1
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

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

                                    FORM 10-Q

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

                  For The Quarterly Period Ended June 30, 2001

                        Commission File Number 000-31191

                              The Medicines Company
              ----------------------------------------------------
             (Exact Name of Registrant as Specified in Its Charter)

                 Delaware                                       04-3324394
                 --------                                       ----------
      (State or Other Jurisdiction of                        (I.R.S. Employer
       Incorporation or Organization)                       Identification No.)


   One Cambridge Center, Cambridge, MA                            02142
   -----------------------------------                            -----
 (Address of Principle Executive Offices)                       (Zip Code)

       Registrant's telephone number, including area code: (617) 225-9099

Indicate by check mark whether the registrant: (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities 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
                                    ---      ---


Indicate the number of shares outstanding of each of the issuer's classes of
Common Stock, as of the latest practicable date: As of July 31, 2001, there were
34,537,726 shares of Common Stock, $0.001 par value per share, outstanding.


   2


                              THE MEDICINES COMPANY
                                TABLE OF CONTENTS


PART I.  FINANCIAL INFORMATION...........................................    1

   ITEM 1 - UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS........    1

   ITEM 2 - MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
              CONDITION AND RESULTS OF OPERATIONS........................    9

   ITEM 3 - QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK...   21

PART II.  OTHER INFORMATION..............................................   23

   ITEM 2 - CHANGES IN SECURITIES AND USE OF PROCEEDS....................   23

   ITEM 4 - SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS..........   24

   ITEM 6 - EXHIBITS AND REPORTS ON FORM 8-K.............................   24

SIGNATURES ..............................................................   25




   3



PART I.  FINANCIAL INFORMATION

ITEM 1 - UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                              THE MEDICINES COMPANY
                      CONDENSED CONSOLIDATED BALANCE SHEETS
                                   (unaudited)



                                                                                     JUNE 30,         DECEMBER 31,
                                                                                       2001              2000
                                                                                   ------------      -------------
                                                                                                
ASSETS

Current assets:
    Cash and cash equivalents                                                      $ 74,319,093      $  36,802,356
    Marketable securities                                                            15,273,757         42,522,729
    Accrued interest receivable                                                         481,678          1,392,928
                                                                                   ------------      -------------
                                                                                     90,074,528         80,718,013
                                                                                   ------------      -------------
    Accounts receivable                                                               1,587,917                 --
    Inventory                                                                         6,577,722          1,963,491
    Prepaid expenses and other current assets                                           220,965            465,650
                                                                                   ------------      -------------
           Total current assets                                                      98,461,132         83,147,154

 Fixed assets, net                                                                      870,078            965,832
 Other assets                                                                           260,000            250,144
                                                                                   ------------      -------------
           Total assets                                                            $ 99,591,210      $  84,363,130
                                                                                   ============      =============
LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:
    Accounts payable                                                               $  6,593,661      $   5,987,213
    Accrued expenses                                                                 14,256,290          9,136,934
                                                                                   ------------      -------------
           Total current liabilities                                                 20,849,951         15,124,147

 Stockholders' equity:
    Common stock, $.001 par value, 75,000,000 shares authorized at June 30, 2001
      and December 31, 2000, respectively; 34,533,086 and 30,320,455 issued and
      outstanding at June 30, 2001 and December 31, 2000, respectively                   34,534             30,320
    Additional paid-in capital                                                      321,330,968        279,126,337
    Deferred compensation                                                           (11,137,089)       (13,355,694)
    Accumulated deficit                                                            (231,619,149)      (196,560,034)
    Accumulated other comprehensive income (loss)                                       131,995             (1,946)
                                                                                   ------------      -------------
           Total stockholders' equity                                                78,741,259         69,238,983
                                                                                   ------------      -------------
           Total liabilities and stockholders' equity                              $ 99,591,210      $  84,363,130
                                                                                   ============      =============




     See accompanying notes to condensed consolidated financial statements.


                                     Page 1
   4


                              THE MEDICINES COMPANY
                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (unaudited)


                                                  THREE MONTHS ENDED JUNE 30,            SIX MONTHS ENDED JUNE 30,
                                                 -----------------------------        -------------------------------
                                                       2001            2000               2001               2000
                                                 ------------     ------------        ------------       ------------
                                                                                             
 Net revenue                                     $  2,047,541     $         --        $  3,908,829       $         --

 Operating expenses:

    Cost of revenue                                   319,043               --             651,443                 --
    Research and development                        8,308,956        6,126,914          20,904,153         16,768,780
    Selling, general and administrative             9,567,941        2,579,207          18,626,877          3,777,178
                                                 ------------     ------------        ------------       ------------
           Total operating expenses                18,195,940        8,706,121          40,182,473         20,545,958

 Loss from operations                             (16,148,399)      (8,706,121)        (36,273,644)       (20,545,958)
 Other income (expense):
    Interest income                                   995,270          181,890           2,064,529            285,725
    Interest expense                                       --      (11,883,389)                 --        (19,390,414)
    Loss on sale of investments                      (850,000)              --            (850,000)                --
                                                 ------------     ------------        ------------       ------------
 Net loss                                         (16,003,129)     (20,407,620)        (35,059,115)       (39,650,647)
 Dividends and accretion to redemption
    value of redeemable preferred stock                    --      (27,188,837)                 --        (28,718,593)
                                                 ------------     ------------        ------------       ------------
 Net loss attributable to
    common stockholders                          $(16,003,129)    $(47,596,457)       $(35,059,115)      $(68,369,240)
                                                 ============     ============        ============       ============
 Basic and diluted net loss attributed
    to common stockholders per
    common share                                 $      (0.49)    $     (68.65)       $      (1.12)      $    (106.56)
                                                 ============     ============        ============       ============
 Unaudited pro forma basic and
    diluted net loss attributable to
    common stockholders per common share         $      (0.49)    $      (0.38)       $      (1.12)      $      (0.96)
                                                 ============     ============        ============       ============
 Shares used in computing net loss
   attributable to common stockholders per
   common share:

       Basic and diluted                           32,357,360          693,339           31,309,946           641,582
                                                 ============     ============        =============      ============
       Unaudited pro forma basic and diluted       32,357,360       22,270,426           31,309,946        21,040,410
                                                 ============     ============        =============      ============



     See accompanying notes to condensed consolidated financial statements.

                                     Page 2

   5


                              THE MEDICINES COMPANY
                 CONDENSED CONSOLIDATED STATEMENTS OF REDEEMABLE
               PREFERRED STOCK AND STOCKHOLDERS' EQUITY (DEFICIT)
                                   (unaudited)




                         Redeemable Convertible                                                               Compre-
                            Preferred Stock           Common Stock     Additional   Deferred                  hensive     Total
                       ------------------------    -----------------    Paid-in      Stock      Accumulated    Income  Stockholders'
                         Shares        Amount       Shares    Amount    Capital   Compensation    Deficit     (Loss)     Deficit
                       ----------    ----------    --------   ------   ---------  ------------   ----------   ------   ------------
                                                                                            
Balance at December
  31, 1999             22,962,350    85,277,413     833,400     834      339,144                 (94,925,028)   27,395  (94,557,655)
 Repurchase of common
  stock                                             (22,205)    (22)                                                            (22)
 Employee stock
  purchases                                         227,525     226      286,068                                            286,294
 Issuance of
   redeemable
   preferred stock      5,946,366    25,688,284                                                                                  --
 Dividends paid on
   preferred stock      1,751,241     4,898,537                                                   (4,898,537)            (4,898,537)
 Dividend from
   beneficial
   conversion of
   convertible debt                                                   25,444,299                 (25,444,299)
 Issuance of warrants
   associated with
   debt financing                                                     18,789,805                                         18,789,805
 Issuance of common
   stock through
   initial public
   offering                                       6,900,000   6,900  101,343,162                                        101,350,062
 Conversion of
   preferred stock
   to common stock    (30,659,957) (115,864,234) 22,381,735  22,382  115,841,732                                        115,864,114
 Deferred
   compensation
   expense associated
   with stock options                                                 17,279,612  (17,279,612)                                   --
 Adjustments to
  deferred
  compensation for
  terminations                                                          (197,485)     197,485                                    --
 Amortization of
  deferred stock
  compensation                                                                      3,726,433                             3,726,433
 Net loss                                                                                        (71,292,170)           (71,292,170)
 Currency translation
  adjustment                                                                                                     5,141        5,141
 Unrealized loss
  on  marketable
  securities                                                                                                   (34,482)     (34,482)
                                                                                                                        -----------
 Comprehensive loss                                                                                                     (71,321,511)
                      -----------  ------------  ----------  ------  ----------- ------------  -------------   -------  -----------
Balance at December
 31, 2000                      --            --  30,320,455  30,320  279,126,337  (13,355,694)  (196,560,034)   (1,946)  69,238,983

 Repurchase of
  common stock                                      (10,859)    (10)          --                                                (10)
 Employee stock
  purchases                                         223,490     224      405,656                                            405,880
 Issuance of common
  stock through
  private placement                               4,000,000   4,000   41,798,975                                         41,802,975
 Adjustments
  to deferred
   compensation for
   terminations                                                                            --                                    --
 Amortization of
  deferred stock
  compensation                                                                      2,218,605                             2,218,605
 Fair value of
  warrants outstanding                                                51,225,075                                         51,225,075
                                                                     (51,225,075)                                       (51,225,075)
 Net loss                                                                                        (35,059,115)           (35,059,115)
 Currency translation
  adjustment                                                                                                    23,531       23,531
 Unrealized loss
  on marketable
  securities                                                                                                   110,410      110,410
                                                                                                                        -----------
 Comprehensive loss                                                                                                     (34,925,174)
                      -----------  ------------  ---------- ------- ------------ ------------  -------------  --------  -----------
Balance at June
 30, 2001                      --  $         --  34,533,086 $34,534 $321,330,968 $(11,137,089) $(231,619,149) $131,995  $78,741,259
                      ===========  ============  ========== ======= ============ ============  =============  ========  ===========



      See accompanying notes to condensed consolidated financial statements

                                     Page 3
   6


                              THE MEDICINES COMPANY
                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (unaudited)



                                                                     SIX MONTHS ENDED JUNE 30,
                                                                  --------------------------------
                                                                       2001              2000
                                                                  -------------      -------------
                                                                               
Cash flows from operating activities:
   Net loss                                                       $(35,059,115)      $(39,650,647)
     Adjustments to reconcile net loss to net cash
        used in operating activities:
     Depreciation                                                      217,734            105,751
     Amortization of discount on convertible notes                          --         19,013,486
     Amortization of deferred stock compensation                     2,218,605            607,320
     Loss on sales of fixed assets                                         520                 --
     Changes in operating assets and liabilities:
        Accrued interest receivable                                    911,250           (285,563)
        Accounts receivable                                         (1,587,917)                --
        Inventory                                                   (4,614,231)                --
        Prepaid expenses and other current assets                      243,579           (707,131)
        Other assets                                                   (10,003)            (9,582)
        Accounts payable                                               608,010          3,099,635
        Accrued expenses                                             5,132,396          2,271,875
                                                                  ------------       ------------
               Net cash used in operating activities               (31,939,172)       (15,554,856)

Cash flows from investing activities:
   Purchases of marketable securities                                7,499,850                 --
   Maturities and sales of marketable securities                    19,857,405            541,400
   Purchase of fixed assets                                           (129,534)           (82,052)
                                                                  ------------       ------------
               Net cash provided by investing activities            27,227,721            459,348

Cash flows from financing activities:
   Proceeds from issuance of convertible notes and warrants                 --         13,348,779
   Proceeds from issuances of preferred stock, net                          --          6,095,520
   Proceeds from issuances of common stock, net                     42,208,855            203,947
   Repurchases of common stock                                             (10)               (30)
   Dividends paid in cash                                                   --                 --
                                                                  ------------       ------------
               Net cash provided by financing activities            42,208,845         19,648,216

Effect of exchange rate changes on cash                                 19,343            (11,215)
                                                                  ------------       ------------
Increase in cash and cash equivalents                               37,516,737          4,541,493
Cash and cash equivalents at beginning of period                    36,802,356          6,643,266
                                                                  ------------       ------------
Cash and cash equivalents at end of period                        $ 74,319,093       $ 11,184,759
                                                                  ============       ============




     See accompanying notes to condensed consolidated financial statements.


                                     Page 4

   7


              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                   (unaudited)

1.       NATURE OF BUSINESS

The Medicines Company (the Company) was incorporated in Delaware on July 31,
1996. The Company is a pharmaceutical company engaged in the acquisition,
development and commercialization of late-stage development drugs. As a result
of the U.S. Food and Drug Administration approval of Angiomax(R) (bivalirudin)
for use as an anticoagulant in patients with unstable angina undergoing
percutaneous transluminal coronary angioplasty in December 2000, and the
commencement of sales of Angiomax in the first quarter of 2001, the Company is
no longer considered to be a development-stage enterprise, as defined in
Statement of Financial Accounting Standards No. 7.

2.       SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared
in accordance with accounting principles generally accepted in the United States
for interim financial information and with the instructions to Form 10-Q.
Accordingly, they do not include all the information and footnotes required by
accounting principles generally accepted in the United States for complete
financial statements. In the opinion of management, the accompanying financial
statements include all adjustments, including normal recurring accruals,
considered necessary for a fair presentation of the Company's financial
position, results of operations, and cash flows for the periods presented.

The results of operations for the three- and six-month periods ended June 30,
2001 are not necessarily indicative of the results that may be expected for the
entire fiscal year ending December 31, 2001. These condensed consolidated
financial statements should be read in conjunction with the audited financial
statements included in the Company's Annual Report on Form 10-K for the year
ended December 31, 2000, filed with the Securities and Exchange Commission.

Cash, Cash Equivalents and Marketable Securities

The Company considers all highly liquid investments purchased with an original
maturity of three months or less to be cash equivalents. Cash equivalents
consist of investments in money market funds, corporate bonds and taxable
auction securities. These investments are carried at cost, which approximates
fair value. Marketable securities consist of securities with original maturities
of greater than three months. The Company classifies its marketable securities
as available-for-sale. Securities under this classification are recorded at fair
market value and unrealized gains and losses are included in the accumulated
other comprehensive income and loss component of stockholders' equity.

                                    Page 5

   8


        NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
                                   (unaudited)

Revenue Recognition

The Company recognizes revenue from product sales when there is pervasive
evidence that an arrangement exists, delivery has occurred, the price is fixed
and determinable, and collectibility is reasonably assured. Revenue is recorded
net of applicable allowances, including estimated allowances for returns,
rebates and other discounts.

3.       NET LOSS AND UNAUDITED PRO FORMA NET LOSS PER SHARE

The following table sets forth the computation of basic and diluted, and
unaudited pro forma basic and diluted, net loss per share for the three and six
months ended June 30, 2001 and 2000. The unaudited pro forma basic and diluted
net loss per share for the three and six months ended June 30, 2000 gives effect
to the conversion of redeemable convertible preferred stock and accrued
dividends and convertible notes and accrued interest as if converted at the date
of original issuance. All redeemable convertible preferred stock and convertible
notes were converted during 2000. Accordingly, the basic and diluted net loss
per share and unaudited pro forma basic and diluted net loss per share for the
three and six months ended June 30, 2001 are the same.





                                                  THREE MONTHS ENDED JUNE 30,       SIX MONTHS ENDED JUNE 30,
                                                ------------------------------    -----------------------------
                                                     2001             2000             2001             2000
                                                -------------    -------------    -------------    ------------
                                                                                       
BASIC AND DILUTED
Net loss                                        $(16,003,129)    $(20,407,620)    $(35,059,115)    $(39,650,647)
Dividends and accretion to redemption
     value of redeemable preferred stock                  --      (27,188,837)              --      (28,718,593)
                                                ------------     ------------     ------------     ------------
Net loss attributable to common stockholders    $(16,003,129)    $(47,596,457)    $(35,059,115)    $(68,369,240)
                                                ============     ============     ============     ============

Weighted average common shares outstanding        32,418,217          880,057       31,386,116          856,168
Less: unvested restricted common shares
    outstanding                                      (60,857)        (186,718)         (76,170)        (214,586)
                                                ------------     ------------     ------------     ------------
Weighted average common shares used to
    compute net loss per share                    32,357,360          693,339       31,309,946          641,582
                                                ============     ============     ============     ============

Basic and diluted net loss per share            $      (0.49)    $     (68.65)    $      (1.12)    $    (106.56)
                                                ============     ============     ============     ============




                                     Page 6

   9


        NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
                                   (unaudited)



                                                          THREE MONTHS ENDED JUNE 30,        SIX MONTHS ENDED JUNE 30,
                                                          ---------------------------        -------------------------
                                                            2001              2000             2001             2000
                                                            ----              ----             ----             ----
                                                                                                
UNAUDITED PRO FORMA BASIC AND DILUTED
Net loss                                                 $(16,003,129)    $(20,407,620)    $(35,059,115)    $(39,650,647)
Interest expense on convertible notes
                                                                   --       11,883,389               --       19,390,414
Dividends and accretion to redemption
     value of redeemable preferred stock                           --               --               --               --
                                                         ------------     ------------     ------------     ------------

Net loss to compute pro forma net loss per share         $(16,003,129)    $ (8,524,231)    $(35,059,115)    $(20,260,233)
                                                         ============     ============     ============     ============


Weighted average common shares used to
    compute pro forma net loss per share                   32,357,360          693,339       31,309,946          641,582
Weighted average number of common shares
    assuming the conversion of all redeemable
    convertible preferred stock and accrued dividends
    and convertible notes and accrued interest at the
    date of original issuance
                                                                   --       21,577,087               --       20,398,828
                                                         ------------     ------------     ------------     ------------
Weighted average common shares used to
    compute pro forma net loss per share                   32,357,360       22,270,426       31,309,946       21,040,410
                                                         ============     ============     ============     ============
Unaudited pro forma basic and diluted pro
    forma net loss per share                             $      (0.49)    $      (0.38)    $      (1.12)    $      (0.96)
                                                         ============     ============     ============     ============


Options to purchase 3,841,866 and 1,916,780 shares of common stock as of June
30, 2001 and 2000, respectively, have not been included in the computation of
diluted net loss per share as their effect would have been antidilutive.
Outstanding warrants to purchase 3,156,073 shares of common stock as of June 30,
2001 were also excluded from the computation of diluted net loss per share as
their effect would have been antidilutive.

During the three and six months ended June 30, 2000, the Company issued options
to purchase 1,036,892 and 1,611,329 shares of common stock, respectively, at
exercise prices below the estimated fair value of the Company's common stock as
of the date of grant of such options, based on the estimated price (as of the
date of grant) of the Company's common stock in connection with the Company's
initial public offering. The total deferred compensation associated with options
granted during the three and six months ended June 30, 2000 was approximately
$8.9 million and $12.8 million, respectively.

Included in the results of operations is compensation expense of $1.1 million
and $2.2 million for the three and six months ended June 30, 2001, respectively,
and $457,000 and $607,000 for the three and six months ended June 30, 2000,
respectively, associated with options issued in 2000 at exercise prices below
the estimated fair value of the Company's common stock as of the date of grant
of such options.

                                     Page 7
   10


        NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
                                  (unaudited)

4.       COMPREHENSIVE INCOME (LOSS)

Comprehensive losses for the three and six months ended June 30, 2001 were $15.5
million and $34.9 million, respectively, and for the three and six months ended
June 30, 2000 were $20.4 million and $39.7 million, respectively. Comprehensive
losses are primarily comprised of net losses and unrealized losses on marketable
securities.


5.       RECENT ACCOUNTING PRONOUNCEMENTS

In June 1998, the Financial Accounting Standards Board issued SFAS No. 133,
"Accounting for Derivative Instruments and Hedging Activities." The effective
date of this statement was deferred to fiscal years beginning after June 15,
2000 by SFAS No. 137, "Accounting for Derivative Instruments and Hedging
Activities--Deferral of the Effective Date of SFAS No. 133." The Company adopted
this new standard and it did not have a material impact on the Company's
financial condition or results of operations.

In September 2000, the Emerging Issues Task Force (EITF) of the Financial
Accounting Standards Board reached a consensus on Issue 00-19, "Determination of
Whether Share Settlement is Within the Control of the Issuer for Purposes of
Applying Issue No. 96-13, "Accounting for Derivative Financial Instruments
Indexed to, and Potentially Settled in, a Company's Own Stock." The consensus
provides specific guidance regarding when a contract indexed to a company's own
stock must be classified in stockholders' equity versus classified as an asset
or liability. Any new contracts entered into after the date of consensus must
comply with the consensus, and any contracts outstanding as of the September
2000 consensus date are grand fathered until June 2001 before compliance is
required. Management anticipates that compliance with the consensus will not
have a material impact on the Company's consolidated financial statements.

6.       SHARE ISSUANCE

In May 2001, the Company received net proceeds of $41.8 million from a private
placement equity investment. The private placement consisted of 4.0 million
shares of newly issued common stock sold to both new and existing shareholders
at a price of $11.00 per share.

                                     Page 8
   11
ITEM 2 - MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS

GENERAL

We acquire, develop and commercialize biopharmaceutical products that are in
late stages of development or have been approved for marketing. In December
2000, we received marketing approval from U.S. Food and Drug Administration (the
"FDA") for Angiomax (bivalirudin), our lead product, for use as an anticoagulant
in combination with aspirin in patients with unstable angina undergoing coronary
balloon angioplasty. Coronary angioplasty is a procedure used to restore normal
blood flow in an obstructed artery in the heart. We began selling Angiomax in
the United States in January 2001. In August and September 2000, we consummated
our initial public offering (the "IPO") resulting in $101.4 million in net
proceeds. In May 2001, we completed a private placement of 4.0 million shares of
common stock resulting in net proceeds of $41.8 million.

We have been marketing Angiomax in the United States using a contract sales
force that we manage, but whose members are employees of Innovex, Inc. In June
2001, we notified Innovex of our intention to form our own sales force to market
Angiomax and to convert the Innovex sales force into our sales force, effective
at the beginning of the fourth quarter of 2001. We also plan to increase the
size of our sales force by approximately 20 to 30 persons at the time of the
conversion. We expect that the increase in the size of our sales force will
result in approximately an additional $1.0 million in selling, general and
administrative expenses in the fourth quarter of 2001.

In July 2001, we finalized the initial design of the second part of our Phase 3b
trial program of Angiomax in angioplasty, called REPLACE. The second part of the
trial, which may include up to 7,000 patients who have been referred for
angioplasty, will include two randomized arms:

   -  Heparin with a glycoprotein IIb/IIIa, also known as GP IIb/IIIa,
      inhibitor; and

   -  Angiomax with the provisional use of a GP IIb/IIIa inhibitor at the
      choice of the physician.

Since our inception, we have incurred significant losses. Most of our
expenditures to date have been for research and development activities and
selling, general and administrative expenses. Research and development expenses
represent costs incurred for product acquisition, clinical trials, activities
relating to regulatory filings, and manufacturing development efforts. We
generally outsource our clinical and manufacturing development activities to
independent organizations to maximize efficiency and minimize our internal
overhead. We expense our research and development costs as they are incurred.
Selling, general and administrative expenses consist primarily of salaries and
related expenses, general corporate activities and costs associated with product
marketing activities. Interest expense consists of costs associated with
convertible notes that were issued in 2000 and 1999 to fund our business
activities. These convertible notes were converted into equity in 2000.

We expect to continue to incur operating losses during the balance of fiscal
2001 and for the foreseeable future as a result of research and development
activities attributable to new and existing products and costs associated with
the commercialization and launch of our products. In

                                     Page 9
   12


2001, we expect increased cash outlays for research and development costs
associated with our ongoing clinical trials and manufacturing development
activities. We also expect increased outlays during 2001 for selling, general
and administrative costs related to the selling and marketing of Angiomax, our
lead product. We will need to generate significant revenues to achieve and
maintain profitability. During the first quarter of 2001, we recorded revenue
for the initial shipment of Angiomax.

In March 1997, we acquired exclusive worldwide commercial rights from Biogen,
Inc., to the technology, patents, trademarks, inventories, know-how and all
regulatory and clinical information related to Angiomax. Under the Biogen
license, we paid $2.0 million upon execution of the license agreement and are
obligated to pay up to an additional $8.0 million upon reaching certain
milestones, including the first sale of Angiomax for certain indications. In
addition, we will pay royalties on future sales of Angiomax and on any
sublicense royalties earned. Through June 30, 2001, we have paid royalties to
Biogen of $120,000.

In August 1999, we acquired exclusive worldwide rights from GyneLogix, Inc. to
the patents and know-how related to the biotherapeutic agent CTV-05. Under the
GyneLogix license, we have paid $400,000 and are obligated to pay up to an
additional $100,000 upon reaching certain development and regulatory milestones
and to fund agreed-upon operational costs of GyneLogix related to the
development of CTV-05 on a monthly basis subject to a limitation of $50,000 per
month. In addition, we will pay royalties on future sales of CTV-05 and on any
sublicense royalties earned.

In July 1998, we acquired from Immunotech S.A., a wholly-owned subsidiary of
Beckman Coulter, Inc., exclusive worldwide rights to IS-159, a pharmaceutical
product for the treatment of acute migraine headache. Under the Immunotech
license, we paid $1.0 million upon execution of the license agreement and are
obligated to pay up to an additional $4.5 million upon reaching certain
development and regulatory milestones. In addition, we will pay royalties on
future sales of IS-159 and on any sublicense royalties earned. We are seeking a
collaborator to develop IS-159 and do not intend to initiate further studies of
IS-159 until we enter into a collaborative agreement.

During the three and six months ended June 30, 2000, we recorded deferred stock
compensation on the grant of stock options of approximately $8.9 million and
$12.8 million, respectively, representing the difference between the exercise
price of such options and the fair market value of our common stock at the date
of grant of such options. The exercise prices of these options were below the
estimated fair market value of our common stock as of the date of grant based on
the estimated IPO price of our common stock.

We amortize deferred stock compensation over the respective vesting periods of
the individual stock options. We recorded amortization expense for deferred
compensation of approximately $1.1 million and $2.2 million for the three and
six months ended June 30, 2001, respectively, and $457,000 and $607,000 for the
three and six months ended June 30, 2000, respectively. We expect to record
amortization expense for the deferred compensation as follows: approximately
$2.0 million for the remainder of 2001, approximately $3.9 million in 2002,
approximately $3.9 million in 2003 and approximately $1.4 million in 2004.

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We have not generated taxable income to date. At December 31, 2000, net
operating losses available to offset future taxable income for federal income
tax purposes were approximately $122.2 million. If not utilized, federal net
operating loss carryforwards will expire at various dates beginning in 2011 and
ending 2020. We have not recognized the potential tax benefit of our net
operating losses in our statements of operations. The future utilization of our
net operating loss carryforwards may be limited pursuant to regulations
promulgated under the Internal Revenue Code of 1986, as amended.

RESULTS OF OPERATIONS

Three Months Ended June 30, 2001 and 2000

Product Revenue. We had product revenue of $2.0 million for the three months
ended June 30, 2001 from sales of Angiomax, which was commercially launched
during the first quarter of 2001. We had no product revenue during the three
months ended June 30, 2000.

Cost of Revenue. Cost of revenue for the three months ended June 30, 2001 was
$319,000, or 16% of product revenue. Cost of revenue includes the cost of
manufacturing Angiomax, logistical costs associated with distributing Angiomax
and accrued royalties. The cost of manufacturing as a percentage of product
revenue was approximately 2% in the second quarter of 2001 and is expected to
continue to be at, or near, this level through most of 2001 because cost
associated with the manufacture of Angiomax incurred by us prior to date of FDA
approval of Angiomax in December 2000 was expensed as research and development.

Research and Development Expenses. Research and development expenses increased
36% to $8.3 million for the three months ended June 30, 2001, from $6.1 million
for the three months ended June 30, 2000. The increase in research and
development expenses of $2.2 million was primarily due to increased expense with
our REPLACE trial program. Also contributing to the increase was the manufacture
of Angiomax bulk product using a second-generation production process, the
Chemilog process, which we will continue to expense as research and development
until the process is approved by the FDA. The increase in research and
development expenses was partly offset by reduced expenses associated with the
completion of enrollment in our Phase 3 trial in acute myocardial infraction,
called HERO-2.

Selling, General and Administrative Expenses. Selling, general and
administrative expenses increased 269% to $9.6 million for the three months
ended June 30, 2001, from $2.6 million for the three months ended June 30, 2000.
The increase in selling, general and administrative expenses of $7.0 million was
primarily due to an increase in marketing and selling expenses and corporate
infrastructure costs arising from an increase in activity relating to the
commercial launch of Angiomax during the first half of 2001.

Other Income and Expense. Interest income increased 447% to $995,000 for the
three months ended June 30, 2001, from $182,000 for the three months ended June
30, 2000. The increase in interest income of $813,000 was primarily due to
interest income arising from the investment of the proceeds from our IPO in
August and September 2000 and from the sale of 4.0 million shares of our common
stock in a private placement in May 2001.

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   14

We had no interest expense for the three months ended June 30, 2001. Interest
expense of $11.9 million for the three months ended June 30, 2000 was related to
interest charges and amortization of discount on our convertible notes issued in
October 1999 and March 2000.

During the three months ended June 30, 2001, we liquidated our $3.0 million
principal investment in Southern California Edison 5 7/8% bonds, which were
originally due on January 15, 2001, recognizing a loss of $850,000 on the sale.


Six Months Ended June 30, 2001 and 2000

Product Revenue. We had product revenue of $3.9 million for the six months ended
June 30, 2001 from sales of Angiomax. We had no product revenue during the six
months ended June 30, 2000.

Cost of Revenue. Cost of revenue for the six months ended June 30, 2001 was
$651,000, or 17% of product revenue. The cost of manufacturing as a percentage
of product revenue was approximately 2% for the first six months of 2001 and is
expected to continue to be at, or near, this level through most of 2001 because
cost associated with the manufacture of Angiomax incurred by us prior to date of
FDA approval of Angiomax in December 2000 was expensed as research and
development.

Research and Development Expenses. Research and development expenses increased
25% to $20.9 million for the six months ended June 30, 2001, from $16.7 million
for the six months ended June 30, 2000. The increase in research and development
expenses of $4.2 million was primarily due to increased expenses associated with
our REPLACE trial program, which was initiated in the fourth quarter of 2000.
The increase in research and development expenses was partly offset by the
reduction in manufacturing development expenses caused by the receipt of the
first batch of pre-FDA approved Angiomax bulk drug substance manufactured by UCB
Bioproducts during the first quarter of 2000.

Selling, General and Administrative Expenses. Selling, general and
administrative expenses increased 377% to $18.6 million for the six months ended
June 30, 2001, from $3.9 million for the six months ended June 30, 2000. The
increase in selling, general and administrative expenses of $14.7 million was
primarily due to an increase in marketing and selling expenses and corporate
infrastructure costs arising from an increase in activity relating to the
commercial launch of Angiomax.

Other Income and Expense. Interest income increased 623% to $2.1 million for the
six months ended June 30, 2001, from $286,000 for the six months ended June 30,
2000. The increase in interest income of $1.8 million for the six months ended
June 30, 2001 was primarily due to interest income arising from the investment
of the proceeds from our IPO in August and September 2000 and from the sale of
4.0 million shares of our common stock in a private placement in May 2001.

                                    Page 12
   15

We had no interest expense for the six months ended June 30, 2000. Interest
expense of $19.4 million for the six months ended June 30, 2000 was related to
interest charges and amortization of discount on our convertible notes issued in
October 1999 and March 2000.

During the second quarter of 2001, we liquidated our $3.0 million principal
investment in Southern California Edison 5 7/8% bonds, recognizing a loss of
$850,000 on the sale.


LIQUIDITY AND CAPITAL RESOURCES

As of June 30, 2001, we had $89.6 million in cash, cash equivalents and
marketable securities, as compared to $79.3 million as of December 31, 2000.

In August and September 2000, we received $101.4 million in net proceeds from
the sale of common stock in our IPO and received an additional $41.8 million in
net proceeds in May 2001 from the sale of 4.0 million shares of our common stock
in a private placement. Prior to the IPO, we had received net proceeds of $79.4
million from the private placement of equity securities, primarily redeemable
convertible preferred stock, and $19.4 million from the issuance of convertible
notes and warrants.

For the six months ended June 30, 2001, we used net cash of $31.9 million in
operating activities. This consisted of a net loss of $35.1 million, combined
with increases in accounts receivable and inventory of $1.6 million and $4.6
million, respectively, partly offset by increases in both accrued expenses of
$5.1 million and accounts payable of $608,000, and non-cash amortization of
deferred compensation of $2.2 million. The increase in inventory of $4.6 million
was primarily attributed to the scheduled receipt of bulk drug product from our
supplier UCB Bioproducts S.A. We generated approximately $27.2 million of cash
from net investing activities, which consisted principally of the maturity or
sale of marketable securities, partly offset by the purchase of fixed assets of
$130,000. We received $42.2 million from financing activities primarily from
proceeds from the sale of shares of our common stock in a private placement and
from employees purchasing stock under our stock plans.

We expect to devote substantial resources to our research and development
efforts and to our sales, marketing and manufacturing programs associated with
the commercialization of our products. Our funding requirements will depend on
numerous factors, including whether Angiomax is commercially successful, the
progress, level and timing of our research and development activities, the cost
and outcomes of regulatory reviews, the continuation or termination of third
party manufacturing or sales and marketing arrangements, the cost and
effectiveness of our sales and marketing programs, the status of competitive
products, our ability to defend and enforce our intellectual property rights and
the establishment of additional strategic or licensing arrangements with other
companies or acquisitions.

We believe, based on our current operating plan, including anticipated sales of
Angiomax, that our current cash, cash equivalents and marketable securities will
be sufficient to fund our operations for approximately 18 months. If our
existing resources are insufficient to satisfy our liquidity requirements due to
slower than anticipated sales of Angiomax or otherwise, or if we

                                    Page 13
   16


acquire additional product candidates, we may need to sell additional equity or
debt securities. The sale of additional equity and debt securities may result in
additional dilution to our stockholders, and we cannot be certain that
additional financing will be available in amounts or on terms acceptable to us,
if at all. If we are unable to obtain this additional financing, we may be
required to reduce the scope of our planned research, development and
commercialization activities, which could harm our financial condition and
operating results.

CERTAIN FACTORS THAT MAY AFFECT FUTURE RESULTS

This quarterly report on Form 10-Q includes forward-looking statements within
the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the
Securities Exchange Act of 1934. All statements, other than statements of
historical facts, included in this report regarding our strategy, future
operations, financial position, future revenues, projected costs, prospects,
plans and objectives of management are forward-looking statements. The words
"anticipates," "believes," "estimates," "expects," "intends," "may," "plans,"
"projects," "will," "would" and similar expressions are intended to identify
forward-looking statements, although not all forward-looking statements contain
these identifying words. We cannot guarantee that we actually will achieve the
plans, intentions or expectations disclosed in our forward-looking statements,
and you should not place undue reliance on our forward-looking statements.
Actual results or events could differ materially from the plans, intentions and
expectations disclosed in the forward-looking statements we make. There are a
number of factors that we believe could cause actual results or events to differ
materially from the forward-looking statements that we make. These factors
include, without limitation, the risk factors set forth below. We do not assume
any obligation to update any forward-looking statements.

Risks Related to Our Business

WE HAVE A HISTORY OF NET LOSSES, AND WE EXPECT TO CONTINUE TO INCUR NET LOSSES
AND MAY NOT ACHIEVE OR MAINTAIN PROFITABILITY

We have incurred net losses since our inception, including net losses of
approximately $35.1 million for the six months ended June 30, 2001. As of June
30, 2001, we had an accumulated deficit of approximately $231.6 million. We
expect to make substantial expenditures to further develop and commercialize our
products, including costs and expenses associated with clinical trials,
regulatory approval and commercialization of products. As a result, we are
unsure when we will become profitable, if at all.

OUR BUSINESS IS VERY DEPENDENT ON THE COMMERCIAL SUCCESS OF ANGIOMAX

Other than Angiomax, our products are in clinical phases of development and,
even if approved by the FDA, are a number of years away from entering the
market. As a result, Angiomax will account for almost all of our revenues for
the foreseeable future. The commercial success of Angiomax will depend upon its
acceptance by physicians, patients and other key decision-makers as a
therapeutic and cost-effective alternative to heparin and other products used in
current practice. If Angiomax is not commercially successful, we will have to
find additional sources of revenues or curtail or cease operations.

FAILURE TO RAISE ADDITIONAL FUNDS IN THE FUTURE MAY AFFECT THE DEVELOPMENT,
MANUFACTURE AND SALE OF OUR PRODUCTS


                                    Page 14
   17

Our operations to date have generated substantial and increasing needs for cash.
Our negative cash flow from operations is expected to continue into the
foreseeable future. The clinical development of Angiomax for additional
indications, the development of our other product candidates and the acquisition
and development of additional product candidates by us will require a commitment
of substantial funds. Our future capital requirements are dependent upon many
factors and may be significantly greater than we expect.

We believe, based on our current operating plan, including anticipated sales of
Angiomax, that our current cash, cash equivalents and marketable securities will
be sufficient to fund our operations for at least 18 months. If our existing
resources are insufficient to satisfy our liquidity requirements due to slower
than anticipated sales of Angiomax or otherwise, or if we acquire additional
product candidates, we may need to sell additional equity or debt securities.
The sale of additional equity and debt securities may result in additional
dilution to our stockholders, and we cannot be certain that additional financing
will be available in amounts or on terms acceptable to us, if at all. If we are
unable to obtain this additional financing, we may be required to reduce the
scope of our planned research, development and commercialization activities,
which could harm our financial condition and operating results.

WE CANNOT EXPAND THE INDICATIONS FOR ANGIOMAX UNLESS WE RECEIVE FDA APPROVAL FOR
EACH ADDITIONAL INDICATION. FAILURE TO EXPAND THESE INDICATIONS WILL LIMIT THE
SIZE OF THE COMMERCIAL MARKET FOR ANGIOMAX

We received in December 2000 approval from the FDA for the use of Angiomax as an
anticoagulant in combination with aspirin in patients with unstable angina
undergoing coronary balloon angioplasty. One of our key objectives is to expand
the indications for which the FDA will approve Angiomax. In order to do this, we
will need to conduct additional clinical trials and obtain FDA approval for each
proposed indication. If we are unsuccessful in expanding the approved
indications for the use of Angiomax, the size of the commercial market for
Angiomax will be limited.

FAILURE TO OBTAIN REGULATORY APPROVAL IN FOREIGN JURISDICTIONS WILL PREVENT US
FROM MARKETING ANGIOMAX ABROAD

We intend to market our products in international markets, including Europe. In
order to market our products in the European Union and many other foreign
jurisdictions, we must obtain separate regulatory approvals. In February 1998,
we submitted a Marketing Authorization Application to the European Agency for
the Evaluations of Medicinal Products, or the EMAE, for use of Angiomax in
unstable angina patients undergoing angioplasty. Following extended interaction
with European regulatory authorities, the Committee of Proprietary Medicinal
Products of the EMEA voted in October 1999 not to recommend Angiomax for
approval in angioplasty. The United Kingdom and Ireland dissented from this
decision. We have withdrawn our application to the EMEA and are in active dialog
with European regulators to determine our course of action including seeking
approval of Angiomax in Europe on a country-by-country basis. We may not be able
to obtain approval from any or all of the jurisdictions in which we seek
approval to market Angiomax. Obtaining foreign approvals may require additional
trials and additional expense.

THE DEVELOPMENT AND COMMERCIALIZATION OF OUR PRODUCTS MAY BE TERMINATED OR
DELAYED, AND THE COSTS OF DEVELOPMENT AND COMMERCIALIZATION MAY INCREASE, IF
THIRD PARTIES WHO WE RELY ON TO MANUFACTURE AND SUPPORT THE DEVELOPMENT AND
COMMERCIALIZATION OF OUR PRODUCTS DO NOT FULFILL THEIR OBLIGATIONS

                                    Page 15
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Our development and commercialization strategy entails entering into
arrangements with corporate and academic collaborators, contract research
organizations, contract sales organizations, distributors, third-party
manufacturers, licensors, licensees and others to conduct development work,
manage our clinical trials and manufacture, market and sell our products.
Although we manage these services, we do not have the expertise or the resources
to conduct such activities on our own and, as a result, are particularly
dependent on third parties in most areas.

We may not be able to maintain our existing arrangements with respect to the
commercialization of Angiomax or establish and maintain arrangements to develop
and commercialize any additional products on terms that are acceptable to us.
Any current or future arrangements for the development and commercialization of
our products may not be successful. If we are not able to establish or maintain
our agreements relating to Angiomax or any additional products on terms which we
deem favorable, our financial condition would be materially adversely affected.

Third parties may not perform their obligations as expected. The amount and
timing of resources that third parties devote to developing, manufacturing and
commercializing our products may not be within our control. Furthermore, our
interests may differ from those of third parties that manufacture or
commercialize our products. Disagreements that may arise with these third
parties could delay or lead to the termination of the development or
commercialization of our product candidates, or result in litigation or
arbitration, which would be time consuming and expensive. If any third party
that manufactures or supports the development or commercialization of our
products breaches or terminates its agreement with us, or fails to conduct its
activities in a timely manner, such breach, termination or failure could:

- -    delay the development or commercialization of Angiomax, our other product
     candidates or any additional product candidates that we may acquire or
     develop;

- -    require us to undertake unforeseen additional responsibilities or devote
     unforeseen additional resources to the development or commercialization of
     our products; or

- -    result in the termination of the development or commercialization of our
     products.

WE ARE CURRENTLY DEPENDENT ON A SINGLE SUPPLIER FOR THE PRODUCTION OF ANGIOMAX
BULK DRUG SUBSTANCE AND A DIFFERENT SINGLE SUPPLIER TO CARRY OUT ALL FILL-FINISH
ACTIVITIES FOR ANGIOMAX

Currently, we obtain all of our Angiomax bulk drug substance from one
manufacturer, UCB Bioproducts S.A., and rely on another manufacturer, Ben Venue
Laboratories, Inc., to carry out all fill-finish activities for Angiomax, which
includes final formulation and transfer of the drug into vials where it is then
freeze-dried and sealed. The FDA requires that all manufacturers of
pharmaceuticals for sale in or from the United States achieve and maintain
compliance with the FDA's current Good Manufacturing Practice, or cGMP,
regulations and guidelines. There are a limited number of manufacturers that
operate under cGMP regulations capable of manufacturing Angiomax. The FDA has
inspected Ben Venue Laboratories for cGMP compliance for the manufacture of
Angiomax and UCB Bioproducts for cGMP compliance in the manufacture of
pharmaceutical ingredients generally. Ben Venue Laboratories and UCB Bioproducts
have informed us that they have no material deficiencies in cGMP compliance. We
do not currently have alternative sources for production of Angiomax bulk drug
substance or to carry out fill-

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   19

finish activities. In the event that either of our current manufacturers is
unable to carry out its respective manufacturing obligations to our
satisfaction, we may be unable to obtain alternative manufacturing, or obtain
such manufacturing on commercially reasonable terms or on a timely basis.

Any delays in the manufacturing process may adversely impact our ability to meet
commercial demands for Angiomax on a timely basis and supply product for
clinical trials of Angiomax.

IF WE DO NOT SUCCEED IN DEVELOPING A SECOND-GENERATION PROCESS FOR THE
PRODUCTION OF BULK ANGIOMAX DRUG SUBSTANCE, OUR GROSS MARGINS MAY BE BELOW
INDUSTRY AVERAGES

We are currently developing with UCB Bioproducts a second-generation process for
the production of bulk Angiomax drug substance. This process involves limited
changes to the early manufacturing steps of our current process in order to
improve our gross margins on the future sales of Angiomax. If we cannot develop
the process successfully or regulatory approval of the process is not obtained
or is delayed, then our ability to improve our gross margins on future sales of
Angiomax may be limited.

CLINICAL TRIALS OF OUR PRODUCT CANDIDATES ARE EXPENSIVE AND TIME CONSUMING,
AND THE RESULTS OF THESE TRIALS ARE UNCERTAIN

Before we can obtain regulatory approvals for the commercial sale of any product
that we wish to develop, we will be required to complete pre-clinical studies
and extensive clinical trials in humans to demonstrate the safety and efficacy
of such product. We are currently conducting four clinical trials of Angiomax
for use in the treatment of ischemic heart disease. There are numerous factors
that could delay our clinical trials or prevent us from completing these trials
successfully. We, or the FDA, may suspend a clinical trial at any time on
various grounds, including a finding that patients are being exposed to
unacceptable health risks.

The rate of completion of clinical trials depends in part upon the rate of
enrollment of patients. Patient enrollment is a function of many factors,
including the size of the patient population, the proximity of patients to
clinical sites, the eligibility criteria for the trial, the existence of
competing clinical trials and the availability of alternative or new treatments.
In particular, the patient population targeted by some of our clinical trials
may be small. Delays in future planned patient enrollment may result in
increased costs and program delays.

In addition, clinical trials, if completed, may not show any potential product
to be safe or effective. Results obtained in pre-clinical studies or early
clinical trials are not always indicative of results that will be obtained in
later clinical trials. Moreover, data obtained from pre-clinical studies and
clinical trials may be subject to varying interpretations. As a result, the FDA
or other applicable regulatory authorities may not approve a product in a timely
fashion, or at all.

OUR FAILURE TO ACQUIRE AND DEVELOP ADDITIONAL PRODUCT CANDIDATES OR APPROVED
PRODUCTS WILL IMPAIR OUR ABILITY TO GROW

As part of our growth strategy, we intend to acquire and develop additional
pharmaceutical product candidates or approved products. The success of this
strategy depends upon our ability to identify, select and acquire pharmaceutical
products in late-stage development or that have been approved that meet the
criteria we have established. Because we neither have, nor intend to

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   20

establish, internal scientific research capabilities, we are dependent upon
pharmaceutical and biotechnology companies and other researchers to sell or
license product candidates to us.

Identifying suitable product candidates and approved products and proposing,
negotiating and implementing an economically viable acquisition is a lengthy and
complex process. In addition, other companies, including those with
substantially greater financial, marketing and sales resources, may compete with
us for the acquisition of product candidates and approved products. We may not
be able to acquire the rights to additional product candidates and approved
products on terms that we find acceptable, or at all.

IF WE BREACH ANY OF THE AGREEMENTS UNDER WHICH WE LICENSE COMMERCIALIZATION
RIGHTS TO PRODUCTS OR TECHNOLOGY FROM OTHERS, WE COULD LOSE LICENSE RIGHTS THAT
ARE IMPORTANT TO OUR BUSINESS

We license commercialization rights to products and technology that are
important to our business, and we expect to enter into additional licenses in
the future. For instance, we acquired our first three products through exclusive
licensing arrangements. Under these licenses we are subject to commercialization
and development, sublicensing, royalty, insurance and other obligations. If we
fail to comply with any of these requirements, or otherwise breach these license
agreements, the licensor may have the right to terminate the license in whole or
to terminate the exclusive nature of the license. In addition, upon the
termination of the license we may be required to license to the licensor the
intellectual property that we developed.

OUR ABILITY TO MANAGE OUR BUSINESS EFFECTIVELY COULD BE HAMPERED IF WE ARE
UNABLE TO ATTRACT AND RETAIN KEY PERSONNEL AND CONSULTANTS

The biopharmaceutical industry has experienced a high rate of turnover of
management personnel in recent years. We are highly dependent on our ability to
attract and retain qualified personnel for the acquisition, development and
commercialization activities we conduct or sponsor. If we lose one or more of
the members of our senior management, including our chief executive officer, Dr.
Clive A. Meanwell, or other key employees or consultants, our business and
operating results could be seriously harmed. Our ability to replace these key
employees may be difficult and may take an extended period of time because of
the limited number of individuals in the biotechnology industry with the breadth
of skills and experience required to develop and commercialize products
successfully. Competition to hire from this limited pool is intense, and we may
be unable to hire, train, retain or motivate such additional personnel.

WE FACE SUBSTANTIAL COMPETITION, WHICH MAY RESULT IN OTHERS DISCOVERING,
DEVELOPING OR COMMERCIALIZING COMPETING PRODUCTS BEFORE OR MORE SUCCESSFULLY
THAN WE DO

The biopharmaceutical industry is highly competitive. Our success will depend on
our ability to acquire and develop products and apply technology and our ability
to establish and maintain a market for our products. Potential competitors in
the United States and other countries include major pharmaceutical and chemical
companies, specialized biotechnology firms, universities and other research
institutions. Many of our competitors have substantially greater research and
development capabilities and experience, and greater manufacturing, marketing
and financial resources than we do. Accordingly, our competitors may develop
products or other novel technologies that are more effective, safer or less
costly than existing products or technologies or products or technologies that
are being developed by us or may obtain FDA approval for products more rapidly
than we are able. Technological development by others may render our

                                    Page 18
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products or product candidates noncompetitive. We may not be successful in
establishing or maintaining technological competitiveness.

BECAUSE THE MARKET FOR THROMBIN INHIBITORS IS COMPETITIVE, OUR PRODUCT MAY NOT
OBTAIN WIDESPREAD USE

We plan to position Angiomax as a replacement for heparin, which is widely used
and inexpensive, for use in patients with ischemic heart disease. Because
heparin is inexpensive and has been widely used for many years, medical
decision-makers may be hesitant to adopt our alternative treatment. In addition,
due to the high incidence and severity of cardiovascular diseases, the market
for thrombin inhibitors is large and competition is intense and growing. There
are a number of thrombin inhibitors currently on the market, awaiting regulatory
approval and in development, including orally administered agents.

THE LIMITED RESOURCES OF THIRD-PARTY PAYERS MAY LIMIT THE USE OF OUR PRODUCTS

In general, anticoagulant drugs may be classified in three groups: drugs that
directly or indirectly target and inhibit thrombin, drugs that target and
inhibit platelets and drugs that break down fibrin. Because each group of
anticoagulants acts on different components of the clotting process, we believe
that there will be continued clinical work to determine the best combination of
drugs for clinical use. We expect Angiomax to be used with aspirin alone or in
conjunction with other therapies. Although we do not plan to position Angiomax
as a direct competitor to platelet inhibitors or fibrinolytic drugs, platelet
inhibitors and fibrinolytic drugs may compete with Angiomax for the use of
hospital financial resources. Many U.S. hospitals receive a fixed reimbursement
amount per procedure for the angioplasties and other treatment therapies they
perform. Because this amount is not based on the actual expenses the hospital
incurs, U.S. hospitals may have to choose among Angiomax, platelet inhibitors
and fibrinolytic drugs.

FLUCTUATIONS IN OUR OPERATING RESULTS COULD AFFECT THE PRICE OF OUR COMMON STOCK

Our operating results may vary from period to period based on the amount and
timing of sales of Angiomax to customers in the United States, the availability
and timely delivery of a sufficient supply of Angiomax, the timing and expenses
of clinical trials, the availability and timing of third-party reimbursement and
the timing of approval for our product candidates. If our operating results do
not match the expectations of securities analysts and investors as a result of
these and other factors, the trading price of our common stock may fluctuate.

Risks Related to Our Industry

IF WE DO NOT OBTAIN FDA APPROVALS FOR OUR PRODUCTS OR COMPLY WITH GOVERNMENT
REGULATIONS, WE MAY NOT BE ABLE TO MARKET OUR PRODUCTS AND MAY BE SUBJECT TO
STRINGENT PENALTIES

Except for Angiomax, which has been approved for sale in the United States and
New Zealand, we do not have a product approved for sale in the United States or
any foreign market. We must obtain approval from the FDA in order to sell our
product candidates in the United States and from foreign regulatory authorities
in order to sell our product candidates in other countries. We must successfully
complete our clinical trials and demonstrate manufacturing capability before we
can file with the FDA for approval to sell our products. The FDA could require
us to repeat clinical trials as part of the regulatory review process. Delays in
obtaining or failure to obtain regulatory approvals may:

- -      delay or prevent the successful commercialization of any of our product
       candidates;

                                    Page 19
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- -      diminish our competitive advantage; and

- -      defer or decrease our receipt of revenues or royalties.

The regulatory review and approval process is lengthy, expensive and uncertain.
Extensive pre-clinical data, clinical data and supporting information must be
submitted to the FDA for each additional indication to obtain such approvals,
and we cannot be certain when we will receive these regulatory approvals, if
ever.

In addition to initial regulatory approval, our products and product candidates
will be subject to extensive and rigorous ongoing domestic and foreign
government regulation. Any approvals, once obtained, may be withdrawn if
compliance with regulatory requirements is not maintained or safety problems are
identified. Failure to comply with these requirements may also subject us to
stringent penalties.

WE MAY NOT BE ABLE TO OBTAIN OR MAINTAIN PATENT PROTECTION FOR OUR PRODUCTS,
AND WE MAY INFRINGE THE PATENT RIGHTS OF OTHERS

The patent positions of pharmaceutical and biotechnology companies like us are
generally uncertain and involve complex legal, scientific and factual issues.
Our success depends significantly on our ability to:

- -        obtain patents;

- -        protect trade secrets;

- -        operate without infringing the proprietary rights of others; and

- -        prevent others from infringing our proprietary rights.

We may not have any patents issued from any patent applications that we own or
license. If patents are granted, the claims allowed may not be sufficiently
broad to protect our technology. In addition, issued patents that we own or
license may be challenged, invalidated or circumvented. Our patents also may not
afford us protection against competitors with similar technology. Because patent
applications in the United States are maintained in secrecy until patents issue,
others may have filed or maintained patent applications for technology used by
us or covered by our pending patent applications without our being aware of
these applications. In all, we exclusively license 10 issued U.S. patents and a
broadly filed portfolio of corresponding foreign patents and patent
applications. We have not yet filed any independent patent applications.

We may not hold proprietary rights to some patents related to our product
candidates. In some cases, others may own or control these patents. As a result,
we may be required to obtain licenses under third-party patents to market some
of our product candidates. If licenses are not available to us on acceptable
terms, we will not be able to market these products.

We may become a party to patent litigation or other proceedings regarding
intellectual property rights. The cost to us of any patent litigation or other
proceeding, even if resolved in our favor,

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could be substantial. If any patent litigation or other intellectual property
proceeding in which we are involved is resolved unfavorably to us, we may be
enjoined from manufacturing or selling our products without a license from the
other party, and we may be held liable for significant damages. We may not be
able to obtain any required license on commercially acceptable terms, or at all.

IF WE ARE NOT ABLE TO KEEP OUR TRADE SECRETS CONFIDENTIAL, OUR TECHNOLOGY AND
INFORMATION MAY BE USED BY OTHERS TO COMPETE AGAINST US

We rely significantly upon unpatented proprietary technology, information,
processes and know-how. We seek to protect this information by confidentiality
agreements with our employees, consultants and other third-party contractors, as
well as through other security measures. We may not have adequate remedies for
any breach by a party to these confidentiality agreements. In addition, our
competitors may learn or independently develop our trade secrets.

WE COULD BE EXPOSED TO SIGNIFICANT LIABILITY CLAIMS IF WE ARE UNABLE TO OBTAIN
INSURANCE AT ACCEPTABLE COSTS AND ADEQUATE LEVELS OR OTHERWISE PROTECT OURSELVES
AGAINST POTENTIAL PRODUCT LIABILITY CLAIMS

Our business exposes us to potential product liability risks, which are inherent
in the testing, manufacturing, marketing and sale of human healthcare products.
Product liability claims might be made by consumers, health care providers or
pharmaceutical companies or others that sell our products. These claims may be
made even with respect to those products that are manufactured in licensed and
regulated facilities or otherwise possess regulatory approval for commercial
sale.

These claims could expose us to significant liabilities that could prevent or
interfere with the development or commercialization of our products. Product
liability claims could require us to spend significant time and money in
litigation or pay significant damages. We are currently covered, with respect to
our commercial sales in the United States and New Zealand and our clinical
trials, by primary product liability insurance in the amount of $20.0 million
per occurrence and $20.0 million annually in the aggregate on a claims-made
basis. This coverage may not be adequate to cover any product liability claims.
As we commercialize our products, we may wish to increase our product liability
insurance. Product liability coverage is expensive. In the future, we may not be
able to maintain or obtain such product liability insurance on reasonable terms,
at a reasonable cost or in sufficient amounts to protect us against losses due
to product liability claims.

ITEM 3 - QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Our exposure to market risk is confined to our cash, cash equivalents and
marketable securities. We place our investments in high-quality financial
instruments, primarily money market funds and corporate debt securities with
maturities or auction dates of less than one year, which we believe are subject
to limited credit risk. We currently do not hedge interest rate exposure. At
June 30, 2001, we held $89.6 million in cash, cash equivalents, and marketable
securities, all due within one year, which had an average interest rate of
approximately 4.5%. We do not believe that a 10% increase or decrease in
interest rates in effect at June 30, 2001 would have a material impact on our
results of operations or cash flows.

Most of our transactions are conducted in U.S. dollars. We do have certain
development and commercialization agreements with vendors located outside the
United States. Transactions

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under certain of these agreements are conducted in U.S. dollars, subject to
adjustment based on significant fluctuations in currency exchange rates.
Transactions under certain other of these agreements are conducted in the local
foreign currency. We do not believe that a 10% increase or decrease in foreign
currency exchange rates would have a material impact on our results of
operations or cash flows.


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PART II. OTHER INFORMATION

ITEM 2 - CHANGES IN SECURITIES AND USE OF PROCEEDS

                  In our IPO, we sold 6.9 million shares of common stock
                  (including an over-allotment option of 900,000 shares)
                  pursuant to a Registration Statement on Form S-1 (File No.
                  333-37404) that was declared effective by the Securities and
                  Exchange Commission on August 7, 2000. Of the aggregate net
                  proceeds of approximately $101.4 million from the IPO, from
                  August 7, 2000 through June 30, 2001, we used approximately
                  $56.3 million for general corporate purposes, including
                  operations, working capital and capital expenditures, with the
                  remaining $45.1 million in proceeds invested in cash, cash
                  equivalents and marketable securities. Of the approximately
                  $56.3 million, we paid approximately $283,000 to Stack
                  Pharmaceuticals, Inc., and approximately $4.7 million to
                  Innovex, Inc. David Stack, one of our Senior Vice Presidents,
                  is also the President and General Partner of Stack
                  Pharmaceuticals and a Senior Advisor to the Chief Executive
                  Officer of Innovex. Other than these payments, none of the net
                  proceeds of the IPO has been paid by us, directly or
                  indirectly, to any director, officer or general partner of us,
                  or any of their associates, or to any person owning ten
                  percent or more of any class of our equity securities, or any
                  of our affiliates.

                  On May 16, 2001, we sold 4.0 million shares of common stock to
                  both new and existing stockholders for an aggregate price of
                  $44.0 million and net proceeds of $41.8 million. The shares
                  were offered and sold to "accredited investors" without
                  registration under the Securities Act of 1933, as amended, or
                  the securities laws of certain states, in reliance on the
                  exemptions provided by Section 4(2) of the Securities Act and
                  Regulation D promulgated thereunder and in reliance on similar
                  exemptions under applicable state laws.


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

On May 31, 2001, the following proposals were voted on at the Annual Meeting of
Stockholders:




Proposal                                                  For                 Against/Withheld     Abstain
- ---------------------------------------------         ----------              ----------------     -------
                                                                                            
To elect Dennis B. Gillings to serve as class         15,583,779                   593,964           N/A
I director until the 2004 annual meeting of
stockholders
To elect Stewart J. Hen to serve as class I           16,175,791                    1,952            N/A
director until the 2004 annual meeting of
stockholders
To elect T. Scott Johnson to serve as class I         16,175,791                    1,952            N/A
director until the 2004 annual meeting of
stockholders
To ratify the appointment of Ernst & Young LLP        16,171,610                    5,855            278
as the Company's independent public
accountants for the current fiscal year



In addition to the three directors listed above who were elected at the meeting,
the terms of the following directors continued after the meeting: Leonard Bell,
M. Fazle Husain, Armin M. Kessler, Nicholas J. Lowcock, Clive A. Meanwell and
James E. Thomas.



ITEM 6 - EXHIBITS AND REPORTS ON FORM 8-K

(b)      Reports on Form 8-K.

         None.


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   27


                                   SIGNATURES

Pursuant to the requirements 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.

                                               THE MEDICINES COMPANY


Date:  August 13, 2001                         By: /s/ Peyton J. Marshall
                                                   -----------------------------
                                                   Peyton J. Marshall
                                                   Chief Financial Officer



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