ClinicalTrials.gg
RecruitingNCT07823608Updated Nov 5, 2026

A Study to Learn About the Monthly Dosing Study Medicine Called Berobenatide in Adults With Breathing Problems During Sleep and Overweight or Obesity Who Use a Breathing Machine (PAP) (VESPER-OSA 1)

A Phase 3 interventional study of Berobenatide and Placebo in Apnea, Sleep Disorders and Overweight and/or Obesity, sponsored by Pfizer. Recruiting at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Primary conditionSleep Apnea SyndromesRegistry: ApneaReclassifiedWhy we changed it
Registry
Apnea — the first condition term the registry derived for this study.
ClinicalTrials.gg
Sleep Apnea Syndromes
Why
  1. The study's title name Sleep Apnea Syndromes, a narrower term within Apnea.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Nov 5, 2026Now RecruitingFirst site in United States+5 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
258
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is being done to learn about the safety and effects of a study medicine called berobenatide (bear-oh-BEN-uh-tide). The study will see if berobenatide can help adults with breathing problems during sleep (obstructive sleep apnea [OSA]) and overweight or obesity who use a breathing machine (positive airway pressure [PAP] machine).

People may be able to take part if they are adults with moderate to severe OSA, have overweight or obesity, and have been using PAP therapy before joining the study. Participants will be assigned by chance to receive either berobenatide or a placebo (a treatment that looks like the study medicine but contains no active medicine). The study treatment will be given as an injection under the skin approximately once a month. Participants will receive study treatment at study sites and may administer some doses at home after receiving training.

During the study, participants will attend study visits, undergo sleep studies, complete questionnaires, and have health assessments performed. Researchers will compare the effects of berobenatide and placebo on sleep apnea, body weight, and other health measures.

02

Conditions studied

  • Apnea
  • Sleep Disorders
  • Overweight and/or Obesity

Browse trials for

Keywords

  • Sleep Apnea
  • Obesity
  • Overweight
  • Sleep Disorders
  • Vesper
03

In context

Sleep Apnea Syndromes Reclassified

1,084 studies on the registry are indexed under Sleep Apnea Syndromes; 171 are open to participants now.

This study's planned enrollment of 258 is above the median of 60 across 673 interventional studies indexed under Sleep Apnea Syndromes.

Browse Sleep Apnea Syndromes studies →

Lead sponsor

Pfizer is the lead sponsor of 3,334 studies on the registry; 149 are open to participants now.

Of its 601 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.

Compared within Sleep Apnea Syndromes, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Apnea. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged 18 years or older
  • (BMI) ≥27 kg/m² at screening
  • Previously diagnosed with moderate to severe obstructive sleep apnea (OSA)
  • Ongoing positive airway pressure (PAP) therapy for obstructive sleep apnea that is expected to continue during the study.

Exclusion criteria

Exclusion Criteria:

  • Self-reported body weight change of more than 5% within 90 days prior to screening
  • Diagnosis of any type of diabetes (resolved gestational diabetes is permitted)
  • History of acute or chronic pancreatitis
  • Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN 2) Sleep-disordered breathing conditions other than obstructive sleep apnea that could interfere with study assessments or interpretation of results (eg, central sleep apnea, mixed sleep apnea, Cheyne-Stokes respiration, obesity hypoventilation syndrome, or significant craniofacial abnormalities).
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
258 participants (estimated)

Study arms

  • Experimental
    Treatment Arm

    Participants will receive berobenatide by Subcutaneous Injection.

    Drug: Berobenatide

  • Placebo comparator
    Placebo

    Participants will receive matching placebo by Subcutaneous Injection.

    Other: Placebo

Interventions

  • By Subcutaneous Injection

    Also known as: MET-097i, PF-08653944

  • OtherPlacebo

    By Subcutaneous Injection

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Apnea-Hypopnea Index (AHI)

    Time frame: baseline, Week 52

Secondary outcomes

  1. Percent Change From Baseline in Body Weight

    Time frame: Baseline, Week 52

  2. Change From Baseline in High-Sensitivity C-Reactive Protein (hs-CRP)

    Time frame: Baseline , week 52

  3. Percent change from baseline in AHI

    Time frame: Baseline, week 52

  4. Percentage of participants with ≥ 50% AHI reduction

    Time frame: baseline ,week 52

  5. Change From Baseline in Sleep Apnea Specific Hypoxic Burden (SASHB)

    Time frame: Baseline, week 52

  6. Percentage of participants who achieve either AHI <5 events/hour or AHI 5-14 events/hour with Epworth Sleepiness Scale (ESS) score ≤10

    Time frame: baseline, week 52

  7. Change From Baseline in Systolic Blood Pressure (SBP)

    Time frame: Baseline, week 52

  8. Change From Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep-Related Impairment 8a T-score

    Change from baseline in the Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep-Related Impairment Short Form 8a T-score. Higher scores indicate greater sleep-related impairment..

    Time frame: baseline, week 52

  9. Change From Baseline in PROMIS Sleep Disturbance 8b T-score

    Change from baseline in the PROMIS Sleep Disturbance Short Form 8b T-score. Higher scores indicate greater sleep disturbance.

    Time frame: Baseline, week 52

  10. Change from baseline in Impact of Weight on Quality of Life-Lite Clinical Trials (IWQOL-Lite-CT) Physical Function Composite Score

    Time frame: Baseline, week 52

  11. Percentage of participants with apnea-hypopnea events less then 15

    Time frame: Baseline, week 52

  12. Change From Baseline in Epworth Sleepiness Scale Total Score

    Time frame: Baseline, week 52

  13. Change from baseline in IWQoL-Lite-CT physical function composite score

    Time frame: Baseline, week 52

  14. Change From Baseline in IWQOL-Lite-CT Physical Composite Score

    Time frame: Baseline, week 52

  15. Change from baseline in IWQoL-Lite-CT Psychosocial Composite Score

    Time frame: Baseline, week 52

  16. Change From Baseline in IWQoL-Lite-CT Total Score

    Time frame: Baseline, week 52

  17. Change From Baseline in Body Weight

    Time frame: Baseline, week 52

  18. Change From Baseline in Body Mass Index (BMI)

    Time frame: Baseline, week 52

  19. Change From Baseline in Waist Circumference

    Time frame: Baseline, week 52

  20. Change From Baseline in Neck Circumference

    Time frame: Baseline, wee 52

  21. Change From Baseline in Short Form 36-Item ((SF-36)

    Time frame: Baseline, week 52

  22. Percentage of Participants With Improvement in Patient Global Impression of Severity (PGI-S) Sleepiness Category

    Time frame: Week 52

  23. Percentage of Participants With Improvement in Patient Global Impression of Severity (PGI-S) Fatigue Category

    Time frame: Week 52

  24. Percentage of Participants With Improvement in Patient Global Impression of Severity (PGI-S) Snoring Category

    Time frame: Baseline, wee 52

  25. Percentage of Participants Reporting Improvement in Patient Global Impression of Change (PGI-C) Sleepiness

    Time frame: Week 52

  26. Percentage of Participants Reporting Improvement in Patient Global Impression of Change (PGI-C) Fatigue

    Time frame: Week 52

  27. Percentage of Participants Reporting Improvement in Patient Global Impression of Change (PGI-C) Sleep Quality

    Time frame: Week 52

  28. Percentage of Participants Reporting Improvement in Patient Global Impression of Change (PGI-C) Snoring

    Time frame: Week 52

  29. Change From Baseline in EuroQol 5-Dimension, 5-Level (EQ-5D-5L) Index Score

    Time frame: Baseline, week 52

  30. Change From Baseline in EuroQol-visual analog scale (EQ-VAS) Score

    Time frame: Baseline, week 52

  31. Change From Baseline in Work Productivity and Activity Impairment - General Health (WPAI:GH) Absenteeism Score

    Time frame: Baseline, week 52

  32. Change From Baseline in WPAI:GH Presenteeism Score

    Time frame: Baseline, week 52

  33. Change From Baseline in WPAI:GH Work Productivity Loss Score

    Time frame: Baseline, week 52

  34. Change From Baseline in WPAI:GH Activity Impairment Score

    Time frame: Baseline, week 52

  35. Number of participants with Treatment-Emergent Adverse Event (TEAE)

    Time frame: Week 52

  36. Number of participants with Serious Adverse Event (SAE)

    Time frame: Week 52

  37. Number of participants with Adverse event (AE) leading to permanent discontinuation from study intervention or study

    Time frame: Week 52

  38. Number of participants with Adverse Events of Special Interest (AESI)

    Time frame: Week 52

  39. Number of participants with clinical laboratory abnormalities

    Time frame: Week 52

  40. Change From Baseline in Diastolic Blood Pressure

    Time frame: Baseline, week 52

  41. Change From Baseline in Total Cholesterol

    Time frame: Baseline, week 52

  42. Change From Baseline in High-density lipoprotein cholesterol (HDL-C)

    Time frame: Baseline, week 52

  43. Change From Baseline in Low-density lipoprotein cholesterol (LDL-C)

    Time frame: Baseline, week 52

  44. Change From Baseline in Non-HDL Cholesterol

    Time frame: Baseline, week 52

  45. Change From Baseline in Very low-density lipoprotein cholesterol (VLDL) Cholesterol

    Time frame: Baseline, week 52

  46. Change From Baseline in Triglycerides

    Time frame: Baseline, week 52

07

Study locations

6 of 8 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Data sharing details ↗ · www.pfizer.com

09

Timeline

4 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Sep 2026 (actual). Primary completion is estimated for Apr 2028, 19 months after the start.

Primary completion moved once since we started tracking on Sep 25, 2026: Jun 2028 → Apr 2028, on Sep 29, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Sep 11, 2026
First posted
Sep 16, 2026
StartActual
Sep 17, 2026
Primary completionEst.
Apr 30, 2028was Jun 2028
CompletionEst.
Jun 18, 2028
Last update
Nov 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Sep 29, 2026
Sites
8 sites added — first site in United States. 4 sites changed recruiting status (4 now recruiting)
Show 4 sites
  • DM Clinical Research · Bradenton, United StatesNot yet recruiting→Recruiting
  • Probe Clinical Research Corporation · Riverside, United StatesNot yet recruiting→Recruiting
  • Cullman Clinical Trials · Cullman, United StatesNot yet recruiting→Recruiting
  • Velocity Clinical Research, Dallas · Dallas, United StatesNot yet recruiting→Recruiting
Show 8 added (8 United States)
  • Cullman Clinical Trials · Cullman, United States
  • DM Clinical Research · Bradenton, United States
  • Headlands Research - Twin Cities · Maplewood, United States
  • Probe Clinical Research Corporation · Riverside, United States
  • Velocity Clinical Research, Dallas · Dallas, United States
  • DM Clinical Research · Tomball, United States
  • Preferred Research Partners, Inc. · Little Rock, United States
  • Revive Research Institute, Inc. · Southfield, United States
across 4 updates, Sep 29, 2026 – Nov 5, 2026
Start date
Sep 19, 2026→Sep 17, 2026 (actual)
Sep 29, 2026
Primary completion
Jun 19, 2028→Apr 30, 2028
Sep 29, 2026
Study completion
Jun 19, 2028→Jun 18, 2028
Sep 29, 2026
Show all 4 updates
  1. Nov 5, 2026
    2 sites added. 2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • Cullman Clinical Trials · Cullman, United StatesNot yet recruiting→Recruiting
    • Velocity Clinical Research, Dallas · Dallas, United StatesNot yet recruiting→Recruiting
    Show 2 added (2 United States)
    • Preferred Research Partners, Inc. · Little Rock, United States
    • Revive Research Institute, Inc. · Southfield, United States
    + 1 other change: verification date
  2. Oct 13, 2026
    1 site added. Probe Clinical Research Corporation is now Recruiting
    Show site
    • DM Clinical Research · Tomball, United States
  3. Oct 8, 2026
    2 sites added. DM Clinical Research is now Recruiting
    Show 2 added (2 United States)
    • Probe Clinical Research Corporation · Riverside, United States
    • Velocity Clinical Research, Dallas · Dallas, United States
    + 2 other changes: verification date and design details
  4. Sep 29, 2026
    Not yet recruiting→Recruiting
    3 sites added — first site in United States
    Show 3 added (3 United States)
    • Cullman Clinical Trials · Cullman, United States
    • DM Clinical Research · Bradenton, United States
    • Headlands Research - Twin Cities · Maplewood, United States
    Start date Sep 19, 2026→Sep 17, 2026 (now actual)
    Primary completion Jun 19, 2028→Apr 30, 2028
    Study completion Jun 19, 2028→Jun 18, 2028
    + 1 other change: conditions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07823608
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Sep 16, 2026
Start date
Sep 17, 2026
Primary completion
Apr 30, 2028 (estimated)
Completion
Jun 18, 2028 (estimated)
Last update
Nov 5, 2026

Study contacts

Pfizer CT.gov Call Center
Contact
ClinicalTrials.gov_Inquiries@pfizer.com
1-800-718-1021
Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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