For HTA bodies, payers & national institutions
An audit trail that survives the submission cycle.
Per-cycle provenance and frozen rollup snapshots give the audit trail submissions need — with a deterministic statistical engine a regulator can replay months later from the same inputs.
Deterministic engine · frozen snapshots · full provenance
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 scaleThe shift
From disconnected tools to one sanctioned trail.
Same workflow, two states. Flip the switch to see what changes.
Assembled per submission · then set aside Live · re-runs with signed provenance
Each divisionIts own one-off workflowOne sanctioned, living trailsiloedcentral
The evidence baseFrozen at submissionRe-runs on a schedulefrozenliving
Audit trailReassembled every cycleSigned and current each cyclerebuiltprovenance
Static — reassembled each cycleOne auditable trail, kept current
How it works
Regulatory-grade synthesis, replayable on demand.
Build the comparison once, keep it current, and inspect every step — with a signed, replayable record at each stage.
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
A result a committee can reproduce.
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
Questions