Second Phase III Study Evaluating Gilead's Viread(R) for the Treatment of Chronic Hepatitis B Virus Meets Primary Endpoint



    Gilead Sciences, Inc. (Nasdaq:GILD) today announced that Study
    103, a Phase III clinical trial evaluating the company's once-daily
    anti-HIV drug Viread(R) (tenofovir disoproxil fumarate or tenofovir
    DF) 300 mg as a potential treatment for chronic hepatitis B virus
    (HBV) infection, met its primary efficacy endpoint. The data show that
    Viread is non-inferior to the company's once-daily antiviral drug
    Hepsera(R) (adefovir dipivoxil) among patients with "e" antigen
    (HBeAg)-positive chronic hepatitis B. The primary efficacy endpoint,
    the proportion of patients with a complete response at week 48, was
    defined by serum HBV DNA levels below 400 copies/mL and histologic
    improvement characterized by at least a two point reduction in the
    Knodell necroinflammatory score (a measure of necro-inflammation - an
    inflammatory process in the liver including or leading to death of
    liver cells) with no concurrent worsening of fibrosis (scarring of
    liver tissue).

    At 48 weeks, 66.5 percent of patients in the Viread arm (n=176)
    had a complete response compared to 12.2 percent in the Hepsera arm
    (n=90; p less than 0.001). The most commonly observed
    treatment-emergent adverse events of moderate intensity or higher were
    abdominal pain, back pain, headache, respiratory infections and
    transaminase elevations. The incidence of these events was comparable
    between the Viread and Hepsera arms of the study. In addition, the
    most frequently observed grade 3 or 4 laboratory abnormalities were
    elevations in transaminase and serum amylase and were comparable
    between the two arms. Full study results will be submitted for
    presentation at an upcoming scientific meeting.

    Study 103 is the second of two Phase III pivotal studies
    evaluating the efficacy, safety and tolerability of Viread for the
    treatment of chronic hepatitis B to have met its primary efficacy
    endpoint. Earlier this month, the company announced that the first
    study (Study 102) met its primary 48-week efficacy endpoint showing
    that Viread is non-inferior to Hepsera among patients with
    HBeAg-negative/anti-HBe positive (presumed pre-core mutant) chronic
    hepatitis B.

    "The preliminary data observed in both Phase III trials evaluating
    Viread as a potential treatment option for chronic hepatitis B are
    very encouraging," said Franck Rousseau, MD, Vice President, Clinical
    Research, Gilead Sciences. "We look forward to reviewing these data
    with regulatory authorities and are working quickly to file a New Drug
    Application in the United States and Marketing Authorisation
    Application in Europe in the fourth quarter of this year."

    The active ingredient in Viread, tenofovir DF, is currently the
    most prescribed molecule in the United States for combination HIV
    therapy. Viread received approval as an anti-HIV medication from the
    U.S. Food and Drug Administration (FDA) in October 2001 and from the
    European Commission in February 2002. Viread is not approved as a
    treatment for chronic hepatitis B, and data from this analysis have
    not been reviewed by the FDA.

    Study Design

    Study 103 is a multi-center, randomized, double-blind Phase III
    clinical trial that compares the efficacy, safety and tolerability of
    Viread and Hepsera over 48 weeks among patients with HBeAg-positive
    chronic hepatitis B. Two hundred and sixty-six patients were
    randomized in a 2:1 ratio to receive either Viread (300 mg once daily;
    n=176) or Hepsera (10 mg once daily; n=90).

    About Viread (tenofovir disoproxil fumarate)

    In the United States, Viread is indicated in combination with
    other antiretroviral agents for the treatment of HIV-1 infection.
    Viread should not be used in combination with the fixed-dose
    combination products Truvada(R) or Atripla(TM) because they already
    contain Viread.

    Lactic acidosis and severe hepatomegaly with steatosis, including
    fatal cases, have been reported with the use of nucleoside analogues
    alone or in combination with other antiretrovirals. Viread is not
    approved for the treatment of chronic hepatitis B and the safety and
    efficacy of Viread have not been established in patients coinfected
    with HBV and HIV. Severe acute exacerbations of hepatitis B have been
    reported in patients who have discontinued Viread. Hepatic function
    should be monitored closely with both clinical and laboratory
    follow-up for at least several months in patients who are co-infected
    with HIV and HBV and discontinue Viread. If appropriate, initiation of
    anti-hepatitis B therapy may be warranted.

    Renal impairment, including cases of acute renal failure and
    Fanconi syndrome, has been reported in association with the use of
    Viread. It is recommended that creatinine clearance be calculated in
    all patients prior to initiating therapy with Viread and as clinically
    appropriate during therapy. Coadministration of Viread and didanosine
    should be undertaken with caution. Patients should be monitored
    closely for didanosine-associated adverse events, and didanosine
    should be discontinued if these occur. Patients on atazanavir and
    lopinavir/ritonavir plus Viread should be monitored for
    Viread-associated adverse events, and Viread should be discontinued if
    these occur. When co-administered with Viread, it is recommended that
    atazanavir 300 mg be given with ritonavir 100 mg. Atazanavir without
    ritonavir should not be co-administered with Viread.

    Decreases in bone mineral density (BMD) at the lumbar spine and
    hip have been seen with the use of Viread. The effects of
    Viread-associated changes in BMD and biochemical markers on long-term
    bone health and future fracture risk are unknown. Changes in body fat
    have been observed in patients taking anti-HIV medicines. The cause
    and long-term health effect of these changes are unknown. Immune
    Reconstitution Syndrome has been reported in patients treated with
    combination therapy, including Viread.

    The most common adverse events among patients receiving Viread
    with other antiretroviral agents in a pivotal clinical study (Study
    903) were mild to moderate gastrointestinal events and dizziness.
    Moderate to severe adverse events occurring in more than 5 percent of
    patients receiving Viread included rash (rash, pruritis, maculopapular
    rash, urticaria, vesiculobullous rash and pustular rash), headache,
    pain, diarrhea, depression, back pain, fever, nausea, abdominal pain,
    asthenia (weakness) and anxiety. In another pivotal study (Study 907),
    less than 1 percent of patients discontinued participation because of
    gastrointestinal events.

    It is important for patients to be aware that anti-HIV medicines
    including Viread do not cure HIV infection or AIDS and do not reduce
    the risk of transmitting HIV to others. Full prescribing information
    is available at www.GileadHIV.com.

    The parent compound of Viread was discovered through a
    collaborative research effort between Dr. Antonin Holy, Institute for
    Organic Chemistry and Biochemistry, Academy of Sciences of the Czech
    Republic (IOCB) in Prague and Dr. Erik DeClercq, Rega Institute for
    Medical Research, Katholic University in Leuven, Belgium.

    About Hepsera

    Hepsera, a nucleotide analogue for the treatment of chronic
    hepatitis B, works by inhibiting HBV DNA polymerase, an enzyme
    involved in the replication of the virus in the body.

    In the United States, Hepsera is indicated for the treatment of
    chronic hepatitis B in adults with evidence of active viral
    replication and either evidence of persistent elevations in serum
    aminotransferases (ALT or AST) or histologically active disease.

    The adverse reactions considered at least possibly related to
    treatment reported in 3 percent or greater of patients in the first 48
    weeks in Hepsera pivotal clinical studies were asthenia, headache,
    abdominal pain, nausea, flatulence, diarrhea and dyspepsia. With
    extended treatment, mild to moderate increases in serum creatinine
    were observed uncommonly in patients with chronic hepatitis B and
    compensated liver disease treated with Hepsera for a median of 49
    weeks up to a maximum of 240 weeks. Changes in serum creatinine were
    observed very commonly in patients pre- and post-transplantation with
    lamivudine-resistant liver disease and multiple risk factors for
    changes in renal function who were treated with Hepsera for up to 129
    weeks, with a median time on treatment of 19 and 56 weeks,
    respectively. Clinical and laboratory evidence of exacerbations of
    hepatitis have occurred after discontinuation of treatment with
    antiviral therapies for hepatitis B, including Hepsera. Special
    warnings and precautions for use are included in the package insert
    regarding monitoring of renal function, post-treatment exacerbations
    of hepatitis, and the occurrence of lactic acidosis and severe
    hepatomegaly with steatosis. Dosing instructions for patients with
    underlying renal impairment and for patients co-infected with HIV are
    also provided in the package insert, which is available for download
    online at www.hepsera.com.

    About Gilead Sciences

    Gilead Sciences is a biopharmaceutical company that discovers,
    develops and commercializes innovative therapeutics in areas of unmet
    medical need. The company's mission is to advance the care of patients
    suffering from life-threatening diseases worldwide. Headquartered in
    Foster City, California, Gilead has operations in North America,
    Europe and Australia.

    This press release includes forward-looking statements, within the
    meaning of the Private Securities Litigation Reform Act of 1995, that
    are subject to risks, uncertainties and other factors, including risks
    related to Gilead's ability to successfully commercialize tenofovir DF
    for chronic hepatitis B. For example, safety and efficacy data from
    additional clinical studies may not warrant further development of
    this compound for the treatment of chronic hepatitis B and completing
    our clinical studies may take longer or cost more than expected. In
    addition, feedback from regulatory authorities or results from
    clinical trials might require modifications or delays in later stage
    clinical trials or additional trials to be performed. Further, the FDA
    and other regulatory authorities may not approve tenofovir DF for the
    treatment of chronic hepatitis B, and marketing approval, if granted,
    may have significant limitations on its use and physicians and may not
    see advantages of tenofovir DF over other treatment options and may
    therefore be reluctant to prescribe tenofovir DF for chronic hepatitis
    B. These risks, uncertainties and other factors could cause actual
    results to differ materially from those referred to in the
    forward-looking statements. The reader is cautioned not to rely on
    these forward-looking statements. These and other risks are described
    in detail in Gilead's Annual Report on Form 10-K for the year ended
    December 31, 2006 and its Quarterly Report on Form 10-Q for the first
    quarter of 2007, filed with the U.S. Securities and Exchange
    Commission. All forward-looking statements are based on information
    currently available to Gilead, and Gilead assumes no obligation to
    update any such forward-looking statements.

    Hepsera and Viread are registered trademarks of Gilead Sciences,
    Inc.

    For more information on Gilead, please call the Gilead Public
    Affairs Department at 1-800-GILEAD-5 (1-800-445-3235) or visit
    www.gilead.com.