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c/trialwatch·posted 7 months ago by u/first_hundred

tried STEP for 14 weeks. here is what happened.

Readout The Quiet One ×3 Slow Clap ×2

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 22 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.

2,078 up / 145 down93% upvoted38 commentsid 44sttg2 Dec 2025

38 comments

23 in this archive, depth 5

best — the order this archive was captured in

u/week_one_wanda379 points·7 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/heart_rate_bump-1 point·7 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/zaid_roos1 point·7 months ago

SURMOUNT-4 discontinuation arm showed regain.

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

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u/yannick_salinas87 points·7 months ago

Dead space in the needle hub holds a small but non-trivial volume.

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

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u/adaeze_weiss109 points·7 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/rohan_steiner265 points·7 months ago

You have restated the marketing copy. What is the actual substance here.

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[deleted]95 points·7 months ago

[deleted]

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u/joaquin_stanescu45 points·7 months ago

event rates are more informative than hazard ratios alone

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u/ahmed_iyer123 points·7 months ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/ines_boateng56 points·7 months ago

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

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u/cold_chromatogram3123 points·7 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/zaid_roos10 points·7 months ago

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

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u/yara_mensah0 points·7 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/gastric_emptying_g120 points·7 months ago

What was the dropout rate?

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u/ines_boateng54 points·7 months ago

press release hazard ratio posts must be flaired until a publication exists

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u/first_hundredOP33 points·7 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/tomas_kimani17 points·7 months ago

number-needed-to-treat is the house dialect

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u/ahmed_iyer12 points·7 months ago

number-needed-to-treat is the house dialect

Disagree on that part. 98.1% and 96.2% on the same vial is normal.

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u/gastric_emptying_g8 points·7 months ago

give the trial name, phase, n, and primary endpoint in the body

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u/britta_boateng55 points·7 months ago

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

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u/yara_mensah27 points·7 months 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/trialwatch_theoMOD18 points·7 months ago

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

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u/first_hundredOP13 points·7 months ago

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

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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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