Pure Monograph
Trial Autopsy

Every failed trial leaves a record. Almost nobody reads it properly.

Give it a terminated trial. It returns a cause of failure across six diagnostic lenses — and tells you plainly which ones it cannot answer.

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Illustrative readout

Six lenses. One refused.

An autopsy marks what the record can support — and where it goes silent. Not a real program.

TRIAL PHASE III · SOLID TUMOR ENROLLED 612 STATUS TERMINATED 1 LENS REFUSED
01
Patient selectionImplicated

Biomarker-unselected enrollment. 41% of the treatment arm lacked detectable target expression at baseline per the reported screening data.

02
Endpoint choiceCleared

OS primary, adequately powered, consistent with three comparable programs in the same indication.

03
Scaffold liabilityImplicated

hERG signal present in the preclinical record at 3× Cmax. Carried into Phase III without a mitigation strategy on file.

04
Dose strategyCleared

MTD-anchored. Exposure held within the Phase I range across both arms.

05
Biomarker gapData gap — refused

No archival tissue collection reported. No correlative sub-study published. The evidence required to assess this lens does not exist in the record. Pure Monograph will not infer it.

06
Competitive timingCleared

Two approvals landed in the indication during the enrollment window. Neither altered the comparator arm.

SIX LENSES · TWO IMPLICATED · THREE CLEARED · ONE REFUSED EVERY FINDING TRACED TO SOURCE

Illustrative readout. Not a real program.

Why it's trusted

The refusal is the product.

Most systems answer everything. That is the failure mode, not the feature.

01 — ENFORCED

In code, not prose

The refusal fires at the output boundary — not as a prompt instruction, not as a caveat buried in the wording. A gate that lives in the wording is a gate that eventually opens.

02 — MARKED

The gap is named

When the underlying evidence is absent, the lens returns DATA GAP and names what is missing. You learn where the record is thin, which is itself a finding.

03 — COST

Why it matters

A confident wrong answer wearing correct citations costs a development cycle. It is more expensive than an obvious error, because nobody catches it in review.

Also on the platform

Build Monograph

The other direction. Give it a target, and it designs the molecule across ten dimensions — with the same refusal behaviour at every field. See Build Monograph →

Bring it a trial free.

No call, no demo booking, no sales sequence. Run one autopsy and judge it on the output.

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