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mesothelioma (MS), tremelimumab , 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 [0.76, 1.12]< 10%1 study (1/-)80.0 %NAnot evaluable crucial-
progression or deaths (PFS) 0.81 [0.67, 0.97]< 10%1 study (1/-)98.8 %NAnot evaluable important-
DCR 1.39 [0.92, 2.09]> 10%1 study (1/-)94.0 %NAnot evaluable non important-
objective responses (ORR) 4.35 [1.00, 19.05]> 10%1 study (1/-)97.4 %NAnot evaluable non important-

safety endpoints 00

TRAE (grade 3-4) 1.74 [1.22, 2.47]< 10%1 study (1/-)0.1 %NAnot evaluable non important-
TRAE leading to death (grade 5) 1.50 [0.76, 2.95]< 10%1 study (1/-)12.3 %NAnot evaluable non important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.57 [0.19, 1.73]< 10%1 study (1/-)83.9 %NAnot evaluable non important-
Acute kidney injury TRAE (grade 3-4) 3.00 [0.15, 60.20]< 10%1 study (1/-)23.9 %NAnot evaluable non important-
Adrenal insufficiency TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Anaemia TRAE (grade 3-4) 1.68 [0.46, 6.16]< 10%1 study (1/-)21.9 %NAnot evaluable non important-
Arthralgia TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Arthritis TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Asthenia TRAE (grade 3-4) 1.50 [0.40, 5.62]< 10%1 study (1/-)27.2 %NAnot evaluable non important-
Back pain (TRAE grade 3-4) 0.08 [0.00, 1.64]< 10%1 study (1/-)94.7 %NAnot evaluable non important-
Chills TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Colitis TRAE (grade 3-4) 25.42 [1.54, 420.53]< 10%1 study (1/-)1.3 %NAnot evaluable non important-
Constipation TRAE (grade 3-4) 0.25 [0.02, 2.74]< 10%1 study (1/-)87.1 %NAnot evaluable non important-
Cough TRAE (grade 3-4) 0.25 [0.01, 7.42]< 10%1 study (1/-)78.6 %NAnot evaluable non important-
Decreased appetite TRAE (grade 3-4) 2.01 [0.42, 9.56]< 10%1 study (1/-)19.1 %NAnot evaluable non important-
Diarrhoea TRAE (grade 3-4) 33.86 [4.65, 246.49]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
Dyspepsia TRAE (grade 3-4) 0.25 [0.01, 7.42]< 10%1 study (1/-)78.6 %NAnot evaluable non important-
Dyspnoea TRAE (grade 3-4) 0.58 [0.33, 1.02]< 10%1 study (1/-)97.1 %NAnot evaluable non important-
Epistaxis TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 0.49 [0.14, 1.72]< 10%1 study (1/-)86.7 %NAnot evaluable non important-
Guillain-Barré syndrome TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Hypophysitis TRAE (grade 3-4) 3.00 [0.15, 60.20]< 10%1 study (1/-)23.9 %NAnot evaluable non important-
Hypothyroidism TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Increased ALT TRAE (grade 3-4) 1.75 [0.36, 8.53]< 10%1 study (1/-)24.4 %NAnot evaluable non important-
Increased lipase level TRAE (grade 3-4) 1.85 [0.51, 6.71]< 10%1 study (1/-)17.6 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Myalgia TRAE (grade 3-4) 1.99 [0.09, 44.45]< 10%1 study (1/-)33.3 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 2.00 [0.22, 18.02]< 10%1 study (1/-)27.0 %NAnot evaluable non important-
Neutropenia TRAE (grade 3-4) 0.99 [0.18, 5.48]< 10%1 study (1/-)50.2 %NAnot evaluable non important-
Pancreatitis TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Pancytopenia TRAE (grade 3-4) 0.25 [0.01, 7.42]< 10%1 study (1/-)78.6 %NAnot evaluable non important-
Paraesthesia TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Peripheral oedema TRAE (grade 3-4) 1.99 [0.09, 44.45]< 10%1 study (1/-)33.3 %NAnot evaluable non important-
Pneumonia TRAE (grade 3-4) 0.89 [0.29, 2.70]< 10%1 study (1/-)57.9 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Pruritus TRAE (grade 3-4) 3.00 [0.15, 60.20]< 10%1 study (1/-)23.9 %NAnot evaluable non important-
Pyrexia TRAE (grade 3-4) 3.00 [0.15, 60.20]< 10%1 study (1/-)23.9 %NAnot evaluable non important-
Rash TRAE (grade 3-4) 1.99 [0.09, 44.45]< 10%1 study (1/-)33.3 %NAnot evaluable non important-
Sepsis TRAE (grade 3-4) 3.02 [0.36, 25.23]< 10%1 study (1/-)15.6 %NAnot evaluable non important-
Stomatitis TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Thrombocytopenia TRAE (grade 3-4) 1.50 [0.15, 14.48]< 10%1 study (1/-)36.5 %NAnot evaluable non important-
Vomiting TRAE (grade 3-4) 0.87 [0.25, 3.00]< 10%1 study (1/-)58.8 %NAnot evaluable non important-
Weight decreased TRAE (grade 3-4) 0.99 [0.09, 11.04]< 10%1 study (1/-)50.2 %NAnot evaluable non 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.