Could a Weight-Loss drug cure sleep apnea without a machine?
NCT ID NCT07226765
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether maridebart cafraglutide, a drug that may help with weight loss, can reduce sleep apnea episodes in 250 adults who are overweight or obese and not using a breathing machine. Participants receive either the drug or a placebo for 52 weeks. The main goal is to see if the drug lowers the number of breathing pauses during sleep.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- maridebart cafraglutide (also called AMG 133 or MariTide)
- What this could lead to
- If it works, this could offer a new drug treatment for sleep apnea that also helps with weight loss, reducing the need for breathing machines.
- What could go wrong
- This is still a clinical trial, so the drug may not work better than placebo. Side effects are possible, and results may not apply to everyone with sleep apnea.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 250 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants must have an AHI of 15 or higher on polysomnography (PSG) at Day 1 before randomization. * Body Mass Index (BMI) of 27 kg/m\^2 or more at the time of screening. * History of at least one unsuccessful attempt at weight loss through diet and exercise. * Participants must not have used PAP therapy for at least 4 weeks before screening, are unwilling/unable to use PAP, and do not plan to use PAP therapy during the study. Exclusion Criteria: * Individuals who have had any previous or planned upper airway surgery or major ear, nose or throat surgery for OSA. * Those with significant craniofacial abnormalities that may affect breathing at screening. * Participants diagnosed with Central or Mixed Sleep Apnea with proportion of mixed or central apneas/hypopneas ≥ 50%, and/or diagnosis of Cheyne Stokes Respiration. * Active device treatment of OSA or other treatments, that in the opinion of the investigator, may interfere with study outcomes. * Individuals with respiratory diseases like obesity hypoventilation syndrome or daytime hypercapnia, neuromuscular diseases or other conditions that could interfere with the trial results, according to the investigator's opinion.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
57 sites in 11 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Advanced Sleep Research
RECRUITINGBerlin, 10117, Germany
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Aggarwal and Associates Ltd
RECRUITINGBrampton, Ontario, L6T 0G1, Canada
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Basil Clinical
RECRUITINGLaurelton, New York, 11413, United States
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CPQuali Pesquisa Clinica Ltda
RECRUITINGSão Paulo, São Paulo, 01228-000, Brazil
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CTI Clinical Research Center
RECRUITINGCincinnati, Ohio, 45212, United States
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CaRe Clinic
RECRUITINGCalgary, Alberta, T2N 4L7, Canada
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Centre Hospitalier Universitaire d'Angers
RECRUITINGAngers, 49933, France
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Centre Hospitalier Universitaire de Bordeaux - Hopital Pellegrin
RECRUITINGBordeaux, 33000, France
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Centre Hospitalier Universitaire de Grenoble - Hopital Nord Michallon
RECRUITINGGrenoble, 38043, France
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Centro Medico Teknon
RECRUITINGBarcelona, Catalonia, 08022, Spain
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Centro Paulista de Investigacao Clinica Cepic
RECRUITINGSão Paulo, 04266-010, Brazil
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Cerebrovaskularni poradna sro
RECRUITINGOstrava - Poruba, 708 00, Czechia
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Clinical Research Center Of Florida
RECRUITINGPompano Beach, Florida, 33060, United States
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Debreceni Egyetem Klinikai Kozpont
RECRUITINGDebrecen, 4032, Hungary
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Destiny Research Center
RECRUITINGPalmetto Bay, Florida, 33157, United States
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Diabeteszentrum Hamburg West
RECRUITINGHamburg, 22607, Germany
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Diex Recherche Trois Rivieres
RECRUITINGTrois-Rivières, Quebec, G9A 4P3, Canada
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Epic Medical Research - DeSoto
RECRUITINGDeSoto, Texas, 75115, United States
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Fakultni nemocnice Brno
RECRUITINGBrno, 625 00, Czechia
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Fukuoka University Hospital
RECRUITINGFukuoka, Fukuoka, 814-0180, Japan
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FutureSearch Trials of Neurology
RECRUITINGAustin, Texas, 78731, United States
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Gokeikai Osaka Kaisei Hospital
RECRUITINGOsaka, Osaka, 532-0003, Japan
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Goodsleep Clinic
RECRUITINGMinato-ku, Tokyo, 105-0012, Japan
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Hospital Medico Quirurgico San Rafael
RECRUITINGA Coruña, Galicia, 15006, Spain
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Hospital Quiron Madrid
RECRUITINGPozuelo de Alarcón, Madrid, 28223, Spain
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Hospital Universitari Vall d Hebron
RECRUITINGBarcelona, Catalonia, 08035, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo Hcfmusp
RECRUITINGSão Paulo, São Paulo, 05403-900, Brazil
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InnoDiab Forschung
RECRUITINGEssen, 45136, Germany
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Instituto de Pesquisa Clinica de Campinas - Ipecc
RECRUITINGCampinas, São Paulo, 13060-080, Brazil
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Kuwamizu Hospital
RECRUITINGKumamoto, Kumamoto, 862-0954, Japan
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Mazda Hospital of Mazda Motor Corporation
RECRUITINGAki-gun, Hiroshima, 735-8585, Japan
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Monash Medical Centre
RECRUITINGClayton, Victoria, 3168, Australia
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Monroe Biomedical Research
RECRUITINGMonroe, North Carolina, 28112, United States
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Nakamura Clinic
RECRUITINGUrasoe-shi, Okinawa, 901-2132, Japan
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Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy
RECRUITINGWarsaw, 04-635, Poland
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Nemocnice Rudolfa a Stefanie Benesov as
RECRUITINGBenesov U Prahy, 256 01, Czechia
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NeuroTrials Research
RECRUITINGAtlanta, Georgia, 30328, United States
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Northwest Clinical Research Center
RECRUITINGBellevue, Washington, 98007, United States
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Nucleo de Pesquisa do Rio Grande do Sul
RECRUITINGPorto Alegre, Rio Grande do Sul, 90430-001, Brazil
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Peninsula Research Associates
RECRUITINGRolling Hills Estates, California, 90274, United States
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RESM ShinYokohama Sleep and Respiratory Medical Care Clinic
RECRUITINGYokohama, Kanagawa, 222-0033, Japan
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Red-Institut GmbH
RECRUITINGOldenburg, 23758, Germany
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Reformatus Pulmonologiai Centrum
RECRUITINGTörökbálint, 2045, Hungary
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Royal Brisbane and Womens Hospital
RECRUITINGHerston, Queensland, 4006, Australia
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Saiseikai Futsukaichi Hospital
RECRUITINGChikushino-shi, Fukuoka, 818-8516, Japan
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Siteworks - Zentrum fuer klinische Studien Hannover
RECRUITINGHanover, 30449, Germany
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Siteworks - Zentrum fuer klinische Studien Karlsruhe
RECRUITINGKarlsruhe, 76137, Germany
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Sleep Therapy & Research Center
RECRUITINGSan Antonio, Texas, 78229, United States
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Sleep and Mental Clinic-Kitahiroshima
RECRUITINGKitahiroshima-shi, Hokkaido, 061-1121, Japan
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SomnoCenter Budapest Alvaszavar Kozpont
RECRUITINGBudapest, 1012, Hungary
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Teradan Clinical Trials
RECRUITINGBrandon, Florida, 33511, United States
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Uniwersytecki Szpital Kliniczny w Bialymstoku
RECRUITINGBialystok, 15-276, Poland
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Uniwersytecki Szpital Kliniczny w Poznaniu
RECRUITINGPoznan, 60-569, Poland
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Valley Clinical Trials
RECRUITINGNorthridge, California, 91325, United States
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Wharton Medical Clinic
RECRUITINGHamilton, Ontario, L8L 5G8, Canada
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Woolcock Institute of Medical Research
RECRUITINGMacquarie Park, New South Wales, 2113, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Hypercapnic burden in adults with obesity undergoing diagnostic polysomnography for suspected obstructive sleep apnea: a prospective observational cohort study
- Real-world evaluation of the clinical performance and safety of apneal dx for the screening and aid in the diagnosis of obstructive sleep apnea-hypopnea syndrome in adults: a post-market clinical follow-up study
- Can a small breathing hurdle ease sleep apnea?
- Can a weekly shot ease sleep apnea in obesity?
- Can a Mini-Dose drug combo rescue Post-Surgery sleep for sleep apnea patients?
- Could a treadmill tame sleep apnea and calm brain inflammation?