Clinical research

SURMOUNT-OSA: Tirzepatide in obstructive sleep apnoea with obesity

Two phase 3, randomised, double-blind, placebo-controlled trials under one master protocol. Sample size not extracted, over 52 weeks. Sponsor: Eli Lilly and Company.

SURMOUNT-OSA (NCT05412004) tested tirzepatide once weekly at maximum tolerated dose at 10 mg or 15 mg against placebo in adults with moderate-to-severe obstructive sleep apnoea and obesity. trial 1 enrolled participants not using positive airway pressure; trial 2 enrolled participants using pap at baseline.Tirzepatide reduced the apnoea-hypopnoea index, body weight, hypoxic burden, hsCRP and systolic blood pressure, and improved sleep-related patient-reported outcomes Primary source linked: the source is a citable peer-reviewed / registry record, which we have not independently re-extracted from the full paper in this session.

Study design

DesignTwo phase 3, randomised, double-blind, placebo-controlled trials under one master protocol
PopulationAdults with moderate-to-severe obstructive sleep apnoea and obesity. Trial 1 enrolled participants not using positive airway pressure; trial 2 enrolled participants using PAP at baseline
Sample sizeNot stated
InterventionTirzepatide once weekly at maximum tolerated dose (10 mg or 15 mg)
ComparatorPlacebo
Duration52 weeks
Primary endpointChange in apnoea-hypopnoea index from baseline
SponsorEli Lilly and Company

Results

Tirzepatide reduced the apnoea-hypopnoea index, body weight, hypoxic burden, hsCRP and systolic blood pressure, and improved sleep-related patient-reported outcomes

Adverse events & discontinuations

Not extracted from the source in this session.

Limitations

Industry-funded. PAP was withdrawn before assessment in trial 2, which complicates comparison with continued PAP therapy. Reduction in AHI is not the same as resolution of sleep apnoea, and tirzepatide is not a substitute for PAP in every patient.

Practical interpretation

This is one trial, reported by Eli Lilly and Company, read directly against the registry and publication linked below — GLP Ranked has not re-run the statistics or obtained the patient-level data. Results describe group averages under trial conditions and may not describe any individual's outcome, including with a compounded, non-FDA-approved version of a similar active ingredient. Always check the primary source before citing a specific number.

Sources

  1. New England Journal of Medicine 2024;391(13) — Peer-reviewed publication
  2. SURMOUNT-OSA — ClinicalTrials.gov record NCT05412004 — Trial registry record

Cite this page

GLP Ranked. "SURMOUNT-OSA: Tirzepatide in obstructive sleep apnoea with obesity." Updated 2026-07-24. https://glpranked.com/research/surmount-osa/

GLP Ranked. "SURMOUNT-OSA: Tirzepatide in obstructive sleep apnoea with obesity." Updated 2026-07-24. https://glpranked.com/research/surmount-osa/