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ForumsOral GLP-1 AgonistsHas anyone dealt with rybelsus real-world vs clinical trial efficacy? Page 2

Has anyone dealt with rybelsus real-world vs clinical trial efficacy?

NeuroNate Sat, Oct 19, 2024 at 12:13 AM 31 replies 2,377 viewsPage 2 of 7
NicoleRaleigh
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Oct 19, 2024 at 9:00 AM#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.

Last edited: Oct 19, 2024 at 10:00 AM
50 20InsuranceTom, WendyG_ATL, SaraMom3 and 47 others
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SallyK_inj
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Oct 19, 2024 at 12:28 PM#7

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

Whether the fasting requirement is as strict in practice as the label implies, and what people actually see when they get it wrong?

49 19bbq_ray_KC, oliver_london, tane_welly and 46 others
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rachel_ABQ
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Oct 19, 2024 at 3:56 PM#8
NicoleRaleigh 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.

Coming at NicoleRaleigh’s question from a different direction. The gap between trial results and real-world results is consistent and it is not fraud. Trial participants get titration by protocol, scheduled contact, free drug and dietetic support; removing that infrastructure costs a few percentage points every time it has been measured. When your own curve sits below the published mean, that is the likeliest explanation before anything about you or your material.

48 18AmyNC_wife, SkepticalSean, Dr.CardioMD and 45 others
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NeuroNate
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Oct 19, 2024 at 7:24 PM#9

Reporting back.

Follow-up: moving the tablet to the moment I wake, before anything else, was the whole fix. The dose never changed.

Last edited: Oct 20, 2024 at 1:24 AM
47 17kim_atl_prep, sarah_TO, wendy_avl and 44 others
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RickReta_CO
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Jan 2025
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Oct 20, 2024 at 12:04 PM#10
rachel_ABQ said:
The gap between trial results and real-world results is consistent and it is not fraud.

Agreeing with rachel_ABQ, and the qualification matters more than the agreement. The absorption variability is real, but it partly averages out over weeks — the steady-state trough is less erratic than any single day would suggest. Where it bites is in the first fortnight, when people conclude the tablet does nothing.

Last edited: Oct 20, 2024 at 5:04 PM
21 19LindaRN_retired, tommy_boulder, hyun_seoul and 18 others
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