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Adagio Medical Reports Fourth Quarter and Full Year 2024 Results

Key Takeaway: Adagio Medical Holdings, Inc. reported its fourth quarter and full-year financial results for 2024, marking a significant year with the initiation of the FULCRUM pivotal trial targeting ventricular tachycardia (VT). The company experienced a 101% revenue increase for the full year, largely due to the introduction of its vCLAS catheter in Europe. However, gross margins remained negative, and operational expenses surged, resulting in a larger net loss compared to the previous year. Adagio aims to enhance patient outcomes for VT through its innovative cryoablation technology.

Market Sentiment Analysis

POSITIVE FACTORS

  • Successful commencement of FULCRUM pivotal trial enrollment.
  • Revenue increased by 101% year-over-year for 2024.
  • Optimized focus on two key initiatives for future performance.

CONCERNS & RISKS

  • Negative gross margins continued, indicating financial strain.
  • Significant increase in net loss to $75 million for 2024.
  • Operating expenses grew dramatically, driven by impairment losses.

Full Press Release Details

Adagio Medical Reports Fourth Quarter and Full
LAGUNA HILLS, CA, March 31, 2025 - Adagio Medical
Holdings, Inc. (Nasdaq: ADGM), a leading innovator in catheter ablation technologies for the treatment of cardiac arrhythmias, today
reported financial results for the fourth quarter and full year ended December 31, 2024.
Recent Business Highlights:
"2024 was a pivotal year for Adagio, as we successfully commenced
enrollment in our FULCRUM pivotal trial, securing the strategy to establish Adagio as a leading provider of treatments for ventricular
tachycardia ("VT"). I am thrilled that the trial is enrolling ahead of expectations, bringing us even closer to providing
a solution to this underserved patient population," said Todd Usen, Chief Executive Officer of Adagio. "With all of our resources
today focused on two initiatives, the FULCRUM study and our product design optimization program, Adagio is well-poised to deliver on our
critical mission of improving the quality of life and long-term outcomes for patients with VT."
Fourth Quarter 2024 Financial Results
Revenue was $137 thousand for the fourth quarter of 2024, up 76% compared
to $78 thousand for the fourth quarter of 2023. The increase over the prior year quarter was driven primarily by the introduction of vCLAS
Gross margin was negative 1012% for the fourth quarter of 2024, compared
to negative 328% for the fourth quarter of 2023. The year-over-year change was primarily due to increased sales volume.
Operating expenses for the fourth quarter of 2024 were $56.7 million,
compared to $5.1 million for the fourth quarter of 2023. The increase was mainly driven by impairment of $49.2 million and increased transaction
and public company expenses.
Net loss was $57.4 million for the fourth quarter of 2024 compared
to a net loss of $8.6 million in the same period of the prior year. The increase in net loss was primarily driven by impairment loss.
Full Year 2024 Financial Results
Revenue was $0.6 million for the full year of 2024, up 101% compared
to $0.3 million for the full year of 2023. The increase over the prior year was driven primarily by the introduction of vCLAS in Europe.
Gross margin was negative 451% for full year of 2024, compared to negative
335% for the full year of 2023. The year-over-year change was primarily due to increased sales volume.
Operating expenses for the full year of 2024 were $81.4million, compared
to $26.9 million for the full year of 2023. The increase was mainly driven by impairment and increased transaction and public company
Net loss was $75.0 million for the full year of 2024 compared to a
net loss of $36.6 million in the prior year. The increase in net loss was primarily driven by impairment loss.
About Adagio Medical Holdings, Inc.
Adagio Medical is a medical device company focused on developing and
commercializing products for the treatment of cardiac arrhythmias utilizing its novel, proprietary, catheter-based Ultra-Low Temperature
Cryoablation ("ULTC") technology. ULTC is designed to create large, durable lesions extending through the depth of both diseased
and healthy cardiac tissue. The Company is currently focused on the treatment of ventricular tachycardia ("VT") with its purpose-built
vCLAS catheter, which is CE Marked and is currently under evaluation in the FULCRUM-VT U.S. IDE Pivotal Study.
FULCRUM-VT (Feasibility of Ultra-Low
Temperature Cryoablation in Recurring Monomorphic Ventricular Tachycardia) is a prospective, multi-center, open-label, single-arm study,
enrolling 206 patients with structural heart disease of both ischemic and non-ischemic cardiomyopathy, indicated for catheter ablation
of drug refractory ventricular tachycardia (VT) in accordance with current treatment guidelines. The results of the study will be used
to obtain FDA premarket approval (PMA) for Adagio's VT Cryoablation System with the vCLAS cryoablation catheter with industry
broadest indication for purely endocardial ablation of scar-mediated VT.
Forward-Looking Statements
Certain statements in this press release (this "Press Release")
may be considered "forward-looking statements" within the meaning of the "safe harbor" provisions of the United
States Private Securities Litigation Reform Act of 1995. Forward-looking statements generally relate to future events or future financial
or operating performance of the Company. For example, any statements that refer to expectations, projections or other characterizations
of future events or circumstances are forward-looking statements. In some cases, you can identify forward-looking statements by terminology
such as "anticipate," "believe," "continue," "could," "estimate," "expect,"
"forecast," "future," "intend," "may," "might," "plan," "possible,"
"potential," "predict," "project," "propose," "seek," "should,"
"strive," "will," or "would" or the negatives of these terms or variations of them or similar terminology.
Such forward-looking statements are subject to risks, uncertainties, and other factors which may be beyond the control of the Company
and could cause actual results to differ materially from those expressed or implied by such forward-looking statements. These forward-looking
statements are based upon estimates and assumptions that, while considered reasonable by the Company and its management, are inherently
uncertain. The Company cautions you that these statements are based on a combination of facts and factors currently known and projections
of the future, which are inherently uncertain. There are risks and uncertainties described in the definitive proxy/final prospectus relating
to the Business Combination, which was filed by the Company with the U.S. Securities and Exchange Commission (the "SEC"),
and described in other documents filed by the Company from time to time with the SEC. These filings may identify and address other important
risks and uncertainties that could cause actual events and results to differ materially from those contained in the forward-looking statements.
The Company cannot assure you that the forward-looking statements in this communication will prove to be accurate.
Nothing in this Press Release should be regarded as a representation
or warranty by any person that the forward-looking statements set forth herein will be achieved or that any of the contemplated results
of such forward-looking statements will be achieved, in any specified time frame, or at all. You should not place undue reliance on forward-looking
statements, which speak only as of the date they are made in this Press Release. Subsequent events and developments may cause those views
to change. The Company does not undertake any duty to update these forward-looking statements.
Vice President, Global Marketing and Product Management
Caroline Corner, PhD

Frequently Asked Questions

What was Adagio Medical's revenue in Q4 2024?

Adagio Medical reported revenue of $137 thousand for Q4 2024.

What trial did Adagio Medical begin enrolling in 2024?

Adagio commenced enrollment in the FULCRUM pivotal trial in 2024.

What is the focus of Adagio Medical's technology?

Adagio Medical focuses on catheter ablation for treating cardiac arrhythmias.

What was Adagio's net loss for the full year of 2024?

Adagio reported a net loss of $75 million for the full year of 2024.

What is the purpose of the vCLAS catheter?

The vCLAS catheter is designed for treating ventricular tachycardia (VT).

Last updated: Mar 31, 2025