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2026 New Year’s Greetings from the CEO

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MediciNova (NASDAQ:MNOV) CEO Yuichi Iwaki delivered a New Year letter on Jan 6, 2026 outlining 2025 clinical progress and 2026 priorities.

Clinical highlights: enrollment completed in three trials—COMBAT‑ALS (MN‑166) completed enrollment Sept 2025 with top‑line results expected by year‑end; OXTOX Phase 2b completed enrollment Dec 2025; MN‑001 Phase 2 enrollment completed Nov 2025 with top‑line data anticipated summer 2026. An Expanded Access Program for ALS launched March 2025 supported by a $22 million NIH grant; as of Dec 15, 2025 there were 12 U.S. sites and 87 patients enrolled.

The company says 2026 will be pivotal as it prepares for potential regulatory submission if COMBAT‑ALS results are positive.

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AI-generated analysis. Not financial advice.

Positive

  • $22 million NIH grant supporting ALS Expanded Access
  • Enrollment completed in 3 clinical trials during 2025
  • 12 U.S. sites active in ALS Expanded Access (Dec 15, 2025)
  • 87 patients enrolled in Expanded Access as of Dec 15, 2025
  • MN‑001 top‑line data expected summer 2026

Negative

  • Top‑line results for COMBAT‑ALS still pending (expected by year‑end)
  • OXTOX trial result timing is undetermined
  • Regulatory submission for MN‑166 depends on positive trial outcome

News Market Reaction – MNOV

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1 alert
% News Effect

On the day this news was published, MNOV declined NaN%, reflecting a moderate negative market reaction.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

NIH research grant: $22 million Active ALS EAP sites: 12 U.S. sites ALS EAP patients: 87 patients +1 more
4 metrics
NIH research grant $22 million Supports Expanded Access Program for ALS initiated March 2025
Active ALS EAP sites 12 U.S. sites Expanded Access Program as of December 15, 2025
ALS EAP patients 87 patients Enrolled in ALS Expanded Access Program as of December 15, 2025
Trials with enrollment completed 3 clinical trials MN-166 COMBAT-ALS, OXTOX CIPN, MN-001-NATG-202

Market Reality Check

Price: $1.3000 Vol: Volume 118,102 is 1.48x t...
normal vol
$1.3000 Last Close
Volume Volume 118,102 is 1.48x the 20-day average of 79,907 shares. normal
Technical Trading slightly above 200-day MA ($1.38 vs MA200 $1.36) and well below 52-week high of $2.197.

Peers on Argus

Peer moves were mixed: ABVC up 6.82%, QNTM up 3.29%, while APLT and ALXO fell 3....
1 Down

Peer moves were mixed: ABVC up 6.82%, QNTM up 3.29%, while APLT and ALXO fell 3.66% and 3.45%, respectively. This pattern points to stock-specific rather than sector-wide drivers for MNOV.

Historical Context

5 past events · Latest: Dec 18 (Positive)
Pattern 5 events
Date Event Sentiment Move Catalyst
Dec 18 CIPN enrollment update Positive -1.4% Completed enrollment in Phase 2 OXTOX CIPN trial for MN-166.
Dec 08 ALS trial update Positive -3.2% Presented COMBAT-ALS Phase 2b/3 enrollment and baseline characteristics.
Dec 01 MN-001 mechanism data Positive -2.8% Peer-reviewed data on MN-002 cholesterol efflux and MN-001 Phase 2 enrollment.
Nov 18 Advisor appointment Positive +2.1% Appointed Dr. Breder as clinical and regulatory advisor for development programs.
Nov 06 Industry award Positive -7.3% Won BioTech Breakthrough award recognizing MN-166 R&D innovation.
Pattern Detected

Recent positive clinical and corporate updates often saw negative or muted price reactions, indicating a pattern of divergence between news tone and short-term trading.

Recent Company History

Over the past few months, MediciNova reported multiple pipeline milestones, including completion of enrollment in the Phase 2 OXTOX CIPN study and updates on the COMBAT-ALS Phase 2b/3 trial. It also highlighted mechanistic data supporting MN-001 and appointed a new clinical and regulatory advisor. Despite largely constructive developments, shares frequently moved down after news, including reactions of -1.36%, -3.21%, -2.76%, and -7.28%, suggesting cautious market sentiment into today’s broad corporate update.

Market Pulse Summary

This announcement outlines a year-end status update, highlighting completion of enrollment in three ...
Analysis

This announcement outlines a year-end status update, highlighting completion of enrollment in three clinical trials and expansion of an ALS Expanded Access Program to 87 patients at 12 U.S. sites, backed by a $22 million NIH grant. Recent history shows largely constructive clinical and corporate developments. Investors may watch for top-line readouts from the COMBAT-ALS and MN-001 studies and any changes in development timelines or funding disclosures in future filings.

Key Terms

expanded access program, phase 2b/3, amyotrophic lateral sclerosis, chemotherapy-induced peripheral neuropathy, +3 more
7 terms
expanded access program regulatory
"the launch of a large-scale Expanded Access Program for ALS."
A program that allows patients with serious or life‑threatening conditions to receive an experimental drug or therapy before it is fully approved by regulators, when they cannot join clinical trials. Investors care because expanded access can change a treatment’s market perception, create early real‑world safety or demand signals, and affect regulatory timelines and potential revenue — like a pre‑order system that also reveals how the product performs outside controlled testing.
phase 2b/3 medical
"COMBAT-ALS Study Phase 2b/3 trial for Amyotrophic Lateral Sclerosis (ALS):"
A phase 2b/3 trial is a combined late-stage clinical study that first refines the best dose and measures how well a treatment works (phase 2b) then expands to a larger, definitive test of safety and effectiveness needed for regulatory approval (phase 3). For investors, results from a phase 2b/3 act like a dress rehearsal that turns into opening night: positive, well-controlled outcomes substantially raise the chance of approval and future sales, while failures can sharply reduce a drug’s value.
amyotrophic lateral sclerosis medical
"Phase 2b/3 trial for Amyotrophic Lateral Sclerosis (ALS): Enrollment was completed"
A progressive disease in which nerve cells that control voluntary muscles gradually fail, leading to loss of movement, speech and eventually breathing — like an electrical wiring system in the body slowly shorting out. It matters to investors because there are few effective treatments, so clinical trial results, regulatory approvals, new therapies or diagnostics can rapidly change patient care, market opportunity and company valuations.
chemotherapy-induced peripheral neuropathy medical
"trial for chemotherapy-induced peripheral neuropathy (CIPN) in metastatic colon cancer:"
Nerve damage caused by certain cancer drugs that produces numbness, tingling, pain or weakness in the hands and feet; think of it like electrical wiring in the body becoming frayed and sending poor signals. It matters to investors because this side effect can force dose cuts, treatment delays, or additional care, affecting a drug’s safety profile, clinical trial results, patient demand and overall healthcare costs — all of which influence a company’s revenue and regulatory prospects.
hypertriglyceridemia medical
"Phase 2 trial for hypertriglyceridemia, non-alcoholic fatty liver disease (NAFLD),"
An unusually high level of triglycerides — a type of fat carried in the bloodstream — that signals an increased risk of heart disease and related health problems. For investors, it matters because the size of the patient population, effectiveness of treatments, regulatory approvals, and insurance coverage can drive demand, clinical-trial outcomes, and revenue for drugmakers and medical-device companies; think of it like too much oil in an engine increasing the need for maintenance and repairs.
non-alcoholic fatty liver disease medical
"trial for hypertriglyceridemia, non-alcoholic fatty liver disease (NAFLD), and Type 2"
Non-alcoholic fatty liver disease is a condition where excess fat builds up in the liver of people who drink little or no alcohol; the liver can become inflamed and scarred over time, reducing its ability to function. Investors should care because its large and growing patient population drives demand for diagnostics, treatments, monitoring tools and healthcare services—think of it like a slowly spreading problem in a factory that creates ongoing repair and replacement business opportunities across pharmaceuticals, medical devices, and insurers.
type 2 diabetes medical
"non-alcoholic fatty liver disease (NAFLD), and Type 2 diabetes (T2DM): Enrollment"
Type 2 diabetes is a chronic condition where the body struggles to control blood sugar levels because it becomes less responsive to insulin, a hormone that helps regulate sugar in the blood. It matters to investors because it can lead to increased healthcare costs, affect workforce productivity, and influence the performance of companies in the healthcare and pharmaceutical sectors. Managing or preventing the condition has significant implications for public health and economic stability.

AI-generated analysis. Not financial advice.

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LA JOLLA, Calif., Jan. 06, 2026 (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) provides shareholders a corporate update in the following Letter to Stockholders from CEO Yuichi Iwaki, M.D., Ph.D.

Dear Fellow Shareholders,

The year 2025 was marked by global uncertainty, with accelerating inflation, evolving U.S. trade policies under the new administration, and persistent geopolitical risks. Despite these challenges, MediciNova achieved significant milestones, including completion of patient enrollment in three clinical trials and the launch of a large-scale Expanded Access Program for ALS.

Clinical Development Highlights

MN-166 (ibudilast)

  • COMBAT-ALS Study Phase 2b/3 trial for Amyotrophic Lateral Sclerosis (ALS): Enrollment was completed in September 2025. Data analysis will begin after the last participant completes the 12-month double-blind treatment period, with top-line results expected by year-end. Positive results would enable regulatory submission, and preparations for that stage are already underway.
  • Expanded Access Program for ALS: Initiated in March 2025 with support from a $22 million NIH research grant. As of December 15, 2025, 12 U.S. sites were active and 87 patients enrolled.
  • OXTOX Study Phase 2b investigator-initiated trial for chemotherapy-induced peripheral neuropathy (CIPN) in metastatic colon cancer: Enrollment was completed in December 2025. Participants will continue treatment until disease progression or other discontinuation criteria. Timing for results remains to be determined, but MediciNova is optimistic about advancing this program.

MN-001 (tipelukast)

  • MN-001-NATG-202 Study Phase 2 trial for hypertriglyceridemia, non-alcoholic fatty liver disease (NAFLD), and Type 2 diabetes (T2DM): Enrollment was completed in November 2025. Top-line data are anticipated in summer 2026. Recent academic collaboration revealed a novel mechanism by which MN-001 and its metabolite MN-002 impact cholesterol and lipid metabolism, reinforcing the compound’s development strategy.

Looking ahead, 2026 will be a pivotal year for MediciNova—a year when we can finally reach the goals we have been striving toward. We will strengthen our commitment and work as one team to deliver better treatments to patients suffering from serious diseases.

I sincerely wish you all a year filled with happiness and success.

Yuichi Iwaki
President & CEO
MediciNova, Inc.
January 2026

About MediciNova

MediciNova, Inc. is a clinical-stage biopharmaceutical company developing a broad late-stage pipeline of novel small molecule therapies for inflammatory, fibrotic, and neurodegenerative diseases. Based on two compounds, MN-166 (ibudilast) and MN-001 (tipelukast), with multiple mechanisms of action and strong safety profiles, MediciNova has numerous programs in clinical development. MediciNova’s lead asset, MN-166 (ibudilast), is currently in Phase 3 for amyotrophic lateral sclerosis (ALS) and degenerative cervical myelopathy (DCM) and is Phase 3-ready for progressive multiple sclerosis (MS). MN-001 (tipelukast) is in a Phase 2 trial treating hypertriglyceridemia in type 2 diabetic patients. MediciNova has a strong track record of securing investigator-sponsored clinical trials funded through government grants.

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 clinical readouts did MediciNova (MNOV) report for 2025 and 2026 timelines?

COMBAT‑ALS enrollment completed Sept 2025 with top‑line results expected by year‑end; MN‑001 top‑line data anticipated summer 2026; OXTOX enrollment completed Dec 2025 with timing undetermined.

How large is MediciNova's ALS Expanded Access Program (MNOV) as of Dec 15, 2025?

The Expanded Access Program had 12 U.S. sites active and 87 patients enrolled as of Dec 15, 2025.

What funding supports MediciNova's ALS Expanded Access Program (MNOV)?

The program was initiated March 2025 with support from a $22 million NIH research grant.

What would positive COMBAT‑ALS (MN‑166) results mean for MNOV?

The company says positive top‑line results would enable preparation for a regulatory submission for MN‑166.

When did MediciNova (MNOV) complete enrollment for its three trials?

MN‑001 enrollment completed Nov 2025; COMBAT‑ALS completed Sept 2025; OXTOX enrollment completed Dec 2025.