Chelsea Therapeutics Reports Third Quarter 2006 Results

Company Positioned for Key Milestone Achievements in 2006 and 2007


CHARLOTTE, N.C., Nov. 14, 2006 (PRIMEZONE) -- Chelsea Therapeutics International, Ltd. (Nasdaq:CHTP) today presented a quarterly update on the Company's development progress, reported financial results for the third quarter 2006 and confirmed that it remains on track to meet key milestones in 2006 and 2007.

Third Quarter Financial Results:


 -- Net loss of $2.1 million, or ($0.11) per share, for the three months 
    ended September 30, 2006 compared to $1.7 million, or ($0.14) per 
    share, for the comparable quarter in 2005.

 -- Cash used for operations was $1.3 million in the third quarter 2006 
    and $5.3 million for the nine months ending September 30, 2006. 
    Chelsea ended the quarter with $17.7 million in cash and cash 
    equivalents and short-term investments, compared to $3.2 million at 
    December 31, 2005. Chelsea expects to end the year with cash and cash 
    equivalents of approximately $13.0 million and anticipates that this 
    will cover the company's operating requirements into the fourth 
    quarter of 2007.

Third Quarter Drug Development Highlights:

Chelsea made solid progress in each of its development programs during the quarter, including:


 -- Filing an Orphan Drug application for its drug candidate Droxidopa for 
    the treatment of symptomatic neurogenic orthostatic hypotension;

 -- Establishing a Scientific Advisory Board comprised of respected 
    scientists from related fields to provide added guidance for the 
    development and commercialization of Droxidopa;

 -- Initiating IND-enabling toxicology studies on lead I-3D drug candidate 
    in collaboration with Active Biotech;

 -- Selecting a disodium salt formulation and initiating pharmaceutical 
    enhancements to CH-1504; and

 -- Rounding out Chelsea's senior executive team through the appointment 
    of industry veteran Keith Schmidt as Vice President, Marketing and 
    Sales to Drive Pre-launch Marketing and Launch Activities for 
    Droxidopa

During the quarter, Chelsea focused its efforts on the preparation and subsequent filing of its Orphan Drug application with the U.S. FDA for Droxidopa, reformulation of CH-1504 and preclinical development of compounds in the I-3D portfolio. Dr. Simon Pedder, President and CEO of Chelsea noted, "Based on the meaningful progress made across each of our development programs during the quarter, Chelsea is well positioned to execute against its strategic goals and achieve several key milestones in 2006 and 2007."

Droxidopa

During the third quarter 2006, Chelsea filed its application for Orphan Drug designation with the U.S. FDA and established a Scientific Advisory Board to provide added guidance on the development and commercialization of Droxidopa. In addition to its application with the FDA, Chelsea met with the EMEA in mid-October to discuss EU Orphan designation for Droxidopa and has been invited to submit its application later this month. Based on the planned timing of this filing, Chelsea expects to receive a determination from the EMEA regarding its application in the first quarter 2007.

"We believe we are on the cusp of achieving our first significant milestone for Droxidopa this quarter. Having filed for U.S. Orphan Drug designation, we are now in active discussions with the FDA regarding this application and look forward to a favorable response by year-end," continued Dr. Pedder. "In anticipation of this designation, we have been actively consulting with our Scientific Advisory Board to formalize our trial design and hope to finalize protocol with both the FDA and EMEA for a single, multi-national Phase III trial sufficient for an NDA filing."

In preparation for the pivotal Phase III trial planned in 2007, Chelsea recently engaged Patheon for the manufacturing of clinical and commercial material from the active pharmaceutical ingredient provided by Dainippon Sumitomo Pharma.

CH-1504

Chelsea's lead clinical compound in its portfolio of metabolically inert antifolates, CH-1504, continues to progress in its conversion from a free acid to salt formulation. During the third quarter 2006, the company engaged in a comprehensive screening of approximately 25 commercially viable salts and, based on the results of that screening process, selected a disodium salt of CH-1504. Having selected its salt formulation, Chelsea recently initiated complimentary pharmaceutical enhancements to the compound that will include evaluation of such solid dosage form options as compounding with wetting agents, buffers, enteric coatings or alternatively, liquid filled hard gel capsule technology. The primary goal of these formulation efforts is to improve the solubility of the compound, increasing bioavailability and reducing PK variation of CH-1504.

Once Chelsea has completed optimization of the salt formulation, it intends to conduct the required human bioequivalence studies to determine a comparable dose range for its global Phase II trials in rheumatoid arthritis. Preliminary discussions with the appropriate regulatory authorities and consultants suggest that the Company will not be required to conduct bridging toxicology studies or complete its animal toxicology studies prior to the initiation of its planned bioequivalence trials. Additionally, at this time the Company does not expect that a maximum tolerated dose trial will be required prior to Phase II and, as such, continues to evaluate the necessity and potential future timing of such a trial. Chelsea currently expects that all necessary formulation work will be complete in time to initiate its bioequivalence trials in second quarter 2007.

In parallel to its planned human bioequivalence work, Chelsea will be completing its animal toxicology studies; the results of both are expected to enable the initiation of global Phase II trials in rheumatoid arthritis in the fourth quarter 2007.

"Though we respect that this reformulation process is time-intensive, we are pleased that our efforts are progressing as anticipated and remain optimistic that the initiatives we have undertaken to optimize CH-1504 will result in a superior formulation with which to demonstrate proof of concept by comparing safety, tolerability and efficacy against methotrexate in a Phase II trial," commented Dr. Pedder. "As there remain several critical steps to our development of CH-1504 prior to Phase II including completion of pharmaceutical enhancements, determination of bioequivalence and evaluation of solubility of the new formulation, we remain committed to maintaining an open dialogue on our progress and look forward to updating our investors as new data becomes available."

I-3D

During the third quarter, Chelsea Therapeutics and Active Biotech continued to make progress in their co-development of the I-3D portfolio, a group of orally active compounds that inhibit the enzyme dihydroorotate dehydrogenase (DHODH) for the treatment of autoimmune diseases and transplant rejection.

Based on previously demonstrated "proof of concept" in both RA and transplant rejection animal models, the Joint Development Committee selected AB-224050 to be taken into IND-enabling toxicology studies during the third quarter 2006. Phase I clinical trials for AB-224050 in RA are expected to commence in the second quarter 2007.

About Chelsea Therapeutics

Chelsea Therapeutics is a biopharmaceutical development company that acquires and develops innovative products for the treatment of a variety of human diseases. The Company is currently developing a library of metabolically inert antifolate compounds engineered to have potent anti-inflammatory and anti-tumor activity to treat a range of immunological disorders. Early clinical data suggests that Chelsea's lead antifolate compound, CH-1504, is a safe and effective treatment alternative to methotrexate for RA and may have further applications for psoriasis, IBD and certain cancers. Chelsea's antifolate program is complemented by a strategic partnership with Active Biotech AB for the joint development of a portfolio of therapeutics targeting immune-mediated inflammatory disorders and transplantation. In addition to its autoimmune pipeline, Chelsea is pursuing an Orphan Drug strategy for the development of Droxidopa, an orally active synthetic precursor of norepinephrine, for the treatment of neurogenic orthostatic hypotension. Currently approved and marketed in Japan, Droxidopa has accumulated over 15 years of proven safety and efficacy data, generating annual revenue of approximately $50 million in Japan.

This press release contains forward-looking statements regarding future events. These statements are just predictions and are subject to risks and uncertainties that could cause the actual events or results to differ materially. These risks and uncertainties include reliance on collaborations and licenses, risks and costs of drug development, regulatory approvals, intellectual property risks, our reliance on our lead drug candidate CH-1504, our history of losses and need to raise more money, competition, market acceptance for our products if any are approved for marketing, reliance on key personnel including specifically Dr. Pedder, management of rapid growth, the need to acquire or develop additional products and the other risk factors set forth from time to time in our SEC filings.


        CHELSEA THERAPEUTICS INTERNATIONAL, LTD. AND SUBSIDIARY
                     (A Development Stage Company)
            CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                              (Unaudited)


                     For the three months      For the nine months
                      ended September 30,      ended September 30,
                    ----------------------    -----------------------
                       2006         2005          2006         2005
                       ----         ----          ----         ----

 Operating expenses:
   Research and
    development     $1,745,319   $1,367,538    $4,874,971   $4,076,493
   Sales and
    marketing          150,137      119,827       460,668      391,840
   General and
    administrative     458,481      276,964     1,551,634    1,670,020
                   -----------  -----------   -----------  -----------
 Total operating
  expenses           2,353,937    1,764,329     6,887,273    6,138,353
                   -----------  -----------   -----------  -----------

 Operating loss     (2,353,937)  (1,764,329)   (6,887,273)  (6,138,353)
 Interest income       243,149       49,254       636,600      163,069
 Interest expense           --           --            --           --

                   -----------  -----------   -----------  -----------
 Net loss          $(2,110,788) $(1,715,075)  $(6,250,673) $(5,975,284)
                   ===========  ===========   ===========  ===========

 Net loss per basic
  and diluted share
  of common stock  $     (0.11) $     (0.14)  $     (0.34) $     (0.49)
                   ===========  ===========   ===========  ===========

 Weighted average
  number of basic
  and diluted
  common shares
  outstanding       19,707,129   12,374,263    18,468,414   12,300,125
                   ===========  ===========   ===========  ===========


        CHELSEA THERAPEUTICS INTERNATIONAL, LTD. AND SUBSIDIARY
                     (A Development Stage Company)
                 CONDENSED CONSOLIDATED BALANCE SHEETS

                                      September 30,    December 31,
                                          2006            2005
                                          ----            ----
                                       (unaudited)
 Assets
 Current assets:                      
   Cash and cash equivalents          $ 17,662,112    $  3,173,434
   Prepaid contract research
    and manufacturing                      258,475         106,952
   Other prepaid expenses
    and other current assets                70,783          89,977
                                      ------------    ------------
 Total current assets                   17,991,370       3,370,363
 Property and equipment, net                52,541          43,200
 Other assets                               13,461          13,461
                                      ------------    ------------
                                      $ 18,057,372    $  3,427,024
                                      ============    ============


 Liabilities and Stockholders' Equity                
 Current liabilities:
   Accounts payable                   $    232,862    $    504,416
   Accrued compensation
    and related expenses                   304,534         245,273
   Accrued contract research
    and manufacturing                      887,994         171,415
   Other accrued expenses                  157,617         121,516
                                      ------------    ------------
 Total liabilities                       1,583,007       1,042,620
                                      ------------    ------------
 Commitments
 Stockholders' equity:
   Preferred stock, $0.0001
    par value, 5,000,000
    shares authorized,
    no shares issued
    and outstanding                             --              --
   Common stock, $0.0001
    par value, 45,000,000
    shares authorized,
    19,707,129 and 12,383,188
    shares issued and
    outstanding, respectively                1,971           1,238
   Additional paid-in capital           33,655,348      13,315,447
   Deficit accumulated during
    the development stage              (17,182,954)    (10,932,281)
                                      ------------    ------------
 Total stockholders' equity             16,474,365       2,384,404
                                      ------------    ------------
                                      $ 18,057,372    $  3,427,024
                                      ------------    ------------



        CHELSEA THERAPEUTICS INTERNATIONAL, LTD. AND SUBSIDIARY
                     (A Development Stage Company)
            CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                              (unaudited)

                            For the nine months ended September 30,
                            ---------------------------------------
                                     2006            2005
                                     ----            ----
 Operating activities:

 Net loss                       $ (6,250,673)   $ (5,975,284)
 Adjustments to reconcile
  net loss to net cash used
  in operating activities:
     Non-cash stock-based
       compensation                  201,089          73,888
     Non-cash stock-based
       variable accounting
       compensation                    4,192          99,921
     Depreciation and
       amortization                   25,786          18,853
     Stock issued for
       license agreement             274,621              --
     Non-cash interest
       expense                            --              --
     Changes in operating
       assets and
       liabilities:
        Prepaid expenses
          and other current
          assets                    (132,329)       (152,201)
        Accounts payable,
          accrued contract
          research and
          manufacturing
          expenses and other
          accrued expenses           481,126         546,997
        Accrued compensation
          and related
          expenses                    59,261         (69,838)
                                 -----------     -----------
 Net cash used in operating
   activities                     (5,336,927)     (5,457,664)
                                 -----------     -----------

 Investing activities:
   Acquisitions of property
     and equipment                   (35,127)        (17,564)
   Security deposits                      --              --
                                 -----------     -----------
 Net cash used in investing
   activities                        (35,127)        (17,564)
                                 -----------     -----------

 Financing activities:
   Proceeds from borrowings
     from affiliate                       --              --
   Proceeds from sales of
     common stock, net of
     issuance costs               19,855,652              --
   Proceeds from exercise
     of stock options                  5,080             999
   Proceeds from sales of
     equity securities, net
     of issuance costs                    --              --
   Recapitalization of
     the Company                          --        (400,000)
   Receipt of cash for stock
     subscription receivable              --              --
                                 -----------     -----------
 Net cash provided by (used
   in) financing activities       19,860,732        (399,001)
                                 -----------     -----------

 Net increase (decrease) in
   cash and cash equivalents      14,488,678      (5,874,229)
 Cash and cash equivalents,
   beginning of period             3,173,434      10,977,140
                                 -----------     -----------
 Cash and cash equivalents,
   end of period                 $17,662,112     $ 5,102,911
                                 ===========     ===========



 Supplemental disclosure of
   cash flow information:

     Cash paid for interest      $        --     $        --
                                 ===========     ===========


            

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