Exhibit 99.2 Anti-TL1A Phase 1 Results and Phase 2 Development Updates June 2025
Disclosures The information contained in this presentation has been prepared by Spyre Therapeutics, Inc. and its affiliates (“Spyre” or the “Company”) and contains information pertaining to the business and operations of the Company. The information contained in this presentation: (a) is provided as at the date hereof, is subject to change without notice, and is based on publicly available information, internally developed data as well as third party information from other sources; (b) does not purport to contain all the information that may be necessary or desirable to fully and accurately evaluate an investment in the Company; (c) is not to be considered as a recommendation by the Company that any person make an investment in the Company; (d) is for information purposes only and shall not constitute an offer to buy, sell, issue or subscribe for, or the solicitation of an offer to buy, sell or issue, or subscribe for any securities of the Company in any jurisdiction in which such offer, solicitation or sale would be unlawful. Where any opinion or belief is expressed in this presentation, it is based on certain assumptions and limitations and is an expression of present opinion or belief only. This presentation should not be construed as legal, financial or tax advice to any individual, as each individual’s circumstances are different. This document is for informational purposes only and should not be considered a solicitation or recommendation to purchase, sell or hold a security. Forward-Looking Information Certain information set forth in this presentation contains “forward-looking statements” within the meaning of applicable United States securities legislation. Except for statements of historical fact, certain information contained herein constitutes forward- looking statements which include but are not limited to statements regarding: our business strategy, including our ability to develop best-in-class and first-in-class therapeutics for inflammatory bowel disease (IBD), rheumatoid arthritis (RA), psoriatic arthritis (PsA), axial spondyloarthritis (axSpA) and other immune-mediated diseases that meaningfully improve both efficacy and convenience compared to today’s standard of care; the potential consistency of the SPY001, SPY002 and SPY072 Phase 1 trial final data readouts with interim Phase 1 results; the efficacy, safety profile, dosing regime, convenience, commercial viability and tolerability of SPY002, SPY072 and our other product candidates; our plans to advance both SPY002 and SPY072 programs into Phase 2 clinical trials; Spyre’s ongoing and future clinical development activities, including the expected design and timing of the planned platform SKYWAY-RD Phase 2 basket trial, including timing of data readouts, timing of data readout for the ongoing SPY003 Phase 1 trial, timing of each part, cohort and data readouts for the ongoing SKYLINE-UC Phase 2 platform trial, enrollment of clinical trials and number of data readouts expected to be delivered in 2026 and 2027; our ability to provide anticipated readouts ahead of any disclosed bispecific approaches against our targets; the planned induction and maintenance dosing regimen for SPY001 and our other product candidates and combinations thereof, including the potential for a Q3M-Q6M dosing profile; the potential therapeutic benefits of our product candidates as monotherapies or in combinations and their extended half-life, including the expected duration of half-life in comparison to competitor products; potential cost savings from the trial designs of our Phase 2 platform trial and Phase 2 basket trial; potential alignment with regulatory authorities and anticipated regulatory submissions; expected timing for regulatory feedback; estimated market sizes, potential growth opportunities, potential value creation and sample transactions; the length of time that the Company believes its existing cash resources will fund its operations, including expectations of cash runway extending into the second half of 2028; expectations regarding our potential therapeutic combinations, including dosing regime, and the potential benefits thereof; and management’s assessment of future plans and operations which are based on current internal expectations, estimates, projections, assumptions and beliefs, which may prove to be incorrect. Forward-looking statements can often be identified by the use of words such as “may”, “will”, “could”, “would”, “anticipate”, ‘believe”, expect”, “intend”, “potential”, “estimate”, “scheduled”, “plans”, “planned”, “forecasts”, “goals” and similar expressions or the negatives thereof. Forward-looking statements are neither historical facts nor assurances of future performance. Forward-looking statements are based on a number of factors and assumptions made by management and considered reasonable at the time such information is provided, and forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the actual results, performance or achievements to be materially different from those expressed or implied by the forward-looking statements, including uncertainties and risks arising from regulatory feedback, including potential disagreement by regulatory authorities with the Company’s interpretation of data and the Company’s planned clinical trials for its product candidates, including the Company’s planned SKYWAY-RD Phase 2 clinical trial design; the potential for final data not being consistent with or different than the interim data reported for our programs; the potential impact of Trump Administration policies and changes in law on our business; and those uncertainties and factors described under the heading “Risk Factors,” “Risk Factor Summary” and “Note about Forward-Looking Statements” in the Company’s most recent Annual Report on Form 10-K, as supplemented and updated by subsequent Quarterly Reports on Form 10-Q and Current Reports on Form 8-K that the Company has filed or will file with the SEC, as well as discussions of potential risks, uncertainties, and other filings by the Company from time to time, as well as risk factors associated with companies that operate in the biopharma industry, including those associated with the uncertainties of drug development. All of the forward-looking statements made in this presentation are qualified by these cautionary statements and other cautionary statements or other factors contained herein. Although management believes that the expectations conveyed by forward-looking statements herein are reasonable based on information available on the date such forward-looking statements are made, there can be no assurance that forward looking statements will prove to be accurate, as actual results and future events could differ materially from those anticipated in such statements. The Company undertakes no obligation to update forward-looking statements if circumstances or management’s estimates or opinions should change except as required by applicable securities laws. The forward-looking statements contained herein are presented for the purposes of assisting readers in understanding the Company’s plan, objectives and goals and may not be appropriate for other purposes. The reader is cautioned not to place undue reliance on forward-looking statements. Industry Information This presentation also contains or references certain industry data that is based upon information from independent industry publications, market research, and surveys and other publicly available sources. Although the Company believes these sources to be generally reliable, such information is subject to interpretation and cannot be verified with complete certainty due to limits on the availability and reliability of data, the voluntary nature of the data gathering process and other inherent limitations and uncertainties. The Company has not independently verified any of the data from third party sources referred to in this presentation and accordingly, the Company makes no representation or warranty as to the origin, validity, accuracy, completeness, currency or reliability of the information in this presentation. © 2025 Spyre Therapeutics, Inc. 2 All rights reserved.
Agenda Cameron Turtle, DPhil Introduction and Executive Summary Chief Executive Officer Joshua Friedman, MD, PhD SPY002 & SPY072 Phase 1 Interim Results SVP, Clinical Development Deanna Nguyen, MD SKYLINE-UC Phase 2 Study SVP, Clinical Development Joshua Friedman, MD PhD SKYWAY-RD Phase 2 Study SVP, Clinical Development Cameron Turtle, CEO Joshua Friedman, SVP Sheldon Sloan, CMO Closing and Analyst Q&A Deanna Nguyen, SVP Scott Burrows, CFO © 2025 Spyre Therapeutics, Inc. 3 All rights reserved.
Introduction Today’s 1 2 3 Objectives Report Launch Unveil Anti-TL1A data SKYLINE-UC SKYWAY-RD Phase 1 results for two A Phase 2 platform study A Phase 2 basket study potential best-in-class in ulcerative colitis evaluating anti-TL1A in molecules evaluating three three rheumatologic monotherapies & three conditions combinations Cameron Turtle Chief Executive Officer © 2025 Spyre Therapeutics, Inc. 4 All rights reserved.
Engineering for new heights in the treatment of IBD & beyond Validated targets Half-life extension Fixed-dose combinations Engineered for prolonged activity to enable Rationale combinations to address distinct MOAs rationally chosen based on attractive infrequent administration disease drivers risk-benefit profiles α4β7 TL1A IL-23 YTE Coformulations Potential best-in-class monotherapies & Potential first-in-class anti-TL1A in combinations in IBD rheumatologic conditions © 2025 Spyre Therapeutics, Inc. Concept image of drug delivery device shown for illustrative purposes only. 5 All rights reserved.
Recall: We advanced two anti-TL1A antibodies into Ph1 with best-in-class preclinical properties SPY002 (formerly SPY002-091) SPY072 (formerly SPY002-072) In vitro potency (TF-1 apoptosis) In vitro potency (TF-1 apoptosis) 100 100 80 80 60 60 40 40 20 20 SPY002 SPY072 Tulisokibart 0 Tulisokibart 0 0.01 0.1 1 10 100 0.01 0.1 1 10 100 mAb Concentration (nM) mAb Concentration (nM) Distinct epitopes | Superior-to-comparable in vitro potency | NHP half-life >2-3x vs. first-generation anti-TL1As © 2025 Spyre Therapeutics, Inc. Data on file. 6 All rights reserved. Inhibition %
SPY002 and SPY072 met Phase 1 objectives, and Spyre plans to advance both into Phase 2 SPY002 SPY072 Simulated mean PK profiles Median PD profiles Simulated mean PK profiles Median PD profiles SPY002 SPY072 Placebo Placebo st st 1 gen 1 gen SPY002 SPY072 anti-TL1As anti-TL1As Well tolerated PK supports quarterly or Rapid & sustained No apparent impact of favorable safety profile less frequent dosing target engagement ADAs on PK/PD © 2025 Spyre Therapeutics, Inc. Interim analysis as of May 30, 2025 data cutoff. PK=pharmacokinetics; PD=pharmacodynamics; ADA=anti-drug antibodies. 7 All rights reserved.
Transitioning to a mid-stage development company… PHASE 1 PHASE 2 PHASE 3 P PH HA AS SE E 2 2 S SP PY Y0 00 01 1 S SP PY Y0 00 02 2 S SP PY Y0 00 01 1 S Su uc cc ce es ss sffu ull iin nv ve es sttiig ga attiio on na all a ag ge en ntts s 2H S SP PY Y0 00 03 3 P Ph h2 2 p plla attffo or rm m ttr riia all o off s siix x iin nv ve es sttiig ga attiio on na all a ag ge en ntts s iin n U UC C S SP PY Y0 07 72 2 S SP PY Y0 00 01 1 S Su uc cc ce es ss sffu ull iin nd diic ca attiio on ns s P Ph h2 2 b ba as sk ke ett ttr riia all o off S SP PY Y0 07 72 2 iin n R RA A,, P Ps sA A,, a ax xS Sp pA A Rationale for advancing two anti-TL1As: Strategic: Partnering optionality Commercial: Pricing flexibility, separate IRA timing and revenue © 2025 Spyre Therapeutics, Inc. UC=ulcerative colitis; RD=rheumatological diseases; IRA=Inflation Reduction Act. 8 All rights reserved. Check marks refer to interim Ph1 results.
…with two innovative and capital-efficient Phase 2 trials Ph2 platform trial evaluating SPY001, SPY002, SPY003 Ph2 basket trial evaluating SPY072 in rheumatoid and pairwise combinations in ulcerative colitis arthritis, psoriatic arthritis, and axial spondyloarthritis SPY072 Dose A SPY001 RA UC SPY072 Dose B SPY002 Placebo SPY003 SPY072 Dose A SPY120 PsA Placebo SPY130 SPY230 SPY072 Dose A axSpA Placebo Placebo 40% 35% 6 1 1 3 1 1 AGENTS INDICATION COST SAVINGS AGENT INDICATIONS COST SAVINGS 1 © 2025 Spyre Therapeutics, Inc. Estimated savings relative to separate Ph2 trials for each program (SKYLINE) or indication (SKYWAY) 9 All rights reserved. RD=rheumatologic diseases. Combo Mono
Anticipated 9 proof-of-concept readouts in 2026-27 for the treatment of IBD & beyond Trial Indication Program Target Phase 1 Phase 2 Phase 3 Anticipated Milestones α4β7 UC SPY001 2026: Ph2 open-label POC TL1A SPY002 2027: Ph2 pbo-controlled data IL-23 SPY003 SPY120 α4β7 + TL1A 2027: Ph2 POC SPY130 α4β7 + IL-23 SPY230 TL1A + IL-23 RA 2026: Ph2 POC PsA SPY072 TL1A axSpA © 2025 Spyre Therapeutics, Inc. Milestones expected as of the date of this presentation. 10 All rights reserved. UC=ulcerative colitis; RD=rheumatological disease; RA=rheumatoid arthritis; PsA=psoriatic arthritis; axSpA=axial spondyloarthritis; POC=proof of concept.
Potential additive paths to significant value creation in 2026-27 mid- 2026 2027 2025 Trial Phase 1s 2H 2025 Programs SPY001 SPY002 SPY072 SPY003 SPY001 SPY002 SPY003 SPY072 SPY120 SPY130 SPY230 Interim safety, PK, PD Monotherapy OL POC Anti-TL1A POC Combination POC Readout HVs UC RA, PsA, axSpA UC Analog Validated MOA, First-in-class MOA Paradigm-changing improved convenience in $30B+ market combinations type 1 Precedent 2 $3B+ acquisition $10B+ acquisition $10B+ post-POC 1 2 Milestones expected as of the date of this presentation. Precedent valuations provided for illustrative purposes only and may not be indicative of potential Spyre valuation; Vertex © 2025 Spyre Therapeutics, Inc. valuation following proof-of-concept for first Phase 2 combination study of VX-770 and VX-809. 11 All rights reserved. OL=open label; Check marks refer to interim Ph1 results.
SPY002 and SPY072 Phase 1 interim results Today’s 1 2 3 Objectives Report Launch Unveil Anti-TL1A data SKYLINE-UC SKYWAY-RD Phase 1 results for two A Phase 2 basket study A Phase 2 platform study potential best-in-class evaluating anti-TL1A in in ulcerative colitis molecules three rheumatologic evaluating three conditions monotherapies & three combinations Josh Friedman SVP, Clinical Development © 2025 Spyre Therapeutics, Inc. 12 All rights reserved.
Both molecules studied in similar Ph1 SAD studies, with interim data up to 20-weeks of follow up Trial design elements SPY002 and SPY072 SAD PK and safety follow up Design 20 weeks 100 mg SC • Double-blind, pbo-controlled, first-in-human trial 16 weeks • Escalating SAD cohorts 16 weeks 300 mg SC 12 weeks Population • Healthy adult volunteers 12 weeks 300 mg IV • N=8/cohort (3:1 randomization) 8 weeks 8 weeks Endpoints 1000 mg IV 4 weeks • Primary: Safety • Secondary: Pharmacokinetics, anti-drug SPY002 4 weeks antibodies (ADAs) 1500 mg IV SPY072 <4 weeks • Exploratory: Pharmacodynamic markers © 2025 Spyre Therapeutics, Inc. Interim analysis as of May 30, 2025 data cutoff. 13 All rights reserved.
SPY002 and SPY072 were well tolerated with a favorable safety profile (pooled, blinded data) SPY002 safety profile SPY072 safety profile SAD SAD N (%) 100 mg 300 mg 300 mg 1000 mg 1500 mg Pooled 100 mg 300 mg 300 mg 1000 mg 1500 mg Pooled N= 8 8 8 8 8 40 8 8 8 8 8 40 At least one 3 (38%) 2 (25%) 3 (38%) 3 (38%) 0 11 (28%) 2 (25%) 5 (63%) 5 (63%) 2 (25%) 1 (13%) 14 (35%) TEAE At least one 0 0 0 0 0 0 0 0 0 0 0 0 TESAE At least one 1 2 3 Treatment- 2 (25%) 0 0 0 0 2 (5%) 0 2 (25%) 0 1 (13%) 0 3 (8%) related AE At least one 0 0 0 0 0 0 0 0 0 0 0 0 Grade 3/4 TEAE © 2025 Spyre Therapeutics, Inc. 1 2 3 Interim analysis as of May 30, 2025 data cutoff. Headache and migraine. Chest tightness; Gastroenteritis, rash, and abdominal pain in one subject. Chest tightness. 14 All rights reserved.
SPY002 and SPY072 demonstrated prolonged and dose proportional PK SPY002 mean PK profiles SPY072 mean PK profiles ~75-day t Pending t 1/2 1/2 Waiting for comparable follow-up to accurately estimate half-life © 2025 Spyre Therapeutics, Inc. Interim analysis as of May 30, 2025 data cutoff. 15 All rights reserved.
SPY072 showed comparable PK to SPY002 at clinically relevant doses through available follow up SPY002 & SPY072 mean PK profiles (IV) SPY002 & SPY072 mean PK profiles (SC) 1000 mg IV (N=6) 300 mg SC (N=6) Remove 1500 SPY072 Pending t Pending t SPY072 300 mg IV (N=6) 1/2 100 mg SC (N=6) 1/2 1000 mg IV (N=6) 300 mg SC (N=6) ~75-day t SPY002 SPY002 ~75-day t 1/2 300 mg IV (N=6) 1/2 100 mg SC (N=6) © 2025 Spyre Therapeutics, Inc. Interim analysis as of May 30, 2025 data cutoff. 16 All rights reserved.
SPY002 and SPY072 suppressed free TL1A through 20- weeks of follow-up at the lowest dose tested SPY002 median free sTL1A PD profiles SPY072 median free sTL1A PD profiles © 2025 Spyre Therapeutics, Inc. Interim analysis as of May 30, 2025 data cutoff. Median values below LLOQ of 8pg/mL plotted as one-half of LLOQ per convention. 17 All rights reserved.
SPY002 and SPY072 increased total TL1A in a durable and dose-dependent manner SPY002 mean total sTL1A PD profiles SPY072 mean total sTL1A PD profiles © 2025 Spyre Therapeutics, Inc. Interim analysis as of May 30, 2025 data cutoff. 18 All rights reserved.
Interim PK supports quarterly or twice annual dosing Afimkibart Ph2 UC results SPY002 simulated concentration-time profile SPY002 Q3M 50 mg Q4W Induction Maintenance Clinical remission by mMS SPY002 Q6M 150 mg Q4W % 2-4x SC maintenance injections per year 450 mg Q4W 50 39% 40 38% 36% Afimkibart simulated 450mg C trough 31% 30% 29% 30 Afimkibart simulated 150mg C trough 20 Afimkibart simulated 50mg C trough 10 0 SPY002 Q3M SC Week 14 Week 56 N=46 N=29 N=28 N=42 N=26 N=28 SPY002 Q6M SC Afimkibart QM SC © 2025 Spyre Therapeutics, Inc. Simulations based on interim analysis as of May 30, 2025 data cutoff. 19 All rights reserved. mMS = Modified Mayo Score. Danese, Silvio, et al. Official journal of the American College of Gastroenterology | ACG 119.10S (2024).
SPY002 and SPY072 Phase 1 interim results summary xx Favorable safety profile across all dose levels Well-tolerated Extended half-lives support potential for quarterly or twice annual xx Prolonged PK exposure dosing Rapid & sustained target xx PD was durable through 20-weeks at the lowest dose tested engagement No apparent xx No apparent impact of ADAs on PK or PD through available follow up immunogenicity impact SPY002 expected to advance to the SKYLINE-UC study and SPY072 expected to advance to SKYWAY-RD study © 2025 Spyre Therapeutics, Inc. Interim analysis as of May 30, 2025 data cutoff. 20 All rights reserved.
SKYLINE-UC Phase 2 study Today’s 1 2 3 Objectives Report Launch Unveil Anti-TL1A data SKYLINE-UC SKYWAY-RD Phase 1 results for two A Phase 2 platform study A Phase 2 basket study potential best-in-class in ulcerative colitis evaluating anti-TL1A in molecules evaluating three three rheumatologic monotherapies & three conditions combinations Deanna Nguyen SVP, Clinical Development © 2025 Spyre Therapeutics, Inc. 21 All rights reserved.
SKYLINE-UC: Phase 2 platform study evaluating three monotherapies and three combinations in UC Part A: Open-label monotherapy evaluation (N=~100) KEY ENDPOINTS OBJECTIVES UC mMS 5-9 INDUCTION MAINTENANCE P Monotherapy POC Change in RHI at W12 SPY001 (α4β7) Sequential S activation SPY002 (TL1A) Clinical remission at W12 after Ph1 SPY003 (IL-23) S Endoscopic improvement at W12 W12 W48 S Change in mMS at W12 P Part B: PBO-controlled factorial combination evaluation (N=~500) INDUCTION MAINTENANCE UC mMS 5-9 SPY001 (α4β7) Monotherapy dose optimization P Clinical remission at W12 Seamless SPY002 (TL1A) enrollment after Part A S Combination POC Endoscopic improvement at W12 SPY003 (IL-23) S Contribution of components Clinical response at W12 SPY120 (α4β7+TL1A) S Histological improvement at W12 SPY130 (α4β7+IL-23) S SPY230 (TL1A+IL-23) HEMI at W12 Placebo S Clinical remission at W48 W12 W48 P © 2025 Spyre Therapeutics, Inc. mMS=modified mayo score; RHI=Robarts Histopathology Index; HEMI=Histo-Endoscopic Mucosal Improvement; P=primary endpoint; S=secondary endpoint 22 All rights reserved. Initiation of each cohort subject to regulatory clearance.
Capital-efficient trial that is designed to be attractive to patients and investigators CAPTIAL EFFICIENT PATIENT CENTRIC STREAMLINED UNIFIED DOSING PART A PART B INDUCTION MAINTENANCE 6 actives 40% vs. Open-label 1 placebo Cost savings and reduced sample size compared to individual Ph2 studies for each program © 2025 Spyre Therapeutics, Inc. 23 All rights reserved. Placebo Combos Monos
Spyre’s portfolio uniquely enables product profiles with potential superior efficacy and convenience ILLUSTRATIVE 80 60 Potential to break the efficacy ceiling with 40 SPY120 SPY130 SPY230 combinations JNJ’4804 TNF+IL-23 combo Potential for best-in-class 1 (VEGA ) efficacy with higher exposures SPY001 SPY002 SPY003 20 Standard of care IBD biologics Potential for Q3M & Q6M dosing profiles 0 1 2 3 4 5 6 Maintenance dosing interval (months) 1 VEGA trial was not pbo-controlled. Positioning of Spyre programs is illustrative and based on Phase 1 results for SPY001 and SPY002 only and illustrates what we believe we can © 2025 Spyre Therapeutics, Inc. potentially achieve. Placebo-adjusted clinical remission data are derived from different clinical trials conducted at different times, with differences in trial design and patient populations. As a 24 All rights reserved. result, cross-trial comparisons cannot be made, and no head-to-head clinical trials have been conducted. Pbo-adjusted clinical remission (%)
Co-administration of mAbs can reduce immunogenicity whereas bispecific formats can increase immunogenicity ADA rates for TNF or TL1A bsAbs vs. coformulations Case studies Asset Target Immunogenicity Population Structure IL-23 dimer JNJ-4804 coformulation TNF trimer guselkumab Gol golimumab + Separate Gus golimumab guselkumab TNFα + IL-23 PHASE 2 UC 6% human IgG1 mAbs (JNJ-4804) IgG-fynomer … Combination therapy appeared to JNJ-3539 TNFα / IL-17 DISCONTINUED HVs 93% (2x2) decrease the incidence of antibodies to No impact on drug exposure golimumab … Time Duobody JNJ-8104 TNFα / IL-17 DISCONTINUED HVs 100% (1x1) TL1A trimer AMG-966 bispecific TNF trimer AMG-966 Dual variable domain ABT-122 TNFα / IL-17 DISCONTINUED HVs 99% (2x2) AMG-966 Four unique heavy ADAs AMG-966 TNFα / TL1A DISCONTINUED HVs and light chain pairs 98% (1x1) IgG-scFv DISCONTINUED MEDI-7352 TNFα / NGF OA 72% (2x2) … We demonstrate here that AMG966 forms large immune complexes ... which drive an antibody response and resulted Loss of drug exposure RO7837195 CrossmAb TL1A / p40 PHASE 2 100% HVs (PF-07261271) (1x1) in loss of exposures … Time © 2025 Spyre Therapeutics, Inc. Clin Pharmacol Ther. 2017;101(S1):S81; J. of Clin Pharmacol. 2019; 59(7): 968-978; J. of Clin Pharmacol. 2018; 58(6): 803-813; Front Immunol. 2021 Dec 14:12:782788; Shao et al. Clin 25 All rights reserved. Pharmacol Ther. 2024 Jun;115(6):1418-1427. doi: 10.1002/cpt.3235. OA=osteoarthritis; UC=ulcerative colitis; HV=healthy volunteers. bsAbs Combo Exposure Exposure
SKYLINE-UC: First patients in screening and on-track for expected 6 POC readouts through 2027 2H 2025 2026 2027 6 POC readouts 3 POC readouts Phase 1 q SPY003 Ph1 ü q Ph2 Initiation Part A monotherapy results Part B monotherapy results q SPY001 (α4β7) open-label POCq SPY001 (α4β7) pbo-controlled data Phase 2 platform study q SPY002 (TL1A) open-label POCq SPY002 (TL1A) pbo-controlled data q SPY003 (IL-23) open-label POCq SPY003 (IL-23) pbo-controlled data Part B combination results q SPY120 (α4β7+TL1A) POC q SPY130 (α4β7+IL-23) POC q SPY230 (TL1A+IL-23) POC q Ph2 Initiation Ph2 results q SPY072 (TL1A) RA POC Phase 2 basket study q SPY072 (TL1A) PsA POC q SPY072 (TL1A) axSpA POC © 2025 Spyre Therapeutics, Inc. Milestones expected as of the date of this presentation. 26 All rights reserved.
SKYWAY-RD Phase 2 study Today’s 1 2 3 Objectives Report Launch Unveil Anti-TL1A data SKYLINE-UC SKYWAY-RD Phase 1 results for two A Phase 2 platform study A Phase 2 basket study potential best-in-class in ulcerative colitis evaluating anti-TL1A in molecules evaluating three three rheumatologic monotherapies & three conditions combinations Josh Friedman SVP, Clinical Development © 2025 Spyre Therapeutics, Inc. 27 All rights reserved.
SKYWAY-RD: Phase 2 basket study evaluating SPY072 (anti-TL1A) in RA, PsA, and axSpA Sub-study A: SPY072 in moderate-to-severely active rheumatoid arthritis (RA) DOUBLE-BLIND OPEN-LABEL FOLLOW UP KEY ENDPOINTS KEY INCLUSION SPY072 Dose A P Swollen joint count ≥ 4 Change in DAS28-CRP at W12 RA 1:1:1 S Tender joint count ≥ 4 Proportion ACR20 at W12 N=120 SPY072 Dose B RF+, ACPA+, or bony erosions E ACR50/70 at W12 Placebo IR to cs/b/tsDMARDs W12 W36 Sub-study B: SPY072 in moderate-to-severely active psoriatic arthritis (PsA) SPY072 Dose A Tender joint count ≥ 3/68 P Proportion ACR20 at W16 PsA 2:1 S Swollen joint count ≥ 3/66 Change in DAPSA at W16 Placebo N=90 E Active PsO lesion or history ACR50/70 at W16 W16 W40 IR to NSAIDs or cs/b/tsDMARDs Sub-study C: SPY072 in moderate-to-severely active axial spondyloarthritis (axSpA) Radiographic / non-radiographic P Change in ASDAS at W16 SPY072 Dose A axSpA 2:1 S BASDAI ≥ 4 & back pain ≥ 4 Proportion ASAS40 at W16 Placebo N=75 IR to NSAIDs or b/tsDMARDs W16 W40 © 2025 Spyre Therapeutics, Inc. RF=rheumatoid factor; ACPA= Anti-citrullinated protein antibodies; cs/b/tsDMARD=conventional synthetic, biologic, or targeted synthetic disease modifying antirheumatic drugs; 28 All rights reserved. BASDAI=Bath Ankylosing Spondylitis Disease Activity Index; P=primary endpoint; S=secondary endpoint; E=exploratory endpoint. Pending regulatory feedback.
Operationally-efficient design with shared sites and specialty CAPITAL EFFICIENT SHARED SITES SHARED SPECIALTY Reduced total site requirement Increased investigator productivity 50% 100 RA patients PsA 20 PsA patients RA 30 35% 50 axSpA patients axSpA 50 Separate studies SKYWAY-RD Cost savings compared to individual Ph2 1 studies for each indication © 2025 Spyre Therapeutics, Inc. 1 Based on comparative CRO quotes. 29 All rights reserved. Rheumatologist
TL1A is upregulated in RA, PsA, and axSpA relative to healthy controls Axial spondyloarthritis Rheumatoid arthritis Psoriatic arthritis 800 ✱✱✱✱ ✱✱ ✱✱✱ ✱✱ 600 400 200 0 Healthy axSpA Control Source Whole blood Skin biopsy Whole blood Sequencing Microarray Bulk RNA seq Microarray Sample size N=192 RA, 30 HC N=9 per cohort N=52 axSpa, 20 HC Spyre analysis of RA-MAP, Li, Sifang, et al. BMC Musculoskeletal Disorders 25.1 (2024), and Johnsson, Hanna, et al. Arthritis Research & Therapy. © 2025 Spyre Therapeutics, Inc. ** P≤0.01, *** P ≤0.001, **** P ≤0.0001. Unpaired tailed t-test used for RA and axSpA analysis, One-way ANOVA used in PsA. 30 All rights reserved. RA=rheumatoid arthritis; PsA=psoriatic arthritis; axSpA=axial spondyloarthritis; HC=healthy controls. TNFSF15 Counts TNFSF15 Counts
Spyre anti-TL1A antibody met or exceeded the efficacy of etanercept (anti-TNF) in rat models of arthritis Superior efficacy vs. anti-TNF in semi-preventative model Comparable efficacy vs. anti-TNF in therapeutic model Collagen Treatment period Collagen Treatment period * * * * * © 2025 Spyre Therapeutics, Inc. * P< 0.0001 vs. isotype control; 2-way ANOVA using Dunnett's correction for multiple comparisons. 31 All rights reserved. Disease improvement Arthritis score Arthritis score
SPY072 is a potential first-in-class therapy for rheumatologic conditions with anticipated Q3M-Q6M dosing ILLUSTRATIVE 60 50 40 axSpA Potential for novel MOA with comparable-to-better PsA efficacy and improved SC dosing frequency (Q3M-Q6M) 30 RA 20 Today’s SOC 10 0 1 2 3 4 5 6 Dosing interval (months) © 2025 Spyre Therapeutics, Inc. Positioning of Spyre programs is illustrative and based on Phase 1 interim results. Placebo-adjusted clinical data are derived from different clinical trials conducted at different times, with 32 All rights reserved. differences in trial design and patient populations. As a result, cross-trial comparisons cannot be made, and no head-to-head clinical trials have been conducted. Pbo-adjusted ACR20 / ASAS20 (%)
SKYWAY-RD: 3 POC readouts expected through 2026 2H 2025 2026 2027 6 POC readouts 3 POC readouts Phase 1 q SPY003 Ph1 ü q Ph2 Initiation Part A monotherapy results Part B monotherapy results q SPY001 (α4β7) open-label POCq SPY001 (α4β7) pbo-controlled data Phase 2 platform study q SPY002 (TL1A) open-label POCq SPY002 (TL1A) pbo-controlled data q SPY003 (IL-23) open-label POCq SPY003 (IL-23) pbo-controlled data Part B combination results q SPY120 (α4β7+TL1A) POC q SPY130 (α4β7+IL-23) POC q SPY230 (TL1A+IL-23) POC q Ph2 Initiation Ph2 results q SPY072 (TL1A) RA POC Phase 2 basket study q SPY072 (TL1A) PsA POC q SPY072 (TL1A) axSpA POC © 2025 Spyre Therapeutics, Inc. Milestones expected as of the date of this presentation. 33 All rights reserved.
Closing and Q&A Today’s Spokespeople Cameron Turtle Josh Friedman Deanna Nguyen Sheldon Sloan Scott Burrows Chief Executive Officer Chief Financial Officer SVP, Clinical SVP, Clinical Chief Medical Officer Development Development © 2025 Spyre Therapeutics, Inc. 34 All rights reserved.
Anticipated 9 proof-of-concept readouts in 2026-27 for the treatment of IBD & beyond 1 $565M cash 2H 2025 2026 2027 Runway into 2H 2028 6 POC readouts 3 POC readouts Phase 1 q SPY003 Ph1 ü q Ph2 Initiation Part A monotherapy results Part B monotherapy results q SPY001 (α4β7) open-label POCq SPY001 (α4β7) pbo-controlled data Phase 2 platform study q SPY002 (TL1A) open-label POCq SPY002 (TL1A) pbo-controlled data q SPY003 (IL-23) open-label POCq SPY003 (IL-23) pbo-controlled data Part B combination results q SPY120 (α4β7+TL1A) POC q SPY130 (α4β7+IL-23) POC q SPY230 (TL1A+IL-23) POC q Ph2 Initiation Ph2 results q SPY072 (TL1A) RA POC Phase 2 basket study q SPY072 (TL1A) PsA POC q SPY072 (TL1A) axSpA POC © 2025 Spyre Therapeutics, Inc. 1 Milestones expected as of the date of this presentation. Cash includes cash, cash equivalents, & marketable securities as of 3/31/25. 35 All rights reserved.
Thank you Engineering for new heights in the treatment of IBD and beyond