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c/trialwatch·posted 3 months ago by u/prior_auth_pain

[Results] 87 weeks, 36kg, and endpoint was the hard part

Press Release Receipts ×7

STEP. That is the whole post, but I will justify it.

Everything else people worry about in c/orforglipron is downstream of it. Titration speed, muscle cramps, the endless dose arguments — most of it resolves if you sort STEP out first, and almost nobody does.

I say this having got it wrong for 23 months. My triglycerides was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

443 up / 107 down81% upvoted27 commentsid 147w2z1 May 2026

27 comments

19 in this archive, depth 5

best — the order this archive was captured in

u/iman_castellanos84 points·2 months ago

off-label use data is different from approved-indication data

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u/forest_plot_fionaMOD43 points·2 months ago

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

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u/bastian_ekstrom38 points·2 months ago

the 3 week readout is different from the 8 week readout

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u/milos_vanhecke31 points·2 months ago

Not convinced. The evidence does not support that reading.

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u/niels_norgaard25 points·2 months ago

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

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u/receipts_or_nothingvetting6 points·2 months ago

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

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u/anders_kuusela5 points·2 months ago

dropout handling matters, especially on GI-heavy populations

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u/adaeze_cabrera3 points·2 months ago

Small correction: the trial was 13 weeks, not 32. Does not change your point but people will quote it.

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u/prior_auth_painOPappeals3 points·2 months ago

press release SURMOUNT posts must be flaired until a publication exists

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u/piotr_bruun2 points·2 months ago

number-needed-to-treat is the house dialect

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u/ewan_tulloch6 points·2 months ago

Phase 2 TRIUMPH looked amazing.

Yes, exactly this, and it is the bit that took me 28 weeks to accept.

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u/blunt_coldbox_notes19 points·2 months ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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u/prior_auth_painOPappeals13 points·2 months ago

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

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u/prior_auth_painOPappeals11 points·2 months ago

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

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u/cloudy_vial_carol12 points·2 months ago

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

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u/nhs_waitlist_nUK3 points·2 months ago

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

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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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