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                              March 30, 2021

       Adrian Adams
       President and Chief Executive Officer
       Impel NeuroPharma, Inc.
       201 Elliott Avenue West, Suite 260
       Seattle, WA 98119

                                                        Re: Impel NeuroPharma,
Inc.
                                                            Amendment No. 1 to
Draft Registration Statement on Form S-1
                                                            Submitted March 23,
2021
                                                            CIK No. 0001445499

       Dear Mr. Adams:

             We have reviewed your amended draft registration statement and
have the following
       comments. In some of our comments, we may ask you to provide us with
information so we
       may better understand your disclosure.

              Please respond to this letter by providing the requested
information and either submitting
       an amended draft registration statement or publicly filing your
registration statement on
       EDGAR. If you do not believe our comments apply to your facts and
circumstances or do not
       believe an amendment is appropriate, please tell us why in your
response.

             After reviewing the information you provide in response to these
comments and your
       amended draft registration statement or filed registration statement, we
may have additional
       comments.

       Amendment No. 1 to Draft Registration Statement on Form S-1

       Prospectus Summary
       Our Product Candidates, page 3

   1.                                                   We note your response
to prior comment 2. However, we also note in several places in
                                                        your prospectus you
continue to make comparisons with the results of your STOP301 trial
                                                        to evaluate the safety
and tolerability of long-term, intermittent use of TRUDHESA
                                                        with standard acute
migraine medication and results of other approved treatments, such
                                                        as MAP0004, despite
your disclosure that (i) the efficacy endpoints in your clinical trials
                                                        have been only
exploratory in nature, (ii) the STOP301 trial was not powered for such
                                                        significance
comparisons and (iii) you have not studied MAP0004 and TRUDHESA in a
                                                        head-to-head clinical
trial. In addition to the comparisons made in the bullet points of this
 Adrian Adams
Impel NeuroPharma, Inc.
March 30, 2021
Page 2
       section, we note similar comparisons made on pages 91 and 101-104.
Please revise to
       discuss the statistical test or tests you employed that provide
confidence that your
       comparisons of the results of your STOP301 trial, or other applicable
trials, to a baseline
       or to the results of other approved treatments are reliable. If you did
not employ such
       statistical controls, please remove such comparisons or tell us why such
disclosure is
       appropriate.
2.     We note from your revised disclosure in response to prior comment 3 that
there were a
       total of seven treatment emergent SAEs none of which were determined by
the
       investigator to be related to TRUDHESA or led to withdrawal from the
trial. Please
       expand your disclosure to identify the SAEs and discuss the basis for
the investigator's
       determination that each was unrelated to TRUDHESA.
Business
Intellectual Property, page 116

3.     We note your response to prior comment 9. Please expand to identify the
ex-U.S.
       jurisdictions where patent applications are pending with respect to your
INP105
       composition of matter and method of use patent family.
       You may contact Jeanne Bennett at 202-551-3606 or Lynn Dicker at
202-551-3616 if you
have questions regarding comments on the financial statements and related
matters. Please
contact David Gessert at 202-551-2326 or Tim Buchmiller at 202-551-3635 with
any other
questions.



                                                             Sincerely,
FirstName LastNameAdrian Adams
                                                             Division of
Corporation Finance
Comapany NameImpel NeuroPharma, Inc.
                                                             Office of Life
Sciences
March 30, 2021 Page 2
cc:       Amanda L. Rose, Esq.
FirstName LastName