Form 8-K

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): July 24, 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)

Registrant’s 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”) will be presenting a slide presentation to various investors as part of the Registrant’s road show, which begins on July 24, 2007. A copy of the slide presentation to be used by the Registrant at such meetings is attached hereto as Exhibit 99.1.

The information in this Current Report, including Exhibit 99.1 furnished herewith, is being furnished and shall not be deemed “filed” for any purpose, including for 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 Current Report shall not be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.

 

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit   

Description

    
99.1    Investor presentation of the Registrant   

 

2


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.

Dated: July 24, 2007

 

MEDICINOVA, INC.
By:  

/s/ Shintaro Asako

  Shintaro Asako
  Vice President and Chief Financial Officer

 

3


EXHIBIT INDEX

 

Exhibit No.

  

Description

99.1

   Investor presentation of the Registrant

 

4

Investor presentation of the Registrant
©
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


Non-Confidential Presentation July 2007
2
This presentation contains forward-looking statements that involve risks and uncertainties.  These
forward-looking statements include, but are not limited to, statements regarding our strategies and
objectives, our plans for the development and commercialization of our product candidates,
including development programs and clinical trials, our industry, our financial condition, liquidity
and capital resources, the efficacy and potential benefits of our product candidates and other
statements that are not historical facts. These forward-looking statements may be preceded by,
followed by or otherwise include the words “believes,”
“expects,”
“anticipates,”
“intends,”
“estimates,”
“projects,”
“can,”
“could,”
“may,”
“will,”
“would”
or similar expressions.  Actual results or
events may differ materially from those expressed or implied in any forward-looking statements due
to various factors, including, without limitation, the risks and
uncertainties inherent in clinical trials
and product development and commercialization, such as the uncertainty in results of clinical trials
for our product candidates, the uncertainty of whether the results of clinical trials will be predictive
of results in later stages of product development, the risk that
regulatory authorities may find our
filings incomplete or insufficient or otherwise unacceptable or that approval may be delayed or
denied, our reliance on third parties and the timing, cost and design of future clinical trials and
research activities, the timing of our expected filings with the
FDA, the failure to execute strategic
plans or strategies successfully, our collaborations with third parties, and the other risks and
uncertainties described in our filings with the Securities and Exchange Commission, including our
annual report for the year ended December 31, 2006 and our subsequent periodic reports on
Forms 10-Q and 8-K. You should not rely unduly on these forward-looking statements, which speak
only as of the date hereof. We undertake no obligation to update
publicly or revise any forward-
looking statements discussed in this presentation.
Safe Harbor Statement


Non-Confidential Presentation July 2007
3
Corporate Overview
U.S.-based pharmaceutical company developing and
commercializing small molecule therapeutics sourced
primarily from Japan
Special relationships provide unique access to
“untapped”
source of novel therapeutics
Broad, deep and advanced development pipeline
with key market advantages
Multiple opportunities for asset realization
Lead commercial candidates MN-221 (Phase II) and
MN-166 (Phase II) targeted
Seasoned management team with global
pharmaceutical experience


Non-Confidential Presentation July 2007
4
Innovative Business Model
IN-LICENSE
high-value, differentiated small molecule product
candidates from mid-sized Japanese pharmaceutical companies
ADVANCE
through proof-of-concept Phase II/III clinical trials
MONETIZE
assets at key value inflection points
COMMERCIALIZE
certain product candidates for maximum ROI
Drug Development
Research
Late Preclinical
Phase I
Phase II
Phase III
Sales/
Marketing
Value Inflection:
$$$$$
Commercialize:
$$$$$$$$$$
In-License:
$


Non-Confidential Presentation July 2007
5
IN-LICENSE
Seek -
Differentiated small molecules (NCEs) in late
preclinical to early Phase II stage that:
Fill unmet medical needs
Offer competitive market advantages
Possess significant market potential
Source -
Mid-sized Japanese pharma
(e.g., Kyorin,
Kissei, Mitsubishi, Meiji)
Special relationships provide unique access to “untapped”
source
Long history of successful small molecule products
Large, detailed data packages
Strong IP


Non-Confidential Presentation July 2007
6
Commercially-Attractive Pipeline
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)


Non-Confidential Presentation July 2007
7
ADVANCE
Advance to next value inflection point
(usually Phase II/III proof-of-concept)
Cost-effective development through
tightly–managed CROs
Experience and expertise in U.S. and
European drug development
Successful advancement has brought new
candidates into the portfolio and facilitates
future in-licensing (renewable business
model)


Non-Confidential Presentation July 2007
8
MONETIZE
At value inflection point:
Take selected assets forward to
commercialization* (e.g., MN-221)
Out-license to global or regional partner
Form joint venture to develop asset(s)
Royalty-based financing
Multiple Opportunities to Realize Asset Value
*pending FDA  approval


Non-Confidential Presentation July 2007
9
MN-001: Opportunity to Monetize
Novel, oral control medication for
asthma
Positive Phase II proof-of-concept data
Significant improvement in FEV1
Excellent safety profile
Once-a-day formulation in development
(expected 08Q2)
New composition of matter patent
(expiry 2023)


Non-Confidential Presentation July 2007
10
COMMERCIALIZE
Commercialize selected product candidates
in the U.S. (e.g., MN-166, MN-221)*.
Asset selection is based on:
Development time and costs
Ability to sell with small, focused sales
force (50-100 reps)
Market potential
*pending completion of clinical trials and FDA  approval


Non-Confidential Presentation July 2007
11
MN-166 (Multiple Sclerosis)
Source
Kyorin
Pharmaceutical (2004)
Mechanism
Neuroprotective
+
Anti-inflammatory
Advantages
-
Oral treatment for MS
-
17 year safety history in Japan
(asthma, stroke)
-
New U.S. use patent
Clinical Status
-
Positive Phase II results from
one year treatment
Milestones
-
Full Phase II results anticipated                
08Q1
-
Initiate Phase III as early as
08Q2
Commercial Strategy
MNOV to commercialize in U.S.*
*pending FDA  approval


Non-Confidential Presentation July 2007
12
MN-166: Next Generation
Treatment for Multiple Sclerosis
In an oral delivery form, MN-166 provides a high
degree of safety with a broader (neuroprotection
+ anti-inflammatory)
efficacy
profile
than
interferons.  Based on clinical and radiologic
findings, MN-166 has the potential to modify
disease progression by mitigating neuronal
damage meeting the need for newer MS
therapies sought by the MS scientific community. 
Proof of concept has been established and
Phase III is targeted to begin in 08Q2


Non-Confidential Presentation July 2007
13
Definition of next generation of MS treatment
(abstracted from Neurology
68 (S3), 2007)
Controlling inflammation is no longer sufficient
Neuroprotection
is a very important issue in MS and drugs that may
provide neuroprotection
are going to be very well received by the
Neurology community
The MRI metric of number of “active”
lesions is not the most relevant
to long term disability progression
There are newer MRI metrics (e.g., brain atrophy measures) that will
better correlate with neuroprotection
and disability progression.  By its
early (within the first year) demonstrated decrease in brain volume
loss, MN-166 may be providing such neuroprotection
Currently available drugs have minimal effect on disability
progression
“…. A therapeutic approach that modulates inflammation, enhances
neuron repair….and prevents neuron degeneration would be the most
beneficial to patients over the long term.”
Douglas L. Arnold, MD


Non-Confidential Presentation July 2007
14
MN-166
Orally administered with new controlled-
release dosage form in development
Neuroprotective
and Anti-inflammatory in
replicated pre-clinical studies
Safe
17 years of clinical use with over 3 million
exposures has not revealed rare, concerning
safety issues
Toxicology package supporting Japanese
registration
No safety concerns identified in PhII
study


Non-Confidential Presentation July 2007
15
Neuroprotection
+
Anti-inflammatory
MN-166 may reduce both relapses (via anti-inflammatory effects)
and disease progression (via neuroprotection)


Non-Confidential Presentation July 2007
16
MN-166: Clinical Efficacy
Demonstrated neuroprotective
and anti-
inflammatory effects in patients with relapsing
MS
Neuroprotective
outcome:
Attenuated % brain volume loss (-.8% vs. -1.2%)
Anti-inflammatory outcomes:
Pilot studies found reduced relapse rate and
Th1
Th2 cytokine shift
Prolonged time to relapse (>1 yr)
Increased % relapse-free (56%)
Decreased T1-Gd lesion volume


Non-Confidential Presentation July 2007
17
Effects on Time to First Relapse
Phase III endpoint for certain FDA-approved MS products


Non-Confidential Presentation July 2007
18
Brain volume changes are linked to axonal loss
Effects on Brain Volume
1.2
0.79
0
0.2
0.4
0.6
0.8
1
1.2
1.4
Placebo
20mg, TID
% Decrease in Brain Volume


Non-Confidential Presentation July 2007
19
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
Benefits VS Interferons


Non-Confidential Presentation July 2007
20
Benefits VS Oral Agents
Feature
FTY 720
Cladribine
BG-12
Laquinimod
MN-166
Sponsor
Novartis
MerckSerono
BiogenIdec
Teva
MediciNova
Mechanism
sphingosine-1-
receptor agonist
adenosine agonist,
immunosuppressant
fumaric
acid deriv;
NF
k
B
inhibitor
immuno-
modulator
inhibits PDE IV, 
leukotrienes
and
NO synthesis;
increases neuro-
trophic
factors
Dose
0.5, 1.25 or 5
mg/day
“low dose”
or “high
dose”
120,360,720 mg/day
0.3 or 0.6 mg
60+ mg/day
Indication
Relapsing MS
Relapsing MS
Relapsing MS
Relapsing MS
Relapsing MS;
delay disability
progression?
Efficacy
Decrease MR
lesions, no change
in brain volume
Reduced relapse
rate, fewer MR
lesions
Decreased Gd-
enhancing lesions at
720 mg
Fewer MR
lesions, reduced
relapse rate
Less brain
volume loss,
increase time to
relapse
Side effects
heart rate,
blood
pressure, dyspnea
Fever, nausea,
vomiting
GI disorder, H/A,
nasopharyngitis
liver enzymes,
arthralgia
Mild GI disorder


Non-Confidential Presentation July 2007
21
MN-221 (Status Asthmaticus)
Source
Kissei Pharmaceutical (2004)
Mechanism
Highly selective
2
-adrenergic
receptor agonist
Advantages
-
Clinically-proven MOA
-
Greater cardiovascular safety
-
Reliable, rapid route of
administration (i.v.)
Clinical Status
-
Well tolerated in Phase I
-
Phase II started 10/06
Milestones
Phase IIa
Results –
anticipated
07Q4
Commercial Strategy
MNOV to commercialize in U.S.*
*pending FDA  approval


Non-Confidential Presentation July 2007
22
MN-221: Status Asthmaticus
Definition:
Long-lasting and severe asthma episode that is not
responsive to initial bronchodilator or corticosteroid therapy
Market Opportunity:
~1.9 million emergency room visits in the U.S. each year*
~500,000 hospitalizations*
~4,000 deaths annually in the U.S.*
Current Standard of Care:
Beta agonists, inhaled or nebulized
(all patients)
Corticosteroids, IV or oral (66 –
77% of pts)
*source:  National Center for Health Statistics/CDC


Non-Confidential Presentation July 2007
23
MN-221:
New Treatment Paradigm
Proven mechanism of action (
2
-
adrenergic receptor agonist)
Rapid, reliable IV delivery (vs.
inhaled/nebulized)
Safer (greater selectivity = fewer
cardiovascular side effects)


Non-Confidential Presentation July 2007
24
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 [
3
H]-cyanopindolol or [
3
H]-CGP12177 binding in membrane preparations expressing human cloned
1
-
and
2
-adrenoceptors, respectively
MN-221 selectively binds to human
2
-adrenergic receptors


Non-Confidential Presentation July 2007
25
MN-221 Phase IIa
Phase IIa
Proof-of-Concept
Randomized, double-blind, placebo-controlled,
sequential dose-escalation study
Objectives:
Determine the efficacy of a single 15-minute
treatment
Determine the efficacy of two sequential 15-minute
treatments
22 mild-to-moderate asthmatics at 4 centers in the U.S.
Primary endpoint: change from baseline in mean FEV1
after a 15-minute infusion of MN-221
Initiated December 2006; data anticipated 07Q4


Non-Confidential Presentation July 2007
26
Clear Development Path
Clinical Plan: Phase IIa
results anticipated 07Q4
Phase IIb
results as early as 09Q1
Phase III (2
trials) results as early as 10Q2
Modest development costs (~$45M to NDA)
Well-defined regulatory path
Acute dosing = short trials
Modest number of patients required for NDA
(potentially life-threatening condition)
Possible fast-track review
NDA filing targeted for as early as 10Q4


Non-Confidential Presentation July 2007
27
Favorable Commercial Metrics
Market addressable through focused sales
force (50-100 reps)
Significant market opportunity (~$500M)
Rapid market penetration (could become new
standard of care)
High payer acceptance (due to potential
reduction in hospitalizations)


Non-Confidential Presentation July 2007
28
MN-221 Competitive Advantages
Compound
Dosing
Proven
Mechanism
Rapid
Action
Reliable
Delivery
Safety Issues
-Agonists
Inhaled;
Nebulized
Yes
Yes
No
Cardiovascular
(palpitations)
Singulair
IV (Ph III)
No
?
Yes
No
Zyflo
IV (Ph I)
No
?
Yes
Liver Toxicity
MN-221
IV (Ph II)
Yes
Yes
Yes
No


Non-Confidential Presentation July 2007
29
Targeted Path to Commercialization*
MN-221
MN-166
*pending FDA  approval
**completed as early as
filing as early as


Non-Confidential Presentation July 2007
30
2007 Milestones
Clinical
MN-166 –
Positive Phase II (yr 1) results announced 3/07
MN-305 –
Proof-of-concept Phase II results anticipated 07Q3
MN-221 –
Proof-of-concept Phase II results anticipated 07Q4
Scientific
MN-029 –
Positive Phase I DCE-MRI results to be presented
at ECCO (Barcelona, September 23-27)
MN-166 –
Positive Phase II results to be presented at
ECTRIMS (Prague, October 11-14)
Corporate
Prioritization of development pipeline
Monetization efforts ongoing (out-licensing, etc.)


Non-Confidential Presentation July 2007
31
Financials
Dual Listing:
MNOV (Nasdaq)
4875 (Osaka (Hercules))
Cash: $98.1M as of 3/31/07
Sufficient cash through at least 12/31/08
Shares outstanding: 11.6M
Market cap as of 7/20/07: ~$100M


Non-Confidential Presentation July 2007
32
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


Non-Confidential Presentation July 2007
33
Investment Highlights
IN-LICENSE:
Innovative business model
ADVANCE:
Rich mid-
to late-stage
clinical development pipeline with clear
market advantages
MONETIZE:
Near-, mid-
and longer-term
realization of asset potential
COMMERCIALIZE:
MN-221 and MN-166
targeted for commercialization* by
MediciNova
Near-term milestones as key value
drivers
*pending FDA  approval