O-21 - A higher-intake-lower-MI signal appeared in PURE alone but was not replicated in ONTARGET-TRANSCEND

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Why this is evidence

Per-member (H-2, H-3, H-4, H-9, H-10, H-12):

  1. H-2: disconfirmed - the one protective signal in PURE fails external replication, so protective findings elsewhere (e.g. CKB) look more like population-specific noise.
  2. H-3: unengaged (no harm shown either).
  3. H-4: mildly predicted (apparent inverse signals are artefactual).
  4. H-9: predicted.
  5. H-10: predicted - non-replication is what a true global null generates.
  6. H-12: mildly disconfirmed - a real direction-varying effect would more often replicate within a matched patient population.