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For biotech clinical development

Design the trial your payer will believe. Not just your regulator.

The comparison you are allowed to make at reimbursement is decided years earlier, at trial design. Axelium builds your evidence network now — so you can see where it breaks, a missing comparator or an unanchored node, while it is still a protocol decision, not a rejection.

See how it works
Network meta-analysis · feasibility mapping · deterministic statistics
www.axelium.ai · Forest plotLive
Random-effects pool · primary outcome6 studies
Smith 2024
0.62 [0.41, 0.94]
Chen 2023
0.71 [0.55, 0.92]
Patel 2024
0.83 [0.62, 1.11]
Garcia 2023
0.74 [0.58, 0.95]
Okafor 2024
0.88 [0.71, 1.09]
Müller 2022
1.05 [0.78, 1.41]
Pooled (RE)
0.78 [0.65, 0.93]
← favours interventionfavours control →
study estimate (size ∝ weight)pooled (RE)
RR, log scale
The shift

From a comparator you hope connects to a network you have mapped.

Same workflow, two states. Flip the switch to see what changes.

Mapped once at protocol · then it ages Live · re-maps as the field fills in
Evidence networkSketched once at protocol designKept current as new trials read outsnapshotliving
Comparator gapsSurface at the reimbursement decisionFlagged while still a protocol choiceat rejectionat protocol
Payer viewConsidered late, if at allModelled alongside the regulator'slateearly
Static — the landscape moves without youTracking the evidence network as it fills in
How it works

Map the network now, not at rejection.

Build the comparator network from the evidence that already exists, see where your future comparison connects, and keep it current as the field moves.

Build

Build the comparison once

  • A systematic review and a network meta-analysis
  • Anchored against every relevant comparator
  • Defensible from the first submission
Keep live

Re-runs on a schedule

  • The whole pipeline re-runs on a cadence
  • Flags when a new trial moves the result
  • A signed record of what changed, each cycle
Inspect

No black box

  • Deterministic statistics — same inputs, same result
  • Every estimate traces to its source study
  • Change an assumption and re-run
Why trust it

Methods your payer already recognises.

Validation

We reproduced a published forest plot — exactly.

In our reproduction case study, Axelium rebuilt a published meta-analysis end to end and matched its pooled estimate. Same inputs, same numbers — because the statistical engine is deterministic.

Comparisons a committee will accept

Pairwise and network meta-analysis, plus population-adjusted indirect comparisons, with certainty grading — every step inspectable.

Network meta-analysisMAICSTCML-NMRGRADE certainty
Straight answers

The questions a development team actually asks.

"We have no HEOR team yet."

Guided setup does the mapping. You supply the question; the platform builds the network and shows where it connects.

"Isn’t this premature?"

The cheapest time to fix a disconnected comparison is before the protocol locks — not after the committee names it.

See where your evidence network breaks — while it is still a protocol decision.

Talk to sales
Questions

The details.

As soon as you have a candidate indication and endpoints. The evidence network can be mapped from the published literature before the pivotal trial is designed.