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RecruitingNCT07331285BREATHEUpdated Jun 22, 2026

Bi-lateral HGN Therapy in Real-World Patients -Post Approval Research Investigation

An observational study in Obstructive Sleep Apnea, sponsored by Nyxoah Inc.. Recruiting at 2 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-06-22.

Sponsored by Nyxoah Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
229
Ages
22 Years and older
Sex
All
01

Study summary

The objective of the BREATHE study is to demonstrate the continued safety and effectiveness of the Genio® System in treating subjects diagnosed with moderate to severe obstructive sleep apnea (OSA) who are intolerant to or failed/refused PAP treatments.

Read the detailed description

BREATHE is a multicenter, prospective, single-arm, post-approval study. Following a baseline visit and implantation of the Genio® System 2.1, subjects will be asked to return for a therapy activation visit at approximately 8 weeks post-implant surgery.

The subject will have follow-up visits at 6 months, 9 months, 12 months and every 6-months thereafter up to 5 years post-implant surgery. Additional visits (for device titration or other reasons) are per standard of care and at the Investigator's discretion. Endpoints will be assessed at 12, 24, 36, 48 and 60 months.

02

Conditions studied

  • Obstructive Sleep Apnea

Keywords

  • OSA
  • Hypoglossal Nerve Stimulation
  • Genio
  • obstructive sleep apnea
03

In context

Sleep Apnea, Obstructive

2,198 studies on the registry are indexed under Sleep Apnea, Obstructive; 469 are open to participants now.

This study's planned enrollment of 229 is above the median of 104 across 648 observational studies indexed under Sleep Apnea, Obstructive.

Browse Sleep Apnea, Obstructive studies →

Lead sponsor

This is the only study on the registry with Nyxoah Inc. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects diagnosed with moderate to severe obstructive sleep apnea (OSA) who are intolerant to or failed/refused PAP treatments.

Inclusion criteria

  1. Have an apnea-hypopnea index (AHI) greater than or equal to 15 and less than or equal to 65, measured on a full-night PSG performed no earlier than 2 years prior to enrollment (AHI4 and ODI4 available).
  2. Be adults 22 years of age and older.
  3. Have been confirmed to have failed, not tolerated, or be ineligible to be treated with current standard of care treatments for moderate to severe OSA.
  4. Have pursued insurance pre-authorization for Genio® Therapy, recognizing that pre-authorization does not ensure payment, or demonstrate willingness to assume any out-of-pocket costs. The sponsor will not be responsible for treatment-related charges.
  5. Agree to participate in the study and voluntarily sign and date an informed consent form.
  6. Be willing and capable of complying with all study requirements, including specific lifestyle considerations, performing all follow-up visits, evaluation procedures and questionnaires for the whole duration of the trial.
  7. Have a result of a Drug- Induced Sleep Endoscopy (DISE), no earlier than 2 years prior to enrollment.

Exclusion criteria

Exclusion Criteria:

  1. Combined central and mixed apnea-hypopnea index (AHI) greater than or equal to 25% of the total AHI.
  2. Any functional or structural problem, medical illness or condition that would prevent or interfere with implantation, activation or continued use of the Genio® Therapy.
  3. Have an implantable device which may be susceptible to unintended interaction with the Genio® System 2.1.
  4. Women who are pregnant, planning to become pregnant or breastfeeding.
  5. Any condition or procedure that has compromised neurological control of the upper airway.
  6. Be part of the populations for which the safety and effectiveness of the Genio® System 2.1 has not been fully assessed:

    1. Patients below 22 or above 75 years of age.
    2. Patients with a Body Mass Index (BMI) above 32 kg/m2.
    3. Patients with an Apnea Hypopnea Index (AHI) below 15 or over 65 events/hr.
    4. Patients with Complete Concentric Collapse (CCC) at the soft palate level.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
229 participants (estimated)
Patient registry
No

Groups and cohorts

  • Genio System 2.1

    This is a single-arm study. All consented and eligible subjects will be implanted with the Genio 2.1 System.

    Device: This is a single arm study, all consented and eligible subjects will be implanted with the Genio® System 2.1

Interventions

  • DeviceThis is a single arm study, all consented and eligible subjects will be implanted with the Genio® System 2.1

    Genio® System 2.1

    Also known as: Genio Therapy

06

What researchers measure

Primary outcomes

  1. Change in Apnea Hypopnea Index (AHI4%)

    Percentage of responders at 12 months based on AHI4

    Time frame: 12 months

  2. Change in Oxyhemoglobin Desaturation Index (ODI4%)

    Percentage of responders at 12 months based on ODI4

    Time frame: 12 months

  3. Device related SAEs

    Incidence of device-related Serious Adverse Events at 12 months post-surgery

    Time frame: 12 months

  4. Device-related and procedure-related SAEs

    Incidence of device-related and procedure-related SAEs at 12 months post-surgery

    Time frame: 12 months

Secondary outcomes

  1. Mean change in AHI4

    Mean change in AHI4 from screening to 12, 24, 36, 48, and 60 months post-surgery.

    Time frame: Baseline to 5 years

  2. Mean change in ODI4

    Mean change in ODI4 from screening to 12, 24, 36, 48, and 60 months post-surgery.

    Time frame: Baseline to 5 years

  3. % responders AHI4

    Percentage of responders at 24, 36, 48, and 60 months based on AHI4 according to "Sher criteria".

    Time frame: 2 years through 5 years

  4. % responders ODI4

    Percentage of responders at 24, 36, 48 and 60 months based on ODI4

    Time frame: 2 years through 5 years

  5. Subject Satisfaction

    Subject reported satisfaction with therapy (measured via bespoke questionnaire) measured at 12, 24, 36, 48, and 60 months post-surgery

    Time frame: 1 year through 5 years

  6. Improvement in ESS

    Improvement in OSA-related symptoms (measured via Epworth Sleepiness Scale (ESS) questionnaire) measured at 12, 24, 36, 48, and 60 months post-surgery

    Time frame: 1 year through 5 years

  7. Change in health status

    Subject reported impression of change in health status (measured via Patient Global Impression of Change (PGIC) questionnaire) at 12, 24, 36, 48, and 60 months post-surgery.

    Time frame: 1 year through 5 years

  8. Clinician impression of change in Subject's health status

    Clinician impression of change in Subject's health status (measured via Clinician Global Impression of Change (CGIC) questionnaire) at 12, 24, 36, 48, and 60 months post-surgery.

    Time frame: 1 year through 5 years

  9. Device-related Serious Adverse Events

    Incidence of device-related Serious Adverse Events, as reported by Investigator and adjudicated by the CEC, at 24, 36, 48, and 60 months post-surgery.

    Time frame: 2 years through 5 years

07

Study locations

1 of 2 sites recruiting
08

References and documents

Publications

  • Woodson BT, Kent DT, Huntley C, Hancock MK, Van Daele DJ, Boon MS, Huntley TC, Mickelson S, Gillespie MB, Suurna MV, Kacker A, Roy A, MacKay S, Withrow KP, Dedhia RC, Huyett P, Heiser C, Nicola SD, Makori F, Vanderveken OM, Padyha TA, Magalang UJ, Chio E, Kezirian EJ, Lewis R. Bilateral hypoglossal nerve stimulation for obstructive sleep apnea: a nonrandomized clinical trial. J Clin Sleep Med. 2025 Nov 1;21(11):1883-1891. doi: 10.5664/jcsm.11822. PubMed 40702817 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07331285
Lead sponsor
Nyxoah Inc.
Responsible party
Sponsor
First posted
Jan 9, 2026
Start date
Jun 2026 (estimated)
Primary completion
Oct 2028 (estimated)
Completion
Oct 2032 (estimated)
Last update
Jun 22, 2026

Study contacts

Lorin Pétré
Contact
clinical.studies@nyxoah.com
+1 (908) 263-0228
Alicia Castonguay
Contact
clinical.studies@nyxoah.com

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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