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c/trialwatch·posted 12 months ago by u/hedda_adeyemi

help me understand endpoint, I have read the wiki twice

Readout Clean Column ×5 Well Actually ×1 Slow Clap ×3

Genuinely asking, not being difficult.

Everyone in c/compounding repeats that hazard ratio is important. I believe it, but I have never seen anyone show why, and when I search I get 6 threads of people agreeing with each other.

Is there a paper? Is there a measurement? Or is this one of those things that is true because it has been repeated since 2023?

I am not trying to be the "source?" guy. I would just like a source.

3,382 up / 272 down93% upvoted67 commentsid 5itzsa1 Aug 2025

67 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/cold_chromatogram31616 points·12 months ago

Half-life is about 168 hours, so steady state lands around week 18–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/nightowl_injector485 points·12 months ago

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

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u/adaeze_cabrera327 points·12 months ago·edited

Strongly agree. Phase 2 is investigational, not conclusive.

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u/hedda_adeyemiOP220 points·12 months ago

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

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u/foam_head_fred118 points·12 months ago

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

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[removed]49 points·12 months ago

[removed by moderator]

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u/customs_seizure_sid70 points·12 months ago

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

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u/nightowl_injector270 points·12 months ago

dropout handling matters, especially on GI-heavy populations

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u/hsa_math122 points·12 months ago

press release SURMOUNT posts must be flaired until a publication exists

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u/injection_site_iris156 points·12 months ago

STEP 1 readout: 99.2% mean weight loss, absolute numbers matter. Spread around that mean is enormous.

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u/renal_outcomes_rMOD76 points·12 months ago

Tracking number removed. It identifies both ends of a shipment.

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u/forest_plot_fionastats89 points·12 months ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/careful_gradient_again-16 points·12 months ago

event rates are more informative than hazard ratios alone

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u/bastian_ekstrom145 points·12 months ago·edited

This is correct. Discontinuation arms show the regain reality.

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u/iman_castellanos109 points·12 months ago

Crossposting this to c/bloodwork because the people who need it are not reading this community.

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u/anders_kuusela71 points·12 months ago

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

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u/week_one_wanda52 points·12 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/yusuf_achebe56 points·12 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/ahmed_iyer31 points·12 months ago

Which trial and what was the primary endpoint?

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u/piotr_bruun13 points·12 months ago

the 12 week readout is different from the 18 week readout

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u/gastric_emptying_g19 points·12 months ago

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

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u/draw_up_dizzy13 points·12 months ago

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

Disagree on that part. 95.1% and 98.9% on the same vial is normal.

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u/careful_gradient_again10 points·12 months ago

dropout handling matters, especially on GI-heavy populations

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u/draw_up_dizzy4 points·12 months ago

the relative risk reduction in headlines is not the whole story

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u/whois_wanda31 points·12 months ago

event rates are more informative than hazard ratios alone

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u/plateau_patrol27 points·12 months ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/line_demir17 points·12 months ago

absolute risk reduction, not relative risk reduction, that is how you decide

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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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