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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

121
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
121

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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Patients with obstructive sleep apnea in Germany.

Yaroslav Winter1,2,3, Geert Mayer4,5, Heike Benes6

  • 1Department of Neurology, University of Saarland, Homburg, Germany. yaroslav.winter@uks.eu.

Sleep & Breathing = Schlaf & Atmung
|February 27, 2025
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Summary

Solriamfetol effectively treats excessive daytime sleepiness (EDS) in obstructive sleep apnea (OSA) patients. Real-world data shows improved EDS symptoms and manageable side effects, with most patients new to this therapy.

Keywords:
EuropeExcessive daytime sleepinessGermanyObstructive sleep apneaReal-world evidenceSolriamfetol

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Area of Science:

  • Pharmacology and Therapeutics
  • Sleep Medicine
  • Real-World Evidence Studies

Background:

  • Obstructive sleep apnea (OSA) is frequently associated with excessive daytime sleepiness (EDS).
  • Solriamfetol is an approved medication for treating EDS in OSA patients within the European Union.

Purpose of the Study:

  • To characterize real-world physician initiation and titration strategies for solriamfetol in OSA patients with EDS.
  • To evaluate patient experiences and treatment outcomes with solriamfetol in a German real-world setting.

Main Methods:

  • Retrospective chart review of 83 patients with OSA and EDS in Germany.
  • Patients were aged 18 years or older, on stable solriamfetol doses for at least 6 weeks.
  • Initiation strategies analyzed included changeover, add-on, and new-to-therapy.

Main Results:

  • The majority of patients were new to solriamfetol therapy, typically initiated at 37.5 mg/day.
  • Solriamfetol treatment led to a significant reduction in Epworth Sleepiness Scale (ESS) scores (mean decrease of 5.4 points).
  • Approximately 90% of patients reported improvement in EDS symptoms, with most experiencing effects lasting 8 hours and no negative impact on nighttime sleep quality. Headache, decreased appetite, and insomnia were the most common adverse events.

Conclusions:

  • Solriamfetol initiation at 37.5 mg/day with common titration strategies is effective in a real-world OSA/EDS population.
  • Significant improvements in EDS symptoms and patient-reported outcomes were observed.
  • Adverse event profile aligns with previous clinical trial data, suggesting good tolerability.