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c/trialwatch·posted 14 days ago by u/week_one_wanda

[Readout] REDEFINE 1 and what CagriSema actually adds over sema alone

Readout Slow Clap ×4 Sourced ×3

Week 43 update. 34kg down from the start, reflux basically gone since about week 95.

Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with reflux.

The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.

Happy to answer anything. Please do not ask me what dose you should be on.

953 up / 38 down96% upvoted35 commentsid n7180f15 Jul 2026

35 comments

23 in this archive, depth 4

best — the order this archive was captured in

u/heart_rate_bump125 points·13 days 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/tomas_kimani35 points·12 days ago·edited

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/milan_villalobos-20 points·12 days ago

the relative risk reduction in headlines is not the whole story

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[deleted]1 point·12 days ago

[deleted]

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u/yannick_salinas112 points·14 days ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/kaia_cabrera36 points·14 days ago·edited

What was the dropout rate?

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u/camila_vasquez11 points·14 days ago

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

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u/week_one_wandaOP63 points·14 days ago

Phase 2 TRIUMPH looked amazing. Phase 3 trials are harder. Do not anchor on phase 2 readouts.

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u/nikhil_lindqvist91 points·13 days ago

Small correction: the trial was 12 weeks, not 38. Does not change your point but people will quote it.

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u/renal_outcomes_rnephro-curious50 points·13 days ago

Disagree. What you are describing is consistent with SURPASS, not with what you concluded.

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u/week_one_wandaOP19 points·13 days ago

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

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u/slow_logbook_notes3018 points·13 days ago

Phase 2 TRIUMPH looked amazing.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/first_hundred56 points·13 days ago

Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.

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u/hedda_adeyemi15 points·13 days ago

Yeah, absolute numbers matter more than the press release.

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u/kaia_cabrera36 points·14 days ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/ewan_tulloch36 points·12 days ago

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

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u/yusuf_achebe22 points·12 days ago

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

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/valeria_karlsen14 points·12 days ago

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

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u/ms_fragmenter12 points·12 days ago

The confident tone is doing a lot of work that the evidence is not.

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u/week_one_wandaOP5 points·12 days ago

SURMOUNT-4 discontinuation arm showed regain. That is the reality of a chronic disease treatment, not a failure.

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u/pancreatitis_scare11 points·12 days ago·edited

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

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/enzo_ferrari5 points·12 days ago

the discontinuation arms are the interesting part, not the FLOW endpoints

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u/laila_almeida24 points·12 days ago

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

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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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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