Filed Pursuant to Rule 424(b)(2) Registration No. 333-52736 PROSPECTUS 2,127,113 SHARES OF COMMON STOCK AVANT IMMUNOTHERAPEUTICS, INC. ---------------- The selling stockholders identified in this prospectus, and any of their pledgees, donees, transferees or other successors in interest, may offer to sell up to an aggregate of 2,127,113 shares of common stock of AVANT Immunotherapeutics, Inc. We are filing the Registration Statement of which this prospectus is a part at this time to fulfill a contractual obligation to do so, which we undertook at the time of the original issuance of these shares. We will not receive any of the proceeds from the sale of the common stock by the selling stockholders but, in fulfillment of our contractual obligations, we are bearing the expenses of registration. Our common stock is listed on the Nasdaq National Market under the symbol "AVAN." SEE "RISK FACTORS" BEGINNING ON PAGE 2 FOR CERTAIN FACTORS YOU SHOULD CONSIDER BEFORE YOU INVEST IN OUR COMMON STOCK. ------------------------ NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES COMMISSION HAS APPROVED OR DISAPPROVED OF THESE SECURITIES, OR DETERMINED IF THIS PROSPECTUS IS TRUTHFUL OR COMPLETE. IT IS ILLEGAL FOR ANY PERSON TO TELL YOU OTHERWISE. ------------------------ The date of this prospectus is February 6, 2000.

TABLE OF CONTENTS About Avant................................................. 1 The Offering................................................ 1 Risk Factors................................................ 2 Where You Can Find More Information......................... 8 Incorporation of Documents By Reference..................... 8 Forward-Looking Statements.................................. 9 Use of Proceeds............................................. 9 Registration Rights of the Selling Stockholders............. 10 Selling Stockholders........................................ 11 Plan of Distribution........................................ 14 Legal Matters............................................... 15 Experts..................................................... 15

ABOUT AVANT We are a biopharmaceutical Company that uses novel applications of immunology to prevent and treat diseases that arise internally, including autoimmune diseases, cardiovascular diseases, cancer and inflammation, and by external conditions, including infectious diseases and organ transplant rejection. Our products address large market opportunities for which current therapies are inadequate or non-existent. We are developing our products using a broad set of technologies that work together to regulate the body's complement system, regulate T and B cell activity, and enable us and others to create and deliver vaccines that prevent and treat some diseases. We are using these technologies to develop both vaccines and immunotherapeutics that prevent or treat disease caused by infectious organisms and drugs and vaccines that modify undesirable activity of the body's own proteins or cells. All of our products are in various stages of research and development. Our common stock has been quoted on the Nasdaq National Market under the symbol "AVAN" since August 24, 1998. Prior to that, our common stock traded on the Nasdaq National Market under the symbol "TCS". Our executive offices are located at 119 Fourth Avenue, Needham, Massachusetts 02494-2725 and our telephone number is (781) 433-0771. Additional information regarding our Company, including our audited financial statements and descriptions of our business, is contained in the documents incorporated by reference in this prospectus. See "Where You Can Find More Information" on page 7 and "Incorporation of Documents by Reference" on page 7. THE OFFERING This prospectus relates to up to 2,127,113 shares of our common stock that may be offered for sale by the selling stockholders. We originally issued these shares as follows: - 1,841,236 of these shares were issued to certain of the selling stockholders on December 1, 2000 in connection with our acquisition of Megan Health, Inc. In connection with this acquisition, we granted these selling stockholders registration rights under the related merger agreement. - 285,877 of these shares were issued to Pfizer Inc, a selling stockholder, on December 1, 2000 in a private placement. In connection with this private placement, we granted Pfizer registration rights under the related stock purchase agreement. We are registering the common stock covered by this prospectus in order to fulfill our contractual obligations under both the merger agreement and the stock purchase agreement. Registration of the common stock does not necessarily mean that all or any portion of the common stock will be offered for sale by the selling stockholders. We have agreed to bear the expenses of the registration of the common stock under federal and state securities laws, but we will not receive any proceeds from the sale of any common stock offered under this prospectus.

RISK FACTORS YOU SHOULD CONSIDER CAREFULLY THESE RISK FACTORS TOGETHER WITH ALL OF THE INFORMATION INCLUDED OR INCORPORATED BY REFERENCE IN THIS PROSPECTUS BEFORE YOU DECIDE TO PURCHASE SHARES OF OUR COMMON STOCK. THIS SECTION INCLUDES SOME FORWARD-LOOKING STATEMENTS. OUR HISTORY OF LOSSES AND UNCERTAINTY OF FUTURE PROFITABILITY MAKE THE COMMON STOCK A HIGHLY SPECULATIVE INVESTMENT. We have had no commercial revenues to date from sales of our products and cannot predict when we will. We have accumulated net operating losses since inception of approximately $145 million, as of November 30, 2000. We expect to spend substantial funds to continue research and product testing of the following products we have in the pre-clinical and clinical testing stages of development: PRODUCT USE STAGE - ------- --- ----- TP10 organ transplantation clinical phase I/II TP10 pediatric cardiac surgery clinical phase I/II TP10 adult cardiac surgery clinical phase II TP10 heart attacks clinical phase I TP20 stroke pre-clinical CETi-1 atherosclerosis clinical phase I Rotavirus Vaccine rotavirus infection clinical phase II Cholera Vaccine cholera infection clinical phase II Typhoid Vaccine typhoid infection clinical phase I/II Shigella Vaccine dysentery pre-clinical respiratory synctial Adjumer-Registered Trademark- virus clinical phase II Adjumer-Registered Trademark- lyme disease pre-clinical Adjumer-Registered Trademark- influenza pre-clinical Therapore-TM- hepatitis pre-clinical Therapore-TM- Hiv pre-clinical Therapore-TM- cancer pre-clinical The product development and regulatory approval process can be generally described as follows. Pre-clinical tests are performed at an early stage of a product's development and provide information about a product's safety and effectiveness in laboratory animals. Pre-clinical tests can last years. If a product passes its pre-clinical tests satisfactorily, we file an investigational new drug application for the product with the Food and Drug Administration, and if the FDA gives its approval we begin phase I clinical tests. Phase I testing generally lasts between six and 12 months. If phase I test results are satisfactory and the FDA gives its approval, we can begin phase II clinical tests. Phase II testing generally lasts between six and 18 months. If phase II test results are satisfactory and the FDA gives its approval, we can begin phase III pivotal studies. Phase III studies generally last between 12 and 36 months. Once clinical testing is completed and a new drug application is filed with the FDA, it may take more than a year to receive FDA approval. In anticipation of FDA approval of these products, we will need to make substantial investments to establish sales, marketing, quality control, and regulatory compliance capabilities. These investments will increase if and when any of these products receive FDA approval. We cannot predict how quickly our lead products will progress through the regulatory approval process. As a result, we may continue 2

to lose money for several years. We will disclose the progress each product is making through clinical testing, and the preparations we are making for products that are nearing approval for sale in our periodic reports under the Securities Exchange Act of 1934, as amended. IF WE CANNOT SELL CAPITAL STOCK TO RAISE NECESSARY FUNDS, IT MAY FORCE US TO LIMIT OUR RESEARCH, DEVELOPMENT AND TESTING PROGRAMS. We will need to raise more capital from investors to advance our lead products through the clinical testing and to fund our operations until we receive final FDA approval and our products begin to generate revenues for us. However, based on our history of losses, we may have difficulty attracting sufficient investment interest. We may also try to obtain funding through research grants and agreements with commercial collaborators. This kind of funding is at the discretion of other organizations and companies who have limited funds and many companies compete with us for those funds. As a result, we may not receive any research grants or funds from collaborators. We will provide specific information about the sources and adequacy of funding for our active research and development programs in our periodic reports under the Securities Exchange Act of 1934, as amended. IF SELLING STOCKHOLDERS CHOOSE TO SELL SHARES IN LARGE VOLUME, THE TRADING PRICE OF OUR COMMON STOCK COULD SUFFER. In December 2000, we issued 1,841,236 shares of our common stock at $9.54 per share in connection with our acquisition of Megan Health, Inc. and 285,877 shares of our common stock at $10.50 per share in a separate private placement with Pfizer Inc. These transactions were the latest of several private placements of our common stock. Those shares, which are covered by this prospectus, plus among others, 4,650,953 shares we sold in a July 2000 private placement at $7.85 per share, 5,459,375 shares we sold in a September 1999 private placement at $1.92 per share, 2,043,494 shares we sold in a March 1998 private placement at $1.90 per share, 1,433,750 shares we issued in June 1998 in settlement of a contract dispute with a landlord, and 3,124,008 shares that employees may purchase under stock options at prices ranging from $0.30 to $14.69 per share, can be resold in the public securities markets without restriction. These shares in total account for approximately 3.87% of our total common stock outstanding as of September 30, 2000, and approximately 3.55% of our common stock on a fully diluted basis. If large numbers of shares are sold over a short period of time, the price of our stock may decline rapidly or fluctuate widely. IF OUR PRODUCTS DO NOT PASS REQUIRED TESTS FOR SAFETY AND EFFECTIVENESS, WE WILL NOT BE ABLE TO DERIVE COMMERCIAL REVENUE FROM THEM. For AVANT to succeed, we will need to derive commercial revenue from the products we have under development. The FDA has not approved any of our lead products for sale to date. Our lead drug, TP10, is undergoing phase II clinical testing for use in pediatric and adult cardiac surgery. TP10 has also undergone phase I clinical testing for use in treating heart attacks and phase II clinical testing for organ transplant. Other products in our vaccine programs are in various stages of preclinical and clinical testing. Preclinical tests are performed at an early stage of a product's development and provide information about a product's safety and effectiveness on laboratory animals. Preclinical tests can last years. If a product passes its preclinical tests satisfactorily, we file an investigational new drug application for the product with the FDA, and if the FDA gives its approval we begin phase I clinical tests. Phase I testing generally lasts between 6 and 12 months. If phase I test results are satisfactory and the FDA gives its approval, we can begin phase II clinical tests. Phase II testing generally lasts between six and 18 months. If phase II test results are satisfactory and the FDA gives its approval, we can begin phase III pivotal studies. Phase III studies generally last between 12 and 36 months. Once clinical testing is completed and a new drug application is filed with the FDA, it may take more than a 3

year to receive FDA approval. We will disclose the progress of our ongoing tests and any FDA action on our products in our periodic reports under the Securities Exchange Act of 1934, as amended. In all cases we must show that a pharmaceutical product is both safe and effective before the FDA, or drug approval agencies of other countries where we intend to sell the product, will approve it for sale. Our research and testing programs must comply with drug approval requirements both in the United States and in other countries, since we are developing our lead products with companies, including Novartis Pharma AG, Smithkline Beecham and Aventis Pasteur, who intend to commercialize them both in the U.S. and abroad. A product may fail for safety or effectiveness at any stage of the testing process. The key risk we face is that none of our products under development will come through the testing process to final approval for sale, with the result that we cannot derive any commercial revenue from them after investing significant amounts of capital in multiple stages of pre-clinical and clinical testing. PRODUCT TESTING IS CRITICAL TO THE SUCCESS OF OUR PRODUCTS BUT SUBJECT TO DELAY OR CANCELLATION IF WE HAVE DIFFICULTY ENROLLING PATIENTS. As our portfolio of potential products moves from pre-clinical testing to clinical testing, and then through progressively larger and more complex clinical trials, we will need to enroll an increasing number of patients with the appropriate characteristics. At times we have experienced difficulty enrolling patients and we may experience more difficulty as the scale of our clinical testing program increases. The factors that affect our ability to enroll patients are largely uncontrollable and include principally the following: - the nature of the clinical test - the size of the patient population - the distance between patients and clinical test sites - the eligibility criteria for the trial As clinical tests currently in progress continue and new tests begin, we will disclose in our periodic reports under the Securities Exchange Act of 1934, as amended, our progress in enrolling sufficient patients to keep our various programs moving forward, including any specific difficulties we face from time to time and their expected consequences on the affected program. If we cannot enroll patients as needed, our costs may increase or it could force us to delay or terminate testing for a product. WE DEPEND GREATLY ON THE INTELLECTUAL CAPABILITIES AND EXPERIENCE OF OUR KEY EXECUTIVES AND SCIENTISTS AND THE LOSS OF ANY OF THEM COULD AFFECT OUR ABILITY TO DEVELOP OUR PRODUCTS. The loss of Dr. Una S. Ryan, our president and chief executive officer, or other key members of our staff could harm us. We have an employment agreement with Dr. Ryan. We do not have any key-person insurance coverage. We also depend on our scientific collaborators and advisors, all of whom have outside commitments that may limit their availability to us. In addition, we believe that our future success will depend in large part upon our ability to attract and retain highly skilled scientific, managerial and marketing personnel, particularly as we expand our activities in clinical trials, the regulatory approval process and sales and manufacturing. We face significant competition for this type of personnel from other companies, research and academic institutions, government entities and other organizations. We cannot predict our success in hiring or retaining the personnel we require for continued growth. 4

WE RELY ON THIRD PARTIES TO PLAN, CONDUCT, MONITOR AND SUPPLY OUR CLINICAL TESTS, AND THEIR FAILURE TO PERFORM AS REQUIRED WOULD INTERFERE WITH OUR PRODUCT DEVELOPMENT. We rely on third parties, including Duke University Medical Center, The Cleveland Clinic, PPD International, Pharmaceuticals Research Associates, The Chicago Center for Clinical Research and SmithKline Beecham to conduct our clinical tests. If any one of those third parties fails to perform as we expect or if their work fails to meet regulatory standards, our testing could be delayed, cancelled or rendered ineffective. We also depend on third party suppliers and manufacturers, including Walter Reed Army Institute of Research, Marathon Biopharmaceuticals, Inc., Lonza Biologics plc and Multiple Peptide Systems, to provide us with suitable quantities of materials necessary for clinical tests. If these materials are not available in suitable quantities of appropriate quality, in a timely manner, and at a feasible cost, our clinical tests will face delays. WE DEPEND GREATLY ON THIRD PARTY COLLABORATORS TO LICENSE, DEVELOP AND COMMERCIALIZE SOME OF OUR PRODUCTS, AND THEY MAY NOT MEET OUR EXPECTATIONS. We have agreements with other companies, including Novartis Pharma AG, Aventis Pasteur and SmithKline Beecham, for the licensing, development and ultimate commercialization of some of our products. Some of those agreements give substantial responsibility over the products to the collaborator. Some collaborators may be unable or unwilling to devote sufficient resources to develop our products as their agreements require. They often face business risks similar to ours, and this could interfere with their efforts. Also, collaborators may choose to devote their resources to products that compete with ours. If a collaborator does not successfully develop any one of our products, we will need to find another collaborator to do so. Our search for a new collaborator will depend on our legal right to do so at the time and whether the product remains commercially viable. WE MAY FACE DELAYS, DIFFICULTIES OR UNANTICIPATED COSTS IN ESTABLISHING SALES, DISTRIBUTION AND MANUFACTURING CAPABILITIES FOR OUR COMMERCIALLY READY PRODUCTS. We have chosen to retain, rather than license, all rights to some of our lead products, such as TP10 for pediatric and adult cardiac surgery. If we proceed with this strategy, we will have full responsibility for commercialization of these products if and when they are approved for sale. We currently lack the marketing, sales and distribution capabilities that we will need to carry out this strategy. To market any of our products directly, we must develop a substantial marketing and sales force with technical expertise and a supporting distribution capability. We have little expertise in this area, and we may not succeed. We may find it necessary to enter into strategic partnerships on uncertain but potentially unfavorable terms to sell, market and distribute our products when they are approved for sale. Some of our products are difficult to manufacture, especially in large quantities, and we have not yet developed commercial scale manufacturing processes for any of our products. We do not currently plan to develop internal manufacturing capabilities to produce any of our products if they are approved for sale. To the extent that we choose to market and distribute products ourselves, this strategy will make us dependent on other companies to produce our products in adequate quantities, in compliance with regulatory requirements, and at a competitive cost. We may not find third parties with facilities and expertise available to meet those manufacturing needs. OUR RELIANCE ON THIRD PARTIES REQUIRES US TO SHARE OUR TRADE SECRETS, AND THIS RELIANCE INCREASES THE POSSIBILITY THAT A COMPETITOR WILL DISCOVER THEM. Because we rely on third parties to develop our products, we must share trade secrets with them. We seek to protect our proprietary technology in part by confidentiality agreements and, if applicable, inventor's rights agreements with our collaborators, advisors, employees and consultants. Our 5

competitors may discover our trade secrets either through breach of these agreements or through independent development. A competitor's discovery of our trade secrets would impair our competitive position. Moreover, we conduct a significant amount of research through academic advisors and collaborators who are prohibited from entering into confidentiality or inventor's rights agreements by their academic institutions. WE LICENSE TECHNOLOGY FROM OTHER COMPANIES TO DEVELOP OUR PRODUCTS, AND THOSE COMPANIES COULD RESTRICT OUR USE OF IT. Companies that license to us technologies we use in our research and development programs may require us to achieve milestones or devote minimum amounts of resources to develop products using those technologies. They may also require us to make significant royalty and milestone payments, including a percentage of any sublicensing income, as well as payments to reimburse them for patent costs. The number and variety of our research and development programs require us to establish priorities and to allocate available resources among competing programs. From time to time we may choose to slow down or cease our efforts on particular products. If in doing so we fail to perform our obligations under a license fully, the licensor can terminate the licenses or permit our competitors to use the technology. Moreover, we may lose our right to market and sell any products based on the licensed technology. WE HAVE MANY COMPETITORS IN OUR FIELD AND THEY MAY DEVELOP TECHNOLOGIES THAT MAKE OURS OBSOLETE. Biotechnology, pharmaceuticals and therapeutics are rapidly evolving fields in which scientific and technological developments are expected to continue at a rapid pace. We have many competitors in the U.S. and abroad, including Alexion Pharmaceuticals, Bayer, Merck, Pfizer, Immune Response and Wyeth-Lederle. Our success depends upon our ability to develop and maintain a competitive position in the product categories and technologies on which we focus. Many of our competitors have greater capabilities, experience and financial resources than we do. Competition is intense and is expected to increase as new products enter the market and new technologies become available. Our competitors may: - develop technologies and products that are more effective than ours, making ours obsolete or otherwise noncompetitive - obtain regulatory approval for products more rapidly or effectively than us - obtain patent protection or other intellectual property rights that would block our ability to develop competitive products WE RELY ON PATENTS, PATENT APPLICATIONS AND OTHER INTELLECTUAL PROPERTY PROTECTIONS TO PROTECT OUR TECHNOLOGY AND TRADE SECRETS; THEY ARE EXPENSIVE AND MAY NOT PROVIDE SUFFICIENT PROTECTION. Our success depends in part on our ability to obtain and maintain patent protection for technologies that we use. Biotechnology patents involve complex legal, scientific and factual questions and are highly uncertain. To date, there is no consistent policy regarding the breadth of claims allowed in biotechnology patents, particularly in regard to patents for technologies for human uses like those we use in our business. We cannot predict whether the patents we seek will issue. If they do issue, a competitor may challenge them and limit their scope. Moreover, our patents may not afford effective protection against competitors with similar technology. A successful challenge to any one of our patents could result in a third party's ability to use the technology covered by the patent. We also face the risk that others will infringe, avoid or circumvent our patents. Technology that we license from others is subject to similar risks, and this could harm our ability to use that technology. If we, or a company that licenses technology to us, were not the first creator of an invention that we use, our use of the underlying product or technology could face restrictions, including elimination. 6

If we must defend against suits brought against us or prosecute suits against others involving intellectual property rights, we will incur substantial costs. In addition to any potential liability for significant monetary damages, a decision against us may require us to obtain licenses to patents or other intellectual property rights of others on potentially unfavorable terms. If those licenses from third parties are necessary but we cannot acquire them, we would attempt to design around the relevant technology. This would cause higher development costs and delays, and may ultimately prove impracticable. OUR BUSINESS REQUIRES US TO USE HAZARDOUS MATERIALS, AND THIS INCREASES OUR EXPOSURE TO DANGEROUS AND COSTLY ACCIDENTS. Our research and development activities involve the use of hazardous chemicals, biological materials and radioactive compounds. Although we believe that our safety procedures for handling and disposing hazardous materials comply with the standards prescribed by applicable laws and regulations, we cannot completely eliminate the risk of accidental contamination or injury from these materials. In the event of an accident, an injured party will likely sue us for any resulting damages with potentially significant liability. The ongoing cost of complying with environmental laws and regulations is significant and may increase in the future. In addition, in connection with our merger with Virus Research Institute, Inc. in 1998, we assumed the real property lease at Virus Research Institute, Inc.'s former site. We understand that this property has a low level of oil-based and other hazardous material contamination. We believe that the risks posed by this contamination are low, but we cannot predict whether additional hazardous contamination exists at this site, or that changes in applicable law will not require us to clean up the current contamination of the property. 7

WHERE YOU CAN FIND MORE INFORMATION We must comply with the informational requirements of the Securities Exchange Act of 1934, as amended, and we are required to file reports and proxy statements and other information with the Securities and Exchange Commission. You may read and copy these reports, proxy statements and information at the public reference facilities maintained by the Securities and Exchange Commission at Judiciary Plaza, 450 Fifth Street, N.W., Room 1024, Washington, D.C. 20549, and at the Securities and Exchange Commission's Regional Offices at 7 World Trade Center, 13th Floor, New York, New York 10048, and Citicorp Center, 500 W. Madison Street, Suite 1400, Chicago, Illinois 60661-2511. You may also obtain copies at the prescribed rates from the Public Reference Section of the Securities and Exchange Commission at its principal office in Washington, D.C. You may call the Securities and Exchange Commission at 1-800-SEC-0330 for further information about the public reference rooms. The Securities and Exchange Commission maintains a web site that contains reports, proxy and information statements and other information regarding registrants, including AVANT, that file electronically with the Securities and Exchange Commission. You may access the Securities and Exchange Commission's web site at http://www.sec.gov. INCORPORATION OF DOCUMENTS BY REFERENCE The Securities and Exchange Commission allows us to incorporate by reference in this prospectus the information that we file with them. Incorporation by reference means that we can disclose important information to you by referring you to other documents that are legally considered to be part of this prospectus, and later information that we file with the Securities and Exchange Commission will automatically update and supersede the information in this prospectus, any supplement and the documents listed below. We incorporate by reference the specific documents listed below and any future filings made with the Securities and Exchange Commission under Section 13(a), 13(c), 14, or 15(d) of the Securities Exchange Act of 1934, as amended, until all of the shares are sold: - our Annual Report on Form 10-K for the fiscal year ended December 31, 1999 (as amended on Form 10-K/A filed on July 25, 2000) - our Quarterly Reports on Form 10-Q for the quarters ended March 31, 2000, June 30, 2000 and September 30, 2000 - our Current Report on Form 8-K filed on July 19, 2000 - our Current Report on Form 8-K filed on December 12, 2000 - the definitive Proxy Statement for our annual meeting of stockholders filed on March 28, 2000 - the description of our common stock contained in our Registration Statement on Form 8-A, filed on September 22, 1986, including all amendments and reports updating that description - the description of the rights to purchase shares of our Series C-1 Junior Participating Cumulative Preferred Stock contained in our Registration Statement on Form 8-A, filed on November 14, 1994, including all amendments and reports updating that description We will furnish without charge to each person, including any beneficial owner, to whom this prospectus is delivered, upon written or oral request, a copy of any documents incorporated by reference other than exhibits to those documents. Requests should be addressed to: 119 Fourth Avenue, Needham, Massachusetts 02494, Attention: Corporate Secretary (telephone number (781) 433-0771). You should rely only on the information incorporated by reference or provided in this prospectus. We have not authorized anyone to provide you with different information. You should not assume that 8

the information in this prospectus or the documents incorporated by reference is accurate as of any date other than the date on the front of this prospectus or those documents. FORWARD-LOOKING STATEMENTS Some statements incorporated by reference or made under the caption "Risk Factors" and elsewhere in this prospectus are "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. When we use the words "anticipate," "assume," "believe," "estimate," "expect," "intend" and other similar expressions, they generally identify forward-looking statements. Forward-looking statements include, for example, statements relating to development activities, business strategy and prospects, future capital expenditures, sources and availability of capital, governmental regulations and their effect on us and competition. You should exercise caution in interpreting and relying on forward-looking statements since they involve known and unknown risks, uncertainties and other factors which are, in some cases, beyond our control and could materially affect our actual results, performance or achievements. Some of the factors that could cause our actual results, performance or achievements to differ materially from those expressed or implied by forward-looking statements include, but are not limited to, the matters discussed under the caption "Risk Factors." We caution you that, while forward looking statements reflect our good faith beliefs, they are not guarantees of future performance. In addition, we disclaim any obligation to publicly update or revise any forward-looking statement, whether as a result of new information, future events or otherwise. USE OF PROCEEDS AVANT will not receive any proceeds from the sale of the shares by the selling stockholders. 9

REGISTRATION RIGHTS OF THE SELLING STOCKHOLDERS The following is a summary of the material terms and provisions of the merger agreement and the stock purchase agreement relating to the registration of the common stock covered by this prospectus. It may not contain all the information that is important to you. You can access complete information by referring to the merger agreement or the stock purchase agreement, as applicable. Under the terms of the registration rights provisions of the merger agreement, we must file by December 31, 2000 a Registration Statement covering the sale by the selling stockholders of the common stock that they received on December 1, 2000 in connection with our acquisition of Megan Health, Inc. We must use all commercially reasonable efforts to cause the Registration Statement to be declared effective by the Securities and Exchange Commission at the earliest practicable date, but not later than the later of (i) March 31, 2000, or (ii) the tenth business day after the filing of our annual report on Form 10-K for the fiscal year ended December 31, 2000. We have no obligation to keep the Registration Statement effective from and after such time as all the common stock issued to the selling stockholders in connection with our acquisition of Megan Health could be sold under Rule 144 of the Securities Act of 1933, as amended. Under the terms of the registration rights provisions of the stock purchase agreement, we must file a Registration Statement covering the sale by Pfizer Inc of the common stock that it purchased on December 1, 2000 as soon as reasonably practicable after the closing. We must use commercially reasonable efforts to cause the Registration Statement to be declared effective by the Securities and Exchange Commission and to keep the Registration Statement continuously effective until the earlier of (i) the date on which Pfizer has disposed of all of its shares of common stock and (ii) the date on which Pfizer may sell all of its shares of common stock under Rule 144 of the Securities Act of 1933, as amended. Any common stock sold by the selling stockholders pursuant to this prospectus will no longer be entitled to the benefits of the registration rights provisions of the merger agreement or the stock purchase agreement. The registration rights provisions of the merger agreement and the stock purchase agreement require that we bear all expenses of registering the common stock with the exception of any fees or expenses of counsel for the selling stockholders and all underwriting discounts, selling commissions and transfer taxes applicable to the sale of common stock under the Registration Statement. We also agreed to indemnify the selling stockholders and any person who controls the selling stockholders against all losses, claims, damages or liabilities arising under the securities laws in connection with an untrue statement or omission in the Registration Statement or this prospectus, subject to limitations specified in the merger agreement and the stock purchase agreement. In addition, the selling stockholders agreed to indemnify us and any person who controls our company, subject to limitations specified in the merger agreement and the stock purchase agreement, against all losses, claims, damages or liabilities arising under the securities laws if they result from an untrue statement or omission contained in any written information furnished to us by the selling stockholders expressly for use in the Registration Statement or this prospectus or any amendments to the Registration Statement or any prospectus supplements. 10

SELLING STOCKHOLDERS The following table provides the name and number of shares of common stock owned by each selling stockholder as of December 1, 2000, the number of shares of common stock covered by this prospectus and the total number of shares of common stock which the selling stockholders will beneficially own upon completion of this offering. The shares offered by this prospectus may be offered from time to time by the selling stockholders named below, or by any of their pledgees, donees, transferees or other successors in interest. The selling stockholders will receive all of the proceeds from the sale of shares of common stock pursuant to this prospectus. Because the selling stockholders may sell all, some or none of the shares, we have assumed that the selling stockholders will sell all of the shares in determining the number and percentage of shares of common stock that each selling stockholder will own upon completion of the offering to which this prospectus relates. The amounts set forth below are based upon information provided by the selling stockholders and are accurate to the best of our knowledge. It is possible, however, that the selling stockholders may acquire or dispose of additional shares of common stock from time to time after the date of this prospectus. SHARES OF COMMON SHARES OF COMMON STOCK STOCK BENEFICIALLY SHARES OF OWNED AFTER THE OFFERING OWNED AS OF COMMON STOCK ------------------------- SELLING STOCKHOLDER DECEMBER 1, 2000 OFFERED HEREBY NUMBER(1) PERCENT - ------------------- ------------------ -------------- ----------- ----------- A/W Company............................... 266,985 266,985 0 0 Aflafi Capital Company.................... 336,315 336,315 0 0 Altec Industries, Inc..................... 214 214 0 0 AmSouth Bancorporation.................... 372 372 0 0 Mr. Neal Andrews.......................... 593 593 0 0 Mr. J. Claude Bennett..................... 377 377 0 0 Mr. Keehn Berry, Jr....................... 483 483 0 0 Bienville Ventures I...................... 542 542 0 0 Bienville Ventures II..................... 25,576 25,576 0 0 Harold E. Bissell......................... 7,407 7,407 0 0 Ronald S. Brakke.......................... 208 208 0 0 Barlett G. Bretz.......................... 6,548 6,548 0 0 Brice Investment Company, Inc............. 513 513 0 0 Mr. Percy W. Brower, Jr., Trustee under The Percy W. Brower Jr. Revocable Trust dated 9/20/96........... 186 186 0 0 Buffalo Rock Company...................... 186 186 0 0 Mr. Thomas N. Carruthers, Jr.............. 441 441 0 0 Gus G. Casten M.D......................... 20,357 20,357 0 0 CID Equity Capital V, L.P................. 197,523 197,523 0 0 CID Equity Partners....................... 98,762 98,762 0 0 Brian L. Clevinger, Ph.D.................. 1,973 1,973 0 0 Richard W. Compans........................ 3,366 3,366 0 0 Richard and Iva Conerly, Joint Tenants with Rights of Survivorship............................ 12,916 12,916 0 0 Roy Curtiss III........................... 314 314 0 0 Josephine E. Curtiss, Trustee of the Roy Curtiss III Irrevocable Trust No. 2 dated June 12, 1998......... 22,900 22,900 0 0 Josephine E. Curtiss...................... 347 347 0 0 11

SHARES OF COMMON SHARES OF COMMON STOCK STOCK BENEFICIALLY SHARES OF OWNED AFTER THE OFFERING OWNED AS OF COMMON STOCK ------------------------- SELLING STOCKHOLDER DECEMBER 1, 2000 OFFERED HEREBY NUMBER(1) PERCENT - ------------------- ------------------ -------------- ----------- ----------- R. Hal Dean as Trustee of the R. Hal Dean Revocable Trust UAD August 26, 1987............... 11,606 11,606 0 0 Dunn Investment Company................... 24,769 24,769 0 0 Hope R. Edison............................ 5,804 5,804 0 0 Julian I. Edison.......................... 17,410 17,410 0 0 Mr. William F. Edmonds.................... 190 190 0 0 Mr. John D. Elmore........................ 761 761 0 0 Mrs. Marilyn W. Elmore.................... 761 761 0 0 Mr. Marvin R. Engel, As Trustee of Trust B U/W/O William P. Engel.................. 325 325 0 0 Mr. William E. Engel...................... 124 124 0 0 Mr. Wayne H. Gillis....................... 92 92 0 0 Amos N. Goldhaber and Marilyn K. Goldhaber............................... 9,876 9,876 0 0 Richard Grayson........................... 1,731 1,731 0 0 Revocable Living Trust of Richard C. Grayson Dated November 15, 1990, Richard C. Grayson, Trustee........................ 9,876 9,876 0 0 Tony Good................................. 347 347 0 0 Mr. G.R. Harsh III........................ 810 810 0 0 Mr. Cooper G. Hazelrig.................... 214 214 0 0 Sanjay K. Jain............................ 14,519 14,519 0 0 Jemison Investment Co., Inc............... 49,272 49,272 0 0 Mr. Crawford T. Johnson III............... 253 253 0 0 Johnston Properties, Inc.................. 214 214 0 0 Robert E. Lawson and Elizabeth A. Pearson, Joint Tenants with a Right of Survivorship............................ 1,975 1,975 0 0 Everett R. Lerwick, M.D................... 12,345 12,345 0 0 Longview Farm Trust....................... 4,534 4,534 0 0 Caldwell Marks............................ 4,186 4,186 0 0 Michael C. Matsos......................... 13,695 13,695 0 0 McWane, Inc............................... 943 943 0 0 Dr. Jiri Mestecky......................... 314 314 0 0 William E. Nasser, as Trustee U/I William E. Nasser dated March 17, 1995.......................... 9,876 9,876 0 0 John F. Norwood........................... 11,606 11,606 0 0 Dr. Daniel S. Prince...................... 368 368 0 0 Research Corporation Technologies, Inc....................... 1,034 1,034 0 0 Richgood Corporation...................... 5,238 5,238 0 0 Mr. Burnell R. Roberts.................... 651 651 0 0 Arthur F. Sackler......................... 14,519 14,519 0 0 Dennis P. Schafer......................... 4,936 4,936 0 0 Murray W. and Margaret S. Smith........... 8,722 8,722 0 0 Joseph C. South, III and Murray S. South, Joint Tenants with Right of Survivorship............................ 8,866 8,866 0 0 Virginia B. Spencer....................... 5,926 5,926 0 0 12

SHARES OF COMMON SHARES OF COMMON STOCK STOCK BENEFICIALLY SHARES OF OWNED AFTER THE OFFERING OWNED AS OF COMMON STOCK ------------------------- SELLING STOCKHOLDER DECEMBER 1, 2000 OFFERED HEREBY NUMBER(1) PERCENT - ------------------- ------------------ -------------- ----------- ----------- William M. Spencer, III................... 28,867 28,867 0 0 Mr. Andrew B. Stanley..................... 126 126 0 0 Ms. Susan W. Stanley...................... 126 126 0 0 Mr. Thomas B. Stanley, III................ 126 126 0 0 Ruth B. Stanley, Trustee Under Intervivos Trust Agreement with Thomas B. Stanley, Jr., 4-28-82.... 10,003 10,003 0 0 John Steuart.............................. 695 695 0 0 Ms. Kate Stockham......................... 156 156 0 0 Ms. Carolyn Stockham Thomas............... 167 167 0 0 Lee J. Styslinger, Jr..................... 11,542 11,542 0 0 M. Bruce Sullivan......................... 7,948 7,948 0 0 Suttle Brothers Investments............... 2,193 2,193 0 0 Pharmacia & Upjohn........................ 217,554 217,554 0 0 VACS, Ltd................................. 17,410 17,410 0 0 Mr. R. Lee Walthall....................... 377 377 0 0 Mr. Stewart H. Welch, Jr.................. 747 747 0 0 John R. Welser............................ 982 982 0 0 Alice M. Williams......................... 2,155 2,155 0 0 Mr. Robert H. Yoe, III.................... 106 106 0 0 Mr. Robert H. Yoe, Jr..................... 322 322 0 0 Mr. Frank M. Young, III and AmSouth Bancorporation, as trustees under Indenture dated 12/15/76 for the benefit of Mary Cobb Young................................... 122 122 0 0 Mr. Frank M. Young, III and AmSouth Bancorporation, as trustees under Indenture dated 12/15/76 for the benefit of Frank M. Young, IV............................... 122 122 0 0 Zinsmeyer Trusts Partnership.............. 13,046 13,046 0 0 U.S. Bank Trust........................... 262,250 262,250 0 0 Pfizer Inc................................ 285,877 285,877 0 0 --------- --------- -- -- TOTAL..................................... 2,127,113 2,127,113 0 0 ========= ========= == == - ------------------------ (1) Assumes that all shares hereby offered by the selling stockholders are sold. 13

PLAN OF DISTRIBUTION We are registering 2,127,113 shares of common stock for resale by the selling stockholders, to satisfy our commitment to do so under contracts with them, but the registration of these shares does not necessarily mean that the selling stockholders will sell any or all of the shares registered. The selling stockholders, or their pledgees, donees, transferees or other successors in interest may sell the shares from time to time at fixed prices that may be changed, at market prices prevailing at the time of sale, at prices related to prevailing market prices or at prices otherwise negotiated. The selling stockholders may sell shares by one or more of the following methods: - block transactions in which a broker-dealer will attempt to sell all or a portion of such shares as agent but may position and resell all or a portion of the block as principal to facilitate the transaction - purchases by any such broker-dealer as principal and resale by such broker-dealer for its own account pursuant to any supplement to this prospectus - sales on a stock exchange or automated interdealer quotation system on which our shares are listed on in the over-the-counter market - ordinary brokerage transactions and transactions in which any such broker-dealer solicits purchasers - privately negotiated transactions - short sales - one or more underwritten offerings on a firm commitment or best efforts basis - through the writing of options on the shares, whether or not the options are listed on an options exchange - through the distribution of the shares by any selling stockholder to its partners, members or stockholders The selling stockholders may also transfer the shares by gift. We do not know of any specific arrangements by the selling stockholders for the sale of any of the shares at the present time. The selling stockholders may engage brokers and dealers, and any brokers or dealers may arrange for other brokers or dealers to participate in effecting sales of the shares. These brokers, dealers or underwriters may act as principals, or as an agent of a selling stockholder. Broker-dealers may agree with a selling stockholder to sell a specified number of the shares at a stipulated price per security. If the broker-dealer is unable to sell shares acting as agent for a selling stockholder, it may purchase as principal any unsold shares at the stipulated price. Broker-dealers who acquire shares as principals may thereafter resell the shares from time to time in transactions in any stock exchange or automated interdealer quotation system on which the shares are then listed, at prices and on terms then prevailing at the time of sale, at prices related to the then-current market price or in negotiated transactions. Broker-dealers may also use block transactions and sales to and through broker-dealers as described above. From time to time, the selling stockholders may pledge, hypothecate or grant a security interest in some or all of the shares owned by them. The pledgees, secured parties or persons to whom the shares have been hypothecated will, upon foreclosure in the event of default, be deemed to be selling stockholders. The number of a selling stockholder's shares offered under this prospectus will decrease as and when it takes such actions. The plan of distribution for that selling stockholder's shares will otherwise remain unchanged. In addition, a selling stockholder may, from time to time, sell the shares short, and, in those instances, this prospectus may be delivered in connection with the short sales and the shares offered under this prospectus may be used to cover short sales. 14

To the extent required under the Securities Act of 1933, as amended, the aggregate amount of selling stockholders' shares being offered and the terms of the offering, the names of any agents, brokers, dealers or underwriters and any applicable commission with respect to a particular offer will be disclosed in a prospectus supplement. Any underwriters, dealers, brokers or agents participating in the distribution of the shares may receive compensation in the form of underwriting discounts, concessions, commissions or fees from a selling stockholder and/or purchasers of shares for whom they may act (which compensation as to a particular broker-dealer might be in excess of customary commissions). The selling stockholders and any underwriters, brokers, dealers or agents that participate in the distribution of the shares may be deemed to be "underwriters" within the meaning of the Securities Act of 1933, as amended, and any discounts, concessions, commissions or fees received by them and any profit on the resale of the shares sold by them may be deemed to be underwriting discounts and commissions. A selling stockholder may enter into hedging transactions with broker-dealers and the broker-dealers may engage in short sales of the shares in the course of hedging the positions they assume with that selling stockholder, which may include distributions of the shares by those broker-dealers. A selling stockholder may enter into option or other transactions with broker-dealers that involve the delivery of shares to the broker-dealers, who may then recall or otherwise transfer those shares. A selling stockholder may also loan or pledge shares to a broker-dealer and the broker-dealer may sell those shares. The selling stockholders and other persons participating in the sale or distribution of the shares will be subject to applicable provisions of the Securities Exchange Act of 1934, as amended, and the rules and regulations of the Securities and Exchange Commission, including Regulation M. This regulation may limit the timing of purchases and sales of any of the shares by the selling stockholders and any other person. The anti-manipulation rules under the Securities Exchange Act of 1934, as amended, may apply to sales of securities in the market and to the activities of the selling stockholders and their affiliates. Furthermore, Regulation M may restrict the ability of any person engaged in the distribution of the shares to engage in market-making activities with respect to the particular shares being distributed for a period of up to five business days before the distribution. These restrictions may affect the marketability of the shares and the ability of any person or entity to engage in market-making activities with respect to the shares. We have agreed to indemnify the selling stockholders against liabilities, including liabilities under the Securities Act of 1933, as amended, arising from disclosures we make or fail to make. The selling stockholders have agreed to indemnify us against liabilities, under the Securities Act of 1933, as amended, arising from information supplied to us by them. We will pay all expenses relating to the offering and sale of shares by the selling stockholders, with the exception of any fees or expenses of counsel, underwriting discounts, selling commissions or transfer taxes incurred by the selling stockholders. LEGAL MATTERS The validity of the common stock being offered by the selling shareholders will be passed upon for us by Goodwin, Procter & Hoar LLP, Boston, Massachusetts. EXPERTS The consolidated financial statements incorporated in this prospectus by reference to the Annual Report on Form 10-K/A for the year ended December 31, 1999 have been so incorporated in reliance upon the report of PricewaterhouseCoopers LLP, independent accountants, given on the authority of said firm as experts in auditing and accounting. 15

- -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- YOU SHOULD RELY ONLY ON THE INFORMATION CONTAINED IN THIS PROSPECTUS, INCORPORATED HEREIN BY REFERENCE OR CONTAINED IN A PROSPECTUS SUPPLEMENT; NEITHER WE NOR THE SELLING STOCKHOLDERS HAVE AUTHORIZED ANYONE ELSE TO PROVIDE YOU WITH DIFFERENT OR ADDITIONAL INFORMATION. THE SELLING STOCKHOLDERS ARE NOT MAKING AN OFFER OF THESE SECURITIES IN ANY STATE WHERE THE OFFER IS NOT PERMITTED. YOU SHOULD NOT ASSUME THAT THE INFORMATION IN THE PROSPECTUS, OR INCORPORATED HEREIN BY REFERENCE, OR IN ANY PROSPECTUS SUPPLEMENT IS ACCURATE AS OF ANY DATE OTHER THAN THE DATE ON THE FRONT OF THOSE DOCUMENTS. 2,127,113 SHARES AVANT IMMUNOTHERAPEUTICS, INC. COMMON STOCK --------------------- PROSPECTUS --------------------- FEBRUARY 6, 2001 - -------------------------------------------------------------------------------- - --------------------------------------------------------------------------------