RecruitingPhase 3NCT07225686

Maridebart Cafraglutide Versus Placebo in Adult Participants With Obstructive Sleep Apnea on Positive Airway Pressure Therapy

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


Sponsor

Amgen

Enrollment

250 participants

Start Date

Dec 19, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This Phase 3 clinical trial is designed to evaluate the efficacy and safety of maridebart cafraglutide compared to placebo over a 52-week period in adults with obstructive sleep apnea (OSA) who are receiving positive airway pressure (PAP) therapy and are living with overweight or obesity.


Eligibility

Min Age: 18 YearsMax Age: 99 Years

Inclusion Criteria4

  • 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 Criteria6

  • 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.

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Interventions

DRUGMaridebart cafraglutide

Participants will receive maridebart cafraglutide as SC injections.

DRUGPlacebo

Participants will receive placebo SC.


Locations(37)

Peninsula Research Associates

Rolling Hills Estates, California, United States

Teradan Clinical Trials

Brandon, Florida, United States

Destiny Research Center

Palmetto Bay, Florida, United States

Clinical Research Center Of Florida

Pompano Beach, Florida, United States

Basil Clinical

Laurelton, New York, United States

Monroe Biomedical Research

Monroe, North Carolina, United States

CTI Clinical Research Center

Cincinnati, Ohio, United States

FutureSearch Trials of Neurology

Austin, Texas, United States

Epic Medical Research - DeSoto

DeSoto, Texas, United States

Sleep Therapy & Research Center

San Antonio, Texas, United States

Northwest Clinical Research Center

Bellevue, Washington, United States

Woolcock Institute of Medical Research

Macquarie Park, New South Wales, Australia

Royal Brisbane and Womens Hospital

Herston, Queensland, Australia

Monash Medical Centre

Clayton, Victoria, Australia

CaRe Clinic

Calgary, Alberta, Canada

Aggarwal and Associates Ltd

Brampton, Ontario, Canada

Wharton Medical Clinic

Hamilton, Ontario, Canada

Nemocnice Rudolfa a Stefanie Benesov as

Benesov U Prahy, Czechia

Cerebrovaskularni poradna sro

Ostrava - Poruba, Czechia

Centre Hospitalier Universitaire de Bordeaux - Hopital Pellegrin

Bordeaux, France

Centre Hospitalier Universitaire de Grenoble - Hopital Nord Michallon

Grenoble, France

Advanced Sleep Research

Berlin, Germany

InnoDiab Forschung

Essen, Germany

Diabeteszentrum Hamburg West

Hamburg, Germany

Siteworks - Zentrum fuer klinische Studien Hannover

Hanover, Germany

Siteworks - Zentrum fuer klinische Studien Karlsruhe

Karlsruhe, Germany

Red-Institut GmbH

Oldenburg, Germany

SomnoCenter Budapest Alvaszavar Kozpont

Budapest, Hungary

Debreceni Egyetem Klinikai Kozpont

Debrecen, Hungary

Erzsebet Gondozohaz

Gödöllő, Hungary

SomnoCenter Szeged Alvaszavar Kozpont

Szeged, Hungary

Reformatus Pulmonologiai Centrum

Törökbálint, Hungary

Fukuoka University Hospital

Fukuoka, Fukuoka, Japan

Kuwamizu Hospital

Kumamoto, Kumamoto, Japan

Nakamura Clinic

Urasoe-shi, Okinawa, Japan

Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy

Warsaw, Poland

Centro Medico Teknon

Barcelona, Catalonia, Spain

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NCT07225686


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