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Wiki Wiki Summary
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.
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.
Clinical trial Clinical trials are experiments or observations done in clinical research. Such prospective biomedical or behavioral research studies on human participants are designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietary choices, dietary supplements, and medical devices) and known interventions that warrant further study and comparison.
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.
Clinical trials in India Clinical trials in India refers to clinical research in India in which researchers test drugs and other treatments on research participants. NDCTR 2019 and section 3.7.1 to 3.7.3 of ICMR guidelines requires that all researchers conducting a clinical trial must publicly document it in the Clinical Trials Registry - India.
ClinicalTrials.gov ClinicalTrials.gov is a registry of clinical trials. It is run by the United States National Library of Medicine (NLM) at the National Institutes of Health, and is the largest clinical trials database, holding registrations from over 329,000 trials from 209 countries.
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.
Monitoring in clinical trials Clinical monitoring is the oversight and administrative efforts that monitor a participant's health and efficacy of the treatment during a clinical trial. Both independent and government-run grant-funding agencies, such as the National Institutes of Health (NIH) and the World Health Organization (WHO), require data and safety monitoring protocols for Phase I and II clinical trials conforming to their standards.
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.
Analysis of clinical trials The analysis of clinical trials involves many related topics including:\n\nthe choice of an estimand (measure of effect size) of interest that is closely linked to the objectives of the trial,\nthe choice and definition of analysis sets,\nthe choice of an appropriate statistical model for the type of data being studied,\nappropriate accounting for the treatment assignment process,\nhandling of missing data,\nhandling of multiple comparisons or endpoints,\naccounting for interim analyses and trial adaptations,\nand appropriate data presentation.One basic guidance document on this topic is the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use guidance E9.\n\n\n== Choice of analysis set ==\nFailure to include all participants in the analysis may bias the trial results.
Alisher Usmanov Alisher Burkhanovich Usmanov (Russian: Алишер Бурханович Усманов; born 9 September 1953) is an Uzbek-born Russian businessman and oligarch. By 2022, Usmanov had an estimated net worth of $19.5 billion and was among the world's 100 wealthiest people.Usmanov made his wealth after the collapse of the Soviet Union, through metal and mining operations, and investments.
2011 military intervention in Libya On 19 March 2011, a multi-state NATO-led coalition began a military intervention in Libya, to implement United Nations Security Council Resolution 1973, in response to events during the First Libyan Civil War. With ten votes in favour and five abstentions, the UN Security Council's intent was to have "an immediate ceasefire in Libya, including an end to the current attacks against civilians, which it said might constitute "crimes against humanity" ...
Hardware random number generator In computing, a hardware random number generator (HRNG) or true random number generator (TRNG) is a device that generates random numbers from a physical process, rather than by means of an algorithm. Such devices are often based on microscopic phenomena that generate low-level, statistically random "noise" signals, such as thermal noise, the photoelectric effect, involving a beam splitter, and other quantum phenomena.
Synchroscope In AC electrical power systems, a synchroscope is a device that indicates the degree to which two systems (generators or power networks) are synchronized with each other.For two electrical systems to be synchronized, both systems must operate at the same frequency, and the phase angle between the systems must be zero (and two polyphase systems must have the same phase sequence). Synchroscopes measure and display the frequency difference and phase angle between two power systems.
What's Your Raashee? What's Your Raashee? (lit. 'What's Your Zodiac Sign?') is a 2009 Indian Hindi-language romantic comedy film written and directed by Ashutosh Gowariker.
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.
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.
Prenatal development Prenatal development (from Latin natalis 'relating to birth') includes the development of the embryo and of the foetus during a viviparous animal's gestation. Prenatal development starts with fertilization, in the germinal stage of embryonic development, and continues in fetal development until birth.
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.
Chief executive officer A chief executive officer (CEO), chief administrator officer (CAO), central executive officer (CEO), or just chief executive (CE), is one of a number of corporate executives charged with the management of an organization – especially an independent legal entity such as a company or nonprofit institution. CEOs find roles in a range of organizations, including public and private corporations, non-profit organizations and even some government organizations (notably state-owned enterprises).
Special Activities Center The Special Activities Center (SAC) is a division of the Central Intelligence Agency responsible for covert operations and paramilitary operations. The unit was named Special Activities Division (SAD) prior to 2015.
Arithmetic Arithmetic (from Ancient Greek ἀριθμός (arithmós) 'number', and τική [τέχνη] (tikḗ [tékhnē]) 'art, craft') is an elementary part of mathematics that consists of the study of the properties of the traditional operations on numbers—addition, subtraction, multiplication, division, exponentiation, and extraction of roots. In the 19th century, Italian mathematician Giuseppe Peano formalized arithmetic with his Peano axioms, which are highly important to the field of mathematical logic today.
Operation Mincemeat Operation Mincemeat was a successful British deception operation of the Second World War to disguise the 1943 Allied invasion of Sicily. Two members of British intelligence obtained the body of Glyndwr Michael, a tramp who died from eating rat poison, dressed him as an officer of the Royal Marines and placed personal items on him identifying him as the fictitious Captain (Acting Major) William Martin.
Bitwise operation In computer programming, a bitwise operation operates on a bit string, a bit array or a binary numeral (considered as a bit string) at the level of its individual bits. It is a fast and simple action, basic to the higher-level arithmetic operations and directly supported by the processor.
Operations management Operations management is an area of management concerned with designing and controlling the process of production and redesigning business operations in the production of goods or services. It involves the responsibility of ensuring that business operations are efficient in terms of using as few resources as needed and effective in meeting customer requirements.
Emergency operations center An emergency operations center (EOC) is a central command and control facility responsible for carrying out the principles of emergency preparedness and emergency management, or disaster management functions at a strategic level during an emergency, and ensuring the continuity of operation of a company, political subdivision or other organization.\nAn EOC is responsible for strategic direction and operational decisions and does not normally directly control field assets, instead leaving tactical decisions to lower commands.
Operations research Operations research (British English: operational research), often shortened to the initialism OR, is a discipline that deals with the development and application of advanced analytical methods to improve decision-making. It is sometimes considered to be a subfield of mathematical sciences.
Surgery Surgery is a medical or dental specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pathological condition such as a disease or injury, to help improve bodily function, appearance, or to repair unwanted ruptured areas.\nThe act of performing surgery may be called a surgical procedure, operation, or simply "surgery".
Risk Factors
SCICLONE PHARMACEUTICALS INC Item 1A Risk Factors You should carefully consider the risks described below, in addition to the other information in this report on Form 10-K, before making an investment decision
Each of these risk factors could adversely affect our business, financial condition, and operating results as well as adversely affect the value of an investment in our common stock
Additional clinical trials will be required for the successful commercialization of ZADAXIN and if the results of our clinical trials are not favorable, we will be unable to obtain regulatory approval for the intended indications we are evaluating
Our ability to achieve and sustain operating profitability depends in large part on our ability to commence, execute and complete clinical programs and obtain additional regulatory approvals for ZADAXIN and other drug 18 ______________________________________________________________________ [46]Table of Contents candidates, particularly in the United States and Europe
We are also dependent on our ability to increase ZADAXIN sales in China and other markets
In particular, our ability to achieve and sustain profitability will depend in large part on our ability to commercialize ZADAXIN for the treatment of HCV or malignant melanoma in the United States and Europe
To obtain regulatory approvals, we must, among other requirements, complete carefully controlled and well-designed clinical trials demonstrating that a particular drug is safe and effective for the applicable disease
We cannot depend on data from prior trial results to predict or demonstrate that our potential drug products are safe and efficacious under regulatory guidelines to qualify for commercial sale
We cannot assure you, nor can you rely on our previous clinical trial results to predict, that our ongoing or future clinical trials will yield favorable results
Adverse or inconclusive clinical results would prevent us from filing for regulatory approval of ZADAXIN (thymosin alpha 1) for the indications that we are evaluating, and our current programs in those areas would fail
In the past, Alpha 1 Biomedical, from which we acquired certain rights to thymosin alpha 1, conducted a phase 3 clinical trial of thymosin alpha 1 as a therapy for HBV that did not produce statistically significant results and Alpha 1 Biomedical did not submit an NDA to the FDA In December 2005 we announced results from the first of our two US phase 3 HCV clinical trials
This clinical trial did not demonstrate that the combination of ZADAXIN and pegylated interferon alpha provides a statistically significant clinical benefit when compared to the use of pegylated interferon alpha alone in non-responder patients without cirrhosis of the liver, although a positive ZADAXIN treatment-related trend was observed
Data from the second US phase 3 HCV clinical trial using ZADAXIN in combination with pegylated interferon alpha to treat non-responder HCV patients with early cirrhosis is expected to be reported in June 2006
Given the FDA general requirement of successful results from two phase 3 clinical trials to support an approvable New Drug Application, it is unlikely that an NDA based on these two clinical trials would be approved by the FDA The current standard of care for HCV therapy is the combination of pegylated interferon alpha with ribavirin
This combination is not approved by the FDA or the EMEA for the treatment of non-responders, however, in clinical practice pegylated interferon alpha with ribavirin is widely used for the treatment of both treatment naïve and non-responder HCV patients
The European HCV phase 3 clinical trial being conducted by Sigma-Tau has been designed to compare the efficacy of the triple combination of ZADAXIN, pegylated interferon alpha and ribavirin with the current standard of care
As with the FDA, the EMEA generally requires two confirmatory phase 3 clinical trials to support their equivalent of an NDA Therefore, results of the current triple therapy combination trial, even if positive and statistically significant, would by themselves be insufficient to support an NDA to the EMEA, and results from a second confirmatory phase 3 clinical trial would be needed
We cannot assure you that we or our European partner, Sigma-Tau, will undertake such trial, that any clinical trial of the triple therapy combination will yield favorable results, that the second US phase 3 HCV clinical trial will show statistical significance, that we will receive approval for ZADAXIN for the treatment of HCV in Europe or the United States or for the treatment of HCV in other countries, or that we will achieve significant levels of sales
In December 2005, we and Sigma-Tau announced promising interim results from a large phase 2 clinical trial in Europe evaluating ZADAXIN in combination with dacarbazine (DTIC) chemotherapy with and without low-dose interferon alpha to treat patients with stage IV, the most advanced and imminently fatal form of, malignant melanoma
These preliminary data show a distinct ZADAXIN dose-dependent response in combination with DTIC chemotherapy with and without low-dose interferon alpha
The trial’s primary endpoint is overall tumor response
Preliminary survival information on the first 320-patient cohort is expected in mid-2006
We and Sigma-Tau plan to initiate phase 3 clinical trials in late 2006 to study the efficacy of ZADAXIN in combination with chemotherapy for the treatment of malignant melanoma
We cannot assure you that the final results of the phase 2 clinical trial will be favorable or support the design and initiation of phase 3 clinical trials, that we or Sigma-Tau will receive approval for the indication or that we will achieve significant levels of sales
19 ______________________________________________________________________ [47]Table of Contents We may have difficulty in recruiting patients for our clinical trials
Higher than anticipated patient drop out rates in our clinical trials could adversely affect trial results and make it more difficult to obtain regulatory approval
In December 2005 we announced results from the first of our two US phase 3 HCV clinical trials
These results may make Sigma-Tau’s efforts to fully recruit patients for the currently ongoing ZADAXIN phase 3 HCV triple therapy combination trial more difficult and take longer than planned
In addition, HCV clinical trials are lengthy
The trials require patient treatment for 48 weeks and a follow-up observation period for an additional 24 weeks
Patient dropouts are expected and each of our two phase 3 HCV clinical trials in the United States enrolled more than the planned number of 500 patients, but even then dropouts were higher than anticipated
A patient who drops out at any point in the 72 weeks of the trial is considered a “failure to respond” in results of the clinical trial
In general, the fewer patients who complete each trial, the higher the positive response rate for the group of remaining ZADAXIN treated patients in such trial needs to be in order to demonstrate statistical significance
Therefore, a higher than anticipated dropout rate lowers the chances of proving statistical significance which could adversely affect our clinical trial results
Dropouts did not prevent us from completing our first US phase 3 HCV clinical trial and are not expected to prevent completion of our second trial, however, the European phase 3 HCV triple therapy combination trial is still enrolling patients and dropouts may affect the ability to fully enroll the trial in a reasonable period of time and the final results of the trial
We cannot predict the safety profile of the use of ZADAXIN when used in combination with other drugs
Many of our trials involve the use of ZADAXIN in combination with other drugs
Some of these drugs, particularly pegylated interferon alpha, ribavirin and dacarbazine are known to cause adverse patient reactions
Even if ZADAXIN does not produce adverse side effects when used alone, we cannot predict how it will work with other drugs, including causing possible adverse side effects not directly attributable to the other drugs that could compromise the safety profile of ZADAXIN when used in certain combination therapies
If we do not obtain regulatory approval for ZADAXIN for the intended indications that we are evaluating, our revenues will be limited and we may never become profitable
Our ability to execute on our business strategy has been largely dependent on our ability to obtain regulatory approval for the use of ZADAXIN, particularly in the United States and Europe
The regulatory approval processes in the United States and Europe are demanding and typically require 12 months or more in the United States and 18 months or more in Europe from the date of submission of a New Drug Application (NDA)
We have committed significant resources, including capital and time, to develop ZADAXIN, and intend to continue to do so, including the initiation and execution of additional clinical trials, with the goal of obtaining such approvals
If we do not obtain these approvals, we will be unable to achieve any substantial increase in our revenue from ZADAXIN and our ZADAXIN sales in other jurisdictions could decline
All new drugs, including our products, which have been developed or are under development, are subject to extensive and rigorous regulation by the FDA and comparable agencies in state and local jurisdictions and in foreign countries
These regulations govern, among other things, the development, testing, manufacturing, labeling, storage, pre-market approval, importation, advertising, promotion, sale and distribution of our products
These regulations may change from time to time and new regulations may be adopted
Obtaining regulatory approval in developing countries also is time-consuming and expensive
In some countries where we are contemplating marketing and selling ZADAXIN, the regulatory approval process often relies on prior approvals obtained in the United States or in Europe
Without such prior approvals, our ability to 20 ______________________________________________________________________ [48]Table of Contents obtain regulatory approvals for ZADAXIN in these countries may be delayed or prevented
In addition, to secure these regulatory approvals, we will need, among other things, to demonstrate favorable results from additional clinical trials of ZADAXIN Even if we are able to complete the clinical trials we have sponsored or are planning in a timely or cost-effective manner, these trials may not fulfill the applicable regulatory approval criteria, in which case we will not be able to obtain regulatory approval in these countries, and we have experienced difficulties in preparing for regulatory approval in Japan
We cannot assure you that we will ultimately obtain regulatory approvals in our targeted countries in a timely and cost-effective manner or at all
If we fail to obtain the required regulatory approvals to develop, market and sell ZADAXIN in countries where we currently do not have such rights, our revenues will be limited, and our future prospects will be dependent upon our ability to in-license or to bring earlier stage products to market, any of which will require substantial financial expenditures
Satisfaction of government regulations may take several years and the time needed to satisfy them varies substantially based on the type, complexity and novelty of the pharmaceutical product
As a result, government regulation may cause us to delay the introduction of, or prevent us from marketing, our existing or potential products for a considerable period of time and impose costly procedures upon our activities
Even if we obtain regulatory approval for our products, such approval may impose limitations on the indicated uses for which our products may be marketed
Unsatisfactory data resulting from clinical trials may also adversely affect our ability to market and sell ZADAXIN in markets where it is approved for sale
If we lose key personnel or are unable to attract and retain additional, highly skilled personnel required for the expansion of our activities, our business will suffer
We are highly dependent upon our ability to attract and retain qualified personnel because of the specialized, scientific and worldwide nature of our business
Following the departure of our Chief Executive Officer on July 14, 2004, we established an Office of the President, and believe that the Company continued to function effectively under the Office of the President
Our new President and Chief Executive Officer, Dr
Ira Lawrence, began his service to the Company on June 1, 2005
However, we may be affected adversely by any future changes in our key management personnel
There is intense competition for qualified management, scientific and technical personnel in the pharmaceutical industry, and we may not be able to attract and retain the qualified personnel we need to grow and develop our business globally
In addition, we assign numerous key responsibilities to a limited number of individuals, and we would experience difficulty in finding immediate replacements for any of them
If we were unable to attract and retain qualified personnel as needed or promptly replace those employees who are critical to our product development and commercialization, the development and commercialization of our products would be adversely affected
At this time, we do not maintain “key person” life insurance on any of our personnel
Our revenue is dependent on the sale of ZADAXIN in foreign countries, particularly China, and if we experience difficulties in our foreign sales efforts, our operating results and financial condition will be harmed
Our product revenue in the near term is highly dependent on the sale of ZADAXIN in foreign countries
If we experience difficulties in our foreign sales efforts, our business will suffer and our operating results and financial condition will be harmed
In the year ended December 31, 2005, approximately 91prca of our ZADAXIN sales were to customers in China
For the years ended December 31, 2004 and 2003, sales to our customers in China accounted for approximately 91prca and 88prca, respectively, of product sales
Sales of ZADAXIN in China may be limited due to the low average personal income, lack of patient cost reimbursement, poorly developed infrastructure and existing and potential competition from other products, including generics
In China, ZADAXIN is approved only for the treatment of HBV and as a vaccine adjuvant
We face competition from certain large, global pharmaceutical companies who are aggressively marketing competing products for the treatment of HBV and other indications where ZADAXIN is used on an off-label basis
In addition, several local companies have introduced lower priced locally manufactured generic thymosin which is a competitive product
21 ______________________________________________________________________ [49]Table of Contents We expect such competition to continue and there could be a negative impact on the price and the volume of ZADAXIN sold in China, which would harm our business
Our efforts to in-license other pharmaceutical products for marketing in China and other markets may be unsuccessful or may not have a meaningful effect on our dependence on ZADAXIN sales in those markets
Our ZADAXIN sales and operations in other parts of Asia, as well as in Latin America and the Middle East, are subject to a number of risks, including difficulties and delays in obtaining registrations, permits, pricing approvals and reimbursement, unexpected changes in regulatory requirements and political instability
We are also subject to the laws and regulations of other countries regarding the marketing, sale and distribution of our products in those countries where approvals have been obtained
We experience other issues with managing foreign sales operations including long payment cycles, potential difficulties in accounts receivable collection and, especially from significant customers, fluctuations in the timing and amount of orders
Operations in foreign countries also expose us to risks relating to difficulties in enforcing our proprietary rights, currency fluctuations and adverse or deteriorating economic conditions
If we experience problems with obtaining registrations, complying with reimbursement rules or compliance with other laws, or if we experience difficulties in payments or intellectual property matters in foreign jurisdictions, or if significant political, economic or regulatory changes occur, our results could be adversely affected
We do not have product sales in the United States, Europe or Japan with which to offset any decrease in our revenue from ZADAXIN sales in Asia, Latin America and the Middle East, and sales outside of China have not been substantial to date
In addition, some countries in these regions, including China, regulate pharmaceutical prices and pharmaceutical importation
These regulations may reduce prices for ZADAXIN to levels significantly below those that would prevail in an unregulated market, limit the volume of product which may be imported and sold or place high import duties on the product, any of which may limit the growth of our revenues or cause them to decline
In China, individual provinces and, in some cases, individual hospitals can and have established pricing requirements for a product to be included on formulary lists
These prices may be lower than our distributors have been selling ZADAXIN in which case we have been removed from formulary lists, which consequently has reduced sales to certain hospitals
Because of China’s tiered method of importing and distributing finished pharmaceutical products, our quarterly results may vary substantially from one period to the next
China uses a tiered method to import and distribute finished pharmaceutical products
At each port of entry, and prior to moving the product forward to the distributors, government-licensed importing agents must process and evaluate each shipment to determine whether such shipment satisfies China’s quality assurance requirements
In order to efficiently manage this process, the importing agents typically place large, and therefore relatively few, orders within any six month period
Therefore, our sales to an importing agent can vary substantially from quarter to quarter depending on the size and timing of the orders, which has in the past and may in the future cause our quarterly results to fluctuate
We rely on four to six importers, in any given quarter, to supply substantially all of our product in China
Because we use a small number of importing agents in China, our receivables from any one importing agent are material, and if we were unable to collect receivables from any importer, our business and cash-flow would be adversely affected
Our sales of ZADAXIN may fluctuate due to seasonality of product orders and sales in any quarter may not be indicative of future sales
Our sales for the quarter ended June 30, 2003 were greatly affected by the demand in China for ZADAXIN in connection with the treatment of SARS To date, SARS has not re-emerged, like influenza, as a seasonal public health problem
However, if SARS or a similar epidemic were to emerge, it is not possible to predict what effect, if any, this would have on future sales of ZADAXIN Although we do not market ZADAXIN for use in treating such epidemic diseases, if ZADAXIN is purchased in connection with future outbreaks of seasonal viral contagions, product sales could become more concentrated in certain quarters of the calendar year, quarterly sales levels could fluctuate and sales in any quarter may not be indicative of sales in future periods
22 ______________________________________________________________________ [50]Table of Contents If we fail to protect our products, technologies and trade secrets, we may not be able to successfully use, manufacture, market or sell our products, or we may fail to advance or maintain our competitive position, and we have limited intellectual property protection in China
Our success depends significantly on our ability to obtain and maintain meaningful patent protection for our products and technologies and to preserve our trade secrets
Our pending patent applications may not result in the issuance of patents in the future
Our patents or patent applications may not have priority over others’ applications
Our existing patents and additional patents that may be issued, if any, may not provide a competitive advantage to us or may be invalidated or circumvented by our competitors
Others may independently develop similar products or design around patents issued or licensed to us
Patents issued to, or patent applications filed by, other companies could harm our ability to use, manufacture, market or sell our products or maintain our competitive position with respect to our products
Although many of our patents relating to ZADAXIN have expired, including composition of matter patents, we have rights to other patents and patent applications relating to ZADAXIN and ZADAXIN analogues, including method of use patents with respect to the use of ZADAXIN for certain indications
We do not have a patent on the use of ZADAXIN as a therapy for the treatment of melanoma
If other parties develop generic forms of ZADAXIN for other indications, including conducting clinical trials for such indications, our patents and other rights might not be sufficient to prohibit them from marketing and selling such generic forms of ZADAXIN If other parties develop analogues or derivatives of ZADAXIN, our patents and other rights might not be sufficient to prohibit them from marketing these analogues or derivatives
Pharmaceutical products are either not patentable or have only recently become patentable in some of the countries in which we market or may market ZADAXIN We do not have patent protection for ZADAXIN in China, our largest market
Other companies market generic thymosin alpha 1 in China, sometimes in violation of our trademark or other rights which we defend by informing physicians and hospitals of the practice as well as through the limited legal recourse
Past enforcement of intellectual property rights in many of these countries, including China in particular, has been limited or non-existent
Future enforcement of patents and proprietary rights in many other countries will likely be problematic or unpredictable
Moreover, the issuance of a patent in one country does not assure the issuance of a similar patent in another country
Claim interpretation and infringement laws vary by nation, so the extent of any patent protection is uncertain and may vary in different jurisdictions
If we are involved in intellectual property claims and litigation, the proceedings may divert our resources and subject us to significant liability for damages, substantial litigation expense and the loss of our proprietary rights
Our commercial success depends in part on us not infringing valid, enforceable patents or proprietary rights of third parties, and not breaching any licenses that may relate to our technologies and products
We are aware of a third-party patent that may relate to our products and may cover a method of action used by ZADAXIN We cannot assure you that our mechanism of action does not infringe on their claim
In addition, we may not be aware of all patents or patent applications that may impact our ability to make, use or sell any of our potential products
For example, US patent applications may be kept confidential for 12 or more months while pending in the Patent and Trademark Office, and patent applications filed in foreign countries are often first published six months or more after filing
It is possible that we may unintentionally infringe these patents or other patents or proprietary rights of third parties
We may in the future receive notices claiming infringement from third parties as well as invitations to take licenses under third-party patents
Any legal action against us or our collaborative partners claiming damages and seeking to enjoin commercial activities relating to our products and processes affected by third-party rights may require us or our collaborative partners to obtain licenses in order to continue to manufacture or market the affected products and processes
Our efforts to defend against any of these claims, regardless of merit, would require us to devote resources and attention that could have been directed to our operations and growth plans
In addition, these actions may subject us to potential liability for damages
We or our collaborative partners may not prevail in a patent action and any license required under a patent may not be 23 ______________________________________________________________________ [51]Table of Contents made available on commercially acceptable terms, or at all
Any conflicts resulting from the patent rights of others could significantly reduce the coverage of our patents and limit our ability to obtain meaningful patent protection
If other companies obtain patents with conflicting claims, we may be required to obtain licenses to those patents or develop or obtain alternative technology to manufacture or market the affected products and processes
We may not be able to obtain any such licenses on acceptable terms or at all
Any failure to obtain such licenses could delay or prevent us from pursuing the development or commercialization of our potential products
Our efforts to defend against any of these claims would require us to devote resources and attention that could have been directed to our operations and growth plans
We may need to initiate litigation, which could be time-consuming and expensive, to enforce our proprietary rights or to determine the scope and validity of others’ rights
If litigation results, a court may find our patents or those of our licensors invalid or may find that we have infringed on a competitor’s rights
If any of our competitors have filed patent applications in the United States which claim technology we also have invented, the Patent and Trademark Office may require us to participate in expensive interference proceedings to determine who has the right to a patent for the technology
These actions may subject us to potential liability for damages
We or our collaborative partners may not prevail in a patent action and any license required under a patent may not be made available on commercially acceptable terms, or at all
We rely on third parties to supply our clinical trial and commercial products
Deficiencies in their work could delay or harm one or more important areas of our business including our sales, clinical trials or the regulatory approval process
We rely on third parties, who are subject to regulatory oversight, to supply our clinical and commercial products
We have been in the process of registering a new manufacturer of ZADAXIN and if we encounter problems with this process of validation, our sales or our clinical trials could be adversely affected
If sales of ZADAXIN were to increase dramatically, our third-party suppliers may not be able to supply ZADAXIN quickly enough, which could limit our ability to satisfy increased demand or could adversely affect the ability of these suppliers to provide products for our clinical trials
If unanticipated deficiencies in these suppliers occur, we could experience delays in our ability to fulfill regulatory requirements which may adversely affect our sales or prospects for regulatory marketing approvals
We have an exclusive supplier of pegylated interferon alpha for our US phase 3 HCV and European phase 3 HCV clinical trials
Any recall of the manufacturing lots of the pegylated interferon alpha used in our clinical trials could detract from the integrity of the trial data and its potential use in future regulatory filings
If we are not able to establish and maintain adequate manufacturing relationships, the development and sale of our products could be impaired
To be successful, our products must be manufactured in commercial quantities, in compliance with stringent regulatory requirements and at an acceptable cost
Typically we have at any time only one supplier for each phase of manufacturing of our product
Manufacturing interruptions or failure to comply with regulatory requirements could significantly delay clinical development of potential products and reduce third-party or clinical researcher interest and support of proposed trials
These interruptions or failures could also impede commercialization of our products, including sales of ZADAXIN in approved markets, and impair our competitive position
Any of these developments would harm our business
We are in the process of registering a new supplier for ZADAXIN with regulatory agencies in markets where ZADAXIN is approved for sale
We have received such registration in China
This process, quality assurance and other steps could cause delays or interruptions of supply in certain other markets
In some countries, a manufacturing change may require additional regulatory approvals which may delay ZADAXIN marketing approvals in new markets
In addition, manufacturing, supply and quality control problems may arise 24 ______________________________________________________________________ [52]Table of Contents as we, either alone or with subcontractors, attempt to scale-up our manufacturing procedures
We may not be able to scale-up in a timely manner or at a commercially reasonable cost, either of which could cause delays or pose a threat to the ultimate commercialization of our products and harm our business
We may not be able to successfully develop or commercialize our products
We may consider strategic alliances with other companies in efforts to broaden our product development pipeline
While we have limited sales of ZADAXIN in certain markets, we do not yet have regulatory approval for ZADAXIN for the key markets of the United States, Europe and Japan and, in this respect, ZADAXIN is still being developed
Our only other potential product presently is SCV-07 and it is in an earlier stage of development than ZADAXIN We may consider and undertake various strategies to expand our portfolio of potential products, including acquiring product candidate rights through licenses or other relationships, or through other strategic relationships including acquisitions of other companies that may have proprietary rights to other development candidates or the capability to discover new drug candidates
Such transactions could require a substantial amount of our financial resources, or, if equity is involved, may result in substantial dilution to current stockholders
Strategic transactions also require substantial management time and effort and are subject to various risks that could adversely affect us or our financial results
To fully develop our products, we will need to commit substantial resources to extensive research, development, pre-clinical testing, clinical trials, manufacturing scale-up and regulatory approval prior to the potential products being ready for sale
We cannot assure that our efforts will produce commercially viable products
We face significant technological risks inherent in developing these products
We may also abandon some or all of our proposed products before they become commercially viable
If any of our products, even if developed and approved, cannot be successfully commercialized in a timely manner, our business will be harmed and the price of our stock may decline
We have not yet sold any product other than ZADAXIN and our sales have been primarily in a single country, China
Our future revenue growth depends to great extent on increased market acceptance and commercialization of ZADAXIN in additional countries, particularly in the United States, Europe and Japan
If we fail to successfully market ZADAXIN, or if we cannot commercialize this drug in the United States and other additional markets, our revenue and operating results will be limited
Our future revenue will also depend in part on our ability to develop other commercially viable and accepted products
Market acceptance of our products will depend on many factors, including our ability to convince prospective customers to use our products as an alternative to other treatments and therapies and to convince prospective strategic partners to market our products effectively and to manufacture our products in sufficient quantities with acceptable quality and at an acceptable cost
In addition, doctors must opt to use treatments involving our products
If doctors elect to use a different course of treatment, demand for our drug products would be reduced
Failure to do any of the above will lead to an unfavorable outcome on the results of our operations
We rely on third-party clinical investigators to conduct our clinical trials and, as a result, we may encounter delays outside our control
We have limited experience in conducting and managing clinical trials and we rely, in part, on third parties, particularly clinical research organizations and our development partners, to assist us in managing and monitoring clinical trials
Our reliance on these third parties may result in delays in completing, or failure to complete, these clinical trials if third parties fail to fulfill their obligations to us
We may need to obtain additional capital to support our long-term product development and commercialization programs
We believe our existing resources will be sufficient to fund our operations, including anticipated clinical trials, into late 2008
However, we cannot assure that such funds will be sufficient, or that we will attain 25 ______________________________________________________________________ [53]Table of Contents profitable operations in that period if ever
In addition to development plans for ZADAXIN, we intend to develop other products and we may need additional funds in the future to support such development and to support future growth and achieve profitability
If we need to raise additional funds in the future and such funds are not available on reasonable terms, if at all, our commercialization efforts may be impeded, our revenues may be limited and our operating results may suffer
We have a history of operating losses and an accumulated deficit
We expect to continue to incur losses in the near term and may never achieve profitability
We have experienced significant operating losses since our inception, and as of December 31, 2005, we had an accumulated deficit of approximately dlra159 million
We expect our operating expenses to increase over the next several years as we plan to dedicate substantially all of our resources to expanding our development, testing and marketing capabilities, and these losses may increase if we cannot increase or sustain revenue
As a result, we may never achieve profitability
We have limited sales, marketing and distribution capabilities outside of China, which may adversely affect our ability to successfully commercialize our products
Outside of our current principal market of China, we have limited sales, marketing and distribution capabilities, and we anticipate that we may be relying on third-party collaborators to sell, market and distribute our products for the foreseeable future particularly in the major pharmaceutical markets of the United States, Europe and Japan should we receive regulatory approval to market our products in those territories
If our arrangements with these third parties are not successful, or if we are unable to enter into additional third-party arrangements, we may need to substantially expand our sales, marketing and distribution force
Our efforts to expand may not succeed, or we may lack sufficient resources to expand in a timely manner, either of which will harm our future operating results
Moreover, if we are able to further expand our sales, marketing and distribution capabilities, we will begin competing with other companies that have experienced and well-funded operations
If we cannot successfully compete with these larger companies, our revenues may not grow and our business may suffer
Commercialization of some of our products depends on collaborations with others
If our collaborators are not successful, or if we are unable to find future collaborators, we may not be able to properly develop and commercialize our products
We depend in part on our distributors and business partners to develop or promote our drugs, and if they are not successful in their efforts or fail to do so, our business will suffer
For example, Sigma-Tau is responsible for the development and marketing of ZADAXIN in most of Europe
We generally do not have control over the amount and timing of resources that our business partners devote to ZADAXIN, and they have not always performed as or when expected
If they do not perform their obligations as we expect, particularly obligations regarding clinical trials, our development expenses would increase and the development or sale of our products could be limited or delayed, which could hurt our business and cause our stock price to decline
In addition, our relationships with these companies may not be successful
Disputes may arise with our collaborators, including disputes over ownership rights to intellectual property, know-how or technologies developed with our collaborators
We may not be able to negotiate similar additional arrangements in the future to develop and commercialize ZADAXIN or other products
We may lose market share or otherwise fail to compete effectively in the intensely competitive biopharmaceutical industry
Competition in the biopharmaceutical industry is intense, and we expect that competition will increase
Our success depends on our ability to compete in this industry, but we cannot assure you that we will be able to successfully compete with our competitors
Increased competitive pressure could lead to intensified price-based competition resulting in lower prices and margins, which would hurt our operating results
26 ______________________________________________________________________ [54]Table of Contents We are focused on developing ZADAXIN as a treatment for HCV and HBV and certain cancers
Several large biopharmaceutical companies have substantial commitments to interferon alpha, an approved drug for treating HBV and HCV, and to lamivudine and adefovir, approved drugs to treat HBV We cannot assure you that we will compete successfully against our competitors or that our competitors, or potential competitors, will not develop drugs or other treatments for HCV, HBV, cancer and other diseases that will be superior to ours
If third-party reimbursement is not available or patients cannot otherwise pay for ZADAXIN, we may not be able to successfully market ZADAXIN Significant uncertainty exists as to the reimbursement status of new therapeutic products, such as ZADAXIN We cannot assure you that third-party insurance coverage and reimbursement will be available for therapeutic products we might develop
We cannot assure you that we will be able to maintain or increase third-party payments for ZADAXIN in China
The failure to obtain or maintain third-party reimbursement for our products would harm our business
Further, we cannot assure you that additional limitations will not be imposed in the future in the United States or elsewhere on drug coverage and reimbursement due to proposed health care reforms
In many emerging markets where we have marketing rights to ZADAXIN, but where government resources and per capita income may be so low that our products will be prohibitively expensive, we may not be able to market our products on economically favorable terms, if at all
Efforts by governmental and third-party payers to contain or reduce health care costs or the announcement of legislative proposals or reforms to implement government controls could cause us to reduce the prices at which we market our drugs, which would reduce our gross margins and may harm our business
Settlements regarding our claims relating to the Japanese clinical trials may not be favorable
Based on recent information received from Schering Plough KK (SPKK) and in conjunction with our own investigative efforts, we have determined that we cannot submit a Japanese new drug application (JNDA), or apply for a pre-JNDA preliminary review, for ZADAXIN as a therapy for HBV to the Ministry of Health in Japan
This conclusion is based on SPKK’s failure to conduct certain audits and generate certain reports during the pre-2001 studies that it managed and our conclusion that such documentation cannot be created at this time
This conclusion is not based on the substantive results of the Japan trials, which showed ZADAXIN to have competitive efficacy and safety in the treatment of HBV We and SPKK continue to investigate and discuss the issues involved, and how this matter should be fairly resolved
We and SPKK are in the process of mediation which we expect to conclude by the end of our first fiscal quarter of 2006
We cannot provide any assurance as to the outcome of the mediation
If mediation concludes without satisfactory results, we intend to pursue arbitration
Arbitration can be expensive and protracted and there can be no assurance that this dispute will be concluded in the near future or resolved favorably to us
SciClone is now determining the appropriate development strategy for ZADAXIN in Japan, however, it is unlikely that SciClone will be able to submit a JNDA for ZADAXIN in Japan for some years, if at all
If this process is restarted, it could be lengthy and could incur significant management time and expense
We may be subject to product liability lawsuits, and our insurance may be inadequate to cover damages
Clinical trials or marketing of any of our current and potential products may expose us to liability claims from the use of these products
We currently carry product liability insurance
However, we cannot be certain that we will be able to maintain insurance on acceptable terms, if at all, for clinical and commercial activities or that the insurance would be sufficient to cover any potential product liability claim or recall
If we fail to have sufficient coverage, our business, results of operations and cash flows could be adversely affected
We depend on international sales, and global conditions could negatively affect our operating results
Heightened tensions resulting from the current geopolitical conditions in the Middle East, North Korea and elsewhere could worsen, causing disruptions in foreign trade, 27 ______________________________________________________________________ [55]Table of Contents which would harm our sales
In particular, our commercial product is manufactured in Europe and distributed by us from our operations in Hong Kong
Any disruption of our supply and distribution activities due to geopolitical conditions could decrease our sales and harm our operating results
If we are unable to comply with environmental and other laws and regulations, our business may be harmed
We are subject to various federal, state and local laws, regulations and recommendations relating to the use, manufacture, storage, handling and disposal of hazardous materials and waste products (including radioactive compounds and infectious disease agents), as well as safe working conditions, laboratory and manufacturing practices and the experimental use of animals
The extent of government regulation that might result from future legislation or administrative action in these areas cannot be accurately predicted
We do not currently maintain hazardous materials at our facilities
While we outsource our research and development programs involving the controlled use of biohazardous materials, if in the future we conduct these programs ourselves, we might be required to incur significant cost to comply with environmental laws and regulations
Further, in the event of an accident, we would be liable for any damages that result, and the liability could exceed our resources
Our stock price may be volatile, and an investment in our stock could suffer a decline in value
The market price of our common stock has experienced, and may continue to experience, substantial volatility due to many factors, some of which we have no control over, including: • progress and results of clinical trials involving ZADAXIN; • progress of ZADAXIN through the regulatory process, especially regulatory actions and the adequacy of clinical data and documentation for regulatory purposes in the United States, Europe and Japan; • timing and achievement of milestones; • announcements of technological innovations or new products by us or our competitors; • announcement and completion of corporate acquisition, merger, licensing or marketing arrangements, or sales of assets; • government regulatory action affecting our drug products or our competitorsdrug products in both the United States and foreign countries; • developments or disputes concerning patent or proprietary rights; • changes in the composition of our management team or board of directors; • changes in company assessments or financial estimates by securities analysts; • actual or anticipated fluctuations in our quarterly operating results; • changes in assessments of our internal controls over financial reporting; • general stock market conditions and fluctuations for the emerging growth and biopharmaceutical market sectors; • economic conditions in the United States or abroad; and • broad financial market fluctuations in the United States, Europe or Asia
In the past, following periods of large price declines in the public market price of a company’s securities, securities class action litigation has often been initiated against that company
Litigation of this type could result in substantial costs and diversion of our attention and resources, which would hurt our business
Any adverse determination in litigation could also subject us to significant liabilities
28 ______________________________________________________________________ [56]Table of Contents Substantial sales of our stock or the exercise or conversion of options or convertible securities may impact the market price of our common stock
Our collaborative partner Sigma Tau and affiliates hold a substantial amount of our stock
The stock is freely tradeable and Sigma Tau is not under any obligation to SciClone which would prevent it from selling some or all of the stock it holds
Future sales of substantial amounts of our common stock could adversely affect the market price of our common stock
Similarly, if we raise additional funds through the issuance of common stock or securities convertible into or exercisable for common stock, the percentage ownership of our present stockholders will be reduced and the price of our common stock may fall
Sales of our common stock by officers and directors could affect our stock price
Our board of directors has approved an amendment to our trading policy that permits officers and directors to enter into trading plans that comply with the requirements of Rule 10b5-1 of the Securities Exchange Act of 1934, as amended
Rule 10b5-1 allows corporate officers and directors to adopt written, pre-arranged stock trading plans when they do not have material, non-public information
Using these plans, officers and directors can gradually diversify their investment portfolios, can spread stock trades out over an extended period of time to reduce any market impact and can avoid concerns about initiating stock transactions at a time when they might be in possession of material, non-public information
As of February 13, 2006, one director has adopted such a plan, and other directors or officers may do so in the future
We expect future sales by officers and directors either under 10b5-1 plans or otherwise as a result of their personal financial planning
We do not believe the volume of such sales would affect our trading price; however, the market could react negatively to sales by our officers and directors, which could affect the trading price of our stock
Anti-takeover provisions in our charter documents and under Delaware law may make an acquisition of us, which may be beneficial to our stockholders, more difficult
Certain anti-takeover provisions of Delaware law and our charter documents as currently in effect may make a change in control of our company more difficult, even if a change in control would be beneficial to our stockholders
Our charter documents contain certain anti-takeover provisions, including provisions in our certificate of incorporation providing that stockholders may not cumulate votes, stockholders’ meetings may be called by stockholders only if they hold 25prca or more of our common stock and provisions in our bylaws providing that the stockholders may not take action by written consent
Additionally, our board of directors has the authority to issue 10 million shares of preferred stock and to determine the terms of those shares of stock without any further action by the stockholders
The rights of holders of our common stock are subject to the rights of the holders of any preferred stock that may be issued
The issuance of preferred stock could make it more difficult for a third-party to acquire a majority of our outstanding voting stock
Delaware law also prohibits corporations from engaging in a business combination with any holders of 15prca or more of their capital stock until the holder has held the stock for three years unless, among other possibilities, the board of directors approves the transaction
Our board of directors may use these provisions to prevent changes in the management and control of our company
Also, under applicable Delaware law, our board of directors may adopt additional anti-takeover measures in the future
If we fail to maintain an effective system of internal controls, we may not be able to accurately report our financial results
As a result, current and potential stockholders could lose confidence in our financial reporting, which would harm our business and the trading price of our stock
Effective internal controls are necessary for us to provide reliable financial reports
If we cannot provide reliable financial reports, our business and operating results could be harmed
We have in the past discovered, and may in the future discover, areas of our internal controls that need improvement
For example, in the quarter 29 ______________________________________________________________________ [57]Table of Contents ended June 30, 2005, we identified a material weakness in our internal controls over financial reporting as defined in Public Company Accounting Oversight Board (PCAOB) Standard Nodtta 2
This material weakness related to our failure, due to our lack of familiarity with certain technical stock option accounting matters, to evaluate the correct accounting effect of a stock price performance based option granted to our Chief Executive Officer on June 1, 2005, the date he commenced his employment
Due to the terms of this option, Accounting Principles Board Opinion Nodtta 25 (APB 25) requires the application of variable accounting and specifically requires the recognition of non-cash expense in the period that portions of the option vest or are deemed probable of vesting at the end of the reporting period
The vesting of this option is directly determined by the price level of trading activity in our stock, and the conditions required to recognize a related non-cash expense did not occur in the interim period ended June 30, 2005
However, had the conditions required the recognition of a non-cash expense related to this option under APB 25, our accounting procedures at June 30, 2005 would not have correctly applied APB 25
Because of the material weakness described above, management concluded that the Company did not maintain effective internal control over financial reporting as of June 30, 2005
The Company’s management identified the steps necessary to address the material weakness described above, and executed remediation plans, as discussed in “Item 4
Controls and Procedures” of our September 30, 2005 quarterly report on Form 10-Q incorporated by reference
Any failure to implement and maintain the improvements in the controls over our financial reporting, or difficulties encountered in the implementation of these improvements in our controls, could cause us to fail to meet our reporting obligations
Any failure to improve our internal controls to address these identified weaknesses could also cause investors to lose confidence in our reported financial information, which could have a negative impact on the trading price of our stock
New accounting pronouncements may impact our financial position or results of operations
Future changes in financial accounting standards may cause adverse, unexpected fluctuations in the timing of the recognition of revenues or expenses and may affect our financial position or results of operations
New pronouncements and varying interpretations of pronouncements have occurred with frequency and may occur in the future and this may lead to changes in our accounting policies in the future
One such new pronouncement issued in December 2004 by the Financial Accounting Standards Board (FASB) is FASB Statement Nodtta 123 (revised 2004), “Share-Based Payment” (SFAS 123R)
SFAS 123R requires share-based payments to employees and directors, including grants of stock options, to be recognized in the statement of operations based on their fair values
The Company currently accounts for share-based payments to employees and directors using Accounting Principles Board Opinion 25’s intrinsic value method and, as such, generally recognizes no compensation cost for employee and director stock options and employee stock purchase plans
Accordingly, the adoption of SFAS 123R’s fair value method will have a significant impact on our results of operations, although it will have no impact on our cash or overall financial position
New legislation may impact our financial position or results of operations
Compliance with changing regulations concerning corporate governance and public disclosure has resulted in and may continue to result in additional expenses
Changing laws, regulations and standards relating to corporate governance and public disclosure, including the Sarbanes-Oxley Act of 2002, new SEC regulations and NASDAQ National Market rules, are creating uncertainty for companies such as ours and costs are increasing as a result of this uncertainty and other factors
We are committed to maintaining high standards of corporate governance and public disclosure
As a result, we intend to invest all reasonably necessary resources to comply with evolving standards, and this investment has and may continue to result in increased general and administrative expenses and a diversion of management time and attention from revenue-generating activities to compliance activities
We may be subject to currency exchange rate fluctuations, which could adversely affect our financial performance
Substantially all of our product sales are denominated in US dollars
Fluctuation in the US dollar exchange rate with local currency directly affects the customer’s cost for our product
In particular, a stronger 30 ______________________________________________________________________ [58]Table of Contents US dollar vis-à-vis the local currency would tend to have an adverse effect on sales and potentially on collection of accounts receivable
Through the periods ended December 31, 2005, this exposure to currency exchange rate fluctuations had been minimal because the Chinese currency had been pegged to the US dollar
However, the Chinese currency is no longer pegged to the US dollar and consequently, our foreign operations may expose us to greater risk of decreased sales due to currency exchange rate fluctuations in the future
In addition, we are subject to currency exchange rate fluctuations as a result of expenses incurred by our foreign operations
In particular, one of our supply arrangements under which we purchase finished products is denominated in euros and costs of our marketing efforts in China are paid in local currency
Consequently, changes in exchange rates could unpredictably and adversely affect our operating results and could result in exchange losses
To date, we have not hedged against the risks associated with fluctuations in exchange rates and, therefore, exchange rate fluctuations could have a material adverse impact on our future operating results and stock price