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Adagio Medical (ADGM) files FDA PMA for vCLAS ventricular tachycardia ablation system

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Adagio Medical Holdings, Inc. has submitted a Premarket Approval (PMA) application to the U.S. Food and Drug Administration for its vCLAS Ventricular Ablation System to treat drug‑refractory, recurrent, sustained monomorphic ventricular tachycardia in patients with ischemic or non‑ischemic structural heart disease.

The PMA is supported by a pivotal IDE trial of 209 patients across 20 electrophysiology centers, showing 97.4% acute clinical success and strong six‑month results, including 84.3% freedom from ICD therapy, 2.4% major adverse events and a 78% reduction or elimination of anti‑arrhythmic drug use. The device has Breakthrough Device Designation and targets what the company describes as a $5.8 billion VT ablation market, with vCLAS already commercially available for VT treatment in Europe and select other regions but limited to investigational use in the United States.

Positive

  • Regulatory progress toward U.S. approval: Submission of an FDA Premarket Approval application for the vCLAS Ventricular Ablation System, supported by pivotal trial data and Breakthrough Device Designation, represents a significant step toward potential access to a large ventricular tachycardia treatment market.

Negative

  • None.

Insights

PMA submission for a VT ablation system marks a key regulatory inflection, backed by encouraging safety and effectiveness data.

Adagio Medical has submitted a Premarket Approval application to the FDA for its vCLAS Ventricular Ablation System targeting drug‑refractory ventricular tachycardia. PMA is the most stringent review pathway for high‑risk devices, so reaching this step typically reflects substantial clinical and technical preparation.

The supporting pivotal IDE trial enrolled 209 patients at 20 centers and reported 97.4% acute clinical success, 84.3% freedom from ICD therapy at six months, 2.4% major adverse events and a 78% reduction or elimination of anti‑arrhythmic drug use. The device also holds Breakthrough Device Designation, and management highlights a $5.8B VT ablation market.

If the FDA ultimately approves the PMA, the system could become a purpose‑built option for both ischemic and non‑ischemic VT substrates, complementing its existing commercial availability for monomorphic VT in Europe and select other geographies. Actual impact will depend on the FDA’s review outcome and any conditions attached to a potential approval.

Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
VT ablation market size $5.8B Market for purpose-built VT ablation systems cited by company
Pivotal trial enrollment 209 patients Single-arm pivotal IDE trial supporting PMA submission
Clinical centers 20 centers Leading electrophysiology centers participating in pivotal trial
Acute clinical success 97.4% Acute success rate in pivotal VT ablation trial
Freedom from ICD therapy at 6 months 84.3% Six‑month primary chronic effectiveness outcome
Major adverse events 2.4% Reported major adverse event rate in pivotal trial
Reduction or elimination of AAD use 78% Patients with reduced or eliminated anti‑arrhythmic drug use
Premarket Approval regulatory
"announced the submission of its Premarket Approval (“PMA”) application to the U.S. Food and Drug Administration"
Premarket approval is the formal regulatory clearance required before certain medical devices can be sold, based on detailed evidence that the product is safe and effective. For investors, it’s a major milestone because receiving approval typically clears the way for commercial sales and reduces regulatory uncertainty, while failure or delays can block revenue and raise the risk profile; think of it like a safety certificate needed before a new car model can be sold.
ventricular tachycardia medical
"for the treatment of drug-refractory, recurrent, sustained monomorphic ventricular tachycardia"
A fast, abnormal heartbeat that starts in the heart’s lower chambers and can sharply reduce blood flow, potentially causing dizziness, fainting or, in severe cases, sudden collapse; picture an engine running so fast it loses power. For investors, ventricular tachycardia matters because demand for drugs, devices, diagnostic tests and emergency care tied to this condition affects clinical trial results, regulatory approvals, revenue prospects and legal or safety risks for healthcare companies.
Breakthrough Device Designation regulatory
"Breakthrough Device Designation Previously Granted Marks the First-Ever PMA Submission"
A breakthrough device designation is a regulatory program that gives promising medical devices for serious or life‑threatening conditions priority support and faster review from a health authority (e.g., the U.S. FDA). Think of it as a “fast lane” or VIP pass through development and review: it can shorten time to market, lower regulatory uncertainty, and boost a company’s commercial prospects — but it is not an approval by itself.
Ultra-Low Temperature Ablation medical
"utilizing its novel, proprietary, catheter-based Ultra-Low Temperature Ablation (“ULTA”)"
Ultra-low temperature ablation is a medical technique that destroys unwanted tissue—such as tumors or problematic nerve cells—by freezing them to very low temperatures. Think of it like using a precision freezer to create controlled damage that causes the targeted tissue to die and be removed by the body. Investors care because it represents a specific therapeutic approach with implications for device sales, regulatory approval, clinical adoption, and potential reimbursement, which all affect market opportunity and revenue.
IDE trial regulatory
"The PMA submission is supported by the - pivotal IDE trial, a single-arm study"
An IDE trial is a regulated clinical study that lets a company test a medical device in patients under an Investigational Device Exemption from the U.S. regulator; it’s essentially a formal permit to gather safety and effectiveness data before broad commercial approval. For investors, an IDE trial is a major de-risking step and milestone—successful results move a device closer to market approval and revenue, while delays or negative outcomes can materially affect a company’s value, similar to how a road-test permit lets a car maker prove a new model is safe before mass production.
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UNITED STATES 

SECURITIES AND EXCHANGE COMMISSION 

Washington, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT 

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported): May 21, 2026

 

ADAGIO MEDICAL HOLDINGS, INC.

(Exact name of registrant as specified in its charter)

 

Delaware 001-42199 99-1151466
(State or other jurisdiction of incorporation) (Commission File Number) (I.R.S. Employer Identification No.)

 

26051 Merit Circle, Suite 102

Laguna Hills, CA

  92653
(Address of principal executive offices)   (Zip Code)

 

(949) 348-1188 

(Registrant’s telephone number, including area code)

 

Not Applicable 

(Former name or former address, if changed since last report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
   

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
   
¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
   

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

Trading

Symbol(s)

Name of each exchange

on which registered

Common Stock, par value $0.0001 per share ADGM The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 or Rule 12b-2 of the Securities Exchange Act of 1934.

 

Emerging growth company x

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 

 

 

 

 

Item 8.01 Other Events

 

On May 21, 2026, Adagio Medical Holdings, Inc. issued a press release entitled “Adagio Medical Submits Premarket Approval Application to FDA for vCLAS® Ventricular Ablation System for the Treatment of Ventricular Tachycardia.” The full text of the press release is attached hereto as Exhibit 99.1 to this Current Report on Form 8-K and incorporated herein by reference.

 

Item 9.01. Financial Statements and Exhibits.

 

(d) Exhibits.

 

Exhibit No.   Description
99.1   Press Release, dated May 21, 2026
     
104   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 

 2 

 

 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Dated: May 21, 2026

 

  Adagio Medical Holdings, Inc.
   
  By: /s/ Deborah Kaster
  Name: Deborah Kaster
  Title:

Chief Financial Officer and

Chief Business Officer

 

 3 

 

 

Exhibit 99.1

 

Adagio Medical Submits Premarket Approval Application to FDA for vCLAS® Ventricular Ablation System for the Treatment of Ventricular Tachycardia

 

PMA Submission Supported by FULCRUM-VT Pivotal Trial Data — 209 Patients Across 20 Leading Centers; Breakthrough Device Designation Previously Granted

 

Marks the First-Ever PMA Submission for a Purpose-Built VT Ablation System in a $5.8B Market

 

LAGUNA HILLS, CA, May 21, 2026 – Adagio Medical Holdings, Inc (Nasdaq: ADGM) (“Adagio” or “the Company”), a leading innovator in catheter ablation technologies for the treatment of cardiac arrhythmias, today announced the submission of its Premarket Approval (“PMA”) application to the U.S. Food and Drug Administration (“FDA”) for the vCLAS Ventricular Ablation System for the treatment of drug-refractory, recurrent, sustained monomorphic ventricular tachycardia (“VT”) in patients with ischemic or non-ischemic structural heart disease.

 

The PMA submission is supported by the FULCRUM-VT pivotal IDE trial, a single-arm study that enrolled 209 patients across 20 leading electrophysiology centers. The trial achieved 97.4% acute clinical success and demonstrated compelling 6-month outcomes, including 84.3% freedom from ICD, only 2.4% major adverse events and a 78% reduction or elimination of anti-arrhythmic drug (“AAD”) use. Importantly, vCLAS demonstrated equivalent clinical effectiveness in both ischemic and non-ischemic cardiomyopathy, addressing the largest unmet need in VT ablation today.

 

“The submission of our PMA application is a defining moment for Adagio Medical and, more importantly, for the hundreds of thousands of patients suffering from ventricular tachycardia who currently have no purpose-built solution,” said Todd Usen, Chief Executive Officer of Adagio Medical. “We believe FULCRUM-VT demonstrated that Adagio’s proprietary ULTA is not just a different approach to VT ablation – it is a fundamentally better solution, which achieved compelling outcomes across the metrics that matter most to physicians and patients: safety, freedom from ICD shock, reduction in AAD use, and consistent results across the broadest patient population ever studied in a VT ablation trial. Our endocardial-only approach has the potential to democratize VT ablation for electrophysiologists and offers physicians a purpose-built tool capable of treating every eligible VT patient — ischemic and non-ischemic alike — without compromise. We look forward to working closely with the FDA through the review process and are energized by the possibility of bringing this technology to a broad population of patients suffering from VT.”

 

About Adagio Medical Holdings, Inc.

 

Adagio is a medical device company focused on developing and commercializing products for the treatment of cardiac arrhythmias utilizing its novel, proprietary, catheter-based Ultra-Low Temperature Ablation (“ULTA”, formerly known as ULTC) technology. ULTA is designed to create large, durable lesions extending through the depth of both diseased and healthy cardiac tissue, all through an endocardial approach. The Company is currently focused on the treatment of ventricular arrhythmias with its purpose-built vCLAS™ Cryoablation System, which is CE Marked and is currently under evaluation in the Company’s FULCRUM-VT U.S. Pivotal IDE Trial.

 

 

 

 

About FULCRUM VT

 

FULCRUM-VT (Feasibility of Ultra-Low Temperature Cryoablation in Recurring Monomorphic Ventricular Tachycardia) is a prospective, multi-center, open-label, single-arm trial, which has fully enrolled 209 patients with structural heart disease of both ischemic and non-ischemic cardiomyopathy, indicated for catheter ablation of drug refractory VT in accordance with current treatment guidelines. FULCRUM-VT 6-month primary chronic effectiveness was defined as freedom from sustained monomorphic VT lasting longer than 30 seconds or VT requiring appropriate ICD device therapy, in the absence of new or increase in antiarrhythmic drug therapy beyond previously failed dose.

 

Adagio’s vCLAS™ Cryoablation System is commercially available for the treatment of monomorphic VT in Europe and select other geographies but is limited to investigational use in the United States.

 

Forward-Looking Statements

 

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as “anticipates,” “believes,” “expects,” “intends,” “projects,” “plans,” "potential," “future” or similar expressions are intended to identify forward-looking statements. Forward-looking statements include statements concerning: anticipated timing and outcome of the FDA’s review of the Company’s PMA application for the vCLAS Ventricular Ablation System; the potential for FDA approval to lead to the broadest industry indication for purely endocardial ablation of scar-mediated VT; the potential for ULTA technology to address unmet needs in the treatment of VT, including across both ischemic and non-ischemic cardiomyopathy substrates; the potential clinical benefits of ULTA; the potential market opportunity for the vCLAS Ventricular Ablation System; and Adagio's research, development, regulatory and commercialization plans, including communications with the FDA. Forward-looking statements are based on management’s current expectations and are subject to various risks and uncertainties that could cause actual results to differ materially and adversely from those expressed or implied by such forward-looking statements. Accordingly, these forward-looking statements do not constitute guarantees of future performance, and you are cautioned not to place undue reliance on these forward-looking statements. Risks regarding Adagio’s business are described in detail in Adagio’s Securities and Exchange Commission (“SEC”) filings, including in its Quarterly Report on Form 10-Q for the quarter ended March 31, 2026, filed with the SEC on May 12, 2026 and which is available on the SEC’s website at www.sec.gov. Additional information will be made available in other filings that Adagio makes from time to time with the SEC. These forward-looking statements speak only as of the date hereof, and Adagio disclaims any obligation to update these statements except as may be required by law.

 

Contact

 

Debbie Kaster

Chief Financial Officer and Chief Business Officer

dkaster@adagiomedical.com

 

 

 

FAQ

What did Adagio Medical Holdings (ADGM) announce in this 8-K?

Adagio Medical announced it has submitted a Premarket Approval application to the FDA for its vCLAS Ventricular Ablation System, a purpose‑built device to treat drug‑refractory monomorphic ventricular tachycardia in patients with ischemic or non‑ischemic structural heart disease.

What clinical data support Adagio Medical’s vCLAS PMA submission?

The PMA submission is supported by a pivotal IDE trial enrolling 209 patients across 20 centers. The study reported 97.4% acute clinical success, 84.3% six‑month freedom from ICD therapy, 2.4% major adverse events and a 78% reduction or elimination of anti‑arrhythmic drug use.

What regulatory designations does the vCLAS VT ablation system have?

The vCLAS Ventricular Ablation System has received Breakthrough Device Designation from the FDA. This designation is intended for technologies that may offer more effective treatment for serious conditions and can facilitate more interactive and timely review during the regulatory process.

How large is the ventricular tachycardia ablation market Adagio targets?

Adagio cites a $5.8 billion market opportunity for ventricular tachycardia ablation. The company positions vCLAS as the first purpose‑built VT ablation system, aiming to address unmet needs across both ischemic and non‑ischemic cardiomyopathy patient populations.

Is Adagio Medical’s vCLAS system already commercially available?

The vCLAS Cryoablation System is commercially available for treating monomorphic ventricular tachycardia in Europe and select other geographies. In the United States, it remains limited to investigational use while the FDA evaluates the Premarket Approval application.

What is Adagio Medical’s ULTA technology mentioned in the release?

ULTA, or Ultra‑Low Temperature Ablation, is Adagio’s proprietary catheter‑based ablation technology. It is designed to create large, durable lesions through the full thickness of diseased and healthy cardiac tissue via an endocardial approach, supporting treatment of complex ventricular arrhythmias.

Filing Exhibits & Attachments

4 documents