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metastatic/advanced UC (mUC) - 1st Line (L1), 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) 0.92 [0.85, 1.00]< 10%5 studies (5/-)97.9 %some concernnot evaluable moderatecrucial-
progression or deaths (PFS) 0.91 [0.69, 1.20]< 187%4 studies (4/-)74.7 %some concernnot evaluable moderateimportant-
CRR 1.96 [1.21, 3.17]> 10%1 study (1/-)99.7 %NAnot evaluable non important-
DOR 0.38 [0.18, 0.79]< 183%3 studies (3/-)99.5 %some concernnot evaluable moderatenon important-
objective responses (ORR) 0.66 [0.37, 1.17]> 194%5 studies (5/-)7.9 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.52 [0.03, 8.39]< 187%2 studies (2/-)67.6 %some concernnot evaluable moderatenon important-
AE (grade 3-4) 0.35 [0.11, 1.05]< 197%3 studies (3/-)96.9 %some concernnot evaluable moderatenon important-
AE (grade 3-5) 0.76 [0.19, 3.00]< 196%2 studies (2/-)65.4 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 2.15 [1.27, 3.66]< 160%4 studies (4/-)0.2 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 0.70 [0.32, 1.54]< 195%5 studies (5/-)81.2 %some concernnot evaluable moderatenon important-
SAE (any grade) 0.96 [0.78, 1.19]< 136%3 studies (3/-)63.8 %some concernnot evaluable moderatenon important-
STRAE (any grade) 0.67 [0.39, 1.15]< 190%5 studies (5/-)92.8 %some concernserious moderatenon important-
TRAE (any grade) 0.16 [0.06, 0.47]< 193%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
TRAE (grade 3-4) 0.21 [0.05, 0.84]< 199%5 studies (5/-)98.6 %some concernserious moderatenon important-
TRAE leading to death (grade 5) 1.33 [0.64, 2.77]< 10%5 studies (5/-)22.5 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (any grade) 0.46 [0.26, 0.79]< 10%1 study (1/-)99.7 %NAnot evaluable non important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 3.64 [0.16, 81.12]< 10%1 study (1/-)21.0 %NAnot evaluable non important-
Acute kidney injury TRAE (grade 3-4) 0.45 [0.02, 13.55]< 10%1 study (1/-)67.4 %NAnot evaluable non important-
Adrenal insufficiency TRAE (grade 3-4) 1.32 [0.15, 11.32]< 10%3 studies (3/-)40.1 %some concernnot evaluable moderatenon important-
Alopecia TRAE (grade 3-4) 1.82 [0.06, 54.35]< 10%1 study (1/-)36.7 %NAnot evaluable non important-
Anaemia TRAE (grade 3-4) 0.16 [0.04, 0.62]< 195%5 studies (5/-)99.6 %some concernserious moderatenon important-
Arthralgia TRAE (grade 3-4) 0.91 [0.02, 45.86]< 10%1 study (1/-)51.9 %NAnot evaluable non important-
Arthritis TRAE (grade 3-4) 0.91 [0.02, 45.86]< 10%1 study (1/-)51.9 %NAnot evaluable non important-
Asthenia TRAE (grade 3-4) 0.68 [0.29, 1.59]< 157%5 studies (5/-)81.3 %some concernserious moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 0.45 [0.02, 13.55]< 10%1 study (1/-)67.4 %NAnot evaluable non important-
Colitis TRAE (grade 3-4) 2.60 [0.58, 11.65]< 10%3 studies (3/-)10.6 %some concernnot evaluable moderatenon important-
Constipation TRAE (grade 3-4) 0.75 [0.16, 3.48]< 10%3 studies (3/-)64.1 %some concernnot evaluable moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.81 [0.32, 2.01]< 10%5 studies (5/-)67.8 %some concernnot evaluable moderatenon important-
Diabetes TRAE (grade 3-4) 1.68 [0.22, 13.01]< 10%3 studies (3/-)31.2 %some concernnot evaluable moderatenon important-
Diarrhoea TRAE (grade 3-4) 0.89 [0.41, 1.92]< 10%3 studies (3/-)61.5 %some concernnot evaluable moderatenon important-
Dyspnoea TRAE (grade 3-4) 3.64 [0.16, 81.12]< 10%1 study (1/-)21.0 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 0.74 [0.32, 1.69]< 145%5 studies (5/-)76.5 %some concernnot evaluable moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 0.15 [0.01, 3.01]< 10%1 study (1/-)89.0 %NAnot evaluable non important-
Gastritis TRAE (grade 3-4) 0.91 [0.02, 45.86]< 10%1 study (1/-)51.9 %NAnot evaluable non important-
Guillain-Barré syndrome TRAE (grade 3-4) 1.82 [0.06, 54.35]< 10%1 study (1/-)36.7 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 3.07 [0.47, 19.99]< 10%3 studies (3/-)12.2 %some concernnot evaluable moderatenon important-
Hypersensitivity TRAE (grade 3-4) 0.45 [0.02, 13.55]< 10%1 study (1/-)67.4 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 1.32 [0.15, 11.32]< 10%3 studies (3/-)40.1 %some concernnot evaluable moderatenon important-
Hypophysitis TRAE (grade 3-4) 2.72 [0.39, 19.09]< 10%3 studies (3/-)15.9 %some concernnot evaluable moderatenon important-
Hypothyroidism TRAE (grade 3-4) 2.25 [0.31, 16.26]< 10%3 studies (3/-)21.2 %some concernnot evaluable moderatenon important-
Increase AST TRAE (grade 3-4) 0.91 [0.13, 6.48]< 10%1 study (1/-)53.9 %NAnot evaluable non important-
Increased ALT TRAE (grade 3-4) 2.74 [0.28, 26.45]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Increased lipase level TRAE (grade 3-4) 6.46 [0.79, 52.82]< 10%1 study (1/-)4.2 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 0.91 [0.02, 45.86]< 10%1 study (1/-)51.9 %NAnot evaluable non important-
Leucopenia TRAE (grade 3-4) 0.07 [0.00, 1.54]< 184%3 studies (3/-)95.2 %some concernnot evaluable moderatenon important-
Myocarditis TRAE (grade 3-4) 2.19 [0.30, 15.87]< 10%3 studies (3/-)21.9 %some concernnot evaluable moderatenon important-
Myositis TRAE (grade 3-4) 1.31 [0.15, 11.23]< 10%3 studies (3/-)40.3 %some concernnot evaluable moderatenon important-
Nausea TRAE (grade 3-4) 0.53 [0.21, 1.38]< 131%5 studies (5/-)90.2 %some concernnot evaluable moderatenon important-
Nephritis TRAE (grade 3-4) 2.59 [0.39, 17.31]< 10%3 studies (3/-)16.4 %some concernnot evaluable moderatenon important-
Neutropenia TRAE (grade 3-4) 0.16 [0.04, 0.70]< 190%5 studies (5/-)99.3 %some concernserious moderatenon important-
Pancreatitis TRAE (grade 3-4) 2.93 [0.43, 19.90]< 10%3 studies (3/-)13.7 %some concernnot evaluable moderatenon important-
Pancytopenia TRAE (grade 3-4) 0.11 [0.01, 2.13]< 10%1 study (1/-)92.5 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 3.69 [0.90, 15.07]< 10%3 studies (3/-)3.5 %some concernnot evaluable moderatenon important-
Pruritic rash TRAE (grade 3-4) 0.91 [0.02, 45.86]< 10%1 study (1/-)51.9 %NAnot evaluable non important-
Pruritus TRAE (grade 3-4) 2.12 [0.45, 10.02]< 10%5 studies (5/-)17.2 %some concernserious moderatenon important-
Pyrexia TRAE (grade 3-4) 0.23 [0.01, 5.02]< 10%1 study (1/-)82.3 %NAnot evaluable non important-
Rash TRAE (grade 3-4) 2.48 [0.66, 9.36]< 10%5 studies (5/-)9.1 %some concernnot evaluable moderatenon important-
Sarcoidosis TRAE (grade 3-4) 1.05 [0.07, 16.88]< 10%2 studies (2/-)48.5 %some concernnot evaluable moderatenon important-
Sepsis TRAE (grade 3-4) 0.91 [0.06, 14.56]< 10%1 study (1/-)52.7 %NAnot evaluable non important-
Severe skin reaction TRAE (grade 3-4) 2.46 [0.72, 8.32]< 10%2 studies (2/-)7.5 %some concernnot evaluable moderatenon important-
Stevens-Johnson syndrome TRAE (grade 3-4) 1.82 [0.06, 54.35]< 10%1 study (1/-)36.7 %NAnot evaluable non important-
Stomatitis TRAE (grade 3-4) 0.91 [0.02, 45.86]< 10%1 study (1/-)51.9 %NAnot evaluable non important-
Thrombocytopenia TRAE (grade 3-4) 0.20 [0.05, 0.71]< 185%5 studies (5/-)99.4 %some concernserious moderatenon important-
Thyroiditis TRAE (grade 3-4) 1.34 [0.16, 11.49]< 10%3 studies (3/-)39.6 %some concernnot evaluable moderatenon important-
Vomiting TRAE (grade 3-4) 0.34 [0.06, 1.92]< 160%3 studies (3/-)88.9 %some concernnot evaluable moderatenon important-

AE (grade 3-4) endpoints 00

Anaemia AE (grade 3-4) 0.29 [0.02, 3.86]< 199%2 studies (2/-)82.3 %some concernnot evaluable moderatenon important-
Asthenia AE (grade 3-4) 0.88 [0.32, 2.41]< 178%2 studies (2/-)59.5 %some concernnot evaluable moderatenon important-
Fatigue AE (grade 3-4) 0.41 [0.14, 1.17]< 175%2 studies (2/-)95.2 %some concernnot evaluable moderatenon important-
Febrile neutropenia AE (grade 3-4) 0.41 [0.01, 11.84]< 181%2 studies (2/-)69.7 %some concernnot evaluable moderatenon important-
Hypertension AE (grade 3-4) 1.16 [0.29, 4.59]< 177%2 studies (2/-)41.4 %some concernnot evaluable moderatenon important-
Leucopenia AE (grade 3-4) 0.14 [0.00, 5.94]< 186%2 studies (2/-)84.5 %some concernnot evaluable moderatenon important-
Nausea AE (grade 3-4) 0.26 [0.04, 1.67]< 167%2 studies (2/-)92.2 %some concernnot evaluable moderatenon important-
Neutropenia AE (grade 3-4) 0.08 [0.00, 29.10]< 194%2 studies (2/-)79.0 %some concernnot evaluable moderatenon important-
Thrombocytopenia AE (grade 3-4) 0.14 [0.00, 12.34]< 195%2 studies (2/-)79.8 %some concernnot evaluable moderatenon important-
Vomiting AE (grade 3-4) 0.36 [0.04, 2.88]< 173%2 studies (2/-)83.2 %some concernnot evaluable 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.