This patch removes the llvm intrinsics (V)CVTTPS2DQ and VCVTTPD2DQ truncation (round to zero) conversions and auto-upgrades to FP_TO_SINT calls instead.
Note: I looked at updating CVTTPD2DQ as well but this still requires a lot more work to correctly lower.
A companion patch (D20859) removes the clang intrinsics.
Have you looked into moving the patterns into the instruction defs? Might be tricky with NoVLX though.