Unassociated Document

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

Form 6-K

REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 UNDER THE SECURITIES EXCHANGE ACT OF 1934

For the month of April, 2008.

Commission File Number 000-51341


Gentium S.p.A.
(Translation of registrant’s name into English)
 
Piazza XX Settembre 2, 22079 Villa Guardia (Como), Italy  
(Address of principal executive office)
 
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F S Form 40-F □

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): ____

Note: Regulation S-T Rule 101(b)(1) only permits the submission in paper of a Form 6-K if submitted solely to provide an attached annual report to security holders.

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): ____

Note: Regulation S-T Rule 101(b)(7) only permits the submission in paper of a Form 6-K if submitted to furnish a report or other document that the registrant foreign private issuer must furnish and make public under the laws of the jurisdiction in which the registrant is incorporated, domiciled or legally organized (the registrant’s “home country”), or under the rules of the home country exchange on which the registrant’s securities are traded, as long as the report or other document is not a press release, is not required
to be and has not been distributed to the registrant’s security holders, and, if discussing a material event, has already been the subject of a Form 6-K submission or other Commission filing on EDGAR.

Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934. Yes □ No S

If “Yes” is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b):
82-_______________.
 


Description of events affecting the Registrant are set forth in the Registrant's press release, dated April 1, 2008, attached hereto as Exhibit Number 1 and incorporated by reference herein in its entirety.
 
Exhibit   Description
     
1   Press release, dated April 1, 2008.
   

 
INDEX TO EXHIBITS
 
Exhibit   Description
     
1   Press release, dated April 1, 2008.
   

 

Exhibit 1
PRESS RELEASE
 
FOR IMMEDIATE RELEASE

Company Contact: 
Gary G. Gemignani
Chief Financial Officer
212-332-1666
ggemignani@gentium.com

Investor Relations Contacts:
U.S.
The Trout Group
Laura Okpala, 617-583-1306
lokpala@troutgroup.com

Italy:
Lifonti & Company
Luca Ricci Maccarini
luca.maccarini@lifonti.it
+39 02. 7788871

 
Gentium Reports 2007 Financial Results; Provides Financial and Clinical Update

Villa Guardia (Como), Italy (April 1, 2008) - Gentium S.p.A. (NASDAQ: GENT) (the “Company”) today reported financial results for the quarter and year ended December 31, 2007. Highlights of 2007, as well as developments since year end include:

·  
Continued progress was made in the ongoing Phase III clinical trial in the U.S., which is evaluating the Company's lead product, Defibrotide, as a potential treatment for patients with Veno-Occlusive Disease ("VOD") with multiple organ failure ("Severe VOD"). This trial has now enrolled 85 patients to date in its prospective arm and 86 patients in the historical control arm. The DSMB initiated its interim analysis in January 2008 and concluded that there are no safety concerns and that stratification between the prospective treatment and historical control arms appears to be balanced. The DSMB requested that certain trial data be clarified and supplemented. Once the DSMB has concluded its review, the Company plans to make a further announcement.

·  
In December 2007, the Company filed an amendment to the protocol for its Phase III clinical trial of Defibrotide to treat Severe VOD. The trial previously had a primary endpoint of survival at 100 days after stem cell transplantation, and a secondary endpoint of complete response. The amendment reversed those endpoints, making complete response the primary endpoint and survival a major secondary endpoint. The Company has already been collecting data on both endpoints, and therefore the change will not delay or require additional enrollment of patients. Complete response was the primary endpoint for the Phase II clinical trial of Defibrotide to treat Severe VOD that was completed in 2005. The Company made this change after discussions with the FDA and believes that complete response better demonstrates the efficacy of Defibrotide and therefore is a more appropriate endpoint for this trial.


 
·  
In Q4 2007, the Company instituted an expanded access program for Defibrotide to treat Severe VOD. Under an expanded access program, the FDA allows early access to investigational drugs that are being developed to treat serious diseases for which there is no satisfactory alternative therapy. The Company will collect additional safety data from the expanded access program patients to support its planned New Drug Application for the use of Defibrotide to treat Severe VOD.

·  
Progress has also been made with the Company's Phase II/III clinical trial in Europe, which is evaluating Defibrotide for the prevention of VOD in children. The trial has enrolled 251 of an expected 270 patients and the interim analysis is anticipated to begin during 2008.

·  
The Company has recently received a scientific advice letter from the European Medicine’s Agency (EMEA) regarding the protocol of ongoing and future trials for Defibrotide in the prevention of VOD in adult and pediatric patients. The process of obtaining a scientific advice letter allows companies to establish a dialogue with the EMEA and receive advice regarding the trials and data necessary to demonstrate the quality, safety and efficacy of drugs in development. Scientific advice received from the EMEA is applicable across the European Union.

·  
In October 2007, in connection with its current License and Supply Agreement with Sigma-Tau Pharmaceuticals, Inc., the Company signed a letter agreement with Sigma-Tau whereby Sigma-Tau agreed to reimburse the Company for 50% of certain costs of the Company's Phase III clinical trial of Defibrotide to treat Severe VOD.

·  
In October 2007, the Company exercised a right to require the exercise of warrants issued in connection with its 2005 PIPE offering. The Company realized gross proceeds of approximately $5.384 million from these exercises, bringing cash and cash equivalents to €25.96 million at year end.

·  
Investigators from the European Phase I/II clinical trial of Defibrotide to treat advanced and refractory multiple myeloma patients presented the final results at the American Society of Hematology Annual Meeting in December 2007.

·  
Investigators are presenting abstracts and publications featuring Defibrotide at the European Group Bone and Marrow Transplantation (EBMT) Annual Congress, taking place in Florence, Italy from March 30 through April 2, 2008.



Clinical Highlights and Outlook
 
Commenting on Gentium’s progress during the quarter, Laura Ferro, M.D., Chairman and Chief Executive Officer said, “We are very pleased with the progress of our Defibrotide development program during 2007 and look ahead into 2008 as a landmark year for the Company. During the coming quarters, we will remain focused on advancing Defibrotide in the VOD indications through the completion of the interim analysis of the Company's Phase III clinical trial of Defibrotide to treat Severe VOD and expect results for this trial later in the year. We also expect to progress enrollment in the Phase II/III clinical of Defibrotide to prevent VOD in children in Europe, and plan to initiate a second Phase II/III clinical trial of Defibrotide to prevent VOD in adults and children in the United States and adults in Europe. We are particularly encouraged by the Scientific Advice letter received recently from the EMEA, as this will provide us with valuable guidance as we advance our Defibrotide development program in Europe."
 

Financial Highlights

The Company reports its financial condition and operating results using U.S. Generally Accepted Accounting Principles (GAAP). The Company’s financial statements are prepared using the Euro as its functional currency. On December 31, 2007, €1.00 = $ 1.4603.

For the fourth quarter ended December 31, 2007 compared with the prior-year’s fourth quarter:

·  
Total revenues were €2.23 million, compared with €1.32 million
·  
Operating costs and expenses were €7.84 million, compared with €5.14 million
·  
Research and development expenses, which are included in operating costs and expenses, were €4.36 million, compared with €2.56 million
·  
Operating loss was €5.61 million, compared with €3.82 million
·  
Interest income, net, was €0.4 million, compared with €0.2 million
·  
Pre-tax loss was €6.25 million, compared with €4.15 million
·  
Net loss was €6.25 million, compared with €4.15 million
·  
Basic and diluted net loss per share was €0.42 compared with €0.35 per share

For the year ended December 31, 2007 compared with prior-year:

·  
Total revenues were €7.61 million, compared with €4.32 million
·  
Operating costs and expenses were €40.58 million, compared with €18.55 million. Operating costs and expenses include a €13.74 million write-down of the assets the Company acquired from Crinos in 2007. Excluding such write-down, operating costs and expenses would have been €26.84 million.
·  
Research and development expenses, which are included in operating costs and expenses, were €15.09 million, compared with €8.93 million
·  
Operating loss was €32.96 million, compared with €14.23 million. Excluding the write-down of the assets acquired from Crinos, operating loss would have been €19.22 million.
·  
Interest income, net, was €1.36 million, compared with €0.49 million
·  
Pre-tax loss was €35.60 million, compared with €14.37 million 
·  
Net loss was €35.60 million, compared with €14.37 million. Excluding the write-down of the assets acquired from Crinos, net loss would have been €21.86 million.
  

  
·  
Basic and diluted net loss per share was €2.52 compared with €1.33 per share. Excluding the write-down of the assets acquired from Crinos, basic and diluted net loss per share would have been €1.55 per share.
·  
Cash used in operating activities was €10.17 million, compared with €12.15 million
·  
Cash and cash equivalents amounted to €25.96 million as of December 31, 2007
 

Operating Results and Trends
 
The fluctuation in product sales revenues for the three- and twelve- month periods compared with the prior-year periods is primarily due to varying demand for our products from our customers. Total product sales revenues for year ended December 31, 2007 increased by €1.02 million, or 25%, compared with the same period in 2006. Sales to affiliates represented 53% and 92% of the total product sales in the twelve months ended December 31, 2007 and 2006, respectively. Sales to third parties increased to €2.39 million mainly due to higher demand for our active pharmaceutical ingredient sulglicotide in the South Korean market and due to our acquisition of the Italian marketing authorization and trademarks regarding Defibrotide, which allowed the Company to sell Defibrotide directly to distributors instead of indirectly through Sirton.
 
Other revenues were €2.51 million for the twelve-month period ended December 31, 2007, compared to €0.25 million in 2006. The increase is mainly attributable to the reimbursement of certain costs incurred in the Company's Phase III clinical trial of Defibrotide to treat Severe VOD under a cost-sharing agreement with Sigma-Tau Inc.  Reimbursement payments from Sigma-Tau are now being accounted for as revenue as opposed to a reduction of R&D expense as they were previously classified in the third quarter 2007.

Cost of goods sold was €4.0 million for the twelve-month period ended December 31, 2007, compared to €3.01 million in 2006. In 2007, we wrote down €206 thousand of inventory to adjust product cost to its net realizable value. Cost of goods sold as percentage of product sales was 78.2% in 2006 and 75.9% in 2006.

Research and development spending increased during the three- and twelve- month periods in 2007 compared with 2006, primarily due to the costs associated with the Company’s Phase III trial in the U.S. for the treatment of Severe VOD. Growth in headcount and outside services to support increased activity in our clinical trials, including clinical product production costs, contract research organization expenses, regulatory activities and stock-based compensation expense also contributed to increased research and development expenses.
 
The Company had 80 employees as of December 31, 2007, compared with 65 as of December 31, 2006. Other general and administrative expense increases were primarily the result of increased headcount and facilities related expenses, costs incurred on Sarbanes-Oxley implementation, general corporate expenses and stock-based compensation expense.

In 2007, the Company recorded an impairment charge of €13.74 million regarding the Italian marketing authorization and related trademarks for Defibrotide. The charge reflects the adjustment of the assets acquired to the net present value of the estimated future cash-flow from the sales of the oral formulation of Defibrotide in the indication currently approved in the Italian market.


 
Interest income, net, increased to €1.36 million in the twelve-month period ending December 31, 2007 over comparable period in 2006. Interest income amounted to €1.67 million and €0.71 million in the twelve months ended December 31, 2007 and 2006, respectively, an increase of €0.96 million. The increase is due to a higher amount of invested funds as a result of a private placement completed in February 2007. Interest expense totaled €0.31 million and €0.22 million in the twelve months ended December 31, 2007 and 2006, respectively.
 
The Company ended the fourth quarter of 2007 with €25.96 million in cash and cash equivalents, compared with cash and cash equivalents of €10.21 million as of December 31, 2006.

About Gentium

Gentium, S.p.A., located in Como, Italy, is a biopharmaceutical company focused on the research, discovery and development of drugs to treat and prevent a variety of vascular diseases and conditions related to cancer and cancer treatments. Defibrotide, the Company’s lead product candidate, is an investigational drug that has been granted Orphan Drug status and Fast Track Designation by the U.S. FDA to treat Severe VOD and Orphan Medicinal Product Designation by the European Commission both to treat and to prevent VOD.

Cautionary Note Regarding Forward-Looking Statements

This press release contains “forward-looking statements.” In some cases, you can identify these statements by forward-looking words such as “may,” “might,” “will,” “should,” “expect,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “potential” or “continue,” the negative of these terms and other comparable terminology. These statements are not historical facts but instead represent the Company’s belief regarding future results, many of which, by their nature, are inherently uncertain and outside the Company’s control. It is possible that actual results may differ, possibly materially, from those anticipated in these forward-looking statements. For a discussion of some of the risks and important factors that could affect future results, see the discussion in our Form 20-F for the year ended December 31, 2007 under the caption “Risk Factors.”

Source: Gentium

(Tables to follow)



GENTIUM S.p.A.
Balance Sheets
(in thousands, except share data)
 
 
   
As of December 31, 
 
           
   
2006 
 
2007
 
           
ASSETS
         
Cash and cash equivalents
 
10,205
 
25,964
 
Restricted cash
   
4,000
   
-
 
Accounts receivables
   
227
   
805
 
Accounts receivables from related parties
   
3,478
   
4,149
 
Inventories, net
   
1,499
   
1,510
 
Prepaid expenses and other current assets
   
1,427
   
4,844
 
Total Current Assets
   
20,836
   
37,272
 
               
Property, manufacturing facility and equipment, at cost
   
18,974
   
20,590
 
Less: Accumulated depreciation
   
9,550
   
9,046
 
Property, manufacturing facility and equipment, net
   
9,424
   
11,544
 
               
Intangible assets, net of amortization
   
556
   
2,592
 
Marketable securities
   
560
   
525
 
Other non-current assets
   
4,017
   
26
 
Total Assets
 
35,393
 
51,959
 
               
LIABILITIES AND SHAREHOLDERS’ EQUITY
             
Accounts payable
 
4,734
 
9,583
 
Accounts payable to Crinos
   
-
   
4,000
 
Accounts payable to related parties
   
454
   
2,095
 
Accrued expenses and other current liabilities
   
1,198
   
1,223
 
Deferred revenue
   
140
   
-
 
Current portion of capital lease obligation
   
43
   
107
 
Current maturities of long-term debt
   
724
   
1,262
 
Total Current Liabilities
   
7,293
   
18,270
 
               
Long-term debt, net of current maturities
   
5,683
   
4,421
 
Capital lease obligation
   
48
   
223
 
Termination indemnities
   
682
   
686
 
Total Liabilities
   
13,706
   
23,600
 
               
Share capital (par value: €1.00; 15,111,292 and 18,454,292 shares authorized at December 31, 2006 and 2007, respectively; 11,773,613 and 14,946,317 shares issued at December 31, 2006 and 2007, respectively)
   
11,774
   
14,946
 
Additional paid in capital
   
49,476
   
88,618
 
Accumulated other comprehensive income (loss)
   
32
   
(2
)
Accumulated deficit
   
(39,595
)
 
(75,203
)
Total Shareholders’ Equity
   
21,687
   
28,359
 
Total Liabilities and Shareholders’ Equity
 
35,393
 
51,959
 
 
 
 

 

GENTIUM S.p.A.
Statements of Operations
(Unaudited, in thousands, except per share data)
 
   
For the Three Months Ended
December 31,
 
For the Year Ended
December 31,
 
   
2006
 
2007
 
2006
 
 2007
 
Revenues:
 
 
 
 
     
 
 
Product sales to related party
   
1,102
 
557
 
3,754
 
2,704
 
Product sales to third party
   
166
   
1,062
   
321
   
2,390
 
Total product sales
   
1,268
   
1,619
   
4,075
   
5,094
 
Other revenues
   
52
   
611
   
249
   
2,515
 
Total Revenues
   
1,320
   
2,230
   
4,324
   
7,609
 
 
                         
Operating costs and expenses:
                         
Cost of goods sold
   
648
   
1,300
   
3,092
   
3,983
 
Research and development
   
2,565
   
4,364
   
8,927
   
15,098
 
General and administrative
   
1,634
   
1,696
   
5,421
   
6,279
 
Depreciation and amortization
   
71
   
222
   
261
   
725
 
Charges from related parties
   
222
   
258
   
854
   
748
 
Write-down of acquired assets
   
-
   
-
   
-
   
13,740
 
 
   
5,140
   
7,840
   
18,555
   
40,573
 
Operating loss
   
(3,820
)
 
(5,610
)
 
(14,231
)
 
(32,964
)
 
                         
Foreign currency exchange gain (loss), net
   
(483
)
 
(991
)
 
(627
)
 
(4,001
)
Interest income (expense), net
   
152
   
348
   
490
   
1,357
 
 
                         
Loss before income tax expenses
   
(4,151
)
 
(6,253
)
 
(14,368
)
 
(35,608
)
                           
Income tax expense
   
-
   
-
   
-
   
-
 
Net loss
 
(4,151
)
(6,253
)
(14,368
)
(35,608
)
 
                         
Shares used in computing net loss per share, basic
and diluted
   
11,704,661
   
14,793,129
   
10,808,890
   
14,105,128
 
                           
Net loss per share:
                         
Basic and diluted net loss per
share
 
(0.35
)
 
(0.42
)
 
(1.33
)
 
(2.52
)
 
 
 

 

GENTIUM S.p.A.
Statements of Cash Flows
(Unaudited, in thousands)
 
   
For the Year Ended December 31,
 
   
2006
 
2007
 
Cash Flows From Operating Activities:
         
Net loss
 
(14,368
)
(35,608
)
Adjustments to reconcile net income to net cash provided by (used in) operating
activities:
             
Write-down of acquired assets
   
-
   
13,740
 
Unrealized foreign exchange loss
   
509
   
2,951
 
Depreciation and amortization
   
1,008
   
1,538
 
Stock based compensation
   
908
   
1,804
 
Deferred revenue
   
(143
)
 
(140
)
Gain on fixed assets disposal
   
(23
)
 
(15
)
Adjustment of inventory to net realizable value
   
-
   
206
 
Non cash interest expense
   
4
   
-
 
Changes in operating assets and liabilities:
             
Accounts receivable
   
(1,830
)
 
(1,249
)
Inventories
   
129
   
(217
)
Prepaid expenses, other current and non current assets
   
(482
)
 
(3,426
)
Accounts payable and accrued expenses
   
2,165
   
10,243
 
Termination indemnities
   
(24
)
 
4
 
Net cash used in operating activities
   
(12,147
)
 
(10,169
)
               
Cash Flows From Investing Activities
             
Capital expenditures
   
(1,445
)
 
(2,890
)
Intangible expenditures
   
(503
)
 
(215
)
Proceeds from sale of asset
   
23
   
15
 
Restricted Cash
   
(4,000
)
 
4,000
 
Acquisition of Crinos Assets
   
(4,000
)
 
(12,000
)
Investment in marketable securities
   
(530
)
 
-
 
Net cash used in investing activities
   
(10,455
)
 
(11,090
)
               
Cash Flows From Financing Activities:
             
Proceeds from equity offering, net
   
15,896
   
34,483
 
Proceeds from warrant and stock option exercise exercises
   
1,736
   
6,027
 
Repayments of long-term debt
   
(681
)
 
(724
)
Proceeds from short term borrowings
   
-
   
279
 
Principal payment of capital lease obligations
   
(42
)
 
(89
)
Proceeds from long term debt, net
   
5,518
   
-
 
Early extinguishment of long term debt
   
(1,868
)
 
-
 
Net cash provided by financing activities
   
20,559
   
39,976
 
Effect of foreign exchange rate
   
(537
)
 
(2,958
)
Increase/(decrease) in cash and cash equivalents
   
(2,043
)
 
18,717
 
Cash and cash equivalents, beginning of period
   
12,785
   
10,205
 
Cash and cash equivalents, end of period
 
10,205
 
25,964
 

 
 

 
 
SIGNATURE

Pursuant to the 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.
     
  GENTIUM S.P.A.
 
 
 
 
 
 
  By:   /s/ Gary G. Gemignani
 
Name: Gary G. Gemignani
  Title:   Executive Vice President and Chief Financial Officer
 
Date: April 1, 2008