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Envoy Medical Reaches Critical Milestone in Pivotal Clinical Trial of Fully Implanted Acclaim(R) Cochlear Implant

(Neutral)

Envoy Medical (NASDAQ: COCH) announced on April 22, 2026 that all 56 patients enrolled in its pivotal trial of the fully implanted Acclaim cochlear implant have completed their Activation Visits.

Following completion of 12-month follow-up for all patients, the company expects to analyze data and submit results to the U.S. Food and Drug Administration as part of a PMA application. The Acclaim device received FDA Breakthrough Device Designation in 2019.

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Positive

  • All 56 enrolled patients completed Activation Visit
  • Plans to analyze data after 12‑month follow-up completion
  • PMA submission planned to the U.S. FDA upon data analysis
  • Device holds FDA Breakthrough Device Designation (2019)

Negative

  • No clinical efficacy or safety results reported yet
  • PMA timing contingent on completion and analysis of 12‑month data

News Market Reaction – COCH

-3.73%
4 alerts
-3.73% Session close to close
-3.5% Trough Tracked
$52.60M Market Cap
0.5x Rel. Volume

In the Apr 22 session, COCH declined 3.73%, reflecting a moderate negative market reaction. Argus tracked a trough of -3.5% from its starting point during tracking. Our momentum scanner triggered 4 alerts that day, indicating moderate trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement confirms that all 56 subjects in Envoy Medical’s pivotal Acclaim cochlear implant ...
Analysis

This announcement confirms that all 56 subjects in Envoy Medical’s pivotal Acclaim cochlear implant trial have reached their activation visit, tightening visibility on the path to 12‑month data and a planned PMA submission. Historical clinical updates have been key catalysts, but SEC filings highlight ongoing capital needs, warrant issuance, and Nasdaq listing constraints. Investors may watch for completion of 12‑month follow‑up, FDA interactions, and any additional financings that could affect dilution and execution capacity.

Key Figures

Pivotal trial subjects: 56 patients Follow-up duration: 12-month follow-up Breakthrough designation year: 2019
3 metrics
Pivotal trial subjects 56 patients All implanted and through their Activation Visit in Acclaim trial
Follow-up duration 12-month follow-up Endpoint after which data will be analyzed for PMA submission
Breakthrough designation year 2019 FDA Breakthrough Device Designation for Acclaim cochlear implant

Previous Clinical trial Reports

5 past events · Latest: Apr 01 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 01 Clinical milestone Positive +6.0% First three pivotal trial patients reached 12‑month endpoint, enabling PMA planning.
Mar 11 Trial enrollment complete Positive +9.1% Completion of enrollment with the 56th Acclaim implant in pivotal U.S. trial.
Feb 19 Financing and trial update Positive -2.9% Upsized financing plus report of 47 of 56 implants completed in pivotal trial.
Feb 17 Enrollment progress Positive +14.8% Reported 45 of 56 patients implanted, over 80% enrollment, PMA timing outlined.
Dec 18 Mid-enrollment update Positive -0.4% Pivotal study reached midway enrollment, full enrollment targeted for early Q1 2026.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Clinical trial headlines have often coincided with upside moves, though not uniformly; positive trial updates have produced both strong rallies and occasional pullbacks.

Recent Company History

Over the past few months, Envoy Medical has repeatedly updated progress on its fully implanted Acclaim cochlear implant. Clinical releases from Dec 18, 2025 through Apr 1, 2026 tracked enrollment from midway to completion, then to patients reaching the 12‑month endpoint. Price reactions to these clinical milestones ranged from modest declines to gains above 14%, indicating that trial progress has been a recurring, but variably rewarded, catalyst ahead of this latest activation‑visit milestone.

Key Terms

pivotal clinical trial, cochlear implant, activation visit, premarket approval (pma), +1 more
5 terms
pivotal clinical trial medical
"its pivotal clinical trial evaluating the fully implanted Acclaim® cochlear implant"
A pivotal clinical trial is a late-stage medical study designed to provide the main evidence regulators use to decide whether a drug or medical device can be approved and sold; think of it as the product’s final exam. For investors, the trial’s outcome is critical because a clear pass can unlock regulatory approval, market access and future revenue, while failure can halt commercialization and materially affect a company’s valuation.
cochlear implant medical
"pivotal clinical trial evaluating the fully implanted Acclaim® cochlear implant"
A cochlear implant is a surgically implanted medical device that converts sound into electrical signals and stimulates the inner ear to provide a sense of hearing for people with severe hearing loss, working like a tiny radio and wiring that bypasses damaged parts of the ear. Investors track cochlear implants because they involve durable hardware, ongoing service and upgrades, regulatory approvals, reimbursement rules and surgical volumes—factors that drive revenue, margins and long-term market growth.
activation visit medical
"all 56 patients implanted and enrolled ... have been through their "Activation Visits""
An activation visit is the milestone when a clinical trial site is formally reviewed and cleared to begin enrolling and treating participants, typically involving confirmation that staff are trained, documents are in place, and supplies and procedures are ready. For investors, it matters because each activated site increases the trial’s ability to recruit patients and stay on schedule, acting like a new store opening that speeds up revenue‑critical progress.
premarket approval (pma) regulatory
"submit results to the U.S. Food and Drug Administration (FDA) as part of a Premarket Approval (PMA) application"
Premarket Approval (PMA) is the strict regulatory review process used by the U.S. authority for high-risk medical devices to prove they are safe and effective before they can be sold. For investors, a granted PMA is like receiving a key to a locked market: it can open exclusive sales opportunities, reduce near-term competition, and justify higher valuations, while also signaling that the company has cleared a costly, time-consuming hurdle.
breakthrough device designation regulatory
"The Acclaim® cochlear implant received Breakthrough Device Designation from the FDA in 2019"
A breakthrough device designation is a regulatory program that gives promising medical devices for serious or life‑threatening conditions priority support and faster review from a health authority (e.g., the U.S. FDA). Think of it as a “fast lane” or VIP pass through development and review: it can shorten time to market, lower regulatory uncertainty, and boost a company’s commercial prospects — but it is not an approval by itself.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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All 56 Enrolled Subjects Have Been Through Their Activation Visit Firming Up Study Timeline

White Bear Lake, Minnesota--(Newsfile Corp. - April 22, 2026) - Envoy Medical® Inc. (NASDAQ: COCH) ("Envoy Medical" or the "Company"), a hearing health company pioneering fully implanted hearing solutions, today announced that all 56 patients implanted and enrolled in its pivotal clinical trial evaluating the fully implanted Acclaim® cochlear implant have been through their "Activation Visits," when a patient's device is initially turned on for the first time.

"The conclusion of our trial studying the first-of-its-kind fully implanted Acclaim® cochlear implant is now within sight," said Brent Lucas, Chief Executive Officer of Envoy Medical. "We believe the future of hearing solutions for those with severe to profound hearing loss will be fully implanted devices, and we are excited to be on the leading edge of that revolution."

Now that all 56 patients are through their Activation Visit, the remaining follow-up visits and trial-related events can be scheduled providing increased confidence in timing of upcoming milestones. Upon completion of 12-month follow-up for all patients, the Company expects to analyze the data and submit results to the U.S. Food and Drug Administration (FDA) as part of a Premarket Approval (PMA) application.

The Acclaim® cochlear implant received Breakthrough Device Designation from the FDA in 2019 and is currently under investigation as part of a U.S. based pivotal clinical trial. For more information on the trial, visit www.envoymedical.com/acclaim-pivotal.

To be added to the Envoy Medical email distribution list, please email Envoy@kcsa.com with COCH in the subject line.

About Envoy Medical, Inc.
Envoy Medical (NASDAQ: COCH) is a hearing health company focused on providing innovative technologies across the hearing loss spectrum. Envoy Medical has pioneered one-of-a-kind, fully implanted devices for hearing loss, including its fully implanted Esteem® active middle ear implant, commercially available in the U.S. since 2010, and the fully implanted Acclaim® cochlear implant, an investigational device. Envoy Medical is dedicated to pushing hearing technology beyond the status quo to improve access, usability, compliance, and ultimately quality of life.

About the Fully Implanted Acclaim® Cochlear Implant
We believe the fully implanted Acclaim Cochlear Implant ("Acclaim CI") is a first-of-its-kind hearing device. Envoy Medical's fully implanted technology includes a sensor designed to leverage the natural anatomy of the ear instead of a microphone to capture sound.

The Acclaim CI is designed to address severe to profound sensorineural hearing loss that is not adequately addressed by hearing aids. The Acclaim CI is expected to be indicated for adults who have been deemed adequate candidates by a qualified physician.

The Acclaim Cochlear Implant received the Breakthrough Device Designation from the U.S. Food and Drug Administration (FDA) in 2019.

CAUTION The fully implanted Acclaim Cochlear Implant is an investigational device. Limited by Federal (or United States) law to investigational use.

About the Esteem® Fully Implanted Active Middle Ear Implant (FI-AMEI)
The Esteem fully implanted active middle ear implant (FI-AMEI) is the only FDA-approved, fully implanted* hearing device for adults diagnosed with moderate to severe sensorineural hearing loss allowing for 24/7 hearing capability using the ear's natural anatomy. The Esteem FI-AMEI hearing implant is invisible and requires no externally worn components and nothing is placed in the ear canal for it to function. Unlike hearing aids, you never put it on or take it off. You can't lose it. You don't clean it. The Esteem FI-AMEI hearing implant offers true 24/7 hearing.

*Once activated, the external Esteem FI-AMEI Personal Programmer is not required for daily use.

Important safety information for the Esteem FI-AMEI can be found at: https://www.envoymedical.com/safety-information.

Additional Information and Where to Find It
Copies of the documents filed by Envoy Medical with the SEC may be obtained free of charge at the SEC's website at www.sec.gov.

Forward-Looking Statements
This press release includes "forward-looking statements" within the meaning of the "safe harbor" provisions of the United States Private Securities Litigation Reform Act of 1995. Forward-Looking statements may be identified by the use of words such as "estimate," "plan," "project," "forecast," "intend," "will," "expect," "anticipate," "believe," "seek," "target" or other similar expressions that predict or indicate future events or trends or that are not statements of historical matters, but the absence of these words does not mean that a statement is not forward-looking. Such statements may include, but are not limited to, statements regarding the expectations of Envoy Medical concerning the outlook for its business, productivity, plans and goals for future operations; the ability to obtain additional patents and develop future products or product improvements; the ability to maintain compliance with Nasdaq rules and requirements; the timing and future outcome of its FDA pivotal trial; the ability to raise capital and the amount of capital required to complete the FDA pivotal trial and early commercialization; the Acclaim CI being the first to market fully implanted cochlear implant; the timing and results of activations, enrollments, follow-up visits, data, and clinical trials of the Acclaim CI; and the participation or any changes or delays in participation of any subjects, institutions, or healthcare professionals in such trials; the safety, performance, and market acceptance of the Acclaim CI; the timing and results of the Acclaim CI's PMA submission to the FDA; the size of Envoy Medical's addressable market, operational performance, future market conditions or economic performance and developments in the capital and credit markets; and any information concerning possible or assumed future operations of Envoy Medical. The forward-looking statements contained in this press release reflect Envoy Medical's current views about future events and are subject to numerous known and unknown risks, uncertainties, assumptions and changes in circumstances that may cause its actual results to differ significantly from those expressed in any forward-looking statement. Envoy Medical does not guarantee that the events described will happen as described (or that they will happen at all). These forward-looking statements are subject to a number of risks and uncertainties, including, but not limited to changes in the market price of shares of Envoy Medical's Class A Common Stock; changes in or removal of Envoy Medical's shares inclusion in any index; Envoy Medical's success in retaining or recruiting, or changes required in, its officers, key employees or directors; unpredictability in the medical device industry, the regulatory process to approve medical devices, and the clinical development process of Envoy Medical products; the ability to engage competition in the medical device industry, and the failure to introduce new products and services in a timely manner or at competitive prices to compete successfully against competitors; disruptions in relationships with Envoy Medical's suppliers, or disruptions in Envoy Medical's own production capabilities for some of the key components and materials of its products; changes in the need for capital and the availability of financing and capital to fund these needs; changes in interest rates or rates of inflation; legal, regulatory and other proceedings could be costly and time-consuming to defend; changes in applicable laws or regulations, or the application thereof on Envoy Medical; a loss of any of Envoy Medical's key intellectual property rights or failure to adequately protect intellectual property rights; the effects of catastrophic events, including war, terrorism and other international conflicts; and other risks and uncertainties set forth in the section entitled "Risk Factors" and "Cautionary Note Regarding Forward-Looking Statements" in the Annual Report on Form 10-K filed by Envoy Medical on March 23, 2026, and in other reports Envoy Medical files, with the SEC. If any of these risks materialize or Envoy Medical's assumptions prove incorrect, actual results could differ materially from the results implied by these forward-looking statements. While forward-looking statements reflect Envoy Medical's good faith beliefs, they are not guarantees of future performance. Envoy Medical disclaims any obligation to publicly update or revise any forward-looking statement to reflect changes in underlying assumptions or factors, new information, data or methods, future events or other changes after the date of this press release, except as required by applicable law. You should not place undue reliance on any forward-looking statements, which are based only on information currently available to Envoy Medical.

Investor Contact:
Phil Carlson
KCSA Strategic Communications
O: 212.896.1233
E: Envoy@kcsa.com

Media Contact:
Anne Donohoe
KCSA Strategic Communications
O: 732-620-0033
E: Envoy@kcsa.com

To view the source version of this press release, please visit https://www.newsfilecorp.com/release/293673

FAQ

What milestone did Envoy Medical (COCH) announce on April 22, 2026?

Envoy Medical announced that all 56 enrolled pivotal trial patients completed their Activation Visits. According to the company, this step lets remaining follow‑up visits be scheduled and improves confidence in milestone timing ahead of 12‑month data analysis.

When will Envoy Medical (COCH) submit Acclaim trial results to the FDA?

Envoy Medical expects to submit results after 12‑month follow‑up is complete and data are analyzed. According to the company, the PMA application timing depends on finishing the 12‑month visits for all 56 patients.

How many patients are enrolled in Envoy Medical's (COCH) Acclaim pivotal trial?

The pivotal trial enrolled and implanted 56 patients, all of whom have completed Activation Visits. According to the company, having all activations done enables scheduling of remaining follow‑up visits toward the 12‑month endpoint.

What regulatory designation does the Acclaim cochlear implant (COCH) have?

The Acclaim cochlear implant received FDA Breakthrough Device Designation in 2019. According to the company, that designation recognizes the device as a priority for addressing an unmet medical need and supports expedited review pathways.

Does Envoy Medical (COCH) report clinical results from the Acclaim pivotal trial yet?

No, Envoy Medical has not reported efficacy or safety readouts yet; data analysis follows 12‑month follow‑up. According to the company, results will be analyzed after all 12‑month visits and then submitted to the FDA as part of a PMA.