Medivation Reports Third Quarter 2009 Financial Results and Provides Corporate Update

November 4, 2009

-- Conference Call Today at 4:30 p.m. Eastern Time --

SAN FRANCISCO, Nov. 4 /PRNewswire-FirstCall/ -- Medivation, Inc. (Nasdaq: MDVN) today reported on its corporate progress and financial results for the third quarter ended September 30, 2009.

"With the signing of our agreement for MDV3100 with Astellas last week, we now have a first-class partner with a global reach, leading commercial presence in the urology space, and strategic focus on oncology. This achievement marks our second major collaboration in just over a year's time, bringing us significant resources which allow us to drive our product candidates forward, while still maintaining substantial ownership of our dimebon and MDV3100 programs. We and Astellas are committed to advancing development of this novel androgen receptor antagonist as quickly as possible for a broad spectrum of prostate cancer disease states," said David Hung, M.D., president and chief executive officer of Medivation. "We also made important progress with dimebon and now have seven pivotal trials in our broad clinical development program in both Alzheimer's and Huntington diseases in various stages of activity. We have reported results from our first pivotal trial, we expect data in the first half of next year from our second confirmatory pivotal trial, and five other pivotal trials are ongoing."

Recent Accomplishments and Near-Term Milestones

Dimebon (latrepirdine*)

    --  On track to announce top-line results from CONNECTION, a confirmatory,
        pivotal Phase 3 trial in patients with mild-to-moderate Alzheimer's
        disease, in the first half of 2010.
    --  Completed patient enrollment in a placebo-controlled Phase 3 safety
        study in 750 Alzheimer's disease patients on a variety of background
        anti-dementia drugs.
    --  Initiated patient enrollment in CONSTELLATION, a six-month, randomized,
        double-blind, placebo-controlled Phase 3 trial in approximately 570
        patients with moderate-to-severe Alzheimer's disease that will evaluate
        as primary endpoints the effects of adding dimebon to Namenda®, a
        standard of care Alzheimer's disease medicine, on cognitive and
        behavioral symptoms.
    --  Initiated patient enrollment in CONTACT, a six-month, randomized,
        double-blind, placebo-controlled Phase 3 trial in approximately 600
        patients with moderate-to-severe Alzheimer's disease that will assess as
        primary endpoints the potential benefits of adding dimebon to ongoing
        treatment with Aricept®, the leading Alzheimer's medication worldwide,
        on neuropsychiatric symptoms and activities of daily living. This study
        is the first pivotal Alzheimer's disease study to use the
        Neuropsychiatric Inventory (NPI) scale as a co-primary endpoint.
    --  Continued patient enrollment in CONCERT, a 12-month Phase 3 clinical
        trial in patients with mild-to-moderate Alzheimer's disease that is
        designed to evaluate the efficacy of dimebon when added to ongoing
        treatment with Aricept.

    --  Continued patient enrollment in HORIZON, a six-month, double-blind,
        placebo-controlled Phase 3 trial that is evaluating dimebon's potential
        benefits on cognition in patients with Huntington disease.

*Latrepirdine is the proposed generic name for dimebon.

MDV3100

    --  Entered into a global collaboration agreement with Astellas Pharma Inc.
        to develop and commercialize MDV3100 for the treatment of prostate
        cancer. Under the terms of the agreement, Medivation has received an
        up-front cash payment of $110 million and is also eligible to receive
        payments of up to $335 million upon the attainment of development and
        regulatory milestones, plus up to an additional $320 million in
        commercial milestone payments.

    --  Initiated AFFIRM, a randomized, placebo-controlled, double-blind Phase 3
        survival trial that is evaluating 160 mg/day of MDV3100 in men with
        castration-resistant prostate cancer who were previously treated with
        docetaxel-based chemotherapy.

Corporate

    --  Appointed Hank Mansbach, M.D., a neurologist with more than 10 years of
        industry experience, as vice president, medical affairs.

Third Quarter 2009 Financial Results

Revenue for the third quarter of 2009 was $16.3 million, consisting of partial recognition of the non-refundable up-front payment of $225.0 million received from Pfizer in October 2008. The up-front payment was recorded as deferred revenue upon receipt and is being recognized on a straight-line basis over the estimated performance period of the Company's obligations under its collaboration agreement with Pfizer, which the Company presently expects to complete in the first quarter of 2012.

Total operating expenses for the three months ended September 30, 2009, were $27.6 million, compared with total operating expenses of $20.6 million for the same period in 2008. These figures included non-cash stock-based compensation expense of $2.5 million in the quarter ended September 30, 2009, compared with $2.3 million for the same period in 2008.

For the nine months ended September 30, 2009, total operating expenses were $73.8 million, compared with total operating expenses of $55.3 million for the same period in 2008. These figures included non-cash stock-based compensation expense of $7.7 million in the nine months ended September 30, 2009, compared with $6.4 million for the same period in 2008.

Beginning October 21, 2008, Pfizer became responsible for 60 percent of all dimebon-related development and commercialization costs in the U.S., and 100 percent of such costs outside the U.S. The parties are making quarterly true-up payments as necessary to ensure that each bears its applicable share of costs. For the third quarter of 2009, the true-up payment payable to Medivation was $4.2 million. Medivation presents these cost-sharing true-up payments in the applicable expense line of its statements of operations.

Medivation reported a net loss for the quarter ended September 30, 2009, of $14.0 million, or $0.42 per share, compared with a net loss of $20.5 million, or $0.68 per share, for the same period in 2008. For the nine months ended September 30, 2009, the net loss was $28.5 million, or $0.90 per share, compared with a net loss of $54.5 million, or $1.86 per share, for the same period in 2008.

Cash, cash equivalents and short-term investments at September 30, 2009, totaled $214.5 million, compared with $221.4 million at December 31, 2008, and $237.7 million at June 30, 2009. This does not include the $110 million up-front payment Medivation received from Astellas on November 2, 2009 pursuant to the MDV3100 collaboration agreement.

Updated 2009 Financial Outlook

Medivation currently expects that total operating expenses for 2009, net of cost-sharing payments with Pfizer and Astellas, will be between $115 and $120 million, down from its prior forecast of between $117 and $127 million. Both the current and prior forecasts include approximately $10 million of non-cash stock-based compensation expense.

Conference Call Information

To participate by telephone in today's live call beginning at 4:30 p.m. Eastern Time by telephone, please call 877-874-1563 from the U.S. or +1-719-325-4891 internationally. In addition, the live conference call is being webcast and can be accessed on the "Events and Presentations" page of the "Investor Relations" section of the Company's website at www.medivation.com. A replay also will be available for 30 days following the live call.

About Medivation

Medivation, Inc. is a biopharmaceutical company focused on the rapid development of novel small molecule drugs to treat serious diseases for which there are limited treatment options. Medivation aims to transform the treatment of these diseases and offer hope to critically ill patients and their caregivers. In September 2008, Medivation announced a global agreement with Pfizer, Inc to develop and commercialize dimebon (latrepirdine) for the treatment of Alzheimer's and Huntington diseases. With Pfizer, Medivation is conducting a broad dimebon clinical development program that includes several Phase 3 trials assessing the efficacy and safety of dimebon taken alone or in combination with other Alzheimer's medications in patients with mild, moderate and severe Alzheimer's disease. The companies are also conducting a Phase 3 trial of dimebon in Huntington disease. In October 2009, Medivation entered a global agreement with Astellas Pharma Inc. to develop and commercialize MDV3100 for prostate cancer. The first Phase 3 clinical trial in the MDV3100 development program, known as the AFFIRM trial, is under way in patients with castration-resistant prostate cancer who have previously been treated with docetaxel-based chemotherapy. For more information, please visit us at http://www.medivation.com.

This press release contains forward-looking statements, including statements regarding the continued clinical development of Medivation's product candidates, the timing of clinical trial initiation and clinical trial data, the therapeutic and commercial potential of Medivation's product candidates, the performance of Medivation's obligations under its collaboration agreement with Pfizer and continuing true-up payments thereunder, potential future milestone payments under Medivation's collaboration agreement with Astellas, and future expected financial results, which are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Any statements contained in this press release that are not statements of historical fact may be deemed to be forward-looking statements. Forward-looking statements involve risks and uncertainties that could cause Medivation's actual results to differ significantly from those projected, including, without limitation, risks related to progress, timing and results of Medivation's clinical trials, difficulties or delays in obtaining regulatory approval, enrollment of patients in Medivation's clinical trials, partnering of Medivation's product candidates, including Medivation's dependence on the efforts of and funding by Pfizer and Astellas for the development of dimebon and MDV3100, respectively, the achievement of development, regulatory and commercial milestones under Medivation's collaboration agreements, manufacturing of Medivation's product candidates, competition with Medivation's product candidates should they receive marketing approval, the adequacy of Medivation's financial resources, unanticipated expenditures or liabilities, intellectual property matters, and other risks detailed in Medivation's filings with the Securities and Exchange Commission, including its quarterly report on Form 10-Q for the quarter ended September 30, 2009, filed today with the SEC. You are cautioned not to place undue reliance on the forward-looking statements, which speak only as of the date of this release. Medivation disclaims any obligation or undertaking to update or revise any forward-looking statements contained in this press release.

                         ~financial statements follow~


                                 MEDIVATION, INC.
                  CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                       (in thousands, except per share data)
                                  (unaudited)


                                          Three Months         Nine Months
                                              Ended               Ended
                                          September 30,       September 30,
                                         --------------      --------------
                                           2009      2008      2009      2008
                                           ----      ----      ----      ----

    Collaboration revenue               $16,341        $-   $49,021        $-
                                        -------        --   -------        --

    Operating expenses:
       Research and development          21,530    15,514    54,851    41,728
       Selling, general
     and administrative                   6,034     5,122    18,950    13,532

                                         ------    ------    ------    ------
              Total operating expenses   27,564    20,636    73,801    55,260
                                         ------    ------    ------    ------

    Loss from operations                (11,223)  (20,636)  (24,780)  (55,260)
    Other income (expense):
       Interest income                      153       170       967       735
      Other income (expense), net           (57)       10      (154)       (2)
                                            ---        --      ----        --
                Total other income           96       180       813       733
                                             --       ---       ---       ---
    Loss before provision for
     income taxes                       (11,127)  (20,456)  (23,967)  (54,527)
    Provision for income taxes            2,846         -     4,538         2
                                          -----       ---     -----       ---
    Net loss                           $(13,973) $(20,456) $(28,505) $(54,529)
                                       ========  ========  ========  ========

    Basic and diluted net
     loss per share                      $(0.42)   $(0.68)   $(0.90)   $(1.86)
                                         ======    ======    ======    ======

    Weighted average common
     shares used
     in the calculation of basic
     and diluted
     net loss per share                  33,468    30,022    31,588    29,273
                                         ======    ======    ======    ======



                                  MEDIVATION, INC.
                       CONDENSED CONSOLIDATED BALANCE SHEETS
                   (in thousands, except share and per share data)
                                     (unaudited)


                                                    September  December
                                                       30,        31,
                                                      2009      2008
                                                      ----      ----

    ASSETS
    Current assets:
      Cash and cash equivalents                     $56,502   $71,454
      Short-term investments                        157,955   149,968
      Receivable from collaboration partner           4,218     3,522
      Prepaid expenses and
     other current assets                             6,011     1,957
                                                      -----     -----
              Total current assets                  224,686   226,901

    Property and equipment, net                       1,070       768
    Restricted cash                                     843       843
    Intellectual property, net                           51        54
    Other non-current assets                            694       706
                                                        ---       ---
    Total assets                                   $227,344  $229,272
                                                   ========  ========

    LIABILITIES AND STOCKHOLDERS' EQUITY

    Current liabilities:
      Accounts payable                               $5,447    $7,166
      Accrued expenses                               12,998     5,772
      Deferred revenue                               65,361    64,286
      Other current liabilities                         121        93
                                                        ---        --
            Total current liabilities                83,927    77,317

    Deferred revenue, net of current                 98,041   148,137
    Other non-current liabilities                       360       399
    Series A redeemable preferred stock                  11        11
                                                         --        --
            Total liabilities                       182,339   225,864
                                                    -------   -------

    Stockholders' equity:
      Preferred stock, $0.01 par value per share;
         1,000,000 shares authorized; no
          shares issued and outstanding                   -         -
      Common stock, $0.01 par value per share;
         50,000,000 shares authorized; issued
          and outstanding 33,504,743 shares
          at September 30, 2009 and 30,088,390
          at December 31, 2008                          335       301
      Additional paid-in capital                    195,736   125,074
      Accumulated other comprehensive income             99       693
      Accumulated deficit                          (151,165) (122,660)
                                                   --------  --------
            Total stockholders' equity               45,005     3,408
                                                     ------     -----

    Total liabilities and stockholders' equity     $227,344  $229,272
                                                   ========  ========

SOURCE Medivation, Inc.