Microcap Ledger

Tickers · $GUTS

Fractyl Health, Inc. $GUTS

By Microcap Ledger desk · CIK 0001572616

Facts as of . Built from SEC filings and our own data. Small caps move fast; check the latest filings.

Snapshot

Exchange
Nasdaq Global Market
Sector
Surgical & Medical Instruments & Apparatus
Headquarters
Burlington, MA
Fiscal year end
December 31
Shares outstanding
159,179,848 [10-Q 2026-08-10]
as of 2026-08-04

Sources: [10-K 2026-03-24]

What the company doesAI summary of filing

Fractyl Health develops medical devices and gene therapy candidates for metabolic and weight management indications. The company's lead product, Revita, is a medical device that performs hydrothermal ablation of the duodenal mucosa for weight loss maintenance and has received FDA Breakthrough Device designation; Revita has CE mark approval in Europe under the Medical Device Directive and the company is working toward MDR certification. Fractyl is also developing Rejuva gene therapy candidates using AAV vectors, which are expected to be regulated as biologic-device combination products and are currently in preclinical and early clinical stages. The company is pre-revenue and dependent on obtaining regulatory approvals and clinical study success to commercialize its products, with reimbursement and healthcare coverage decisions being critical to market adoption. [10-K 2026-03-24]

Segments: Revita DMR System, Rejuva Gene Therapy Candidates

Financial health

From XBRL company facts (USD)
PeriodRevenueNet incomeOperating cash flowCashFiling
6 months to Jun 2026—−$16.32M −$38.38M$47.14M[10-Q 2026-08-10]
FY ended Dec 2025$0.00−$140.95M −$90.33M$81.54M[10-K 2026-03-24]
FY ended Dec 2024$93.0K−$68.69M −$65.52M$67.46M[10-K 2026-03-24]
Quarterly cash burn
−$19.19M
Cash runway Estimate
~7.4 months

Estimate: cash at the end of the period (6 months to Jun 2026) divided by the average monthly operating cash outflow over that period. Ignores any cash raised or spent since, and any financing.

Capital structure and dilution

Summary only. How these instruments work: Dilution & financing desk.

Share count
DateShares outstandingFiling
2024-11-0148,098,944[10-Q 2024-11-12]
2025-02-2148,920,221[10-K 2025-03-03]
2025-05-0248,976,636[10-Q 2025-05-13]
2025-08-0150,289,014[10-Q 2025-08-12]
2025-10-31137,044,440[10-Q 2025-11-12]
2026-03-01158,648,963[10-K 2026-03-24]
2026-05-01158,648,963[10-Q 2026-05-12]
2026-08-04159,179,848[10-Q 2026-08-10]
Shelf registration
S-3 filed 2025-03-03; declared effective 2025-03-18 [S-3 2025-03-03]

Listing status

Current status: 2 Form 8-K Item 3.01 filing(s) in the last 24 months, most recent 2026-09-11. Item 3.01 covers delisting notices, failures to meet a listing rule and listing transfers; read the filing for which one.

DateEventDetailsDeadlineFiling
2026-09-118-K Item 3.01Notice of delisting or failure to satisfy a continued listing rule or standard; or transfer of listing—[8-K 2026-09-11]
2026-03-178-K Item 3.01Notice of delisting or failure to satisfy a continued listing rule or standard; or transfer of listing—[8-K 2026-03-17]

More on deficiency notices and uplistings: Listing status desk.

Who owns it

Recent Form 4 transactions
DateInsiderTypeSharesPriceFiling
2026-09-14Bradley Williambuy64,516$0.62[4 2026-09-16]
2026-06-12Royan Ajaybuy23,000$0.85[4 2026-06-15]
2026-06-10Bradley Williambuy68,493$0.73[4 2026-06-11]

Catalysts and calendar

Facts as of . Small caps move fast; check the latest filings.