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CLAIM CARD

The curated corpus is dominated by observational cohort designs and mechanistic reviews; no completed, long-term mortality or hard-clinical-endpoint randomized controlled trial (RCT) of immunosenescence-directed therapy appears in the included set. For example, Zhong 2025 describes only the design and protocol of a tai-chi RCT in prefrail older adults, not final efficacy data, leaving the synthesis without a replicated human trial that reports all-cause mortality, incident disability, or confirmed infection endpoints. Consequently, the headline conclusion that 'mechanistic plausibility coexists with mixed or sparse human-RCT evidence' reflects the true state of this curated evidence base rather than an absence of existing trials elsewhere. The absence of such outcome-driven RCTs means the synthesis cannot quantify effect sizes for clinically meaningful endpoints, and any claim linking immunosenescence modulation to improved survival remains unsupported within this corpus.

Evidence grade: exploratory

Contradiction status: none

Publication: 826c8f08-fdc3-46b0-9acd-2f25f81d0d03

Provenance: Derivation Web chain

Citation Support

  • source_1 Shimizu 2025
  • source_2 Rastgoo 2025
  • source_3 Padhiar 2024
  • source_4 Park 2026
  • source_5 Seah 2026

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