Mail Stop 0309	December 14, 2004

Takashi Kiyoizumi, M.D., Ph.D.
President and Chief Executive Officer
MediciNova, Inc.
4350 La Jolla Village Drive, Suite 950
San Diego, CA  92122

Re:	MediciNova, Inc.
	Amendment No. 1 to the Registration Statement on Form S-1
	File Number 333-119433

Dear Dr. Kiyoizumi:

	We have reviewed your filing and have the following comments.
Where indicated, we think you should revise your document in
response
to these comments.  If you disagree, we will consider your
explanation as to why our comment is inapplicable or a revision is
unnecessary.  Please be as detailed as necessary in your
explanation.
In some of our comments, we may ask you to provide us with
supplemental information so we may better understand your
disclosure.
After reviewing this information, we may or may not raise
additional
comments.

	Please understand that the purpose of our review process is
to
assist you in your compliance with the applicable disclosure
requirements and to enhance the overall disclosure in your filing.
We look forward to working with you in these respects.  We welcome
any questions you may have about our comments or on any other
aspect
of our review.  Feel free to call us at the telephone numbers
listed
at the end of this letter.

Form S-1

Management`s Discussion and Analysis of Financial Condition, Page
28

Research and Development Expense, page 31

1. Please refer to your response to comment 41.  The intent of our
comment was to obtain more disaggregated research and development
expense disclosure than what you have included in your amended S-
1.
For each product candidate please disclose the research and
development costs incurred to date and for each income period
presented.


Liquidity and Capital Resources, page 35

2. We note from the additional disclosure on page 35 in response
to
comment 45 and the disclosure in Note 5 to the financial
statements
that your future potential milestones payments are significant.
Please disclose an estimate of the timing of amounts to be paid.

License and Master Services Agreement, page 40
3. We note your response to comment 56 and reissue the comment.
Please note that we do not generally grant confidential treatment
for
redaction of individual milestone/royalty payments in connection
with
license agreements as we consider such information material to
investors.  However, we have as an exception permitted redaction
of
such individual amounts if the registrant discloses the aggregate
milestone and/or royalty payments that you intend to pay or be
paid
under each agreement in the Form S-1. You will also need to
disclose
the amount you have paid to date as well as received to date under
each agreement. Please revise your disclosure or advise us.
Additionally, if you believe that the aggregate amount of these
payments is not material to you, please provide us with the facts
your belief is based on.
4. In addition, please note we are currently reviewing your
application for confidential treatment.  Any comments we may have
on
the application will be issued in a separate letter.

Financial Statements and Related Footnotes, page F-1

Note 1.  The Company, Basis of Presentation and Summary of
Significant Accounting Policies

Revenue Recognition, page F-9

5. Please disclose the significant terms of your development
management agreements with Asahi Kasei Pharma Corporation and
Argenes
Inc.

Note 6.  Redeemable Convertible Preferred Stock and Stockholders`
Equity

6. We note your response to comment 73.  Please provide the
following:

* Clarify why the fair value of the underlying common stock used
to
calculate the deemed dividend and the stock-based compensation
related to the founders` warrants was 90% of the estimated low end
of
the IPO price.
* Disclose specifically what factors, assumptions, and methodology
were used in estimating the fair value.
* Discuss each significant factor contributing to the difference
between the fair value and (1) the estimated IPO price, or (2) the
fair value as determined by that valuation (if a contemporaneous
valuation was made).
* Clarify in the filing if the valuation used was contemporaneous
or
retrospective.

Founders` Common Stock and Warrant, page F-16

7. We note in your disclosure that you recorded additional stock-
based compensation of $19,405,950 and $14,663,966 during the nine
months ended September 30, 2004.  The sum of the two amounts does
not
agree to the total amount you disclose of $31,264,677.  Please
revise
your disclosure to reconcile these amounts.

*	*	*

      File a pre-effective amendment in response to these
comments.
Provide a letter keying your responses to the comments, and
provide
any requested supplemental information.  If you believe complying
with these comments is not appropriate, tell us why in your
letter.
The response letter should be uploaded to EDGAR, with the form
type
label "CORRESP" and linked to the registration statement file
number.
We may have comments after reviewing revised materials and your
responses.

      Submit your request for acceleration at least two business
days
prior to the requested effective date.

      You may contact Dana Hartz at (202) 942-2976 or Mary Mast
(202)
942-1858 if you have questions regarding comments on the financial
statements and related matters.  Please contact Song Brandon at
(202)
942-2831 or John Krug at (202) 942-2979 with any other questions.
								Sincerely,



								Jeffrey Riedler
									Assistant Director


cc:  	Babak Yaghmaie, Esq.
	Pillsbury Winthrop LLP
	1540 Broadway
	New York, NY  10036






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