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c/trialwatch·posted 2 months ago by u/nhs_waitlist_n

18 months in and TRIUMPH is still the thing I get wrong

Stats Receipts ×3

Something I noticed reading old threads that I have not seen said out loud.

The advice on TRIUMPH in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the same confidence.

I have listed what I think the current consensus is below. Correct me — that is the point of posting it.

673 up / 194 down78% upvoted31 commentsid 151uw27 May 2026

31 comments

24 in this archive, depth 4

best — the order this archive was captured in

u/forest_plot_fionaMOD87 points·2 months ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/renal_outcomes_rnephro-curious108 points·2 months ago·edited

number-needed-to-treat is the house dialect

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u/draw_up_dizzy34 points·2 months ago

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

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u/nordic_pricing60 points·2 months ago

Every time this gets posted it hits the front page and every time someone has to re-explain it.

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u/milos_trevino54 points·2 months ago

Which trial and what was the primary endpoint?

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u/whois_wanda27 points·2 months ago

dropout handling matters, especially on GI-heavy populations

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u/hazard_ratio_halstats37 points·2 months ago

the relative risk reduction in headlines is not the whole story

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u/nhs_waitlist_nOPUK0 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/milan_mensah20 points·2 months ago

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

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u/gastric_emptying_g7 points·2 months ago

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

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u/milos_vanhecke0 points·2 months ago

number-needed-to-treat is the house dialect

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u/yara_mensah1 point·2 months ago

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

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u/nhs_waitlist_nOPUK1 point·2 months ago

event rates are more informative than hazard ratios alone

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u/joaquin_trevino0 points·2 months 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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u/careful_gradient_again9 points·2 months 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/kaia_cabrera4 points·2 months ago

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

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u/sanne_laurent7 points·2 months ago

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

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u/nhs_waitlist_nOPUK3 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/laila_almeida-31 points·2 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/curious_panel_only8 points·2 months ago

event rates are more informative than hazard ratios alone

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u/hub_opssite staff4 points·2 months ago

Yeah, absolute numbers matter more than the press release.

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u/naomi_ekstrom4 points·2 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/yusuf_ramos2 points·2 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/ahmed_iyer1 point·2 months ago

the relative risk reduction in headlines is not the whole story

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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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