PROSPECTUS
SUPPLEMENT
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Filed
pursuant to Rule 424(b)(5)
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(To
Prospectus dated June 14, 2010)
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Registration
No. 333-166750
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2,857,144
Shares of Common Stock
Warrants to
purchase up to 1,428,572 shares of Common Stock at an exercise price of $2.00
per share
ADEONA
PHARMACEUTICALS, INC.
Pursuant
to this prospectus supplement and the accompanying prospectus, we are offering
to investors 2,857,144 shares of our common stock (“Shares”) together with warrants to purchase up to
1,428,572 additional shares of common stock (the
“Warrants”). The common stock and warrants will be sold together as a unit
with a per unit purchase price of $1.40 consisting of one share of common stock
and the equivalent of a warrant to purchase approximately 0.50 of a share of common stock. The
exercise price of the warrants issued in the offering as part of such unit will
be $2.00 and have a term of exercise equal to
13 months from the first date of exercise, which
is immediately following the closing date.
The shares of common stock and warrants will be issued separately but can only
be purchased together in this offering.
Our
common stock is traded on the NYSE AMEX LLC under the symbol “AEN.” On January
27, 2011, the last reported sale price for the common stock was $1.79 per
share. You are urged to obtain current market quotations of the
common stock.
Investing
in our securities involves a high degree of risk. Before buying any securities,
you should read the discussion of material risks of investing in our common
stock under the heading “Risk factors” starting on page S-10 of this prospectus
supplement.
Neither
the Securities and Exchange Commission nor any state securities commission has
approved or disapproved of these securities or passed upon the adequacy or
accuracy of this prospectus supplement or the accompanying prospectus. Any
representation to the contrary is a criminal offense.
We have
retained Chardan Capital Markets, LLC. to act as our exclusive placement agent
in connection with this offering. The placement agent has no obligation to buy
any of the securities from us or to arrange for the purchase or sale of any
specific number or dollar amount of securities but will use its best efforts to
arrange for the sale of all of the units. We
have agreed to pay the placement agent a cash fee of 6% of gross offering
porceeds. See “Plan of Distribution” for more information regarding
these arrangements.
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Maximum
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Offering
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Per share(1)
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Amount (1)
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Offering
price
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$ |
1.40000 |
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$ |
4,000,000 |
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Placement
agent fees (maximum) (2)
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$ |
0.08575 |
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$ |
245,000 |
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Proceeds,
before expenses, to us (maximum) (3)
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$ |
1.31425 |
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$ |
3,755,000 |
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(1)
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We estimate the total expenses of
this offering, excluding placement agent fees and expenses, will be
approximately $55,000.
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(2)
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We have agreed to pay the
placement agent a cash fee representing 6% of the gross purchase price
paid for the units at the closing in addition to $5,000 for legal
expenses. The placement agent fees shown are the fees to be
paid by us to the placement
agent.
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(3)
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The proceeds shown exclude
proceeds that we may receive upon exercise of the
Warrants.
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The date
of this prospectus is January 28, 2011.
TABLE
OF CONTENTS
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Page
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About
This Prospectus Supplement
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S-3
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Note
Regarding Forward-Looking Statements |
S-3 |
About
Adeona Pharmaceuticals, Inc.
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S-4
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The
Offering |
S-10 |
Risk
Factors
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S-10
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Use
of Proceeds
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S-28
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Description
of Capital Stock
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S-28
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Dilution |
S-29 |
Plan
of Distribution
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S-30
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Legal
Matters
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S-31
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Experts
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S-31
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Where
You Can Find More Information
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S-31
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Incorporation
of Certain Documents by Reference
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S-31
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We are
offering to sell, and seeking offers to buy, shares of our common stock and
warrants only in jurisdictions where offers and sales are permitted. The
distribution of this prospectus supplement and the offering of the common stock
and warrants in certain jurisdictions may be restricted by law. Persons outside
the United States who come into possession of this prospectus supplement must
inform themselves about, and observe any restrictions relating to, the offering
of the common stock and warrants and the distribution of this prospectus
supplement outside the United States. This prospectus supplement does not
constitute, and may not be used in connection with, an offer to sell, or a
solicitation of an offer to buy, any securities offered by this prospectus
supplement by any person in any jurisdiction in which it is unlawful for such
person to make such an offer or solicitation.
This
prospectus supplement is not complete without, and may not be utilized except in
connection with, the accompanying prospectus dated June 14, 2010 and any
amendments to such prospectus. This prospectus supplement provides supplemental
information regarding us and updates certain information contained in the
accompanying prospectus and describes the specific terms of this offering. The
accompanying prospectus gives more general information, some of which may not
apply to this offering. We incorporate important information into this
prospectus supplement and the accompanying prospectus by
reference.
ABOUT
THIS PROSPECTUS SUPPLEMENT
This
document is in two parts. The first part is this prospectus supplement, which
describes the terms of this offering and also adds to and updates information
contained in the accompanying prospectus and the documents incorporated by
reference into the accompanying prospectus. The second part is the accompanying
prospectus, which gives more general information about the shares of our common
stock and other securities we may offer from time to time under our shelf
registration statement, some of which may not apply to the securities offered by
this prospectus supplement. To the extent there is a conflict between the
information contained in this prospectus supplement, on the one hand, and the
information contained in the accompanying prospectus or any document
incorporated by reference therein, on the other hand, the information in this
prospectus supplement shall control.
We
further note that the representations, warranties and covenants made by us in
any agreement that is filed as an exhibit to any document that is incorporated
by reference in the accompanying prospectus were made solely for the
benefit of the parties to such agreement, including, in some cases, for the
purpose of allocating risk among the parties to such agreement, and should not
be deemed to be a representation, warranty or covenant to you. Moreover, such
representations, warranties or covenants were accurate only as of the date when
made. Accordingly, such representations, warranties and covenants should not be
relied on as accurately representing the current state of our
affairs.
You
should rely only on the information contained or incorporated by reference in
this prospectus supplement and contained or incorporated by reference in the
accompanying prospectus. We have not authorized anyone, including the placement
agent, and the placement agent has not authorized anyone, to provide you with
different information. We are offering to sell, and seeking offers to buy, our
securities only in jurisdictions where offers and sales are permitted. The
information contained or incorporated by reference in this prospectus supplement
and contained or incorporated by reference in the accompanying prospectus is
accurate only as of the respective dates thereof, regardless of the time of
delivery of this prospectus supplement and the accompanying prospectus, or of
any sale of our securities offered hereby. It is important for you to read and
consider all information contained in this prospectus supplement and the
accompanying prospectus, including the documents incorporated by reference
herein and therein, in making your investment decision. You should also read and
consider the information in the documents we have referred you to in
“Incorporation of Certain Documents by Reference” in this prospectus supplement
and “Where You Can Find More Information” in the accompanying
prospectus.
Unless
otherwise indicated, “Adeona,” the “Company,” “we,” “us,” “our” and similar
terms refer to Adeona Pharmaceuticals, Inc. and its subsidiaries.
This
offering of common stock is being made under a registration statement on Form
S-3 (Registration File no. 333-166750) that we filed with the Securities and
Exchange Commission, or the SEC, as part of a “shelf” registration process and
that the SEC declared effective on June 14, 2010. Under the shelf registration
process, we may offer to sell shares of our common stock, $0.001 par value, and
warrants to purchase shares of our common stock, and/or units consisting of two
or more of any such securities from time to time in one or more offerings up to
a total dollar amount of $15,000,000.
We are
not making any representation to you regarding the legality of an investment in
the common stock by you under applicable law. You should consult with your own
advisors as to the legal, tax, business, financial and related aspect of a
purchase of the common stock.
NOTE
REGARDING FORWARD-LOOKING STATEMENTS
Certain
matters in this prospectus supplement constitute “forward-looking statements”
within the meaning of Section 27A of the Securities Act of 1933, as amended, and
Section 21E of the Securities Exchange Act of 1934, as amended. All statements,
other than statements of historical facts, included in this prospectus
supplement that address activities, events or developments that we expect or
anticipate will or may occur in the future, including such matters as our
projections, future capital expenditures, business strategy, competitive
strengths, goals, expansion, market and industry developments and the growth of
our businesses and operations, are forward-looking statements. These statements
can be identified by introductory words such as "expects," “anticipates,”
"plans," "intends," "believes," "will," "estimates," "projects" or words of
similar meaning, and by the fact that they do not relate strictly to historical
or current facts. Our forward-looking statements address, among other
things:
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a failure of our product
candidates to be demonstrably safe and
effective;
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a failure to obtain regulatory
approval for our products or to comply with ongoing regulatory
requirements;
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a lack of acceptance of our
product candidates in the
marketplace;
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a failure by us to become or
remain profitable;
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an inability by us to obtain the
capital necessary to fund our research and development activities;
and
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a loss of any of our key
scientist or management
personnel.
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Additional
factors that could affect future results are set forth below in this prospectus
supplement under the caption Risk Factors. We caution
investors that the forward-looking statements contained in this prospectus
supplement must be interpreted and understood in light of conditions and
circumstances that exist as of the date of this prospectus supplement. We
expressly disclaim any obligation or undertaking to update or revise
forward-looking statements made in this prospectus supplement to reflect any
changes in management's expectations resulting from future events or changes in
the conditions or circumstances upon which such expectations are
based.
Each
forward-looking statement should be read in context with, and in understanding
of, the various other disclosures concerning our company and our business made
elsewhere in this prospectus supplement and accompanying prospectus as well as
our public filings with the SEC. You should not place undue reliance on any
forward-looking statement as a prediction of actual results or developments. We
are not obligated to update or revise any forward-looking statements contained
in this prospectus supplement or any other filing to reflect new events or
circumstances unless and to the extent required by applicable law.
SUMMARY
This
summary highlights selected information appearing elsewhere or incorporated by
reference in this prospectus supplement and the accompanying prospectus and may
not contain all of the information that is important to you. This prospectus
supplement and the accompanying prospectus include or incorporate by reference
information about the shares we are offering as well as information regarding
our business and detailed financial data. You should read this prospectus
supplement and the accompanying prospectus in their entirety, including the
information incorporated by reference.
ABOUT
ADEONA PHARMACEUTICALS, INC.
In this
prospectus supplement, “Adeona Pharmaceuticals,” “Adeona” “we,” “us,” and “our”
refer to Adeona Pharmaceuticals, Inc., a Nevada corporation and each of its
subsidiaries, considered as a single enterprise.
Adeona
Pharmaceuticals, Inc., a Nevada corporation, (“Adeona” or the
“Company”) is a pharmaceutical company developing new medicines for serious
central nervous systems diseases. Adeona’s primary strategy is to in-license
clinical-stage drug candidates that have already demonstrated a certain level of
clinical efficacy and develop them further to either commercialization or a
development collaboration. Our executive offices are located at 3930 Varsity
Drive, Ann Arbor, Michigan 48108. Our telephone number is (734) 332-7800,
fax number is (734) 332-7878. Our website address is www.adeonapharma.com.
The information on our website is not incorporated by reference into this
prospectus supplement
Our
strategy is to license product candidates that have demonstrated a certain level
of clinical efficacy and develop them to a stage that results in a significant
commercial collaboration. Currently, we have the following product
candidates in development: a prescription medical food for
Alzheimer’s disease, and drugs for multiple sclerosis, fibromyalgia, dry
age-related macular degeneration and rheumatoid arthritis.
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Zinthionein
(zinc cysteine) is a prescription medical food being developed for the
dietary management of patients with Alzheimer’s disease and mild cognitive
impairment. A randomized, double-blind, placebo-controlled clinical study
is underway at 3 centers in the United States. All 60 patients have been
enrolled, and we expect completion of this clinical study by the end of
March 2011.It is anticipated that top-line clinical study results should
be available shortly thereafter.
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Trimesta
(estriol) is a drug being developed for the treatment of
relapsing-remitting multiple sclerosis in women. A randomized,
double-blind, placebo-controlled clinical trial is currently underway at
15 centers in the United States. As of November 1, 2010, 115 out
of 150 patients have been enrolled.
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Effirma
(flupirtine) is a drug being developed for the treatment of fibromyalgia.
On May 6, 2010, we entered into a sublicense agreement with Meda AB of
Sweden covering all of our patents rights on the use of flupirtine for
fibromyalgia.
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ZincMonoCysteine
(zinc-monocysteine) is a drug being developed for the treatment of dry
age-related macular degeneration. An 80 patient, randomized, double-blind,
placebo-controlled clinical trial has been
completed.
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dnaJP1
(hsp peptide) is a drug being developed for the treatment of rheumatoid
arthritis. A 160-patient, multi-center, randomized, double-blind,
placebo-controlled clinical trial has been
completed.
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Our
secondary strategy is to advance our core competency in measuring metabolic
serum zinc and copper levels. To further this effort, we purchased HartLab, LLC,
on July 13, 2009. Renamed Adeona Clinical Laboratory, the wholly-owned
CLIA-certified clinical testing facility provides a broad array of chemistry and
microbiology diagnostic tests in the Greater Chicago area. At Adeona Clinical
Laboratory, we developed and offer the CopperProof panel, a series of diagnostic
tests for accurately measuring the metabolic serum zinc and copper levels of
patients with Alzheimer's disease and mild cognitive impairment. Adeona Clinical
Laboratory is a licensed Medicare and Medicaid provider.
Clinical
Development Programs
Alzheimer’s
Disease and Mild Cognitive Impairment
Zinthionein
(zinc cysteine)
Our first
product candidate is Zinthionein (zinc cysteine) for the dietary management of
Alzheimer’s disease and mild cognitive impairment being developed as a
prescription medical food. Zinthionein is a once-daily, gastroretentive,
sustained-release, proprietary, oral tablet formulation of zinc and cysteine.
All of Zinthionein’s constituents have Generally Regarded as Safe (GRAS) status
according to FDA standards. Zinthionein was invented and developed by us to
achieve the convenience of once-daily dosing, high bioavailability (the quantity
or fraction of the ingested does that is absorbed) and to minimize
gastrointestinal side effects of oral zinc therapy.
CopperProof-2
is a controlled, randomized, double-blind, placebo-controlled clinical study
testing Zinthionein. The study is divided into two parts. Part 1 is a
13-subject, three-arm, single-dose, comparator study in Alzheimer's disease and
mild cognitive impairment subjects that compared the tolerability and
bioavailability of oral Zinthionein to Galzin®, the only FDA-approved zinc
preparation and to placebo. Results from Part 1 of the study demonstrated a
superior serum zinc bioavailability and a substantially lower incidence of
adverse effects in Alzheimer's disease and mild cognitive impairment subjects in
favor of Zinthionein compared to Galzin®.
Part 2 of
the CopperProof 2 study, underway at 3 centers in the United States has enrolled
all 60 Alzheimer's disease and mild cognitive impairment subjects and randomized
them to receive either once-daily oral Zinthionein or matching placebo for six
months. Subjects will be assessed at 3 and 6 months for serum parameters of zinc
and copper as well as changes in cognitive function using standard clinical
tests used in Alzheimer's disease and mild cognitive impairment. As of October
15, 2010, all 60 patients have been enrolled and we expect completion of this
clinical study by the end of March 2011; however, no assurances can be given
that such study will be completed in such time period. It is
anticipated that top-line clinical study results should be available shortly
thereafter.
In
November 2010, we were awarded a grant in the amount of $244,480 under the
Qualifying Therapeutic Discovery Project Program to support our Alzheimer’s
disease program currently in clinical testing.
Relapsing-Remitting
Multiple Sclerosis in Women
Trimesta
(estriol)
Our
second product candidate is Trimesta (estriol) for the treatment of
relapsing-remitting multiple sclerosis. Estriol is a hormone that is produced by
the placenta during pregnancy. Maternal levels of estriol increase in a linear
fashion throughout the third trimester of pregnancy until birth, whereupon they
abruptly fall to near zero. It has been scientifically documented that pregnant
women with certain autoimmune diseases experience a spontaneous reduction of
disease symptoms during pregnancy, especially in the third trimester. The PRIMS
study (Pregnancy in Multiple Sclerosis), a landmark clinical study published in
the New England Journal of
Medicine , followed 254 women with multiple sclerosis during 269
pregnancies and for up to one year after delivery. The PRIMS study demonstrated
that relapse rates were significantly reduced by 71 percent (p < 0.001)
through the third trimester of pregnancy from pre-baseline levels and relapse
rates then increased by 120 percent (p < 0.001) during the first three months
after birth (post-partum) before returning to pre-pregnancy rates. Estriol has
been approved and marketed for over 40 years throughout Europe and Asia for the
treatment of post-menopausal hot flashes. It has never been approved by the Food
and Drug Administration (FDA) for any indication.
Multiple
sclerosis is a progressive neurological disease in which the body loses the
ability to transmit messages along central nervous system nerve cells, leading
to a loss of muscle control, paralysis, and in some cases, death. According to
the National Multiple Sclerosis Society, currently, more than 2.5 million
people worldwide (approximately 400,000 patients in the United States), have
been diagnosed with multiple sclerosis. Mainly young adults, ages 20 to 50, and
two to three times as many women than men are diagnosed with multiple
scelerosis. According to the National Multiple Sclerosis Society, approximately
85% of multiple sclerosis patients are initially diagnosed with the
relapsing-remitting form, compared to 10-15% with progressive forms. Despite the
availability of 7 FDA-approved therapies for the treatment of
relapsing-remitting multiple sclerosis, the disease is highly underserved and
exacts a heavy economic toll. Multiple sclerosis costs the United States more
than $9.5 billion annually in medical care and lost productivity according to
the Society for Neuroscience.
An
investigator-initiated, 10-patient, 22-month, single-agent, crossover clinical
trial was completed in the United States to study the therapeutic effects of 8
mg of oral Trimesta taken daily in nonpregnant female relapsing remitting
multiple sclerosis patients. The total volume and number of
gadolinium-enhancing lesions was measured by brain magnetic resonance imaging
(MRI, an established neuroimaging measurement of disease activity in multiple
sclerosis) and showed a statistically significant decrease, both in lesion
volumes and the number of lesions, during Trimesta treatment compared to
baseline and while on drug holiday. During this clinical trial, a
statistically significant14% improvement from baseline in Paced Auditory Serial
Addition Test (PASAT) cognitive testing scores (p = 0.04) was also observed in
the multiple sclerosis patients after six months of therapy. PASAT is a routine
cognitive test performed in patients with a wide variety of neuropsychological
disorders such as multiple sclerosis.
A
randomized, double-blind, placebo-controlled clinical trial is currently
underway at 15 centers in the United States. The purpose of this clinical trial
is to study whether 8 mg of oral Trimesta taken daily over a 2 year period
would reduce the rate of relapses in a large population of female patients with
relapsing remitting multiple sclerosis. Investigators are administering either
Trimesta along with glatimer acetate (Copaxone®) injections, a FDA-approved
therapy for multiple sclerosis, or a placebo plus glatimer acetate injections to
women between the ages of 18 to 50 who have been recently diagnosed with
relapsing remitting multiple sclerosis. The primary endpoint is relapse rates at
two years with a one year interim analysis using standard clinical measures of
multiple sclerosis disability. As of November 1, 2010, 115 out of 150
patients have been enrolled in this clinical trial. Tentatively, we anticipate
full enrollment by the second half of 2011; however, no assurances can be given
that such study enrollment will be completed in such time period.
The
preclinical and clinical development of Trimesta has been primarily financed by
a $5 million grant from the National Multiple Sclerosis Society in partnership
with the National Multiple Sclerosis Society’s Southern California chapter, with
support from the National Institutes of Health. In January of 2010, it was
announced that an additional $860,440 in grant funding had been received through
the American Recovery and Reinvestment Act allowing the number of clinical sites
currently enrolling patients in the clinical study to increase from 7 clinical
sites to 15.
In
November 2010, we were awarded a grant in the amount of $244,480 under the
Qualifying Therapeutic Discovery Project Program to support our multiple
sclerosis program currently in clinical testing.
Fibromyalgia
Effirma
(flurpirtine)
Our third
product candidate is Effirma (flupirtine) for the treatment of fibromyalgia.
Effirma is a selective neuronal potassium channel opener that also has NMDA
receptor antagonist properties. Effirma is a non-opioid, non-NSAID,
non-steroidal, analgesic. Preclinical data and clinical experience suggest that
Effirma should also be effective for neuropathic pain since it acts in the
central nervous system via a mechanism of action distinguishable from most
marketed analgesics. Effirma is especially attractive because it operates
through non-opiate pain pathways, exhibits no known abuse potential, and lacks
withdrawal effects. In addition, no tolerance to its antinocioceptive effects
has been observed. One common link between neuroprotection, nocioception, and
Effirma may be the N-methyl-D-aspartic acid glutamate system, a major receptor
subtype for the excitotoxic neurotransmitter, glutamate. Effirma has strong
inhibitory actions on N-methyl-D-aspartic acid-mediated neurotransmission.
Flupirtine was originally developed by Asta Medica and has been approved in
Europe since 1984 for the treatment of pain, although it has never beenapproved
by the Food and Drug Administration for any indication.
Fibromyalgia
is a chronic and debilitating condition characterized by widespread pain and
stiffness throughout the body, accompanied by severe fatigue, insomnia and mood
symptoms. Fibromyalgia affects an estimated 2-4% of the population worldwide,
including an estimated 4 million patients in the United States. There are
presently three products approved for this indication in the United States –
Lyrica, Cymbalta and Savella. Flupirtine is differentiated from these products
in that it employs a unique mode of action. Meda AB of Sweden estimates the
United States market for fibromyalgia to be near $1 billion at the time of
potential launch of flupirtine.
On May 6,
2010, we entered into a sublicense agreement with Meda AB that provides
that they will assume all future development costs for the commercialization of
flupirtine for fibromyalgia. As consideration for such sublicense, we received
an up-front payment of $2.5 million and are entitled to milestone payments of $5
million upon filing of a New Drug Application with the United States Food and
Drug Administration of flupirtine for fibromyalgia and $10 million upon
marketing approval, plus royalties.
Dry
Age-Related Macular Degeneration
ZincMonoCysteine
(zinc-monocysteine)
Our
fourth product candidate is ZincMonoCysteine (zinc-monocysteine) for the
treatment of dry age-related macular degeneration. ZincMonoCysteine is an oral
complex of zinc and the amino acid cysteine that we believe may have improved
therapeutic properties compared to currently marketed zinc–based nutritional
products. ZincMonoCysteine was invented and developed by David A. Newsome,
M.D., former Chief of the Retinal Disease Section of the National Eye Institute
and our Senior Vice President of Research and Development. Dr. Newsome was
the first to pioneer and demonstrate the benefits of oral high dose zinc therapy
in dry age-related macular degeneration. Oral high dose zinc containing
nutritional products now represent the standard of care for dry age-related
macular degeneration affecting over 10 million Americans and have annual sales
of approximately $300 million.
ZincMonoCysteine
has completed an 80-patient, randomized, double-blind, placebo-controlled
clinical trial in dry age-related macular degeneration and demonstrated highly
statistically significant improvements in central retinal function. These
results were published in a peer-reviewed journal in 2008. Currently, we
are conducting further preclinical activities on ZincMonoCysteine and planning
the clinical development strategy.
Rheumatoid
Arthritis
dnaJP1(hsp
peptide)
Our fifth
product candidate is dnaJP1 (hsp peptide) for the treatment of rheumatoid
arthritis. dnaJP1 is an epitope-specific immunotherapy for rheumatoid arthritis
patients. dnaJP1 is an oral 15-mer heat shock protein-derived peptide that was
previously identified as a contributor of T cell-mediated inflammation in
rheumatoid arthritis. Immune responses to heat shock protein are often found at
sites of inflammation and have an initially amplifying effect that needs to be
down regulated to prevent tissue damage. The mechanisms for this regulation
involve T cells with regulatory function that are specific for heat shock
protein-derived antigens. This regulatory function is one of the key components
of a "molecular dimmer" whose physiologic function is to modulate inflammation
independently from its trigger. This function is impaired in autoimmunity and
could be restored for therapeutic purposes.
Rheumatoid
arthritis is an autoimmune disease that afflicts approximately 20 million people
worldwide. It is a chronic inflammatory disease that leads to pain,
stiffness, swelling and limitation in the motion and function of multiple
joints. If left untreated, rheumatoid arthritis can produce serious destruction
of joints that frequently leads to permanent disability. Though the joints are
the principal body part affected by rheumatoid arthritis, inflammation can
develop in other organs as well. The disease currently affects over two million
Americans, almost 1% of the population, and is two to three times more prevalent
in women than men. Onset can occur at any point in life but is most frequent in
the fourth and fifth decades of life, with most patients developing the disease
between the ages of 35 and 50. The global market is estimated at $12
billion in annual sales and disease-modifying antirheumatic drugs, including
biologics, accounted for nearly $5 billion of that figure.
In
November of 2009, we announced publication of the results of an
investigator-initiated, 160-patient clinical trial of dnaJP1 for the treatment
of rheumatoid arthritis conducted at 11clinical centers in the United
States. The publication, entitled "Epitope-Specific Immunotherapy of
Rheumatoid Arthritis: Clinical Responsiveness Occurs With Immune Deviation and
Relies on the Expression of a Cluster of Molecules Associated with T Cell
Tolerance in a Double-Blind, Placebo-Controlled, Pilot Phase II Trial", can be
found in Arthritis &
Rheumatism , Vol. 60(11), pages 3207-3216, with related editorial at page
A21. The clinical trial sought to test 2 hypotheses 1) whether mucosal
induction of immune tolerate to dnaJP1 would lead to a qualitative change from a
proinflammatory phenotype to a more tolerogenic functional phenotype and 2)
whether immune deviation of responses to an inflammatory epitope might translate
into clinical improvement. One hundred sixty patients with active rheumatoid
arthritis were randomized to receive oral doses of 25 mg of dnaJP1 or placebo
daily for 6 months. This clinical trial was funded by a $5 million grant from
the National Institutes of Health and demonstrated the following
results:
1. dnaJP1
appeared to be safe and well-tolerated;
2. There
was a significant reduction in the percentage of T cells producing the
proinflammatory cytokine tumor necrosis factor alpha (TNF-alpha) (p <
0.0007);
3. The
primary efficacy end point (meeting the American College of Rheumatology 20%
improvement criteria at least once on day 112, 140, or 168) showed a difference
between treatment groups (p = 0.09) that became significant in post hoc analysis
using generalized estimating equations (GEE) (p = 0.04).
4.
Differences in clinical responses were also found between treatment groups on
day 140 and at followup, indicative of a durable response following
discontinuation of therapy.
5. Post
hoc analysis showed that the combination of dnaJP1 and the commercially
available rheumatoid arthritis agent, hydroxychloroquine, was superior to the
combination of hydroxychloroquine and placebo, demonstrating potential
synergistic effect of dnaJP1 with hydroxychloroquine.
Currently,
we are conducting further preclinical activities on dnaJP1 and planning the
clinical development strategy.
Intellectual
Property
Adeona’s
goal is to (a) obtain, maintain, and enforce patent protection for its products,
formulations, processes, methods, and other proprietary technologies, (b)
preserve our trade secrets, and (c) operate without infringing on the
proprietary rights of other parties, worldwide. Adeona seeks, where appropriate,
the broadest intellectual property protection for product candidates,
proprietary information, and proprietary technology through a combination of
contractual arrangements and patents.
Below is a description of
our license and development agreements relating to our product candidates
:
McLean Hospital Exclusive
License Agreement
In 2005,
as amended in 2007 and 2010, Pipex, Adeona’s wholly owned subsidiary, entered
into an exclusive license agreement with the McLean Hospital, a Harvard
University hospital, relating to U.S. Patent No. 6,610,324 and its foreign
equivalents, entitled “Flupirtine in the treatment of fibromyalgia and related
conditions.” Pursuant to this agreement, Pipex paid an upfront fee of $20,000
and back patent costs of approximately $41,830 and agreed to pay McLean
royalties on net sales of flupirtine equal to 3.5% of net sales of flupirtine
for indications covered by the issued patents, reduced to 1.75% if Pipex has a
license to other intellectual property covering those indications; use Pipex’s
best efforts to commercialize flupirtine for the therapeutic uses embodied in
the patent applications; reimburse future patent costs and pay the following
milestone payments: $150,000 upon the initiation of a pivotal phase 3 clinical
trial of flupirtine; $300,000 upon the filing of an New Drug Application for
flupirtine; and $600,000 upon Food and Drug Administration approval of
flupirtine. The due diligence requirements of the exclusive license
agreement were amended in April 2010 and further amended by a Non-Disturbance
Agreement that was signed with Pipex, McLean Hospital and Meda.
Effective
May 6, 2010, Pipex and Adeona entered into a Sublicense Agreement (the
“Agreement”) with Meda AB of Sweden. Pursuant to the Agreement, Meda
has been granted an exclusive sublicense to all of Pipex’s patents covering the
use of flupirtine for fibromyalgia. These patents have been issued in the U.S.
and are pending in Canada and Japan (the “Territory”). The Agreement provides
that Meda will assume all future development costs for the commercialization of
flupirtine for fibromyalgia. As consideration for such sublicense, Pipex
received an up-front payment of $2.5 million upon execution of the Agreement and
are entitled to milestone payments of $5 million upon filing of a New Drug
Application with the Food and Drug Administration for flupirtine for
fibromyalgia and $10 million upon marketing approval. The Agreement also
provides that Pipex is entitled to receive royalties of 7% of net sales of
flupirtine approved for the treatment of fibromyalgia covered by issued patent
claims in the Territory. Pursuant to the terms of Pipex’s agreement
with the company’s university licensor, Pipex is obligated to share half of the
royalties it receives with the university licensor and Pipex is obligated to pay
them $375,000 upon receipt of an upfront payment.
The Regents of University of
California License Agreement
In 2005,
Adeona was granted an exclusive worldwide license agreement with the Regents of
the University of California relating to an issued US Patent No. 6,936,599 and
pending patent applications covering the uses of the drug candidate Trimesta.
Pursuant to this agreement, Adeona paid an upfront license fee of $20,000,
reimbursed patent expenses of $41,000 and agreed to pay a license fee of $25,000
during 2006, as well as annual maintenance fees, milestone payments totaling
$750,000 that are payable on filing an New Drug Application, and on approval of
an New Drug Application with the Food and Drug Administration, as well as
royalties on net sales of Trimesta covered by the licensed patents. Adeona may
be permitted to partially pay milestone payments in the form of
equity.
Zinc MonoCysteine License
Agreement
In July
of 2007, Adeona entered into an exclusive worldwide license agreement with David
A. Newsome, M.D., and David Tate, M.S., relating to zinc monocysteine for all
uses. Pursuant to this agreement, Adeona paid an upfront license fee of $65,000
and reimbursed patent expenses of $25,000. Milestone payments totaling
$1,400,000 may be due upon the achievement of certain milestones, as well as
royalties of three percent (3%) on net sales for the licensed technology covered
by the licensed patents. Adeona has the ability to make these milestone payments
in the form of equity.
The Regents of University of
California License Agreement
In July
of 2008, Adeona entered into an exclusive worldwide license agreement with the
Regents of the University of California relating to a series of issued US
patents and pending patent applications covering novel uses of an orally active
immunotherapeutic technology, dnaJP1 a candidate which has completed a
160-patient, double-blind, placebo-controlled phase II clinical trial for
treatment of rheumatoid arthritis. Pursuant to this agreement, Adeona paid an
upfront license fee of $25,000, reimbursed patent expenses as well as agreed to
pay future patent and expenses, annual maintenance fees of $50,000 per year,
milestone payments ranging from $75,000 to $5,000,000 that are payable on
various clinical and regulatory milestones, as well as royalties on net sales of
the licensed technology covered by the licensed patents.
THE
OFFERING
Securities we
are offering
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2,857,144 shares
of common stock
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Warrants
to purchase up to 1,428,572 shares of common stock at an exercise price of
$2.00 per share
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Common
stock to be outstanding after this offering
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Placement
Agent Fees
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At
the closing, we will pay the placement agent 6% of the gross
proceeds of the offering as compensation for its services in connection
with this offering and an additional $5,000 of its legal
expenses.
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Use
of proceeds
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Working
capital and/or general corporate purposes.
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American
Stock Exchange Symbol
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AEN
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Risk
Factors
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This
investment involves a high degree of risk. See “Risk Factors” and other
information included or incorporated into this prospectus supplement and
the accompanying prospectus for a discussion of the factors you should
carefully consider before deciding to invest in our
securities.
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The
number of shares of common stock shown above to be outstanding after this
offering is based on the 23,419,441
shares outstanding as of January 27, 2011 and assumes the sale of all shares.
Unless otherwise indicated, the number of shares of common stock presented in
this prospectus supplement excludes (i) 2,539,091 shares of our common stock
that, as of the date of this prospectus supplement, are issuable upon the
exercise of outstanding options under our stock plans (ii)
1,131,078 shares of our common stock that, as of the date of this
prospectus supplement, are issuable upon the exercise of outstanding warrants
other than those covered by this prospectus supplement and (iii) 1,428,572
shares of our common stock that may be issuable upon exercise of the warrants
covered by this prospectus supplement.
Unless
otherwise indicated, this prospectus supplement assumes the sale of the maximum
number of common shares offered hereunder.
RISK
FACTORS
Investing
in our common stock involves a high degree of risk. In addition to the risks
related to our business set forth in this prospectus supplement, the
accompanying prospectus and the other information included and incorporated by
reference in this prospectus supplement and accompanying prospectus, you should
carefully consider the risks described below before purchasing our common stock.
Additional risks, uncertainties and other factors not presently known to us or
that we currently deem immaterial may also impair our business
operations.
RISKS
RELATING TO OUR BUSINESS
We
currently have very minimal revenues and will need to raise additional capital
to operate our business.
With the
exception of the quarter ended June 30, 2010, we have experienced significant
losses since inception and have a significant accumulated deficit. We expect to
incur additional operating losses in the future and therefore our cumulative
losses to increase. To date, other than the licensing fee we received form Meda
AB for the development of and commercialization of Effirma (flupirtine) for
fibromyalgia and laboratory revenues from Adeona Clinical Laboratory, we have
generated very minimal revenues. As of September 30, 2010, our operating
expenses totaled approximately $32.5 million on a consolidated basis.
Until such time as we receive approval from the FDA and other regulatory
authorities for our product candidates, we will not be permitted to sell our
drugs or prescription medical food and therefore will not have product revenues.
For the foreseeable future we will have to fund all of our operations and
capital expenditures from equity and debt offerings, cash on hand, licensing
fees, and grants. If the upfront licensing fee we recently received
is not sufficient to sustain our operations, we will need to seek additional
sources of financing and such additional financing may not be available on
favorable terms, if at all. If we do not succeed in raising additional funds on
acceptable terms, we may be unable to complete planned preclinical and clinical
trials or obtain approval of our product candidates from the FDA and other
regulatory authorities. In addition, we could be forced to discontinue product
development, reduce or forego sales and marketing efforts, and forego attractive
business opportunities. Any additional sources of financing will likely involve
the issuance of our equity or debt securities, which will have a dilutive effect
on our stockholders.
We
have only recently achieved profitability and may never be able to sustain
profitability.
Other
than with respect to the quarter ended June 30, 2010, we have a history of
losses and we had incurred substantial losses and negative operating cash flow.
Even if we succeed in developing and commercializing one or more of our product
candidates, we may still incur substantial losses for the foreseeable future and
may not sustain profitability. We also expect to continue to incur significant
operating and capital expenditures and anticipate that our expenses will
increase substantially in the foreseeable future as we do the
following:
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continue to undertake preclinical
development and clinical trials for our product
candidates;
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seek regulatory approvals for our
product candidates;
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implement additional internal
systems and infrastructure;
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lease additional or alternative
office facilities; and
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hire additional personnel,
including members of our management
team.
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We may
experience negative cash flow for the foreseeable future as we fund our
technology development with capital expenditures. As a result, we will need to
generate significant revenues in order to achieve and maintain profitability. We
may not be able to generate these revenues or achieve profitability in the
future. Our failure to achieve or maintain profitability could negatively impact
the value of our common stock and underlying securities.
We
have a limited operating history on which investors can base an investment
decision.
We have
not yet demonstrated our ability to perform the functions necessary for the
successful commercialization of any of our product candidates. The successful
commercialization of our product candidates will require us to perform a variety
of functions, including:
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continuing to undertake
preclinical development and clinical
trials;
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participating in regulatory
approval processes;
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formulating and manufacturing
products; and
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conducting sales and marketing
activities.
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Our
operations have been limited to organizing and staffing our company, acquiring,
developing, and securing our proprietary technology, and undertaking preclinical
trials and Phase I/II, and Phase II and Phase III clinical trials of our
principal product candidates. These operations provide a limited basis for you
to assess our ability to commercialize our product candidates and the
advisability of investing in our securities.
We
have limited experience in commercializing diagnostic testing technologies and
therefore we may not be effective in developing and commercializing
products.
Many of
our technologies, particularly our copper and zinc diagnostic testing
technologies, are at an early stage of commercialization. We continue to develop
and commercialize new diagnostic products and create new applications for our
products through our Adeona Clinical Laboratory subsidiary. We are also
researching, developing and pursuing the commercialization of various diagnostic
tests for copper and zinc status through Adeona Clinical Laboratory. We have
limited or no experience in these applications as well as operating in these
markets. You should evaluate us in the context of the uncertainties and
complexities affecting an early stage company developing products and
applications for the life science industries and experiencing the challenges
associated with entering into new markets that are highly competitive. We need
to make significant investments to ensure our diagnostic and therapeutic
products and applications perform properly and are cost-effective and can be
reimbursed by Medicare and other healthcare insurers. There is no assurance that
either of these events will occur. Even if we develop products for commercial
use, we may not be able to develop products that are accepted in the Alzheimer’s
disease or other markets that include patients with neurodegenerative
diseases.
We
may not generate additional revenue from our relationships with our
corporate collaborators.
On May 6,
2010 we entered into a sublicense agreement with Meda AB whereby we may receive
milestone payments totaling $17.5 million (including an upfront payment of $2.5
million that has already been received), plus royalties on our flupirtine
program. There can be no assurance that Meda AB will successfully develop
flupirtine for fibromyalgia that would allow us to receive such additional $15
million in milestone payments and royalties on sales in connection with such
agreement. The successful achievement of the various milestones set forth in the
agreement is not within our control and we will be dependent upon Meda AB for
achievement of such milestones.
We
may not be able to generate any significant revenue from copper and zinc status
tests or any other tests we may develop.
We have
committed significant research and development resources to the development of
copper and zinc status tests. Although there may be a large potential market for
such testing, there is no guarantee that we will successfully generate
significant revenues from this or any other tests for any use. We launched
through Adeona Clinical Laboratory, our CLIA certified laboratory, a copper and
zinc status test panel in November 2009.
However,
there is no guarantee that we will be able to successfully market this test
panel or other diagnostic tests. If we are not able to successfully market or
sell our diagnostic tests we may develop for any reason, we will not generate
any revenue from the sale of such tests. Even if we are able to develop
diagnostic or other tests for sale in the marketplace, a number of factors could
impact our ability to generate any significant revenue from the sale of such
tests, including the following:
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reliance on our Adeona Clinical
Laboratory operations, which are subject to routine governmental oversight
and inspections for continued operation pursuant to CLIA and other
regulations;
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our ability to establish and
maintain adequate infrastructure to support the commercial launch and sale
of our diagnostic tests through our Adeona Clinical Laboratory subsidiary,
including establishing adequate laboratory space, information technology
infrastructure, sample collection and tracking systems and electronic
ordering and reporting systems and other infrastructure and hiring
adequate laboratory and other
personnel;
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the availability of adequate
study samples for validation studies for any diagnostic tests we develop,
the success of such validation studies and our ability to publish study
results in peer-reviewed
journals;
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the availability of alternative
and competing tests or products and technological innovations or other
advances in medicine that cause our technologies to be less
competitive;
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compliance with federal, state
and foreign regulations governing laboratory testing and the sale and
marketing of diagnostic or other tests, including copper and zinc; status
tests;
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the accuracy rates of such tests,
including rates of false-negatives and/or
false-positives;
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concerns regarding the safety
effectiveness or clinical utility of our
tests;
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changes in the regulatory
environment affecting health care and health care providers, including
changes in laws regulating laboratory testing and/or device manufacturers
and any laws regulating diagnostic
testing;
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the extent and success of our
sales and marketing efforts and ability to drive adoption of our
diagnostic tests;
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coverage and reimbursement levels
by government payers and private
insurers;
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the level of physician and
customer adoption of any diagnostic tests we
develop;
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pricing pressures and changes in
third-party payer reimbursement
policies;
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general changes or developments
in the market for Alzheimer’s disease diagnostics or diagnostics in
general;
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ethical and legal issues
concerning the appropriate use of the information resulting from
Alzheimer’s disease diagnostic tests or other
tests;
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our ability to promote and
protect our products and technology;
and
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intellectual property rights held
by others or others infringing our intellectual property
rights.
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We
have experienced several management changes.
We have
had significant changes in management in the past two
years. Effective July 1, 2008, Charles L. Bisgaier resigned as our
President and Corporate Secretary and as a director of our
Company. Also effective on July 1, 2008, Steve H. Kanzer resigned as
our Chief Executive Officer (although he did remain as our Chairman of the
Board). Effective July 1, 2008, Nicholas Stergis was appointed our
Chief Executive Officer; however effective March 29, 2009, Mr. Stergis resigned
his position, but remained a director of the Company until August 20, 2009. The
Board then appointed Steve H. Kanzer as our interim Chief Executive Officer and
President. Effective June 26, 2009, Max Lyon was appointed our Chief Executive
Officer and President, while Mr. Kanzer remained as Chairman of the Board of the
Company. Effective February 6, 2010, James S. Kuo, M.D., M.B.A., was appointed
our Chairman of the Board, Chief Executive Officer and President and Mr. Lyon
resigned from his position as Chief Executive Officer, President and
director. Changes in key positions in our Company, as well as
additions of new personnel and departures of existing personnel, can be
disruptive, might lead to additional departures of existing personnel and could
have a material adverse effect on our business, operating results, financial
results and internal controls over financial reporting.
We
only recently acquired our CLIA-certified laboratory and have limited experience
operating a diagnostic and microbiology testing laboratory. Our
ability to successfully develop and commercialize diagnostic and microbioloby
tests will depend on our ability to successfully operate our CLIA-certified
laboratory and obtain and maintain required regulatory
certifications.
In
November 2009, we launched a panel of copper and zinc status tests
through Adeona Clinical Laboratory, our CLIA-licensed clinical reference
laboratory located in Bolingbrook, IL. We acquired Adeona Clinical Laboratory in
July 2009. Because there is substantial distance between Adeona Clinical
Laboratory and our corporate headquarters in Ann Arbor, Michigan, we may have
logistical and operational challenges in effectively managing and operating
Adeona Clinical Laboratory. If we are unable to successfully commercialize our
serum based copper and zinc diagnostic test panels through Adeona Clinical
Laboratory, we may not be able to achieve significant revenues and profitability
with respect to such activities. Our ability to successfully develop
and commercialize diagnostic tests and microbiology testing will depend on our
ability to successfully operate Adeona Clinical Laboratory and obtain and
maintain required regulatory approvals.
As a
clinical laboratory, Adeona Clinical Laboratory is subject to CLIA regulations,
which are designed to ensure the quality and reliability of clinical
laboratories by mandating specific standards in the areas of personnel
qualifications, administration and participation in proficiency testing, patient
test management, quality control, quality assurance and inspections. The
sanction for failure to comply with CLIA requirements may be suspension,
revocation or limitation of a laboratory’s CLIA certificate, which is necessary
to conduct business, as well as significant fines and/or criminal penalties.
Adeona Clinical Laboratory is also subject to regulation of laboratory
operations under state clinical laboratory laws. State clinical laboratory laws
may require that laboratories and/or laboratory personnel meet certain
qualifications, specify certain quality controls or require maintenance of
certain records. Certain states, including Maryland, New York, Pennsylvania and
Rhode Island, each require that you obtain licenses to test specimens from
patients residing in those states and additional states may require similar
licenses in the future. If we are unable to obtain licenses from these states or
there is delay in obtaining such licenses, we will not be able to process any
samples from patients located in those states until we have obtained the
requisite licenses. Potential sanctions for violation of these statutes and
regulations include significant fines and the suspension or loss of various
licenses, certificates and authorizations, which could adversely affect our
business and results of operations.
We may not obtain
the necessary United States or worldwide regulatory approvals to
commercialize any other of our product(s).
We will
need FDA approval to commercialize some of our product candidates in
the United States and approvals from equivalent regulatory authorities
in foreign jurisdictions to commercialize our product candidates in those
jurisdictions. In order to obtain FDA approval for any of our product
candidates, we must submit to the FDA an NDA, demonstrating that the
product candidate is safe for humans and effective for its intended use and that
the product candidate can be consistently manufactured and is stable. This
demonstration requires significant research and animal tests, which are referred
to as “preclinical studies,” human tests, which are referred to as “clinical
trials” as well as the ability to manufacture the product candidate, referred to
as “chemistry manufacturing control” or “CMC.” We will also need to file
additional investigative new drug applications and protocols in order to
initiate clinical testing of our drug candidates in new therapeutic indications
and delays in obtaining required FDA and institutional review board approvals
to commence such studies may delay our initiation of such planned
additional studies.
Satisfying
the FDA’s regulatory requirements typically takes many years, depending on the
type, complexity, and novelty of the product candidate, and requires substantial
resources for research development, and testing. We cannot predict whether our
research and clinical approaches will result in drugs that the FDA considers
safe for humans and effective for indicated uses. The FDA has substantial
discretion in the drug approval process and may require us to conduct additional
preclinical and clinical testing or to perform post-marketing
studies.
The
approval process may also be delayed by changes in government regulation, future
legislation or administrative action, or changes in FDA policy that occur prior
to or during our regulatory review. Delays in obtaining regulatory approvals may
do the following:
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delay commercialization of, and
our ability to derive product revenues from, our product
candidates;
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impose costly procedures on us;
and
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diminish any competitive
advantages that we may otherwise
enjoy.
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Even if
we comply with all FDA requests, the FDA may ultimately reject one or more of
our NDAs. We cannot be sure that we will ever obtain regulatory clearance for
our product candidates. Failure to obtain FDA approval of any of our product
candidates will severely undermine our business by reducing our number of
salable products and, therefore, corresponding product revenues.
In
foreign jurisdictions, we must receive approval from the appropriate regulatory
authorities before we can commercialize our drugs. Foreign regulatory approval
processes generally include all of the risks associated with the FDA approval
procedures described above. We cannot assure you that we will receive the
approvals necessary to commercialize our product candidate for sale outside the
United States.
Our
diagnostic and microbiology tests are subject to changes in CLIA, FDA and other
regulatory requirements.
We
initially plan to develop assays and commercialize our tests in the form of
laboratory developed tests (LDTs) through Adeona Clinical Laboratory, our
CLIA-certified laboratory. Although LDT testing is currently solely under the
purview of CMS and state agencies who provide oversight of the safe and
effective use of LDTs, the FDA and the United States Department of Health and
Human Services have been reviewing their approach to regulation in the area of
LDTs, and the laws and regulations may undergo change in the near future.
Although we have no current plans to utilize in our LDT strategy analyte
specific reagents (ASRs) or In Vitro Diagnostic Multivariate Index Assay
(IVDMIAs), which have been the focus of recent reforms and enforcement actions
by the FDA, we cannot predict the extent of the FDA’s future regulation and
policies with respect to LDTs. Concurrently with our LDT commercialization
activities, we may conduct the development, validation, and other activities
necessary to file submissions with the FDA seeking approval for selected
diagnostic tests. If we are unable to successfully launch any diagnostic tests
as LDTs or if we are otherwise required to obtain FDA premarket clearance or
approval prior to commercializing any diagnostic tests or maintain Adeona
Clinical Laboratory’s CLIA-certified laboratory status, our ability to generate
revenue from the sale of such tests may be delayed and we may never be able to
generate significant revenues from sales of diagnostic
products.
If
the medical relevance of copper and zinc status is not demonstrated or is not
recognized by others, we may have less demand for our products and services and
may have less opportunity to enter into diagnostic product development and
commercialization collaborations with others.
Some of
the products we have developed and additional products that we hope to develop
involve new and unproven approaches or involve applications in markets that we
are only beginning to explore. They are based on the assumption that information
about the roles of copper and zinc in the progression and development of
neurodegenerative diseases such as Alzheimer’s disease, dementia and mild
cognitive impairment may help scientists and clinicians better understand and
treat conditions or complex disease processes. We cannot be certain that this
type of information will play a key role in the development of diagnostics or
other products in the future, or that any of our findings would be accepted by
clinicians, researchers or by any other potential market or industry partner or
customer. If we are unable to generate additional valuable information and data
about the usefulness of copper and zinc status testing, the demand for our
products, applications, and services will be reduced and our business will be
harmed.
We
may not be able to retain rights licensed to us by others to commercialize key
products and may not be able to establish or maintain the relationships we need
to develop, manufacture, and market our products.
In
addition to our own patent applications, we also currently rely on licensing
agreements with third party patent holders/licensors for our
products. We have an exclusive license agreement with the McLean
Hospital relating to the use of flupirtine to treat fibromyalgia which was
recently sublicensed to Meda AB; an exclusive license agreement with the Regents
of the University of California relating to our Trimesta technology; an
exclusive license to our oral immunotherapeutic tolerance program, named dnaJP1
from University of California San Diego (UCSD) and an exclusive license
agreement with Dr. Newsome and Mr. Tate relating to zinc-monocysteine. Each of
these agreements requires us or our sublicensee to use our best efforts to
commercialize each of the technologies as well as meet certain diligence
requirements and timelines in order to keep the license agreement in effect. In
the event we or our sublicensee are not able to meet our diligence requirements,
we may not be able to retain the rights granted under our agreements or
renegotiate our arrangement with these institutions on reasonable terms, or at
all. In addition, in order to maintain this license
agreement in effect our agreement with UCSD required our Epitope subsidiary to
expend at least $400,000 on the development of oral dnaJP1 for the period
comprising July 1, 2009, through June 30, 2010, and to secure access to $2.5
million in funds on or before June 30, 2010, which it did as well as to make
other payments.
Furthermore,
we currently have very limited product development capabilities, and limited
marketing or sales capabilities. For us to research, develop, and test our
product candidates, we would need to contract with outside researchers, in most
cases those parties that did the original research and from whom we have
licensed the technologies.
We can
give no assurances that any of our issued patents licensed to us or any of our
other patent applications will provide us with significant proprietary
protection or be of commercial benefit to us. Furthermore, the issuance of a
patent is not conclusive as to its validity or enforceability, nor does the
issuance of a patent provide the patent holder with freedom to operate without
infringing the patent rights of others.
Developments
by competitors may render our products or technologies obsolete or
non-competitive.
Companies
that currently sell or are developing both generic and proprietary
pharmaceutical compounds to treat central-nervous-system and autoimmune diseases
include: Pfizer, Rigel Pharmaceuticals, Incyte Pharmaceuticals, Chelsea
Therapeutics International, Aton Pharma, GlaxoSmithKline Pharmaceuticals, Alcon,
Shire Pharmaceuticals, Schering-Plough, Organon, Merck & Co., Eli Lilly
& Co., Serono, Biogen Idec, Achillion, Active Biotech, Panteri Biosciences,
Meda AB, Merrimack Pharmaceuticals, Merch-Schering, Forest Laboratories,
Attenuon, Cypress Biosciences, Genentech, Neurotech, Amgen, Centocor/Johnson and
Johnson, UCB Group, Abbott, Wyeth, OM Pharma, Cel-Sci Pharmaceuticals, Novartis,
Axcan Pharma, Teva Pharmaceuticals, Intermune, Fibrogen, Active Biotech, CNSBio,
Rare Disease Therapeutics, Prana Biotechnology, Merz & Co., AstraZeneca
Pharmaceuticals, Chiesi Pharmaceuticals, Alcon, Bausch and Lomb, Targacept, and
Johnson & Johnson. Alternative technologies or alternative delivery or
dosages of already approved therapies are being developed to treat dry AMD,
autoimmune inflammatory, rheumatoid arthritis, psoriasis, fibromyalgia, multiple
sclerosis, Huntington’s, Alzheimer’s and Wilson’s diseases, several of which may
be approved or are in early and advanced clinical trials, such as zinc based
combinations, Syk inhibitors, Jak inhibitors, connective tissue growth factors
(CTGF), FTY-720, laquinimod, pirfenidone, milnacipram, Lyrica, anti-depressant
combinations, Rituxan, Enbrel, Cimzia, Humira, Remicade, Cymbalta, Effexor,
Actimmune and other interferon preparations. Unlike us, many of our competitors
have significant financial and human resources. In addition, academic research
centers may develop technologies that compete with our Trimesta,
ZincMonoCysteine, Zinthionein gastro-retentive sustained release oral high dose
zinc preparations, oral dnaJP1, and flupirtine technologies. Should clinicians
or regulatory authorities view these therapeutic regiments as more effective
than our products, this might delay or prevent us from obtaining regulatory
approval for our products, or it might prevent us from obtaining favorable
reimbursement rates from payers, such as Medicare, Medicaid and private
insurers. No assurance can be given that our current clinical trial of once
daily Zinthionein for the dietary management of Alzheimer’s and mild cognitive
impairment will prove to be safe and effective.
Competitors
could develop and/or gain FDA approval of our products for a different
indication.
Since we
do not have composition of matter patent claims for flupirtine and estriol,
others may obtain approvals for other uses of these products that are not
covered by our issued or pending patents. For example, the active ingredients in
both Effirma(flurpirtine) and Trimesta(estriol) have been approved for marketing
in overseas countries for different uses. Other companies, including the
original developers or licensees or affiliates may seek to develop Effirma or
Trimesta or their respective active ingredient(s) for other uses in the United
States or any country we are seeking approval for. We cannot provide any
assurances that any other company may obtain FDA approval for products that
contain flupirtine or estriol in various formulations or delivery systems that
might adversely affect our ability or the ability of our sublicensee to develop
and market these products in the United States. We are aware that other
companies have intellectual property protection using the active ingredients and
have conducted clinical trials of flupirtine and estriol for different
applications than what we are developing. Many of these companies may have more
resources than us. Should a competitor obtain FDA approval for their product for
any indication prior to us, we might be precluded under the Waxman-Hatch Act to
obtain approval for our product candidates for a period of five years. We cannot
provide any assurances that our products will be FDA approved prior to our
competitors.
If the
FDA approves other products containing our active ingredients to treat
indications other than those covered by our issued or pending patent
applications, physicians may elect to prescribe a competitor’s products to treat
the diseases for which we are developing—this is commonly referred to
as “off-label” use. While under FDA regulations a competitor is not allowed to
promote off-label uses of its product, the FDA does not regulate the practice of
medicine and, as a result, cannot direct physicians as to which source it should
use for these products they prescribe to their patients. Consequently, we might
be limited in our ability to prevent off-label use of a competitor’s product to
treat the diseases we are developing, even if we have issued patents for
that indication. If we are not able to obtain and enforce these patents, a
competitor could use our products for a treatment or use not covered by any of
our patents. We cannot provide any assurances that a competitor will
not obtain FDA approval for a product that contains the same active ingredients
as our products.
Our oral
Zinthionein product candidate does not contain the patented ingredient
zinc-monocysteine and is instead the subject of pending United States and
international patent applications in initially filed in January 2006 (see. U.S.
Ser. No 11/621,962), which may not provide substantial protection from
competitive products until, if and when, such pending patents issue, if at all.
As a prescription medical food, no regulatory protection is afforded through FDA
regulations to prevent others from marketing similar products. No assurance can
be given that our current clinical trial of once daily Zinthionein for the
dietary management of Alzheimer’s and mild cognitive impairment will achieve
superior or sufficient safety and efficacy in order to achievea significant
sales. Similarly, the CopperProof Test Panel offered by our Adeona Clinical Labs
subsidiary is the subject of pending patent applications that are expected to
require a substantial amount of time to issue in order to provide protection
from potential competitors.
We rely primarily
on method patents and patent applications and various regulatory exclusivities
to protect the development of our technologies, and our ability to compete may
decrease or be eliminated if we are not able to protect our proprietary
technology.
Our
competitiveness may be adversely affected if we are unable to protect our
proprietary technologies. Other than our oral dnaJP1 and ZincMonoCysteine
program, we do not have composition of matter patents for Trimesta or Effirma,
or their respective active ingredients estriol and flupirtine. We rely on issued
patent and pending patent applications for use of Trimesta to treat multiple
sclerosis (issued United States Patent No. 6,936,599) and various other
therapeutic indications which have been exclusively licensed to us. We have
exclusively licensed issued United States Patent No. 5,773,570, 6,153,200,
6,946,132, 6,989,146, 7,094,597, 7,301,005, including foreign equivalents along
with several patent applications which cover dnaJP1, related compositions
methods and uses; we have also exclusively licensed an issued patent for the
treatment of fibromyalgia with flupirtine, which we have sublicensed to Meda
AB.
Our
ZincMonoCysteine product candidate is exclusively licensed from its inventors,
David A. Newsome, M.D., and David Tate, Jr. ZincMonoCysteine is the subject of
two issued United States patents, 7,164,035 and 6,586,611 and pending United
States patent application ser. no. 11/621,380 which covers composition of matter
claims. In our annual report on Form 10-KSB for the year ending December 31,
2007 that was filed March 31, 2008 (page 23), we described our receipt in March
2008 (and potential impact on claim 1 of our exclusively licensed issued United
States patent 7,164,035) of an English translation of a Russian disclosure,
Zegzhda et. al. Chemical Abstracts Vol. 85 Abstract No. 186052 (1976) that was
cited by the United States patent examiner during our prosecution of the pending
divisional United States patent application Ser. No. 11/621,390. In April 2008,
we analyzed the zinc-cysteine complex described by Zegzhda and concluded that
such complex describes an insoluble zinc salt and does not describe a non-zinc
salt zinc monocyteine complex and therefore believe that such disclosure should
not affect the validity of any of our issued United States patent claims
relating our zinc-monocysteine composition-of-matter claims. We have filed a
response and declaration describing the results of our analysis with the United
States Patent and Trademark Office with respect to the Zegzhda reference with
respect to United States patent application ser. no. 11/621,380. In an office
action dated August 20, 2008, the United States patent examiner did not accept
our arguments filed May 23, 2008 in connection with the Zegzhda reference under
pending divisional application ser. no. 11/621,390, to which we intend to
respond. Public copies of relevant and future communications can be obtained
using the electronic PAIR system of the United States Patent and Trademark
Office.
Our
Zinthionein (gastro-retentive sustained zinc and cysteine tablets) are the
subject of United States and international pending patent applications, such as
published United States patent application Ser. No. 11/621,962 and corresponding
international applications that claim priority to Jan. 10, 2006 as well as
additional unpublished patent applications. Such patent applications have not
yet been the subject of substantive review by the United States Patent and
Trademark Office or corresponding international patent offices. No assurance can
be given that such pending patent applications will issue or issue with claims
satisfactorily broad enough to prevent others from developing and marketing
competing products.
The
patent positions of pharmaceutical companies are uncertain and may involve
complex legal and factual questions. We may incur significant expense in
protecting our intellectual property and defending or assessing claims with
respect to intellectual property owned by others. Any patent or other
infringement litigation by or against us could cause us to incur significant
expense and divert the attention of our management.
We may
also rely on the United States Drug Price Competition and Patent Term
Restoration Act, commonly known as the “Hatch-Waxman Amendments,” to protect
some of our current product candidates, specifically dnaJP1, Trimesta,
ZincMonoCysteine, flupirtine and other future product candidates we may develop.
Once a drug containing a new molecule is approved by the FDA, the FDA cannot
accept an abbreviated NDA for a generic drug containing that molecule for five
years, although the FDA may accept and approve a drug containing the molecule
pursuant to an NDA supported by independent clinical data. Recent amendments
have been proposed that would narrow the scope of Hatch-Waxman exclusivity and
permit generic drugs to compete with our drug.
Others
may file patent applications or obtain patents on similar technologies or
compounds that compete with our products. We cannot predict how broad the claims
in any such patents or applications will be, and whether they will be allowed.
Once claims have been issued, we cannot predict how they will be construed or
enforced. We may infringe intellectual property rights of others without being
aware of it. If another party claims we are infringing their technology, we
could have to defend an expensive and time consuming lawsuit, pay a large sum if
we are found to be infringing, or be prohibited from selling or licensing our
products unless we obtain a license or redesign our product, which may not be
possible.
We also
rely on trade secrets and proprietary know-how to develop and maintain our
competitive position. Some of our current or former employees, consultants, or
scientific advisors, or current or prospective corporate collaborators, may
unintentionally or willfully disclose our confidential information to
competitors or use our proprietary technology for their own benefit.
Furthermore, enforcing a claim alleging the infringement of our trade secrets
would be expensive and difficult to prove, making the outcome uncertain. Our
competitors may also independently develop similar knowledge, methods, and
know-how or gain access to our proprietary information through some other
means.
We may fail to
retain or recruit necessary personnel, and we may be unable to secure the
services of consultants.
As of
December 31, 2010, we have 13 employees. We have also engaged regulatory
consultants to advise us on our dealings with the FDA and other foreign
regulatory authorities. Our future performance will depend in part on our
ability to successfully integrate newly hired officers into our management team
and our ability to develop an effective working relationship among senior
management.
Certain
of our directors, (Jeffrey Kraws, a director and former VP of Business
Development, Jeffrey Wolf, a director, Mr. Kanzer, a director and former
Chairman and CEO, and Mr. Riley, a director) scientific advisors, and
consultants serve as officers, directors, scientific advisors, or consultants of
other biopharmaceutical or biotechnology companies that might be developing
competitive products to ours. Other than corporate opportunities, none of our
directors are obligated under any agreement or understanding with us to make any
additional products or technologies available to us. Similarly, we can give no
assurances, and we do not expect and stockholders should not expect, that any
biomedical or pharmaceutical product or technology identified by any of our
directors or affiliates in the future would be made available to us other than
corporate opportunities. We can give no assurances that any such other companies
will not have interests that are in conflict with our interests.
Losing
key personnel or failing to recruit necessary additional personnel would impede
our ability to attain our development objectives. There is intense competition
for qualified personnel in the drug-development field, and we may not be able to
attract and retain the qualified personnel we would need to develop our
business.
We rely
on independent organizations, advisors, and consultants to perform certain
services for us, including handling substantially all aspects of regulatory
approval, clinical management, manufacturing, marketing, and sales. We expect
that this will continue to be the case. Such services may not always be
available to us on a timely basis when we need them.
We
may experience difficulties in obtaining sufficient quantities of our products
or other compounds.
In order
to successfully commercialize our product candidates, we and our sublicensees
must be able to manufacture our products in commercial quantities, in compliance
with regulatory requirements, at acceptable costs, and in a timely manner.
Manufacture of the types of biopharmaceutical products that we propose to
develop present various risks. For example, the manufacture of
zinc-monocysteine, dnaJP1, and flupirtine is a complex process that
can be difficult to scale up for purposes of producing large quantities. This
process can also be subject to delays, inefficiencies, and poor or low yields of
quality products. As such, we can give no assurances that we will be able to
scale up the manufacturing of zinc-monocysteine. The active
ingredient of our dnaJP1 program is a peptide. Traditionally, peptide
manufacturing is costly, time consuming, resulting in low yields and poor
stability. We cannot give any assurances that we will not encounter this issue
when scaling up manufacturing for dnaJP1. We are developing
proprietary formulations and specialty packaging solutions to overcome this
stability issue, but we can give no assurances that we will be successful in
meeting the stability requirements required for approval by regulatory
authorities such as the FDA or the requirements that our new proprietary
formulations and drug product will demonstrate satisfactory comparability to
less stable formulations utilized in prior clinical trials. We may experience
delays in demonstrating satisfactory stability requirements and drug product
comparability requirements that could delay our planned clinical trials of for
any of our products.
For
manufacturing and nonclinical information for Trimesta, we have relied upon an
agreement with Organon, a division of Schering-Plough for access to clinical,
nonclinical, stability and drug supply relating to estriol, the active
ingredient in Trimesta, which is currently in a clinical trial for multiple
sclerosis. Should Organon terminate our agreement or be unable or unwilling to
continue to supply Trimesta to us, this might delay enrollment and
commercialization plans for our Trimesta clinical trial program. Organon has
manufactured estriol the active ingredient of Trimesta for the European and
Asian market for approximately 40 years but has never been approved in the
United States. Organon has recently informed us of their decision to discontinue
supply of estriol tablets beyond that required to satisfy the planned future
needs of the ongoing clinical trial in relapse remitting multiple sclerosis.
Accordingly, prior to initiation of additional clinical studies and/or
commercial launch of oral estriol, we may need to identify and execute supply
agreement(s) on terms suitable to us with an alternate supplier of estriol
tablets.
Our plans
to launch oral Zinthionein as a prescription medical food for the dietary
management of zinc deficiency in Alzheimer’s disease and mild cognitive
impairment will depend upon the successful cGMP manufacture, quality
control and acceptable results of stability studies to be performed for
Zinthionein for which we are utilizing and intend to engage third party contract
manufacturers and analytic testing services, as well as the successful
completion and results of the Part 2 of our CopperProof-2 clinical trial being
conducted at three centers in Florida.
Historically,
our manufacturing has been handled by contract manufacturers and compounding
pharmacies. We can give no assurances that we will be able to continue to use
our current manufacturer or be able to establish another relationship with a
manufacturer quickly enough so as not to disrupt commercialization of any of our
products, or that commercial quantities of any of our products, if approved for
marketing, will be available from contract manufacturers at acceptable
costs.
In
addition, any contract manufacturer that we select to manufacture our product
candidates might fail to maintain a current “good manufacturing practices”
(cGMP) manufacturing facility.
The cost of manufacturing
certain product candidates may make them prohibitively expensive. In order to
successfully commercialize our product candidates we may be required to reduce
the costs of production, and we may find that we are unable to do so. We may be
unable to obtain, or may be required to pay high prices for compounds
manufactured or sold by others that we need for comparison purposes in clinical
trials and studies for our product candidates.
The
manufacture of our products is a highly exacting process, and if we or one of
our materials suppliers encounter problems manufacturing our products, our
business could suffer.
The FDA
and foreign regulators require manufacturers to register manufacturing
facilities. The FDA and foreign regulators also inspect these facilities to
confirm compliance with cGMP or similar requirements that the FDA or foreign
regulators establish. We or our materials suppliers may face manufacturing or
quality control problems causing product production and shipment delays or a
situation where we or the supplier may not be able to maintain compliance with
the FDA’s cGMP requirements, or those of foreign regulators, necessary to
continue manufacturing our drug substance. Any failure to comply with cGMP
requirements or other FDA or foreign regulatory requirements could adversely
affect our clinical research activities and our ability to market and develop
our products.
If
our laboratory facilities are damaged, our business would be seriously
harmed.
Our only
laboratory facility for copper and zinc testing products and general reference
lab services is located in Bolingbrook, IL. Damage to our facilities due to war,
fire, natural disaster, power loss, communications failure, terrorism,
unauthorized entry, or other events could prevent us from conducting our
business for an indefinite period, could result in a loss of important data or
cause us to cease development and production of our products. We cannot be
certain that our limited insurance to protect against business interruption
would be adequate or would continue to be available to us on commercially
reasonable terms, or at all.
If
the parties we depend on for supplying our drug substance raw materials and
certain manufacturing-related services do not timely supply these products and
services, it may delay or impair our ability to develop, manufacture and market
our products.
We rely
on suppliers for our drug substance raw materials and third parties for certain
manufacturing-related services to produce material that meets appropriate
content, quality and stability standards and use in clinical trials of our
products and, after approval, for commercial distribution. To succeed, clinical
trials require adequate supplies of drug substance and drug product, which may
be difficult or uneconomical to procure or manufacture. We and our suppliers and
vendors may not be able to (i) produce our drug substance or drug product to
appropriate standards for use in clinical studies, (ii) perform under any
definitive manufacturing, supply or service agreements with us or (iii) remain
in business for a sufficient time to successfully produce and market our product
candidates. If we do not maintain important manufacturing and service
relationships, we may fail to find a replacement supplier or required vendor or
develop our own manufacturing capabilities which could delay or impair our
ability to obtain regulatory approval for our products and substantially
increase our costs or deplete profit margins, if any. If we do find replacement
manufacturers and vendors, we may not be able to enter into agreements with them
on terms and conditions favorable to us and, there could be a substantial delay
before a new facility could be qualified and registered with the FDA and foreign
regulatory authorities.
Clinical
trials are very expensive, time-consuming, and difficult to design and
implement.
Human
clinical trials are very expensive and difficult to design and implement, in
part because they are subject to rigorous regulatory requirements. The clinical
trial process is also time-consuming. We estimate that clinical trials of our
product candidates would take at least several years to complete. Furthermore,
failure can occur at any stage of the trials, and we could encounter problems
that cause us to abandon or repeat clinical trials. Commencement and completion
of clinical trials may be delayed by several factors, including:
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unforeseen safety
issues;
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determination of
dosing;
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lack of effectiveness during
clinical trials;
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slower than expected rates of
patient recruitment;
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inability to monitor patients
adequately during or after treatment;
and
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inability or unwillingness of
medical investigators to follow our clinical
protocols.
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In
addition, we or the FDA may suspend our clinical trials at any time if it
appears that we are exposing participants to unacceptable health risks or if the
FDA finds deficiencies in our submissions or conduct of our trials.
The results of
our clinical trials may not support our product candidate claims and the results
of preclinical studies and completed clinical trials are not necessarily
predictive of future results.
To date,
long-term safety and efficacy have not yet been demonstrated in clinical trials
for any of our diagnostic product candidates. Favorable results in our early
studies or trials may not be repeated in later studies or trials. Even if our
clinical trials are initiated and completed as planned, we cannot be certain
that the results will support our product-candidate claims. Success in
preclinical testing and phase II clinical trials does not ensure that later
phase II or phase III clinical trials will be successful. We cannot be sure that
the results of later clinical trials would replicate the results of prior
clinical trials and preclinical testing. In particular, the limited results that
we have obtained for our diagnostic tests may not predict results from studies
in larger numbers of subjects drawn from more diverse populations over a longer
period of time. Clinical trials may fail to demonstrate that our product
candidates are safe for humans and effective for indicated uses. Any such
failure could cause us or our sublicensee to abandon a product candidate and
might delay development of other product candidates. Preclinical and clinical
results are frequently susceptible to varying interpretations that may delay,
limit or prevent regulatory approvals or commercialization. Any delay in, or
termination of, our clinical trials would delay our obtaining FDA approval for
the affected product candidate and, ultimately, our ability to commercialize
that product candidate.
Physicians
and patients may not accept and use our technologies.
Even if
the FDA approves our product candidates, physicians and patients may not accept
and use them. Acceptance and use of our product will depend upon a number of
factors, including the following:
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the
perception of members of the health care community, including physicians,
regarding the safety and effectiveness of our
drugs;
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the cost-effectiveness of our
product relative to competing
products;
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availability of reimbursement for
our products from government or other healthcare payers;
and
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the effectiveness of marketing
and distribution efforts by us and our licensees and distributors, if
any.
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Because
we expect sales of our current product candidates, if approved, to generate
substantially all of our product revenues for the foreseeable future, the
failure of any of these drugs to find market acceptance would harm our business
and could require us to seek additional financing.
We depend on
third parties, including researchers and sublicensees, who are not under our
control.
Since we
have in-licensed some of our product candidates and have sublicensed a product
candidate, we depend upon our sublicensee and independent investigators and
scientific collaborators, such as universities and medical institutions or
private physician scientists, to conduct our preclinical and clinical trials
under agreements with us. These collaborators are not our employees and we
cannot control the amount or timing of resources that they devote to our
programs or the timing of their procurement of clinical-trial data or their
compliance with applicable regulatory guidelines. Should any of these scientific
inventors/advisors or those of our sublicensee become disabled or die
unexpectedly, or should they fail to comply with applicable regulatory
guidelines, we or our sublicensee may be forced to scale back or terminate
development of that program. They may not assign as great a priority to our
programs or pursue them as diligently as we would if we were undertaking those
programs ourselves. Failing to devote sufficient time and resources to our
drug-development programs, or substandard performance and failure to comply with
regulatory guidelines, could result in delay of any FDA applications and our
commercialization of the drug candidate involved.
These
collaborators may also have relationships with other commercial entities, some
of which may compete with us. Our collaborators assisting our competitors at our
expense could harm our competitive position. For example, we are highly
dependent on scientific collaborators for our Trimesta, zinc-monocysteine,
and flupirtine development programs. Specifically, all of the clinical trials
have been conducted under physician-sponsored investigational new drug
applications (INDs), not corporate-sponsored INDs. Generally, we have
experienced difficulty in collecting data generated from these
physician-sponsored clinical trials for our programs. We cannot
provide any assurances that we will not experience any additional delays in the
future. We have experienced similar difficulties with our
zinc-monocysteine and dnaJP1 programs. With respect to our dnaJP1
program, we have recently elected to pursue the filing of a new corporate IND
through our Epitope subsidiary, for the further clinical testing of our oral
dnaJP1 and to eliminate our reliance on the scientific inventor/IND holder for
this program. Unless we are able to negotiate an agreement whereby
such inventor/IND holder agrees to allow us to cross-reference the IND held by
such inventor/IND holder, our planned corporate IND filing will most likely
require us to successfully perform necessary nonclinical studies prior to
initiating further human clinical trials. Such additional nonclinical studies
may be required even if we successfully conclude an IND cross-reference
agreement with such inventor/IND holder. No assurance can be given
that we will be able to obtain necessary FDA authorization to initiate clinical
trials pursuant to any proposed corporate IND that may be filed. Our license
agreement with University of California for dnaJP1 requires that initiate
patient dosing in a phase II clinical trial before the end of 2010 in order to
maintain the license in effect. We may not be able to achieve such
milestone and our license agreement may become subject to
termination.
We are
also highly dependent on government and private grants to fund certain of our
clinical trials for our product candidates. For example, Trimesta (estriol) has
received a $5 million grant from the Southern California Chapter of the National
Multiple Sclerosis Society and the National Institutes of Health which funds a
majority of our ongoing 150 patient clinical trial in relapsing-remitting
multiple sclerosis. If our scientific collaborator is unable to maintain these
grants, we might be forced to scale back or terminate the development of this
product candidate. We will also need to cross reference our IND with the
inventor/IND holder for this program should we elect to file our own corporate
IND for our Trimesta (estriol) program.
We
have no experience selling, marketing, or distributing products and do not have
the capability to do so.
We
currently have no sales, marketing, or distribution capabilities. We do not
anticipate having significant resources in the foreseeable future to allocate to
selling and marketing our proposed products. Our success will depend, in part,
on whether we are able to enter into and maintain collaborative relationships
with a pharmaceutical or a biotechnology company charged with marketing one or
more of our products. We may not be able to establish or maintain such
collaborative arrangements or to commercialize our products in foreign
territories, and even if we do, our collaborators may not have effective sales
forces.
If we do
not, or are unable to, enter into collaborative arrangements to sell and market
our proposed products, we will need to devote significant capital, management
resources, and time to establishing and developing an in-house marketing and
sales force with technical expertise. We may be unsuccessful in doing
so.
If we fail to maintain positive
relationships with particular individuals, we may be unable to successfully
develop our product candidates, conduct clinical trials, and obtain
financing.
If we
fail to maintain positive relationships with members of our management team or
if these individuals decrease their contributions to our company, our business
could be adversely impacted. We do not carry key employee insurance policies for
any of our key employees.
We also
rely greatly on employing and retaining other highly trained and experienced
senior management and scientific personnel. The competition for these and other
qualified personnel in the biotechnology field is intense. If we are not able to
attract and retain qualified scientific, technical, and managerial personnel, we
probably will be unable to achieve our business
objectives.
We
may not be able to compete successfully for market share against other drug
companies.
The
markets for our product candidates are characterized by intense competition and
rapid technological advances. If our product candidates receive FDA approval,
they will compete with existing and future drugs and therapies developed,
manufactured, and marketed by others. Competing products may provide greater
therapeutic convenience or clinical or other benefits for a specific indication
than our products, or may offer comparable performance at a lower cost. If our
products fail to capture and maintain market share, we may not achieve
sufficient product revenues and our business will suffer.
We will
compete against fully integrated pharmaceutical companies and smaller companies
that are collaborating with larger pharmaceutical companies, academic
institutions, government agencies, or other public and private research
organizations. Many of these competitors have therapies to treat autoimmune
fibrotic and central nervous system diseases already approved or in development.
In addition, many of these competitors, either alone or together with their
collaborative partners, operate larger research-and-development programs than we
do, have substantially greater financial resources than we do, and have
significantly greater experience in the following areas:
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undertaking preclinical testing
and human clinical trials;
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obtaining FDA and other
regulatory approvals of
drugs;
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formulating and manufacturing
drugs; and
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launching, marketing and selling
drugs.
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We
may incur substantial costs as a result of litigation or other proceedings
relating to patent and other intellectual property rights, as well as costs
associated with frivolous lawsuits.
If any
other person files patent applications, or is issued patents, claiming
technology also claimed by us in pending applications, we may be required to
participate in interference proceedings in the United States Patent and
Trademark Office to determine priority of invention. We, or our licensors, may
also need to participate in interference proceedings involving our issued
patents and pending applications of another entity.
We cannot
guarantee that the practice of our technologies will not conflict with the
rights of others. In some foreign jurisdictions, we could become involved in
opposition proceedings, either by opposing the validity of another’s foreign
patent or by persons opposing the validity of our foreign patents.
We may
also face frivolous litigation or lawsuits from various competitors or from
litigious securities attorneys. The cost to us of any litigation or other
proceeding relating to these areas, even if resolved in our favor, could be
substantial and could distract management from our business. Uncertainties
resulting from initiation and continuation of any litigation could have a
material adverse effect on our ability to continue our operations.
If we infringe
the rights of others we could be prevented from selling products or forced to
pay damages.
If our
products, methods, processes, and other technologies are found to infringe the
proprietary rights of other parties, we could be required to pay damages, or we
may be required to cease using the technology or to license rights from the
prevailing party. Any prevailing party may be unwilling to offer us a license on
commercially acceptable terms.
Our
products, if approved, may not be commercially viable due to change in health
care practice and third party reimbursement limitations
Recent
initiatives to reduce the federal deficit and to change health care delivery are
increasing cost-containment efforts. We anticipate that Congress, state
legislatures and the private sector will continue to review and assess
alternative benefits, controls on health care spending through limitations on
the growth of private health insurance premiums and Medicare and Medicaid
spending, price controls on pharmaceuticals, and other fundamental changes to
the health care delivery system. Any changes of this type could negatively
impact the commercial viability of our products, if approved. Our ability to
successfully commercialize our product candidates, if they are approved, will
depend in part on the extent to which appropriate reimbursement codes and
authorized cost reimbursement levels of these products and related treatment are
obtained from governmental authorities, private health insurers and other
organizations, such as health maintenance organizations. In the absence of
national Medicare coverage determination, local contractors that administer the
Medicare program may make their own coverage decisions. Any of our product
candidates, if approved and when commercially available, may not be included
within the then current Medicare coverage determination or the coverage
determination of state Medicaid programs, private insurance companies or other
health care providers. In addition, third-party payers are
increasingly challenging the necessity and prices charged for medical products,
treatments and services.
We
do not currently have product liability or malpractice insurance and may not be
able to obtain adequate insurance coverage against product liability
claims.
Our
business exposes us to potential product liability and other types of claims and
our exposure will increase as we prepare to commercialize our copper and zinc
status tests. We do not currently have any product liability or malpractice
insurance that would cover us against any product liability, or malpractice
claims. Any such claim would have to be paid out of our cash reserves, which
would have a detrimental effect on our financial condition. Even if
it is available, product liability insurance for the pharmaceutical and
biotechnology industry generally is expensive. Adequate insurance coverage may
not be available at a reasonable cost. We cannot assure you that we can or will
be able to obtain product liability or malpractice insurance policies on
commercially acceptable terms, or at all.
RISKS RELATING TO OUR
STOCK
We
will seek to raise additional funds in the future, which may be dilutive to
stockholders or impose operational restrictions.
We expect
to seek to raise additional capital in the future to help fund development of
our proposed products. If we raise additional capital through the issuance of
equity (as we recently have) or of debt securities, the percentage ownership of
our current stockholders will be reduced. We may also enter into strategic
transactions, issue equity as part of license issue fees to our licensors,
compensate consultants or settle outstanding payables using equity that may be
dilutive. Our stockholders may experience additional dilution in net book value
per share and any additional equity securities may have rights, preferences and
privileges senior to those of the holders of our common stock. If we cannot
raise additional funds, we will have to delay development activities of our
products candidates.
We
are controlled by our current officers, directors, and principal
stockholders.
Currently,
our directors, executive officers, and principal stockholders beneficially own a
majority of our common stock. As a result, they will be able to exert
substantial influence over the election of our board of directors and the vote
on issues submitted to our stockholders. As of December 31, 2010, our
officers, directors and principal stockholders beneficially owned approximately
7.7 million shares of our common stock, which number excludes shares of common
stock issuable upon the exercise of warrants held by our officers, directors and
principal stockholders. Because our common stock has from time to time
been “thinly traded”, the sale of these shares by our officers, directors and
principal stockholders could have an adverse effect on the market for our stock
and our share price.
Our
shares of common stock are from time to time thinly traded, so stockholders may
be unable to sell at or near ask prices or at all if they need to sell shares to
raise money or otherwise desire to liquidate their shares.
Our
common stock has from time to time been “thinly-traded,” meaning that the number
of persons interested in purchasing our common stock at or near ask prices at
any given time may be relatively small or non-existent. This situation is
attributable to a number of factors, including the fact that we are a small
company that is relatively unknown to stock analysts, stock brokers,
institutional investors and others in the investment community that generate or
influence sales volume, and that even if we came to the attention of such
persons, they tend to be risk-averse and would be reluctant to follow an
unproven company such as ours or purchase or recommend the purchase of our
shares until such time as we became more seasoned and viable. As a consequence,
there may be periods of several days or more when trading activity in our shares
is minimal or nonexistent, as compared to a seasoned issuer which has a
large and steady volume of trading activity that will generally support
continuous sales without an adverse effect on share price. We cannot give
stockholders any assurance that a broader or more active public trading market
for our common shares will develop or be sustained, or that current trading
levels will be sustained.
Our
compliance with the Sarbanes-Oxley Act and SEC rules concerning internal
controls may be time consuming, difficult and costly.
Although
individual members of our management team have experience as officers of
publicly traded companies, much of that experience came prior to the adoption of
the Sarbanes-Oxley Act of 2002. It may be time consuming, difficult and costly
for us to develop and implement the internal controls and reporting procedures
required by Sarbanes-Oxley. We may need to hire additional financial reporting,
internal controls and other finance staff in order to develop and implement
appropriate internal controls and reporting procedures. If we are unable to
comply with Sarbanes-Oxley’s internal controls requirements, we may not be able
to obtain the independent accountant certifications that Sarbanes-Oxley Act
requires publicly-traded companies to obtain.
We
cannot assure you that the common stock will be liquid or that it will remain
listed on a securities exchange.
We cannot
assure you that we will be able to maintain the listing standards of the NYSE
Amex formerly the American Stock Exchange or NYSE Alternext US. The NYSE Amex
requires companies to meet certain continued listing criteria including certain
minimum stockholders' equity and equity prices per share as outlined
in the Exchange Company Guide. We may not be able to maintain such minimum
stockholders' equity or prices per share or may be required to affect a reverse
stock split to maintain such minimum prices and/or issue additional equity
securities in exchange for cash or other assets, if available, to maintain
certain minimum stockholders' equity required by the NYSE Amex. If we are
delisted from the Exchange then our common stock will trade, if at all, only on
the over-the-counter market, such as the OTC Bulletin Board securities market,
and then only if one or more registered broker-dealer market makers comply with
quotation requirements. In addition, delisting of our common stock could further
depress our stock price, substantially limit liquidity of our common stock and
materially adversely affect our ability to raise capital on terms acceptable to
us, or at all. Delisting from the Exchange could also have other negative
results, including the potential loss of confidence by suppliers and employees,
the loss of institutional investor interest and fewer business development
opportunities. In order to remain listed on NYSE Amex, we are
required to maintain a minimum stockholders’ equity of $6 million, which
currently exceeds our stockholders’ equity. However we expect
the requirement will be met with the proceeds of this
offering.
There may be
issuances of shares of preferred stock in the future.
Although
we currently do not have preferred shares outstanding, the board of directors
could authorize the issuance of a series of preferred stock that would grant
holders preferred rights to our assets upon liquidation, the right to receive
dividends before dividends would be declared to common stockholders, and the
right to the redemption of such shares, possibly together with a premium, prior
to the redemption of the common stock. To the extent that we do issue preferred
stock, the rights of holders of common stock could be impaired thereby,
including without limitation, with respect to liquidation.
We
have never paid dividends.
We have
never paid cash dividends on our common stock and do not anticipate paying any
for the foreseeable future.
RISKS
RELATED TO OUR INDUSTRY
We
are subject to government regulation, compliance with which can be costly and
difficult.
In the
United States, the formulation, manufacturing, packaging, storing, labeling,
promotion, advertising, distribution and sale of our products are subject to
regulation by various governmental agencies, including (1) the Food and
Drug Administration, or FDA, (2) the Federal Trade Commission, or FTC,
(3) the Consumer Product Safety Commission, or CPSC, (4) the United
States Department of Agriculture, or USDA. Our proposed activities may also be
regulated by various agencies of the states, localities and foreign countries in
which our proposed products may be manufactured, distributed and sold. The FDA,
in particular, regulates the formulation, manufacture and labeling of
over-the-counter, or OTC, drugs, conventional foods, dietary supplements, and
cosmetics such as those that we intend to distribute. FDA regulations
require us and our suppliers to meet relevant current good manufacturing
practice, or cGMP, regulations for the preparation, packing and storage of foods
and OTC drugs. As a result of inactivity and the removal and sale of certain
equipment, our facility in Ann Arbor, Michigan is no longer currently cGMP
compliant.
The
United States Dietary Supplement Health and Education Act of 1994, or
DSHEA, revised the provisions of the Federal Food, Drug and Cosmetic Act, or
FFDCA, concerning the composition and labeling of dietary supplements and, we
believe, the revisions are generally favorable to the dietary supplement
industry. The legislation created a new statutory class of dietary supplements.
This new class includes vitamins, minerals, herbs, amino acids and other dietary
substances for human use to supplement the diet, and the legislation
grandfathers, with some limitations, dietary ingredients that were on the market
before October 15, 1994. A dietary supplement that contains a dietary
ingredient that was not on the market before October 15, 1994 will require
evidence of a history of use or other evidence of safety establishing that it is
reasonably expected to be safe. Manufacturers or marketers of dietary
supplements in the United States and certain other jurisdictions that make
product performance claims, including structure or function claims, must have
substantiation in their possession that the statements are truthful and not
misleading. The majority of the products marketed by us in the United States are
classified as conventional foods or dietary supplements under the FFDCA.
Internationally, the majority of products marketed by us are classified as foods
or food supplements.
In
January 2000, the FDA issued a regulation that defines the types of statements
that can be made concerning the effect of a dietary supplement on the structure
or function of the body pursuant to DSHEA. Under DSHEA, dietary supplement
labeling may bear structure or function claims, which are claims that the
products affect the structure or function of the body, without prior FDA
approval, but with notification to the FDA. They may not bear a claim that they
can prevent, treat, cure, mitigate or diagnose disease (a disease claim). The
regulation describes how the FDA distinguishes disease claims from structure or
function claims. During 2004, the FDA issued guidance, paralleling an earlier
guidance from the FTC, defining a manufacturer's obligations to substantiate
structure/function claims. The FDA also issued a Structure/Function Claims Small
Entity Compliance Guide. In addition, the agency permits companies to use
FDA-approved full and qualified health claims for products containing specific
ingredients that meet stated requirements.
In order
to make disease claims, we may seek to market some our proposed products as
medical foods for the dietary management of certain diseases. Medical
foods are defined in section 5(b) of the Orphan Drug Act (21 U.S.C. 360ee (b)
(3)) is "a food which is formulated to be consumed or administered internally
under the supervision of a physician and which is intended for the specific
dietary management of a disease or condition for which distinctive nutritional
requirements, based on recognized scientific principles, are established by
medical evaluation." We believe our products may qualify as medical
foods provided we are able to generate, and have published, sufficient clinical
data to support such claims. Medical foods are required to be
utilized under a medical doctor’s supervision and as such, our distribution
channels may be limited and/or complicated.
Should we
seek to make disease claims beyond those permitted for medical foods, we may
seek to conduct necessary clinical trials to support such claims and file one or
more New Drug Applications with respect to such products which would be the
subject of the time, expense and uncertainty associated with achieving approval
of such NDA by the FDA.
On
December 22, 2007, a new law went into effect in the United States
mandating the reporting of all serious adverse events occurring within the
United States which involve dietary supplements or OTC drugs. We believe that in
order to be in compliance with this law we will be required to implement a
worldwide procedure governing adverse event identification, investigation and
reporting. As a result of our receipt of adverse event reports, we may from time
to time elect, or be required, to remove a product from a market, either
temporarily or permanently.
Some of
the products marketed by us are considered conventional foods and are currently
labeled as such. Within the United States, this category of products is subject
to the Nutrition, Labeling and Education Act, or NLEA, and regulations
promulgated under the NLEA. The NLEA regulates health claims, ingredient
labeling and nutrient content claims characterizing the level of a nutrient in
the product. The ingredients added to conventional foods must either be
generally recognized as safe by experts, or GRAS, or be approved as food
additives under FDA regulations. Our zinc-monocysteine complexes are
comprised of zinc (a GRAS ingredient) and cysteine (an amino acid that also has
GRAS status). While many chelated zinc products are currently on the
market and are generally not considered new dietary ingredients, we cannot
provide any assurance that zinc-monocysteine will be similarly considered by the
FDA.
The FTC,
which exercises jurisdiction over the advertising of all of our proposed
products, has in the past several years instituted enforcement actions against
several dietary supplement companies and against manufacturers of products
generally for false and misleading advertising of some of their products. These
enforcement actions have often resulted in consent decrees and monetary payments
by the companies involved. In addition, the FTC has increased its scrutiny of
the use of testimonials, which we also utilize, as well as the role of expert
endorsers and product clinical studies. It is unclear whether the FTC will
subject our advertisements to increased surveillance to ensure compliance with
the principles set forth in its published advertising guidance. The
copper industry has supported research studies that conclude that copper
has no effect in Alzheimer’s disease. In February 2007, the State of
California issued its public health goal for copper in drinking water and
considered the research studies mentioned above as well as those of our
scientific collaborators and concluded that at the present time, the data with
respect to copper in drinking water’s role in Alzheimer’s disease were to be
“equivocal” . We cannot provide assurance that the FTC will allow us
to publically advertise or promote our products to the American
public.
The FDA,
comparable foreign regulators and state and local pharmacy regulators impose
substantial requirements upon clinical development, manufacture and marketing of
pharmaceutical products. These and other entities regulate research and
development and the testing, manufacture, quality control, safety,
effectiveness, labeling, storage, record keeping, approval, advertising, and
promotion of our products. The drug approval process required by the FDA under
the Food, Drug, and Cosmetic Act generally involves:
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preclinical laboratory and animal
tests;
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submission of an IND, prior to
commencing human clinical
trials;
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adequate and well-controlled
human clinical trials to establish safety and efficacy for intended
use;
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submission to the FDA of a NDA;
and
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FDA review and approval of a
NDA.
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The
testing and approval process requires substantial time, effort, and financial
resources, and we cannot be certain that any approval will be granted on a
timely basis, if at all.
Preclinical
tests include laboratory evaluation of the product candidate, its chemistry,
formulation and stability, and animal studies to assess potential safety and
efficacy. Certain preclinical tests must be conducted in compliance with good
laboratory practice regulations. Violations of these regulations can, in some
cases, lead to invalidation of the studies, requiring them to be replicated. In
some cases, long-term preclinical studies are conducted concurrently with
clinical studies.
We will
submit the preclinical test results, together with manufacturing information and
analytical data, to the FDA as part of an IND, which must become effective
before we begin human clinical trials. The IND automatically becomes effective
30 days after filing, unless the FDA raises questions about conduct of the
trials outlined in the IND and imposes a clinical hold, in which case, the IND
sponsor and FDA must resolve the matters before clinical trials can begin. It is
possible that our submission may not result in FDA authorization to commence
clinical trials.
Clinical
trials must be supervised by a qualified investigator in accordance with good
clinical practice regulations, which include informed consent requirements. An
independent Institutional Review Board (“IRB”) at each medical center reviews
and approves and monitors the study, and is periodically informed of the study’s
progress, adverse events and changes in research. Progress reports are submitted
annually to the FDA and more frequently if adverse events occur.
Human
clinical trials typically have three sequential phases that may
overlap:
Phase I:
The drug is initially tested in healthy human subjects or patients for safety,
dosage tolerance, absorption, metabolism, distribution, and
excretion.
Phase II:
The drug is studied in a limited patient population to identify possible adverse
effects and safety risks, determine efficacy for specific diseases and establish
dosage tolerance and optimal dosage.
Phase
III: When phase II evaluations demonstrate that a dosage range is effective with
an acceptable safety profile, phase III trials to further evaluate dosage,
clinical efficacy and safety, are undertaken in an expanded patient population,
often at geographically dispersed sites.
We cannot
be certain that we will successfully complete phase I, phase II, or phase III
testing of our product candidates within any specific time period, if at all.
Furthermore, the FDA, an IRB or the IND sponsor may suspend clinical trials at
any time on various grounds, including a finding that subjects or patients are
exposed to unacceptable health risk. Concurrent with these trials and studies,
we also develop chemistry and physical characteristics data and finalize a
manufacturing process in accordance with good manufacturing practice (“GMP”)
requirements. The manufacturing process must conform to consistency and quality
standards, and we must develop methods for testing the quality, purity, and
potency of the final products. Appropriate packaging is selected and tested, and
chemistry stability studies are conducted to demonstrate that the product does
not undergo unacceptable deterioration over its shelf-life. Results of the
foregoing are submitted to the FDA as part of a NDA for marketing and commercial
shipment approval. The FDA reviews each NDA submitted and may request additional
information.
Once the
FDA accepts the NDA for filing, it begins its in-depth review. The FDA has
substantial discretion in the approval process and may disagree with our
interpretation of the data submitted. The process may be significantly extended
by requests for additional information or clarification regarding information
already provided. As part of this review, the FDA may refer the application to
an appropriate advisory committee, typically a panel of clinicians.
Manufacturing establishments often are inspected prior to NDA approval to assure
compliance with GMPs and with manufacturing commitments made in the
application.
Submission
of a NDA with clinical data requires payment of a fee. In return, the FDA
assigns a goal of ten months for issuing its “complete response,” in which the
FDA may approve or deny the NDA, or require additional clinical data. Even if
these data are submitted, the FDA may ultimately decide the NDA does not satisfy
approval criteria. If the FDA approves the NDA, the product becomes available
for physicians prescription. Product approval may be withdrawn if regulatory
compliance is not maintained or safety problems occur. The FDA may require
post-marketing studies, also known as phase IV studies, as a condition of
approval, and requires surveillance programs to monitor approved products that
have been commercialized. The agency has the power to require changes in
labeling or prohibit further marketing based on the results of post-marketing
surveillance.
Satisfaction
of these and other regulatory requirements typically takes several years, and
the actual time required may vary substantially based upon the type, complexity
and novelty of the product. Government regulation may delay or prevent marketing
of potential products for a considerable period of time and impose costly
procedures on our activities. We cannot be certain that the FDA or other
regulatory agencies will approve any of our products on a timely basis, if at
all. Success in preclinical or early-stage clinical trials does not assure
success in later-stage clinical trials. Data obtained from preclinical and
clinical activities are not always conclusive and may be susceptible to varying
interpretations that could delay, limit or prevent regulatory approval. Even if
a product receives regulatory approval, the approval may be significantly
limited to specific indications or uses.
Even
after regulatory approval is obtained, later discovery of previously unknown
problems with a product may result in restrictions on the product or even
complete withdrawal of the product from the market. Delays in obtaining, or
failures to obtain regulatory approvals would have a material adverse effect on
our business.
Any
products manufactured or distributed by us pursuant to FDA approvals are subject
to pervasive and continuing FDA regulation, including record-keeping
requirements, reporting of adverse experiences, submitting periodic reports,
drug sampling and distribution requirements, manufacturing or labeling changes,
record-keeping requirements, and compliance with FDA promotion and advertising
requirements. Drug manufacturers and their subcontractors are required to
register their facilities with the FDA and state agencies, and are subject to
periodic unannounced inspections for GMP compliance, imposing procedural and
documentation requirements upon us and third-party manufacturers. Failure to
comply with these regulations could result, among other things, in suspension of
regulatory approval, recalls, suspension of production or injunctions, seizures,
or civil or criminal sanctions. We cannot be certain that we or our present or
future subcontractors will be able to comply with these
regulations.
The FDA
regulates drug labeling and promotion activities. The FDA has actively enforced
regulations prohibiting the marketing of products for unapproved uses. The FDA
permits the promotion of drugs for unapproved uses in certain circumstances,
subject to stringent requirements. We and our product candidates are subject to
a variety of state laws and regulations which may hinder our ability to market
our products. Whether or not FDA approval has been obtained, approval by foreign
regulatory authorities must be obtained prior to commencing clinical trials, and
sales and marketing efforts in those countries. These approval procedures vary
in complexity from country to country, and the processes may be longer or
shorter than that required for FDA approval. We may incur significant costs to
comply with these laws and regulations now or in the future.
The FDA’s
policies may change, and additional government regulations may be enacted which
could prevent or delay regulatory approval of our potential products. Increased
attention to the containment of health care costs worldwide could result in new
government regulations materially adverse to our business. We cannot predict the
likelihood, nature or extent of adverse governmental regulation that might arise
from future legislative or administrative action, either in the United States or
abroad.
Failure
to adhere to the quality control and other regulatory requirements could result
in the suspension of such certification necessary to perform clinical testing
and generate revenues.
The
United States Federal Trade Commission and the Office of the Inspector General
of the United States Department of Health and Human Services (“HHS”) also
regulate certain pharmaceutical marketing practices. Government reimbursement
practices and policies with respect to our products are important to our
success.
We are
subject to numerous federal, state and local laws relating to safe working
conditions, manufacturing practices, environmental protection, fire hazard
control, and disposal of hazardous or potentially hazardous substances. We may
incur significant costs to comply with these laws and regulations. The
regulatory framework under which we operate will inevitably change in light of
scientific, economic, demographic and policy developments, and such changes may
have a material adverse effect on our business.
Clinical
laboratories in the United States are subject to regulation under the Clinical
Laboratory Improvements Act of 1988 (“CLIA”) as well as corresponding state
regulations. Failure to adhere to the quality control and other
regulatory requirements of CLIA could result in the suspension of such
certification necessary to perform clinical testing and generate
revenues.
Failure
to comply with requirements of the European Union can be costly and time
consuming.
Prior
regulatory approval for human healthy volunteer studies (phase I studies) is
required in member states of the European Union (E.U.). Summary data from
successful phase I studies are submitted to regulatory authorities in member
states to support applications for phase II studies. E.U. authorities typically
have one to three months (which often may be extended in their discretion) to
raise objections to the proposed study. One or more independent ethics
committees (similar to United States IRBs) review relevant ethical
issues.
For E.U.
marketing approval, we submit to the relevant authority for review a dossier, or
MAA (Market Authorization Application), providing information on the quality of
the chemistry, manufacturing and pharmaceutical aspects of the product as well
as non-clinical and clinical data.
Approval
can take several months to several years, and can be denied, depending on
whether additional studies or clinical trials are requested (which may delay
marketing approval and involve unbudgeted costs) or regulatory authorities
conduct facilities (including clinical investigation site) inspections and
review manufacturing procedures, operating systems and personnel qualifications.
In many cases, each drug manufacturing facility must be approved, and further
inspections may occur over the product’s life.
The
regulatory agency may require post-marketing surveillance to monitor for adverse
effects or other studies. Further clinical studies are usually necessary for
approval of additional indications. The terms of any approval, including
labeling content, may be more restrictive than expected and could affect the
marketability of a product.
Failure
to comply with these ongoing requirements can result in suspension of regulatory
approval and civil and criminal sanctions. European renewals may require
additional data, resulting in a license being withdrawn. E.U. regulators have
the authority to revoke, suspend or withdraw approvals, prevent companies and
individuals from participating in the drug approval process, request recalls,
seize violative products, obtain injunctions to close non-compliant
manufacturing plants and stop shipments of violative products.
We
are subject to pricing controls that may not result in favorable arrangements
for our products.
Pricing
for products under approval applications is also subject to regulation.
Requirements vary widely between countries and can be implemented disparately
intra-nationally. The E.U. generally provides options for member states to
control pricing of medicinal products for human use, ranging from specific
price-setting to systems of direct or indirect controls on the producer’s
profitability. U.K. regulation, for example, generally provides controls on
overall profits derived from sales to the U.K. National Health Service that are
based on profitability targets or a function of capital employed in servicing
the National Health Service market. Italy generally utilizes a price monitoring
system based on the European average price over the reference markets of France,
Spain, Germany and the U.K. Italy typically establishes price within a
therapeutic class based on the lowest price for a medicine belonging to that
category. Spain generally establishes selling price based on prime cost plus a
profit margin within a range established yearly by the Spanish Commission for
Economic Affairs.
There can
be no assurance that price controls or reimbursement limitations will result in
favorable arrangements for our products.
If
we are not able to receive third-party reimbursements we may not be able to sell
products at competitive prices.
In the
United States, the E.U. and elsewhere, pharmaceutical sales are dependent in
part on the availability and adequacy of reimbursement from third party payers
such as governments and private insurance plans. Third party payers are
increasingly challenging established prices, and new products that are more
expensive than existing treatments may have difficulty finding ready acceptance
unless there is a clear therapeutic benefit.
In the
United States , consumer willingness to choose a self-administered outpatient
prescription drug over a different drug or other form of treatment often depends
on the manufacturer’s success in placing the product on a health plan formulary
or drug list, which results in lower out-of-pocket costs. Favorable formulary
placement typically requires the product to be less expensive than what the
health plan determines to be therapeutically equivalent products, and often
requires manufacturers to offer rebates. Federal law also requires manufacturers
to pay rebates to state Medicaid programs in order to have their products
reimbursed by Medicaid. Medicare, which covers most Americans over age 65 and
the disabled, adopted an insurance regime that offers eligible beneficiaries
limited coverage for outpatient prescription drugs that became effective January
1, 2006. The prescription drugs that are covered under this insurance are
specified on a formulary published by Medicare. As part of these changes,
Medicare has adopted new payment formulas for prescription drugs administered by
providers, such as hospitals or physicians that are generally expected to lower
reimbursement.
The E.U.
generally provides options for member states to restrict the range of medicinal
products for which their national health insurance systems provide
reimbursement. Member states can opt for a “positive” or “negative” list, with
the former listing all covered medicinal products and the latter designating
those excluded from coverage. The E.U., the U.K. and Spain have negative lists,
while France uses a positive list. Canadian provinces establish their own
reimbursement measures. In some countries, products may also be subject to
clinical and cost effectiveness reviews by health technology assessment bodies.
Negative determinations in relation to our products could affect prescribing
practices. In the U.K., the National Institute for Clinical Excellence (“NICE”)
provides such guidance to the National Health Service, and doctors are expected
to take it into account when choosing drugs to prescribe. Health authorities may
withhold funding from drugs not given a positive recommendation by NICE. A
negative determination by NICE may mean fewer prescriptions. Although NICE
considers drugs with orphan status, there is a degree of tension on the
application of standard cost assessment for orphan drugs, which are often priced
higher to compensate for a limited market. It is unclear whether NICE will adopt
a more relaxed approach toward the assessment of orphan drugs.
We cannot
assure you that any of our products will be considered cost effective, or that
reimbursement will be available or sufficient to allow us to sell them
competitively and profitably.
We
could be subject to challenges under fraud and abuse laws.
The United
States federal Medicare/Medicaid anti-kickback law and similar state laws
prohibit remuneration intended to induce physicians or others either to refer
patients, or to acquire or arrange for or recommend the acquisition of health
care products or services. While the federal law applies only to referrals,
products or services receiving federal reimbursement, state laws often apply
regardless of whether federal funds are involved. Other federal and state laws
prohibit anyone from presenting or causing to be presented false or fraudulent
payment claims. Recent federal and state enforcement actions under these
statutes have targeted sales and marketing activities of prescription drug
manufacturers. As we begin to market our products to health care providers, the
relationships we form, such as compensating physicians for speaking or
consulting services, providing financial support for continuing medical
education or research programs, and assisting customers with third-party
reimbursement claims, could be challenged under these laws and lead to civil or
criminal penalties, including the exclusion of our products from
federally-funded reimbursement. Even an unsuccessful challenge could cause
adverse publicity and be costly to respond to, and thus could have a material
adverse effect on our business, results of operations and financial condition.
We intend to consult counsel concerning the potential application of these and
other laws to our business and to our sales, marketing and other activities to
comply with them. Given their broad reach and the increasing attention given
them by law enforcement authorities, however, we cannot assure you that some of
our activities will not be challenged.
We do not have a
guarantee of patent restoration and marketing exclusivity of the ingredients for
our drugs even if we are granted FDA approval of our
products.
The United
States Drug Price Competition and Patent Term Restoration Act of 1984
(Hatch-Waxman) permits the FDA to approve Abbreviated New Drug Applications
(“ANDAs”) for generic versions of innovator drugs, as well as NDAs with less
original clinical data, and provides patent restoration and exclusivity
protections to innovator drug manufacturers. The ANDA process permits competitor
companies to obtain marketing approval for drugs with the same active ingredient
and for the same uses as innovator drugs, but does not require the conduct and
submission of clinical studies demonstrating safety and efficacy. As a result, a
competitor could copy any of our drugs and only need to submit data
demonstrating that the copy is bioequivalent to gain marketing approval from the
FDA. Hatch-Waxman requires a competitor that submits an ANDA, or otherwise
relies on safety and efficacy data for one of our drugs, to notify us and/or our
business partners of potential infringement of our patent rights. We and/or our
business partners may sue the company for patent infringement, which would
result in a 30-month stay of approval of the competitor’s application. The
discovery, trial and appeals process in such suits can take several years. If
the litigation is resolved in favor of the generic applicant or the challenged
patent expires during the 30-month period, the stay is lifted and the FDA may
approve the application. Hatch-Waxman also allows competitors to market copies
of innovator products by submitting significantly less clinical data outside the
ANDA context. Such applications, known as “505(b)(2) NDAs” or “paper NDAs,” may
rely on clinical investigations not conducted by or for the applicant and for
which the applicant has not obtained a right of reference or use and are subject
to the ANDA notification procedures described above.
The law
also restores a portion of a product’s patent term that is lost during clinical
development and NDA review, and provides statutory protection, known as
exclusivity, against FDA approval or acceptance of certain competitor
applications. Restoration can return up to five years of patent term for a
patent covering a new product or its use to compensate for time lost during
product development and regulatory review. The restoration period is generally
one-half the time between the effective date of an IND and submission of an NDA,
plus the time between NDA submission and its approval (subject to the five-year
limit), and no extension can extend total patent life beyond 14 years after the
drug approval date. Applications for patent term extension are subject to United
States Patent and Trademark Office (“USPTO”) approval, in conjunction with FDA.
Approval of these applications takes at least nine months, and there can be no
guarantee that it will be given at all.
Hatch-Waxman
also provides for differing periods of statutory protection for new drugs
approved under an NDA. Among the types of exclusivity are those for a “new
molecular entity” and those for a new formulation or indication for a
previously-approved drug. If granted, marketing exclusivity for the types of
products that we are developing, which include only drugs with innovative
changes to previously-approved products using the same active ingredient, would
prohibit the FDA from approving an ANDA or 505(b)(2) NDA relying on safety and
efficacy data for three years. This three-year exclusivity, however, covers only
the innovation associated with the original NDA. It does not prohibit the FDA
from approving applications for drugs with the same active ingredient but
without our new innovative change. These marketing exclusivity protections do
not prohibit the FDA from approving a full NDA, even if it contains the
innovative change.
USE
OF PROCEEDS
We
estimate that the net proceeds to us from the sale of common shares to be
offered by this prospectus supplement will be approximately $3,700,000, after
deducting the estimated expenses of the closing. In addition, we may
receive proceeds of up to $2,857,144 if all of the warrants are exercised for
cash. Unless otherwise indicated, we intend to use the net proceeds from this
offering for working capital and/or general corporate purposes, including to
continue clinical trials, develop and commercialize products and general and
administrative expenses.
Until we
use the net proceeds of this offering for the above purposes, we intend to
invest the funds in short-term, investment grade, interest-bearing securities.
We cannot predict whether the proceeds invested will yield a favorable return.
We have not yet determined the amount or timing of the expenditures for the
categories listed above, and these expenditures may vary significantly depending
on a variety of factors. As a result, we will retain broad discretion over the
use of the net proceeds from this offering.
DIVIDEND
POLICY
We have
not paid dividends on our common stock in the past and have no present intention
of paying dividends in the foreseeable future.
DESCRIPTION
OF CAPITAL STOCK
In this
offering, we are offering 2,857,144 shares of our common stock. The
following description of certain terms of our capital stock does not purport to
be complete and is qualified in its entirety by reference to our Articles
of Incorporation, our bylaws and provision of the Nevada Revised
Statute. For more information on how you can obtain our Articles of
Incorporation and bylaws, see “Where You Can Find more
Information.” We urge you to read our Articles of Incorporation and
bylaws in their entirety.
Authorized
Capital Stock
We are
authorized to issue 100 million shares of common stock, par value $.001 per
share, and 10 million shares of preferred stock, par value $.001 per
share. At January 27, 2011, we had 23,419,441
shares of common stock outstanding and no shares of preferred stock
outstanding. We are offering up to 2,857,144 shares of our common stock under
the offering at a price of $1.40 per unit. On January 27, 2011, the last
reported sale price of our common stock on the NYSE AMEX LLC was $1.79 per
share. Although our board of directors has no present intention to do so, it
could issue common stock or a series of preferred stock that could, depending on
the terms of such securities, impede the completion of a merger, tender offer or
take-over attempt. Our board of directors will make any determination
to issue such shares based upon its judgment and the best interests of us and
our shareholders.
Common
Stock
Our
common stock currently trades on the NYSE AMEX under the symbol “AEN.” Holders
of shares of common stock have the right to cast one vote for each share of
common stock in their name on the books of our company, whether represented in
person or by proxy, on all matters submitted to a vote of holders of common
stock, including election of directors. There is no right to cumulative voting
in election of directors. Except where a greater requirement is provided by
statute, by our Articles of Incorporation, or by our bylaws, the presence, in
person or by proxy duly authorized, of the one or more holders of a majority of
the outstanding shares of our common stock constitutes a quorum for the
transaction of business. The vote by the holders of a majority of outstanding
shares is required to effect certain fundamental corporate changes such as
liquidation, merger, or amendment of our Articles of Incorporation.
Except as
otherwise provided by the Nevada Revised Statute or our Articles of
Incorporation, holders of our common stock share ratably in all dividends and
distributions, as may be declared form time to time by our board of directors
from funds legally available therefore, whether upon liquidation or distribution
or otherwise. There are no restrictions in our Articles of Incorporation or
bylaws that prevent us from declaring dividends. The Nevada Revised Statute
does, however, prohibit us from declaring dividends where, after giving effect
to the distribution of the dividend (1) we would not be able to pay our
debts as they become due in the usual course of business or (2) our total
assets would be less than the sum of our total liabilities plus the amount that
would be needed to satisfy the rights of stockholders who have preferential
rights superior to those receiving the distribution.
We have
not declared any dividends, and we do not plan to declare any dividends in the
foreseeable future.
Holders
of shares of our common stock are not entitled to preemptive or subscription or
conversion rights, and no redemption or sinking fund provisions are applicable
to our common stock. All outstanding shares of common stock are, and the shares
of common stock sold in this offering will be when issued, fully paid and
non-assessable.
Warrants
For each share of common stock purchased
under the offering, each investor will receive one warrant to purchase up to 50%
of one share of the Company’s common stock at an exercise price of $2.00 (the
“Warrant Shares”). Thus, for example if an investor purchases 1,000 shares
of common stock, it will also receive a warrant to purchase up to 500 Warrant
Shares. Each warrant will be exercisable at any time on or after the
issuance date of the warrant and on or prior to the close of business on
thirteen month anniversary of the issuance date. Each Warrant may be
exercised in whole or in part during that period of time by delivering a duly
executed notice of exercise form to us, along with the full exercise price
within three days of such exercise.
In the event that there is no effective
registration statement with respect to the Warrant Shares, then the warrants may
also be exercised by means of a “cashless exercise.” Upon full or partial
exercise of any warrant, the applicable Warrant Shares shall be transmitted to
the purchaser through the Depository Fast Automated Securities Transfer Program
if our transfer agent is then a participant in such system. No fractional
shares or scrip representing fractional shares shall be issued upon the exercise
of any warrant. The exercise price of the warrants shall be adjusted in
the event that the Company pays any stock dividend, subdivides outstanding
shares of its common stock into a larger number of shares, or combines
outstanding shares of its common stock into a smaller number of shares while any
warrants are outstanding. The exercise price shall also be adjusted in the
event we issue any shares of common stock or securities convertible into shares
of common stock at a price below the exercise price to the price of the newly
issued securities; however the exercise price shall not be adjusted below
$1.40.
The warrants shall be transferable in
whole or in part upon surrender thereof to us or our designated agent, together
with a written assignment form and funds sufficient to pay any applicable
transfer taxes. The warrants shall not entitle the holders thereof to any
voting rights or dividend rights prior to the exercise
thereof.
DILUTION
If you purchase our shares in this
offering, your interest will be diluted to the extent of the difference between
the public offering price per Share and the net tangible book value per share of
our common stock after this offering. Net tangible book value per share is
determined by dividing our tangible book value (total tangible assets less total
liabilities) by the number of outstanding shares of our common
stock.
Our net tangible book value at September
30, 2010, was $4,061,188, or $(0.18) per share, based on 23,070,586 shares of
our common stock outstanding as of that date. Net tangible book value per share is
determined by dividing our net tangible book value, which consists of tangible
net assets less total liabilities by the number of shares of our common stock
outstanding on that date. Without taking into account any other
changes in our net tangible book value after September 30, 2010, other than to
give effect to our receipt of the estimated net proceeds from the sale of
2,857,144 units at the offering price of $1.40 per unit, less the placement fees
and our estimated offering expenses, our net tangible book value as of September
30, 2010, after giving effect to the items above would have been approximately
$7,761,188, or $0.30 per share. This represents an
immediate increase in the net tangible book value of approximately
$0.12 per share to existing stockholders and
an immediate dilution of $1.10 per share to investors in this
offering. The following table illustrates this per share
dilution:
Public offering price per
share
|
|
|
|
|
$ |
1.40 |
|
Net tangible book value per share
as of September 30, 2010
|
|
$ |
0.18 |
|
|
|
|
|
Increase in net tangible book
value per share attributable to this offering
|
|
$ |
0.12 |
|
|
|
|
|
Pro forma net tangible book value per share
as of September 30, 2010 after giving
effect to this offering
|
|
|
|
|
|
$ |
0.30 |
|
Dilution in net tangible book
value per share to new investors
|
|
|
|
|
|
$ |
1.10 |
|
If we were to sell all 2,857,144
of the shares and if the warrants
to purchase all 1,428,572 Warrant Shares were exercised for cash
at the exercise price of $2.00 per share, our net tangible book value as of
September 30, 2010, would have been approximately $10,618,332 or $0.39 per share. This represents an
immediate increase in the net tangible book value of approximately
$0.21 to existing stockholders and an
immediate dilution of $1.61 per Warrant Share to the exercising
Warrant holders. The following table illustrates this per share
dilution:
Exercise price of
warrants
|
|
|
|
|
$ |
2.00 |
|
Net tangible book value per share
as of September 30, 2010
|
|
$ |
0.18 |
|
|
|
|
|
Increase in net tangible book
value per share attributable to the exercise of
warrants
|
|
$ |
0.21 |
|
|
|
|
|
Pro forma net tangible book value per share
as of September 30, 2010 after giving
effect to the exercise of warrants
|
|
|
|
|
|
$ |
0.39 |
|
Dilution in net tangible book
value per warrant share to warrant holders
|
|
|
|
|
|
$ |
1.61 |
|
Transfer
Agent and Registrar
The
transfer agent and registrar for our common stock is Corporate Stock Transfer,
Inc. of Denver, Colorado.
Listing
Our
common stock is listed on the American Stock Exchange under the symbol
“AEN.”
PLAN
OF DISTRIBUTION
Pursuant
to a letter agreement between us and Chardan Capital Markets, LLC (“Chardan”),
we have retained Chardan to act as our placement agent in connection with this
offering. The placement agent is not purchasing or selling any of the
securities we are offering and is not required to arrange the purchase or sale
of any specific number of securities or dollar amount, but Chardan has agreed to
use best efforts to arrange for the sale of the securities. The
placement agency agreement does not give rise to any commitment by the placement
agent to purchase any of our securities, and the placement agent will have no
authority to bind us by virtue of the placement agency agreement.
The placement agent proposes to arrange
for the sale of the units we are offering pursuant to this prospectus supplement
to one or more investors through a securities purchase agreement directly
between the purchasers and us. All of the shares will be sold at the same price
and, we expect, at a single closing. We established the price following
negotiations with prospective investors and with reference to the prevailing
market price of our common stock, recent trends in such price and other factors.
It is possible that not all of the units we are offering pursuant to this
prospectus supplement will be sold at the closing, in which case our net
proceeds would be reduced. We expect that the sale of the units will be
completed on the date indicated on the cover page of this prospectus supplement.
We will deliver the shares in the units to the investors electronically
through the facilities of the Depository Trust Company and the warrants in the
units in certificated form to the investors within 5 trading days of the
closing.
In connection with this offering, the
placement agent may distribute this prospectus supplement and the accompanying
prospectus electronically.
We have agreed to indemnify the
placement agent against certain liabilities, including liabilities arising from
breaches and representations and warranties contained in the securities purchase
agreements with investors.
The engagement agreement, as amended, is
included as an exhibit to our Current Report on Form 8-K that we will file with
the SEC in connection with this offering.
The placement agent has informed us that
it will not engage in over-allotment, stabilizing transactions or syndicate
covering transactions in connection with this offering.
The placement agent and its affiliates
have provided and may in the future provide certain commercial banking,
financial advisory or investment banking services for us for which it has
received and may in the future receive fees but there are no current
arrangements between us.
We have
agreed to pay Chardan a cash fee representing 6% of the gross purchase price
paid for the Shares at the closing for an aggregate of $240,000 assuming all of
the units offered hereby are actually sold. We have also
agreed to pay Chardan an additional $5,000 for legal fees incurred by
it.
We estimate the total expenses of this
offering which will be payable by us, excluding the placement agent fees, will
be approximately $55,000. After deducting the fees due to the placement agent and our
estimated offering expenses, we expect the net proceeds from this offering to be
approximately $3,700,000.
This is a
brief summary of the material provisions of the Agreement and does not purport
to be a complete statement of its terms and conditions. A copy of the
Agreement will be filed with the SEC and incorporated by reference into the
registration statement of which this prospectus supplement forms a part.
See “Where You Can Find More Information” below.
LEGAL
MATTERS
Certain
legal matters pertaining to the validity of the securities being offered hereby
will be passed on by Gracin & Marlow, LLP, 405 Lexington Avenue, 26th Floor,
New York, New York 10174.
EXPERTS
The
audited financial statements for the fiscal years ended December 31,
2009 and 2008 incorporated in this prospectus supplement, the
accompanying prospectus and elsewhere in the registration statement by reference
to the Annual Report on Form 10-K for the year ended December 31,
2009 have been audited by Berman & Company, P.A., an independent
registered public accounting firm as stated in their report which is
incorporated herein by reference.
WHERE
YOU CAN FIND MORE INFORMATION
We file
annual, quarterly and special reports, proxy statements and other information
with the Securities and Exchange Commission. You may read and copy any document
we file at the Commission’s public reference room located at
100 F Street N.E., Washington, D.C. 20549. Please call the
Commission at 1-800-SEC-0330 for further information on the operation of the
public reference room. Our public filings are also available to the public at
the Commission’s web site at http://www.sec.gov.
This
prospectus supplement is part of a registration statement on Form S-3 that
we have filed with the Commission under the Securities Act. This prospectus
supplement does not contain all of the information in the registration
statement. We have omitted certain parts of the registration statement, as
permitted by the rules and regulations of the Commission. You may inspect and
copy the registration statement, including exhibits, at the Commission’s public
reference room or Internet site.
INCORPORATION
OF CERTAIN DOCUMENTS BY REFERENCE
The
Commission allows us to “incorporate by reference” the information we file with
it which means that we can disclose important information to you by referring
you to those documents instead of having to repeat the information in this
prospectus supplement. The information incorporated by reference is considered
to be part of this prospectus supplement, and later information that we file
with the Commission will automatically update and supersede this information. We
incorporate by reference the documents listed below and any future filings made
with the Commission under Sections 13(a), 13(c), 14 or 15(d) of the
Exchange Act between the date of this prospectus supplement and the termination
of the offering:
●
|
Our annual report on
Form 10-K for the fiscal year ended December 31, 2009
.
|
●
|
The description of our common
stock set forth in our registration statement on Form 8-A, filed with
the Commission on January 29, 1993 (File
No. 000-21156).
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on January 13,
2010.
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on February 9,
2010.
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on March 16,
2010.
|
●
|
Our Current Report on Form
8-K/A filed with the Securities and Exchange Commission on
March 31, 2010.
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on April 5,
2010.
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on May 11,
2010.
|
●
|
Our Quarterly Report on Form 10-Q
filed with the Securities and Exchange Commission on May 17,
2010.
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on June 3,
2010.
|
●
|
Our
Current Report on Form 8-K filed with the Securities and Exchange
Commission on July 6, 2010.
|
●
|
Our
Current Report on Form 8-K filed with the Securities and Exchange
Commission on August 16, 2010.
|
●
|
Our
Quarterly Report on Form 10-Q filed with the Securities and Exchange
Commission on August 16, 2010.
|
●
|
Our
Definitive 14A filed with the Securities and Exchange Commission on
September 29, 2010.
|
●
|
Our
Current Report on Form 8-K filed with the Securities and Exchange
Commission on November 5, 2010.
|
●
|
Our
Current Report on Form 8-K filed with the Securities and Exchange
Commission on November 15, 2010.
|
●
|
Our
Quarterly Report on Form 10-Q filed with the Securities and Exchange
Commission on November 15, 2010.
|
●
|
Our
Registration Statement on Form S-8 filed with the Securities and Exchange
Commission on November 29, 2010
|
●
|
Our
Current report on Form 8-K filed with the Securities and Exchange
Commission on December 15, 2010
|
●
|
Our
Current Report on Form 8-K filed with the Securities and Exchange
Commission on January 10, 2011
|
You may
obtain, free of charge, a copy of any of these documents (other than exhibits to
these documents unless the exhibits are specifically incorporated by reference
into these documents or referred to in this prospectus) by writing or calling us
at the following address and telephone number:
ADEONA
PHARMACEUTICALS, INC.
3930
Varsity Drive
Ann
Arbor, MI 48108
Attention:
Corporate Secretary
(734) 332-7800
PROSPECTUS
$15,000,000
Common
Stock
Warrants
Units
This
prospectus is part of a registration statement that we filed with the Securities
and Exchange Commission using a “shelf” registration process. Under this shelf
registration process, we may offer, issue and sell, separately, together or as
units shares of our common stock and/or warrants to purchase any of such
securities, in one or more offerings, with a total value of up to $15 million.
This prospectus provides you with a general description of the securities we may
offer. Each time we offer a type or series of securities under this prospectus,
we will provide a prospectus supplement that will contain more specific
information about the terms of those securities. However, in no event will we
sell securities with a value exceeding more than one-third of our public float
(the market value of our common stock held by non-affiliates) in any 12 month
period.
As of May
3, 2010 the aggregate market value of our outstanding common stock held by
non-affiliates is approximately $29,903,948, based on 21,698,945 shares of
outstanding common stock, of which approximately 13,817,311 shares are held by
non-affiliates, and a per share price of $1.73 based on the closing sale price
of our common stock on May 3, 2010. We have not offered any securities during
the past twelve months pursuant to General Instruction I.B.6 of Form
S-3.
We may
also add, update or change in a prospectus supplement any of the information
contained in this prospectus or in documents we have incorporated by reference
in this prospectus. You should carefully read this prospectus and the prospectus
supplements relating to the specific issue of securities together with
additional information described under the heading “Where You Can Find More
Information,” beginning on Page 14 of this prospectus, before you decide to
invest in any of these securities.
Our
common stock is traded on The American Stock Exchange under the symbol “AEN.” On
May 3, 2010, the last reported sale price for the common stock was $1.73 per
share. We may sell the securities offered hereby to or through underwriters and
also to other purchasers or agents. We will set forth the names of any
underwriters or agents in the applicable supplement. The prospectus supplement
will also describe in detail the plan of distribution for that
offering. For general information about the distribution of the
securities offered see “Plan of Distribution” in this prospectus.
This
prospectus may not be used to sell securities unless it is accompanied by a
prospectus supplement.
Our
executive offices are located at 3930 Varsity Drive, Ann Arbor, Michigan 48108.
Our telephone number is (734) 332-7800.
Investing
in our common stock involves risks. Risks associated with an investment in our
common stock will be described in the applicable prospectus supplement and
certain of our filings with the Securities and Exchange Commission, as described
in “Risk Factors” on page 11.
NEITHER
THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES COMMISSION HAS
APPROVED OR DISAPPROVED OF THESE SECURITIES OR DETERMINED IF THIS PROSPECTUS IS
TRUTHFUL OR COMPLETE. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL
OFFENSE.
The date
of this prospectus is June 14, 2010
TABLE
OF CONTENTS
|
Page
|
|
|
About
This Prospectus
|
3
|
About
Adeona Pharmaceuticals, Inc.
|
3
|
Risk
Factors
|
12
|
Special
Note Regarding Forward-Looking Statements
|
12
|
Use
of Proceeds
|
13
|
Description
of Capital Stock
|
13
|
Description
of Warrants
|
14
|
Plan
of Distribution
|
15
|
Legal
Matters
|
16
|
Experts
|
16
|
Where
You Can Find More Information
|
17
|
Incorporation
of Certain Documents by Reference
|
17
|
The
registration statement containing this prospectus, including the exhibits to the
registration statement, provides additional information about us and the common
stock offered under this prospectus. The registration statement, including the
exhibits and the documents incorporated herein by reference, can be read on the
Securities and Exchange Commission website or at the Securities and Exchange
Commission offices mentioned under the heading “Where You Can Find More
Information.”
ABOUT
THIS PROSPECTUS
This
prospectus is a part of a registration statement that we filed with the
Securities and Exchange Commission utilizing a “shelf-registration process.”
Under this shelf registration process, we may, from time to time, sell up to $15
million of our common stock and warrant separately, together or as units in one
or more offerings as described in this prospectus. However, in no event will we
sell securities with a value exceeding more than one-third of our “public float”
(the market value of our common stock held by non-affiliates) in any 12 month
period. This prospectus provides you with a general description of the
securities we may offer. Each time we sell securities under this shelf
registration, we will provide a prospectus supplement that will contain specific
information about the terms of that offering and the manner in which securities
will be offered, including the specific amount, price and terms of the
securities offered. The prospectus supplement may also add, update or change
information contained in this prospectus. You should read both this prospectus
and any prospectus supplement together with additional information described
under “Where You Can Find More Information.”
We have
not authorized any dealer, salesman or other person to give any information or
to make any representation other than those contained or incorporated by
reference in this prospectus and the accompanying supplement to this prospectus.
You must not rely upon any information or representation not contained or
incorporated by reference in this prospectus or the accompanying prospectus
supplement. This prospectus and the accompanying supplement to this prospectus
do not constitute an offer to sell or the solicitation of an offer to buy any
securities other than the registered securities to which they relate, nor do
this prospectus and the accompanying supplement to this prospectus constitute an
offer to sell or the solicitation of an offer to buy securities in any
jurisdiction to any person to whom it is unlawful to make such offer or
solicitation in such jurisdiction. You should not assume that the information
contained in this prospectus and the accompanying prospectus supplement is
accurate on any date subsequent to the date set forth on the front of the
document or that any information we have incorporated by reference is correct on
any date subsequent to the date of the document incorporated by reference, even
though this prospectus and any accompanying prospectus supplement is delivered
or shares of common stock are sold on a later date.
ABOUT
ADEONA PHARMACEUTICALS, INC.
In this
prospectus, “Adeona Pharmaceuticals,” “Adeona” “we,” “us,” and “our” refer to
Adeona Pharmaceuticals, Inc., a Nevada corporation and each of its subsidiaries,
considered as a single enterprise. .
Adeona
Pharmaceuticals, Inc., a Nevada corporation, (“Adeona” or the
“Company”) is a pharmaceutical company developing new medicines for serious
central nervous systems diseases. Adeona’s primary strategy is to in-license
clinical-stage drug candidates that have already demonstrated a certain level of
clinical efficacy and develop them further to either commercialization or a
development collaboration.
Trimesta
(estriol) is an investigational oral drug for the treatment of relapsing
remitting multiple sclerosis. A 150-patient, 16-center, randomized,
double-blind, placebo-controlled clinical trial is currently underway. Effirma
(flupirtine) is a novel centrally-acting investigational oral drug for the
treatment of fibromyalgia syndrome. We recently entered into a sublicense
agreement with Meda AB pursuant to which we granted an exclusive license to all
of our patents covering the use of flupirtine for fibromyalgia. Zinthionein ZC
(zinc cysteine) is an oral, gastro-retentive, sustained-release medical food
candidate being developed for the dietary management of Alzheimer’s disease and
mild cognitive impairment. In December of 2009, Adeona initiated a 60-patient
clinical study.dnaJP1 (hsp peptide) is an investigational oral drug for the
treatment of rheumatoid arthritis. It has completed a 160-patient, multi-center,
randomized, double-blind, placebo-controlled clinical trial. ZincMonoCysteine
(zinc-monocysteine) is an investigational oral drug for the treatment of dry
age-related macular degeneration. It has completed an 80-patient, randomized,
double-blind, placebo-controlled clinical trial.
Below is
a table of Adeona’s product candidates, their medical indication(s) and their
stage of development:
Program
|
|
Medical Indication
|
|
Stage of Development
|
Trimesta
(estriol)
|
|
Treatment
of relapsing remitting multiple sclerosis in women
|
|
10-patient,
22-month, single-agent, crossover clinical trial completed, and
a
150-patient,
16-center, randomized, double-blind, placebo-controlled clinical trial
underway
|
|
|
|
|
|
Effirma
(flupirtine)
|
|
Treatment
of fibromyalgia
|
|
IND
approved and IRB reviewed for 90-patient clinical
trial
|
Program
|
|
Medical Indication
|
|
Stage of Development
|
Zinthionein
ZC
(zinc
cysteine)
|
|
Dietary
management of Alzheimer’s disease and mild cognitive
impairment
|
|
60-patient,
randomized, double-blind, placebo-controlled clinical study
underway
|
|
|
|
|
|
dnaJP1
(hsp peptide)
|
|
Treatment
of rheumatoid arthritis
|
|
160-patient,
multi-center, randomized, double-blind, placebo-controlled clinical trial
completed
|
|
|
|
|
|
ZincMonoCysteine
(zinc-monocysteine)
|
|
Treatment
of dry age-related macular degeneration
|
|
80-patient,
randomized, double-blind, placebo-controlled clinical trial
completed
|
Through
our HartLab clinical reference laboratory, serum-based diagnostic tests are
being commercialized including the CopperProof TM Panel to assist physicians in
identifying patients with zinc deficiency and patients at increased
risk of
chronic copper toxicity due to impaired serum copper binding.
In
addition, we are seeking United States, European and Asian corporate
partners for the further development of the investigational CD4 inhibitor 802-2
(cyclic heptapeptide) for prevention of severe graft-versus-host disease and
oral tetrathiomolybate drug for treating Alzheimer’s disease, Parkinson’s
disease and Huntington’s disease.
Product
Candidates
Trimesta
Trimesta
(estriol) is an investigational oral drug for the treatment of relapsing
remitting multiple sclerosis. Estriol has been approved and marketed for over 40
years throughout Europe and Asia for the treatment of post-menopausal hot
flashes. It has never been approved by the Food and Drug Administration for any
indication. Estriol is a hormone that is produced by the placenta during
pregnancy. Maternal levels of estriol increase in a linear fashion throughout
the third trimester of pregnancy until birth, whereupon they abruptly fall to
near zero.
It has
been scientifically documented that pregnant women with certain autoimmune
diseases experience a spontaneous reduction of disease symptoms during
pregnancy, especially in the third trimester. The list of autoimmune diseases
that have been seen to improve during pregnancy includes multiple sclerosis,
rheumatoid arthritis, thyroiditis, uveitis, juvenile rheumatoid arthritis,
ankylosing spondylitis with peripheral arthritis, and psoriatic arthritis. It
has further been scientifically documented that these same pregnant women have
high rates of disease relapse post-partum, particularly in the immediate
three-month post-partum period.
The PRIMS
study (Pregnancy in Multiple Sclerosis), a landmark clinical study published in
the New England Journal of
Medicine , followed 254 women with multiple sclerosis during 269
pregnancies and for up to one year after delivery. The PRIMS study demonstrated
that relapse rates were significantly reduced by 71 percent (p < 0.001)
through the third trimester of pregnancy from pre-baseline levels and relapse
rates then increased by 120 percent (p < 0.001) during the first three months
post-partum before returning to pre-pregnancy rates.
The
inventor of Trimesta has conducted scientific research on the role that estriol
plays in creating immunologic privilege to the fetus in order to prevent its
rejection by the mother. She believes that estriol’s immunomodulatory and
anti-inflammatory properties may explain the remissions seen in certain
Th1-mediated autoimmune diseases during pregnancy. Based upon these insights,
this scientist has conducted clinical trials of Trimesta in female patients with
relapsing-remitting multiple sclerosis.
Clinical Trial Results of
Trimesta in Relapsing Remitting Multiple Sclerosis
Patients
An
investigator-initiated, 10-patient, 22-month, single-agent, crossover clinical
trial was completed in the United States to study the therapeutic effects of 8
mg of Trimesta daily in nonpregnant female relapsing remitting multiple
sclerosis patients. The total volume and number of gadolinium-enhancing
lesions was measured by monthly brain magnetic resonance imaging (an established
neuroimaging measurement of disease activity in multiple sclerosis) over a
six-month pre-treatment period to establish a baseline measurement. Over the
next three months of treatment with Trimesta, the median total enhancing lesion
volumes decreased by 79% (p = 0.02) and the number of lesions decreased by 82%
(p = 0.09). They remained decreased during the next 3 months of treatment, with
lesion volumes decreased by 82% (p = 0.01), and numbers decreased by 82% (p =
0.02). Following a six-month drug holiday during which the patients were not on
any drug therapies, median lesion volumes and numbers returned to near baseline
pretreatment levels Trimesta therapy was reinitiated during a four-month
retreatment phase of this clinical trial. The relapsingremitting multiple
sclerosis patients again demonstrated a decrease in enhancing lesion volumes of
88% (p = 0.008) and a decrease in the number of lesions by 48% (p = 0.04)
compared with original baseline scores.
During
this clinical trial, a 14-percent improvement in Paced Auditory Serial Addition
Test (PASAT) cognitive testing scores (p = 0.04) was also observed in the
multiple sclerosis patients at six months of therapy. PASAT is a routine
cognitive test performed in patients with a wide variety of neuropsychological
disorders such as multiple sclerosis. The PASAT scores were expressed as a mean
percent change from baseline and were significantly improved in the
relapsing-remitting group. The study investigators concluded that a larger,
placebo-controlled clinical trial of Trimesta is warranted in women with
relapsing remitting multiple sclerosis. In addition, they added that this novel
treatment strategy of using Trimesta in multiple sclerosis has relevance to
other autoimmune diseases that also improve during pregnancy.
Clinical Trial Currently
Underway of Trimesta in Relapsing Remitting Multiple Sclerosis
Patients
In March
of 2007, an investigator-initiated, randomized, double-blind,
placebo-controlled, 150-patient clinical trial was started at 7 clinical centers
in the United States. The purpose of this clinical trial is to study
whether 8 mg of Trimesta daily over a 2 year period would reduce the rate of
relapses in a large population of female patients with relapsing remitting
multiple sclerosis. Investigators are administering either Trimesta along with
glatimer acetate (Copaxone®) injections, a Food and Drug Administration-approved
therapy for multiple sclerosis, or a placebo plus glatimer acetate injections to
women between the ages of 18 to 50 who have been recently diagnosed with
relapsingremitting multiple sclerosis. The primary endpoint is relapse rates at
two years with a one year interim analysis using standard clinical measures of
multiple sclerosis disability. Secondary endpoints of magnetic resonance imaging
measurements of brain lesion and effects on cognition will also be studied. In
January of 2010, it was announced that an additional $860,440 in grant funding
had been received allowing the number of clinical sites enrolling patients to
increase to 16 clinical sites. Currently, over 75 of 150 patients have been
enrolled in this clinical study.
Trimesta Grant
Funding
The
preclinical and clinical development of Trimesta has been primarily financed by
a $5 million grant from the National Multiple Sclerosis Society in partnership
with the National Multiple Sclerosis Society’s Southern California chapter, with
support from the National Institutes of Health. In January of 2010, it was
announced that an additional $860,440 in grant funding had been received through
the American Recovery and Reinvestment Act allowing the number of clinical sites
currently enrolling patients in the clinical study to increase from 7 clinical
sites to 16. The rate of enrollment in the clinical trial has been positively
impacted through the addition of the 9 new clinical sites.
Trimesta Market
Opportunity
Multiple
sclerosis is a progressive neurological disease in which the body loses the
ability to transmit messages along central nervous system nerve cells, leading
to a loss of muscle control, paralysis, and, in some cases, death. According to
the National Multiple Sclerosis Society, currently, more than 2.5
million people worldwide (approximately 400,000 patients in the United States),
mainly young adults aged 20-50, are afflicted with multiple sclerosis and two to
three times as many women are affected than men. Relapsing remitting multiple
sclerosis is the most common disease course at the time of diagnosis according
to the National Multiple Sclerosis Society. Approximately, 85% of
people with multiple sclerosis are initially diagnosed with the relapsing
remitting form, compared to 10-15% with progressive forms.
Multiple
sclerosis costs the United States more than $9.5 billion annually in medical
care and lost productivity according to the Society for
Neuroscience. The average annual cost of multiple sclerosis is
approximately $44,000 to $95,625 per person. These figures include lost wages
and healthcare costs (care giving, hospital and physician costs, pharmaceutical
therapy and nursing home care). The cost of treating patients with later-stage
progressive forms of multiple sclerosis is approximately $65,000 per year per
person.
There are
currently 7 Food and Drug Administration-approved therapies for the treatment of
relapsing-remitting multiple sclerosis: Betaseron®, Rebif®, Avonex®,
Novantrone®, Copaxone®, Tysabri® and Ampyra TM. These therapies provide only a
modest benefit for patients with relapsing-remitting multiple sclerosis and
therefore serve to only delay progression of the disease. All of these drugs
except Ampyra™ require frequent (daily, weekly & monthly) injections (or
infusions) on an ongoing basis and are associated with unpleasant side effects
(such as flu-like symptoms), high rates of non-compliance among users, and
eventual loss of efficacy due to the appearance of resistance in approximately
30% of patients.
Effirma
Effirma
(flupirtine) is a centrally-acting investigational oral drug for the treatment
of fibromyalgia syndrome. It is a selective neuronal potassium
channel opener that also has NMDA receptor antagonist properties. Flupirtine is
a non-opioid, non-NSAID, non-steroidal, analgesic. Flupirtine was
originally developed by Asta Medica and has been approved in Europe since 1984
for the treatment of pain, although it has never been introduced to the United
States market for any indication.
Preclinical
data and clinical experience suggest that Effirma should also be effective for
neuropathic pain since it acts in the central nervous system via a mechanism of
action distinguishable from most marketed analgesics. Effirma is especially
attractive because it operates through non-opiate pain pathways, exhibits no
known abuse potential, and lacks withdrawal effects. In addition, no tolerance
to its antinocioceptive effects has been observed. One common link between
neuroprotection, nocioception, and Effirma may be the N-methyl-D-aspartic acid
glutamate system, a major receptor subtype for the excitotoxic
neurotransmitter, glutamate. Effirma has strong inhibitory actions on
N-methyl-D-aspartic acid-mediated neurotransmission.
Effirma Clinical Trial
Status
Adeona’s
scientific collaborator has demonstrated preliminary encouraging evidence of
clinical efficacy in a small number of patients treated with Effirma whom were
suffering from fibromyalgia refractory to other analgesics and
therapies. Effirma was well tolerated by these patients with no
untoward side effects. In addition, substantial improvement in signs and
symptoms was demonstrated in this difficult-to-treat fibromyalgia patient
population. Adeona’s scientific collaborator filed an investigator-initiated
Investigational New Drug with the Food and Drug Administration to test
flupirtine in a clinical trial of 90 fibromyalgia patients. During 2008, this
proposed clinical trial and Investigational New Drug was approved by the Food
and Drug Administration. Additionally, this protocol has been reviewed by an
institutional review board.
Effirma
Sublicense
In May of
2010, Adeona and its wholly owned subsidiary, Pipex Therapeutics,
Inc.(“Pipex”) entered into a Sublicense Agreement (the “Agreement”)
pursuant to Pipexgranted Meda AB (“Meda”) an exclusive sublicense to all of its
patents covering the use of flupirtine for fibromyalgia. The Agreement provides
that the Meda will assume all future development costs for the commercialization
of flupirtine for fibromyalgia. As consideration for such sublicense, Pipex
received an up-front payment of $2.5 million upon execution of the Agreement and
are entitled to milestone payments of $5 million upon filing of a New Drug
Application with the Food and Drug Administration for flupirtine for
fibromyalgia and $10 million upon marketing approval. The Agreement also
provides that Pipex is entitled to receive royalties of 7% of net sales of
flupirtine approved for the treatment of fibromyalgia covered by issued patent
claims in the Territory. Pursuant to the terms of Pipex’s agreement
with the company’s university licensor, Adeona is obligated to share half of the
royalties we receive with the company’s university licensor.
Effirma Market
Opportunity
Fibromyalgia
is a chronic and debilitating condition characterized by widespread pain and
stiffness throughout the body, accompanied by severe fatigue, insomnia and mood
symptoms. Fibromyalgia affects an estimated 2-4% of the population worldwide,
including an estimated 4 million patients in the United States. There are
presently three products approved for this indication in the United States –
Lyrica, Cymbalta and Savella. Flupirtine is differentiated from these products
in that it employs a unique mode of action. Meda estimates the United States
market for fibromyalgia to be near $1 billion at the time of potential launch of
flupirtine.
Zinthionein
ZC
Zinthionein
ZC is an investigational once-daily, gastroretentive, sustained-release,
proprietary, oral tablet formulation of zinc and cysteine for the dietary
management of Alzheimer's disease and mild cognitive impairment. It is being
developed as a prescription medical food. All of Zinthionein ZC's constituents
have GRAS (Generally Regarded as Safe) status. Zinthionein ZC was specially
invented and developed by Adeona to achieve the convenience of once-daily
dosing, high bioavailability and to minimize gastrointestinal side effects of
oral zinc therapy. Zinthionein ZC is protected by multiple U.S. and
international pending patent applications held by Adeona.
In April
of 2010, Adeona announced positive results of Part 1 of its CopperProof-2
clinical study of Zinthionein ZC (zinc cysteine) in Alzheimer's disease and mild
cognitive impairment. Adeona's CopperProof-2 clinical study seeks to compare
Zinthionein ZC to placebo, as well as a currently marketed prescription zinc
product, Galzin® (zinc acetate). The clinical study, "A Prospective, Randomized,
Double Blind Trial of a Novel Oral Zinc Cysteine Preparation in Alzheimer's
Disease (CopperProof-2)" previously received institutional review board approval
to proceed. The principal investigator of the study is Diana Pollock, M.D.,
Associate Director, Memory Disorder Center, Clearwater,
Florida.
CopperProof-2
is designed as a controlled, 60-patient, randomized, double-blind,
placebo-controlled clinical study and is divided into two parts. Part 1,
recently completed, is a 13-subject, three-arm, single-dose, comparator study in
Alzheimer's disease and mild cognitive impairment subjects that compared the
tolerability and bioavailability of Zinthionein ZC to Galzin®, the only Food and
Drug Administration-approved zinc preparation and placebo. The Galzin® arm
tested two separate individual dose levels, 50 mg and 100 mg zinc acetate (two
50 mg doses taken together). Part 2 of the study has 60 Alzheimer's disease and
mild cognitive impairment subjects randomized to receive either once-daily
Zinthionein ZC or matching placebo for six months.
Results
Tolerability
Results
from Part 1 of the study, announced today, demonstrate a substantially lower
incidence of adverse effects in Alzheimer's disease and mild cognitive
impairment subjects (33% versus 100%) in favor of Zinthionein ZC (containing 150
mg of elemental zinc acetate and 100 mg of cysteine) compared to Galzin®
(containing either 50 mg or 100 mg of elemental zinc as zinc acetate). 100% of
the Galzin® subjects experienced gastrointestinal distress, ranging from 100%
nausea to 40% vomiting, 40% diarrhea, and 20% heartburn. The high rate of
gastrointestinal adverse effects of Galzin® are consistent with prior published
results of oral zinc therapy. In comparison, only 33% of Zinthionein ZC subjects
experienced nausea, with only one of such subjects (17% of group) having
experienced vomiting. No adverse effects were noted in the placebo
group.
Adverse
effects for the three groups are as follows:
|
|
Placebo
|
|
|
Galzin
|
|
|
Galzin
|
|
|
Galzin
|
|
|
Zinthionein ZC
|
|
|
|
|
|
|
%
|
|
|
100 mg
|
|
|
%
|
|
|
50 mg
|
|
|
%
|
|
|
All
|
|
|
%
|
|
|
150 mg
|
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Any
Adverse Effect
|
|
|
(0/2 |
) |
|
|
0 |
% |
|
|
(3/3 |
) |
|
|
100
|
% |
|
|
(2/2 |
) |
|
|
100
|
% |
|
|
(5/5 |
) |
|
|
100 |
% |
|
|
(2/6 |
) |
|
|
33
|
% |
Nausea
|
|
|
(0/2 |
) |
|
|
0 |
% |
|
|
(3/3 |
) |
|
|
100
|
% |
|
|
(2/2 |
) |
|
|
100
|
% |
|
|
(5/5 |
) |
|
|
100 |
% |
|
|
(2/6 |
) |
|
|
33
|
% |
Vomiting
|
|
|
(0/2 |
) |
|
|
0 |
% |
|
|
(1/3 |
) |
|
|
33
|
% |
|
|
(1/2 |
) |
|
|
50
|
% |
|
|
(2/5 |
) |
|
|
40 |
% |
|
|
(1/6 |
) |
|
|
17
|
% |
Diarrhea
|
|
|
(0/2 |
) |
|
|
0 |
% |
|
|
(1/3 |
) |
|
|
33
|
% |
|
|
(1/2 |
) |
|
|
50
|
% |
|
|
(2/5 |
) |
|
|
40 |
% |
|
|
(0/6 |
) |
|
|
0
|
% |
Dizziness
|
|
|
(0/2 |
) |
|
|
0 |
% |
|
|
(0/3 |
) |
|
|
0
|
% |
|
|
(0/2 |
) |
|
|
0
|
% |
|
|
(0/5 |
) |
|
|
0 |
% |
|
|
(0/6 |
) |
|
|
0
|
% |
Abdominal
Pain
|
|
|
(0/2 |
) |
|
|
0 |
% |
|
|
(0/3 |
) |
|
|
0
|
% |
|
|
(0/2 |
) |
|
|
0
|
% |
|
|
(0/5 |
) |
|
|
0 |
% |
|
|
(1/6 |
) |
|
|
17
|
% |
Heartburn
|
|
|
(0/2 |
) |
|
|
0 |
% |
|
|
(0/3 |
) |
|
|
0
|
% |
|
|
(1/2 |
) |
|
|
50
|
% |
|
|
(1/5 |
) |
|
|
20 |
% |
|
|
(0/6 |
) |
|
|
0
|
% |
Bioavailability
Zinthionein
ZC also demonstrated superior serum zinc bioavailability in Alzheimer's disease
and mild cognitive impairment subjects compared to both the 50 mg and 100 mg
dose levels of Galzin®. Average baseline serum zinc levels of the subjects was
76.8 microg/dL (range: 63-92 microg/dL), consistent with Adeona's earlier
findings of a subclinical zinc deficiency in Alzheimer's disease patients. The
area under the curve (a serum measurement of bioavailability) of Zinthionein ZC
was approximately 166% that of the 50 mg Galzin® dose and 116% that of 100 mg
Galzin® dose (two 50 mg doses taken together).
The
bioavailability results are also supplemented from results of a separate
uncontrolled repeat dose pilot study conducted by Adeona in a small number of
normal subjects who took Zinthionein ZC once-daily for 14 weeks, also being
announced today. Following 14 weeks, subjects demonstrated an average 80%
increase in serum zinc levels from baseline measured at least 12 hours after
last dose, demonstrating Zinthionein ZC's ability to maintain consistently
elevated serum zinc levels. In addition, a 17% reduction in serum copper levels
was observed after 14 weeks, demonstrating Zinthionein ZC's ability to favorably
improve serum copper/zinc ratios with once-daily dosing.
Part
2 of the Clinical Study
Part 2 of
the clinical study is intended to enroll 60 Alzheimer's disease and mild
cognitive impairment subjects and is currently ongoing with 11 of 13 enrolled
subjects from Part 1 electing to continue to Part 2 of the study. In Part 2,
subjects are randomized on a 50:50 basis to either Zinthionein ZC or matching
placebo. Subjects will be assessed at 3 and 6 months for serum parameters of
zinc and copper as well as changes in cognitive function using standard clinical
tests used in Alzheimer's disease and mild cognitive impairment. Some subjects
have now completed three months of therapy. Adeona recently added two additional
clinical sites in Florida to further expedite enrollment and complete Part 2 of
the study.
Background
of Zinc Therapy for Alzheimer's Disease and Mild Cognitive
Impairment
The
CopperProof-2 study grew out of observations by Adeona and now others
documenting a subclinical zinc deficiency in Alzheimer's disease patients as
well as a significant body of published evidence implicating chronic copper
exposure and elevated free serum copper levels in the progression of Alzheimer's
disease and mild cognitive impairment. In 1992, results from an uncontrolled
study of zinc therapy in Alzheimer's disease was reported to demonstrate
cognitive improvement in 80% of subjects in as little as 3 to 6 months of
treatment. Due to the significant gastrointestinal side effects and
intolerability of oral zinc therapy in such study, oral zinc therapy was
discontinued and subjects were switched to zinc injections administered every
other day, further underscoring the need for a better tolerated, convenient oral
zinc therapy such as Zinthionein ZC.
The
hippocampus, an area of the brain that plays a critical role in short-term
memory and is generally most affected in Alzheimer's disease, is believed to
contain the highest levels of zinc in the brain. Hippocampal zinc is believed to
play an important dual role as a synaptic neurotransmitter that modulates NMDA
(N-methyl-D-aspartic acid) receptor activity limiting excitotoxicity and is a
key component of hundreds of neuroprotective enzymes, a number of which are
responsible for the degradation of amyloid beta. Alzheimer's disease subjects
have been reported to have lower levels of zinc in their cerebral spinal fluid,
and cerebral spinal fluid levels of copper and zinc highly correlate with levels
of amyloid beta 42 in cerebral spinal fluid, a biomarker of Alzheimer's disease.
Zinc's role as an important NMDA receptor antagonist implies that by
ameliorating the cerebral spinal fluid zinc deficiency in Alzheimer's disease
patients, Zinthionein ZC may demonstrate near term acute cognitive benefits,
such as those demonstrated in the 1992 study described above, as well as
reducing neurogeneration in the longer term. Current NMDA-receptor antagonists
for Alzheimer's disease, such as Namenda® and Axura® (memantine), currently have
estimated annualized sales of $2.6 billion.
dnaJP1
dnaJP1
(hsp peptide) is an investigational oral drug for the treatment of rheumatoid
arthritis. It has completed a 160-patient, multi-center, randomized,
double-blind, placebo-controlled clinical trial for the treatment of rheumatoid
arthritis. dnaJP1 is an epitope-specific immunotherapy for rheumatoid arthritis
patients. It is a 15-mer heat shock protein-derived peptide that was previously
identified as a contributor of T cell-mediated inflammation in rheumatoid
arthritis. Immune responses to heat shock protein are often found at sites of
inflammation and have an initially amplifying effect that needs to be down
regulated to prevent tissue damage. The mechanisms for this regulation involve T
cells with regulatory function that are specific for heat shock protein-derived
antigens. This regulatory function is one of the key components of a "molecular
dimmer" whose physiologic function is to modulate inflammation independently
from its trigger. This function is impaired in autoimmunity and could be
restored for therapeutic purposes.
dnaJP1
contains the five amino acid cassette present on most of the HLA (human
leukocyte antigen) class II alleles associated with rheumatoid arthritis. In
preclinical work, the most relevant epitope was mapped and showed its
contribution to pro-inflammatory T cell responses in vitro in patients with
active rheumatoid arthritis. These data led to the hypothesis that the sequences
shared between immunologically relevant self and foreign proteins (HLA and heat
shock protein) would affect thymic selection and peripheral activation of
potentially pathogenic T cells at different stages. The mechanistic hypothesis
is that mucosal tolerization to dnaJP1 could determine immune tolerization
primarily of T cells and secondarily of antigen presenting cells. The effects of
immune tolerance are initially peptide-specific but affect secondarily
non-epitope specific pathways.
Computer-aided,
rational drug design techniques of dnaJP1 resulted in a short synthetic peptide
derived from a heat shock protein dnaJ. Heat shock proteins and dnaJ are
upregulated during cellular stress, including inflammation and autoimmune
diseases. Heat shock protein responses have been found in several other
autoimmune diseases other than rheumatoid arthritis, including juvenile
idiopathic arthritis, multiple sclerosis, and inflammatory bowel disease. The
mechanism of action of dnaJP1 relies on selectively inducing an immune shift of
a T-cell function from inflammatory to regulatory, thus inhibiting
disease-related inflammation and inducing a tolerogenic immunologic
response.
Adeona is
currently engaged in the cGMP manufacture and scale up of the dnaJP1 active drug
substance and other nonclinical activities necessary to support the potential
filing and approval of a corporate investigational new drug application for the
further clinical testing of dnaJP1. The Company is seeking potential
United States, European and Asian corporate partners to assist in the further
manufacturing, testing and clinical development of dnaJP1.
Clinical Trial Results of
dnaJP1 in Rheumatoid Arthritis Patients
In
November of 2009, Adeona announced publication of the results of an
investigator-initiated, 160-patient clinical trial of dnaJP1 for the treatment
of rheumatoid arthritis conducted at 11clinical centers in the United
States. The publication, entitled "Epitope-Specific Immunotherapy of
Rheumatoid Arthritis: Clinical Responsiveness Occurs With Immune Deviation and
Relies on the Expression of a Cluster of Molecules Associated with T Cell
Tolerance in a Double-Blind, Placebo-Controlled, Pilot Phase II Trial", can be
found in Arthritis &
Rheumatism , Vol. 60(11), pages 3207-3216, with related editorial at page
A21. This clinical trial was funded by a $5 million grant from the National
Institutes of Health. It sought to test 2 hypotheses 1) whether mucosal
induction of immune tolerate to dnaJP1 would lead to a qualitative change from a
proinflammatory phenotype to a more tolerogenic functional phenotype and 2)
whether immune deviation of responses to an inflammatory epitope might translate
into clinical improvement. One hundred sixty patients with active rheumatoid
arthritis were randomized to receive oral doses of 25 mg of dnaJP1 or placebo
daily for 6 months.
Results
of the published study showed the following:
1. dnaJP1
appeared to be safe and well-tolerated;
2. There
was a significant reduction in the percentage of T cells producing the
proinflammatory cytokine tumor necrosis factor alpha (TNF-alpha) (p <
0.0007);
3. The
primary efficacy end point (meeting the American College of Rheumatology 20%
improvement criteria at least once on day 112, 140, or 168) showed a difference
between treatment groups (p = 0.09) that became significant in post hoc analysis
using generalized estimating equations (GEE) (p = 0.04).
4.
Differences in clinical responses were also found between treatment groups on
day 140 and at followup, indicative of a durable response following
discontinuation of therapy.
5. Post
hoc analysis showed that the combination of dnaJP1 and the commercially
available rheumatoid arthritis agent, hydroxychloroquine, was superior to the
combination of hydroxychloroquine and placebo, demonstrating potential
synergistic effect of dnaJP1 with hydroxychloroquine.
Consistent
with the disease modifying process of active immune tolerization, there was a
progressive separation between treatment and placebo groups for both ACR20 and
ACR50 endpoints after day 112. ACR20 is a composite endpoint developed the
American College of Rheumatology and generally accepted as an FDA-approvable
scoring criteria. dnaJP1 treated patients achieved a 40.7% ACR20 response at
follow up versus 21.5% of placebo-treated patients (CMH test p = 0.007, GEE p
< 0.001). The proportion of dnaJP1-treated patients who achieved an ACR20
response at Days 112, 140, 168, and follow up was significantly higher than that
of placebo-treated patients (CMH p = 0.03; GEE p = 0.0005). A statistically
significant difference was also seen for the AUC when more strict ACR50 criteria
were applied (GEE p = 0.02). The primary endpoint (AUC 112-140-168)
found more patients succeeding on dnaJP1 (p = 0.09 by CMH and p = 0.04 by
adjusted GEE). GEE analysis was employed to correct for intercenter
variability and this was possible as randomization occurred per center. Patients
in this study were permitted to be on currently available standard background
therapies, including hydroxychloroquine, corticosteroids, sulfasalazine,
analgesics, and non-steroidal anti-inflammatory drugs, but not on disease
modifying agents or biologics.
From an
immunologic standpoint, dnaJP1 also demonstrated an 80% reduction in the in vitro production of
TNF-alpha by T cells (p < 0.007), a hallmark cytokine of
inflammation. Additionally, oral dnaJP1 treated patients demonstrated an
increase in tolerogenic cytokines and immune response genes, including IL-10 and
FoxP3 production. The study investigators concluded that tolerization to dnaJP1
leads to immune deviation and a trend toward clinical efficacy.
In
combination with low dose etanercept (Enbrel®), an animal equivalent of dnaJP1
has also demonstrated a significant reduction of mean arthritis scores achieved
on day 23 (p = 0.0004) as compared to placebo in preclinical animal models.
Additionally, oral dnaJP1 and single low dose etanercept combination therapy led
to a significant improvement of the histological score in the joints (p = 0.014
verus untreated). Lastly, combination therapy of etanercept and oral dnaJP1 led
to an antigen-specific increase of tolerogenic cytokines, including IL-10 and
IL-4 production and up regulation of CTLA-4 expression.
dnaJP1 Market
Opportunity
Rheumatoid
arthritis is an autoimmune disease that affects approximately 20 million people
worldwide. It is a chronic inflammatory disease that leads to pain,
stiffness, swelling and limitation in the motion and function of multiple
joints. If left untreated, rheumatoid arthritis can produce serious destruction
of joints that frequently leads to permanent disability. Though the joints are
the principal body part affected by rheumatoid arthritis, inflammation can
develop in other organs as well. The disease currently affects over two million
Americans, almost 1% of the population, and is two to three times more prevalent
in women than men. Onset can occur at any point in life but is most frequent in
the fourth and fifth decades of life, with most patients developing the disease
between the ages of 35 and 50. Over 20 million people suffer from
rheumatoid arthritis worldwide and the global market is estimated at over $6.3
billion. Disease-modifying antirheumatic drugs, including biologics, accounted
for nearly $5 billion of that figure.
ZincMonoCysteine
ZincMonoCysteine
(zinc-monocysteine) is an investigational oral drug for the treatment of dry
age-related macular degeneration. It is a complex of zinc and the amino acid
cysteine that Adeona believes may have improved properties compared to currently
marketed zinc–based products. ZincMonoCysteine was invented and developed
by David A. Newsome, M.D., former Chief of the Retinal Disease Section of the
National Eye Institute. Dr. Newsome was the first to pioneer and
demonstrate the benefits of oral high dose zinc therapy in dry age-related
macular degeneration. Oral high dose zinc containing products now represent
the standard of care for dry age-related macular degeneration affecting over 10
million Americans and have annual sales of approximately $300
million.
ZincMonoCysteine
has completed an 80-patient, randomized, double-blind, placebo-controlled
clinical trial in dry age-related macular degeneration and demonstrated highly
statistically significant improvements in central retinal function. These
results were published in a peer-reviewed journal in 2008. Adeona believes
that the patent-pending, modified-release formulations of ZincMonoCysteine and
may offer the significant advantages of convenient once-a-day dosing and
improved gastrointestinal tolerability compared to currently-marketed oral high
dose zinc-containing products. During the third quarter of 2009, Adeona did
further manufacturing and scale up of ZincMonoCysteine to support the further
nonclinical testing and cGMP manufacturing required to support further drug
development.
Copper
and Zinc Metabolism Clinical Diagnostic Test
During
the first quarter of 2009, Adeona analyzed patient samples from an institutional
review board-approved, prospective, observational, blinded clinical study that
was sponsored and conducted during 2007 and 2008. The study enrolled 90
subjects, 30 with Alzheimer's disease, 30 with Parkinson's disease and 30
age-matched normal subjects. The purpose of the study was to evaluate serum
markers of copper status and compare these results across the three groups of
patients. The results of the study indicate highly statistically significant
differences in serum markers of copper status between Alzheimer’s disease and
normal subjects. Adeona believes that the differences observed suggest that
Alzheimer's patients have impaired metabolic functioning that decreases their
protection from chronic copper toxicity, which may contribute to the progression
of their disease. The results from this study also appear to indicate a
subclinical zinc deficiency in Alzheimer’s disease patients. In July of
2009, Adeona announced the presentation of the findings from this study at the
2009 International Conference on Alzheimer’s disease. There is an estimated 5.8
million, 1.5 million and 15 million persons in the United States with
Alzheimer’s disease, Parkinson’s disease and mild cognitive impairment,
respectively, that may benefit from Adeona’s panel of clinical diagnostic
tests.
In July
of 2009 Adeona acquired HartLab, LLC, an Illinois limited liability company and
clinical laboratory through which we have launched our panel of copper and zinc
metabolism clinical diagnostic tests. Adeona also intends to develop other
specialty diagnostic tests through HartLab and also to grow the core clinical
laboratory business in the greater Chicago area.
In
November of 2009, Adeona announced the launch of the HartLab subsidiary’s
diagnostic test panel, the CopperProof TM Panel, for the evaluation of zinc and
copper status in patients with Alzheimer's disease and mild cognitive
impairment. The CopperProof TM Panel provides a comprehensive analysis of the
metabolic serum copper and zinc status of Alzheimer’s disease and mild cognitive
impairment patients, the status of which has been shown to be impaired in this
patient population. Defects in copper metabolism and high free copper levels are
increasingly being recognized as significant factors in the progression of
neurodegenerative diseases, including Alzheimer’s disease and mild cognitive
impairment. Adeona believes that this panel will allow physicians to
determine the copper and zinc metabolic status of these patients as an aid in
their continued treatment program.
Intellectual
Property
Adeona’s
goal is to (a) obtain, maintain, and enforce patent protection for its products,
formulations, processes, methods, and other proprietary technologies, (b)
preserve our trade secrets, and (c) operate without infringing on the
proprietary rights of other parties, worldwide. Adeona seeks, where appropriate,
the broadest intellectual property protection for product candidates,
proprietary information, and proprietary technology through a combination of
contractual arrangements and patents.
Below is a description of
our license and development agreements relating to our product candidates
:
McLean Hospital Exclusive
License Agreement
In 2005,
as amended in 2007 and 2010, Pipex, Adeona’s wholly owned subsidiary, entered
into an exclusive license agreement with the McLean Hospital, a Harvard
University hospital, relating to U.S. Patent No. 6,610,324 and its foreign
equivalents, entitled “Flupirtine in the treatment of fibromyalgia and related
conditions.” Pursuant to this agreement, Pipex paid an upfront fee of $20,000
and back patent costs of approximately $41,830 and agreed to pay McLean
royalties on net sales of flupirtine equal to 3.5% of net sales of flupirtine
for indications covered by the issued patents, reduced to 1.75% if Pipex has a
license to other intellectual property covering those indications; use Pipex’s
best efforts to commercialize flupirtine for the therapeutic uses embodied in
the patent applications; reimburse future patent costs and pay the following
milestone payments: $150,000 upon the initiation of a pivotal phase 3 clinical
trial of flupirtine; $300,000 upon the filing of an New Drug Application for
flupirtine; and $600,000 upon Food and Drug Administration approval of
flupirtine. The due diligence requirements of the exclusive license
agreement were amended in April 2010 and further amended by a Non-Disturbance
Agreement that was signed with Pipex, McLean Hospital and Meda.
Effective
May 6, 2010, Pipex and Adeona entered into a Sublicense Agreement (the
“Agreement”) with Meda AB of Sweden. Pursuant to the Agreement, Meda
has been granted an exclusive sublicense to all of Pipex’s patents covering the
use of flupirtine for fibromyalgia. These patents have been issued in the U.S.
and are pending in Canada and Japan (the “Territory”). The Agreement provides
that Meda will assume all future development costs for the commercialization of
flupirtine for fibromyalgia. As consideration for such sublicense, Pipex
received an up-front payment of $2.5 million upon execution of the Agreement and
are entitled to milestone payments of $5 million upon filing of a New Drug
Application with the Food and Drug Administration for flupirtine for
fibromyalgia and $10 million upon marketing approval. The Agreement also
provides that Pipex is entitled to receive royalties of 7% of net sales of
flupirtine approved for the treatment of fibromyalgia covered by issued patent
claims in the Territory. Pursuant to the terms of Pipex’s agreement
with the company’s university licensor, Pipex is obligated to share half of the
royalties it receives with the university licensor and Pipex is obligated to pay
them $375,000 upon receipt of an upfront payment.
Thomas Jefferson University
License Agreement
In 2002,
as amended in 2009, Adeona’s majority owned subsidiary CD4 Biosciences Inc.
entered into an exclusive worldwide license agreement with Thomas Jefferson
University (TJU) relating to certain U.S. and foreign issued patents and patent
applications relating to all uses of CD4 Inhibitor 802-2 and CD4 inhibitor
technology. Pursuant to this agreement we paid an upfront license fee of
$80,000, an additional $25,000 was paid at the 12 month anniversary of the
agreement, and $25,000 was paid at the 18 month anniversary of the
agreement. Adeona is obligated to pay annual maintenance fees,
milestone payments of $200,000 upon the filing of a New Drug Application and
$500,000 upon approval of an New Drug Application with the Food and Drug
Administration, as well as royalties on net sales of anti-CD4 802-2 and other
anti-CD4 molecules covered by the licensed patents. Adeona also received rights
to valuable data generated under any Investigation New Drug application filing,
which includes toxicology and manufacturing information relating to anti-CD4
802-2. As partial consideration for this license, TJU was issued shares
representing 5% of the common stock of CD4 Biosciences Inc. Adeona also agreed
that TJU would receive anti-dilution protection on those CD4 shares through the
first $2 million in financing to CD4. Adeona also agree to indemnify TJU against
certain liabilities.
The Regents of University of
California License Agreement
In 2005,
Adeona was granted an exclusive worldwide license agreement with the Regents of
the University of California relating to an issued US Patent No. 6,936,599 and
pending patent applications covering the uses of the drug candidate Trimesta.
Pursuant to this agreement, Adeona paid an upfront license fee of $20,000,
reimbursed patent expenses of $41,000 and agreed to pay a license fee of $25,000
during 2006, as well as annual maintenance fees, milestone payments totaling
$750,000 that are payable on filing an New Drug Application, and on approval of
an New Drug Application with the Food and Drug Administration, as well as
royalties on net sales of Trimesta covered by the licensed patents. Adeona may
be permitted to partially pay milestone payments in the form of
equity.
Zinc Monocysteine License
Agreement
In July
of 2007, Adeona entered into an exclusive worldwide license agreement with David
A. Newsome, M.D., and David Tate, M.S., relating to zinc monocysteine for all
uses. Pursuant to this agreement, Adeona paid an upfront license fee of $65,000
and reimbursed patent expenses of $25,000. Milestone payments totaling
$1,400,000 may be due upon the achievement of certain milestones, as well as
royalties of three percent (3%) on net sales for the licensed technology covered
by the licensed patents. Adeona has the ability to make these milestone payments
in the form of equity.
The Regents of University of
California License Agreement
In July
of 2008, Adeona entered into an exclusive worldwide license agreement with the
Regents of the University of California relating to a series of issued US
patents and pending patent applications covering novel uses of an orally active
immunotherapeutic technology, dnaJP1 a candidate which has completed a
160-patient, double-blind, placebo-controlled phase II clinical trial for
treatment of rheumatoid arthritis. Pursuant to this agreement, Adeona paid an
upfront license fee of $25,000, reimbursed patent expenses as well as future
patent and expenses annual maintenance fees of $50,000 per year, milestone
payments ranging from $75,000 to $5,000,000 that are payable on various clinical
and regulatory milestones, as well as royalties on net sales of the licensed
technology covered by the licensed patents.
RISK
FACTORS
You
should carefully consider the specific risks set forth under the caption “Risk
Factors” in the applicable prospectus supplement and under the caption “Risk
Factors” in any of our filings with the Commission pursuant to
Sections 13(a), 13(c), 14 or 15(d) of the Securities Exchange Act of 1934,
as amended (the “Exchange Act”), incorporated by reference herein, including the
Risk Factors in our Form 10-K for our fiscal year ended December 31, 2009,
before making an investment decision. Each of the risks described in these
sections and documents could materially and adversely affect our business,
financial condition, results of operations and prospects and could result in
partial of complete loss of your investment. For more information,
see “Where You Can Find More Information.”
SPECIAL NOTE REGARDING
FORWARD-LOOKING STATEMENTS
This
prospectus contains forward-looking statements within the meaning of
Section 27A of the Securities Act of 1933 and 21E of the Securities
Exchange Act of 1934. You should not place undue reliance on these statements.
These forward-looking statements include statements that reflect the current
views of our senior management with respect to our financial performance and
future events with respect to our business and our industry in general.
Statements that include the words “expect,” “intend,” “plan,” “believe,”
“project,” “forecast,” “estimate,” “may,” “should,” “anticipate” and similar
statements of a future or forward-looking nature identify forward-looking
statements. Forward-looking statements address matters that involve risks and
uncertainties. Accordingly, there are or will be important factors that could
cause our actual results to differ materially from those indicated in these
statements. We believe that these factors include, but are not limited to, the
following:
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a failure of our product
candidates to be demonstrably safe and
effective;
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a failure to obtain regulatory
approval for our products or to comply with ongoing regulatory
requirements;
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a lack of acceptance of our
product candidates in the
marketplace;
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a failure by us to become or
remain profitable;
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an inability by us to obtain the
capital necessary to fund our research and development
activities;
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a loss of any of our key
scientist or management
personnel.
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The
foregoing factors should not be construed as exhaustive and should be read
together with the other cautionary statements included in this prospectus and
other reports we file with the Securities and Exchange Commission, including the
information under “Item 1A. Risk Factors” of Part I of our Annual
Report on Form 10-K for our fiscal year ended December 31, 2009. The
forward-looking statements speak as of the date made and are not guarantees of
future performance. If one or more events related to these or other
risks or uncertainties materialize, or if our underlying assumptions prove to be
incorrect, actual results may differ materially from what we anticipate. We
undertake no obligation to publicly update or revise any forward-looking
statement, other than as required by law.
USE
OF PROCEEDS
Unless
otherwise provided in the applicable prospectus supplement, we intend to use the
net proceeds from the sale of the securities under this prospectus for general
corporate purposes, which may include general working capital, capital
expenditures, research and development expenditures, regulatory affairs
expenditures, clinical trial expenditures, acquisitions of new technologies and
investments. Additional information on the use of net proceeds from the sale of
securities offered by this prospectus may be set forth in the prospectus
supplement relating to that offering. Pending the application of the
net proceeds, we intend to invest the net proceeds in short-term,
investment-grade, interest-bearing securities.
DESCRIPTION
OF CAPITAL STOCK
The
following description of certain terms of our capital stock does not purport to
be complete and is qualified in its entirety by reference to our articles of
incorporation, our bylaws and provision of the Nevada Revised Statute. For more
information on how you can obtain our Articles of Incorporation and bylaws, see
“Where You Can Find more Information.” We urge you to read out
Articles of Incorporation and bylaws in their entirety.
Authorized
Capital Stock
We are
authorized to issue 100 million shares of common stock, par value $.001 per
share, and 10 million shares of preferred stock, par value $.001 per
share. At May 3, 2010, we had 21,698,945 shares of common stock
outstanding and no shares of preferred stock outstanding. Although our board of
directors has no present intention to do so, it could issue common stock or a
series of preferred stock that could, depending on the terms of such securities,
impede the completion of a merger, tender offer or take-over
attempt. Our board of directors will make any determination to issue
such shares based upon its judgment and the best interests of us and our
shareholders.
Common
Stock
We may
offer shares of our common stock. Our common stock currently trades on the AMEX
under the symbol “AEN.” Holders of shares of common stock have the right to cast
one vote for each share of common stock in their name on the books of our
company, whether represented in person or by proxy, on all matters submitted to
a vote of holders of common stock, including election of directors. There is no
right to cumulative voting in election of directors. Except where a greater
requirement is provided by statute, by our articles of incorporation, or by our
bylaws, the presence, in person or by proxy duly authorized, of the one or more
holders of a majority of the outstanding shares of our common stock constitutes
a quorum for the transaction of business. The vote by the holders of a majority
of outstanding shares is required to effect certain fundamental corporate
changes such as liquidation, merger, or amendment of our articles of
incorporation.
Except as
otherwise provided by the Nevada Revised Statute or our Articles of
Incorporation, holders of our common stock share ratably in all dividends and
distributions, as may be declared form time to time by our board of directors
from funds legally available therefore, whether upon liquidation or distribution
or otherwise. There are no restrictions in our articles of incorporation or
bylaws that prevent us from declaring dividends. The Nevada Revised Statute
does, however, prohibit us from declaring dividends where, after giving effect
to the distribution of the dividend (1) we would not be able to pay our
debts as they become due in the usual course of business or (2) our total
assets would be less than the sum of our total liabilities plus the amount that
would be needed to satisfy the rights of stockholders who have preferential
rights superior to those receiving the distribution.
We have
not declared any dividends, and we do not plan to declare any dividends in the
foreseeable future.
Holders
of shares of our common stock are not entitled to preemptive or subscription or
conversion rights, and no redemption or sinking fund provisions are applicable
to our common stock. All outstanding shares of common stock are, and the shares
of common stock sold in the offering will when issued, fully paid and
non-assessable.
Transfer
Agent and Registrar
The
transfer agent and registrar for our common stock is Corporate Stock Transfer,
Inc. of Denver, Colorado.
Listing
Our
common stock is listed on the American Stock Exchange under the symbol
“AEN.”
DESCRIPTION
OF WARRANTS
General
We may
issue warrants to purchase common stock (which we refer to as common stock
warrants). Any of these warrants may be issued independently or together with
any other securities offered by this prospectus and may be attached to or
separate from the other securities. If warrants are issued, they will be issued
under warrant agreements.
We will
file as exhibits to the registration statement of which this prospectus is a
part, or will incorporate by reference from a current report on Form 8-K
that we file with the SEC, the form of warrant agreement that describes the
terms of the warrants we are offering, and any supplemental agreements, before
the issuance of the warrants. The following summaries of material terms and
provisions of the warrants are subject to, and qualified in their entirety by
reference to, all the provisions of the warrant agreement and any supplemental
agreements applicable to those warrants. We urge you to read the applicable
prospectus supplements related to the particular warrants that we sell under
this prospectus, as well as the complete warrant agreement and any supplemental
agreements that contain the terms of the warrants.
Terms
of the Warrants
The
applicable prospectus supplement will describe the following terms of common
stock warrants offered under this prospectus:
(2)
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the securities issuable upon
exercise;
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(3)
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the issue price or
prices;
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(4)
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the number of warrants issued
with each share of common
stock;
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(5)
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any provisions for adjustment of
(a) the number or amount of shares of common stock receivable upon
exercise of the warrants or (b) the exercise
price;
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(6)
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if applicable, the date on and
after which the warrants and the related common stock will be separately
transferable;
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(7)
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if applicable, a discussion of
the material United States federal income tax considerations applicable to
the exercise of the
warrants;
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(8)
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any other terms, including terms,
procedures and limitations relating to exchange and
exercise;
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(9)
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the commencement and expiration
dates of the right to exercise;
and
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(10)
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the maximum or minimum number
that may be exercised at any
time.
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Exercise
of Warrants
Each
warrant will entitle the holder to purchase for cash the amount of shares of
common stock at the applicable exercise price set forth in, or determined as
described in, the applicable prospectus supplement. Warrants may be exercised at
any time up to the close of business on the expiration date set forth in the
applicable prospectus supplement. After the close of business on the expiration
date, unexercised warrants will become void.
Warrants
may be exercised by delivering to us or any other person indicated in the
applicable prospectus supplement (a) the warrant certificate properly
completed and duly executed and (b) payment of the amount due upon
exercise. As soon as practicable following exercise, we will forward the shares
of common stock purchasable upon exercise. If less than all of the warrants
represented by a warrant certificate are exercised, a new warrant certificate
will be issued for the remaining warrants.
PLAN
OF DISTRIBUTION
We may
sell the securities being offered by us in this prospectus:
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directly to
purchasers;
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through underwriters;
or
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through a combination of any of
these methods of sale.
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In
addition, the manner in which we may sell some or all of the securities covered
by this prospectus includes, without limitation, through:
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a block trade in which a
broker-dealer will attempt to sell as agent, but may position or resell a
portion of the block, as principal in order to facilitate the
transaction
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purchases by a broker-dealer, as
principal, and resale by the broker-dealer for its account;
or
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ordinary brokerage transactions
and transaction in which a broker solicits
purchasers.
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Furthermore,
we may enter into derivative or hedging transactions with third parties, or sell
securities not covered by this prospectus to third parties in privately
negotiated transactions. In connection with such a transaction, the third
parties may sell securities covered by and pursuant to this prospectus and an
applicable prospectus supplement or other offering materials, as the case may
be. If so, the third party may use securities borrowed from us or others to
settle such sales and may use securities received from us to close out any
related short positions. We may also loan or pledge securities covered by this
prospectus and an applicable prospectus supplement to third parties, who may
sell the loaned securities or, in an event of default in the case of a pledge,
sell the pledged securities pursuant to this prospectus and the applicable
prospectus supplement or other offering materials, as the case may
be.
We and
our agents and underwriters may sell the securities being offered by us in this
prospectus from time to time in one or more transactions:
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at a fixed price or prices, which
may be changed;
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at market prices prevailing at
the time of sale;
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at prices related to the
prevailing market prices; or
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We may
solicit directly offers to purchase securities. We may also designate agents
from time to time to solicit offers to purchase securities. Any agent, who may
be deemed to be an “underwriter” as that term is defined in the Securities Act
of 1933, as amended (the “Securities Act”) may then resell the securities to the
public at varying prices to be determined by that agent at the time of
resale.
In the
sale of the securities, underwriters, dealers or agents may receive compensation
from us or from purchasers of the securities, for whom they may act as agents,
in the form of discounts, concessions or commissions. Underwriters may sell the
securities to or through dealers, and such dealers may receive compensation in
the form of discounts, concessions or commissions from the underwriters and/or
commissions from the purchasers for whom they may act as agents. Underwriters,
dealers and agents that participate in the distribution of the securities may be
deemed to be underwriters under the Securities Act and any discounts or
commissions they receive from us and any profit on the resale of securities they
realize may be deemed to be underwriting discounts and commissions under the
Securities Act. The applicable prospectus supplement will, where
applicable:
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identify any underwriter or
agent;
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describe any compensation in the
form of discounts, concessions, commissions or otherwise received from us
by each underwriter, dealer or agent and in the aggregate to all
underwriters, dealers and
agents;
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identify the purchase price and
proceeds from that sale;
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identify the amounts
underwritten;
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identify the nature of the
underwriter’s obligation to take the securities;
and
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identify any quotation systems or
securities exchanges on which the securities may be quoted or
listed.
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Underwriters,
dealers, agents and other persons may be entitled, under agreements that may be
entered into with us, to indemnification by us against certain civil
liabilities, including liabilities under the Securities Act, or to contribution
with respect to payments that they may be required to make in respect of these
liabilities. Underwriters and agents may engage in transactions with, or perform
services for, us in the ordinary course of business.
If so
indicated in the applicable prospectus supplement, we will authorize
underwriters, dealers, or other persons to solicit offers by certain
institutions to purchase the securities offered by us under this prospectus
pursuant to contracts providing for payment and delivery on a future date or
dates. The obligations of any purchaser under any these contracts will be
subject only to those conditions described in the applicable prospectus
supplement, and the prospectus supplement will set forth the price to be paid
for securities pursuant to these contracts and the commission’s payable for
solicitation of these contracts.
Any
underwriter may engage in over-allotment, stabilizing and syndicate short
covering transactions and penalty bids only in compliance with Regulation M
of the Securities Exchange Act of 1934. If we offer securities in an “at the
market” offering, stabilizing transactions will not be permitted. Over-allotment
involves sales in excess of the offering size, which creates a short position.
Stabilizing transactions involve bids to purchase the underlying security so
long as the stabilizing bids do not exceed a specified maximum. Syndicate short
covering transactions involve purchases of securities in the open market after
the distribution has been completed in order to cover syndicate short positions.
Penalty bids permit the underwriters to reclaim selling concessions from dealers
when the securities originally sold by the dealers are purchased in covering
transactions to cover syndicate short positions. These transactions may cause
the price of the securities sold in an offering to be higher than it would
otherwise be. We do not make any representation or prediction as to the
direction or magnitude of any effect that the transactions described above might
have on the price of the securities. These transactions, if commenced, may be
discontinued by the underwriters at any time.
Each
series of securities offered under this prospectus will be a new issue with no
established trading market, other than the common stock, which is listed on the
American Stock Exchange. Any shares of common stock sold pursuant to a
prospectus supplement will be listed on the American Stock Exchange, subject to
official notice of issuance. Any underwriters to whom we sell securities for
public offering and sale may make a market in the securities, but these
underwriters will not be obligated to do so and may discontinue any market
making at any time without notice. We may elect to list any of the securities we
may offer from time to time for trading on an exchange or on the American Stock
Exchange, but we are not obligated to do so.
The
anticipated date of delivery of the securities offered hereby will be set forth
in the applicable prospectus supplement relating to each offering.
Underwriters,
dealers and agents may engage in transactions with us or perform services for us
in the ordinary course of business.
To comply
with applicable state securities laws, the securities offered by this prospectus
will be sold, if necessary, in such jurisdictions only through registered or
licensed brokers or dealers. In addition, securities may not be sold in some
states unless they have been registered or qualified for sale in the applicable
state or an exemption from the registration or qualification requirement is
available and is complied with.
In
compliance with the guidelines of the Financial Industry Regulatory Authority
(“FINRA”), the aggregate maximum discount, commission, or agency fees or other
items of underwriting compensation to be received by an FINRA member or
independent broker-dealer will not exceed 8% of any offering pursuant to this
prospectus and any prospectus supplement or other offering materials, as the
case may be.
If 5% or
more of the net proceeds of any offering of securities made under this
prospectus will be received by a FINRA member participating in the offering or
affiliates or associated persons of such FINRA member, the offering will be
conducted in accordance with NASD Conduct Rule 2720.
LEGAL
MATTERS
The
legality of the Shares offered hereby has been passed upon for us by Gracin
& Marlow, LLP, New York, New York.
EXPERTS
The
financial statements incorporated in this prospectus from our Annual Report on
Form 10-K for the year ended December 31, 2009 have been audited by Berman &
Company, P.A., an independent registered public accounting firm, as stated in
their report, which is incorporated by reference, which report expresses an
unqualified opinion. The financial statements have been incorporated upon the
authority of said firm as experts in accounting and auditing in giving said
reports.
WHERE
YOU CAN FIND MORE INFORMATION
We file
annual, quarterly and special reports, proxy statements and other information
with the Securities and Exchange Commission. You may read and copy any document
we file at the Commission’s public reference room located at
100 F Street N.E., Washington, D.C. 20549. Please call the
Commission at 1-800-SEC-0330 for further information on the operation of the
public reference room. Our public filings are also available to the public at
the Commission’s web site at http://www.sec.gov.
This
prospectus is part of a registration statement on Form S-3 that we have
filed with the Commission under the Securities Act. This prospectus does not
contain all of the information in the registration statement. We have omitted
certain parts of the registration statement, as permitted by the rules and
regulations of the Commission. You may inspect and copy the registration
statement, including exhibits, at the Commission’s public reference room or
Internet site.
INCORPORATION
OF CERTAIN DOCUMENTS BY REFERENCE
The
Commission allows us to “incorporate by reference” the information we file with
it which means that we can disclose important information to you by referring
you to those documents instead of having to repeat the information in this
prospectus. The information incorporated by reference is considered to be part
of this prospectus, and later information that we file with the Commission will
automatically update and supersede this information. We incorporate by reference
the documents listed below and any future filings made with the Commission under
Sections 13(a), 13(c), 14 or 15(d) of the Exchange Act between the date of
this prospectus and the termination of the offering:
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Our annual report on
Form 10-K for the fiscal year ended December 31,
2009;
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The description of our common
stock set forth in our registration statement on Form 8-A, filed with
the Commission on January 29, 1993 (File
No. 000-21156).
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Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on January 13,
2010.
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Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on February 9,
2010.
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Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on March 16,
2010.
|
●
|
Our Current Report on Form
8-K/A filed with the Securities and Exchange Commission on
March 31, 2010.
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on April 5,
2010.
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on May 11,
2010.
|
●
|
Our Quarterly Report on Form 10-Q
filed with the Securities and Exchange Commission on May 17,
2010.
|
●
|
Our Current Report on Form 8-K
filed with the Securities and Exchange Commission on June 3,
2010.
|
You may
obtain, free of charge, a copy of any of these documents (other than exhibits to
these documents unless the exhibits are specifically incorporated by reference
into these documents or referred to in this prospectus) by writing or calling us
at the following address and telephone number:
ADEONA
PHARMACEUTICALS, INC.
3930
Varsity Drive
Ann
Arbor, MI 48108
Attention:
Corporate Secretary
(734) 332-7800
ADEONA
PHARMACEUTICALS, INC.
UP
TO $15 Million
PROSPECTUS
DATED JUNE 14, 2010
Common
Stock
Warrants
You
should rely only on the information contained or incorporated by reference in
this prospectus. We have not authorized anyone to provide you with different
information. You should not assume that the information contained or
incorporated by reference in this prospectus is accurate as of any date other
than the date of this prospectus. We are not making an offer of these securities
in any state where the offer is not permitted.