NeuroPace reported Q1 2025 revenue of $22.5M, up 24% year-over-year, driven by 26% growth in RNS system sales and strong execution of its Project CARE Access Initiative.
Gross margin for Q1 2025 was 77%, up from 73.6% in Q1 2024, primarily due to increased RNS production volumes and price increases; RNS gross margin exceeded 78%.
The company completed a $75M follow-on equity financing, announced the planned exit from SEEG product distribution (to be wound down starting Q4 2025), and reaffirmed a focus on higher-margin RNS business.
Updated 2025 guidance: total revenue expected between $93M and $97M (16–21% growth over 2024), gross margin in the 73–75% range, and operating expenses between $92M and $95M; company remains on track for 20%+ CAGR through 2027 and cash flow breakeven by year-end 2027.
Clinical milestones included positive three-year post-approval RNS study data (82% median seizure reduction, 42% with >6 months seizure freedom), ongoing progress in the NAUGHTLIST pivotal study (FDA submission expected H2 2025), and pediatric indication expansion efforts leveraging real-world data.