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Delcath Systems Reports Fourth Quarter and Full Year 2025 Results

Key Takeaway: Delcath Systems reported strong financial results for Q4 and full year 2025, with total revenue reaching $20.7 million in Q4 and $85.2 million for the year. The company highlighted robust growth in procedure volume and positive operating cash flow, despite increased expenses. Looking ahead, Delcath anticipates continued momentum in 2026 driven by expanded treatment centers and positive clinical data.
Price reaction · baseline $10.21 (2026-02-25 close) · hit pre-market · 1 other DCTH headline(s) in the window, move may be shared
day 0 close
-11.9%
day 1
-12.8%
day 3 · peak
-15.8%

Market Sentiment Analysis

POSITIVE FACTORS

  • Robust procedure-volume growth reported for 2025.
  • Positive operating cash flow achieved.
  • Successful navigation of temporary headwinds.
  • Strong momentum entering 2026 with 28 active treatment centers.

CONCERNS & RISKS

  • Increased research and development expenses due to team expansion.
  • Higher selling, general, and administrative expenses impacting net income.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Best trade, last catalyst
+154%
120-day peak, hindsight
Typical move
40.6%
average across 2 past catalysts
Lead asset
Trifluridine-tipiracil plus Bevacizumab Alone
Phase 2 · Refractory Metastatic Colorectal Cancer

Full Press Release Details

QUEENSBURY, N.Y.--(BUSINESS WIRE)--Delcath Systems, Inc. (Nasdaq: DCTH) (“Delcath” or the “Company”), an interventional oncology company focused on the treatment of primary and metastatic cancers of the liver, today reported financial results and business highlights for the fourth quarter and full year-ended December 31, 2025.

Fourth Quarter and Full Year 2025 Financial Results

Business Highlights

“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,” said Gerard Michel, President and Chief Executive Officer of Delcath “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. Through continued site activations, commercial expansion, and heightened physician awareness of the CHOPIN results, we expect accelerated adoption and utilization that will drive long-term value for patients and shareholders alike.”

2026 Full Year Financial Guidance

The Company’s financial outlook for fiscal year 2026:

Fourth Quarter and Full Year 2025 Results

Total revenue for the quarter ended December 31, 2025 was $20.7 million compared to $15.1 million for the same period in the prior year. Revenue in the quarter includes sales of $19.0 million of HEPZATO in the U.S. and $1.7 million of CHEMOSAT in Europe.
Total revenue for the year-ended December 31, 2025 was $85.2 million compared to $37.2 million for the same period in the prior year. Revenue in 2025 includes sales of $78.8 million of HEPZATO in the U.S. and $6.4 million of CHEMOSAT in Europe.
Research and development expenses for the quarter and year-ended December 31, 2025, were $9.4 million and $29.2 million, respectively compared to $2.9 million and $13.9 million for the same periods in the prior year. The increase is primarily due to costs associated with expanding the clinical team including share-based compensation expense related to an increase in headcount and initiation of the Phase 2 clinical trial evaluating HEPZATO in combination with standard of care for mCRC and mBC. In 2024, these costs are primarily related to medical affairs and regulatory costs associated with the approved products.
Selling, general and administrative expenses for the quarter and year-ended December 31, 2025, were $10.5 million and $43.5 million, respectively compared to $7.0 million and $29.6 million for the same periods in the prior year. The increase is primarily due to continued commercial expansion activities including marketing-related expenses and additional personnel on the commercial team. In addition, the increase in personnel along with higher grant date exercise prices has increased the share-based compensation expense.
Net loss for the quarter ended December 31, 2025 was $1.9 million and net income for the full year was $2.7 million, compared to net loss of $3.4 million and $26.4 million for the same periods in the prior year.
Non-GAAP positive adjusted EBITDA for the quarter and year-ended December 31, 2025 was $2.4 million and $25.1 million compared to adjusted EBITDA gain of $4.6 million and loss of $2.5 million for the same periods in the prior year. A table reconciling non-GAAP measures is included in this press release for reference.
As of December 31, 2025, the Company had $91.0 million in cash and investments, and no debt.

Conference Call Information

To participate in this event, dial in approximately 5 to 10 minutes before the beginning of the call.
Event Date: Thursday, February 26, 2026Time: 8:30 AM Eastern Time
Participant Numbers:Toll Free: 1-877-407-3982International: 1-201-493-6780Webcast:https://viavid.webcasts.com/starthere.jsp?ei=1747469&tp_key=15ec7bd15c
A replay of the webinar will be available shortly after the conclusion of the call and will be archived on the company's websitehttps://investors.delcath.com/news-events/events-and-presentations.

GAAP v. Non-GAAP Measures

Delcath’s reported earnings are prepared in accordance with generally accepted accounting principles in the United States, or GAAP, and represent earnings as reported to the Securities and Exchange Commission. Delcath has provided in this release certain financial information that has not been prepared in accordance with GAAP. Delcath’s management believes that the non-GAAP adjusted EBITDA described in this release, which includes adjustments for specific items that are generally not indicative of our core operations, provides additional information that is useful to investors in understanding Delcath’s underlying performance, business and performance trends, and helps facilitate period-to-period comparisons and comparisons of its financial measures with other companies in Delcath’s industry. However, the non-GAAP financial measures that Delcath uses may differ from measures that other companies may use. Non-GAAP financial measures are not required to be uniformly applied, are not audited and should not be considered in isolation or as substitutes for results prepared in accordance with GAAP.

About Delcath Systems, Inc., HEPZATO KIT and CHEMOSAT

Delcath Systems, Inc. is an interventional oncology company focused on the treatment of primary and metastatic liver cancers. The company's proprietary products, HEPZATO KIT (HEPZATO (melphalan) for Injection/Hepatic Delivery System) and CHEMOSAT Hepatic Delivery System (HDS) for Melphalan percutaneous hepatic perfusion (PHP), are designed to administer high-dose chemotherapy to the liver while controlling systemic exposure and associated side effects during a PHP procedure.
In the United States, HEPZATO KIT is considered a combination drug and device product and is regulated and approved for sale as a drug by the FDA. HEPZATO KIT is comprised of the chemotherapeutic drug melphalan and Delcath’s proprietary HDS. The HDS is used to isolate the hepatic venous blood from the systemic circulation while simultaneously filtrating hepatic venous blood during melphalan infusion and washout. The use of the HDS results in loco-regional delivery of a relatively high melphalan dose, which can potentially induce a clinically meaningful tumor response with minimal hepatotoxicity and reduce systemic exposure. HEPZATO KIT is approved in the United States as a liver-directed treatment for adult patients with metastatic uveal melanoma (mUM) with unresectable hepatic metastases affecting less than 50% of the liver and no extrahepatic disease, or extrahepatic disease limited to the bone, lymph nodes, subcutaneous tissues, or lung that is amenable to resection or radiation. Please see the full Prescribing Information, including BOXED WARNING for theHEPZATO KIT.
In Europe, the device-only configuration of the HDS is regulated as a Class III medical device and is approved for sale under the trade name CHEMOSAT Hepatic Delivery System for Melphalan, or CHEMOSAT, where it has been used in the conduct of percutaneous hepatic perfusion procedures at major medical centers to treat a wide range of cancers of the liver.

Safe Harbor / Forward-Looking Statements

The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements made by the Company or on its behalf. This press release contains forward-looking statements, including the Company’s statements regarding the possible synergy seen in the successful Phase 2 CHOPIN Trial being transferable to clinical practice; Company’s 2026 financial outlook, which are subject to certain risks and uncertainties, that can cause actual results to differ materially from those described. The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “will,” “would” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Factors that may cause such differences include, but are not limited to, uncertainties relating to: the Company’s commercialization plans and its ability to successfully commercialize the HEPZATO KIT; contributions to adjusted EBITDA; the Company’s successful management of the HEPZATO KIT supply chain, including securing adequate supply of critical components necessary to manufacture and assemble the HEPZATO KIT; successful FDA inspections of the facilities of the Company and those of its third-party suppliers/manufacturers; the Company’s successful implementation and management of the HEPZATO KIT Risk Evaluation and Mitigation Strategy; the potential benefits of the HEPZATO KIT as a treatment for patients with primary and metastatic disease in the liver; the Company’s ability to obtain reimbursement for the HEPZATO KIT; and the Company’s ability to successfully enter into any necessary purchase and sale agreements with users of the HEPZATO KIT. For additional information about these factors, and others that may impact the Company, please see the Company’s filings with the Securities and Exchange Commission, including those on Forms 10-K, 10-Q, and 8-K. However, new risk factors and uncertainties may emerge from time to time, and it is not possible to predict all risk factors and uncertainties. Accordingly, you should not place undue reliance on these forward-looking statements, which speak only as of the date they are made. We undertake no obligation to publicly update or revise these forward-looking statements to reflect events or circumstances after the date they are made.
DELCATH SYSTEMS, INC.Condensed Consolidated Balance Sheets(Unaudited)(in thousands, except share and per share data)
December 31,2025 December 31,2024
Assets
Current assets
Cash and cash equivalents $ 43,454 $ 32,412
Short-term investments 47,582 20,821
Accounts receivable 11,744 10,890
Inventories 10,252 6,933
Prepaid expenses and other current assets 6,498 2,704
Total current assets 119,530 73,760
Property, plant and equipment, net 3,166 1,790
Right-of-use assets 936 1,039
Total assets $ 123,632 $ 76,589
Liabilities and Stockholders’ Equity
Current liabilities
Accounts payable $ 2,658 $ 961
Accrued expenses 8,191 5,078
Lease liabilities, current 101 105
Total current liabilities 10,950 6,144
Lease liabilities, non-current 835 933
Other liabilities, non-current 628 766
Total liabilities 12,413 7,843
Commitments and contingencies
Stockholders’ equity
Preferred stock, $.01 par value; 10,000,000 shares authorized; 24,819 and 11,357 shares issued and outstanding at December 31, 2023 and 2022, respectively
Common stock, $.01 par value; 80,000,000 shares authorized; 22,761,554 shares and 10,046,571 shares issued and outstanding at December 31, 2023 and 2022, respectively 347 331
Additional paid-in capital 639,145 599,881
Accumulated deficit (528,848 ) (531,548 )
Accumulated other comprehensive income 575 82
Total stockholders’ equity 111,219 68,746
Total liabilities and stockholders’ equity $ 123,632 $ 76,589
DELCATH SYSTEMS, INC.Condensed Consolidated Statements of Operations and Comprehensive Income (Loss)(Unaudited)(in thousands, except share and per share data)
Three months endedDecember 31, Year endedDecember 31,
2025 2024 2025 2024
Product revenue 20,728 15,100 $ 85,231 $ 37,205
Cost of goods sold (3,010 ) (2,126 ) (11,797 ) (6,188 )
Gross profit 17,718 12,974 73,434 31,017
Operating expenses:
Research and development expenses 9,371 2,914 29,246 13,874
Selling, general and administrative expenses 10,531 7,021 43,528 29,553
Total operating expenses 19,902 9,935 72,774 43,427
Operating income (loss) (2,184 ) 3,039 660 (12,410 )
Change in fair value of warrant liability (6,679 ) (14,071 )
Interest income, net 857 295 2,920 125
Other expense (7 ) (53 ) (70 ) (30 )
Income (loss) before income taxes (1,334 ) (3,398 ) 3,510 (26,386 )
Income tax expense 562 810
Net income (loss) (1,896 ) (3,398 ) 2,700 (26,386 )
Other comprehensive income (loss):
Unrealized gain on investments adjustments (198 ) 125 394 (22 )
Foreign currency translation adjustments (102 ) (54 ) 99 (31 )
Total comprehensive income (loss) $ (2,196 ) $ (3,327 ) $ 3,193 $ (26,439 )
Common share data:
Basic income (loss) per common share $ (0.05 ) $ (0.11 ) $ 0.08 $ (0.93 )
Weighted average number of basic shares outstanding 36,445,905 32,014,365 35,821,157 28,511,393
Diluted income (loss) per common share $ (0.05 ) $ (0.11 ) $ 0.07 $ (0.93 )
Weighted average number of diluted shares outstanding 36,445,905 32,014,365 39,919,557 28,511,393
DELCATH SYSTEMS, INC.Reconciliation of Reported Net Income (Loss) (GAAP) to Adjusted EBITDA (NON-GAAPMeasure)(Unaudited)
(in thousands) Three months endedDecember 31, Twelve months endedDecember 31,
2025 2024 2025 2024
Net income (loss) $ (1,896 ) $ (3,398 ) $ 2,700 $ (26,386 )
Stock-based compensation expense 4,512 1,612 24,232 9,767
Depreciation 80 38 238 134
Net interest (income) expense (857 ) (295 ) (2,920 ) (125 )
Fair value warrant adjustment 6,679 14,071
Income tax expense 562 810
Adjusted EBITDA (Non-GAAP) $ 2,401 $ 4,636 $ 25,060 $ (2,539 )

Frequently Asked Questions

What were Delcath's total revenues for Q4 2025?

Delcath reported total revenues of $20.7 million for Q4 2025.

How did Delcath perform financially in 2025?

Delcath's total revenue for 2025 was $85.2 million, up from $37.2 million in 2024.

What is the financial outlook for Delcath in 2026?

Delcath expects continued growth and momentum in 2026, driven by expanded treatment centers.

What were the net losses reported by Delcath in Q4 2025?

Delcath reported a net loss of $1.9 million for Q4 2025.

What are the main products of Delcath Systems?

Delcath's main products are HEPZATO KIT and CHEMOSAT for treating liver cancers.

Last updated: Feb 26, 2026