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Not yet recruitingNCT07881757VESPER-OSA 2Updated Oct 19, 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 Do Not Use a Breathing Machine (PAP) (VESPER-OSA 2)

A Phase 3 interventional study of Berobenatide and Placebo in Apnea, Sleep Disorders and Overweight and/or Obesity, sponsored by Pfizer. Not yet recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Updated Oct 19, 2026Newly registeredGo 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 are not using 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 unable or unwilling 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

Keywords

  • Obstructive Sleep Apnea
  • OSA
  • Sleep Apnea
  • Breathing Disorder
  • Snoring
  • Daytime Sleepiness
  • Excessive Daytime Sleepiness
  • Breathing Stops During Sleep
  • Sleep Problems
  • Sleep Disorder
  • Sleep Study
  • Polysomnography
  • PSG
03

In context

Apnea

1,417 studies on the registry are indexed under Apnea; 152 are open to participants now.

This study's planned enrollment of 258 is above the median of 51 across 962 interventional studies indexed under Apnea.

Browse Apnea studies →

Lead sponsor

Pfizer is the lead sponsor of 3,323 studies on the registry; 145 are open to participants now.

Of its 597 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

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
  • Body mass index (BMI) ≥27 kg/m² at screening
  • Previously diagnosed with moderate to severe obstructive sleep apnea (OSA)
  • Unable or unwilling to use positive airway pressure (PAP) therapy, and no use of PAP therapy for at least 4 weeks prior to screening

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).
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
    Berobenatide

    Participants receive berobenatide by subcutaneous injection.

    Drug: Berobenatide

  • Placebo comparator
    Placebo

    Participants receive volume-matched placebo

    Drug: Placebo

Interventions

  • Subcutaneous injection

    Also known as: PF-08653944, MET097

  • DrugPlacebo

    Volume-matched subcutaneous placebo.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Apnea-Hypopnea Index

    Apnea-Hypopnea Index is the number of apnea and hypopnea events per hour of sleep, assessed by polysomnography.

    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

    Time frame: Baseline, Week 52

  3. Percent Change From Baseline in Apnea-Hypopnea Index

    Time frame: Baseline, Week 52

  4. Percentage of Participants With at Least 50% Reduction in Apnea-Hypopnea Index

    Time frame: Week 52

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

    Time frame: Baseline, Week 52

  6. Percentage of Participants With Obstructive Sleep Apnea Remission or Mild Non-Symptomatic Obstructive Sleep Apnea

    Time frame: Week 52

  7. Change From Baseline in Systolic Blood Pressure

    Time frame: Baseline, Week 52

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

    Time frame: Baseline, Week 52

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

    Time frame: Baseline, Week 52

  10. Percentage of Participants with AHI <5

    Time frame: Week 52

  11. Percentage of Participants with AHI 5-14 with ESS (Epworth Sleepiness Scale) ≤10

    Time frame: Week 52

  12. Percentage of participants with AHI less then 15

    Time frame: Week 52

  13. Change From Baseline in Epworth Sleepiness Scale Total Score

    Time frame: Baseline, Week 52

  14. 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

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

    Time frame: Baseline, Week 52

  16. Change From Baseline in IWQOL-Lite-CT Psychosocial Composite Score

    Time frame: Baseline, Week 52

  17. Change From Baseline in IWQOL-Lite-CT Total Score

    Score ranges from 0 to 100; higher scores indicate better quality of life.

    Time frame: Baseline, Week 52

  18. Change From Baseline in Body Weight

    Time frame: Baseline, Week 52

  19. Change From Baseline in Body Mass Index

    Time frame: Baseline, Week 52

  20. Change From Baseline in Waist Circumference

    Time frame: Baseline, Week 52

  21. Change From Baseline in Neck Circumference

    Time frame: Baseline, Week 52

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

    Time frame: Baseline, Week 52

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

    Time frame: Week 52

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

    Time frame: Week 52

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

    Time frame: Week 52

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

    Time frame: Week 52

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

    Time frame: Week 52

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

    Time frame: Week 52

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

    Time frame: Week 52

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

    Time frame: Baseline, Week 52

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

2 sites
  • DM Clinical Research-Bradenton
    Bradenton, Florida 34209, United States
  • DM Clinical Research-Tomball
    Tomball, Texas 77375, United States
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

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    First appeared on the registry

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
NCT07881757
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Oct 19, 2026
Start date
Oct 19, 2026 (estimated)
Primary completion
Jun 1, 2028 (estimated)
Completion
Jul 20, 2028 (estimated)
Last update
Oct 19, 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 ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Berobenatide

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