Obstructive Sleep Apnea: An Evolving Therapeutic Landscape with an Emerging Role for Incretin-Based Therapies

Jul 23, 2025Advances in therapy

New Treatments for Obstructive Sleep Apnea Including Incretin-Based Therapies

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Abstract

The recent approval of tirzepatide for obesity-related (OSA) represents a significant milestone in treatment options.

  • Obstructive sleep apnea is characterized by repetitive airway collapse during sleep, leading to low oxygen levels and disrupted sleep.
  • OSA is highly prevalent and is closely linked to obesity and an increased risk of cardiovascular disease.
  • Traditional therapies, such as positive airway pressure devices, are effective but often poorly tolerated and have limited long-term cardiovascular benefits.
  • Emerging therapies are being developed to target specific physiological traits affecting OSA, including arousal threshold and muscle responsiveness.
  • Tirzepatide offers dual benefits by promoting weight loss and improving the severity and symptoms of OSA.

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Key numbers

20–24 events/hour
Average AHI Reduction with Tirzepatide
Observed in patients with moderate-to-severe at 52 weeks.
15%
Average Weight Loss with Semaglutide
Compared to an average of 2.4% weight loss with placebo.
12 events/hour
Average AHI Decrease with Liraglutide
Significant decrease after 32 weeks in patients with and obesity.

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