CV THERAPEUTICS INC
S-3/A, 2000-10-24
COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH
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<PAGE>

       AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON OCTOBER 24, 2000
                                                     REGISTRATION NO. 333-46404
================================================================================

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                        PRE-EFFECTIVE AMENDMENT NO. 1 TO
                                    FORM S-3

                             REGISTRATION STATEMENT
                                      UNDER
                           THE SECURITIES ACT OF 1933

                              CV THERAPEUTICS, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)

            DELAWARE                                      45-1570294
  (STATE OR OTHER JURISDICTION                         (I.R.S. EMPLOYER
OF INCORPORATION OR ORGANIZATION)                    IDENTIFICATION NUMBER)

                                3172 PORTER DRIVE
                           PALO ALTO, CALIFORNIA 94304
                                 (650) 812-0585
          (ADDRESS, INCLUDING ZIP CODE, AND TELEPHONE NUMBER, INCLUDING
             AREA CODE, OF REGISTRANT'S PRINCIPAL EXECUTIVE OFFICES)

                           LOUIS G. LANGE, M.D., PH.D.
                             CHIEF EXECUTIVE OFFICER
                              CV THERAPEUTICS, INC.
                                3172 PORTER DRIVE
                           PALO ALTO, CALIFORNIA 94304
                                  (650) 812-0585
                (NAME, ADDRESS, INCLUDING ZIP CODE, AND TELEPHONE
                NUMBER, INCLUDING AREA CODE, OF AGENT FOR SERVICE)

                                   COPIES TO:
                             ALAN C. MENDELSON ESQ.
                                LATHAM & WATKINS
                             135 COMMONWEALTH DRIVE
                          MENLO PARK, CALIFORNIA 94025
                                 (650) 463-4693

       APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC:
As soon as practicable after the effective date of this Registration Statement.

     If the only securities being registered on this Form are being offered
pursuant to dividend or interest reinvestment plans, please check the following
box. / /

     If any of the securities being registered on this Form are to be offered on
a delayed or continuous basis pursuant to Rule 415 under the Securities Act of
1933, other than securities offered only in connection with dividend or interest
reinvestment plans, check the following box. /X/

     If this Form is filed to register additional securities for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list the Securities Act registration statement number of the earlier
effective registration statement for the same offering. / /

     If this Form is a post-effective amendment filed pursuant to Rule 462(c)
under the Securities Act, check the following box and list the Securities Act
registration statement number of the earlier effective registration statement
for the same offering. / /

     If delivery of the prospectus is expected to be made pursuant to Rule 434,
please check the following box. / /




     THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER AMENDMENT THAT SPECIFICALLY STATES THAT THIS REGISTRATION
STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(a) OF
THE SECURITIES ACT OF 1933 OR UNTIL THE REGISTRATION STATEMENT SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(a),
MAY DETERMINE.
================================================================================
<PAGE>

                                   PROSPECTUS

                              CV THERAPEUTICS, INC.

                         118,932 SHARES OF COMMON STOCK


         This prospectus relates to the public offering, which is not being
underwritten, of 118,932 shares of our common stock by Biotech Manufacturing
Ltd. ("BML") that we issued to BML as repayment of the $9,000,000 of principal
that we owe BML under our Loan Agreement with BML dated March 7, 1997.


         The prices at which BML may sell the shares will be determined by the
prevailing market price for the shares or in negotiated transactions. We will
not receive any of the proceeds from the sale of the shares.


         CV Therapeutics' common stock is traded on the Nasdaq National Market
under the symbol "CVTX". On October 20, 2000, the last reported sale price for
our common stock on the Nasdaq National Market was $76.50 per share.

         INVESTING IN OUR COMMON STOCK INVOLVES CERTAIN RISKS. SEE "RISK
FACTORS" BEGINNING ON PAGE 5.

         NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES
COMMISSION HAS APPROVED OR DISAPPROVED OF THE SECURITIES OR PASSED UPON THE
ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A
CRIMINAL OFFENSE.


                The date of this prospectus is October 24, 2000.


<PAGE>

                            TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                                         PAGE
<S>                                                                      <C>
Prospectus Summary.........................................................3

The Company................................................................3

The Offering...............................................................4

Risk Factors...............................................................5

Forward-Looking Statements................................................16

Where You Can Get More Information........................................17

Use of Proceeds...........................................................18

Issuance of Common Stock to BML...........................................19

BML.......................................................................20

Plan of Distribution......................................................21

Legal Matters.............................................................23

Experts...................................................................23

Material Changes..........................................................23

</TABLE>




                                       2
<PAGE>

                               PROSPECTUS SUMMARY

         The following summary is qualified in its entirety by reference to the
more detailed information and consolidated financial statements appearing
elsewhere or incorporated by reference in this prospectus.


                                   THE COMPANY

         CV Therapeutics was incorporated in Delaware in December 1990, and in
June 1992 we changed our name to CV Therapeutics, Inc. Our executive offices are
located at 3172 Porter Drive, Palo Alto, California 94304, and our telephone
number is (650) 812-0585.

         CV Therapeutics, Inc. and the CV Therapeutics logo are our service
marks.  All other service marks and all brand names or trademarks appearing in
this prospectus are the property of their respective holders.



                                       3
<PAGE>

                             THE OFFERING

<TABLE>
<S>                                                       <C>

Common stock offered in this prospectus.................  118,932 shares

Common stock outstanding after the offering.............  19,070,646 shares (l)

Use of proceeds.........................................  See "Use of Proceeds."

Nasdaq National Market symbol...........................  CVTX
</TABLE>

------------------

(1)   Based on shares outstanding as of October 6, 2000. Does not include
      2,209,383 shares of common stock issuable upon exercise of outstanding
      options or 44,000 shares of common stock issuable upon exercise of
      outstanding warrants as of October 6, 2000.



                                       4
<PAGE>

                                  RISK FACTORS

          AN INVESTMENT IN THE SECURITIES OFFERED BY THIS PROSPECTUS IS VERY
RISKY. YOU SHOULD CAREFULLY CONSIDER THE FOLLOWING RISK FACTORS IN ADDITION TO
THE INFORMATION IN THE REMAINDER OF THIS PROSPECTUS BEFORE DECIDING TO PURCHASE
THE STOCK.

          THESE RISKS AND UNCERTAINTIES ARE NOT THE ONLY ONES WE FACE. OTHERS
THAT WE DO NOT KNOW ABOUT NOW, OR THAT WE DO NOT NOW THINK ARE IMPORTANT, MAY
IMPAIR OUR BUSINESS OR THE TRADING PRICE OF OUR SECURITIES.

RISKS RELATED TO OUR BUSINESS

OUR PRODUCT CANDIDATES WILL TAKE AT LEAST SEVERAL YEARS TO DEVELOP, AND WE
CANNOT ASSURE YOU THAT WE WILL SUCCESSFULLY DEVELOP, MARKET AND MANUFACTURE
THESE PRODUCTS.

         Since our inception in 1990, we have dedicated substantially all of our
resources to research and development. We do not have any marketed products and
we have not generated any product revenue. Because all of our potential products
are in research, preclinical or clinical development, we will not realize
product revenues for at least several years, if at all.

         We have not applied for or received regulatory approval in the United
States or any foreign jurisdiction for the commercial sale of any of our
products. All of our product candidates are either in clinical trials under an
Investigational New Drug, or IND, or applicable foreign authority submission, or
are in preclinical research and development. We have not submitted an NDA to the
FDA or equivalent application to any other foreign regulatory authorities for
any of our product candidates, and the products have not been determined to be
safe or effective in humans for their intended uses.

         Conducting clinical trials is a lengthy, time-consuming and expensive
process. Before obtaining regulatory approvals for the commercial sale of any
products, we must demonstrate through preclinical testing and clinical trials
that our product candidates are safe and effective for use in humans. We will
incur substantial expense for, and devote a significant amount of time to,
preclinical testing and clinical trials.

         Drug discovery methods based upon molecular cardiology are relatively
new. We cannot be certain that these methods will lead to commercially viable
pharmaceutical products. In addition, some of our compounds within our cardiac
imaging, cell cycle inhibition, cardiac conduction, cardiac metabolism and
Tangier disease drug discovery programs are in the early stages of research and
development, and we have not submitted IND applications or commenced clinical
trials for these new compounds. We cannot be certain when these clinical trials
will commence, if at all. Because these compounds are in the early stages of
product development, we could abandon further development efforts before they
reach clinical trials.

         We cannot be certain that any of our product development efforts will
be successfully completed or that any of our products will be shown to be safe
and effective.


                                       5
<PAGE>

Even if we believe that any product is safe and effective, we may not obtain the
required regulatory approvals. Furthermore, we may not be able to manufacture
our products in commercial quantities or market any products successfully.

IF WE ARE UNABLE TO SATISFY THE REGULATORY REQUIREMENTS FOR OUR CLINICAL TRIALS,
WE WILL NOT BE ABLE TO COMMERCIALIZE OUR DRUG CANDIDATES.

         All of our products may require additional development, preclinical
studies, clinical trials and regulatory approval prior to commercialization. Any
delays in our clinical trials would delay market launch and would increase our
cash requirements.

         We currently have only two products in clinical development: ranolazine
and CVT-510. Many factors could delay completion of our clinical trials,
including:

              -    slower than anticipated patient enrollment

              -    difficulty in obtaining sufficient supplies of clinical trial
                   materials

              -    adverse events occurring during the clinical trials.

         For example, our first Phase III clinical trial of ranolazine, called
Monotherapy Assessment of Ranolazine In Stable Angina or MARISA, had challenging
enrollment criteria. These criteria required patients who suffer from angina to
stop taking all of their other anti-anginal medications and receive only placebo
during segments of the clinical trial. This meant that they received no
medication to treat their angina when they received placebo. Given the
difficulty of identifying patients willing to completely stop taking
anti-anginal medications, enrollment for this trial was slower than anticipated.
We cannot assure you that enrollment for the second Phase III trial for
ranolazine, called Combination Assessment of Ranolazine or CARISA, will not also
be delayed.

         In addition, data obtained from preclinical and clinical activities are
susceptible to different interpretations, which could delay, limit or prevent
regulatory approval. Delays or rejections may be based upon many factors,
including changes in regulatory policy during the period of product development.
For example, the initial clinical trials with ranolazine used a different
formulation of ranolazine than we used in the MARISA trial and than we are using
in the CARISA trial. This means that the NDA will contain data from trials using
two different formulations and is subject to interpretation by the FDA. An
unfavorable interpretation could result in actions by the FDA that would delay
potential approval. We may be unable to maintain our proposed schedules for IND
applications and clinical protocol submissions to the FDA, initiations of
clinical trials and completions of clinical trials as a result of FDA reviews or
complications that may arise in any phase of the clinical trial program.

         Furthermore, even if our clinical trials occur on schedule, the results
may differ from those obtained in preclinical studies and earlier clinical
trials. Clinical trials may not demonstrate sufficient safety and efficacy to
obtain the necessary approvals. For example, in November 1995, based on
unfavorable efficacy data from a Phase II trial, we terminated a prior
development program.


                                       6
<PAGE>

IF WE ARE UNABLE TO SATISFY GOVERNMENTAL REGULATIONS RELATING TO THE DEVELOPMENT
OF OUR DRUG CANDIDATES, WE MAY BE UNABLE TO OBTAIN NECESSARY REGULATORY
APPROVALS TO COMMERCIALIZE OUR PRODUCTS.

         The research, testing, manufacturing and marketing of drug products are
subject to extensive regulation by numerous regulatory authorities in the United
States and other countries. Failure to comply with FDA or other applicable
regulatory requirements may subject a company to administrative or judicially
imposed sanctions. These include:

              -    warning letters

              -    civil penalties

              -    criminal penalties

              -    injunctions

              -    product seizure or detention

              -    product recalls

              -    total or partial suspension of production

              -    FDA refusal to approve pending NDAs or supplements to
                   approved NDAs.

         The process of obtaining FDA and other required regulatory approvals,
including foreign approvals, often takes many years and can vary substantially
based upon the type, complexity and novelty of the products involved.
Furthermore, this approval process is extremely expensive and uncertain. We
cannot guarantee that any of our products under development will be approved for
marketing by the FDA. Even if regulatory approval of a product is granted, we
cannot be certain that we will be able to obtain the labeling claims necessary
or desirable for the promotion of those products.

         Even if we obtain regulatory approval, we may be required to undertake
postmarketing trials. In addition, identification of side effects after a drug
is on the market or the occurrence of manufacturing problems could cause
subsequent withdrawal of approval, reformulation of the drug, additional
preclinical testing or clinical trials, changes in labeling of the product, and
additional marketing applications.

         If we receive regulatory approval, we will also be subject to ongoing
FDA obligations and continued regulatory review. In particular, we or our third
party manufacturers will be required to adhere to regulations setting forth
current good manufacturing practices, known as cGMP. The regulations require
that we manufacture our products and maintain our records in a prescribed manner
with respect to manufacturing, testing and quality control activities.
Furthermore, we or our third party manufacturers must pass a preapproval
inspection of manufacturing facilities by the FDA before obtaining marketing
approval. We will also be subject to ongoing FDA requirements for submission of
safety reports and other postmarket information.

         If we receive regulatory approval and if any of our products or
services become reimbursable by a government health care program, such as
Medicare or Medicaid, we


                                       7
<PAGE>

may become subject to certain federal and state health care fraud and abuse and
reimbursement laws. These laws include the federal "Anti-Kickback Statute,"
"False Claims Act," and "Physician Self-Referral Law," and their state
counterparts. If and when we become subject to such laws, our arrangements with
third parties, including health care providers, physicians, vendors, and
Innovex, will need to comply with these laws as applicable. We do not know
whether our existing or future arrangements will be found to be compliant.
Violations of these statutes could result in criminal and civil penalties and
exclusion from governmental health care programs.

OUR PRODUCTS, EVEN IF APPROVED BY THE FDA OR FOREIGN REGULATORY AGENCIES, MAY
NOT BE ACCEPTED BY PHYSICIANS, INSURERS OR PATIENTS.

          If any of our products after receiving FDA or other foreign regulatory
approval fail to achieve market acceptance, our ability to become profitable in
the future will be adversely affected. We believe that market acceptance will
depend on our ability to provide acceptable evidence of safety, efficacy and
cost effectiveness. In addition, we believe market acceptance depends on the
effectiveness of our marketing strategy and the availability of reimbursement
for our products.

WE HAVE NO MARKETING OR SALES EXPERIENCE, AND IF WE ARE UNABLE TO ENTER INTO OR
MAINTAIN COLLABORATIONS WITH MARKETING PARTNERS OR IF WE ARE UNABLE TO DEVELOP
OUR OWN SALES AND MARKETING CAPABILITY, WE MAY NOT BE SUCCESSFUL IN
COMMERCIALIZING OUR PRODUCTS.

         We currently have no sales, marketing or distribution capability. As a
result, we depend on collaborations with third parties, such as Innovex Inc., a
subsidiary of Quintiles Transnational Corp., Biogen, Inc., and Fujisawa
Healthcare, Inc., which have established distribution systems and direct sales
forces. For instance, we have entered into a sales and marketing services
agreement with Innovex with respect to ranolazine. Innovex will market and sell
ranolazine in the United States using a dedicated sales force if and when FDA
approval to market ranolazine has been granted. Commercialization of ranolazine
depends on Innovex to perform their contractual obligations. Their failure to do
so would adversely affect commercialization of ranolazine. To the extent that we
enter into co-promotion or other licensing arrangements, our revenues will
depend upon the efforts of third parties, over which we may have little control.
In addition, Biogen is responsible for establishing marketing and sales
activities for any product that results from the "Adentri" program and Fujisawa
is responsible for establishing marketing and sales activities for CVT-3146.

         If we are unable to reach and maintain agreement with one or more
pharmaceutical companies or collaborative partners, we may be required to market
our products directly. We may elect to establish our own specialized sales force
and marketing organization to market our products to cardiologists. In order to
do this, we would have to develop a marketing and sales force with technical
expertise and with supporting distribution capability. Developing a marketing
and sales force is expensive and time consuming and could delay any product
launch. We cannot be certain that we will be able to develop this capacity.

OUR BUSINESS DEPENDS ON ATTRACTING AND RETAINING COLLABORATORS AND LICENSORS.


                                       8
<PAGE>

         We may not be able to retain current or attract new corporate and
academic collaborators, licensors, licensees and others. Our business strategy
requires us to enter into various arrangements with these parties, and we are
dependent upon the success of these parties in performing their obligations. If
we fail to obtain and maintain these arrangements, the development of our
products would be delayed. We may be unable to proceed with the development,
manufacture or sale of products or we might have to fund development of a
particular product candidate internally. If we have to fund development and
commercialization of all of our products internally, our future capital
requirements will increase substantially.

         The collaborative arrangements that we may enter into in the future may
place responsibility on the collaborative partner for preclinical testing and
clinical trials, manufacturing and preparation and submission of applications
for regulatory approval of potential pharmaceutical products. We cannot control
the amount and timing of resources which our collaborative partners devote to
our programs. If a collaborative partner fails to successfully develop or
commercialize any product, product launch would be delayed. In addition,
collaborators may pursue competing technologies or product candidates.

         Under our collaborative arrangements, we or our collaborative partners
may also have to meet performance milestones. If we fail to meet our obligations
under our collaborative arrangements, our collaborators could terminate their
arrangements or we could lose rights to the compounds under development. For
example, under our agreement with Innovex, we are required to launch the product
by a specific date. If we fail to reach this milestone, Innovex will no longer
be obligated to provide sales and marketing services for ranolazine. Under our
agreement with Biogen, in order for us to receive development milestone
payments, Biogen must meet development milestones. Under our license agreement
with Syntex U.S.A., Inc., a subsidiary of Roche, for ranolazine, we are required
to make milestone payments to Syntex following FDA approval of ranolazine and
following regulatory approval of ranolazine in Europe. These payments are due no
later than March 31, 2005 and March 31, 2006, respectively. Under our agreement
with Fujisawa, we are responsible for development activities and must meet
development milestones in order to receive development milestone payments.

         In addition, collaborative arrangements in our industry are extremely
complex, particularly with respect to intellectual property rights. Disputes may
arise in the future with respect to the ownership of rights to any technology
developed with or by third parties. These and other possible disagreements
between us and our collaborators could lead to delays in the collaborative
research, development or commercialization of product candidates. These disputes
could also result in litigation or arbitration, which is time consuming and
expensive.

WE EXPECT TO CONTINUE TO OPERATE AT A LOSS AND MAY NEVER ACHIEVE PROFITABILITY.

         We cannot be certain that we will ever achieve and sustain
profitability. Since our inception, we have been engaged in research and
development activities. We have generated no product revenues. As of June 30,
2000, we had an accumulated deficit of $107.1 million. The process of developing
our products requires significant additional research and development,
preclinical testing and clinical trials, as well as regulatory approvals. These
activities, together with our general and administrative expenses, are expected
to result in operating losses for the foreseeable future.


                                       9
<PAGE>

WE MUST SECURE ADDITIONAL FINANCING TO MEET OUR FUTURE NEEDS.

         We may require substantial additional funding in order to complete our
research and development activities and commercialize any products. In the past,
we have financed our operations primarily through the sale of equity securities,
payments from our collaborators, equipment and leasehold improvement financing
and other debt financing. We have generated no product revenue, and none is
expected for at least several years. We anticipate that our existing resources
and projected interest income will enable us to maintain our current and planned
operations for at least the next 24 months. However, we may require additional
funding prior to that time.

         Additional financing may not be available on acceptable terms or at
all. If we are unable to raise additional funds, we may:

              -    have to delay, scale back or eliminate some or all of our
                   research or development programs

              -    lose rights under existing licenses

              -    have to relinquish more of, or all of, our rights to product
                   candidates at an earlier stage of development or on less
                   favorable terms than we would otherwise seek

              -    be unable to operate as a going concern.

         Our future capital requirements will depend on many factors, including:

              -    scientific progress in our research and development programs

              -    the size and complexity of our programs

              -    the timing, scope and results of preclinical studies and
                   clinical trials

              -    our ability 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 or obtaining preclinical and
                   clinical material.

         There may be additional factors that could affect our need for
additional financing. Many of these factors are not within our control.

INABILITY TO COMPETE SUCCESSFULLY IN OUR MARKET WILL HARM OUR BUSINESS.

         The pharmaceutical and biopharmaceutical industries, and the market for
cardiovascular drugs in particular, are intensely competitive. If regulatory
approvals are


                                       10
<PAGE>

received, some of our products will compete with well-established, proprietary
and generic cardiovascular therapies that have generated substantial sales over
a number of years. Many of these therapies are reimbursed from government health
administration authorities and private health insurers.

         In addition, we are aware of companies which are developing products
that may compete in the same markets as our products. Many of these potential
competitors have substantially greater product development capabilities and
financial, scientific, marketing and sales resources. Other companies may
succeed in developing products earlier or obtain approvals from the FDA more
rapidly than either we or our corporate partners are able to achieve.
Competitors may also develop products that are safer or more effective than
those under development or proposed to be developed by us and our corporate
partners. In addition, research and development by others could render our
technology or our products obsolete or non-competitive.

WE MAY BE UNABLE TO EFFECTIVELY PROTECT OUR INTELLECTUAL PROPERTY.

         Our success will depend to a significant degree on our ability to:

              -    obtain patents and licenses to patent rights

              -    maintain trade secrets

              -    operate without infringing on the proprietary rights of
                   others.

         We cannot be certain that patents will issue from any of our pending or
future patent applications, that any issued patent will be sufficient to protect
our technology or that we will be able to obtain extensions of patents beyond
the initial term. For example, a primary patent relating to ranolazine will
expire in May 2003 unless we are granted an extension based upon the
Waxman-Hatch Act, which we anticipate would extend the patent protection for an
additional five years.

         Patent applications in the United States are maintained in secrecy
until a patent issues. As a result, we can never be certain that others have not
filed patent applications for technology covered by our pending applications or
that we were the first to invent the technology. There may be third party
patents, patent applications and other intellectual property relevant to our
products and technology which are not known to us and that block or compete with
our compounds, products or processes.

         Competitors may have filed applications for, or may have received
patents and may obtain additional patents and proprietary rights relating to,
compounds, products or processes that block or compete with ours. We may have to
participate in interference proceedings declared by the Patent and Trademark
Office. These proceedings determine the priority of invention and, thus, the
right to a patent for the technology in the United States. In addition,
litigation may be necessary to enforce any patents issued to us or to determine
the scope and validity of the proprietary rights of third parties. Litigation
and interference proceedings, even if they are successful, are expensive to
pursue, and we could use a substantial amount of our limited financial resources
in either case.

         Just as it is important to protect our proprietary rights, we also must
not infringe patents issued to competitors and not breach the licenses that
might cover technology


                                       11
<PAGE>

used in our potential products. If our competitors own or have rights to
technology that we need in our product development efforts, we will need to
obtain a license to those rights. If we fail to obtain any necessary licenses,
we may be unable to complete product development.

         We also rely on trade secrets to develop and maintain our competitive
position. Although we protect our proprietary technology in part by
confidentiality agreements with employees, consultants, collaborators, advisors
and corporate partners, these agreements may be breached. We cannot assure you
that these agreements will provide this meaningful protection or adequate
remedies in the event of unauthorized use or disclosure of this information. We
also cannot assure you that the parties to these agreements will not breach
them. In that event, we may not have adequate remedies for any breach. As a
result, third parties may gain access to our trade secrets, and third parties
may disclose our trade secrets and confidential technology to the public. In
addition, it is possible that our trade secrets will otherwise become known or
be discovered independently by our competitors.

         Patent litigation is becoming more widespread in the biopharmaceutical
industry. Although no third party has asserted a claim of infringement against
us, we cannot assure you that third parties will not assert patent or other
intellectual property infringement claims against us with respect to our
products or technology or other matters. If they do, we may not prevail and we
may not be able to obtain any necessary licenses on reasonable terms, if at all.
Any such claims against us, with or without merit, as well as claims initiated
by us against third parties, can be time-consuming and expensive to defend or
prosecute.

WE HAVE NO MANUFACTURING EXPERIENCE AND WILL DEPEND ON THIRD PARTIES TO
MANUFACTURE OUR PRODUCTS.

         We do not currently operate manufacturing facilities for clinical or
commercial production of our products under development. We have no experience
in manufacturing, and we currently lack the resources or capability to
manufacture any of our products on a clinical or commercial scale. As a result,
we are dependent on corporate partners, licensees or other third parties for the
manufacturing of clinical and commercial scale quantities of our products.

         For example, we have entered into an agreement with a third party
manufacturer for clinical scale production of an amount of ranolazine's active
pharmaceutical ingredient that we believe will be sufficient to support the
remainder of the Phase III clinical program. We cannot be certain that we will
be able to enter into an agreement for the commercial scale manufacture of the
active ingredient in ranolazine. If we are unable to do so, our commercial
launch of ranolazine may be delayed. We have entered into an agreement with a
third party manufacturer for clinical scale production of ranolazine tablets
sufficient to support the remainder of the Phase III clinical program and are
negotiating with them for registration and commercialization supply of
ranolazine tablets. If we are unable to negotiate an agreement to supply
ranolazine tablets for registration and commercialization, commercial launch of
ranolazine may be delayed. In addition, because we have used various
manufacturers for ranolazine in different clinical trials prior to FDA approval
of ranolazine, we will be required to demonstrate to the FDA's satisfaction the
bioequivalence of the multiple sources of ranolazine used in our clinical trials
and their bioequivalence to the product to be commercially supplied.


                                       12
<PAGE>

FAILURE TO OBTAIN ADEQUATE REIMBURSEMENT FROM GOVERNMENT HEALTH ADMINISTRATION
AUTHORITIES, PRIVATE HEALTH INSURERS AND OTHER ORGANIZATIONS COULD MATERIALLY
ADVERSELY AFFECT OUR FUTURE BUSINESS, RESULTS OF OPERATIONS AND FINANCIAL
CONDITION.

         Our ability and the ability of our existing and future corporate
partners to market and sell our products will depend in part on the extent to
which reimbursement for the cost of our products and related treatments will be
available from government health administration authorities, private health
insurers and other organizations. Third party payors are increasingly
challenging the price of medical products and services.

         Significant uncertainty exists as to the reimbursement status of newly
approved health care products. In addition, for sales of our products in Europe,
we will be required to seek reimbursement on a country-by-country basis. We
cannot be certain that any products approved for marketing will be considered
cost effective or that reimbursement will be available or that allowed
reimbursement in foreign countries will be adequate. In addition, payors'
reimbursement policies could adversely affect our or any corporate partner's
ability to sell our products on a profitable basis.

OUR OPERATIONS INVOLVE HAZARDOUS MATERIALS, WHICH COULD SUBJECT US TO
SIGNIFICANT LIABILITY.

         Our research and development activities involve the controlled use of
hazardous materials, including hazardous chemicals, radioactive materials and
pathogens. Accordingly, we are subject to federal, state and local laws
governing the use, handling and disposal of these materials. We may incur
significant costs to comply with additional environmental and health and safety
regulations in the future. Although we believe that our safety procedures for
handling and disposing of hazardous materials comply with regulatory
requirements, we cannot eliminate the risk of accidental contamination or injury
from these materials. In the event of an accident or environmental discharge, we
may be held liable for any resulting damages, which may exceed our financial
resources and may materially adversely affect our business, financial condition
and results of operations.

WE MAY BE SUBJECT TO PRODUCT LIABILITY CLAIMS IF OUR PRODUCTS HARM PEOPLE, AND
WE HAVE ONLY LIMITED PRODUCT LIABILITY INSURANCE.

         The manufacture and sale of human therapeutic products involve an
inherent risk of product liability claims and associated adverse publicity. We
currently have only limited product liability insurance for clinical trials and
no commercial product liability insurance. We do not know if we will be able to
maintain existing or obtain additional product liability insurance on acceptable
terms or with adequate coverage against potential liabilities. This type of
insurance is expensive and may not be available on acceptable terms. If we are
unable to obtain or maintain sufficient insurance coverage on reasonable terms
or to otherwise protect against potential product liability claims, we may be
unable to commercialize our products. A successful product liability claim
brought against us in excess of our insurance coverage, if any, may require us
to pay substantial amounts. This could adversely affect our results of
operations and our need for and the timing of additional financing.

THE MARKET PRICE OF OUR STOCK MAY CONTINUE TO BE HIGHLY VOLATILE.


                                       13
<PAGE>

         Within the last 12 months, our common stock has traded between $10.375
and $84.50. The market price of the shares of common stock for our company has
been and may continue to be highly volatile. Announcements may have a
significant impact on the market price of our common stock. These announcements
may include:


              -    results of our clinical trials and preclinical studies, or
                   those of our corporate partners or our competitors

              -    our operating results

              -    developments in our relationships with corporate partners

              -    developments affecting our corporate partners

              -    negative regulatory action or regulatory approval with
                   respect to our announcement or our competitors' announcement
                   of new products

              -    government regulations, reimbursement changes and
                   governmental investigations or audits related to us or to our
                   products

              -    developments related to our patents or other proprietary
                   rights or those of our competitors

              -    changes in the position of securities analysts with respect
                   to our stock

              -    operating results below the expectations of public market
                   analysts and investors

              -    market conditions for biopharmaceutical or biotechnology
                   stocks in general.

         The stock market has from time to time experienced extreme price and
volume fluctuations, which have particularly affected the market prices for
emerging biotechnology and biopharmaceutical companies, and which have often
been unrelated to their operating performance. These broad market fluctuations
may adversely affect the market price of our common stock.

DELAWARE LAW, PROVISIONS IN OUR CHARTER AND OUR RIGHTS PLAN COULD MAKE THE
ACQUISITION OF OUR COMPANY BY ANOTHER COMPANY MORE DIFFICULT.

         Provisions of our certificate of incorporation may have the effect of
delaying or preventing changes in control or management or limit the price that
investors may be willing to pay for shares of our common stock. In addition, we
are subject to the provisions of Section 203 of the Delaware General Corporation
Law, an anti-takeover law, which could delay a merger, tender offer or proxy
contest or make a similar transaction more difficult. In addition, our board of
directors has the authority to issue up to 5,000,000 shares of preferred stock
without stockholders' approval. The rights of the holders of common stock will
be subject to, and may be affected by, the rights of the holders of any
preferred stock that may be issued in the future. The issuance of preferred


                                       14
<PAGE>

stock could have the effect of making it more difficult for a third party to
acquire a majority of our outstanding voting stock.

         Furthermore, in February 1999, the board of directors enacted
anti-takeover provisions, including a stockholder rights plan, or "poison pill,"
and authorized severance agreements in the event of a change of control for key
executives. The Board of Directors amended the stockholders rights plan in July
2000 while maintaining it in effect.


                                       15
<PAGE>

                           FORWARD-LOOKING STATEMENTS

         This prospectus contains forward-looking statements. These statements
relate to future events or our future clinical or product development or
financial performance. In some cases, you can identify forward-looking
statements by terminology such as "may," "will," "should," "expects," "plans,"
"anticipates," "believes," "estimates," "predicts," "potential" or "continue" or
the negative of those terms and other comparable terminology.

         These statements reflect only management's current expectations. In
evaluating these statements, you should specifically consider various factors,
including the risks outlined above. These factors may cause our actual results
to differ materially from any forward-looking statements.

         We undertake no obligation to publicly update any forward-looking
statements, whether as a result of new information, future events or otherwise.
You are advised, however, to consult any additional disclosures we make in our
Form 10-Q, 8-K and 10-K reports to the SEC. Also note that we provide a
cautionary discussion of risks and uncertainties under "Risk Factors" on page 5
of this prospectus. These are factors that we think could cause our actual
results to differ materially from expected results.



                                       16
<PAGE>

                      WHERE YOU CAN FIND MORE INFORMATION

         We file annual, quarterly and special reports, proxy statements and
other information with the SEC. You may read and copy any document we file at
the SEC's public reference room at 450 Fifth Street, N.W., Washington, D.C.,
20549. You can request copies of these documents by contacting the SEC and
paying a fee for the copying cost. Please call the SEC at 1-800-SEC-0330 for
further information on the public reference rooms. Our SEC filings are also
available to the public from the SEC's website at www.sec.gov.

         This prospectus is part of a registration statement on Form S-3,
including amendments, relating to the common stock offered by this prospectus
with the SEC. This prospectus does not contain all of the information set forth
in the registration statement, the exhibits and schedules, some portions of
which the SEC allows us to omit. Statements contained in this prospectus as to
the contents of any contract or other document referred to are not necessarily
complete and in each instance reference is made to the copy of that contract or
other document filed as an exhibit to the registration statement. For further
information about us and the common stock offered by this prospectus we refer
you to the registration statement and its exhibits and schedules which may be
obtained as described above.

         The SEC allows us to "incorporate by reference" the information
contained in documents that we file with them, which means that we can disclose
important information to you by referring you to those documents. The
information incorporated by reference is considered to be part of this
prospectus. Information in this prospectus supersedes information incorporated
by reference that we filed with the SEC before the date of this prospectus,
while information that we file later with the SEC will automatically update and
supersede prior information. We incorporate by reference the documents listed
below and any future filings we will make with the SEC under Sections 13(a),
13(c), 14 or 15(d) of the Securities Exchange Act of 1934, as amended, prior to
the termination of the offering:

         1.   our Annual Report on Form 10-K for the fiscal year ended December
              31, 1999;
         2.   our Quarterly Reports, on Form 10-Q for the fiscal quarter, ended
              March 31, 2000 and June 30, 2000;
         3.   our Current Reports on Form 8-K, dated March 1, 2000 and August
              16, 2000; and
         4.   the description of our common stock contained in our registration
              statement on Form 8-A filed on October 30, 1996.

         You may request copies of these filings, at no cost, by writing or
telephoning us at:

                              CV Therapeutics, Inc.
                          Attention: Investor Relations
                               3172 Porter Drive
                           Palo Alto, California 94304
                             Telephone (650) 812-0585


                                       17
<PAGE>

                                 USE OF PROCEEDS

         On October 6, 2000, we issued an aggregate of 118,932 shares of common
stock to BML pursuant to a Stock Purchase Agreement dated as of October 6, 2000,
to repay $9,000,000 of principal that we owed BML under our Loan Agreement,
dated as of March 7, 1997.


         The Loan Agreement permitted us to repay the $9,000,000 of principal we
owed BML with common stock and register such common stock for resale. We
believed that it was in the best interest of our company and our shareholders to
repay BML the $9,000,000 of outstanding principal in the form of common stock.



                                       18
<PAGE>


                         ISSUANCE OF COMMON STOCK TO BML


         The proceeds from the sale of the common stock offered pursuant to this
prospectus are solely for the account of BML. Accordingly, we will not receive
any proceeds from the sale of the shares from BML.



                                       19
<PAGE>

                                       BML


         All of the common stock registered for sale pursuant to this prospectus
is owned by BML and all of the shares offered by BML were acquired in connection
with the Stock Purchase Agreement.


         The following table sets forth certain information known to us with
respect to the beneficial ownership of our common stock by BML, as of October 6,
2000.



<TABLE>
<CAPTION>
Number of Shares         Shares Offered to BML   Amount Owned by BML    Percentage of Common Stock
Beneficially Owned by                            After the Offering     Owned by BML After The
BML Prior to Offering                                                   Offering
<S>                      <C>                     <C>                    <C>
     669,857                   118,932                788,789                    4.14%
</TABLE>

---------------------

         This registration statement also shall cover any additional shares of
common stock which become issuable in connection with the shares registered for
sale hereby by reason of any stock dividend, stock split, recapitalization or
other similar transaction effected without the receipt of consideration which
results in an increase in the number of outstanding shares of our common stock.



                                       20
<PAGE>

                              PLAN OF DISTRIBUTION


                  The shares of common stock covered by this prospectus may be
offered and sold from time to time by BML. BML will act independently of us in
making decisions with respect to the timing, manner and size of each sale. BML
may sell the shares on the Nasdaq National Market, or in private sales at
negotiated prices. The shares may be sold by one or more of the following:


     -    a block trade in which the broker-dealer so engaged will attempt to
          sell the shares as agent but may position and resell a portion of the
          block as principal to facilitate the transaction;


     -    purchases by a broker-dealer as principal and resale by such
          broker-dealer for its own account pursuant to this prospectus;


     -    an over-the-counter distribution in accordance with the rules of the
          Nasdaq National Market;


     -    ordinary brokerage transactions and transactions in which the broker
          solicits purchasers; and


     -    in privately negotiated transactions.


                  To the extent required, this prospectus may be amended or
supplemented from time to time to describe a specific plan of distribution. In
effecting sales, broker-dealers engaged by BML may arrange for other
broker-dealers to participate in the resales.


                  BML and any underwriter, broker-dealer or agent who
participate in the distribution of the shares may be deemed to be "underwriters"
under the Securities Act of 1933, and any discount, commission or concession
received by such persons might be deemed to be an underwriting discount or
commission under the Securities Act of 1933.


                  In order to comply with the securities laws of certain states,
if applicable, the shares must be sold in such jurisdictions only through
registered or licensed brokers or dealers. In addition, in certain states the
shares may not be sold unless they have been registered or qualified for sale in
the applicable state or an exemption from the registration or qualification
requirement is available and is complied with.


                  At the time a particular offer of shares is made, if required,
a prospectus supplement will be distributed that will set forth the number of
shares being offered and the terms of the offering, including the name of any
underwriter, dealer or agent, the purchase price paid by any underwriter, any
discount,



                                       21
<PAGE>


commission and other item constituting compensation, any discount, commission or
concession allowed or reallowed or paid to any dealer, and the proposed selling
price to the public.



                                       22
<PAGE>

                                  LEGAL MATTERS

         The validity of the issuance of the common stock offered in this
prospectus will be passed upon for CV Therapeutics by Latham & Watkins, Menlo
Park, California. Latham & Watkins does not beneficially own any shares of
common stock as of the date of this prospectus.

                                     EXPERTS

         Ernst & Young LLP, independent auditors, have audited our financial
statements included in our Annual Report on Form 10-K for the year ended
December 31, 1999, as set forth in their report, which is incorporated by
reference in this prospectus and elsewhere in the registration statement. Our
financial statements are incorporated by reference in reliance on Ernst & Young
LLP's report, given upon their authority as experts in accounting and auditing.

                                MATERIAL CHANGES

         On July 11, 2000, we entered into a Collaboration and License Agreement
with Fujisawa Healthcare, Inc. to collaborate in the development and marketing
of second generation pharmacologic cardiac stress agents. Under this agreement,
Fujisawa receives exclusive North American rights to market and sell CVT-3146, a
short acting selective A2A adenosine receptor agonist, and a backup compound. We
will retain the responsibility for managing the CVT-3146 development program.
Fujisawa will be responsible for selling and marketing CVT-3146 in North
America. Under the agreement, we have received $10 million from Fujisawa and may
receive up to an additional $24 million based on our reaching development and
regulatory milestones. Fujisawa will reimburse us for 75% of the development
costs and, if approved by the FDA, we will receive a royalty based on product
sales of CVT-3146 and we may receive a royalty on other products.




                                       23
<PAGE>

                                     PART II

                     INFORMATION NOT REQUIRED IN PROSPECTUS

ITEM 14.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION

         The following table sets forth all expenses payable by CV Therapeutics
in connection with the sale of the 118,932 shares of common stock being
registered. All the amounts shown are estimates except for the registration fee.


<TABLE>
<S>                                                           <C>
         SEC registration fee.................................$  2,376
         Legal fees and expenses..............................$ 15,000
         Accounting fees and expenses.........................$  7,500
         Miscellaneous........................................$  5,000
                  Total.......................................$ 29,876
</TABLE>


ITEM 15.  INDEMNIFICATION OF OFFICERS AND DIRECTORS

         The Registrant's Restated Certificate of Incorporation provides that
directors of the registrant shall not be personally liable to the registrant or
its stockholders for monetary damages for breach of fiduciary duty as a
director, to the fullest extent permitted by the General Corporation Law of the
State of Delaware. The registrant's Restated Bylaws provide for indemnification
of officers and directors to the full extent and in the manner permitted by
Delaware law. Section 145 of the Delaware General Corporation Law makes
provision for such indemnification in terms sufficiently broad to cover officers
and directors under certain circumstances for liabilities arising under the
Securities Act of 1933, as amended (the "Securities Act").

         The Registrant has entered into indemnification agreements with
substantially all of its officers and directors which provide indemnification
under certain circumstances for acts and omissions which may not be covered by
any directors' and officers' liability insurance.

ITEM 16.  EXHIBITS


<TABLE>
<CAPTION>
       EXHIBIT
       NUMBER                DESCRIPTION OF DOCUMENT
<S>             <C>

         4.1    Amended and Restated Certificate of Incorporation. (1)
         4.2    Restated By-laws. (1)
         5.1    Opinion of Latham & Watkins. (2)
         23.1   Consent of Ernst & Young LLP, Independent Auditors.
         23.2   Consent of Latham & Watkins.  Reference is made to Exhibit 5.1. (2)
</TABLE>

         ----------------

(1)  Filed as an exhibit to the Registration Statement on Form S-1 (No.
     333-12675) or amendments thereto and incorporated herein by reference.


(2)  To be filed by amendment.


ITEM 17.  UNDERTAKINGS

         Insofar as indemnification for liabilities arising under the Securities
Act of 1933, may be permitted to directors, officers, and controlling persons of
the Registrant pursuant to the provisions described in Item 15 or otherwise, the
Registrant has been advised that in the opinion of the Securities and Exchange
Commission, such indemnification is


                                       II-1
<PAGE>

against public policy as expressed in the Act and is, therefore, unenforceable.
In the event that a claim for indemnification against such liabilities (other
than the payment by the Registrant of expenses incurred or paid by a director,
officer, or controlling person of the Registrant in the successful defense of
any action suit, or proceeding) is asserted by such director, officer, or
controlling person in connection with the securities being registered, the
Registrant will, unless in the opinion of its counsel the matter has been
settled by controlling precedent, submit to a court of appropriate jurisdiction
the question whether such indemnification by it is against public policy as
expressed in the Securities Act and will be governed by the final adjudication
of such issue.

         The undersigned registrant hereby undertakes:

         (1)   To file, during any period in which offers or sales are being
made pursuant to this registration statement, a post-effective amendment to this
registration statement to include any material information with respect to the
plan of distribution not previously disclosed in the registration statement or
any material change to such information in the registration statement;

         (2)   That, for the purpose of determining any liability under the
Securities Act of 1933, each such post-effective amendment shall be deemed to be
a new registration statement relating to the securities offered therein, and the
offering of such securities at that time shall be deemed to be the initial bona
fide offering thereof; and

         (3)   To remove from registration by means of a post-effective
amendment any of the securities being registered which remain unsold at the
termination of the offering.

         The undersigned Registrant hereby undertakes that, for the purposes of
determining any liability under the Securities Act of 1933, each filing of the
Registrant's annual report pursuant to Section 13(a) of Section 15(d) of the
Securities Exchange Act of 1934 that is incorporated by reference in the
registration statement shall be deemed to be a new registration statement
relating to the securities offered therein, and the offering of such securities
at that time shall be deemed to be the initial bona fide offering thereof.

         The undersigned Registrant undertakes that; (1) for purpose of
determining any liability under the Securities Act of 1933, the information
omitted from the form of prospectus filed as part of the registration statement
in reliance upon Rule 430A and contained in the form of prospectus filed by the
Registrant pursuant to Rule 424(b) (1) or (4) or 497(h) under the Securities Act
shall be deemed to be part of the registration statement as of the time it was
declared effective; and (2) for the purpose of determining any liability under
the Securities act of 1933, each post-effective amendment that contains a form
of prospectus shall be deemed to be a new registration statement relating to the
securities offered therein, and the offering of such securities at that time
shall be deemed to be the initial bona fide offering thereof.



                                       II-2
<PAGE>

                                   SIGNATURES

         Pursuant to the requirements of the Securities Act of 1933, the
registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-3 and has duly caused this Registration
Statement to be signed on its behalf by the undersigned thereunto duly
authorized, in the city of Palo Alto, County of Santa Clara, State of
California, on the 24 day of October, 2000.


                                 CV THERAPEUTICS, INC.

                                 By:    /s/ DANIEL K. SPIEGELMAN
                                    ----------------------------------------
                                            Daniel K. Spiegelman
                                            SENIOR VICE PRESIDENT
                                         AND CHIEF FINANCIAL OFFICER
                                (Principal financial and accounting officer)




                                       II-3
<PAGE>

                                  EXHIBIT INDEX

<TABLE>
<CAPTION>
EXHIBIT NO.                       DESCRIPTION
<S>           <C>
4.1           Amended and Restated Certificate of Incorporation.(1)
4.2           Restated By-laws. (1)
5.1           Opinion of Latham & Watkins.  (2)
23.1          Consent of Ernst & Young LLP, Independent Auditors.
23.2          Consent of Latham & Watkins.  (2)
</TABLE>

------------

(1)  Filed as an exhibit to the Registration Statement on Form S-1 (No.
     333-12675) or amendments thereto and incorporated herein by reference.

(2)  To be filed by amendment.




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