CV THERAPEUTICS INC
10-Q, 1999-08-16
COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH
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________________________________________________________________________________
________________________________________________________________________________


                      SECURITIES AND EXCHANGE COMMISSION
                           WASHINGTON, D.C.   20549
                            ______________________

                                  FORM 10-Q

       ( X )   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE
               SECURITIES EXCHANGE ACT OF 1934

                   FOR THE QUARTERLY PERIOD ENDED JUNE 30, 1999.

       (    )  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
                         ______________________________

                            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, CALIFORNIA  94304
         (Address of principal executive offices, including zip code)

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

    Indicate by check whether the Registrant (1) has filed all reports to be
filed by Section 13 or 15(d) of the Securities and 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

    The number of shares of Common Stock, $0.001 par value, outstanding as
of August 6, 1999 was 12,310,571.


________________________________________________________________________________
________________________________________________________________________________

<PAGE>

                        PART I.  FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

                                         CV THERAPEUTICS, INC.
                                      CONSOLIDATED BALANCE SHEETS
                          (in thousands, except share and per share amounts)
                                              (unaudited)
<TABLE>
<CAPTION>
                                                                               June 30,      December 31,
                                                                                 1999            1998
                                                                              ---------       ---------
                                                                              (unaudited)        (A)
<S>                                                                          <C>             <C>
                                               ASSETS
Current assets:
  Cash and cash equivalents                                                   $  7,769        $ 11,954
  Marketable securities                                                         30,358          32,850
  Other current assets                                                           1,124           1,236
                                                                              ---------       ---------
Total current assets                                                            39,251          46,040
Notes receivable from related parties                                              450             450
Property and equipment, net                                                      3,016           2,664
Intangible and other assets                                                         81             176
                                                                              ---------       ---------

Total Assets                                                                  $ 42,798        $ 49,330
                                                                              =========       =========

                                LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
  Accounts payable                                                            $    944        $  1,001
  Accrued liabilities                                                            2,899           2,761
  Current portion of long-term debt                                                  -           1,500
  Current portion of capital lease obligation                                       83              80
                                                                              ---------       ---------
Total current liabilities                                                        3,926           5,342
Long-term debt                                                                   7,500           7,500
Capital lease obligation                                                           295             338
Deferred revenue                                                                 1,000           1,000
Other long-term liabilities                                                        326             412
                                                                              ---------       ---------
Total liabilities                                                               13,047          14,592
Commitments
Stockholders' equity:
  Preferred stock, $0.001 par value, 5,000,000 shares authorized, none
       issued and outstanding                                                        -               -
  Common stock, $0.001 par value, 30,000,000 shares authorized, 12,310,571
       and 11,209,078 shares issued and outstanding at June 30, 1999 and
       December 31, 1998, respectively; at amounts paid in                     109,410         104,211
  Warrants to purchase common stock                                              1,225           1,225
  Notes receivable issued for stock                                                (87)           (108)
  Deferred compensation                                                           (727)         (1,049)
  Accumulated deficit                                                          (79,971)        (69,553)
  Cumulative other comprehensive income                                            (99)             12
                                                                              ---------       ---------
Total stockholders' equity                                                      29,751          34,738
                                                                              ---------       ---------

Total Liabilities and Stockholders' Equity                                    $ 42,798        $ 49,330
                                                                              =========       =========

</TABLE>

(A) Derived from the audited financial statements included in the Company's
    Annual Report on Form 10-K for 1998


                                       See accompanying notes

<PAGE>

                                                CV THERAPEUTICS, INC.
                                        CONSOLIDATED STATEMENTS OF OPERATIONS
                                      (in thousands, except per share amounts)
                                                     (unaudited)
<TABLE>
<CAPTION>
                                                        Three months ended June 30,        Six months ended June 30,
                                                         -------------------------         -------------------------
                                                            1999            1998              1999            1998
                                                         ---------       ---------         ---------       ---------
<S>                                                     <C>             <C>               <C>             <C>
Revenues:
  Collaborative research                                 $      -        $    299          $      -        $  4,482
Operating expenses:
  Research and development                                  4,477           3,589             8,676           6,925
  General and administrative                                1,173           1,109             2,357           2,117
                                                         ---------       ---------         ---------       ---------
Total operating expenses                                    5,650           4,698            11,033           9,042
                                                         ---------       ---------         ---------       ---------
Loss from operations                                       (5,650)         (4,399)          (11,033)         (4,560)
Interest income                                               523             738             1,098           1,455
Interest and other expense                                   (238)           (185)             (483)           (796)
                                                         ---------       ---------         ---------       ---------
Net loss                                                 $ (5,365)       $ (3,846)         $(10,418)       $ (3,901)
                                                         =========       =========         =========       =========
Basic and diluted net loss per share                     $  (0.45)       $  (0.35)         $  (0.90)       $  (0.37)
                                                         =========       =========         =========       =========
Shares used in computing basic and diluted
  net loss per share                                       11,907          11,073            11,569          10,647
                                                         =========       =========         =========       =========

</TABLE>
                                               See accompanying notes

<PAGE>

                                            CV THERAPEUTICS, INC.
                                    CONSOLIDATED STATEMENTS OF CASH FLOWS
                                               (in thousands)
                                                 (unaudited)
<TABLE>
<CAPTION>
                                                                        Six months ended June 30,
                                                                        -------------------------
                                                                           1999            1998
                                                                        ---------       ---------
<S>                                                                     <C>             <C>
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss                                                                $(10,418)       $ (3,901)
Adjustments to reconcile net loss to net cash used in
  operating activities:
  Amortization of deferred compensation                                      318             371
  Depreciation and amortization                                              775             545
  Change in assets and liabilities:
    Other current assets                                                     112            (104)
    Intangible and other assets                                               95             378
    Accounts payable                                                         (57)            109
    Accrued and other liabilities                                             52           1,359
    Deferred revenue                                                           -          (5,009)
                                                                        ---------       ---------
Net cash used in operating activities                                     (9,123)         (6,252)
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of investments                                                 (13,120)        (19,078)
Maturities of investments                                                 15,271          12,815
Capital expenditures                                                        (897)           (224)
Notes receivable from officers and employees                                  21               -
                                                                        ---------       ---------
Net cash used in investing activities                                      1,275          (6,487)
CASH FLOWS FROM FINANCING ACTIVITIES
Payments on capital lease obligations                                        (40)         (1,232)
Repayments of long-term debt                                              (1,500)           (500)
Net proceeds from issuance of common stock, net of repurchases             5,203          19,852
                                                                        ---------       ---------
Net cash provided by financing activities                                  3,663          18,120
                                                                        ---------       ---------
Net increase (decrease) in cash and cash equivalents                      (4,185)          5,381
Cash and cash equivalents at beginning of period                          11,954           6,286
                                                                        ---------       ---------
Cash and cash equivalents at end of period                              $  7,769        $ 11,667
                                                                        =========       =========

</TABLE>
                                            See accompanying notes

<PAGE>

                            CV THERAPEUTICS, INC.
                 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

    Basis of Presentation

    The accompanying consolidated financial statements of CV Therapeutics,
Inc. have been prepared in accordance with generally accepted accounting
principles, are unaudited and reflect all adjustments (consisting solely of
normal recurring adjustments) which are, in the opinion of management,
necessary to present fairly the financial position at, and the results of
operations for the interim periods presented.  The results of operations for
the three- and six-month periods ended June 30, 1999 are not necessarily
indicative of the results to be expected for the entire year ending December
31, 1999 or for future operating results.  The financial information
included herein should be read in conjunction with the Company's Annual
Report on Form 10-K  for the year ended December 31, 1998 which includes the
audited consolidated financial statements and the notes thereto.

    Revenue Recognition

    Revenue under the Company's collaborative research arrangements is
recognized based on the performance requirements of the contract. Payments
received, which are still subject to future performance requirements, are
recorded as deferred revenue until earned.

    Net Loss Per Share

    Net loss per share is computed using the weighted average number of
common shares outstanding.  Common equivalent shares have been excluded from
the computation as their effect is antidilutive.

2.  COMPREHENSIVE LOSS

    The components of comprehensive loss for the six months ended June 30,
1999 and 1998 are as follows:

        <TABLE>
        <CAPTION>
                                                                1999            1998
                                                             ---------       ---------
        <S>                                                 <C>             <C>
        (in thousands)
        Net loss                                             $(10,418)       $ (3,901)
        Unrealized losses on marketable securities               (111)            (20)
                                                             ---------       ---------
        Comprehensive loss                                   $(10,529)       $ (3,921)
                                                             =========       =========

        </TABLE>


3.  LICENSE AND COLLABORATION AGREEMENTS

    In May 1999, the Company entered into a commercialization agreement with
Innovex Inc for the U.S. marketing and sales of ranolazine. If the product
is approved by the FDA, Innovex will provide CVT with a dedicated sales
force and will fund other sales and marketing expenses in return for up to
one-third of U.S. ranolazine revenues. Under the terms of the agreement
Innovex's parent company, Quintiles Transnational Corp., purchased $5.0
million of the Company's common stock.

<PAGE>

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 Quarterly Report on Form 10-Q
contain forward-looking statements which involve risks and uncertainties.
The Company's actual results may differ materially from the results
discussed in the forward-looking statements. 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 for the
year ended December 31, 1998.

OVERVIEW

    CVT is an early stage biopharmaceutical company focused 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 three years. As of June
30, 1999, the Company had an accumulated deficit of $80.0 million. The
Company expects its sources of revenue, if any, for at least the next three
years to consist of payments under corporate partnerships and interest
income. 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, in some cases, 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

    Collaborative Research Revenues.  There were no collaborative research
revenues for the quarter ended June 30, 1999, compared to $299,000 for the
quarter ended June 30, 1998. There were also no collaborative research
revenues for the six-month period ended June 30, 1999, compared to $4.5
million for the six-month period ended June 30, 1998. The collaborative
research revenue for both the three and six-month periods ended June 30,
1998 was the result of the Company's completion of the research component of
its collaboration with Biogen during the first quarter of 1998.

    Research and Development Expenses.  Research and development expenses
increased to $4.5 million for the quarter ended June 30, 1999, compared to
$3.6 million for the quarter ended June 30, 1998. Research and development
expenses increased to $8.7 million for the six-month period ended June 30,
1999, compared to $6.9 million for the six-month period ended June 30, 1998.
The increases for both the three and the six-month periods ended June 30,
1999, compared to the same periods in 1998, were primarily due to hiring
additional employees to provide support for an increased level of activity
in the research, development and clinical programs. The Company expects
research and development expenses to continue to increase over the next
several years as the Company further expands product development efforts and
clinical trials.

<PAGE>

    General and Administrative Expenses.  General and administrative
expenses increased to $1.2 million for the quarter ended June 30, 1999,
compared to $1.1 million for the quarter ended June 30, 1998. General and
administrative expenses increased to $2.4 million for the six-month period
ended June 30, 1999, compared to $2.1 million for the six-month period ended
June 30, 1998. The increases for both the three and the six-month periods
ended June 30, 1999, compared to the same periods in 1998, were primarily
due to an increase in outside legal expenses for a variety of administrative
and corporate matters. The Company expects general and administrative
expenses to increase in the future in line with the Company's research and
development activities.

    Interest Income/Interest and Other Expense.  Interest income was
$523,000 for the quarter ended June 30, 1999, compared to $738,000 for the
quarter ended June 30, 1998. Interest income was $1.1 million for the
six-month period ended June 30, 1999, compared to $1.5 million for the
six-month period ended June 30, 1998. The decreases for both the three and
the six-month periods ended June 30, 1999, compared to the same periods in
1998, were due to lower average investment balances. Interest and other
expense was $238,000 for the quarter ended June 30, 1999 compared to
$185,000 for the quarter ended June 30, 1998. Interest and other expense was
$483,000 for the six-month period ended June 30, 1999 compared to $796,000
for the six-month period ended June 30, 1998. The increase for the quarter
ended June 30, 1999, compared to the same period in 1998, was primarily due
to interest expense associated with a $4.5 million addition to the loan
balance with Biogen, Inc. in December 1998. The decrease for the six-month
period ended June 30, 1999, compared to the same period in 1998, was
primarily due to a charge of $371,000 recognized during the first quarter of
1998 related to the early retirement of a capital lease obligation. The
Company expects that interest income/interest and other expense will
fluctuate with average investment and loan balances.

LIQUIDITY AND CAPITAL RESOURCES

    The Company has financed its operations since inception primarily
through private placements of preferred and common stock, public offerings
of common stock, 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 $12.0 million. In March 1997, the Company entered into two
research collaboration and license agreements with Biogen that together
resulted in cash receipts of $16.0 million. In October 1997, the Company
raised net proceeds of $12.3 million in a private placement of equity
securities with BB Biotech. In January 1998, the Company completed a
follow-on public offering and raised net proceeds of approximately $19.6
million.  In December 1998, the Company drew down an additional $4.5 million
under a general purpose loan facility with Biogen. As of June 30, 1999 the
outstanding balance for this note was $7,500,000. Interest on this note is
payable at prime plus one and one-half percent (1.5%) (9.25% at June 30,
1999) payable annually, in arrears, each March 10th. In May 1999, the
Company entered into a commercialization agreement with Innovex Inc.
pursuant to which Innovex's parent, Quintiles Transnational Corp., purchased
1,043,705 shares of the Company's common stock for a total investment
of $5.0 million. In addition, the Company entered into two promissory notes
with Quintiles Transnational Corp. The first promissory note in the amount of
$10.0 million may be drawn down by the Company at NDA filing of ranolazine.
The second promissory note shall be for a cash amount to be determined after
commercial launch of ranolazine. Both notes are convertible into shares of
common stock at the option of Quintiles upon certain events.

    Cash, cash equivalents and marketable securities at June 30, 1999
totaled $38.1 million compared to $44.8 million at December 31, 1998. The
decrease in the first six months of 1999 was due to the funding of ongoing
operations offset by the $5.0 million received from the Quintiles
Transnational Corp. stock purchase.

    Net cash used in operations for the six months ended June 30, 1999 was
$9.1 million compared to $6.3 million for the six months ended June 30,
1998. The increase in cash used in operations for the first six months of
1999, compared to the first six months of 1998, was primarily due to
increased research and development efforts.

<PAGE>

    As of June 30, 1999, the Company has invested $8.2 million in property
and equipment with the rate of investment having increased last year in line
with increased research and development efforts. This trend should continue
for the foreseeable future.

    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 and projected interest income will enable the Company to maintain
its current and planned operations through the end of 2000. However, there
can be no assurance that the Company will not require additional funding
prior to such time or that additional financing will be available on
acceptable terms or at all.

    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.

YEAR 2000

    Many computer systems, applications, information technologies and
equipment containing computer related components (generally "computer
systems and equipment") are unable to differentiate between the year 2000
and the year 1900 because they were programmed with two-digit, rather than
four-digit, date fields. Accordingly, older computer systems that have
time-sensitive applications may not properly recognize the year 2000 and
beyond ("Year 2000 issue"). This could cause system or equipment shut downs,
failures or miscalculations resulting in inaccuracies in computer output or
disruptions of operations, including, among other things, inaccurate
processing of financial information and/or temporary inabilities to process
transactions, manufacture products, or engage in similar normal business
activities.

    The Company has formed a committee to assess the impact of the problem
on the Company's operations; however, the committee's assessment of the Year
2000 issue is not yet complete. The Company tested its key computer systems
and equipment (including financial, informational and operational systems)
and determined that these systems were largely Year 2000 compliant. The
Company has completed upgrades to the systems which it determined were not
Year 2000 compliant. The Company believes that with these upgrades, the Year
2000 issue will not pose significant operational problems for its computer
systems and equipment. The Company currently has no contingency plans to
deal with major Year 2000 failures.

    In addition to risks associated with the Company's own computer systems
and equipment, the Company has relationships with, and is to varying degrees
dependent upon, a large number of third parties that provide information,
goods and services to the Company. These include financial institutions,
suppliers, vendors, research partners and governmental entities. If
significant numbers of these third parties experience failures in their
computer systems, or equipment due to the Year 2000 issue, these failures
could affect the Company's ability to process transactions, manufacture
products, or engage in similar normal business activities. While some of
these risks are outside of the Company's control, the Company has instituted
programs, including internal records review and use of external

<PAGE>

questionnaires, to identify key third parties, assess their level of Year
2000 compliance, update contracts and address any non-compliance issues. As
of June 30 1999 a majority of the key third parties have responded that they
are or will be Year 2000 compliant by December 31, 1999. The remaining key
third parties were sent a follow-up questionnaire in June 1999.

    The total cost of the Year 2000 systems assessment and upgrades is
funded through operating cash flows and the Company is expensing these
costs. The financial impact of making the required systems changes is
minimal and currently expected to be approximately $30,000. The actual
financial impact could, however, exceed this estimate.

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 this Quarterly Report on Form 10-Q.

    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's products are at an early
stage of development, and the Company has not generated any product revenue.
 In addition, the Company has only three products in clinical development,
ranolazine (phase III), CVT-124 (phase II) and CVT-510 (phase I).  There can
be no assurance that clinical trials conducted by the Company or its
collaborators 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, licensors, 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, product liability exposure and the availability of insurance.

<PAGE>

                         PART II.  OTHER INFORMATION

ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS

    On May 5, 1999, the Company issued and sold 1,043,705 shares of its
common stock to Quintiles Transnational Corp. for a total purchase price of
$5.0 million. In addition, the Company entered into two promissory notes with
Quintiles Transnational Corp. The first promissory note in the amount of
$10.0 million may be drawn down by the Company at NDA filing of ranolazine.
The second promissory note shall be for a cash amount to be determined after
commercial launch of ranolazine. Both notes are convertible into shares of
common stock at the option of Quintiles upon certain events. The sale of the
shares of common stock and the promissory notes were deemed exempt form the
registration requirements of the Securities Act of 1333, as amended, by virtue
of Regulation D promulgated thereunder.

ITEM 3. MARKET RISK

    The Company's exposure to market rate risk for changes in interest rates
relates primarily to the Company's investment portfolio. As of June 30, 1999
no significant changes have occurred since the Company's Annual Report on
Form 10-K for the year ended December 31, 1999.

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

    (a)     The Annual Meeting of Stockholders of CV Therapeutics, Inc. was
            held on May 11, 1999.

    (b)     David P. Holveck, Barbara J. McNeil, M.D., Ph.D. and J. Leighton
            Read, M.D. were elected to the Board of Directors. The terms of
            Louis G. Lange, M.D., Ph.D., Thomas L. Gutshall, Costa G.
            Sevastopoulos, Ph.D. and Issac Stein continued after the Annual
            Meeting.

Election of Directors:


             Nominee                       For                  Withheld

      David P. Holveck                  6,137,389                800,463
      Barbara A. McNeil, M.D., Ph.D.    6,137,889                799,963
      J. Leighton Read, M.D.            6,137,889                799,963

Proposal to ratify the selection of Ernst & Young LLP as independent
auditors of the Company for its fiscal year ending December 31, 1999:

              For                        Against                 Abstain

           6,918,171                      13,411                  6,270

ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

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

        EXHIBIT NUMBER                            DESCRIPTION

            10.65*                      Stock Purchase Agreement dated
                                        May 5, 1999 between the Company
                                        and Quintiles Transnational Corp.

<PAGE>

            10.66*                      Sales and Marketing Services
                                        Agreement dated May 5, 1999
                                        between the Company, Innovex
                                        Inc. and Quintiles
                                        Transnational Corp.

            10.67*                      Loan Agreement dated May 5,
                                        1999 between the Company and
                                        Quintiles Transnational Corp.

            10.68*                      Security Agreement dated May 5,
                                        1999 between the Company and
                                        Quintiles Transnational Corp.

            10.69                       Promissory Note dated May 5,
                                        1999 to Quintiles in principal
                                        amount of $10.0 million.

            10.70                       Promissory Note dated May 5,
                                        1999 to Quintiles Transnational
                                        in principal amount specified
                                        therein.

            10.71                       Amendment to Loan Agreement
                                        dated April 30, 1999 between
                                        the Company and Biotech
                                        Manufacturing Ltd.

            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.

    (d)     Reports on Form 8-K

            The Company filed a current report on Form 8-K with the
            Commission on May 19, 1999, with respect to a commercial
            arrangement with Quintiles Transnational Corp. to commercialize
            ranolazine.

<PAGE>

                                  SIGNATURES

    Pursuant to the requirements of Section 13 or 15(d) 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 16, 1999               By: /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)


Date: August 16, 1999               By: /s/ DANIEL K. SPIEGELMAN
                                            Daniel K. Spiegelman
                                           Chief Financial Officer
                                  (Principal Financial and Accounting Officer)



<PAGE>

Certain confidential information contained in this document,
marked by brackets, has been omitted and filed separately  with
the Securities and Exchange Commission pursuant to Rule 24b-2 of
the Securities Exchange Act of 1934, as amended.

                                                    Exhibit 10.65

                    STOCK PURCHASE AGREEMENT

     This  Stock Purchase Agreement (this "Agreement')  is  dated
and  entered into as of May 5,1999 (the "Effective Date"), by and
between   CV   Therapeutics,   Inc.,   a   Delaware   corporation
("Company"), and Quintiles Transnational Corp., a North  Carolina
corporation ("Purchaser").

     Whereas, Company and Innovex Inc., a wholly-owned subsidiary
of  Purchaser  ("Innovex"), are parties to a Sales and  Marketing
Services  Agreement  (as amended, modified or  supplemented  from
time to time, the "Services Agreement") dated as of the same date
hereof; and

     Whereas,   in   connection  with  the  Services   Agreement,
Purchaser desires to acquire and Company is willing to issue  and
sell  to  Purchaser shares of common stock, $.001 par  value,  of
Company (the "Common Stock"), subject to the terms and conditions
specified herein;

     Now,  Therefore,  for good and valuable  consideration,  the
receipt and sufficiency of which are hereby acknowledged  by  the
parties, the parties agree as follows:

                            ARTICLE I

                           Definitions

     1.01 Definitions.  For purposes of this Agreement, in addition to
the  terms  defined elsewhere herein, the following  terms  shall
have the meanings set forth below:

     "Affiliate" shall have the meaning given such term  in  Rule
12b-2 of the Exchange Act.

     "Business  Day"  shall mean any day other than  a  Saturday,
Sunday or legal holiday on which banks in New York, New York  are
open for the conduct of their banking business.

     "Closing"  shall have the meaning specified in Section  2.02
herein.

     "Exchange  Act"  shall mean the Securities Exchange  Act  of
1934, as amended.

     "IPO   Documents"  shall  mean  Company's  (a)  Registration
Statement  No.  333-12675  declared  effective  by  the  SEC   on
November 19, 1996, and (b) Prospectus dated November 19, 1996.

     "knowledge" of Company shall mean the knowledge  of  one  or
more of the executive officers of Company.

<PAGE>

     "Loan  Agreement" shall mean the Loan Agreement dated as  of
the  date  hereof  between  Company and  Purchaser,  as  amended,
modified or supplemented from time to time.

     "Loan  Documents" shall have the meaning given such term  in
the Loan Agreement.

     "Per  Share  Fair Market Price" of the Common Stock  on  any
date  shall  mean  (a) if the Common Stock is then  traded  on  a
securities exchange or the Nasdaq National Market, the average of
the closing prices of the Common Stock on such exchange or market
over  the ten (10) Trading Days ending on such date; (b)  if  the
Common  Stock  is  then  regularly traded  over-the-counter,  the
average of the sale prices or secondarily the closing bid of  the
Common Stock over the ten (10) Trading Days ending on such  date;
or  (c) if there is no active public market for the Common Stock,
the fair market value thereof shall be determined as of such date
by a nationally recognized investment banking firm chosen in good
faith by Company's board of directors.

     "Qualified  Transferee" shall have the meaning specified  in
Section 7.03(b) herein.

     "Registrable  Securities" shall mean (i)  the  Shares,  (ii)
shares of Common Stock held by Purchaser and acquired pursuant to
the  Loan  Agreement,  and (iii) any Common  Stock  issued  as  a
dividend  or  other distribution with respect to, or in  exchange
for  or  in  replacement  of,  such  above-described  securities;
provided however, that "Registrable Securities" shall not include
(a)  any  securities  sold  by  a person  either  pursuant  to  a
registration statement or Rule 144 or (b) any securities referred
to in the preceding clauses (i), (ii) and (iii) which may be sold
under Rule 144 during any ninety (90) day period.

     "Registration Expenses" shall mean all expenses incurred  in
effecting any registration pursuant to this Agreement, including,
without  limitation, all registration, qualification, and  filing
fees, printing expenses, escrow fees, fees and disbursements  for
counsel for the Company, blue sky fees and expenses, and expenses
of  any regular or special audits incident to or required by  any
such registration, but shall not include Selling Expenses.

     "Rule  144"  shall mean Rule 144 as promulgated by  the  SEC
under  the Securities Act, as such Rule may be amended from  time
to time, or any similar successor rule that may be promulgated by
the SEC.

     "Securities Act" shall mean the Securities Act of  1933,  as
amended.

     "SEC" shall mean the Securities and Exchange Commission.

     "Selling  Expenses"  shall mean all underwriting  discounts,
selling  commissions and stock transfer taxes applicable  to  the
sale  of  Registrable  Securities and fees and  disbursements  of
counsel except as otherwise agreed by the parties.

     "Shares"  shall have the meaning specified in  Section  2.01
herein.

     "Trading  Day"  shall  mean a day  on  which  the  principal
national securities exchange on which the Common Stock is  listed
or  admitted  to trading is open for the transaction of  business

<PAGE>

or,  if the Common Stock is not listed or admitted to trading  on
any national securities exchange, a Business Day.

                           ARTICLE II

                 Purchase and Sale of the Shares

     2.01 Issuance of the Shares.  Subject to the terms and conditions
of  this  Agreement,  at the Closing (as defined  below)  Company
agrees  to  issue and sell to Purchaser, and Purchaser agrees  to
purchase  from  Company, at an aggregate purchase price  of  Five
Million  Dollars ($5,000,000), such number of shares (rounded  to
the nearest whole share) of Common Stock (the "Shares") equal  to
5,000,000  divided by the Per Share Fair Market Price as  of  the
date which is one Business Day prior to the Effective Date.

     2.02 Closing: Delivery of the Shares.

          (a)  The purchase and sale of the Shares shall take place at a
closing  (the  "Closing") to be held at  the  offices  of  Smith,
Anderson,  Blount,  Dorsett, Mitchell &  Jernigan,  L.L.P.,  2500
First  Union  Capitol  Center, Raleigh, NC 27601  at  10:00  A.M.
(Eastern  Time) on the Effective Date, or at such other location,
time and date as may be mutually agreed upon by the parties.  The
Closing shall take place contemporaneously with the execution and
delivery of this Agreement by Company and Purchaser.

          (b)  At the Closing, subject to the terms and conditions
contained in this Agreement, Purchaser shall provide a wire
transfer of immediately available funds to an account of Company
specified to Purchaser, in an amount equal to Five Million
Dollars ($5,000,000), in payment of the full purchase price for
the Shares.

          (c)  Within five (5) business days after Closing, Company shall
deliver one or more stock certificates evidencing the Shares,
registered in the name of Purchaser and dated as of the date of
the Closing.
                           ARTICLE III

                      Conditions to Closing

     3.01 Conditions to Purchaser's Obligations.  The obligation of
Purchaser  to purchase and pay for the Shares at the  Closing  is
subject to each of the following additional conditions precedent:

          (a)  Opinion of Counsel.  Purchaser shall have received at the
Closing  an opinion from Cooley Godward LLP, counsel to  Company,
regarding   this  Agreement  and  the  transactions  contemplated
hereby;

<PAGE>

          (b)  Board Resolutions.  Purchaser shall have received at the
Closing copies of the resolutions of the Board of Directors of
Company authorizing the execution and delivery of this Agreement
and the performance by Company of all transactions contemplated
hereby, certified by an appropriate officer of Company;

          (c)  Officer's Certificate.  Purchaser shall have received at the
Closing, a certificate, executed by the appropriate officer of
Company and dated as of the date of the Closing, together with
and certifying (A) the names of the officers of Company
authorized to sign this Agreement together with the true
signatures of such officers; (B) a copy of the certificate of
incorporation of Company, as amended and in effect as of the date
of the Closing; (C) a copy of the bylaws of Company, as amended
and in effect as of the date of the Closing; and (D) that the
representations and warranties contained in Article IV hereof are
true and correct as of the date of the Closing; and

          (d)  Services Agreement.  Purchaser shall have received at the
Closing the Services Agreement, duly executed by an authorized
officer of Company and dated as of the date of the Closing.

     3.02 Conditions to Company's Obligations.  The obligation of
Company to issue and sell the Shares at the Closing is subject to
the following additional conditions precedent:

          (a)  Board Resolutions.  Company shall have received at the
Closing  copies of the resolutions of the Board of  Directors  of
Purchaser  authorizing  the  execution  and  delivery   of   this
Agreement  and  the performance by Purchaser of all  transactions
contemplated  hereby,  certified by  an  appropriate  officer  of
Purchaser;

          (b)  Services Agreement.  Company shall have received at the
Closing the Services Agreement, duly executed by an authorized
officer of Purchaser and dated as of the date of the Closing; and

          (c)  Purchase Price.  Purchaser shall have delivered Five Million
Dollars ($5,000,000) in immediately available funds to Company's
specified account in accordance with Section 2.02(b) herein.

                           ARTICLE IV

            Representations and Warranties of Company

Company represents and warrants to Purchaser as follows:

     4.01  Corporate  Status.   Company  is  a  corporation  duly
incorporated,  validly existing and in good  standing  under  the
laws  of  the State of Delaware, and has all requisite  corporate
power and authority to own and use its properties and assets  and
to transact the business in which it is currently engaged.

<PAGE>

     4.02 Corporate Power and Authority.  The execution and delivery
by Company of this Agreement, the performance of the terms and
obligations herein, and the issuance, sale and delivery of the
Shares are each within Company's corporate powers, and each has
been duly authorized by all necessary corporate action on the
part of Company.  This Agreement, when executed and delivered
hereunder, will constitute the valid and legally binding
obligation of Company enforceable against Company in accordance
with its terms, subject to (i) applicable bankruptcy, insolvency,
reorganization, moratorium or similar laws affecting creditors'
rights generally, and (ii) the effect of general principles of
equity, regardless of whether considered in a proceeding in
equity or at law.

     4.03 Government Approvals.  No authorization, consent, approval
or other action by, and no notice to or filing with, any
governmental authority or regulatory body is required for the due
execution, delivery and performance by Company of this Agreement
or the issuance and sale of the Shares to Purchaser except for:
the filing by Company with the SEC or any state securities
authorities of any notices or filings required in connection with
the exemptions from the registration or qualification
requirements of the Securities Act and/or applicable state
securities law.

     4.04 Capitalization.  As of March 31, 1999, the authorized
capital stock of Company consists of:  (i) 30,000,000 shares of
Common Stock, $.001 par value, of which 11,246,047 shares are
issued and outstanding and of which 59,479 shares are treasury
shares, and (ii) 5,000,000 shares of Preferred Stock, $.001 par
value, of which 300,000 are designated Series A Junior
Participating Preferred, none of which are issued and
outstanding.  As of March 31, 1999, an aggregate of 1,721,936
shares of Company's Common Stock were reserved for future
issuance pursuant to stock options granted by Company and
outstanding on March 31, 1999 and an additional 333,139 shares of
Company's Common Stock were reserved and available for the grant
of future stock options under all of Company's stock option or
equity incentive plans.  As of the day prior to Closing, the
Shares represent 8.49% of the outstanding Common Stock of the
Company.  The Shares, when issued against payment of the
aggregate purchase price set forth in Section 2.01, will be duly
authorized, validly issued, fully paid, non-assessable and free
and clear of all liens and encumbrances.  As of the date hereof,
except for the options described in the preceding sentence or
except as described on the Schedule of Exceptions attached
hereto, there are no options, warrants, convertible securities or
other rights to purchase shares of capital stock or other
securities of Company which are authorized, issued or
outstanding, nor is Company obligated in any other manner to
issue shares of its capital stock or other securities, and
Company has no obligation to purchase, redeem or otherwise
acquire any shares of its capital stock or any interest therein
or to pay any dividend or make any other distribution in respect
thereof, except as contemplated by this Agreement, the Services
Agreement, Loan Agreement or Loan Documents.  Except as described
in the IPO Documents, the SEC Documents or the Schedule of
Exceptions, and except as otherwise contemplated by this
Agreement the Services Agreement, Loan Agreement or Loan
Documents, (i) no person is entitled to any preemptive right,
catch-up right, right of first refusal or similar right with
respect to the issuance of any capital stock of Company, (ii)
there are no restrictions on the transfer of shares of capital
stock of Company other than those imposed by relevant federal and
state securities laws and (iii) there exists no agreement between
Company's stockholders and to which Company is a party with

<PAGE>

respect to the voting or transfer of Company's capital stock or
with respect to any other aspect of Company's affairs.

     4.05 Registration Rights.  As of the Closing, no person has
demand or other rights to cause Company to file any registration
statement under the Securities Act relating to any securities of
Company or any right to participate in any such registration
statement, except as set forth on the Schedule of Exceptions
attached hereto.

     4.06 No Violation.  Neither the execution or delivery by Company
of this Agreement, nor the performance of the terms and
obligations herein, will (i) violate Company's charter or bylaws,
(ii) constitute a breach or default under any agreement or
instrument to which Company is a party or by which Company is
bound, which breach or default would have a material adverse
effect on Company, its assets or properties, or (iii) violate any
applicable law, rule or regulation, which violation would have a
material adverse effect on Company, or (iv) violate any order,
writ, injunction, decree or judgment of any court or governmental
authority applicable to or binding upon Company, which violation
would have a material adverse effect on Company.

     4.07 Financial Statements: Budget and Projections.

          (a)  All financial statements contained in the SEC Documents (as
defined in Section 4.09) filed by Company with the SEC, have been
prepared   in  accordance  with  generally,  accepted  accounting
principles  ("GAAP") consistently applied throughout the  periods
indicated except as may be expressly stated in the notes  thereto
and,  as to the unaudited financial statements, subject to normal
recurring  year-end audit adjustments and the  absence  of  notes
thereto.   Each  balance  sheet  fairly  presents  the  financial
condition of Company and its subsidiaries as at the date of  such
balance sheet, and each statement of operations, of stockholders'
equity  and  of  cash  flows,  fairly  presents  the  results  of
operations,  the  stockholders' equity  and  the  cash  flows  of
Company and its subsidiaries for the periods then ended,  all  in
accordance with GAAP.

          (b)  Since the date of Company's most recent filing of financial
statements with the SEC, there has been no material adverse
change in the business, property, assets, operations or financial
condition of Company and its subsidiaries.

          (c)  Company has furnished Purchaser with a summary of Company's
[*] and [*] for its fiscal year ending December 31, 1999.  Such
[*] and [*], taken as a whole, are reasonable.

     4.08 Litigation.  There is no pending, or to Company's knowledge
overtly  threatened,  action, suit, proceeding,  arbitration,  or
investigation    before    any   court,   governmental    agency,
instrumentality or arbitrator, which, if determined adversely  to
Company,  could  reasonably be expected to  materially  adversely
affect  the  business, property, assets, operations or  financial
condition  of Company and its subsidiaries or which  purports  to
affect   the  legality,  validity  or  enforceability   of   this
Agreement.

<PAGE>

     4.09 SEC Filings.  Company has filed with the SEC on a timely
basis, or received a valid extension of such time of filing, all
forms, reports and documents required to be filed by it under the
Exchange Act since November 19, 1996 (such documents collectively
referred to as the "SEC Documents").  As of their respective
dates, the SEC Documents complied in all material respects with
the requirements of the Securities Act and the Exchange Act and
the rules and regulations of the SEC promulgated thereunder, and
none of the SEC Documents, when filed, contained any untrue
statement of a material fact or omitted to state a material fact
required to be stated therein or necessary to make the statements
therein, in light of the circumstances under which they were
made, not misleading.

     4.10 Compliance with Statutes, etc.  Each of Company and its
subsidiaries  is in compliance with all applicable  laws,  rules,
regulations  and  orders  of,  and  all  applicable  restrictions
imposed by, all governmental bodies, in respect of the conduct of
its business and the ownership of its property except, where such
failure  to  be  in compliance would not have a material  adverse
effect on Company.

     4.11   Securities  Laws.   Assuming  the  accuracy  of   the
representations and warranties of Purchaser contained in  Article
V  hereof,  the  issuance  of  the  Shares  is  exempt  from  the
provisions   of  the  Securities  Act.   All  notices,   filings,
registrations, or qualifications under state securities or "blue-
sky"  laws which are required in connection with the offer, issue
and  delivery of the Shares pursuant to this Agreement,  if  any,
have been or will be completed by Company on a timely basis.

     4.12 Tax Returns and Payments.  Each of Company and its
subsidiaries has filed all federal, state, local, foreign and
other tax returns required to be filed by it and has paid all
taxes and other assessments which have become due pursuant to
such tax returns and all other taxes and assessments which have
become due, except for those contested in good faith and for
which adequate reserves have been established.  Each of Company
and its subsidiaries has made adequate provisions on its books of
account for all taxes, assessments and governmental charges with
respect to its business, properties and operations for all prior
fiscal years and for the current fiscal year to the date hereof.
No governmental authority has asserted a lien or other claim
against Company or any of its subsidiaries with respect to unpaid
taxes which has not been discharged or resolved, which would have
a material adverse effect on Company.

     4.13 Insurance.  Company and each of its subsidiaries maintains
insurance on all of its properties with financially sound and
reputable insurance companies against such risks and in such
amounts as are customarily maintained by companies of comparable
size engaged in a similar business.

     4.14 No Infringement.  To its knowledge, Company owns or
possesses rights to use all patents, patent applications,
trademarks, service marks, trade names, copyrights, trade
secrets, licenses and rights with respect to the foregoing which
are required to conduct its business without any known
infringement of the rights of others.  No event has occurred
which, to the knowledge of Company, permits, or after notice or
lapse of time or both would permit, the revocation or termination
of any such rights, and, to the knowledge of Company, neither

<PAGE>

Company nor any of its subsidiaries is liable to any person or
entity for infringement under applicable law with respect to such
rights.  As of the Effective Date, Company is not pursuing any
action against any third party for the infringement of Company's
patents, patent applications, trademarks, service marks, trade
names, copyrights, trade secrets, or licenses relating to its
business.
                            ARTICLE V

           Representations and Warranties of Purchaser

Purchaser represents and warrants to Company as follows:

     5.01  Corporate  Status.  Purchaser is  a  corporation  duly
incorporated,  validly existing and in good  standing  under  the
laws  of  the  State  of North Carolina, and  has  all  requisite
corporate  power and authority to own and use its properties  and
assets  and  to  transact the business in which it  is  currently
engaged.

     5.02 Corporate Power and Authorization.  The execution and
delivery by Purchaser of this Agreement, the performance of the
terms and obligations therein, and the purchase of the Shares are
each within Purchaser's corporate powers, and each has been duly
authorized by all necessary corporate action on the part of
Purchaser.  This Agreement, when executed and delivered
hereunder, will constitute valid and legally binding obligations
of Purchaser enforceable against Purchaser in accordance with
their terms, subject to (i) applicable bankruptcy, insolvency,
reorganization, moratorium or similar laws affecting creditors'
rights generally, and (ii) the effect of general principles of
equity, regardless of whether considered in a proceeding in
equity or at law.

     5.03 Investment.  Purchaser is acquiring the Shares for
Purchaser's own account, not as a nominee or agent for
investment, and not with a view to, or for resale in connection
with, any distribution or public offering thereof within the
meaning of the Securities Act.

     5.04 Shares Not Registered.  Purchaser understands that the
Shares are not registered under the Securities Act on the ground
that the sale provided for in this Agreement and the issuance of
Shares hereunder is exempt from registration under the Securities
Act pursuant to Section 4(2) thereof, and that Company's reliance
on such exemption is predicated on Purchaser's representations
set forth herein.

     5.05 Accredited Investor.  Purchaser represents that it is an
"accredited investor" within the meaning of Rule 501 of
Regulation D adopted pursuant to the Securities Act.

     5.06 Restricted Shares.  Purchaser 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

<PAGE>

held indefinitely. Purchaser is aware that the Shares may not be sold
pursuant to Rule 144 promulgated under the Securities Act unless all of
the conditions of that Rule are met.

     5.07 Legend.  To the extent applicable, each certificate or other
document evidencing the Shares, whether upon initial issuance or
transfer thereof, shall be endorsed with the legends
substantially in the form set forth below:

     "THE SHARES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED
     UNDER  THE SECURITIES ACT OF 1933, AS AMENDED, AND  MAY
     NOT  BE  SOLD,  TRANSFERRED, PLEDGED,  OR  HYPOTHECATED
     UNLESS  AND UNTIL REGISTERED UNDER SUCH ACT, OR  UNLESS
     COMPANY  HAS  RECEIVED AN OPINION OF COUNSEL  OR  OTHER
     EVIDENCE, SATISFACTORY TO COMPANY AND ITS COUNSEL, THAT
     SUCH REGISTRATION IS NOT REQUIRED."

     "THE SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT
     TO  CERTAIN  RESTRICTIONS ON TRANSFER SET FORTH  IN  AN
     AGREEMENT  BETWEEN  THE COMPANY AND THE  HOLDER  HEREOF
     DATED _______________, 1999, A COPY OF WHICH IS ON FILE
     AT  THE  COMPANY'S PRINCIPAL OFFICES AND  IS  AVAILABLE
     UPON REQUEST."

     5.08 Investment Information.

          (a)  Purchaser has been furnished with all the information
necessary to make an informed investment decision.  Purchaser has
been  given  access to such information relating  to  Company  as
Purchaser has requested.

          (b)  By reason of Purchaser's business or financial experience,
Purchaser has the capacity to make the decision referred to in
subsection (a) above.
                           ARTICLE VI

                      Covenants of Company

     6.01 Rule 144 Reporting.  With a view to making available the
benefits  of  certain rules and regulations of the SEC  that  may
permit the sale of the Shares to the public without registration,
Company agrees to use its best efforts to:

          (a)  make and keep public information regarding Company available
(as  those terms are understood and defined in Rule 144 under the
Securities Act) at all times;

          (b)  file with the SEC in a timely manner all reports and other
documents required of Company under the Securities Act and the
Exchange Act at any time; and

<PAGE>

          (c)  so long as Purchaser owns any Shares or securities
convertible into, exchangeable for or exercisable for Common
Stock, furnish to Purchaser forthwith upon written request as to
Company's compliance with the reporting requirements of Rule 144
and of the Securities Act and the Exchange Act, a copy of the
most recent annual or quarterly report of Company.

                           ARTICLE VII

                     Covenants of Purchaser

     7.01 Restriction on Short Sales.  Until the [*] anniversary of
the   expiration  or  termination  of  the  Services   Agreement,
Purchaser  shall not engage, and shall ensure that  none  of  its
Affiliates engage, (a) in any Short Sales (as defined in Rule 3b-
3  of  the  Exchange  Act) of Common Stock  or  (b)  any  hedging
transaction  in  which  the other party to  such  transaction  is
reasonably likely to engage in a Short Sale as a direct result of
such transaction.

     7.02 Restrictions on Purchase of Common Stock.  Until the [*]
anniversary of the expiration or termination of the Services
Agreement, Purchaser shall not purchase, and shall ensure that
none of its Affiliates purchases, any Common Stock other than the
purchase or acquisition of Shares contemplated by this Agreement
or the Loan Agreement.

     7.03 Restriction on Sales of Shares.  (a)    Until the [*]
anniversary of the Closing, during any period of ninety (90)
consecutive days, Purchaser shall not sell in excess of [*]
Shares in the aggregate (as adjusted for stock splits, stock
combinations, stock dividends and similar events).

          (b)  The restrictions under Section 7.03(a) shall not be
applicable to any transfer of Shares by Purchaser to an Affiliate
or to an investment fund or similar transferee of which Purchaser
or  an  Affiliate  owns or controls at least  five  percent  (5%)
thereof  (a "Qualified Transferee"), provided that such Qualified
Transferee shall have agreed in writing to be bound by the  terms
of this Agreement.

     7.04 Termination of Restrictions.  Upon the occurrence of an
Event  of  Default  under Section 7.01(a)  or  (d)  of  the  Loan
Agreement,  all  of  the  provisions of this  Article  VII  shall
terminate and have no further force or effect.

                          ARTICLE VIII


                       Registration Rights

     8.01 Shelf Registration.  At any time after the occurrence of an
Event  of Default under the Loan Agreement, or at any time  after
the  later  to  occur of three (3) years after the date  of  this
Agreement and four hundred fifty (450) days after the NDA Filing,
the  holders  of Registrable Securities who hold and  propose  to
sell  Registrable Securities with an aggregate value of at  least
$500,000  shall  have  the  right  to  require  Company  to  file
registration statements under the

<PAGE>

Securities Act, on Form S-3  or another  appropriate form, covering
such shares  (each  a  "Shelf Registration") by delivering written notice
thereof  to  Company;provided, however, Company shall not be obligated to
effect  such a registration more than once in any rolling twelve-month
period or (b) after the occurrence of an Event of Default under the Loan
Agreement,  more  than twice in any rolling twelve-month  period.
After  delivery  of such notice, Company shall prepare  and  file
with  the  SEC as promptly as practicable after delivery thereof,
and   in  any  event  within  thirty  (30)  days  thereafter,   a
registration statement covering such shares and Company shall use
its  best efforts to cause such Shelf Registration to be declared
effective under the Securities Act within ninety (90) days of the
delivery  of  such  notice, and to keep such  Shelf  Registration
continuously effective under the Securities Act until  such  time
as the earlier to occur of (i) the covered securities cease to be
Registrable Securities, (ii) ninety (90) days, or (iii) until the
holders  have completed the distribution described in such  Shelf
Registration.  All Shelf Registrations shall be non-underwritten.
Company  shall use its best efforts to be and remain eligible  to
use  Form  S-3  under  the Securities Act  or  any  successor  or
comparable form.

     8.02 Piggy-Back Registration

          (a)  Company shall notify Purchaser in writing prior to the
initial filing of any registration statement under the Securities
Act for purposes of an underwritten public offering of securities
of   Company   (including,  but  not  limited  to,   registration
statements  relating  to  secondary offerings  of  securities  of
Company,  but  excluding  registration  statements  relating   to
employee   benefit   plans   or   with   respect   to   corporate
reorganizations  or  other transactions under  Rule  145  of  the
Securities  Act) and, subject to the conditions of  this  Section
8.02,  Company will afford the holders of Registrable  Securities
an  opportunity to include in such registration statement all  or
part of the Registrable Securities.  If such a holder desires  to
include  in any such registration  statement all or any  part  of
the  Registrable Securities, it shall, within 20 days  after  the
above-described notice from Company, so notify Company in writing
and  such  notice  shall state the intended  disposition  of  the
Registrable Securities by such holder and Company shall,  subject
to  Section  8.02(b), cause to be registered under the Securities
Act  all  of  the  Registrable Securities that  such  holder  has
requested  to  be  registered.  If such  holder  decides  not  to
include  all  of  the Registrable Securities in any  registration
statement   thereafter  filed  by  Company,  such  holder   shall
nevertheless continue to have the right to include any  remaining
Registrable  Securities in any subsequent registration  statement
or  registration  statements as may  be  filed  by  Company  with
respect to underwritten offerings of its securities, all upon the
terms and conditions set forth herein.

          (b)  The right of a holder to be included in a registration
pursuant to this Section 8.02 shall be conditioned upon such
holder's participation in such underwriting and the inclusion of
the Registrable Securities in the underwriting to the extent
provided herein.  If such holder proposes to distribute the
Registrable Securities through such underwriting, it shall enter
into an underwriting agreement in customary form with the
underwriter or underwriters selected for such underwriting by
Company.  Notwithstanding any other provision of the Agreement,
if the underwriter determines in good faith that marketing
factors require a limitation of the number of shares to be
underwritten, then Company shall so advise the Purchaser and the
number of shares that may be included in the underwriting shall
be allocated, first, to Company; second, to

<PAGE>

the selling stockholders on a pro rata basis based on the total number of
Registrable Securities held by such stockholders.  Company shall
not limit the number of Registrable Securities to be included in
a registration statement pursuant to this Section 8.02 in order
to include stockholders with no pre-existing registration rights.

          (c)  Company shall have the right to terminate or withdraw any
registration initiated by it under this Section 8.02 prior to the
effectiveness of such registration whether or not holders of
Registrable Securities have elected to include securities in such
registration.  The Registration Expenses of such withdrawn
registration shall be borne by Company in accordance with Section
8.03 hereof.

     8.03 Expenses of Registration.  Except as specifically provided
herein, all Registration Expenses incurred in connection with any
registration under this Article VIII and the reasonable fees  and
expenses  of  one  counsel representing all  selling  holders  of
Registrable  Securities (not to exceed $25,000 in the  aggregate)
shall  be  borne  by Company.  All Selling Expenses  incurred  in
connection with any registrations hereunder shall be borne by the
holders of the securities so registered, pro rata on the basis of
the number of shares so registered.

     8.04 Obligations of Company.  Whenever required to effect the
registration of the Registrable Securities, Company shall at its
expense, as expeditiously as reasonably possible:

          (a)   Prepare and file with the SEC such amendments and
supplements  to  such registration statement and  the  prospectus
used  in  connection with such registration statement as  may  be
necessary  to  comply with the provisions of the  Securities  Act
with respect to the disposition of all securities covered by such
registration statement.

          (b)  Furnish to each seller of Registrable Securities such number
of copies of a prospectus, including a preliminary prospectus, in
conformity with the requirements of the Securities Act, and such
other documents as it may reasonably request in order to
facilitate the disposition of securities covered by such
prospectus.

          (c)  Use all reasonable efforts to register and qualify the
securities covered by such registration statement under such
other securities or Blue Sky laws of such jurisdictions as shall
be reasonably requested by sellers of Registrable Securities,
provided that Company shall not be required in connection
therewith or as a condition thereto to qualify to do business or
to file a general consent to service of process in any such
states or jurisdictions.

          (d)  In the event of any underwritten public offering, enter into
and perform its obligations under an underwriting agreement, in
usual and customary form, with the managing underwriter(s) of
such offering.  If a holder of Registrable Securities
participates in such underwriting, such holder shall also enter
into and perform its obligations under such an agreement.

          (e)  Notify each seller of Registrable Securities covered by such
registration statement, at any time when a prospectus relating
thereto is required to be delivered under the

<PAGE>

Securities Act, of the happening of any event as a result of which the
prospectus included in such registration statement, as then in effect,
includes an untrue statement of a material fact or omits to state
a material fact required to be stated therein or necessary to
make the statements therein not misleading in the light of the
circumstances then existing and, at the request of any such
seller, prepare and furnish to such seller a reasonable number of
copies of a supplement to or an amendment of such prospectus as
may be necessary so that such prospectus shall not contain such
an untrue statement or omission.

          (f)  Furnish, on the date that the Registrable Securities are
delivered to the underwriters for sale, if such securities are
being sold through underwriters, (i) an opinion, dated as of such
date, of the counsel representing Company for the purposes of
such registration, in form and substance as is customarily given
to underwriters in an underwritten public offering, addressed to
the underwriters, and (ii) a letter dated as of such date, from
the independent certified public accountants of Company, in form
and substance as is customarily given by independent certified
public accountants to underwriters in an underwritten public
offering, addressed to the underwriters.

     8.05 Termination of Registration Rights.  All registration rights
granted  under this Article VIII shall terminate  and  be  of  no
further  force  and  effect  as  to  any  holder  of  Registrable
Securities upon the earlier to occur of (a) as to any Registrable
Security,  the  sixth  anniversary of the  date  of  the  initial
issuance  to Purchaser of such Registrable Security or  (b)  such
time  as all Registrable Securities of a holder may be sold under
Rule  144  during any ninety (90) day period, unless such  holder
later becomes an affiliate of Company (as defined under Rule 144)
in  which  case  such  holder's registration  rights  under  this
Article  VIII shall be revived and reinstated until such holder's
rights otherwise terminate pursuant to this Section 8.05.

     8.06 Furnishing Information.  It shall be a condition precedent
to the obligations of Company to take any action pursuant to
Sections 8.02 or 8.04 that a seller of Registrable Securities
shall furnish to Company such information regarding itself, the
Registrable Securities held by it and the intended method of
disposition of such securities as shall be required to effect the
registration of its Registrable Securities.

     8.07 Indemnification.  In the event any Registrable Securities
are included in a registration statement pursuant to this Article
VIII:
          (a)  To the extent permitted by applicable law, Company will
indemnify   and   hold  harmless  each  holder   of   Registrable
Securities, the officers, directors, employees, agents, partners,
and  representatives thereof, any participating  underwriter  (as
defined  in  the  Securities Act) and each person,  if  any,  who
controls  such  holder or underwriter within the meaning  of  the
Securities Act or the Exchange Act, from and against any  losses,
claims, damages, or liabilities (joint or several) to which  they
may become subject under the Securities Act, the Exchange Act  or
other  federal  or  state law, insofar as  such  losses,  claims,
damages or liabilities (or actions in respect thereof) arise  out
of  or  are based upon any of the following statements, omissions
or  violations (collectively, a "violation") by Company: (i)  any
untrue  statement or alleged untrue statement of a material  fact
contained   in   such  registration  statement,   including   any preliminary

<PAGE>

prospectus or final prospectus contained  therein  or
any  amendments  or  supplements thereto, (ii)  the  omission  or
alleged omission to state therein a material fact required to  be
stated  therein, or necessary to make the statements therein  not
misleading,  or  (iii)  any violation  or  alleged  violation  by
Company  of  the  Securities Act, the  Exchange  Act,  any  state
securities  law or any rule or regulation promulgated  under  the
Securities Act, the Exchange Act or any state securities  law  in
connection   with  the  offering  covered  by  such  registration
statement; and Company will reimburse each such holder,  officer,
director,  employee, agent, partner, representative,  underwriter
or  controlling person for any legal or other expenses reasonably
incurred  by  them in connection with investigating or  defending
any  such  loss,  claim, damage, liability or  action;  provided,
however,  that the indemnity agreement contained in this  Section
8.07(a) shall not apply to amounts paid in settlement of any such
loss,  claim,  damage, liability or action if such settlement  is
effected without the consent of Company, which consent shall  not
be unreasonably withheld, nor shall Company be liable in any such
case for any such loss, claim, damage, liability or action to the
extent  that it arises out of or is based upon a violation  which
occurs   in   reliance  upon  and  in  conformity  with   written
information furnished expressly for use in connection  with  such
registration by such holder, officer, director, employee,  agent,
partner, representative, underwriter or controlling person.

          (b)  To the extent permitted by applicable law, each holder of
Registrable Securities will, if Registrable Securities held by
such holder are included in such registration statement,
indemnify and hold harmless Company, each of its directors,
officers, employees, agents, and representatives, and each
person, if any, who controls Company within the meaning of the
Securities Act, any participating underwriter and any other
stockholder selling securities under such registration statement
or any of such other selling stockholder's directors, officers,
employees, agents, partners or representatives, or any person who
controls such selling stockholder, against any losses, claims,
damages or liabilities (joint or several) to which Company or any
such director, officer, employee, agent, partner, representative,
controlling  person, underwriter or selling stockholder may
become subject under the Securities Act, the Exchange Act or
other federal or state law, insofar as such losses, claims,
damages or liabilities (or actions in respect thereto) arise out
of or are based upon any violation, in each case to the extent
(and only to the extent) that such violation occurs in reliance
upon and in conformity with written information furnished by such
holder under an instrument duly executed by such holder and
stated to be specifically for use in connection with such
registration; and such holder will reimburse any legal or other
expenses reasonably incurred by Company or any such director,
officer, employee, agent, partner, representative, controlling
person, underwriter or selling stockholder in connection with
investigating or defending any such loss, claim, damage,
liability or action; provided, however, that the indemnity
agreement contained in this Section 8.07(b) shall not apply to
amounts paid in settlement of any such loss, claim, damage,
liability or action if such settlement is effected without the
consent of such holder, which consent shall not be unreasonably
withheld; provided further, that in no event shall any indemnity
under this Section 8.07 exceed the proceeds from the offering
received by such holder.

          (c)  Promptly after receipt by an indemnified party under this
Section 8.07 of notice of the commencement of any action
(including any governmental action), such indemnified party will,
if a claim in respect thereof is to be made against any
indemnifying party

<PAGE>

under this Section 8.07, deliver to the indemnifying party a written notice
of the commencement thereof and the indemnifying party shall have the right
to participate in, and, to the extent the indemnifying party so desires,
jointly with any other indemnifying party similarly noticed, to assume
the defense thereof with counsel mutually satisfactory to the
parties; provided, however, that an indemnified party shall have
the right to retain its own counsel, with the fees and expenses
to be paid by the indemnifying party, if representation of such
indemnified party by the counsel retained by the indemnifying
party would be inappropriate due to actual or potential differing
interests between such indemnified party and any other party
represented by such counsel in such proceeding.  The failure to
deliver written notice to the indemnifying party within a
reasonable time of the commencement of any such action, if
materially prejudicial to its ability to defend such action,
shall relieve such indemnifying party of any liability to the
indemnified party under this Section 8.07, but the omission so to
deliver written notice to the indemnifying party will not relieve
it of any liability that it may have to any indemnified party
otherwise than under this Section 8.07.

          (d)  If the indemnification provided for in this Section 8.07 is
held by a court of competent jurisdiction to be unavailable to an
indemnified party with respect to any losses, claims, damages or
liabilities referred to herein, the indemnifying party, in lieu
of indemnifying such indemnified party thereunder, shall to the
extent permitted by applicable law contribute to the amount paid
or payable by such indemnified party as a result of such loss,
claim, damage or liability in such proportion as is appropriate
to reflect the relative fault of the indemnifying party on the
one hand and of the indemnified party on the other in connection
with the violation(s) that resulted in such loss, claim, damage
or liability, as well as any other relevant equitable
considerations.  The relative fault of the indemnifying party and
of the indemnified party shall be determined by a court of law by
reference to, among other things, whether the untrue or alleged
untrue statement of a material fact or the omission to state a
material fact relates to information supplied by the indemnifying
party or by the indemnified party and the parties' relative
intent, knowledge, access to information and opportunity to
correct or prevent such statement or omission; provided, that in
no event shall any contribution by a holder of Registrable
Securities hereunder exceed the proceeds from the offering
received by such holder.

     The  obligations of Company and Purchaser under this Section
8.07  shall  survive  completion of any offering  of  Registrable
Securities  in  a registration statement and the  termination  of
this  Agreement.  No indemnifying party, in the  defense  of  any
such  claim or litigation, shall, except with the consent of each
indemnified party, consent to entry of any judgment or enter into
any  settlement  which does not include as an unconditional  term
thereof  the  giving  by  the  claimant  or  plaintiff  to   such
indemnified party of a release from all liability in  respect  to
such claim or litigation.

                           ARTICLE IX

                          Miscellaneous

     9.01 Amendments, Etc.  No amendment or waiver of any provision of
this   Agreement,  nor  consent  to  any  departure  by   Company
therefrom, shall in any event be effective

<PAGE>

unless the same  shall be  in  writing and signed by Purchaser, and then
such waiver or consent shall be effective only in the specific instance and
for the specific purpose for which given.

     9.02 Notices.  All notices and other communications provided for
hereunder shall be in writing, shall specifically refer to this
Agreement, shall be addressed to the receiving party's address
set forth below or to such other address as a party may designate
by notice hereunder, and shall be deemed to have been
sufficiently given for all purposes if (i) mailed by first class
certified or registered-mail, postage prepaid, (ii) sent by
express delivery service, (iii) personally delivered, or (iv)
made by telecopy or facsimile transmission.

If to Company:      CV Therapeutics, Inc.
                    3172 Porter Drive
                    Palo Alto, CA 94304
                    Attn: Cynthia L. Clark, General Counsel
                    Facsimile: 650-858-0388

with a copy to:     Cooley Godward LLP
                    Five Palo Alto Square
                    3000 El Camino Real
                    Palo Alto, CA 94306-2155
                    Attn: Robert L. Jones
                    Facsimile: 650-857-0663


If to Purchaser:    Quintiles Transnational Corp.
                    4709 Creekstone Drive
                    Suite 200 Riverbirch Bldg.
                    Durham, N.C. 27703
                    Attn: John S. Russell
                    Facsimile: 919-998-2759

with a copy to:     Smith, Anderson, Blount, Dorsett
                    Mitchell & Jernigan, L.L.P.
                    2500 First Union Capitol Center
                    Raleigh, N.C. 27601
                    Attn: Gerald F. Roach
                    Facsimile: 919-821-6800

     9.03 No Waiver: Remedies.  No failure on the part of Purchaser to
exercise,  and no delay in exercising, any right hereunder  shall
operate  as  a  waiver thereof; nor shall any single  or  partial
exercise of any such right preclude any other or further exercise
thereof or the exercise of any other right.  The remedies  herein
provided  are  cumulative  and  not  exclusive  of  any  remedies
provided by law.

     9.04 Attorneys' Fees.  In the event that any dispute among the
parties to this Agreement should result in litigation, the
prevailing party in such dispute shall be entitled to

<PAGE>

recover from the losing party all fees, costs and expenses enforcing
any right of such prevailing party under or with respect to this
Agreement, including without limitation, such reasonable fees and
expenses of attorneys and accountants, which shall include,
without limitation, all fees, costs and expense of appeals.

     9.05 Binding Effect: Assignment.  This Agreement shall be binding
upon and inure to the benefit of Company and Purchaser and their
respective successors and assigns, provided that neither Company
nor Purchaser may assign or transfer any or all of its rights or
obligations under this Agreement without the prior written
consent of the other party; provided, however, that Purchaser may
at any time assign or transfer any or all of its rights or
obligations under this Agreement to a Qualified Transferee.
Notwithstanding any assignment by Purchaser, the provisions of
Sections 7.01 and 7.02 shall continue to be binding upon
Purchaser in accordance with the terms of this Agreement.

     9.06 Governing Law; Consent to Jurisdiction .  This Agreement
shall be governed by, and construed in accordance with, the laws
of the State of Delaware, without reference to the conflicts or
choice of law principles thereof.  Company and Purchaser hereby
irrevocably consent to the exclusive personal jurisdiction of any
state or federal courts located in Delaware, in any action, claim
or other proceeding arising out of any dispute in connection with
this Agreement, any rights or obligations hereunder, or the
performance of such rights and obligations.  Purchaser and
Company agree to waive their respective rights to a jury trial
with respect to any action, claim, or other proceeding arising
out of any dispute in connection with this Agreement, any rights
or obligations hereunder, or the performance of such rights and
obligations.

     9.07 Severability.  To the extent any provision of this Agreement
is prohibited by or invalid under applicable law, such provision
shall be ineffective to the extent of such prohibition or
invalidity, without invalidating the remainder of such provision
or the remaining provisions of this Agreement.

     9.08 Entire Agreement.  This Agreement embodies the entire
agreement and understanding between the parties hereto with
respect to the provisions hereof and supersedes all prior oral or
written agreements and understandings relating to the provisions
hereof.  No statement, representation, warranty, covenant or
agreement of any kind not expressly set forth in this Agreement
shall affect, or be used to interpret, change or restrict, the
express terms and provisions of this Agreement.

     9.09 Further Action.  Each party shall, without further
consideration, take such further action and execute and deliver
such further documents as may be reasonably requested by the
other party in order to carry out the provisions and purposes of
this Agreement.

     9.10 Counterparts.  This Agreement may be executed in one or more
counterparts,  each of which shall be deemed to be  an  original,
but  all of which, when taken together, shall constitute one  and
the same instrument.

<PAGE>

     9.11 Survival.  The representations, warranties, covenants and
agreements made herein by Company and Purchaser shall survive the
Closing.

      [THE REMAINDER OF THE PAGE INTENTIONALLY LEFT BLANK;
                SIGNATURES ARE ON FOLLOWING PAGE]

          [Signature Page to Stock Purchase Agreement]

     In Witness Whereof, Company and Purchaser have caused this
Stock Purchase Agreement to be executed in their names by their
duly authorized officers or representatives effective as of the
date first above written.

                              CV Therapeutics, Inc.

                              By:     /s/ L. Lange
                              Name:   Louis G. Lange
                              Title:  Chairman & CEO

                              Quintiles Transnational Corp.

                              By:
                              Name:
                              Title:

<PAGE>

          [Signature Page to Stock Purchase Agreement]

     In Witness Whereof, Company and Purchaser have caused this
Stock Purchase Agreement to be executed in their names by their
duly authorized officers or representatives effective as of the
date first above written.

                              CV Therapeutics, Inc.

                              By:
                              Name:
                              Title:

                              Quintiles Transnational Corp.

                              By:     /s/ James L. Bierman
                              Name:   James L. Bierman
                              Title:  Senior Vice President,
                                      Corporate Development


[ * ] = Certain confidential information contained in this
document, marked by brackets, has been omitted and filed
separately  with the Securities and Exchange Commission pursuant
to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.



<PAGE>

Certain confidential information contained in this document,
marked by brackets, has been omitted and filed separately with
the Securities and Exchange Commission pursuant to Rule 24b-2 of
the Securities Exchange Act of 1934, as amended.

                                                    Exhibit 10.66

                  SALES AND MARKETING AGREEMENT

     This   Sales   And   Marketing   Services   Agreement   (the
"Agreement")  is made effective as of the 5th day  of  May,  1999
(the  "Effective 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
Innovex Inc., a Delaware corporation with its principal place  of
business   at  10  Waterview  Boulevard,  Parsippany,  NJ   07054
("Innovex"),  each on behalf of itself and its  Affiliates.   CVT
and  Innovex are sometimes referred to herein individually  as  a
"Party"   and   collectively   as   the   "Parties."    Quintiles
Transnational  Corp.,  a  North  Carolina  corporation  with  its
principal place of business at 4709 Creekstone Drive, Suite  300,
Riverbirch  Building, Durham, North Carolina 27703 ("Quintiles"),
the  parent  corporation of Innovex, is a party for  purposes  of
Article 8.

     In  consideration of the following covenants,  promises  and
obligations, CVT, Innovex and Quintiles agree as follows.

                            ARTICLE 1

             SERVICES OVERVIEW; INNOVEX EXCLUSIVITY

     1.1  Definitions.  Capitalized terms used but not defined in the
text  of this Agreement shall have the meanings ascribed to  them
on Exhibit A hereto.

     1.2   Overview; CVT Engagement of Innovex.  Pursuant to this
Agreement, the Parties will collaborate to develop and sustain  a
market  for and promote the CVT pharmaceutical product  known  as
ranolazine  (as  defined  in Exhibit A,  the  "Product")  in  the
Territory.  Quintiles shall provide financial assistance  to  CVT
in  connection with the Product Launch of the Product pursuant to
the  Stock Purchase Agreement and Loan Agreement referred to  and
defined  in  Article 8, and CVT shall engage Innovex  to  provide
marketing  and  sales  services for the  Product,  including  the
recruiting  and  deployment of a dedicated sales  force,  all  as
provided  herein.   In  recognition of the  various  undertakings
provided  by Quintiles and Innovex herein, CVT shall pay  Innovex
the  Sales and Marketing Fee and other compensation set forth  in
Sections  9.1,  9.3, 9.5, 9.7 and 10.3.  While the  Parties  have
allocated their respective responsibilities under this Agreement,
the  Parties intend this program to be broadly collaborative, and
seek  to  achieve consensus-based decision making to  the  extent
practical, with the common objective of maximizing the short-term
and long-term commercial success of the Product in the Territory,
subject to the terms and conditions of this Agreement.

     1.3   Innovex Exclusive Rights.  During the Term, except  as
provided in Section 14.5, Innovex shall have the exclusive  right
to provide Sales Force services for the Product in the

<PAGE>

Territory. Other  marketing, advertising and promotional activities
related to the Product in the Territory shall be conducted jointly by the
Parties  in  accordance with this Agreement.  Innovex  shall  not
have  any  rights  with  respect to the Product  outside  of  the
Territory.

     1.4   Retained Rights by CVT. Except as otherwise  expressly
provided  in Section 1.3, CVT shall retain all right,  title  and
interest  in  and to the Product including, but not  limited  to,
owning all clinical trial data and designs, protocols, regulatory
filings for the Product and data in support thereof, the NDA  for
the  Product,  the  Drug Master File for  the  Product,  and  all
manufacturing, distribution, patent, copyright, trade secret  and
trademark rights relating to the Product.  No license is  granted
to Innovex hereunder, either directly or by implication.  Innovex
acknowledges  that any study sponsored by or under the  direction
of  CVT  is  a proprietary program of CVT, containing trademarks,
trade secrets and other intellectual property of CVT, whether  or
not  such rights are utilized in the marketing, promotion or sale
of the Product.

     1.5  Additional Indications.  In the event CVT intends during the
Term of this Agreement to submit an NDA for ranolazine [ * ], CVT
shall  provide Innovex with written notice at least [  *  ]  days
prior  to  the  then current estimated filing  date  of  the  NDA
therefor,  and  the  Parties shall negotiate in  good  faith  the
minimum  sales  and  marketing  effort  which  will  be  required
therefor.  If the Parties reach an agreement thereon within [ * ]
days  after  commencement of such [ * ] day period prior  to  the
then current estimated NDA filing date, ranolazine [ * ] shall be
added to the definition of Product under this Agreement, and  the
corresponding provisions for minimum Innovex sales and  marketing
efforts under this Agreement shall be revised.  If the Parties do
not  reach  agreement within such time period, the definition  of
Product shall not be expanded.

                            ARTICLE 2

                           COMMITTEES

     2.1  Joint Steering Committee ("JSC").

          2.1.1     Formation; Purposes and Principles.  The JSC shall have
overall responsibility for the success of the matters related  to
the  Product  in the Territory as established by this  Agreement,
including  without  limitation:  (i)  to  determine  the  overall
strategy for marketing, promotion and sales of the Product in the
Territory;  (ii) to advise, provide input and determine  strategy
for  Phase  IIIB/IV  Studies; (iii) to plan  and  coordinate  the
Parties'  activities hereunder related to sales and marketing  of
the  Product in the Territory; (iv) to approve plans and  budgets
for  the  services under this Agreement, including the  Marketing
Plan,  consistent  with  the maximization  of  long-term  profits
derived  from  the sale of the Product in the Territory  and  any
other activities related to sales and marketing of the Product in
the  Territory  the  JSC shall deem appropriate  to  achieve  the
Parties'  objectives under this Agreement;  and  (v)  to  resolve
disputes  of the Parties arising under Section 2.1.1,  except  as
provided by Article 16.  Notwithstanding the foregoing,  the  JSC
shall  have  no authority: (a) to determine the annual  value  of
marketing and promotional expenses to be incurred by Innovex; (b)
to  determine the total size of the Sales Force to be  placed  in
the field by Innovex; or (c) to determine, interpret or alter the
terms  and  conditions or rights and obligations of  the  Parties
with  respect to this Agreement, the Loan Agreement or the  Stock
Purchase Agreement.

<PAGE>

          2.1.2     Membership.  The JSC will be comprised of three (3)
representatives   appointed   by   Innovex    and    three    (3)
representatives  appointed  by  CVT,  with  at  least   one   (1)
representative from each Party being a corporate officer of  such
Party.   The  JSC  shall be chaired by a representative  of  CVT.
Either  Party may appoint, substitute or replace members  of  the
JSC  to  serve as their representatives upon notice to the  other
Party.  The Parties shall appoint the initial members of the  JSC
within thirty (30) days after the Effective Date.

          2.1.3     Meetings.  The JSC shall meet in person on a calendar
quarter basis or more frequently as may be agreed upon, to review
the  progress  of  the Parties in performing  the  functions  and
obligations  under  this Agreement.  Each Party  shall  bear  all
travel   and  related  costs  for  its  representatives,  without
reimbursement  under this Agreement.  Location of meetings  shall
alternate  between  CVT  headquarters in Palo  Alto  and  Innovex
headquarters in New Jersey.  In order for a meeting of the JSC to
be convened, such meeting must include at least one (1) committee
member of each Party who is a corporate officer of such Party.

          2.1.4     Decision Making in the JSC. The JSC shall seek to
operate   by  consensus.   The  representatives  of   CVT   shall
collectively  be entitled to one (1) vote and the representatives
of  Innovex shall collectively be entitled to one (1) vote on any
matter before the JSC. Notwithstanding the foregoing, the two (2)
senior representatives on the JSC, one (1) from each Party, shall
have  the authority to make decisions on behalf of the JSC.   CVT
shall have the right to decide any matter properly before the JSC
that  the  JSC  cannot decide by unanimous vote of  the  CVT  and
Innovex representatives.  With respect to the total annual  value
of  marketing and promotional expenses to be incurred by  Innovex
or the total size of the Sales Force to be placed in the field by
Innovex,  Innovex shall have the final responsibility for  making
such decision, provided that the requirements of Section 4.5 must
be satisfied.

          2.1.5     Disputes.  Disagreements within the JSC shall be
resolved  as  set  forth in Section 2.1.4.  In  the  event  of  a
dispute  regarding compliance with this Agreement, the JSC  shall
not  have  authority  to  resolve such dispute,  which  shall  be
handled in the manner set forth in Article 16.  In the event  the
JCC  refers  a dispute to the JSC for resolution, the  JSC  shall
convene  a  meeting  either in person  or  by  teleconference  to
resolve  such  dispute within five (5) days from  the  date  upon
which the JCC notifies the matter to the JSC.

     2.2  Joint Commercialization Committee ("JCC").

          2.2.1     Formation; Purposes and Principles.  The JCC will be
responsible  for development and implementation of the  Marketing
Plan  as  well  as any other matters required for the  sales  and
promotion  of the Product in the Territory, except to the  extent
that  certain matters are solely the responsibility of  a  single
Party  under  this Agreement.  The JCC will additionally  oversee
any  other  activities the JCC shall deem appropriate to  achieve
its objectives consistent with this Agreement.  In overseeing the
operational   aspects  of  commercialization,  the   JCC   shall,
consistent  with Section 2.1.1, without limitation:  (i)  oversee
Phase  IIIB marketing trials which commence after the NDA  Filing
for  the  Product, and Phase IV marketing trials for the Product,
(ii) plan the marketing and sales of the Product in the Territory
consistent  with  Marketing  Plans;  (iii)  monitor,  review  and
comment on costs incurred by the Parties in connection with  such
activities;  (iv)  review and comment on other  commercialization
and  Launch  plans for the Product in the Territory; (v)  receive
and  supply  the  Parties' sales, pricing, and financial  reports

<PAGE>

pertaining  to Pre- and Post-Approval Marketing Activities;  (vi)
review  the  Marketing  Plan; and (vii) facilitate  the  flow  of
information  among  the  Parties,  including  coordinating  sales
activity with manufacturing schedules and distribution.

          2.2.2     Membership.  The size of the JCC may vary from time to
time  in  the  reasonable discretion of the  chair  of  the  JCC,
provided  that  there  are  at least  three  (3)  representatives
appointed by CVT and at least three (3) representatives appointed
by  Innovex.   The  JCC shall be chaired by a  representative  of
Innovex.  Either Party may appoint, substitute or replace members
of  the JCC to serve as their representatives upon notice to  the
other  Party.  The Parties shall appoint the initial  members  of
the JCC within thirty (30) days after the Effective Date.

          2.2.3     Meetings.  The JCC shall meet in person or by
teleconference on a monthly basis or more frequently  as  may  be
agreed  upon, to review the progress of the Parties in performing
the  functions and obligations under this Agreement.  Subject  to
Section  2.4, each Party shall bear all travel and related  costs
for  its  representatives.  Location of meetings shall  alternate
between CVT headquarters in Palo Alto and Innovex headquarters in
New Jersey.

          2.2.4     Decision Making; Quorum.  The JCC shall seek to operate
by  consensus.  The representatives of CVT shall collectively  be
entitled  to  one vote and the representatives of  Innovex  shall
collectively  be  entitled to one vote on any matter  before  the
JCC.   Disputes shall be referred to the JSC for resolution.   In
order for a meeting of the JCC to be convened, such meeting  must
include at least two (2) representatives of each Party.

     2.3  Agendas and Minutes for the JSC and JCC. Unless otherwise
decided  by  the  JSC,  each Party will  disclose  to  the  other
proposed  agenda  items  along  with  appropriate  background  or
supporting information at least ten (10) working days in  advance
of  a  JSC meeting and five (5) working days in advance of a  JCC
meeting.  At each meeting of the JSC or JCC, as the case may  be,
such  committee shall select a secretary who will prepare, within
five  (5) working days after each meeting (whether held in person
or  by  telecommunication), the minutes reporting  in  reasonable
detail  the  actions taken by such committee, the attendees,  the
status  of  goals  and achievements as well as  issues  requiring
resolution  and resolutions of previously reported issues,  which
minutes shall be signed by one of the members of the JSC or  JCC,
as the case may be, from each of the Parties.

     2.4  Innovex Attendance at JCC as a Billable Expense.  Prior to
Product  Launch, Innovex representatives on the JCC  may  invoice
for  their time spent on JCC activities up to the limit  approved
in  the  then current annual Marketing Plan budget to the  extent
such  activities are otherwise unrecoverable under this Agreement
as Pre-Approval Marketing Activities.  Innovex representatives on
the JSC shall not invoice for their time spent on JSC matters.

     2.5  No Authority to Modify Agreement.  The JSC and JCC shall
have no authority to amend or waive compliance with the terms and
conditions  of  this  Agreement, or to  approve  actions  of  the
Parties  which  are inconsistent with this Agreement.   Any  such
amendments and waivers or actions shall be implemented  by  means
of Section 17.6.

<PAGE>

                            ARTICLE 3

      MARKETING PLAN; DETERMINATION OF FULLY BURDENED COST

     3.1   Marketing Plan.  The principal mechanism by which  the
Parties coordinate their sales and marketing activities will be a
Marketing  Plan, to be prepared and periodically updated  as  set
forth  below.   Within six (6) months after the  Effective  Date,
Innovex  shall  submit a draft Marketing Plan to  the  JCC.   The
initial Marketing Plan will cover the remainder of calendar  year
1999  through the period of Product Launch, and after  review  by
the  JCC  will  be submitted to the JSC for review and  approval.
Periodically  thereafter, but no less frequently  than  annually,
Innovex  shall  be responsible for preparing or  updating  drafts
annually  for  JCC and JSC approval.  Each Marketing  Plan  shall
include  a  multi-year projection of Product plans  and  budgets.
Innovex  shall assign responsibilities for updating the Marketing
Plan  and  preparing annual plans, budgets and revenue forecasts,
according to a schedule and using a process that will enable  the
JSC  and  the  JCC,  as the case may be, to submit  comments  and
supplement  such Marketing Plan and budgets in a timely  fashion.
The  draft Marketing Plan shall be ready for presentation to  JCC
not  later than each [ * ], and shall be approved by the  JSC  by
each  [  *  ],  of  the year preceding that year  to  which  such
Marketing Plan applies.

     3.2  Plan Contents.  Each Marketing Plan shall include a review
of  the  marketplace,  marketing objectives/strategies,  clinical
support  plans, marketing study plans for Phase IIIB/IV  Studies,
Sales   Force   effort,  pricing,  inventory   requirements   and
distribution plans for the Product, together with a  revenue  and
expense  forecast  for  Product sales  in  the  Territory.   Such
Marketing Plan shall be in a form generally consistent  with  the
outline  attached  hereto as Exhibit B, and shall  include  among
other items the overall level of anticipated resource commitments
on  the  part  of each Party in the relevant time  period.   Each
Marketing  Plan  shall set forth the overall level  of  Territory
Representative  efforts.   Each  Marketing  Plan  shall   be   in
accordance with this Agreement and all applicable laws, rules and
regulations,  including but not limited to those  promulgated  by
the  FDA,  the Department of Health and Human Services Office  of
Inspector General (OIG), and state agencies and/or departments.

     3.3  Determination of Fully Burdened Cost.  Certain Innovex Post-
Approval Marketing Activities under this Agreement shall be  paid
for  by CVT on the basis of Innovex's Fully Burdened Cost of such
activities.   Fully  Burdened  Cost  means  Innovex's  usual  and
customary  fee charged to Third Parties under a fee  for  service
arrangement  for the type of services rendered by it pursuant  to
this  Agreement (such fee to be based on services  of  comparable
volume  and comparable quality), inclusive of Innovex's customary
profit  margin for such volume and quality of service.  At  least
twelve  (12) months prior to the anticipated NDA Filing  for  the
Product, the Parties shall execute an agreement setting forth the
then  current  Fully  Burdened Cost of  the  foreseeable  Innovex
activities  under this Agreement.  The Parties shall update  such
agreement  as  needed to reflect changes in  the  services  being
provided  by  Innovex and/or changes in the usual  and  customary
fees  charged by Innovex.  The Parties shall agree in advance  on
any  new or revised type or volume of services, or changes to the
pricing of such services.

          3.3.1     Baseline for Fully Burdened Cost of Sales Force.
Innovex has provided to CVT an estimate, prepared in March  1999,
that the Fully Burdened Cost of an Innovex Sales

<PAGE>

Force consisting of [ * ] Territory Representatives, [ * ] Field Managers,
one (1) National  Sales Manager and one (1) Project Administrator,  would
be  [ * ] for each Territory Representative day worked and [ *  ]
for each Field Manager day worked.  The Parties shall update such
daily  rates  as needed to reflect changes in the services  being
provided  by  Innovex  and/or changes in  the  customary  Innovex
pricing  schedule which provides the basis for the  determination
of  Fully  Burdened Cost.  The Parties shall agree in advance  on
any  new or revised type or level of services, or changes to  the
pricing of such services.

                            ARTICLE 4

                    INNOVEX RESPONSIBILITIES

     4.1  Covenant to Operate under the Agreement; General Diligence
Requirement.  Innovex shall market and promote the Product in the
Territory only in accordance with the Marketing Plan, Promotional
Materials,  this  Agreement and all applicable  laws,  rules  and
regulations,  including but not limited to those  promulgated  by
the  FDA,  the Department of Health and Human Services Office  of
Inspector  General (OIG), and state agencies and/or  departments.
Except as expressly set forth in this Agreement, the criteria for
Innovex    performance  shall  be  consistent  with  the  Innovex
standards  for sales and marketing projects of similar  size  and
scope.

     4.2  Pre-Approval Responsibilities.

          4.2.1     Hiring Sales Force.  Innovex shall hire, train and
maintain  a  Sales  Force for promotion of  the  Product  in  the
Territory  on  the terms and conditions of this Agreement,  which
shall  be completed at least [ * ] in advance of the date of  the
expected Launch (as communicated by CVT to Innovex in writing  at
least  [  * ] in advance of the expected Launch).  The  costs  of
establishing  such  Sales Force shall be  borne  by  Innovex,  in
consideration of the Sales and Marketing Fee, except as  provided
in  Section  9.3.  The hiring standards for the  members  of  the
Sales Force shall be established by the JCC.

          4.2.2     Pre-Approval Marketing Activities.  In addition,
Innovex  shall also provide the Pre-Approval Marketing Activities
CVT  may  request  pursuant to Section  5.2.2  which  Innovex  is
reasonably  able  to  provide.  To the extent  that  CVT  engages
Innovex  services  as part of Pre-Approval Marketing  Activities,
CVT   shall  engage  such  services  under  customary  terms  and
conditions applicable to agreements between Innovex and its Third
Party  customers for such services.  The prices paid by  CVT  for
such  services shall be agreed from time to time by the  Parties,
in  writing  in advance, and shall equal, as nearly as practical,
the  prices  charged by Innovex to Third Party  customers  buying
comparable  services in comparable quantity,  provided  that  the
Innovex services to CVT are of the same quality or better quality
and equivalent turnaround times as comparable Innovex services to
Third  Party customers.  Pre-Approval Marketing Activities  shall
be  conducted in accordance with all applicable laws,  rules  and
regulations,  including but not limited to those  promulgated  by
the  FDA,  the Department of Health and Human Services Office  of
Inspector General (OIG), and state agencies and/or departments.

<PAGE>

     4.3  Post-Approval Responsibilities.  Following Product Launch,
Innovex shall provide the Post-Approval Marketing Activities with
the  minimum  requirements  of  Section  4.5.1,  with  a  minimum
expenditure  as provided in Section 4.5.2, and shall comply  with
the other terms and conditions provided in this Agreement, all in
consideration   of  the  Sales  and  Marketing  Fee   and   other
compensation provided for in Article 9.

     4.4  Fully Dedicated Sales Force.  During the Term, the only
activity  of the Sales Force shall be the marketing and promotion
of  the  Product  in  the Territory.  The Sales  Force  shall  be
composed of full-time employees of Innovex and shall not be  used
for any other purpose, product or service.  The Sales Force shall
carry business cards in a form specified by CVT to identify  them
as CVT territory representatives.

     4.5  Minimum Requirements.

          4.5.1     Innovex Sales Force Commitment.  The Innovex Sales
Force shall be of at least the following size during each of  the
following periods of time:

               (a)  The Sales Force at Launch and until the commencement of
Sales Year 2 shall be comprised of at least the following Innovex
Personnel: (i) [ * ] Territory Representatives; (ii) [ * ]  Field
Managers;  (iii) [ * ] National Sales Manager; and  (iv)  [  *  ]
Project Administrator.

               (b)  At the commencement of Sales Year 2, and for the remainder
of such Sales Year, the Sales Force shall be comprised of at
least the following Innovex Personnel: (i) [ * ] Territory
Representatives; (ii) [ * ] Field Managers; (iii) [ * ] National
Sales Manager; and (iv) [ * ] Project Administrator.

               (c)  In each of Sales Years 3 through 5, the Sales Force shall be
comprised of at least the lesser of (i) the size specified in
paragraph (b) above or (ii) a sales force the Fully Burdened Cost
of which Sales Force, plus the expenditures for Post-Approval
Marketing Activities (as set forth in Section 4.5.2) incurred by
Innovex in such Sales Year is equal to at least [ * ] of the Net
Sales of the previous Sales Year.  By way of example, if Net
Sales in Sales Year 2 are equal to [ * ], then the combination of
the Fully Burdened Cost of the Sales Force in Sales Year 3 plus
Innovex's expenses incurred for Post-Approval Marketing
Activities in Sales Year 3 must equal at least [ * ].

          4.5.2     Innovex Post-Approval Marketing Expenditure Commitment.
Innovex  shall  bear  all  expenses  of  Post-Approval  Marketing
Activities, except for the cost of Samples provided by CVT  under
Section  5.3  and supplemental activities, if any,  as  otherwise
provided in the final sentence of this Section 4.5.2.  The amount
of   such  Post-Approval  Marketing  Activities  expenditures  by
Innovex  shall  be at least [ * ] in each Sales  Quarter  and  at
least  [ * ] in each Sales Year.  Such expenditures shall not  be
reimbursed  by  CVT,  but are included within  the  Post-Approval
Marketing  Activities.   The categories of expenditures  included
within   Post-Approval  Marketing  Activities,  include   without
limitation, those set forth and identified on Exhibit C.  If  CVT
desires   to   provide   supplemental   Post-Approval   Marketing
Activities  not contained in the Marketing Plan, then  CVT  shall
have the right, but not the

<PAGE>

obligation, to fund such supplemental activities  at  its  own  cost and
expense, provided  that  such supplemental activities are carried out in
 consultation with  the JCC.

     4.6  Training Requirements.  Innovex shall train all Innovex
Personnel in accordance with Article 6 hereof.

     4.7  Innovex Responsibilities.  Without limitation a partial list
of  responsibilities of Innovex are set forth on  Schedule  I  to
this Agreement.

     4.8   Records  and Reports Regarding Promotional Activities.
Innovex  shall promptly provide to CVT such information regarding
ongoing sales forecasts and marketing activities as relate to the
plans  and  budgets  hereunder  as CVT  may  reasonably  request.
Additionally, Innovex will keep reasonably complete and  accurate
records  of  all  presentations  made  by  the  Sales  Force   in
accordance  with  Innovex's customary call  reporting  procedures
(including names of physicians, dates of presentation and general
response  to  such  presentations) as well  as  other  activities
carried  out pursuant to the Marketing Plan.  Innovex  will  make
all  such records available to CVT during regular business  hours
and upon reasonable notice, and will, within fifteen (15) days of
the  end  of  each month, provide CVT a monthly report  on  sales
activity  and forecasts and a monthly report regarding all  other
marketing  activities undertaken by Innovex  hereunder.   Innovex
will  maintain  such  records for three (3) years  following  the
period  to  which  they  relate.  The record-keeping  and  access
requirements of this Section 4.8 shall survive the termination of
this Agreement for a two (2) year period.

     4.9   Performance Audits.  CVT shall have the right to audit
Innovex's performance of obligations as set forth in this Article
4,  including  other provisions regarding Pre-Approval  Marketing
Activities   and  Post-Approval  Marketing  Activities   and   as
described  in the Schedules attached hereto (generally describing
the  activities of the Parties) for the purpose of evaluating and
monitoring  conformance  to  the terms  and  conditions  of  this
Agreement.  Such audits shall occur during regular business hours
and  upon  reasonable  notice, shall not interfere  with  Innovex
activities,  and  shall be conducted at CVT's  expense.   In  the
event an outside auditor is hired to conduct an audit pursuant to
this Section 4.9, such auditor shall be one reasonably acceptable
to  Innovex  and  expressly subject to the  same  confidentiality
provisions as apply to the Parties hereunder.

     4.10  Other Responsibilities.  Innovex shall assist  CVT  in
performing CVT's obligations as set forth in Section 5.4.3.

                            ARTICLE 5

             CVT'S RESPONSIBILITIES AND OBLIGATIONS

     5.1  Regulatory Affairs.  CVT shall have the responsibilities for
regulatory affairs set forth in Article 7, and shall keep the JSC
informed  generally  on the status and conduct  of  all  clinical
development  activities related to the Product in the  Territory.
CVT shall inform Innovex of its estimated date of Product Launch,
and  in  particular  shall  provide such  date  for  purposes  of
Innovex's establishment of the Sales Force under Section 4.2.1.

<PAGE>

     5.2  Pre-Approval Marketing Activities.  Although the Parties
will   jointly  develop  and  implement  Pre-Approval   Marketing
Activities, CVT shall be responsible for funding such activities.
CVT's  funding  obligation for Pre-Approval Marketing  Activities
shall be as follows:

          5.2.1     Aggregate Expenditure.  CVT's aggregate expenditure on
Pre-Approval Marketing Activities shall be at least [ * ] between
the  Effective Date and the Launch.  This requirement  shall  not
apply  if  Quintiles  for any reason does not  provide  the  Pre-
Approval Advances in accordance with the Loan Agreement  at  such
time (or times) that CVT requests such Advances.  In the event of
termination of this Agreement prior to the Launch, the failure of
CVT to spend such amount shall not be considered a breach of this
Agreement.

          5.2.2     Purchase of Innovex Services.  CVT shall purchase, and
Innovex  shall supply to CVT, between the Effective Date and  the
Launch, Pre-Approval Marketing Activities (Section 4.2.2)  having
an  invoice value of at least [ * ] provided, however, that:  (a)
such requirement shall not apply if Quintiles for any reason does
not provide the Pre-Approval Advances in accordance with the Loan
Agreement  at  such  time  (or  times)  that  CVT  requests  such
Advances;   (b)  Innovex  supplies  such  Pre-Approval  Marketing
Activities  in a timely manner, in accordance with  standards  in
the  industry  and at competitive prices; and (c)  such  services
shall  be  provided  by and/or through Innovex,  including  Third
Party  services  managed  by Innovex.   The  remainder  of  CVT's
aggregate expenditure pursuant to Section 5.2.1 shall be spent by
CVT  on  services provided by vendors mutually acceptable to  CVT
and Innovex.  In the event of termination of this Agreement prior
to  the Launch, the failure of CVT to spend such amount shall not
be considered a breach of this Agreement.

     5.3  Obligation to Provide Samples.  In the first Sales Year, CVT
will  provide to Innovex for distribution Samples with a cost  of
goods,   calculated   in  accordance  with   generally   accepted
accounting  principles ("GAAP"), of at least [ * ].  In  each  of
the  subsequent  Sales  Years, CVT will  provide  a  quantity  of
Samples  to Innovex such that the cost of goods of such  Samples,
divided  by  the aggregate Fully Burdened Cost to be incurred  by
Innovex  in  such  Sales Year under the Marketing  Plan  then  in
effect,  is  at least equal to [ * ] divided by the  sum  of  the
Fully  Burdened  Cost  of  the Sales Force  provided  in  Section
4.5.1(a)  plus [ * ].  Such quantity of Samples shall be provided
by CVT at its own expense, without reimbursement by Innovex.  CVT
estimates that the cost of each tablet manufactured at production
quantity  levels, without packaging, will be [ *  ]  per  tablet.
Actual  costs may differ from the aforestated estimate;  and  the
actual  costs shall apply to CVT's fulfillment of its  commitment
under  this Section 5.3.  Distribution of such Samples  shall  be
carried out by Innovex and shall be included within Innovex Post-
Approval Marketing Activity expenditures.  In the event that  the
JCC  determines a need for additional Samples over and above that
which  CVT is obligated to provide at its own expense under  this
Section  5.3, CVT will produce a commercially reasonable quantity
of  additional Samples.  Innovex shall reimburse CVT for its cost
of  goods  for producing any such additional Samples, which  cost
shall  be treated as a Post-Approval Marketing Expense.  The  JCC
may  agree to reduce CVT's commitment under this Section 5.3  and
replace  it  with a commitment of equal dollar value for  CVT  to
provide  other  marketing activities.  Innovex must  account  for
Samples  as required by the Prescription Drug Marketing  Act  and
regulations.

     5.4  Sales and Distribution.

<PAGE>

          5.4.1     Pricing.  CVT, in consultation with Innovex, shall set
all  prices  and commercial terms for the sale of the Product  in
the Territory.

          5.4.2     Booking Sales; Distribution.  CVT shall be responsible
for  booking  sales, fulfilling orders, and shall  warehouse  and
distribute the Product and perform all related services.

          5.4.3     Product Returns.  CVT shall be responsible for handling
Product   returns.   The  Innovex  Sales  Force   shall   provide
assistance  as  reasonably  requested  by  CVT,  to  the   extent
consistent  with  the  normal activities of pharmaceutical  sales
personnel.   Product returns shall promptly  be  shipped  to  the
facility  responsible for shipment of such Product  lot  or  such
other location as may be designated by CVT in writing.

     5.5  CVT Responsibilities.  Without limitation, a partial list of
CVT  responsibilities are set forth on Schedule  II  attached  to
this Agreement.

                            ARTICLE 6

         TRAINING; ADVERTISING AND PROMOTIONAL MATERIALS

     6.1  Training Programs.

          6.1.1     Content.  The JCC will develop initial and all ongoing
training  programs  for the Sales Force during  the  Term.   Each
member  of  the  Sales  Force shall be required  to  successfully
complete  such  training program before providing services  under
this  Agreement.  The Parties shall mutually agree to  a  minimum
training standard and pass rate.  Innovex shall maintain  records
of  such training for each individual.  Innovex agrees to utilize
such  training  programs on an ongoing basis.   Initial  training
shall  be carried out at a time which is set by the JSC and which
is  prior to but reasonably near the date on which Product Launch
is  expected.  As additional Territory Representatives are  added
under  this  Agreement, training will be given to groups  of  the
newly  selected  Territory  Representatives.   Training  programs
shall  include training regarding requirements of the Food,  Drug
and Cosmetic Act, Medicare/Medicaid Anti-Fraud and Abuse Act, and
other applicable laws, rules, regulations and policies.

          6.1.2     Cost.  The cost of developing and delivering the
training  to  the  Sales Force shall be borne by  Innovex.   Each
Party  shall  absorb  the  costs  of  transporting,  housing  and
maintaining  their respective personnel who participate  in  such
training.   The cost of training materials prepared and  supplied
by  Innovex  will be borne by Innovex.  CVT shall own all  rights
and title in any training material developed under this Agreement
which  relates to the Product or CVT. Innovex shall own all right
and title in any other training material.

     6.2  Advertising and Promotional Materials.

          6.2.1     Creation and Use.  Innovex, with assistance and advice
from   CVT,  shall  develop  all  Promotional  Materials.    Such
materials  shall be consistent with the relevant  Marketing  Plan
and  budgets approved by the JSC. CVT shall have the final  sign-
off  on  all  Promotional Materials and Product-related  training
materials.  Innovex shall disseminate only

<PAGE>

Promotional  Materials having  obtained  prior written approval by  CVT.
Innovex  shall reasonably assist CVT in revising such Promotional Material in
a timely manner.

          6.2.2     Ownership; FDA Approval.  CVT shall own all rights and
title   in   the   Promotional  Material.   Notwithstanding   the
foregoing, and in accordance with the applicable laws, rules  and
regulations,  CVT and Innovex will not review continuing  medical
education  materials relating to the Product.  Neither continuing
medical education materials nor other medical education materials
will be used by Innovex for purposes of marketing and selling the
Product unless Innovex obtains CVT's prior written consent.   CVT
shall  review all medical education materials for scientific  and
clinical   accuracy.   The  final  content  of  all   Promotional
Materials  and Product-related training materials  shall  be  the
legal  responsibility of CVT, including but not  limited  to  FDA
approval thereof.

          6.2.3     CVT Logos.  All written or visual materials related to
the  Product  shall  display  the CVT  logos  and  CVT  shall  be
presented as the sole owner of the Product, except as required by
law.

                            ARTICLE 7

                REGULATORY ISSUES AND COMPLAINTS

     7.1  Ownership of Regulatory Filings and Compliance.  CVT will
retain  exclusive right, ownership, authority and  responsibility
for   regulatory   filings,  compliance   with   all   regulatory
requirements  and maintenance of all government  agency  contacts
relating   to  the  Product,  including,  but  not  limited   to,
maintaining  and updating the NDA for ranolazine; the development
and  submission  of regulatory filings regarding new  indications
(if  any,  and  at  its sole discretion); the  reporting  of  any
adverse  drug  reactions to the FDA; the  filing  of  Promotional
Materials  with  the  FDA;  the payment  of  Medicaid  and  other
governmental  rebates which in CVT's sole judgment  are  due  and
owing;  the  pricing  of  the  Product  for  each  customer;  and
compliance  with  Medicaid best price law and the  Department  of
Veterans  Affairs  Act.  The development of each  indication  and
formulation of the Product shall be determined solely by CVT. CVT
shall  not be responsible for actions by Innovex that are outside
the  scope of this Agreement or not in accordance with applicable
law.

     7.2  Communication with the FDA and Other Regulatory Agencies.
Except as required by law, Innovex shall not communicate with the
FDA,  OIG,  HCFA  or  any state agencies ("Regulatory  Agencies")
about  anything  relating  to the Product,  except  through  CVT.
Innovex  is  required  by law to communicate  directly  with  any
Regulatory Agency or if Innovex receives any communication from a
Regulatory Agency with respect to the Product, promotion  of  the
same, or Innovex's performance under this Agreement or that could
effect Innovex's performance under this Agreement, Innovex  shall
promptly notify CVT. Innovex shall reasonably cooperate at  CVT's
expense with CVT in all proper respects in all regulatory matters
relating to the Product, including but not limited to preparation
for  inspections  of  CVT facilities and/or  Innovex  facilities.
Innovex  will  provide  CVT with pertinent records  in  Innovex's
possession which may be necessary to implement any recall or  any
other  corrective  action  mandated by  a  Regulatory  Agency  or
implemented  by  CVT,  including but not  limited  to  names  and
addresses for "Dear Doctor" letters.

<PAGE>

     7.3  New Developments Relating to the Product.  CVT will promptly
inform  Innovex  of  the following information  relating  to  the
Product in the Territory: (i) new approved indications; (ii)  new
approved  dosages or administration regimens; (iii) material  new
studies  by  the scientific community that CVT becomes  aware  of
which  relate  to  the Product or a competitive  product  in  its
therapeutic class; and (iv) any changes in regulations  affecting
the  Product or CVT's obligations with respect to this Agreement.
Innovex  will  promptly  inform CVT of  information  relating  to
changes  in  regulations  affecting  Innovex's  obligations  with
respect  to  this  Agreement.  Based  on  such  information,  and
subject  to  any federal, state or local laws and/or regulations,
the  Parties shall use commercially diligent efforts to  maintain
the  training materials and Promotional Materials supplied to the
Sales  Force  pursuant to this Agreement current  with  such  new
developments or information.

     7.4  Product Recalls.  If either Party believes that a recall of
any  Product  in  the Territory is necessary,  such  Party  shall
notify  the other Party immediately thereafter.  CVT shall retain
sole  authority  and  responsibility for  determining  whether  a
Product recall shall occur.  Any Product recall shall occur under
the  direction  and control of CVT, and Innovex shall  reasonably
cooperate  in  carrying  out any such recall  or  any  regulatory
matter, at CVT's expense.  CVT shall make available, at Innovex's
request,  any records that Innovex might require while  assisting
CVT in effecting any recall of the Product.

     7.5   Adverse  Event  Reporting Procedures.   CVT  shall  be
responsible  for the reporting of adverse events and drug  safety
issues  related  to  the use of the Product.   CVT  shall  advise
Innovex  of its standard procedures for the reporting of  adverse
events,  and  the  Innovex Sales Force  shall  comply  with  such
procedures.   The  CVT  procedures for the reporting  of  adverse
events  shall be included in the training program for the Innovex
Sales Force.  Innovex shall report to CVT within twenty-four (24)
hours any adverse events reported to it.

     7.6   Product Inquiries; Complaints.  Innovex shall promptly
notify  CVT  of  any  complaint, inquiry or (in  compliance  with
Section 7.5) adverse event relating to the Product in report form
providing reasonable detail of such complaint, event or  inquiry.
CVT  shall  maintain  a  unified  record  of  all  complaints  it
receives.  CVT shall be responsible for medical affairs  services
and  shall  respond to inquiries from physicians and health  care
providers.   CVT  shall  advise Innovex  of  its  procedures  for
handling  such  inquiries and the Innovex Sales  Force  shall  be
trained by Innovex on such procedures.

     7.7  Database of Clinical Trial Data.  CVT shall own and maintain
its  own  database  of clinical trial data accumulated  from  all
clinical  trials of the Product and CVT shall own and maintain  a
unified database of complaints and adverse drug event information
for  the  Product  and shall develop and utilize  uniform  report
forms.

<PAGE>

                            ARTICLE 8

          EQUITY & LOAN ARRANGEMENTS; MILESTONE PAYMENT

     8.1  Equity Stake.  Concurrent with execution of this Agreement,
Quintiles  shall execute a Stock Purchase Agreement  to  purchase
five  million  dollars ($5,000,000) of CVT common  stock  on  the
terms  and  conditions  as  set forth  therein  ("Stock  Purchase
Agreement").   The terms and conditions of such equity  purchase,
and  the  covenants  of  each  Party related  thereto,  shall  be
governed  solely by the Stock Purchase Agreement and the  related
documents executed pursuant thereto.

     8.2  Pre-Approval Line of Credit.  Quintiles shall extend to CVT
a  ten-million dollar ($10,000,000) line of credit, according  to
terms  and conditions of the Pre-Approval Commitment of the  Loan
Agreement  between the Parties dated the date hereof  (the  "Loan
Agreement").

     8.3  First Year Sales Loan.  Upon Product Launch, Quintiles shall
extend to CVT an additional line of credit to fund the first year
of  sales  and  marketing expenses to the  extent  such  expenses
exceed  thirty three percent (33%) of actual sales, according  to
the  terms  and conditions of the First Year Sales Commitment  of
the Loan Agreement.

     8.4  Milestone Payment.  Quintiles shall make a milestone payment
of  ten million dollars ($10,000,000) to CVT upon Product Launch.
Such  milestone  shall be payable within ten (10) days  following
Product  Launch, provided that Quintiles shall have the right  to
apply such ten million dollar ($10,000,000) payment first against
any amounts then outstanding under the Pre-Approval Loan, then to
any Innovex Pre-Approval Marketing Activity unpaid invoices, with
the balance (if any) to be paid to CVT in cash.

                            ARTICLE 9

                          COMPENSATION

     9.1  Sales and Marketing Fee.  As consideration for the milestone
payment  provided  by  Quintiles  and  the  sales  and  marketing
services provided by Innovex under this Agreement, CVT shall  pay
Innovex a Sales and Marketing Fee for each Sales Year as follows.
The Sales and Marketing Fee for each Sales Year shall be equal to
the  lesser of the amounts set forth in column A or B  below  for
that year (the "Sales and Marketing Fee").

<PAGE>

 Year of Commercial         Column A              Column B
        Sale
    Sales Year 1      Fully Burdened Costs  N/A
                      in Sales Year 1.

    Sales Year 2      33%   of  cumulative  300%   of  cumulative
                      Net  Sales in  Sales  Fully  Burdened Costs
                      Year   1  and  Sales  in  Sales Year 1  and
                      Year  2, less  Sales  Sales  Year  2,  less
                      and   Marketing  Fee  Sales  and  Marketing
                      for Sales Year 1      Fee for Sales Year 1

    Sales Year 3      30% of Net Sales  in  300%   of  cumulative
                      Sales Year 3          Fully  Burdened Costs
                                            in   Sales   Year   1
                                            through  Sales   Year
                                            3,   less  cumulative
                                            Sales  and  Marketing
                                            Fees  for Sales  Year
                                            1 and Sales Year 2

    Sales Year 4      25% of Net Sales  in  300%   of  cumulative
                      Sales Year 4          Fully  Burdened Costs
                                            in   Sales   Year   1
                                            through  Sales   Year
                                            4,   less  cumulative
                                            Sales  and  Marketing
                                            Fees  for Sales  Year
                                            1  through Sales Year
                                            3

    Sales Year 5      25% of Net Sales  in  300%   of  cumulative
                      Sales Year 5          Fully  Burdened Costs
                                            in   Sales   Year   1
                                            through  Sales   Year
                                            5,   less  cumulative
                                            Sales  and  Marketing
                                            Fees  for Sales  Year
                                            1  through Sales Year
                                            4

     The  Sales  and  Marketing Fee for  each  quarter  shall  be
calculated  and reported in the manner set forth in  Section  9.4
and  paid  on  the  schedule  set  forth  in  Section  9.6.    In
consideration of the Sales and Marketing Fee, Innovex shall bear,
without  limitation, all of the Post-Approval Marketing  expenses
identified on Exhibit C as being included in Innovex Sales  Force
Expenses and Innovex Marketing Expenditures.

     9.2   Penalty for Shortfall of Innovex Effort.  In the event
Innovex  fails  to  provide at least [ * ] of the  Minimum  Sales
Force Commitment for any Sales Quarter (Section 4.5.1), or  [*  ]
of the Minimum Post-Approval Marketing Expenditure Commitment for
any  full  Sales  Year or any two (2) consecutive Sales  Quarters
(Section 4.5.2), then Innovex shall pay CVT a penalty equal to  [
*  ]  times  the Fully Burdened Cost of the shortfall in  Minimum
Sales   Force  Commitment  or  Minimum  Post-Approval   Marketing
Expenditure Commitment (which penalty shall be offset against any
Sales  and  Marketing Fee owed by CVT to Innovex, or if  no  such
Sales  and Marketing Fee is owed by CVT or if the penalty  is  in
excess  of the Sales and Marketing Fee owed by CVT, then  Innovex
shall  pay  such  shortfall to CVT within thirty (30)  days  from
receipt  of  invoice).  If Innovex fails to provide  the  minimum
commitment required under either Section 4.5.1 or 4.5.2 but  such
shortfall  does  not give rise to an express  penalty  under  the
foregoing  sentences of this Section 9.2, then the Parties  shall
agree   in   good   faith  on  other  compensatory   efforts   or
contributions   (such  as  special  marketing   expenditures   or
promotional   efforts)  by

<PAGE>

Innovex at its own expense as consideration for such shortfall. The failure
by Innovex to supply  at  least [ * ] of the Minimum Sales Force Commitment
in any Sales Quarter or at least [ * ] of such commitment in any [ *
] consecutive Sales Quarters shall be a material breach of  this
Agreement.

     9.3  Start-Up Sales Force Costs.  Pursuant to Section 4.2.1,
Innovex  shall  bear  the  cost  of  recruiting,  training,   and
compensating the Sales Force prior to the Launch of the  Product.
However, Innovex shall be entitled to bill CVT for [ * ] worth of
the  Fully  Burdened  Cost of such Sales Force  (as  if  it  were
engaged in customary promotional activities) in consideration  of
the  expense  of such Sales Force start-up.  Such [ *  ]  billing
shall  be  included  in the invoice to CVT for  the  first  Sales
Quarter and shall be included in the Fully Burdened Cost in Sales
Year 1 (and therefore shall be excluded from the expenses of Pre-
Approval Marketing Activities).

     9.4  Reports of Sales, Fully Burdened Cost, Sales and Marketing
Fee.

          9.4.1     Monthly Reports.  On a monthly basis, within fifteen
(15)  days  after  the end of each calendar month  Innovex  shall
report  to  CVT  the  Sales  Force activities  for  the  previous
calendar month and the Fully Burdened Cost of such activities, as
well  as marketing expenditures by Innovex, and following Product
Launch,  CVT  shall report to Innovex the Net Sales  during  such
month.  Reports by Innovex shall include the names of the Innovex
personnel who provide Sales Force services and the number of days
worked  by  them.  Such monthly reports shall be for  information
purposes  only,  and  shall  remain  subject  to  correction  and
reconciliation  in  future  quarterly  reports.    Such   monthly
reporting by Innovex shall terminate at the end of the  Term  and
such  monthly reporting by CVT shall terminate at the end of  the
Term  if  the Term ends prior to Product Launch and the Agreement
was  not terminated by Innovex pursuant to Section 14.2 or  14.7,
or  the  Agreement was not terminated by CVT pursuant to  Section
14.4,  or  two (2) years after the end of the Term, in all  other
events.

          9.4.2     Quarterly Reports.  On a quarterly basis, within thirty
(30)  days after the end of each calendar quarter, Innovex  shall
report  to CVT its Sales Force and marketing activities for  such
quarter   and  the  Fully  Burdened  Cost  of  all  Post-Approval
Marketing  Expenses  and  Sales Force activities,  and  following
Product Launch, CVT shall report to Innovex the Net Sales  during
such  quarter.   On a quarterly basis, CVT shall also  report  to
Innovex  on  its delivery of Product Samples pursuant to  Section
5.3.   Within forty-five (45) days after the end of each calendar
quarter  following Product Launch, CVT shall submit to Innovex  a
determination  of the Sales and Marketing Fee for  such  quarter.
Such determination of the Sales and Marketing Fee shall show  the
calculation  of  the fee provided for under  both  Column  A  and
Column  B for that quarter, as provided in Section 9.1, and  then
the  actual  Sales and Marketing Fee earned (which shall  be  the
lesser  of  those  two amounts).  During each Sales  Quarter  the
Sales  and Marketing Fee shall be calculated [ * ], and the Sales
and  Marketing Fee for such quarter shall be equal to the [ *  ],
provided,  however, that in calculating the Sales  and  Marketing
Fee  for  [  *  ],  CVT shall only deduct [ * ].   The  quarterly
reports  of  Sales  Force  activities shall  terminate  upon  the
earlier  of the end of Sales Year 5, or the end of the Term,  and
the  quarterly reports of Net Sales shall continue until the  end
of  the  Term  if the Term ends prior to Product Launch  and  the
Agreement was not terminated by Innovex pursuant to Section  14.2
or  14.7, or the Agreement was not terminated by CVT pursuant  to
Section  14.4,  or for the eight (8) calendar quarters  following
such

<PAGE>

Sales Year or the termination of this Agreement by  Innovex
pursuant  to Section 14.2 or 14.7, or by CVT pursuant to  Section
14.4.

          9.4.3     Reconciliation.  In the event of any disagreement or
uncertainty about amounts reported under Section 9.4, the Parties
shall  seek to resolve their differences as promptly as possible.
If  any corrections in previously reported Fully Burdened Cost or
Net  Sales  are  determined by the Parties to be  necessary,  the
Sales  and Marketing Fee for the affected time periods  shall  be
recalculated.  If the Sales and Marketing Fee for the time period
in question has already been paid, then the Party which benefited
from  the error in the previous report shall pay the other  Party
the  amount of the difference within ten (10) days following  the
determination  by the Parties of the revised Sales and  Marketing
Fee.

     9.5  Post-Term Royalty.

          9.5.1     Royalty Obligation.  Subject to Section 9.5.2, CVT
shall  pay,  as  additional  consideration  for  the  sales   and
marketing  services provided by Innovex under this  Agreement,  a
royalty  to Innovex on Net Sales of the Product in the  Territory
in  the  two  (2) calendar years following the end of  the  Term.
Such royalty shall be equal to the following specified percentage
of  Net Sales of the Product in the Territory during each of such
years:

                 Calendar Year               Royalty Rate

     FIRST  year following the end of  the        7%
     Term
     SECOND year following the end of  the        4%
     Term

No  fee shall be paid in respect of Product sales occurring  more
than twenty-four (24) months after the end of the Term.

          9.5.2     Conditions.  No royalty shall be paid under Section
9.5.1  unless Net Sales of Product in the Territory in  the  last
twelve  (12) months of the Term exceeded Net Sales of Product  in
the  Territory in the immediately preceding twelve  (12)  months.
In  addition, no royalty shall be paid under Section 9.5.1 in the
event this Agreement terminates for any reason prior to its  full
scheduled Term (i.e., the end of the calendar year containing the
fifth  anniversary  of Launch), unless Innovex  terminates  under
Section  14.2  or 14.7 or CVT terminates under Section  14.4,  in
which  cases,  the royalty shall be paid for the  two  (2)  years
following the end of the Term.

     9.6  Payments.

          9.6.1     Sales and Marketing Fee.  The Sales and Marketing Fee
for  each  calendar quarter shall be paid within six  (6)  months
following  the  end of such calendar quarter  by  check  or  wire
transfer to an account designated by Innovex.  By way of example,
the Sales and Marketing Fee for the calendar quarter ending March
31, 2001 shall be payable on September 30, 2001.

          9.6.2     Royalty.  The royalty under Section 9.5 for the first
year following the end of the Term shall be paid within three (3)
months following the end of such calendar year.

<PAGE>

The royalty  for the second year following the end of the Term shall be
paid on a quarterly basis, ninety (90) days after the end of each  calendar
quarter  during such year.  Each such payment shall  be  made  by
check or wire transfer to an account designated by Innovex.

     9.7  Non-Monetary Consideration.  If CVT sells the Product in the
Territory for any consideration other than cash, it shall  report
such transaction to Innovex and the reasonable monetary value  of
such  other  consideration  shall be included  within  Net  Sales
(reduced by any applicable deductions contained in the definition
of Net Sales).

                           ARTICLE 10

                ACCOUNTING; INVOICING AND PAYMENT

     10.1 Accounting.  Each Party agrees to calculate all costs and
expenses  hereunder using its standard accounting procedures,  in
accordance with GAAP, consistently applied, to the maximum extent
practical.

     10.2 Invoicing Procedure; Additional Services; Standard Terms Not
Part  of this Agreement.  Innovex will invoice CVT at the end  of
each  month  in  arrears  for Pre-Approval  Marketing  Activities
provided  in  accordance  with  this  Agreement.   Invoices  will
include the names of the Innovex Personnel for which CVT is being
billed, the number of days worked during the invoice period,  the
total due for each individual for the invoice period, and a grand
total   of   all   fees  for  the  invoice  period.    Supporting
documentation  will be made available within seven  (7)  days  of
CVT's  requesting  the same.  To the extent  that  CVT  purchases
additional services from Innovex pursuant to Section 4.2.2, which
services are not included within services provided as part of the
Sales  and  Marketing  Fee,  and  another  billing  procedure  or
purchase  order  is  used to book such additional  services,  any
conflicting standard terms and conditions contained on  any  such
other  documentation  shall have no force  and  effect  for  this
collaboration;  the terms and conditions of this Agreement  shall
prevail in terms and meaning.

     10.3  Obligation  to Pay for Innovex Pre-Approval  Marketing
Activities.  With regard to the Pre-Approval Marketing Activities
provided  by or through Innovex, CVT shall pay invoices  therefor
in  accordance with Section 10.4.  In the event of termination of
this  Agreement at any time and for any reason, payment  for  all
Pre-Approval Marketing Activities shall be due within thirty (30)
days  of  the  termination date.  Notwithstanding the  foregoing,
payment for Pre-Approval Marketing Activities shall be subject to
Section  8.4  of  this  Agreement  and  the  terms  of  the  Loan
Agreement.

     10.4 Payment of Invoices.  All invoices are strictly net of any
taxes  imposed on services, and except as otherwise set forth  in
this Agreement, payment in full is due within thirty (30) days of
the date of receipt of the invoice.

<PAGE>

          10.4.1    If the method of payment is by direct transfer to the
Innovex  bank  account,  the wire transfer  instructions  are  as
follows:

               Innovex Inc.
               Accounting Number:  511-4454518
               ABA Number:         053 101 121
               Branch Banking & Trust Co., Raleigh, NC

     Innovex Federal Employment ED Number is 06-1076709.

          10.4.2    Payments by check may be mailed to the Innovex Lockbox:

               Innovex Inc.
               P.O. Box 890062
               Charlotte, NC 28289-0062

          10.4.3    Payments by check may be remitted via Federal Express
to Innovex's Lockbox as follows:

               Innovex Inc.
               Branch Banking & Trust Co.
               1251 Arrowpine Drive
               Charlotte, NC 28273
               ATTN.: Wholesale Lockbox Dept.  (Box 890062)

     10.5 Penalty for Late Payment.  CVT and Innovex agree that unless
there is a bona fide dispute as to amounts payable hereunder,  if
payment is not made within three (3) days of the due date of  the
invoice, interest shall accrue on a daily basis at the lesser  of
two  percent  (2%) above the Prime Rate as announced periodically
by  Bank  of America at either Charlotte, North Carolina  or  San
Francisco, California or the maximum rate permitted by law on any
amount overdue from the date payment became due until payment  is
made in full.  In any event, such interest penalty shall only  be
assessed for undisputed and unpaid amounts.

     10.6 Record-Keeping and Financial Audits.  Each Party shall keep
or cause to be kept such records as are required to determine, in
a  manner consistent with GAAP in the United States, the sums  or
credits due under this Agreement.  Upon the written request  (and
expense) of either Party, the other Party, but not more than once
in  each  calendar  year, shall permit an  independent  certified
public   accountant  appointed  by  such  Party  and   reasonably
acceptable to the other Party, accompanied by representatives  of
the  financial department of such Party at reasonable  times  and
upon  reasonable notice, to examine only those records as may  be
necessary  to  determine,  with respect  to  any  Sales  Year  or
calendar  year,  as applicable, ending not more  than  three  (3)
years   prior  to  such  Party's  request,  the  correctness   or
completeness of any report or payment made under this  Agreement.
Results  of  any  such  examination  shall  be:  (i)  limited  to
information relating to the Product; (ii) made available to  both
Parties;  and (iii) subject to Article 12.  The Party  requesting
the audit shall bear the full cost of the performance of any such
audit,  unless such audit discloses a variance of more  than  ten
percent (10%) from the amount of the original report, royalty  or
payment calculation.  In such case, the Party being audited shall
bear

<PAGE>

the  full cost of the performance of such audit.   Auditors
shall   be   expressly   subject  to  the  same   confidentiality
obligations  as  the Parties are to each other  hereunder.   This
Section  10.6 shall survive the termination of this Agreement  by
five (5) years.

                           ARTICLE 11

                  REPRESENTATIONS AND COVENANTS

     11.1 Mutual Authority.  Each Party represents and warrants to the
other that:

          11.1.1    Corporate Power.  It is duly organized and validly
existing under the laws of its state or country of incorporation,
and  has  full corporate power and authority to enter  into  this
Agreement and to carry out the provisions hereof.

          11.1.2    Due Authorization.  It is duly authorized to execute
and  deliver  this  Agreement  and  to  perform  its  obligations
hereunder, and the person or persons executing this Agreement  on
its  behalf  has been duly authorized to do so by  all  requisite
corporate action.

          11.1.3    Binding Agreement.  This Agreement is legally binding
upon  it  and  enforceable in accordance  with  its  terms.   The
execution, delivery and performance of this Agreement by it  does
not  conflict  with  any agreement, instrument or  understanding,
oral  or  written, to which it is a Party or by which it  may  be
bound,  nor violate any material law or regulation of any  court,
governmental  body  or  administrative  or  other  agency  having
jurisdiction over it.

          11.1.4    Grant of Rights; Maintenance of Agreements.  It has
not,  and  will not during the term of this Agreement, grant  any
right  to  any Third Party which would conflict with  the  rights
granted to the other Party hereunder or enter any agreement which
would  impair its ability to perform its obligations  under  this
Agreement.  It has (or will have at the time performance is  due)
maintained  and will maintain and keep in full force  and  effect
all agreements necessary to perform its obligations hereunder.

          11.1.5    Validity.  It is aware of no action, suit or inquiry or
investigation   instituted  by  any  governmental   agency   that
questions or threatens the validity of this Agreement.

     11.2 Conformance with Laws.  Innovex and CVT agree to undertake
all  of  their  respective obligations under  this  Agreement  in
material conformance with all applicable local, state and federal
laws  and  regulations, as amended, including the  Federal  Equal
Employment  Opportunity Act, the Fair Labor  Standards  Act,  the
Food  Drug  and  Cosmetics Act, Section 1128B(b)  of  the  Social
Security  Act, the Prescription Drug Marketing Act, the  Medicaid
Prescription  Rebate Act, the Veterans Health Care Act  of  1992,
and  similar state laws.  By entering into this Agreement, it  is
not  the  intent  of  the  Parties to enter  into  any  financial
relationship  or  arrangement prohibited under state  or  federal
fraud  or abuse regulations, including, but not limited  to  Sec.
1128B(b)   of  the  Social  Security  Act,  and  any  regulations
promulgated thereunder, nor do the Parties hereto have any belief
that  the  relationship and compensation arrangement provided  in
this Agreement is prohibited.  Neither Party shall assert against
the  other  that  the compensation arrangement provided  in  this
Agreement  is grounds for

<PAGE>

voiding the Agreement or rendering  the Agreement unenforceable.  If either
Party is notified by a  state or federal agency, or it is alleged in a qui tam
proceeding, that performance of this Agreement is illegal, neither Party shall
be obligated to continue such performance hereof to the extent  such
performance is an alleged violation of law.  In such  event,  the
Parties  shall  proceed  as described in the  final  sentence  of
Section 17.17.

     11.3 Rights in Product.  As of the Effective Date, CVT warrants
and  represents that it has no knowledge of the existence of  any
patent or trademark owned or controlled by anyone other than  CVT
or  an  Affiliate which covers the Product and would prevent  CVT
from  making, using, or selling the Product or would prevent  CVT
or  Innovex  from  promoting  or marketing  the  Product  in  the
Territory.   CVT is not aware of any patents or trademarks  owned
by  Third  Parties which would be infringed by the  promotion  or
sale  of  the Product in the Territory.  CVT is not pursuing  any
action  against any Third Party which CVT believes infringes  its
trademark,  copyright or patent relating to the  Product.   There
are  no actions, suits, claims or proceedings pending against CVT
or any of its Affiliates in any court or before any agency in the
Territory  related  to  alleged patent, trademark,  or  copyright
infringement in connection with the Product, and to the  best  of
CVT's  knowledge, no such actions, suits, claims  or  proceedings
have  been  threatened.  During the term of this  Agreement,  CVT
will  use diligent efforts not to diminish the rights granted  to
Innovex herein, including without limitation by not committing or
permitting  any acts or omissions which would cause the  material
breach  of  any  agreements between CVT and Third  Parties  which
provide  for  intellectual  property  rights  applicable  to  the
development,  manufacture, use or sale  of  the  Product  in  the
Territory.  As of the Effective Date, CVT is in compliance in all
material respects with any such agreements with Third Parties.

     11.4 Record Maintenance.  Innovex will (i) maintain all necessary
personnel  and payroll records for Innovex Sales Force and  other
relevant   personnel;  (ii)  compute  their  wages  and  withhold
applicable  Federal,  State, and local  taxes  and  Federal  FICA
payments;  (iii)  remit  employee  withholdings  to  the   proper
governmental  authorities  and make  employer  contributions  for
Federal   FICA  and  Federal  and  State  unemployment  insurance
payments;  (iv)  pay  net  wages and  fringe  benefits,  if  any,
directly  to  its  employees; and (v) provide for  liability  and
Workers' Compensation insurance coverage.

     11.5 Firewall.  Innovex represents and warrants that it shall
maintain as confidential, shall keep separate and shall not share
with  other parts of the Innovex organization that are or may  be
engaged in the promotion and/or sales of a competing product, the
material and information supplied and/or generated hereunder  for
use  in accordance with this Agreement and the promotion and sale
of the Product.

     11.6 No Use of Names or Trademarks.  Neither Party will use the
other  Party's  name  in  connection  with  any  publication   or
promotion  without the other Party's prior written consent.   Nor
shall  either  Party use the other Party's corporate  or  product
logo  or trademark in any manner without the other Party's  prior
written consent.

     11.7 Year 2000 Compliance.  Each Party represents and warrants
that  its computer systems used in the performance of work  under
this  Agreement shall operate and function without any Year  2000
Error.  The term "Year 2000 Error" means (a) any failure of  such
computer systems properly to record, store, process, calculate or
present  calendar dates falling on

<PAGE>

and after (and if  applicable,spans  of  time  including) January 1, 2000
as a  result  of  the occurrence,  or  use of data consisting of, such dates;
(b) any failure  of  such  computer systems to calculate any  information
dependent on or relating to dates on or after January 1, 2000  in
the  same manner, and with the same functionality, data integrity
and   performance,  as  such  computer  system  records,  stores,
processes,  calculates and presents calendar dates on  or  before
December  31,  1999, or information dependent on or  relating  to
such  dates; or (c) any loss of functionality or performance with
respect  to  the  introduction of records or processing  of  data
containing  dates  falling  on or  after  January  1,  2000.   In
addition, each Party represents and warrants that any failure  of
its  computer systems used in the performance of work under  this
Agreement  to  operate and function without any Year  2000  Error
will  not  materially effect such Party's performance under  this
Agreement.  However, as either Party's sole and exclusive  remedy
for  any  breach  of the representations and warranties  in  this
Section  11.7, Innovex or CVT, as the case may be, will  promptly
perform again any adversely impacted deliverable at no additional
cost to the recipient-Party.

     11.8 NDA Filing.  CVT agrees to exercise diligent efforts to
submit the NDA for the Product in a sustained release formulation
to the FDA and to diligently seek FDA approval.

                           ARTICLE 12

                         CONFIDENTIALITY

     12.1  Confidential Information.  Innovex and CVT agree  that
information specifically relating to the marketing and  sales  of
the Product, or the business affairs or finances of the other  or
Affiliates  or of any suppliers, agents, distributors,  licensees
or  customers  of  the other which is disclosed in  writing,  and
marked  "confidential"  or disclosed  orally,  or  in  any  other
tangible   form   and  reduced  to  a  written   summary   marked
"confidential" and which comes into possession of Innovex or  CVT
under   this   Agreement   shall  be   Confidential   Information
("Confidential Information").  This Agreement, the Stock Purchase
Agreement, the Loan Agreement and related documentation shall  be
treated  as Confidential Information.  Innovex and CVT  agree  to
hold  Confidential Information in strict confidence and  disclose
it only on a need-to-know basis to Affiliates, subcontractors and
employees  who  are under a written obligation  to  maintain  the
confidentiality of the information, except for information:

          12.1.1    which can be shown by written documentation to have
been known by the recipient prior to its receipt from the other;

          12.1.2    which is public or lawfully becomes generally available
to the public through no fault of the recipient;

          12.1.3    which is lawfully acquired from a Third Party without
being made subject to an obligation of confidence by the Third
Party;

          12.1.4    which by mutual agreement is released from a
confidential status; or

          12.1.5    which is required to be disclosed under any statutory,
regulatory or judicial requirement, including, but not limited
to, any filing with the Securities Exchange

<PAGE>

Commission and in that event, confidentiality will be preserved and
protected to the extent possible; additionally, notice will be provided
to the other Party prior to any such disclosure.

     12.2 Ownership of Data; No License.  It is expressly agreed that
neither  Party transfers to the other Party by operation of  this
Agreement any patent right, copyright or other proprietary right.
All  data and information generated or derived by Innovex as  the
result  of  services  performed by Innovex under  this  Agreement
shall be and remain the exclusive property of CVT. Any inventions
that  may  evolve from the data and information as the result  of
services  performed by Innovex under this Agreement shall  belong
to  CVT  and  Innovex  agrees to assign its rights  in  all  such
inventions  and/or  related patents to CVT.  Notwithstanding  the
foregoing,  CVT  acknowledges  that  Innovex  possesses   certain
inventions,  processes,  know-how, trade  secrets,  improvements,
other intellectual properties and other assets, including but not
limited   to   analytical  methods,  procedures  and  techniques,
procedure   manuals,   personnel  data,  financial   information,
computer  technical  expertise  and  software,  which  have  been
independently  developed  by Innovex  and  which  relate  to  its
business  or  operations (collectively "Innovex Property").   CVT
and  Innovex  agree  that  any Innovex  Property  or  improvement
thereto  which  are  used,  improved, modified  or  developed  by
Innovex  under or during the term of this Agreement are the  sole
and exclusive property of Innovex.

     12.3 Survival.  The obligations of Innovex and CVT under this
Article  12 shall survive the termination or expiration  of  this
Agreement for a period of five (5) years.

                           ARTICLE 13

                         INDEMNIFICATION

     13.1 Indemnification by CVT. CVT shall indemnify, defend, save,
protect, and hold harmless Innovex, its Affiliates, and  its  and
their  respective  directors,  officers,  employees,  and  agents
("Innovex  Indemnitees")  against any  and  all  losses,  claims,
damages,  liabilities,  costs and expenses (including  reasonable
attorneys  fees  and  expenses  and court  costs)  (collectively,
"Losses")  resulting  or  arising from any  Third  Party  claims,
actions, proceedings, investigations or litigation relating to or
arising  from or in connection with: (i) the design, development,
manufacture, sale, distribution or use of the Product;  (ii)  the
breach  by  CVT  of any of its obligations under this  Agreement;
(iii)  the negligent or wrongful acts or omissions of CVT or  any
of its directors, officers, employees or agents; (iv) a violation
of any law, rule or regulation by CVT relating to this Agreement;
(v) the Promotional Materials or any other materials referred  to
in Section 6.2; or (vi) the infringement or violation, or alleged
infringement or violation by CVT or the Product of any patents or
any  copyrights,  trademark, trade secret or  other  intellectual
property rights.  Notwithstanding the foregoing, CVT shall not be
required  to indemnify Innovex for any Losses to the extent  they
arise from the negligent or wrongful acts or omissions of Innovex
or  any  of  the Innovex Indemnitees or Innovex's breach  of  its
obligations under this Agreement.

     13.2  Indemnification by Innovex.  Innovex shall  indemnify,
defend, save, protect, and hold harmless CVT, its Affiliates, and
its  and  their  respective directors, officers,  employees,  and
agents  (the  "CVT  Indemnitees")  against  any  and  all  Losses
resulting  or  arising  from  any Third  Party  claims,  actions,
proceedings, investigations or litigation relating to or  arising
from  or

<PAGE>

in connection with: (i) the marketing, promotion or sale
of  the  Product  by  Innovex  in a manner  which  violates  this
Agreement;  (ii) the breach by Innovex of any of its  obligations
under  this  Agreement; (iii) the negligent or wrongful  acts  or
omissions of Innovex or any of its directors, officers, employees
or  agents;  (iv) a violation of any law, rule or  regulation  by
Innovex relating to this Agreement; or (v) the representations or
misrepresentations by Innovex relating to the Product which  were
not  consistent with the labeled claims or Promotional  Material.
Notwithstanding the foregoing, Innovex shall not be  required  to
indemnify  CVT for any Losses to the extent they arise  from  (i)
the  negligent  or  wrongful acts or  omissions  of  CVT  or  CVT
Indemnitees; (ii) the breach by CVT of its obligations under this
Agreement; (iii) a manufacturing or design defect of the Product;
or  (iv) a strict liability claim arising out of CVT's failure to
warn.

     13.3 Procedure.  The Party seeking indemnification hereunder (the
"Indemnified  Party")  shall  (a)  promptly  notify   the   Party
obligated  to indemnify (the "Indemnifying Party") of any  Losses
for  which  the  Indemnified  Party  seeks  indemnification;  (b)
cooperate   fully   with  Indemnifying  Party   and   its   legal
representatives in the investigation of any matter the subject of
indemnification; (c) permit the Indemnifying Party  full  control
over  the  defense and settlement of any matter  the  subject  of
indemnification; and (d) not unreasonably withhold  its  approval
of   the  settlement  of  any  claim,  liability  or  action   by
Indemnifying Party covered by this indemnification provision.

     13.4 No Consequential Damages.  Notwithstanding the Parties'
rights  and  remedies  in  equity  and  except  with  respect  to
indemnification obligations under Sections 13.1 and 13.2, neither
Party,   nor   its  Affiliates  or  their  respective  directors,
officers,  employees or agents shall have any  liability  to  the
other  for  any  special, incidental, indirect  or  consequential
damages,  including, but not limited to the loss of  opportunity,
use, revenue or profit, in connection with or arising out of this
Agreement,  or the Services performed by Innovex hereunder,  even
if such damages were foreseeable.

     13.5 CVT Responsibility for Product Description.  Innovex shall
not  be  liable to CVT for claims or losses arising  out  of  the
statements  or  representations of  the  Innovex  Personnel  with
respect   to  the  Product  to  the  extent  the  statements   or
representations   conform  to  the  oral,  written   or   printed
statements  or representations made to the Innovex  Personnel  by
CVT  with  respect  to the Product or contained  in  the  Product
labeling, Promotional Materials or other material referred to  in
Section  6.2, provided all such materials have been  approved  in
advance in writing by CVT.

     13.6  Insurance.  Innovex and CVT shall at their own expense
obtain  and  maintain insurance of a type and amount  as  may  be
necessary  to  protect their interests and obligations  connected
with performance under this Agreement.  Neither Party shall do or
omit  to  do  any act, matter or thing which could  prejudice  or
render voidable any such insurance.  Innovex and CVT shall,  upon
request  by  the  other, provide a certification  evidencing  the
insurance  or  any  renewal.  Each Party shall notify  the  other
Party  of  any  cancellation of or material change  in  any  such
insurance  arrangements, if possible, prior  to  cancellation  or
material change, but in any event, as soon as possible.   Innovex
shall  carry  workers' compensation and employer's insurance  and
Innovex  shall  remain  solely responsible  for  all  employment-
related  claims  and  injury claims of its employees  devoted  to
performing services hereunder, except those claims arising out of

<PAGE>

CVT's  negligence or intentional acts.  CVT shall  carry  product
liability insurance covering the Product in the Territory,  in  a
minimum amount of [ * ] at all times following Launch.

                           ARTICLE 14

                      TERM AND TERMINATION

     14.1  Term.   The Term of this Agreement will begin  on  the
Effective  Date and continue until the end of the  calendar  year
that  includes the fifth (5th) anniversary of the Product Launch,
unless  the  Agreement is terminated earlier in  accordance  with
this Article 14.

     14.2 Material Breach.  Either Party may terminate this Agreement
by  written notice at any time if the other Party defaults in the
performance of any material obligations under this Agreement.  In
the  event of such default, the Party declaring the default shall
provide  the  defaulting Party with written notice setting  forth
the  nature  of the default, and the defaulting Party shall  have
thirty  (30)  days to cure the default.  If the defaulting  Party
fails to cure the default within the foregoing time periods,  and
provided the default is continuing, the other Party may terminate
this  Agreement by written notice to the defaulting Party,  which
notice shall be effective upon receipt.

     14.3 NDA Filing; No Product Approval.  Either Party may terminate
this  Agreement if CVT provides written notice to  Innovex  that:
(i)  it will not submit an NDA due to Product failure; (ii)  that
CVT  has terminated development of the Product; (iii) if the  FDA
provides written notice that it will not approve the Product;  or
(iv) if the Product Launch does not occur prior to [ * ].  If  at
any  time  CVT  reasonably concludes that Product Launch  is  not
likely  to occur by [ * ], CVT shall notify Innovex of the change
in circumstances and its revised estimate of the scheduled Launch
(the "Revised Launch Date").  At the time of such notice, Innovex
must  either  and  by  written notice to  CVT:  (i)  confirm  its
intention  to  proceed under this Agreement, in  which  case  the
first  sentence  of  this  Section 14.3  shall  be  automatically
amended to replace the date "[*]" with the date ninety (90)  days
after  the Revised Launch Date; or (ii) immediately exercise  its
right  of  termination under this Section 14.3.  If Innovex  does
not  exercise  its right of termination within  sixty  (60)  days
after receiving such CVT request, Innovex shall be deemed to have
confirmed its intention to proceed under this Agreement  and  the
first  sentence  of this Section 14.3 shall be  so  automatically
amended.   In  the  event  of additional  delays  in  anticipated
Launch, CVT shall give a further notice under this Section  14.3,
and  the  same  procedure for an Innovex  election  shall  apply.
Innovex may terminate this Agreement by written notice to CVT  if
the NDA Filing for the Product has not occurred by [ * ].  In the
case  of  a  Revised Launch Date which does not lead  Innovex  to
terminate this Agreement, the date in the previous sentence shall
be  extended to a new date which is six (6) months prior  to  the
new Revised Launch Date.

     14.4 Failure to Achieve Certain Net Sales.  Either Party may
terminate  this  Agreement  by giving twelve  (12)  months  prior
notice if Product sales in the Territory in the prior Sales  Year
are  below minimum levels specified by the Parties, provided that
such notice of termination may not be given by either Party until
the end of Sales Year 2.  Attached as Exhibit D is a schedule  of
the  minimum  levels of forecast sales, which may be amended  and
revised  by  mutual  and  express agreement  among  the  Parties.
Notwithstanding  the  foregoing, if Innovex  provides  notice  of
termination under this Section 14.4, CVT shall have the option to
extend  the

<PAGE>

term of the Agreement for a period of one  (1)  year
from the end of such twelve (12) month period by providing notice
to  Innovex,  provided that in such case: (i)  CVT  shall  become
solely responsible for the portion of the Post-Approval Marketing
Expenditures   that   are   designated   as   Innovex   Marketing
Expenditures  on  Exhibit C, to the extent such expenditures  are
applicable to such final one-year term of the Agreement; (ii) the
Sales  and  Marketing  Fee for such final one-year  term  of  the
Agreement shall equal the Fully Burdened Cost of the Sales  Force
provided  by Innovex; and (iii) CVT shall chair the  JCC  and  be
entitled to make any final decisions.

     14.5 Permitted CVT Co-Promotion Agreement.  As an exception to
the  exclusivity  provided  for in  Section  1.3,  CVT  shall  be
entitled to grant co-promotion or license rights for the  Product
in  the Territory to a Third Party at any time prior to the first
Pre-Approval  Advance under the Loan Agreement.   If  CVT  enters
into such a co-promotion or license agreement with a Third Party,
it  shall give written notice to Innovex within ten (10) days  of
signing  such agreement.  Innovex shall, within sixty  (60)  days
after  receipt of such notice, elect to either (a) terminate  the
Agreement  immediately, or (b) continue the Agreement subject  to
adjustment  of  financial terms corresponding to  CVT's  retained
rights (e.g., in a 50/50 co-promotion with a Third Party in which
CVT   retains  a  fifty  percent  (50%)  promotion  right,   then
Quintiles' Pre-Approval Loan Commitment would be reduced by fifty
percent  (50%)  to  five million dollars ($5,000,000),  Innovex's
minimum  sales  and  marketing commitments would  be  reduced  by
one-half,  the Sales and Marketing Fee would be reduced  by  one-
half,  and  the  milestone payment under  section  8.4  would  be
reduced  by fifty percent (50%)).  If Innovex elects to  continue
the  Agreement  in  such  case,  the  Parties  shall  execute  an
amendment  to this Agreement to set forth the revised  terms  and
conditions  of  the Agreement.  If Innovex does not  provide  any
notice of election to CVT within such sixty (60)-day time period,
then  it  shall  be  deemed  to have terminated  this  Agreement.
Subsequent  to  the  first Pre-Approval Advance  under  the  Loan
Agreement, and provided CVT has not given notice to Innovex under
this  Section  14.5 prior thereto, CVT shall not license  to  any
Third  Party  the  rights to market or sell the  Product  in  the
Territory,  or grant co-promotion rights to market  or  sell  the
Product  in  the  Territory to any Third Party without  Innovex's
prior written consent.

     14.6 Loss of Product Rights by CVT.  CVT holds the rights to the
Product  under  an  exclusive license from a Third  Party.   This
Agreement  shall terminate automatically if CVT's license  rights
to the Product terminate in the Territory.

     14.7 Bankruptcy.  Either Party may terminate this Agreement by
written  notice to the other Party, if the other  Party  files  a
petition for bankruptcy, reorganization or arrangement under  any
state  statute,  or  makes  an  assignment  for  the  benefit  of
creditors or takes advantage of any insolvency statute or similar
statute, or such filing is made by a Third Party, and such filing
is not withdrawn within sixty (60) days of the filing date, or if
a receiver or trustee is appointed for the property and assets of
the  Party  and  the receivership proceedings are  not  dismissed
within sixty (60) days of such appointment.

     14.8 Accrued Rights.  Termination of the Agreement for whatever
reason  shall not affect the accrued rights of either Innovex  or
CVT  arising  under or out of this Agreement and  all  provisions
which  expressly  or by implication survive this Agreement  shall
remain  in  full force and effect.  Termination of this Agreement
shall  not  relieve  the Parties of any liability  which  accrued
hereunder  prior  to the effective date of such  termination  nor
preclude  either Party from

<PAGE>

pursuing all rights and  remedies  it may  have  hereunder or at law or in
equity with respect to any breach of this Agreement nor prejudice either
Party's right to obtain performance of any obligation.

     14.9 Right to Receive Data.  Upon termination, CVT shall have the
right to receive data attendant or related to sales and marketing
activities under this Agreement.

     14.10     Survival.  The following provisions shall survive any
expiration or termination of this Agreement, and if time  periods
are  specified, for the period of time specified:  Sections  1.4,
4.8,  4.9, 5.4.3, 6.2.2, 7.1, 7.2, 7.4, 7.7, 9.1, 9.2, 9.4,  9.5,
9.6,  9.7, 10.3, 10.4, 10.5, 10.6, 11.2, 11.4, 11.5, 14.8,  14.9,
14.10 and Articles 12, 13, 15, 16 and 17.

                           ARTICLE 15

                     SALES FORCE CONVERSION

     15.1 Right to Convert Sales Force.  CVT shall have the right to
offer CVT employment to the Innovex Personnel who are members  of
the  Sales Force at the end of the full scheduled Term or earlier
upon  a  termination under Section 14.2, 14.4 or  14.7.   In  the
event  CVT desires to convert some or all of the Sales  Force  to
its  employment, it shall provide Innovex notice of such election
at  least three (3) months prior to the end of the full scheduled
Term  or with its notice of termination under Section 14.2,  14.4
or 14.7.

     15.2 Transition Plan.  In the event CVT decides to convert the
Sales  Force, in accordance with Section 15.1, the Parties  shall
promptly  meet  and  determine  a transition  plan,  which  shall
include  a  schedule  for  actions which  will  enable  a  smooth
transition date for all Innovex Personnel: (i) who may be offered
employment  by CVT; (ii) who may not be offered such  employment;
and (iii) who may decline such offers.  No later than thirty (30)
days before the end of the full scheduled Term or within two  (2)
months  from termination under Sections 14.2, 14.4 or  14.7,  CVT
shall  identify  for Innovex the names of Innovex  Personnel  who
have  elected to accept employment offers from CVT and those  who
have  not  been offered employment or have declined an employment
offer.

     15.3  CVT  Determination.   CVT shall  make  an  independent
determination  regarding the qualifications  and  suitability  of
Innovex Personnel to be offered employment by CVT, and the  terms
of  such  offers,  if  any.   No  information  contained  in  the
personnel files of Innovex Personnel shall be disclosed  to  CVT,
including   resumes,  applications,  performance  appraisals   or
disciplinary  records,  or the results  of  drug  screens,  motor
vehicle  or  background reports.  Notwithstanding the  foregoing,
Innovex shall notify CVT of any material violation by any Innovex
Personnel of the PDMA.

     15.4 Compensation.  As compensation for such conversion, CVT
shall pay Innovex a supplemental fee at the end of the payment of
royalties  under  Section  9.5, as follows.   In  the  event  the
aggregate  amount of such royalties exceeds [ *  ]  of  the  base
salary  for  the Sales Force hired by CVT under this Article  15,
CVT shall not owe any supplemental payment to Innovex as a result
of  the  Sales Force conversion.  In the event such aggregate  is
less  than [ * ] of the base

<PAGE>

salary for the Sales Force hired  by CVT,  CVT  shall pay Innovex the
difference, within  thirty  (30)days after the second anniversary of
the end of the Term.

     15.5 Proprietary Information. In the event of any Sales Force
conversion under this Article 15, the Innovex Personnel who  join
CVT  may  continue to use in their employment by CVT any and  all
Product  knowledge  that they gained while in the  employment  of
Innovex,   including   knowledge  regarding  Product   customers,
competition,  selling  techniques, and the like.  However,  other
proprietary information of Innovex (including Innovex  sales  and
personnel  manuals  and software) shall remain  the  property  of
Innovex  and  shall  not  be conveyed to  CVT.  As  part  of  the
transition plan referred to above, the Parties shall cooperate to
deliver  to CVT in the most convenient electronic form  any  data
related  to the Product (including sales activities of the  Sales
Force under this Agreement) in the possession of Innovex.

                           ARTICLE 16

                       DISPUTE RESOLUTION

     16.1 Disputes. The Parties recognize that disputes as to certain
matters  may  from  time to time arise during the  term  of  this
Agreement   which   relate  to  either  Party's   rights   and/or
obligations   hereunder.  In  addition  to  the   decision-making
provisions of Article 2 of this Agreement it is the objective  of
the  Parties to establish procedures to facilitate the resolution
of  disputes arising under this Agreement in an expedient  manner
by  mutual cooperation and without resort to litigation, as  such
may  be  accomplished by good faith negotiations between CVT  and
Innovex,  within  thirty  (30) days of notice.  If  such  dispute
remains  unresolved at that point, it shall promptly be submitted
to  the  President of Innovex and the Chief Executive Officer  of
CVT  who  will meet in person or by teleconference at least  once
within ten (10) days after such submission and attempt to resolve
the  matter or matters in dispute. If any such dispute cannot  be
resolved  by such officers of each Party within twenty (20)  days
from the date on which the Parties submitted such dispute to such
officers, then such dispute shall be brought before and  resolved
in a court of competent jurisdiction in the State of Delaware and
each  Party  agrees  to  the exclusive jurisdiction  of  Delaware
courts for any disputes arising from this Agreement.

     16.2 Governing Law. Resolution of all disputes arising out of or
related to this Agreement or the performance, enforcement, breach
or  termination  of  this  Agreement and  any  remedies  relating
thereto, shall be governed by and construed under the substantive
laws  of the State of Delaware, as applied to agreements executed
and  performed entirely in the State of Delaware by residents  of
the State of Delaware, without regard to conflicts of law rules.

                           ARTICLE 17

                          MISCELLANEOUS

     17.1 Condition Subsequent.  This Agreement shall terminate and be
of  no  force and effect if for any reason the closing under  the
Stock  Purchase  Agreement does not close within  ten  (10)  days
following the Effective Date of this Agreement.

<PAGE>

     17.2 Return of Materials.  At the completion of the services by
Innovex or termination pursuant to Article 14, all materials  and
all  other data owned by CVT under this Agreement, regardless  of
the method of storage or retrieval, shall either be delivered  to
CVT  in  such  form  as is then currently in  the  possession  of
Innovex  or disposed of, at the direction and written request  of
CVT unless such materials are otherwise required to be stored  or
maintained  by  Innovex as a matter of law  or  regulation.   The
costs  associated with either of the above options shall be  paid
by CVT.

     17.3 Nonsolicitation of Employees.  Except as otherwise provided
herein, during the term of this Agreement and for a period of six
(6)  months thereafter, each Party agrees that neither it nor any
of  its  divisions or operating groups that directly participates
in   or   is   directly  responsible  for  the   development   or
commercialization  of  the  Product pursuant  to  this  Agreement
shall,  directly or indirectly, recruit, solicit  or  induce  any
employee  of  the other Party to terminate his or her  employment
with such other Party.

     17.4 Publicity.  The Parties agree that promptly following the
execution  of  this  Agreement, they will  issue  a  joint  press
release, attached hereto and incorporated herein by reference  as
Exhibit  E.  Subsequent announcements related to  this  Agreement
shall  be by mutual consent.  Innovex acknowledges that CVT shall
be the Party responsible for disclosure of information related to
the   sales,  performance,  pharmaceutical  characteristics   and
clinical  study data of the Product, and agrees not to  make  any
disclosures,  public  or  private, in that  regard,   except  for
disclosures permitted by Section 12.1.5.  Each Party is otherwise
authorized to make any disclosures as may be required by law.

     17.5 Business Days.  If any date for payment or notice under this
Agreement falls on a Saturday, Sunday or bank holiday,  then  the
referenced  date  shall move to the first working  day  following
such  date,  provided that the calculation of  working  days  are
never  to  include  Saturdays, Sundays or bank holidays  and  the
calculation  of days (without reference to "working" days)  shall
include Saturdays, Sundays and bank holidays.

     17.6  Entire Agreement; Amendment.  This Agreement, the Loan
Agreement,  the Stock Purchase Agreement and the other agreements
referred  to herein between the Parties, set forth the  complete,
final  and  exclusive agreement and all the covenants,  promises,
agreements,    warranties,   representations,   conditions    and
understandings  between  the Parties  hereto  and  supersede  and
terminate  all  prior agreements and understandings  between  the
Parties.    There   are   no  covenants,  promises,   agreements,
warranties, representations, conditions or understandings, either
oral  or written, between the Parties other than as are set forth
herein  and therein.  No subsequent alteration, amendment, change
or  addition to this Agreement shall be binding upon the  Parties
unless reduced to writing and signed by an authorized officer  of
each Party.

     17.7 Force Majeure.  Both Parties shall be excused from  the
performance  of  their obligations under this  Agreement  to  the
extent  that  such performance is prevented by force majeure  and
the   nonperforming  Party  promptly  provides  notice   of   the
prevention to the other Party.  Such excuse shall be continued so
long  as  the condition constituting force majeure continues  and
the  nonperforming Party takes reasonable efforts to  remove  the
condition.   For purposes of this Agreement, force majeure  shall
include  conditions beyond the control of the Parties,  including
without  limitation,  an  act of God,  voluntary  or  involuntary
compliance  with

<PAGE>

any regulation, law or order of any  government,
war, civil commotion, labor strike or lock-out, epidemic, failure
or default of public utilities or common carriers, destruction of
production facilities or materials by fire, earthquake, storm  or
like catastrophe; provided, however, the payment of invoices  due
and owing hereunder shall not be delayed by the payor because  of
a force majeure affecting the payor.

     17.8 Notices.  Any notice required or permitted to be given under
this  Agreement shall be in writing, shall specifically refer  to
this  Agreement  and  shall be deemed to have  been  sufficiently
given  for  all  purposes if mailed by first class  certified  or
registered  mail,  postage prepaid, express delivery  service  or
personally delivered.  Unless otherwise specified in writing, the
mailing addresses of the Parties shall be as described below.

     For CVT:            CV THERAPEUTICS, Inc.
                         3172 Porter Drive
                         Palo Alto, California 94304
                         Attention: Cynthia L. Clark, General Counsel
                         Fax: 650-858-0388
                         Phone: 650-812-9524

     With a Copy to:     Cooley Godward LLP
                         Five Palo Alto Square
                         3000 El Camino Real
                         Palo Alto, CA 94306
                         Attention: Robert L. Jones
                         Fax: 650-857-0663
                         Phone: 650-843-5034

     For Innovex:        Innovex Inc.
                         10 Waterview Boulevard
                         Parsippany, NJ 07054
                         Attention: David Stack, President
                         Fax: (973) 257-4581
                         Phone: (973) 257-4570

     With a Copy to:     L. Stephen Garlow
                         General Counsel
                         10 Waterview Boulevard
                         Parsippany, New Jersey 07054
                         Fax: (973) 257-4581
                         Phone: (973) 257 4784

                         or  to such other destination as either Party
may  hereafter  notify  the other Party in accordance  with  this
section.

     17.9 Consents Not Unreasonably Withheld or Delayed.  Whenever
provision  is made in this Agreement for either Party  to  secure
the  consent  or approval of the other, that consent or  approval
shall  not  unreasonably be withheld or delayed, and whenever  in
this

<PAGE>

Agreement provisions are made for one Party to object to  or
disapprove  a  matter,  such objection or disapproval  shall  not
unreasonably be exercised.

     17.10     Maintenance of Records.  Each Party shall keep and
maintain  all  records required of it by law or  regulation  with
respect  to  the  Product and shall make copies of  such  records
available to the other Party upon request.

     17.11     United States Dollars.  References in this Agreement to
"Dollars" or "$" shall mean the legal tender of the United States
of America.

     17.12      No Strict Construction.  This Agreement has  been
prepared  jointly  and  shall not be strictly  construed  against
either Party.

     17.13     Assignment.  Neither Party may assign or transfer this
Agreement  or  any  rights or obligations hereunder  without  the
prior written consent of the other, except that a Party may  make
such   an  assignment  without  the  other  Party's  consent   to
Affiliates or to a successor to substantially all of the business
of such Party, whether in a merger, sale of stock, sale of assets
or  other  transaction.  Any permitted successor or  assignee  of
rights  and/or obligations hereunder shall, in a writing  to  the
other  Party, expressly assume performance of such rights  and/or
obligations.   Any permitted assignment shall be binding  on  the
successors  of the assigning Party.  Any assignment or  attempted
assignment  by  either Party in violation of the  terms  of  this
Section 17.13 shall be null and void and of no legal effect.   If
either  Party assigns this Agreement to an Affiliate pursuant  to
this   Section  17.13,  the  assigning  Party  shall  provide   a
continuing guarantee of the performance of this Agreement by such
Affiliate.

     17.14     Performance by Affiliates.  Obligations under this
Agreement may be performed by Affiliates of Innovex and CVT  only
with the prior consent of the other Party.  In the event any such
performance  is carried out by Affiliates with the prior  consent
of   the   other  Party,  each  of  Innovex  and  CVT  guarantees
performance of this Agreement by its Affiliates.  No Affiliate of
a  Party  may  make decisions inconsistent with  this  Agreement,
amend the terms of this Agreement or act contrary to its terms in
any way.

     17.15     Counterparts.  This Agreement may be executed in two or
more counterparts, each of which shall be deemed an original, but
all   of  which  together  shall  constitute  one  and  the  same
instrument.

     17.16      Further Actions.  Each Party agrees  to  execute,
acknowledge and deliver such further instruments, and to  do  all
such  other acts, as may be necessary or appropriate in order  to
carry out the purposes and intent of this Agreement.

     17.17     Severability.  If any one or more of the provisions of
this  Agreement  is  held to be invalid or unenforceable  by  any
court of competent jurisdiction from which no appeal can be or is
taken,  the  provision  shall  be considered  severed  from  this
Agreement  and  shall  not  serve  to  invalidate  any  remaining
provisions hereof.  The Parties shall make a good faith effort to
replace  any invalid or unenforceable provision with a valid  and
enforceable  one  such that the objectives  contemplated  by  the
Parties when entering this Agreement may be realized.

<PAGE>

     17.18     Ambiguities.  Ambiguities, if any, in this Agreement
shall  not be construed against any Party, irrespective of  which
Party may be deemed to have authored the ambiguous provision.

     17.19     Headings.  The headings for each article and section in
this  Agreement have been inserted for convenience  of  reference
only  and  are not intended to limit or expand on the meaning  of
the language contained in the particular article or section.

     17.20     No Waiver.  Any delay in enforcing a Party's rights
under this Agreement or any waiver as to a particular default  or
other matter shall not constitute a waiver of such Party's rights
to  the  future  enforcement of its rights under this  Agreement,
except  with  respect  to an express written  and  signed  waiver
relating to a particular matter for a particular period of time.

<PAGE>

     [SIGNATURE PAGE TO SALES AND MARKETING SERVICES AGREEMENT]

     In Witness Whereof, the Parties have executed this Agreement
in  duplicate originals by their duly authorized officers  as  of
the date and year first above written.

CV Therapeutics, Inc.



By:      /s/ Louis G. Lange

Print:   Louis G. Lange

Title:   Chairman & CEO

Date:    May 5, 1999


Innovex Inc.



By:      /s/ David Stack

Print:   David Stack

Title:   President and General  Manager

Date:


For the Purposes Only of
Article 8 Quintiles
Transnational Corp.



By:      /s/ James L. Bierman

Print:   James L. Bierman

Title:   Senior Vice President
         Corporate Development

Date:

 <PAGE>

                           Exhibit A

                           Definitions

     The  following  terms shall have the following  meanings  as
used in this Agreement:

1.   "Affiliate"   means  any  corporation  or  business   entity
     controlled by, controlling, or under common control with a Party
     to this Agreement.  For this purpose, "control" shall mean direct
     or indirect beneficial ownership of at least fifty percent (50%)
     of the voting stock or income interest in such corporation or
     other business entity, or such other relationship as, in fact,
     constitutes actual control.

2.   "FDA" means the U.S. Food and Drug Administration.

3.   "Field Manager" means a member of the Sales Force having the
     responsibilities set forth on Schedule III for such job title.

4.   "First Year Sales Commitment" means the line of credit
     extended to CVT by Quintiles, for the purpose of assisting in the
     financing of first year sales and marketing expenses for the
     Product, and identified as in the Loan Agreement.

5.   "Fully Burdened Cost" will have the meaning provided in
     Section 3.3.

6.   "Innovex Personnel" means any individual who is performing
     any part of the services hereunder and who stands in an employer-
     employee relationship with Innovex.

7.   "Joint Commercialization Committee" or "JCC" means the
     committee formed pursuant to Section 2.2.

8.   "Joint Steering Committee" or "JSC" means the joint
     committee formed pursuant to Section 2.1.

9.   "Loan Agreement" means the loan agreement of even date
     herewith between Quintiles and CVT.

10.  "Marketing Plan" means a plan detailing the activities to be
     performed by each Party in the Territory as more fully described
     in Article 3 hereof.

11.  "Minimum Post-Approval Marketing Expenditure Commitment"
     means the minimum expenditures on Post-Approval Marketing
     Activities Innovex shall provide in accordance with Section
     4.5.2.

12.  "Minimum Sales Force Commitment" means such Innovex Sales
     Force commitment in accordance with Section 4.5.1 hereof.

13.  "National Sales Manager" means the leader of the Sales Force
     having the responsibilities set forth on Schedule III for such
     job title.

<PAGE>

14.  "NDA" means an application as defined in the United States
     Food, Drug and Cosmetic Act and applicable regulations
     promulgated thereunder to the FDA, the approval of which is
     required before a pharmaceutical product may be promoted and sold
     in the Territory.

15.  "NDA Filing" means the date the FDA accepts the
     submission/application and issues an NDA identification number.

16.  "Net Sales" means the amount billed by CVT or an Affiliate
     for sales of the Product to an unrelated Third Party in the
     Territory less: (i) discounts, including cash and quantity
     discounts, charge-back payments and rebates granted to managed
     health care organizations or to federal, state and local
     governments, their agencies, and purchasers and reimbursers or to
     trade customers, including but not limited to, wholesalers and
     chain and pharmacy buying groups; (ii) credits or allowances
     actually granted upon claims, damaged goods, rejections or
     returns of such Product, including recalls, regardless of the
     Party or Third Party requesting such; (iii) freight, postage,
     shipping and insurance charges actually allowed or paid for
     delivery of the Product, to the extent billed; (iv) taxes, duties
     or other governmental charges levied on, absorbed or otherwise
     imposed on sale of such Product, including without limitation
     value-added taxes, or other governmental charges otherwise
     measured by the billing, when included in billing, as adjusted
     for rebates and refunds; and (v) bad debts (defined as any bills
     unpaid for one hundred eighty (180) days after due) and after CVT
     has used commercially reasonable efforts to collect.

17.  "Phase IIIB/IV Studies" means a study conducted for
marketing of the Product in the Territory and not for the purpose
of obtaining FDA approval of the NDA.

18.  "Post-Approval Marketing Activities" means such promotional
     and marketing activities as are described on the Exhibits and
     Schedules attached hereto and any other activities identified by
     the JSC in furtherance of the objectives of this Agreement, which
     activities are allowed by the FDA or under the Food Drug &
     Cosmetic Act and its attendant regulations, and which are
     conducted after Product Launch.  Such activities also include
     marketing input into clinical strategic planning activities, i.e.
     protocol development, future indications.

19.  "Pre-Approval Loan" means the line of credit extended to CVT
     by Quintiles, for the purpose of assisting in the financing of
     Pre-Approval Marketing Activities, and identified in the Loan
     Agreement.

20.  "Pre-Approval Marketing Activities" means marketing
     activities identified by the JSC in furtherance of the objectives
     of this Agreement, and as may be allowed by applicable regulatory
     authorities and the AMA Guidelines on Gifts to Physicians prior
     to Product Launch.  Such activities shall include without
     limitation, educational programs, symposia, poster-sessions,
     seminars for physicians, market research, pricing studies,
     development of promotional activities and advertising agency
     fees.  Such activities also include marketing input into clinical
     strategic planning activities, i.e.  protocol development, future
     indications, Phase IIIB/IV Studies.

<PAGE>

21.  "Pre-Approval Marketing Expenses" means expenses incurred
     for Pre-Approval Marketing Activities, which shall include all
     Innovex billable expenses related to the Product prior to Product
     Launch, exclusive of:  (i) post-Launch sales and marketing
     activities or expenses; and (ii) Sales Force Startup Costs.

22.  "Product" means ranolazine (the pharmaceutical agent
     described in U.S. Patent No. 4,567,264) in a sustained release
     formulation, together with any other formulation approved or
     marketed during the Term for the treatment of stable angina.

23.  "Product Launch" or "Launch" means the first date upon which
     the FDA-approved Product is shipped by CVT to a wholesaler for
     commercial distribution.

24.  "Project Administrator" means the Innovex employee at the
     headquarters office who will provide administrative support for
     the National Sales Manager.

25.  "Promotional Materials" means written materials generated
     for the purpose of promotion and sale of the Product, in all
     cases with the prior written approval of CVT.

26.  "Sales and Marketing Fee" means the amount Innovex will be
     paid for the services as ore fully set forth in Section 9.1
     hereof.

27.  "Sales Force" means those Innovex Personnel, including
     without limitation Territory Representatives, Field Managers,
     National Sales Manager and Project Administrator who promote the
     Product under this Agreement.

28.  "Sales Force Startup Costs" means costs associated with
     keeping, training and maintaining a dedicated Sales Force
     preceding Product Launch, exclusive of Pre-Approval Marketing
     Expenses and as more fully described in Sections 4.2.1 and 9.3.

29.  "Sales Quarter" means a calendar quarter, the first quarter
     to consist of the period from the Product Launch until the
     beginning of the calendar month the next calendar quarter begins.

30.  "Sales Year" means, respectively, the periods that encompass
     Sales Quarters 1-4, 5-8, 9-12, 13-16 and, for Sales Year 5, the
     period commencing with Sales Quarter 17 and ending with December
     31st of the calendar year which includes the fifth anniversary of
     the Product Launch.

31.  "Sample" means units of Product distributed by Innovex,
     pursuant to the provisions of the Prescription Drug Marketing
     Act, and for complimentary distribution to patients by
     practitioners licensed to prescribe Product, whether packaged as
     individual samples or as trade packages.

32.  "Stock Purchase Agreement" shall have the meaning provided
     in Section 8.1.

33.  "Term" means the period of time from the Effective Date to
     the end of the calendar year which includes the fifth anniversary
     of the Product Launch or the earlier termination of the Agreement
     in accordance with its terms, whichever is earlier.

<PAGE>

34.  "Territory" means the United States of America and its
     territories and possessions, including Puerto Rico.

35.  "Territory Representative" means an employee of Innovex: (i)
     who is responsible for meeting with customers and others who can
     buy (or influence the buying process and decision regarding) the
     Product; and (ii) whose success at such activities is a
     significant factor in the ongoing employment and compensation of
     the individual representative.  The responsibilities of a
     Territory Representative are set forth on Schedule III.

36.  "Third Party" means any entity or person other than Innovex
     or CVT or an Affiliate of either of them.

<PAGE>

                            Exhibit B
                     MARKETING PLAN OUTLINE

     I.   Executive Summary

     II.  Market Analysis
          "    Angina Market
          "    Angina Products
          "    Future Outlook

     III. Product Profile
          "    Product Description
          "    Indications
          "    Clinical Experience and Program
          "    Formulation, Packaging and Administration

     IV.  SWOT Analysis

     V.   5 year Sales Forecasts
          "    Units, Dollars, Prescriptions, Market Share

     VI.  Objectives
          "    Awareness
          "    Communication
          "    Product Use
          "    Sales
          "    Market Share
          "    Managed Care/Formulary

     VII. Key Issues

     VIII.Strategies
          "    Product Positioning
          "    Audiences
          "    Sales Force
          "    Pharmacoeconomics

     IX.  Tactics
          "    Pharmacoeconomics
          "    Market Research
          "    Medical Education
          "    Publication Plan
          "    Personal Selling Materials Program
          "    Clinical Support
          "    Sales Force Support
          "    Sampling
          "    Managed Care / Formulary

<PAGE>

          "    Territory Sales Force Effort

     X.   Budget Following Year

     XI.  Timelines

<PAGE>

                            Exhibit C

     Cost Allocation For Post-Approval Marketing Activities

            Category              Innovex     Innovex     CVT
                                   Sales     Marketing    Cost
                                   Force     Expenditur
                                  Expenses       es
Advertising (journal and mail)     [ * ]       [ * ]     [ * ]

Auto  Costs (allowance, mileage,   [ * ]       [ * ]     [ * ]
parking, tolls, etc.)

Back office, infrastructure        [ * ]       [ * ]     [ * ]

Distribution of the Samples        [ * ]       [ * ]     [ * ]

Drug   Screens   and   reference   [ * ]       [ * ]     [ * ]
checks

Equipment:     1) Computer (hard   [ * ]       [ * ]     [ * ]
& soft), printer, fax              [ * ]       [ * ]     [ * ]
        2) Detail bags, business
cards

Field     Supplies:     postage,   [ * ]       [ * ]     [ * ]
stationery, printer  ink,  phone
charges

Forms,     reports    especially   [ * ]       [ * ]     [ * ]
requested by CVT

Innovex    Fee   for    Services   [ * ]       [ * ]     [ * ]
Marketing

ITMS   (call  reporting,   voice   [ * ]       [ * ]     [ * ]
mail,        email,       Sample
accountability)

Insurance:  employment,  workers   [ * ]       [ * ]     [ * ]
comp, E & O, CGL

Market Research                    [ * ]       [ * ]     [ * ]

Medical and other benefits         [ * ]       [ * ]     [ * ]

Medical Education                  [ * ]       [ * ]     [ * ]

Meetings:                          [ * ]       [ * ]     [ * ]
CVT    national,   regional    &
district;    product   Launches;
initial training.

Payroll Taxes                      [ * ]       [ * ]     [ * ]

Pharmacoeconomic  Analysis   and   [ * ]       [ * ]     [ * ]
Communication

Product Public Relations           [ * ]       [ * ]     [ * ]

Promotional Agency Fees            [ * ]       [ * ]     [ * ]

Promotional literature and sales   [ * ]       [ * ]     [ * ]
aids, including distribution

Recruiting  (database screening,   [ * ]       [ * ]     [ * ]
ad placement); re-recruiting

Salaries  and variable incentive   [ * ]       [ * ]     [ * ]
compensation (bonus)

Sales data                         [ * ]       [ * ]     [ * ]

Samples                            [ * ]       [ * ]     [ * ]

Sample Packaging                   [ * ]       [ * ]     [ * ]

Supplemental    Post    Approval   [ * ]       [ * ]     [ * ]
Marketing Activities

Territory alignment, mapping and   [ * ]       [ * ]     [ * ]
optimization

Trade    shows   and   organized   [ * ]       [ * ]     [ * ]
customer events

Training-production of  training   [ * ]       [ * ]     [ * ]
materials

Training-cost  of  delivery  and   [ * ]       [ * ]     [ * ]
facilities

Travel  Expenses (air,  hotel  &
meals) for Sales Force             [ * ]       [ * ]     [ * ]

*Interviewing                      [ * ]       [ * ]     [ * ]

*Training                          [ * ]       [ * ]     [ * ]

*Field Manager, National Sales     [ * ]       [ * ]     [ * ]
Manager, Representatives

<PAGE>

                            Exhibit D

                  Sales Levels For Section 14.4



Sales Year 2            [ * ]

Sales Year 3            [ * ]

Sales Year 4            [ * ]


<PAGE>

                            Exhibit E

                      Mutual Press Release

<PAGE>



                        PRESS RELEASE


FOR IMMEDIATE RELEASE


                                    Contact:  Dan Spiegelman
                                     Chief Financial Officer
                                                650/812-9509
                                                          or
                                            Christopher Chai
                              Director of Strategic Planning
                                      and Investor Relations
                                                650/812-9560

     CV THERAPEUTICS ANNOUNCES AGREEMENT WITH INNOVEX TO
                  COMMERCIALIZE RANOLAZINE

PALO ALTO, CA (May 11, 1999) - CV Therapeutics, Inc.
(Nasdaq: CVTX) today announced the signing of an innovative
commercialization agreement with Innovex, a leading
commercial solutions provider for the global pharmaceutical
industry, for the U.S. marketing and sales of CVT's
ranolazine.  Ranolazine is currently in Phase III clinical
trials for the potential treatment of chronic stable angina,
a disease that affects approximately 7 million people in the
United States.

The agreement calls for Innovex to conduct pre-launch
activities, hire and train a dedicated cardiology sales
force to launch and promote ranolazine, and provide post-
launch marketing and sales services.  Innovex has agreed to
provide services for at least three years after launch and
to provide services in years four and five after launch if
certain minimum sales levels are met.

In the first year after launch, Innovex will provide a sales
force and fund marketing activities and will be paid on a
standard fee-for-service basis.  Based on the minimum sales
force and marketing spend specified in the agreement, the
first year fee would be at least $19 million.  In year two,
the agreement specifies that Innovex will provide a sales
force of a certain minimum size.  Per the agreement, total
compensation for these first two years will not exceed, and
in most cases is expected to be roughly equal to, 33% of
total revenues during that period.

The size of the sales force and the marketing spend in year
three or any subsequent year will be tied to the performance
of the product.  Total compensation to Innovex for years
three through five will not exceed, and is expected to be
roughly equal to, 25% to 30% of total revenues during that
period, and deferred compensation in years six and seven
after launch will not exceed 7% and 4% respectively.

                           -more-

<PAGE>

The agreement also calls for Innovex's parent company,
Quintiles Transnational Corp. (Nasdaq: QTRN), to make a $5
million investment in common stock of CVT and, upon the
FDA's acceptance of the ranolazine New Drug Application
filed by CVT, make available up to a $10 million secured
credit facility to CVT for funding of pre-launch activities
to be performed by Innovex under a traditional fee-for-
service agreement, or in some limited cases to be performed
by vendors approved by Innovex.  This credit facility is
convertible into CVT stock at the election of Quintiles
under certain circumstances.  Quintiles will also make a
milestone payment of $10 million payable at product launch
which can be offset by the outstanding loan.

The agreement represents an innovative commercialization
model designed to maximize commercial successes of both
parties while preserving resources for discovery and
development efforts.  The agreement provides CVT access to
Innovex's high-quality, full-service marketing and sales
operation and strategic consulting services.  As such, this
agreement allows CVT to maintain its focus and dedicate
internal resources to the development of its product
portfolio.  The minimum amount of services Innovex is
expected to provide over the full five-year period after
launch, if ranolazine is approved and meets the minimum
sales levels specified in the agreement, would otherwise
cost CVT about $110 million under a traditional fee-for-
service basis.  CVT has final decision-making control on all
strategic issues regarding ranolazine throughout the term of
the agreement, and has the option after five years to
convert the Innovex sales force to a CVT sales force.

 "This agreement allows CVT to retain product control while
avoiding most of the significant burden of acquiring a
dedicated sales force," said Louis G. Lange, M.D., Ph.D.,
Chairman and Chief Executive Officer of CV Therapeutics.
"By paying for these services under a fee agreement based on
a percentage of revenues, CVT retains product control while
mitigating both the risks of acquiring a dedicated sales
force and of financing it.  And with access to the unique
market research derived for the non-patient-identified
pharmacy and medical transactions data of Quintiles' ENVOY
subsidiary, we believe Innovex is in a unique position to
market ranolazine effectively."

David Stack, President and General Manager of Innovex Inc.,
said: "We're extremely pleased about the opportunity to
launch ranolazine, potentially the first new class of anti-
anginals in over 20 years.  This innovative service
agreement is a response to our customers' current needs and
requests and demonstrates again Innovex's commitment to
providing overall commercialization solutions to the
pharmaceutical industry.  The fee structure gives us
potential for much greater return on our investment if sales
meet the minimum sales levels specified in the agreement.
We have the opportunity to exceed twice our normal margins.
The agreement also allows for Innovex to change the size of
the sales force if sales are lower or higher than the
minimum sales levels specified in the agreement."

As the leader in providing contract sales and marketing
solutions to the healthcare industry, Innovex has built over
30 sales teams ranging in size from five to 500.  With more
than 7,500 employees worldwide and sales forces in 19
countries, Innovex has worked with virtually all of the
major pharmaceutical companies in almost every

                           -more-

<PAGE>

therapeutic area.  Innovex, through Quintiles' propriety
QUINTERNETTM technology platform, also has developed one of
the first Web-based sales force automation systems offering
territory planning, alignment, sample accountability and
call reporting capabilities.

CV Therapeutics, Inc., headquartered in Palo Alto,
California, is a biopharmaceutical company focused on the
application of molecular cardiology to the discovery,
development and commercialization of novel, small molecule
drugs for the treatment of cardiovascular diseases.  CV
Therapeutics is a development stage company.  Ranolazine has
not been approved for marketing by the Food and Drug
Administration or other foreign agencies.  Ranolazine is
presently being investigated in Phase III clinical trials
subject to a United States IND and applicable foreign
authority submissions.  CV Therapeutics has not yet
submitted an NDA to the FDA or equivalent application to any
other foreign regulatory authorities for ranolazine and
ranolazine has not yet been determined to be safe or
effective in humans for its intended use.  In addition to
historical information, this press release contains forward-
looking statements that involve risks and uncertainties,
including, but not limited to, uncertainties related to CV
Therapeutics' early stage of development and clinical trials
and dependence on collaborative and licensing arrangements,
which may cause actual results to differ materially.  These
factors are more fully discussed in CV Therapeutics' Annual
Report on Form 10K for the year ended December 31, 1998.
For more information, please visit CV Therapeutics' web-site
at www.cvt.com.

Innovex, a service group of Quintiles Transnational Corp.,
is the worldwide leader in providing pharmaceutical and
biotechnology companies integrated solutions to enhance the
commercial success of their products.  Quintiles is the
market leader in providing a full range of integrated
product development and commercialization solutions to the
pharmaceutical, biotechnology and medical device industries.
Quintiles also is a leader in the electronic data
interchange and healthcare informatics industry and provides
healthcare policy consulting to governments and other
organizations worldwide.

Headquartered near Research Triangle Park, North Carolina,
Quintiles is a Fortune 1000 company and a member of the
Nasdaq-100 Index.  With more than 16,000 employees worldwide
and offices in 31 countries, Quintiles operates through
specialized work groups dedicated to meeting customers'
individual needs.  For more information, please visit the
Quintiles Transnational web site at www.quintiles.com.

Information in this press release contains "forward-looking
statements."  These statements involve risks and
uncertainties that could cause actual results to differ
materially, including without limitation, actual operating
performance, the ability to maintain large client contracts
or to enter into new contracts.  Additional factors that
could cause actual results to differ materially, including
the affect of recent acquisitions, are discussed in
Quintiles Transnational Corp.'s recent filings with the
Securities and Exchange Commission, including but not
limited to its S-3 and S-4 Registration Statements, its
Annual Report on Form 10-K, its Form 8-Ks, and its other
periodic reports, including Form 10-Qs.

                            -end-
<PAGE>

                           Schedule I

                    Innovex Responsibilities

1.    Innovex  will  provide the following Innovex  Personnel  to
comprise the Sales Force:

     (a)  Territory Representatives (as defined in Schedule III,
          Section 1);

     (b)  Field Managers (as defined in Schedule III, Section 2);

     (c)  National Sales Manager (as defined in Schedule III, Section
          3); and

     (d)  Project Administrator.

2.   Innovex   will  be  responsible  for  recruitment  and   re-
     recruitment of the Innovex Personnel, in accordance with the
     Innovex 10 step hiring process.  CVT will not be involved in the
     interviewing, selection or hiring of Innovex Personnel.

3.   Innovex will only hire qualified Innovex Personnel, defined
     as meeting a hiring profile to be established by the JCC.

4.   Innovex will manage all employer obligations in connection
     with the employment of Innovex Personnel, including, but not
     limited to, discipline and termination of employees.  Innovex
     shall provide administrative resources for Field Managers, and
     communication between Innovex and the Innovex Personnel.  CVT
     will not be involved in the management or supervision of Innovex
     Personnel.

5.   Training: Innovex shall be responsible for training the
     Sales Force regarding the Promotional Materials, disease and
     therapeutic areas, Product knowledge, Product marketing strategy
     and regional management in the Territory, Product recalls,
     reporting complaints and adverse events.  The training will be
     conducted in a manner so as to meet or exceed the minimum
     training standards agreed to by the Parties and in accordance
     with all laws, rules, regulations and policies, including but not
     limited to the AMA Guidelines on Gifts to Physicians.

6.   Innovex shall be responsible for equipping the Sales Force
     with computer hardware and software needed to carry out the
     promotion of the Product.  All Innovex Personnel assigned to the
     Sales Force will receive a laptop computer and printer with
     interface cable.  Innovex shall bear the cost of the hardware and
     software, including appropriate licenses and training,
     configuration, and replication/data line access.  Innovex shall
     bear the costs of upgrades to hardware or software as it deems
     necessary for successful promotion of the Product.  In addition,
     Innovex shall establish and bear the costs of help desk support
     for the hardware and software it provides.

7.   Innovex will provide the Sales Force the Innovex Territory
     Management System ("ITMS") or other comparable sales force
     automation system and email/voice mail systems which will include
     components for call reporting, expense reporting, physician
     prescribing, Sample tracking, call history, sales and market-
     share reporting, customized

<PAGE>

     reports and communications.  These
     systems shall be of similar quality and effectiveness to that
     which Innovex provides to its other clients.  Innovex will make
     reasonable efforts to enable a reasonable number of CVT personnel
     to have access to and be able to link into the ITMS and
     email/voicemail systems used by the Sales Force.

8.   Innovex shall be responsible for equipping the Field
     Managers with facsimile machines as needed to carry out the
     promotion of the Product.

9.   All promotional and detailing activities and obligations
     undertaken by Innovex Personnel and the Sales Force hereunder
     shall be performed in accordance with the Marketing Plan. No
     Innovex Personnel shall create Promotional Materials or other
     written materials relating to the Product without first
     submitting those materials to CVT for and obtaining CVT's written
     approval prior to use.  Innovex Personnel and the Sales Force
     shall make no statements, claims or undertakings to any person
     with whom they discuss or promote the Product that are
     inconsistent with the Promotional Materials.  Promotional
     activities shall be in compliance with all applicable laws,
     rules, and regulations and policies.  The Innovex Personnel and
     the Sales Force shall not offer, pay, solicit or receive any
     remuneration to or from physicians or prescribers or health
     facilities, in order to induce referrals of or purchase of the
     Product.  The Innovex Personnel and the Sales Force shall have no
     direct contact with, nor shall the Innovex Personnel and the
     Sales Force be involved with the delivery of the Product to
     patients of physicians, other than delivery of Samples directly
     to physicians or practitioners authorized to prescribe the
     Product in the Territory.  Innovex shall permit CVT to accompany
     Territory Representatives on sales calls from time to time with
     reasonable advance notice.

10.  Innovex shall provide monthly project management reports to
     CVT in Innovex's standard form within fifteen (15) business days
     after the end of each month.

11.  Innovex shall be responsible for the Product Launch meeting,
     POA meetings and national, regional or district meetings.

12.  Innovex shall distribute the Samples provided by CVT through
     a combination of the Sales Force and by mail, as directed in the
     Marketing Plan and in accordance with recordkeeping and other
     requirements of the PDMA.

13.  Innovex shall be responsible for establishment of Sales
     Force targets and level of activity against these targets.
     Targeting should take into account the Minimum Sales Force
     Commitment and the Marketing Plan.

14.  Innovex shall have developed for it, in accordance with the
     Minimum Sales Force Commitment and the Marketing Plan and provide
     to the Sales Force, customer listings and territory mapping,
     alignment and optimization.

15.  Innovex shall provide the Sales Force with CVT business
     cards.

<PAGE>

                           Schedule II
               CVT Responsibilities & Obligations
                        CVT Sales Project

1.   CVT  shall ensure that the CVT sales, marketing and  medical
     personnel are fully briefed as to the complementary role of the
     Innovex  Personnel and ensure cooperation with  the  Innovex
     Personnel.

2.   CVT shall be responsible for:

          "    Communications within CVT and from CVT to Innovex.
          "    Handling all aspects of order processing and fulfillment,
               invoicing and collection, Product supply, inventory and
               receivables.


<PAGE>


                          Schedule III

                        Role Definitions

1.   Territory Representative

     RESPONSIBILITIES AND DUTIES:

     "    Generates sales within an assigned territorial boundaries.
     "    Maintains current and prospective customer profiles and
          information.
     "    Keeps current with Product, competitor products, and market
          knowledge.
     "    Maintains a professional image for CVT and the Product at
          all times.
     "    Organizes territory-planning to meet sales and call goals.
     "    Provides sales presentations: individual one-on-one, groups,
          in-services.
     "    Maintains Sample inventories, distributes Samples, complies
          with Sample accountability procedures and policies.
     "    Participates in all training programs.
     "    Completes and submits in a timely manner all accountability
          and expense reports.  Monitors that Product is appropriately
          stocked by local distribution centers, hospitals and pharmacies.
     "    Monitors that Product is on hospital formularies.
     "    Attends trade shows as directed by National Sales Manager.

     SKILLS:

     "    Initiative
     "    Persuasiveness/Sales ability
     "    Planning and Organizing
     "    Individual Leadership/Influencing
     "    Teamwork/Collaboration
     "    Motivational Fit

2.   Field Manager

     "    Attains sales objectives within assigned districts.
     "    Deploys resources to maximize district sales potential.
     "    Implements CVT Product strategies within district.
     "    Maintains District budgets and accurate records on all sales
          activities.
     "    Makes regular field visits to develop, train, supervise,
          motivate and monitor Territory Representative performance;
          completes field contact reports.
     "    Makes final hiring decision; training and evaluation of
          Territory Representatives.
     "    Documents and recommends all disciplinary actions to include
          warnings, suspensions, probation, terminations.
     "    Communicates with CVT management on a regular basis.
     "    Submits a formal monthly report to Innovex National Sales
          Manager.
     "    Assists in the planning and delivery of initial training
          course.
     "    Assists in the planning and delivery of POA or trimester
          meetings.

<PAGE>

     "    Monitors that Product is on managed care formularies that
          are within the Field Manager's district.

3.   National Sales Manager

     "    Hires, trains develops and evaluates Field Managers.
     "    Develops, supervises, motivates and monitors performance of
          Field Managers.
     "    Maintains project budgets.
     "    Monitors days worked and directs Field Managers accordingly.
     "    Prepares and submits monthly summary report to Innovex and
          CVT management Serves as key point of contact for CVT.
     "    Approves all Sales Force disciplinary actions.
     "    Develops   initial  training  program  for  Territory
          Representatives and Field Managers.
     "    Coordinates POA or trimester meetings; plans and conducts
          meetings with CVT and its region management.
     "    Coordinates  submissions  for  national  managed  care
          formularies.
     "    Directs  coordination of Field Manager  and  Territory
          Representatives to attend trade shows as appropriate.


<PAGE>











                  SALES AND MARKETING AGREEMENT


                              among

                     CV THERAPEUTICS, INC.,

                          INNOVEX INC.,

                               and

                  QUINTILES TRANSNATIONAL CORP.




<PAGE>

                     Table Of Contents
                                                               Page

ARTICLE 1   SERVICES OVERVIEW; INNOVEX EXCLUSIVITY              1
     1.1  Definitions                                           1
     1.2  Overview; CVT Engagement of Innovex                   1
     1.3  Innovex Exclusive Rights                              1
     1.4  Retained Rights by CVT                                2
     1.5  Additional Indications                                2
ARTICLE 2   COMMITTEES                                          2
     2.1  Joint Steering Committee ("JSC")                      2
     2.2  Joint Commercialization Committee ("JCC")             3
     2.3  Agendas and Minutes for the JSC and JCC               4
     2.4  Innovex Attendance at JCC as a Billable Expense       4
     2.5  No Authority to Modify Agreement                      4
ARTICLE 3   MARKETING PLAN; DETERMINATION OF FULLY BURDENED
            COST                                                5
     3.1  Marketing Plan                                        5
     3.2  Plan Contents                                         5
     3.3  Determination of Fully Burdened Cost                  5
ARTICLE 4   INNOVEX RESPONSIBILITIES                            6
     4.1  Covenant to Operate under the Agreement; General
          Diligence Requirement                                 6
     4.2  Pre-Approval Responsibilities                         6
     4.3  Post-Approval Responsibilities                        7
     4.4  Fully Dedicated Sales Force                           7
     4.5  Minimum Requirements                                  7
     4.6  Training Requirements                                 8
     4.7  Innovex Responsibilities                              8
     4.8  Records and Reports Regarding Promotional
          Activities                                            8
     4.9  Performance Audits                                    8
     4.10 Other Responsibilities                                8
ARTICLE 5   CVT'S RESPONSIBILITIES AND OBLIGATIONS              8
     5.1  Regulatory Affairs                                    8

<PAGE>

     5.2  Pre-Approval Marketing Activities                     9
     5.3  Obligation to Provide Samples                         9
     5.4  Sales and Distribution                               10
     5.5  CVT Responsibilities                                 10
ARTICLE 6   TRAINING; ADVERTISING AND PROMOTIONAL MATERIALS    10
     6.1  Training Programs                                    10
     6.2  Advertising and Promotional Materials                10
ARTICLE 7   REGULATORY ISSUES AND COMPLAINTS                   11
     7.1  Ownership of Regulatory Filings and Compliance       11
     7.2  Communication with the FDA and Other Regulatory
          Agencies                                             11
     7.3  New Developments Relating to the Product             12
     7.4  Product Recalls                                      12
     7.5  Adverse Event Reporting Procedures                   12
     7.6  Product Inquiries; Complaints                        12
     7.7  Database of Clinical Trial Data                      12
ARTICLE 8   EQUITY & LOAN ARRANGEMENTS; MILESTONE PAYMENT      12
     8.1  Equity Stake                                         13
     8.2  Pre-Approval Line of Credit                          13
     8.3  First Year Sales Loan                                13
     8.4  Milestone Payment                                    13
ARTICLE 9   COMPENSATION                                       13
     9.1  Sales and Marketing Fee                              13
     9.2  Penalty for Shortfall of Innovex Effort              14
     9.3  Start-Up Sales Force Costs                           15
     9.4  Reports of Sales, Fully Burdened Cost, Sales and
          Marketing Fee                                        15
     9.5  Post-Term Royalty                                    16
     9.6  Payments                                             16
     9.7  Non-Monetary Consideration                           17
ARTICLE 10  ACCOUNTING; INVOICING AND PAYMENT                  17
     10.1 Accounting                                           17

<PAGE>

     10.2 Invoicing Procedure; Additional Services; Standard
          Terms Not Part of this Agreement                     17
     10.3 Obligation to Pay for Innovex Pre-Approval
          Marketing Activities                                 17
     10.4 Payment of Invoices                                  17
     10.5 Penalty for Late Payment                             18
     10.6 Record-Keeping and Financial Audits                  18
ARTICLE 11  REPRESENTATIONS AND COVENANTS                      19
     11.1 Mutual Authority                                     19
     11.2 Conformance with Laws                                19
     11.3 Rights in Product                                    20
     11.4 Record Maintenance                                   20
     11.5 Firewall                                             20
     11.6 No Use of Names or Trademarks                        20
     11.7 Year 2000 Compliance                                 20
     11.8 NDA Filing                                           21
ARTICLE 12  CONFIDENTIALITY                                    21
     12.1 Confidential Information                             21
     12.2 Ownership of Data; No License                        22
     12.3 Survival                                             22
ARTICLE 13  INDEMNIFICATION                                    22
     13.1 Indemnification by CVT                               22
     13.2 Indemnification by Innovex                           22
     13.3 Procedure                                            23
     13.4 No Consequential Damages                             23
     13.5 CVT Responsibility for Product Description           23
     13.6 Insurance                                            23
ARTICLE 14  TERM AND TERMINATION                               24
     14.1 Term                                                 24
     14.2 Material Breach                                      24
     14.3 NDA Filing; No Product Approval                      24

<PAGE>

     14.4 Failure to Achieve Certain Net Sales                 24
     14.5 Permitted CVT Co-Promotion Agreement                 25
     14.6 Loss of Product Rights by CVT                        25
     14.7 Bankruptcy                                           25
     14.8 Accrued Rights                                       25
     14.9 Right to Receive Data                                26
     14.10Survival                                             26
ARTICLE 15  SALES FORCE CONVERSION                             26
     15.1 Right to Convert Sales Force                         26
     15.2 Transition Plan                                      26
     15.3 CVT Determination                                    26
     15.4 Compensation                                         26
     15.5 Proprietary Information                              27
ARTICLE 16  DISPUTE RESOLUTION                                 27
     16.1 Disputes                                             27
     16.2 Governing Law                                        27
ARTICLE 17  MISCELLANEOUS                                      27
     17.1 Condition Subsequent                                 27
     17.2 Return of Materials                                  28
     17.3 Nonsolicitation of Employees                         28
     17.4 Publicity                                            28
     17.5 Business Days                                        28
     17.6 Entire Agreement; Amendment                          28
     17.7 Force Majeure                                        28
     17.8 Notices                                              29
     17.9 Consents Not Unreasonably Withheld or Delayed        29
     17.10Maintenance of Records                               30
     17.11United States Dollars                                30
     17.12No Strict Construction                               30
     17.13Assignment                                           30

<PAGE>

     17.14Performance by Affiliates                            30
     17.15Counterparts                                         30
     17.16Further Actions                                      30
     17.17Severability                                         30
     17.18Ambiguities                                          31
     17.19Headings                                             31
     17.20No Waiver                                            31

EXHIBIT A
     DEFINITIONS                                              A-1

EXHIBIT B
     MARKETING PLAN OUTLINE                                   B-1

EXHIBIT C
     COST ALLOCATION FOR POST-APPROVAL MARKETING ACTIVITIES   C-1

EXHIBIT D
     SALES LEVELS FOR SECTION 14.4                            D-1

EXHIBIT E
     MUTUAL PRESS RELEASE                                     E-1

SCHEDULE I
     INNOVEX RESPONSIBILITIES                                SI-1

SCHEDULE H
     CVT RESPONSIBILITIES & OBLIGATIONS, CVT SALES PROJECT  SII-1

SCHEDULE III
     ROLE DEFINITIONS                                      SIII-1

<PAGE>

An extra section break has been inserted above this paragraph. Do
not  delete this section break if you plan to add text after  the
Table  of  Contents/Authorities.  Deleting this break will  cause
Table  of  Contents/Authorities headers and footers to appear  on
any pages following the Table of Contents/Authorities.



[ * ] = Certain confidential information contained in this
document, marked by brackets, has been omitted and filed
separately  with the Securities and Exchange Commission pursuant
to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.



<PAGE>

Certain confidential information contained in this document,
marked by brackets, has been omitted and filed separately with
the Securities and Exchange Commission pursuant to Rule 24b-2 of
the Securities Exchange Act of 1934, as amended.

                                                    Exhibit 10.67

                        LOAN AGREEMENT

     This  Loan Agreement is dated and entered into as of May  5,
1999 (the "Effective Date") by and between CV Therapeutics, Inc.,
a  Delaware corporation ("Borrower"), and Quintiles Transnational
Corp., a North Carolina corporation ("Lender").

     Whereas,   Borrower   and  Innovex  Inc.,   a   wholly-owned
subsidiary  of  Lender ("Innovex"), are parties to  a  Sales  and
Marketing Services Agreement (the "Services Agreement"), dated as
of the same date hereof; and

     Whereas,  in connection with the Services Agreement,  Lender
is  willing  to  extend  certain credit facilities  to  Borrower,
subject to and upon the terms and conditions of this Agreement;

     Now,  Therefore,  for good and valuable  consideration,  the
receipt and sufficiency of which are hereby acknowledged  by  the
parties, the parties hereby agree as follows:

                            ARTICLE I
                           DEFINITIONS

     1.01 Definitions.  Capitalized terms used but not defined in the
text  of this Agreement shall have the meanings ascribed to  them
on   Exhibit  A  attached  hereto  and  incorporated  herein   by
reference.

                           ARTICLE II
                    AMOUNT AND TERMS OF LOAN

     2.01 Advances.

          (a)  Subject to and upon the terms and conditions herein set
forth,  including  without  limitation  Section  2.01(c)  hereof,
Lender agrees, at any time and from time to time from NDA Filing,
or  such earlier date as mutually agreed upon by the parties,  to
and including the earlier to occur of (i) Product Launch, or (ii)
[*]  (or in the case of this clause (ii), such later date as  may
be  established  in connection with a Revised Launch  Date  under
Section 14.3 of the Services Agreement), to make advances  ("Pre-
Approval Advances") to Borrower at such times and in such amounts
as  Borrower shall request pursuant to this Agreement, up  to  an
aggregate  principal amount of Ten Million Dollars  ($10,000,000)
(the  "Pre-Approval  Commitment").  If at any  time  or  for  any
reason,  the aggregate outstanding principal amount of  the  Pre-
Approval  Advances  is greater than the Pre-Approval  Commitment,
Borrower  shall immediately pay to Lender in cash the  amount  of
such  excess.   The  availability of the Pre-Approval  Commitment
shall not be on a revolving basis and, accordingly, once the Pre-
Approval  Advances or any portion thereof have been borrowed  and
repaid by Borrower, such amounts may not be reborrowed.

<PAGE>

          (b)  Subject to and upon the terms and conditions herein set
forth, Lender agrees that it shall make up to four advances (each
a "First Year Sales Advance") to Borrower at such times and in
such amounts as Borrower shall request pursuant to this
Agreement, during the period beginning on the last day of the
first Sales Quarter (as defined in the Services Agreement) to and
including the date one hundred eighty (180) days following the
last day of the fourth Sales Quarter (the "First Year
Availability End Date").  The maximum amount of each First Year
Sales Advance shall be determined as of the end of each Sales
Quarter during the First Sales Year (as defined in the Services
Agreement), and shall be an amount equal to (i) the Sales and
Marketing Fee (as defined in the Services Agreement) for such
Sales Quarter, minus (ii) 33% of the Net Sales of the Product (as
defined in the Services Agreement) during such Sales Quarter.
(The total amount of First Year Sales Advances allowed under this
section is referred to as the "First Year Sales Commitment"; the
Pre-Approval Commitment and the First Year Sales Commitment are
sometimes collectively referred to herein as the "Commitments"
and individually as a "Commitment").  If at any time or for any
reason, the aggregate outstanding principal amount of the First
Year Sales Advances is greater than the First Year Sales
Commitment, Borrower shall immediately pay to Lender in cash the
amount of such excess.  The availability of the First Year Sales
Commitment shall not be on a revolving basis and, accordingly,
once the First Year Sales Advances or any portion thereof have
been borrowed and repaid by Borrower, they may not be reborrowed.
(Pre-Approval Advances and First Year Sales Advances are
sometimes collectively referred to herein as the "Advances" and
individually as an "Advance.")

          (c)  Upon the termination of the Services Agreement, the Pre-
Approval Commitment and the First Year Sales Commitment shall
terminate and Lender shall have no further obligation to make Pre-
Approval Advances or First Year Sales Advances.  Upon the
delivery by Borrower to Lender of a Pre-Approval Termination
Notice (as defined in the Security Agreement), the Pre-Approval
Commitment (but not the First Year Sales Commitment) shall
terminate and Lender shall have no further obligation to make Pre-
Approval Advances.

          (d)  Each Advance shall be a principal amount of a loan,
evidenced by the respective Note referenced below.

     2.02 Use of Proceeds.

          (a)  The Pre-Approval Advances shall be used solely (i) to pay
invoices  covering Pre-Approval Marketing Activities and/or  Pre-
Approval   Marketing  Expenses  (as  defined  in   the   Services
Agreement),  which  are  delivered by  Innovex  to  Borrower  and
payable  after  NDA  Filing (ii) to pay  invoices  covering  Pre-
Approval   Marketing  Activities  and/or  Pre-Approval  Marketing
Expenses, which are delivered by Third Parties (as defined in the
Services Agreement) and payable after NDA Filing, as described in
Section 5.2.1 of the Services Agreement; provided, however,  that
the  aggregate amount of Advances used for the purpose  described
in  this  subsection (ii) shall not exceed the maximum  aggregate
amount  payable to Third Parties pursuant to the  terms  of  such
Section   5.2.1,  and  (iii)  for  working  capital  and  general
corporate purposes; provided, however, that the aggregate  amount
of  Advances  used for the purpose described in  this  subsection
(iii) shall not exceed the aggregate amount of invoices for  Pre-
Approval   Marketing  Activities  and/or  Pre-Approval  Marketing
Expenses  paid  by  Borrower prior to NDA Filing;  and  provided,
further,  that  Advances used for the purpose

<PAGE>

described in this subsection (iii) shall not be available at any time
that any amounts due and payable by Borrower to Lender are  outstanding.
(Pre-Approval  Advances  used for the purpose  described  in  the
preceding subsections (ii) and (iii) are sometimes referred to as
"Cash Advances.")

          (b)  The proceeds from the First Year Sales Advances shall be
used solely to pay Sales and Marketing Fees due to Innovex from
Borrower with respect to the first Sales Year.

     2.03 Notices of Advances; Disbursement of Funds.

          (a)  Whenever Borrower desires to obtain an Advance, Borrower
shall  give  to Lender and, in the case of Advances described  in
Sections  2.02(a)(i) and (b), Innovex, a written  notice  of  the
requested  Advance,  signed by an officer  of  Borrower  (each  a
"Notice  of  Advance"),  and received no  later  than  3:00  p.m.
Eastern  Time  three (3) Business Days before the  day  on  which
Borrower  desires the Advance to be made.  The Notice of  Advance
shall  specify: (i) a description of the invoice or fee  referred
to  in  Section  2.02  being paid; (ii) the  aggregate  principal
amount  of  the  Advance  to be made; (iii)  the  date  on  which
Borrower  desires the Advance to be made, which date shall  be  a
Business  Day; (iv) the type of Advance to be made;  (v)  in  the
case  of a Cash Advance, an account of Borrower to which the Cash
Advance  shall  be  directed and wire transfer instructions;  and
(vi)  that  Borrower represents and warrants that the  conditions
precedent set forth in Section 3.02 have been satisfied.  In  any
event,  the  giving of each Notice of Advance shall constitute  a
representation  and  warranty  by Borrower  to  Lender  that  the
conditions  precedent  set  forth  in  Section  3.02  have   been
satisfied.

          (b)  Whenever Borrower desires to obtain a Cash Advance, Lender
shall make available to Borrower, at an account of Borrower
specified to Lender by an officer of Borrower, no later than 2:00
p.m.  Eastern Time on the date specified in the Notice of Advance
for such Cash Advance, the aggregate amount of such requested
Cash Advance.  Each Notice of Advance requesting a Cash Advance
shall be irrevocable when sent by Borrower.

     2.04 Advances Made.  On the date specified in each Notice of
Advance  for Pre-Approval Advances (other than for Cash Advances)
and First Year Sales Advances, an Advance shall be made under the
applicable Note (as defined below) and the applicable invoice for
Pre-Approval  Marketing Activities and/or Pre-Approval  Marketing
Expenses, or the applicable Sales and Marketing Fee, as the  case
may  be,  shall be paid in the amount of the Advance (all without
the  necessity of the actual transfer of funds between Lender and
Borrower).   For  each Notice of Advance for  Cash  Advances,  an
Advance  shall  be made under the Pre-Approval Note  (as  defined
below)  at  the  time  the amount of the  Cash  Advance  is  made
available to Borrower in accordance with Section 2.03(b).

     2.05 Notes.  Borrower's obligation to pay the principal of, and
interest on, the Advances made by Lender shall be evidenced by
the following:

          (a)  For any and all Pre-Approval Advances made by Lender
pursuant  to this Loan Agreement, a single promissory  note  (the
"Pre-Approval Note") duly executed and delivered by  Borrower  in
the form of Exhibit B attached hereto.

<PAGE>

          (b)  For any and all First Year Sales Advances made by Lender
pursuant to this Loan Agreement, a single promissory note (the
"First Year Sales Note") duly executed and delivered by Borrower
in the form of Exhibit C attached hereto (the Pre-Approval Note
and the First Year Sales Note are sometimes collectively referred
to herein as the "Notes" and individually as a "Note").

          (c)  All Advances made by Lender to Borrower, and all payments in
respect thereof, shall be recorded by Lender and shall be
endorsed on the grid attached to the appropriate Note.  Failure
to make any such notation shall not affect Borrower's obligations
in respect of such Advances.

     2.06 Interest and Repayment; Late Payment.

          (a)  Borrower shall pay the aggregate outstanding principal
balance  of,  and  all  accrued  interest  on,  all  Pre-Approval
Advances on or before the Pre-Approval Maturity Date.

          (b)  With respect to each First Year Sales Advance, Borrower
shall pay the entire outstanding principal balance of, and all
accrued interest on, each First Year Sales Advance on the date
which is twenty-four (24) months after the date on which such
First Year Sales Advance was made.

          (c)  Notwithstanding subsections (a) and (b) above, the aggregate
outstanding principal balance of, and all accrued interest on,
all Advances shall become immediately due and payable to Lender
upon the termination of the Services Agreement by Lender pursuant
to Section 14.2 of the Services Agreement.

          (d)  Interest on the outstanding principal amount of each Advance
shall accrue and be payable at a rate per annum equal to [*]
percent ([*]%) above the Prime Rate in effect from time to time.
Interest shall be calculated on the basis of a 360-day year for
the actual number of days elapsed.  Interest shall be compounded
quarterly.

          (e)  Any outstanding principal of an Advance or accrued interest
amounts thereon that are not paid when due shall accrue interest
on a daily basis at the lesser of (i) [*] percent ([*]%) above
the Prime Rate in effect from time to time, or (ii) the maximum
rate permitted by law on any amount overdue, such accrual
beginning on the date payment is due and continuing until the
date payment is made in full.

          (f)  All payments of principal and interest shall be made to
Lender in lawful money of the United States of America in
immediately available funds.

     2.07 Conversion.

          (a)  At any time or from time to time after the occurrence and
during  the  continuance of an Event of Default, or four  hundred
fifty  (450) days after NDA Filing, Lender shall have the  option
to  convert,  in  whole  or  in part, the  outstanding  principal
balance  of  and  all accrued interest on the Pre-Approval  Note,
into  shares  of  common stock of Borrower  ("Common  Stock")  in
accordance with the provisions of this Agreement.  At any time or
from  time  to time,

<PAGE>

Lender shall have the option to convert,  in
whole  or in part, the outstanding principal balance of  and  all
accrued  interest on the First Year Sales Note,  into  shares  of
Common Stock in accordance with the provisions of this Agreement.
Notwithstanding the foregoing, in the event that Lender exercises
its  conversion rights under this Section 2.07 to convert in part
outstanding  principal and interest amounts under the  Notes  and
such  conversion  results in Lender owning in  excess  of  twenty
percent  (20%)  of  the outstanding Common Stock,  then  promptly
following  written notice thereof to Lender by  Borrower,  Lender
will exercise its conversion rights with respect to any remaining
principal and interest under the Notes.  The number of shares  of
Common Stock into which the Notes may be converted shall be equal
to  (i)  the  total amount of outstanding principal  balance  and
accrued interest being converted, divided by (ii) the Fair Market
Value  as  of  the Conversion Effective Date (as defined  below);
provided,  however, that if Lender converts any  portion  of  the
Notes  after the occurrence of an Event of Default under  Section
7.01  (a)  or  7.01(d) hereof and after a notice referred  to  in
Section  7.02,  then the number of shares of  Common  Stock  into
which  the Notes may be converted shall be equal to (i) the total
amount  of  outstanding principal balance  and  accrued  interest
being converted, divided by (ii) the Default Conversion Price  as
of the Conversion Effective Date.  (Shares issued upon conversion
of  the Notes are sometimes referred to herein as the "Conversion
Shares.")  Promptly following Lender's written request,  Borrower
will   inform  Lender  in  writing  of  the  percentage  of   the
outstanding  Common  Stock owned by Lender.  Notwithstanding  the
foregoing,  Lender may not convert any or all of the  outstanding
principal  balance of and accrued interest on  the  Notes  within
twenty  (20)  days of any sale of Common Stock by Lender  or  its
Affiliates,  provided that this twenty (20)  day  waiting  period
shall  not  apply  to  the  conversion of  the  Notes  after  the
occurrence  and  during the continuance of an  Event  of  Default
under  Section 7.01(a) or 7.01(d) hereof or an Event  of  Default
under Section 7.01(g) or 7.01(h).

          (b)  Lender must give written notice to Borrower of its intent to
convert the Notes into Conversion Shares.  Such notice must state
(i) the amount of the outstanding principal and interest under
the Notes to be converted, (ii) the name or names in which the
certificate(s) for the Conversion Shares are to be issued, and
(iii) the date upon which such conversion shall be effective,
which shall be at least five (5) days after the date on which
such notice is given (the "Conversion Effective Date"); provided,
however, that if Borrower irrevocably pays and satisfies prior to
the Conversion Effective Date the amount of the outstanding
principal and interest to be converted pursuant to the notice,
then Lender's right to convert such principal and interest into
Common Stock shall terminate.  Notwithstanding anything to the
contrary in Section 2.07(a) above, if such notice of conversion
is given after the occurrence and during the continuance of an
Event of Default, such notice shall remain valid and such
conversion shall remain effective if thereafter such Event of
Default is not continuing.  Promptly upon delivery of such
notice, Borrower shall inform Lender of the aggregate percentage
of Borrower's capital stock Lender will hold after such
conversion.

          (c)  Upon the Conversion Effective Date, the outstanding
principal and interest under the Notes shall be deemed paid in
the amount of the portion of the Notes converted by Lender.
After the Conversion Effective Date, Borrower shall, as soon as
is practicable, issue and deliver to Lender at its principal
office a certificate or certificates for the number of Conversion
Shares to which Lender is entitled upon such conversion.

<PAGE>

          (d)  Borrower shall at all times reserve and keep available out
of its authorized but unissued shares of Common Stock solely for
the purpose of effecting the conversion of the Notes such number
of its shares of Common Stock as shall from time to time be
sufficient to effect the conversion of the Notes; and if at any
time the number of authorized but unissued shares of Common Stock
shall not be sufficient to effect the conversion of the entire
outstanding principal balance of and accrued interest on the
Notes, in addition to such other remedies as shall be available
to Lender, Borrower shall use its best efforts to take such
corporate action as may, in the opinion of counsel, be necessary
to increase its authorized but unissued shares of Common Stock to
such number of shares as shall be sufficient for such purposes.

          (e)  Upon conversion of the Notes pursuant to this section, the
Conversion Shares shall be included in the definition of "Shares"
for all purposes of the Stock Purchase Agreement dated as of the
same date hereof, as amended, modified or supplemented from time
to time, between Lender and Borrower.

          (f)  Any conversion of Notes pursuant to this Section 2.07 shall
be subject to compliance with the Hart-Scott-Rodino Antitrust
Improvements Act of 1976 (the "HSR Act"), together with any other
requirements for governmental consents.  If any filing under the
HSR Act is required in order to consummate such conversion, each
of Borrower and Lender shall cooperate and work diligently to
make such filing and obtain the termination or expiration of the
waiting period promptly.  In the event of a delay in the
conversion of the Notes by reason of the need to obtain
governmental consents, the number of Conversion Shares to be
issued shall be the same as if the conversion had occurred on the
originally specified Conversion Effective Date (i.e., without any
change by reason of the delay in conversion or any subsequent
change in the market value of the Conversion Shares).

                           ARTICLE III
                      CONDITIONS PRECEDENT

     3.01 Initial Conditions Precedent. The obligation of Lender to
perform  its obligations under this Agreement is subject  to  the
conditions precedent that Lender shall have received each of  the
following executed documents on the date of this Agreement:

          (a)  The Pre-Approval Note, in the form of Exhibit B attached
hereto;

          (b)  The First Year Sales Note, in the form of Exhibit C attached
hereto;

          (c)  A Security Agreement, dated as of the date of this Agreement
between Lender and Borrower (the "Security Agreement"), granting
Lender a first priority, perfected security interest in the
Collateral (as defined in the Security Agreement), as well as
financing statements and other instruments duly filed in each
jurisdiction that Lender deems necessary to establish and perfect
a first priority, perfected security interest created by the
Security Agreement in such Collateral;

          (d)  Copies of resolutions of the Board of Directors of Borrower
approving this Agreement, the Notes, the Security Agreement and
any other documents required or necessary to consummate the
transactions contemplated in this Loan Agreement (collectively,
the "Loan

<PAGE>

Documents") and the Services Agreement, in each case
certified by an appropriate officer of Borrower;

          (e)  A certificate of the appropriate officers of Borrower
certifying (i) the names and true signatures of the officers of
Borrower authorized to sign the Loan Documents and the Services
Agreement, (ii) that the representations and warranties contained
in Article IV of this Agreement are true and correct as of the
date hereof, and (iii) that no event has occurred and is
continuing, which constitutes an Event of Default (as defined in
Section 7.01 hereof) or would constitute an Event of Default but
for the requirement that notice be given or time elapse or both;

          (f)  A copy of the Ranolazine License Agreement, and all
amendments thereto, certified as true and correct by an
appropriate officer of Borrower.

          (g)  A legal opinion of Cooley Godward LLP, counsel for Borrower,
regarding the Loan Documents and the transactions contemplated
thereby; and

          (h)  Consents required to effectuate the transactions
contemplated by this Agreement from all necessary parties (if
any), including without limitation Hambrecht & Quist and Biogen,
Inc. or their respective affiliates, and the licensor under the
Ranolazine License Agreement.

     3.02 Conditions Precedent to All Advances.  The obligation of
Lender  to  make  each Advance shall be subject  to  the  further
conditions precedent that on the date of such Advance:

          (a)  The representations and warranties contained in Article IV
of  this Agreement are true and correct on and as of the date  of
such Advance, before and after giving effect to such Advance  and
to  the application of the proceeds therefrom, as though made  on
and as of such date; and

          (b)  No event has occurred and is continuing, or would result
from such Advance or from the application of the proceeds
therefrom, which constitutes an Event of Default, or would
constitute an Event of Default but for the requirement that
notice be given or time elapse or both or that obligations of
Borrower under the Loan Documents be outstanding as required in
Section 7.01.

                           ARTICLE IV
                 REPRESENTATIONS AND WARRANTIES
                           OF BORROWER

     Borrower represents and warrants to Lender as follows:

     4.01  Corporate  Status.  Borrower  is  a  corporation  duly
incorporated,  validly existing and in good  standing  under  the
laws  of  the State of Delaware, and has all requisite  corporate
power and authority to own and use its properties and assets  and
to transact the business in which it is currently engaged.

<PAGE>

     4.02 Corporate Power and Authority.  The execution and delivery
by Borrower of the Loan Documents, the performance of the terms
and obligations therein, and the issuance, sale and delivery of
the Common Stock issuable upon conversion of the Notes are each
within Borrower's corporate powers and have been duly authorized
by all necessary corporate action on the part of Borrower.  The
Loan Documents, when executed and delivered hereunder, will
constitute valid and legally binding obligations of Borrower
enforceable against Borrower in accordance with their terms,
subject to (i) applicable bankruptcy, insolvency, reorganization,
moratorium or similar laws affecting creditors' rights generally,
and (ii) the effect of general principles of equity, regardless
of whether considered in a proceeding in equity or at law.

     4.03 Government Approvals.  No authorization, consent, approval
or other action by, and no notice to or filing with, any
governmental authority or regulatory body, or any other party, is
required for the due execution, delivery and performance by
Borrower of the Loan Documents or Services Agreement, where the
failure to obtain any such authorization, consent, approval or
other action or the failure to so notify or file, would have a
material adverse effect on Borrower.

     4.04 No Violation.  Neither the execution or delivery by Borrower
of the Loan Documents and the Services Agreement, nor the
performance of their respective terms and obligations, will (i)
violate Borrower's charter or bylaws, (ii) constitute a breach or
default under any agreement or instrument to which Borrower is a
party or by which Borrower is bound, which breach or default
would have a material adverse effect on Borrower, (iii) violate
any applicable law, rule or regulation, which violation would
have a material adverse effect on Borrower, or (iv) violate any
order, writ, injunction, decree or judgment of any court or
governmental authority applicable to or binding on the Borrower,
which violation would have a material adverse effect on Borrower.

     4.05 Financial Statements; Budget and Projections.
          (a)  All financial statements contained in the SEC Documents (as
defined  in  Section 4.07) filed by Borrower with the  Securities
and Exchange Commission (the "Commission"), have been prepared in
accordance with generally accepted accounting principles ("GAAP")
consistently applied throughout the periods indicated, except  as
may  be  expressly stated in the notes thereto  and,  as  to  the
unaudited financial statements, subject to normal recurring year-
end  audit  adjustments and the absence of notes  thereto.   Each
balance sheet fairly presents the financial condition of Borrower
and  its  subsidiaries as of the date of such balance sheet,  and
each statement of operations, of stockholders' equity and of cash
flows,   fairly   presents  the  results   of   operations,   the
stockholders'  equity  and the cash flows  of  Borrower  and  its
subsidiaries  for the periods then ended, all in accordance  with
GAAP.

          (b)  Since the date of Borrower's most recent filing of financial
statements with the SEC, there has been no material adverse
change in the business, property, assets, operations or financial
condition of Borrower and its subsidiaries.

          (c)  Borrower has furnished Lender with a summary of Borrower's [
* ] for its fiscal year ending December 31, 1999.  Such [ * ],
taken as a whole, are reasonable.

<PAGE>

     4.06 Litigation.  There is no pending, or to Borrower's knowledge
overtly  threatened,  action, suit, proceeding,  arbitration,  or
investigation    before    any   court,   governmental    agency,
instrumentality or arbitrator, which, if determined adversely  to
Borrower,  could  reasonably be expected to materially  adversely
affect  the  business, property, assets, operations or  financial
condition  of Borrower and its subsidiaries or which purports  to
affect  the  legality,  validity or enforceability  of  the  Loan
Documents.

     4.07 SEC Filings.  Borrower has filed with the Commission on a
timely basis, or received a valid extension of such time of
filing, all forms, reports and documents required to be filed by
it under the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), since November 19, 1996 (such documents
collectively referred to as the "SEC Documents").  As of their
respective dates, the SEC Documents complied in all material
respects with the requirements of the Securities Act of 1933, as
amended (the "Securities Act") and the Exchange Act and the rules
and regulations of the Commission promulgated thereunder, and
none of the SEC Documents, when filed, contained any untrue
statement of a material fact or omitted to state a material fact
required to be stated therein or necessary to make the statements
therein, in light of the circumstances under which they were
made, not misleading.

     4.08 Valid Issuance.  Upon Borrower's issuance of any and all
shares of Common Stock upon conversion of the Notes, such shares
of Common Stock shall be duly authorized, validly issued, fully
paid, non-assessable and free and clear of all liens and
encumbrances.

     4.09 Compliance with Statutes, etc.  Each of Borrower and its
subsidiaries is in compliance with all applicable laws, rules,
regulations and orders of, and all applicable restrictions
imposed by, all governmental bodies, in respect of the conduct of
its business and the ownership of its property, except where the
failure to be in compliance would not have a material adverse
effect on Borrower.

     4.10  Tax  Returns and Payments.  Each of Borrower  and  its
subsidiaries  has  filed all federal, state, local,  foreign  and
other  tax  returns required to be filed by it and has  paid  all
taxes  and  other assessments which have become due  pursuant  to
such  tax returns and all other taxes and assessments which  have
become  due,  except for those contested in good  faith  and  for
which  adequate reserves have been established.  Each of Borrower
and its subsidiaries has made adequate provisions on its books of
account for all taxes, assessments and governmental charges  with
respect to its business, properties and operations for all  prior
fiscal  years and for the current fiscal year to the date hereof.
No  governmental  authority has asserted a lien  or  other  claim
against  Borrower  or  any of its subsidiaries  with  respect  to
unpaid  taxes  which has not been discharged or  resolved,  which
would have a material adverse effect on Borrower.

     4.11 Insurance.  Borrower and each of its subsidiaries maintains
insurance on all of its properties with financially sound and
reputable insurance companies against such risks and in such
amounts as are customarily maintained by companies of comparable
size engaged in a similar business.

     4.12 No Infringement.  To its knowledge, Borrower owns or
possesses rights to use all patents, patent applications,
trademarks, service marks, trade names, copyrights, trade
secrets, licenses and rights with respect to the foregoing which
are required to conduct its business

<PAGE>

without any known infringement of the rights of others. No event has
occurred which, to the knowledge of Borrower, permits, or after notice or
lapse of time or both would permit, the revocation or termination
of any such rights, and, to the knowledge of Borrower, neither
Borrower nor any of its subsidiaries is liable to any person or
entity for infringement under applicable law with respect to such
rights.  As of the Effective Date, Borrower is not pursuing any
action against any third party for the infringement of Borrower's
patents, patent applications, trademarks, service marks, trade
names, copyrights, trade secrets, or licenses relating to its
business.

     4.13 Debt.  As of the Effective Date, no Debt is outstanding or
owed by Borrower except the Debt listed on Schedule 4.13.  Set
forth on Schedule 4.13 is a list of all amounts of outstanding
Debt of Borrower for borrowed money and the maturity dates
thereof.

     4.14 Liens.  As of the Effective Date, no lien, mortgage, pledge
or security interest exists upon or with respect to any of
Borrower's properties or assets, and no Lien (as defined in
Section 6.03) exists on or with respect to any of the Collateral
(as defined in the Security Agreement), except in each case as
listed on Schedule 4.14.

                            ARTICLE V
            REPRESENTATIONS AND WARRANTIES OF LENDER

     Lender  hereby  represents  and  warrants  to  Borrower   as
follows:

     5.01   Corporate  Status.   Lender  is  a  corporation  duly
incorporated,  validly existing and in good  standing  under  the
laws  of  the  State  of North Carolina, and  has  all  requisite
corporate  power and authority to own and use its properties  and
assets  and  to  transact the business in which it  is  currently
engaged.

     5.02 Corporate Power and Authority.  The execution and delivery
by Lender of the Loan Documents, and the performance of the terms
and obligations therein, are each within Lender's corporate
powers, and each has been duly authorized by all necessary
corporate action.  The Loan Documents, when executed and
delivered hereunder, will constitute valid and legally binding
obligations of Lender enforceable against Lender in accordance
with their terms, subject to (i) applicable bankruptcy,
insolvency, reorganization, moratorium or similar laws affecting
creditors' rights generally, and (ii) the effect of general
principles of equity, regardless of whether considered in a
proceeding in equity or at law.

     5.03 Investment.  Lender is acquiring the Notes and the Common
Stock issuable upon conversion of the Notes (collectively, the
"Securities") for investment for Lender's own account, not as a
nominee or agent for investment, and not with a view to, or for
resale in connection with, any distribution or public offering
thereof within the meaning of the Securities Act.

     5.04 Securities Not Registered.  Lender understands that the
Notes are not, and any Common Stock acquired upon conversion of
the Notes at the time of issuance might not be, registered under
the Securities Act on the ground that the sale provided for in
this Agreement and the issuance of Securities hereunder is exempt
from registration under the Securities Act

<PAGE>

pursuant to Section 4(2) thereof, and that Borrower's reliance on such
exemption is predicated on Lender's representations set forth herein.

     5.05 Accredited Investor.  Lender represents that it is an
"accredited investor" within the meaning of Rule 501 of
Regulation D adopted pursuant to the Securities Act.

     5.06 Restricted Securities.  Lender understands that the
Securities 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 Securities or an available exemption from
registration under the Securities Act, the Securities must be
held indefinitely.  Lender is aware that the Securities may not
be sold pursuant to Rule 144 promulgated under the Securities Act
unless all of the conditions of that Rule are met.

     5.07 Legend.  To the extent applicable, each certificate or other
document evidencing any of the shares of Common Stock issued upon
conversion of the Notes shall be endorsed with the legends
substantially in the form set forth below:

     "THE SHARES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED
     UNDER  THE SECURITIES ACT OF 1933, AS AMENDED, AND  MAY
     NOT  BE  SOLD,  TRANSFERRED, 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."

     "THE SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT
     TO  CERTAIN  RESTRICTIONS ON TRANSFER SET FORTH  IN  AN
     AGREEMENT  BETWEEN  THE COMPANY AND THE  HOLDER  HEREOF
     DATED ______________, 1999, A COPY OF WHICH IS ON  FILE
     AT  THE  COMPANY'S PRINCIPAL OFFICES AND  IS  AVAILABLE
     UPON REQUEST."

     5.08 Investment Information.

          (a)  Lender has been furnished with all the information necessary
to  make an informed investment decision.  Lender has been  given
access  to  such information relating to Borrower as  Lender  has
requested.

          (b)  By reason of Lender's business or financial experience,
Lender has the capacity to make the decision referred to in
subsection (a) above.
                           ARTICLE VI
                      COVENANTS OF BORROWER

     So  long  as any or all of the Notes shall remain unpaid  or
Lender shall have any Commitment hereunder, Borrower shall comply
with  the  following covenants (it being

<PAGE>

understood that Sections 6.01,  6.05  and  6.06 shall not be effective
until  the  initial Advance is made):

     6.01 Compliance with Laws, Etc.  Borrower shall comply, and cause
each of its subsidiaries to comply, in all material respects with
all  applicable  laws, rules, regulations and orders,  where  the
failure  to  so  comply would have a material adverse  effect  on
Borrower,  such  compliance to include without limitation  paying
before  the  same  become delinquent all taxes,  assessments  and
governmental charges imposed upon it or upon its property  except
to the extent contested in good faith.

     6.02 Transfers of Assets.  Borrower shall not sell, convey,
transfer, lease, license, assign or otherwise dispose of (whether
in one transaction or in a series of transactions) all or
substantially all of its assets (whether now owned or hereafter
acquired) to any person or entity, or permit any of its
subsidiaries to do so.  Borrower shall not sell, convey,
transfer, lease, license, assign or otherwise dispose of (whether
in one transaction or in a series of transactions) (i) any of the
Pre-Approval Collateral (as defined in the Security Agreement)
until such time as the Pre-Approval Commitment has been
terminated and all obligation of Borrower under the Loan
Documents with respect to Pre-Approval Advances have been
irrevocably paid and satisfied in full and (ii) any of the First
Year Sales Collateral (as defined in the Security Agreement)
until such time as the First Year Sales Commitment has been
terminated and all obligations of Borrower under the Loan
Documents with respect to First Year Sales Advances have been
irrevocably paid and satisfied in full.

     6.03 Liens, Etc.  Borrower shall not create or allow to be
created, or permit any of its subsidiaries to create or allow to
be created, any lien, mortgage, pledge, security interest or
other encumbrance (collectively "Liens"), upon or with respect to
(i) any of the Pre-Approval Collateral (as defined in the
Security Agreement) until such time as the Pre-Approval
Commitment has been terminated and all obligation of Borrower
under the Loan Documents with respect to Pre-Approval Advances
have been irrevocably paid and satisfied in full and (ii) any of
the First Year Sales Collateral (as defined in the Security
Agreement) until such time as the First Year Sales Commitment has
been terminated and all obligations of Borrower under the Loan
Documents with respect to First Year Sales Advances have been
irrevocably paid and satisfied in full.  Notwithstanding the
preceding sentence, Borrower may create Liens upon such
Collateral securing indebtedness which is junior and subordinate
in right of payment to Borrower's obligations to Lender under the
Loan Documents ("Junior Liens") so long as, prior to the creation
of such Junior Liens, Lender has consented in writing to such
Junior Liens (such consent not to be unreasonably withheld) and
Lender and the holder of such Junior Liens have entered into a
subordination agreement in form and substance reasonably
satisfactory to the Lender providing for the subordination of the
indebtedness secured by the Junior Liens to the obligations of
Borrower under the Loan Documents.

     6.04 Debt.  Borrower shall not create or allow to be created or
permit any of its subsidiaries to create or allow to be created,
any Debt which is senior in right of payment to Borrower's
indebtedness pursuant to this Agreement.

<PAGE>

     6.05 Corporate Existence; Business.  Borrower will (i) maintain
and preserve in full force and effect its corporate existence,
and (ii) continue to engage in the business in which it is
engaged on the date hereof.

     6.06 SEC Information.  Borrower will provide to Lender a copy of
any and all forms, reports, or other documents filed with the
Securities and Exchange Commission contemporaneously with
providing such documents to the Securities and Exchange
Commission.
                           ARTICLE VII
                        EVENTS OF DEFAULT

     7.01 Events of Default.  At any time at which any obligations of
the  Borrower  are  outstanding under  the  Loan  Documents  with
respect  to any Advances, the occurrence of each of the following
events  shall  be  considered  an event  of  default  ("Event  of
Default"):

          (a)  Borrower shall fail to pay any principal of, or interest on,
either  of  the Notes when the same becomes due and  payable  and
four  (4) Business Days have elapsed following receipt of  notice
of such non-payment from Lender to Borrower;

          (b)  Any representation or warranty made by Borrower under or in
connection with this Agreement shall prove to have been incorrect
in any respect when made and such incorrect representation or
warranty has a material adverse effect on Borrower or
significantly impairs the prospect that Lender will be repaid in
accordance with the terms of this Agreement and is not cured
within thirty (30) days of receipt of notice by Borrower;

          (c)  Borrower shall fail to perform or observe, in any respect,
any term, covenant or agreement contained in this Agreement
required to be performed or observed by Borrower (other than
under Section 6.02 or 6.03 above) and such failure to perform or
observe any term, covenant or agreement contained in this
Agreement has a material adverse effect on Borrower or
significantly impairs the prospect that Lender will be repaid in
accordance with the terms of this Agreement and is not cured
within thirty (30) days after receipt of notice by Borrower;

          (d)  Borrower shall fail to perform or observe, in any respect,
the provisions of Section 6.02 or 6.03 above except as provided
in Section 8.02; and, in the case of Section 6.03, if such Event
of Default is based on a tax lien, judgment lien or materialman's
lien, such judgment shall continue without discharge or stay for
a period of sixty (60) days;

          (e)  One or more judgments or orders for the payment of money
shall be entered against Borrower or any of its subsidiaries
involving in the aggregate a liability of [*] or more, and each
such judgment or order shall continue without discharge or stay
for a period of sixty (60) days;

          (f)  Borrower or any of its subsidiaries shall (i) commence a
voluntary case under the federal bankruptcy laws (as now or
hereafter in effect), (ii) file a petition seeking to take
advantage of any other laws relating to bankruptcy, insolvency,
reorganization, winding up or composition for adjustment of
debts, (iii) consent to or fail to contest in a timely and

<PAGE>

appropriate manner any petition filed against it in an
involuntary case under such bankruptcy laws or other laws, (iv)
apply for or consent to, or fail to contest in a timely and
appropriate manner, the appointment of, or the taking of
possession by, a receiver, custodian, trustee, or liquidator of
itself or of a substantial part of its property, (v) admit in
writing its inability to pay its debts as they become due, (vi)
make a general assignment for the benefit of creditors, or (vii)
take any corporate action for the purpose of authorizing any of
the foregoing;

          (g)  A case or other proceeding shall be commenced against
Borrower or any of its subsidiaries in any court of competent
jurisdiction seeking (i) relief under the federal bankruptcy laws
(as now or hereafter in effect) or under any other laws relating
to bankruptcy, insolvency, reorganization, winding up or
adjustment of debts, or (ii) the appointment of a trustee,
receiver, custodian, liquidator or the like for Borrower or any
of its subsidiaries or for all or any substantial part of their
respective assets, and such case or proceeding shall continue
without dismissal or stay for a period of sixty (60) consecutive
days, or an order granting the relief requested in such case or
proceeding (including, but not limited to, an order for relief
under such federal bankruptcy laws) shall be entered;

          (h)  A Change of Control shall occur;

          (i)  Any Debt of Borrower or any of its subsidiaries in excess of
[*] shall be declared to be due and payable, or required to be
prepaid (other than by a regularly scheduled required prepayment)
prior to the stated maturity thereof;

          (j)  Borrower shall fail to meet the continued listing criteria
of the Nasdaq National Market or Nasdaq Smallcap Market at any
time and shall not cure such failure within thirty (30) days of
receipt of notice by Borrower of the occurrence thereof; or

          (k)  Borrower shall violate or breach the provisions of Section
14.5 of the Services Agreement.

     7.02  Default.  If any Event of Default shall occur  and  be
continuing,  then Lender (i) may, by notice to Borrower,  declare
its  obligation to make Advances to be terminated, whereupon  the
same  shall  forthwith  terminate, and (ii)  may,  by  notice  to
Borrower,  declare each Note, all interest thereon and all  other
amounts  payable  under this Agreement to be  forthwith  due  and
payable,  whereupon  each Note, all such interest  and  all  such
amounts  shall become and be, forthwith due and payable,  without
presentment, demand, protest or further notice of any  kind,  all
of  which  are  hereby  expressly waived  by  Borrower;  provided
however  that if an Event of Default specified in Section 7.01(f)
and  (g)  shall  occur,  (A) the obligation  of  Lender  to  make
Advances shall automatically be terminated and (B) each Note, all
such interest and all such amounts shall automatically become and
be  due and payable, without presentment, demand, protest or  any
notice  of any kind, all of which are hereby expressly waived  by
Borrower.

                          ARTICLE VIII
                  CERTAIN AGREEMENTS OF LENDER

     8.01 Subordination.  Effective upon the initial Advance, Lender
agrees  that  the indebtedness of Borrower under the  Notes  (the
"Subordinated  Debt") is subordinate in right of

<PAGE>

payment  to  the prior  payment of the indebtedness of Borrower under
the Biogen Loan Agreement up to, but only up to, an aggregate amount of
[*] (the  "Senior  Debt"), except as provided in this  Section  8.01.
Principal  and interest due and payable from Borrower  to  Lender
under  the Subordinated Debt may be paid in accordance  with  the
terms  and  conditions  of this Agreement until  and  unless  the
holder of the Senior Debt: notifies Borrower in writing to  cease
making such payments on the Subordinated Debt as a result of  any
default  or event which has occurred that entitles the holder  of
the  Senior  Debt  to accelerate or declare due and  payable  the
Senior Debt prior to its stated maturity; and declares the Senior
Debt  due and payable.  Borrower shall not resume making payments
to Lender until it receives written notice from the holder of the
Senior Debt stating that such default or event has abated or been
cured  and  that  Borrower may resume making payments;  provided,
however,  that the holder of the Senior Debt shall  provide  such
notice  promptly  upon the abatement or cure, to  its  reasonable
satisfaction, or such default or event.  The holder of the Senior
Debt  shall  send to Lender concurrently any notice it  sends  to
Borrower  to cease making payments, or any notice of  default  or
other  event  that  would cause a deferral of  payments,  on  the
Subordinated  Debt.   In  addition, Lender  shall  enter  into  a
subordination agreement reflecting the foregoing subordination in
form and substance reasonably acceptable to Biogen and Lender.

     8.02 Inventory Financing.  Upon the written request of Borrower,
Lender agrees to negotiate in good faith with Borrower and a
third-party lender, which proposes to provide to Borrower
inventory financing with respect to the Product (the "Financing
Party"), to enter into an intercreditor agreement on terms
reasonably satisfactory to Lender, providing that, effective upon
the repayment of all of Borrower's obligations under the Loan
Documents with respect to Pre-Approval Advances (i) each of
Lender and the Financing Party will have a security interest in
the First Year Sales Collateral, (ii) the Financing Party will
serve as collateral agent for the First Year Sales Collateral for
the benefit of Lender and the Financing Party, and (iii) the
obligations of Borrower to the Financing Party shall be
subordinate to the prior payment in full of all of Borrower's
obligations under the Loan Documents with respect to First Year
Sales Advances.
                           ARTICLE IX
                          MISCELLANEOUS

     9.01 Amendments, Etc.  No amendment or waiver of any provision of
this  Agreement  or the Notes, nor consent to  any  departure  by
Borrower  therefrom, shall in any event be effective  unless  the
same  shall be in writing and signed by Borrower and Lender,  and
then  such  waiver  or  consent shall be effective  only  in  the
specific instance and for the specific purpose for which given.

     9.02 Notices, Etc.  All notices and other communications provided
for hereunder shall be in writing, shall specifically refer to
this Agreement, shall be addressed to the receiving party's
address set forth below or to such other address as a party may
designate by notice hereunder, and shall be deemed to have been
sufficiently given for all purposes if (i) mailed by first class
certified or registered mail, postage prepaid, (ii) sent by
express delivery service, (iii) personally delivered, or (iv)
made by telecopy or facsimile transmission.

     If to Borrower:     CV Therapeutics, Inc.

<PAGE>

                         3172 Porter Drive
                         Palo Alto, CA 94304
                         Attn: Cynthia L. Clark, General Counsel
                         Facsimile:  (650) 858-0388

     with a copy to:     Cooley Godward LLP
                         Five Palo Alto Square
                         3000 El Camino Real
                         Palo Alto, CA 94306-2155
                         Attn: Robert L. Jones
                         Facsimile:  (650) 857-0663

     If to Lender:       Quintiles Transnational Corp.
                         4709 Creekstone Drive
                         Riverbirch Bldg., Suite 200
                         Durham, NC 27703
                         Attn: John S. Russell
                         Facsimile:  (919) 998-2759

     with  a  copy to:   Smith, Anderson, Blount, Dorsett,
                         Mitchell & Jernigan, L.L.P.
                         2500 First Union Capitol Center
                         Raleigh, NC 27601
                         Attn: Gerald F. Roach, Esq.
                         Facsimile:  (919) 821-6800

     If to Innovex:      Innovex, Inc.
                         10 Waterview Boulevard
                         Parsippany, NJ 07054
                         Attn: David Stack, President
                         Facsimile:  (973) 257-4581

     with a copy to:     L. Stephen Garlow
                         General Counsel
                         10 Waterview Boulevard
                         Parsippany, NJ 07054
                         Facsimile:  (973) 257-4581

     9.03 No Waiver; Remedies.  No failure on the part of Lender to
exercise,  and  no  delay in exercising, any right  hereunder  or
under the Notes shall operate as a waiver thereof; nor shall  any
single  or partial exercise of any such right preclude any  other
or  further exercise thereof or the exercise of any other  right.
The remedies herein provided are cumulative and not exclusive  of
any remedies provided by law.

     9.04 Right of Set-off.  Lender is hereby authorized at any time
and from time to time, to the fullest extent permitted by law, to
set off and apply any milestone payment obligation by Lender to
Borrower under the Services Agreement against any and all of the
obligations of Borrower now or hereafter existing under this
Agreement and the Notes, whether or not Lender

<PAGE>

shall have made any demand under this Agreement or the Notes and although
such obligations may be unmatured.  Lender agrees promptly to notify
Borrower after any such set-off and application, provided that
the failure to give such notice shall not affect the validity of
such setoff and application.  The rights of Lender under this
Section 9.04 are in addition to other rights and remedies
(including, without limitation, other rights of set-off) which
Lender may have.

     9.05 Attorneys' Fees.  In the event that any dispute among the
parties to this Agreement should result in litigation, the
prevailing party in such dispute shall be entitled to recover
from the losing party all fees, costs and expenses enforcing any
right of such prevailing party under or with respect to this
Agreement, including without limitation, such reasonable fees and
expenses of attorneys and accountants, which shall include,
without limitation, all fees, costs and expense of appeals.

     9.06 Binding Effect; Assignment.  This Agreement shall be binding
upon and inure to the benefit of Borrower and Lender and their
respective successors and assigns, provided that neither Borrower
nor Lender may assign or transfer any or all of its rights or
obligations under the Loan Documents without the prior written
consent of the other party; provided however, that Lender may at
any time assign or transfer any or all of its rights or
obligations under the Loan Documents to an Affiliate.

     9.07 Governing Law; Consent to Jurisdiction .  This Agreement and
the Notes shall be governed by, and construed in accordance with,
the laws of the State of Delaware, without reference to the
conflicts or choice of law principals thereof.  Borrower and
Lender hereby irrevocably consents to the exclusive personal
jurisdiction of any state or federal courts located in Delaware,
in any action, claim or other proceeding arising out of any
dispute in connection with the Loan Documents, any rights or
obligations hereunder or the performance of such rights and
obligations.  Lender and Borrower agree to waive their respective
rights to a jury trial with respect to any action, claim, or
other proceeding arising out of any dispute in connection with
the Loan Documents or the Services Agreement, any rights or
obligations hereunder or thereunder, or the performance of such
rights and obligations.

     9.08 Severability.  To the extent any provision of this Agreement
is prohibited by or invalid under applicable law, such provision
shall be ineffective to the extent of such prohibition or
invalidity, without invalidating the remainder of such provision
or the remaining provisions of this Agreement.

     9.09 Entire Agreement.  This Agreement and the other Loan
Documents embody the entire agreement and understanding between
the parties hereto and supersede all prior oral or written
agreements and understandings relating to the subject matter
hereof.  No statement, representation, warranty, covenant or
agreement of any kind not expressly set forth in the Loan
Documents shall affect, or be used to interpret, change or
restrict, the express terms and provisions of the Loan Documents.

     9.10 Inconsistent Terms.  If any provision contained in this
Agreement  is  in  conflict  with,  or  inconsistent  with,   any
provision of the Services Agreement, then the provision contained
in this Agreement shall control.

<PAGE>

     9.11 Further Action.  Each party shall, without further
consideration, take such further action and execute and deliver
such further documents as may be reasonably requested by the
other party in order to carry out the provisions and purposes of
this Agreement.

     9.12 Counterparts.  This Agreement may be executed in one or more
counterparts, each of which shall be deemed to be an original and
all of which, when taken together, shall constitute one and the
same instrument.

             REST OF PAGE INTENTIONALLY LEFT BLANK;
                  SIGNATURES ON FOLLOWING PAGE

<PAGE>

                Signature Page to Loan Agreement

     In Witness Whereof, the parties hereto have caused this Loan
Agreement  to be executed by their respective officers  thereunto
duly authorized, as of the date first above written.

                                BORROWER:

                                CV THERAPEUTICS, INC.

                                By:    /s/ Louis Lange
                                Name:  Louis G. Lange
                                Title: Chairman & CEO


                                LENDER:

                                QUINTILES TRANSNATIONAL CORP.

                                By:
                                Name:
                                Title:

<PAGE>

                Signature Page to Loan Agreement

     In Witness Whereof, the parties hereto have caused this Loan
Agreement  to be executed by their respective officers  thereunto
duly authorized, as of the date first above written.

                                BORROWER:

                                CV THERAPEUTICS, INC.

                                By:
                                Name:
                                Title:

                                LENDER:

                                QUINTILES TRANSNATIONAL CORP.

                                By:/s/ James L. Bierman
                                Name:  James L. Bierman
                                Title: Senior Vice President
                                       Corporate Development


<PAGE>

                            EXHIBIT A
                           DEFINITIONS

   "Affiliate" shall have the meaning given such term in Rule
12b-2 of the Exchange Act.

     "Agreement"  or  "Loan  Agreement"  shall  mean  this   Loan
Agreement between Lender and Borrower.

     "Biogen Loan Agreement" shall mean the Loan Agreement  dated
March 7, 1997 between Borrower and Biotech Manufacturing Ltd.,  a
wholly-owned  subsidiary of Biogen, Inc. ("Biogen"),  as  amended
from time to time.

     "Business  Day"  shall mean any day other than  a  Saturday,
Sunday or legal holiday on which banks in New York, New York  are
open for the conduct of their banking business.

     "Change of Control" shall mean the occurrence of any of  the
following  events:  (i)  the  acquisition,  whether  directly  or
indirectly,  by  any  person or entity, including  a  "group"  as
defined  in  Section 13(d)(3) of the Exchange Act, of  more  than
thirty  percent  (30%)  of  the Common Stock  of  Borrower;  (ii)
Borrower  shall  merge  or  consolidate  with  or  into   another
corporation  with  the  effect that  the  persons  who  were  the
shareholders of Borrower immediately prior to the effective  time
of  such merger or consolidation hold less than fifty-one percent
(51%)  of the combined voting power of the outstanding securities
of  the  surviving corporation of such merger or the  corporation
resulting  from  such consolidation ordinarily  (and  apart  from
rights accruing under special circumstances) having the right  to
vote  in  the election of directors; or (iii) at any time  during
any calendar year, fifty percent (50%) or more of the members  of
the  full  Board of Directors of Borrower shall have resigned  or
been removed or replaced.

     "Debt" shall mean (i) indebtedness for borrowed money,  (ii)
obligations  evidenced  by  bonds,  debentures,  notes  or  other
similar  instruments,  (iii)  obligations  to  pay  the  deferred
purchase  price  of  property or services,  (iv)  obligations  as
lessee  under  leases  which shall have been  or  should  be,  in
accordance   with   generally  accepted  accounting   principles,
recorded  as capital leases, and (v) obligations under direct  or
indirect guaranties in respect of, and obligations (contingent or
otherwise)  to  purchase or otherwise acquire,  or  otherwise  to
assure  a  creditor against loss in respect of,  indebtedness  or
obligations  of  others of the kinds referred to in  clauses  (i)
through (iv) above.

     "Default  Conversion Price" shall mean (a) the  Fair  Market
Value of the Common Stock, multiplied by (b) [*].

     "Exchange  Act"  shall mean the Securities Exchange  Act  of
1934, as amended.

     "Fair  Market Value" of the Common Stock on any  date  shall
mean  (a)  if  the  Common Stock is then traded on  a  securities
exchange  or  the  Nasdaq National Market,  the  average  of  the
closing  prices  of the Common Stock on such exchange  or  market
over  the  ten (10) trading days immediately prior to such  date;
(b)  if  the  Common  Stock  is then regularly  traded  over-the-
counter,  the  average  of  the sale prices  or  secondarily  the
closing  bid  of the Common Stock over the ten (10) trading  days
immediately  prior  to such date; or (c) if there  is  no  active
public market for the Common Stock, the fair market value thereof
shall  be  determined as of such date by a

<PAGE>

nationally  recognized investment banking firm chosen in good faith by
Borrower's  board of directors.

     "Knowledge" of the Borrower shall mean the knowledge of  one
or more of Borrower's executive officers.

     "NDA  Filing" shall have the meaning given such term in  the
Services Agreement.

     "Pre-Approval Maturity Date" shall mean the earlier to occur
of (a) [ * ] following Product Launch, or (b) [ * ] following the
date of the NDA Filing (as defined in the Services Agreement).

     "Prime  Rate" shall mean the rate which Bank of  America  at
either  Charlotte,  North Carolina or San  Francisco,  California
announces from time to time as its prime rate, the Prime Rate  to
change when and as such prime rate changes.

     "Product"  shall  have the meaning given such  term  in  the
Services Agreement.

     "Product Launch" shall have the meaning given such  term  in
the Services Agreement.

     "Ranolazine  License  Agreement"  shall  mean  the   License
Agreement  dated  as of March 27, 1996 between  Syntex  (U.S.A.),
Inc.,  as  licensor, and Borrower, as licensee, as  amended  from
time to time.

<PAGE>

                            EXHIBIT B
                        PRE-APPROVAL NOTE

<PAGE>

                         PROMISSORY NOTE

$10,000,000                                      May 5, 1999

     FOR  VALUE  RECEIVED,  CV  THERAPEUTICS,  INC.,  a  Delaware
corporation ("Borrower"), hereby promises to pay to the order  of
QUINTILES  TRANSNATIONAL  CORP.,  a  North  Carolina  corporation
("Lender"),  in lawful money of the United States of  America  in
immediately  available funds, the principal sum  of  Ten  Million
Dollars ($10,000,000) or, if less, the aggregate unpaid principal
amount  of  all  Advances (as defined below) made  by  Lender  to
Borrower  pursuant  to  the Loan Agreement  (as  defined  below),
together  with accrued and unpaid interest thereon, on  the  Pre-
Approval Maturity Date.  The interest shall accrue on the  unpaid
principal  amount of each Advance at the rates and in the  manner
provided  in the Loan Agreement.  Payment of this Note  shall  be
made as provided in the Loan Agreement.  Borrower may prepay this
Note in full or in part at any time without penalty.  Capitalized
terms  used  but  not  defined herein  shall  have  the  meanings
ascribed to them in the Loan Agreement.

     Each  Advance  made by Lender to Borrower, and all  payments
made on account of the principal amount hereof, shall be recorded
by  Lender  and endorsed on the grid attached hereto which  is  a
part  of  this  Note.   Failure to so  record  and  endorse  such
Advances  and  payments,  however, shall  not  affect  Borrower's
obligations in respect of such Advances.

     This  Note is the Pre-Approval Note referenced in  the  Loan
Agreement  between Borrower and Lender dated as of  the  date  of
this  Note  (as same may be amended from time to time, the  "Loan
Agreement"), and is entitled to the benefits thereof.   The  Loan
Agreement,  among other things, (i) provides for  the  making  of
certain  Pre-Approval Advances ("Advances") by Lender to Borrower
from  time  to time, the indebtedness of Borrower resulting  from
each  such  Advance  being a principal amount evidenced  by  this
Note,  (ii)  provides that this Note is secured by, and  Borrower
has  granted a security interest in, certain of its assets as set
forth  in  that certain Security Agreement, dated as of the  same
date  as  this  Note,  and  (iii) provides  that,  under  certain
circumstances  set forth in Section 2.07 of the  Loan  Agreement,
Lender  may convert the outstanding principal balance of and  all
accrued  interest on this Note, in whole or in part, into  shares
of  Common  Stock in accordance with the provisions of  the  Loan
Agreement.

     In  case  an Event of Default shall occur and be continuing,
the  unpaid  principal amount of, and accrued interest  on,  this
Note may be declared to be due and payable in the manner and with
the effect provided in the Loan Agreement.

     Borrower hereby waives presentment, demand, notice,  protest
and  all  other  demands  and  notices  in  connection  with  the
delivery, acceptance, performance and enforcement of this Note.

<PAGE>

               Signature Page to Pre-Approval Note

     This  Note  shall be governed by and construed in accordance
with  the  law  of the State of Delaware without  regard  to  the
conflicts of law rules of such state.

                                BORROWER:

                                CV THERAPEUTICS, INC.

                                By:   /s/ Louis Lange
                                Name: Louis G. Lange
                                Title:Chairman & CEO

<PAGE>

               ADVANCES AND PAYMENTS OF PRINCIPAL

        Date      Amount     Amount of       Unpaid    Notation
                    of       Principal     Principal    Made By
                 Advance      Paid or       Balance
                              Prepaid



<PAGE>

                            EXHIBIT C
                      FIRST YEAR SALES NOTE


<PAGE>

                         PROMISSORY NOTE

                                                 May 5, 1999

     FOR  VALUE  RECEIVED,  CV  THERAPEUTICS,  INC.,  a  Delaware
corporation ("Borrower"), hereby promises to pay to the order  of
QUINTILES  TRANSNATIONAL  CORP.,  a  North  Carolina  corporation
("Lender"),  in lawful money of the United States of  America  in
immediately  available funds, the aggregate principal  amount  of
all  Advances  (as  defined below) made  by  Lender  to  Borrower
pursuant to the Loan Agreement (as defined below) and endorsed on
the  grid attached hereto, which is a part of this Note, together
with  accrued  and unpaid interest thereon.  The  interest  shall
accrue  on  the  unpaid principal amount of each Advance  at  the
rates  and  in  the manner provided in the Loan  Agreement.   The
unpaid principal amount of, and accrued interest on, each Advance
is  due  and  payable to Lender on the date which is twenty  four
(24)  months  after the date on which such Advance was  made,  as
provided in the Loan Agreement.  Borrower may prepay this Note in
full  or  in  part at any time without penalty.  Any  capitalized
terms  used  but  not  defined herein  shall  have  the  meanings
ascribed to them in the Loan Agreement.

     Each  Advance  made by Lender to Borrower, and all  payments
made  on  account  of  the.  principal amount  hereof,  shall  be
recorded by Lender and endorsed on the grid attached hereto which
is  a  part of this Note.  Failure to so record and endorse  such
Advances  and  payments,  however, shall  not  affect  Borrower's
obligations in respect of such Advances.

     This  Note  is the First Year Sales Note referenced  in  the
Loan  Agreement between Borrower and Lender dated as of the  date
of this Note (as same may be amended from time to time, the "Loan
Agreement"), and is entitled to the benefits thereof.   The  Loan
Agreement,  among other things, (i) provides for  the  making  of
certain  First  Year  Sales Advances ("Advances")  by  Lender  to
Borrower   from  time  to  time,  the  indebtedness  of  Borrower
resulting  from  each  such  Advance  being  a  principal  amount
evidenced  by this Note, (ii) provides that this Note is  secured
by,  and Borrower has granted a security interest in, certain  of
its assets as set forth in that certain Security Agreement, dated
as  of the same date as this Note, and (iii) provides that Lender
may, under certain circumstances set forth in Section 2.07 of the
Loan Agreement, convert the outstanding principal balance of  and
all  accrued  interest on this Note, in whole or  in  part,  into
shares  of Common Stock in accordance with the provisions of  the
Loan Agreement.

     In  case  an Event of Default shall occur and be continuing,
the  unpaid  principal amount of, and accrued interest  on,  this
Note may be declared to be due and payable in the manner and with
the effect provided in the Loan Agreement.

     Borrower hereby waives presentment, demand, notice,  protest
and  all  other  demands  and  notices  in  connection  with  the
delivery, acceptance, performance and enforcement of this Note.

<PAGE>

             Signature Page to First Year Sales Note

     This  Note  shall  be  governed  by  and  be  construed   in
accordance with the laws of the State of Delaware without  regard
to the conflicts of law rules of such state.

                                BORROWER:

                                CV THERAPEUTICS, INC.

                                By:     /s/ Louis Lange
                                Name:   Louis G. Lange
                                Ttitle: Chairman & CEO

<PAGE>

               ADVANCES AND PAYMENTS OF PRINCIPAL

        Date      Amount     Amount of       Unpaid    Notation
                    of       Principal     Principal    Made By
                 Advance      Paid or       Balance
                              Prepaid



<PAGE>

Schedule 4.13
Debt of Borrower

Long-term debt consists of the following:

     Biogen  Loan Agreement in the amount of $7,500,000 at  prime
plus 1.0% (8.75% at March 31, 1999) with interest due annually on
March  10th;  first  $3.0  million  of  principal  due  in  equal
installments beginning March 10, 2000 through February 10,  2005;
remaining  $4.5  million  to  be  deducted  from  future  royalty
payments  or  repaid through the issuance of  common  stock.   An
additional $4.5 million to be made available upon achievement  of
certain  development  milestones and this may  be  deducted  from
future  royalty payments or repaid through the issuance of common
stock.

     Future  minimum  lease payments as of  March  31,  1999  for
noncancelable capital lease with Mellon US Leasing, a Division of
Mellon US Leasing Corporation, is as follows:

          1999                             $  83,564
          2000                              $111,419
          2001                              $111,419
          2002                              $162,918

          Total minimum payments            $469,320
          Less amount representing          (70,932)
          interest
          Present value of future           $398,388
          lease payments

     Guarantor  of second mortgage from Imperial Bank for  Andrew
W.  Wolff,  Vice  President Clinical Research and Development  of
Borrower,  and Dianne Budd, his wife, dated October 27,  1997  in
the  original amount of $75,000.  The maturity date of the second
mortgage is October 28, 2002.

<PAGE>

Schedule 4.14
Lien, Mortgage, Pledge, or Security Interest of Borrower

On Borrower's properties or assets:

     Lien Holder:   Ice Machines Incorporated
                    1228 Folsom St.
                    San Francisco

                    Financing Statement on leased Crystal Tips Flaker,
                    Model 404-UAF-161 filed May 21, 1997, pursuant  to
                    equipment lease dated May 13, 1997.

     Lien Holder:   OCE-USA, Inc.
                    5450 N. Cumberland
                    Chicago, IL 60656

                    Financing  Statement on leased  copier,  Oce  3045
                    filed  September 11, 1997 pursuant to Term  Rental
                    Agreement dated June 6, 1997.

On the Collateral:

None.




[ * ] = Certain confidential information contained in this
document, marked by brackets, has been omitted and filed
separately with the Securities and Exchange Commission pursuant
to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.



<PAGE>

Certain confidential information contained in this document,
marked by  brackets, has been omitted and filed separately  with
the Securities and Exchange Commission pursuant to Rule 24b-2 of
the Securities Exchange Act of 1934, as amended.

                                                    Exhibit 10.68

                       SECURITY AGREEMENT

     This Security Agreement is dated and entered into as of  May
5,  1999,  by  and  between  CV Therapeutics,  Inc.,  a  Delaware
corporation  ("Borrower"), and quintiles transnational  corp.,  a
North Carolina corporation ("Lender").

                           WITNESSETH:

     Whereas,  Borrower  and  Lender  are  parties  to   a   Loan
Agreement  (as  amended, modified or supplemented  from  time  to
time,  the  "Loan Agreement") dated as of the same  date  hereof,
pursuant to which, among other things, Borrower is delivering  to
Lender  the Pre-Approval Note and First-Year Sales Note (each  as
defined in the Loan Agreement) (collectively, the "Notes"); and

     Whereas,  it is a condition precedent to the performance  of
Lender  under  the Loan Agreement that Borrower enter  into  this
Security Agreement;

     Now,   Therefore,  in  consideration  of  the  benefits   to
Borrower,  the receipt and legal sufficiency of which are  hereby
acknowledged, Borrower hereby makes the following representations
and  warranties  to Lender and hereby covenants and  agrees  with
Lender as follows:

1.     Definitions.   The  following  terms,  as  used  in   this
Agreement, shall have the following meanings:

     "Borrower NDA Letter" shall mean the letter, in the form  of
Exhibit A attached hereto, delivered by Lender to Escrow Agent on
the  date  of  this Agreement, which is signed by Lender  as  the
"former  owner"  of the NDA and addressed to the FDA,  but  which
otherwise is executed by Lender in blank.

     "Collateral" shall mean the Pre-Approval Collateral and the
First-Year Sales Collateral.

     "Copyrights"  shall  mean  any  U.S.  copyright   to   which
Borrower  now or hereafter has title, as well as any  application
for a U.S. copyright hereafter made by Borrower.

    "Event of Default" shall have the meaning given such term in
the Loan Agreement.

    "Escrow Agent" shall mean Fort Knox Escrow Services, Inc.

     "FDA" shall have the meaning given such term in the
Services Agreement.

<PAGE>

     "First-Year  Sales Collateral" shall mean all of  Borrower's
right, title and interest in, to and under all accounts, accounts
receivable and proceeds in respect of any sales of the Product in
the  Territory,  wherever located, however  arising  or  created,
whether  now existing or hereafter from time to time acquired  or
created,  together with all additions and accessions  thereto  or
replacements thereof, and any proceeds or products thereof.

     "First-Year  Sales Obligations" shall mean all indebtedness,
obligations  and liabilities of Borrower to Lender  under  or  in
connection with the First-Year Sales Note (as defined in the Loan
Agreement)  and  under or in connection with  each  of  the  Loan
Agreement and this Agreement with respect to the First-Year Sales
Note.

     "Lender  NDA Letter" shall mean the letter, in the  form  of
Exhibit B attached hereto, delivered by Borrower to Escrow  Agent
on the date of this Agreement, which is signed by Borrower as the
"former  owner"  of the NDA and addressed to the FDA,  but  which
otherwise is executed by Borrower in blank.

     "License  Agreement" shall mean the License Agreement  dated
as  of March 27, 1996 between Syntex (U.S.A.), Inc., as licensor,
and Borrower, as licensee, as amended from time to time.

     "Licensor"  shall  mean  the  licensor  under  the   License
Agreement.

     "NDA"  shall  mean  the  NDA for the Product  which  is  the
subject  of  the  NDA  Filing as such terms are  defined  in  the
Services Agreement.

     "Obligations"  shall mean the Pre-Approval  Obligations  and
the First-Year Sales Obligations.

     "Pre-Approval  Collateral"  shall  mean  all  of  Borrower's
right,  title  and  interest  in, to  and  under  the  following,
wherever  located,  however  arising  or  created,  whether   now
existing  or  hereafter from time to time  acquired  or  created,
together  with  any and all additions and accessions  thereto  or
replacements thereof, and any proceeds or products thereof:

     (a)   All payments (including royalty payments) and proceeds
received or receivable by Borrower under the License Agreement in
respect  of  its  license rights relating to the Product  in  the
Territory  or pursuant to any license or any sublicense  of  such
license rights relating to the Product granted by Borrower  under
the License Agreement;

     (b)  All payments (including royalty payments) and proceeds
received or receivable by Borrower pursuant to any assignment of
any rights in the Territory relating to the Product under the
License Agreement;

     (c)  All accounts, accounts receivable and proceeds in respect of
any sales of the Product in the Territory;

<PAGE>

     (d)  All regulatory applications and filings of Borrower related
to the Product in the Territory whether issued or pending,
including without limitation the NDA and all supplements,
records, and reports that are required to be maintained under
applicable FDA regulations and all correspondence to and from the
FDA;

     (e)  All clinical data related to the NDA;

     (f)  The proceeds of all claims that have been or may be asserted
by Borrower arising out of the Product in the Territory or
arising out of Borrower's rights relating to the Product in the
Territory under the License Agreement or any license or
sublicense granted by Borrower under the License Agreement or any
assignment of any rights under the License Agreement, each in
respect of Borrower's rights relating to the Product in the
Territory;

     (g)  The proceeds from:  the assignment or license of the
Trademark and all trademark rights and interests with respect
thereto, including all suits or oppositions or cancellation
proceedings in the name of Borrower for past, present, and future
infringements of the Trademark or other trademark rights related
to the Product in the Territory; and the entire goodwill
associated with the business now or hereafter conducted by
Borrower connected with or symbolized by the Trademark;

     (h)  All proceeds from the assignment or license of Copyrights
related to the Product; and

     (i)  All books, records, files, computer information or files and
other materials or documents relating to or arising out of the
foregoing subsections (c), (d) and (e) of this definition;
provided, however, that Borrower may retain a copy of each item
in this subsection (i).

     "Pre-Approval  Obligations"  shall  mean  all  indebtedness,
obligations  and liabilities of Borrower to Lender arising  under
or  in  connection with the Pre-Approval Note (as defined in  the
Loan  Agreement) and under or in connection with each of the Loan
Agreement  and  this Agreement with respect to  the  Pre-Approval
Note.

     "Product"  shall  have the meaning given such  term  in  the
Services Agreement.

     "Regulatory Collateral" shall mean the items referred to  in
clauses  (d) and (e) of the definition of Pre-Approval Collateral
above  and  the items referred to in clause (i) of the definition
of  Pre-Approval Collateral to the extent related to such clauses
(d) and (e).

     "Services  Agreement"  shall mean the  Sales  and  Marketing
Services  Agreement dated as of the same date as  this  Agreement
between Innovex, Inc. and Borrower.

     "Territory"  shall have the meaning given such term  in  the
Services Agreement.

     "Trademark" shall mean the United States trademark  for  the
Product.

<PAGE>

2.   Grant of Security Interests.

     (a)   As  security for the prompt and complete  payment  and
performance  when  due  of  all of the Pre-Approval  Obligations,
Borrower  does  hereby assign, transfer, pledge, and  hypothecate
unto  Lender,  and  does  hereby grant  to  Lender  a  continuing
security interest of first priority in, all of the right,  title,
and  interest  of  Borrower in, to, and  under  the  Pre-Approval
Collateral.

     (b)  As security for the prompt and complete payment and
performance when due of all of the First-Year Sales Obligations,
Borrower does hereby assign, transfer, pledge and hypothecate
unto Lender, and does hereby grant to Lender a continuing
security interest of first priority in, all of the right, title
and interest of Borrower in, to and under the First-Year Sales
Collateral.

3.    Title to Collateral.  Borrower represents and warrants that
it is the owner of the Collateral and has good, valid, marketable
and  insurable  title to the Collateral, free and  clear  of  all
liens,  security  interests, and other  encumbrances  except  for
those in favor of Lender.

4.   Representations and Warranties of Borrower.  Borrower
represents and warrants to Lender as of the date hereof as
follows:

     (a)  The execution and delivery by Borrower of this Agreement and
the  financing statements and security interest filing statements
described  herein  (collectively, the "Security Documents"),  and
the  performance of the terms and obligations therein, are within
Borrower's corporate powers and have been duly authorized by  all
necessary corporate action on the part of Borrower.  The Security
Documents, when executed and delivered hereunder, will constitute
valid  and  legally  binding obligations of Borrower  enforceable
against Borrower in accordance with their terms, subject  to  (i)
applicable bankruptcy, insolvency, reorganization, moratorium  or
similar laws affecting creditors' rights generally, and (ii)  the
effect  of  general principles of equity, regardless  of  whether
considered in a proceeding in equity or at law.

     (b)  No agreements or contracts relating to the Collateral are in
effect that would likely have a material adverse impact on
Borrower's business relating to the Collateral.

     (c)  The License Agreement is a valid and legally binding
agreement, in full force and effect, enforceable in accordance
with its terms.  Borrower is not and, to the knowledge of
Borrower, Licensor is not, in breach of any material term or
obligation of the License Agreement.  No event has occurred which
permits, or after notice or lapse of time or both would permit,
the revocation or termination of any or all of the rights and
obligations of any party under the License Agreement.  To the
knowledge of Borrower, neither Borrower nor Licensor is liable to
any person or entity for infringement of patents or other
proprietary information under applicable law with respect to the
rights relating to the Product granted under the License
Agreement.

<PAGE>

     (d)  Except for the filing of financing statements with the State
of California and Santa Clara County, California, and, only in
the case of any trademark matters, filings with the United States
Patent and Trademark Office and, only in the case of any
copyright matters, filings with the United State Copyright
Office, necessary to perfect the security interests created
hereunder, no authorization, approval, or other action by, and no
notice to or filing with, any governmental authority or
regulatory body is required either for the grant by Borrower of
the security interest hereunder or for the execution, delivery,
or performance of this Agreement by Borrower or for the
perfection of such security interest or the exercise by Lender of
its rights hereunder to the Collateral.  Upon the execution of
this Agreement and the completion of such filings, Lender will
have: a perfected, first priority security interest in the
Collateral, except for the Collateral referred to in subsections
(g) and (h) of the definition of Pre-Approval Collateral (the
"Intellectual Property Collateral"); and a first priority
security interest in the Intellectual Property Collateral.

     (e)  Neither the execution or delivery by Borrower of the
Security Documents, nor the performance of their respective terms
and obligations, will (i) violate Borrower's charter or bylaws,
(ii) constitute a breach or default under any agreement or
instrument to which Borrower is a party or by which Borrower is
bound, which breach or default would have a material adverse
effect on Borrower; (iii) violate any applicable law, rule or
regulation, which violation would have a material adverse effect
on Borrower, or (iv) violate any order, writ, injunction, decree
or judgment of any court or governmental authority applicable to
or binding upon Borrower, which violation would have a material
adverse effect on Borrower.

5.    Transfer and Other Liens.  The provisions of Sections 6.02,
6.03  and  8.02  of  the Loan Agreement are  hereby  incorporated
herein by reference.

6.   Other Financing Statements.  Borrower represents, warrants
and covenants to and with Lender that: there exists no financing
statement (or similar statement or instrument of registration
under the law of any jurisdiction) covering or purporting to
cover any interest of any kind in the Collateral, and Borrower
will not execute or authorize to be filed in any public office
any financing statement (or similar statement or instrument of
registration under the law of any jurisdiction) relating to the
Pre-Approval Collateral or the First Year Sales Collateral, as
applicable, except financing statements (or similar statements or
instruments of registration under the law of any jurisdiction)
filed or to be filed in respect of and covering the security
interests granted to Lender by Borrower and except as permitted
by Sections 6.03 and 8.02 of the Loan Agreement.

7.   Performance Under License Agreement.  Borrower shall perform
all of its obligations under the License Agreement as necessary
to maintain Borrower's rights in such agreement in full force and
effect including without limitation any and all payment
obligations.

8.   Notices Under License Agreement.  Borrower shall provide
written notice to Lender within two (2) business days of
Borrower's receipt of any notice from Licensor (or Borrower's
delivery of any notice to Licensor) of the occurrence of
Borrower's breach or default or an event of default under the
License Agreement.

<PAGE>

9.   Further Assurances.  Borrower, upon request of Lender, will
deliver and execute or cause to be delivered and executed, in
form and content satisfactory to Lender, any financing,
continuation, termination, or security interest filing
statements, security agreement, assignment, or other document as
Lender may reasonably request in order to perfect, preserve,
maintain, or continue the perfection of Lender's security
interest in the Pre-Approval Collateral or the FirstYear Sales
Collateral, as applicable, or its priority, including without
limitation any document necessary to record Lender's security
interest in the items referred to in clause (g) of the definition
of Pre-Approval Collateral in the United States Patent and
Trademark Office.  Borrower will pay the costs of filing any
financing, continuation, termination, or security interest filing
statement, assignment or other document as well as any
recordation or transfer tax required by law to be paid in
connection with the filing or recording thereof.

10.  Power of Attorney.  Borrower hereby appoints Lender as
Borrower's true and lawful attorney, with full power of
substitution, to do any or all of the following, in the name,
place, and stead of Borrower, as the case may be: (a) file this
Agreement (or an abstract hereof) or any other document
describing Lender's interest in the Collateral with any
appropriate governmental office (including, without limitation,
the State of California or any political subdivision thereof and
the United States Patent and Trademark Office or the United
States, Copyright Office); and (b) following an Event of Default,
(i) endorse Borrower's name on all applications, documents,
papers, and instruments necessary for Lender to use or maintain
the Pre-Approval Collateral or the First-Year Sales Collateral,
as applicable; (ii) ask, demand, collect, sue for, recover,
impound, receive, and give acquittance and receipts for money due
or to become due under or in respect of any of the Pre-Approval
Collateral or the First-Year Sales Collateral, as applicable;
(iii) file any claims or take any action or institute any
proceedings that Lender may deem necessary or desirable for the
collection of any of the Pre-Approval Collateral or the First-
Year Sales Collateral, as applicable, or otherwise enforce
Lender's rights with respect to any of the Pre-Approval
Collateral or the First-Year Sales Collateral, as applicable;
(iv) assign, pledge, convey, or otherwise transfer title in or
dispose of the Pre-Approval Collateral or the First-Year Sales
Collateral, as applicable, to any person; and (v) take any action
and execute any instrument that Lender may deem necessary or
advisable to accomplish the purposes of this Agreement.  The
provisions of this Section 10 shall be subject to the provisions
of Sections 15(b) and 16.

11.  Right to Inspect.  Borrower grants to Lender and its
employees and agents the right to visit Borrower's plants,
corporate offices, and facilities to inspect the Pre-Approval
Collateral or the First Year Sales Collateral, as applicable, at
reasonable times during regular business hours with prior written
notice to Borrower.

12.  Name of Borrower, Place(s) of Business, and Location of
Collateral.  Borrower represents and warrants that its correct
legal name is as specified on the signature lines of this
Agreement, and each legal or trade name of Borrower for the
previous seven (7) years (if different from Borrower's current
legal name) is as specified below the signature lines of this
Agreement.  Without the prior written notice to Lender of at
least sixty (60) days, Borrower will not change its name,
dissolve, merge, or consolidate with any other person.  Borrower
warrants that the address of its chief executive office is as
specified below the signature lines of this Agreement.  The Pre-
Approval Collateral and the First Year Sales Collateral, as
applicable, and

<PAGE>

all books and records pertaining thereto will be
located at Borrower's chief executive office specified below.
Borrower may establish a new location for the Pre-Approval
Collateral and the First Year Sales Collateral, as applicable, or
any part thereof, or the books and records concerning the Pre-
Approval Collateral and the First-Year Sales Collateral, as
applicable, or any part thereof, only if (a) it shall have given
to Lender prior written notice of its intention so to do, clearly
describing such new location and providing such other information
in connection therewith as Lender may request, and (b) with
respect to such new location, it shall have taken all action
satisfactory to Lender to maintain the security interest of
Lender in the Pre-Approval Collateral and the First Year Sales
Collateral, as applicable, intended to be granted hereby at all
times fully perfected and in full force and effect.

13.  Taxes.  Borrower shall pay as and when due and payable all
taxes, levies, license fees, assessments, and other impositions
levied on the Pre-Approval Collateral and the First Year Sales
Collateral, as applicable, or any part thereof for its use and
operations.

14.  Litigation and Proceedings.  Borrower shall commence and
diligently prosecute in its own name, as the real party in
interest, for its own benefit, and at its own expense, such
suits, administrative proceedings, or other actions for
infringement or other damages as are necessary to protect the Pre-
Approval Collateral and the First Year Sales Collateral, as
applicable.  Borrower shall provide to Lender any information
with respect thereto reasonably requested by Lender.

15.  Rights and Remedies upon Default.
     (a)  Borrower agrees that, if any Event of Default shall have
occurred and is continuing, then and in every such case,  Lender,
in  addition  to  any  rights  now or  hereafter  existing  under
applicable  law, and upon written notice to Borrower, shall  have
all  rights  as  a secured creditor under the Uniform  Commercial
Code in all relevant jurisdictions and may:

          (i)  personally, or by agents or attorneys, immediately retake
possession  of  the Pre-Approval Collateral and  the  First  Year
Sales Collateral, as applicable, or any part thereof;

          (ii) instruct the obligor or obligors on any agreement,
instrument or other obligation constituting the Pre-Approval
Collateral and the First Year Sales Collateral, as applicable, to
make any payment required by the terms of such instrument or
agreement directly to Lender;

          (iii)sell, assign or otherwise liquidate, or direct Borrower
to sell, assign or otherwise liquidate, any or all of the Pre-
Approval Collateral and the First Year Sales Collateral, as
applicable, or any part thereof, and take possession of the
proceeds of any such sale or liquidation;

          (iv) take possession of the Pre-Approval Collateral and the First
Year Sales Collateral, as applicable, or any part thereof by
directing Borrower in writing to deliver the same to Lender at
any place or places designated by Lender; it being understood
that Borrower's

<PAGE>

obligation so to deliver the Pre-Approval
Collateral and the First Year Sales Collateral, as applicable, is
of the essence of this Agreement and that, accordingly, upon
application to a court of equity having jurisdiction, Lender
shall be entitled to a decree requiring specific performance by
Lender of said obligation;

          (v)  until the Pre-Approval Obligations are paid in full, or
released in accordance with the Loan Agreement, notify licensees
or assignees under the License Agreement in respect of rights
relating to the Product in the Territory, or any license,
sublicense or assignment pursuant thereto, to make payments
thereunder (including royalty payments) directly to Lender; and

          (vi) until the Pre-Approval Obligations are paid in full, or
released in accordance with the Loan Agreement, to transfer the
Regulatory Collateral into Lender's name and otherwise act with
respect thereto as the outright owner thereof, and to complete
and submit the Lender NDA Letter to the FDA.

     (b)  Notwithstanding the foregoing, Lender shall refrain from
exercising  its  rights and remedies under  Sections  15(a)(iii),
(iv)  and  (vi) above and Section 10 above with respect  to  (but
only with respect to) the Regulatory Collateral until the earlier
of the date (the "Reconveyance Date") which is (i) [*] days after
the  date  on which the Event of Default under the Loan Agreement
shall  have occurred, (ii) the date on which an Event of  Default
under  Section 7.01(f) of the Loan Agreement shall have occurred,
or  (iii)  the  date on which an Event of Default  under  Section
7.01(g)  of the Loan Agreement shall have occurred.  If  Borrower
irrevocably pays and satisfies the Pre-Approval Obligations prior
to  the  Reconveyance  Date, then (x)  Lender  will  execute  and
deliver to Borrower a proper instrument in order to duly transfer
to  Borrower such of the Regulatory Collateral as may be  in  the
possession  of  Lender  and (y) Borrower  shall  be  entitled  to
complete and submit the Borrower NDA Letter to the FDA. Prior  to
the  Reconveyance Date, Lender shall not, except as  required  by
applicable  laws  or  regulations,  communicate  with   the   FDA
regarding the Regulatory Collateral, except through Borrower.  If
prior  to  the Reconveyance Date Lender is required by applicable
law  or  regulations to communicate with the  FDA  regarding  the
Regulatory  Collateral, Lender shall promptly notify Borrower  of
the  nature  and  content  thereof and  Lender  shall  reasonably
cooperate  with Borrower, at Borrower's expense,  in  all  proper
respects  in  all regulatory matters relating to  the  Regulatory
Collateral.

     (c)  Borrower shall pay on demand all costs and expenses,
including, without limitation, reasonable attorneys' fees and
expenses, incurred by or on behalf of Lender (a) in enforcing the
Obligations, and (b) in connection with the taking, holding,
preparing for sale or other disposition, selling, managing,
collecting, or otherwise disposing of the Collateral.  All of
such costs and expenses (collectively, the "Liquidation Costs")
together with interest thereon at the interest rate specified in
the Notes, from the date of payment until repaid in full, shall
be paid by Borrower to Lender on demand and shall constitute and
become a part of the Obligations secured hereby.  Any proceeds of
sale or other disposition of the Collateral will be applied by
Lender to the payment of Liquidation Costs, and any balance of
such proceeds will be applied by Lender to the payment of the
remaining Obligations in such order and manner of application as
Lender may determine.  Borrower hereby grants to Lender, as
security for the full and punctual

<PAGE>

payment and performance of the
Obligations, a continuing security interest in and lien on all
now or hereafter existing balances, credits, accounts, deposits,
and all other sums credited by, maintained with, or due from
Lender or any affiliate of Lender to Borrower; and regardless of
the adequacy of any Collateral or other means of obtaining
repayment of the Obligations, Lender may at any time and without
notice to Borrower set off the whole or any portion or portions
of any or all such balances, credits, accounts, deposits, and
other sums against any and all of the Obligations.

16.  Additional Deliveries by the Parties and Related Provisions.

     (a)  On the date of this Agreement, Borrower shall execute and
deliver  to  Escrow Agent the Lender NDA Letter, which  shall  be
used by Lender only as described in Section 15(a).

     (b)  On the date of this Agreement, Lender shall execute and
deliver to Escrow Agent the Borrower NDA Letter, which shall be
used by Borrower only as described in Section 15(b).

     (c)  On the date of this Agreement, Lender shall execute and
deliver to Borrower termination statements on Form UCC-3 executed
by Lender for the purpose of terminating the financing statements
delivered by Borrower to Lender pursuant to the Loan Agreement
with respect to (but only with respect to) the Pre-Approval
Collateral.  Such termination statements shall be used by
Borrower: only if no initial Pre-Approval Advance under the Loan
Agreement has been made or all Pre-Approval Obligations have been
irrevocably paid and satisfied in full; and, if no initial Pre-
Approval Advance has been made, only upon the occurrence of the
date which is ten (10) days after Borrower delivers to Lender a
written notice by Borrower addressed to Lender (a "Pre-Approval
Termination Notice") which expressly states that, as of the date
of such notice: (i) Borrower is obligated and intends to perform
the provisions of Section 5.2 of the Services Agreement, (ii) the
Pre-Approval Commitment of Lender under the Loan Agreement is
terminated, and (iii) Borrower has the financial resources to
fulfill its obligations under Section 5.2 of the Services
Agreement because Borrower has obtained sufficient financing from
a party other than Lender in lieu of utilizing the Pre-Approval
Commitment.  In the event Borrower delivers to Lender a Pre-
Approved Termination Notice, Lender shall return to Borrower the
Lender NDA Letter.

17.   Deficiency.   If  the  sale or  other  disposition  of  the
Collateral  fails  to  satisfy in full the Obligations,  Borrower
shall  remain  liable  to  Lender for any  deficiency;  provided,
however,  that  upon  the  sale  or  other  disposition  of   the
Collateral, the Obligations shall be decreased by an amount equal
to  the  greater of (a) the fair market value of the  Collateral,
whether  or  not Lender actually receives fair market value  upon
the  sale  or  other disposition of the Collateral;  or  (b)  the
amount  that  Lender actually receives upon  the  sale  or  other
disposition of the Collateral.

18.  Remedies Cumulative.  Each right, power, and remedy of
Lender as provided for in this Agreement or now or hereafter
existing at law or in equity or by statute or otherwise shall be
cumulative and concurrent and shall be in addition to every other
right, power, or remedy provided for in this Agreement or now or
hereafter existing at law or in equity or by statute or
otherwise, and the exercise or beginning of the exercise by
Lender of any one or more of such

<PAGE>

rights, powers, or remedies shall not preclude the simultaneous or later
exercise by Lender of any or all such other rights, powers, or remedies.

19.  Pre-Approval Collateral.  Notwithstanding anything to the
contrary contained herein, the provisions of this Security
Agreement shall only apply with respect to the Pre-Approval
Collateral until:  the Pre-Approval Commitment shall terminate
and the Lender shall have no further obligation to make Pre-
Approval Advances under the Loan Agreement; and any Pre-Approval
Advances have been irrevocably paid and satisfied in full.

20.  Amendments, Etc.  No amendment or waiver of any provision of
this Agreement, nor consent to any departure by Borrower
herefrom, shall in any event be effective unless the same shall
be in writing and signed by Borrower and Lender, and then such
waiver or consent shall be effective only in the specific
instance and for the specific purpose for which given.

21.  Notices.  All notices and other communications provided for
hereunder shall be in writing, shall specifically refer to this
Agreement and shall be deemed to have been sufficiently given to
Borrower and Lender for all purposes if mailed by first class
certified or registered mail, postage prepaid, express delivery
service, personally delivered, or telecopied, to the following
names and addresses:

If to Lender:

Quintiles Transnational Corp.
4709 Creekstone Drive
Riverbirch Bldg., Suite 200
Durham, NC 27703
Attention:  John S. Russell
Facsimile:  (919) 998-2759

with a copy to:

Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan, L.L.P.
2500 First Union Capitol Center
Raleigh, NC 27601
Attention:  Gerald F. Roach
Facsimile:  (919) 821-6800

If to Borrower:

CV Therapeutics, Inc.
3172 Porter Drive
Palo Alto, California 94304
Attention:  Cynthia L. Clark, General Counsel
Facsimile:  (650) 858-0388

With a Copy to:

<PAGE>

Cooley Godward LLP
Five Palo Alto Square
3000 El Camino Real
Palo Alto, CA 94306
Attention:  Robert L. Jones
Facsimile:  (650) 857-0663

22.   No  Waiver; Remedies.  No failure on the part of Lender  to
exercise,  and  no  delay in exercising, any right  hereunder  or
under  the Loan Agreement or the Notes shall operate as a  waiver
thereof;  nor shall any single or partial exercise  of  any  such
right  preclude  any  other or further exercise  thereof  or  the
exercise  of  any other right.  The remedies herein provided  are
cumulative and not exclusive of any remedies provided by law.

23.  Binding Effect; Assignment.  This Agreement shall be binding
upon and inure to the benefit of Borrower and Lender and their
respective successors and assigns, provided that neither Borrower
nor Lender may assign or transfer any or all of its rights or
obligations under the Security Documents without the prior
written consent of the other party; provided however, that Lender
may at any time assign or transfer any or all of its rights or
obligations under the Security Documents to an affiliate.

24.  Governing Law; Consent to Jurisdiction.  This Agreement
shall be governed by, and construed in accordance with, the laws
of the State of Delaware, without reference to the conflicts or
choice of law principals thereof.  Borrower and Lender hereby
irrevocably consents to the exclusive personal jurisdiction of
any state or federal courts located in Delaware, in any action,
claim or other proceeding arising out of any dispute in
connection with the Security Documents, any rights or obligations
hereunder or the performance of such rights and obligations.
Lender and Borrower agree to waive their respective rights to a
jury trial with respect to any action, claim, or other proceeding
arising out of any dispute in connection with the Security
Documents, any rights or obligations hereunder or thereunder, or
the performance of such rights and obligations.

25.  Severability.  To the extent any provision of this Agreement
is prohibited by or invalid under applicable law, such provision
shall be ineffective to the extent of such prohibition or
invalidity, without invalidating the remainder of such provision
or the remaining provisions of this Agreement.

26.  Entire Agreement.  This Agreement and the other Security
Documents embody the entire agreement and understanding between
the parties hereto and supersede all prior oral or written
agreements and understandings relating to the subject matter
hereof.  No statement, representation, warranty, covenant or
agreement of any kind not expressly set forth in the Security
Documents shall affect, or be used to interpret, change or
restrict, the express terms and provisions of the Security
Documents.

<PAGE>

27.  Counterparts.  This Agreement may be executed in one or more
counterparts, each of which shall be deemed to be an original and
all of which, when taken together, shall constitute one and the
same instrument.




      [THE REMAINDER OF THE PAGE IS INTENTIONAL LEFT BLANK;
                  SIGNATURES ON FOLLOWING PAGE]


<PAGE>

             [Signature Page to Security Agreement]

     In Witness Whereof, the parties hereto have caused this
Agreement to be duly executed by their respective duly authorized
officers, as of the date first above written.

                              BORROWER:

                              CV Therapeutics, Inc.

                              By:   /s/  L. Lange
                              Name: Louis G. Lange
                              Title:Chairman & CEO


Legal or tradename of Borrower for the previous seven (7) years

CV Therapeutics, Inc. (June 23, 1992 to present)
Cholesterex, Inc. (prior to June 23, 1992)

Address of chief executive office

3172 Porter Drive
Palo Alto, California 94306

                              LENDER:

                              Quintiles Transnational Corp.

                              By:
                              Name:
                              Title:

<PAGE>

             [Signature Page to Security Agreement]

     In Witness Whereof, the parties hereto have caused this
Agreement to be duly executed by their respective duly authorized
officers, as of the date first above written.

                              BORROWER:

                              CV Therapeutics, Inc.

                              By:
                              Name: Louis G. Lange
                              Title:Chairman & CEO


Legal or tradename of Borrower for the previous seven (7) years

CV Therapeutics, Inc. (June 23, 1992 to present)
Cholesterex, Inc. (prior to June 23, 1992)

Address of chief executive office

3172 Porter Drive
Palo Alto, California 94306

                              LENDER:

                              Quintiles Transnational Corp.

                              By:  /s/  James L. Bierman
                              Name:     James L. Bierman
                              Title:    Senior Vice President
                                        Corporate Development

<PAGE>

                         CV Therapeutics


Date:


Food and Drug Administration







          Re:

               Product:  Ranolazine

               NDA No:

Dear Sirs:

In accordance with 21 CFR 314.72, we are informing you that
effective as of the date specified below, ownership of the above-
referenced NDA was transferred to the following new owner:

               Quintiles Transnational Corp.
               4709 Creekstone Drive
               Riverbirch Building, Suite 200
               Durham, North Carolina 27703
               Attention: Legal Department

A letter of acceptance of ownership is being provided to your
office under separate cover by Quintiles Transnational Corp.  All
future correspondence concerning this NDA should be addressed to
Quintiles Transnational Corp.  Thank you.

Sincerely,

  /s/  Louis Lange
Name:
Title:

<PAGE>

QUINTILES Quintiles Transnational Corp.
               Post Office Box 13979
               Research Triangle Park, NC 27709-3979
               919 9412000 / Fax 919 9419113




Date:


Food and Drug Administration







          Re:

               Product:  Ranolazine

               NDA No:

Dear Sirs:

In accordance with 21 CFR 314.72, we are informing you that
effective as of the date specified below, ownership of the above-
referenced NDA was transferred to the following new owner:

               CV Therapeutics, Inc.
               3172 Porter Drive
               Palo Alto, California 94304
               Attention:  General Counsel

A letter of acceptance of ownership is being provided to your
office under separate cover by CV Therapeutics, Inc.  All future
correspondence concerning this NDA should be addressed to CV
Therapeutics, Inc.  Thank you.

Sincerely,

  /s/  James L. Bierman
Name:  James L. Bierman
Title: Senior Vice President,
       Corporate Development


[ * ] = Certain confidential information contained in this
document, marked by  brackets, has been omitted and filed
separately with the Securities and Exchange Commission pursuant
to Rule 24b-2 of the Securities Exchange Act of 1934, as amended.



<PAGE>

                         PROMISSORY NOTE

$10,000,000                                      May 5, 1999

     FOR  VALUE  RECEIVED,  CV  THERAPEUTICS,  INC.,  a  Delaware
corporation ("Borrower"), hereby promises to pay to the order  of
QUINTILES  TRANSNATIONAL  CORP.,  a  North  Carolina  corporation
("Lender"),  in lawful money of the United States of  America  in
immediately  available funds, the principal sum  of  Ten  Million
Dollars ($10,000,000) or, if less, the aggregate unpaid principal
amount  of  all  Advances (as defined below) made  by  Lender  to
Borrower  pursuant  to  the Loan Agreement  (as  defined  below),
together  with accrued and unpaid interest thereon, on  the  Pre-
Approval Maturity Date.  The interest shall accrue on the  unpaid
principal  amount of each Advance at the rates and in the  manner
provided  in the Loan Agreement.  Payment of this Note  shall  be
made as provided in the Loan Agreement.  Borrower may prepay this
Note in full or in part at any time without penalty.  Capitalized
terms  used  but  not  defined herein  shall  have  the  meanings
ascribed to them in the Loan Agreement.

     Each  Advance  made by Lender to Borrower, and all  payments
made on account of the principal amount hereof, shall be recorded
by  Lender  and endorsed on the grid attached hereto which  is  a
part  of  this  Note.   Failure to so  record  and  endorse  such
Advances  and  payments,  however, shall  not  affect  Borrower's
obligations in respect of such Advances.

     This  Note is the Pre-Approval Note referenced in  the  Loan
Agreement  between Borrower and Lender dated as of  the  date  of
this  Note  (as same may be amended from time to time, the  "Loan
Agreement"), and is entitled to the benefits thereof.   The  Loan
Agreement,  among other things, (i) provides for  the  making  of
certain  Pre-Approval Advances ("Advances") by Lender to Borrower
from  time  to time, the indebtedness of Borrower resulting  from
each  such  Advance  being a principal amount evidenced  by  this
Note,  (ii)  provides that this Note is secured by, and  Borrower
has  granted a security interest in, certain of its assets as set
forth  in  that certain Security Agreement, dated as of the  same
date  as  this  Note,  and  (iii) provides  that,  under  certain
circumstances  set forth in Section 2.07 of the  Loan  Agreement,
Lender  may convert the outstanding principal balance of and  all
accrued  interest on this Note, in whole or in part, into  shares
of  Common  Stock in accordance with the provisions of  the  Loan
Agreement.

     In  case  an Event of Default shall occur and be continuing,
the  unpaid  principal amount of, and accrued interest  on,  this
Note may be declared to be due and payable in the manner and with
the effect provided in the Loan Agreement.

     Borrower hereby waives presentment, demand, notice,  protest
and  all  other  demands  and  notices  in  connection  with  the
delivery, acceptance, performance and enforcement of this Note.

<PAGE>

               Signature Page to Pre-Approval Note

     This  Note  shall be governed by and construed in accordance
with  the  law  of the State of Delaware without  regard  to  the
conflicts of law rules of such state.

                                BORROWER:

                                CV THERAPEUTICS, INC.

                                By:   /s/ Louis Lange
                                Name: Louis G. Lange
                                Title:Chairman & CEO

<PAGE>

               ADVANCES AND PAYMENTS OF PRINCIPAL

        Date      Amount     Amount of       Unpaid    Notation
                    of       Principal     Principal    Made By
                 Advance      Paid or       Balance
                              Prepaid





<PAGE>

                         PROMISSORY NOTE

                                                 May 5, 1999

     FOR  VALUE  RECEIVED,  CV  THERAPEUTICS,  INC.,  a  Delaware
corporation ("Borrower"), hereby promises to pay to the order  of
QUINTILES  TRANSNATIONAL  CORP.,  a  North  Carolina  corporation
("Lender"),  in lawful money of the United States of  America  in
immediately  available funds, the aggregate principal  amount  of
all  Advances  (as  defined below) made  by  Lender  to  Borrower
pursuant to the Loan Agreement (as defined below) and endorsed on
the  grid attached hereto, which is a part of this Note, together
with  accrued  and unpaid interest thereon.  The  interest  shall
accrue  on  the  unpaid principal amount of each Advance  at  the
rates  and  in  the manner provided in the Loan  Agreement.   The
unpaid principal amount of, and accrued interest on, each Advance
is  due  and  payable to Lender on the date which is twenty  four
(24)  months  after the date on which such Advance was  made,  as
provided in the Loan Agreement.  Borrower may prepay this Note in
full  or  in  part at any time without penalty.  Any  capitalized
terms  used  but  not  defined herein  shall  have  the  meanings
ascribed to them in the Loan Agreement.

     Each  Advance  made by Lender to Borrower, and all  payments
made  on  account  of  the.  principal amount  hereof,  shall  be
recorded by Lender and endorsed on the grid attached hereto which
is  a  part of this Note.  Failure to so record and endorse  such
Advances  and  payments,  however, shall  not  affect  Borrower's
obligations in respect of such Advances.

     This  Note  is the First Year Sales Note referenced  in  the
Loan  Agreement between Borrower and Lender dated as of the  date
of this Note (as same may be amended from time to time, the "Loan
Agreement"), and is entitled to the benefits thereof.   The  Loan
Agreement,  among other things, (i) provides for  the  making  of
certain  First  Year  Sales Advances ("Advances")  by  Lender  to
Borrower   from  time  to  time,  the  indebtedness  of  Borrower
resulting  from  each  such  Advance  being  a  principal  amount
evidenced  by this Note, (ii) provides that this Note is  secured
by,  and Borrower has granted a security interest in, certain  of
its assets as set forth in that certain Security Agreement, dated
as  of the same date as this Note, and (iii) provides that Lender
may, under certain circumstances set forth in Section 2.07 of the
Loan Agreement, convert the outstanding principal balance of  and
all  accrued  interest on this Note, in whole or  in  part,  into
shares  of Common Stock in accordance with the provisions of  the
Loan Agreement.

     In  case  an Event of Default shall occur and be continuing,
the  unpaid  principal amount of, and accrued interest  on,  this
Note may be declared to be due and payable in the manner and with
the effect provided in the Loan Agreement.

     Borrower hereby waives presentment, demand, notice,  protest
and  all  other  demands  and  notices  in  connection  with  the
delivery, acceptance, performance and enforcement of this Note.

<PAGE>

             Signature Page to First Year Sales Note

     This  Note  shall  be  governed  by  and  be  construed   in
accordance with the laws of the State of Delaware without  regard
to the conflicts of law rules of such state.

                                BORROWER:

                                CV THERAPEUTICS, INC.

                                By:     /s/ Louis Lange
                                Name:   Louis G. Lange
                                Ttitle: Chairman & CEO

<PAGE>

               ADVANCES AND PAYMENTS OF PRINCIPAL

        Date      Amount     Amount of       Unpaid    Notation
                    of       Principal     Principal    Made By
                 Advance      Paid or       Balance
                              Prepaid




<PAGE>

                   AMENDMENT TO LOAN AGREEMENT

     This Amendment To Loan Agreement (this "Amendment") is dated
as  of  April  30,  1999,  and entered into  by  and  between  CV
Therapeutics, Inc. ("Debtor"), a Delaware corporation, located at
3172  Porter  Drive,  Palo  Alto, California  94304  and  Biotech
Manufacturing  Ltd., a wholly-owned subsidiary  of  Biogen,  Inc.
("Secured  Party"), located at St. Paul's Gate, New  Street,  St.
Helier, Jersey JE48Z, Channel Islands.

                            Recitals

     A.    Debtor  and Secured Party are parties to that  certain
Loan Agreement dated as of March 7, 1997, as amended from time to
time  (the "Loan Agreement").  All capitalized terms used  herein
without definition shall have the meaning ascribed to them in the
Loan Agreement.

      B.    Under  the Loan Agreement, Debtor issued a Promissory
Note  dated  March  10, 1997, in favor of Secured  Party  in  the
amount of Twelve Million Dollars ($12,000,000) (the "Note").

     C.    Under  this  Amendment, the parties  desire  to  amend
certain provisions of the Loan Agreement and the Note as provided
below.

                            Agreement

     Now  Therefore, in consideration of the foregoing,  and  the
representations, warranties, and conditions set forth below,  the
parties  hereto, intending to be legally bound, hereby  agree  to
amend the Loan Agreement and Note as follows:

1.   Amendments.

     (a)  Section 2.1(b) of the Loan Agreement is hereby deleted in
its entirety and replaced with the following:

     "On the EFFECTIVE DATE CVT shall execute and deliver to
     BML unsecured note, substantially in the form set forth
     in  Appendix  A attached hereto and made a part  hereof
     (the   "Note"),  evidencing  the  Loan.    CVT   hereby
     covenants  not  to  incur  or maintain  any  additional
     senior  indebtedness while any amount  under  the  Note
     remains unpaid.  The Note shall be subordinated to  all
     debt  of  CVT existing as of March 7, 1999 and  may  be
     prepaid by CVT at any time without penalty, in cash or,
     in  case  of  the Loan Remainder, in CVT Common  Stock,
     registered  for resale, priced at its then Fair  Market
     Value (as defined in Section 2.1(i) below), subject  to
     the  provisions  of subsections (g)  and  (i)  of  this
     Section 2.1."

     (b)  The first sentence of Section 2.1(c) of the Loan Agreement
is   hereby  deleted  in  its  entirety  and  replaced  with  the
following:

<PAGE>

          "The  Note  shall bear interest on the outstanding
          principal amount thereof at a rate per annum equal
          to  Prime (as defined below) plus one and one half
          percent (1.5%)."

     (c)  The following is added to the end of Section 5.1 of the Loan
Agreement:

     "Notwithstanding   the   foregoing,   all   of    CVT's
     representations, warranties and covenants contained  in
     this Agreement shall terminate upon the termination  or
     expiration of this Agreement.  The covenants set  forth
     in   Section   2.1(b)  shall  survive  termination   or
     expiration  of  this Agreement until  all  amounts  due
     under the Note have been repaid in full."

     (d)  The first sentence under the "Interest" section of the Note
shall be deleted and replaced with the following:

          "Interest   shall   accrue  on   the   outstanding
          principal  balance hereunder at a rate  per  annum
          equal to Prime plus 1.5%."


     (e)  Section (j) under the "Event of Default" section of the Note
shall be deleted in its entirety and replaced with the following:

     There   occurs  a  Change  of  Control  with  Borrower.
     "Change of Control" shall mean the occurrence of any of
     the  following  events:  (i) the  acquisition,  whether
     directly  or  indirectly,  by  any  person  or  entity,
     including  a "group" as defined in Section 13(d)(3)  of
     the  Exchange Act, of more than forty percent (40%)  of
     the Common Stock of Borrower; (ii) Borrower shall merge
     or  consolidate  with or into another corporation  with
     the  effect  that the persons who were the shareholders
     of  Borrower immediately prior to the effective time of
     such  merger or consolidation hold less than  fifty-one
     percent  (51%)  of  the combined voting  power  of  the
     outstanding securities of the surviving corporation  of
     such  merger  or  the corporation resulting  from  such
     consolidation   ordinarily  (and  apart   from   rights
     accruing under special circumstances) having the  right
     to  vote in the election of directors; or (iii) at  any
     time  during any calendar year, fifty percent (50%)  or
     more  of the members of the full Board of Directors  of
     Borrower  shall  have  resigned  or  been  removed   or
     replaced.

2.   Miscellaneous.

     (a)  Waivers and Amendments.  Any provision of this Amendment may
be  amended, waived or modified only upon the written consent  of
Debtor and Secured Party.

     (b)  Governing Law.  This Amendment and all actions arising out
of  or in connection with this Amendment shall be governed by and
construed  in accordance with the laws of the State of  Delaware,
without regard to the conflicts of law provisions of the State of
Delaware or of any other state.

<PAGE>

     (c)  Successors and Assigns. The rights and obligations of Debtor
and Secured Party shall be binding upon and benefit the
successors, assigns, heirs, administrators and transferees of the
parties.

     (d)  Entire Agreement.  This Amendment together with the Loan
Agreement, the BML Agreement, the Biogen Agreement, the Stock
Purchase Agreement and the Note, constitute the full and entire
understanding and agreement between the parties with regard to
the subjects hereof and thereof.

     (e)  Severability of this Agreement.  If any provision of this
Amendment shall be judicially determined to be invalid, illegal
or unenforceable, the validity, legality and enforceability of
the remaining provisions shall not in any way be affected or
impaired thereby.

     (f)  Counterparts.  This Amendment may be executed in any number
of  counterparts, each of which shall be an original, but all  of
which together shall be deemed to constitute one instrument.







BIOTECH MANUFACTURING LTD.         CV THERAPEUTICS, INC.

By    /s/ Timothy M. Kish                By    /s/ Louis Lange

Name  Timothy M. Kish                    Name  Louis G. Lange

Title Director                           Title Chairman & CEO


<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
This schedule contains financial information extracted from the Consolidated
Balance Sheet as of June 30, 1999 and the Consolidated Statement of
Operations for the six month period ended June 30, 1999 and is
qualified in its entirety by reference to such financial statements.
</LEGEND>
<MULTIPLIER> 1,000

<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          DEC-31-1999
<PERIOD-START>                             JAN-01-1999
<PERIOD-END>                               JUN-30-1999
<CASH>                                           7,769
<SECURITIES>                                    30,358
<RECEIVABLES>                                        0
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                                39,251
<PP&E>                                           8,245
<DEPRECIATION>                                 (5,229)
<TOTAL-ASSETS>                                  42,798
<CURRENT-LIABILITIES>                            3,926
<BONDS>                                              0
                                0
                                          0
<COMMON>                                       109,410
<OTHER-SE>                                    (79,659)
<TOTAL-LIABILITY-AND-EQUITY>                    42,798
<SALES>                                              0
<TOTAL-REVENUES>                                     0
<CGS>                                                0
<TOTAL-COSTS>                                   11,033
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                 478
<INCOME-PRETAX>                               (10,418)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                           (10,418)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                  (10,418)
<EPS-BASIC>                                   (0.90)
<EPS-DILUTED>                                   (0.90)


</TABLE>


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