Topotarget A/S Symbion Fruebjergvej 3 DK-2100 Copenhagen Denmark Tel: +45 39 17 83 92 Fax: +45 39 17 94 92 CVR-nr: 25695771 www.topotarget.com Copenhagen, Denmark - 9 December 2010 - Topotarget A/S (NASDAQ OMX: TOPO) announced today that the first patient has been dosed in a Topotarget co-sponsored phase 1 study of belinostat in combination with warfarin in patients with solid tumors or hematological malignancies. The primary study objective is to determine if belinostat has interaction with warfarin. The study is expected to recruit 24 patients. The study A Phase 1 Study of Belinostat in Combination with Warfarin in Patients with Solid Tumors or Hematological Malignancies The study is an open-label, single center, pharmacokinetic and pharmacodynamic study in patients with solid tumors or hematological malignancies. In the initial phase up to 24 patients will receive oral Warfarin on day -14, and on day 3, given 2 hours before the start of belinostat infusion; and belinostat 1000 mg/m² as a 30 minute daily IV infusion on Days 1-5. Blood samples, urine samples, electrocardiogram (ECG) data, and safety measurements will be collected up to day 10. Patient can remain on study after the first cycle for a total of six cycles. The treatment cycles will be of 21 days each. Primary Objective The primary objective will be to determine pharmacodynamics effects on the combination of belinostat and warfarin. Safety and efficacy of belinostat will also be evaluated. Today's news does not change Topotarget's full-year financial guidance. Topotarget A/S For further information, please contact: Francois Martelet, CEO: Direct: +45 39 17 83 43; Mobile: +45 51 32 83 41 Anders Vadsholt, CFO: Direct: +45 39 17 83 45; Mobile: +45 28 98 90 55 Background information About belinostat Belinostat is a promising small molecule HDAC inhibitor being investigated for its role in the treatment of a wide range of solid tumors and hematologic malignancies either as a single-agent, or in combination with other active anti-cancer agents, including carboplatin, paclitaxel, doxorubicin, idarubicin, cis-retinoic acid, azacytidine and Velcade® (bortezomib) for injection. HDAC inhibitors represent a new mechanistic class of anti-cancer therapeutics that target HDAC enzymes, and have been shown to: arrest growth of cancer cells (including drug resistant subtypes); induce apoptosis, (programmed cell death); promote differentiation; inhibit angiogenesis; and sensitize cancer cells to overcome drug resistance when used in combination with other anti-cancer agents. Company-sponsored trials of IV-administered belinostat include a pivotal trial in peripheral T-cell lymphoma (PTCL), a randomized controlled Phase 2 trial in cancer of unknown primary (CUP), and studies in ovarian, colorectal and soft tissue sarcoma patients. NCI-sponsored trials (single agent and in combination with anti-cancer therapeutics) with IV-administered belinostat include studies in hepatocellular, thymoma, Myelodysplastic Syndrome (MDS), and other solid and hematologic cancers. Continuous intravenous administration (CIV) is being evaluated in clinical trials in solid tumours as well as in AML. An oral formulation of belinostat is also being evaluated in a Phase 1 clinical trial for patients with advanced solid tumors and lymphomas. NCI-sponsored clinical trials are being conducted under a clinical trials agreement between NCI and Topotarget. Furthermore Topotarget has a Cooperative Research and Development Agreement (CRADA) with the NCI to conduct preclinical and nonclinical studies on belinostat in order to better understand its anti-tumor activity and to provide supporting information for clinical trials. The NCI is an agency of the US government that oversees the US National Cancer Program, conducts cancer research, and provides funding for research and training. About Topotarget Topotarget (NASDAQ OMX: TOPO) is a Scandinavian based international biotech company headquartered in Denmark, dedicated to improve cancer therapies. In collaboration with Spectrum Pharmaceuticals, Inc. Topotarget currently focuses on the development in pivotal studies of its lead drug candidate, belinostat, which has demonstrated a clear anti neoplastic effect in both hematological malignancies and solid tumors. Belinostat can be used in combination with full doses of chemotherapy, and is currently in a pivotal trial within PTCL (peripheral T-cell lymphoma) and phase II in cancer of unknown primary (CUP). Topotarget's key cancer drug targets are HDAC, NAD+, mTOR, Fas ligand and topoisomerase II. Totect® is a product on the market developed from Topotarget's drug discovery technology. Totect® is marketed by the company's own sales specialists in the US. The European rights to Savene® were divested in March 2010 as a consequence of the focus to develop and commercialise belinostat. For more information, please refer to www.topotarget.com. Topotarget Safe Harbour Statement This announcement may contain forward-looking statements, including statements about our expectations of the progression of our preclinical and clinical pipeline including the timing for commencement and completion of clinical trials and with respect to cash burn guidance. Such statements are based on management's current expectations and are subject to a number of risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. Topotarget cautions investors that there can be no assurance that actual results or business conditions will not differ materially from those projected or suggested in such forward-looking statements as a result of various factors, including, but not limited to, the following: The risk that any one or more of the drug development programs of Topotarget will not proceed as planned for technical, scientific or commercial reasons or due to patient enrolment issues or based on new information from non-clinical or clinical studies or from other sources; the success of competing products and technologies; technological uncertainty and product development risks; uncertainty of additional funding; Topotarget's history of incurring losses and the uncertainty of achieving profitability; Topotarget's stage of development as a biopharmaceutical company; government regulation; patent infringement claims against Topotarget's products, processes and technologies; the ability to protect Topotarget's patents and proprietary rights; uncertainties relating to commercialization rights; and product liability exposure; We disclaim any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, unless required by law.