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Nyxoah Receives Approval from FDA for Genio® System for the Treatment of Obstructive Sleep Apnea

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Nyxoah (NASDAQ: NYXH) has received FDA approval for its Genio® system, a breakthrough treatment for moderate to severe Obstructive Sleep Apnea (OSA). The approval covers patients with an Apnea-Hypopnea Index (AHI) between 15 and 65.

The Genio system represents a novel approach to hypoglossal nerve stimulation, featuring bilateral stimulation and a unique leadless design that is MRI compatible. The system's efficacy was demonstrated in the DREAM pivotal trial, achieving a 63.5% AHI responder rate and an impressive 70.8% median AHI reduction.

Notably, the system showed consistent effectiveness across all sleeping positions, with a 66.6% median AHI reduction in supine position and 71.0% reduction in non-supine position. The company has officially launched its U.S. commercialization efforts.

Nyxoah (NASDAQ: NYXH) ha ottenuto l'approvazione della FDA per il suo sistema Genio®, una terapia innovativa per l'Apnea Ostruttiva del Sonno (OSA) da moderata a grave. L'autorizzazione riguarda pazienti con un Indice Apnea-Ipopnea (AHI) compreso tra 15 e 65.

Il sistema Genio propone un approccio nuovo alla stimolazione del nervo ipoglosso, con stimolazione bilaterale e un design unico senza elettrodi (leadless) e compatibile con la risonanza magnetica (MRI). L'efficacia è stata dimostrata nello studio pivotale DREAM, che ha registrato un tasso di responder AHI del 63,5% e una riduzione mediana dell'AHI del 70,8%.

In particolare, il sistema ha mantenuto efficacia in tutte le posizioni di sonno, con una riduzione mediana dell'AHI del 66,6% in posizione supina e del 71,0% in posizione non supina. L'azienda ha avviato ufficialmente la commercializzazione negli Stati Uniti.

Nyxoah (NASDAQ: NYXH) ha recibido la aprobación de la FDA para su sistema Genio®, un tratamiento innovador para la Apnea Obstructiva del Sueño (OSA) de moderada a grave. La aprobación se aplica a pacientes con un Índice de Apnea-Hipopnea (AHI) entre 15 y 65.

El sistema Genio representa un nuevo enfoque de la estimulación del nervio hipogloso, con estimulación bilateral y un diseño único sin electrodos (leadless) y compatible con resonancia magnética (MRI). Su eficacia se demostró en el ensayo pivotal DREAM, alcanzando una tasa de respondedores AHI del 63,5% y una reducción mediana del AHI del 70,8%.

De forma notable, el sistema mostró eficacia constante en todas las posiciones al dormir, con una reducción mediana del AHI del 66,6% en decúbito supino y del 71,0% en posiciones no supinas. La compañía ha iniciado oficialmente la comercialización en EE. UU.

Nyxoah (NASDAQ: NYXH)가 중등도에� 중증� 폐쇄� 수면무호흡증(OSA) 치료� 위한 혁신� 기기� Genio® 시스�� 대� FDA 승인� 받았습니�. 해당 승인은 무호�-저호흡 지�(AHI)가 15에서 65 사이� 환자� 대상으� 합니�.

Genio 시스템은 혀밑신�(설골하신�) 자극� 대� 새로� 접근으로, 양측 자극리드리스(leadless) 설계MRI 호환�� 특징으로 합니�. DREAM 피보�(주요) 임상에서 유효성이 입증되어 AHI 반응� 63.5%AHI 중앙� 70.8% 감소� 달성했습니다.

특히 모든 수면 자세에서 일관� 효과� 보였으며, 앙왶위(등을 대� 누운 자세)에서 AHI 중앙� 66.6% 감소, �-앙왶위 자세에서 71.0% 감소� 기록했습니다. 회사� 미국에서� 상용화를 공식적으� 시작했습니다.

Nyxoah (NASDAQ: NYXH) a obtenu l'approbation de la FDA pour son système Genio®, un traitement innovant de l'apnée obstructive du sommeil (AOS) modérée à sévère. L'autorisation concerne les patients ayant un indice d'apnée-hypopnée (AHI) compris entre 15 et 65.

Le système Genio propose une nouvelle approche de la stimulation du nerf hypoglosse, avec une stimulation bilatérale et un design unique sans électrode (leadless) et compatible IRM (MRI). Son efficacité a été démontrée dans l'essai pivot DREAM, avec un taux de répondeurs AHI de 63,5% et une réduction médiane de l'AHI de 70,8%.

Notamment, le système a montré une efficacité constante dans toutes les positions de sommeil, avec une réduction médiane de l'AHI de 66,6% en décubitus dorsal et de 71,0% en positions non dorsales. La société a officiellement lancé la commercialisation aux États-Unis.

Nyxoah (NASDAQ: NYXH) hat die Zulassung der FDA für sein ұԾ®-ٱ erhalten, eine neuartige Behandlung der moderaten bis schweren obstruktiven Schlafapnoe (OSA). Die Zulassung gilt für Patienten mit einem Apnoe-Hypopnoe-Index (AHI) zwischen 15 und 65.

Das Genio-System verfolgt einen neuen Ansatz zur Stimulation des Hypoglossusnervs, mit bilateraler Stimulation und einem einzigartigen leadless-Design (ohne Leads), das MRI-kompatibel ist. Die Wirksamkeit wurde in der pivotalen DREAM-Studie gezeigt, mit einer AHI-Responder-Rate von 63,5% und einer beeindruckenden medianen AHI-Reduktion von 70,8%.

Bemerkenswert ist, dass das System in allen Schlafpositionen konsistent wirksam war, mit einer medianen AHI-Reduktion von 66,6% in Rückenlage und 71,0% in Nicht-Rückenlage. Das Unternehmen hat den US-Vertrieb offiziell gestartet.

Positive
  • FDA approval received for Genio system for moderate to severe OSA treatment
  • Strong clinical results with 70.8% median AHI reduction in DREAM trial
  • 82% of DREAM study subjects achieved AHI scores below 15
  • Unique bilateral stimulation technology effective in all sleeping positions
  • Full-body 1.5T and 3T MRI compatibility
  • No battery replacement surgeries required due to external power source
Negative
  • Limited to patients with specific AHI range (15-65)
  • Requires wearing external component for power and control

Insights

Nyxoah's FDA approval for Genio represents a major regulatory milestone, enabling US market entry with a differentiated OSA treatment technology.

The FDA approval of Nyxoah's Genio system marks a crucial regulatory achievement that opens the large US market for this novel OSA treatment. The approval covers a specific patient population with moderate to severe OSA having an AHI between 15 and 65, representing a significant addressable market.

What distinguishes this approval is the unique technological features of the Genio system. Unlike other hypoglossal nerve stimulation devices, Genio offers bilateral stimulation, is completely leadless, and comes with full-body MRI compatibility at both 1.5T and 3T strengths. The non-implanted battery design with a wearable component is particularly noteworthy, as it allows for technology upgrades without additional surgeries � a significant advantage over competitors requiring surgical replacement for battery or technology updates.

The DREAM pivotal trial data supporting this approval is compelling, showing a 63.5% AHI responder rate and an impressive 70.8% median AHI reduction. Most remarkably, 82.0% of subjects saw their AHI scores drop below 15, effectively moving many patients from moderate/severe categories to mild OSA or better. The position-specific efficacy data demonstrating consistent performance regardless of sleeping position (66.6% supine vs. 71.0% non-supine AHI reduction) represents a meaningful clinical differentiator for this technology.

With this approval, Nyxoah has officially launched US commercialization, transitioning from a development-stage company to a commercial entity in the world's largest medical device market. This regulatory milestone should significantly expand the company's market opportunity and revenue potential.

The Genio system's approval introduces a disruptive alternative in the hypoglossal nerve stimulation (HGNS) market for OSA. What sets this device apart from competitors is its innovative architecture � while traditional HGNS systems require implanted batteries needing surgical replacement every 7-10 years, Genio's external power supply eliminates this need entirely.

The bilateral stimulation approach represents a technical innovation compared to unilateral stimulation used by competitors. This may contribute to the strong position-independent efficacy demonstrated in the clinical data. The full MRI compatibility also provides a meaningful advantage, as many OSA patients have comorbidities requiring diagnostic imaging.

From a product lifecycle perspective, the upgradable wearable component creates a significant competitive advantage. While competing devices lock patients into a specific technology generation until surgical replacement, Genio allows iterative improvements through external component upgrades. This architecture creates a platform strategy that could allow Nyxoah to introduce enhanced algorithms and features without requiring patients to undergo additional surgeries.

The addressable market for this technology is substantial. With approval for AHI scores between 15-65, Genio targets both moderate and severe OSA patients who have failed continuous positive airway pressure (CPAP) therapy. The positive efficacy in supine sleeping positions specifically addresses a critical unmet need, as supine sleeping significantly worsens OSA for many patients.

The US market entry represents a major inflection point for Nyxoah, transitioning from primarily European operations to competing in the much larger US market against established players. The execution of their commercialization strategy, including reimbursement pathways and physician adoption, will be critical determinants of their success in capturing market share.

INSIDE INFORMATION
REGULATED INFORMATION

Nyxoah Receives Approval from FDA for Genio® System for the Treatment of Obstructive Sleep Apnea
U.S. Commercialization Officially Launched

Mont-Saint-Guibert, Belgium � August 8, 2025, 10:10pm CET / 4:10pm ET � Nyxoah SA (Euronext Brussels/Nasdaq: NYXH) (“Nyxoah� or the “Company�), a medical technology company that develops breakthrough treatment alternatives for Obstructive Sleep Apnea (OSA) through neuromodulation, today announced that the U.S. Food and Drug Administration (FDA) has approved the Genio system for a subset of patients with moderate to severe OSA with an Apnea-Hypopnea Index (AHI) of greater than or equal to 15 and less than or equal to 65.

Genio is a different approach to hypoglossal nerve stimulation (HGNS) for the treatment of OSA. Genio’s unique design utilizes bilateral stimulation, and offers patients a leadless, full-body 1.5T and 3T MRI compatible, non-implanted battery solution, powered and controlled by a wearable component. The wearable component is fully upgradable, providing Genio patients with access to this technology without requiring additional surgeries for technology updates or battery replacements.

"Today marks a defining moment for Nyxoah and for U.S. patients suffering from OSA. With the FDA’s marketing approval of the Genio system, we are proud to bring this innovative therapy to the U.S. market,� commented Olivier Taelman, Nyxoah’s Chief Executive Officer. “Our mission has always been to make sleep simple for OSA patients by offering them a solution that empowers better sleep. We look forward to the successful execution of our U.S. commercialization strategy.�

The Genio system’s FDA approval was supported by the high-quality, differentiated safety and efficacy data from the Company's DREAM pivotal trial. The DREAM study met both its primary and secondary endpoints demonstrating an AHI responder rate of 63.5% and an Oxygen Desaturation Index responder rate of 71.3%, with an overall median AHI reduction of 70.8%. Additionally, 82.0% of all DREAM subjects saw their AHI scores drop below 15 or lower.

Importantly, the DREAM study demonstrated that Genio is efficacious regardless of a patient's sleeping position and, to our knowledge the only therapy with such clinical evidence in a large, multicenter, prospective clinical study using data from a full night polysomnography. This is a critical differentiator as on average, people sleep in a supine position between 35% and 40% of the night. The DREAM study measured position-specific outcomes and demonstrated a 66.6% median AHI reduction while patients slept in a supine position despite the fact that the number of airway obstructions can double in this position. This reduction compares favorably to the 71.0% reduction in AHI shown while patients slept in a non-supine position.

"The Genio system's approval represents a major addition to the treatment options available to physicians treating patients with OSA,� said Colin Huntley MD, Associate Professor, Department of Otolaryngology Head & Neck Surgery, Thomas Jefferson University. “This unique bilateral stimulation technology has demonstrated consistent efficacy across all sleeping positions, including the challenging supine position, while maintaining an excellent safety profile.�

About Nyxoah
Nyxoah is a medical technology company focused on the development and commercialization of innovative solutions to treat 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 announced positive outcomes from the DREAM IDE pivotal study and U.S. FDA approval of a Premarket Approval application.

For more information, please visit .

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 Company's commercialization strategy and entrance to the U.S. market; 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, 2024, filed with the Securities and Exchange Commission (“SEC�) on March 20, 2025, 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.

Contacts:

Nyxoah
John Landry, CFO

For Media
In United States
FINN Partners � Alyssa Paldo

In International/Germany
MC Services � Anne Hennecke

In Belgium/France
Backstage Communication � Gunther De Backer

Attachment


FAQ

What is the FDA-approved AHI range for Nyxoah's Genio system?

The Genio system is approved for patients with moderate to severe OSA who have an Apnea-Hypopnea Index (AHI) of �15 and �65.

What were the key results from Nyxoah's DREAM trial for the Genio system?

The DREAM trial showed a 63.5% AHI responder rate, 71.3% Oxygen Desaturation Index responder rate, and 70.8% overall median AHI reduction. Additionally, 82% of subjects achieved AHI scores below 15.

How effective is NYXH's Genio system in different sleeping positions?

The Genio system demonstrated consistent efficacy across all sleeping positions, with a 66.6% median AHI reduction in supine position and 71.0% reduction in non-supine position.

What makes Nyxoah's Genio system different from other OSA treatments?

The Genio system features bilateral stimulation, a leadless design, full-body MRI compatibility, and a non-implanted battery solution with a wearable component that can be upgraded without additional surgeries.

When will Nyxoah begin commercialization of the Genio system in the US?

Nyxoah has officially launched its U.S. commercialization efforts following the FDA approval on August 8, 2025.
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