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CytoSorbents Reports Second Quarter 2025 Financial Results and Provides Business Update

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CytoSorbents (NASDAQ: CTSO) reported Q2 2025 financial results showing revenue growth of 9% to $9.6 million compared to Q2 2024, primarily driven by 22% growth in Germany. The company achieved a net income of $1.9 million ($0.03 per share) versus a net loss in Q2 2024, while maintaining a gross margin of 70.9%.

Key developments include an FDA appeal hearing for DrugSorb�-ATR, with a final regulatory decision expected in 2025, and continued work with Health Canada following their Notice of Refusal. The company's cash position stands at $11.7 million as of June 30, 2025. Management expects to approach breakeven operations by the end of 2025 through improved execution and cost control measures.

The company announced an upcoming World Sepsis Day Global Webinar on September 10, 2025, highlighting CytoSorb's role in treating sepsis and septic shock, supported by recent positive clinical studies and meta-analyses showing significant mortality reduction.

CytoSorbents (NASDAQ: CTSO) ha comunicato i risultati finanziari del secondo trimestre 2025, registrando una crescita dei ricavi del 9% a 9,6 milioni di dollari rispetto al secondo trimestre 2024, trainata principalmente da una crescita del 22% in Germania. L'azienda ha raggiunto un utile netto di 1,9 milioni di dollari (0,03 dollari per azione) rispetto a una perdita netta nel secondo trimestre 2024, mantenendo un margine lordo del 70,9%.

Tra gli sviluppi principali si segnala un'udienza di appello presso la FDA per DrugSorb�-ATR, con una decisione regolatoria finale attesa nel 2025, e la prosecuzione delle attività con Health Canada a seguito di un avviso di rifiuto. La posizione di cassa dell'azienda ammonta a 11,7 milioni di dollari al 30 giugno 2025. Il management prevede di raggiungere il pareggio operativo entro la fine del 2025 grazie a una migliore esecuzione e a misure di controllo dei costi.

È stato inoltre annunciato un webinar globale in occasione della Giornata Mondiale della Sepsi il 10 settembre 2025, che metterà in evidenza il ruolo di CytoSorb nel trattamento della sepsi e dello shock settico, supportato da recenti studi clinici positivi e meta-analisi che mostrano una significativa riduzione della mortalità.

CytoSorbents (NASDAQ: CTSO) informó los resultados financieros del segundo trimestre de 2025, mostrando un crecimiento de ingresos del 9% hasta 9,6 millones de dólares en comparación con el segundo trimestre de 2024, impulsado principalmente por un crecimiento del 22% en Alemania. La compañía logró un ingreso neto de 1,9 millones de dólares (0,03 dólares por acción) frente a una pérdida neta en el segundo trimestre de 2024, manteniendo un margen bruto del 70,9%.

Los desarrollos clave incluyen una audiencia de apelación ante la FDA para DrugSorb�-ATR, con una decisión regulatoria final esperada en 2025, y el trabajo continuo con Health Canada tras su Aviso de Rechazo. La posición de efectivo de la empresa es de 11,7 millones de dólares al 30 de junio de 2025. La dirección espera alcanzar operaciones en equilibrio para finales de 2025 mediante una mejor ejecución y medidas de control de costos.

La compañía anunció un próximo seminario web global por el Día Mundial de la Sepsis el 10 de septiembre de 2025, destacando el papel de CytoSorb en el tratamiento de la sepsis y el shock séptico, respaldado por recientes estudios clínicos positivos y metaanálisis que muestran una reducción significativa de la mortalidad.

CytoSorbents (NASDAQ: CTSO)ëŠ� 2025ë…� 2분기 재무 ê²°ê³¼ë¥� 발표하며, 2024ë…� 2분기 대ë¹� 9% ì¦ê°€í•� 960ë§� 달러ì� 매출ì� 기ë¡í–ˆìœ¼ë©�, ì´ëŠ” 주로 ë…ì¼ì—서 22% 성장ì—� íž˜ìž…ì€ ê²ƒìž…ë‹ˆë‹¤. 회사ëŠ� 2024ë…� 2분기 순ì†ì‹¤ê³¼ 달리 190ë§� 달러ì� 순ì´ì�(주당 0.03달러)ì� 달성했고, ì´ì´ìµë¥ ì€ 70.9%ë¥� 유지했습니다.

주요 개발 사항으로ëŠ� DrugSorbâ„�-ATRì—� 대í•� FDA 항소 심리가 있으ë©�, 최종 규제 ê²°ì •ì€ 2025ë…„ì— ì˜ˆìƒë©ë‹ˆë‹�. ë˜í•œ Health Canadaì� ê±°ë¶€ 통지 ì´í›„ ê³„ì† í˜‘ë ¥ 중입니다. 2025ë…� 6ì›� 30ì� 기준 회사ì� 현금 ë³´ìœ ì•¡ì€ 1170ë§� 달러입니ë‹�. ê²½ì˜ì§„ì€ ì‹¤í–‰ë � í–¥ìƒê³� 비용 통제 조치ë¥� 통해 2025ë…� ë§ê¹Œì§€ ì†ìµë¶„기ì � 달성ì� 기대하고 있습니다.

회사ëŠ� 2025ë…� 9ì›� 10ì� 세계 패혈ì¦ì˜ ë‚� 글로벌 웨비나를 개최í•� 예정ì´ë©°, 최근 ê¸ì •ì ì¸ ìž„ìƒ ì—°êµ¬ì™€ 메타분ì„ì—서 ìž…ì¦ë� 사ë§ë¥� 유ì˜ë¯� ê°ì†Œë¥� 바탕으로 CytoSorbì� 패혈ì¦� ë°� 패혈ì„� ì‡¼í¬ ì¹˜ë£Œ ì—­í• ì� ê°•ì¡°í•� 것입니다.

CytoSorbents (NASDAQ : CTSO) a publié ses résultats financiers du deuxième trimestre 2025, affichant une croissance du chiffre d'affaires de 9 % à 9,6 millions de dollars par rapport au deuxième trimestre 2024, principalement portée par une croissance de 22 % en Allemagne. La société a enregistré un bénéfice net de 1,9 million de dollars (0,03 dollar par action) contre une perte nette au deuxième trimestre 2024, tout en maintenant une marge brute de 70,9 %.

Les développements clés incluent une audience d'appel auprès de la FDA concernant DrugSorb�-ATR, avec une décision réglementaire finale attendue en 2025, ainsi que la poursuite des échanges avec Santé Canada suite à leur avis de refus. La trésorerie de la société s'élève à 11,7 millions de dollars au 30 juin 2025. La direction prévoit d'atteindre le seuil de rentabilité d'ici la fin 2025 grâce à une meilleure exécution et à des mesures de contrôle des coûts.

La société a annoncé un prochain webinaire mondial à l'occasion de la Journée mondiale de la septicémie le 10 septembre 2025, mettant en lumière le rôle de CytoSorb dans le traitement de la septicémie et du choc septique, soutenu par des études cliniques récentes positives et des méta-analyses montrant une réduction significative de la mortalité.

CytoSorbents (NASDAQ: CTSO) meldete die Finanzergebnisse für das zweite Quartal 2025 mit einem Umsatzwachstum von 9 % auf 9,6 Millionen US-Dollar im Vergleich zum zweiten Quartal 2024, hauptsächlich getrieben durch ein 22 % Wachstum in Deutschland. Das Unternehmen erzielte einen Nettoertrag von 1,9 Millionen US-Dollar (0,03 US-Dollar pro Aktie) im Gegensatz zu einem Nettoverlust im zweiten Quartal 2024 und hielt eine Bruttomarge von 70,9 % aufrecht.

Wesentliche Entwicklungen umfassen eine Berufungsverhandlung bei der FDA für DrugSorb�-ATR, mit einer endgültigen behördlichen Entscheidung, die für 2025 erwartet wird, sowie die Fortsetzung der Zusammenarbeit mit Health Canada nach deren Ablehnungsbescheid. Die Barposition des Unternehmens beträgt zum 30. Juni 2025 11,7 Millionen US-Dollar. Das Management erwartet, bis Ende 2025 durch verbesserte Umsetzung und Kosteneinsparungen die Gewinnschwelle zu erreichen.

Das Unternehmen kündigte ein bevorstehendes globales Webinar zum Welt-Sepsis-Tag am 10. September 2025 an, das die Rolle von CytoSorb bei der Behandlung von Sepsis und septischem Schock hervorhebt, unterstützt durch kürzlich positive klinische Studien und Metaanalysen, die eine signifikante Mortalitätsreduktion zeigen.

Positive
  • Revenue increased 9% year-over-year to $9.6 million
  • Strong 22% sales growth in Germany both year-over-year and sequentially
  • Achieved net income of $1.9 million ($0.03 per share) vs previous year loss
  • Maintained healthy gross margin of 70.9%
  • Recent meta-analysis showed statistically significant reduction in mortality with CytoSorb
  • Received $1.7 million from sale of tax credits through NJEDA program
Negative
  • Operating loss of $3.6 million persists
  • Cash position decreased to $11.7 million from $13.1 million in previous quarter
  • Adjusted EBITDA loss widened to $2.6 million from $2.2 million in Q2 2024
  • FDA and Health Canada regulatory challenges continue for DrugSorb-ATR approval
  • Gross margin declined from 73.5% in Q2 2024

Insights

CytoSorbents posts mixed Q2 results with 9% revenue growth but widening adjusted net loss amid progress on regulatory pathways for DrugSorb-ATR.

CytoSorbents' Q2 2025 results present a mixed financial picture with both encouraging and concerning elements. The company achieved $9.6 million in revenue, representing a 9% year-over-year increase (4% on constant currency), primarily driven by impressive 22% growth in Germany following a commercial reorganization. However, this revenue growth is offset by several concerning metrics: gross margin declined to 70.9% from 73.5%, adjusted net loss increased to $3.7 million from $2.8 million, and adjusted EBITDA loss grew to $2.6 million from $2.2 million.

The company's cash position has declined to $11.7 million as of June 30, 2025, down from $13.1 million at the end of Q1, despite receiving $1.7 million from New Jersey's tax credit program. This burn rate may become problematic if regulatory approvals for DrugSorb-ATR face additional delays, though management states they aim to reach "near breakeven" by year-end.

On the regulatory front, CytoSorbents is in active discussions with both FDA and Health Canada regarding marketing authorization for DrugSorb-ATR. The company conducted an in-person appeal hearing with the FDA in July, with a decision expected by August's end. The Health Canada process appears to be contingent on FDA outcomes. These regulatory pathways represent critical catalysts that could significantly impact the company's commercial outlook.

The company is also emphasizing its CytoSorb therapy for sepsis and septic shock treatment, highlighted by three recent peer-reviewed publications showing positive outcomes. This focus on sepsis represents a strategic shift toward a large market opportunity where the company believes its technology provides unique advantages by complementing antibiotic therapy with broad-spectrum blood purification.

While revenue growth is positive, the expanding losses and declining margins suggest challenges in achieving sustainable profitability without significant regulatory breakthroughs or market expansion. Investors should closely monitor the FDA decision expected this month as it represents a pivotal near-term catalyst.

PRINCETON, N.J., Aug.Ìý7, 2025 /PRNewswire/ -- (NASDAQ: CTSO), a leader in the treatment of life-threatening conditions in the intensive care unit and cardiac surgery using blood purification, today reported financial results for the second quarter ended June 30, 2025, and recent business highlights.Ìý

Second Quarter 2025 Financial Results

  • Revenue was $9.6 million, an increase of 9%, or 4% on a constant currency basis, compared to $8.8 million in Q2 2024, driven by 22% year-over-year and sequential sales growth in Germany.
  • Gross margin was 70.9% compared to 73.5% in Q2 2024.
  • Operating loss was $3.6 million, flat compared to Q2 2024.
  • Net income was $1.9 million or $0.03 per basic and diluted share, compared to a net loss of $4.3 million or $0.08 per basic and diluted share in Q2 2024.
  • Adjusted net loss was $3.7 million or $0.06 per basic and $0.05 per diluted share, compared to an adjusted net loss of $2.8 million, or $0.05 per basic and diluted share in Q2 2024.
  • Adjusted EBITDA loss was $2.6 million compared to a loss of $2.2 million in Q2 2024.
  • Total cash, cash equivalents, and restricted cash of $11.7 million at June 30, 2025, compared to $13.1 million as of March 31, 2025, which includes $1.7 million of proceeds received from the sale of its 2023 and amended 2022 Net Operating Loss and R&D tax credits from the Technology Business Tax Certificate Transfer Program, sponsored by the New Jersey Economic Development Authority (NJEDA).

"Our performance in the second quarter was led by strong 22% year-over-year and sequential sales growth in Germany and continued strength in our other direct sales territories. ÌýDistributor sales were among our best ever, second only to a record quarter for distributor sales in the prior year," stated Dr. Phillip Chan, Chief Executive Officer of CytoSorbents. "We initiated a proactive reorganization of our German commercial team and sales approach in the first quarter following two years of flat growth in this important market which caused a temporary sales disruption in the first quarter.Ìý With the second quarter behind us, we are pleased with our initial progress of our Germany reorganization and remain confident it will lead to stronger execution, improved performance, and more robust sales growth in our overall business this year and beyond.Ìý Meanwhile, we are focused on driving growth in our key, high impact clinical applications, improving our gross margins, controlling costs and driving efficiencies to manage our core business to near breakeven as we exit 2025."

DrugSorb�-ATR Updates

  • In July, the Company conducted an in-person appeal hearing with the U.S. FDA for supervisory review (administrative appeal) under 21 CFR 10.75 for its De Novo Request for DrugSorbâ„�-ATR. The appeal hearing included FDA senior leadership and review team, Company management, our FDA regulatory counsel, and our external cardiac surgery experts. The Company continues to believe that remaining deficiencies in its DeNovo application can be effectively resolved through this supervisory review process which is expected to be completed by the end of August 2025, and that a final regulatory decision can be achieved in 2025.
  • The Company continues to work with Health Canada after receipt of their Notice of Refusal in June. As part of Health Canada's prescribed reconsideration process, and after discussions with Health Canada, the Company has filed a Level 1 "Request for Reconsideration" and with agreement from the Medical Devices Directorate Bureau Director, will pursue the review following the completion of the Company's review with the U.S. FDA.
  • In May 2025, Prof. Matthias Thielmann, STAR Registry investigator, received the "Best Oral Presentation Award" at the for his presentation entitled, "Early CABG with Intraoperative Hemoadsorption in Patients on Ticagrelor: AGÕæÈ˹ٷ½ World Data from the International Safe and Timely Antithrombotic Removal (STAR) Registry" - underscoring the importance of our technology and these findings in the international community.
  • In May 2025, , highlighting the intraoperative use of our technology to significantly and safely reduce the severity of bleeding in urgent coronary artery bypass grafting (CABG) patients on the blood thinner, ticagrelor (Brilinta®, AstraZeneca) who had not completed the recommended drug washout period, reinforcing the clinical value of our therapy.

"Following our recent meeting with the FDA, we remain committed to working collaboratively with the agency to secure marketing authorization for DrugSorb-ATR, an FDA Breakthrough Designated Device," said Dr.ÌýChan.Ìý "Meanwhile adoption of our blood thinner removal application continues to grow with an increasing number of heart centers around the world incorporating our technology as part of their standard care to reduce bleeding complications in patients on blood thinners undergoing cardiac surgery.Ìý We remain confident in the strength of our DrugSorb-ATR market authorization requests with both FDA and Health Canada and believe that the remaining issues can be expeditiously and successfully addressed."

Turning the Tide in Sepsis and Septic Shock with CytoSorb

Dr. Chan stated, "On September 10, 2025, we invite you to participate in our Ìýthat is intended to spotlight the vital and evolving role of CytoSorb® in the treatment of sepsis and septic shock â€� among the deadliest challenges in critical care medicine today â€� and a major global growth opportunity for us. ÌýThis special presentation, which will featureÌýphysician-user guests discussing CytoSorb therapy best practices and its impact in the fight against sepsis, along with our , commemorates Ìý²¹²Ô»å Ìýin September."

Date:ÌýÌýWednesday, September 10, 2025

Time:Ìý 11:00 AM EDT

Webinar registration required:Ìý

"CytoSorbents has worked closely with clinicians and scientists for more than a decade to advance the treatment of sepsis and septic shock by complementing traditional antibiotics with the broad-spectrum, blood purification capability of CytoSorb®.Ìý While antibiotics fight the infection, CytoSorb broadly targets the other key drivers of septic shock, including severe inflammation driven by cytokine storm and bacterial toxins, circulatory collapse, capillary leak, fluid overload, and organ failure.Ìý We believe this dual approach, when combined with standard of care therapy, represents a paradigm shift in how to treat septic shock - emphasizing early, intensive, and sufficiently long CytoSorb treatment, much like the principles guiding effective antibiotic therapy."

"This philosophy of treating the "Right Patient at the Right Time with the Right Dose" was highlighted in recent published, peer-reviewed septic shock studies, including:

  • ., from the well-respected Charité Berlin Hospital in Germany, showing a statistically significant reduction of mortality with CytoSorb, in the Journal of Clinical Medicine (2025)
  • A emphasizing high survival with early and intensive CytoSorb treatment, in the Journal of Intensive Care Medicine (2025), and
  • The positive clinical outcomes from the first 150 patients (58% had septic shock) enrolled in the international, prospective COSMOS (CytOSorb treatMent Of critically ill patientS) critical care registry, reported by Ferrer et al. in the Journal of Intensive Medicine (2025)

Backed by these and other robust peer-reviewed clinical and scientific data, CytoSorb is being used by physicians around the world to help turn the tide for patients with sepsis and septic shock by sequentially achieving the following key treatment goals:

1)ÌýÌýÌýÌýÌý Break the vicious cycle of uncontrolled inflammation

2)ÌýÌýÌýÌýÌý Reverse shock and restore oxygenated blood flow

3)ÌýÌýÌýÌýÌý Promote the repair of leaky blood vessels

4)ÌýÌýÌýÌýÌý Actively remove excessive fluid and reduce fluid overload in organs

5)ÌýÌýÌýÌýÌý Prevent or treat multiple organ failure

Our Ìýon September 10, 2025 is intended to highlight the leadership role that CytoSorbents and its many collaborators have been playing to advance a new era in sepsis management.Ìý We also invite you to follow our new septic shock blog series where we delve into greater detail on these points, found .Ìý Meanwhile, watch videos from healthcare providers from around the world who detail their first-hand experiences with CytoSorb in the treatment of septic shock and other critical illnesses in our "Voices Around the World" segment, found ."

Second Quarter 2025 Earnings Conference Call

CytoSorbents' management will host a live conference call, presentation webcast, and a question-and-answer session with the following information:

Date: Thursday August 7, 2025

Time:Ìý4:30 PM EDT

North American toll-free:Ìý1-800-836-8184

International toll:Ìý1-646-357-8785

Live webcast link:ÌýÌý

It is recommended that participants dial in approximately 10 minutes prior to the start of the call.

An archived recording of the conference call will be available under the Investor Relations section of the Company's website at

About Non-GAAP Financial Measures

To supplement our condensed consolidated financial statements, we use the non-GAAP financial measures of EBITDA, which measures earnings before interest, income taxes, depreciation and amortization, and Adjusted EBITDA which further excludes non-cash stock compensation expense, and gain or loss of foreign exchange translation. We also use the non-GAAP financial measures of Adjusted Net Income or Loss and Adjusted Net Income or Loss Per Common Share which excludes non-cash stock compensation expense and gain or loss of foreign exchange translation from Net Loss and Net Loss Per Common Share, respectively. These non-GAAP measures are not based on any comprehensive set of accounting rules or principles and should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP and may be different from non-GAAP measures used by other companies. In addition, these non-GAAP measures should be read in conjunction with our financial statements prepared in accordance with GAAP. The reconciliations of the non-GAAP measures to the most directly comparable financial measures calculated and presented in accordance with GAAP should be carefully evaluated. We use these non-GAAP financial measures for financial and operational decision-making and as a means to evaluate period-to-period comparisons. We believe that these non-GAAP financial measures provide meaningful supplemental information regarding our performance and that both management and investors benefit from referring to these non-GAAP financial measures in assessing our performance and when planning, forecasting, and analyzing future periods. We believe these non-GAAP financial measures are useful to investors because (1) they allow for greater transparency with respect to key metrics used by management in its financial and operational decision-making and (2) they are used by investors and the analyst community to help them analyze the performance of our business, the Company's cash available for operations, and the Company's ability to meet future capital expenditure and working capital requirements.Ìý For a reconciliation of non-GAAP financial measures to the most comparable GAAP measure, see the reconciliation included in the financial tables.Ìý All non-GAAP adjustments are presented pre-tax.

About CytoSorbents Corporation (NASDAQ: CTSO)

Ìýis a leader in the treatment of life-threatening conditions in the intensive care unit and cardiac surgery through blood purification. CytoSorbents' proprietary blood purification technologies are based on biocompatible, highly porous polymer beads that can actively remove toxic substances from blood and other bodily fluids by pore capture and surface adsorption. Cartridges filled with these beads can be used with standard blood pumps already in the hospital (e.g. dialysis, continuous renal replacement therapy or CRRT, extracorporeal membrane oxygenation or ECMO, and heart-lung machines), where blood is repeatedly recirculated outside the body, through our cartridges where toxic substances are removed, and then back into the body. CytoSorbents' technologies are used in a number of broad applications. Specifically, two important applications are 1) the removal of blood thinners during and after cardiothoracic surgery to reduce the risk of severe bleeding, and 2) the removal of inflammatory agents and toxins in common critical illnesses that can lead to massive inflammation, organ failure and patient death. The breadth of these critical illnesses includes, for example, sepsis, burn injury, trauma, lung injury, liver failure, cytokine release syndrome, and pancreatitis as well as the removal of liver toxins that accumulate in acute liver dysfunction or failure, and the removal of myoglobin in severe rhabdomyolysis that can otherwise lead to renal failure. In these diseases, the risk of death can be extremely high, and there are few, if any, effective treatments.

CytoSorbents' lead product,Ìý, is approved in theÌýEuropean UnionÌý²¹²Ô»å distributed in over 70 countries worldwide, with nearly 300,000 devices used cumulatively to date.Ìý CytoSorb was originally launched in theÌýEuropean UnionÌýunder CE mark as the first cytokine adsorber.Ìý Additional CE mark extensions were granted for bilirubin and myoglobin removal in clinical conditions such as liver disease and trauma, respectively, and forÌýÌý²¹²Ô»åÌýÌýremoval in cardiothoracic surgery procedures. CytoSorb has also receivedÌýÌýinÌýthe United StatesÌýfor use in adult critically ill COVID-19 patients with impending or confirmed respiratory failure.Ìý CytoSorb is not yet approved or cleared inÌýtheÌýUnited States.

In the U.S. and Canada, CytoSorbents is developing the DrugSorbâ„�-ATR antithrombotic removal system, an investigational device based on an equivalent polymer technology to CytoSorb, to reduce the severity of perioperative bleeding in high-risk surgery due to blood thinning drugs.Ìý It has received twoÌý:Ìý one for the removal ofÌýÌý²¹²Ô»å another for the removal of theÌýÌýin a cardiopulmonary bypass circuit during urgent cardiothoracic procedures.Ìý In September 2024, the Company requesting marketing approval to reduce the severity of perioperative bleeding in CABG patients on the antithrombotic drug ticagrelor, which was . On April 25, 2025, the FDA issued a denial letter regarding the Company's De Novo Request for DrugSorb-ATR, identifying remaining deficiencies that must be addressed before the De Novo Request can be granted, and the device can be authorized for commercialization in the U.S. ÌýThe Company believes these items can be most effectively and expeditiously resolved through the formal appeal process. ÌýIn July 2025, the Company attended an appeal hearing with the FDA for supervisory review (administrative appeal) under 21 CFR10.75.Ìý The appeal hearing included FDA senior leadership and review team, Company management, our FDA regulatory counsel, and our external cardiac surgical experts. The Company continues to believe that remaining deficiencies in its DeNovo application can be effectively resolved through this supervisory review process which is expected to be completed by the end of August 2025, and that a final regulatory decision can be achieved in 2025.Ìý

InÌýNovember 2024, the Company received its MDSAPÌýcertification and submitted its Medical Device License (MDL) application toÌýHealth Canada.Ìý On June 26, 2025, Health Canada issued a Notice of Refusal of the Company's Medical Device License application, identifying remaining deficiencies that must be addressed before the application may be granted and the device authorized for commercialization.Ìý As part of Health Canada's prescribed reconsideration process, and after discussions with Health Canada, the Company has filed a Level 1 "Request for Reconsideration" and with agreement from the Medical Devices Directorate Bureau Director, will pursue the review following the completion of the Company's review with the U.S. FDA.Ìý

DrugSorb-ATR is not yet granted or approved in the United States and Canada, respectively.Ìý

The Company has numerous marketed products and products under development based upon this unique blood purification technology protected by many issuedÌýU.S.Ìý²¹²Ô»å international patents and registered trademarks, and multiple patent applications pending, including ECOS-300CY®, CytoSorb-XLâ„�, HemoDefend-RBCâ„�, HemoDefend-BGAâ„�, VetResQ®, K+ontrolâ„�, DrugSorbâ„�, ContrastSorb, and others. For more information, please visit the Company's website atÌý Ìýor follow us onÌýÌý²¹²Ô»åÌý.Ìý

Forward-Looking Statements

This press release includes forward-looking statements intended to qualify for the safe harbor from liability established by the Private Securities Litigation Reform Act of 1995. These forward-looking statements include, but are not limited to, statements about our plans, objectives, future targets and outlooks for our business, representations and contentions, and the outcome of our regulatory submissions, and are not historical facts and typically are identified by use of terms such as "may," "should," "could," "expect," "plan," "anticipate," "believe," "estimate," "predict," "potential," "continue" and similar words, although some forward-looking statements are expressed differently. You should be aware that the forward-looking statements in this press release represent management's current judgment and expectations, but our actual results, events and performance could differ materially from those in the forward-looking statements. Factors which could cause or contribute to such differences include, but are not limited to, our restructuring of our direct sales team and strategy in Germany, our ability to resolve deficiencies in the FDA denial letter and the Health Canada Notice of Refusal and/or successfully appeal the FDA's and Health Canada's decision,Ìý²¹²Ô»å the risks discussed in our Annual Report on Form 10-K, filed with the SEC on March 31, 2025, as updated by the risks reported in our Quarterly Reports on Form 10-Q, and in the press releases and other communications to shareholders issued by us from time to time which attempt to advise interested parties of the risks and factors which may affect our business. We caution you not to place undue reliance upon any such forward-looking statements. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, other than as required under the Federal securities laws.

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U.S. Company Contact:
Peter J. Mariani, Chief Financial Officer
305 College Road East
Princeton, NJ 08540
[email protected]Ìý

Investor Relations Contact:
Aman Patel, CFA & Adanna G. Alexander, PhD
ICR Healthcare
[email protected]Ìý

Ìý

CYTOSORBENTS CORPORATION

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share data)










JuneÌý30,Ìý


DecemberÌý31,Ìý



2025


2024



(unaudited)



ASSETS







Current Assets:







Cash and cash equivalents


$

10,204


$

3,280

Restricted cash, current



�



5,000

Grants and accounts receivable, net of allowances of $140 and $158 as of June 30, 2025 and December 31, 2024, respectively



7,743



7,320

Inventories



3,710



2,733

Prepaid expenses and other current assets



1,330



3,271

Total current assets



22,987



21,604








Property and equipment - net



8,466



9,002

Restricted cash



1,522



1,484

Right-of-use asset



11,223



11,511

Other assets



3,792



3,771

Total assets


$

47,990


$

47,372








LIABILITIES AND STOCKHOLDERS' EQUITY







Current Liabilities:







Accounts payable


$

3,394


$

3,340

Accrued expenses and other current liabilities



5,953



6,032

Lease liability � current portion



495



453

Total current liabilities



9,842



9,825

Lease liability, net of current portion



12,185



12,444

Long-term debt



14,377



13,996

Total liabilities



36,404



36,265








Commitments and Contingencies














Stockholders' equity







Preferred Stock, par value $0.001, 5,000,000 shares authorized; no shares issued and outstanding as of June 30, 2025 and December 31, 2024



�



�

Common Stock, par value $0.001, 100,000,000 shares authorized as of June 30, 2025 and December 31, 2024; 62,610,376 and 54,830,146 shares issued and outstanding as of June 30, 2025 and December 31, 2024, respectively



63



55

Additional paid-in capital



319,023



310,809

Accumulated other comprehensive income (loss)



(3,960)



4,252

Accumulated deficit



(303,540)



(304,009)

Total stockholders' equity



11,586



11,107

Total liabilities and stockholders' equity


$

47,990


$

47,372

See accompanying notes to condensed consolidated financial statements

Ìý

CYTOSORBENTS CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS (UNAUDITED)

(in thousands, except share and per share data)
















Three Months Ended JuneÌý30,Ìý


Six Months Ended JuneÌý30,Ìý



2025


2024


2025


2024

Revenue


$

9,617


$

8,842


$

18,344


$

17,831

Cost of goods sold



2,803


$

2,339



5,323



4,455

Gross profit



6,814



6,503



13,021



13,376














Operating expenses













Research and development, net of grant income



1,262



1,519



2,924



3,766

Selling, general and administrative



9,167



8,554



17,599



17,837

Total operating expenses



10,429



10,073



20,523



21,603

Loss from operations



(3,615)



(3,570)



(7,502)



(8,227)














Other income (expense)













Interest expense, net



(616)



(180)



(1,221)



(187)

Gain (loss) on foreign currency transactions



6,178



(544)



9,192



(1,970)

Total other income (expense), net



5,562



(724)



7,971



(2,157)














Net income (loss) attributable to common stockholders


$

1,947


$

(4,294)


$

469


$

(10,384)














Basic net income (loss) per common share


$

0.03


$

(0.08)


$

0.01


$

(0.19)














Diluted net income (loss) per common share


$

0.03


$

(0.08)


$

0.01


$

(0.19)














Weighted Average Shares of Common Stock Outstanding













Basic



62,608,598



54,306,041



61,675,447



54,284,416

Diluted



67,166,377



54,306,041



66,255,298



54,284,416














Other comprehensive income (loss):













Foreign currency translation adjustment, net of tax



(5,476)



421



(8,212)



1,644

Comprehensive loss


$

(3,529)


$

(3,873)


$

(7,743)


$

(8,740)

See accompanying notes to condensed consolidated financial statements.

Ìý

CYTOSORBENTS CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY (UNAUDITED)

(in thousands, except share data)





























Accumulated














Additional


Other









CommonÌýStock


Paid-In


Comprehensive


Accumulated


Stockholders'



Shares


ParÌývalue


Capital


Income (Loss)


Deficit


Equity

Balance as of MarchÌý31,Ìý2025 (unaudited)


62,529,466


$

63


$

318,452


$

1,516


$

(305,487)


$

14,544

Stock-based compensation


80,910



�



571



�



�



571

Foreign translation adjustment


�



�



�



(5,476)



�



(5,476)

Net income


�



�



�



�



1,947



1,947

Balance at JuneÌý30,Ìý2025 (unaudited)


62,610,376


$

63


$

319,023


$

(3,960)


$

(303,540)


$

11,586



















Balance at DecemberÌý31,Ìý2024


54,830,146


$

55


$

310,809


$

4,252


$

(304,009)


$

11,107

Stock-based compensation


113,231



1



1,390



�



�



1,391

Issuance of common stock and warrants from rights offerings, net of fees incurred


6,249,791



6



5,386



�



�



5,392

Issuance of common stock from exercise of warrants


1,417,208



1



1,438



�



�



1,439

Foreign translation adjustment


�



�



�



(8,212)



�



(8,212)

Net income


�



�



�



�



469



469

Balance as of JuneÌý30,Ìý2025 (unaudited)


62,610,376


$

63


$

319,023


$

(3,960)


$

(303,540)


$

11,586





























Accumulated














Additional


Other









CommonÌýStock


Paid-In


Comprehensive


Accumulated


Stockholders'



Shares


ParÌývalue


Capital


Income


Deficit


Equity

Balance as of MarchÌý31,Ìý2024 (unaudited)


54,293,555


$

54


$

307,200


$

1,752


$

(289,380)


$

19,626

Stock-based compensation


�



�



989



�



�



989

Warrants issued in connection with long-term debt


�



�



691



�



�



691

Foreign translation adjustment


�



�



�



421



�



421

Issuance of restricted stock options


12,860



�



(6)



�



�



(6)

Net loss


�



�



�



�



(4,294)



(4,294)

Balance at JuneÌý30,Ìý2024 (unaudited)


54,306,415


$

54


$

308,874


$

2,173


$

(293,674)


$

17,427



















Balance at DecemberÌý31,Ìý2023


54,240,265


$

54


$

306,187


$

529


$

(283,290)


$

23,480

Stock-based compensation


�



�



1,949



�



�



1,949

Warrants issued in connection with long-term debt


�



�



691



�



�



691

Foreign translation adjustment


�



�



�



1,644



�



1,644

Issuance of common stock offerings, net of fees


53,290



�



53



�



�



53

Issuance of restricted stock units


12,860



�



(6)



�



�



(6)

Net loss


�



�



�



�



(10,384)



(10,384)

Balance as of JuneÌý30,Ìý2024 (unaudited)


54,306,415


$

54


$

308,874


$

2,173


$

(293,674)


$

17,427

See accompanying notes to condensed consolidated financial statements

Ìý

CYTOSORBENTS CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

(in thousands)










Six


Six



Months Ended


Months Ended



JuneÌý30,Ìý


JuneÌý30,Ìý



2025


2024

Cash flows from operating activities







Net income (loss) attributable to common stockholders


$

469


$

(10,384)

Adjustments to reconcile net income (loss) attributable to common stockholders to net cash used in operating activities:







Accrued final fee



�



111

Amortization of debt discount



381



�

Depreciation and amortization



773



798

Amortization of right-of-use asset



72



92

Write-off of patent cost



�



250

Write-off of inventory



253



�

Bad debt expense



9



29

Stock-based compensation



1,391



1,949

Foreign currency transaction (gains) losses



(9,192)



1,970

Changes in operating assets and liabilities







Grants and accounts receivable



257



(1,952)

Inventories



(925)



(1,030)

Prepaid expenses and other current assets



1,897



574

Other assets



�



1

Accounts payable and accrued expenses



(360)



(2,032)

Net cash used in operating activities



(4,975)



(9,624)








Cash flows from investing activities







Purchases of property and equipment



(39)



(63)

Payments for patent costs



(140)



(183)

Net cash used in investing activities



(179)



(246)

Cash flows from financing activities







Proceeds from long-term debt



�



15,000

Repayment of long-term debt



�



(5,000)

Payment of final fee



�



(150)

Payment of loan costs



�



(640)

Equity contributions - net of fees incurred



�



53

Proceeds from exercise of common stock warrants



1,439



�

Proceeds from rights offering, net of fees incurred



5,392



�

Net cash provided by financing activities



6,831



9,263

Effect of exchange rates on cash



285



(64)

Net change in cash, cash equivalents, and restricted cash



1,962



(671)








Cash, cash equivalents, and restricted cash at beginning of year



9,764



15,615

Cash, cash equivalents, and restricted cash � end of period


$

11,726


$

14,944








Supplemental disclosure of cash flow information







Cash paid for interest


$

1,018


$

538








Supplemental disclosure of non-cash financing activities







Warrants issued in connection with long-term debt


$

556


$

691








See accompanying notes to condensed consolidated financial statements.

Ìý

Reconciliation of GAAP Financial Measures to Non-GAAP Financial Measures

Ìý



Three Months Ended


Six Months Ended



JuneÌý30,Ìý


JuneÌý30,Ìý



2025


2024


2025


2024



(amounts, in thousands)

Net income (loss) attributable to common stockholders


$

1,947


$

(4,294)


$

469


$

(10,384)

Depreciation and amortization expense


$

404


$

401


$

773


$

798

Income tax expense (benefit)


$

-


$

-


$

-


$

-

Interest expense (income)


$

616


$

180


$

1,221


$

187

EBITDA � non-GAAP measure


$

2,967


$

(3,713)


$

2,463


$

(9,399)














Non-cash stock-based compensation expense


$

571


$

989


$

1,391


$

1,949

(Gain)/Loss on foreign currency transactions



(6,178)



544



(9,192)



1,970

Adjusted EBITDA � non-GAAP measure


$

(2,640)



(2,180)


$

(5,338)


$

(5,480)














Net income (loss) attributable to common stockholders


$

1,947


$

(4,294)


$

469


$

(10,384)

Non-cash stock-based compensation expense



571



989



1,391



1,949

(Gain)/Loss on foreign currency transactions


$

(6,178)


$

544


$

(9,192)


$

1,970

Adjusted net income (loss) � non-GAAP measure


$

(3,660)


$

(2,761)


$

(7,332)


$

(6,465)

Weighted average common shares outstanding













Basic



62,608,598



54,306,041



61,675,447



54,284,416

Diluted



67,166,377



54,306,041



66,255,298



54,284,416

Basic net income (loss) per common share


$

0.03


$

(0.08)


$

0.01


$

(0.19)

Diluted net income (loss) per common share


$

0.03


$

(0.08)


$

0.01


$

(0.19)














Non-cash stock-based compensation expense - basic


$

0.01


$

0.02


$

0.02


$

0.04

Non-cash stock-based compensation expense - diluted


$

0.01


$

0.02


$

0.02


$

0.04

(Gain)/Loss on foreign currency transactions - basic


$

(0.10)


$

0.01


$

(0.15)


$

0.04

(Gain)/Loss on foreign currency transactions - diluted


$

(0.09)


$

0.01


$

(0.14)


$

0.04

Adjusted net income (loss) per common share � basic � non-GAAP measure


$

(0.06)


$

(0.05)


$

(0.12)


$

(0.12)

Adjusted net income (loss) per common share � diluted � non-GAAP measure


$

(0.05)


$

(0.05)


$

(0.11)


$

(0.12)

Ìý

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SOURCE Cytosorbents Corp

FAQ

What were CytoSorbents' (CTSO) Q2 2025 financial results?

CytoSorbents reported Q2 2025 revenue of $9.6 million (9% growth), net income of $1.9 million ($0.03 per share), and gross margin of 70.9%. Operating loss was $3.6 million with cash position of $11.7 million.

What is the status of DrugSorb-ATR FDA approval for CytoSorbents?

CytoSorbents conducted an in-person FDA appeal hearing in July 2025 for DrugSorb-ATR. The supervisory review process is expected to complete by end of August 2025, with a final regulatory decision anticipated in 2025.

How did CytoSorbents perform in the German market in Q2 2025?

CytoSorbents achieved 22% year-over-year and sequential sales growth in Germany following a commercial team reorganization, showing recovery from previous flat growth.

What clinical evidence supports CytoSorb's effectiveness in septic shock?

Recent studies include a meta-analysis from Charité Berlin Hospital showing significant mortality reduction, a 175-patient retrospective study demonstrating high survival with early treatment, and positive outcomes from the 150-patient COSMOS registry.

When will CytoSorbents reach breakeven operations?

Management expects to reach near breakeven operations by the end of 2025 through improved execution, sales growth, margin improvements, and cost control measures.
Cytosorbents Corp

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Medical Devices
Surgical & Medical Instruments & Apparatus
United States
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