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mNSCLC - L1 - all population, 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) 0.76 [0.57, 1.02]< 173%3 studies (3/-)96.6 %some concernnot evaluable moderatecrucial-
progression or deaths (PFS) 0.55 [0.45, 0.67]< 127%2 studies (2/-)100.0 %some concernnot evaluable moderateimportant-
objective responses (ORR) 2.33 [1.78, 3.04]> 10%2 studies (2/-)100.0 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.35 [0.12, 1.00]< 179%3 studies (3/-)97.5 %some concernnot evaluable moderatenon important-
AE (grade 3-4) 0.56 [0.21, 1.52]< 195%3 studies (3/-)87.2 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 0.71 [0.34, 1.46]< 145%3 studies (3/-)82.6 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 0.92 [0.54, 1.54]< 152%3 studies (3/-)62.7 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (grade 3-4) 0.95 [0.59, 1.53]< 15%2 studies (2/-)58.6 %some concernnot evaluable moderatenon important-
STRAE (any grade) 0.56 [0.35, 0.90]< 10%1 study (1/-)99.2 %NAnot evaluable non important-
STRAE (grade 3-4) 0.48 [0.28, 0.84]< 10%1 study (1/-)99.5 %NAnot evaluable non important-
TRAE (any grade) 0.24 [0.17, 0.34]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
TRAE (grade 3-4) 0.34 [0.24, 0.49]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
TRAE leading to death (grade 5) 0.63 [0.11, 3.82]< 10%1 study (1/-)69.0 %NAnot evaluable non important-
TRAE leading to discontinuation (any grade) 0.55 [0.31, 0.99]< 10%1 study (1/-)97.8 %NAnot evaluable non important-
TRAE leading to discontinuation (grade 3-4) 1.28 [0.60, 2.75]< 10%1 study (1/-)26.0 %NAnot evaluable non important-

TRAE (grade 3-4) endpoints 00

Adrenal insufficiency TRAE (grade 3-4) 1.91 [0.06, 57.12]< 10%1 study (1/-)35.6 %NAnot evaluable non important-
Alopecia TRAE (grade 3-4) 0.95 [0.02, 48.21]< 10%1 study (1/-)50.9 %NAnot evaluable non important-
Anaemia TRAE (grade 3-4) 0.01 [0.00, 0.19]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Asthenia TRAE (grade 3-4) 0.12 [0.01, 0.94]< 10%1 study (1/-)97.8 %NAnot evaluable non important-
Colitis TRAE (grade 3-4) 1.42 [0.11, 18.58]< 10%2 studies (2/-)39.4 %some concernnot evaluable moderatenon important-
Constipation TRAE (grade 3-4) 0.48 [0.02, 14.24]< 10%1 study (1/-)66.3 %NAnot evaluable non important-
Decreased appetite TRAE (grade 3-4) 0.24 [0.03, 2.13]< 10%1 study (1/-)90.0 %NAnot evaluable non important-
Diabetes TRAE (grade 3-4) 0.95 [0.02, 48.21]< 10%1 study (1/-)50.9 %NAnot evaluable non important-
Diarrhoea TRAE (grade 3-4) 0.74 [0.16, 3.54]< 10%3 studies (3/-)64.5 %some concernnot evaluable moderatenon important-
Fatigue TRAE (grade 3-4) 0.81 [0.27, 2.45]< 10%1 study (1/-)64.2 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 1.92 [0.17, 21.22]< 10%2 studies (2/-)29.9 %some concernnot evaluable moderatenon important-
Hyperthyroidism TRAE (grade 3-4) 0.77 [0.08, 7.39]< 10%3 studies (3/-)59.0 %some concernnot evaluable moderatenon important-
Hypophysitis TRAE (grade 3-4) 0.95 [0.02, 48.21]< 10%1 study (1/-)50.9 %NAnot evaluable non important-
Hypothyroidism TRAE (grade 3-4) 1.48 [0.19, 11.68]< 10%3 studies (3/-)35.7 %some concernnot evaluable moderatenon important-
Increase AST TRAE (grade 3-4) 1.75 [0.15, 19.96]< 10%2 studies (2/-)32.7 %some concernnot evaluable moderatenon important-
Increased ALT TRAE (grade 3-4) 1.07 [0.08, 14.02]< 10%2 studies (2/-)47.8 %some concernnot evaluable moderatenon important-
Maculopapular rash TRAE (grade 3-4) 1.93 [0.06, 57.70]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 0.08 [0.00, 1.41]< 10%1 study (1/-)95.6 %NAnot evaluable non important-
Nephritis TRAE (grade 3-4) 0.96 [0.06, 15.36]< 10%2 studies (2/-)51.2 %some concernnot evaluable moderatenon important-
Neutropenia TRAE (grade 3-4) 0.02 [0.00, 0.18]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Peripheral neuropathy TRAE (grade 3-4) 1.93 [0.06, 57.70]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 2.05 [0.47, 8.85]< 10%3 studies (3/-)17.0 %some concernnot evaluable moderatenon important-
Pruritus TRAE (grade 3-4) 0.68 [0.04, 10.98]< 10%2 studies (2/-)60.4 %some concernnot evaluable moderatenon important-
Rash TRAE (grade 3-4) 1.08 [0.14, 8.52]< 151%3 studies (3/-)47.1 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.03 [0.00, 0.42]< 10%1 study (1/-)99.4 %NAnot evaluable non important-
Vomiting TRAE (grade 3-4) 0.07 [0.00, 1.18]< 10%1 study (1/-)96.6 %NAnot evaluable non important-

AE (grade 3-4) endpoints 00

hepatitis (Autoimmune) AE (grade 3-4) 1.93 [0.06, 57.70]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Acute kidney injury AE (grade 3-4) 0.24 [0.01, 5.34]< 10%1 study (1/-)81.4 %NAnot evaluable non important-
Alopecia AE (grade 3-4) 0.41 [0.04, 4.65]< 10%2 studies (2/-)76.3 %some concernnot evaluable moderatenon important-
Anaemia AE (grade 3-4) 0.08 [0.02, 0.38]< 173%2 studies (2/-)99.9 %some concernnot evaluable moderatenon important-
Arthralgia AE (grade 3-4) 0.48 [0.02, 14.38]< 10%1 study (1/-)66.1 %NAnot evaluable non important-
Asthenia AE (grade 3-4) 0.92 [0.40, 2.08]< 10%2 studies (2/-)58.4 %some concernnot evaluable moderatenon important-
Back pain AE (grade 3-4) 0.36 [0.05, 2.37]< 10%2 studies (2/-)85.5 %some concernnot evaluable moderatenon important-
Blood creatinine increased AE (grade 3-4) 0.48 [0.02, 14.38]< 10%1 study (1/-)66.1 %NAnot evaluable non important-
Constipation AE (grade 3-4) 0.96 [0.10, 9.22]< 10%2 studies (2/-)51.5 %some concernnot evaluable moderatenon important-
Cough AE (grade 3-4) 1.91 [0.06, 57.12]< 10%1 study (1/-)35.6 %NAnot evaluable non important-
Decreased appetite AE (grade 3-4) 1.34 [0.42, 4.27]< 10%2 studies (2/-)31.0 %some concernnot evaluable moderatenon important-
Diarrhoea AE (grade 3-4) 0.27 [0.07, 1.00]< 10%2 studies (2/-)97.5 %some concernnot evaluable moderatenon important-
Dyspnoea AE (grade 3-4) 1.65 [0.64, 4.24]< 10%2 studies (2/-)14.8 %some concernnot evaluable moderatenon important-
Fatigue AE (grade 3-4) 1.04 [0.47, 2.31]< 10%2 studies (2/-)46.4 %some concernnot evaluable moderatenon important-
Febrile neutropenia AE (grade 3-4) 0.06 [0.00, 1.03]< 10%1 study (1/-)97.3 %NAnot evaluable non important-
Hypertension AE (grade 3-4) 0.24 [0.01, 5.34]< 10%1 study (1/-)81.4 %NAnot evaluable non important-
Increase AST AE (grade 3-4) 4.87 [0.57, 41.91]< 10%1 study (1/-)7.6 %NAnot evaluable non important-
Increased ALT AE (grade 3-4) 5.82 [0.29, 116.64]< 10%1 study (1/-)12.7 %NAnot evaluable non important-
Increased Lipase Level AE (grade 3-4) 1.93 [0.06, 57.70]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Leucopenia AE (grade 3-4) 0.10 [0.01, 0.83]< 10%1 study (1/-)98.3 %NAnot evaluable non important-
myocarditis AE (grade 3-4) 0.96 [0.02, 48.69]< 10%1 study (1/-)50.7 %NAnot evaluable non important-
Nausea AE (grade 3-4) 0.14 [0.03, 0.80]< 10%2 studies (2/-)98.6 %some concernnot evaluable moderatenon important-
Neutropenia AE (grade 3-4) 0.06 [0.02, 0.15]< 10%2 studies (2/-)100.0 %some concernnot evaluable moderatenon important-
Pancytopenia (AE grade 3-4) 0.48 [0.02, 14.38]< 10%1 study (1/-)66.1 %NAnot evaluable non important-
Peripheral neuropathy AE (grade 3-4) 0.96 [0.06, 15.46]< 10%1 study (1/-)51.0 %NAnot evaluable non important-
Peripheral sensory neuropathy AE (grade 3-4) 0.48 [0.02, 14.38]< 10%1 study (1/-)66.1 %NAnot evaluable non important-
Pneumonia AE (grade 3-4) 0.77 [0.20, 2.88]< 10%1 study (1/-)65.2 %NAnot evaluable non important-
Pneumonitis AE (grade 3-4) 1.93 [0.06, 57.70]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Pruritus AE (grade 3-4) 0.95 [0.02, 48.21]< 10%1 study (1/-)50.9 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 5.76 [0.29, 115.45]< 10%1 study (1/-)12.9 %NAnot evaluable non important-
Rash AE (grade 3-4) 3.72 [0.61, 22.69]< 10%2 studies (2/-)7.8 %some concernnot evaluable moderatenon important-
Rash maculopapular AE (grade 3-4) 1.93 [0.06, 57.70]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Stomatitis AE (grade 3-4) 0.48 [0.02, 14.38]< 10%1 study (1/-)66.1 %NAnot evaluable non important-
Thrombocytopenia AE (grade 3-4) 0.04 [0.01, 0.18]< 10%2 studies (2/-)100.0 %some concernnot evaluable moderatenon important-
Vomiting AE (grade 3-4) 0.43 [0.14, 1.35]< 10%2 studies (2/-)92.6 %some concernnot evaluable moderatenon important-
Weight decreased AE (grade 3-4) 2.54 [0.39, 16.78]< 10%2 studies (2/-)16.7 %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.