pdf   xlsx method abbreviations

metastatic/advanced NSCLC (mNSCLC) - 2nd line (L2), 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) 0.77 [0.71, 0.85]< 124%10 studies (10/-)100.0 %some concernlow moderatecrucial-
deaths (OS) (extension) 0.53 [0.22, 1.23]< 177%2 studies (2/-)93.0 %some concernnot evaluable moderateimportant-
PFS (extension) 0.69 [0.44, 1.07]< 146%2 studies (2/-)95.2 %some concernnot evaluable moderateimportant-
progression or deaths (PFS) 0.88 [0.79, 0.99]< 158%10 studies (10/-)98.3 %some concernlow moderateimportant-
objective responses (ORR) 1.75 [1.31, 2.33]> 156%10 studies (10/-)100.0 %some concernlow moderatenon important-
objective responses (ORR) (extension) 1.63 [0.19, 14.17]> 191%2 studies (2/-)67.1 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.64 [0.42, 0.97]< 10%6 studies (6/-)98.2 %some concernnot evaluable moderatenon important-
AE (grade 3-4) 0.54 [0.40, 0.73]< 158%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 1.08 [0.64, 1.82]< 10%5 studies (5/-)39.3 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 0.60 [0.38, 0.94]< 158%4 studies (4/-)98.7 %some concernnot evaluable moderatenon important-
SAE (any grade) 1.41 [1.02, 1.94]< 10%4 studies (4/-)1.8 %some concernnot evaluable moderatenon important-
SAE (grade 3-4) 0.34 [0.03, 3.42]< 193%2 studies (2/-)81.8 %some concernnot evaluable moderatenon important-
STRAE (any grade) 0.40 [0.29, 0.57]< 130%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
STRAE (grade 3-4) 0.29 [0.19, 0.45]< 10%2 studies (2/-)100.0 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.30 [0.25, 0.37]< 120%8 studies (8/-)100.0 %some concernnot evaluable moderatenon important-
TRAE (grade 3-4) 0.17 [0.11, 0.26]< 181%9 studies (9/-)100.0 %some concernnot evaluable moderatenon important-
TRAE leading to death (grade 5) 0.33 [0.15, 0.72]< 10%7 studies (7/-)99.7 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (any grade) 0.52 [0.25, 1.06]< 174%6 studies (6/-)96.3 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (grade 3-4) 0.52 [0.16, 1.64]< 144%2 studies (2/-)86.8 %some concernnot evaluable moderatenon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.49 [0.02, 14.75]< 10%1 study (1/-)65.7 %NAnot evaluable non important-
Acute kidney injury TRAE (grade 3-4) 1.06 [0.20, 5.55]< 10%5 studies (5/-)47.0 %some concernnot evaluable moderatenon important-
Adrenal insufficiency TRAE (grade 3-4) 1.69 [0.24, 12.08]< 10%3 studies (3/-)30.1 %some concernnot evaluable moderatenon important-
Alopecia TRAE (grade 3-4) 0.65 [0.10, 4.29]< 10%4 studies (4/-)67.2 %some concernnot evaluable moderatenon important-
Anaemia TRAE (grade 3-4) 0.11 [0.04, 0.31]< 10%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
Arthralgia TRAE (grade 3-4) 0.72 [0.08, 6.15]< 10%3 studies (3/-)61.9 %some concernnot evaluable moderatenon important-
Asthenia TRAE (grade 3-4) 0.15 [0.05, 0.46]< 10%5 studies (5/-)100.0 %some concernnot evaluable moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Colitis TRAE (grade 3-4) 2.18 [0.49, 9.65]< 10%5 studies (5/-)15.3 %some concernserious moderatenon important-
Constipation TRAE (grade 3-4) 0.44 [0.06, 3.16]< 10%3 studies (3/-)79.3 %some concernnot evaluable moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.37 [0.12, 1.15]< 10%6 studies (6/-)95.7 %some concernnot evaluable moderatenon important-
Dermatitis acneiform TRAE (grade 3-4) 0.50 [0.02, 15.30]< 10%1 study (1/-)65.1 %NAnot evaluable non important-
Diabetes TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Diarrhoea TRAE (grade 3-4) 0.68 [0.24, 1.94]< 10%6 studies (6/-)76.7 %some concernnot evaluable moderatenon important-
Dizziness TRAE (grade 3-4) 0.98 [0.02, 50.00]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Dysgeusia TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Dyspepsia TRAE (grade 3-4) 0.50 [0.02, 15.30]< 10%1 study (1/-)65.1 %NAnot evaluable non important-
Dyspnoea TRAE (grade 3-4) 0.88 [0.13, 5.89]< 10%2 studies (2/-)55.3 %some concernnot evaluable moderatenon important-
Eczema TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Endocrine disorders TRAE (grade 3-4) 0.46 [0.01, 23.40]< 10%1 study (1/-)64.7 %NAnot evaluable non important-
Erythema TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Fatigue TRAE (grade 3-4) 0.23 [0.11, 0.46]< 10%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 0.03 [0.01, 0.11]< 10%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
Gastrointestinal disorders TRAE (grade 3-4) 0.93 [0.03, 27.74]< 10%1 study (1/-)51.8 %NAnot evaluable non important-
Headache TRAE (grade 3-4) 0.46 [0.02, 13.86]< 10%1 study (1/-)66.9 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 1.96 [0.30, 13.03]< 10%2 studies (2/-)24.4 %some concernnot evaluable moderatenon important-
Hepatobiliary disorders TRAE (grade 3-4) 1.39 [0.14, 13.49]< 10%1 study (1/-)38.8 %NAnot evaluable non important-
Hypersensitivity TRAE (grade 3-4) 0.58 [0.10, 3.35]< 10%4 studies (4/-)72.8 %some concernnot evaluable moderatenon important-
Hypertension TRAE (grade 3-4) 1.54 [0.28, 8.47]< 10%2 studies (2/-)31.0 %some concernnot evaluable moderatenon important-
Hyperthyroidism TRAE (grade 3-4) 0.73 [0.10, 5.17]< 10%4 studies (4/-)62.5 %some concernnot evaluable moderatenon important-
Hypophysitis TRAE (grade 3-4) 1.27 [0.04, 38.28]< 10%1 study (1/-)44.5 %NAnot evaluable non important-
Hypothyroidism TRAE (grade 3-4) 0.92 [0.17, 5.03]< 10%5 studies (5/-)53.9 %some concernserious moderatenon important-
Increase AST TRAE (grade 3-4) 0.76 [0.12, 5.04]< 10%3 studies (3/-)60.9 %some concernnot evaluable moderatenon important-
Increased ALT TRAE (grade 3-4) 0.82 [0.18, 3.65]< 10%4 studies (4/-)60.2 %some concernnot evaluable moderatenon important-
Increased lacrimation (TRAE grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Increased lipase level TRAE (grade 3-4) 2.35 [0.44, 12.50]< 10%3 studies (3/-)15.9 %some concernnot evaluable moderatenon important-
Infusion-related reactions TRAE (grade 3-4) 1.61 [0.39, 6.60]< 10%5 studies (5/-)25.4 %some concernserious moderatenon important-
Leucopenia TRAE (grade 3-4) 0.06 [0.02, 0.17]< 10%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
Maculopapular rash TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Mucosal inflammation TRAE (grade 3-4) 0.17 [0.03, 1.05]< 10%3 studies (3/-)97.1 %some concernnot evaluable moderatenon important-
Myalgia TRAE (grade 3-4) 0.55 [0.08, 3.90]< 10%3 studies (3/-)72.3 %some concernnot evaluable moderatenon important-
Myocarditis TRAE (grade 3-4) 0.93 [0.02, 46.93]< 10%1 study (1/-)51.4 %NAnot evaluable non important-
Myositis TRAE (grade 3-4) 0.63 [0.01, 32.23]< 10%1 study (1/-)58.8 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 0.43 [0.12, 1.49]< 10%5 studies (5/-)90.9 %some concernnot evaluable moderatenon important-
Neutropenia TRAE (grade 3-4) 0.02 [0.01, 0.06]< 10%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
Palmar-plantar erythrodysaesthesia syndrome TRAE (grade 3-4) 0.63 [0.05, 8.17]< 10%2 studies (2/-)63.9 %some concernnot evaluable moderatenon important-
Pancreatitis TRAE (grade 3-4) 2.56 [0.11, 57.33]< 10%1 study (1/-)27.9 %NAnot evaluable non important-
Paraesthesia TRAE (grade 3-4) 0.96 [0.06, 15.39]< 10%2 studies (2/-)51.2 %some concernnot evaluable moderatenon important-
Peripheral neuropathy TRAE (grade 3-4) 0.16 [0.03, 0.88]< 10%3 studies (3/-)98.2 %some concernnot evaluable moderatenon important-
Peripheral oedema TRAE (grade 3-4) 0.48 [0.09, 2.62]< 10%4 studies (4/-)80.0 %some concernnot evaluable moderatenon important-
Peripheral sensory neuropathy TRAE (grade 3-4) 0.46 [0.02, 13.86]< 10%1 study (1/-)66.9 %NAnot evaluable non important-
Pneumonia TRAE (grade 3-4) 0.37 [0.06, 2.22]< 10%3 studies (3/-)86.1 %some concernnot evaluable moderatenon important-
Pneumonitis TRAE (grade 3-4) 2.94 [0.94, 9.18]< 10%6 studies (6/-)3.2 %some concernnot evaluable moderatenon important-
Pruritic rash TRAE (grade 3-4) 1.11 [0.09, 14.57]< 10%2 studies (2/-)46.7 %some concernnot evaluable moderatenon important-
Pruritus generalised TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Pruritus TRAE (grade 3-4) 0.65 [0.07, 6.26]< 10%3 studies (3/-)64.5 %some concernnot evaluable moderatenon important-
Pyrexia TRAE (grade 3-4) 0.57 [0.09, 3.51]< 10%4 studies (4/-)72.7 %some concernnot evaluable moderatenon important-
Rash TRAE (grade 3-4) 0.75 [0.21, 2.72]< 10%5 studies (5/-)67.0 %some concernnot evaluable moderatenon important-
Renal and urinary disorders TRAE (grade 3-4) 0.46 [0.01, 23.40]< 10%1 study (1/-)64.7 %NAnot evaluable non important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 6.60 [0.37, 116.99]< 10%1 study (1/-)10.2 %NAnot evaluable non important-
Sepsis TRAE (grade 3-4) 0.23 [0.01, 5.14]< 10%1 study (1/-)82.0 %NAnot evaluable non important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 2.79 [0.14, 56.11]< 10%1 study (1/-)25.4 %NAnot evaluable non important-
Skin exfoliation TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Stomatitis TRAE (grade 3-4) 0.49 [0.10, 2.44]< 10%4 studies (4/-)80.8 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.16 [0.01, 3.50]< 10%1 study (1/-)87.6 %NAnot evaluable non important-
Thyroiditis TRAE (grade 3-4) 0.65 [0.07, 6.26]< 10%3 studies (3/-)64.5 %some concernnot evaluable moderatenon important-
Urticaria TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Vitiligo TRAE (grade 3-4) 0.46 [0.01, 23.40]< 10%1 study (1/-)64.7 %NAnot evaluable non important-
Vomiting TRAE (grade 3-4) 0.34 [0.06, 1.86]< 10%4 studies (4/-)89.2 %some concernnot evaluable moderatenon important-
Weight decreased TRAE (grade 3-4) 1.05 [0.12, 9.05]< 10%2 studies (2/-)48.1 %some concernnot evaluable moderatenon important-

AE (grade 3-4) endpoints 00

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.