Aastrom Biosciences, Inc.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Date of report (date of earliest event reported):
March 22, 2006
Aastrom Biosciences, Inc.
(Exact name of registrant as specified in its charter)
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Michigan
(State or other jurisdiction of
incorporation)
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0-22025
(Commission File No.)
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94-3096597
(I.R.S. Employer Identification
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24 Frank Lloyd Wright Drive
P.O. Box 376
Ann Arbor, Michigan 48106
(Address of principal executive offices)
Registrants telephone number, including area code:
(734) 930-5555
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the
filing obligation of the registrant under any of the following provisions:
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
TABLE OF CONTENTS
Item 8.01 Other Events.
On March 22, 2006, we issued a press release announcing the presentation at a medical
symposium by Matthew L. Jimenez, M.D., the Principal Investigator of Aastroms U.S. Phase I/II
multi-center clinical trial evaluating the use of Aastroms Tissue Repair Cells in the treatment of
severe fractures that have failed prior treatment interventions. Dr. Jimenez presentation
addresses the results from his early clinical experience with the first seven patients he has
treated in this trial. A copy of the press release is attached hereto as Exhibit 99.1, and a copy
of Dr. Jimenez presentation is attached hereto as Exhibit 99.2.
Item 9.01 Financial Statements and Exhibits.
(c) Exhibits.
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Exhibit No. |
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Description |
99.1
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Press Release dated March 22, 2006 |
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99.2
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Slides used in presentation |
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SIGNATURES
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 hereunto duly authorized.
Date: March 22, 2006
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AASTROM BIOSCIENCES, INC. |
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By:
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/s/ Gerald D. Brennan, Jr. |
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Gerald D. Brennan, Jr. |
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Vice President, Administrative and |
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Financial Operations, CFO |
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Exhibit 99.1
EXHIBIT 99.1
FOR IMMEDIATE RELEASE
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CONTACTS:
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Kris M. Maly
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Cameron Associates |
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Investor Relations Department
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Kevin McGrath |
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Aastrom Biosciences, Inc.
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Phone: (212) 245-4577 |
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Phone: (734) 930-5777 |
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AASTROM BIOSCIENCES U.S. CLINICAL INVESTIGATOR TO REPORT ON
LONG BONE FRACTURE REPAIR TRIAL
Positive Patient Treatment Results Presented at Combined Orthopaedic Research Society
and American Academy of Orthopaedic Surgeons Meetings
Ann Arbor, Michigan, March 22, 2006 Aastrom Biosciences, Inc. (Nasdaq: ASTM) announced today
that Matthew L. Jimenez, M.D. will present results from his early clinical experience with the
first seven patients treated for recalcitrant long bone non-union fractures with Aastroms Tissue
Repair Cells (TRCs). The presentation will be delivered today as part of a symposium at the
combined Orthopaedic Research Society and American Academy of Orthopaedic Surgeons meetings in
Chicago, IL. Dr. Jimenez, of the Illinois Bone & Joint Institute, Morton Grove, IL, is the
Principal Investigator of Aastroms U.S. Phase I/II multi-center clinical trial evaluating the use
of TRCs a mixture of stem, stromal and progenitor cells derived from the patients bone marrow
in the treatment of severe fractures that have failed prior treatment interventions.
Dr. Jimenez will present a brief overview of the multi-center trial that is currently underway, as
well as the background and progress of the first seven patients that he treated in the trial. The
results include data from the first 6 months of observation after TRC grafting that was combined
with surgical correction of long-standing non-union fractures. The results noted in this U.S.
trial complement observations previously reported in Aastroms European feasibility study, showing
positive bone regeneration with no TRC-related adverse events. A copy of Dr. Jimenez planned
presentation is being filed today on Form 8-K with the SEC. At that time the presentation may be
accessed on Aastroms website using the following link:
http://www.aastrom.com/pdf/MLJ-Presentation-032206.pdf.
These seven patients, treated at Lutheran General Hospital in Park Ridge, IL, all had fractures of
their tibia bone which had failed to heal after one to three (with a mean of two) prior standard of
care bone grafting and surgical treatments. Previous treatment approaches included failures in
internal and external fixation to align and immobilize the fractured bone, autologous bone grafting
and bone morphogenetic protein (BMP) supplementation. The average period of time from the initial
fractures to TRC treatment was 12 months (range 7 to 29 months). The TRC-treated patients, age
30-73 years, underwent open reduction and internal fixation (ORIF) surgery in which TRCs were
applied directly at the fracture site, together with an allograft bone matrix graft extender
(provided by Aastroms partner in the study, the Musculoskeletal Transplant Foundation) to promote
local bone regeneration.
Bone regeneration, evidenced by callus formation or bone bridging, was observed in radiographs for
all seven patients by 6 months. Early healing was seen in four of the patients by 3 months after
treatment with TRCs. Post-surgical evaluations of these patients using standard clinical and
radiographic evaluations of the healing fracture site will continue over a 12 month period. The
multi-center trial is accruing up to a total of 36 patients.
I am encouraged by the healing of these very difficult to treat fractures in these first few
patients. The use of an autologous bone marrow-derived tissue product as an innovative cell therapy
has the potential to provide a valuable alternative to some of the most difficult orthopedic
challenges in
-more-
Aastrom-Interim-US-BF-Jimenez
March 22, 2006
Page 2
trauma, commented Matthew L. Jimenez, M.D. We, and the other clinical sites in this study, will
continue to accrue and treat patients with this novel TRC product.
This multi-center trial protocol is approved at the following treatment centers: Lutheran General
Hospital, Park Ridge, IL; the University of Michigan Health System, Ann Arbor, MI; William Beaumont
Hospital, Royal Oak, MI; Lutheran Medical Center, Brooklyn, NY; and, University of Nebraska Medical
Center, Omaha, NE.
These early pilot data are most encouraging, especially given the poor prognosis of these patients
who had failed standard-of-care treatments. We are adding to our knowledge the use of TRCs with
different formulations of bone gap-filling materials. These results in patients using allograft
matrix complement our European studies which tested TRCs with synthetic ceramic matrices, stated
Janet M. Hock, B.D.S., Ph.D., Vice President Global Research and Chief Scientific Officer of
Aastrom. While these data are very promising, we will maintain caution in interpreting the
results of our U.S. trial of non-union fractures until the full set of 36 patients at the five
sites is completed.
About Tissue Repair Cells
Tissue Repair Cells (TRCs) are Aastroms proprietary mixture of bone marrow-derived adult stem,
stromal and progenitor cells produced using patented single-pass perfusion technology in the
AastromReplicell® System. The clinical procedure begins with the collection of a small
sample of bone marrow from the patients hip in an outpatient setting. TRCs are then produced in
the automated AastromReplicell System over a 12-day period. It has been demonstrated in the
laboratory that TRCs are able to develop into different types of tissue lineages in response to
inductive signals, including hematopoietic (blood and immune systems), mesenchymal (connective
tissues such as bone), adipose, and endothelial (vascular tubules). In clinical trials, TRCs have
been shown to be safe in over 200 patients.
About Aastrom Biosciences, Inc.
Aastrom Biosciences, Inc. (Nasdaq: ASTM) is developing products for the repair or regeneration of
multiple human tissues, based on its proprietary Tissue Repair Cell (TRC) adult stem cell
technology. Aastroms TRC products contain large numbers of stem, stromal and progenitor cells
that are produced from a small amount of bone marrow cells originating from the patient. The
AastromReplicell® System, an industry-unique automated cell product manufacturing
platform, was developed for the production of standardized, patient-specific TRC products. TRC
products have been used safely in humans as a substitute for bone marrow stem cells, and are
currently in clinical trials for bone grafting (long bone fractures and spine fusion) and blood
vessel regeneration (diabetic limb ischemia) applications. The Company has recently reported
positive interim clinical trial results for its TRCs demonstrating both the clinical safety and
ability of TRCs to induce healthy new tissue growth (long bone fractures and jaw bone
reconstruction).
For more information, visit Aastroms website at www.aastrom.com.
This document contains forward-looking statements, including without limitation, statements
concerning product development objectives, planned clinical trials, potential advantages of TRCs
and the AastromReplicell® System, and potential product applications, which involve
certain risks and uncertainties. The forward-looking statements are also identified through use of
the words may, planned, potential, and other words of similar meaning. Actual results may
differ significantly from the expectations contained in the forward-looking statements. Among the
factors that may result in differences are, potential product development difficulties, clinical
trial results, potential patient accrual difficulties, the effects of competitive therapies,
regulatory approval requirements, the availability of financial and other resources and the
allocation of resources among different potential uses. These and other significant factors are
discussed in greater detail in Aastroms Annual Report on Form 10-K and other filings with the
Securities and Exchange Commission.
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Exhibit 99.2
EXHIBIT 99.2
ADULT STEM CELL
THERAPY FOR ADULT
NONUNIONS
Matthew L. Jimenez, MD
Illinois Bone and Joint Institute
Lutheran General Hospital
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OUTLINE
Review Study Design
Review Surgical Technique
Clinical Case Examples
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TISSUE REPAIR CELLS
(TRCs)
Aastrom Biosciences, Inc. Ann Arbor, MI
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THE TRC PRODUCTION PROCESS
Small aspirate
from patient
Office
procedure
TRCs generate
healthy tissues
> 200 patients
treated to date
TRCs produced in
AastromReplicell System
Centralized GMP
manufacturing facility
Bone marrow stem
cell product in 12
days
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UNITED STATES PHASE 2
FRACTURE TRIAL
Objective: Determine Safety of
TRC Cell Therapy as an Adjunct
for Non-union Fracture Healing
Multi-site, Prospective,
Consecutive Case Series
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UNITED STATES PHASE 2
FRACTURE TRIAL
Total No. Patients (all sites): 36
Pilot Phase: 11 Patients
7 Subjects have completed 6 months
observation (this report)
Expanded Phase: 25 Subjects
Protocol changes for improved process and
data collection
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UNITED STATES PHASE 2
FRACTURE TRIAL
Primary Endpoint: 6 months *
Frequency and Type of Adverse Events
Fracture Healing
Cortical bone bridging in 2 orthogonal
radiographs
Safety Surveillance: 12 Months
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STUDY INCLUSION CRITERIA
Inclusion
Duration of Non-healing: 4 Months Minimum
from Original Fracture Reduction
Fracture Gap 0-6 cm
Distance > 4cm from Joint
Atrophic Non-union by Radiographs, CT,
Ultrasound
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STUDY INCLUSION CRITERIA
Acute Open Tibial Fracture Type IIIA or IIIB
No Clinical Signs of Infection at Fracture or
Operative Site
At Least 18 years Old
Normal Bone Marrow and Organ Function to
Ensure Good Cell Aspirate
Inclusion
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STUDY EXCLUSION CRITERIA
Exclusion
Patients Unable to Discontinue Alcohol Abuse;
Smoking Discouraged
Patients who Need Corticosteroids, NSAIDs,
cox-2 Inhibitors or other Anti-inflammatory
Therapy after Surgery
Genetic Metabolic Bone Disease; Chronic Renal
Disease; Diabetes Mellitus
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STUDY EXCLUSION CRITERIA
Exclusion
Patients on Systemic Antibiotics for Suspected
Fracture Site Infection
Allergies to Specific Cytokines or Animal
Proteins
Used in ex vivo Cell Production Process
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PATIENT HISTORIES FOR NONUNIONS
Gender Age Smoker Bone Cause No. prior surgeries Prior treatment for non-union: History
1 M
Caucasian 55 Tibia Auto accident 1 Reamed IM nail, comminuted fracture, bone defects
2 F
Caucasian 42 Tibia Leg crushed by feed grinder 1 Locked plate, comminuted fracture, bone defects
3 M
Caucasian 51 ? Tibia Auto accident 2 Locked plate; BMP x 2, allograft, ORIF, NSAID
4 M
Caucasian 30 Tibia Struck by car
1 Locked plate, bone defects, comminuted fracture
5 M
Caucasian 73 Tibia Fall 3 Combo locking plate, Inadequate immobilization; autograft, bone defects, site infection
6 F Caucasian 44 ?
Tibia Auto accident
1 Reamed IM nail, bone defects, comminuted bone
7 M
Hispanic 45 Tibia Fall from height 3 Repeated failed external fixation, bone defects
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PILOT STUDY
Early Results
7 Patients
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INTERIM RESULTS: Safety
Single Surgeon, Single site: 7 patients
Safety: No TRC-related Adverse Events
Surgical Adverse Events in 2/7
Acute Infections, Resolved, Fractures United
No Morbidity at Site of Marrow Aspirate
No Change in Serum Biochemistry or White
Cell Counts
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INTERIM RESULTS: Safety
Single Surgeon, Single site: 7 patients
Radiographic Evidence of Bony Callus
Formation was Present at 12 and 24 Weeks after
Surgery in 4/7 and 7/7 Patients Respectively
Serum Alkaline Phosphatase Increased 24% at 2
Weeks Post-op, Indicative of Stimulated Bone
Formation
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GOALS OF SURGERY
Create a Stable Mechanical
Construct
Enhance the Biological
Environment
Favorable to Bone and Vascular
Regeneration
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SURGICAL GOALS
Safely Remove
Previous
Fixation Device
Surgical
Exposure
Prepare
Nonunion
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SURGICAL GOALS
Safely Remove
Previous
Fixation Device
if Any
Surgical
Exposure
Prepare
Nonunion
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SURGICAL GOALS
Safely Remove
Previous
Fixation Device
if Any
Surgical
Exposure
Prepare
Nonunion
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SURGICAL GOALS
Safely Remove
Previous
Fixation Device
if Any
Surgical
Exposure
Prepare
Nonunion
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Bone Discontinuity
Large Bone Defects
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SURGICAL GOALS
Provide Fracture
Stability
In this Case,
Absolute Stability
Locked Plate
Construct
4.5 Narrow Combi-
hole plate
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COMPONENTS FOR MIXING
ALLOGRAFT WITH TRCs
Allograft
Partially Demineralized
Cortical-cancellous
0.5-2.0mm Particle Size
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COMPONENTS FOR MIXING
ALLOGRAFT WITH TRCs
Stem Cells
TRC's Suspended in
Electrolyte Solution with
..5% Human Serum
Albumin
Standardized cGMP
Product Qualified and
Containing approx 175
Million TRCs
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COMBINE CELLS WITH
ALLOGRAFT
60 cc Syringe and 18
Gauge Needle
Withdraw Cells Slowly
Cells in fluid suspension
Slowly Drip the Cells
onto the Allograft
Gently Mix the Cells and
Allograft
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COMBINE CELLS WITH
ALLOGRAFT
60 cc Syringe and 18
Gauge Needle
Withdraw Cells Slowly
Cells in fluid suspension
Slowly Drip the Cells
onto the Allograft
Gently Mix the Cells and
Allograft
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COMBINE CELLS WITH
ALLOGRAFT
60 cc Syringe and 18
Gauge Needle
Withdraw Cells Slowly
Cells in fluid suspension
Slowly Drip the Cells
onto the Allograft
Gently Mix the Cells and
Allograft
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COMBINE CELLS WITH
ALLOGRAFT
60 cc Syringe and 18
Gauge Needle
Withdraw Cells Slowly
Cells in fluid suspension
Slowly Drip the Cells
onto the Allograft
Gently Mix the Cells and
Allograft
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FINAL COMBINED PRODUCT
Apply Vacuum
Suction Only After
Thorough Mixing has
Occurred
Allograft Should
Appear Moist, and
Hold together from
the Moisture and the
Cells
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FINAL COMBINED PRODUCT
Apply Vacuum
Suction Only After
Thorough Mixing has
Occurred
Allograft Should
Appear Moist, and
Hold together from
the Moisture and the
Cells
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FRACTURE HAS BEEN STABILIZED
PRIOR TO GRAFTING
- -Copious Irrigation Prior to Graft Application
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ALLOGRAFT AND STEM CELL MIXTURE
APPLIED TO NONUNION SITE
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ALLOGRAFT AND STEM CELL MIXTURE
- -Do Not Allow Desiccation
- -Rapid Soft Tissue Coverage of Mixture
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CASE # 1
51 Year Old Male
MVA
Segmental Fracture Pattern
Previous Locked Plate Construct (Liss)
BMP X 2
+ NSAIDs
Smoker
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CASE #2
73 Year Old Male
High Energy Fall
Previous Plate Fixation with Autograft
Previous Surgical Infection
Poor Initial Mechanical Stability
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CASE #3
30 Year Old Male
Motor Vehicle vs. Pedestrian (High Energy)
Segmental Fracture Pattern
Previous Locked Plate Construct (Liss)
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CONCLUSIONS
Our Preliminary Report Shows that TRC's with
Allograft is Safe and Efficacious for Recalcitrant
Tibial Nonunions
Further Study is Warranted
Our Study Enrollment of 36 Patients is Now
Nearing Completion
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