Delcath Systems — Third Quarter 2026 Earnings Summary
Financial Performance:
- Total revenue for the quarter ended September 30, 2026, was $35.1 million, a 70.4% increase from $20.6 million in the same period in 2025.
- HEPZATO KIT™ revenue reached $32.7 million, up from $19.3 million in Q3 2025.
- CHEMOSAT® revenue was $2.4 million, compared to $1.3 million in Q3 2025.
- Gross margins improved to 89% from 87% in the prior year quarter.
- Net income was $7.0 million, compared to $0.8 million in Q3 2025.
- Non-GAAP adjusted EBITDA was $11.5 million, more than doubling from $5.3 million in Q3 2025.
- Cash provided by operations was $8.2 million, up from $4.8 million in the prior year quarter.
- Research and development expenses were $11.0 million, increasing from $8.0 million in Q3 2025.
- Selling, general and administrative expenses were $13.1 million, up from $10.3 million in Q3 2025.
- Cash and investments totaled $104.3 million as of September 30, 2026, with no debt outstanding.
- Accounts receivable increased to $20.2 million from $11.7 million as of December 31, 2025.
Guidance and Future Outlook:
- Increased 2026 full-year revenue guidance to a range of $115 million to $117 million.
- The updated guidance reflects an expected increase in HEPZATO KIT volume of at least 41% over 2025.
- Full-year 2026 gross margins are projected to range between 87% and 89%.
- The company expects to report positive adjusted EBITDA for the full year 2026.
- Management plans to submit an Investigational New Drug (IND) application for cholangiocarcinoma in early 2027.
- Pending FDA agreement, preclinical development of an oxaliplatin-based PHP product is targeted for completion by mid-2027.
Business Segments and Product Lines:
- The company operates with 33 active treatment centers.
- HEPZATO volume grew approximately 72% in the third quarter of 2026 compared to the third quarter of 2025.
- Advanced the global Phase 2 DELUMA trial (NCT06875128) evaluating HEPZATO in combination with standard-of-care therapy for liver-dominant HER2-negative metastatic breast cancer.
- The first patient in the DELUMA trial was dosed on July 9, 2026, at the European Institute of Oncology in Milan, Italy.
- The DELUMA trial is designed to enroll approximately 90 patients across more than 20 U.S. and European sites.
Management Commentary and Tone:
- CEO Gerard Michel expressed confidence in the long-term opportunity, citing continued momentum in commercial operations and clinical development.
- Management highlighted growing physician experience with HEPZATO, strong engagement across the treatment center network, and increasing interest in combining HEPZATO with systemic therapies.
Risks and Challenges:
- Forward-looking statements are subject to risks including uncertainties regarding the successful commercialization of HEPZATO KIT.
- Risks include the ability to secure adequate supply of critical components for manufacturing and assembling the HEPZATO KIT.
- Potential challenges involve successful FDA inspections of company and third-party supplier/manufacturing facilities.
- Uncertainties exist regarding the successful implementation of the HEPZATO KIT Risk Evaluation and Mitigation Strategy (REMS).
- Risks include the ability to obtain reimbursement for HEPZATO KIT and successfully enter into necessary purchase and sale agreements with users.
Other Key Points:
- The company reported $104.3 million in cash and investments with zero debt as of September 30, 2026.
- HEPZATO KIT is approved in the U.S. for adult patients with metastatic uveal melanoma with unresectable hepatic metastases.
- CHEMOSAT is approved in Europe as a Class III medical device for percutaneous hepatic perfusion procedures.
- The company holds 34,771,239 common shares issued and outstanding as of September 30, 2026.
- Diluted income per common share for the quarter was $0.17, compared to $0.02 in the prior year quarter.
- Company
- DELCATH SYSTEMS INC
- Sector
- Healthcare
- Industry
- Medical Devices