Life Sciences & Health
Making an impact on healthcare in the Netherlands

Approach
DIRECT_INVESTMENTPartner
including Grand Pharma, DaVita Venture Group, EQT Life SciencesDate
July 5, 2023Reading time
7 minutesThe groundbreaking technology of Xeltis focuses on restoring the body's natural cardiovascular (heart and blood vessels) functions and has numerous potential applications. Invest-NL is participating in the Series D2 investment round in the company. Eliane Schutte (CEO of Xeltis) and Koen van Breugel (Investment Manager Life Sciences at Invest-NL) are working together towards better healthcare.
Xeltis's goal is to develop pioneering implants that perform longer and better than current solutions. The most advanced program from Xeltis is the aXess product. More than 1.7 million Dutch people suffer from chronic kidney disease and are thereby at increased risk of kidney failure and cardiovascular diseases. For patients who require dialysis treatment, aXess may offer a superior dialysis implant that will significantly improve their quality of life. Preliminary data from ongoing aXess studies are very encouraging.
Dialysis patients need high-quality vascular access to receive dialysis treatment several times a week. Eliane: “Current solutions for vascular access, however, lead to a high risk of infections and mortality, tend to become blocked within a few months, require several months to mature, or in 40-60% of cases, never mature. As a result: a new solution for vascular access to reduce societal costs and improve the quality of life for dialysis patients.”

Investment Round
Xeltis is a company that pioneers in the field of regenerative medicine. Regenerative medicine aims to develop new treatments that repair, replace, or restore cells, tissues, and organ functions after damage caused by illness or injury.
Not only does the specific application aXess currently being developed have the potential to make a positive impact, but the promise of regenerative medicine within healthcare could be revolutionary. Xeltis is one of the frontrunners in this field and thus a driver of innovation.
Invest-NL is participating as a new shareholder in the € 32 million Series D2 investment round. The funding round is supported by a combination of current and new investors, including Grand Pharma, DaVita Venture Group, EQT Life Sciences, Invest-NL, and other international investors.
Eliane views the funding round as an important milestone for Xeltis: “It enables us to further validate our technology through large-scale clinical studies and thereby revolutionise cardiovascular surgery with better implants and improved clinical outcomes. We are proud to have attracted such prominent investors and look forward to collaborating. The accessible clinical expertise and network will greatly contribute to our path to success.”
An improvement in both the quality of care and the quality of life for patients.
Eliane SchutteCEO Xeltis

For Invest-NL, the investment in Xeltis aligns well with the strategic focus to keep healthcare in the Netherlands accessible and affordable. An initial assessment of the societal impact for the Netherlands indicates that aXess could reduce costs for insurers by €9 million per year.
Koen: “Within the Life Science Health team of Invest-NL, we are specifically focusing on innovations that have a positive impact on healthcare in the Netherlands. The highly innovative products of Xeltis contribute to improving both the quality of treatment and the quality of life for patients. And by preventing common complications, significant savings on healthcare costs in the Netherlands are also expected.”
Relationship with Invest-NL
Xeltis has maintained relationships with the leading life sciences investors for many years, including Invest-NL. A collaboration was therefore a logical step. Eliane: “Invest-NL exceeded expectations; a professional investment organization, with a strong focus on social impact. The due diligence phase went smoothly. A professional and pragmatic investment process. Koen has the knowledge and insight to zoom in immediately on the important topics. I can definitely say it was a pleasant process. It went beyond a regular investment organization. Especially the depth with which societal interests are considered, including a very detailed estimation of the medical and financial benefits for Dutch society. That has also given me a clear understanding of the impact in the Netherlands and has positively surprised me.”

Making what seems unfinancable, financable
The mission of Invest-NL was also applicable to Xeltis's investment process. Eliane: “More and more, both VCs and corporate investors are looking at more mature companies, which creates a ‘funding gap’ for early- and mid-stage life sciences companies. It is therefore not surprising that Xeltis turned to both Invest-NL and the European Investment Bank, both of which aim to address funding gaps in the life sciences lifecycle.”
We put the mission into practice.
Koen van BreugelInvestment Manager Life Sciences at Invest-NL

Koen: “We are putting our mission into action. From Invest-NL, we gave our commitment as a new investor before there was visibility of a ‘full round’. This sent a strong signal: we trust in the technology and the business case. After Invest-NL’s commitment, DaVita joined as a strategic US investor. Given our knowledge of the Dutch landscape and conducted analyses, we assured DaVita that there were no fiscal risks associated with the transaction, something that can be difficult for a US party to assess from a legal perspective.”
SDG
The Sustainable Development Goals are a given for Xeltis. Naturally, Xeltis contributes to SDG 3 (good health and well-being) as the primary aim of Xeltis is to improve the quality of life and health of patients.
SDG 5 (gender equality) is also important for Xeltis. For example, Xeltis has a female CEO and four women in the management team, and the company actively monitors any pay gap between men and women. Eliane adds: “And at our company, employees come from 16 different nationalities across 5 continents. A truly diverse group of people.”

Agreements for the future
Of course, the financing transaction also involves clear agreements regarding collaboration in the areas of impact, growth, and ESG (environmental, social, and governance). Eliane: “We have agreed with Invest-NL that Xeltis will implement an active ESG policy, both internally and externally. ESG will become a clear topic at board level. ESG reporting will also be further developed." Koen has recently joined as an observer on the Xeltis board: “This allows us to maintain a proactive relationship whereby we can closely monitor developments within the company. From Invest-NL, we use this position to support the company in strategic discussions and further professionalizing business matters such as the ESG policy. We also see that our focus on ESG is bearing fruit. For example, EcoVadis, a globally active ESG rating agency, ranked Xeltis among the top 16% of companies in terms of ESG.”
Personal motivations
Working towards social impact is self-evident for Eliane and Koen. Eliane: “My motivation is to contribute to new innovations for patients that truly matter, improvements that significantly enhance patients' quality of life. Xeltis technology has the potential to be distinctive, to make an impact on the lives of many patients, also in the Netherlands, and to reduce healthcare costs. How wonderful is that!”

We want to ensure that care remains accessible to everyone in the future.
Koen van BreugelInvestment Manager Life Sciences at Invest-NL
Koen: “With my (bio)medical background, I have seen many medical innovations from the perspective of a scientist, consultant, and now as an investor. Fortunately, it is often evident that medical innovations offer a lot for patients, but unfortunately we also see that healthcare (in the Netherlands) is slowly becoming unaffordable. With our focus on medical innovations that make a significant contribution to the affordability of healthcare, we want to ensure that care remains accessible to everyone in the future. In 10 years, I hope there will be revolutionary medical innovations on the market such as those developed by Xeltis. If the innovations currently in development by start-ups and knowledge centres in digital health, medical robotics, and diagnostics successfully reach the patient, our healthcare system could look completely different in 10 years.”
Questions about this investment? Koen is happy to help!
Koen van Breugel
sr. investment manager
