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mML - 1st line (L1), nivolumab alone , meta-analysis of study results

Outcome Relative effect 95%CI LoD Trt. better when I2 k (RCT/OBS) Bayesian probability Overall ROB Publication bias Degree of certainty Endpoint importance Published MA

efficacy endpoints 00

deaths (OS) 0.63 [0.31, 1.28]< 195%4 studies (4/-)89.7 %lownot evaluable highcrucial-
deaths (OS) (extension) 0.71 [0.41, 1.20]< 195%3 studies (3/-)90.0 %lownot evaluable highimportant-
PFS (extension) 0.66 [0.34, 1.26]< 197%3 studies (3/-)89.7 %lownot evaluable highimportant-
progression or deaths (PFS) 0.62 [0.34, 1.10]< 196%4 studies (4/-)94.8 %lownot evaluable highimportant-
DOR (extension) 3.45 [1.46, 8.18]> 10%1 study (1/-)99.8 %NAnot evaluable non important-
objective responses (ORR) 2.35 [0.77, 7.20]> 196%4 studies (4/-)93.3 %lownot evaluable highnon important-
objective responses (ORR) (extension) 1.38 [0.16, 11.98]> 199%3 studies (3/-)61.5 %lownot evaluable highnon important-

safety endpoints 00

AE (any grade) 0.78 [0.34, 1.76]< 10%1 study (1/-)72.7 %NAnot evaluable non important-
AE (grade 3-4) 0.84 [0.56, 1.25]< 10%1 study (1/-)80.5 %NAnot evaluable non important-
AE leading to death (grade 5) 1.00 [0.02, 50.40]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
AE leading to treatment discontinuation (any grade) 0.55 [0.28, 1.10]< 10%1 study (1/-)95.5 %NAnot evaluable non important-
AE leading to treatment discontinuation (grade 3-4) 0.61 [0.29, 1.28]< 10%1 study (1/-)90.5 %NAnot evaluable non important-
SAE (any grade) 0.73 [0.49, 1.10]< 10%1 study (1/-)93.1 %NAnot evaluable non important-
SAE (grade 3-4) 0.74 [0.47, 1.17]< 10%1 study (1/-)90.4 %NAnot evaluable non important-
STRAE (any grade) 1.06 [0.54, 2.07]< 10%1 study (1/-)43.8 %NAnot evaluable non important-
STRAE (grade 3-4) 0.99 [0.44, 2.27]< 10%1 study (1/-)50.5 %NAnot evaluable non important-
TRAE (any grade) 0.66 [0.33, 1.34]< 183%3 studies (3/-)87.2 %lownot evaluable highnon important-
TRAE (grade 3-4) 0.45 [0.19, 1.05]< 192%3 studies (3/-)96.8 %lownot evaluable highnon important-
TRAE leading to death (grade 5) 1.00 [0.06, 15.97]< 10%2 studies (2/-)50.1 %lownot evaluable highnon important-
TRAE leading to discontinuation (any grade) 0.38 [0.11, 1.30]< 194%2 studies (2/-)93.8 %lownot evaluable highnon important-
TRAE leading to discontinuation (grade 3-4) 0.32 [0.12, 0.82]< 186%2 studies (2/-)99.1 %lownot evaluable highnon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.45 [0.06, 3.23]< 10%3 studies (3/-)78.6 %lownot evaluable highnon important-
Adrenal insufficiency TRAE (grade 3-4) 0.64 [0.12, 3.54]< 133%2 studies (2/-)69.4 %lownot evaluable highnon important-
Alopecia TRAE (grade 3-4) 1.00 [0.02, 50.40]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Anaemia TRAE (grade 3-4) 1.00 [0.02, 50.40]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Arthralgia TRAE (grade 3-4) 0.83 [0.14, 4.80]< 10%3 studies (3/-)58.3 %lownot evaluable highnon important-
Asthenia TRAE (grade 3-4) 0.63 [0.13, 3.11]< 10%3 studies (3/-)71.6 %lownot evaluable highnon important-
Colitis TRAE (grade 3-4) 0.11 [0.05, 0.26]< 10%2 studies (2/-)100.0 %lownot evaluable highnon important-
Constipation TRAE (grade 3-4) 1.00 [0.02, 50.40]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Cough TRAE (grade 3-4) 2.88 [0.42, 19.52]< 10%3 studies (3/-)14.1 %lownot evaluable highnon important-
Decreased appetite TRAE (grade 3-4) 0.32 [0.05, 2.23]< 10%3 studies (3/-)87.3 %lownot evaluable highnon important-
Diarrhoea TRAE (grade 3-4) 0.42 [0.22, 0.81]< 123%3 studies (3/-)99.5 %lownot evaluable highnon important-
Dry skin TRAE (grade 3-4) 1.00 [0.10, 9.60]< 10%3 studies (3/-)50.1 %lownot evaluable highnon important-
Dyspnoea TRAE (grade 3-4) 0.58 [0.09, 3.80]< 10%2 studies (2/-)71.6 %lownot evaluable highnon important-
Fatigue TRAE (grade 3-4) 0.38 [0.14, 1.03]< 16%3 studies (3/-)97.1 %lownot evaluable highnon important-
Headache TRAE (grade 3-4) 0.45 [0.06, 3.24]< 10%3 studies (3/-)78.6 %lownot evaluable highnon important-
Hepatitis TRAE (grade 3-4) 0.22 [0.02, 2.32]< 10%2 studies (2/-)89.4 %lownot evaluable highnon important-
Hypersensitivity TRAE (grade 3-4) 1.00 [0.02, 50.40]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 0.58 [0.08, 4.11]< 10%3 studies (3/-)70.4 %lownot evaluable highnon important-
Hypophysitis TRAE (grade 3-4) 0.20 [0.04, 0.90]< 10%2 studies (2/-)98.2 %lownot evaluable highnon important-
Hypothyroidism TRAE (grade 3-4) 0.75 [0.09, 6.48]< 10%3 studies (3/-)60.1 %lownot evaluable highnon important-
Increase AST TRAE (grade 3-4) 0.50 [0.10, 2.63]< 159%3 studies (3/-)79.2 %lownot evaluable highnon important-
Increased ALT TRAE (grade 3-4) 0.48 [0.10, 2.26]< 169%3 studies (3/-)82.3 %lownot evaluable highnon important-
Increased lipase level TRAE (grade 3-4) 0.65 [0.22, 1.94]< 178%2 studies (2/-)77.8 %lownot evaluable highnon important-
Infusion-related reactions TRAE (grade 3-4) 1.00 [0.02, 50.40]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Leucopenia TRAE (grade 3-4) 0.12 [0.01, 2.33]< 10%1 study (1/-)91.7 %NAnot evaluable non important-
Maculopapular rash TRAE (grade 3-4) 0.68 [0.20, 2.35]< 10%3 studies (3/-)72.9 %lownot evaluable highnon important-
Myalgia TRAE (grade 3-4) 1.23 [0.19, 8.14]< 10%3 studies (3/-)41.4 %lownot evaluable highnon important-
Nausea TRAE (grade 3-4) 0.20 [0.03, 1.28]< 10%3 studies (3/-)95.5 %lownot evaluable highnon important-
Neutropenia TRAE (grade 3-4) 0.05 [0.00, 0.92]< 10%1 study (1/-)97.7 %NAnot evaluable non important-
Pancytopenia TRAE (grade 3-4) 0.16 [0.01, 3.29]< 10%1 study (1/-)87.9 %NAnot evaluable non important-
Paraesthesia TRAE (grade 3-4) 1.00 [0.02, 50.40]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 0.51 [0.09, 2.98]< 10%2 studies (2/-)77.0 %lownot evaluable highnon important-
Pruritic rash TRAE (grade 3-4) 1.00 [0.06, 15.97]< 10%2 studies (2/-)50.1 %lownot evaluable highnon important-
Pruritus TRAE (grade 3-4) 0.46 [0.10, 2.07]< 10%3 studies (3/-)84.4 %lownot evaluable highnon important-
Pyrexia TRAE (grade 3-4) 0.38 [0.06, 2.56]< 10%3 studies (3/-)83.8 %lownot evaluable highnon important-
Rash TRAE (grade 3-4) 0.22 [0.05, 0.93]< 110%3 studies (3/-)98.0 %lownot evaluable highnon important-
Thrombocytopenia TRAE (grade 3-4) 0.05 [0.00, 0.82]< 10%1 study (1/-)98.1 %NAnot evaluable non important-
Thyroiditis TRAE (grade 3-4) 0.67 [0.05, 8.75]< 10%2 studies (2/-)61.9 %lownot evaluable highnon important-
Vitiligo TRAE (grade 3-4) 1.65 [0.21, 12.82]< 10%3 studies (3/-)31.7 %lownot evaluable highnon important-
Vomiting TRAE (grade 3-4) 0.40 [0.09, 1.67]< 10%3 studies (3/-)89.5 %lownot evaluable highnon important-
Weight decreased TRAE (grade 3-4) 0.67 [0.05, 8.74]< 10%2 studies (2/-)61.9 %lownot evaluable highnon important-

LoD: level of statistical demonstration: Statistically conclusive: statistically significant with a strict control of overall risk of type 1 error (statistically demonstrated), does not take into account the risk of bias; suggested: nominally statistically significant but without a strict control of overall risk of type 1 error; inconclusive: not nominally statistically significant; safety concerns;
Bayesian probability: Bayesian posterior probability of treatment effect (computed with a noninformative prior); ROB: risk of bias; k: number of studies; published MA: number of published meta-analysis on the same topic; degree of certainty adapted from GRADE. Trt. better when: indicates when the relative treatment effect shows that the studied treatment is better than control.