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lung cancer : non small cell (NSCLC), anti-PD-(L)1 , 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) 0.78 [0.73, 0.84]< 152%27 studies (27/-)100.0 %some concerncritical moderatecrucial-
deaths (OS) (extension) 0.69 [0.61, 0.78]< 149%8 studies (8/-)100.0 %some concernserious moderateimportant-
PFS (extension) 0.63 [0.49, 0.81]< 191%8 studies (8/-)100.0 %some concernnot evaluable moderateimportant-
progression or deaths (PFS) 0.74 [0.66, 0.82]< 186%28 studies (28/-)100.0 %some concerncritical moderateimportant-
DOR 2.27 [1.44, 3.57]< 10%2 studies (2/-)0.0 %some concernnot evaluable moderatenon important-
objective responses (ORR) 1.64 [1.38, 1.95]> 179%27 studies (27/-)100.0 %some concerncritical moderatenon important-
objective responses (ORR) (extension) 1.94 [1.14, 3.31]> 187%7 studies (7/-)99.3 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.77 [0.46, 1.31]< 173%15 studies (15/-)82.9 %some concerncritical moderatenon important-
AE (grade 3-4) 0.76 [0.56, 1.04]< 190%15 studies (15/-)95.5 %some concernlow moderatenon important-
AE leading to death (grade 5) 1.06 [0.82, 1.37]< 126%14 studies (14/-)33.8 %some concernlow moderatenon important-
AE leading to treatment discontinuation (any grade) 1.03 [0.72, 1.48]< 187%13 studies (13/-)42.7 %some concernlow moderatenon important-
AE leading to treatment discontinuation (grade 3-4) 1.43 [0.89, 2.29]< 161%4 studies (4/-)7.2 %lownot evaluable highnon important-
SAE (any grade) 1.44 [1.18, 1.74]< 147%9 studies (9/-)0.0 %some concernnot evaluable moderatenon important-
SAE (grade 3-4) 0.34 [0.03, 3.42]< 193%2 studies (2/-)81.8 %some concernnot evaluable moderatenon important-
STRAE (any grade) 0.87 [0.59, 1.28]< 187%15 studies (15/-)76.3 %some concernlow moderatenon important-
STRAE (grade 3-4) 0.79 [0.43, 1.46]< 185%7 studies (7/-)77.2 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.50 [0.32, 0.77]< 193%18 studies (18/-)99.9 %some concernlow moderatenon important-
TRAE (grade 3-4) 0.42 [0.25, 0.70]< 196%19 studies (19/-)100.0 %some concernlow moderatenon important-
TRAE leading to death (grade 5) 0.89 [0.62, 1.28]< 10%17 studies (17/-)73.6 %some concernlow moderatenon important-
TRAE leading to discontinuation (any grade) 0.62 [0.46, 0.83]< 146%11 studies (11/-)99.9 %some concernlow moderatenon important-
TRAE leading to discontinuation (grade 3-4) 1.02 [0.78, 1.33]< 10%8 studies (8/-)45.0 %some concernnot evaluable moderatenon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.49 [0.02, 14.75]< 10%1 study (1/-)65.7 %NAnot evaluable non important-
Acute kidney injury TRAE (grade 3-4) 1.49 [0.30, 7.48]< 10%5 studies (5/-)31.5 %some concernserious moderatenon important-
Adrenal insufficiency TRAE (grade 3-4) 1.49 [0.45, 4.88]< 10%7 studies (7/-)25.6 %some concernserious moderatenon important-
Alopecia TRAE (grade 3-4) 0.54 [0.17, 1.65]< 10%11 studies (11/-)86.1 %some concerncritical moderatenon important-
Anaemia TRAE (grade 3-4) 0.25 [0.12, 0.52]< 187%14 studies (14/-)100.0 %some concerncritical moderatenon important-
Arthralgia TRAE (grade 3-4) 0.77 [0.25, 2.39]< 10%6 studies (6/-)67.1 %some concernnot evaluable moderatenon important-
Asthenia TRAE (grade 3-4) 0.40 [0.22, 0.72]< 125%12 studies (12/-)99.9 %some concernlow moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 0.86 [0.17, 4.48]< 10%5 studies (5/-)57.0 %some concernnot evaluable moderatenon important-
Colitis TRAE (grade 3-4) 2.75 [1.22, 6.22]< 10%12 studies (12/-)0.8 %some concernlow moderatenon important-
Constipation TRAE (grade 3-4) 0.60 [0.22, 1.69]< 10%12 studies (12/-)83.2 %some concerncritical moderatenon important-
Cough TRAE (grade 3-4) 0.49 [0.01, 24.88]< 10%1 study (1/-)63.6 %NAnot evaluable non important-
Decreased appetite TRAE (grade 3-4) 0.76 [0.41, 1.40]< 127%15 studies (15/-)81.3 %some concerncritical moderatenon important-
Dermatitis acneiform TRAE (grade 3-4) 0.50 [0.02, 15.30]< 10%1 study (1/-)65.1 %NAnot evaluable non important-
Diabetes TRAE (grade 3-4) 1.45 [0.37, 5.61]< 10%7 studies (7/-)29.8 %some concernserious moderatenon important-
Diarrhoea TRAE (grade 3-4) 1.13 [0.75, 1.69]< 10%17 studies (17/-)27.8 %some concernlow moderatenon important-
Dizziness TRAE (grade 3-4) 1.02 [0.06, 16.40]< 10%2 studies (2/-)49.5 %some concernnot evaluable moderatenon important-
Dysgeusia TRAE (grade 3-4) 0.86 [0.15, 4.96]< 10%5 studies (5/-)56.8 %some concernnot evaluable moderatenon important-
Dyspepsia TRAE (grade 3-4) 0.50 [0.02, 15.30]< 10%1 study (1/-)65.1 %NAnot evaluable non important-
Dyspnoea TRAE (grade 3-4) 0.96 [0.15, 6.25]< 10%2 studies (2/-)51.8 %some concernnot evaluable moderatenon important-
Eczema TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Endocrine disorders TRAE (grade 3-4) 0.46 [0.01, 23.40]< 10%1 study (1/-)64.7 %NAnot evaluable non important-
Epistaxis TRAE (grade 3-4) 8.09 [0.43, 153.59]< 10%1 study (1/-)8.4 %NAnot evaluable non important-
Erythema TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Fatigue TRAE (grade 3-4) 0.59 [0.34, 1.01]< 157%14 studies (14/-)97.2 %some concernlow moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 0.25 [0.06, 1.08]< 182%7 studies (7/-)96.8 %some concernserious moderatenon important-
Gastrointestinal disorders TRAE (grade 3-4) 1.15 [0.37, 3.58]< 10%2 studies (2/-)40.2 %some concernnot evaluable moderatenon important-
Guillain-Barré syndrome TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Headache TRAE (grade 3-4) 0.46 [0.02, 13.86]< 10%1 study (1/-)66.9 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 4.51 [1.64, 12.39]< 10%8 studies (8/-)0.2 %some concernnot evaluable moderatenon important-
Hepatobiliary disorders TRAE (grade 3-4) 1.39 [0.14, 13.49]< 10%1 study (1/-)38.8 %NAnot evaluable non important-
Hypersensitivity TRAE (grade 3-4) 0.44 [0.06, 3.38]< 10%3 studies (3/-)78.6 %some concernnot evaluable moderatenon important-
Hypertension TRAE (grade 3-4) 1.04 [0.59, 1.81]< 10%2 studies (2/-)45.0 %some concernnot evaluable moderatenon important-
Hyperthyroidism TRAE (grade 3-4) 0.98 [0.35, 2.69]< 10%14 studies (14/-)51.8 %some concerncritical moderatenon important-
Hypophysitis TRAE (grade 3-4) 1.90 [0.40, 8.99]< 10%5 studies (5/-)21.0 %some concernserious moderatenon important-
Hypothyroidism TRAE (grade 3-4) 1.40 [0.57, 3.44]< 10%16 studies (16/-)23.1 %some concerncritical moderatenon important-
Increase AST TRAE (grade 3-4) 1.71 [0.65, 4.51]< 10%7 studies (7/-)13.8 %some concernnot evaluable moderatenon important-
Increased ALT TRAE (grade 3-4) 1.84 [0.91, 3.71]< 10%9 studies (9/-)4.4 %some concernnot evaluable moderatenon important-
Increased lacrimation (TRAE grade 3-4) 0.99 [0.06, 15.95]< 10%2 studies (2/-)50.3 %some concernnot evaluable moderatenon important-
Increased lipase level TRAE (grade 3-4) 3.14 [0.49, 19.89]< 10%2 studies (2/-)11.3 %some concernnot evaluable moderatenon important-
Infusion-related reactions TRAE (grade 3-4) 0.92 [0.34, 2.48]< 10%10 studies (10/-)56.3 %some concernlow moderatenon important-
Leucopenia TRAE (grade 3-4) 0.19 [0.05, 0.66]< 175%10 studies (10/-)99.5 %some concerncritical moderatenon important-
Maculopapular rash TRAE (grade 3-4) 1.22 [0.20, 7.53]< 10%4 studies (4/-)41.4 %some concernnot evaluable moderatenon important-
Mucosal inflammation TRAE (grade 3-4) 0.23 [0.04, 1.21]< 10%4 studies (4/-)95.8 %some concernnot evaluable moderatenon important-
Myalgia TRAE (grade 3-4) 1.04 [0.28, 3.83]< 10%6 studies (6/-)47.7 %some concernnot evaluable moderatenon important-
Myocarditis TRAE (grade 3-4) 1.41 [0.11, 18.42]< 10%2 studies (2/-)39.7 %some concernnot evaluable moderatenon important-
Myositis TRAE (grade 3-4) 1.05 [0.16, 6.91]< 10%4 studies (4/-)48.0 %some concernnot evaluable moderatenon important-
Nausea TRAE (grade 3-4) 0.75 [0.39, 1.44]< 131%14 studies (14/-)80.7 %some concerncritical moderatenon important-
Nephritis TRAE (grade 3-4) 1.96 [0.52, 7.32]< 10%7 studies (7/-)16.0 %some concernserious moderatenon important-
Neutropenia TRAE (grade 3-4) 0.16 [0.08, 0.34]< 188%14 studies (14/-)100.0 %some concerncritical moderatenon important-
Palmar-plantar erythrodysaesthesia syndrome TRAE (grade 3-4) 0.63 [0.05, 8.17]< 10%2 studies (2/-)63.9 %some concernnot evaluable moderatenon important-
Pancreatitis TRAE (grade 3-4) 2.11 [0.47, 9.43]< 10%5 studies (5/-)16.5 %some concernserious moderatenon important-
Pancytopenia TRAE (grade 3-4) 0.52 [0.02, 15.84]< 10%1 study (1/-)64.4 %NAnot evaluable non important-
Paraesthesia TRAE (grade 3-4) 0.74 [0.09, 6.34]< 10%3 studies (3/-)60.8 %some concernnot evaluable moderatenon important-
Peripheral neuropathy TRAE (grade 3-4) 0.77 [0.35, 1.68]< 19%8 studies (8/-)74.4 %some concernnot evaluable moderatenon important-
Peripheral oedema TRAE (grade 3-4) 0.50 [0.10, 2.46]< 10%5 studies (5/-)80.3 %some concernserious moderatenon important-
Peripheral sensory neuropathy TRAE (grade 3-4) 0.62 [0.05, 7.24]< 157%3 studies (3/-)64.6 %some concernnot evaluable moderatenon important-
Pneumonia TRAE (grade 3-4) 0.53 [0.08, 3.32]< 111%3 studies (3/-)75.1 %some concernnot evaluable moderatenon important-
Pneumonitis TRAE (grade 3-4) 1.81 [1.11, 2.95]< 10%16 studies (16/-)0.9 %some concerncritical moderatenon important-
Pruritic rash TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Pruritus generalised TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Pruritus TRAE (grade 3-4) 0.91 [0.26, 3.15]< 10%9 studies (9/-)56.1 %some concernserious moderatenon important-
Pyrexia TRAE (grade 3-4) 0.69 [0.13, 3.61]< 10%5 studies (5/-)66.7 %some concernserious moderatenon important-
Rash TRAE (grade 3-4) 1.75 [0.91, 3.35]< 10%15 studies (15/-)4.6 %some concernlow moderatenon important-
Renal and urinary disorders TRAE (grade 3-4) 1.06 [0.08, 13.83]< 10%2 studies (2/-)48.3 %some concernnot evaluable moderatenon important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 8.91 [1.16, 68.41]< 10%2 studies (2/-)1.8 %some concernnot evaluable moderatenon important-
Sepsis TRAE (grade 3-4) 0.91 [0.14, 6.07]< 10%3 studies (3/-)54.0 %some concernnot evaluable moderatenon important-
Severe skin reaction TRAE (grade 3-4) 2.45 [0.73, 8.21]< 130%5 studies (5/-)7.3 %some concernnot evaluable moderatenon important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 4.10 [0.71, 23.60]< 10%2 studies (2/-)5.8 %some concernnot evaluable moderatenon important-
Skin exfoliation TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Stomatitis TRAE (grade 3-4) 0.72 [0.24, 2.14]< 10%8 studies (8/-)72.1 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.44 [0.19, 1.01]< 174%8 studies (8/-)97.4 %some concernserious moderatenon 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.