UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): November 19, 2018
SYNLOGIC, INC.
(Exact name of registrant as specified in its charter)
Delaware
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001-37566
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26-1824804
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(State or other jurisdiction
of incorporation)
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(Commission
File Number)
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(IRS Employer
Identification No.)
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301 Binney St., Suite 402
Cambridge, MA
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02142
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(Address of principal executive offices)
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(Zip Code)
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Registrant’s telephone number, including area code: (617) 401-9975
Not applicable
(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
□ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
□ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
□ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
□ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (17 CFR §230.405) or Rule 12b-2 of the Securities Exchange Act of 1934 (17 CFR §240.12b-2).
Emerging Growth Company ☒
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☒
Item 7.01. Regulation FD Disclosure.
Synlogic, Inc. (“Synlogic”) has prepared an investor presentation to be used in connection with general corporate presentations. A copy of the presentation is furnished with this Current Report on Form 8-K as Exhibit 99.1.
The information in Item 7.01 of this Current Report on Form 8-K and Exhibit 99.1 attached hereto is intended to be furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, except as expressly set forth by specific reference in such filing.
Item 9.01 Financial Statements and Exhibits.
SIGNATURES
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 hereunto duly authorized.
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SYNLOGIC, INC.
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Date: November 19, 2018
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By: /s/ Todd Shegog
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Name: Todd Shegog
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Title: Chief Financial Officer
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Exhibit 99.1
Corporate Presentation Designed for life November 2018
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 this presentation regarding strategy, future operations, future financial position, future revenue, projected expenses, prospects, plans and objectives of management are forward-looking statements. In addition, when or if used in this presentation, the words “may,” “could,” “should,” “anticipate,” “believe,” “estimate,” “expect,” “intend,” “plan,” “predict” and similar expressions and their variants may identify forward-looking statements. Examples of forward-looking statements include, but are not limited to, the approach we are taking to discover and develop novel therapeutics using synthetic biology; statements regarding the potential of our platform to develop therapeutics to address a wide range of diseases including: inborn errors of metabolism, liver disease, inflammatory and immune disorders, and cancer; the future clinical development of Synthetic Biotic medicines; the potential of our technology to treat hyperammonemia and phenylketonuria; the expected timing of our anticipated clinical trial initiations; the benefit of orphan drug and fast track status; the adequacy of our capital to support our future operations and our ability to successfully initiate and complete clinical trials; the results of our collaborations; and the difficulty in predicting the time and cost of development of our product candidates. Actual results could differ materially from those contained in any forward-looking statement as a result of various factors, including, without limitation: the uncertainties inherent in the preclinical development process; our ability to protect our intellectual property rights; and legislative, regulatory, political and economic developments, as well as those risks identified under the heading “Risk Factors” in our filings with the SEC. The foregoing review of important factors that could cause actual events to differ from expectations should not be construed as exhaustive and should be read in conjunction with statements that are included herein and elsewhere, including the risk factors included in our quarterly Report on Form 10-Q filed with the SEC on November 13, 2018. The forward-looking statements contained in this presentation reflect our current views with respect to future events. We anticipate that subsequent events and developments will cause our views to change. However, while we may elect to update these forward-looking statements in the future, we specifically disclaim any obligation to do so. These forward-looking statements should not be relied upon as representing our view as of any date subsequent to the date hereof. © 2018 Synlogic, Inc. All rights reserved. 2
SyntheticDesigned genetic circuits Degradation of disease-causing metabolitesProduction of therapeutic molecules BioticBacterial chassisNon-pathogenicAmenable to genetic manipulation © 2018 Synlogic, Inc. All rights reserved. Synthetic BioticTM Medicines: A Novel Class of Living Medicines 3 Programmable PotencyPathways, Combinations, Biomarkers PROGRAMMABLE POTENCY SWITCHES FOR CONTROL, TUNING LOCAL, REDUCED SYSTEMIC TOXICITY
Inborn Errors of MetabolismMetabolic DiseaseImmunomodulation Immuno Oncology 1 Lead Discovery Lead Optimization IND-Enabling Studies Phase I Phase II Hyperammonemia - Urea Cycle Disorder SYNB1020 Phenylketonuria SYNB1618 Organic Acidemias Maple Syrup Urine Disease Inflammatory Bowel Disease Immuno Oncology 2 Hyperammonemia -Hepatic Encephalopathy Immuno Oncology 3 SYNB1020 © 2018 Synlogic, Inc. All rights reserved. Synthetic Biotic Platform Breath and Potential: Pipeline Focused on Three Therapeutic Areas 4 SYNB1891
© 2018 Synlogic, Inc. All rights reserved. 5 Initial Synthetic Biotic Programs:Designed to Evaluate Different Sites of Action SYNB1618 for PKU: Site of action = small intestineOther indications:MSUDIVA SYNB1020 for hyperammonemia: Site of action = ColonOther indications:PAMMA Oral Administration Intra-tumoral Administration IO program: Site of action = “Cold” solid tumors
© 2018 Synlogic, Inc. All rights reserved. 6 Both diseases are characterized by systemic ammonia accumulation SYNB1020 for Hyperammonemia Indications Target Profile to Address Unmet Need:Reduce episodes of hospitalizationImprove cognitive outcomes, QoL Hepatic Encephalopathy Urea Cycle Disorders Neuropsychiatric complication in patients with end-stage liver disease (cirrhosis or hepatitis)Liver dysfunction leads to ammonia accumulationToxic to brain, leading to HE crisis & hospitalizationPatients: 165,000 diagnosed overt patients in USUp to 70% of cirrhotic patients characterized as covert Treatment: Lactulose: laxative - significant side effectsRifaximin reduction in overt HE recurrence Genetic defects in Urea CycleDeficiency in one of the six enzymes Nitrogen accumulates as toxic ammonia HE crisisPatients: ~2,000 diagnosed in US; similar in EUTreatment: Ammonia scavengers: buphenyl, Ravicti®Low protein diet with amino acid supplements Target Profile to Address Unmet Need:Maintain blood ammonia in normal range, avoid crisisProtein liberalization: 50-100% more per dayOral administration
© 2018 Synlogic, Inc. All rights reserved. 7 SYNB1020 Mechanism of Action: Conversion of Toxic Ammonia into Beneficial Arginine for the Treatment of UCD and HE Under normal conditions, urea cycle metabolizes ammonia into ureaWhere ammonia is not efficiently metabolized via urea cycle, SYNB1020 provides an alternative mechanism
© 2018 Synlogic, Inc. All rights reserved. 8 Potent and Efficacious Ammonia Reduction and Improved Survival SYNB1020 Preclinical Characterization 300 400 200 500 0 100 Vehicle 1010 HI 5x109 1x1010 1x109 Vehicle 1010 HI 5x109 1x1010 1x109 Blood ammonia (mg / dL) Normalprotein SYNB1020High-protein Percent survival at 24h P<0.0001 p<0.01 p<0.001 p<0.001 In vitro UCD Model Arginine as biomarker of strain activity 4.0 0.0 3.0 2.0 1.0 Nissle SYNB1020 Time Nissle SYNB1020 Ammonia (mM) L-arg (mmoles / 109 cells) Time
© 2018 Synlogic, Inc. All rights reserved. 9 Dose-Dependent Increase in SYNB1020 in Feces, Clearance on Cessation of Dosing Clinical Data SYNB1020 in Healthy Volunteers
© 2018 Synlogic, Inc. All rights reserved. 10 Dose-dependent Production of Plasma and Urinary Nitrate Nitrate as a Biomarker for SYNB1020 Activity Plasma Nitrate Urinary Nitrate
© 2018 Synlogic, Inc. All rights reserved. 11 SYNB1020 Clinical Development 2018 2019 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 HE Ph 1b / 2a UCD Ph 1b / 2a Program Urea CycleDisorder Hepatic Encephalo-pathy Randomized, double-blind placebo-controlled study ongoing at multiple sites in the US Primary outcome: establish safety/tolerability in hepatic insufficiency - patients with cirrhosis and HESecondary outcome: reduction of ammonia Hepatic Encephalopathy Study Phase 1b/2a in patients with cirrhosis and elevated ammonia
© 2018 Synlogic, Inc. All rights reserved. 12 SYNB1618 for Phenylketonuria (PKU): Goal: Managing Plasma Phe Levels to Enable Increased Intake of Natural Protein PKU is a rare inherited amino acid metabolism disorder Causes build up of amino acid phenylalanine (Phe) in the bodyPhenylalanine is found in all proteinsDiagnosed: 16,500 in US, similar in EU5If left untreated, symptoms include cognitive impairment, convulsions, behavior problems, skin rashTreatment: Low protein diet (no meat, dairy, nuts, eggs)Kuvan: PAH cofactor. 20-40% of patientsPalynziq: injectable, pegylated, bacterial enzyme (PAL) (Adults) Target Profile to Address Unmet Need:Manage Phe: Currently < half adults at target (120 - 360 µmol / L, source: NPKUA)Increase natural protein intake (less than 10g typically) Oral dosing without systemic toxicity
© 2018 Synlogic, Inc. All rights reserved. 13 SYNB1618 Mechanism of Action Designed to Convert Toxic Phenylalanine to trans-cinnamic Acid
© 2018 Synlogic, Inc. All rights reserved. 14 Preclinical Characterization of SYNB1618 Biomarkers demonstrate activity of SYNB1618 in mouse model of PKU and healthy NHPs
© 2018 Synlogic, Inc. All rights reserved. 15 SYNB1618 in the Clinic: Safety Interim Analysis of Phase 1/2a SAD/MAD Study Demonstrates Safety and Clearance in Healthy Volunteer Cohorts The study enrolled 56 healthy volunteers, all of whom received at least one dose of SYNB1618 or placebo. The subjects were predominantly male Caucasians and the age range of enrolled subjects was 18-62 yearsThere 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 AEs were GI-relatedAll subjects cleared the bacteria. There was no evidence of colonization, and no subject required antibioticsSingle dose MTD was defined as 2x1011 CFU. Doses above this level were associated with dose-limiting GI adverse eventsBased on pharmacodynamic data and tolerability profile a dose was identified for the second part of the study in PKU patients
© 2018 Synlogic, Inc. All rights reserved. 16 SYNB1618 in the Clinic: Activity Statistically significant dose-dependent activity of SYNB1618 in healthy volunteers
© 2018 Synlogic, Inc. All rights reserved. 17 SYNB1618 Clinical Development Phase 1/2a SAD/MAD in Healthy Volunteers with Patient Cohort 2018 2019 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 HV Ph 1 / 2a Group PKU Patients SAD/MADHealthy Volunteers SD/MD Ph 1/2a Goal: assess safety, tolerability and kinetics in healthy volunteers across a range of dosesExpansion cohort: PKU patients both SD/MD Secondary Endpoint: trans-Cinnamic acid and Hippuric acid production
© 2018 Synlogic, Inc. All rights reserved. 18 Expand the benefits of immunotherapy broadly across tumor types Synlogic Vision for Immuno-Oncology For indications where immune checkpoint inhibitors are indicated, 55-87% of patients fail to respond Other tumor types show little-to-no response to checkpoint inhibitors, for example: Colorectal - MSSPancreatic Prostate – castrate resistantBreast – ER+, hormone therapy refractory Enable broad response and remission through engagement of multiple immunomodulatory pathways to enhance tumor inflammation and promote robust T cell responses TREATMENT FAILURES UNRESPONSIVE TUMORS ORR for Select FDA approved CPI Monotherapy 45% 40% 29% 13-14% NSCL 1st line Melanoma 1st line Bladder 1st line Cervical / Gastric 2nd line Non-responders
A Tumor Can Evade Multiple Critical Aspects of the Cancer-Immunity Cycle © 2018 Synlogic, Inc. All rights reserved. 19 Killing Recognition Infiltration Antigen release Presentation Priming and activation T cell trafficking © 2018 Synlogic, Inc. All rights reserved. Insufficientactivity/proliferation Immuno-suppression Insufficient trafficking Insufficient priming Monotherapies Often Fail to Overcome Tumor Evasion Mechanisms Recognized Need to Combine Mechanisms to Broaden the Benefit of Immunotherapy Adapted from Chen, Melman; Immunity 2013
Nature often gives us hints to her profoundest secrets, and it is possible that she has given us a hint in which, if we will but follow, may lead us on to the solution of this difficult problem.Dr. William B. ColeyImmuno-Oncology Pioneer “ ” © 2018 Synlogic, Inc. All rights reserved. 20 Bacteria Recognized as Earliest Immunotherapy Engineer a Living Solution: Synthetic Biotic Medicines Reimagining Early Immunotherapy for Combinatorial Effect Synlogic Vision for Immuno-Oncology Rationally Designed for Combinatorial EffectLocally Inflame the TME Systemically Drive Tumor-Antigen Specific Immunity Neo-antigen Priming and Sustained Immune Response
Elicits innate responses (IL-6 and TNFα) in the tumor, Not circulation Intra-tumoral Injection of Synthetic Biotic Chassis: Tumor Colonization Without Leakage; Local Innate Immunity © 2018 Synlogic, Inc. All rights reserved. 21 Robust proliferation in tumor.No significant leakage Survival/proliferation in tumors 10-15 days post-single dose.Potential for limited injections 30 mins 24 hrs 72 hrs Image of Tissue Reporter Signal Tumor Cross Section Chassis Distribution Behavior within TME in B16.F10 Mice
22 Prime for Tumor-Antigen-Specific VaccinationChassis effectProduce lytic factorsProduce agonists for immune cell activation Promote TraffickingChassis effectProduce cytokines/chemokines Promote Immune Activation/ProliferationProduce Immunostimulatory MoleculesPromote Immune Cell Survival and Activity Relieve ImmunosuppressionConsume immunosuppressive metabolitesProduce checkpoint inhibitors (e.g., αPD-1) VISION: Rational Design to Locally Inflame the TME AND Systemically Drive Tumor-Antigen Specific Immunity Synthetic Biotic Medicines Engineered for Efficacy TUMOR LYMPH NODE Systemic Tumor-Antigen Specific Immunity Locally Inflame the TME © 2018 Synlogic, Inc. All rights reserved.
© 2018 Synlogic, Inc. All rights reserved. 23 Synthetic Biotic Medicines Attributes Platform Flexibility to Maximize Efficacy, Control, and Safety KEY ATTRIBUTES OF NEXT GEN APPROACHES SYNTHETIC BIOTIC PLATFORM Efficacy Drivers Sustained payload delivery Persistence in TME Multiple/combinatorial pro-inflammatory mechanisms Large gene insert capacity Enzymatic activity Cellular bioreactors Control Large Engineering Toolkit Can design to sense / respond to an inducer Manufacturability No mammalian cell culture Safety Systemic Risk Initial programs intratumoral Pathogenic Risk Non-pathogenic, probiotic chassisAntibiotic deactivation
Synthetic biology applied to IO programs to confer activities for efficacy and control for safetySYN-STING designed as a dual innate immune activator: combined benefit of bacterial chassis and STING agonistThe dacA gene is integrated into genome under the control of inducible promoter to produce c-di-AMPDual biosafety featureLearnings inform future combinations Dual Innate Immune Activator:Synthetic Biotic Medicine Producing STING Agonist (SYN-STING) © 2018 Synlogic, Inc. All rights reserved. 11
Dual Innate Immune Activator © 2018 Synlogic, Inc. All rights reserved. 25 TUMOR CDN-STINGActivation 1 SYN-STING Naked STING Agonist Gram-negative BacteriaE.Coli Nissle TLR4 IFN-b1 Type 1 IFN P IRF3 Phagosome CDNs3’3’-cGAMPc-di-GMBC-di-AMP STING Bacterial TLR/MyD88 Signaling TNF, others 4 CYTOSOL NUCLEUS Gram-negative BacteriaE.Coli Nissle TLR4 IL-6, p50 p65 NF-κB APC Bacterial Intracellular TLR4 Signaling TLR4 3 Gram-negative BacteriaE.Coli Nissle IFN-b1 Type 1 IFN P IRF3 Phagosome TRIF TRAM Promotes Trafficking, Immune Activation/Proliferation, Priming Bacterial cGAS-STING Activation 2 Gram-negative BacteriaE.Coli Nissle TLR4 IFN-b1 Type 1 IFN P IRF3 2’3’-cGAMP STING cGAS dsDNA(pathogen, host) © 2018 Synlogic, Inc. All rights reserved. 25
© 2018 Synlogic, Inc. All rights reserved. In Vitro Characterization of SYNB1891 Interferon Production Across Multiple Human STING Alleles Greater than Naked STING AgonistAdditional Proinflammatory Pathways Engaged 26 Control SYNB1891-PT2 Naked Agonist Reporter THP-1 Primary DCs Synthetic Biotic Soluble Ligand Synthetic Biotic Soluble Ligand CDA(nmol/well) CDA(nmol/well) Naked CDA SYNB1891 STING Knockout Human STING Alleles
In vitro: STING Agonist Induction by SYN-STING Results in Dose-Dependent Production of IFN-b © 2018 Synlogic, Inc. All rights reserved. 13 Note: RAW cells 27
In vivo: SYN-STING Strain Delivers Robust Anti-tumor Activity as Single Agent in B16.F10 Model Initial robust Type I IFN production leads to early innate activation at 2 days Followed by an adaptive T cell response at 9 days, including production of granzyme B and IL-15 IFNb1 IL-6 Sequence of activation following intratumoral injection of SYN-STING © 2018 Synlogic, Inc. All rights reserved. 15 Key: Saline SYN SYN-STING 28
© 2018 Synlogic, Inc. All rights reserved. SYN-STING Drives Dose-Dependent Tumor Control in A20 Lymphoma Model Control SYN-STING 1e7 SYN-STING 5e7 SYN-STING 1e8 Tumor Growth Inhibition 14 29
In Vivo Characterization of SYNB1891 SalineSYNB1891-PT1Naïve Control Re-challenge SYNB1891-PT1 dose SYNB1891 Prototype Strain Leads to Systemic Anti-tumor Immunity © 2018 Synlogic, Inc. All rights reserved. 22 Day on Study Tumor Volume (mm3) Saline SYNB1891-PT1 Naïve Control
In Vivo Characterization of SYNB1891 Day 2 Day 9 Saline SYNB SYNB1891-PT2 Gated on live CD8+ T cells H2-kb (Trp2) CD8α d1 109 cfu, i.t..YN or SYN-STING) B16-F10 tumors ~100 mm3, randomize groups d2 d4 d9 Tumor Draining LN (Flow) (SYNB or SYNB1891-PT2) SYNB1891 Prototype Strain Leads to Generation of Tumor Antigen-specific T Cell CD8a © 2018 Synlogic, Inc. All rights reserved. 23
© 2018 Synlogic, Inc. All rights reserved. 32 Promise Over Other Approaches STING Agonism in Natural ContextActivation of Multiple Innate Immune PathwaysLow Systemic Risk Progress Towards the Clinic Tumor Colonization without LeakageEnhanced Activity vs. Naked STING AgonistIntracellular Activation of STING and Bacterial-Induced Immune Pathways Within APCsDose-dependent Anti-tumor ActivityImmunological MemoryIND Submission 2H19 Dual Innate Immune Activator SYNB1891 A STING Agonist-producing Synthetic Biotic Designed to Locally Inflame the TME and Systemically Drive Tumor Antigen-Specific Immunity
© 2018 Synlogic, Inc. All rights reserved. 33 Prime for Tumor-Antigen-Specific Vaccination Promote TraffickingChassis effectCXCL10Hyaluronidase Promote and Sustain Immune ActivationIL-15; IL-12Arg Production4-1BBLOX40L Relieve ImmunosuppressionKyn ConsumptionAde ConsumptionαPD-1 scFv Additional Synthetic Biotic Effectors Chassis effect5FC5FUSTINGαCD40 scFv/CD40L TNFαIFNγαCD47 ScFv / SirpαGM-CSF VISION: Rational Design to Locally Inflame the TME AND Systemically Drive Tumor-Antigen Specific Immunity TUMOR LYMPH NODE Systemic Tumor-Antigen Specific Immunity Locally Inflame the TME
© 2018 Synlogic, Inc. All rights reserved. 34 Broad Ambitions in Immuno-Oncology Vision: Expand and Exceed the Effect of Cancer Immunotherapies SYNB1891 DISCOVERY PORTFOLIO COMBINATIONS HARNESS THE MICROBIOME ORAL INTRATUMORAL
© 2018 Synlogic, Inc. All rights reserved.