GRAFAPEX Early Commercial Adoption
32% of 180 U.S. transplant centers (57 institutions) have ordered GRAFAPEX and 77% of those centers have reordered; product-level patient demand rebounded strongly in January 2026 and product-level net revenue for the 9 months ending Dec 31, 2025 totaled $8.2M.
GRAFAPEX Revenue and Guidance
GRAFAPEX product-level net revenue in fiscal Q3 '26 was $2.0M (patient demand $2.6M); company expects GRAFAPEX product-level net revenue of $11M–$12M for fiscal year 2026 and forecasts underlying patient demand in fiscal Q4 '26 of approximately $3M–$4M.
Accretive Outlook and Cash Flow Contribution
Management expects GRAFAPEX to be accretive to quarterly operating cash flow starting in fiscal Q4 '26; average cash from operations of $4.3M per quarter in the 4 quarters since launch and quarterly operating cash flow of $7.8M in fiscal Q3 '26 (up from $6.7M in Q3 '25, +16.4%).
Improved Gross Margin
Gross margin improved to 53.6% in fiscal Q3 '26 from 50.7% in fiscal Q3 '25 (increase of 2.9 percentage points), despite a decrease in gross profit dollars.
IXINITY Manufacturing Cost Reductions
Ongoing IXINITY process improvement initiative reduced product-level cost of goods by 30% comparing fiscal Q3 '26 to fiscal Q1 '21, supporting margin improvement and prompting an additional $1.2M process investment commitment.
Balance Sheet and Liquidity Actions
Net debt decreased to $10.4M at Dec 31, 2025 from $13.2M at Mar 31, 2025 (decrease $2.8M); new senior secured credit facility with lower principal repayments (from $3.3M/quarter under prior facility to $0.5M/quarter) provides flexibility; cash on hand was $15M at Dec 31, 2025.
Product-Specific Demand Tailwinds
Rasuvo experienced a 17% increase in patient unit demand YoY in fiscal Q3 '26 following competitor withdrawal; pediatric uptake of GRAFAPEX is strong due to fertility and toxicity benefits.
Capital Allocation and Shareholder Return
Company fully repaid the remaining regulatory milestone payment for GRAFAPEX using cash on hand and initiated an issuer bid, repurchasing 201,500 shares to date.