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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 OR 15(d) of
The Securities Exchange Act of 1934
Date of Report (Date of earliest event reported) September 17, 2007 (September 17, 2007)
REPLIDYNE, INC.
(Exact name of registrant as specified in its charter)
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Delaware
(State or other jurisdiction of
incorporation or organization)
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000-52082
(Commission File Number)
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84-1568247
(I.R.S. Employer
Identification No.) |
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1450 Infinite Drive,
Louisville, Colorado
(Address of principal executive offices)
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80027
(Zip Code) |
303-996-5500
(Registrants telephone number, including area code)
Not Applicable
(Former name, former address and former fiscal year, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the
filing obligation of the registrant under any of the following provisions:
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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
INFORMATION TO BE INCLUDED IN THE REPORT
Section 7 Regulation FD
Item 7.01 Regulation FD Disclosure.
Replidyne, Inc. (the Company) announced today that it will be presenting 21 posters relating to
three of its research pipeline programs at the 47th Annual Interscience Conference on Antimicrobial Agents
and Chemotherapy (ICAAC) held at the McCormick Place conference center in Chicago, Illinois. The
posters will describe previously unpublished data related to faropenem medoxomil, the Companys
Phase III clinical program for community-acquired respiratory tract infections; REP8839, the
Companys Phase II topical antibiotic initially targeted for the treatment of impetigo, the most
common bacterial skin infection in children; and REP3123, the Companys product candidate to treat
Clostridium difficile (C. difficile) related diseases, a major cause of morbidity among the
elderly and hospitalized patients.
REP3123 Presentations
On September 17, 2007 at the All New Antimicrobial Agents session of the ICAAC, the Companys Chief
Scientific Officer, Nebojsa Janjic, described details of the Companys C. difficile program. The
presentation introduced REP3123, highlighting key preclinical findings, including its ability to
inhibit growth, halt toxin production and prevent spore-formation of the Gram-positive C. difficile
bacterium without inhibiting other key organisms that are essential for normal intestinal
functioning.
The Company will present the following C. difficile posters on Thursday, September 20, 2007 at
10:00 AM, Room E253D:
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Poster F1-2112, titled Novel Inhibitors of Methionyl tRNA Synthestase from Clostridium
difficile: Identification and Synthesis of REP3123. |
REP3123 is a novel antibacterial agent that inhibits growth of C. difficile by inhibiting an
essential enzyme called methionyl t-RNA synthetase (MetRS) that prevents the organism from
synthesizing proteins. The research work shows that REP3123 has an in vitro microbiological
profile that is competitive with vancomycin and metronidazole currently used to treat C. difficile
associated disease (CDAD).
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Poster F2113, titled REP3123 is a Potent and Selective Inhibitor of Methionyl tRNA
Synthetase from Clostridium difficile. |
The objective of the study was to characterize the interaction of REP3123 with the isolated MetRS
enzyme from C. difficile, define its potency of inhibition under standard conditions and compare
its ability to inhibit MetRS enzymes from other bacteria and humans. REP3123 is an inhibitor of the
MetRS enzyme from C. difficile and most Gram-positive bacteria, which is consistent with its narrow
spectrum of inhibition of bacterial growth. It is a limited inhibitor of the human MetRS enzyme
from both cellular mitochondria and cytoplasm. These data help establish that MetRS is the target
enzyme for REP3123 inhibition of bacterial growth. The limited inhibition of human MetRS predicts
little protein synthesis inhibition in the bacterial host.
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Poster F1-2114, titled Co-Crystal Structure of REP3123 Bound to Clostridium difficile
Methionyl tRNA Synthetase. |
This study determined the three-dimensional structure of C. difficile MetRS (CDMetRS) in
combination with REP3123 by X-ray crystallography. Knowing the three-dimensional structure of
REP3123 bound to CDMetRS will allow further study related to how REP3123 inhibits CDMetRS. This
understanding will also facilitate design of the next generation of MetRS inhibitors.
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Poster F1-2115, titled Spectrum of Activity of REP3123 against Aerobic Bacterial
Pathogens. |
REP3123 is a narrow spectrum antibacterial agent with activity against Gram-positive aerobes,
including resistant strains, but limited or no activity against Gram-negative aerobes. The limited
activity against enteric Gram-negative organisms suggests that REP3123 is unlikely to disturb the
ecological balance of intestinal aerobes. The potent activity of REP3123 against
vancomycin-resistant enterococci suggests that the agent is unlikely to promote intestinal
colonization with these organisms. Based on the outcome of studies conducted to date, further
studies are believed to be warranted to evaluate REP3123 as a novel agent for the treatment of
CDAD.
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Poster F1-2117, titled In vitro Activity of REP3123 against Clostridium difficile and
Other Anaerobic Intestinal Bacteria. |
The objective of the study was to evaluate the activity of REP3123 and comparator agents against 50
strains of C. difficile and 233 other common Gram-positive and Gram-negative intestinal anaerobic
bacterial organisms. REP3123 demonstrated activity against C. difficile and limited activity
against other friendly intestinal strains and warrants further clinical evaluation for treatment
of CDAD.
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Poster F1-2118, titled REP3123: A Narrow Spectrum Antibacterial Agent that Inhibits
Growth and Prevents Sporulation in Clostridium difficile. |
In contrast to vancomycin and metronidazole at sub-minimum inhibitory concentrations, REP3123 was
effective in preventing vegetative cells of C. difficile from producing spores. Because C.
difficile infection is thought to be initiated via ingestion of spores, REP3123 may be a useful
agent in treating CDAD and reducing outbreaks and relapse rates. REP3123 is a novel agent with
antibacterial activity against C. difficile and further studies will be needed to evaluate its
ability to treat CDAD in a clinical setting.
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Poster F1-2119, titled REP3123 Inhibits Toxin Production in C. difficile. |
REP3123 inhibited growth and toxin production in C. difficile broth cultures. REP3123 was found to
be more potent against C. difficile broth cultures compared to vancomycin and metronidazole.
REP3123 inhibited de novo toxin production in high cell density, stationary phase cultures of C.
difficile. REP3123 has the potential to be a superior therapeutic agent compared to currently used
antibiotics against CDAD with the added benefit of quickly disarming the disease-causing bacteria.
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Poster F1-2120, titled Efficacy of Novel MetRS Inhibitors in a C. difficile Hamster
Model. |
In a hamster model, REP3123 exhibited superior efficacy to vancomycin for the treatment of CDAD.
Unlike vancomycin, the hamster survived for the duration of the study suggesting that REP3123 may
provide protection from relapse or re-infection. REP3123-treated animals had a healthy
gastrointestinal appearance at study termination. These data suggest that REP3123 is a promising
new agent for the treatment of CDAD and superior to current standard therapy based upon efficacy
results in this animal (hamster) model.
Faropenem Presentations
The Company will present the following Faropenem posters on Monday, September 17, 2007 at 12:00
PM, Hall D:
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Poster E-256, titled Comparison of the Bactericidal Activities of Faropenem, Ertapenem,
Amoxicillin, Cefixime, Cefuroxime and Moxifloxacin against Streptococcus pneumoniae. |
In this study, both experimental and mathematical models were used to evaluate differences between
time and concentration dependent killing properties of faropenem medoxomil and other agents against
two strains of S. pneumoniae. Faropenem medoxomil exhibited the most pronounced bactericidal
effects against S. penumoniae when compared with moxifloxacin, amoxicillin, cefuroxime, cefixime
and ertapenem, even at the minimum inhibitory concentration (MIC). In the mathematical model the
maximal kill rates (k-max, h-1) were 2.4 for faropenem medoxomil, 1.4 for ertapenem, amoxicillin,
cefuroxime and moxifloxacin, and 0.7 for cefixime. Much lower concentrations of faropenem
medoxomil were required for 3log kill within six hours when compared with the other agents. These
results suggest that faropenem medoxomil should be an effective agent for the treatment of
infections caused by S. pneumoniae.
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Poster E-257, titled Comparative Ability of Faropenem to Select for Resistant Mutants
of S. pneumoniae. |
The objective of the study was to evaluate the ability of faropenem medoxomil and other agents to
select for resistant strains of S. pneumoniae in the laboratory. Faropenem medoxomil had low MICs
for all strains of S. pneumoniae isolates tested, including strains resistant to penicillin and
macrolides. Faropenem medoxomil failed to select for resistant mutants of S. pneumoniae even after
50 daily subcultures in contrast to the macrolides and quinolones that selected for mutants with
higher MICs. Development of resistance following the launch of a new antibacterial agent is always
a concern. Some antibiotics seem to select for resistant bacteria more quickly than others. These
in vitro study results suggest that faropenem medoxomil is unlikely to select for resistant
isolates of S. pneumoniae in the clinical setting.
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Poster E-258, titled Comparative Ability of Faropenem to Select for Resistant Mutants
in H. influenzae. |
The aim of the study was to evaluate the ability of faropenem medoxomil and other agents to select
for resistant strains H. influenzae in the laboratory. Faropenem medoxomil, unlike the macrolides
and quinolones, did not select for resistant mutants in any of the six strains of H. influenzae
tested in this study even after 50 days. Development of resistance following the launch of a new
antibacterial agent is always a concern. Some antibiotics seem to select for resistant bacteria
more quickly than others. These in vitro study results suggest that faropenem has a low likelihood
of resistance selection when the drug is introduced into the clinical setting.
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Poster C2-200, titled Antimicrobial Resistance Patterns among Streptococcus pneumoniae
Isolated from Children in the U.S. 2005-2006 Faropenem Surveillance Study. |
The objective of the study was to determine the prevalence of resistant strains of S. penumoniae
collected from U.S. children during the 2005-2006 respiratory season and determine the activity of
faropenem medoxomil and other agents against recent clinical isolates. Penicillin-resistant and
multi-drug resistant strains of S. pneumoniae remain prevalent among U.S. isolates from children
aged 14 years or less during 2005-2006 despite widespread use of the pneumococcal vaccine. The
highest resistance rates were seen in S. pneumoniae isolated from the youngest children aged two
years or less. Faropenem medoxomil was the most active oral b-lactam based on in vitro
susceptibility test results suggesting that further studies are warranted to determine clinical
efficacy against pediatric respiratory tract infections. In light of the continued prevalence of
antibiotic-resistance among U.S. pediatric respiratory tract isolates of S. pneumoniae, these data
suggest that there is an unmet need for new and safe oral agents that are active against both
penicillin-resistant and multi-drug-resistant strains.
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Poster D-238, titled An Evaluation of Dried MIC Susceptibility Plate Compared to the
CLSI (M7) Reference Broth Microdilution Method with the New Antimicrobial Agent,
Faropenem. |
The aim of the study was to show that a Sensititre® 18-24 hour dried susceptibility plate
containing faropenem medoxomil was an accurate and reproducible method for testing bacterial
isolates when compared with the CLSI (M7) reference broth microdilution method. Dried MIC panels
provide a more convenient method for clinical laboratories to test faropenem medoxomil since they
have a longer shelf life, are easier to transport to sites participating in clinical trials and can
be used to test many different types of bacteria regardless of their growth medium requirements.
Also, if clinical isolates are tested with a dried panel in clinical trials it is a regulatory
requirement for a sponsor to demonstrate equivalency to the CLSI (M7) reference broth microdilution
method.
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Poster C2-214, titled Comparative Affinity of Faropenem to Penicillin Binding Proteins
(PBPs) of Pneumococci with Varying Beta-Lactam Susceptibilities. |
The objective of the study was to compare the affinities of faropenem medoxomil and other b-lactam
agents (penicillin G, amoxicillin, cefuroxime and imipenem) for the PBPs of clinical isolates of S.
pneumoniae with varying resistance profile (strains that were penicillin-susceptible,
penicillin-intermediate, penicillin-resistant, macrolide-resistant and fluoroquinolone-resistant).
Faropenem medoxomil exhibited the highest affinities for most of the PBPs (except PBP2X) from the
different resistant strains when compared with the other b-lactam antibiotics. b-Lactam antibiotics
with high affinity for selected PBPs are generally more rapidly bactericidal which generally means
they can kill the bacterial cell more quickly. The potent antibacterial activity of faropenem
medoxomil and
high-affinity for all PBPs (except PBP2X) suggests that faropenem medoxomil will retain important
killing properties (bactericidal activity) against strains of S. pneumoniae that are both
susceptible and resistant to currently marketed antibacterial agents.
The Company will present the following Faropenem posters on Monday, September 17, 2007 at 1:00
PM, Hall D:
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Poster L-480, titled A Double-Blind, Randomized, Dose Ranging Study to Evaluate the
Safety of Faropenem Medoxomil (FM) at 300 or 600 mg BID for Seven Days in Healthy
Volunteers. |
The primary objective of this trial was to evaluate the safety and tolerability of two doses of
faropenem medoxomil, 300 mg BID and 600 mg BID. A secondary objective was to evaluate oral
faropenem medoxomil pharmacokinetics. The results suggest that both faropenem medoxomil 300 mg and
faropenem medoxomil 600 mg are safe and well tolerated. Faropenem medoxomil is active against the
major pathogens responsible for community-acquired respiratory tract infections. These safety and
pharmacokinetics data in healthy volunteers suggest that faropenem at a dose of 600 mg BID would be
an appropriate candidate for further clinical development in adult patients.
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Poster L-481, titled A Phase II Double-Blind, Randomized Trial Comparing Faropenem
Medoxomil at 300 mg BID for Seven Days and 600 mg BID for Five Days in Subjects with Acute
Maxillary Sinusitis Diagnosed by Antral Tap. |
The focus of the tolerability assessment was on gastrointestinal adverse events of faropenem
medoxomil 300 mg BID and faropenem medoxomil 600 mg BID. Clinical efficacy was a secondary
endpoint. Gastrointestinal adverse events were similar in the two groups, 300 mg and 600 mg (14.9%
and 14.7%, respectively). No unexpected adverse events were identified with the higher faropenem
medoxomil dose. Clinical cure rates achieved with the faropenem medoxomil 600 mg dose were
comparable to those achieved with the faropenem medoxomil 300 mg dose; however, the study was not
powered for efficacy comparison. In this population of subjects with acute bacterial sinusitis
(ABS), the two dosing regimens had similar safety and tolerability profiles. Combined with the
Phase I comparison of the two dosing regimens (poster L-480), the higher 600 mg dosing regimen
appears similar to the 300 mg dosing regimen. The higher dose will be used in future faropenem
medoxomil Phase III clinical trials.
The Company will present the following Faropenem posters on Tuesday, September 18, 2007 at
11:15 AM, Hall D:
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Poster G-980, titled Monitoring Changes in Susceptibility of Middle Ear Fluid (MEF),
Nasopharyngeal (NP) and Oropharyngeal (OP) Pathogens to Faropenem in a Phase II Acute
Otitis Media (AOM) Study. |
The objective of the study was to monitor changes in the susceptibility of bacteria collected at
visit 1 by comparing them with susceptibility results obtained on isolates collected at visit 2 and
other subsequent visits to faropenem medoxomil. No differences in the susceptibility of middle ear
fluid, nasopharyngeal or oropharyngeal isolates to faropenem medoxomil was detected in organisms
persisting after days 4-6 in any subjects treated with any of the four doses. These data suggest
faropenem medoxomil therapy did not appear to lead to any resistance development pressure on
nasopharyngeal/oropharyngeal flora that may relocate to the middle ear causing recurrent Acute
Otitis Media (AOM) with resistant organisms.
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Poster G-983, titled Use of Parent-reported Outcome Measure in Acute Otitis Media
Clinical Trials. |
The objective of this study was to compare the rate of symptom resolution in children in two
studies (one with tympanocentesis and one without) to examine the association between the
AOM-Severity of Symptom scale and clinician assessment. A total of 328 subjects were included in
the randomized study and 70 in the observational study. In the first 12 hours, there was reduction
in the average score from 8.5 to 4.9 in the randomized trial and 6.4 to 4.8 in the observational
study. The large early reduction in clinical score in the randomized study coincided with
tympanocentesis. Differences in scores between clinical failures and clinical cures diagnosed by
physician assessment appeared later and were smaller in the randomized study than the observational
study. This study indicates that tympanocentesis has an immediate effect on AOM symptoms and alters
the natural history of AOM. The utility of a PRO as a primary outcome in a study with
tympanocentesis is limited.
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Poster G-987, titled Dose-effect of Faropenem Medoxomil (FM) in the Treatment of Acute
Otitis Media. |
A total of 328 subjects were randomized to four treatments (7.5 mg/kg, 15, 30, 40) of faropenem
medoxomil. The bacteriological response rates ranged from 55% in patients treated with 7.5 mg/kg
to 94% in patients treated with 40 mg/kg. Differences in bacteriological eradication were most
evident with H. influenzae infections. Eradication was 0 of 9 in subjects treated with 7.5 mg/kg,
and 16 of 19 (84%) in subjects treated with 40 mg/kg. This study demonstrates the bacteriological
and clinical effectiveness of faropenem medoxomil in the treatment of AOM. The study will provide
critical data for dose selection in Phase III.
The Company will present the following Faropenem poster on Wednesday, September 19, 2007 at
11:15 AM, Hall D:
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Poster A-1435, titled Pharmacokinetic-Pharmacodynamic (PK-PD) Assessment of Faropenem
(FAR) in a Lethal Murine-Bacillus anthracis (BA) Inhalation Post-Exposure Prophylaxis
Model. |
Faropenem medoxomil has shown activity against anthrax disease development in the mouse model. In
addition, a strong relationship was observed between dose and dose schedule and corresponding
plasma concentrations of faropenem medoxomil with efficacy. This study demonstrates that faropenem
medoxomil, currently being developed for community respiratory infections in adult and pediatric
subjects, may be useful for prevention of anthrax disease development in the event of a
bioterrorist attack. In addition, the relationship established between faropenem medoxomil plasma
concentrations and efficacy provides an estimate for dose selection.
REP8839 Presentation
The Company will present the following REP8839 poster on Thursday, September 20, 2007 at 10:00
AM, Room E253D:
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Poster F1-2116, titled In vitro Activity of REP8839 against Pasteurella species and
Other Fastidious Bacteria Isolated from Infected Animal Bites in Humans. |
The aim of the study was to further define the spectrum of activity of REP8839 against a collection
of 101 fastidious Gram-negative organisms and Streptococcus species plus 117 anaerobic isolated
from dog and cat bite wounds. REP8839 was active against some of the Gram-positive organisms such
as the anaerobic peptostreptococci. Among the Gram-negative bacteria, Bacteroides ureolyticus and
Fusobacterium species were quite susceptible. These results suggest that REP8839 may provide some
additional coverage against some but not all pathogens isolated from animal bites in humans.
In accordance with General Instruction B.2. of Form 8-K, the information presented under this Item
7.01 shall not be deemed filed for purposes of Section 18 of the Securities Exchange Act of 1934,
as amended, nor shall it be deemed incorporated by reference in any filing under the Securities Act
of 1933, as amended, except as expressly set forth by specific reference in such a filing.
Safe Harbor
The presentations discussed herein contain plans, intentions, objectives, estimates and
expectations that constitute forward-looking statements about Replidyne, Inc. that involve
significant risks and uncertainties. Actual results could differ materially from those discussed
due to a number of factors including, the success and timing of pre-clinical studies and clinical
trials; the Companys ability to obtain and maintain regulatory approval of product candidates and
the labeling under any approval that may be obtained; plans to develop and commercialize product
candidates; the loss of key scientific or management personnel; the size and growth of the
potential markets for the Companys product candidates and the Companys ability to serve those
markets; regulatory developments in the U.S. and foreign countries; the rate and degree of market
acceptance of any future products; the accuracy of Company estimates regarding expenses, future
revenues and capital requirements; the Companys ability to obtain and
maintain intellectual property protection for our product candidates; the successful development of
the Companys sales and marketing capabilities; the success of competing drugs that are or become
available; and the performance of third party manufacturers. These and additional risks and
uncertainties are described more fully in the Companys Form S-1 and most recent periodic report
filed with the SEC under the Securities Exchange Act of 1934. Copies of filings made with the SEC
are available through the SECs electronic data gather analysis and retrieval system (EDGAR) at
www.sec.gov. All forward-looking statements made in the presentations discussed herein are
made as of the date hereof and the Company assumes no obligation to update the forward-looking
statements in the document.
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly
caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
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REPLIDYNE, INC.
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Dated: September 17, 2007 |
By: |
/s/
Mark L. Smith |
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Mark L. Smith |
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Chief Financial Officer
Principal Accounting Officer |
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