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NEW FEATURE BUSINESS OF RETINA RETINA ON WALL STREET Alimera Sciences Inc. as having a possible role in dry eye, and the activation of NADPH oxidase in certain pollen grains upon hydration implicates its role in allergic conjunctivitis.” Founded: 2003 Based: Alpharetta, Georgia Number of Employees: 27 On the Web: www.alimerasciences.com Officers: C. Daniel Myers, Co-Founder, Chief Executive Officer, and President; David R. Holland, Co-Founder and Senior Vice President of Sales & Marketing; Richard S. Eiswirth Jr., Chief Operating Officer, Chief Financial Officer; Susan H. Caballa, Senior Vice President of Regulatory and Medical Affairs; Kenneth Green, PhD, Chief Scientific Officer. Profile: Alimera Sciences, Inc., is a publicly traded (NASDAQ:ALIM) biopharmaceutical company that focuses on the research, development, and commercialization of ophthalmic pharmaceuticals for diseases affecting the retina. The company’s product candidates include Iluvien, an intravitreal insert under investigation to provide a sustained therapeutic effect for up to 36 months in the treatment of diabetic macular edema (DME), as well as wet and dry age-related macular degeneration (AMD), and retinal vein occlusion. It also conducts testing on two classes of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase inhibitors. NADPH oxidase inhibitors have the potential to prevent reactive oxygen species from becoming excessive, thus managing the development and progression of diseases of the eye such as geographic atrophy. “In the eye, the inhibition of NADPH oxidase has been shown to prevent or slow pathology in various models of ocular disease, including retinal degeneration, retinal neovascularization, choroidal neovascularization and uveitis,” according to Alimera. “In addition, the presence of NADPH oxidase in corneal epithelial cells implicates it 26 I RETINA TODAY I JANUARY/FEBRUARY 2011 Background: Alimera Sciences was founded in June 2003 as a biopharmaceutical company specializing in the research, development, and commercialization of prescription ophthalmic pharmaceuticals. The four founders—Dan Myers, Daniel White, Dave Holland, and Mark Testerman—had worked together and spent the majority of their careers in ophthalmology at a large pharmaceutical company but felt the big corporate world in general was heading in a direction that they did not want to pursue, Mr. Holland said. “Given our knowledge base and relationships in ophthalmology, we set out to start Alimera. We had enjoyed our experience in the retinal community with the launch of Visudyne (verteporfin, Novartis) and wanted to get back to retina,” Mr. Holland told Retina Today. “Our name Alimera derives loosely from ancient Greek with the intended meaning of 'day of truth'. We wanted a name with meaning and one that would hold us accountable for our actions as we started this venture.” In 2004, Alimera introduced Soothe Emollient (Lubricant) Eye Drops for dry eyes. Soothe was the first multidose lubricant eye drop to feature Restoryl, a unique lipid restorative that works to reestablish the lipid layer of tears, promoting sustained moisture retention. Soothe was later sold to Bausch + Lomb. Upon gaining support from top-notch venture capitalists, Alimera received funding to get back to the world of retina. “In 2005, we met CDS (Control Delivery Systems, now known as pSivida Inc.) and licensed a next-generation intravitreal insert from them. Six years later we have completed 3 years of clinical trials, submitted our application to the US Food and Drug Administration (FDA) and Medicines and Healthcare products Regulatory Agency (MHRA ) and prepared the company for the launch of Iluvien,” Mr. Holland said. In 2006, Alimera developed and submitted for FDA approval an application for 0.025% ketotifen fumarate (Alaway) for the temporary relief of ocular itch. Alaway was approved by the FDA in December of 2006 and was then sold along with a potential future line extension to Bausch + RetinaToday.com Lomb, which began marketing Alaway in the spring of 2007. In the Pipeline: Alimera’s main product candidate is Iluvien, licensed from pSivida Corp. (Watertown, MA), a 20% profits interest holder. Iluvien is an intravitreal insert for the sustained delivery of fluocinolone acetonide to the posterior segment. The insert, which is injected with a 25-gauge needle through the pars plana, contains approximately 190 µg of fluocinolone acetonide. The insert delivers a dose of approximately 0.2 µg per day, with a delivery lifespan of more than 2 years. Alimera filed a New Drug Application (NDA) for Iluvien for the treatment of diabetic macular edema with the FDA on June 29, 2010, including safety and efficacy data through month 24 of the FAME Study. The FAME study consists of two 36-month phase 3 trials involving 956 participants at 101 sites. On August 30, 2010, Iluvien was granted priority review by the FDA. However, on December 23, 2010, the FDA sent Alimera a Compete Response Letter, stating the drug “cannot be approved in its present form.” According to an Alimera news release, the FDA is seeking analyses of safety and efficacy data through month 36 of the Iluvien FAME study. Additionally, the FDA asked for further information relative to its manufacturing facilities. In response, Alimera requested a meeting with the agency to clarify the path to regulatory approval and is compiling reports on its month-36 data, and its manufacturing, packaging and sterilization process to provide to the FDA in the first quarter of 2011. Alimera has also submitted applications for Iluvien in the United Kingdom, Austria, France, Germany, Italy, Portugal and Spain. “We are pursuing trials with Iluvien in several retinal diseases and we are excited about the potential of our NADPH oxidase inhibitor compounds. Our future is dedicated to moving the back of the eye to the forefront of research and development,” Mr. Holland said. ■ Stock Price as of January 24: $8.973 • 52-Week High: $12.70 • 52-Week Low: $6.30 • 1-Year Return: N/A* • Market Cap: 280.638 • Dividend Yield: N/A Earnings • Earnings per share for last quarter: -0.22% • Analysts’ earnings per share estimate for upcoming quarter: -0.14% • Revenue/sales for last quarter: N/A • Analysts’ revenue/sales estimate for upcoming quarter: N/A • P/E (price to earnings) ratio: N/A *company began trading April 22, 2010 RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com RetinaToday.com