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Forward looking statements Some of the statements in this presentation constitute "forward looking statements" under the Private Securities Litigation Reform Act of 1995. Such statements are subject to factors, risks and

Key Takeaway: Corporate Presentation June 2017 Forward looking statements Some of the statements in this presentation constitute "forward looking statements" under the Private Securities Litigation Reform Act of 1995. Such statements are subject to factors, risks and uncertainties (such as t

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Corporate Presentation June 2017
Forward looking statements Some of the
statements in this presentation constitute "forward looking statements" under the Private Securities Litigation Reform Act of 1995. Such statements are subject to factors, risks and uncertainties (such as those detailed in the
Company's periodic filings with the SEC) that may cause actual results to differ materially from those expressed or implied by such forward looking statements. Any forward looking statements included herein represent our views as of today
only. We may update these statements, but we disclaim any obligation to do so.
Seres Investor highlights Expansive
therapeutic opportunity utilizing the microbiome, a highly promising new area of medicine Seres is a leader in microbiome drug development with differentiated capabilities Broad pipeline in infectious, inflammatory and immune, metabolic and liver
diseases Experienced, accomplished leadership team Strong cash and strategic position Platform Opportunity Pipeline Team Runway
The microbiome is essential to human
health Infectious Disease A diverse microbiome resists colonization by exogenous pathogens Exposure to broad spectrum antibiotics, and resulting gut microbiome dysbiosis, increase risk for C. difficile infection and colonization / infection by
multi-drug resistant organisms Inflammation and Immunology Microbiome known to alter regulatory T cells and Th17 T cell activation Role in inflammatory bowel disease (Ulcerative colitis and Crohn's disease) as well as allergy, rheumatoid
arthritis and multiple sclerosis The composition of the microbiome has been demonstrated to impact the efficacy and safety of immuno-oncology checkpoint inhibitors Metabolic Disease Effects on liver function, glucose utilization, and caloric
availability Microbiome, and bacterial bile acid metabolism, implicated in several metabolic diseases (e.g. diabetes, obesity, liver diseases) Selected references: Infectious disease / C. difficile: Leffler and Lamont, NEJM, 2015; Ulcerative
colitis: Paramsothy et al. Lancet, 2017; Moayyedi et al. Gastroenterology, 2015; Immuno-oncology: Vetizou M et al., Science 2015.; Slvan A. et al., Science 2015.; Dubin et al., Nature, 2016. NASH: Le Roy et al., Hepatology, 2012. Metabolic syndrome:
Perry et al. Nature, 2016, Ridaura VK et al., Science 2013. Primary sclerosing cholangitis Tabibian JH et al., Hepatology, 2016
Prioritize serious diseases where
dysbiosis of the gut microbiome has a causal role Focused clinical efforts Computational biology Basic microbiome research Microbiology Translational science Clinical development Advanced manufacturing World class, differentiated, microbiome
expertise Collaborate with leading academic centers to advance research in promising therapeutic areas Research in new therapeutic areas Business strategy Inflammatory bowel disease C. difficile infection
Robust microbiome therapeutics pipeline
SER-109 DISCOVERY EFFORTS PRECLINICAL PHASE 1 PHASE 2 SER-262 SER-287 Inflammatory bowel diseases Primary sclerosing cholangitis, NASH and other liver diseases Immuno-oncology and hematopoietic stem cell transplant SER-301 ACADEMIC COLLABORATOR
SER-155 Recurrent C. difficile Primary C. difficile Ulcerative colitis Inflammatory Bowel Disease (IBD) Prevention of infection and GVHD following hematopoietic stem cell or solid organ transplant Synthetically fermented Infectious
Inflammatory Based on interactions with the U.S. Food and Drug Administration , ECOSPOR III will be designated a Phase 3 trial and the company expects that this single pivotal study may support SER-109 registration and approval. Collaboration with
Nestl Health Science regarding C. difficile and IBD programs for markets only outside of North America Obesity/metabolic syndrome Biologically sourced Genetic metabolic diseases PHASE 3
Differentiated microbiome R&D
platform Computational discovery using human clinical datasets to allow rational design of microbiome drugs in multiple therapeutic areas Vast microbial strain library and commensal bacteria culturing know-how Disease targeted metabolic,
immunological, & efficacy screens for r-group' informed lead optimization Rationally Designed Ecologies Functional pathways Microbial networks In silico derivation of backbone' functional microbial ecologies Genomic
& phenotypic characterization of microbial strains & compositions using high resolution whole metagenomic shotgun sequencing, resolving down to strain level >14,000 strains spanning broad biological breadth Compositional Variants Efficacy
Metric Phylogenetically-informed "R-group" Optimization Only company with clinical stage microbiome development programs, human microbiome datasets, and clinical datasets before and after treatment
CMC platform enables manufacture of
cGMP-compliant, oral, microbiome therapeutic candidates Fermentation of anaerobic and spore-forming microbes Formulation, Filling, Delivery & Packaging enabling active product delivery cGMP Isolation of spores from complex biological materials
Synthetic candidates Biologically sourced Novel QC assays for Safety, Identity, Strength, Purity, and Quality including microbiome characterization Absorb. Lumin. DPA Tb+3 Novel germination, cultivation, and sporulation strategies enabling increased
culture diversity and productivity aa
Clostridium difficile Infection
Overview and R&D Programs Leading the Microbiome Revolution
C. difficile infection overview
Infectious disease caused by toxin producing anaerobic, spore-forming bacteria, resulting in diarrhea, abdominal pain, fever, and nausea Leading cause of hospital-acquired infection in the US; approximately 29,000 deaths/year Infection caused by
two-hit process: Disruption of gut microbiome and exposure to pathogenic spores ~25% of patients with primary CDI recur Risk of relapse increases with each recurrence Leffler and Lamont, New England Journal of Medicine, 2015
Treatment landscape & disease
burden Economic burden as high as $4.8B in U.S. acute-care facilities1 Recurrent CDI episode ~$18K2; >$50K for cycle of recurrences Modality Characteristics Antibiotics Perpetuates microbiome dysbiosis, creating C. difficile infection
susceptibility High recurrence rates, especially in recurrent cases Fecal Transplant Invasive procedures (colonoscopy or NG-tube) Potential for transmission of human pathogens No FDA approved products Antibodies Limited efficacy in Phase 3 studies
Does not address underlying microbiome dysbiosis Complex administration, not patient-friendly Vaccines Unproven efficacy until Phase 3 is complete Complex to identify and vaccinate elderly at-risk groups High Unmet Medical Need Dubberke and Olsen,
Clinical Infectious Diseases 2012; 2. Ghantoji et al., Journal of Hospital Infection, 2010. High Treatment Costs
Dysbiosis and potential for
therapeutic intervention Hypothetical patient course Healthy person with intact pathogen resistance High diversity microbiome Use of broad spectrum antibiotics Active C. diff. infection Antibiotic treatment of C. diff. infection Potential for
microbiome therapy to reduce risk of C. diff. recurrence Antibiotic mediated C. diff. killing Antibiotic exacerbation of dysbiosis Gastrointestinal microbiome diversity C. diff. bacterial & cytotoxin levels C. diff. recurrence risk C. diff.
outgrowth & cytotoxin production Potential for microbiome therapy to increase bacterial diversity in the GI tract Antibiotic mediated dysbiosis
SER-109 Phase 1b and Phase 2
(8-week) study results n=59 n=30 n=28 n=15 n=31 n=15 Phase 1b Open Label, Single-Arm (n=30; 4 sites) Phase 2 - Interim results Randomized, Placebo-Controlled (n=89; randomized 2:1; 28 sites) Primary Endpoint CDI recurrence up to 8 weeks
defined by: >3 unformed stools over 1 day CDI recurrence up to 8 weeks defined by: 3 unformed stools/day for 2 days Efficacy 13% recurrence per protocol 3 of 4 patients with recurrent transient diarrhea, did not require antibiotic
treatment and tested negative for C. diff. at 8 weeks SER-109: 44% (26 of 59) recurrence Placebo: 53% (16 of 30) recurrence Relative risk recurrence between arms not significant Safety Most AEs were mild to moderate and transient Most frequent AEs
were gastrointestinal symptoms similar in nature to that seen in FMT trials or following CDI SER-109 is well-tolerated with an acceptable safety profile, it was associated with a small increase in gastrointestinal adverse effects, particularly
diarrhea, compared to placebo (25% vs 14%) Phase 1b study results: Khanna et al. The Journal of Infectious Diseases; Phase 2 results: see July 31, 2016 press release (study results), and January 31, 2017 press release (Phase 2 study
SER-109 Phase 2 study post read-out
analyses and findings SER-109 analyses Key issues addressed Clinical Detailed analyses of clinical data Investigation of C. difficile diagnostics Pharmacodynamics / microbiome analyses Investigation of drug activity Chemistry, Manufacturing and
Controls (CMC) Drug product distribution and handling Phase 1b to Phase 2 manufacturing and formulation changes, and potential impact on drug activity Diagnosis - Misdiagnoses may have occurred both in some patients entering the trial, as well as
for recurrences diagnosed during the study Key Findings: Factors contributing to SER-109 Phase 2 study result Dose - The dose used in the Phase 2 study may have been suboptimal in certain patients See January 31, 2017 press release for additional
Phase 3 SER-109 ECOSPOR III study
now underway Seres and FDA agreement on key design elements of a SER-109 Phase 3 Based on FDA feedback ECOSPOR III designated as a Phase 3 study The ECOSPOR III Phase 3 study is the first pivotal trial in the emerging field of oral microbiome
therapeutics ECOSPOR III to utilize a SER-109 dose approximately 10-fold higher than the dose used in the prior Phase 2 study, administered over three days Multiply recurrent C. difficile patients, screened by toxin assay All subjects treated with
standard of care antibiotics Primary endpoint: C. diff. recurrence, at up to 8 weeks Safety follow-up to 24 weeks Phase 3 ECOSPOR III (SERES-012) study design SER-109 (n = 160) Placebo (n =160)
SER-262: Synthetic Ecobiotic
therapeutic candidate for primary C. difficile infection SER-262 strains utilize multiple carbon sources In vitro fermentation Oral, microbiome therapeutic candidate comprising twelve strains of fermented, rationally selected bacterial spores
Bacteria species selected based on analysis of SER-109 Phase 1b microbiome data, biological and phylogenetic heterogeneity, and preclinical efficacy in C. difficile infection mouse model Data support a mechanism of action in which SER-262 strains
compete for C. difficile preferred carbon sources For additional information, see 2016 American Society of Microbiology conference poster, available on Seres website under Our Science'
SER-262 Phase 1b dosing study in
patients with primary C. difficile infection Primary Objective Safety and tolerability at 24 weeks Relative risk of C. difficile recurrence compared to placebo at up to 8 weeks Secondary Objectives Time to C. difficile recurrence Relative risk of
recurrence at up to 4, 12, and 24 weeks after treatment Cohort A: Tx with 104 spores (n=10); placebo (n=2); single dose Cohort B: Tx with 105 spores (n=10); placebo (n=2); single dose Cohort C: Tx with 106 spores (n=10); placebo (n=2); single
dose Cohort D: Tx with 107 spores (n=10); placebo (n=2); single dose 60+ patients with primary C. difficile infection Cohort E: Tx with 108 spores (n=10); placebo (n=2); single dose Multi Dose Cohorts: Tx spores (n=10); placebo (n=2); Dosing
provided over three days
Inflammatory Bowel Disease Overview
and R&D Programs Leading the Microbiome Revolution
Selected references: Paramsothy et
al. Lancet, 2017; Moayyedi et al. Gastroenterology, 2015 Multiple FMT studies provide proof of concept for microbiome therapy in ulcerative colitis Subject A, Baseline Subject A, 8-wk post FMT
SER-287 Inflammatory Bowel Disease
(IBD) opportunity Significant unmet need for improved therapies for IBD Large US population: ~700K ulcerative colitis, ~700K Crohn's Over half of patients do not respond to biologic therapies Many therapies are immunosuppressive, limiting
widespread use SER-287 target profile: Oral Alternative mechanistic approach, potential mono or combo therapy Not expected to be immunosuppressive SER-287 development opportunity: Initial development as induction therapy for ulcerative colitis
Potential development as UC maintenance therapy, Crohn's disease
SER-287 Phase 1b study in ulcerative
colitis patients is fully enrolled Primary Objective Change in composition of intestinal microbiome at 8 weeks Safety and tolerability Secondary Objectives Clinical responses, including complete remission, and endoscopic improvement Change in serum
and fecal biomarkers Complement of microbiome metabolic pathways from stool, urine and blood Immunological and pathologic changes in mucosal biopsies Arm A (n15): Placebo pre-treatment / SER-287 once weekly dosing for 8 weeks Arm B (n10): Placebo
pre-treatment / Placebo once daily for 8 weeks Arm C (n15): Vancomycin pre-treatment / SER-287 once daily dosing for 8 weeks Arm D (n15): Vancomycin pre-treatment / SER-287 once weekly dosing for 8 weeks ~55 mild-moderate UC patients failing
SER-301: Synthetic Ecobiotic
therapeutic candidate for inflammatory bowel disease Follow-on therapeutic candidate to SER-287 in preclinical development for inflammatory bowel disease Oral, microbiome therapeutic candidate comprising fermented, rationally selected bacteria
Selection of SER-301 bacterial composition to be based on: SER-287 study data (clinical and microbiome analysis) Existing collaborations evaluating analysis of FMT ulcerative colitis clinical study data Preclinical screening for microbial function,
immunological assay, and animal models
Additional R&D Opportunities
Leading the Microbiome Revolution
SER-155: Synthetic Ecobiotic
therapeutic candidate to improve transplantation outcomes 1 Khanna et al, Journal of Infectious Disease 2016 2 Jenq, et al, Biology of Blood and Marrow Transplantation 2015, 3 Taur, et al., Blood 2015. 36% 60% 67% Overall Survival HSCT Patient
Microbiome Health Correlates with Overall Mortality Risk3 Time (Years) Ecobiotic synthetically derived therapeutic candidate to improve outcomes in patients receiving allogeneic hematopoietic stem cell transplantation (HSCT) or solid organ
transplants Designed to reduce both infection risk, and Graft vs. Host Disease (GvHD)
Immuno-oncology microbiome
therapeutic opportunity Therapeutic Objectives To improve efficacy: Modulate immune response, improve clinical response to therapeutic checkpoint inhibitors To improve safety: Reduce anti-CTLA4 induced colitis by providing microbial ecologies
correlated with improved patient outcomes
Collaborations with leading
institutes to advance R&D progress Target Indication Academic Collaboration Inflammatory Bowel Disease Immuno-oncology Therapeutics Hematopoietic Stem Cell Transplantation Primary Sclerosing Cholangitis, NASH and Other Liver Diseases Obesity and
Metabolic Syndrome Rare genetic metabolic diseases (e.g., urea cycle disorders, hepatic encephalopathy) Collaboration announcements: Mayo Clinic, see June 6, 2016 press release; Memorial Sloan Kettering, University of Pennsylvania, see May 12, 2016
press releases; Medical University of Graz and Research Institute of St. Joseph's Hamilton, see May 4, 2016 press release; Massachusetts General Hospital, see June 22, 2016 press release.
Broad IP portfolio and regulatory
exclusivity Families of Applications Nationalized Pending PCT Pending Provisionals SERES PATENT PORTFOLIO 15 9 2 REGULATORY EXCLUSIVITY years for new biological composition 12 years for new drug 10 7 ISSUED US PATENTS + LICENSED IP* Demonstrates
Last updated: Jun 12, 2017