X0508 4 2026-02-05 0001778922 SpyGlass Pharma, Inc. SGP 0002108044 Khan Bilal Arshad C/O SPYGLASS PHARMA, INC. 27061 ALISO CREEK RD., SUITE 100 ALISO VIEJO CA 92656 true false false false 0 Stock Option (right to buy) 16 2026-02-05 4 A 0 13700 0 A 2036-02-05 Common Stock 13700 13700 D Subject to the Reporting Person's continuing as an Outside Director (as defined in the Issuer's 2026 Equity Incentive Plan) through such applicable vesting date, one hundred percent (100%) of the shares subject to the option shall vest on the earlier of (i) the one (1) year anniversary of the Date of Grant or (ii) the date immediately prior to the next annual meeting of stockholders following the Date of Grant. "Date of Grant" shall mean February 5, 2026. /s/ Brian Aukshunas, as Attorney-in-Fact 2026-02-09