Major trials

STEP-4 (withdrawal trial)

The Phase 3 trials that won approval, and the outcome studies that came afterward on cardiovascular, kidney and sleep-apnea endpoints.

What is STEP-4 (withdrawal trial)?

The withdrawal trial that settled whether a GLP-1 is a course or a commitment.

All 803 participants reached 2.4 mg in a 20-week run-in, then were randomized 2:1 to continue or switch to placebo for 48 weeks. Continuers lost a further 7.9%; switchers regained 6.9% (Rubino 2021 JAMA, PMID 33755728). ⛔ Read it before signing a 12-month prepay, and before believing anyone selling a finite “program”.

STEP-4 trial deep-dive →

GLP Watchdog writes these definitions from FDA labels and peer-reviewed PubMed literature.

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