0591 Clinical and Societal Impact of Tirzepatide in Patients with Moderate-to-severe OSA and Obesity: A Lifetime Modelling Study in China

作者：Yi Xiao, J. Pépin, Ron Grunstein, Phil McEwan, Michał Pochopień, Anna Lanecka, Yuchen Ding, Emmanuel Bourmaud, Eva Lau, H. Vioix · 发表于：SLEEPJ · 年份：2026 · DOI：10.1093/sleep/zsag091.0590

Obstructive sleep apnea (OSA) is associated with increased risk of stroke, coronary heart disease (CHD), resistant hypertension (RH), type 2 diabetes (T2D), depression, cancer, and road traffic accidents (RTA). We aimed to examine tirzepatide, a dual GLP-1/GIP receptor agonist, alongside lifestyle modification (LM) for its potential to improve clinical outcomes in patients with moderate-to-severe OSA and obesity. A cohort-based Markov model was constructed to track clinical outcomes over a lifetime horizon in adults with moderate-to-severe OSA and obesity, with health states defined by apnea-hypopnea index categories to capture the full spectrum of OSA severity. Transition probabilities were derived from the SURMOUNT-OSA trial, assuming extrapolation beyond trial period. Simultaneously, average body mass index (BMI) was modelled across cycles to reflect weight changes over time. The model integrated baseline characteristics from East Asian patients of the SURMOUNT-OSA trial, and risks for complications sourced from general population data in China and adjusted for BMI-related risk amplification. Age- and gender-specific background mortality rates were included, along with OSA-specific mortality linked to stroke, CHD, and RTA. The direct impact of BMI on mortality was also incorporated. Over a lifetime simulation, the estimated clinical burden under LM alone was substantial, with the following number of non-fatal events per 1000 patients: 127 strokes, 179 cases o...