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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): December 12, 2024

 

 

Repare Therapeutics Inc.

(Exact Name of Registrant as Specified in Its Charter)

 

 

 

Québec   001-39335   Not applicable

(State or Other Jurisdiction

of Incorporation)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

 

7171 Frederick-Banting, Building 2  
Suite 270  
St-Laurent, Québec, Canada   H4S 1Z9
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s Telephone Number, Including Area Code: (857) 412-7018

Not Applicable

(Former Name or Former Address, if Changed Since Last Report.)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading
Symbol

 

Name of each exchange

on which registered

Common shares, no par value   RPTX   The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

 

 


Item 7.01

Regulation FD Disclosure.

On December 12, 2024, Repare Therapeutics Inc. (the “Company”) issued a press release announcing the presentation of positive data from its MYTHIC Phase 1 gynecologic expansion clinical trial evaluating the combination of lunresertib and camonsertib (“Lunre+Camo”) at the recommended Phase 2 dose (“RP2D”) in patients with endometrial cancer and platinum-resistant ovarian cancer (“PROC”) harboring lunre-sensitizing biomarkers. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.

As described in the accompanying press release, the Company will host a conference call and live audio webcast today, December 12, 2024 at 4:30 p.m., Eastern Time, to discuss the presentation of data described above.

The live audio webcast may be accessed through the “Events & Presentations” page in the “Investors and Media” section of the Company’s website at ir.reparerx.com. Alternatively, participants may dial (646) 357-8785 (U.S. and Canada) or (800) 836-8184 (international). A copy of the presentation to be used by the Company during the conference call is furnished as Exhibit 99.2 to this Current Report on Form 8-K and is incorporated herein by reference.

The information contained in Item 7.01 of this Current Report on Form 8-K, including Exhibits 99.1 and 99.2 attached hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, and shall not be deemed incorporated by reference into any of the Company’s filings under the Securities Act of 1933, as amended, or the Exchange Act, whether made before or after the date hereof, regardless of any general incorporation language in such filing, except as shall be expressly set forth by specific reference in such filing.

The Company’s website and any information contained on the Company’s website are not incorporated into this Current Report on Form 8-K.

 

Item 8.01

Other Events.

On December 12, 2024, the Company reported positive initial data from its MYTHIC Phase 1 gynecologic expansion clinical trial evaluating Lunre+Camo at the optimized RP2D in patients with endometrial cancer and PROC harboring lunre-sensitizing biomarkers.

The MYTHIC clinical trial is a first-in-human, global, open-label Phase 1 dose-escalation clinical trial to evaluate safety, pharmacokinetics, pharmacodynamics, and preliminary anti-tumor activity of Lunre+Camo in patients with advanced solid tumors. As of the data cut-off date of November 14, 2024, 51 evaluable patients were enrolled in the gynecologic cancer expansion cohort of the MYTHIC trial. The key points from the most recent data cut are summarized below.

Across all solid tumor types treated at the optimized RP2D (n=67), Lunre+Camo therapy demonstrated a favorable and differentiated tolerability profile when compared to current and emerging therapies. The most common adverse event was anemia (26.9%).

Key Findings from Endometrial Cancer Patient Cohort:

 

   

27 evaluable patients with endometrial cancer were evaluated in the trial. The patients in the cohort had a median age of 67 years. All patients in the cohort exhibited high-risk profiles:

 

   

100% of patients have undergone prior platinum therapy

 

   

77.8% of patients received immune checkpoint inhibitors

 

   

59% of patients received the combination as a fourth line of therapy or beyond

 

   

18.5% of patients had carcinosarcoma

 

   

85% of tumors had p53 mutations

 

   

No tumors with microsatellite instability (MSI)-high status were enrolled indicating proficient mismatch repair (pMMR) status

 

   

Within the Lunre BM+ subset: 56% of tumors had PPP2R1A mutations; 22% carried FBXW7 mutations; 15% had CCNE1 amplification; and 7% of tumors had multiple mutations


   

Key efficacy outcomes in evaluable patients with endometrial cancer (N=27):

 

   

ORR was 25.9% (confirmed ORR in 5 out of 7 patients)

 

   

Clinical benefit was observed in 48.1% of patients, with responses frequently occurring after 12 weeks or more

 

   

At the 24-week landmark analysis, nearly half of patients experienced durable clinical benefit (24-week PFS [PFS24w] = 43% [95% CI, 21-63%])

Key Findings from Platinum-Resistant Ovarian Cancer Patient Cohort:

 

   

24 evaluable patients with PROC were evaluated in the trial. The patients in the cohort had a median age of 63 years. All patients in the cohort exhibited high-risk profiles:

 

   

100% of patients were platinum-resistant or platinum ineligible

 

   

45.8% of patients had received prior PARP inhibitors

 

   

70.8% of patients had received prior bevacizumab

 

   

54% of patients received the combination as a fourth line of therapy or beyond

 

   

100% of tumors had p53 mutations

 

   

Within the Lunre BM+ subset: 87.5% of tumors had CCNE1 amplification; 4.2% of tumors had FBXW7 mutations; 4.2% of tumors had PPP2R1A mutations; and 4.2% of tumors had multiple mutations

 

   

Key efficacy outcomes in evaluable patients with PROC (N=24):

 

   

ORR was 37.5% (confirmed ORR in 4 out of 9 patients)

 

   

Clinical benefit was observed in 77.3% of patients, with responses frequently occurring after 12 weeks or more

 

   

PFS at the 24-week landmark analysis was (PFS 24w=45% [90% CI, 22-66%]).

The Company has consulted with both the U.S. Food and Drug Administration (“FDA”) and the European Medicines Agency, who have provided guidance into the Company’s registrational development plans for Lunre+Camo in gynecologic tumors, including assessment of the contribution of components, dose and schedule and preliminary alignment on the proposed registrational development approach. The Company plans to provide the final Phase 3 registrational trial protocols for regulatory clearance imminently, and intends to start the first Phase 3 Lunre+Camo trial in endometrial cancer in the second half of 2025. Additionally, the Company expects to initiate a small contribution of components trial in up to 40 patients with endometrial cancer in the first quarter of 2025.

Cautionary Regarding Forward-Looking Statements

Certain statements in this Current Report on Form 8-K contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 and securities laws in Canada. All statements in this Current Report on Form 8-K other than statements of historical facts are “forward-looking statements. These statements may be identified by words such as “aims,” “anticipates,” “believes,” “could,” “estimates,” “expects,” “forecasts,” “goal,” “intends,” “may,” “plans,” “possible,” “potential,” “seeks,” “will” and variations of these words or similar expressions that are intended to identify forward-looking statements, although not all forward-looking statements contain these words. Forward-looking statements in this press release include, but are not limited to, statements regarding: statements regarding the Company’s future plans for clinical development of Lunre+Camo, including the Company’s plans to begin a Phase 3 registrational trial in the second half of 2025 and a contribution of components trial in patients with endometrial cancer in the first quarter of 2025; the tolerability, efficacy and clinical progress of Lunre+Camo; the potential of Lunre+Camo as a new treatment option and standard of care for patients with endometrial and platinum-resistant ovarian cancers, if approved; camonsertib’s potential as a best-in-class small molecule inhibitor of ATR; and the Company’s interactions with the FDA and the European Medicines Agency regarding registrational development plans for Lunre+Camo. These forward-looking statements are based on the Company’s expectations and assumptions as of the date of this Current Report on Form 8-K. Each of these forward-looking statements involves risks and uncertainties that could cause the Company’s clinical development programs, future results or performance to differ materially from those expressed or implied by the forward-looking statements. Many factors may cause differences between current expectations and actual results, including: success in preclinical testing and earlier clinical trials does not ensure that later clinical trials will generate the same results or otherwise provide adequate data to demonstrate the efficacy and safety of a product candidate; the impacts of macroeconomic conditions, including the conflict in Ukraine and the conflict in the Middle East, heightened inflation and uncertain credit and financial markets on the Company’s business, clinical trials and financial position; unexpected safety or efficacy data observed during preclinical studies or clinical trials; clinical trial site activation or enrollment rates that are lower than expected; changes in expected or existing competition; changes in the regulatory environment; the uncertainties and timing of


the regulatory approval process; and unexpected litigation or other disputes. Other factors that may cause the Company’s actual results to differ from those expressed or implied in the forward-looking statements in this press release are identified in the section titled “Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023 filed with the Securities and Exchange Commission (“SEC”) and the Québec Autorité des Marchés Financiers (“AMF”) on February 28, 2024, and its other documents subsequently filed with or furnished to the SEC and AMF including the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2024 filed with the SEC on November 7, 2024. The Company expressly disclaims any obligation to update any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise, except as otherwise required by law.

 

Item 9.01

Financial Statements and Exhibits.

 

Exhibit
No.

  

Description

99.1    Press Release dated December 12, 2024
99.2    Conference Call Presentation dated December 12, 2024
104    Cover Page Interactive Data File (embedded within the Inline XBRL document)


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

      REPARE THERAPEUTICS INC.
Date: December 12, 2024     By:  

/s/ Lloyd M. Segal

      Lloyd M. Segal
      President and Chief Executive Officer

Exhibit 99.1

 

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Repare Therapeutics Announces Positive Results of the Lunresertib and

Camonsertib Combination from the MYTHIC Phase 1 Gynecologic Expansion

Clinical Trial

Heavily-pretreated patients on lunresertib and camonsertib combination achieved 25.9% overall response rate (ORR) in endometrial cancer and 37.5% in platinum-resistant ovarian cancer

Nearly half of patients with gynecologic cancers maintained progression-free survival at 24 weeks, comparing favorably to current standard of care

Company plans to initiate a registrational Phase 3 trial of lunresertib in combination with camonsertib in endometrial cancer in 2H 2025

Repare to host conference call and webcast today at 4:30 p.m. ET to discuss these results

CAMBRIDGE, Mass. & MONTREAL—(BUSINESS WIRE)—Dec. 12, 2024—Repare Therapeutics Inc. (“Repare” or the “Company”) (Nasdaq: RPTX), a leading clinical-stage precision oncology company, today reported positive data from its MYTHIC Phase 1 gynecologic expansion clinical trial evaluating the combination of lunresertib and camonsertib (Lunre+Camo) at the recommended Phase 2 dose (RP2D) in patients with endometrial cancer and platinum-resistant ovarian cancer (PROC) harboring lunre-sensitizing biomarkers.

Lunresertib is a first-in-class precision oncology small molecule PKMYT1 inhibitor which targets cell cycle regulation in Lunre BM+ tumors (CCNE1 amplifications or FBXW7 or PPP2R1A deleterious alterations). Camonsertib is a potential best-in-class oral small molecule inhibitor of ATR, a critical component of the DNA damage response pathway.

“We are encouraged by the strong response and the clear benefit we observed in patients with endometrial and platinum-resistant ovarian cancers in the MYTHIC clinical trial,” said Lloyd M. Segal, President and Chief Executive Officer of Repare. “These patients need new treatment options and our results support the potential for Lunre+Camo to make a real, positive difference if approved, particularly as a chemotherapy alternative. We have positive feedback from regulatory agencies in both the US and Europe and we look forward to getting started on a registrational Phase 3 trial of Lunre+Camo in endometrial cancer in the second half of 2025.”

The MYTHIC clinical trial (NCT04855656) is a first-in-human, global, open-label Phase 1 dose-escalation clinical trial to evaluate safety, pharmacokinetics, pharmacodynamics, and preliminary anti-tumor activity of Lunre+Camo in patients with advanced solid tumors. As of the data cut-off date of November 14, 2024, 51 evaluable patients were enrolled in the gynecologic cancer expansion cohort of the MYTHIC trial.


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Across all tumor types treated at the optimized RP2D (n=67), Lunre+Camo therapy demonstrated a favorable and differentiated tolerability profile when compared to current and emerging therapies. The most common adverse event was anemia (26.9%, Grade 3).

Key Cohort Clinical Findings

Endometrial Cancer Patients:

The 27 evaluable patients with endometrial cancer had a median age of 67 years. All patients exhibited high-risk profiles:

 

   

100% of patients have undergone prior platinum therapy

 

   

77.8% of patients received immune checkpoint inhibitors

 

   

59% of patients received the combination as a fourth line of therapy or beyond

 

   

18.5% of patients had carcinosarcoma

 

   

85% of tumors had p53 mutations

 

   

No tumors with microsatellite instability (MSI)-high status were enrolled indicating proficient mismatch repair (pMMR) status

 

   

Within the Lunre BM+ subset: 56% of tumors had PPP2R1A mutations; 22% carried FBXW7 mutations; 15% had CCNE1 amplification; and 7% of tumors had multiple mutations

Key efficacy outcomes in evaluable patients with endometrial cancer (N=27):

 

   

ORR was 25.9% (confirmed ORR in 5 out of 7 patients)

 

   

Clinical benefit was observed in 48.1% of patients, with responses frequently occurring after 12 weeks or more

 

   

At the 24-week landmark analysis, nearly half of patients experienced durable clinical benefit (24-week PFS [PFS24w] = 43% [95% CI, 21-63%])

Platinum-Resistant Ovarian Cancer Patients:

The 24 evaluable patients with PROC had a median age of 63 years. All patients exhibited high-risk profiles:

 

   

100% of patients were platinum-resistant or platinum ineligible

 

   

45.8% of patients had received prior PARP inhibitors

 

   

70.8% of patients had received prior bevacizumab

 

   

54% of patients received the combination as a fourth line of therapy or beyond

 

   

100% of tumors had p53 mutations

 

   

Within the Lunre BM+ subset: 87.5% of tumors had CCNE1 amplification; 4.2% had FBXW7 mutations; 4.2% had PPP2R1A mutations; and 4.2% of tumors had multiple mutations

Key efficacy outcomes in evaluable patients with PROC (N=24):

 

   

ORR was 37.5% (confirmed ORR in 4 out of 9 patients)

 

   

Clinical benefit was observed in 79% of patients

 

   

PFS at the 24-week landmark analysis was (PFS24w = 45% [95% CI, 22-66%]).


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“Those patients with recurrent gynecologic cancers have limited treatment options as tumors often become resistant to standard of care therapy,” said Brian Slomovitz, MD, MS, FACOG, Director, Gynecologic Oncology, Co-chair of the Cancer Research Center, Mount Sinai Medical Center. “They urgently need new treatment options. Repare’s differentiated, biomarker-driven approach addresses this population and may offer a solution. These data support the potential of Lunre+Camo as a new treatment option to fill this unmet need for patients with endometrial and platinum-resistant ovarian cancers.”

Repare has consulted with both the U.S. Food and Drug Administration (FDA) and the European Medicines Agency, who have provided guidance into the Company’s registrational development plans for Lunre+Camo in gynecologic tumors, including assessment of the contribution of components, dose and schedule and preliminary alignment on the proposed registrational development approach. Repare plans to provide the final Phase 3 trial protocols for regulatory clearance imminently and intends to start the first Phase 3 Lunre+Camo trial in endometrial cancer in the second half of 2025. Additionally, the Company expects to initiate a small contribution of components trial in up to 40 patients with endometrial cancer in the first quarter of 2025.

“The results of the MYTHIC clinical trial increase our confidence in the potential to bring Lunre+Camo to patients living with this aggressive subset of recurrent endometrial cancer,” said Maria Koehler, MD, PhD, Chief Medical Officer of Repare. “We are deeply grateful to the patients and investigators who participated in this trial, and we look forward to building on these promising data through the registrational clinical trials using Lunre+Camo as a potential new standard of care for those patients, if approved.”

Conference Call and Webcast:

Repare will host a conference call and webcast today, December 12, at 4:30 p.m. ET to discuss the results. Repare’s executive management team will be joined by Brian Slomovitz, MD, MS, FACOG, Director, Gynecologic Oncology, Co-chair of the Cancer Research Center, Mount Sinai Medical Center.

To access the call, please dial (646) 357-8785 (U.S. and Canada) or (800) 836-8184 (international) at least 10 minutes prior to the start time and ask to be joined to the Repare Therapeutics call. A live webcast and presentation materials will be available in the Investor section of the Company’s website at https://ir.reparerx.com/events-and-presentations/events. A webcast replay will also be archived for at least 30 days.

About Repare Therapeutics Inc.

Repare Therapeutics is a leading clinical-stage precision oncology company enabled by its proprietary synthetic lethality approach to the discovery and development of novel therapeutics. The Company utilizes its genome-wide, CRISPR-enabled SNIPRx® platform to systematically discover and develop highly targeted cancer therapies focused on genomic instability, including


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DNA damage repair. The Company’s pipeline includes lunresertib (also known as RP-6306), a PKMYT1 inhibitor currently in Phase 1/2 clinical development; camonsertib (also known as RP-3500), a potential leading ATR inhibitor currently in Phase 1/2 clinical development; RP-1664, a Phase 1 PLK4 inhibitor; RP-3467, a Phase 1 Polq ATPase inhibitor; as well as additional, undisclosed preclinical programs. For more information, please visit reparerx.com and follow @Reparerx on X (formerly Twitter) and LinkedIn.

Forward-Looking Statements

This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 and securities laws in Canada. All statements in this press release other than statements of historical facts are “forward-looking statements. These statements may be identified by words such as “aims,” “anticipates,” “believes,” “could,” “estimates,” “expects,” “forecasts,” “goal,” “intends,” “may,” “plans,” “possible,” “potential,” “seeks,” “will” and variations of these words or similar expressions that are intended to identify forward-looking statements, although not all forward-looking statements contain these words. Forward-looking statements in this press release include, but are not limited to, statements regarding the Company’s future plans for clinical development of camonsertib in combination with lunresertib (Lunre+Camo), including the Company’s plans to initiate a registrational Phase 3 trial of Lunre+Camo in endometrial cancer in the second half of 2025 and a contribution of components trial in the first quarter of 2025; the tolerability, efficacy and clinical progress of Lunre+Camo; the potential of Lunre+Camo as a new treatment option and standard of care for patients with endometrial and platinum-resistant ovarian cancers, if approved; camonsertib’s potential as a best-in-class small molecule inhibitor of ATR; and the Company’s interactions with the FDA and the European Medicines Agency regarding registrational development plans for Lunre+Camo. These forward-looking statements are based on the Company’s expectations and assumptions as of the date of this press release. Each of these forward-looking statements involves risks and uncertainties that could cause the Company’s clinical development programs, future results or performance to differ materially from those expressed or implied by the forward-looking statements. Many factors may cause differences between current expectations and actual results, including: the potential that success in preclinical testing and earlier clinical trials does not ensure that later clinical trials will generate the same results or otherwise provide adequate data to demonstrate the efficacy and safety of a product candidate; the impacts of macroeconomic conditions, including the conflict in Ukraine and the conflict in the Middle East, fluctuations in inflation and uncertain credit and financial markets, on the Company’s business, clinical trials and financial position; unexpected safety or efficacy data observed during preclinical studies or clinical trials; clinical trial site activation or enrollment rates that are lower than expected; the Company’s ability to realize the benefits of its collaboration and license agreements; changes in expected or existing competition; changes in the regulatory environment; the uncertainties and timing of the regulatory approval process; and unexpected litigation or other disputes. Other factors that may


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cause the Company’s actual results to differ from those expressed or implied in the forward-looking statements in this press release are identified in the section titled “Risk Factors” in the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2024 filed with the Securities and Exchange Commission (“SEC”) and the Québec Autorité des Marchés Financiers (“AMF”) on November 7, 2024. The Company expressly disclaims any obligation to update any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise, except as otherwise required by law. For more information, please visit reparerx.com and follow Repare on X (formerly Twitter) at @RepareRx and on LinkedIn at https://www.linkedin.com/company/repare-therapeutics/.

Investor Relations & Media Contact:

Robin Garner

Vice President and Head of Investor Relations

Repare Therapeutics Inc.

investor@reparerx.com

Exhibit 99.2

 

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MYTHIC Lunre+Camo Clinical Data Update December 12, 2024


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Safe Harbor Statement Statements contained in this presentation regarding matters that are not historical facts are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. Words such as “anticipates,” “believes,” “expects,” “intends,” “plans,” “potential,” “projects,” “would” and “future” or similar expressions are intended to identify forward-looking statements. Each of these forward-looking statements involves substantial risks and uncertainties that could cause actual results to differ significantly from those expressed or implied by such forward-looking statements. Forward-looking statements contained in this presentation include, but are not limited to, statements regarding the initiation, timing, progress and results of our current and future preclinical studies and clinical trials, including specifically our Phase 1/2 MYTHIC trial evaluating lunresertib in combination with camonsertib in patients with endometrial cancer and platinum-resistant ovarian cancer and our plans to begin a Phase 3 registration trial in 2025; the expected timing of program updates and data disclosures; the timing of NDA submissions and other regulatory developments; the timing and likelihood of seeking regulatory approval for our product candidates; and the competitive landscape and market potential for our product candidates, including the commercial opportunity of lunresertib combinations for the treatment of endometrial cancer and additional tumor types. These forward-looking statements reflect our current beliefs and expectations. Many factors may cause differences between current expectations and actual results, including the impacts of macroeconomic conditions, including the conflict in Ukraine and the conflict in the Middle East, unexpected safety or efficacy data observed during preclinical or clinical studies, clinical site activation rates or clinical trial enrollment rates that are lower than expected, changes in expected or existing competition, changes in the regulatory environment, and unexpected litigation or other disputes. These and other risks are described more fully in our filings with the Securities and Exchange Commission (“SEC”), including the “Risk Factors” section of our Annual Report on Form 10-Q filed with the SEC on November 7, 2024, and other documents we subsequently filed with or furnished to the SEC. All forward-looking statements contained in this presentation speak only as of the date on which they were made. Except as required by law, we assume no obligation to update any forward-looking statements contained herein to reflect any change in expectations, even as new information becomes available. This presentation also contains estimates and other statistical data made by independent parties and by us relating to market size and growth and other data about our industry. This data involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. Neither we nor any other person makes any representation as to the accuracy or completeness of such data or undertakes any obligation to update such data after the date of this presentation. In addition, projections, assumptions and estimates of our future performance and the future performance of the markets in which we operate are necessarily subject to a high degree of uncertainty and risk. Solely for convenience, the trademarks and trade names in this presentation may be referred to without the ® and symbols, but such references should not be construed as any indicator that their respective owners will not assert their rights thereto. 2 


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Today’s agenda Introduction: About Repare 1 Lloyd M. Segal President & CEO Repare Therapeutics Today’s Focus: Gynecologic Cancers 2 Brian Slomovitz, MD Director of Gynecologic Oncology Mount Sinai Medical Center MYTHIC Lunresertib + Camonsertib Data 3 Maria Koehler, MD, PhD Paul Basciano, MD EVP and CMO VP, Clinical Development & Medical Repare Therapeutics Affairs, Repare Therapeutics Clinical Path Forward 4 Maria Koehler, MD, PhD EVP and CMO Repare Therapeutics Patient and Commercial Opportunity 5 Phil Herman EVP & CCO Repare Therapeutics Conclusions, Q&A 6 Lloyd M. Segal President & CEO Repare Therapeutics 3 


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Introduction: Lloyd M. Segal President & CEO About Repare Repare Therapeutics 


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Advancing pipeline of precision oncology therapeutics Repare’s mission is to apply synthetic lethal biology to bring practice-changing, precision therapies to patients who need them Program Tumor lesion Drug target Preclinical Ph 1 Ph 2 Ph 3 Rights Camonsertib Combination Today’s Focus Lunresertib CCNE1, 1 FBXW7 + PKMYT1 Chemotherapy Combinations (FOLFIRI/Gemcitabine) (RP-6306) PPP2R1A Debio 0123 WEE1i Combination Camonsertib ATM + 16 Monotherapy NSCLC Expansion STEP2 ATR (RP-3500) lesions2 Other Combinations (PARP Inhibitors/Gemcitabine) RP-1664 TRIM37-high PLK4 Monotherapy (LIONS) RP-3467 BRCA1/2 Polθ ATPase Monotherapy & PARPi Combo (POLAR) 5 Note: 1 Excludes ISTs. 2 Additional lesions discovered to be synthetic lethal with ATR using Repare’s SNIPRx® Targeted Expansion of Patient Populations (STEP2) screens. 


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POC achieved for registrational trial; Ph 3 EC start in 2025 We achieved POC for lunre+camo combo in EC and PROC ï,§ Combination was effective and well-tolerated ï,§ Clear signals, opportunity for registrational trials in both EC and PROCï,§ Opportunity to deliver important, new and chemo-alternative treatment options Initiating pivotal Ph 3 randomized trial in EC in 2025 ï,§ Regulatory alignment with FDA and EMA, including accelerated approval optionsï,§ Simple Contribution of Components trial obligation, under way shortlyï,§ PROC a de-risked life cycle opportunity, subject to capital and/or partnering Our objectives for today: ï,§ Set the stage for this product opportunityï,§ Walk you through our lunre+camo dataï,§ Describe our planned registrational trial and supporting regulatory guidanceï,§ Detail product opportunities longer termï,§ Answer your questions 6 Abbreviations: POC, proof of concept.


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Some key terms and abbreviations in today’s discussion Term Abbreviation AE Adverse events Camo Camonsertib, a proprietary ATR inhibitor EC Endometrial cancer ICI Immune checkpoint inhibitor (e.g., PD-1 and PD-L1) Lunre Lunresertib, a proprietary PKMYT1 inhibitor Lunre BM+ lunre-sensitizing biomarkers: CCNE1amp, mFBXW7 or mPPP2R1A Lunre+camo Clinical combination of lunresertib and camonsertib MoA Mechanism of action OC Ovarian cancer PROC Platinum-resistant ovarian cancer, a subset of OC SOC Current “standard of care” TRAE Treatment-related adverse events 7 


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Our mechanistic rationale for lunre+camo Lunresertib (PKMYT1i) + camonsertib (ATRi) enhance CDK1 activation and premature mitosis References: 1 ANE poster B057: Gallo et al. Preclinical development of PKMYT1 and ATR inhibitor combinations. ATR, ataxia telangiectasia and Rad-3 related; CDC25, cell division cycle-25; CDK, cyclin-dependent kinase; CHK1, checkpoint kinase 1; PKMYT1, protein kinase, membrane associated tyrosine/threonine 1. Lunre+camo showed complete regressions in vivo (DLD1 model) FBXW7-/- 200 0 3 ) (mm 150 0 Volume 100 0 Tumor 5 00 0 0 5 10 15 20 25 30 35 Study Day Vehicle Lunresertib 5 mg/kg BID Continuous Camonsertib 10 mg/kg QD 3-on/4-off Lunresertib 5 mg/kg + Camonsertib 10 mg/kg 8 


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MYTHIC clinical trial: Lunre+camo background and overview 2021 H1 2023 H2 2023 2024 Initiated MYTHIC, first First topline data: Established initial RP2D EC and PROC data at optimized clinical trial targeting monotherapy and lunre + RP2D (n=51) as of Nov 14, 2024 PKMYT1 inhibition camo combination (safety, Initiated EC and PROC tolerability, PK/PD, expansion cohorts Regulatory alignment with Rationale: preclinical preliminary anti-tumor FDA/EMA synergies in combination Dose / schedule optimized activity) Pivotal path forward in EC; Ph 3 preparation underway Key achievements:  Achieved POC in expansion cohorts in EC and PROC Regulatory path agreed upon for Ph 3 pivotal studies  Established RP2D and schedule, optimized for improved tolerability: Lunre 80 mg BID + 80mg camo QD, both given 3 days, weekly or 2 weeks on/1 week off, based on hemoglobin level (optimized dosing with regulatory agreement)  Established safety and tolerability profile for lunre monotherapy and camo, FOLFIRI combinations 9


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Lunre+camo today in EC and PROC A potentially effective, well-tolerated, convenient and differentiated option Overall ï,§ Encouraging efficacy in heavily pre-treated patients with adverse genomic profile and worse prognosesï,§ Promising rate of tumor responses, durable benefitï,§ Potential alternative to ADCs with improved safety and tolerability profileï,§ Clear registrational opportunities for both tumorsï,§ Mirvetuximab-like opportunity for BM+ subset Endometrial Cancer Strong response rate and benefit: 25.9% response rate and 24wk PFS 43% Aiming to define new 2L+ SOC Greater unmet need with rising incidence, mortality PROC Compelling response rate and benefit: 37.5% response rate and 24wk PFS 45% Attractive biomarker directed approach with differentiated tox profile Path forward Focus of initial registrational trials 10


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Today’s Focus: Gynecologic Cancers Brian Slomovitz, MD, MS, FACOG Director, Gynecologic Oncology Co-Chair of Cancer Research Committee Mount Sinai Medical Center, Miami Beach Professor, Obstetrics and Gynecology Florida International University Member, Board of Directors GOG Foundation Uterine Cancer Clinical Trial Lead, GOG Partners Consulting / Advisory Board for: Aadi, AstraZeneca, Clovis, Eisai, Eli Lilly, Gilead, GlaxoSmithKline, GOG Foundation, Immunocore, Incyte, MSD, Novartis, Novocure, Regeneron, and Seagen.


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Endometrial cancer in 2024 ï,§ Only gynecologic cancer with rising incidence and mortality ï,§ Has now exceeded ovarian cancer in annual estimated deaths ï,§ Corrected for hysterectomy rates, uterine cancer is the 2nd most common cancer among women 67,880 new cases 13,250 deaths ~2/3 will be early stage ~1/3 will have high and low grade with grade or advanced excellent prognosis stage disease Population of interest Increasing Incidence Increasing Mortality Has surpassed ovarian cancer annual estimated mortality References: Siegel et al. Cancer Statistics 2024 Cancer Facts & Figures 2023. American Cancer Society. Available at https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2023/2023-cancer-facts-12 and-figures.pdf. Accessed January 31, 2023.


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Endometrial SOC has evolved to be molecularly focused Progestin Combination chemotherapy TCGA FIGO staging updated Hormonal treatment of EC established as SoC (GOG177 Ph 3) Molecular subgroups Molecular classifications Chemotherapy for advanced or incorporated recurrent EC 1961 1988 2004 2009 2013 2017 2023 2024 FIGO staging FIGO staging updated Immunotherapy ADCs Hormonal surgicopathologic Prognostic refinement Molecular markers Molecular targets staging introduced NCCN guidelines recommend molecular analysis of endometrial cancers, including universal testing for MMR/MSI, and considering pembrolizumab or dostarlimab for first- or second-line treatment of dMMR/MSI-H tumors; pembrolizumab + chemo or dostarlimab + chemo for first-line treatment of all adult patients; and trastuzumab-deruxtecan for previously treated unresectable or metastatic HER2-positive solid tumors. Abbreviations: ADCs, antibody-drug conjugates; ESGO, European Society of Gynaecological Oncology; ESP, European Society of Pathology; ESTRO, European Society for Radiotherapy and Oncology; FIGO, International Federation of Gynecologists and Obstetricians; GOG, Gynecologic Oncology Group; MMR, mismatch repair; MSI, microsatellite instability; SoC, standard of care; TCGA, The Cancer Genome Atlas. References: Yang S, et al. Discov Med. 2011;12:205-212; Haltia U-M, et al. J Gynecol Oncol. 2014;25:30-35; Fleming GF, et al. J Clin Oncol. 2004;22:2159-2166; The Cancer Genome Atlas Research Network, et al. 13 Nature. 2013;497:67-73; Concin N, et al. Int J Gynecol Cancer. 2021;31:12-39; Berek JS, et al. Int J Gynecol Obstet. 2023;162:383-394; National Comprehensive Cancer Network. https://www.nccn.org/professionals/physician_gls/pdf/uterine.pdf. Accessed September 23, 2024. 


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IO+Chemo: New 1st line SOC, but benefit mostly in dMMR population Impressive benefit in dMMR (<30%) dMMR tumors Less benefit in pMMR (>70+%) pMMR tumors MYTHIC tumors are pMMR Approval for “all comers” 14 Abbreviations: dMMR, deficient mismatch repair; pMMR, proficient mismatch repair. Note: Slide courtesy of Dr. David Tan ESMO 2023 – Revised. 


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After chemotherapy + immune checkpoint inhibitor (ICI)… The NCCN guided treatment is single agent chemotherapy… What do I, as a gynecologic oncologist, need for my patients with endometrial cancer? 1. Treatment solution after patients received ICI and chemotherapy – especially pMMR • Lunre+camo data in pMMR to follow • ADCs are effective – is there an alternative to chemo-based ADC? Where do ADCs fit? 2. What is the optimal treatment for the specific patient I am seeing – biomarker-based selection is critical 3. Patients deserve good quality of life; treatment should be well-tolerated and, requiring, if possible, limited monitoring so patient can enjoy their life and healthcare system is not overwhelmed GOG and European groups are working together to quickly bring the solutions to patients 15 


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Tumors with Lunre BM+ have significantly worse outcomes Probability of survival for a subset of 30% of patients with Lunre BM+ (CCNE1, PPP2R1A, FBXW7) Endometrial Cancer1 Ovarian Cancer1 Biomarker 1.00 Lunre BM- 1.00 Biomarker Lunre BM+ Lunre BM-Lunre BM+ 0.75 0.75 P=0.003 probability 0.50 0.50 probability OS, 0.25 OS, 0.25 P=0.023 0 0 20 40 60 80 0 Months 0 20 40 60 80 Lunre BM- 616 274 81 13 0 Months Lunre BM- 843 319 69 19 0 Lunre BM+ 277 108 30 6 1 Lunre BM+ 174 50 7 3 0 mOS (95% CI), mOS (95% CI), Biomarker Patients, n Biomarker Patients, n months months Lunre BM– 616 41 (31-60) Lunre BM– 843 36 (30-43) Lunre BM+ 277 30 (24-38) Lunre BM+ 174 26 (18-38) Abbreviation: LUNRE BM-, any genes other than Lunre BM+ specified genes (CCNE1, PPP2R1A, FBXW7). 16 References: 1. CancerMPact®, Treatment Architecture, United States, 2021; accessed 5/19/23) and lesion prevalence (TCGA). Schram AM, et al. AACR Ovarian Cancer Research Symposium, 2024. 


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Ovarian Cancer: Natural history – we have chemotherapy… Diagnosis Evaluation Progression Death Symptoms Chemo 1 Maintenance Chemo #2 Chemo #3 Chemo #4+ Platinum based Platinum? Supportive Care Staging/Debulking Progression-Free Survival Post Progression Survival (12-28 mos) (12-38 mos) • 19,680 women in the US will be diagnosed with ovarian cancer in 2024; 12,740 will die from the disease • The ability to re-treat with platinum-containing chemotherapy after progression has major implications for survival • When women become resistant to platinum treatment (PROC), median survival is only 12-18 months Critical need for novel, well tolerated therapies 17 


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Opportunity to meet urgent patients’ needs with a chemo-free regimen Lunre BM status is linked to significantly reduced mOS Attractive chemotherapy-free regimen with comparable efficacy to emerging ADC is needed We need studies applying tumor selection – the right approach that helps patients the most Endometrial Cancer: There is no approved second line therapy after previous ICI+ chemotherapy Ovarian Cancer: Existing therapies are insufficient to manage high-risk lunre BM+ tumors There is no approved therapy for the Lunre BM+ tumors 18 Abbreviations: mOS, median overall survival. 


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MYTHIC Study Data Maria Koehler, M.D., Ph.D. EVP, Chief Medical Officer Repare Therapeutics Paul Basciano, M.D. VP, Clinical Development & Medical Affairs Repare Therapeutics 


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Overview of clinical data presentation Overall results observed in gynecologic tumors Endometrial cancer data Platinum-resistant ovarian cancer data Key perspectives on our MOA-driven response profile and our differentiation Registrational path forward for endometrial cancer 20 


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Overall results observed in gynecologic tumors Significant overall efficacy observed with lunre+camo in gyn tumors Tumor shrinkage with lunre+camo in recurrent gynecologic cancers Note: +, denotes treatment ongoing In efficacy-evaluable patients with EC or PROC at RP2D: ï,§ 73% of patients had tumor shrinkageï,§ 31% (16/51) response rate (confirmed and unconfirmed) 21


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Overall results observed in gynecologic tumors Similar efficacy seen across all BM+ subsets in PROC and EC Duration on therapy by genomic lesion Note: +, denotes treatment ongoing Best degree of tumor shrinkage on therapy 22


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Overall results observed in gynecologic tumors Favorable safety and tolerability vs. current and emerging treatments Safety profile and tolerability at RP2D RP2D (all tumors; optimized dose) (N=67) All Grade Grade 3 Grade 4 TRAEs in ≥10% of patients n (%) n (%) n (%) Any Event 61 (91.0) 29 (43.3) 2 (3.0) Anemia 49 (73.1) 18 (26.9) 0 Nausea/Vomiting 37 (55.3) 1 (1.5) 0 Rash pooled 27 (40.4) 3 (4.5) 0 Fatigue 18 (26.9) 2 (3.0) 0 Neutropenia 16 (23.9) 7 (10.4) 1 (1.5)1 Stomatitis 20 (29.9) 3 (4.5) 0 Decreased appetite 13 (19.4) 0 0 PPE syndrome 13 (19.4) 1 (1.5) 0 Diarrhea 10 (14.9) 0 0 WBC count decreased 11 (16.4) 1 (1.5) 2 (3.0) Dizziness 7 (10.4) 0 0 Pyrexia 7 (10.4) 0 0 RP2D (all tumors) N (%) Serious TRAE 5 (7.5) TRAE leading to dose withdrawn 2 (3.0) or therapy discontinued TRAE Leading to death 0 ï,§ Most frequent, on target GR3 event was anemia addressed with dose optimization based on hemoglobin levelï,§ No thrombocytopenia or alopecia of any gradeï,§ Rash/muco-cutaneous tox generally brief and low gradeï,§ Consistent tolerability/safety profile in gynecologic patient subset ï,§ FDA, EMA agreement on dose and schedule Median observation time for optimized dose: 15 weeks (range 1-49 weeks) 23 Note: 1. One patient had both Gr4 neutropenia and Gr4 WBC count decrease reported, concomitant with a viral infection and allergic reaction to cephalosporin (unrelated).


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Endometrial cancer results Lunre+camo potentially addresses unmet need in 2L+ EC Patients heavily pre-treated, tumors with poor prognoses at study entry Endometrial cancer N=27 Heavily pre-treated patients:ï,§ 100% prior platinum therapyï,§ 77.8% received prior ICIsï,§ 59% treated as 4th line or beyond Age (years) Median: 67 Racial Demographics White: 70.4% / Black: 14.8% / Other: 14.8% ECOG Performance 0: 37%, 1: 63% Status Prior Therapies Platinum: 100%, ICI: 77.8% Lines of Therapy 3 or more: 59% Histology High-risk in all patients (carcinosarcoma 18.5%) P53 Mutation 85% MSI Status No MSI-high detected, indicating pMMR status Genotypes CCNE1: 15%, FBXW7: 22%, PPP2R1A: 56%, multiple 7% 24


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Endometrial cancer results EC: Meaningful clinical benefit of across histological subtypes Duration of treatment on lunre+camo Genotype FBXW7 PPP2R1A CCNE1 PPP2R1A PPP2R1A FBXW7 PPP2R1A PPP2R1A CCNE1/PPP2R1A CCNE1/PPP2R1A FBXW7 FBXW7 FBXW7 FBXW7 PPP2R1A CCNE1 PPP2R1A CCNE1 PPP2R1A PPP2R1A PPP2R1A PPP2R1A PPP2R1A PPP2R1A PR, confirmed CR, confirmed CCNE1 PPP2R1A CR/PR, unconfirmed PPP2R1A Ongoing 0 4 8 12 16 20 24 28 32 36 40 44 48 52 56 60 64 Serous Endometrioid Carcinosarcoma Clear Cell ï,§ Progression-free rate (KM) at 24 wks is 43% (95% CI: 21-63%):—Similar to emerging ADCs with comparable or less prior ICI treatment1 ï,§ CBR of 48.1% ï,§ Patterns of benefit reflect MOA:—Long-term benefit in patients despite tumor reductions not meeting RECIST response—Continuous slow reductions in tumor burden and late PRs Abbreviations: KM; Kaplan Meier estimate. CBR, clinical benefit rate defined as having CR, PR, or at least 16 weeks treatment without PD. Reference: 1. Bradley R. Corr et al. Efficacy and safety of sacituzumab govitecan in patients with advanced/metastatic endometrial cancer: updated results from TROPiCS-03, ESMO2024. Note that cross-trial 25 comparisons are not based on head-to-head studies and are presented for informational purposes; no direct comparisons are being made.


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Endometrial cancer results EC: Deep and durable responses across all lunre BM+ subsets 70% of patients experienced tumor shrinkage ORR (conf.+ unconf.), % 25.9% ORR (conf.), % 18.5% CR 1 (3.7%) PR 4 (14.8%) Durable responses observed across histologies and biomarkers 16 weeks 80 Dose / Schedule: RP2d (80BID) Lesions 60 40 Target 20 20% in 0 Baseline -20 -30% from -40 Change -60 -80 Percent -100 * -120 0 5 10 15 20 25 30 35 40 45 50 55 Weeks Time to response (Range) 5-21 weeks Duration of response up to ~30 weeks Abbreviations: ORR, overall response rate; conf., confirmed; unconf., unconfirmed; CR, complete response; PR, partial response; DOR, duration of response; PD, progressive disease; SD, Stable disease. 26 Note: * Time of progression for one of two patients with 100% target lesion reduction


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PROC results PROC: Lunre+camo addresses poor prognosis and chemo-resistance Patients heavily pre-treated, tumors with poor prognostic features PROC Patients N=24 Heavily pre-treated patients:ï,§ 100% platinum-resistant or platinum ineligibleï,§ 45.8% received prior PARPiï,§ 70.8% received prior bevacizumabï,§ 54% with three or more prior lines of therapy Age (years) Median: 63 Racial Demographics White: 79.2% / Black: 4.2% / Other: 16.6% ECOG Performance 0: 54.2%, 1: 45.8% Status Prior Therapies Platinum: 95.8%, PARPi: 45.8%, bevacizumab 70.8% PROC status Platinum-resistant/ineligible: 100% Lines of Therapy 3 or more: 54.2% Histology Serous: 70.8%, Non-Serous: 29.2% P53 Mutation 100% Genotypes CCNE1: 87.5%; FBXW7, PPP2R1A, CCNE1/FBXW7: 4.2% each 27


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PROC results PROC: Compelling clinical benefit rate of 79% observed Duration of treatment on lunre+camo Genotype CCNE1 FBXW7 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 PPP2R1A CCNE1/FBXW7 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 CCNE1 CR/PR, confirmed CCNE1 CR/PR, unconfirmed CCNE1 CCNE1 Ongoing 0 4 8 12 16 20 24 28 32 36 40 44 48 52 56 60 64 68 72 Serous Non-Serous Progression-free rate (KM) at 24 weeks was 45% (95% CI: 22-66%) Pattern of benefit reflects unique lunre+camo MoA:—Long-term benefit in patients when tumor reductions did not meet response definition—Continuous slow reductions in tumor burden, late and/or unconfirmed PRs—CA-125 responses predict clinical benefit Treatment ongoing in 29% of patients; 4 additional patients with first scan pending CBR, % 79% PFS (%) at 24-weeks (90% CI) 45% (22-66%) TRT ongoing w/o PD, n (%) 29% Abbreviations: CBR, clinical benefit rate defined as having CR, PR, or at least 16 weeks treatment without PD. 28 Note: Modified efficacy population defined as those treated patients with at least one post-baseline tumor assessment


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PROC results PROC: Strong efficacy in lunre BM+ tumors 75% of patients experienced tumor shrinkage ORR (conf.+ unconf.), % 37.5% ORR (conf.), % 16.7% PR 4 (16.7%) Durable responses observed across subtypes and genetic alterations 16 weeks 80 Dose / Schedule: RP2d (80BID) Lesions 60 Target 40 in 20 20% Baseline 0 from -20 -30% Change -40 Percent -60 -80 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 Weeks Time to response (Range) 5-18 weeks Duration of response up to ~64 weeks Note: +, denotes treatment ongoing 29


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MOA-driven response profile and differentiation EC & PROC: Pattern of benefit consistent with lunre MOA Lunre+camo combination demonstrated: ï,§ Strong and consistent evidence of anti-tumor activity observed in both tumors despite poor prognosis of BM+ populationï,§ Durable clinical benefit, including in patients with/without RECIST responsesï,§ Long stable disease with molecular response indicates drug-related effectï,§ Continued tumor shrinkage, durable responseï,§ Differentiated tolerability, predictable safety profile improves quality of life Endometrial Ovarian (N=27) (N=24) Median follow-up (weeks) 20 25 100% platinum Prior therapies 78% prior ICI resistant/ineligible 3 or more prior lines of therapy 59% 54% P53 mutations 85% 100% 19% Carcinosarcoma/non-serous 29% non-serous carcinosacoma 25.9% 37.5% RECIST response rate (95% CI) (11-46%) (19-59%) PFS at 24 weeks (KM), (95% CI) 43% (21-63%) 45% (22-66%) 30


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MOA-driven response profile and differentiation Greater clinical benefit observed vs. prior treatments Duration of treatment (DOT) on lunre+camo vs. previous therapy Patients with >5mo DOT Last Line DOT Lunre+Camo DOT OC EC EC OC OC OC EC EC OC EC EC OC EC OC // EC // OC Months Months ï,§ Patients achieving long clinical benefit on lunre+camo had generally short treatment durations on prior therapies1—Limited benefit of prior therapies likely associated with poor prognosis and chemoresistance of lunre BM+ tumors—Toxicities of prior chemotherapy further limited the clinical benefit ï,§ Data support benefit of lunre+camo in high-risk, high unmet need Lunre BM+ tumors 31 Reference: 1. https://pubmed.ncbi.nlm.nih.gov/27234642/; https://medelis.com/abstracts/the-lost-opportunity-in-phase-i-oncology-clinical-trials/.


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MOA-driven response profile and differentiation Durable clinical benefit in patients with unconfirmed PRs Tumor lesion change observed for tumors with unconfirmed PRs EC and PROC pts with final best overall response of uPR EC PROC ï,§ Continuous tumor burden reduction culminating in benefit in patients with late PRs ï,§ This later response and benefit pattern is expected to: ï,§ Enable our planned and regulator-supported Ph 3 randomized trial primary endpoint (PFS)ï,§ Meet requirements for accelerated approval in the context of our planned randomized trial1 1Unconfirmed responses in randomized studies (RECIST v1.1) “Confirmation of response is required for trials with response primary endpoint but is no longer required in randomized studies since the control arm serves as appropriate means of interpretation of data.” 32 Reference: EA Eisenhauer, New response evaluation criteria in solid tumors: revised RECIST guideline (version 1.1), Eur J Cancer. 2009 Jan;45(2):228-47.


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MOA-driven response profile and differentiation Lunre+camo safety profile: Differentiation from emerging ADCs Safety Lunre+camo ADCs Dosingï,§ Oralï,§ IV High-grade toxicitiesï,§ Overall Gr3/4* TRAEs: 46.3%ï,§ Generally higher Gr3/4 TRAEs: ~30-70+%ï,§ No treatment-related deathsï,§ Treatment-related deathsï,§ Predominantly manageable anemiaï,§ Predominantly neutropenia (often high-grade) Other toxicitiesï,§ Rashï,§ Alopecia ï,§ Fatigueï,§ Ocular ï,§ ILD, pneumonitisï,§ Diarrheaï,§ Fatigue Monitoringï,§ Easily monitorable, predictable and ï,§ More invasive and inconvenient monitoring treatable toxicitiesï,§ Increased vigilance for respiratory symptoms 33 Note: *, 2 Gr 4 out of 67 patients, one with neutropenia and leukopenia with concomitant viral infection and allergy to cephalosporin.


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Registrational path forward for endometrial cancer Lunre+camo: Clinical summary and development path forward A potentially effective, well-tolerated, convenient and differentiated option Overall ï,§ Encouraging efficacy in heavily pre-treated patients with adverse genomic profile and worse prognosesï,§ Promising rate of tumor responses, durable benefitï,§ Potential alternative to ADCs with improved safety and tolerabilityï,§ Clear registrational opportunities for both tumors ï,§ Mirvetuximab-like opportunity for BM+ subset Endometrial Cancer Strong response rate and benefit: 25.9% response rate and 24wk PFS 43% Aiming to define new 2L+ SOC Greater unmet need with rising incidence, mortality PROC Compelling response rate and benefit: 37.5% response rate and 24wk PFS 45% Attractive biomarker directed approach with differentiated tolerability profile Path forward Focus on EC Pivotal trial start in 2025ï,§ 2L+ target and robust patient need for chemo alternatives ï,§ Large, growing and global unmet needï,§ EU and FDA regulatory alignment with AA option for earlier US registrationï,§ Favorable competitive dynamics 34


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Registrational path forward for endometrial cancer Pivotal development for EC supported by data and regulators Path forward Focus on EC Pivotal trial start in 2025ï,§ 2L+ target and robust patient need for chemo alternatives ï,§ Large, growing and global unmet needï,§ EU and FDA regulatory alignment with AA option for early US registrationï,§ Favorable competitive dynamics Regulatory support: FDA and EMA alignment on Ph 3 registrational trial(s)  FDA Fast Track Designations: Recurrent EC and PROC  RP2D established with (optimized dosing)  Contribution of components (COC): Agreement on 40-patient randomized trial with early futility analysis (N=9 per arm) agreed for both indications; EC enrollment to start Q1 2025  Agreement reached with FDA on key components of the Ph 3 clinical trial design including potential option for U.S. accelerated approval (AA) 35


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Registrational path forward for endometrial cancer Efficient plan to regulatory approval: EC as lead indication Phase II Study with Alliance Foundation Trials Lunre monotherapy A andSmall IRB comple study e to establish contribution of components d for Dec24 N = 20 ENDOMAP Random-ï,§ Ph 2 study with Alliance Foundation Trials N =40 izationï,§ Submission to FDA and IRB complete Lunre+Camoï,§ FPI planned for Q1 2025, estimated duration ~2 yrs N = 20 with early futility Pivotal evaluation for registration Phase 3 in 2L+ EC ï,§ In collaboration with Gynecological Oncology N ~400 Option for Accelerated Approval Group (GOG) in U.S. and European Network of Gynecological Oncological Trial groups (ENGOT) 36


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Registrational path forward for endometrial cancer Ph 3 registrational trial in EC Supporting NDA submission for potential accelerated and full approvals within one study Eligibility criteria: ï,§ Recurrent EC or carcinosarcoma ï,§ Previous ICI and platinum ï,§ At least 1 evaluable lesion ï,§ 1-3 prior lines of therapyï,§ CCNE1, FBXW7 and/or PPP2R1A based on Foundation Medicine NGS diagnosticï,§ Previous HER2 ADC if HER2+ Lunresertib + camonsertib RP2D Randomization N ~ 400 1:1 Investigator chemo choice doxorubicin or paclitaxel ORR interim analysis proposed at ~170 patients with 3 completed scans, expected H1 2027 Primary endpoints: PFS by BICR Key secondary: ORR by BICR (for AA), OS Secondary: QOL, Safety Targeted label: Lunre+camo indicated for adult patients with CCNE1, FBXW7, PPP2R1A altered, serous, endometroid or carcinosarcoma endometrial cancer, who have disease progression following prior systemic treatment regimens with ICI and at least one chemotherapy/ADC in any setting. Patients selected based on an FDA-approved test. 37 Note: BICR, Blinded Independent Central Review


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Registrational path forward for endometrial cancer EC as lead indication: Targeting 2028 NDA submission Anticipated milestones starting with Q1 2025 initiation of COC trial Q1 2025 H2 2025 2026 2027 2028 COC Trial Ph 3 Trial Start COC Trial FDA Accelerated FDA Full Approval Start Readout Approval Readout Readout & & Submission Submission COC Trial Ph 3 Trial 38


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Patient and Commercial Opportunity Phillip Herman EVP, Chief Commercial and Portfolio Development Officer Repare Therapeutics


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Commercial overview: Building a strong foundation Strong commercial opportunity ï,§ De-risked opportunity in EC and PROC ï,§ EC is our lead indication, with potential for Accelerated Approval built into designï,§ PROC, a future life-cycle opportunity ï,§ Clear value proposition for lunre+camo relative to existing and emerging potential treatment options post chemo/IO Feedback from independent market research1 “If you show similar outcome data, but you have something that has a better toxicity profile, I am somebody that would be open to using that drug.” -Gynecologic Oncologist “One doctor says, ‘we have a chemo you haven’t tried; we guarantee it’ll make you sick, but we don’t guarantee you’ll recover.’ And another doctor says that chemo has not been shown to help with your specific cancer…There is no reason to torture myself on a ‘maybe.’” -Patient 40 Note: 1, Direct quotes from physician and patient feedback from Repare market research.


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Lunre+camo combination well-positioned for success in 2L+ EC ï,§ New 1L standard of care will lead to majority of 2L patients having previously received ICI + chemoï,§ Limited data to support use of approved 2L options after ICI + chemo, opportunity for novel agents Phase II Study with Alliance Foundation Approved 2L+ Options 1L Therapy ICI + Chemo Emerging Therapies: Lunre+Camo, ADCs, Other Targeted Options Limitations of approved options: ï,§ Little to no data post-ICI ï,§ Chemo offers limited efficacy with AEs Lunre+camo offers: ï,§ Competitive and differentiated profile vs. other emerging therapiesï,§ Biomarker-directed approachï,§ Convenient oral dosing 41


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EC offers meaningful commercial potential as lead indication ~2.9K Addressable 2L EC US Patients1 ~$450M – $600M U.S. Market Potential2 ~$900M – $1.2B Global Market Potential3 Target Label Lunre+camo indicated for adult patients with CCNE1, FBXw7, PPP2R1a altered, serous, endometroid or carcinosarcoma endometrial cancer, who have disease progression following prior systemic treatment regimens with ICI and at least one chemotherapy/ADC in any setting. Patients selected based on an FDA-approved test. 1 Addressable patients estimated based on TCGA, GENIE and Clarivate DRG drug-treated patients. 2 Assumes net monthly pricing with 15-25% net discount. 3 Assume 2X US Potential 42


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Lunre combinations offer significant market opportunity potential Potential for multiple additional tumor types beyond EC Initial target indication: ~$900M—$1.2B market potential Endometrial Cancer Additional de-risked opportunity: >$2B market size in 2030* Ovarian Cancer Multiple indication expansion opportunities: >$2.5B market size in 2030* Colorectal Esophageal Stomach *Indication global sales forecast in 2030 for approved therapies and projected approved therapies (EvaluatePharma), 75% factor for US/EU4/UK, Lunre segment ~29% of $7B Market for Ovarian, ~16% of $16B Market across multiple indication expansion opportunities. 43


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Closing Remarks


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POC achieved for registrational trial, Ph 3 EC start in 2025 We achieved POC for lunre+camo combo in EC and PROC Combination was effective and well-tolerated Clear signals, opportunity for registrational trials in both EC and PROC Opportunity to deliver important, new and chemo-alternative treatment options Initiating pivotal Ph 3 randomized trial in EC in 2025 Regulatory alignment with FDA and EMA, including accelerated approval options Simple Contribution of Components trial obligation, under way shortly PROC a de-risked life cycle opportunity, subject to capital and/or partnering Our objectives for today: Set the stage for this product opportunity Walk you through our lunre+camo data Describe our planned registrational trial and supporting regulatory guidance Detail product opportunities longer term Answer your questions 45 Abbreviations: POC, proof of concept.


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Questions & Answers Lloyd Segal President, Chief Executive Officer Repare Therapeutics Brian Slomovitz, MD, MS, FACOG Director, Gynecologic Oncology Co-chair of the Cancer Research Center Mount Sinai Medical Center Maria Koehler, M.D., Ph.D. EVP, Chief Medical Officer Repare Therapeutics Phillip Herman EVP, Chief Commercial and Portfolio Development Officer Steve Forte EVP, Chief Financial Officer 46


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Thank you. RepareRx.com ©2024 Repare Therapeutics

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