8-K – Current report

On April 14, 2016 Synta Pharmaceuticals Corp. ("Synta") (NASDAQ: SNTA) and Madrigal Pharmaceuticals, Inc., a privately-held company ("Madrigal"), reported that they have entered into a definitive merger agreement (the "Merger") under which Madrigal will merge with a wholly-owned subsidiary of Synta in an all-stock transaction (Filing, 8-K, Synta Pharmaceuticals, APR 14, 2016, View Source [SID:1234510818]). The Merger will create a company focused on the development of novel small-molecule drugs addressing major unmet needs in cardiovascular-metabolic diseases and non-alcoholic steatohepatitis (NASH). Madrigal’s lead compound, MGL-3196, is a Phase 2-ready once-daily, oral, liver-directed selective thyroid hormone receptor-ß (THR-ß) agonist for the treatment of NASH and heterozygous and homozygous familial hypercholesterolemia (HeFH, HoFH). Upon closing of the transaction, the combined company will be named Madrigal Pharmaceuticals, and Paul A. Friedman, M.D. will become Chairman and Chief Executive Officer.

Under the terms of the merger agreement, Synta will acquire all outstanding shares of Madrigal in exchange for approximately 253.9 million newly issued shares of Synta common stock. Upon completion of the proposed acquisition, it is anticipated that existing Synta shareholders will own 36.0% of the combined company and Madrigal shareholders will own 64.0% of the combined company. The transaction has been approved by the boards of directors of both companies and the shareholders of Madrigal. The merger is expected to close by the end of the third quarter of 2016, subject to customary closing conditions, including approval of the merger by the shareholders of Synta.

An investor syndicate that includes Bay City Capital, Fred Craves, Ph.D., Founder of Bay City Capital, and SQN LLC, a corporation held by Dr. Friedman and Rebecca Taub, M.D., has committed to invest up to $9 million in Madrigal prior to the closing of the Merger. The combined company intends to use these proceeds, in addition to Synta’s cash balance at the closing of the merger, to fund the development of MGL-3196 through Phase 2 clinical studies in NASH, HeFH and HoFH.

"Following an extensive review of strategic alternatives, Synta’s Board of Directors believes that a merger with Madrigal Pharmaceuticals offers shareholders the most compelling opportunity for enhancing long-term value," said Keith R. Gollust, Chairman of Synta. "Madrigal’s lead compound, MGL-3196, is a selective THR-ß agonist with a unique lipid lowering profile that has been validated through early clinical and preclinical studies. The combined company will be well capitalized with a lead program that offers both a potentially substantial commercial opportunity in NASH, and an efficient clinical development plan with commercial potential in genetic lipid disorders."

"MGL-3196 is designed to specifically target thyroid hormone beta receptors in the liver involved in metabolism and cholesterol regulation, and avoid side effects associated with thyroid hormone receptor activation outside the liver," said Dr. Taub, Founder and Chief Executive Officer of Madrigal. "As a result,

and because of MGL-3196’s observed high liver uptake and high ß-selectivity, it has a favorable safety profile and did not show adverse findings observed in chronic animal toxicology studies with a prior thyroid agonist. Madrigal has designed Phase 2 clinical programs to establish proof of concepts in both NASH and FH with data readouts for each program anticipated throughout 2017."

MTS Health Partners, L.P. and ROTH Capital Partners, LLC served as financial advisors, and Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C. served as legal counsel to Synta and Stradling Yocca Carlson & Rauth, P.C. served as legal counsel to Madrigal with respect to the transaction.

Management and Organization

Effective with the signing of the merger agreement, Dr. Friedman has stepped down from Synta’s Board of Directors and will join Madrigal as an executive. Pursuant to the merger agreement, Dr. Friedman, the former Chief Executive Officer of Incyte Pharmaceuticals, will become Chairman and Chief Executive Officer of the combined company. Dr. Taub will assume the newly created role of Chief Medical Officer, Executive Vice President, Research & Development, following the closing of the Merger. Additionally, Marc Schneebaum, the current Chief Financial Officer of Synta, will continue as the Chief Financial Officer of the combined company. The board of directors of the combined company will be comprised of seven directors, including five directors of Madrigal: Dr. Friedman (Chairman); Dr. Taub; Fred Craves, Ph.D.; and two additional directors who will be designated, and one current director of Synta: Keith Gollust. There will also be one additional independent director to be agreed upon by Synta and Madrigal. The corporate headquarters will be located in the Philadelphia area.

About MGL-3196

MGL-3196 is an orally administered, small-molecule ß-selective THR agonist being developed for non-alcoholic steatohepatitis (NASH) and heterozygous and homozygous familial hypercholesterolemia (FH) to lower LDL cholesterol, triglyceride levels and Lp(a). It was designed to specifically target receptors in the liver involved in metabolism and cholesterol regulation, and avoid side effects associated with thyroid hormone receptor activation outside the liver, including those mediated by THR-α receptors. MGL-3196 is a potent regulator of hepatic triglyceride metabolism and cholesterol metabolism. In two week studies in humans MGL-3196 has been shown to reduce lipids: 30% for LDL cholesterol; 28% for non- high density lipoprotein (HDL) cholesterol; 24% for Apolipoprotein B, and up to 60% reduction in triglycerides. NASH in humans is a condition in which thyroid receptor-ß activity is diminished. MGL-3196 reduces lipotoxicity associated with NASH and in NASH preclinical models, MGL-3196 potently reduces hepatic triglycerides and markers of inflammation and fibrosis. MGL-3196, in-licensed from Roche Pharmaceuticals, has completed single, multi-ascending dose and drug interaction studies in humans in which the compound demonstrated a favorable safety profile at all doses tested.

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Portola Pharmaceuticals Announces Upcoming Cerdulatinib Data Presentation at American Association for Cancer Research (AACR) Annual Meeting 2016

On April 14, 2016 Portola Pharmaceuticals (Nasdaq:PTLA) reported that new data from a pharmacokinetic modeling study designed to identify the dose of cerdulatinib for expansion cohorts in a Phase 2 study will be presented in a poster session at the American Association for Cancer Research (AACR) (Free AACR Whitepaper) Annual Meeting 2016, which is taking place from April 16-20 in New Orleans (Press release, Portola Pharmaceuticals, APR 14, 2016, View Source;p=RssLanding&cat=news&id=2157123 [SID:1234510817]).

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Cerdulatinib is an oral, dual Syk/JAK kinase inhibitor in development to treat patients with resistant or relapsed hematologic cancer. Cerdulatinib inhibits two key cell signaling pathways that promote cancer cell growth in certain hematologic malignancies. Portola is evaluating cerdulatinib in an ongoing Phase 1/2 study in patients with relapsed/refractory B-cell malignancies who have failed multiple therapies.

The abstract will be made available at www.AACR.org.

Poster Presentation Details

Abstract Title (#CT144): Preclinical and clinical studies and modeling and simulation to identify Phase 2 dose for cerdulatinib: a dual SYK/JAK inhibitor for the treatment of B-cell malignancies
Presenting Author: Janet M. Leeds, Ph.D., Senior Director, Drug Metabolism and Pharmacokinetics, Portola Pharmaceuticals

Poster Session Title: Phase I Clinical Trials 2
Presentation Date and Time: Wednesday, April 20, 7:30 a.m. – 11 a.m. Central Time
Location: Ernest N. Morial Convention Center, Halls G-J, Poster Section 13

Myriad Genetics Announces Presentations at the 2016 American Association for Cancer Research Annual Meeting

On April 14, 2016 Myriad Genetics, Inc. (NASDAQ:MYGN), a leader in molecular diagnostics and personalized medicine, reported that the company and its scientific collaborators will present two studies at the American Association for Cancer Research (AACR) (Free AACR Whitepaper) annual meeting, April 16-20, in New Orleans, La (Press release, Myriad Genetics, APR 14, 2016, View Source [SID:1234510815]). The data will highlight early clinical trials of PARP inhibitors targeting the DNA repair pathway and the use of novel biomarkers to select patients for treatment.

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"Myriad is a leader in developing companion diagnostics for promising new medicines like the PARP inhibitors currently in clinical development," said Richard Wenstrup, M.D., chief medical officer, Myriad Genetics. "Our successful collaborations demonstrate our collective goal of improving patient care through precision medicine. Our growing portfolio of companion diagnostics will achieve that objective by helping physicians select the right treatments for their patients with cancer."

The studies to be presented are described below, and the abstracts are now available at: View Source Follow Myriad on Twitter via @MyriadGenetics to stay informed about news and updates from the Company.

Featured AACR (Free AACR Whitepaper) Mini-Symposia

Title: Safety and efficacy results from a Phase 1 dose-escalation trial of the PARP inhibitor talazoparib (BMN-673) in combination with either temozolomide or irinotecan in patients with advanced malignancies.
Date: Sunday, April 17, 2016: 4:30—4:45 p.m. CDT.
Location: Podium CT011.
Presenter: Zev A. Wainberg, M.D., UCLA Medical Center

Title: Preclinical evaluation of the PARP inhibitor niraparib and cytotoxic chemotherapy alone in combination in a panel of 25 triple-negative breast cancer PDX models: relevance of BRCA mutations, HRD status and other biomarkers.
Date: Tuesday, April 19, 2016: 3:20—3:35 p.m. CDT.
Location: Podium 4353.
Presenter: Olivier Deas, Ph.D., XenTech SAS.

Juno Therapeutics Announces Data Presentations at the American Association for Cancer Research Annual Meeting

On April 14, 2016 Juno Therapeutics, Inc. (NASDAQ: JUNO), a biopharmaceutical company focused on re-engaging the body’s immune system to revolutionize the treatment of cancer, reported the Company, in partnership with its collaborators, will present clinical and pre-clinical data from multiple product candidates at the upcoming American Association for Cancer Research (AACR) (Free AACR Whitepaper) Annual Meeting 2016 in New Orleans, Louisiana from April 16-20 (Press release, Juno, APR 14, 2016, View Source;p=RssLanding&cat=news&id=2157199 [SID:1234510814]).

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There will be two presentations with clinical updates. On April 18th, Dr. Terry Fry will present the pre-clinical and clinical rationale as well as updated data from the ongoing Phase I trial of JCAR018, a chimeric antigen receptor (CAR) T cell product candidate targeting CD22, in pediatric and young adult patients with relapsed or refractory B-cell acute lymphoblastic leukemia (r/r ALL). On April 20th, Dr. Phil Greenberg will present the pre-clinical rationale as well as the first clinical data in patients with solid organ tumors for JTCR016, a T cell receptor (TCR) cell product candidate targeting Wilms tumor-1 (WT-1).

Dr. Hy Levitsky, Juno’s Executive Vice President, Research and Chief Scientific Officer, will discuss pre-clinical data that informed the rationale and design of the ongoing Phase 1 trial for JCAR024, a CAR T cell product candidate targeting ROR-1, in ROR-expressing tumors. Additionally, two Juno-sponsored posters will be presented and Juno’s investigational CAR T cell product candidates will be featured in three additional presentations.

Clinical and Pre-Clinical Updates

CD22 CAR Update and Novel Mechanisms of Leukemic Resistance
Presenter: Terry J. Fry, M.D., Investigator, Pediatric Oncology Branch and Head of Hematologic Malignancies Section, National Cancer Institute, National Institutes of Health
Date: Monday, April 18, 2016: 12:35 – 12:58 p.m. Eastern Time
Location: Room 243

Targeting Cancer with Engineered T Cells
Presenter: Phil Greenberg, M.D., Head of Program in Immunology at the Fred Hutchinson Cancer Research Center and Professor, Medicine/Oncology and Immunology, University of Washington
Date: Wednesday, April 20, 2016: 10:55 – 11:20 a.m. Eastern Time
Location: New Orleans Theater B

Pre-Clinical Updates
ROR1 Targeted by CAR T Cells
Presenter: Hy Levitsky, M.D., Juno’s Executive Vice President, Research and Chief Scientific Officer
Date: Tuesday, April 19, 2016: 1:05 – 1:30 p.m. Eastern Time
Location: New Orleans Theater C

Toxicity and Efficacy Probability Intervals Design for Phase I Dose-Finding in Oncology Trials
Authors: Daniel Li, Ph.D., et al., Juno Department of Clinical Statistics
Date: Sunday, April 17, 2016: 1:00 – 5:00 p.m. Eastern Time
Location: Section 20, Poster Board #29

Comprehensive TIL Profiling by Simultaneous DNA Barcoding of Proteins, RNA and Natively Paired Immune Receptors from Millions of Single Cells
Authors: Katherine Connor, Ph.D., et al., Juno Department of Research, Receptor Discovery
Date: Monday, April 18, 2016: 8:00 a.m. – 12:00 p.m. Eastern Time
Location: Section 24, Poster Board #3

Educational and Major Symposia Sessions
The New T Cell Engineering Arsenal: CARs, CCRs, iCARs, and More
Presenter: Michel Sadelain, M.D., Ph.D., Director, Center for Cell Engineering & Gene Transfer and Gene Expression Laboratory; Stephen and Barbara Friedman Chair, Memorial Sloan Kettering Cancer Center
Date: Saturday, April 16, 2016: 2:00 – 2:25 p.m. Eastern Time
Location: New Orleans Theater A

Novel Designs and Targets for CAR T Cells
Presenter: Stan Riddell, M.D., Member, Program in Immunology, Clinical Research Division, Fred Hutchinson Cancer Research Center, Professor of Oncology, University of Washington School of Medicine
Date: Tuesday, April 19, 2016: 10:40 – 11:05 a.m. Eastern Time
Location: La Nouvelle Orleans Ballroom

Turbo Charged CAR T Cells
Presenter: Michel Sadelain, M.D., Ph.D., Director, Center for Cell Engineering & Gene Transfer and Gene Expression Laboratory; Stephen and Barbara Friedman Chair, Memorial Sloan Kettering Cancer Center
Date: Tuesday, April 19, 2016: 11:40 a.m. – 12:05 p.m. Eastern Time
Location: La Nouvelle Orleans Ballroom

About Juno’s Chimeric Antigen Receptor (CAR) and T Cell Receptor (TCR) Technologies

Juno’s CAR and TCR technologies genetically engineer T cells to recognize and kill cancer cells. Juno’s CAR T cell technology inserts a gene for a particular CAR into the T cell, enabling it to recognize cancer cells based on the expression of a specific protein located on the cell surface. Juno’s TCR technology provides the T cells with a specific T cell receptor to recognize protein fragments derived from either the surface or inside the cell. When either type of engineered T cell engages the target protein on the cancer cell, it initiates a cell-killing response against the cancer cell. JCAR018, JTCR016, and JCAR024 are investigational product candidates and their safety and efficacy have not been established.

Versatility of Particulate Carriers: Development of Pharmacodynamically Optimized Drug-Loaded Microparticles for Treatment of Peritoneal Cancer.

Intraperitoneal (IP) chemotherapy confers significant survival benefits in cancer patients. However, several problems, including local toxicity and ineffectiveness against bulky tumors, have prohibited it from becoming a standard-of-care. We have developed drug-loaded, tumor-penetrating microparticles (TPM) to address these problems. TPM comprises two components and uses the versatile PLGA or poly(lacticco-glycolic acid) copolymer to provide tumor-selective adherence and pharmacodynamically optimized fractionated dosing to achieve the desired tumor priming (which promotes particle penetration into tumors) plus immediate and sustained antitumor activity. Preclinical studies show that TPM is less toxic and more effective against several IP metastatic tumors with different characteristics (fast vs. slow growing, porous vs. densely packed structures, wide-spread vs. solitary tumors, early vs. late stage, with or without peritoneal carcinomatosis or ascites), compared to the intravenous paclitaxel/Cremophor micellar solution that has been used off-label in previous IP studies. TPM further requires less frequent dosing. These encouraging preclinical results have motivated the follow-up clinical development of TPM. We are working with National Institutes of Health on the IND-enabling studies.

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