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Adagio Medical (ADGM) widens Q2 2026 loss as cash falls to $7.7M

(High)
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Adagio Medical Holdings, Inc. reported second quarter 2026 results and highlighted progress in its ventricular tachycardia program. Management cited an inflection point driven by favorable -VT pivotal data, submission of the vCLAS Ventricular Ablation System PMA to the FDA in May 2026, IDE approval to evaluate the next-generation vCLAS Ultra catheter, and CE-marked commercial availability of vCLAS for monomorphic VT in Europe and select other geographies.

For the quarter ended June 30, 2026, revenue was $0. Cost of revenue was nil versus $0.3 million a year earlier due to a pause in commercial activity in Europe. Research and development expenses rose to $2.5 million from $2.0 million, and selling, general and administrative expenses were $2.5 million versus $2.4 million. Net loss widened to $6.7 million, or $(0.30) per basic share, compared with $3.9 million, or $(0.26) per basic share, in 2025, driven in part by a $1.2 million unfavorable fair value adjustment on convertible notes. Cash and cash equivalents were $7.7 million as of June 30, 2026, with total liabilities of $34.3 million and stockholders’ deficit of $0.4 million.

Positive

  • PMA submission for vCLAS Ventricular Ablation System to the FDA in May 2026 advances the regulatory path for U.S. approval.
  • IDE approval expansion allows evaluation of the next-generation vCLAS Ultra catheter for sustained monomorphic ventricular tachycardia.
  • vCLAS system is CE Marked and commercially available for monomorphic VT in Europe and select other geographies, providing existing market presence.
  • -VT pivotal trial fully enrolled 209 patients, supporting a substantial clinical evidence base across ischemic and non-ischemic cardiomyopathy.

Negative

  • Net loss increased to $6.7 million from $3.9 million year over year for the quarter ended June 30, 2026.
  • Cash and cash equivalents declined to $7.7 million from $17.1 million at December 31, 2025, reducing liquidity.
  • Stockholders’ equity turned to a deficit of $0.4 million at June 30, 2026 from positive $12.4 million at year-end 2025.
  • Convertible notes fair value adjustment was a $1.2 million loss in Q2 2026 versus a $1.4 million gain in Q2 2025, pressuring results.

Filing Explained

At June 30, 2026, cash was $7,740 thousand versus $17,105 thousand at year-end, while stockholders’ equity was in deficit.

The company reports completed second-quarter results for the period ended June 30, 2026; compared with year-end, its balance-sheet position is weaker for existing common holders, with cash lower and stockholders’ equity now a deficit.

From December 31, 2025 to June 30, 2026, cash and equivalents went from $17,105 thousand to $7,740 thousand, total liabilities from $30,851 thousand to $34,299 thousand, and stockholders’ equity from $12,402 thousand to a deficit.

At June 30, 2026, the filing also reports total assets of $33,884 thousand alongside total liabilities of $34,299 thousand, providing the balance-sheet context for the reported deficit.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Net loss Q2 2026 $6,717 thousand Net loss for the three months ended June 30, 2026
Basic net loss per share Q2 2026 $(0.30) per share Basic net loss per share for the three months ended June 30, 2026
Cash and cash equivalents $7,740 thousand Cash and cash equivalents as of June 30, 2026
Total liabilities $34,299 thousand Total liabilities as of June 30, 2026
Stockholders’ (deficit) equity $(415 thousand) Stockholders’ deficit as of June 30, 2026
Research and development expense $2,450 thousand R&D expenses for the three months ended June 30, 2026
Selling, general and administrative expense $2,484 thousand SG&A expenses for the three months ended June 30, 2026
Weighted-average shares outstanding 22,210,459 shares Weighted-average shares outstanding, basic and diluted, Q2 2026
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.
Investigational Device Exemption (IDE) regulatory
"The FDA has granted Investigational Device Exemption (IDE) approval to expand the Company’s -VT trial"
An investigational device exemption (IDE) is a regulatory permission that allows a medical device to be used in clinical studies so companies can gather safety and effectiveness data before full market approval. For investors, an IDE is a key milestone because it lets a company test real-world performance and move toward commercial clearance or approval—much like a trial run that, if successful, can unlock larger revenue opportunities and reduce regulatory risk.
PMA application regulatory
"submitted the results of the -VT pivotal study to support its PMA application to the FDA"
A PMA application is a formal submission to a medical device regulator seeking Premarket Approval to sell a high‑risk device, supported by clinical data and detailed manufacturing and safety information. For investors it signals a make‑or‑break regulatory hurdle: approval opens large markets and revenue potential, while rejection or delay can sharply increase risk and push back commercialization—think of it like seeking a rigorous safety permit before a product can legally be sold.
CE Marked regulatory
"vCLAS Ventricular Ablation System, which is CE Marked, and in May 2026"
CE marked indicates that a product meets European Union safety, health and environmental requirements and bears the CE symbol, acting like a safety stamp or passport that allows the product to be sold across the EU and European Economic Area. For investors, a CE mark matters because it reduces regulatory barriers and legal risk, can speed market access and revenue, and signals the company has cleared essential compliance steps for that product—affecting sales potential, costs and valuation.
ventricular tachycardia medical
"for the treatment of Sustained Monomorphic Ventricular Tachycardia (SMVT)"
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.
Revenue $0 unchanged from $0 in the prior-year quarter
Net loss $6,717 thousand increased from $3,947 thousand in the prior-year quarter
Cash and cash equivalents $7,740 thousand decreased from $17,105 thousand at December 31, 2025

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FAQ

What was Adagio Medical (ADGM)'s net loss for Q2 2026?

Adagio Medical reported a net loss of $6.7 million for the quarter ended June 30, 2026, compared with $3.9 million in the same quarter of 2025, reflecting higher expenses and an unfavorable convertible notes fair value adjustment.

How much cash did Adagio Medical (ADGM) have at June 30, 2026?

As of June 30, 2026, Adagio Medical had $7.7 million in cash and cash equivalents. This compares with $17.1 million at December 31, 2025, indicating a substantial reduction in available liquidity over the first half of 2026.

Did Adagio Medical (ADGM) generate any revenue in Q2 2026?

Adagio Medical reported no revenue for the three months ended June 30, 2026, consistent with $0 revenue in the prior-year quarter, reflecting a pause in commercial activity in Europe and the company’s focus on clinical and development efforts.

What were Adagio Medical (ADGM)'s operating expenses in Q2 2026?

Total cost of revenue and operating expenses were $4.9 million in Q2 2026, including $2.5 million in research and development and $2.5 million in selling, general and administrative expenses, up modestly from $4.7 million in the prior-year quarter.

What regulatory milestones did Adagio Medical (ADGM) achieve for vCLAS?

The company submitted a PMA application to the FDA in May 2026 for the vCLAS Ventricular Ablation System and obtained IDE approval expansion to evaluate its next-generation vCLAS Ultra catheter for sustained monomorphic ventricular tachycardia.

What is the status of Adagio Medical (ADGM)'s -VT pivotal trial?

The -VT trial has fully enrolled 209 patients with structural heart disease and drug-refractory ventricular tachycardia. Adagio highlighted favorable pivotal data and a 6‑month primary effectiveness endpoint based on freedom from sustained monomorphic VT or ICD therapy.
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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): August 11, 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 2.02. Results of Operations and Financial Condition.

 

On August 11, 2026, Adagio Medical Holdings, Inc. issued a press release announcing financial results for the quarter ended June 30, 2026, and providing a business update. A copy of this press release is furnished as Exhibit 99.1 and is incorporated herein by reference.

 

The information furnished with this Item 2.02, including Exhibit 99.1, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.

 

Item 9.01. Financial Statements and Exhibits.

 

(d) Exhibits.

 

Exhibit No.   Description
99.1   Press Release, dated August 11, 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: August 11, 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 Reports Second Quarter 2026 Results

 

LAGUNA HILLS, CA, August 11, 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 financial results for the second quarter ended June 30, 2026.

 

Recent Business Highlights:

 

·Announced the successful treatment at the Hospital of University of Pennsylvania of the first patient with the Company’s next-generation vCLASTM Ultra Ultra-Low temperature ablation catheter (“ULTA”), which is designed to be faster and more maneuverable than the first generation vCLASTM Ventricular Ablation System catheter, under Expanded Access authorization from the U.S. Food and Drug Administration (“FDA”)

 

·Announced pivotal results from the 209-patient FULCRUM-VT trial, which were presented in a late-breaking session at Heart Rhythm Society 2026, demonstrating a promising safety profile with only 2.4% protocol-defined Major Adverse Events and six-month results of 84% freedom from implantable cardioverter defibrillator (“ICD”) shock and a 78% discontinuation or reduced dose of antiarrhythmic drugs, as well as equivalent results across both ischemic and non-ischemic cardiomyopathy patients with the Company's proprietary ULTA technology

 

·Submitted Premarket Approval (“PMA”) application, supported by the FULCRUM-VT pivotal IDE trial, to the 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

 

“This quarter marked an inflection point for Adagio as our team continues to execute and deliver on our critical milestones. The enthusiastic physician reception of our FULCRUM-VT late-breaking data at HRS reinforced what we have long believed about the potential for this technology, and the successful treatment of the first patient with vCLAS Ultra — a particularly complex case — was a powerful proof point for our next-generation system.” said Todd Usen, Chief Executive Officer of Adagio Medical. “We believe our progress – combined with the breadth of our clinical evidence for both ischemic and non-ischemic patients - positions our fully-endocardial ULTA platform as a uniquely differentiated solution capable of treating the entire spectrum of cases in an addressable market that has long needed a purpose-built solution. We remain focused on executing against the milestones ahead as we work to bring our proprietary technology to the many patients who suffer from VT.”

 

Second Quarter 2026 Financial Results

 

Cost of revenue was nil for the three months ended June 30, 2026, compared to $0.3 million for the three months ended June 30, 2025. The decrease was primarily attributable to the pause in commercial activity in Europe. Depreciation expense related to consoles loaned to customers is generally classified within cost of revenue; however, because the Company did not generate revenue during the three months ended June 30, 2026, such depreciation expense is reflected within research and development expenses for the period.

 

Research and development expenses were $2.5 million for the three months ended June 30, 2026 compared to $2.0 million for the three months ended June 30, 2025. The increase was primarily attributable to higher product development costs, including consulting and prototyping expenses, and higher operational costs, including the aforementioned depreciation expense, partially offset by lower clinical trial expenses.

 

 

 

 

Selling, general and administrative expenses were $2.5 million for the three months ended June 30, 2026, compared to $2.4 million for the three months ended June 30, 2025. The increase was primarily attributable to higher stock-based compensation expenses, partially offset by lower professional services expenses.

 

Net loss for the three months ended June 30, 2026, was $6.7 million, or $(0.30) per share (Basic), compared to a net loss of $3.9 million, or $(0.26) per share (Basic), for the three months ended June 30, 2025.

 

Weighted average shares of common stock outstanding, basic and diluted, were 22,210,459 as of June 30, 2026. The Company's fully diluted share count includes all outstanding warrants; however, for purposes of calculating net loss per share, warrants and certain other potentially dilutive securities are excluded as their inclusion would be anti-dilutive.

 

Cash and cash equivalents were $7.7 million as of June 30, 2026.

 

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 footprint, titratable 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 Ventricular Ablation System, which is CE Marked, and in May 2026 the Company submitted the results of the FULCRUM-VT pivotal study to support its PMA application to the FDA for the vCLAS Ventricular Ablation System. The Company is also developing a next-generation vCLAS Ultra catheter, designed to support faster ablation procedures with a smaller and more flexible form factor than its predecessor vCLAS device.

 

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.

 

The FDA has granted Investigational Device Exemption (IDE) approval to expand the Company’s FULCRUM-VT trial to evaluate the safety and effectiveness of the Company’s next-generation vCLAS Ultra catheter for the treatment of Sustained Monomorphic Ventricular Tachycardia (SMVT).

 

Adagio’s vCLAS™ Ventricular Ablation 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,” and “future” or similar expressions are intended to identify forward-looking statements. Forward-looking statements include statements concerning: Adagio’s strategy, future operations, future financial position, and projected expenses; the expected timing and results of Adagio's clinical trials, including the reproducibility of the favorable results initially seen in Adagio’s FULCRUM-VT pivotal data and the evaluation of the vCLAS Ultra catheter under the expanded IDE approval; the potential for ULTA technology to address unmet needs in the treatment of VT, including across both ischemic and non-ischemic cardiomyopathy substrates; and the potential for FDA approval of Adagio’s product candidates, including the PMA application for the vCLAS Ventricular Ablation System. 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 Annual Report on Form 10-K for the full-year ended December 31, 2025 and Quarterly Report on Form 10-Q for the quarter ended June 30, 2026, which are 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 Business Officer

dkaster@adagiomedical.com

 

 

 

 

Adagio Medical Holdings Inc.

Condensed Consolidated Balance Sheets

(in thousands)

 

   June 30,
2026
   December 31,
2025
 
   (Unaudited)   (Audited) 
Cash and cash equivalents  $7,740   $17,105 
Total assets   33,884    43,253 
Total liabilities   34,299    30,851 
Total stockholders’ (deficit) equity   (415)   12,402 

 

Adagio Medical Holdings Inc.

Condensed Consolidated Statements of Operations and Comprehensive Loss

(in thousands, except share and per share data)

(unaudited)

 

   Three Months Ended June 30, 
   2026   2025 
Revenue  $   $ 
Cost of revenue and operating expenses:          
Cost of revenue       342 
Research and development   2,450    1,971 
Selling, general, and administrative   2,484    2,404 
Total cost of revenue and operating expenses   4,934    4,717 
Loss from operations   (4,934)   (4,717)
Other (expense) income:          
Convertible notes fair value adjustment   (1,162)   1,427 
Warrant liabilities fair value adjustment   181    (141)
Interest expense   (805)   (720)
Interest income   72    102 
Other (expense) income, net   (69)   102 
Total other (expense) income, net   (1,783)   770 
Net loss  $(6,717)  $(3,947)
Other comprehensive loss:          
Foreign currency translation adjustment   153    (39)
Comprehensive loss  $(6,564)  $(3,986)
           
Basic net loss per share  $(0.30)  $(0.26)
Diluted net loss per share  $(0.30)  $(0.35)
Weighted-average shares outstanding – basic and diluted   22,210,459    15,381,565 

 

 

 

Filing Exhibits & Attachments

4 documents