Taking the question as asked, rather than the general version of it. The phase 2 numbers were about 24% mean weight loss at 48 weeks on the top dose, with the curve still descending at the end of the study. A curve that has not flattened is a real finding, but it also means the true plateau is unknown, and phase 2 populations are small and selected.
Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been promised.
The narrow version of the question is whether an unchanged LDL-C alongside a large triglyceride fall is a good result or a bad one, because ApoB and LDL-C seem to be telling different stories.
If the honest answer is that nobody knows, that is a useful answer and I would rather have it.
LabKate said:The phase 2 numbers were about 24% mean weight loss at 48 weeks on the top dose, with the curve still descending at the end of the study.
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.
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Browse GL BiochemDerekSJ_a1c said:Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been…
Same experience, arrived at from the opposite direction.
From the other side of the consultation, briefly.
Before/after bloodwork compilation for the lipid panel — everything in one place for those who want comprehensive data:
| Category | Marker | Before | After 15mo | Change |
|---|---|---|---|---|
| Metabolic | A1C | 8.0% | 5.7% | ⬇️ 1.2% |
| Metabolic | Fasting Glucose | 115 | 92 | ⬇️ 30 |
| Lipids | LDL | 153 | 97 | ⬇️ 55 |
| Lipids | Triglycerides | 255 | 105 | ⬇️ 105 |
| Inflammation | hsCRP | 8.5 | 0.8 | ⬇️ 6.0 |
Every single metabolic marker improved. This is why I'm a believer in this therapy.