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metastatic/advanced NSCLC (mNSCLC) - 1st line (L1), nivolumab based treatment , 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 [0.68, 1.26]< 169%2 studies (2/-)69.6 %some concernnot evaluable moderatecrucial-
progression or deaths (PFS) 0.93 [0.59, 1.48]< 187%2 studies (2/-)61.9 %some concernnot evaluable moderateimportant-
objective responses (ORR) 0.70 [0.46, 1.06]> 10%1 study (1/-)4.7 %NAnot evaluable non important-

safety endpoints 00

STRAE (any grade) 1.25 [0.67, 2.31]< 166%2 studies (2/-)24.2 %some concernnot evaluable moderatenon important-
STRAE (grade 3-4) 1.27 [0.52, 3.13]< 181%2 studies (2/-)30.2 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.83 [0.05, 13.17]< 198%2 studies (2/-)55.3 %some concernnot evaluable moderatenon important-
TRAE (grade 3-4) 0.70 [0.07, 7.49]< 198%2 studies (2/-)61.5 %some concernnot evaluable moderatenon important-
TRAE leading to death (grade 5) 4.33 [0.48, 39.16]< 10%1 study (1/-)9.7 %NAnot evaluable non important-
TRAE leading to discontinuation (any grade) 0.78 [0.52, 1.16]< 10%2 studies (2/-)88.9 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (grade 3-4) 1.02 [0.62, 1.68]< 10%2 studies (2/-)46.7 %some concernnot evaluable moderatenon important-

TRAE (grade 3-4) endpoints 00

Alopecia TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Anaemia TRAE (grade 3-4) 0.17 [0.00, 11.79]< 194%2 studies (2/-)78.8 %some concernnot evaluable moderatenon important-
Asthenia TRAE (grade 3-4) 0.38 [0.05, 3.18]< 19%2 studies (2/-)81.2 %some concernnot evaluable moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 1.97 [0.07, 59.09]< 10%1 study (1/-)35.0 %NAnot evaluable non important-
Constipation TRAE (grade 3-4) 0.44 [0.04, 5.01]< 10%2 studies (2/-)74.5 %some concernnot evaluable moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.71 [0.13, 3.87]< 141%2 studies (2/-)65.3 %some concernnot evaluable moderatenon important-
Diarrhoea TRAE (grade 3-4) 0.72 [0.23, 2.31]< 10%2 studies (2/-)70.8 %some concernnot evaluable moderatenon important-
Dysgeusia TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 0.67 [0.06, 6.88]< 186%2 studies (2/-)63.2 %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-
Hypothyroidism TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Increased ALT TRAE (grade 3-4) 3.51 [0.72, 17.07]< 10%1 study (1/-)6.0 %NAnot evaluable non important-
Leucopenia TRAE (grade 3-4) 0.05 [0.00, 0.92]< 10%1 study (1/-)97.7 %NAnot evaluable non 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-
Nausea TRAE (grade 3-4) 0.52 [0.13, 2.03]< 123%2 studies (2/-)82.5 %some concernnot evaluable moderatenon important-
Neutropenia TRAE (grade 3-4) 0.17 [0.00, 11.82]< 189%2 studies (2/-)78.9 %some concernnot evaluable moderatenon important-
Peripheral neuropathy TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Peripheral oedema TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Pruritus TRAE (grade 3-4) 0.68 [0.05, 8.94]< 10%2 studies (2/-)61.3 %some concernnot evaluable moderatenon important-
Pyrexia TRAE (grade 3-4) 0.49 [0.02, 14.72]< 10%1 study (1/-)65.7 %NAnot evaluable non important-
Rash TRAE (grade 3-4) 2.03 [0.28, 14.47]< 10%2 studies (2/-)24.1 %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-
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) 0.49 [0.02, 14.72]< 10%1 study (1/-)65.7 %NAnot evaluable non important-
Thrombocytopenia TRAE (grade 3-4) 0.04 [0.01, 0.31]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Vomiting TRAE (grade 3-4) 0.50 [0.04, 6.57]< 161%2 studies (2/-)69.9 %some concernnot evaluable moderatenon important-

AE (grade 3-4) endpoints 00

Increase AST AE (grade 3-4) 7.05 [0.86, 57.74]< 10%1 study (1/-)3.5 %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.