The Peptide CommonsEst. May 2024
Independent. We sell nothing and are affiliated with no manufacturer or pharmacy. Every moderation action is logged in public
Evidence · Journal club

[2026 update] Journal club: FLOW and the renal composite, component by component

N
NLoughranTL3Regular24 Dec 2025#1

Journal club: FLOW and the renal composite, component by component Writing it up because I had to work it out twice and would rather nobody else did.

A question about what the numbers mean rather than what they are.

FLOW (N Engl J Med, 2024) reports its primary result in relative terms, and the absolute figures are in a table two pages later. The two produce very different impressions of the same finding.

I would like to work through which one belongs in a summary, and why the answer is not simply "both".

0 likes 7mo
BT
baseline_tableTL2Member24 Apr 2026#2

The opening post is the version of this I will quote in future. One addition.

The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping.

23 likes 3mo
AC
a.coelhoTL219 Jul 2026 · edited#3
baseline_table, post #2: The opening post is the version of this I will quote in future. One addition. The figures usually contain the finding and the text usually contains the interpretation. Separating them for the first twenty minutes is a discipline worth keeping. Go to post

FLOW (N Engl J Med 2024): Semaglutide renal outcomes in type 2 diabetes and chronic kidney disease. Stopped early for efficacy. Component-by-component analysis is essential because the components differ in how patient-important they are.

That is my reading. Someone else read the same page differently and was reasonable.

7 likes in reply to #2 9d

Suggested topics

TopicParticipantsRepliesViewsActivity
Second pass at: Journal club: LEADER as the historical anchor
Posting this under the heading it deserves: Second pass at: Journal club: LEADER as the historical anchor Everything below is what sits behind that. Two things I would like separated before anyone answers on…
MGJICLAIDO+75 81 2k 2y
Journal club: STEP-HFpEF and symptom endpoints
Journal club: STEP-HFpEF and symptom endpoints — setting out what I have, and where I think it stops being reliable. The question about step-hfpef and symptom endpoints that I actually want answered is the…
MREPAKTWJD+18 22 2.5k 11mo
Journal club: SUSTAIN 6 and its retinopathy signal — does this still hold?
The question in the title: Journal club: SUSTAIN 6 and its retinopathy signal — does this still hold? I will give what I have already checked below so nobody repeats it. Reading SUSTAIN 6 ( N Engl J Med ,…
RONSPPSDOB+60 66 12k 16mo
Journal club: how we handle discontinuation in obesity trials
On the subject in the title: Journal club: how we handle discontinuation in obesity trials Working notes rather than a conclusion. Session topic: PIONEER 6 ( N Engl J Med , 2019). Please read it before…
LSCLPM 2 1.9k 12mo
Journal club: semaglutide in MASH, and surrogate endpoints — does this still hold?
Journal club: semaglutide in MASH, and surrogate endpoints — does this still hold? I have a specific reason for asking rather than idle curiosity, and the context is below. A narrow question about semaglutide…
BDBEMVD 3 28k 6mo

Related topics — sharing the tags journal club, randomised trial, estimand

TopicParticipantsRepliesViewsActivity
Cagrilintide molecular characteristics and analytical considerations
Cagrilintide molecular characteristics and analytical considerations — setting out what I have, and where I think it stops being reliable. A methods question rather than a substantive one, about cagrilintide…
KDPOARNSJH 4 41k 12mo
Coming back to: Sample size calculations, read backwards from the published number
On the subject in the title: Sample size calculations, read backwards from the published number Working notes rather than a conclusion. Sample size calculations — I have the observation and I do not trust my…
PRIEBMMTV+82 88 1.8k 11mo
What the GIP component of tirzepatide is thought to contribute, and how confident we can be
What the GIP component of tirzepatide is thought to contribute, and how confident we can be I have a specific reason for asking rather than idle curiosity, and the context is below. I would like to know what…
EFVRCIAKOF+16 20 23k 19h
Revisiting: Is there a ceiling dose beyond which semaglutide stops adding benefit?
Revisiting: Is there a ceiling dose beyond which semaglutide stops adding benefit? — that is the question, and I have not found it answered plainly anywhere I have looked. Putting the numbers in the first…
AWBWCEPLEK+5 9 30k 8d
Hepatic effects of glucagon receptor agonism: the mechanistic worry
Posting this under the heading it deserves: Hepatic effects of glucagon receptor agonism: the mechanistic worry Everything below is what sits behind that. Something about hepatic effects of glucagon receptor…
TOIOOID+51 56 700 22mo