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METABASIS THERAPEUTICS, INC. ANNOUNCES THE COMMENCEMENT OF CLINICAL
TESTING OF HEPAVIR B IN PATIENTS WITH HEPATITIS B
SAN DIEGO, CA - April 3, 2003 -- Metabasis Therapeutics,
Inc. (Metabasis) announced today that Ribapharm, Inc, (Ribapharm)
has begun clinical testing of Hepavir B, an orally active, liver-specific
prodrug of the proven antiviral agent adefovir. Hepavir B was developed
by Metabasis and licensed to Ribapharm in October 2001. Ribapharm
filed an IND in October 2002, which was subsequently allowed by
the United States Food and Drug Administration.
Hepavir B was developed using Metabasis proprietary HepDirect
Technology, a broadly applicable prodrug technology that results
in the production of the active drug specifically in the liver.
By enabling higher drug concentrations in the liver and minimizing
exposure to non-liver tissues, HepDirect prodrugs may improve efficacy,
reduce toxicity and thus improve the treatment of liver and liver-related
diseases. Adefovir, the active ingredient of Hepavir B, has proven
to be an effective drug for the treatment of patients with chronic
hepatitis B. However, studies have shown that accumulation of the
drug in the kidney results in dose limiting renal toxicity. The
HepDirect Technology is designed to change the biodistribution of
the active form of adefovir and thereby result in an improved therapy.
Preclinical studies show that the HepDirect prodrug of adefovir,
Hepavir B, achieves significantly higher levels of the active form
in the liver and lower levels in the kidney resulting in an overall
10- to 50-fold increase in liver targeting. Metabasis believes that
this redistribution of the drug will allow for more optimal dosing
and therefore a more efficacious drug with improved safety.
Dr. Paul Laikind, Chairman, President and CEO of Metabasis stated,
"We are very pleased with the progress made in the development
of Hepavir B. Ribapharm previously announced that it had successfully
completed a Phase 1 trial with the drug.. This was important both
for the continued development of Hepavir B but also because it marked
the first clinical experience with our liver-specific prodrug technology,
HepDirect. The recent initiation of studies in patients infected
with the hepatitis B virus marks another important milestone in
the development of the drug.
Dr. Mark Erion, Executive Vice President of Research and Development
said, "The success to date with Hepavir B further demonstrates
the potential of the HepDirect Technology for developing new and
improved drugs for the treatment of liver and liver-related diseases.
Based on the preclinical experience, the high liver specificity
provided by the HepDirect Technology should minimize systemic exposure
and lead to an overall improvement in the therapeutic index of the
drug. The second HepDirect prodrug to be recommended for development
is MB7133, a HepDirect oncolytic for treating primary liver cancer.
If all goes according to plan we will begin clinical testing of
MB7133 next quarter in the United States and Asia. There are currently
no approved drugs for the treatment of primary liver cancer. Our
preclinical results with MB7133 combined with the early data from
the Hepavir B clinical trials increases our confidence in the potential
of MB7133 to successfully treat this deadly disease."
Dr. Laikind added " We continue to execute our business model
of discovering exciting new drugs to treat important, often deadly
diseases and steadily advancing these products through clinical
development. When MB7133 enters the clinic next quarter Metabasis
will have three products at various stages of clinical development.
In addition to Hepavir B and MB7133, our drug for type 2 diabetes,
CS-917, a novel gluconeogenesis inhibitor, is being evaluated in
phase 2 clinical trials in the United States." Metabasis' partner
on that project, Sankyo Co., Ltd, has primary responsibility for
developing CS-917.
Metabasis Therapeutics, Inc. (www.mbasis.com) is a privately held,
biopharmaceutical company that develops proprietary products for
the treatment of human disease with a current focus on liver and
liver-related diseases. The Company employs various resources for
discovering and perfecting new products, is a leader in the field
of nucleoside/nucleotide chemistry and metabolism, and has proprietary
expertise in liver biology and liver-specific drug delivery. Metabasis
has discovered and developed a new class of drugs for treating diabetes
that act to lower liver glucose production in diabetic patients.
The first drug from this program, CS-917, is being developed in
collaboration with Sankyo Co., Ltd. and is currently undergoing
clinical testing. The Company has also developed the HepDirect Prodrug
Technology that allows liver-specific delivery of new and existing
drugs. Two drugs derived from the HepDirect Technology are in development;
a drug for hepatitis B called Hepavir B and a drug for primary liver
cancer called MB7133. Hepavir B is the subject of a partnership
with Ribapharm, Inc. and is currently being evaluated in patient
trials. The drug for primary liver cancer is expected to enter the
clinic during the second quarter of 2003. The Company has approximately
80 employees and occupies state-of-the-art research facilities in
San Diego, California.

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