We don't have great support for this. We support the rounding modes that C uses, but don't have the ability to control the rounding flags in the machine, and don't have a way to tell the optimizer that the program is fiddling with them.
The description of fptosi as "converts...into the nearest (rounding towards zero)" is perhaps a little confusing. That is actually a truncation. No, there's no way to change rounding modes, although people keep talking about adding it. It is not an easy thing to do.