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DUSA > SEC Filings for DUSA > Form 10-K on 11-Mar-2008All Recent SEC Filings

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Form 10-K for DUSA PHARMACEUTICALS INC


11-Mar-2008

Annual Report


ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
When you read this section of this report, it is important that you also read the financial statements and related notes included elsewhere in this report. This section contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those we anticipate in these forward-looking statements for many reasons, including the factors described below and in the section entitled "Risk Factors". Overview
DUSA is a vertically integrated dermatology company that is developing and marketing Levulan® PDT and other products for common skin conditions. The products we currently market include, among others Levulan® Kerastick® 20% Topical Solution with photodynamic therapy, the BLU-U® brand light source, certain products acquired in the March 10, 2006 merger with Sirius including, Nicomide®, Nicomide-T®, and ClindaReach™.
Historically, we devoted most of our resources to advancing the development and marketing of our Levulan® PDT/PD technology platform. In addition to our marketed products, our drug, Levulan® brand of aminolevulinic acid HCl, or ALA, in combination with light, has been studied in a broad range of medical conditions. When Levulan® is used and followed with exposure to light to treat a medical condition, it is known as Levulan® PDT. When Levulan® is used and followed with exposure to light to detect medical conditions, it is known as Levulan® photodetection, or Levulan® PD. Our Kerastick®is the proprietary applicator that delivers Levulan®.
The Levulan® Kerastick® 20% Topical Solution with PDT and the BLU-U® brand light source were launched in the U.S. in September 2000 for the treatment of non-hyperkeratotic actinic keratoses, or AKs, of the face or scalp under a former dermatology collaboration. AKs are precancerous skin lesions caused by chronic sun exposure that can develop over time into a form of skin cancer called squamous cell carcinoma. In addition, in September 2003 we received clearance from the FDA to market the BLU-U® without Levulan® PDT for the treatment of moderate inflammatory acne vulgaris and general dermatological conditions.
Sirius, a dermatology specialty pharmaceuticals company, was founded in 2000 with a primary focus on the treatment of acne vulgaris and acne rosacea. Nicomide®, its key product, is an oral prescription vitamin supplement which is targeted to the market for inflammatory skin conditions such as acne. The merger has allowed us to expand our product portfolio with the launch of ClindaReach™ in March 2007, capitalize on cross-selling and marketing opportunities, and increase the size of our sales force.
During the fourth quarter of 2007, we performed our annual test for goodwill impairment as required by Statement of Financial Accounting Standards No, 142, Goodwill and Other Intangible Assets (SFAS 142). We use December 1st as the date of our annual goodwill impairment test. Based on the review, we have recorded an impairment charge to goodwill of $6.8 million. The impairment charge is primarily driven by our revised estimate of cash flows


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associated with the Sirius products and product pipeline. Decisions related to the product pipeline were based on a number of factors, most importantly, DUSA's development partner's, Altana, Inc.'s, recent receipt of a non-approvable letter from the FDA with respect to its ANDA supplement covering one of the potential products we acquired from Sirius. We no longer expect to launch this product.
We manufacture our Levulan® Kerastick® in our own facility, while our other products are manufactured by third parties. We are responsible for the regulatory, sales, marketing, and customer service and other related product activities for our Levulan®Kerastick® and for all of our products. Our current objectives include increasing the sales of our products in the United States, Canada, Latin America, and Korea, launching Levulan® with our partners in Brazil and other Latin American countries and Asia, continuing to explore partnership opportunities for Levulan® PDT for dermatology in Europe and Japan, continuing our Levulan® PDT clinical development program for the moderate to severe acne indication. We are working toward having a distribution agreement in place for Japan by the end of the second quarter of 2008.
To further these objectives, we entered into a marketing and distribution agreement with Stiefel Laboratories, Inc. in January 2006 granting Stiefel an exclusive right to distribute the Levulan® Kerastick® in Mexico, Central and South America. We have been actively working with Stiefel to obtain acceptable final pricing from the Brazilian regulatory authorities. In light of the unexpected delay in receiving acceptable final pricing in Brazil, in 2007 we amended certain terms of the original Stiefel agreement to reflect our plans to launch in other Latin American countries prior to Brazil. The product was launched in Argentina, Chile, Colombia, and Mexico during the fourth quarter of 2007. On March 5, 2008 Stiefel notified us that the Brazilian authorities had published the final pricing for the product which is acceptable to Stiefel and to us. We expect Stiefel to launch the product in Brazil shortly. Similarly, we entered into a marketing and distribution agreement with Daewoong Pharmaceutical Co., Ltd. and DNC Daewoong Derma & Plastic Surgery Network Company, or together, Daewoong, granting Daewoong exclusive rights to distribute the Levulan® Kerastick® in certain Asian countries. In the fourth quarter of 2007 the Korean Food and Drug Administration, or KFDA, approved Levulan® Kerastick® for PDT for the treatment of actinic keratosis and Daewoong launched our product.
We are developing Levulan® PDT and PD under an exclusive worldwide license of patents and technology from PARTEQ Research and Development Innovations, the licensing arm of Queen's University, Kingston, Ontario, Canada. We also own or license certain other patents relating to methods for using pharmaceutical formulations which contain our drug and related processes and improvements. In the United States, DUSA®, DUSA Pharmaceuticals, Inc.®, Levulan®, Kerastick®, BLU-U®Nicomide®, Nicomide-T®, Meted®, Psoriacap®, Psoriatec®, AVAR®, AVAR Green®, AVAR-e®, AVAR-e Green®, and AVAR Cleanser® are registered trademarks we own or license. Several of these trademarks are also registered in Europe, Australia, Canada, and in other parts of the world. Numerous other trademark applications are pending.
As of December 31, 2007, we had an accumulated deficit of approximately $135,600,000. We believe that if operations continue as planned, we may be able to achieve profitability and be cash-flow positive on a quarterly basis by the fourth quarter of 2008. Achieving profitability in 2008 is dependent on our ability to continue to grow our PDT segment revenues, both internationally and domestically, our ability to regain the level of Nicomide® revenues we had attained without generic competition beginning in the second quarter of 2008, and our ability to sustain that level of revenues for the remainder of the year.


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We operate in a highly regulated and competitive environment. Our competitors include larger fully integrated pharmaceutical companies and biotechnology companies. Many of the organizations competing with us have substantially greater capital resources, larger research and development staffs and facilities, greater experience in drug development and in obtaining regulatory approvals, and greater manufacturing and sales and marketing capabilities than we do.
Net revenues generated by the products acquired as part of our acquisition of Sirius totaled $9,388,000 for the twelve-month period ended December 31, 2007 and $9,486,000 for the period from March 10, 2006 (date of acquisition) through December 31, 2006. The substantial majority of these revenues were from sales of Nicomide®. With the settlement of the River's Edge litigation in 2007, we expect moderate growth in our Non-PDT Drug Products revenues in 2008, primarily due to the belief that existing quantities of NIC 750 in the distribution channel should be substantially depleted by the end of March 2008 and we should regain our market share beginning in the second quarter of 2008. Our expectations for growth assume that there are no other products successfully introduced into the marketplace which would be substitutable for Nicomide®and that the FDA does not take enforcement action against Nicomide® as a marketed unapproved drug. We are pursuing an alternative labeling and distribution strategy that we believe we could deploy if the FDA takes such action.
We have continued our efforts to penetrate the market by expanding our sales coverage in key geographic locations. See the section entitled "Management's Discussion and Analysis - Results of Operations, Marketing and Sales Costs." We are encouraged with the year-over-year increase in PDT sales, as well as the positive feedback we continue to receive from physicians across the country that believe Levulan PDT should become a routine part of standard dermatological practice. We are continuing to explore opportunities to develop, market, and distribute our Levulan® PDT platform in Europe and expect that our distribution partners, Stiefel for Latin America and Daewoong for Asia will give the product increased visibility in the market and thereby advance our international strategy. We are also continuing to seek to acquire and/or license additional dermatology products that complement our current product portfolio that would provide our sales force with additional complementary products to sell in the near term.
Certain of the products acquired in connection with the Sirius merger must meet certain minimum manufacturing and labeling standards established by the FDA and applicable to products marketed without approved marketing applications including Nicomide®. The FDA regulates such products under its marketed unapproved drugs compliance policy guide entitled, "Marketed New Drugs without Approved NDAs or ANDAs." Under this policy, the FDA recognizes that certain unapproved products, based on the introduction date of their active ingredients and the lack of safety concerns, have been marketed for many years and, at this time, will not be the subject of any enforcement action. The FDA has recently taken a more proactive role and is strongly encouraging manufacturers of such products to submit applications to obtain marketing approval and we have begun discussions with the FDA to begin that process. The FDA's enforcement discretion policy does not apply to drugs or firms that may be in violation of regulatory requirements other than preapproval submission requirements and the FDA may bring an action against a drug or a firm when the FDA concludes that such other violations exist. The contract manufacturer of Nicomide® has received notice that the FDA considers prescription dietary supplements to be unapproved new drugs that are misbranded and that cannot be legally marketed, and has received notice that the FDA believes Nicomide® could not be marketed as a dietary supplement with its current labeling. If the FDA were to take further action, we may be required to make certain labeling changes and market Nicomide® as an over-the-counter product or as a dietary supplement under applicable legislation, or withdraw the product from the market, unless and until we submit a marketing application and obtain FDA marketing approval. Any such action by the FDA would have a material impact on our Non-PDT Drug Product revenues.


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Label changes eliminating claims of certain medicinal benefits could make it more difficult to market Nicomide® and could therefore, negatively affect our revenues and profits.
Shortly after the closing of the merger with Sirius, we became engaged in patent litigation with River's Edge Pharmaceuticals LLC, or River's Edge, a company that launched a niacinamide-based product. River's Edge also requested that the United States Patent and Trademark Office, or USPTO, reexamine the Nicomide® patent claiming that it is invalid. The USPTO accepted the application for reexamination of the patent and the parties submitted their responses to the first office action. Although the court issued a preliminary injunction against sales of River's Edge's product in May 2006, the injunction was lifted on March 7, 2007, due, in part, to the court's determination that the reexamination process by the USPTO presented sufficient changed circumstances to warrant the dissolution of the injunction. On October 28, 2007, we entered into a settlement agreement and mutual release, or Settlement Agreement, and a license agreement with River's Edge ending the litigation. On March 6, 2008, the USPTO vacated the reexamination. See the section entitled "Legal Proceedings-River's Edge." Nicomide® sales were adversely impacted throughout the litigation process and had a material negative impact on our revenues, results of operations and liquidity. With the settlement of the River's Edge litigation in 2007, we expect moderate growth in our Non-PDT Drug Products revenues in 2008.
We believe that issues related to reimbursement negatively impacted the economic competitiveness of our therapy with other AK therapies and hindered its adoption in the past. We have continued to support efforts to improve reimbursement levels to physicians. Such efforts included working with the Centers for Medicare and Medicaid Services and the American Academy of Dermatology Association on matters related to PDT-related procedures fee and the separate drug reimbursement. In addition, in many cases, physicians can also bill for any applicable office visit reimbursements. We continue to support ongoing efforts that might lead to further increases in reimbursement in the future, and intend to continue supporting efforts to seek reimbursement for our FDA-cleared use of the BLU-U® alone in the treatment of mild to moderate inflammatory acne of the face. Effective in January 2008, the national Medicare average reimbursement amount for our PDT-related procedure fee increased by approximately 18%. We believe that with increased reimbursement for our PDT-related procedure fee, including the 18% increase in January 2008, our treatment is increasingly financially viable for practitioners, and more competitive with alternative AK therapies from a practice management perspective. Most major private insurers have approved coverage for our AK therapy. We believe that due to these efforts, plus potential future improvements, along with our education and marketing programs, a more widespread adoption of our therapy should occur over time.
We recognize that we have to continue to demonstrate the clinical value of our unique therapy, and the related product benefits as compared to other well-established conventional therapies, in order for the medical community to accept our products on a large scale. Since we cannot predict when product sales may offset the costs associated with these efforts, we expect that we will continue to generate operating losses through 2008. We are aware that physicians have been using Levulan® with the BLU-U® using short incubation times, and with light devices manufactured by other companies, and for uses other than our FDA-approved use. While we are not permitted to market our products for so-called 'off-label' uses, we believe that these activities are positively affecting the sales of our products.
As of December 31, 2007, we had a staff of 83 employees, including 4 part-time employees, as compared to 85 full-time employees, including 2 part-time employees, at the end of 2006, including marketing and sales, production, maintenance, customer support, and financial operations personnel, as well as those who support research and development programs for dermatology and internal indications. At December 31, 2007, our sales force was comprised


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of 35 employees. During 2006, with the addition of the sales force from Sirius we increased the size of our sales force to 37 from 26 at the end of 2005. We may add and/or replace employees during 2008 as business circumstances deem necessary.
2007 TRANSACTIONS
During 2007, DUSA entered into a number of transactions:
Winston Laboratories, Inc.
On or about January 30, 2006, Winston Laboratories, Inc., or Winston, and the former Sirius entered into a license agreement relating to a Sirius product, Psoriatec® (known by Winston as Micanol) revising a former agreement. The original 2006 Micanol License Agreement granted an exclusive license, with limitation on rights to sublicense, to all property rights, including all intellectual property and improvements, owned or controlled by Winston to manufacture, sell and distribute products containing anthralin, in the United States. On January 29, 2008, our wholly-owned subsidiary, Sirius, entered into the 2006 Micanol Transition License Agreement with Winston. The Transition License Agreement amends the original 2006 Micanol License Agreement which was due to expire pursuant to its terms on January 31, 2008. The parties entered into the Transition License Agreement to extend the term of the 2006 Micanol License Agreement to September 30, 2008 in order to allow DUSA to sell its last batch of product, to reduce the period of time that we are required to maintain product liability insurance with respect to its distribution and sale of products containing anthralin after the termination of the Transition License Agreement and to confirm the allocation of certain costs and expenses relating to the product during and after the transition period. We will pay royalties on net sales of Psoriatec®, but we are no longer required to pay Winston a minimum royalty to maintain the license.
Private Placement
On October 29, 2007, we entered into a securities purchase agreement, common stock purchase warrants, and a registration rights agreement with several investors for the private placement of 4,581,043 shares of our common stock at a purchase price of $2.40 per share which resulted in gross proceeds to us of $11,000,000, and warrants to purchase an additional 1,145,259 shares of common stock. The warrants become exercisable on April 30, 2008, have a term of five years from the initial exercise date, and have an exercise price of $2.85 per share. On November 26, 2007, we registered the shares of common stock issued in the transaction and the shares underlying the warrants with the Securities and Exchange Commission for resale on a registration statement on Form S-3. On January 22, 2008, we filed an amended registration statement on Form S-3/A. This registration statement was declared effective by the Securities and Exchange Commission on January 24, 2008. The warrants are accounted for as a derivative liability at fair value on the Consolidated Balance Sheet.
River's Edge
On March 28, 2006, a lawsuit was filed in the United States District Court for the Northern District of Georgia, Gainesville Division by River's Edge Pharmaceuticals, LLC, or River's Edge, against us alleging, among other things, that, prior to the merger with DUSA, Sirius agreed to authorize River's Edge to market a generic version of Nicomide®, and that the United States patent covering Nicomide® issued to Sirius in December 2005 is invalid. Nicomide® is the key product DUSA acquired from Sirius in its merger. River's Edge also filed an application with the U.S. Patent and Trademark Office requesting reexamination of the Nicomide® patent. On April 20, 2006, we filed a patent infringement suit in the United States


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District Court in Trenton, New Jersey alleging that the River's Edge niacinamide product infringes U.S. Patent No. 6,979,468.
On October 28, 2007, we entered into a Settlement Agreement and Mutual Release to resolve all claims arising out of the litigation. Under the terms of the Settlement Agreement, River's Edge unconditionally acknowledged the validity and enforceability of the Nicomide® patent, made a lump-sum settlement payment to DUSA in the amount of $425,000 for damages and agreed to pay to DUSA $25.00 for every bottle of NIC 750 above 5,000 bottles that is substituted for Nicomide® after September 30, 2007. River's Edge is responsible for all returns of NIC 750 from the distribution chain and/or order its destruction and will immediately cease the manufacture, distribution and sale of NIC 750. River's Edge withdrew from and ceased participating in the re-examination of our Nicomide® patent and consented to the return to us of the $750,000 bond, which was received by us during the fourth quarter of 2007. On March 6, 2008, the U.S. Patent and Trademark Office vacated the reexamination of the Nicomide® patent.
As part of the settlement, DUSA and River's Edge have also entered into a license agreement, dated October 28, 2007, whereby DUSA granted a perpetual, exclusive license to River's Edge to manufacture and sell four of products from the AVAR® line, including AVAR cleanser, AVAR gel, AVAR E-emollient cream and AVAR E-green in exchange for a royalty on net sales of these products, including a guaranteed minimum royalty of $300,000, payable in equal annual installments of $100,000 for three years. DUSA provided its on-hand inventory of these products to River's Edge for no cost. We recorded a gain of $583,000 shown as "Net gain from settlement of litigation," and will record royalties, as earned, in "Product revenues" in the Consolidated Statements of Operations.
Stiefel Laboratories, Inc.
In January, 2006, we entered into an exclusive marketing, distribution and supply agreement with Stiefel Laboratories, Inc., or Stiefel, covering current and future uses of our proprietary Levulan® Kerastick® for PDT in dermatology. The agreement, grants Stiefel an exclusive right to distribute, promote and sell the Levulan® Kerastick® in the western hemisphere from and including Mexico south, and all other countries in the Caribbean, excluding United States territories. We will manufacture and supply to Stiefel on an exclusive basis in the territory all of Stiefel's reasonable requirements for the product. The agreement has an initial term of ten years. The Mexican, Argentinean, Colombian, and on March 5, 2008 the Brazilian regulatory authorities have granted their respective approvals to market the product. In September 2007, in light of the unexpected delay in receiving acceptable final pricing in Brazil, we amended certain terms of the original Stiefel agreement to reflect our plans to launch in other Latin American countries prior to Brazil. During the third quarter of 2007, our first shipments were released to Argentina and Mexico. Pursuant to the amendment, Stiefel will make aggregate milestone payments to us of up to $2,250,000, rather than up to $3,000,000 under the Agreement based upon:
(i) launch of the product in either Mexico or Argentina which has been paid;
(ii) upon receipt of acceptable pricing approval in Brazil; and
(iii) achievement of pre-determined minimum purchase levels in the territory. In addition, the transfer price for the product was amended to set a fixed price plus a royalty on net sales, rather than a revenue-sharing arrangement as under the agreement. We believe that the amended transfer price reduces some of the risk related to currency and market price fluctuations during the ten-year term of the agreement. The parties have certain rights to terminate the agreement prior to the end of the initial term, and Stiefel has an option to extend the term for an additional ten years on mutually agreeable terms and conditions. Revenues associated with this agreement are recorded in accordance with Emerging Issues Task Force (EITF) Issue No. 00-21, Revenue arrangements with Multiple Deliverables (EITF 00-21).
Daewoong Pharmaceutical Co., Ltd.
On January 4, 2007, we entered into an exclusive marketing, distribution and supply agreement with Daewoong covering current and future uses of the Levulan® Kerastick® for PDT


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in dermatology. The agreement grants Daewoong exclusive rights to distribute, promote and sell the Levulan® Kerastick® in Korea, Taiwan, China, including without limitation Hong Kong, India, Indonesia, Malaysia, Philippines, Singapore, Thailand and Vietnam. We will manufacture and supply the product to Daewoong on certain terms and conditions.
The agreement has an initial term of ten years (subject to earlier termination and extension provisions). Daewoong will complete final integration and submission on our behalf of all registrations and regulatory filings for the product in the territory.
Under the terms of the agreement, Daewoong will make up to $3,500,000 in milestone payments to us, $1,000,000 of which was paid on signing, and $1,00,000 of which was paid upon receipt of Korean regulatory approval of the product. The remaining milestones are based upon achievement of pre-determined cumulative sales targets in the territory subject to certain terms and conditions. In order to maintain its exclusive rights, Daewoong is obligated to purchase a certain number of units of the product and meet certain regulatory timelines. We will manufacture the product in our facility in Wilmington, Massachusetts. We will also receive a minimum transfer price per unit plus a percentage of Daewoong's end-user price above a certain level. Revenues associated with this agreement are recorded in accordance with EITF 00-21.
Levulan® Lawsuits Filed
Since December 2004, we have filed lawsuits against physicians in several states to prevent their unlicensed use of versions of our Levulan® brand of ALA produced, by third-parties for use in our patented PDT treatment for actinic keratosis, basal cell carcinoma, or acne. The suits alleged that these physicians performed patient treatments that are covered under patents exclusively licensed by DUSA, resulting in direct infringement of these patent(s). Additionally, some physicians were sued for infringement of DUSA's trademarks and for violations of the Lanham Act for using the Levulan® brand name on their web sites and promotional materials, but performing patient treatments with ALA obtained from other sources. As of the end of 2007, all of the lawsuits against physicians have settled favorably to us and DUSA has the right to review the physician's books and records to verify ongoing compliance.
We have also sued two compounding pharmacies which we believed were inducing physicians to infringe our patents on the photodynamic treatment of acne or actinic keratosis. These compounding pharmacies were selling ALA to those physicians. Both of the suits against the compounding pharmacies have been resolved in DUSA's favor, and DUSA has the right to review their books and records to verify ongoing compliance.
During 2006, we sued chemical suppliers in United States District Court for the District of Arizona and the District of Utah, and a light device manufacturer, a distributor, and a sales representative in United States District Court for the Southern District of Ohio, Eastern Division, alleging that these defendants induced physicians to infringe patents licensed to us, among other things. During 2007, these cases have been resolved in DUSA's favor, with DUSA having the right to review their books and records to verify ongoing compliance.
While we believe that certain actions of compounding pharmacies and others go beyond the activities which are permitted under the Food, Drug and Cosmetic Act and have advised the FDA and local health authorities of our concerns, we cannot be certain that our lawsuits will be successful in curbing the practices of these companies or that regulatory authorities will intervene to stop their activities. In addition, there may be other compounding pharmacies which are . . .

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