needs, including: · the number, breadth and progress of our discovery and research programs; · our ability to attract customers; · our ability to commercialize our discoveries and the resources we devote to commercialization; · the amount we spend to enforce patent claims and other intellectual property rights; and · the costs and timing of regulatory approvals
We have relied on, and may continue to rely on, revenues generated by our corporate alliances and fee-paying customers for significant funding of our research efforts
Historically, a substantial portion of our revenue has been derived from contracts with a limited number of significant customers
Our largest partner, Roche, accounted for approximately 23prca, 30prca and 43prca of our consolidated revenue in the years ended December 31, 2005, 2004 and 2003, respectively
Revenue under our alliances with Merck 21 ______________________________________________________________________ accounted for approximately 15prca, 22prca and 18prca of our consolidated revenue in the years ended, December 31, 2005, 2004 and 2003, respectively
During the year ended December 31, 2005, divisions of the NIH represented 13prca of our consolidated revenue
Work under the Merck obesity agreement and the Roche 2002 agreement has been substantially completed, and this may significantly lower our revenues and affect the resources available to support our drug discovery programs, which will increase our need for additional funding
In addition, we may seek additional funding through public or private equity offerings and debt financings
We may not be able to obtain additional financing when we need it or the financing may not be on terms favorable to us or our stockholders
Stockholders’ ownership will be diluted if we raise additional capital by issuing equity securities
If we raise additional funds through collaborations and licensing arrangements, we may have to relinquish rights to some of our technologies or product candidates, or grant licenses on unfavorable terms
If adequate funds are not available, we would have to scale back or terminate our discovery and research programs and product development
The commercial success of any products that we may develop will depend upon the degree of market acceptance among physicians, patients, healthcare payors and the medical community
Any products that we may develop may not gain market acceptance among physicians, patients, healthcare payors and the medical community
If these products do not achieve an adequate level of acceptance, we may not generate material product revenues and we may not become profitable
The degree of market acceptance of any of our product candidates, if approved for commercial sale, will depend on a number of factors, including: · demonstration of efficacy and safety in clinical trials; · the prevalence and severity of any side effects; · potential or perceived advantages over alternative treatments; · the timing of market entry relative to competitive treatments; · the ability to offer our product candidates for sale at competitive prices; · relative convenience and ease of administration; · the strength of marketing and distribution support; · sufficient third party coverage or reimbursement; and · the product labeling or product insert required by the FDA or regulatory authorities in other countries
If we cannot successfully develop a marketing and sales force or maintain suitable arrangements with third parties to market and sell our products, our ability to deliver products may be impaired
We currently have no experience in marketing or selling pharmaceutical products
In order to achieve commercial success for any approved product, we must either develop a marketing and sales force, which will require substantial additional funds and personnel, or, where appropriate or permissible, enter into arrangements with third parties to market and sell our products
We might not be successful in developing marketing and sales capabilities
Further, we may not be able to enter into marketing and sales agreements with others on acceptable terms, and any such arrangements, if entered into, may be terminated
If we develop our own marketing and sales capability, it will compete with other companies that currently have experienced, well-funded and larger marketing and sales operations
To the extent that we enter into co- 22 ______________________________________________________________________ promotion or other sales and marketing arrangements with other companies, revenues will depend on the efforts of others, which may not be successful
If we cannot successfully form and maintain suitable arrangements with third parties for the manufacturing of the products we may develop, our ability to develop or deliver products may be impaired
We have no experience in manufacturing products for commercial purposes and do not have manufacturing facilities that can produce sufficient quantities of drugs for large scale clinical trials
Accordingly, we must either develop such facilities, which will require substantial additional funds, or rely on contract manufacturers for the production of products for development and commercial purposes
In order to conduct our currently planned Phase III clinical trial of DG031, we will have to contract with third parties to manufacture a sufficient supply of the drug for the trial and to produce tablets containing DG031 in amounts sufficient for the clinical trial
While we have signed contracts with suppliers for the production of DG031 material and tablets for the planned launch of our Phase III clinical trial, we have not received the finished drug tablets, and we may fail to secure sufficient supply of the drug in a timely manner over the duration of the trial
The manufacture of our products for clinical trials and commercial purposes is subject to Good Manufacturing Practices (cGMP) regulations promulgated by the FDA The manufacture of diagnostic products is subject to the FDA’s quality system requirements (QSR)
In the event that we are unable to develop satisfactory manufacturing facilities or obtain or retain third party manufacturing for our products, we will not be able to commercialize such products as planned
We may not be able to enter into agreements for the manufacture of future products with manufacturers whose facilities and procedures comply with cGMP, QSR and other regulatory requirements
Our current dependence upon others for the manufacture of our products may adversely affect our ability to develop and deliver such products on a timely and competitive basis and, in the longer term, the profit margin, if any, on the sale of future products and our ability to develop and deliver such products on a timely and competitive basis
Our reliance on the Icelandic population may limit the applicability of our discoveries to certain populations
The genetic make-up and prevalence of disease generally varies across populations around the world
Common complex diseases generally occur with a similar frequency in Iceland and other European populations
However, the populations of other nations may be genetically predisposed to certain diseases because of mutations not present in the Icelandic population
As a result, we and our partners may be unable to develop diagnostic and therapeutic products that are effective on all or a portion of people with such diseases
For our business to succeed, we must be able to apply discoveries that we make on the basis of the Icelandic population to other markets
If a substantial portion of participants in our genetics research studies withdraw their informed consent, our ongoing research may suffer
We depend on the willingness of Icelandic volunteers to participate in our genetics research studies
All of the participants in our genetic studies have signed an informed consent form, which gives deCODE permission to process data and blood samples that the participant has donated for research purposes
Participants may at any time revoke this permission by withdrawing their consent
If, for any reason, a substantial portion of participants in our studies were to withdraw their consent, we would not be able to continue population genetic research in some or all of the diseases that we are studying
This would diminish our ability to discover new drug targets and to develop products based on these discoveries
If our ability to use population genetic data is impaired, we may also not be able to fulfill some contractual obligations with our partners
23 ______________________________________________________________________ If we fail to protect confidential data adequately, we could incur a liability
Under laws and regulations in force in Iceland, including applicable European laws, directives and regulations, all information on individuals that is used in our population research is anonymized under the protocols and supervision of the Data Protection Authority of Iceland
If we fail to comply with these laws and regulations, we could lose public support for participation in our research and we could be liable to legal action
Any failure to comply fully with all confidentiality requirements could lead to liability for damages incurred by individuals whose privacy is violated, the loss of our customers and reputation and the loss of the goodwill and participation of the Icelandic population, including healthcare professionals
These eventualities could materially adversely affect our work in Iceland
Some parts of our product development services create a risk of liability from clinical trial participants and the parties with whom we contract
Through our wholly owned subsidiary Encode, we conduct clinical trials of products we are developing and contract with drug companies and clinical research organizations to perform a wide range of services to assist them in bringing new drugs to market
Our services include: · supervising clinical trials; · data and laboratory analysis; · patient recruitment; and · acting as investigators in conducting clinical trials
If, in the course of these trials or activities, · we do not perform our services to contractual or regulatory standards; · we fail to obtain permission to conduct trials from the appropriate authorities in Iceland; · patients or volunteers suffer personal injury caused by or death from adverse reactions to the test drugs or otherwise; · there are deficiencies in the professional conduct of the investigators with whom we contract; · our laboratories inaccurately report or fail to report lab results; or · our informatics products violate rights of third parties, then we could be held liable for these eventualities by the regulatory agencies or the drug companies and clinical research organizations with whom we contract or by study participants
We maintain product liability insurance for claims arising from the use of products we are developing in clinical trials conducted by Encode and are covered by the product liability insurance of the drug companies and clinical research organizations for whom we provide clinical trial services for claims arising from the use of their products in such trials
Such insurance may be inadequate and in any event would not cover the risk of a customer deciding not to do business with us as a result of poor performance or claims for a customer’s financial loss as the result of our failure to perform our contractual obligations properly
Use of therapeutic or diagnostic products developed as a result of our programs may result in product liability claims for which we have inadequate insurance
The users of any therapeutic or diagnostic products developed by us or our collaborators as a result of our discovery or research programs (including participants in our clinical trials) may bring product liability claims against us
Except as described above with respect to clinical trials conducted by Encode, we currently do not carry liability insurance to cover such claims (although we expect to obtain such insurance 24 ______________________________________________________________________ for our Phase III trial of DG031)
We are not certain that we or our collaborators will be able to obtain such insurance or, if obtained, that sufficient coverage can be acquired at a reasonable cost
If we cannot protect against potential liability claims, we or our collaborators may find it difficult or impossible to commercialize products
Our fee-for-service work bears certain risks of liability to our customers
Our subsidiaries, deCODE chemistry, Inc, deCODE biostructures, Inc, and Emerald Biosystems, Inc, provide services, equipment and products (including software) for third party customers who pay us on a fee-for-service or product basis
In this function, we often synthesize compounds, manufacture Active Pharmaceutical Ingredient (API) material and provide recommendations for research direction for our customers
We also provide contract research services in X-ray crystallographic structure determination of protein-ligand complexes for customers, and often recommend targets to customers based on these determinations
In addition, we sell instruments and software to these customers
We may be liable to our customers for damages if we perform such services negligently or with willful misconduct, or if we provide customers with defective products, equipment or software
We also may be held liable for failure to meet specifications or failure to comply with other contractual conditions
While our agreements with customers limit our liability and while we carry general commercial liability insurance, such contractual limitations may not be effective in the event of our material breach of the agreements, gross negligence, or willful misconduct and such insurance may not be adequate
We also supply compounds for clinical trials conducted by our customers
In doing so, we may provide materials requiring certification of compliance with cGMP regulations applicable to production of such materials
If we are found not to have complied with such requirements, we may incur liabilities related to such failures
If participants in these trials suffer personal injury or death from adverse reactions to the test drugs, we could be held liable to our customers or the participants
We maintain product liability insurance for claims arising from the use of products we supply
However, such insurance may be inadequate
Failure to perform to customer expectation also may limit future business from our existing customers, or could result in the holdback of certain payments due to us
We integrate software and products purchased or licensed from third parties suppliers into certain of our products, equipment and software sold to our customers
While we evaluate such items for defects and possible intellectual property infringement issues, and attempt to obtain contractual protections from suppliers, in the event any such items purchased or licensed from suppliers are defective or violate intellectual property rights of third parties, we may not be able to fully recover any of our damages or our customers’ damages from suppliers of such items
Our facilities where work for customers is conducted are subject to audits by the FDA and by customers
In the event we are found in non-compliance by the FDA, there is a risk that such facility may be subject to corrective measures up to and including the closure of the facility
Such closure would have impact on our ability to meet customer obligations as well as obligations relating to our internal programs
Customer audits may lead to disputes regarding compliance with contractual terms, which could lead to potential disputes and/or liabilities as described above
In addition, we typically have the obligation to maintain the confidentiality of proprietary information of our customers
While we have systems in place to ensure that such confidentiality is protected, we do conduct work on our internal projects at the same facilities where we work for our customers; therefore, there is an increased risk that customers may claim that we have violated our confidentiality obligations or used their proprietary information in our proprietary projects
Increased leverage as a result of our convertible debt may harm our financial condition and results of operations
On December 31, 2005, we had dlra158dtta6 million of outstanding debt as reflected in our balance sheet
We may incur additional indebtedness in the future and our outstanding 3dtta5prca Senior Convertible Notes 25 ______________________________________________________________________ (the “Notes”) do not restrict our future issuance of indebtedness
Our level of indebtedness will have several important effects on our future operations, including, without limitation: · a portion of our cash flow from operations will be dedicated to the payment of any interest required with respect to outstanding indebtedness; · increases in our outstanding indebtedness and leverage will increase our vulnerability to adverse changes in general economic and industry conditions, as well as to competitive pressure; and · depending on the levels of our outstanding debt, our ability to obtain additional financing for working capital, capital expenditures, general corporate and other purposes may be limited
Our ability to make payments of principal and interest on our indebtedness depends upon our future performance, which will be subject to the success of our development and commercialization of new pharmaceutical products, general economic conditions, industry cycles and financial, business and other factors affecting our operations, many of which are beyond our control
If we are not able to generate sufficient cash flow from operations in the future to service our debt, we may be required, among other things: · to seek additional financing in the debt or equity markets; · to refinance or restructure all or a portion of our indebtedness, including the Notes; · to sell selected assets; or · to reduce or delay expenditures on planned activities, including but not limited to clinical trials, and development and commercialization activities
Such measures might not be sufficient to enable us to service our debt
In addition, any such financing, refinancing or sale of assets might not be available on economically favorable terms
We may be unable to hire and retain the key personnel upon whom our success depends
We depend on the principal members of our management and scientific staff, including Dr
We have not entered into agreements with any of these people that bind them to a specific period of employment
If any of these people leave, our ability to conduct our operations may be negatively affected
Our future success also will depend in part on our ability to attract, hire and retain additional personnel
There is intense competition for such qualified personnel and we cannot be certain that we will be able to continue to attract and retain such personnel
Currency fluctuations may negatively affect our financial condition
We primarily expend or generate cash in US dollars, our functional currency
We also publish our consolidated financial statements in US dollars
Currency fluctuations can affect our financial results because a portion of our cash reserves, our debt and our operating costs are in Icelandic kronas
A fluctuation of the exchange rates of the Icelandic krona against the US dollar can thus adversely affect the “buying power” of our cash reserves and revenues
Most of our long-term liabilities are US dollar denominated
However, we may enter into hedging transactions if we have substantial foreign currency exposure in the future
We may have increased exposure as a result of investments or payments from collaborative partners
Our contracts may terminate upon short notice
This means that our contracts could be terminated for numerous reasons, any of which may be beyond our control such as a 26 ______________________________________________________________________ reduction or reallocation of a customer’s research and development budget or a change in a customer’s overall financial condition
The loss of a large contract or multiple smaller contracts, or a significant decrease in revenue derived from a contract, could significantly reduce our profitability and require us to reallocate under-utilized physical and professional resources
Risks Related to Our Collaborative Relationships If we are unable to form and maintain the collaborative relationships that our business strategy requires, our programs will suffer and we may not be able to develop products
Our strategy for developing products and deriving revenues from them is dependent, in part, upon our ability to enter into collaborative arrangements with research collaborators, corporate partners and others
We may rely on these arrangements both to provide funding necessary to our product development and to obtain goods and services that we require for our product development
We do not have the capacity to conduct large scale Phase III clinical trials and will rely on partnerships or third party contractors to conduct our Phase III trials, including our currently planned Phase III trial of DG031
We will rely on these third parties to provide us with clinical material for the trial and various services necessary to organize and conduct a multi-center, multinational study, as well as other goods and services
We have not entered into contracts for all goods and services required for the Phase III trial of DG031 at this time
Our arrangement for this and other Phase III trials will be subject to risks described below, with respect to our collaborative relationships
If our collaborations are not successful or if we are not able to manage multiple collaborations successfully, our programs may suffer
If we increase the number of collaborations, it will become more difficult to manage the various collaborations successfully and the potential for conflicts among the collaborators as to rights to the technology and products generated under work conducted with us will increase
Dependence on collaborative relationships may lead to delays in product development, product defects and disputes over rights to technology
We have formed, and may in the future form additional, collaborative relationships (including relationships with clinical research organizations to conduct clinical trials on our behalf) that will, in some cases, make us dependent on collaborators for the pre-clinical studies and/or clinical trials and for regulatory approval of any products that we are developing
Failure of such collaborators to perform under these agreements properly in a timely manner, or at all, may lead to delays in our product development
In addition, if participants in the trials conducted by our collaborators suffer personal injury or death as a result of actions of the collaborators, we could be held liable
In some cases, our agreements with collaborators typically allow them significant discretion in electing whether and how to pursue such activities
We cannot control the amount and timing of resources collaborators will devote to these programs or potential products
Our collaborators may stop supporting our products or providing services to us if they develop or obtain rights to competing products
Disputes may arise in the future over the ownership of rights to any technology developed with collaborators
These and other possible disagreements between our collaborators and us could lead to delays in the collaborative research, development or commercialization of products
Such disagreements could also result in litigation or require arbitration to resolve
27 ______________________________________________________________________ Risks Related to Our Industry Concerns regarding the use of genetic testing results may limit the commercial viability of any products we develop
Other companies have developed genetic predisposition tests that have raised ethical concerns
It is possible that employers or others could discriminate against people who have a genetic predisposition to certain diseases
Concern regarding possible discrimination may result in governmental authorities enacting restrictions or bans on the use of all, or certain types of, genetic testing
Similarly, such concerns may lead individuals to refuse to use genetic tests even if permissible
These factors may limit the market for, and therefore the commercial viability of, products that our collaborators and/or we may develop
We may not be able to compete successfully with other companies and government agencies in the development and marketing of products and services
A number of companies are attempting to rapidly identify and patent genes that cause diseases or an increased susceptibility to diseases
Competition in this field and our other areas of business, including drug discovery and development, is intense and is expected to increase
We have numerous competitors, including major pharmaceutical and diagnostic companies, specialized biotechnology firms, universities and other research institutions, and other government-sponsored entities and companies providing healthcare information products
Our collaborators, including Roche and Merck, may also compete with us
Many of our competitors, either alone or with collaborators, have considerably greater capital resources, research and development staffs and facilities, and technical and other resources than we do, which may allow them to discover important genes or develop drugs based on such discoveries before we do
We believe that a number of our competitors are developing competing products and services that may be commercially successful and that are further advanced in development than our potential products and services
To succeed, we, together with our collaborators, must discover disease-predisposing genes, characterize their functions, develop genetic tests or therapeutic products and related information services based on such discoveries, obtain regulatory and other approvals, and launch such services or products before competitors
Even if we or our collaborators are successful in developing effective products or services, our products and services may not successfully compete with those of our competitors, including cases where the competing drugs use the same mechanism of action as our products
Our competitors may succeed in developing and marketing products and services that are more effective than ours or that are marketed before ours
Competitors have established, and in the future may establish, patent positions with respect to gene sequences related to our research projects
Such patent positions or the public availability of gene sequences comprising substantial portions of the human genome could decrease the potential value of our research projects and make it more difficult for us to compete
We may also face competition from other entities in gaining access to DNA samples used for research and development purposes
Our competitors may also obtain patent protection or other intellectual property rights that could limit our rights, or our customers’ ability, to use our technologies or databases, or commercialize therapeutic or diagnostics products
In addition, we face, and will continue to face, intense competition from other companies for collaborative arrangements with pharmaceutical and biotechnology companies, for establishing relationships with academic and research institutions and for licenses to proprietary technology
We expect competition to intensify as technical advances are made and become more widely known
Our future success will depend in large part on maintaining a competitive position in the genomic field
Rapid technological development may result in products or technologies becoming obsolete before we recover the expenses we incur in developing them
Our ability to compete successfully will depend, in part, on our ability, and that of our collaborators, to: · develop proprietary products; 28 ______________________________________________________________________ · develop and maintain products that reach the market first, and are technologically superior to, and more cost effective than, other products on the market; · obtain patent or other proprietary protection for our products and technologies; · attract and retain scientific and product development personnel; · obtain required regulatory approvals; and · manufacture, market and sell products that we develop
Changes in outsourcing trends and economic conditions in the pharmaceutical and biotechnology industries could adversely affect our growth
Economic factors and industry trends that affect our primary customers, pharmaceutical and biotechnology companies, also affect our business
For example, the practice of many companies in these industries has been to outsource to organizations like us the conduct of genetic research, clinical research, sales and marketing projects and chemistry and structural biology research and development projects
If these industries reduce their present tendency to outsource those projects, our operations, financial condition and growth rate could be materially and adversely affected
These alliances and arrangements are both time consuming and complex and we face substantial competition in establishing these relationships
In addition, our ability to generate new business could be impaired by general economic downturns in our customers’ industries
We have experienced increasing pressure on the part of our customers to reduce expenses, including the use of our services as a result of negative economic trends generally and in the pharmaceutical industry
If pharmaceutical and biotechnology companies discontinue or decrease their usage of our services, for example, as a result of an economic slowdown or increased competition from outsourcing companies in India and China, our revenues and earnings could be lower than we expect, and our revenues may decrease or not grow at historical rates
If regulatory approvals for products resulting from our gene discovery programs are not obtained, we will not be able to derive revenues from these products
Government agencies must approve new drugs and diagnostic products in the countries in which they are to be marketed
We cannot be certain that we can obtain regulatory approval for any drugs or diagnostic products resulting from our gene discovery programs
The regulatory process can take many years and require substantial resources
Because some of the products likely to result from our disease research programs involve the application of new technologies and may be based upon a new therapeutic approach, various government regulatory authorities may subject such products to substantial additional review
As a result, these authorities may grant regulatory approvals for these products more slowly than for products using more conventional technologies
Furthermore, regulatory approval may impose limitations on the use of a drug or diagnostic product
Even if a product is approved for marketing, it and its manufacturer must undergo continuing review
Discovery of previously unknown problems with a product may require the performance of additional clinical trials or the change of the labeling of the product and may have adverse effects on our business, financial condition and results of operations, including withdrawal of the product from the market
Third party reimbursement and health care reform policies may reduce market acceptance of our products
Our success will depend in part on the price and extent to which we will be paid for our products by government and health administration authorities, private health insurers and other third party payers
Reimbursement for newly approved healthcare products is uncertain
Third party payers, including Medicare in the United States, are increasingly challenging the prices charged for medical products and services
They are increasingly attempting to contain healthcare costs by limiting both coverage and the level of reimbursement for new therapeutic products
We cannot be certain that any third party insurance coverage will be available to patients for any products we discover or develop
If third party payers do not 29 ______________________________________________________________________ provide adequate coverage and reimbursement levels for our products, the market acceptance of these products may be materially reduced
Numerous governments have undertaken efforts to control growing healthcare costs through legislation, regulation and voluntary agreements with medical care providers and pharmaceutical companies
If cost containment efforts limit the profits that can be derived from new drugs, our customers may reduce their research and development spending which could reduce the business they outsource to us
Our corporate compliance program cannot guarantee that we are in compliance with all applicable federal and state regulations in the United States, Iceland, the European Union and elsewhere
The development, manufacturing, distribution, pricing, sales, marketing and reimbursement of our products, together with our general operations are subject to extensive federal and state regulations in the United States and national or supra-national laws and regulations in Europe and other parts of the world
While we have developed and instituted a corporate compliance program based on current best practices, we cannot assure you that we or our employees are or will be in compliance with all potentially applicable federal and state regulations and/or laws
If we fail to comply with any of these regulations and/or laws, a range of actions could result, including, but not limited to, the termination of clinical trials, the failure to approve a product candidate, restrictions on our products or manufacturing processes, including withdrawal of our products from the market, significant fines, exclusion from government healthcare programs or other sanctions or litigations
Our operations involve a risk of injury or damage from hazardous materials, and if an accident were to occur, we could be subject to costly and damaging liability claims
In the course of our work, we handle and produce hazardous materials and chemicals as well as compounds which may have known or unknown characteristics such as toxicity and reactivity with other compounds
Although we have systems in place to manage such compounds and their characteristics, the risk of accidental contamination or injury from these materials cannot be completely eliminated
Any such contamination or injury could result in negative effects to our personnel or facilities, which could lead to liabilities as well as impacting our ability to meet customer obligations and conduct our internal programs
Risks Related to Our Intellectual Property We may not be able to protect the proprietary rights that are critical to our success
Our success will depend in part on our ability to protect our products, our genealogy database and genotypic data and any other proprietary databases that we develop and our proprietary software and other proprietary methods and technologies
Despite our efforts to protect our proprietary rights, unauthorized parties may be able to obtain and use information that we regard as proprietary
While we require employees, business partners, academic collaborators and consultants to enter into confidentiality agreements, there can be no assurance that proprietary information will not be disclosed, that others will not independently develop substantially equivalent proprietary information and techniques, otherwise gain access to our trade secrets or disclose such technology, or that we can meaningfully protect our trade secrets
Our commercial success will depend in part on obtaining patent protection
The patent positions of pharmaceutical, biopharmaceutical and biotechnology companies, including deCODE, are generally uncertain and involve complex legal and factual considerations that are constantly evolving
We cannot be sure that: · any of our pending patent applications will result in issued patents; · we will develop additional proprietary technologies that are patentable; 30 ______________________________________________________________________ · any patents issued to us or our partners will provide a basis for commercially viable products, will provide us with any competitive advantages or will not be challenged by third parties; or · the patents of others will not have an adverse effect on our ability to do business
If we are unable to obtain patent protection for our technology or discoveries, the value of our proprietary resources may be adversely affected
In addition, patent law relating to the scope of claims in the area of genetics and gene discovery is still evolving and subject to uncertainty, including in areas important to us such as patenting of discoveries for the development of therapeutic methods, diagnostic methods and products that predict inherited susceptibility to diseases and diagnostic methods and products that predict drug response and disease progression
Accordingly, the degree of future protection for our proprietary rights is uncertain and, we cannot predict the breadth of claims allowed in any patents issued to us or others
We could also incur substantial costs in litigation if we are required to defend ourselves in patent suits brought by third parties or if we initiate such suits to enforce our own patents against potential infringers
Others may have filed and in the future are likely to file patent applications covering products or technology that are similar or identical to our products and technology
The fact that patent applications of others may not publish until they issue as patents in the US, or are not published until 18 months after filing in the US and other jurisdictions may have adverse effect on our own patent filings and business, particularly if they claim subject matter similar to that of our clinical programs
In addition, others may develop competitive products outside the protection that may be afforded by the claims of our patents
We cannot be certain that our patent applications will have priority over any patent applications of others
The mere issuance of a patent does not guarantee that it is valid or enforceable; thus even if we are holding or are granted patents, we cannot be sure that they would be valid and enforceable against third parties
Any legal action against us or our partners claiming damages and seeking to enjoin commercial activities relating to the affected products and processes could, in addition to subjecting us to potential liability for damages, require us or our partners to obtain a license in order to continue to manufacture or market the affected products and processes
There can be no assurance that we or our partners would prevail in any action or that any license required under any patent would be made available on commercially acceptable terms, if at all
If licenses are not available, we or our partners may be required to cease marketing our products or practicing our methods
If expressed sequence tags, SNPs, or other sequence information become publicly available before we apply for patent protection on a corresponding full-length or partial gene, our ability to obtain patent protection for those genes or gene sequences could be adversely affected
In addition, other parties are attempting to rapidly identify and characterize genes through the use of SNP genotyping, gene expression analysis and other technologies
If any patents are issued to other parties on these partial or full-length genes or gene products or uses for such genes or gene products, the risk increases that the sale of our or our collaborators’ potential products or processes may give rise to claims of patent infringement
The amount of supportive data required for issuance of patents for human therapeutics is highly uncertain
If more data than we have available is required, our ability to obtain patent protection could be delayed or otherwise adversely affected
Even with supportive data, the ability to obtain patents is uncertain in view of evolving examination guidelines, such as the utility and written description guidelines that the US Patent and Trademark Office has adopted
Our patent applications covering DG041, DG051 and DG061 have not issued yet as patents
The most important compounds that we have currently in pre-clinical and clinical development and we have discovered ourselves are DG041, DG051 and DG061
We have filed composition of matter-type patent applications covering the compounds in the US However, these patent applications are in the early stages of patent prosecution before the United States Patent and Trademark Office (USPTO) and we have 31 ______________________________________________________________________ no certainty or indication from the USPTO that these patent applications will issue as patents
The USPTO is currently facing considerable backlog for examining pending patent applications so considerable time may elapse before we will have more certainty as to the patentability of the compounds
Should the USPTO ultimately reject our patent applications covering DG041, DG051 or DG061, or should others have filed or obtained issued patent covering the same, the value and potential of these programs for our business would be adversely affected
Any patent protection we obtain for our products may not prevent marketing of similar competing products
Patents on our products may not prevent our competitors from designing around and developing similar compounds or compounds with similar modes of action that may compete successfully with our products
Such third party compounds may prove to be superior to our products or gain wider market acceptance and thus adversely affect any revenue stream that we could otherwise expect from sales of our products
Any patents we obtain may be challenged by producers of generic drugs
Patents covering innovative drugs, which are also commonly referred to as “branded drugs” or “pioneer drugs,” face increased scrutiny and challenges in the courts from manufacturers of generic drugs who may receive benefits such as limited marketing co-exclusivity if the challenge is successful
Such patent challenges typically occur when the generic manufacturer files an Abbreviated New Drug Application with the FDA and asserts that the patent or patents covering the branded drug are invalid or unenforceable, forcing the owner or licensee of the branded drug to file suit for patent infringement
If any patents we obtain covering our pharmaceutical products are subject to such successful patent challenges, our marketing exclusivity may be eliminated or reduced in time, which would thus adversely affect any revenue stream that we could otherwise expect from sales of our products
Risks Related to Investing in Our Stock Future sales of common stock may dilute our stockholders
We may sell common stock in the future in one or more transactions at prices and in a manner we determine from time to time
If we sell common stock in more than one transaction, existing stockholders who previously purchased stock may be materially diluted by subsequent sales of common stock
The price of our common stock is volatile and the market value of your investment may decrease
The market prices for common stock of biotechnology and pharmaceutical companies, including ours, have historically been highly volatile, and the market has from time to time experienced significant price and volume fluctuations that are unrelated to the actual performance of particular companies
In addition to the various risks described elsewhere in this Form 10-K, the following factors could have an adverse effect on the market price of our common stock: · fluctuations in our operating results; · announcement of technological innovations or new therapeutic products by us or others; · clinical trial results; · developments concerning agreements with collaborators; · actual or threatened litigation; · governmental regulation and regulatory actions; · changes in patent laws; · developments concerning patent or other proprietary rights; · public concern as to the safety of drugs developed by us or others; 32 ______________________________________________________________________ · future sales of substantial amounts of common stock by existing stockholders; and · general market conditions and economic and other external factors, including disasters, wars and other crises
We may issue preferred stock with rights that could affect your rights and prevent a takeover of the business
Our board of directors has the authority, without further approval of our stockholders, to fix the rights and preferences, and to issue up to 6cmam716cmam666 shares of preferred stock
In addition, Delaware corporate law imposes limitations on certain business combinations
These provisions could, under certain circumstances, delay or prevent a change in control of deCODE and, accordingly, could adversely affect the price of our common stock
We currently do not intend to pay dividends on our common stock and consequently, your only opportunity to achieve a return on your investment is if the price of our common stock appreciates
We currently do not plan to pay dividends on shares of our common stock in the near future
Consequently, your only opportunity to achieve a return on your investment in our company will be if the market price of our common stock appreciates