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Nyxoah Announces ACCCESS U.S. Pivotal Study Meets Primary Safety and Efficacy Endpoints in Complete Concentric Collapse Patients

Pivotal ACCCESS data in CCC patients support Nyxoah’s planned FDA PMA supplement to expand Genio’s U.S. treatment indication.

(Moderate)
(Positive)
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Nyxoah (NYXH) reported that its ACCCESS U.S. pivotal study in Complete Concentric Collapse (CCC) patients met all co-primary safety and efficacy endpoints at 12 months for the Genio hypoglossal nerve stimulation system.

The Full Analysis Set of 47 implanted and activated patients showed an Apnea-Hypopnea Index (AHI) responder rate of 77.2% and an Oxygen Desaturation Index (ODI) responder rate of 87.7%, both statistically significant (p<0.001). No device-related serious adverse events were observed through 12 months post-implant. The trial was conducted under an FDA-approved protocol, using prespecified multiple imputation for missing data. Nyxoah is preparing a premarket approval (PMA) supplement to seek expansion of Genio’s U.S. indication to CCC patients, under FDA Breakthrough Device Designation, with full 12‑month data planned for presentation at the ISSS meeting in October 2026.

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Positive

  • AHI responder rate 77.2% at 12 months on Full Analysis Set (p<0.001)
  • ODI responder rate 87.7% at 12 months on Full Analysis Set (p<0.001)
  • Zero device-related serious adverse events reported through 12 months post-implant
  • 47 patients included in the Full Analysis Set with prespecified statistical methods
  • Results support a planned PMA supplement to expand Genio’s U.S. indication to CCC patients
  • Genio’s CCC indication expansion effort benefits from FDA Breakthrough Device Designation

Negative

  • None.

Market Reaction – NYXH

+22.52% $1.85 1.5x vol
15m delay
+22.52% Vs previous close
$1.85 Last Price
$1.49 $1.94 Day Range
$188.40M Market Cap
1.5x Rel. Volume

Following this news, NYXH has gained 22.52%, reflecting a significant positive market reaction. Our momentum scanner has triggered 19 alerts so far, indicating notable trading interest and price volatility. The stock is currently trading at $1.85. Trading volume is above average at 1.5x the average, suggesting increased trading activity.

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Market Context

On Aug 25, NYXH disclosed 1,767,402 new shares linked to a convertible-bond receivable. That capital...
Analysis

On Aug 25, NYXH disclosed 1,767,402 new shares linked to a convertible-bond receivable. That capital-structure backdrop adds dilution context to the ACCCESS data; key watchpoints are the FDA submission and consistency of the complete dataset.

Key Figures

AHI responder rate: 77.2% (p<0.001) ODI responder rate: 87.7% (p<0.001) Device-related serious adverse events: 0 +5 more
8 metrics
AHI responder rate 77.2% (p<0.001) 12 months, Full Analysis Set, per Sher criteria
ODI responder rate 87.7% (p<0.001) 12 months, Full Analysis Set
Device-related serious adverse events 0 Through 12 months post-implant
Primary analysis population 47 patients Full Analysis Set
Enrollment 106 patients Planned maximum enrollment
Patient follow-up 3 years ACCCESS study follow-up period
FDA approval August 2025 Genio system approval
Results presentation October 15-16, 2026 Upcoming ISSS annual meeting

Historical Context

5 past events · Latest: Aug 25 (Negative)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Aug 25 Share issuance Negative -1.2% Issued new shares linked to a convertible-bond receivable
Aug 05 2Q26 earnings Negative -7.1% Reported losses and raised total operating expense guidance
Jul 27 Earnings date Neutral +2.1% Scheduled second-quarter financial results and conference call
Jul 07 Preliminary results Positive -0.6% Reported preliminary revenue growth and reaffirmed guidance
Jun 30 Share issuance Neutral +5.3% Updated share capital and voting-rights information

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

Pattern Detected

Recent reactions were mixed: negative earnings news aligned with selling, while positive preliminary results diverged.

Key Terms

apnea-hypopnea index, oxygen desaturation index, polysomnography, multiple imputation model, +2 more
6 terms
apnea-hypopnea index medical
"Reports an Apnea-Hypopnea Index (AHI) responder rate of 77.2%"
A measure of how often a person has pauses or shallow breaths during sleep, calculated as the average number of these events per hour. Investors care because this single number is used by doctors and insurers to diagnose sleep-disordered breathing and decide on treatments and device coverage, so higher or lower values can affect demand for diagnostic tools, therapies, and related healthcare spending—think of it as counting traffic jams per hour to judge road congestion.
oxygen desaturation index medical
"12-month Oxygen Desaturation Index (ODI) responder rate"
Oxygen desaturation index (ODI) is a measure of how often a person’s blood oxygen level drops by a set amount during sleep, reported as events per hour. Investors care because ODI is a common clinical and regulatory measure used to diagnose and track sleep-disordered breathing and to judge the effectiveness of devices or drugs; changes in ODI can directly affect product approvals, reimbursement, market demand and clinical trial outcomes. Think of it like counting how many times an alarm goes off at night—more alarms signal a bigger problem.
polysomnography medical
"completed at least one in-study sleep test (polysomnography)"
An overnight sleep study that records brain activity, breathing, blood oxygen, heart rate and body movements to diagnose sleep disorders such as sleep apnea or narcolepsy. Think of it as a multi-sensor recorder for the body during sleep: it turns overnight physiology into concrete data used by doctors and regulators. Investors watch polysomnography because findings drive demand for diagnostic equipment, wearable alternatives, therapies, reimbursement decisions and clinical trial outcomes in the sleep-health market.
multiple imputation model technical
"Missing data points were addressed through a multiple imputation model"
A multiple imputation model is a statistical method for handling missing data that fills in the gaps several different plausible ways, creating multiple complete datasets based on a specified model of how the data behave. Analysts run the same analysis on each completed dataset and combine the results so reported estimates and their uncertainty reflect the fact that some information was missing; for investors this matters because it affects the reliability and precision of reported study results, forecasts, and risk measures.
premarket approval (PMA) regulatory
"preparing a premarket approval (PMA) supplement submission"
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
"under FDA Breakthrough Device Designation"
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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INSIDE INFORMATION

Nyxoah Announces ACCCESS U.S. Pivotal Study Meets Primary Safety and Efficacy Endpoints in Complete Concentric Collapse Patients

Reports an Apnea-Hypopnea Index (AHI) responder rate of 77.2% on a Full Analysis Set basis (p<0.001)

Zero device-related serious adverse events through 12 months

Mont-Saint-Guibert, Belgium – September 2, 2026, 10:05 pm CET / 4:05 pm 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 ACCCESS U.S. pivotal study achieved statistically significant outcomes on its co-primary efficacy endpoints of 12-month AHI responder rate, per the Sher criteria*, and 12-month Oxygen Desaturation Index (ODI) responder rate, and met its safety endpoints, in patients with Complete Concentric Collapse (CCC) of the soft palate. The ACCCESS study was designed to support the expansion of the Genio® system’s U.S. indication for CCC patients, who are today contraindicated for commercially available unilateral hypoglossal nerve stimulation in this geography.

As announced in August 2025, the Company closed enrollment ahead of the planned maximum of 106 patients, reflecting its confidence that the enrolled population would deliver statistically significant results. Today’s results confirm that confidence.

At 12 months, patients demonstrated an AHI responder rate, per the Sher criteria, of 77.2% (p<0.001) and an ODI responder rate of 87.7% (p<0.001), both on a Full Analysis Set basis. On safety, zero device-related serious adverse events were reported through 12 months post-implant.

The results were generated in line with the prespecified statistical analyses planned in the study protocol as approved by the U.S. Food and Drug Administration (FDA). The primary analysis was performed on the Full Analysis Set of 47 patients, being all patients who were implanted, activated and completed at least one in-study sleep test (polysomnography). Missing data points were addressed through a multiple imputation model, the recognized statistical method prespecified as primary analysis in the protocol and statistical analysis plan.

“A significant number of patients with OSA are found to have CCC and, until this point, hypoglossal nerve stimulation has not been an option for this population. The ACCCESS results demonstrate that Genio delivers a strong responder rate with an excellent safety profile in patients with this pattern of airway collapse.  These findings could give U.S. physicians a new treatment option for the vast number of OSA patients with CCC who have struggled with positive airway pressure,” commented Colin Huntley, MD, Professor, Department of Otolaryngology Head & Neck Surgery, Thomas Jefferson University, and Co-principal Investigator of the ACCCESS study.

“ACCCESS delivers on the promise we made to CCC patients. With a 77.2% AHI responder rate and zero device-related serious adverse events, Genio demonstrated both the efficacy and the safety this underserved patient population deserves. We are preparing our FDA submission to bring Genio to CCC patients in the United States, as we already do in Europe, and to deliver on our mission to make sleep simple,” commented Olivier Taelman, Nyxoah’s Chief Executive Officer.

The complete 12-month dataset and detailed results are expected to be presented at the upcoming International Surgical Sleep Society (ISSS) annual meeting in Los Angeles, October 15-16, 2026.

Nyxoah is preparing a premarket approval (PMA) supplement submission to the FDA to expand Genio’s indication to CCC patients under FDA Breakthrough Device Designation.

*An AHI responder, per the Sher criteria, is defined as a subject with an AHI reduction of at least 50% from baseline and an AHI score of less than 20 events per hour on the 12-month polysomnography (PSG). An ODI responder is defined as a subject which demonstrates an ODI reduction of at least 25% from baseline on the 12-month PSG.
 

About the ACCCESS study

ACCCESS is a multicenter, prospective, open-label pivotal study conducted in the United States, designed to assess the safety and efficacy of the Genio system in adult patients with moderate to severe OSA and CCC of the soft palate who have failed, do not tolerate, or refused positive airway pressure treatment. The study’s co-primary efficacy endpoints are the AHI responder rate, per the Sher criteria, and the ODI responder rate, both assessed at 12 months post-implant, with patients followed for three years. CCC patients are currently contraindicated for unilateral hypoglossal nerve stimulation in the United States. Genio has been approved for CCC patients in Europe since 2021, following the positive outcomes of the BETTER SLEEP study, while in the United States, no commercially available neurostimulation treatment option exists for this population today.

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 in 2024 and received approval from the FDA in August 2025, with the treatment of CCC patients included in the warning section of our indications for use.

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

Caution – CE marked since 2019. FDA approved in August 2025 as prescription-only device.

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 management’s current expectations regarding the Genio system; the ACCCESS study and the results thereof; the potential advantages of the Genio system; Nyxoah’s goals with respect to the potential use of the Genio system; the planned PMA supplement submission to the FDA and the timing of any FDA review; the Company's commercialization strategy and entrance to the U.S. market; the Company's results of operations, financial condition, liquidity, performance, prospects, growth, future revenue 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. 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, 2025, filed with the Securities and Exchange Commission (“SEC”) on March 26, 2026 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
IR@nyxoah.com

Rémi Renard, Head of Investor Relations & Corporate Communication
IR@nyxoah.com

Attachment


FAQ

What did Nyxoah (NYXH) announce about the ACCCESS U.S. pivotal study?

Nyxoah announced that the ACCCESS U.S. pivotal study of its Genio system in Complete Concentric Collapse (CCC) patients met all co-primary safety and efficacy endpoints at 12 months, with statistically significant responder rates for both Apnea-Hypopnea Index (AHI) and Oxygen Desaturation Index (ODI).

What were the key efficacy results from Nyxoah’s ACCCESS study for NYXH?

At 12 months, the ACCCESS study reported an AHI responder rate of 77.2% and an ODI responder rate of 87.7% on a Full Analysis Set basis, with both outcomes achieving statistical significance at p<0.001 under the FDA-approved protocol.

How did Nyxoah’s Genio system perform on safety in the ACCCESS CCC study?

Through 12 months post-implant in the ACCCESS study, there were zero device-related serious adverse events reported for the Genio system in CCC patients, meeting the study’s safety endpoints as part of the pivotal evaluation.

How many patients were analyzed in Nyxoah’s ACCCESS pivotal trial and what was the design?

The primary analysis used a Full Analysis Set of 47 patients, including all implanted and activated subjects who completed at least one in-study sleep test. ACCCESS is a multicenter, prospective, open-label U.S. pivotal study in adults with moderate to severe OSA and CCC.

Why are the ACCCESS results important for CCC patients and Nyxoah (NYXH)?

CCC patients are currently contraindicated for unilateral hypoglossal nerve stimulation in the United States, with no commercially available neurostimulation option. The company said ACCCESS results support Genio as a potential new treatment alternative for this underserved group.

What regulatory steps is Nyxoah planning after the ACCCESS study results?

Nyxoah is preparing a premarket approval (PMA) supplement submission to the FDA to expand Genio’s indication to CCC patients, under the device’s FDA Breakthrough Device Designation. The full 12‑month dataset is expected to be presented at the ISSS meeting in October 2026.

When and where will Nyxoah present the full 12-month ACCCESS data?

The complete 12‑month ACCCESS dataset and detailed results are expected to be presented at the International Surgical Sleep Society (ISSS) annual meeting in Los Angeles, scheduled for October 15‑16, 2026.