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SEC Comment Letter for Milestone Pharmaceuticals Inc. (MIST) (CIK 0001408443) (MIST) — Mar 7, 2019

Milestone Pharmaceuticals Inc. (MIST) (CIK 0001408443)
Date: March 7, 2019 · CIK: 0001408443 · Accession: 0000000000-19-004204

AI Filing Summary & Sentiment

Sentiment
Urgency
Document Type
Confidence
SEC Posture
Company Posture

Summary

Reasoning

Date
March 7, 2019
Author
Joseph Oliveto
Form
UPLOAD
Company
Milestone Pharmaceuticals Inc. (MIST) (CIK 0001408443)

Letter

March 7, 2019 Joseph Oliveto Chief Executive Officer Milestone Pharmaceuticals Inc. 6000 Fairview Road, Suite 1200 Charlotte, NC 28210-2252 Re:Milestone Pharmaceuticals Inc. Amendment No. 1 to Draft Registration Statement Filed February 28, 2019 CIK 0001408443 Dear Mr. Oliveto: 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 Our Pipeline, page 1 1.We note your response to comment 3. Please tell us whether you have an active IND for etripamil that covers the indications atrial fibrillation and angina. 2.We note your revised disclosure on page 76 that your research found that, of the almost 40% of patients who experience two or more episodes of PSVT per year that last more than 10 minutes each, the findings for percentage of patients with longer episodes and percentage of patients with emergency department visits decreased between the year of diagnosis and the year of your research study by 13% and 29%, respectively. Please also clarify your disclosure here.

FirstName LastNameJoseph Oliveto Comapany NameMilestone Pharmaceuticals Inc. March 7, 2019 Page 2 FirstName LastName Joseph Oliveto Milestone Pharmaceuticals Inc. March 7, 2019 Page 2 Business Etripamil, page 75 3.We note your new disclosure regarding 2017 research into the opportunity for etripamil in the United States and Europe. Please provide further details and context regarding this research. For example, how many PSVT patients do the physicians report as receiving catheter ablation? How often do PSVT patients in the United States visit the emergency room, such that 50-75% of these visits could be avoided? You may contact William Demarest at (202) 551-3432 or Yolanda Trotter at (202) 551- 3472 if you have questions regarding comments on the financial statements and related matters. Please contact Chris Edwards at (202) 551-6761 or Liz Walsh at (202) 551-3696 with any other questions. Sincerely, Division of Corporation Finance Office of Healthcare & Insurance cc: Jaime L. Chase

Show Raw Text
March 7, 2019
Joseph Oliveto
Chief Executive Officer
Milestone Pharmaceuticals Inc.
6000 Fairview Road, Suite 1200
Charlotte, NC 28210-2252
Re:Milestone Pharmaceuticals Inc.
Amendment No. 1 to Draft Registration Statement
Filed February 28, 2019
CIK 0001408443
Dear Mr. Oliveto:
            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
Our Pipeline, page 1
1.We note your response to comment 3. Please tell us whether you have an active IND for
etripamil that covers the indications atrial fibrillation and angina.
2.We note your revised disclosure on page 76 that your research found that, of the almost
40% of patients who experience two or more episodes of PSVT per year that last more
than 10 minutes each, the findings for percentage of patients with longer episodes and
percentage of patients with emergency department visits decreased between the year of
diagnosis and the year of your research study by 13% and 29%, respectively.  Please also
clarify your disclosure here.

 FirstName LastNameJoseph Oliveto
 Comapany NameMilestone Pharmaceuticals Inc.
 March 7, 2019 Page 2
 FirstName LastName
Joseph Oliveto
Milestone Pharmaceuticals Inc.
March 7, 2019
Page 2
Business
Etripamil, page 75
3.We note your new disclosure regarding 2017 research into the opportunity for etripamil in
the United States and Europe.  Please provide further details and context regarding this
research.  For example, how many PSVT patients do the physicians report as receiving
catheter ablation?  How often do PSVT patients in the United States visit the emergency
room, such that 50-75% of these visits could be avoided?
            You may contact William Demarest at (202) 551-3432 or Yolanda Trotter at (202) 551-
3472 if you have questions regarding comments on the financial statements and related
matters.  Please contact Chris Edwards at (202) 551-6761 or Liz Walsh at (202) 551-3696 with
any other questions.
Sincerely,
Division of Corporation Finance
Office of Healthcare & Insurance
cc:       Jaime L. Chase