Parallel Arm Trial of AD109 and Placebo With Patients With OSA (LunAIRo)
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ClinicalTrials.gov Identifier: NCT05811247 |
Recruitment Status :
Recruiting
First Posted : April 13, 2023
Last Update Posted : November 29, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
OSA | Drug: AD109 Drug: Placebo | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 640 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | Phase 3 Randomized Double-Blind Placebo-Controlled 1-year Parallel-Arm Study to Compare a Fixed Dose Combination of Aroxybutynin/Atomoxetine (AD109) to Placebo in Obstructive Sleep Apnea (LunAIRo Study) |
Actual Study Start Date : | August 28, 2023 |
Estimated Primary Completion Date : | June 2025 |
Estimated Study Completion Date : | June 2025 |

Arm | Intervention/treatment |
---|---|
Experimental: AD109
AD109
|
Drug: AD109
Oral administration at bedtime. |
Placebo Comparator: Placebo
Placebo
|
Drug: Placebo
Oral administration at bedtime. |
- Efficacy of AD109 on airway obstruction in mild to severe OSA [ Time Frame: 6 months ]Proportion of participants with reduction in AHI (AHI, average number of events for every hour of sleep), measured by polysomnography

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- ≥18 years of age at the time of informed consent.
- PSG criteria: AHI of >5; ≤ 25% central or mixed apneas; and PLM arousal index ≤15
- PROMIS-Fatigue: raw score ≥17
- PAP intolerance or current PAP refusal.
- BMI between 18.5 and 40 kg/m2 for men, or 42 kg/m2 for women, inclusive.
Exclusion Criteria:
- Narcolepsy, restless leg syndrome, REM sleep behavior disorder
- Insomnia disorder characterized by difficulty initiating or maintaining sleep, or use within the past month of sedative-hypnotics or other medication for the purpose of treating or avoiding insomnia symptoms.
- Pierre Robin, Treacher Collins, or other craniofacial malformation syndrome, or grade ≥3 tonsillar hypertrophy.
- Clinically significant cardiac disease, e.g., ventricular arrhythmia, untreated or unstable coronary artery disease, cardiac failure. Stable atrial arrhythmia is allowed.
- Neuromuscular disorder (e.g., motor neuron disease, muscular dystrophy or myopathy, myasthenic syndrome); epilepsy; Parkinson, Alzheimer, or other neurodegenerative disease.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05811247
Contact: Ron Farkas, MD | 6175008880 | info@apnimed.com | |
Contact: Luigi Taranto, MD |

Responsible Party: | Apnimed |
ClinicalTrials.gov Identifier: | NCT05811247 |
Other Study ID Numbers: |
APC-APN-304 |
First Posted: | April 13, 2023 Key Record Dates |
Last Update Posted: | November 29, 2023 |
Last Verified: | September 2023 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Obstructive Sleep Apnea |