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

Form 6-K

REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16
UNDER THE SECURITIES EXCHANGE ACT OF 1934

For the month of March, 2007.

Commission File Number 000-51341


Gentium S.p.A.

(Translation of registrant’s name into English)

Piazza XX Settembre 2, 22079 Villa Guardia (Como), Italy

(Address of principal executive office)

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F S Form 40-F □

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): ____

Note: Regulation S-T Rule 101(b)(1) only permits the submission in paper of a Form 6-K if submitted solely to provide an attached annual report to security holders.

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): ____

Note: Regulation S-T Rule 101(b)(7) only permits the submission in paper of a Form 6-K if submitted to furnish a report or other document that the registrant foreign private issuer must furnish and make public under the laws of the jurisdiction in which the registrant is incorporated, domiciled or legally organized (the registrant’s “home country”), or under the rules of the home country exchange on which the registrant’s securities are traded, as long as the report or other document is not a press release, is not required to be and has not been distributed to the registrant’s security holders, and, if discussing a material event, has already been the subject of a Form 6-K submission or other Commission filing on EDGAR.

Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934. Yes □ No S

If “Yes” is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b):
82-_______________.

 
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On March 14, 2007, Gentium S.p.A. entered into a Master Services Agreement with MDS Pharma Services (US) Inc. and its affiliates, whereby MDS Pharma Services (US) Inc. agrees to provide certain contract research organization services to Gentium S.p.A. in the United States, namely Phase II-IV clinical trial services, during a five-year period.

This report of Gentium S.p.A. on Form 6-K and the exhibit attached hereto is incorporated by reference into the following registration statements of Gentium S.p.A. on Forms F-3: File No. 333-135622, File No. 333-137551, File No. 333-138202, File No. 333-139422 and File No. 333-141198.
 
 
Exhibit 
Description
   
1
Master Services Agreement with MDS Pharma Services (US) Inc. and its affiliates, dated March 14, 2007.




 
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SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
     
 
GENTIUM S.P.A.
 
 
 
 
 
 
  By:   /s/ Gary G. Gemignani
 

Name: Gary G. Gemignani
Title: Executive Vice President and Chief Financial Officer
 
 
 
 
Date: March 16, 2007

 
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INDEX TO EXHIBITS
 
Exhibit 
Description
   
1
Master Services Agreement with MDS Pharma Services (US) Inc. and its affiliates, dated March 14, 2007.


 
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