INSPIRE PHARMACEUTICALS INC
10-Q, 2000-11-03
PHARMACEUTICAL PREPARATIONS
Previous: SYMPLEX COMMUNICATIONS CORP, 8-K, EX-99.3, 2000-11-03
Next: INSPIRE PHARMACEUTICALS INC, 10-Q, EX-10.1, 2000-11-03



<PAGE>

                                 UNITED STATES
                      SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C. 20549
                                --------------
                                   FORM 10-Q

[X]  Quarterly Report Pursuant to Section 13 or 15 (d) of the Securities
     Exchange Act of 1934.

     For the quarterly period ended September 30, 2000

                                      OR

[_]  Transition Report Pursuant to Section 13 or 15(d) of the Securities
     Exchange Act of 1934.

     For the transition period from ___________ to ___________


                       Commission File Number: 000-31135


                         INSPIRE PHARMACEUTICALS, INC.
                         -----------------------------
            (Exact Name of Registrant as Specified in Its Charter)


                   Delaware                          04-3209022
                   --------                          ----------
         (State or Other Jurisdiction of          (I.R.S. Employer
          Incorporation or Organization)         Identification No.)


        4222 Emperor Boulevard, Suite 470
              Durham, North Carolina                 27703-8466
              ----------------------                 ----------
     (Address of Principal Executive Offices)        (Zip Code)


       Registrant's Telephone Number, Including Area Code: (919) 941-9777

     Indicate by check mark whether the registrant: (1) has filed all reports
     required to be filed by Section 13 or 15 (d) of the Securities Exchange Act
     of 1934 during the preceding 12 months (or for such shorter period that the
     registrant was required to file such reports), and (2) has been subject to
     such filing requirements for the past 90 days.

     YES  X     NO
         ---       ----

     Indicate the number of shares outstanding of common stock, as of the latest
     practical date: 25,413,999 as of October  29, 2000.
<PAGE>

                        PART I:  FINANCIAL INFORMATION
                        ------------------------------

Item 1. Financial Statements
        --------------------

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

                           Condensed Balance Sheets
                                  (Unaudited)

<TABLE>
<CAPTION>
                                                                       September 30,       December 31,
(in thousands except share data)                                           2000                1999
                                                                      ---------------     --------------
<S>                                                                   <C>                 <C>
Assets
Current assets:
  Cash and cash equivalents                                               $ 45,413            $ 22,728
  Short-term investments                                                    33,566                   -
  Accounts receivable                                                        2,141                  19
  Interest receivable                                                          369                   -
  Prepaid expenses                                                             289                 132
                                                                          --------            --------
Total current assets                                                        81,778              22,879
Property and equipment, net                                                  1,211                 789
Debt issuance costs                                                          1,391               1,871
Long-term investments                                                        2,689                   -
Other, net                                                                      80                  81
                                                                          --------            --------
Total assets                                                              $ 87,149            $ 25,620
                                                                          ========            ========

Liabilities and stockholders' equity
Current liabilities:
  Accounts payable                                                        $    164            $    631
  Accrued expenses                                                           1,043                 651
  Capital leases, current portion                                              256                 210
                                                                          --------            --------

Total current liabilities                                                    1,463               1,492
  Capital leases, excluding current portion                                    491                 333
  Notes payable                                                                 25                  24
  Deferred revenue                                                           7,773               7,736
                                                                          --------            --------

Total liabilities                                                            9,752               9,585
Commitments                                                                      -                   -
Stockholders' equity:
  Convertible preferred stock, $0.001 par value, 52,000,000 share
   authorized; 27,892,999 shares issued and outstanding at
   December 31, 1999                                                             -              45,895
  Common stock, $0.001 par value, 56,000,000 shares authorized;
   25,413,999 and 2,465,857 shares issued and outstanding at
   September 30, 2000 and December 31, 1999, respectively                       25                   3
  Additional paid-in capital                                               124,512               8,348
  Deficit accumulated during the development stage                         (43,036)            (33,286)
  Other comprehensive income                                                    17                   -
  Deferred compensation                                                     (4,121)             (4,925)
                                                                          --------            --------
Total stockholders' equity                                                  77,397              16,035
                                                                          --------            --------
Total liabilities and stockholders' equity                                $ 87,149            $ 25,620
                                                                          ========            ========
</TABLE>


   The accompanying notes are an integral part of these condensed financial
                                  statements.

                                       2
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

                      Condensed Statements of Operations
                                  (Unaudited)

<TABLE>
<CAPTION>
                                                                                                                       Cumulative
                                                                                                                     from Inception
                                                         THREE MONTHS ENDED                NINE MONTHS ENDED          (October 28,
                                                  -------------------------------  -------------------------------
                                                                                                                        1993) to
(in thousands, except share and per share data)    September 30,   September 30,    September 30,   September 30,     September 30,
                                                       2000            1999             2000             1999               2000
                                                  --------------- ---------------  --------------- ---------------  ----------------
<S>                                               <C>             <C>              <C>             <C>              <C>
Revenues:
  Collaborative research agreements                  $     1,155     $      270       $    3,463      $      810         $  4,928
                                                     -----------     ----------       ----------      ----------         --------

Operating expenses:
  Research and development (includes $235, $148,
   $697, $305 and $1,280, respectively, of
   stock-based compensation)                               4,534          2,087           10,236           4,095           36,159
  General and administrative expenses (includes
   $170, $123, $509, $350 and $1,074,
   respectively, of stock-based compensation)              1,003            441            2,690           2,017           11,151
                                                     -----------     ----------       ----------      ----------         --------
  Total operating expenses                                 5,537          2,528           12,926           6,112           47,310
                                                     -----------     ----------       ----------      ----------         --------
  Operating loss                                          (4,382)        (2,258)          (9,463)         (5,302)         (42,382)
                                                     -----------     ----------       ----------      ----------         --------
Other income (expense), net:
  Interest income                                            630             68            1,212             124            2,321
  Interest expense                                          (190)           (27)            (555)            (89)          (1,220)
  Loss on disposal of property and equipment                   -              -                -               -             (329)
                                                     -----------     ----------       ----------      ----------         --------
  Other income (expense), net                                440             41              657              35              772
                                                     -----------     ----------       ----------      ----------         --------

  Loss before provision for income taxes                  (3,942)        (2,217)          (8,806)         (5,267)         (41,610)
Provision for income taxes                                   200              -              350               -              770
                                                     -----------     ----------       ----------      ----------         --------
  Net loss                                                (4,142)        (2,217)          (9,156)         (5,267)         (42,380)

Preferred stock dividends                                    (95)             -             (594)              -             (656)
                                                     -----------     ----------       ----------      ----------         --------

Net loss available to common stockholders            $    (4,237)    $   (2,217)      $   (9,750)     $   (5,267)        $(43,036)
                                                     ===========     ==========       ==========      ==========         ========

Net loss per common share-basic and diluted          $     (0.25)    $    (0.90)      $    (1.34)     $    (2.21)
                                                     ===========     ==========       ==========      ==========
Weighted average common shares outstanding-
 basic and diluted                                    16,690,193      2,460,730        7,298,014       2,379,843
                                                     ===========     ==========       ==========      ==========
</TABLE>


   The accompanying notes are an integral part of these condensed financial
                                  statements.

                                       3
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

                      Condensed Statements of Cash Flows
                                  (Unaudited)

<TABLE>
<CAPTION>
                                                                                                  Cumulative
                                                                                                From Inception
                                                                                                  (October 28,
                                                                    NINE MONTHS ENDED               1993) to
                                                            ---------------------------------
                                                             September 30,     September 30,     September 30,
(in thousands)                                                   2000              1999               2000
                                                            ---------------   ---------------   ---------------
<S>                                                         <C>               <C>               <C>
Cash flows from operating activities:
Net loss                                                        $ (9,156)         $ (5,267)         $(42,380)
Adjustments to reconcile net loss to net cash used
 in operating activities:
Stock issued for exclusive licenses                                    -                 -               144
Stock issued for consulting services                                   -                 -                72
Depreciation and amortization                                        410               474             2,528
Amortization of stock based compensation                           1,206               654             2,354
Amortization of debt issuance costs                                  480                32               574
Loss on disposal of property and equipment                             -                 -               329
Deferred revenue                                                      37              (810)            7,773
Changes in operating assets and liabilities:
Accounts receivable                                               (2,122)              (43)           (2,141)
Interest receivable                                                 (369)                -              (369)
Prepaid expenses                                                    (157)               39              (290)
Other assets                                                           1               (57)             (186)
Accounts payable                                                    (467)             (129)              185
Accrued expenses                                                     264               (99)              905
                                                                --------          --------          --------

Net cash used in operating activities                             (9,873)           (5,206)          (30,502)
                                                                --------          --------          --------

Cash flows from investing activities:
Purchase of investments                                          (37,220)                -           (37,220)
Proceeds from sale of investments                                    982                 -               982
Proceeds from sale of property and equipment                           -                 -               127
Sale of certificate of deposit                                         -                 -               (78)
Purchases of property and equipment                                 (665)              (72)           (2,098)
                                                                --------          --------          --------

Net cash used in investing activities                            (36,903)              (72)          (38,287)
                                                                --------          --------          --------

Cash flows from financing activities:
Proceeds from bridge loans                                             -                 -               780
Proceeds from issuance of notes payable and
 capital lease obligations                                           430                 -               838
Payments on notes payable                                              -                 -              (400)
Issuance of common stock                                          69,256                38            69,353
Issuance of convertible preferred stock                                -             5,985            45,061
Payments on capital lease obligations                               (225)             (322)           (1,430)
                                                                --------          --------          --------

Net cash provided by financing activities                         69,461             5,701           114,202
                                                                --------          --------          --------

Increase in cash and cash equivalents                             22,685               423            45,413

Cash and cash equivalents, beginning of period                    22,728             4,138                 -
                                                                --------          --------          --------

Cash and cash equivalents, end of period                        $ 45,413          $  4,561          $ 45,413
                                                                ========          ========          ========
</TABLE>


   The accompanying notes are an integral part of these condensed financial
                                  statements.

                                       4
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


               NOTES TO UNAUDITED CONDENSED FINANCIAL STATEMENTS
               -------------------------------------------------

1. Organization

Inspire Pharmaceuticals, Inc. (the "Company," "we" and "our") was founded on
October 28, 1993 to develop and commercialize novel pharmaceutical products that
treat respiratory and ophthalmic diseases which are characterized by
deficiencies in the body's innate defense mechanisms of mucosal hydration and
mucociliary clearance. The Company's technologies are based in part on exclusive
license agreements with The University of North Carolina at Chapel Hill for
rights to certain developments from the founder's laboratories.

The Company is considered a development stage enterprise. Since inception, the
Company has devoted substantially all of its efforts towards establishing its
business and research and development programs.

2. Summary of Significant Accounting Policies

Unaudited Interim Financial Statements

The accompanying unaudited interim financial statements have been prepared in
accordance with generally accepted accounting principles and applicable
Securities and Exchange Commission regulations for interim financial
information. These financial statements are unaudited and, in the opinion of
management, include all adjustments necessary to present fairly the balance
sheets, statements of operations, and statements of cash flows for the periods
presented in accordance with generally accepted accounting principles. Certain
information and footnote disclosures normally included in financial statements
prepared in accordance with generally accepted accounting principles have been
condensed or omitted pursuant to the Securities and Exchange rules and
regulations. Operating results for the three and nine months ended September 30,
2000 are not necessarily indicative of the results that may be expected for the
year ending December 31, 2000. These financial statements and notes should be
read in conjunction with the financial statements and notes thereto for the year
ended December 31, 1999 included in the Company's Registration Statement on Form
S-1, as amended (File No. 333-31174) which was declared effective by the
Securities and Exchange Commission on August 2, 2000.

Use of Estimates

The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities and disclosure of
contingent assets and liabilities at the date of the financial statements and
the reported amounts of revenues and expenses during the reporting period.
Actual results could differ from those estimates.

Cash and Cash Equivalents

The Company considers all highly liquid investments with a maturity of three
months or less when purchased to be cash equivalents.

Investments

The Company's investments at September 30, 2000 are in interest-bearing
investment grade securities and certificates of deposit which are classified as
available for sale and carried at market value in accordance with Statement of
Financial Accounting Standards No. 115 "Accounting of Certain Investments in
Debt and Equity Securities." The Company's investments are considered available
for sale as these securities could potentially be sold in response to needs for
liquidity, changes in funding sources or terms. The Company has an unrealized
gain of $17,000 related to these investments at September 30, 2000 which is
recorded as other comprehensive income (loss), a separate component of
stockholders' equity.

Property and Equipment

Property and equipment is primarily comprised of furniture, laboratory and
computer equipment and leasehold improvements which are recorded at cost and
depreciated using the straight-line method over their estimated useful

                                       5
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


lives which range from three to five years. Property and equipment includes
certain equipment under capital leases. These items are depreciated over the
shorter of the lease period or the estimated useful life of the equipment.

Debt Issuance Costs

Debt issuance costs are primarily comprised of costs which were incurred when
the Company entered into capital lease obligations and collaborative agreements.
These costs are amortized using the effective interest rate method over the life
of the related lease or collaborative agreement. Net debt issuance costs were
$1.4 million and $1.9 million at September 30, 2000 and December 31, 1999,
respectively.

Stock-Based Compensation

The Company accounts for non-cash stock-based compensation in accordance with
the provisions of Accounting Principles Board Opinion No. 25, "Accounting for
Stock Issued to Employees," which states that no compensation expense is
recognized for stock options or other stock-based awards that are granted to
employees with an exercise price equal to or above the estimated fair value of
the Company's common stock on the grant date. In the event that stock options
are granted with an exercise price below the estimated fair market value of the
Company's common stock at the grant date, the difference between the fair market
value of the Company's common stock and the exercise price of the stock option
is recorded as deferred compensation. The Company recognized deferred
compensation of $402,000 related to stock option grants during the nine months
ended September 30, 2000 and $3.4 million for the year ended December 31, 1999.

Deferred compensation is amortized over the vesting period of the related stock
option, which is generally four years. The Company recognized deferred
compensation expense of $1.2 million and $654,000 related to stock option grants
during the nine months ended September 30, 2000 and 1999, respectively. The
Company has adopted the disclosure requirements of Statement of Financial
Accounting Standards No. 123, "Accounting for Stock-Based Compensation" which
requires compensation expense to be disclosed based on the fair value of the
options at the date of the grant.

Revenue Recognition

Revenue is recognized under collaborative research agreements when services are
performed or when contractual obligations are met. Nonrefundable fees received
at the initiation of the collaborative agreements for which the Company has an
ongoing research and development commitment are deferred and recognized ratably
over the period of the related research and development commitment. Milestone
payments under collaboration agreements and research agreements will be
recognized as revenues, ratably over the remaining period of our research and
development commitment beginning on the date the Company achieves the indicated
milestone and such achievement is acknowledged by the collaborative partner,
which generally coincides with the receipt of the milestone payment.

Research and Development

Research and development costs include all direct costs, including salaries for
Company personnel, costs of outside consultants, costs of clinical trials, and
costs of sponsored research and clinical trials insurance, related to the
development of drug compounds. These costs have been charged to operating
expense as incurred. Costs associated with obtaining and maintaining patents on
the Company's drug compounds and license initiation and continuation fees,
including milestone payments by the Company to its licensors, are evaluated
based on the stage of development of the related drug compound and whether the
underlying drug compound has an alternative use. Costs of these types incurred
for drug compounds not yet approved by the United States Food and Drug
Administration ("FDA") and for which no alternative use exists are recorded as
research and development expense. In the event the drug compound has been
approved by the FDA or an alternative use exists for the drug compound, patent
costs and license costs are capitalized and amortized over the expected life of
the related drug compound. License milestone payments to the Company's licensors
are recognized when the underlying requirement is met by the Company.

                                       6
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


Significant Customers and Credit Risk

All revenues recognized during the nine months ended September 30, 2000 were
from two collaborative partners. Financial instruments which potentially subject
the Company to concentrations of credit risk consist primarily of accounts
receivable and short-term investments. At September 30, 2000, accounts
receivable relates to a non-refundable up-front cash payment on a license
agreement with a collaborative partner. The Company primarily invests in
interest-bearing investment grade securities, notes payable and certificates of
deposit. Cash deposits are all in financial institutions in the United States.

Net Income (Loss) Per Share

The Company computes net income (loss) per common share in accordance with
Statement of Financial Accounting Standards No. 128, "Earnings per Share" ("SFAS
128"). Under the provisions of SFAS 128, basic net income (loss) per common
share is computed by dividing net income (loss) available to common stockholders
by the weighted average number of common shares outstanding. Diluted net income
(loss) available to common stockholders per common share is computed by dividing
net income (loss) available to common stockholders by the weighted average
number of common shares and dilutive potential common share equivalents then
outstanding. Potential common shares consist of shares issuable upon the
exercise of stock options and warrants and conversion of convertible preferred
stock. The calculation of net income (loss) per common share available to common
shareholders for the periods ended September 30, 2000 and 1999 does not include
1,315,452 and 14,939,292, respectively, of potential shares of common stock
equivalents, as their impact would be antidilutive.

Segment Reporting

The Company has determined that it did not have any separately reportable
operating segments as of September 30, 2000.

Comprehensive Income (Loss)

In June 1997, the FASB issued Statement of Financial Accounting Standards No.
130, "Reporting Comprehensive Income" (SFAS 130). SFAS 130 establishes standards
for reporting and presentation of comprehensive income and its components in a
full set of general purpose financial statements. SFAS 130 is effective for
financial statements for fiscal years beginning after December 15, 1997. The
Company's other comprehensive income (loss) during the three months ended
September 30, 2000 totaled $17,000 and is comprised of an unrealized gain on
investments in marketable securities. The Company had no items of other
comprehensive income during the three months ended September 30, 1999.

Recent Accounting Pronouncements

In June 1998, the FASB issued Statement of Financial Accounting Standards No.
133, "Accounting for Derivative Instruments and Hedging Activities" ("SFAS
133"). SFAS 133 establishes accounting and reporting standards for derivative
instruments, including certain derivative instruments embedded in other
contracts (collectively referred to as "derivatives"), and for hedging
activities. SFAS 133, as amended by SFAS 137 and SFAS 138, is effective for all
fiscal quarters of all fiscal years beginning after June 15, 2000, with earlier
application encouraged. The Company does not currently nor does it intend in the
future to use derivative instruments and therefore does not expect that the
adoption of SFAS 133 will have any impact on its financial position or results
of operations.

3. Capital Stock

On August 8, 2000, the Company sold 5,500,000 shares of common stock at an
initial public offering price of  $12.00 per share for net proceeds of
approximately $60.1 million, net of applicable issuance costs and expenses. In
connection with the offering, all of the Company's common stock was subject to a
1-for-1.75 reverse split. Therefore, all of the Company's outstanding preferred
stock converted into 16,355,224 shares of common stock. On September 5, 2000,
the underwriters purchased an additional 825,000 shares of common stock, upon
their exercise of an over-allotment option, which resulted in net proceeds of
$9.2 million to the Company.

                                       7
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


Item 2. Management's Discussion and Analysis of Financial Condition and Results
        -----------------------------------------------------------------------
        of Operations
        -------------

RESULTS OF OPERATIONS
---------------------

Three Months Ended September 30, 2000 and 1999
----------------------------------------------

Revenues

Revenues are derived from collaborative research and development agreements with
strategic partners. Revenues increased $930,000 to $1.2 million for the three
months ended September 30, 2000, compared to revenues of $270,000 for the same
period in 1999. This increase was due to revenue recognized during the three
months ended September 30, 2000 related to milestone payments we received from
Genentech, Inc. ("Genentech") in Decemeber 1999 and Kissei Pharmaceutical Co.,
Ltd. ("Kissei") in the fourth quarter of 1999 and the first quarter of 2000.
These amounts are being recognized as revenues over the period of our ongoing
research and development commitment under the collaborative research agreements
with Kissei and Genentech.

Research and Development

Our research and development expenses are comprised of personnel and related
costs and the costs of contract research organizations that are performing
research and development activities, including clinical studies, for us, and
costs of filing and maintaining our patent portfolio.

Research and development expenses increased $2.4 million to $4.5 million for the
three months ended September 30, 2000, compared to $2.1 million for the same
period in 1999. This increase in research and development expenses is the result
of the Company's continued and more extensive drug development activities in
preclinical testing, toxicology studies and clinical development, as well as
patent related activities, and the addition of research and development
personnel necessary to perform these activities. We expect to continue to devote
substantial resources to research and development. We also expect that research
and development expenses will continue to increase in the foreseeable future and
that net losses will continue as a result.

General and Administrative Expenses

General and administrative expenses consist primarily of personnel costs,
facilities costs, business development costs and professional expenses, such as
legal and accounting fees. General and administrative expenses increased
$562,000 to $1.0 million for the three months ended September 30, 2000, compared
to $441,000 for the three months ended September 30, 1999. This increase is due
primarily to increases in personnel costs, consultants and insurance expense
within the administration department.

Stock-Based Compensation

Stock-based compensation expense consists of the amortization of deferred
compensation that relates to stock options granted to employees with an exercise
price below the estimated fair market value of our common stock at the date of
the grant. Stock-based compensation expense increased $134,000 to $405,000 for
the three months ended September 30, 2000 from $271,000 in the three months
ended September 30, 1999. This increase pertains primarily to the amortization
of deferred compensation that relates to stock option grants issued during 1999.

Other Income (Expense), Net

Other income (expense), net consists of interest income earned on cash deposits
and short-term investments, reduced by interest expense on notes payable,
capital lease obligations, gains and losses on sales of property and equipment
and amortization of debt issuance costs. Other income (expense), net increased
by $399,000 to $440,000 for the three months ended September 30, 2000, compared
to $41,000 for the three months ended September 30, 1999. This increase was due
to higher interest income earned from higher average cash and investment
balances partially offset by increased expense on leased equipment and
amortization of debt issuance costs.

                                       8
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


Nine Months Ended September 30, 2000 and 1999
---------------------------------------------

Revenues

For the nine months ended September 30, 2000, revenue increased $2.7 million to
$3.5 million from $810,000 for the nine months ended September 30, 1999. This
increase in revenue relates to milestone payments received from Genentech in
December 1999 as well as revenues recognized for milestone payments we received
from Kissei in the fourth quarter of 1999 and the first quarter of 2000. Revenue
amounts are being recognized over the period of our ongoing research and
development commitment under the collaborative research agreements with Kissei
and Genentech.

Research and Development

Research and development expenses increased $6.1 million to $10.2 million for
the nine months ended September 30, 2000 from $4.1 million for the same period
in 1999. This increase is primarily due to increased contract research costs
related to preclinical testing, toxicology studies and clinical development
activities, costs related to patent activities and increased costs related to
additional personnel necessary to perform these activities. The Company expects
its research and development expenses to increase in the future due to continued
expansion of product development activities, including preclinical testing and
clinical development.

General and Administrative

General and administrative expenses increased $700,000 to $2.7 million for the
nine months ended September 30, 2000 from $2.0 million for the same period in
1999. This increase is primarily due to increased personnel costs, consultant
and insurance expenses within the administration department.

Stock-Based Compensation

Stock-based compensation expense increased $551,000 to $1.2 million in the nine
months ended September 30, 2000 from $655,000 for the same period in 1999. This
increase is attributable to the amortization of deferred compensation related to
stock option grants issued during 1999.

Other Income (Expense), Net

Other income (expense), net increased $622,000 to $657,000 for the nine months
ended September 30, 2000 from $35,000 for the same period in 1999. The increase
was due to higher interest income earned from larger average cash and investment
balances partially offset by increased expense related to leased equipment and
amortization of debt issuance costs.

Provision for Income Taxes

The provision for income taxes increased to $350,000 for the nine months ended
September 30, 2000 from zero for the same period in 1999. The increase in the
provision for income taxes is attributable to withholding taxes paid on
milestone payments from Japanese collaborative partners during the nine months
ended September 30, 2000. No milestone payments were received from Japanese
collaborative partners during the nine months ended September 30, 1999.

Earnings Per Share

Historical

In the third quarter and first nine months of 2000, we had net losses of $4.2
million and $9.8 million or $(0.25) and $(1.34) per common share compared to net
losses of $2.2 million and $5.3 million or $(0.90) and $(2.21) per common share
the third quarter and first nine months of 1999, respectively.

                                       9
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


Weighted average common shares outstanding for the third quarter and the first
nine months of 2000 were 16,690,133 and 7,298,014, respectively, versus
2,460,730 and 2,379,843 the third quarter and first nine months of 1999,
respectively.

Pro forma

Pro forma represents the conversion of shares of preferred stock and accrued
dividends on such preferred stock into shares of common stock at their date of
issuance.

Pro forma weighted average common shares outstanding for the third quarter and
the first nine months of 2000 were 22,614,871 and 20,130,007 respectively,
versus 16,209,111 and 14,910,365 the third quarter and first nine months of
1999, respectively.

Pro forma net losses per common share - basic and diluted for the third quarter
and first nine months of 2000 are $(0.19) and $(0.48), respectively, versus
$(0.14) and $(0.35) for the third quarter and first nine months of 1999,
respectively.

LIQUIDITY AND CAPITAL RESOURCES
-------------------------------

The Company historically has financed its operations through the sale of equity
securities, including private sales of preferred stock and the sale of common
stock in our initial public offering.

As of September 30, 2000, cash and cash equivalents totaled $45.4 million, an
increase of $22.7 million as compared to December 31, 1999. The increase in cash
and cash equivalents resulted from approximately $69.3 million in net proceeds
from our initial public offering, which was partially offset by the purchase of
net investments in investment grade securities of $36.2 million, cash used by
operations of $9.5 million during the nine months ended September 30, 2000,
$665,000 for the purchase of property and equipment and payment on lease
obligations of $225,000.

Cash used by operations of $9.9 million in the nine months ended September
30,2000, represented the net loss of $9.2 million, an increase of $2.5 million
in receivables, an increase of $157,000 in prepaid expenses and a decrease in
accounts payable of $467,000, partially offset by an increase of $264,000 in
accrued expenses, and net non-cash charges of $2.1 million. The increase in
receivables relates primarily to a non-refundable up-front cash payment from a
license agreement with a collaborative partner and interest on investments.

Cash used in investing activities for the nine months ended September 30, 2000
was comprised of the purchase of investment grade securities, net of maturities,
of $36.2 million and the purchase of property and equipment totaling $665,000.

Cash from financing activities for the nine months ended September 30, 2000 was
comprised of $69.3 million in net proceeds from our initial public offering,
proceeds from capital lease financing of $430,000 and payment of lease
obligations of $225,000.

The Company will not generate revenues, other than license and milestone
payments, from the sale of its products unless and until it or its licensees
receive marketing clearance from the FDA and appropriate governmental agencies
in other countries. The Company cannot predict the timing of any potential
marketing clearance nor can assurances be given that the FDA or such agencies
will approve any of the Company's products.

IMPACT OF INFLATION
-------------------

Although it is difficult to predict the impact of inflation on costs and
revenues of the Company in connection with the Company's products, the Company
does not anticipate that inflation will materially impact its costs of operation
or the profitability of its products when marketed.

                                       10
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


CAUTIONARY STATEMENT
--------------------

The Company operates in a highly competitive environment that involves a number
of risks, some of which are beyond the Company's control. Statements contained
in Management's Discussion and Analysis of Financial Conditions and Results of
Operations which are not historical facts are or may constitute forward looking
statements. Forward looking statements involve known and unknown risks that
could cause the Company's actual results to differ materially from expected
results. These risks are discussed in Part II, Item 5 of this report, titled
"Other Information - Risk Factors", as well as the Company's Registration
Statement on Form S-1, as amended (Registration No. 333-31174) filed with the
Securities and Exchange Commission. Although the Company believes the
expectations reflected in the forward looking statements are reasonable, it
cannot guarantee future results, levels of activity, performance or
achievements.

Item 3.  Quantitative and Qualitative Disclosures about Market Risk
         ----------------------------------------------------------

The Company's exposure to market risk for changes in interest rates relates to
the increase or decrease in the amount of interest income the Company can earn
on its investment portfolio and on the increase or decrease in the amount of
interest expense it must pay with respect to various outstanding debt
instruments. The Company's risk associated with fluctuating interest expense is
limited, however, to capital lease obligations. The interest rates are closely
tied to market rates and the Company's investments in interest rate sensitive
financial instruments. Under the Company's current policies, it does not use
interest rate derivative instruments to manage exposure to interest rate
changes. The Company ensures the safety and preservation of invested principal
funds by limiting default risk, market risk and reinvestment risk. The Company
reduces default risk by investing in investment grade securities. A hypothetical
100 basis point drop in interest rates along the entire interest rate yield
curve would not significantly affect the fair value of the Company's interest
sensitive financial instruments at December 31, 1999 or September 30, 2000.
Declines in interest rates over time will, however, reduce the Company's
interest income while increases in interest rates over time will increase
interest expense.

                                       11
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


                          PART II:  OTHER INFORMATION
                          ---------------------------

Item 2.  Changes in Securities and Use of Proceeds
         -----------------------------------------

(d)      On August 2, 2000, the Securities and Exchange Commission declared a
         Registration Statement on Form S-1, as amended (Registration No. 333-
         31174) effective, registering 6,325,000 shares of our common stock. The
         managing underwriters were Deutsche Bank Alex. Brown, Chase H&Q and
         U.S. Bancorp Piper Jaffray. On August 8, 2000, we sold 5,500,000 shares
         of our common stock at an initial public offering price of $12.00 per
         share, generating gross offering proceeds of $66 million. On September
         5, 2000, we sold an additional 825,000 shares of common stock at the
         initial public offering price of $12.00 per share pursuant to the
         exercise by the underwriters of their over-allotment option with
         respect to such shares, generating additional gross offering proceeds
         of $9.9 million. In connection with the offering, we incurred
         underwriting discounts and commissions of approximately $5.3 million
         and other expenses estimated to be approximately $1.3 million. The
         total of such expenses is $6.6 million. All of such expenses were
         payable to parties other than our directors, officers or their
         associates; persons owning 10 percent or more of any class of our
         equity securities or our affiliates. The aggregate net proceeds after
         deduction of the foregoing expenses were approximately $69.3 million.
         Through September 30, 2000, all of the net proceeds of the offering
         were being temporarily invested in interest bearing investment grade
         securities and certificates of deposit which are classified as
         available for sale. See "Notes to Unaudited Condensed Financial
         Statements - Summary of Significant Accounting Policies - Investments."

Item 5.  Other Information
         -----------------

         Risk Factors
         -------------

IF OUR PRODUCTS FAIL IN CLINICAL STUDIES, WE WILL BE UNABLE TO OBTAIN FDA
APPROVAL AND WILL NOT BE ABLE TO SELL THOSE PRODUCTS.

     To achieve profitable operations, we must, alone or with others,
successfully identify, develop, introduce and market proprietary products. Even
if we identify potential products, we will have to conduct significant
additional development activities and preclinical and clinical tests, and obtain
regulatory approval before our products can be commercialized. Product
candidates that may appear to be promising at early stages of development may
not successfully reach the market for a number of reasons. We have not submitted
any products for marketing approval by the United States Food and Drug
Administration (FDA) or any other regulatory body.

     Generally, all of our product candidates are in research or preclinical
development, with only three, INS365 Respiratory, INS365 Ophthalmic, and INS316
Diagnostic, currently in clinical trials. The results of preclinical and initial
clinical testing of our products under development may not necessarily indicate
the results that will be obtained from later or more extensive testing.
Companies in the pharmaceutical and biotechnology industries have suffered
significant setbacks in advanced clinical trials, even after obtaining promising
results in earlier trials. Our ongoing clinical studies might be delayed or
halted for various reasons, including:

     .    the drug is not effective, or physicians think that the drug is not
          effective;
     .    patients experience severe side effects during treatment;
     .    patients die during the clinical study because their disease is too
          advanced or because they experience medical problems that may or may
          not relate to the drug being studied;
     .    patients do not enroll in the studies at the rate we expect;
     .    drug supplies are not sufficient to treat the patients in the studies;
          or
     .    we decide to modify the drug during testing.

BECAUSE OUR PRODUCT CANDIDATES UTILIZE A NEW MECHANISM OF ACTION, OBTAINING
REGULATORY APPROVAL MAY BE DIFFICULT, EXPENSIVE AND PROLONGED, WHICH WOULD DELAY
ANY MARKETING OF OUR PRODUCTS.

     We cannot apply for regulatory approval to market a product candidate until
we successfully complete pivotal

                                       12
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


clinical trials for the product. To complete successful clinical trials, the
products must meet the criteria for clinical approval, or endpoints, which we
establish for the product in the clinical study.

   Generally, we will establish these endpoints in consultation with the
regulatory authorities, following design guidelines on the efficacy, safety and
tolerability measures required for approval of products.

   Because our existing product candidates utilize a new approach to the
treatment of respiratory and eye diseases, we may have trouble establishing
endpoints that the regulatory authorities agree sufficiently evaluate the
effectiveness of each product candidate. For this and other reasons, we could
encounter delays and increased expenses in our clinical trials if the regulatory
authorities determine that the endpoints established for a clinical trial do not
predict a clinical benefit, and the authorities will not approve the product for
marketing without further clinical trials. The regulatory authorities could
change their view on clinical trial design and establishment of appropriate
standards for efficacy, safety and tolerability and require a change in study
design, additional data or even further clinical trials before approval of a
product candidate.

   After initial regulatory approval, regulatory authorities continue to review
a marketed product and its manufacturer. They may require us to conduct long-
term safety studies after approval. Discovery of previously unknown problems
through adverse event reporting may result in restrictions on the product,
including withdrawal from the market. Additionally, we and our officers and
directors could be subject to civil and criminal penalties.

IF PHYSICIANS AND PATIENTS DO NOT ACCEPT OUR PRODUCT CANDIDATES, THEY MAY NOT BE
COMMERCIALLY SUCCESSFUL.

   Even if regulatory authorities approve our product candidates, those products
may not be commercially successful. Acceptance of and demand for our products
will depend largely on the following:

   .  acceptance by physicians and patients of our products as safe and
      effective therapies;
   .  reimbursement of drug and treatment costs by third-party payors;
   .  safety, effectiveness and pricing of alternative products; and
   .  prevalence and severity of side effects associated with our products.

   In addition, to achieve broad market acceptance of our product candidates, in
many cases we will need to develop, alone or with others, convenient methods for
administering product candidates. Physicians have administered our current
product candidates for the treatment or diagnosis of respiratory disorders,
INS365 Respiratory and INS316 Diagnostic, using a jet nebulizer, a device that
generates and delivers a fine mist derived from a liquid, which is inhaled into
the lungs, in their respective clinical studies. Although the use of a jet
nebulizer is an effective and well accepted means for administering products for
inhalation with respect to acute use and, to a lesser degree, chronic use, we
believe more convenient methods of delivery and administration, such as a hand-
held inhalation device, will be necessary in the case of INS365 Respiratory, to
more fully address chronic use. Our testing of prototype hand-held inhalation
devices is at an early stage and we may not be able to develop or find a
convenient hand-held device that works in patients with chronic bronchitis. Our
current product candidate for the treatment of dry eye disease, INS365
Ophthalmic, is applied from a vial containing a single dose of medication.
Patients may prefer to purchase the medication in a bottle containing a
sufficient quantity of medication for multiple doses. We have not yet
established a plan to develop a multi-dose formulation. Similar challenges exist
in identifying and perfecting convenient methods of administration for many of
our other product candidates.

WE INTEND TO RELY ON THIRD PARTIES TO DEVELOP, MARKET, DISTRIBUTE AND SELL OUR
PRODUCT CANDIDATES AND THOSE THIRD PARTIES MAY NOT PERFORM.

   We do not have the ability to independently conduct clinical studies, obtain
regulatory approvals, market, distribute or sell our products and intend to rely
on experienced third parties to perform, or assist us in the performance of, all
of those functions. We may not identify acceptable partners or enter into
favorable agreements with them. If third parties do not successfully carry out
their contractual duties or meet expected deadlines, we will be unable to obtain
required governmental marketing approvals and will be unable to sell our
products.

                                       13
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

OUR DEPENDENCE ON COLLABORATIVE RELATIONSHIPS MAY LEAD TO DELAYS IN PRODUCT
DEVELOPMENT AND DISPUTES OVER RIGHTS TO TECHNOLOGY.

   Our business strategy depends upon the formation of research collaborations,
licensing and/or marketing arrangements. We currently have development
collaborations with four collaborators, Genentech, Kissei, Santen Pharmaceutical
Co., Ltd. ("Santen"), and Kirin Brewery Company, Ltd., Pharmaceutical Division
("Kirin"). The termination of any collaboration may lead to delays in product
development and disputes over technology rights and may reduce our ability to
enter into collaborations with other potential partners. Genentech has the
right, by giving us 150 days prior notice, to terminate our collaboration.
Similarly, Kirin has the right to terminate our license agreement by giving us
180 days prior notice.  If we do not maintain the Genentech, Kissei, Santen or
Kirin collaborations or establish additional research and development
collaborations or licensing arrangements it will be difficult to develop and
commercialize therapeutic or diagnostic products using our technology. Any
future collaborations or licensing arrangements may not be on terms favorable to
us. Our current or any future collaborations or licensing arrangements
ultimately may not be successful. Under our current strategy, and for the
foreseeable future, we do not expect to develop or market therapeutic or
diagnostic products on our own. As a result, we will continue to depend on
collaborators and contractors for the preclinical study and clinical development
of therapeutic products and for regulatory approval, manufacturing and marketing
of therapeutic and diagnostic products which result from our technology. The
agreements with collaborators typically will allow them some discretion in
electing whether to pursue such activities. If any collaborator were to breach
or terminate its agreement with us or otherwise fail to conduct collaborative
activities in a timely and successful manner, the preclinical or clinical
development or commercialization of product candidates or research programs
would be delayed or terminated. Any delay or termination in clinical development
or commercialization would delay or eliminate potential product revenues
relating to our research programs.

   We intend to rely on Genentech, Kissei, Santen, Kirin and any future
collaborators for significant funding in support of our development efforts. If
Genentech, Kissei, Santen or Kirin reduces or terminates its funding, we will
need to devote additional internal resources to product development, scale back
or terminate certain research and development programs or seek alternative
collaborators.

   Disputes may arise in the future over the ownership of rights to any
technology developed with collaborators. These and other possible disagreements
between us and our collaborators could lead to delays in the collaborative
development or commercialization of therapeutic or diagnostic products. Such
disagreement could also result in litigation or require arbitration to resolve.

IF WE ARE UNABLE TO CONTRACT WITH THIRD PARTIES FOR SYNTHESIS AND MANUFACTURING
OF PRODUCT CANDIDATES FOR PRECLINICAL TESTING AND CLINICAL TRIALS AND FOR LARGE
SCALE MANUFACTURING OF ANY OF OUR DRUG CANDIDATES, WE MAY BE UNABLE TO DEVELOP
OR COMMERCIALIZE PRODUCTS.

   We have no experience or capabilities in large scale commercial manufacturing
of any of our product candidates or any experience or capabilities in the
manufacturing of pharmaceutical products generally. We do not generally expect
to engage directly in the manufacturing of products, but instead intend to
contract with others for these services. We have relied upon supply agreements
with third parties for the manufacture and supply or our product candidates for
purposes of preclinical testing and clinical trials. Although we have previously
received preclinical and clinical supplies of our product candidates from
several suppliers, we presently depend upon Yamasa Corporation as the sole
supplier of our supply of product candidates. If we are unable to retain third
party manufacturing on commercially acceptable terms, we may not be able to
commercialize products as planned. Our manufacturing strategy presents the
following risks:

   .  the manufacturing processes for most of our product candidates have not
      been tested in quantities needed for commercial sales;
   .  delays in scale-up to commercial quantities and any change to a
      manufacturer other than Yamasa Corporation could delay clinical studies,
      regulatory submissions and commercialization of our products;
   .  manufacturers of our products are subject to the FDA's good manufacturing
      practices regulations and similar foreign standards, and we do not have
      control over compliance with these regulations by third-party

                                       14
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                        (a development stage company)

      manufacturers;

   .  if we need to change to manufacturers other than Yamasa Corporation, FDA
      and comparable foreign regulators would require new testing and compliance
      inspections and the new manufacturers would have to be educated in the
      processes necessary for the production of our product candidates;
   .  without satisfactory long-term agreements with manufacturers, we will not
      be able to develop or commercialize our product candidates as planned or
      at all; and
   .  we may not have intellectual property rights, or may have to share
      intellectual property rights, to any improvements in the manufacturing
      processes or new manufacturing processes for our product candidates.

IF WE ARE UNABLE TO SUPPLY KISSEI AND SANTEN WITH SUFFICIENT QUANTITIES OF
MATERIALS WE MAY BREACH OUR AGREEMENTS WITH SUCH PARTIES.

   We are currently a party to a development, license and supply agreement with
each of Kissei and Santen, under which we granted each a license to develop and
market INS365 Respiratory and INS365 Ophthalmic, respectively. Generally, the
agreements with Kissei and Santen will require us to supply such partners with
either sufficient quantities of materials or finished products, as applicable,
for the purpose of commercial distribution. We will need to establish, alone or
with third parties, a manufacturing process in relation to each product. Our
dependence upon third parties for the manufacture of products may adversely
affect our ability to develop and deliver products on a timely and competitive
basis.

   Our inability to successfully manufacture commercial products could result in
our breach of the terms of our agreements with Kissei and Santen. Any of these
factors could delay our preclinical studies, clinical trials or
commercialization of our product candidates, entail higher costs and result in
our inability to effectively sell our product candidates.

IF OUR PATENT PROTECTION IS INADEQUATE, THE DEVELOPMENT AND ANY POSSIBLE SALES
OF OUR PRODUCT CANDIDATES COULD SUFFER OR COMPETITORS COULD FORCE OUR PRODUCTS
COMPLETELY OUT OF THE MARKET.

   Our business and competitive position depends on our ability to continue to
develop and protect our products and processes, proprietary methods and
technology. Except for one patent covering new chemical compounds, most of our
patents are use patents containing claims covering methods of treating disorders
and diseases by administering therapeutic chemical compounds. Use patents, while
providing adequate protection for commercial efforts in the United States, may
afford a lesser degree of protection in European and possibly other countries
due to their particular patent laws. Besides our use patents, we have patents
covering pharmaceutical formulations of these chemical compounds. We also have
patent applications covering processes for large-scale manufacturing of these
chemical compounds. Many of the chemical compounds included in the claims of our
use patents, formulation patents and process applications were known in the
scientific community prior to our formation. None of our patents cover these
previously known chemical compounds themselves, which are in the public domain.
As a result, competitors may be able to commercialize products that use the same
chemical compounds used by us for the treatment of disorders and diseases not
covered by our use patents. In such a case, physicians, pharmacies and
wholesalers could possibly substitute these products for our products. Such
substitution would reduce any revenues received from the sale of our products.

   We believe that there may be significant litigation in the pharmaceutical and
biotechnology industry regarding patent and other intellectual property rights.
A patent does not provide the patent holder with freedom to operate in a way
that infringes the patent rights of others. While we are not aware of any patent
that we are infringing, nor have we been accused of infringement by any other
party, other companies currently have or may acquire patent rights which we
might be accused of infringing. If we must defend a patent suit, or if we choose
to initiate a suit to have a third party patent declared invalid, we may need to
make considerable expenditures of money and management time in litigation. A
judgment against us in a patent infringement action could cause us to pay
monetary damages, require us to obtain licenses, or prevent us from
manufacturing or marketing the affected products. In addition, we may need to
initiate litigation to enforce our proprietary rights against others, or we may
have to participate in interference proceedings in the United States Patent and
Trademark Office (USTPO) to determine the priority of invention of any of our
technologies.

                                       15
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)


   In general, the development of patent rights in pharmaceutical,
biopharmaceutical and biotechnology products to a degree sufficient to support
commercial efforts in these areas is typically uncertain and involves complex
legal and factual questions. For instance, while the USPTO has recently issued
guidelines addressing the requirements for demonstrating utility for
biotechnology inventions, USPTO examiners may not follow these guidelines in
examining patent applications. Such applications may have to be appealed to the
USPTO's Appeals Board for a final determination of patentability.

IF WE FAIL TO REACH MILESTONE OR OTHER OBLIGATIONS, THE UNIVERSITY OF NORTH
CAROLINA AT CHAPEL HILL AND OTHER LICENSORS MAY TERMINATE OUR AGREEMENTS WITH
THEM.

   Our current technologies, discoveries and our original patents are based in
part on two exclusive licenses and one non-exclusive license from The University
of North Carolina at Chapel Hill (UNC). Generally, if we fail to meet milestones
under the respective UNC licenses, UNC may terminate the applicable license. In
addition, it may be necessary in the future for us to obtain additional licenses
from UNC or other third parties to develop future commercial opportunities or to
avoid infringement of third party patents. We do not know the terms on which
such licenses may be available, if at all.

   Failure to license or otherwise acquire necessary technologies may reduce or
eliminate our ability to develop product candidates. Even if we acquire all
necessary licenses, if we breach any license provision, either intentionally or
unintentionally, we may lose our right to continued use of the licensed
technology.

BECAUSE WE RELY UPON TRADE SECRETS AND AGREEMENTS TO PROTECT SOME OF OUR
INTELLECTUAL PROPERTY, THERE IS A RISK THAT UNAUTHORIZED PARTIES MAY OBTAIN AND
USE INFORMATION THAT WE REGARD AS PROPRIETARY.

   We rely upon the laws of trade secrets and non-disclosure agreements and
other contractual arrangements to protect our proprietary compounds, methods,
processes, formulations and other information for which we are not seeking
patent protection. We have taken security measures to protect our proprietary
technologies, processes, information systems and data, and we continue to
explore ways to further enhance security. However, despite these efforts to
protect our proprietary rights, unauthorized parties may obtain and use
information that we regard as proprietary. Employees, academic collaborators and
consultants with whom we have entered confidentiality and/or non-disclosure
agreements, may improperly disclose our proprietary information. In addition,
competitors may, through a variety of proper means, independently develop
substantially the equivalent of our proprietary information and technologies,
gain access to our trade secrets, or properly design around any of our patented
technologies.

BECAUSE ALL OF OUR PRODUCT CANDIDATES USE RELATED MECHANISMS OF ACTION, WE MAY
NOT BE ABLE TO COMMERCIALIZE OUR PRODUCTS IF THE MECHANISM OF ACTION IS NOT
EFFECTIVE.

   Any products resulting from our product development efforts are not expected
to be available for sale for a number of years, if at all. Two of our product
candidates, INS365 Respiratory and INS37217 Respiratory, operate in a similar
manner. If the clinical results of one of the compounds is not favorable, the
results of the other compound may not be favorable. Moreover, we have designed
all of our product candidates to use related mechanisms of action. If these
mechanisms of action are not effective, we may not be able to commercialize any
of our product candidates. Even if all of our product candidates prove
effective, we may choose not to commercialize all of them.

IF WE CONTINUE TO INCUR OPERATING LOSSES FOR A PERIOD LONGER THAN ANTICIPATED,
OR IN AN AMOUNT GREATER THAN ANTICIPATED, WE MAY BE UNABLE TO CONTINUE OUR
OPERATIONS.

   We have experienced significant losses since inception. We incurred net
losses of $9.8 million for the nine months ended September 30, 2000, $8.9
million for the year ended December 31, 1999, $7.5 million for the year ended
December 31, 1998, and $7.9 million for the year ended December 31, 1997. As of
September 30, 2000 our

                                       16
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

accumulated deficit was approximately $43.0 million. We expect to incur
significant additional operating losses over the next several years and expect
cumulative losses to increase substantially in the near-term due to expanded
research and development efforts, preclinical studies and clinical trials. We
expect that losses will fluctuate from quarter to quarter and that such
fluctuations may be substantial. Such fluctuations will be affected by the
following:

   .  timing of regulatory approvals and commercial sales of our product
      candidates;
   .  the level of patient demand for our products;
   .  timing of payments to and from licensors and corporate partners; and
   .  timing of investments in new technologies.

   No regulatory authorities have approved any of our product candidates for
marketing, and therefore, we are not generating any revenues from product sales.
To achieve and sustain profitable operations, we must, alone or with others,
develop successfully, obtain regulatory approval for, manufacture, introduce,
market and sell our products. The time frame necessary to achieve market success
is long and uncertain. We do not expect to generate product revenues for at
least the next few years. We may not generate sufficient product revenues to
become profitable or to sustain profitability. If the time required to achieve
profitability is longer than we anticipate, we may not be able to continue our
business.

IF WE ARE NOT ABLE TO OBTAIN SUFFICIENT ADDITIONAL FUNDING TO MEET OUR EXPANDING
CAPITAL REQUIREMENTS, WE MAY BE FORCED TO REDUCE OR ELIMINATE RESEARCH PROGRAMS
AND PRODUCT DEVELOPMENT.

   We have used substantial amounts of cash to fund our research and development
activities. Year-to-date 2000, our operating expenses have exceeded $9.0
million. We expect our capital and operating expenditures to increase over the
next several years as we expand our research and development activities, address
possible difficulties with clinical studies and prepare for commercial sales.
Many factors will influence our future capital needs. These factors include:

   .  the progress of our research programs;
   .  the number and breadth of these programs;
   .  our ability to attract collaborators for our products;
   .  achievement of milestones under our existing collaborations with
      Genentech, Kissei, Santen and Kirin;
   .  our ability to establish and maintain additional collaborations;
   .  progress by our collaborators: Genentech, Kissei, Santen and Kirin;
   .  the level of activities relating to commercialization rights we retain in
      our collaborations;
   .  competing technological and market developments;
   .  the costs involved in enforcing patent claims and other intellectual
      property rights; and
   .  the costs and timing of regulatory approvals.

   We anticipate that our operating expenses will exceed $20.0 million over the
next twelve months. We also expect to purchase capital equipment at a cost of
approximately $1.0 million. Following the twelve-month period, we expect our
operating expenses to increase as we continue to develop our product candidates.
We intend to rely on Genentech, Kissei, Santen, Kirin, future collaborators and
the proceeds of our initial public offering for significant funding in support
of our development efforts. In addition, we may seek additional funding through
public or private equity offerings and debt financings. Additional financing may
not be available when needed. If available, such financing may not be on terms
favorable to us or our stockholders. Stockholders' ownership will be diluted if
we raise additional capital by issuing equity securities. If we raise funds
through collaborations and licensing arrangements, we may have to give up rights
to our technologies or product candidates which are involved in these future
collaborations and arrangements or grant licenses on unfavorable terms. If
adequate funds are not available, we would have to scale back or terminate
research programs and product development.

WE MAY NOT BE ABLE TO SUCCESSFULLY COMPETE WITH BIOTECHNOLOGY COMPANIES AND
ESTABLISHED PHARMACEUTICAL COMPANIES.

   The biotechnology and pharmaceutical industries are intensely competitive and
subject to rapid and significant

                                       17
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

technological change. Our competitors in the United States and elsewhere are
numerous and include, among others, major multinational pharmaceutical and
chemical companies, specialized biotechnology firms and universities and other
research institutions. These competitors include Abbott, Astra Zeneca,
Boehringer Ingelheim, Glaxo Wellcome, Pfizer and SmithKline Beecham. Many of
these competitors employ greater financial and other resources, including larger
research and development staffs and more effective marketing and manufacturing
organizations, than we or our collaborative partners. Acquisitions of competing
companies and potential competitors by large pharmaceutical companies or others
could enhance financial, marketing and other resources available to such
competitors. As a result of academic and government institutions becoming
increasingly aware of the commercial value of their research findings, such
institutions are more likely to enter into exclusive licensing agreements with
commercial enterprises, including our competitors, to market commercial
products. Our competitors may develop technologies and drugs that are safer,
more effective or less costly than any we are developing or which would render
our technology and future drugs obsolete and non-competitive. The products of
our competitors marketed to treat chronic bronchitis include anti-inflammatory
products, such as Azmacort(R) and Beclovent(R), bronchodilators such as
Atrovent(R) and Proventil(R), and antibiotics such as Biaxin(R) and
Zithromax(R). Pulmozyme(R), a Genentech product, and TOBI(R) from PathoGenesis
are examples of products used to treat cystic fibrosis. The main current
treatments for dry eye disease involve artificial tear replacement drops. In
addition, alternative approaches to treating diseases which we have targeted,
such as gene therapy, may make our product candidates obsolete. Our competitors
may also be more successful in production and marketing.

   In addition, some of our competitors have greater experience than we do in
conducting preclinical and clinical trials and obtaining FDA and other
regulatory approvals. Accordingly, our competitors may succeed in obtaining FDA
or other regulatory approvals for drug candidates more rapidly than we do.
Companies that complete clinical trials, obtain required regulatory approvals
and commence commercial sale of their drugs before we do may achieve a
significant competitive advantage, including patent and FDA marketing
exclusivity rights that would delay our ability to market products. Drugs
resulting from our research and development efforts, or from our joint efforts
with our collaborative partners may not compete successfully with competitors'
existing products or products under development.

FAILURE TO HIRE AND RETAIN KEY PERSONNEL MAY HINDER OUR PRODUCT DEVELOPMENT
PROGRAMS AND OUR BUSINESS EFFORTS.

   We depend on the principal members of management and scientific staff,
including Christy L. Shaffer, Ph.D., our President, Chief Executive Officer and
director; and Gregory J. Mossinghoff, our Chief Business Officer. If any of
these people leave us, we may have difficulty conducting our operations. We have
not entered into agreements with any of the above principal members of our
management and scientific staff that bind any of them to a specific period of
employment. We do not maintain key person life insurance. Our future success
also will depend in part on our ability to attract, hire and retain additional
personnel skilled or experienced in the pharmaceutical industry. There is
intense competition for such qualified personnel. We may not be able to continue
to attract and retain such personnel.

OUR OPERATIONS INVOLVE A RISK OF INJURY FROM HAZARDOUS MATERIALS, WHICH COULD BE
VERY EXPENSIVE TO US.

   Our research and development activities involve the controlled use of
hazardous materials and chemicals. We cannot completely eliminate the risk of
accidental contamination or injury from these materials. If such an accident
were to occur, we could be held liable for any damages that result and any such
liability could exceed our resources. In addition, we are subject to laws and
regulations governing the use, storage, handling and disposal of these materials
and waste products. The costs of compliance with these laws and regulations
could be substantial.

USE OF OUR PRODUCTS MAY RESULT IN PRODUCT LIABILITY CLAIMS FOR WHICH WE MAY NOT
HAVE ADEQUATE INSURANCE COVERAGE.

   Clinical trials or manufacturing, marketing and sale of our potential
products by our collaborative partners may expose us to liability claims from
the use of those products. Although we carry clinical trial liability insurance,
we currently do not carry product liability insurance. We or our collaborators
may not be able to obtain or maintain

                                       18
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

sufficient or even any insurance. If we can, it may not be at a reasonable cost.
If we cannot or are unable otherwise to protect against potential product
liability claims, we may find it difficult or impossible to commercialize
pharmaceutical products we or our collaborators develop. If claims or losses
exceed our liability insurance coverage, we may go out of business.

IF THIRD PARTY PAYORS WILL NOT PROVIDE COVERAGE OR REIMBURSE PATIENTS FOR ANY
PRODUCTS WE DEVELOP, OUR ABILITY TO DERIVE REVENUES WILL SUFFER.

   Our success will depend in part on the extent to which government and health
administration authorities, private health insurers and other third party payors
will pay for our products. Reimbursement for newly approved health care products
is uncertain. In the United States and elsewhere, third party payors, such as
Medicare, are increasingly challenging the prices charged for medical products
and services. Government and other third party payors are increasingly
attempting to contain health care costs by limiting both coverage and the level
of reimbursement for new therapeutic products. In the United States, a number of
legislative and regulatory proposals aimed at changing the health care system
have been proposed in recent years. In addition, an increasing emphasis on
managed care in the United States has and will continue to increase pressure on
pharmaceutical pricing. While we cannot predict whether legislative or
regulatory proposals will be adopted or what effect those proposals or managed
care efforts, including those relating to Medicare payments, may have on our
business, the announcement and/or adoption of such proposals or efforts could
increase our costs and reduce or eliminate profit margins. Third party insurance
coverage may not be available to patients for any products we discover or
develop. If government and other third party payors do not provide adequate
coverage and reimbursement levels for our products, the market acceptance of
these products may be reduced. In various foreign markets, pricing or
profitability of medical products is subject to government control.

BECAUSE OUR MANAGEMENT WILL HAVE BROAD DISCRETION OVER THE USE OF THE PROCEEDS
FROM OUR INITIAL PUBLIC OFFERING, THE PROCEEDS MAY BE USED IN WAYS STOCKHOLDERS
DO NOT DEEM TO BE ADVISABLE.

   Our management will retain broad discretion as to the allocation of the
proceeds for our initial public offering, including the timing and conditions of
the use of the proceeds. Our management may allocate the proceeds to uses that
stockholders do not deem advisable. If management spends the funds unwisely, we
may not have sufficient working capital to become profitable.

OUR EXISTING DIRECTORS, EXECUTIVE OFFICERS AND PRINCIPAL STOCKHOLDERS HOLD A
SUBSTANTIAL AMOUNT OF OUR COMMON STOCK AND MAY BE ABLE TO PREVENT OTHER
STOCKHOLDERS FROM INFLUENCING SIGNIFICANT CORPORATE DECISIONS.

   Our directors, executive officers and current 5% stockholders and their
affiliates beneficially own approximately 59.7% of the common stock. These
stockholders, if they act together, may be able to direct the outcome of matters
requiring approval of the stockholders, including the election of our directors
and other corporate actions such as our merger with or into another company, a
sale of substantially all of our assets and amendments to our amended and
restated certificate of incorporation. The decisions of these stockholders may
conflict with our interests or those of our other stockholders.

ANTI-TAKEOVER PROVISIONS IN OUR AMENDED AND RESTATED CERTIFICATE OF
INCORPORATION AND BYLAWS, AND OUR RIGHT TO ISSUE PREFERRED STOCK, MAY DISCOURAGE
A THIRD PARTY FROM MAKING A TAKE-OVER OFFER THAT COULD BE BENEFICIAL TO US AND
OUR STOCKHOLDERS.

   Our amended and restated certificate of incorporation and bylaws contain
provisions which could delay or prevent a third party from acquiring shares of
our common stock or replacing members of our board of directors. Our amended and
restated certificate of incorporation allows our board of directors to issue
shares of preferred stock. The Board can determine the price, rights,
preferences and privileges of those shares without any further vote or action by
the stockholders. As a result, our board of directors could make it difficult
for a third party to acquire a majority of our outstanding voting stock.

                                       19
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

   Our amended and restated certificate of incorporation provides that the
members of the board will be divided into three classes. Each year the terms of
approximately one-third of the directors will expire. Our bylaws will not permit
our stockholders to call a special meeting of stockholders. Under the bylaws,
only our President, Chairman of the Board or a majority of the board of
directors will be able to call special meetings. The bylaws also require that
stockholders give advance notice to our Secretary of any nominations for
director or other business to be brought by stockholders at any stockholders'
meeting. These provisions may delay or prevent changes of control or management.

   Further, we are subject to the anti-takeover provisions of Section 203 of the
Delaware General Corporation Law. Under this law, if anyone becomes an
"interested stockholder" in the company, we may not enter a "business
combination" with that person for three years without special approval.

   These provisions could discourage a third party from making a take-over offer
and could delay or prevent a change of control.

OUR COMMON STOCK PRICE IS LIKELY TO BE HIGHLY VOLATILE AND YOUR INVESTMENT IN
OUR STOCK MAY DECLINE IN VALUE.

   The market price of our common stock is likely to be highly volatile. Factors
that could cause volatility and could result in declines in the market price of
our common stock include among others:

   .  announcements made by us concerning results of our clinical trials with
      INS365 Respiratory, INS365 Ophthalmic, INS316 Diagnostic and any other
      product candidates;
   .  changes in government regulations;
   .  regulatory actions as a result of their therapeutic approach;
   .  changes in concerns of our collaborators, in particular our collaborations
      with Genentech, Kissei, Santen and Kirin;
   .  developments concerning proprietary rights including patents by us or our
      competitors;
   .  variations in our operating results; and
   .  litigation.

   Extreme price and volume fluctuations occur in the stock market from time to
time and that can particularly affect the prices of biotechnology companies.
These extreme fluctuations are often unrelated to the actual performance of the
affected companies. These broad market fluctuations could result in significant
declines in the market price of our common stock.

FUTURE SALES BY OUR CURRENT STOCKHOLDERS MAY CAUSE OUR STOCK PRICE TO DECLINE.

   Sales of our common stock by our current stockholders in the public market
could cause the market price of our stock to fall. Sales may also make it more
difficult for us to sell equity securities or equity-related securities in the
future at a time and price that our management deems acceptable, or at all. As
of September 30, 2000, there were 25,413,999 shares of common stock outstanding.
Of these outstanding shares of common stock, all of the 6,325,000 shares sold in
our initial public offering are freely tradable, without restriction under the
Securities Act of 1933, as amended, unless purchased by our "affiliates."
Existing stockholders, who hold the remaining 19,088,999 shares of common stock,
hold "restricted shares" which may be resold in the public market only if
registered or if there is an exemption from registration, such as Rule 144 under
the Securities Act.

   Holders of 16,340,084 shares of common stock and options and warrants to
purchase 356,823 shares of common stock, held as of September 30, 2000, are
entitled to registration rights. Upon registration, these shares may be freely
sold in the public market.

   All of our officers, directors, and holders of at least one percent of our
stock have signed lock-up agreements, in which they agreed that they will not,
directly or indirectly, offer, sell or agree to sell, or otherwise dispose of
any shares of our common stock or other securities in the public market without
the prior written consent of Deutsche

                                       20
<PAGE>

                         Inspire Pharmaceuticals, Inc.
                         (a development stage company)

Bank Securities, Inc. for a period of 180 days after the final prospectus
relating to our initial public offering. Upon expiration of the lock-up
agreements approximately 16,975,000 shares of common stock covered by these
agreements will be immediately eligible for resale, subject to the requirements
of Rule 144.

   We may issue additional shares:

   .    to employees, directors and consultants;
   .    in connection with corporate alliances;
   .    in connection with acquisitions; and
   .    to raise capital.

   As a result of these factors, a substantial number of shares of our common
stock could be sold in the public market at any time.

Item 6. Exhibits and Reports on Form 8-K
        ---------------------------------

        a)  Exhibits:

Exhibit
No.     Description of Exhibit
---     ----------------------

3.1     Amended and Restated Certificate of Incorporation (Incorporated by
        reference to Exhibit 3.1 to the Company's Registration Statement on
        Form S-1 (Registration No. 333-31174) which became effective on
        August 2, 2000).

3.2     Amended and Restated Bylaws (Incorporated by reference to Exhibit
        3.2 to the Company's Registration Statement on Form S-1
        (Registration No. 333-31174) which became effective on August 2,
        2000).

10.1*   License Agreement between Inspire Pharmaceuticals, Inc. and Kirin
        Brewery Company, Ltd., Pharmaceutical Division, dated as of
        September 12, 2000.

27.1    Financial Data Schedule.

___________

*    Confidential treatment has been requested with respect to a portion of this
     Exhibit.

        b)  Reports on Form 8-K:

No current reports on Form 8-K were filed during the reporting period.

                                       21
<PAGE>

                                  SIGNATURES

Pursuant to requirements of the Securities Exchange Act of 1934, the Registrant
has duly caused this report to be signed on its behalf by the undersigned
thereunto duly authorized.

                                   Inspire Pharmaceuticals, Inc.


Date: November 2, 2000             By:  /s/ Christy L. Shaffer
----------------------                  ----------------------
                                        Christy L. Shaffer
                                        President, Chief Executive Officer
                                        and Director

Date: November 2, 2000             By:  /s/ Gregory J. Mossinghoff
----------------------                  --------------------------
                                        Gregory J. Mossinghoff
                                        Chief Business Officer, Secretary
                                        and Treasurer
<PAGE>

                                 EXHIBIT INDEX


Exhibit
No.       Description of Exhibit
---       ----------------------

3.1       Amended and Restated Certificate of Incorporation (Incorporated by
          reference to Exhibit 3.1 to the Company's Registration Statement on
          Form S-1 (Registration No. 333-31174) which became effective on August
          2, 2000).

3.2       Amended and Restated Bylaws (Incorporated by reference to Exhibit 3.2
          to the Company's Registration Statement on Form S-1 (Registration No.
          333-31174) which became effective on August 2, 2000).

10.1*     License Agreement between Inspire Pharmaceuticals, Inc. and Kirin
          Brewery Company, Ltd., Pharmaceutical Division, dated as of September
          12, 2000.

27.1      Financial Data Schedule

__________

*    Confidential treatment has been requested with respect to a portion of this
     Exhibit.


© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission