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Beyond Borders: Global biotechnology report 2010

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with Elan (the judge agreed) the parties<br />

renegotiated the deal to remove the<br />

side agreement and reduce the equity<br />

investment by US$115 million. Biogen<br />

Idec didn’t like the side agreement in part<br />

because it could discourage other<br />

potential acquirers.<br />

Sharing the risk<br />

With biotech companies and their investors<br />

needing to secure financing or find exits in<br />

a challenging environment, the bargaining<br />

power in deals swung toward buyers in<br />

2008 and remained there in 2009. With<br />

this shift came an increase in various forms<br />

of “risk sharing” arrangements that gave<br />

biotech companies more risk than they<br />

would have assumed in years past.<br />

On the M&A front, risk-sharing manifested<br />

itself in the increasing number of<br />

transactions that included milestone<br />

payments (sometimes referred to as<br />

contingent value rights or CVRs). This<br />

was most common in takeouts of private<br />

companies, including sanofi-aventis’<br />

acquisition of BiPar Sciences for up<br />

to US$500 million (including US$125<br />

million of milestones), Alcon’s acquisition<br />

of ESBATech for up to US$589 million<br />

(including US$439 million of milestones),<br />

and Novartis’ acquisition of Cothera for a<br />

potential value of US$620 million (including<br />

US$500 million of milestones).<br />

Biotech buyers also used the CVR structure<br />

commonly during 2009, in part to bridge<br />

differences in perceived value. The more<br />

significant biotech-biotech deals with<br />

CVRs included Onyx Pharmaceuticals’<br />

takeout of Proteolix for a potential value<br />

of US$851 million (including US$575<br />

million of potential milestones), Celgene’s<br />

acquisition of Gloucester Pharmaceuticals<br />

for a potential value of US$640 million<br />

(including US$300 million of milestones)<br />

and Cubist Pharmaceuticals’ acquisition<br />

of Calixa for US$403 million (including<br />

US$310 million of milestones). The<br />

CVR structure was not limited to private<br />

companies either, as both The Medicine<br />

Company’s acquisition of publicly<br />

traded Targanta Therapeutics and Endo<br />

Pharmaceuticals’ takeout of publicly<br />

traded Indevus Pharmaceuticals included<br />

such rights. CombinatoRx and NeuroMed<br />

of Canada forged a particularly creative<br />

contingent transaction. The two parties<br />

struck a merger agreement which had<br />

shareholders of each company initially<br />

holding 50% of the combined entity.<br />

However, much of the value of NeuroMed<br />

was tied to receiving FDA approval to<br />

market Exalgo, a drug for the treatment of<br />

chronic pain. The two parties agreed that<br />

if Exalgo was approved by a specified date,<br />

the ownership percentage would adjust<br />

in the favor of NeuroMed’s shareholders.<br />

This scenario came to pass when the drug<br />

was approved by the FDA in March <strong>2010</strong>.<br />

CombinatoRx issued additional shares<br />

to the former NeuroMed shareholders<br />

equaling an additional 10% of the combined<br />

company. The approval also triggered a<br />

US$40 million milestone payment from<br />

Covidien, which will market the drug.<br />

While contingent rights serve a valid<br />

business purpose, they can create deal<br />

and asset valuation issues for the acquirer,<br />

both at closing and in subsequent <strong>report</strong>ing<br />

periods. (For more information, see A closer<br />

look on the previous page.)<br />

Having options<br />

The use of option structures in biotech deals<br />

has been around for awhile. In early 2007,<br />

for instance, Amgen paid Cytokinetics<br />

US$75 million for an option to license<br />

a cardiovascular drug candidate (the<br />

company exercised the option in 2009 for<br />

80 <strong>Beyond</strong> borders <strong>Global</strong> <strong>biotechnology</strong> <strong>report</strong> <strong>2010</strong><br />

an additional US$50 million). In the current<br />

environment, however, such structures are<br />

becoming increasingly common.<br />

In these arrangements, the buyer pays a<br />

fee (and in some cases makes an equity<br />

investment) in exchange for the right<br />

to license a particular product at a later<br />

date (e.g., upon successful completion<br />

of a clinical trial). The biotech company<br />

typically uses the proceeds from the<br />

option transaction to further the product’s<br />

development. Early in the year, Cephalon<br />

and privately held Ception announced<br />

an option-based acquisition structure<br />

under which Cephalon paid US$100<br />

million (a portion of which was returned<br />

to Ception’s venture capital investors)<br />

for an option to acquire the company for<br />

an additional US$250 million following<br />

the results of a key clinical trial. In early<br />

<strong>2010</strong>, Cephalon exercised the option.<br />

Cephalon also used this structure in a deal<br />

with BioAssets, and Novartis employed<br />

acquisition options in deals with Proteon<br />

and Elixir Pharmacuticals, each of which<br />

has a potential acquisition price in excess of<br />

US$500 million.<br />

Of course, option structures are not<br />

limited to M&As; they can also be used in<br />

licensing transactions involving individual<br />

R&D programs. GlaxoSmithKline has<br />

been the most prominent user of option<br />

structures in such deals; in 2009 alone the<br />

company entered transactions that included<br />

option rights with Vernalis, Prosensa,<br />

Chroma Therapeutics, Supergen, Concert<br />

Pharmaceuticals and others. Buyers may<br />

end up paying more for a product that<br />

achieves the desired clinical outcome and<br />

is later licensed through the exercise of the<br />

option. However, over a portfolio of deals,<br />

they manage the risk of failure by having<br />

multiple “shots on goal” and only paying<br />

to license products that have successfully<br />

reached the desired outcome. When GSK

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