1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-Q QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED MARCH 31, 1998 Commission file number 0-22332 INSITE VISION INCORPORATED (Exact name of registrant as specified in its charter) DELAWARE 94-3015807 (STATE OR OTHER JURISDICTION OF (I.R.S. EMPLOYER INCORPORATION OR ORGANIZATION) IDENTIFICATION NO.) 965 ATLANTIC AVENUE ALAMEDA, CA 94501 (Address of Principal Executive Offices, including Zip Code) REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE: (510) 865-8800 Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No The number of shares of Registrant's common stock, $.01 par value, outstanding as of March 31, 1998: 14,411,402. 2 QUARTERLY REPORT ON FORM 10-Q FOR THE THREE MONTHS ENDED MARCH 31, 1998 TABLE OF CONTENTS Page ---- PART I. FINANCIAL INFORMATION Item 1. Financial Statements (Unaudited) Condensed Consolidated Balance Sheets at March 31, 1998 and December 31, 1997.......................................3 Condensed Consolidated Statements of Operations For the three months ended March 31, 1998 and 1997.........................4 Condensed Consolidated Statements of Cash Flows For the three months ended March 31, 1998 and 1997.........................5 Notes to Condensed Consolidated Financial Statements .....................6 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations..............................7 PART II. OTHER INFORMATION Item 6. Exhibits and Reports on Form 8-K Exhibits..................................................................16 Reports on Form 8-K.......................................................16 2 of 16 3 PART I FINANCIAL INFORMATION ITEM 1. Financial Statements INSITE VISION INCORPORATED CONDENSED CONSOLIDATED BALANCE SHEETS March 31, December 31, (in thousands, except share and per share amounts) 1998 1997 - --------------------------------------------------- ------------- ---------- (Unaudited) ASSETS Current assets: Cash and cash equivalents $6,699 $8,660 Prepaid expenses and other current assets 236 303 ------ ------- Total current assets 6,935 8,963 Property and equipment, at cost: Laboratory and other equipment 2,550 2,731 Leasehold improvements 327 163 Furniture and fixtures 94 390 ------ ------- 2,971 3,284 Accumulated depreciation 1,575 1,701 ------ ------- 1,396 1,583 ------ ------- Total assets $8,331 $10,546 ====== ======= LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable $307 $109 Accrued liabilities 31 428 Accrued compensation and related expense 355 445 ------ ------- Total current liabilities 693 982 Commitments Redeemable preferred stock, $.01 par value, 5,135 7,533 5,000,000 shares authorized; 4,357 issued and outstanding at March 31, 1998; 6,700 issued and outstanding at December 31, 1997; redemption value $7,079,000 at March 31, 1998; redemption value $10,590,000 at December 31, 1997 Common stockholders' equity: Common stock, $.01 par value, 30,000,000 shares authorized; 14,411,402 issued and outstanding at March 31, 1998; 13,279,153 issued and outstanding at December 31, 1997 144 133 Additional paid-in-capital 81,349 78,698 Accumulated deficit (78,990) (76,800) ------ ------- Common stockholders' equity 2,503 2,031 ------ ------- Total liabilities, redeemable preferred stock and common stockholders' equity $8,331 $10,546 ====== ======= See accompanying notes to condensed consolidated financial statements 3 of 16 4 INSITE VISION INCORPORATED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) Three months ended March 31, (in thousands, except per share amounts) 1998 1997 - ---------------------------------------- -------- --------- Royalty revenues $ 15 $ 16 Operating expenses: Research and development 1,544 1,650 General and administrative 571 845 -------- -------- Total 2,115 2,495 -------- -------- Loss from operations (2,100) (2,479) Interest, other income and expense 100 105 -------- -------- Net loss (2,000) (2,374) Non-cash preferred dividends (190) - -------- -------- Net loss applicable to common stockholders $ (2,190) $ (2,374) ======== ======== Basic and diluted net loss per share applicable to common stockholders $ (0.15) $ (0.18) Shares used to calculate basic and diluted net 14,411 12,937 loss per share No cash dividends were declared or paid during the periods. See accompanying notes to condensed consolidated financial statements. 4 of 16 5 INSITE VISION INCORPORATED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) Three months ended March 31, (in thousands) 1998 1997 - --------------------------------------------------- --------- -------- OPERATING ACTIVITIES Net loss $ (2,000) $ (2,374) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization 231 128 Changes in: Prepaid expenses and other current assets 67 (30) Accounts payable and accrued liabilities (249) 242 -------- -------- Net cash used in operating activities (1,951) (2,034) INVESTING ACTIVITIES Purchases of property and equipment (10) (527) Increase in other assets - (46) -------- -------- Net cash used by investing activities (10) (573) FINANCING ACTIVITIES Principal payments on notes payable - (92) Issuance of common stock, net - 1 -------- -------- Net cash used in financing activities - (91) Net decrease in cash and cash equivalents (1,961) (2,698) Cash and cash equivalents, beginning of period 8,660 10,518 -------- -------- Cash and cash equivalents, end of period $ 6,699 $ 7,820 ======== ======== Supplemental disclosures: Non-cash preferred dividends $ 190 $ - ======= ======== Non-cash conversion of redeemable preferred stock to common stock $ 2,628 $ - ======= ======== Interest paid in cash $ - $ 5 ======== ======== See accompanying notes to condensed consolidated financial statements. 5 of 16 6 INSITE VISION INCORPORATED NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 1998 (UNAUDITED) NOTE 1 - BASIS OF PRESENTATION The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and pursuant to the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring accrual adjustments, considered necessary for a fair presentation have been included. Operating results for the three month period ended March 31, 1998, are not necessarily indicative of the results that may be expected for the year ending December 31, 1998. These financial statements and notes should be read in conjunction with the Company's audited financial statements and notes thereto included in the Company's Annual Report on Form 10-K for the year ended December 31, 1997. NOTE 2 - COMPREHENSIVE INCOME As of January 1, 1998, the Company adopted Financial Accounting Standards Board Statement 130, Reporting Comprehensive Income. Statement 130 established new rules for the reporting and display of comprehensive income and its components; however, the adoption of this Statement had no impact on the Company's net income or stockholders' equity. Statement 130 requires unrealized gains or losses on the Company's available-for-sale securities and foreign currency translation adjustments, which prior to adoption were reported separately in shareholder's equity, to be included in other comprehensive income. During the first quarter of 1998 and 1997, total comprehensive income was equal to total net loss as reported. 6 of 16 7 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following discussion should be read in conjunction with the financial statements and notes thereto included in this Quarterly Report and in the Company's Annual Report on Form 10-K for the year ended December 31, 1997. Except for the historical information contained herein, the discussion in this Quarterly Report contains certain forward-looking statements, such as statements of the Company's plans, objectives, expectations and intentions, that involve risks and uncertainties. The cautionary statements made in this Quarterly Report, including those set forth below under the heading "Risk Factors," should be read as being applicable to all related forward-looking statements wherever they appear in this Quarterly Report. The Company's actual results could differ materially from those discussed herein. OVERVIEW InSite Vision Incorporated ("InSite," "InSite Vision" or the "Company") is developing genetically-based tools for the diagnosis and prognosis of glaucoma, ophthalmic pharmaceutical products based on its proprietary DuraSite(R) eyedrop-based drug delivery technology, and therapeutic platforms for the delivery of drugs to the retina. The Company is collaborating with academic researchers to develop new diagnostic and prognostic tools for primary congenital, juvenile, exfoliative and primary open angle glaucomas. Primary congenital glaucoma is an inherited eye disorder and is one of the leading causes of blindness and visual impairment affecting infants. Gene-based diagnostic kits may allow early detection of each disease before considerable irreversible damage has occurred and may improve the ability to treat them successfully. Primary open angle glaucoma usually affects people over the age of forty. Current glaucoma tests are generally unable to detect the disease before substantial damage to the optic nerve has occurred The Company has international collaborations with many academic institutions for the identification and clinical evaluation of its genetic markers for glaucoma. To date, the Company's academic collaborators at the University of California, San Francisco ("UCSF") and the University of Connecticut Health Center ("UCHC") have identified genes associated with primary open-angle glaucoma (the most prevalent form of the disease in adults), juvenile glaucoma and primary congenital glaucoma. A prototype diagnostic/prognostic technology, ISV-900, which is capable of identifying multiple glaucoma genetic markers from a single sample, has been developed and the Company is discussing its commercialization with several potential partners. Another result of the glaucoma genetics research has been the development of the ISV-205 product candidate. This DuraSite formulation contains a drug that has been shown in cell and organ culture systems to inhibit the production of a protein that appears to cause glaucoma. The Company expects to complete a Phase II trial of ISV-205 in 1998. If it proves efficacious, ISV-205 will be the first product which treats the cause of glaucoma instead of its symptoms. The DuraSite delivery system is a patented eyedrop formulation comprising a cross-linked carboxyl-containing polymer which incorporates the drug to be delivered to the eye. The formulation is instilled in the cul-de-sac of the eye as a small volume eyedrop. DuraSite can be customized to deliver a wide variety of potential drug candidates with a broad range of molecular weights and other properties. The DuraSite formulation remains in the eye for up to several hours during which time the active drug ingredient is gradually released. Eyedrops delivered in the DuraSite system contrast to conventional eyedrops which typically only last in the eye a few minutes, thus requiring delivery of a highly concentrated burst of drug and frequent administration to sustain therapeutic levels. The increased residence time for DuraSite is designed to permit lower concentrations of a drug to be administered over a longer period of time, thereby minimizing the inconvenience of frequent dosing and reducing the potential, related, adverse side effects. The Company's ISV-014 device, licensed in 1997, is designed to deliver ophthalmic drugs to the retina and other tissues in the posterior (rear) chamber of the eye. Ophthalmic researchers believe direct sustained delivery of particular drugs to the retina could stop the progression of certain retinal diseases including macular degeneration, cataract and diabetic retinopathy. The combination of the Company's ISV-014 device technology with polymer based drug platforms may permit long term delivery of therapeutic agents to treat these retinal diseases. The Company is principally focusing its research and development on (i) ISV-900 for prognosis and diagnosis of glaucoma, (ii) ISV-205 for the treatment of inflammation and the prevention and treatment of glaucoma, (iii) ISV-208, a glaucoma treatment product which is being developed in partnership with Bausch & Lomb Incorporated (B&L), and (iv) retinal drug delivery. 7 of 16 8 To date, InSite Vision has not received any revenues from the sale of products, although it has received a small amount of royalties from the sale of products using the Company's licensed technology. The Company has been unprofitable since its inception due to continuing research and development efforts, including preclinical studies, clinical trials and manufacturing of its product candidates. The Company has financed its research and development activities and operations primarily through private and public placement of its equity securities and, to a lesser extent, from collaborative agreements. As of March 31, 1998, the Company's accumulated deficit was approximately $79 million. There can be no assurance that InSite Vision will achieve either significant revenues from product sales or profitable operations. RESULTS OF OPERATIONS The Company earned royalty revenues of $15,000 and $16,000 in the first quarter of 1998 and 1997, respectively, from sales of AquaSite(R) by CIBA Vision. To date, the Company has not relied on royalty revenues to fund its activities. Research and development expenses decreased 6% in the first quarter of 1998 to $1.5 million from $1.7 million in the first quarter of 1997. The expenditures in the first quarter of 1997 included one time payments for options to license technologies related to ISV-900, the Company's glaucoma genetics program, which were not required during the first quarter of 1998. General and administrative expenses decreased 32% during the first quarter of 1998 to $571,000 from $845,000 during the first quarter of 1997. This decrease was primarily due to lower consulting, temporary labor and insurance costs, mainly in the area of finance and administration. At the end of the first quarter of 1997, full time employees replaced certain consultants, and temporary personnel. This resulted in lower consulting and temporary labor costs in the first quarter of 1998 when compared to 1997. Lower insurance costs are mainly due to a decrease in the cost of director's and officer's insurance. The Company incurred net losses applicable to common stockholders of $2.2 million and $2.4 million for the three month periods ended March 31, 1998 and 1997, respectively. This decrease during the first quarter of 1998 was due primarily to the decrease in research and development expenses and in general and administrative expenses, partially offset by non-cash preferred dividends on the Series A Preferred Stock of $190,000. The Company expects to incur substantial additional losses over the next several years. These losses are expected to fluctuate from period to period based primarily on the level of the Company's product development and clinical activities. LIQUIDITY AND CAPITAL RESOURCES Through 1995, InSite Vision financed its operations primarily through private placements of preferred stock, totaling approximately $32 million, and an October 1993 public offering of Common Stock, which resulted in net proceeds of approximately $30 million. After 1995, the Company financed its operations primarily through a January 1996 private placement of Common Stock and warrants resulting in net proceeds of approximately $4.7 million and an April 1996 public offering which raised net proceeds of approximately $8.1 million. In accordance with a July 1996 agreement between the Company and B&L, the Company received a total of $2.0 million from the sale of Common Stock in August 1996 and 1997. In September 1997, the Company completed a $7.0 million private placement of 7,000 shares of Series A Convertible Preferred Stock for which net proceeds were approximately $6.5 million. At March 31, 1998, the Company had cash and cash equivalents totaling $6.7 million compared to $8.7 million as of December 31, 1997. It is the Company's policy to invest these funds in highly liquid securities, such as interest bearing money market funds, Treasury and federal agency notes and corporate debt. The use of cash and cash equivalents of $2.0 million and $2.6 million in the three months ended March 31, 1998 and 1997, respectively, related primarily to expenditures for operating activities and additions to capital equipment. Of those amounts, $10,000 and $527,000 were for additions to laboratory and other property and equipment in 1998 and 1997, respectively. Substantially all of the 1997 additions to capital equipment related to the Company's portion of improvements at B&L's facilities in Tampa, Florida. The Company's future capital expenditures and requirements will depend on numerous factors, including the 8 of 16 9 progress of its research and development programs and preclinical and clinical testing, the time and costs involved in obtaining regulatory approvals, the cost of filing, prosecuting, defending and enforcing patent claims and other intellectual property rights, competing technological and market developments, changes in the Company's existing collaborative and licensing relationships, the ability of the Company to establish additional collaborative arrangements, acquisition of new businesses, products and technologies, the completion of commercialization activities and arrangements, and the purchase of additional property and equipment. The Company anticipates no material capital expenditures to be incurred for environmental compliance in fiscal year 1998. Based on the Company's good environmental compliance record to date, and its current compliance with applicable environmental laws and regulations, environmental compliance is not expected to have a material adverse effect on the Company's operations. The Company believes that its cash and cash equivalents will be sufficient to meet its operating expenses and cash requirements through 1998. The Company expects to incur substantial additional development costs prior to reaching profitability. As a result, InSite Vision will require substantial additional funds and the Company may seek private or public equity investments, debt financing, future collaborative agreements, and possibly research funding to meet such needs. Even if the Company does not have an immediate need for additional cash, it may seek access to the private or public equity markets if and when it believes conditions are favorable. There is no assurance that such additional funds will be available for the Company to finance its operations on acceptable terms, or at all. RISK FACTORS EARLY STAGE OF DEVELOPMENT; TECHNOLOGICAL UNCERTAINTY InSite is at an early stage of development. Only one product utilizing the Company's DuraSite technology, an over-the-counter ("OTC") dry eye treatment, is currently being marketed. Most of the potential products currently under development by the Company will require significant additional research and development, and preclinical and clinical testing, prior to submission to regulatory authorities for marketing approval. The Company's potential products are subject to the risks of failure inherent in the development of products based on new technologies. These risks include the possibilities that the Company's technology or any or all of its potential products will be found to be unsafe, ineffective, or otherwise fail to receive necessary marketing clearance; that the potential products, if safe and effective, will be difficult to manufacture or market; that proprietary rights of third parties will preclude the Company from marketing products; or that third parties will market superior, equivalent or more cost-effective products. As a result, there can be no assurance that the Company's research and development activities will result in any commercially viable products. FUTURE CAPITAL NEEDS; UNCERTAINTY OF ADDITIONAL FUNDING The Company will require substantial additional funds to conduct the development and testing of its potential products and to manufacture and market any products that may be developed. The Company's future capital requirements will depend on numerous factors, including the progress of its research and development programs, the progress of preclinical and clinical testing, the time and costs involved in obtaining regulatory approvals, the cost of filing, prosecuting, defending and enforcing patent claims and other intellectual property rights, competing technological and market developments, changes in the Company's existing collaborative and licensing relationships, the ability of the Company to establish corporate partnerships for the manufacture and marketing of its potential products, and the purchase of additional capital equipment. The Company intends to seek additional funding through public or private equity or debt financings, collaborative or other arrangements, or from other sources. There can be no assurance that additional financing will be available from any of these sources or, if available, that it will be available on acceptable terms. Any failure by the Company to obtain additional funding on acceptable terms, or at all, would have a material adverse effect on the Company's business, financial condition and results of operations. If additional funds are raised by issuing equity securities, significant dilution to existing stockholders may result. If adequate funds are not otherwise available, the Company may be required to delay, scale back or eliminate one or more of its research, discovery or development programs, or to obtain 9 of 16 10 funds through entering into arrangements with collaborators or others that may require the Company to relinquish rights to certain of its technologies, product candidates or products, or to cease operations. The Company believes that its cash and cash equivalents will be sufficient to finance its working capital and capital expenditure requirements through 1998. HISTORY OF OPERATING LOSSES; UNCERTAINTY OF FUTURE FINANCIAL RESULTS The Company has incurred significant operating losses since its inception in 1986 and, as of March 31, 1998, the Company's accumulated deficit was approximately $79 million. The amount of net losses and the time required by the Company to reach profitability are uncertain. The Company's ability to achieve profitability depends upon its ability, alone or with others, to complete successful development of its potential products, conduct clinical trials, obtain required regulatory approvals and successfully manufacture and market its products. There can be no assurance that the Company will ever achieve significant revenue or profitability. DEPENDENCE ON THIRD PARTIES The Company has elected not to establish a dedicated sales and marketing organization. Therefore, in order to successfully commercialize its product candidates, the Company will be required to enter into arrangements with one or more companies that will: provide for Phase III clinical testing, commercial scale-up and manufacture of the Company's potential products; obtain or assist the Company in other activities associated with obtaining regulatory approvals for its product candidates; and market and sell the Company's products, if approved. To date, the Company has entered into agreements with CIBA Vision for co-exclusive rights with the Company in the U.S. to manufacture and market AquaSite, ToPreSite and ISV-205 for certain non-glaucoma-related indications. Of these, only AquaSite, an OTC product for which regulatory approval is not required, has been marketed. CIBA Vision assumed all subsequent product development, clinical and regulatory responsibility for ToPreSite, but has no obligation to fund the further development of ISV-205. In July 1996, the Company entered into agreements with B&L pursuant to which: (i) B&L has agreed to manufacture InSite product candidates at B&L's facility in Tampa, Florida using equipment owned by InSite; B&L and InSite agreed to share the cost of certain leasehold improvements in connection with the installation and operation of the equipment; (ii) B&L received, for a license fee of $500,000, an exclusive worldwide royalty-bearing license to manufacture and market PilaSite; (iii) B&L and InSite agreed to collaborate to develop and sell a new DuraSite based eyedrop formulation; and (iv) B&L made a $2 million equity investment in the Company. In connection with this equity investment, the Company issued an aggregate of 415,655 shares of Common Stock to B&L. The Company has determined it will not proceed with PilaSite at this time. There can be no assurance that, even if regulatory approvals are obtained, the Company's products will be successfully marketed, or that the Company will be able to conclude arrangements with other companies to support the commercialization of such products on acceptable terms, if at all. The Company's strategy for research, development and commercialization of certain of its products requires the Company to enter into various arrangements with corporate and academic collaborators, licensors, licensees and others, and is dependent on the diligent efforts and subsequent success of these outside parties in performing their responsibilities. For example, the Company is dependent upon Columbia for the polymer technology upon which the DuraSite technology is based. Additionally, the Company is dependent upon British Biotech for the supply of batimastat and lexipafant, the active drugs incorporated into the Company's ISV-120 and ISV-611 product candidates, respectively. British Biotech is conducting clinical testing of lexipafant for non-ophthalmic indications, but it has discontinued clinical testing of batimastat and informed the Company that it will no longer manufacture the product. The Company may have no source of ongoing raw materials for ISV-120 and, in the future, may also lose its source of supply of lexipafant for ISV-611, and its business may be adversely affected. In addition, there can be no assurance that the Company's collaborators will not take the position that they are free to compete using the Company's technology without compensating or entering into 10 of 16 11 agreements with the Company, or will not pursue alternative technologies or develop alternative products either on their own or in collaboration with others, including the Company's competitors, as a means for developing treatments for the diseases or disorders targeted by these collaborative programs. UNCERTAINTY OF PATENTS AND PROPRIETARY RIGHTS The Company's success will depend in large part on its ability to obtain patents, protect trade secrets and operate without infringing upon the proprietary rights of others. A substantial number of patents in the field of ophthalmology have been issued to pharmaceutical, biotechnology and biopharmaceutical companies. Moreover, competitors may have filed patent applications, may have been issued patents or may obtain additional patents and proprietary rights relating to products or processes competitive with those of the Company. There can be no assurance that the Company's patent applications will be approved, that the Company will develop additional proprietary products that are patentable, that any issued patents will provide the Company with adequate protection for its inventions or will not be challenged by others, or that the patents of others will not impair the ability of the Company to commercialize its products. The patent position of firms in the pharmaceutical industry generally is highly uncertain, involves complex legal and factual questions, and has recently been the subject of much litigation. No consistent policy has emerged from the U.S. Patent and Trademark Office or the courts regarding the breadth of claims allowed or the degree of protection afforded under pharmaceutical patents. There can be no assurance that others will not independently develop similar products, duplicate any of the Company's products or design around any patents of the Company. A number of pharmaceutical and biotechnology companies and research and academic institutions have developed technologies, filed patent applications or received patents on various technologies that may be related to the Company's business. Some of these technologies, applications or patents may conflict with the Company's technologies or patent applications. Such conflicts could limit the scope of the patents, if any, that the Company may be able to obtain or result in the denial of the Company's patent applications. In addition, if patents that cover the Company's activities have been or are issued to other companies, there can be no assurance that the Company would be able to obtain licenses to these patents, at all, or at a reasonable cost, or be able to develop or obtain alternative technology. If the Company does not obtain such licenses, it could encounter delays or be precluded from introducing products to the market. Litigation may be necessary to defend against or assert claims of infringement, to enforce patents issued to the Company or to protect trade secrets or know-how owned by the Company, and could result in substantial cost to and diversion of effort by, and may have a material adverse effect on, the Company. In addition, there can be no assurance that these efforts by the Company will be successful or, even if successful, will not result in substantial cost to the Company. The Company's competitive position is also dependent upon unpatented trade secrets. There can be no assurance that others will not independently develop substantially equivalent proprietary information and techniques or otherwise gain access to the Company's trade secrets, that such trade secrets will not be disclosed or that the Company can effectively protect its rights to unpatented trade secrets. To the extent that the Company or its consultants or research collaborators use intellectual property owned by others in their work for the Company, disputes also may arise as to the rights in related or resulting know-how and inventions. RISKS ASSOCIATED WITH POTENTIAL ACQUISITIONS The Company may, at any time in the future, pursue acquisitions of companies, product lines, technologies or businesses that its management believes are complementary or otherwise beneficial. In the event that such an acquisition does occur, there can be no assurance as to the effect thereof on the Company's business, financial condition and operating results. Future acquisitions by the Company may result in substantial dilution to the Company's stockholders, the incurrence by the Company of additional debt and amortization expenses related to goodwill, research and development and other intangible assets, which could materially adversely affect the Company's business, financial condition and results of operations. In addition, acquisitions involve numerous risks, including difficulties in the assimilation of the employees, operations, technologies and products of the acquired companies, the diversion of management's attention from other 11 of 16 12 business concerns, risks of entering markets in which the Company has no or limited direct experience and the potential loss of key employees of the acquired company. NO COMMERCIAL MANUFACTURING EXPERIENCE The Company has no experience in the manufacture of products for commercial purposes. The Company has a pilot facility licensed by the State of California to manufacture certain of its products for Phase I and Phase II clinical trials. In July 1996, the Company entered into an alliance under which B&L has agreed to manufacture Company products. If the Company should encounter delays or difficulties in establishing and maintaining its relationship with B&L or other qualified manufacturers to produce, package and distribute its finished products, then clinical trials, regulatory filings, market introduction and subsequent sales of such products would be adversely affected. Contract manufacturers must adhere to Good Manufacturing Practices ("GMP") regulations strictly enforced by the FDA on an ongoing basis through its facilities inspection program. Contract manufacturing facilities must pass a pre-approval plant inspection before the FDA will approve an NDA. Certain material manufacturing changes that occur after approval are also subject to FDA review and clearance or approval. There can be no assurance that the FDA or other regulatory agencies will approve the process or the facilities by which any of the Company's products may be manufactured. The Company's dependence on third parties for the manufacture of products may adversely affect the Company's ability to develop and deliver products on a timely and competitive basis. Should the Company be required to manufacture products itself, the Company will be required to expend significant amounts of capital to install a manufacturing capability, will be subject to the regulatory requirements described above, will be subject to similar risks regarding delays or difficulties encountered in manufacturing any such products and will require substantial additional capital. There can be no assurance that the Company will be able to manufacture any such products successfully or in a cost-effective manner. In addition, certain of the raw materials the Company uses in formulating its DuraSite drug delivery system are available from only one source. Any significant interruption in the supply of these raw materials could delay the Company's clinical trials, product development or product sales and could have a material adverse effect on the Company's business. GOVERNMENT REGULATION AND PRODUCT APPROVAL FDA and comparable agencies in state and local jurisdictions and in foreign countries impose substantial requirements upon preclinical and clinical testing, manufacturing and marketing of pharmaceutical products. Lengthy and detailed preclinical and clinical testing, validation of manufacturing and quality control processes, and other costly and time-consuming procedures are required. Satisfaction of these requirements typically takes several years and the time needed to satisfy them may vary substantially, based on the type, complexity and novelty of the pharmaceutical product. The effect of government regulation may be to delay or to prevent marketing of potential products for a considerable period of time and to impose costly procedures upon the Company's activities. There can be no assurance that the FDA or any other regulatory agency will grant approval for any products developed by the Company on a timely basis, or at all. Success in preclinical or early stage clinical trials does not assure success in later stage clinical trials. Data obtained from preclinical and clinical activities are susceptible to varying interpretations which could delay, limit or prevent regulatory approval. If regulatory approval of a product is granted, such approval may impose limitations on the indicated uses for which a product may be marketed. Further, even if regulatory approval is obtained, later discovery of previously unknown problems with a product may result in restrictions on the product, including withdrawal of the product from the market. Delay in obtaining or failure to obtain regulatory approvals would have a material adverse effect on the Company's business. The FDA's policies may change and additional government regulations may be promulgated which could prevent or delay regulatory approval of the Company's potential products. Moreover, increased attention to the containment of health care costs in the U.S. could result in new government regulations which could have a material adverse effect on the Company's business. The Company is unable to predict the likelihood of adverse governmental regulation which might arise from future legislative or administrative action, either in the U.S. or abroad. See "Risk Factors -- Uncertainty of Product Pricing, Reimbursement and Related Matters." 12 of 16 13 COMPETITION The Company's success depends upon developing and maintaining a competitive position in the development of products and technologies in its areas of focus. There are many competitors of the Company in the U.S. and abroad, including pharmaceutical, biotechnology and other companies with varying resources and degrees of concentration on the ophthalmic pharmaceuticals market. The Company's competitors may have existing products or products under development which may be technically superior to those of the Company or which may be less costly or more acceptable to the market. Competition from such companies is intense and expected to increase as new products enter the market and new technologies become available. The Company's competitors, many of which have substantially greater financial, technical, marketing and human resources than the Company, may also succeed in developing technologies and products that are more effective, safer, less expensive or otherwise more commercially acceptable than any which have been or are being developed by the Company. The Company's competitors may obtain cost advantages, patent protection or other intellectual property rights that would block or limit the Company's ability to develop its potential products, or may obtain regulatory approval for the commercialization of their products more effectively or rapidly than the Company. To the extent that the Company determines to manufacture and market its products by itself, it will also compete with respect to manufacturing efficiency and marketing capabilities, areas in which it has limited or no experience. MARKETING AND SALES The Company plans to market and sell its products through arrangements with one or more companies with expertise in the ophthalmic drug or diagnostic industries. There can be no assurance that the Company will be able to enter into such arrangements on acceptable terms, if at all. If the Company is not successful in concluding such arrangements, it may be required to establish its own sales and marketing organization, although the Company has no experience in sales, marketing or distribution. There can be no assurance that the Company will be able to build such a marketing staff or sales force, or that the Company's sales and marketing efforts will be cost-effective or successful. To the extent the Company has entered into or enters into co-marketing, co-promotion or other licensing arrangements for the marketing and sale of its products, any revenues received by the Company will be dependent on the efforts of third parties (such as CIBA Vision and B&L), and there can be no assurance that such efforts will be successful. DEPENDENCE ON KEY PERSONNEL The Company is highly dependent on Dr. Chandrasekaran and other principal members of its scientific and management staff, the loss of whose services might significantly delay the achievement of planned development objectives. Furthermore, recruiting and retaining qualified personnel will be critical to the Company's success. Competition for skilled individuals in the biotechnology business is highly intense and there can be no assurance that the Company will be able to continue to attract and retain personnel necessary for the development of the Company's business. The loss of key personnel or the failure to recruit additional personnel or to develop needed expertise could have a material adverse effect on the Company's business, financial condition and results of operations. PRODUCT LIABILITY EXPOSURE; LIMITED INSURANCE COVERAGE The Company's business exposes it to potential product liability risks which are inherent in the development, testing, manufacturing, marketing and sale of human therapeutic products. Product liability insurance for the pharmaceutical industry generally is expensive. There can be no assurance that the Company's present product liability insurance coverage is adequate. Such existing coverage will not be adequate as the Company further develops its products, and no assurance can be given that adequate insurance coverage against potential claims will be available in sufficient amounts or at a reasonable cost. UNCERTAINTY OF PRODUCT PRICING, REIMBURSEMENT AND RELATED MATTERS The Company's business may be materially adversely affected by the continuing efforts of governmental and third party payers to contain or reduce the costs of health care through various means. For example, in certain foreign markets 13 of 16 14 the pricing or profitability of health care products is subject to government control. In the U.S., there have been, and the Company expects there will continue to be, a number of federal and state proposals to implement similar government control. While the Company cannot predict whether any such legislative or regulatory proposals or reforms will be adopted, the announcement of such proposals or reforms could have a material adverse effect on the Company's ability to raise capital or form collaborations, and the adoption of such proposals or reforms could have a material adverse effect on the Company's business, financial condition or results of operations. In addition, in the U.S. and elsewhere, sales of health care products are dependent in part on the availability of reimbursement from third party payers, such as government and private insurance plans. Significant uncertainty exists as to the reimbursement status of newly approved health care products, and third party payers are increasingly challenging the prices charged for medical products and services. If the Company succeeds in bringing one or more products to the market, there can be no assurance that reimbursement from third party payers will be available or will be sufficient to allow the Company to sell its products on a competitive or profitable basis. HAZARDOUS MATERIALS; ENVIRONMENTAL MATTERS The Company's research, development and manufacturing processes involve the controlled use of small amounts of radioactive and other hazardous materials. The Company is subject to federal, state and local laws, regulations and policies governing the use, manufacture, storage, handling and disposal of such materials and certain waste products. Although the Company believes that its safety procedures for handling and disposing of such materials comply with the standards prescribed by such laws and regulations, the risk of accidental contamination or injury from these materials cannot be completely eliminated. In the event of such an accident, the Company could be held liable for any damages that result, and any such liability could exceed the resources of the Company. Moreover, the Company may be required to incur significant costs to comply with environmental laws and regulations, especially to the extent that the Company manufactures its own products. CONTROL BY MANAGEMENT AND EXISTING STOCKHOLDERS As of March 31, 1998, the Company's management and principal stockholders in the aggregate owned beneficially approximately 21% of the Company's outstanding shares of Common Stock. As a result, these stockholders, acting together, would be able to effectively control most matters requiring approval by the stockholders of the Company, including the election of a majority of the directors and the approval or disapproval of business combinations. VOLATILITY OF STOCK PRICE; NO DIVIDENDS The market prices for securities of biopharmaceutical and biotechnology companies (including the Company) have been highly volatile, and the market has from time to time experienced significant price and volume fluctuations that are unrelated to the operating performance of particular companies. In addition, future announcements concerning the Company, its competitors or other biopharmaceutical companies including the results of testing and clinical trials, technological innovations or new therapeutic products, governmental regulation, developments in patent or other proprietary rights, litigation or public concern as to the safety of products developed by the Company or others and general market conditions may have a significant effect on the market price of the Common Stock. The Company has not paid any cash dividends on its Common Stock and does not anticipate paying any dividends in the foreseeable future. ANTI-TAKEOVER EFFECT OF DELAWARE LAW AND CERTAIN CHARTER AND BYLAWS PROVISIONS Certain provisions of the Company's Certificate of Incorporation and Bylaws may have the effect of making it more difficult for a third party to acquire, or discouraging a third party from attempting to acquire, control of the Company. Such provisions could limit the price that certain investors might be willing to pay in the future for shares of the Company's Common Stock. The Company's Board of Directors has the authority to issue up to 5,000,000 shares of Preferred Stock, 14 of 16 15 7,070 of which have been designated as Series A Convertible Preferred Stock. Furthermore, the Company's Board of Directors has the authority to determine the price, rights, preferences, privileges and restrictions of the remaining unissued shares of Preferred Stock without any further vote or action by the stockholders. The rights of the holders of Common Stock will be subject to, and may be adversely affected by, the rights of the holders of any Preferred Shares and of Preferred Stock that may be issued in the future. The issuance of Preferred Stock, while providing desirable flexibility in connection with possible acquisitions and other corporate purposes, could have the effect of making it more difficult for a third party to acquire a majority of the outstanding voting stock of the Company. Certain provisions of Delaware law applicable to the Company could also delay or make more difficult a merger, tender offer or proxy contest involving the Company, including Section 203 of the Delaware General Corporation Law, which prohibits a Delaware corporation from engaging in any business combination with any interested stockholder for a period of three years unless certain conditions are met. CONVERTIBLE SECURITIES; DILUTION; REDEMPTION Sales of substantial amounts of the shares of Common Stock issuable upon conversion of the Series A Convertible Preferred Stock ("Preferred Shares") could adversely affect the market value of the Common Stock, depending upon the timing of such sales, and may effect a substantial dilution of the book value per share of Common Stock. As of March 31, 1998, 4,357 Preferred Shares were issued and outstanding. The actual number of shares of Common Stock issuable upon conversion of the outstanding Preferred Shares will equal (i) the aggregate stated value of the Preferred Shares then being converted ($1,000 per share) plus a premium in the amount of 6% per annum accruing from September 12, 1997 through the date of conversion, divided by (ii) a conversion price equal to the lower of $2.127 or the product of the average of the lowest closing bid prices for the Common Stock for any five (5) trading days during the twenty-two (22) consecutive trading day period immediately preceding the date of conversion (subject to adjustment in accordance with the terms of the Certificate, as defined below) multiplied by a conversion percentage equal to (A) 90% if the conversion occurs prior to June 10, 1998, (B) 87.5% if the conversion occurs on or after June 10, 1998 and prior to September 13, 1998, (C) 85% if the conversion occurs on or after September 13, 1998 and prior to December 7, 1998, or (D) 82.5% if the conversion occurs on or after December 7, 1998. For a complete description of the relative rights, preferences, privileges, powers and restrictions of the Preferred Shares, see the Certificate of Designations, Preferences and Rights (the "Certificate") attached as Exhibit 4.1 to the Registration Statement on Form S-3 filed with the Commission on September 29, 1997. Depending on market conditions at the time of conversion, the number of shares of Common Stock issuable could increase significantly in the event of a decrease in the trading price of the Common Stock. Purchasers of Common Stock could therefore experience substantial dilution upon conversion of the Preferred Shares. In addition, in the event that any holder of Preferred Shares is unable to convert any such securities into Common Stock, any or all such holders may cause the Company to redeem any such Preferred Shares that cannot be so converted. In the event that the Company fails to so redeem such shares, the holders of the Preferred Shares are entitled to additional remedies as set forth in the Certificate. 15 of 16 16 PART II OTHER INFORMATION ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K. a) Exhibits 27 Financial Data Schedule b) Reports on Form 8-K No Reports on Form 8-K were filed in the quarter ended March 31, 1998. SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, as amended the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. INSITE VISION INCORPORATED Dated: May 14, 1998 by: /s/ S. Kumar Chandrasekaran ----------------------------- S. Kumar Chandrasekaran, Ph.D. Chairman of the Board and Chief Executive Officer (on behalf of the registrant) by: /s/ Michael D. Baer ---------------------------------- Michael D. Baer Chief Financial Officer (as principal financial officer of the registrant) 16 of 16