Modest Revenue Growth
Q1 2026 revenue of $8.9 million, up 2% year-over-year (down 7% on a constant currency basis), demonstrating resilience amid external headwinds.
Strong International Direct Performance
Direct international sales outside Germany grew 13% year-over-year, reflecting improved physician awareness, execution and adoption in key accounts.
Robust Installed Base and 2025 Volume
Core CytoSorb product sales exceeded $37 million in 2025 with over 300,000 devices used cumulatively in more than 70 countries, underscoring a large global installed base and recurring 'razor/razor‑blade' revenue model.
Improved Profitability Metrics (Adjusted)
Adjusted net loss improved to $3.4 million ($0.05/share) from $3.7 million ($0.06) prior year; adjusted EBITDA loss improved to $2.2 million from $2.7 million, indicating progress from cost reduction efforts.
Operating Expense and Cash Burn Improvement
Operating expenses decreased to $9.2 million from $10.1 million YoY following a strategic cost and headcount reduction (~10% in Q4 2025). Total cash burn improved to $1.1 million in the quarter (excluding $300k restructuring payments).
Strong Gross Margin and Working Capital Focus
Gross margin remained healthy at 69% (vs. 71% prior year). Management intentionally slowed production to reduce inventory to $4.8 million (from $5.3 million) to improve working capital efficiency.
Clinical Evidence and Regulatory Progress for DrugSorb-ATR
STAR-T randomized trial published in a leading cardiac surgery journal showing >50% reduction in composite severe bleeding with ticagrelor removal. DrugSorb-ATR retains two FDA Breakthrough Device designations and company has clear FDA direction on next steps (real‑world evidence + mechanistic data), enabling a defined regulatory path.
Commercial Enablers and Product Adoption
More than 100 PuriFi pumps placed internationally; HotSwap device launched and receiving positive feedback—both support adoption, dosing strategies, and broader usage across critical care and cardiac surgery.
Planned Path to Cash Flow Breakeven
Company targets achieving operating cash flow breakeven in the second half of 2026, supported by cost reductions and operational improvements.