UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities and Exchange Act of 1934

(Amendment No. 6)*

FLAMEL TECHNOLOGIES, S.A.
(Name of Issuer)

Ordinary Shares, 0.122 Euros per Ordinary Share
(Title of Class of Securities)

338488 10 9
(CUSIP Number)

December 31, 2009
(Date of Event which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

x Rule 13d-1(c)

¨ 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 ("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. 338488 10 9
13G
Page 2 of 9 Pages
 
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
 
    Knoll Capital Management, LP
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
 
(a)
 
(b)
 
Joint Filer 
3
SEC USE ONLY
   
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
 
Delaware 
 
5
SOLE VOTING POWER
NUMBER OF
 
 
0
SHARES
6
SHARED VOTING POWER
BENEFICIALLY
OWNED BY
 
 
879,241
EACH
7
SOLE DISPOSITIVE POWER
REPORTING
PERSON
 
 
0
WITH
8
SHARED DISPOSITIVE POWER
 
 
 
879,241
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
 
879,241
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
 
     
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
 
3.5% 
12
TYPE OF REPORTING PERSON*
 
 
PN
 

 
CUSIP No. 338488 10 9
13G
Page 3 of 9 Pages
 
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
 
 
Fred Knoll
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
 
(a)
 
(b)
 
Joint Filer 
3
SEC USE ONLY
   
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
 
USA 
 
5
SOLE VOTING POWER
NUMBER OF
 
 
0
SHARES
6
SHARED VOTING POWER
BENEFICIALLY
OWNED BY
 
 
879,241
EACH
7
SOLE DISPOSITIVE POWER
REPORTING
PERSON
 
 
0
WITH
8
SHARED DISPOSITIVE POWER
 
 
 
879,241
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
 
879,241 
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
 
     
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
 
3.5%
12
TYPE OF REPORTING PERSON*
 
 
IN
 

 
CUSIP No. 338488 10 9
13G
Page 4 of 9 Pages
 
1
NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
 
 
Europa International, Inc.
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
 
(a)
 
(b)
 
Joint Filer 
3
SEC USE ONLY
   
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
 
British Virgin Islands 
 
5
SOLE VOTING POWER
NUMBER OF
 
 
0
SHARES
6
SHARED VOTING POWER
BENEFICIALLY
OWNED BY
 
 
879,241
EACH
7
SOLE DISPOSITIVE POWER
REPORTING
PERSON
 
 
0
WITH
8
SHARED DISPOSITIVE POWER
 
 
 
879,241
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
  
 
879,241
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
 
     
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
 
3.5% 
12
TYPE OF REPORTING PERSON*
 
 
CO
 

 
CUSIP No.   338488 10 9
13G
Page 5 of 9 Pages
 
Item 1(a).
Name of Issuer
 
Flamel Technologies, S.A. (the “Issuer”)
 
Item 1(b).
Address of Issuer’s Principal Executive Offices
 
Parc Club du Moulin à Vent
33 avenue du Dr. Georges Levy
69693 Vénissieux Cedex France
 
Item 2(a).
Name of Persons Filing
 
Knoll Capital Management LP (“KCMLP”)
Fred Knoll (“Knoll”)
Europa International, Inc. (“Europa”)
 
Item 2(b).
Address of Principal Business Office or, if none, Residence
 
The principal business address for each of KCMLP, Knoll and Europa is 1114 Avenue of the Americas, 45th Floor, New York, New York  10036.
 
Item 2(c).
Citizenship
 
KCMLP is a limited partnership formed and existing under the laws of the State of Delaware.
Knoll is a citizen of the United States.
Europa is a company organized under the laws of the British Virgin Islands.
 
Item 2(d).
Title of Class of Securities
 
This statement on Schedule 13G is being filed with respect to the French Ordinary Shares, nominal value 0.122 Euros per share represented by American Depositary Shares (“Ordinary Shares”) of the Issuer.
 
Item 2(e).
CUSIP Number
 
338488 10 9



CUSIP No.   338488 10 9
13G
Page 6 of 9 Pages


Item 3.
If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:     Not applicable.

(a) 
¨
Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);
     
(b) 
¨
Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);
     
(c) 
¨
Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);
     
(d) 
¨
Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8);
     
(e) 
¨
An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
     
(f) 
¨
An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
     
(g) 
¨
A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);
     
(h) 
¨
A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
     
(i) 
¨
A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
     
(j) 
¨
A non-U.S. institution, in accordance with §240.13d-1(b)(1)(ii)(J);
     
(k)
¨
Group, in accordance with §240.13d-1(b)(1)(ii)(K).

If filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution: ___________________________.

Item 4.
Ownership.
 
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
 
(a)           Amount beneficially owned:
 
As of the date of this filing:
 
Each of Europa, KCMLP and Knoll beneficially own 879,241 shares of the Issuer’s Ordinary Shares consisting of (i) 7,941 Ordinary Shares owned by  Europa; and (ii) immediately exercisable call options owned by Europa to purchase 871,300 shares of the Issuer’s Ordinary Shares.
 
(b)           Percent of class: As of the date hereof (taking into consideration that 24,225,350 Ordinary Shares are issued and outstanding as reported in the Issuer’s Form 6-K for the month of January 2010 as filed with the Securities and Exchange Commission on January 15, 2010 and the immediately exercisable call options to purchase 871,300 shares of the Issuer’s Ordinary Shares):
 
The 879,241 Ordinary Shares beneficially owned by each of  Europa, KCMLP and Knoll constitute 3.5% of the Ordinary shares outstanding.
 


CUSIP No.   338488 10 9
13G
Page 7 of 9 Pages
 
(c)           Number of shares as to which the person has:
 
 
(i)
Sole power to vote or to direct the vote:  0
 
 
(ii)
Shared power to vote or to direct the vote:
 
KCMLP and Knoll share the power to vote or direct the vote of those Ordinary Shares owned by Europa.
 
 
(iii)
Sole power to dispose or to direct the disposition of: 0
 
 
(iv)
Shared power to dispose or to direct the disposition of:
 
KCMLP and Knoll share the power to dispose of or direct the disposition of those Ordinary Shares owned by Europa.

Item 5.
Ownership of Five Percent or Less of a Class.
 
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following  x.

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

Item 8.
Identification and Classification of Members of the Group.
 
Not Applicable

Item 9.
Notice of Dissolution of Group.
 
Not Applicable

Item 10.
Certification

(a)
The following certification shall be included if the statement is filed pursuant to Rule 13d-1(c):

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.



CUSIP No.   338488 10 9
13G
Page 8 of 9 Pages

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: January 29, 2010
 
EUROPA INTERNATIONAL, INC.
       
   
By:
Knoll Capital Management, LP
       
   
By:
/s/ Fred Knoll
   
Name:
Fred Knoll
   
Title:
President
 
Dated: January 29, 2010
 
KNOLL CAPITAL MANAGEMENT, LP
       
   
By:
/s/ Fred Knoll
   
Name:
Fred Knoll
   
Title:
President

Dated: January 29, 2010
 
By:
/s/ Fred Knoll
     
Fred Knoll

Note.  Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7 for other parties for whom copies are to be sent.

Attention.  Intentional misstatements or omissions of fact constitute federal criminal violations (see 18 U.S.C. 1001).
 

 
CUSIP No.   338488 10 9
13G
Page 9 of 9 Pages
 
JOINT FILING AGREEMENT

The undersigned acknowledge and agree that the foregoing statement on Schedule 13G is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13G shall be filed on behalf of each of the undersigned without the necessity of filing additional joint filing agreements.  The undersigned acknowledge that each shall be responsible for the timely fling of such amendments, and for the completeness and accuracy of the information concerning it contained therein, but shall not be responsible for the completeness and accuracy of the information concerning the others, except to the extent that it knows or has reason to believe that such information is inaccurate.

Dated: January 29, 2010
 
EUROPA INTERNATIONAL, INC.
       
   
By:
Knoll Capital Management, LP
       
   
By:
/s/ Fred Knoll
   
Name:
Fred Knoll
   
Title:
President

Dated: January 29, 2010
 
KNOLL CAPITAL MANAGEMENT, LP
       
   
By:
/s/ Fred Knoll
   
Name:
Fred Knoll
   
Title:
President

Dated: January 29, 2010
 
By:
/s/ Fred Knoll
     
Fred Knoll