RNXT 10-K & 10-Q changes, risk factors and insider trading
RenovoRx, Inc. · Nasdaq · Surgical & Medical Instruments & Apparatus · CIK 1574094 · All filings on SEC.gov
At a glance
What changed in the latest 10-K
Risk Factors
New heading “We are not currently in compliance with the “minimum bid price” continued listing requirement for The Nasdaq Stock Market. If we do not regain compliance and continue to meet the such requirement or any other continued listing requirements, our common stock may be delisted, which could affect the market price and liquidity for our common stock and reduce our ability to raise additional capital and otherwise properly function as a public company.”
Largest changes
“We are not currently in compliance with the “minimum bid price” continued listing requirement for The Nasdaq Stock Market. If we do not regain compliance and continue to meet the such requirement or any other continued listing requirements, our common stock may be delisted, which could affect the market price and liquidity for our common stock and reduce our ability to raise additional capital and otherwise properly function as a public company.”see in full comparison
Moreover, ongoing armedsee in full comparisonconflictconflicts between Russia and Ukrainesince 2022,andbetween Israel, the Palestinians and countriesin the Middle EastsinceOctober 2023, led to(including theimpositionU.S.ofandsanctionsIsrael’s military actions againstcertainIrancountriescommencinglikeinRussiaMarchand2026) havecreatedresulted in sustained global geopolitical unrest, including significant instability in the financialmarkets.and commodities markets and the continued imposition of extensive international sanctions. The geopolitical landscape remains highly volatile following the 2024 U.S. elections and the subsequent transition in U.S. administration and policy priorities in 2025 and 2026 (including the imposition of tariffs by the U.S. administration). It is not possible to predict thebroadernear or long-term consequences of theseconflicts,shifts,particularly givenwhichthemayoutcomeincludeofnewU.S.orelectionsexpanded sanctions, trade embargoes, increased tariffs, changes inNovemberinternational2024,tradewhichagreements,couldandinclude further sanctions, embargoes, tariffs,heightened regionalinstability, prolongedinstability.periodsTheseoffactors,higheralongside potential fluctuations in inflation,geopoliticalcurrencyshifts and uncertainty, and adverse effects on macroeconomic conditions, currencyexchange rates, andfinancialmacroeconomicmarkets,conditions,allmayofcreatewhichprolonged uncertainty in the global markets and could have a material adverse effect on our business, financial condition, and results of operations.
“On December 31, 2025, we received a letter from the Listing Qualifications Staff of the Nasdaq Stock Market, LLC (“Nasdaq”) indicating that we are not in compliance with the requirement to maintain a minimum bid price of $1.00 per share required for continued listing on Nasdaq. We have until the end of June 2026 to regain compliance with this requirement, which may be extended for 180 days. …”see in full comparison
“We are not currently in compliance with the “minimum bid price” continued listing requirement for The Nasdaq Stock Market. If we do not regain compliance and continue to meet such requirement or any other continued listing requirements, our common stock may be delisted, which could affect the market price and liquidity for our common stock and reduce our ability to raise additional capital and otherwise properly function as a public company.”see in full comparison
“We face the risk that we may need to raise additional capital over the longer term to both develop and commercialize IAG (assuming FDA approval) and to separately engage in sales and marketing activities for RenovoCath as a standalone device. Our failure to obtain funding when needed (even following this offering) may force us to delay, reduce or eliminate our product development programs, commercial efforts or collaboration efforts. Moreover, if we do not obtain adequate and timely funding, we may not be able to continue as a going concern.”see in full comparison
“Pursuant to Nasdaq Listing Rule 5810(c)(3)(A), we have 180 calendar days from receipt of a notice from Nasdaq (the “Compliance Period”), to regain compliance with the Minimum Bid Price Requirement. If at any time during the Compliance Period, the bid price of our common stock closes at or above $1.00 per share for a minimum of ten consecutive business days, Nasdaq will provide us with written confirmation of compliance with the Minimum Bid Price Requirement and the matter will be closed. …”see in full comparison
Full comparison: every changed paragraph (227)
We have no drug/device combination products approved for commercial sale, only limited experience as a company in the commercialization of standalone medical devices and no extended operating history as a revenue generating company. These factors make it difficult to evaluate our current business and predict our future success and viability.
We have incurred significant net losses in each period since inception, and we expect to continue to incur net losses until we receive FDA approval for our product candidate or until our commercial strategy for RenovoCath generates sufficient revenues.
We are executing on a commercial strategy for selling our RenovoCath device on a standalone basis, which is a relatively new activity for our company and subject to significant inherent risks.
Our estimates of total addressable market, potential revenues and similar metrics related to our commercialization efforts for RenovoCath may prove inaccurate, particularly given that our commercialization efforts are relatively new and are evolving.
Revenue recognition from our RenovoCath commercialization activities could be complex and uncertain. We may also be required to defer recognition of revenues under policies which we develop. Our inability to properly recognize revenue could have a material adverse effect on our estimates of our future revenue performance and on our actual financial results.
Our revenues and results of operations, particularly as they relate to RenovoCath sales, are difficult to predict and may fluctuate from quarter to quarter, which could adversely affect our business and the market price of our common stock.
We face the risk that we may need to raise additional capital over the longer term to both develop and commercialize IAG (assuming FDA approval) and to separately engage in sales and marketing activities for RenovoCath as a standalone device. Our failure to obtain funding when needed (even following this offering) may force us to delay, reduce or eliminate our product development programs, commercial efforts or collaboration efforts. Moreover, if we do not obtain adequate and timely funding, we may not be able to continue as a going concern.
We may consider strategic alternatives in order to maximize stockholder value, including financing, strategic alliances, and licensing arrangements. We may not be able to identify or consummate any suitable strategic alternatives and any consummated strategic alternatives may not be successful.
The commercial viability of IAG or other product candidates remains subject to current and future preclinical studies, clinical trials (notably our Phase III TIGeR-PaC study), regulatory approvals, and the risks generally inherent in the development of a drug-device product candidate. If we are unable to successfully advance or develop IAG or any other product candidate, our business will be materially harmed.
As our ongoing TIGeR-PaC study is our most advanced clinical trial to date, the failure of the study to achieve results conducive to progressing the study or filing and receiving NDA approval would cause our company significant harm.
If we do not achieve our projected commercial or development goals in the timeframes we announce and expect, our stock price may decline.
Our product candidates may exhibit undesirable side effects when used alone or in combination with other approved pharmaceutical products or investigational new drugs, which may delay or preclude further development or regulatory approval or limit their use if approved.
If the results of preclinical studies or clinical trials for our product candidates are negative, we could be delayed or precluded from the further development or commercialization of our product candidates, which could materially harm our business.
If we are unable to satisfy regulatory requirements, we may not be able to commercialize our product candidates.
If our product candidates are unable to compete effectively with marketed drugs targeting similar indications as our product candidates, our commercial opportunity will be reduced or eliminated.
We may delay or terminate the development of our product candidates at any time if we believe the perceived market or commercial opportunity does not justify further investment, which could materially harm our business.
Our future success depends on our ability to retain our key personnel and to attract, retain, and motivate qualified personnel, especially in light of an acute workforce shortage and hyper-competitive compensation environment.
If we are unable to protect our intellectual property effectively, we may be unable to prevent third parties from using our technologies, which would impair our competitive advantage.
The patents issued to us may not be broad enough to provide any meaningful protection, one or more of our competitors may develop more effective technologies, designs, or methods without infringing our intellectual property rights and one or more of our competitors may design around our proprietary technologies.
We are not currently in compliance with the “minimum bid price” continued listing requirement for The Nasdaq Stock Market. If we do not regain compliance and continue to meet such requirement or any other continued listing requirements, our common stock may be delisted, which could affect the market price and liquidity for our common stock and reduce our ability to raise additional capital and otherwise properly function as a public company.
We have no drug/device combination products approved for commercial sale, only limited experience as a company in the commercialization of standalone medical devices and no extended operating history as a revenue generating company. These factors make it difficult to evaluate our current business and predict our future success and viability.
We
are a clinical stage biopharmaceutical company who is also executing on a new relatively new commercial strategy to sell our device on
a standalone basis alongside our efforts to gain regulatory approval for our lead drug/device combination product. We have no drug/device
combination products approved for commercial salesale. andWhile arewe onlyhave at the beginning stages ofcommenced generating any revenue from salesRenovoCath ofcommercial sales, our device
on a standalone basis. We have no operating history as a revenuerevenue-generating generatingcompany company,remains limited, and the commercial prospects for our novel therapy
platform (either as part of an approved drug/device combination product or whether sold as a standalone product) are unproven, uncertain
and involve a substantial degree of risk.
Alongside
our Phase III clinical activities related to IAG, in 2024 we commenced effortscommercial tosales commercialize
of our FDA-approvedFDA-cleared RenovoCath device on a standalone basis.basis Ourin commercializationlate efforts for RenovoCath are relatively new2024 and evolving
and we presently have verybeen littlegenerating revenue therefrom in 2025. While our commercial traction has grown, our operating experience in this business model.model remains limited and our commercialization efforts continue to evolve.
We
are a clinical stage, currently pre-revenueearly-revenue-stage company and have incurred significant losses since our formation. As of December 31, 2024,
2025, we have an accumulated deficit of approximately $50.2$61.4 million. For the fiscal years ended December 31, 20242025 and 2023,2024, we had net losses
of approximately $8.8$11.2 million and $10.2$8.8 million, respectively. To date, we have experienced negative cash flow from the development of
our drug/device product candidate, our platform technology, TAMP, and our RenovoCath delivery system. We have generated minimallimited revenue
from operations,our RenovoCath commercial activities and we expect to incur net losses until we receive FDA approval for our product candidate or until our commercial strategy
for RenovoCath generates sufficient revenues.revenues Becauseto offset our expenses. While a key goal of our company is to increase revenues from RenovoCath sales and thus reduce or losses and “cash burn”, because of the numerous risks and uncertainties associated with developing and commercializing
our product candidate or our device commercial strategy, we are unable to predict with precision the extent of any future losses or when we will attain
profitability, cash flow positive or profitable operations, if ever. Investors in our securities must carefully consider the substantial challenges, risks and uncertainties inherent
in theour business plans. We may never receive regulatory approval for ourIAG or any other product candidate and we may never successfully commercialize
RenovoCath, and in either case, if we are unable to do so, our business could fail.
On
the clinical development side of our business, ourany product candidates beyond IAG will require substantial additional development time and resources
before we will be able to receive regulatory approvals, if any, and, if approved, to begin generating revenue from product sales. Even with respect to our lead product candidate IAG and our TIGeR-PaC trial, we are anticipating final results of that trial in 2027, which could subsequently lead to an NDA submission and FDA review and decision. As
a result, we expect that it will be severalat least a few years, if ever, before we receive approval to commercialize a drug/device product and generate
revenue from such product. Even if we succeed in receiving marketing approval for and commercializing oneIAG or more of ourother drug/device
product candidates, we expect that we will continue to incur substantial expenses andand, if our commercial efforts do not generate sufficient revenues, operating losses. The amount of our future net
losses will depend, in part, on the level of our future expenditure and revenue. Moreover, our net losses may fluctuate significantly
from quarter to quarter and year to year, such that a period-to-period comparison of our results of operations may not be a good indication
of our future performance. If we are unable to generate significant revenue or attain cash flow positive operations or profitability, we will not be able to sustain operations.
continue our research and discovery activities;
continue the development of our proprietary technology platform;
progress our current and any future product candidates through preclinical and clinical development;
initiate and conduct additional preclinical, clinical, or other studies for our product candidates;
work with our contract manufacturing organizations to manufacture RenovoCath and our other product candidates for our clinical trials;
change or add additional contract manufacturers or suppliers;
seek regulatory approvals and marketing authorizations for our product candidates;
establish sales, marketing, and distribution infrastructure to commercialize any products for which we may obtain approval;
take steps to seek protection of our intellectual property and defend our intellectual property against challenges from third parties;
obtain, expand, maintain, protect, and enforce our intellectual property portfolio;
pursue any licensing or collaboration opportunities;
attract, hire, and retain key and qualified personnel including clinical, scientific, management, and administrative personnel;
provide additional internal infrastructure to support our continued research and development operations and any planned commercialization efforts;
experience any delays or encounter other issues related to our operations;
implement operations, financial, and management information systems;
meet the requirements and demands of being a public company; and defend against any product liability claims or other lawsuits related to our products.
Alongside
our Phase III clinical activities related to IAG, in late 2024 we commenced effortscommercial tosales commercializeof our FDA-approvedFDA-cleared RenovoCath device
on a standalone basis.basis, Toand datewe generated nominal revenues of $43,000 for the year ended December 31, 2024 and approximately $1.1 million in revenue from such sales for the year ended December 31, 2025. While we have focusedbegun almostto exclusivelygain oncommercial the clinical development of IAG as our lead product
candidate. Therefore, as a company,traction, we nonetheless have nolimited experience in self-commercializing medical devices. This commercial strategy, which
itself is relatively new and subject to evolution and change, is subject to significant inherent risks relating to, among other matters, our
manufacturing, supply chain, and sales and marketing efforts for RenovoCath, as well as our internal accounting and operational
requirements for these efforts. Moreover, the past experiences of certain members of our management with commercializing medical
devices may not translate to our plans for RenovoCath. Also, we may be subject to competition from alternative devices or methods of
drug administration offered by larger, better funded, and more experienced companies. Therefore, we are and will continue to be
faced with the risk that we may be unable to adequately execute one or more elements of our commercial plans for
RenovoCath.
We
may also choose to enter into a commercial collaboration with a third party who could take some or even primary responsibility for sales,
marketing, and/or distribution efforts for RenovoCath. In such a case, we would be reliant, at least in part, on such third party for
the success of our commercial efforts, and the failure of any such third party to execute the agreed uponagreed-upon strategy could lead to suboptimal
results for our company. Moreover, in any such collaboration, we would be required to share the part of the economics of RenovoCath commercialization
with such third-party, which could mean less revenue generated by our company.
We
are atin the beginningrelatively early stages of our RenovoCath commercialization efforts and have not had to recognize revenue from our operations in the past.
A primary goal from these efforts is to generate and recognize revenue from RenovoCath sales. However, revenue recognition under generally
accepted accounting principles requires subjective judgements to be made by our management and could otherwise be complex and create uncertainties,
including uncertainties arising from varying terms of sale we may offer to different customers. We may also be required to defer recognition
of revenues until certain conditions are met. Risks and uncertainties relating to our accounting for revenue recognition could have a
material adverse effect on our estimates of our future revenue performance and on our actual financial results. Any statements we make
in this Report or otherwise from time to time regarding our future revenue performance could prove inaccurate because of the complexities
of revenue recognition, and readers should take these complexities and associated risks in accounting when assessing our statements regarding
our revenues.
Our
revenues and results of operationsoperations, mayparticularly beas they relate to RenovoCath sales, are difficult to predict and may fluctuate from quarter to quarter, which could adversely affect
our business and the market price of our common stock.
We
are just commencingOur commercial sales ofactivities for our RenovoCath device.device are still relatively new. While our goal is to grow our revenues over time, at present our revenues and results
of operations may beare difficult to predict and may fluctuate substantially from quarter to quarter.quarter, with fluctuations potentially being the result of just a small number of RenovoCath procedures undertaken by our customers. These fluctuations can adversely affect
our business and the market price of our common stock. Revenues in any quarter depend substantially upon our total contracting activity
with our customers, and our ability to recognize revenues in that quarter in accordance with our revenue recognition policies. Our contracting
activity is difficult to forecast for a variety of reasons, including the following:
our sales cycle per customer and in general may vary as a result of factors such as a customer’s familiarity with RenovoCath;
the size of sales orders can vary significantly and may not be predicable on a customer-by-customer basis or generally;
economic downturns are often characterized by decreased product demand, price erosion, technological shifts, work slowdowns and layoffs, which can substantially reduce contracting activity;
customers may unexpectedly postpone or cancel orders due to changes in their strategic priorities, budgetary constraints or the existence of competitive technology;
customer evaluations and purchasing processes vary significantly from company to company, and a customer’s internal approval and expenditure authorization process can be difficult and time consuming;
changes in our pricing policies and discount plans may affect customer purchasing patterns;
the number, timing and significance of our and our competitors’ product enhancements may affect purchasing decisions; and certain expenses, including those over which we exercise little or no control, such as health costs, compliance with new legislation, and property and liability insurance, may be difficult to manage; and Due to all of the foregoing factors, in some future quarters our operating results may fall below the expectations of securities analysts and investors. In such event, the market price of our common stock would likely decrease.
We
will face the risk that we may need to raise substantial additional capital over the longer term to both develop and commercialize IAG
(assuming FDA approval) and to separately engage in sales and marketing activities for RenovoCath as a standalone device. Our failure
to obtain funding when needed (even following this offering) may force us to delay, reduce or eliminate our product development programs,
commercial efforts or collaboration efforts. Moreover, if we do not obtain adequate and timely funding, we may not be able to continue
as a going concern.
As
of March 1,23, 2025,2026 (taking into account the net proceeds from our March 2026 private placement), we had cash and cash equivalents of approximately $15.8$13.0 million. Due to our
recurring operating losses and the expectation that we will continue to incur net losses in the future, we willface the risk that we may be required to raise
substantial additional capital over the longer term to both (i) complete the testing, development and (assuming FDA approval) commercialization of IAG or
other product candidates and (ii) separately engage in sales and marketing activities for RenovoCath as a standalone device. We have
historically financed our operations primarily through public and private sales of our equity or equity-linked securities as well as
debt financing. To raise additional capital, we may seek to sell additional equity and/or debt securities, obtain a credit facility
or other loan or enter into collaborations, licenses or other similar arrangements, which we may not be able to do on favorable
terms, or at all. For example, we have filed an omnibus shelf registration statement on Form S-3 (File No. 333-268302) that provides
for aggregate offerings of up to $50.0 million of our securities subject to various limitations, including limited sales in any
twelve-month period while we are subject to the “baby-shelf” rules. We also have filed a registration statement on Form
S-1 to register the cash exercise of our outstanding warrants, with such cash exercise only expected to occur when the trading price
of our common stock is in excess of the $10.80 per share exercise price of our outstanding warrants (which is significantly above
our current stock price). Our ability to obtain additional financing will be subject to a number of factors, including market
conditions, fluctuations in interest rates, our operating performance and investor sentiment. If we are unable to raise additional
capital when required or on acceptable terms, we may have to significantly delay, scale back or discontinue our development and/or
commercialization plans, restrict or cease our operations or obtain funds by entering into agreements on unfavorable terms. Failure
to obtain additional capital on acceptable terms, or at all, would result in a material and adverse impact on our operations. Based on our operating plans, we expect that our current cash and cash equivalents as the date of this Report will
be sufficient to fund our operating, investing and financing cash flow needs for at least the next twelve months, assuming our programs
advance as currently contemplated. Based upon our review and our current financial condition, we have concluded that we will be able to
continue operating as a going concern.
Our
product candidates’The commercial viability of IAG or other product candidates remains subject to current and future preclinical studies, clinical trials (notably our
Phase III TIGeR-PaC study), regulatory approvals, and the risks generally inherent in the development of a pharmaceuticaldrug-device product candidate.
If we are unable to successfully advance or develop ourIAG or any other product candidate, our business will be materially harmed.
In
the near-term, failure to successfully advance the development of any of our product candidates may have a material adverse effect on
us. To date, we have not successfully developed or commercially marketed, distributed, or sold any drug or drug-device combination product candidate. The success of
our business depends in part upon our ability to successfully advance the development of our currentIAG and future product candidates through
preclinical studies and clinical trials (notably our Phase III TIGeR-PaC study with respect to IAG), have thesuch product candidates approved for sale by the
FDA or regulatory authorities in other countries, and ultimately have the product candidates successfully commercialized by us or a commercial
partner. We cannot assure you that the results of our ongoing preclinical studies or clinical trials (notably our Phase III TIGeR-PaC
study) will support or justify the continued development of our product candidates, or that we will receive regulatory approval from
the FDA, or similar regulatory authorities in other countries, to advance the development of our product candidates.
may not deem our product candidate to be safe and effective;
determines that the product candidate does not have an acceptable benefit-risk profile;
may not agree that the data collected from preclinical studies and clinical trials are acceptable or sufficient to support the submission of an NDA or other submission or to obtain regulatory approval, and may impose requirements for additional preclinical studies or clinical trials;
Management's Discussion & Analysis (MD&A)
New heading “Cost of Revenue”
New heading “Cost of Revenue”
New heading “Commercial Supply Agreement”
Removed heading “Transaction Costs Allocated to Common Stock Warrant Liability”
Removed heading “Transaction Costs Allocated to Warrant Liability (in thousands)”
Largest changes
“Further, on December 31, 2025, we received a letter from the Listing Qualifications Staff of the Nasdaq Stock Market, LLC (“Nasdaq”) indicating that we are not in compliance with the requirement to maintain a minimum bid price of $1.00 per share required for continued listing on Nasdaq. We have until the end of June 2026 to regain compliance with this requirement, which may be extended for 180 days. We may be required to effectuate a reverse stock split to regain compliance with the minimum bid price requirement, although this is not our desired course of action. …”see in full comparison
“The supply agreement has an initial three-year term, with an automatic one-year renewal unless either party provides written notice of termination at least 30 days prior to the expiration date. The supply agreement may be terminated by either party in the event of a force majeure, bankruptcy or insolvency of the other party, and uncured material breach. We may terminate the supply agreement if RenovoCath is withdrawn or suspended by a government authority. In addition, either party may terminate for convenience with one-year written notice. …”see in full comparison
Selling, general and administrative expenses were approximately $7.0 million for the year ended December 31, 2025 compared to approximately $5.0 million for the year ended December 31,see in full comparison20242024,comparedanto $5.7 million for the year ended December 31, 2023, a decreaseincrease of$0.7approximately $2.1 million. The period-over-perioddecreaseincrease in selling, general and administrative expenses was primarily attributable toaandecreaseincrease in professional services and other of $1.3 million, comprising of $0.2 million in consultingfeesservices adopting policies and controls to remediate the material weakness; including increases in audit services in relation to registration statements and other professional expenses of$0.5$0.4million,million; investor and public relations of $0.1 million; travel related expenses of $0.2 million; office and other expenses of $0.2 million; a decreasein directors and officers insuranceof$0.2 million, and a $0.1$0.4 millionincreasein the allocation of selling, general and administrative expenses to research anddevelopment.development, offset by a decrease in directors and officers insurance of $0.2 million. Personnel expenses for employees and benefits increased by$0.2$0.6million, which is primarilymillion due to an increase in employeeincentiveheadcompensation.count. Legal feesdecreasedincreased by $0.2 million for the year ended December 31,20242025 compared to the previous year.The decrease was primarily due to transitioning to a new firm to lower expenses.We anticipate selling, general and administrative expenses to increase next year as we progress with our commercialization activities for our RenovoCathdevice.delivery system, due primarily to increased hiring of sales and marketing personnel which is expected to continue.
“Transaction Costs Allocated to Warrant Liability (in thousands)”see in full comparison
“We are also evaluating our novel drug-device combination oncology product candidate (IA delivery of the FDA-approved chemotherapy gemcitabine via RenovoCath, which we call IAG) in our ongoing Phase III TIGeR-PaC trial. IAG is being evaluated by the Center for Drug Evaluation and Research (the drug division of the FDA) under a U.S. investigational new drug application that is regulated by the FDA’s 21 CFR 312 pathway. …”see in full comparison
Full comparison: every changed paragraph (75)
The
following discussion and analysis of our financial condition and results of operations for our fiscal year ended December 31, 20242025 should
be read in conjunction with theItem 1. Business and our financial statements and related notes thereto included in Part II, Item 8, “Financial Statements
and Supplementary Data,” ofincluded elsewhere in this Report.Annual Report on Form 10-K. All information presented herein is based on our fiscal year. Unless otherwise stated,
references to particular years, quarters, months or periods refer to our fiscal years ended December 31 and the associated quarters,
months and periods of those fiscal years.
Unless the context otherwise requires, all references in this section to the “Company,” “we,” “us,” or “our” refer to RenovoRx, Inc. As used herein, the term “common stock” refers to our common stock, par value $0.0001 per share.
We
are a life sciences company offeringdeveloping innovative targeted oncology therapies and commercializing RenovoCath®, a novel, U.S.FDA-cleared Food and Drug Administration (“FDA”)-cleared
local drug-delivery system,device, targeting high unmet medical needs,needs. withOur amission present focus on difficultis to treattransform cancers.the lives of cancer patients by providing innovative solutions to enable targeted delivery of therapeutic agents.
We
are both a clinical stage and a commercial stage enterprise. As described further below, our lead product candidate, novel drug-device
combination product (currently called “IAG”), is currently the subject of a Phase III clinical study for the treatment
of locally advanced pancreatic cancer (“LAPC”). At the same time, we are commercializing RenovoCath for standalone use by
interventional radiologists, oncologists and other medical professionals who can use RenovoCath to treat patients within its FDA-cleared
fields of use.
IAG
our RenovoCath device utilizeutilizes our patented Trans-Arterial Micro-Perfusion (‘TAMP™”) therapy platform, which
is designed tofor ensure precisetargeted therapeutic delivery across the arterial wall near the tumor site (known as intra-arterial , or IA delivery) to bathe the target tumor, while potentially
minimizing a therapy’s toxicities versus systemic intravenous therapy, Including traditional chemotherapy.therapy. Our novel approach to
targeted treatment offers the potential for increased safety, tolerance, and improved efficacy. Our mission is to transform the lives
of cancer patients by providing innovative solutions to enable targeted therapeutic delivery RenovoCath is indicated for temporary vessel
occlusion in applications including arteriography, preoperative occlusion, and chemotherapeutic drug infusion.
We are actively commercializing the Trans-Arterial Micro-Perfusion (TAMP™) therapy platform and RenovoCath as a stand-alone device within its FDA cleared fields of use. We are in the relatively early stages of commercializing RenovoCath in the United States, have received our first commercial purchase orders for RenovoCath devices in December 2024. For the year ended December 31, 2025, we generated revenue from RenovoCath sales, primarily from U.S. cancer centers that initiated repeat orders as well as new institutions adopting the device. In February 2026, we announced continued commercial progress, with 12 U.S. cancer centers utilizing the RenovoCath and 21 additional centers are evaluating the device, or have completed evaluation, or, are preparing for activation.
We are also evaluating our novel drug-device combination oncology product candidate (IA delivery of the FDA-approved chemotherapy gemcitabine via RenovoCath, which we call IAG) in our ongoing Phase III TIGeR-PaC trial. IAG is being evaluated by the Center for Drug Evaluation and Research (the drug division of the FDA) under a U.S. investigational new drug application that is regulated by the FDA’s 21 CFR 312 pathway. IAG utilizes RenovoCath, the Company’s patented, FDA-cleared drug-delivery device, indicated for temporary vessel occlusion in applications including arteriography, preoperative occlusion, and chemotherapeutic drug infusion.
Our IAG combination product candidate, which is enabled by the RenovoCath device, is currently under investigation and has not been approved for commercial sale. RenovoCath with gemcitabine received Orphan Drug Designation for pancreatic cancer and bile duct cancer, which provides seven years of market exclusivity upon new drug application approval by the FDA.
Beyond LAPC, we believe there are many clinical applications for RenovoCath to improve targeted delivery of therapeutic agents. These potential applications have shaped our market development efforts, including the launch of a cost-effective post-market registry study and support of investigator-initiated trials to generate additional data for both clinical and commercial advancement. We continue to expand these broader clinical programs through post-marketing registry studies in solid tumors and ongoing IITs in borderline resectable and metastatic pancreatic cancer, while also exploring physician interest in other areas. These registry and IIT studies are designed to be capital-efficient and cost-neutral, producing meaningful data that may further broaden the application of TAMP, alongside ongoing discussions with prospective customers and potential distribution partners.
For
the past several years, we have focused our efforts on progressing IAG through clinical trials. However, based on organic demand from
doctors in the field who have become familiar with our technology, in 2024, we made the decision to launch an effort to commercialize
our RenovoCath delivery system as a standalone device within its FDA cleared uses. Commenced in the field in late 2024, this commercial
effort has already begun to achieve positive results. To accommodate increased need for RenovoCath supply, we expanded our relationship
with our U.S.-based third-party RenovoCath manufacturer. In December 2024, we announced that over ten medical institutions had initiated
the process for RenovoCath purchase orders, and in February 2025, we announced additional purchase orders received from several esteemed,
high volume National Cancer Institute-designated centers and that utilization of RenovoCath devices by our initial customers led to repeat
purchase orders.
We have begun to generate and expect to grow revenue meaningfully from
the sale of our RenovoCath devices. Importantly, we believe our current commercial strategy can be accomplished without a material increase
in our capital expenditures, regardless of whether we self-commercialize or choose to partner with a larger organization with an existing
sales force. Following our late 2024 commercial launch, we generated a small amount (approximately $43,000) of initial revenues from RenovoCath
revenue in our fourth quarter ended December 31, 2024. We expect revenue to increase to the low six figure range for the first quarter ended
March 31, 2025 followed by sequential quarter over quarter increases in revenue during the remainder of 2025. Our goal will be to
continue revenue growth in the years to come. However, we are at the beginning of our RenovoCath commercialization efforts and have not had to recognize revenue
from our operations in the past. A primary goal from these efforts is to generate and recognize revenue from RenovoCath sales. However,
revenue recognition under generally accepted accounting principles requires subjective judgements to be made by our management and could
otherwise be complex and create uncertainties, including uncertainties arising from varying terms of sale we may offer to different customers.
We may also be required to defer recognition of revenues until certain conditions are met. See “Components of Our Results of
Operations – Revenue” below for further information.
Based on our internal assumptions, we believe
that our initial total U.S. addressable market based solely on the initial clinical interest we have received for RenovoCath could
represent an estimated $400 million peak annual U.S. sales opportunity. Our current assumptions regarding our initial addressable
market include: (i) pressure-mediated delivery catheters on the market today, which are analogous to RenovoCath, have an average
selling price of $6,500-$8,500 per unit; (ii) approximately 7,000 initial target patients at peak market penetration; and (iii) an
average of approximately 8 annual procedures per patient. Beyond this initial market, we believe there are expansion opportunities
across other indications that could create a several billion-dollar market potential for RenovoCath over time.
In
parallel to our RenovoCath commercialization efforts, we are completing enrolment in our ongoing pivotal Phase III randomized multi-center
clinical trial (called TIGeR-PaC) to investigate IAG for the treatment of LAPC. This trial is being conducted under a U.S. Investigational
New Drug (“IND”) application that is regulated by the FDA’s 21 CFR 312 pathway. IAG has received Orphan Drug Designation
for pancreatic cancer and bile duct cancer, which provides 7 years of market exclusivity upon approval by the FDA. We may also evaluate
RenovoCath with gemcitabine and other agents as a potential therapy in other indications.
We
have incurred significant operating losses and generated negative cash flows from operations since our inception. As of December 31,
2024, 2025, we had cash and cash equivalents of $7.2$7.0 million (although we raised an additional $10.9$10.0 million in netgross proceeds through a
public private placement offering completed in FebruaryMarch 20252026). We had net losses of $8.8$11.2 million and $10.2$8.8 million for the years ended December 31,
2024, 2025, and 2023,2024, respectively. As of December 31, 2024,2025, we had an accumulated deficit of $50.2$61.4 million. We expect to continue to
incur significant expenses,expenses operating losses and negative cash flows whileas we seek to grow our revenues from RenovoCath commercial
sales. sales, reduce cash burn, and advance toward the goal of achieving cash-flow breakeven operations. As we work to achieve these goals, we expect to continue to incur operating losses. We will not generate revenues from IAG sales unless and until we successfully complete development and obtain regulatory
approval for IAG or another product candidate. Given economic and market conditions and timing of regulatory approval, we expect that
our expenses willcould increase in connection with our ongoing research and development activities,increase, particularly if and when we decide
to:
Advance clinical development of IAG and our platform technology by continuing to enroll patients in our ongoing Phase III TIGeR-PaC clinical trial, expand our post marketing RR5 Study, and advance IAG through other preclinical and clinical pipeline indication opportunities beyond LAPC;
Make investments as necessary to expand our commercial sales operation for RenovoCath (including expenses related to salaries, bonuses and equity compensation);
Hire additional personnel as necessary beyond sales and marketing;
Pursue collaborations, licensing arrangements or other strategic or commercial activities relating to our product candidates or technology;
Maintain, expand, enforce, defend, and protect our intellectual property portfolio; and Expand our operational, financial and management systems.
In
addition to the variables described above, if and when IAG or any of our product candidates successfully complete development,development and FDA approval, we will incur
substantial additional costs associated with establishing a sales, marketing, medical affairs and distribution infrastructure and incur other expense needed to commercialize
products forIAG as its own product, which wewill may obtain marketing approval, regulatory filings, marketing approval, and post-marketing requirements,be in addition
to otherthe commercialcosts costs.incurred and to be incurred in commercializing RenovoCath as a standalone device. We cannot reasonably estimate these costs at this time.time as we will not even achieve final results from our Phase III TIGeR-PaC clinical trial for IAG until 2027.
Due
to our recurring operating losses and the expectation that we will continue to incur net losses in the future, even after taking into account the $10.0 million in gross proceeds we received from our recent March 2026 private placement (the “March 2026 Private Placement”), we will likely be
required to raise additional capital to complete the development of IAG (or any other product candidates) and expand commercialization of RenovoCath and any of our product
candidates.RenovoCath. We have historically financed our operations primarily through private and public sales of our equity (including warrants to purchase common stock). To raise
additional capital, we may seek to sell additional equity and/or debt securities, obtain a credit facility or other loan or enter
into collaborations, licenses or other similar arrangements, which we may not be able to do on favorable terms, or at
all.
Our
financial statements as of December 31, 20242025 have been prepared on a going concern basis and do not include any adjustments that may
result from the outcome of this uncertainty. Based on our operating plans, we expect that our current cash and cash equivalents as of
the date of this Report (after taking into account the March 2026 Private Placement) will be sufficient to fund our operating, investing and financing cash flow needs throughfor at least the firstnext half12 months from the date of 2026,issuance of the report, assuming our programs advance as currently contemplated.
As
aHowever, result, we will likely require significant additional funding to support our continuing operations. Untiluntil such time, if ever, as
we can generate substantial product revenue,revenue and generate positive cash flows, there is a risk that we expectmay need to again finance our cash needs through private or public equity financings, debt
financings and collaborations, licenses or other similar arrangements. We currently have no credit facility or committed sources of
capital. capital other than our “at-the-market” offering program through Jones Trading as sales agent (however, pursuant to the terms of the March 2026 Private Placement, we are prohibited from using such offering program 275 days from the effectiveness of the registration statement registering the securities issued in the March 2026 Private Placement). To the extent that we raise additional capital through the future sale of equity or debt, the ownership interests of our
stockholders will be diluted and the terms of these securities may include liquidation or other preferences that adversely affect
the rights of our existing common stockholders. If we raise additional funds through the issuance of debt securities, these
securities could contain covenants that would restrict our operations. We may require additional capital beyond our currently
anticipated amounts and additional capital may not be available on reasonable terms, or at all. If we raise additional funds through
collaboration arrangements or other strategic transactions in the future, we may have to relinquish valuable rights to our
technologies or future revenue streams or grant licenses on terms that may not be favorable to us. If we are unable to raise
additional funds through private or public equity financings or debt financings when needed, we may be required to delay, limit,
reduce or terminate development or future commercialization efforts, and we may be unable to continue as a going concern. If we are
unable to continue as a going concern, we might have to liquidate our assets and the value we receive for our assets in liquidation
or dissolution could be significantly lower than the values reflected in our financial statements, and our shareholders may lose
their entire investment in our common stock.
Further, on December 31, 2025, we received a letter from the Listing Qualifications Staff of the Nasdaq Stock Market, LLC (“Nasdaq”) indicating that we are not in compliance with the requirement to maintain a minimum bid price of $1.00 per share required for continued listing on Nasdaq. We have until the end of June 2026 to regain compliance with this requirement, which may be extended for 180 days. We may be required to effectuate a reverse stock split to regain compliance with the minimum bid price requirement, although this is not our desired course of action. If we do not regain compliance and continue to not meet such requirement or any other continued listing requirements of Nasdaq, our common stock may be delisted, which could affect the market price and liquidity for our common stock and reduce our ability to raise additional capital and otherwise properly function as a public company.
In the fourth quarter of 2024, we began to derive revenue through the sale of our RenovoCath device on a standalone basis directly
to end users (i.e., hospitals and cancer treatment centers)., and revenue generation from such activity continued for the entire year ended December 31, 2025. We consider customer purchase orders, which in some cases are
governed by master sales agreements or standard terms and conditions, to be the contracts with a customer. Our contracts with
customers typically contain a single performance obligation, which is the delivery of the RenovoCath device. We
recognize revenue from sales of products at the point in time that the customer obtains control, which is typically based upon the
terms of delivery. In determining the transaction price, we evaluate whether the price is subject to refund or adjustment to
determine the net consideration to which it expects to be entitled. The only type of variable consideration we offer is limited
return rights relating primarily to product damage or defects identified upon receipt, and therefore we expect minimal returns.
Returns are estimated taking into consideration several factors including these limited product return rights, historical return
activity, and other relevant factors. We have not experienced any product returns to date, and accordingly no allowance for returns
was recorded for the year ended December 31, 2024.2025.
Cost of Revenue
Cost of revenue consists of costs associated with the sales of RenovoCath devices primarily from Medical Murray, Inc. our third-party RenovoCath manufacturer. Prior to the commercialization of RenovoCath, all costs of manufacturing to produce the RenovoCath devices were allocated to our TIGeR-PaC Phase III clinical trial study in prior periods and expensed as research and development. The cost for RenovoCath devices not associated with the TIGeR-PaC study represents primarily third-party manufacturing costs and shipping and handling costs when applicable.
Research
and development expenses consist of costs related to the research and development of our platformTAMP technology.technology and our ongoing clinical trial. Clinical trial costs
are a significant component of research and development expenses and include costs associated with third-party contractors and
consultants. We outsource a substantial portion of our clinical trial activities, utilizinghaving utilized the serviceservices of third-party clinical
trial sites and contract research organizations to assist us with the execution of our clinical trials. In addition, we have FDA
510(k) clearance for the RenovoCath delivery device, which comprises part of our IAG product candidate. Accordingly, we are able to charge
our clinical trial sites for the RenovoCath delivery device. To date, payments from clinical trial sites in consideration for
RenovoCath delivery devices have been adequate to cover our direct manufacturing costs. Any payments we receive from clinical trial
sites as consideration for use of RenovoCath delivery devices offset our research and development expenses. We expect our research
and development expenses to increase for the foreseeable future as we continue the development of our product candidates and enroll
subjects in our ongoing Phase III clinical trial, initiate other new clinical trialstrials, post marketing RR5 study, and pursue regulatory approval of our product
candidates. It is difficult to predict with any certainty the duration and costs of completing our current or future clinical trials
of our product candidates or if, when or to what extent we will achieve regulatory approval and generate revenue from the
commercialization and sale of our product candidates. The duration, costs and timing of clinical trials and other development of our
product candidates will depend on a variety of factors, including uncertainties in clinical trial enrollment, timing and extent of
future clinical trials, development of new product candidates and significant and changing government regulation. We may never
succeed in achieving regulatory approval for any of our product candidates.
expenses incurred under agreements with clinical trial sites, contract research organizations, and consultants that are involved in conducting our clinical trials;
costs of acquiring and developing clinical trial materials;
personnel costs, including salaries, benefits, bonuses, and stock-based compensation for employees engaged in preclinical and clinical research and development;
costs related to compliance with regulatory requirements;
third-party vendor costs related to manufacturing materials and testing to develop the next generation of our delivery device, RenovoCath, including additional non-recurring engineering costs;
costs related to preclinical studies and pilot testing;
travel expenses; and allocated selling, general and administrative expenses which includes facilities and other indirect administrative expenses including employee-related overhead expenses as salaries, stock-based compensation and travel to support research and development activities.
Research
and development costs are expensed as incurred. Costs for certain development activities, such as clinical trials and preclinicalanimal studies,
are recognized based on evaluation of progress to completion of specific tasks using data such as subject enrollment, clinical site activations
or information provided to us by third party vendors.
Other
Income (Expenses),Income, Net
Interest
Income (Expense)Income, Net
Change
in fair value of warrant liability represents the gain or loss reported from the change in the fair value of the common stock
warrant liability for warrants issued under the registered direct offering. On April 3, 2023, we completed a registered direct
offering financing issuing common shares and common stock warrants. The fair value of the common stock warrant per share was $0.78
$0.31 and $1.69$0.78 on December 31, 20242025 and 2023,2024, respectively. The decrease in the fair value was primarily due to the decrease in our stock
price. price combined with a shorter number of years remaining to the warrant expiration date,
Transaction
Costs Allocated to Common Stock Warrant Liability
Direct
offering costs incurred on our registered direct financing consist principally of agency placement fees, legal and other professional
expenses.
Revenue
We recognized approximately $1.1 million of revenue from sales of RenovoCath for the year ended December 31, 2025, compared to $43,000 for the same period in 2024. Fiscal year 2025 marked our first full year of revenue generation from RenovoCath sales. Our commercialization efforts were new to our operations in 2025 and were handled by limited staff, with limited number of patients impacted revenue at this stage. We expect to grow revenue from RenovoCath over time as we expand our commercial efforts on the number of customers and patients.
Cost of Revenue
Cost of revenue was approximately $0.3 million for the year ended December 31, 2025, compared to no cost of revenue for the same period in 2024. Cost of revenue consists of costs associated with the sales of RenovoCath devices primarily from Medical Murray, our third-party manufacturer. The cost of revenue for our TIGeR-PaC clinical trial study is expensed as research and development expense and was approximately $166,000 and $25,000 for the year ended December 31, 2025 and 2024, respectively. The cost for devices not associated with the TIGeR-PaC study represents the total costs to manufacture the device based on time and materials to produce the devices from Medical Murray including costs for devices under the commercial supply agreement.
Research and development expenses
were approximately $6.3 million for the year ended December 31, 2025 compared to approximately $6.0 million for the year ended December 31, 2024 compared to $5.7 million for the year ended December 31, 2023,2024, an increase of
approximately $0.3 million. The period-over-period increase in research and development expenses is primarily driven by $0.3 millionan increase in
manufacturing and non-recurring engineering costs to scale manufacturing to supportfor the commercialdevelopment effortof onthe next generation of our RenovoCath delivery
system. Clinicalsystem of $0.5 million and other research and development expensescosts, decreasedprimarily animal studies, of $0.1 million. This increase was offset by $0.2 million, which includes a decrease in professionalselling, and
consulting feesgeneral and administrative expenses allocated to research and development of approximately $0.4 million. Clinical development increased $0.2 million from the same period in 2024 due to costs associated with our ongoing Phase III clinical trial study TIGeR-PaC and costs for our RR5 Registry study. Personnel expenses for employees and benefits increased by $0.3$0.1 million,
which is primarily due to an increase in employeethe incentive compensationnumber of $0.2 million.employees. Regulatory expenseexpenses decreasedremained byrelatively $0.1
millionunchanged primarily due tofrom the reductionsame inperiod consultinglast expenses.year. Cash payments made for use of RenovoCath delivery devices used in our
Phase III clinical trial wereincrease relatively$0.2 flat for the year ended December 31, 2024million compared to the previous year. Payments received
from clinical trial sites for the devices have been adequate to cover our direct costs of manufacturing the RenovoCath delivery
devices and to offset research and development expenses. We expectanticipate research and development expenses to increase duringnext 2025year as we
continue advance our commercializationclinical activitiesdevelopment forof IAG and develop our next generation of RenovoCath device and progress our Phase III TIGeR-PaC clinical trial study for
IAG.device.
Selling,
general and administrative expenses were approximately $7.0 million for the year ended December 31, 2025 compared to approximately $5.0 million for the year ended December 31, 20242024, comparedan to $5.7 million for the year
ended December 31, 2023, a decreaseincrease of $0.7approximately $2.1 million. The period-over-period decreaseincrease in selling, general and administrative expenses
was primarily attributable to aan decreaseincrease in professional services and other of $1.3 million, comprising of $0.2 million in consulting feesservices adopting policies and controls to remediate the material weakness; including increases in audit services in relation to registration statements and other professional expenses of $0.5$0.4 million,million; investor and public relations of $0.1 million; travel related expenses of $0.2 million; office and other expenses of $0.2 million; a decrease in directors and officers
insurance of $0.2 million, and a $0.1$0.4 million increase in the allocation of selling, general and administrative expenses to
research and development.development, offset by a decrease in directors and officers insurance of $0.2 million. Personnel expenses for employees and benefits increased by $0.2$0.6 million, which is primarilymillion due to an
increase in employee incentivehead compensation.count. Legal fees decreasedincreased by $0.2 million for the year ended December 31, 20242025 compared to
the previous year. The decrease was primarily due to transitioning to a new firm to lower expenses. We anticipate selling, general
and administrative expenses to increase next year as we progress with our commercialization activities for our RenovoCath
device. delivery system, due primarily to increased hiring of sales and marketing personnel which is expected to continue.
Interest
(Expense) Income, Net (in thousands)
Interest
income was approximately $0.4 million and $0.1 million for the years ended December 31, 20242025 and 2024, respectively.2024. Interest income represents income
earned on excess operating cash invested in short-term U.S. Treasury bills. The increase of $0.3 million in interest income was due to
an increase in our average cash balance held in U.S. Treasury bills primarily from the closing of two financings in early 2024.
The
change in fair value of common stock warrant liability was $1.8approximately $0.9 million and $1.7$1.8 million for the years ended December 31, 20242025 and
2023, 2024, respectively. The increasedecrease ofin $0.1the millionfair value was primarily due to the fairdecrease value of the common stock warrant due to a decrease
in our common stock price duringcombined with a shorter number of years remaining to the period.warrant expiration date.
Transaction
Costs Allocated to Warrant Liability (in thousands)
Transaction
costs allocated to the common stock warrants from the Registered Direct Offering (“RDO”) were $0.7 million for the
period ended December 31, 2023.
From
our inception through December 31, 2024,2025, we havehad raised an aggregate of $59.2$71.4 million, primarily from private placements of
convertible preferred stock, convertible debt securities, the issuance of securities in public and private placement offerings and
the exercise of common stock warrants and common stock options. After deducting underwriting discounts and commissions, placement
agent fees and other offering expenses, our net proceeds from these offerings were $53.5$64.3 million. As of December 31, 2024,2025, the
Company had cash and cash equivalents of $7.2$7.0 million (although we raised an additional $10.9$10.0 million in netgross proceeds through a
publicthe offeringMarch completed2026 inPrivate February 2025Placement). As used herein, the term “common stock” refers to the Company’s
common stock, par value $0.0001 per share.
On
November 10,14, 2022,2025, we filed an omnibusa shelf registration statement on Form S-3 that provides for the aggregate offerings of up to $50.0 million
of our securities subject to various limitations, including limited sales in any twelve-month period while the Company is subject to
the “baby-shelf” rules. On February 10, 2025, we closed a public offering subject to the baby-shelf limitations rules and
raised an aggregate of $12.1 million (see “Note 14. Subsequent Events” in notes to the accompanying financial statements).
As a result of such offering, we presently have very little capacity under such omnibus shelf registration statement.
We
also previously filed a registration statement on Form S-1 to register the cash exercise of our outstanding warrants from our initial
public offering including underwriter and certain private warrants. Cash exercise of these outstanding warrants is only expected to occur
(if at all) when the trading price of the common stock is in excess of the $10.80 per share exercise price of such outstanding warrants.
On
April 3, 2023, we completed a registered direct offering (“RDO”) utilizing our omnibus shelf registration statement for
the purchase and sale of 1,557,632 shares of common stock (or pre-funded common stock warrants) to a certain institutional
investor. In a concurrent private placement, we issued to the investor unregistered common stock warrants to purchase up
to 1,947,040 shares of common stock (the “April 2023 Warrant”). The aggregate gross proceeds from this
offer were $5.0 million, and the net offering proceeds were $4.3 million after deducting placement agent fees and
placement agent’s expenses of $0.4 million and other professional expenses of $0.3 million.
On
January 26, 2024, we completed a private placement to 92 accredited investors with gross proceeds of $6.1 million
before deducting placement agent fees and other offering expenses of approximately $0.7 million. In this private placement, we
issued 6,133,414 shares of common stock and common stock warrants to purchase up to an aggregate of 6,133,414 shares of
common stock, which expire five years on January 26, 2029. In connection with such private placement, we entered into a
placement agent agreement as additional compensation to the placement agent, and issued common stock warrants to purchase up to an
aggregate of 511,940 shares of common stock (the “January 2024 PA Warrants”),stock, which warrants expire five
years from the issuance date. The significant majority of the warrants issued in this private placement have an exercise price
of $0.99 per share. The warrants purchased by our directors, officers, employees and consultants in this private
placement have an exercise price of $1.22 per share.
On April 11, 2024, we completed another private placement offering to 172 accredited investors, issuing common stock, pre-funded warrants, Series A warrants, and Series B warrants. The aggregate gross proceeds from this offering were $11.1 million, and the net offering proceeds were $9.6 million after deducting placement agent fees of $1.3 million and other professional expenses of $0.2 million. In conjunction with the issuance of 6,960,864 shares of common stock, we bundled the offering with: (i) a pre-funded warrant exercisable for 951,500 shares of common stock at an exercise price of $0.0001 per share, with an unlimited term and immediate exercisability upon issuance, subject to specific beneficial ownership limitations; (ii) Series A warrants exercisable for 7,912,364 shares of common stock at $1.22 per share, valid for 5 years and immediately exercisable subject to customary adjustments and beneficial ownership limitations; and (iii) Series B warrants exercisable for 3,956,182 shares of common stock at $1.22 per share, valid for 2 years and immediately exercisable subject to customary adjustments and beneficial ownership limitations. We have the right to call the Series B warrants under certain conditions. Additionally, as compensation to the placement agent, we issued warrants on the same date to purchase up to an aggregate of 701,243 shares of common stock (the “April 2024 PA Warrants”) at $1.69 per share over a 5-year term, with provisions for cashless exercise if the shares are unregistered or no current prospectus is available for resale. The April 2024 PA Warrants become exercisable on October 11, 2024, subject to specific beneficial ownership limitations and customary adjustments.
On February 10, 2025, we completed an underwriting offering to investors pursuant to our shelf registration while subject to the baby-shelf rules. The aggregate gross proceeds from the offering were $12.1 million after deducting underwriter's fees and other professional expenses of $1.3 million. In connection with the offering, we sold to investors and aggregate of 11,523,810 shares of common stock and we issued 576,191 common warrants, as partial compensation for the underwriter's services, expiring five years from the closing date.
On March 20, 2026, we closed on a private placement offering to 15 accredited investors and 5 insider investors and issued 8,438,790 shares of common stock, 2,200,00 pre-funded warrants, and 5,319,392 revenue milestone warrants, representing 50% warrant coverage. The revenue milestone warrants have an exercise price equal to two times (2x) the purchase price paid for the shares of common stock in the offer, and they expire on the earlier of: (i) 30 days of our reporting $1.5 million in gross product sales in any fiscal quarter and (ii) January 30, 2029. We raised an aggregate gross proceeds of $10.0 million in this financing, before deducting placement agent fees and other legal and professional fees of approximately $0.7 million.
What changed in the latest 10-Q
Risk Factors
Largest changes
We will continue to monitor the closing bid price of our common stock and seek to regain compliance with all applicable Nasdaq requirements within the allotted compliance periods and may, if appropriate, consider available options, including implementation of a reverse stock split, to regain compliance with the Minimum Bid Price Requirement or the Low Priced Stocks Rule, as applicable. A reverse stock split, would require approval of our stockholders, which may not be obtained, and ifsee in full comparisonimplemented,we are unable to otherwise regain compliance with the Minimum Bid Price Requirement, we will be subject to delisting from Nasdaq as described above. Even if we are able to implement, such split could have a material adverse effect on our stock price andvaluation.valuation, including as public stock prices often decrease following the occurrence of a reverse stock split.
Pursuant to Nasdaq Listing Rule 5810(c)(3)(A), wesee in full comparisonhavewere initially provided 180 calendardaysdays,fromorreceiptuntilofJune 30, 2026, to regain compliance. On July 1, 2026, we received anoticenotification letter from Nasdaq(theinforming“ComplianceusPeriod”),that,towhileregainwe have not yet regained compliance with the Minimum Bid PriceRequirement.Requirement, Nasdaq has determined that we are eligible for an additional 180 calendar day period, or until December 28, 2026 (the “Second Compliance Period”), to regain compliance. If at any time during the Second Compliance Period, the bid price of our common stock closes at or above $1.00 per share for a minimum of ten consecutive business days, Nasdaq will provide us with written confirmation of compliance with the Minimum Bid Price Requirement and the matter will be closed. In the event we do not regain compliance with the Minimum Bid Price Requirement by the end of the Compliance Period,we may be eligible for an additional 180-calendar day grace period. Pursuant to Nasdaq Listing Rule 5810(3)(A)(iii), if during any compliance period specified in Nasdaq Listing Rule 5810(c)(3)(A), a company’s security has a closing bid price of $0.10 or less for ten consecutive trading days,the Listing Qualifications Department of Nasdaq will issue a Staff Delisting Determination under Nasdaq Listing Rule 5810 with respect to that security (the “Low Priced Stocks Rule”). If a company receives such delisting notice, the company can request a hearing before a Nasdaq hearings panel (the “Panel”). If our common stock closes at or below $0.10 for ten consecutive days during the Second CompliancePeriod or any additional compliance period,Period, we could receive a Staff Delisting Determination during the Second Compliance Periodor any additional compliance periodor, if we receive such Staff Delisting Determination, Nasdaq may not grant our request for a hearing, or if Nasdaq grants our request for a hearing, the Panel may not grant our request for continued listing of our common stock on The Nasdaq Capital Market pending our compliance with all applicable listing criteria, including the Minimum Bid Price Requirement, or we may be unable to timely satisfy the terms of any extension that may be granted by the Panel.
Full comparison: every changed paragraph (4)
Our estimates of totalour serviceable addressable market,market (SAM), potential revenues and similar metrics related to our commercialization efforts for RenovoCath may prove inaccurate, particularly given that our commercialization efforts are relatively new and are evolving.
We are not currently in compliance with the “minimum bid price” continued listing requirement for The Nasdaq Stock Market. If we do not regain compliance by the end of 2026 and continue to meet the such requirement or any other continued listing requirements, our common stock may be delisted, which could affect the market price and liquidity for our common stock and reduce our ability to raise additional capital and otherwise properly function as a public company.
Pursuant to Nasdaq Listing Rule 5810(c)(3)(A), we havewere initially provided 180 calendar daysdays, fromor receiptuntil ofJune 30, 2026, to regain compliance. On July 1, 2026, we received a noticenotification letter from Nasdaq (theinforming “Complianceus Period”),that, towhile regainwe have not yet regained compliance with the Minimum Bid Price Requirement.Requirement, Nasdaq has determined that we are eligible for an additional 180 calendar day period, or until December 28, 2026 (the “Second Compliance Period”), to regain compliance. If at any time during the Second Compliance Period, the bid price of our common stock closes at or above $1.00 per share for a minimum of ten consecutive business days, Nasdaq will provide us with written confirmation of compliance with the Minimum Bid Price Requirement and the matter will be closed. In the event we do not regain compliance with the Minimum Bid Price Requirement by the end of the Compliance Period, we may be eligible for an additional 180-calendar day grace period. Pursuant to Nasdaq Listing Rule 5810(3)(A)(iii), if during any compliance period specified in Nasdaq Listing Rule 5810(c)(3)(A), a company’s security has a closing bid price of $0.10 or less for ten consecutive trading days, the Listing Qualifications Department of Nasdaq will issue a Staff Delisting Determination under Nasdaq Listing Rule 5810 with respect to that security (the “Low Priced Stocks Rule”). If a company receives such delisting notice, the company can request a hearing before a Nasdaq hearings panel (the “Panel”). If our common stock closes at or below $0.10 for ten consecutive days during the Second Compliance Period or any additional compliance period,Period, we could receive a Staff Delisting Determination during the Second Compliance Period or any additional compliance period or, if we receive such Staff Delisting Determination, Nasdaq may not grant our request for a hearing, or if Nasdaq grants our request for a hearing, the Panel may not grant our request for continued listing of our common stock on The Nasdaq Capital Market pending our compliance with all applicable listing criteria, including the Minimum Bid Price Requirement, or we may be unable to timely satisfy the terms of any extension that may be granted by the Panel.
We will continue to monitor the closing bid price of our common stock and seek to regain compliance with all applicable Nasdaq requirements within the allotted compliance periods and may, if appropriate, consider available options, including implementation of a reverse stock split, to regain compliance with the Minimum Bid Price Requirement or the Low Priced Stocks Rule, as applicable. A reverse stock split, would require approval of our stockholders, which may not be obtained, and if implemented,we are unable to otherwise regain compliance with the Minimum Bid Price Requirement, we will be subject to delisting from Nasdaq as described above. Even if we are able to implement, such split could have a material adverse effect on our stock price and valuation.valuation, including as public stock prices often decrease following the occurrence of a reverse stock split.
Management's Discussion & Analysis (MD&A)
New heading “Unless the context otherwise requires, all references in this section to the “Company,” “we,” “us,” or “our” refer to RenovoRx, Inc”
New heading “Comparison of the Six Months Ended June 30, 2026 and 2025”
New heading “Cost of Revenue”
New heading “Research and Development”
New heading “Selling, General and Administrative”
New heading “Other Income (Expense), Net”
Largest changes
“Unless the context otherwise requires, all references in this section to the “Company,” “we,” “us,” or “our” refer to RenovoRx, Inc”see in full comparison
“We are actively commercializing the TAMP therapy platform and RenovoCath as a stand-alone device. In its first full year of commercial efforts, we generated approximately $1.1 million in RenovoCath sales. We saw further acceleration in the commercial rollout of RenovoCath during the first quarter of 2026, achieving our strongest quarterly revenue performance to date. Revenue totaled $563,000 for the quarter, representing a 136% quarter-over-quarter increase compared to the fourth quarter of 2025 and totaling more than 50% of our total revenue generated in 2025. …”see in full comparison
“Until 2025, we primarily focused our efforts on progressing our novel drug-device combination oncology product candidate, intra-arterial gemcitabine (known as "IAG") delivered via RenovoCath, through our ongoing Phase III TIGeR-PaC study for locally advanced pancreatic cancer ("LAPC"). IAG is currently under investigation and has not been approved for commercial sale. IAG received Orphan Drug Designation ("ODD") for pancreatic cancer and bile duct cancer, which provides seven years of market exclusivity upon new drug application approval by the FDA. …”see in full comparison
“We are also evaluating our novel drug-device combination oncology product candidate (intra-arterial gemcitabine delivered via RenovoCath, known as "IAG") in the ongoing Phase III TIGeR-PaC trial. IAG is being evaluated by the Center for Drug Evaluation and Research (the drug division of the FDA) under a U.S. investigational new drug application that is regulated by the FDA’s 21 CFR 312 pathway. IAG utilizes RenovoCath indicated for temporary vessel occlusion in applications including arteriography, preoperative occlusion, and chemotherapeutic drug infusion.”see in full comparison
Full comparison: every changed paragraph (94)
Unless the context otherwise requires, all references in this section to the “Company,” “we,” “us,” or “our” refer to RenovoRx, Inc. You should read the following discussion and analysis of our financial condition and results of operations in conjunction with our unaudited condensed interim condensed financial statements and related notes included elsewhere in this Quarterly Report on Form 10-Q, our management’s discussion and analysis of financial condition and results of operations for the year ended December 31, 2025, which is included in our 2025 Annual Report on Form 10-K.10-K, as amended.
This discussion contains forward-looking statements within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act that reflect our plans, estimates, and beliefs that involve risks and uncertainties, including those described in the section of this Report titled “Cautionary Note Regarding Forward-Looking Statements.” Our actual results and the timing of selected events could differ materially from those discussed below. Factors that could cause or contribute to such differences include, but are not limited to, those identified below and those set forth under the section titled “Risk Factors” included elsewhere in this Reportfiling and in the 2025 Annual Report.
Unless the context otherwise requires, all references in this section to the “Company,” “we,” “us,” or “our” refer to RenovoRx, Inc
Our patented Trans-Arterial Micro-Perfusion (TAMP™) therapyplatform, platformutilizing RenovoCath, is designed for targeted therapeutic delivery across the arterial wall near the tumor site to bathe the target tumor locally, while potentially minimizing a therapy’s toxicities versus systemic intravenous chemotherapy. RenovoRx’sOur novel approach to targeted treatmentdrug-delivery offers the potential for increasedimproved efficacy, safety, tolerance, and improved efficacy,tolerability, and our mission is to transform the lives of cancer patients by providing innovative solutions to enable targeted delivery of therapeutic agents. We hold a strong and growing global intellectual property portfolio with 19 issued or allowed patents and 14 published and pending patents covering our TAMP therapy platform and RenovoCath.
We hold a strong and growing global intellectual property portfolio. As of June 30, 2026, we had 19 issued patents (9 US, 10 OUS), 1 allowed (US) patent and 14 published and pending patents (5 US, 7 OUS and 2 PCT) covering our TAMP platform and RenovoCath.
We are actively commercializing the TAMP therapy platform and RenovoCath as a stand-alone device. In its first full year of commercial efforts, we generated approximately $1.1 million in RenovoCath sales. We saw further acceleration in the commercial rollout of RenovoCath during the first quarter of 2026, achieving our strongest quarterly revenue performance to date. Revenue totaled $563,000 for the quarter, representing a 136% quarter-over-quarter increase compared to the fourth quarter of 2025 and totaling more than 50% of our total revenue generated in 2025. This significant growth reflects continued expansion of active commercial cancer centers and increasing procedural utilization of RenovoCath across our installed base. We define "active" commercial cancer centers as centers where doctors are actively treating patients with RenovoCath.
Our commercial model remains centered on active cancer center expansion, with additional centers driving increased procedures and revenue growth. We began 2025 with 5 active commercial cancer centers, and by end of the year, we had grown to 8. As of May 6, 2026, we had 16 active centers. We are also advancing a robust pipeline of 32 additional centers in various stages of evaluation, approval, and onboarding, representing a significant expansion of our near-term commercial footprint. In total, these 48 centers have approximately quadrupled our near-term commercial sales pipeline compared to the first quarter of 2025, reflecting the rapid expansion of our commercial footprint year-over-year. Up to 15 TIGeR-PaC Phase III clinical trial sites that have previously utilized RenovoCath are expected to continue transitioning to commercial clinical use following completion of trial enrollment. These anticipated conversions represent a meaningful opportunity to drive incremental revenue growth in the second half of 2026. We continue to target 36 active commercial cancer centers by year-end 2026.
We continue to observe organic repeat ordering behavior from existing customers, which we view as a key indicator of physician satisfaction and clinical utility. As physicians incorporate RenovoCath into routine clinical practice, repeat utilization is expected to drive sustained and compounding revenue growth. The combination of record quarterly revenue, rapid active cancer center expansion, and strong repeat ordering behavior demonstrates accelerating commercial momentum and supports the long-term opportunity for RenovoCath as both a standalone device and a foundational platform for future drug-device combination therapies.
We continue to estimate that the initial total addressable market (TAM) for RenovoCath as a stand-alone device represents an approximately $400 million peak annual U.S. sales opportunity, with long-term, several-billion-dollar potential as the platform expands into additional solid tumor indications.
We are also evaluating our novel drug-device combination oncology product candidate (intra-arterial gemcitabine delivered via RenovoCath, known as "IAG") in the ongoing Phase III TIGeR-PaC trial. IAG is being evaluated by the Center for Drug Evaluation and Research (the drug division of the FDA) under a U.S. investigational new drug application that is regulated by the FDA’s 21 CFR 312 pathway. IAG utilizes RenovoCath indicated for temporary vessel occlusion in applications including arteriography, preoperative occlusion, and chemotherapeutic drug infusion.
The IAG combination product candidate, which is enabled by the RenovoCath device, is currently under investigation and has not been approved for commercial sale. RenovoCath used with the approved chemotherapy gemcitabine received Orphan Drug Designation for pancreatic cancer and bile duct cancer, which provides seven years of market exclusivity upon new drug application approval by the FDA.
Advancement of the ongoing Phase III TIGeR-PaC clinical trial evaluating intra-arterial delivery of gemcitabine (IAG) via the RenovoCath device for the treatment of locally advanced pancreatic cancer (LAPC) continued in the first quarter of 2026. Based on current projection we expect to send notification of closure of enrollment in the trial in the beginning of June, completing our milestone of finishing trial enrollment by the end of June 2026. As of May 14, 2026, 106 patients had been randomized in the trial, representing approximately 93% of the required 114 patients, and currently there are 12 enrolled patients in induction, which gives rise to the expectation that enrollment will be closed by the end of June. Seventy-four events (i.e., patient deaths) have been observed of the 86 events required to trigger the final analysis. We continue to anticipate final data in mid to late 2027.
During the first quarter of 2026, we continued to execute on key operational priorities for TIGeR-PaC, including patient enrollment, site engagement, and maintaining protocol adherence across our clinical network. These efforts build on the successful completion of the second interim analysis in 2025, after which the independent Data Monitoring Committee recommended continuation of the trial without modification. In alignment with standard clinical trial practices and to preserve trial integrity, we elected to defer publication of interim data until study completion.
We expect that TIGeR-PaC trial sites will continue transitioning to commercial use following completion of enrollment, representing a meaningful potential driver of revenue growth in the second half of 2026. We continue to view the TIGeR-PaC trial as an important long-term value driver, while emphasizing that our current commercial strategy is independent of the trial’s ultimate outcome and timeline.
We continue to advance broader clinical programs by generating new data through our continued support of investigator-initiated trials (IIT) in borderline resectable and metastatic pancreatic cancer, use of other agents beyond gemcitabine (the chemotherapy being used in TIGeR-PaC), and use of TAMP in other solid tumors. Registry and IIT studies are capital-efficient studies providing meaningful data that may further broaden the application for the TAMP therapy platform which is enabled by RenovoCath.
Until 2025, we primarily focused our efforts on progressing our novel drug-device combination oncology product candidate, intra-arterial gemcitabine (known as "IAG") delivered via RenovoCath, through our ongoing Phase III TIGeR-PaC study for locally advanced pancreatic cancer ("LAPC"). IAG is currently under investigation and has not been approved for commercial sale. IAG received Orphan Drug Designation ("ODD") for pancreatic cancer and bile duct cancer, which provides seven years of market exclusivity upon new drug application approval by the FDA. In the second quarter of 2026, we were granted an additional ODD for oxaliplatin for the treatment of pancreatic cancer.
UntilAs 2025, we focused our efforts primarily on progressing IAG through our ongoing Phase IIIthe TIGeR-PaC study forprogressed, LAPC.we The clinical efforts led toreceived unsolicited (and subsequently solicited) feedback from oncologists, surgeons, and interventional radiologists regardinghighlighting strong interest in our technology, indicating a demand and commercial opportunity for targeted delivery of diagnostic and/or therapeutic agents. As a result, during the first half of 2024, we began to actively explore a new opportunity to market and sell RenovoCath as a standalone medical device. We launched this effort with relatively little capital outlay, and in December 2024, we announced the receipt of our first commercial purchase orders for RenovoCath devices with overmore than ten medical institutions initiating the purchasepurchasing process, while in discussions with more than twenty otheradditional institutions.
We are actively commercializing the TAMP therapy platform and RenovoCath as a stand-alone device. In 2025, our first full year of commercial efforts, we generated approximately $1.1 million in RenovoCath sales.sales with effectively zero sales and marketing infrastructure for the majority of the year. In the second quarter of 2026, we delivered record revenue and executed on all three of the milestones we set for the business: revenue growth, commercial momentum, and expansion beyond locally advanced pancreatic cancer (LAPC). We sawgenerated furtherrecord acceleration in the commercial rolloutrevenue of RenovoCath$909,000, duringan increase of approximately 61% compared to the first quarter of 2026,2026 achievingand ourapproximately strongest quarterly revenue performance to date. Revenue totaled $563,000 for the quarter, representing a 136% quarter-over-quarter increase115% compared to the fourthsecond quarter of 20252025. andOur totalingstrong morefirst thanhalf 50%performance ofgives us confidence that our totalsecond half revenue generatedwill inexceed 2025.our original full-year forecast. This significantoutlook growthis reflectsdriven continuedby expansion ofmore active commercial cancer centerscenter customers, more patients treated via procedures with RenovoCath, and increasingrepeat procedural utilization of RenovoCathordering across our installedexisting customer base. We define "active" commercial cancer centers as centers where doctors are actively treating patients with RenovoCath.
Our commercial model is currently focused on active cancer center expansion, with additional centers driving increased procedures and revenue growth. At the time of our first quarter earnings announcement made on May 14, 2026, we had 16 active commercial cancer centers. We ended the second quarter with 21 active commercial cancer centers, an increase of more than 30% in less than a quarter. We remain on pace to meet or exceed our target of 36 active commercial cancer centers by year-end 2026.
In addition to our 21 active commercial centers, we have 42 additional centers in various stages of evaluation, approval, and activation. Combined with our 21 active commercial cancer centers, that represents a total of 63 centers in our total commercial funnel, a 31% increase over the 48 centers we reported as of May 14, 2026.
Furthermore, we currently have 15 clinical trial sites under our Phase III TIGeR-PaC study that have previously utilized RenovoCath and are expected to continue transitioning to commercial clinical use. These anticipated commercial conversions represent a meaningful opportunity to drive incremental revenue growth in the second half of 2026.
Our commercial model remains centered on active cancer center expansion, with additional centers driving increased procedures and revenue growth. We began 2025 with 5 active commercial cancer centers, and by end of the year, we had grown to 8. As of May 6, 2026, we had 16 active centers. We are also advancing a robust pipeline of 32 additional centers in various stages of evaluation, approval, and onboarding, representing a significant expansion of its near-term commercial footprint. In total, these 48 centers have approximately quadrupled our near-term commercial sales pipeline compared to the first quarter of 2025, reflecting the rapid expansion of our commercial footprint year-over-year. Up to 15 TIGeR-PaC Phase III clinical trial sites that have previously utilized RenovoCath are expected to continue transitioning to commercial clinical use following completion of trial enrollment. These anticipated conversions represent a meaningful opportunity to drive incremental revenue growth in the second half of 2026. We continue to target 36 active commercial cancer centers by year-end 2026.
We continue to observe organic repeat ordering behavior from existing customers, which we view as a key indicator of physician satisfaction and clinical utility. As physicians incorporate RenovoCath into routine clinical practice, repeat utilization is expected to drive sustained and compounding revenue growth. The combination of record quarterly revenue, rapid active cancer center expansion, and strong repeat ordering behavior demonstrates accelerating commercial momentum and supports the long-term opportunity for RenovoCath as both a standalone device and a foundational platform for future drug-device combination therapies.
Moreover, there has been significant industry attention recently on new therapies for pancreatic cancer, and we believe those developments represent meaningful opportunities for our company. Because RenovoCath is a device to deliver treatments more optimally, we see breakthroughs in pancreatic cancer therapy as complementary and as an important tailwind for our business.
Our TAMP platform, enabled by RenovoCath, is a collaborative, localized drug-delivery platform, with two ways emerging therapies can strengthen our opportunity: 1. We can deliver established drugs locally sequentially to or concurrently with novel therapies, creating the potential for improved patient outcomes, concentrating therapy where it is needed, and 2. As new drugs come to market, we believe many of them can be delivered directly via our RenovoCath device. And in both cases, our view is that novel improved therapies make our targeted drug-delivery platform even more valuable.
In August 2026, we announced the first commercial clinical use of RenovoCath in sarcoma patient treatment at CARTI Cancer Center Little Rock, marking physician-driven expansion of our targeted drug-delivery device to other solid tumors. The case at CARTI shows the real world potential beyond pancreatic cancer for expansion of localized delivery of chemotherapy with RenovoCath. Treatment began in late June 2026 at CARTI and is ongoing. CARTI, among our growing base of cancer center customers, is concurrently using the RenovoCath device for localized drug delivery in pancreatic cancer treatment, a reflection of the broadening set of tumor types across which the technology is being applied by physicians.
We continue to estimate that the initial total addressable market (TAM) for RenovoCath as a stand-alone device representscould translate into an approximately $400 million peak annual U.S. sales opportunity,opportunity withfor long-term,our several-billion-dollarcompany. potentialOver time, as we expand the platform expands into additional solid tumor indications.indications, we believe we could unlock more than $1 billion in peak annual sales potential.
We are evaluating IAG delivered via RenovoCath in the ongoing Phase III TIGeR-PaC clinical trial. IAG is being studied under a U.S. investigational new drug (IND) study regulated by the FDA's Center for Drug Evaluation and Research (CDER) pursuant to 21 CFR Part 312. IAG utilizes RenovoCath, which is FDA-cleared for temporary vessel occlusion in applications including arteriography, preoperative occlusion, and chemotherapeutic drug infusion.
Advancement of the ongoing Phase III TIGeR-PaC clinical trial evaluating IAG via the RenovoCath device for the treatment of LAPC continued in the second quarter of 2026. On August 7, 2026, we notified TIGeR-PaC trial investigators that patient enrollment is closing. Completion of the trial is expected during the first half of 2027, after 86 events (i.e., patient deaths) have been observed. As of August 11, 2026, 78 events have occurred. Following completion of the trial, initial top line trial data is expected to be available during the second half of 2027.
The completion of enrollment in TIGeR-PaC is a significant milestone for our company which reflects successful patient recruitment, clinical execution, and collaboration among investigators and study teams evaluating IAG as a novel drug-device product candidate for difficult-to-treat LAPC. The primary endpoint of the study is overall survival. TIGeR-PaC is designed to evaluate whether our patented method of targeted delivery of the chemotherapy gemcitabine improves patient survival, safety, and tolerability compared to the standard of care (systemic (intravenous) chemotherapy gemcitabine + Abraxane).
Pancreatic cancer continues to represent a major unmet medical need, with limited treatment options and current standards of care centered largely on systemic chemotherapy, which can cause significant toxicity and related side effects for patients. TAMP is designed to deliver therapy directly near the tumor site while potentially reducing systemic exposure.
OurMore ongoing Phase IIIspecifically, TIGeR-PaC clinical trial is studying the intra-arterial ("IA") administration of gemcitabine to treat LAPC following stereotactic body radiation therapy (“SBRT”). The study compares the treatment of LAPC using IA delivery of gemcitabine with RenovoCath versus systemic, standard of care, IVintravenous (i.e., systemic) administration of gemcitabine and nab-paclitaxel. Our protocol for TIGeR-PaC involves systemic chemotherapy and SBRT during the induction phase of the study (prior to randomization). In December 2021, we amended our protocol and statistical analysis plan for TIGeR-PaC (the “Modified SAP”) to (i) enroll and analyze only patients receiving SBRT during the induction phase, (ii) include a second interim analysis, (iii) change the total number of patients randomized in the study to 114 with a total of 86 events (deaths) from SBRT patients required to complete the final analysis, and (iv) repower the study from 90% to 80%. The change to the 80% power calculation aligns with common practice for clinical trials and we believe this design will shorten the timeframe needed to complete the study, as well as significantly decrease its cost. We have not discussed the protocol amendment or the Modified SAP with the FDA, and we cannot provide any assurance that the FDA will agree with these modifications, but these modifications have been submitted to the FDA.
The first interim analysis in the Phase III TIGeR-PaC study at the 26th event (death) of the specified events was completed in March 2023, with the study's independent data monitoring committee (DMC) recommending a continuation of the study. The interim analysis showed a 6-month median overall survival benefit for patients (nearly a 60% improvement) versus the study control arm and current standard of care: IV administration of gemcitabine and nab-paclitaxel. Patients also had greater than 65% reduction in adverse events with RenovoCath with gemcitabine vs. standard of care.
In the second quarter of 2025, the 52nd event triggered the second pre-planned interim analysis to be reviewed by the DMC. The DMC concluded its review and recommended that we continue with the trial, without modification. To avoid compromising the integrity of the trial with the FDA, and after discussions with the DMC and consultation with our regulatory advisors, we elected to defer publishing the interim data. We will revisit publishing the actual second interim data, most likely upon completion of the study as is common practice for Phase III trials.
Advancement of the trial continued in the first quarter of 2026. Based on current projections, we expect to send notification of closure of enrollment in the trial in the beginning of June, completing our milestone of finishing trial enrollment by the end of June 2026. As of May 14, 2026, 106 patients had been randomized in the trial, representing approximately 93% of the required 114 patients, and currently there are 12 enrolled patients in induction, which gives rise to our expectation that enrollment will be closed by the end of June. Seventy-four events (i.e., patient deaths) have been observed of the 86 events required to trigger the final analysis. We continue to anticipate final data in mid to late 2027.
During the firstsecond quarter of 2026, we continued to execute on key operational priorities for TIGeR-PaC, including patient enrollment, site engagement, and maintaining protocol adherence across ourits clinical network. These efforts build on the successful completion of the second interim analysis in 2025, after which the independent data monitoring committee ("DMC") recommended continuation of the trial without modification. In alignment with standard clinical trial practices and to preserve trial integrity, and after discussions with the DMC and consultation with our regulatory advisors, we elected to defer publication of interim data until after study completion. We will revisit publishing the actual second interim data, most likely after completion of the study as is common practice for Phase III trials.
We continue to view the TIGeR-PaC trial as an important long-term value driver, while emphasizing that our commercial strategy and revenue outlook are not dependent on the trial's ultimate outcome or timing. Importantly, we expect TIGeR-PaC trial sites will continue transitioning to commercial use, which we believe will serve as a meaningful driver of revenue growth in the second half of 2026.
The first interim analysis in the Phase III TIGeR-PaC study at the 26th event (death) of the specified events was completed in March 2023, with the study's DMC recommending a continuation of the study. The interim analysis showed a 6-month median overall survival benefit for IAG patients (nearly a 60% improvement) versus the study control arm patients treated with current standard of care. Patients also had greater than 65% reduction in adverse events with RenovoCath with gemcitabine vs. standard of care.
We expect that TIGeR-PaC trial sites will continue transitioning to commercial use following completion of enrollment, representing a meaningful potential driver of revenue growth in the second half of 2026. We continue to view the TIGeR-PaC trial as an important long-term value driver, while emphasizing that our current commercial strategy is independent of the trial’s ultimate outcome and timeline.
We continue to advance broader clinical programs by generating new data through ourthe Company’s continued support of investigator-initiatedregistries trialsand (IIT)IITs in borderline resectable and metastatic pancreatic cancer, use of other agents beyond gemcitabine (the chemotherapy being used in TIGeR-PaC), and use of TAMP in other solid tumors. In the second quarter of 2026, we began supporting a new IIT study for cholangiocarcinoma, or bile duct cancer, which is in process to begin soon. Registry and IIT studies are capital-efficient studies providing meaningful data that may further broaden the application for the TAMP therapy platform which is enabled by RenovoCath.
In the second quarter of 2026, several scientific data updates supported the use of intra-arterial gemcitabine delivery via TAMP in LAPC. A peer-reviewed case study by researchers at Moffitt Cancer Center, published in Radiology Case Reports, found that PET-CT imaging, rather than CT alone, showed a meaningful reduction in tumor metabolic activity after treatment. These findings suggest that PET imaging may help optimize monitoring of therapeutic response following TAMP-delivered treatment.
In addition, the PK sub-study of the TIGeR-PaC trial has been accepted and will be published in the near future in the Journal of Cancer Chemotherapy and Pharmacology. The findings support TAMP as a targeted delivery method for gemcitabine, demonstrating its potential to increase local drug potency while reducing systemic exposure and common side effects.
Finally, a peer-reviewed case series in Case Reports in Oncology from researchers at Hackensack Meridian Health’s Jersey Shore University’s Medical Center was accepted and will also be published in the near future. The case series highlights their experience with the TAMP procedure in LAPC.
We believe that increases in the number publications reporting the use of the TAMP procedure by physicians is another sign of adoption as TAMP traverses from an experimental procedure to becoming a standard of care.
In terms of scientific data, in January 2026, a pharmacokinetic subset study of the TIGeR-PaC trial was presented at the 2026 ASCO Gastrointestinal (GI) Cancers Symposium by a TIGeR-PaC Investigator from the University of Pittsburgh Medical Center. The abstract offers insight that supports the potential effectiveness of the TAMP therapy platform in LAPC. The abstract concludes that TAMP and IAG resulted in reduced systemic levels of gemcitabine and increased levels of its inactive metabolite compared with IV gemcitabine. A full paper is submitted for publication later this year.
We have incurred significant operating losses and generated negative cash flows from operations since our inception. As of MarchJune 31,30, 2026, we had cash and cash equivalents of $12.4$9.5 million. We reported net losses of $3.5$2.9 million and $2.4$6.4 million for the three and six months ended MarchJune 31,30, 2026, and 2025, respectively. As of MarchJune 31,30, 2026, we had an accumulated deficit of $64.9$67.8 million. We expect to continue to incur significant expenses, operating losses and negative cash flows while we seek to grow our revenues from RenovoCath commercial sales and work towards our goal of cashflow positive operations. We will not generate revenues from IAG sales unless and until we successfully complete development anddevelopment, obtain regulatory approval forfor, IAGand orcommercially anotherlaunch product candidate.IAG. Given economic and market conditions and timing of regulatory approval, we expect that our expenses will increase in connection with our ongoing commercial, research and development activities, particularly if and when we decide to:
In addition to the variables described above, if and when IAG or any of our other potential future product candidates successfully complete development and receive regulatory approval, we will incur substantial additional costs associated with establishing a sales, marketing, medical affairs and distribution infrastructure to commercialize products for which we may obtain marketing approval, regulatory filings, marketing approval, and post-marketing requirements, in addition toand other commercial costs. We cannot reasonably estimate these costs at this time.
Our condensed interim financial statements as of MarchJune 31,30, 2026, have been prepared on a going concern basis and do not include any adjustments that may result from the outcome of this uncertainty. Based on our operating plans, we expect that our current cash and cash equivalents as of the date of this Report will be sufficient to fund our operating, investing and financing cash flow needs at least the next 12 months from the date of issuance of this report,report (i.e., into the second half of 2027), assuming our commercial strategy and our development programs advance as currently contemplated.
As a result, while weraising believecapital is not our current focus, we domay not need to raise new capital for at least a year, we are faced with the risk of requiring significantrequire additional funding atin somethe pointfuture to support our operations.strategy. Until such time, if ever, as we can generate substantial product revenue, we expect to finance our cash needs through private or public equity financings, debt financings and collaborations, licenseslicensing agreements or other similar arrangements. We currently have no credit facility or committed sources of capital. To the extent that we raise additional capital through the future sale of equity or debt, the ownership interests of our stockholders will be diluted and the terms of these securities may include liquidation or other preferences that adversely affect the rights of our existing common stockholders. If we raise additional funds through the issuance of debt securities, these securities could contain covenants that could restrict our operations. We may require additional capital beyond our currently anticipated amounts and additional capital may not be available on reasonable terms, or at all. If we raise additional funds through collaboration arrangements or other strategic transactions in the future, we may have to relinquish valuable rights to our technologies or future revenue streams or grant licenses on terms that may not be favorable to us. If we are unable to raise additional funds through private or public equity financings or debt financings when needed, we may be required to delay, limit, reduce or terminate development or future commercialization efforts, and we may be unable to continue as a going concern. If we are unable to continue as a going concern, we might have to liquidate our assets and the value we receive for our assets in liquidation or dissolution could be significantly lower than the values reflected in our condensed interim financial statements, and our shareholders may lose their entire investment in our common stock.
In the fourth quarter of 2024, we began to derivegenerating revenue through the sale of our RenovoCath device on a standalone basis directly to end usersuser customers (i.e., hospitals and cancer treatment centers), and revenue generation from such activity continued for the entire year ended December 31, 2025 and accelerated in the first and second quarters of 2026, with the second quarter of 2026.2026 being a record revenue quarter for us. We consider customer purchase orders, which in some cases are governed by master sales agreements or standard terms and conditions, to be the contracts with a customer. Our contracts with customers typically contain a single performance obligation, which is the delivery of the RenovoCath device. We recognize revenue from sales of products at the point in time that the customer obtains control, which is typically based upon the terms of delivery. In determining the transaction price, we evaluate whether the price is subject to refund or adjustment to determine the net consideration to which itwe expectsexpect to be entitled. The only type of variable consideration we offer is limited return rights relating primarily to product damage or defects identified upon receipt, and therefore we expect minimal returns. Returns are estimated taking into consideration several factors including these limited product return rights, historical return activity, and other relevant factors. As of MarchJune 31,30, 2026 and December 31, 2025, we recorded nil of allowance for returns.
Cost of revenue consists of costs associated with the sales of RenovoCath devices primarily from Medical Murray, Inc. our third-party RenovoCath manufacturer. Prior to the commercialization of RenovoCath, all costs of manufacturing to produce the RenovoCath devices were allocated to our TIGeR-PaC Phase III clinical trial study in prior periods and expensed as research and development. The cost for RenovoCath devices not associated with the TIGeR-PaC study represents primarily third-party manufacturing costs and shipping and handling costs when applicable.
Research and development expenses consist of costs related to the research and development of our TAMP technology and our ongoing clinical trial. Clinical trial costs are a significant component of research and development expenses and include costs associated with third-party contractors and consultants. We outsource a substantial portion of our clinical trial activities, having utilized the services of third-party clinical trial sites and contract research organizations to assist us with the execution of our clinical trials. In addition, we have FDA 510(k) clearance for the RenovoCath delivery device, which comprises part of our IAG product candidate. Accordingly, we are able to charge our clinical trial sites for the RenovoCath delivery device. To date, payments from clinical trial sites in consideration for RenovoCath delivery devices have been adequate to cover our direct manufacturing costs. Any payments we receive from clinical trial sites as consideration for use of RenovoCath delivery devices offset our research and development expenses. We expect our research and development expenses to increase for the foreseeable future as we continue the development of our product candidates and enroll subjects in our ongoing Phase III clinical trial, initiate other new clinical trials, post marketing study (what we call our RR5 study,study), and pursue regulatory approval of our product candidates. It is difficult to predict with any certainty the duration and costs of completing our current or future clinical trials of our product candidates or if, when or to what extent we will achieve regulatory approval and generate revenue from the commercialization and sale of our product candidates. The duration, costs and timing of clinical trials and other development of our product candidates will depend on a variety of factors, including uncertainties in clinical trial enrollment, timing and extent of future clinical trials, development of new product candidates and significant and changing government regulation. We may never succeed in achieving regulatory approval for any of our product candidates.
Selling, general and administrative expenses consist of salaries, benefits, and stock-based compensation for personnel in executive, finance and administrative functions, professional services and associated costs related to accounting, tax, audit, legal, intellectual property and other matters, consulting costs, marketing, conferences, travel and allocated expenses for rent, insurance and other general overhead costs. We expect to continue to incur additional expenses as a result of operating as a public company, including costs to comply with the rules and regulations of the Securities and Exchange Commission, or SEC, and Nasdaq continued listing standards and increased expenses in the areas of insurance, professional services and investor relations. As a result, we expect our selling, general and administrative expenses to increase in the foreseeable future. Selling, general and administrative expenses are expensed as incurred.
Change in fair value of warrant liability represents the gain or loss reported from the change in the fair value of the common stock warrant liability for warrants issued under the registered direct offering. On April 3, 2023, we completed a registered direct offering financing issuing shares of common sharesstock and common stock warrants. The fair value of the common stock warrant per share was $0.36$0.18 and $0.31$0.66 on MarchJune 31,30, 2026, and December 31, 2025, respectively. The increasedecrease in the fair value was primarily due to the increasedecrease in our stock price combined with a shorter number of years remaining to the warrant expiration date.
Comparison of the Three Months Ended MarchJune 31,30, 2026 and 2025
We recognized approximatelyrecord $563,000quarterly revenue of revenueapproximately $0.9 million from sales of RenovoCath for the three months ended MarchJune 31,30, 2026, compared to $197,000$0.4 million for the same period last year, representing a significant$0.5 million increase in sales volume. The growth was driven by continued expansion of active commercial cancer centers and repeat ordering from our existing commercial cancer center base. We expect to grow revenue from RenovoCath sales on a sequential quarter-by-quarter basis for the remainder of 2026.
Cost of revenue was approximately $84,000$0.1 million for the three months ended MarchJune 31,30, 2026, compared to approximately $94,000$0.2 million cost of revenue for the same period last year.year, Theremaining decreaserelatively inflat costs of revenue is due tofrom the costsprior ofperiod deviceslast sold for the three months ended were manufactured under our Medical Murray supply agreement of approximately $1,200 per device.year. Prior to the Medical Murray supply agreement, devices sold for the same period as last year were manufactured based on time and materials,materials approximatelywhich $8,300resulted in higher manufacturing costs per device. We expect costs of revenue to increase as we increase our revenue from RenovoCath sales.
Research and development expenses were approximately $1.2 million for the three months ended MarchJune 31,30, 2026, compared to $1.6$1.4 million for the same period last year, a decrease of $0.4$0.2 million. The period-over-period decrease in research and development expenses is primarily driven by a decrease in regulatory and clinical development of $0.3$0.1 million due to costs associated with our ongoing Phase III clinical trial study TIGeR-PaC, including a decrease of $0.2 million in selling, general, and administrative expenses allocated to research and development costsexpense. of $0.2 million, and clinical, oncology and interventional radiology conferences and other scientific trade shows activities decreased of $0.1 million. TheThis decrease was off-set by an increase in employee and related benefit costs of $0.2$0.1 million primarily due to an increase in employees and salaries changes associated with cost-of-living adjustments. Non-recurring engineering costs for the development of the next generation of our RenovoCath delivery system and regulatory expenses remained relatively unchanged from the same period as last year.million. We anticipate research and development expenses to increase in the second half of 2026 as we advance our clinical development of IAG and the developdevelopment of our next generation RenovoCath device including incurring expenses for the filing of a 510(k) with the FDA next year at least 90 days before the device is offered for sale.
Selling, general and administrative expenses were approximately $2.7$2.9 million for the three months ended MarchJune 31,30, 2026, compared to $1.6$1.5 million for the same period last year, an increase of approximately $1.1$1.4 million. The period-over-period increase in selling, general and administrative expenses is primarily driven by an increase in head count and employee and related benefit costs of $0.5$0.8 million as we increasedmade ourtargeted effortsinvestments onin expanding our RenovoCath commercialization programprogram, ofresulting increasingin pipelinean andincreased commercial pipeline, additional active cancer center customers and a resulting increase in revenue. ProfessionalProfessional, and consultingother expenses to include travel and marketing expenses increased by $0.2 million, including travel related expenses of $0.1$0.4 million primarily due to supporting theour RenovoCath commercialization strategystrategy, including otherthe selling, general and administrative expenses of $0.1 million. The increase was further impacted by a decreasedecreased in selling, general, and administrative expenses allocated to research and development expenses of $0.2 million. We anticipate selling, general and administrative expenses to increase during the second half of 2026 as we progress with our commercialization activities for our RenovoCath delivery system, due primarily to increase hiring of sales and marketing personnel which is expected to continue.RenovoCath.
Other Income (Expense), Net
RNXT insider buying and selling (Form 4)
Since 2026-04-11, insiders reported open-market purchases in 1 Form 4 filing (1 insider, 1 trade date, 25,000 shares, about $19.8K) and open-market sales in 0 filings. Net open-market shares: 25,000 (purchases minus sales); net value about $19.8K.Totals add up every open-market (code P and S) line in those filings, using the prices reported in the filings. Awards, option exercises, tax withholding and gifts are listed below but not counted.
| Trade date | Insider | Transaction | Shares | Price | Value |
|---|---|---|---|---|---|
| 2026-09-10 | Voll Mark |
Grant/award | 80,000 | — | — |
| 2026-05-19 | Voll Mark |
Open-market purchase | 25,000 | $0.79 | $19.8K |
| 2022-04-22 | Ryan Una S |
Other | 16,206 | $1.62 | $26.3K |
| 2022-04-22 | Ryan Una S |
Other | 26,838 | $0.93 | $25.0K |
| 2022-03-03 | Ryan Una S |
Other | 47,789 | $4.19 | $200.2K |
| 2022-03-03 | Ryan Una S |
Other | 6,332 | $3.95 | $25.0K |
Well-known investors holding RNXT (13F)
| Investor | Quarter | Shares | Reported value | % of their 13F | Change vs prior quarter |
|---|---|---|---|---|---|
| Citadel Advisors (Ken Griffin) | 2026-06-30 | 133,597 | $130.9K | 0.0% | Reduced 43% |
| Renaissance Technologies | 2026-06-30 | 11,400 | $11.2K | 0.0% | Reduced 12% |