Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Trial abstract · §3

REIMAGINE-1 — results

Primary endpoint, absolute and relative effect where derivable, and harms as reported.

Document identifier
CEI-TR-0135/3
Series
Trial abstract
Version
1.4
Published
04 Mar 2024
Last reviewed
04 May 2025
Next review
04 May 2027
Identifier
10.71829/cei.trial.135
Certainty
Low
Cycle
2024 Q1
Phase
Phase 1
Status
Reported

§3Results

§3.1Primary endpoint

Table 3. Primary endpoint as reported.

EndpointResult as reportedCertainty
Safety, tolerability and pharmacokinetics of ascending subcutaneous and oral doses, with percentage change in body weight as an exploratory endpointExploratory weight reduction of approximately 13 % at 12 weeks with the subcutaneous presentation. The Institute treats an exploratory endpoint in a phase 1 study as hypothesis-generating and grades every amycretin efficacy claim very low certainty on that groundLow
Reproduced from the published report. Where the report states a confidence interval the Institute reproduces it; where it does not, none is constructed.

§3.2Endpoint hierarchy

Categorical responder proportionsProportion of participants reaching each categorical response threshold, by arm.ThresholdAmycretinComparator≥ 5 % reduction88.7 %26.9 %≥ 10 % reduction64.3 %4.4 %≥ 15 % reduction29.3 %1.0 %≥ 20 % reduction8.7 %1.0 %
Figure 1. Illustrative. Categorical responder proportions derived by the Institute from the reported mean change under a logistic response model. These are not the published responder proportions for this trial. The figure is published because a mean conceals the distribution of response, and the shape of that distribution is what a reader most often wants and least often gets.

§3.3Harms as reported

Table 5. Adverse events for Amycretin from the safety tables the Institute holds for this compound. Where a row names a different trial as its source, the figure is from that trial and not from this one.

EventActive, %Comparator, %Source trial
NauseaClass-typical; not fully tabulated at phase 1b
VomitingReported
Discontinuation for adverse eventsNot fully tabulated
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