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| PCYC > SEC Filings for PCYC > Form 10-Q on 7-Nov-2012 | All Recent SEC Filings |
7-Nov-2012
Quarterly Report
You should read the following discussion and analysis of our financial condition and results of operations together with our interim financial statements and the related notes appearing at the beginning of this report. The interim financial statements and this Management's Discussion and Analysis of Financial Condition and Results of Operations should be read in conjunction with the financial statements and notes thereto for the year ended June 30, 2012 and the related Management's Discussion and Analysis of Financial Condition and Results of Operations, both of which are contained in our Annual Report on Form 10-K filed with the Securities and Exchange Commission on September 5, 2012.
The following discussion contains forward-looking statements that involve risks
and uncertainties. These statements relate to future events, such as our future
clinical and product development, financial performance and regulatory review of
our product candidates. Our actual results could differ materially from any
future performance suggested in this report as a result of various factors,
including those discussed elsewhere in this report, in our Annual Report on Form
10-K for the fiscal year ended June 30, 2012 and in our other Securities and
Exchange Commission reports and filings. All forward-looking statements are
based on information currently available to Pharmacyclics; and we assume no
obligation to update such forward-looking statements. Stockholders are cautioned
not to place undue reliance on such statements.
Company Overview
We are a clinical-stage biopharmaceutical company focused on developing and
commercializing innovative small-molecule drugs for the treatment of cancer and
immune mediated diseases. Our corporate mission statement reads as follows: To
build a viable biopharmaceutical company that designs, develops and
commercializes novel therapies intended to improve quality of life, increase
duration of life and resolve serious medical healthcare needs; to identify
promising product candidates based on exceptional scientific development
expertise, develop our products in a rapid, cost-efficient manner and to pursue
commercialization and/or development partners when and where appropriate. We
exist to make a difference for the better and these are important times to do
that.
Presently, we have three product candidates in clinical development and several
preclinical molecules in lead optimization or pre-clinical development. We are
committed to high standards of ethics, scientific rigor, and operational
efficiency as we move each of these programs toward potential commercialization.
To date, nearly all of our resources have been dedicated to the research and
development of our products, and we have not generated any commercial revenues
from the sale of our products. We do not anticipate the generation of any
product commercial revenue until we receive the necessary regulatory and
marketing approvals to launch one of our products.
We were in the development stage at June 30, 2011, as defined in Financial
Accounting Standards Board Accounting Standards Codification Topic 915,
"Development Stage Entities." During the fiscal year ended June 30, 2012, we
exited the development stage with the signing of our first significant
collaboration with Janssen Biotech, Inc. ("Janssen") (See Note 4 to the
condensed consolidated financial statements), from which we received our first
significant revenue from principal operations, reflective that we are no longer
in the development stage.
The process of developing and commercializing our products requires significant
research and development, preclinical testing and clinical trials, manufacturing
arrangements as well as regulatory and marketing approvals. These activities,
together with our general and administrative expenses, are expected to result in
significant operating losses until the commercialization of our products, or
partner collaborations, generate sufficient revenue to cover our expenses. We
expect that losses will fluctuate from quarter to quarter and that such
fluctuations may be substantial. Our sustaining profitability depends upon our
ability to successfully complete the development of our products, obtain
required regulatory approvals and successfully manufacture and commercialize our
products.
Ibrutinib (also known as PCI-32765) - Bruton's Tyrosine Kinase ("BTK") Inhibitor
for Oncology
Ibrutinib is an orally active selective irreversible inhibitor of BTK that we
are developing for the treatment of patients with B-cell malignancies (lymphoma
or leukemias). B-cell maturation is mediated by B-cell receptor ("BCR") signal
transduction and BTK is an essential part of the BCR signaling pathway.
Recently, BTK has been demonstrated to affect a number of vital growth and
survival processes in cancerous B-cells.
Ibrutinib Clinical Development Update
During fiscal year 2012 we provided updates on several of our clinical programs
at major scientific conferences. The following is a summary of the clinical
updates provided:
At the 2011 American Society of Hematology ("ASH") Annual meeting in December
2011, we presented interim results of our Phase II study in mantle cell lymphoma
("MCL") patients. In the Phase II study PCYC-1104, ibrutinib was administered
orally at 560 mg daily until disease progression. Efficacy data was reported on
51 patients (31 patients had bortezomib-naive disease, 20 patients had
previously received bortezomib) who had post-baseline tumor assessments and were
thus evaluable for response. The objective response rate ("ORR"), according to
the 2007 Non-Hodgkin's Lymphoma ("NHL") International Working Group criteria,
was 69% (35/51 patients). ORR was similar in bortezomib-naive and
bortezomib-exposed patients (71% and 65%, respectively). At the time of the
analysis 31 of 35 (89%) responding patients had ongoing responses at the median
follow-up of 3.7 months. Consistent with previous trials of ibrutinib, the most
common adverse events reported in this trial were Grade 1 (mild) or 2 (moderate)
fatigue, diarrhea and nausea. Three patients discontinued the study at that time
due to adverse events regardless of causality.
At the 2012 Annual Meeting of the American Society of Clinical Oncology ("ASCO")
in June 2012, we presented for the first time data of our single agent Phase
Ib/II study in the treatment-naive cohort in Chronic Lymphocytic Leukemia/Small
Lymphocytic Lymphoma ("CLL/SLL") patients. The Phase II study PCYC-1102 included
a total of 31 treatment-naive elderly (? 65 years) patients with CLL/SLL
enrolled at two daily dose levels of ibrutinib, 420 mg (n=26) and 840 mg (n=5),
respectively. At the median follow-up of 14.4 months in the 420 mg cohort, the
overall response rate, including complete and partial responses, was 81% as
measured by the 2008 International Workshop on Chronic Lymphocytic Leukemia
("IWCLL") criteria. Notably, complete response (no evidence of disease as
measured by radiographic, blood and bone marrow) was achieved in 12% (n=3
patients) with ibrutinib as a single agent. The clinical responses (complete and
partial) have been independent of high-risk clinical or genetic features. At the
median follow-up of 14.4 months, the probability of progression free survival
("PFS") was 96% in the 420 mg cohort. The study safety profile of ibrutinib was
particularly notable for minimal off target toxicities, consistent with earlier
trials. The most common adverse events were Grade 1/2 diarrhea, nausea and
fatigue. Grade 3 and Grade 4 hematologic events potentially related to ibrutinib
occurred in 12% of patients. Of the 31 patients on the trial at the time of the
analysis, there was only 1 patient that had discontinued due to disease
progression.
The first results of Phase II study PCYC-1109 were also presented at ASCO in
June 2012 and included a total of 27 patients with Chronic Lymphocytic
Leukemia/Small Lymphocytic Lymphoma/Prolymphocytic Leukemia ("CLL/SLL/PLL")
(n=24) and Richter's transformation (n=3) that were treated in cohort one, in
which ibrutinib (420 mg) was followed by concomitant ofatumumab with continued
ibrutinib until progression. The combination was well tolerated, as indicated by
reports that the majority of adverse events were Grades 1/2. No new safety
signals were identified. At the time of the analysis for the CLL/SLL/PLL
patients, the overall response rate, as measured by IWCLL criteria, and the
progression free survival probability were both 100% at the median follow-up of
9.8 months. Also at the time of the analysis, 89% of CLL/SLL/PLL patients
remained on study and only 1 patient had discontinued treatment by proceeding to
stem cell transplant. The results of this Phase II study, as presented at ASCO
in June 2012, also included rapid onset of response, low relapse rate and a
favorable safety profile which make this combination worthy of further study.
Cohorts evaluating other therapeutic sequences with ofatumumab and ibrutinib are
currently underway.
The Phase II study PCYC-1108 was also presented at ASCO in June 2012 and
enrolled a total of 30 patients treated with a combination of bendamustine and
rituximab; 37% were considered refractory (treatment free interval ? 12 months)
to a purine analog (e.g. fludarabine) containing regimen and 13% refractory to
bendamustine. Patients received ibrutinib in combination with
bendamustine/rituximab. The combination therapy was well tolerated and there
were no discontinuations due to adverse events. At the median follow-up of 8.1
months, the progression free survival probability was 90%. The overall response
rate was 93%. Only 2 patients had reported progressive disease at the time of
the analysis, an additional 5 patients had proceeded to stem cell transplant and
23 (77%) patients remained on study.
The Phase II study PCYC-1102 was also presented at the 17th Congress of the
European Hematology Association ("EHA") in June 2012. This single agent study
included a total of 92 patients with CLL/SLL (61 relapsed/refractory
patients and 31 treatment-naive patients) enrolled at two daily dose levels of
ibrutinib (420 mg and 840 mg). In addition to the data reported June 6, 2012 at
ASCO on the treatment-naive patients, this oral presentation provided updated
PFS data in the relapsed/refractory patient population. At the median follow-up
of 17.5 months, the progression free survival probability in the 420 mg cohort
was 87.7%. High risk relapsed/refractory patients with 17p deletion (N=20) and
immunoglobulin variable heavy chain (IgVH) unmutated status (N=42), had an
estimated 18-month PFS of >70% and >80%, respectively at the time of the
analysis.
The Phase II study PCYC-1108 was further updated during EHA in June of 2012. In
addition to the ibrutinib plus BR data reported at ASCO the FCR combination
study cohort (N=3) was presented. It required patients to be fludarabine naive
and due to poor enrollment the cohort was suspended. At the median follow-up of
8.5 months all three patients had achieved an objective response, with two
patients achieving minimal residual disease negative ("MRD-Negative") complete
responses and at the time of analysis all patients remained progression free.
The other ongoing Phase Ib/II programs for ibrutinib also include the following
clinical studies in lymphoma and multiple myeloma:
The Phase II Study PCYC-1106 using ibrutinib in patients with relapsed or
refractory Diffuse Large B-Cell Lymphoma ("DLBCL") completed enrollment in
calendar Q2 2012 with 70 patients. This study is designed to assess the activity
of ibrutinib in two genetically distinct subtypes of DLBCL, the activated B-cell
("ABC") subtype and the germinal center ("GC") subtype. The Company will
evaluate over the next 12 months the data generated by this ongoing Phase II
study to prepare a clinical development plan for ibrutinib in DLBCL.
We are encouraged by preliminary signals from our Phase I single agent trial,
PCYC-04753, in follicular lymphoma and are currently moving forward with
clinical development in this histology.
The Phase II Study PCYC-1111 using ibrutinib in patients with relapsed or
refractory multiple myeloma ("MM") started enrollment in calendar Q1 2012. The
Company will evaluate over the next 12 months the data generated by this ongoing
Phase II study to prepare a clinical development plan for ibrutinib in MM. This
multi-center Phase II study, conducted by Pharmacyclics, is open in the U.S. and
we plan to enroll up to 164 patients.
We have also initiated the first pivotal Phase III study in CLL/SLL. The Phase
III randomized controlled study, RESONATE™ is designed to demonstrate
superiority of single agent ibrutinib to ofatumamab in relapsed or refractory
CLL/SLL. The primary endpoint of the study is to demonstrate a clinically
significant improvement in progression-free survival in relapsed or refractory
CLL/SLL patients as compared to that achieved with ofatumumab therapy. The key
secondary endpoints include overall response rate, overall survival and other
measures of clinical benefit. This global study, conducted by Pharmacyclics, is
currently enrolling CLL/SLL patients with a projected enrollment of 350 patients
worldwide.
Additionally, the investigation of ibrutinib (PCI-32765) for the treatment of
patients with CLL/SLL who have relapsed or have refractory disease and have
previously received at least one prior therapy was designated as a Fast Track
development program by the Division of Hematology Products, Office of Hematology
and Oncology Products, a department of the FDA.
Our partner, Janssen, has initiated the following studies:
• Phase III study of ibrutinib in combination with bendamustine and rituximab
in patients with relapsed/refractory CLL/SLL: A randomized, multi-center
Phase III, double blinded, placebo controlled, registration trial of
ibrutinib in combination with bendamustine and rituximab in
relapsed/refractory CLL/SLL patients who received at least one line of prior
systemic therapy. The primary endpoint of the study is to demonstrate a
clinically significant improvement in progression-free survival versus
bendamustine and rituximab therapy alone. The key secondary endpoints
include overall response rate, overall survival and other measures of
clinical benefit. This global study is open and Janssen plans to enroll 580
patients worldwide.
• Phase III study (outside the US) of ibrutinib versus temsirolimus in patients with relapsed or refractory mantle cell lymphoma who have received one prior therapy: A randomized, multi-center Phase III registration trial of ibrutinib in relapsed/refractory MCL patients who received at least one prior rituximab-containing chemotherapy regimen. The
primary endpoint of the study is progression free survival when compared to
temsirolimus. The key secondary endpoints include overall response rate, overall
survival rate and other measures of clinical benefit. This study, initiated by
Janssen, will be conducted outside the US and Janssen plans to enroll 280
patients.
• Phase II study of ibrutinib in patients with mantle cell lymphoma who
progress after bortezomib therapy: A single-arm, multi-center Phase II trial
of ibrutinib in relapsed/refractory MCL patients who received at least one
prior rituximab-containing chemotherapy regimen and who progressed after
bortezomib therapy.The primary endpoint of the study is overall response
rate. The key secondary endpoints include duration of response,
progression-free survival rate, and other measures of clinical benefit. This
global study, conducted by Janssen, is open and Janssen plans to enroll 110
patients worldwide.
• Phase II dose escalating study of ibrutinib in combination with R-CHOP in patients with newly diagnosed NHL: The purpose of this study is to identify if, and at what dose, ibrutinib may be administered with R-CHOP and to document responses of this combination in patients with newly diagnosed diffused large B-cell lymphoma. This multi-center global study, conducted by Janssen, is open and Janssen plans to enroll up to 42 patients.
PCI-27483 - Factor VIIa Inhibitor
Our Factor VIIa inhibitor PCI-27483 is a novel first-in-human small molecule
inhibitor that selectively targets FVIIa. As an inhibitor of FVIIa, PCI-27483
has two potential mechanisms of action: 1) inhibition of intracellular signaling
involved in tumor growth and metastases and 2) inhibition of early coagulation
processes associated with thromboembolism.
Factor VIIa PCI-27483 Clinical Development Update
A multicenter Phase I/II of PCI-27483 in patients with locally advanced or
metastatic pancreatic cancer that are either receiving or are planned to receive
gemcitabine therapy has completed enrollment. The Phase II portion of the study
randomized patients to receive either gemcitabine alone or gemcitabine plus
PCI-27483 (1.2 mg/kg twice daily). The objectives are to assess the safety of
Factor VIIa Inhibitor PCI-27483 at pharmacologically active dose levels, to
assess potential inhibition of tumor progression and to obtain initial
information of the effects on the incidence of thromboembolic events. Data from
initial efficacy analysis is expected to report out late 2012. We expect to
submit the analysis to a scientific conference for presentation in mid-2013. Due
to a paradigm shift away from the use of gemcitabine alone for the treatment of
pancreatic cancer, enrolling patients in this randomized study has been
challenging. Pharmacyclics is evaluating other alternatives for development of
this agent.
Abexinostat (formerly PCI-24781) - Histone Deacetylase ("HDAC") Inhibitor
Abexinostat is an orally dosed, broad spectrum, hydroxamic acid-based small
molecule HDAC inhibitor that is under evaluation in phase I and II clinical
trials for refractory solid tumors and lymphoma by Pharmacyclics and its ex-U.S.
partner, Les Laboratoires Servier of Paris, France ("Servier"). Abexinostat has
shown promising anti-tumor activity in vitro and in vivo (Buggy et al, Mol
Cancer Ther 2006; 5: 1309-17).
Abexinostat has been tested in several clinical trials in the U.S. by
Pharmacyclics and ex-U.S. by our partner Servier. In the U.S., Pharmacyclics has
completed two Phase I studies using abexinostat as a single agent in patients
with advanced solid tumors, and has completed enrollment in a Phase I trial in
sarcoma patients (in combination with doxorubicin, an anti-tumor agent), in
which the maximum tolerated dose and recommended Phase II dose were established.
A Phase I/II trial testing abexinostat single agent in patients with relapsed or
refractory NHL (PCYC-0403) has also completed enrollment. In the sarcoma trial,
co-sponsored by the Massachusetts General Hospital and Dana-Farber Cancer
Institute, the Phase I dose escalation has been completed and the maximum
tolerated dose in combination with doxorubicin has been established. Preliminary
results from this study will be presented at the Connective Tissue Oncology
Society ("CTOS") Annual Meeting to be held in November 2012. The single
agent NHL trial (PCYC-0403) has also completed enrollment in the Phase II arm
with 16 patients in multiple relapsed follicular lymphoma and 14 patients in
relapsed mantle cell lymphoma. The results of this study will be presented in an
oral presentation at the 2012 ASH Annual Meeting. A Phase I
Investigator-sponsored trial of abexinostat in combination with the
multi-targeted tyrosine kinase inhibitor pazopanib has recently been initiated
at University of California, San Francisco, and the first dose cohort is
enrolling patients with advanced solid tumors. Our collaboration partner for
ex-U.S. markets, Servier, has initiated seven Phase I/II trials in Europe and
Asia in lymphomas and solid tumors with abexinostat as single agent and in
combination with other chemotherapeutic agents including cisplatin, liposomal
doxorubicin and FOLFOX. The Phase II portion of Servier's single agent lymphoma
trial was opened in Q4 of calendar 2011. Further analysis of these trials and
any updates may be released by Servier.
We are subject to risks common to pharmaceutical companies developing products,
including risks inherent in our research, development and commercialization
efforts, preclinical testing, clinical trials, uncertainty of regulatory and
marketing approvals, uncertainty of market acceptance of our products, history
of and expectation of future operating losses, reliance on
collaborative partners, enforcement of patent and proprietary rights and the need for future capital. In order for a product to be commercialized, we must conduct preclinical tests and clinical trials, demonstrate efficacy and safety of our product candidates to the satisfaction of regulatory authorities, obtain marketing approval, enter into manufacturing, distribution and marketing arrangements, build a U.S. commercial capability, obtain market acceptance and, in many cases, obtain adequate coverage of and reimbursement for our products from government and private insurers. We cannot provide assurance that we will generate revenues or achieve and sustain profitability in the future.
Results of Operations
Revenue (in thousands):
Three Months Ended
September 30,
2012 2011
License and milestone revenue $ 100,000 $ -
Collaboration services revenue 2,695 37
Total revenue $ 102,695 $ 37
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In December 2011, we entered into a worldwide collaboration and license
agreement with Janssen which provided for a $150,000,000 non-refundable upfront
payment upon execution (see Note 4 to the condensed consolidated financial
statements). The revenue related to the upfront payment was allocated
$70,605,000 to the licenses, $14,982,000 to the committee services and
$64,413,000 to the development services.
For the three months ended September 30, 2012, total revenue related to the
Janssen agreement was $102,595,000, compared to zero for the three months ended
September 30, 2011. Revenue for the three months ended September 30, 2012
consisted of $100,000,000 of license and milestone revenue due to our
achievement of two clinical milestones during the period and $2,695,000 of
collaboration services revenue related to amortization of deferred revenue. For
the three months ended September 30, 2012, the collaboration services revenue
was primarily related to the Janssen agreement and was comprised of $220,000
amortization of committee services and $2,375,000 of amortization of development
services. As of September 30, 2012, approximately $72,782,000 was included in
deferred revenue related to the committee and development services, of which
$64,804,000 was included in deferred revenue non-current. At inception, the
$14,982,000 and $64,413,000 allocated to committee and development services,
respectively, is being recognized as revenue as the related services are
provided over the estimated service periods of 17 years and 9 years, which are
equivalent to the estimated remaining life of the underlying technology and the
estimated remaining development period, respectively.
Research and Development (in thousands):
The increase of 69.6% or $7,824,000 in research and development costs for the
three months ended September 30, 2012, as compared with the three months ended
September 30, 2011, is primarily due to a $8,868,000 increase in third party
clinical trial costs largely attributable to purchases of comparator drugs and
other supplies, fees related to increased enrollment and other costs associated
with expansion of our Btk program and a $3,361,000 increase in payroll and
related expenses due to increased personnel. Additionally, there was a $862,000
increase in consulting and other outside services, a $1,865,000 increase in drug
manufacturing charges primarily related to our BTK program, a $1,052,000
increase in stock compensation expense, a $729,000 increase in travel related
expenses and a $150,000 increase in facility and IT related expenses. Partially
offsetting these increases was a $8,817,000 reduction to research and
development costs attributable to the Janssen development cost share for the
quarter ended September 30, 2012 (see Note 4 to the condensed consolidated
financial statements).
Average research and development headcount increased from 73 to 133 in the three
months ended September 30, 2011 and 2012, respectively. We expect the growth in
research and development spending to continue through the end of fiscal year
2013.
Research and development costs are identified as either directly attributed to
one of our research and development programs or as an indirect cost, with only
direct costs being tracked by specific program. Direct costs consist of
personnel costs
directly associated with a program, preclinical study costs, clinical trial
costs, and related clinical drug and device development and manufacturing costs,
drug formulation costs, contract services and other research expenditures.
Indirect costs consist of personnel costs not directly associated with a
program, overhead and facility costs and other support service expenses. The
following table summarizes our principal product development initiatives,
including the related stages of development for each product, the direct costs
attributable to each product and total indirect costs for each respective
period. For a discussion of the risks and uncertainties associated with the
timing and cost of completing a product development phase, see Item 1A, Risk
Factors and the Risk Factors discussed in our Annual Report on Form 10-K for the
fiscal year ended June 30, 2012.
Direct costs by program and indirect costs are as follows (in thousands):
Related R&D Expenses
Three Months Ended September 30,
Estimated
Phase of Completion of
Product Description Development Phase 2012 2011
Phase
BTK Inhibitors Cancer/autoimmune I/II/III Unknown $ 13,642 $ 7,212
HDAC Inhibitors Cancer/autoimmune Phase I/II Unknown 523 305
Factor VIIa Inhibitor Cancer Phase II Unknown 344 611
Total direct
costs 14,509 8,128
Indirect costs 4,563 3,120
Total research
and development
costs $ 19,072 $ 11,248
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General and Administrative (in thousands):
General and administrative costs increased by 45.3% or $1,518,000 in the three months ended September 30, 2012, compared to the three months ended . . .
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