UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): May 30, 2007
MEDICINOVA, INC.
(Exact name of registrant as specified in its charter)
Delaware | 001-33185 | 33-0927979 | ||
(State or other jurisdiction of incorporation) |
(Commission File Number) | (IRS Employer Identification No.) |
4350 La Jolla Village Drive, Suite 950
San Diego, CA 92122
(Address of principal executive offices) (Zip Code)
Registrants telephone number, including area code: (858) 373-1500
Not Applicable
(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
¨ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
¨ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
¨ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
¨ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Item 7.01 | Regulation FD Disclosure. |
Representatives of MediciNova, Inc. (the Registrant) are scheduled to make a presentation at the J.M. Dutton Health Science Small Cap Conference on May 30, 2007 at 10:10 a.m. Pacific time and at the Friedman Billings Ramsey Growth Conference on May 31, 2007 at 2:20 p.m. Eastern time. A copy of the slide presentation to be used by the Registrant at these conferences is attached hereto as Exhibit 99.1.
The information in this Item 7.01, including Exhibit 99.1 furnished herewith, is furnished pursuant to Item 7.01 and shall not be deemed filed for any purpose, including for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the Exchange Act), or otherwise subject to the liabilities of that Section. The information in this Item 7.01 of this Current Report on Form 8-K shall not be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, regardless of any general incorporation language in any such filing.
Item 9.01 | Financial Statements and Exhibits. |
(d) | Exhibits. |
Number | Description | |
99.1 | Slide presentation dated May 30, 2007 |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
MEDICINOVA, INC. | ||||||||
Dated: May 30, 2007 | By: | /s/ Shintaro Asako | ||||||
Shintaro Asako Vice President and Chief Financial Officer |
EXHIBIT INDEX
Number | Description | |
99.1 | Slide presentation dated May 30, 2007 |
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MediciNova, Inc. 2007 Accelerating the global development and commercialization of innovative pharmaceutical products Accelerating the global development and commercialization of innovative pharmaceutical products Exhibit 99.1 |
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MediciNova, Inc. 2007 This presentation may contain forward looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These statements include statements regarding the expected progress of the development of the Companys product candidates and potential licensing, collaboration and partnering plans. These statements are based on certain assumptions made by the Companys management that are believed to be reasonable at the time. Such statements are subject to a number of assumptions, risks and uncertainties, many of which are beyond the control of the Company, including results of clinical studies, interest of potential collaborators in the market and other risks and uncertainties, including those described in the Companys filings with the Securities and Exchange Commission. These assumptions, risks and uncertainties could cause the Companys actual results to differ materially from those implied or expressed by the forward-looking statements. Safe Harbor Statement Safe Harbor Statement |
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MediciNova, Inc. 2007 US-based pharmaceutical development company: Unique access to differentiated, high-value, lower-risk in-licensed assets from
Japanese alliances Focused on mid-to-late stage clinical development Management team has global development/commercialization experience Commercially-attractive clinical pipeline: 8 compounds in 10 different therapeutic
indications; 7 programs in Phase II or later Key market advantages for each unique molecule Multi-billion dollar collective market potential Well-capitalized: $212 M raised from inception; $98 M cash, equiv. & mkt securities as of 3/31/07 Successful IPO ($122.5 M gross) on Osaka Securities Exchange (OSE; code: 4875) in February 2005 NASDAQ listing December 2006 (MNOV); recent NASDAQ offering (1 M shares @ $12) in February 2007 to introduce MNOV to new US shareholders Corporate Overview Corporate Overview |
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MediciNova, Inc. 2007 Business Model Business Model In-license high-value, differentiated small molecule product candidates at the late
preclinical-early Phase II clinical development stage at attractive terms
from mid-sized Japanese pharmaceutical companies Add significant value through rapid advancement of product candidates through proof-of-concept Phase II/III clinical trials Secure strategic alliances at key value inflection points Selectively retain and commercialize certain product candidates for maximum ROI Drug Development Research Late Preclinical Phase I Phase II Phase III Sales/ Marketing Partner: $$$$$ Commercialize: $$$$$$$$$$ In-License: $ |
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MediciNova, Inc. 2007 Proven Global Success of Drugs In-Licensed from Japan Proven Global Success of Drugs In-Licensed from Japan Drugs discovered in Japan are being snapped up by Western companies: Drug (Date Launched) Treatment Japanese Discoverer Partner in U.S. Peak World-Wide Sales Pravachol (1991) High cholesterol Sankyo Bristol-Myers Squibb $3.3 billion Prevacid (1995) Heartburn Takeda Abbott $4.3 billion Aricept (1997) Alzheimer's Eisai Pfizer $1.1 billion Abilify (2002) Schizophrenia Otsuka Bristol-Myers Squibb $2 billion (a) Crestor (2003) High cholesterol Shionogi AstraZeneca $4 billion (a) (a) Analyst estimate Source: the companies Others: Pepcid (Merck), Cardizem (Aventis), Lupron (TAP), Atacand (AstraZeneca), Biaxin (Abbott), Levaquin (J&J), Noroxin (Merck), Tequin (BMS)
.MORE |
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MediciNova, Inc. 2007 Japanese Pharma Alliances Japanese Pharma Alliances Unique access to mid-sized Japanese pharma companies with no U.S. and/or European development capabilities Acquire rights to select, high quality compounds in U.S. and select ex-U.S. markets Favorable deal terms: Modest milestone payments (e.g., no more than $1M upfront) Reasonable royalties (e.g., 14% maximum on U.S. sales > $500M) No stacking royalties (i.e., ~65/35% split with originator on out-licensing) Proven track record 8 compounds acquired in 6 years Self-renewing model Japanese Pharmaceutical Company 2005 Sales ($M) Takeda 10,208 Daiichi-Sankyo 8,330 Astellas 7,836 Eisai 4,845 Sumitomo 2,874 Chugai 2,863 Taisho 2,540 Mitsubishi 2,129 Shionogi 1,812 Tanabe 1,563 Ono 1,320 Kyowa-Hakko 1,422 Meiji 995 Santen 842 Hisamitsu 759 Tsumura 741 Kaken 681 Mochida 618 Kyorin 602 Kissei 553 MediciNova partner Conduct US trials directly |
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MediciNova, Inc. 2007 Commercially-Attractive Diversified Portfolio Commercially-Attractive Diversified Portfolio 6 Years 8 Compounds 10 Indications 6 Years 8 Compounds 10 Indications Product candidate (indication) Preclinical Phase 1 MN-166 (Multiple sclerosis) MN-305 (Anxiety Disorders/Insomnia) MN-221 (Status Asthmaticus) MN-001 (Bronchial asthma) MN-001 (Interstitial cystitis) MN-029 (Solid tumors) Phase 2 Phase 3 MN-246 (Urinary incontinence) Approval MN-221 (Preterm labor) MN-447 & MN-462 (Thrombosis) |
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MediciNova, Inc. 2007 MN-221 (Status Asthmaticus) MN-221 (Status Asthmaticus) Source Kissei Pharmaceutical (2004) Market Potential 5th yr sales ~ $500 M Advantages Clinically-proven mechanism of action (highly selective 2 -adrenergic receptor agonist) Greater cardiovascular safety (less 1 - adrenergic receptor stimulation) More reliable, effective and rapid route of administration (i.v. vs. inhaled) Milestones US Phase II Results 3Q07 |
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MediciNova, Inc. 2007 Trends in Asthma Trends in Asthma 1980 2000 2002 Outpatient visits 7,137,000 1,036,000 1,225,000 Emergency room visits 1,835,000 1,898,000 Physician office visits 9,332,000 12,692,000 Hospitalizations 408,000 465,000 484,000 Deaths 2,891 4,487 4,261 Total cost in 2004: $11.5 billion direct and $4.6 billion indirect expenses source: National Center for Health Statistics/CDC |
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MediciNova, Inc. 2007 MN-221 Competitive Advantages MN-221 Competitive Advantages Compound Dosing Proven Mechanism Rapid Action Reliable Delivery Safety Issues MN-221 IV (Ph II) Yes Yes Yes No ß-Agonists Inhaled;
nebulized Yes Yes No Cardiovascular (palpitations) Singulair IV (Ph III) No ? Yes No Zyflo IV (Ph I / II) No ? Yes Liver toxicity |
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MediciNova, Inc. 2007 Human -Adrenergic Receptor Selectivity Human -Adrenergic Receptor Selectivity Drug Adrenoceptor (IC 50 , M) 2 -Adrenoceptor Selectivity 1 2 (IC 50 for 1 /IC 50 for 2 ) MN-221 1.39 0.0224 62.1 Albuterol (Salbutamol) 5.63 1.56 3.61 S(-)-Propranolol 0.00127 0.00094 1.35 Displacement of [³H]-cyanopindolol or [³H]-CGP12177 binding in membrane preparations expressing human cloned 1 - and 2 -adrenoceptors, respectively MN-221 selectively binds to human 2 -adrenergic receptors. |
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MediciNova, Inc. 2007 Reduction in Bronchoconstriction Reduction in Bronchoconstriction Recovery from Ragweed-induced Bronchoconstriction in Dogs 0 1 2 3 4 5 0 10 20 30 40 50 60 70 80 90 100 110 120 Vehicle MN-221 (400 g/kg) baseline response MN-221 (120 g/kg) MN-221 ( 0 g/kg) MN-221 (12 g/kg) MN-221 g/kg) MN-221 (0.4 g/kg) peak response Time after Injection (minutes) |
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MediciNova, Inc. 2007 Study Objectives: To determine the efficacy of a single 15-minutes treatment with intravenous
MN- 221 in subjects with mild-to-moderate asthma. To determine the efficacy of two sequential 15-minutes infusion of MN-221
separated by 20 minutes in subjects with mild-to-moderate asthma. Study Design: Randomized, double-blind, placebo-controlled multi-center trial Study Population: Up to 28 subjects will be randomized in order to complete all dosing approximately 20-28 subjects. Primary Outcome Measure: The primary efficacy analysis of change from baseline in FEV1 will utilize ANCOVA, adjusting for treatment, site and baseline FEV1. The primary comparison will be between each MN-221 treatment group and placebo. Phase IIa Study Outline Phase IIa Study Outline |
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MediciNova, Inc. 2007 MN-221 Value-Added/Next Steps MN-221 Value-Added/Next Steps At Acquisition Large preclinical and early clinical database (in preterm labor) Value-Added Initiated cGMP product manufacturing Changed clinical dosing paradigm Determined safety of new dosing paradigm (through Phase I testing) New indication Status Asthmaticus Next Steps Phase IIa proof-of-concept testing (in progress) Phase IIb in status asthmaticus |
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MediciNova, Inc. 2007 MN-221 Summary MN-221 Summary Significant market opportunity (to $500M peak sales) Improved selectivity for 2 -adrenergic receptor over older agents Improved safety (fewer cardiovascular side effects) compared to older -agonists I.V. formulation (reliable and rapid delivery) Recent composition and use patents issued in the US, Europe & Japan Well-tolerated in Phase I; little effect on heart rate Phase II (asthma) initiated 4Q06; Results 3Q07 Ability to push rapidly to market and sell with a small focused sales force |
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MediciNova, Inc. 2007 MN-166 (Multiple Sclerosis) MN-166 (Multiple Sclerosis) Source Kyorin Pharmaceutical (2004) Market Potential 5th yr sales ~ $1 B Advantages Oral treatment for MS 16 years proven clinical safety and efficacy in inflammatory disorders (asthma, stroke) in Japan Large preclinical and clinical database (3.2M patients treated; >15,000 in formal clinical safety database) New US use patent Milestones Positive Phase II results 1Q07; Phase III to start 4Q07 - 1Q08 |
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MediciNova, Inc. 2007 MS Demographics and Market MS Demographics and Market Multiple sclerosis, an inflammatory disease of the central nervous system, affects 250,000 to 350,000 people in the U.S. and 2.5 million worldwide. Relapsing-remitting MS is the most common type of the disease, affecting 65 85% of patients, and most patients with RRMS will eventually progress to the secondary progressive form of the disease. In 2006, the global market for MS therapies was $5.8 billion. Avonex $1.7B Rebif $1.5B Copaxone $1.4B Betaseron $1.2B |
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MediciNova, Inc. 2007 Unmet Need MN-166 Interferon Products More convenient dosing Oral Intravenous or subcutaneous injection (Injection site pain, swelling and itching) Greater efficacy At least comparable efficacy observed in early trials Current relapse reduction rate is ~33% Longer duration of effect No neutralizing antibodies formed; no loss of effect Relative benefit gained from existing drugs may decline over time - possibly due to presence of neutralizing antibodies Halt disease progression At least comparable early trends in Phase II Avonex reduced the risk of disease progression by ~37% in patients treated for 2 years compared to placebo Better safety profile Only mild, transient GI side effects noted in Phase II Common side effects include injection site reactions, flu-like symptoms, depression, liver problems and blood abnormalities MN-166 Competitive Advantages MN-166 Competitive Advantages |
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MediciNova, Inc. 2007 Mechanism(s) of Action Mechanism(s) of Action Anti-inflammatory Phosphodiesterase IV inhibitor Leukotriene inhibitor Inhibits nitric oxide and reactive oxygen species production Inhibits Th1 cytokine production (IFN- , TNF- , IL-1 , IL-6) Neuroprotective Stimulates Th2 cytokine production (IL-4, IL-10) Stimulates neurotrophic factor release (NGF, GDNF, NT-4) Cerebrovasodilator (via PGI 2 and/or adenosine receptors) |
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MediciNova, Inc. 2007 Reduction of Relapse Rate in 6 MS Patients Normalization of Serum Cytokine Levels in 11 MS Patients Cytokine % Change Th1 IFN- -28 TNF- -35 Th2 IL-4 +119 IL-10 +64 0 1 2 3 4 5 Pre-Treatment Post-Treatment MN-166 Key Pilot Clinical Data MN-166 Key Pilot Clinical Data |
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MediciNova, Inc. 2007 Phase II Clinical Protocol Phase II Clinical Protocol Phase II placebo-controlled, randomized, double-blind (monotherapy) study year 1 0 (placebo), 10 mg tid, 20 mg tid year 2 10 mg tid, 20 mg tid n ~ 100 MS patients/group @ 25 sites in Serbia, Ukraine, Belarus, Bulgaria and
Romania Key Inclusion Criteria: Males or females aged 18 to 55 years, with relapsing remitting (RR) and/or secondary progressive (SP) Multiple Sclerosis with continued relapses; A definite diagnosis of relapsing MS using the new International Committee recommendations (MacDonald Criteria); One MRI scan taken two weeks prior to treatment start using a standardized MRI protocol with at least one Gd-enhancing lesion; An EDSS score of 5.5 or less at the screening and baseline visits.
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MediciNova, Inc. 2007 Phase II Clinical Protocol Phase II Clinical Protocol Key Exclusion Criteria: Treatment with systemic immunosuppressants (including investigational treatments), such as infliximab, natalizumab, cyclophosphamide, mitoxantrone, azothioprine, methotrexate, linomide, cyclosporine or deoxysperagualine within 6 months of the Week -2 cranial MRI scan; Treatment with total lymphoid irradiation or cladribine at any time; Treatment with interferons within 45 days of the Week -2 cranial MRI scan; History of recent relapse and treatment with corticosteroids or ACTH within 45 days of the
Week -2 cranial MRI scan. Assessments During the core period, patients will return to the study center for assessments at month 1, 2, 4, 6, 8, 10 and 12 (Visits 3-9) following study drug
administration. Patients who continue to be eligible for the study and who wish to
continue study treatment, will continue to the extension period and will return
to the study center after 13, 14, 16, 18, 20, 22 and 24 months (Visits
10-16). 1 o endpoint cumulative number of active (Gd-enhancing (T1) and non-enhancing new/enlarging (T2)) lesions on cranial MRI scans over 12 months of treatment 2 o endpoints annualized relapse rate after 12 months; baseline-adjusted cumulative volume of Gd-enhancing lesions over 12 months of treatment + a number of additional
exploratory endpoints |
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MediciNova, Inc. 2007 Key Phase II Clinical Outcome Data Key Phase II Clinical Outcome Data Outcome Measure p-value (pbo vs. 60 mg/day) Annualized relapse rate*: pbo - 0.8, 60 mg - 0.6 (completers) pbo - 0.9, 60 mg - 0.7 (ITT) 0.0752 0.1106 Time to first relapse (ITT)*: Median for 60 mg > 1 year Median for pbo - 244 days 0.0438 % of subjects exacerbation-free for 1 year (ITT)*: pbo - 41%, 60 mg - 56.1% 0.033 EDSS (% worsened)(ITT): pbo - 30%, 60 mg - 21.4% 0.1771 IDSS (AUC of change from baseline EDSS): pbo: -0.05, 60 mg: -0.24 (completers) pbo: -0.05, 60 mg: -0.16 (ITT) 0.0365 0.1761 Disability progression (worsened 1.0 on EDSS for 4 mo)(ITT): pbo - 8%, 60 mg - 4% 0.334 * Phase 3 FDA-Approvable Endpoints |
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MediciNova, Inc. 2007 Effects on Time to First Relapse Effects on Time to First Relapse Time to first relapse (ITT): Median for pbo - 244 days, Median for 60 mg > 1 year, p=0.0438 Statistically Significant Approvable Phase 3 endpoint |
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MediciNova, Inc. 2007 Key Phase II Radiological Data* Key Phase II Radiological Data* Outcome Measure (ITT) p-value (pbo vs. 60 mg/day) % brain volume change: pbo: -1.2%, 60 mg: -0.79% 0.0352 Cumulative volume of Gd-enhancing T1 lesions: pbo - 2355 mm 3 , 60 mg - 1927 mm 3 0.087 Cumulative number of active (Gd-enhancing (T1) and non-enhancing new/enlarging (T2)) lesions - study 1 0 outcome: pbo - 26.2, 30 mg - 24.6, 60 mg - 21.1 (means) 0.735 *Surrogates of clinical activity Reductions in lesion volume and % brain volume change, coupled with significant improvements in clinical outcome, suggest that MN-166 may have antiinflammatory
and neuroprotective effects (e.g., reduction in demyelination and axonal injury) |
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MediciNova, Inc. 2007 Effects of MN-166 on Change in Brain Volume (ITT) Placebo 60 mg/day -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 Placebo 60 mg/day Treatment Group Effects on Brain Volume Effects on Brain Volume % brain volume change: pbo: -1.2%, 60 mg: -0.79%, p=0.0352 Brain volume loss is linked to disease progression |
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MediciNova, Inc. 2007 Key Phase II Safety Data Key Phase II Safety Data MN-166 was very well tolerated; 89% of subjects completed the first 12 months (core) of the study Side effects were generally mild and self-limiting No statistically significant adverse effects were observed No laboratory or ECG findings Mild, self-limiting GI side effects were the only adverse events to occur at ~2-fold that of the placebo rate (pbo 7.8%, 30 mg/d 14.7%, 60 mg/d 22.2%); tolerance to the GI side effects occurred rapidly (2-4 days) Superior safety profile to interferons and other oral MS treatments in development |
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MediciNova, Inc. 2007 MN-166 Summary MN-166 Summary Marketed product (for bronchial asthma and cerebrovascular disorders) in Asia since 1989 Extensive preclinical and clinical database: Data from ~15,000 patients in clinical trial and post-marketing database Extensive toxicology package, including carcinogenicity testing in one species Antiinflammatory and neuroprotective properties in vitro and in vivo Newly-issued (2002) use patent in U.S. Oral formulation (no injections!) Efficacy and safety confirmed in 297-patient Phase II clinical study in relapsing MS patients Comparable efficacy to interferons and other oral MS agents in development with a superior safety profile Potential effects on disability/disease progression |
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MediciNova, Inc. 2007 Management Team with Global Experience Management Team with Global Experience LEADERSHIP Years Experience Life Sciences Background Yuichi Iwaki, MD, PhD CEO & President 31 Prof. USC, Pitt; Advisor to JAFCO, Tanabe Director, Avigen, Inc. Richard Gammans, PhD, MBA Chief Development Officer 30 Incara, Indevus, BMS Kenneth W. Locke, PhD Chief Scientific Officer 23 Tanabe Research Laboratories USA, Indevus, Hoechst Shintaro Asako, CPA Chief Financial Officer 8 KPMG USA (Audit), Arthur Andersen USA Masatsune Okajima, CMA VP, Head of Japanese Office 15 Daiwa Securities SMBC, Sumitomo Capital Securities, Sumitomo Bank Lynn Terhorst, MBA VP, Business Planning & Analysis 24 Ligand, General Electric Medical Systems, Hybritech, Molecular Biosystems Bonnie Feldman, DDS, MBA VP, Investor Relations & Corporate Communications 24 Clinical Advisors, D3 Capital, Lippert/Heilshorn, Sutro & Co. |
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MediciNova, Inc. 2007 MediciNova, Inc. Today MediciNova, Inc. Today Market-driven, commercially-focused mid-stage pharma company Innovative business model: Steady inflow of high-quality molecules, primarily from mid-size Japanese
pharma Focus on large, lucrative, underserved markets Therapeutic & and molecular diversity lowers risk & optimizes reward Rich mid- to late-stage clinical development pipeline: 6 years, 8 compounds, 10 indications Small molecules with clear market advantages & strong IP Multi-billion dollar market potential Portfolio growth strategy: build to profitability through out- licensing & retained commercial rights Well-capitalized: poised for success |