MediciNova Reports Patient Data from 234 in ALS Clinical Trial
- Clinical Trial Progress: MediciNova has completed randomization of 234 patients in its COMBAT-ALS study for ALS, overcoming challenges posed by the COVID-19 pandemic to finalize enrollment by September 2025, demonstrating resilience in clinical research.
- Patient Demographics: Among participants, 36.8% were female and 63.2% male, with a mean age of 60.6 years, and the racial distribution aligns with other ALS trials, supporting the generalizability of the study findings.
- ALS Scoring Data: The average ALSFRS-R score at screening was 40.6, with a mean disease duration of 12.5 months, providing a crucial baseline for subsequent efficacy assessments.
- Future Outlook: MediciNova anticipates top-line data by the end of 2026, and if MN-166 proves effective, it could represent a significant therapeutic advance for ALS patients, further propelling the company's growth in the neurodegenerative disease sector.
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- Study Progress: MediciNova's SEANOBI study has enrolled 50% of its target 200 participants, indicating significant clinical research advancement in ALS, which may provide new treatment options for patients.
- Funding Support: The study is backed by a $22 million NIH grant aimed at accelerating access to therapies for ALS patients, reflecting government commitment to this research area and confidence in MediciNova.
- Clinical Trials: The ongoing COMBAT ALS trial for MN-166 has enrolled 234 patients, with top-line results expected by the end of 2026, which will provide critical efficacy data that could influence future market performance.
- Drug Development: In addition to ALS, MN-166 is being developed for glioblastoma, Long COVID, chemotherapy-induced peripheral neuropathy, and substance use disorder, showcasing its broad potential indications that could diversify the company's revenue streams.
- Patient Enrollment Progress: As of the end of January 2026, MediciNova has successfully enrolled 100 ALS patients across 12 sites in the U.S., achieving 50% of the planned 200 enrollments, marking significant progress in the clinical development of MN-166 and potentially accelerating the drug approval process.
- Funding Support: The SEANOBI Expanded Access Program is backed by a $22 million NINDS grant, designed to provide MN-166 treatment access to ALS patients not eligible for ongoing randomized trials while collecting crucial clinical and biomarker data, enhancing the drug's market competitiveness.
- Clinical Trial Design: MN-166 is also undergoing the COMBAT-ALS Phase 2b/3 randomized controlled trial, with 234 patients enrolled in the U.S. and Canada, and top-line results expected by the end of 2026, which will provide essential evidence for the drug's future approval.
- Strategic Implications: MediciNova's MN-166 has received Orphan Drug Designation from the FDA and EMA, along with Fast Track Designation from the FDA, and the combined clinical data from SEANOBI and COMBAT-ALS will offer more treatment options for ALS patients, addressing the urgent market demand for new therapies.

Biotech Stocks Performance: Several small-cap biotech and healthcare companies saw notable gains in after-hours trading, driven by recent corporate updates and clinical milestones.
Inspira Technologies Update: Inspira Technologies Oxy B.H.N. Ltd. rose 5.88% following a recent agreement for a registered direct offering and a Standby Equity Purchase Agreement, despite no new news on the day.
MediciNova's Clinical Trial Success: MediciNova, Inc. advanced 4.83% after successfully completing patient enrollment in its Phase 2 OXTOX study, which evaluates MN-166 for preventing chemotherapy-induced peripheral neuropathy.
DiaMedica's FDA Meeting: DiaMedica Therapeutics Inc. gained 2.89% after a productive pre-IND meeting with the FDA regarding its study of DM199 in preeclampsia, with an additional non-clinical study requested.

- Clinical Trial Progress: MediciNova has successfully enrolled 100 patients across 11 clinical sites in Australia for the OXTOX study, which evaluates MN-166's efficacy in preventing chemotherapy-induced peripheral neuropathy in metastatic colorectal cancer patients, highlighting the company's ongoing commitment to neurodegenerative disease research.
- Study Design: This randomized, placebo-controlled Phase 2 trial allows participants to continue chemotherapy while receiving either MN-166 or a placebo, with the study expected to conclude six months post-chemotherapy, providing critical efficacy data for future development.
- Future Data Expectations: While the exact completion date is not yet determined, top-line data is anticipated to be available later in 2026, which will provide essential insights for MN-166's further development and could significantly impact its market prospects.
- Drug Background: MN-166 is a small molecule compound with multiple mechanisms of action, currently in late-stage clinical development for various neurodegenerative diseases, and has received Orphan Drug Designation and Fast Track Status from the FDA, indicating its potential in the market.

- Clinical Trial Progress: MediciNova has successfully completed patient enrollment of 100 individuals across 11 clinical sites in Australia for the OXTOX study, marking a significant advancement in research targeting chemotherapy-induced peripheral neuropathy in metastatic colorectal cancer patients.
- Study Design: This randomized, placebo-controlled Phase 2 clinical trial aims to evaluate the efficacy of MN-166 (ibudilast) in chemotherapy patients, which is expected to provide critical data for future treatment options.
- Data Expectations: While the exact completion date of the study is not yet determined, top-line data is anticipated to be available in 2026, which will support further development and market potential for MN-166.
- Drug Background: MN-166, a small molecule compound with multiple mechanisms of action, has demonstrated a strong safety profile in clinical development for various neurodegenerative diseases, indicating its broad application prospects in the treatment landscape.
- Clinical Trial Progress: MediciNova has completed randomization of 234 participants in the COMBAT-ALS study, overcoming recruitment challenges during the COVID-19 pandemic, with top-line data expected by the end of 2026, potentially representing a significant therapeutic advance for ALS patients.
- Patient Demographics: Among participants, 36.8% were female and 63.2% male, with a mean age of 60.6 years and a racial distribution of 90.2% Caucasian, aligning with other ALS trials and enhancing the generalizability of the study findings.
- Drug Development Support: MediciNova is actively supporting patients wishing to continue MN-166 treatment through the FDA’s Individual Patient Expanded Access Program, demonstrating the company's commitment to ALS patients, with MN-166 receiving Orphan Drug and Fast Track Designation.
- Future Development Plans: The company is closely collaborating with experienced regulatory experts to prepare for the next steps in advancing MN-166, aiming to address uncertainties and risks in clinical trials to ensure smooth drug development.







