Cadence Pharmaceuticals
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of
the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): January 11, 2008
CADENCE PHARMACEUTICALS, INC.
(Exact Name of Registrant as Specified in its Charter)
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Delaware
(State or Other Jurisdiction
of Incorporation)
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001-33103
(Commission
File Number)
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41-2142317
(IRS Employer
Identification No.) |
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12481 High Bluff Drive, Suite 200, San Diego, California
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92130 |
(Address of Principal Executive Offices)
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(Zip Code) |
Registrants telephone number, including area code: (858) 436-1400
(Former Name or Former Address, if Changed Since Last Report.)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously
satisfy the filing obligation of the registrant under any of the following provisions (see General
Instruction A.2. below):
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
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Item 7.01. |
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Regulation FD Disclosure. |
Cadence Pharmaceuticals, Inc. hosted a conference call on January 11, 2008, at 8:30 a.m.
Eastern time to announce top line results of two of its four pivotal, Phase III clinical trials of
Acetavance, an intravenous formulation of acetaminophen.
The conference call transcript is attached hereto as Exhibit 99.1 and is incorporated herein
by reference. A webcast replay of the conference call will remain available on Cadences website,
www.cadencepharm.com, until Cadences next quarterly financial results call.
The information in this Current Report on Form 8-K, including the transcript attached hereto
as Exhibit 99.1, is being furnished pursuant to this Item 7.01 and shall not be deemed filed for
purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the Exchange Act), or
otherwise subject to the liabilities of that section, and it shall not be deemed incorporated by
reference in any filing under the Securities Act of 1933, as amended, or under the Exchange Act,
whether made before or after the date hereof, except as expressly set forth by specific reference
in such filing to this Current Report on Form 8-K.
By filing this Current Report on Form 8-K and furnishing this information, Cadence makes no
admission as to the materiality of any information in this report. The information contained in the
transcript is summary information that is intended to be considered in the context of Cadences
other filings with the SEC and other public announcements that Cadence makes, by press release or
otherwise, from time to time. Cadence undertakes no duty or obligation to publicly update or revise
the information contained in this report, although it may do so from time to time as its management
believes is appropriate. Any such updating may be made through the filing of other reports or
documents with the SEC, through press releases or through other public disclosure.
Cadence cautions you that statements included in this report, including the transcript
attached hereto as Exhibit 99.1, that are not a description of historical facts are
forward-looking statements. These forward-looking statements include statements regarding:
Cadences interpretation of the results of recently-completed clinical trials of Acetavance;
expectations for completing planned and ongoing clinical trials for both product candidates, and
whether such additional clinical trials will be sufficient to support planned New Drug Approval
(NDA) applications; the potential for filing, timing and indications for use that may be included
in NDAs planned for Acetavance and Omigard; the likelihood that Cadences clinical trials of
Acetavance will be consistent with clinical trials of this product candidate conducted by its
licensor or others; and Cadences commitment to complete its current development activities for its
product candidates. The inclusion of forward-looking statements should not be regarded as a
representation by Cadence that any of its plans will be achieved. Actual results may differ
materially from those set forth in this press release due to the risks and uncertainties inherent
in Cadences business, including, without limitation: the outcome of final analyses of data from
recently-completed clinical trials of Acetavance may vary from the companys initial analyses, and
the FDA may not agree with Cadences interpretation of such results; additional ongoing or planned
clinical trials of Acetavance conducted by the company may produce negative or inconclusive
results, or may be inconsistent with clinical trials conducted by its licensors or others, and the
company may decide, or the FDA may require Cadence, to conduct additional clinical trials; Cadence
may experience delays in the commencement, enrollment or completion of clinical testing for its
product candidates, or significant issues regarding the adequacy of its clinical trial designs or
the execution of its clinical trials, which could result in increased costs and delays, or limit
the companys ability to obtain regulatory approval; Cadences product candidates may not receive
regulatory approval or be successfully commercialized; unexpected adverse side effects or
inadequate therapeutic efficacy of Acetavance or Omigard could delay or prevent regulatory approval
or commercialization, or could result in recalls or product liability claims; the market potential
for pain, fever, local catheter site infections and other target markets may be less than
anticipated, and the company may be unable to successfully compete in these markets; Cadences
dependence on the success of Acetavance and Omigard; fluctuations in quarterly and annual financial
results; the companys need to obtain substantial additional funding to complete its product
development plans and the potential that it may not be able to raise sufficient capital when
needed; and other risks detailed in Cadences prior press releases as well as in Cadences periodic
public filings with the Securities and Exchange Commission. You are cautioned not to place undue
reliance on these
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forward-looking statements, which speak only as of the date hereof. All forward-looking statements
are qualified in their entirety by this cautionary statement and Cadence undertakes no obligation
to revise or update this report to reflect events or circumstances after the date hereof. This
caution is made under the safe harbor provisions of Section 21E of the Private Securities
Litigation Reform Act of 1995.
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Item 9.01. |
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Financial Statements and Exhibits. |
(d) Exhibits.
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Exhibit |
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Description of Exhibit |
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99.1 |
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Conference Call Transcript, dated January 11, 2008 |
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the
registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
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Date: January 11, 2008 |
CADENCE PHARMACEUTICALS, INC.
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By: |
/s/ William R. LaRue
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Name: |
William R. LaRue |
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Title: |
Senior Vice President, Chief Financial
Officer, Treasurer and Assistant
Secretary |
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EXHIBIT INDEX
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Exhibit |
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Description of Exhibit |
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99.1 |
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Conference Call Transcript, dated January 11, 2008 |
exv99w1
Exhibit 99.1
Cadence Pharmaceuticals, Inc. Conference Call January 11, 2008, 8:30 a.m. Eastern Time
MANAGEMENT DISCUSSION SECTION
Operator: Good morning, and welcome to the Cadence Pharmaceuticals Conference Call. At this time
Id like to inform you that this conference is being recorded and that are participants are in a
listen-only mode. At the request of the company well open the conference up for questions and
answers after the management presentation. [Operator Instructions]
Our first speaker is Bill LaRue, Senior Vice President and Chief Financial Officer of Cadence
Pharmaceuticals. Please go ahead, sir.
William R. LaRue, Senior Vice President & Chief Financial Officer
Good morning, everyone, and thank you for joining us today. Before we get started I would like to
remind everyone that statements included in this conference call that are not a description of
historical facts are forward-looking statements. These include statements regarding our
interpretation of results of recently-completed clinical trials of our product candidate,
Acetavance, a formulation of acetaminophen for intravenous use; our expectations for completing
planned and ongoing clinical trials for both Acetavance and other product candidate, Omigard, and
whether such additional clinical trials will be sufficient to support planned new drug approval
applications; the potential for filing, timing and indications for use that may be included in our
planned NDAs; the likelihood that our clinical trials of Acetavance will be consistent with
clinical trials of this product candidate conducted by our licensor or others; and our commitment
to complete clinical planned development activities for our product candidates. The inclusion of
forward-looking statements should not be regarded as a representation that any of our plans will be
achieved.
Actual results may differ materially from those discussed in this conference call due to the risks
and uncertainties inherent in our business. These risks include, but are not limited to, the
following: The outcome of final analyses of data from our recently-completed clinical trials of
Acetavance may vary from our initial analyses, and the FDA may not agree with our interpretation of
such results. Additional ongoing or planned clinical trials of Acetavance that we conduct may
produce negative or inconclusive results or may be inconsistent with clinical trials conducted by
our licensor or others, and we may decide, or the FDA may require us, to conduct additional
clinical trials or to modify the companys ongoing clinical trials. We may experience delays in the
commencement, enrolment, completion or analysis of clinical testing for our product candidates, or
significant issues regard the adequacy of our clinical trial designs or the execution of our
clinical trials, which could result in increased cost and delays, or limit our ability to obtain
regulatory approval. The third parties upon whom we to conduct our clinical trials and manufacture
our product candidates may not perform as expected. Our product candidates may not receive
regulatory approval or be successfully commercialized. Unexpected adverse side effects, or
inadequate therapeutic efficacy of Acetavance or Omigard, could delay or prevent regulatory
approval or commercialization or could result in recalls or product liability claims. The market
potential for pain, fever, local catheter site infections and other target markets may be less than
anticipated, and we may be unable to successfully compete in these markets. We will need to obtain
substantial additional financing to complete our product development plans and we may not be able
to raise sufficient capital when needed. Other risks are detailed in Cadences prior press
releases as well as in periodic public filings with the Securities and Exchange Commission.
All forward-looking statements are qualified in their entirety by this cautionary statement and we
undertake no obligation to revise or update the information presented in this conference call to
reflect
events or circumstances after the date hereof. This caution is made under the section 21E of the
Private Securities Litigation Reform Act of 1995.
If anyone has not seen the press release issued this morning, you can access it on our website at
www.cadencepharm.com. Additionally, this conference call is being webcast through the companys
website and will be archived there for future reference.
On the call with me today are Ted Schroeder, our President and CEO, and Dr. Jim Brietmeyer, our
Executive Vice President and Chief Medical Officer. I will turn the call over now to Ted.
Theodore R. Schroeder, President and Chief Executive Officer
Thank you, Bill, and good morning and welcome to everyone on the phone. Thank you for joining us
to discuss the results of two recently completed clinical trials of our product candidate
Acetavance. Following our discussion of these results we will open the call to your questions.
Today, we announced top line results for two of Cadences four pivotal Phase III clinical trials of
Acetavance. One of these clinical trials did not meet its primary end point of demonstrating a
specifically significant reduction in patients pain intensity levels over 48 hours as compared to
placebo following abdominal gynecological surgery. However, the same study successfully achieved
several secondary end points including pain relief, global patient satisfaction, and time to rescue
medication.
We also announced that a Phase III clinical trial of Acetavance versus placebo in fever
successfully met its primary end point. I will now turn the call over to our Executive Vice
President and Chief Medical Officer, Jim Brietmeyer to provide additional information regarding the
results of these two clinical trials and update our current development program for Acetavance.
James B. Brietmeyer M.D., Ph.D., Executive Vice President, Development and Chief Medical Officer
Thank you, Ted. As Ted indicated, our 302 Fever Study, which was a randomized, double blind,
placebo-controlled study of the antipyretic efficacy and safety of Acetavance in adults
successfully met its primary end point demonstrating a specifically significant reduction in fever
over six hours as compared to placebo, with a p value of less than 0.01. We expect to disclose the
results of a second study of Acetavance for the treatment of fever in adults, which we refer to as
the 303 study later in the first quarter of 2008. This second study is intended to assess the
speed of onset of fever reduction of Acetavance given intravenously compared to orally administered
acetaminophen.
We are pleased by the fact that in both the 302 fever study and the 301 pain study, Acetavance was
found to be safe and well tolerated, demonstrating a safety profile that was not different than
that of placebo, including the evaluation of eight doses of Acetavance over a 48-hour period. We
believe that this result is important and provides very strong support for the safety of
intravenous versus oral acetaminophen, the latter of which is generally considered safer than a
number of other pain medication used in the hospital setting.
As discussed in our press release, the ongoing analysis of the data from the 301 pain study, which
was a Phase III clinical trial to evaluate the analgesic efficacy and safety of Acetavance compared
to placebo for the treatment of postoperative pain following abdominal gynecologic surgery,
demonstrated that the study did not meet its primary endpoint of demonstrating a statistically
significant reduction in the sum of pain intensity over 48 hours compared to placebo. We believe
that this result was due to substantially higher than predicted variability in pain intensity
scores and we are continuing to carefully analyze this data.
We are, however, very encouraged that there were positive results for several secondary endpoints
in the 301 pain trial. These secondary endpoints, including pain relief, global patient
satisfaction, and time to rescue medication, were all statistically significant compared to placebo
with p values of less than 0.02.
These secondary outcomes are consistent with other well-controlled clinical trial results, and
along with the favorable safety results, we believe they are supportive of the analgesic efficacy
and safety of Acetavance.
We remain confident in the design of our ongoing 304 study which is a Phase III clinical trial of
Acetavance for the treatment of adults following abdominal laparoscopic surgery, which is predicted
to have less variability in pain outcomes. This randomized, double-blind, multi-center study of
240 patients commenced enrolment in the fourth quarter of 07 and we are currently on-track to
complete enrolment in this study in the second quarter of 2008 with data available in the second
half of 2008. As we previously disclose, the purpose of the 304 study is to support a broader
proposed label for Acetavance by providing safety and efficacy data of two doses of Acetavance,
1000 milligrams every six hours and 650 milligrams every four hours, both compared to placebo and
given over a 24-hour period.
When we designed the 304 study we had the benefit of drawing on additional clinical experience with
intravenous acetaminophen in three further successful clinical trials that were conducted by our
licensor, BMS. Abstracts on these three studies will be presented at the upcoming meeting of the
American Academy of Pain Medicine which is being held February 13 to 16, 2008, but Id like to take
a moment to briefly summarize the results of each of these studies.
The first was a double-blind, randomized, placebo-controlled, single-dose study of the PK, efficacy
and safety of intravenous acetaminophen in the treatment of pain following total hip arthroplasty.
A total of 69 patients were enrolled in the trial, which demonstrated statistically significant
improvement compared to placebo in pain intensity difference from all time points through five
hours post-dosing, in the time to first rescue, and in rescue medication consumption.
The second study was a double-blind, randomized, placebo-controlled, multiple-dose study over 24
hours of intravenous acetaminophen in the treatment of pain following primary hip total
arthroplasty. A total of 62 patients were studied and there was statistically significant
improvement compared to placebo in pain intensity difference at all time points from a quarter of
an hour to three hours post-dosing, in time to first rescue, and rescue medication consumption.
The third and final of these three studies was a double-blind, randomized, placebo-controlled,
multiple-dose 24 hour study of the efficacy and safety of intravenous acetaminophen in the
treatment of pain following vaginal hysterectomy. 44 patients were evaluated in this study, which
demonstrated statistically significant improvement compared to placebo in pain intensity difference
from baseline at multiple time points post-dosing, and in time to first rescue and rescue
medication consumption.
While these studies were prematurely discontinued by BMS due to the discovery of particulates in
the placebo material, with no identified safety consequences Id add, they are important in that
they provided substantial additional information on which to base the clinical trial design of our
ongoing Phase III study in abdominal laparoscopic pain.
We intend to disclose more detailed results of both the 301 and the 302 clinical studies in an
appropriate, peer-reviewed setting. We also plan to request a meeting with the US Food and Drug
Administration to obtain the agencies advice regarding our development program for Acetavance.
Following these discussions with FDA, we will provide updated guidance if there is any change to
the anticipated timing for submission of a new drug application for Acetavance or if any additional
clinical trials are required.
We continue to firmly believe that Acetavance can play an important role in the treatment of acute
pain and fever in the hospital setting, and will focus our efforts on applying the knowledge that
weve gained from the 301 and 302 studies to strengthen our ongoing development program for this
product candidate.
I will now turn the call back to Ted for his closing remarks.
Theodore R. Schroeder, President & Chief Executive Officer
Thanks, Jim. Based on the excellent safety results of both clinical trials discussed today and the
positive secondary end points in our abdominal gynecologic surgery clinical trial, we remain
strongly committed to continuing the development of Acetavance in the United States for the
treatment of acute pain and fever. Our confidence is also supported by other successful post
operative pain trials of intravenous acetaminophen and the products strong position as the market-
leading injectable analgesic in Europe, where over 200 million doses have been sold since the
product was launched there in 2002.
In closing, on behalf of the companys management and Board of Directors, I would like to express
our sincere appreciation for the hard work and dedication of the clinicians, study coordinators and
other support staff who participated in our 301 and 302 clinical trials, and especially to our
internal project and support teams at Cadence.
At this point I would like to turn the call back to the operator and open the lines for questions.
Operator?
QUESTION AND ANSWER SECTION
Operator: Thank you, Mr. Schroeder. The question and answer session will begin at this time.
[Operator Instructions] Well go first with Leland Gershell with Cowen and Company.
<Q Leland Gershell>: Thank you. Good morning, and thanks for taking the questions.
First, a question or two on the pain trial. Just wanted to know if you could disclose any more
information on the results from that trial, such as pain score variabilities. Just to allow us to
further read into those numbers.
<A>: Were preparing materials. We will be preparing materials for a peer-reviewed venue and
would be planning to disclose more detail when we do that.
<Q Leland Gershell>: Okay. And I know this trial was a requirement for FDA approval
although at the same time I think the FDA was equally concerned with safety as well as efficacy or
perhaps even more with multi-dose application of the drug. Do you think that there is a path
forward without the need for additional trials and that the safety will be sufficient? Or do you
expect there will be another trial that needs to be done?
<A>: We agree with you that FDA was particularly concerned about safety over 48 hours and so
thats why were highlighting the fact that we think that the positive safety outcome of this study
is important. What we do know is that FDA wants one pivotal trial in orthopedic pain and one
pivotal trial in soft tissue pain. So well be going to talk to them. A possible path might
include the 304 study as the soft tissue requirement for the NDA, but that will be determined in
our discussion with the FDA.
<Q Leland Gershell>: Okay, great. And then one last question, if I may, this is on the
fever side. Since you do have a hit on the primary endpoint for fever and youre pursuing that
indication, should we now think about fever as being an indication that we could see within the
same timeframe and for an approval? And I know there was a pediatric trial we also need to receive
results from that trial.
<A>: We do believe, if Im understanding your question correctly, we do believe that a fever
submission can occur at the same time as a pain submission. And were also conducting studies that
we believe would support pediatric indication requests at the same time.
<Q Leland Gershell>: Okay. I guess what Im asking is there a delay in the pain timeline.
Can we still see fever going in later this year and how is the market for the fever indication
singly?
<A>: We have to discuss that with the FDA. I dont think we can speculate specifically on
that. But that would be something that wed discuss with FDA.
<Q Leland Gershell>: Great thanks for the questions. Ill jump back in the queue.
Operator: Well go next to Greg Fraser with Merrill Lynch.
<Q Gregory Fraser>: Good morning; thanks for the questions.
<A>: Good morning, Greg.
<Q Gregory Fraser>: Have you talked about what the p value was for the primary endpoint?
<A>: It was around 0.6.
<Q Gregory Fraser>: Okay. And it sounds like you think that the 304 study could possibly
count as pivotal for your NDA? Have there been any discussions with the Agency prior to now
whether that would be a possibility?
<A>: There havent been any specific discussion with the agency about that, but 304 was
designed as a pivotal pain trial and so were speculating when we say that it might be suitable.
But that is something that will be on the table when we talk to the FDA.
<Q Gregory Fraser>: Okay. And what are your preliminary thoughts, I guess, on what the
next steps could be with respect to the GYN surgery studies? Will you go to the FDA with a plan in
mind?
<A>: We will.
<Q Gregory Fraser>: Is there anything to say about that at this point or, what?
<A>: Well, I think what were going to discuss with them is the clinical development plan in
light of the 301 results and so, you can imagine that theres a number of directions that that
could take us.
<Q Gregory Fraser>: Right.
<A>: Well also highlight to them the safety results, which is a substantial increase in
knowledge from the last time the FDA saw anything on this product.
<Q Gregory Fraser>: Okay. Ill get back in the queue.
Operator: Well go next to Charles Duncan with JMP Securities.
<Q Charles Duncan>: Good morning, guys. Good morning, girls. Thanks for taking the
question. Im wondering if you could provide a little bit more color on the timelines with regard
to completing that analysis and discussing this with the FDA. Is this a few weeks, is it a couple
of months? Give me some sense of that.
<A>: Well be requesting a meeting with the FDA as soon as possible and expect that that
request will go out in the next few days. This would be positioned as a Type C meeting and so the
FDA has 21 days to respond to the meeting request and then 75 days to hold the meeting. And so we
believe that were in roughly a timeframe of 3 months to have the meeting.
<Q Charles Duncan>: And then Im wondering if I could ask a question of Jim. If you could,
tell me whether or not this variability was on the order of magnitude that surprised you and give
me a sense of the source of the variability in that trial versus, perhaps, you know, why you have
confidence in less variability in the laparoscopic surgery trial?
<A>: The variability was in pain intensity scores and these are pain intensities measured
with a visual analog scale from 0 to 100 millimeters. The variability, both within patients and
between patients, was higher than we had predicted from other datasets that we had examined using
similar sorts of tools to measure post-surgical pain, and so patients bounced up and down from time
to time over the 48 hours. And then between patients, people that had the same surgery could be at
the top or the bottom of the scale at the same time point post-operatively. So there was just a
tremendous amount of variation of every type in the measurement. One speculation that were making
is that this represents a shift in surgical practice; specifically, Charles, when we pull
variability data on abdominal surgery for hysterectomy from the literature, the literature ages
quickly, as you know. And one thing that were aware of now, we were aware of but this has impact,
is that today many of the simple hysterectomy cases go to minimally invasive surgery such as
laparoscopy procedures or vaginal hysterectomy. So we suspect that there may be a selection bias
in todays surgical arena where the more complicated hysterectomy cases are the ones that are being
shuttled to the full abdominal procedures, while the simpler procedures have less invasive surgery.
So we think that that may be one standard of practice issue that has increased the intrinsic
variability of the surgery.
<Q Charles Duncan>: That makes sense to me, Jim. Do you know at this point is there a
site effect? And secondarily, in your secondary I mean your post-op analysis, I know its
probably a little early, but
could you enumerate, say, are we talking about a few patients that kind of drove this slightly
unpalatable p value?
<A James Brietmeyer>: It is a little early to speculate to that level of detail, Charles,
but we do find a level of variability across sites that is higher than we expected and we dont
have any indication at this time that investigator behavior at one site or another or that a small
number of patients drove the result.
<Q Charles Duncan>: Thank you for the added color, Jim. Good luck.
<A James Brietmeyer>: Sure.
Operator: [Operator Instructions] Well go next to Matthew Jacobson with BDR Research.
<Q Matthew Jacobson>: Hi, thanks for taking my questions. First, on the secondary
endpoint for pain relief, can you just remind us how that one was defined?
<A James Brietmeyer>: Yes. The pain relief is measured with a categorical scale and
patients are asked that different time points how much relief theyve had since they started
receiving the study medication map.
<Q Matthew Jacobson>: Okay. And this was something that was significant at all time
points or?
<A James Brietmeyer>: It is, we havent done drilled down into every time point, but we
looked at 24-hours and at 48-hours.
<Q Matthew Jacobson>: Okay.
<A James Brietmeyer>: And it was significant at those two time points.
<Q Matthew Jacobson>: Okay. And then also, the other endpoint you mentioned was time to
rescue medication. By hitting that does that imply you may have seen a trend in reduction of
opioid use? Or has that not been analyzed yet?
<A James Brietmeyer>: The opioid use was not significantly different between the two
groups.
<Q Matthew Jacobson>: Okay. Can you also let us know your current thoughts on the size of
the fever market? How you are thinking about that currently?
<A Theodore Schroeder>: This is Ted. As you can appreciate, the fever market is a little
difficult to get your hands around because its not a primary diagnosis in the way that the
incident is reported in the hospital through CD-9 codes. Its not captured. However, we have
embarked on a market research effort to try to quantify through market research the opportunity in
the hospital. Weve always looked at that as incremental opportunity because were aware that
there are millions of fevers in the hospital and patients that are unable to take medication by
mouth. But we need to do a fair bit more work to try to quantify the upside opportunity. What we
do know, is that for oral acetaminophen and its various forms in the hospitals in the U.S., a bit
more than two million doses are, Im sorry, a bit more than two billion doses are sold each year in
the hospitals. Thats a pretty good indication of the breadth of the acetaminophen market. And
one that we will drill down on in more detail.
<A James Brietmeyer>: Matt, let me add one little interesting side note to this question.
In the abdominal surgery study, 22% of the patients in the placebo arm reported post-operative
fever as an adverse event. Interestingly, that was reduced by half in the patients on the
Acetavance arm of the study.
<Q Matthew Jacobson>: And of those oral acetaminophen doses in the hospitals, I mean, do
you have any indication how much of that, potentially, just ball park, could just be for fever?
<A>: The indication is that theres its a substantial amount, probably more than 20% or
25%, but we dont have any good data sets on that. So were going to have to triangulate that
number through clinical studies and interviews with hospitals and healthcare providers.
<Q Matthew Jacobson>: Great. Thanks for taking the question.
<A>: Thanks.
Operator: Well take a follow-up question from Greg Fraser with Merrill Lynch.
<Q Gregory Fraser>: Thanks for taking the follow-up. What are your latest thoughts on
when youll need to raise more capital?
<A William LaRue>: Greg, this is Bill. As we have stated all along, it has been our
intention to raise capital this year and that hasnt changed.
<Q Gregory Fraser>: Can you tell us the ballpark cost of the 301 Study, maybe so we can
get an idea what, if you were to run an additional study what the cash needs might be?
<A William LaRue>: Sure, it was in the $5 to $6 million range.
<Q Gregory Fraser>: Okay, thanks.
Operator: Well go next to David Steinberg with Deutsche Bank.
<Q David Steinberg>: Thanks. If you have to do another study, you just went through the
monetary costs. Could you just review how long another 301 Study would take?
<A>: The 301 Study itself completed its enrolment over about a nine to ten-month period.
Given that we have a warmed up and running machine, we think that a repeat study would take in the
range of 8.5 months to perform. And we can do various things in parallel to try to minimize that.
<A>: I think the important point here, David, is unlike many other therapeutic areas, were
looking at perhaps months of delay if another trial is required, not years of delay. So its
while its disappointing, in that if we need to do another trial, it will have some delay, itll be
in the timeframe of months off of our original. Keep in mind that we always that the rate
limiting step on the back end of this was always the CMC stuff, so we had some built-in time should
we need to redo any of the trials without a substantial impact on the timeline.
<A>: Right, and so that means that an eight-month time to perform an additional study if we
need to wouldnt necessarily translate to a full eight-month delay in submitting the NDA.
<Q David Steinberg>: Okay. And I missed it, but the 304 Study, when does that read out?
<A Theodore Schroeder>: The results will be out in the second half of 2008.
<Q David Steinberg>: Okay. And then did you say its early here in the morning here in
San Francisco. Did you say 0.06? Or 0.6 for the p value?
<A James Breitmeyer>: 0.6.
<Q David Steinberg>: Thanks.
<A Theodore Schroeder>: Its early in San Diego, too.
Operator: Well go next to Michael Tong with Wachovia Securities.
<Q Michael Tong>: Hi. Im just wondering if in the fever study, whether you looked at
separation from placebo at various time points? And if so, when did Acetavance separate itself
from placebo in a statically significant way?
<A James Brietmeyer>: Michael, this is Jim. We did look at that, and we had a
statistically significant separation starting at 15 minutes after the end of the infusion. So its
very quick.
<Q Michael Tong>: Okay. And the infusion takes place over...
<A James Brietmeyer>: Over 15 minutes.
<Q Michael Tong>: Great. Thank you.
Operator: At this time it appears we have no further questions. Id like to turn the conference
back to Mr. Schroeder.
Theodore R. Schroeder, President & Chief Executive Officer
Thank you, operator. And thank all of you for participating in our conference call today, and we
will look forward to updating you as we get new information as we meet with the FDA, etcetera.
Thanks everyone.
Operator: Ladies and gentlemen, that does conclude todays conference call. We do appreciate your
participation. You may disconnect at this time.