Biomarker & Intervention Discovery

Obstructive Sleep Apnoea (OSA)

This page lists 9 druggable gene targets, 44 approved or trial-tested drug candidates and 15 recent clinical trials for Obstructive Sleep Apnoea (OSA), with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Candidates include existing drugs that could be repurposed. Sources are linked so you can check every claim.

Spontaneous remissionSpontaneous resolution without intervention rare; weight loss of 10-15% reduces AHI by 25-50% in obese patients; mild…
Best-intervention remissionCPAP: eliminates apnoeic events (AHI <5) in 95%+ when used; improves BP 2-3 mmHg, Epworth sleepiness, QoL; mandibular…
Gap sizeVery large — CPAP adherence is the dominant problem; 30-50% of CPAP-prescribed patients are non-adherent; alternative…
Primary barrierpractice/adherence
Full remission profile →

Remission & chronicity

Spontaneous remission
Spontaneous resolution without intervention rare; weight loss of 10-15% reduces AHI by 25-50% in obese patients; mild OSA may resolve with weight loss; moderate-severe OSA essentially irreversible without intervention
Best-intervention remission
CPAP: eliminates apnoeic events (AHI <5) in 95%+ when used; improves BP 2-3 mmHg, Epworth sleepiness, QoL; mandibular advancement device (MAD): reduces AHI 50-60% in mild-moderate, less effective in severe; bariatric surgery: AHI reduction 80-85% (OSA resolution in 40-50%); hypoglossal nerve stimulation (Inspire): AHI reduction 68% at 12 months
Gap size
Very large — CPAP adherence is the dominant problem; 30-50% of CPAP-prescribed patients are non-adherent; alternative approaches (MAD, positional therapy, weight loss) underused in non-adherent patients
Primary barrier
practice/adherence
CPAP adherence is the single largest challenge in sleep medicine; 50% of patients discontinue CPAP within 1-3 years; inadequate follow-up support and lack of alternatives to CPAP for non-adherent patients; hypoglossal nerve stimulation (Inspire) is highly effective in CPAP-intolerant patients but vastly underutilised

Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

CA2 174CHRM3 333GIPR 193GLP1R 316HCRTR2 245HTR2A 362LEPR 7SLC6A2 281SLC6A3 187
Therapeutic Agent Effect Direction Evidence Tier Potency Source
GUAIACOL ? unclear Mechanistic
PHENOL ? unclear Mechanistic
DORZOLAMIDE HYDROCHLORIDE ? unclear Mechanistic
BRINZOLAMIDE ↓ inhibits Mechanistic
ACETAZOLAMIDE ↓ inhibits Mechanistic 12.0 nM (Ki)
CHLOROTHIAZIDE ? unclear Mechanistic
SULFAMIDE ? unclear Mechanistic
DICHLORPHENAMIDE ↓ inhibits Mechanistic 38.0 nM (Ki)
ETHINAMATE ? unclear Mechanistic
COMPOUND 5B [PMID: 31287314] ↓ inhibits Mechanistic
SULTHIAME ↓ inhibits Mechanistic
RECOMBINANT INTERLEUKIN-3 ? unclear Mechanistic
PARABEN ? unclear Mechanistic
METHAZOLAMIDE ↓ inhibits Mechanistic 14.0 nM (Ki)
POLMACOXIB ↓ inhibits Mechanistic
COMPOUND 11 [PMID: 41150938] ↓ inhibits Mechanistic
FERULIC ACID ? unclear Mechanistic
PYROGALLOL ↓ inhibits Mechanistic
TOPIRAMATE ↓ inhibits Mechanistic
BENZTHIAZIDE ? unclear Mechanistic
CYCLOTHIAZIDE ? unclear Mechanistic
SALVIANOLIC ACID A ↓ inhibits Mechanistic
MAFENIDE ? unclear Mechanistic 170.0 nM (Ki)
EPOETIN ALFA ? unclear Mechanistic
COMPOUND 5A [PMID: 31287314] ↓ inhibits Mechanistic
DORZOLAMIDE ? unclear Mechanistic 9.0 nM (Ki)
TRICHLORMETHIAZIDE ? unclear Mechanistic
ACETAZOLAMIDE SODIUM ↓ inhibits Mechanistic
CURCUMIN ? unclear Mechanistic
ETHOXZOLAMIDE ↓ inhibits Mechanistic 8.0 nM (Ki)
COBALT ? unclear Mechanistic
CHEMBL268177 ↓ inhibits Mechanistic 70.0 nM (Ki)
CHEMBL268439 ↓ inhibits Mechanistic 2.0 nM (Ki)
CHEMBL544127 ↓ inhibits Mechanistic 9.0 nM (IC50)
CHEMBL148167 ↓ inhibits Mechanistic 1.0 nM (Ki)
CHEMBL358290 ↓ inhibits Mechanistic 42.0 nM (Ki)
CHEMBL148426 ↓ inhibits Mechanistic 33.0 nM (Ki)
CHEMBL144766 ↓ inhibits Mechanistic 13.0 nM (Ki)
CHEMBL356059 ↓ inhibits Mechanistic 10.0 nM (Ki)
CHEMBL144970 ↓ inhibits Mechanistic 11.0 nM (Ki)

Showing top 40 of 174 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
OCTOTROPINE METHYLBROMIDE ↓ inhibits Mechanistic
TIOTROPIUM ↓ inhibits Mechanistic
BETHANECHOL CHLORIDE ↑ activates Mechanistic
GLYCOPYRRONIUM TOSYLATE ↓ inhibits Mechanistic
REVEFENACIN ↓ inhibits Mechanistic
OXYBUTYNIN ↓ inhibits Mechanistic
MUSCARINIC TOXIN 7 ↓ inhibits Mechanistic
SOLIFENACIN ↓ inhibits Mechanistic
ZAMIFENACIN ? unclear Mechanistic
UMECLIDINIUM BROMIDE ↓ inhibits Mechanistic
ACLIDINIUM ↓ inhibits Mechanistic
PROPIOMAZINE ? unclear Mechanistic
(S)-DIMETINDENE ↓ inhibits Mechanistic
TERODILINE HYDROCHLORIDE ↓ inhibits Mechanistic
IPRATROPIUM CATION ↓ inhibits Mechanistic
PENTYLTHIO-TZTP ↑ activates Mechanistic
CARBAMOYLCHOLINE ↑ activates Mechanistic
IPRATROPIUM BROMIDE ↓ inhibits Mechanistic
DIPHENIDOL ? unclear Mechanistic
METHYLHOMATROPINE ? unclear Mechanistic
PROMAZINE ? unclear Mechanistic
METHSCOPOLAMINE BROMIDE ↓ inhibits Mechanistic
ACETYLCHOLINE CHLORIDE ↑ activates Mechanistic
TROPICAMIDE ↓ inhibits Mechanistic
AZD8683 ↓ inhibits Mechanistic
PIPERTRAMINE ? unclear Mechanistic
TRIDIHEXETHYL ? unclear Mechanistic
MEPENZOLATE BROMIDE ↓ inhibits Mechanistic
TOLTERODINE ↓ inhibits Mechanistic
FESOTERODINE ? unclear Mechanistic
HEXOCYCLIUM METHYLSULFATE ↓ inhibits Mechanistic
SUCCINYLCHOLINE ? unclear Mechanistic
OLANZAPINE ? unclear Mechanistic
SOFPIRONIUM BROMIDE ↓ inhibits Mechanistic
[3H]TIOTROPIUM ↓ inhibits Mechanistic
ML381 ↓ inhibits Mechanistic
PIPERTRAMINE AMIDE ? unclear Mechanistic
MEPENZOLATE ↓ inhibits Mechanistic
ACECLIDINE ↑ activates Mechanistic
OXOTREMORINE ↑ activates Mechanistic 210.0 nM (EC50)

Showing top 40 of 333 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
HUMAN GIP(5-30)NH2 ↓ inhibits Mechanistic
RETATRUTIDE ↑ activates Mechanistic
HUMAN GIP(1-30)NH2 ↑ activates Mechanistic
HUMAN GIP(3-42)NH2 ↓ inhibits Mechanistic
GASTRIC INHIBITORY POLYPEPTIDE ↑ activates Mechanistic
MARIDEBART CAFRAGLUTIDE ↓ inhibits Mechanistic
HUMAN GIP(3-30)NH2 ↓ inhibits Mechanistic
MK-0893 ↓ inhibits Mechanistic 1019.0 nM (IC50)
OLANZAPINE ? unclear Mechanistic
TIRZEPATIDE ↑ activates Mechanistic 0.03 nM (EC50)
MGIPANT-1 ↓ inhibits Mechanistic
CHEMBL198387 ↓ inhibits Mechanistic 430.0 nM (IC50)
CHEMBL234087 ↓ inhibits Mechanistic 132.0 nM (IC50)
CHEMBL411832 ↓ inhibits Mechanistic 117.0 nM (IC50)
CHEMBL395759 ↓ inhibits Mechanistic 217.0 nM (IC50)
CHEMBL411831 ↓ inhibits Mechanistic 178.0 nM (IC50)
CHEMBL232241 ↓ inhibits Mechanistic 171.0 nM (IC50)
CHEMBL232239 ↓ inhibits Mechanistic 435.0 nM (IC50)
CHEMBL398180 ↓ inhibits Mechanistic 603.0 nM (IC50)
CHEMBL396215 ↓ inhibits Mechanistic 296.0 nM (IC50)
CHEMBL407028 ↓ inhibits Mechanistic 4256.0 nM (IC50)
CHEMBL411833 ↓ inhibits Mechanistic 2023.0 nM (IC50)
CHEMBL232448 ↓ inhibits Mechanistic 3525.0 nM (IC50)
CHEMBL430163 ↓ inhibits Mechanistic 1279.0 nM (IC50)
CHEMBL232037 ↓ inhibits Mechanistic 610.0 nM (IC50)
CHEMBL232242 ↓ inhibits Mechanistic 118.0 nM (IC50)
CHEMBL232224 ↓ inhibits Mechanistic 286.0 nM (IC50)
CHEMBL198736 ↓ inhibits Mechanistic 28.3 nM (IC50)
CHEMBL452451 ↓ inhibits Mechanistic 497.0 nM (IC50)
CHEMBL528775 ↓ inhibits Mechanistic 411.0 nM (IC50)
CHEMBL447684 ↓ inhibits Mechanistic 277.0 nM (IC50)
CHEMBL455214 ↓ inhibits Mechanistic 83.0 nM (IC50)
CHEMBL487668 ↓ inhibits Mechanistic 93.0 nM (IC50)
CHEMBL447742 ↓ inhibits Mechanistic 74.0 nM (IC50)
CHEMBL504245 ↓ inhibits Mechanistic 198.0 nM (IC50)
CHEMBL453457 ↓ inhibits Mechanistic 12.0 nM (IC50)
CHEMBL520893 ↓ inhibits Mechanistic 406.0 nM (IC50)
CHEMBL487662 ↓ inhibits Mechanistic 1392.0 nM (IC50)
CHEMBL486651 ↓ inhibits Mechanistic 98.0 nM (IC50)
CHEMBL456738 ↓ inhibits Mechanistic 145.0 nM (IC50)

Showing top 40 of 193 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
LINAGLIPTIN ? unclear Mechanistic
FRONIGLUTIDE ? unclear Mechanistic
CHEMBL:CHEMBL576809 ? unclear Mechanistic
2-METHOXYESTRADIOL ? unclear Mechanistic
SURVODUTIDE ↑ activates Mechanistic
LIRAGLUTIDE ↑ activates Mechanistic
GLUCAGON-LIKE PEPTIDE 1-(7-36) AMIDE ↑ activates Mechanistic
CHEMBL:CHEMBL530609 ? unclear Mechanistic
PRAMLINTIDE ? unclear Mechanistic
CHEMBL:CHEMBL580076 ? unclear Mechanistic
PEGAPAMODUTIDE ↑ activates Mechanistic
TRICLABENDAZOLE ? unclear Mechanistic
CHEMBL:CHEMBL597244 ? unclear Mechanistic
CHEMBL:CHEMBL600734 ? unclear Mechanistic
CHEMBL:CHEMBL1422704 ? unclear Mechanistic
CHEMBL:CHEMBL1390716 ? unclear Mechanistic
AMORFRUTIN A ? unclear Mechanistic
CHEMBL:CHEMBL317115 ? unclear Mechanistic
FENBENDAZOLE ? unclear Mechanistic
CHEMBL:CHEMBL585444 ? unclear Mechanistic
MITONAFIDE ? unclear Mechanistic
HOMIDIUM BROMIDE ? unclear Mechanistic
GLUCAGON-LIKE PEPTIDE 1-(7-37) ↑ activates Mechanistic
DANUGLIPRON ↑ activates Mechanistic
CHEMBL:CHEMBL1543865 ? unclear Mechanistic
CHEMBL:CHEMBL532452 ? unclear Mechanistic
AVEXITIDE ↓ inhibits Mechanistic
CHEMBL:CHEMBL548286 ? unclear Mechanistic
CHEMBL:CHEMBL1270168 ? unclear Mechanistic
CHEMBL:CHEMBL591834 ? unclear Mechanistic
CHEMBL:CHEMBL581152 ? unclear Mechanistic
CHEMBL:CHEMBL605708 ? unclear Mechanistic
LASALOCID A SODIUM ? unclear Mechanistic
SAXAGLIPTIN ANHYDROUS ? unclear Mechanistic
CHEMBL:CHEMBL86464 ? unclear Mechanistic
CHEMBL:CHEMBL1509103 ? unclear Mechanistic
CHEMBL:CHEMBL261693 ? unclear Mechanistic
ALBUTEROL SULFATE ? unclear Mechanistic
CHEMBL:CHEMBL1569494 ? unclear Mechanistic
GLUTAZUMAB ↑ activates Mechanistic

Showing top 40 of 316 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
DARIDOREXANT ↓ inhibits Mechanistic
TCS 1102 ↓ inhibits Mechanistic
FILOREXANT ↓ inhibits Mechanistic
T-516 ↑ activates Mechanistic
OREXIN-A ↑ activates Mechanistic
ACT-335827 ↓ inhibits Mechanistic
MK-3697 ↓ inhibits Mechanistic
ACT-462206 ↓ inhibits Mechanistic
EMPA ↓ inhibits Mechanistic
OVEPOREXTON ↑ activates Mechanistic
RTOXA-43 ↑ activates Mechanistic
FIRAZOREXTON ↑ activates Mechanistic
HTL6641 ↓ inhibits Mechanistic
DANAVOREXTON ↑ activates Mechanistic
SELTOREXANT ↓ inhibits Mechanistic
COMPOUND 1 [PMID: 33547286] ↑ activates Mechanistic
[3H]-TCS 1102 ↓ inhibits Mechanistic
FAZAMOREXANT ↓ inhibits Mechanistic
ORN-0829 HYDRATE ↓ inhibits Mechanistic
CP-1 ↓ inhibits Mechanistic
[3H]EMPA ↓ inhibits Mechanistic
SB-649868 ↓ inhibits Mechanistic
(R)-YNT-3708 ↑ activates Mechanistic
VORNOREXANT ↓ inhibits Mechanistic
SUVOREXANT ↓ inhibits Mechanistic
SB-674042 ↓ inhibits Mechanistic
ALIXOREXTON ↑ activates Mechanistic
[3H]-ALMOREXANT ↓ inhibits Mechanistic
SB-334867 ↓ inhibits Mechanistic
[125I]OREXIN A (HUMAN, MOUSE, RAT) ? unclear Mechanistic
YNT-185 ↑ activates Mechanistic
TCS-OX2-29 ↓ inhibits Mechanistic
CVN45502 ↓ inhibits Mechanistic
[3H]T-516 ↑ activates Mechanistic
LEMBOREXANT ↓ inhibits Mechanistic
[3H]SB-674042 ↓ inhibits Mechanistic
LSN2424100 ↓ inhibits Mechanistic
ALMOREXANT ↓ inhibits Mechanistic
NAG 26 ↑ activates Mechanistic
[ALA11, D-LEU15]OREXIN-B ↑ activates Mechanistic

Showing top 40 of 245 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
LURASIDONE HYDROCHLORIDE ? unclear Mechanistic
ESMIRTAZAPINE ? unclear Mechanistic
PERGOLIDE ↑ activates Mechanistic
XANOMELINE ↓ inhibits Mechanistic
BROLAMFETAMINE ↑ activates Mechanistic 41.0 nM (Ki)
BRL-15572 ↑ activates Mechanistic
ARIPIPRAZOLE LAUROXIL ↓ inhibits Mechanistic
MIANSERIN ↓ inhibits Mechanistic
[3H]8-OH-DPAT ↑ activates Mechanistic
OLANZAPINE ↓ inhibits Mechanistic
SB 228357 ↓ inhibits Mechanistic
5-HYDROXYTRYPTAMINE ↑ activates Mechanistic
HALOPERIDOL LACTATE ↓ inhibits Mechanistic
METHYLERGONOVINE ↑ activates Mechanistic
QUIPAZINE ↑ activates Mechanistic
ASENAPINE ↓ inhibits Mechanistic
FLUPHENAZINE HYDROCHLORIDE ↓ inhibits Mechanistic
LUMATEPERONE ↓ inhibits Mechanistic
TRIFLUOPERAZINE ↓ inhibits Mechanistic
KETANSERIN ↓ inhibits Mechanistic
LOXAPINE ↓ inhibits Mechanistic
VER-3323 ↑ activates Mechanistic
SARPOGRELATE ↓ inhibits Mechanistic
BREXPIPRAZOLE ↓ inhibits Mechanistic
EPLIVANSERIN ? unclear Mechanistic
PROMAZINE HYDROCHLORIDE ↓ inhibits Mechanistic
TRAZODONE ↓ inhibits Mechanistic
MOLINDONE HYDROCHLORIDE ↓ inhibits Mechanistic
BLONANSERIN ↓ inhibits Mechanistic
MOLINDONE ↓ inhibits Mechanistic
9-OH-RISPERIDONE ↓ inhibits Mechanistic
PRUVANSERIN ↓ inhibits Mechanistic
QUETIAPINE FUMARATE ↓ inhibits Mechanistic
NEFAZODONE ↓ inhibits Mechanistic
BW723C86 ↑ activates Mechanistic
MESORIDAZINE ↓ inhibits Mechanistic
ORG 12962 ↑ activates Mechanistic
FLIBANSERIN ↓ inhibits Mechanistic
LP-12 ↑ activates Mechanistic
MESORIDAZINE BESYLATE ↓ inhibits Mechanistic

Showing top 40 of 362 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
MIBAVADEMAB ↑ activates Mechanistic
VALPROIC ACID ? unclear Mechanistic
METRELEPTIN ↑ activates Mechanistic
SETMELANOTIDE ? unclear Mechanistic
ATORVASTATIN ? unclear Mechanistic
SIMVASTATIN ? unclear Mechanistic
APREMILAST ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
GUANETHIDINE ? unclear Mechanistic
BUPROPION HYDROCHLORIDE ↓ inhibits Mechanistic
TRIMIPRAMINE ↓ inhibits Mechanistic
DIETHYLPROPION ? unclear Mechanistic
LEVOMILNACIPRAN ↓ inhibits Mechanistic
DOXEPIN HYDROCHLORIDE ↓ inhibits Mechanistic
DULOXETINE HYDROCHLORIDE ↓ inhibits Mechanistic
DASOTRALINE ↓ inhibits Mechanistic
SERDEXMETHYLPHENIDATE ↓ inhibits Mechanistic
ZOTEPINE ↓ inhibits Mechanistic
LOFEPRAMINE ↓ inhibits Mechanistic
LISDEXAMFETAMINE DIMESYLATE ? unclear Mechanistic
NEFAZODONE ↓ inhibits Mechanistic 360.0 nM (Kd)
3-IODOBENZYLGUANIDINE ? unclear Mechanistic
PHENTERMINE RESIN ? unclear Mechanistic
REBOXETINE ↓ inhibits Mechanistic 1.1 nM (Ki)
NORZOTEPINE ↓ inhibits Mechanistic
ATOMOXETINE HYDROCHLORIDE ↓ inhibits Mechanistic
SERDEXMETHYLPHENIDATE CHLORIDE ↓ inhibits Mechanistic
SOLRIAMFETOL ↓ inhibits Mechanistic
DESIPRAMINE ↓ inhibits Mechanistic
METHYLPHENIDATE ↓ inhibits Mechanistic
AMPRELOXETINE ↓ inhibits Mechanistic
MILNACIPRAN ↓ inhibits Mechanistic
ORPHENADRINE CITRATE ↓ inhibits Mechanistic
AMITRIPTYLINE HYDROCHLORIDE ↓ inhibits Mechanistic
[3H]NISOXETINE ↓ inhibits Mechanistic
PHENDIMETRAZINE TARTRATE ↓ inhibits Mechanistic
LEVOMILNACIPRAN HYDROCHLORIDE ↓ inhibits Mechanistic
METHAMPHETAMINE HYDROCHLORIDE ↓ inhibits Mechanistic
AMITIFADINE HYDROCHLORIDE ? unclear Mechanistic
AMOXAPINE ↓ inhibits Mechanistic
QUETIAPINE FUMARATE ↓ inhibits Mechanistic
AMITIFADINE ? unclear Mechanistic
VENLAFAXINE HYDROCHLORIDE ↓ inhibits Mechanistic
HINOKININ ? unclear Mechanistic
TESOFENSINE ? unclear Mechanistic
TEDATIOXETINE ? unclear Mechanistic
MAZINDOL ↓ inhibits Mechanistic 18.0 nM (Ki)
AMPHETAMINE ASPARTATE ? unclear Mechanistic

Showing top 40 of 281 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
DASOTRALINE ↓ inhibits Mechanistic
MAZINDOL ↓ inhibits Mechanistic 42.6 nM (IC50)
BUPROPION HYDROBROMIDE ↓ inhibits Mechanistic
SIBUTRAMINE ↓ inhibits Mechanistic
METHYLPHENIDATE ↓ inhibits Mechanistic
3,4-METHYLENEDIOXYMETHAMPHETAMINE ? unclear Mechanistic
LISDEXAMFETAMINE DIMESYLATE ? unclear Mechanistic
TESOFENSINE ↓ inhibits Mechanistic
PHENDIMETRAZINE TARTRATE ↓ inhibits Mechanistic
LEVOMILNACIPRAN ↓ inhibits Mechanistic
BUPROPION HYDROCHLORIDE ↓ inhibits Mechanistic
AMPHETAMINE ADIPATE ? unclear Mechanistic
ANESTHETIC AGENT ? unclear Mechanistic
TRIMIPRAMINE ↓ inhibits Mechanistic
AMPHETAMINE ASPARTATE ? unclear Mechanistic
RTI-336 ? unclear Mechanistic
HINOKININ ? unclear Mechanistic
[3H]GBR12935 ↓ inhibits Mechanistic
METYROSINE ? unclear Mechanistic
DIETHYLPROPION HYDROCHLORIDE ↓ inhibits Mechanistic
CLOMIPRAMINE ↓ inhibits Mechanistic
SERDEXMETHYLPHENIDATE CHLORIDE ↓ inhibits Mechanistic
METHYLPHENIDATE HYDROCHLORIDE ? unclear Mechanistic
PHENMETRAZINE ? unclear Mechanistic
CLOZAPINE ? unclear Mechanistic
COMPOUND 58 [PMID: 25037917] ↓ inhibits Mechanistic
SOLRIAMFETOL ↓ inhibits Mechanistic
ALTROPANE ? unclear Mechanistic
TOLUDESVENLAFAXINE ↓ inhibits Mechanistic
DEXTROAMPHETAMINE SACCHARATE ? unclear Mechanistic
PYROVALERONE HYDROCHLORIDE ↓ inhibits Mechanistic
DESVENLAFAXINE SUCCINATE ↓ inhibits Mechanistic
PHENTERMINE RESIN ? unclear Mechanistic
AMITIFADINE HYDROCHLORIDE ? unclear Mechanistic
PHENELZINE ↓ inhibits Mechanistic
BICIFADINE ↓ inhibits Mechanistic
PSEUDOEPHEDRINE POLISTIREX ? unclear Mechanistic
PHENMETRAZINE HYDROCHLORIDE ↓ inhibits Mechanistic
DEXTROAMPHETAMINE ADIPATE ? unclear Mechanistic
NOMIFENSINE ↓ inhibits Mechanistic

Showing top 40 of 187 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Obstructive Sleep Apnoea (OSA): recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT07679282 Phase: 4 Started: 2026-09-04

Researchers want to identify which treatments for obstructive sleep apnea (OSA) work best and are easiest for patients to use consistently. Eligible participants will be randomly assigned one of three OSA treatments: traditional PAP therapy, a dental device, or a combination of two FDA-approved medi...

NCT07635563 Phase: 2 Started: 2026-07-21

The goal of this randomized, double-blind, multi-dose crossover clinical trial is to determine the safety and efficacy of IHL-42X in subjects with obstructive sleep apnea. The primary endpoint is: Change in AHI4 at the end of each treatment period compared to baseline (each treatment period is 28 da...

NCT07743931 Phase: N/A Started: 2026-09-30

COMISA, the combination of obstructive sleep apnea (OSA) and insomnia, is a frequent and burdensome condition. Many patients with OSA experience clinically significant insomnia symptoms, and a substantial proportion of individuals with chronic insomnia also meet criteria for OSA. This comorbidity is...

NCT07226765 Phase: 3 Started: 2025-11-25

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 not on PAP therapy and are living with overweight or obesity.

NCT06649045 Phase: 3 Started: 2024-10-22

Study GZRA is a master protocol that will support 2 independent studies, GZ01 and GZ02. Participants will be assigned to the appropriate study prior to randomization. The purpose of the studies is to evaluate the efficacy and safety of orforglipron in participants who have moderate-to-severe OSA and...

NCT05813275 Phase: 3 Started: 2023-09-16

This is a Phase 3 Randomized Double-Blind Placebo-Controlled 6-month Parallel-Arm Study to Compare a Fixed Dose Combination of AD109 to Placebo in Obstructive Sleep Apnea.

NCT06566482 Phase: 4 Started: 2024-09-11

Patients with obstructive sleep apnea (OSA) are at increased risk of developing sleep disturbances after surgery. Dexmedetomidine is a highly selective α2-adrenergic agonist with sedative, analgesic, and anxiolytic effects. Ketamine is a noncompetitive N-methyl-d-aspartate (NMDA) receptor antagonist...

NCT07280468 Phase: 4 Started: 2026-03-14

Down syndrome is the most common genetic cause of intellectual disability. People with Down syndrome often have obstructive sleep apnea (OSA), a condition where people have difficulties with breathing while asleep. OSA can lead to poor sleep, worse quality of life, behavior problems and more difficu...

NCT06928766 Phase: 2 Started: 2025-10-31

Insomnia and obstructive sleep apnoea (OSA) are very common conditions, collectively estimated to affect 2 billion people globally, and share many of the same symptoms. It is also common for people to have both insomnia and sleep apnoea (COMISA). Indeed, 30 to 40% of patients with chronic insomnia a...

NCT07387094 Phase: 3 Started: 2026-02-09

The aim of the study is to assess the efficacy and safety of XW003 injections in obese participants with OSA but not receiving PAP

NCT07434050 Phase: 3 Started: 2026-03-02

The aim of the study is to assess the efficacy and safety of XW003 injections in obese participants with OSA receiving PAP

NCT06785454 Phase: 2 Started: 2025-02-28

The primary purpose of the study is to assess the effect of lorundrostat taken orally (po) once a day on the Apnea-Hypopnea Index (AHI) in participants with moderate to severe obstructive sleep apnea (OSA) and hypertension.

NCT05071612 Phase: 2 Started: 2021-11-29

This is a phase 2 randomized double-blind placebo-controlled parallel-arm dose finding study to compare fixed dose combinations of AD109 and AD504 to atomoxetine or placebo in Obstructive Sleep Apnea.

NCT06477952 Phase: 1/2 Started: 2025-08-25

This is an open-label trial that tests the effectiveness of Dronabinol in treating obstructive sleep apnea (OSA). All participants will take oral Dronabinol for two weeks. Sleep studies will be conducted before and after treatment to measure OSA severity.

NCT06146101 Phase: 2/3 Started: 2024-05-02

The goal of this randomised, double-blind phase II/III clinical trial is to determine the safety and efficacy of IHL-42X in subjects with obstructive sleep apnoea who are intolerant, non-compliant, or naïve to positive airway pressure. Phase II study will be a 4-week dose-finding study comparing two...


Agents Found By Disease-Level Search

Searched directly from “Obstructive Sleep Apnoea (OSA)” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 9-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

44 agents shown (approved or with trial evidence) — 43 not found by the gene-target search above.

Continuous positive airway pressureNOT in gene-target list

· 6 trials · source: ClinicalTrials.gov
NCT03086122 NCT06152692 NCT07427589

CPAPNOT in gene-target list

· 3 trials · source: ClinicalTrials.gov
NCT02886156 NCT05435794 NCT01943708

Toffee Full Face MaskNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT04615832 NCT03726346

eXciteOSANOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT05252156 NCT04974515

acetazolamide

Phase 2 · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT00928655 NCT01499485

CPAP or BiPAP machinesNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01060436

Average volume assured pressure support (AVAPS)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00479284

Paced BreathingNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01031914

Armodafinil 150 mg/dayNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00079677

Septoplasty with partial inferior turbinectomyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07622745

Nasal polypectomyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07622745

Partial inferior turbinectomyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07622745

SleepStyle 200 Auto Series with SensAwakeNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00811213

SleepStyle 200 Auto Series with out SensAwakeNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00811213

Computer controlled mandibular positionerNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03011762

Continuous positive airway pressure (CPAP)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03287973

Armodafinil 100 to 250 mg/dayNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00228553

Motivational Enhancement TherapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06047353

Positive Airway Pressure (PAP) therapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06047353

Reboxetine 4 MG Oral TabletNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05978505

BSCNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02886156

Adaptive Servo-VentilationNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02429986

TonsillectomyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06119841

Expansion sphincter pharyngoplastyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06119841

non-invasive positive airway pressureNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04192656

Methylprednisolone HemisuccinateNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04192656

GinatonNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04192656

Wearing of specific compression stockingsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05477719

Evaluation of TMD and pain sensitivityNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03766464

Evaluation of SBNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03766464

Evaluation of ABNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03766464

Maxillary expansionNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01837914

AdenotonsillectomyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01837914

wrist actimeterNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03701737

solriamfetol (JZP-110)NOT in gene-target list

Approved · 1 trial · source: ClinicalTrials.gov
NCT02348619

Nasal Continuous positive airway pressure - Tyco 420GNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00221065

nCPAPNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00746902

Polysomnography (PSG) to explore OSANOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07195253

MADNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05435794

Tests of upper airway collapsibility and muscle responsiveness.NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06334601

CPAP therapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04769635

nasal continuous positive airway pressureNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00435643

CPAP treatmentNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03987425

Quetiapine 50 MGNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05303935

Generated by the Open Source Medicine Foundation Biomarker Pipeline — 2026-10-08. Data sources: DGIdb, Open Targets, ChEMBL, PubMed, ClinicalTrials.gov. Not medical advice.