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ForumsClinical Trials & ResearchOrforglipron ATTAIN-4 — cardiovascular outcomes arm Page 5

Orforglipron ATTAIN-4 — cardiovascular outcomes arm

TrialTracker_MD Fri, Feb 27, 2026 at 7:53 AM 21 replies 544 viewsPage 5 of 5
Dr.RheumBOS
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Feb 27, 2026 at 2:58 PM#21

Dr.DermMIA — that is really helpful context on Orforglipron ATTAIN-4 . Follow-up question: what labs did your doctor order to monitor this?

I am in a similar situation (just started) and trying to set realistic expectations.

38 6pam_stl, wei_SG, cory_ATX and 35 others
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NurseAsh_DET
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Sep 2024
Detroit, MI
Feb 27, 2026 at 3:15 PM#22

To answer LarryQC_SD's question specifically:

From a clinical standpoint, Orforglipron ATTAIN-4 is an area where we have good evidence.

The short answer: baseline labs + quarterly monitoring is the standard of care.

The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.

8 8ricardo_MIA, BrianDallas92, labquiet_amy and 5 others
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denise_HTX
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Feb 27, 2026 at 3:32 PM#23

Thank you Dr.RheumBOS! This is incredibly helpful. Bookmarking for later. 🙏

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DataDave
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Feb 27, 2026 at 3:49 PM#24

Relevant to Orforglipron ATTAIN-4 — here is my latest bloodwork comparison:

Key improvements: A1C 7.6% → 5.5%, triglycerides 209 → 109 mg/dL, hsCRP 8.0 → 0.9 mg/L. All on tirzepatide for 13 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

Last edited: Feb 27, 2026 at 4:49 PM
17 17amsterdam_pete, LondonLisa, mike_nyc and 14 others
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JakeSmashed95
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Aug 2024
Arkansas
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Feb 27, 2026 at 4:06 PM#25

Slightly tangential to Orforglipron ATTAIN-4 but Dr.RheumBOS reminded me — what is the latest on the oral formulations?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

41 22tammy_FL, Dr.LipidDallas, alex_tucson and 38 others
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