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AD109 (aroxybutynin + atomoxetine) combines a novel NCE selective antimuscarinic, aroxybutynin, with a selective norepinephrine reuptake inhibitor (NRI), atomoxetine. It is being evaluated in phase 3 clinial trials for the treatment of Obstructive Sleep Apnea.


Lead Product(s): Aroxybutynin,Atomoxetin Hydrochloride

Therapeutic Area: Sleep Product Name: AD109

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable December 21, 2023

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The joint venture will initially focus on accelerating the discovery, preclinical and clinical development of novel pharmacologic solutions designed to address the complex pathology of obstructive sleep apnea.


Lead Product(s): Undisclosed

Therapeutic Area: Sleep Product Name: Undisclosed

Highest Development Status: DiscoveryProduct Type: Small molecule

Partner/Sponsor/Collaborator: Shionogi

Deal Size: Undisclosed Upfront Cash: Undisclosed

Deal Type: Agreement October 31, 2023

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AD109 (atomoxetine) has the potential to be the first nighttime oral pharmacologic treatment for people with OSA who are either intolerant of or refuse to use positive airway pressure (PAP) therapy.


Lead Product(s): Atomoxetin Hydrochloride,Aroxybutynin

Therapeutic Area: Sleep Product Name: AD109

Highest Development Status: Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable September 21, 2023

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AD109 (atomoxetine) has the potential to be the first oral pharmacologic that both treats the underlying cause of OSA, airway obstruction at night, and improves daytime consequences of OSA such as fatigue.


Lead Product(s): Atomoxetin Hydrochloride,Aroxybutynin

Therapeutic Area: Sleep Product Name: AD109

Highest Development Status: Phase IIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Alpha Wave Ventures

Deal Size: $79.7 million Upfront Cash: Undisclosed

Deal Type: Series C Financing January 03, 2023

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AD109 (atomoxetine) is first oral pharmacologic that treats OSA airway obstruction at night. It is a first-in-class, novel, investigational combination dosed once daily at bedtime and is designed to treat OSA patients across a broad spectrum of disease severity.


Lead Product(s): Atomoxetin Hydrochloride,Aroxybutynin

Therapeutic Area: Sleep Product Name: AD109

Highest Development Status: Phase IIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable June 28, 2022

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AD504 (Atomoxetine) showed a significant reduction of the Apnea Hypopnea Index (AHI) (from 18.2 [11.8 to 31.3] on placebo to 7.4 [5.4 to 16.1] events/h on AD504, p=0.024 and Hypoxic Burden (HB) from 46.3 [25.1 to 88.3] on placebo to 18.7 [14.9 to 43.5], p=0.003 on AD504.


Lead Product(s): Atomoxetin Hydrochloride,Trazodone Hydrochloride

Therapeutic Area: Sleep Product Name: AD504

Highest Development Status: Phase IIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable June 02, 2022

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Positive data on investigational oral pharmacologic treatment AD109 showed statistically significant and clinically meaningful benefits for patients with obstructive sleep apnea.


Lead Product(s): Atomoxetin Hydrochloride,Aroxybutynin

Therapeutic Area: Sleep Product Name: AD109

Highest Development Status: Phase IIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable March 09, 2022

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AD504 (atomoxetine plus trazodone) showed a strong trend in the reduction in apnea hypopnea index (AHI) from placebo, which was the study’s primary endpoint.


Lead Product(s): Atomoxetin Hydrochloride,Trazodone Hydrochloride

Therapeutic Area: Sleep Product Name: AD504

Highest Development Status: Phase IIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable November 16, 2021

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Apnimed’s lead product candidate, AD109, targets the neurologic control and facilitates the activation of the upper airway dilator muscles to maintain an open airway during sleep.


Lead Product(s): Reboxetine Mesylate,Oxybutynin

Therapeutic Area: Sleep Product Name: AD128

Highest Development Status: Phase II/ Phase IIIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable May 17, 2021

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The proceeds will support Apnimed’s ongoing development and commercialization plans. The company is advancing its lead program, AD109, an oral disease-modifying therapeutic for the treatment of Obstructive Sleep Apnea, which is currently in late-stage Phase 2 clinical trials.


Lead Product(s): Aroxybutynin,Atomoxetin Hydrochloride

Therapeutic Area: Sleep Product Name: AD109

Highest Development Status: Phase IIProduct Type: Small molecule

Partner/Sponsor/Collaborator: Morningside Ventures

Deal Size: $25.0 million Upfront Cash: Undisclosed

Deal Type: Series B Financing March 25, 2021

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