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: Semax — disposition

The disposition of every submission and the amendments that resulted.

Document identifier
CEI-CP-074/3
Series
Public comment period
Version
1.0
Published
14 Oct 2025
Last reviewed
14 Oct 2025
Next review
14 Oct 2026
Identifier
10.71829/cei.cp.74
Certainty
Not rated
Cycle
2025 Q3
Window
24 Jul 2025 – 18 Sep 2025
Status
Closed
Submissions
15

§3Disposition and amendments

§3.1Disposition table

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

ReferenceRespondentPoint raisedDisposition
DRAFT-SEMAX-MONOGR/005Sigrún VercingetorixAdverse event frequencies are given without the denominator or the exposure periodAccepted
DRAFT-SEMAX-MONOGR/014Dr Katarzyna Oppenheimer-AdeStorage and reconstitution guidance is given without stating what it rests onAccepted in part
DRAFT-SEMAX-MONOGR/006Dr Odalys Thorsby-NakamuraGuidance on lyophilised storage is missingNoted, no amendment
DRAFT-SEMAX-MONOGR/007Dr Anselm Mountstephen industryTwo factual descriptions of the sponsor's programme are inaccurateAccepted
DRAFT-SEMAX-MONOGR/011Dr Bertrand Steenkamp-FerreiraWhere the compound is a glucagon-like peptide-1 receptor agonist, the cardiovascular outcome evidence should…Accepted in part
DRAFT-SEMAX-MONOGR/013Dr Ivo QuintanilhaMechanistic claims for a peptide fragment are carried without evidence that the fragment acts as describedAccepted
DRAFT-SEMAX-MONOGR/008Dr Wilhelmina Oppenheimer-AdeA sortable table implies a comparison the underlying data do not supportNoted, no amendment
DRAFT-SEMAX-MONOGR/004Dr Beatrijs HazelriggEffect estimates are given without naming the comparatorAccepted
DRAFT-SEMAX-MONOGR/001Dr Yehudit QuaresmaWhat happens when the compound is stopped is not addressedAccepted
DRAFT-SEMAX-MONOGR/003Dr Georgiana ZimmerthalAbsence of evidence is presented in a form a reader will take as negative evidenceAccepted
DRAFT-SEMAX-MONOGR/015Dr Vittoria YlönenThe monograph does not tell a reader that a stated mass may be substantially counter-ion and waterAccepted
DRAFT-SEMAX-MONOGR/012Dr Anselm Ashworth-DanquahThe document is unreadable without specialist trainingAccepted in part
DRAFT-SEMAX-MONOGR/002Dr Yolanda Norrington-BhattA near-isobaric analogue is not distinguished by the identity determination describedAccepted
DRAFT-SEMAX-MONOGR/009Dr Oisín RautavaaraRegulatory status is stated without naming the jurisdictionAccepted
DRAFT-SEMAX-MONOGR/010Dr Gaspard WintringhamTrials are described as terminated where they completed as plannedAccepted in part
15 submissions in total.

§3.2Summary by disposition

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

DispositionCountMeaning
Accepted9The 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 part4Part 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 amendment2The 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 accepted0The 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. Adverse event frequencies are given without the denominator or the exposure period — arising from DRAFT-SEMAX-MONOGR/005. Every reported frequency now carries the number of participants, the number of events and the exposure period, and comparator-arm figures are reported alongside rather than in a separate table.
  2. Storage and reconstitution guidance is given without stating what it rests on — arising from DRAFT-SEMAX-MONOGR/014. In-use periods now appear only where supported by a cited stability determination on a stated presentation, and elsewhere the monograph records that no in-use stability evidence was identified for this presentation.
  3. Two factual descriptions of the sponsor's programme are inaccurate — arising from DRAFT-SEMAX-MONOGR/007. 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…
  4. Where the compound is a glucagon-like peptide-1 receptor agonist, the cardiovascular outcome… — arising from DRAFT-SEMAX-MONOGR/011. Cardiovascular outcomes are now an assessed outcome with their own certainty rating in every monograph for which a dedicated cardiovascular outcome trial of that compound has reported, and are recorded as not assessed elsewhere.
  5. Mechanistic claims for a peptide fragment are carried without evidence that the fragment acts as… — arising from DRAFT-SEMAX-MONOGR/013. Mechanistic claims not traceable to a primary source are removed, and those retained carry their source and a statement of whether the underlying work was conducted in vitro, in animals or in humans.
  6. Effect estimates are given without naming the comparator — arising from DRAFT-SEMAX-MONOGR/004. The comparator is now stated in every outcome row, and estimates against different comparators are reported in separate tables with the comparator named in the table caption.
  7. What happens when the compound is stopped is not addressed — arising from DRAFT-SEMAX-MONOGR/001. 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.
  8. Absence of evidence is presented in a form a reader will take as negative evidence — arising from DRAFT-SEMAX-MONOGR/003. A standing formulation has been adopted and is applied wherever an evidence gap is recorded, distinguishing an outcome assessed and not demonstrated from an outcome not assessed. The formulation is identical at every occurrence so that it can be recognised at…
  9. The monograph does not tell a reader that a stated mass may be substantially counter-ion and water — arising from DRAFT-SEMAX-MONOGR/015. 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.
  10. The document is unreadable without specialist training — arising from DRAFT-SEMAX-MONOGR/012. Every document now opens with a plain-language summary of not more than 150 words, placed above the technical abstract and carrying the same certainty language, so that the two cannot diverge.
  11. A near-isobaric analogue is not distinguished by the identity determination described — arising from DRAFT-SEMAX-MONOGR/002. The analytical section now states the resolving power required to discriminate the pair, names the pair explicitly, and records that an identity claim made below that resolution is not conformant with the identity standard.
  12. Regulatory status is stated without naming the jurisdiction — arising from DRAFT-SEMAX-MONOGR/009. Every regulatory status statement now names the authority, states the date on which the status was verified, and is recorded per jurisdiction rather than as a single global assertion.
  13. Trials are described as terminated where they completed as planned — arising from DRAFT-SEMAX-MONOGR/010. Trial status now uses a fixed vocabulary defined in the glossary, and where the reason for stopping is not evidenced by a document the Institute holds, the status is recorded as stopped with the reason not established rather than assigned.

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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