studies

mGC or mGEJC - 2nd Line (L2), anti-PD-(L)1 vs. all, meta-analysis of study results

OutcomeTE95% CInkI2ROBPub. bias deaths (OS)detailed resultsATTRACTION-2 (Kang), 2017 0.63 [0.51; 0.78] JAVELIN Gastric 300, 2018 1.10 [0.88; 1.37] KEYNOTE-061 (all population), 2018 0.94 [0.79; 1.12] KEYNOTE-061 (PDL1 CPS>1), 2018 0.82 [0.66; 1.02] 0.86[0.68; 1.07]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018, KEYNOTE-061 (PDL1 CPS>1), 2018479%1,851moderatenot evaluable deaths (OS) (extension)detailed resultsATTRACTION-2 (Kang), 2017 0.62 [0.51; 0.76] 0.62[0.51; 0.76]ATTRACTION-2 (Kang), 201710%493NAnot evaluable PFS (extension)detailed resultsATTRACTION-2 (Kang), 2017 0.60 [0.48; 0.74] 0.60[0.48; 0.74]ATTRACTION-2 (Kang), 201710%493NAnot evaluable progression or deaths (PFS)detailed resultsATTRACTION-2 (Kang), 2017 0.60 [0.48; 0.74] JAVELIN Gastric 300, 2018 1.73 [1.38; 2.17] KEYNOTE-061 (all population), 2018 1.49 [1.25; 1.77] KEYNOTE-061 (PDL1 CPS>1), 2018 1.27 [1.03; 1.57] 1.18[0.76; 1.85]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018, KEYNOTE-061 (PDL1 CPS>1), 2018495%1,851moderatenot evaluable DCRdetailed resultsATTRACTION-2 (Kang), 2017 1.99 [1.24; 3.18] JAVELIN Gastric 300, 2018 0.37 [0.23; 0.60] 0.86[0.17; 4.45]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018296%864lownot evaluable objective responses (ORR)detailed resultsATTRACTION-2 (Kang), 2017 34.90 [2.12; 573.88] JAVELIN Gastric 300, 2018 0.49 [0.15; 1.66] KEYNOTE-061 (all population), 2018 0.88 [0.53; 1.45] KEYNOTE-061 (PDL1 CPS>1), 2018 1.20 [0.68; 2.09] 1.08[0.53; 2.22]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018, KEYNOTE-061 (PDL1 CPS>1), 2018463%1,851moderatenot evaluable AE (any grade)detailed resultsATTRACTION-2 (Kang), 2017 1.93 [1.10; 3.38] 1.93[1.10; 3.38]ATTRACTION-2 (Kang), 201710%491NAnot evaluable AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.10 [0.75; 1.62] 1.10[0.75; 1.62]ATTRACTION-2 (Kang), 201710%491NAnot evaluable AE leading to death (grade 5)detailed resultsATTRACTION-2 (Kang), 2017 0.65 [0.37; 1.12] 0.65[0.37; 1.12]ATTRACTION-2 (Kang), 201710%491NAnot evaluable AE leading to treatment discontinuation (any grade)detailed resultsATTRACTION-2 (Kang), 2017 0.93 [0.45; 1.92] 0.93[0.45; 1.92]ATTRACTION-2 (Kang), 201710%491NAnot evaluable AE leading to treatment discontinuation (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.69 [0.29; 1.66] 0.69[0.29; 1.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable SAE (any grade)detailed resultsATTRACTION-2 (Kang), 2017 0.75 [0.52; 1.10] 0.75[0.52; 1.10]ATTRACTION-2 (Kang), 201710%491NAnot evaluable SAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.92 [0.61; 1.40] 0.92[0.61; 1.40]ATTRACTION-2 (Kang), 201710%491NAnot evaluable STRAE (any grade)detailed resultsATTRACTION-2 (Kang), 2017 2.13 [0.96; 4.71] 2.13[0.96; 4.71]ATTRACTION-2 (Kang), 201710%491NAnot evaluable STRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 2.67 [0.90; 7.91] 2.67[0.90; 7.91]ATTRACTION-2 (Kang), 201710%491NAnot evaluable TRAE (any grade)detailed resultsATTRACTION-2 (Kang), 2017 2.05 [1.36; 3.09] JAVELIN Gastric 300, 2018 0.34 [0.22; 0.52] KEYNOTE-061 (all population), 2018 0.21 [0.14; 0.31] 0.53[0.13; 2.10]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018397%1,422moderatenot evaluable TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 2.53 [1.09; 5.83] JAVELIN Gastric 300, 2018 0.22 [0.12; 0.40] KEYNOTE-061 (all population), 2018 0.31 [0.21; 0.47] 0.53[0.16; 1.73]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018392%1,422moderatenot evaluable TRAE leading to death (grade 5)detailed resultsATTRACTION-2 (Kang), 2017 1.22 [0.23; 6.37] JAVELIN Gastric 300, 2018 0.48 [0.02; 14.39] KEYNOTE-061 (all population), 2018 2.84 [0.29; 27.42] 1.39[0.40; 4.81]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 201830%1,422lownot evaluable TRAE leading to discontinuation (any grade)detailed resultsATTRACTION-2 (Kang), 2017 1.10 [0.33; 3.63] JAVELIN Gastric 300, 2018 0.74 [0.27; 2.03] KEYNOTE-061 (all population), 2018 0.55 [0.24; 1.28] 0.71[0.40; 1.25]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 201830%1,422moderatenot evaluable TRAE leading to discontinuation (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.65 [0.14; 2.92] 0.65[0.14; 2.92]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Alopecia TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 0.96 [0.02; 48.74] KEYNOTE-061 (all population), 2018 0.16 [0.01; 3.11] 0.30[0.03; 3.29]JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 201820%931moderatenot evaluable Anaemia TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 0.04 [0.00; 0.71] KEYNOTE-061 (all population), 2018 0.54 [0.21; 1.38] 0.21[0.02; 2.39]JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018265%931moderatenot evaluable Asthenia TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 0.19 [0.02; 1.63] 0.19[0.02; 1.63]JAVELIN Gastric 300, 201810%361NAnot evaluable Colitis TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.98 [0.03; 29.24] KEYNOTE-061 (all population), 2018 0.16 [0.01; 3.11] 0.35[0.04; 3.29]ATTRACTION-2 (Kang), 2017, KEYNOTE-061 (all population), 201820%1,061moderatenot evaluable Decreased appetite TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.96 [0.22; 17.71] JAVELIN Gastric 300, 2018 0.12 [0.01; 2.25] KEYNOTE-061 (all population), 2018 3.77 [0.17; 84.06] 1.02[0.15; 7.11]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018335%1,422moderatenot evaluable Diabetes TRAE (grade 3-4)detailed resultsKEYNOTE-061 (all population), 2018 0.94 [0.02; 47.47] 0.94[0.02; 47.47]KEYNOTE-061 (all population), 201810%570NAnot evaluable Diarrhoea TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.96 [0.09; 43.66] JAVELIN Gastric 300, 2018 0.16 [0.02; 1.31] KEYNOTE-061 (all population), 2018 0.94 [0.06; 15.08] 0.47[0.10; 2.15]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 201834%1,422moderatenot evaluable Fatigue TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.48 [0.07; 3.47] JAVELIN Gastric 300, 2018 0.48 [0.04; 5.32] KEYNOTE-061 (all population), 2018 0.49 [0.19; 1.26] 0.49[0.22; 1.09]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 201830%1,422moderatenot evaluable Febrile neutropenia TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 0.08 [0.00; 1.40] 0.08[0.00; 1.40]JAVELIN Gastric 300, 201810%361NAnot evaluable Hepatitis TRAE (grade 3-4)detailed resultsKEYNOTE-061 (all population), 2018 7.60 [0.40; 144.43] 7.60[0.40; 144.43]KEYNOTE-061 (all population), 201810%570NAnot evaluable Hyperthyroidism TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] KEYNOTE-061 (all population), 2018 0.94 [0.02; 47.47] 0.68[0.04; 10.84]ATTRACTION-2 (Kang), 2017, KEYNOTE-061 (all population), 201820%1,061moderatenot evaluable Hypophysitis TRAE (grade 3-4)detailed resultsKEYNOTE-061 (all population), 2018 3.77 [0.17; 84.06] 3.77[0.17; 84.06]KEYNOTE-061 (all population), 201810%570NAnot evaluable Hypothyroidism TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] KEYNOTE-061 (all population), 2018 23.34 [3.13; 174.05] 4.94[0.12; 203.36]ATTRACTION-2 (Kang), 2017, KEYNOTE-061 (all population), 2018266%1,061moderatenot evaluable Increase AST TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.96 [0.09; 43.66] JAVELIN Gastric 300, 2018 1.29 [0.28; 5.84] 1.40[0.36; 5.43]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 201820%852moderatenot evaluable Increased ALT TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.98 [0.03; 29.24] JAVELIN Gastric 300, 2018 0.72 [0.16; 3.25] 0.75[0.19; 3.00]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 201820%852moderatenot evaluable Increased lipase level TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 0.48 [0.04; 5.32] 0.48[0.04; 5.32]JAVELIN Gastric 300, 201810%361NAnot evaluable Infusion-related reactions TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 1.93 [0.06; 57.86] KEYNOTE-061 (all population), 2018 0.47 [0.02; 14.02] 0.95[0.09; 10.52]JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 201820%931moderatenot evaluable Maculopapular rash TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] 0.49[0.01; 24.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Nausea TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] JAVELIN Gastric 300, 2018 0.24 [0.01; 5.32] KEYNOTE-061 (all population), 2018 0.47 [0.04; 5.19] 0.38[0.07; 2.13]ATTRACTION-2 (Kang), 2017, JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 201830%1,422moderatenot evaluable Neutropenia TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 0.02 [0.00; 0.30] KEYNOTE-061 (all population), 2018 0.02 [0.00; 0.25] 0.02[0.00; 0.12]JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 201820%931moderatenot evaluable Pancreatitis TRAE (grade 3-4)detailed resultsKEYNOTE-061 (all population), 2018 0.47 [0.02; 14.02] 0.47[0.02; 14.02]KEYNOTE-061 (all population), 201810%570NAnot evaluable Peripheral neuropathy TRAE (grade 3-4)detailed resultsKEYNOTE-061 (all population), 2018 0.08 [0.00; 1.38] 0.08[0.00; 1.38]KEYNOTE-061 (all population), 201810%570NAnot evaluable Pneumonitis TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.98 [0.03; 29.24] KEYNOTE-061 (all population), 2018 3.77 [0.17; 84.06] 2.04[0.21; 20.20]ATTRACTION-2 (Kang), 2017, KEYNOTE-061 (all population), 201820%1,061moderatenot evaluable Pruritus TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] 0.49[0.01; 24.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Pyrexia TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.98 [0.03; 29.24] 0.98[0.03; 29.24]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Rash TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] 0.49[0.01; 24.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Severe skin reaction TRAE (grade 3-4)detailed resultsKEYNOTE-061 (all population), 2018 1.88 [0.06; 56.28] 1.88[0.06; 56.28]KEYNOTE-061 (all population), 201810%570NAnot evaluable Thyroiditis TRAE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] 0.49[0.01; 24.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Vomiting TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 0.24 [0.01; 5.32] 0.24[0.01; 5.32]JAVELIN Gastric 300, 201810%361NAnot evaluable Weight decreased TRAE (grade 3-4)detailed resultsJAVELIN Gastric 300, 2018 0.07 [0.00; 1.17] 0.07[0.00; 1.17]JAVELIN Gastric 300, 201810%361NAnot evaluable Abdominal pain AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.14 [0.43; 3.04] 1.14[0.43; 3.04]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Anaemia AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.97 [0.54; 1.75] 0.97[0.54; 1.75]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Asthenia AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 2.48 [0.54; 11.47] 2.48[0.54; 11.47]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Back pain AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.73 [0.12; 4.41] 0.73[0.12; 4.41]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Constipation AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.98 [0.03; 29.24] 0.98[0.03; 29.24]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Decreased appetite AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.54 [0.20; 1.42] 0.54[0.20; 1.42]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Diarrhoea AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.96 [0.22; 17.71] 1.96[0.22; 17.71]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Dyspepsia AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] 0.49[0.01; 24.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Dyspnoea AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.96 [0.09; 43.66] 1.96[0.09; 43.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Fatigue AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.29 [0.07; 1.21] 0.29[0.07; 1.21]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Increase AST AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.48 [0.47; 4.67] 1.48[0.47; 4.67]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Increased ALT AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.31 [0.34; 5.00] 1.31[0.34; 5.00]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Nausea AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.24 [0.02; 2.68] 0.24[0.02; 2.68]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Peripheral oedema AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.98 [0.03; 29.24] 0.98[0.03; 29.24]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Pruritus AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] 0.49[0.01; 24.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Pyrexia AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 1.47 [0.15; 14.22] 1.47[0.15; 14.22]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Rash AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.49 [0.01; 24.66] 0.49[0.01; 24.66]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Vomiting AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.65 [0.14; 2.92] 0.65[0.14; 2.92]ATTRACTION-2 (Kang), 201710%491NAnot evaluable Weight decreased AE (grade 3-4)detailed resultsATTRACTION-2 (Kang), 2017 0.98 [0.03; 29.24] 0.98[0.03; 29.24]ATTRACTION-2 (Kang), 201710%491NAnot evaluable0.010.01.0relative treatment effectwww.metaEvidence.org2024-06-02 11:26 +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: 272,123,187 - treatments: 367,851,361,602,1070,671,865,744,696,1083,1281,1282,1283,1082,866,852,417,603,1051,876,853,1018,661,673,1049,1440,854,374,1073,953,672,1080,862,855,360,719,721,720,842,642,674,1085,863,503,847,982,359,575,577,576,869,1081,981,875,505,952,1021,1079,767,1071,1074,873,561,644,1251,1044,724,874,1043,1041,1042,940,1258