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

SCHEDULE 13G/A
Under the Securities Exchange Act of 1934
Amendment No. 1

MiddleBrook Pharmaceuticals, Inc.
(Name of Issuer)

Common Stock, $0.01 par value
(Title of Class of Securities)

596087106
(CUSIP Number)

December 31, 2008
(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. 596087106


 1. Names of Reporting Person
 I.R.S. Identification Nos. of above person

 Trivium Capital Management, LLC

 2. Check the Appropriate Box if a Member Of a Group

 [ ] (a)
 [ ] (b)

 3. SEC Use Only

 4. Citizenship or Place of Organization

 Delaware, United States

 5. Sole Voting Power: 0
Number of
Shares 6. Shared Voting Power: 0
Beneficially
Owned by 7. Sole Dispositive Power: 0
Each Reporting
Person With 8. Shared Dispositive Power: 0

 9. Aggregate Amount Beneficially Owned by Each Reporting Person

 0

 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares


 11. Percent of Class Represented by Amount in Row (9)

 0.00%

 12. Type of Reporting Person

 IA


 CUSIP No. 596087106

 1. Names of Reporting Person
 I.R.S. Identification Nos. of above person

 Trivium Offshore Fund, Ltd.

 2. Check the Appropriate Box if a Member of a Group

 [ ] (a)
 [ ] (b)

 3. SEC Use Only

 4. Citizenship or Place of Organization

 Grand Cayman, British West Indies

 5. Sole Voting Power: 0
Number of
Shares 6. Shared Voting Power: 0
Beneficially
Owned by 7. Sole Dispositive Power: 0
Each Reporting
Person With 8. Shared Dispositive Power: 0

 9. Aggregate Amount Beneficially Owned by Each Reporting Person

 0

 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares


 11. Percent of Class Represented by Amount in Row (9)

 0.00%

 12. Type of Reporting Person

 OO


Item 1. (a) Issuer: MiddleBrook Pharmaceuticals, Inc.

1. Address:

20425 Seneca Meadows Parkway Germantown, MD 20876

Item 2. (a) Name of Person Filing:

Trivium Capital Management, LLC

Trivium Offshore Fund, Ltd.

(b) Address of Principal Business Offices:

Trivium Capital Management, LLC 600 Lexington Avenue, 23rd Floor New York, NY 10022
United States

Trivium Offshore Fund, Ltd.


c/o Citco Fund Services (Bermuda) Limited

Washington Mall West, 2nd Floor 7 Reid Street
Hamilton HM11, Bermuda

(c) Citizenship:
Please refer to Item 4 on each cover sheet for each filing person

(d) Title of Class of Securities Common stock

(e) CUSIP Number: 596087106

Item 3. Trivium Capital Management, LLC is an investment advisor in accordance
with Rule 13d-1(b)(1)(ii)(E);

Item 4. Ownership

Please see Items 5 - 9 and 11 for each cover sheet for each filing separately

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

Item 8. Identification and Classification of Members of the Group

Not Applicable

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 acquired and held in the ordinary course of business and 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.


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.

Date: October 14, 2009
Trivium Capital Management, LLC

By: /s/ Ward Davis
--------------------------
Name: Ward Davis
Title: Principal

Trivium Offshore Fund, Ltd.

By: /s/ Ward Davis
--------------------------
Name: Ward Davis
Title: Principal


JOINT FILING AGREEMENT

The undersigned hereby agree that the Statement on this Schedule 13G/A, dated October 14, 2009, (the "Schedule 13G/A"), with respect to the Common Stock of MiddleBrook Pharmaceuticals, Inc. is filed on behalf of each of us pursuant to and in accordance with the provisions of Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended, and that this Agreement shall be included as an Exhibit to this Schedule 13G/A. Each of the undersigned agrees to be responsible for the timely filing of the Schedule 13G/A, and for the completeness and accuracy of the information concerning itself contained therein. This Agreement may be executed in any number of counterparts, all of which taken together shall constitute one and the same instrument.

IN WITNESS WHEREOF, the undersigned have executed this Agreement as of the 14th day of October 2009.

Trivium Capital Management, LLC

By: /s/ Ward Davis
--------------------------
Name: Ward Davis
Title: Principal

Trivium Offshore Fund Ltd.

By: /s/ Ward Davis
--------------------------
Name: Ward Davis
Title: Principal

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