Synlogic Inc · OTC:SYBX

Synlogic — Investor Presentation (January 2019)

36 slides from Synlogic's investor presentation, Jan 7, 2019

  1. Slide 1: Corporate Overview January 2019

    Synlogic DESIGNED FOR LIFE Corporate Overview January 2019

  2. Slide 2: Forward Looking Statements

    Forward Looking Statements This presentation contains “forward-looking statements” that involve substantial risks and uncertainties for purposes of the safe harbor provided by the Private Securities Litigation Reform Act of 1995. All statements, other than statements of historical facts, included in

  3. Slide 3: Synthetic Biotic Medicines: Designing for LIFE

    Synthetic BioticTM Medicines Designing for LIFE Patient NeedThere remain many indications for which conventional medicines do not provide effective solutions for all patients An Engineered Living Medicine SolutionSynlogic is harnessing nature and technology to create LIVING medicines designed to sig

  4. Slide 4: A Novel Class of Engineered Living Medicines

    v Synthetic BioticTM Medicines A Novel Class of Engineered Living Medicines Designed genetic circuits to execute biological functionsDegradation of disease-causing metabolitesProduction of therapeutic molecules Bacterial chassisNon-pathogenicAmenable to genetic manipulation PATHWAYS, COMBINATIONS, B

  5. Slide 5: Synthetic Biotic Portfolio: Breadth and Potential

    Synthetic Biotic Portfolio: Breadth and Potential Initial Applications Designed to Target Different Sites of Action in Metabolic and Immunomodulatory Diseases Oral Administration IMMUNOMODULATION METABOLIC DISEASES Immuno-Oncology Inflammatory and Autoimmune Small or Large Intestine “Cold” Solid Tum

  6. Slide 6: Synthetic Biotic Portfolio

    Synthetic Biotic Portfolio Hyperammonemia – Urea Cycle Disorder Research IND-Enabling Studies Phase 1 Phase 2 Phenylketonuria Additional Rare Metabolic Diseases Hyperammonemia – Hepatic Encephalopathy (HE) Inflammatory Bowel Disease Immuno-Oncology Solid Tumors Additional Oncology Applications SYNB1

  7. Slide 7: SYNB1020 for Hyperammonemia

    UREA CYCLE DISORDERS (UCD) SYNB1020 for Hyperammonemia Indications Characterized by Systemic Ammonia Accumulation Neuropsychiatric complication in patients with end-stage liver disease (cirrhosis)Liver dysfunction leads to ammonia accumulationToxic to brain, leading to HE crisis & hospitalizationPat

  8. Slide 8: SYNB1020 Mechanism of Action

    Arginine Urea SYNB1020 Mechanism of Action: Under normal conditions, the urea cycle metabolizes ammonia into ureaIn UCD and HE, ammonia is not efficiently metabolized via urea cycle. SYNB1020 provides an alternative mechanism Conversion of Toxic Ammonia into Beneficial Arginine for the Treatment of

  9. Slide 9: SYNB1020 Preclinical Characterization

    Potent and Efficacious Ammonia Reduction and Improved Survival SYNB1020 Preclinical Characterization IN VITRO UCD MOUSE MODEL * HK: heat killed

  10. Slide 10: SYNB1020 Clinical Data in Healthy Volunteers

    SYNB1020 Clinical Data in Healthy Volunteers Dose-dependent Increase in SYNB1020 in Feces, Clearance on Cessation of Dosing DOSE-DEPENDENT INCREASE IN FECES CLEARANCE Dosing period = 14 days Dosing period = 14 daysSamples collected daily

  11. Slide 11: Nitrate as a Biomarker for SYNB1020 Activity

    URINARY NITRATE PLASMA NITRATE Nitrate as a Biomarker for SYNB1020 Activity Dose-dependent Production of Plasma and Urinary Nitrate Dose: Dose:

  12. Slide 12: SYNB1020 Clinical Development

    SYNB1020 Clinical Development Hepatic Encephalopathy Phase 1b/2a in Patients with Cirrhosis and Elevated Ammonia Hepatic Encephalopathy Clinical TrialRandomized, double-blind placebo-controlled study ongoing at multiple sites in the US Primary outcome: establish safety/tolerability in patients with

  13. Slide 13: SYNB1618 for Phenylketonuria (PKU)

    PKU is a rare inherited amino acid metabolism disorder Causes build up of amino acid phenylalanine (Phe) in the bodyToday, less than half of adults are at or below target Phe levels of 120-360 mmol / LIf left untreated, symptoms include cognitive impairment, convulsions, behavioral problems, skin ra

  14. Slide 14: SYNB1618 Mechanism of Action

    SYNB1618 Mechanism of Action Amino acids from dietary proteins (absorption and recirculation) Phe PKU Healthy Phenylalanine Hydroxylase (PAH) converts Phe into Tyrosine Tyrosine Accumulation of Phe to toxic levels Impaired PAH SYNB1618 Manage Phe levels When Phe is not efficiently metabolized (PKU)

  15. Slide 15: SYNB1618 Preclinical Characterization

    SYNB1618 Preclinical Characterization Biomarkers Demonstrate Activity of SYNB1618 in Mouse Model of PKU and Healthy NHPs IN VIVO EFFICACY IN (PKU) PAHenu2/enu2 MOUSE DOSE RESPONSE IN HEALTHY NHP’s Nat. Biotechnol. 2018 Oct;36(9):857-864 Development of synthetic live bacterial therapeutic for the hum

  16. Slide 16: SYNB1618 in the Clinic: Safety

    SYNB1618 in the Clinic: Safety There were no treatment-related serious adverse events, no systemic toxicity or infections Treatment-emergent adverse events were either mild or moderate in severity, and reversible. Most adverse events were GI-relatedSingle dose MTD was defined as 2x1011 CFU. Doses ab

  17. Slide 17: SYNB1618 in the Clinic: Activity

    SYNB1618 in the Clinic: Activity Statistically Significant Dose-dependent Activity of SYNB1618 in Healthy Volunteers SYNB1618 or placebo Protein shake /meal D5-Phe Measure over 6hrs:Plasma:Phe/D5-PheTCA/D5-TCAUrine: HA/D5-HA TCA AUC SINGLE DOSE RESPONSE MAD URINARY HA AND D5-HA Key: HA: Hippurate, D

  18. Slide 18: SYNB1618 Clinical Development

    SYNB1618 Clinical Development Phase 1/2a in Healthy Volunteers with Patient Cohort 2018 2019 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Phase 1 / 2a Phase 1 / 2a SAD / MAD Healthy Volunteers SD / MDPKU Patients PROGRAM PKU Clinical Trial DesignRandomized, double-blind placebo-controlled study ongoing at multiple sites

  19. Slide 19: Synlogic Internal GMP Manufacturing Capabilities

    Synlogic Internal GMP Manufacturing Capabilities In-house Process Development and Clinical Manufacturing for Early & Mid-Stage Trials Biotherapeutic Manufacturing Candidate Selection & Process Dev. Testing (in vitro and in vivo) Strain Engineering OptimizedProcess Scale-up Process development and la

  20. Slide 20: Metabolic Programs: Progress and 2019 Milestones

    Metabolic Programs: Progress and 2019 Milestones 2019 Milestones SYNB1618Complete ongoing study in PKU patients Data expected mid-2019 (safety, tolerability and biomarkers)SYNB1020Complete ongoing study in cirrhosis patients Data expected mid-2019 (safety, tolerability and ammonia-lowering)With ammo

  21. Slide 21: Immuno-Oncology

    © 2019 SYNLOGIC. ALL RIGHTS RESERVED. | 21 Immuno-Oncology

  22. Slide 22: Synlogic Vision for Immuno-Oncology

    CHECKPOINT INHIBITORS HAVE TREATMENT FAILURES Synlogic Vision for Immuno-Oncology Expand the Benefits of Immunotherapy Broadly Across Tumor Types Other tumors, where CPIs are not indicated, show little-to-no response to checkpoint inhibitors Failure Rates for Select FDA Approved CPI Monotherapy 55%

  23. Slide 23: A Tumor Can Evade Multiple Aspects of the Cancer-Immunity Cycle

    A Tumor Can Evade Multiple Critical Aspects of the Cancer-Immunity Cycle Killing Recognition Infiltration Antigen release Presentation Priming and activation T cell trafficking Insufficientactivity/proliferation Immuno-suppression Insufficient trafficking Insufficient priming Recognized Need to Comb

  24. Slide 24: Intra-tumoral Injection of Synthetic Biotic Chassis

    BEHAVIOR WITHIN TUMOR CHASSIS DISTRIBUTION Intra-tumoral Injection of Synthetic Biotic Chassis: Tumor Colonization Without Leakage; Local Innate Immunity Robust proliferation in tumor.No significant leakage in B16.F10 Mice Survival/proliferation in tumors 10-15 days post-single dose. Potential for l

  25. Slide 25: Dual Innate Immune Activator: SYNB1891

    Dual Innate Immune Activator:Synthetic Biotic Medicine Producing STING Agonist (SYNB1891) Synthetic biology applied to confer activities for efficacy and control for safetyDesigned as a dual innate immune activator: combined benefit of bacterial chassis and STING agonistThe dacA gene is integrated i

  26. Slide 26: Innate Immune Activation through Multiple Pathways

    Innate Immune Activation through Multiple Pathways Uniquely Signals Through CDN-STING and Bacterial Chassis in Target Cells to Drive Efficacy CDN-STINGActivation SYN-STING Naked STING Agonist Gram-negative BacteriaE. coli Nissle TLR4 IFN-b1 Type 1 IFN P IRF3 Phagosome CDNsC-di-AMP STING  BACTERIALT

  27. Slide 27: SYNB1891 In Vitro Characterization

    SYNB1891 In Vitro Characterization Interferon Production Across Multiple Human STING Alleles Greater than Naked STING Agonist Additional Proinflammatory Pathways Engaged HUMAN PRIMARY DENDRITIC CELLS REPORTER HUMAN MONOCYTIC LINE Human STING Alleles STING Knockout

  28. Slide 28: SYNB1891 In Vivo Characterization

    SYNB1891 In Vivo Characterization d1 107, 5x107 or 108 CFU, i.t. (SYNB1891-PT1) A20 tumors ~100 mm3, randomize groups d7 d4 d18 Dose-dependent Anti-tumor Activity of SYNB1891 Prototype Strain (PT1) as a Single Agent Control Control SYNB1891-PT1 (1 x 107) SYNB1891-PT1 (5 x 107) SYNB1891-PT1 (1 x 108)

  29. Slide 29: SYNB1891 In Vivo Characterization: Systemic Anti-tumor Immunity

    SYNB1891 In Vivo Characterization SYNB1891 Prototype Strain (PT1) Leads to Systemic Anti-tumor Immunity SYNB1891-PT1 dose Re-challenge d1 108 CFU, i.t. (Bacteria) A20 tumors ~80-100 mm3, randomize groups d7 d4 d35 d63 Rechallenge (2e5 A20 cells) d1

  30. Slide 30: Dual Innate Immune Activator SYNB1891

    Dual Innate Immune Activator SYNB1891 A STING Agonist-producing Synthetic Biotic Designed to Locally Inflame the TME and Systemically Drive Tumor Antigen-Specific Immunity Tumor Colonization without LeakageEnhanced Activity vs. Naked STING AgonistIntracellular Activation of STING and Bacterial-Induc

  31. Slide 31: Additional Synthetic Biotic Effectors

    Additional Synthetic Biotic Effectors VISION: Rational Design to Locally Inflame the TME AND Systemically Drive Tumor-Antigen Specific Immunity Chassis effectCXCL10Hyaluronidase Kyn ConsumptionAde ConsumptionαPD-1 scFv Chassis effect5FC5FUSTINGαCD40 scFv/CD40L TNFαIFNγαCD47 ScFv / SirpαGM-CSF TUMOR

  32. Slide 32: Broad Ambitions in Immuno-Oncology

    Broad Ambitions in Immuno-Oncology SYNB1891 DISCOVERY PORTFOLIO INTRATUMORAL Vision: Expand and Exceed the Effect of Cancer Immunotherapies COMBINATIONS HARNESS THE MICROBIOME ORAL

  33. Slide 33: Summary

    Summary © 2019 SYNLOGIC. ALL RIGHTS RESERVED. | 33

  34. Slide 34: Synthetic Biotic Medicines: Designing for LIFE

    Synthetic BioticTM Medicines Designing for LIFE © 2019 SYNLOGIC. ALL RIGHTS RESERVED. | 34 Synlogic is building a path to a broad portfolio of products that could change patients’ LIVES The Company has demonstrated that Synthetic Biotic medicines function as designed in humans Synlogic is designing

  35. Slide 35: Progress and 2019 Milestones

    Progress and 2019 Milestones 2019 Milestones SYNB1618 in PKUComplete ongoing study in patientsData expected mid-2019 (safety, tolerability and biomarkers)SYNB1020 in HyperammonemiaComplete ongoing study in patients with cirrhosisData expected mid-2019 (safety, tolerability and ammonia-lowering)With

  36. Slide 36: BINNEY ST., #402, CAMBRIDGE, MA 02142TEL: 617-401-9975WEB: WWW.SYNLOGICTX.COM | EMAIL: INFO@SYNLOGICTX.COM© SYNLOGIC.…

    301 BINNEY ST., #402, CAMBRIDGE, MA 02142TEL: 617-401-9975WEB: WWW.SYNLOGICTX.COM | EMAIL: INFO@SYNLOGICTX.COM© SYNLOGIC. CONFIDENTIAL. ALL RIGHTS RESERVED.

Synlogic — Investor Presentation (January 2019) on 6ix