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c/retatrutide·posted 1 year ago by u/naomi_erdogan

TRIUMPH: what the trials say vs what this community says

Caution Clean Column ×5 Slow Clap ×1

TRIUMPH: what the trials say vs what this community says. It is the sort of thing everyone half-believes and nobody writes down.

Went up slowly, deliberately, because everything on this board says the escalation is where trouble lives. Uneventful so far and I am not going to pretend that is a finding.

The fatigue profile felt different rather than worse. Hard to describe and impossible to quantify, so take it as an impression.

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.

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

2,029 up / 469 down81% upvoted49 commentsid fyv2ny2 Oct 2024

49 comments

30 in this archive, depth 4

best — the order this archive was captured in

u/cagrilintide_enthusiast133 points·1 year ago

Nothing containing this compound is approved anywhere. Research-use-only material is not approved for human use, and that is a statement of fact rather than a disclaimer.

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u/noor_ivaturi86 points·1 year ago

Same read. The energy-expenditure mechanism is the interesting bit and it is not established in humans at scale.

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[deleted]61 points·1 year ago

[deleted]

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u/naomi_erdoganOP73 points·1 year ago

Small fix — three receptors, not two. GLP-1, GIP and glucagon, and the third one is the reason this compound gets its own board.

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u/jarno_cabrera54 points·1 year ago·edited

This. The phase 2 result was genuinely large and it was also 48 weeks in a few hundred people.

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u/mateusz_mensah12 points·1 year ago

Sceptical of the extrapolation. Forty-eight weeks does not tell you about seventy-two, and the curve shape is exactly what is unknown.

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u/lane_watchermod · logistics8 points·1 year 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/nikhil_lindqvist72 points·1 year 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/reta_and_regret61 points·1 year ago

It is a triple agonist at the GLP-1, GIP and glucagon receptors. The glucagon arm is the genuinely novel component and it is the one with the least human outcome data behind it.

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u/reflux_report49 points·1 year ago

Independent purity testing on this compound is thin compared with the older molecules, simply because fewer members have paid for it. Fewer results means wider uncertainty, not a verdict.

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u/honest_syringe3351 points·1 year ago

Careful with the rankings. A phase 2 result and a phase 3 result are not on the same evidential footing and cannot be listed in one table.

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u/reta_and_regret21 points·1 year ago

Glucagon receptor agonism is associated with increased energy expenditure and with hepatic effects. That is a mechanistic story with strong preclinical support and limited phase 2 human data.

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u/baseline_drifteranalytical33 points·1 year ago

That reads as a titration plan for an unapproved compound. This board cannot host that and it should not want to.

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u/discount_math_dm13 points·1 year ago

Disagree. "More receptors means more effect" is not how any of this works and the trial data does not support the linear story.

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u/mod_cold_roommod · c/coldchain9 points·1 year ago

the glucagon component is why the metabolic story reads differently

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u/fabio_lehtinen9 points·1 year ago

Disagree.

discount_math_dm is right about the escalation being the variable. It explains most of the difficult reports here.

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u/arne_amankwah17 points·1 year ago

research-use-only material is not approved for human use, full stop

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u/reta_and_regretMOD11 points·1 year ago

Standing reminder in every thread here: unapproved compound, research material is not for human use, nothing on this board is medical advice.

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u/rosa_almeida7 points·1 year ago

Correction: TRIUMPH is the phase 3 programme. The number you are quoting is from the phase 2 readout, which is a different trial.

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u/janek_ferrari10 points·1 year ago

Increases in heart rate have been reported across this receptor class. The magnitude and clinical significance are exactly what phase 3 is powered to establish.

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u/nabila_bakken14 points·1 year ago

the escalation is where most of the reported trouble sits

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u/janek_ferrari5 points·1 year ago

Push back: quoting the phase 2 headline as an expected outcome is not a fair reading of a small trial with wide intervals.

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u/matias_falk6 points·1 year ago

Yes — the glucagon arm is what makes it a different proposition rather than a stronger version of the others.

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u/andres_sorensen2 points·1 year ago

Cosigning the escalation point. Almost every difficult report on this board is from somebody who went up quickly.

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u/honest_syringe_202520 points·1 year ago

Are you comparing against phase 3 numbers for something else? They are not comparable.

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u/nausea_notesside effects13 points·1 year ago

Which phase 2 arm are you quoting, and at what week?

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u/hugo_pires-1 point·1 year ago

heart rate is the thing people report watching

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u/ewan_zielinski1 point·1 year ago

triple agonist — GLP-1, GIP and glucagon, and the glucagon arm is the new part

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u/naomi_erdoganOP1 point·1 year ago

not approved anywhere, which is the single most important fact in this board

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u/honest_syringe331 point·1 year ago

a lot of the confident posting here is extrapolation

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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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