Randomized Trialhigh evidence
Aroxybutynin and atomoxetine (AD109) for obstructive sleep apnea: a randomized phase 3 trial (SynAIRgy).
American journal of respiratory and critical care medicine·July 1, 2026·PMID 42148495
Why it mattersMany OSA patients cannot use PAP, leaving a large treatment gap. AD109 offers a novel oral pharmacotherapy targeting neuromuscular dysfunction, with clinically meaningful AHI reduction and a tolerable safety profile, expanding options for non-PAP candidates.

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