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InspireMD Reports First Quarter 2025 Financial Results

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InspireMD (NSPR) reported Q1 2025 financial results, showing a 1.2% revenue increase to $1.53 million from $1.51 million in Q1 2024. The company reported a net loss of $11.17 million ($0.22 per share), compared to $7.03 million ($0.21 per share) in Q1 2024. Operating expenses increased 52.5% to $11.75 million due to U.S. sales force expansion. Cash position stood at $26.09 million as of March 31, 2025. The company continues engagement with FDA for CGuard Prime carotid stent system approval, anticipated in Q3 2025, while advancing commercial infrastructure for U.S. launch. The CGUARDIANS II pivotal study for TCAR procedures continues enrollment.

InspireMD (NSPR) ha comunicato i risultati finanziari del primo trimestre 2025, evidenziando un aumento dei ricavi dell'1,2% a 1,53 milioni di dollari rispetto a 1,51 milioni di dollari nel primo trimestre 2024. L'azienda ha registrato una perdita netta di 11,17 milioni di dollari (0,22 dollari per azione), rispetto a 7,03 milioni di dollari (0,21 dollari per azione) nello stesso periodo del 2024. Le spese operative sono aumentate del 52,5%, raggiungendo 11,75 milioni di dollari, a causa dell'espansione della forza vendita negli Stati Uniti. La posizione di cassa al 31 marzo 2025 era di 26,09 milioni di dollari. L'azienda prosegue il dialogo con la FDA per l'approvazione del sistema di stent carotideo CGuard Prime, prevista per il terzo trimestre 2025, mentre sviluppa l'infrastruttura commerciale per il lancio negli Stati Uniti. Continua inoltre l'arruolamento dello studio pivotale CGUARDIANS II per le procedure TCAR.
InspireMD (NSPR) informó los resultados financieros del primer trimestre de 2025, mostrando un aumento de ingresos del 1,2% hasta 1,53 millones de dólares desde 1,51 millones en el primer trimestre de 2024. La compañía reportó una pérdida neta de 11,17 millones de dólares (0,22 dólares por acción), en comparación con 7,03 millones (0,21 dólares por acción) en el primer trimestre de 2024. Los gastos operativos aumentaron un 52,5% hasta 11,75 millones debido a la expansión del equipo de ventas en EE. UU. La posición de efectivo al 31 de marzo de 2025 fue de 26,09 millones de dólares. La empresa continúa en diálogo con la FDA para la aprobación del sistema de stent carotídeo CGuard Prime, prevista para el tercer trimestre de 2025, mientras avanza en la infraestructura comercial para el lanzamiento en EE. UU. El estudio pivotal CGUARDIANS II para procedimientos TCAR sigue en proceso de reclutamiento.
InspireMD (NSPR)는 2025년 1분기 재무 결과를 발표하며 매출이 2024년 1분기 151만 달러에서 1.2% 증가한 153만 달러를 기록했습니다. 회사는 순손실 1,117만 달러(주당 0.22달러)를 보고했으며, 이는 2024년 1분기의 703만 달러(주당 0.21달러) 손실과 비교됩니다. 운영비용은 미국 판매 인력 확장으로 인해 52.5% 증가한 1,175만 달러였습니다. 2025년 3월 31일 기준 현금 보유액은 2,609만 달러였습니다. 회사는 CGuard Prime 경동맥 스텐트 시스템의 FDA 승인 절차를 2025년 3분기에 예상하며 계속 협력 중이며, 미국 출시를 위한 상업 인프라 구축도 진행 중입니다. TCAR 절차를 위한 CGUARDIANS II 중추 연구도 계속 참가자를 모집하고 있습니다.
InspireMD (NSPR) a publié ses résultats financiers du premier trimestre 2025, affichant une augmentation des revenus de 1,2 % à 1,53 million de dollars contre 1,51 million au premier trimestre 2024. La société a enregistré une perte nette de 11,17 millions de dollars (0,22 dollar par action), comparée à 7,03 millions (0,21 dollar par action) au premier trimestre 2024. Les dépenses d'exploitation ont augmenté de 52,5 % pour atteindre 11,75 millions, en raison de l'expansion de la force de vente aux États-Unis. La trésorerie s'élevait à 26,09 millions de dollars au 31 mars 2025. L'entreprise poursuit ses échanges avec la FDA pour l'approbation du système de stent carotidien CGuard Prime, prévue au troisième trimestre 2025, tout en développant l'infrastructure commerciale pour le lancement aux États-Unis. L'étude pivot CGUARDIANS II pour les procédures TCAR continue son recrutement.
InspireMD (NSPR) meldete die Finanzergebnisse für das erste Quartal 2025 mit einem Umsatzanstieg von 1,2 % auf 1,53 Millionen US-Dollar gegenüber 1,51 Millionen US-Dollar im ersten Quartal 2024. Das Unternehmen verzeichnete einen Nettoverlust von 11,17 Millionen US-Dollar (0,22 US-Dollar je Aktie), verglichen mit 7,03 Millionen US-Dollar (0,21 US-Dollar je Aktie) im ersten Quartal 2024. Die Betriebskosten stiegen um 52,5 % auf 11,75 Millionen US-Dollar aufgrund der Erweiterung des US-Vertriebsteams. Die Barposition belief sich zum 31. März 2025 auf 26,09 Millionen US-Dollar. Das Unternehmen setzt die Zusammenarbeit mit der FDA zur Zulassung des CGuard Prime Karotis-Stentsystems fort, die im dritten Quartal 2025 erwartet wird, und baut gleichzeitig die kommerzielle Infrastruktur für den US-Start aus. Die CGUARDIANS II Schlüsselstudie für TCAR-Verfahren läuft weiterhin mit der Rekrutierung.
Positive
  • Revenue increased 1.2% year-over-year to $1.53 million
  • Continued progress with FDA for CGuard Prime approval expected in Q3 2025
  • Strong cash position of $26.09 million
  • Advanced commercial infrastructure and sales force expansion for U.S. launch
Negative
  • Net loss widened to $11.17 million from $7.03 million year-over-year
  • Operating expenses increased 52.5% to $11.75 million
  • Financial income decreased 23% to $294,000
  • Cash position decreased from $34.64 million to $26.09 million quarter-over-quarter

Insights

InspireMD shows modest revenue growth but substantially widening losses as it prepares for potential CGuard Prime FDA approval in Q3 2025.

InspireMD's Q1 2025 results reveal a company in transition phase, with minimal revenue growth of just $18,000 (1.2%) year-over-year, bringing total revenue to $1,529,000. While this represents continued technology adoption in existing markets, it's essentially flat performance, hampered by foreign exchange effects and distributor inventory management ahead of anticipated European approval.

The dramatic operating expense increase of 52.5% to $11,752,000 is the most telling metric here. This substantial growth in expenses directly relates to aggressive U.S. market preparation - primarily expanding sales force, launch readiness activities, and increased facilities costs. The net loss widened to $11,166,000 ($0.22 per share) from $7,032,000 ($0.21 per share) in Q1 2024.

Most concerning is the rapid cash burn rate. Cash and marketable securities decreased by $8,551,000 in just one quarter, from $34,637,000 to $26,086,000. At this pace, without additional financing or revenue acceleration, the company would exhaust its cash reserves in approximately 3 quarters.

The entire strategic bet centers on FDA approval in Q3 2025. Management appears confident about approval prospects despite acknowledging "dynamics within the agency" and audit timing issues. The CGUARDIANS II pivotal study continues enrolling patients at "excellent pace," supporting the company's TCAR (Transcarotid Artery Revascularization) procedure strategy.

This quarter represents classic pre-commercialization financial dynamics - significant investment preceding anticipated regulatory approval, with intentional cost increases designed to enable rapid market penetration following approval. The key question remains whether CGuard Prime will generate sufficient US market adoption to justify the current cash burn and create a path to profitability.

Management to host investor conference call today, May 9th, at 8:30am ET

MIAMI, May 09, 2025 (GLOBE NEWSWIRE) -- InspireMD, Inc. (Nasdaq: NSPR), developer of the CGuard™ Prime carotid stent system for the treatment of carotid artery disease and prevention of stroke, today announced financial and operating results for the first quarter ended March 31, 2025.

Business Highlights:

  • Continued engagement with the U.S. Food and Drug Administration (FDA) on the Premarket Approval (PMA) application for the CGuard Prime carotid stent system in the U.S. Optimistic for an anticipated approval in the third quarter of 2025
  • Advanced commercial infrastructure and operational readiness ahead of anticipated U.S. launch
  • Continued enrollment with excellent pace in the CGUARDIANS II pivotal study of the CGuard Prime carotid stent system for use during TCAR procedures

Marvin Slosman, CEO of InspireMD, commented: “In the first quarter we continued to drive commercial adoption of our technology in our served markets, while laying a strong operational and strategic foundation for upcoming transformational milestones. With a clear roadmap for commercial expansion and a disciplined focus on execution, we’ve built and trained a world-class commercial team—ready to execute at scale upon potential FDA PMA approval. We’re energized by the momentum and confident in the opportunities on the horizon.”

“We continue to work interactively with the FDA and are optimistic for an anticipated approval of CGuard Prime in the third quarter of 2025. Despite dynamics within the agency and the timing of our audit in February, we are confident the remaining items will be successfully completed. I am excited about the transformative milestones ahead as we work to bring this innovative technology to patients in the U.S. and drive the next chapter of InspireMD’s growth,” Mr. Slosman concluded.

Financial Results for the First Quarter Ended March 31, 2025
For the first quarter of 2025, total revenue increased by $18,000, or 1.2%, to $1,529,000 from $1,511,000 during the first quarter of 2024. This increase was driven by continued adoption of our CGuard technology in existing markets, offset by the impact of foreign exchange and distributors managing CGuard inventory levels in anticipation of CGuard Prime approval in Europe.

Gross profit for the first quarter of 2025 remained constant at $292,000, compared to the gross profit of the first quarter of 2024.

Total operating expenses for the first quarter of 2025 were $11,752,000, an increase of $4,046,000, or 52.5% compared to $7,706,000 for the first quarter of 2024. This increase was primarily due to higher salaries and share-based compensation tied to U.S. sales force expansion ahead of FDA approval. Additional increases stemmed from CGuard Prime launch preparation, U.S. facility rent, and CFO recruitment fees.

Financial income, net for the first quarter of 2025 was $294,000, a decrease of $88,000 or 23.0% compared to $382,000 for the first quarter of 2024. This decrease was primarily due to less interest income from investments in marketable securities and money market funds.

Net loss for the first quarter of 2025 totaled $11,166,000 or $0.22 per basic and diluted share, compared to a net loss of $7,032,000, or $0.21 per basic and diluted share, for the same period in 2024.

As of March 31, 2025, cash and cash equivalents and marketable securities were $26,086,000 compared to $34,637,000 as of December 31, 2024.

Conference Call and Webcast Details

Management will host a conference call at 8:30 am ET today, May 9th, to review financial results and provide an update on corporate developments.  Following management’s formal remarks, there will be a question-and-answer session.  

Friday, May 9th at 8:30 a.m. ET
 Domestic: 1-800-579-2543
 International: 1-785-424-1789
 Conference ID: IMD1Q25
 Webcast: Webcast Link – Click Here
 https://viavid.webcasts.com/starthere.jsp?ei=1713642&tp_key=1c3c464032 
    

About InspireMD, Inc.
InspireMD seeks to utilize its proprietary MicroNet® technology to make its products the industry standard for carotid stenting by providing outstanding acute results and durable, stroke-free, long-term outcomes. InspireMD’s common stock is quoted on the Nasdaq under the ticker symbol NSPR.

We routinely post information that may be important to investors on our website. For more information, please visit www.inspiremd.com.

Forward-looking Statements
This press release contains “forward-looking statements.” Forward-looking statements include, but are not limited to, statements regarding InspireMD or its management team’s expectations, hopes, beliefs, intentions or strategies regarding future events, future financial performance, strategies, expectations, competitive environment and regulation, including potential FDA approval and potential U.S. commercial launch. Such statements may be preceded by the words “intends,” “may,” “will,” “plans,” “expects,” “anticipates,” “projects,” “predicts,” “estimates,” “aims,” “believes,” “hopes,” “potential”, “scheduled” or similar words. Forward-looking statements are not guarantees of future performance, are based on certain assumptions and are subject to various known and unknown risks and uncertainties, many of which are beyond the company’s control, and cannot be predicted or quantified and consequently, actual results may differ materially from those expressed or implied by such forward-looking statements. Such risks and uncertainties include, without limitation, risks and uncertainties associated with our history of recurring losses and negative cash flows from operating activities; substantial doubt about our ability to continue as a going concern; significant future commitments and the uncertainty regarding the adequacy of our liquidity to pursue our complete business objectives; our need to raise additional capital to meet our business requirements in the future and such capital raising may be costly or difficult to obtain and could dilute out stockholders’ ownership interests; market acceptance of our products; an inability to secure and maintain regulatory approvals for the sale of our products; negative clinical trial results or lengthy product delays in key markets; our ability to maintain compliance with the Nasdaq listing standards; our ability to generate revenues from our products and obtain and maintain regulatory approvals for our products; our ability to adequately protect our intellectual property; our dependence on a single manufacturing facility and our ability to comply with stringent manufacturing quality standards and to increase production as necessary; the risk that the data collected from our current and planned clinical trials may not be sufficient to demonstrate that our technology is an attractive alternative to other procedures and products; intense competition in our industry, with competitors having substantially greater financial, technological, research and development, regulatory and clinical, manufacturing, marketing and sales, distribution and personnel resources than we do; entry of new competitors and products and potential technological obsolescence of our products; inability to carry out research, development and commercialization plans; loss of a key customer or supplier; technical problems with our research and products and potential product liability claims; product malfunctions; price increases for supplies and components; insufficient or inadequate reimbursement by governmental and other third-party payers for our products; our efforts to successfully obtain and maintain intellectual property protection covering our products, which may not be successful; adverse federal, state and local government regulation, in the United States, Europe or Israel and other foreign jurisdictions; the fact that we conduct business in multiple foreign jurisdictions, exposing us to foreign currency exchange rate fluctuations, logistical and communications challenges, burdens and costs of compliance with foreign laws and political and economic instability in each jurisdiction; the escalation of hostilities in Israel, which could impair our ability to manufacture our products; and current or future unfavorable economic and market conditions and adverse developments with respect to financial institutions and associated liquidity risk. More detailed information about the Company and the risk factors that may affect the realization of forward-looking statements is set forth in the Company’s filings with the Securities and Exchange Commission (SEC), including the Company’s Annual Report on Form 10-K and its Quarterly Reports on Form 10-Q. Investors and security holders are urged to read these documents free of charge on the SEC’s web site at http://www.sec.gov. The Company assumes no obligation to publicly update or revise its forward-looking statements as a result of new information, future events or otherwise.

Investor Contacts:
Craig Shore
Chief Financial Officer
InspireMD, Inc.
888-776-6804
craigs@inspiremd.com

Webb Campbell
Gilmartin Group LLC
Webb@gilmartinir.com
investor-relations@inspiremd.com


 
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS(1)
(U.S. dollars in thousands, except share and per share data)
 
 Three months ended
March 31,
  2025   2024 
    
    
Revenues$1,529  $1,511 
Cost of revenues 1,237   1,219 
    
Gross Profit  292   292 
    
Operating Expenses:   
Research and development 4,059   2,625 
Selling and marketing 2,750   1,237 
General and administrative 4,943   3,844 
    
Total operating expenses 11,752   7,706 
    
Loss from operations (11,460)  (7,414)
    
Financial Income, net 294   382 
    
Net Loss$(11,166) $(7,032)
    
Net loss per share – basic and diluted$(0.22) $(0.21)
    
Weighted average number of shares of common stock used in computing net loss per share – basic and diluted 49,993,509   34,242,976 


 
CONDENSED CONSOLIDATED BALANCE SHEETS(2)
(U.S. dollars in thousands, except share and per share data)
 
ASSETSMarch 31, December 31,
 2025   2024 
    
Current Assets:   
Cash and cash equivalents$12,383  $18,916 
Marketable securities 13,703   15,721 
Accounts receivable:   
Trade, net 1,580   1,572 
Other 763   682 
Prepaid expenses 893   1,060 
Inventory 2,822   2,570 
    
Total current assets 32,144   40,521 
    
    
Non-current assets:   
Long term deposit 430   426 
Property, plant and equipment, net 2,736   2,371 
Operating lease right of use assets 2,225   2,360 
Funds in respect of employee rights upon retirement 1,137   1,129 
    
Total non-current assets 6,528   6,286 
    
Total assets$38,672  $46,807 


LIABILITIES AND EQUITY March 31, December 31,
 2025   2024 
Current liabilities:   
Accounts payable and accruals:   
Trade$1,727  $1,254 
Other 5,640   6,424 
Total current liabilities 7,367   7,678 
    
Long-term liabilities:   
Operating lease liabilities net of current maturities 1,639   1,796 
Liability for employee rights upon retirement and others 1,321   1,247 
Total long-term liabilities 2,960   3,043 
    
Total liabilities$10,327  $10,721 
    
    
Equity:   
Common stock, par value $0.0001 per share; 150,000,000 shares authorized at March 31, 2025 and December 31, 2024; 29,752,661 and 26,611,033 shares issued and outstanding at March 31, 2025 and December 31, 2024, respectively 3   3 
Preferred C shares, par value $0.0001 per share;
1,172,000 shares authorized at March 31, 2025 and December 31, 2024; 1,718 shares issued and outstanding at March 31, 2025 and December 31, 2024, respectively
* *
Additional paid-in capital 293,014   289,589 
Accumulated deficit (264,672)  (253,506)
    
Total equity  28,345   36,086 
    
Total liabilities and equity $38,672  $46,807 


(1) All 2025 financial information is derived from the Company’s 2025 unaudited financial statements, as disclosed in the Company’s Quarterly Report on Form 10-Q, filed with the Securities and Exchange Commission; all 2024 financial information is derived from the Company’s 2024 unaudited financial statements, as disclosed in the Company’s Quarterly Report on Form 10-Q, filed with the Securities and Exchange Commission.

(2) All March 31, 2025financial information is derived from the Company’s 2025 unaudited financial statements, as disclosed in the Company’s Quarterly Report on Form 10-Q, filed with the Securities and Exchange Commission. All December 31, 2024 financial information is derived from the Company’s 2024 audited financial statements as disclosed in the Company’s Annual Report on Form 10-K, for the twelve months ended December 31, 2024 filed with the Securities and Exchange Commission.


FAQ

What were InspireMD's (NSPR) Q1 2025 revenue and earnings?

InspireMD reported Q1 2025 revenue of $1.529 million, up 1.2% year-over-year, and a net loss of $11.166 million ($0.22 per share).

When does InspireMD expect FDA approval for CGuard Prime?

InspireMD anticipates FDA approval for the CGuard Prime carotid stent system in the third quarter of 2025.

What is InspireMD's (NSPR) cash position as of Q1 2025?

InspireMD had $26.086 million in cash, cash equivalents, and marketable securities as of March 31, 2025.

Why did InspireMD's operating expenses increase in Q1 2025?

Operating expenses increased 52.5% due to higher salaries and share-based compensation for U.S. sales force expansion, CGuard Prime launch preparation, U.S. facility rent, and CFO recruitment fees.

What is the status of InspireMD's CGUARDIANS II study?

The CGUARDIANS II pivotal study of the CGuard Prime carotid stent system for TCAR procedures continues enrollment with excellent pace.
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