UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
----------------------------
FORM 10-K
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF
THE SECURITIES AND EXCHANGE ACT OF 1934
For the twelve months ended December 29, 2001
Commission File Number: 0-4829-03
NABI BIOPHARMACEUTICALS
(Exact name of registrant as specified in its charter)
Delaware 59-1212264
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(State or other jurisdiction of (I.R.S. Employer Identification No.)
incorporation or organization)
5800 Park of Commerce Boulevard N.W., Boca Raton, FL 33487
(Address of principal executive offices, including zip code)
(561) 989-5800
(Registrant's telephone number, including area code)
NABI
(Former name)
Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding twelve months (or for such shorter period that the Registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. [X] Yes [ ] No
Indicate by check mark if disclosure of delinquent filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best of Registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this form of the 10-K. [ ]
As of February 22, 2002, 38,554,061 shares of common stock were
outstanding, of which 38,079,014 shares were held of record by non-affiliates.
The aggregate market value of shares held by non-affiliates was approximately
$215,527,220 based on the closing price per share of such common stock on such
date as reported by Nasdaq Stock Market.
Documents Incorporated by Reference
Portions of the definitive Proxy Statement for the annual meeting of
shareholders, which will be filed within 120 days of the close of the
Registrant's fiscal year ended December 29, 2001, are incorporated by reference
into Part III.
NABI BIOPHARMACEUTICALS
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TABLE OF CONTENTS
Page No.
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Part I.
Item 1. Business.......................................................3
Item 2. Properties....................................................26
Item 3. Legal Proceedings.............................................26
Item 4. Submission of Matters to a Vote of Security Holders...........26
Item 4a. Executive Officers of the Registrant..........................27
Part II.
Item 5. Market for Registrant's Common Equity and Related
Stockholder Matters...........................................29
Item 6. Selected Financial Data.......................................29
Item 7. Management's Discussion and Analysis of Financial
Condition and Results of Operations...........................31
Item 7a. Quantitative and Qualitative Disclosures about Market Risk....36
Item 8. Financial Statements and Supplementary Data...................39
Item 9. Changes in and Disagreements with Accountants on
Accounting and Financial Disclosure...........................63
Part III.
Item 10. Directors and Executive Officers of the Registrant............64
Item 11. Executive Compensation........................................64
Item 12. Security Ownership of Certain Beneficial Owners and
Management....................................................64
Item 13. Certain Relationships and Related Transactions................64
Part IV.
Item 14. Exhibits, Financial Statement Schedules, and Reports
on Form 8-K...................................................65
Signatures ..............................................................69
2
NABI BIOPHARMACEUTICALS
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PART I
ITEM 1. BUSINESS
OVERVIEW
Nabi Biopharmaceuticals (formerly known as "Nabi") is a vertically integrated
biopharmaceutical company committed to unlocking the power of the human immune
system to help people with serious, unmet medical needs. We have a broad product
portfolio and significant research capabilities focused on the development and
commercialization of drugs that prevent and treat infectious, autoimmune and
addictive diseases. We have four marketed biopharmaceutical products,
Nabi-HB(TM) [Hepatitis B Immune Globulin (Human)] for the prevention of
hepatitis B infections, WinRho SDF(R) [Rho (D) Immune Globulin Intravenous
(Human)] for the treatment of acute, chronic and HIV-related immune
thrombocytopenia purpura, Autoplex(R) T [Anti-Inhibitor Coagulant Complex, Heat
Treated] and Aloprim(TM) [(Allopurinol sodium) for injection], and a vigorous
clinical trials program. We have a state of the art fractionation plant for our
own manufacturing of biopharmaceutical products and for contract manufacturing.
Further, we also collect specialty and non-specific antibodies for use in our
products as well as to supply pharmaceutical and diagnostic customers for the
subsequent production of their products.
PRODUCTS
CURRENTLY MARKETED BIOPHARMACEUTICAL PRODUCTS
Sales of our biopharmaceutical products, Nabi-HB, WinRho SDF, Autoplex T and
Aloprim, totaled $73.4 million in 2001 compared to $73.0 million in 2000. In
2001, biopharmaceutical products accounted for 32% of our sales and 77% of our
gross margin. Each of our four currently marketed biopharmaceutical products are
described below:
NABI-HB(TM) [HEPATITIS B IMMUNE GLOBULIN (HUMAN)]
The hepatitis B virus ("HBV") is a major health concern globally affecting
approximately 350 million people worldwide. One out of 20 people in the U.S. has
been infected with HBV. The U.S. Center for Disease Control and Prevention
("CDC") estimates that in the U.S. alone there are an estimated 1.25 million
chronic hepatitis B carriers, 80,000 new hepatitis B infections per year, 16,000
babies born to hepatitis B positive mothers and 5,000 to 6,000 individuals who
die annually from hepatitis B or its complications. HBV is 100 times more
infectious than the human immunodeficiency virus ("HIV") and approximately half
of new hepatitis B infections are caused by sexual exposures. The CDC estimates
that HBV costs at least $700 million annually in medical expenses and lost work
time.
Nabi-HB is a human polyclonal antibody product used to prevent hepatitis B
following sexual or other exposure, including needle sticks and transmission
from hepatitis B antigen-positive mothers to their newborns. We launched the
product immediately upon receipt of the Food and Drug Administration ("FDA")
approval in March 1999. Nabi-HB replaced a predecessor product, H-BIG. In
October 2001, we received approval from the FDA to manufacture Nabi-HB in our
biopharmaceutical manufacturing facility in Boca Raton, Florida. We completed
the in-patient phases of clinical studies in 2001 of Nabi-HB to evaluate its
ability to prevent HBV reinfection in liver transplant patients. See also
"Strategic Alliance" and "Supply and Manufacturing."
WINRHO SDF(R) [RHO(D) IMMUNE GLOBULIN INTRAVENOUS (HUMAN)]
Immune Thrombocytopenia Purpura ("ITP") is an autoimmune disease that manifests
itself in abnormally low platelet levels (thrombocytopenia) resulting in
excessive bleeding. The term "purpura" refers to the appearance of large purple
patches on the body caused by bleeding into the skin and mucous membranes. In
ITP, the body's immune system produces antibodies that attach to platelets
causing
3
them to be removed from circulation, primarily by the spleen. Because platelets
are required for blood clotting, as platelet counts decrease, the incidence of
bleeding episodes increase. In certain cases, such as severe trauma or
spontaneous intracranial hemorrhage, the bleeding can be life threatening. In
the U.S., it is estimated that there are 15 cases of ITP per 100,000 population,
or approximately 40,000 cases per year. In children, the disease is usually
acute in onset and is often resolved with treatment in six months. In adult ITP,
the onset is insidious and rarely resolves itself spontaneously. Additionally,
ITP is more common in females than males. ITP can occur as either a primary
disease or secondary to another underlying disease such as HIV or Lupus. The
incidence of ITP is estimated at 650 per 100,000 in HIV-positive individuals.
Rh blood group antigen D expression on red blood cells is responsible for the
designation of blood as either Rh-positive or Rh-negative. Rho (D)
isoimmunization is a condition where antibodies of a Rho (D) negative pregnant
woman may be incompatible with their Rho (D) positive newborn. This condition
could be a complication in up to 9-10% of the approximately 4 million births
each year in the U.S.
WinRho SDF is a human polyclonal antibody product approved for the treatment of
ITP and for the prevention of Rho (D) isoimmunization. WinRho SDF has been
designated by the FDA as an Orphan Drug for the treatment of ITP through March
2002. We began exclusive marketing of WinRho SDF in the U.S. in mid-1995 under a
license and distribution agreement with Cangene Corporation ("Cangene"). We are
currently conducting a number of clinical studies under Investigational New Drug
Applications ("IND") involving WinRho SDF, including (a) a comparison of WinRho
SDF versus IVIG for the treatment of ITP, (b) an evaluation of WinRho SDF in the
treatment of ITP during pregnancy, and (c) a comparison of WinRho SDF versus
routine care with prednisone followed by splenectomy in the management of ITP.
See also "Strategic Alliances," "Supply and Manufacturing," and "Government and
Industry Regulation-Orphan Drug Act."
AUTOPLEX(R) T [ANTI-INHIBITOR COAGULANT COMPLEX, HEAT TREATED]
Hemophilia A is a blood clotting disorder characterized by a lack of functional
coagulation factor, factor VIII. Physicians typically treat hemophilia A by
replacing the deficient factor with either recombinant clotting factor or
antibodies derived human factor VIII. In most cases, replacement therapy is
effective in stopping bleeding episodes. However, the treatment of hemophilia A
is complicated when an inhibitor or antibody is produced in response to outside
sources of factor VIII. These antibodies neutralize infused factor VIII,
rendering the patient at risk for excessive bleeding episodes. There are
approximately 13,000 hemophilia A patients in the U.S., and approximately 10-20%
of them suffer from the production of inhibitors.
Autoplex T is a coagulation complex used to treat patients who have developed
inhibitors to factor VIII. Autoplex T "bypasses" the factor VIII requirement for
clotting by stimulating other components of the coagulation process. We acquired
exclusive rights to Autoplex T in the U.S., Canada and Mexico from Baxter
Healthcare Corporation ("Baxter") in May 1997. See also "Supply and
Manufacturing."
ALOPRIM(TM)[(ALLOPURINOL SODIUM) FOR INJECTION]
Aloprim is indicated for the treatment of chemotherapy induced hyperuricemia in
patients with leukemia, lymphoma, or solid organ tumors. There are approximately
90,000 patients annually who suffer from these conditions in the U.S. We
acquired certain rights to distribute Aloprim from DSM Catalytica
Pharmaceuticals (formerly Catalytica Pharmaceuticals) ("Catalytica") in June
1999. See also "Strategic Alliances" and "Supply and Manufacturing."
4
CURRENTLY MARKETED ANTIBODIES AND INTERMEDIATE PRODUCTS
On September 6, 2001, we sold the operating assets of a majority of our antibody
collection centers and our testing laboratory for $153.0 million in cash. By
retaining nine antibody collection centers, we expect to generate sufficient raw
materials for the manufacture of our own antibody-based therapeutic products in
our Boca Raton, Florida manufacturing facility while continuing to supply
pharmaceutical and diagnostic customers specialty and non-specific antibodies
and intermediates for the subsequent manufacture of their products. In
connection with the sale, we agreed to sell to the purchaser antibodies
collected at the centers we retained for a period of four years. This agreement
has now been amended to permit us, beginning in 2002, to sell non-specific
antibodies to third parties at market prices.
SPECIALTY ANTIBODIES
Specialty antibodies, containing high concentrations of a specific antibody, are
used primarily to manufacture antibody-based therapeutic products. These
specialty antibodies are used in products to treat chronic immune disorders as
well as to prevent and treat viral and bacterial diseases and to develop
diagnostic products. As we are able to achieve licensure for products in our
research and development pipeline, we anticipate a strategic shift of converting
non-specific antibodies production into the production of specialty antibodies
used in the manufacture of our own antibody-based therapeutic products as well
as continuing to sell specialty antibody products to third parties. Currently,
certain of the specialty antibodies produced in our antibody collection centers
are used in the production of our own biopharmaceutical products.
We identify potential specialty antibody donors through screening and testing
procedures. We also have developed FDA-licensed programs to vaccinate potential
donors to stimulate their production of specific antibodies. Through our
antibody collection capabilities, our operational expertise in donor
immunization programs, our clinical and medical experience in conducting medical
trials under IND, and our access to a diverse antibody donor base, we believe we
have a strategic advantage over competitors in our ability to produce specialty
antibodies.
Our principal specialty antibody products include:
o RHO(D) ANTIBODIES. Antibodies to RhoD antigen have long been used to
prevent Rh-D isoimmunization in Rh-negative women and subsequent
hemolytic disease (blue baby disease) in Rh-positive infants. These
antibodies are also used to treat ITP in children and adults.
Antibodies containing Rh-D antigen are used in the manufacture of
WinRho SDF, our biopharmaceutical product for the treatment of ITP.
o HEPATITIS B ANTIBODIES. Antibodies to HBV are used to manufacture
hepatitis B immune globulin therapeutic products that provide passive
immunity against HBV. We are strategically committed to utilizing our
collection of these antibodies to HBV to produce Nabi-HB, our hepatitis
B biopharmaceutical product.
o CMV ANTIBODIES. Antibodies to CMV are supplied to manufacturers to
enhance intravenous immune globulin ("IVIG") products and to produce
CMV-specific immune globulin therapeutic products.
o RABIES ANTIBODIES. Antibodies to rabies are used by our customers to
make therapeutic products that provide short-term protective
antibody-based immunity to patients exposed to the rabies virus.
o TETANUS ANTIBODIES. Antibodies to tetanus toxin are used to produce
therapeutic products to provide short-term protective immunity to
patients exposed to tetanus.
o DIAGNOSTIC PRODUCTS AND SERVICES. We supply infectious disease quality
assurance and specialty antibody-based products to our customers, which
include IN-VITRO diagnostic manufacturers, regulatory agencies and
testing laboratories.
5
During 2001, sales of specialty antibodies were $46.8 million, a 19% decrease
from 2000 sales of $58.0 million. Specialty antibody sales decreased during
2001, due primarily to the sale of the majority of our antibody collection
centers in September 2001. Specialty antibody sales accounted for 20% of total
sales in 2001 and 25% of total sales in 2000.
NON-SPECIFIC ANTIBODIES
Our nine FDA licensed antibody collection centers supply non-specific human
antibodies from normal healthy donors to our customers in the pharmaceutical and
diagnostic industries.
Although non-specific antibodies lack high levels of antibodies to specific
antigens, such antibodies are used by our customers to manufacture standard
IVIG, a product used to fight infections, and in the treatment of several
conditions, including bone marrow transplantation, B-cell chronic lymphocytic
leukemia, hypogammaglobulinemia, Kawasaki syndrome and other chronic immune
deficiencies. Subfractions derived from non-specific antibodies are also
provided to our customers for the manufacture of other pharmaceutical products
such as albumin.
In 2001, we derived sales of $114.5 million from sales of non-specific
antibodies as compared to 2000 levels of $97.8 million. Increased sales from
non-specific antibodies reflect increased sales prices to our non-specific
antibody customers in 2001 offset by the effect of the sale of the majority of
our antibody collection centers in September 2001.
The following is a summary of our currently marketed biopharmaceutical and
antibody products:
Products Indications or Potential Applications Status
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NABI-HB Post exposure prevention of hepatitis B infection CURRENTLY MARKETED
WINRHO SDF Treatment of ITP; CURRENTLY MARKETED;
Rho (D) isoimmunization in clinical studies
AUTOPLEX T Treatment of patients with CURRENTLY MARKETED
inhibitors to Factor VIII
ALOPRIM Treatment of patients with chemotherapy-induced CURRENTLY MARKETED
hyperuricemia
SPECIALTY ANTIBODIES Intermediate for production of antibody based CURRENTLY MARKETED
biopharmaceutical products (e.g., tetanus, rabies,
HBV, CMV and anti-D antibodies)
NON-SPECIFIC Intermediate for production of non-specific CURRENTLY MARKETED
ANTIBODIES antibody products (e.g., standard IVIG) and other
products (e.g., albumin and clotting factors)
RESEARCH AND DEVELOPMENT PRODUCT PIPELINE
We have an extensive pipeline of biopharmaceutical products under development.
Our lead program consists of vaccines for long-term protection and human
polyclonal antibody products for immediate short-term protection from blood
infections caused by Gram-positive bacteria (e.g., S. AUREUS, S. EPIDERMIDIS,
AND ENTEROCOCCI) and human polyclonal antibody products for the treatment and/or
prevention of various infectious diseases in at risk populations. We believe
there may be areas outside of infectious diseases, including the prevention and
treatment of nicotine addiction, where our conjugate vaccine technologies may
also be applied successfully.
6
NABI GRAM-POSITIVE PROGRAM
EPIDEMIOLOGY
According to the CDC, more than two million patients in the U.S. each year
contract an infection as a result of exposure while receiving healthcare in a
hospital. S. AUREUS is among the most common causes of these hospital-acquired
infections and is reportedly associated with a death rate of 10% to 25% because
of its capacity to cause serious complications. S. AUREUS can spread from the
blood (bacteremia), to the bones (osteomyelitis), or the inner lining of the
heart and its valves (endocarditis), or cause abscesses in internal organs such
as the lungs and kidneys. Most at risk for these infections are surgical
patients, trauma or burn victims, newborns whose immune systems are not yet
developed and people with such chronic illnesses as diabetes, cancer, lung
diseases or kidney diseases. People whose immune systems are suppressed due to
disease, drugs or radiation therapy also are more susceptible to these bacterial
infections.
Based on a 1995 study, the Lewin Group, an independent consulting group,
published data on the incidence, deaths and direct medical costs of S. AUREUS
infections in hospitalized patients in the New York City metropolitan area. The
report found that in 1995 the total direct medical costs incurred as a result of
S. AUREUS infections was estimated at $32,100 per patient. S. AUREUS-associated
hospitalizations resulted in more than twice the length of hospitalization stay,
twice the deaths and twice the medical costs compared to an average hospital
stay. Methicillin-resistant and methicillin-sensitive infections had similar
direct medical costs, but resistant infections caused more deaths (21% versus
8%).
These infections are difficult to treat because the bacteria that cause them are
highly virulent and are resistant to many currently available antimicrobial
drugs. Overall, 70% of the bacteria causing Gram-positive infections are
resistant to at least one of the drugs most commonly used to treat these
infections. Although the contribution of antibiotic resistance to the outcome of
such infections is unclear, hospital-acquired infections of the bloodstream may
represent the eighth leading cause of death in the U.S. The rise of antibiotic
resistance has markedly curtailed options for treating these infections.
The first penicillin-resistant strains of S. AUREUS were identified in 1944, and
by the late 1950's, approximately half of S. AUREUS infections were of this
type. Methicillin-resistant strains were identified in 1961, just one year after
the introduction of this antibiotic. The CDC currently estimates that in large,
urban U.S. hospitals, up to 55% of S. AUREUS infections are resistant to
methicillin. In 1997, the first S. AUREUS strains with notably reduced
sensitivity to vancomycin (so called, vancomycin intermediate sensitivity S.
AUREUS - VISA strains) and teicoplanin were discovered. VISA strains have been
isolated in 23 states within the U.S. and have contributed to the death of
patients in the U.S., Europe and Japan.
DUAL APPROACH
We are using a dual approach to developing products to combat Gram-positive
infections: StaphVAX(R) (STAPHYLOCOCCUS AUREUS Polysaccharide Conjugate Vaccine)
and Altastaph(TM) [STAPHYLOCOCCUS AUREUS Immune Globulin Intravenous (Human)].
StaphVAX, an investigational polysaccharide conjugate vaccine, is a novel
approach to the prevention of S. AUREUS infections. StaphVAX targets the two S.
AUREUS serotypes (type 5 and type 8) responsible for approximately 85-90% of S.
AUREUS infections. Traditional vaccines typically target pediatric populations
or healthy adults and entail mass vaccination. StaphVAX targets primarily
hospitalized adult, chronically ill or long-term care facility patients that are
at high risk of developing S. AUREUS infection. StaphVAX is intended to
stimulate a patient's immune system to produce antibodies to S. AUREUS that
provide active, long-term protection from the bacteria. After receiving the
vaccine, the patient's immune system responds in about two weeks with the
production of high levels of specific antibodies that may last for several years
in non-immune compromised patients and almost a year in immune compromised
patients.
7
Altastaph is an investigational human polyclonal antibody product that is being
developed to prevent S. AUREUS infections in patients who are at immediate risk
of infection or cannot produce their own antibodies when given a vaccine. It may
also be used to treat an existing infection. Altastaph is purified from the
antibodies of donors who have been immunized with StaphVAX and who have
responded to the immunization with high levels of antibodies to the S. AUREUS
bacteria. Altastaph can be provided to a patient by infusion. Based on the
circulation half-life of the administered antibodies, the protection and/or
therapy provided by a single injection of Altastaph is expected to last a number
of weeks, but may be extended by giving repeated doses.
StaphVAX contains molecules found in the polysaccharide outer coating
(polysaccharide capsule or CP) of two strains of S. AUREUS, which account for
about 85% of all S. AUREUS types. The polysaccharide molecules were joined, or
conjugated, in the vaccine with a non-toxic, carrier protein derived from the
bacteria PSEUDOMONAS AERUGINOSA. Once given the vaccine, the patients' immune
systems produce proteins, called antibodies, which bind to S. AUREUS on
subsequent exposure to the bacteria. These antibodies help the immune system to
identify the staph bacteria while it is still in the blood and eliminate it.
STAPHVAX(R) (STAPHYLOCOCCUS AUREUS POLYSACCHARIDE CONJUGATE VACCINE)
StaphVAX is being developed for the 9 to 11 million patients at high risk of
infection and who are able to respond to a vaccine by producing their own
antibodies. Potential at-risk patient populations for StaphVAX include: (a)
patients such as the elderly and those suffering chronic diseases including end
stage renal disease ("ESRD"), congestive heart failure, chronic obstructive
pulmonary disease and diabetes who are expected to have long stays in medical or
extended care facilities; (b) patients undergoing planned surgery who can be
vaccinated in advance and in whom staph infections can have serious
consequences; (c) prosthetic surgery and vascular graft patients whose implants
are at long-term risk of staph infections; (d) chronic osteomyelitis patients,
spinal cord injury and spinal fusion patients; and (e) hematology/oncology
patients. Infection rates in these high-risk populations range from 1-10% and,
as shown by the Lewin Group, result in longer hospital stays, higher death rates
and significantly higher medical costs.
StaphVAX is based on patented vaccine technology in-licensed from the Public
Health Services ("PHS")/ National Institute of Health ("NIH"). See also
"Strategic Alliances." In 2000, we completed a Phase III placebo controlled
clinical trial for StaphVAX in hemodialysis patients with ESRD. A total of 1,809
patients were included in the study. Approximately half were vaccinated with
StaphVAX and half received a placebo. The clinical trial population was followed
for a year to evaluate vaccine safety and S. AUREUS infection rates. The results
of the trial showed that a single injection of StaphVAX was safe and reduced the
incidence of S. AUREUS bacteremias by almost 60% through 10 months
post-vaccination in adult ESRD patients on hemodialysis. The reduction in
bacteremia one year after vaccination was 26%. Reaction in these patients to
receiving the vaccine was mild to moderate and was generally resolved within
36-48 hours following vaccination. The most commonly occurring adverse event was
minor pain at the intramuscular injection site.
We have been advised by the FDA that because the reduction in infections in the
previous trial was not statistically significant at twelve months
post-vaccination, the primary endpoint of the trial, the FDA will require a
confirmatory Phase III clinical trial for StaphVAX with an agreed to efficacy
endpoint. This endpoint is expected to be 8-10 months post-vaccination based on
results from the previous trial. We are currently in discussion with the FDA to
determine the trial design for the second Phase III clinical trial and
anticipate finalizing this trial design during 2002. We anticipate initiating
the confirmatory Phase III clinical trial for StaphVAX in 2003 using material
manufactured by Dow Biopharmaceutical Contract Manufacturing Services' (formerly
Collaborative BioAlliance) ("Dow") at its facility in Smithfield, Rhode Island,
the expected commercial manufacturing facility for StaphVAX.
In 2001 we initiated a boosting trial with StaphVAX in hemodialysis patients who
received StaphVAX in the Phase III trial completed in 2000. The trial is
intended to measure antibodies generated in response to vaccination over a six
month period to determine whether those antibodies return to high levels
8
observed following the first vaccination. The investigators will also determine
if the booster dose of vaccine changes the rate at which antibody levels
decrease over time in these immune-compromised patients. In addition, the trial
will evaluate the safety of the booster dose of the vaccine. We anticipate
obtaining results from this booster trial in the second quarter of 2002.
ALTASTAPH(TM) [STAPHYLOCOCCUS AUREUS IMMUNE GLOBULIN INTRAVENOUS (HUMAN)]
Altastaph is an investigational human polyclonal antibody product that contains
high levels of specific antibodies against S. AUREUS Type 5 and Type 8 CP. These
antibodies are collected from the antibodies of normal healthy donors who have
been vaccinated with StaphVAX at our antibody collection centers. The collected
antibodies are purified into Altastaph at our biopharmaceutical manufacturing
facility in Boca Raton, Florida. In contrast to StaphVAX, which is intended to
provide long-term protection against S. AUREUS infection, Altastaph is designed
to provide immediate protection to those at immediate risk of infection, or who
are immunocompromised and cannot respond effectively to a vaccine. High-risk
populations include low birth weight newborns, trauma patients and emergency
surgical patients. Altastaph is also being developed as a therapeutic agent for
use in those patients with diagnosed S. AUREUS infections. This type of
protection or treatment is likely to be cost-effective because antibodies in a
single dose of Altastaph persist in the bloodstream for a number of weeks to
provide protection for the entire risk period.
In 1999, we successfully completed a multi-dose safety and pharmacokinetic (the
drug's profile in the body or "PK") Phase I-II trial of Altastaph in low birth
weight newborns that demonstrated its safety and PK at a variety of dosage
levels. The preliminary PK analysis indicates that titers of the specific
anti-staph antibodies are dose-related. Even the lowest dose (500 mg/kg) of
Altastaph resulted in antibody titers that pre-clinical models and clinical
trials with StaphVAX indicate may be protective against infection. We expect to
initiate a larger second Phase I-II clinical trial in low birth weight newborns
in 2002.
We plan to evaluate the use of Altastaph as a therapeutic product for the
treatment of diagnosed S. AUREUS infections. As a therapeutic product, Altastaph
may be expected to act synergistically, or additively, with antibiotics given
the different mechanisms of these therapies. A Phase I-II clinical study of
Altastaph in a hospital-intensive care unit for trauma patients with diagnosed
S. AUREUS is in the planning stages and we anticipate initiating this trial in
2002. This blinded study will help define the safety and PK of Altastaph in
adults in combination with traditional antibiotics for the treatment of serious
S. AUREUS infections in a hospitalized patient population.
NEXT GENERATION PRODUCTS AND OTHER ANTI-BACTERIAL VACCINES IN DEVELOPMENT
We have also identified and patented a serotype of S. AUREUS, named type 336,
that accounts for over 90% of non-type 5 and non-type 8 S. AUREUS clinical
infections or about 10-12% of all clinically significant S. AUREUS infections.
We have identified, purified and characterized type 336 antigen and have
prepared a conjugate vaccine that is capable of protecting animals from
challenge with clinical isolates of this serotype. During 1998, we were issued a
U.S. patent on a S. AUREUS 336 antigen. Included in the patent were claims
including vaccines made from that antigen and antibodies reactive to the
antigen. The second generation of StaphVAX is expected to contain type 336
antigen of S. AUREUS in addition to type 5 and type 8 antigens. Patents for type
336 antigen and its use are being pursued worldwide.
S. EPIDERMIDIS and ENTEROCOCCUS FAECALIS are the two other clinically
significant Gram-positive bacteria causing hospital-acquired infections. We
intend to extend product coverage to these two Gram-positive bacteria in
subsequent generations of StaphVAX and Altastaph. We have filed patent
applications on selected S. EPIDERMIDIS and enterococcal antigens and were
issued two patents during 1999 containing claims covering both a S. EPIDERMIDIS
vaccine and a human polyclonal antibody. Prototypic S. EPIDERMIDIS and
enterococcal vaccines produced by us have been shown to induce antibodies that
are protective in animal models and that facilitate elimination of bacteria by
human phagocytes.
9
ANTI-VIRAL PROGRAM:
NABI-HB(TM) [HEPATITIS B IMMUNE GLOBULIN (HUMAN)]
In October 2001, we received an approval letter from the FDA to manufacture
Nabi-HB in our biopharmaceutical manufacturing facility in Boca Raton, Florida.
The initial production lots of Nabi-HB manufactured at our Boca Raton facility
have been submitted to the FDA for approval and we anticipate that this product
will be released by the FDA and launched to the market in the first quarter of
2002. In 2001, we completed the in-patient phases of the clinical studies for
the use of Nabi-HB to prevent the reinfection of transplanted livers in HBV
positive patients.
CIVACIR(TM) [HEPATITIS C IMMUNE GLOBULIN (HUMAN)]
Hepatitis C virus ("HCV") has significant economic impact because it causes
chronic infections in a large percentage of those infected and results in severe
illness and death in later stages of the disease. Chronic HCV infection is a
frequent cause of end-stage liver disease in North America and Europe and is
present in approximately one third of patients undergoing liver transplants. HCV
infection also contributes to frequent hospitalizations and failure of the
transplanted liver when it occurs in transplant patients. There are
approximately 4 million individuals in the U.S. and an estimated 170 million
individuals worldwide infected with HCV.
Civacir is an experimental human polyclonal antibody product that contains
antibodies to HCV. Pre-clinical studies indicate that Civacir contains
antibodies that are neutralizing to HCV. We are developing Civacir for the
prevention of HCV reinfection of transplanted livers and for the treatment of
chronic HCV infections.
In 2000, we completed a series of chimpanzee studies of Civacir in collaboration
with the CDC under a Cooperative and Research Development Agreement. The results
from these animal studies suggest that the elevated level of anti-HCV in serum
maintained by multiple infusions of Civacir may be associated with the
elimination of virus from the blood, prevention of acute hepatitis and the
possible elimination of HCV antigen from liver cells after HCV infection. In
chronically infected chimpanzees, Civacir appears to reduce circulating levels
of HCV in the bloodstream. We have manufactured clinical lots of Civacir and
plan to manufacture commercial lots of Civacir at our Boca Raton, Florida
biopharmaceutical manufacturing facility upon licensure by the FDA of this
product.
In September 2000, we signed a Clinical Trials Agreement for the "Evaluation of
the Safety and Pharmacokinetics of Hepatitis C Immune Globulin (Human), Civacir,
in Liver Transplant Patients" with the National Institute of Allergy and
Infectious Disease ("NIAID"). The Phase I-II trial is expected to begin in the
first half of 2002.
RENS AND RENT (RING EXPANDED NUCLEOSIDES AND NUCLEOTIDES)
Nucleosides and nucleotides are the building blocks of DNA and RNA. Scientists
at the University of Maryland Baltimore County ("UMBC") and at Nabi
Biopharmaceuticals have developed a novel, proprietary, platform technology
which permits the synthesis of a new class of nucleoside and nucleotide analogs
called Ring Expanded Nucleosides ("RENs") and Ring Expanded Nucleotides
("RENt"). Nucleoside and nucleotide analogs have been shown to possess
anti-microbial, anti-viral and anti-tumor activities. In addition to evaluating
RENs compounds as stand-alone drugs, we believe there are opportunities to
evaluate use of our current antibody based anti-virals in combination with RENs
compounds.
In 1998, Nabi Biopharmaceuticals and UMBC were issued a U.S. patent with claims
encompassing certain RENs and RENt compounds. We have an exclusive license from
UMBC for the patented technology, inclusive of a pending patent application
claiming therapeutic (anti-viral/anti-tumor) uses of these analogs. We have
prepared a number of active compounds through our collaboration with UMBC under
a series of Maryland Industrial Partnership grants. A lead compound, Nabi
3700.001, has been
10
selected for further development. In pre-clinical IN-VITRO studies, this drug
has been shown to have an acceptable toxicity profile and to have good
anti-viral activity and specificity against HBV. Under the license agreement, we
are obligated to pay the UMBC a royalty based on net sales.
NICOTINE ADDICTION PROGRAM:
NICVAX(TM) (NICOTINE CONJUGATE VACCINE)
Tobacco use is the single leading preventable cause of death in the U.S. It is
estimated that more than 47 million adults aged 18 years and older currently
smoke in the U.S. In the U.S., there are an estimated 4.1 million adolescent
smokers between the ages of 12 - 17, and more than 3,000 people under the age of
18 become new regular smokers each day. Economically, smoking is reported to be
responsible each year for an estimated $50 billion of direct medical costs and
$47 billion in indirect non-medical costs (lost work time and disability).
According to the CDC, 430,000 deaths annually are attributable to cigarette
smoking in the U.S. alone - more than alcohol, cocaine, heroin, homicide,
suicide, car accidents, fire, and AIDS combined. On a worldwide basis, the
statistics are even more significant as at least 1.1 billion people (one-third
of the global adult population) uses tobacco.
The repeated use of tobacco leads to nicotine addiction. Addiction to nicotine
is the primary reason people find it difficult to stop using tobacco in its
various forms. NicVAX is an experimental vaccine to prevent and treat nicotine
addiction. NicVAX has been developed to induce the production of high levels of
nicotine-specific antibodies in the vaccinated individual. Our researchers have
shown that it is possible to link haptens, usually small, sub-antigenic
molecules, to carrier proteins, thereby making the haptens able to induce
antibodies (immunogenic). Vaccination with NicVAX has been shown to generate
high levels of nicotine-specific antibodies in animals. Results with NicVAX in
animal models indicate that nicotine bound to the antibodies is unable to cross
the blood/brain barrier and thus is unable to bind and activate neuroreceptors
in the brain believed to be the source of positive reinforcement from smoking.
One of the potential effects of a nicotine vaccine might be to prevent positive
feedback from nicotine should a user be exposed to nicotine during an attempt to
break their habit. The antibodies induced by the vaccine have been shown to be
able to ease nicotine dependence in rats, reduce nicotine levels in the brains
of rats by 64% compared to controls, prevent nicotine-induced blood pressure
increases, and reduce the hyperactivity induced in rats in response to nicotine
injections.
NicVAX uses the same technology for conjugate vaccines developed for StaphVAX.
The result is a vaccine with a significantly greater immunogenicity than
experimental vaccines derived by more classical conjugation technologies. We
believe that antibodies to NicVAX are highly specific to nicotine and are of
higher affinity than has been achievable with other conjugation technologies. In
May 2001, the U.S. Patent and Trademark Office issued a U.S. Patent to Nabi for
NicVAX titled "Hapten-Carrier Conjugates for Treating and Preventing Nicotine
Addiction" that covers the binding of nicotine to a protein carrier for use as a
vaccine for treating and preventing nicotine addiction. Patent applications on
this technology, on the resultant nicotine vaccine and its use to prevent and
treat nicotine addiction have been granted outside the U.S.
In 2000, we and our collaborators at the University of Minnesota, Hennepin
County Medical Center and the University of Houston - Clear Lake received a
grant from the NIH's National Institute on Drug Abuse ("NIDA") for the further
development of NicVAX for a period up to four years. Funding for the second year
under this grant was approved for 2001. In November 2001, we announced the
successful completion of toxicology studies for NicVAX which were also funded by
NIDA. We anticipate commencing Phase I and Phase I-II clinical trials of NicVAX
in 2002.
OTHER PROGRAMS:
STAPHYLOCOCCUS AUREUS VACCINE FOR MASTITIS
S. AUREUS is the most frequent cause of mastitis, one of the most common
diseases affecting dairy and beef cattle. This disease results in significantly
higher costs for producers of dairy and beef products
11
due to discarded milk, decreased productivity, treatment expense, and the
inability of infected cows to suckle calves.
In October 2001, the U.S. Patent and Trademark Office issued a patent entitled
"STAPHYLOCOCCUS AUREUS antigen-containing whole cell vaccine." This patent
covers the composition of a S. AUREUS vaccine, the method of vaccine
preparation, and its use as a therapeutic or prophylactic agent to protect
animals against infection. We consider this whole cell vaccine technology to be
an out-licensing candidate.
12
The following is a summary of our products under development:
Products Intended Use Status
-------- ------------ ------
GRAM-POSITIVE PROGRAM:
StaphVAX Vaccine to provide long-term protection Completed Phase III efficacy trial in
against onset of S. AUREUS infections ESRD patients. Boosting trial in ESRD
patients to be completed in 2002
Expect to initiate confirmatory Phase III
clinical trial in 2003.
Altastaph Purified human polyclonal antibodies to Completed Phase I-II safety and PK
provide treatment or immediate protection clinical trial in low birth weight
against S. AUREUS infections newborns; expect to begin two Phase II
trials in 2002: one in adult trauma
patients with diagnosed Gram-positive
infections and one in low birth weight
newborns.
Next Generation Products Combat S. AUREUS 336, S. EPIDERMIDIS, and Research and pre-clinical development.
(vaccines and antibody-based Enterococcal bacterial infections
therapeutic products)
ANTI-VIRAL PROGRAMS:
Nabi-HB Antibodies administered post exposure for Received approval letter in October 2001
prevention of HBV infection to manufacture Nabi-HB in our Boca
Raton, Florida facility.
Prevention of HBV reinfection in liver Completed clinical studies in 2001.
transplant patients
Civacir Antibody to prevent reinfection of Expected to begin Phase I-II clinical
transplanted livers in patients with trials in liver transplant patients
hepatitis C liver disease and to treat beginning in 2002.
chronic hepatitis C virus infections
RENs and RENt Small molecule nucleoside and nucleotide Research
analog technology to treat viral infections
and cancer.
NICOTINE ADDICTION
PROGRAMS:
NicVAX Vaccine and prevention and treatment of Phase I and Phase I-II clinical trials
nicotine addiction anticipated to begin in 2002.
OTHER PROGRAMS:
S. AUREUS Vaccine for Prevention and treatment of S. AUREUS Out-licensing candidate
Mastitis mastitis in cattle
13
STRATEGIC ALLIANCES
We are actively pursuing strategic alliances to assist in the development of
some of the products in our pipeline and to expand our biopharmaceutical
business. Our current key strategic alliances are discussed below.
CANGENE CORPORATION
Under a license and distribution agreement with Cangene, we have exclusive
rights to distribute and market WinRho SDF in the U.S.. Cangene, which holds the
FDA licenses for the product, is required to supply the necessary quantities of
WinRho SDF to support such sales and shares in the profits from sales after
accounting for the costs of production and selling expenses. The license and
distribution agreement terminates in 2005 and requires us, among other things,
to meet specified annual sales goals or make specified annual payments to
Cangene in order to maintain exclusivity. During 2001, we continued to meet
these goals.
Cangene also manufactured Nabi-HB for us. This agreement terminates in March
31,2002. See also "Supply and Manufacturing - Biopharmaceuticals." In addition,
Cangene has exclusive marketing rights for Nabi-HB in Canada provided it meets
specified sales goals. We share in the profits from sales of Nabi-HB in Canada.
The term of the Canadian marketing agreement with Cangene for Nabi-HB terminates
in March 2002.
CHIRON CORPORATION
In November 1995, we entered into an agreement with Chiron Corporation (the
"Chiron Agreement"). The Chiron Agreement grants us an exclusive supply
agreement for four vaccines, including hepatitis C. In addition, we have rights
to 10 additional Chiron vaccines for use in humans to produce immunotherapeutic
products. The Chiron Agreement may also grant us access to Chiron's adjuvant, MF
59. We will be responsible for all development, manufacturing and worldwide
distribution of these products. We may terminate the Chiron Agreement on a
product-by-product basis in which event we shall transfer to Chiron all of our
rights with respect to the product as to which the Chiron Agreement has been
terminated. Similarly, Chiron may terminate its obligations to supply immunizing
agents to us on a product-by-product basis, in which event Chiron shall grant to
us a license of the technology necessary for us to manufacture the applicable
immunizing agent and the financial arrangements in the Chiron Agreement with
respect to such agent shall continue.
DSM CATALYTICA PHARMACEUTICALS
In 1999, we entered into a five-year agreement with Catalytica for exclusive
distribution rights in the U.S. and Canada for Aloprim. Under this agreement, we
sell and Catalytica manufactures the product and both companies share in profits
from the sale of the product. In addition to the U.S. and Canada, we can
purchase Aloprim in territories where the license holder prior to Catalytica,
GlaxoSmithKline ("GSK"), has not commercialized the product within five years
from the effective date of the agreement. Globally, we have the rights to
purchase the product from GSK.
BAXTER HEALTHCARE CORPORATION
In 1997, we acquired from Baxter Healthcare Corporation ("Baxter") the exclusive
rights to Autoplex T in the U.S., Canada and Mexico. In connection with the
acquisition, Baxter agreed to manufacture Autoplex T until May 2000 or such
later time as may be determined under the terms of a consent order entered into
between Baxter and the Federal Trade Commission ("FTC"), but in any event four
months after we receive approval from the FDA to manufacture Autoplex T. At the
discretion of the FTC, the period Baxter manufactures Autoplex T can be extended
for up to four twelve-month intervals. The FTC approved the second twelve-month
extension beginning in May 2001. The FTC could require us to return our rights
to Autoplex T to Baxter if we do not obtain FDA approval to manufacture the
product by May 2002 or by a later date agreed to by the FTC. We anticipate that
the period Baxter manufactures
14
Autoplex T under the terms of the consent order from the FTC will be extended
for the twelve-month period through May 2003. If the rights revert to Baxter and
Baxter later sells these rights, Nabi Biopharmaceuticals and Baxter will share
equally the proceeds of any such sale, and under certain circumstances Baxter
will be required to make a specified payment to us. Upon FDA licensure to
manufacture the product, we are obligated to pay $1.0 million to Baxter, subject
to recovery of fifty percent (50%) of expenditures incurred to license the
product in excess of $6.0 million. Baxter is also a principal supplier of
antibody collection supplies to Nabi Biopharmaceuticals.
PUBLIC HEALTH SERVICES/NATIONAL INSTITUTE OF HEALTH
Under a license agreement with the PHS/NIH, we have exclusive rights to a patent
relating to a carbohydrate/protein conjugate vaccine against Staphylococcus and
are obligated to pay PHS a royalty based on net sales. The licensed patent
rights cover staphylococcal vaccines including StaphVAX. The license terminates
with respect to each country it applies to on the date that the patent rights
expire in such country.
CUSTOMER RELATIONSHIPS
We sell our biopharmaceutical products to wholesalers, distributors, hospitals
and home healthcare companies and sell our antibody products to pharmaceutical
and diagnostic product manufacturers.
In connection with the sale of the majority of the antibody collection business,
we entered into an agreement for the purpose of assuring that each party would
have the ability to meet supply commitments to third parties arising in
connection with the sale. Under this agreement, we agreed to sell to the
purchaser antibodies collected at the nine centers we retained at our cost plus
an administrative margin for a period of four years. This agreement has now been
amended to permit us, beginning in 2002, to sell non-specific antibodies to
third parties at market prices.
For our other antibody product contracts, pricing for product deliveries is
generally mutually agreed to prior to the beginning of the contract and fixed
for the contract term, generally one year or less. The contracts generally
provide for price increases/decreases to reflect changes in customer
specifications and new governmental regulations. Consequently, our profit
margins may be adversely or beneficially affected if the cost of collecting
antibody products rises or falls during the year.
Customers to which sales exceeded 10% of our annual consolidated sales in the
last three fiscal years ending December 29, 2001, December 30, 2000 and December
31, 1999 were Baxter and Bayer Corporation. Sales to Cardinal Health, Inc.
exceeded 10% for the years ended December 29, 2001 and December 30, 2000.
Aggregate sales to these customers were approximately $131.3 million, $119.3
million and $112.4 million, or 53%, 52% and 47% of total sales for the years
ended December 29, 2001, December 30, 2000 and December 31, 1999, respectively.
SUPPLY AND MANUFACTURING
BIOPHARMACEUTICAL PRODUCTS
In October 2001, we received an approval letter from the FDA to manufacture
Nabi-HB in our biopharmaceutical manufacturing facility in Boca Raton, Florida.
Initial production lots of Nabi-HB manufactured at our Boca Raton facility have
been submitted to the FDA for approval. We anticipate that this product will be
released by the FDA and launched to the market in the first quarter of 2002. We
have manufactured clinical lots of the Nabi-HB, Altastaph and Civacir in this
facility.
Previously, Cangene manufactured Nabi-HB for us under an agreement which will
terminate in March 31,2002. We collected and supplied the anti-HBs antibodies
necessary for the manufacture of Nabi-HB.
In December 2001, we signed a 10-year agreement with Inhibitex, Inc. to
manufacture its lead investigational antibody-based therapy in our Boca Raton
biopharmaceutical facility.
15
In April 2001, we signed an agreement with Acambis to produce specialty
antibodies at our antibody collection centers under an IND to be submitted by
Acambis to the FDA and manufacture their antibody-based therapeutic product.
We are required to purchase our requirements of WinRho SDF from Cangene, which
has granted us exclusive distribution and marketing rights to the product in the
U.S., under an agreement which terminates in 2005. We collected and supplied a
portion of the anti-D antibodies necessary for the manufacture of Nabi-HB.
In 1997, we acquired from Baxter the exclusive rights to Autoplex T in the U.S.,
Canada and Mexico. In connection with the acquisition, Baxter agreed to
manufacture Autoplex T until May 2000 or such later time as may be determined
under the terms of a consent order entered into between Baxter and the Federal
Trade Commission ("FTC"), but in any event four months after we receive approval
from the FDA to manufacture Autoplex T. At the discretion of the FTC, the period
Baxter manufactures Autoplex T can be extended for up to four twelve-month
intervals. The FTC approved the second twelve-month extension beginning in May
2001. The FTC could require us to return our rights to Autoplex T to Baxter if
we do not obtain FDA approval to manufacture the product by May 2002 or by a
later date agreed to by the FTC. We anticipate that the period Baxter
manufactures Autoplex T under the terms of the consent order from the FTC will
be extended for the twelve-month period through May 2003. If the rights revert
to Baxter and Baxter later sells these rights, we and Baxter will share equally
the proceeds of any such sale, and under certain circumstances Baxter will be
required to make a specified payment to us. We continue to make progress in the
transfer of the manufacture of Autoplex T to our Boca Raton, Florida
biopharmaceutical manufacturing facility.
Catalytica manufactures Aloprim for us and has granted us exclusive distribution
rights in the U.S. and Canada under an agreement that terminates in June 2004.
We manufacture both pre-clinical and clinical lots of vaccine products at our
pilot facility in Rockville, Maryland and antibody-based therapeutic products at
our Boca Raton, Florida and our Miami, Florida facilities.
In May 2000, we completed an agreement with Dow for the contract production and
commercial supply of StaphVAX. Significant progress in the transfer of
manufacturing from our pilot plant in Rockville, Maryland to Dow's current Good
Manufacturing Practice ("cGMP") manufacturing facility in Smithfield, Rhode
Island, was made during 2001. We expect to complete the manufacturing transfer
in 2002 and complete scale-up of manufacturing in 2003. We expect to use
StaphVAX manufactured at Dow for the confirmatory Phase III trial expected to be
initiated in 2003.
ANTIBODY COLLECTION PROCESS
We currently collect and process antibodies from 9 collection centers located
across the U.S. Each center is licensed and regulated by the FDA. Most of our
centers are located in urban areas and some are near universities and military
bases. Prospective donors are required to complete a medical questionnaire and
are subject to laboratory testing and a physical examination under the direction
or supervision of a physician. Following this screening, antibodies are
collected from suitable donors by means of a process known as plasmapheresis.
In September 2001, in connection with the sale of a majority of our antibody
collection business, we entered into a Laboratory Testing Services Agreement
with the purchaser to provide at cost certain laboratory testing services for
antibodies collected at our retained collection centers. This agreement may be
terminated with one year's notice by either party.
In 2001, we entered into an Antibody Purchase Agreement with the acquirer of the
majority of the antibody business. Under terms of the Agreement, we agreed to
purchase non-specific antibodies at our contracted selling price to meet
commitments under one supply agreement.
16
PATENTS AND PROPRIETARY RIGHTS
Our continued success will depend, in part, on our ability to obtain and protect
our patent rights, trade secrets and other intellectual property. We have
acquired title or obtained licenses to a number of patents or patent
applications and have filed a number of patent applications of our own. See also
"Factors to Be Considered - Uncertainty of Legal Protection Afforded by Patents
and Proprietary Rights."
GOVERNMENT AND INDUSTRY REGULATION
The collection, processing and sale of our products as well as our research,
pre-clinical development and clinical trials are subject to regulation for
safety and efficacy by numerous governmental authorities in the U.S. and other
countries, including the United Kingdom, Germany and Australia. Domestically,
the federal Food, Drug and Cosmetic Act, the Public Health Service Act, and
other federal and state statutes and regulations govern the collection, testing,
manufacturing, safety, efficacy, labeling, storage, record keeping,
transportation, approval, advertising and promotion of our products. We believe
we are in substantial compliance with all relevant laws and regulations.
BIOPHARMACEUTICAL PRODUCTS
Vaccines and human polyclonal antibody products are classified as "biological
products" under FDA regulations. The steps required before a biological product
may be marketed in the U.S. generally include pre-clinical studies and the
filing of an IND application with the FDA, which must be accepted by the FDA
before human clinical studies may commence. The initial human clinical
evaluation, called a Phase I trial, generally involves administration of a
product to a small number of normal healthy volunteers to test for safety. Phase
II trials involve administration of a product to a limited number of patients
with a particular disease to determine dosage and safety, as well as provide
indications of efficacy. Phase III trials examine the efficacy and safety of a
product in an expanded patient population at geographically dispersed clinical
sites. Phase IV trials monitor for adverse effects and are undertaken
post-licensure as additional large-scale, long-term studies of morbidity and
mortality. The FDA reviews the clinical plans and the results of trials and can
discontinue the trials at any time if there are significant safety issues.
Biological products, once approved, have no provision allowing competitors to
market generic versions. Each biological product must undergo the entire
development process in order to be approved.
The results of all trials are submitted in the form of a BLA/New Drug
Application ("NDA") for approval to commence commercial sales. For BLA/NDA
approval, the FDA requires, among other things, that the prospective
manufacturer's methods conform to the agency's cGMP regulations, which must be
followed at all times and that the prospective manufacturer submit three
conformance lots in support of the application. In complying with standards set
forth in these regulations, manufacturers must continue to expend time, money
and effort in the area of production and quality control to ensure full
regulatory compliance. The approval process is affected by several factors,
including the severity of the disease, the availability of alternative
treatments, and the risks and benefits demonstrated in clinical trials. The FDA
also may require post-marketing surveillance to monitor potential adverse
effects of the product. The regulatory process can be modified by Congress or
the FDA in specific situations.
ANTIBODY PRODUCTS
The collection, storage and testing of antibodies and antibody based products
derived from antibodies are strictly regulated by the FDA. In order to operate
in the U.S., an antibody collection facility must hold a Biologics License
issued by the FDA's Center for Biologics Evaluation and Research. Each
collection facility must be regularly inspected and approved in order to
maintain licensure. In addition, collection centers require FDA approval to
collect each specialty antibody product.
17
We hold Biologics License No. 1022 covering all Nabi Biopharmaceutical-owned
centers. We are also subject to and are required to be in compliance with
pertinent regulatory requirements of the foreign countries where we export
products.
We continually pursue our commitment to quality and compliance with applicable
FDA regulations and other regulatory requirements through our own internal
training and quality assurance programs. As part of our commitment to quality,
we have embraced the Quality Plasma Program ("QPP") that was initiated by the
American Blood Resources Association, an organization that establishes and
recommends guidelines for the antibody industry. QPP imposes standards on
antibody collection facilities in addition to those presently required by the
FDA. QPP certification has proven to be increasingly significant and
fractionators worldwide now require that the supply of antibodies come only from
QPP certified centers. All collection facilities owned by us are QPP certified.
ORPHAN DRUG ACT
WinRho SDF and Aloprim have received Orphan Drug protection, WinRho SDF for the
treatment of ITP through March 2002, and Aloprim for treatment of chemotherapy
induced hyperuricemia through December 2003. Under the Orphan Drug Act, the FDA
may designate a product as having Orphan Drug status to treat a "rare disease or
condition," which currently is defined as a disease or condition that affects
populations of less than 200,000 individuals in the U.S. at the time of
designation, or, if victims of a disease number more than 200,000, for which the
sponsor establishes that costs of development will not be recovered from U.S.
sales in seven years. When a product is designated an Orphan Drug, the sponsor
is entitled to receive certain incentives to undertake the development and
marketing of the product. In addition, the sponsor that obtains the first
marketing approval for a designated Orphan Drug for a given indication
effectively has marketing exclusivity for a period of seven years. There may be
multiple designations of Orphan Drug status for a given drug and for different
indications. However, only the sponsor of the first BLA approved for a given
drug for its use in treating a given rare disease may receive marketing
exclusivity. See also "Factors to Be Considered - Uncertainty of Orphan Drug
Designation."
COMPETITION
BIOPHARMACEUTICAL PRODUCTS
We believe that Nabi-HB has achieved a significant share of the domestic market
and that our access to the vaccines and specialty antibodies necessary for the
manufacture of Nabi-HB will allow us to maintain our market share. Anti-HBs
antibodies produced at our antibody collection centers are currently used in the
manufacture of Nabi-HB. See also "Supply and Manufacturing - Biopharmaceutical
Products."
WinRho SDF is the first and only anti-D therapy approved for the treatment of
ITP. We believe that WinRho SDF has a significant and growing share of the
domestic market for ITP treatment. Competing therapies include the use of
steroids, IVIG, and splenectomy (a surgical procedure to remove the spleen).
WinRho SDF has Orphan Drug status through March 2002 and may be subject to new
competition in the future.
Autoplex T competes in the anti-inhibitor segment of the hemophilia A
marketplace. Autoplex T and other competitive agents are used to treat patients
that have developed inhibitors (an immunity) to Factor VIII, the standard
therapy for people suffering from hemophilia A. There are two biopharmaceutical
products currently on the market that compete with Autoplex T.
Aloprim is the first and only intravenous allopurinol therapy available for the
treatment of chemotherapy-induced hyperuricemia or Tumor Lysis Syndrome. Aloprim
provides a therapeutic option for patients that cannot tolerate oral allopurinol
therapy. Currently, Aloprim has no direct competitors. Aloprim has Orphan Drug
status through May 2003.
18
ANTIBODY PRODUCTS
We and other independent suppliers of antibodies sell these raw materials
principally to pharmaceutical companies that process this raw material into
finished products. Although these pharmaceutical companies generally own
plasmapheresis centers, in the aggregate, they purchase a substantial portion of
their antibody requirements from independent suppliers. There is competition
among these independent suppliers and certain independent suppliers have
consolidated their operations through mergers and acquisitions. We compete for
sales by maintaining competitive pricing and by providing customers with
high-quality products and superior customer service. Management believes we have
the ability to continue to compete successfully in these areas.
We compete for donors with pharmaceutical companies that obtain antibodies for
their own use through their own collection centers, other commercial collectors
of antibodies, and non-profit organizations such as the American Red Cross and
community blood banks that solicit donations of whole blood. We compete for
donors by providing competitive compensation and outstanding donor service, by
implementing programs to attract donors through education as to the uses for
collected antibodies, by encouraging groups to have their members become donors
for fund raising purposes and by improving the attractiveness of our collection
facilities.
EMPLOYEES
We employed 615 persons at December 29, 2001. We believe that the relations
between our management and our employees are generally good.
FACTORS TO BE CONSIDERED
This Annual Report on Form 10-K contains forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995. Statements in
this Annual Report on Form 10-K that are not historical facts are hereby
identified as "forward-looking statements" for the purpose of the safe harbor
provided by Section 21E of the Securities and Exchange Act of 1934 and Section
27A of the Securities Act of 1933. Words such as "estimate," "project," "plan,"
"intend," "expect," "believe" and similar expressions are intended to identify
forward-looking statements. All forward-looking statements are necessarily only
estimates of future results and there can be no assurance that actual results
will not differ materially from expectations, and, therefore, investors are
cautioned not to place undue reliance on such statements. Set forth below is a
discussion of certain factors which could cause our actual results to differ
materially from the results projected or suggested in such forward-looking
statements. Investors should understand that it is not possible to predict or
identify all such factors and that this list should not be considered a complete
statement of all potential risks and uncertainties. We undertake no obligation
to update any forward-looking statements as a result of future events or
developments.
RISK WITH RESPECT TO CERTAIN EXISTING PRODUCTS
Our rights to WinRho SDF and Aloprim expire in 2005 and 2004, respectively.
There can be no assurance that our rights to these products will be extended on
the same terms as now exist or at all.
Pursuant to the terms under which we acquired our rights to Autoplex T from
Baxter, the FTC could require us to return to Baxter our rights to Autoplex T if
we do not obtain FDA approval to manufacture the product by May 2002 or a later
date agreed to by the FTC. We will not obtain FDA approval to manufacture
Autoplex T by May 2002 and will be seeking an extension from the FTC. Although
we believe we will receive the extension, there can be no assurance that it will
be granted by the FTC.
WinRho SDF and Aloprim currently enjoy Orphan Drug status expiring in March 2002
and December 2003, respectively. Expiration of Orphan Drug status likely will
lead to increased competition for these products and could adversely affect
their sales or profitability.
19
DEPENDENCE UPON THIRD PARTIES TO MANUFACTURE PRODUCTS
We do not currently manufacture three of our four currently marketed
biopharmaceutical products and are dependent upon third parties to manufacture
these products. The failure by these manufacturers to meet our needs for these
products or delays in the receipt of deliveries could have a material adverse
effect on our future business, financial condition and results of operations.
Biopharmaceutical product sales were constrained in 2000 because of the
inability of the contract manufacturer for WinRho SDF and Nabi-HB to supply
product for a period of time. In both 2000 and 2001, our ability to market
Autoplex T has been adversely affected by the inability of the manufacturer of
this product to reliably supply us with necessary quantities of this product at
desired potency levels.
LIMITED MANUFACTURING CAPABILITY AND EXPERIENCE; ADVERSE IMPACT OF
UNDER-UTILIZATION
In October 2001, we received an approval letter from the FDA to manufacture
Nabi-HB in our biopharmaceutical manufacturing facility in Boca Raton, Florida.
Initial production lots of Nabi-HB manufactured at our Boca Raton facility have
been submitted to the FDA for approval. There can be no assurance as to whether
or when we will receive this approval. The new facility is designed to process
specialty antibodies into biopharmaceutical products. However, we have not
previously owned or operated such a facility and have no direct experience in
commercial, large-scale manufacturing of biopharmaceutical products. Initially,
we will not utilize the full manufacturing capacity of the facility and there
can be no assurance that we will have sufficient product to manufacture so that
the facility can be operated efficiently and profitably. Further, there can be
no assurance we will have product to manufacture either on our own behalf or on
behalf of third parties, to offset the cost of the facility's operation. Our
failure to successfully operate our new manufacturing facility would have a
material adverse effect on our future business, financial condition and results
of operations.
Manufacturing products at a single site may present risks if a disaster (such as
a fire or hurricane) causes interruption of manufacturing capability. In such an
event, we will have to resort to alternative sources of manufacturing that could
increase our costs as well as result in significant delays while required
regulatory approvals are obtained. Any such delays or increased costs could have
a material adverse effect on our future business, financial conditions and
results of operations.
Our research and development pipeline principally involves specialty vaccines.
Because we do not have and have no current plans to construct an FDA-licensed
facility to manufacture these vaccines, we will be dependent on third parties to
manufacture these products. Such dependence is subject to the same risks
described above with respect to the manufacture of our marketed
biopharmaceutical products.
COSTS OF RESEARCH AND DEVELOPMENT
We have incurred and expect to continue incurring significant expenses
associated with our biopharmaceutical product development activities, including
the cost of clinical trials relating to product development and marketing
expenses relating to product introduction. Products under development may not
generate sales for several years or at all. We currently do not have the
financial resources to concurrently fund all of our biopharmaceutical product
development programs to completion. We are actively pursuing strategic alliances
to assist in the development and commercialization of our biopharmaceutical
products. There can be no assurance that our efforts will be successful. Our
ability to continue to fund our ongoing research and development activities is
currently dependent on our ability to generate sales from our biopharmaceutical
and antibody products or obtain financing. There can be no assurance, therefore,
that we will be able to continue to fund our research and development activities
at the level required to commercialize our biopharmaceutical product development
programs, and if we are required to reduce the funding for our research and
development activities, this could have a material adverse effect on our future
prospects.
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UNCERTAINTY OF NEW PRODUCT DEVELOPMENT
Our future success will depend on our ability to achieve scientific and
technological advances and to translate such advances into commercially
competitive products on a timely basis. Our biopharmaceutical products under
development are at various stages, and substantial further development,
pre-clinical testing and clinical trials will be required to determine their
technical feasibility and commercial viability. The proposed development
schedules for these products may be affected by a variety of factors, including
technological difficulties, competition, failure to achieve desired results in
clinical trials, proprietary technology positions of others, reliance on third
parties for manufacturing, failure to market effectively, changes in government
regulation and funding. Positive results for a product in a clinical trial do
not necessarily assure that positive results will be obtained in future clinical
trials or that government approval to commercialize the product will be
obtained. In addition, any delay in the development, introduction or marketing
of our products under development could result either in such products being
marketed at a time when their cost and performance characteristics would not be
competitive in the marketplace or in a shortening of their commercial lives.
There can be no assurance that our biopharmaceutical products under development
will prove to be technologically feasible, commercially viable and able to
obtain necessary regulatory approvals and licenses on a timely basis, if at all.
Our failure to successfully develop and commercialize in a timely manner our
biopharmaceutical products and obtain necessary regulatory approvals could have
a material adverse effect on our future operations. In particular, our failure
to obtain FDA approval for StaphVAX on a timely basis could adversely affect our
market valuation.
COMPETITIVE MARKET FOR BIOPHARMACEUTICAL PRODUCTS
Our currently marketed biopharmaceutical products compete with those of other
companies. Most of these companies have greater financial resources, research
and product development capabilities and marketing organizations than we do. We
may need to supplement our own sales efforts with the resources of a partner. If
we so elect, there can be no assurance that we will be able to find a partner on
acceptable terms or at all, or that any such partner will be successful in its
efforts. If we succeed in bringing one or more products to market, we will
compete with many other companies that may have extensive and well-funded
marketing and sales operations. Our failure to successfully market new
biopharmaceutical products could have a material adverse effect on our future
business, financial condition and results of operations.
UNCERTAINTY OF MARKET ACCEPTANCE
There can be no assurance that any of our products in development will achieve
market acceptance. The degree of market acceptance will depend upon a number of
factors, including the receipt of regulatory approvals, the establishment and
demonstration in the medical community of the clinical efficacy and safety of
our products and their potential advantages over existing treatment methods, the
prices of such products, and reimbursement policies of government and third
party payers. The failure of our product pipeline to gain market acceptance
could have a material adverse effect on our future business, financial condition
and results of operations.
FACTORS AFFECTING ANTIBODY PRODUCTS SUPPLY AND DEMAND; UNCERTAINTY OF
TECHNOLOGICAL CHANGE
Our customers for antibody products are subject to extensive regulation by the
FDA and non-U.S. regulatory authorities. Concern over the safety of antibody
products has resulted in the adoption of more rigorous screening procedures by
regulatory authorities and manufacturers of antibody products. These changes
have resulted in significantly increased cost to us in providing non-specific
and specialty antibodies to our customers. New procedures, which include a more
extensive investigation into a donor's background, as well as more sensitive
tests, have also disqualified numerous potential donors and discouraged other
donors who may be reluctant to undergo the screening procedures. These more
stringent measures could adversely affect our antibody production with a
corresponding adverse effect on our future business, financial condition and
results of operations. In addition, our efforts to increase production to meet
customer demand have resulted in higher costs to attract and retain donors.
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Most of the antibodies we collect, process and sell to our customers is used in
the manufacture of therapeutic products to treat certain diseases. Several
companies are marketing and developing products to treat some of these diseases
based upon technology which would lessen or eliminate the need for human
antibodies. Such products could adversely affect the demand for antibodies.
Although products utilizing technology developed to date have not proven as
cost-effective and marketable to healthcare providers as products based on human
antibodies, we are unable to predict the impact on our business of future
technological advances.
The worldwide supply of antibodies has fluctuated historically. Future changes
in government regulation relating to the collection, fractionation and use of
antibodies or any negative public perception about the antibody collection
process or the safety of products derived from blood or antibodies could further
adversely affect the overall supply of or demand for antibodies. Increases in
supply or decreases in demand of antibody products could have a material adverse
effect on our future business, financial condition and results of operations.
DEPENDENCE OF THE ANTIBODY BUSINESS ON A SMALL NUMBER OF CUSTOMERS, EFFECT OF
EXISTING CONTRACTS
Our antibody sales are currently concentrated among a few large pharmaceutical
companies. During the 2001, 2000 and 1999 fiscal years, antibody sales to our
top two customers collectively accounted for approximately 66%, 60%, and 51%,
respectively, of our antibody sales. Our contract to sell antibodies to one of
these customers, Baxter, was assigned in September 2001 in connection with the
sale of a majority of our antibody collection centers. We do not believe that
this assignment will have a material adverse effect on our profitability. The
loss of any remaining major customer or a material reduction in a major
customer's purchases of antibodies could have a material adverse effect upon our
future business, financial condition and results of operations. If these
customers are unable to comply with FDA regulations, their manufacturing
facilities may be temporarily closed which will reduce the need for antibodies
provided by us. Plant closures and reductions in customers' production because
of FDA regulatory problems have occurred in recent years, and our financial
performance has been adversely affected as a result. There can be no assurance
that the customer regulatory problems, which are not within our control, will
not reoccur with the same adverse impact on us in the future.
Most of our antibodies are sold under contracts which extend for a period up to
one year. Certain of these contracts do not permit us to increase prices during
the year except to reflect changes in customer specifications and new
governmental regulations. If our costs of collecting antibodies under these
certain contracts rise for reasons other than changes in customer specifications
and new governmental regulations, we are unable to pass on these cost increases
to our antibody product customers except with the consent of the customer.
Moreover, our existing contracts do not generally permit us to expeditiously
take advantage of market changes which could benefit us.
GOVERNMENT REGULATION; UNCERTAINTY OF REGULATORY APPROVALS
Our research, pre-clinical development, clinical trials, manufacturing and
marketing of our products are subject to extensive regulation by various
government authorities in the U.S. The process of obtaining FDA and other
required regulatory approvals is lengthy and expensive, and the time required
for such approvals is uncertain. The approval process is affected by such
factors as the severity of the disease, the availability of alternative
treatments, and the risks and benefits demonstrated in clinical trials. The FDA
also may require post-marketing surveillance to monitor potential adverse
effects of the product. The regulatory process can be modified by Congress or
the FDA in specific situations. Many of our clinical trials are at a relatively
early stage and, except for Nabi-HB, WinRho SDF, Autoplex T, Aloprim and certain
non-specific and specialty antibody products, no approval from the FDA or any
other government agency for the manufacturing or marketing of any other products
under development has been granted. There can be no assurance that we will be
able to obtain the necessary approvals for manufacturing or marketing of any of
our products. Failure to obtain additional FDA approvals of products currently
marketed or FDA approval for products under development could have a material
adverse effect on our future business, financial condition and results of
operations. Once approved, a
22
product's failure to comply with applicable regulatory requirements could, among
other things, result in warning letters, fines, suspension or revocation of
regulatory approvals, product recalls or seizures, operating restrictions,
injunctions and criminal prosecutions.
Although we do not have material sales of our biopharmaceutical products outside
the U.S., our goal is to expand our non-U.S. presence for these products.
Distribution of our products outside the U.S. is subject to extensive government
regulation. These regulations, including the requirements for approvals or
clearance to market, the time required for regulatory review and the sanctions
imposed for violations, vary from country to country. There can be no assurance
that we will obtain regulatory approvals in such countries or that we will not
be required to incur significant costs in obtaining or maintaining our foreign
regulatory approvals. In addition, the export by us of certain of our products
that have not yet been cleared for domestic commercial distribution may be
subject to FDA export restrictions. Failure to obtain necessary regulatory
approvals, the restriction, suspension or revocation of existing approvals or
any other failure to comply with regulatory requirements would have a material
adverse effect on our future business, financial condition and results of
operations.
Our U.S. antibody collection, labeling, storage and distribution activities also
are subject to strict regulation and licensing by the FDA. Our antibody
collection centers in the U.S. are subject to periodic inspection by the FDA,
and from time to time we may receive notices of deficiencies from the FDA as a
result of such inspections. Our failure or the failure of our antibody
collection centers to continue to meet regulatory standards or to remedy any
such deficiencies could result in corrective action by the FDA, including
closure of one or more antibody collection centers and fines or penalties. New
regulations may be enacted and existing regulations or their interpretation or
enforcement are subject to change. Therefore, there can be no assurance that we
will be able to continue to comply with any regulations or that the costs of
such compliance will not have a material adverse effect on our future business,
financial condition and results of operations.
POTENTIAL ADVERSE EFFECT OF LITIGATION
Antibodies collected by us and antibody-based products manufactured by our
customers run the risk of being HIV-contaminated or contaminated with another
virus. As a result, suits may be filed against our customers and us claiming
that the plaintiffs became infected with HIV or other viruses as a result of
using the contaminated products. Such suits have been filed in the past related
to HIV-contaminated antibodies, and in a number of suits we were one of several
defendants. With the exception of one suit that is still pending, all of these
suits have been dismissed without liability to us. No assurance can be given
that additional lawsuits relating to infection with HIV or other viruses will
not be brought against us by persons who have become infected with HIV or other
viruses from antibody fractionates. In addition, there can be no assurance that
lawsuits based on other causes of action will not be filed or that we will be
successful in the defense of any or all existing or potential future lawsuits.
Defense of suits can be expensive and time-consuming, regardless of the outcome,
and an adverse result in one or more suits could have a material adverse effect
on our future business, financial condition and results of operations.
LIMITED INSURANCE
Product liability insurance for the biopharmaceutical industry generally is
expensive to the extent it is available at all. There can be no assurance that
we will be able to maintain such insurance on acceptable terms or that we will
be able to secure increased coverage if the commercialization of our products
progresses, or that existing or future claims against us will be covered by our
product liability insurance. Moreover, there can be no assurance that the
existing coverage of our insurance policy and/or any rights of indemnification
and contribution that we may have will offset existing or future claims. A
successful claim against us with respect to uninsured liabilities or in excess
of insurance coverage and not subject to any indemnification or contribution
could have a material adverse effect on our future business, financial condition
and results of operations.
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LIMITED PROPERTY INSURANCE
We maintain significant real property assets in Florida. Property insurance for
companies with a high concentration of property assets in Florida is generally
expensive to the extent it is available at all. There can be no assurance that
we will be able to maintain such insurance on acceptable terms or that we will
be able to secure increased coverage if the value of our property increases.
ADDITIONAL FINANCING REQUIREMENTS AND ACCESS TO CAPITAL
We may need to raise additional capital to increase funding of our product
research, development and marketing activities. We may seek additional funding
through public or private equity or debt financing, collaborative arrangements
with strategic partners or from other sources. There can be no assurance,
however, that additional financing will be available on acceptable terms, if at
all. If adequate funds are not available, we may have to defer certain
investments in the areas of research, product development, manufacturing or
marketing activity, or otherwise modify our business strategy, and our future
business and future prospects could be materially and adversely affected.
STRATEGIC ALLIANCES
We are pursuing strategic alliances with third parties for the development of
certain of our biopharmaceutical products. No assurance can be given that we
will be successful in these efforts or, if successful, that the collaborators
will conduct their activities in a timely manner. If we are not successful in
our efforts, our ability to continue to develop our products under development
may be adversely affected. Even if we are successful, if any of our
collaborative partners violate or terminate their agreements with us or
otherwise fail to conduct their collaborative activities in a timely manner, the
development or commercialization of products could be delayed, and we might be
required to devote significant additional resources to product development and
commercialization or terminate certain development programs. In addition, there
can be no assurance that disputes will not arise in the future with respect to
the ownership of rights to any technology developed with third parties. These
and other possible disagreements between collaborators and us could lead to
delays in the collaborative research, development or commercialization of
certain products or could require or result in litigation or arbitration, which
would be time-consuming and expensive and could have a material adverse effect
on our future business, financial condition and results of operations.
UNCERTAINTY OF LEGAL PROTECTION AFFORDED BY PATENTS AND PROPRIETARY RIGHTS
The patent positions of biopharmaceutical firms generally are highly uncertain
and involve complex legal and factual questions. There can be no assurance that
existing patent applications will result in issued patents, that we will be able
to obtain additional licenses to patents of others or that we will be able to
develop additional patentable technology of our own. Because patent applications
in the U.S. are not disclosed by the Patent and Trademark Office until patents
issue, and because publication of discoveries in the scientific or patent
literature often lags behind actual discoveries, we cannot be certain that we
were the first creator of inventions covered by our pending patent applications
or that we were the first to file patent applications for such inventions. There
can be no assurances that any patents issued to us will provide us with
competitive advantages or will not be challenged by others. Furthermore, there
can be no assurance that others will not independently develop similar products,
or, if patents are issued to us, design around such patents.
A number of biopharmaceutical companies, biotechnology companies, universities
and research institutions have filed patent applications or received patents
relating to products or processes competitive with or similar to ours. Some of
these applications or patents may be competitive with our applications or
conflict in certain respects with claims made under our applications. Such a
conflict could result in a significant reduction of the coverage of our patents,
if issued. In addition, if patents that contain competitive or conflicting
claims are issued to others and such claims are ultimately determined to be
valid, we may be required to obtain licenses to these patents or to develop or
obtain alternative technology. If any licenses are required, there can be no
assurance that we will be able to obtain any
24
such licenses on commercially favorable terms, if at all. Our failure to obtain
a license to any technology that we may require to commercialize our products
could have a material adverse effect on our future business, financial condition
and results of operations. Litigation, which could result in substantial cost to
us, may also be necessary to enforce any patents issued to us or to determine
the scope and validity of third party proprietary rights.
We also rely on secrecy to protect our technology, especially where patent
protection is not believed to be appropriate or obtainable. We maintain strict
controls and procedures regarding access to and use of our proprietary
technology and processes. However, there can be no assurance that these controls
or procedures will not be violated, that we would have adequate remedies for any
violation, or that our trade secrets will not otherwise become known or be
independently discovered by competitors.
INTENSE COMPETITION; UNCERTAINTY OF TECHNOLOGICAL CHANGE
Competition in the development of biopharmaceutical products is intense, both
from biopharmaceutical and biotechnology companies, and is expected to increase.
Many of our competitors have greater financial resources and larger research and
development staffs than us, as well as substantially greater experience in
developing products, obtaining regulatory approvals, and manufacturing and
marketing biopharmaceutical products. Competition with these companies involves
not only product development, but also acquisition of products and technologies
from universities and other institutions. We also compete with universities and
other institutions in the development of biopharmaceutical products,
technologies and processes and for qualified scientific personnel. There can be
no assurance that our competitors will not succeed in developing technologies
and products that are more effective or affordable than those being developed by
us. In addition, one or more of our competitors may achieve product
commercialization of or patent protection for competitive products earlier than
us, which would preclude or substantially limit sales of our products. Further,
several companies are attempting to develop and market products to treat certain
diseases based upon technology that would lessen or eliminate the need for human
antibodies. The successful development and commercialization by any of our
competitors of any such product could have a material adverse effect on our
future business, financial condition and results of operations.
We compete for antibody donors with pharmaceutical companies, other independent
antibody suppliers, other commercial collection companies and non-profit
organizations such as the American Red Cross and community blood banks that
solicit the donation of blood. A number of these competitors have access to
greater financial, marketing and other resources than us. We compete for donors
by offering financial incentives to donors to compensate them for their time and
inconvenience, providing outstanding customer service to our donors,
implementing programs designed to attract donors through education as to the
uses for collected antibodies, encouraging groups to have their members become
donors and improving the attractiveness of our antibodies collection facilities.
We also compete with other independent antibody suppliers that sell antibodies
principally to pharmaceutical companies that process antibodies into finished
products. If we are unable to maintain and expand our donor base, our future
business, financial condition and results of operations will be materially and
adversely affected.
UNCERTAINTY OF PRODUCT PRICING AND REIMBURSEMENT
Our ability to commercialize our biopharmaceutical products and related
treatments will depend in part upon the availability of, and our ability to
obtain adequate levels of reimbursement from government health administration
authorities, private healthcare insurers and other organizations. Significant
uncertainty exists as to the reimbursement status of newly approved healthcare
products, and there can be no assurance that adequate third party coverage will
be available, if at all. Inadequate levels of reimbursement may prohibit us from
maintaining price levels sufficient for realization of an adequate return on our
investment in developing new biopharmaceutical products and could result in the
termination of production of otherwise commercially viable products. Government
and other third party payers are increasingly attempting to contain healthcare
costs by limiting both the coverage and level of reimbursement for new products
approved for marketing by the FDA and by refusing, in some cases, to provide any
coverage for disease indications for which the FDA has not granted marketing
approval.
25
Also, the trend towards managed healthcare in the U.S. and the concurrent growth
of organizations such as HMOs, which could control or significantly influence
the purchase of healthcare services and products, as well as legislative
proposals to reform healthcare or reduce government insurance programs, may all
result in lower prices for our products. The cost containment measures that
healthcare providers are instituting and the impact of any healthcare reform
could have an adverse effect on our ability to sell our products and may have a
material adverse effect on our future business, financial condition and results
of operations.
There can be no assurance that reimbursement in the U.S. or foreign countries
will be available for our products, or, if available, will not be decreased in
the future, or that reimbursement amounts will not reduce the demand for, or the
price of, our products. The unavailability of third party reimbursement or the
inadequacy of the reimbursement for medical treatments using our products could
have a material adverse effect on our future business, financial condition and
results of operations. Moreover, we are unable to forecast what additional
legislation or regulation, if any, relating to the healthcare industry or third
party coverage and reimbursement may be enacted in the future or what effect
such legislation or regulation would have on our future business.
ITEM 2. PROPERTIES
We own an 87,300 square foot facility that houses our executive offices and our
licensed biopharmaceutical manufacturing facility in Boca Raton, Florida. We
received an approval letter from the FDA in October 2001 to manufacture Nabi-HB
in our biopharmaceutical manufacturing facility.
We occupy space primarily used to collect antibodies and leased from
non-affiliates under leases expiring through 2009. A majority of these leases
contain renewal options that permit us to renew the leases for varying periods
up to ten years at the then fair rental value. We believe that in the normal
course of our business, we will be able to renew or replace our existing leases.
Our antibody collection centers range in size from approximately 4,200 to 20,800
square feet.
We lease office, laboratory, warehouse and pilot manufacturing space in Miami,
Florida and Rockville, Maryland with terms expiring through May of 2005 with
various options for lease extensions.
ITEM 3. LEGAL PROCEEDINGS
We are a party to litigation in the ordinary course of business. We do not
believe that such litigation will have a material adverse effect on our future
business, financial position or results of operations.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
No matter was submitted to a vote of security holders in the fourth quarter of
the year ended December 29, 2001.
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ITEM 4A. EXECUTIVE OFFICERS OF THE REGISTRANT
The executive officers of Nabi Biopharmaceuticals are as follows:
Name Age Position
- ---- --- --------
DAVID J. GURY 63 Chairman of the Board, President and
Chief Executive Officer
THOMAS H. MCLAIN 44 Executive Vice President and
Chief Operating Officer
ROBERT B. NASO, PH.D. 57 Senior Vice President, Quality, Regulatory
and Product Development
MARK L. SMITH 40 Senior Vice President, Finance,
Chief Financial Officer, Chief Accounting Officer
and Treasurer
C. THOMAS JOHNS 55 Senior Vice President, Manufacturing
Operations
GARY A. SISKOWSKI 56 Senior Vice President, Sales and
Marketing
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DAVID J. GURY has served as Chairman of the Board, President and Chief Executive
Officer since April 3, 1992. Previously, from May 1984, Mr. Gury served as
President and Chief Operating Officer for Nabi Biopharmaceuticals. Mr. Gury has
been a director of Nabi Biopharmaceuticals since 1984. From July 1977 until his
employment by Nabi Biopharmaceuticals, Mr. Gury was employed by Alpha
Therapeutic Corporation (formerly Abbott Scientific Products) as Vice President,
Plasma Supply (through May 1984), General Manager, Plasma Operations (through
October 1981) and Director of Plasma Procurement (through October 1980). In
these capacities, Mr. Gury had executive responsibilities for antibody
procurement and operation of plasmapheresis centers.
THOMAS H. MCLAIN has served as Executive Vice President and Chief Operating
Officer since April 2001. From 1998 to April 2001 Mr. McLain served Nabi
Biopharmaceuticals as Senior Vice President, Corporate Services and Chief
Financial Officer. From 1988 to 1998, Mr. McLain was employed by Bausch & Lomb,
Inc. where, as Staff Vice President, Business Process Reengineering, he led a
cross-functional team to restructure the global finance and purchasing
organizations. During his tenure with Bausch & Lomb, Mr. McLain held various
positions of increasing responsibility, including Staff Vice President,
Accounting and Reporting and Assistant Corporate Controller. Before joining
Bausch & Lomb, Mr. McLain practiced with the accounting firm of Ernst & Young
LLP.
ROBERT B. NASO, PH.D. has served as Senior Vice President Quality, Regulatory
and Product Development, since August 1998. From 1995 to August 1998, Dr. Naso
served Nabi Biopharmaceuticals as Senior Vice President, Research and
Development and General Manager, Rockville Operations. From 1992 to 1995 Dr.
Naso served as Vice President of Research and Development (through 1995) and
Vice President of Research (through 1994) of Univax Biologics, Inc. From 1983 to
1992, Dr. Naso was employed at Johnson and Johnson where he held various
positions of increasing responsibility in research and development.
MARK L. SMITH has served as Senior Vice President of Finance, Chief Financial
Officer and Chief Accounting Officer since April 2001. From August 1999 to April
2001, Mr. Smith served Nabi Biopharmaceuticals as Vice President of Finance and
Chief Accounting Officer and as Senior Director of Finance and Chief Accounting
Officer. Prior to joining Nabi Biopharmaceuticals, Mr. Smith served as Vice
President of Finance and Chief Financial Officer of Neuromedical Systems, Inc.
where he played a leadership role in that company's strategic restructuring and
sale. Prior to joining Neuromedical Systems, Mr. Smith served in various
financial executive capacities at Genzyme Corporation from 1996 until 1998 and
as Vice President of Finance and Administration and Chief Financial Officer of
Genetrix, Inc. from 1991 until 1996. Before joining Genetrix Inc., Mr. Smith
practiced with the accounting firm of PricewaterhouseCoopers LLP in both
Australia and the U.S.
C. THOMAS JOHNS has served as Senior Vice President, Manufacturing Operations
since October 2001. From 1997 to October 2001, Mr. Johns served Nabi
Biopharmaceuticals as Vice President of Laboratory Services and Diagnostic
Products and as Senior Director of Laboratory Services. Prior to joining Nabi
Biopharmaceuticals, Mr. Johns served as General Manager of MRL Reference
Laboratory from 1993 to 1997. From 1978 to 1993, Mr. Johns was employed at
Nichols Institute Regional Laboratory where he held various positions of
increasing responsibility in operations.
GARY A. SISKOWSKI has served as Senior Vice President, Sales and Marketing since
October 2001. From June 1998 to October 2001, Mr. Siskowski served Nabi
Biopharmaceuticals as Vice President of New Business Development. Prior to
joining Nabi Biopharmaceuticals, Mr. Siskowski co-founded Advanced Biologics, a
clinical research organization specializing in anti-infectives and served as
Vice President of Business Development. From 1988 to 1994, Mr. Siskowski was
employed at Ortho-McNeil to develop and launch products with the Anti-Infectives
Franchise. From 1969 to 1988, Mr. Siskowski was employed at Roche Laboratories
where he held various positions of increasing responsibility, ultimately holding
the position of Product Director for the Anti-Infectives Franchise.
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NABI BIOPHARMACEUTICALS
- --------------------------------------------------------------------------------
PART II
ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS
Nabi Biopharmaceuticals' common stock is quoted on the Nasdaq National Market
under the symbol "NABI." The following table sets forth for each period the high
and low sale prices for the common stock (based upon intra-day trading) as
reported by the Nasdaq National Market.
High Low
------ ------
2001
First Quarter 6.375 3.875
Second Quarter 8.500 5.125
Third Quarter 7.740 4.850
Fourth Quarter 11.080 5.450
2000
First Quarter 12.000 4.125
Second Quarter 8.625 3.750
Third Quarter 10.063 5.313
Fourth Quarter 6.938 2.500
The closing price of our common stock on February 22, 2002 was $5.660 per share.
The number of record holders of our common stock at December 29, 2001 was 1,138.
No cash dividends have been previously paid on our common stock and none are
anticipated in 2002. Our credit agreement also prohibits dividend payments.
ITEM 6. SELECTED FINANCIAL DATA
The following table sets forth selected consolidated financial data for the five
years ended December 29, 2001 that were derived from our audited consolidated
financial statements.
The data should be read in conjunction with, and are qualified by reference to,
Nabi Biopharmaceuticals' Consolidated Financial Statements and the Notes thereto
and "Management's Discussion and Analysis of Financial Condition and Results of
Operations." All amounts in the following table are expressed in thousands,
except for per share data.
29