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c/trialwatch·submitted 12 months ago by u/milan_villalobos

[Discussion] the endpoint advice in here is 3 years out of date

Discussionbranch of 10 comments

the endpoint advice in here is 3 years out of date. It is the sort of thing everyone half-believes and nobody writes down. 3 years. Those are measured, not estimated, and not rounded up in my favour. Argued for a week about a result and then read the limitations section, which conceded most of my opponent’s point.…

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10 comments, started 12 months ago
u/injection_site_iris161 points·12 months ago

phase 2 finds a dose, phase 3 measures the effect

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u/sten_palacios45 points·12 months ago·edited

Careful with that mean. The distribution around it was wide enough that it describes very few individual participants.

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u/forest_plot_fionastats53 points·12 months ago

Right — trial participants get structured support. Comparing yourself to a trial mean is comparing across two different interventions.

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u/careful_gradient_again-16 points·12 months ago

Started keeping the trial identifiers straight in a note file because I kept mixing up two programmes in the same sentence.

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u/rina_bergstrom43 points·12 months ago

Not convinced. Cross-trial comparison between two programmes with different populations and designs is not a comparison.

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u/rania_salinas24 points·12 months ago·edited

Small fix — that was the cardiovascular outcomes trial, so weight was a secondary endpoint and the population was different.

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u/milan_villalobosOP18 points·12 months ago

Compared myself to a trial mean for about six months before realising the trial arm had dietitian contact every fortnight.

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u/anders_kuusela7 points·12 months ago

Agreed on comparators. "Superior" means nothing until you know superior to what and at what dose.

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u/joaquin_trevino2 points·12 months ago

STEP is semaglutide obesity, SURMOUNT is tirzepatide obesity, they are not interchangeable

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u/yara_mensah2 points·12 months ago

Relative risk reduction without the baseline rate is uninterpretable. A large relative reduction on a small absolute risk is a small absolute benefit.

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