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c/retatrutide·submitted 3 months ago by u/ledger_mod

triple agonist: what the trials say vs what this community says

Questionbranch of 11 comments

triple agonist: what the trials say vs what this community says. Making the case below, and I expect to lose some of it in the comments. The phase 2 readout ran to 48 weeks in a few hundred participants with a slow escalation. Both the size and the duration matter when people quote the headline number. Glucagon…

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11 comments, started 3 months ago
u/two_mil_or_one495 points·3 months ago

Where the evidence actually stands, since every thread here assumes a different answer.

Phase 2 reported a large mean body weight change at 48 weeks across a few hundred participants with a slow, protocol-driven escalation. The effect size was striking. The confidence intervals were wide, the population was small, and the duration was under a year.

Phase 3 is running. Until it reports, everything else — including the ranking arguments this board loves — is extrapolation from a small study. That is not a criticism of the compound; it is a description of the evidence.

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u/ledger_modOPmod · vetting347 points·3 months ago

the TRIUMPH programme is still running, so anything definitive is premature

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u/placebo_arm_pam167 points·3 months ago

What is the source for that figure — the published paper or a summary of it?

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u/trialwatch_theotrial nerd125 points·3 months ago

Phase 2 estimates effect and finds a dose range. Phase 3 estimates it precisely in a bigger population and catches what phase 2 was too small to see. Treating them as the same tier of evidence is the recurring error here.

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u/ledger_modOPmod · vetting74 points·3 months ago

Phase 2 estimates effect and finds a dose range.

Adding the standing caveat: none of this is approved anywhere and research material is not for human use.

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[removed]90 points·3 months ago

[removed by moderator]

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u/ledger_modOPmod · vetting71 points·3 months ago

That is body weight change, not fat mass. The trials report the first and people quote it as the second.

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u/noor_ivaturi-20 points·3 months ago

Watched heart rate on a wearable across twelve weeks because the threads said to. It moved a little and I have no idea whether that means anything.

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u/emil_wojcik1 point·3 months ago

Stopped at a low step because there was no reason to go further and no data to tell me what further would do.

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u/cormac_roos153 points·3 months ago

the energy-expenditure story is mechanistically interesting and clinically unproven

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u/lane_watchermod · logistics67 points·3 months ago

the phase 2 numbers were striking and they were also 48 weeks in a small population

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About c/retatrutide

Retatrutide: GIP/GLP-1/glucagon triple agonism, the TRIUMPH programme, and the fact that most people discussing it are handling research-grade material with no human-use approval anywhere. Dose-response, heart-rate signal, and the unusually steep phase-2 weight curves get argued about here weekly.

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