Pivotal bioVenture Partners Fund I SC 13D Akouos / Pivotal bioVenture Partners Fund I ownership change

Exhibit 1

JOINT FILING AGREEMENT

The persons below hereby agree that the Schedule 13D to which this agreement is attached as an exhibit, as well as all future amendments to such Schedule 13D, shall be filed jointly on behalf of each of them. This agreement is intended to satisfy the requirements of Rule 13d-1(k)(1)(iii) under the Securities Exchange Act of 1934.

Dated: July 10, 2020

PIVOTAL BIOVENTURE PARTNERS FUND I, L.P.
By:	PIVOTAL BIOVENTURE PARTNERS FUND I G.P., L.P.
	Its General Partner,
	By: PIVOTAL BIOVENTURE PARTNERS FUND I U.G.P., LTD.
	Its General Partner,
	By:	/s/ Heather Preston
	Name:	Heather Preston
	Title:	Authorized Signatory

PIVOTAL BIOVENTURE PARNTERS FUND I G.P., L.P.
By:	PIVOTAL BIOVENTURE PARTNERS FUND I U.G.P., LTD
	Its General Partner,
	By:	/s/ Heather Preston
	Name:	Heather Preston
	Title:	Authorized Signatory

PIVOTAL BIOVENTURE PARTNERS FUND I U.G.P. LTD
By:	/s/ Heather Preston
Name:	Heather Preston
Title:	Authorized Signatory