S-1/A 1 ds1a.htm AMENDMENT NO. 3 TO REGISTRATION STATEMENT ON FORM S-1 Amendment No. 3 to Registration Statement on Form S-1
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As filed with the Securities and Exchange Commission on December 10, 2004

Registration No. 333-119174


UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


AMENDMENT NO. 3

TO

FORM S-1

REGISTRATION STATEMENT

UNDER

THE SECURITIES ACT OF 1933


Conor Medsystems, Inc.

(Exact Name of Registrant as Specified in Its Charter)


Delaware   3841   94-3350973

(State or Other Jurisdiction

of Incorporation or Organization)

 

(Primary Standard Industrial

Classification Code Number)

 

(I.R.S. Employer

Identification Number)

 

1003 Hamilton Court

Menlo Park, CA 94025

(650) 614-4100

(Address, Including Zip Code, and Telephone Number, Including Area Code, of Registrant’s Principal Executive Offices)


Frank Litvack, M.D.

Chairman and Chief Executive Officer

Conor Medsystems, Inc.

1003 Hamilton Court, Menlo Park, CA 94025, (650) 614-4100

(Name, Address, Including Zip Code, and Telephone Number, Including Area Code, of Agent For Service)


Copies to:

Suzanne Sawochka Hooper, Esq.

Cooley Godward LLP

Five Palo Alto Square

3000 El Camino Real

Palo Alto, CA 94306-2155

(650) 843-5000

 

Donald J. Murray, Esq.

Dewey Ballantine LLP

1301 Avenue of the Americas

New York, NY 10019-6092

(212) 259-8000


Approximate Date of Commencement of Proposed Sale to the Public:    As soon as practicable after the effective date of this Registration Statement.

If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act, check the following box.  ¨

 

If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering.  ¨

 

If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement number for the same offering.  ¨

 

If this Form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration number of the earlier effective registration statement for the same offering.  ¨

 

If delivery of the Prospectus is expected to be made pursuant to Rule 434, check the following box.  ¨


The Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until the Registrant shall file a further amendment that specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933, as amended, or until the Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.

 



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The information in this prospectus is not complete and may be changed. We may not sell these securities until the registration statement filed with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell these securities and it is not soliciting an offer to buy these securities in any state where the offer or sale is not permitted.

 

SUBJECT TO COMPLETION, DATED DECEMBER 10, 2004

 

PROSPECTUS

 

LOGO

 

5,000,000 Shares

Common Stock

$             per share

 


 

We are selling 5,000,000 shares of our common stock. We and the selling stockholder named in this prospectus have granted the underwriters an option to purchase up to 750,000 additional shares of common stock to cover over-allotments. We will not receive any proceeds from the sale of shares by the selling stockholder.

 

This is the initial public offering of our common stock. We currently expect the initial public offering price to be between $11.00 and $13.00 per share. We have applied to have our common stock approved for quotation on the Nasdaq National Market under the symbol “CONR.”

 


 

Investing in our common stock involves risks. See “ Risk Factors” beginning on page 8.

 

Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or determined if this prospectus is truthful or complete. Any representation to the contrary is a criminal offense.

 


 

     Per Share

   Total

Public Offering Price

   $                 $             

Underwriting Discounts

   $      $  

Proceeds to Conor Medsystems, Inc. (before expenses)

   $      $  

 

The underwriters expect to deliver the shares to purchasers on or about                     , 2004.

 

Citigroup

 


 

CIBC World Markets   SG Cowen & Co.

A.G. Edwards

 

                    , 2004

 


Table of Contents

LOGO


Table of Contents

TABLE OF CONTENTS

 

     Page

Summary

   1

Risk Factors

   8

Forward-Looking Statements

   29

Notice to Investors

   29

Use of Proceeds

   30

Dividend Policy

   30

Capitalization

   31

Dilution

   33

Selected Consolidated Financial Data

   36

Management’s Discussion and Analysis of Financial Condition and Results of Operations

   38

Business

   47

Management

   74

Certain Transactions

   93

Principal and Selling Stockholders

   96

Description of Capital Stock

   99

Certain United States Federal Tax Consequences to Non-United States Holders

   102

Shares Eligible for Future Sale

   104

Underwriting

   106

Legal Matters

   109

Experts

   109

Where You Can Find Additional Information

   109

Index to Consolidated Financial Statements

   F-1

 

Through and including                     , 2005 (25 days after the date of this prospectus), all dealers that buy, sell or trade our common stock, whether or not participating in this offering, may be required to deliver a prospectus. This is in addition to the dealers’ obligation to deliver a prospectus when acting as underwriters and with respect to their unsold allotments or subscriptions.


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SUMMARY

 

After you read the following summary, you should read and consider carefully the more detailed information and financial statements and related notes that we include in this prospectus. If you invest in our common stock, you are assuming a high degree of risk. See “Risk Factors.”

 

Corporate Overview

 

We develop innovative controlled vascular drug delivery technologies. We have initially focused on the development of drug eluting stents to treat coronary artery disease, a market that we believe will grow to over $6 billion by 2008. Stents are tubular mesh devices consisting of interconnected metal struts that are inserted inside an artery to act as scaffolding, propping open a narrowed blood vessel. Our stents have been specifically designed for vascular drug delivery, in contrast to currently available drug eluting stents, which are conventional bare metal stents coated with a drug and polymer. A polymer is a substance used to adhere a drug to the surface of a stent and to modulate its release. Our stents incorporate hundreds of small holes, each acting as a reservoir into which we can load a drug-polymer composition. Through our proprietary design, we can better control drug release kinetics, or the rate of drug release over time. Our clinical efforts are currently focused on the development and commercialization of our COSTAR stent, which is a cobalt chromium paclitaxel eluting stent, for the treatment of restenosis, or the re-narrowing of the inner channel of the artery following balloon angioplasty. Balloon angioplasty is a procedure in which an interventional cardiologist uses a catheter to maneuver a balloon to the site of a blocked artery, where the balloon is inflated to create a larger channel for blood flow. While we believe that our stent technology can support a wide range of drugs, our initial clinical efforts have focused on the use of paclitaxel, an anti-proliferative drug. To date, we have conducted clinical trials involving approximately 745 patients using our drug eluting stents, including more than 200 patients with our COSTAR stent. Currently, we have no products available for commercial sale, and, to date, we have not generated any revenue from the sale of products.

 

We believe that our drug eluting stents offer significant advantages over conventional surface-coated stents. Our stent design enables a wide range of drug release kinetics and also provides greater directional control over the release of the drug, which we believe allows for more targeted treatment within the artery and more efficient use of the therapeutic agent. A highly distinguishing characteristic of our stent is its use of “ductile hinges,” which are designed to ensure that the drug-polymer composition inlayed into the reservoirs is not extruded, fractured or otherwise disrupted during stent expansion. As a result, we are able to use a wider range of polymers and drugs, including water-soluble compounds, as compared to conventional surface-coated stents.

 

In May 2004, we announced the four-month follow-up data from our PISCES clinical trial, which was designed to evaluate the safety and performance of paclitaxel delivered at different release kinetics and doses using our stainless steel stent for the treatment of restenosis. The initial results from our PISCES trial indicate, for what we believe to be the first time, that drug release kinetics have an effect on treatment outcomes. The two formulations that demonstrated the most favorable clinical outcomes are the focus of our subsequent EuroSTAR and COSTAR I trials, which are designed to evaluate our COSTAR stent for the treatment of restenosis. In September 2004, we announced four-month follow-up data for one of the four formulation groups from the COSTAR I trial. In the first quarter of 2005, we expect to submit an application to a designated Notified Body in the European Community, which is one of the steps we must undertake prior to marketing our COSTAR stent in the European Community. We expect to submit an investigational device exemption application to the FDA in 2005 for our planned U.S. pivotal clinical trial, COSTAR II, evaluating our COSTAR stent compared to a conventional drug eluting stent. We have not yet received any government regulatory approvals necessary to commercialize our COSTAR stent. If our clinical trials proceed on schedule and the outcomes of these clinical trials are favorable, we anticipate receiving regulatory approval for our COSTAR stent in the European

 

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Community in late 2005 and in the United States in 2007. We could be delayed by adverse clinical results or regulatory complications, and we may never receive marketing approval.

 

We have entered into agreements with Biotronik AG, Interventional Technologies, Pvt., Ltd., or IVT, and affiliates of St. Jude Medical, Inc. to distribute our COSTAR stent outside of the United States. We intend to launch our COSTAR stent in India in the first half of 2005 pursuant to our distribution agreement with IVT. No regulatory approval is currently required to market our COSTAR stent in India. We expect to pursue commercialization in the United States with our own sales force.

 

Industry Background

 

Treatments for Coronary Artery Disease

 

Coronary artery disease is a progressive, pathological condition that leads to the obstruction of the blood vessels providing blood flow to the heart muscle. Treatments for patients with life-threatening coronary artery disease have advanced dramatically over the last 20 years, from highly invasive, open-chest bypass surgery to minimally invasive balloon angioplasty procedures. We estimate that more than 500,000 balloon angioplasty procedures are performed each year in the United States, with more than one million balloon angioplasties performed each year worldwide. While less invasive and expensive than open-chest bypass surgery, the ultimate clinical effectiveness of balloon angioplasty has been hampered by restenosis.

 

Evolution of Stents to Address Restenosis

 

Bare metal stents became widely used in the mid-1990s in combination with balloon angioplasty and quickly became used in the majority of angioplasty procedures. The use of bare metal stents partially addresses restenosis. However, we estimate that restenosis still occurs in approximately 10% to 35% of bare metal stent implantation procedures within six months of treatment, which typically necessitates repeat angioplasty, restenting or bypass surgery. To address this problem, drug eluting stents were developed. We believe that drug eluting stents represent the most advanced and sophisticated treatment currently available to address restenosis. According to published studies, currently marketed drug eluting stents have been shown in clinical trials to reduce the rate of restenosis to less than 10%.

 

We estimate that the bare metal stent industry accounted for approximately $2.3 billion in product sales in 2001, prior to the introduction of drug eluting stents. We estimate that bare metal stents were used in the majority of the more than one million angioplasty procedures performed worldwide in 2002. The first two marketed drug eluting stents, Johnson & Johnson’s CYPHER stent and Boston Scientific Corporation’s TAXUS Express2 stent, only recently gained regulatory approval. Market adoption of drug eluting stents has been rapid, and we believe that drug eluting stents will capture approximately 90% of the stent market within three years. We believe that the drug eluting stent industry will grow to over $6 billion by 2008. In addition to premium pricing of drug eluting stents, we expect that market growth in the drug eluting stent industry will also be driven by growth in the number of angioplasty procedures.

 

Our Solution

 

We believe that our stents possess the following key advantages compared to conventional surface-coated drug eluting stents:

 

    Enhanced control of drug delivery.

 

   

Controllable release kinetics.    While conventional surface-coated drug eluting stents provide limited control over the rate of drug release and generally release their drug at a rapid rate for a short

 

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period, after which the rate of drug release slows, the drug inlay design of our stents allows for greater control of release kinetics. As the efficacy of drugs may depend on how they are released in the body, our stents are designed to allow release kinetics to be better matched to the requirements of a drug.

 

    Directional drug control.    Our stent can be designed to release drug into the arterial wall, into only the bloodstream or in both directions.

 

    Control over manufacturing consistency.    We believe that we can effectively control the drug loading process, allowing us to reach a level of uniformity across the stent that we believe compares favorably to that of conventional surface-coated stents.

 

    Enhanced flexibility in drug therapies.

 

    Capability to deliver a wider range of drugs.    We believe that our stents are capable of delivering a broader range of compounds than conventional surface-coated stents.

 

    Controlled delivery of multiple drugs.    Our stent design permits controlled delivery and independent release of multiple drugs from a single stent.

 

    Expanded drug capacity.    Our reservoirs provide the potential for greater dose capacity than thin surface coatings, allowing our stents to deliver more drug for an extended period of time, if required.

 

    Enhanced polymer capabilities.

 

    Low exposure of polymer to the body.    We provide lower surface area contact of the polymer to the artery wall than a conventional surface-coated stent.

 

    Bioresorbable polymers.    The polymers that are available for use in our stents include polymers that are absorbed by the body after the drug is released, leaving no permanent residual polymers at the target site.

 

    Wider range of available polymers.    Because our stent platform provides a non-deforming drug reservoir that is not affected by the expansion of the stent, a wider range of polymers can be used in our stents compared to the number of polymers available for conventional surface-coated stents, which need to be elastic and adhesive to accommodate stent expansion.

 

    Superior manufacturability.    We believe that our proprietary manufacturing technologies, coupled with our stent design, allow us to benefit from relatively high throughput, high uniformity and high manufacturing yield. We believe that our manufacturing process permits efficient scale-up for commercial manufacturing.

 

Our Strategy

 

Our goal is to become a leading innovator in the emerging field of vascular drug delivery through medical devices. Key elements of our strategy include:

 

    Continue to demonstrate that drug release kinetics affect treatment outcomes.

 

    Commercialize COSTAR for the treatment of restenosis.

 

    Develop and commercialize new drug eluting stents for the treatment of restenosis.

 

    Leverage our technology platform for other indications.

 

    Explore strategic partnerships.

 

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Risk Factors

 

We are subject to numerous business risks, including those described below and other risks described under “Risk Factors.”

 

Risks Related to Financial Condition

 

As of September 30, 2004, we had a deficit accumulated during the development stage of $34.4 million. We have incurred net losses in each year since our inception in 1999, including net losses of $11.0 million for the year ended December 31, 2003 and $15.8 million for the nine months ended September 30, 2004. We expect to continue to incur significant and increasing operating losses for the next several years. We anticipate that in the near term our ability to generate revenues will depend solely on the successful development, regulatory approval and commercialization of our COSTAR stent.

 

Risks Related to Intellectual Property

 

There are numerous U.S. and foreign issued patents and pending patent applications owned by third parties with patent claims in areas that are the focus of our product development efforts. We are aware of patents owned by third parties, to which we do not have licenses, that relate to, among other things:

 

    use of paclitaxel (in general or on a stent) to treat restenosis;

 

    stent structure;

 

    catheters used to deliver stents; and

 

    stent manufacturing processes.

 

For example, Boston Scientific Corporation owns a series of patents that cover the use of paclitaxel to treat restenosis generally and also to treat restenosis via a stent. In addition, Angiotech Pharmaceuticals, Inc. is the owner or licensee of, and has licensed to Boston Scientific and Cook Incorporated, a number of patents that also cover the use of paclitaxel coated stents to treat angiogenesis and restenosis. Boston Scientific, Guidant Corporation and other third parties also own other patents that may have a material adverse affect on us. We believe that it is highly likely that one or more third parties will assert a patent infringement claim against the manufacture, use or sale of our COSTAR stent based on one or more of these patents. Investors should assume that a lawsuit alleging that we have infringed or are infringing one or more patents controlled by a third party has been filed by a third party at or prior to the time of this offering. In the event a court determines that we infringe any valid claim in a patent held by a third party, we may, among other things:

 

    be enjoined from, or required to cease, the development, manufacture, use and sale of products that infringe the patent rights of others, including our COSTAR stent;

 

    expend significant resources to redesign our technology so that it does not infringe others’ patent rights, which may not be possible; and/or

 

    obtain licenses to the infringed intellectual property.

 

We believe that it is unlikely that we would be able to obtain a license to any necessary patent rights controlled by companies, like Boston Scientific, against which we would compete directly.

 

Corporate Information

 

We were incorporated in 1999 in Delaware. Our principal executive offices are located at 1003 Hamilton Court, Menlo Park, California 94025, and our telephone number is (650) 614-4100. Our website address is http://www.conormed.com. The information contained in, or that can be accessed through, our website is not part of this prospectus. Unless the context indicates otherwise, as used in this prospectus, the terms “Conor Medsystems,” “we,” “us” and “our” refer to Conor Medsystems, Inc., a Delaware corporation, and its subsidiaries. We use Conor Medsystems, Conor, COSTAR and the Conor Medsystems logo as trademarks in the United States and other countries. All other trademarks and tradenames mentioned in this prospectus are the property of their respective owners.

 

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The Offering

 

Common stock offered

5,000,000 Shares

 

Common stock to be outstanding after this offering

30,688,068 Shares

 

Use of proceeds

To continue the development of our products, including clinical trials and research programs, to build sales and marketing capabilities, and for working capital and other general corporate purposes. We will not receive any proceeds from the sale of shares by the selling stockholder. See “Use of Proceeds.”

 

Proposed Nasdaq National Market symbol

CONR

 

The number of shares of common stock to be outstanding immediately after this offering as shown above is based on 25,688,068 shares of common stock outstanding as of September 30, 2004. This number excludes:

 

    4,781,710 shares of common stock issuable upon the exercise of options outstanding as of September 30, 2004, having a weighted average exercise price of $0.73 per share;

 

    590,509 shares of common stock issuable upon the exercise of warrants outstanding as of September 30, 2004, having a weighted average exercise price of $5.47 per share, of which warrants for 89,466 shares of common stock will terminate if not exercised prior to the closing of this offering;

 

    416,666 shares of common stock issuable upon the automatic conversion of a $5.0 million convertible promissory note that we issued in November 2004, assuming an initial public offering price of $12.00 per share;

 

    74,005 shares of common stock reserved for future grants under our 1999 Stock Plan as of September 30, 2004, and an increase in November 2004 of 420,000 shares of common stock reserved for issuance under our 1999 Stock Plan; and

 

    an aggregate of 2,782,500 additional shares of common stock reserved for future issuance under our 2004 Equity Incentive Plan, which is an amendment and restatement of our 1999 Stock Plan, our 2004 Non-Employee Directors’ Stock Option Plan and our 2004 Employee Stock Purchase Plan, each of which was adopted by our Board of Directors in November 2004 and will become effective immediately upon the signing of the underwriting agreement for this offering. This number does not include additional shares that will be reserved in connection with automatic annual increases to the number of shares issuable under the terms of such plans, as described under “Management—Benefit Plans.”

 

Except as otherwise indicated, all information in this prospectus assumes:

 

    the conversion of all our outstanding shares of preferred stock into 21,444,684 shares of common stock upon the closing of this offering;

 

    the filing of our amended and restated certificate of incorporation upon the closing of this offering;

 

    no exercise of the underwriters’ over-allotment option; and

 

    a 0.42-for-1 reverse split of our common stock and preferred stock effected on November 23, 2004.

 

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Summary Consolidated Financial Data

 

The following table summarizes our consolidated financial data. The consolidated statements of operations data for the years ended December 31, 2001, 2002 and 2003 are derived from our consolidated audited financial statements included elsewhere in this prospectus. The consolidated statements of operations data for the period from October 25, 1999 (inception) to December 31, 2000 have been derived from our consolidated audited financial statements not included in this prospectus. The consolidated statements of operations data for the nine months ended September 30, 2003 and 2004 and the period from October 25, 1999 (inception) through September 30, 2004 and the balance sheet data as of September 30, 2004 are derived from our consolidated unaudited financial statements which are included elsewhere in this prospectus. You should read this data together with our consolidated financial statements and related notes included elsewhere in this prospectus and the information under “Selected Consolidated Financial Data” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”

 

   

October 25,
1999
(Inception)
Through
December 31,

2000


                           

Period from
October 25,
1999
(Inception)
Through
September 30,

2004


 
      Years Ended December 31,

    Nine Months Ended
September 30,


   
      2001

    2002

    2003

    2003

    2004

   
                            (Unaudited)     (Unaudited)     (Unaudited)  
    (In thousands, except share and per share data)  

Consolidated Statements of Operations Data:

 

                                       

Contract revenue

  $ —       $ —       $ 67     $ —       $ —       $ —       $ 67  

Operating expenses:

                                                       

Research and development (1)

    424       1,432       3,623       9,193       5,582       11,877       26,549  

General and administrative (1)

    211       548       1,415       1,848       1,322       4,101       8,123  
   


 


 


 


 


 


 


Total operating expenses

    635       1,980       5,038       11,041       6,904       15,978       34,672  
   


 


 


 


 


 


 


Loss from operations

    (635 )     (1,980 )     (4,971 )     (11,041 )     (6,904 )     (15,978 )     (34,605 )

Interest income

    8       4       66       72       29       215       365  

Interest expense

    —         —         (165 )     —         —         —         (165 )
   


 


 


 


 


 


 


Net loss

    (627 )     (1,976 )     (5,070 )     (10,969 )     (6,875 )     (15,763 )     (34,405 )

Accretion to redemption value of redeemable convertible preferred stock

    —         —         (434 )     (1,480 )     (778 )     (2,434 )     (4,348 )

Deemed dividend upon issuance of Series E redeemable convertible preferred stock

    —         —         —         —         —         (23,435 )     (23,435 )
   


 


 


 


 


 


 


Net loss attributable to common stockholders

  $ (627 )   $ (1,976 )   $ (5,504 )   $ (12,449 )   $ (7,653 )   $ (41,632 )   $ (62,188 )
   


 


 


 


 


 


 


Basic and diluted net loss per share attributable to common stockholders

  $ (0.32 )   $ (0.95 )   $ (1.78 )   $ (3.72 )   $ (2.31 )   $ (11.29 )        
   


 


 


 


 


 


       

Shares used to compute basic and diluted net loss per share attributable to common stockholders

    1,930,182       2,081,572       3,093,558       3,344,557       3,311,899       3,686,506          
   


 


 


 


 


 


       

Pro forma basic and diluted net loss per share attributable to common stockholders (unaudited) (2)

                          $ (1.15 )           $