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IHL-42X for Obstructive Sleep Apnea (REPOSA Trial)

Phase 2 & 3
Recruiting
Research Sponsored by Incannex Healthcare Ltd
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Must not have
Chronic neuromuscular disorders such as motor neuron disease, muscular dystrophy, or myopathy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 4 weeks

Summary

This trial aims to test a new drug, IHL-42X, for people with obstructive sleep apnoea who cannot tolerate or comply with positive airway pressure treatment. The trial has two

Who is the study for?
This trial is for adults with moderate obstructive sleep apnea who either can't or won't use positive airway pressure (PAP) therapy. Participants should not have a significant portion of central or mixed apneas, no Cheyne-Stokes respiration, and must not use cannabis or similar drugs outside the study. They need to agree to contraception during and shortly after the trial.
What is being tested?
The RePOSA trial tests IHL-42X at different doses against placebo in two phases: Phase II finds the best dose over 4 weeks; Phase III compares this optimal dose to its components—dronabinol and acetazolamide—and placebo over a year.
What are the potential side effects?
Possible side effects may include those commonly associated with dronabinol (like dizziness, mood changes, and digestive issues) and acetazolamide (such as tingling sensations, diuresis, and potential metabolic effects).

Eligibility Criteria

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
I have a chronic condition affecting my muscles or nerves.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~4 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and 4 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change in apnea-hypopnea index (AHI)

Trial Design

7Treatment groups
Experimental Treatment
Active Control
Placebo Group
Group I: Phase 3 Investigational Product - IHL-42XExperimental Treatment1 Intervention
IHL-42X (dose will be identified based on the safety and efficacy results in Phase II), one capsule self-administered once daily every night approximately 1 hour prior to bed for 52 weeks.
Group II: Phase 2 Investigational Product - IHL-42X Low doseExperimental Treatment1 Intervention
IHL-42X (2.5 mg dronabinol + 125 mg acetazolamide), one capsule self-administered once daily every night approximately 1 hour prior to bed for 4 weeks.
Group III: Phase 2 Investigational Product - IHL-42X High doseExperimental Treatment1 Intervention
IHL-42X (5 mg dronabinol + 250 mg acetazolamide), one capsule self-administered once daily every night approximately 1 hour prior to bed for 4 weeks.
Group IV: Phase 3 Comparator - Reference Listed Drug/DronabinolActive Control1 Intervention
One capsule of dronabinol (equivalent dose strength to that in the IHL-42X optimal dose strength) self-administered once daily every night approximately 1 hour prior to bed for 3 months then IHL-42X (optimal dose) one capsule self-administered once daily every night approximately 1 hour prior to bed for the remaining 9 months.
Group V: Phase 3 Comparator - Reference Listed Drug/AcetazolamideActive Control1 Intervention
One capsule of acetazolamide (equivalent dose strength to that in the IHL-42X optimal dose strength) self-administered once daily every night approximately 1 hour prior to bed for 3 months then IHL-42X (optimal dose) one capsule self-administered once daily every night approximately 1 hour prior to bed for the remaining 9 months.
Group VI: Phase 3 PlaceboPlacebo Group1 Intervention
One capsule self-administered once daily every night approximately 1 hour prior to bed for 52 weeks.
Group VII: Phase 2 PlaceboPlacebo Group1 Intervention
One capsule self-administered once daily every night approximately 1 hour prior to bed for 4 weeks.

Find a Location

Who is running the clinical trial?

Incannex Healthcare LtdLead Sponsor
2 Previous Clinical Trials
244 Total Patients Enrolled
~373 spots leftby Dec 2026