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c/trialwatch·submitted 1 year ago by u/yannick_salinas

help me understand SURMOUNT, I have read the wiki twice

Paperbranch of 12 comments

The title is the whole question — help me understand SURMOUNT, I have read the wiki twice — but here is why I am asking. Discontinuation rates are a tolerability result. A trial with a strong efficacy number and heavy discontinuation is telling you two things and people only quote one. The registered protocol is…

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12 comments, started 1 year ago
u/hub_opssite staff199 points·1 year ago

check who the comparator was before you compare anything

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u/forest_plot_fionastats126 points·1 year ago

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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[deleted]54 points·1 year ago

[deleted]

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u/hugo_bergstrom63 points·1 year ago

a mean is not a promise

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u/ms_fragmenter-17 points·1 year ago

Read a press release and the publication three months apart. The hedging in the second one was substantial.

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u/sofia_ferreira39 points·1 year ago

a mean is not a promise

Agreed. And the interval, not the point estimate, is what the trial actually established.

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u/rania_salinas158 points·1 year ago

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

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u/customs_seizure_sid56 points·1 year ago

This. Intention-to-treat versus completer analysis routinely moves the headline by several points.

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u/prior_auth_painappeals27 points·1 year ago

This.

This is the distinction that would end about half the arguments on this board.

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u/milan_villalobos33 points·1 year ago

What did the confidence interval look like?

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u/careful_gradient_again0 points·1 year ago

registry entry, protocol, publication — three different documents

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u/foam_head_fred89 points·1 year ago

That is the 68-week readout, not the 72-week one. Different trial, different duration.

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