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June 2006 issue

Venture Capitalists Refine Investment Styles
In conversations with a handful of senior team members at high-profile venture capital firms, we learned how investors are reacting to recent realizations about the biotechnology market.
...
Four Health Care IPOs Priced
Health care companies continue to price initial public offerings, but venture backers are looking to the M&A market for exit opportunities.
...
Mergers and Acquisitions
Four deals worth more than a billion apiece were announced during May, including a $12.8 billion medical device deal and a $5.2 billion REIT deal.
...
Venture Capital Market
Venture capital investing in the health care sectors continued at a steady pace in May, plus we report new news on some old deals as well as a fund closing.
...
Notes & Briefs

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Companies Mentioned in this issue:
June 2006

3i Group p2, p8
A
Aberdare Ventures p7
Abmaxis p5
ABN AMRO Morgans p11
ABS Capital Partners p8
Accentia Biopharmaceut. p11
Accordant Health Services p9
Achillion Pharmaceu. p3
ACON p5
Adams Respiratory p5
AdCare Health p3
Adherex Technologies p11
Advanced Technology Ventures p7
Advent Venture Partners p7
AEG Elektrofotografie p5
Aerovance, Inc. p4
Agencourt p5
Agile Therapeutics p8
Alamo Pharmaceuticals p5
Allen & Company p7
Alta Partners p7
Alternative Behavioral p5
American Capital Strategies p8
American Medical p5
American Psychiatric Association p12
American Retirement p5
America’s Health Choice p5
Amgen p1
Amicus Therapeutics p3
Amplimedical p3
AngioDynamics p3
Angiotech p5
Apax Partners p7
Applied Biosystems p5
Aquilo Partners p2
Ares Management LLC p10
Artes Medical p3
Aspect Medical Systems p12
AspenBio Pharma p11
Aspyra, Inc. p11
Astellas Pharma Inc. p4
AstraZeneca p5
Aurora Imaging Technology p8
Avalon Pharmaceut. p3
Avanir p5
Aveta p5
Avigen p3, p11
Azimuth Opportunity Ltd. p10
B
Bain Capital p7
Balyasny Asset Management p7
Banc of America p3
Bayer p8
Bear, Stearns p6
Beijing Med-Pharm p3
Benaroya Capital p9
BioDelivery Sciences p11
Biogen Idec p5
BioMed Realty Trust p3
Bioniche Teoranta p5
Brookdale Senior Lvg. p5
Burrill & Company p7
Burton Advisors p8
C
Caisse de depot et placement du Quebec p7
Cambridge Antibody p5
Canaccord Adams p3
Canaccord Capital p10
Canadian Medical Discoveries Fund p8
Capital Senior Living p5
Cardiokine p7
Cardium Health Services p5
Cardiva Medical p8
Care Capital p7
Cedars Sinai Medical Center p12
Centene p5
ChemGenex p11
CHG Healthcare p3
Chroma Therapeutics p9
CIBC p3, p11
CIBC Capital Partners p7
Citigroup p3, p6
Clal Biotechnology p8
Clal Biotechnology Industries p8
Clarus Ventures p2
Clinical Development Capital p11
CNL Retirement Prprties. p5
CombinatoRx p3
Conforma Therapeutics p5
Consumer Healthcare Products Association p12
Continucare p5
Cowen & Company p6
Cross Atlantic Capital Partners p8
CVRx p8
Cycad Group p10
Cytogen p5
CytRx p3
D
D-Pharm Ltd. p8
DaunoXome p5
Delphi Ventures p7
Delsyn p5
Deutsche Bank p6, p11
Diatos p5
Discovery Labs p3
Dishman Pharmaceut. p5
Doral p5
E
eDiets.com p5
eMachineShop.com p12
Emerging Technology Partners p10
Emisphere Technologies p10
EntreMed p3
Eyetech p4
F
Fidelity Biosciences p7
First Albany p3
Fisher Scientific p6
Fluid Capital p9
Fluke Venture Partners p9
Focus Diagnostics p5
FoldRx Pharmaceuticals p7
Fusion Capital Fund II p11
G
Galen Partners p8
Genentech p1
General Electric Pension Trust p11
Genextra SpA p7
Gentium p11
Gentiva Health p3
Gentra Systems p5
GenVec p3
GlaxoSmithKline p4
Global Care Quest p8
Global Pharmatech p11
GlycoFi p5
Granite Associates p10
Griffin Securities p10
H
Hanger Orthopedic Group p10
HBM Partners p7
Health Care Prpty. Inv. p5
HealthCare Ventures p7
HealthSpring p5
HealthUnity p8
Healthways p5
Henderson Global Investors p10
Highland Clan Corp. p11
Hologic p5
Home Diagnostics p3
I
Idenix Pharmaceuticals p4
Illumina p3
ImaRx p3
Ingenix p5
InnovaQuartz p5
Insmed Incorporated p9
Integral Capital Partners p8
IntelliDOT p8
Intercept Pharmaceuticals p7
Interpharm Holdings p11
Intersouth Partners p7, p9
InterWest Partners p7
IntraLuminal Therapeutics p5
Intraop Medical p3
Inverness Medical p5
Investor Growth Capital p7
iScience Surgical p9
Isis Pharmaceuticals p10
Isotechnika Inc. p10
J
J.L. Albright IV Venture Fund p8
JAFCO Life Science Investment p7
Jefferies p3
JPMorgan p3
K
KAI Pharmaceuticals p9
Kane Biotech p11
Kareo p8
Kendle International p5
Kensey Nash p5
Knott Partners p10
L
Labopharm Inc. p3
Lakewood Pathology p5
Laserscope p5
Latterell Venture Partners p7
LB I Group p10
Lehman Brothers p3, p7
Lexington Ventures p8
Life Sciences Partners p8
LifeMasters p5
Lifestream Technologies p5
Lurie Investments, p7
Lux Biosciences p7
M
MacroGenics p7
Massachusetts General Hospital p12
MDS Capital p7
Medical Biohealth Trends p10
Medicure p3, p11
MediWound p8
Mercator MedSystems p8
Merck p5
Miami-Dade Health p5
Micro Logic p12
MicroIslet p3
Midtown Partners & Co. p11
MIG AG Funds p8
Minor Ventures p8
Minrad p3
Mistral Pharma p11
Mithra Ventures p7
Monogram Biosciences p11
Morgan Stanley p3
MPM Capital p7
MPM Capital p11
MultiCell Technologies p11
N
Nanogen p3, p11
Nanosphere p7, p8
Naryx Pharma p8
National Cancer Institute p12
Needham & Company p11
Neogen p3
NeoRx p3
Neurologix p11
Newbridge Securitie p3
NGN Capital p7
NLV Partners p2
Nomura Phase4 Ventures p9
Northstar Neuroscience p6
Northwestern University p8
Not Dead Yet p12
Notre Dame Capital p11
Novacea p1, p3
NovaDel p3
NovaQuest p9
Novartis p4, p10
Novartis BioVenture Fund p7
Novo A/S p7
Nutrio.com p5
NWH, Inc. p5
NxStage Medical p3
O
OnSiteDocs p9
Onyvax p8
Oppenheimer & Co. p3
OrbiMed Advisors p7, p11
OSI Pharmaceuticals p4
Osiris Therapeutics p3
Oxford Capital Partners p8
P
Pacific Growth Equities p6
Palo Alto Investors p8
Panacea Asset Management p10
Paradigm Spine p8
Paramount BioCapital p10
Partnership for a Drug-Free America p12
Peplin Limited p11
Peptide, Ltd. p5
PerkinElmer p5
Perseus-Soros Biopharmaceutical Fund p7
Pfizer p11
Pfizer, Inc. p4
PharmaFrontiers p3
PharmaKodex p9
Pharmasset p3
Pharos Capital Group p8
Pheromone Sciences p11
Piper Jaffray p3
PMC Medicare Choice p5
Polar Investments p8
Prism Venture Partners p8
Profectus BioSciences p8
Promics p5
ProQuest Investments p8, p10
Protagen AG p8
Proteolix p7
Protez Pharmaceutical p8
Provectus p3
Psychiatric Solutions p5
Punk, Ziegel p11
Q
QIAGEN p5
Quadramet p5
Qualyst p8
Quest Diagnostics p5
Questcor p5
Quill Medical p5
Quintiles PharmaBio p11
Quintiles Transnational Corp. p9
R
RAB Special Situations p5
Raptor Pharmaceu. p11
Raymond James p3
RBC p3
RBC Capital Markets p11
Red Abbey Venture Partners p7
RehabCare Group p5
Restore Medical, Inc. p6
Riley Medical p5
RiverVest Venture Partners p7
Roche p10
Rodman & Renshaw p11
Roth p3
S
S.R. One p8
Scoliosis Systems p12
SenoRx p3
Serenex p9
Sirna Therapeutics p3
Skyline Ventures p7
Solara Hospital p5
Solarant Medical p5
Solutia p5
Sonus Pharmaceuticals p11
Source Medical Solutions p8
Spectral Genomics p5
Spectranetics p3
Sphere Medical Holding p8
Stonegate p3
Sumitomo Japan p9
SupplyScape Corporation p8
Susquehanna Financial p11
SV Life Sciences p7
Symmetry Medical p5
Symphony Health p5
T
Teachers Private Capital p7
TechLab p5
Telzuit Medical p11
Texas Pacific Group p7
The Hygenic Corporation p8
The Vaccine Company p8
The Vaccine Company, L.P. p8
The Vertical Group p7
Theravance, Inc. p4
Thermo Electron p6
ThinkEquity Partners p10
Thomas Weisel Healthcare Venture Partners p8
Thomas Weisel Venture Partners p7
TPG-Axon Capital p9
Trinity Biotech p5
Tullis-Dickerson Capital Focus III, L.P. p11
U
U.S. Air Force p9
U.S. Venture Partners p7
U3 Pharma p8
Unilever Ventures p9
University of Texas M.D. Anderson Cancer Center p12
Uptake Medical p8
V
VCH Expert Biotech p10
Vectura Group p9
Vein Associates of Amer. p11
Ventures West p7
Vidacare p9
VioQuest p3
Viron Therapeutics p8
Viscogliosi & Co. p8
Vivo Ventures p8
VIVUS p11
W
Water Street Capital p5
Westminster Securities Corporation p11
WSmiths Finance p11
Wyckoff Heights p5
Z
ZIOPHARM Oncology p10

Venture Capitalists Refine Investment Styles

Email Editor

The biotechnology industry is something like The Little Engine That Could of storybook fame. This train has been carrying investors on an uphill climb of peaks and valleys, rolling up the line as bystanders babble about a bubble. In a sense, the valleys have been very low points for a good number of companies and the peaks have been the high levels of success achieved by a few companies, such as Amgen (NASDAQ: AMGN) and Genentech (NYSE: DNA). But the investors, scientists, business people and other professionals who make the biotech engine run still seem to have the same attitude… I think I can, I think I can. What do they think they can do? Improve the quality of human life. Predict, prevent, treat and manage diseases. Create cures.

These are noble and worthy goals, but are not easily achieved and not necessarily profitable. As has often been said, nothing worth doing in life comes easily. So if biotech has been on a rough ride so far, perhaps at the end of the line, investors will get their money’s worth and patients will get effective new therapies. But how are investors coping with the innate risks involved in biotechnology and biopharmaceutical development?

The dealmakers we talked with at a few major firms had some similar answers to that question. Allan Ferguson said 3i Group is moving away from early-stage investing, and Nick Galakatos said Clarus Ventures will not invest in a company until it has at least one compound in the clinic. Jeani Delagardelle said NLV Partners is crafting fewer "vanilla" term sheets. Investors are taking action to protect themselves from possible downsides of the development process, a trend that Ms. Delagardelle said is partly driven by the innovation of devices such as percutaneous valves, which are not yet covered by any clear regulatory pathway.

Back in the day, Mr. Ferguson remembers that even middle school teachers with a bright idea had a chance at funding. But 3i, like the other investors we talked with recently, is moving away from early-stage investing, and even occasionally setting up milestones in its term sheets. In Mr. Ferguson’s words, "we’ve all gotten more rational," and investors are showing more discipline in seeking out companies with business models that will become profitable as well as excellent management teams. Mr. Galakatos observed that over the years, fund managers have become more adept at balancing the deployment of capital with meeting the expectations of limited partners.

There are a few other ways that the investors who spoke with us have seen the industry change over the past several years. Ms. Delagardelle, commenting particularly on the area of medical devices, explained that NLV is now looking much more closely at reimbursement issues than in the past, and weighs regulatory issues much more carefully. Reimbursement, she noted, is almost harder to get than FDA approval, and of course market acceptance and adoption is key to the success of any medical product. In addition, NLV associates a risk profile with the investment candidates it examines to help define how early- or late-stage a company really is, based on clinical activities as well as the regulatory issues inherent in specific therapeutic areas.

We also talked with Brian Polzak of Aquilo Partners, a life sciences investment banking firm that advises public and private life science companies in mergers and acquisitions, private placements and general corporate matters. His impression is that venture capital investors are trying to be more efficient with funding in earlier stages, with the goal of keeping young companies as lean as possible until build-out is appropriate. Logically, the idea is to avoid unnecessary spending on product candidates that may or may not pan out. In the course of structuring deals, these days investors are considering portfolio investments in terms of the optimal amount of capital needed for a company to operate at an ideal size to reach value inflection points, such as clearing the clinical hurdles that are prerequisite to gathering human data.

Another change equity investors have had to come to terms with is the fact that when they take a stake in a biopharmaceutical, biotechnology or other novel health care technology company, more time and also more capital is required to reach an exit. As a result, Mr. Galakatos says, private equity firms are making moves with larger chunks of capital per deal. However, portfolio companies do not necessarily get all that capital up front. All four dealmakers are seeing more equity commitments that are set up to close in tranches. Ms. Delagardelle pointed out that especially when a firm provides a larger financing, or participates at an earlier stage, it makes sense to structure the deal in tranches if milestones can be clearly distinguished.

Lessons have been learned from the past. When technology stocks took a hit, so did biotechnology, but Mr. Polzak, for one, believes that as the population ages and science advances, interesting technologies are being developed that appeal to investors. Enthusiasm for health care sector businesses is still growing, and a lot of money is available to be invested in these companies. Ms. Delagardelle said that NLV Partners has actually done some research indicating there is an even greater demand than there is capital to be invested in the sectors their firm targets. Mr. Galakatos opined that although the size of the typical biotech fund is much larger than it used to be, this does not mean there is too much capital out there. Pharmaceutical, biotechnology and biopharmaceutical companies, he reminds us, are highly capital intensive.

Mr. Galakatos believes that the size of venture capital funds formed to invest in product-driven companies has been optimized at around $500 million (coincidentally, the same size as Clarus’ inaugural fund). Interestingly, as venture capital funds get larger, some investors say the lines may be blurring between what separates a venture capital firm from a private equity firm or hedge fund. Investment rounds, he told us, have in general grown about three to four times larger in size over the past decade. For example, the $60 million financing of Aerovance, Inc. that was led by Clarus Ventures exemplifies one type of deal that is becoming increasingly common. Aerovance secured a greater amount of funding than we usually see committed in one round, the capital came from investors with deep pockets and the funding is comprised of two tranches, including $28 million up front and an additional $32 million upon the achievement of certain milestones.

Ms. Delagardelle surmises that another way more money is actually flowing into health care is that, especially in lieu of later rounds, partnering deals are replacing venture capital deals. We have all seen that strategic deals with big pharma and biotech players are becoming a more common way for venture-backed life sciences companies to secure funding for discovery, development and commercialization. Mr. Galakatos views these deals as a very attractive option in the market. Also, major pharmaceutical and biotechnology companies have a strong interest in replenishing their dwindling pipelines through the acquisition of new compounds and other intellectual property.

Mr. Polzak commented on the value that strategic partnerships with large pharmas and biotechs can have for cutting edge life sciences companies. He said companies that have received premium valuations for strong initial public offerings in the past few years often had relationships with major industry players. He identified Idenix Pharmaceuticals (NASDAQ: IDIX), Theravance, Inc. (NASDAQ: THRX) and Eyetech, which was acquired by OSI Pharmaceuticals (NASDAQ: OSIP), as three biopharmaceutical companies that debuted successfully on the public market. One common characteristic of the three is that when private, these companies had entered into development agreements with Pfizer, Inc. (NYSE: PFE); Novartis (NYSE: NVS); and Astellas Pharma Inc. (PK: ALPM; TSE: 4503) as well as GlaxoSmithKline (NYSE: GSK), respectively.

Although we have heard some buzz about the possibility of private equity investors bailing out health care venture capital investors, none of the dealmakers that talked with us substantiated that theory. According to Mr. Polzak, private equity investors are still looking for companies that produce revenue and EBITDA, and it’s not likely PE firms are or will be providing any substantial exit market for private, venture-backed health care companies. Besides, Mr. Galakatos added, most private equity firms do not have the domain expertise required to efficiently operate and grow R&D-based companies, and it is unlikely they will devote much energy to pre-revenue companies. Any slack in the health care venture capital market is more likely to be taken up by well-capitalized funds, such as Clarus, that specialize in this industry. Since clinical development is a difficult business, he feels the industry has responded by producing and emphasizing more specialist investment firms. 3i Group, among the largest international venture capital and private equity firms, invests across all sectors of the economy. Mr. Ferguson said the firm’s venture capital and private equity teams will, in some cases, act as co-investors. In addition, 3i is building a growth equity team based in New York City that will deal with companies that have become profitable, in the health care and other industries, such as retail.

Mr. Galakatos remembers as recently as five years ago, investors were willing to fund an early stage enterprise, but the prospects of getting a compound into the clinic during the course of their investment was a rare exception. But VCs were not forking over the same kind of money they do today. In his experience, they used to contribute $3 million to $7 million over the lifetime of an investment, but now they put in $20 million to $40 million.

There is no definite recipe for success in the financing of health care companies. But venture capitalists have learned to be more creative, more discriminating and more patient as they structure deals for an evolving industry where business meets science, and uncertainty is definite.

 

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