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ForumsRetatrutide & Triple AgonistsTRIUMPH program trial design overview — all Phase 3 arms

TRIUMPH program trial design overview — all Phase 3 arms

TrialTracker_MD Mon, Feb 26, 2024 at 4:00 PM 324 replies 45,778 viewsPage 1 of 20
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TrialTracker_MD
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Feb 26, 2024 at 4:00 PM#1

TRIUMPH program trial design overview — all Phase 3 arms

Posting this as an important update for the retatrutide & triple agonists community. Please read carefully as this may affect your current plans.

I will keep this thread updated as new information becomes available. If you have additional information or corrections, please post below and I will incorporate confirmed updates into this OP.

Key points:

  • This information is current as of the date posted
  • Circumstances may change — always verify independently
  • If you have questions, check if they have been answered in the replies before posting

Bookmarking this thread is recommended — it will be updated as the situation evolves.

— TrialTracker_MD | Retatrutide & Triple Agonists
1 4Dr.EM_Chicago
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Dr.NutriCornell
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Feb 26, 2024 at 4:39 PM#2
TrialTracker_MD said:
TRIUMPH program trial design overview — all Phase 3 arms Posting this as an important update for the retatrutide & triple agonists community.

Fair, but phase 2 tolerability figures rarely survive contact with phase 3 scale. Triple agonism means three receptor systems generating adverse events, and the dropout column is the one I would read first when the larger trials report.

2 5Dr.SleepRoch, laura_annarbor
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RetaRick_CA
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Feb 26, 2024 at 5:18 PM#3
TrialTracker_MD said:
TRIUMPH program trial design overview — all Phase 3 arms Posting this as an important update for the retatrutide & triple agonists community.

I would rather people stopped quoting the 24% as if it were a licensed outcome. It is a phase 2 result in a few hundred participants with no cardiovascular endpoint and no long-term safety data, and this board has a habit of treating pipeline numbers as settled.

3 6DadBodDave, AmyNC_wife, SkepticalSean
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traveltech_sara
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Feb 26, 2024 at 5:57 PM#4

Answering the narrow version, because the broad one does not have a single answer. The glucagon component looks paradoxical and is not. Glucagon receptor agonism raises energy expenditure and drives hepatic fatty-acid oxidation, and its hyperglycaemic tendency is offset by the GLP-1 arm's insulin secretagogue effect. Net result: intake down from GLP-1/GIP, expenditure up from glucagon, glycaemia neutral or improved. It is a balancing act, and it is why the liver-fat results are the most interesting part of the dataset.

Last edited: Feb 26, 2024 at 8:57 PM
4 7NurseAsh_DET, BenResearch_OR, MikeKY_noInsulin and 1 other
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KetoKyle
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Feb 26, 2024 at 9:33 PM#5
Dr.NutriCornell said:
Fair, but phase 2 tolerability figures rarely survive contact with phase 3 scale.

Agreed, and subgroup analyses deserve particular suspicion. With enough subgroups something is significant by chance, and pre-registered subgroups are a different animal from ones found afterwards.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

5 8JakeBK_lifts, DerekSJ_a1c, paige_pharma and 2 others
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