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| EXEL > SEC Filings for EXEL > Form 10-Q on 7-Nov-2012 | All Recent SEC Filings |
7-Nov-2012
Quarterly Report
The following discussion and analysis contains forward-looking statements. These
statements are based on our current expectations, assumptions, estimates and
projections about our business and our industry, and involve known and unknown
risks, uncertainties and other factors that may cause our or our industry's
results, levels of activity, performance or achievements to be materially
different from any future results, levels of activity, performance or
achievements expressed or implied in, or contemplated by, the forward-looking
statements. Words such as "believe," "anticipate," "expect," "intend," "plan,"
"focus," "goal," "objective," "will," "may," "could," "would," "estimate,"
"predict," "potential," "continue," "encouraging," or the negative of such terms
or other similar expressions identify forward-looking statements. Our actual
results and the timing of events may differ significantly from the results
discussed in the forward-looking statements. Factors that might cause such a
difference include those discussed in Part II, Item 1A of this Form 10-Q, as
well as those discussed elsewhere in this report.
This discussion and analysis should be read in conjunction with our financial
statements and accompanying notes included in this report and the financial
statements and accompanying notes thereto included in our Annual Report on Form
10-K for the fiscal year ended December 31, 2011, filed with the Securities and
Exchange Commission, or SEC, on February 22, 2012. Operating results are not
necessarily indicative of results that may occur in future periods. We undertake
no obligation to update any forward-looking statement to reflect events after
the date of this report.
Overview
We are a biotechnology company committed to developing small molecule therapies
for the treatment of cancer. We are focusing our proprietary resources and
development efforts exclusively on cabozantinib, formerly known as XL184, our
most advanced product candidate, in order to maximize the therapeutic and
commercial potential of this compound. We believe cabozantinib has the potential
to be a high-quality, broadly-active, differentiated pharmaceutical product that
can make a meaningful difference in the lives of patients.
We have also established a portfolio of other novel compounds that we believe
have the potential to address serious unmet medical needs, many of which are
being advanced by partners as part of collaborations. As disclosed on
clinicaltrials.gov (NCT01689519), a phase 3 clinical trial for one of these
compounds, GDC-0973 (XL518), which we out-licensed to Genentech, Inc. (a
wholly-owned member of the Roche Group), was recruiting participants as of
November 1, 2012.
Cabozantinib
Cabozantinib inhibits MET, VEGFR2 and RET, proteins that are key drivers of
tumor growth, vascularization, and/or metastasis. Cabozantinib has shown novel
and differentiated activity in multiple cancer indications. The current clinical
program for cabozantinib is focused on the treatment of metastatic
castration-resistant prostate cancer, or CRPC, and progressive, unresectable,
locally advanced, or metastatic medullary thyroid cancer, or MTC, but also
includes the evaluation of other tumor types.
Exelixis has implemented a strategy to investigate cabozantinib in a
comprehensive development program for CRPC to potentially generate a product
that could effectively compete in the CRPC marketplace. Two phase 3 pivotal
trials, COMET-1 (CabOzantinib MET Inhibition CRPC Efficacy Trial-1, formerly
known as XL184-307) and COMET-2 (formerly known as XL184-306), were designed to
provide an opportunity to commercially differentiate cabozantinib as an oncology
agent with a potentially beneficial impact on overall survival, pain palliation
and narcotic usage. We initiated the COMET-2 trial with a pain palliation
endpoint in December 2011 and the COMET-1 trial with an overall survival
endpoint in May 2012. We currently believe that the top-line results from the
COMET-1 and COMET-2 trials will be available in 2014.
In May 2012, we completed the submission of our rolling new drug application, or
NDA, with the United States Food and Drug Administration, or FDA, for
cabozantinib as a treatment for MTC On July 30, 2012, we announced that the FDA
accepted our NDA for filing and granted a Priority Review designation with a
stated action date of November 29, 2012. The NDA submission was based on the
data from our phase 3 clinical trial of cabozantinib as a potential treatment
for medullary thyroid cancer, known as the EXAM trial (Efficacy of XL184
(Cabozantinib) in Advanced Medullary Thyroid Cancer), with progression-free
survival, or PFS, as the trial's primary endpoint. The EXAM trial has been
conducted under a special protocol assessment, or SPA, with the FDA, which
allows for full approval on the basis of PFS if the data are supportive. We
announced in October 2011 that the primary endpoint of the EXAM trial had been
met. Data from the EXAM trial were reported at the American Society of Clinical
Oncology Annual Meeting, or ASCO, in June 2012. Assuming approval of our NDA by
the FDA, we currently anticipate a potential U.S. commercial launch of
cabozantinib for the treatment of MTC in late 2012 or early 2013. We recently
submitted our marketing authorization application, or MAA, to the European
Medicines Agency, or EMA, and the MAA is currently subject to the EMA's
validation process.
We expect to expand the cabozantinib development program to other solid tumor
indications, based on encouraging interim data that have emerged from our
randomized discontinuation trial, or RDT, as well as other clinical trials.
Objective tumor responses have been observed in patients treated with
cabozantinib in 12 of 13 individual tumor types investigated to date, reflecting
the broad potential clinical activity and commercial opportunity of this product
candidate. Interim data suggest that cabozantinib has shown novel activity
against bone and soft tissue lesions in patients with CRPC. In addition, interim
data demonstrated that CRPC patients with bone metastases and bone pain at
baseline experienced alleviation of pain, were able to reduce or discontinue
narcotic medication and experienced a reduction in circulating tumor cell count.
We have also observed resolution of metastatic bone lesions on bone scan in
patients with metastatic breast cancer, renal cell carcinoma, thyroid cancer and
melanoma.
Lower starting doses of cabozantinib are being evaluated in a cohort of CRPC
patients in a non-randomized expansion cohort, or NRE, of the RDT treated at a
daily dose of 40 mg, and in a dose-ranging study in CRPC patients conducted
through an investigator-sponsored trial, or IST. Interim data from the NRE
reported at the European Society for Medical Oncology, or ESMO, 2012 Annual
Meeting in September 2012 suggest that the 40 mg daily dose has similar clinical
activity to the 100 mg daily dose used in the RDT for key parameters, including
reduction of metastatic bone and soft tissue disease, and reduction of bone pain
and narcotic use, with apparent improvement in tolerability compared to the 100
mg dose cohort. Interim data from the 40 mg cohort of the dose-ranging IST
reported at ASCO in June 2012 had also demonstrated clinical activity.
We believe that cabozantinib's clinical profile is compelling and will allow
commercial differentiation, assuming regulatory approval. Accordingly, it is a
priority for us to generate additional data from the RDT as well as other
ongoing exploratory clinical trials for cabozantinib in a broad range of tumor
types, including ovarian cancer, melanoma, breast cancer, non-small cell lung
cancer, hepatocellular cancer, renal cell carcinoma, and differentiated thyroid
cancer, to support further prioritization of our clinical and commercial
options. We currently are evaluating the initiation of phase 3 pivotal trials of
cabozantinib in hepatocellular cancer, renal cell carcinoma and potentially
other indications. We believe the initiation of such pivotal trials potentially
will increase the value of the cabozantinib franchise and spread the development
and commercialization risk for cabozantinib across multiple opportunities.
We have launched two initiatives to expand the cabozantinib development program
beyond our internal development efforts: our Cooperative Research and
Development Agreement, or CRADA, with the National Cancer Institute's Cancer
Therapy Evaluation Program, or NCI-CTEP, and our IST program.
We entered into our CRADA with NCI-CTEP in November 2011. The proposed clinical
trials approved to date under the CRADA include the following:
• Phase 2 clinical trials in disease settings where there is substantial
unmet medical need and in which cabozantinib has previously demonstrated
clinical activity, consisting of randomized phase 2 clinical trials in
first line renal cell carcinoma, platinum-resistant or refractory
ovarian cancer, ocular melanoma, second line non-small cell lung cancer,
and second line/third line non-small cell lung cancer. We believe that
data from these phase 2 clinical trials will help prioritize future
phase 3 pivotal trials of cabozantinib.
• Additional phase 2 clinical trials to explore cabozantinib's potential
utility in other tumor types, consisting of trials in endometrial
cancer, bladder cancer, sarcoma and second line differentiated thyroid
cancer. Positive results in these indications could lead to further
study in randomized phase 2 or phase 3 clinical trials.
• Additional phase 1 clinical trials, consisting of a trial evaluating
cabozantinib in combination with docetaxel in CRPC patients, a trial
exploring the utility of combining cabozantinib with vemurafenib, a BRAF
inhibitor, in patients with BRAF-mutated melanoma, and a trial to
evaluate the safety and phamacokinetics of cabozantinib in pediatric
patients.
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Commencement of each of the proposed trials approved under the CRADA is subject
to protocol development and satisfaction of certain other conditions. The
proposed trials approved under the CRADA will be conducted under an
investigational new drug application held by NCI-CTEP. We believe our CRADA
reflects a major commitment by NCI-CTEP to support the broad exploration of
cabozantinib's potential in a wide variety of cancers that have substantial
unmet medical needs. Since NCI-CTEP provides funding for as many as 20 active
clinical trials each year for a five year period, we believe the agreement will
enable us to broadly expand the cabozantinib development program in a
cost-efficient manner.
We launched the IST program in October 2010, and it has already provided
important interim data through the dose-ranging study in CRPC patients described
above. These data were important for dose selection in the COMET pivotal trial
program, and we believe they will guide dose selection for a potential future
trial to evaluate the ability of cabozantinib to prevent bone metastases in men
with prostate cancer. Cabozantinib currently is being evaluated in a variety of
other ISTs and we expect to continue to consider additional IST proposals for
the foreseeable future.
Collaborations
We have established collaborations with leading pharmaceutical and biotechnology
companies, including Bristol-Myers Squibb Company, or Bristol-Myers Squibb,
Sanofi, Genentech, GlaxoSmithKline, Merck (known as MSD outside of the United
States and Canada) and Daiichi Sankyo Company Limited, or Daiichi Sankyo, for
various compounds and programs in our portfolio. Pursuant to these
collaborations, we have out-licensed compounds or programs to a partner for
further development and commercialization, generally have no further unfunded
cost obligations related to such compounds or programs and may be entitled to
receive research funding, milestones and royalties or a share of profits from
commercialization. As disclosed on clinicaltrials.gov (NCT01689519), a phase 3
clinical trial for one of these compounds, GDC-0973 (XL518), which we
out-licensed to Genentech, was recruiting participants as of November 1, 2012.
In addition, several other out-licensed compounds are in multiple phase 2
studies. These partnered compounds potentially could be of significant value to
us if their development progresses successfully. With respect to our partnered
compounds, we are eligible to receive potential milestone payments under our
collaborations totaling approximately $3.1 billion in the aggregate on a
non-risk adjusted basis, of which 9% are related to clinical development
milestones, 45% are related to regulatory milestones and 46% are related to
commercial milestones.
GDC-0973 (XL518) Collaboration with Genentech
Preliminary results from BRIM7, an ongoing phase 1b trial dose escalation study
conducted by Roche and Genentech, our collaboration partner, of the BRAF
inhibitor (BRAFi) vemurafenib in combination with the MEK inhibitor GDC-0973
(XL518) in patients with locally advanced/unresectable or metastatic melanoma
carrying a BRAFV600 mutation were presented at the 2012 ESMO Annual Meeting. As
disclosed on clinicaltrials.gov (NCT01689519), a multicenter, randomized,
double-blind, placebo-controlled phase 3 clinical trial evaluating the
combination of vemurafenib with GDC-0973 (XL518) versus vemurafenib in
previously untreated BRAFV600 mutation positive patients with unresectable
locally advanced or metastatic melanoma was recruiting participants as of
November 1, 2012.
GDC-0973 (XL518) is a potent, highly selective inhibitor of MEK, a
serine/threonine kinase that is a component of the RAS/RAF/MEK/ERK pathway. This
pathway mediates signaling downstream of growth factor receptors, and is
prominently activated in a wide variety of human tumors. In preclinical studies,
oral dosing of GDC-0973 (XL518) resulted in potent and sustained inhibition of
MEK in RAS- or BRAF-mutant tumor models. Exelixis discovered GDC-0973 (XL518)
internally and advanced the compound to investigational new drug, or IND,
status. In late 2006, we entered into a worldwide co-development agreement with
Genentech, under which Exelixis received initial upfront and milestone payments
for signing the agreement and submitting the IND. We were responsible for
development of GDC-0973 (XL518) through the end of phase 1, at which point
Genentech exercised its option to further develop the compound.
Under the terms of our agreement with Genentech, we are entitled to an initial
equal share of U.S. profits and losses for GDC-0973 (XL518), which will decrease
as sales increase, and will share equally in the U.S. marketing and
commercialization costs. The profit share has multiple tiers--we are entitled to
50% of profits from the first $200 million of U.S. actual sales, decreasing to
30% of profits from U.S. actual sales in excess of $400 million. We are entitled
to low double-digit royalties on ex-U.S. net sales. We also have the option to
co-promote in the United States. The co-promotion option would allow us to
provide up to 25% of the total sales force for GCD-0973 (XL518) in the United
States. We must exercise the co-promotion option within 12 months of receiving
notification of first patient dosed in first phase 3 clinical trial of GDC-0973
(XL518). As a condition to exercise the co-promotion option, we must have the
capability to co-promote, including an adequate internal sales and promotional
infrastructure, and an experienced internal oncology sales force.
Certain Factors Important to Understanding Our Financial Condition and Results
of Operations
Successful development of drugs is inherently difficult and uncertain. Our
business requires significant investments in research and development over many
years, often for products that fail during the research and development process.
Our long-term prospects depend upon our ability, particularly with respect to
cabozantinib, and the ability of our partners to successfully commercialize new
therapeutics in highly competitive areas such as cancer treatment. Our financial
performance is driven by many factors, including those described below.
Clinical Development and Commercialization Efforts for Cabozantinib and Other
Product Candidates
We are focusing our proprietary resources and development and commercialization
efforts on cabozantinib. However, cabozantinib may fail to show adequate safety
or efficacy in clinical testing. Furthermore, predicting the timing of the
initiation or completion of clinical trials is difficult, and our trials may be
delayed due to many factors, including factors outside of our control. The
future development path of cabozantinib depends upon the results of each stage
of clinical development. We expect to incur increased expenses for the
development of cabozantinib as it advances in clinical development, as well as
commercialization expenses in the event cabozantinib receives regulatory
approval. In addition to expenses related to cabozantinib, we will be obligated
to share U.S. marketing and commercialization expenses related to GDC-0973
(XL518) in order to maintain our U.S. profit share.
With the exception of activities related to cabozantinib and our obligations
with respect to GDC-0973 (XL518), we have discontinued efforts with respect to
all of our compounds and programs that are not funded by partners pursuant to
collaboration agreements. We expect discovery and clinical activities under
various collaborations to continue to be funded by partners until we complete
our contractual obligations.
Limited Sources of Revenues
We have no pharmaceutical products that have received marketing approval, and we
have generated no revenues to date from the sale of such products. We do not
expect to generate meaningful revenues from the sale of pharmaceutical products
in the near term and expect that all of our other near-term revenues, such as
research and development funding, license fees and milestone payments and
royalty revenues, will be generated from collaboration agreements with our
current and potential future partners. Milestones under these agreements may be
tied to factors that are outside of our control, such as significant clinical or
regulatory events with respect to compounds or programs that have been
out-licensed to our partners.
Liquidity
As of September 30, 2012, we had $674.7 million in cash and cash equivalents,
marketable securities, short- and long-term restricted cash and investments and
long-term investments, which included short- and long-term restricted cash and
investments of $40.2 million and $82.9 million of cash and cash equivalents and
marketable securities that we are required to maintain on deposit with Silicon
Valley Bank or one of its affiliates pursuant to covenants in our loan and
security agreement with Silicon Valley Bank. We anticipate that our current cash
and cash equivalents, marketable securities, long-term investments and funding
that we expect to receive from existing collaborators will enable us to maintain
our operations for a period of at least 12 months following the end of the third
quarter of 2012. However, our future capital requirements will be substantial,
and we will need to raise additional capital in the future. Our capital
requirements will depend on many factors, and we may need to use available
capital resources and raise additional capital significantly earlier than we
currently anticipate. These factors include:
• the progress and scope of the development and commercialization
activities with respect to cabozantinib;
• whether we elect to redeem for cash, all or a portion of the 4.25%
convertible senior subordinated notes due 2019, or the 2019 Notes,
issued and sold by us on August 14, 2012, prior to their maturity date;
• whether we elect to pay cash or to issue shares of our common stock in
respect of any conversion of the 2019 Notes;
• whether we elect to pay cash or to issue shares of our common stock in
respect of any conversion of our principal, prepayments or payments of
interest in connection with the secured convertible notes we issued to
entities affiliated with Deerfield Management Company, L.P., or
Deerfield, under our note purchase agreement;
• whether we elect to prepay the amounts advanced under our loan from
Silicon Valley Bank;
• the level of payments received under existing collaboration agreements,
licensing agreements and other arrangements;
• the degree to which we conduct funded development activity on behalf of
partners to whom we have out-licensed compounds or programs;
• whether we enter into new collaboration agreements, licensing agreements
or other arrangements (including, in particular with respect to
cabozantinib) that provide additional capital; and
• our obligation to share U.S. marketing and commercialization costs for
GDC-0973 (XL518) under our collaboration with Genentech.
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Our minimum liquidity needs are also affected by financial covenants in our loan
and security agreement with Silicon Valley Bank and our note purchase agreement
with Deerfield, as well as other factors, which are described under "Liquidity
and Capital Resources-Cash Requirements".
Our ability to raise additional funds may be severely impaired if cabozantinib
fails to show adequate safety or efficacy in clinical testing.
Convertible Senior Subordinated Notes
On August 14, 2012, we issued and sold $287.5 million aggregate principal amount
of the 2019 Notes for net proceeds of $277.7 million. The 2019 Notes were issued
pursuant to an indenture, as supplemented by a supplemental indenture,
collectively, the Indenture, with Wells Fargo Bank, National Association, as
trustee, or the Trustee, and mature on August 15, 2019, unless earlier
converted, redeemed or repurchased. The 2019 Notes bear interest at a rate of
4.25% per annum, payable semi-annually in arrears on February 15 and August 15
of each year, beginning February 15, 2013. Subject to certain terms and
conditions, at any time on or after August 15, 2016, we may redeem for cash all
or a portion of the 2019 Notes. The redemption price will equal 100% of the
principal amount of the 2019 Notes to be redeemed, plus accrued and unpaid
interest, if any, to, but excluding, the redemption date.
Upon the occurrence of certain circumstances, holders may convert their 2019
Notes prior to the close of business on the business day immediately preceding
May 15, 2019. On or after May 15, 2019, until the close of business on the
second trading day immediately preceding August 15, 2019, holders may surrender
their 2019 Notes for conversion at any time. Upon conversion, we will pay or
deliver, as the case may be, cash, shares of our common stock or a combination
of cash and shares of our common stock, at our election. The initial conversion
rate of 188.2353 shares of common stock per $1,000 principal amount of the 2019
Notes is equivalent to a conversion price of approximately $5.31 per share of
common stock. The conversion rate is subject to adjustment upon the occurrence
of certain events.
In connection with the issuance and sale of the 2019 Notes, $36.5 million of the
proceeds were deposited into an escrow account which contains an amount of
permitted securities sufficient to fund, when due, the total aggregate amount of
the first six scheduled semi-annual interest payments on the 2019 Notes. We have
pledged our interest in the escrow account to the Trustee as security for our
obligations under the 2019 Notes.
Deerfield Facility
On June 2, 2010, we entered into a note purchase agreement with Deerfield
pursuant to which, on July 1, 2010, we sold to Deerfield an aggregate of $124.0
million initial principal amount of our secured convertible notes due June 2015,
or the Deerfield Notes, for an aggregate purchase price of $80.0 million, less
closing fees and expenses of approximately $2.0 million. On August 6, 2012, the
parties amended the note purchase agreement to permit the issuance of the 2019
Notes and modify certain optional prepayment rights. The amendment became
effective upon the issuance of the 2019 Notes and the payment to Deerfield of a
$1.5 million consent fee. The outstanding principal amount of the Deerfield
Notes bears interest in the annual amount of $6.0 million, payable quarterly in
arrears. We will be required to make mandatory prepayments on the Deerfield
Notes on an annual basis in 2013, 2014 and 2015 equal to 15% of certain payments
from our collaborative arrangements received during the prior fiscal year,
subject to a maximum annual prepayment amount of $27.5 million and, for payments
due in January 2013 and 2014, a minimum prepayment amount of $10.0 million. We
may also prepay all or a portion (not less than $5.0 million) of the principal
amount of the Deerfield Notes at an optional prepayment price based on a
discounted principal amount (during the first three years of the term, subject
to a prepayment premium) determined as of the date of prepayment, plus accrued
and unpaid interest, plus in the case of a prepayment of the full principal
amount of the Deerfield Notes (other than prepayments upon the occurrence of
specified transactions relating to a change of control or a substantial sale of
assets), all accrued interest that would have accrued between the date of such
prepayment and the next anniversary of the note purchase agreement. Pursuant to
the amendment of the note purchase agreement, any optional prepayment of the
Deerfield Notes made on or prior to July 2, 2013 will be determined as if such
prepayment occurred as of July 3, 2013. In lieu of making any optional or
mandatory prepayment in cash, subject to certain limitations (including a cap on
the number of shares issuable under the note purchase agreement), we have the
right to convert all or a portion of the principal amount of the Deerfield Notes
into, or satisfy all or any portion of the optional prepayment amounts or
mandatory prepayment amounts (other than the first $10.0 million of mandatory
prepayments required in 2013 and 2014 and any optional prepayments made prior to
July 3, 2013) with shares of our common stock. Additionally, in lieu of making
any payment of accrued and unpaid interest in respect of the Deerfield Notes in
cash, subject to certain limitations, we may elect to satisfy any such payment
with shares of our common stock. The number of shares of our common stock
issuable upon conversion or in settlement of principal and interest obligations
will be based upon the discounted trading price of our common stock over a
specified trading period. Upon certain changes of control of our company, a sale
or transfer of assets in one transaction or a series of related transactions for
a purchase price of more than $400 million or a sale or transfer of more than
50% of our assets, Deerfield may require us to prepay the Deerfield Notes at the
optional prepayment price, plus accrued and unpaid interest and any other
accrued and
reimbursable expenses, or the Put Price. Upon an event of default, Deerfield may declare all or a portion of the Put Price to be immediately due and payable. We also entered into a security agreement in favor of Deerfield which provides that our obligations under the Deerfield Notes will be secured by substantially all of our assets except intellectual property. In connection with the amendment of the note purchase agreement, the security agreement was also amended to exclude any escrowed proceeds from the issuance of 2019 Notes from the . . .
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