0001857190--12-312024Q2falseNYXOAH SA6-K2024-06-30185540000100000033785686600091000

Table of Contents

Exhibit 99.2

INTERIM FINANCIAL REPORT

FIRST HALF 2024

TABLE OF CONTENTS

Table of contents

   

1

Interim financial report

2

First half 2024

2

1. BUSINESS UPDATE

2

2. FINANCIAL HIGHLIGHTS

4

3. 2024 OUTLOOK

4

4. RISK FACTORS

4

5. FORWARD-LOOKING STATEMENTS

5

Unaudited condensed consolidated interim financial information as at and for the six months ended June 30, 2024 – Interim consolidated statement of financial position

6

Unaudited condensed consolidated interim financial information as at and for the six months ended June 30, 2024 - Interim consolidated statements of loss and other comprehensive loss

7

Unaudited condensed consolidated interim financial information as at and for the six months ended, June 30 2024 - Interim consolidated statements of changes in equity

8

Unaudited condensed consolidated interim financial information as at and for the six months ended June 30, 2024 – Interim consolidated statements of cash flows

9

Notes to the unaudited condensed interim consolidated financial information

10

1. General information

10

2. Significant accounting policies

10

3. Critical accounting estimates and assumptions

12

4. Segment reporting

12

5. Fair Value

12

6. Subsidiaries

12

7. Property, Plant and Equipment

13

8.  Intangible assets

13

9. Right of use assets and lease liabilities

13

10. Other long-term receivables

14

11. Inventory

14

12. Trade and Other receivables

14

13. Cash and cash equivalents

15

14. Financial assets

15

15. Capital, Share Premium, Reserves

15

16. Share-Based compensation

17

17. Financial Debt

20

18. Trade payables

21

19. Income taxes and deferred taxes

22

20. Other payables

22

21. Derivatives

22

22. Results of operation

23

23. Employee benefits

26

24. Financial income

27

25. Financial expense

27

26. Loss Per Share (EPS)

27

27. Other commitments

28

28. Related Party Transactions

28

29. Events after the Balance-Sheet Date

29

Responsibility statement

30

1

Table of Contents

INTERIM FINANCIAL REPORT

FIRST HALF 2024

1.BUSINESS UPDATE

A.      CLINICAL UPDATE

DREAM US: IDE PIVOTAL STUDY

Nyxoah initiated its pivotal DREAM IDE trial in the United States in December 2020 to support an application seeking FDA marketing authorization and, ultimately, reimbursement in the U.S. for bilateral hypoglossal nerve stimulation for the treatment of moderate-to-severe obstructive sleep apnea (“OSA”). The DREAM trial is a multicenter, prospective, open-label trial in which patients who undergo implantation of the Genio® system will be followed for five years post-implantation to assess the safety and efficacy of the Genio® system in patients with moderate-to-severe OSA.

The trial was initially expected to enroll 134 patients who will undergo the implantation procedure with 12-month effectiveness and safety primary endpoints across 18 centers in the United States and six international sites. In April 2022, the FDA approved the Company’s request to reduce the trial’s sample size to 115 patients from 134 after reviewing data from the BETTER SLEEP trial (see below).

The primary safety endpoint is incidence of device-related severe adverse events ("SAEs") at 12-months post implantation. The co-primary effectiveness endpoints are the percentage of responders with at least a 50% reduction on the apnea-hypopnea index ("AHI") with hypopneas associated with a 4% oxyhemoglobin desaturation and a remaining AHI with hypopneas associated with a 4% oxyhemoglobin desaturation less than 20, and a 25% reduction on the oxygen desaturation index ("ODI") between baseline and 12-month visits. Patients with moderate to severe OSA (AHI score between 15 and 65) and aged between 22 and 75 years are eligible for enrolment if they failed, did not tolerate or refused positive airway pressure ("PAP") treatment. Patients with a body mass index above 32 kg/m2, a complete concentric collapse ("CCC") observed during a drug induced sleep endoscopy and combined central and mixed AHI above 25% at baseline polysomnography are to be excluded.

On March 19th, 2024, the Company reported the DREAM study met its primary endpoints on an intent-to-treat (ITT) basis, with an Apnea-Hypopnea Index (AHI) responder rate of 63.5% (p=0.002) and an Oxygen Desaturation Index (ODI) responder rate of 71.3% (p<0.001). Additionally, the study demonstrated a median 12-month AHI reduction of 70.8%. There were 11 serious adverse events, or SAEs, in ten subjects resulting in an SAE rate of 8.7%. Out of the 11 SAEs, three were device related and there were three explants. The Company has filed the fourth and final module of the modular premarket approval (PMA) application at the end of the second quarter 2024.

BETTER SLEEP: ACHIEVED PRIMARY ENDPOINT IN BOTH CCC AND NON-CCC PATIENT COHORTS

In March 2022, the Company attended the World Sleep Congress in Rome, Italy, and presented data generated from its BETTER SLEEP trial, a multicenter, prospective, open-label, two-group clinical trial, designed to assess the long-term safety and performance of the Genio® system for the treatment of adult OSA patients with and without CCC of the soft palate over a period of 36 months post-implantation. The BETTER SLEEP trial included a subgroup of CCC patients, which is a patient population that is contraindicated for unilateral hypoglossal nerve stimulation.

In the BETTER SLEEP trial, 42 patients were implanted with the Genio® system, 18 of whom presented with CCC (or 42.9% of the total implanted population) at eight research centers in Australia. The primary safety endpoint was the incidence of device-related SAEs six months post-implantation. The primary performance endpoint was achieving at least a 4-point reduction in the apnea-hypopnea index (4% oxygen desaturation, or AHI4) from baseline at six months for the entire patient cohort. Patients with moderate to severe AHI scores (15 < AHI < 65) and aged between 21 and 75 years were eligible for enrollment if they failed, refused or did not tolerate PAP treatment. Patients with a body mass index above 32 kg/m2 were excluded.

2

Table of Contents

Three patients in the non-CCC arm and three patients in the CCC arm did not complete their six-month polysomnography, and as a result, the analysis was calculated based on 36 patients (21 non-CCC and 15 CCC). Of these 36 patients, there were 23 responders (64)%, including nine of the 15 CCC patients (60)% and 14 of the 21 non-CCC patients (67)%, at six months. The overall reduction was statistically significant with an 11-point reduction (p<0.001), with statistically significant reductions of 10 points (p=0.001) in the CCC cohort and 11 points (p<0.001) in the non-CCC cohort. In addition, mean AHI4 reduction exceeded 70% among responders in both CCC and non-CCC cohorts. These results are subject to final review and validation.

With respect to the primary safety endpoint, preliminary unadjudicated safety data showed four SAEs in three patients during the six-month post-implantation period. Of those, two SAEs in one patient were reported as device related, one SAE in one patient was reported as procedure and device related, and one SAE in one patient was reported as unrelated to procedure or device. Final review and adjudication of SAEs and adverse events ("AEs") have not yet been completed by an independent clinical events committee and as a result the characterization of SAEs or AEs could be subject to change.

While additional data, including responder rates, remains subject to ongoing review and continues to be analyzed, the Company observed in the per protocol group a 70% responder rate in the non-CCC patient subgroup based on the Sher criteria. The per protocol group consisted of 35 patients and excluded five patients from the mITT analysis population: two of these patients were lost to follow-up, one patient did not comply with the study protocol, and two patients were removed from the study by the investigator, one for hostility towards staff and one having returned to continuous positive airway pressure, therapy.

The Company expects to announce additional data with respect to the trial as further analyses are conducted and seeks to publish the full data set from the trial in a peer-reviewed publication. There will be no additional enrollment in the BETTER SLEEP trial. However, the Company will continue to monitor patients in the evaluable patient population and plan to continue evaluating over the course of three years following implantation.

The data generated from this study were used to expand the Company’s CE mark for the Genio® system to treat patients demonstrating CCC at the soft palate level, and the first commercial Genio® implants occurred in CCC patients in Germany during the first quarter of 2022.

ACCCESS U.S. IDE STUDY SEEKING APPROVAL TO TREAT CCC PATIENTS

In the United States, supported by the BETTER SLEEP study data, the FDA in September 2021 granted Breakthrough Device Designation for the Genio® system in order to shorten the approval path to treat CCC patients. Following a series of sprint discussions with the FDA regarding the design of a trial called ACCCESS to assess the safety and efficacy of the Genio® system on CCC patients, the FDA approved the Company’s IDE application in July 2022.

In this study, Nyxoah will implant up to 106 patients across up to 40 implant sites with co-primary efficacy endpoints of AHI responder rate, per the Sher criteria, and ODI responder rate, both assessed at 12 months post-implant. The clinical sites are being activated and the study is enrolling.

B.EUROPEAN COMMERCIALIZATION

During the first six months of 2024, Nyxoah recognized total revenue of €2.0 million, primarily in Germany. After securing DRG reimbursement in Germany during the first quarter of 2021, Nyxoah built and expanded its German commercial organization to a total of 14 full time employees.

Nyxoah’s commercial strategy is focused on creating a Center of Excellence ecosystem, with a high level of clinical expertise between implanting ENT surgeons and sleep physicians who are able to provide more treatment options to their large patient pools. As of June 30, 2024, the Company has activated 51 Tier 1 sites across Germany.

The Company has also focused on entering new European markets. The Company has secured DRG reimbursement in Switzerland, state reimbursement in Austria, and is awaiting reimbursement decisions in several other countries. Nyxoah has also generated revenue in Switzerland, Austria, Spain and Italy and the Company expects to expand into other European countries.

3

Table of Contents

2.FINANCIAL HIGHLIGHTS

Revenue was €2.0 million for the six months ending June 30, 2024, compared to €1.5 million for the six months ending June 30, 2023.

Cost of goods sold was €0.7 million for the six months ending June 30, 2024, compared to €0.6 million cost for the six months ending June 30, 2023.

Selling, general and administrative expenses increased by €0.6 million or 5.3 % from €11.7 million for the six months ended June 30, 2023 to €12.4 million for the six months ended June 30, 2024, mainly due to an increase of costs to support the commercialization of Genio® system in Europe and scale up of the Company.

Before capitalization of €3.3 million for the six months ended June 30, 2024 and €5.0 million for the six months ended June 30, 2023, research and development expenses increased by €202,000 or 1.1 %, from €17.8 million for the six months ended June 30, 2023, to €18.0 million for the six months ended June 30, 2024, due to a combined effect of the higher R&D activities and clinical expenses, this increase was offset by a decrease in manufacturing expenses due to an increase in inventory value.

Nyxoah realized a net positive financial result of €1.0 million for the six months ending June 30, 2024 primarily driven by the exchange rate depreciation of dollar versus euro. This compares to a net negative financial result of €318,000 for the six months ended June 30, 2023.

Nyxoah realized a net loss of €25.0 million for the six months ended June 30, 2024, compared to a net loss of €24.7 million for the six months ended June 30, 2023.

Cash and cash equivalents

On June 30, 2024, cash and cash equivalents and financial assets totaled €77.8 million, compared to €57.7 million on December 31, 2023. The increase in cash and cash equivalents resulted from net cash from financial activities of €45.0 million mainly due to capital increase and offset by net cash flows used in operating activities amounted to €23.6 million and in investing activities amounted to € 15.6 million.

3.2024 OUTLOOK

The Company expects to continue ramping up sales in Germany as well as in other European countries where we are already present.

In the US, the Company has filed the fourth and final module of its modular PMA submission end of second quarter 2024 and anticipates FDA approval as early as late 2024. Meanwhile, the Company prepares to enter the US market with regulatory, manufacturing, commercial, and market access readiness and continues to enrol in the ACCCESS study.

To meet the Company’s capital needs, the Company raised €48.5 million in capital through the issuance of new shares in May and June 2024 (see note 15.1). Additionally, on July 3, 2024, the Company has signed a €37.5 million loan facility agreement with the European Investment Bank (“EIB”) (see note 29) subject to certain conditions from which a first tranche of €10 million was drawn after the reporting date. The recent capital raise and loan facility agreement extends the Company’s financial runway, providing sufficient funds to support operations until the beginning of 2026. This cash runway considers the second tranche of the EIB facility and excludes any additional capital raise activity the company could consider. Please refer to the Going concern note of the Financial Statements.

4.RISK FACTORS

We refer to the description of risk factors in the Company’s 2023 annual report, pp. 65-86. In summary, the principal risks and uncertainties faced by us relate to our financial situation and need for additional capital, clinical development of our product candidates, commercialization and reimbursement of our product candidates, our dependence on third parties and on key personnel, the markets and countries in which we operate, the manufacturing of our product candidates, legal and regulatory compliance matters, our intellectual property, our organization and operations.

4

Table of Contents

5.FORWARD-LOOKING STATEMENTS

This interim management report contains forward-looking statements. All statements other than present and historical facts and conditions contained in this report, including statements regarding our future results of operations and financial position, business strategy, plans and our objectives for future operations, are forward-looking statements. When used in this report, the words “anticipate,” “believe,” “can,” “could,” “estimate,” “expect,” “intend,” “is designed to,” “may,” “might,” “plan,” “potential,” “predict,” “objective,” “should,” or the negative of these and similar expressions identify forward-looking statements. By their nature, forward-looking statements involve risks and uncertainties, and readers are cautioned that any such forward-looking statements are not guarantees of future performance. Nyxoah’s actual results may differ materially from those predicted by the forward-looking statements as a result of various important factors, including Nyxoah’s expectations regarding the inherent uncertainties associated with competitive developments, clinical trial and product development activities and regulatory approval requirements; Nyxoah’s reliance on collaborations with third parties; estimating the commercial potential of Nyxoah’s product candidates; Nyxoah’s ability to obtain and maintain protection of intellectual property for its technologies; Nyxoah’s limited operating history; and Nyxoah’s ability to obtain additional funding for operations and to complete the development and commercialization of its product candidates. A further list and description of these risks, uncertainties and other risks can be found in Nyxoah’s 2023 annual report. Given these uncertainties, the reader is advised not to place any undue reliance on such forward-looking statements. These forward-looking statements speak only as of the date of publication of this document. Nyxoah expressly disclaims any obligation to update any such forward-looking statements in this document, to reflect any change in our expectations with regard thereto or any change in events, conditions or circumstances on which any such statement is based or that may affect the likelihood that actual results will differ from those set forth in the forward-looking statements, unless specifically required by applicable law or regulation.

5

Table of Contents

NYXOAH SA

UNAUDITED CONDENSED CONSOLIDATED INTERIM FINANCIAL INFORMATION AS AT AND

FOR THE SIX MONTHS ENDED JUNE 30, 2024 –

INTERIM CONSOLIDATED STATEMENT OF FINANCIAL POSITION

(unaudited)

(in thousands)

As at

June 30

December 31

    

Notes

    

2024

    

2023

ASSETS

Non-current assets

 

  

 

  

 

  

Property, plant and equipment

 

7

 

4,386

4,188

Intangible assets

 

8

 

49,310

46,608

Right of use assets

 

9

 

3,391

3,788

Deferred tax asset

 

 

51

56

Other long-term receivables

 

10

 

1,419

1,166

 

  

 

58,557

 

55,806

Current assets

 

  

 

 

Inventory

 

11

 

5,098

3,315

Trade receivables

 

12

 

2,609

2,758

Other receivables

 

12

 

2,885

3,212

Other current assets

 

 

1,298

1,318

Financial assets

 

14

 

50,061

36,138

Cash and cash equivalents

 

13

 

27,724

21,610

 

  

 

89,675

 

68,351

Total assets

 

  

 

148,232

 

124,157

 

  

 

  

 

EQUITY AND LIABILITIES

 

  

 

  

 

Capital and reserves

 

  

 

  

 

Capital

 

15

 

5,905

 

4,926

Share premium

 

15

 

290,822

 

246,127

Share based payment reserve

 

16

 

8,841

 

7,661

Other comprehensive income

 

15

 

115

 

137

Retained loss

 

  

 

(185,540)

 

(160,829)

Total equity attributable to shareholders

 

  

 

120,143

 

98,022

 

  

 

  

 

LIABILITIES

 

  

 

  

 

Non-current liabilities

 

  

 

  

 

Financial debt

 

17

 

8,600

 

8,373

Lease liability

 

9

 

2,721

 

3,116

Pension liability

 

  

 

35

 

9

Provisions

 

  

 

339

 

185

Deferred tax liability

 

  

 

10

 

9

 

  

 

11,705

 

11,692

Current liabilities

 

  

 

  

 

Financial debt

 

17

 

595

 

364

Lease liability

 

9

 

827

 

851

Trade payables

 

18

 

9,078

 

8,108

Current tax liability

 

19

 

2,335

 

1,988

Other payables

 

20

 

3,549

 

3,132

 

  

 

16,384

 

14,443

Total liabilities

 

  

 

28,089

 

26,135

Total equity and liabilities

 

  

 

148,232

 

124,157

The accompanying notes are an integral part of these condensed consolidated interim financial statements.

6

Table of Contents

NYXOAH SA

UNAUDITED CONDENSED CONSOLIDATED INTERIM FINANCIAL INFORMATION AS AT AND

FOR THE SIX MONTHS ENDED JUNE 30, 2024 -

INTERIM CONSOLIDATED STATEMENTS OF LOSS AND OTHER COMPREHENSIVE LOSS

(unaudited)

(in thousands)

    

For the three months

    

For the six months

ended June 30

ended June 30

    

Notes

2024

    

2023

    

2024

    

2023

Revenue

22

771

1,107

1,992

1,548

Cost of goods sold

 

22

(281)

 

(419)

 

(735)

 

(594)

Gross profit

 

  

490

688

1,257

954

Research and Development Expense

 

22

 

(7,472)

 

(6,605)

 

(14,671)

 

(12,762)

Selling, General and Administrative Expense

 

22

 

(6,383)

 

(6,185)

 

(12,355)

 

(11,736)

Other income/(expense)

 

  

 

58

 

219

 

249

 

265

Operating loss for the period

 

  

(13,307)

(11,883)

(25,520)

(23,279)

Financial income

 

24

 

2,069

 

789

 

3,477

 

1,414

Financial expense

 

25

 

(1,445)

 

(775)

 

(2,436)

 

(1,732)

Loss for the period before taxes

 

  

(12,683)

(11,869)

(24,479)

(23,597)

Income taxes

 

19

 

(441)

 

(928)

 

(551)

 

(1,110)

Loss for the period

 

  

(13,124)

(12,797)

(25,030)

(24,707)

 

  

 

 

 

 

Loss attributable to equity holders

 

  

(13,124)

(12,797)

(25,030)

(24,707)

Other comprehensive loss

 

  

 

 

 

 

Items that may be subsequently reclassified to profit or loss (net of tax)

 

  

 

 

 

 

Currency translation differences

 

  

 

(82)

 

(50)

 

(22)

 

(78)

Total comprehensive loss for the year, net of tax

 

  

(13,206)

(12,847)

(25,052)

(24,785)

Loss attributable to equity holders

 

  

(13,206)

(12,847)

(25,052)

(24,785)

 

  

 

 

 

 

Basic Loss Per Share (in EUR)

 

26

(0.428)

(0.447)

(0.843)

(0.907)

Diluted Loss Per Share (in EUR)

 

26

(0.428)

(0.447)

(0.843)

(0.907)

The accompanying notes are an integral part of these condensed consolidated interim financial statements

7

Table of Contents

NYXOAH SA

UNAUDITED CONDENSED CONSOLIDATED INTERIM FINANCIAL INFORMATION AS AT AND

FOR THE SIX MONTHS ENDED, JUNE 30 2024 -

INTERIM CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

(unaudited)

(in thousands)

Attributable to owners of the parent

Share

based

Other

Common

Share

payment

comprehensive

Retained

    

shares

    

premium

    

reserve

    

income

    

loss

    

Total

Balance at January 1, 2024

    

4,926

    

246,127

    

7,661

    

137

    

(160,829)

    

98,022

Loss for the period

 

 

 

 

 

(25,030)

 

(25,030)

Other comprehensive loss for the period

 

 

 

 

(22)

 

 

(22)

Total comprehensive loss for the period

 

 

 

(22)

(25,030)

(25,052)

Equity-settled share-based payments

 

  

 

 

  

 

  

 

 

  

Granted during the period

 

 

 

1,499

 

 

 

1,499

Expired during the period

 

 

 

(186)

 

 

186

 

Exercised during the period

4

143

(133)

133

147

Issuance of shares for cash

975

47,452

48,427

Transaction cost

 

 

(2,900)

 

 

 

 

(2,900)

Total transactions with owners of the company recognized directly in equity

 

979

 

44,695

 

1,180

 

 

319

 

47,173

Balance at June 30, 2024

5,905

290,822

8,841

115

(185,540)

120,143

Attributable to owners of the parent

Share

based

Other

Common

Share

payment

comprehensive

Retained

    

shares

    

premium

    

reserve

    

income

    

loss

    

Total

Balance at January 1, 2023

4,440

228,275

5,645

176

(118,212)

120,324

Loss for the period

 

 

 

 

 

(24,707)

 

(24,707)

Other comprehensive loss for the period

 

 

 

 

(78)

 

 

(78)

Total comprehensive loss for the period

 

 

 

(78)

(24,707)

(24,785)

Equity-settled share-based payments

 

 

  

 

  

 

 

  

 

  

Granted during the period

1,757

1,757

Expired during the period

 

 

 

(397)

 

 

397

 

Issuance of shares for cash

484

18,132

18,616

Transaction costs

(337)

(337)

Total transactions with owners of the company recognized directly in equity

 

484

 

17,795

 

1,360

 

 

397

 

20,036

Balance at June 30, 2023

4,924

246,070

7,005

98

(142,522)

115,575

The accompanying notes are an integral part of these condensed consolidated interim financial statements.

8

Table of Contents

NYXOAH SA

UNAUDITED CONDENSED CONSOLIDATED INTERIM FINANCIAL INFORMATION AS AT AND

FOR THE SIX MONTHS ENDED JUNE 30, 2024 –

INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(in thousands)

    

For the six months ended 

June 30

    

Notes

    

2024

    

2023

CASH FLOWS FROM OPERATING ACTIVITIES

Loss before tax for the year

 

  

(24,479)

(23,597)

Adjustments for

 

  

 

 

Finance income

 

  

 

(3,477)

 

(1,414)

Finance expenses

 

  

 

2,436

 

1,732

Depreciation and impairment of property, plant and equipment and right-of-use assets

 

7, 9

 

790

 

640

Amortization of intangible assets

 

8

 

480

 

477

Share-based payment transaction expense

 

16

 

1,499

 

1,757

Increase in provisions

 

  

 

179

 

119

Other non-cash items

 

  

 

(153)

 

(16)

Cash generated before changes in working capital

 

  

(22,725)

(20,302)

Changes in working capital

 

  

 

 

(Increase) in inventory

 

11

 

(1,783)

 

(264)

(Increase) in trade and other receivables

 

12

 

(290)

 

(671)

Increase/(Decrease) in trade and other payables

 

18, 20

 

1,412

 

(967)

Cash generated from changes in operations

 

  

(23,386)

(22,204)

Income tax paid

 

  

 

(207)

 

(274)

Net cash from / (used in) operating activities

 

  

(23,593)

(22,478)

CASH FLOWS FROM INVESTING ACTIVITIES

 

  

 

 

Purchases of property, plant and equipment

 

7

 

(448)

 

(676)

Capitalization of intangible assets

 

8

 

(3,295)

 

(4,993)

Purchase of financial assets - current

14

(59,171)

(43,400)

Proceeds from sale of financial assets - current

14

46,145

52,383

Interest income on financial assets

 

 

1,205

 

572

Net cash from / (used in) investing activities

 

  

(15,564)

3,886

CASH FLOWS FROM FINANCING ACTIVITIES

 

  

 

 

Payment of principal portion of lease liabilities

 

9

 

(546)

 

(395)

Repayment of other loan

 

  

 

(42)

 

(42)

Interests paid

 

  

 

(24)

 

(14)

Proceeds from issuance of shares, net of transaction costs

 

15

 

45,674

 

18,279

Other financial costs

 

  

 

(81)

 

(32)

Net cash from / (used in) financing activities

 

  

44,981

17,796

Movement in cash and cash equivalents

 

  

5,824

(796)

Effect of exchange rates on cash and cash equivalents

 

 

290

 

(488)

Cash and cash equivalents at January 1

 

13

21,610

17,888

Cash and cash equivalents at June 30

 

13

27,724

16,604

The accompanying notes are an integral part of these condensed consolidated interim financial statements.

9

Table of Contents

NYXOAH SA

NOTES TO THE UNAUDITED CONDENSED INTERIM CONSOLIDATED FINANCIAL INFORMATION

1.General information

Nyxoah SA (the “Company”) is a public listed company with limited liability (naamloze vennootschap/société anonyme) incorporated and operating under the laws of Belgium and is domiciled in Belgium. The Company is registered with the legal entities register (Brabant Walloon) under enterprise number 0817.149.675. The Company’s registered office is in Rue Edouard Belin 12, 1435 Mont-Saint-Guibert, Belgium.

The Company is a medical technology company focused on the development and commercialization of innovative solutions to treat Obstructive Sleep Apnea, or OSA. Our lead solution is the Genio® system, a CE-Marked, patient-centric, minimally invasive, next generation hypoglossal neurostimulations therapy for OSA. OSA is the world’s most common sleep disordered breathing condition and is associated with increased mortality risk and comorbidities including cardiovascular diseases, depression and stroke.

The Genio® system is the first neurostimulation system for the treatment of OSA to include a battery-free and leadless neurostimulator capable of delivering bilateral hypoglossal nerve stimulation to keep the upper airway open. The product is intended to be used as a second-line therapy to treat moderate to severe OSA patients who have either not tolerated, failed or refused conventional therapy, including Continuous Positive Airway Pressure, or CPAP, which, despite its proven efficacy, is associated with many limitations, meaning compliance is a serious challenge. In addition, other second-line treatments are more suitable to treat mild to moderate OSA (such as oral devices) or highly invasive. Compared to other hypoglossal nerve stimulation technologies for the treatment of OSA, the Genio® system is a disruptive, differentiating technology that targets a clear unmet medical need thanks to its minimally invasive and quick implantation technique, its external battery and its ability to stimulate the two branches of the hypoglossal nerve.

Obstructive sleep apnea is the world’s most common sleep disordered breathing condition. OSA occurs when the throat and tongue muscles and soft tissues relax and collapse. It makes a person stop breathing during sleep, while the airway repeatedly becomes partially (hypopnea) or completely (apnea) blocked, limiting the amount of air that reaches the lungs. During an episode of apnea or hypopnea, the patient’s oxygen level drops, which leads to sleep interruptions.

Nyxoah SA has established four wholly owned subsidiaries: Nyxoah Ltd, a subsidiary of the Company since October 21, 2009 (located in Israel and incorporated on January 10, 2008 under the name M.L.G. Madaf G. Ltd), Nyxoah Pty Ltd since February 1, 2017 (located in Australia) and Nyxoah Inc. since May 14, 2020 (located in the USA) and Nyxoah GmbH since July 26, 2023 (located in Germany).

The interim condensed consolidated financial statements of Nyxoah SA and its subsidiaries (collectively, the Group) as of June 30, 2024 and for the three and six months ended June 30, 2024, have been authorized for issue on August 6, 2024 by the Board of Directors of the Company.

2.Significant accounting policies

Basis of Preparation of the interim condensed consolidated financial statements

The Company’s interim condensed consolidated financial statements have been prepared in accordance with International Accounting Standard 34 – Interim Financial Reporting (“IFRS”), as issued by the International Accounting Standards Board (IASB). They do not include all the information required for complete annual financial statements and should be read in conjunction with the Company’s last annual consolidated financial statements as at and for the year ended December 31, 2023. In order to be consistent with the current period’s presentation, an immaterial correction has been made to certain comparatives on the face of the consolidated statement of financial position. Accrued expenses of € 1.9 million have been reclassified from Other payables to Trade payables since these balances are similar in nature to Invoices to be received that are already presented as Trade payables. We refer to note 18 and 20.

Except for the application of standards, interpretations and amendments being mandatory as of January 1, 2024, the accounting policies used for the preparation of the interim condensed consolidated financial statements are consistent with those used for the preparation of the Company’s annual consolidated financial statements as of and for the year ended December 31, 2023.

10

Table of Contents

The consolidated financial statements are presented in thousands of Euros (€) and all values are rounded to the nearest thousands, except when otherwise indicated (e.g. € million).

The preparation of the interim condensed consolidated financial statements requires the use of certain critical accounting estimates. It also requires management to exercise its judgment in the process of applying the Company’s accounting policies. The areas involving a higher degree of judgement or complexity, are areas where assumptions and estimates are significant to the consolidated financial statements. The critical accounting estimates used in the preparation of the interim consolidated financial statements are consistent with those followed in the preparation of the Company’s annual consolidated financial statements as of and for the year ended December 31, 2023.

Going concern principle

The Company has consistently operated with deficits and sustained negative cash flows since its inception as a result of the significant research and development expenses incurred for the development and regulatory approval of the Genio® device. As of June 30, 2024, the Company’s statement of financial position includes an accumulated loss of €185.7 million and total assets of €148.2 million. Current assets as of June 30, 2024 total €89.7 million, comprising €27.7 million in available cash and cash equivalents, and €50.1 million in marketable securities, primarily derived from previous public offerings.

The Company’s current operating plan indicates that it will continue to incur losses from operations and generate negative cash flows from operating activities given ongoing expenditures related to the completion of its clinical trials only partially offset by the Company’s revenue generating activities outside the U.S., these were €2.0 million in the first half of 2024 in the EU. Substantial revenue generation is expected to start in the beginning of 2025, following the launch of the Genio® product in the U.S., which is dependent on obtaining marketing authorization in the United States for the Genio® product from the FDA.

To meet the Company’s future working capital needs, management raised €48.5 million in capital through the issuance of new shares in May and June 2024 (see note 15.1). Additionally, on July 3, 2024, the Company has signed a €37.5 million loan facility agreement with the European Investment Bank (“EIB”) (see note 29) subject to certain conditions, from which a first tranche of €10 million was drawn after the reporting date. The recent capital raise and loan facility agreement extends the Company’s financial runway, providing sufficient funds to support operations until the beginning of 2026. This cash runway considers the second tranche of the EIB facility and excludes any additional capital raise activity the company could consider.

The Unaudited Interim Condensed Consolidated Financial Statements have therefore been prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business.

New and amended standards and interpretations applicable

Effective for the annual periods beginning on January 1, 2024

The Group has not early adopted any standard, interpretation or amendment that has been issued but is not yet effective.

Several amendments and interpretations apply for the first time in 2024, but do not have an impact on the interim condensed consolidated financial statements of the Company:

Amendments to IAS 7 Statement of Cash Flows and IFRS 7 Financial Instruments: Disclosures : Supplier Finance Arrangements (applicable for annual periods beginning on or after January 1, 2024)
Amendments to IFRS 16 Leases: Lease Liability in a Sale and Leaseback (applicable for annual periods beginning on or after January 1, 2024)
Amendments to IAS 1 Presentation of Financial Statements: Classification of Liabilities as Current or Non-current and Non-current Liabilities with Covenants (applicable for annual periods beginning on or after January 1, 2024)

11

Table of Contents

3.Critical accounting estimates and assumptions

The preparation of interim financial statements in accordance with IFRS requires management to make judgments, estimates and assumptions that may significantly affect the reported amounts of revenues, expenses, assets and liabilities, and the disclosure of contingent liabilities at the end of the reporting period.

Refer to the disclosure note 5 from the Group’s 2023 year-end consolidated financial statements for further details about the main critical accounting estimates and assumptions.

4.Segment reporting

Based on the organizational structure, as well as the nature of financial information available and reviewed by the Company’s chief operating decision makers to assess performance and make decisions about resource allocations, the Company has concluded that its total operations represent one reportable segment. The chief operating decision maker is the CEO.

5.Fair Value

The carrying amount of cash and cash equivalents, trade receivables, other receivables, other current assets and financial assets approximate their value due to their short-term character.

The carrying value of current liabilities approximates their fair value due to the short-term character of these instruments. The fair value of non-current liabilities (financial debt and other non-current liabilities), excluding the derivative financial liabilities, is evaluated based on their interest rates and maturity date. These instruments have fixed interest rates and their fair value measurements are subject to changes in interest rates. The fair value measurement is classified as level 3.

The derivative financial liabilities and assets which consist of foreign currency swaps are measured at fair value through profit and loss. Fair value is determined by the financial institution and is based on foreign currency swap rates and the maturity of the instrument.

Carrying value

Fair value

As at

As at

As at

As at

June 30,

December 31, 

June 30,

December 31, 

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Financial Assets

 

  

 

  

 

  

 

  

Other long-term receivables (level 3)

 

1,419

 

1,166

 

1,419

 

1,166

Trade and other receivables (level 3)

 

5,466

 

5,627

 

5,466

 

5,627

Foreign currency swaps (level 2)

 

28

 

343

 

28

 

343

Other current assets (level 3)

 

1,298

 

1,318

 

1,298

 

1,318

Cash and cash equivalents (level 1)

 

27,724

 

21,610

 

27,724

 

21,610

Financial assets (level 1)

 

50,061

 

36,138

 

50,061

 

36,138

Carrying value

Fair value

As at

As at

As at 

As at

June 30,

December 31, 

June 30,

December 31, 

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Financial liabilities

 

  

 

  

 

  

 

  

Financial debt (level 3)

 

20

 

63

 

20

 

60

Foreign currency swaps (level 2)

 

64

 

90

 

64

 

90

Recoverable cash advances (level 3)

 

9,175

 

8,674

 

9,175

 

8,674

Trade and other payables (level 1 and 3)

 

12,563

 

11,150

 

12,563

 

11,150

6.Subsidiaries

For all periods that are mentioned in this report, the Company owns 100% of the shares of Nyxoah LTD, an Israeli company located in Tel-Aviv that was incorporated in 2009 and has a share capital of NIS 1.00.

12

Table of Contents

The Company also owns 100% of the shares of Nyxoah PTY LTD, an Australian Company located in Collingwood that was incorporated in 2017 and has a share capital of AUD 100.

The Company also owns 100% of the shares of Nyxoah Inc, an US-based company located in Delaware that was incorporated in May 2000 and has a share capital of USD 1.00.

The Company also owns 100% of the shares of Nyxoah GmbH, a German company located in Eschborn that was acquired in July 2023 and has a share capital of EUR 25 000.

7.Property, Plant and Equipment

The total acquisitions for the six months ended June 30, 2024 amount to €448,000 (2023: €0.7 million) and were mainly related to the US production line under construction and laboratory equipment.

The cost of property, plant and equipment at June 30, 2024 includes a correction of the tax incentive in Belgium on the investments of 2023 for an amount of €93,000. We refer to note 22.

The depreciation charge amounts to €336,000 in 2024 and to €271,000 in 2023 for the six months ended June 30.

8.Intangible assets

Development

Patents and

(in EUR 000)

    

cost

    

licenses

    

Total

Cost

 

  

 

  

 

  

Opening value at January 1, 2023

 

41,073

 

591

 

41,664

Additions

 

4,993

 

 

4,993

Cost at June 30, 2023

 

46,066

 

591

 

46,657

Opening value at January 1, 2024

 

48,671

 

591

 

49,262

Additions

 

3,183

 

 

3,183

Cost at June 30, 2024

 

51,854

 

591

 

52,445

Amortization

 

  

 

  

 

  

Opening amortization at January 1, 2023

 

(1,608)

 

(84)

 

(1,692)

Amortization

 

(456)

 

(21)

 

(477)

Amortization at June 30, 2023

 

(2,064)

 

(105)

 

(2,169)

Opening amortization at January 1, 2024

 

(2,528)

 

(127)

 

(2,655)

Amortization

 

(459)

 

(21)

 

(480)

Amortization at June 30, 2024

 

(2,987)

 

(148)

 

(3,135)

Net book value at June 30, 2023

 

44,002

 

486

 

44,488

Net book value at June 30, 2024

 

48,867

 

443

 

49,310

There is only one development project: The Genio® system. The Company started amortizing the first-generation Genio® system in 2021. The amortization amounted to €480,000 for the six months ended June 30, 2024 (2023: €477,000) and is included in research and development expense.

The Company continues to incur in 2024 development expenses with regard to the improved second-generation Genio® system and clinical trials to obtain additional regulatory approvals in certain countries or to be able to sell the Genio® System in certain countries. The total capitalized development expenses amounted to €3.2 million and €5.0 million for the six months ended June 30, 2024, and 2023, respectively. The total amount of capitalization of intangible assets in the interim consolidated statements of cash flows is higher than the additions due to the tax incentive relating to investments of 2024 amounting to €112,000. We refer to note 22 for more details.

9.Right of use assets and lease liabilities

For the six months ended June 30, 2024, the Company entered into new lease agreements for €74,000 (2023: €208,000). The repayments of lease liabilities amounted to €0.5 million (2023: €395,000). The depreciations on the right of use assets amounted to €454,000 and €369,000 for the six months ended June 30, 2024, and 2023, respectively.

13

Table of Contents

10.Other long-term receivables

The other long-term receivables mainly consist of cash guarantees for an amount of €389,000 (2023: €167,000) and an R&D tax incentive in Belgium for an amount of €1.0 million (2023: €1,0 million) related to certain development activities and clinical trials. The Company recognizes the research and development incentive as a long-term receivable and as a deduction from the carrying amount of the (in)tangible asset.

The R&D tax incentive recorded as of June 30, 2024, pertains to investments made in 2022, 2023, and 2024 in both tangible and intangible assets. These incentives are expected to be received 5 years after the investments are made. However, following the Law of May 12, 2024 (Belgian Gazette, May 29, 2024), the Belgian R&D tax credit regime has been amended. As of 2024, the R&D tax incentive will be refunded after 4 years instead of 5 years. The long-term receivable as of June 30, 2024, also includes an adjustment of the R&D tax incentive for investments made in 2023. For further details, refer to note 22.

11.Inventory

As at

June 30,

December 31, 

(in EUR 000)

    

2024

    

2023

Raw materials

1,327

1,329

Work in progress

 

2,802

 

1,530

Finished goods

 

969

 

456

Total Inventory

 

5,098

 

3,315

The increase in inventory is due to increasing activities to prepare for the commercialization in US and further scale-up of the commercialization in EU in 2024.

12.Trade and Other receivables

As at

June 30,

December 31, 

(in EUR 000)

    

2024

    

2023

Trade receivables

 

2,609

 

2,758

R&D incentive receivable (Australia)

 

964

 

723

VAT receivable

 

696

 

850

Current tax receivable

 

801

 

808

Foreign currency swaps

 

29

 

343

Other

 

395

 

488

Total trade and other receivables

 

5,494

 

5,970

The decrease of €476,000 in trade and other receivables is mainly due to a decrease in foreign currency swaps by €314,000, a decrease in VAT receivable by €154,000 and a decrease in trade receivables by €149,000. R&D incentive receivables has increased by €241,000. The other receivables as of June 30, 2024 include the prepayment to the American Academy of Otolaryngology (AAO). We refer to note 27 for more details.

The Company can include unbilled receivables in its accounts receivable balance. Generally, these receivables represent earned revenue from products delivered to customers, which will be billed in the next billing cycle. All amounts are considered collectible and billable. As at December 31, 2023 and June 30, 2024, there were no unbilled receivables included in the trade receivables.

R&D incentive receivables relate to incentives received in Australia as a support to the clinical trials and the development of the Genio® system.

The current tax receivable relates to excess payment of corporate income tax in the United States and in Belgium.

We refer to note 21 for more details on the foreign currency swaps.

14

Table of Contents

13.Cash and cash equivalents

As at

June 30,

December 31, 

(in EUR 000)

    

2024

    

2023

Short term deposit

 

18,596

 

9,158

Current accounts

 

9,128

 

12,452

Total cash and cash equivalents

 

27,724

 

21,610

Cash and cash equivalents increased to €27.7 million as at June 30, 2024, compared to€21.6 million as at December 31, 2023 with an increase of short term deposits by €9.4 million which is partially offset by a decrease of current account by €3.3 million. The short term deposits relate to term accounts with an initial maturity of 3 months or less, measured at amortized costs.

14.Financial assets

Current financial assets relate to term accounts with an initial maturity longer than 3 months but less than 12 months measured at amortized costs.

In 2024, the Company entered into USD term deposits and US Treasury bills for a total amount $US 44.0 million (€40.7 million) and €18.5 million. During the period ended as at June 30, 2024, $US 41.4 million (€38.1 million) and €8.0 million reached maturity and is subsequently held as cash.

As per June 30, 2024, the current financial assets consists of $US 37.0 million (€34.6 million), which could generate a foreign currency exchange gain or loss in the financial results in accordance with the fluctuations of the USD/EUR exchange rate as the Company’s functional currency is EUR, and €15.5 million. The total amount of term deposits as per June 30, 2024, amounts to €50.1 million.

15.Capital, Share Premium, Reserves

15.1.Capital and share premium

The number of shares and the par value in the paragraph below take into account resolutions adopted by the shareholders’ meeting of February 21, 2020. All existing preferred shares were converted into common shares, and then a share split of 500:1 was approved by the shareholders’ meeting. The tables and comments below reflect the number of shares after the share split of 500:1 as of January 1, 2020.

As part of the IPO on September 21, 2020, the Company incurred direct-attributable transaction costs of €6.5 million which have been deducted from the share premium.

As part of the IPO on July 7, 2021, the Company incurred direct-attributable transaction costs of €7.6 million which have been deducted from the share premium.

As of June 30, 2024, the share capital of the Company amounts to €5.9 million represented by 34,373,015 shares, and the share premium amounts to €308.2 million before deduction of the transaction costs.

15

Table of Contents

Evolution of the share capital and share premium over the six months ended June 30, 2024 and 2023:

    

Common

    

Total of 

    

Par value 

    

Share 

    

Share

(Number of shares except otherwise stated)

shares

shares

(EUR)

capital

premium

January 1, 2023

 

25,846,279

 

25,846,279

 

0.17

 

4,440

 

242,440

March 29, 2023 - Capital increase in cash

 

393,162

 

393,162

 

0.17

 

68

 

2,481

March 30, 2023 - Capital increase in cash

 

2,047,544

 

2,047,544

 

0.17

 

351

 

12,999

April 17, 2023 - Capital increase in cash

 

375,000

 

375,000

 

0.17

 

65

 

2,651

June 30, 2023

28,661,985

28,661,985

0.17

4,924

260,571

July 14, 2023 - Exercise warrants

2,000

2,000

0.17

10

August 29, 2023 - Exercise warrants

10,000

10,000

0.17

2

50

December 31, 2023

28,673,985

28,673,985

0.17

4,926

260,631

March 6, 2024 - Exercise warrants

8,650

8,650

0.17

1

61

April 17, 2024 - Exercise warrants

3,000

3,000

0.17

1

16

May 28, 2024 - Capital increase in cash

5,374,755

5,374,755

0.17

923

44,946

June 3, 2024 - Capital increase in cash

300,000

300,000

0.17

52

2,506

June 24, 2024 - Exercise warrants

12,625

12,625

0.17

2

66

June 30, 2024

34,373,015

34,373,015

0.17

5,905

308,226

On March 29, 2023, the Company issued 393,162 new shares for an aggregate capital increase of €2.5 million (including share premium). The Company raised $2.8 million in gross proceeds pursuant to the Company’s $50 million at-the-market (“ATM”) program established on December 22, 2022 at an issue price equal to the market price on the Nasdaq Global Market at the time of the sale. The shares were purchased by historical Nyxoah shareholder Cochlear Limited, and the proceeds will be used for general corporate purposes.

On March 30, 2023, the Company raised €13.35 million private placement financing from the sale of 2,047,544 new ordinary shares at a price per share of €6.52 (approximately U.S. $7.10 at current exchange rates), the closing price on Euronext Brussels on March 23, 2023. Gross proceeds total €13.35 million (approximately U.S. $15 million at current exchange rates) and will be used for general corporate purposes.

On April 17, 2023, the Company issued 375,000 new shares for an aggregate capital increase of €2.7 million (including share premium). The Company raised $3.0 million in gross proceeds pursuant to the Company’s $50 million at-the-market ("ATM") program established on December 22, 2022 at an issue price equal to the market price on the Nasdaq Global Market at the time of the sale. The proceeds will be used for general corporate purposes.

As part of above capital increases, the Company incurred direct-attributable transaction costs of €340,000 which have been deducted from the share premium. The proceeds from the capital increase net of transaction costs amounted to €18.3 million.

On July 14, 2023, pursuant to the exercise of warrants, the Company issued 2,000 new shares for an aggregate capital increase of €10,000 (including share premium).

On August 29, 2023, pursuant to the exercise of warrants, the Company issued 10,000 new shares for an aggregate capital increase of €52,000 (including share premium).

On March 6, 2024, pursuant to the exercise of warrants, the Company issued 8,650 new shares for an aggregate capital increase of €62,000 (including share premium).

On April 17, 2024, pursuant to the exercise of warrants, the Company issued 3,000 new shares for an aggregate capital increase of €16,000 (including share premium).

On May 28, 2024, the Company issued 5,374,755 new shares for an aggregate capital increase of €45.9 million (including share premium)in the framework of an underwritten public offering in the United States, which included shares sold in a private offering to certain qualified or institutional investors outside the United States. 1,996,187 shares were subscribed to in euro at a share price of €8.54 per share. 3.378.568 shares were subscribed to in US dollars, at a share price of U.S. $9.25 per share.

16

Table of Contents

On June 3, 2024, the Company issued 300,000 new shares for an aggregate capital increase of €2.6 million (including share premium) as a result of the exercise by the underwriters of the May 28, 2024 capital increase to exercise their option to purchase additional shares (“greenshoe”). All 300,000 shares were subscribed to in US dollars U.S.$9.25 per share.

The proceeds of the May 28 and June 3, 2024 capital increases will be used for general corporate purposes.

As part of above capital increases, the Company incurred direct-attributable transaction costs of  €2.9 million which have been deducted from the share premium. The proceeds from the capital increase net of transaction costs amounted to €45.6 million.

On June 24, 2024, pursuant to the exercise of warrants, the Company issued 12,625 new shares for an aggregate capital increase of €68,000 (including share premium).

15.2.Reserves

The reserves include the share-based payment reserve (see note 16), other comprehensive income and the retained loss. Retained loss is comprised of primarily accumulated losses, other comprehensive income is comprised of currency translation reserves and remeasurements of post-employment benefit obligations.

The movement in other comprehensive income for the six months ended June 30, 2024 and 2023 is detailed in the table below:

Post-

Currency

employment

translation

benefit

(in EUR 000)

    

reserve

    

obligations

    

Total

Opening value at January 1, 2023

 

174

 

2

 

176

Currency translation differences

 

(78)

 

 

(78)

Total other comprehensive income at June 30, 2023

 

96

 

2

 

98

Opening value at January 1, 2024

 

54

 

83

 

137

Currency translation differences

 

(22)

 

 

(22)

Total other comprehensive income at June 30, 2024

 

32

 

83

 

115

16.Share-Based compensation

Equity-settled share-based payment transactions

As of June 30, 2024, the Company has five outstanding equity-settled share-based incentive plans, including (i) the 2016 warrants plan (the 2016 Plan), (ii) the 2018 warrants plan (the 2018 Plan), (iii) the 2020 warrants plan (the 2020 Plan), (iv) the 2021 warrants plan (the 2021 plan) and (v) the 2022 warrants plan (the 2022 plan). The Company had an extraordinary shareholders’ meeting on February 21, 2020 where it was decided to achieve a share split in a ratio of 500:1. Per warrant issued before February 21, 2020, 500 common shares will be issuable. For presentation purposes the tables and comments below reflect the number of shares the warrants give right to across all plans.

In accordance with the terms of the various plans, all warrants that had not yet vested before, vested on September 7, 2020, i.e. ten business days prior to the closing of the IPO on September 21, 2020.

17

Table of Contents

The changes of the year for the equity-settled warrant plans are as follows:

Number of shares (after share split) warrants give right to across all plans

    

2024

    

2023

Outstanding at January 1

 

1,635,606

 

1,416,490

Granted

 

385,250

 

475,862

Forfeited

 

(13,625)

 

(45,625)

Exercised

 

(24,275)

 

Expired

(35,975)

(93,625)

Outstanding as at June 30

 

1,946,981

 

1,753,102

Exercisable as at June 30

 

1,210,613

 

996,086

On February 1, 2024 and on April 21, 2024, respectively 300,250 and 85,000 warrants were from the 2022 plan. As of June 30, 2024, a total number of 24,275 warrants have been exercised. For 8,650 exercised warrants, the related shares were issued in March 2024, for 3,000 warrants, the shares were issued in April 2024 and for 12,625 exercised warrants, the related shares were issued in June 2024.

18

Table of Contents

The following tables provide the input to the Black-Scholes model for warrants granted in 2018, 2020, 2021, 2022, 2023 and 2024 related to the 2016 warrant plan, the 2018 warrant plan, the 2020 warrant plan, the 2021 warrant plan and the 2022 warrant plan. The tables and notes uses as a basis, the number of shares the warrants give right to across all plans.

Plan 2021

    

Plan 2016 

    

Plan 2018 

    

Plan 2018

    

Plan 2020 

    

(grant Sept 17

 

(grant 2018)

(grant 2018)

(grant 2020)

(grant 2020)

2021)

 

Return Dividend

 

0

%  

0

%  

0

%  

0

%  

0

%

Expected volatility

 

66.92

%  

56.32

%  

56.32

%  

56.32

%  

51.30

%

Risk-free interest rate

 

0.35

%  

(0.20)

%  

(0.20)

%  

(0.20)

%  

(0.36)

%

Expected life

 

3

 

3

 

3

 

3

 

3

Exercise price

 

5.17

 

6.52

 

11.94

 

11.94

 

25.31

Stock price

 

1.09

 

10.24

 

10.20

 

10.20

 

25.75

Fair value

 

0.10

 

5.30

 

3.31

 

3.31

 

9.22

    

Plan 2021

    

Plan 2021

    

Plan 2021

    

Plan 2021

    

Plan 2021

    

(grant Oct 27 

(grant Feb 21

(grant Feb 21

(grant Feb 21

(grant May 14

 

 2021)

 

 2022)

 

 2022)

 

 2022)

 

 2022)

 

Return Dividend

 

0

%  

0

%  

0

%  

0

%  

0

%

Expected volatility

 

51.50

%  

49.80

%  

49.80

%  

49.80

%  

49.80

%

Risk-free interest rate

 

(0.18)

%  

0.37

%  

0.37

%  

0.50

%  

1.06

%

Expected life

 

3

 

3

 

3

 

4

 

3

 

Exercise price

 

25.31

 

17.76

 

25.31

 

17.76

 

13.82

 

Stock price

 

20.50

 

17.50

 

17.50

 

17.50

 

13.82

 

Fair value

 

5.94

 

6.05

 

4.15

 

6.90

 

4.94

 

    

Plan 2021

    

Plan 2021

    

Plan 2021

    

Plan 2021

    

Plan 2021

 

(grant June 8

(grant Aug 8

(grant Aug 8

(grant March 24

(grant April 12

 

 2022)

 2022)

 2022)

 2023)

 2023)

 

Return Dividend

 

0

%  

0

%  

0

%  

0

%  

0

%

Expected volatility

 

52.60

%  

53.71

%  

53.97

%  

52.00

%  

52.00

%

Risk-free interest rate

 

1.60

%  

1.39

%  

1.45

%  

3.20

%  

3.24

%

Expected life

 

3

 

3

 

4

 

3

 

3

Exercise price

 

12.95

 

9.66

 

9.66

 

5.42

 

6.36

Stock price

 

13.34

 

9.75

 

9.75

 

6.70

 

7.08

Fair value

 

5.21

 

3.79

 

4.32

 

3.09

 

3.04

Plan 2021

Plan 2022

Plan 2022

Plan 2022

Plan 2022

(grant June 14

(grant June 14

(grant Oct 20

(grant Feb 01

(grant Apr 21

    

2023)

    

2023)

    

2023)

    

2024)

    

2024)

Return Dividend

0

%  

0

%  

0

%  

0

%  

0

%

Expected volatility

51.28

%  

51.28

%  

50.00

%  

62.20

%  

65.50

%

Risk-free interest rate

 

3.36

%  

3.36

%  

3.55

%  

2.63

%  

3.08

%

Expected life

 

3

 

3

3

 

3

 

3

 

Exercise price

 

7.19

 

7.19

5.92

 

5.24

 

9.04

 

Stock price

 

7.10

 

7.10

5.60

 

9.96

 

9.20

 

Fair value

 

2.75

 

2.75

2.07

 

6.26

 

4.40

 

On March 24, 2023, the Company reduced the exercise price of 75% of the warrants previously granted to warrant holders under the 2021 Warrants Plan to 5.42 EUR  to reflect the decrease in the company’s share price. For the remaining 25% of the warrants previously granted under the 2021 Warrants Plan, the exercise price will remain unchanged. All other terms and conditions of the re-priced warrants remain unchanged to the original option agreement. The Company determined the fair value of the options at the date of the modification (March 24, 2023). The incremental fair value of the re-priced warrants will be recognised as an expense over the period from the modification date to the end of the vesting period. For the warrants already vested at the date of modification, the incremental fair value is fully recognised as an expense at date of modification.

19

Table of Contents

The fair value of the modified warrants was determined using the same models and principles as described above, with the following model inputs:

    

Plan 2021 

    

Plan 2021 

    

Plan 2021 

    

Plan 2021 

 

(grant Sept 17 

(grant Oct 27 

(grant Feb 21 

(grant Feb 21 

 

2021)

2021)

2022)

2022)

 

Return Dividend

 

0

%  

0

%  

0

%  

0

%

Expected volatility

 

52.00

%  

52.00

%  

52.00

%  

52.00

%

Risk-free interest rate

 

3.25

%  

3.25

%  

3.17

%  

3.36

%

Expected life

 

2

 

2

 

2

 

2

Exercise price

 

5.42

 

5.42

 

5.42

 

5.42

Stock price

 

6.68

 

6.68

 

6.68

 

6.68

Fair value

 

2.48

 

2.52

 

2.67

 

2.49

Incremental Fair value

 

2.38

 

2.40

 

2.23

 

2.38

    

Plan 2021 

    

Plan 2021 

    

Plan 2021 

    

Plan 2021 

 

(grant Feb 21 

(grant May 14 

(grant Aug 8 

(grant Aug 8 

 

2022)

2022)

2022)

2022)

 

Return Dividend

 

0

%  

0

%  

0

%  

0

%

Expected volatility

 

52.00

%  

52.00

%  

52.00

%  

52.00

%

Risk-free interest rate

 

3.03

%  

3.13

%  

3.13

%  

2.98

%

Expected life

 

3

 

2

 

3

 

4

Exercise price

 

5.42

 

5.42

 

5.42

 

5.42

Stock price

 

6.68

 

6.68

 

6.68

 

6.68

Fair value

 

3.05

 

2.75

 

2.87

 

3.21

Incremental Fair value

 

2.23

 

1.92

 

1.28

 

1.19

The Company has recognized €1.5 million share-based payment expense for the six months ended June 30, 2024 (2023: €1.8 million) of which €66.000 is related to the incremental fair value of the re-priced warrants.

17.Financial Debt

Financial debt consists of recoverable cash advances and other loans. Related amounts can be summarized as follows:

As at

    

June 30, 

    

December 31, 

(in EUR 000)

2024

2023

Recoverable cash advances - Non-current

8,600

8,373

Recoverable cash advances - Current

 

575

 

301

Total Recoverable cash advances

 

9,175

 

8,674

Other loan - Non-current

 

Other loan - Current

 

20

 

63

Total Other loan

 

20

 

63

Non-current

 

8,600

 

8,373

Current

 

595

 

364

Total Financial Debt

 

9,195

 

8,737

20

Table of Contents

Financial debt related to recoverable cash advances

Recoverable cash advances received

As at June 30, 2024, the details of recoverable cash advances received can be summarized as follows:

Contractual

Advances

Fixed

Variable

(in EUR 000)

    

advances

    

received

    

reimbursements*

    

reimbursements*

Sleep apnea device (6472)

 

1,600

 

1,600

588

7

First articles (6839)

 

2,160

 

2,160

561

11

Clinical trial (6840)

 

2,400

 

2,400

360

13

Activation chip improvements (7388)

 

1,467

 

1,467

66

18

Total

 

7,627

 

7,627

1,575

49

*Excluding interests

During the six months ended June 30, 2024 , the Company made no reimbursements and did not receive any new amounts.

Based on expected timing of sales and after discounting, the financial debt related to the recoverable cash advances is as follows:

As at

    

June 30, 

    

December 31,

(in EUR 000)

2024

2023

Contract 6472

 

1,727

 

1,629

Contract 6839

 

2,422

 

2,290

Contract 6840

 

2,975

 

2,818

Contract 7388

 

2,051

 

1,937

Total recoverable cash advances

 

9,175

 

8,674

Non-current

 

8,600

 

8,373

Current

 

575

 

301

Total recoverable cash advances

 

9,175

 

8,674

The amounts recorded under “Current” caption correspond to the sales-independent amounts (fixed repayment) and sales-dependent reimbursements (variable repayment) estimated to be repaid to the Walloon Region in the next 12-month period. The estimated sales-independent (fixed repayment) as well as sales-dependent reimbursements (variable repayment) beyond 12 months are recorded under “Non-current” liabilities.

Changes in the recoverable cash advances can be summarized as follows:

(in EUR 000)

    

2024

    

2023

As at January 1

 

8,674

 

8,431

Initial measurement and re-measurement

 

(18)

 

(39)

Discounting impact

 

519

 

495

As at June 30

 

9,175

 

8,887

18.Trade payables

As at

    

June 30, 

    

December 31, 

(in EUR 000)

2024

2023

Payables

 

4,115

 

4,102

Invoices to be received

 

4,963

 

4,006

Total Trade payables

 

9,078

 

8,108

21

Table of Contents

The increase in total trade payables of €1.0 million as at June 30, 2024 is mainly due to an increase in invoices to be received of  €1.0 million.

In order to be consistent with the current period’s presentation, in the condensed consolidated financial statement as at March 31, 2024 an immaterial correction has been made to certain comparatives on the face of the consolidated statement of financial position. Accrued expenses of €1.9 million have been reclassified from Other payables to Trade payables as at December 31, 2023 since these balances are similar in nature to Invoices to be received that are already presented as Trade payables. We refer to note 2 and 20.

19.Income taxes and deferred taxes

For the three months ended

For the six months ended

    

June 30 

    

June 30 

(in EUR 000)

    

2024

    

2023

2024

    

2023

Current tax income/(expense)

 

(434)

(927)

(547)

 

(1,115)

Deferred tax income/(expense)

 

(7)

(1)

(4)

 

5

Total Income Tax Income/(Expense)

 

(441)

(928)

(551)

 

(1,110)

The current tax expense mainly relates to (i) an additional accrual of the liability for uncertain tax positions for an amount of €243,000 (2023: €276,000), and (ii) an increase of income tax payable or taxes reimbursed by certain of the Company’s subsidiaries for an amount of €172,000 (2023: €0.8 million). The uncertain tax position was recorded following certain public rulings and guidance issued by tax authorities in one of the jurisdictions that the Company operates in. The current tax liability of 2.3 million mainly relates to a liability for uncertain tax positions for an amount of €2.2 million.

20.Other payables

As at

June 30, 

December 31, 

(in EUR 000)

    

2024

    

2023

Holiday pay accrual

709

791

Salary

 

2,178

 

1,801

Accrued expenses

 

268

 

250

Foreign currency swap - current

 

64

 

90

Other

 

330

 

200

Total other payables

 

3,549

 

3,132

The increase of €417,000 in other payables as at June 30, 2024, compared to December 31, 2023, is mainly due to an increase by €377,000 in salaries payable.

In order to be consistent with the current period’s presentation, in the condensed consolidated financial statement as at March 31, 2024 an immaterial correction has been made to certain comparatives on the face of the consolidated statement of financial position. Accrued expenses of € 1.9 million have been reclassified from Other payables to Trade payables as at December 31, 2023 since these balances are similar in nature to Invoices to be received that are already presented as Trade payables. We refer to note 2 and 18.

21.Derivatives

The Company is exposed to currency risk primarily due to the expected future USD, AUD and NIS expenses that will be incurred as part of the ongoing and planned marketing, clinical trials and other related expenses. A financial risk management policy has been approved to i) generate yields on liquidity and ii) reduce the exposure to currency fluctuations with a timeline up to 24 months and by means of foreign currency swaps.

22

Table of Contents

The Company has entered into several foreign currency swaps for which the notional amounts are detailed in the table below:

As at

    

June 30, 

    

December 31, 

(in EUR 000)

2024

2023

Foreign currency swaps EUR - NIS (in EUR)

 

 

847

Foreign currency swaps EUR - NIS (in NIS)

 

 

3,500

Foreign currency swaps NIS - EUR (in EUR)

 

1,210

 

3,334

Foreign currency swaps NIS - EUR (in NIS)

5,000

14,000

Foreign currency swaps EUR - USD (in EUR)

4,000

18,000

Foreign currency swaps EUR - USD (in USD)

4,356

19,787

The following table shows the carrying amount of derivative financial instruments measured at fair value in the statement of the financial position including their levels in the fair value hierarchy:

As at June 30, 2024

(in EUR 000)

    

Level I

    

Level II

    

Level III

    

Total

Financial assets

 

  

 

  

 

  

 

  

Foreign currency swaps

 

 

29

 

 

29

Financial liabilities

 

  

 

  

 

  

 

Foreign currency swaps

 

 

64

 

 

64

The fair value is determined by the financial institution and is based on foreign currency swaps rates and the maturity of the instrument. All foreign currency swaps are classified as current as their maturity date is within the next twelve months.

The change in the balance of the financial assets is detailed as follows:

(in EUR 000)

    

2024

    

2023

Opening value at January 1

 

343

 

1

Fair value adjustments

 

(314)

 

(1)

Closing value at June 30

 

29

 

The change in the balance of the financial liabilities is detailed as follows:

(in EUR 000)

    

2024

    

2023

Opening value at January 1

 

90

 

10

Fair value adjustments

 

(26)

 

417

Closing value at June 30

 

64

 

427

22.Results of operation

Revenue and cost of goods sold

In the six months ended June 30, 2024, the Company generated revenue for the amount of €2.0 million (2023: €1.5 million). In the three months ended June 30, 2024, the Company generated revenue for the amount of €0.8 million (2023: €1.1 million).

Revenue is recognized at a point in time upon satisfaction of the performance obligation, being the moment control over the Genio® system is transferred to the customer, which is in general at delivery at customer site or a predefined location in the country of the customer. For certain customers, control may be transferred upon shipment to the customer in case the incoterms are Ex-Works. The revenue from the Genio® system consists of a kit of products delivered at the same point in time, and as such revenue does not need to be allocated over the different products. The revenue is then recognized at an amount that reflects the consideration to which the Company expects to be entitled in exchange of the Genio® system. In determining the transaction price for the sale of the Genio® system, the Company considers the effects of variable consideration.

23

Table of Contents

For the six month period ended June 30, 2024 the sales (based on country of customer) were generated in Germany (€1.6 million), Switzerland (€306,000), Spain (€72,000) and Italy (€46,000) (2023: Germany: €1.4 million, Switzerland: €117,000 and Austria: €81,000). For the six month period ended June 30, 2024, the Company has two customers with individual sales larger than 10% of the total revenue (2023: no customers with individual sales larger than 10% of the total revenue).

For the three month period ended June 30, 2024 the sales (based on country of customer) were generated in Germany (€0.7 million), Switzerland (€96,000) and Spain (€24,000) (2023: Germany: €1.0 million, Austria: €41,000 and Switzerland: €23,000).

Cost of goods sold for the three and six months ended June 30, 2024 and 2023:

For the three months ended

For the six months ended

June 30 

June 30 

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Purchases of goods and services

 

1,961

316

2,518

 

858

Inventory movement

 

(1,680)

103

(1,783)

 

(264)

Total cost of goods sold

 

281

419

735

 

594

Operating expenses

The tables below detail the operating expenses for the six months ended June 30, 2024 and 2023:

Operating

expense for the

(in EUR 000)

    

Total cost

    

Capitalized

    

period

Research and development

 

17,965

 

(3,294)

 

14,671

Selling, general and administrative expenses

 

12,355

 

 

12,355

Other income/(expense)

 

(247)

 

(2)

 

(249)

For the six months ended June 30, 2024

 

30,073

 

(3,296)

 

26,777

    

    

    

Operating 

expense for the

(in EUR 000)

Total cost

Capitalized

period

Research and development

 

17,763

 

(5,001)

 

12,762

Selling, general and administrative expenses

 

11,736

 

 

11,736

Other income/(expense)

 

(273)

 

8

 

(265)

For the six months ended June 30, 2023

 

29,226

 

(4,993)

 

24,233

The tables below detail the operating expenses for the three months ended June 30, 2024 and 2023:

    

    

    

Operating 

expense for the 

(in EUR 000)

Total cost

Capitalized

period

Research and development

 

8,604

 

(1,132)

 

7,472

Selling, general and administrative expenses

 

6,383

 

 

6,383

Other income/(expense)

 

(53)

 

(5)

 

(58)

For the three months ended June 30, 2024

 

14,934

 

(1,137)

 

13,797

    

    

    

Operating 

expense for the 

(in EUR 000)

Total cost

Capitalized

period

Research and development

 

8,892

 

(2,287)

 

6,605

Selling, general and administrative expenses

 

6,185

 

 

6,185

Other income/(expense)

 

(227)

 

8

 

(219)

For the three months ended June 30, 2023

 

14,850

 

(2,279)

 

12,571

24

Table of Contents

Research and Development expenses

For the three months ended

For the six months ended 

June 30

June 30

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Staff costs

 

3,243

3,386

7,213

 

7,381

Consulting and contractors' fees

 

1,077

890

2,036

 

1,694

Q&A regulatory

 

140

109

243

 

145

IP costs

 

32

112

32

 

241

Depreciation and amortization expense

 

348

318

679

 

631

Travel

 

285

292

530

 

572

Manufacturing and outsourced development

 

750

1,942

2,513

 

3,127

Clinical studies

 

2,200

1,190

3,705

 

2,567

Other expenses

 

425

292

588

 

723

IT

104

361

426

682

Capitalized costs

 

(1,132)

(2,287)

(3,294)

 

(5,001)

Total research and development expenses

 

7,472

6,605

14,671

 

12,762

Before capitalization of €3.3 million for the six months ended June 30, 2024 and €5.0 million for the six months ended June 30, 2023, research and development expenses increased by €202,000 or 1.1 %, from €17.8 million for the six months ended June 30, 2023, to €18.0 million for the six months ended June 30, 2024, due to a combined effect of the higher R&D activities and clinical expenses, this increase was offset by a decrease in manufacturing expenses due to an increase in inventory value.

Before capitalization of €1.1 million for the three months ended June 30, 2024 and €2.3 million for the three months ended June 30, 2023, research and development expenses decreased by €288,000 or 3.2 %, from €8.9 million for the three months ended June 30, 2023, to €8.6 million for the three months ended June 30, 2024, due to decrease in manufacturing expenses due to an increase in inventory value, this decrease was offset by an increase in combined effect of the higher R&D activities and clinical expenses.

Selling, General and Administrative expenses

For the three months ended

For the six months ended 

June 30 

June 30 

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Staff costs

 

2,293

2,390

4,876

 

4,802

Consulting and contractors' fees

 

2,659

2,279

4,223

 

3,857

Legal fees

 

105

257

582

 

485

Rent

 

179

107

344

 

195

Depreciation and amortization expense

 

311

242

589

 

484

IT

 

213

240

586

 

488

Travel

 

414

187

598

 

430

Insurance fees

 

139

289

261

 

576

Other

 

70

194

296

 

419

Total selling, general and administrative expenses

 

6,383

6,185

12,355

 

11,736

Selling, general and administrative expenses increased by €0.6 million or 5.3 % from €11.7 million for the six months ended June 30, 2023 to €12.4 million for the six months ended June 30, 2024, mainly due to an increase of costs to support the commercialization of Genio® system in Europe, scale up of the Company and also due to a start of new ERP system implementation. This increase was partly offset by decrease in insurance fees.

Selling, general and administrative expenses increased by €198,000 or 3.2 % from €6.2 million for the three months ended June 30, 2023 to €6.4 million for the three months ended June 30, 2024, mainly due to an increase of costs to support the commercialization of Genio® system in Europe, scale up of the Company. This increase was partly offset by decrease in insurance fees.

25

Table of Contents

Other operating income / ( expenses)

For the three months ended

For the six months ended

June 30

June 30

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Recoverable cash advances

 

  

 

  

Initial measurement and re-measurement

 

5

6

18

 

39

R&D incentives

 

137

268

251

 

289

Capitalization of R&D incentive

 

(84)

(8)

(20)

 

(8)

Other income/(expenses)

 

(47)

 

(55)

Total Other Operating Income/(Expenses)

 

58

219

249

 

265

The Company had other operating income of €249,000 for the six months ended June 30, 2024 compared to other operating income of €265,000 for the six months ended June 30, 2023.

The Company had other operating income of €58,000 for the three months ended June 30, 2024 compared to other operating income of €219,000 for the three months ended June 30, 2023.

For the six month period ended June 30, 2024, the other operating income contains the R&D incentive in Australia and Belgium while for the six month period ended June 30, 2023 the other operating income only contained the R&D incentive in Australia. For the three month period ended June 30, 2024, €84,000 has been deducted from the expenses capitalized in relation to this R&D incentive. The R&D incentive and capitalization of R&D incentive for the six month period ended June 30, 2024 also includes a correction of the R&D incentive in Belgium on the investments of 2023 for an amount of €91.000.

23.Employee benefits

For the three months ended

For the six months ended 

June 30

June 30

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Salaries

 

4,226

4,282

8,958

 

8,952

Social charges

 

459

327

1,091

 

654

Pension charges

164

75

220

152

Share-based payment

 

540

748

1,499

 

1,757

Other

 

147

344

321

 

668

Total employee benefits

 

5,536

5,776

12,089

 

12,183

In order to be consistent with the current period’s presentation, comparable figures have been represented which involved aggregation of certain line items based on the nature employee benefits.

For the three months ended

For the six months ended 

June 30

June 30

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Selling, general and administrative expenses

 

2,293

2,390

4,876

 

4,802

Research & Development expenses

 

3,243

3,386

7,213

 

7,381

Total employee benefits

 

5,536

5,776

12,089

 

12,183

26

Table of Contents

24.Financial income

For the three months ended

For the six months ended 

June 30

June 30

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Interests

 

472

570

970

 

984

Exchange differences

 

1,593

222

2,498

 

430

Other

 

4

(3)

9

 

Total financial income

 

2,069

789

3,477

 

1,414

For the six month period ended June 30, 2024, exchange gains amount €2.5 million (three month period ended June 30, 2024: €1.6 million), mainly due to the revaluation of the Company’s USD cash balance and realized exchange gains on currency swaps and USD financial assets (note 14). For the year ended December 31, 2023, the closing rate of USD/EUR amounted to 1.103765, while as at June 30, 2024, the rate of USD/EUR decreased to 1.07100, resulting in unrealized exchange gains on the USD balances. We refer to note 25 for more details on the revaluation of both the Company’s USD cash balance and USD financial assets as per June 30, 2023.

For the six month period ended June 30, 2024, the total interest income amounted to €1.0 million (three month period ended June 30, 2024: €472,000). This interest income relates to the term accounts.

25.Financial expense

For the three months ended

For the six months ended 

June 30

June 30

(in EUR 000)

    

2024

    

2023

    

2024

    

2023

Fair value adjustment

 

(24)

320

288

 

416

Recoverable cash advances, Accretion of interest

 

259

248

519

 

495

Interest and bank charges

 

57

17

120

 

45

Interest on lease liabilities

 

36

30

74

 

60

Exchange differences

 

1,115

161

1,435

 

715

Other

 

2

(1)

 

1

Total Financial expense

 

1,445

775

2,436

 

1,732

The fair value adjustment relates to the fair value adjustment on financial instruments. More information can be found in note 21.

The discounting impact of the recoverable cash advances is further detailed in note 17 above.

The exchange losses for an amount of €1.4 million for the six month period ended June 30, 2024 (three month period ended June 30, 2024: €1.1 million) consist of realized exchange losses related to the foreign currency swaps and unrealized exchange losses of both USD financial assets and USD cash balances. (note 14).

26.Loss Per Share (EPS)

The Basic Earnings Per Share and the Diluted Earnings Per Share are calculated by dividing earnings for the year by the weighted average number of shares outstanding during the year. As the Company is incurring net losses, outstanding warrants have no dilutive effect. As such, there is no difference between the Basic and Diluted EPS.

27

Table of Contents

EPS for June 2024 has been presented in the income statement taking into account resolutions adopted by the shareholders’ meeting of February 21, 2020. All existing preferred shares were converted into common shares, and then a share split of 500:1 was approved by the shareholders’ meeting.

    

For the three months ended

For the six months ended

June 30

June 30

2024

    

2023

    

2024

    

2023

As at June 30, after conversion and share split

 

  

 

  

Outstanding common shares at period-end

 

34,373,015

28,661,985

34,373,015

 

28,661,985

Weighted average number of common shares outstanding

 

30,744,220

28,608,413

29,706,019

 

27,250,102

Number of shares resulting of the exercise of outstanding warrants

 

1,946,981

2,439,500

1,946,981

 

2,439,500

Basic and Diluted EPS for the three and six month period ended June 30, 2024 and 2023 based on weighted average number of shares outstanding after conversion and share split are as follows:

For the three months ended

For the six months ended 

June 30

June 30

    

2024

    

2023

    

2024

    

2023

Loss of year attributable to equity holders (in EUR)

 

(13,124,000)

(12,797,000)

(25,030,000)

 

(24,707,000)

Weighted average number of common shares outstanding (in units)

 

30,744,220

28,608,413

29,706,019

 

27,250,102

Basic earnings per share in EUR (EUR/unit)

 

(0.428)

(0.447)

(0.843)

 

(0.907)

Diluted earnings per share in EUR (EUR/unit)

 

(0.428)

(0.447)

(0.843)

 

(0.907)

27.Other commitments

The Company has granted in 2022 an amount of €0.5 million for educational grant starting on January 1, 2023 until December 31, 2024. Both installments of €250,000 have been respectively paid out in January 2023 and March 2024.

In addition, in March 2024, the Company has started a Partnership agreement with the American Academy of Otolaryngology (AAO) amounting to a yearly fee of $250,000. The payment has been processed in March 2024 and the cost will be spread out over the 12 months of 2024.

28.Related Party Transactions

Transactions between the Company and its subsidiaries have been eliminated in consolidation and are not disclosed in the notes. Related party transactions are disclosed below.

Remuneration of Key Management

The remuneration of the senior management consists of the remuneration of the CEO of the Company for the three and six months ended June 30:

For the three months ended

For the six months ended 

June 30

June 30

(in EUR 000)

    

2024

    

2023

2024

    

2023

Short-term remuneration & compensation

 

343

209

559

 

396

Share based payment

 

48

35

150

 

101

Total

 

391

244

709

 

497

28

Table of Contents

Transactions with Non-Executive Directors and Shareholders:

For the six months ended

For the six months ended

June 30, 2024

June 30, 2023

R&D

Consulting

Board

R&D

Consulting

Board

(in EUR 000)

    

Collaboration

    

services

    

Remuneration

    

Collaboration

    

services

    

Remuneration

Cochlear

 

 

 

 

182

 

 

Robert Taub

 

 

 

60

 

 

 

66

Kevin Rakin

 

 

 

32

 

 

 

32

Pierre Gianello

 

 

 

45

 

 

 

32

Jurgen Hambrecht

 

 

 

33

 

 

 

29

Rita Mills

 

 

 

35

 

 

 

34

Giny Kirby

33

34

Wildman Ventures LLC

52

40

Total

 

 

 

290

 

182

 

 

267

Amounts outstanding at period-end

 

 

 

110

 

 

 

111

    

For the three months ended

    

For the three months ended

June 30, 2024

June 30, 2023

R&D 

    

Consulting 

    

Board 

    

R&D 

    

Consulting 

    

Board 

(in EUR 000)

 

Collaboration

 

services

 

Remuneration

 

Collaboration

 

services

 

Remuneration

Cochlear

 

 

 

 

41

 

 

Robert Taub

 

 

 

29

 

 

 

30

Kevin Rakin

 

 

 

16

 

 

 

16

Pierre Gianello

 

 

 

28

 

 

 

14

Jurgen Hambrecht

 

 

 

18

 

 

 

14

Rita Mills

 

 

 

15

 

 

 

19

Giny Kirby

12

20

Wildman Ventures LLC

29

23

Total

 

 

 

147

 

41

 

 

136

Amounts outstanding at period-end

 

 

 

110

 

 

 

111

The Company and Cochlear Limited, or Cochlear, have entered into a collaboration agreement, dated November 2018, under which they agreed to collaborate to further develop and progress commercialization of implantable treatments for sleep disordered breathing conditions. A new Statement of Work was entered into on June 8, 2020. Under this agreement, Cochlear is working with the Company in developing and enhancing the next generation implantable stimulator. This collaboration agreement led to a financial impact of €182,000 for the six months ended June 30, 2023, and €41,000 for the three months ended June 30, 2023. In April 2023, the project came to its end after development milestones were reached.

On September 28, 2023, the Company announced a partnership with ResMed in Germany to increase OSA awareness and therapy penetration in the German market. The Company and ResMed Germany will establish a continuum of care that will educate and guide OSA patients in the German market from diagnosis through treatment. Together, the companies will work to accelerate patient identification and better support patient set-up on the appropriate therapy.

29.Events after the Balance-Sheet Date

On July 3, 2024, the Company has signed a €37.5 million loan facility agreement with the European Investment Bank (“EIB”). The agreement is backed by the European Commission’s InvestEU program. Nyxoah plans to use the funding for research and development, and for scaling-up its manufacturing capacity to meet demand in Europe and the U.S. The first tranche of € 10 million was received on July 26, 2024.

On July 31, 2024, the Board of Directors, within the framework of the authorized capital, issued 1,000,000 million warrants giving each the right to subscribe to one common share of the Company.

29

Table of Contents

RESPONSIBILITY STATEMENT

We certify that, to the best of our knowledge,

a)the condensed consolidated interim financial statement, prepared in accordance with the applicable standards for financial statements, give a true and fair view of the assets, liabilities, financial position and results of the Company and the undertakings included in the consolidation taken as a whole; and
b)this interim management report provides a true and fair overview of the development, results and the position of the Company and the undertakings included in the consolidation taken as a whole, as well as a description of the principal risks and uncertainties that they face.

Mont-Saint-Guibert, August 6, 2024.

On behalf of the board of directors

Robert Taub, Chairman

    

Olivier Taelman, CEO

30