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Wiki Wiki Summary
Estradiol (medication) Estradiol (E2) is a medication and naturally occurring steroid hormone. It is an estrogen and is used mainly in menopausal hormone therapy and to treat low sex hormone levels in women.
Polysorbate 80 Polysorbate 80 is a nonionic surfactant and emulsifier often used in pharmaceuticals, foods, and cosmetics. This synthetic compound is a viscous, water-soluble yellow liquid.
Graceway Pharmaceuticals Graceway Pharmaceuticals was a USA LLC based in Tennessee.
Estradiol valerate Estradiol valerate (EV), sold for use by mouth under the brand name Progynova and Primiwal E4 and for use by injection under the brand names Delestrogen and Progynon Depot among others, is an estrogen medication. In women, it is used in hormone therapy for menopausal symptoms and low estrogen levels, hormone therapy for transgender women, and in hormonal birth control.
Pharmacokinetics of estradiol The pharmacology of estradiol, an estrogen medication and naturally occurring steroid hormone, concerns its pharmacodynamics, pharmacokinetics, and various routes of administration.Estradiol is a naturally occurring and bioidentical estrogen, or an agonist of the estrogen receptor, the biological target of estrogens like endogenous estradiol. Due to its estrogenic activity, estradiol has antigonadotropic effects and can inhibit fertility and suppress sex hormone production in both women and men.
Estradiol cypionate Estradiol cypionate (EC), sold under the brand name Depo-Estradiol among others, is an estrogen medication which is used in hormone therapy for menopausal symptoms and low estrogen levels in cis women, in hormone therapy for trans women, and in hormonal birth control for cis women. It is given by injection into muscle once every 1 to 4 weeks.Side effects of estradiol cypionate include breast tenderness, breast enlargement, nausea, headache, and fluid retention.
Estradiol benzoate Estradiol benzoate (EB), sold under the brand name Progynon-B among others, is an estrogen medication which is used in hormone therapy for menopausal symptoms and low estrogen levels in women, in hormone therapy for transgender women, and in the treatment of gynecological disorders. It is also used in the treatment of prostate cancer in men.
List of drugs: Eq–Es This multi-page article lists pharmaceutical drugs alphabetically by name. Many drugs have more than one name and, therefore, the same drug may be listed more than once.
List of estrogens available in the United States This is a complete list of estrogens and formulations that are approved by the FDA and available in the United States. Estrogens are used as hormonal contraceptives, in hormone replacement therapy, and in the treatment of gynecological disorders.
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.
Software development Software development is the process of conceiving, specifying, designing, programming, documenting, testing, and bug fixing involved in creating and maintaining applications, frameworks, or other software components. Software development involves writing and maintaining the source code, but in a broader sense, it includes all processes from the conception of the desired software through to the final manifestation of the software, typically in a planned and structured process.
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.
Personal development Personal development or self improvement consists of activities that develop a person's capabilities and potential, build human capital, facilitate employability, and enhance quality of life and the realization of dreams and aspirations. Personal development may take place over the course of an individual's entire lifespan and is not limited to one stage of a person's life.
Halozyme Halozyme Therapeutics is an American biotechnology company that develops novel oncology therapies designed to target the tumor microenvironment and licenses a novel drug delivery technology through corporate partnerships.\nThe company was founded in 1998 and went public in 2004.
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.
Information technology Information technology (IT) is the use of computers to create, process, store, retrieve, and exchange all kinds of electronic data and information. IT is typically used within the context of business operations as opposed to personal or entertainment technologies.
MannKind Corporation MannKind Corporation is a biopharmaceutical company focusing on the discovery, development, and commercialization of therapeutic products for diseases such as diabetes and pulmonary arterial hypertension. Based in Danbury, Connecticut, the company was founded in February 1991.
Bavarian Nordic Bavarian Nordic A/S is a fully integrated biotechnology company focused on the development, manufacturing and commercialization of vaccines for infectious diseases and cancer immunotherapies. The company is headquartered in Hellerup, Denmark, with a manufacturing facility in Kvistgård, and an additional site in Hørsholm.
Aerie Pharmaceuticals Aerie Pharmaceuticals Inc. (Nasdaq: AERI) is a publicly traded, clinical-stage pharmaceutical company focused on the discovery, development and commercialization of first-in-class therapies for the treatment of patients with glaucoma and other diseases of the eye.
MediGene Medigene AG (FSE: MDG1, ISIN DE000A1X3W00, Prime Standard) is a publicly listed biotechnology company headquartered in Martinsried near Munich, Germany. Medigene is working on the development of immunotherapies to enhance T cell activity against solid cancers.
Takeda Oncology Takeda Oncology (originally Millennium Pharmaceuticals) is a biopharmaceutical company based in Cambridge, Massachusetts. It is a fully owned subsidiary of Takeda Pharmaceutical.
Manufacturing Manufacturing is the creation or production of goods with the help of equipment, labor, machines, tools, and chemical or biological processing or formulation. It is the essence of secondary sector of the economy.
Automotive industry The automotive industry comprises a wide range of companies and organizations involved in the design, development, manufacturing, marketing, and selling of motor vehicles. It is one of the world's largest industries by revenue (from 16 % such as in France up to 40 % to countries like Slovakia).
Grasshopper Manufacture Grasshopper Manufacture Inc. (株式会社グラスホッパー・マニファクチュア, Kabushiki Gaisha Gurasuhoppā Manifakuchua) is a Japanese video game developer founded on March 30, 1998 by Goichi Suda.
Manufacture d'horlogerie Manufacture d'horlogerie (meaning "watchmaking manufacturer") is a French language term of horology that has also been adopted in the English language as a loanword. In horology, the term is usually encountered in its abbreviated form manufacture.
Gobelins Manufactory The Gobelins Manufactory (French: Manufacture des Gobelins) is a historic tapestry factory in Paris, France. It is located at 42 avenue des Gobelins, near Les Gobelins métro station in the 13th arrondissement of Paris.
Build-on-demand Build-on-demand or manufacturing on demand (MOD) refers to a manufacturing process where goods are produced only when or as they are required. This allows scalability and adjustable assemblies depending on the current needs of the part requestor or client.
Design for manufacturability Design for manufacturability (also sometimes known as design for manufacturing or DFM) is the general engineering practice of designing products in such a way that they are easy to manufacture. The concept exists in almost all engineering disciplines, but the implementation differs widely depending on the manufacturing technology.
Manufacture nationale de Sèvres The Manufacture nationale de Sèvres is one of the principal European porcelain factories. It is located in Sèvres, Hauts-de-Seine, France.
Porcelain manufacturing companies in Europe Porcelain manufacturing companies are firms which manufacture porcelain.\n\n\n== European porcelain manufacturers before the 18th century ==\nThe table below lists European manufacturers of porcelain established before the 18th century.
Risk Factors
NOVAVAX INC Item 1A Risk Factors You should carefully consider the following risk factors in evaluating our business
Some of the risks described relate principally to our business and the industry in which we operate
Others relate principally to the securities market and ownership of our common stock
The risks and uncertainties described below are not the only ones facing us
Additional risks and uncertainties that we are unaware of, or that we currently deem immaterial, also may become important factors that affect us
If any of the following risks occur, our business, financial condition or results of operations could be materially and adversely affected
You should also consider the other information included in this Annual report on Form 10-K for the 2005 fiscal year
We have repositioned ourselves from a specialty biopharmaceutical company to a biopharmaceutical company and face all the risks inherent in the implementation of a new business strategy
In conjunction with the sale of our prenatal and related product lines and the grant of an exclusive North American license to our lead product ESTRASORB, we have changed the focus of the company from the development and commercialization of specialty pharmaceutical products to the research and development of new products using our proprietary drug delivery and biological platforms
We cannot predict whether we will be successful in implementing our new business strategy
We intend to focus our research and development activities on areas in which we have particular strengths and on technologies that appear promising
These technologies often are on the cutting edge of modern science
As a result, the outcome of any research or development program is highly uncertain
Only a very small fraction of these programs ultimately result in commercial products or even product candidates and a number of events could delay our development efforts and negatively impact our ability to obtain regulatory approval for, and to market and sell, a product candidate
Product candidates that initially appear promising often fail to yield successful products
In many cases, preclinical or clinical studies will show that a product candidate is not efficacious, or that it raises safety concerns or has other side effects that outweigh the intended benefit
Further, success in clinical trials will likely lead to increased investment, adversely affecting short-term profitability, to bring such products to market
Even after a product is approved and launched, general usage or post-marketing studies may identify safety or other previously unknown problems with the product, which may result in regulatory approvals being suspended, limited to narrow indications or revoked, or which may otherwise prevent successful commercialization
We must identify products and product candidates for development with our technologies and establish successful government and third-party relationships
Our long-term ability to generate product-related revenue depends in part on our ability to identify products and product candidates that may utilize our drug delivery and biological technologies
If internal efforts do not generate sufficient product candidates, we will need to identify third parties that wish to license our technologies for development of their products or product candidates
We may be unable to license our technologies to third parties for a number of reasons, including: • an inability to negotiate license terms that would allow us to make an appropriate return from resulting products; • an inability to identify suitable products or product candidates within, or complementary to, our areas of expertise; or • an unwillingness on the part of competitors to utilize the technologies of a competing company or disclose the existence or status of new products or products candidates under development
Our near and long-term viability will also depend in part on our ability to successfully establish new strategic collaborations with pharmaceutical and biotechnology companies and government agencies
Establishing strategic collaborations and obtaining government funding are difficult and time-consuming
Potential collaborators may reject collaborations based upon their assessment of our financial, regulatory or intellectual property position; government agencies may reject contract or grant applications based on their assessment of public need, the public interest and our products’ ability to address these areas
If we fail to establish a sufficient number of collaborations or government relationships on acceptable terms, we may not generate sufficient revenue
10 _________________________________________________________________ Even if we successfully establish new collaborations or obtain government funding, these relationships may never result in the successful development or commercialization of any product candidates or the generation of any sales or royalty revenue
Reliance on such relationships also exposes us to a number of risks
We may not have the ability to control the activities of our partners and cannot assure you that they will fulfill their obligations to us, including with respect to the license, development and commercialization of products and product candidates, in a timely manner or at all
We cannot assure you that such partners will devote sufficient resources to our products and product candidates or properly maintain or defend our intellectual property rights; we also can give no assurances that our partners will not utilize such rights in such a way as to invite or cause litigation
Any failure on the part of our partners to perform or satisfy their obligations to us could lead to delays in the development or commercialization of products and product candidates, and affect our ability to realize product revenues
Disagreements, including disputes over the ownership of technology developed with such collaborators, could result in litigation, which would be time-consuming and expensive, and may delay or terminate research and development efforts, regulatory approvals, and commercialization activities
If we or our partners fail to maintain our existing agreements or in the event we fail to establish agreements as necessary, we could be required to undertake research, development, manufacturing and commercialization activities solely at our own expense
These activities would significantly increase our capital requirements and, given our current limited sales, marketing and distribution capabilities, significantly delay the commercialization of products and product candidates
Our success depends on our ability to maintain the proprietary nature of our technology
Our success in large part depends on our ability to maintain the proprietary nature of our technology and other trade secrets, including our proprietary drug delivery and biological technologies
To do so, we must prosecute and maintain existing patents, obtain new patents and pursue trade secret and other intellectual property protection
We also must operate without infringing the proprietary rights of third parties or letting third parties infringe our rights
We currently have 57 US patents and corresponding foreign patents and patent applications covering our technologies
However, patent issues relating to pharmaceuticals involve complex legal, scientific and factual questions
To date, no consistent policy has emerged regarding the breadth of biotechnology patent claims that are granted by the US Patent and Trademark Office or enforced by the federal courts
Therefore, we do not know whether our patent applications will result in the issuance of patents, or that any patents issued to us will provide us with any competitive advantage
We also cannot be sure that we will develop additional proprietary products that are patentable
Furthermore, there is a risk that others will independently develop or duplicate similar technology or products or circumvent the patents issued to us
There is a risk that third parties may challenge our existing patents or claim that we are infringing their patents or proprietary rights
We could incur substantial costs in defending patent infringement suits or in filing suits against others to have their patents declared invalid or claim infringement
It is also possible that we may be required to obtain licenses from third parties to avoid infringing third-party patents or other proprietary rights
We cannot be sure that such third-party licenses would be available to us on acceptable terms, if at all
If we are unable to obtain required third-party licenses, we may be delayed in or prohibited from developing, manufacturing or selling products requiring such licenses
Although our patents include claims covering various features of our products and product candidates, including composition, methods of manufacture and use, our patents do not provide us with complete protection against the development of competing products
Some of our know-how and technology is not patentable
To protect our proprietary rights in unpatentable intellectual property and trade secrets, we require employees, consultants, advisors and collaborators to enter into confidentiality agreements
These agreements may not provide meaningful protection for our trade secrets, know-how or other proprietary information in the event of any unauthorized use or disclosure
We have limited financial resources and we are not certain that we will be able to obtain financing to maintain our operations or to fund the development of future products
Over the next few years we may not generate revenues from product sales, licensing fees, royalties, milestones, contract research and other sources in an amount sufficient to fund our operations, and we will therefore use our cash resources and could require additional funds to maintain our operations, continue our research and development programs, commence future preclinical and clinical trials, seek regulatory approvals and market our products
We will seek such additional funds through public or private equity or debt financings, collaborative arrangements and other sources
We cannot be certain that adequate additional funding will be available to us on acceptable terms, if at all
If we cannot raise the additional funds required for our anticipated operations, we may be required to delay significantly, reduce the scope of or eliminate one or more of our research or development programs, downsize our general and administrative infrastructure or programs, or seek alternative measures to avoid insolvency, including arrangements with collaborative partners or others that may require us to relinquish rights to certain of our technologies, product candidates or products
If we raise additional funds through future offerings of shares of our common stock or other securities, such offerings would cause dilution of existing stockholders’ percentage ownership in the company
These future offerings also could have a material and adverse effect on the price of our common stock
11 _________________________________________________________________ We have a history of losses and our future profitability is uncertain
Our expenses have exceeded our revenues since our formation in 1987, and our accumulated deficit at December 31, 2005 was dlra141dtta9 million
Our net revenues for the last three years were dlra7dtta4 million in 2005, dlra8dtta3 million in 2004 and dlra11dtta8 million in 2003
We have received a limited amount of product-related revenue from research contracts, licenses and agreements to provide vaccine products, services and adjuvant technologies
We cannot be certain that we will be successful in entering into strategic alliances or collaborative arrangements with other companies that will result in other significant revenues to offset our expenses
Our losses have resulted from research and development expenses, sales and marketing expenses for ESTRASORB, protection of our intellectual property and other general operating expenses
Our losses increased due to the launch of ESTRASORB as we expanded our manufacturing capacity and sales and marketing capabilities, and may increase as and when we conduct additional and larger clinical trials for our product candidates
Therefore, we expect our cumulative operating loss to increase until such time, if ever, product sales, licensing fees, royalties, milestones, contract research and other sources generate sufficient revenue to fund our continuing operations
We cannot predict when, if ever, we might achieve profitability and cannot be certain that we will be able to sustain profitability, if achieved
Many of our competitors have significantly greater resources and experience, which may negatively impact our commercial opportunities and those of our current and future licensees
The biotechnology and pharmaceutical industries are subject to intense competition and rapid and significant technological change
We have many potential competitors, including major drug and chemical companies, specialized biotechnology firms, academic institutions, government agencies and private and public research institutions
Many of our competitors have significantly greater financial and technical resources, experience and expertise in: • research and development; • pre-clinical testing; • clinical trials; • regulatory processes and approvals; • production and manufacturing; and • sales and marketing of approved products
and MedImmune Inc, among others, compete in the vaccine market
In particular, these companies have greater experience and expertise in securing government contracts and grants to support their research and development efforts, conducting testing and trials, obtaining regulatory approvals to market products, and manufacturing such products on a broad scale
Smaller or early-stage companies and research institutions may also prove to be significant competitors, particularly through collaborative arrangements with large and established pharmaceutical or other companies
We will also face competition from these parties in recruiting and retaining qualified scientific and management personnel, establishing clinical trial sites and patient registration for clinical trials, and in acquiring and in-licensing technologies and products complementary to our programs or potentially advantageous to our business
If any of our competitors succeeds in obtaining approval from the FDA or other regulatory authorities for their products sooner than we do or for products that are more effective or less costly than ours, our commercial opportunity could be significantly reduced
In order to effectively compete, we will have to make substantial investments in sales and marketing or partner with one or more established companies
There is no assurance that we will be successful in gaining significant market share for any product or product candidate
Our technologies and products also may be rendered obsolete or noncompetitive as a result of products introduced by our competitors to the marketplace more rapidly and at a lower cost
12 _________________________________________________________________ The return on our investment in ESTRASORB depends in large part on the success of our relationship with Esprit and our ability to manufacture the product
In October 2005, we entered into a License Agreement and a Supply Agreement with Esprit Pharma for ESTRASORB Under the License Agreement, we granted Esprit exclusive rights to market ESTRASORB in North America
In consideration for such rights, Esprit will pay dlra12dtta5 million within the first year as well as sales-based milestone payments, and Novavax also is entitled to receive a royalty on all future net sales of ESTRASORB While our License Agreement with Esprit gives us some limited protections with respect to that company’s ESTRASORB marketing and sales efforts and, we believe, creates incentives for Esprit consistent with our own, we cannot control the amount and timing of the marketing efforts that Esprit devotes to ESTRASORB or make any assurances that Esprit’s promotion and marketing of ESTRASORB in North America will be successful
We do not have a history of working together with Esprit and cannot predict the success of the collaboration, nor can we give any assurances that Esprit will not reduce or curtail its efforts to market ESTRASORB because of factors affecting its business or operations beyond our control
Any loss of Esprit as a partner in the commercialization of ESTRASORB, dispute over the terms of or decisions regarding the License and Supply Agreements, or other adverse developments in our relationship with Esprit may harm our business and might accelerate our need for additional capital
We also can give no assurances that Esprit will be more successful than Novavax in gaining market acceptance of ESTRASORB Prescription trends for ESTRASORB have not met our expectations to date and Esprit will face similar obstacles to gaining market share of the estrogen therapy market, including competition from large and established companies with similar estrogen therapy products
Numerous companies worldwide currently produce and sell estrogen products for clinical indications identical to those for ESTRASORB Currently, the oral and patch product segments account for approximately 75prca and 15prca of the market, respectively, according to 2004 Verispan data
Wyeth commits significant resources to the sale and marketing of its product, Premarin^^®, in order to maintain its market leadership position
Several other companies compete in the estrogen category including Berlex Laboratories, Inc, Novartis Pharma AG and Solvay Pharmaceuticals
In particular, Solvay has introduced an alcohol-based gel product, Estrogel, which is directly competitive with ESTRASORB These and other products sold by our competitors have all achieved a degree of market penetration superior to ESTRASORB In addition, under the Supply Agreement, we are obligated to supply Esprit with ESTRASORB through the manufacture of the product at our manufacturing facility in Philadelphia, Pennsylvania
We have only limited experience with the large capacity manufacturing required for the commercial sale of a product
Although we have validated our manufacturing methods for the product with the FDA, we will remain subject to that agency’s rules and regulations regarding good manufacturing practices, which are enforced by the FDA through its facilities inspection program
Compliance with such rules and regulations requires us to spend substantial funds and hire and retain qualified personnel
We face the possibility that we may not be able to meet Esprit’s supply requirements under the agreement in a timely fashion at acceptable quality, quantity and prices or in compliance with applicable regulations
If our facility fails to comply with applicable regulations, we will be forced to utilize a third party contractor to manufacture the product
We may not be able to enter into alternative manufacturing arrangements at commercially acceptable rates, if at all
Moreover, the manufacturers we use may not provide sufficient quantities of product to meet our specifications or our delivery, cost and other requirements
We must utilize our manufacturing facility for products other than ESTRASORB in order to avoid operating the facility at a loss
Currently we are manufacturing ESTRASORB at our facility in Philadelphia and will manufacture the product at a loss until production volumes increase or we enter into additional contract manufacturing arrangements with third parties to more fully utilize the facility’s capacity
The facility is able to accommodate a much greater production schedule than its currently schedule, and offset the fixed costs related to the manufacturing process and facility
Until we increase production of ESTRASORB or enter into such contract manufacturing arrangements for sufficient quantities, the cost of products sold percentages will continue to be unusually high and we will continue to manufacture the product at a loss
In addition, while the company was successful in negotiating a substantial reduction in its monthly rent for the facility during 2005, such reductions will expire in the summer of 2006 and the company expects lease costs to increase, potentially by a material amount
Although we are working to design alternative packaging solutions to further streamline production and lower costs of production, there can be no assurances that such efforts will result in meaningful cost savings or otherwise be successful
13 _________________________________________________________________ We have not completed the development of products other than ESTRASORB and we may not succeed in obtaining the FDA approval necessary to sell additional products
The development, manufacture and marketing of our pharmaceutical and biological products are subject to government regulation in the United States and other countries
In the United States and most foreign countries, we must complete rigorous preclinical testing and extensive human clinical trials that demonstrate the safety and efficacy of a product in order to apply for regulatory approval to market the product
ESTRASORB is the only product developed by the company to have been approved for sale in the United States
Approval outside the US may take longer or may require additional clinical trials
Our product candidate ANDROSORB has completed Phase I human clinical studies
Additional product candidates are in preclinical laboratory or animal studies
Before applying for FDA approval to market any new drug product candidates, we must first submit an IND that explains to the FDA the results of pre-clinical testing conducted in laboratory animals and what we propose to do for human testing
At this stage, the FDA decides whether it is reasonably safe to move forward with testing the drug on humans
We must then conduct Phase I studies and larger-scale Phase II and III human clinical trials that demonstrate the safety and efficacy of our products to the satisfaction of the FDA Once these trials are complete, an NDA can be filed with the FDA requesting approval of the drug for marketing
Vaccine clinical development follows the same general pathway as for drugs and other biologics
A sponsor who wishes to begin clinical trials with a vaccine must submit an IND describing the vaccine, its method of manufacture and quality control tests for release
Pre-marketing (pre-licensure) vaccine clinical trials are typically done in three phases
Initial human studies, referred to as Phase I, are safety and immunogenicity studies performed in a small number of closely monitored subjects
Phase II studies are dose-ranging studies and may enroll hundreds of subjects
Finally, Phase III trials typically enroll thousands of individuals and provide the critical documentation of effectiveness and important additional safety data required for licensing
If successful, the completion of all three phases of clinical development can be followed by the submission of a Biologics License Application
Also during this stage, the proposed manufacturing facility undergoes a pre-approval inspection during which production of the vaccine as it is in progress is examined in detail
Vaccine approval also requires the provision of adequate product labeling to allow health care providers to understand the vaccine’s proper use, including its potential benefits and risks, to communicate with patients and parents, and to safely deliver the vaccine to the public
Until a vaccine is given to the general population, all potential adverse events cannot be anticipated
Thus, many vaccines undergo Phase IV studies after a BLA has been approved and the vaccine is licensed and on the market
These processes are expensive and can take many years to complete, and we may not be able to demonstrate the safety and efficacy of our products to the satisfaction of such regulatory authorities
Regulatory authorities may also require additional testing and we may be required to demonstrate that our proposed products represent an improved form of treatment over existing therapies, which we may be unable to do so without conducting further clinical studies
Moreover, if the FDA grants regulatory approval of a product, the approval may be limited to specific indications or limited with respect to its distribution
Expanded or additional indications for approved drugs may not be approved, which could limit our revenues
Foreign regulatory authorities may apply similar limitations or may refuse to grant any approval
Consequently, even if we believe that preclinical and clinical data are sufficient to support regulatory approval for our product candidates, the FDA and foreign regulatory authorities may not ultimately grant approval for commercial sale in any jurisdiction
If our drug candidates are not approved, our ability to generate revenues may be limited and our business will be adversely affected
We may fail to obtain regulatory approval for our products on a timely basis or comply with our continuing regulatory obligations after approval is obtained
Delays in obtaining regulatory approval can be extremely costly in terms of lost sales opportunities and increased clinical trial costs
The speed with which we complete our clinical trials and our applications for marketing approval will depend on several factors, including the following: • the rate of patient enrollment and retention, which is a function of many factors, including the size of the patient population, the proximity of patients to clinical sites, the eligibility criteria for the study and the nature of the protocol; • Institutional Review Board approval of the protocol and the informed consent form; • prior regulatory agency review and approval; • our ability to manufacture or obtain sufficient quantities of materials for use in clinical trials; 14 _________________________________________________________________ • negative test results or side effects experienced by trial participants; • analysis of data obtained from preclinical and clinical activities, which are susceptible to varying interpretations and which interpretations could delay, limit or prevent regulatory approval; • changes in the policies of regulatory authorities for drug or vaccine approval during the period of product development; and • the availability of skilled and experienced staff to conduct and monitor clinical studies and to prepare the appropriate regulatory applications
We have limited experience in conducting and managing the preclinical and clinical trials necessary to obtain regulatory marketing approvals
We may not be able to obtain the approvals necessary to conduct clinical studies
We also face the risk that the results of our clinical trials may be inconsistent with the results obtained in preclinical studies or that the results obtained in later phases of clinical trials may be inconsistent with those obtained in earlier phases
A number of companies in the specialty biopharmaceutical and product development industry have suffered significant setbacks in advanced clinical trials, even after experiencing promising results in early animal and human testing
If regulatory approval of a drug is granted, such approval is likely to limit the indicated uses for which it may be marketed
Furthermore, even if a product gains regulatory approval, the product and the manufacturer of the product will be subject to continuing regulatory review, including adverse event reporting requirements and the FDA’s general prohibition against promoting products for unapproved uses
Failure to comply with any post-approval requirements can, among other things, result in warning letters, product seizures, recalls, fines, injunctions, suspensions or revocations of marketing licenses, operating restrictions and criminal prosecutions
Any of these enforcement actions, any unanticipated changes in existing regulatory requirements or the adoption of new requirements, or any safety issues that arise with any approved products, could adversely affect our ability to market products and generate revenues and thus adversely affect our ability to continue our business
We also may be restricted or prohibited from marketing or manufacturing a product, even after obtaining product approval, if previously unknown problems with the product or its manufacture are subsequently discovered and we cannot assure you that newly discovered or developed safety issues will not arise following any regulatory approval
With the use of any drug by a wide patient population, serious adverse events may occur from time to time that initially do not appear to relate to the drug itself, and only if the specific event occurs with some regularity over a period of time does the drug become suspect as having a causal relationship to the adverse event
Any safety issues could cause us to suspend or cease marketing of our approved products, possibly subject us to substantial liabilities, and adversely affect our ability to generate revenues and our financial condition
Our substantial indebtedness could adversely affect our cash flow and prevent us from fulfilling our obligations
As of December 31, 2005, we had dlra30dtta5 million of outstanding indebtedness
Our substantial amount of outstanding indebtedness could have significant consequences
For example, it: • could increase our vulnerability to general adverse economic and industry conditions; • requires us to dedicate a substantial portion of our cash flow from operations to service payments on our indebtedness, reducing the availability of our cash flow to fund future capital expenditures, working capital, execution of our growth strategy, research and development costs and other general corporate requirements; • could limit our flexibility in planning for, or reacting to, changes in our business and the industry, which may place us at a competitive disadvantage compared with competitors that have less indebtedness; and • could limit our ability to obtain additional funds, even when necessary to maintain adequate liquidity
We may incur additional indebtedness for various reasons, which would increase the risks associated with our substantial leverage
15 _________________________________________________________________ Health care insurers and other payors may not pay for our products or may impose limits on reimbursement
Our ability and the ability of our licensees to successfully commercialize ESTRASORB and future products will depend, in part, on the extent to which reimbursement for such products will be available from third-party payors such as Medicare, Medicaid, health maintenance organizations, health insurers and other public and private payors
If we succeed in bringing products to the market, we cannot be assured that third-party payors will pay for such products or establish and maintain price levels sufficient for realization of an appropriate return on our investment in product development
For example, ESTRASORB currently is being sold as an outpatient prescription drug
Medicare does not cover the costs of most outpatient prescription drugs
We expect that over time ESTRASORB will be treated the same as other estrogen therapy products with respect to government and third-party payor reimbursement, however, additional time is required to increase the number of payors who currently accept our product for reimbursement
There can be no assurance that ESTRASORB will receive similar reimbursement treatment
Many health maintenance organizations and other third-party payors use formularies, or lists of drugs for which coverage is provided under a health care benefit plan, to control the costs of prescription drugs
Each payor that maintains a drug formulary makes its own determination as to whether a new drug will be added to the formulary and whether particular drugs in a therapeutic class will have preferred status over other drugs in the same class
This determination often involves an assessment of the clinical appropriateness of the drug and, in some cases, the cost of the drug in comparison to alternative products
There can be no assurance that ESTRASORB or any of our future products will be added to payors’ formularies, that our products will have preferred status to alternative therapies, or that the formulary decisions will be conducted in a timely manner
We may also decide to enter into discount or formulary fee arrangements with payors, which could result in us receiving lower or discounted prices for ESTRASORB or future products
We may have product liability exposure
The administration of drugs to humans, whether in clinical trials or after marketing clearances are obtained, can result in product liability claims
We maintain product liability insurance coverage in the total amount of dlra10dtta0 million for claims arising from the use of our currently marketed products and products in clinical trials prior to FDA approval
Coverage is becoming increasingly expensive, however, and we may not be able to maintain insurance at a reasonable cost
There can be no assurance that we will be able to maintain our existing insurance coverage or obtain coverage for the use of our other products in the future
This insurance coverage and our resources may not be sufficient to satisfy liabilities resulting from product liability claims
A successful claim may prevent us from obtaining adequate product liability insurance in the future on commercially desirable terms, if at all
Even if a claim is not successful, defending such a claim would be time-consuming and expensive, may damage our reputation in the marketplace, and would likely divert management’s attention
We have made loans to certain of our directors, and have guaranteed a brokerage margin loan for one of these directors, which could have a negative impact on our stock price
In 2002, pursuant to our 1995 Stock Option Plan, we approved the payment of the exercise price of options by two of our directors through the delivery of full-recourse, interest-bearing promissory notes in the aggregate principal amount of approximately dlra1dtta5 million, secured by a pledge of the underlying shares
As of December 31, 2005, accrued interest receivable related to the borrowing was dlra284cmam000
In addition, in 2002 we executed a conditional guaranty of a brokerage margin account for a director in the amount of dlra500cmam000
Due to heightened sensitivity in the current environment surrounding related-party transactions, these transactions could be viewed negatively in the market and our stock price could be negatively affected
Our corporate governance policies have been revised and our 2005 Stock Incentive Plan prohibits any additional loans or guarantees to directors
The price of our common stock has been and may continue to be volatile
Historically, the market price of our common stock has fluctuated over a wide range
In fiscal year 2005, our common stock traded in a range from dlra0dtta70 to dlra6dtta01
It is likely that the price of our common stock will fluctuate in the future
The market prices of securities of small-capitalization, specialty biopharmaceutical companies, including ours, from time to time experience significant price and volume fluctuations unrelated to the operating performance of these companies
In particular, the market price of our common stock may fluctuate significantly due to a variety of factors, including: • our ability to obtain government contracts to develop vaccines and other biological products and technologies; • governmental agency actions including the FDA’s determination with respect to new drug applications for new products; • our ability to obtain financing; and 16 _________________________________________________________________ • our ability to develop additional products, including biologicals and vaccines
In addition, the occurrence of any of the risks described in Items 1A could have a material and adverse impact on the market price of our common stock
The conversion of our outstanding convertible debt, and the issuance of shares of our common stock upon conversion or exercise of preferred stock and/or warrants or in future offerings would cause dilution of existing security holders’ interests in the company and may cause the price of our common stock to go down
As of December 31, 2005, we had outstanding convertible notes in the aggregate principal amount of dlra29cmam000cmam000 that as of such date were convertible into an aggregate of 5cmam215cmam827 shares of our common stock
The issuance of shares of our common stock upon conversion of such notes, as well as in connection with future capital raising activities, would cause immediate and potentially substantial equity dilution for existing stockholders and the price of our common stock could be subject to significant downward pressure
We have never paid dividends on our capital stock, and we do not anticipate paying any such dividends in the foreseeable future
We have never paid cash dividends on our common stock
We currently anticipate that we will retain all of our earnings for use in the development of our business and do not anticipate paying any cash dividends in the foreseeable future
In addition, the terms of our existing and any future debt may preclude us from paying dividends
As a result, capital appreciation, if any, of our common stock would be the only source of gain for stockholders until dividends are permitted and paid
Provisions of our Certificate of Incorporation and By-laws, Delaware law, and our Shareholder Rights Plan could delay or prevent the acquisition of the company, even if such acquisition would be beneficial to stockholders, and could impede changes in our Board
Provisions of Delaware corporate law and our organizational documents could hamper a third party’s attempt to acquire, or discourage a third party from attempting to acquire control of, the company
Moreover, our shareholder rights plan empowers our Board to delay or negotiate, and thereby possibly thwart, any tender offer or takeover attempt the Board opposes
Stockholders who wish to participate in these transactions may not have the opportunity to do so
These provisions also could limit the price investors are willing to pay in the future for our securities and make it more difficult to change the composition of our Board in any one year
These provisions include the right of the Board to issue preferred stock with rights senior to those of the common stock without any further vote or action by stockholders, the existence of a staggered Board with three classes of directors serving staggered three-year terms, advance notice requirements for stockholders to nominate directors and make proposals, and a Delaware statutory provision prohibiting certain transactions between Novavax and interested stockholders