CRMD Lifts Full-Year Revenue Guidance Amid Surge in DefenCath Sales and Melinta Integration Progress
Record Revenue and Profits in Q3 2025 Reflect Accelerated DefenCath Adoption
CorMedix Inc. (NASDAQ:CRMD) announced a standout third quarter for 2025, fueled by soaring demand for DefenCath and swift integration of its Melinta Therapeutics acquisition. The company posted net revenue of $104.3 million for Q3, nearly a tenfold increase over the same period in 2024. DefenCath contributed $88.8 million of this, with the jump reflecting robust uptake among outpatient dialysis providers. CorMedix's net income for the quarter soared to $108.56 million, benefiting from both strong product sales and a one-time $59.7 million tax benefit tied to projected ongoing profitability.
Guidance Raised: Full-Year Outlook Now Up to $410 Million on Pro Forma Basis
On the back of these results, CorMedix once again increased its guidance for full-year 2025 pro forma net revenue, now expected between $390 and $410 million. The company also forecasts a fully synergized pro forma adjusted EBITDA in the range of $220 to $240 million, with fourth quarter revenue expected to land between $115 and $135 million. These revisions underscore management’s confidence in continued sales momentum and successful cost capture from its expanded portfolio.
DefenCath Drives Revenue Gains; Melinta Acquisition Delivers Synergy Ahead of Schedule
Integration of Melinta Therapeutics, completed in late August, has outpaced expectations. CorMedix now estimates it will realize approximately $30 million in annual synergy capture before year-end, from a targeted range of $35–$45 million. These operational savings, combined with product portfolio expansion, are rapidly strengthening the company’s financial foundation.
Financial Summary: Operating Performance Turns Sharply Positive
| Q3 2025 | Q3 2024 | Change (%) | |
|---|---|---|---|
| Net Revenue | $104.28M | $11.46M | 811% |
| Net Income (Loss) | $108.56M | ($2.78M) | — |
| Adjusted EBITDA | $71.86M | ($1.98M) | — |
| EPS (Diluted) | $1.26 | ($0.05) | — |
Cash and Balance Sheet: Position Strengthens With Growth and Synergy Capture
CorMedix ended the quarter with $55.7 million in cash and short-term investments, projecting a year-end cash position near $100 million. The company’s acquisition-driven transformation has also seen its total assets climb to $750.86 million, while stockholders' equity reached $374.13 million by September 30, 2025—more than quadruple year-end 2024 levels.
Pipeline Progress and Strategic Moves Reinforce Growth Outlook
Alongside commercial achievements, CorMedix completed enrollment in its pivotal Phase III ReSPECT trial of Rezzayo for invasive fungal infection prophylaxis in transplant patients, with top-line results expected in Q2 2026. A minority stake in Talphera, Inc., and an exclusive negotiation right on a novel hospital anticoagulant add strategic optionality to its development pipeline.
What Should Investors Watch Next?
With higher guidance, accelerating synergy capture, and DefenCath adoption trending strongly, CorMedix has firmly pivoted from development to profitability mode. Upcoming data readouts in 2026 and ongoing integration of the Melinta portfolio will be key milestones to track. The company’s strengthening balance sheet, improved cash flows, and active business development suggest further room for expansion, but investors should keep an eye on R&D investments, integration costs, and market execution as potential risk areas.
Key Metrics at a Glance
| Metric | Q3 2025 | Q3 2024 |
|---|---|---|
| Product Sales | $101.55M | $11.46M |
| Cost of Revenues | ($7.57M) | ($0.63M) |
| Gross Profit | $93.08M | $10.77M |
| Operating Expenses | ($41.73M) | ($14.06M) |
| Net Cash Provided by Operating Activities (9 mo) | $80.58M | ($45.00M) |
Bottom Line: Rapid Revenue Growth and Margin Expansion Put CRMD on Watch Lists
CorMedix is showing rapid financial improvement and clear execution on strategic growth plans, but future quarters will be a real test of the company’s ability to translate this momentum into sustainable performance. Investors should watch for execution on product integration, expense management, and further updates on pipeline assets. For now, CorMedix is quickly earning a spot on watch lists for those seeking evidence of transformation in biopharma financials.
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