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Delcath Systems, Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 6 August 2026: press release. Guidance figures: 3 raised. The quarter’s numbers.

Key takeaways

  • Revenue rose about 20% year over year: Total revenue was $29.1 million, compared with $24.2 million a year earlier, an increase of roughly 20%. Source
  • Adjusted EBITDA lower than last year: Non-GAAP adjusted EBITDA was $7.6 million, compared with $9.8 million in the second quarter of 2025. Source
  • R&D spending rose on clinical work: Research and development expenses were $10.4 million, up from $6.9 million, reflecting clinical headcount and trial activity. Source
  • Gross margin rose to 90%: Gross margin was 90%, compared with 86% in the second quarter of 2025. Source
  • Combination use with systemic therapy rising: Management said it is seeing more HEPZATO used with systemic therapies to treat metastatic uveal melanoma. Source
  • HEPZATO volume up about 30%: HEPZATO volume grew approximately 30% in the second quarter of 2026 compared with the second quarter of 2025. Source
  • Cash and investments $95.9 million: Cash and investments were $95.9 million at June 30, 2026, up from $89.3 million at March 31, 2026, with no debt. Source

“Our strong second quarter, including total revenue of $29.1 million and quarterly operating cash flow of $5.7 million, reflects continued momentum in HEPZATO procedures,”

Gerard Michel, Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Total HEPZATO KIT and CHEMOSAT revenue Sourcefiscal year 2026$104 million to $108 millionRaised from at least $100 million
HEPZATO KIT volume growth Source2026 compared with 2025at least 28%Raised from at least 20%
Gross margin Sourcefull year 202686% to 89%Raised from 84% to 87%

What changed from last quarter

  • Guidance raised: Full-year revenue guidance raised to $104 million to $108 million from at least $100 million. Source
  • Guidance raised: Full-year HEPZATO KIT volume growth guidance raised to at least 28% from at least 20%. Source
  • Guidance raised: Full-year gross margin guidance raised to 86% to 89% from 84% to 87%. Source
  • New: HEPZATO described as a multi-indication, liver-directed platform, including colorectal and breast cancer. Not described in the prior release. Source

Second quarter results

  • Revenue rose about 20% year over year: Total revenue was $29.1 million, compared with $24.2 million a year earlier, an increase of roughly 20%. Source
  • Net income flat at $2.7 million: Net income was $2.7 million in both the second quarter of 2026 and the second quarter of 2025. Diluted income per share was $0.07 in both periods. Source
  • Adjusted EBITDA lower than last year: Non-GAAP adjusted EBITDA was $7.6 million, compared with $9.8 million in the second quarter of 2025. Source
  • Operating cash flow lower year over year: Cash provided by operations was $5.7 million in the quarter, compared with $7.3 million in the second quarter of 2025. Source
  • Operating income slightly lower: Operating income was $2.4 million, against $2.6 million a year earlier. Interest income was $0.8 million, against $0.6 million. Source

HEPZATO and CHEMOSAT sales

  • HEPZATO U.S. sales reached $27.1 million: HEPZATO KIT revenue was $27.1 million, against $22.5 million in the second quarter of 2025. It is the larger share of total revenue. Source
  • CHEMOSAT Europe revenue up to $2.0 million: CHEMOSAT revenue was $2.0 million, compared with $1.7 million in the second quarter of 2025. Source
  • HEPZATO accounted for most of the increase: Year-over-year, HEPZATO KIT revenue rose by about $4.6 million and CHEMOSAT revenue rose by about $0.3 million. Source

“The growing clinical experience with this treatment strategy is strengthening physician confidence in HEPZATO”

Gerard Michel, Chief Executive Officer

Costs and gross margin

  • R&D spending rose on clinical work: Research and development expenses were $10.4 million, up from $6.9 million, reflecting clinical headcount and trial activity. Source
  • SG&A rose with commercial expansion: Selling, general and administrative expenses were $13.4 million, up from $11.4 million, reflecting commercial expansion. Source
  • Gross margin rose to 90%: Gross margin was 90%, compared with 86% in the second quarter of 2025. Source
  • Stock-based compensation fell year over year: Stock-based compensation expense was $5.1 million, down from $7.2 million. The company adds it back in its adjusted EBITDA reconciliation. Source

Treatment centers and demand

  • Combination use with systemic therapy rising: Management said it is seeing more HEPZATO used with systemic therapies to treat metastatic uveal melanoma. Source
  • Active treatment center network expanding: Management said it is growing the active treatment center network, now 31 centers, up from 29 in the first quarter. Source
  • HEPZATO volume up about 30%: HEPZATO volume grew approximately 30% in the second quarter of 2026 compared with the second quarter of 2025. Source

Clinical and research updates

  • Breast cancer retrospective data at ESMO: Independent investigators presented retrospective data at ESMO Breast Cancer 2026 showing a 60% hepatic partial response rate. Source
  • Uveal melanoma trials-in-progress at ASCO: Two ASCO 2026 abstracts were presented: one on HEPZATO before tebentafusp in uveal melanoma, and one on HEPZATO with nivolumab/relatlimab in cutaneous melanoma with liver metastases. Source
  • Phase 2 breast trial dosed first patient: The first patient was dosed in a global Phase 2 trial of HEPZATO with standard of care in HER2-negative, liver-dominant metastatic breast cancer. Source

Cash, balance sheet and shares

  • Cash and investments $95.9 million: Cash and investments were $95.9 million at June 30, 2026, up from $89.3 million at March 31, 2026, with no debt. Source
  • Receivables and inventories increased: Accounts receivable were $15.9 million, up from $11.7 million at December 31, 2025. Inventories were $11.7 million, up from $10.3 million. Source
  • Diluted share count slightly lower: Weighted average diluted shares were 39.8 million, against 40.3 million in the second quarter of 2025. Source

Figures management reported

FigureReported
HEPZATO volume growth, Q2 2026 vs Q2 2025 SourceApproximately 30%
Active treatment centers Source31

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.