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mNSCLC - L1 - PDL1 positive, immune chekpoint inhibitors , 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) 0.82 [0.71, 0.94]< 164%8 studies (8/-)99.8 %some concernnot evaluable moderatecrucial-
deaths (OS) (extension) 0.74 [0.64, 0.87]< 134%3 studies (3/-)100.0 %some concernnot evaluable moderateimportant-
PFS (extension) 0.73 [0.49, 1.10]< 194%3 studies (3/-)93.2 %some concernnot evaluable moderateimportant-
progression or deaths (PFS) 0.83 [0.68, 1.01]< 187%8 studies (8/-)96.9 %some concernnot evaluable moderateimportant-
objective responses (ORR) 1.14 [0.90, 1.44]> 168%8 studies (8/-)86.0 %some concernnot evaluable moderatenon important-
objective responses (ORR) (extension) 1.42 [0.92, 2.18]> 168%3 studies (3/-)94.3 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.49 [0.28, 0.86]< 10%2 studies (2/-)99.4 %some concernnot evaluable moderatenon important-
AE (grade 3-4) 0.59 [0.26, 1.35]< 188%2 studies (2/-)89.6 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 0.87 [0.42, 1.78]< 10%2 studies (2/-)65.3 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 0.50 [0.23, 1.07]< 167%2 studies (2/-)96.3 %some concernnot evaluable moderatenon important-
SAE (any grade) 1.07 [0.80, 1.44]< 10%2 studies (2/-)31.3 %some concernnot evaluable moderatenon important-
STRAE (any grade) 0.84 [0.47, 1.51]< 185%5 studies (5/-)71.5 %some concernserious moderatenon important-
STRAE (grade 3-4) 1.18 [0.66, 2.12]< 177%3 studies (3/-)28.5 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.28 [0.18, 0.44]< 184%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
TRAE (grade 3-4) 0.33 [0.19, 0.57]< 192%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
TRAE leading to death (grade 5) 0.84 [0.46, 1.53]< 10%5 studies (5/-)71.8 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (any grade) 0.95 [0.49, 1.84]< 186%5 studies (5/-)56.4 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (grade 3-4) 1.58 [0.73, 3.42]< 182%4 studies (4/-)12.1 %some concernnot evaluable moderatenon important-

TRAE (grade 3-4) endpoints 00

Adrenal insufficiency TRAE (grade 3-4) 3.88 [0.17, 86.15]< 10%1 study (1/-)19.9 %NAnot evaluable non important-
Alopecia TRAE (grade 3-4) 0.18 [0.01, 2.28]< 114%2 studies (2/-)90.5 %some concernnot evaluable moderatenon important-
Anaemia TRAE (grade 3-4) 0.06 [0.03, 0.12]< 118%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
Arthralgia TRAE (grade 3-4) 0.97 [0.02, 48.81]< 10%1 study (1/-)50.7 %NAnot evaluable non important-
Asthenia TRAE (grade 3-4) 0.47 [0.14, 1.63]< 141%3 studies (3/-)88.3 %some concernnot evaluable moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 0.98 [0.09, 10.85]< 10%2 studies (2/-)50.7 %some concernnot evaluable moderatenon important-
Colitis TRAE (grade 3-4) 3.85 [0.82, 18.18]< 10%3 studies (3/-)4.5 %some concernnot evaluable moderatenon important-
Constipation TRAE (grade 3-4) 0.98 [0.14, 6.96]< 10%4 studies (4/-)50.8 %some concernnot evaluable moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.53 [0.24, 1.15]< 10%4 studies (4/-)94.7 %some concernnot evaluable moderatenon important-
Diabetes TRAE (grade 3-4) 1.95 [0.07, 58.69]< 10%1 study (1/-)35.2 %NAnot evaluable non important-
Diarrhoea TRAE (grade 3-4) 1.96 [0.76, 5.07]< 123%4 studies (4/-)8.3 %some concernnot evaluable moderatenon important-
Dysgeusia TRAE (grade 3-4) 0.98 [0.06, 15.72]< 10%2 studies (2/-)50.6 %some concernnot evaluable moderatenon important-
Fatigue TRAE (grade 3-4) 0.50 [0.17, 1.44]< 159%4 studies (4/-)90.1 %some concernnot evaluable moderatenon important-
Gastrointestinal disorders TRAE (grade 3-4) 1.19 [0.36, 3.94]< 10%1 study (1/-)39.0 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 12.17 [2.30, 64.46]< 10%2 studies (2/-)0.2 %some concernnot evaluable moderatenon important-
Hyperthyroidism TRAE (grade 3-4) 1.26 [0.15, 10.81]< 10%3 studies (3/-)41.7 %some concernnot evaluable moderatenon important-
Hypophysitis TRAE (grade 3-4) 3.62 [0.38, 34.25]< 10%2 studies (2/-)13.3 %some concernnot evaluable moderatenon important-
Hypothyroidism TRAE (grade 3-4) 1.19 [0.18, 7.84]< 10%4 studies (4/-)42.8 %some concernnot evaluable moderatenon important-
Increase AST TRAE (grade 3-4) 1.94 [0.35, 10.63]< 10%1 study (1/-)22.3 %NAnot evaluable non important-
Increased ALT TRAE (grade 3-4) 2.20 [0.89, 5.42]< 10%2 studies (2/-)4.4 %some concernnot evaluable moderatenon important-
Infusion-related reactions TRAE (grade 3-4) 0.31 [0.06, 1.66]< 10%3 studies (3/-)91.4 %some concernnot evaluable moderatenon important-
Leucopenia TRAE (grade 3-4) 0.05 [0.01, 0.38]< 10%2 studies (2/-)99.8 %some concernnot evaluable moderatenon important-
Maculopapular rash TRAE (grade 3-4) 1.97 [0.07, 59.09]< 10%1 study (1/-)35.0 %NAnot evaluable non important-
Mucosal inflammation TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Myalgia TRAE (grade 3-4) 1.94 [0.06, 57.80]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Myocarditis TRAE (grade 3-4) 1.94 [0.06, 57.80]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Myositis TRAE (grade 3-4) 0.97 [0.02, 49.41]< 10%1 study (1/-)50.5 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 0.19 [0.07, 0.57]< 10%4 studies (4/-)99.8 %some concernnot evaluable moderatenon important-
Nephritis TRAE (grade 3-4) 1.94 [0.18, 21.52]< 10%2 studies (2/-)29.5 %some concernnot evaluable moderatenon important-
Neutropenia TRAE (grade 3-4) 0.02 [0.01, 0.06]< 10%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
Pancreatitis TRAE (grade 3-4) 1.44 [0.11, 18.87]< 10%2 studies (2/-)39.0 %some concernnot evaluable moderatenon important-
Peripheral neuropathy TRAE (grade 3-4) 0.22 [0.02, 2.27]< 10%2 studies (2/-)89.7 %some concernnot evaluable moderatenon important-
Peripheral oedema TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Peripheral sensory neuropathy TRAE (grade 3-4) 0.08 [0.00, 1.43]< 10%1 study (1/-)95.5 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 8.21 [2.15, 31.32]< 10%3 studies (3/-)0.1 %some concernnot evaluable moderatenon important-
Pruritus TRAE (grade 3-4) 2.13 [0.34, 13.46]< 10%3 studies (3/-)21.1 %some concernnot evaluable moderatenon important-
Pyrexia TRAE (grade 3-4) 0.66 [0.05, 8.61]< 10%2 studies (2/-)62.4 %some concernnot evaluable moderatenon important-
Rash TRAE (grade 3-4) 2.93 [0.90, 9.56]< 10%4 studies (4/-)3.7 %some concernnot evaluable moderatenon important-
Renal and urinary disorders TRAE (grade 3-4) 1.97 [0.07, 59.09]< 10%1 study (1/-)35.0 %NAnot evaluable non important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 12.07 [0.67, 217.19]< 10%1 study (1/-)4.7 %NAnot evaluable non important-
Severe skin reaction TRAE (grade 3-4) 11.23 [2.11, 59.83]< 10%2 studies (2/-)0.2 %some concernnot evaluable moderatenon important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 5.00 [0.58, 43.09]< 10%1 study (1/-)7.3 %NAnot evaluable non important-
Stomatitis TRAE (grade 3-4) 0.44 [0.06, 3.17]< 10%3 studies (3/-)79.2 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.06 [0.02, 0.22]< 10%3 studies (3/-)100.0 %some concernnot evaluable moderatenon important-
Thyroiditis TRAE (grade 3-4) 0.97 [0.06, 15.56]< 10%2 studies (2/-)50.8 %some concernnot evaluable moderatenon important-
Vomiting TRAE (grade 3-4) 0.19 [0.05, 0.70]< 10%4 studies (4/-)99.4 %some concernnot evaluable moderatenon important-

AE (grade 3-4) endpoints 00

Anaemia AE (grade 3-4) 0.30 [0.02, 4.07]< 193%2 studies (2/-)81.5 %some concernnot evaluable moderatenon important-
Arthralgia AE (grade 3-4) 2.01 [0.36, 11.05]< 10%1 study (1/-)21.3 %NAnot evaluable non important-
Asthenia AE (grade 3-4) 0.32 [0.08, 1.18]< 10%2 studies (2/-)95.6 %some concernnot evaluable moderatenon important-
Back pain AE (grade 3-4) 0.50 [0.04, 5.51]< 10%1 study (1/-)71.4 %NAnot evaluable non important-
Constipation AE (grade 3-4) 1.19 [0.32, 4.49]< 10%2 studies (2/-)39.8 %some concernnot evaluable moderatenon important-
Cough AE (grade 3-4) 0.96 [0.09, 10.59]< 10%2 studies (2/-)51.4 %lownot evaluable highnon important-
Decreased appetite AE (grade 3-4) 4.76 [0.55, 41.15]< 10%2 studies (2/-)7.9 %lownot evaluable highnon important-
Diarrhoea AE (grade 3-4) 1.84 [0.04, 75.61]< 175%2 studies (2/-)37.6 %lownot evaluable highnon important-
Dyspnoea AE (grade 3-4) 1.00 [0.38, 2.66]< 10%2 studies (2/-)49.8 %lownot evaluable highnon important-
Fatigue AE (grade 3-4) 0.73 [0.15, 3.49]< 158%2 studies (2/-)65.4 %lownot evaluable highnon important-
Febrile neutropenia AE (grade 3-4) 0.05 [0.00, 0.86]< 10%1 study (1/-)98.0 %NAnot evaluable non important-
Hypertension AE (grade 3-4) 0.61 [0.10, 3.68]< 10%1 study (1/-)70.4 %NAnot evaluable non important-
Hypothyroidism AE (grade 3-4) 1.00 [0.06, 16.01]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Increase AST AE (grade 3-4) 3.96 [1.30, 12.02]< 10%3 studies (3/-)0.8 %some concernnot evaluable moderatenon important-
Increased ALT AE (grade 3-4) 2.70 [0.95, 7.64]< 10%2 studies (2/-)3.1 %lownot evaluable highnon important-
Leucopenia AE (grade 3-4) 0.23 [0.03, 2.05]< 10%1 study (1/-)90.5 %NAnot evaluable non important-
Nausea AE (grade 3-4) 0.69 [0.03, 13.97]< 161%2 studies (2/-)59.4 %some concernnot evaluable moderatenon important-
Neutropenia AE (grade 3-4) 0.03 [0.01, 0.14]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Pancytopenia (AE grade 3-4) 0.46 [0.04, 5.08]< 10%1 study (1/-)73.6 %NAnot evaluable non important-
Pneumonia AE (grade 3-4) 1.11 [0.61, 2.00]< 114%2 studies (2/-)37.0 %lownot evaluable highnon important-
Pneumonitis AE (grade 3-4) 2.21 [0.83, 5.91]< 10%1 study (1/-)5.6 %NAnot evaluable non important-
Pruritus AE (grade 3-4) 0.50 [0.04, 5.51]< 10%1 study (1/-)71.4 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 1.89 [0.15, 23.34]< 119%2 studies (2/-)31.1 %lownot evaluable highnon important-
Rash AE (grade 3-4) 16.38 [0.94, 286.59]< 10%1 study (1/-)2.9 %NAnot evaluable non important-
Sepsis AE (grade 3-4) 0.46 [0.04, 5.08]< 10%1 study (1/-)73.6 %NAnot evaluable non important-
Thrombocytopenia AE (grade 3-4) 0.05 [0.01, 0.34]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Vomiting AE (grade 3-4) 1.44 [0.17, 12.08]< 142%2 studies (2/-)37.0 %lownot evaluable highnon 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.