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FDA IDE clears Adagio Medical (NASDAQ: ADGM) vCLAS VT study

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Adagio Medical Holdings, Inc. reported that the FDA has granted Investigational Device Exemption (IDE) approval to expand its -VT trial to study the next-generation vCLAS Ultra-Low Temperature Ablation (ULTA) Ventricular Ablation System for treating sustained monomorphic ventricular tachycardia. The IDE expansion allows a prospective, single-arm, multi-center sub-study of up to 55 patients with scar-mediated VT in ischemic and non-ischemic cardiomyopathy. The new vCLAS Ultra catheter targets ablation temperatures near -170°C and has shown over 50% reductions in ablation time in pre-clinical models, aiming to deliver deeper lesions, shorter procedure times, and improved usability on Adagio’s established endocardial ULTA platform.

Positive

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Insights

FDA IDE expansion lets Adagio clinically test its next-gen ventricular ablation system in VT patients.

The FDA’s IDE approval permits Adagio Medical to expand its -VT pivotal trial with a sub-study of up to 55 patients using the next-generation vCLAS ULTA ventricular ablation system. This moves the device from pre-clinical performance into structured human evaluation.

The vCLAS Ultra catheter targets temperatures around -170°C and pre-clinical data show more than a 50% reduction in ablation time, while maintaining deep lesion creation through an endocardial approach. These features are intended to address challenging sustained monomorphic ventricular tachycardia cases.

The sub-study’s design as a prospective, single-arm, multi-center, pre-market supplemental study fits typical pathways for cardiac ablation technology. Actual impact will depend on safety and efficacy outcomes versus current standards, which will emerge as the -VT IDE program and this sub-study progress.

Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
IDE expansion patients 55 patients Total proposed in staged sub-study design
Ablation temperature -170°C Approximate vCLAS Ultra catheter ablation temperature
Ablation time reduction >50% reduction Reduction in ablation time in pre-clinical models
Investigational Device Exemption (IDE) regulatory
"the U.S. Food and Drug Administration (FDA) has granted Investigational Device Exemption (IDE) approval"
An investigational device exemption (IDE) is a regulatory permission that allows a medical device to be used in clinical studies so companies can gather safety and effectiveness data before full market approval. For investors, an IDE is a key milestone because it lets a company test real-world performance and move toward commercial clearance or approval—much like a trial run that, if successful, can unlock larger revenue opportunities and reduce regulatory risk.
Ultra-Low Temperature Ablation (ULTA) medical
"next-generation vCLAS Ultra-Low Temperature Ablation (ULTA) Ventricular Ablation System"
Sustained Monomorphic Ventricular Tachycardia (SMVT) medical
"for the treatment of Sustained Monomorphic Ventricular Tachycardia (SMVT)"
endocardial approach medical
"all-endocardial ULTA technology"
CE Marked regulatory
"vCLAS™ Cryoablation System, which is CE Marked and is currently under evaluation"
CE marked indicates that a product meets European Union safety, health and environmental requirements and bears the CE symbol, acting like a safety stamp or passport that allows the product to be sold across the EU and European Economic Area. For investors, a CE mark matters because it reduces regulatory barriers and legal risk, can speed market access and revenue, and signals the company has cleared essential compliance steps for that product—affecting sales potential, costs and valuation.
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false 0002006986 0002006986 2026-04-08 2026-04-08 iso4217:USD xbrli:shares iso4217:USD xbrli:shares

 

 

 

UNITED STATES 

SECURITIES AND EXCHANGE COMMISSION 

Washington, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT 

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported): April 8, 2026

 

ADAGIO MEDICAL HOLDINGS, INC.

(Exact name of registrant as specified in its charter)

 

Delaware 001-42199 99-1151466
(State or other jurisdiction of incorporation) (Commission File Number) (I.R.S. Employer Identification No.)

 

26051 Merit Circle, Suite 102

Laguna Hills, CA

  92653
(Address of principal executive offices)   (Zip Code)

 

(949) 348-1188 

(Registrant’s telephone number, including area code)

 

Not Applicable 

(Former name or former address, if changed since last report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
   

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
   
¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
   

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

Trading

Symbol(s)

Name of each exchange

on which registered

Common Stock, par value $0.0001 per share ADGM The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 or Rule 12b-2 of the Securities Exchange Act of 1934.

 

Emerging growth company x

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 

 

 

 

 

Item 8.01 Other Events

 

On April 8, 2026, Adagio Medical Holdings, Inc. issued a press release entitled “Adagio Medical Receives IDE Approval from the FDA to Investigate the Next-Generation vCLAS™ Ventricular Ablation System.” The full text of the press release is attached hereto as Exhibit 99.1 to this Current Report on Form 8-K and incorporated herein by reference.

 

Item 9.01. Financial Statements and Exhibits.

 

(d) Exhibits.

 

Exhibit No.   Description
99.1   Press Release, dated April 8, 2026
     
104   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

2

 

 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Dated: April 8, 2026

 

  Adagio Medical Holdings, Inc.
   
  By: /s/ Todd Usen
  Name: Todd Usen
  Title: Chief Executive Officer

 

3

 

Exhibit 99.1

 

Adagio Medical Receives IDE Approval from the FDA to Investigate Next-Generation vCLAS® Ventricular Ablation System

 

Designed to Deliver Faster, More Efficient Ablation with Improved Usability on Established, Titratable, Endocardial-Approach ULTA Platform

 

LAGUNA HILLS, CA, April 8, 2026 – Adagio Medical Holdings, Inc (Nasdaq: ADGM) (“Adagio” or “the Company”), a leading innovator in catheter ablation technologies for the treatment of cardiac arrhythmias, today announced that the U.S. Food and Drug Administration (FDA) has granted Investigational Device Exemption (IDE) approval to expand the Company’s FULCRUM-VT trial to evaluate the safety and effectiveness of the Company’s next-generation vCLAS Ultra-Low Temperature Ablation (ULTA) Ventricular Ablation System for the treatment of Sustained Monomorphic Ventricular Tachycardia (SMVT).

 

“Ventricular tachycardia remains one of the most difficult arrhythmias to treat, with current ablation approaches often limited by difficulty achieving sufficient lesion depth,” said Dr. William Stevenson, M.D., Professor of Medicine, Principal Site Investigator, Vanderbilt University Medical Center. “We have been impressed with the safety and clinical results of the initial ULTA system for treating VT in patients with ischemic and nonischemic cardiomyopathies. We are looking forward to evaluating the next generation of the system, which we anticipate will have improved catheter maneuverability and allow shorter freeze times, both factors that should reduce procedure times.”

 

The approval for IDE expansion enables Adagio to initiate a clinical sub-study designed to evaluate its next-generation vCLAS Ventricular Ablation System including the next generation vCLAS Ultra catheter, which has been built on the clinical foundation established by the Company’s all-endocardial ULTA technology. Adagio’s vCLAS Ultra catheter achieves ablation temperatures of approximately -170°C enabling highly efficient, single-freeze applications that have been shown to produce effective lesions with greater than 50% reduction in ablation time as demonstrated in pre-clinical models.

 

“The vCLAS Ultra, which was designed to improve energy delivery, navigation, lesion control, and overall procedural workflow efficiency, reflects tour teams’ ability to expeditiously translate feedback from our physician partners into meaningful technological advancement. In parallel, the design incorporates improvements in manufacturability, supporting scalability and reducing overall system cost.” said Alex Babkin, Chief Technology Officer of Adagio Medical. “Importantly, this advancement positions us to potentially offer the market a single, versatile catheter capable of treating the full range of VT substrates, all through an endocardial approach, with our clinically established ULTA platform technology. This IDE approval is an important step toward clinically validating what we believe could be a paradigm-shifting technological solution for VT.”

 

The sub-study is a prospective, single-arm, multi-center, pre-market, clinical supplemental study designed to provide safety and efficacy data regarding the use of Adagio’s next generation vCLAS Ventricular Ablation System in the treatment of scar-mediated SMVT in ischemic and non-ischemic patients, which is the same population treated in the pivotal phase of the IDE study. The IDE expansion approval is for a total of 55 proposed patients in a staged sub-study design.

 

 

 

 

“We are building on a strong and growing body of clinical evidence supporting the effectiveness of our ULTA technology, which has already demonstrated the ability to create deep, effective lesions through a fully endocardial approach,” said Todd Usen, Chief Executive Officer of Adagio Medical. “IDE approval for this study expansion marks an important milestone as we continue to advance our vCLAS Ultra catheter, which we built to enable broader adoption across all electrophysiology practices. Our goal is to translate this proven technology into a highly scalable solution that can democratize the treatment of VT and become the go-to ablation catheter for treating the large, underserved population of patients who suffer from this disease. On behalf of the entire Adagio team, we would like to thank the FDA for their collaboration and partnership.”

 

About Adagio Medical Holdings, Inc.

 

Adagio is a medical device company focused on developing and commercializing products for the treatment of cardiac arrhythmias utilizing its novel, proprietary, catheter-based Ultra-Low Temperature Ablation (ULTA, formerly known as ULTC) technology. ULTA is designed to create large, durable lesions extending through the depth of both diseased and healthy cardiac tissue in an endocardial only approach. The Company is currently focused on the treatment of ventricular arrhythmias with its purpose-built vCLAS™ Cryoablation System, which is CE Marked and is currently under evaluation in the Company’s FULCRUM-VT U.S. Pivotal IDE Trial.

 

Forward-Looking Statements

 

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as “anticipates,” “believes,” “expects,” “intends,” “projects,” “plans,” and “future” or similar expressions are intended to identify forward-looking statements. Forward-looking statements include statements concerning: the potential of Adagio’s ULTA technology, including the ability of Adagio’s next-generation vCLAS™ ULTRA system to provide clinical advantages; Adagio’s research, development and regulatory plans for its product candidates; the reproducibility and durability of any favorable results initially seen in pre-clinical trials; Adagio’s strategy and future operations; the expected timing and results of clinical trials; the plans and objectives of management; and the potential for FDA approval and commercialization of Adagio’s product candidates and whether, if approved, these product candidates will be successfully distributed and marketed and the potential market opportunity for Adagio’s product candidates. Forward-looking statements are based on management’s current expectations and are subject to various risks and uncertainties that could cause actual results to differ materially and adversely from those expressed or implied by such forward-looking statements. Accordingly, these forward-looking statements do not constitute guarantees of future performance, and you are cautioned not to place undue reliance on these forward-looking statements. Risks regarding Adagio’s business are described in detail in Adagio’s Securities and Exchange Commission (“SEC”) filings, including in its Annual Report on Form 10-K for the full-year ended December 31, 2025, which is available on the SEC’s website at www.sec.gov. Additional information will be made available in other filings that Adagio makes from time to time with the SEC. These forward-looking statements speak only as of the date hereof, and Adagio disclaims any obligation to update these statements except as may be required by law.

 

Contact

Debbie Kaster

Chief Financial Officer and Chief Business Officer

dkaster@adagiomedical.com

 

 

 

 

FAQ

What did Adagio Medical (ADGM) announce in this Form 8-K filing?

Adagio Medical announced FDA Investigational Device Exemption (IDE) approval to expand its -VT trial. The expansion allows clinical evaluation of the next-generation vCLAS ULTA Ventricular Ablation System for treating sustained monomorphic ventricular tachycardia in a structured sub-study at multiple centers.

What is Adagio Medical’s next-generation vCLAS ULTA Ventricular Ablation System?

The next-generation vCLAS ULTA Ventricular Ablation System is a catheter-based cryoablation platform for ventricular tachycardia. Its vCLAS Ultra catheter targets approximately -170°C, enabling highly efficient single-freeze lesions and aiming to shorten procedure times while maintaining deep, effective endocardial ablation.

How many patients are included in Adagio Medical’s IDE expansion sub-study?

The IDE expansion covers a sub-study with a total of 55 proposed patients. These patients will have scar-mediated sustained monomorphic ventricular tachycardia in ischemic or non-ischemic cardiomyopathy, matching the pivotal IDE population for evaluating safety and effectiveness of the next-generation vCLAS system.

What advantages has Adagio Medical seen in pre-clinical models of vCLAS Ultra?

Pre-clinical models of vCLAS Ultra showed effective lesions with greater than 50% reduction in ablation time. The catheter’s ultra-low temperatures and single-freeze applications are intended to improve energy delivery, lesion control, navigation, and overall workflow on Adagio’s endocardial ULTA platform.

Which condition is targeted by Adagio Medical’s -VT IDE trial and sub-study?

Adagio’s -VT IDE trial and sub-study target sustained monomorphic ventricular tachycardia, often associated with scar-mediated ventricular arrhythmias. The company is evaluating its next-generation vCLAS ULTA Ventricular Ablation System for patients with ischemic and non-ischemic cardiomyopathies requiring deep, durable ventricular ablation lesions.

What broader goal does Adagio Medical have for its vCLAS Ultra catheter technology?

Adagio aims for the vCLAS Ultra catheter to become a single, versatile tool for treating the full range of ventricular tachycardia substrates. By improving manufacturability, usability, and scalability, the company hopes to democratize VT treatment and enable wider adoption across electrophysiology practices.

Filing Exhibits & Attachments

4 documents