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metastatic/advanced NSCLC (mNSCLC) - 1st line (L1), durvalumab plus 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) 0.94 [0.80, 1.11]< 10%1 study (1/-)76.8 %NAnot evaluable crucial-
progression or deaths (PFS) 1.05 [0.72, 1.53]< 10%1 study (1/-)40.0 %NAnot evaluable important-
objective responses (ORR) 0.87 [0.55, 1.37]> 10%1 study (1/-)27.3 %NAnot evaluable non important-

safety endpoints 00

AE (any grade) 0.51 [0.27, 0.96]< 10%1 study (1/-)98.2 %NAnot evaluable non important-
AE (grade 3-4) 1.02 [0.76, 1.37]< 10%1 study (1/-)44.6 %NAnot evaluable non important-
AE leading to death (grade 5) 2.19 [1.17, 4.11]< 10%1 study (1/-)0.7 %NAnot evaluable non important-
AE leading to treatment discontinuation (any grade) 1.43 [0.97, 2.10]< 10%1 study (1/-)3.5 %NAnot evaluable non important-
AE leading to treatment discontinuation (grade 3-4) 2.14 [1.32, 3.47]< 10%1 study (1/-)0.1 %NAnot evaluable non important-
SAE (any grade) 1.93 [1.22, 3.04]< 10%1 study (1/-)0.2 %NAnot evaluable non important-
STRAE (any grade) 1.52 [1.03, 2.24]< 10%1 study (1/-)1.7 %NAnot evaluable non important-
STRAE (grade 3-4) 1.43 [0.92, 2.21]< 10%1 study (1/-)5.6 %NAnot evaluable non important-
TRAE (any grade) 0.31 [0.22, 0.44]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
TRAE (grade 3-4) 0.55 [0.39, 0.77]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
TRAE leading to death (grade 5) 1.91 [0.47, 7.71]< 10%1 study (1/-)18.2 %NAnot evaluable non important-
TRAE leading to discontinuation (any grade) 1.47 [0.92, 2.35]< 10%1 study (1/-)5.3 %NAnot evaluable non important-
TRAE leading to discontinuation (grade 3-4) 2.95 [1.51, 5.78]< 10%1 study (1/-)0.1 %NAnot evaluable non important-

TRAE (grade 3-4) endpoints 00

Adrenal insufficiency TRAE (grade 3-4) 5.73 [0.29, 114.82]< 10%1 study (1/-)13.0 %NAnot evaluable non important-
Alopecia TRAE (grade 3-4) 0.95 [0.02, 47.95]< 10%1 study (1/-)51.0 %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) 0.06 [0.00, 1.01]< 10%1 study (1/-)97.3 %NAnot evaluable non important-
Colitis TRAE (grade 3-4) 13.52 [0.76, 239.13]< 10%1 study (1/-)3.9 %NAnot evaluable non important-
Constipation TRAE (grade 3-4) 0.47 [0.02, 14.16]< 10%1 study (1/-)66.4 %NAnot evaluable non important-
Decreased appetite TRAE (grade 3-4) 0.95 [0.24, 3.82]< 10%1 study (1/-)53.0 %NAnot evaluable non important-
Diabetes TRAE (grade 3-4) 1.90 [0.06, 56.82]< 10%1 study (1/-)35.8 %NAnot evaluable non important-
Diarrhoea TRAE (grade 3-4) 4.35 [0.93, 20.28]< 10%1 study (1/-)3.1 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 1.09 [0.39, 3.03]< 10%1 study (1/-)43.7 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 13.52 [0.76, 239.13]< 10%1 study (1/-)3.9 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 1.90 [0.06, 56.82]< 10%1 study (1/-)35.8 %NAnot evaluable non important-
Hypophysitis TRAE (grade 3-4) 1.90 [0.06, 56.82]< 10%1 study (1/-)35.8 %NAnot evaluable non important-
Hypothyroidism TRAE (grade 3-4) 5.73 [0.29, 114.82]< 10%1 study (1/-)13.0 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 0.16 [0.02, 1.30]< 10%1 study (1/-)95.6 %NAnot evaluable non important-
Nephritis TRAE (grade 3-4) 0.95 [0.02, 47.95]< 10%1 study (1/-)51.0 %NAnot evaluable non important-
Neutropenia TRAE (grade 3-4) 0.01 [0.00, 0.20]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 7.74 [0.96, 62.17]< 10%1 study (1/-)2.8 %NAnot evaluable non important-
Pruritus TRAE (grade 3-4) 0.95 [0.02, 47.95]< 10%1 study (1/-)51.0 %NAnot evaluable non important-
Rash TRAE (grade 3-4) 0.95 [0.06, 15.23]< 10%1 study (1/-)51.5 %NAnot evaluable non 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

Alopecia AE (grade 3-4) 0.95 [0.02, 47.95]< 10%1 study (1/-)51.0 %NAnot evaluable non important-
Anaemia AE (grade 3-4) 0.12 [0.05, 0.28]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Asthenia AE (grade 3-4) 0.86 [0.36, 2.05]< 10%1 study (1/-)63.4 %NAnot evaluable non important-
Back pain AE (grade 3-4) 0.63 [0.10, 3.80]< 10%1 study (1/-)69.2 %NAnot evaluable non important-
Constipation AE (grade 3-4) 1.90 [0.17, 21.07]< 10%1 study (1/-)30.1 %NAnot evaluable non important-
Cough AE (grade 3-4) 0.95 [0.02, 47.95]< 10%1 study (1/-)51.0 %NAnot evaluable non important-
Decreased appetite AE (grade 3-4) 1.43 [0.40, 5.11]< 10%1 study (1/-)29.1 %NAnot evaluable non important-
Diarrhoea AE (grade 3-4) 2.12 [0.73, 6.17]< 10%1 study (1/-)8.4 %NAnot evaluable non important-
Dyspnoea AE (grade 3-4) 1.11 [0.37, 3.33]< 10%1 study (1/-)42.7 %NAnot evaluable non important-
Fatigue AE (grade 3-4) 1.31 [0.52, 3.31]< 10%1 study (1/-)28.1 %NAnot evaluable non important-
Nausea AE (grade 3-4) 0.63 [0.18, 2.25]< 10%1 study (1/-)76.2 %NAnot evaluable non important-
Neutropenia AE (grade 3-4) 0.01 [0.00, 0.19]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Pruritus AE (grade 3-4) 0.95 [0.02, 47.95]< 10%1 study (1/-)51.0 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 0.95 [0.02, 47.95]< 10%1 study (1/-)51.0 %NAnot evaluable non important-
Rash AE (grade 3-4) 0.95 [0.06, 15.23]< 10%1 study (1/-)51.5 %NAnot evaluable non important-
Thrombocytopenia AE (grade 3-4) 0.03 [0.00, 0.42]< 10%1 study (1/-)99.4 %NAnot evaluable non important-
Vomiting AE (grade 3-4) 0.13 [0.02, 1.09]< 10%1 study (1/-)96.9 %NAnot evaluable non important-
Weight decreased AE (grade 3-4) 2.86 [0.30, 27.64]< 10%1 study (1/-)18.3 %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.