Company Description
Adagio Medical Holdings, Inc. (Nasdaq: ADGM) is a healthcare company in the medical devices industry that focuses on catheter ablation technologies for the treatment of cardiac arrhythmias. According to company disclosures and recent filings, Adagio develops and aims to commercialize products based on its novel, proprietary, catheter-based Ultra-Low Temperature Cryoablation (ULTC) technology platform.
Adagio states that its ULTC technology is designed to create large, durable lesions that extend through the depth of both diseased and healthy cardiac tissue. This lesion-creation capability is intended for use in the ablation treatment of cardiac arrhythmias. The company is currently focused on ventricular arrhythmias, particularly ventricular tachycardia (VT) and monomorphic ventricular tachycardia (MMVT), as described in its press releases and SEC reports.
Business focus and technology platform
Adagio describes itself as a medical device company dedicated to developing and commercializing products for the treatment of cardiac arrhythmias using its ULTC technology. The platform is catheter-based and is characterized in company materials as an ultra-low temperature cryoablation approach. The company highlights that ULTC is intended to generate large, durable lesions that span the full thickness of targeted cardiac tissue.
The company’s current commercial and clinical efforts center on its purpose-built vCLAS™ Cryoablation System. Adagio reports that vCLAS is designed specifically for the treatment of ventricular tachycardia and is built on the ULTC technology platform. Company communications note that vCLAS has received a CE Mark and is commercially available for the treatment of monomorphic ventricular tachycardia in Europe and select other geographies, while remaining limited to investigational use in the United States.
Clinical development: FULCRUM‑VT pivotal program
Adagio’s disclosures emphasize the importance of the FULCRUM‑VT program to its strategy. FULCRUM‑VT (Feasibility of Ultra-Low Temperature Cryoablation in Recurring Monomorphic Ventricular Tachycardia) is described as a prospective, multi‑center, open‑label, single‑arm pivotal study conducted under a U.S. Food and Drug Administration (FDA) Investigational Device Exemption (IDE). The study enrolls patients with structural heart disease, including both ischemic and non‑ischemic cardiomyopathy, who are indicated for catheter ablation of drug‑refractory VT in accordance with current treatment guidelines.
Company materials state that FULCRUM‑VT has completed enrollment of more than 200 patients across multiple centers in the United States and Canada. Adagio reports that the primary efficacy endpoint is six‑month freedom from recurrent monomorphic ventricular tachycardia in the absence of new or increased antiarrhythmic drug therapy for VT management. The company has also highlighted preliminary acute (within seven days) safety and effectiveness data from this study in a late‑breaking clinical session at a ventricular arrhythmia symposium, describing high acute effectiveness rates and a safety profile that is characterized as favorable in its press releases.
Adagio has indicated that the results of FULCRUM‑VT are intended to support a premarket approval (PMA) application to the FDA for the vCLAS Cryoablation System. Company statements further note that the vCLAS System has been granted Breakthrough Device Designation by the FDA and that the FULCRUM‑VT study is the first VT‑specific ablation technology pivotal IDE study to complete enrollment in the United States, according to Adagio’s own description.
Regulatory and geographic status
In its public communications and SEC filings, Adagio explains that:
- The vCLAS™ Cryoablation System is CE Marked and is commercially available for the treatment of monomorphic ventricular tachycardia in Europe and select other geographies.
- In the United States, vCLAS is limited to investigational use and is being evaluated in the FULCRUM‑VT U.S. IDE pivotal study.
- The company plans to use FULCRUM‑VT data to support a PMA submission for vCLAS for the ablation of ventricular tachycardia.
Adagio’s disclosures also note that its ULTC platform is being evaluated as a purpose‑built solution for ventricular arrhythmias, with the company emphasizing the unmet needs of patients with VT and the challenges associated with existing ablation tools that were originally developed for atrial arrhythmias.
Corporate structure and listing
Adagio Medical Holdings, Inc. is incorporated in Delaware and its common stock, with a par value of $0.0001 per share, is listed on The Nasdaq Stock Market LLC under the trading symbol ADGM, as reflected in multiple Form 8‑K filings. The company identifies itself as an emerging growth company under applicable U.S. securities regulations. Its principal executive offices are located in Laguna Hills, California, as disclosed in SEC filings, although detailed street address information is omitted here for evergreen purposes.
In a definitive proxy statement and related materials, Adagio explains that it became Adagio Medical Holdings, Inc. following a business combination involving ARYA Sciences Acquisition Corp IV and Adagio Medical, Inc. In that transaction, ARYA and the legacy Adagio entity became wholly owned subsidiaries of a new Delaware corporation that was renamed Adagio Medical Holdings, Inc. The company uses the name “Adagio” in its communications to refer to the combined entity.
Capital markets activity and financing
Adagio’s SEC filings and press releases describe capital raising activities intended to support its clinical, regulatory, and commercialization plans. In particular, the company has disclosed entry into a Securities Purchase Agreement with accredited investors for a private placement of common stock (or pre‑funded warrants in lieu thereof) and accompanying milestone warrants. The private placement is structured to provide upfront gross proceeds and potential additional proceeds upon the exercise of milestone warrants, subject to specified terms and conditions.
The company has stated that net proceeds from this financing are expected to be used for working capital and general corporate purposes, including supporting submission activities for the FULCRUM‑VT pivotal study, advancing clinical experience and submission activities for a next‑generation ULTC catheter, building awareness of ULTC, expanding manufacturing and scaling commercial readiness, and strengthening corporate operations. These intended uses of proceeds are described directly in Adagio’s press releases and related Form 8‑K filings.
Governance and leadership developments
Adagio’s recent SEC filings and news releases document several governance and leadership updates. The company has reported:
- The appointment of a Chief Business Officer whose responsibilities were later expanded to include the role of Chief Financial Officer, with that individual designated as principal financial officer and principal accounting officer. The company describes this expanded role as encompassing business development, corporate strategy, investor relations, and financial operations.
- The appointment of an experienced industry executive to Adagio’s Board of Directors, with service on the Audit and Compensation Committees, as described in a Business Wire news release.
- The addition of senior executives in roles such as Senior Vice President, Global Sales and Senior Vice President, Manufacturing and Operations, which the company characterizes as important for commercial readiness and scalable manufacturing of its ULTC‑based devices.
- Annual meeting processes, including the election of directors and ratification of the independent registered public accounting firm, as summarized in Form 8‑K and DEF 14A filings.
Stockholder information and corporate governance
Through its definitive proxy statement and related filings, Adagio provides information on stockholder voting, board composition, and governance practices. The company conducts annual meetings of stockholders, including a virtual annual meeting format, and outlines procedures for stockholder proposals and director nominations under its amended and restated bylaws and SEC rules. It also discloses details about the record date for voting, the matters submitted to stockholders (such as director elections and auditor ratification), and the results of those votes.
Adagio’s proxy materials further describe topics such as executive compensation, security ownership of certain beneficial owners and management, and related‑party transactions, consistent with SEC disclosure requirements. These materials are referenced in the company’s filings and are made available to stockholders through designated channels.
Summary
In summary, Adagio Medical Holdings, Inc. is a Nasdaq‑listed, emerging growth medical device company based in California that focuses on catheter‑based Ultra‑Low Temperature Cryoablation technology for the treatment of cardiac arrhythmias. Its current efforts are centered on the vCLAS Cryoablation System for ventricular tachycardia, supported by the FULCRUM‑VT pivotal IDE study and associated regulatory and financing activities, as described in its press releases and SEC filings.