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liraglutide glp 1 agonist rct 2012-06-07 ClinicalTrials

Liraglutide Investigated for Obstructive Sleep Apnoea in Obese Patients

Effect of Liraglutide in Obese Subjects With Moderate or Severe Obstructive Sleep Apnoea: SCALE™ - Sleep Apnoea

Background

Obesity is a major global health concern, frequently co-occurring with obstructive sleep apnoea (OSA), a condition characterized by repeated breathing interruptions during sleep. OSA can lead to serious cardiovascular and metabolic complications, significantly impacting patient health. While weight loss is known to improve OSA, the direct impact of GLP-1 receptor agonists like liraglutide on OSA severity in obese individuals, independent of weight loss mechanisms, requires further investigation.

Study Design

Population
Obese patients with obstructive sleep apnoea.
Intervention
Liraglutide, a GLP-1 analogue, administered over 32 weeks.
Comparator
placebo
Outcome
Change in Apnoea-hypopnoea Index (AHI) from baseline.

Results

The study aimed to quantify the effect of liraglutide on the Apnoea-hypopnoea Index (AHI), a key diagnostic measure for obstructive sleep apnoea severity, which quantifies apnoea and hypopnoea events per hour of sleep. AHI categorizes severity as none (≤4.9 events/hour), mild (5.0-14.9 events/hour), moderate (15.0-29.9 events/hour), or severe (≥30.0 events/hour). While the trial design clearly outlined the measurement of AHI change over 32 weeks, the specific numerical results detailing the observed mean change from baseline in AHI for both the liraglutide and placebo groups were not provided in the available summary. Therefore, a quantitative comparison of treatment versus control regarding AHI improvement cannot be presented here. This means the actual impact of liraglutide on reducing sleep apnoea events in this cohort remains undisclosed in the provided information. The primary outcome was the change in Apnoea-hypopnoea Index (AHI) from baseline after 32 weeks of treatment, a critical metric for assessing obstructive sleep apnoea severity.

Why It Matters

Obstructive sleep apnoea significantly impacts quality of life and carries substantial health risks, particularly in obese populations. Liraglutide, a GLP-1 analogue, is already approved for weight management and type 2 diabetes, making it a well-established therapeutic agent. If liraglutide demonstrates a direct benefit on OSA severity, it could offer a dual-purpose therapeutic strategy for obese patients with this common comorbidity, potentially leading to expanded clinical indications and improved patient outcomes. This would represent a significant advancement in managing complex metabolic and respiratory conditions, warranting further investigation into its mechanisms of action beyond weight loss.


liraglutide glp 1 agonist glp-1r dose mentioned protocol relevant
Source: clinicaltrials:NCT01557166 · Ingested 2026-05-04 · Digest: gemini-2.5-flash