Wave Life Sciences Ltd. · NASDAQ:WVE

Wave Life Sciences — Investor Presentation (May 2025)

43 slides from Wave Life Sciences's investor presentation, May 8, 2025

  1. Slide 1: Wave Life Sciences Corporate Presentation

    Exhibit 99.2 Wave Life Sciences Corporate Presentation May 8, 2025

  2. Slide 2: Forward-looking statements

    Forward-looking statements This document contains forward-looking statements. All statements other than statements of historical facts contained in this document, including statements regarding possible or assumed future results of operations, preclinical and clinical studies, business strategies, r

  3. Slide 3: Our Mission

    Our Mission To unlock the broad potential of RNA medicines to transform human health 3

  4. Slide 4: Building a leading RNA medicines company

    Building a leading RNA medicines company Novel RNA medicines platform (PRISM®) • Multi-modal: RNA editing, RNAi, splicing, allele-selective silencing • Best-in-class, clinically-validated oligonucleotide chemistry (PN, stereochemistry) Transforming the obesity Pioneering a novel RNA Best-in-class pr

  5. Slide 5: Convergence of a validated platform with deep genetic insights

    The powerful convergence of a validated, best-in-class platform with deep genetic insights • Multi-modal: RNA editing, RNAi, • Real-time integration of new human antisense silencing, splicing genetic insights into discovery • Best positioned to engage • Proprietary deep learning models Unmatched Dat

  6. Slide 6: Robust, diversified RNA medicines pipeline including first-in-class RNA editing programs

    Robust, diversified RNA medicines pipeline including first-in-class RNA editing programs IND / CTA Enabling Patient population Program Discovery Clinical Rights Studies (US & Europe) R N A E D I T I N G GSK exclusive WVE-006 (GalNAc) 200K SERPINA1 (AATD) global license GalNAc-AIMer 100% global 9M PN

  7. Slide 7: WVE-007 GalNAc-siRNA silencing Obesity

    WVE-007 GalNAc-siRNA silencing Obesity 7

  8. Slide 8: Advancing WVE-007 as a novel, long acting, muscle sparing approach for obesity

    Advancing WVE-007 as a novel, long acting, muscle sparing approach for obesity WVE-007 is a GalNAc-siRNA that targets INHBE to treat obesity • Adults with obesity have higher risk for many serious health conditions, including heart disease, type 2 1 diabetes, and some forms of cancer • GLP-1s are cu

  9. Slide 9: Human genetic data show INHBE LoF carriers have a healthy metabolic profile

    Human genetic data demonstrate that heterozygous INHBE LoF carriers have a healthy metabolic profile Heterozygous INHBE LoF carriers have favorable traits: Heterozygous INHBE LoF carriers have lower risk of Type 2 lower abdominal obesity, lower triglycerides, higher HDL-c diabetes and CHD Silencing

  10. Slide 10: INHBE GalNAc-siRNA expected to address pathogenesis of obesity associated metabolic disease

    INHBE GalNAc-siRNA expected to address health issues associated with pathogenesis of obesity associated metabolic disease Reduced release of Diminished activation of Increased adipose GalNAc-siRNA ACVR1C (ALK7) receptor in lipolysis shrinks hepatokine Activin E adipose tissue adipocytes Decreased ab

  11. Slide 11: Single doses of INHBE GalNAc-siRNA result in dose-dependent weight loss in DIO mice

    Single doses of INHBE GalNAc-siRNA result in dose-dependent weight loss and reduction of visceral fat, without affecting muscle mass, in DIO mice Reduction in body weight Reduction in visceral fat No muscle loss ✓ ✓ ✓ Quadricep weight (Day 28) Epididymal fat weight (Day 28) * PBS INHBE GalNAc-siRNA

  12. Slide 12: INHBE GalNAc-siRNA synergistic with GLP-1s or curtails weight regain

    INHBE GalNAc-siRNA can be used synergistically with GLP-1s or to curtail weight regain after the cessation of treatment with GLP-1 ~2x greater overall weight loss when added to Curtails weight regain after the cessation of GLP-1 ✓ ✓ GLP-1 p<0.05 ~2x greater weight loss Not significant Day Day Single

  13. Slide 13: Preclinical data support best-in-class profile across multiple treatment settings

    Preclinical data support best-in-class profile and potential to use WVE-007 across multiple treatment settings with potential for 1-2x per year dosing Monotherapy Add-on to GLP-1s Maintenance WVE-007 in addition to GLP-1 WVE-007 for patients who stop WVE-007 as a single agent therapy treatment with

  14. Slide 14: INLIGHT: Phase trial of WVE-007 in adults with overweight or obesity

    INLIGHT: Phase 1 trial of WVE-007 in adults living with overweight or obesity, otherwise healthy Randomized, double-blind, placebo-controlled study of ascending doses of WVE-007 SAD Cohort 5 Trial Design MAD Cohort 3 • Objective: Assess dose safety, tolerability, PK and PD SAD Cohort 4 • Key measure

  15. Slide 15: WVE-006 RNA editing (AIMers) Alpha-1 antitrypsin deficiency (AATD)

    WVE-006 RNA editing (AIMers) Alpha-1 antitrypsin deficiency (AATD) 15

  16. Slide 16: Advancing WVE-006 (RNA editing) in AATD

    Advancing WVE-006 (RNA editing) in AATD WVE-006: GalNAc-conjugated, subcutaneously delivered, designed to address AATD-related lung disease, liver disease, or both • AATD is a rare, inherited genetic disorder that is commonly caused by a G-to-A point mutation in the SERPINA1 gene • Characterized by

  17. Slide 17: WVE-006 to address both liver and lung manifestations of AATD

    WVE-006 to address both liver and lung manifestations of AATD WVE-006 RNA WVE-006 RNA editing approach to address editing treatment key goals of AATD treatment: Restore circulating, Reduce Z-AAT Retain M-AAT Subcutaneous 1 functional wild-type 2 protein aggregation 3 physiological injection M-AAT in

  18. Slide 18: RestorAATion-2 clinical trial in Pi*ZZ AATD patients ongoing

    RestorAATion-2 clinical trial in Pi*ZZ AATD patients ongoing RestorAATion-2: AATD Patients RestorAATion-1: Healthy Volunteers RestorAATion-1: Healthy Volunteers SAD → MAD Multi-dosing complete in RestorAATion-1 SAD → MAD Dose E Up to seven doses in multi-dose portion Cohort 3 Dose D Cohort 2 400 mg

  19. Slide 19: Achieved proof-of-mechanism for Wave's RNA editing platform

    Achieved proof-of-mechanism for Wave’s RNA editing platform Proof-of-mechanism achieved after a single dose in RestorAATion-2 ✓ Total AAT protein increased to a mean of 10.8 µM at day 15 ✓ Meets level that has been the basis for regulatory approval for AAT augmentation therapies ✓ Circulating wild-t

  20. Slide 20: Wholly owned GalNAc-AIMer programs

    Wholly owned GalNAc-AIMer programs Correction of PNPLA3 Strongly supported by human genetics Genetically defined liver disease ✓ Patient population: ~9 million Leverage unique platform capabilities; ✓ Building on learnings of WVE-006 Upregulation of LDLR HeFH Patient population: ~900,000, with Novel

  21. Slide 21: WVE-N531 Splicing Duchenne muscular dystrophy

    WVE-N531 Splicing Duchenne muscular dystrophy 21

  22. Slide 22: Advancing WVE-N531 in exon amenable DMD

    Advancing WVE-N531 in exon 53 amenable DMD WVE-N531: exon skipping oligonucleotide designed to induce production of endogenous, functional dystrophin protein • High unmet need for therapies delivering more consistent dystrophin expression, as few patients today achieve dystrophin >5% of normal • Opp

  23. Slide 23: FORWARD-53 48-week clinical trial results

    FORWARD-53 48-week clinical trial results: WVE-N531’s best-in-class profile for boys amenable to exon 53 skipping Statistically significant and clinically meaningful improvement (3.8s) in Time-to-Rise vs. ✓ natural history; functional benefits on other measures including NSAA Statistically significa

  24. Slide 24: Best-in-class, consistent dystrophin expression

    Best-in-class, consistent dystrophin expression Best-in-class exon skipping Consistently exceeded levels associated with and dystrophin milder Becker phenotype Average: 24 and 48-week 54% Mean exon skipping induced (95% CI: 46-63%) 7.8% 1 Mean dystrophin expression (95% CI: 5.4-10.3%) 61-day tissue

  25. Slide 25: WVE-N531 appears to shift dystrophic muscle towards healthy muscle

    WVE-N531 appears to shift dystrophic muscle towards healthy muscle Feedback turns off regeneration (fewer stem cells and they are in resting state) Damage Inflammation Regeneration Fiber maturation Healthy Healthier Muscle Shift Toward Fiber é Fiber organization Maturation and uniformity of ê Stem c

  26. Slide 26: Evidence of reversal of muscle damage across majority of participants

    Evidence of reversal of muscle damage across majority of participants Week 24 Week 48 1 1 Participant number 2 3 4 2 3 4 5 6 7 5 6 7 26 H&E-stained sections (20X magnification). Seven paired biopsies available from week 24 and 48 for histopathology.

  27. Slide 27: Statistically significant reductions in creatine kinase

    Statistically significant reductions in creatine kinase (CK) as compared to baseline and natural history Statistically significant reduction in CK vs. ~50% CK reduction from baseline at 48 weeks C-PATH Natural History * *** ** *** *** *** Week 24 Week 0 48 Decreased CK to levels observed in milder D

  28. Slide 28: WVE-N531 is the only DMD therapeutic to show uptake in myogenic stem cells

    WVE-N531 is the only DMD therapeutic to show uptake in myogenic stem cells WVE-N531 uptake in myofiber nuclei WVE-N531 uptake in myogenic stem cells Myocytes Stars denote an injured myofiber Stem cell containing WVE-N531 Mag: 40x Mag: 20x Myocyte nuclei containing WVE-N531 (red) Mag: 20x Mag: 40x Du

  29. Slide 29: Changes to key cell populations and decrease in systemic inflammatory cytokines

    Changes to key cell populations in muscle and decrease in systemic inflammatory cytokines, suggesting transition to healthier muscle Progression of regenerative to mature state of muscle tissue ~20% change in density of myogenic Significant decrease (~48%) in internalized Decrease in serum MCP-1 and

  30. Slide 30: First evidence of reversal of muscle damage with exon skipping treatment

    First evidence of reversal of muscle damage with exon skipping treatment Week 48 showed improved organization and uniformity of myofibers Mean fibrotic muscle % Fibrotic muscle declined 28.6% at 48W declined by individual (n = 7) (n = 7) Week 24 Week 48 24 48 24 48 Time (weeks) Time (weeks) 30 Right

  31. Slide 31: Slowing of disease progression as measured by TTR and NSAA

    Statistically significant and clinically meaningful slowing of disease progression as measured by TTR Functional benefits on other measures including NSAA Mean change in time-to-rise (TTR) Mean change in NSAA 3.8 second improvement 1.2 point with improvement WVE-N531 with WVE-N531 Week Week 31 Left:

  32. Slide 32: Wave DMD portfolio addresses >$2.4 billion opportunity in US alone

    Wave DMD portfolio addresses >$2.4 billion opportunity in US alone with potential for expansion Multiple drivers of value with Wave portfolio Wave portfolio addresses up to • ~40–50% of exon 53, 51, 45 skipping 40% of the DMD population amenable boys remain untreated today Increasing exon • No exon

  33. Slide 33: Regulatory update and exon skipping franchise derisked

    Regulatory update and exon skipping franchise derisked FORWARD-53 • All participants are enrolled in the ongoing open-label FORWARD-53 extension trial receiving monthly doses of WVE-N531 • Expanding FORWARD-53 to include additional boys on monthly dosing regimen REGULATORY • FDA feedback confirmed t

  34. Slide 34: WVE-003 Allele-selective silencing Huntington's Disease

    WVE-003 Allele-selective silencing Huntington’s Disease 34

  35. Slide 35: Advancing WVE-003 to address HD across all stages of disease

    Advancing WVE-003 to address HD across all stages of disease WVE-003 is a first-in-class, allele-selective oligonucleotide for the treatment of HD • HD is a monogenic autosomal dominant genetic disease; fully penetrant and affects entire brain • No current disease modifying therapies for HD • Charac

  36. Slide 36: Wild-type HTT is critical for normal neuronal function

    Wild-type HTT (wtHTT) is critical for normal neuronal function and loss of wtHTT contributes to cellular dysfunction Mutant HTT has a detrimental effect on wild-type Wild-type HTT is crucial for cilia health HTT function • In the absence of wtHTT, ciliogenesis fails, disrupting CSF • Lowering mHTT i

  37. Slide 37: Allele-selective CSF lowering of mutant HTT protein of up to 46%

    Allele-selective CSF lowering of mutant HTT protein of up to an industry leading 46% with three doses of WVE-003 and preservation of wild-type HTT Durability of mHTT reductions supports potential for quarterly dosing intervals Mutant HTT protein levels in CSF Wild-type HTT protein levels in CSF 2.00

  38. Slide 38: WVE-003 allele-selective mHTT reduction correlating with slowing of caudate atrophy

    WVE-003 leads to allele-selective mHTT reduction, correlating with slowing of caudate atrophy Allele-selective mHTT Slowing of Caudate Silencing with wtHTT Functional Benefit Atrophy Preservation • mHTT reduction of up to • WVE-003 trended towards • Caudate atrophy is an 46% vs. placebo less caudate

  39. Slide 39: Natural history analysis of caudate atrophy and WVE-003 next steps

    Analysis of natural history demonstrates that absolute reduction of 1% in rate of caudate atrophy is associated with delay of onset of disability by ≥7.5-years WVE-003 next steps p<0.001 HR = 0.31 • Preparation ongoing for a global, potentially registrational Phase 2/3 study in adults with SNP3 and

  40. Slide 40: Reimagining RNA medicines

    Reimagining RNA medicines 40

  41. Slide 41: Poised for significant and sustained growth driven by editing and siRNA

    Poised for significant and sustained growth driven by editing and siRNA GalNAc-siRNA GalNAc-Editing Obesity HD WVE-007 (INHBE) WVE-003 AATD SNP3 WVE-006 Liver Disease DMD PNPLA3 WVE-N531 Exon 53 HeFH Add’l SNPs LDLR & APOB Add’l Exons Current pipeline has potential to treat well over 100 million pat

  42. Slide 42: Anticipated upcoming milestones

    Anticipated upcoming milestones Allele-selective siRNA RNA editing Splicing silencing WVE-007 (INHBE) WVE-006 Wholly owned WVE-N531 (Exon 53) WVE-003 (SNP3) Obesity AATD programs DMD HD 2H 2025: 3Q 2025: 2025: 2026: 2H 2025: Deliver clinical data Deliver data from the Deliver new preclinical Submit

  43. Slide 43: For questions contact: investorrelations@wavelifesci.com

    For questions contact: investorrelations@wavelifesci.com

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