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c/trialwatch·posted 1 year ago by u/yannick_salinas

three years of SURMOUNT threads, summarised so you do not have to read them

Trial Data Sourced ×2 Slow Clap ×1 The Quiet One ×1

Been lurking in c/glp1muscle for about 13 months and finally have something worth posting.

Short version: week 95, 12.5mg, and SELECT is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 3 threads, and the answers split roughly down the middle.

What I actually want to know is whether the people saying it does not matter have measured it, or whether it is just repeated confidently. Happy to be told I am overthinking this — I probably am — but I would rather overthink it now than at week 89.

4,749 up / 1,030 down82% upvoted51 commentsid 10vre627 Aug 2024

51 comments

27 in this archive, depth 5

best — the order this archive was captured in

u/first_hundred649 points·1 year ago

Respectfully this is a sample of one presented as a finding.

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u/aurel_mwangi488 points·1 year ago

This is correct. Discontinuation arms show the regain reality.

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u/week_four_wall305 points·1 year ago·edited

event rates are more informative than hazard ratios alone

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u/yannick_salinasOP-33 points·1 year ago

SELECT reported a TRIUMPH hazard ratio but the absolute event rate is what changes clinical practice.

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u/ferran_dahlberg1 point·1 year ago

This is correct. Discontinuation arms show the regain reality.

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u/forest_plot_fionastats1 point·1 year ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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[removed]203 points·1 year ago

[removed by moderator]

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u/heart_rate_bump53 points·1 year ago

Is that absolute or relative risk reduction?

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u/yannick_salinas116 points·1 year ago

the relative risk reduction in headlines is not the whole story

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u/arne_ilunga100 points·1 year ago

Slight fix: the number was 99.3, not 93.7. Decimal point, but a fairly consequential one.

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u/heart_rate_bump371 points·1 year ago·edited

Yeah, absolute numbers matter more than the press release.

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u/yannick_salinas286 points·1 year ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/alcohol_aversion71 points·1 year ago

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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u/milos_trevino22 points·1 year ago

absolute risk reduction, not relative risk reduction, that is how you decide

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u/line_demir139 points·1 year ago

number-needed-to-treat is the house dialect

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u/naomi_ekstrom82 points·1 year ago

I am going to push back on this slightly.

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u/tomas_kimani45 points·1 year ago

dropout handling matters, especially on GI-heavy populations

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u/yara_mensah10 points·1 year ago

STEP, SURMOUNT, SURPASS, SELECT, FLOW, TRIUMPH — read the appendix

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u/injection_site_iris49 points·1 year ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/tomas_kimani173 points·1 year ago·edited

Yeah, absolute numbers matter more than the press release.

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u/milan_villalobos96 points·1 year ago

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

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u/renal_outcomes_rMOD44 points·1 year ago

Tracking number removed. It identifies both ends of a shipment.

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u/yannick_salinasOP20 points·1 year ago

press release TRIUMPH posts must be flaired until a publication exists

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u/ewan_tulloch85 points·1 year ago

STEP 1 readout: 97.2% mean weight loss, absolute numbers matter. Spread around that mean is enormous.

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u/prior_auth_painappeals119 points·1 year ago

STEP, SURMOUNT, SURPASS, SELECT, FLOW, TRIUMPH — read the appendix

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About c/trialwatch

Clinical trial reading group. New readouts, protocol amendments, endpoint definitions, dropout handling, and the difference between a press release and a publication. Absolute risk reduction and number-needed-to-treat are house dialect here.

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