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Delcath Systems, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 26 February 2026: press release. Guidance figures: 3 new. The quarter’s numbers.

Key takeaways

  • Full-year revenue reached $85.2 million: Full-year 2025 revenue was $85.2 million, up from $37.2 million in 2024. Fourth-quarter revenue was $20.7 million, compared with $15.1 million a year earlier. Source
  • Full-year net income versus prior loss: The company reported full-year 2025 net income of $2.7 million, compared with a net loss of $26.4 million in 2024. The fourth-quarter net loss was $1.9 million. Source
  • Adjusted EBITDA positive for year and quarter: Non-GAAP adjusted EBITDA was $25.1 million for 2025 and $2.4 million for the fourth quarter. The 2024 full-year figure was a loss of $2.5 million. Source
  • Procedure volume grew about 140%: HEPZATO procedure volume grew approximately 140% in 2025 compared with 2024. The company reported 28 currently active centers. Source
  • Gross margin 85% quarter, 86% year: Gross margin was 85% for the fourth quarter and 86% for the full year. Source
  • Cash and investments $91.0 million: The company held $91.0 million of cash and investments at December 31, 2025, with $43.5 million in cash and cash equivalents and no debt. Source
  • CHOPIN showed progression-free survival gain: Independent investigators presented Phase 2 CHOPIN data at the 2025 ESMO Congress. CHEMOSAT with ipilimumab and nivolumab showed improved one-year progression-free survival versus CHEMOSAT alone. Source

“2025 was a pivotal year in which we delivered robust procedure-volume growth, positive operating cashflow and successfully navigated temporary headwinds to stabilize the HEPZATO revenue base in the fourth quarter”

Gerard Michel, President and Chief Executive Officer of Delcath

Guidance

AreaPeriodFigureAgainst last quarter
Total CHEMOSAT and HEPZATO KIT revenue Sourcefiscal year 2026at least $100 millionNew
HEPZATO KIT volume Sourcefiscal year 2026increase of at least 20% over 2025New
Gross margin Sourcefiscal year 202684% to 87%New

What changed from last quarter

  • New guidance: Fiscal 2026 financial guidance was given for revenue, HEPZATO KIT volume and gross margin. The January 9, 2026 preliminary release contained no 2026 figures. Source
  • New: The release cites initiation of a Phase 2 trial evaluating HEPZATO with standard of care for mCRC and mBC. Source

Results and growth drivers

  • Full-year revenue reached $85.2 million: Full-year 2025 revenue was $85.2 million, up from $37.2 million in 2024. Fourth-quarter revenue was $20.7 million, compared with $15.1 million a year earlier. Source
  • Full-year net income versus prior loss: The company reported full-year 2025 net income of $2.7 million, compared with a net loss of $26.4 million in 2024. The fourth-quarter net loss was $1.9 million. Source
  • Adjusted EBITDA positive for year and quarter: Non-GAAP adjusted EBITDA was $25.1 million for 2025 and $2.4 million for the fourth quarter. The 2024 full-year figure was a loss of $2.5 million. Source

Products, centers and volume

  • HEPZATO drove most 2025 revenue: HEPZATO KIT sales in the U.S. were $78.8 million for 2025 and CHEMOSAT sales in Europe were $6.4 million. Source
  • Procedure volume grew about 140%: HEPZATO procedure volume grew approximately 140% in 2025 compared with 2024. The company reported 28 currently active centers. Source
  • Fourth-quarter product split: Fourth-quarter revenue included $19.0 million of HEPZATO sales in the U.S. and $1.7 million of CHEMOSAT sales in Europe. Source

“With 28 active treatment centers now delivering therapy and compelling CHOPIN data demonstrating clear clinical benefit when PHP is sequenced with checkpoint inhibitors, we enter 2026 with strong momentum.”

Gerard Michel, President and Chief Executive Officer of Delcath

Costs and margins

  • Gross margin 85% quarter, 86% year: Gross margin was 85% for the fourth quarter and 86% for the full year. Source
  • R&D spending rose with clinical team: R&D expenses were $29.2 million for 2025, against $13.9 million in 2024, and $9.4 million in the fourth quarter, against $2.9 million a year earlier. Source
  • SG&A rose with commercial expansion: SG&A expenses were $43.5 million for 2025, against $29.6 million in 2024, and $10.5 million in the fourth quarter. The company attributes the increase to commercial activity. Source
  • Share-based compensation rose sharply: Share-based compensation was $24.2 million for 2025, against $9.8 million in 2024. The company cited headcount growth and higher grant-date exercise prices. Source

Cash, capital and buybacks

  • Cash and investments $91.0 million: The company held $91.0 million of cash and investments at December 31, 2025, with $43.5 million in cash and cash equivalents and no debt. Source
  • Share buyback of 628,572 shares: The company repurchased 628,572 common shares for $6.0 million through December 31, 2025, under a $25 million Share Buyback Program. Source
  • Short-term investments rose sharply: Of the $91.0 million, $47.6 million was in short-term investments, against $20.8 million a year earlier. Source

Clinical evidence and publications

  • CHOPIN showed progression-free survival gain: Independent investigators presented Phase 2 CHOPIN data at the 2025 ESMO Congress. CHEMOSAT with ipilimumab and nivolumab showed improved one-year progression-free survival versus CHEMOSAT alone. Source
  • FOCUS subgroup analyses published: Additional FOCUS study results, subgroup analyses of the Phase 3 study in metastatic uveal melanoma, were published in the Journal of Cancer Research and Clinical Oncology. Source
  • Long-term survival studies published: Investigators published long-term retrospective studies, including a Tübingen study in International Journal of Cancer and a 10-year Asklepios Barmbek study in Cancers. Source

2026 plans and commercial expansion

  • Phase 2 trial with standard of care: The company cited the start of a Phase 2 trial combining HEPZATO with standard of care for metastatic colorectal and metastatic breast cancer. Source
  • Site activations and awareness planned: The company plans continued site activations and commercial expansion in 2026, along with physician awareness of the CHOPIN results. Source

Coming up, as management said on 26 February 2026

  • Accelerated adoption expected: Management expects accelerated adoption and utilization, driven by site activations, commercial expansion and physician awareness of CHOPIN results. Source

Figures management reported

FigureReported
Active centers Source28
HEPZATO procedure volume growth, 2025 vs 2024 Sourceapproximately 140%

Risks management discussed

  • Demand: Management cited temporary headwinds that it said were navigated to stabilize HEPZATO revenue in the fourth quarter. Source

Earlier plans management reported on

  • Not stated: In January the company said final results would be given in its annual release. This February release contains the final figures.
  • Not stated: Management said it would continue to increase adoption and utilization by raising physician awareness of the CHOPIN findings in 2026.
  • Not stated: Management said its financial position supports 2026 investment in commercial expansion and additional clinical programs.

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.