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Incannex Healthcare Inc. Advances IHL-42X RePOSA Trial to Phase 3 Following FDA Protocol Clearance Streamlined U.S.-only study design builds on Phase 2 momentum for IHL-42X in obstructive sleep apnea NEW YORK and

Key Takeaway: Incannex Healthcare Inc. has received FDA clearance to advance its IHL-42X RePOSA trial into Phase 3, targeting obstructive sleep apnea. This pivotal trial will utilize a streamlined U.S.-only study design, leveraging successful strategies from Phase 2 to enhance efficiency. The expected inclusion of approximately 30 sites provides a solid foundation for rapid recruitment and trial execution. There is anticipation of significant outcomes as the study aims to establish IHL-42X as a leading oral therapy for a condition affecting a billion individuals worldwide.

Market Sentiment Analysis

POSITIVE FACTORS

  • The FDA has cleared the protocol for the Phase 3 trial of IHL-42X.
  • IHL-42X has the potential to become the first FDA-approved oral therapy for obstructive sleep apnea.
  • The streamlined U.S.-only study design builds on positive Phase 2 results, enhancing operational efficiency.

Full Press Release Details

Incannex Healthcare Inc. Advances IHL-42X RePOSA
Trial to Phase 3 Following FDA Protocol Clearance
Streamlined U.S.-only study design builds on
Phase 2 momentum for IHL-42X in obstructive sleep apnea
NEW YORK and MELBOURNE, Australia - May
29, 2025 - Incannex Healthcare Inc. (Nasdaq: IXHL), a clinical-stage pharmaceutical company developing novel combination therapies,
today announced that the Phase 3 component of the RePOSA clinical trial will proceed. The U.S. Food and Drug Administration (FDA) previously
reviewed and authorized the protocol to proceed under the Company's Investigational New Drug (IND) application. The study will evaluate
the efficacy and safety of IHL-42X, Incannex's lead asset for the treatment of obstructive sleep apnea (OSA)-a condition
affecting an estimated one billion people globally with no approved oral pharmaceutical therapy.
With the FDA authorisation in place, Incannex
will initiate Phase 3 immediately following the completion of Phase 2, leveraging a shared protocol and U.S. based infrastructure
to maximise efficiency and speed.
"The progression of RePOSA into Phase 3
represents a major milestone for Incannex and our shareholders," said Joel Latham, President and CEO of Incannex. "IHL-42X
is a high-value asset targeting one of the most prevalent and under-treated conditions globally, OSA. With FDA clearance, a streamlined
study design, and the drug product already manufactured, we are uniquely positioned to execute efficiently and deliver meaningful value.
IHL-42X has the potential to become the first FDA-approved oral therapy for obstructive sleep apnea, and we believe it could transform
the treatment paradigm for millions of patients across the globe."
Strategic U.S.-Only Phase 3 Design to Drive
Operational Efficiency
The decision to conduct Phase 3 exclusively
in the United States follows an outstanding recruitment rate and site performance during the Phase 2 component of RePOSA. This strategy
offers multiple benefits:
Approximately 20 U.S. sites from Phase
2 are expected to roll over directly into Phase 3, with 10 new U.S. sites to be added following final Phase 2 data review. The CRO
and all core vendors from Phase 2 will remain engaged, accelerating site onboarding and ensuring continuity of trial operations.
Study Design Highlights
RePOSA Phase 3 will be a randomized,
placebo-controlled trial evaluating the safety and efficacy of IHL-42X over 12 months in patients with moderate-to-severe OSA.
The study will also include a 3-month head-to-head comparison against the monotherapy components of IHL-42X -
dronabinol and acetazolamide - to demonstrate the synergistic effect of the combination therapy.
"We're building on strong foundations.
The ability to carry forward much of the operational infrastructure from Phase 2 gives us a significant edge in both speed and cost,"
said Joel Latham. "As we prepare to report Phase 2 top-line results in the coming weeks, we're excited by the growing momentum
around IHL-42X and the commercial conversations already underway. This is a high-impact opportunity, and we remain focused on delivering
the strongest outcome possible for our shareholders."
IHL-42X is designed to treat obstructive sleep
apnea ("OSA") by targeting its underlying pathophysiology. An oral fixed-dose combination of dronabinol and acetazolamide,
IHL-42X is currently advancing through the RePOSA Phase 2/3 clinical trial, which is expected to enroll more than 560 patients at sites
Designed to act synergistically, IHL-42X uniquely
targets two physiological pathways associated with the intermittent hypoxia ("IH") and hypercapnia that characterize OSA.
In a prior Australian Phase 2 clinical trial, IHL-42X was shown to reduce the Apnea-Hypopnea Index ("AHI") in all dosage strengths,
with the lowest dose reducing AHI by an average of 51 percent relative to baseline. RePOSA, a global Phase 2/3 clinical trial is underway,
evaluating IHL-42X in individuals with OSA who are either non-compliant, intolerant, or na ve to positive airway pressure devices,
including CPAP, with the Phase 2 portion conducted in the United States. A topline readout from the U.S. Phase 2 portion is anticipated
About Incannex Healthcare Inc.
Incannex is leading the way in developing combination
medicines that target the underlying biological pathways associated with chronic conditions, including obstructive sleep apnea, rheumatoid
arthritis and generalized anxiety disorder. The company is advancing three clinical-stage product candidates based on evidence-based innovation,
and supported by streamlined operations. Incannex's lead clinical program, IHL-42X, is an oral fixed-dose combination of dronabinol and
acetazolamide designed to target underlying mechanisms and act synergistically in the treatment of obstructive sleep apnea. In a Phase
2 development program, IHL-675A is an oral fixed-dose combination of cannabidiol and hydroxychloroquine sulfate designed to act synergistically
to alleviate inflammatory conditions, such as rheumatoid arthritis. Approved for Phase 2 clinical development, PSX-001 is an oral synthetic
psilocybin treatment for the treatment of generalized anxiety disorder. Incannex's programs target disorders that have limited, inadequate,
or no approved pharmaceutical treatment options. For additional information on Incannex, please visit our website at www.incannex.com.
Forward Looking Statements
This press release contains "forward-looking
statements" within the meaning of the "safe harbor" provisions of the U.S. Private Securities Litigation Reform Act of
1995. Examples of forward-looking statements in this press release include statements about, among other things: Incannex's business strategy,
future operations; Incannex's ability to execute on its objectives, prospects, or plans, evaluations and judgments regarding Incannex's
research and development efforts, including any implications that the results of earlier clinical trials will be representative or consistent
with later clinical trials or final results; the expected timing of enrollment for these trials and the availability of data or results
of these trials, and the potential benefits, safety or of Incannex's drug candidates; Incannex's ability to raise sufficient capital
from its at-the-market offering for the cancellation of the remaining Series A Warrants in the time periods permitted and required pursuant
to the new letter agreements. Forward-looking statements are statements other than historical facts and relate to future events or circumstances
or Incannex's future performance, and they are based on management's current assumptions, expectations, and beliefs concerning future
developments and their potential effect on Incannex's business; Incannex's ability to potentially improve its capital structure
in the future. These forward-looking statements are subject to a number of risks and uncertainties, which may cause the forward-looking
events and circumstances described in this press release to not occur, and actual results to differ materially and adversely from those
described in or implied by the forward-looking statements. These risks and uncertainties include, among others: the continued availability
of financing; Incannex's ability to raise capital to fund continuing operations and the cancellation of the remaining Series A Warrants,
and to complete capital raising transactions and to potentially improve its capital structure, including under its at-the-market offering;
the impact of any infringement actions or other litigation brought against Incannex; the success of Incannex's development efforts, including
Incannex's ability to progress its drug candidates through clinical trials on the timelines expected; competition from other providers
and products; that the market for its drug candidates may not grow at the rates anticipated or at all; Incannex's compliance with the
various evolving and complex laws and regulations applicable to its business and its industry; and Incannex's ability to protect its proprietary
technology and intellectual property; and other factors relating to Incannex's industry, its operations and results of operations. The
forward-looking statements made in this press release speak only as of the date of this press release, and Incannex assumes no obligation
to update publicly any such forward-looking statements to reflect actual results or to changes in expectations, except as otherwise required
by law. Incannex's reports filed with the U.S. Securities and Exchange Commission (SEC) including its annual report on Form 10-K for the
fiscal year ended June 30, 2024, filed with the SEC on September 30, 2024, and the other reports it files from time to time, including
subsequently filed annual, quarterly and current reports, are made available on Incannex's website upon their filing with the SEC. These
reports contain more information about Incannex, its business and the risks affecting its business, as well as its results of operations
for the periods covered by the financial results included in this press release. For additional information on Incannex, please visit
our website at www.incannex.com.
Edison Group for Incannex

Frequently Asked Questions

What is the RePOSA trial for Incannex Healthcare?

The RePOSA trial is a clinical study for IHL-42X, evaluating its safety and efficacy in obstructive sleep apnea.

What regulatory approval has IHL-42X received?

IHL-42X has received FDA protocol clearance to advance to Phase 3 of its clinical trial.

How many patients will be involved in the RePOSA trial?

The RePOSA trial aims to enroll over 560 patients with moderate-to-severe obstructive sleep apnea.

What are the components of IHL-42X?

IHL-42X is a fixed-dose combination of dronabinol and acetazolamide targeting obstructive sleep apnea.

What stage is the IHL-42X clinical trial currently in?

IHL-42X is advancing into Phase 3 after successful completion of Phase 2 trials.

Last updated: May 29, 2025