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Cosmo Delivers Strong Performance in H1 2025, Raises Full-Year EBITDA Guidance and Accelerates Recurring Revenue Growth Across AI and Dermatology

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Cosmo Pharmaceuticals (OTC:CMOPF), a leader in AI-powered healthcare and specialty pharma, reported strong H1 2025 results and raised its EBITDA guidance by �4.5 million. The company achieved total revenues of �51.7 million, including �41.9 million in recurring revenues.

Key growth drivers include GI Genius� recurring revenues up 128% YoY and Winlevi® recurring revenues up 23% YoY. The company maintains a strong financial position with �133.3 million in cash and investments. Updated FY2025 guidance projects total revenues of �102-107 million and EBITDA of �5.5-7.5 million.

Operating expenses were controlled with R&D at �18.0 million (-6% YoY) and SG&A at �14.3 million (-13% YoY). The company operates across four strategic platforms: AI-powered MedTech, Dermatology, GI innovation, and CDMO services.

Cosmo Pharmaceuticals (OTC:CMOPF), leader nell'assistenza sanitaria potenziata dall'IA e nella farmaceutica specialistica, ha riportato solidi risultati nel primo semestre 2025 e ha aumentato la guidance sull'EBITDA di 4,5 milioni di euro. L'azienda ha raggiunto ricavi totali per 51,7 milioni di euro, di cui 41,9 milioni di euro da ricavi ricorrenti.

I principali motori di crescita includono ricavi ricorrenti di GI Genius� in aumento del 128% su base annua e ricavi ricorrenti di Winlevi® in crescita del 23% su base annua. L'azienda mantiene una solida posizione finanziaria con 133,3 milioni di euro in liquidità e investimenti. La guidance aggiornata per l'intero 2025 prevede ricavi totali tra 102 e 107 milioni di euro e un EBITDA compreso tra 5,5 e 7,5 milioni di euro.

Le spese operative sono state contenute, con R&S a 18,0 milioni di euro (-6% su base annua) e SG&A a 14,3 milioni di euro (-13% su base annua). L'azienda opera su quattro piattaforme strategiche: MedTech potenziata dall'IA, Dermatologia, innovazione gastrointestinale e servizi CDMO.

Cosmo Pharmaceuticals (OTC:CMOPF), líder en salud impulsada por IA y farmacéutica especializada, reportó sólidos resultados en el primer semestre de 2025 y elevó su guía de EBITDA en 4,5 millones de euros. La compañía alcanzó ingresos totales de 51,7 millones de euros, incluyendo 41,9 millones de euros en ingresos recurrentes.

Los principales impulsores de crecimiento incluyen ingresos recurrentes de GI Genius� con un aumento del 128% interanual y ingresos recurrentes de Winlevi® con un crecimiento del 23% interanual. La empresa mantiene una sólida posición financiera con 133,3 millones de euros en efectivo e inversiones. La guía actualizada para todo 2025 proyecta ingresos totales de 102-107 millones de euros y un EBITDA de 5,5-7,5 millones de euros.

Los gastos operativos se controlaron con I+D en 18,0 millones de euros (-6% interanual) y SG&A en 14,3 millones de euros (-13% interanual). La empresa opera en cuatro plataformas estratégicas: MedTech impulsada por IA, Dermatología, innovación gastrointestinal y servicios CDMO.

Cosmo Pharmaceuticals (OTC:CMOPF)� AI 기반 헬스케� � 전문 제약 분야� 선두주자로서 2025� 상반� 강력� 실적� 보고하고 EBITDA 가이던스를 450� 유로 상향 조정했습니다. 회사� � 매출 5,170� 유로� 달성했으�, � � 41.9백만 유로� 반복 매출입니�.

주요 성장 동력으로� GI Genius� 반복 매출� 전년 대� 128% 증가고, Winlevi® 반복 매출� 전년 대� 23% 증가� 점이 있습니다. 회사� 1� 3,330� 유로� 현금 � 투자 자산� 보유하며 견고� 재무 상태� 유지하고 있습니다. 2025� 전체 가이던스는 � 매출� 1� 2백만~1� 700� 유로, EBITDA� 550만~750� 유로� 예상합니�.

운영비용은 연구개발비가 1,800� 유로(-6% 전년 대�), 판매관리비가 1,430� 유로(-13% 전년 대�)� 통제되었습니�. 회사� AI 기반 의료기술, 피부�, 위장관 혁신, CDMO 서비� � � 가지 전략� 플랫폼에� 사업� 운영하고 있습니다.

Cosmo Pharmaceuticals (OTC:CMOPF), un leader dans le domaine de la santé assistée par IA et de la pharma spécialisée, a annoncé de solides résultats pour le premier semestre 2025 et a relevé ses prévisions d'EBITDA de 4,5 millions d'euros. La société a réalisé un chiffre d'affaires total de 51,7 millions d'euros, dont 41,9 millions d'euros de revenus récurrents.

Les principaux moteurs de croissance incluent une augmentation de 128 % des revenus récurrents de GI Genius� en glissement annuel et une hausse de 23 % des revenus récurrents de Winlevi® en glissement annuel. L'entreprise conserve une solide position financière avec 133,3 millions d'euros en liquidités et investissements. Les prévisions mises à jour pour l'exercice 2025 projettent un chiffre d'affaires total de 102 à 107 millions d'euros et un EBITDA compris entre 5,5 et 7,5 millions d'euros.

Les dépenses opérationnelles ont été maîtrisées avec la R&D à 18,0 millions d'euros (-6 % en glissement annuel) et les SG&A à 14,3 millions d'euros (-13 % en glissement annuel). La société opère sur quatre plateformes stratégiques : MedTech assistée par IA, dermatologie, innovation gastro-intestinale et services CDMO.

Cosmo Pharmaceuticals (OTC:CMOPF), ein führendes Unternehmen im Bereich KI-gestützte Gesundheitsversorgung und Spezialpharma, meldete starke Ergebnisse für das erste Halbjahr 2025 und hob seine EBITDA-Prognose um 4,5 Millionen Euro an. Das Unternehmen erzielte Gesamtumsätze von 51,7 Millionen Euro, davon 41,9 Millionen Euro aus wiederkehrenden Umsätzen.

Wichtige Wachstumstreiber sind GI Genius� wiederkehrende Umsätze mit einem Anstieg von 128 % gegenüber dem Vorjahr und Winlevi® wiederkehrende Umsätze mit einem Wachstum von 23 % gegenüber dem Vorjahr. Das Unternehmen verfügt über eine starke Finanzlage mit 133,3 Millionen Euro an liquiden Mitteln und Investitionen. Die aktualisierte Prognose für das Gesamtjahr 2025 erwartet Gesamtumsätze von 102-107 Millionen Euro und ein EBITDA von 5,5-7,5 Millionen Euro.

Die Betriebskosten wurden kontrolliert, mit F&E bei 18,0 Millionen Euro (-6 % gegenüber dem Vorjahr) und SG&A bei 14,3 Millionen Euro (-13 % gegenüber dem Vorjahr). Das Unternehmen ist in vier strategischen Plattformen tätig: KI-gestützte MedTech, Dermatologie, Innovation im Gastrointestinalbereich und CDMO-Dienstleistungen.

Positive
  • EBITDA guidance raised by �4.5 million for FY2025
  • GI Genius� recurring revenues grew 128% year-over-year
  • Winlevi® recurring revenues increased 23% year-over-year
  • Strong cash position of �133.3 million as of June 30, 2025
  • Reduced operating expenses with R&D down 6% and SG&A down 13% YoY
  • Healthy equity ratio of 75.4%
Negative
  • Operating loss of �1.41 million in H1 2025 compared to �78.7 million profit in H1 2024
  • Net loss of �2.03 million versus �71.2 million profit in H1 2024
  • Total revenues declined to �51.7 million from �136.2 million in H1 2024
  • Cost of sales increased 10% year-over-year to �25.6 million

Ad hoc announcement pursuant to Art. 53 LR

EBITDA guidance raised by €4.5M as Cosmo executes on its Vision 2030 strategy; H1 Recurring Revenues from GI Genius™ up 128%, Winlevi® up 23%; Investors Call today at 2 pm CET.


Dublin, Ireland--(Newsfile Corp. - July 23, 2025) - Cosmo Pharmaceuticals N.V. (SIX: COPN), a global leader in AI-powered healthcare and specialty pharma, today reported strong half-year results for 2025, underscoring the Company’s strategic execution, commercial momentum, and capital discipline across its key growth platforms.

On the back of robust performance in H1 2025, Cosmo has raised its full-year EBITDA guidance by €4.5 million and reconfirmed its total revenue outlook for 2025, while confirming double-digit growth in recurring revenues – driven by its leading products and technologies in MedTech AI and Dermatology.

Updated Full-Year 2025 Guidance

  • Total Revenues: €102–107 million
    • ~€17 million in project-based revenues
    • €85–90 million in recurring revenues
  • EBITDA: €5.5–7.5 million, raised from previous guidance due to higher-than-expected other income and improved operational efficiencies
  • Cash, Equivalents & Investments: Expected to remain above €110 million

H1 2025 Highlights

Cosmo delivered strong financial and operational performance in the first half of 2025, with strong momentum in GI Genius™ and Winlevi®, continued cost discipline, and a strong balance sheet.

  • Total Revenues: €51.7 million
    • €41.9 million in recurring revenues
    • €9.8 million in project-based revenues
  • Growth Drivers:
    • GI Genius™ recurring revenues: +128% YoY
    • Winlevi® recurring revenues: +23% YoY
  • Operating Expenses: €57.8 million
    • Cost of Sales: €25.6 million (+10% YoY)
    • R&D: €18.0 million (–6% YoY)
    • SG&A: €14.3 million (–13% YoY)
  • Cash, Equivalents, and Investments: €133.3 million as of June 30, 2025
  • Treasury Shares: 1.6 million shares held as of June 30, 2025 (~€97.7 million), an increase of 76.2K shares vs. December 31, 2024

H2 2025 Outlook

Cosmo expects continued momentum in the second half of 2025, with:

  • Recurring revenues: €43 – 48 million
    • Continued triple digit growth from GI Genius®, double digit growth from Winlevi® and steady growth from Gastro and CDMO business.
  • Increased R&D spending to advance Phase II programs for Bile Acid Diarrhoea and Distal Ulcerative Colitis.
  • Continued SG&A discipline to drive margin expansion

Strategic Context

Cosmo operates at the intersection of high-growth global markets — AI in endoscopy, Dermatology, Gastrointestinal diseases, and advanced Drug Manufacturing.

Each of these sectors is fuelled by large, persistent clinical unmet needs:

  • In MedTech AI, Cosmo’s GI Genius™ is redefining detection and diagnostic accuracy in real time.
  • In Dermatology, Winlevi® is the first new acne mechanism of action in decades.
  • In Gastroenterology, Cosmo’s Phase II pipeline addresses conditions like Bile Acid Diarrhoea and distal ulcerative colitis.
  • In CDMO, Cosmo supports global pharmaceutical partners with advanced formulation, regulatory, and sterile manufacturing expertise.

What makes Cosmo unique is its ability to scale innovation across all four businesses — leveraging common R&D infrastructure, regulatory know-how, Artificial Intelligence, Digital capabilities, and manufacturing excellence. This integrated model is designed to unlock operational leverage, reduce time-to-market, and drive compounding long-term growth.

Giovanni Di Napoli, Chief Executive Officer of Cosmo, commented:
“These results validate our strategy: we are scaling impact across high-need therapeutic areas with real momentum. What sets Cosmo apart is our ability to operate as one company with four powerful platforms: AI-powered MedTech, next-generation Dermatology, GI innovation, and high-value CDMO. These aren’t isolated businesses, they reinforce each other, creating a scalable ecosystem with clinical, operational, and financial synergies. We’re not just growing — we’re compounding. And this is just the beginning of our 2030 vision.”

Svetlana Sigalova, Chief Financial Officer of Cosmo, added:
“Our first-half results reflect strong execution, continued growth in recurring revenues, and prudent financial management. We remain disciplined in controlling costs and investing where it matters most. With a solid balance sheet and clear capital priorities, we’re well positioned to support Cosmo’s long-term growth and deliver on our 2030 ambition.”

Analyst, media and investors call today at 2 pm CET

Cosmo invites investors, financial analysts and business/life sciences journalists to a live webcast presentation which will follow today at 2:00 pm CET.

To join via Web browser, click

To join via phone, please use one of the following dial-in numbers:

  • Switzerland/Europe      +41 (0) 58 310 50 00
  • United Kingdom           +44 (0) 207 107 06 13
  • United States             +1 (1) 631 570 56 13 

Key figures

EUR 1’000

H1 2025

H1 2024
(restated)

Income statement



Revenue

51,720

136,237

Recurring Revenues

41,925

42,379

Project Based Revenues

9,795

93,858[1]

Cost of sales

(25,571)

(23,150)

Gross profit

26,149

113,087

Other income

4,701

1,122

R&D costs

(17,997)

(19,137)

SG&A costs

(14,264)

(16,323)

Net operating expenses

(27,560)

(34,338)

Operating profit/(loss)

(1,411)

78,749

Net financial income

741

1,794

Profit/(loss) before taxes

(670)

80,543

Profit/(loss) after taxes for the period

(2,030)

71,177




EBITDA

4,852

84,868

 

Statement of financial position

As of 30 June 2025

As of 31 December 2024

Non-current assets

423,104

444,514

Cash and cash equivalents

50,749

44,296

Other current assets

136,477

157,962

Liabilities

143,354

141,681

Equity attributable to owners of the Company

460,239

498,330

Non-controlling interests

6,737

6,761

Equity ratio (%)

75.4%

77.0%

 
 

Shares

H1 2025

H1 2024
(restated)

Weighted average number of shares

15,970,541

16,105,126

Earnings/(loss) per share (in EUR)

(0.126)

4.423

 

The full Half-Year 2025 Report of Cosmo can be found for download as pdf-document on the Company’s website via

About Cosmo

Cosmo is a life sciences company focused on MedTech AI, dermatology, gastrointestinal diseases, and contract development and manufacturing (CDMO). We design, develop, and manufacture advanced solutions that address critical medical needs and raise the standard of care. Our technologies are trusted by leading global pharmaceutical and MedTech companies and reach patients and healthcare providers around the world. Guided by our purpose - Building Health Confidence - our mission is to empower patients, healthcare professionals, and partners by innovating at the intersection of science and technology. Founded in 1997, Cosmo is headquartered in Dublin, Ireland, with offices in San Diego (USA), and in Lainate, Rome, and Catania (Italy). For more information, visit

Financial calendar

H.C. Wainwright 27th Annual Global Investment Conference, New York City, USA
Jefferies Global Healthcare Conference, London, United Kingdom
ODDO BHF Forum, Lyon, France

September 8-10, 2025
November 17-20, 2025
January 8-9, 2026

For further information, please contact:

[email protected]


[1] H1 2024 Project Based revenues include €92.5 million milestone from Medtronic

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FAQ

What are Cosmo's (CMOPF) updated financial guidance numbers for 2025?

Cosmo raised its EBITDA guidance to �5.5-7.5 million and expects total revenues of �102-107 million, including �85-90 million in recurring revenues and �17 million in project-based revenues.

How did Cosmo's GI Genius and Winlevi products perform in H1 2025?

GI Genius achieved 128% year-over-year growth in recurring revenues, while Winlevi's recurring revenues increased by 23% year-over-year.

What was Cosmo's financial position as of June 30, 2025?

Cosmo maintained a strong financial position with �133.3 million in cash, equivalents, and investments, and held 1.6 million treasury shares valued at approximately �97.7 million.

How did Cosmo's operating expenses change in H1 2025?

Operating expenses showed improvement with R&D costs decreasing 6% to �18.0 million and SG&A costs reducing 13% to �14.3 million year-over-year.

What are the main business segments of Cosmo Pharmaceuticals?

Cosmo operates across four main platforms: AI-powered MedTech (GI Genius), Dermatology (Winlevi), Gastrointestinal diseases innovation, and Contract Development and Manufacturing (CDMO) services.
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