It turns out that the behaviour of these intrinsics is different enough from generic IR that this will cause problems, INF/NAN/out of range values are guaranteed to result in a 0x80000000 value - which plays havoc with constant folding which converts them to either zero or UNDEF. This is also an issue with the scalar implementations (which were already generic IR and what I was trying to match).
This patch changes both scalar and packed versions back to using x86-specific builtins.
It also deals with the other scalar conversion cases that are runtime rounding mode dependent and can have similar issues with constant folding.
A companion clang patch is at D22105