MediWound Q2 2026 Earnings Call Transcript

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Provided by Quartr
August 13, 2026

Key Takeaways

  • Positive Sentiment: EscharEx’s VALUE Phase III trial remains on track, with interim sample-size reassessment and enrollment completion targeted by the end of Q1 2027. The company says nearly all of the approximately 40 sites are recruiting.
  • Positive Sentiment: MediWound expanded its estimated U.S. peak annual sales opportunity for EscharEx to $1.05 billion after including pressure ulcers, and plans to start a 50-patient diabetic foot ulcer study and a small pressure-ulcer investigator-initiated study in Q4 2026.
  • Positive Sentiment: NexoBrid’s U.S. commercial adoption continued to improve, with Vericel reporting record quarterly revenue, hospital unit sales and ordering centers; approximately 80 U.S. burn centers have ordered the product since launch.
  • Positive Sentiment: The new master service agreement with Vericel is expected to begin contributing revenue in the second half of 2026, including development programs targeting blast and friction injuries. MediWound reaffirmed 2026 revenue guidance of $24 million–$26 million, weighted heavily toward the second half.
  • Negative Sentiment: Financial performance weakened in the first half: Q2 revenue fell to $3.1 million from $5.7 million year over year, while cash and deposits declined to approximately $36 million from $54 million at year-end 2025 after $20 million of first-half cash burn. R&D spending is expected to remain elevated as the VALUE trial advances, and expanded-facility commercial supply is not expected until the second half of 2027.
AI Generated. May Contain Errors.
Earnings Conference Call
MediWound Q2 2026
00:00 / 00:00

Transcript Sections

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Operator

Good day, and welcome to the MediWound second quarter 2026 earnings conference call. All participants will be in listen-only mode. Should you need assistance, please signal a conference specialist by pressing the star key followed by zero. After today's presentation, there will be an opportunity to ask questions. To ask a question, you may press star then one on a touch-tone phone. To withdraw your question, please press star then two. Please note this event is being recorded. I would now like to turn the conference over to Gaia Shamis from LifeSci Advisors. Please go ahead.

Gaia Shamis
Director of IR Communications at LifeSci Advisors

Thank you, Chloe, and welcome everyone. Earlier today, pre-market open, MediWound issued a press release announcing financial results for the second quarter ended June 30th, 2026. You may access this press release on the company's website under the Investor tab. I would ask you to review the full text of our forward-looking statements within this morning press release. Before we begin, I would like to remind everyone that statements made during this call, including the Q&A session relating to MediWound's expected future performance, future business prospects or future events or plans are forward-looking statements as defined under the Private Securities Litigation Reform Act of 1995. These statements may involve risks and uncertainties that could cause actual results to differ materially from expectations and are described more fully in our filings with the SEC.

Gaia Shamis
Director of IR Communications at LifeSci Advisors

In addition, all forward-looking statements represent our views only as of today, and MediWound assumes no obligation to update or supplement any forward-looking statements, whether as a result of new information, future events, or otherwise. This conference call is property of MediWound, and any recording or rebroadcast is expressly prohibited without the written consent of MediWound. With us today are Ofer Gonen, Chief Executive Officer of MediWound, Hani Luxenburg, Chief Financial Officer, and Barry Wolfenson, Executive Vice President of Strategy and Corporate Development. Following our prepared remarks, we will open the call for Q&A. Now I would like to turn the call over to Ofer Gonen, Chief Executive Officer of MediWound. Ofer.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Thank you, Gaia, and good morning, everyone. During the second quarter, we made meaningful progress against our strategic priorities, advancing EscharEx. Do you hear me?

Operator

Yes, we can hear you. Everyone, please stand by while I reconnect our speaker. Thank you. Pardon me, everyone. We have reconnected our speaker. Please proceed.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Okay. Sorry about that. Thank you, Gaia, and good morning, everyone. During the second quarter, we made meaningful progress against our strategic priorities, advancing EscharEx and expanding the commercial and the development opportunities for NexoBrid. Specifically, the EscharEx global phase III VALUE trial is actively enrolling patients as our assessment of its addressable market continue to grow. For NexoBrid, Vericel reported its strongest quarter since launch, and we entered into a new master service agreement with Vericel following its BARDA contract. Now let us start with an update on EscharEx. The VALUE study remains our top priority and our key long-term value driver. Our focus is on execution, with enrollment ongoing, targeting the 216 patients across approximately 40 sites in the United States, Europe, and Israel. As the study progresses, we are approaching two key milestones.

Ofer Gonen
Ofer Gonen
CEO at MediWound

First, the pre-specified interim sample size reassessment, and the second, completion of enrollment, both expected by the end of the first quarter of 2027. At the same time, we continue to build the broader commercial opportunity for EscharEx. During this quarter, an independent global consulting firm completed an updated U.S. market assessment. Following the expansion of the analysis to include pressure ulcer, this updated assessment now estimates the U.S. annual peak sales at $1.05 billion. This analysis further strengthened our view that EscharEx, across multiple chronic wound indications, has the potential to address a substantial market opportunity. An investigator-initiated study evaluating EscharEx in pressure ulcers is expected to begin in the fourth quarter of 2026. Our collaboration network across the program now spans essentially all the major relevant advanced wound care companies, including Coloplast, Convatec, Essity, Mölnlycke, Solventum, B. Braun, and MiMedx.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Together, with the continued progress of the VALUE and the expanding clinical and commercial opportunity, this positions EscharEx as a non-surgical, optimally effective debridement therapy for chronic wounds. Turning to NexoBrid. The U.S. commercial trajectory continues to strengthen. Vericel reported NexoBrid's strongest quarter since launch, with record quarterly revenue, hospital unit sales, and ordering centers. Approximately 80 burn centers have ordered NexoBrid since launch, reflecting continued adoption and increasing utilization across the U.S. burn care market. Following Vericel's 10-year contract with BARDA, valued at up to $197 million, we entered into a master service agreement with Vericel covering NexoBrid and next-generation product development activities. Under the MSA, we expect to begin recognizing revenue in the second half of 2026 through participation in development initiatives, including a next-generation program launched to support the potential expansion of NexoBrid for use in blast and friction-related injuries, leveraging real-world evidence.

Ofer Gonen
Ofer Gonen
CEO at MediWound

We continue to advance a room-temperature stable formulation of NexoBrid as a non-surgical debridement solution for battlefield burn care, supported by non-dilutive funding from the Department of War, with a total program budget of $18.3 million. Together, these programs further expand NexoBrid's role.

Operator

Pardon me, everyone. Please stand by while I rejoin our speaker.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Yeah, I'm here back.

Operator

Okay. Thank you.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Together, these programs further expand NexoBrid's role in burn care, national preparedness, military medicine, and mass casualty response. To support current and future demand, we continue to advance our expanded NexoBrid manufacturing facility. We are implementing the modification requested by the EMA following the pre-audit and expect to complete this work during the fourth quarter of 2026. Commercial supply from the expanded facility remains subject to regulatory approval and is expected in the second half of 2027. With that, I will turn the call over to Hani.

Hani Luxenburg
Hani Luxenburg
CFO at MediWound

Thank you, Ofer, and good morning, everyone. Turning to our financial results for the second quarter of 2026. Revenue for the quarter was $3.1 million, compared with $5.7 million in the second quarter of 2025. The decrease primarily reflected the timing of BARDA-funded development revenue. Gross profit was $0.3 million, representing a gross margin of 10.9%, compared with gross profit of $1.3 million or 23.5% in the prior year period. The lower margin primarily reflected a one-time impact related to the facility scale-up. Research and development expenses were $5.9 million, compared with $3.5 million in the second quarter of 2025, primarily reflecting increased investment in the EscharEx VALUE phase III trial. SG&A expenses totaled $3.9 million, compared with $3.6 million in the same period last year. Operating loss was $9.5 million, compared with $5.7 million in the second quarter of 2025.

Hani Luxenburg
Hani Luxenburg
CFO at MediWound

Net loss was $7.4 million, or $0.57 per share, compared with a net loss of $13.3 million or $1.23 per share in the prior year period. The year-over-year change primarily reflected non-cash financial income. Adjusted EBITDA loss was $8.3 million, compared with a loss of $4.5 million in the second quarter of 2025. Turning to our first half results. Revenue for the first half of 2026 was $4.6 million, compared with $9.7 million in the first half of 2025, primarily reflecting the timing of BARDA-funded development revenue. Gross profit was $0.7 million, representing a gross margin of 14.4%, compared with gross profit of $2.1 million or 21.5% in the prior year period. Research and development expenses were $11.1 million, compared with $6.4 million in the first half of 2025. Primarily reflecting increased investment in the EscharEx VALUE phase III trial.

Hani Luxenburg
Hani Luxenburg
CFO at MediWound

SG&A expenses totaled $7.5 million compared with $6.6 million in the same period last year, primarily reflecting higher professional services costs and exchange rate effects. Operating loss was $17.4 million, compared with $10.9 million in the first half of 2025. Net loss was $10.3 million, or $0.80 per share, compared with a net loss of $14 million, or $1.30 per share in the prior year period. The change primarily reflected non-cash warrant revaluation income of $7.7 million in 2026, compared with a non-cash warrant revaluation expense of $2.4 million in 2025. Adjusted EBITDA loss was $15.3 million, compared with a loss of $8.5 million in the first half of 2025. Now turning to our balance sheet. As of June 2026, we had approximately $36 million in cash, cash equivalents, and deposits, compared with $54 million at year-end 2025. Cash burn during the first half of 2026 totaled $20 million.

Hani Luxenburg
Hani Luxenburg
CFO at MediWound

Warrant and option exercises generated $0.8 million during the first half, and we received an additional $1.1 million after quarter end. This concludes my review of our financial results. Ofer, back to you.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Thank you, Hani. The second quarter strengthened both our core growth platform. The VALUE phase III program of EscharEx continues to advance toward important milestones, while the updated market assessment and planned diabetic foot ulcer and pressure ulcer studies broaden its long-term clinical and commercial opportunity. NexoBrid continues to gain commercial traction in the United States. At the same time, the MSA with Vericel, the broader BARDA framework, the DoW funding, all that creates meaningful government-backed product supply and development opportunities. Our revenue profile remains weighted toward the second half of 2026, reflecting the expected timing of contributions from the MSA and other government-funded programs. Based on these expected contributions, we are reaffirming our full year 2026 revenue guidance of $24 million-$26 million.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Our priorities for the remainder of the year are clear: continue executing the VALUE trial, begin recognizing revenue under the Vericel MSA, advance our next generation NexoBrid programs, and complete the EMA-requested modification at our expanded manufacturing facility. We remain focused on disciplined execution across our strategic priorities and on building durable long-term value across our pipeline. Operator?

Operator

Thank you. We will now begin the question and answer session. To ask a question, you may press star, then one on your touch tone phone. If you're using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star then two. At this time, we will pause momentarily to assemble our roster. Our first question today comes from RK Ramakanth with H.C. Wainwright. Please go ahead.

RK Ramakanth
RK Ramakanth
Analyst at H.C. Wainwright

Thank you. This is RK from H.C. Wainwright. Good afternoon, Ofer and Hani. Hope you guys are doing well.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Hi.

RK Ramakanth
RK Ramakanth
Analyst at H.C. Wainwright

A lot of stuff going on here. Let's start off on the VALUE study itself. On the study, do you still plan to get the study enrollment completed and get the interim also done during the early 2027? That is my first question. The second one within that is, very recently, Smith & Nephew, on their call, they were talking about potentially working on a second-generation SANTYL. Not sure you folks are aware of it. What do you think, what is your business intelligence on that molecule, and how does that impact EscharEx development from here onwards?

Ofer Gonen
Ofer Gonen
CEO at MediWound

Excellent. So, hi, RK, and thank you for joining. The first question is a short answer. Yes, our target of meeting the interim assessment and the enrollment completion is still in the first quarter of 2027. As for the second question regarding Smith & Nephew approach to potential competition from EscharEx, maybe Barry, do you want to take this one?

Barry Wolfenson
Barry Wolfenson
EVP of Strategy and Corporate Development at MediWound

Sure, absolutely. Hi, RK. We heard those comments, and we found them interesting. I think the thing that is most notable about the comments were the context, where he was talking a little bit about. Someone asked him about the competition. He was talking a little bit about his thoughts around EscharEx, but then he said that they noted that SANTYL is not a fast debridement option, that it is slow.

RK Ramakanth
RK Ramakanth
Analyst at H.C. Wainwright

Right.

Barry Wolfenson
Barry Wolfenson
EVP of Strategy and Corporate Development at MediWound

Because of this, that's what's driving their desire to make this second-generation product. It's actually being developed by a company that they've invested in called Certa Therapeutics. The molecule is SN, or the drug, I should say, is SN514. Based on all the publicly available information we've been able to see, we're not aware of this drug having entered into any clinical development in chronic wound patients. We see some activity around burns, but not chronic wounds. While we take any potential competition seriously, EscharEx, as you know, is already in phase III in chronic wounds, and that gives us what we believe to be a substantial clinical lead.

RK Ramakanth
RK Ramakanth
Analyst at H.C. Wainwright

Thanks for that, Barry. Does that mean that the market is bigger than what it is because SANTYL is obviously not the molecule of choice if it is not really doing what it is expected to do? The second part of that is, your team has added pressure ulcers into the pool now. How is that study being conducted in the sense, what is your responsibility within that IIT, and would that data be available by the time you're ready to file your own application with the agencies, both in the U.S. and with the EMA?

Ofer Gonen
Ofer Gonen
CEO at MediWound

Barry, maybe you will answer the first part of the question regarding

Barry Wolfenson
Barry Wolfenson
EVP of Strategy and Corporate Development at MediWound

Yeah

Ofer Gonen
Ofer Gonen
CEO at MediWound

Smith & Nephew and the market of pressure ulcer, and I'll speak about the study, okay?

Barry Wolfenson
Barry Wolfenson
EVP of Strategy and Corporate Development at MediWound

Yes. Well, I think even more broadly, what I think I heard you ask, RK, is, does that mean that since SANTYL is not particularly effective and that Smith & Nephew is motivated to create a new drug, the inference is that the market is even bigger than what SANTYL is currently supplying in, and we believe the answer to that is resoundingly yes. That's why, even before including pressure ulcers, we showed our peak sales in the $800 million range, and with including pressure ulcers, it tops a billion. We believe that a drug for debridement that can reach complete debridement, certainly within four to five days, changes the entire expectation with regard to enzymatic debridement. It fits better into the workflows of wound clinics and podiatry offices, and it takes away, because of that, utilization share, not just from sharp debridement, but across all different modalities.

Barry Wolfenson
Barry Wolfenson
EVP of Strategy and Corporate Development at MediWound

We do believe that it greatly expands the market.

Ofer Gonen
Ofer Gonen
CEO at MediWound

If we speak about the pressure ulcer study, it's important to mention that the phase III VALUE study in VLU, this is the primary focus of EscharEx development program. It's, of course, the company's key value driver. The pressure ulcer study is an investigational initiative. It's not run directly by us. It's a small study, open-label trial, 10, 15 patients. And the initiation is expected in the fourth quarter of 2026. It involves, of course, pressure ulcer patients. All of them are treated with EscharEx across a week or two. And we are assessing, as usually, debridement, granulation, and wound closure. Following this, the VALUE readout, we plan to approach with the FDA and determine what would be required to pursue approvals also for DFUs and pressure ulcers.

RK Ramakanth
RK Ramakanth
Analyst at H.C. Wainwright

Thank you. One last question. This is on NexoBrid. It's a two-part question. The first one, what is EMA requesting you to do in terms of the new plan? At least on the outset, it looks like timelines are moving back. Is that true in your sense of the world? And also, if things get pushed to fourth quarter of 2027, does that mean the real product for the market actually gets pushed into 2028? And the third part of the questions are, on the CPT code, where do we stand, and is January 2027 still an effective and realistic date?

Ofer Gonen
Ofer Gonen
CEO at MediWound

I will address the manufacturing facility question. I think there was a confusion. As I said in the call, we completed the EMA pre-audit process, and they recommended some operational changes that we are about to complete in the fourth quarter of this year, not the fourth quarter of 2027. We will complete all the implementation this year. The feedback that we got was operational in nature, not related to product quality, safety, or comparability concerned, which is very important. Once this work is complete, we will begin the manufacturing of NexoBrid in the new facility, and then following submission, review, and inspection, we can get approval as early as in the second half of 2027. We have a delay. We reported this last quarter, but we are currently on track. As for your second question, the CPT code, Barry, do you want to address it?

Barry Wolfenson
Barry Wolfenson
EVP of Strategy and Corporate Development at MediWound

To my knowledge, there is no publicly available information regarding any update to a Category I CPT code.

RK Ramakanth
RK Ramakanth
Analyst at H.C. Wainwright

Okay. Thank you. Thanks for taking all my questions.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Thank you.

Operator

The next question comes from Josh Jennings with TD Cowen. Please go ahead.

Josh Jennings
Josh Jennings
Analyst at TD Cowen

Hi, good morning, Ofer, Hani, and Barry. Thanks for taking the question. I wanted to just touch on the updated MSA with Vericel. Any additional details you can share just on sort of changes to revenue recognition? Is the major update that you will be recognizing revenue for the development program that has been expanded for blast and friction injuries and potentially extending the shelf life of NexoBrid? Then the second question is just on any updates to the path for the DFU indication in the clinical development program there. Thanks for taking the questions.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Hey, Josh. Good to speak to you. Let me speak about the BARDA economics and its strategic importance. As mentioned, in April, Vericel was awarded a 10-year BARDA contract that is valued at up to $197 million. It is covering NexoBrid procurement, vendor-managed inventory, U.S.-based manufacturing readiness, next-generation formulation development, and the potential blast and trauma expansion. It is a large, it is a multi-year framework agreement with several components, so I understand the appetite for more precision. We are currently not in a position to share additional detail. It reflects confidentiality obligations to Vericel, as well as the fact that several elements of the program remain subject to further FDA feedback, which could affect the scope of development and work required. What is concrete today is that the MSA is signed.

Ofer Gonen
Ofer Gonen
CEO at MediWound

The first development program, the blast injury and friction injuries, is underway, and Vericel expects about $6 million of BARDA procurement revenue in the second half. Additional elements, including the room temperature stable formulation, the U.S.-based manufacturing readiness, these are areas that we are now in discussions with Vericel and BARDA regarding the scope, timing, technical requirements, and potential implementation pathway. This is the maximum we can share right now. As I said, we are about to begin recognizing revenue from that program in the second half of 2026. If this is good enough, I am moving to the DFU.

Josh Jennings
Josh Jennings
Analyst at TD Cowen

Thank you. Thank you, Ofer.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Regarding the DFU, we have constructive discussions with the FDA and EMA. We got feedback. We are aligned on a DFU protocol. You can see the highlight of the protocol. It is attached to our corporate deck, and we plan to initiate the study in the fourth quarter of 2026. This phase II DFU study is expected to enroll 50 patients. It's a randomized trial, one-to-one design, EscharEx versus placebo. The primary endpoint is something that EscharEx is very good at, time to complete debridement, so we see it as a trial, which is not that complicated. As I said to the previous question that I asked by RK, we plan to approach the FDA after the VALUE readout, and then to determine what would be required to pursue approval for that indication as well.

Josh Jennings
Josh Jennings
Analyst at TD Cowen

Thanks for those answers. Appreciate it.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Thank you.

Operator

The next question comes from Jeff Jones with Oppenheimer. Please go ahead.

Jeff Jones
Jeff Jones
Analyst at Oppenheimer

Good afternoon, Ofer, and thanks for taking the question. One point of clarification on the BARDA contract with Vericel. You noted that Vericel is planning to receive $6 million in BARDA revenue in 2H. How then does that align with the $14 million-$15 million in BARDA revenue that you guys are projecting for 2026? Is that dependent on some of these other pieces that are on negotiation? In regards to NexoBrid, looking ahead into 2026 and 2027, how do we think about revenue, given the facility now doesn't look to be coming online until 2H 2027?

Ofer Gonen
Ofer Gonen
CEO at MediWound

Okay. Hi, Jeff. Good to have you on. As for the first question, you gave there a number that I'm not familiar with. It is the $14 million. The $14 million is not exclusively by BARDA. We have additional government-related agreements, one of them you are familiar with, which is the Department of War, so expect some news there as well. The MSA agreement with BARDA includes a few components. As I said, I cannot give you at this stage, due to confidentiality obligations, I cannot give you all the components. Having said that, the first program, which is development of a blast and friction burn indication, is on its way. Additional components are currently discussed and negotiated. As for the procurement, MediWound expects to benefit from the procurement that BARDA has with Vericel. It's not one-to-one. We have the transfer prices with Vericel.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Nothing really is disclosed at this stage. When you speak about the amount of development services BARDA agreement, it contains a few components and not only one.

Jeff Jones
Jeff Jones
Analyst at Oppenheimer

Great. Thank you.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Okay. This is the first sentence, the first question. As for the second question, Hani, do you want to address the manufacturing facility delay?

Hani Luxenburg
Hani Luxenburg
CFO at MediWound

Yes. So, hi, Jeff. We do not actually expect the current facility timeline to have material impact on our 2026 revenue guidance. Importantly, meaningful portion of the revenue we expect in the second half is associated, you know, with government-funded development activity and product supply under existing agreements, rather than being depending on commercial supply from our expanded facility. Our $24 million-$26 million in 2026 revenue guidance already reflect the current status and the expected timing of our facility.

Ofer Gonen
Ofer Gonen
CEO at MediWound

As you asked also about 2027 and 2028, as I mentioned earlier about the facility readiness, our plan is to finish all the modification by the end of the fourth quarter of this year. First thing that we are going to do next year is to start manufacturing NexoBrid. We don't think there will be any impact at all to the expected revenue in 2027 and 2028 for NexoBrid.

Jeff Jones
Jeff Jones
Analyst at Oppenheimer

Thank you guys very much.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Okay.

Operator

The next question comes from Chase Knickerbocker with Craig-Hallum. Please go ahead.

Chase Knickerbocker
Chase Knickerbocker
Analyst at Craig-Hallum

Good morning. Thanks for taking the questions. Maybe just on a little bit more specifics about VALUE. Can you just talk about how the enrollment rate has trended sequentially on a per-site basis? Can you just confirm that all those 40 sites are up, running, and enrolling? Just as we think about what your expectation for the 1Q resampling is, are you assuming any improvement in enrollment trends in that assumption, or is it just kind of static? Thanks.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Hey, Chase. Good to have you with us. As for the VALUE, let's speak about the numbers to protect the integrity of the study, we cannot show patient enrollment numbers or enrollment trends, during the conduct of the study in a multinational study. Individual snapshot can be noisy, and the advice we are getting is not to share any information. We think the more useful commitment is the milestones. It is the interim assessment and the enrollment completion. What can I say now is that the design has not changed, 216 patients, roughly 40 sites, and we expect the interim sample size reassessment and enrollment completion to be by the end of the first quarter of 2027. We do not need any improvements or changes in trends. We are on track. I hope I answered the first question, right?

Chase Knickerbocker
Chase Knickerbocker
Analyst at Craig-Hallum

Yeah. And maybe, you've spoken to active sites in the past. Can you maybe just speak to the update there?

Ofer Gonen
Ofer Gonen
CEO at MediWound

Yeah.

Chase Knickerbocker
Chase Knickerbocker
Analyst at Craig-Hallum

Go ahead.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Okay. Right. Regarding the sites, as we said, we are targeting approximately 40 sites, and we are something like very close to have them all recruiting. We have less than 10% to reach this target.

Chase Knickerbocker
Chase Knickerbocker
Analyst at Craig-Hallum

Got it. And then, maybe just as we think about, you obviously are also guiding to full enrollment, but if we just think about top-line data, post last patient enrolled. Should we think about it as 12 weeks, obviously, to that wound healing follow-up, and then a month or two for data lock and the like? Or maybe just talk us through exactly how that timeline will work. And then lastly, just one for Barry. So we're seeing a pretty large volume shift in wound care from Site 11 to Site 22, can you just remind us the sites of service that you think EscharEx will predominantly be used in, if approved? And then if you could just remind us again where SANTYL usage is concentrated today, and how you expect that to change from a mixed perspective for EscharEx. Thanks.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Barry, let me start with answering about the clinical trial, if this is okay. You put it quite accurately, Chase. Our plan is to have the interim assessment by the end of Q1. If everything goes well, it takes another quarter or so to get the top-line data. After the top-line data, it is another few months until the final results. As for EscharEx, Barry, do you want to address it?

Barry Wolfenson
Barry Wolfenson
EVP of Strategy and Corporate Development at MediWound

Sure. Most of that shifting, of course, Chase, has to do with the CMS change to how it reimburses the tissue substitute products. Based on the third-party data that we've acquired regarding prescriptions of SANTYL, it's fairly well-distributed across acute care, into clinics, into home health, and certainly into nursing homes and SNFs. We don't see that materially changing, nor do we see that being any different for EscharEx.

Chase Knickerbocker
Chase Knickerbocker
Analyst at Craig-Hallum

Thanks, guys.

Operator

The next question comes from Michael Okunewitch with Maxim Group. Please go ahead.

Michael Okunewitch
Michael Okunewitch
Analyst at Maxim Group

Hey, guys. Thank you for taking my questions today.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Hi, Michael.

Michael Okunewitch
Michael Okunewitch
Analyst at Maxim Group

I wanted to follow up on the question surrounding the 2027 revenues, and particularly to understand mechanically how that works with your current projections, since it's nearly a doubling of the NexoBrid-specific revenues that you are projecting. Is this a case where there's pent-up demand that would lead to a surge in sales in the fourth quarter once you get that approval? Or can you actually ship the product and recognize revenue before the second half EMA commissioning?

Ofer Gonen
Ofer Gonen
CEO at MediWound

Hi, Michael. This is a good question. As I said, we are actually manufacturing the NexoBrid in the beginning of 2027. Everything is ready to be shipped. The demand is there. Second half of 2027, we can sell significantly more than we are selling now. Currently, as you know, our ability to sell is capped by manufacturing capabilities. In 2027, this limitation will finally be removed.

Michael Okunewitch
Michael Okunewitch
Analyst at Maxim Group

All right. How does the delay on the EMA side affect FDA? Is that still one half after EMA approval, or would these now be contemporaneous?

Ofer Gonen
Ofer Gonen
CEO at MediWound

Mathematically, it's something like three months. Having said that, the most important milestone is getting the first approval. As I mentioned in the previous call, and I'm sure that you remember, EMA comes first. Once EMA come first, we can start selling substantially most of the inventory to the European countries. Then the current facility can be dedicated to sell to the U.S. market and to stockpile for governments. This is the more important milestone. This is why we're speaking about the first regulatory approval. If FDA happens three months after that or five months after that, depends on inspections and other things, I don't think it will really change anything in revenue point of view.

Michael Okunewitch
Michael Okunewitch
Analyst at Maxim Group

Thank you. One last one for me before I hop back into the queue. In the second half of this year, you are expecting quite a significant uptick in revenues, particularly from development services, well beyond what you've seen historically, even when you had the full BARDA contract up and running. So I wanted to understand what's going to be driving that. Is that primarily the new programs that have been announced taking effect, or is this some front-loading to the new BARDA contract you signed after the lapse?

Ofer Gonen
Ofer Gonen
CEO at MediWound

Yes, you're right. We are reaffirming the $24 million-$26 million revenue guidance for 2026. Since the revenue for the first half was $4.6 million, clearly the majority of the year, it is weighted towards the second half of the year. We expect meaningful step-up in H2, driven by the product supply related to the contracts, development services under the Vericel MSA, and other government-funded programs, including the Department of War, and of course, the ongoing commercial NexoBrid sale. Under the MSA, we just announced that we initiate the first development program to support the expansion to blast injuries. As I mentioned, we expect to initiate additional development programs under the MSA in the near term as well.

Michael Okunewitch
Michael Okunewitch
Analyst at Maxim Group

All right. Thank you. I appreciate the additional color here.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Thank you, Michael.

Operator

The next question comes from Scott Henry with Alliance Global Partners. Please go ahead.

Scott Henry
Scott Henry
Analyst at Alliance Global Partners

Thank you, and good morning or afternoon, depending on your location.

Scott Henry
Scott Henry
Analyst at Alliance Global Partners

Most of my questions have been asked, but I did want to follow up on the product sales for 2026. Obviously, the $2.6 million was very strong in 2Q, but first quarter was only $528,000 based on what I got out of the filings. Would it be better to think about capacity for product sales as kind of the combination of those two, so about $1.7 million-$1.8 million per quarter? Is that kind of how much you can make in a quarter until we get this capacity? Is that how I should be thinking about it? Or could you duplicate $2.6 million again prior to the capacity expansion? Thank you.

Ofer Gonen
Ofer Gonen
CEO at MediWound

So hi, Scott. As you know, we are not guiding specifically for products, but I don't think it will be the right thing to do, is to think that we sold everything that we could. Again, we are capped only by capacity, not by demand. The inventory of NexoBrid is currently zero, I think, in the most territories and definitely here in the facility. Some of the impacts that you saw that prevented us to generate more revenue were because of the fact that the facility itself needed to go through all kind of inspections and all kind of upgrade, et cetera. I think it would be more accurate to look at the second quarter. Having said that, I would look at last year, and we are selling everything that we have.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Maybe last year, if you add, let's say, 10% premium because of price changes and a little bit more effectiveness, I think it will be more accurate.

Scott Henry
Scott Henry
Analyst at Alliance Global Partners

Okay. Thank you for the color. That is helpful. Then perhaps a question for Hani. R&D, should we expect a significant spike still in the second half of 2026? How should we think about the next couple quarters there? Thank you.

Hani Luxenburg
Hani Luxenburg
CFO at MediWound

So hi, Scott. The increase in R&D is, as you know, primarily driven by our VALUE phase III trial, which remain our top strategic priority in the company. We are not providing quarterly R&D guidance, but we currently at an elevated level of investment and expect R&D spending to remain elevate as VALUE progresses through this phase of our program. At the same time, a meaningful portion of our NexoBrid development activity is supported, as you know, by non-dilutive government funding through BARDA and through the Department of War. While we are investing significantly in VALUE, we are also being very disciplined about where we deploy our own capital. I hope I answered your question.

Scott Henry
Scott Henry
Analyst at Alliance Global Partners

Okay, great. Thank you for that feedback. And thank you both for taking the questions.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Thank you, Scott.

Operator

This concludes our question and answer session. I would like to turn the conference back over to Ofer Gonen for any closing remarks.

Ofer Gonen
Ofer Gonen
CEO at MediWound

Thank you everyone for joining us today. We look forward to updating you again on our next quarterly call.

Operator

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.

Executives
    • Ofer Gonen
      Ofer Gonen
      CEO
    • Hani Luxenburg
      Hani Luxenburg
      CFO
    • Barry Wolfenson
      Barry Wolfenson
      EVP of Strategy and Corporate Development
Analysts
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