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May 2007 issue

IPO Re-filings All The Rage In Health Care? - Some Recent IPO Withdrawals Have Been Re-filed, Others May Follow
During the last twelve months, several health care companies have pulled IPOs, but some have re-filed and others have announced more clinical data, as the IPO market grows stronger.
...
Venture Capital Market Heating Up For Aesthetics - Dermatology, Cosmetic And Aesthetic Medicine Attract More Dollars
Health care companies targeting dermatology, aesthetic and cosmetic medicine have attracted a growing amount of funding from venture capitalists, and have accounted for a growing number of M&A deals, in recent years.
...
Public Equity
There were four health care IPOs priced during April and other companies filed for new IPOs, while one withdrew its filing and several more priced or filed for secondary public offerings.
...
Mergers and Acquisitions
The health care M&A market produced 67 deals totaling $24 billion, based on disclosed prices, including three deals each in excess of a billion dollars.
...
Private Equity
Most of the health care companies that announced private placements during April were pharmaceutical and biopharmaceutical companies, and the largest deal was in the oncology space.

...
Notes & Briefs

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Companies Mentioned in this issue:
May 2007

21st Century Jobs Fund p11
3i Group p11
A
Accenture p9
Accuri Cytometers p11
Acorn Campus p11
ActivBiotics p1
Advanced Cell Tech. p4
Advancis Pharmaceutical p13
Affimed Therapeutics p11
Agilent Technologies p8
Alere Medical p8
Alexza Pharmaceut. p4
Allergan p5
AllianceBernstein p11
Alliant Pharmaceuticals p8
Alta Partners p11
Altus Pharmaceutic. p4
American Medical Systems p6
AmeriPath p8
AmerisourceBergen p8
Amicus Therapeutics p3
Amphion Innovations p11
Andover Medical p8
Antares Pharma p4
Anthem p9
Applied Spine Technologies p11
Arbios Systems p14
Arboretum Ventures p11
ARCH Venture Partners p11
Array Biopharma p4
Ascenta Therapeutics p10
AstraZeneca p8
Atlas Venture p11
ATS Medical p4
aTyr Pharma p11
Auriga Laboratories p4
Avalon Ventures p10
B
Baird Venture Partners p11
Banc of America p4
Battery Ventures p8
Bear Stearns Asset Mgmt. p11
Bear Stearns Mch. Bkg. p8
Ben Franklin Technology Partners p9
Bespak p8
BioAdvance Ventures p11
Bioconnect Systems p11
Biodel p4
Bioenvision p13
BioMedInvest p11
Bioniche Teoranta p8
BioVentures Investors p11
BioVex Group p3
Blackwood Consultants p14
Brookdale Senior Lvg. p8
Burrill & Company p11
C
California Technology Partners p10
Canaan Partners p10, p11
Cardinal Partners p11
CardioMEMS p4
CardioVascular BioTh. p4
CareScience p8
Carrington Laboratories p14
Cato BioVentures p11
Cell Therapeutics p13
Ceragenix p5
Chelsea Therapeutics p4
ChemBio p4
Children’s Hospital of Pittsburgh of UPMC p16
China Healthcare Acq. p4
China Healthcare Acquisition Corp. p4
Chiral Quest p8
CHL Medical Partners p10
CIBC p4
CircuLite p11
Clarus Ventures p5
Click4Care p11
Coherex Medical p11
Compass Global Fund p10
Connetics Corp. p6
Cormark Securities p14
Cougar Biotechnol. p4
Coventry Health Care p8
Creabilis Biotech p11
Credit Agricole Private Equity p11
Credit Suisse p4
Crestview Partners p8
CryoCor p14
CSK Venture Capital p11
Cutlass Capital p10
CV Therapeutics p2
D
Dawson James Securities p14
Del Laboratories p6
Delphi Ventures p11
Deutsche Bank p4
DiObex p11
DLI Holding p6
Domain Associates p10, p11
DOR Biopharma p4
Drug Royalty Corp. p8
Dyax p4
E
Easton Capital Partners p10
Egalet p11
Electronic Healthcare Network Accreditation Commis p11
Eli Lilly and Company p16
Emergent Respiratory p8
Enpath Medical p8
Enterprise Partners Venture Capital p10
Epocal p11
F
Federated Kaufmann Fund p4
Ferris Baker Watts p4
Fidelity Biosciences p11
Filed p2
ForSight Labs p11
Forward Ventures p10
Foundation Medical Partners p10
Frantz Medical p10
Frazier Healthcare p10
Future Capital p10
G
GANYMED Pharmaceuticals p10
GEM Global Yield Fund p8
Genitope p4
GenVault p11
Genzyme p4
GeoPharma p14
Gerald P. Murphy Cancer Foundation p16
Goldman, Sachs p5
Great Spirit Ventures p11
H
Halozyme Therapeutics p13
Hambrecht & Quist Capital Management p10
Harris Interactive p16
Health Watch Holdings p8
HealthCare Ventures p10
HealthCor Management p14
Heartscape Technologies p11
Highland Capital Management p11
HPC Capital Management p14
I
ImaRx Therapeutics p2
ImVision Therapeutics p4
Inagro Finanz p10
INAMED Aesthetics p5
Inhibitex p8
InstaMed p11
Instamed p9
Insulet p4
Intas Pharmaceuticals p8
Inventages Venture Capital p11
Inverness Medical p8
Investor Growth Capital p11
Ivy Capital Partners p14
J
J.H. Emerson Company p8
Jefferson Corner Group p11
JPMorgan p4
K
Kaplan Dev. p8
Karmanos Cancer Inst. p8
Kindred Healthcare p8
L
LabOne Innovations p11
Landesbank Baden-Württemberg p10
Lehman Brothers p4
Leucadia National Corporation p10
LifeHouse Retirement p8
M
Manhattan Pharmaceut. p14
Market Strategies, Inc. p16
Masimo p4
MB Venture Partners p11
Meda AB p6
Medical Ventures p14
Medicis p5
Meditrina Pharmaceuticals p11
Merrill Lynch p4
Metabolex p11
MicroCHIPS p11
MIG p10
Migdal Capital Markets p11
MiSys p9
Mithridion p11
Mitsui Ventures p11
Morgan Stanley p4
Morgenthaler Venture Partners p10
Morgenthaler Ventures p11
Mosaix Ventures p10
Motif Biosciences p11
MPM Capital p1
MTS Health Investors p8
N
Nautilus Biotech p11
Neosil p1
Netsmart p8
Neurobiological Technol. p14
NeurogesX p4
New Enterprise Associates p10
New Science Ventures p10
Nextech Venture p10
Nfocus Neuromedical p11
Nighthawk Radiology p8
NJTC Venture Fund p9
NovaQuest p11
Novartis AG p8
Novartis Venture Fund p11
O
OctoPlus p8
ONC Partners p10
Opexa Therapeutics p4
Oppenheimer & Company p14
Optovue p11
OrbiMed Advisors p4, p5
Orchid Cellmark p4
Orexigen Therapeut. p4
Orexigen Therapeutics p3
Ortho-Medical Products p8
Oxford Bioscience Partners p10, p11
P
Pacific Growth Equities p4, p13
Pappas Ventures p10
Paramount BioCapital p14
Pediatric Svs. of America p8
Perlegen Sciences p1, p4
Perseus p10
Pfizer p2
Pharmacopeia p4
Pharmasset p3, p4
PharmEng International p14
PhytoLabs p14
Piper Jaffray p4
Plurogen p11
Point Judith Capital p11
Poniard Pharmaceut. p4
Portfolio Logic p8
Premier, Inc. p8
Protemix p11
Psilos Group p11
pSivida p14
PTC Therapeutics p2, p4
Punk, Ziegel p4
Q
QIAGEN p8
Quest Diagnostics p8
QuestMark Partners p11
Quovadx p8
R
RAB Capital p14
Redpoint Bio p10
ReGen Biologics p14
RegeneRx Biopharm. p4
Reliant Technologies p5, p11
Respironics p8
ReVision Optics p11
RiverVest Venture Partners p10
Robcor Properties p10
Roche Holding p8
Rodman & Renshaw p13
Rosetta Partners p11
Rothschild Investment Partners p11
Royal Philips p8
S
Sangart p10
Scale Venture Partners p10
Schering Plough p2
SciClone p8
Sciele Pharma p8
Scottish Equity Partners p11
Sequenom p4
Sientra p5
Silimed p5
Silver Hill Hospital p16
Simcere Pharmaceut. p4
Simcere Pharmaceuticals p3
Sirion Therapeutics p10
Sirtris Pharmaceutic. p4
Skilled Healthcare Gp. p4
Sofinnova Ventures p10
Spectral Diagnostics Pvt. Ltd. p8
Spine Wave p10
Spirus Medical p11
Split Rock Partners p11
Sprout Capital p10
St. John Riverview Hospital p8
STAAR Surgical p4
StageMark p11
Stiefel Laboratories p6
Surface Logix p11
Symbion p8
Symmetry Medical p8
Synova Healthcare p4
T
TA Associates p8
Tapestry Pharmaceut. p4
Technology Partners p11
The Gores Group p8
The Natural Dentist p11
The Radlinx Group p8
Thoma Cressey Equity Partners p10
Three Arch Partners p11
TIAA-CREF p5
Titan Pharmaceuticals p14
TomoTherapy p4
TransMedics p11
Trevi Health Ventures p11
Tutogen Medical p14
U
U.S. Bank National Association p11
UBS p4
Universal Hospital Services p8
University City Science Ctr. p11
US Venture Partners p10
V
Vaekstfonden Life Science Ventures p11
Varuma p10
Venrock Associates p11
Venture Investors p11
Versant Ventures p4
VI Partners p10
Viatris AB p6
VioQuest p4
Viragen p14
vSpring Capital p11
W
Waren Acquisition p6
WARF p11
Warner Chilcott p6
Wellcome Trust p10
WiFiMed Holdings p8
Wright Medical p8
X
Xcenda p8
Xechem p14
Xoft p10

IPO Re-filings All The Rage In Health Care? - Some Recent IPO Withdrawals Have Been Re-filed, Others May Follow

Email Editor

During the past 12 months, 12 health care companies have withdrawn IPO filings, as shown in the chart appearing on page 2 of issue. Most recently, Perlegen Sciences withdrew its IPO on April 30. Of these companies, seven cited market conditions or unfavorable market conditions as the reason for the withdrawal, while one cited public and investor interest. Of the remaining four companies, one decided it had sufficient capital on hand, one submitted a laundry list of factors impelling the withdrawal, one was sold and one completed a merger. So what is happening now with these companies, and is it the right time for some to take another stab at going public?

At least a few people offered some answers, and the buzz we have been hearing is that the IPO market is heating up for medical device, biotech and biopharma companies, especially for companies with later-stage clinical data. In the case of ActivBiotics, Glenn Kazo, the chief business officer, confirmed one suspicion we have about more than one company in this group—that, "The IPO and withdrawal have actually generated a lot of business, financial and investor interest." Since many of these companies have released new clinical data or initiated new trials since withdrawing their IPO filings, we suspect there may be more re-filings in the coming months. Just as we were going to press, actually, ImaRx Therapeutics re-filed its IPO.

Since ActivBiotics’ IPO withdrawal, Mr. Kazo stated, "We have been executing all of our milestones." Most recently, in February ActivBiotics announced that patient enrollment had begun in a phase II study examining the effect of rifalazil, an anti-chlamydial antibiotic, on atherosclerotic changes in the carotid artery—changes that are strongly correlated with an increased incidence of cardiovascular and stroke events. Patients will receive treatment with either rifalazil or placebo, over a 12-week period, and will be followed for 18 months with serial magnetic resonance imaging and ultrasound of the carotid artery. Additionally, the company announced it had completed enrollment in a phase III study of rifalazil for the treatment of patients with intermittent claudication, a common manifestation of peripheral arterial disease.

Regarding the deal climate for health care companies these days, Mr. Kazo commented, "In this environment, you only do an IPO when there is no better alternative. The M&A market, not the IPO market, is currently the preferred exit solution for investors." But, ActivBiotics isn’t making any determination right away about whether or not to re-file for an IPO, and its doubtful that decision would be considered again until perhaps sometime in 2008. "We won’t have our next set of data for about nine months." ActivBiotics isn’t even planning to consider any strategic partnerships until the next set of data is complete.

PTC Therapeutics cited the most unusual reason we have seen for an IPO withdrawal in the past year, by stating that it now has sufficient capital to continue operations. We learned from William Baird, III, the chief financial officer of the company, that since the time PTC Therapeutics originally filed for an IPO, the company has secured a combined $42 million in upfront payments from Pfizer (NYSE: PFE), CV Therapeutics (NASDAQ: CVTX) and Schering Plough (NYSE: SGP), and collected about $20 million in grant money. "Now the company is well-capitalized and in a strong financial position to achieve its current goals," stated Mr. Baird. Currently, the company has three ongoing phase II studies in process, with its initial focus on certain genetic disorders—although the product candidate in development may also have a broader scope of applications.

"We continue to watch the markets," Mr. Baird said, but PTC has not yet been decided whether it will pursue another S-1 filing, or other collaboration agreements. "We’re happy with the partnerships we have right now," he noted, "and we expect more clinical results later this year." At that point, the company will likely be in a better position to determine when it might need to consider another financing event of some kind.

We also talked with Dr. Robert Zerbe, the president and chief executive officer of QuatRx, who observed, "The IPO market is stronger now for health care companies," than it was when QuatRx pulled its IPO. At the time of the original IPO filing, Dr. Zerbe said, "We really did hit a bad time in the biotech market, which prompted the withdrawal." But QuatRx, too, has changed since then, and we heard that their development programs have come a long way with nice results.

Currently, QuatRx has three compounds in active studies, as well as one out-licensed compound in development. When the company initially filed its IPO, trial results were still several months away, and the public markets were not responding well to companies without fairly solid, later-stage data, or revenues. Dr. Zerbe told us, "All these programs have either advanced or entered clinical-stage development since our last filing," and that, "more data and trials are yet to come this year."

One of the companies that had withdrawn its IPO about seven months ago, Amicus Therapeutics, just filed again in April for an IPO. In the case of Amicus, we are guessing that the departure and subsequent return of the company’s president and CEO, John Crowley, influenced the Amicus re-filing. In early March, it was announced that Mr. Crowley had completed a six-month active duty military obligation with the United States Navy. Amicus is focused on developing small molecule, orally-administered pharmacological chaperones for the treatment of a range of human genetic diseases.

BioVex Group’s Philip Astley-Sparke, the president, chief operating officer and a director of the company, was pretty upbeat despite having had to pull their IPO. "We had a pretty successful road show. I know that’s an oxymoron given we didn’t get public, but we got a lot of orders and on the day before pricing we felt we were in a good spot to get public. There was quite a bit of interest in the technology and the company." However, on the day of pricing, he said, "Even though 25% of our orders did convert, they were smaller orders—we only covered about half of our book. At that time in the market, a number of biotech stocks were dropping in value after they hit the market, so investors were more likely to dip a toe in the water, with a small order instead of a large one, and then wait to see how the stock performed after the IPO."

In retrospect, Mr. Astley-Sparke doesn’t blame the market entirely as the reason BioVex Group’s IPO was unsuccessful. "We only moved to the U.S. in 2005, so we did not have great visibility and were not very well known at the time. Now we have more of a following," he stated, "Nothing is planned, but if we were to attempt an IPO again, given we are on course to meet the milestones we projected at the time, I would be optimistic for success."

The company is applying its technology platform initially in the areas of oncology and infectious disease. BioVex is developing proprietary, engineered forms of HSV, a virus that can be manipulated to selectively kill tumor cells, without harming healthy cells, as well as to prevent or treat HSV infection, which is the primary cause of recurring genital herpes. BioVex has already completed a phase I clinical trial in a variety of tumor types, initiated a phase II trial, initially in melanoma, and additional trials are in the works. Now the company is conducting a phase I/II trial in head and neck cancer, using BioVex’s product candidate in combination with first-line chemotherapy and radiation as well as pancreatic cancer. Mr. Astley-Sparke stated, "Currently our focus is on advancing our clinical trials, which have tracked well since the IPO failure. As we collect more data, we will continue to evaluate various opportunities for an exit, including an IPO, an M&A or other strategic deal." He also revealed that, "Right now we are working on a private financing, which is expected to close in the coming months." As for the rest of these companies, the strength of clinical data and financial position of each will determine whether an IPO would now be successful.

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