​Delcath Systems, Inc. (NASDAQ:DCTH) is one of the Fast-Growing Small Cap Stocks to Buy According to Analysts. On November 5, Swayampakula Ramakanth from H.C. Wainwright reiterated a Buy rating on Delcath Systems, Inc. (NASDAQ:DCTH), but lowered the price target from $31 to $30. ​Earlier on November 4, Delcath Systems, Inc. (NASDAQ:DCTH) released results for its fiscal Q3 2025. The company posted a revenue of $20.6 million, up from $11.2 million last year. Moreover, the EPS came in at $0.02, ahead of the ...

Delcath Systems (NasdaqCM:DCTH) Update Summary Company Overview - **Company**: Delcath Systems - **Industry**: Oncology, specifically focusing on treatments for metastatic uveal melanoma Key Points from the Call Chopin Trial Results - The Chopin trial involved 76 patients randomized to receive either percutaneous hepatic perfusion (PHP) alone or a combination of PHP with ipilimumab and nivolumab [6][8] - **Primary Endpoint**: One-year progression-free survival (PFS) was 54.7% in the combination group versus 15.8% in the PHP group [9] - **Overall Survival**: The combination therapy showed a median overall survival of 23.1 months compared to 19.6 months for PHP alone [9] - **Response Rates**: Best overall response rates were 76.3% for the combination group versus 39.5% for PHP alone [9] - **Adverse Events**: Grade 3 or higher treatment-related adverse events were more frequent in the combination group (81.6% vs. 40.5%) but were manageable [9][18] Implications for Clinical Practice - The results are considered practice-changing, suggesting that the combination of ipilimumab and PHP should be offered to eligible patients [21] - There is a need for further studies to understand the immune versus cytotoxic mechanisms behind the observed efficacy [20] - The combination therapy may be particularly beneficial for patients with both hepatic and extrahepatic disease [21] Financial Results and Guidance - **Q3 2025 Preliminary Results**: Revenue of $20.5 million, gross margins of 87%, net income of $0.8 million, and positive adjusted EBITDA of $5.3 million [32] - **Cash Position**: As of September 30, 2025, the company reported $88.9 million in cash and equivalents [33] - **Revenue Guidance**: The company lowered its revenue guidance for 2025 to $83 million to $85 million due to a slowdown in new patient starts and the impact of 340B discounts [35] - **Treatment Volume Projection**: Total HEPZATO KIT treatment volume is projected to increase by approximately 150% compared to 2024 [36] Market Dynamics - There was a noted decrease in new patient starts per site, attributed to seasonality and scheduling issues [34][50] - The company is optimistic that the Chopin trial data will encourage quicker adoption of combination therapies among oncologists [39][41] - Interest from major cancer centers remains strong, with expectations to have 40 operational centers by the end of next year [33] Additional Insights - The combination therapy's efficacy may lead to a shift in treatment paradigms for other cancers with liver metastases [27][29] - The company is focused on training additional healthcare professionals to administer HEPZATO KIT to mitigate scheduling conflicts [34] - The feedback from oncologists indicates that HEPZATO KIT addresses a significant unmet need in the treatment landscape [35] Conclusion Delcath Systems is positioned to leverage the positive results from the Chopin trial to enhance its market presence and treatment adoption for metastatic uveal melanoma. The financial outlook reflects challenges but also opportunities for growth as the company navigates the complexities of patient recruitment and treatment administration.

CHOPIN Trial Results - The CHOPIN trial demonstrated that adding ipilimumab and nivolumab to PHP is effective and tolerable [9] - The combination group showed a one-year progression-free survival rate of 54.7% (95% CI: 36.8 - 69.5) compared to 15.8% (95% CI: 5.8 - 30.1) in the PHP group [6] - Median progression-free survival was 12.8 months (95% CI: 9.2 - 15.4) in the combination group versus 8.3 months (95% CI: 6.0 - 9.6) in the PHP group [6] - The hazard ratio for progression-free survival was 0.34 (0.19 - 0.60), with P<0.001 [6] - One-year overall survival was 82.8% (95% CI: 65.6 - 91.9) in the combination group and 82.2% (95% CI: 64.5 - 91.6) in the PHP group [6, 7] - Two-year overall survival was 49.6% (95% CI: 29.3 - 67.0) in the combination group and 22.1% (95% CI: 7.9 - 40.6) in the PHP group [7] - Median overall survival was 23.1 months (95% CI: 20.2 - 38.5) in the combination group and 19.6 months (95% CI: 15.2 - 21.8) in the PHP group [7] - The hazard ratio for overall survival was 0.39 (0.20 - 0.77), with P = 0.006 [7] - The best overall response rate in the combination group was 76.3% (59.4 - 88.0) [7] - Grade 3 or higher treatment-related adverse events were more frequent in the combination group (81.6% vs 40.5%, P<0.001) [7] Company Statements - Delcath Systems is focused on the treatment of primary and metastatic liver cancers [2, 14]

Core Insights - Delcath Systems, Inc. reported preliminary revenue results for Q3 2025, indicating a total revenue of approximately $20.5 million from its CHEMOSAT and HEPZATO KIT products [1] - The revenue breakdown shows HEPZATO KIT generated $19.2 million, while CHEMOSAT revenue was not fully disclosed [1] Financial Performance - Total revenue for CHEMOSAT and HEPZATO KIT reached around $20.5 million for the quarter ended September 30, 2025 [1] - HEPZATO KIT specifically contributed $19.2 million to the total revenue [1]

Core Insights - Several small- and mid-cap biotech and medical stocks experienced significant after-hours trading activity on September 26, driven by clinical updates, investor presentations, and strategic announcements. Company Summaries - **Enanta Pharmaceuticals Inc. (ENTA)**: The stock surged 20% in after-hours trading to $9.48 after closing at $7.90, following the announcement of upcoming topline results from its Phase 2b study on zelicapavir for RSV treatment in high-risk adults [2][3]. - **Acumen Pharmaceuticals Inc. (ABOS)**: Shares rebounded 12.67% to $1.60 after closing at $1.42, driven by renewed interest in its Alzheimer's pipeline, particularly the Phase 2 candidate Sabirnetug (ACU193) [4]. - **Delcath Systems Inc. (DCTH)**: The stock gained 6.00% in after-hours trading to $11.39 after closing at $10.74, following renewed investor interest in its CHOPIN Phase 2 trial data presentation scheduled for ESMO 2025 Congress [5][6]. - **Vivos Therapeutics Inc. (VVOS)**: The stock climbed 4.81% to $3.27 after closing at $3.12, likely due to renewed interest following recent positive clinical trial results for its pediatric OSA treatment [7][8]. - **Xilio Therapeutics (XLO)**: Shares rose 4.28% to $0.83 after closing at $0.7959, driven by enthusiasm surrounding the initiation of a Phase 2 trial for its tumor-activated IL-12 candidate, which also triggered a $17.5 million payment from Gilead [9][10]. - **Nyxoah SA (NYXH)**: The stock increased 3.77% to $4.68 after closing at $4.51, supported by optimism regarding its international expansion and a recent patent infringement lawsuit against Inspire Medical Systems [11].

Summary of Delcath Systems FY Conference Call - September 10, 2025 Company Overview - **Company**: Delcath Systems (NasdaqCM:DCTH) - **Industry**: Oncology, specifically focused on liver cancers - **Lead Product**: HEPZATO KIT, a minimally invasive percutaneous perfusion technology launched in January 2024 for treating primary and secondary liver tumors [2][4] Core Business Strategy - **Initial Focus**: Targeting metastatic uveal melanoma, an ultra-orphan indication where the liver is often the life-limiting organ [4][5] - **Market Potential**: Over 100,000 patients annually in the U.S. have liver as a life-limiting organ due to cancer [4] - **Expansion Plans**: Revenue from the initial indication will fund expansion into other cancers, including metastatic colorectal cancer (40,000 patients annually), breast cancer, and pancreatic cancer [5][6] Competitive Advantages of HEPZATO KIT - **Unique Treatment Method**: Unlike other liver-directed therapies (Y-90, microwave ablation, TACE), HEPZATO KIT perfuses the entire liver with chemotherapy, allowing for treatment of multiple small metastases that are not visible on imaging [6][7][8] - **Liver Function Preservation**: High doses of melphalan can be administered without losing liver function, unlike other methods that can compromise liver health [8] Commercial Growth and Center Activation - **Current Status**: 22 active commercial centers in the U.S. with plans to grow to 40 centers next year [9][10] - **Revenue Guidance**: Revised guidance for the year is $93 million to $96 million, with growth linked to the number of active centers [9][10] - **Procedure Volume**: Average of two procedures per center per month, with potential for growth through referrals and operational improvements [10][14] Training and Operational Challenges - **Team Composition**: Each treatment team consists of an Interventional Radiologist, Anesthesiologist, and Perfusionist, which requires coordination and training [18][19] - **Training Complexity**: Training involves didactic learning and proctoring, which can be logistically challenging [18][19] Medicaid National Drug Rebate Agreement (NDRA) - **Impact on Revenue**: NDRA participation results in a 11% to 13% decrease in revenue per kit, affecting Q3 financials but potentially increasing patient access [20][23] - **Reimbursement Changes**: New guidelines have expanded the number of customers under NDRA, which may help in patient access despite the revenue decrease [21][24] Clinical Development and Future Indications - **Current Trials**: Ongoing trials for metastatic colorectal cancer and breast cancer, with interim data expected in 1997-1998 [25][26] - **Future Studies**: Potential for additional studies based on the safety and efficacy of combining HEPZATO with immuno-oncology agents [27] Financial Health - **Cash Position**: Company is cash positive with no debt, indicating a strong financial position for future growth [29][30][32] Conclusion - **Outlook**: Delcath Systems is positioned for growth with a unique product offering in the oncology space, a solid commercial strategy, and a focus on expanding treatment indications while maintaining a strong financial position [29][30]

Company Overview - Delcath is focused on liver-dominant cancers with a high unmet medical need[16, 22] - The company's lead product is the HEPZATO KIT, a liver-directed treatment for metastatic uveal melanoma (mUM)[38] - Delcath has an experienced management team with expertise in commercializing high-value, specialty products[10, 14, 100] - The company has a strong financial position with $58.9 million in cash and investments as of March 31, 2025, and no outstanding debt obligations[15] HEPZATO KIT Commercialization - HEPZATO KIT received FDA approval in August 2023 for mUM[17] - In Q1 2025, total revenue was $19.8 million with gross margins of 86%[14] - Full-year revenue guidance for 2025 is $94 to $98 million[14] - The company is expanding its commercial presence, with 19 active centers as of May 8, 2025, and 29 sites accepting referrals[65] - The US mUM total addressable market (TAM) is approximately $500 million[15] Clinical Development and Pipeline - Delcath has IND approval for Phase 2 trials in metastatic colorectal cancer (mCRC) and metastatic breast cancer (mBC)[14] - Phase 2 trials for mCRC and mBC are planned to initiate enrollment in Q3/Q4 2025 and Q4 2025, respectively[17] - The company is evaluating HEPZATO in combination with SOC (trifluridine-tipiracil and bevacizumab) in liver-dominant mCRC, enrolling approximately 90 patients[17] - The company is also evaluating HEPZATO in combination with SOC (eribulin, vinorelbine or capecitabine) in liver-dominant HER2-negative mBC, enrolling approximately 90 patients[18] Financial Performance - Q1 2025 net income was $1.1 million, and adjusted EBITDA was $7.6 million (Non-GAAP)[15] - Q1 2025 operating cash flow was $2.2 million[15] - The company received approximately $16 million from warrant exercises through May 5th at a $10 strike price[15]

Corporate Presentation 2 NASDAQ: DCTH March 2025 Forward-Looking Statement The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements made by the Company or on its behalf. This presentation contains forward-looking statements, which are subject to certain risks and uncertainties that can cause actual results to differ materially from those described. The words "anticipate," "believe," "continue," "could," "estimate," "expect," "intend," "may," "plan," "potenti ...