8-K
false000173325700017332572022-05-162022-05-16

 

 

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): May 16, 2022

 

 

Finch Therapeutics Group, Inc.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-40227

82-3433558

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

200 Inner Belt Road

 

Somerville, Massachusetts

 

02143

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: (617) 229-6499

 

 

(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:

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))

Securities registered pursuant to Section 12(b) of the Act:


Title of each class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Common Stock $0.001 par value per share

 

FNCH

 

The NASDAQ Stock Market LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

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 2.02 Results of Operations and Financial Condition.

On May 16, 2022, Finch Therapeutics Group, Inc. (the “Company”) issued a press release announcing its recent business highlights and financial results for the quarter ended March 31, 2022. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K.

 

 


 

Item 7.01 Regulation FD Disclosure.

 

On May 16, 2022, the Company will host a conference call and live webcast to discuss updates to its development programs and other business highlights. The Company will post the presentation used during the webcast to its website. A copy of the presentation is furnished as Exhibit 99.2 in this Current Report on Form 8-K.

 

The information contained in this Current Report on Form 8-K, including Exhibit 99.1 and Exhibit 99.2 attached hereto, is being furnished and shall not be deemed "filed" for purposes of Section 18 of the Exchange Act of 1934, as amended (the "Exchange Act"), and shall not be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.

 

 


 

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

 

Exhibit

Number

 

Description

 99.1

 

Press Release, dated May 16, 2022.

99.2

 

Corporate Presentation, dated May 2022.

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 

 


 

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 thereunto duly authorized.

 

 

 

FINCH THERAPEUTICS GROUP, INC.

 

 

 

 

Date:

May 16, 2022

By:

/s/ Mark Smith

 

 

 

Mark Smith, Ph.D.
Chief Executive Officer

 

 


EX-99.1

Exhibit 99.1

Finch Therapeutics Provides Corporate Update and Reports First Quarter 2022 Financial Results

FDA lifted clinical hold on IND for CP101
Enrollment in PRISM4 Phase 3 trial of CP101 in recurrent CDI expected to proceed in H2 2022
$15 million drawn from new $55 million term debt facility
Anticipated cash runway into Q2 2024
Corporate update call today at 8am ET

SOMERVILLE, Mass., May 16, 2022 (GLOBE NEWSWIRE) -- Finch Therapeutics Group, Inc. (“Finch” or “Finch Therapeutics”) (Nasdaq: FNCH), a clinical-stage microbiome therapeutics company leveraging its Human-First Discovery® platform to develop a novel class of orally administered biological drugs, today provided a corporate update and reported financial results for the first quarter ended March 31, 2022.

“Finch made several important strides this quarter, including the resolution of the FDA clinical hold previously placed on our IND for CP101. We are pleased to have addressed the FDA’s questions related to our SARS-CoV-2 screening procedures and look forward to completing the additional activities that we believe will enable us to proceed with enrollment in PRISM4, our Phase 3 trial of CP101 in recurrent C. difficile infection,” said Mark Smith, PhD, Chief Executive Officer of Finch Therapeutics. “We are also preparing to advance FIN-211 into the clinic, which is our investigational microbiome therapeutic in development for children with autism and significant GI symptoms. We recently made several modifications to the design of AUSPIRE, our Phase 1b trial of FIN-211, such as the addition of a placebo arm which we believe will enable us to draw more meaningful insights into the potential impact of FIN-211 on behavioral and GI symptoms.”

Dr. Smith continued, “With our recent decision to prioritize our C. difficile and autism programs, in addition to our Takeda-partnered work in inflammatory bowel disease, and the recent debt financing with Hercules Capital, we believe that we are well positioned to execute upon our mission and strategic priorities, with expected cash runway through key clinical milestones, including topline data from PRISM4 and initial safety data from AUSPIRE.”

Recent Program Highlights

CP101 for the Prevention of Recurrent C. difficile Infection (CDI):

FDA Removed Clinical Hold on CP101 IND: In April 2022, Finch announced that the U.S. Food and Drug Administration (FDA) removed the clinical hold on its investigational new drug (IND) application for CP101 following a review of information Finch provided related to its SARS-CoV-2 screening procedures and associated informed consent language.

As previously announced, Finch expects to proceed with enrollment in PRISM4 after the Company completes certain manufacturing activities and quality system updates related to the recently resolved clinical hold, and submits for the FDA’s review and agreement the validation package for one of its release tests and a PRISM4 protocol amendment. The protocol amendment will implement changes to the algorithm used to diagnose suspected CDI recurrences and revisions to the planned statistical analysis.

 


 

Updated Timeline for PRISM4 Phase 3 Trial of CP101 in Recurrent CDI: Finch expects to proceed with enrollment in PRISM4 in H2 2022 and plans to provide further guidance on the expected timing of a topline PRISM4 data readout in the future.
Clinical Data from PRISM-EXT and PRISM3 Phase 2 Trials Accepted for Presentation at Digestive Disease Week (DDW) 2022: In March 2022, Finch announced that data from its PRISM-EXT Phase 2 open-label trial and its PRISM3 Phase 2 placebo-controlled trial will be presented in May at DDW 2022. The topline data presented at DDW will be available in the “Publications” section of the Finch website after the meeting.

FIN-211 for Autism Spectrum Disorder (ASD) with Significant Gastrointestinal (GI) Symptoms:

Update on FIN-211 Development Timeline: Finch anticipates submitting the IND for FIN-211 in Q4 2022. The IND submission is expected to reflect recent enhancements to the design of the AUSPIRE Phase 1b trial of FIN-211 and manufacturing updates related to the recently resolved clinical hold on the IND for CP101. Finch plans to provide guidance in the future on the expected timing of a topline AUSPIRE data readout.
Enhanced AUSPIRE Phase 1b Trial Design, Including the Addition of a Placebo Arm: In the new AUSPIRE trial design, Finch plans to randomize approximately 36 participants to receive FIN-211 or placebo daily for 8 weeks, with the addition of a placebo arm expected to provide greater insights into the therapeutic potential of FIN-211. The primary endpoint of the trial will be safety and tolerability, with secondary endpoints including behavioral and GI symptom assessment. Exploratory endpoints will include additional behavioral and GI endpoints, as well as pharmacokinetic and pharmacodynamic assessments.

Recent Corporate Updates

Secured $55 Million Term Debt Facility from Hercules Capital, Inc. (NYSE: HTGC): Under the terms of the debt facility with Hercules Capital, $15 million was drawn at closing, two tranches of $10 million are each available at Finch’s discretion, and an additional $20 million is available upon achievement of a milestone linked to topline data from PRISM4.
Appointed Susan E. Graf as Chair of Board of Directors (Board): In April 2022, Finch announced that Susan E. Graf, who joined Finch’s Board in April 2021, will serve as Chair of its Board of Directors. Ms. Graf brings more than 25 years of leadership experience in the life sciences industry, including previously serving as the Chief Executive Officer of Akamara Therapeutics, Inc. and the Chief Business Officer and Principal Financial Officer at Epizyme, Inc.
Appointed Howard Franklin, MD, as Interim Chief Medical Officer (CMO): Finch has appointed Howard Franklin, MD, as Interim CMO. Dr. Franklin, who served as CMO at Salix Pharmaceuticals, Inc. prior to joining Finch, has more than 20 years of experience as a general surgeon and biopharmaceutical executive, with deep expertise spanning clinical development, regulatory strategy, medical affairs, and product commercialization.
Restructured Workforce to Focus Resources on Key Development Programs: In April 2022, Finch announced plans to reduce its workforce by approximately 20%. This workforce reduction is intended to allow the company to focus its financial resources on its recurrent CDI and ASD

 

 


 

development programs, two wholly-owned programs that Finch is prioritizing, along with its Takeda-partnered work in inflammatory bowel disease (IBD).

Corporate Update Conference Call and Webcast

Finch management will host a conference call and live webcast on Monday, May 16, 2022, at 8:00 am ET to discuss updates to its development programs and other business highlights. The conference call can be accessed by dialing (833) 649-1186 (domestic) or (270) 823-1080 (international) and entering conference ID 8451806. The live webcast can be accessed by visiting the “Investors & News” section of the Finch website and selecting “Events & Presentations.” The webcast will be archived on the website for approximately 30 days following the event.

First Quarter 2022 Financial Results

Finch reported a net loss of $24.6 million for the first quarter of 2022, compared to a net loss of $14.0 million for the same period in 2021. The net loss was driven by an increase in operating expenses of $7.4 million compared to the first quarter of 2021, in addition to a decrease in revenue of $3.2 million, primarily due to the November 2021 amendment to the agreement with Takeda, pursuant to which we transitioned primary responsibilities for TAK-524 to Takeda in the third quarter of 2021, resulting in a decrease in collaboration revenue in the current quarter.
Research and development expenses were $15.5 million for the first quarter of 2022, compared to $13.0 million for the same period in 2021. The increase was primarily due to an increase in personnel costs, manufacturing related expenses and platform related costs, as Finch continues to build its platform and prepare for the future development of commercial supply needs. The increase was partially offset by a decrease in IBD program expenses due to the transition of primary responsibilities for TAK-524 from Finch to Takeda in the third quarter of 2021.
General and administrative expenses were $9.4 million for the first quarter of 2022, compared to $4.6 million for the same period in 2021. The increase was primarily due to an increase in personnel costs including stock-based compensation, an increase in directors and officers insurance expense, and an increase in legal and professional costs, including costs associated with being a public company.
Finch’s cash and cash equivalents as of March 31, 2022 was $106.9 million, compared to $133.5 million as of December 31, 2021. Finch believes its cash and cash equivalents on hand as of March 31, 2022, together with anticipated, non-dilutive sources of additional cash, will fund its operations into Q2 2024. These anticipated sources of cash include $15 million of funding that has now been drawn under the recent debt facility with Hercules Capital, a $10 million tranche of funding that is available at Finch’s discretion under this debt facility, expected near term milestones from the Takeda partnership, and the expected subletting of one of Finch’s office and lab facilities.

About Finch Therapeutics

Finch Therapeutics is a clinical-stage microbiome therapeutics company leveraging its Human-First Discovery® platform to develop a novel class of orally administered biological drugs. With the

 

 


 

capabilities to develop both complete and targeted microbiome therapeutics, Finch is advancing a rich pipeline of candidates designed to address a wide range of unmet medical needs. Finch’s lead candidate, CP101, is in late-stage clinical development for the prevention of recurrent C. difficile infection and has received Breakthrough Therapy and Fast Track designations from the U.S. Food and Drug Administration. Finch is also developing FIN-211 for children with autism spectrum disorder and significant gastrointestinal symptoms. Finch has a partnership with Takeda focused on the development of targeted microbiome therapeutics for inflammatory bowel disease. We routinely post information that may be important to our investors on our website at www.finchtherapeutics.com. The Company encourages investors to consult the “Investors & News” section of its website regularly.

Human-First Discovery® is a registered trademark of Finch Therapeutics Group, Inc.

Forward-Looking Statements

This press release includes “forward-looking statements.” Words such as “will,” "anticipates," "believes," "expects," "intends," “plans,” “potential,” "projects,” “would” and "future" or similar expressions are intended to identify forward-looking statements. These forward-looking statements include, but are not limited to, statements regarding: Finch’s ability to execute upon its mission and strategic priorities; Finch’s ability to complete additional activities that it believes will enable it to proceed with enrollment in PRISM4 and the anticipated timeline for results from the trial; the design of Finch’s AUSPIRE trial, Finch’s plans to advance FIN-211 into the clinic and the anticipated timeline for submitting an IND for FIN-211; the potential for the modifications to the AUSPIRE trial design to enable the company to draw more meaningful insights into the potential impact of FIN-211 on behavioral and GI symptoms; the workforce reduction and Finch’s ability to focus its financial resources on its existing development programs; Finch’s ability to build its platform and plan for its future development of commercial supply needs; and Finch's anticipated runway, including accessing additional sources of capital. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. These risks and uncertainties include, among others: the risk that correspondence from the FDA may require Finch to collect additional data or information beyond what it currently expects, as well as unexpected regulatory actions or delays, including requests for additional safety and/or efficacy data or analysis of data, or government regulation generally; uncertainties relating to regulatory applications and related filing and approval timelines; Finch’s limited operating history and historical losses; Finch’s ability to raise additional funding to complete the development and any commercialization of its product candidates; Finch’s dependence on the success of its lead product candidate, CP101; the possibility that Finch may be delayed in initiating, enrolling or completing any clinical trials; results of clinical trials may not be indicative of final or future results from later stage or larger clinical trials (or in broader patient populations once the product is approved for use by regulatory agencies) or may not be favorable or may not support further development; Finch’s product candidates, including CP101 and FIN-211 may not generate the benefits to patients that are anticipated; results of clinical trials may not be sufficient to satisfy regulatory authorities to approve Finch’s product candidates in their targeted or other indications (or such authorities may request additional trials or additional information); Finch’s ability to comply with regulatory requirements; ongoing regulatory obligations and continued regulatory review may result in significant additional expense to Finch and Finch may be subject to penalties for failure to comply; competition from third parties that are developing products for similar uses; Finch’s ability to maintain patent and other intellectual property protection and the possibility that Finch’s intellectual

 

 


 

property rights may be infringed, invalid or unenforceable or will be threatened by third parties; Finch’s ability to qualify and scale its manufacturing capabilities in anticipation of commencement of multiple global clinical trials; Finch’s lack of experience in selling, marketing and distributing its product candidates; Finch’s dependence on third parties in connection with manufacturing, clinical trials and preclinical studies; and risks relating to the impact and duration of the COVID-19 pandemic on Finch’s business. These and other risks are described more fully in Finch’s filings with the Securities and Exchange Commission (“SEC”), including the section titled “Risk Factors” in Finch’s Annual Report on Form 10-K for the year ended December 31, 2021 filed with the SEC on March 31, 2022, as well as discussions of potential risks, uncertainties, and other important factors in Finch’s other filings with the SEC. All forward-looking statements contained in this press release speak only as of the date on which they were made. Except to the extent required by law, Finch undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.

Investor Contact:

Stephen Jasper
Gilmartin Group
(858) 525-2047
stephen@gilmartinir.com 

Media Contact:

Jenna Urban
Berry & Company Public Relations
(212) 253-8881
jurban@berrypr.com 

 

 

 


 

Finch Therapeutics Group, Inc.

Condensed Consolidated Statements of Operations (Unaudited)

(in thousands, except share and per share data)

 

 

FOR THE THREE MONTHS
ENDED MARCH 31,

 

 

 

2022

 

 

2021

 

Revenue:

 

 

 

 

 

 

Collaboration revenue

 

$

354

 

 

$

3,553

 

Total revenue

 

 

354

 

 

 

3,553

 

Operating expenses:

 

 

 

 

 

 

Research and development

 

 

15,530

 

 

 

12,975

 

General and administrative

 

 

9,404

 

 

 

4,552

 

Total operating expenses

 

 

24,934

 

 

 

17,527

 

Loss from operations

 

 

(24,580

)

 

 

(13,974

)

Other income (expense)

 

 

13

 

 

 

(7

)

Net loss

 

$

(24,567

)

 

$

(13,981

)

Net loss per share attributable to common stockholders—basic and diluted

 

$

(0.52

)

 

$

(1.00

)

Weighted-average common stock outstanding—basic and diluted

 

 

47,528,948

 

 

 

14,033,273

 

 

Finch Therapeutics Group, Inc.

Condensed Consolidated Balance Sheet Data (Unaudited)

(in thousands)

 

 

MARCH 31,
2022

 

 

DECEMBER 31,
2021

 

Assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

106,931

 

 

$

133,481

 

Other assets

 

 

97,702

 

 

 

91,888

 

Total assets

 

$

204,633

 

 

$

225,369

 

Liabilities, redeemable convertible preferred stock and stockholders' equity

 

 

 

 

 

 

Liabilities

 

 

24,842

 

 

 

23,145

 

Stockholders' equity

 

 

179,791

 

 

 

202,224

 

Total liabilities, redeemable convertible preferred stock and stockholders' equity

 

$

204,633

 

 

$

225,369

 

 

 

 


Slide 1

Harnessing the Genomic Revolution & Machine Learning to Pioneer Microbiome Therapeutics CORPORATE UPDATE | MAY 2022 Exhibit 99.2


Slide 2

Forward-Looking Statements Statements contained in this presentation regarding matters that are not historical facts are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. Words such as "anticipates," "believes," "expects," "intends," “plans,” “potential,” "projects,” “would” and "future" or similar expressions are intended to identify forward-looking statements. These forward-looking statements include, but are not limited to, statements regarding: Finch's ability to execute upon its mission and strategic priorities; Finch's ability to complete additional activities that it believes will enable it to proceed with enrollment in PRISM4 and the anticipated timeline for results from the trial; the design of Finch's AUSPIRE trial, Finch's plans to advance FIN-211 into the clinic and the anticipated timeline for submitting an IND for FIN-211; the potential for the modifications to the AUSPIRE trial design to enable the company to draw more meaningful insights into the potential impact of FIN-211 on behavioral and GI symptoms; the workforce reduction and Finch's ability to focus its financial resources on its existing development programs; Finch's ability to build its platform and plan for its future development of commercial supply needs; and Finch's anticipated runway. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. These risks and uncertainties include, among others: the risk that correspondence from the FDA may require Finch to collect additional data or information beyond what it currently expects, as well as unexpected regulatory actions or delays, including requests for additional safety and/or efficacy data or analysis of data, and including with respect to the FDA’s planned review of the validation package for one of Finch’s release tests, which is utilized for both CP101 and FIN-211, or government regulation generally; uncertainties relating to regulatory applications and related filing and approval timelines; Finch's limited operating history and historical losses; Finch's ability to raise additional funding to complete the development and any commercialization of its product candidates; Finch's dependence on the success of its lead product candidate, CP101; the possibility that Finch may be delayed in initiating, enrolling or completing any clinical trials; results of clinical trials may not be indicative of final or future results from later stage or larger clinical trials (or in broader patient populations once the product is approved for use by regulatory agencies) or may not be favorable or may not support further development; Finch's product candidates, including CP101 and FIN-211 may not generate the benefits to patients that are anticipated; results of clinical trials may not be sufficient to satisfy regulatory authorities to approve Finch's product candidates in their targeted or other indications (or such authorities may request additional trials or additional information); Finch's ability to comply with regulatory requirements; ongoing regulatory obligations and continued regulatory review may result in significant additional expense to Finch and Finch may be subject to penalties for failure to comply; competition from third parties that are developing products for similar uses; Finch's ability to maintain patent and other intellectual property protection and the possibility that Finch's intellectual property rights may be infringed, invalid or unenforceable or will be threatened by third parties; Finch's ability to qualify and scale its manufacturing capabilities in anticipation of commencement of multiple global clinical trials; Finch's lack of experience in selling, marketing and distributing its product candidates; Finch's dependence on third parties in connection with manufacturing, clinical trials and preclinical studies; and risks relating to the impact and duration of the COVID-19 pandemic on Finch's business. These and other risks are described more fully in the Company’s filings with the Securities and Exchange Commission (“SEC”), including the section titled “Risk Factors” in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 31, 2022, as well as discussions of potential risks, uncertainties, and other important factors in the Company’s other filings with the SEC. All forward-looking statements contained in this presentation speak only as of the date on which they were made. Except to the extent required by law, the Company undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.   Certain information contained in this presentation relates to or is based on studies, publications, surveys and other data obtained from third-party sources and the Company’s own internal estimates and research. While the Company believes these third-party sources to be reliable as of the date of this presentation, it has not independently verified, and makes no representation as to the adequacy, fairness, accuracy or completeness of, any information obtained from third-party sources. Finally, while the Company believes its own internal research is reliable, such research has not been verified by any independent source. Human-First Discovery® is a registered trademark of the Company.


Slide 3

Agenda Mark Smith, PhD Chief Executive Officer Joe Vittiglio, JD Chief Business & Legal Officer Howard Franklin, MD Interim Chief Medical Officer Marc Blaustein Chief Operating Officer & Principal Financial Officer Opening Remarks Overview of Our Strategy Recurrent C. difficile Infection Program Update Autism Spectrum Disorder Program Update Closing Remarks Q&A


Slide 4

The microbiome is an attractive target for therapeutic intervention Sources: Tierney Cell Host Microbe 2019 ~20K human genes >20M microbial genes Immune modulation Humans carry 1000-fold more microbial genes than host genes The microbiome is an organ system fundamental to human health Enabled by genomics and data science, Finch is pioneering microbiome therapeutics Metabolic function Neurologic regulation


Slide 5

Our Human-First Discovery platform is designed to enable capital efficient data generation to support our development programs Enabled by: Machine learning engine Enabled by: Proprietary access to data 2. Data-Mining for Mechanistic Insights 1. Clinical Proof-of-Concept (3rd party data) 3. Product Development Enabled by: Platform to target full microbiome Program launch & capital commitment Complete Consortia Enriched Consortia Targeted Consortia


Slide 6

Finch is the only company with both complete and targeted approaches for developing microbiome therapeutics DONOR-INDEPENDENT DONOR-DERIVED Complete Consortia Enriched Consortia Targeted Consortia Delivers complete microbial community to restore broad community function Delivers selected microbes to target specific biological pathways Hybrid approach to restore broad community function and target specific pathways


Slide 7

Finch is advancing a portfolio of product candidates to address significant unmet needs Candidate Indication Consortia Type Program Rights GI/Immuno CP101 Recurrent C. difficile Complete TAK-524 (formerly FIN-524) Ulcerative Colitis Targeted FIN-525 Crohn’s Disease Targeted Neuro FIN-211 Autism Spectrum Disorder Enriched Phase 1 Phase 3 Phase 2 Preclinical


Slide 8

CP101 for Recurrent C. difficile Infection (CDI)


Slide 9

Sources: Desai BMC Infect Dis 2016; Zhang BMC Infect Dis 2016; Dehlholm-Lambertsen Ther Adv Gastroenter 2019 (1 EUR = 1.1482 USD); CDC Antibiotic Resistance Threat Report 2019 CDC has declared C. difficile a top antibiotic resistance threat ASD Recurrent CDI is an enormous human and economic burden 199K Recurrent CDI cases per year in the U.S. 44K Annual deaths attributable to CDI in the U.S. $5B Annual direct costs of CDI in the U.S. $27K Estimated savings per patient with microbiota transplantation


Slide 10

PRISM3 enrolled a broad population including: PRISM3, a Phase 2, randomized, placebo-controlled trial of CP101 for the prevention of recurrent C. difficile infection *Participants entering study on 1st recurrence were required to be >65 years of age; Sources: Desai BMC Infect Dis 2016; Guh N Engl J Med 2020 Recurrent CDI patients (n=198) Standard-of-care antibiotics Antibiotic washout CP101 Placebo Week 0 Week 8 Primary endpoint Proportion without CDI recurrence Week 24 Randomization Participants diagnosed with CDI via PCR or toxin-based testing Relevance: >80% of all CDI cases are diagnosed via PCR Participants experiencing one or more CDI recurrences* Relevance: 58% of all recurrent CDI cases are 1st recurrence CDI PRISM3 included all stages of recurrence and any guideline recommended CDI diagnostic method to support labeling and market access Long term safety & efficacy


Slide 11

CP101 achieved its primary efficacy endpoint and had a safety profile similar to placebo in PRISM3 Primary efficacy endpoint: Proportion without CDI recurrence through Week 8 CP101 achieved 33.8% relative risk reduction for CDI recurrence through Week 8 Standard-of-care antibiotics then CP101 Standard-of-care antibiotics then Placebo n=102 n=96 p=0.0488 CDI SAEs: Serious adverse events CP101 met its primary efficacy endpoint, with no treatment-related SAEs in the CP101 arm Recurrence-free (%) through Week 24 Log-rank test p=0.0180 CP101 Time (Weeks) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 100 90 80 70 60 50 40 30 20 10 0 Placebo Participants treated with CP101 had a lower risk of CDI recurrence through Week 24


Slide 12

Positive topline results from PRISM-EXT Phase 2 open-label trial of CP101 in recurrent CDI Week 0 Week 8 Primary safety & efficacy endpoints Week 24 Long-term safety & efficacy CP101 administration Participants with one or more CDI recurrences (n = 132) SOC antibiotics CDI Direct entry (n=82) PRISM3 roll overs (n=50) PRISM-EXT efficacy through Week 8 and Week 24 Proportion without CDI recurrence Aggregated 88.2% of participants without CDI recurrence through 8 weeks following last dose in a post-hoc analysis of participants that received up to two doses of CP101 in PRISM3 and PRISM-EXT* 8 weeks post CP101 + SOC antibiotics 24 weeks post CP101 + SOC antibiotics n=132 n=132 SOC: Standard of care; SAEs: Serious adverse events; *Post-hoc analysis of 102 participants who received either a single dose of CP101 in PRISM3 (n=82) or two doses of CP101 by enrolling in PRISM-EXT (n=20)


Slide 13

PRISM4 Phase 3 trial of CP101 in recurrent CDI is designed to serve as a second pivotal trial to support a potential BLA for CP101 Recurrent CDI patients (n~300) Standard-of-care antibiotics Antibiotic washout CP101 Placebo Week 0 Week 8 Primary endpoint Proportion with CDI recurrence Week 24 Long term safety & efficacy Randomization Key Features Extension of antibiotic washout period to enhance engraftment Sample size increased to enhance power 2:1 randomization to CP101 or placebo Global study to support marketing authorizations outside the US CDI *Finch expects to proceed with enrollment in PRISM4 after it completes certain manufacturing activities and quality system updates related to the recently resolved clinical hold regarding Finch’s SARS-CoV-2 screening procedures, and submits for the FDA’s review and agreement the validation package for one of its release tests and a PRISM4 protocol amendment. The PRISM4 protocol amendment will implement changes to the algorithm used to diagnose suspected CDI recurrences and revisions to the planned statistical analysis. Enrollment expected to proceed in H2 2022*


Slide 14

FIN-211 for Autism Spectrum Disorder (ASD)


Slide 15

Sources: Chaidez J Autism Dev Disord 2014; Cao Shanghai Arch Psychiatry 2013; CDC Data and Statistics on ASD 2019; Leigh J Autism Dev Disord 2015 Finch plans to initially focus on the subset of the ASD population suffering from significant GI symptoms ASD ASD is a significant unmet need linked to the gut-brain axis 4.6M Children and adults in the U.S. with ASD >30% Report significant GI symptoms (diarrhea/constipation) 0 FDA-approved therapeutics for core symptoms of ASD $100B Annual cost to care for individuals with ASD in the U.S.


Slide 16

FIN-211 is designed to address both behavioral and gastrointestinal (GI) symptoms of ASD ASD Complete Consortia Enriched Consortia Targeted Consortia Delivers complete microbial community to restore broad community function Delivers selected microbes to target specific biological pathways Hybrid approach to restore broad community function and target specific pathways FIN-211 is an orally-administered Enriched Consortia product candidate FIN-211 is designed to deliver a diverse microbial community that is enriched with select bacteria grown in pure culture to ensure key mechanisms are consistently engaged FIN-211 is designed to target: Reduced neuroinflammation Enhanced gut barrier function Oxytocin production


Slide 17

1. Evaluate safety and tolerability 2. Identify the optimal treatment regimen, including dosing and pre-treatment regimen 3. Generate early proof-of-concept data to support the design and power calculations for later stages of development Enhanced design of the Phase 1b trial of FIN-211 reflects insights from recent third-party clinical data Finch’s platform provides the opportunity to leverage third-party clinical data to inform the FIN-211 clinical development plan ASD Early FIN-211 clinical development objectives:


Slide 18

Open label data shows improvements in both GI and behavioral symptoms following microbiota transplantation (n=18) Sources: Kang Microbiome 2017; Kang Sci Rep 2019 Children with ASD (n=18) Week 0 Week 8 Daily maintenance microbiota transplantation 8 weeks post treatment Gastrointestinal Symptom Rating Scale (GSRS) and Childhood Autism Rating Scale (CARS) assessed at 8-weeks and 2 years post treatment 2 years post treatment High dose microbiota transplantation Moderate ASD Cutoff Severe Mild Baseline 8 weeks post treatment 2 years post treatment Each dot represents an individual child 58% reduction in GI symptoms at 2 years post treatment compared to baseline 33% of children below the cutoff for ASD diagnosis at 2 years post treatment 45 40 35 30 25 20 15 ASD Study 1 Vancomycin + bowel prep CARS


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Randomized clinical study showed improvement in both GI and behavioral symptoms following microbiota transplantation (n=45) Source: Zhao Gastrointest Endosc 2019 (DDW Abstract) Individuals with ASD (n=45) Microbiota transplantation and behavioral therapy (n=24) Control (behavioral therapy alone) (n=21) Week 0 Month 2 Behavioral (CARS) and GI symptoms (GSI) assessed at Week 0, Month 2, and Month 4 Month 4 Randomization n = 24 Behavioral scores significantly improved at 2 months post microbiota transplantation n = 21 p<0.001 CARS score improvements at Month 2 (%) GI severity index (GSI) significantly improved Behavioral (CARS) scores significantly improved Microbiome shifted towards a healthy composition Results at 2 months post microbiota transplantation ASD Study 2 Without vanco or bowel prep


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New open-label clinical data continue to emerge showing GI and behavioral improvements following microbiota transplantation (n=40) Sources: Li Front Cell Infect Microbiol 2021 Children with ASD (n=40) 4-week microbiota transplantation treatment (one dose per week) 8 weeks post treatment assessment Gastrointestinal symptoms improved following microbiota transplantation Behavioral scores improved following microbiota transplantation ASD Baseline assessment & bowel prep (without vanco) Percentage of abnormal stool based on Bristol Stool scale p<0.001 Average childhood autism rating scale (CARS) scores Baseline 8 weeks post treatment Baseline 8 weeks post treatment p<0.0001 Study 3


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Study Number of participants Vanco pre-treatment Bowel prep GI improvement Behavioral improvement Ward (2016) 9 Y N N/A  Kang (2017/2019) 18 Y Y   Zhao (2019) 24 N N   Li (2019) 85 N N   Huanlong (unpublished) 31 N -   Li (2021) 40 N Y   Total 207 Third-party microbiota transplantation studies provide insight into optimal treatment regimen in children with ASD and GI symptoms ASD Enhancements to AUSPIRE Phase 1b trial design leverage insights from latest third-party clinical data Sources: Kang Microbiome 2017; Kang Sci Rep 2019; Zhao Gastrointest Endosc 2019 (DDW Abstract); Ward Open Forum Infect Dis 2016 (ID Week Abstract); Li Zhonghua Wei Chang Wai Ke Za Zhi 2019; Li Front Cell Infect Microbiol 2021


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Enhanced AUSPIRE Phase 1b trial is designed to provide early proof of concept and inform later stage development Anticipated changes to the AUSPIRE trial design are expected to provide insights into the potential impact of FIN-211 on behavioral and GI symptoms, in addition to establishing safety and tolerability Ph1b Endpoints Primary endpoint Safety and tolerability Secondary endpoints​ Childhood Autism Rating Scale (CARS) and consistency of bowel movements using the Bristol Stool Scale Exploratory endpoints​ Additional behavioral endpoints and GI endpoints, as well as PK/PD Children with ASD-GI (n~36) FIN-211 Placebo Bowel prep Randomization Final assessment Week 32 IND filing expected in Q4 2022 Daily dosing Week 8


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Finch is advancing a portfolio of product candidates to address significant unmet needs Candidate Indication Consortia Type Program Rights GI/Immuno CP101 Recurrent C. difficile Complete TAK-524 (formerly FIN-524) Ulcerative Colitis Targeted FIN-525 Crohn’s Disease Targeted Neuro FIN-211 Autism Spectrum Disorder Enriched Phase 1 Phase 3 Phase 2 Preclinical *Expected runway includes cash and cash equivalents on hand as of March 31, 2022, together with recent debt facility, expected near term milestones from the Takeda partnership, and the expected subletting of one of Finch’s office and lab facilities. Expected runway into Q2 2024*, through key clinical milestones, including topline data from PRISM4 and initial safety data from AUSPIRE


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Harnessing the microbiome to transform patients’ lives