ACCESS PHARMACEUTICALS, INC.
2600 Stemmons Frwy, Suite 176
Dallas, TX 75207
 
 
November 12, 2008
 
 
Via EDGAR and Facsimile
 
 
United States Securities and Exchange Commission
Division of Corporate Finance
100 F Street, NE
Washington, D.C. 20549
Attn: Rose Zukin
 
RE:
 
Access Pharmaceuticals, Inc.
Registration Statement on Form S-1, as amended
File No. 333-149633
 
Ladies and Gentlemen:
 
 
        Pursuant to Rule 461 of the Securities Act of 1933, as amended, and Rule 12(b)-6 of the Securities Exchange Act of 1934, as amended, Access Pharmaceuticals, Inc., a Delaware corporation (the "Company"), hereby requests that the effectiveness of the Company's above-referenced Registration Statement on Form S-1, as amended, be accelerated to 4 p.m. Eastern time, on Thursday, November 13, 2008 or as soon as practicable thereafter.
 
 
        The Company hereby acknowledges that:
 
 should the Securities and Exchange Commission (the "Commission") or the staff, acting pursuant to delegated authority, declare the filing effective, it does not foreclose the Commission from taking action with respect to the filing;

 the action of the Commission or the staff, acting pursuant to delegated authority, in declaring the filing effective, does not relieve the Company from its full responsibility for the adequacy and accuracy of the disclosure in the filing; and

the Company may not assert this action as a defense in any proceeding initiated by the Commission or any person under federal securities laws of the United States.
 
        Should you have any questions regarding this request, please do not hesitate to contact John Concannon (617-951-8874) of Bingham McCutchen LLP.
 
   
Sincerely,
   
 
ACCESS PHARMACEUTICALS, INC.
   
 
By:
 
/s/ Stephen B. Thompson
____________________
Name: Stephen B. Thompson
Title: Chief Financial Officer