TELIK’S TELINTRA™ DEMONSTRATES CLINICAL ACTIVITY IN RESISTANT MYELODYSPLASTIC SYNDROME IN PHASE 1-2A TRIAL

Palo Alto, CA, November 19, 2003 — Telik, Inc. (Nasdaq: TELK) announced positive interim results from a Phase 1-2a clinical trial of TELINTRA™ (TLK199) in patients with myelodysplastic syndrome (MDS), a bone marrow disorder characterized by low levels of white blood cells, red blood cells and platelets and that may progress to leukemia. The data were presented at the EORTC-NCI-AACR* Molecular Targets and Cancer Therapeutics Conference in Boston.

Twenty-one MDS patients were enrolled in the dose-escalation trial at the time of interim analysis. Sixteen patients were evaluable for safety and efficacy. Five patients were too early to evaluate. Twelve of the patients (75%) required blood support prior to study entry. There is no standard therapy for MDS, and many of the patients had failed prior therapies with agents such as thalidomide and erythropoietin.

Nine patients (56%) had clinically significant improvement in at least one of the three blood cell lineages (red cells, white cells, platelets). Three of the nine had improvement in all three cell lineages and bone marrow response, and two of the nine also had improvement in two cell lineages. Three of the responding patients had reduced requirements for blood support, an important clinical benefit. Five patients (31%) had objective response as defined as Hematologic Improvement (HI) by MDS response criteria. Durability of response in both white blood cells and red blood cells in the longest observed cohort exceeds 4 months. All patients showed an increase in blood colony forming units measured in blood and bone marrow after TELINTRATM administration. There was no evidence of stimulation of CD34 expressing cells. TELINTRA™ treatment was well-tolerated and dose escalation continues.

“This early evidence of clinically significant responses suggest that TELINTRA™ may have potential in treating MDS and other hematologic malignancies characterized by decreased blood cell production, including chemotherapy-induced bone marrow suppression and aplastic anemia,” said Gail L. Brown, M.D., senior vice president and chief medical officer.

CASE REPORTS

A 72 year old male diagnosed with MDS (Refractory Anemia-RA) in 2001. He was initially treated with thalidomide and erythropoietin with no response. He was transfusion dependent requiring one unit of blood every week. He began TELINTRATM therapy with significant increase in this white blood cell levels from 6,700 to 14,700 and platelet levels from 159,000 to 394,000. His blood transfusion requirements decreased and bone marrow showed a decrease in abnormal cells. He received the maximum allowable treatment cycles in the Phase 1 stage of the study with good response and tolerability.

A 74 year old female was diagnosed with MDS (refractory anemia with excess blast cells in transformation - RAEB-t) with decreasing low white blood cell, red blood cell and platelet levels. She was treated with erythropoietin with no response. She began TELINTRATM treatment and her blood counts improved with white cell levels increasing from 3,200 to 6,900 and improvement in platelet levels.

* American Association for Cancer Research — National Cancer Institute — European Organization for Research and Treatment of Cancer

About Telik, Inc.

Telik, Inc. of Palo Alto, CA is a biopharmaceutical company working to discover, develop and commercialize small molecule drugs to treat serious diseases for which there is significant demand for new therapies. The company’s most advanced drug development candidate is TELCYTA™. Telik’s product candidates were discovered using its proprietary technology, TRAP, which enables the rapid and efficient discovery of small molecule drug candidates. Additional information is available at www.telik.com.

You should not rely on forward-looking statements contained in this press release, including statements regarding our ability to successfully develop TELINTRA™ for MDS or any other condition, its tolerability, potential efficacy or market potential. Telik can give no assurance with regard to these statements. None of our products have been determined to be safe or effective in humans or been approved for marketing. Substantial additional testing will be necessary prior to seeking marketing approval. There can be no assurance that such trials will accrue sufficient patients, be conducted with sufficient quality, in a timely manner, have a successful outcome, or that regulatory approval will be obtained. In addition, we are reliant on external manufacturing, and any interruption or delay in drug supply could adversely affect the development program. More detailed information regarding factors that may cause actual results to differ materially from the results expressed or implied by statements in this press release may be found in Telik’s periodic filings with the Securities and Exchange Commission. Telik assumes no obligation to update any information in this press release.

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Contact:
Carol DeGuzman
Senior Director, Corporate Communications
Telik, Inc.
Tel 650-845-7728
Email cdeguzman@telik.com


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