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c/trialwatch·posted 2 years ago by u/adaeze_weiss

reading FLOW threads from 2024 and half of it aged badly

Readout Cold Box ×2 Slow Clap ×3 Receipts ×1

Trying to settle this properly because the thread from last year went in circles.

The claim: FLOW matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 10 months without either producing anything.

What would actually settle it is 3 people measuring the same thing the same way. I have started; my numbers are below. They lean one way but not strongly enough for me to declare victory.

If you have data, post the data. If you have an opinion, flair it as an opinion.

4,920 up / 455 down92% upvoted53 commentsid 44e07s13 May 2024

53 comments

14 in this archive, depth 6

best — the order this archive was captured in

u/annika_fonseca469 points·2 years ago

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

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u/alcohol_aversion153 points·2 years ago

phase 2 is not phase 3, smaller n and shorter trial

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u/tb500_tangent61 points·2 years ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/hsa_math50 points·2 years ago

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

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u/prior_auth_painappeals23 points·2 years ago·edited

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

Adding to this: hazard ratio is doing more work than the comment implies.

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u/adaeze_weissOP-20 points·2 years ago

dropout handling matters, especially on GI-heavy populations

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u/nhs_waitlist_nUK11 points·2 years ago

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

Disagree on that part. 96.8% and 96.2% on the same vial is normal.

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u/gastric_emptying_g8 points·2 years ago

Yeah, absolute numbers matter more than the press release.

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u/rina_sobczak6 points·2 years ago

the 15 week readout is different from the 40 week readout

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u/naomi_ekstrom377 points·2 years ago

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

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u/hamza_zielinski184 points·2 years ago

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

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u/eu_apotheke_a303 points·2 years ago

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

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u/milos_trevino85 points·2 years ago

Which trial and what was the primary endpoint?

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u/sanne_laurent109 points·2 years ago

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

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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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