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, 1999 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, 1999: 18,781,528. 2 QUARTERLY REPORT ON FORM 10-Q FOR THE THREE MONTHS ENDED MARCH 31, 1999 TABLE OF CONTENTS Page PART I. FINANCIAL INFORMATION Item 1. Financial Statements (Unaudited) Condensed Consolidated Balance Sheets at March 31, 1999 and December 31, 1998.......................................3 Condensed Consolidated Statements of Operations For the three months ended March 31, 1999 and 1998.........................4 Condensed Consolidated Statements of Cash Flows For the three months ended March 31, 1999 and 1998.........................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 17 3 PART I FINANCIAL INFORMATION ITEM 1. Financial Statements INSITE VISION INCORPORATED CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED) March 31, December 31, (in thousands, except share and per share amounts) 1999 1998 - ------------------------------------------------------------------------------------------------------- ASSETS Current assets: Cash and cash equivalents $ 2,244 $ 1,037 Prepaid expenses and other current assets 189 190 -------- -------- Total current assets 2,433 1,227 Property and equipment, at cost: Laboratory and other equipment 1,017 1,062 Leasehold improvements 37 49 Furniture and fixtures 23 28 -------- -------- 1,077 1,139 Accumulated depreciation 329 280 -------- -------- 748 859 -------- -------- Total assets $ 3,181 $ 2,086 ======== ======== LIABILITIES, REDEEMABLE PREFERRED STOCK AND COMMON STOCKHOLDERS' EQUITY Current liabilities: Accounts payable $ 141 $ 86 Accrued liabilities 273 341 Accrued compensation and related expense 366 256 -------- -------- Total current liabilities 780 683 Commitments Redeemable preferred stock, $.01 par value, 695 1,511 5,000,000 shares authorized; 520 shares issued and outstanding at March 31, 1999; 1,170 shares issued and outstanding at December 31, 1998; redemption value $732,000 at March 31, 1999; redemption value $1,986,000 at December 31, 1998 Common stockholders' equity: Common stock, $.01 par value, 30,000,000 shares Authorized; 18,781,528 issued and outstanding at March 31, 1999; 16,852,015 issued and outstanding at December 31, 1998 188 169 Additional paid-in-capital 88,487 85,605 Accumulated deficit (86,969) (85,882) -------- -------- Common stockholders' equity 1,706 (108) -------- -------- Total liabilities, redeemable preferred stock and common stockholders' equity $ 3,181 $ 2,086 ======== ======== See accompanying notes to condensed consolidated financial statements. 3 of 17 4 INSITE VISION INCORPORATED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) Three months ended March 31, (in thousands, except per share amounts) 1999 1998 - -------------------------------------------------------------------------------------------------------- Royalty revenues $ 7 $ 15 Operating expenses: Research and development, net 455 1,544 General and administrative 638 571 -------- -------- Total 1,093 2,115 -------- -------- Loss from operations (1,086) (2,100) Interest, other income and expense 12 100 -------- -------- Net loss (1,074) (2,000) Non-cash preferred dividends (12) (190) -------- -------- Net loss applicable to common stockholders $ (1,086) $ (2,190) ======== ======== Basic and diluted net loss per share applicable to common stockholders $ (0.06) $ (0.15) Shares used to calculate basic and diluted net loss per share 18,261 12,937 No cash dividends were declared or paid during the periods See accompanying notes to condensed consolidated financial statements. 4 of 17 5 INSITE VISION INCORPORATED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) Three months ended March 31, (in thousands) 1999 1998 - ------------------------------------------------------------------------------------------------------- OPERATING ACTIVITIES Net loss $(1,074) $(2,000) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization 196 231 Changes in: Prepaid expenses and other current assets 1 67 Accounts payable and accrued liabilities 96 (249) ------- ------- Net cash used in operating activities (781) (1,951) INVESTING ACTIVITIES Purchases of property and equipment (12) (10) ------- ------- Net cash used in investing activities (12) (10) FINANCING ACTIVITIES Issuance of common stock 2,000 -- ------- ------- Net cash provided by financing activities 2,000 -- Net increase (decrease) in cash and cash equivalents 1,207 (1,961) Cash and cash equivalents, beginning of period 1,037 8,660 ------- ------- Cash and cash equivalents, end of period $ 2,244 $ 6,699 ======= ======= Supplemental disclosures: Non-cash preferred dividends $ 12 $ 190 ======= ======= Non-cash conversion of redeemable preferred stock to common stock $ 828 $ 2,628 ======= ======= See accompanying notes to condensed consolidated financial statements. 5 of 17 6 INSITE VISION INCORPORATED NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS MARCH 31, 1999 (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 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 adjustments, considered necessary for a fair presentation have been included. Operating results for the three month period ended March 31, 1999, are not necessarily indicative of the results that may be expected for any future period. 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 ability of the Company to establish additional corporate partnerships for the development, manufacture and marketing of its potential products, 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, and the purchase of additional capital equipment. The Company is currently seeking additional funding through public or private equity or debt financing, collaborative or other arrangements, and 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, will 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 available, the Company will be required to delay, scale back or eliminate one or more of its research, discovery or development programs, scale back or cease operations altogether or obtain funds through entering into arrangements with collaborators or others on disadvantageous terms that may, among other things, require the Company to relinquish rights to certain of its technologies, product candidates or products. 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, 1998. 6 of 17 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, 1998. Except for the historical information contained herein, the discussion in this Quarterly Report may be deemed to contain 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 relevant 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, prognosis and management of glaucoma and ophthalmic pharmaceutical products based on its proprietary DuraSite(R) eyedrop-based drug delivery technology. The Company is collaborating with academic researchers to develop new diagnostic, prognostic and management tools for primary congenital, juvenile 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. A gene-based diagnostic kit may allow early detection of the disease before considerable irreversible damage has occurred and may improve the ability to treat it 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. Gene-based tests may make it possible to identify patients at risk and initiate treatment before permanent optic nerve damage and vision loss occurs. The Company has international and national collaborations with academic institutions for the identification and clinical evaluation of genetic markers for glaucoma. To date, the Company's academic collaborators at UCSF and 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 rapid, high throughput method for screening patients for specific mutations, based on the diagnostic/prognostic technology, ISV-900, is being developed in partnership with a certified clinical laboratory. The Company is discussing the commercialization of the test with several potential partners. Currently, the FDA does not specifically require approval of genetic tests developed and conducted by certified clinical laboratories and the FDA has not reviewed this test for determining the risk of developing glaucoma. 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. In 1998, the Company began a Phase II trial of ISV-205 and anticipates releasing results by the third quarter of 1999. 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. DuraSite extends the residence time of the drug due to a combination of mucoadhesion, surface tension and viscosity. 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 is focusing its research and development on ISV-900 for prognosis, diagnosis and management of glaucoma and ISV-205 for the treatment of inflammation and the prevention and treatment of glaucoma. 7 of 17 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. On January 28, 1999, the Company entered into a license agreement and stock purchase agreement pursuant to which InSite granted Pharmacia & Upjohn, ("P&U") an exclusive worldwide license to ISV-205 for the treatment of glaucoma. The license calls for (i) P&U to assume responsibility for the development of the product upon completion by InSite of, among other activities, the Phase II studies currently being conducted by the Company, (ii) P&U to reimburse InSite for certain research and development expenses and make payments to InSite for on-going technical support, and (iii) the payment by P&U to InSite of royalties on product sales should ISV-205 be successfully commercialized. InSite will continue to bear responsibility for the prosecution and maintenance of the patents subject to the license, among other things. The transaction also provided for an equity investment from P&U of $2,000,000 for which they received 1,095,506 shares of common stock, with the potential for future equity investments based on achievement of certain milestones. In March 1999, the Company entered into a royalty-bearing licensing agreement with Global Damon, a Korean company, to be the exclusive distributor of AquaSite(R) in the Republic of Korea. Concurrently, the Company entered into a manufacturing agreement with Kukje, a Korean company, to produce the AquaSite to be sold by Global Damon. As of March 31, 1999, the Company's accumulated deficit was approximately $87.0 million. There can be no assurance that InSite Vision will ever achieve either significant revenues or profitable operations. RESULTS OF OPERATIONS The Company earned royalty revenues of $7,000 and $15,000 in the first quarter of 1999 and 1998, respectively, from sales of AquaSite" by CIBA Vision. To date, the Company has not relied on royalty revenues to fund its activities. Research and development expenses, net were $455,000 and $1.5 million for the first quarter of 1999 and 1998, respectively. This decrease reflects the reimbursement of research expenses of $900,000 in the first quarter of 1999, from P&U pursuant to the January 1999, ISV-205 licensing agreement. Additionally, the decrease includes cost savings from the reduction in research and development personnel, to focus research activities on ISV-205 and ISV-900, which occurred in the fourth quarter of 1998. General and administrative expenses increased 12% during the first quarter of 1999 to $638,000 from $571,000 during the first quarter of 1998. This increase was primarily due to higher legal and consulting costs, mainly related to licensing activities. The Company incurred net losses applicable to common stockholders of $1.1 million and $2.2 million during the first quarter of 1999 and 1998, respectively. The decrease for the first quarter of 1999 compared to 1998 was due primarily to the reimbursement of research expenses by P&U. 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 Redeemable Convertible Preferred Stock (Series A preferred stock) for which net proceeds were approximately $6.5 million. In February 1999, the Company received $2.0 million from the sale of Common Stock in accordance with the 8 of 17 9 January 1999 License and Stock Purchase agreements with P&U. At March 31, 1999, the Company had cash and cash equivalents totaling $2.2 million compared to $1.0 million as of December 31, 1998. 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 increase in cash and cash equivalents of $1.2 million in the three months ended March 31, 1999 related primarily to the $2.0 million received from the issuance 1,095,506 shares of Common Stock to P&U pursuant to the January 1999 Stock Purchase Agreement. The Company also used $781,000 for operating activities during the quarter ended March 31, 1999, which was $1.2 million less than the $2.0 million used in the quarter ended March 31, 1998. The decrease in the use of cash for operating activities was primarily due to the $900,000 received from P&U, related to the January 1999 License Agreement, for technical support provided on the ISV-205 project. The Company's future capital expenditures and requirements will depend on numerous factors, including the progress of its research and development programs and preclinical and clinical testing, the time and costs involved in obtaining regulatory approvals, the ability of the Company to establish additional collaborative arrangements, 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, 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 1999. 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, in combination with the cash the Company has received and will receive during 1999 as part of the ISV-205 licensing transaction with P&U, will be sufficient to meet its operating expenses and cash requirements through 1999. InSite Vision will require substantial additional funds prior to reaching profitability and the Company may seek private or public equity investments, 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. YEAR 2000 The Year 2000 ("Y2K") issue is the result of computer programs using a two-digit format, as opposed to four digits, to indicate the year. Such computer systems will be unable to interpret dates beyond the year 1999, which could cause a system failure or other computer errors, leading to disruptions in operations. The Company has implemented a program to assess its exposure from Y2K related failures in its internal systems. The Company has determined that the majority of the Company's significant operating and accounting systems are Y2K compliant. The Company is in the process of upgrading and replacing those systems that are not currently Y2K compliant. The anticipated cost of these upgrades will be expensed as incurred and are anticipated to be less than $25,000. However, there can be no assurance that costs will not exceed the Company's estimate. While the Company does not have a comprehensive program for monitoring whether its suppliers' and vendors' systems are Y2K compliant, it does not believe that non-compliance by any single source provider would have a material impact on its operations. The Company does not expect its financial condition or results of operations to be materially adversely affected by Y2K issues. RISK FACTORS IT IS DIFFICULT TO EVALUATE OUR BUSINESS BECAUSE WE ARE IN AN EARLY STATE OF DEVELOPMENT AND OUR TECHNOLOGY IS UNTESTED We are in an early state of developing our business. We are currently only receiving a small amount of royalties from the sale of one of our products, an over-the-counter, or OTC, dry eye treatment. Before regulatory authorities will grant us marketing approval, we will need to conduct significant additional research and development and preclinical and 9 of 17 10 clinical testing. All of our products are subject to risks that are inherent to products based upon new technologies. These risks include the risks that our products: - - will be found to be unsafe or ineffective; - - will fail to receive necessary marketing clearance from regulatory authorities; - - even if safe and effective, will be too difficult to manufacture or market; - - will be unmarketable due to the proprietary rights of third parties; or - - will not be able to compete with superior, equivalent or more cost-effective products offered by third parties. Therefore, we cannot guarantee that our research and development activities will result in any commercially viable products. WE REQUIRE SIGNIFICANT FUNDING FOR OUR CAPITAL REQUIREMENTS We will require substantial additional funding to develop and conduct testing on our potential products. We will also require additional funding to manufacture and market any products which we do develop. Our future capital requirements will depend upon many factors, including: - - the progress of our research and development programs; - - the progress of preclinical and clinical testing; - - our ability to establish additional corporate partnerships to develop, manufacture and market our potential products; - - the time and cost 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 our existing collaborative and licensing relationships; and - - the purchase of additional capital equipment. We are currently seeking additional funding through public or private equity or debt financing, collaborative or other arrangements, and from other sources. We cannot be certain that we will be able to secure additional funding from these sources, or that such funding will be on terms acceptable to us. If we fail to secure additional funding upon acceptable terms, our business will be harmed. If we raise additional funds by issuing equity securities, our stockholders will suffer substantial dilution. However, if we cannot raise additional funding, we may be required to further delay, scale back or eliminate one or more of our research, discovery or development programs, or scale back or cease operations altogether. In addition, the failure to raise additional funding may force us to enter into agreements with third parties on terms which are disadvantageous to us, which may, among other things, require us to relinquish rights to our technologies, products or potential products. We believe our cash and cash equivalents in addition to amounts to be received from P&U as part of the ISV-205 transaction will be sufficient to finance our working capital and capital expenditure requirements through December 31, 1999. WE EXPECT TO CONTINUE TO SUFFER LOSSES We have incurred significant operating losses since our inception in 1986. As of March 31, 1999, our accumulated deficit was approximately $87.0 million. We have not achieved profitability and we expect to continue to incur net losses for the foreseeable future. Our ability to achieve significant revenue or profitability depends upon our ability, alone or with third parties, to successfully develop our potential products, conduct clinical trials, obtain required regulatory approvals and successfully manufacture and market our products. We cannot be certain that we will ever achieve significant revenue or profitability. WE RELY ON THIRD PARTIES TO DEVELOP, MARKET AND SELL OUR PRODUCTS We have not established a dedicated sales and marketing organization. Therefore, if we are to successfully commercialize our product candidates, we will be required to enter into arrangements with one or more third parties that 10 of 17 11 will: - - provide for Phase III clinical testing; - - provide for commercial scale up and manufacture of our potential products; - - obtain or assist us in other activities associated with obtaining regulatory approvals for our product candidates; and - - market and sell our products, if they are approved. Our strategy for research, development and commercialization of certain of our products requires us to enter into various arrangements with corporate and academic collaborators, licensors, licensees and others. Furthermore, we are dependent on the diligent efforts and subsequent success of these outside parties in performing their responsibilities. To date, we have entered into agreements with CIBA Vision for co-exclusive rights with us in North America 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 January 1999, we entered into a license agreement with Pharmacia & Upjohn AB, or P&U, pursuant to which: - - P&U will develop, manufacture, process and use ISV-205; - - P&U will finish, market, distribute, detail and sell the products developed from the active ingredient in ISV-205. In July 1996, we entered into agreements with B&L pursuant to which: - - B&L has agreed to manufacture our product candidates at B&L's facility in Tampa, Florida using equipment owned by us; we agreed with B&L to share the cost of certain leasehold improvements in connection with the installation and operation of the equipment; - - B&L received, for a license fee of $500,000, an exclusive worldwide royalty-bearing license to manufacture and market PilaSite(R); and - - We agreed with B&L to collaborate to develop and sell a new DuraSite based eyedrop formulation. We have determined we will not proceed with PilaSite at this time. We are dependent upon British Biotechnology Pharmaceuticals, Inc., or British Biotech, for the supply of batimastat, the active drugs incorporated into the Company's ISV-120 product candidate. British Biotech has discontinued clinical testing of batimastat and informed us that it will no longer manufacture the product. We may have no source of ongoing raw materials for ISV-120. If this turns out to be true, our business may be harmed. We cannot be certain that, even if regulatory approvals are obtained, our products will be marketed diligently or successfully by our partners, or that we will be able to conclude arrangements with other companies to support the commercialization of other products on acceptable terms, if at all. In addition, we cannot be certain our collaborators will not take the position that they are free to compete using our technology without compensating or entering into agreements with us. Furthermore, we cannot be certain our collaborators will not pursue alternative technologies or develop alternative products either on their own or in collaboration with others, including our competitors, as a means for developing treatments for the diseases or disorders targeted by these collaborative programs. OUR BUSINESS DEPENDS UPON OUR PROPRIETARY RIGHTS, AND THERE IS A RISK OF INFRINGEMENT Our success will depend in large part on our ability to obtain patents, protect trade secrets, obtain and maintain rights to technology developed by others, and operate without infringing upon the proprietary rights of others. A substantial number of patents in the field of ophthalmology and genetics 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 ours. We cannot be certain that our patent applications will be approved, that we will develop additional proprietary products that are patentable, that any issued patents will provide us with adequate protection for our inventions or will not be challenged by others, or that the patents of others will not impair our ability to commercialize our products. The patent positions of firms 11 of 17 12 in the pharmaceutical and genetic industries generally are highly uncertain, involve complex legal and factual questions, and have 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 and genetic patents. Despite our efforts to protect our proprietary rights, we cannot be certain others will not independently develop similar products, duplicate any of our products or design around any of our patents or that third parties from which we have licensed or otherwise obtained technology will not attempt to terminate or scale back our rights. 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 our business. Some of these technologies, applications or patents may conflict with our technologies or patent applications. Such conflicts could limit the scope of the patents, if any, we may be able to obtain or result in the denial of our patent applications. In addition, if patents that cover our activities have been or are issued to other companies, there can be no assurance that we will 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 we do not obtain such licenses, we 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 us or to protect trade secrets or know-how owned or licensed by us. Such litigation could result in substantial cost to and diversion of effort by the Company, all of which may harm our business. We have also agreed to indemnify our licensees, including P&U, against infringement claims by third parties related to our technology, which could result in additional litigation costs and liability, which could harm our business. In addition, we cannot be certain our efforts to protect or defend our proprietary rights will be successful or, even if successful, will not result in substantial cost to us. We also depend upon unpatented trade secrets to maintain our competitive position. We cannot be certain others will not independently develop substantially equivalent proprietary information and techniques or otherwise gain access to our trade secrets, that such trade secrets will not be disclosed or that we can effectively protect our rights to unpatented trade secrets. To the extent that we or our consultants or research collaborators use intellectual property owned by others in their work for us, disputes also may arise as to the rights in related or resulting know-how and inventions. ACQUISITIONS MAY PRESENT RISKS TO OUR BUSINESS At some point in the future we may pursue acquisitions of companies, product lines, technologies or businesses that our management believes are complementary or otherwise beneficial. In the event that such an acquisition does occur, we cannot be certain how such acquisitions will affect our business. Future acquisitions may result in substantial dilution to our stockholders, the incurrence of additional debt and amortization expenses related to goodwill, research and development and other intangible assets, all of which could harm our business. In addition, acquisitions will involve several risks for us, including: - - assimilating employees, operations, technologies and products from the acquired companies with our existing employees, operation, technologies and products; - - diverting our management's attention from day-to-day operation of our business; - - entering markets in which we have no or limited direct experience; and - - potentially losing key employees from the acquired companies. WE HAVE NO EXPERIENCE IN COMMERCIAL MANUFACTURING We have no experience in the manufacture of products for commercial purposes. We have a pilot facility licensed by the State of California to manufacture certain of our products for Phase I and Phase II clinical trials. In July 1996, we entered into an alliance under which B&L agreed to manufacture our products. Should we encounter delays or difficulties in establishing and maintaining our relationship with B&L or other qualified manufacturers to produce, package and distribute our finished products, then clinical trials, regulatory filings, market introduction and subsequent sales of such products would be harmed. Contract manufacturers must adhere to Good Manufacturing Practices, or GMP, regulations which are 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 12 of 17 13 occur after approval are also subject to FDA review and clearance or approval. We cannot be certain the FDA or other regulatory agencies will approve the process or the facilities by which any of our products may be manufactured. Our dependence on third parties for manufacture of products may harm our ability to develop and deliver products on a timely and competitive basis. Should we be required to manufacture products ourselves we: - - 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. We cannot be certain we will be able to manufacture any such products successfully or in a cost-effective manner. In addition, certain of the raw materials we use in formulating our DuraSite drug delivery system are available from only one source. Any significant interruption in the supply of these raw materials could delay our clinical trials, product development or product sales and could harm our business. OUR PRODUCTS ARE SUBJECT TO GOVERNMENT REGULATIONS AND 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 our activities. We cannot be certain the FDA or any other regulatory agency will grant approval for any products we develop 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 that 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 after we have obtained regulatory approval, later discovery of previously unknown problems with a product may result in restrictions on the product, including withdrawal of the product from the market. Moreover, the FDA has recently reduced previous restrictions on the marketing, sale and prescription of products for indications other than those specifically approved by the FDA. Accordingly, even if we receive FDA approval of a product for certain indicated uses, our competitors, including our collaborators, could market products for such indications even if such products have not been specifically approved for such indications. Delay in obtaining or failure to obtain regulatory approvals would harm our business. The FDA's policies may change and additional government regulations may be promulgated which could prevent or delay regulatory approval of our potential products. Moreover, increased attention to the containment of health care costs in the U.S. could result in new government regulations that could harm our business. We cannot predict the likelihood of adverse governmental regulation that might arise from future legislative or administrative action, either in the U.S. or abroad. See "Risk Factors -- We face risks from the uncertainties of pricing and other regulation". WE COMPETE IN HIGHLY COMPETITIVE MARKETS Our success depends upon developing and maintaining a competitive position in the development of products and technologies in our areas of focus. We have many competitors in the U.S. and abroad, including pharmaceutical, biotechnology and other companies with varying resources and degrees of concentration in the ophthalmic market. Our competitors may have existing products or products under development which may be technically superior to ours 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. Many of our competitors have substantially greater financial, technical, marketing, manufacturing and human resources. In addition, they may also succeed in developing technologies and products that are more effective, safer, less expensive or otherwise more commercially acceptable than any which we have or will develop. Our competitors may obtain cost advantages, patent protection or other intellectual property rights that would block or limit our ability to develop our potential products, or may obtain regulatory approval for commercialization of their products more effectively or rapidly than we will. To the extent we decide to manufacture and market our products by ourselves, we will also compete with respect to manufacturing efficiency and marketing capabilities, areas in which we have limited or no experience. 13 of 17 14 WE RELY ON THIRD PARTIES TO MARKET AND SELL OUR PRODUCTS We plan to market and sell products through arrangements with third parties with expertise in the ophthalmic drug or diagnostic industries. There can be no assurance that we will be able to enter into such arrangements on acceptable terms, if at all. If we are not successful in concluding such arrangements, we may be required to establish our own sales and marketing organization, although we have no experience in sales, marketing or distribution. We cannot be certain we would be able to build such a marketing staff or sales force, or that our sales and marketing efforts will be cost-effective or successful. To the extent we have entered into or will enter into co-marketing, co-promotion or other licensing arrangements for the marketing and sale of our products, any revenues received by us will be dependent on the efforts of third parties, such as CIBA Vision, P&U and B&L, and we cannot be certain such efforts will be successful. WE ARE DEPENDENT UPON KEY EMPLOYEES We are highly dependent on Dr. Chandrasekaran and other principal members of our 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 our success. Competition for skilled individuals in the biotechnology business is highly intense, and we cannot be certain we will be able to continue to attract and retain personnel necessary for the development of our business. The loss of key personnel or the failure to recruit additional personnel or to develop needed expertise could harm our business. OUR INSURANCE COVERAGE MAY NOT ADEQUATELY COVER OUR POTENTIAL PRODUCT LIABILITY EXPOSURE We are exposed 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 is generally expensive. We cannot be certain that our present product liability insurance coverage is adequate. Such existing coverage will not be adequate as we further develop our products, and we cannot be certain that adequate insurance coverage against potential claims will be available in sufficient amounts or at a reasonable cost. WE FACE RISKS FROM THE UNCERTAINTIES OF PRICING AND OTHER REGULATION Our business may be harmed 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 the pricing or profitability of health care products is subject to government control. In the U.S., there have been, and we expect there will continue to be, a number of federal and state proposals to implement similar government control. While we cannot predict whether any such legislative or regulatory proposals or reforms will be adopted, the announcement of such proposals or reforms could harm our business, including our ability to raise capital or form collaborations. The adoption of such proposals or reforms could further harm our business. 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 we succeed in bringing one or more products to the market, we cannot be certain that reimbursement from third party payers will be available or will be sufficient to allow us to sell our products on a competitive or profitable basis. WE USE HAZARDOUS MATERIALS WHICH MAY POSE ENVIRONMENTAL RISKS Our research, development and manufacturing processes involve the controlled use of small amounts of radioactive and other hazardous materials. We are 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 we believe that our safety procedures for handling and disposing of such materials comply with the standards prescribed by laws and regulations, we cannot completely eliminate the risk of accidental contamination or injury from these materials. In the event of such an accident, we could be held liable for any damages that result, and any such liability could exceed our resources. Moreover, we may be required to incur significant costs to comply with environmental laws and regulations, especially to the extent that we manufacture our own products. 14 of 17 15 OUR OFFICERS AND DIRECTORS WILL BE ABLE TO EXERT SIGNIFICANT CONTROL ON INSITE As of March 31, 1999, our management and principal stockholders together beneficially owned approximately 22% of our outstanding shares of common stock. As a result, these stockholders, acting together, may be able to effectively control all matters requiring approval by our stockholders, including the election of a majority of our directors and the approval of business combinations. THE PRICE OF OUR COMMON STOCK MAY BE VOLATILE The market prices for securities of biopharmaceutical and biotechnology companies, including ours, 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 InSite, our 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 us or others and general market conditions, may have a significant effect on the market price of our common stock. We have not paid any cash dividends on our common stock, and we do not anticipate paying any dividends in the foreseeable future. WE HAVE ADOPTED CERTAIN ANTI-TAKEOVER PROVISIONS Certain provisions of our 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 InSite. Such provisions could limit the price that certain investors might be willing to pay in the future for shares of our common stock. The board of directors has the authority to issue up to 5,000,000 shares of preferred stock, 7,070 of which have been designated as Series A Convertible Redeemable Preferred Stock. Furthermore, the 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 our outstanding voting stock. Certain provisions of Delaware law applicable to us could also delay or make more difficult a merger, tender offer or proxy contest involving us, 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. WE HAVE CONVERTIBLE, REDEEMABLE SECURITIES THAT MAY RESULT IN DILUTION FOR COMMON STOCKHOLDERS Sales of a substantial number of shares of common stock issuable upon conversion of our Series A Convertible Redeemable Preferred Stock 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 our common stock. As of March 31, 1999, 520 shares of Series A Convertible Redeemable Preferred Stock were issued and outstanding. The actual number of shares of common stock issuable upon conversion of the outstanding Series A Convertible Redeemable Preferred Stock will equal: (i) the aggregate stated value of the Series A Convertible Redeemable Preferred Stock 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 our common stock for any 5 trading days during the 22 consecutive trading day period immediately preceding the date of conversion, subject to adjustment in accordance with the terms of the Certificate of Designations, Preferences and Rights for the Series A Convertible Redeemable Preferred Stock, multiplied by a conversion percentage equal to 82.5%. For a complete description of the relative rights, preferences, privileges, powers and restrictions of the Series A Convertible Redeemable Preferred Stock, see the Certificate of Designations, Preferences and Rights attached as Exhibit 4.1 to the Registration Statement on Form S-3 filed with the Securities and Exchange Commission on September 29, 1997. 15 of 17 16 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. Investors in common stock could therefore experience substantial dilution upon conversion of the Series A Convertible Redeemable Preferred Stock. In addition, in the event that any holder of Series A Convertible Redeemable Preferred Stock is unable to convert any such securities into common stock, any or all such holders may cause us to redeem in cash any such Series A Convertible Redeemable Preferred Stock that cannot be so converted. In the event that we fail to so redeem such shares, the holders of the Series A Convertible Redeemable Preferred Stock are entitled to additional remedies as set forth in the Certificate of Designations, Preferences and Rights. In addition, in the event our common stock is delisted from the American Stock Exchange, or the AMEX, any or all of the holders of Series A Convertible Redeemable Preferred Stock may cause us to redeem such shares. If we fail to so redeem those shares, the holders are entitled to additional remedies as set forth in the Certificate of Designations, Preferences and Rights. In view of our current financial condition, we cannot be certain our shares will not be delisted from the AMEX. 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 A Report on Form 8-K was filed by the Company on March 3, 1999. 16 of 17 17 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, 1999 by: /s/ S. Kumar Chandrasekaran -------------------------------- S. Kumar Chandrasekaran, Ph.D. Chairman of the Board, Chief Executive Officer and Chief Financial Officer (on behalf of the registrant and as principal financial and accounting officer) 17 of 17 18 EXHIBIT INDEX Exhibit Number Description ------ ----------- 27 Financial Data Schedule