October 22, 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 Amendment No. 3 to Registration Statement on Form F-1 Filed October 18, 2018 File No. 333-226368 Dear Mr. Lazzaretti: We have reviewed your amended 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. Unless we note otherwise, our references to prior comments are to comments in our October 3, 2018 letter. Amendment No. 3 to Registration Statement on Form F-1 filed October 18, 2018 Prospectus Summary Selected Risks Affecting Our Business, page 4 1. We note your response to comment 1, which we reissue. Please also amend your disclosure in the Summary section to highlight the risk that certain existing shareholders will exert significant influence over matters that require shareholder approval. Tiziano Lazzaretti Tiziana Life Sciences plc October 22, 2018 Page 2 Capitalization, page 51 2. Please revise your presentation so that the balance of your cash and short-term deposits and short-term investments is not included in the total capitalization amount. 3. Refer to our prior comment 3. Please explain to us how the increase in cash and short- term deposits and short-term investments between the Actual and Pro Forma columns of your disclosure reflects the $1,163,550 of gross proceeds from the issuance of unsecured loans. 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 Suzanne Hayes at 202-551-3675 with any other questions. Sincerely, FirstName LastNameTiziano Lazzaretti Division of Corporation Finance Comapany NameTiziana Life Sciences plc Office of Healthcare & Insurance October 22, 2018 Page 2 cc: Ed Lukins, Esq. FirstName LastName