At the European Association for the Study of Liver Disease meeting in April 2006, our partner at that time,
Valeant Pharmaceuticals International, presented the 48-week results of the completed Phase 2b clinical
trial for pradefovir for the treatment of patients with hepatitis B (HBV). The results showed a statistically
significant reduction of HBV DNA, a measure of viral load, at the top three doses of pradefovir evaluated in
the clinical trial, as compared to the approved treatment for HBV, HepseraTM, administered at its maximum
allowable dose. Both pradefovir and Hepsera are prodrugs of the anti-viral drug adefovir; however, only
pradefovir uses the HepDirect liver-targeting technology. In the Phase 2b studies, pradefovir treatment, even
at the highest dose tested, resulted in lower circulating levels of adefovir than did Hepsera administered at its
maximum approved dose. This finding is consistent with expectations for the HepDirect prodrug technology
and important because high circulating levels of adefovir may lead to renal toxicity. In fact, Hepsera is doselimited
due to renal toxicity observed at high doses.
Until the end of 2006, pradefovir had been developed through a collaboration with Valeant. In December
2006, Metabasis and Valeant agreed to license and assign Valeant’s development and commercial rights to
pradefovir to Schering-Plough, a company with a global reach and a long-standing commitment to the
development and commercialization of products for the treatment of hepatitis.