Nyxoah Reports Third Quarter 2023 Financial and Operating Results

Nyxoah Reports Third Quarter 2023 Financial and Operating Results
Partners with ResMed Germany to increase OSA awareness and therapy penetration

Mont-Saint-Guibert, Belgium – November 8, 2023 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 third quarter of 2023.
Recent Financial and Operating Highlights

  • Filed the third module in the modular PMA submission.
  • Accelerated U.S. pre-commercialization efforts, focused on market access around CPT coding.
  • Initiated a commercial partnership with strategic investor ResMed in Germany. This collaboration introduces a novel continuum of care into the German OSA market.
  • Reported third-quarter sales of €1.0 million and ended the quarter with 46 active German accounts.
  • Ended the quarter with a cash position of €72.5 million, providing an anticipated cash runway into late 2024.

“Nyxoah is entering one of the most exciting times in the company’s history. We will report data from our DREAM U.S. pivotal trial early next year, shortly thereafter complete our modular PMA submission, and expect FDA approval late 2024,” commented Olivier Taelman, Chief Executive Officer. “Hypoglossal nerve stimulation (HGNS) remains highly underpenetrated and guiding patients through their OSA journey is key to unlocking the market’s potential. Our agreement with ResMed Germany, which takes ResMed from a valued investor to commercial partner, creates a continuum of care that directs patients towards the appropriate treatment, resulting in greater therapy penetration.”    


 (in thousands)

      For the three months ended September 30 For the nine months ended September 30
      2023   2022   2023 2022
Revenue     € 976   € 182   € 2,524   € 1,777
Cost of goods sold     ( 336)   ( 63)   ( 930)   ( 685)
Gross profit     € 640   € 119   € 1,594   € 1,092
Research and Development Expense     (6,568)   (4,221)   (19,330)   (11,286)
Selling, General and Administrative Expense     (5,058)   (4,763)   (16,794)   (13,492)
Other income/(expense)       87   265   237
Operating loss for the period     € (10,986)   € (8,778)   € (34,265)   € (23,449)
Financial income     2,178   5,127   3,592   11,372
Financial expense     (1,033)   (2,524)   (2 765)   (5,473)
Loss for the period before taxes     € (9,841)   € (6,175)   € (33,438)   € (17,550)
Income taxes     2,229   (65)   1,119   ( 379)
Loss for the period     € (7,612)   € (6,240)   € (32,319)   € (17,929)
Loss attributable to equity holders     € (7,612)   € (6,240)   € (32,319)   € (17,929)
Other comprehensive loss                  
Items that may be subsequently reclassified to profit or loss (net of tax)                  
Currency translation differences     ( 10)   100   ( 88)   ( 14)
Total comprehensive loss for the year, net of tax     € (7,622)   € (6,140)   € (32,407)   € (17,943)
Loss attributable to equity holders     € (7,622)   € (6,140)   € (32,407)   € (17,943)
Basic Loss Per Share (in EUR)     € (0.266)   € (0.242)   € (1.166)   € (0.695)
Diluted Loss Per Share (in EUR)     € (0.266)   € (0.242)   € (1.166)   € (0.695)


(in thousands)

      As at  
      September 30
  December 31 2022  
Non-current assets            
Property, plant and equipment     4,328   2,460  
Intangible assets     45,720   39,972  
Right of use assets     3,602   3,159  
Deferred tax asset     47   47  
Other long-term receivables     668   173  
      € 54,365   € 45,811  
Current assets            
Inventory     1,709   882  
Trade receivables     1,918   1,463  
Other receivables     2,437   1,775  
Other current assets     1,683   1,284  
Financial assets     59,239   76,968  
Cash and cash equivalents     13,250   17,888  
      € 80,236   € 100,260  
Total assets     € 134,601   € 146,071  
Capital and reserves            
Capital     4,926   4,440  
Share premium     246,130   228,275  
Share based payment reserve     7,468   5,645  
Other comprehensive income     88   176  
Retained loss     (150,070)   (118,212)  
Total equity attributable to shareholders     € 108,542   € 120,324  
Non-current liabilities            
Financial debt     8,407   8,189  
Lease liability     2,990   2,586  
Pension liability     75    
Provisions     125   59  
Deferred tax liability     6    
      € 11,603   € 10,834  
Current liabilities            
Financial debt     769   388  
Lease liability     788   719  
Trade payables     4,480   4,985  
Current tax liability     2,367   3,654  
Other payables     6,052   5,167  
      € 14,456   € 14,913  
Total liabilities     € 26,059   € 25,747  
Total equity and liabilities     € 134,601   € 146,071  


Revenue was €1.0 million for the third quarter ending September 30, 2023, compared to €182,000 for third quarter ending September 30, 2022.

Cost of Goods Sold

Cost of goods sold was €336,000 for the three months ending September 30, 2023, representing a gross profit of €640,000, or gross margin of 66.0%. This compares to total cost of goods sold of €63,000 in the third quarter ending September 30, 2022, for a gross profit of €119,000, or gross margin of 65.4%.

Research and Development Expenses

Research and development expenses were €6.6 million for the three months ending September 30, 2023, versus €4.2 million for the prior year period, driven by an acceleration in clinical activities, notably the start of the ACCCESS study.

Selling, General and Administrative Expenses

Selling, general and administrative expenses rose to €5.1 million for the third quarter of 2023, up from €4.8 million in the third quarter of 2022. This was due primarily to increased commercial efforts in Germany and other European markets, as well as investments in Nyxoah’s corporate infrastructure. The Company expects to continue adding headcount across the organization ahead of the U.S. commercial launch.

Operating Loss

Total operating loss for the third quarter 2023 was €11.0 million versus €8.8 million in the third quarter of 2022. 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 September 30, 2023, cash and financial assets totaled €72.5 million, compared to €94.9 million on December 31, 2022. Total cash burn was approximately €4.0 million per month during the third quarter of 2023.

Third Quarter 2023 Report
Nyxoah’s financial report for the third quarter 2023, 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
Nyxoah will conduct a conference call open to the public today at 10:30pm CET / 4:30pm ET. A webcast of the call will be accessible via the Investor Relations page of the Nyxoah website or through this link: Nyxoah’s Q3 2023 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 Q3 2023 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.

The archived webcast will be available for replay shortly after the close 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 U.S. commercialization approval.

For more information, please visit http://www.nyxoah.com/.

Caution – CE marked since 2019. Investigational device in the United States. Limited by U.S. federal law to investigational use in the United States.

Forward-looking statements
Certain statements, beliefs and opinions in this press release are forward-looking, which reflect the Company’s or, as appropriate, the Company directors’ or managements’ current expectations regarding the Genio® system; planned and ongoing clinical studies of the Genio® system; the potential advantages of the Genio® system; Nyxoah’s goals with respect to the development, regulatory pathway and potential use of the Genio® system; the utility of clinical data in potentially obtaining FDA approval of the Genio® system; and the Company’s results of operations, financial condition, liquidity, performance, prospects, growth and strategies. By their nature, forward-looking statements involve a number of risks, uncertainties, assumptions and other factors that could cause actual results or events to differ materially from those expressed or implied by the forward-looking statements. These risks, uncertainties, assumptions and factors could adversely affect the outcome and financial effects of the plans and events described herein. Additionally, these risks and uncertainties include, but are not limited to, the risks and uncertainties set forth in the “Risk Factors” section of the Company’s Annual Report on Form 20-F for the year ended December 31, 2022, filed with the Securities and Exchange Commission (“SEC”) on March 22, 2023, and subsequent reports that the Company files with the SEC. A multitude of factors including, but not limited to, changes in demand, competition and technology, can cause actual events, performance or results to differ significantly from any anticipated development. Forward looking statements contained in this press release regarding past trends or activities are not guarantees of future performance and should not be taken as a representation that such trends or activities will continue in the future. In addition, even if actual results or developments are consistent with the forward-looking statements contained in this press release, those results or developments may not be indicative of results or developments in future periods. No representations and warranties are made as to the accuracy or fairness of such forward-looking statements. As a result, the Company expressly disclaims any obligation or undertaking to release any updates or revisions to any forward-looking statements in this press release as a result of any change in expectations or any change in events, conditions, assumptions or circumstances on which these forward-looking statements are based, except if specifically required to do so by law or regulation. Neither the Company nor its advisers or representatives nor any of its subsidiary undertakings or any such person’s officers or employees guarantees that the assumptions underlying such forward-looking statements are free from errors nor does either accept any responsibility for the future accuracy of the forward-looking statements contained in this press release or the actual occurrence of the forecasted developments. You should not place undue reliance on forward-looking statements, which speak only as of the date of this press release.

David DeMartino, Chief Strategy Officer
+1 310 310 1313


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