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Paris, France - October 14, 2008

Sanofi-aventis enters into collaboration with TB Alliance to fight Tuberculosis

Goal is to accelerate development of drugs against tuberculosis

Sanofi-aventis and the Global Alliance for TB Drug Development (“TB Alliance”) announced today that they have entered into a collaboration agreement to accelerate the discovery, development and clinical use of drugs against tuberculosis. The TB Alliance is a not-for-profit, product development partnership, whose goal is the development of new tuberculosis drugs.

The announcement was made at the 39th World Conference on Lung Health, organized by the International Union Against Tuberculosis and Lung Disease in Paris, France.

This collaboration agreement with the TB Alliance has been created to address the significant need to develop new tuberculosis drugs that will shorten treatment and be effective against drug-susceptible and drug-resistant strains of tuberculosis.

Every year, more than 1.5 million people worldwide die from tuberculosis. Today's tuberculosis drugs are more than 40 years old and must be taken for six to nine months for drug-sensitive disease and up to 24 months for drug-resistant disease. Long, demanding treatment schedules prove too much for many patients and the resulting erratic or inconsistent treatment can result in drug resistance, treatment failure or death.

Sanofi-aventis, which discovered rifampicin in the early 1960s, markets several anti-tuberculosis drugs. With the Impact TB initiative, sanofi-aventis provides quality drugs at an affordable price and is also actively researching new therapeutic approaches for tuberculosis. In one of the most advanced approaches, a clinical program is planned to evaluate the safety and efficacy of new tuberculosis regimens that include rifapentine, an antibiotic drug currently used in the United States. In animal trials, certain rifapentine-containing regimens have shown considerable potential for shortening tuberculosis treatment.

TB Alliance, working with its public and private partners worldwide, is leading the development of the most comprehensive portfolio of tuberculosis drug candidates. It has 12 compounds in its pipeline including two tuberculosis drug candidates in advanced stages.

Under the agreement, the two organizations will share information on their respective projects and exchange insights on developments in tuberculosis drug research. Additionally, they will consult with each other on relevant regulatory, access, and clinical trial capacity strategies related to developing countries. These activities may open new avenues of possible common development in the future.

This collaboration with sanofi-aventis underscores the commitment of the TB Alliance to partner with leaders in science and business to achieve our goal of making faster, better and affordable tuberculosis drug regimens available as soon as possible,” declared Dr. Jerome Premmereur, President and CEO of the TB Alliance.

Thanks to the TB Alliance’s expertise in drug development, a partnership will allow both of us to make new drugs available faster,” declared Dr. Robert Sebbag, Vice President, Access to Medicines, at sanofi-aventis. “Impact TB, the tuberculosis program within sanofi-aventis’ Access to Medicines division, aims to provide new drugs at a price that is affordable for all patients, and this is a vision we share with the TB Alliance”, he added.

Research and development at sanofi-aventis is firmly committed to the discovery of new medicines to combat tuberculosis,” said Jean-Marc Herbert, Senior Vice President, Discovery Research at sanofi-aventis. “We are therefore delighted to have closer ties with the TB Alliance, which is recognised as a major driver in the discovery of new compounds in this field.

About the TB Alliance

The Global Alliance for TB Drug Development (TB Alliance) is a not-for-profit, product development partnership accelerating the discovery and development of new TB drugs that will shorten treatment, be effective against susceptible and resistant strains, be compatible with antiretroviral therapies for those HIV-TB patients currently on such therapies and improve treatment of latent infection.

Working with public and private partners worldwide, the TB Alliance is leading the development of the most comprehensive portfolio of TB drug candidates in history and is committed to ensuring that approved new regimens are affordable, adopted and available to those who need them. The TB Alliance operates with funding from The Bill & Melinda Gates Foundation, the Rockefeller Foundation, Irish Aid, the Netherlands Ministry of Foreign Affairs (DGIS), the United Kingdom Department for International Development (DFID) and the United States Agency for International Development (USAID).
For more information on TB drug development and the TB Alliance, please visit www.tballiance.org.

About sanofi-aventis

Sanofi-aventis, a leading global pharmaceutical company, discovers, develops and distributes therapeutic solutions to improve the lives of everyone. Sanofi-aventis is listed in Paris (EURONEXT: SAN) and in New York (NYSE: SNY).

Forward Looking Statements

This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include product development, product potential projections and estimates and their underlying assumptions, statements regarding plans, objectives, intentions and expectations with respect to future events, operations, products and services, and statements regarding future performance. Forward-looking statements are generally identified by the words “expects”, “anticipates”, “believes”, “intends”, “estimates”, “plans” and similar expressions. Although sanofi-aventis’ management believes that the expectations reflected in such forward-looking statements are reasonable, investors are cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of which are difficult to predict and generally beyond the control of sanofi-aventis, that could cause actual results and developments to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include among other things, the uncertainties inherent in research and development, future clinical data and analysis, including post marketing, decisions by regulatory authorities, such as the FDA or the EMEA, regarding whether and when to approve any drug, device or biological application that may be filed for any such product candidates as well as their decisions regarding labelling and other matters that could affect the availability or commercial potential of such products candidates, the absence of guarantee that the products candidates if approved will be commercially successful, the future approval and commercial success of therapeutic alternatives as well as those discussed or identified in the public filings with the SEC and the AMF made by sanofi-aventis, including those listed under “Risk Factors” and “Cautionary Statement Regarding Forward-Looking Statements” in sanofi-aventis’ annual report on Form 20-F for the year ended December 31, 2007. Other than as required by applicable law, sanofi-aventis does not undertake any obligation to update or revise any forward-looking information or statements.