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PACIFIC EDGE 2025 ANNUAL SHAREHOLDERS’ MEETING

AGM6 August 2025PEBHealthcare

6 AUGUST 2025



PACIFIC EDGE 2025 ANNUAL SHAREHOLDERS’ MEETING

DUNEDIN, New Zealand – Cancer diagnostics company Pacific Edge (NZX, ASX: PEB) is

holding its Annual Shareholder Meeting in Auckland this afternoon. It attaches Chairman Chris

Gallaher’s speech notes and the company’s presentation to shareholders.

Released for and on behalf of Pacific Edge by Grant Gibson Chief Financial Officer.

For more information:

Investors: Media:

Dr Peter Meintjes Richard Inder

Chief Executive The Project

Pacific Edge P: +64 21 645 643

P: 022 032 1263

OVERVIEW

Pacific Edge: www.pacificedgedx.com

Pacific Edge Limited (NZX/ ASX: PEB) is a global cancer diagnostics company leading the way

in the development and commercialization of bladder cancer diagnostic and prognostic tests

for patients presenting with hematuria or surveillance of recurrent disease. Headquartered in

Dunedin, New Zealand, the company provides its suite of Cxbladder tests globally through its

wholly owned, and CLIA certified, laboratories in New Zealand and the USA.

Cxbladder: www.cxbladder.com

Cxbladder is a suite of non-invasive genomic urine tests optimized for the risk stratification of

urothelial cancer in patients presenting with microhematuria and those being monitored for

recurrent disease. The tests help improve the overall patient experience, while prioritizing time

and clinical resources to optimize practice workflow and improve efficiency.

Supported by over 20 years of research, Cxbladder’s evidence portfolio extends to more than

25 peer reviewed publications, and Cxbladder Triage is now included in the American

Urological Association’s Microhematuria Guideline. To drive increased adoption and improved

patient health outcomes, Cxbladder is the focal point of numerous ongoing and planned studies

designed to generate further clinical utility evidence.

Cxbladder is available in the US, Australasia, and Israel and in markets throughout Asia and

South America. In the US, the test has been used by over 5,000 urologists who have ordered

more than 130,000 tests. In New Zealand, Cxbladder is accessible to around 70% of the

population via public healthcare and all residents have the option of buying the test online.

---

2025 ANNUAL SHAREHOLDERS’
MEETING PRESENTATION

Chris Gallaher

Chairman

Dr Peter Meintjes

Chief Executive Officer

6 August 2025

2
CHRIS GALLAHER

Chairman

CHAIRMAN’S ADDRESS

This presentation has been prepared by Pacific Edge Limited (PEL)
solely to provide interested parties with further information

about PEL and its activities at the date of this presentation.

Information of a general nature

The information in this presentation is of a general nature and

does not purport to be complete nor does it contain all the

information which a prospective investor may require in

evaluating a possible investment in PEL or that would be required

in a product disclosure statement, prospectus or other disclosure

documentfor the purposes of the New Zealand Financial Markets

Conduct Act 2013 (FMCA) or the Australian Corporations Act

2001. PEL is subject to a disclosure obligation that requires it to

notify certain material information to NZX Limited (NZX) and ASX

Limited (ASX) forthe purpose of that information being made

available to participants in the market and that information can

be found by visiting www.nzx.com/companies/PEBand

www2.asx.com.au/markets/company/PEB. This presentation

should be read in conjunction with PEL’s other periodic and

continuous disclosure announcements released to NZXand ASX.

Not an offer

This presentation is for information purposes only and is not an

invitation or offer of securities for subscription, purchase or sale

in any jurisdiction.

Not financial product advice

This presentation does not constitute legal, financial, tax, financial

product advice or investment advice or a recommendation to

acquire PEL securities and has been prepared without taking into

account the objectives, financial situation or needs of investors.

Forward-looking statements

This presentation may contain forward-looking statements that

reflect PEL’s current views with respect to future events. Forward-

looking statements, by their very nature, are not guarantees of

future outcomes and involve inherent risks and uncertainties.

Many of those risks and uncertainties are matters which are

beyond PEL’s control and could cause actual results to differ from

those predicted. Variations could either be materially positive or

materially negative. The information is stated only as at the date

of this presentation. Except as required by law or regulation

(including the NZX Listing Rulesand ASX Listing Rules), PEL

undertakes no obligation to update or revise any forward-looking

statements, whether as a result of new information, future events

or otherwise. To the maximum extent permitted by law, the

directors of PEL, PEL and any of its related bodies corporate and

affiliates, and their respective officers, partners, employees,

agents, associates and advisers do not make any representation or

warranty, express or implied, as to the accuracy, reliability or

completeness of such information, or the likelihood of fulfilment

of any forward-looking statement or any event or results

expressed or implied in any forward-looking statement, and

disclaim all responsibility and liability for these forward-looking

statements (including, without limitation, liability for negligence).

Financial data

All dollar values are in New Zealand dollars unless otherwise

stated. This presentation should be read in conjunction with, and

subject to, the explanations and views of future outlook on

market conditions, earnings and activities given recent

announcements to the NZX and ASX.

Non-GAAP financial information

This presentation contains certain financial measures that are

“non-GAAP financial information” under the New Zealand

Financial Markets Authority Guidance Note on disclosing non-

GAAP financial information, “non-IFRS financial information” (and

potentially under other regulatory guidelines or rules).Such

financial information and financial measures (including EBITDA,

Cash Burn and Capex) do not have standardised meanings

prescribed under NZ IFRS or IFRS and therefore, may not be

comparable to similarly titled measures presented by other

entities, and should not be construed as an alternative to other

financial measures determined in accordance with NZ IFRS, or

IFRS.)

Effect of rounding

A number of figures, amounts, percentages, estimates,

calculations of value and fractions in this presentation are subject

to the effect of rounding. Accordingly, the actual calculation of

these figures may differ from the figures set out in this

presentation.

Past performance

Investors should note that past performance, including past share

price performance, cannot be relied upon as an indicator of (and

provides no guidance as to) future PEL performance, including

future financial position or share price performance.

Disclaimer

To the maximum extent permitted by law, none of PEL and its

advisers, affiliates, related bodies corporate, nor their respective

directors, officers, partners, employees and agents makes any

representation or warranty, express or implied, as to the

materiality, currency, accuracy, reliability or completeness of

information in this presentation; and none of them shall have any

liability (including for negligence) for:

•any errors or omissions in this presentation; or

•any failure to correct or update this presentation, or any other

written or oral communications provided in relation to this

presentation; or

•any claim, loss or damage (whether foreseeable or not) arising

from the use of any information in this presentation or

otherwise arising in connection with this presentation or the

information contained in it.

IMPORTANT NOTICE AND DISCLAIMER

3

DIRECTORS
4

SARAH PARK

ANNA STOVETONY BARCLAY

BRYAN WILLIAMS

ANATOLE MASFEN

1. CHAIRMAN’S ADDRESS
2. CHIEF EXECUTIVE’S ADDRESS

3. QUESTIONS

4. RESOLUTIONS

5. VOTING AND GENERAL BUSINESS

6. MEETING CLOSE

AGENDA

5

FY 25 STRATEGIC GAINS OVERSHADOWED BY MEDICARE NON-COVERAGE
-$29.9M

NET LOSSAFTER

TAX +1.4%

on FY 24

$22.6M

CASH, CASH

EQUIVALENTS

2

24,642

COMMERCIAL

TESTS

1

-9.9%

on FY 24

28,894

GLOBAL TESTS

1

-11.5%

on FY 24

$21.8M

OPERATING

REVENUE

-8.6% on

FY 24

6

1. Total Laboratory Throughput (TLT) including commercial, pre-commercial and clinical studies testing

2. Cash, short-term deposits and term deposits

3. US Centersfor Medicare and Medicaid Services

COMPANY DEFINING STRATEGIC MILESTONES

Cxbladder Triage included in the American Urological

Association (AUA) Microhematuriaguideline

Medicare non-coverage determination made on stale

evidence became effective after balance date. Re-coverage

through reconsideration of new evidence is the definitive

path forward

Guideline and new evidence is shifting clinical sentiment in

favorof Cxbladder

Pacific Edge’s longer-term economics reinforced by draft

CMS

3

pricing of Triage Plus at US$1,018 per test vs. US$760

per test for the current generation of tests

RESILIENT OPERATING PERFORMANCE

Resilient operating performance amid Medicare uncertainty

Operating revenue, net losses, and cash burn steady 2H 25

vs 1H 25 as operating efficiencies and cash collection gains

retained

US Q1 26 volumes fall largely due to the transition of

customers from Detect to Triage

Opportunities emerging from the AUA guideline still

untapped

RAISING NEW CAPITAL TO MAINTAIN COMMERCIAL MOMENTUM
Pacific Edge’s priority is to ensure it has the resources and capacity to capitalize on its

recent clinical and commercial milestones, grow in non-Medicare channels and regain

Medicare coverage

-Placement: $16.073 million pledged, subject to approval at today’s meeting

-Share purchase plan (SPP): closed 31 July 2025 after investors pledged$4.662 million but

it will not proceed if the Placement is not approved today

Funds

1

raised will be used to:

•Accelerate adoption of Triage in the US with AUA Guidelines as a tailwind for sales,

marketing and reimbursement

•Continue clinical evidence generation in an AV, CV and CU framework for coverage,

guidelines and medical policy for Triage Plus and Monitor Plus

•Invest in innovation and product development for IVD kits to support entry into

international markets in a de-centralized deployment model

•Extend cash runway to support operations while we seek Medicare re-coverage and while

we maintainmarket momentum

7

1. $20,735,041in new equity has been raised through the Placement and SPP. For key risks associated with the capital raising please refer

to the appendix of this presentation

8
DR PETER MEINTJES

Chief Executive Officer

CHIEF EXECUTIVE’S ADDRESS

VALUE CREATION THROUGH THREE PILLARS
OUR PEOPLE

OUR PROCESSES

OUR IP, KNOWLEDGE

AND EXPERIENCE

OUR CLINICAL STUDIES

PARTNER SITES

OUR INVESTORS

EARLY DETECTION AND

CLINICALLY ACTIONABLE CARE

INNOVATION PIPELINE FOR

CLINICAL APPLICATIONS

INCLUSIVE WORKPLACE

DRIVEN BY OUTCOMES

INCREASED LONG-TERM

SHAREHOLDER VALUE

EXCELLENT PATIENT EXPERIENCE

AND ACCURATE RESULTS

INPUTSOUTPUTS

A VALUES DRIVEN, DIVERSE, RESULTS-FOCUSED CULTURE

SCALABLE PROCESSES, TRAINING & QUALITY SYSTEMS,CONTINUOUS IMPROVEMENT

DIGITALIZED ARCHITECTURE, AUTOMATED OPERATIONS, REAL-TIME ANALYSIS

9

AUA MICROHEMATURIA GUIDELINE INCLUSION
A COMPANY-DEFINING STRATEGIC MILESTONE ACHIEVED IN FEBRUARY 2025

The 2025 amendment to the AUA microhematuria guideline supports the use of urine-based

biomarkers for intermediate-risk patients as an alternative to a cystoscopy

•Primary driver for the change in the guidelines was clinical utility evidence for Cxbladder Triage from a

randomized controlled trial, i.e. the STRATA Study

1

•Cxbladder Triage specifically mentioned as the only urine-based biomarker test that has ‘Grade A’

evidence

2

cementing first-mover advantage and building a moat vs competitors

•The change was significant:

•The 2020 guideline expressly prohibited the use of urine-based biomarkers in lieu of a cystoscopy

•The 2025 guideline brings genomic testing to hematuria evaluation for bladder cancer as already

established for prostate, breast, colon and other cancers

•Intermediate-risk patients represent a large cohort (~70%)

3

of microhematuria patients (up to 3.5 million

patients annually in the US)

•Offers significant benefits to patients, reduces the burden of unnecessary cystoscopies, improves access to

care at a lower cost and reduces legal liability for using biomarker alternatives

AUA guideline inclusion provides significant global clinical validation for Cxbladder which is

expected to pave the way for further wider global adoption by healthcare providers and

payers –we have already noticed increased interest from physicians

“... [for] intermediate-risk

patients who want to avoid cystoscopy and

accept the risk of forgoing direct visual

inspection of the bladder urothelium, clinicians

may offer urine cytology or validated urine-based

tumor markers to facilitate the decision

regarding utility of cystoscopy.”

–2025 AUA Microhematuria Guideline Amendment

10

1. Lotan et al. (2024) . A MulticenterProspective Randomized Controlled Trial Comparing Cxbladder Triage to Cystoscopy in Patients With Microhematuria.

The Safe Testing of Risk for Asymptomatic Microhematuria Trial. The Journal of Urology Vol 212 1-8 Jul 2024.

2. The AUA defines ‘Grade A’ evidence as evidence with a high certainty rating and notes evidence of this grade makes it "very confident that the true effect

lies close to that of the estimate of the effect”

3. Pacific Edge estimate based on the new risk categories created with the 2025 microhematuria guidelines

PACIFIC EDGE’S EVIDENCE PROGRAM SEEKS TO CHANGE CLINICAL PRACTICE
Clinical Evidence

AV, CV, CU

HEALTHCARE PAYERS

(Medicare, Kaiser

Permanente, Veterans

Administration,private

payers, etc).

- Change Medical Policy

(practice)

- Change Reimbursement

Policy

PROFESSIONAL SOCIETIES

(AUA, EAU, NCCN)

-ChangeStandard of Care

Guidelines

Guidelines change:

-Healthcare Payer Medical

and Reimbursement

Policies

Guidelines change:

- Clinical Practice

UROLOGISTS-Change Clinical Practice

We are focused on generating the compelling clinical evidence required to drive behavior change in physicians. We seek to produce

evidence that is founded on the frameworks of Analytical Validity (AV), Clinical Validity (CV) and Clinical Utility (CU), on clearly

defined patient populations with the endpoints and sample sizes required for coverage decisions and guideline inclusion.

AUDIENCE

EVIDENCE USE

11

MEDICARE REIMBURSEMENT COMMENCED IN 2020 BUT CEASED IN 2025
•Medicare reimbursed Cxbladder tests >98% since 2020 at US$760 per test –these tests have

accounted for the majority of US volumes and ~61% of revenue in FY25

•Novitas –the Medicare Administrative Contractor that determines Medicare coverage for

our tests –proposed non-coverage for Cxbladder in July 2022 (2H 23)

•We challenged this determination with more recent evidence and support from the

American Urological Association (AUA), but Novitas finalized its non-coverage determination

in January 2025 without considering the most-current evidence available

•This decision removed coverage for AUA guideline-recommended testing, after following a

process that failed to review the most-current evidence

OUR RESPONSE: DRIVING CXBLADDER DEMAND WITH AUA GUIDELINE INCLUSION

•~47% of US volumes are from other contracted payers (e.g. Kaiser Permanente, the US

Veterans Administration and various Blue Cross Blue Shield plans) and non-contracted

private payers –these volumes are expected to continue to grow inline with historical trends

•Our commercial team will continue to promote and supply tests to existing US users and

drive demand to maintain the momentum building from the guideline

•Seeking reimbursement through the Medicare Appeals Process and External Review

•Cxbladder Detect users are being migrated to Triage, accelerating a plan previously intended

to coincide with the commercial launch of Triage Plus


MEDICARE NON-COVERAGE IN APRIL 2025 INCONSISTENT WITH AUA GUIDELINE

AUA GUIDELINE INCLUSION PROVIDES THE BASIS FOR GREATER SUCCESS WITH COMMERCIAL PAYERS

12

Medicare is the US national

insurance payer for all US citizens

over 65 years of age –the most

at risk age demographic for

bladder cancer

SEEKING RE-COVERAGE VIA LCD RECONSIDERATION AND MEDICARE APPEALS
RECONSIDERATION REQUESTS UNDER REVIEW; APPEALS TO RELY ON GUIDELINE INCLUSION

POSITIVE ENGAGEMENT WITH NOVITAS TO RESTORE COVERAGE FOR TRIAGE AND MONITOR

•Cxbladder Triage: A reconsideration request was submitted to Novitas in March 2025 consisting of STRATA

1

and the

AUA Microhematuria guideline and is under review

•Cxbladder Monitor: A reconsideration request was submitted to Novitas in May 2025 consisting of two new real-

world studies from Australia and is under review

•We are attempting to get reimbursed on Triage tests based on the 2025 AUA microhematuria guideline through the

Medicare appeal process on the grounds of the test being “medically reasonable and necessary”

ESTABLISHING MEDICARE COVERAGE FOR TRIAGE PLUS

•The analytical validation (AV) for Triage Plus has been published

2

, clinical validation (CV) has been submitted for peer

review and seeking publication in FY 26 Q1

•Pacific Edge expects to submit a reconsideration request for Triage Plus when CV is published or provide during the

comment period if the LCD has been opened

•Inclusion of Triage in the AUA microhematuria guideline establishes medical policy to which Triage Plus can be

added, meaning AV and CV should be sufficient for coverage of Triage Plus

•Further evidence for Triage published by Kaiser Permanente as a presentation at AUA and in peer review for

publication by FY 26 Q3 further confirms the clinical utility and health economics of Triage (and Triage Plus)

13

1. Lotan et al. (2024) . A MulticenterProspective Randomized Controlled Trial Comparing Cxbladder Triage to Cystoscopy in Patients With

Microhematuria. The Safe Testing of Risk for Asymptomatic Microhematuria Trial. The Journal of Urology Vol 212 1-8 Jul 2024.

2. Harvey, J.C. et al. (2025) Analytical Validation of the Cxbladder® Triage Plus Assay for Risk Stratification of HematuriaPatients for

Urothelial Carcinoma. Diagnostics 2025, 15, 1739.

2026*2025*CATALYSTMEDICARE RECONSIDERATION REQUEST
Q4Q3Q2Q1Q4Q3Q2Q1

STRATA Study (May 2024)

AUA Macrohematuria guideline (Feb 2025)

L39365 Reconsideration request (Triage)

AV of Triage, Detect & Monitor (Sept 2024)

2x RWE of Monitor (March 2025)

L39365 Reconsideration request (Monitor)

AV of Triage Plus (Q2 25)

CV of Triage Plus –DRIVE Study (Q3 25)**

L39365 Reconsideration request (Triage Plus)

14

Estimated Novitas determination

*Calendar year

**Estimated publication quarter

Estimated opening of Novitas draft LCD

12-months after opening (worst case, assuming opening)

MEDICARE RE-COVERAGE: ESTIMATED TIMELINES

COVERAGE DECISIONS, PRIOTIZATION AND TIMELINES ARE AT THE DISCRETION OF NOVITAS

1

•Novitas has the discretion to combine reconsideration requests on the same LCD based on the

Medicare Program Integrity Manual. Pacific Edge expects this is the most likely approach

•Pacific Edge has the discretion to submit Triage Plus as part of the Comment Period if L39365 is

opened before we submit the reconsideration request

•Novitas controls the timing of the LCD opening, but LCD must finalize within 12 months of opening

1. Novitas is the Medicare Administrative Contractor (MAC) charged with making the Medicare local coverage determination for Pacific Edge’s US laboratory

15
PLANNED PUBLICATIONS -EMBEDDING CXBLADDER IN CLINICAL PRACTICE

MEDICARE RECONSIDERATION AND GUIDELINE INCLUSION REQUESTS

(Novitas

1

has 60 days to deem a reconsideration request valid. Opening an LCD is at the discretion of Novitas)

Expected date of reconsideration request

(3)

Test and evidence standard

(2)

Catalyst (published)

Published May 2024, Novitas notified-CU of Triage

1. STRATA Clinical Utility

Published September 2024, Novitas notified-AV of Triage, Detect and Monitor

2. Automated RNA & DNA extraction Analytical Validation

Published July 2025-AV of Triage Plus

3. Triage Plus Analytical Validation

Submitted for publication -CV of Triage Plus

4. DRIVE Clinical Validation

Q4 2025-CU of Triage Plus (concordance)

5. STRATA second publication

Q3 2025

5

-CU of Triage (RWE)

6. Kaiser Permanente Triage RWE

4

Q1 2026-CVof Triage Plus

7. AUSSIE Clinical Validation

Q4 2026 -CV of Triage Plus

8. microDRIVEClinical Validation

Q22026-AV of Monitor Plus

9. Monitor Plus Analytical Validation

Q1 2027-CV of Triage Plus

10. Pooled Analysis MH Clinical Validation

6


Q1 2027-CV of Monitor/Monitor Plus

11. Pooled Analysis GH Clinical Validation

7


Q1 2027-CV of Monitor/Monitor Plus

12. LOBSTER Clinical Validation

Q1 2028-CU of Triage Plus

13. CREDIBLE Clinical Utility

4

RWE is Real World Evidence

5

Timeline determined by Kaiser Permanente

6

The pooled analysis brings together data from DRIVE, AUSSIE and microDRIVE

7

The pooled analysis brings together data from DRIVE and AUSSIE

1

Novitas is the Medicare Administrative Contractor (MAC) charged with making the Medicare local coverage

determination for Pacific Edge’s US laboratory

2

AV, CV CU, respectively Analytical Validity, Clinical Validity, Clinical Utility

3

All dates are calendar year rather than financial year and our best current estimates

US CONTRACTED PAYER DEMAND SUPPORTS 2H 25 VOLUME GROWTH
AUA GUIDELINE INCLUSION REMAINS AN UNTAPPED OPPORTUNITY

•US commercial volumes in 2H 25 increased 2.7% against 1H 25

supported by contracted payer volumes

•Non-Medicare volumes represented 47% of US commercial

volumes (~9,366) in FY 25 vs 40% ( ~5,358) in 1H 24

•Strong performance from the Southern California Permanente

Medical Group and sustained sales force efficiency gains mitigated

impact of Medicare uncertainty

•Q1 26 volumes are resilient in the face of the Medicare non-

coverage and the transition from Detect to Triage

•Volume drop was due principally to the disruption of asking

physicians to switch to Triage from Detect

•The transition to Triage is going well with sales messaging

supported by the AUA microhematuriaguideline

•Volumes still to benefit from the AUA guideline

US TOTAL TEST VOLUME

1

1. Total Laboratory Throughput in the US including commercial, pre-commercial and clinical studies testing

2. Real World Clinical Utility of a Urinary Biomarker (Cxbladder Triage) for Hematuria Referrals in an Integrated Managed Care Health System. Abstract accepted for presentation to the Western Section of the American Urological Association annual conference.

3. Lotan et al. (2024) . A MulticenterProspective Randomized Controlled Trial Comparing Cxbladder Triage to Cystoscopy in Patients With Microhematuria. The Safe Testing of Risk for Asymptomatic Microhematuria Trial. The Journal of Urology Vol 212 1-8 Jul 2024.

16

8,627

7,335

6,041

6,099

5,905

5,682

5,808

6,490

5,717

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

Q1 24 Q2 24 Q3 24 Q4 24 Q1 25 Q2 25 Q3 25 Q4 25 Q1 26

TEST VOLUME

22.6%

28.7%

59.7%

74.1%

18.9%

19.0%

16.8%

17.5%

58.6%

51.9%

21.2%

6.0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Monthly Average Q4 25 Apr-25May-25Jun-25

% TESTS RECEIVED

Q1 26 US TESTS RECEIVED -MIX

PROGRESS ON COMMERCIAL PAYER OPPORTUNITIES
MICROHEMATURIA PATIENTS SKEW YOUNGER WITH COMMERCIAL HEALTH INSURANCE

1. BCBS GPO is Blue Cross Blue Shield Group Purchasing Organization

2. ECRI is the Emergency Care Research Institute https://home.ecri.org/

17

•The AUA guideline recommends Triage for intermediate risk microhematuria patients

–male patients are 40-59, while female patients are >60. This is expected to drive a

shift in payer mix away from Medicare and towards commercial insurance.

•Future success in reimbursement will be driven by our ability to establish

medical policy and contracting with commercial payers

•Recent progress against this opportunity leveraging STRATA and Guidelines:

•Established pricing with the BCBS GPO

1

•Individually contracted with BCBS Texas, BCBS Illinois and Wellmark

•Gained a “favorable” 4/5 recommendation from ECRI

2

–a data curator to

which many commercial payers subscribe

•Acknowledgement from Avalon Healthcare Solutions that Triage should be

covered when used according to guidelines

•Secured ‘in-network’ status with Optum Veterans’ Affairs Community Care

Network

•Commercial payers increased 5% since pre-May 25 to ~37% of the payer mix

(excluding Kaiser Permanente) in June 25. Commercial claims success appears

to be increasing

•Expanding access to Triage Pluswhen reimbursement is reliable:

•Multiple VA sites have been targeted to participate in our Early Access

Program for Triage Plus at draft Medicare pricing (US$1,018)

SALES PERFORMANCE IMPROVEMENTS EMBEDDED IN FY 25
WE SEE UNEXPLOITED OPPORTUNITIES TO LEVERAGE THE AUA GUIDELINE

US SALES FORCE EFFICIENCY

US CLINICAL COMMITMENT

•Sales force efficiency (total tests/average FTE) and clinical

commitment (tests/ordering clinician) fall in Q1 26

reflecting the disruptions of transition to Triage from

Detect

•Sales force efficiency at 381 is well ahead of the low point

of 160 in Q3 22

•Sales FTE down to an average of 15.0 in Q1 26 from 16.0 in

Q4 25 and >30 in Q1 24 before restructure to focus on

cash conservation

18

30

28

21

16

15

15

15

16

15

288

265

292

381

403

379 379

406

381

200

250

300

350

400

-

5

10

15

20

25

30

35

40

Q1 24 Q2 24 Q3 24 Q4 24 Q1 25 Q2 25 Q3 25 Q4 25 Q1 26

TEST VOLUME/SALES FTE

AVERAGE SALES FTE

US AVERAGE SALES FTE (LHS)US TEST VOLUME/SALES FTE (RHS)

1,232

1,147

1,016

915

867

890

866

914

907

7.0

6.4

5.9

6.7

6.8

6.4

6.7

7.1

6.3

-

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

-

200

400

600

800

1,000

1,200

1,400

1,600

Q1 24 Q2 24 Q3 24 Q4 24 Q1 25 Q2 25 Q3 25 Q4 25 Q1 26

TESTS/CLINICIAN

US ORDERING CLINICIANS

US ORDERING CLINICIANS (LHS)TESTS/ORDERING CLINICIAN (RHS)

FOUNDATIONS FOR GROWTH –US CASH COLLECTIONS IMPROVE
•Despite the dip in 2H 25 Average Sales Price (ASP

1

) due to

timing variances related to accruals and increased provisions

against revenue, ASP per test has increased to US$594 in FY 25

from US$584 in FY 24 lifted by:

•Enhanced Patient Responsibility -patients with non-

contracted private insurance (i.e. non-Kaiser) pay a fixed

dollar amount “maximum out of pocket”

•Increased utilization of appropriate patient types from

Kaiser Permanente after EMR integration

•Medicare reimbursement of Triage since Jan 2023

•Improved medical necessity documentation to improve

billing and appeals processes for Medicare Advantage

•Improved cash collections are typically permanent

improvements that we expect to maintain as we scale

1. ASP: US Operating Revenue in USD / US Commercial Test Volumes

US COMMERCIAL TEST VOLUMES AND ASP* (US$)

REIMBURSEMENT & CASH COLLECTIONS –A CORE COMPETENCY

19

7,476

8,276

10,622

12,450

13,550

9,956

9,913

10,177

$472

$470

$493

$519

$562

$613

$618

$571

$-

$100

$200

$300

$400

$500

$600

$700

-1,000

1,000

3,000

5,000

7,000

9,000

11,000

13,000

15,000

17,000

1H 22 2H 22 1H 23 2H 23 1H 24 2H 24 1H 25 2H 25

TEEST VOLUME

US ASP (RHS)

AUA GUIDELINE OFFERS NEW OPPORTUNITIES FOR CLIENT BILLING

•With AUA guideline inclusion, a new opportunity exists to get paid

per test by hospitals and large urology group practices (LUGPAs) and

let them handle the commercial reimbursement

•This provides a revenue incentive to hospitals/LUGPAs and has the

potential to drive volume, since they are commonly "in-network"

with commercial payers and have sophisticated billing teams

MEDICARE PRICE FOR TRIAGE PLUS ACCELERATES PATH TO PROFITABILITY
DRAFT PRICE FOR TRIAGE PLUS OF US$1,018 PER TEST PUBLISHED

MEDICARE COVERAGE NEEDED BEFORE FULL-SCALE COMMERCIAL LAUNCH

•The Centers for Medicare & Medicaid Services (CMS) set draft price for Triage

Plus of US$1,018 via its ‘Gapfill’ process in April 2025; due to become effective

Jan 2026

•We regard this as a ‘floor’ for the Triage Plus price that materially lifts

margin per test from the previous pricing at US$760

•This improves the unit economics of operating an Account Executive,

facilitating more rapid scaling and a faster path to profitability

•We are seeking a higher price:

•We have provided additional information to MolDXto reconsider the

draft US$1,018 ‘Gapfill’ price they recommended to CMS

•If they are amenable to our arguments, a new final Gapfillprice

will be published in September and recommended to CMS

•If they are not amenable to our arguments, the $1,018 will be

published in September and recommended to CMS

•We lodged a reconsideration request with CMS with a new Crosswalk

approach seeking a price of US$1,390

•Recommendation from the Advisory Panel to CMS is expected in

September

•A final decision from CMS would be due in November 2025

20

1. For a description of the ‘Gapfill’ and ‘Crosswalk’ processes please refer to the CMS description at the following link (HERE)

DRIVING GROWTH IN ASIA PACIFIC AND CONSOLIDATING NEW ZEALAND
*

SEEKING A NATIONAL HEMATURIA EVALUATION PATHWAY IN NZ

•Quarterly total test volumes benefit from:

•Fewer evaluations and non-billable tests

•Shift in emphasis to commercial tests from evaluations

•STRATA

1

and AUA microhematuria guideline are well understood in

Te Whatu Ora/Health New Zealand; Pacific Edge is focused on a

national pathway for hematuria evaluation

21

1. Lotan et al. (2024) . A MulticenterProspective Randomized Controlled Trial Comparing Cxbladder Triage to Cystoscopy in Patients With Microhematuria.

The Safe Testing of Risk for Asymptomatic Microhematuria Trial. The Journal of Urology Vol 212 1-8 Jul 2024.

2. Total Laboratory Throughput in Asia and Pacific including commercial, pre-commercial and clinical studies testing

1,079

1,199

1,142

1,111

1,278

1,360

1,284

1,087

1,183

-

200

400

600

800

1,000

1,200

1,400

1,600

1,800

Q1 24 Q2 24 Q3 24 Q4 24 Q1 25 Q2 25 Q3 25 Q4 25 Q1 26

TEST VOLUME

APAC TOTAL TEST VOLUME

2

AUSTRALIA & ASIA PACIFIC

•Southeast Asia is still in business development, and we are extending

our reach into the market through a distributor network which has

seen testing volumes grow

•While our primary near-term focus remains on the US, Southeast

Asia has large population centers, private healthcare systems, and

favorable cultural and demographic considerations to be a high-

volume market for an IVD-kitted product

CUSTOMER EXPERIENCE INTIATIVES DELIVERING VALUE
DIGITALIZATION OF INFORMATION FLOWS EMBEDS CXBLADDER IN CLINICAL PRACTICE

ENHANCING CXBLADDER’S EASE OF USE

•We give customers options to connect with Pacific Edge to fit

their needs with easy-to-use digital integrations

•Digital channels for test ordering and results delivery

•1-to-1 EMR Integration, e.g. Kaiser interface

•1-to-many Integration, e.g. LumeaDigital Pathology,

Awanui

•Customer portal –available to any Customer Account

•Improves the end-to-end experience for physicians

•Easier ordering in-clinic or for in-home sampling

systems

•Optimized test kit management and workflow

•Enhanced order visibility and tracking

•Streamlined access to results

•Pacific Edge’s operations benefit

•Fewer errors, faster handling and results delivery

•Reduced demand on the sales force and customer

service

22

THE PACIFIC EDGE CUSTOMER PORTAL

LAUNCHING IMPROVED PRODUCTS AND IVD FOR INTERNATIONAL MARKETS
AN IVD PRODUCT MAY EXTEND THE MARKET OPPORTUNITY AND THE ‘MOAT’ AROUND CXBLADDER

READYING FOR THE LAUNCH OF TRIAGE PLUS

•Product development investments in digital systems to ensure scalable lab

operations for Triage Plus

•Simplifying Cxbladder:

•Aim to reduce technician time, lower cost of goods, lower turnaround time,

increase throughput and increase automation of our lab testing services

•Aim to automate lab operations from end-to-end lab for RNA and DNA

workflows of our lab testing services

•Continued engagement with industry and academic research and development

collaborations to address unmet clinical needs in bladder cancer diagnosis and

management

ADVANCING IVD DEVELOPMENT FOR INTERNATIONAL MARKETS

•Accelerating the development of a kitted IVD (in vitro diagnostic) product from our

existing lab service called Triage Plus IVD, for decentralized lab deployment and

international market expansion

•Establish IVD regulatory framework for our next generation tests that

includes IVD-R (Europe), FDA (USA) and ISO-13485

1

(Rest of World)

•Targeting prototypes by the end of CY 25; manufacture and commencement

of clinical and analytical validation commencing in CY 26

•Achieving IVD-approved status may make it more difficult for competitors to

develop parity with Cxbladder’slevel of evidence

Chief Scientific Officer Parry Guilford (center) and Chief Technology

Officer Justin Harvey (right)

23

1. IVD-R European In Vitro Diagnostic Regulation; FDA, US Food and Drug Administration; ISO International Organization for Standardization

24
OUTLOOK

RECENT CATALYSTS FOR STRONG GROWTH –VOLUME AND PRICING

•AUA microhematuria guideline enables sales, marketing and reimbursement activities. We are

determined to maximize this milestone through existing and new initiatives

•Triage Plus draft pricing at US$1,018 supports stronger unit economics, margins and sales force

efficiency for a faster path to cash flow breakeven if successful in re-establishing Medicare

coverage

GROWTH STRATEGY –TO BE ACCELERATED WITH NEW CAPITAL

•Entrench first-mover advantage and “moat” for Triage given AUA guideline inclusion

•Continue clinical evidence generation in an AV, CV and CU framework for coverage, guidelines and

medical policy for Triage Plus and Monitor Plus

•Increase Triage throughput, throughput/sales headcount and throughput/clinician

•Seek reimbursement through the Medicare Appeals process, relying on the AUA guideline, ahead

of the resolution of multiple reconsideration requests

•Advance medical policy with commercial payers as the market for Triage on microhematuria

patients shifts the payer mix towards commercial payers

•Increase the percentage of electronically ordered tests and patients with commercial insurance

•Emphasize the clinical and economic value of Cxbladder as a value-based care solution in our sales

messaging for selling to institution, integrated hospital systems and payers

•Invest in innovation and product development for IVD kits to support entry into international

markets in a de-centralized deployment model

FURTHER CATALYSTS

•Cxbladder is under consideration by Te Whatu Ora for a National Pathway in New Zealand

RESOLUTIONS
25

VOTING INSTRUCTIONS
26

RESOLUTION 1: AUDITORS’ REMUNERATION
27

RESOLUTION

“To authorisethe Directors to fix the auditors’ remuneration for the ensuing year.”

RESOLUTION 2: RE-ELECTION OF CHRIS GALLAHER
28

RESOLUTION

“That Chris Gallaher, who retires by rotation and is eligible for re-election, be

re-elected as a Director of the Company.”

RESOLUTION 3: RE-ELECTION OF SARAH PARK
29

RESOLUTION

“That Sarah Park, who retires by rotation and is eligible for re-election, be

re-elected as a Director of the Company.”

RESOLUTION 4: RE-ELECTION OF TONY BARCLAY
30

RESOLUTION

“That Tony Barclay, who retires by rotation and is eligible for re-election, be

re-elected as a Director of the Company.”

RESOLUTION 5: SHARE PLACEMENT
31

RESOLUTION

“That the issue of 160,728,498 new Shares to Placement Participants at an issue price

of $0.10 cents per new Share under the Placement, with such new Shares to rank

equally on issue with all existing Shares, be approved for all purposes, including NZX

Listing Rules 4.2.1 and 5.2.1.”

RESOLUTION 6: DIRECTORS’ REMUNERATION POOL
32

RESOLUTION

“That the total annual non-executive Directors’ remuneration pool be increased to

$628,000 per annum, effective from 1 April 2025 and applied retrospectively.”

RESOLUTION 7: ISSUE OF SHARES TO DIRECTORS
33

RESOLUTION

“That the issue of up to 1,930,000 new Shares to non-executive Directors in lieu of the

payment of additional Director remuneration in cash in respect of the period from 1

April 2025 to 31 March 2026 as described in the Explanatory Notes, with such new

Shares to rank equally on issue with all existing Shares, be approved for all purposes,

including NZX Listing Rule 4.2.1.”

PROXY VOTING DIRECTIONS
34

TOTALAGAINSTOPENFORRESOLUTION

375,363,560275,480 (0.07%)8,409,599 (2.24%)366,678,481 (97.69%)

1. Auditors’ remuneration

375,421,8042,430,616 (0.65%)8,435,768 (2.25%)364,555,420 (97.11%)

2. Re-election of Chris Gallaher

375,185,538453,733 (0.12%)8,435,768 (2.25%)366,296,037 (97.63%)

3. Re-election of Sarah Park

375,184,874444,342 (0.12%)8,435,768 (2.25%)366,304,764 (97.63%)

4. Re-election of Tony Barclay

293,863,189660,551 (0.22%)8,303,335 (2.83%)284,899,303 (96.95%)

5. Share placement

344,718,82832,393,706 (9.40%)10,857,929 (3.15%)301,467,193 (87.45%)

6. Directors’ remuneration pool

345,006,66330,924,946 (8.96%)10,751,040 (3.12%)303,330,677 (87.92%)

7. Issue of shares to Directors

*Percentage figures indicate proportion of total votes notified (excludes abstentions)

GENERAL BUSINESS
35

MEETING CLOSE
36

APPENDIX
37

CAPITAL RAISING RISKS
38

KEY RISKS
Pacific Edge does not currently have Medicare coverage for its Cxbladder products. Medicare previously accounted for the majority of its US test volumes and, therefore, a

significant percentage of Pacific Edge's revenue. Although Pacific Edge is confident that it will regain coverage for Triage as a result of recent AUA guideline inclusion and new

clinical evidence, there are no guarantees as to the timing or outcome of the re-coverage process. Regaining Medicare coverage could be delayed or not achieved at all. If

Medicare re-coverage was not achieved or was significantly delayed, it would have a material adverse impact on Pacific Edge's financial performance and growth and could result

in the company using up all available cash before it is able to become profitable from its ongoing operations.

If the current reconsideration request is unsuccessful, Pacific Edge will likely need to complete further clinical studies toprovide new published evidence when submitting

another reconsideration request. That clinical study will take a number of years to undertake.Accordingly,if the current reconsideration request is unsuccessful, Pacific Edge will

need to undertake a significant restructure of its business to substantially reduce costs and, potentially, seek to raise further capital.

Medicare coverage

uncertainty

Pacific Edge is operating at a 'cash burn', which means that the company spends more cash that it generates. The capital raise is in part to provide sufficient cash to regain

Medicare coverage. If Medicare coverage is not achieved or significantly delayed, or the business is impacted adversely by otherevents, there is a risk to the ongoing financial

viability of Pacific Edge, which may result in investors losing some or all of their investment.

Ongoing Financial

Viability

Pacific Edge’s Cxbladder products and laboratories are regulated and certified by various government and industry entities interritories and markets in which the tests are performed

and/or sold. Reimbursement for these tests may be influenced by reimbursement rulings from private and/or government payers.Guidelines issued by various industry bodies also

influence the treatment and management regimes for patients, with the potential to impact on the uptake and use of Cxbladder.IfPacific Edge is unable to retain or, in certain markets,

gain inclusion in guidelines, or the current regulatory approvals and reimbursement obtained for existing products are removed or reduced, such matters could have an adverse impact on

Pacific Edge’s financial performance and its ability to achieve its business plans. If Pacific Edge is unable to obtain the approvals required for new products in new territories, or is unable to

obtain future reimbursement for new products, this could also have an adverse impact on Pacific Edge’s financial performance andits ability to achieve its business plans.

Regulatory, industry

body and guideline

risks

The global cancer diagnostics industry is highly competitive, with research undertaken by a large number of commercial and not for profit institutions globally on new diagnostic

tools. There are also a large number of well capitalised diagnostics competitors operating in the industry. There is a risk that Pacific Edge’s competitors may discover, develop or

commercialise products more successfully than Pacific Edge, which could render Pacific Edge’s products obsolete or otherwise uncompetitive, resulting in adverse effects on

Pacific Edge’s revenue, margins and profitability.

Competition

Pacific Edge relies on the performance and reliability of its Cxbladder suite of products, laboratory operations and IT and technical systems. While the performance of Cxbladder

has been demonstrated in various scientific journal publications, any change to the reliability, repeatability, reproducibility or accuracy of Cxbladder products and technology

systems has the potential to impact Pacific Edge’s business and reputation. Cyber attacks on Pacific Edge digital systems and platforms also have the potential to impact the

delivery of test results. Financial, reputational and litigation consequences relating to underperformance and unreliability,orthe inability to deliver, test results (including due to

adverse cyber incidents) have the potential to be significant and could be materially adverse to the company's financial performance and position.

Product and

technology risk

Pacific Edge’s operating and financial performance is influenced by a variety of general economic and business conditions in NewZealand, the United States, Southeast Asia and

globally. A prolonged deterioration in general economic conditions, which may lead to a decrease or reprioritisation of healthcare spending, has the potential to have a material

adverse effect on Pacific Edge’s business or financial condition (or both).

General economic

conditions

39

KEY RISKS (CONT)
In the ordinary course of conducting its business, Pacific Edge is exposed to potential litigation and other proceedings, including through claims of intellectual property infringement or

breach of agreements. If such proceedings are brought against Pacific Edge, Pacific Edge could incur considerable defence costs (even if successful), with the potential for damages and

costs awards against Pacific Edge if it were unsuccessful, which could have a significant adverse financial impact on PacificEdge.

Circumstances may also arise in which Pacific Edge considers that it is reasonable or necessary to initiate litigation or other proceedings, including for example to protect its intellectual

property rights.

Litigation

The success of our business depends significantly on the continued contributions of our executive team, scientific leaders, and key technical staff. The unexpected departure of any of

these individuals could disrupt operations, delay research and development efforts, and negatively impact strategic initiatives.Attracting and retaining top talent in a competitive biotech

labor market remains a critical challenge.

Key Person Risk

Pacific Edge’s shares are currently listed on NZX and the ASX, and are subject to the usual market-related forces which impact on Pacific Edge’s share price. There can be no assurance that

trading in the shares following the allotment of shares under the capital raising will not result in the share price trading at levels below the price paid by investors. The equity markets can

be subject to pronounced volatility. This volatility could have a materially adverse impact on the market price of Pacific Edge shares.

Factors such as the risk factors disclosed in this presentation as well as other factors could cause the market price of PacificEdge’s shares to decline or to materially fluctuate. It also is

possible that new market risks may develop as a result of the New Zealand or Australian markets experiencing extreme stress, or due to existing risks manifesting themselves in ways that

are not currently foreseeable.

A weakening in the New Zealand or Australian dollar as against other currencies will cause the value of the shares to declineinany portfolio which is denominated in a currency other than

New Zealand dollars.

Market volatility of

Pacific Edge’s shares

Pacific Edge continues to leverage its suite of patents and intellectual property to explore new products and applications. There is a risk that those development efforts may not

be successful or may take longer and be more expensive than anticipated, and as a result Pacific Edge’s investment will be delayed or lost. This risk could arise due to a number of

factors, including delays in commencement or completion of scientific studies. Any failure or significant delay in the development of one or more of Pacific Edge’s new products

and product extensions may have a material negative impact on Pacific Edge’s financial performance and growth.

New product

development

40

PACIFIC EDGE –BACKGROUND INFORMATION
41

PACIFIC EDGE’S GLOBAL REACH
42

US$8.5b
Global TAM

1

PACIFIC EDGE OVERVIEW

CXBLADDER OFFERS A SIGNIFICANT ADDRESSABLE GLOBAL MARKET ANNUALLY

THE PATIENT CARE PATHWAY

~7m

Present with

hematuria

~3.5m

Referred for

clinical workup

~1.1m

Receive

cystoscopy

~90k

Annual cases of

bladder cancer

~750k

Living with bladder cancer

~1.5CxbMonitor / year

US$4.4b

TAM

340m

Population

~17m

Present with

hematuria

~50%

Referred for

clinical workup

~3.3m

Receive

cystoscopy

~58k

Annual cases of

bladder cancer

~300k

Living with bladder cancer

~1.5Cxb Monitor / year

US$2.1b

TAM

830m

Population

~12m

Present with

hematuria

~50%

Referred for

clinical workup

>4.0m

Receive

cystoscopy

~180k

Annual cases of

bladder cancer

~1m

Living with bladder cancer

~1.5Cxb Monitor / year

US$2.0b

TAM

600m

Population

APAC

Focus of our

growth efforts

NZ market mature.

Australia and SE Asia

in business

development

New market accessed

via IVD / kitted tests

1. Pacific Edge estimate using US$1,018 price for hematuria testing in the US and $760 for Non-Muscle Invasive Bladder Cancer (NIMBC) surveillance and other market assumptions for

APAC and Europe. See slide 44 of this presentation for the sources and assumptions for the calculation of TAM

SOURCES AND ASSUMPTIONS -TOTAL ADRESSABLE MARKET
SOURCE STATISTICREGION

https://www.census.gov/popclock/341,762,685 Population

US

Presentation from Dr Sia Daneshmand (Director of Urologic Oncology and Clinical Research, USC) July 20197,000,000 Incidence of hematuria

Presentation from Dr Sia Daneshmand (Director of Urologic Oncology and Clinical Research, USC) July 20193,500,000 Referred for clinical workup

Kenigsberg, A, et al. The Economics of Cystoscopy: A MicrocostAnalysis, Urology 157: 29−34, 2021>1,000,000 Receive a cystoscopy

National Cancer Institute84,870 Annual cases of bladder cancer

National Cancer Institute744,044 Patients living with bladder cancer

Pacific Edge estimate4,616,066 Test opportunities

US$1,018 (Triage Plus), US$760 (Monitor) Price of Cxbladder (US$)

US$4.4TAM (US$b)

World-population -Europe; World-population –Russia600,000,000 Population

Europe (excluding

Russia)

Science Direct12,000,000 Incidence of hematuria

Presentation from Dr Sia Daneshmand (Director of Urologic Oncology and Clinical Research, USC) July 20196,000,000 Referred for clinical workup

Rindorf, D, et al. The extent of experiencing availability issues and deteriorating performance associated with reusable

cystoscopies, a multicentrestudy.

4,000,000 Receive a cystoscopy

Uroweb180,000 Annual cases of bladder cancer

Pacific Edge estimate -5 years of annual cases900,000 Patients living with bladder cancer

Pacific Edge estimate7,350,000 Test opportunities

Pacific Edge estimate€ 245Price of Cxbladder EURO

US$2.0TAM (US$b)

World population -Southeast Asia; Population Pyramid -Japan; 830,000,000

Population

APAC (excluding India

and China)

Science Direct16,600,000Incidence of hematuria

Presentation from Dr Sia Daneshmand (Director of Urologic Oncology and Clinical Research, USC) July 20198,300,000Referred for clinical workup

Pacific Edge estimate3,320,000Receive a cystoscopy

WHO; Hong Kong58,000Annual cases of bladder cancer

Pacific Edge estimate -5 years of annual cases290,000Patients living with bladder cancer

Pacific Edge estimate3,755,000Test opportunities

Pacific Edge estimate550Price of Cxbladder (US$)

US$2.1TAM (US$b)

44

202820272026202520242023
Pre

2023

Calendar

year

Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1

STRATA

DRIVE

AUSSIE

microDRIVE

Pooled CV

CREDIBLE

HEMATURIA EVALUATION FIVE YEAR CLINICAL STUDIES ROADMAP

*

*

*

*

*

Publication Submitted

Records review / follow-up

Database lock

Legend:

Pre-activation (docs, CTA etc)

SIV

Enrollment

Data Cleaning

*

DBL

DBL

DBL

45

202820272026202520242023
Pre

2023

Calendar

year

Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1

“The 1800”

LOBSTER

OCTOPUS

*

SURVEILLANCE FIVE YEAR CLINICAL STUDIES ROADMAP

46

Publication Submitted

Records review / follow-up

Database lock

Legend:

Pre-activation (docs, CTA etc)

SIV

Enrollment

Data Cleaning

*

DBL

SUMMARY OF CXBLADDER CLINICAL EVIDENCE
Comment

Specificity

(Sp)

NPVSensitivity

(Sn)

PopulationPublicationor Study

Development dataset (n=987) including MH (38.7%) & GH (61.3%) producing defined Sn, NPV and Sp. TNR in

development data set is 84.1%

90.8%99.4%93.6%

Synthetic Analytes

MH + GH

Harvey et al., (2025)AV

Triage Plus

Publication submitted; TNR 71%.; PPV 26% at lower cut-point, 51% at higher cut-point with a Sp of 97%77%99.3%94%MH + GHDRIVE (Savage et al., submitted)

CVStudy in progress on MH and GH patientsTBCTBCTBCMH + GHAUSSIE

Study in progress on MH patientsTBCTBCTBCMHmicroDRIVE

Study in progress on MH patientsTBCTBCTBCMHCREDIBLECU

Multi-product analytical validation of CxbladderTriage, Detect and MonitorN/AN/AN/ASynthetic AnalytesHarvey et al., 2024AV

Triage

Sn, Sp, NPV values when TNR is 40%45%98.5%95%MH + GHKavalieriset al., 2015

CV

GH only: Sn (95.1%), NPV (98%), Sp(32.8%); MH only: Sn (100%), NPV (100%), Sp(42.6%); CxbTriage &

imaging combined performance had a Sn of 97.7% & NPV of 99.8%

34.3%98.6%95.5%MH + GHDavidson et al., 2019

Pooled data from US and Singapore cohorts (n=804); TNR 59%; PPV 16%63%99%89%MH + GHLotan et al., 2023

Publication submitted and under peer review; TNR 35%; PPV 11%38%98.5%93%MH + GHDRIVE (Savage et al., submitted)

39% of patients testing negative for Cxb Triage & imaging did not get cystoscopy & were managed at primary

care; Study wide CV: Cxb Triage & imaging combined performance: Sn 98.1%, NPV 99.9%, Sp 98.4%

59%98.9%89.4%MH + GHDavidson et al., 2020

CU

Clinicians using Triage used 59% fewer cystoscopies on low-risk patients presenting with MH; CV was provided

study wide (UC, n=22): Sn 90%, Sp 56%, PPV 17%, NPV 99%

56%99%90%MH + GHLotan et al., 2024

Multi-product analytical validation of all Cxbladder productsN/AN/AN/ASynthetic AnalytesHarvey et al., 2024AV

Monitor

Internally validated “bootstrap corrected estimates” from development dataset (n=1036), TNR 34%; Sn of

CxbMwas 97% (N = 70/72) for HG tumorsand 85% (N = 66/78) for LG tumors.

N/A97%93%NMIBCKavalieriset al., 2017

CV

Study in progress on NMIBC patientsTBCTBCTBCNMIBCLOBSTER

Integration of CxbMonitor into the surveillance schedule reduced annual cystoscopies (39%)77.8100100NMIBCKoya et al., 2020

CU

Cxbladder Monitor safely postpones a patient’s next scheduled cystoscopy, the current ‘gold standard’ for

bladder cancer surveillance

72100100NMIBCLi et al., 2023

Australian single-center study in NMIBC patients showed that alternating Cxbladder Monitor with cystoscopy

safely reduced cystoscopy use without increasing recurrence risk

N/AN/AN/ANMIBCGuduguntlaet al., 2025

47

NOTE #1: Full references provided on following slide

NOTE #2: Development, feasibility and/or proof of concept studies are detailed within the references on the following slide

Abbreviations -MH: Microhematuria, GH: Gross Hematuria, Sn: Sensitivity, Sp: Specificity, NPV: Negative Predictive Value, PPV: Positive Predictive Value, TNR: Test Negative Rate

REFERENCES SUMMARY OF CLINICAL EVIDENCE
CommentReferences

Feasibility of urine-based assay including biomarker discovery for urothelial cancer detection initial

algorithm development

Holyoake et al., (2008). Development of a Multiplex RNA Urine Test for the Detection and Stratification of Transitional Cell Carcinoma of the Bladder. Clin Cancer

Res 14(3): 742-749

Proof of

Concept

Development/feasibility of Cxbladder Detect assay and algorithm based on RNA expression biomarkersO'Sullivan et al., (2012). A multigene urine test for the detection and stratification of bladder cancer in patients presenting with hematuria.The Journal of

urology,188(3), 741-747.

Pooled data from MH and GH cohorts (n=804) for ‘multi-modal’ (RNA+DNA) assay and algorithm

development for next generation Cxbladder product including TERT and FGFR3 SNPs. Called Detect+ in

publication.

Lotan et al., (2023). Urinary Analysis of FGFR3 and TERT Gene Mutations Enhances Performance of Cxbladder Tests and Improves Patient Risk Stratification.The

Journal of Urology, 10-1097.

Budget impact model for hematuria pathway, incorporating Cxbladder Detect into patient managementTyson et al., (2024). Budgetary Impact of Including the Urinary Genomic Marker Cxbladder Detect in the Evaluation of Microhematuria Patients. UrolPrac

11(1):54-60

Analytical validation of Triage PlusHarvey et al., submitted. Analytical Validation of Cxbladder® Triage Plus Assay for risk stratification of hematuriapatients for urothelial carcinoma Diagnostics

2025, 15, 1739.

Triage Plus

Clinical validation of Triage Plus (DRIVE Study)Savage et al., submitted. Diagnostic Performance of Cxbladder® Triage Plus for the Identification and Stratification of Patientsat Risk for Urothelial Carcinoma:

The Multicenter, Prospective, Observational DRIVE Study.

Algorithm development and clinical validation of Cxbladder TriageKavalieris et al., (2015). A segregation index combining phenotypic (clinical characteristics) and genotypic (gene expression) biomarkers from a urine sample to

triage outpatients presenting with hematuria who have a low probability of urothelial carcinoma.BMC urology,15(1), 1-12.

Triage

Analytical validation of all Cxbladder products Triage, Detect and MonitorHarvey et al., (2024). Analytical Validation of Cxbladder® Detect, Triage, and Monitor: Assays for Detection and Management of Urothelial Carcinoma. Diagnostics.

2024; 14(18):2061.

Clinical validation of Cxbladder TriageDavidson et al., (2019). Inclusion of a molecular marker of bladder cancer in a clinical pathway for investigation of haematuriamay reduce the need for

cystoscopy.NZ Med J,132(1497), 55-64.

Clinical utility of Cxbladder TriageDavidson et al., (2020). Assessment of a clinical pathway for investigation of haematuria that reduces the need for cystoscopy.The New Zealand Medical Journal

(Online),133(1527), 71-82.

Clinical validation of Cxbladder Triage from pooled data (USPrimary and Singapore pooled analysis; n=804)Lotan et al., (2023). Urinary Analysis of FGFR3 and TERT Gene Mutations Enhances Performance of Cxbladder Tests and Improves Patient Risk Stratification.The

Journal of Urology, 10-1097.

Clinical utility of Cxbladder Triage from STRATA study showing a 59% relative reduction in cystoscopy when

comparing test and control arms

Lotan et al., (2024). A MulticenterProspective Randomized Controlled Trial Comparing Cxbladder Triage to Cystoscopy in Patients With Microhematuria. The Safe

Testing of Risk for Asymptomatic Microhematuria Trial. The Journal of Urology Vol 212 1-8 Jul 2024.

Analytical validation of all Cxbladder products Triage, Detect and MonitorHarvey et al., (2024). Analytical Validation of Cxbladder® Detect, Triage, and Monitor: Assays for Detection and Management of Urothelial Carcinoma. Diagnostics.

2024; 14(18):2061.

Monitor

Algorithm development and clinical validation of Cxbladder MonitorKavalieriset al., (2017). Performance characteristics of a multigene urine biomarker test for monitoring for recurrent urothelial carcinoma in a multicenter

study.The Journal of Urology,197(6), 1419-1426.

Clinical utility of Cxbladder Monitor with low risk NMIBC patientsKoya et al., (2020). An evaluation of the real-world use and clinical utility of the Cxbladder Monitor assay in the follow-up ofpatients previously treated for

bladder cancer.BMC urology,20(1), 1-9.

Clinical utility of Cxbladder Monitor with NMIBC patientsLi et al., (2023). CxbladderMonitor testing to reduce cystoscopy frequency in patients with bladder cancer. Urologic Oncology: Seminars and Original

Investigations, 41 (7), 326.e1 –326.38.

Budgetary impact model when Cxbladder Monitor was incorporated into patient managementTyson et al., accepted. Economic Impact Model of Incorporating Cxbladder Monitor in the Surveillance of Non-Muscle Invasive Bladder Cancer. JU Open Plus,

accepted

KEY CLINICAL ADVISORS AND CONSULTANTS
Associate Professor Katie Murray, DOMS, FACS

Institution: NYU Langone

Relationship: Consultant, CAB member,

Brief Bio: Published >80 articles. Deputy Editor for J Urol.

Leadership roles for SUO Young Urologic Oncology Clinical Trials

Professor Jonathan Wright, MD, MS, FACS

Institution: Fred Hutchinson Cancer Center at UW

Relationship: Consultant, CAB member, CT PI

Brief Bio: Member of ACS, SUO, AUA

Professor Wade Sexton, MD

Institution: University of South Florida & Moffitt Cancer Center

Relationship: Consultant, CAB member

Brief Bio: Published >100 articles. NCCN Bladder Cancer

guidelines, AUA Annual Board Review Course

Professor Jay Raman, MD

Institution: Penn State and Hershey Medical Center

Relationship: Consultant, CAB member, CT PI

Brief Bio: Published >350 articles. Chair of AUA Office of Education

and Past-President of the Mid-Atlantic AUA section. Urology

Advisory Council for ACS, hematuria guidelines member

Associate Professor Kristen Scarpato, MD, MPH, FACS

Institution: Vanderbilt University Medical Center

Relationship: Consultant, CAB member, CT PI

Brief Bio: SUO Education Committee, AUA Core Curriculum,

Urology Practice Editorial Committee

Professor Yair Lotan, MD

Institution: UT Southwestern Medical Center

Relationship: Consultant, CAB member, IIT PI, CT PI

Brief Bio: Published >500 articles. Contributor to AUA/ASCO/ASTRO

MIBC and hematuria guidelines. Chair of AUA Core Curriculum. BCAN

Adboard

Professor Sam Chang, MD, MBA

Institution: Vanderbilt Cancer Center

Relationship: Consultant, CAB member

Brief Bio: Published >200 articles. Chair of AUA NMIBC Guidelines,

SUO Executive Board, ABU/AUA Examination Committee, BCAN

Adboard, AUA representative to the AJCC

Assistant Professor John Sfakianos

Institution: Icahn School of Medicine at Mount Sinai

Relationship: Consultant, CAB member

Brief Bio: Published >20 articles. Reviewer for J Uroland Urologic

Oncology

Professor Dan Barocas, MD, MPH, FACS

Institution: Vanderbilt University Medical Center

Relationship: Consultant, CAB member

Brief Bio: Published >100 articles. AUA guidelines panel for

microscopic hematuria. Reviewer for AUA educational materials

Associate Professor, Siamak Daneshmand, MD

Institution: Keck School of Medicine at USC

Relationship: Consultant, CAB member, CT PI

Brief Bio: Published >200 articles. Editorial board of the J Urol,

Bladder Cancer Journal, Current Opinions in Urology, BCAN Adboard,

AUA/SUO Guideline Committee on NMIBC

ASCO: American Society of Clinical Oncology

ASTRO: American Society of Radiation Oncology

AUA: American Urological Association

BCAN: Bladder Cancer Advocacy Network

CAB: Clinical Advisory Board

CT PI: Clinical Trials Principal Investigator

FACS: Fellow of the American College of Surgeons

IIT PI: Investigator Initiated Trial Principal Investigator

J Urol: Journal of Urology

KOL: Key Opinion Leader

MPH: Master of Public Health

SUO: Society of Urologic Oncology

49

2011
2011

Pacific Edge

Diagnostics

New Zealand

(PEDNZ)

established

2012

Dec 2012

Launch of Pacific Edge

Diagnostics USAand

CxbDetect

2013

Mar 2013

First commercial

sale (CxbDetect)

for PEDUSA

May 2013

First commercial

sale (CxbDetect)

for PEDNZ

2014

Dec 2014

Launch of

Cxbladder

Triage

2015

Dec 2015

Launch of

Cxbladder

Monitor

2016

2018

Feb 2018

Cxb Triage

adopted into

Canterbury

Community Health

Pathways with

primary care

referral

2019

2020

Jun 2020

Kaiser Permanente,

approves commercial

use of Cxbladder

Jul 2020

Medicare

reimbursement of

Cxbladderat

US$760/test

2021

Aug 2021

Cxbladderreaches

70% public

healthcare

coverage in NZ

Oct 2021

PEB raises

$103.5m

(~US$72.5m)

2022

Dec2022

Lotan et al:

Enhanced

Cxbladder

Tests Deliver

Improved

Performance.

Journal of

Urology

2023

Nov2023

Kaiser

Permanente

EMR

integration

goes live

2024

May2024

STRATA podium

presentation at

AUA 2024.

Study published

in Journal of

Urology

PACIFIC EDGE –TAKING NEW ZEALAND INNOVATION GLOBAL

2025

Feb 2025

Triage included

in AUA Micro-

hematuria

guideline

Apr 2025

Medicare non-

coverage

effective

50

FOR MORE INFORMATION:
Dr. Peter Meintjes

Chief Executive Officer

email: peter.meintjes@pelnz.com

Grant Gibson

Chief Financial Officer

email: grant.gibson@pelnz.com

Pacific Edge

87 St David Street, PO Box 56, Dunedin, New Zealand

P +64 3 577 6733 Within NZ 0800 555 563

email: investors@pacificedge.co.nz

www.pacificedgedx.com

51

---

1

2025 ANNUAL SHAREHOLDERS’ MEETING


DATE:


6 August 2025

TIME:


3.00pm

VENUE:

MUFG Corporate Markets

Board Room

Level 30, PwC Tower

15 Customs Street West

Auckland 1010



SLIDE 6: CHAIR’S ADDRESS


I would now like to reflect on our performance over the past year and the company’s current

position.

FY25 was a year in which Pacific Edge achieved some of the most strategically important

milestones in its history, with far-reaching implications for both the clinical adoption of our tests

and long-term shareholder value creation.

Foremost among them was the inclusion of Cxbladder Triage in the American Urological

Association’s microhematuria guideline, with the highest possible ‘Grade A’ evidence rating.

This is not only a major clinical endorsement — it is also a powerful validation of Pacific Edge’s

evidence generation capability, which has long been a core pillar of our approach to market

development.

The AUA’s decision to assign the ‘Grade A’ evidence rating reflects the depth and rigour of the

data we’ve produced, particularly the STRATA randomized controlled trial, which demonstrated

compelling real-world utility for Cxbladder.

This milestone serves as a reminder that our commitment to robust scientific validation of our

intellectual property is a critical enabler of test adoption, payer recognition, and ultimately

sustainable commercial growth.

This milestone also:



Reinforces Pacific Edge’s position as the leading provider of non-invasive bladder cancer

diagnostics;


Establishes Cxbladder as the clinically preferred urine biomarker test for evaluating

hematuria in the US; and


Strengthens the commercial moat around our business as we scale.


In addition, we received draft pricing from the Centers for Medicare and Medicaid Services for

Triage Plus of US$1,018 — up from the US$760 price of our current tests.


This pricing reflects the enhanced performance of the test, the novel benefit for patients that

arises from “genomic risk stratification” without the use of clinical risk factors and stands to

strengthen the commercial foundation for growth once coverage is secured.

Page 2 of 3
Of course, the year also brought a major setback: the loss of Medicare coverage in April 2025.

This ended reimbursement that accounted for around 56% of our FY 25 operating revenue.

We were disappointed by this decision — particularly because Novitas did not evaluate the most

current clinical evidence, including both the STRATA trial and the newly updated AUA guideline.

I am proud of the way the Pacific Edge team navigated the uncertainty that preceded this decision

and the decision itself. We delivered a resilient financial performance, demonstrating the strength

of our business model and the commitment of our team:

• Operating revenue was $21.8 million, down 8.6% year-on-year;

• Total laboratory throughput was 28,894 tests, down 11.5%, but stable in the second half;

• Our average US sales price increased to US$594 from US$584 in the prior year supported

by improved cash collections;

• Throughput per sales FTE and tests per ordering clinician both rose, reflecting greater

focus and productivity in the field.

This resilience continued into the first three months of the new financial year — our first quarter

without Medicare coverage since 2020. After taking into account the loss of one salesperson and

the disruption caused by the strategic decision to discontinue Cxbladder Detect in the US,

volumes were relatively stable.

We believe the ease with which clinicians have accepted the transition to Triage in place of Detect

demonstrates the shift in sentiment among the early adopters of our tests and an understanding

of the AUA guideline.


In summary in FY25 and into the new financial year we have demonstrated the strengths of our

business model and our ability to adapt to changing conditions. And now with the tail wind of the

AUA guideline, we see significant opportunities to accelerate test adoption and deepen

engagement with clinicians.


SLIDE 7: RAISING NEW CAPITAL TO MAINTAIN COMMERCIAL MOMENTUM


Our success with the guideline has allowed us to look upon the Medicare non-coverage

determination that came into effect in April 2025 differently and build on the momentum already

established – rather than cutting costs sharply while we pursue re-coverage for our tests.

That’s why we launched a capital raise alongside the announcement of our FY25 results.

We’ve secured $16.1 million via a Placement, and a further $4.7 million through the Share

Purchase Plan, which closed at the end of July. Both tranches are subject to shareholder approval

today.

This capital will:

• Extend our cash runway to support operations while we seek Medicare re-coverage;

• Advance the commercialisation of Triage and Triage Plus; and

• Maintain investment in clinical research and evidence development.

Your support for today’s resolutions will give Pacific Edge the financial flexibility and strategic

stability needed to deliver on our strategy and assist the return to sustained growth.

Before I close, I want to speak briefly about my continued leadership of the company.

Page 3 of 3
Last year, I informed the Board of my intention to retire. However, we have faced several

challenges in recruiting my successor including:

- the uncertainty over Medicare coverage of our tests and the challenges this has presented

to recruiting a new Director to replace me; and

- the commitments of our existing Directors, which have prevented any of them being able

to commit to taking over the Chair role.

Considering these challenges and the importance of continuity in leadership, I accepted the

Board’s invitation to remain as Chair. I will therefore be standing for re-election later in today’s

meeting.

It remains my intention to step down once we have greater clarity on the company’s outlook and

we are able to recruit a Director also willing to take on the role of Chair. That said, I continue to

lead the company with complete confidence in our science, our people, and our prospects.

Peter will shortly speak to the year ahead and provide detail on our strategy to achieve the broad

aims of capital raising.

But before he does, let me finish with a simple thank you.

Your continued support has enabled us to navigate an exceptionally challenging year — and your

belief in our mission has kept us focused, motivated, and optimistic for what lies ahead.

And with that I would like to hand you over to Peter.

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