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ForumsClinical Trials & ResearchClinicalTrials.gov GLP-1 trial tracker — updated weekly Page 2

ClinicalTrials.gov GLP-1 trial tracker — updated weekly

TrialTracker_MD Mon, Feb 26, 2024 at 4:00 PM 411 replies 11,865 viewsPage 2 of 20
VendorMark
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Feb 26, 2024 at 7:14 PM#6

The figures, for anyone assembling their own picture. A quick sanity check on any figure quoted here: is it mean or median, is it intention-to-treat or completers, and what was the comparator. Three questions, and they resolve most disagreements in these threads.

43 21DebRD_ATL, KristenIndy, MarkLI_maint and 40 others
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tony_orlando
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Feb 26, 2024 at 8:30 PM#7

A narrower follow-up, since the general answer is now clear:

How to read a result like this without either dismissing it or over-reading it, since the summaries all read like press releases?

44 22JakeSmashed95, NauseaFreeNow, SteveThurs and 41 others
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hans_munich
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Feb 26, 2024 at 9:46 PM#8
VendorMark said:
A quick sanity check on any figure quoted here: is it mean or median, is it intention-to-treat or completers, and what was the comparator.

There is a second half to this that has not been said yet. Relative and absolute effects need reading together. A 20% relative reduction on a high baseline risk is a large absolute benefit; the same relative figure on a low baseline risk is a small one, and press summaries almost always quote the relative number because it is bigger.

45 23Dr.LipidDallas, alex_tucson, kevin_tulsa and 42 others
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TrialTracker_MD
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Feb 26, 2024 at 11:02 PM#9

OP back with an update, since a thread like this is useless without one.

Update — my curve sits below the published mean and the explanation is that the trial arm had support I do not have. That was reassuring rather than otherwise.

46 24Dr.PulmRoch, maya_sedona, stefan_berlin and 43 others
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james_edin
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Feb 27, 2024 at 5:07 AM#10
hans_munich said:
Relative and absolute effects need reading together.

Propensity score matching studies and the trial evidence: when RCTs aren't available for a specific question, propensity score-matched observational studies can provide useful evidence.

A recent PSM study of 25,000 GLP-1 users vs matched controls showed reduced stroke risk (HR 0.82) over 5 years of follow-up[1].

These results complement the RCT data and suggest the benefits translate to real-world populations.

References:
[1] Registry-based cohort study, pre-print 2024.
Last edited: Feb 27, 2024 at 7:07 AM
46 19bbq_ray_KC, oliver_london, tane_welly and 43 others
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