Adagio Completes Enrollment of 209 Patients in FULCRUM-VT Trial
Written by Emily J. Thompson, Senior Investment Analyst
Updated: Mar 27 2026
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Should l Buy ADGM?
"2025 marked a pivotal year for Adagio as our first full year as a public company. We delivered a number of important milestones across the organization, which we believe significantly strengthen our position as we advance our ULTA technology towards commercialization," said Todd Usen, Chief Executive Officer of Adagio. "Importantly, we completed enrollment of the 209-patient FULCRUM-VT pivotal IDE trial in just eleven months, studying a real-world population of patients with both ischemic and non-ischemic cardiomyopathy, all of whom were treated with an endocardial approach. With enrollment now complete, we look forward to presenting pivotal results at the Heart Rhythm Society conference next month. As we advance toward the potential approval of vCLAS, our team is focused on preparing for commercialization while continuing to develop our next generation vCLAS technology. We remain committed to bringing our differentiated and proprietary solutions to the large and underserved population of patients living with ventricular tachycardia."
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Wall Street analysts forecast ADGM stock price to rise
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Current: 1.550
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About ADGM
Adagio Medical Holdings, Inc. is a medical device company. The Company is focused on developing and commercializing products for the treatment of cardiac arrhythmias with catheter-based ultra-low temperature ablation (ULTA) technology, formerly known as ultra-low temperature cryoablation (ULTC) technology. Its initial focus is on the treatment of ventricular tachycardia (VT), which is a rapid, abnormal heart rhythm, or arrhythmia, that originates in the heart’s lower chambers, or ventricles, potentially leading to impaired blood flow and, if sustained, it can be fatal. Its ULTA products are purpose-built to treat patients with VT and are designed to address the unique anatomy of the ventricle and the specific needs of the VT patient. Its catheters and consoles are designed to create titratable, large, durable, deep lesions within the ventricle through a stable, endocardial or inside the heart approach with no required irrigation.
About the author
Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.
Adagio Medical Receives IDE Approval for vCLAS System Expansion
- Clinical Trial Expansion: Adagio Medical has received Investigational Device Exemption (IDE) approval to expand its FULCRUM-VT trial, evaluating the next-generation vCLAS Ultra-Low Temperature Ablation System for treating sustained monomorphic ventricular tachycardia, marking a significant advancement in cardiac rhythm disorder treatment.
- Technological Innovation: The vCLAS system aims to create effective lesions more efficiently by delivering ultra-cold temperatures around -170 °C, addressing the limitations of current ablation tools that struggle to achieve deep and durable lesions, thereby enhancing treatment outcomes.
- Clinical Study Design: The expanded clinical sub-study will enroll up to 55 patients across multiple centers focusing on scar-mediated SMVT, intending to generate additional safety and effectiveness data to support the pivotal phase of the FULCRUM-VT trial.
- Market Potential: Adagio executives stated that the IDE approval represents an important milestone in advancing technology that could broaden access to VT ablation, with the vCLAS Ultra catheter having the potential to become a scalable endocardial-only solution capable of treating a wide range of VT substrates.
See More
Adagio Receives FDA Approval to Expand Clinical Trial
- Clinical Trial Expansion: Adagio Medical has received FDA approval to expand its FULCRUM-VT trial, evaluating the safety and efficacy of the next-generation vCLAS Ultra-Low Temperature Ablation System for treating Sustained Monomorphic Ventricular Tachycardia (SMVT), marking a significant advancement in cardiac treatment technology.
- Technological Innovation: The new vCLASUltracatheter achieves ablation temperatures of approximately -170°C, significantly enhancing ablation efficiency and reducing ablation time by over 50%, which is expected to improve clinical workflow and patient treatment experience.
- Market Potential: The IDE expansion approval enables Adagio to conduct a prospective, single-arm, multi-center study involving 55 patients, further validating the effectiveness of its technology and aiding the company's penetration and product promotion in the cardiac electrophysiology market.
- Strategic Goals: Adagio aims to translate its ULTA technology into a widely applicable solution, targeting the treatment of a large underserved population suffering from ventricular tachycardia, thereby enhancing the company's leadership position in the cardiac medical device market.
See More
Adagio Medical Q4 Earnings Beat Expectations
- Earnings Performance: Adagio Medical Holdings reported a Q4 GAAP EPS of -$0.21, beating market expectations by $0.10, indicating an improving trend in financial performance.
- Significant Cost Reduction: The cost of revenue for Q4 2025 was $58,000, a substantial decrease from $1.5 million in Q4 2024, demonstrating the company's effective cost control measures.
- R&D Spending Decrease: Research and development expenses for Q4 2025 were $2.2 million, down from $3.4 million in Q4 2024, reflecting optimization in resource allocation that may impact future innovation capabilities.
- Net Loss Reduction: The net loss for Q4 2025 was $3.3 million, significantly reduced from $57.4 million in Q4 2024, showcasing positive progress in the company's financial health.
See More
Adagio Completes 13 Ventricular Ablation Procedures Using ULTA Technology
- Technological Breakthrough: Adagio Medical has successfully completed 13 ventricular ablation procedures using its proprietary Ultra-Low Temperature Ablation (ULTA) technology at leading institutions, marking a significant advancement in treating patients with no satisfactory treatment options, showcasing the technology's potential in managing refractory arrhythmias.
- Patient Benefits: These procedures targeted patients who had previously failed conventional and experimental ablation therapies, indicating the effectiveness of ULTA technology in handling complex cases, which may provide new treatment options for cardiac patients and enhance the company's competitiveness in the cardiac ablation market.
- Clinical Need: Under the FDA's Expanded Access authorization, ULTA technology offers treatment opportunities for patients facing serious or life-threatening diseases, emphasizing its importance in managing ventricular arrhythmias and potentially transforming existing treatment paradigms.
- Future Outlook: Adagio plans to apply for FDA approval of its vCLAS™ Cryoablation System by the end of 2026, which is expected to provide broader industry indications for the treatment of ventricular arrhythmias, further solidifying its market position.
See More
Highlights from the Small Cap Growth Virtual Investor Conference
- On-Demand Viewing: Presentations from the Small Cap Growth Virtual Investor Conference held on February 5, 2026, are now available for on-demand viewing for 90 days, enhancing investor engagement and understanding of participating companies.
- 1x1 Meeting Requests: Selected companies are accepting one-on-one management meeting requests until February 10, providing investors with direct access to executives, which could facilitate informed investment decisions and potential capital inflows.
- Diverse Company Participation: The conference featured presentations from various companies, including Betolar Oyj, Envoy Medical Inc., and C-COM Satellite Systems Inc., showcasing a wide range of investment opportunities in the small-cap growth sector, attracting diverse investor interest.
- Advantages of Virtual Conferences: Virtual Investor Conferences offer a real-time interactive platform that enhances connections between companies and investors, improving the investor experience and creating more efficient fundraising and marketing opportunities for participating firms.
See More
Highlights from the Small Cap Growth Virtual Investor Conference
- On-Demand Content: Presentations from the Small Cap Growth Virtual Investor Conference held on February 5, 2026, are now available for on-demand viewing, allowing investors to access content 24/7 for 90 days, thereby increasing attention on small-cap growth companies.
- Investor Participation: The conference invites individual and institutional investors, advisors, and analysts to participate, providing an interactive platform that facilitates direct communication between investors and companies, enhancing investor relations management.
- One-on-One Meeting Opportunities: Selected companies are accepting one-on-one management meeting requests until February 10, offering investors a chance to engage directly with company executives, which deepens investor engagement and trust.
- Advantages of Virtual Conferences: Virtual Investor Conferences replicate the components of on-site investor meetings through real-time investor engagement solutions, enhancing the efficiency of connections between companies and investors and modernizing investor communications.
See More
Adagio Medical Receives IDE Approval for vCLAS System Expansion
- Clinical Trial Expansion: Adagio Medical has received Investigational Device Exemption (IDE) approval to expand its FULCRUM-VT trial, evaluating the next-generation vCLAS Ultra-Low Temperature Ablation System for treating sustained monomorphic ventricular tachycardia, marking a significant advancement in cardiac rhythm disorder treatment.
- Technological Innovation: The vCLAS system aims to create effective lesions more efficiently by delivering ultra-cold temperatures around -170 °C, addressing the limitations of current ablation tools that struggle to achieve deep and durable lesions, thereby enhancing treatment outcomes.
- Clinical Study Design: The expanded clinical sub-study will enroll up to 55 patients across multiple centers focusing on scar-mediated SMVT, intending to generate additional safety and effectiveness data to support the pivotal phase of the FULCRUM-VT trial.
- Market Potential: Adagio executives stated that the IDE approval represents an important milestone in advancing technology that could broaden access to VT ablation, with the vCLAS Ultra catheter having the potential to become a scalable endocardial-only solution capable of treating a wide range of VT substrates.
See More
Adagio Receives FDA Approval to Expand Clinical Trial
- Clinical Trial Expansion: Adagio Medical has received FDA approval to expand its FULCRUM-VT trial, evaluating the safety and efficacy of the next-generation vCLAS Ultra-Low Temperature Ablation System for treating Sustained Monomorphic Ventricular Tachycardia (SMVT), marking a significant advancement in cardiac treatment technology.
- Technological Innovation: The new vCLASUltracatheter achieves ablation temperatures of approximately -170°C, significantly enhancing ablation efficiency and reducing ablation time by over 50%, which is expected to improve clinical workflow and patient treatment experience.
- Market Potential: The IDE expansion approval enables Adagio to conduct a prospective, single-arm, multi-center study involving 55 patients, further validating the effectiveness of its technology and aiding the company's penetration and product promotion in the cardiac electrophysiology market.
- Strategic Goals: Adagio aims to translate its ULTA technology into a widely applicable solution, targeting the treatment of a large underserved population suffering from ventricular tachycardia, thereby enhancing the company's leadership position in the cardiac medical device market.
See More
Adagio Medical Q4 Earnings Beat Expectations
- Earnings Performance: Adagio Medical Holdings reported a Q4 GAAP EPS of -$0.21, beating market expectations by $0.10, indicating an improving trend in financial performance.
- Significant Cost Reduction: The cost of revenue for Q4 2025 was $58,000, a substantial decrease from $1.5 million in Q4 2024, demonstrating the company's effective cost control measures.
- R&D Spending Decrease: Research and development expenses for Q4 2025 were $2.2 million, down from $3.4 million in Q4 2024, reflecting optimization in resource allocation that may impact future innovation capabilities.
- Net Loss Reduction: The net loss for Q4 2025 was $3.3 million, significantly reduced from $57.4 million in Q4 2024, showcasing positive progress in the company's financial health.
See More
Adagio Completes 13 Ventricular Ablation Procedures Using ULTA Technology
- Technological Breakthrough: Adagio Medical has successfully completed 13 ventricular ablation procedures using its proprietary Ultra-Low Temperature Ablation (ULTA) technology at leading institutions, marking a significant advancement in treating patients with no satisfactory treatment options, showcasing the technology's potential in managing refractory arrhythmias.
- Patient Benefits: These procedures targeted patients who had previously failed conventional and experimental ablation therapies, indicating the effectiveness of ULTA technology in handling complex cases, which may provide new treatment options for cardiac patients and enhance the company's competitiveness in the cardiac ablation market.
- Clinical Need: Under the FDA's Expanded Access authorization, ULTA technology offers treatment opportunities for patients facing serious or life-threatening diseases, emphasizing its importance in managing ventricular arrhythmias and potentially transforming existing treatment paradigms.
- Future Outlook: Adagio plans to apply for FDA approval of its vCLAS™ Cryoablation System by the end of 2026, which is expected to provide broader industry indications for the treatment of ventricular arrhythmias, further solidifying its market position.
See More
Highlights from the Small Cap Growth Virtual Investor Conference
- On-Demand Viewing: Presentations from the Small Cap Growth Virtual Investor Conference held on February 5, 2026, are now available for on-demand viewing for 90 days, enhancing investor engagement and understanding of participating companies.
- 1x1 Meeting Requests: Selected companies are accepting one-on-one management meeting requests until February 10, providing investors with direct access to executives, which could facilitate informed investment decisions and potential capital inflows.
- Diverse Company Participation: The conference featured presentations from various companies, including Betolar Oyj, Envoy Medical Inc., and C-COM Satellite Systems Inc., showcasing a wide range of investment opportunities in the small-cap growth sector, attracting diverse investor interest.
- Advantages of Virtual Conferences: Virtual Investor Conferences offer a real-time interactive platform that enhances connections between companies and investors, improving the investor experience and creating more efficient fundraising and marketing opportunities for participating firms.
See More
Highlights from the Small Cap Growth Virtual Investor Conference
- On-Demand Content: Presentations from the Small Cap Growth Virtual Investor Conference held on February 5, 2026, are now available for on-demand viewing, allowing investors to access content 24/7 for 90 days, thereby increasing attention on small-cap growth companies.
- Investor Participation: The conference invites individual and institutional investors, advisors, and analysts to participate, providing an interactive platform that facilitates direct communication between investors and companies, enhancing investor relations management.
- One-on-One Meeting Opportunities: Selected companies are accepting one-on-one management meeting requests until February 10, offering investors a chance to engage directly with company executives, which deepens investor engagement and trust.
- Advantages of Virtual Conferences: Virtual Investor Conferences replicate the components of on-site investor meetings through real-time investor engagement solutions, enhancing the efficiency of connections between companies and investors and modernizing investor communications.
See More
