Press release 📈 Stocks 🌍 United States

Eli Lilly's Foundayo Hits Primary Endpoint in Phase 3 Sleep Apnea Trial

Eli Lilly's Foundayo met primary endpoints in the ATTAIN-OSA trial, showing significant reductions in sleep apnea severity and body weight, with an FDA submission planned by year-end 2026.

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Lilly's oral GLP-1 Foundayo met the primary endpoint in the Phase 3 ATTAIN-OSA trial, cutting AHI by up to 43.8% and body weight by ~11.5% at 52 weeks, with an FDA submission for OSA planned by end of 2026. A new indication for a pill already approved for obesity expands the addressable market of 936 million adults with OSA. The result was largely anticipated given earlier program success, so the move should be supportive but not dramatic.

Catalysts
  • ▲ Positive Phase 3 ATTAIN-OSA data presented at AHA Scientific Sessions and published in JAMA on Nov. 9, 2026
  • ▲ Planned FDA submission for moderate-to-severe OSA by end of 2026
Risk Factors
  • ▼ Discontinuation rates due to adverse events were 12.2% vs 3.8% for placebo in participants not using PAP therapy
  • ▼ FDA submission is only planned, not yet filed, and approval timing remains uncertain

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🎯 Key Takeaways

  • Foundayo reduced apnea-hypopnea index (AHI) events by 43.8% in non-PAP users and 27.5% in PAP users at 52 weeks.
  • Participants achieved an average weight loss of 28.0 lbs (11.5%) in the non-PAP group and 28.2 lbs (11.2%) in the PAP group.
  • Inflammation marker hsCRP was reduced by an average of 48.9% in participants not using PAP therapy.
  • Lilly intends to file for U.S. FDA approval for moderate-to-severe obstructive sleep apnea by the end of 2026.

📝 Executive Summary

Eli Lilly and Company announced positive Phase 3 results for Foundayo (orforglipron) in treating moderate-to-severe obstructive sleep apnea. The trial demonstrated a 43.8% reduction in breathing interruptions for patients not using PAP therapy and an 11.5% average body weight loss at 52 weeks. Lilly plans to submit the data to the U.S. FDA for regulatory approval by the end of 2026.

❓ FAQ

What did the Foundayo sleep apnea trial show?

At 52 weeks, Foundayo reduced breathing interruptions (AHI) by 43.8% in patients not using PAP therapy and 27.5% in those using it, with 31.5% of the non-PAP group reaching remission or mild disease, alongside roughly 11.5% weight loss.

When could Foundayo be approved for sleep apnea?

Lilly plans to submit the data to the U.S. FDA for moderate-to-severe obstructive sleep apnea in adults with obesity or overweight by the end of 2026, with other global submissions to follow.