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Correspondence 0001193125-24-017326 from FRACTYL HEALTH, INC. (GUTS)

FRACTYL HEALTH, INC.
Date: Jan. 29, 2024 · CIK: 0001572616 · Accession: 0001193125-24-017326

AI Filing Summary & Sentiment

File numbers found in text: 333-276046

Referenced dates: December 20, 2023

Date
January 29, 2024
Author
/s/ Nathan Ajiashvili
Form
CORRESP
Company
FRACTYL HEALTH, INC.

Letter

1271 Avenue of the Americas

New York, New York 10020-1401

Tel: +1.212.906.1200 Fax: +1.212.751.4864

www.lw.com

FIRM / AFFILIATE OFFICES

Austin

Milan

Beijing

Munich

Boston

New York

Brussels

Orange County

Century City

Paris

Chicago

Riyadh

January 29, 2024

Dubai

San Diego

Düsseldorf

San Francisco

Frankfurt

Seoul

Hamburg

Silicon Valley

Hong Kong

Singapore

Houston

Tel Aviv

London

Tokyo

Los Angeles

Washington, D.C.

VIA EDGAR

Madrid

Division of Corporation Finance

Office of Life Sciences

U.S. Securities and Exchange Commission

100 F Street, N.E.

Washington, DC 20549-6010

Attention:

Tyler Howes

Alan Campbell

Michael Fay

Brian Cascio

Re: Fractyl Health, Inc.

Registration Statement on Form S-1

Filed December 14, 2023

File No. 333-276046

To the addressees set forth above:

On behalf of our client, Fractyl Health, Inc. (the “Company”), set forth below is the Company’s response to the comment of the Staff (the “Staff”) of the Division of Corporation Finance of the Securities and Exchange Commission (the “Commission”) in its letter dated December 20, 2023, relating to the Company’s registration statement on Form S-1 filed on December 14, 2023 (the “Registration Statement”).

The Company has filed today Amendment No. 1 to the Registration Statement (“Amendment No. 1”), together with this letter, via EDGAR submission. For convenience of reference, the text of the comment in the Staff’s letter has been reproduced in bold and italics herein. The Company has also provided its response immediately after the comment. Capitalized terms used but not otherwise defined herein have the meanings assigned to such terms in Amendment No. 1.

January 29, 2024

Page 2

Registration Statement on Form S-1

Prospectus Summary

Overview, page 1

1. Please revise to provide the source for your statement that up to two-thirds of patients discontinue weekly GLP-1RA therapy within the first year. In your revisions, please disclose the drugs that were discontinued and the dates covered by the study or studies showing the discontinuation.

Response: In response to the Staff’s comment, the Company has revised the disclosure on pages 1, 101, 122 and 130 of Amendment No. 1.

*********

We hope that the foregoing has been responsive to the Staff’s comment and look forward to resolving any outstanding issues as quickly as possible. Please do not hesitate to contact me at (212) 906-2916 with any questions or further comments you may have regarding this filing or if you wish to discuss the above.

Sincerely,
/s/ Nathan Ajiashvili

Show Raw Text
CORRESP
1
filename1.htm

CORRESP

1271 Avenue of the Americas

New York, New York 10020-1401

Tel: +1.212.906.1200 Fax: +1.212.751.4864

www.lw.com

FIRM / AFFILIATE OFFICES

Austin

Milan

Beijing

Munich

Boston

New York

Brussels

Orange County

Century City

Paris

Chicago

Riyadh

 January 29, 2024

Dubai

San Diego

Düsseldorf

San Francisco

Frankfurt

Seoul

Hamburg

Silicon Valley

Hong Kong

Singapore

Houston

Tel Aviv

London

Tokyo

Los Angeles

Washington, D.C.

 VIA EDGAR

Madrid

 Division of Corporation Finance

Office of Life Sciences

 U.S. Securities and Exchange Commission

 100 F Street, N.E.

 Washington, DC 20549-6010

Attention:

 Tyler Howes

 Alan Campbell

Michael Fay

 Brian Cascio

 Re:  Fractyl Health, Inc.

Registration Statement on Form S-1

Filed December 14, 2023

File No. 333-276046

 To the addressees set forth above:

On behalf of our client, Fractyl Health, Inc. (the “Company”), set forth below is the Company’s response to the
comment of the Staff (the “Staff”) of the Division of Corporation Finance of the Securities and Exchange Commission (the “Commission”) in its letter dated December 20, 2023, relating to the
Company’s registration statement on Form S-1 filed on December 14, 2023 (the “Registration Statement”).

The Company has filed today Amendment No. 1 to the Registration Statement (“Amendment
No. 1”), together with this letter, via EDGAR submission. For convenience of reference, the text of the comment in the Staff’s letter has been reproduced in bold and italics herein. The Company has
also provided its response immediately after the comment. Capitalized terms used but not otherwise defined herein have the meanings assigned to such terms in Amendment No. 1.

 January 29, 2024

Page 2

 Registration Statement on Form S-1

Prospectus Summary

 Overview, page 1

1.
 Please revise to provide the source for your statement that up to
two-thirds of patients discontinue weekly GLP-1RA therapy within the first year. In your revisions, please disclose the drugs that were discontinued and the dates
covered by the study or studies showing the discontinuation.

 Response: In response to the Staff’s
comment, the Company has revised the disclosure on pages 1, 101, 122 and 130 of Amendment No. 1.

 *********

We hope that the foregoing has been responsive to the Staff’s comment and look forward to resolving any outstanding issues as quickly as
possible. Please do not hesitate to contact me at (212) 906-2916 with any questions or further comments you may have regarding this filing or if you wish to discuss the above.

 Sincerely,

 /s/ Nathan Ajiashvili

 Nathan Ajiashvili

of LATHAM & WATKINS LLP

 Enclosures

 cc: (via e-mail)

 Harith Rajagopalan, M.D., Ph.D., Chief Executive Officer, Fractyl Health, Inc.

Johan Brigham, Latham & Watkins LLP

 Evan Smith,
Latham & Watkins LLP

 Jonathan Sarna, Latham & Watkins LLP

Edwin O’Connor, Goodwin Procter LLP

 Alicia Tschirhart,
Goodwin Procter LLP