
Exhibit 99.1 GLP-131 Phase 1 Study of BMF-650 in Otherwise Healthy
Overweight or Obese Adult Participants Week 4 Topline Results October 13, 2026

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2026

BMF-650 GLP-131 – A Phase 1 Study of BMF-650 Topline Results
Agenda Opening Remarks Ramses Erdtmann Co-Founder, Chief Operating Officer & President, Biomea Fusion Design Hypothesis Thorsten Kirschberg, PhD for BMF-650 Executive VP, Research, Biomea Fusion GLP-131 Topline Juan Pablo Frías, MD Results
Co-Chair of the Scientific Advisory Board, Biomea Fusion Executive Summary Mick Hitchcock, PhD Interim Chief Executive Officer & Board Member, Biomea Fusion Q & A 3 GLP-131 Phase 1 Topline Results - October 13, 2026

Ramses Erdtmann Co-Founder, Chief Operating Officer & President,
Biomea Fusion Opening Remarks 4

GLP-1 THERAPIES A large and growing market with a meaningful persistence
challenge GLP-1 therapies have transformed obesity treatment, but broad adoption and long-term persistence remain distinct opportunities 100M+ ~1B ~11M Unique U.S. patients using U.S. adults living Adults globally projected GLP-1 based therapies
across with obesity to live with obesity by 2030 indications A chronic disease with substantial ~40% of the U.S. adult population As of Q2 2025, highlighting rapid cardiometabolic consequences adoption of the class Treatment tolerability seems to
prevent long-term persistence ~65% Of patients without T2D discontinued use within one Large U.S. real-world cohort of >125,000 adults with overweight or obesity Sources: CDC/NCHS, U.S. adult obesity prevalence (Aug 2021–Aug 2023; updated
Feb 2026); World Obesity Atlas 2025; IQVIA, “Obesity Deep Dive” (Sep 2025); Rodriguez et al., JAMA Network Open (2025). 5 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Phase 1b MAD Opportunities for a next-generation GLP-1
Receptor Agonist Reduce adverse events that can limit treatment More tolerable therapy Reach the targeted dose quicker and with fewer dose Easier and quicker titration increases to achieve simplified administration and early adherence Persistent
weight management Support continuation of treatment with convenient dosing and manageable tolerability 6 GLP-131 Phase 1 Topline Results – October 13, 2026

Thorsten Kirschberg, PhD Executive VP, Research, Biomea Fusion Design
Hypothesis for BMF-650 7

BMF-650 A potential differentiated oral next-generation GLP-1 receptor
agonist designed to separate GI adverse effects from weight loss One-step Designed for Built for Oral titration improved GI persistent administration tolerability use Faster path to Convenience maintenance Intended for without injections Potential
for better dose and continued use tolerability and efficacy adherence 8 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | PRECLINICAL BMF-650 was designed to reduce on-target agonism
to achieve long-term tolerability BMF-650 is designed as a biased small GLP-1 human β-arrestin molecule GLP-1 receptor agonist, to Compound EC EC selectively engage GLP-1 signaling 50 50 Designed with reduced on-target potency BMF-650 2.6 nM
> 10 µM to achieve less concentrated agonism No off-target activity of concern identified orforglipron 0.1 nM > 10 µM in the counter-screening panels Wang X, et al. ObesityWeek® 2025; Poster 085. 9 GLP-131 Phase 1 Topline
Results – October 13, 2026

BMF-650 | PRECLINICAL BMF-650 | PRECLINICAL Pharmacokinetics showed
enhanced preclinical bioavailability signals with low variability CYNOMOLGUS MONKEY PO PK DATA SPRAGUE-DAWLEY RAT PO PK DATA BMF-650 showed approx. 2-fold BMF-650 showed approx. 3-fold greater oral bioavailability in greater oral bioavailability in
comparison to orforglipron comparison to orforglipron Compound cyno PO %F Compound rat PO %F BMF-650 0.36 mg/kg 54.0 BMF-650 5 mg/kg 32.6 orforglipron 0.36 mg/kg 29.4 orforglipron 5 mg/kg 11.2 Wang X, et al. ObesityWeek® 2025; Poster 085.
Favorable PK observed across species with high oral bioavailability and long exposure 10 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | PRECLINICAL BMF-650 | PRECLINICAL BMF-650 demonstrated
robust, dose-dependent weight loss in obese monkeys with low rates of emesis Week Emesis (Vomiting) BMF-650 up to ~15% body weight reduction after 28 days Body Weight Change from Baseline 1 18.2%* 0 2 7.0% -5 3 5.6% -10 4 1.4% Vehicle BMF-650 10mpk
BMF-650 30mpk Day 8 Day 15 Day 22 Day 29 *One monkey (#3) in the low-dose cohort accounted for 12 of -15 -2.3% -2.7% -2.8% -3.4% the 23 total events. % calculated for 70 dosing events/week -4.8% -7.5% -10.2% -12.3% -7.5% -10.7% -13.5% -15.2% -20 0 1
2 3 4 5 6 7 8 9 1011121314151617181920212223242526272829 With 280 active dosing occurrences, Day there were a total of 23 emesis events (8.2%) balanced across both dosing Wang, et al. Obesity 2025: 33 Sup 2 Poster #085 cohorts. 11 GLP-131 Phase 1
Topline Results – October 13, 2026 % Change from baseline

BMF-650 | Design A next-generation oral small-molecule GLP-1 RA with a
differentiated profile designed to separate GI effects from weight loss Broader intestinal Improved oral Gradual, sustained absorption bioavailability systemic exposure Intended to reduce localized Intended to achieve Designed to limit peak-to-
concentration peaks within systemic exposure with trough fluctuations to avoid the GI tract, and to promote less unabsorbed drug uneven systemic better tolerated absorption GLP-1 receptor stimulation across a broader intestinal surface and time
window 12 GLP-131 Phase 1 Topline Results – October 13, 2026

Juan Pablo Frías, MD Co-Chair of the Scientific Advisory Board,
Biomea Fusion GLP-131 Phase 1 Topline Results Dr. Juan Pablo Frias Chief Medical Officer of Biomea Fusion 13

BMF-650 | Phase 1 BMF-650 | GLP-131 GLP-131: Phase 1 study design
Randomized, double-blind, placebo-controlled study evaluating safety, tolerability, and weight reduction with BMF-650 in overweight or obese participants Multiple Ascending Dose (MAD) Phase 1b Single Ascending Dose (SAD) Phase 1a Primary &
Safety and tolerability, PK, PD, and food effect Safety and tolerability, and efficacy (weight-loss) Secondary Objectives Healthy overweight or obese participants Healthy obese participants Eligibility (BMI 25.0–40.0 kg/m²) (BMI
30.0–45.0 kg/m²) N=40 N=40 Design 5 cohorts 4 cohorts x x COHORT Wk 1 → Wk 2 → Wk 3 → Wk 4 200 mg (fasted) 75 mg → 200 mg → 400 mg → 400 mg 100 mg (fasted) 100 mg (fed) 4 50 mg (fasted) 3 75 mg →
150 mg → 300 mg → 300 mg BMF-650 25 mg (fed) 25 mg (fasted) active drug 50 mg → 100 mg → 200 mg → 200 mg 2 placebo 10 mg (fasted) 10 mg → 25 mg → 50 mg → 100 mg 1 14 GLP-131 Phase 1 Topline Results
– October 13, 2026

BMF-650 | Phase 1b MAD BMF-650 | Phase 1B MAD Baseline Demographics
& Characteristics Active BMF-650 Cohort 1 Cohort 2 Cohort 3 Cohort 4 MAD Cohorts 1-4 Pooled Doses for Weeks 1–4 10/25/50/100 50/100/200/200 75/150/300/300 75/200/400/400 Total Placebo mg mg mg mg (N=32) (N=8) (N=8) (N=8) (N=8) (N=8) Sex,
female, n (%) 6 (75) 6 (75) 3 (38) 4 (50) 19 (59) 4 (50) Age, years, mean 49.5 45.6 49.9 42.3 46.8 40.3 Weight, kg, mean 97.0 109.1 96.1 97.6 100.0 111.1 2 BMI, kg/m , mean 34.8 36.2 31.9 34.4 34.3 35.9 15 GLP-131 Phase 1 Topline Results –
October 13, 2026

BMF-650 | Phase 1b MAD BMF-650 | Phase 1B MAD Clinical efficacy –
weight reduction Mean percentage change in body weight from baseline at Day 29 Pooled Placebo (n=8) -0.1% Cohort 1 (n=8) -1.5% (10/25/50/100 mg) Cohort 2 (n=8) -2.1% (50/100/200/200 mg) Cohort 3 (n=8) -3.2% (75/150/300/300 mg) Cohort 4 (n=8) -2.1%
(75/200/400/400 mg) Data are mean ± SE 16 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Phase 1b MAD Analysis of weekly weight reduction Pooled
Cohort 1 Cohort 2 Cohort 3 Cohort 4 14 of 16 weekly dosing cohorts showed PLACEBO 10 → 25 → 50 50 → 100 → 75 → 150 → 75 → 200 → incremental weekly absolute weight n=8→ 100 200 → 200 300
→ 300 400 → 400 reduction. 10 mg 50 mg 75 mg 75 mg Week 1 +0.33 kg -0.47 kg -0.41 kg -0.45 kg +0.76 kg The average weight loss per week when dosed at 200 mg or higher dose was 0.97 kg / week. 25 mg 100 mg 150 mg 200 mg Week 2 +0.06 kg
+0.12 kg -0.20 kg -0.39 kg -0.83 kg Placebo achieved a 0.1 kg weight reduction 50 mg 200 mg 300 mg 400 mg after 4 weeks. Dose Cohort 3 showed a Week 3 +0.12 kg -0.48 kg -0.23 kg -0.70 kg -1.37 kg weight reduction of 3.0 kg after 4 weeks. 100 mg 200
mg 300 mg 400 mg Week 4 -0.82 kg PK results from Week 1 in Cohort 4 raised -0.63 kg -1.57 kg -1.47 kg -0.63 kg suspicion that patients were possibly not TOTAL taking the drug, so a Cohort 5 was initiated Weight -0.10 kg -1.46 kg -2.41 kg -3.01 kg
-2.07 kg under confinement. Loss 17 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Phase 1 BMF-650 | GLP-131 GLP-131: Phase 1 study design +
dose cohort 5 Randomized, double-blind, placebo-controlled study, evaluating safety, tolerability, and weight reduction with BMF-650 in overweight or obese participants Multiple Ascending Dose (MAD) Phase 1b Single Ascending Dose (SAD) Phase 1a
Primary & Safety and tolerability, PK, PD and food effect Safety and tolerability, and efficacy (weight-loss) Secondary Objectives Healthy obese participants Healthy overweight or obese participants Eligibility (BMI 30.0–45.0 kg/m²)
(BMI 25.0–40.0 kg/m²) Cohort 5 conducted under confinement to evaluate one-step titration regimen N=40 N=50 Design 5 cohorts 5 cohorts x x COHORT Wk 1 → Wk 2 → Wk 3 → Wk 4 200 mg → 400 mg → 400 mg → 400
mg 200 mg (fasted) 5 75 mg → 200 mg → 400 mg → 400 mg 100 mg (fasted) 100 mg (fed) 4 50 mg (fasted) 3 75 mg → 150 mg → 300 mg → 300 mg BMF-650 25 mg (fed) 25 mg (fasted) active drug 2 50 mg → 100 mg →
200 mg → 200 mg placebo 10 mg (fasted) 10 mg → 25 mg → 50 mg → 100 mg 1 18 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Phase 1b MAD BMF-650 | Phase 1B MAD Baseline demographics
& characteristics + dose cohort 5 Active BMF-650 Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 MAD Pooled Doses for Weeks 1–4 10/25/50/100 50/100/200/200 75/150/300/300 75/200/400/400 200/400/400/400 BMF-650 Total Placebo mg mg mg mg mg
(N=40) (N=10) (N=8) (N=8) (N=8) (N=8) (N=8) Sex, female, n (%) 6 (75) 6 (75) 3 (38) 4 (50) 5 (63) 24 (60) 5 (50) Age, years, mean 49.5 45.6 49.9 42.3 41.6 45.8 37.4 Weight, kg, mean 97.0 109.1 96.1 97.6 102.1 100.4 107.2 2 BMI, kg/m , mean 34.8 36.2
31.9 34.4 34.0 34.3 35.3 19 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Phase 1b MAD Analysis of weekly weight reduction Cohort 5
in-patient confinement Pooled Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Cohort 5 used confinement to monitor PLACEBO 10 → 25 → 50 50 → 100 → 75 → 150 → 75 → 200 → 200 → 400 → n=8→
100 200 → 200 300 → 300 400 → 400 400 → 400 dosing adherence, with 200 mg once daily for one week, then 400 mg once 10 mg 50 mg 75 mg 75 mg 200 mg Week 1 +0.33 kg daily for three weeks. -0.47 kg -0.41 kg -0.45 kg +0.76 kg
-1.72 kg Mean weight loss with BMF-650 was 400 mg 25 mg 100 mg 150 mg 200 mg Week 2 +0.06 kg -1.38 kg +0.12 kg -0.20 kg -0.39 kg -0.83 kg 1.55 kg/week, and similar weight loss with placebo (n=2). 400 mg 50 mg 200 mg 300 mg 400 mg Week 3 +0.12 kg
-1.39 kg -0.48 kg -0.23 kg -0.70 kg -1.37 kg All participants were provided 2,100 kcal/day. The 2 placebo participants 400 mg 100 mg 200 mg 300 mg 400 mg Week 4 -0.82 kg consumed approximately 33% of the -1.71 kg -0.63 kg -1.57 kg -1.47 kg -0.63 kg
presented food, complicating TOTAL interpretation of weight loss under -6.20 kg Weight -0.10 kg -1.46 kg -2.41 kg -3.01 kg -2.07 kg confinement. Los GLP-131 Phase 1 Topline Results – October 13, 2026 20

BMF-650 | Phase 1b MAD Primary Endpoint: Overall Treatment-Emergent
Adverse Events (TEAEs) Active BMF-650 Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 MAD Pooled Doses for Weeks 1–4 10/25/50/100 50/100/200/200 75/150/300/300 75/200/400/400 200/400/400/400 BMF-650 Total Placebo mg mg mg mg mg (N=40) (N=10)
Participants, n(%) (N=8) (N=8) (N=8) (N=8) (N=8) Any TEAE 6 (75.0) 4 (50.0) 5 (62.5) 6 (75.0) 7 (87.5) 28 (70.0) 4 (40.0) Mild (Grade 1) 3 (37.5) 3 (37.5) 4 (50.0) 5 (62.5) 5 (62.5) 20 (50.0) 4 (40.0) Moderate (Grade 2) 3 (37.5) 1 (12.5) 1 (12.5) 1
(12.5) 2 (25.0) 8 (20.0) 0 Serious TEAE-leading to Severe TEAE TEAE-leading to 0 0 0 0 TEAE (Grade 3) dose modification study discontinuation All TEAEs were mild or moderate and there were no dose modifications or discontinuations related to
BMF-650. TEAEs were not associated with dose escalation, dosing cohort, or time at a given dose. 21 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Phase 1b MAD BMF-650 | Phase 1B MAD Select Gastrointestinal
TEAEs Active BMF-650 Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 Doses for Weeks 1–4 MAD Pooled 10/25/50/100 50/100/200/200 75/150/300/300 75/200/400/400 200/400/400/400 BMF-650 Total Placebo mg mg mg mg mg Participants, n (%) (N=40) (N=10)
(N=8) (N=8) (N=8) (N=8) (N=8) Nausea 0 3 (37.5) 1 (12.5) 2 (25.0) 1 (12.5) 7 (17.5) 0 Constipation 0 1 (12.5) 1 (12.5) 0 2 (25.0) 4 (10.0) 1 (10.0) Vomiting 1 (12.5) 0 1 (12.5) 0 1 (12.5) 3 (7.5) 0 Diarrhea 0 1 (12.5) 1 (12.5) 0 0 2 (5.0) 1 (10.0)
The select GI-related TEAEs were all Grade 1 AEs in the highest dose level cohort. 22 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Competitive Analysis BMF-650 at highest dose level vs
late-stage oral GLP-1 Phase 1 disclosures Select GI tolerability Any TEAE* 70% Lower incidence / More favorable Higher incidence / Less favorable Nausea ◆ BMF-650 12.5% ● Oral GLP-1 comparator 1 ● Oral GLP-1 comparator 2 Vomiting*
● Oral GLP-1 comparator 3 12.5% ● Oral GLP-1 comparator 4 ● Oral GLP-1 comparator 5 Diarrhea* ● Oral GLP-1 comparator 6 ● Oral GLP-1 comparator 7 0% Constipation* 25% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% * Not
all comparator companies reported this adverse event. Cross-trial comparisons are descriptive and should be interpreted cautiously due to differences in study design, treatment duration, dose escalation, AE collection and reporting. 23 GLP-131 Phase
1 Topline Results – October 13, 2026

BMF-650 | Phase I 1b MAD Class-like changes in liver enzymes, fasting
glucose and heart rate Active BMF-650 Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5 MAD Pooled Doses for Weeks 1–4 10/25/50/100 50/100/200/200 75/150/300/300 75/200/400/400 200/400/400/400 BMF-650 Total Placebo mg mg mg mg mg (N=40) (N=10)
(N=8) (N=8) (N=8) (N=8) (N=8) -1.6 -1.4 -7.4 -9.9 -9.4 -5.9 -6.1 Alanine aminotransferase (ALT), U/L -1.9 -1.7 -2.8 -3.7 -3.8 -2.8 -2.9 Aspartate aminotransferase (AST), U/L Fasting glucose, mg/dL -7.1 -5.9 -7.2 -14.7 -11.4 -9.2 -3.5 Heart rate,
beats/min 0.6 8.1 10.4 3.7 9.0 6.4 0.8 Data shown represents mean change from baseline to Day 28 No adverse events involving ALT/AST elevations or heart rate were reported Reductions in fasting glucose were observed for all doses of BMF-650 24
GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Phase 1b MAD BMF-650 delivered target exposure with low peak
to trough ratio in human PK Selected PK parameters for Cohort 5 Day 28 Cohort 5 Day 28 C (peak plasma 4400 ng/mL max concentration) (+ 26.4%) C (trough plasma 2520 ng/mL min concentration) (+ 39.4%) Peak to trough ratio 1.7 AUC 79000 hr*ng/mL
0-24hrs (+ 31.8%) * Preliminary PK analysis (mean). * Preliminary PK analysis (mean). Human PK for BMF-650 aligned well with nonclinical predictions and showed low peak/trough ratio Observed human PK exposure matched favorable monkey exposure in the
respective weight-loss study 25 GLP-131 Phase 1 Topline Results – October 13, 2026

BMF-650 | Phase 1b MAD Phase 1 findings provide support for the BMF-650
design hypothesis BMF-650 reached the target dose of 400 mg QD via a single Rapid one-step titration to titration step design post week 1, supporting a potentially simple 400 mg is well tolerated and practical dosing paradigm Sustained and
meaningful Cohort 5 demonstrated mean weight loss at 400 mg across consecutive weeks (−1.4, −1.4 and −1.7 kg/week), reaching 6.1% weight reduction observed at at week 4, with no evidence of attenuation over the observed higher dose
regimens treatment period No serious TEAEs, no TEAE-related dose modifications and no Encouraging GI tolerability TEAE-related study discontinuations occurred across active MAD profile cohorts, supporting longer-duration evaluation 26 GLP-131 Phase
1 Topline Results- October 13, 2026

BMF-650 | Phase 1b MAD Next Steps: Advancing BMF-650 development while
optimizing the clinical profile • Highest dose achieved with only a single titration step while maintaining Clinical Findings favorable tolerability • Weight loss as expected in line with other GLP-1 agents • Overall, generally
well tolerated with no exposure-related safety signals • Initiate longer-term toxicology studies to support Phase 2 dosing BMF-650 Next Steps • Advance Phase 2 development planning incl. a “no-titration” regimen at 400 mg QD
27 GLP-131 Phase 1 Topline Results- October 13, 2026

Mick Hitchcock, PhD Interim Chief Executive Officer & Board Member,
Biomea Fusion Executive Summary Dr. Juan Pablo Frias Chief Medical Officer of Biomea Fusion 28

Q & A Dr. Juan Pablo Frias Chief Medical Officer of Biomea Fusion
29