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The combination drug composed of aroxybutynin and atomoxetine, designated AD109, is being developed by Apnimed for the treatment of obstructive sleep apnea (OSA). The present study is a Phase 3 open label continuation protocol enrolling qualifying participants who completed one of the parent Phase 3 double-blind placebo-controlled studies, APC-APN-304 or APC-APN-305.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AD109 | Experimental | Open Label AD109 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aroxybutynin and Atomoxetine | Drug | Fixed Dose Combination |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events (AES) and Serious Adverse Events (SAEs) | An AE is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study treatment. An SAE was an AE during any study phase that fulfills one or more of the following criteria: results in death, life threatening (The term 'life-threatening' in the definition of 'serious' refers to an event in which the participant was at risk of death at the time of the event. It does not refer to an event, which hypothetically might have caused death, if it were more severe), requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity. | through study completion, an average of 1 year |
| Number of Participants With Vital Signs Abnormalities | Vital signs that are planned to be assessed include parameters such as weight,heart rate and systolic and diastolic blood pressure. | through study completion, an average of 1 year |
| Number of Participants With Concomitant Therapy (Medication or Devices) | Concomitant therapy with devices (i.e., CPAP) and concomitant medications are other prescription medications, over-the-counter (OTC) drugs or dietary supplements that a study participant takes in addition to the drug under investigation. | through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ron Farkas, MD | Apnimed | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sleep Disorders Center of America | Birmingham | Alabama | 35213 | United States | ||
| The University of Alabama/Institute for Rural Health Research |
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| Tuscaloosa |
| Alabama |
| 35401 |
| United States |
| Chandler Clinical Trials | Chandler | Arizona | 85224 | United States |
| Desert Clinical Reserach, LLC/CCT Research | Mesa | Arizona | 85213 | United States |
| Foothills Research Center/CCT Research | Phoenix | Arizona | 85044 | United States |
| Fiel Family and Sports Medicine/CCT Research | Tempe | Arizona | 85283 | United States |
| Noble Clinical Research | Tucson | Arizona | 85704 | United States |
| Preferred Research Partners, Inc. | Little Rock | Arkansas | 72211 | United States |
| Orange County Research Institute | Anaheim | California | 92801 | United States |
| Core Healthcare Group | Cerritos | California | 90703 | United States |
| Exalt Clinical Research, Inc. | Chula Vista | California | 91910 | United States |
| Collaborative Neuroscience Research, LLC | Los Alamitos | California | 90720 | United States |
| Santa Monica Clinical Trials | Los Angeles | California | 90025 | United States |
| Empire Clinical Research | Pomona | California | 91767 | United States |
| Probe Clinical Research Corporation | Riverside | California | 92501 | United States |
| Pacific Research Network | San Diego | California | 92103 | United States |
| TriValley Sleep Center | San Ramon | California | 94583 | United States |
| SDS Clinical Trials, Inc. | Santa Ana | California | 92705 | United States |
| Providere Research Inc. | West Covina | California | 91790 | United States |
| Mountain View Clinical Research, Inc. | Denver | Colorado | 80209 | United States |
| Meris Clinical Research | Brandon | Florida | 33511 | United States |
| Teradan Clinical Trials | Brandon | Florida | 33511 | United States |
| St. Francis Medical Institute | Clearwater | Florida | 33765 | United States |
| Nouvelle Clinical Research | Cutler Bay | Florida | 33189 | United States |
| Arrow Clinical Trials | Daytona Beach | Florida | 32117 | United States |
| Canvas Clinical Research | Lake Worth | Florida | 33467 | United States |
| Florida Lung & Sleep Associates | Lehigh Acres | Florida | 33971 | United States |
| Ivetmar Medical Group, LLC | Miami | Florida | 33155 | United States |
| Advanced Medical Research Institute | Miami | Florida | 33174 | United States |
| PharmaDev Clinical Research Institute, LLC | Miami | Florida | 33176 | United States |
| Flourish Research | Miami | Florida | 33186 | United States |
| Renstar Medical Research | Ocala | Florida | 34470 | United States |
| Clinical Neuroscience Solutions, Inc. | Orlando | Florida | 32801 | United States |
| JSV Clinical Research Study Inc. | Tampa | Florida | 33634 | United States |
| Palm Beach Research Center | West Palm Beach | Florida | 33409 | United States |
| Central Florida Pediatric Sleep Disorders d/b/a Florida Pediatric Institute, LLC | Winter Park | Florida | 32789 | United States |
| Clinical Site Partners, LLC dba Flourish Research | Winter Park | Florida | 32789 | United States |
| Neurotrials Research Inc | Atlanta | Georgia | 30328 | United States |
| Atlanta Center for Medical Research | Atlanta | Georgia | 30331 | United States |
| CenExel iResearch, LLC | Decatur | Georgia | 30030 | United States |
| Georgia Neurology and Sleep Medicine Associates | Suwanee | Georgia | 30024 | United States |
| Medster Research | Valdosta | Georgia | 31605 | United States |
| St. Luke's Idaho Pulmonary Associates - Meridian Clinic | Meridian | Idaho | 83642 | United States |
| Chicago Research Center, Inc. | Chicago | Illinois | 60634 | United States |
| University of Kansas Medical Center | Kansas City | Kansas | 66160 | United States |
| Advanced ENT and Allergy | Louisville | Kentucky | 40220 | United States |
| Centennial Medical Group Research Department | Columbia | Maryland | 21045 | United States |
| Sleep Disorders Centers of the Mid-Atlantic | Glen Burnie | Maryland | 21061 | United States |
| Velocity Clinical Research | Rockville | Maryland | 20854 | United States |
| Neurocare, Inc. | Newton | Massachusetts | 02459 | United States |
| Infinity Medical Research | North Dartmouth | Massachusetts | 02747 | United States |
| Baystate Clinical Trials Unit | Springfield | Massachusetts | 01107 | United States |
| University of Michigan Clinical Research Unit | Ann Arbor | Michigan | 48109 | United States |
| Revive Research Institute, Inc. | Lathrup Village | Michigan | 48076 | United States |
| Henry Ford Medical Center - Columbus | Novi | Michigan | 48377 | United States |
| Clinical Neurophysiology Services PC | Sterling Heights | Michigan | 48314 | United States |
| Sleep Medicine and Research Center, St. Luke's Hospital | Chesterfield | Missouri | 63017 | United States |
| Healthcare Research Network | Hazelwood | Missouri | 63042 | United States |
| Clayton Sleep Institute, LLC | St Louis | Missouri | 63123 | United States |
| Henderson Clinical Trials | Henderson | Nevada | 89052 | United States |
| Las Vegas Clinical Trials, LLC | North Las Vegas | Nevada | 89030 | United States |
| Clinilabs Drug Development Corporation | Eatontown | New Jersey | 07724 | United States |
| Sleep Dynamics | Neptune City | New Jersey | 07753 | United States |
| Maimonides Sleep Arts & Sciences | Albuquerque | New Mexico | 87107 | United States |
| Northwell Health | New Hyde Park | New York | 11042 | United States |
| Research Carolina Elite | Denver | North Carolina | 28037 | United States |
| Clinical Research of Gastonia | Gastonia | North Carolina | 28054 | United States |
| Peters Medical Research LLC | High Point | North Carolina | 27260 | United States |
| Advanced Respiratory and Sleep Medicine | Huntersville | North Carolina | 28078 | United States |
| Coastal Carolina Health Care, P.A. Pulmonary and Sleep Medicine | New Bern | North Carolina | 28562 | United States |
| Accellacare | Wilmington | North Carolina | 28412 | United States |
| Lillestol Research | Fargo | North Dakota | 58104 | United States |
| NeuroScience Research Center, LLC | Canton | Ohio | 44718 | United States |
| CTI Clinical Research Center | Cincinnati | Ohio | 45212 | United States |
| Intrepid Research, LLC | Cincinnati | Ohio | 45245 | United States |
| Northwest Research Center | Portland | Oregon | 97202 | United States |
| Abington Neurological Associates | Abington | Pennsylvania | 19001 | United States |
| Respiratory Specialists | Wyomissing | Pennsylvania | 19610 | United States |
| Lowcountry Lung and Critical Care, PA | Charleston | South Carolina | 29406 | United States |
| Tribe Clinical Research, LLC | Greenville | South Carolina | 29607 | United States |
| Velocity Clinical Research, Greenville | Greenville | South Carolina | 29615 | United States |
| OnSite Clinical Solutions, LLC | Rock Hill | South Carolina | 29732 | United States |
| Chattanooga Research & Medicine | Chattanooga | Tennessee | 37404 | United States |
| Clinical Neuroscience Solutions, Inc. | Memphis | Tennessee | 38119 | United States |
| FutureSearch Trials of Neurology | Austin | Texas | 78731 | United States |
| FutureSearch Trials of Dallas | Dallas | Texas | 75231 | United States |
| Memorial Hermann Village | Houston | Texas | 77043 | United States |
| Houston Clinical Research Associates | Houston | Texas | 77070 | United States |
| Huntsville Research Institute | Huntsville | Texas | 77340 | United States |
| Sleep Therapy and Research Center | San Antonio | Texas | 78229 | United States |
| Element Research Group | San Antonio | Texas | 78258 | United States |
| South Ogden Family Medicine/CCT Research | South Ogden | Utah | 84405 | United States |
| Sleep Disorder Center of the Mid-Atlantic | Vienna | Virginia | 22182 | United States |
| Medical Arts Health Research Group | Kelowna | British Columbia | VIY 4N7 | Canada |
| AMNDX Inc | Markham | Ontario | L3R 1A3 | Canada |
| West Ottawa Sleep Centre | Ottawa | Ontario | K2C 0P7 | Canada |
| Canadian Phase Onward Inc. | Toronto | Ontario | M3J 0K2 | Canada |
| Jodha Tishon, Inc. | Toronto | Ontario | M5S 3A3 | Canada |
| McGill University Health Centre | Montreal | Quebec | H4A 3J1 | Canada |
| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000069445 | Atomoxetine Hydrochloride |
| ID | Term |
|---|---|
| D011437 | Propylamines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
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