SecProbe.io

August 16, 2018
Tiziano Lazzaretti
Chief Financial Officer
Tiziana Life Sciences plc
3rd Floor, 11-12 St. James's Square
London SW1 4LB, United Kingdom
Re:Tiziana Life Sciences plc
Registration Statement on Form F-1
Filed July 26, 2018
File No. 333-226368
Dear Mr. Lazzaretti:
            We have reviewed your 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 amending your registration statement and providing the
requested information.  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 any amendment to your registration statement and the information you
provide in response to these comments, we may have additional comments.
Registration Statement on Form F-1
Cover page
1.We note your statement that no assurance can be given that your application to list your
American Depositary Shares on the Nasdaq Capital Market will be approved. If your
offering is not contingent on listing approval, please revise your cover page disclosure to
clarify this fact. Additionally, please include a risk factor describing the consequences of
not securing Nasdaq listing approval.
2.We note your disclosure that the last reported sale price of your ordinary shares on AIM
was £ ___ per ordinary share, equivalent to $ ___ per ADS. You may use the most recent
home market trading price, converted to U.S. dollars at the most recent exchange rate,

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assuming the U.S. IPO price will be substantially similar to the home market trading price.
If you expect that the U.S. IPO price will not be substantially similar to the home market
trading price, please disclose on the prospectus cover page a bona fide price range of the
offered securities. If you intend to price the securities based on the AIM market price, you
may disclose a percentage range based on that price (for example, 10% of the home
market price) within which you intend to price the securities. See Item 501(b)(3) of
Regulation S-K.
Prospectus Summary
Our Strategy, page 3
3.We note your statement that your goal is to deliver best-in-class and potentially life-
altering therapies. Given the development stage of your product candidates and length of
the drug approval process, it is premature and inappropriate for you to imply that any of
your product candidates will ultimately be approved or become best-in-class or life-
altering. Please remove this statement here and on page 65.
Our Product Candidates
Clinical Development Pipeline, page 4
4.We note your disclosure on page 1 that you plan to initially investigate Foralumab for
safety and its immunomodulatory activity in healthy volunteers in two Phase 1 trials.
Please revise your pipeline development chart to remove the studies conducted by
Novimmune for the intravenous formulation and ensure that it accurately reflects the
development status for your stated strategy. Additionally, with respect to references to the
studies conducted by Novimmune, please revise your disclosure to remove your
conclusions, i.e., “encouraging clinical response,” to reference objective data points from
which your conclusions were drawn.
Implications of Being an Emerging Growth Company, page 5
5.Please supplementally provide us with copies of all written communications, as defined in
Rule 405 under the Securities Act, that you, or anyone authorized to do so on your behalf,
present to potential investors in reliance on Section 5(d) of the Securities Act, whether or
not they retain copies of the communications.
Use of Proceeds, page 48
6.Please revise the Use of Proceeds discussion to quantify the amounts you expect to
allocate to Miliciclib and Foralumab separately.  It appears from your disclosure that the
proceeds from the offering will not be sufficient to fund development of your product
candidates through regulatory approval and commercialization. Please indicate how far
the proceeds from the offering will allow you to proceed with the continued development
of Milciclib and Foralumab. Also disclose the sources of other funds needed to reach

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regulatory approval and commercialization for each product candidate. Refer to Item 3.C
of Form 20-F required by Item 4 of Form F-1.
Business
Our Product Candidates
Crohn’s Disease, page 67
7.Please define scientific terms such as “anti-CD4 and TNF binding mABs” and tell us what
you mean by “induction of apoptosis of activated T-lymphocytes rather than neutralization
of soluble TNF.” Please also cite the referenced previously reported studies and provide
support for your conclusion regarding TNF targeting mAbs in Crohn’s disease.
Proposed Phase 1 Clinical Trial for Foralumab for the Treatment of Multiple Sclerosis, page 70
8.In the second paragraph you indicate that Intravenous Foralumab was studied in three
Phase 1 and Phase 2 clinical trials in 68 patients.  In the third paragraph you indicate that
68 of the partiicpants in the trials had Crohn’s disease and 11 had acute cellular allograft
rejection.  Please clarify the discrepancy.  Additionally, for each trial, expand your
disclosure to include the duration of the trial, primary and secondary endpoints and
whether these endpoints were met, as well as all serious adverse events.
Milciclib (TZLS-201)
Phase 1 Development, page 70
9.For each of your trials CDKO-125a-003 and CDKO 125a-004, please revise your
disclosure to explain what you mean by “clinically significant” disease stabilization in
terms of objective data points.
Research and Development, page 84
10.We note your references to Milciclib as having a “good safety profile” and demonstrated
to be “efficacious.” Please revise your disclosure to remove these statements as
determinations of safety and efficacy are solely within the authority of the U.S. Food and
Drug Administration and comparable regulatory bodies.
Consolidated Statements of Shareholders' Equity, page F-5
11.It is apparent that your 2016 and 2017 equity statements do not foot and cross-foot
appropriately.  Please revise these statements to correct the following footing and cross-
footing discrepancies:
•2017 Share Capital total transactions with owners subtotal does not foot;
•2016  and 2017 Share Premium total transactions with owners subtotal does not foot;
•2017 Convertible Loan Note Reserve total transactions with owners subtotal does not
foot;
•Retained Earnings balance at December 31, 2016 does not foot;

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•Translation Reserve balance at December 31, 2017 does not foot;
•2017 Capital Reduction Reserve total transactions with owners subtotal does not foot;
•Capital Reduction Reserve at December 31, 2017 does not foot;
•2016 and 2017 Total Equity for the transactions with owners subtotal does not foot;
•Total Equity balance at December 31, 2016 does not foot; and
•Total transactions with owners subtotal for both 2016 and 2017 does not cross-foot.
Consolidated Statements of Cash Flows, page F-6
12.Please revise to label the beginning item in your presentation of cash flows from operating
activities as Loss from operations before income taxes or revise to use the amount of the
net loss for the periods presented.
11. Loss Per Share, page F-14
13.Please address the following comments regarding your loss per share computations:
•Explain to us why you appear to use your comprehensive loss in the numerator of your
2017 loss per share computation instead of your loss for the year.  Otherwise, revise
your computation and disclosure accordingly.
•As you classify the Convertible Loan Notes disclosed in Note 18 as equity, explain to
us why the interest accrued on these notes is not treated similar to preferred dividends
in the numerator of your loss per share computation consistent with the the guidance in
paragraphs 12 through 18 of IAS 33.  Otherwise, revise your loss per share
computations in 2016 and 2017 to reflect the interest accrued on these notes as
a deduction in the numerator tantamount to a dividend on the underlying equity
instruments.

To the extent that you revise your loss per share computations, provide the error
correction disclosure required by paragraph 49 of IAS 8.
Notes to Consolidated Financial Statements
10. Taxation, page F-14
14.Please address the following comments regarding the income tax benefit reflected in your
financial statements:
•Tell us why it is appropriate to reflect the benefits recorded and how they are
realizable given your historical losses.
•Revise your disclosure to describe the basis for the Research and development claim
provided in your reconciliation of your tax credit to the statutory rate. In addition,
separately tell us how this claim is based on taxable profits to be recorded as an
income tax benefit as stipulated in paragraph 2 of IAS 12 and why it is not reflected as
a reduction of research and development expenses as indicated in the second
paragraph on page 57.
•Revise your disclosure to describe the nature of the Adjustments due to prior periods

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August 16, 2018
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included in your reconciliation of the tax credit to the statutory rate for 2017.
Separately tell us why these adjustments are not the correction of errors that should be
reflected in earlier periods under IAS 8.
•Revise your disclosure to include a discussion of the tax impact for the year in the
Management's Discussion and Analysis of Financial Condition and Results of
Operations narrative on page 59.
General
15.Please provide us proofs of all graphics, visual, or photographic information you will
provide in the printed prospectus prior to its use, for example in a preliminary prospectus.
Please note that we may have comments regarding this material.
            We remind you that the company and its management are responsible for the accuracy
and adequacy of their disclosures, notwithstanding any review, comments, action or absence of
action by the staff.
            Refer to Rules 460 and 461 regarding requests for acceleration.  Please allow adequate
time for us to review any amendment prior to the requested effective date of the registration
statement.
            You may contact Rolf Sundwall at 202-551-3105 or Mark Brunhofer at 202-551-3638 if
you have questions regarding comments on the financial statements and related matters.  Please
contact Christine Westbrook at 202-551-5019 or Mary Beth Breslin at 202-551-3625 with any
other questions.
Sincerely,
Division of Corporation Finance
Office of Healthcare & Insurance
cc:       Ed Lukins, Esq.