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June 2005 issue

Coming Of Age: Pediatric Pharmaceuticals Get Some Attention From Legislators And Venture Capitalists
Two recent venture capital transactions, including the largest financing in the past 30 days, and some recent legislation, may indicate a growing trend in the pharmaceutical market towards the pediatric segment. Verus Pharmaceuticals pocketed $78 million in its Series A round and secured a $20 million product-specific royalty financing in the same deal.
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Public Equity Market
For the second month in a row, selling shareholders are a fixture on the public equity market, but two health care companies priced IPOs while three others withdrew their filings.
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Merger & Acquisition Market
There are no billion-dollar deals to report, but there was a steady flow of activity in the medical devices sector, and the largest deal of the month brings a Scandinavian drugmaker to the United States generics market.
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Venture Capital Market
The flow of venture funding to health care companies has definitely not stopped, especially for biotechs, biopharmas and pharmas, in spite of the public equity market recently savaging the same sectors.
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Private Equity Market
Several small private placements were announced in the past 30 days, with three deals made for over $30 million apiece, and the average size of the investments increased, compared with last month.

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Notes & Briefs

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Companies Mentioned in this issue: June 2005
3i p7
A
A-Fem Medical Corporation p13
A.G. Edwards p3
Abingworth p7
ABN Amro p9
Accentia Biopharmac. p3
Access Pharmaceut. p3
Actavis Group p6
Actavis Group hf p5
Advanced Magnetics p13
Advent Ventures p7
Affymetrix p6
Affymetrix, Inc. p5
Alkermes p16
Allergan p4
Alliance Technology Ventures p8
Alliant Pharmaceuticals p4
Allion Healthcare p3
Alta Partners p7
Amarin p12
Amedisys, Inc. p5
American Diabetic Association p16
American Healthways p5
American Medical Syst. p5
American Urological Association p16
Amide Pharmaceutical, Inc. p5
Amide Pharmaceuticals p6
AMN Hlthcr. Svcs. p3
Angiotech Drug Device Venture and Capital Enterprises p11
Angiotech Pharmaceuticals p11
Aperon Biosystems p8
Apjohn Group p7
Aravis Ventures p9
Arboretum Ventures p7
Arnerich Massena & Associates p8
artus GmbH p5
Ascendiant Securities p12
Ascent Pediatrics p4
Asterand p7, p10
AstraZeneca p16
Athenian Venture Partners p2
AtriCure, Inc. p3
Axiom Ventures p7
Azur Pharma p9
B
BA Venture Partners p8
BankInvest p9
Baxter International p11
Bay City Capital p7
BB Biotech Ventures p8
Bentley Pharmaceuticals p16
Bessemer Venture Partners p7
BioAxone Therapeutics p7
BioCan Scientific, Inc. p5
BioConvergence LLC p11
BioCrossroads, p11
BioFund p8
BioMarin p4
BioMed Realty Trust p3
BioMimetic Pharmaceuticals p7
Bionomics Limited p5
BioVentures Investors p8
Blue Chip Venture Company p4
Borean Pharma p9
Bristol-Myers Squibb p15
Brotman Medical Center p5
Burnham Securities Inc. p12
Business Development Bank of Canada p7
C
CABG Medical p11
Calypso Medical p8
Canaan Partners p8
Canaccord Capital p13
Capella Healthcare p9
CAS Medical Systems p5
CDIB BioScience Ventures p8
Cell Therapeutics p6
Celldex Therapeutics p3
Cephalon p6
Cephalon, Inc. p5
Charles Street Securities p9
Children’s Behavioral Health p5
Chromos Molecular Sys. p5
Chrysalis Ventures p7
CIBC p3
CIBC World Markets p8
Cierra p9
Cincinnati Business Courier p4
CMEA Ventures p7
Codon Devices p11
Coherent, Inc. p5
Comprehensive Care p14
Constellation Ventures p9
Cook Imaging p11
Corgenix Medical p12
Cornell Capital Partners p14
Correlogic Systems, Inc. p11
Critical Therapeutics p14
Crossmark Capital p11
CryoCor p3
CSFB p3
Cyberonics p16
D
Dali Hook Partners p9
Danske Bank p8
Davy Corporate Finance Limited p9
Delphi Ventures p7
Dental Visions p5
Determine/DainaScreen p5
Deutsche Banc p3
DG Lux Multimanager I Sicav Lacuna Apo BioTech p7
Domain Associates p1, p8
Draper Richards p9
Draper Associates p9
Draper Associates LP p4
Draper Fisher Jurvetson p4, p8, p9
Draper Richards LP p4
Dura Pharmaceuticals p1
Dyax p3
E
Electro-Optical Scien. p3
Eli Lilly &Co. p11
Emisphere Technol. p3
EpiCept p3
European Commission p16
ev3 p3
Evogene Ltd. p8
Exelar Medical p16
Exelixis p14
Exiqon A/S p8
Extendicare Health Svcs. p5
F
Ferghana Securities p7
Fisher Scientific Intl. p5
Five Star Quality Care p5
Flagship Ventures p11
FNI Venture Capital p9
Foresight Capital Corporation p11
Fort Washington Capital Partners p7
Forward Ventures p11
Frazier Healthcare Ventures p7,9,11
Friedli Corporate Finance p9, p10
Friedman Billings p3
Fujisawa Investments for Entrepreneurs p8
Fusion Capital Fund II p12
G
GBS Venture Partners p7
Gemin X Biotechnologies p7, p10
Genesys Capital Partners p7
GlaxoSmithKline p15
GlycoGenesys p12
Golden Rule Insurance Company p16
Goldman, Sachs p3
Greenberg Traurig p13
H
H. Lundbeck p7
H.I.G. Group p7
Hamilton Physical Therapy p5
Harbert Venture Partners p8
Harborside Healthcare p5
Harvard Medical School p16
Health IQ Diagnostics p5
Heartland Pharmacy p5
Helsinn Healthcare p15
HemoSense p3
Hillside Capital p7
Hospira, Inc. p5
HSS Ventures p7
Hybridon p12
I
IBT p7
Iliad Chemicals p5
Incuba p9
Indiana Future Fund p11
Indiana Seed Fund I p11
InfaCare p4
Innovative Biosensors p8
Inovio Biomedical p3
Integrity Pharmaceuticals p4
InterGenetics p7
Inverness Medical, Inc. p5
Investissement Desjardins p7
IR BioSciences Holdings p11
IRIS International, Inc. p5
J
Janney Montgomery Scott p3
Jefferies & Co. p3
Jefferies & Company p3
Jesup & Lamont Secs. p3
John Muir/Mt. Diablo p5
JP Morgan p7
Jupiter Partners p4, p9
K
Keating Securities p13
KV Pharmaceutical p5
L
Ladenburg Thalmann p3
Laidlaw & Company (UK) Ltd. p13
Lakeview Capital p8
Langer p3
LD Pensions p8
Legg Mason p3
Lehman p3
Lev Pharmaceuticals p13
LHC Group p1, p3
LifeCycle Pharma p7
Lifeline Therapeutics p13
Lothian Partners 27 SARL p7
M
Maryland Venture Fund p8
McKesson BioServices p5
MeadowBrook Healthcare p5
Medica Venture Partners p8
Medical Facilities Corp. p5
Medical Prpties. Trust p3
MedicalCV, Inc. p3
Medicis p4
Medicorp, Inc. p5
MedMira Inc. p12
Merck KGaA p11
Mercury Computer Sys. p5
Merlin BioMed Group p7
Merrill Lynch p3
Mi3 p8
Micrus Endovascular p3
Midtown Partners & Co. p12
Minrad International p14
Mitsui & Co. Venture Partners p8
Montreux Equity Partners p2, p7, p8
Morgan Stanley p3, p11
Morgan Stanley Venture Partners p11
Morgenthaler Ventures p9
Morningside Venture Investments p8
Morria Biopharmaceuticals p9
MPM Capital p2, p7, p8
N
NeoGenomics p14
New Life Scientific p5
New Markets Growth Fund p8
NexMe p12
Nobel Group p8
Nordic Biotech p7
Noro-Moseley p7
NovaDel Pharma p13
Novartis BioVenture Fund p7
Novartis BioVentures p8
Novi p9
NovImmune p7
Novo A/S p7
Novoste Corporation p5
NovoStent p7
NuVasive, Inc. p5
O
Oklahoma Spine Hospital p5
Ondine Biopharma p13
ONI Medical Systems p5
Onset Ventures p8
Ontario Teachers Pension Plan p7
Oragenics p12
OrbiMed Advisors p8
Orthovita p11
Osiris Pharmaceuticals p10
Osiris Therapeutics p9
Ovion, Inc. p5
Oxagen Limited p7
Oxford Bioscience Partners p8
P
ParAllele BioScienc p6
ParAllele BioScience, Inc. p5
Paramount BioCapital p8
Paul Royalty Fund p1
Peak Medical Corporation p5, p6
PediaMed p2
Pegasus Biologics p9
Peninsula Equity Partners p7
Pfizer, Inc. p16
Pharma Trials International p5
Pharmamatrix Acquis. p3
Phenomix Corporation p7
Physiometrix, Inc. p5
Pinnacle Biotech Ventures Fund p7
Piper Jaffray p3
Pitango Venture Capital p8
PRA International p3
Progenics Pharmaceu. p3
Prolacta Bioscience p4, p9
Prolysis Ltd. p8
ProQuest Investments p13
Prospect Medical Hldgs. p5
Prospect Venture Partners p1, p7
Prospect Ventures p8
Protalex p13
Protein Polymer Tec. p3
Protein Therapeutics p4
Providence Service Corp. p5
PTV Sciences p7
Pulmonetic Systems p6
Pulmonetic Systems, Inc. p5
Q
QIAGEN, NV p5
Quest Diagnostics p11
R
Radiation Therapy Svcs. p5
Ramp Corporation p16
Ranier Technology p9
Raymond James p3
Red Abbey p7
Redmond Retirement Manor p5
RehabCare Group p5
Reliant Pharmaceut. p3
Richwood Pharmaceuticals p4
Rossmoor Medical Center p5
RS Staffing p5
S
Salmedix, Inc. p5
Sanderling Funds p7
Sanderling Ventures p7, p8
Scandinavian Life Science Venture p8
Schering-Plough Corporation p4
Seaflower Ventures p7
SeraCare Life Scien. p3
Serono p7
SG Cowen p3
Shire Pharmaceuticals p4
SkyePharma p14, p15
Sofinnova Ventures p7
SOHARD AG p5
Solidarity Fund QFL p7
Somaxon Pharmaceuticals p8, p10
Sound Surgical p3
Split Rock Ventures p9
Sprott Securities p13
SR One p7
STAAR Surgical p3
Statcorp, Inc. p5
Stem Cell Research p3
Strategic Investments Group of Pfizer, Inc. p8
Sun Healthcare Group p5, p6
superDimension Ltd. p8
SurModics p8
SV Life Sciences p7
Symphony Capital p14, p15
Symphony Evolution p14, p15
Synta Pharmaceutic. p3
T
T2C2 Bio2000 p7
Targeted Molecules Corp. p5
Taylor Madison p12
TDL Investors p8
TeamStaff, Inc. p5
Teknoinvest p8
The Band of Angels Fund p7
The Entrepreneur’s Fund p9
ThermopeutiX p8
Thos. Weisel p3
Three Arch Partners p9
Tianwei p5
Tioga Pharmaceuticals p11
Trident Capital p9
Trisenox p5
TuiLaser AG p5
U
U.S. Physical Therapy p5
UBS p3
UBS Investment Bank p3
Union Dental Holdings, Inc. p5
Union Springs, LLC p4
UnitedHealth Group p16
Universal American p3
University of Minnesota p16
V
VenGrowth Private Equity Partners p7
Vertex Pharmaceut. p3
Verus Pharmaceuticals p1
Viasys Healthcare p6
Viasys Healthcare, Inc. p5
Viterbi Group p8
Vivo Ventures p13
VPSA p9
vSpring Capital p13
W
Webify Solutions p9
WellCare Hlth. Plans p3
Wellcome Trust p7
William Harris Investors p8
William K. Bowes, Jr. Foundation p4, p9
WillMac Health LP p7
Windamere Venture Partners p2
Woodcliff Healthcare Investment Partners p14
Woodcrest Nursing Home p5
WR Hamb. p3
X
Xanodyne Pharmaceuticals p4
XenoPort p3
XLR Medical Corporation p16
Z
Zelos Therapeutics p7
ZIOPHARM p8

Coming Of Age: Pediatric Pharmaceuticals Get Some Attention From Legislators And Venture Capitalists

How does a company that does not yet have any products for sale enter the $20 billion pediatric drug market? With $98 million, if it’s Verus Pharmaceuticals. This month the California-based specialty pharma announced its $78 million Series A round, and expects to complete the acquisition of its first product within a month. The venture financing, done in three closings, is augmented by a $20 million product-specific royalty financing arranged with Paul Royalty Fund, provider of the largest commitment of capital to the overall financing, which was led by Domain Associates and Prospect Venture Partners. Investors may have been attracted to this segment of the pharmaceutical market because it is underserved and growing rapidly, and because few other companies specialize in pediatric drugs. The pediatric segment primarily requires medications for respiratory conditions, including allergies and asthma, behavioral disorders and infections.

Nine months of planning preceded the financing, during which time the three founders, Bob Keith, Peter Schineller and Cam Garner—previously executives at Dura Pharmaceuticals—examined the pharmaceutical market for the right opportunity and discussed what had and had not worked well for Dura. After whittling down the options the founders decided to focus on the pediatric market, and to utilize their business experience and skills most effectively by primarily looking at pipeline opportunities and working on later-stage projects, with an initial focus on respiratory, allergy/asthma and related diseases and conditions. Of the total pediatric drug market, the allergy/asthma-related segment represents $5 billion or so. Approximately 15% to 20% of children are diagnosed with asthma alone, representing the most prevalent treatment area in the pediatrics market.

Other investors that participated in the financing, believed to be the largest sum ever raised in a Series A round in San Diego, were MPM Capital, Montreux Equity Partners, Athenian Venture Partners, Windamere Venture Partners and private investors. An aggressive acquisition and commercialization schedule is already in place at Verus, although the company is trying to keep under wraps exactly what products it will launch, beginning later this year. Currently pursuing several transactions, by mid-2006 Verus expects to have two product candidates in Phase III trials for the treatment of asthma. Strength in the areas of development and commercialization, as well as very deep pockets, are expected by the executives at Verus to propel their company into a position of strength in the market it seeks to serve.

Verus intends to expand its staff from about 25 now, to about 100 people by the end of this year. The proceeds of its Series A round will be used primarily to build the organization, for the launch of Verus’ first product in the United States, for other pipeline projects and to evaluate additional potential transactions. The venture capitalists had already worked with Verus’ founders for years, so they are betting on the management team to leverage a profit with their development prowess and marketing expertise, plus they liked the pediatric model. Looking forward, Verus is open to opportunities beyond the respiratory treatment area, and would not be opposed to acquiring another company, if it made sense. The need for additional capital will be evaluated periodically. By successfully exploiting opportunities that highlight the founders’ key strengths, Verus hopes to become the partner of choice among pharmas seeking to maximize the pediatric-oriented assets in their own portfolios.

At least one other company, PediaMed, Inc., has laid down tracks and is running smoothly in the business of meeting the underserved medical needs of children. But there is still plenty of space to fill. Perhaps, like the executives in charge at PediaMed and Verus Pharmaceuticals, venture investors are hoping to impact the lives of children in a positive way, with products that are tailored and tested specifically for their small bodies and particular needs. Dr. Cameron Durrant, CEO of PediaMed, was pleased to see another company joining PediaMed in the pediatric space, seeing it as further validation of PediaMed’s business model.

PediaMed has been either breakeven or profitable for three of its four years in business. Although exact figures were not revealed, Dr. Durrant said that PediaMed’s revenues are currently in the double-digit millions. The company won the Best Places to Work in Kentucky competition for 2005 in the medium-sized employer category, and early this year raised $15 million of venture capital in an up round. The proceeds of that round primarily fueled later-stage research and development, some commercialization, and were also used to increase staff levels. Already partnering with big pharma, PediaMed is looking to co-promote, license and acquire compounds for pediatric development and commercialization, with a preference for lower-risk, later-stage development projects. In designing drugs to treat children, the company is challenged not only to ensure products contain proper drug dosage, but also feature palatability and easy administration and consumption—or are "kidpliant" as PediaMed calls it, a term that describes some of its existing products as well as some drug delivery projects in its pipeline. Going forward, PediaMed plans to continue to introduce new products and invest in its own growth, including expansion in the United States beyond the major metropolitan areas, where it is already active. Currently the company employs 125 people, and won the Tri-State (Ohio, Kentucky, Indiana) "Fastest Growing Company" award for 2004, on the "Fast 50" list compiled by the Cincinnati Business Courier.

The market for pediatric pharmaceuticals is estimated to exceed $20 billion. Spurred on by a series of legislative acts, the market is picking up speed, representing one of, if not the fastest-growing segment of the pharmaceutical industry. Essentially the legislation requires that all drugs, except those that are indicated for conditions rarely to never found in children, be tested specifically for pediatric applications. It is believed by some that up to 50%—and by others, up to 75%—of the products that are currently being prescribed to children do not actually have an adequate pediatric label, and the legislation may serve as an incentive to pharmas to do the research and develop the pediatric label for a given drug, because by doing so, they receive a six-month extension of exclusivity on the drug. Alternatively, companies such as PediaMed, Verus and others may partner with or license from big pharmas to conduct research, develop the label for and commercialize late-stage or existing product candidates.

PediaMed built its business by selling several cough and cold products that are specially formulated for children, plus it has an agreement with Schering-Plough Corporation (NYSE: SHP) to co-promote a pediatric respiratory treatment in the United States, and with Allergan (NYSE: AGN) to co-promote ZYMAR ophthalmic solution, a treatment for bacterial conjunctivitis (pink-eye). The assets of Protein Therapeutics were added to PediaMed’s pipeline as part of an acquisition in 2004. Now the company is beginning to extend its therapeutic reach to include respiratory, anti-infective, gastroenterology and CNS products. The anti-infective and allergy/respiratory markets represent a significant portion of the entire pediatric market, each accounting for up to 30% of the total. Venture investors, including Union Springs, LLC, Blue Chip Venture Company and Essex Woodlands Health Ventures, hold substantial ownership of PediaMed. PediaMed’s sister company, Xanodyne Pharmaceuticals, was also founded by Union Springs, the Kentucky-based pharmaceutical incubator, and is also funded by Blue Chip and Essex Woodlands. The founder of Union Springs, PediaMed, Xanodyne and Integrity Pharmaceuticals is Roger Griggs, the original founder of Richwood Pharmaceuticals, which merged with Shire Pharmaceuticals (NASDAQ: SHPGY). Under Griggs’ leadership, growth at Richwood was attributed primarily to the success of marketing the compound now known as Adderall for a new indication, bringing the drug up from generating less than $50,000 as a treatment for obesity, to several millions as a treatment for ADHD. Other drug companies in the pediatric space include Alliant Pharmaceuticals, Inc., InfaCare and BioMarin (NASDAQ: BMRN).

Novato, California-based BioMarin was founded in 1997 and went public two years later. The biopharma is developing and commercializing products for serious diseases and medical conditions, including Orapred (prednisolone sodium phosphate oral solution), an asthma medication licensed from Medicis (NYSE: MRX) that was part of the Ascent Pediatrics portfolio. Just this month, BioMarin received FDA approval for Naglazyme (galsulfase) as a treatment for mucopolysaccharidosis VI, making it the first approved drug for the rare disorder that leads to dwarfism. The company has some revenues, with net product sales of nearly $5 million for the three months ended March 31, 2005, but is operating at a loss, with operating expenses of more than $19 million for the same period.

If these companies are milking the pediatric market for money, then there is another company bringing a twist to that formula. Also this month, California-based Prolacta Bioscience raised $4 million in an early venture round, garnering the proceeds needed to establish milk banking procedures and for facility construction. Prolacta develops and provides large-scale testing and processing of human breast milk. The investors include Draper Fisher Jurvetson, Draper Associates LP and Draper Richards LP (co-leads); plus Jupiter Partners, the William K. Bowes, Jr. Foundation and others.

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