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EDAP TMS Strengthens Market Position with Landmark HIFI-2 Data Supporting Focal One® Robotic HIFU in Radiorecurrent Prostate Cancer

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EDAP TMS (Nasdaq: EDAP) published the HIFI-2 prospective multicenter study on salvage Focal One Robotic HIFU for prostate cancer recurrence after radiotherapy.

The dataset includes 531 patients across >30 centers, reporting 71% androgen deprivation therapy–free survival (ADT-FS) at 30 months, up to 84% ADT-FS in favorable subgroups, low severe complication rates, and preserved quality of life at 12 months.

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AI-generated analysis. Not financial advice.

Positive

  • Largest prospective dataset: 531 patients
  • 71% ADT-FS at 30 months
  • Up to 84% ADT-FS in favorable, well-selected subgroups
  • Low rates of severe complications reported
  • Preserved quality of life at 12 months
  • NCCN lists HIFU as a treatment option; Medicare and many payors provide coverage

Negative

  • Complement: 29% were not ADT-free at 30 months
  • Efficacy concentrates in well-selected patients (results vary by baseline PSA and risk)

News Market Reaction – EDAP

+0.30%
1 alert
+0.30% News Effect
+$404K Valuation Impact
$134.93M Market Cap
0.6x Rel. Volume

On the day this news was published, EDAP gained 0.30%, reflecting a mild positive market reaction. This price movement added approximately $404K to the company's valuation, bringing the market cap to $134.93M at that time.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

Patient count: 531 patients Study centers: More than 30 centers ADT-FS rate: 71% +5 more
8 metrics
Patient count 531 patients HIFI-2 salvage HIFU study dataset size
Study centers More than 30 centers Nationwide multicenter HIFI-2 participation
ADT-FS rate 71% Androgen deprivation therapy-free survival at 30 months
Best subgroup ADT-FS 84% Favorable, well-selected patient subgroups in HIFI-2
PSA threshold ≤4.5 ng/mL Lower pre-HIFU PSA level subgroup in HIFI-2
Gleason score 7 or lower Intermediate-risk disease characteristics subgroup
Follow-up duration 30 months Timepoint for 71% ADT-FS outcome
Quality-of-life follow-up 12 months No significant deterioration in quality of life

Market Reality Check

Price: $4.33 Vol: Volume 10,743 is below th...
low vol
$4.33 Last Close
Volume Volume 10,743 is below the 20-day average of 25,618, suggesting a light pre-news positioning. low
Technical Shares at $3.31 are trading above the $2.87 200-day MA, indicating an existing upward bias before this data.

Peers on Argus

Peers showed mixed moves: OMI up 2.19%, while ZYXI fell 37.34% and others were f...

Peers showed mixed moves: OMI up 2.19%, while ZYXI fell 37.34% and others were flat-to-down. No broad, aligned sector move is evident around this news.

Historical Context

5 past events · Latest: Apr 16 (Neutral)
Pattern 5 events
Date Event Sentiment Move Catalyst
Apr 16 Earnings date notice Neutral +2.0% Announcement of Q1 2026 results release and conference call details.
Mar 25 Revenue update Positive -5.1% Record Q4 and 2025 HIFU revenue and reiterated 2026 revenue guidance.
Mar 10 Conference participation Neutral +4.8% Planned presentation at Oppenheimer healthcare conference with webcast access.
Mar 04 Earnings date notice Neutral +6.5% Scheduling of Q4 and full-year 2025 financial results release and call.
Feb 12 Board changes Neutral -2.6% Appointment of David Horn to the Board and committee roles after a resignation.
Pattern Detected

EDAP news often sees modest positive reactions, but strong fundamental HIFU updates have previously met with occasional negative price divergence.

Recent Company History

Over the last few months, EDAP has focused investor attention on HIFU growth and capital markets activity. On March 25, 2026, it reported record 2025 HIFU revenue and reiterated 2026 guidance, yet shares fell. Conference participation and earnings-date notices in March–April 2026 drew generally positive trading responses. The current HIFI-2 publication further supports Focal One’s clinical role, reinforcing themes from prior regulatory and growth disclosures.

Regulatory & Risk Context

Active S-3 Shelf
Shelf Active
Active S-3 Shelf Registration 2026-03-26

EDAP has an active S-3/A shelf registration effective from March 26, 2026, with at least one related prospectus supplement filed on March 31, 2026. The amendment was exhibit-only, leaving the underlying prospectus terms unchanged. This structure provides flexibility for future registered transactions while reflecting at least one usage via a 424B3 filing.

Market Pulse Summary

This announcement highlights landmark HIFI-2 data for Focal One HIFU in radiorecurrent prostate canc...
Analysis

This announcement highlights landmark HIFI-2 data for Focal One HIFU in radiorecurrent prostate cancer, with 531 patients across more than 30 centers and 71% ADT-free survival at 30 months. The results support EDAP’s shift toward HIFU emphasized in recent filings and reinforce guideline-backed use in recurrence. Investors may watch how this evidence translates into procedure growth, system adoption, and any future use of the effective S-3/A registration.

Key Terms

high-intensity focused ultrasound, hifu, androgen deprivation therapy-free survival, psa, +3 more
7 terms
high-intensity focused ultrasound medical
"a large, prospective, nationwide trial evaluating salvage high-intensity focused ultrasound"
A noninvasive medical technique that uses tightly focused beams of ultrasound energy to heat and destroy targeted tissue inside the body without cutting skin, like using a magnifying glass to burn a small spot from a distance. It matters to investors because devices and services using this technology can offer lower-cost, lower-risk alternatives to surgery, so regulatory approvals, clinical results, and reimbursement decisions can significantly affect company sales and valuation.
hifu medical
"salvage high-intensity focused ultrasound (HIFU) using Focal One Robotic HIFU"
High-Intensity Focused Ultrasound (HIFU) is a non-invasive medical treatment that uses tightly focused ultrasound waves to heat and destroy targeted tissue inside the body without cutting skin, like using a magnifying glass to burn a tiny spot with sunlight. For investors, HIFU matters because it represents a device and therapy market where clinical results, regulatory approvals, equipment sales, and insurance coverage determine revenue potential and adoption rates.
androgen deprivation therapy-free survival medical
"Key Findings from HIFI-2: 71% androgen deprivation therapy-free survival (ADT-FS)"
Androgen deprivation therapy-free survival is a clinical measure that tracks how long patients go without needing hormone-blocking treatment for a hormone-sensitive cancer or without dying. For investors, it indicates how well a therapy delays escalation to broader, often more costly or side-effect-prone hormone treatment—similar to how postponing a major repair shows a product’s durability—informing potential market value, patient quality-of-life benefits, and regulatory appeal.
psa medical
"patients with lower pre-HIFU PSA levels (≤4.5 ng/mL)"
Prostate-specific antigen (PSA) is a protein produced by prostate tissue and measured in blood to help detect and monitor prostate conditions, including prostate cancer and benign enlargement. For investors, changes in PSA levels reported in clinical studies or regulatory filings can signal how well a drug or diagnostic test is working, similar to how a gauge on a dashboard indicates the health of a machine and can affect a company’s valuation and regulatory outlook.
gleason medical
"intermediate-risk disease characteristics (Gleason 7 or lower)"
Gleason refers to the Gleason score, a numeric system pathologists use to rate how abnormal prostate cancer cells look under a microscope and how aggressive the tumor is likely to be. It matters to investors because the score influences patient treatment choices, clinical trial eligibility, and potential market size for diagnostics and therapies—think of it as a storm-severity rating that helps doctors and developers plan how urgently and aggressively to respond.
radiotherapy medical
"recurrence following radiotherapy. Published in European Urology Oncology"
Radiotherapy is a medical treatment that uses targeted high-energy radiation to shrink or destroy tumors and control disease, similar to using a focused beam to remove weeds without digging up the whole garden. It matters to investors because approvals, new technologies, clinical trial results, or changes in treatment guidelines can affect demand for equipment, drug combinations, and patient outcomes, which in turn influence revenue and growth prospects for healthcare companies.
nccn guidelines regulatory
"Today, the NCCN guidelines recommend HIFU as a treatment option"
NCCN Guidelines are evidence-based recommendations for cancer diagnosis, treatment and care developed by a network of cancer specialists; think of them as an expert-approved roadmap clinicians use to choose therapies. They matter to investors because inclusion or alignment with these guidelines can speed clinical adoption, influence insurance coverage and reimbursement, and signal clinical credibility — all of which affect a treatment’s commercial potential and a company’s market value.

AI-generated analysis. Not financial advice.

, April 30, 2026 (GLOBE NEWSWIRE) --

EDAP TMS Strengthens Market Position with Landmark HIFI-2 Data Supporting Focal One® Robotic HIFU in Radiorecurrent Prostate Cancer

AUSTIN, Texas, April 30, 2026 - EDAP TMS SA (Nasdaq: EDAP), the global leader in robotic energy-based therapies, today announced the publication of the HIFI-2 study, a large, prospective, nationwide trial evaluating salvage high-intensity focused ultrasound (HIFU) using Focal One Robotic HIFU for the treatment of localized prostate cancer recurrence following radiotherapy.

Published in European Urology Oncology, the study titled “Salvage High-intensity Focused Ultrasound for Prostate Cancer Recurrence after Radiotherapy (HIFI-2 Study)” represents the largest prospective dataset to date in this clinical setting, including 531 patients treated across more than 30 centers. A link to the publication can be found here.

“This large prospective multicenter study demonstrates that salvage HIFU can achieve clinically meaningful oncologic control while maintaining an acceptable safety profile in patients with localized recurrence after radiotherapy,” said Dr. Guillaume Ploussard, MD, first author of the publication. “In a setting where treatment options offering curative intent remain elusive and often come with significant morbidity, these results are particularly meaningful. Combined with the growing body of clinical evidence, this study further supports HIFU’s transition toward becoming a standard of care for appropriately selected patients.”

These results reinforce salvage HIFU as a viable, organ-preserving treatment option in patients with localized recurrence after radiotherapy, a population historically presented with limited to no treatment options beyond palliative care.

Key Findings from HIFI-2:

  • 71% androgen deprivation therapy-free survival (ADT-FS) at 30 months
  • Up to 84% ADT-FS in favorable, well-selected patient subgroups, including patients with lower pre-HIFU PSA levels (≤4.5 ng/mL) and intermediate-risk disease characteristics (Gleason 7 or lower)
  • Low rates of severe complications, with an acceptable safety profile
  • Preserved quality of life, with no significant deterioration at 12 months

“The publication of the HIFI-2 study marks an important milestone for the field of focal therapy and reinforces the clinical value of Focal One Robotic HIFU in addressing unmet needs in a growing spectrum of prostate conditions,” said Ryan Rhodes, Chief Executive Officer of EDAP TMS. “The final results from this prospective multicenter study provide compelling evidence supporting Focal One as a non-invasive, organ-sparing, function-preserving option for patients facing recurrence after radiotherapy. Today, the NCCN guidelines recommend HIFU as a treatment option for patients with recurrence in the prostate. Medicare and many commercial payors provide coverage for the Focal One HIFU procedure in this clinical setting in accordance with their established coverage policies. In this context, the new HIFI-2 Study further strengthens our leadership position in focal therapy and our commitment to expanding patient access globally.”

About European Urology Oncology

European Urology Oncology is a sister journal to European Urology and European Urology Focus, and the first official publication of the European Association of Urology fully devoted to the study of genitourinary malignancies.

The journal aims to deliver high quality research while implementing a multi-disciplinary approach to incorporate Urology, Medical Oncology, Radiation Therapy, Imaging, Pathology and Basic Research with the ultimate goal of advancing research in urological oncology.
European Urology Oncology includes original articles, opinion piece editorials and invited reviews covering clinical, basic and translational research and is published six times a year in electronic format. All submitted manuscripts will be peer-reviewed by a panel of experts before being considered for publication. The journal supports Open Access.

About EDAP TMS SA

A recognized leader in robotic energy-based therapies, EDAP TMS develops, manufactures, promotes, and distributes worldwide minimally invasive medical devices for various conditions using ultrasound technology. By combining the latest technologies in imaging, robotics, and precise non-invasive energy delivery, EDAP introduced the Focal One® in Europe and the United States as a leading prostate focal therapy platform controlled by urologists, with the potential to expand to multiple indications beyond prostate cancer. For more information on the Company, please visit https://focalone.com.

Forward-Looking Statements

In addition to historical information, this press release contains forward-looking statements within the meaning of applicable federal securities laws, including Section 27A of the U.S. Securities Act of 1933 (the “Securities Act”) or Section 21E of the U.S. Securities Exchange Act of 1934, which may be identified by words such as “believe,” “can,” “contemplate,” “could,” “plan,” “intend,” “is designed to,” “may,” “might,” “potential,” “objective,” “target,” “project,” “predict,” “forecast,” “ambition,” “guideline,” “should,” “will,” “estimate,” “expect” and “anticipate,” or the negative of these and similar expressions, which reflect our views about future events and financial performance. Such statements are based on management's current expectations and are subject to a number of risks and uncertainties, including matters not yet known to us or not currently considered material by us, and there can be no assurance that anticipated events will occur or that the objectives set out will actually be achieved. Important factors that could cause actual results to differ materially from the results anticipated in the forward-looking statements include, among others, the clinical status and market acceptance of our HIFU devices and the continued market potential for our lithotripsy and distribution divisions, as well as risks associated with the current worldwide inflationary environment, the uncertain worldwide economic, political and financial environment, geopolitical instability, climate change and pandemics, or other public health crises, and their related impact on our business operations, including their impacts across our businesses or demand for our devices and services.

Other factors that may cause such a difference may also include, but are not limited to, those described in the Company's filings with the Securities and Exchange Commission and in particular, in the sections "Cautionary Statement on Forward-Looking Information" and "Risk Factors" in the Company's Annual Report on Form 10-K.

Forward-looking statements speak only as of the date they are made. Other than required by law, we do not undertake any obligation to update them in light of new information or future developments. These forward-looking statements are based upon information, assumptions and estimates available to us as of the date of this press release, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete.

Investor Contact
Louisa Smith
Gilmartin Group
investor.relations@focalone.com


FAQ

What did the HIFI-2 study for EDAP (NASDAQ: EDAP) report about ADT-free survival?

The study reported 71% ADT-free survival at 30 months in the overall cohort. According to the company, subgroup outcomes reached up to 84% ADT-FS in favorable, well-selected patients with lower pre-HIFU PSA and intermediate-risk features.

How many patients and centers were included in the HIFI-2 study for Focal One HIFU (EDAP)?

HIFI-2 enrolled 531 patients across more than 30 centers in a nationwide prospective trial. According to the company, this represents the largest prospective dataset to date for salvage HIFU after radiotherapy.

What safety and quality-of-life results did the HIFI-2 publication report for EDAP's Focal One?

HIFI-2 reported low rates of severe complications and no significant quality-of-life deterioration at 12 months. According to the company, the study showed an acceptable safety profile alongside preserved patient-reported function one year post-treatment.

Does Medicare or clinical guidance support use of Focal One Robotic HIFU after radiotherapy recurrence?

Yes. According to the company, NCCN recommends HIFU as an option for prostate recurrence and Medicare plus many commercial payors provide coverage for Focal One in this setting under existing policies.

Which patients saw the best outcomes in the HIFI-2 study for EDAP's Focal One HIFU?

Patients with lower pre-HIFU PSA (≤4.5 ng/mL) and intermediate-risk disease (Gleason 7 or lower) showed up to 84% ADT-FS. According to the company, favorable, well-selected subgroups drove the highest reported survival without ADT.