Trial Outcomes & Findings for Study for Efficacy and Dose Escalation of AD313 + Atomoxetine (SEED) (NCT NCT05101122)

NCT ID: NCT05101122

Last Updated: 2023-04-07

Results Overview

Compares high dose atomoxetine (80/10) versus baseline

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

15 participants

Primary outcome timeframe

28 days

Results posted on

2023-04-07

Participant Flow

Participants will be recruited from an existing medical clinic and will have up to three weeks screening.

Participant milestones

Participant milestones
Measure
Dosing Periods
Participants who meet all enrollment criteria will receive an escalating dose of atomoxetine the first week: 3 days of atomoxetine 40 mg followed by 4 days of atomoxetine 80 mg. Participants will then receive escalating dose combinations of atomoxetine and dronabinol for the next 3 weeks.
Atomoxetine Only
STARTED
15
Atomoxetine Only
COMPLETED
14
Atomoxetine Only
NOT COMPLETED
1
AD313 40/2.5
STARTED
14
AD313 40/2.5
COMPLETED
12
AD313 40/2.5
NOT COMPLETED
2
AD313 80/5
STARTED
12
AD313 80/5
COMPLETED
11
AD313 80/5
NOT COMPLETED
1
AD313 80/10
STARTED
11
AD313 80/10
COMPLETED
10
AD313 80/10
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Dosing Periods
Participants who meet all enrollment criteria will receive an escalating dose of atomoxetine the first week: 3 days of atomoxetine 40 mg followed by 4 days of atomoxetine 80 mg. Participants will then receive escalating dose combinations of atomoxetine and dronabinol for the next 3 weeks.
Atomoxetine Only
Withdrawal by Subject
1
AD313 40/2.5
Withdrawal by Subject
2
AD313 80/5
Withdrawal by Subject
1
AD313 80/10
Physician Decision
1

Baseline Characteristics

Study for Efficacy and Dose Escalation of AD313 + Atomoxetine (SEED)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dosing Periods
n=15 Participants
Participants who meet all enrollment criteria will receive an escalating dose of atomoxetine the first week: 3 days of atomoxetine 40 mg followed by 4 days of atomoxetine 80 mg. Participants will then receive escalating dose combinations of atomoxetine and dronabinol for the next 3 weeks.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
Body Mass Index (BMI)
31.9 kg/m2
STANDARD_DEVIATION 4.5 • n=5 Participants

PRIMARY outcome

Timeframe: 28 days

Compares high dose atomoxetine (80/10) versus baseline

Outcome measures

Outcome measures
Measure
Baseline
n=15 Participants
Participants at baseline
AD313 80/10
n=10 Participants
Atomoxetine 80 mg/ dronabinol 10 mg
Apnea-Hypopnea Index (AHI)4% Events Per Hour
28.6 events/hour
Interval 16.19 to 33.65
26.6 events/hour
Interval 8.78 to 31.93

Adverse Events

Dosing Period 1: Atomoxetine Alone

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Dosing Period 3: Atomoxetine 40 + Dronabinol 2.5 mg

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Dosing Period 4: Atomoxetine 80 + Dronabinol 5mg

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Dosing Period 5: Atomoxetine 80 + Dronabinol 10mg

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dosing Period 1: Atomoxetine Alone
n=15 participants at risk
Participants who meet all enrollment criteria received an escalating dose of atomoxetine the first week: 3 days of atomoxetine 40 mg followed by 4 days of atomoxetine 80 mg. Participants then received escalating dose combinations of atomoxetine and dronabinol for the next 3 weeks.
Dosing Period 3: Atomoxetine 40 + Dronabinol 2.5 mg
n=14 participants at risk
Participants who meet all enrollment criteria received an escalating dose of atomoxetine the first week: 3 days of atomoxetine 40 mg followed by 4 days of atomoxetine 80 mg. Participants then received escalating dose combinations of atomoxetine and dronabinol for the next 3 weeks.
Dosing Period 4: Atomoxetine 80 + Dronabinol 5mg
n=12 participants at risk
Participants who meet all enrollment criteria received an escalating dose of atomoxetine the first week: 3 days of atomoxetine 40 mg followed by 4 days of atomoxetine 80 mg. Participants then received escalating dose combinations of atomoxetine and dronabinol for the next 3 weeks.
Dosing Period 5: Atomoxetine 80 + Dronabinol 10mg
n=11 participants at risk
Participants who meet all enrollment criteria received an escalating dose of atomoxetine the first week: 3 days of atomoxetine 40 mg followed by 4 days of atomoxetine 80 mg. Participants then received escalating dose combinations of atomoxetine and dronabinol for the next 3 weeks.
Nervous system disorders
Hypersomnia
13.3%
2/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Reproductive system and breast disorders
Impotence, erectile dysfunction
20.0%
3/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Psychiatric disorders
Insomnia
26.7%
4/15 • Adverse events were collected over 9 weeks
21.4%
3/14 • Adverse events were collected over 9 weeks
16.7%
2/12 • Adverse events were collected over 9 weeks
18.2%
2/11 • Adverse events were collected over 9 weeks
Gastrointestinal disorders
Nausea
6.7%
1/15 • Adverse events were collected over 9 weeks
14.3%
2/14 • Adverse events were collected over 9 weeks
16.7%
2/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Gastrointestinal disorders
Constipation
0.00%
0/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Nervous system disorders
Dizziness, lightheadedness
6.7%
1/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
9.1%
1/11 • Adverse events were collected over 9 weeks
Respiratory, thoracic and mediastinal disorders
Cough
6.7%
1/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Cardiac disorders
Hypertension
0.00%
0/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
9.1%
1/11 • Adverse events were collected over 9 weeks
Nervous system disorders
Headache
0.00%
0/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Gastrointestinal disorders
Heartburn
6.7%
1/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Vascular disorders
Vasomotor symptoms - Hot flashes
0.00%
0/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Cardiac disorders
Tachycardia
0.00%
0/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
9.1%
1/11 • Adverse events were collected over 9 weeks
Nervous system disorders
Jitteriness
6.7%
1/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
9.1%
1/11 • Adverse events were collected over 9 weeks
Respiratory, thoracic and mediastinal disorders
Nasal congestion
6.7%
1/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Skin and subcutaneous tissue disorders
Night time sweating
6.7%
1/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
9.1%
1/11 • Adverse events were collected over 9 weeks
Psychiatric disorders
Paranoia
0.00%
0/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Skin and subcutaneous tissue disorders
Paresthesia
0.00%
0/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
9.1%
1/11 • Adverse events were collected over 9 weeks
Skin and subcutaneous tissue disorders
Skin rash
0.00%
0/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Gastrointestinal disorders
Stomach discomfort
0.00%
0/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Psychiatric disorders
Suicidal ideation
0.00%
0/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Skin and subcutaneous tissue disorders
Tingling
6.7%
1/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Psychiatric disorders
Dissociative state
0.00%
0/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
9.1%
1/11 • Adverse events were collected over 9 weeks
Renal and urinary disorders
Urinary hesitancy
13.3%
2/15 • Adverse events were collected over 9 weeks
14.3%
2/14 • Adverse events were collected over 9 weeks
16.7%
2/12 • Adverse events were collected over 9 weeks
18.2%
2/11 • Adverse events were collected over 9 weeks
Gastrointestinal disorders
Vomiting
6.7%
1/15 • Adverse events were collected over 9 weeks
0.00%
0/14 • Adverse events were collected over 9 weeks
0.00%
0/12 • Adverse events were collected over 9 weeks
0.00%
0/11 • Adverse events were collected over 9 weeks
Gastrointestinal disorders
Xerostomia
6.7%
1/15 • Adverse events were collected over 9 weeks
7.1%
1/14 • Adverse events were collected over 9 weeks
8.3%
1/12 • Adverse events were collected over 9 weeks
9.1%
1/11 • Adverse events were collected over 9 weeks

Additional Information

Clinical Trials

Apnimed

Phone: 6015008880

Results disclosure agreements

  • Principal investigator is a sponsor employee Authorship will be determined by mutual agreement and in line with International Committee of Medical Journal Editors authorship requirements. The Sponsor retains the right to disapprove any submission for publication, including any publication using trial data, including abstracts, presentations or manuscripts. A summary of the study results will also be posted in a publicly accessible database (e.g., www.ClinTrials.gov).
  • Publication restrictions are in place

Restriction type: OTHER