Amendment No. 2 to Registration Statement on Form 10 as Confidentially Submitted on July 14, 2023
Business, page 105
1. | We note your response to prior comment 6, which we reissue in part. There are still numerous instances throughout the Information Statement where information presented in your tables and figures appears to be printed in type that is too small to read. Even with enhanced pixilation, such text is not legible. Please revise to ensure any included figures and graphics can be read. By way of example only and not limitation, we note the following: |
| • | | Text in the leftmost blue columns and in the “Indication” and “Dosing” columns of your pipeline overview and discovery programs tables on page 112 |
| • | | Text related to Part C in the dose expansion figure on page 116 |
| • | | Line items on the x and y axes in many of your tables, such as on pages 120 and 121. |
RESPONSE: The Company respectfully acknowledges the Staff’s comments and has revised the disclosure on pages 13, 112, 116, 120, 121, 123, 125 and 126 of Amendment No. 3 accordingly.
Safety Observations, page 122
2. | We note your response to prior comment 11 and the distinction between the severity of adverse events as graded by the CTCAE and as defined by the FDA. Please disclose all serious adverse events observed in ARTISTRY-1 meeting the FDA definition and quantify the number of each type of event. |
RESPONSE: The Company respectfully acknowledges the Staff’s comment and has revised its disclosure on page 123-124 to include all serious adverse events observed in Parts B and C of ARTISTRY-1 that were determined by the clinical trial site investigator, who is a licensed healthcare provider, to be related to treatment with nemvaleukin or nemvaleukin and pembrolizumab (as applicable), including the number of each type of event. These events meet the FDA definition of serious adverse event (i.e., the event is associated with a patient outcome of death, life-threatening condition, initial/prolonged hospitalization, disability or permanent damage, congenital anomaly/birth defect, or other important medical event that may jeopardize the patient and require medical or surgical intervention to prevent one of the aforementioned outcomes).
As previously noted in the Company’s responses to the Staff’s May 16, 2023 Comment Letter, the Company respectfully submits to the Staff that, given the nature of the advanced cancers being evaluated in ARTISTRY-1 and the prevalence and severity of disease symptoms experienced by study subjects, it is most relevant and informative to disclose nemvaleukin-related serious adverse events, as these have been adjudged by the clinical trial site investigator to be related to the drug(s) being studied, and not to other conditions unrelated to the drug, such as the disease itself. The Company respectfully submits that it may be misleading, and certainly will not be as directly relevant to the drug being developed by the Company, to disclose all serious adverse events.