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Biotech / Medical : Biotech Lock Up Expiration Hell Portfolio: Wave II

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From: tuck4/13/2005 5:24:22 PM
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WATERTOWN, Mass.--(BUSINESS WIRE)--April 13, 2005--Acusphere, Inc. (NASDAQ: ACUS - News), a specialty pharmaceutical company, today announced that it met with various representatives of the Division of Medical Imaging and Radiopharmaceuticals at the Food and Drug Administration (FDA). This division is responsible for reviewing Acusphere's clinical trial results and plans as well as a potential New Drug Application (NDA) for AI-700. The purpose of this meeting was to discuss the rationale behind the Phase 3 clinical design and statistical analysis plan with new members of the division, particularly the new division head, who were not involved in these discussions before the start of Phase 3 pivotal trials, and to receive their feedback. FDA has been proactive and constructive in meeting with Acusphere to provide continuing guidance on its expectations regarding the statistical analysis plan for the Phase 3 trials. Based on this feedback, Acusphere has revised its statistical analysis plan. These revisions require Phase 3 pivotal trial enrollment of approximately 700 patients rather than 600 as had been previously estimated.

The Company stated that it has enrolled more than 350 patients in the Phase 3 pivotal trials to date and that the rate of enrollment in these trials has been averaging approximately 50 patients per month. If this rate of enrollment continues, it should be possible to complete enrollment of 700 patients by the end of 2005. However, Acusphere management believes that enrollment rates may be variable, particularly during the summer and holiday months, and therefore has decided to change its guidance for completing enrollment to early 2006, rather than by the end of 2005, as had been previously estimated. The Company confirmed its previously stated guidance that it expects to be in a position to file the AI-700 NDA in 2006.

With a revised statistical analysis plan, Acusphere's management continues to believe that it has a high probability of achieving the primary clinical endpoints established for the Phase 3 clinical trials. Management's optimism is based on the sensitivity and specificity levels obtained in the analysis of the angiographic data collected from patients in a Phase 2 trial and published in the Journal of the American Society of Echocardiography (ASE) in 2004, as well as the sensitivity and specificity levels obtained in the subset analysis performed for the blinded reader training in the pilot phase of the Phase 3 program. The blinded reader training was conducted recently using a subset of images generated from the pilot phase by clinical sites that have now transitioned into the pivotal trials and by the same blinded readers who we expect to be analyzing the data from the Phase 3 pivotal trials.

Sherri C. Oberg, Acusphere's President and Chief Executive Officer, commented, "We look forward to our discussions with FDA that are ongoing, and we appreciate receiving FDA feedback in advance of our NDA submission. We believe this feedback from FDA is enabling us to modify our Phase 3 trial plans so that we can be in a better position to meet their expectations and achieve a first cycle approval when we submit our NDA for AI-700, which is scheduled for 2006, as previously announced. Our clinical sites are enrolling well and we are making every effort to complete enrollment as quickly as possible. We remain confident and enthusiastic about the prospects for AI-700."

About Acusphere, Inc.

Acusphere (NASDAQ:ACUS - News) is a specialty pharmaceutical company that develops new drugs and improved formulations of existing drugs using its proprietary microparticle technology. Acusphere's three initial product candidates for which it has clinical data are designed to address unmet clinical needs within cardiology, oncology and asthma. Acusphere's lead product candidate, AI-700, is a cardiovascular drug in Phase 3 clinical development. AI-700 is designed to enable ultrasound to compete more effectively with nuclear stress testing, the leading procedure for detecting coronary heart disease. An estimated 10.7 million procedures are performed each year in the U.S. to detect coronary heart disease, the leading cause of death in the United States. <<

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So if the rate of enrollment varies the wrong way, we can figure a 2007 filing is a distinct possibility. The stock, near lows, will probably get there again on this news. The ability to attach higher statistical significance is perhaps a reasonable tradeoff for the delay, and if there is indeed a selloff, perhaps this would be a good buying op? I don't know the endpoints and I don't know how much improvement ultrasound needs to compete with nuclear stress testing. Anybody?

Cheers, Tuck
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