Public comment period · §3
Draft synthesis: weight change after discontinuation of an… — disposition
The disposition of every submission and the amendments that resulted.
§3Disposition and amendments
§3.1Disposition table
Table 1. Every submission with its disposition. Each row links to the submission in full.
| Reference | Respondent | Point raised | Disposition |
|---|---|---|---|
| DRAFT-WEIGHT-REGAI/007 | Dr Anselm Ashworth-Danquah | Studies not published in English were excluded without assessment | Accepted in part |
| DRAFT-WEIGHT-REGAI/012 | Dr Ottoline Oppenheimer-Ade | The choice of effect measure is not justified and changes the appearance of the result | Accepted in part |
| DRAFT-WEIGHT-REGAI/008 | Dr Bertrand Steenkamp-Ferreira | The search date is not on the face of the document | Accepted |
| DRAFT-WEIGHT-REGAI/015 | Dr Jerome Petrossian | The document should state what a reader ought to do | Not accepted |
| DRAFT-WEIGHT-REGAI/005 | Dr Katarzyna Oppenheimer-Ade industry | Two factual descriptions of the sponsor's programme are inaccurate | Accepted |
| DRAFT-WEIGHT-REGAI/006 | Dr Ivo Quintanilha | The review question is drawn too broadly to be answerable | Not accepted |
| DRAFT-WEIGHT-REGAI/001 | Dr Anselm Thorsby-Nakamura industry | A sponsor trial meeting the eligibility criteria was excluded | Accepted in part |
| DRAFT-WEIGHT-REGAI/016 | Dr Theodora Ximenes | The same concept is given three different names in one document | Accepted |
| DRAFT-WEIGHT-REGAI/002 | Dr Torvald Kettlewell | A funnel plot is presented for a set too small to interpret it | Accepted |
| DRAFT-WEIGHT-REGAI/013 | Dr Delphine Trelawney | Efficacy outcomes are rated for certainty and harms are not | Accepted |
| DRAFT-WEIGHT-REGAI/014 | Dr Quentin Whitmarsh-Obi | Analytical surveys are treated as evidence about suppliers when they establish only what was in a sample | Accepted |
| DRAFT-WEIGHT-REGAI/003 | Dr Mordecai Glendinning-Uche | Two included studies do not meet the registered eligibility criteria | Accepted in part |
| DRAFT-WEIGHT-REGAI/010 | Dr Theodora Trelawney | A surrogate outcome is used as the anchor without validation evidence | Accepted in part |
| DRAFT-WEIGHT-REGAI/011 | Dr Hortensia Larsson-Ekwueme | Registered trials that never reported are not counted anywhere in the review | Accepted |
| DRAFT-WEIGHT-REGAI/009 | Dr Eamon Sandringham-Adu | Baseline imbalance in a small contributing trial is not remarked on | Noted, no amendment |
| DRAFT-WEIGHT-REGAI/004 | Dr Vittoria Ylönen | Intention-to-treat and efficacy-estimand results are combined without distinction | Accepted |
| 16 submissions in total. | |||
§3.2Summary by disposition
Table 2. Counts by disposition, with the meaning of each.
| Disposition | Count | Meaning |
|---|---|---|
| Accepted | 8 | The 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 part | 5 | Part 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 amendment | 1 | The 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 accepted | 2 | The 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
- Studies not published in English were excluded without assessment — arising from DRAFT-WEIGHT-REGAI/007. Language restriction is removed from the protocol for the series, the records previously excluded on that ground are listed with their screening outcome, and the residual limitation is stated in the abstract of this review.
- The choice of effect measure is not justified and changes the appearance of the result — arising from DRAFT-WEIGHT-REGAI/012. Every outcome now reports the relative effect and, where an assumed baseline risk can be stated and sourced, the corresponding absolute effect, with the baseline risk and its source given in the same row.
- The search date is not on the face of the document — arising from DRAFT-WEIGHT-REGAI/008. The search date is now printed adjacent to every certainty rating and is carried in the document metadata, so that the interval between the search and the reading is visible without reference to the methods section.
- Two factual descriptions of the sponsor's programme are inaccurate — arising from DRAFT-WEIGHT-REGAI/005. 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…
- A sponsor trial meeting the eligibility criteria was excluded — arising from DRAFT-WEIGHT-REGAI/001. The trial is added to the included set, the estimate and the certainty rating have been recomputed, and the screening record now states why the trial was missed, which was a database indexing gap rather than a screening judgement. The submission is identified…
- The same concept is given three different names in one document — arising from DRAFT-WEIGHT-REGAI/016. A single term is now used throughout for each defined concept, and the glossary entry is linked at first use within each section rather than once per document.
- A funnel plot is presented for a set too small to interpret it — arising from DRAFT-WEIGHT-REGAI/002. The funnel plot is removed for every outcome contributed by fewer than ten studies, and replaced by a statement that small-study effects could not be assessed at that number, together with the count of registered trials identified without posted results.
- Efficacy outcomes are rated for certainty and harms are not — arising from DRAFT-WEIGHT-REGAI/013. Every reported harm now carries a certainty rating on the same scale as the efficacy outcomes, with the downgrade reasons stated, and discontinuation for adverse events appears in the summary of findings rather than in an annex.
- Analytical surveys are treated as evidence about suppliers when they establish only what was in a… — arising from DRAFT-WEIGHT-REGAI/014. Provenance is now assessed for every included survey and reported as a study characteristic, surveys without establishable provenance are reported separately rather than pooled with those that have it, and no supplier-level inference is drawn from a…
- Two included studies do not meet the registered eligibility criteria — arising from DRAFT-WEIGHT-REGAI/003. One study has been removed from the included set and the estimate recomputed, the exclusion reason for the third study has been corrected in the excluded-studies table, and the screening decisions are now recorded against the protocol version in force at the…
- A surrogate outcome is used as the anchor without validation evidence — arising from DRAFT-WEIGHT-REGAI/010. Where the anchor is a surrogate, the synthesis now states the evidence for the surrogate relationship, rates it separately, and downgrades the anchor rating for indirectness accordingly rather than carrying the surrogate as though it were the outcome of…
- Registered trials that never reported are not counted anywhere in the review — arising from DRAFT-WEIGHT-REGAI/011. Registered trials without posted results are now identified, counted and reported as a distinct category in the screening flow, with the proportion of registered participants they represent stated in the limitations.
- Intention-to-treat and efficacy-estimand results are combined without distinction — arising from DRAFT-WEIGHT-REGAI/004. The treatment-policy estimand is used throughout as the primary analysis, the efficacy estimand is reported as a secondary analysis where available, and the estimand used is stated in every row of the summary of findings.
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.
- 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
Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.
Compound Evidence Institute · CEI-CP-008/3 · https://compoundevidence.com/comment-periods/draft-weight-regain-synthesis/disposition/ · retrieved 30 July 2026