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): November 17, 2009

 

 

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:

 

x 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 8.01 Other Events.

Representatives of MediciNova, Inc. (the “Registrant”) will be making a corporate presentation at various investor meetings commencing November 17, 2009. A copy of the slide presentation to be used by the Registrant at these 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    Slide presentation of the Registrant


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: November 17, 2009

   By:  

/s/    SHINTARO ASAKO        

    

Shintaro Asako

Vice President and Chief Financial Officer


EXHIBIT INDEX

 

Exhibit

  

Description

          
99.1    Slide presentation of the Registrant
Slide Presentation
©
MediciNova, Inc. 2009
Accelerating
the global development
and commercialization of
innovative pharmaceuticals
Exhibit 99.1


©
MediciNova, Inc. 2009
Forward-Looking Statements
Forward-Looking Statements
Statements in this presentation that are not historical in nature constitute forward-looking statements within the meaning of the safe harbor
provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements include statements regarding
MediciNova’s clinical trials supporting safety and efficacy of product candidates and the potential novelty of such product candidates as
treatments for disease, plans and objectives for clinical trials and product development, anticipated benefits of the merger with Avigen, Inc.,
value and benefits to stockholders from such transaction, strategies, future performance, financial condition, liquidity and capital
resources. These forward-looking statements may be preceded by, followed by or otherwise include the words "believes," "expects,"
"anticipates," "intends," "estimates," "projects," "can," "could," "may," "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 the risks and uncertainties
inherent in clinical trials and product development and commercialization, such as the uncertainty in results of clinical trials for product
candidates, the uncertainty of whether the results of clinical trials will be predictive of results in later stages of product development, the
risk of delays or failure to obtain or maintain regulatory approval, the risk of failure of the third parties upon whom MediciNova relies to
conduct its clinical trials and manufacture its product candidates to perform as expected, the risk of increased cost and delays due to
delays in the commencement, enrollment, completion or analysis of clinical trials or significant issues regarding the adequacy of clinical
trial designs or the execution of clinical trials and the timing, cost and design of future clinical trials and research activities; the timing of
expected filings with the FDA; MediciNova’s failure to execute strategic plans or strategies successfully; MediciNova’s collaborations with
third parties; failure to complete the merger with Avigen, Inc. on a timely basis or at all; the availability of funds to complete product
development plans and MediciNova’s ability to raise sufficient capital when needed; intellectual property or contract rights; and the other
risks and uncertainties described in MediciNova’s filings with the Securities and Exchange Commission, including MediciNova’s annual
report on Form 10-K for the year ended December 31, 2008 and its subsequent periodic reports on Forms 10-Q and 8-K. Undue reliance
should not be placed on these forward-looking statements, which speak only as of the date hereof. MediciNova disclaims any intent or
obligation to revise or update these forward-looking statements. This communication does not constitute an offer to sell or the solicitation
of an offer to buy any securities or a solicitation of any vote or approval. This material is not a substitute for the registration
statement/prospectus/proxy statement MediciNova, Inc. and Avigen, Inc. will file with the SEC or any other documents that the parties may
file with the SEC and send to their respective shareholders in connection with the transaction. INVESTORS AND SECURITY HOLDERS OF
AVIGEN, INC. ARE URGED TO READ ANY SUCH DOCUMENTS FILED WITH THE SEC CAREFULLY IN THEIR ENTIRETY WHEN THEY
BECOME AVAILABLE BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION ABOUT THE TRANSACTION. Investors and security
holders will be able to obtain free copies of any documents filed with the SEC by MediciNova, Inc. and Avigen, Inc. through the website
maintained by the SEC at http://www.sec.gov.


©
MediciNova, Inc. 2009
3
Development Company Focused on Differentiated Product Candidates
Unique access to differentiated, potentially high-value assets
primarily from Japanese alliances (Kyorin, Kissei,
Mitsubishi Tanabe Pharma, Meiji)
New Approaches to Treat Serious Medical Conditions:
MN-221: Intravenous (IV) acute asthma and COPD candidate
Potential $1 Billion+ combined market opportunity worldwide
MN-166: oral multiple sclerosis candidate
In 2008, over $8B in worldwide MS therapeutic sales*
Key Financials:
Dual
listed
company
on
NasdaqGM
and
Osaka
Securities
Exchange
Hercules
~$37.2 million net Cash, Cash Equivalents and Marketable Securities as of 9/30/2009
~$75.2 million Market Cap (NasdaqGM) as of 11/09/2009
~12 million shares outstanding
Corporate Overview:
Corporate Overview:
MediciNova, Inc.
MediciNova, Inc.
*Source: Individual annual reports of leading MS companies, 2008
MNOV Headquarters:
San Diego, CA


4
Merger Consideration
Each Avigen
stockholder will have the option of receiving their pro rata allocation of cash or convertible notes
aggregating approximately $37.0 million (~$1.24/share), subject to potential upward and downward adjustments as
set forth in the merger agreement:
First payment consideration of approximately $35.5 million (~$1.19/share); and
Second
payment
consideration
of
approximately
$1.5
million
(~$0.05/share)
payable
on
June
30,
2010.
This
holdback
amount
is
being
held
for
any
adjustments
to
certain
Avigen
defined
expenses,
marketable
security risk, sub-tenant risk, and other liabilities in excess of amounts agreed by the parties.
Convertible Notes Consideration
18-month
maturity
from
the
date
of
closing
of
merger
(no
early
cash
redemption).
Principal from the notes will be held in a trust account with principal invested in certain approved investment options.
The
notes
can
be
converted
on
a
monthly
basis
into
common
shares
of
MediciNova
at
an
initial
conversion
price
equal to $6.80. 
Avigen
Avigen
Transaction Overview
Transaction Overview


Pro Forma Stockholder Review
Pro Forma Stockholder Review
5
This
pro
forma
ownership
review
is
presented
for
illustrative
purposes
only
and
does
not
indicate
actual
ownership
of
MediciNova
shares
at
any
past,
present,
of
future
date. 
Actual ownership of MediciNova
shares will depend on a variety of factors, including the actual amounts of the First Payment Consideration and Second Payment Consideration
and
the
rounding
of
fractional
shares
set
forth
in
the
indenture
governing
the
convertible
notes.
Summary Securities Ownership Review (Fully Diluted Basis)
Pre -Transaction
Pro
Forma
Shares
Outstanding
Post-Transaction
(1)
Consideration
Shares
All Cash
50% Cash
50% Conv. Notes
(2) (3)
100% Conv. Notes
(2) (3)
Common Stock Equivalents
MediciNova
Stockholders
12,048,003
12,048,003
12,048,003
12,048,003
Avigen
Stockholders
-
-
2,717,712
5,435,424
MediciNova
Exercisable Options
1,711,350
1,711,350
1,711,350
1,711,350
13,759,353
13,759,353
16,477,065
19,194,777
Ownership %
MediciNova
Stockholders
87.6%
87.6%
73.1%
62.8%
Avigen
Stockholders
0.0%
0.0%
16.5%
28.3%
MediciNova
Exercisable Options
12.4%
12.4%
10.4%
8.9%
100.0%
100.0%
100.0%
100.0%
(1)
Assumes first payment consideration and second payment consideration aggregate $37.0 million and are both paid at closing and that MediciNova
issues no shares or options from August 20, 2009 through the first conversion date of the convertible notes.
(2)
Assumes the convertible notes convert to MediciNova shares at $6.80.
(3)
Assumes all convertible notes are converted into MediciNova shares on the first monthly conversion date.
Sources of information: SEC Edgar Filings


©
MediciNova, Inc. 2009
6
MN-166 for Multiple Sclerosis (MS):
Oral administration
Multiple
mechanisms
of
action,
both
neuroprotective
and
anti-inflammatory
MN-166 targets primarily chronic aspects of MS
Benign safety profile
Mechanisms of Action:
Potentially Neuroprotective
Inhibits Nitric Oxide and reactive oxygen species production
Stimulates release of neuronal growth factors
Anti-inflammatory
Inhibits PDE4, Leukotriene, and Th1 cytokine production (TNF-alpha, IL-1beta, IL-6)
Stimulates Th2 cytokine production (IL-4, IL-10)
Current Standard of Care:
Beta interferons
(Rebif
®
, Avonex
®
, Betaseron/Betaferon
®
), Copaxone
®
, Tysabri
®
Primary
focus
is
on
acute
treatment
of
MS
symptoms
(i.e.
relapse
rate)
MN-166 for the Treatment of
MN-166 for the Treatment of
Multiple Sclerosis
Multiple Sclerosis


©
MediciNova, Inc. 2009
Placebo-controlled, randomized, double-blind Phase II study:
Year 1 -
Placebo, 30 mg/day, 60mg/day
Year 2 -
30 mg/day, 60mg/day
297 patients (~100 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;
One MRI scan taken two weeks prior to treatment start using a standardized MRI
protocol with at least one Gd-enhancing lesion;
An Expanded Disability Status Scale (EDSS) score of 5.5 or less at the screening
and baseline visits.
Safety Profile:
89% (264 of 297) of subjects completed the first 12 months of the study
82.5% (245 of 297) of subjects completed the full 24 months of the study
Adverse effects reported more frequently in MN-166-treated than placebo-treated
subjects:  GI effects & depression
Completed Clinical Study:     
Completed Clinical Study:     
MN-166-CL-001
MN-166-CL-001
7


©
MediciNova, Inc. 2009
Indicative of Potential Neuroprotective
Effect:
Reduced brain volume loss
Reduced conversion of acute lesions to persistent black holes
Sustained disability progression was significantly less likely
Acute Clinical Benefit:
Prolong time to relapse (by 127 days.)
Annualized relapse rate
Protocol-Defined Primary Endpoint:
No significant reduction in the cumulative number of active (gadolinium-enhancing (T1)
and non-enhancing new/enlarging (T2)) lesions on cranial MRI scans over 12 months of
treatment was observed
Positive trends were observed in volume of
gadolinium-enhancing (T1) lesions
8
MN-166 Targets Primarily
MN-166 Targets Primarily
Chronic Aspects of MS
Chronic Aspects of MS
Note:  In general, P-Values listed on this slide compare Placebo group to 60mg/day group of MN-166
P-Value:
0.04
P-Value:
0.035
~50% reduction
P-Value:
0.004
P-Value:
0.09
P-Value:
0.08


©
MediciNova, Inc. 2009
Brain volume changes are linked to axonal loss
9
MN-166  -
MN-166  -
Chronic Efficacy
Chronic Efficacy
Demonstrated: Effects on Brain Volume
Demonstrated: Effects on Brain Volume


Parameter
Treatment Groups
Placebo
30 mg/day
60 mg/day
Number Patients w. New Lesions at Month 2
72
64
56
Total Number New Lesions in all Patients at Month
2
426
338
315
Total Number of Persistent Black Holes at Month 10
98
58
47
Percentage of Lesions Evolving to PBH at Month 10
23%
17%
14%
P-Value
-
0.036
0.004
Reduction of Persistent Black Hole
Reduction of Persistent Black Hole
(PBH) Formation
(PBH) Formation
10
©
MediciNova, Inc. 2009
New T1 gadolinium-enhancing or new T2 lesions were defined as new lesion in
the first on-study MRI at month 2
Lesions that were hypointense and inactive at month 10 were PBH
Relative Risk (RR) of new lesion evolution to PBH was analyzed using a general
linear model with the error term from the Poisson distribution


©
MediciNova, Inc. 2009
Disability Progression is defined as a sustained increase in EDSS
(increase in EDSS
1 maintained for four consecutive months)
Sustained Disability Progression
Sustained Disability Progression
11
4.1%
5.3%
8.0%


©
MediciNova, Inc. 2009
12
Acute Efficacy Demonstrated:
Acute Efficacy Demonstrated:
Time to First Relapse
Time to First Relapse
Median 401 days
Median 244 days
P-Value:  0.044
Plot of Time to First Relapse by Treatment (ITT) Core (Year 1)


©
MediciNova, Inc. 2009
13
AV-411 Package: Value to Potential MN-166 Partnership
Both AV-411 and MN-166 are ibudilast
AV-411 preclinical data expected to support clinical package for MN-166.
Open IND for ibudilast
AV-411 trial supports MN-166 dosing up to 100 milligrams (mg) versus the maximum
dosing of 60 mg in the Phase 2 trial for MN-166
Expected time savings of six to twelve months.
Analog compounds behind ibudilast
First-generation development candidate:  AV1013
Second-generation dual target leads
AV-411 Package: New Indication
AV-411 is currently being studied for Opioid
Withdrawal
Ongoing clinical study run jointly by the New York State Psychiatric Institute and Columbia
University in NYC
Additional
Additional
Value
Value
from
from
Avigen
Avigen
Deal
Deal


©
MediciNova, Inc. 2009
14
Definition:
Asthma Exacerbations:
Long-lasting and severe
asthma episode that is not responsive to initial
bronchodilator or corticosteroid therapy
COPD Exacerbations:
Sustained worsening of the
patient's condition, from the stable state and beyond
normal day-to-day variations, that is acute in onset
Market Opportunity*:
Potential $1 Billion+ combined market opportunity
worldwide (Acute Asthma & COPD exacerbations)
Current Standard of Care (SOC):
Beta agonists -
Inhaled
Anticholinergics
-
Inhaled
Corticosteroids -
IV or oral
*Source: National Center for Health Statistics / CDC, WHO website, “Core Health indicators”
MN-221 for Exacerbations of
MN-221 for Exacerbations of
Acute Asthma and COPD
Acute Asthma and COPD
COPD
Discharged
Hospitalized
72%
28%
~1.9 million
Asthma
52%
48%
~1.5 million
Hospitalization rates amongst
Asthma and COPD patients
Thousands


©
MediciNova, Inc. 2009
15
MN-221: A New Approach to Treating
MN-221: A New Approach to Treating
Exacerbations of Acute Asthma & COPD
Exacerbations of Acute Asthma & COPD
MN-221:
A
novel,
highly
selective
2
-
adrenergic
receptor
agonist
Three potential advantages over current  therapy:
1.
Improved Efficacy
Route of Administration (IV v. Inhalation)
2.
Improved Safety
Higher selectivity for
2
receptor than
1
Partial agonist for
1
receptor
3.
Reduced Health Care Expenses


©
MediciNova, Inc. 2009
16
Human
Human
-Adrenergic Receptor
-Adrenergic Receptor
Selectivity
Selectivity
Test Drug
1
IC
50
(M)
2
IC
50
(M)
2
-Adrenoceptor Selectivity
(IC
50
for
1
/ IC
50
for
2
)
Levalbuterol
7.40E-06
1.40E-06
5.3
Albuterol
9.40E-06
1.60E-06
5.9
Terbutaline
6.00E-05
6.50E-06
9.2
MN-221
5.90E-06
1.40E-07
42.4


©
MediciNova, Inc. 2009
Effect on Heart rate:                      
Effect on Heart rate:                      
Combination of MN-221 & Albuterol
Combination of MN-221 & Albuterol
in Dogs
in Dogs
17


©
MediciNova, Inc. 2009
MN-221 Clinical Trials
MN-221 Clinical Trials
18
Completed Studies
Completed Studies
Ongoing Studies
Ongoing Studies
CL-004
CL-005
CL-006
CL-007
CL-010
Indication
Indication
Mild-to-moderate
Asthmatics
Moderate-to-
Severe
Asthmatics
Acute
Exacerbations
of Asthma
Acute
Exacerbations
of Asthma
Moderate-to-
Severe
COPD patients
FEV
FEV
1
1
(Entry Criteria)
(Entry Criteria)
FEV
1
60%
75%
FEV
1
40% 
FEV
1
55%
FEV
1
50%
80%
FEV
1
30% 
Number
Number
Patients
Patients
23
17
29
200
48
Number Sites
Number Sites
4
4
8
~45
6
Doses Tested
Doses Tested
compared to
compared to
Placebo
Placebo
5.25, 15, 52.5,
150, 240, 450,
900 µg
over 15 min
1080 µg over  
2-hr;
1,125 µg over 
1-hr
240, 450 µg
over 15 min;
1080 µg over  
2-hr
1200 µg over  
1-hr
300, 600, 1200
µg over  1-hr
Note: CL-004, CL-005, CL-010 located in the clinic.  CL-006, CL-007 located in the Emergency Department


©
MediciNova, Inc. 2009
MN-221-CL-004:                      
MN-221-CL-004:                      
Mean Change in FEV
Mean Change in FEV
1
1
19
p<0.05
p<0.0001
p<0.0001
p<0.0001
p<0.001
Baseline:
77.83%
77.67%
76.78%
81.60%
74.78%
75.78%
78.07%
79.78%
©
MediciNova, Inc. 2009


©
MediciNova, Inc. 2009
MN-221-CL-005:                             
MN-221-CL-005:                             
Mean Change in FEV
Mean Change in FEV
1
1
20
Baseline:
64.57%
Baseline:
69.35%
Mean:
Mean:
82.04%
82.04%
Mean:
Mean:
81.47%
81.47%
Baseline:
68.64%
Baseline:
68.64%


©
MediciNova, Inc. 2009
21
What did we learn from MN-221-CL-006?
There were no safety concerns with adding MN-221 to
the standard of care.
There was a reduction in the hospitalization rate
among patients treated with MN-221.
Overall, improvement in FEV
1
was greater for patients
receiving MN-221 than placebo.
A dose of 1,200 µg
of MN-221 administered over one
hour was selected for the MN-221-CL-007 trial.
MN-221-CL-006:                 
MN-221-CL-006:                 
What have we learned?
What have we learned?


©
MediciNova, Inc. 2009
MN-221-CL-006
MN-221-CL-006
Hospitalization Rate by Treatment Group
Hospitalization Rate by Treatment Group
22
MN-221 reduced the hospitalization rate by 45%


©
MediciNova, Inc. 2009
Study Design
Randomized, placebo-controlled, double-blind, multi-center Phase II clinical trial
200
patients
with
severe,
acute
exacerbations
of
asthma
(FEV
1
50%
predicted)
at ~45 Emergency Department sites in US, Canada, Australia, and New Zealand
Dose Groups (~100 patients/group):
600
µg
in
15
minutes;
600
µg
for
in
minutes
(1,200
µg)
MN-221
Placebo
Patients will receive Standard of Care (SOC) treatment in addition to adjunctive
treatment with MN-221 or placebo
Primary
efficacy
endpoint
will
be
improvement
in
FEV
1
(%
predicted)
at
5
hours
The study is designed to have 80% power to detect a treatment difference of                              
5 percentage points in FEV1
(% predicted) when comparing MN-221 + SOC to                      
Placebo + SOC at a two sided
-level of 0.05.
Anticipated completion in 2H, 2010*
MN-221-CL-007
MN-221-CL-007
23
Note: Development plans / timelines for MN-221 clinical trials are subject to change
*Anticipated completion dates based on current projections


©
MediciNova, Inc. 2009
MN-221-CL-010 (COPD)
MN-221-CL-010 (COPD)
24
Note: Development plans / timelines for MN-221 clinical trials are subject to change
*Anticipated completion dates based on current projections
Doses:
150 µg in 15 minutes followed by 150 µg in 45 minutes (1-hour infusion with a
total dose of 300 µg) or placebo
300 µg in 15 minutes followed by 300 µg in 45 minutes (1-hour infusion with a
total dose of 600 µg) or placebo
600 µg in 15 minutes followed by 600 µg/min in 45 minutes (1-hour infusion with
a total dose of 1,200 µg) or placebo
Study Design
Randomized, double-blind, placebo-controlled Phase Ib
dose escalation study
48 subjects with stable moderate-to-severe Chronic Obstructive Pulmonary Disease
(FEV
1
30% < 80% and FEV
1
/FVC ratio < 0.7) at 6 sites in the US
Outcome measures –
descriptive statistics only –
FEV
1
, PK, safety
Anticipated completion in 1H, 2010


©
MediciNova, Inc. 2009
25
Commercially-Attractive
Commercially-Attractive
Diversified Portfolio
Diversified Portfolio
COPD
COPD
Asthma
Asthma
Seeking Global Partner
Seeking Global Partner


©
MediciNova, Inc. 2009
26
Leadership
Years
Experience
Background
Yuichi Iwaki, MD, PhD
Yuichi Iwaki, MD, PhD
CEO & President
33
Professor at USC, formerly Professor at 
University of Pittsburgh; Advisor to JAFCO,
Tanabe
Shintaro
Shintaro
Asako,
Asako,
,
Chief Financial Officer
11
KPMG USA (Audit), Arthur Andersen USA
Masatsune
Masatsune
Okajima,
Okajima,
,
VP, Head of Japanese Office
17
Daiwa Securities SMBC,
Sumitomo Capital Securities, Sumitomo
Bank
Management Team with 
Management Team with 
Global Experience
Global Experience
Clinical Development Consultant
& Board Member
26
CEO of Panacos
& Metaphore; President
of the Janssen Research Foundation, a
J&J company
CPA
CMA
Alan Dunton, MD, PhD


©
MediciNova, Inc. 2009
27
Near-Term Business Plan:
1.
Secure a global partnership for MN-166/AV-411 combined package*
2.
Secure a regional partnership (ex-US/Japan rights) for MN-221
Clinical Milestones:
1.
MN-221-CL-007 Phase II study for Acute Exacerbations of Asthma
Anticipated completion 2H, 2010**
2.
MN-221-CL-010
Phase
Ib
study
in
Moderate-to-Severe
COPD
patients
Anticipated completion in 1H, 2010**
Investment Highlights
Investment Highlights
Note: Development plans / timelines for MN-221 clinical trials are subject to change
*Assumes completion of acquisition of Avigen
**Anticipated completion dates based on current projections