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                               February 7, 2024

       Carmine Stengone
       Chief Executive Officer and President
       Contineum Therapeutics, Inc.
       10578 Science Center Drive, Suite 200
       San Diego, California 92121

                                                        Re: Contineum
Therapeutics, Inc.
                                                            Amendment No. 1 to
Draft Registration Statement on Form S-1
                                                            Submitted January
29, 2024
                                                            CIK No. 0001855175

       Dear Carmine Stengone:

            We have reviewed your amended draft registration statement and have
the following
       comments.

              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 a comment applies 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 this
letter and your amended
       draft registration statement or filed registration statement, we may
have additional
       comments. Unless we note otherwise, any references to prior comments are
to comments in our
       January 11, 2024 letter.

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

       Prospectus Summary
       Company Overview, page 1

   1.                                                   We note your response
to our prior comment 3 and reissue in part. You continue to
                                                        reference PIPE-791 as a
"highly differentiated" therapeutic for both IPF and Progressive
                                                        MS throughout the
prospectus. Please revise your disclosure to explain why you believe
                                                        this is the case,
providing support for the use of this term as necessary. In addition, please
                                                        revise your statement
that the company has "demonstrated" the ability to develop selective
                                                        compounds targeting
challenging molecular pathways, as the statement appears premature
                                                        given the company has
not received approval for or commercialized any of its product
                                                        candidates.
 Carmine Stengone
Contineum Therapeutics, Inc.
February 7, 2024
Page 2
PIPE-791 for the Potential Treatment of IPF, page 2

2.    We note the revisions made in response to our prior comment 4 on pages 2,
5, 114 and
      117. Please revise your statement that you believe PIPE-791 "has the
potential to be the
      first FDA-approved once-daily drug to treat IPF," which appears
equivalent to claiming it
      is a first-in-class therapeutic, and is speculative given your current
stage of development.
Our Strategy, page 5

3.    Please revise to remove your statements here and on page 117 that you
intend to "[r]apidly
      pursue clinical development of PIPE-791" as it is speculative that you
may control the
      pace of clinical development of your product candidates.
Management's Discussion and Analysis of Financial Condition and Results of
Operations, page
93

4.    We note your response to our prior comment 9 and reissue in part. Please
revise to
      disclose the exact period of time the J&J License Agreement may expire
"after the first
      commercial sale of such licensed product in such country."
       Please contact Ibolya Ignat at 202-551-3636 or Kevin Kuhar at
202-551-3662 if you have
questions regarding comments on the financial statements and related matters.
Please contact
Daniel Crawford at 202-551-7767 or Laura Crotty at 202-551-7614 with any other
questions.



                                                            Sincerely,
FirstName LastNameCarmine Stengone
                                                            Division of
Corporation Finance
Comapany NameContineum Therapeutics, Inc.
                                                            Office of Life
Sciences
February 7, 2024 Page 2
cc:       Jeffrey Thacker, Esq.
FirstName LastName