ビオフロンテラ（BFRI）2026年第2四半期決算説明会：売上高33%増、粗利益率は80%に到達

主なポイント

• 2026年第2四半期の製品売上高は、Ameluz（アメルズ）の販売数量が約30%増加したことや2025年第4四半期の値上げに支えられ、前年同期比32.9%増の1,200万ドルとなりました。
• 粗利益率は、主に売上高の25%〜35%の移転価格からAmeluzの直接原価に純売上高の12%のアーンアウトを加えた形態への移行により、前年同期の71%から約80%へと拡大しました。
• 調整後EBITDAは前年同期のマイナス510万ドルからマイナス20万ドルへと改善し、季節的に需要が落ち込む四半期においてビオフロンテラは損益分岐点に近づきました。
• 米国国際貿易委員会（ITC）の命令により、ビオフロンテラは現行のRhodoLED XLの米国への輸入および販売が禁止され、同機器と併用するためのAmeluzの販売も制限されています。一方、設置台数の大半を占める従来のBF-RhodoLEDは影響を受けません。
• 米国食品医薬品局（FDA）は、表在性基底細胞がんを対象としたAmeluzのPDUFA目標日を2026年9月28日に設定しました。承認された場合、経営陣は2027年第1四半期の本格発売を見込んでいます。
• 2026年6月30日時点の現金残高は470万ドルでした。経営陣は2026年中のキャッシュフロー黒字化を引き続き目標としていますが、財務諸表には継続企業の前提に関する注記が記載されています。

主な財務実績

2026年上半期の売上高は前年同期比25.4%増の2,210万ドルとなりました。粗利益率は前年同期の67%から80%に上昇し、当期純損失は前年同期の950万ドル（1株当たり1.05ドル）から540万ドル（同0.44ドル）へと縮小しました。調整後EBITDAはマイナス950万ドルからマイナス370万ドルへと改善しました。

上半期の営業活動による資金使用額は前年同期の720万ドルから170万ドルに減少しました。2026年6月30日時点の現金および現金同等物は470万ドル、負債総額は1,810万ドル、株主資本は600万ドルでした。同社の唯一の有利子負債は、2027年11月満期の転換社債460万ドルでした。

事業・営業動向

Ameluzの販売数量増加が主たる売上牽引要因となりました。ビオフロンテラは第2四半期に3万3,300本を販売しましたが、経営陣によるとこの数字にはITC関連の規制発効前の駆け込み購入（前倒し購入）が含まれているとのことです。

上半期の注文数は前年同期比18.6%増加し、1注文あたりの平均本数は10%増加しました。2025年第4四半期の値上げ前に先回り購入した大口顧客の81%以上が2026年上半期に再注文を行い、これらの顧客におけるAmeluzの販売数量は41%増加しました。

ビオフロンテラは上半期に66件の新規アカウントを獲得しました（前年同期は69件）。インサイドセールス部門は、浸透率の低い小規模アカウントから約1,070本、担当者不在地域のカバーによりさらに920本の販売実績を上げました。

同社は第2四半期に「RhodoLED XL」16台および従来型「RhodoLED」5台を含む計21台の照明装置を設置しました。設置台数は約740カ所の医療機関で計約801台に達しました。

経営陣の見通し

経営陣は、ITC命令発効前のAmeluzの駆け込み購入による需要の時期調整（タイミングシフト）について、ビオフロンテラの2026年通期売上目標に変化をもたらすものではないと説明しました。なお、電話会議では定量的な売上目標は示されませんでした。

ビオフロンテラは2026年のキャッシュフロー黒字化に向けて引き続き取り組んでいます。同社はAmeluzの売上増加、「XEPI」売却に伴う追加100万ドルのマイルストーン受領、必要に応じた運転資金向けクレジットライン（融資枠）などの活用を通じて流動性を確保する計画です。

表在性基底細胞がんに関し、FDAは新薬承認変更申請（sNDA）を受理し、2026年9月28日をPDUFA目標日に設定しました。承認を前提として、ビオフロンテラは既存の照射ランプ、皮膚科顧客、営業力を活用し、2026年第4四半期に初期のアプローチを開始、2027年第1四半期に本格発売を見込んでいます。

同社はまた、日光角化症の適応範囲を四肢、首、体幹へと拡大し、最大240平方センチメートルの照射領域に対応するため、2026年第3四半期末頃にsNDA（追加新薬承認申請）を提出する予定です。経営陣は2027年第3四半期のFDA承認の可能性を見込んでいます。

ビオフロンテラは、第2b相試験においてAmeluz使用で炎症性皮疹が58%減少（プラセボ群は37%減少）という結果が得られたことを受け、ニキビ（尋常性痤瘡）臨床プログラムの次段階を評価しています。今後の臨床開発の進展は手元資金に依存します。

リスクと注視すべきポイント

ITCは、RhodoLED XLの構成部品がサン・ファーマシューティカル（Sun Pharmaceutical）の特許2件を侵害していると判断しました。7月7日に限定的排除命令および停止命令が有効となり、ビオフロンテラによる現行XLランプの輸入・販売が禁止されたほか、同機器での使用を目的としたAmeluzの販売も制限されています。

この規制は、経営陣によれば稼働台数の大部分を占める従来型の「BF-RhodoLED」には影響しません。ビオフロンテラは、ヒンジ部品の軽微な変更を加えた改良型XLランプの開発を進めています。経営陣によると、この改修はFDA関連のCBE-30手続きを完了していますが、ITC命令の対象外であることについての米税関・国境警備局の確認を待っている状態です。

ビオフロンテラは第1四半期に約50万ドルの是正費用を見積もって計上しており、経営陣はこの見積もりに変更はないとしています。また、同社はITCの判断に対し連邦巡回区控訴裁判所に上訴する権利を保持していますが、同社の事業計画は上訴の成功を前提としたものではないと述べています。

流動性は引き続き厳しい状況です。損益分岐点に向けた進展は見られるものの、ビオフロンテラは財務諸表に継続企業の前提に関する注記（ゴーイング・コンサーン注記）を記載しており、費用をコントロールしながら売上成長を継続する必要があります。

アナリスト質疑応答の要点

経営陣は、表在性基底細胞がんの販売開始に向けた準備として、主にマーケティング資料の策定、FDA事前承認の獲得、営業チームの研修、保険償還（リインバースメント）戦略の確定を行っていると述べました。この適応症では同社の既存の商業インフラが活用されます。

改良型RhodoLED XLに関して、経営陣はヒンジの変更が製品性能や医師によるランプの使用方法に明確な差を生じさせるものではないと述べました。残る国境審査プロセスを通過した後に、現行XL機器を保有する医療機関向けの交換対応が予定されています。

経営陣はまた、医療機関がITC命令発効前に購入したAmeluzの在庫については、所有する既設ランプと併用して使用できると説明しました。ただし、ビオフロンテラは、命令発効後に特許侵害となるRhodoLED XLでの使用を目的とした追加のAmeluzの販売は行えません。

決算説明会 文字起こし全文

決算説明会の完全なトランスクリプト

経営陣による説明

Operator

Welcome to the Biofrontera Second Quarter 2026 Financial Results and Business Update Conference Call. [Operator Instructions] Please note, this event is being recorded. I would now like to turn the conference over to Ben Shamsian with Lytham Partners Investor Relations.

Please go ahead.

Behnam Shamsian

Good morning and welcome to Biofrontera Inc.'s Second Quarter 2026 Financial Results and Business Update Conference Call. Please note that certain information discussed during today's call by management is covered under the safe harbor provisions of the Private Securities Litigation Reform Act. We caution listeners that Biofrontera's management will be making forward-looking statements and that actual results may differ materially from those stated or implied by these forward-looking statements due to the risks and uncertainties associated with the company's business.

The forward-looking statements on today's call include statements regarding the company's full year 2026 revenue goals, the anticipated effects of the International Trade Commission orders and the company's remediation plan, the company's liquidity and the ability to continue as a going concern, the outcome of pending proceedings and the potential approval and launch of new indications for Ameluz. All risks and uncertainties are detailed and are qualified by the cautionary statements contained in Biofrontera's press release and SEC filings, including the company's quarterly reports on Form 10-Q for the quarter ended June 30, 2026, and the company's annual report on the Form 10-K for the year ended December 31, 2025.

Also, this conference call contains time-sensitive information that is accurate only as of the date of this live broadcast. Biofrontera undertakes no obligation to revise or update any forward-looking statements to reflect events or circumstances after the date of this conference call, except as required by law. During today's call, there will be references to certain non-GAAP financial measures. Biofrontera believes these measures provide useful information for investors, yet should not be considered as a substitute for GAAP, nor should they be viewed as a substitute for operating results determined in accordance with GAAP.

A reconciliation of non-GAAP to GAAP results is included in the press release issued today and is available on the company's website at www.biofrontera-us.com under the Investor Relations section. Please note management will be referencing adjusted EBITDA, a non-GAAP financial measure defined as net loss excluding interest expense, net income taxes, depreciation, and amortization, and certain other non-recurring or non-cash items, including changes in fair value of warrant liabilities, panel remediation expense, and the related inventory write-down and stock-based compensation.

With that said, I would now like to turn the call over to Hermann Luebbert, CEO, Chairman, and Founder of Biofrontera. Hermann, please proceed.

Hermann Lubbert

Yes, thank you, Ben. And thank you to everyone joining us this morning. The second quarter of 2026 was the strongest operating Q2, and the first half year was the strongest H1 in the company's history as a standalone U.S. business. Net product revenue grew 33% to $12 million. Gross margin reached approximately 80% compared to approximately 71% a year ago. And adjusted EBITDA came to $200,000 of breakeven against a loss of $5.1 million in Q2 of last year. These strong results in Q2, which for us is traditionally a weaker quarter, are not just one quarter out of the ordinary. They reflect the build-up of a commercial organization that is executing along with the expense discipline across the entire organization.

We are seeing the pace of reorders from our physician accounts accelerate, which reflects the strength of underlying demand generation. George and Fred will take you through the details in a moment. The results also further reflect the strategic transaction we completed in October 2025, which gave Biofrontera full ownership and control of all U.S. rights, approvals, and patents for the Ameluz and RhodoLED portfolio, and replaced a transfer pricing model of 25% to 35% of revenue with a 12% earn-out on net sales.

Before diving into the business, I want to address the International Trade Commission matter because I expect it is on your minds. On May 6, the Commission issued its final determination finding a violation of Section 337 with respect to two Sun Pharmaceutical patents covering certain components of our RhodoLED XL lamp. In their decision, the Commission contradicted the conclusion of the U.S. Patent Office's Trial and Appeal Board, which, in agreement with our belief, had previously found every challenged claim of one of the patents unpatentable. The Commission issued a limited exclusion order and cease and desist orders which took effect on July 7.

We can no longer import or sell the current RhodoLED XL lamp in the United States. And we are restricted from selling Ameluz for use with the RhodoLED XL. Three things you should understand about the scope of this. First, this affects the XL lamp. It does not in any way affect the original BF-RhodoLED lamp, which represents the substantial majority of our installed lamp base. Physicians using those lamps are unaffected and Ameluz sales to accounts with the BF-RhodoLED lamp continue normally. Second, we have a remediation plan designed to allow selling a modified version of our XL lamp that is outside the scope of both Sun Pharmaceutical patents.

We recorded approximately $500,000 in the first quarter as our best estimate of the remediation cost, and that estimate has not changed. Because the substantial majority of our installed lamp base is unaffected, and we expect to get approval for providing a modified version of the RhodoLED XL that is outside the patent space, we expect the exclusion order to affect the timing of orders rather than total demand. Third and finally, we are not finished contesting this. We retain the right to appeal the Commission's determination to the Federal Circuit. I will not speculate on how those proceedings will resolve or when. What I will tell you is that while pursuing every avenue available to us, our commercial plan does not depend on winning any of them.

Our commercial success will be because of our continued dedication to doctors and patients, as well as investment in developing Ameluz and PDT to be used in more indications. Now let me turn to the clinical pipeline, because it is the clearest picture of how this company will grow in 2027 and beyond. First, superficial basal cell carcinoma. The FDA accepted filing of our supplemental New Drug Application for Ameluz PDT for the treatment of superficial basal cell carcinoma with a PDUFA target date of September 28, 2026. If approved, Ameluz will be the first PDT in the United States approved for the treatment of cancerous skin tumors, and we expect a full launch in Q1 of 2027 with initial outreach to customers during Q4 of 2026.

That launch would go directly into our existing installed base of BF-RhodoLED lamps and our existing dermatology call points. The commercial infrastructure is already in place. Second,actinic keratosis on the extremities, neck, and trunk. Earlier this year, we announced positive and statistically significant top-line Phase III results, with the study meeting its primary endpoint. This data supports our plan to file a supplemental NDA around the end of the third quarter of 2026 to expand the Ameluz label beyond AKs on the face and scalp to a treatment field of up to 240 square centimeters. We anticipate FDA approval in Q3 2027.

With approximately 58 million American adults having at least 1 AK lesion, extending treatment to the extremities, neck, and trunk, and the larger area, meaningfully expands the addressable use of every lamp already in the field. Third, moderate to severe acne and beyond. Our Phase 2B study showed a 58% reduction in inflammatory lesions with Ameluz compared to 37% with vehicle, and 86% of patients said they would choose PDT treatment again. We are currently in the process of prioritizing and designing our next phase of clinical development, aiming at expanding the addressable market for our products, and acne will be an important part of this discussion. We'll keep you updated as these plans will evolve.

Taken together, sBCC expected to launch in the first quarter of 2027, relevant AK label extensions anticipated in Q3 2027, and an acne program advancing towards Phase III. All of these grow revenue through the same installed lamp and customer base and the same sales force we have already built and paid for. That is the growth model for 2027 and beyond. More approved uses flowing through infrastructure that is already in place.

I would now like to turn the call over to George Jones, our Chief Commercial Officer. George?

George Jones

Thank you, Hermann, and good morning, everyone. We delivered product revenues of $12 million in the second quarter, an increase of approximately 33% year-over-year. The increase was driven by approximately 30% growth in Ameluz unit volume, together with the price increase we implemented in the fourth quarter of 2025. Looking at unit volume, in the second quarter of 2026, we sold 33,300 tubes of Ameluz. This is compared to approximately 25,300 tubes in the second quarter of 2025. The volume growth in the quarter included the impact of order timing from certain customers in anticipation of the ITC-related supply restrictions Hermann described.

The timing of this is good because customers tend to move through Ameluz faster when they have inventory on the shelf, and it sets us up for a strong fourth quarter. Importantly, since the substantial majority of our installed lamp base is unaffected by the exclusion order, we do not expect this shift to impact our full year 2026 revenue goals. Turning to the RhodoLED lamp placements, in Q2 2026, we placed 21 lamps, including 16 XL lamps and 5 RhodoLED lamps. This increased our installed base to approximately 801 lamps across approximately 740 physician offices.

Turning to sales execution, we are seeing significant traction across all aspects of our business. During the first half of 2026, our order count was up 18.6% versus the first half of 2025. And the average tubes per order was up 10%. We have also been tracking our largest customers that made large purchases prior to the price increase in Q4 of 2025. Over 81% of those customers placed additional orders during the first half of 2026. And for those that did reorder, their Ameluz volume was up 41%. This is important because it indicates our sales efforts are working and our customers are increasing their Ameluz PDT throughput within their practice.

I also want to highlight our new account growth. In the first half of 2026, we added 66 new accounts versus 69 new accounts during the first half of 2025. A slight dip is likely due to the focus on current XL customers in May and June prior to the ITC orders coming effective. Lastly, I want to follow up on our last call and draw attention to our inside sales efforts. And those efforts have continued to bear fruit, generating approximately 1,070 tubes of Ameluz from whitespace in smaller accounts, as well as another 920 tubes from covering vacant territories in the first half of 2026.

The first half of 2026 has given me great optimism regarding our commercial strategy and the way our team has delivered. This enhanced execution plus our clinical programs, including the near-term sBCC approval and launch, upcoming label expansion for AKs on the extremities, neck, and trunk, and the advancement of our acne program give us multiple paths and great opportunities for continued growth.

With that, I'll turn the call over to Fred Leffler, our Chief Financial Officer. Fred?

Eugene Leffler

Thank you, George, and good morning, everyone. I'll walk through our results for the second quarter and first half of the year ended June 30, 2026. All comparisons are to the same prior period unless otherwise noted. A full reconciliation of GAAP and non-GAAP measures is included in the press release issued earlier today and available on our website. With that, revenues for the second quarter were $12 million compared to $9 million in the second quarter of 2025. That is an increase of 32.9%. As George described, unit volume grew approximately 30% with the balance of the growth coming from the price increase that was completed in the fourth quarter of 2025.

For the first half of the year, revenues were $22.1 million, up 25.4% from $17.6 million in 2025. Cost of revenue for the quarter was $2.4 million compared to $2.6 million, producing gross profit of $9.6 million and a gross profit margin of about 80%, compared to approximately 71% in the prior year quarter. That's an expansion of roughly 920 basis points. For the first half, gross margin was also 80% against a gross profit margin of 67% in the first half of 2025. The improvement was driven principally by the transition from the prior transfer pricing agreements to a cost structure comprising of Ameluz direct cost plus the 12% earn-out on net revenue.

That structure is contractual and durable, and we will see it continue. Selling, general, and administrative expenses for the quarter were $9.7 million compared to $10.6 million in 2025 that we took over following the strategic transaction. I would note that the litigation-related legal spend is tied to the pace of active matters and can vary quarter to quarter. For the first half, SG&A was $20.7 million compared to $19.3 million, an increase of $1.4 million. This was driven primarily by investment, lower turnover in the commercial organization, and the new manufacturing and regulatory functions I just mentioned. And it was partially offset by lower litigation-related legal fees.

Research and development expenses were $0.4 million for the quarter compared to $0.9 million in 2025 and $1.3 million for the first half of 2026 compared to $2.1 million for the first half of 2025, reflecting the current vintage of clinical trials really reaching substantial completion. As Hermann pointed out, we are planning additional clinical developments for the coming years, aiming to expand the reach of our products, but depending on available funds. Net loss for the quarter was $0.6 million, or $0.05 per share, compared to a net loss of $5.3 million, or $0.57 per share, in 2025. For the first half, net loss was $5.4 million or $0.44 per share compared to $9.5 million or $1.05 per share.

Adjusted EBITDA for the quarter was negative $0.2 million compared with negative $5.1 million in the prior year quarter. An improvement of approximately $5 million and an adjusted EBITDA margin of negative 1.4% against negative 56.9% in 2025. For the first half, adjusted EBITDA was negative $3.7 million compared with negative $9.5 million last year. An adjusted EBITDA margin of negative 16.9% versus negative 54%.

Now turning to the balance sheet and liquidity, as of June 30, 2026, we had cash and cash equivalents of $4.7 million compared with $6.4 million at December 31, 2025. Operating cash used in the first half of 2026 was $1.7 million, down from $7.2 million a year ago.

The last figure also includes a $3.7 million one-time paydown of related party payables that were connected to the strategic transaction that happened in the first quarter of 2026. Including that item, changes in working capital were a net source of cash for the period. We continue to make progress towards cash flow breakeven in 2026. Total liabilities were $18.1 million, essentially unchanged from year end 2025. Our only outstanding indebtedness is $4.6 million of convertible notes maturing in November of 2027. We have no bank or term debt. Total shareholders' equity was $6.0 million compared with $10.5 million at December 31, 2025.

As we have disclosed in our filings, the company has included a going concern qualification in its financial statements. While we have demonstrated meaningful progress towards cash flow breakeven, and believe we will achieve that this year, and this quarter is the clearest evidence of that progress. Our current capital resources require us to continue expanding our commercial operations and controlling expenses. We plan to address this through the continued growth of Ameluz revenue, the realization of the next milestone payment of $1 million from the XEPI divestiture, and, if necessary, securing a working capital line of credit or similar facility when and if needed. With that overview of our results, we are now ready to take questions from our covering analysts. I'll hand it back to you, operator.

Operator

[Operator Instructions ] Our first question comes from Bruce Jackson with StoneX. Please go ahead.

質疑応答

Bruce Jackson

And congratulations on the quarter. I wanted to start off with the basal cell carcinoma launch. So it's the same call point and it works with the existing lamp. Is there anything else that needs to be done in terms of like putting the reimbursement in place or getting the sales force trained? What are the other additional steps that need to be done prior to launch?

George Jones

I'll take that one. First of all, thanks for the question. The great thing about the sBCC indication is how perfectly it fits within our current call point and our current kind of strategic priorities. The actions that really need to be taken place to get ready for this launch are to finalize our marketing materials, pre-clear those with the FDA, and train our sales force, and then finalize our reimbursement strategy as well. But outside of those, we're ready to go and begin selling this and begin talking about it when it's approved.

Bruce Jackson

Okay. Okay. And then I wanted to follow up with the ITC commentary. So I believe there are two patents involved here, and you've successfully challenged one, the inter partes review. Is it possible to get the other patent reviewed? So can you like basically get this whole thing tossed out? That's the first part of the question. And if not, can you tell us more about the remediation plan and will this require a redesign of the lamp that would then have to go back through the FDA process?

Hermann Lubbert

Yes, I take that one. Thanks for asking, Bruce. Well, first to the process with the other patent. We cannot do this with the other patent. This other patent is basically identical to the first patent. And the answer would in all likelihood be the same. However, we can't attack that patent through the same mechanism because the current strategy of the director of the patent office is not to allow that strategy for patents which are already discussed in some kind of a court like the ITC. So for pure formalities, we cannot do that.

However, we can appeal the decision of the ITC. And that will be done for both patents. And at that point, we can bring the arguments for both patents together. Now, whether or not that is going to be successful is in the end not as relevant because of the workaround strategy that we are implementing currently. And this workaround strategy is based on very minor changes in the lamp. If you look at patents in a space where there isn't really much new in one of these lamps, I mean it's a 5-panel lamp and panels are connected by hinges. There were lamps like this out there everywhere.

So there's a certain component of hinge that Sun claims they invented. We obviously disagree, but the ITC has agreed with them. And we have to remove that component of the hinge to actually get beyond the space of those patents. So it's really a minor change that we're introducing into the lamps.

Bruce Jackson

And then that minor change, does it have to go through the FDA?

Hermann Lubbert

Yes, it has to go through the FDA in what's called a CBE-30 process. And we have applied for that. And FDA has agreed that this is the process. And from the FDA point of view, we already got permission to sell that.

Bruce Jackson

Okay, and then one last follow up. In terms of the product performance, is this the same as the one that's going to be.....

Hermann Lubbert

Sorry for interrupting. I should add for clarity that this is just the FDA perspective. And now the border control has to agree that this will also take us outside of the space of the ITC ruling. And that is what we are currently waiting for. So we could in principle sell from the FDA perspective, but in practice we cannot because we have to wait for that other step.

Bruce Jackson

Okay. And then last question for me, this feature change in the XL, will the customer notice any appreciable difference in performance?

Hermann Lubbert

No, for the time being the lamp will still continue to be used exactly in the same way in which it is approved currently by the FDA.

Operator

Our next question comes from Jonathan Aschoff with ROTH Capital Partners.

Jonathan Aschoff

It sounds like you have 243 XL lamps out there out of 101 total. Is that accurate? I'm sorry, out of 801 total. Is that accurate?

George Jones

Yes, that sounds about right.

Jonathan Aschoff

Okay. So, do any docs have both lamps and therefore they can order all the Ameluz they want and use it however they want? Why would they care?

George Jones

So the customers that have an XL in place, an XL alone in place, we no longer are selling them Ameluz for use with that infringing device. The people that bought Ameluz prior to the order going into effect, we are not encouraging them to use Ameluz with the infringing device, but they own the Ameluz and they own the device.

Jonathan Aschoff

Okay, I mean, what, is someone out there policing this to scare these guys?

George Jones

Could you repeat the question? You cut out there?

Jonathan Aschoff

I said, is someone out there policing this to scare these people into not using inventory?

George Jones

It is not their obligation. So it's the obligation of Biofrontera in this situation to not sell Ameluz after the order went into effect for use for the infringing device. But Ameluz that they own and a lamp that they own, they're free to use it as they see fit. So they're under no obligation not to use it, the offices that own it.

Jonathan Aschoff

And then in the future, you're not going to give them a newly designed lamp. You're not going to swap it out for free. You're going to sell it to them outright, yes?

George Jones

So the people that own, as Hermann mentioned, we're working on developing a non-infringing device. And the plan is once that non-infringing device is approved by the FDA, which Hermann mentioned is complete, and then also passes muster with the border control, border protection. The plan would be to work with those offices to replace their current lamp with a non-infringing device.

Jonathan Aschoff

Okay, so I guess I'm trying to understand, with 243 out of 801 being lamps for which you can't sell Ameluz, how does that maintain your annual sort of revenue expectations? It used to be guidance. Now it's just kind of an unwritten expectation. How is that possible?

George Jones

So, we were able to use the period from when the order was issued to when it went into effect to sell into those customers. And so, many of our customers who had an XL were able to buy in multiple months of inventory, to be able to continue to use Ameluz while we are working on creating a non-infringing device that Hermann mentioned. We also have other strategies to ensure that patients are taken care of within these offices.

Jonathan Aschoff

Okay, so they will use Ameluz with the infringing device for as long as they can, like I was alluding to earlier, which is what I would hope and expect. Correct?

George Jones

Yes, we cannot and will not encourage future use of the infringing device, but Ameluz that they purchased before the order went into effect can be used with the XL lamp, yes.

Operator

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

Hermann Lubbert

Yes, thank you, Operator, and thank you to everyone who joined us today. Let me leave you with three takeaways. First, the second quarter demonstrates the full impact of our transformed business model. Revenue is up 33%, gross margin is approximately 80%, and adjusted EBITDA within $200,000 of breakeven in a traditionally weak quarter. Second, our growth beyond 2026 is visible and concrete. We have a PDUFA date for superficial basal cell carcinoma on September 28 and expect the full launch in the first quarter of 2027, which if approved, would make Ameluz the first PDT in the United States approved for the treatment of cancerous tumors.

We are filing a supplemental NDA around the end of this quarter to expand the AK label to the extremities, neck, and trunk, and 240 square centimeters. Each of these label expansions flows through the installed lamp base and sales force we have already built.

And third, we are managing our two constraints, a cash position that requires discipline and an ITC matter that affects one of our lamps, which we are remediating and actively contesting. Neither changes the trajectory of this business nor our dedication to our customers or their patients. And in fact, continues to make Biofrontera more resilient.

I want to thank our entire team for their dedication and hard work. I also want to thank our shareholders, the healthcare professionals who use our products, and most importantly, the patients whose lives we are helping to improve in their fight against skin cancers. Thank you all for your continued support. Have a wonderful day.

Operator

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