Attachment: 8-K


EX-99.1

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SY-5609 Phase 1 Dose-Escalation Data and Next Steps September 20, 2021 Exhibit 99.1


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Forward-looking statements This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve substantial risks and uncertainties. All statements, other than statements of historical facts, contained in this presentation, including statements regarding our strategy, research and clinical development plans, collaborations, future operations, future financial position, future revenues, projected costs, prospects, plans and objectives of management, are forward-looking statements. The words “anticipate,” “believe,” “estimate,” “expect,” “intend,” “may,” “plan,” “predict,” “project,” “target,” “potential,” “will,” “would,” “could,” “should,” “continue,” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words.  We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements.  Actual results or events could differ materially from the plans, intentions and expectations disclosed in these forward-looking statements as a result of various important factors, including our ability to: advance the development of our programs, including tamibarotene (formerly SY-1425), SY-2101 and SY-5609, under the timelines we project in current and future clinical trials; demonstrate in any current and future clinical trials the requisite safety, efficacy and combinability of our drug candidates; replicate scientific and non-clinical data in clinical trials; successfully develop a companion diagnostic test to identify patients with the RARA biomarker; obtain and maintain patent protection for our drug candidates and the freedom to operate under third party intellectual property; obtain and maintain necessary regulatory approvals; identify, enter into and maintain collaboration agreements with third parties, including our ability to perform under our collaboration agreements with Incyte Corporation and Global Blood Therapeutics; manage competition; manage expenses; raise the substantial additional capital needed to achieve our business objectives; attract and retain qualified personnel; and successfully execute on our business strategies; risks described under the caption “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2020 and our Quarterly Report on Form 10-Q for the quarter ended June 30, 2021, each of which is on file with the Securities and Exchange Commission (SEC); and risks described in other filings that we may make with the SEC in the future. In addition, the extent to which the COVID-19 outbreak continues to impact our workforce and our discovery research, supply chain and clinical trial operations activities, and the operations of the third parties on which we rely, will depend on future developments, which are highly uncertain and cannot be predicted with confidence, including the duration and severity of the outbreak, additional or modified government actions, and the actions that may be required to contain the virus or treat its impact.  Any forward-looking statements contained in this presentation speak only as of the date this presentation is made, and we expressly disclaim any obligation to update any forward-looking statements, whether because of new information, future events or otherwise.


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Here’s what you will take away from today Identified an optimal dosing regimen for further development of SY-5609, based on tolerability, PD and clinical activity that we believe is ideally suited for various combinations SY-5609 demonstrated single-agent activity, including prolonged stable disease (SD), tumor shrinkage and tumor marker decreases, in a heavily pretreated population across multiple tumor types Strongest signals of clinical activity were in metastatic pancreatic cancer patients – a patient population that is highly refractory to existing therapies Data support mechanistic rationale for SY-5609 in Rb-altered and KRAS-mutant cancers Clinical activity was associated with PD marker Data support a three-pronged combination development strategy in solid tumors and in blood cancers: Expansion in combo with chemo in pancreatic cancer expected to begin in 4Q 2021 Combo with immunotherapy in colorectal cancer in Roche’s Phase 1/1b INTRINSIC trial Phase 1b trial in combo with BTK inhibitor in mantle cell lymphoma expected to begin in 1H 2022


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Accelerating our vision  Targeted hematology therapy franchise Gene control discovery engine Selective CDK inhibitor franchise Fully integrated biopharmaceutical company


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Program Indication  Early Clinical IND- Enabling Mid-Clinical Pivotal Pivotal Commercial Rights Tamibarotene (oral RARα agonist) Newly diagnosed HR-MDS (w/aza) Newly diagnosed unfit AML (w/ven+aza) SY-2101 (oral ATO) Newly diagnosed APL (w/ATRA) SY-5609  (oral CDK7 inhibitor) Metastatic pancreatic cancer (2L w/chemo) Mantle cell lymphoma (2L+ w/BTK inhibitor) Colorectal cancer (w/atezolizumab)* Advancing a growing clinical-stage pipeline for targeted patient populations Tamibarotene is approved in Japan as Amnolake® for patients with relapsed/refractory APL  Americas, Europe, Australia, Israel & Russia SELECT-AML-1 Trial Dose confirmation study 2H2021; Ph3 2022 Expansion in 2L pancreatic Q42021 Select solid tumors SELECT-MDS-1 Trial Ph1b 1H2022 * Roche-sponsored trial


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SY-5609 Dose-Escalation Data David A. Roth, M.D.


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Our vision for SY-5609 Next Combinations in solid tumors and blood cancers Vision Transformative targeted therapy for difficult-to-treat cancers Now Single-agent POA and optimal regimen for combinations


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SY-5609: Highly selective and potent oral CDK7 inhibitor 0.06 nM potency for CDK7 13,000- to 49,000-fold more selective for CDK7 over CDK2, CDK9 and CDK12 Only 4 of 485 kinases inhibited at ≥ 90% 100-91% Inhibition 90-80% Inhibition 79-71% Inhibition Induced apoptosis in cancer cells but not in non-cancer cells DMSO SY-5609 100nM SY-5609 250nM SY-5609 500nM Non-cancer cells Cancer cells %Annexin V/PI + 60 50 40 30 20 10 0 Data presented in October 2019 at EORTC-NCI-AACR Conference


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Ongoing Phase 1 dose escalation in patients with select solid tumors Enrolled patients with advanced breast, colorectal, lung, ovarian or pancreatic cancer, as well as other tumor types with Rb pathway alterations  Standard 3+3 dose escalation Objectives included safety, tolerability, PK, PD and antitumor activity  SY-5609-101 Single-Agent Dose Escalation Schema 2 mg BID; 5d on/ 2 off 4 mg BID; 5d on/ 2 off 4 mg BID; 4d on/ 10 off  Alternate dosing & schedules explored 4 mg 8 mg 5 mg 5d on/2d off Cleared Closed Non-tolerated dose Ongoing MTD Continuous Dosing Intermittent Dosing Regimens 4 mg 5 mg 6 mg 7d on/7d off 4 mg 5 mg 3 mg (SA MTD) 1 mg Once Daily


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Baseline Characteristics and Patient Disposition Baseline Characteristics (n=54) Median Age, years (range) 65.5 (44-81) Gender, n (%) Female 34 (63) Median # prior therapies (range) 4 (1-8) ≥ 5 Prior therapies, n (%) 22 (41) Cancer Type, n (%) Breast 2 (3) Colorectal 8 (15) NSCLC 6 (11) Ovarian 8 (15) Pancreatic 15 (28) Other Rb-altered tumors 15 (28) Patient Disposition (n=54) Duration of Treatment: Median days (range) 50.5 (7-344) Patients continuing to dose 8 (14.8) Patients withdrawn from treatment 46 (85.2)      Disease Progression (per RECIST) 31 (57.4) Symptomatic Disease Progression 7 (13.0)      Adverse Event 4 (7.4)      Withdrew Consent/ Investigator Decision/Other 4 (7.4) Schedule (28-day cycle) Total enrolled Daily continuous dosing 17 7 days on, 7 days off 14 5 days on, 2 days off 21 4 days on, 10 days off 2 Data cut date –July 6, 2021 Data presented at ESMO 2021


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Tolerability was optimized with 7d on/7d off dosing schedule AE summary across all doses and schedules Manageable safety profile with majority of AEs low-grade and reversible Majority of AEs were low-grade and reversible Most frequent TEAEs: GI, fatigue, thrombocytopenia, anemia Low rate of discontinuation due to AEs at ~7% DLTs observed across cohorts were: Thrombocytopenia (3), nausea (2), colitis (2), abdominal pain (1), fatigue (1), mucositis (1) & hypotension (1) Rates of related AEs were lowest with 7d on/7d off, supporting its selection as optimal schedule for combination development Similar safety profile for SY-5609/fulvestrant combination Single-Agent Safety Population, N = 54 Data presented at ESMO 2021


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Clinical activity seen in heavily pretreated patients across multiple tumor types 13 of 45 (28.9%) response-evaluable patients achieved stable disease (SD) across doses and schedules Of those, six had tumor regressions of up to 20% SD achieved in daily and intermittent dose cohorts with doses as low as 3 mg/d, including a 25% SD rate in 7d on/7d off cohorts Decreases seen in clinically relevant tumor markers used to monitor disease progression 3 of 4 pancreatic cancer patients with serial CA 19-9 data had decreases in the tumor marker 1 ovarian cancer patient with GCIG response (84% CA-125 decrease) and associated 18% tumor regression Median treatment duration of 141 days in patients with tumor regression and 85 days in those who achieved SD with no tumor regression, compared to 57 days for those with disease progression Data presented at ESMO 2021


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Analysis of clinical activity by tumor type and mutational status supports mechanistic rationale in Rb-altered and KRAS-mutant cancers Highest rates of activity seen in pancreatic cancer patients and Rb-altered tumor cohort **43 patients had ctDNA analysis of KRAS mutations at baseline. *Rb-altered patients had tumor types other than breast, ovarian, CRC, lung or pancreatic cancer, who were enrolled based on historical molecular evidence of mutation/deletion in Rb pathway gene(s). KRAS mutations associated with clinical activity Percentage of patients with KRAS mutations by response category** Internal company data


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More than double the rate of clinical activity seen in pancreatic cancer, compared to other tumor types 69-year-old patient with metastatic disease in 3rd relapse No response to prior FOLFIRINOX and Xeloda; relapsed after Gem/nab-Pac chemotherapy just prior to starting on study Remained in SD for 10 months Received 3mg/day on 7d on/7d off schedule for 7+ of 10 months on treatment CT scans show 20% decrease in target lesion 72% max decrease in CA 19-9 tumor marker Courtesy, Dr. K. Papadopoulos Courtesy, START San Antonio Data presented at ESMO 2021 Heavily pretreated pancreatic cancer patient with durable SD and significant tumor marker reduction Summary of activity in pancreatic cancer patients 5 of 13 (38.5%) of response-evaluable PDAC patients achieved stable disease 2 of 5 patients with SD had tumor shrinkage All patients with SD treated at 3 mg/day or higher, with 4 of 5 patients treated on intermittent schedules CA 19-9 decreases in 3 of 4 pancreatic patients with serial assessments ranged from 32%-72%


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PD responses are associated with anti-tumor activity in patients; sustained PD activity further supports intermittent dosing In 33 response-evaluable patients with matching single-dose POLR2A PD PBMC data 100% (16/16) of patients in upper 50th percentile of PD response had target lesions that remained stable per RECIST criteria; 5 of 6 with tumor shrinkage in upper 50th percentile 41% (7/17) of patients in lower 50th percentile of PD response had target lesions that remained stable, including 1 with tumor shrinkage; all 10 patients with progressive disease were in lower 50th percentile  Sustained PD activity in PBMCs for at least 3 days post dose-cessation supporting intermittent schedules * Single dose, trough (24 hours) SD with tumor shrinkage SD Progressive disease 50th percentile PBMC POLR2A PD vs Target Lesion (TL) Response Internal company data *


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SY-5609 Development Strategy Kristin Stephens


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Three-pronged combination strategy aimed at maximizing potential of SY-5609 Strong mechanistic rationale + Early clinical activity + Compelling preclinical data + High unmet need + Potential for first-in-indication leadership position Pancreatic cancer in combination with chemo Mantle cell lymphoma in combination with BTK inhibitor Colorectal cancer in combination with I/O in Roche’s Ph1/Ph1b INTRINSIC trial


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CDK7i disrupts the CDK and transcriptional activity needed to progress through the cell cycle Altered Rb pathway BRAF and KRAS mutations CDK1 CDK2 Selective CDK7 inhibition attacks two fundamental processes in cancer Cell Cycle Transcription CDK7i MYC MYB MCL1 MCL1 Apoptosis CDK7i has been shown preclinically to decrease expression of these transcription factors and proteins Transcription Transcription CDK4/6 M G2 S G1 Apoptosis


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Focusing on cancers driven by transcriptional and cell cycle dependencies KRAS mutations, which are ubiquitous in pancreatic cancer, are powerful activators of cell signaling and transcriptional programs for cell cycle progression Pancreatic cancer Mantle cell lymphoma BRAF-mutant colorectal cancer Driven by overexpression of cyclin D, an Rb pathway regulator, and dependent on B-Cell Receptor signaling and NF-κB transcriptional programs for survival and growth BRAF mutations, which are present in 10% of colorectal cancer patients, are powerful activators of cell signaling and transcriptional programs for cell cycle progression


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Preclinical data support SY-5609 in relapsed pancreatic cancer patients in combination with chemotherapy SY-5609 potentiates activity of gemcitibine in pancreatic cancer model using 7d on/7d off regimen Vehicle SY-5609: 3mg/kg, P.O., QD 7/7 Gemcitabine: 50mg/kg, I.P., BIW Combination: Same doses and schedules as single agents (Gem 8h prior to SY-5609 on days 1, 5, 15, 19) Data presented at ESMO 2021 SY-5609 induces regressions in KRAS-mutant models, including those derived from heavily pretreated patients Regressions seen in 50% (4/8) models 3/4 models with regressions derived from heavily pretreated patients Model ID TGI (%) Prior treatments KRAS mutation 1 >100 0 G12D 2 >100 3 NRAS 3 >100 5 G12D 4 >100 3 G12D 5 92 0 G12V 6 87 0 G12V 7 42 4 G12D 8 8 0 G12R Dosed at 6mg/kg QD for 21 days


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Opportunity to address unmet need in pancreatic cancer High unmet need in metastatic pancreatic cancer Commonly diagnosed in advanced stages, with poor prognosis due to lack of effective treatment and rapid disease progression1 Incidence of second-line patients is ~27,500 in US2 Only approved second-line therapy (Onivyde + 5-FU/LV) has PFS of 3.1 months3 Planned expansion in second-line pancreatic cancer patients expected to start in Q4 2021 Expansion ~ 25 patients Endpoints Measures of anti-tumor activity, including DCR and PFS, as well as safety and tolerability Patient population Metastatic patients who have progressed following first-line treatment with FOLFIRINOX SY-5609 administered 7d on/7d off, at a starting dose of 4 mg Gemcitabine and nab-paclitaxel administered at approved doses Safety lead-in Doublet with gemcitabine Triplet with gemcitabine and nab-paclitaxel Safety lead-in Expansion ~ 25 patients 1.Vincent, A, 2011, Spaulding, D, 2011.; 2. Sadhu and Vinuesa, Pancreatic Cancer Disease Landscape & Forecast, DRG, 2021.; 3.Wang-Gillam et al, 2015.


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Preclinical data support SY-5609 in BRAF-mutant CRC in combination with PDL1 inhibitor: SY-5609 part of Roche’s Phase 1/1b INTRINSIC trial 67% (20/30) of models demonstrated ≥ 50% TGI 23% (7/30) demonstrated deep responses of ≥ 90% TGI Deep responses enriched in BRAF-mutant (5/10) models CRC data presented in May 2020 at ASCO Virtual Symposium. Robust anti-tumor activity in BRAF-mutant CRC as single agent 0 10 Days 20 0 500 1000 1500 2000 Tumor Volume (mm3) 2500 30 Vehicle SY-5609 (6mpk QD) CDK7 inhibition enhances anti-tumor activity of PD-1 inhibition CDK7i induces DNA replication stress and genome instability in cancer cells, triggering immune-response signaling In animal models, CDK7i enhances tumor response to anti-PD1 immunotherapy Prolonging overall survival, and increasing immune cell infiltrates1 First clinical investigation of CDK7 inhibitor with immunotherapy 1. Zhang et al., 2020, Cancer Cell 37, 1-18


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Preclinical data support SY-5609 in mantle cell lymphoma in combination with BTK inhibitor SY-5609 is synergistic with BTK inhibitor in MCL cell line in vitro Internal company data Leverages expertise in hematology and supports our growing targeted hematology portfolio Hallmark of MCL is a genetic translocation that results in overexpression of cyclin D1 in virtually all patients MCL is also dependent on B-Cell Receptor signaling (BCR), which activates NKFB transcriptional programs Combining SY-5609 with a BTK inhibitor, which inhibits BCR signaling, leverages both these cell cycle and transcriptional dependencies In preclinical studies, combination of SY-5609 and BTK inhibitor enhances both the reduction in expression of cyclin D and in vivo anti-tumor activity


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Opportunity to address unmet medical in relapsed mantle cell lymphoma High unmet need in mantle cell lymphoma Accounts for 5-10% of all non-Hodgkin lymphomas, with incidence of ~10,000 in US and EU1 Worst prognosis among all lymphomas Despite durable response rates in first-line setting, patients eventually relapse and median survival is 3-5 years2 BTK inhibitors offer an oral, targeted option for second-line patients but with reduced activity over first-line and almost certain relapse, providing modest PFS of 15-18 months3 Planned Phase 1b trial in relapsed mantle cell lymphoma patients expected to start in H1 2022 Safety evaluation as single agent in 3L+ mantle cell and marginal zone lymphoma patients Endpoints Safety, tolerability, and measures of anti-tumor activity, including CR, ORR and PFS Combination with BTK inhibitor in 2L+ mantle cell lymphoma (BTK naive) ~ 20 patients SY-5609 administered 7d on/7d off, at a starting dose of 5 mg BTK inhibitor administered at approved doses Safety lead-in with BTKi in 3L+ mantle cell and 2L+ marginal zone lymphoma patients 1. Datamonitor Healthcare estimates; 2.Fakhri and Kahl, 2017;  3. Wen et al, Leukemia 2021 


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Key takeaways Identified an optimal dosing regimen for further development of SY-5609, based on tolerability, PD and clinical activity that we believe is ideally suited for various combinations SY-5609 demonstrated single-agent activity, including prolonged stable disease (SD), tumor shrinkage and tumor marker decreases, in a heavily pretreated population across multiple tumor types Strongest signals of clinical activity were in metastatic pancreatic cancer patients – a patient population that is highly refractory to existing therapies Data support mechanistic rationale for SY-5609 in Rb-altered and KRAS-mutant cancers Clinical activity was associated with PD marker Data support a three-pronged combination development strategy in solid tumors and in blood cancers: Expansion in combo with chemo in pancreatic cancer expected to begin in 4Q 2021 Combo with immunotherapy in colorectal cancer in Roche’s Phase 1/1b INTRINSIC trial Phase 1b trial in combo with BTK inhibitor in mantle cell lymphoma expected to begin in 1H 2022


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Multiple expected value-driving milestones and strong cash position SY-5609 SY-2101 Tamibarotene w/ aza Tamibarotene w/ ven+aza Initiate SELECT-MDS-1 trial in ND HR-MDS Potential NDA filing in ND HR-MDS 2024 Initiate SELECT-AML-1 trial in ND unfit AML Initial data from SELECT-AML-1 trial in ND unfit AML2022 Initiate dose confirmation study  2H 2021 Confirmatory dose/PK data 1H 2022 Initiate Phase 3 registration trial in ND APL 2022 Potential NDA filing 2024 Additional dose-escalation data, including clinical activity  Initiate expansion in pancreatic cancer4Q 2021 Initiate Phase 1b in mantle cell lymphoma 1H 2022 Discovery Name next development candidate2022 ü ü Cash into 2023 through multiple expected value drivers ü


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EX-99.2

Exhibit 99.2

 

LOGO

Syros Presents New Data from Phase 1 Trial of SY-5609 and Details Three-Pronged Combination Strategy to Advance SY-5609 in Solid Tumors and Blood Cancer

Updated Dose-Escalation Data Demonstrate Clinical Activity in Heavily Pre-treated Patients Across Multiple Tumor Types

Plan to Initiate Expansion Evaluating SY-5609 in Combination with Chemotherapy in Pancreatic Cancer in 4Q 2021

Plan to Initiate Phase 1b Trial Evaluating SY-5609 in Combination with a BTK Inhibitor in Mantle Cell Lymphoma in 1H 2022

Evaluating SY-5609 in Combination with Immunotherapy in BRAF-Mutant Colorectal Cancer in Roche’s Ongoing Phase 1/1b INTRINSIC Trial

Management to Host Conference Call at 4:00 p.m. ET Today

CAMBRIDGE, Mass., Sept. 20, 2021 – Syros Pharmaceuticals (NASDAQ:SYRS), a leader in the development of medicines that control the expression of genes, today announced new data from the dose-escalation portion of the Phase 1 clinical trial of SY-5609, its highly selective and potent oral cyclin-dependent kinase 7 (CDK7) inhibitor, demonstrating clinical activity at tolerable doses as a single agent across multiple tumor types. The data is being presented today in an oral presentation at the 2021 ESMO Congress.

“I am encouraged by the results from this dose-escalation study,” said Manish R. Sharma, M.D., Associate Director of Clinical Research at START Midwest in Grand Rapids, Michigan, and an investigator in the Phase 1 study of SY-5609. “This trial enrolled heavily pretreated patients with some of the most difficult-to-treat malignancies. Notably, the prolonged stable disease and tumor shrinkage seen in pancreatic cancer patients is distinct from what you would expect to see in this highly refractory patient population – particularly when treated with a single agent. Based on these results, together with preclinical data supporting combination strategies, I believe SY-5609 has the potential to provide a meaningful benefit for patients with cancers that have largely eluded treatment to date.”

“The new data presented today demonstrate proof-of-activity for SY-5609 and point to an optimal dosing regimen with a tolerability profile that is amenable to multiple combination approaches,” said David A. Roth, M.D., Chief Medical Officer of Syros. “As we move into this next stage of development, we are introducing a three-pronged strategy to maximize the potential of SY-5609 and drive to proof-of-concept in combination with chemotherapy, a targeted therapy and an immunotherapy in both solid tumors and blood cancer. We believe this approach could unlock significant opportunities for SY-5609 and achieve the transformative potential of CDK7 inhibition for people with difficult-to-treat cancers.”


Dose-Escalation Data Demonstrate Clinical Activity Across Multiple Tumor Types

The Phase 1 multi-center, open-label dose-escalation study of SY-5609 enrolled patients with advanced breast, colorectal, lung, ovarian and pancreatic cancers, as well as patients with solid tumors of any histology harboring Rb pathway alterations. Patients were treated in cohorts exploring continuous daily dosing as well as intermittent dosing regimens, including seven days on treatment and seven days off (7d on/7d off) and five days on treatment and two days off (5d on/2d off).

As of July 6, 54 patients treated with single-agent SY-5609 in the study were eligible for a safety analysis and 45 patients were evaluable for clinical response. The median age of patients enrolled in the study was 65.5. Patients had been heavily pre-treated with as many as eight prior therapies and a median of four prior therapies.

Safety, Tolerability, Dose and Schedule

 

   

Across all doses and schedules, the majority of adverse events (AEs) were low-grade and reversible. The most common treatment-emergent AEs were nausea, diarrhea, thrombocytopenia, fatigue and anemia.

 

   

Low rate of discontinuations due to AEs.

 

   

Tolerability was optimized with 7d on/7d off schedule, which had lowest rates of treatment-emergent AEs, while demonstrating comparable rates of stable disease (SD) as seen with more dose-intense regimens, supporting the selection of this schedule for further development of SY-5609.

 

   

The maximum tolerated dose (MTD) of the 7d on/7d off schedule has not yet been reached.

 

   

Changes in POLR2A mRNA expression, a pharmacodynamic (PD) marker for CDK7 inhibition, were associated with anti-tumor activity and were sustained for at least three days following drug cessation, supporting intermittent dosing.

Early Clinical Activity Data

 

   

Thirteen patients (28.9%) achieved SD, with tumor regressions of up to 20% in six of those patients, across multiple tumor types.

 

   

The most substantial clinical activity was observed in heavily pre-treated patients with advanced pancreatic cancer.

 

   

Five of 13 (38.5%) evaluable patients achieved SD, with tumor reductions in two of those patients.

 

   

Reductions in the CA 19-9 tumor marker, which is used in clinical practice to monitor tumor progression, were observed in three of four pancreatic cancer patients with serial CA 19-9 data. These reductions ranged from 32% to 72%.

 

   

Notably, one metastatic pancreatic cancer patient who had failed two prior lines of therapy and relapsed after a third line of treatment experienced prolonged SD of up to 10 months.

 

   

Analysis of clinical activity by tumor type and mutational status supports the mechanistic rationale for SY-5609 in Rb-altered and KRAS-mutant cancers.


Clinical Development Plans for SY-5609 in Solid Tumors and Blood Cancer

Further development of SY-5609 will explore three combination regimens, focusing initially on indications with compelling clinical and/or preclinical activity, as well as a strong mechanistic rationale and high unmet need.

Syros plans to initiate an expansion cohort evaluating SY-5609 in combination with chemotherapy for the treatment of pancreatic cancer in the fourth quarter of 2021. Syros also plans to initiate a Phase 1b trial evaluating SY-5609 in combination with a Bruton’s tyrosine kinase (BTK) inhibitor for the treatment of mantle cell lymphoma in the first half of 2022. Syros plans to employ a 7d on/7d off dosing schedule in both of these trials. In addition, as announced in August 2021, Syros entered into an agreement with Roche to explore SY-5609 in combination with atezolizumab in patients with BRAF-mutant colorectal cancer in Roche’s ongoing Phase 1/1b INTRINSIC trial.

New Preclinical Data Further Support Planned Expansion Strategy

Syros also presented new preclinical data at ESMO evaluating the anti-tumor and PD activity of intermittent dosing regimens for SY-5609, as well as new preclinical data evaluating SY-5609 as a single agent and in combination with chemotherapy in pancreatic cancer models. Taken together, these data further support Syros’ dose expansion strategy, including the decision to use a 7d on/7d off dosing schedule and combine with chemotherapy in patients with pancreatic cancer. The data showed that SY-5609:

 

   

Induced robust anti-tumor activity as a single agent in ovarian cancer models that was maintained at higher doses on intermittent schedules, including a 7d on/7d off schedule. POLR2A PD effects were sustained in tumor tissue through 72 hours post-dosing, consistent with what was observed in patients in the dose-escalation study.

 

   

Induced regressions as a single agent in half (4/8) of the pancreatic cancer models that were studied, including models derived from heavily pre-treated patients.

 

   

Resulted in deeper responses when combined on 7d on/7d off schedule with gemcitabine in KRAS-mutant pancreatic models than either agent alone.

Conference Call Information

Syros will host a conference call at 4:00 p.m. ET today to discuss these data, as well as the design of its dose expansion study. To access the live conference call, please dial 866-595-4538 (domestic) or 636-812-6496 (international), and refer to conference ID 4648345. A webcast of the call will also be available on the Investors & Media section of the Syros website at www.syros.com. An archived replay of the webcast will be available for approximately 30 days following the conference call.

About Syros Pharmaceuticals

Syros is redefining the power of small molecules to control the expression of genes. Based on its unique ability to elucidate regulatory regions of the genome, Syros aims to develop medicines that provide a profound benefit for patients with diseases that have eluded other genomics-based approaches. Syros is advancing a robust clinical-stage pipeline, including: tamibarotene, a first-in-class oral selective RARα agonist in RARA-positive patients with


higher-risk myelodysplastic syndrome and acute myeloid leukemia; SY-2101, a novel oral form of arsenic trioxide in patients with acute promyelocytic leukemia; and SY-5609, a highly selective and potent oral CDK7 inhibitor in patients with select solid tumors and blood cancers. Syros also has multiple preclinical and discovery programs in oncology and monogenic diseases.

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995, including without limitation statements regarding Syros’s clinical development plans and collaborations with respect to SY-5609, the anticipated timing to expand or initiate new clinical trials of SY-5609, the evaluation of SY-5609 in combination with other therapies, and the ability of SY-5609 to have a benefit for patients. The words ‘‘anticipate,’’ ‘‘believe,’’ ‘‘continue,’’ ‘‘could,’’ ‘‘estimate,’’ ‘‘expect,’’ “hope,” ‘‘intend,’’ ‘‘may,’’ ‘‘plan,’’ ‘‘potential,’’ ‘‘predict,’’ ‘‘project,’’ ‘‘target,’’ ‘‘should,’’ ‘‘would,’’ and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Actual results or events could differ materially from the plans, intentions and expectations disclosed in these forward-looking statements as a result of various important factors, including Syros’ ability to: advance the development of SY-5609 under the timelines it projects in current and future clinical trials; demonstrate in any current and future clinical trials the requisite safety, efficacy and combinability of SY-5609; sustain the response rates seen to date with SY-5609; replicate scientific and non-clinical data in clinical trials; successfully establish a patient selection strategy and develop a companion diagnostic test to identify patients most likely to benefit from SY-5609; obtain and maintain patent protection for its drug candidates and the freedom to operate under third party intellectual property; obtain and maintain necessary regulatory approvals; identify, enter into and maintain collaboration agreements with third parties; manage competition; manage expenses; raise the substantial additional capital needed to achieve its business objectives; attract and retain qualified personnel; and successfully execute on its business strategies; risks described under the caption “Risk Factors” in Syros’ Annual Report on Form 10-K for the year ended December 31, 2020 and Quarterly Report on Form 10-Q for the quarter ended June 30, 2021, each of which is on file with the Securities and Exchange Commission; and risks described in other filings that Syros makes with the Securities and Exchange Commission in the future. In addition, the extent to which the COVID-19 pandemic continues to impact Syros’ workforce and its clinical trial operations activities, and the operations of the third parties on which Syros relies, will depend on future developments, which are highly uncertain and cannot be predicted with confidence, including the duration and severity of the pandemic, additional or modified government actions, and the actions that may be required to contain the virus or treat its impact. Any forward-looking statements contained in this press release speak only as of the date hereof, and Syros expressly disclaims any obligation to update any forward-looking statements, whether because of new information, future events or otherwise.


Media Contact:

Naomi Aoki

Syros Pharmaceuticals

617-283-4298

naoki@syros.com

Investor Contact:

Hannah Deresiewicz

Stern Investor Relations, Inc.

212-362-1200

hannah.deresiewicz@sternir.com


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