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In September 2001, UCB announced that EU Member States granted a
positive opinion for levocetirizine, a single isomer of ZYRTEC®, for thetreatment of symptoms of seasonal allergic rhinitis, perennial allergic
Clinical Update
rhinitis and chronic idiopathic urticaria in adults and children aged 6 years
During the quarter, Sepracor initiated two large-scale clinical trials
and older. Marketed in Germany since February 2001 under the brand
on XOPENEX® in a hydrofluoroalkane (HFA) metered dose inhaler (MDI)
name XUSAL™, levocetirizine is expected to be launched in 15 other
in children, adolescents and adults. Sepracor believes that the successful
European countries in the coming months under the brand name XYZAL®.
completion of these trials will be supportive of the package necessary for the
Sepracor continues to earn royalties on product sales in Germany and
New Drug Application (NDA) submission to the Food and Drug
expects to earn royalties on sales in EU Member States upon launch.
Administration (FDA) for the XOPENEX MDI.
On January 19, 2001, Schering-Plough Corporation received an approvable
Also during the quarter, Sepracor’s ESTORRA™ brand esopiclone completed
letter from the FDA for CLARINEX™ Tablets (desloratadine), an active
pivotal Phase III studies for the treatment of sleep disorders. All pivotal studies
metabolite of CLARITIN®, for the treatment of seasonal allergic rhinitis.
necessary for inclusion in the New Drug Application are now completed and
Schering-Plough also reported that the FDA has advised the company that
Good Manufacturing Practices deficiencies cited in facility inspection reportsmust be resolved prior to granting approval of the company’s pending NDA for
(R,R)-Formoterol inhalation solution moved into Phase III studies during the
CLARINEX Tablets. Schering-Plough has stated that there are no outstanding
quarter for the treatment of bronchospasm in patients with chronic obstructive
scientific or clinical issues that would affect approval of the product and that
airway disease. In Sepracor’s Phase II program, (R,R)-formoterol exhibited
they are ready to launch CLARINEX into the U.S. market upon approval.
a rapid onset of action comparable to the short-acting bronchodilator,
Sepracor is entitled to receive royalties on sales of CLARINEX upon launch of
VENTOLIN®, as well as a duration of action of up to 24 hours. In a
Phase II 340-patient multi-dose asthma trial, (R,R)-formoterol, at a range ofdoses, significantly improved lung function (p<0.001 versus placebo).
Commercialization
These changes, measured as FEV1 increases from baseline, ranged from
Sepracor continues to expand its primary care sales organization to support
24 percent to 27 percent. In these studies, (R,R)-formoterol had a side effect
profile comparable to other beta-agonists. Currently marketed long-actingbeta-agonists require twice-a-day dosing and are not currently available as an
Financial Performance
For the three months ended September 30, 2001, Sepracor’s consolidated revenues were $36.7 million, of which revenues from pharmaceutical sales were
SEP174559 entered Phase I clinical trials for the treatment of acute and
$31.6 million, and the net loss applicable to common shares was
chronic anxiety. The compound has been shown in preclinical studies to
$36.4 million, or $0.47 per share. These consolidated results compare with
have the potential to provide anxiolytic (anxiety reducing) effect at doses far
consolidated revenues of $11.5 million, of which revenues from pharmaceuti-
cal sales were $9.6 million, and a net loss applicable to common shares of $45.2
Sepracor initiated Phase I clinical trials for (S)-amlodipine during the third
million, or $0.62 per share, for the three months ended September 30, 2000.
quarter. Preclinical models have indicated that (S)-amlodipine could be
For the nine months ended September 30, 2001, Sepracor’s consolidated
effective for treatment of hypertension and may demonstrate significantly
revenues were $114.8 million, of which revenues from pharmaceutical sales
less edema (swelling of the legs and ankles) than racemic amlodipine.
were $90.0 million, and the net loss applicable to common shares was
Also during the quarter, Sepracor continued to advance its clinical
$121.7 million, or $1.57 per share. This compares with consolidated revenues
programs for (S)-oxybutynin, the (R)-sibutramine metabolite, and the
of $60.9 million, of which revenues from pharmaceutical sales were
$32.6 million, and a net loss applicable to common shares of $130.6 million,
Sepracor submitted an NDA for SOLTARA™ brand tecastemizole in March
or $1.80 per share, for the nine months ended September 30, 2000.
2001 for the treatment of allergic rhinitis. The NDA is currently under
As of September 30, 2001, Sepracor had approximately $479 million in
consolidated cash, cash equivalents and marketable securities.
Also under FDA review is a supplemental NDA for XOPENEX inhalationsolution at lower dosage strengths for the treatment or prevention of
Corporate News Sepracor continued to earn royalties from Aventis for sales of ALLEGRA® brand fexofenadine HCl, a nonsedating antihistamine for the treatment of
allergies, in the U.S., Japan, Europe, Canada, Australia, and other countries
Chairman of the Board and Chief Executive Officer
in which Sepracor’s patents have been issued.
SEP-158/Q3-2001-v11-rev 12/18/01 10:00 AM Page 5
Late-Stage Compounds Address Large and Growing Indications
Sepracor’s Phase III programs address large and growing indications, includ-
Urinary Incontinence Treatments
ing insomnia, urinary incontinence, and chronic obstructive airway disease. Prescriptions
ESTORRA™ for the treatment of sleep disorders, recently completed Phase
Approx. $700M US Market Approx. 12.5M US Market
III clinical studies and preparation of the New Drug Application (NDA)
is underway. (S)-Oxybutynin for the treatment of overactive bladder
advanced into Phase III studies in June 2001. (R,R)-Formoterol for the
treatment of bronchospasm, such as that which occurs in patients suffering
from asthma or chronic obstructive pulmonary disease (COPD), moved
into Phase III studies during the third quarter 2001.
ESTORRA™ Brand Esopiclone
Sleep agents generated sales of approximately $850 million in the United
States in 2000. Affecting approximately 85 million Americans, sleep
disorders can be caused by a number of factors, including stress,
2001 estimated based on Sept. YTD figures. Source: IMS NPA; Sepracor Analysis
anxiety, jet lag, medication side effects, or may be associated with aging. (R,R)-Formoterol
Nineteen clinical trials, including three pivotal studies, were completed
Chronic obstructive pulmonary disease (COPD) is characterized by
for Sepracor’s sleep disorder candidate, ESTORRA, and the drug has been
airflow obstruction due to chronic bronchitis or emphysema. The
successful in achieving the targeted endpoints of hypnotic efficacy in
obstruction is generally progressive, may be accompanied by airway
all studies. ESTORRA was also well tolerated with no evidence of any
hyperreactivity, and may be partially reversible1. COPD is a widespread
problem in the U.S., with the estimated number of those suffering fromCOPD increasing by 41.5% between 1982 and 19951. Also characterized
Sleep Agents
by airflow obstruction, asthma affects approximately 17 million Americans,
Prescriptions Approx. $1B US Market Approx. 29M US Market
including 5 million children, and the incidence of asthma is increasing. We
successfully completed a Phase II program for obstructive airway disease,
in which (R,R)-formoterol exhibited a rapid onset of action comparable to
the short-acting bronchodilator, VENTOLIN®, as well as a duration of
action of up to 24 hours. (R,R)-Formoterol is being studied in an inhalation
Long-Acting Bronchodilators Prescriptions Approx. $1B US Market Approx. 11M US Market
2001 estimated based on Sept. YTD figures. Source: IMS NPA; Sepracor Analysis
(S)-Oxybutynin
Over 17 million people in the United States suffer from urinary inconti-
nence, a disorder characterized by sudden and involuntary bladder
contractions. Of those, an estimated 5 to 8 million suffer from urge
urinary incontinence, described as an urgent desire to urinate accompanied
by an inability to control the bladder. Sepracor’s Phase III
program studying (S)-oxybutynin in a sustained-release formulation will
2001 estimated based on Sept. YTD figures. Source: IMS NPA; Sepracor Analysis
include approximately 850 patients at 70 sites throughout the U.S. The sustained-release formulation was designed to provide a more
(1) American Thoracic Society. 1995. Standards for the Diagnosis and Care of Patients with
constant level of drug therapy and should permit once-a-day dosing with
Chronic Obstructive Pulmonary Disease. American Journal of Respiratory and Critical Care
less peak-to-trough variability and an improved therapeutic profile.
SEP-158/Q3-2001-v11-rev 12/18/01 10:00 AM Page 7
Condensed Consolidated Statements of Operations (Unaudited) (in thousands, except per share amounts)
Operating expenses:Research and development
General and administrative and patent costs
Basic and diluted net loss per common share
Shares used in computing basic and diluted
(A) Includes $7,497 in expenses relating to prepaid interest and fees for the conversion of 6 1/4% convertible debentures for the nine months ended September 30, 2000.
(B) Represents Sepracor’s gain on the sale of 2.6 million shares of BioSphere Medical Inc. stock for the three and nine months ended September 30, 2001.
(C) Represents Sepracor’s portion of HemaSure Inc. losses and a gain of $5,000 resulting from the removal of a HemaSure loan guarantee for the three and nine months ended September 30, 2000 and Sepracor’s portion of
BioSphere Medical Inc. losses for the three and nine months ended September 30, 2001.
Condensed Consolidated Balance Sheets (Unaudited)
Assets:Cash, short and long-term investments
Liabilities and Stockholders’ Equity (deficit):Accounts payable and accrued expenses
Total liabilities and stockholders’ equity (deficit)
(A) Includes $16,800 and $20,734 of net unamortized deferred financing costs relating to the convertible debenture offerings and $29,835 and $31,789 of net unamortized intangible assets in 2001 and 2000, respectively.
(B) Balance in 2001 consists of $299,960 of 7% convertible debentures due 2005, and $460,000 of 5% convertible debentures due 2007.
Chapter: 9 SLEEP in COPD Kimberly A. Hardin MD, MS, MCR, FAASM COPD affects 24 million people in the USA and is projected to be the 3rd leading cause of death worldwide by the year 2020. COPD is the 7th leading cause of disability in the USA resulting in significant morbidity and impaired quality of life (QOL). Little is known regarding the sleep patterns in patients with COPD or
One Step Myoglobin/CK-MB/Troponin I Combo Test Device Blood/Serum/Plasma) can be performed using whole blood (from venipuncture or *NOTE: The intensity of the color in the test line region(s) will vary depending on the (Whole Blood/Serum/Plasma) concentration of Myoglobin, CK-MB and/or Troponin I present in the specimen. One Step Troponin I To collect Fingerstick Whole Blood