Amendment No. 1 to Amended and Restated Clinical Collaboration and Supply Agreement, by and between the Company and Novartis Institutes for BioMedical Research, Inc., dated October 9, 2023

Exhibit 10.1

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Amendment No. 1 to Amended and Restated Clinical Collaboration and Supply Agreement

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Reference is hereby made to the Clinical Collaboration and Supply Agreement, dated July 22, 2020, as amended via the Amended and Restated Clinical Collaboration and Supply Agreement, dated January 13, 2022 (collectively the “Agreement”), by and between Olema Pharmaceuticals, Inc., a Delaware  corporation, having a place of business at 780 Brannan Street, San Francisco, CA 94103 (“Olema”), and Novartis Institutes for BioMedical Research, Inc., a Delaware corporation, having a place of business at 181 Massachusetts Avenue, Cambridge, MA 02139 (“Novartis”).

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WHEREAS, Olema and Novartis (each, a “Party” and collectively, the “Parties”) entered into the Agreement for the purpose of setting forth the Parties’ respective rights and obligations in connection with the performance of a Combined Therapy Clinical Trial;

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WHEREAS, the Parties hereby wish to amend the Development Plan and Protocol Synopsis to add an additional 30 patients to be enrolled in the dose expansion phase of the palazestrant (OP-1250) in combination with ribociclib study arm in the Combined Therapy Clinical Trial, and make such other changes to the Agreement as set forth via this Amendment No. 1 to Amended and Restated Clinical Collaboration and Supply Agreement (the “Amendment No. 1”);

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NOW THEREFORE, in consideration of the premises and the mutual covenants herein contained, the Parties mutually agree as follows:

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This Amendment No. 1 is effective as of October 9, 2023 (the “Amendment No. 1 Effective Date”), such that the Agreement will be deemed to be in continuous force and effect, and will be deemed to be an integral part of the Agreement.  Any initially capitalized terms not otherwise defined herein shall have the meanings given in the Agreement.  Except as expressly amended hereby, all terms of the Agreement shall remain unchanged and in full force and effect. This Amendment No. 1 may be executed in two (2) or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument.  This Amendment No. 1 may be executed by facsimile or electronic (e.g., pdf) signatures and such signatures shall be deemed to bind each Party hereto as if they were original signature. This

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Amendment No. 1 shall be governed and construed in accordance with the internal laws of the State of New York, USA, excluding any choice of law rules that may direct the application of the laws of another jurisdiction.

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[Signature Page Follows]

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IN WITNESS WHEREOF, the Parties hereto have executed this Agreement to become effective as of the Amendment Effective Date.

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Exhibit A

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DEVELOPMENT PLAN

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Exhibit B

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PROTOCOL SYNOPSIS

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