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247
c/trialwatch·posted 2 years ago by u/yannick_salinas

[Discussion] can we stop arguing about STEP until somebody posts a number

Discussion

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 5 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.

363 up / 116 down76% upvoted15 commentsid 58cezo23 Jul 2024

15 comments

15 in this archive, depth 5

best — the order this archive was captured in

u/ines_boateng36 points·2 years ago

Yeah, absolute numbers matter more than the press release.

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u/sofia_wikstrom28 points·2 years ago

Yeah, absolute numbers matter more than the press release.

Disagree on that part. 95.1% and 97.4% on the same vial is normal.

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u/week_four_wall15 points·2 years ago

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

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u/whois_wanda10 points·2 years ago·edited

I am going to push back on this slightly.

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u/joaquin_stanescu16 points·2 years ago

number-needed-to-treat is the house dialect

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u/yannick_salinasOP12 points·2 years ago

Half-life is about 168 hours, so steady state lands around week 22–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/aurel_mwangi6 points·2 years ago

Half-life is about 168 hours, so steady state lands around week 22–5.

Yes, exactly this, and it is the bit that took me 23 weeks to accept.

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u/adaeze_weiss9 points·2 years ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/laila_almeida4 points·2 years ago

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

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u/tove_ogunleye3 points·2 years ago

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

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u/cloudy_vial_carol5 points·2 years ago

Strongly agree.

Disagree on that part. 98.4% and 98.3% on the same vial is normal.

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u/oskar_ibarra6 points·2 years ago

Phase 2 or phase 3?

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u/yannick_salinasOP4 points·2 years ago

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

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u/nikhil_lindqvist15 points·2 years ago

Is that absolute or relative risk reduction?

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u/trialwatch_theoMOD8 points·2 years ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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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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