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Contract of Monitoring Services - Cubist Pharmaceuticals Inc. and Clindev (Pty) Ltd.

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                             CONFIDENTIAL TREATMENT

                         CONTRACT OF MONITORING SERVICES

                                     Between

                           CUBIST PHARMACEUTICALS, INC

                      Duly represented by MICHAEL F DEBRUIN

                     (Hereinafter referred to as "SPONSOR")




                                       And

                          CLINDEV (PROPRIETARY) LIMITED

                       Duly represented by MRS. A. LESSING



                     (Hereinafter referred to as "Clindev")

WHEREAS

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Now, therefore, in consideration of the mutual covenants and promises
hereinafter set forth, the parties hereby agree as follows:

1  INTERPRETATION

     For the purposes of this agreement, including the Annexures attached hereto
("the Agreement"):

    1.1     the section0 headings are for reference purposes only and shall not
            be used in the interpretation thereof.

    1.2     unless the context indicates a contrary intention, expressions,
            which denote any gender, shall include the other gender.

    1.3     the singular shall include the plural and vice versa.

    1.4     "The signature date" means the date on which this agreement is
            signed by the last party to do so.

    1.5     Whenever a number of days is prescribed in this agreement, such
            number of days shall be calculated excluding the first and including
            the last day, unless the last day falls on a Saturday, Sunday or
            official public holiday, in which case, the last day shall be the
            next day which is not a Saturday, Sunday or public holiday.

    1.6     All currencies are $US.

2  APPOINTMENT

    SPONSOR hereby grants Clindev the right to provide monitoring services on
    behalf of SPONSOR pursuant to the study (the "Study") set forth in PROTOCOL
    DAP-SST9901 (the "Protocol") a copy of which is attached hereto as Annex 1,
    as amended from time to time upon mutual agreement of the parties hereto
    pursuant to section 14.


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    Clindev shall exercise its best efforts to perform the Study. Clindev shall
    perform the Study in strict accordance with the Protocol and in strict
    accordance with the terms and conditions of this Agreement. During the term
    of this Agreement, Clindev will not enter into any agreement to provide
    services which would in any way materially impair its ability to completing
    its services to SPONSOR hereunder in a timely fashion.

3  DURATION OF CONTRACT

    This Agreement shall commence from [ ]* and terminate on [ ]* unless
    terminated earlier as provided herein.

4. PAYMENT FOR SERVICES

    4.1     SPONSOR shall pay to Clindev $[ ]* (the "Contract Price) for the
            services rendered under the Agreement in accordance with the payment
            schedule set forth in section 4.2.

            For the purposes of this Agreement, the contract value is based on
            inclusion of [ ]* patients ($[ ]* per completed patient) and
            includes all activities from the first review of the Protocol till
            the Study is finally closed out and all correction log forms have
            been processed subject to Section 3.

    4.2     Payment of the aforesaid sum stipulated in Section 4.1 shall be made
            as follows.

            4.2.1.  [    ]*.


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            4.2.2.  [    ]*;

            4.2.3.  [ ]*. Each invoice will reflect a proportional amount
                    of the payment set forth in section 4.2.1. and 4.2.2.

    4.3     All relevant and pre-approved costs reasonably incurred by Clindev
            for the performance of this Study will be for SPONSOR'S account,
            based upon submission of receipts, where applicable.

    4.4     Should the Study require additional monitoring and management, costs
            will be re-assessed in consultation with SPONSOR and such costs
            shall be based upon submission of itemised monitoring activities;
            provided, however, that the costs of the Study shall not be
            increased without SPONSOR'S prior written consent.

5  OBLIGATIONS OF CLINDEV

    Clindev shall perform the following monitoring requirements in particular:

    5.1     Perform monitoring duties and responsibilities according to the
            SPONSOR'S Standard Operating Procedures ("SOP's"). The SOP's may be
            amended by SPONSOR from time to time. Monitoring procedures shall
            comply with good clinical practice guidelines to ensure the
            acceptability of the data from the Study for international
            registration purposes.

    5.2     Initiate Study centres as selected by the SPONSOR in consultation
            with Clindev.

    5.3     Assess Protocol for monitoring requirements,


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    5.4     Assess Clinical Case Record Form for monitoring requirements,

    5.5     Perform pre-study consultation/communications,

    5.6     Obtain the appropriate Regulatory Authority and Ethics Committee
            approvals in respect of the investigational sites,

    5.7     Verify source data. Level of source data verification to be mutually
            agreed upon by the parties; provided, however, that in all events
            such level of verification shall meet the minimum requirements set
            forth in SOP's;

    5.8     Check each study book for completeness and clarity, cross-check with
            pre-specified source documents giving due consideration to data
            protection and medical confidentiality.

    5.9     Monitor and update trial master file documentation and review the
            Investigator's file,

    5.10    Monitor all centres at regular intervals throughout the Study by
            personal visits (at least every six weeks) and telephone contacts
            (at least every other week).

    5.11    Complete monitoring reports according to the SOP's and verify source
            data as specified by the responsible study manager. Submit completed
            monitoring reports within 14 (fourteen) working days,

    5.12    Report adverse events and serious adverse events ("SAE") according
            to the SOP's,


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    5.13    Communicate all SAE's to the SPONSOR, copying the responsible study
            manager as per the SOP's. If applicable, the investigator will
            forward the SAE report to the applicable ethics committee,
            otherwise, a copy of the SAE report must be forwarded on behalf of
            the investigator to the ethics committee and also the Medicines
            Control Council. Clindev will provide additional information
            regarding the SAE to the SPONSOR copying the responsible study
            manager.

    5.14    Account and reconcile the Study drug supply and other Study
            materials,

    5.15    Close the Study out,

    5.16    Assist the investigator with correction log forms,

    5.17    Be available and assist during audits from regulatory affairs
            bodies, (FDA, MCC, etc.) or from SPONSOR personnel. Clindev
            undertakes to grant the SPONSOR full and complete access to all
            Study-related documents and facilities after having received 72
            (Seventy-Two) hours written notice from the SPONSOR.

            SPONSOR may (a) examine and inspect Clindev's facilities required to
            perform the Study, and (b) inspect and copy all data and work
            product related to the Study. Clindev shall co-operate with any
            regulatory authority and allow them access to relevant records and
            data to the extent permitted by law.

    5.18    Submit a monthly status report to the SPONSOR within [ ]* working
            days after the last working day of the month.

    5.19    Deliver data on the Study in English (the "Case Reports") for each
            patient or subject participating in the Study (each a "Study
            Subject") as provided in the Protocol to the SPONSOR on an


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            ongoing basis; and deliver all Case Reports to SPONSOR no later than
            [ ]* days after the date of termination of this Agreement or the
            date on which SPONSOR reasonably requests delivery of the Case
            Reports.

    5.20    Meet with representatives of SPONSOR at times and places mutually
            agreed upon to discuss progress, results and future direction of the
            Study.

6. OBLIGATIONS OF THE SPONSOR

    6.1     SPONSOR will provide information on the chemical, pharmaceutical,
            toxicological and clinical information of DAPTOMYCIN, as well as any
            relevant new information arising during the Study.

    6.2     SPONSOR will provide the necessary quantity of materials for the
            Study and all Study documentation (Case report forms, informed
            consent forms etc).

    6.3     SPONSOR will provide training to Clindev for issues related to
            SPONSOR processes as and when required.

    6.4     SPONSOR will arrange and hold the start-up meetings prior to
            commencement of the Study to ensure adequate knowledge of the Study
            procedures. The SPONSOR will pay all related costs, including travel
            and accommodation costs for all attendees.

    6.5     SPONSOR will pay for all material transport costs and additional
            administration costs, such as informed consent translation, all
            International and local courier fees, submission and approval fees
            levied by regulatory bodies or ethics


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            committees, investigator fees and all laboratory costs. (Clindev
            shall charge a [ ]*% handling fee for expenses paid on behalf of the
            SPONSOR.)

7. CONFIDENTIALITY

    Clindev shall hold all negotiations with the SPONSOR in the strictest
    confidence and shall not disclose any information to third parties,
    including all past and proposed future studies.

    During the term of this Agreement and for a period of Five years thereafter
    Clindev shall maintain in the strictest confidence all information received
    from the SPONSOR for the performance of the Study, as well as the data and
    results of the Study. Such data and results, whether patentable or not,
    shall be the exclusive property of the SPONSOR, who shall be free to protect
    them as it deems expedient, to use them and to disclose them to any third
    party.

    Clindev shall therefore neither publish nor disclose to any third party,
    without the SPONSOR'S prior written approval, the information disclosed by
    the SPONSOR and the results obtained from the Study, as long as they are not
    in the public domain through no fault of Clindev. Clindev shall impose such
    commitment upon any person in charge of the Study, including its own
    personnel. Clindev may use the information disclosed by the SPONSOR only to
    the extent required to accomplish the purposes of the Agreement. Clindev
    shall promptly notify the SPONSOR upon discovery of any unauthorised use or
    disclosure of the information disclosed by the SPONSOR.

    Unless otherwise required by law, regulation or government agency, the
    SPONSOR on its part will not publish or disclose the activities of Clindev,
    without the prior written consent of Clindev, which consent shall not be
    unreasonably withheld.


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8. INDEMNIFICATION

    8.1     Sponsor agrees to defend and indemnify, and hold harmless Clindev
            and its employee, directors and agents from and against any loss,
            damage, cost and expense (including reasonable attorneys' fees and
            expenses) to which Clindev, may become subject as a result of any
            claims, proceedings, or investigations directly caused by the
            testing and/or reporting results of testing daptomycin in strict
            accordance with the Protocol.

            Insurance. The indemnifying parties shall secure and maintain in
            full force and effect through the performance of the Study (and
            following termination of the Study to cover any claims arising from
            the Study) insurance coverage in amounts appropriate to the conduct
            of Clindev's business activities and the services contemplated by
            the Study and shall provide evidence of insurance coverage in an
            acceptable form upon request.

9  TERMINATION

    9.1     SPONSOR, for any reason may terminate this Agreement or any specific
            project performed under this Agreement at any time with or without
            cause by giving Clindev at least [ ]* days prior written notice.
            During the [ ]* day period between the notice of termination and the
            effective date of such termination, Clindev will use all reasonable
            efforts to complete such project as soon as practicable in
            accordance with its responsibilities under this Agreement and
            applicable law and regulation, in order to reduce or eliminate
            further costs, and to cancel, if permitted under the terms of
            applicable agreements, any third party obligations.


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    9.2     Within [ ]* days after the completion or termination of a project
            hereunder, Clindev will provide SPONSOR with a written itemised
            statement in English in reasonably specific detail of

            (a) all work performed in connection with such project and (b) all
            expenditures by Clindev (determined in accordance with generally
            accepted accounting principles consistently applied) in conducting
            such project prior to the completion or termination of such project.
            In the event of termination of any project pursuant to this Section
            9, Clindev will be entitled to a payment based on the amount of
            services properly rendered and monies properly expended by Clindev
            in connection with such project through the date of termination. If
            the amount paid by SPONSOR to Clindev in connection with any such
            project exceeds such amount, then Clindev will promptly refund such
            excess to SPONSOR, and if such amount exceeds the amount already
            paid by SPONSOR to Clindev in connection with such project, then
            SPONSOR will promptly pay the amount of such excess to Clindev.

            Clindev shall keep complete and accurate records in English in
            sufficient detail to properly reflect all expenditures by Clindev in
            conducting the Study and to permit SPONSOR to confirm the accuracy
            of all payments due hereunder. Upon, written request, SPONSOR shall
            have the right to cause an independent, certified public accounting
            firm of internationally recognised standing reasonably acceptable to
            Clindev to audit such records to verify the accuracy of the
            expenditure report provided

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            hereunder. SPONSOR shall bear the cost of any such audit. The
            parties shall use best efforts to resolve expeditiously any
            disagreement related to any amounts due under the Agreement and,

    9.3     Notwithstanding the forgoing, should this Agreement be terminated by
            the SPONSOR, any reason other than the breach of any material
            provision of this Agreement by Clindev, then Clindev will be
            entitled to payments or retention of payments equal to the amount
            set forth in Section 4.2.1. (i.e. [ ]*).

    9.4     Any undisputed refund or payment under this Section 9 will be made
            within [ ]* days after SPONSOR'S receipt of Clindev's itemised
            statement.

    9.5     This Agreement may be terminated by either party upon the breach of
            any material provision of this Agreement by the other party,
            provided that the breaching party will be given not less than [ ]*
            days prior written notice of such breach and the opportunity to cure
            such breach during such [ ]*-day period. In the event this Agreement
            is terminated by Clindev pursuant to this Section 9.3 Clindev will
            provide SPONSOR with a written itemised statement and a
            reconciliation will be made as provided for in Section 9.2.

    9.6     This Agreement may be immediately terminated by either party upon
            written notice to the other party if the other party becomes
            insolvent, is dissolved or liquidated, makes a general assignment
            for the benefit of its creditors, or files or had filed against it,
            a petition in bankruptcy or has a receiver appointed for a
            substantial part of its assets.


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    9.7     This Agreement may be terminated by either party upon written notice
            to the other party if any of the following conditions occur: (a) if
            the authorisation and approval to perform the Study in South Africa
            is withdrawn by the appropriate regulatory agency; (b) if the
            emergence of any adverse reaction, side effect or toxicity with any
            drug administered in the Study is of such magnitude or incidence in
            the opinion of either the SPONSOR or Clindev to support termination.

    9.8     Immediately upon receipt of a notice of termination, Clindev shall
            stop enrolling Study Subjects into the Protocol and shall cease
            conducting procedures on Study Subjects already enrolled in the
            Protocol as directed by the SPONSOR, to the extent medically
            permissible.

    9.9     Upon termination or completion of the Study, all unused compounds,
            drugs, devices, Case Reports, whether completed or not completed,
            and other related materials that were furnished to Clindev by or on
            behalf of SPONSOR shall be promptly returned to SPONSOR at the
            SPONSOR'S expense.

    9.10    Expiration or termination of this Agreement shall not relieve the
            parties of any obligation accruing prior to such expiration or
            termination.

10. ADDRESSES

    The parties choose the following addresses to which notices may be given,
    and at which documents in legal proceedings may be served, (i.e. their
    domicilia citandi et executandi) in connection with this Agreement:


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    In the case of Clindev:

    Postal address:            P.O. Box 1417
                               Wingate Park
                               0153
                               South Africa

    Physical address:          42 Ingersol Road
                               Lynwood Glen
                               Pretoria
                               0081
                               South Africa
                               Fax: (012) 348 0552

    In the case of the SPONSOR:

    Postal address:            Cubist Pharmaceuticals, Inc.
                               24 Emily Street
                               Cambridge
                               MA 02139
                               USA

    Physical address:          Cubist Pharmaceuticals, Inc.
                               24 Emily Street
                               Cambridge
                               MA 02139
                               USA
                               Fax (617) 576 1999


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    10.1    Notices given to the above addresses shall be deemed to have been
            duly given:

            10.1.1  14 days after posting if posted by first-class registered or
                    certified post to the party's postal address;

            10.1.2  on delivery, if delivered to the party's physical address;

            10.1.3  on confirmation of receipt, if sent to the party's fax
                    number; or

            10.1.4  on receipt, if sent by overnight delivery service.

    10.2    A party may change that party's address for this purpose, by notice
            in writing to the other party.

11.  NO REPRESENTATIONS

    A party may not rely on any representation, which allegedly induced that
    party to enter into this Agreement, unless the representation is recorded in
    this Agreement.

11  ENTIRE AGREEMENT; AMENDMENT

    This Agreement, including the annexes attached hereto, constitutes the
    entire contract between the parties relative to the subject matter hereof
    and supersedes all representations, warranties, agreements or undertakings
    previously made relative to such subject matter, and no such
    representations, warranties, agreements or undertakings shall be any force
    and effect unless contained herein. In the event of any inconsistency
    between the provisions of this Agreement and the Protocol, the provisions of
    this Agreement shall govern.

    No modification or amendment variation of any of the terms and conditions of
    this Agreement will be binding on the parties unless committed to writing
    and signed by both parties.


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12  CESSION; ASSIGNMENT

    A party may not cede, assign or otherwise transfer that party's rights or
    obligations under this Agreement without the prior written consent of the
    other party, which consent may not be unreasonably withheld; provided,
    however, SPONSOR may assign this Agreement without the prior written consent
    of Clindev (a) in connection with the transfer or sale of all or
    substantially all of the business of SPONSOR to which this Agreement
    relates, whether by merger, sale of stock, sale of assets or otherwise, or
    (b) to any affiliate of SPONSOR.

    The rights and obligations of the parties under this Agreement shall inure
    to the benefit of and be binding upon the successors and permitted assigns
    of the parties. Any assignment not in accordance with this Agreement shall
    be void. No assignment shall relieve either party of its responsibilities
    for the performance of accrued obligation that such party may then have
    under this Agreement.

13  INDULGENCES

    The grant of any-indulgence by a party under this Agreement shall not
    constitute a waiver or any right by the grantor or prevent or adversely
    effect the exercise by the grantor of any existing future right of the
    grantor.

15  ARBITRATION

    Any dispute arising out of or in connection with this Agreement, including
    any question regarding its existence, validity or termination, shall be
    referred to and finally resolved by arbitration under the London Court of
    International Arbitration Rules, which Rules are deemed to be incorporated
    by reference into this clause. The number of


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    arbitrators shall be three unless the dispute involves a claim of damages
    for less than $[ ]* USD, in which case the number of arbitrators shall be
    one. The seat, or legal place, of arbitration shall be London, England. The
    language to be used in the arbitral proceedings shall be English. The
    governing law of the contract shall be the substantive law of England.

    Judgment upon the arbitrator's award may be entered in any court of
    competent jurisdiction. Nothing contained in this Section or any other
    provisions of this Agreement shall be construed to limit or preclude a party
    from bringing any action in any court of competent jurisdiction for
    injunctive or other provisional relief to compel the other party to comply
    with its obligations hereunder before or during the pendency of arbitration
    proceedings.

16  AUTHORITY; WARRANTY DISCLAIMER; LIMITATION OF LIABILITY

    16.1    Each party represents and warrants to the other party that (a) such
            party is duly organised, validly existing, and in good standing
            under the laws of the place of its establishment or incorporation;
            (b) such party has taken all action necessary to authorise it to
            enter into this Agreement and perform its obligations under this
            Agreement; (c) this Agreement shall constitute the legal, valid and
            binding obligations of such party; and (d) neither the execution of
            this Agreement, nor the performance of such party's obligations
            hereunder, shall conflict with, result in breach of, or constitute a
            default under any provision of the Articles of Incorporation,
            business license, Bylaws or similar organisational documents of such
            party, or of any law, rule, regulation, authorisation's or approval
            of any government entity, or of any agreement to which it is party
            or by which it is bound.


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    16.2    Except as expressly set forth in this Agreement, neither party makes
            any representation or warranty to the other party of any kind,
            express, or implied, including, without limitation, any warranty of
            non-infringement, merchantability or fitness for a particular
            purpose.

    16.3    Neither party shall be entitled to recover from the other party and
            special incidental, exemplary, consequential or punitive damages in
            connection with this Agreement or study performed hereunder.

17  PATENTS AND INVENTIONS

    In consideration of the SPONSOR'S payment of all costs of the Study, any New
    Invention or Discovery (as defined below) and any ideas, know-how and data
    (including results of the Study) generated in direct performance of work in
    connection with the Study, shall be the sole and exclusive property of
    SPONSOR. Clindev will take all acts reasonably required to facilitate patent
    prosecution and convey title in such property to SPONSOR. For purposes of
    this Agreement, "New Invention and Discovery" means any invention or
    discovery conceived of and reduced to practise during and as a part of the
    Study by Clindev's staff, employees, volunteers, agents or representatives,
    or jointly by such an individual or individuals with one or more contractors
    or employees of SPONSOR, as determined in accordance with the rules of
    inventorship under the United States patent law. Clindev shall promptly
    notify SPONSOR in writing of any New Inventions or Discovery. Such notice
    shall provide a full written description of the New Invention or Discovery.

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18  USE OF CLINDEV'S OR SPONSOR'S NAME

    Clindev and SPONSOR shall obtain the prior written consent from the other
    party before using the name, symbols and/or marks of the other party, in any
    form of publicity in connection with the Study, except legally required
    disclosures by Clindev or SPONSOR, reports generated in the normal course of
    business by Clindev or SPONSOR, or where acknowledgement of sponsorship is
    required by the guidelines of a scientific publication or organisation.

19  CHANGES TO THE PROTOCOL

    If at a future date changes to the Protocol appear desirable, such changes
    may be made through prior written agreement between SPONSOR and Clindev. If
    such changes increase the costs for the Study, Clindev shall submit to
    SPONSOR a written estimate of such cost for approval. If in the course of
    performing this Agreement, however, one party determines that generally
    accepted standards of clinical research and medical practice relating to the
    safety of the Study Subjects require a deviation from the Protocol, the
    parties will commence discussions immediately regarding such deviation and
    will promptly amend the Protocol to bring the Protocol into conformity with
    such standards.

20  CONFORMANCE WITH LAW AND ACCEPTED PRACTICE

    Clindev shall perform the Study in conformance with generally accepted
    standards of good clinical practice, with the Protocol, instructions
    provided by SPONSOR, and with all applicable local,


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    state and federal laws and regulations, including, but not limited to, the
    Federal Food, Drug and Cosmetic Act and regulations of the Food and Drug
    Administration (the "FDA"). Clindev shall retain all records resulting from
    the Study for the time required by applicable federal regulations (SPONSOR
    shall notify Clindev of the FDA application filing and approval status), and
    allow for inspection of all study specific records.

21  NO TRANSFER OF PROPRIETRY RIGHTS

    Neither the SPONSOR nor Clindev hereby transfers to the other party by
    operation of this Agreement any patent, patent application, copyright,
    trademark or other intellectual property right owned by or under the control
    of either party, except as specifically set forth in this Agreement.

22  FORCE MAJEURE

    Neither party shall be held responsible to the other party nor be deemed to
    have defaulted under or breached this Agreement for failure or delay in
    fulfilling or performing any term of this Agreement when such failure or
    delay is caused by or results from causes beyond the reasonable control of
    the affected party, including, without limitation, fire, floods,
    earthquakes, natural disasters, embargoes, war, acts of war (whether war be
    declared or not), insurrections, riots, civil commotion, strikes, lockouts
    or other labour disturbances, acts of God or acts, omissions or delays in
    acting by any governmental authority or the other party.


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22  WAIVER

    Except as specifically provided for herein, the waiver from time to time by
    either party of any right or failure to exercise any remedy shall not
    operate or be construed as a continuing waiver of the same right or remedy
    or of any other of such party's rights or remedies provided under this
    Agreement.

23  SEVERABILITY

    In case any provision of this Agreement shall be invalid, illegal or
    unenforceable, the validity, legality and enforceability of the remaining
    provisions shall not in any way be affected or impaired hereby.

24  GOVERNING LANGUAGE

    This Agreement is entered into in the English language. All meetings,
    correspondence and notices between the parties, and all Case Reports,
    records, accounts, notes, reports, data, work product and proposed
    publications or presentation materials related to the Study, shall be in
    English. In the event of any dispute concerning the construction or meaning
    of this Agreement, reference shall be made only to this Agreement as written
    in English and not to any translation into any other language.

25  INDEPENDENT CONTRACTORS

    It is expressly agreed that SPONSOR and Clindev shall be independent
    contractors and that the relationship between the parties shall not
    constitute a partnership, joint venture or agency of any kind. Neither party
    shall have authority to make statements or commitments of any kind, or take
    any action, which shall be binding on the other party, without the prior
    written consent of the other party.


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26  YEAR 2000 COMPLIANCE

    Clindev assures that its computer systems and processes shall be able to
    accommodate and process date information later than 31 December 1999 such
    that the year 2000 shall be recognized as the year 2000, rather than 1900.
    Clindev assures that its computer systems will be Y2K compliant

26  COUNTERPARTS

    This Agreement may be executed in two or more counterparts, each of which
    shall be deemed an original, but all of which together shall constitute one
    and the same instrument.

    In witness whereof, the parties have caused this Agreement to be executed by
    the respective duly authorised officers as of the dates set forth below.

    Thus done and signed at: Cambridge, MA, USA on this the 17th Day of December
1999.

         For: the SPONSOR

         WITNESS:

         1.       By:  /S/ MICHAEL F. DEBRUIN
                  ---------------------------
                  Name: Michael F. DeBruin

                  Title: Vice President - Clinical Research


         2.       By: /S/ DAVID GRISHAM
                  ---------------------------
                  Name: David Grisham

                  Title: Sr. Director, Global Project Management


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    Thus done and signed at: Pretoria, RSA on this the 10th Day of January 2000.

         For: Clindev (Pty) Ltd

         WITNESS:

         1.       By:  /S/ ANITA LESSING
                  -------------------------
                  Name:  Anita Lessing

                  Title:  Director, Clindev


         2.       By:  /S/ SONIA SUTHERLAND
                  -------------------------
                  Name: Sonia Sutherland

                  Title: Director, Clindev


                                       22

*Confidential treatment requested: Material has been omitted and filed with
the Commission.


CONFIDENTIAL TREATMENT CONTRACT OF MONITORING SERVICES AMENDMENT 1 Between CUBIST PHARMACEUTICALS, INC Duly represented by Michael F. de Bruin (Hereinafter referred to as "SPONSOR") And CLINDEV (PROPRIETARY) LIMITED Duly represented by MRS. A. LESSING (Hereinafter referred to as "Clindev") *Confidential treatment requested: Material has been omitted and filed with the Commission. <PAGE> -2- Upon mutual agreement of the parties the following sections of the contract are amended as follows: *Confidential treatment requested: Material has been omitted and filed with the Commission. <PAGE> -3- SECTION 4. PAGE 3 PAYMENT FOR SERVICES 4.1 SPONSOR shall pay to Clindev $[ ]* (the "Contract Price") for the services rendered under the Agreement in accordance with the payment schedule set forth in section 4.2. For the purposes of the Agreement, the contract value is based on the inclusion of [ ]* patients ($[ ]* per completed patient) and includes all activities from the first review of the Protocol till the Study is finally closed out and all correction log forms have been processed subject to section 3. In witness whereof, the parties have caused this Amendment to the Agreement to be executed by the respective duly authorized officers as of the dates set forth below. Thus done and signed at: CPI on this the 21st Day of June, 2000. For: the SPONSOR By: /s/ MICHAEL F. DEBRUIN ---------------------- Name: Michael F. DeBruin Title: Vice President, Clinical Research WITNESS: 1. By: /s/ EDWARD S. CAMPANARO ----------------------- Name: Edward S. Campanaro Title: Director, Clinical Operations *Confidential treatment requested: Material has been omitted and filed with the Commission. <PAGE> -4- 2. By: /s/ TANIA ASSAYLEEN ------------------- Name: Tania Assayleen Title: Clinical Trial Manager Thus done and signed at Lynnwood, Pretoria, on this the 22nd Day of June 2000. For: Clindev (Pty) Ltd By: /s/ ANITA LESSING ----------------- Name: Anita Lessing Title: Director WITNESS: 1. By: /s/ SONIA SUTHERLAND -------------------- Name: Sonia Sutherland Title: Research Associate 2. By: /s/ C.S. NASH ------------- Name: C.S. Nash Title: Clinical Research Associate *Confidential treatment requested: Material has been omitted and filed with the Commission.
CONFIDENTIAL TREATMENT CONTRACT OF MONITORING SERVICES AMENDMENT 2 Between CUBIST PHARMACEUTICALS, INC Duly represented by Michael F. de Bruin (Hereinafter referred to as "SPONSOR") And CLINDEV (PROPRIETARY) LIMITED Duly represented by MRS. A. LESSING (Hereinafter referred to as "Clindev") *Confidential treatment requested: Material has been omitted and filed with the Commission. <PAGE> -2- Upon mutual agreement of the parties the following sections of the contract are amended as follows: *Confidential treatment requested: Material has been omitted and filed with the Commission. <PAGE> -3- SECTION 4. PAGE 3 PAYMENT FOR SERVICES 4.1 SPONSOR shall pay to Clindev $[ ]* (the "Contract Price") for the services rendered under the Agreement in accordance with the payment schedule set forth in section 4.2. For the purposes of the Agreement, the contract value is based on the inclusion of [ ]* patients ($[ ]* per completed patient) and includes all activities from the first review of the Protocol till the Study is finally closed out and all correction log forms have been processed subject to section 3. In witness whereof, the parties have caused this Amendment to the Agreement to be executed by the respective duly authorized officers as of the dates set forth below Thus done and signed at: Cambridge, MA, USA on this the 20th Day of December 2000. For: the SPONSOR By: /s/ MICHAEL F. DEBRUIN ---------------------- Name: Michael F. DeBruin, M.D. Title: Vice President, Clinical Research WITNESS: 1. By: /s/ EDWARD S. CAMPANARO ------------------------ Name: Edward S. Campanaro Title: Sr. Director, Clinical Operations *Confidential treatment requested: Material has been omitted and filed with the Commission. <PAGE> -4- 2. By: /s/ ANDREW G. KNAPP -------------------- Name: Andrew G. Knapp Title: Director, Clinical Research Thus done and signed at Lynnwood, Pretoria, on this the 8th Day of November 2000. For: Clindev (Pty) Ltd By: /s/ ANITA LESSING ----------------- Name: Anita Lessing Title: Director WITNESS: 1. By: /s/ SONIA SUTHERLAND -------------------- Name: Sonia Sutherland Title: Director 2. By: /s/ CATHY NASH -------------- Name: Cathy Nash Title: Project Manager *Confidential treatment requested: Material has been omitted and filed with the Commission.