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Delcath Systems Reports Third Quarter 2023 Results and Provides Business Update

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Delcath Systems, Inc. (Nasdaq: DCTH) reported business highlights and financial results for Q3 2023, including FDA approval for HEPZATO KIT™, raising $35 million, and partnership with clinical treatment sites. Revenue for the quarter was approximately $0.4 million, with increased R&D and selling, general, and administrative expenses.
Positive
  • Received FDA approval for HEPZATO KIT™ as a liver-directed treatment for adult patients with metastatic uveal melanoma (mUM)
  • Raised approximately $35 million through the exercise of Tranche A warrants and has an additional $25 million available upon the achievement of $10 million in quarterly revenue
  • Announced publication of a retrospective comparative study of CHEMOSAT® Hepatic Delivery System
  • Partnered with seven clinical treatment sites to prepare for a commercial launch in January
Negative
  • Decrease in total revenue for Q3 2023 compared to the prior year period
  • Increased research and development expenses due to completing clinical trial activities and FDA inspection
  • Increased selling, general, and administrative expenses primarily related to activities for a commercial launch

NEW YORK, Nov. 13, 2023 /PRNewswire/ -- 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 business highlights and financial results for the third quarter ended September 30, 2023.

Recent Business Highlights

  • Received approval from the US Food and Drug Administration (FDA) for HEPZATO KIT™ (melphalan)/Hepatic Delivery System) 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;
  • Raised approximately $35 million through the exercise of all the Tranche A warrants issued as part the previously announced March 29, 2023, financing with up to an additional $25 million available upon the achievement of $10 million in quarterly revenue;
  • Announced publication by independent investigators of a retrospective comparative study of CHEMOSAT® Hepatic Delivery System for Melphalan percutaneous hepatic perfusion (PHP) and Selective Internal Radiation Therapy (SIRT) citing a statistically significant difference in median overall survival with 301 days for SIRT and 516 days for PHP;
  • Announced that independent investigators at Leiden University recruited 55 of 76 planned patients in the CHOPIN trial studying the impact of CHEMOSAT and immune checkpoint inhibitor combination therapy in the treatment of metastatic uveal melanoma and expect the trial to be fully enrolled mid-2024. An interim futility analysis conducted in September resulted in the independent data monitoring committee recommending continuing the study without modification; and
  • Partnered with seven clinical treatment sites to satisfy the initial training requirements to be able to treat their first commercial patient, subject to proctor availability and the sites' value analysis committee approvals, upon the planned launch in January.

"The Company has been preparing for a January launch of HEPZATO KIT by building our commercial team and engaging with potential treating centers," said Gerard Michel, Chief Executive Officer of Delcath. Mr. Michel added, "We have been encouraged by the reception that HEPZATO KIT has received from the medical oncologist community and are confident that by the end of 2024 at least 15 centers will be actively treating metastatic uveal melanoma patients with HEPZATO KIT."

Third Quarter 2023 Results

Total revenue for the three months ended September 30, 2023, was approximately $0.4 million, compared to $0.9 million for the prior year period, from our sales of CHEMOSAT in Europe.

Research and development expenses for the quarter were $4.7 million, compared to $4.1 million in the prior year quarter. The increase in R&D expense is primarily due to completing clinical trial activities and expenses related to the FDA inspection and other requests in advance of the approval received for HEPZATO.

Selling, general and administrative expenses for the quarter increased to $6.2 million, compared to $4.8 million in the prior year quarter primarily relating to activities to prepare for a commercial launch. The increase in fair value warrant liability adjustment during the quarter ended September 20, 20223 was a result of our final valuation for the Tranche A warrants exercised and outstanding Tranche B warrants.

About Delcath Systems, Inc., CHEMOSAT and HEPZATO KIT

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 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 Hepatic Delivery System (HDS). The HDS is used to surgically isolate the liver 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 the HEPZATO 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 news release contains forward-looking statements, which are subject to certain risks and uncertainties that can cause actual results to differ materially from those described in particular, the statements regarding our private placement and expected gross proceeds and the expected uses of the proceeds from the private placement. Factors that may cause such differences include, but are not limited to, uncertainties relating to: anticipated use of proceeds from the private placement, achievement of milestones, the Company's ability to commercialize HEPZATO, necessary financing to fund commercialization of HEPZATO in the U.S., the Company's ability to generate revenue from HEPZATO, clinical adoption, use and resulting sales, if any, for the CHEMOSAT system to deliver and filter melphalan in; the Company's ability to successfully commercialize the HEPZATO KIT/CHEMOSAT system and the potential of the HEPZATO KIT/CHEMOSAT system as a treatment for patients with primary and metastatic disease in the liver; approval of the future HEPZATO KIT/CHEMOSAT system for delivery and filtration of melphalan or other chemotherapeutic agents for various indications in the U.S. and/or in foreign markets; actions by the FDA or foreign regulatory agencies; uncertainties related to the continued supply of melphalan, necessary materials and other critical components for the HEPZATO KIT/CHEMOSAT; uncertainties relating to manufacturing delays or difficulties; the Company's ability to mitigate risks from single-source suppliers; uncertainties relating to the timing and results of research and development projects; and uncertainties regarding the Company's ability to obtain financial and other resources for any research, development, clinical trials and commercialization activities. These factors, and others, are discussed from time to time in our filings with the SEC. 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.

Investor Relations Contact:
Ben Shamsian
Lytham Partners
646-829-9701
shamsian@lythampartners.com

 

DELCATH SYSTEMS, INC.

Condensed Consolidated Balance Sheets

(Unaudited)

(in thousands, except share and per share data)



September 30,
2023


December 31,
2022

Assets




Current assets




Cash and cash equivalents

$           40,462


$              7,671

Restricted cash

50


4,151

Accounts receivable, net

205


366

Inventory

2,667


1,998

Prepaid expenses and other current assets

2,712


1,969

Total current assets

46,096


16,155

Property, plant and equipment, net

1,374


1,422

Right-of-use assets

107


285

Total assets

$           47,577


$           17,862

Liabilities and Stockholders' Equity




Current liabilities




Accounts payable

$                 753


$              2,018

Accrued expenses

5,230


4,685

Lease liabilities, current

35


186

Loan payable, current

5,080


7,846

Convertible notes payable, current

2,876


Total current liabilities

13,974


14,735

Warrant liability

5,773


Other liabilities, non-current

1,111


1,144

Loan payable, non-current


3,070

Convertible notes payable, non-current

2,000


4,772

Total liabilities

22,858


23,721

Commitments and contingencies




Stockholders' equity (deficit)




Preferred stock, $0.01 par value; 10,000,000 shares authorized; 37,787 and 11,357

 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectively


Common stock, $.01 par value; 80,000,000 shares authorized; 19,688,991 shares and

 10,046,571 shares issued and outstanding at September 30, 2023 and December 31, 2022,

  respectively

197


100

Additional paid-in capital

518,607


451,608

Accumulated deficit

(494,026)


(457,484)

Accumulated other comprehensive loss

(59)


(83)

Total stockholders' equity (deficit)

24,719


(5,859)

Total liabilities and stockholders' equity

$           47,577


$           17,862

 

DELCATH SYSTEMS, INC.

Condensed Consolidated Statements of Operations and Comprehensive Loss

(Unaudited)

(in thousands, except share and per share data)



Three months ended September 30,


Nine months ended September 30,


2023


2022


2023


2022

Product revenue

$                 434


$                 906


$              1,526


$                1,909

Other revenue




171

Total revenues

434


906


1,526


2,080

Cost of goods sold

(133)


(235)


(464)


(449)

Gross profit

301


671


1,062


1,631

Operating expenses:








Research and development expenses

4,662


4,065


12,793


14,152

Selling, general and administrative expenses

6,195


4,779


15,147


13,477

Total operating expenses

10,857


8,844


27,940


27,629

Operating loss

(10,556)


(8,173)


(26,878)


(25,998)

Change in fair value of warrant liability

(9,384)



(8,224)


Interest expense, net

(395)


(730)


(1,454)


(2,040)

Other income (expense)

(5)


26


14


2

Net loss

(20,340)


(8,877)


(36,542)


(28,036)

Other comprehensive income:








Foreign currency translation adjustments

5


(46)


24


(82)

Total other comprehensive loss

$          (20,335)


$            (8,923)


$          (36,518)


$            (28,118)

Common share data:








Basic and diluted loss per common share

$              (1.14)


$              (0.96)


$              (2.61)


$                 (3.29)

Weighted average number of basic and diluted shares outstanding

17,863,078


9,215,786


13,985,248


8,536,006

 

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SOURCE Delcath Systems, Inc.

FAQ

What is the FDA approval received by Delcath for HEPZATO KIT™?

HEPZATO KIT™ received FDA approval as a liver-directed treatment for adult patients with metastatic uveal melanoma (mUM) with specific criteria for unresectable hepatic metastases.

How much did Delcath raise through the exercise of Tranche A warrants?

Delcath raised approximately $35 million through the exercise of all the Tranche A warrants issued and has an additional $25 million available upon the achievement of $10 million in quarterly revenue.

What did the retrospective comparative study of CHEMOSAT® Hepatic Delivery System reveal?

The study cited a statistically significant difference in median overall survival with 301 days for SIRT and 516 days for PHP.

What is the focus of the CHOPIN trial that Leiden University is conducting?

The CHOPIN trial is studying the impact of CHEMOSAT and immune checkpoint inhibitor combination therapy in the treatment of metastatic uveal melanoma.

What are Delcath's plans for the commercial launch of HEPZATO KIT?

Delcath has been preparing for a January launch by building their commercial team and engaging with potential treating centers, expecting at least 15 centers to be actively treating patients with HEPZATO KIT by the end of 2024.

Delcath Systems Inc

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About DCTH

delcath systems, inc. (nasdaq- dcth) is a specialty pharmaceutical and medical device company focused on the treatment of primary and metastatic liver cancers. our proprietary product---melphalan hydrochloride for injection for use with the delcath hepatic delivery system (melphalan/hds)---is designed to administer high-dose chemotherapy to the liver while controlling systemic exposure. delcath is in late-stage clinical development in the united states with initial commercial activities in europe, where the melphalan/hds is marketed as a ce marked device under the trade name delcath hepatic chemosat® delivery system for melphalan (chemosat). our commercial strategy for chemosat is to steadily grow clinical adoption in major european markets and utilize physician experience to support appeals for reimbursement. since launch over 250 chemosat treatments have been performed at over 20 leading european cancer centers. in 2016, we launched our focus pivotal study in hepatic dominant ocular