Here is part II:
Kranzler said the Securities and Exchange Commission started looking into the company, whose low share price sometimes produces large percentage swings. The management team left, and in December 1995 the board decided to bring in Kranzler and move the company from Seattle to San Diego.
By then, Cypress' market capitalization was down to $26 million, near the bottom of the list of San Diego's publicly traded biomedical companies. It has since climbed to over $100 million.
The first step in the turnaround was reinvigorating the sales effort for ITP. Kranzler started with a new study to show the device worked, and the data showed that the device stopped or controlled bleeding in 65 percent of the 26 patients. He terminated a distribution agreement with Baxter International that hadn't gone well. Then the company backed off on the hard-sell approach it had taken in the past.
"All we really did was take more of an R&D approach," said Debby Jo Blank, who joined the company along with Kranzler as president and chief operating officer. "Instead of going in trying to sell, we tried to build relationships and do more consultation."
By the time Kranzler and Blank arrived, the company already had learned that the device might help against rheumatoid arthritis. That discovery came partly through luck.
A doctor in Coeur d'Alene, Idaho, Craig Wiesenhutter, had been using the column to treat ITP patients when he encountered several patients with both ITP and rheumatoid arthritis. When he treated them with the column, both the ITP and arthritis symptoms were reduced. So he decided to do a small study with additional arthritis patients.
It appeared to confirm his original observation. Nine of the 15 arthritis patients responded to the treatment, and when Cypress received the results the company decided to proceed with additional testing.
The company's study, which ended in January, showed that 45 percent of patients who completed the study responded to the treatment. That was encouraging enough for the company to stop the study early, with about 100 patients instead of the originally planned 268.
Because many patients will opt against the relatively intensive procedure Prosorba requires, the company expects that it will only be used in severe cases. But Kranzler figures that even a relatively small percentage of the 2.5 million rheumatoid arthritis patients in the United States could yield 50,000 to 200,000 patients. Current treatments tend to be expensive and are sometimes ineffective.
One observer of local stocks, Bud Leedom of the San Diego Stock Report, said the decision to put an early halt to the Prosorba trial was an important show of confidence.
"When something like that happens, it really says something about the integrity of the data," said Leedom, who recommended the stock in February.
Cypress' recent success also represents a comeback for the 40-year-old Kranzler, who holds both a Ph.D. and a medical degree from Yale and who first became notable locally as chief executive of Cytel Inc. When he joined Cytel in 1989 after a stint at the McKinsey & Co. he was, at 30 years old, one of San Diego's youngest biotech chief executives.
Under Kranzler, Cytel grew from 30 employees to 170, though in his last years there the company narrowed its focus and cut its head count to 110 people. He resigned in August 1995, saying the company's needs no longer matched his talents.
In his first year at Cypress, Kranzler kept a low profile. It was only with the release of the Prosorba data in January that the company started to attract notice.
In addition to Prosorba, the company is also developing a platelet substitute it calls Cyplex, the primary product of a company Cypress acquired in late 1996. |