UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549
 
SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
 
(Amendment No. 1)
 
Cara Therapeutics, Inc. 

(Name of Issuer)
 
 
Common Stock

(Title of Class of Securities)
 
 
140755109

(CUSIP Number)
  
  
December 31, 2014

(Date of Event Which Requires Filing of this Statement)
        
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
o Rule 13d-1(b)
x Rule 13d-1(c)
o Rule 13d-1(d)
 
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
 
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (the “Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 


 
 
 
 
                   
CUSIP No.  140755109
Schedule 13G
Page 2 of 12
         
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
  
Ascent Biomedical Ventures I, L.P.
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) o
(b) x
 
 
 
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Delaware
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5
SOLE VOTING POWER
   
Not applicable
6
SHARED VOTING POWER
  
963,896
7
SOLE DISPOSITIVE POWER
 
Not applicable
8
SHARED DISPOSITIVE POWER
 
963,896
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
963,896
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
 
 
x (1)  
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
     
4.2%
12
TYPE OF REPORTING PERSON (See Instructions)
                                       
PN
 
(1) See footnote to Item 4 herein.
 
 
 

 
                    
CUSIP No.  140755109
 Schedule 13G
Page 3 of 12
         
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
      
Ascent Biomedical Ventures I Annex, L.P.
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) o
(b) x
 
 
 
3
SEC USE ONLY
  
  
4
CITIZENSHIP OR PLACE OF ORGANIZATION
    
Delaware
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5
SOLE VOTING POWER
      
Not applicable
6
SHARED VOTING POWER
            
131,169
7
SOLE DISPOSITIVE POWER
       
Not applicable
8
SHARED DISPOSITIVE POWER
             
131,169
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
          
131,169
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
 
 
x (2)
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
       
0.6%
12
TYPE OF REPORTING PERSON (See Instructions)
        
PN
 
(2) See footnote to Item 4 herein.
        
 
 

 
             
CUSIP No.  140755109
Schedule 13G
Page 4 of 12
         
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
  
Ascent Biomedical Ventures I NY, L.P.
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) o
(b) x
 
 
 
3
SEC USE ONLY
  
  
4
CITIZENSHIP OR PLACE OF ORGANIZATION
  
Delaware
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5
SOLE VOTING POWER
     
Not applicable
6
SHARED VOTING POWER
        
604,428
7
SOLE DISPOSITIVE POWER
        
Not applicable
8
SHARED DISPOSITIVE POWER
       
604,428
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
       
604,428
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
   
   
x (3)
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
      
2.7%
12
TYPE OF REPORTING PERSON (See Instructions)
       
PN
 
(3) See footnote to Item 4 herein.
 
 
 

 
                     
CUSIP No.  140755109
Schedule 13G
Page 5 of 12
         
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
       
ABV, LLC
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) o
(b) x
 
 
 
3
SEC USE ONLY
  
  
4
CITIZENSHIP OR PLACE OF ORGANIZATION
  
Delaware
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5
SOLE VOTING POWER
         
Not applicable
6
SHARED VOTING POWER
        
1,699,493 (4)
7
SOLE DISPOSITIVE POWER
     
Not applicable
8
SHARED DISPOSITIVE POWER
        
1,699,493 (4)
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
         
1,699,493 (4)
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
  
  
x (5) 
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
           
7.5%
12
TYPE OF REPORTING PERSON (See Instructions)
        
OO
 
(4) Comprised of shares of common stock held by Ascent Biomedical Ventures I, L.P., Ascent Biomedical Ventures I Annex, L.P. and Ascent Biomedical Ventures I NY, L.P, of which ABV, LLC is the general partner.
       
(5) See footnote to Item 4 herein.
   
 
 

 
                
CUSIP No.  140755109
Schedule 13G
Page 6 of 12
         
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
        
Geoffrey W. Smith
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) o
(b) x
 
 
 
3
SEC USE ONLY
   
  
4
CITIZENSHIP OR PLACE OF ORGANIZATION
    
United States
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5
SOLE VOTING POWER
         
Not applicable
6
SHARED VOTING POWER
     
1,699,493 (6)
7
SOLE DISPOSITIVE POWER
       
Not applicable
8
SHARED DISPOSITIVE POWER
 
1,699,493 (6)
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
          
1,699,493 (6)
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
         
              
x (7)
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
      
7.5%
12
TYPE OF REPORTING PERSON (See Instructions)
     
IN
 
(6) Comprised of shares of common stock held by Ascent Biomedical Ventures I, L.P., Ascent Biomedical Ventures I Annex, L.P. and Ascent Biomedical Ventures I NY, L.P.
         
(7) See footnote to Item 4 herein.
            
 
 

 
                  
CUSIP No.  140755109
Schedule 13G
Page 7 of 12
         
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
         
Steve Hochberg
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) o
(b) x
 
 
 
3
SEC USE ONLY
  
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
  
United States
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5
SOLE VOTING POWER
       
Not applicable
6
SHARED VOTING POWER
   
1,699,493 (8)
7
SOLE DISPOSITIVE POWER
   
Not applicable
8
SHARED DISPOSITIVE POWER
       
1,699,493 (8)
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
           
1,699,493 (8)
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
     
    
x (9)
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
       
7.5%
12
TYPE OF REPORTING PERSON (See Instructions)
       
IN
 
(8) Comprised of shares of common stock held by Ascent Biomedical Ventures I, L.P., Ascent Biomedical Ventures I Annex, L.P. and Ascent Biomedical Ventures I NY, L.P.
          
(9) See footnote to Item 4 herein.
              
 
 

 
                           
CUSIP No. 140755109
 
Page 8 of 12

Item 1.
 
(a)
Name of Issuer:
 
Cara Therapeutics, Inc.
 
(b)
Address of Issuer’s Principal Executive Offices:
 
1 Parrott Drive, Shelton, Connecticut 06484
 
Item 2.
 
(a)
Name of Person Filing:
 
 
(i)
Ascent Biomedical Ventures I, L.P. (“Ascent”)
 
 
(ii)
Ascent Biomedical Ventures I Annex, L.P. (“Ascent Annex”)
 
 
(iii)
Ascent Biomedical Ventures I NY, L.P. (“Ascent NY”)
 
 
(iv)
ABV, LLC (“ABV”)
 
 
(v)
Geoffrey W. Smith (“Geoffrey Smith”)
 
 
(vi)
Steve Hochberg (“Steve Hochberg” and together with Ascent, Ascent Annex, Ascent NY, ABV, and Geoffrey Smith, the “Reporting Persons”)
 
(b)
Address of Principal Business Office or, if none, Residence:
 
 
(i)
142 West 57th Street, 4A, New York, NY 10019
 
 
(ii)
142 West 57th Street, 4A, New York, NY 10019
 
 
(iii)
142 West 57th Street, 4A, New York, NY 10019
 
 
(iv)
142 West 57th Street, 4A, New York, NY 10019
 
 
(v)
142 West 57th Street, 4A, New York, NY 10019
 
 
(vi)
142 West 57th Street, 4A, New York, NY 10019
 
(c)
Citizenship:
 
 
(i)
Delaware limited liability partnership
 
 
(ii)
Delaware limited liability partnership
 
 
(iii)
Delaware limited liability partnership
 
 
(iv)
Delaware limited liability company
 
 
(v)
United States Citizen
 
 
(vi)
United States Citizen
           
 
 

 
                   
CUSIP No. 140755109
 
Page 9 of 12

(d)
Title of Class of Securities:
 
Common Stock
 
(e)
CUSIP Number:
 
140755109
 
Item 3.
 
Not applicable.
 
Item 4.  Ownership.
 
(a)
Amount Beneficially Owned**:
 
The responses of the Reporting Persons to Rows (9) through (10) of the cover pages of this Statement are incorporated herein by reference.
 
(b)
Percent of Class**:
 
The responses of the Reporting Persons to Row (11) of the cover pages of this Statement are incorporated herein by reference.
 
(c)
Number of shares as to which the person has**:
 
The responses of the Reporting Persons to Rows (5) through (8) of the cover pages of this Statement are incorporated herein by reference.
 
ABV is the general partner of Ascent, Ascent Annex and Ascent NY. The directors of ABV are Geoffrey Smith and Steve Hochberg.
 
**See footnotes on cover pages which are incorporated by reference herein.  The shares reported herein do not include an aggregate of 473,588 shares of common stock of the Issuer held by the individuals and entities listed on Exhibit B hereto, which individuals and entities are not reporting persons hereunder but may be deemed to constitute a group for purposes of Section 13(d)(3) under the Exchange Act of 1934, with the Reporting Persons.  The Reporting Persons disclaim beneficial ownership over the shares held by the individuals and entities listed on Exhibit B hereunder and disclaim the existence of a group with such individuals and entities.
 
Item 5.  Ownership of Five Percent or Less of a Class.
 
Not applicable.
 
Item 6.  Ownership of More than Five Percent on Behalf of Another Person.
 
Not applicable.
 
Item 7.  Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
 
Not applicable.
 
 
 

 
                    
CUSIP No. 140755109
 
Page  10 of 12

Item 8.  Identification and Classification of Member of the Group.
 
See Exhibit B.
 
Item 9.  Notice of Dissolution of Group.
 
 
Not applicable.
 
Item 10.  Certification.
 
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under §240.14a–11.
 

 
Material to be Filed as Exhibits.
 
Exhibit A: Joint Filing Agreement
 
Exhibit B: Item 8 Statement
 
 
 
 
 
 
 
 

 
 
 

 
             
CUSIP No. 140755109
 
Page  11 of 12
            
SIGNATURE
 
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 
Dated:  February 13, 2015
                 
  ASCENT BIOMEDICAL VENTURES I, L.P.  
         
  By: ABV, LLC  
    its general partner   
         
  /s/ Steve Hochberg  
  Signature  
     
  Director   
  Name/Title   
         
                                  
  ASCENT BIOMEDICAL VENTURES I ANNEX, L.P.  
         
  By: ABV, LLC  
    its general partner1  
         
  /s/ Steve Hochberg  
  Signature  
     
  Director  
  Name/Title  
         
                                             
  ASCENT BIOMEDICAL VENTURES I NY, L.P.  
         
  By: ABV, LLC  
    its general partner1  
         
  /s/ Steve Hochberg  
  Signature  
     
  Director  
  Name/Title  
         
                                             
  ABV, LLC  
         
         
  /s/ Steve Hochberg  
  Signature  
     
  Director  
  Name/Title  
         
 
 
 
 

 
                  
CUSIP No. 140755109
 
Page  12 of 12
                       
                   
  GEOFFREY W. SMITH1  
         
         
  /s/ Geoffrey W. Smith  
  Signature  
     
         
                                  
  STEVE HOCHBERG1  
         
         
  /s/ Steve Hochberg  
  Signature  
     
         
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

               
Exhibit A
 
JOINT FILING AGREEMENT
         
Pursuant to Rule 13d-1(k)(1) of the Securities and Exchange Commission under the Securities Exchange Act of 1934, as amended, each of the undersigned agrees that the statement on Schedule 13G filed herewith shall be filed on behalf of each of the undersigned and further agrees that this joint filing agreement be included as an exhibit to this Schedule 13G.  In evidence thereof, the undersigned hereby execute this Agreement as of February 13, 2015.
            
  ASCENT BIOMEDICAL VENTURES I, L.P.  
         
  By: ABV, LLC  
    its general partner  
         
  /s/ Steve Hochberg  
  Signature  
     
  Director  
  Name/Title  
         
               
  ASCENT BIOMEDICAL VENTURES I ANNEX, L.P.  
         
  By: ABV, LLC  
    its general partner  
         
  /s/ Steve Hochberg  
  Signature  
     
  Director  
  Name/Title  
         
            
  ASCENT BIOMEDICAL VENTURES I NY, L.P.  
         
  By: ABV, LLC  
    its general partner  
         
  /s/ Steve Hochberg  
  Signature  
     
  Director  
  Name/Title  
         
             
  ABV, LLC  
         
         
  /s/ Steve Hochberg  
  Signature  
     
  Director  
  Name/Title  
         
 
 
 

 
                  

  GEOFFREY W. SMITH  
         
         
  /s/ Geoffrey W. Smith  
  Signature  
     
         
               
  STEVE HOCHBERG  
         
         
  /s/ Steve Hochberg  
  Signature  
     
         
 
 
 
 
 
 
 
 
 
 
 
 

                        
Exhibit B
     
Due to the relationships between them, the reporting persons hereunder may be deemed to constitute a “group” for purposes of Section 13(d)(3) of the Securities Exchange Act of 1934 with one another as well as with the other entities listed below.  The reporting persons hereunder disclaim beneficial ownership over the shares held by the individuals and entities listed below and disclaim the existence of a group with such individuals and entities.
            
The aggregate number of shares held by the entities listed below is 473,588.  The following is a listing of the entities along with their respective beneficial ownership amounts.         
                                                               
Name
Amount Beneficially Owned
James E. Flynn (1)
473,588
Deerfield Mgmt, L.P. (1)
473,588
Deerfield Management Company, L.P. (1)
473,588
Deerfield Special Situations Fund, L.P.
262,152
Deerfield Special Situations International Master Fund, L.P.
211,436

 
(1)
Comprised of shares held by Deerfield Special Situations Fund, L.P. and Deerfield Special Situations International Master Fund, L.P.
          
Deerfield Mgmt, L.P. is the general partner of Deerfield Special Situations Fund, L.P. and Deerfield Special Situations International Master Fund, L.P.  Deerfield Management Company, L.P. is the investment advisor of Deerfield Special Situations Fund, L.P. and Deerfield Special Situations International Master Fund, L.P.  James E. Flynn is the sole member of the general partner of each of Deerfield Mgmt, L.P. and Deerfield Management Company, L.P.
          
Steve Hochberg is a limited partner of Deerfield Mgmt, L.P.
           
Deerfield Mgmt, L.P., Deerfield Management Company, L.P. and Deerfield Special Situations Fund, L.P. are Delaware limited partnerships.
          
Deerfield Special Situations International Master Fund, L.P. is a British Virgin Islands limited partnership.
         
James E. Flynn is a United States citizen.
            
The principal address of James E. Flynn, Deerfield Mgmt, L.P., Deerfield Management Company, L.P., Deerfield Special Situations Fund, L.P., Deerfield Special Situations International Master Fund, L.P. is 780 Third Avenue, 37th Floor, New York, NY 10017.