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Alex Ranahan

Research Analyst at Bank of America Securities

Alex Ranahan's questions to Wave Life Sciences (WVE) leadership

Question · Q4 2025

Alex Ranahan asked about specific adverse events or metrics to monitor for ALK7 or direct Activin E modulators that WVE-007's INHBE targeting strategy might avoid, and how WVE-007's duration of mass benefit could address comorbid conditions.

Answer

President and CEO Paul B. Bolno stated that WVE-007 exhibits a distinct safety and efficacy profile, particularly in fat loss, compared to other myostatin and activin pathways. He noted the need to observe the long-term downstream impacts of multifaceted ligand strategies like ALK7. Bolno emphasized that WVE-007's specificity, established through human genetics and clinical studies, is a key differentiator. He highlighted that a 5% or more reduction in visceral fat, which WVE-007 has surpassed, is well-established to improve cardiovascular and diabetic outcomes. The profile of substantial fat reduction, lean mass preservation, and once-to-twice-a-year dosing positions WVE-007 as an optimal therapy for health outcomes and has the potential to significantly expand the global obesity treatment landscape.

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Question · Q4 2025

Alex Ranahan asked about specific adverse events or metrics to monitor for ALK7 or direct Activin E modulators that WVE-007's INHBE targeting might avoid, and how WVE-007's duration of mass benefit could address comorbid conditions.

Answer

Paul Bolno, President and CEO, noted WVE-007's differentiated safety and efficacy profile, particularly in fat loss, compared to other myostatin/activin pathways. He emphasized INHBE's specificity over ALK7, which signals via multiple ligands, reducing unintended consequences. Bolno highlighted that a 5% or more reduction in visceral fat, which WVE-007 surpassed with nearly 10% reduction at the lowest dose, is well-established to improve cardiovascular and diabetic outcomes. The once-to-twice-a-year dosing with muscle preservation offers a significant advantage for long-term health outcomes and market access.

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