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                             October 28, 2020

       Laura Shawver
       Chief Executive Officer
       Silverback Therapeutics, Inc.
       500 Fairview Ave N, Suite 600
       Seattle, Washington 98109

                                                        Re: Silverback
Therapeutics, Inc.
                                                            Draft Registration
Statement on Form S-1
                                                            Submitted October
2, 2020
                                                            CIK No. 0001671858

       Dear Dr. Shawver:

              We have reviewed your 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.

       Draft Registration Statement on Form S-1, Submitted October 2, 2020

       Prospectus Summary, page 1

   1.                                                   Balance your disclosure
in the first sentence on page 1 by clarifying that you have only
                                                        one product candidate
in early clinical stage. In addition, please revise your statement on
                                                        page 4 that a key
element to your business strategy is to    [a]dvance SBT6050 through
                                                        development and seek
expedited approval,    as well as any similar references, including on
                                                        page 110, to avoid any
implication that you have the ability to accelerate FDA approvals
                                                        and commercialization
of your product. Please also revise to explain the meaning of your
                                                        statement on page 110
that you    are pursuing clinical development strategies that
                                                        demonstrate
proof-of-concept early.    We note that it is not clear from your Business
                                                        discussion how you
intend to seek accelerated approval for your product candidates.
 Laura Shawver
FirstName
Silverback LastNameLaura   Shawver
           Therapeutics, Inc.
Comapany
October 28,NameSilverback
            2020            Therapeutics, Inc.
October
Page 2 28, 2020 Page 2
FirstName LastName
2.       In the pipeline table on page 2, which also appears on pages 90 and
108, please tell us
         why you believe you should include two arrows for SBT6050 given that
your narrative
         description of the Phase 1 trial in the Business section indicates
that there is only one
         Phase 1 trial, and so the two arrows merely represent different parts
of the same trial. We
         also note that the combination with PD-1 inhibitor aspect of the
SBT6050 program is not
         described in the Summary, nor is PD-1 defined in the Summary. Please
also tell us why
         you believe the TLR8 agonist program and ASGR1-TGF   agonist program
should be
         included in the pipeline table given they are in the early
pre-clinical phase, the selected
         targets remain undisclosed, and your narrative disclosure only briefly
discusses these
         programs.
3.       You state that SBT6050 is intended to target tumors such as certain
breast, gastric and
         non-small cell lung cancers, "among others." However, your pipeline
table shows that the
         targeted indications are breast, gastric, and NSCLC. Please revise
your disclosures here,
         and elsewhere in your prospectus as appropriate, to clarify the
intended target indications
         for this product candidate.
4.       Please expand your statement on page 3 that Nectin4 has been
clinically validated by
         Seattle Genetics to explain that another product targeting Nectin4 was
approved, and state
         the product's intended indication, as you more clearly explain on page
126.
5.       We note the following statements that appear on pages 1 and 3 and
elsewhere referring to
            [s]ingle agent pharmacological activity" in the first
dose-escalation cohort of your Phase
         1 trial. Please remove these statements from the Summary as your
discussions of trials in
         the Summary should be limited to endpoints and serious adverse events.
In addition, in the
         Business section on page 125, please clarify what type of
pharmacological activity
         consistent with the potential mechanism of action has been observed,
and also
         disclose how many patients are referenced by the statement, how many
doses were
         received by those presenting such activity, the dosage amounts
received by those patients,
         and the meaning of    where data are available.
6.       Please incorporate the definition of functional cure from page 129 on
page 4.
7.       Balance your statement in the second bullet on page 4 that you intend
to advance
         SBT6050 into "earlier lines of therapy" by also disclosing that you do
not expect to
         initially seek approval of your product candidates as a first line
therapy, as you indicate on
         page 27, or advise.
Risks Associated with Our Business, page 5

8.       Expand on the penultimate bullet to discuss specifics of how the
COVID-19 pandemic has
         already affected your trials. For example, you state on page 39 that
some of your trial sites
         have slowed down or stopped further enrollment of new patients and
denied access to site
         monitors. Please also similarly revise to provide specifics in your
disclosures on pages 91-
         92.
 Laura Shawver
FirstName
Silverback LastNameLaura   Shawver
           Therapeutics, Inc.
Comapany
October 28,NameSilverback
            2020            Therapeutics, Inc.
October
Page 3 28, 2020 Page 3
FirstName LastName
Implications of Being an Emerging Growth Company and Smaller Reporting Company,
page 6

9.       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.
Risk Factors
If we are required by the FDA to obtain approval of a companion diagnostic
test, page 25

10.      You state that separate FDA approval may be needed for a companion
diagnostic test.
         Please explain whether there are currently any existing companion
diagnostic tests
         available to be used in connection with your product candidate, and if
there are not, please
         revise to clarify that separate approval would be required, or advise.
Please also add a
         bullet to your summary risks disclosure on page 5 to explain that your
product
         candidates will need companion diagnostic assays, and if there are
currently no such
         existing tests, disclose that these diagnostic tests will need to be
separately developed and
         approved.
Our principal stockholders and management own a significant percentage of our
stock. . ., page
65

11.      We note your statement that a significant percentage of your voting
stock will be owned
         by directors, officers and five percent stockholders and their
affiliates upon closing of the
         offering. Please revise this risk factor to clarify whether the
percentage ownership
         disclosed assumes the purchase of any shares in the directed share
program. In addition,
         please add risk factor disclosure where appropriate that several of
your directors were
         appointed by your significant shareholders, as you discuss on page
166.
Business
Lead Product Candidate SBT6050: TLR8 Agonist Conjugated to a HER2 Antibody,
page 111

12.      On page 114 you state that HER2 expression is "prevalent in
meaningfully large patient
         sub-populations in a wide variety of tumor types including breast,
gastric, non-small cell
         lung, colorectal, bladder, uterine, pancreatic, head and neck,
ovarian, esophageal, and
         gallbladder cancers, providing the potential to address a large
HER2-expressing tumor
         agnostic market estimated to be more than 160,000 newly-diagnosed
patients annually in
         the United States based in part on estimated prevalence rates.
Please provide the basis for
         this conclusion, including the estimated prevalence percentage rates,
and such rates in
         breast, gastric and NSCLC patients, as your pipeline table indicates
that your SBT6050
         product candidate is intended for these indications.
13.      In your description of SBT6050-S in vitro studies in mice starting on
page 118, please
         include the number of mice in the study and explain the meaning of
"complete response
         rate" and mice being    cured    on page 121.
 Laura Shawver
FirstName
Silverback LastNameLaura   Shawver
           Therapeutics, Inc.
Comapany
October 28,NameSilverback
            2020            Therapeutics, Inc.
October
Page 4 28, 2020 Page 4
FirstName LastName
14.      Although your narrative lead-in to the figure at the bottom of page
119 references
         functional results of SBT6050 in human and SBT6050-S in mice, the line
graph appears to
         show only results for mice. Please revise the graphic to display the
human comparison or
         advise.
15.      Please revise the disclosure to provide the number of subjects for the
mouse study results
         described on pages 120-121, explain whether the studies were powered
to show statistical
         significance, and describe how they relate to the FDA's standards of
efficacy. Please also
         provide similar information for your SBT6290 study discussed on page
128.
16.      Please provide further details concerning the primate studies
mentioned on page 122,
         including the number of subjects and duration.
17.      In the description of your Phase 1/1b trial for SBT6050 on page 124,
please clearly state
         the total anticipated number of participants for each of Part 1 and
Part 3.
18.      We note your statements on page 124 that the purpose of parts 2 and 4
of your Phase 1/1b
         trial is to    confirm the safety    of the RP2D for SBT6050. Please
revise these and
         any similar statements throughout your prospectus that state or imply
that your product
         candidates are safe or effective as these determinations are solely
within the authority of
         the FDA and comparable regulatory bodies.
19.      You mention HER2 IHC 2+ and 3+ overexpression, amplifications, and
mutations in the
         addressable market data on page 125. Please explain the relevance of
mutations to your
         SBT6050 product candidate. We note, for instance, on page 124 you only
mention
         expressions and amplifications in describing the eligible patients for
your Phase 1/1b trial.
         Please also disclose on page 126 the basis for your belief that
SBT6050 may benefit more
         than 48,000 patients annually, and if used in earlier lines of
treatment may benefit more
         than 160,000 patients annually.
20.      Please revise the disclosure to specifically explain the basis for
believing that you could
         have product candidates for these applications shown in the graphic on
page 135.
         Include descriptions of the pre-clinical trials conducted to date.
SBT6290: TLR8 Agonist Conjugated to a Nectin4 Antibody, page 126

21.      On page 127 you state that Nectin4-expressing tumors as shown in the
         referenced figure represents "over 80,000 patients annually in early
line settings and over
         16,000 patients with relapsed or refractory cancer annually in the
United States.    Please
         revise your narrative disclosure to clarify how the figure on page 127
reflects early line
         and relapsed or refractory cancer, given the legend states the figure
shows incidence of
         Nectin4 expression and yearly deaths with Nectin4 expression in the
United States,
         and the percentages in the graphic appear to mean that these amounts
should be further
         reduced.
22.      Please further explain your lead-in disclosure to the graphics on page
128, including the
         significance of the vertical axis.
 Laura Shawver
FirstName
Silverback LastNameLaura   Shawver
           Therapeutics, Inc.
Comapany
October 28,NameSilverback
            2020            Therapeutics, Inc.
October
Page 5 28, 2020 Page 5
FirstName LastName
SBT8230: TLR8 Agonist Conjugated to an ASGR1 Antibody, page 129

23.      Please label the vertical axis for the graphic at the top of page 131.
In addition, revise your
         lead-in disclosures on page 133 to clarify the significance of the
three charts on page 133
         and the top chart on page 134, including defining AAV-HBV and
explaining the vertical
         axes. Also disclose the number of mice in the studies, and whether the
studies were
         powered for statistical significance.
Intellectual Property, page 140

24.      Please provide the foreign jurisdictions applicable to the patent and
patent applications
         listed on pages 140-141.
Certain Relationships and Related Party Transactions, page 186

25.      On page 189 you state that shares under the directed share program
will be offered to
         "certain" of your directors and officers. Please clarify if all of
your directors and executive
         officers are eligible to participate in the program.
Principal Stockholders, page 190

26.      We note that the last row of the principal stockholder table on page
191 reflects a total of
         3,962,094 for all current executive officers and directors as a group,
yet certain executive
         officers and directors are shown in the table as individually owning
more than 3,962,094
         shares. Please reconcile this discrepancy.
27.      Please revise the disclosure to identify the natural person or persons
who have voting
         and/or investment control of the shares held by each of your greater
than five percent
         stockholders on page 191.
Financial Statements
Notes to Financial Statements
12. Licensing Agreement, page F-25

28.      Please revise your disclosure regarding the WuXi license agreement to
disclose the
         amount of upfront license fees paid. In addition, you state here "In
the event the Company
         manufactures its commercial supplies of a product produced by the
Licensed Cell Line
         using a manufacturer other than WuXi Bio or its affiliates, the
Company will become
         obligated to pay WuXi Bio aggregate milestone payments, upon
achievement of certain
         sales milestones, of up to the low eight figures." Since an amount
that is up to the low
         eight figures would be material, please revise to disclose the amount
that may be paid.
         Please provide corresponding disclosures in the Business section.
 Laura Shawver
Silverback Therapeutics, Inc.
October 28, 2020
Page 6

       You may contact Lisa Vanjoske at 202-551-3614 or Tracey McKoy at
202-551-3772 if
you have questions regarding comments on the financial statements and related
matters. Please
contact Margaret Schwartz at 202-551-7153 or Dorrie Yale at 202-551-8776 with
any other
questions.



                                                          Sincerely,
FirstName LastNameLaura Shawver
                                                          Division of
Corporation Finance
Comapany NameSilverback Therapeutics, Inc.
                                                          Office of Life
Sciences
October 28, 2020 Page 6
cc:       Charles Kim, Esq.
FirstName LastName