CV THERAPEUTICS INC
10-Q, 1997-08-13
COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH
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                          SECURITIES AND EXCHANGE COMMISSION
                               Washington, D.C.   20549
                                           
                                           
                                      FORM 10-Q
                                           
(Mark One)

    ( X )  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
    SECURITIES EXCHANGE ACT OF 1934 
               
    For the quarterly period ended June 30, 1997.

    (   )  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: 0-21643
                                           
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                                CV THERAPEUTICS, INC.
                (Exact name of registrant as specified in its charter)
                                           
                                           
               DELAWARE                                43-1570294
       (State of Incorporation)           (I.R.S. Employer Identification No.)
                                           
                                           
                       3172 PORTER DRIVE, PALO ALTO, CA  94304
                       (Address of principal executive offices)

          Registrant's telephone number, including area code: (650) 812-0585

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Indicate by check whether the Registrant (1) has filed all reports 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   
                                      -----     -----

As of August 5, 1997, there were 7,017,210 shares of the issuer's Common 
Stock, $0.001 par value, outstanding.

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<PAGE>

                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)
                                           
                                        INDEX
                                           

PART I. FINANCIAL INFORMATION


ITEM 1.  FINANCIAL STATEMENTS

  Condensed Consolidated Balance Sheets as of June 30, 1997 
  and December 31,  1996                                                 3
  
  Condensed Consolidated Statements of Operations for the three 
  months and the six months ended June 30, 1997 and 1996 and for 
  the period from inception (December 11, 1990) through June 30, 1997    4
  
  Condensed Consolidated Statements of Cash Flows for the six months 
  ended June 30, 1997 and 1996 and for the period from inception 
  (December 11,1990) through June 30, 1997                               5
  
  Notes to Condensed Consolidated Financial Statements                   6

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION 
         AND RESULTS OF OPERATIONS                                       8


PART II. OTHER INFORMATION

ITEM 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITIES HOLDERS          11

ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K                                11


SIGNATURES                                                              12


                                                                             2
<PAGE>

PART I. FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS
                                           
                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)
                                           
                        CONDENSED CONSOLIDATED BALANCE SHEETS
                                           
                                    (In thousands)

<TABLE>
<CAPTION>
                                                     JUNE 30, 1997     DECEMBER 31, 1996
                                                     -------------     -----------------
                                                      (Unaudited)          (Note 1)
<S>                                                    <C>                <C>
                              ASSETS
Current assets:
  Cash and cash equivalents                            $  14,740          $  19,575 
  Short-term investments                                  12,111              1,993
  Other current assets                                       969                454 
                                                       ---------          ---------
    Total current assets                                  27,820             22,022 

Long-term investments                                      5,030                 -- 
Notes receivable from officers and employees                 400                475
Property and equipment, net                                2,666              3,072
Intangible and other assets                                  457                570
                                                       ---------          ---------

Total assets                                           $  36,373          $  26,139 
                                                       ---------          ---------
                                                       ---------          ---------

      LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
  Accounts payable                                     $     313          $     405
  Accrued liabilities                                      2,082              1,304
  Current portion of long-term debt                          333                 15 
  Current portion of capital lease obligation                655                 20
  Deferred revenue, short-term portion                     2,000                 -- 
                                                       ---------          ---------
    Total current liabilities                              5,383              1,744 

Long-term portion of capital lease obligation                899                 --
Long-term portion of long-term debt                        5,667              5,000
Accrued rent                                                 636                719
Deferred revenue, long-term portion                        4,500                 -- 
Commitments
Stockholders' equity:
  Common stock                                            70,861             65,414
  Warrants to purchase common stock                        1,225              1,225 
  Notes receivable issued for stock                         (171)              (171)
  Deferred compensation                                   (1,876)            (2,166)
  Deficit accumulated during the development stage       (50,751)           (45,626)
                                                       ---------          ---------
    Total stockholders' equity                            19,288             18,676
                                                       ---------          ---------

Total liabilities and stockholders' equity             $  36,373          $  26,139 
                                                       ---------          ---------
                                                       ---------          ---------
</TABLE>


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


                                                                             3
<PAGE>
                                           
                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)
                                           
                   CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                                           
                      (In thousands, except per share amounts)
                                     (unaudited)

<TABLE>
<CAPTION>
                                           Three Months Ended            Six Months Ended           Inception
                                                June 30,                     June 30,             (December 11,
                                        ------------------------      -----------------------       1990) to
                                           1997          1996           1997           1996       June 30, 1997
                                        ---------      ---------      ---------      ---------    -------------
<S>                                     <C>            <C>            <C>            <C>           <C>
Revenues:
  Contract revenues                     $     811      $     250      $   1,631      $     250     $    1,881
Operating expenses:
  Research and development                  3,120          1,485          4,910          4,009         39,628
  General and administrative                1,195            717          2,216          1,408         12,713
                                        ---------      ---------      ---------      ---------     ----------
    Total operating expenses                4,315          2,202          7,126          5,417         52,341

Loss from operations                       (3,504)        (1,952)        (5,495)        (5,167)       (50,460)

Interest income (expense), net                264            (65)           370           (229)          (268)
                                        ---------      ---------      ---------      ---------     ----------
Net loss                                $  (3,240)     $  (2,017)     $  (5,125)     $  (5,396)    $  (50,728)
                                        ---------      ---------      ---------      ---------     ----------
                                        ---------      ---------      ---------      ---------     ----------

Net loss per share (1)                  $   (0.47)     $   (0.41)     $   (0.77)     $   (1.18)
                                        ---------      ---------      ---------      ---------
                                        ---------      ---------      ---------      ---------
Shares used in computing
  net loss per share (1)                    6,909          4,925          6,628          4,587 
                                        ---------      ---------      ---------      ---------
                                        ---------      ---------      ---------      ---------
</TABLE>

(1) Net loss per share for the three-month and six-month periods ended June 
30, 1996 is calculated on a pro forma basis.  See accompanying notes for 
methodology of calculation.

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


                                                                             4
<PAGE>

                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)
                                           
                   CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                    (In thousands)
                                     (unaudited)

<TABLE>
<CAPTION>
                                                                               Six Months Ended              Inception
                                                                                    June 30,           (December 11, 1990) to
                                                                              1997           1996          June 30, 1997
                                                                           ---------      ---------    ----------------------
<S>                                                                        <C>            <C>                <C>
CASH FLOWS FROM OPERATING ACTIVITIES:                                               
Net loss                                                                   $  (5,125)     $  (5,396)         $  (50,728)
Adjustments to reconcile net loss to net cash used in
   operating activities:
     Amortization of deferred compensation                                       290             --                 446
     Depreciation and amortization                                               543            539               3,652
     Write off of warrant issued under capital lease                              --             --                 160
     Forgiveness of notes receivable                                              --             --                 200
     Issuance of stock warrant for legal services received                        --             --                  49
     Issuance of preferred stock and warrant for 
         payment of license fee                                                   --            750                 750
      Deferred revenue                                                         6,500             --               6,500
      Change in assets and liabilities:
         Other current assets                                                   (515)          (234)               (180)
         Intangible and other assets                                              27             35              (1,407)
         Accounts payable                                                        (92)           394                 313
         Accrued liabilities                                                     728           (384)              2,032
         Accrued rent                                                            (33)            --                 686
                                                                           ---------      ---------           ---------
Net cash provided by (used in) operating activities                            2,323         (4,296)            (37,527)

CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of short-term investments                                           (16,573)        (2,023)            (71,668)
Purchase of long-term investments                                             (5,030)            --              (5,030)
Maturity of short-term investments                                             6,455             --              59,557
Capital expenditures                                                             (51)            (2)             (5,401)
Notes receivable from officers and employees                                      75             --                (646)
                                                                           ---------      ---------           ---------
Net cash provided by (used in) investing activities:                         (15,124)        (2,025)            (23,188)

CASH FLOWS FROM FINANCING ACTIVITIES:
Payments on capital lease obligations                                           (466)          (104)             (1,202)
Borrowings under long-term debt                                                3,000             --              16,219
Repayments of long-term debt                                                     (15)        (1,670)             (8,218)
Proceeds from issuance of common stock (and bridge loans
  subsequently converted into common stock), net of repurchase                 5,447             18              17,941
Proceeds from issuance of warrant                                                 --             --               1,359
Proceeds from bridge loans                                                        --             --               1,198
Proceeds from issuance of convertible preferred stock                             --         12,992              48,182
Payments to stockholders to repurchase the Company's
  common stock                                                                    --             --                 (24)
                                                                           ---------      ---------           ---------
Net cash provided by financing activities                                      7,966         11,236              75,455
                                                                           ---------      ---------           ---------

Net (decrease) increase in cash and cash equivalents                          (4,835)         4,915              14,740
Cash and cash equivalents at beginning of period                              19,575          5,569                  --
                                                                           ---------      ---------           ---------

Cash and cash equivalents at end of period                                 $  14,740      $  10,484           $  14,740
                                                                           ---------      ---------           ---------
                                                                           ---------      ---------           ---------
</TABLE>


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


                                                                             5
<PAGE>

                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)

                                    -----------

                      NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                    JUNE 30, 1997
                                     (UNAUDITED)
                                           
1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

BASIS OF PRESENTATION

   The accompanying condensed consolidated financial statements of CV 
Therapeutics, Inc. have been prepared in accordance with generally accepted 
accounting principles, are unaudited, except as specifically noted and 
reflect all adjustments (consisting solely of normal recurring adjustments) 
which are, in the opinion of management, necessary to present fairly the 
financial position and results of operations for the interim periods 
presented.  The results of operations for the three- and six-month periods 
ended June 30, 1997 are not necessarily indicative of the results to be 
expected for the entire year ending December 31, 1997.  The financial 
information included herein should be read in conjunction with the Company's 
Annual Report on Form 10K/A for 1996 which includes the audited consolidated 
financial statements and the notes thereto for the year ended December 31, 
1996.
   
PRINCIPLES OF CONSOLIDATION

   The consolidated financial statements include the accounts of the Company 
and its wholly-owned subsidiary, CV Therapeutics International, which was 
incorporated in December 1993 in the Cayman Islands.  All significant 
intercompany balances have been eliminated.
   
REVENUE RECOGNITION

   Contract revenues related to research agreements with noncancelable, 
nonrefundable terms and no significant future obligations are recognized upon 
execution of the agreements.  Milestone payments will be recognized pursuant 
to collaborative agreements upon the achievement of specified milestones.
   
NET LOSS PER SHARE

   Except as noted below, net loss per share is computed using the weighted 
average number of common shares outstanding.  Common equivalent shares are 
excluded from the computation as their effect is antidilutive, except that, 
pursuant to the Securities and Exchange Commission ("SEC") Staff Accounting 
Bulletins, common and common equivalent shares issued during the 12-month 
period prior to the initial filing of the Company's Registration Statement on 
Form S-1 at prices below the assumed public offering price have been included 
in the calculation as if they were outstanding for all periods presented 
through September 30, 1996 (using the treasury stock method for stock 
options).
   
   Net loss per share information is as follows:

<TABLE>
<CAPTION>
(In thousands, except per share amounts)     Three Months Ended      Six months ended
                                                June 30, 1996          June 30, 1996
                                             -------------------     ----------------
<S>                                              <C>                    <C>
Net loss per share                               $  (1.20)              $  (3.21)
Shares used in computing net loss per share         1,687                  1,681
</TABLE>

   Pro forma per share data is provided to show the calculation on a 
consistent basis for the periods presented.  It has been computed as 
described above, and also gives retroactive effect from the date of issuance 
to the conversion of preferred stock, which automatically converted to common 
stock upon closing of the Company's initial public offering.


                                                                             6
<PAGE>
                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)

                                    -----------

                      NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                    JUNE 30, 1997
                                     (UNAUDITED)
                                           
   In February 1997, the Financial Accounting Standards Board issued 
Statement No. 128, EARNINGS PER SHARE, which is required to be adopted on 
December 31, 1997.  At that time, the Company will be required to change the 
method currently used to compute earnings per share and to restate all prior 
periods.  The impact is expected to result in no change to loss per share for 
all prior periods.
   
SUBSEQUENT EVENT.

   Effective July 3, 1997 the Company and Syntex (U.S.A.), Inc. ("Syntex"), 
an indirect subsidiary of Roche Holding Limited, amended a license agreement 
dated March 27, 1996  (the "Prior Agreement") between CVT and Syntex.  Under 
the amended agreement, the Company has agreed to issue shares of the 
Company's common stock to Syntex during the third quarter of 1997.  No 
further milestone payments will be due to Syntex until certain regulatory 
approvals have been received by the Company.

                                                                             7
<PAGE>

                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)
                                           

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND 
         RESULTS OF OPERATIONS

   THIS MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND 
RESULTS OF OPERATIONS AND OTHER PARTS OF THIS FORM 10-Q CONTAIN FORWARD 
LOOKING STATEMENTS WHICH INVOLVE RISKS AND UNCERTAINTIES.  THE COMPANY'S 
ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THOSE DISCUSSED HEREIN.  FACTORS 
THAT MIGHT CAUSE SUCH A DIFFERENCE INCLUDE, BUT ARE NOT LIMITED TO, THOSE 
LISTED BELOW AND THOSE LISTED IN "RISK FACTORS" IN THE COMPANY'S ANNUAL 
REPORT ON FORM 10-K/A FOR THE YEAR ENDED DECEMBER 31, 1996.

OVERVIEW

   CV Therapeutics, Inc.  ("CVT" or the "Company") is a development stage 
biopharmaceutical company focused exclusively on the application of molecular 
cardiology to the discovery, development and commercialization of novel small 
molecule drugs for the treatment of cardiovascular disease.  Since its 
inception in December 1990, substantially all of the Company's resources have 
been dedicated to research and development.  To date, CVT has not generated 
any product revenue and does not expect to generate any such revenues for at 
least several years. As of June 30, 1997, the Company had an accumulated 
deficit of approximately $50.8 million. The Company expects its sources of 
revenue, if any, for the next several years to consist of payments under 
existing and future corporate partnerships.  The process of developing the 
Company's products will require significant additional research and 
development, preclinical testing and clinical trials, as well as regulatory 
approval.  These activities, together with the Company's general and 
administrative expenses, are expected to result in operating losses for the 
foreseeable future.  The Company will not receive product revenue unless it 
or its collaborative partners complete clinical trials and successfully 
commercialize one or more of its products.
   
   CVT is subject to risks common to biopharmaceutical companies, including 
risks inherent in its research and development efforts and clinical trials, 
reliance on collaborative partners, enforcement of patent and proprietary 
rights, the need for future capital, potential competition and uncertainty of 
regulatory approval.  In order for a product to be commercialized, it will be 
necessary for CVT and its collaborators to conduct preclinical tests and 
clinical trials, demonstrate efficacy and safety of the Company's product 
candidates, obtain regulatory clearances and enter into manufacturing, 
distribution and marketing arrangements, as well as obtain market acceptance. 
There can be no assurance that the Company will generate revenues or achieve 
and sustain profitability in the future.
   
RESULTS OF OPERATIONS
   
  REVENUES.  The Company recognized revenues of $811,000 for the quarter 
ended June 30, 1997, as compared to $250,000 for the quarter ended June 30, 
1996. Revenue for the six-month period ended June 30, 1997 was $1,631,000 
compared to $250,000 during the six months period ended June 30, 1996.  
Revenue for both the three- and six-month periods ended June 30, 1997 was 
earned in connection with the research collaboration and license agreements 
with Biogen, Inc. ("Biogen") and its wholly-owned subsidiary, Biotech 
Manufacturing Limited ("Biotech Manufacturing" and together with Biogen the 
"Biogen Entities").
  
  RESEARCH AND DEVELOPMENT EXPENSES.  The Company's research and development 
expenses increased to $3,120,000 for the quarter ended June 30, 1997, 
compared to $1,485,000 for the quarter ended June 30, 1996.  Research and 
development expenses increased to $4,910,000 for the six-month period ended 
June 30, 1997, compared to $4,009,000 for the six-month period ended June 30, 
1996.  The increase for the quarter ended June 30, 1997, over the quarter 
ended June 30, 1996 was primarily due to a $1.0 million accrual for a 
milestone payment due to Syntex (U.S.A.), Inc. ("Syntex"), an indirect 
subsidiary of Roche Holding Limited and increased research and development 
activities.  The milestone payment is payable under an agreement with Syntex 
for the license of ranolazine. The license agreement with Syntex was amended 
in July 1997.  Under the amended agreement, the Company has agreed to issue 
shares of the Company's common stock to Syntex during the third quarter of 
1997.  No further milestone payments will be due to Syntex until certain 
regulatory approvals have been received by the Company.  The increase in 
research and development expenses for the six-month period ended June 30, 
1997, over the six-month period ended June 30, 1996 was primarily due to 
increased research and development activities.  The Company expects research 
and development expenses to increase significantly over the next several 
years as the Company expands research and product development efforts.

                                                                             8
<PAGE>

                         CV THERAPEUTICS, INC. 
                    (A DEVELOPMENT STAGE COMPANY)
                                           
ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND 
         RESULTS OF OPERATIONS (CONTINUED)
  
  GENERAL AND ADMINISTRATIVE EXPENSES.  General and administrative expenses 
increased to $1,195,000 for the quarter ended June 30, 1997, compared to 
$717,000 for the quarter ended June 30, 1996.  General and administrative 
expenses increased to $2,216,000 for the six-month period ended June 30, 
1997, compared to $1,408,000 for the six-month period ended June 30, 1996.  
The increases for both the three-month and six-month periods ended June 30, 
1997 over the same periods in 1996 were primarily due to increases in outside 
consulting fees, legal fees and personnel recruiting expenses, the 
amortization of deferred compensation expense and new administrative expenses 
associated with becoming a public company.  The Company expects general and 
administrative expense to increase in the future due to an increase in the 
level of the Company's activities and additional expenses associated with 
being a public company.
  
  INTEREST INCOME (EXPENSE), NET.  Interest income (expense), net increased 
to $264,000 for the quarter ended June 30, 1997, compared to $(65,000) for 
the quarter ended June 30 1996.  Interest income (expense), net increased to 
$370,000 for the six-month period ended June 30, 1997, compared to $(229,000) 
for the six-month period ended June 30, 1996. The increase for both the 
three-month and six-month periods ended June 30, 1997 over the same periods 
in 1996 was a result of higher average investment balances resulting from the 
proceeds of the Company's initial public offering and payments received in 
connection with the Company's collaboration and license agreements with the 
Biogen Entities.  The Company expects that interest income (expense), net 
will decrease as investment balances decrease due to the consumption of cash 
in operations.
  
  The Company records and amortizes over the related vesting periods deferred 
compensation representing the difference between the exercise price of 
options granted and the deemed fair value of its common stock at the time of 
grant. Options generally vest over four years.  Deferred compensation of 
approximately $2.3 million has been recorded and is being amortized to both 
research and development expenses as well as general and administrative 
expenses over the related vesting periods (generally four years) of the 
options granted.
  
LIQUIDITY AND CAPITAL RESOURCES

  The Company has financed its operations since inception primarily through 
private placements of preferred equity securities, equipment and leasehold 
improvement financing, other debt financing and payments under corporate 
collaborations.  In November 1996, the Company completed an initial public 
offering and raised net proceeds of approximately $13.0 million.  On March 7, 
1997, the Company entered into two research collaboration and license 
agreements with the Biogen Entities which together resulted in an upfront 
payment of $16.0 million, including $5.0 million in cash, a $7.0 million 
equity investment consisting of the purchase of 669,857 shares of the 
Company's common stock at $10.45 per share, and advanced funding of a 
milestone payment and funding under a credit facility totaling $4.0 million.  
In addition, CVT may receive development milestones, equity investments, 
funding under a general purpose loan facility and royalties from any future 
product sales.  As of June 30, 1997 the Company received approximately $66.7 
million in net proceeds from the sale of equity securities, and approximately 
$16.9 million, before repayment, from loans and equipment financings.  
  
  Cash, cash equivalents and short- and long-term investments at June 30, 
1997 totaled $31.9 million compared to $21.6 million at December 31, 1996.  
The increase in 1997 was due to the receipt of the upfront payment of $16.0 
million associated with the Company's collaborations with the Biogen 
Entities.  The Company's funds are currently invested in short- and 
medium-term, investment grade, interest-bearing debt obligations.
  
  Net cash provided by operations for the six-month period ended June 30, 
1997 was $2.3 million, compared to $4.3 million used in operations for the 
six-month period ended June 30, 1996.  The increase in cash provided by 
operating activities in 1997 was primarily the result of deferred revenue of 
$6.5 million recorded in conjunction with the upfront payment under the 
collaboration with the Biogen Entities.  The deferred revenue was partially 
offset by the net loss for the six-month period ended June 30, 1997 of $5.1 
million.
  
  Through June 30, 1997, the Company had invested approximately, $6.1 million 
in property and equipment, of which approximately $4.4 million was financed 
through equipment and leasehold financings.


                                                                             9
<PAGE>
                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)
                                           
ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND 
         RESULTS OF OPERATIONS (CONTINUED)
  
  The Company will require substantial additional funding in order to 
complete its research and development activities and commercialize any 
potential products.  The Company currently estimates that its existing 
resources, including the net proceeds from the Company's initial public 
offering, payments from the Biogen Entities and projected interest income, 
will enable the Company to maintain its current and planned operations 
through 1998.  However, there can be no assurance that the Company will not 
require additional funding prior to such time.  The Company's forecast of the 
period of time through which its financial resources will be adequate to 
support its operations is a forward-looking statement that involves risks and 
uncertainties, and actual results could vary as a result of a number of 
factors.  The Company's future capital requirements will depend on many 
factors, including scientific progress in its research and development 
programs, the size and complexity of such programs, the scope and results of 
preclinical studies and clinical trials, the ability of the Company to 
establish and maintain corporate partnerships, the time and costs involved in 
obtaining regulatory approvals, the costs involved in filing, prosecuting and 
enforcing patent claims, competing technological and market developments, the 
cost of manufacturing preclinical and clinical material and other factors not 
within the Company's control.  There can be no assurance that such additional 
financing to meet the Company's capital requirements will be available on 
acceptable terms or at all.  Insufficient funds may require the Company to 
delay, scale back or eliminate some or all of its research or development 
programs, to lose rights under existing licenses or to relinquish greater or 
all rights to product candidates at an earlier stage of development or on 
less favorable terms than the Company would otherwise choose or may adversely 
affect the Company's ability to operate as a going concern.  If additional 
funds are raised by issuing equity securities, substantial dilution to 
existing stockholders may result.
  
ADDITIONAL FACTORS THAT MAY AFFECT FUTURE RESULTS

   The Company's business, financial condition and results of operations are 
subject to various risks, including those described below and elsewhere in 
the Report.
  
  The Company is an early stage company and must be evaluated in light of the 
uncertainties and complications present in an early stage biopharmaceutical 
company.  All of the Company products are at an early stage of development, 
and the Company has not generated any product revenue.  In addition, the 
Company has only two products in clinical development, CVT-124 and 
Ranolazine.  There can be no assurance that clinical trials conducted by the 
Company will demonstrate sufficient safety and efficacy to obtain the 
requisite approvals or that marketable products will result.  In addition, 
the rate of completion of clinical trials may be delayed by many factors.  
The Company's product candidates will require significant additional 
development, preclinical studies, clinical trials and regulatory approval 
prior to commercialization.  These activities may take several years and 
require the expenditure of substantial resources.  In addition, these 
activities, together with the Company's general and administrative expense, 
are expected to result in operation losses for the foreseeable future.
  
  The Company's strategy for the research, development and commercialization 
of its product candidates has required, and will continue to require, the 
Company to enter into various arrangements with corporate and academic 
collaborators, licensers, licensees and others, and the Company is dependent 
upon the success of these parties in performing their responsibilities.  
There can be no assurance that the Company will be able to enter into 
additional collaborative arrangements or license agreements on acceptable 
terms, or at all, or that the contemplated benefits from any of these 
agreements will be realized.
  
  The Company's business is affected by other factors, including: uncertainty 
of market acceptance, intense competition and rapid technological change, 
uncertainty of patent position and proprietary rights, dependence on key 
personnel and the need to attract and retain key employees and consultants, 
limited manufacturing, marketing and sales experience, significant government 
regulation, uncertainty of product pricing and reimbursement, and product 
liability exposure and the availability of insurance.


                                                                            10
<PAGE>
                              CV THERAPEUTICS, INC.
                           (A DEVELOPMENT STAGE COMPANY)
                                           
PART II. OTHER INFORMATION

ITEM 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

    (a)  The Annual Meeting of Stockholders of CV Therapeutics, Inc. was held 
         on June 25, 1997.

    (b)  All of the directors set forth below were elected to the Board of
         Directors.  

    (c)  The matters voted upon at the meeting and the voting of stockholders 
         with respect thereto was as follows:
      
Election of Directors:

            Nominee                             For            Withheld
            -------                             ---            --------
Louis G, Lange, M.D., Ph.D.                  4,011,754            743
Samuel D. Colella                            4,011,754            743
Thomas L. Gutshall                           4,011,754            743
Barbara J. McNeil, M.D., Ph.D.               3,949,254         63,243
J. Leighton Read, M.D.                       4,011,754            743
Costa G. Sevastopoulos, Ph.D.                4,011,754            743
Isaac Stein                                  4,011,754            743

Proposal to ratify the selection of Ernst & Young LLP as independent auditors 
of the Company for its fiscal year ending December 31, 1997:

                        For           Against       Abstain
                        ---           -------       -------
                     4,007,147         4,350         1,000



ITEM 6.  EXHIBITS AND REPORTS ON FORM 8-K

   (a)  Exhibits required by Item 601 of Regulation S-K

        Exhibit                       Description
        Number
        -------   -----------------------------------------------------------
        10.43*    Letter Agreement, dated March 7, 1997, between the
                  Registrant and the University of Florida Research 
                  Foundation, Inc.
        
        10.44*    Amendment to License Agreement, effective as of July 3, 1997, 
                  between the Registrant and Syntex (U.S.A.), Inc.

        11.1      Statement of computation of net loss per share

        27.1      Financial Data Schedule
        --------------------------
        *  Confidential treatment is being sought for portions of this
        exhibit.  Brackets indicate portions of the text that have been
        omitted.  A separate filing of such omitted text has been made with
        the Commission as part of the Company's application for confidential
        treatment. 

   (b)  Reports on Form 8-K

         None.


                                                                            11
<PAGE>

                                      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 thereunto duly authorized.

                                  CV THERAPEUTICS, INC.


Date:    August 13, 1997




                                 /s/ LOUIS G. LANGE, M.D., Ph.D.
                                 --------------------------------------------
                                 Louis G. Lange, M.D., Ph.D.
                                 Chairman of the Board & Chief
                                 Executive Officer
                                 (Principal Executive Officer)



                                 /s/ KATHLEEN A. STAFFORD
                                 --------------------------------------------
                                 Kathleen A. Stafford
                                 Chief Financial Officer
                                 (Principal Financial and Accounting Officer)


                                                                            12

<PAGE>
                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)
                                           
                                           
                                    EXHIBIT INDEX
                                           
                                           
                                                                 Sequentially 
Exhibit                                                          Numbered 
Number                        Description                        Page
- ------------------------------------------------------------------------------
10.43*   Letter Agreement, dated March 7, 1997, between the 
         Registrant and the University of Florida Research 
         Foundation, Inc.

10.44*   Amendment to License Agreement, effective as of 
         July 3, 1997, between the Registrant and Syntex 
         (U.S.A.), Inc.

11.1     Statement of computation of net loss per share

27.1     Financial Data Schedule
- --------------------------
*  Confidential treatment is being sought for portions of this exhibit. 
Brackets indicate portions of the text that have been omitted.  A separate 
filing of such omitted text has been made with the Commission as part of the 
Company's application for confidential treatment.


                                                                            13

<PAGE>

Confidential treatment has been requested for portions of this document. 
Brackets indicate portions of text that have been omitted. A separate filing 
of such omitted text has been made with the Commission as part of the 
Company's application for confidential treatment.

                                                                Exhibit 10.43


                           [CV THERAPEUTICS LETTERHEAD]


March 7, 1997

Dr. Ron Kudla
Director of Technology and Licensing
University of Florida
182 Grinter Hall
Gainesville, Florida 32611-2037

RE:  AMENDMENT OF LICENSE AGREEMENT

Dear Ron:

As you know, CVT has been involved in extensive negotiations with a 
pharmaceutical company (the "Pharma") regarding a collaboration agreement 
(the "Collaboration") under which, among other things, CVT would license 
Pharma the rights to complete development of and commercially market CVT-124 
(or any related adenosine A, antagonist), which is covered by the terms of 
the License Agreement between CVT and UFRFI dated June 27, 1994 (the "License 
Agreement"). We are pleased to inform UFRFI that CVT and Pharma are extremely 
close to completing the Collaboration negotiations and entering into the 
agreement, which we believe is a very significant step towards the successful 
commercialization of CVT-124.

As is typical of such transactions, Pharma has certain accounting and 
patented-related policies that are required provisions in its collaboration, 
some of which are inconsistent with the terms of the License Agreement.  To 
enter into the Collaboration, thus, Pharma has insisted on resolution of 
these inconsistencies between the License Agreement and the terms of the 
Collaboration agreement, and on obtaining confirmation from UFRFI regarding 
certain terms.  We agree that it is in the interest of all parties to do so. 
We proposed that the most efficient way to achieve this is to amend the terms 
of the License Agreement, so that such terms are inconsistent with the terms 
that Pharma is insisting be present in the Collaboration agreement, and to 
provide the needed confirmation.

If it is agreeable with UFRFI, this letter agreement will serve to amend the 
terms of the License Agreement as set forth below, and to provide certain 
confirmation from UFRFI regarding the License Agreement and the sublicenses 
granted by CVT to Pharma under the Collaboration.  We will forward to you on 
Friday applicable portions of the latest draft of the Collaboration agreement 
(redacted for confidentiality), for your review in conjunction with the 
modifications and confirmations set forth below.

1.   The parties agree to modify Section 1.6 of the License Agreement regarding
     the definition of "Licensed Product", to read in its entirety as follows:
     
     "1.6   A `Licensed Product' shall mean any product or part thereof which:
          
            (a)  is covered by a Valid Claim in the Patent Rights in the 
                 country in which such product or part thereof is made, used 
                 or sold; or
<PAGE>

            (b)  is manufactured using a process which is covered in whole or 
                 in part by a Valid Claim contained in the Patent Rights in the 
                 country in which such process is used; or
            
            (c)  includes any of the Know-How not otherwise includable in the 
                 Patent Rights."
            
2.   The parties agree to modify Section 1.7 of the License Agreement regarding
     the definition of "Net Sales", to read in its entirety as follows:
     
     "1.7   `Net Sales' shall mean Licensee's billings and its sublicensees'
            receipts (except as provided below) for Licensed Products sold
            hereunder less the sum of the following:
          
            (a)  trade, quantity, cash or other discounts and brokers' or 
                 agents' commissions, if any, allowed in amounts not 
                 exceeding amounts customary in the trade, including, without 
                 limitation, governmental program discounts and rebates 
                 (e.g., Medicaid, Medicare, VA, etc.);
            
            (b)  sales taxes, tariff duties and/or use taxes directly imposed 
                 on and with reference to particular sales;
            
            (c)  packing, transportation and insurance prepaid or allowed; and
            
            (d)  amounts allowed or credited on rejects, returns or 
                 retroactive price reductions.

     If Licensee receives royalties from any sublicensee on the basis of such
     sublicensee's billings for Licensed Products, it shall pay royalties to
     UFRFI on the basis of such sublicensee's billings.  A sale or transfer of
     a Licensed Product by Licensee or is sublicensee to an affiliate for re-
     sale of the Licensed Product by such affiliate shall not be considered a
     sale for the purpose of this provision, but the resale of the Licensed
     Product by such affiliate to a third party shall be a sale for such
     purposes.
     
     In the event that a Licensed Product is sold in the form of a combination
     product containing an active ingredient that meets the definition of
     "Licensed Product" above and one or more other active ingredients, Net
     Sales shall be determined by multiplying Net Sales of the combination
     product (as defined above) by the fraction A/A+B where A is the fair
     market value of the active ingredient that meets the definition of
     "Licensed Product" and B is the sum of the fair market values of all 
     other active ingredients included in the combination product.  If either 
     A or B or both are sole independently of the combination product as a 
     stand-alone product, the `fair market value' for purposes hereof will be 
     the gross sales price of such independent sale."
     
3.   The parties agree to add a new Section 1.14 to the License Agreement to
     define the term Valid Claim, as follows:


                                      2.
<PAGE>

     
     "1.14  `Valid Claim' shall mean (i) a claim of a pending patent
            application which claim shall not have been canceled, withdrawn 
            or rejected by an administrative agency from which no appeal can 
            be taken and which application shall not have been pending for 
            more than four (4) years, or (ii) a claim in an issued and 
            unexpired patent which has not lapsed or become abandoned or 
            been declared invalid or unenforceable by a court of competent 
            jurisdiction or an administrative agency from which no appeal 
            can be or is taken."
          
4.   UFRFI hereby confirms that the [ * ] has no right, title or interest in, 
     or any license rights under, the Patent Rights, as defined in the 
     License Agreement.
     
5.   UFRFI hereby confirms that, with respect to the Collaboration agreement to
     be entered into with Pharma, CVT has satisfied the requirements of Section
     2.6 and the second sentence of Section 2.7 of the License Agreement by
     providing Pharma a copy of the License Agreement.
     
6.   UFRFI confirms that CVT may satisfy the requirements of Section 3.2(a) of
     the License Agreement, with respect to the activities of Pharma as CVT's
     sublicensee, by delivery to URFRI of an annual report from Pharma
     summarizing Pharma's planned development activities for the coming year
     and results with respect to CVT-124 during the prior year.
     
7.   UFRFI agrees that Section 3.2(b) of the License Agreement shall not apply
     to any sublicensees of CVT.
     
8.   UFRFI hereby confirms that [ * ] consistent with Section 6.1 of the
     License Agreement, permit [ * ] to undertake, on [ * ] under the 
     License Agreement, responsible for [ * ] with respect to the Patent 
     Rights.
     
9.   The parties hereby agree to modify Section 6.5 of the License Agreement to
     read in its entirety as follows:
     
     "6.5   For so long as [ * ] under this Agreement, [ * ] shall have the 
            first right and opportunity, solely at its expense, for defending 
            and enforcing the Patent Rights.  However, [ * ] shall receive 
            notice of and shall have the right, at its expense, to participate 
            in the protection and defense of the Patent Rights, and [ * ] 
            agrees to be joined as a party plaintiff in any such suit if 
            necessary or appropriate.  [ * ] agrees to cooperate reasonably 
            in any such litigation initiated by [ * ] including participating 
            as a necessary party, supplying essential documentary evidence and 
            making essential witnesses in [ * ] employment available.  [ * ]
            shall have the right to settle and compromise any dispute with 
            third parties, with the prior written consent of [ * ] which 


* Confidential Treatment Requested.

                                      3.
<PAGE>

            consent shall not be unreasonably withheld.  All costs, fees and 
            expenses incurred by [ * ] in connection with the defense and 
            enforcement of the Patent Rights shall be borne by [ * ] provided, 
            however, that [ * ] and [ * ] in connection therewith.  Said [ * ] 
            shall begin no earlier than the [ * ].  Any [ * ] pursuant to this 
            Article VI.  The balance remaining from any such recovery shall be 
            deemed to [ * ].  To the extent that [ * ] shall be entitled to 
            [ * ] under this Agreement.
          
10.  The parties hereby agree to modify Section 6.6 of the License Agreement
     to read in its entirety as follows:
     
     "6.6   If [ * ] elects not to take action to address such third party 
            infringement, then [ * ] may, if it so desires, request that 
            [ * ] to do so.  If [ * ] consents in writing, then [ * ] may 
            take such legally permissible action as it deems necessary or 
            appropriate to enforce the Patent Rights and restrain such 
            infringement.  In such event, all costs, fees and expenses 
            incurred in connection with the defense and enforcement of the 
            Patent Rights shall be borne by [ * ] agrees to cooperate 
            reasonably in any such litigation initiated by [ * ] as permitted 
            hereunder, including participating as a necessary party, supplying 
            essential documentary evidence and making essential witnesses in 
            [ * ] employment available.  If [ * ] shall prevail in such 
            proceeding, either by way of judgment or settlement or compromise, 
            any amounts recovered by [ * ] shall be retained by [ * ].
          
11.  UFRFI hereby confirms that CVT may disclose to Pharma in confidence under
     the terms of the Collaboration the Know-How and other Confidential
     Information of UFRFI disclosed to CVT pursuant to the License Agreement,
     without violating the provisions of the Article VIII of the License
     Agreement.
     
A full copy of the collaboration agreement will be forwarded to you on the date
of signing.  Within ten (10) days thereafter, CV Therapeutics will provide a
full accounting of UFRFI, including payment to UFRFI under the terms of the
License Agreement.


* Confidential Treatment Requested.


                                      4.
<PAGE>

If you agree with the provisions of this letter agreement, please indicate 
your agreement by signing the enclosed copy of this letter agreement on the 
line below, telecopy a copy to me at CV Therapeutics and return the signed 
copy to me in the enclosed envelope.  We look forward to proceeding to enter 
the Collaboration and to the successful commercialization of CVT-124 in 
collaboration with Pharma.


Yours sincerely,

CV THERAPEUTICS, INC.

/s/ MICHAEL J. STERNS, D.V.M.

Michael J. Sterns, D.V.M.
Director, Business Development





ACCEPTED AND AGREED:

THE UNIVERSITY OF FLORIDA RESEARCH FOUNDATION, INC.



By:  /s/ RONALD M. KUDLA
   ----------------------------------------
     Dr. Ron Kudla, Ph.D., duly authorized

Date:  March 7, 1997
     --------------------------------------


                                      5.

<PAGE>

Confidential treatment has been requested for portions of this document. 
Brackets indicate portions of text that have been omitted. A separate filing 
of such omitted text has been made with the Commission as part of the 
Company's application for confidential treatment.

                                                               Exhibit 10.44


                        AMENDMENT TO LICENSE AGREEMENT
                                       
                                       
     THIS AMENDMENT TO LICENSE AGREEMENT (the "Amendment") is made and 
entered into effective as of July 3, 1997 (the "Amendment Date"), by and 
between CV THERAPEUTICS, INC., a Delaware corporation having its principal 
place of business at 3172 Porter Drive, Palo Alto, California  94304 ("CVT"), 
and SYNTEX (U.S.A.), INC., a Panamanian corporation whose address is 3401 
Hillview Avenue, Palo Alto, California  94304 ("Syntex").  Capitalized terms 
used in this Amendment that are not otherwise defined herein shall have the 
same meanings as such terms are defined in the Prior Agreement (as defined 
below).

                                   RECITALS
                                       
     A.   CVT and Syntex entered into a License Agreement dated March 27, 
1996 (the "Prior Agreement"), under which Syntex granted to CVT an exclusive 
license in the CVT Territory to develop, register, make or have made, use, 
offer for sale, sell, or import the Compound.

     B.   The parties desire to amend the terms of the Prior Agreement to set 
forth new milestone payments to replace those in the Agreement, to provide 
for CVT to issue to Syntex a certain number of shares of CVT registered 
common stock and to establish royalty rates on Net Sales of Licensed Products 
marketed [ * ].  The Prior Agreement, as amended by this Amendment, shall 
constitute the "Agreement."

     NOW, THEREFORE, the parties agree as follows:

1.   AMENDMENT OF THE PRIOR AGREEMENT

     The parties hereby agree to amend the terms of the Prior Agreement as of 
the Amendment Date as provided below.

     1.1  AMENDMENT OF SECTION 5.1(b).  Section 5.1(b) of the Prior Agreement 
is hereby amended and restated to read in its entirety as follows:

          "b)  CVT will pay Syntex the following additional amounts in
               milestone payments upon the first occurrence of each of the
               following milestones in the CVT Territory as follows:
               
               1)   Subject to 5.1(c) below, [ * ] upon the [ * ] but in no 
                    event later than [ * ];
                 
               2)   [ * ] upon the approval of the [ * ].


* Confidential Treatment Requested.
<PAGE>

                    For the purposes of this Section 5.1(b), [ * ] shall mean 
                    any of the following [ * ] and [ * ] shall mean [ * ].
                 
               3)   [ * ] upon the [ * ].  In the event that [ * ] then a 
                    [ * ] milestone payment shall be due from CVT to Syntex at 
                    the [ * ] milestone payment in the event that such [ * ] 
                    milestone payment is subsequently made by CVT to Syntex.
                    In the event [ * ].
                 
     1.2  EQUITY.  The parties hereby agree to amend Section 5.1 of the Prior 
Agreement to add new subsections 5.1(d) and 5.1(e) which will read in their 
entirety as follows:

          "EQUITY
          
             d)   Upon the Amendment Date, CVT shall issue to Syntex [ * ] 
                  shares of CVT's common stock (the "Shares").  As soon as 
                  practicable after November 22, 1997, CVT shall file a 
                  registration statement with the Securities and Exchange 
                  Commission under the Securities Act of 1933, as amended
                  (the "Securities Act") covering the registration of the 
                  Shares.  CVT shall use all reasonable efforts to cause such 
                  registration statement to be declared effective, and to 
                  keep such registration statement effective until the earlier
                  of three hundred sixty five (365) days following the 
                  effective date or the date that Syntex has completed the 
                  distribution related thereto.
                
             e)   Syntex understands that the Shares have not been registered 
                  under the Securities Act.  Syntex understands that the 
                  Shares are being offered and sold pursuant to an exception 
                  from registration contained in the Securities Act based on 
                  Syntex's representations contained in this Amendment.  
                  Syntex hereby represents and warrants as follows:


* Confidential Treatment Requested.


                                      2.
<PAGE>

                    (1)  Syntex has substantial experience in evaluating and 
                         investing in private placement transactions of 
                         securities in companies similar to CVT so that it is
                         capable of evaluating the merits and risks of its 
                         investment in CVT and has the capacity to protect 
                         its own interests.  Syntex must bear the economic 
                         risk of this investment indefinitely unless the 
                         Shares are registered pursuant to the Securities Act 
                         or an exemption from registration is available.
                         
                    (2)  Syntex is acquiring the Shares for its own account 
                         for investment only, and not with a view towards 
                         their distribution. 

                    (3)  Syntex represents that by reason of its management's 
                         business or financial experience, Syntex has the 
                         capacity to protect its interests in connection with
                         the transactions contemplated by this Amendment.  
                         Syntex is not aware of any publication or 
                         advertisement in connection with the transactions 
                         contemplated in the Amendment.

                    (4)  Syntex represents that it is an accredited investor 
                         within the meaning of Regulation D under the 
                         Securities Act.

                    (5)  Syntex has received: (i) CVT's Annual Report on Form 
                         10-K for the year ended December 31, 1996, including 
                         the audited financial statements contained therein; 
                         (ii) CVT's Quarterly Report on Form 10-Q for the 
                         quarter ended March 31, 1997, including the unaudited 
                         financial statements contained therein; (iii) CVT's 
                         Annual Report to Stockholders; and (iv) CVT's Annual 
                         Proxy Statement for the 1997 Annual Meeting of 
                         Stockholders.  Syntex has had an opportunity to
                         discuss CVT's business, management and financial 
                         affairs with CVT's directors, officers and management 
                         and has had the opportunity to ask questions of and
                         receive answers from CVT and its management regarding 
                         the terms and conditions of this investment.

                    (6)  Syntex understands that the Shares may not be sold, 
                         transferred or otherwise disposed of without 
                         registration under the Securities Act or an exemption 
                         therefrom, and that in the absence of an effective 
                         registration statement covering the Shares or an 
                         available exemption from registration under the 
                         Securities Act, the Shares must be held indefinitely.
                         In particular, Syntex is aware that the Shares many 
                         not be sold pursuant to Rule 144 promulgated 


                                      3.
<PAGE>

                         under the Securities Act unless all of the conditions 
                         of that Rule are met.

                    (7)  The certificate evidencing the Shares shall be 
                         endorsed with the following legend:

                         "THE SHARES REPRESENTED HEREBY HAVE NOT BEEN
                         REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
                         AMENDED, AND MAY NOT BE SOLD, TRANSFERRED, ASSIGNED,
                         PLEDGED OR HYPOTHECATED UNLESS AND UNTIL REGISTERED
                         UNDER SUCH ACT, OR UNLESS THE COMPANY HAS RECEIVED AN
                         OPINION OF COUNSEL OR OTHER EVIDENCE, SATISFACTORY TO
                         THE COMPANY AND ITS COUNSEL THAT SUCH REGISTRATION IS
                         NOT REQUIRED."
                         
     1.3  AMENDMENT OF SECTION 5.2.  Section 5.2 of the Prior Agreement is 
hereby amended and restated to read in its entirety as follows:

     "5.2 CVT shall pay the following royalties to Syntex on Net Sales of the
          Licensed Products.  Such royalties shall be paid on a product-by-
          product and country-by-country basis according to the following
          rates:
          
          a)   For Net Sales of a Licensed Product as to which Syntex Patents 
               and Know-How cover the manufacture, use, sale, offer for sale, 
               or import of the Licensed Product, and which Licensed Product 
               is [ * ] a rate of [ * ].
            
          b)   For Net Sales of a Licensed Product as to which Syntex Patents 
               and Know-How cover the manufacture, use, sale, offer for sale, 
               or import of the Licensed Product and which Licensed Product is 
               [ * ] the royalty rate shall be determined under the following 
               schedule for the applicable amount of world-wide Net Sales on an
               annual basis, incrementally applied.
            
               ANNUAL NET SALES OF LICENSED        APPLICABLE ROYALTY RATE
               PRODUCT [ * ]                
          
               Up to [ * ] million                          [ * ]
          
               Greater than [ * ] million but               [ * ]
               less than [ * ] million
                                     


* Confidential Treatment Requested.


                                      4.
<PAGE>

               Greater than [ * ] million                   [ * ]
          


               For example, in the event that Net Sales of Licensed Products
               during a particular calendar year under Section 5.2 b) are 
               [ * ] million, the royalty rate on the first [ * ] million of 
               Net Sales will be [ * ] and the royalty rate on the subsequent 
               [ * ] million of Net Sales will be [ * ].
            
           c)  For sales of a Licensed Product in a country of the CVT 
               Territory in which competition by products having the same 
               active compound as the Licensed Product exceeds [ * ] in terms
               of unit sales, based on IMS data or equivalent independent 
               survey, a royalty reduced to [ * ] of the rates shown in
               Section 5.2 a) or 5.2 b) above for as long as such competition
               continues to exceed [ * ]."
            
2.   MISCELLANEOUS

     2.1  FULL FORCE AND EFFECT.  This Amendment amends the terms of the 
Prior Agreement and is deemed incorporated into, and governed by all the 
other terms of, the Prior Agreement.  The provisions of the Agreement, as 
amended by this Amendment, remain in full force and effect.


* Confidential Treatment Requested.


                                      5.
<PAGE>


2.2  COUNTERPARTS.  This Amendment may be executed in two or more 
counterparts, each of which shall be deemed an original, but both of which 
together shall constitute one and the same instrument.

     IN WITNESS WHEREOF, the parties have executed this Amendment in 
duplicate originals by their authorized officers as of the date and year 
first above written.
                                   
                                   SYNTEX (U.S.A.), INC.
                                   
                                   By:  /s/ David R. Austin
                                      -----------------------------------

                                   Name:    David R. Austin
                                        ---------------------------------

                                   Title:   V.P.
                                         --------------------------------

                                   Date:    8/4/97
                                        ---------------------------------


                                   CV THERAPEUTICS, INC.
                                   
                                   By:   /s/ Louis Lange
                                      -----------------------------------

                                   Name:     Louis Lange
                                        ---------------------------------

                                   Title:    CEO
                                         --------------------------------

                                   Date:     7/23/97
                                        ---------------------------------
                                   
                                   
                                       6.

<PAGE>
                                                                 Exhibit 11.1



                                CV THERAPEUTICS, INC.
                            (A DEVELOPMENT STAGE COMPANY)

                    Statement of Computation of Net Loss Per Share
                    (In thousands, except net loss per share data)

<TABLE>
<CAPTION>
                                                                         Three Months Ended             Six Months Ended
                                                                              June 30,                       June 30,
                                                                      -------------------------     -------------------------
                                                                         1997           1996           1997           1996
                                                                      ----------     ----------     ----------     ----------
<S>                                                                   <C>            <C>            <C>            <C>
Net loss                                                              $  (3,240)     $  (2,017)     $  (5,125)     $  (5,396)

Historical:
  Weighted average common stock outstanding                               6,909            382          6,628            376
  Shares related to Staff Accounting Bulletin Nos. 55, 64 and 83:
    Stock options                                                             -            340              -            340
    Warrants                                                                  -            965              -            965
                                                                      ---------      ---------      ---------      ---------
  Total shares used in calculating net loss per share                     6,909          1,687          6,628          1,681 
                                                                      ---------      ---------      ---------      ---------
                                                                      ---------      ---------      ---------      ---------

Net loss per share                                                    $   (0.47)     $   (1.20)     $   (0.77)     $   (3.21)
                                                                      ---------      ---------      ---------      ---------
                                                                      ---------      ---------      ---------      ---------
Pro forma:
  Shares used in calculating net loss per share (per above)                              1,687                         1,681
  Preferred stock if-converted                                                           3,238                         2,906
                                                                                     ---------                     ---------
Total shares used in calculating pro forma net loss per share                            4,925                         4,587
                                                                                     ---------                     ---------
                                                                                     ---------                     ---------

Pro forma net loss per share                                                         $   (0.41)                    $   (1.18)
                                                                                     ---------                     ---------
                                                                                     ---------                     ---------
</TABLE>

<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
CONDENSED CONSOLIDATED BALANCE SHEET AS OF JUNE 30, 1997 AND THE CONDENSED
CONSOLIDATED STATEMENT OF OPERATIONS FOR THE SIX MONTH PERIOD ENDED JUNE 30,
1997.
</LEGEND>
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          DEC-31-1997
<PERIOD-START>                             JAN-01-1997
<PERIOD-END>                               JUN-30-1997
<CASH>                                          24,851
<SECURITIES>                                         0
<RECEIVABLES>                                        0
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                                27,820
<PP&E>                                           6,034
<DEPRECIATION>                                 (3,368)
<TOTAL-ASSETS>                                  36,373
<CURRENT-LIABILITIES>                            5,383
<BONDS>                                              0
                                0
                                          0
<COMMON>                                        70,861
<OTHER-SE>                                    (51,573)
<TOTAL-LIABILITY-AND-EQUITY>                    36,373
<SALES>                                              0
<TOTAL-REVENUES>                                 1,631
<CGS>                                                0
<TOTAL-COSTS>                                    7,126
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                   0
<INCOME-PRETAX>                                (5,125)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                            (5,125)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                   (5,125)
<EPS-PRIMARY>                                   (0.77)
<EPS-DILUTED>                                   (0.77)
        

</TABLE>


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