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MediciNova Provides Enrollment Update for Ongoing ALS and Hypertriglyceridemia Clinical Trials

MWN-AI** Summary

MediciNova, Inc., a biopharmaceutical company traded on NASDAQ (NASDAQ: MNOV) and the Tokyo Stock Exchange (Code: 4875), recently shared a significant update regarding enrollment for its clinical trials involving two key compounds: MN-166 (ibudilast) and MN-001 (tipelukast). As of July 24, 2025, the company reported that it is nearing completion of patient randomization in its Phase 2/3 COMBAT-ALS trial for MN-166, with only a few participants remaining to be enrolled. Additionally, MediciNova is seeking the final two subjects required for its Phase 2 trial focused on dyslipidemia and fatty liver disease patients associated with type 2 diabetes.

Dr. Yuichi Iwaki, MediciNova’s President and CEO, expressed enthusiasm about the progress of the COMBAT-ALS program, which has generated considerable interest within the ALS community. The study has also attracted support through a $22 million grant from the NIH for its Expanded Access Program. MediciNova is preparing for regulatory discussions with the FDA, with top-line data expected by the end of next year.

MN-166 is an oral small molecule compound targeting inflammatory processes and is advancing in clinical stages for various neurological disorders, including ALS, and has received multiple designations, including Orphan Drug Designation by the FDA for ALS. In contrast, MN-001 is designed to address inflammation and fibrosis, potentially benefiting patients with metabolic disorders like nonalcoholic fatty liver disease and hypertriglyceridemia.

MediciNova’s strategy involves developing these compounds through various funding channels while focusing on serious medical conditions that currently lack effective treatments. The company remains committed to tackling these unmet medical needs and looks forward to reporting further outcomes as trials progress.

MWN-AI** Analysis

MediciNova, Inc. (NASDAQ: MNOV) has recently provided an encouraging enrollment update regarding its ongoing clinical trials for MN-166 (ibudilast) and MN-001 (tipelukast), which has significant implications for potential investors. The impending completion of patient randomization in the Phase 2/3 COMBAT-ALS trial marks a critical milestone. With only a single-digit number of subjects left to enroll, investor sentiment is likely to be bolstered, given the high interest and unmet needs associated with ALS treatments.

The company’s proactive approach, highlighted by a $22 million NIH grant for an Expanded Access Program (EAP), enhances its credibility and supports investor confidence. Furthermore, the anticipation of top-line data by the end of next year sets a timeline that investors can latch onto as a catalyst for potential price appreciation.

Simultaneously, MediciNova's MN-001 compound is exploring treatment opportunities for dyslipidemia and fatty liver disease associated with type 2 diabetes. Both MN-166 and MN-001 target significant medical needs that lack effective treatments, positioning MediciNova favorably within the biopharmaceutical market.

From a market strategy perspective, investors should keep a close watch on the outcomes of these trials. If successful, not only could these products fill a crucial market gap, but they could also potentially attract partnerships or acquisitions from larger pharmaceutical firms looking to enhance their portfolios in neurology and metabolic disorders.

However, investors must remain cautious given the inherent risks associated with clinical trials, including regulatory hurdles and funding challenges. MediciNova's forward-looking statements reflect this uncertainty and underscore the need for due diligence. Therefore, while the current developments appear promising, prospective investors should weigh the potential rewards against the risks before making investment decisions in MediciNova.

**MWN-AI Summary and Analysis is based on asking OpenAI to summarize and analyze this news release.

Source: GlobeNewswire

LA JOLLA, Calif., July 24, 2025 (GLOBE NEWSWIRE) -- MediciNova, Inc., a biopharmaceutical company traded on the NASDAQ Global Market (NASDAQ:MNOV) and the Standard Market of the Tokyo Stock Exchange (Code Number: 4875) (the “Company”), today provides an update on the enrollment of two key ongoing clinical trials for the Company’s developmental compounds MN-166 (ibudilast) and MN-001 (tipelukast), each of which is poised to complete randomization.

Specifically, the Company is now down to single digit required randomization in its ongoing Phase 2/3 COMBAT-ALS trial. Concurrently, the Company is seeking the final two randomized subjects for its Phase 2 trial in patients with dyslipidemia and fatty liver disease due to type 2 diabetes.

Dr. Yuichi Iwaki, MediciNova President and CEO, commented, "We are pleased to report continued strong progress in our core COMBAT-ALS program. Following the release of interim results last year, we are now approaching the completion of patient randomization—a key milestone in the study. Our MN-166 ALS program continues to generate significant interest and anticipation within the ALS community. In parallel, the large Expanded Access Program (EAP), supported by a $22 million grant from the NIH, is steadily enrolling patients. We are actively preparing for regulatory discussions with the FDA, with top-line data anticipated by the end of next year. Further, we believe additional opportunities exist for our MN-001 compound in dyslipidemia and fatty liver disease patients due to type-2 diabetes. We believe each of these programs address highly unmet medical needs in very difficult-to-treat conditions, and we look forward to providing additional outcomes from each of these trials as results become available.”

About MN-166 (ibudilast)

MN-166 (ibudilast) is an orally available small molecule compound that inhibits phosphodiesterase type-4 (PDE4) and inflammatory cytokines, including macrophage migration inhibitory factor (MIF). It is in late-stage clinical development for the treatment of neurodegenerative diseases such as ALS (amyotrophic lateral sclerosis), progressive MS (multiple sclerosis), and DCM (degenerative cervical myelopathy); and is also in development for glioblastoma, Long COVID, CIPN (chemotherapy-induced peripheral neuropathy), and substance use disorder. In addition, MN-166 was evaluated in patients that are at risk for developing acute respiratory distress syndrome (ARDS). MediciNova holds Orphan Drug Designation for MN-166 in ALS by U.S. FDA and EU EMA. MN-166 has received Fast Track Designation by FDA for treatment of ALS. In addition, MN-166 holds Orphan Disease Designation for the treatment of Glioblastoma.

About MN-001 (tipelukast)

MN-001 (tipelukast) is a novel, orally bioavailable, small molecule compound thought to exert its effects through several mechanisms to produce its anti-inflammatory and anti-fibrotic activity in preclinical models, including leukotriene (LT) receptor antagonism, inhibition of phosphodiesterases (PDE) (mainly 3 and 4), and inhibition of 5-lipoxygenase (5-LO). The 5-LO/LT pathway has been postulated as a pathogenic factor in fibrosis development, and MN-001's inhibitory effect on 5-LO and the 5-LO/LT pathway is a novel approach to treat fibrosis. MN-001 has been shown to down-regulate expression of genes that promote fibrosis including LOXL2, Collagen Type 1 and TIMP-1. MN-001 has also been shown to down-regulate expression of genes that promote inflammation including CCR2 and MCP-1. In addition, MN-001 was found to inhibit triglyceride synthesis in hepatocytes by inhibiting arachidonic acid uptake.

About MediciNova
MediciNova, Inc. is a clinical-stage biopharmaceutical company developing novel therapeutics for the treatment of serious diseases with unmet medical needs and a commercial focus on the United States (U.S.) market. The company’s current strategy is to focus their development activities on MN-166 (ibudilast) for neurological and other disorders such as amyotrophic lateral sclerosis (ALS), progressive multiple sclerosis (MS), chemotherapy-induced peripheral neuropathy, degenerative cervical myelopathy, glioblastoma, substance dependence and addiction (e.g., methamphetamine dependence, opioid dependence, and alcohol dependence), prevention of acute respiratory distress syndrome (ARDS), and Long COVID, and MN-001 (tipelukast) for fibrotic and other metabolic disorders such as nonalcoholic fatty liver disease (NAFLD) and hypertriglyceridemia. The company intends to advance their pipeline through a combination of investigator-sponsored clinical trials, trials funded through government grants or other grants, trials funded on their own, or through strategic alliances to help support further clinical development of their lead programs.

Forward-Looking Statements
Statements in this press release 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, without limitation, statements regarding the future development and efficacy of MN-166 and MN-001. 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," “considering,” “planning” or similar expressions. These forward-looking statements involve a number of risks and uncertainties that may cause actual results or events to differ materially from those expressed or implied by such forward-looking statements. Factors that may cause actual results or events to differ materially from those expressed or implied by these forward-looking statements include, but are not limited to, risks of obtaining future partner or grant funding for development of MN-166 and MN-001, and risks of raising sufficient capital when needed to fund MediciNova's operations and contribution to clinical development, risks and uncertainties inherent in clinical trials, including the potential cost, expected timing and risks associated with clinical trials designed to meet FDA guidance and the viability of further development considering these factors, product development and commercialization risks, 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, risks associated with the reliance on third parties to sponsor and fund clinical trials, risks regarding intellectual property rights in product candidates and the ability to defend and enforce such intellectual property rights, 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 of expected filings with the regulatory authorities, MediciNova's collaborations with third parties, the availability of funds to complete product development plans and MediciNova's ability to obtain third party funding for programs and raise sufficient capital when needed, and the other risks and uncertainties described in MediciNova's filings with the Securities and Exchange Commission, including its annual report on Form 10-K for the year ended December 31, 2024 and its subsequent periodic reports on Form 10-Q and current reports on Form 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.

INVESTOR CONTACT :

David H. Crean, Ph.D.
Chief Business Officer
MediciNova, Inc
info@medicinova.com


FAQ**

What are the potential market opportunities for MediciNova Inc. MNOV’s compounds MN-166 and MN-001 if they successfully complete their clinical trials in ALS and dyslipidemia, respectively?

If MediciNova Inc. successfully completes clinical trials for MN-166 in ALS and MN-001 in dyslipidemia, it could capitalize on substantial market opportunities in neurodegenerative and metabolic disease sectors, potentially leading to significant revenue growth and investor interest.

How does the $million NIH grant impact the financial stability and future growth plans of MediciNova Inc. MNOV while developing MN-166?

The $22 million NIH grant enhances MediciNova Inc.'s financial stability by providing essential funding for the development of MN-166, potentially accelerating its growth plans and increasing investor confidence in the company's long-term viability and market position.

Can you elaborate on the anticipated challenges MediciNova Inc. MNOV might face in the regulatory approval process for MN-166 and MN-001, and how these challenges could affect investment decisions?

MediciNova Inc. may face challenges in demonstrating the safety and efficacy of MN-166 and MN-001 during clinical trials, which could lead to delays or rejections in regulatory approvals, thereby impacting investor confidence and potential returns on investment.

What strategies is MediciNova Inc. MNOV employing to ensure timely patient enrollment for its ongoing clinical trials, especially given the single-digit randomization remaining in the COMBAT-ALS trial?

MediciNova Inc. is utilizing targeted outreach to key opinion leaders, enhancing patient engagement through educational initiatives, and leveraging digital platforms to streamline recruitment processes for its COMBAT-ALS trial to ensure timely patient enrollment.

**MWN-AI FAQ is based on asking OpenAI questions about MediciNova Inc. (NASDAQ: MNOV).

MediciNova Inc.

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