SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  SCHEDULE 13D
                                 (Rule 13d-101)

  INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(a) AND
               AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(a)

                              (Amendment No. ___)*

                    BioDelivery Sciences International, Inc.
                    ----------------------------------------
                                (Name of Issuer)

                                  Common Stock
                    ----------------------------------------
                         (Title of Class of Securities)

                                    09060J106
                    ----------------------------------------
                                 (CUSIP Number)

                              Martin D. Sklar, Esq.
                     Kleinberg, Kaplan, Wolff & Cohen, P.C.
                   551 Fifth Avenue, New York, New York 10176
                               Tel: (212) 986-6000
                    ----------------------------------------
(Name, Address and Telephone Number of Person Authorized to Receive Notices and
                                Communications)

                                 August 21, 2006
                    ----------------------------------------
             (Date of Event Which Requires Filing of this Statement)

If the filing person has previously  filed a statement on Schedule 13G to report
the  acquisition  which is the subject of this  Schedule 13D, and is filing this
schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box
[x].

Note:  Schedules  filed in paper format shall include a signed original and five
copies of the schedule, including all exhibits. See Rule 13d-7 for other parties
to whom copies are to be sent.

*The  remainder of this cover page shall be filled out for a reporting  person's
initial filing on this form with respect to the subject class of securities, and
for  any  subsequent   amendment   containing   information  which  would  alter
disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the  Securities  Exchange  Act of
1934 or  otherwise  subject to the  liabilities  of that  section of the Act but
shall be subject to all other provisions of the Act (however, see the Notes).



1.  NAMES OF REPORTING PERSONS
    I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
         Elliott Associates, L.P.

2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
        (a)[x]
        (b)[ ]

3.  SEC USE ONLY

4.  SOURCE OF FUNDS*
         WC

5.  CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO
    ITEMS 2(d) or 2(e) [ ]

6.  CITIZENSHIP OR PLACE OF ORGANIZATION
         Delaware

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH

7.  SOLE VOTING POWER
         175,230

8.  SHARED VOTING POWER
         0

9.  SOLE DISPOSITIVE POWER
         175,230

10. SHARED DISPOSITIVE POWER
         0

11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
        175,230

12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
    SHARES* [ ]

13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
        1.3%

14. TYPE OF REPORTING PERSON*
        PN

                      *SEE INSTRUCTIONS BEFORE FILLING OUT!



1.  NAMES OF REPORTING PERSONS
    I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
        Elliott International, L.P.

2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
        (a)[x]
        (b)[ ]

3.  SEC USE ONLY

4.  SOURCE OF FUNDS*
        WC

5.  CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
    PURSUANT TO ITEMS 2(d) or 2(e) [ ]

6.  CITIZENSHIP OR PLACE OF ORGANIZATION
        Cayman Islands, British West Indies

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH

7.  SOLE VOTING POWER
        0

8.  SHARED VOTING POWER
        262,845

9.  SOLE DISPOSITIVE POWER
        0

10. SHARED DISPOSITIVE POWER
        262,845

11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
        262,845

12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
    SHARES* [ ]

13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
        1.9%

14. TYPE OF REPORTING PERSON*
        PN

                      *SEE INSTRUCTIONS BEFORE FILLING OUT!



1.  NAMES OF REPORTING PERSONS
    I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
        Elliott International Capital Advisors Inc.

2.  CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
        (a)[x]
        (b)[ ]

3.  SEC USE ONLY

4.  SOURCE OF FUNDS*
        OO

5.  CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO
    ITEMS 2(d) or 2(e) [ ]

6.  CITIZENSHIP OR PLACE OF ORGANIZATION
        Delaware

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH

7.  SOLE VOTING POWER
        0

8.  SHARED VOTING POWER
        262,845

9.  SOLE DISPOSITIVE POWER
        0

10. SHARED DISPOSITIVE POWER
        262,845

11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
        262,845

12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
    SHARES* [ ]

13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
        1.9%

14. TYPE OF REPORTING PERSON*
        CO

                      *SEE INSTRUCTIONS BEFORE FILLING OUT!



ITEM 1.  Security and Issuer.

     This statement  relates to the common stock,  $0.001 par value (the "Common
Stock"),  of  BioDelivery  Sciences  International,  Inc.  (the  "Issuer").  The
Issuer's  principal  executive  office is located at 2501 Aerial Center  Parkway
Suite 205, Morrisville, North Carolina 27560.

ITEM 2.  Identity and Background.

(a)-(c) This  statement is being filed by Elliott  Associates,  L.P., a Delaware
limited   partnership,   and  its   wholly-owned   subsidiaries   (collectively,
"Elliott"),  Elliott  International,  L.P., a Cayman Islands limited partnership
("Elliott  International"),  and Elliott  International Capital Advisors Inc., a
Delaware   corporation   ("EICA"  and  collectively  with  Elliott  and  Elliott
International,  the "Reporting  Persons").  Paul E. Singer  ("Singer"),  Elliott
Capital Advisors,  L.P., a Delaware limited  partnership  ("Capital  Advisors"),
which is controlled by Singer,  and Elliott Special GP, LLC, a Delaware  limited
liability company ("Special GP"), which is controlled by Singer, are the general
partners  of   Elliott.   Hambledon,   Inc.,   a  Cayman   Islands   corporation
("Hambledon"),  which is also controlled by Singer,  is the sole general partner
of  Elliott   International.   EICA  is  the  investment   manager  for  Elliott
International.  EICA expressly  disclaims  equitable  ownership of and pecuniary
interest in any shares of Common Stock.  Elliott beneficially owns its shares of
Common Stock  through its  subsidiary,  The  Liverpool  Limited  Partnership,  a
Bermuda limited partnership.

     The  Reporting  Persons may be deemed to be acting in concert  with CDC IV,
LLC, a Delaware limited liability company ("CDC IV"), of which a majority of the
equity (but not a controlling interest) is held by Elliott.

     ELLIOTT

     The business address of Elliott is 712 Fifth Avenue,  36th Floor, New York,
New York 10019.

     The principal business of Elliott is to purchase, sell, trade and invest in
securities.

     SINGER

     Singer's  business  address is 712 Fifth Avenue,  36th Floor, New York, New
York 10019.

     Singer's principal business is to serve as a general partner of Elliott and
Capital Advisors,  as the president of EICA, and as a managing member of Special
GP.

     CAPITAL ADVISORS

     The business address of Capital  Advisors is 712 Fifth Avenue,  36th Floor,
New York, New York 10019.



     The principal  business of Capital Advisors is the furnishing of investment
advisory services.  Capital Advisors also serves as a managing member of Special
GP.

     The  names,  business  addresses,   and  present  principal  occupation  or
employment of the general partners of Capital Advisors are as follows:

    NAME                 ADDRESS                        OCCUPATION
Paul E. Singer      712 Fifth Avenue             General partner of Elliott
                    36th Floor                   and Capital Advisors;
                    New York, New York 10019     President of EICA; and a
                                                 managing member of Special GP

Braxton            712 Fifth Avenue              The principal business of
Associates, Inc.   36th Floor                    Braxton Associates, Inc. is
                   New York, New York 10019      serving as general partner
                                                 of Capital Advisors

Elliott Asset      712 Fifth Avenue              General Partner of Capital
Management LLC     36th Floor                    Advisors
                   New York, New York  10019

     The name, business address,  and present principal occupation or employment
of the sole director and executive  officer of Braxton  Associates,  Inc. are as
follows:

    NAME                 ADDRESS                        OCCUPATION
Paul E. Singer      712 Fifth Avenue             General partner of Elliott
                    36th Floor                   and Capital Advisors and
                    New York, New York 10019     President of EICA

     ELLIOTT SPECIAL GP, LLC

     The business  address of Special GP is 712 Fifth  Avenue,  36th Floor,  New
York, New York 10019.

     The  principal  business  of Special GP is serving as a general  partner of
Elliott.

     The names, business address, and present principal occupation or employment
of the managing members of Special GP are as follows:



    NAME                 ADDRESS                        OCCUPATION
Paul E. Singer      712 Fifth Avenue             General partner of Elliott
                    36th Floor                   and Capital Advisors;
                    New York, New York 10019     President of EICA; and a
                                                 managing member of Special GP

Braxton            712 Fifth Avenue              The principal business of
Associates, Inc.   36th Floor                    Braxton Associates, Inc. is
                   New York, New York 10019      serving as general partner
                                                 of Capital Advisors

Elliott Asset      712 Fifth Avenue              General Partner of Capital
Management LLC     36th Floor                    Advisors
                   New York, New York  10019

     ELLIOTT INTERNATIONAL

     The business address of Elliott  International is c/o Maples & Calder, P.O.
Box 309, Ugland House, South Church Street, George Town, Cayman Islands, British
West Indies.

     The principal business of Elliott International is to purchase, sell, trade
and invest in securities.

     The name, business address,  and present principal occupation or employment
of the general partner of Elliott International is as follows:

     NAME                       ADDRESS                      OCCUPATION
Hambledon, Inc.      c/o Maples & Calder, P.O.      General partner of Elliott
                     Box 309, Ugland House, South   International
                     Church Street, George Town,
                     Grand Cayman, Cayman
                     Islands, British West Indies

     HAMBLEDON

     The name, business address,  and present principal occupation or employment
of the sole director and executive officer of Hambledon are as follows:



    NAME                 ADDRESS                        OCCUPATION
Paul E. Singer      712 Fifth Avenue             General partner of Elliott
                    36th Floor                   and Capital Advisors;
                    New York, New York 10019     President of EICA; and a
                                                 managing member of Special GP

     EICA

     The business address of EICA is 712 Fifth Avenue, 36th Floor, New York, New
York 10019.

     The principal  business of EICA is to act as investment manager for Elliott
International.

     The name, business address,  and present principal occupation or employment
of the sole director and executive officer of EICA is as follows:

    NAME                 ADDRESS                        OCCUPATION
Paul E. Singer      712 Fifth Avenue             General partner of Elliott
                    36th Floor                   and Capital Advisors;
                    New York, New York 10019     President of EICA; and a
                                                 managing member of Special GP

     (d) and (e) During the last five  years,  none of the  persons or  entities
listed above has been (i) convicted in a criminal proceeding  (excluding traffic
violations or similar misdemeanors);  or (ii) a party to a civil proceeding of a
judicial or  administrative  body of competent  jurisdiction  and as a result of
such proceeding was or is subject to a judgment, decree or final order enjoining
future violations of, or prohibiting or mandating activities subject to, federal
or state securities laws or finding any violation with respect to such laws.

     (f) Mr. Singer is a citizen of the United States of America.

ITEM 3.  Source and Amount of Funds or Other Consideration.

Elliott Working Capital                      $394,564

Elliott International Working Capital        $596,128



ITEM 4.  Purpose of Transaction.

     Each of  Elliott  and  Elliott  International  acquired  the  Common  Stock
beneficially  owned by it in the ordinary course of its purchasing,  selling and
trading  in  securities.  EICA  has  acted  as  investment  manager  to  Elliott
International  in  connection  with  Elliott   International's   acquisition  of
beneficial ownership of Common Stock.

     The  Reporting  Persons may be deemed to be acting in concert  with CDC IV.
CDC IV is a shareholder of the Issuer that beneficially owns approximately 26.3%
of the outstanding shares of Common Stock. CDC is controlled by its manager, CDC
Operations,  LLC ("CDC Operations"),  and the principals of CDC Operations.  For
additional  information  with respect to CDC IV,  please see the Schedule 13D of
CDC IV, last  amended on August 22, 2006.  The  Reporting  Persons  disclaim any
beneficial ownership with respect to the shares of Common Stock owned by CDC IV.

     Depending  upon  market  conditions  and  other  factors  that it may  deem
material,  each of Elliott and Elliott  International  may  purchase  additional
shares of Common  Stock  and/or  related  securities  or may dispose of all or a
portion of the Common Stock or related  securities that it now beneficially owns
or may hereafter acquire.

     On August 15, 2006, a non-binding  letter of intent ("LOI") was sent to the
Issuer  proposing  certain  amendments to the Clinical  Development  and License
Agreement,  by and among  Issuer,  CDC IV, as  successor in interest to Clinical
Development  Capital  LLC  and  Arius   Pharmaceuticals,   Inc.  (the  "Clinical
Development and License  Agreement").  The LOI proposes that CDC IV will provide
Issuer with additional funding for clinical development of BEMA(TM) Fentanyl and
receive,  in return for such  additional  funding,  increased fees and royalties
under the Clinical  Development and License  Agreement,  as well as a warrant to
purchase  additional  shares of the Issuer's  common stock.  Additionally,  as a
condition to amending the Clinical  Development  and License  Agreement,  CDC IV
requested that the Issuer replace its current management and that CDC IV receive
a seat on the Issuer's Board of Directors.  On August 18, 2006,  Issuer rejected
the LOI.

     On  August  21,  2006,  CDC IV and  Elliott  sent a  letter  to the  Issuer
expressing their dissatisfaction with current operations and management.  A copy
of this letter is attached to CDC's Schedule 13D as Exhibit F.

     Elliott and Elliott  International reserve the right to discuss and/or meet
with  management  and other  shareholders  and/or  formulate  plans or proposals
regarding the Issuer or its  securities,  including plans or proposals that seek
to remove the Issuer's chief executive officer.

ITEM 5.  Interest in Securities of the Issuer.

     (a) Elliott beneficially owns 175,230 shares of Common Stock,  constituting
1.3% of all of the outstanding shares of Common Stock.



     Elliott  International  and EICA  beneficially  own an aggregate of 262,845
shares of Common Stock,  constituting  1.9% of all of the outstanding  shares of
Common Stock.

     Collectively,  Elliott,  Elliott  International  and EICA  beneficially own
438,075  shares  of Common  Stock  constituting  3.1% of all of the  outstanding
shares of Common Stock.

     (b)  Elliott has the power to vote or direct the vote of, and to dispose or
direct the disposition of, the shares of Common Stock beneficially owned by it.

     Elliott  International has the shared power with EICA to vote or direct the
vote of, and to dispose or direct the disposition of, the shares of Common Stock
owned  by  Elliott   International.   Information   regarding  each  of  Elliott
International  and  EICA is set  forth  in Item 2 of  this  Schedule  13D and is
expressly incorporated by reference herein.

     (c) No  transactions  with respect to the Common Stock were effected by any
of the Reporting Persons during the past sixty (60) days.

     (d) No person  other than  Elliott has the right to receive or the power to
direct the receipt of  dividends  from,  or the  proceeds  from the sale of, the
shares of Common Stock beneficially owned by Elliott.

     No  person  other  than  Elliott  International  and EICA has the  right to
receive or the power to direct the receipt of  dividends  from,  or the proceeds
from the sale of,  the  shares of Common  Stock  beneficially  owned by  Elliott
International and EICA.

     (e) Not applicable.


ITEM 6.  Contracts, Arrangements, Understandings or Relationships With Respect
         to Securities of the Issuer.

     Not applicable.

ITEM 7.  Material to be Filed as Exhibits.

     Exhibit A - Joint Filing Agreement

     Exhibit B - Letter to Issuer  dated August 21, 2006 sent by Elliott and CDC
IV (see  Exhibit F to  Schedule  13D/A filed by CDC IV with the  Securities  and
Exchange Commission on August 22, 2006).



                                   SIGNATURES

     After reasonable  inquiry and to the best of its knowledge and belief,  the
undersigned  each certifies that the information with respect to it set forth in
this statement is true, complete and correct.

Dated:   August 23, 2006

        ELLIOTT ASSOCIATES, L.P.
        By: Elliott Capital Advisors, L.P., as General Partner
              By: Braxton Associates, Inc., as General Partner


                     By: /s/ Elliot Greenberg
                         --------------------
                             Elliot Greenberg
                             Vice President


        ELLIOTT INTERNATIONAL, L.P.
        By: Elliott International Capital Advisors Inc.,
              as Attorney-in-Fact


                     By: /s/ Elliot Greenberg
                         --------------------
                             Elliot Greenberg
                             Vice President


        ELLIOTT INTERNATIONAL CAPITAL ADVISORS INC.


        By: /s/ Elliot Greenberg
            --------------------
                Elliot Greenberg
                Vice President



                                    EXHIBIT A

                             JOINT FILING AGREEMENT

     The  undersigned  hereby  agree that the  statement  on  Schedule  13D with
respect to the common stock of BioDelivery  Sciences  International,  Inc. dated
August 23, 2006 is, and any  further  amendments  thereto  signed by each of the
undersigned shall be, filed on behalf of each of the undersigned pursuant to and
in accordance with the provisions of Rule 13d-1(f) under the Securities Exchange
Act of 1934, as amended.

Dated:  August 23, 2006

        ELLIOTT ASSOCIATES, L.P.
        By: Elliott Capital Advisors, L.P., as General Partner
              By: Braxton Associates, Inc., as General Partner


                     By: /s/ Elliot Greenberg
                         --------------------
                             Elliot Greenberg
                             Vice President


        ELLIOTT INTERNATIONAL, L.P.
        By: Elliott International Capital Advisors Inc.,
              as Attorney-in-Fact


                     By: /s/ Elliot Greenberg
                         --------------------
                             Elliot Greenberg
                             Vice President


        ELLIOTT INTERNATIONAL CAPITAL ADVISORS INC.


        By: /s/ Elliot Greenberg
            --------------------
                Elliot Greenberg
                Vice President