Crossover Trial of AD109 in Obstructive Sleep Apnea

NCT ID: NCT04580394

Last Updated: 2023-01-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-27

Study Completion Date

2021-05-28

Brief Summary

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This is a randomized, 4-period, placebo-controlled, crossover, phase 2 clinical study to examine the efficacy and safety of AD109 versus its individual components or placebo in patients with obstructive sleep apnea.

Detailed Description

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The study is designed to examine the efficacy and safety of AD109 to treat obstructive sleep apnea. The study is a four-period single-dose randomized crossover design in which patients will undergo overnight polysomnographic (PSG) testing with dosing of one of the following 4 treatments: AD109, atomoxetine, R-oxybutynin or placebo. Participants will return 2 weeks after their final crossover PSG for an end of study (EOS) visit.

Conditions

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Obstructive Sleep Apnea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AD109

Oral capsule administered before sleep

Group Type EXPERIMENTAL

AD109

Intervention Type DRUG

Oral administration before bed

Digit System Substitution Test

Intervention Type DIAGNOSTIC_TEST

a neuropsychological test sensitive to brain damage, dementia, age and depression where numbers are assigned symbols. Under each digit the subject should write down the corresponding symbol as fast as possible. The number of correct symbols within the allowed time is measured.

Atomoxetine

Oral capsule administered before sleep

Group Type ACTIVE_COMPARATOR

Atomoxetine

Intervention Type DRUG

Oral administration before bed

Digit System Substitution Test

Intervention Type DIAGNOSTIC_TEST

a neuropsychological test sensitive to brain damage, dementia, age and depression where numbers are assigned symbols. Under each digit the subject should write down the corresponding symbol as fast as possible. The number of correct symbols within the allowed time is measured.

R-oxybutynin

Oral capsule administered before sleep

Group Type ACTIVE_COMPARATOR

R-oxybutynin

Intervention Type DRUG

Oral administration before bed

Digit System Substitution Test

Intervention Type DIAGNOSTIC_TEST

a neuropsychological test sensitive to brain damage, dementia, age and depression where numbers are assigned symbols. Under each digit the subject should write down the corresponding symbol as fast as possible. The number of correct symbols within the allowed time is measured.

Placebo

Oral capsule administered before sleep

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral administration before bed

Digit System Substitution Test

Intervention Type DIAGNOSTIC_TEST

a neuropsychological test sensitive to brain damage, dementia, age and depression where numbers are assigned symbols. Under each digit the subject should write down the corresponding symbol as fast as possible. The number of correct symbols within the allowed time is measured.

Interventions

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AD109

Oral administration before bed

Intervention Type DRUG

Atomoxetine

Oral administration before bed

Intervention Type DRUG

R-oxybutynin

Oral administration before bed

Intervention Type DRUG

Placebo

Oral administration before bed

Intervention Type DRUG

Digit System Substitution Test

a neuropsychological test sensitive to brain damage, dementia, age and depression where numbers are assigned symbols. Under each digit the subject should write down the corresponding symbol as fast as possible. The number of correct symbols within the allowed time is measured.

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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DSST

Eligibility Criteria

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Inclusion Criteria

* Male or Female, between 25 to 65 years of age, inclusive, at the Screening Visit.
* AHI 10 to \<20, or AHI ≥20 if meets other PSG criteria

Exclusion Criteria

* History of narcolepsy.
* Clinically significant craniofacial malformation.
* Clinically significant cardiac disease (e.g., rhythm disturbances, coronary artery disease or cardiac failure) or hypertension requiring more than 2 medications for control. A medication for these purposes is defined by dosage form, such that a combination antihypertensive medication is considered 1 medication
* CPAP should not be used for at least 2 weeks prior to first study PSG
* History of using oral or nasal devices for the treatment of OSA may enroll as long as the devices are not used during participation in the study.
Minimum Eligible Age

25 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Apnimed

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Preferred Research Partners, Inc.

Little Rock, Arkansas, United States

Site Status

Empire Clinical Research

Pomona, California, United States

Site Status

Yale University

New Haven, Connecticut, United States

Site Status

Teradan Clinical Trials

Brandon, Florida, United States

Site Status

Clinical Trials of Florida

Miami, Florida, United States

Site Status

The Neurological Center of North Georgia

Gainesville, Georgia, United States

Site Status

CTI Clinical Research Center

Cincinnati, Ohio, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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APC-003

Identifier Type: -

Identifier Source: org_study_id

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