EX-99.2 5 tm2510984d1_ex99-2.htm EXHIBIT 99.2
Exhibit 99.2
 

1 EDG-7500: Phase 2 CIRRUS-HCM Development Program Update April 2, 2025

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2 Forward Looking Statement This presentation contains forward-looking statements as that term is defined in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Statements in this presentation that are not purely historical are forward-looking statements. Such forward-looking statements include, among other things, statements regarding the potential of, and expectations regarding Edgewise’s cash runway, Edgewise’s expectations relating to its : clinical trials and clinical development of sevasemten (EDG-5506) and EDG-7500, including statements regarding timing of reporting data, timing of reporting Edgewise's future clinical trial plans; statements regarding the advancement of Edgewise's research and development programs; statements regarding Edgewise's pipeline of product candidates and programs; statements relating to Edgewise’s cash runway; and statements regarding Edgewise's milestones. Words such as “believes,” “anticipates,” “plans,” “expects,” “intends,” “will,” “goal,” “potential” and similar expressions are intended to identify forward-looking statements. The forward-looking statements contained herein are based upon Edgewise’s current expectations and involve assumptions that may never materialize or may prove to be incorrect. Actual results could differ materially from those projected in any forward-looking statements due to numerous risks and uncertainties, including but not limited to: risks associated with the potential unreliability of extrapolations and comparisons of published results without head-to-head comparison included in the topline result from Parts B and C of Phase 2 of CIRRUS-HCM trial of EDG-7500 in individuals with either obstructive or non-obstructive Hypertrophic Cardiomyopathy; Edgewise’s limited operating history, its products being early in development and not having products approved for commercial sale; risks associated with Edgewise not having generated any revenue to date; Edgewise’s ability to achieve objectives relating to the discovery, development and commercialization of its product candidates, if approved; Edgewise’s need for substantial additional capital to finance its operations; Edgewise’s substantial dependence on the success of sevasemten and EDG-7500; Edgewise’s ability to develop and commercialize sevasemten and EDG-7500 and discover, develop and commercialize product candidates in future programs; risks related to Edgewise’s clinical trials of its product candidates not demonstrating safety and efficacy; risks related to Edgewise’s product candidates causing serious adverse events, toxicities or other undesirable side effects; the outcome of preclinical testing and early clinical trials not being predictive of the success of later clinical trials and the risks related to the results of Edgewise’s clinical trials not satisfying the requirements of regulatory authorities; delays or difficulties in the enrollment and/or maintenance of patients in clinical trials; risks related to failure to capitalize on other indications or product candidates; risks related to competition; risks relating to interim, topline and preliminary data from Edgewise’s clinical trials changing as more patient data becomes available; risks related to the regulatory approval processes of domestic and foreign authorities being lengthy, time consuming and inherently unpredictable; risks related to production of drugs by Edgewise’s third-party manufacturers; risks related to changes in methods of product candidate manufacturing or formulation; risks related to not achieving adequate market acceptance; risks related to the patient population for our product candidates having a small patient population; risks related to regulatory authorities not accepting data from trials conducted in locations outside of their jurisdiction; risks relating to Edgewise’s ability to attract and retain highly skilled executive officers and employees; Edgewise’s ability to obtain and maintain intellectual property protection for its product candidates; Edgewise’s reliance on third parties; general economic and market conditions; and other risks. Information regarding the foregoing and additional risks may be found in the section entitled “Risk Factors” in documents that Edgewise files from time to time with the U.S. Securities and Exchange Commission. These forward-looking statements are made as of the date of this presentation, and Edgewise assumes no obligation to update the forward-looking statements, or to update the reasons why actual results could differ from those projected in the forward-looking statements, except as required by law. The trademarks included herein are the property of the owners thereof and are used for reference purposes only. Such use should not be construed as an endorsement of such products.

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3 Agenda 1. Introduction to Edgewise Therapeutics 2. The continued unmet need in HCM 3. Topline results: Phase 2 CIRRUS-HCM trial EDG-7500 28-day data in oHCM and nHCM 4. EDG-7500 future development plans 5. Closing remarks 6. Q & A Center for Inherited Cardiac Disease, Hospital of the University of Pennsylvania and CIRRUS-HCM Investigator Dr. Kevin Koch Dr. Anjali Owens Dr. Robert Blaustein Chief Executive Officer Chief Development Officer Dr. Ahmad Masri Director of the Hypertrophic Cardiomyopathy Center at Oregon Health and Science University and CIRRUS-HCM Investigator

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4 Focused on muscle science ● Global leader in muscle disease therapeutic development ● Deep knowledge of integrated muscle physiology ● Combined expertise in muscle biology and small molecule drug discovery to build our novel and differentiated muscle-focused platform Rapidly advancing portfolio ● Advancing EDG-7500 in oHCM and nHCM ● Advancing sevasemten in muscular dystrophies, including Becker for which there are no approved treatments ● Novel cardiometabolic targets in discovery Unwavering patient commitment ● Mission-driven focus on unmet needs in severe muscle conditions ● Patients & families are critical voices in all development programs Abbreviations: nHCM, nonobstructive hypertrophic cardiomyopathy; oHCM, obstructive hypertrophic cardiomyopathy

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5 Abbreviations: Becker, Becker muscular dystrophy; Duchenne, Duchenne muscular dystrophy; Limb-Girdle LGMD2i Our Pipeline Becker muscular dystrophy Duchenne muscular dystrophy Becker / LGMD2i / McArdle Preclinical Phase 1 Phase 2 Pivotal / Phase 3 Regulatory submission Hypertrophic cardiomyopathy (HCM) EDG-7500 Undisclosed cardiac sarcomeric target Sevasemten Myosin ATPase Muscular Dystrophy EDG-003 Undisclosed target Cardiometabolic Undisclosed cardiac sarcomeric target Diseases of diastolic dysfunction Cardiovascular

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6 Treatments for HCM Have Key Limitations Leaving Substantial Unmet Need for Patients HCM, hypertrophic cardiomyopathy; HF, heart failure; nHCM, nonobstructive hypertrophic cardiomyopathy; oHCM, obstructive hypertrophic cardiomyopathy. 1. Ommen SR et al. Circulation. 2024;149(23):e1239-e1311; 2. Maron MS et al. N Engl J Med. 2024;390:1846-61; 3. CAMZYOS [package insert]. Princeton, NJ: Bristol-Myers Squibb Company, 2023; 4. Olivotto I et al. Lancet. 2020;396(10253):759-769. LIMITED BENEFIT ACROSS THE SPECTRUM OF HCM SAFETY RISKS WORSEN PATIENT EXPERIENCE RISK OF HEART FAILURE1,2 Mavacamten black box warning for HF3 No approved therapies for nHCM Efficacy & safety limitations with interventions in oHCM4 HF risk limits intervention2 Frequent echo monitoring1-3 Echo-based dose titration for safety1-3

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Ahmad Masri, MD MS Cardiomyopathy Section Head Director, Hypertrophic Cardiomyopathy Center Associate Professor of Medicine Oregon Health & Science University Disclosures: research grants from Pfizer, Ionis, Attralus, and Cytokinetics and consulting fees from Edgewise, Cytokinetics, Bristol Myers Squibb (BMS), BridgeBio, Pfizer, Ionis, Lexicon, Attralus, Alnylam, Haya, Alexion, Akros, Lexeo, Prothena, BioMarin, AstraZeneca, and Tenaya. The Unmet Need in Hypertrophic Cardiomyopathy

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The Continuum in Hypertrophic Cardiomyopathy Myocyte hypertrophy, interstitial fibrosis, diastolic dysfunction underlie the continuum of HCM

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These materials are provided to you solely as an educational resource for your personal use. Any commercial use or distribution of these materials or any portion thereof is strictly prohibited. HCM Disease Complexity Requires Thorough Evaluation

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Burden of HCM is Substantial Data from the SHaRe Registry Ho CY et al. Circulation 2018

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Goals of Therapies in HCM • Rapid and consistent relief of symptoms • Improvement in quality of life • Improvement in exercise capacity • Favorable remodeling and in turn, less complications and better outcomes Unmet Need • Non-obstructive HCM • No approved therapies • Obstructive HCM • Non responders • Mild obstruction • Diastolic dysfunction • Monitoring burden • Systolic dysfunction

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These materials are provided to you solely as an educational resource for your personal use. Any commercial use or distribution of these materials or any portion thereof is strictly prohibited. Principles of Therapy Improvement in Quality of Life* Green et al. JACC 2000 Validated tool in heart failure and in HCM Joseph et al. Circ HF 2013 Spertus et al. JACC 2020 Prognostic tool in heart failure Beyond directionality, KCCQ is a robust measure of magnitude of benefit *ACC/AHA Guidelines, Ommen et al. 2024

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13 Phase 2 CIRRUS-HCM Trial Part B (oHCM) and Part C (nHCM) Dr. Anjali Owens Medical Director, Center for Inherited Cardiac Disease Associate Professor of Medicine (Cardiovascular Medicine) at the Hospital of the University of Pennsylvania Disclosures: Consulting/advisory boards for Alexion, Avidity, Bayer, BMS, Cytokinetics, Corvista, Edgewise, Imbria, irhythm, Lexeo, Biomarin, Stealth, Tenaya and grant to institution from BMS

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14 Single Dose Study in oHCM Highlighted the Potential for EDG-7500 as a Novel Therapy for Patients with HCM Observations from CIRRUS-HCM Single Dose Study Highlighted EDG-7500’s Potentially Differentiated Profile in HCM Abbreviations: oHCM, obstructive hypertrophic cardiomyopathy; HCM, hypertrophic cardiomyopathy; LVEF, left ventricular ejection fraction; LVOT-G, left ventricular outflow tract gradient; NT-proBNP, N-terminal pro-B-type natriuretic peptide ● EDG-7500 was well tolerated across all doses studied in oHCM patients ● Reduction in resting LVOT-G of 67% for the 100/200 mg cohorts combined ● Reduction in Valsalva LVOT-G of 55% for the 100/200 mg cohorts combined ● LVOT-G relief was achieved without reductions in LVEF ● EDG-7500 led to a mean 31% (100 mg) and 64% (200 mg) decrease in NT-proBNP Resting LVOT-G (N=7) LVEF Reduction (N=11) Valsalva LVOT-G (N=7) Mean Change in NT-proBNP (N=11)

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15 EDG-7500 Fixed Daily Dosing 28-Days in oHCM (Part B) and nHCM (Part C) Study Design PRIMARY OBJECTIVE Safety & tolerability in adults with HCM KEY INCLUSION CRITERIA Male and female patients ≥18 yrs of age with HCM LVEF ≥60% TOTAL CIRRUS TARGET ENROLLMENT ~70 KEY OUTCOME MEASURES Cardiovascular PD, LVEF, Biomarkers, PK Single dose EDG-7500 Once-daily dose EDG-7500 PART A: Single Dose (oHCM) PART B (28 Days): Fixed Daily Dosing (oHCM) Once-daily dose EDG-7500 PART C (28 Days): Fixed Daily Dosing (nHCM) PART D (12 weeks): Extended Dose (oHCM & nHCM) ADULTS WITH oHCM ADULTS WITH oHCM ADULTS WITH nHCM Once-daily dose EDG-7500 ADULTS WITH oHCM & nHCM Focus of Today’s Presentation Abbreviations: oHCM, obstructive hypertrophic cardiomyopathy; nHCM, nonobstructive hypertrophic cardiomyopathy

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16 Baseline Characteristics CIRRUS oHCM (Safety; n=17) CIRRUS nHCM (Safety; n=12) Age (yrs.) 61 54 Sex, % females 71% 58% BMI (kg/m2) 28 27 History of AF 6% 8% ICD 12% 50% Prior SRT 6% 0% Hypertension 65% 17% Diabetes 6% 17% NYHA I 6% 0% NYHA II 59% 50% NYHA III 35% 50% KCCQ-OSS 63 57 LVEF 65% 61% LVOT-G (resting; mmHg) 59 9 LVOT-G (Valsalva: mmHg) 93 14 NT-proBNP (geometric mean/median; pg/ml) 724 / 710 782 / 715 CIRRUS-HCM Part B and C: Baseline Demographic and Clinical Characteristics Abbreviations: LVOT, left ventricular outflow tract; SRT, septal reduction therapy; NYHA, New York Heart Association; KCCQ, Kansas City Cardiomyopathy Questionnaire; LVEF, left ventricular ejection fraction; ICD. implantable cardioverter-defibrillator

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17 Prespecified oHCM Efficacy Evaluable Population for LVOT-G Abbreviations: LVOT, left ventricular outflow tract Edgewise Therapeutics – Data on file 1. Received at least 1 dose of EDG-7500 2. Baseline LVOT peak gradient ≥ 30 mmHg measured at rest and ≥ 50 mmHg measured during the Valsalva maneuver as determined by echocardiography 3. A good acoustic window and ability to obtain a high-quality transthoracic echocardiogram 4. No clinically significant cardiac structural abnormalities

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18 Part B – Obstructive HCM

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19 Cohort B (oHCM): 17 Patients Assessed as Part of the Safety Population; 12 Patients Met the Efficacy Evaluable Criteria Pooled Safety Population N=17 50 mg Efficacy Evaluable N=6 100 mg Efficacy Population N=6 Baseline LVOT-G: Resting < 30 mmHg or Valsalva < 50 mmHg N=2 Baseline LVOT-G: Resting < 30 mmHg or Valsalva < 50 mmHg N=3 50 mg Safety Population N=8 100 mg Safety Population N=9 Safety population assessed for LVEF, NT-proBNP, KCCQ, NYHA and e’ Pooled Efficacy Evaluable N=12 Efficacy evaluable for LVOT-G at rest and Valsalva

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20 EDG-7500 Led to Meaningful Reductions in LVOT-G at Rest & Post Valsalva Even at 50 mg, with Greater Reduction at 100 mg Means ± Std Err presented * % reaching LVOT criteria based on N=5 and 6 participants with Week 4 data at 50 mg and 100 mg respectively. Edgewise Therapeutics – Data on file Absolute Value Strong LVOT-G Responses Even in the Absence of Intra-Patient Dose-Optimization (N=12) % Change from Baseline 100 mg: 83% 50 mg: 40% %* Reaching LVOT <30 mmHg (Week 4) 100 mg: 83% 50 mg: 60% % Reaching LVOT <50 mmHg Efficacy Evaluable -100 -50 0 50 100 Study Visit % Change from Baseline Day 1 Wk1 Wk2 Wk4 EOS -100 -50 0 50 100 Study Visit % Change from Baseline Day 1 Wk1 Wk2 Wk4 EOS 100 mg: 83% 50 mg: 60% %* Reaching LVOT <50 mmHg (Week 4) High Baseline Gradients REST VALSALVA -71% -58% 73 mmHg 102 mmHg 0 20 40 60 80 100 Study Visit Resting LVOT-G (mmHg) 30 Day 1 Wk1 Wk2 Wk4 EOS 0 20 40 60 80 100 120 140 Study Visit Valsalva LVOT-G (mmHg) Day 1 Wk1 Wk2 Wk4 EOS 50 p ≤0.05 at Wk4 vs Day 1 @ 100 mg p ≤0.05 at Wk4 vs Day 1 50 mg (N=6) 100 mg (N=6) HEMODYNAMICS

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21 After Only 4 Weeks of Treatment, ~80% of oHCM Patients in the Safety Population Showed a Complete LVOT-G Response Means ± Std Err presented Edgewise Therapeutics – Data on file. Complete LVOT-G response defined as resting and Valsalva gradients <30 mmHg and <50 mmHg, respectively * % reaching LVOT criteria based on N=7 and 9 participants with Week 4 data at 50 mg and 100 mg respectively. ** Five of the patients included in the Safety Population evaluation for LVOT had either resting or Valsalva gradients below clinical meaningful thresholds on Day 1 Strong LVOT-G Responses Even in the Absence of Intra-Patient Dose-Optimization (N=17**) 100 mg: 89% 50 mg: 43% 100 mg: 83% 50 mg: 60% % Reaching LVOT <50 mmHg 50 mg (N=8) 100 mg (N=9) 100 mg: 89% 50 mg: 57% REST VALSALVA Safety Population 0 20 40 60 80 100 Study Visit Resting LVOT-G (mmHg) Day 1 Wk1 Wk2 Wk4 EOS 30 -100 -50 0 50 100 Study Visit % Change from Baseline Day 1 Wk1 Wk2 Wk4 EOS 0 20 40 60 80 100 120 140 Study Visit Valsalva LVOT-G (mmHg) Day 1 Wk1 Wk2 Wk4 EOS 50 -100 -50 0 50 100 Study Visit % Change from Baseline Day 1 Wk1 Wk2 Wk4 EOS -63% -61% Absolute Value % Change from Baseline p = 0.0001 at Wk4 vs Day 1 @ 100 mg p < 0.0001 at Wk4 vs Day 1 @ 100 mg %* Reaching LVOT <30 mmHg (Week 4) %* Reaching LVOT <50 mmHg (Week 4) HEMODYNAMICS

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22 EDG-7500 Resulted in Rapid and Robust Reductions in NT-proBNP, a Key Marker of Heart Failure in oHCM1 1 Coats C.J. et al. European Heart Journal. 2013; 34(32), 2529–2537; Cytokinetics Presentation at the European Society of Cardiology Congress, 2024; London, UK; September 1, 2024 (Clinical Application of Biomarkers in Obstructive HCM: Insights from SEQUOIA-HCM) Edgewise Therapeutics – Data on file -62% Improvements in NT-proBNP are Known to Show Strong Correlation to Improvements in pVO2 Safety Population Geometric means ± Std Err for presented for values. Means ± Std Err for % Change from Baseline -100 -80 -60 -40 -20 0 20 Study Visit % Change from Baseline Day 1 Wk1 Wk2 Wk4 EOS 5/9 (56%) Patients at 100 mg Achieved <150 pg/ml NT-proBNP, the Threshold for Normal 50 mg (N=8) 100 mg (N=9) p ≤ 0.05 at Wk4 vs Day 1 BIOMARKERS 100 1000 10000 Study Visit NT-proBNP (pg/ml) Day 1 Wk1 Wk2 Wk4 EOS

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23 Rapid and Sustained Increase in Early Diastolic Mitral Annulus Velocity (e') Suggesting an Improvement in Diastolic Function Means ± Std Err presented Edgewise Therapeutics – Data on file Safety Population Rapid Dose Responsive Improvements in Mean e’ Observed as Early as 1 Week After Initiation of Treatment with EDG-7500 5 6 7 8 Study Visit e' mean (cm/s) Day 1 Wk1 Wk2 Wk4 EOS 50 mg (N=8) 100 mg (N=9) -20 0 20 40 Study Visit % Change from Baseline Day 1 Wk1 Wk2 Wk4 EOS +21% p = NS at Wk4 vs Day 1 DIASTOLOGY

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24 Edgewise Therapeutics – Data on file 47% 41% 44% 19% 19% 6% 47% 18% 53% 59% 56% 81% 81% 94% 53% 82% 0% 20% 40% 60% 80% 100% Week 4 Baseline Week 4 Baseline Week 4 Baseline Week 4 Baseline Normal Abnormal More Patients Achieving Normal Diastolic Function Across a Number of Parameters EDG-7500 Led to Improvements in Left Ventricular Diastolic Function in Patients with oHCM Abnormal Criteria: e’ Septal < 7, e’ Lateral < 10, E/e’ mean >14, LAVI >34 (Criteria based on Hegde 2024) Note: if a Week 4 value was missing, the last non-missing value in the treatment period was used (LOCF). e’ Septal e’ Lateral Average E/e’ LAVI Safety Population DIASTOLOGY

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25 89% of Participants on 100 mg had Improvements in Patient Reported Outcomes; Mean Increase in KCCQ-OSS of 23 points KCCQ Changes with EDG-7500 in oHCM after 4 Weeks vs. Baseline Means ± Std Err presented Abbreviations: KCCQ, Kansas City Cardiomyopathy Questionnaire; OSS, overall summary score; CSS, clinical summary score; oHCM, obstructive hypertrophic cardiomyopathy Edgewise Therapeutics – Data on file 50mg Dose Group (N=8) 100mg Dose Group (N=9) Baseline Week 4 Safety Population 1 2 0 20 40 60 80 100 70 75 67 71 KCCQ Summary Score ∆=3 ∆=4 1 2 0 20 40 60 80 100 83 88 60 68 KCCQ Summary Score ∆=23 ∆=20 KCCQ-OSS KCCQ-CSS KCCQ-OSS KCCQ-CSS Median KCCQ Improvement: 7 points 2 points 24 points 18 points **p < 0.005 at Wk4 vs Day 1 ** ** *p = NS at Wk4 vs Day 1 * * 68 SYMPTOMS

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26 The Positive KCCQ-OSS Changes with EDG-7500 in oHCM are Compelling Relative to What CMIs have Reported Note: To-date, no head-to-head comparisons of any other products to any of our product candidates in any clinical trial have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable. Abbreviations: KCCQ, Kansas City Cardiomyopathy Questionnaire; KCCQ-OSS, Kansas City Cardiomyopathy Questionnaire - Overall Summary Score Maron M et al., N Engl J Med 2024;390:1849-1861; Maron M et al., JACC. 2024 Nov, 84 (19) 1821–1831; Sherrod CF et al., JACC. 2024; Spertus JA, Lancet, Volume 397, Issue 10293 p2467-2475 June 26, 2021 Edgewise Therapeutics – Data on file KCCQ-OSS Changes with Mavacamten in EXPLORER-HCM (6 Months) KCCQ-OSS Changes with Aficamten in SEQUOIA-HCM (6 Months) 100 mg EDG-7500 KCCQ (N=9; 4 Weeks) • Larger increases in KCCQ scores for EDG-7500 relative to Mavacamten and Aficamten • Across multiple studies, KCCQ-OSS placebo effect accounted for 5-7 point increases Safety Population Spertus JA et al., Lancet, 2021 Sherrod C. et al., JACC, 2024 1 0 20 40 60 80 100 83 60 KCCQ Summary Score ∆=23 KCCQ-OSS SYMPTOMS

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27 78% of oHCM Patients Treated with 100 mg EDG-7500 Experienced Very Large Improvements in KCCQ-OSS Abbreviation: KCCQ-OSS, Kansas City Cardiomyopathy Questionnaire – Overall Summary Score Edgewise Therapeutics – Data on file KCCQ-OSS Changes with EDG-7500 in oHCM after 4 Weeks (100 mg) vs. Baseline Safety Population Very Large Improvements of ≥20 Points Worsened Large Improvements of ≥10-20 Points 78% 11% 11% SYMPTOMS 89% with Clinical Improvements of ≥10 points

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28 100 mg EDG-7500 Led to 78% of Patients Achieving Improvements of ≥ 1 NYHA Class; 67% Achieved NYHA Class I NYHA Functional Class Improvements with EDG-7500 in oHCM at 4 Weeks 50mg Dose Group (N=8*) 100mg Dose Group (N=9) % Patients with ≥ 1 NYHA Class Improvement at Week 4 Abbreviation: NYHA, New York Heart Association Functional Classification Maron M et al., N Engl J Med 2024;390:1849-1861; Olivotto I. et al. The Lancet 2020; 396(10253), 759–769. Edgewise Therapeutics – Data on file * Represents 7 individuals who were evaluated for NYHA at week 4 • ~40% of patients treated with a CMI in Ph 3 did not observe a ≥1 NYHA Class change end of study (at 6 mos.) when patients were on maximally efficacious doses – Percent of pts who did not experience a ≥1 NYHA functional class improvement with mavacamten and aficamten were 35% and 42%, respectively Safety Population 43% 78% 0% 20% 40% 60% 80% 100% 50 mg (N=7) 100 mg (N=9) NYHA I NYHA II NYHA III 0 20 40 60 80 100 0 20% 40% 60% 80% 100% Baseline Week 4 EOS Baseline Week 4 EOS 14% 43% 43% 29% 57% 14% 29% 57% 14% 67% 33% 67% 22% 11% 89% 11% SYMPTOMS

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29 Part C – Nonobstructive HCM

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30 Cohort C (nHCM): 12 Patients Evaluated as Part of the Safety Population; 8 Patients Completed All 4 Weeks of Treatment Edgewise Therapeutics – Data on file Pooled Safety Population N=12 50 mg Safety Population N=7 100 mg Safety Population N=5 Assessed for LVEF, NT-proBNP and e’ 50 mg Completed 4 Weeks N=6 100 mg Completed 4 Weeks N=2 50 mg Completed 2 Weeks N=7 100 mg Completed 2 Weeks N=5 Evaluated for LVEF, KCCQ, NT-proBNP and e’

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31 Like oHCM Patients, EDG-7500 Resulted in Rapid and Robust Reductions in NT-proBNP in Patients with nHCM NT-proBNP Means ± Std Err presented * Two patients at week 4 Abbreviations: NT-proBNP, N-terminal pro-B-type natriuretic peptide; nHCM, nonobstructive hypertrophic cardiomyopathy Edgewise Therapeutics – Data on file -100 -50 0 50 Study Visit % Change from Baseline Day 1 Wk1 Wk2 Wk4 EOS 50 mg (N=7) 100 mg (N=5*) Wk2 vs Day 1: 50 mg p = NS; 100 mg p ≤ 0.05 Wk4 vs Day 1: 50 mg p ≤ 0.05; 100 mg p = NS -50% -42% BIOMARKERS

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32 EDG-7500 Led to Early and Rapid Signs of Diastolic Improvements in nHCM Participants after Only 4 Weeks Treatment with EDG-7500 Led to Mean e’ Changes in nHCM Patients as Early as One Week Following Initiation of Dosing -40 -20 0 20 40 60 80 Study Visit % Change from Baseline Day 1 Wk1 Wk2 Wk4 EOS 50 mg (N=7) 100 mg (N=5*) Wk2/Wk4 vs Day 1: p = 0.05 at both doses Means ± Std Err presented * Two patients at week 4 Abbreviations: nHCM, nonobstructive hypertrophic cardiomyopathy Edgewise Therapeutics – Data on file DIASTOLOGY

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33 Preliminary KCCQ Observations with EDG-7500 in nHCM Suggest Improvements Beyond Those Observed with CMIs KCCQ Changes with EDG-7500 in nHCM after 4 Weeks vs. Baseline Means ± Std Err presented Note: To-date, no head-to-head comparisons of any other products to any of our product candidates in any clinical trial have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable. Ahmad Masri Presentation at World Congress on Acute Heart Failure, 20 May 2023: Evaluation of Aficamten in Patients with Symptomatic N on obstructive Hypertrophic Cardiomyopathy: REDWOOD HCM Cohort 4; Ho C et al., JACC, Volume 75, Issue 21, 2 June 2020, Pages 2649-2660 Edgewise Therapeutics – Data on file 50mg Dose Group (N=6) 100mg Dose Group (N=2) • No meaningful improvement in KCCQ with CMIs: – MAVERICK (16-week study; placebo controlled) and REDWOOD Cohort 4 (10-week study; no placebo) showed KCCQ-OSS and KCCQ-CSS improvements of +6 point and +10.6 points, respectively in nHCM (both Phase 2 studies) 1 2 0 20 40 60 80 100 68 78 59 63 KCCQ Summary Score ∆=9 ∆=16 1 2 0 20 40 60 80 100 69 73 52 51 KCCQ Summary Score ∆=17 ∆=22 KCCQ-OSS KCCQ-CSS KCCQ-OSS KCCQ-CSS Baseline Week 4 Median KCCQ Improvement: 12 points 11 points 17 points 22 points Wk4 vs Day 1: p = NS at both doses across both KCCQ measures SYMPTOMS

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34 EDG-7500 Safety in Parts B and C

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35 EDG-7500 Continues to Demonstrate No Meaningful Reductions in LVEF; No Participants had LVEF Drops <50% Means ± Std Err presented * Only two patients at week 4 Edgewise Therapeutics – Data on file • 4/12 (33%) nHCM patients had a baseline LVEF <60% by core lab; all 4 remained stable throughout the treatment period • No LVEF drops below 50%; change from baseline was +2.5% for the 4 nHCM subjects No Correlation Between EDG-7500 Plasma Concentration and LVEF Change LVEF Changes in oHCM LVEF Changes in nHCM -20 -15 -10 -5 0 5 10 15 20 Study Visit LVEF Change from Baseline (%) Day 1 Wk1 Wk2 Wk4 EOS Subject Dose (mg) Baseline Week 4 Change 1 100 56.0% 57.6% 1.60% 2 50 53.4% 56.0% 2.60% 3 50 55.8% 55.5% -0.30% 4 50 52.4% 58.6% 6.20% -20 -15 -10 -5 0 5 10 15 20 Study Visit LVEF Change from Baseline (%) Day 1 Wk1 Wk2 Wk4 EOS SAFETY

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36 EDG-7500 was Generally Well Tolerated in oHCM Participants in Part B and nHCM Participants in Part C * A total of 3 oHCM patients and 1 nHCM patient had new onset atrial fibrillation; two of these events were considered SAEs • Two oHCM patients were determined to have not met entry criteria on post-hoc review by two non-Sponsor echo reviewers (one blinded); these patients would be excluded in Phase 3 since both patients would not meet criteria for HCM diagnosis based on wall thickness in addition to: – Significant mitral annular calcification with mild/moderate mitral stenosis (one patient at 50 mg) – Hypertension, thyroid disease, diabetes, and obstructive lung disease (one patient at 100 mg) • One oHCM (100 mg) patient had significant baseline mitral regurgitation and an enlarged left atrium • One nHCM (100 mg) patient had a markedly large left atrial volume index (50.2 ml/m2) and a left atrial diameter (60 mm) with a significantly reduced left atrial reservoir strain, all well-established predictors of new onset atrial fibrillation • None of the patients who had atrial fibrillation experienced LVEF <50% at any time • One participant discontinued treatment due to moderate dizziness Safety Summary for EDG-7500 in CIRRUS Parts B (oHCM) and C (nHCM) Treatment Emergent Adverse Events (TEAE) N=29 Dizziness (mostly mild and transient in duration) 8 (27.6%) Upper respiratory tract infection 5 (17.2%) Atrial fibrillation* 4 (13.8%) Influenza like illness 3 (10.3%) Palpitations 3 (10.3%) Constipation 2 (6.9%) Diarrhea 2 (6.9%) Headache 2 (6.9%) Treatment emergent adverse events in >1 participant in Part B and Part C.

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37 Atrial Fibrillation Rates Observed in the HCM Patients in CIRRUS are Similar to Rates Observed in CMI Trials Summary of Atrial Fibrillation Rates in HCM Clinical Trials 1 Heitner S. et al. Ann. Intern Med. 2019; 170:741-748; 2 CAMZYOS FDA Clinical and Statistical Review(s) document. Treatment-emergent serious adverse events of AF recorded in EXPLORER (Olivotto et al., 2020) were 2 (2%) in the mavacamten arm and 4 (3%) in the placebo arm, while 8 (6.5%) in the mavacamten arm and 9 (7.0%) in placebo arm had AF recorded as cardiovascular treatment-emergent adverse events occurring in ≥1% of patients in any group (Olivotto et al., 2020 Appendix Table S1 pg 6); 3 Desai M. et al. JACC 2022; 80(2): 95-108. AF recorded as serious on-treatment adverse event in 2 (3.6%) subjects on mavacamten and 0 (0%) on placebo, and an additional 2 (3.6%) recorded AF as nonserious on-treatment adverse event in the mavacamten arm and 0 (0%) in the placebo arm; 4 Desai M. et al. Circulation. 2024; 150. New onset AF events were recorded.; 5 Masri et al., Poster #352 HFSA’2022 REDWOOD C1-C3 OLE; 6 Masri et al., ACC’2023 Poster, Heart Failure presentation 2023 (SAE of new onset AF), Masri A. et al. 2024; 7 Maron et al., NEJM 2024; 390:1849-61; 8Cytokinetics Corporate press release September 1, 2024; 9 Masri et al., 2024 JACC. AF or flutter requiring medical intervention. 10 Masri et al., 2024 E J of HF; 11 Garcia-Pavia et al. , European Heart Journal (2024) 45, 5071–5083; Sun D et al., Ann Thorac Surg. 2022 Jun;113(6):1918-1924; 12 Canadian Journal of Cardiology, Volume 39, Issue 12, December 2023; 13 Kharbanda R et al., International Journal of Cardiology 328 (2021) 63–68; 14 Dr. Anjali Owens Presentation at AHA 2024; 15 Ho C. et al. JACC 2020; 75(21): 2649-60.; 15Fumagalli C. et al. Cad J Cardiol. 2024; 40(5):876-886; 16Rowin J. et al. Circulation. 2017; 136(25); 17Falasconi G. et al. Am J Cardiovasc Dis. 2020; 10(4):409-418; 18Garg L. et al. Heart Fail Rev. 2019; 24:189-197 • AF prevalence of approximately 25% in patients with HCM; >40% among HCM pts with severe LV dysfunction or >70 yrs15-18 • The overall incidence of post-operative atrial fibrillation after septal myectomy for HCM was reported to be 30-35%12-13 HYPOTHESIS: AF rates tend to go down from Ph 2 to Ph 3 in CMI trials in part driven by more rigorous patient selection, exemplified with CAMZYOS in PIONEER (16% screen fail rate) vs EXPLORER (41% screen fail rate) and individualized dose optimization for efficacy PIONEER1 EXPLORER2 VALOR3 VALOR BL-128w4 MAVERICK (nHCM)16 MAVA-LTE (oHCM)11 Integrated Safety - PIONEER, EXPLORER, Coh A / Coh B Mava / pbo Mava / pbo Mava Gr1 / Gr2 / pbo Median time 166.1 wks. VALOR, and MAVA-LTE14 Reported AF (%) 3 (27%) / 1 (10%) 10 (8.1%) / 10 (7.8%) 4 (7.1%) / 0 (0%) 11 (10.2%) 0 (0%) / 3 (14.3%) / 1 (5.3%) 33 (14.3%) 58 (15.8%) REDWOOD5 REDWOOD6 SEQUOIA7 Integrated Safety Analysis8 FOREST-HCM (SoC withdrawal)9 FOREST-OLE10 C1 / C2 / C3 C4 (nHCM) Afi / pbo Cumulative Afi Afi / pbo Yes attempt/No attempt nHCM Reported AF (%) 2 (5.2%) 1 (2.4%) 4 (2.8%) / 4 (2.9%) 12 (4.2%) 4 (2.4%) / 5 (3.3%) 5 (7.8%) / 3 (4.2%) 2 (5.9%) CIRRUS HCM Cumulative Part B & C Reported AF (%) 4 (13.8%) Exclusion of the two oHCM patients who were determined to have not met entry criteria on post-hoc review, results in a rate of 7.4% Mavacamten Aficamten EDG-7500

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38 • EDG-7500 is emerging as an exciting potential new therapeutic option for both oHCM and nHCM • The prospect of using EDG-7500 to improve LVOT-G, NT-proBNP, e’, KCCQ and NYHA without reductions in LVEF could allow treatment of a broader pool of HCM patients without the need for safety echoes • EDG-7500 appears to be generally well tolerated across a broad exposure range • Dose optimization for efficacy in CIRRUS Part D, may lead to deepening of clinical and feel-and-function responses observed in Parts B and C • Refinements to Part D’s patient selection criteria and dose optimization should continue to strengthen EDG-7500’s profile heading into Phase 3 trials next year Summary Remarks

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39 EDG-7500 Future Development Plans Dr. Robert Blaustein Chief Development Officer

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40 CIRRUS-HCM Part D: Updated Design in oHCM and nHCM on Path to Phase 3 Start in 1H2026 Optimize dose based on: NT-proBNP, KCCQ, NYHA and LVOT-G (oHCM only) D1 25 mg 50 mg 100 mg Up to 200 mg Long-term Extension W2 W4 W8 W12 W48 EOS Efficacy Measures Positive Observations from CIRRUS Part B and C Inform Intra-Patient Dose Optimization in CIRRUS Part D Abbreviations: NT-proBNP, N-terminal pro-B-type natriuretic peptide; KCCQ, Kansas City Cardiomyopathy Questionnaire; LVOT-G, left ventricle outflow tract gradient; oHCM, obstructive hypertrophic cardiomyopathy; nHCM, nonobstructive hypertrophic cardiomyopathy

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41 ©2024 Edgewise Therapeutics. All rights reserved. Closing Remarks Kevin Koch, CEO

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42 EDG-7500 Continues to Show No Meaningful Reductions in LVEF or LVEF Drops <50% Across a Broad Exposure Range Pooled Healthy Volunteer and CIRRUS Data Abbreviations: LVEF, left ventricular ejection fraction -100 0 100 200 300 400 500 600 700 800 900 1000 1100 1200 -30 -20 -10 0 10 20 30 EDG-7500 Plasma Concentration (ng/ml) LVEF Change from Baseline (%) Placebo SAD/MAD HV oHCM nHCM

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43 Conversely, Treatment with Aficamten in REDWOOD Demonstrated an Exposure Dependent Decrease in LVEF REDWOOD Phase 2 Studies of Aficamten: As much as a 25% Absolute LVEF Reduction Observed with Aficamten Even at Low Plasma Exposures REDWOOD Cohorts 1 and 2 (oHCM) REDWOOD Cohort 1-4 Abbreviations: LVEF, left ventricular ejection fraction Note: To-date, no head-to-head comparisons of any other products to any of our product candidates in any clinical trial have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable. Masri A et al., Journal of Cardiac Failure 30 (2024) 1439 1448; Maron M et al., Journal of the American College of Cardiology vol. 81, no.1, 2023

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44 EDG-7500 Led to KCCQ Improvements that Compare Favorably to Efficacy-Optimized oHCM Patients on CMIs KCCQ Mean Difference Changes in Clinical Trials Including CMIs and EDG-7500* -2.40 -2.40 0.86 1.27 1.50 1.86 1.93 2.30 2.40 2.50 3.70 8.00 9.49 13.65 14.10 15.90 16.00 26.00 6.00 (pbo-adj) 14.40 (CohA) 9.10 (pbo-adj) 9.40 (pbo-adj) 23.00 (unadj) 38.00 (unadj) 13.30 (unadj) 16.00 (CohB) 14.90 (unadj) 10.40 (unadj) -5 0 5 10 15 20 25 30 35 40 PCDM TTT FNTC PARADIGM-HF MADIT-CRT TOPCAT HF-ACTION DAPA-HF SHIFT TELE-HF DEFINE-HF FAIR-HF PAL-HF ATTRACT PARTNER-2 COAPT PARTNER-3 PARTNER-1 SEQUOIA-HCM PIONEER-HCM EXPLORER-HCM VALOR-HCM CIRRUS-HCM SPIRIT-HCM Despite Being Medically More Complex, oHCM Patients Treated with 100 mg EDG-7500 Demonstrated a 23 Point KCCQ-OSS Improvement, Greater than That Observed in Any CMI Trial to Date SEQUOIA-HCM PIONEER-HCM EXPLORER-HCM **VALOR-HCM CIRRUS-HCM SPIRIT-HCM Note: To-date, no head-to-head comparisons of any other products to any of our product candidates in any clinical trial have been completed; results have been obtained from different trials with different designs, endpoints and patient populations; results may not be comparable. Spertus J. et al. The Lancet 2021; 397(10293), 2467–2475; Sherrod C. et al. JACC 2024; 84(19); Desai M. et al. JACC 2022; 80(2), 95-108; Heitner S. et al. Ann. Intern Med. 2019; 170:741-748; Desai M. et al. JAMA Netw Open. 2022; 5(4):e227293 * Data for CMIs and EDG-7500 in obstructive HCM ** VALOR-HCM figures are KCCQ-CSS vs all other trials are KCCQ-OSS Adapted from: Garcia RA, et al., Current Cardiology Reports (2021) 23: 91

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45 CIRRUS Part B and Part C Outcomes are Especially Impressive Considering More Medically Complex Patients were Enrolled Baseline Characteristics CIRRUS nHCM (Safety; n=12) CIRRUS oHCM (Safety; n=17) EXPLORER-HCM (n=251) SEQUOIA-HCM (n=282) Age (yrs.) 54 61 59 59 Sex, % females 58% 71% 46% 39% BMI (kg/m2) 27 28 30 28 History of AF 8% 6% 10% 16% ICD 50% 12% 22% 16% Prior SRT 0% 6% 9% - Hypertension 17% 65% 46% 53% Diabetes 17% 6% 5% 10% NYHA I 0% 6% 0% 0% NYHA II 50% 59% 72% 76% NYHA III 50% 35% 28% 24% KCCQ-OSS 57 63 67 69 LVEF 61% 65% 74% 75% LVOT-G (resting; mmHg) 9 59 52 55 LVOT-G (Valsalva: mmHg) 14 93 72 83 NT-proBNP (geometric mean/median; pg/ml) 782 / 715 724 / 710 777 735 Observations from CIRRUS Part A Demonstrating EDG-7500’s Lack of Reductions in Systolic Performance Allowed Us to Also Treat More Medically Complex oHCM Patients Abbreviations: nHCM, nonobstructive hypertrophic cardiomyopathy; oHCM, obstructive hypertrophic cardiomyopathy; HCM, hypertrophic cardiomyopathy; SRT, stereotactic radiotherapy; NYHA, New Year Heart Association Classification; LVEF, left ventricular ejection fraction; LVOT-G, left ventricle outflow tract gradient

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46 EDG-7500 has the Potential to Revolutionize HCM Care, Where Unmet Needs and Persistent Challenges Remain EDG-7500 CMI Diastolic function Improved filling pressure Improved NT-proBNP Improved early relaxation Improved filling pressure Improved NT-proBNP Systolic effects Systolic function Overall feel and function KCCQ Score NYHA Improvement KCCQ Score NYHA Improvement % LVEF % LVEF Drug Level Drug Level Abbreviations: HCM, hypertrophic cardiomyopathy; CMI, cardiac myosin inhibitor

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47 Edgewise is Committed to Delivering a Novel and Differentiated Therapy for Patients with HCM Based on Observations to Date, No Concerns of LVEF Drops; Potential to Eliminate Safety Echoes Ability to Deepen Functional, Symptom and QoL Improvements Without Concerns of LVEF Drops < 50% Intra-Patient Dose Optimization Using SOC assessments (Biomarkers, Feel-and-Function and Echo at Physician’s Discretion) No Excessive Monitoring Requirements Outside of Standard of Care in HCM; Opens Potential for Use Outside of CoEs Ability to Resolve Diastolic Dysfunction in Patients with Non-Obstructive HCM Aspirational Target Product Profile for EDG-7500 in the Treatment of HCM Safety Efficacy Dosing Monitoring Diastolic Effect Superior Patient Experience Overcomes the Need for Cumbersome Safety Echoes, Easing the Burden on Patients Abbreviations: CoE, centers of excellence; HCM, hypertrophic cardiomyopathy; LVEF, left ventricular ejection fraction; SOC, standard of care

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48 Abbreviations: HV, healthy volunteers; oHCM, obstructive hypertrophic cardiomyopathy; nHCM, non-obstructive hypertrophic cardiomyopathy; CV, cardiovascular; IND, Investigational New Drug application; POC, proof of concept Edgewise Upcoming Value-Generating Milestones H1 2025 H2 2025 H1 2026 Becker Duchenne Muscular Dystrophy Sevasemten Hypertrophic Cardiomyopathy Cardiac P2 LYNX & FOX Controlled dose-ranging data P3 trial Initiation GRAND CANYON Recruitment complete Cardiometabolic Candidate In vivo POC P2 CIRRUS-HCM 12-week EDG-7500 initial readout in oHCM & nHCM EDG-CV candidate IND in Heart Failure CANYON EOP2 Feedback Path to Sevasemten Approval EDG-7500 P3 initiation oHCM & nHCM EDG-CV P2 Data NHV/Heart Failure Heart Failure & Cardiometabolic GRAND CANYON Results 4Q2026 P2 CIRRUS-HCM 28-day EDG-7500 initial readout in oHCM & nHCM

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49 As of December 31, 2024 (1) DEBT (1) $0 CASH, CASH EQUIVALENTS & MARKETABLE SECURITIES ~$660M COMMON SHARES OUTSTANDING (NASDAQ: EWTX) ~105M CASH RUNWAY THROUGH 2028 Well-Capitalized to Execute Important Milestones Across Both Sevasemten and EDG-7500

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50 Thank You