What we shipped, and why it mattered.
Each entry below is a real release, the date is the ship date, the version is the semver tag. Conservative on claims, specific on commitments. For partners on pilots, the private release notes go out separately under NDA.
Latest v2026.41 · Shipped OCTOBER 2026
Every line item ships in order.
Dates set in tabular mono so the column reads as a ledger.
OCT 9, 2026
CTCAE grading that reads negation from the note, and blind-grading adjudication
Grading keeps a present finding beside a limited denial, ctcae.ai runs an on-study visit, and blind-grading studies adjudicate and export by grade.
OCT 2, 2026
Blind grading by CTCAE v5.0 or v6.0, grading provenance and Grade again
Blind-grading raters record adverse events in the CTCAE version a case grades by, and reviewers see how every grade was reached before they decide.
SEP 25, 2026
Visit audio transcription, one chat engine and the Protocol Assistant
Sites get visit recordings transcribed in the platform, assistant replies that survive a reload, and one triage record shared with Protocol Studio.
SEP 18, 2026
ctcae.ai, a free CTCAE grading tool for site teams, and a rebuilt provider app
Site teams get free CTCAE v5.0 and v6.0 grading and an in-browser de-identifier at ctcae.ai, and sponsors get PRO answers filed item by item.
SEP 11, 2026
Adverse event onset dates, co-enrollment checks and patient data erasure
Sites record when each adverse event began, see co-enrollment before issuing a PRO credential, and can export and erase a patient's data on request.
SEP 4, 2026
A second factor the server produces, and files that arrive with their record
Part 11 electronic signatures with a server-verified second factor, support screenshots delivered with an audit record, and Protocol Studio for research sites.
AUG 29, 2026
Blind grading adjudication from rater disagreement, and CTCAE v5.0 beside v6.0
Blind grading adjudication starts when two raters disagree, Part 11 e-signatures resolve to a record, and CTCAE v5.0 runs beside v6.0 without substitution.
AUG 21, 2026
CTCAE grading runs that reconcile, unified review and one shared recorder
Grading runs reconcile after a reload, review happens on one surface, participant links name their study site, and one recorder serves every capture surface.
AUG 14, 2026
PHI isolation: patient data in its own plane, and encounter review on CTCAE v6.0
Patient data now lives in its own isolated plane, manual adverse events use the canonical CTCAE v6.0 catalog, and notes are read-only in review.
JUL 31, 2026
Patient history continuity across visits, and adverse event reviews that close
Patient identity holds across visits, reviews close when finished, and invitations land in the right organization. Live from 10 August 2026.
JUL 17, 2026
Clinician review workflow: reviews that complete, and your team in one workspace
Reviews complete when a coordinator adds their own events, load errors say what failed, and invited teammates join one workspace. Live from 10 August 2026.
JUL 10, 2026
Team invitations, CTCAE review completion and blind grading error pages
Invitees join the inviting organization, CTCAE reviews close once every event is accepted, and blind grading explains a failed load. Live from 10 August 2026.
JUL 3, 2026
SMART on FHIR launch from your EHR into one shared workspace
Clinicians open Burna AI from inside the EHR, identity is confirmed on the server, and everyone from one EHR organization shares a workspace.
JUN 26, 2026
Grade-only blind grading and a blind the system enforces
Sites can run grade-only blind grading: the workflow proposes each CTCAE term, raters grade severity blind, and each rater sees only their own events.
JUN 5, 2026
Patient visit recording, direct upload and email verification
Patients record clinic visits and read back a summary, clinicians replay a paused recording, uploads are scoped to each organization, and email is verified.
MAY 22, 2026
A seven-language clinical trial workspace, secure file downloads and a new site
The provider workspace runs in English, Spanish, French, Portuguese, German, Chinese and Arabic, files download via expiring links, and burna.ai was rebuilt.
MAY 19, 2026
A personal symptom diary mode for patients outside clinical trials
By May 2026 the patient app offered a personal symptom diary beside trial check-ins. Today they are two apps: Care Journal and Healthnotes.
MAY 15, 2026
Comorbidity-aware CTCAE attribution and live PRO submission tracking
Attribution weighs each patient's comorbidities, the roster shows when each patient last sent a PRO, and check-in safety triggers follow the latest answer.
MAY 8, 2026
Protocol ingestion demo mode, mobile account deletion and phone-ready screens
Protocol ingestion opened to evaluators through a passwordless demo sign-up, both mobile apps share one account deletion flow, and provider screens fit phones.
MAY 1, 2026
Live CTCAE grading and attribution streams, and protocol search in grading
CTCAE grading, drug attribution and interaction runs report each step live, scoped to the organization, and trial protocols are searched during grading.
APR 24, 2026
Bulk CTCAE grading API with asynchronous jobs, and in-app feedback
An organization's own system can send up to 100 clinical notes for CTCAE grading in one request, plus in-app feedback, a trials workspace and PRO token emails.
APR 17, 2026
PRO-CTCAE grading with clinician e-signature sign-off, and token reissue
Participant PRO-CTCAE check-ins run through the CTCAE grading workflow, a clinician reviews and e-signs the grades, and admins can reissue enrollment tokens.
APR 15, 2026
PRO-CTCAE check-ins reach a site review queue for clinician sign-off
April 2026: participant PRO-CTCAE and pre-visit check-ins reach a site review queue, where a clinician reviews AI-suggested CTCAE grades and signs off.
APR 10, 2026
Protocol-aware drug attribution and CTCAE grading informed by trial documents
Sites anchor drug attribution to each protocol's expected adverse events, CTCAE grading draws on uploaded protocols, and trial patients get an app.
APR 3, 2026
Institution grading preferences, Oracle Health EHR and severity-first AE review
Institutions set clinical preferences for AI grading, Oracle Health (Cerner) connects with wider FHIR access, and adverse events sort by severity.
MAR 27, 2026
FDA MedWatch 3500A, IRB and sponsor SAE report drafts, plus study sites
Draft FDA MedWatch 3500A, IRB and sponsor SAE reports from graded adverse events, and manage study sites, trial protocols and PRO enrollment tokens.
MAR 20, 2026
Adverse event report PDF with attestation, and one connected grading pipeline
The adverse event report PDF gains reporting flags and a clinician attestation block, and grading, attribution and drug interaction run as one pipeline.
MAR 13, 2026
EHR encounter import, batch adjudication and more CTCAE synonyms
Clinical notes import from an EHR encounter in one step, rater disagreements resolve in batch, and the CTCAE synonym map covers immune-related events.
MAR 10, 2026
Voice symptom reporting in the trial participant's daily symptom diary
March 2026: trial participants could speak a daily symptom diary entry in US English instead of typing it. Trial reporting now lives in Healthnotes.
MAR 9, 2026
Comorbidity-aware CTCAE grading, copy-forward detection and regimen profiles
CTCAE grading weighs known comorbidities, a copy-forward check reads past visits, unmatched terms go to a review queue and regimen profiles inform attribution.
MAR 6, 2026
EHR patient import, AE report PDFs and high-grade alerts
Patient demographics import from the EHR, adverse event reports export as PDFs, and grade 3 or higher patient reports raise an alert to the site.
FEB 27, 2026
SMART on FHIR EHR integration and blind grading held until each rater submits
Trial sites connect Epic or Oracle Health by SMART on FHIR, blind grades stay hidden until each rater submits, and teams switch organizations.
FEB 20, 2026
Adverse event adjudication when raters disagree, live analytics and term search
Rater disagreements route to an adjudicator for a signed decision, analytics read live data, and treatment suggestions were removed on purpose.
FEB 13, 2026
Blind CTCAE grading for clinical trials, grader roles and grade definitions
Blind grading for clinical trial quality programs, with seeded test cases, a grader role with bulk assignment and CTCAE v6.0 grade definitions in review.
FEB 7, 2026
Patient safety view: adverse event history and review of AI-suggested AEs
Coordinators see a patient's graded adverse events across encounters in one list, and accept, edit or add to the AI's suggested adverse events.
FEB 6, 2026
Patient adverse event history, encounter audio playback and live review status
A patient's adverse event history in one view, encounter audio playback beside the note, and a review status that updates itself on every save.
FEB 4, 2026
Patient symptom reporting for trial participants (now Healthnotes)
February 2026: trial participants could report PRO-CTCAE symptoms between visits through a personal link, after a safety screen. Now part of Healthnotes.
JAN 30, 2026
CTCAE grading workflow recovery, clinical data export and mobile progress
A failed CTCAE grading launch retries from its last completed step, sites export notes and grading history in one click, and mobile tracks each recording step.
JAN 27, 2026
CTCAE search, sign-in and loading improvements in the provider mobile app
Site staff on the provider mobile app get a redesigned CTCAE term search, a loading state on saves and uploads, and sign-in without redirect loops.
JAN 23, 2026
Multi-event CTCAE grading beside the note, and CTCAE term search on the web
The web encounter screen grades every adverse event in a note in one run, and CTCAE term search shows each term's grade definitions with NCI's citation.
JAN 17, 2026
Mobile CTCAE grading and a recent-cases dashboard
Coordinators grade CTCAE adverse events on the mobile app, and each recent case shows its grade 3 or higher events and whether it awaits review.
JAN 16, 2026
Mobile CTCAE search, a recent-cases view and multi-event grading by default
Search CTCAE terms on the phone, see which recent cases hold grade 3 or higher events, and grade every adverse event in a note in one run.
JAN 9, 2026
PRO-CTCAE on the web, mobile grading and clinical notes from audio
Trial patients answer PRO-CTCAE on the web from their site's link, coordinators grade visits on mobile, and a recorded visit becomes a clinical note.
JAN 2, 2026
AI grading audit trail: the model behind each grade, plus organ-system tags
Each AI CTCAE grade records the model that produced it, so a site or sponsor can audit which model suggested it, and graded events gain organ-system tags.
DEC 26, 2025
Blind CTCAE grading with AI, Part 11-aligned e-signatures and an audit trail
AI CTCAE grading joins blind multi-rater review, with an electronic signature on each grade and an audit trail of who submitted it and when.
NOV 25, 2025
A public Burna AI changelog and a redesigned site header
The Burna AI changelog goes public, with one dated entry per release, plus a redesigned site header with less layout shift while it loads.
JUN 15, 2025
Stronger reasoning and longer context in the AI grading assistant
The AI grading assistant reasons through multi-step requests more reliably, keeps context through long sessions and formats its answers consistently.
MAY 23, 2025
Burna AI interface redesign and accessibility improvements
A redesigned Burna AI interface with stronger keyboard navigation, color contrast and screen-reader support, and layouts that adapt to each screen size.