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c/trialwatch·submitted 5 months ago by u/joaquin_stanescu

how much of what we believe about endpoint actually comes from SURMOUNT threads

Trial Databranch of 9 comments

Asking properly rather than in a comment on somebody else’s thread: how much of what we believe about endpoint actually comes from SURMOUNT threads. Compared myself to a trial mean for about six months before realising the trial arm had dietitian contact every fortnight. The discontinuation numbers were the most…

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9 comments, started 5 months ago
u/emil_agyeman21 points·5 months ago

Intention-to-treat analyses everybody randomised regardless of what they did afterwards. Completer analyses only those who finished. The second is systematically more flattering and both are legitimate if labelled.

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u/alcohol_aversion15 points·5 months ago

Open-label extensions lose their randomisation. Anybody still enrolled at week 104 is a selected group and the numbers describe that group.

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u/joaquin_stanescuOP7 points·5 months ago

Spent an evening with the appendix tables and found the subgroup detail that the entire thread had been speculating about.

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u/injection_site_iris3 points·5 months ago

Cosigning on discontinuation. It is a result about tolerability and it gets buried every time.

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u/enzo_ferrari1 point·5 months ago

read the endpoint before you read the headline

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u/hugo_bergstrom1 point·5 months ago

intention to treat versus completers changes the number substantially

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u/rina_bergstrom8 points·5 months ago·edited

Open-label extensions lose their randomisation.

alcohol_aversion is right about the programme names. They are different populations with different endpoints.

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u/injection_site_iris8 points·5 months ago·edited

Correction: SURMOUNT is the obesity programme and SURPASS is the diabetes one. The figure you quoted belongs to the other one.

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u/hugo_norgaard6 points·5 months ago

That is a relative risk reduction. Quoting it without the absolute numbers overstates the case considerably.

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