![[MISSING IMAGE: lg_metavia-4c.jpg]](lg_metavia-4c.jpg) 
        |  | 
                Delaware
               
                (State or other jurisdiction of
                 incorporation or organization) |  |  | 
                47-2389984
               
                (I.R.S. Employer 
                 Identification Number) |  | 
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                Large accelerated filer
                 
                
                ☐ 
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                Accelerated filer
                 
                
                ☐ 
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                Non-accelerated filer
                 
                
                ☒ 
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                Smaller reporting company
                 
                
                ☒
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                Emerging growth company
                 
                
                ☐
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| EXPERTS |  |  |  |  | 23 |  |  | 
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| 
                Name of selling securityholder 
               |  |  | 
                Number of
                 shares of common stock beneficially owned prior to the offering |  |  | 
                Maximum number
                 of shares of common stock to be sold pursuant to this prospectus |  |  | 
                Number of shares
                 of common stock beneficially owned after the offering |  |  | 
                Percentage of shares of
                 common stock beneficially owned after the offering (%) |  | ||||||||||||
| 
                Dong-A ST Co., Ltd.(1)
               |  |  |  |  | 9,995,679 |  |  |  |  |  | 4,647,887 |  |  |  |  |  | 5,347,792 |  |  |  |  |  | 27.3 |  |  | 
| 
                Dong-A Socio Holdings Co., Ltd.(2)
               |  |  |  |  | 9,436,620 |  |  |  |  |  | 9,436,620 |  |  |  |  |  | 0 |  |  |  |  |  | * |  |  | 
![[MISSING IMAGE: lg_metavia-4c.jpg]](lg_metavia-4c.jpg) 
        | 
                Item 
               |  |  | 
                Amount Paid 
                 or to Be Paid |  | |||
| 
                SEC registration fee 
               |  |  |  | $ | 1,476.02 |  |  | 
| 
                FINRA filing fee 
               |  |  |  |  | * |  |  | 
| 
                Printing expenses 
               |  |  |  |  | * |  |  | 
| 
                Legal fees and expenses 
               |  |  |  |  | * |  |  | 
| 
                Accounting fees and expenses 
               |  |  |  |  | * |  |  | 
| 
                Transfer agent fees and expenses 
               |  |  |  |  | * |  |  | 
| 
                Miscellaneous fees and expenses 
               |  |  |  |  | * |  |  | 
| 
                Total
               |  |  |  | $ | * |  |  | 
|  | 
                Exhibit 
                 Number |  |  | 
                Description 
               |  | 
|  | 4.2 |  |  | Placement Agency Agreement, dated as of May 8, 2025 by and between the Company and the Placement Agent (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report on Form 8-K, filed with the SEC on May 14, 2025). |  | 
|  | 4.3 |  |  | Registration Rights Agreement, dated as of May 8, 2025, by and among the Company and the Purchasers identified on the signature pages thereto (incorporated by reference to Exhibit 10.3 to the Registrant’s Current Report on Form 8-K, filed with the SEC on May 14, 2025). |  | 
|  | 5.1* |  |  |  | |
|  | 23.1* |  |  | Consent of BDO USA, P.C., Independent Registered Public Accounting Firm. |  | 
|  | 23.2* |  |  |  | |
|  | 24.1* |  |  |  | |
|  | 
                101 
               |  |  | Cover Page Interactive Data File (cover page XBRL tags are embedded within the Inline XBRL document). |  | 
|  | 
                107* 
               |  |  |  | 
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                Signature 
               |  |  | 
                Title 
               |  |  | 
                Date 
               |  | 
|  | 
                /s/ Hyung Heon Kim
                
                Hyung Heon Kim 
               |  |  | 
                President, Chief Executive Officer (Principal Executive Officer) and Director 
               |  |  | 
                July 2, 2025 
               |  | 
|  | 
                /s/ Marshall H. Woodworth
                
                Marshall H. Woodworth 
               |  |  | 
                Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer) 
               |  |  | 
                July 2, 2025 
               |  | 
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                /s/ Andrew I. Koven
                
                Andrew I. Koven 
               |  |  | 
                Chairman of the Board of Directors 
               |  |  | 
                July 2, 2025 
               |  | 
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                /s/ Mark A. Glickman
                
                Mark A. Glickman 
               |  |  | 
                Director 
               |  |  | 
                July 2, 2025 
               |  | 
|  | 
                /s/ Jason L. Groves
                
                Jason L. Groves 
               |  |  | 
                Director 
               |  |  | 
                July 2, 2025 
               |  | 
|  | 
                /s/ Michael Salsbury
                
                Michael Salsbury 
               |  |  | 
                Director 
               |  |  | 
                July 2, 2025 
               |  | 
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                Signature 
               |  |  | 
                Title 
               |  |  | 
                Date 
               |  | 
|  | 
                /s/ D. Gordon Strickland
                
                D. Gordon Strickland 
               |  |  | 
                Director 
               |  |  | 
                July 2, 2025 
               |  | 
|  | 
                /s/ James P. Tursi, M.D.
                
                James P. Tursi, M.D. 
               |  |  | 
                Director 
               |  |  | 
                July 2, 2025
               |  |