Clinical trial No longer in our active list Phase 3 Interventional Ages 18 to 99

Maridebart cafraglutide versus placebo for adults with obstructive sleep apnea on PAP therapy

Official title: A Phase 3 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety, and Tolerability of Maridebart Cafraglutide in Adult Participants With Obstructive Sleep Apnea on Positive Airway Pressure Therapy and Living With Overweight or Obesity

Run by Amgen · NCT07225686 · Data updated 2026-05-14

This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.

This study will test whether maridebart cafraglutide helps adults with obstructive sleep apnea who use positive airway pressure therapy and are overweight or obese over 52 weeks.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 99 Years
SexAll
Enrollment250 (estimated)
SponsorAmgen
Industry-sponsored
Locations51 sites (Northridge, California and 50 other locations)
Trial IDNCT07225686 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with obstructive sleep apnea (AHI ≥ 15) who are overweight or obese (BMI ≥ 27), have previously tried and not sustained weight loss, and have been on PAP therapy for at least three months are ideal candidates.

Probably not a fit

Patients whose breathing disorder is primarily central apnea, those with significant craniofacial abnormalities, recent or planned upper airway surgery, active non‑PAP OSA treatments that cannot be stopped, or people who are not overweight are unlikely to receive benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 trial compares maridebart cafraglutide to a matching placebo over 52 weeks in adults with obstructive sleep apnea who are receiving positive airway pressure (PAP) therapy and have BMI ≥ 27. Eligible participants must have an apnea–hypopnea index (AHI) ≥ 15, a history of at least one unsuccessful weight-loss attempt, and have used PAP therapy for at least three consecutive months. Participants receive the study drug or placebo while continuing PAP therapy, and investigators monitor safety, body weight, and measures of sleep-disordered breathing. The trial is conducted at outpatient clinical research sites in the United States.

Why it matters

Potential benefit: If successful, maridebart cafraglutide could help people with obesity and OSA lose weight and reduce the severity of sleep apnea while continuing PAP therapy.

How similar studies have gone: Other GLP‑1–class weight-loss medications have produced substantial weight loss and shown improvements in sleep apnea measures in prior studies, though this specific compound is being evaluated separately in a Phase 3 program.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* AHI ≥ 15 on polysomnography at day 1 before randomization.
* BMI ≥ 27 kg/m\^2 at screening.
* History of at least 1 unsuccessful attempt at weight loss by diet and exercise.
* On positive airway pressure (PAP) therapy for at least 3 consecutive months before screening and plan to continue PAP therapy during the trial.

Exclusion Criteria:

* Had any previous or planned upper airway surgery for sleep apnea or major ear, nose, or throat surgery.
* Significant craniofacial abnormalities that may affect breathing at screening.
* Diagnosis of Central Apnea with % of central apneas/hypopneas ≥ 50%, and/or diagnosis of Cheyne Stokes Respiration.
* Active device treatment of obstructive sleep apnea other than PAP therapy (eg, oral appliances), or other treatments, that in the opinion of the investigator, may interfere with trial outcomes, unless willing to stop treatment at screening and throughout the trial.
* Respiratory diseases such as obesity hypoventilation syndrome or daytime hypercapnia, or neuromuscular diseases such as myasthenia gravis or other conditions that could interfere with the results of the trial in the opinion of the investigator.
* Have personal circumstances or job-related responsibilities that prevent a 7-day PAP withdrawal before polysomnography testing during the course of the trial.

Where it's running

  • Valley Clinical Trials
    Northridge, California, United States
    Recruiting
  • Peninsula Research Associates
    Rolling Hills Estates, California, United States
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  • Teradan Clinical Trials
    Brandon, Florida, United States
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    Palmetto Bay, Florida, United States
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    Pompano Beach, Florida, United States
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  • NeuroTrials Research
    Atlanta, Georgia, United States
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    Laurelton, New York, United States
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    Monroe, North Carolina, United States
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    DeSoto, Texas, United States
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    Bellevue, Washington, United States
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    Macquarie Park, New South Wales, Australia
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    Herston, Queensland, Australia
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    Clayton, Victoria, Australia
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    Porto Alegre, Rio Grande do Sul, Brazil
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    São Paulo, São Paulo, Brazil
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    São Paulo, São Paulo, Brazil
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    Calgary, Alberta, Canada
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  • Aggarwal and Associates Ltd
    Brampton, Ontario, Canada
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  • Wharton Medical Clinic
    Hamilton, Ontario, Canada
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    Benesov U Prahy, Czechia
    Recruiting
  • Fakultni nemocnice Brno
    Brno, Czechia
    Recruiting
  • Cerebrovaskularni poradna sro
    Ostrava - Poruba, Czechia
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  • Centre Hospitalier Universitaire d'Angers
    Angers, France
    Recruiting
  • Centre Hospitalier Universitaire de Bordeaux - Hopital Pellegrin
    Bordeaux, France
    Recruiting
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    Grenoble, France
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    Berlin, Germany
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    Essen, Germany
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    Hamburg, Germany
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    Hanover, Germany
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  • Siteworks - Zentrum fuer klinische Studien Karlsruhe
    Karlsruhe, Germany
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  • Red-Institut GmbH
    Oldenburg, Germany
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  • SomnoCenter Budapest Alvaszavar Kozpont
    Budapest, Hungary
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  • Debreceni Egyetem Klinikai Kozpont
    Debrecen, Hungary
    Recruiting
  • Erzsebet Gondozohaz
    Gödöllő, Hungary
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  • SomnoCenter Szeged Alvaszavar Kozpont
    Szeged, Hungary
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  • Reformatus Pulmonologiai Centrum
    Törökbálint, Hungary
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  • Saiseikai Futsukaichi Hospital
    Chikushino-shi, Fukuoka, Japan
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  • Fukuoka University Hospital
    Fukuoka, Fukuoka, Japan
    Recruiting
  • Sleep and Mental Clinic-Kitahiroshima
    Kitahiroshima-shi, Hokkaido, Japan
    Recruiting
  • Kuwamizu Hospital
    Kumamoto, Kumamoto, Japan
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  • Nakamura Clinic
    Urasoe-shi, Okinawa, Japan
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  • Gokeikai Osaka Kaisei Hospital
    Osaka, Osaka, Japan
    Recruiting
  • Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy
    Warsaw, Poland
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    Barcelona, Catalonia, Spain
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    Barcelona, Catalonia, Spain
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  • Hospital Medico Quirurgico San Rafael
    A Coruña, Galicia, Spain
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+1 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.