Nyxoah Reports First Quarter 2024 Financial and Operating Results

Nyxoah Reports First Quarter 2024 Financial and Operating Results

Nyxoah Reports First Quarter 2024 Financial and Operating Results
Announced DREAM U.S. pivotal study achieved primary endpoints
On track for FDA approval as early as end of 2024

Mont-Saint-Guibert – May 14, 2024 10:05pm CET / 4:05pm ET – Nyxoah SA (Euronext Brussels/Nasdaq: NYXH) (“Nyxoah” or the “Company”), a medical technology company focused on the development and commercialization of innovative solutions to treat Obstructive Sleep Apnea (OSA), today reported financial and operating results for the first quarter of 2024.

Recent Financial and Operating Highlights

  • Reported the DREAM U.S. pivotal study achieved co-primary endpoints on an intent-to-treat (ITT) basis and demonstrated strong AHI reductions in supine and non-supine sleep positions.
  • The DREAM study achieved a median AHI reduction of 70.8%, a 12-month AHI responder rate, per the Sher criteria, of 63.5% (p=0.002) on an ITT basis and a 12-month ODI responder rate of 71.3% (p<0.001) on an ITT basis.
  • Preparing the fourth and final PMA module for submission this quarter.
  • Appointed Dr. Maurits S. Boon, MD as Chief Medical Officer.
  • Advanced patient access strategy through partnership with the American Association of Otolaryngology – Head & Neck Surgery Foundation (AAO-HNSF).
  • Achieved quarterly sales of €1.2 million, showing 170% growth vs Q1 2023.
  • Total cash position of €44.3 million at the end of the quarter.


“The DREAM U.S. study achieving its primary endpoints is a pivotal milestone for Nyxoah and further differentiates Genio as the only HGNS therapy to demonstrate strong efficacy in supine and non-supine OSA. With the DREAM data in hand, our U.S. launch preparations are focused on attracting commercial talent to set us up for success when we introduce Genio,” commented Olivier Taelman, Nyxoah Chief Executive Officer. “With continued European commercial traction, positive DREAM data and a highly differentiated, patient centric HGNS solution, I could not be more excited for Nyxoah’s future.”

First Quarter 2024 Results

(in thousands)

 For the three months ended March 31, 
 2024  2023 
Revenue € 1,221 € 441
Cost of goods sold (455) (175)
Gross profit € 766 € 266
Research and Development Expense (7,199) (6,157)
Selling, General and Administrative Expense (5,972) (5,551)
Other income/(expense) 192 46
Operating loss for the period € (12,213) € (11,396)
Financial income 1 408 625
Financial expense ( 991) ( 958)
Loss for the period before taxes € (11,796) € (11,729)
Income taxes ( 110) ( 182)
Loss for the period € (11,906) € (11,911)
Loss attributable to equity holders € (11,906) € (11,911)
Other comprehensive income/(loss)    
Items that may not be subsequently reclassified to profit or loss (net of tax)    
Currency translation differences 60 (28)
Total comprehensive loss for the year, net of tax € (11,846) € (11,939)
Loss attributable to equity holders € (11,846) € (11,939)
Basic loss per share (in EUR) € (0.415) € (0.460)
Diluted loss per share (in EUR) € (0.415) € (0.460)


(in thousands)

   As at
   March 31
 December 31 2023
Non-current assets     
Property, plant and equipment  €4,379 €4,188
Intangible assets  48,501 46,608
Right of use assets  3,597 3,788
Deferred tax asset  134 56
Other long-term receivables  1 333 1,166
   € 57,944 € 55,806
Current assets     
Inventory  3,418 3,315
Trade receivables  2,971 2,758
Other receivables  3,149 3,212
Other current assets  1,232 1,318
Financial assets  22,225 36,138
Cash and cash equivalents  22,077 21,610
   € 55,072 € 68,351
Total assets  € 113,016 € 124,157
Capital and reserves     
Capital  4,927 4,926
Share premium  246,188 246,127
Share based payment reserve  8,440 7,661
Other comprehensive income  197 137
Retained loss  (172,555) (160,829)
Total equity attributable to shareholders  € 87,197 € 98,022
Non-current liabilities     
Financial debt  8,616 8,373
Lease liability  2,933 3,116
Pension liability  22 9
Provisions  273 185
Deferred tax liability   9
   € 11,844 € 11,692
Current liabilities     
Financial debt  346 364
Lease liability  852 851
Trade payables  7,316 8,108
Current tax liability  2,091 1,988
Other payables  3,370 3,132
   € 13,975 € 14,443
Total liabilities  € 25,819 € 26,135
Total equity and liabilities  € 113,016 € 124,157

Revenue was €1.2 million for the first quarter ending March 31, 2024, compared to €441,000 for the first quarter ending March 31, 2023. The increase in revenue was attributable to the Company’s commercialization of the Genio® system, primarily in Germany.

Cost of Goods Sold

Cost of goods sold was €455,000 for the three months ending March 31, 2024, representing a gross profit of €0.8 million, or gross margin of 62.7%. This compares to total cost of goods sold of €175,000 in the first quarter of 2023, for a gross profit of €266,000, or gross margin of 60.3%.

Research and Development
For the first quarter ending March 31, 2024, research and development expenses were €7.2 million, versus €6.2 million for the first quarter ending March 31, 2023.

Operating Loss
Total operating loss for the first quarter ending March 31, 2024 was €12.2 million versus €11.4 million in the first quarter ending March 31, 2023. This was driven by the acceleration in the Company’s R&D spending, as well as ongoing commercial and clinical activities.

Cash Position
As of March 31, 2024, cash and financial assets totaled €44.3 million, compared to €57.7 million on December 31, 2023. Total cash burn was approximately €4.5 million per month during the first quarter 2024.

First Quarter 2024
Nyxoah’s financial report for the first quarter 2024, including details of the consolidated results, are available on the investor page of Nyxoah’s website (https://investors.nyxoah.com/financials).

Conference call and webcast presentation
A webcast of the call will be accessible via the Investor Relations page of the Nyxoah website or through this link: Nyxoah's Q1 2024 earnings call webcast. For those not planning to ask a question of management, the Company recommends listening via the webcast.

If you plan to ask a question, please use the following link: Nyxoah’s Q1 2024 earnings call. After registering, an email will be sent, including dial-in details and a unique conference call access code required to join the live call. To ensure you are connected prior to the beginning of the call, the Company suggests registering a minimum of 10 minutes before the start of the call.

About Nyxoah
Nyxoah is a medical technology company focused on the development and commercialization of innovative solutions to treat Obstructive Sleep Apnea (OSA). Nyxoah’s lead solution is the Genio® system, a patient-centered, leadless and battery-free hypoglossal neurostimulation therapy for OSA, the world’s most common sleep disordered breathing condition that is associated with increased mortality risk and cardiovascular comorbidities. Nyxoah is driven by the vision that OSA patients should enjoy restful nights and feel enabled to live their life to its fullest.

Following the successful completion of the BLAST OSA study, the Genio® system received its European CE Mark in 2019. Nyxoah completed two successful IPOs: on Euronext Brussels in September 2020 and NASDAQ in July 2021. Following the positive outcomes of the BETTER SLEEP study, Nyxoah received CE mark approval for the expansion of its therapeutic indications to Complete Concentric Collapse (CCC) patients, currently contraindicated in competitors’ therapy. Additionally, the Company is currently conducting the DREAM IDE pivotal study for FDA and US commercialization approval.



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