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
Public comment period · §3

Draft monograph: MOTS-c — disposition

The disposition of every submission and the amendments that resulted.

Document identifier
CEI-CP-067/3
Series
Public comment period
Version
1.0
Published
15 Jul 2026
Last reviewed
15 Jul 2026
Next review
15 Jul 2027
Identifier
10.71829/cei.cp.67
Certainty
Not rated
Cycle
2026 Q2
Window
08 May 2026 – 05 Jun 2026
Status
Closed
Submissions
8

§3Disposition and amendments

§3.1Disposition table

Table 1. Every submission with its disposition. Each row links to the submission in full.

ReferenceRespondentPoint raisedDisposition
DRAFT-MOTS-C-MONOG/003Dr Beatrijs HazelriggEvery contributing trial shares one sponsor and the monograph does not say soAccepted
DRAFT-MOTS-C-MONOG/004Dr Georgiana ZimmerthalThe monograph does not tell a reader that a stated mass may be substantially counter-ion and waterAccepted
DRAFT-MOTS-C-MONOG/001Dr Yolanda Norrington-BhattThe pharmacokinetic section does not connect half-life to the dosing scheduleAccepted
DRAFT-MOTS-C-MONOG/002Dr Yehudit QuaresmaThe population to which the headline estimate applies is not stated with the estimateAccepted
DRAFT-MOTS-C-MONOG/006Sigrún Vercingetorix industryTwo factual descriptions of the sponsor's programme are inaccurateAccepted
DRAFT-MOTS-C-MONOG/005Dr Odalys Thorsby-NakamuraThe monograph should state what the compound costsNot accepted
DRAFT-MOTS-C-MONOG/008Dr Anselm MountstephenWhat happens when the compound is stopped is not addressedAccepted
DRAFT-MOTS-C-MONOG/007Dr Wilhelmina Oppenheimer-AdeThe monograph should not describe how the compound is supplied outside a regulated routeNoted, no amendment
8 submissions in total.

§3.2Summary by disposition

Table 2. Counts by disposition, with the meaning of each.

DispositionCountMeaning
Accepted6The submission is accepted and the draft is amended as proposed. The amendment is recorded in the amendment log of the document it changed and is traceable to the numbered submission.
Accepted in part0Part of the submission is accepted and part is not. The secretariat response states which part is which and on what ground the remainder was declined.
Noted, no amendment1The submission raises a point the Institute accepts but that does not require a change to the draft, most often because the draft already states it elsewhere. The location is given in the response.
Not accepted1The submission is not accepted. The secretariat response gives the reason. A submission that is not accepted remains published in full; the Institute does not remove a submission because it disagrees with it.

§3.3Resulting amendments

  1. Every contributing trial shares one sponsor and the monograph does not say so — arising from DRAFT-MOTS-C-MONOG/003. Sponsor concentration is now stated with the certainty rating, and the monograph records how many independent sponsors contributed evidence to each assessed outcome.
  2. The monograph does not tell a reader that a stated mass may be substantially counter-ion and water — arising from DRAFT-MOTS-C-MONOG/004. The monograph now states, at the point where vial contents are first mentioned, that a mass figure is uninterpretable unless it states whether it is peptide content or total solids, and cross-references the content standard in the analytical series.
  3. The pharmacokinetic section does not connect half-life to the dosing schedule — arising from DRAFT-MOTS-C-MONOG/001. The pharmacokinetic section now states approximate time to steady state alongside the half-life and dosing interval, with the assumption of first-order elimination stated, and records where the assumption is not supported for this compound.
  4. The population to which the headline estimate applies is not stated with the estimate — arising from DRAFT-MOTS-C-MONOG/002. Every headline estimate now carries a one-line statement of the population in which it was observed, and the full eligibility criteria are reported in the included-studies table rather than only in the source.
  5. Two factual descriptions of the sponsor's programme are inaccurate — arising from DRAFT-MOTS-C-MONOG/006. The trial status now reads as completed at a pre-specified interim analysis, with the analysis identified, and the dose is stated in the unit used in the approved labelling. The submission is identified as an industry submission on its face in accordance with…
  6. What happens when the compound is stopped is not addressed — arising from DRAFT-MOTS-C-MONOG/008. Discontinuation trajectory is now an assessed outcome in every monograph where a contributing trial measured it, and a recorded evidence gap in every monograph where none did, so that its absence is visible rather than silent.

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. International Organization for Standardization. ISO/IEC 17025:2017 General Requirements for the Competence of Testing and Calibration Laboratories. ISO/IEC Standard 2017;3rd edition. identifier not held by the Institute

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