TWST: Would you provide an overview of OraPharma, Incorporated.?Mr. Kishbauch: OraPharma is a company whose goal is to become a leader
in the research, development and marketing of products for oral health
care, specifically pharmaceutically-oriented products. We are a company
that focuses not only on dental/hard tissue pathologies, but on soft
tissue pathologies such as oral mucositis as well. The company was
formed in the middle of 1996, a little over three and a half years ago,
as a spinoff from what was then American Cyanamid/Lederle and ultimately
became American Home Products. American Home Products had developed a
polymer-based form of drug delivery technology and a lead product for
the treatment of periodontal disease, which had gone all the way through
Phase II trials with very promising results. American Home Products
chose to spin off that technology and license the technology together
with the lead periodontal product based on that technology to an entity
called OraPharma, as opposed to simply outlicensing to some other larger
company. And so OraPharma was born in August of 1996, which was when the
company was officially incorporated. Again, our AHP license gave us
exclusive worldwide rights to this polymer drug delivery technology for
use in the oral cavity, as well as a lead product focused on periodontal
disease.TWST: And briefly, what is periodontal disease exactly, and what's oral
mucositis?Mr. Kishbauch: Periodontal disease, the target of the company's lead
product, is a disease that is actually bacterially mediated. It's a
condition that is the single most prevalent chronic infectious disease
on the face of the earth today, and it's caused by these structures we
call bacterial plaque, which lay people tend to think of as rather dead,
inert structures, but they are really, highly concentrated living
bacterial colonies which, as they form in the spaces between the teeth
and the gums, touch off an inflammatory tissue host response, which
tends to break down tissue. And as that inflammation and breakdown
process proceeds, it forms what we call a periodontal pocket in the
space between the teeth and the gums, and as this pocket grows deeper,
sooner or later it compromises some of the supporting structures of the
teeth and ultimately becomes the leading cause of tooth loss in the
adult population. Oral mucositis is a condition, which, in terms of our
interests, is secondary to cancer chemo or radiation therapy. This is
one of the most serious side effects of cancer therapy. It is a
condition which results in very dramatic inflammation and frank tissue
breakdown on the inside of the mouth, and can become so compromising at
times as to not only limit the patient's nutritional intake, and
therefore viability, but maybe more important than that, ultimately can
limit the practitioner's willingness to administer additional
chemotherapeutic agents, which obviously are needed to combat the
cancer. It's a very serious side effect of cancer therapy.TWST: Are both of these diseases on the rise, or are they decreasing?Mr. Kishbauch: I think you will find that both of those conditions are
on the rise. First of all, among the most important risk factors for
periodontitis are smoking and aging. And with an aging population, this
is a market that is probably destined to continue growing for a period
of time. Mucositis, with more and more aggressive cancer treatments, is
a condition that is likely to increase in prevalence, as practitioners
become more aggressive about the basic treatment of the disease.TWST: What do you consider to be the greatest opportunity for OraPharma
over the next few years?Mr. Kishbauch: Well, the most important opportunity for us is the
successful commercialization of this lead product of ours, which we call
MPTS, which stands for Minocycline Periodontal Therapeutic System (a
brand name is right around the corner). This is a product which we
believe is a best-of-breed product in the category. And given the number
of patients that this product potentially accesses ' for perspective,
there are 53 million Americans that are afflicted with periodontal
disease at the moderate to severe level, and already something like 8 to
10 million, or 20% of that figure are under active treatment for their
disease, largely mechanical treatment by practitioners. If we can access
a relatively modest portion of that already-treated patient population,
then we have a product with very significant volume potential. We think
this represents the greatest opportunity for the company over the next
few years. Furthermore, trend-wise, the segment in which we operate with
our lead product is one that is moving rather dramatically from a
history of mechanical intervention to one that includes medical therapy.
Dentists have typically used instruments and procedures to combat
diseases. And it's only relatively recently that they've moved from
becoming mechanically oriented to more pharmaceutically oriented. And
that's a trend that has been in place for the past few years, and we
believe is accelerating right now, and represents a significant
opportunity for a company like ours.TWST: How will your R&D expenditures change in emphasis over the next
few years?Mr. Kishbauch: Well, our R&D expenditures for the near term will
probably drop in comparison to what we have spent to complete a rather
significant Phase III clinical trial protocol on MPTS. That is a trial
that has not only been concluded; it has been unblinded with outstanding
results; and has resulted in both the submission of an NDA, and the
acceptance for review by the FDA of that NDA. And that's a process
that's now winding down in terms of expenditures. Over the next couple
of years, however, those expenditures will be replaced by expenditures
for new R&D projects ' the two lead projects being the one for oral
mucositis, as well as a project in the area of bone and tissue
regeneration in the oral cavity. We also have a product for dental
trauma, and a second generation periodontal product in development. So
over the years 2001 and 2002, expenditures for that R&D program will
approximate $9 and $18 million for those two years, respectively.TWST: What would dental trauma be?Mr. Kishbauch: Well, we have a project, in fact, in conjunction with the
University of North Carolina at Chapel Hill, which is led by a leading
endodontist, Dr. Martin Trope, which aims to forestall tooth loss due to
full or partial trauma of a tooth. It turns out that there has been a
significant amount of research done that shows the ability of antibiotic
related preparations, when they are properly delivered and kept in place
for a period of time, to take a tooth that has been partially or fully
avulsed, i.e. knocked out, and be able to save that tooth. And that is
an all too common issue, particularly with younger patients. There is an
aging population. People are taking better care of their teeth these
days. They're holding onto their teeth for a longer period of time, but
that confers upon them an obligation to take more aggressive care of
those teeth over a longer period of time, and that's where the treatment
for periodontal disease plays such a key role into the future.TWST: Do you consider any competition in your sector of the market? Is
there any competition?Mr. Kishbauch: Well, absolutely. In fact, within the past 18 months,
there have been three new periodontal pharmaceuticals that have launched
into the market. One is a product that was developed by Atrix Labs in
Colorado. It's a product called Atridox, which is a gel-based polymer
for releasing the antibiotic doxycycline into periodontal pockets. And
that's a product that's marketed in this country by Block Drug. There's
a second product which was developed by Perio Products Ltd. of Israel,
and is marketed in this country by Astra, which is called PerioChip.
This is a collagen-based chip which is impregnated with a solution of
chlorhexadine, an antimicrobial, and is likewise inserted into the
periodontal pocket. And finally, there's a systemic treatment, a pill
treatment for periodontal disease called Periostat, which was developed
and is marketed in this country by CollaGenex. It's a low-dose
doxycycline product. These products are all competitors of OraPharma's,
but I think we would argue that the PerioChip and the Atridox product,
being locally delivered ' that is, delivered right into the periodontal
product ' are more direct competitors of the MPTS product. The
CollaGenex Periostat product is focused more on maintenance therapy, and
many practitioners believe that the ideal combination of therapy is
scaling and root planing, which is the mechanical treatment of removing
this plaque that accumulates, in conjunction with a locally delivered
product, such as ours, and then longer-term maintenance treatment with a
systemic product like Periostat.TWST: You certainly sound like you have a passion for this. Do you have
a lot of background in dentistry?Mr. Kishbauch: No, in fact, I've grown up in the pharmaceutical industry
with pharmaceutical giants, like what was then Ciba-Geigy, and is now
Novartis. And then after that, I spent two and a half years as President
and COO of a company which has now become very successful in the biotech
space, MedImmune. But dentistry is in fact, as a pharmaceutical
discipline, relatively new to a lot of people in the field. And in fact,
I would say that this is where the passion lies, because this is a
branch of medicine that is changing as rapidly today as any branch of
medicine on the landscape. Dentists are truly changing their habits,
their behaviors. Patients are reorienting themselves towards dental
treatment, and some of the systemic links between dentally and
periodontally related conditions and more serious conditions like
cardiovascular disease and diabetes. And frankly, that's a situation
that has energized a lot of very high quality people to throw in with
OraPharma, because we have an opportunity to be part of, and play a key
role in steering this rather rapidly changing branch of medicine, and
helping dentists, periodontists, and other oral care specialists move
from being mechanically oriented, as previously, to being far more
medically and pharmaceutically oriented in the future. So it's a nifty
opportunity for us. It fills a real need for a profession that's
changing rapidly. And in fact, historically, one of the greatest
challenges in oral care medicine has been to find a way of delivering
drugs into what is effectively a pretty hostile environment for drugs '
the oral cavity. That has required better drug delivery technology,
which is in fact one of our core competencies. What we have licensed
from American Home Products is a polymer-based drug delivery system that
not only anchors drugs in periodontal spaces and related cavities, but
will sustain their delivery over a period of anywhere from 14 to 30
days. And that is, in fact, how our MPTS product works. It is a product
which is injected, as a dry hygroscopic powder, directly into
periodontal pockets, where it anchors and then delivers the antibiotic
minocycline, which has an unsurpassed profile for periodontal disease,
over a period of at least 14 to 21 days, and possibly longer.TWST: What do you see as the specific goals for OraPharma in terms of
market position and growth over the next few years?Mr. Kishbauch: Well first, over the next few years, we intend to achieve
market leadership in the periodontal category among the group of
products which we discussed earlier. We think that is a very achievable
goal for us because we have a product that we believe is a superior
product in terms of its ease of use, its efficacy and strength of
clinical trial data, and its duration of action over time. Another goal
that we have is to deliver at least two new R&D projects into human
clinicals within the next 12 to 18 months. And in fact, two of those
projects, notably the mucositis and regeneration projects, are both
moving significantly ahead of schedule, and we believe we will reach
that goal. And finally, in terms of ramp-up and profitability, the
analysts who most closely follow OraPharma today expect that in 2002
this company will be achieving revenue in the range of about $60 million
annually, and will achieve profitability by the end of that year.TWST: Do you market your pharmaceuticals nationwide, worldwide?Mr. Kishbauch: That's an excellent question that speaks directly to the
company's business strategy. Remember, I opened the conversation saying
that our goal as an organization is to be a leader in research
development and marketing the pharmaceutical products for oral care
medicine. Now when I say 'and marketing I'm describing ourselves as a
fully integrated company. We do plan to participate in the
commercialization of our products, especially in the US. And in fact,
we've begun the process of building sales and marketing infrastructure
to allow us to do that. We will take the primary responsibility for
commercializing the MPTS product in the US by building a field force of
50 to 75 professionals. And that's a process that has already begun, and
in fact, we will be ready to go with that field force no later than
April 1 of next year. Now, outside the US there is a global market for
oral care medicine, obviously. And in fact, most of the data we review
tells us that the incidence of periodontal disease outside the US is
probably even higher than the incidence inside the US due to a
relatively lower standard of dental care. However, we believe that it's
in the best interests of the company, and its investors and
stakeholders, for us to be somewhat more careful about building
infrastructure outside the US on a market-to-market basis. So it is
likely that we will enlist at least one, or perhaps a few, key
partnerships with major dental concerns on a market-by-market basis
outside the US, and be somewhat more careful about building
infrastructure throughout Europe, Asia, and South America.TWST: What do you think about your stock price?Mr. Kishbauch: Well, obviously, we think the world of our company and
our prospects. We characterize ourselves as a bit of a throwback
company, that we're more fundamentals based. That is, we're a company
with a late stage-product and we believe that significant revenues and
profitability, i.e., earnings per share, are within the relatively near-
term grasp of this company. We worked hard to be ready for the IPO
market when it opened up, and as a consequence, concluded a very
successful offering on March 9th of this year. That offering has now
given us the resources we need to make major progress against our goals.
As you know, the market has lately been a little bit rocky, and
investors a little cautious, particularly with early-stage companies. We
think that over time, as the company continues to hit its milestones
(and we've been very, very good about hitting milestones), by about the
time we reach the approval and potential launch of the MPTS product,
which we hope will be sometime next year, we will have built significant
shareholder value.TWST: What would be two or three reasons you would give potential long-
term investors for investing in OraPharma?Mr. Kishbauch: Well, whenever we present to interested constituencies,
we try to leave them, if I can go one better than two or three, with
four core messages of why we believe that we're a company that people
ought to be interested in. Number one, we're a late-stage product
company. We have a lead product which we believe is a best-of-breed
product that addresses a potentially enormous market that is right
around the corner. That is number one. Number two, the core polymer drug
delivery technology on which that product is based, and on which future
products are likely to be based as well, is a technology that directly
addresses some of the historical challenges of delivering drugs directly
into the oral cavity, and at the same time supports some very
significant ease-of-use advantages on this lead product of ours. Number
three, we have an advancing pipeline with at least two projects that are
advancing ahead of schedule and which we expect to be in humans within
the next 12 to 18 months. And number four, we have a very senior and
experienced management team assembled on behalf of the company; in
particular, with a very strong track record in the areas of both
pharmaceutical product launches to include some very notable
pharmaceuticals, and pharmaceutical drug development and clinical
research. So those are the four reasons that we think make us a very
fundamentally based company, and a very attractive target for investors.TWST: Thank you.
MICHAEL D. KISHBAUCH
CEO and President
OraPharma, Inc.
732 Louis Drive
Warminster, PA 18974
(215) 956-2200
(215) 443-9531 - FAXEach Chief Executive Officer who is the featured subject of a TWST Chief
Executive Officer Interview is offered the opportunity to include an
Investors Brief or other financial highlight material to be provided and
sponsored by and for the company.Copyright 2000 The Wall Street Transcript Corporation
All Rights Reserved
Biotechnology >> CEO Interview >> June 15, 2000
Michael Kishbauch
MICHAEL D. KISHBAUCH, OraPharma's President and Chief Executive Officer,
has over 18 years of industry experience. Mr. Kishbauch has had an
impressive record of launching and commercializing products, most
notably during his 11-year career with Ciba-Geigy. As Vice President
and Ciba's Senior Internal Marketing Executive, he oversaw the launches
of Voltaren' and Habitrol', at the time, the two most successful product
launches in industry history as measured by first-year sales of $280
million and $300+ million, respectively... More










