All patients
Age < 65y (younger) Age > 65y Asian type ECOG 0 ECOG 1 Gender, female Gender, male PD-L1 < 1% PD-L1 < 5% PD-L1 > 5%
Top evidence (RCT only, high risk of bias excluded)
Best available evidence (possibly low or very low)
All RCTs
All studies (RCT+OBS)
studies
mUC - L1 - all population, atezolizumab based treatment vs. all, meta-analysis of study results Outcome TE 95% CI n k I2 ROB Pub. bias deaths (OS)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.83 [0.69; 1.00]
IMvigor-130 (At-arm B vs Ch-armC), 2020 1.02 [0.83; 1.25]
0.92 [0.75 ; 1.12 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 54% 1,611 moderate not evaluable progression or deaths (PFS)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.82 [0.70; 0.96]
0.82 [0.70 ; 0.96 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020 1 0% 851 NA not evaluable CRR detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.96 [1.21; 3.17]
1.96 [1.21 ; 3.17 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020 1 0% 851 NA not evaluable DORdetailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.70 [0.46; 1.08]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.21 [0.12; 0.37]
0.39 [0.12 ; 1.28 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 91% 642 moderate not evaluable objective responses (ORR)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.15 [0.88; 1.51]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.38 [0.28; 0.53]
0.67 [0.23 ; 1.96 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 96% 1,611 moderate not evaluable AE (any grade)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 2.34 [0.43; 12.83]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.14 [0.05; 0.40]
0.52 [0.03 ; 8.39 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 87% 1,587 moderate not evaluable AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.92 [0.63; 1.34]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.12 [0.08; 0.17]
0.33 [0.05 ; 2.43 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 98% 1,587 moderate not evaluable AE leading to death (grade 5)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.27 [0.70; 2.27]
IMvigor-130 (At-arm B vs Ch-armC), 2020 1.59 [0.88; 2.87]
1.42 [0.93 ; 2.15 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 0% 1,587 moderate not evaluable AE leading to treatment discontinuation (any grade)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.05 [0.79; 1.40]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.13 [0.08; 0.21]
0.38 [0.05 ; 2.90 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 98% 1,606 moderate not evaluable SAE (any grade)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.11 [0.85; 1.46]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.78 [0.59; 1.05]
0.94 [0.67 ; 1.32 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 67% 1,587 moderate not evaluable STRAE (any grade)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.33 [0.99; 1.80]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.41 [0.28; 0.60]
0.74 [0.23 ; 2.37 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 96% 1,587 moderate not evaluable TRAE (any grade)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.04 [0.53; 2.03]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.07 [0.04; 0.11]
0.26 [0.02 ; 3.85 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 97% 1,587 moderate not evaluable TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.02 [0.72; 1.43]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.04 [0.03; 0.06]
0.21 [0.01 ; 4.65 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 99% 1,587 moderate not evaluable TRAE leading to death (grade 5)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.96 [0.60; 6.40]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.82 [0.18; 3.71]
1.40 [0.55 ; 3.56 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 0% 1,587 moderate not evaluable Anaemia TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.11 [0.67; 1.84]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.07 [0.02; 0.30]
0.30 [0.02 ; 4.49 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 92% 1,587 moderate not evaluable Asthenia TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 2.00 [0.82; 4.92]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.63 [0.18; 2.15]
1.21 [0.39 ; 3.76 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 55% 1,587 moderate not evaluable Decreased appetite TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 2.59 [0.27; 25.03]
IMvigor-130 (At-arm B vs Ch-armC), 2020 2.21 [0.20; 24.48]
2.41 [0.46 ; 12.52 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 0% 1,587 moderate not evaluable Fatigue TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 2.61 [0.70; 9.73]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.73 [0.12; 4.41]
1.61 [0.48 ; 5.41 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 20% 1,587 moderate not evaluable Nausea TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.73 [0.31; 9.49]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.27 [0.01; 6.11]
1.11 [0.24 ; 5.19 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 4% 1,587 moderate not evaluable Neutropenia TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 2.01 [1.12; 3.62]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.03 [0.00; 0.52]
0.32 [0.01 ; 18.35 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 88% 1,587 moderate not evaluable Pruritus TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.72 [0.06; 51.51]
IMvigor-130 (At-arm B vs Ch-armC), 2020 1.10 [0.02; 55.68]
1.42 [0.11 ; 18.55 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 0% 1,587 moderate not evaluable Rash TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.86 [0.02; 43.49]
IMvigor-130 (At-arm B vs Ch-armC), 2020 4.43 [0.20; 98.49]
2.36 [0.21 ; 26.86 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 0% 1,587 moderate not evaluable Thrombocytopenia TRAE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.11 [0.55; 2.26]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.08 [0.01; 0.58]
0.35 [0.03 ; 4.69 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 83% 1,587 moderate not evaluable Anaemia AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.08 [0.82; 1.42]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.08 [0.05; 0.13]
0.29 [0.02 ; 3.86 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 99% 1,587 moderate not evaluable Asthenia AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.43 [0.81; 2.50]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.51 [0.24; 1.10]
0.88 [0.32 ; 2.41 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 78% 1,587 moderate not evaluable Fatigue AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.66 [0.37; 1.17]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.22 [0.09; 0.54]
0.41 [0.14 ; 1.17 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 75% 1,587 moderate not evaluable Febrile neutropenia AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.76 [0.81; 3.80]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.05 [0.00; 0.92]
0.41 [0.01 ; 11.84 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 81% 1,587 moderate not evaluable Hypertension AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 2.22 [1.05; 4.68]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.54 [0.18; 1.61]
1.16 [0.29 ; 4.59 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 77% 1,587 moderate not evaluable Leucopenia AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.74 [0.44; 1.24]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.02 [0.00; 0.25]
0.14 [0.00 ; 5.94 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 86% 1,587 moderate not evaluable Nausea AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.54 [0.23; 1.27]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.08 [0.01; 0.58]
0.26 [0.04 ; 1.67 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 67% 1,587 moderate not evaluable Neutropenia AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.38 [1.03; 1.84]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.00 [0.00; 0.05]
0.08 [0.00 ; 29.10 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 94% 1,587 moderate not evaluable Thrombocytopenia AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 1.25 [0.89; 1.76]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.01 [0.00; 0.10]
0.14 [0.00 ; 12.34 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 95% 1,587 moderate not evaluable Vomiting AE (grade 3-4)detailed results IMvigor-130 (At-arm A vs Pl-arm C), 2020 0.86 [0.37; 2.00]
IMvigor-130 (At-arm B vs Ch-armC), 2020 0.10 [0.01; 0.76]
0.36 [0.04 ; 2.88 ] IMvigor-130 (At-arm A vs Pl-arm C), 2020, IMvigor-130 (At-arm B vs Ch-armC), 2020 2 73% 1,587 moderate not evaluable 0.0 5.0 1.0 relative treatment effect www.metaEvidence.org 2024-06-02 16:18 +02:00
TE: relative treatment effect (measured by a risk ratio, an odds ratio or an hazard ratio depending on what is reported in the papers);
k: number of studies; n: total number of patients;
ROB: risk of bias (ROB 2.0); Pub. bias: publication bias; OBS: observational studies; RCT: randomized clinical trials
studied treatment is better when TE > 1;
studied treatment is better when TE < 1;
pathologies: 153
- treatments: 851,361,602,1070,671,865,744,696,1083,1281,1282,1283,1082,866