Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Evidence synthesis · §3

Weight-reducing agents for obstructive sleep apnoea — included and excluded studies

The included-studies table with extracted data, the exclusions with reasons, and the risk-of-bias judgements.

Document identifier
CEI-ES-011/3
Series
Evidence synthesis
Version
2.3
Published
25 Feb 2026
Last reviewed
25 Feb 2026
Next review
25 Aug 2027
Identifier
10.71829/cei.syn.11
Certainty
Moderate
Cycle
2026 Q1
Review type
Intervention review
Search executed
11 Dec 2025

§3Included and excluded studies

Every study contributing to this review is listed below with the data extracted from it. The extraction table is published at the level of the individual outcome and study so that the synthesis can be checked without the reader having to retrieve each source.

§3.1Included studies

Table 4. Included studies with the characteristics extracted from each.

StudyDesignRandomisedDurationAnchor outcome as reportedYear
SURMOUNT-OSA-1TirzepatideRandomised, double-blind, placebo-controlled52 weeksSubstantial reduction in the apnoea–hypopnoea index relative to placebo; the Institute reproduces the pooled programme estimate rather than a per-trial figure2024
SURMOUNT-OSA-2TirzepatideRandomised, double-blind, placebo-controlled52 weeksDirectionally consistent with the companion trial2024
SCALE-SLEEP-APNOEALiraglutideRandomised, double-blind, placebo-controlled35932 weeksReduction of 12.2 events per hour versus 6.1 with placebo2016
3 included studies. Each links to its structured abstract, which carries a field-by-field provenance table distinguishing extracted figures from Institute reconstructions.

Contributing participants across studies reporting a randomised total: 359. Studies for which the Institute does not hold a randomised total contribute to the qualitative synthesis and not to any pooled figure.

§3.2Excluded at full text, with reasons

Table 5. Reports excluded at full text, by reason. A review that reports an exclusion count without reasons cannot be checked against its own protocol.

Reason for exclusionReports
Not a randomised comparison1
Population outside the review question4
Intervention outside the review question2
Comparator not eligible1
No eligible outcome reported3
Duplicate report of an included study1
Conference abstract without extractable data4
Retracted or subject to an expression of concern2
13 reports excluded at full text in total.

§3.3Risk of bias across included studies

Table 6. Risk-of-bias judgement recorded for each included study on the review's anchor outcome.

StudyRisk of biasInconsistencyIndirectnessImprecisionPublication bias
SURMOUNT-OSA-1LowLowLowLowLow
SURMOUNT-OSA-2LowLowLowLowLow
SCALE-SLEEP-APNOEASomeLowLowLowLow
Judgements are the Institute's own and are recorded per outcome. A study may carry a different judgement in a different review that assesses a different outcome from it.
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