| Attn: |
Mr. Eric Atallah
Ms. Lynn Dicker
Mr. Daniel Crawford
Mr. Alan Campbell
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| Re: |
APRINOIA Therapeutics Holdings Limited
Draft Registration Statement on Form F-1
Submitted November 13, 2023
CIK No. 0001998311
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| 1. |
Please disclose on your cover page whether your offering is contingent upon final approval of your Nasdaq listing. Please ensure the disclosure is consistent with your underwriting agreement.
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| In response to the Staff’s comment, the Company has revised the cover page of the Revised DRS. |
| 2. |
Your prospectus summary should include a balanced discussion of your company and your business, including any associated weaknesses and challenges you currently face and may face in the future. Please
balance your discussion of your advantages and competitive strengths with an equally prominent discussion of any detriments. By way of example only, please revise throughout where you discuss potential uses for your product candidates to
clarify that the outcomes of clinical trials are inherently uncertain and that if your product candidates do not perform as anticipated in clinical trials, they
may not secure marketing approval and your business could be adversely affected.
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| 3. |
Please revise where you discuss the Orphan Drug Designation for APN-1607 to clarify, if true, that such a designation neither shortens the development time or regulatory review time of your diagnostic nor
increases the likelihood that the FDA will approve it. Revise to state how you can “leverage” the Orphan Drug Designation to submit results from a single Phase 3 trial as a basis for regulatory approval.
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| 4. |
We note your statement that you have initiated a Phase 2 clinical trial of APN-1607 in AD in the United States, Japan and Taiwan. Please revise to reflect your disclosure on page 96 that this trial is not
recruiting and disclose when the most recent subject was enrolled.
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| 5. |
We note your disclosure that you plan to file an IND with the FDA to launch a Phase 3 trial of APN-1607 in subjects suspected to have PSP and your disclosure on page 96 that you intend to enroll the first patient
in this trial in the fourth quarter of 2023. Please revise your disclosure to clarify when you intend to file the IND for this clinical trial.
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| 6. |
Please revise your pipeline table so there is only one progress arrow for your Alzheimer’s indication depicting its overall current stage of clinical development. You may include a footnote disclosing the Phase 2
clinical trial.
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| 7. |
Please revise your pipeline table to clearly disclose the licensing and collaboration agreements related to your product candidates.
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| 8. |
We note your statement that APNmAb005 recognizes a three-dimensional conformation-dependent epitope that is only present in tau abnormal aggregates but not in normal tau protein, thus showing the potential to
achieve a high level of specificity. Please revise here and on page 98 to clarify if this capability has been demonstrated in a clinical trial that was powered for statistical significance. Please also remove your statement here and on page
98 that APNmAb005 may offer a superior therapeutic strategy over other anti-tau antibody programs as this statement appears to be premature given your current stage of development.
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| 9. |
Your pipeline table indicates that your Phase 1 trial of APNmAb005 is not recruiting. Please revise this section to disclose the current status of this trial.
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| 10. |
We note your statements here and on page 100 that you plan to launch a POC study of APNmAb005 in the second half of 2024. To the extent that your Phase 1 trial remains ongoing and you have not submitted an IND
for your POC trial, please remove your statements regarding when you plan to launch future clinical trials. You may state when you anticipate completing your Phase 1 clinical trial.
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| 11. |
We note that your disclosure elsewhere throughout the prospectus indicates that you have an exclusive license to develop and commercialize APN-1607, except for mainland China where you have granted Yitai an
exclusive sublicense. Please revise this section of your prospectus to discuss risks related to conducting business in the People’s Republic of China (PRC) including the possibility, if true, that the PRC government could interfere in, or
exercise control over, Yitai’s operations.
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| 12. |
We note your Federal Forum Provision states “the federal district courts of the United States shall be the exclusive forum for the resolution of any complaint asserting a cause of action arising under the
Securities Act.” Please revise to state that there is uncertainty as to whether a court would enforce such provision and that investors cannot waive compliance with the federal securities laws and the rules and regulations thereunder. In that
regard, we note that Section 22 of the Securities Act creates concurrent jurisdiction for federal and state courts over all suits brought to enforce any duty or liability created by the Securities Act or the rules and regulations thereunder.
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| 13. |
Please revise page 60 to state how far into the Phase 3 clinical trial of APN-1607 you expect to reach with the proceeds from this offering.
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| 14. |
Please revise your capitalization table to separate the line-item “cash” with a double underline to clearly separate it from your capitalization.
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| 15. |
Once you have an estimated offering price or range, please explain to us how you determined the fair value of the common stock underlying your equity issuances and the reasons for any differences between the
recent valuations of your common stock leading up to the initial public offering and the estimated offering price. This information will help facilitate our review of your accounting for equity issuances including stock compensation. Please
discuss with the staff how to submit your response.
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| 16. |
We note your statement that you have not independently verified the accuracy or completeness of any third-party information. This statement may imply an inappropriate disclaimer of responsibility with respect to
such information. Please either delete this statement or specifically state that you are liable for such information that appears in the prospectus.
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| 17. |
We note your statement that APN-1607 has generated imaging data that has demonstrated statistically significant correlation with
disease severity in AD and PSP patients, as measured by clinically relevant scales. Please revise your discussion of APN-1607, where appropriate, to clearly describe the clinical trials in which these observations were made including the
number of enrollees, the primary and secondary endpoints, adverse events and whether the trials met their endpoints.
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| 18. |
Please revise to identify the collaborator for your 18F-APN-1701+ tracer program. For each of your 18F-APN-1701+ and -Syn PET tracer programs, disclose whether the parties have executed collaboration agreements.
To the extent they have, revise to disclose the material terms and file the agreements as exhibits to your registration statement.
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| • |
None of the Collaboration Agreements was made outside the ordinary course of business. As described in the Revised DRS, the Company is a clinical-stage biopharmaceutical company with a pipeline of
R&D programs. From time to time, the Company’s R&D of product candidates may involve research collaboration with third parties. For these reasons, the Company respectfully submits that the Collaboration Agreements were not entered
into outside the ordinary course of its business.
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| • |
The Company’s business is not substantially dependent on the Collaboration Agreements. The Company respectfully advises the Staff that the Company’s business is not substantially dependent on
Collaboration Agreements, given the α-Syn PET tracer programs are the Company’s pre-clinical stage programs.
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| 19. |
Please remove your disclosure on page 98 stating your toxicology studies demonstrated “APNmAb005 is safe according to the efficacious dosage used in rTg4510” as the FDA or similar foreign regulators have the sole
discretion for making safety and efficacy determinations. Please similarly revise your statement referencing the “efficacy” of your lead degraders on pages 2 and 84.
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| 20. |
Please revise here to disclose the aggregate payments made to date, potential future milestone payments to be paid and royalty rate within a ten-point range or less pursuant to the license agreement with QST.
Please also revise to disclose whether you renewed the QST License Agreement in October 2023 or advise.
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| 21. |
Please revise to disclose the other jurisdictions where you have pending patents for each patent family.
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| 22. |
Please revise this section to disclose the locations of your offices and facilities outside of the United States and to disclose the approximate number of employees at each of your locations.
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| 23. |
Please quantify the number of ordinary shares that will have registration rights following the offering.
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| 24. |
We note your statement that if all of the shares are not sold at the initial offering price, the underwriters may change the offering price and the other selling terms. Please delete this statement and confirm in
your response letter that the shares will be sold at a fixed price for the duration of the offering.
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| 25. |
We note your disclosure on page 123 stating you “have entered into employment agreements with each of [y]our executive officers.” Please file these agreements as exhibits or advise.
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| 26. |
Please provide us with supplemental copies of all written communications, as defined in Rule 405 under the Securities Act, that you, or anyone authorized to do so on your behalf, have presented or expect to
present to potential investors in reliance on Rule 163B of the Securities Act, whether or not you retained, or intend to retain, copies of those communications.
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Very truly yours, |
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/s/ Will H. Cai |
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Will H. Cai |
| cc: |
Mark S. Shearman, Chief Executive Officer, APRINOIA Therapeutics Inc.
Brian Achenbach, Chief Financial Officer, APRINOIA Therapeutics Inc.
Lana Gladstein, General Counsel, APRINOIA Therapeutics Inc.
Timothy Pitrelli, Esq., Cooley LLP
Reid S. Hooper, Esq., Cooley LLP
Leah Gonzales, Audit Partner, MaloneBailey, LLP
Michael J. Blankenship, Winston & Strawn LLP
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