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mML - 2nd line (L2), anti-CTLA-4 , 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) 0.75 [0.66, 0.85]< 155%7 studies (7/-)100.0 %lownot evaluable highcrucial-
deaths (OS) (extension) 0.68 [0.60, 0.78]< 10%3 studies (3/-)100.0 %some concernnot evaluable moderateimportant-
progression or deaths (PFS) 0.68 [0.56, 0.82]< 164%4 studies (4/-)100.0 %some concernnot evaluable moderateimportant-
DCR 1.17 [0.92, 1.50]> 10%2 studies (2/-)90.1 %lownot evaluable highnon important-
DOR 0.68 [0.55, 0.85]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
objective responses (ORR) 2.14 [1.18, 3.90]> 185%7 studies (7/-)99.4 %lownot evaluable highnon important-

safety endpoints 00

AE (any grade) 2.20 [1.14, 4.25]< 13%4 studies (4/-)1.0 %lownot evaluable highnon important-
AE (grade 3-4) 1.33 [0.69, 2.56]< 190%4 studies (4/-)19.9 %lownot evaluable highnon important-
AE leading to death (grade 5) 1.02 [0.02, 51.42]< 10%1 study (1/-)49.7 %NAnot evaluable non important-
TRAE (any grade) 2.01 [1.31, 3.07]< 185%7 studies (7/-)0.1 %lownot evaluable highnon important-
TRAE (grade 3-4) 1.77 [0.92, 3.38]< 191%7 studies (7/-)4.3 %lownot evaluable highnon important-
TRAE leading to death (grade 5) 1.58 [0.55, 4.50]< 10%4 studies (4/-)19.9 %lownot evaluable highnon important-
TRAE leading to discontinuation (any grade) 1.28 [0.72, 2.27]< 174%3 studies (3/-)20.2 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (grade 3-4) 2.23 [1.51, 3.30]< 10%3 studies (3/-)0.0 %lownot evaluable highnon important-

TRAE (grade 3-4) endpoints 00

Adrenal insufficiency TRAE (grade 3-4) 1.43 [0.27, 7.58]< 10%4 studies (4/-)33.8 %lownot evaluable highnon important-
Colitis TRAE (grade 3-4) 1.16 [0.41, 3.33]< 177%7 studies (7/-)39.0 %lownot evaluable highnon important-
Diarrhoea TRAE (grade 3-4) 1.51 [0.74, 3.08]< 154%7 studies (7/-)12.9 %lownot evaluable highnon important-
Endocrine disorders TRAE (grade 3-4) 1.55 [0.34, 6.97]< 168%4 studies (4/-)28.5 %lownot evaluable highnon important-
Eye disorders TRAE (grade 3-4) 0.50 [0.02, 14.85]< 10%1 study (1/-)65.5 %NAnot evaluable non important-
Febrile neutropenia TRAE (grade 3-4) 3.99 [0.18, 88.89]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Gastrointestinal disorders TRAE (grade 3-4) 2.16 [0.84, 5.60]< 169%4 studies (4/-)5.6 %lownot evaluable highnon important-
Guillain-Barré syndrome TRAE (grade 3-4) 3.99 [0.18, 88.89]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 2.45 [0.95, 6.28]< 10%7 studies (7/-)3.1 %lownot evaluable highnon important-
Hepatobiliary disorders TRAE (grade 3-4) 0.53 [0.15, 1.80]< 10%3 studies (3/-)84.6 %lownot evaluable highnon important-
Hypersensitivity TRAE (grade 3-4) 6.01 [0.30, 120.38]< 10%1 study (1/-)12.3 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 0.57 [0.07, 4.44]< 10%3 studies (3/-)70.3 %some concernnot evaluable moderatenon important-
Hypophysitis TRAE (grade 3-4) 1.00 [0.47, 2.10]< 10%6 studies (6/-)50.5 %lownot evaluable highnon important-
Hypothyroidism TRAE (grade 3-4) 1.09 [0.28, 4.24]< 10%7 studies (7/-)45.2 %lownot evaluable highnon important-
Increase AST TRAE (grade 3-4) 1.47 [0.24, 8.98]< 170%7 studies (7/-)33.8 %lownot evaluable highnon important-
Increased ALT TRAE (grade 3-4) 2.34 [0.53, 10.34]< 163%7 studies (7/-)13.2 %lowserious highnon important-
Increased lipase level TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 3.99 [0.18, 88.89]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Maculopapular rash TRAE (grade 3-4) 0.94 [0.15, 5.80]< 10%3 studies (3/-)52.5 %some concernnot evaluable moderatenon important-
Nervous system disorders TRAE (grade 3-4) 8.03 [0.42, 152.51]< 10%1 study (1/-)8.5 %NAnot evaluable non important-
Pancreatitis TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Pancytopenia TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Pericarditis TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Peripheral neuropathy TRAE (grade 3-4) 3.99 [0.18, 88.89]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 1.63 [0.29, 9.28]< 10%3 studies (3/-)29.0 %some concernnot evaluable moderatenon important-
Polymyalgia Rheumatica TRAE (grade 3-4) 0.50 [0.02, 14.85]< 10%1 study (1/-)65.5 %NAnot evaluable non important-
Pruritic rash TRAE (grade 3-4) 0.72 [0.08, 6.18]< 10%3 studies (3/-)61.7 %some concernnot evaluable moderatenon important-
Pruritus TRAE (grade 3-4) 1.31 [0.41, 4.17]< 10%7 studies (7/-)32.5 %lownot evaluable highnon important-
Rash TRAE (grade 3-4) 2.30 [0.86, 6.17]< 10%7 studies (7/-)4.9 %lownot evaluable highnon important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 8.03 [0.42, 152.51]< 10%1 study (1/-)8.5 %NAnot evaluable non important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 1.79 [0.77, 4.18]< 10%4 studies (4/-)8.9 %lownot evaluable highnon important-
Thyroiditis TRAE (grade 3-4) 1.49 [0.11, 19.48]< 10%2 studies (2/-)38.1 %lownot evaluable highnon important-
Uveitis TRAE (grade 3-4) 0.72 [0.08, 6.18]< 10%3 studies (3/-)61.7 %some concernnot evaluable moderatenon important-
Vitiligo TRAE (grade 3-4) 0.49 [0.05, 4.76]< 10%3 studies (3/-)72.8 %lownot evaluable highnon important-

AE (grade 3-4) endpoints 00

Abdominal pain AE (grade 3-4) 0.40 [0.20, 0.79]< 10%4 studies (4/-)99.6 %lownot evaluable highnon important-
Anaemia AE (grade 3-4) 0.44 [0.23, 0.84]< 112%3 studies (3/-)99.3 %lownot evaluable highnon important-
Asthenia AE (grade 3-4) 0.17 [0.02, 1.39]< 10%1 study (1/-)95.0 %NAnot evaluable non important-
Chills AE (grade 3-4) 1.02 [0.02, 51.42]< 10%1 study (1/-)49.7 %NAnot evaluable non important-
Constipation AE (grade 3-4) 0.80 [0.27, 2.38]< 10%4 studies (4/-)65.8 %lownot evaluable highnon important-
Cough AE (grade 3-4) 0.99 [0.17, 5.76]< 10%4 studies (4/-)50.2 %lownot evaluable highnon important-
Decreased appetite AE (grade 3-4) 0.65 [0.31, 1.39]< 10%4 studies (4/-)86.6 %lownot evaluable highnon important-
Diarrhoea AE (grade 3-4) 3.93 [0.81, 19.19]< 166%4 studies (4/-)4.6 %lownot evaluable highnon important-
Dyspnoea AE (grade 3-4) 1.03 [0.50, 2.13]< 125%4 studies (4/-)46.5 %lownot evaluable highnon important-
Fatigue AE (grade 3-4) 1.58 [0.84, 2.97]< 146%4 studies (4/-)7.6 %lownot evaluable highnon important-
Headache AE (grade 3-4) 0.78 [0.33, 1.84]< 18%4 studies (4/-)71.8 %lownot evaluable highnon important-
Increase AST AE (grade 3-4) 18.42 [5.64, 60.14]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
Increased ALT AE (grade 3-4) 34.83 [8.39, 144.67]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
Nausea AE (grade 3-4) 0.88 [0.42, 1.83]< 10%4 studies (4/-)63.8 %lownot evaluable highnon important-
Pruritus AE (grade 3-4) 10.35 [0.56, 190.49]< 10%1 study (1/-)6.0 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 0.48 [0.12, 1.91]< 10%4 studies (4/-)84.9 %lownot evaluable highnon important-
Rash AE (grade 3-4) 6.16 [0.31, 123.62]< 10%1 study (1/-)12.0 %NAnot evaluable non important-
Vomiting AE (grade 3-4) 1.13 [0.57, 2.24]< 10%4 studies (4/-)36.2 %lownot evaluable highnon important-
Weight decreased AE (grade 3-4) 1.02 [0.06, 16.34]< 10%1 study (1/-)49.6 %NAnot evaluable non 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.