WVE Stock Soars on Upbeat Initial Antitrypsin Deficiency Study Data

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Shares of Wave Life Sciences WVE surged 74.1% on Wednesday after the company reported positive proof-of-mechanism data from an ongoing early to mid-stage study of its investigational candidate, WVE-006, for alpha-1 antitrypsin deficiency (AATD), a type of genetic disorder.

WVE-006 is a GalNAc-conjugated oligonucleotide that enables A-to-I RNA editing and is administered subcutaneously. Developed with Wave Life Sciences’ advanced oligonucleotide chemistry platform, it is specifically designed to target lung disease, liver disease, or both, related to AATD.

Per the company, approximately 200,000 individuals in the United States and EU have AATD due to the SERPINA1 Z mutation. Current treatments are limited to weekly IV augmentation therapy, which targets lung disease and generated more than $1.4 billion in global sales in 2023. However, no approved therapies exist for AATD-related liver disease, often leading to liver transplants for affected individuals.

WVE Achieves First-Ever Therapeutic RNA Editing in AATD Study

In the latest press release, Wave Life Sciences reported proof-of-mechanism data from the first single-dose cohort (200 mg) of the phase Ib/IIa RestorAATion-2 study of WVE-006 involving the first two patients with “ZZ” AATD (Pi*ZZ AATD), who reached day 57 of the treatment period.

This is a landmark achievement for the company as the results constitute the first-ever clinical demonstration of RNA editing in humans.

People with Pi*ZZ AATD do not naturally produce wild-type alpha-1 antitrypsin (M-AAT) protein. Thus, detecting the M-AAT protein confirms that mutant Z-AAT mRNA has been successfully edited. Restoring 50% M-AAT levels would be similar to having the heterozygous “MZ” genotype, which is associated with a lower risk of AATD-related lung and liver disease.

Year to date, shares of Wave Life Sciences have skyrocketed 195% against the industry’s 1% decline.

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By day 15 in the RestorAATion-2 study of WVE-006, circulating wild-type M-AAT protein in plasma reached an average of 6.9 micromolar, accounting for more than 60% of total AAT. This increase corresponded with enhanced neutrophil elastase inhibition, indicating functional M-AAT production.

Total AAT protein rose from undetectable levels at baseline to 10.8 micromolar at day 15, reaching levels required for regulatory approval of AAT augmentation therapies. Both M-AAT and total AAT increases were observed as early as day three and continued through day 57.

Wave Life Sciences also reported that WVE-006 was overall well-tolerated and demonstrated a favorable safety profile. Adverse events related to treatment with the candidate to date were mild to moderate in severity.