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lung cancer : non small cell (NSCLC), atezolizumab plus carboplatin plus nab-paclitaxel , 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) 1.04 [0.74, 1.47]< 184%2 studies (2/-)40.2 %some concernnot evaluable moderatecrucial-
progression or deaths (PFS) 1.04 [0.49, 2.23]< 197%2 studies (2/-)45.5 %some concernnot evaluable moderateimportant-
DOR 2.27 [1.44, 3.57]< 10%2 studies (2/-)0.0 %some concernnot evaluable moderatenon important-
objective responses (ORR) 1.70 [1.18, 2.46]> 163%2 studies (2/-)99.8 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 1.72 [0.17, 17.14]< 171%2 studies (2/-)32.3 %some concernnot evaluable moderatenon important-
AE (grade 3-4) 0.89 [0.39, 2.06]< 191%2 studies (2/-)60.3 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 1.68 [0.70, 4.01]< 171%2 studies (2/-)12.3 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 1.28 [0.49, 3.35]< 193%2 studies (2/-)30.7 %some concernnot evaluable moderatenon important-
SAE (any grade) 1.16 [0.31, 4.35]< 197%2 studies (2/-)41.1 %some concernnot evaluable moderatenon important-
STRAE (any grade) 1.04 [0.23, 4.78]< 196%2 studies (2/-)47.9 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.96 [0.27, 3.35]< 187%2 studies (2/-)52.7 %some concernnot evaluable moderatenon important-
TRAE (grade 3-4) 0.94 [0.34, 2.58]< 195%2 studies (2/-)55.0 %some concernnot evaluable moderatenon important-
TRAE leading to death (grade 5) 0.68 [0.14, 3.40]< 138%2 studies (2/-)67.9 %some concernnot evaluable moderatenon important-

TRAE (grade 3-4) endpoints 00

Adrenal insufficiency TRAE (grade 3-4) 2.00 [0.07, 59.91]< 10%1 study (1/-)34.7 %NAnot evaluable non important-
Alopecia TRAE (grade 3-4) 1.43 [0.09, 22.89]< 10%2 studies (2/-)40.1 %some concernnot evaluable moderatenon important-
Anaemia TRAE (grade 3-4) 0.82 [0.47, 1.44]< 178%2 studies (2/-)75.3 %some concernnot evaluable moderatenon important-
Arthralgia TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Asthenia TRAE (grade 3-4) 0.74 [0.33, 1.63]< 10%2 studies (2/-)77.5 %some concernnot evaluable moderatenon important-
Colitis TRAE (grade 3-4) 8.08 [0.43, 153.53]< 10%1 study (1/-)8.4 %NAnot evaluable non important-
Constipation TRAE (grade 3-4) 0.71 [0.06, 7.89]< 10%2 studies (2/-)60.8 %some concernnot evaluable moderatenon important-
Decreased appetite TRAE (grade 3-4) 1.96 [0.69, 5.58]< 127%2 studies (2/-)10.5 %some concernnot evaluable moderatenon important-
Diabetes TRAE (grade 3-4) 6.05 [0.30, 121.16]< 10%1 study (1/-)12.2 %NAnot evaluable non important-
Diarrhoea TRAE (grade 3-4) 1.12 [0.62, 2.02]< 10%2 studies (2/-)35.0 %some concernnot evaluable moderatenon important-
Dysgeusia TRAE (grade 3-4) 2.04 [0.04, 103.19]< 10%1 study (1/-)36.3 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 1.25 [0.67, 2.32]< 121%2 studies (2/-)23.9 %some concernnot evaluable moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 2.66 [1.10, 6.46]< 10%1 study (1/-)1.5 %NAnot evaluable non important-
Guillain-Barré syndrome TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 1.00 [0.06, 16.05]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 2.00 [0.07, 59.91]< 10%1 study (1/-)34.7 %NAnot evaluable non important-
Hypothyroidism TRAE (grade 3-4) 4.02 [0.18, 89.44]< 10%1 study (1/-)19.3 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Leucopenia TRAE (grade 3-4) 1.46 [0.72, 2.93]< 10%1 study (1/-)14.7 %NAnot evaluable non important-
Myalgia TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Myositis TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 1.36 [0.25, 7.43]< 168%2 studies (2/-)36.3 %some concernnot evaluable moderatenon important-
Nephritis TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Neutropenia TRAE (grade 3-4) 0.87 [0.68, 1.12]< 10%2 studies (2/-)85.7 %some concernnot evaluable moderatenon important-
Pancreatitis TRAE (grade 3-4) 2.00 [0.07, 59.91]< 10%1 study (1/-)34.7 %NAnot evaluable non important-
Peripheral neuropathy TRAE (grade 3-4) 2.01 [0.37, 11.06]< 10%1 study (1/-)21.2 %NAnot evaluable non important-
Peripheral sensory neuropathy TRAE (grade 3-4) 4.04 [0.45, 36.31]< 10%1 study (1/-)10.8 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 1.68 [0.40, 7.07]< 10%1 study (1/-)24.1 %NAnot evaluable non important-
Rash TRAE (grade 3-4) 2.01 [0.18, 22.23]< 10%1 study (1/-)28.7 %NAnot evaluable non important-
Severe skin reaction TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Thrombocytopenia TRAE (grade 3-4) 0.89 [0.51, 1.56]< 147%2 studies (2/-)65.9 %some concernnot evaluable moderatenon important-
Vomiting TRAE (grade 3-4) 1.06 [0.28, 4.08]< 120%2 studies (2/-)46.6 %some concernnot evaluable moderatenon important-

AE (grade 3-4) endpoints 00

hepatitis (Autoimmune) AE (grade 3-4) 1.02 [0.03, 30.50]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Abdominal pain AE (grade 3-4) 0.81 [0.16, 4.23]< 10%1 study (1/-)59.6 %NAnot evaluable non important-
Agranulocytosis (AE grade 3-4) 4.09 [0.14, 122.39]< 10%1 study (1/-)21.2 %NAnot evaluable non important-
Alopecia AE (grade 3-4) 2.04 [0.04, 103.19]< 10%1 study (1/-)36.3 %NAnot evaluable non important-
Anaemia AE (grade 3-4) 0.68 [0.47, 0.97]< 10%1 study (1/-)98.3 %NAnot evaluable non important-
Arthralgia AE (grade 3-4) 0.13 [0.01, 2.20]< 10%1 study (1/-)92.0 %NAnot evaluable non important-
Asthenia AE (grade 3-4) 0.63 [0.23, 1.74]< 10%1 study (1/-)81.4 %NAnot evaluable non important-
Back pain AE (grade 3-4) 0.25 [0.03, 2.02]< 10%1 study (1/-)90.1 %NAnot evaluable non important-
Blood creatinine increased AE (grade 3-4) 0.51 [0.02, 11.32]< 10%1 study (1/-)66.3 %NAnot evaluable non important-
Colitis AE (grade 3-4) 0.34 [0.02, 6.78]< 10%1 study (1/-)75.8 %NAnot evaluable non important-
Constipation AE (grade 3-4) 0.20 [0.01, 3.72]< 10%1 study (1/-)85.6 %NAnot evaluable non important-
Cough AE (grade 3-4) 0.34 [0.02, 6.78]< 10%1 study (1/-)75.8 %NAnot evaluable non important-
Decreased appetite AE (grade 3-4) 1.02 [0.34, 3.02]< 10%1 study (1/-)48.6 %NAnot evaluable non important-
Diabetes mellitus AE (grade 3-4) 0.51 [0.02, 11.32]< 10%1 study (1/-)66.3 %NAnot evaluable non important-
Diarrhoea AE (grade 3-4) 1.15 [0.59, 2.26]< 10%1 study (1/-)34.2 %NAnot evaluable non important-
Dizziness AE (grade 3-4) 2.04 [0.13, 32.81]< 10%1 study (1/-)30.9 %NAnot evaluable non important-
Dry skin AE (grade 3-4) 4.09 [0.14, 122.39]< 10%1 study (1/-)21.2 %NAnot evaluable non important-
Dysgeusia AE (grade 3-4) 2.04 [0.04, 103.19]< 10%1 study (1/-)36.3 %NAnot evaluable non important-
Dyspnoea AE (grade 3-4) 0.18 [0.04, 0.76]< 10%1 study (1/-)99.0 %NAnot evaluable non important-
Epistaxis AE (grade 3-4) 2.04 [0.13, 32.81]< 10%1 study (1/-)30.9 %NAnot evaluable non important-
Fatigue AE (grade 3-4) 0.78 [0.41, 1.48]< 10%1 study (1/-)77.8 %NAnot evaluable non important-
Febrile neutropenia AE (grade 3-4) 1.12 [0.41, 3.05]< 10%1 study (1/-)41.6 %NAnot evaluable non important-
Gastritis AE (grade 3-4) 0.51 [0.02, 11.32]< 10%1 study (1/-)66.3 %NAnot evaluable non important-
Headache AE (grade 3-4) 1.02 [0.03, 30.50]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Hypertension AE (grade 3-4) 0.68 [0.14, 3.38]< 10%1 study (1/-)68.2 %NAnot evaluable non important-
Hyperthyroidism AE (grade 3-4) 2.04 [0.13, 32.81]< 10%1 study (1/-)30.9 %NAnot evaluable non important-
Hypothyroidism AE (grade 3-4) 0.51 [0.02, 11.32]< 10%1 study (1/-)66.3 %NAnot evaluable non important-
Increase AST AE (grade 3-4) 1.02 [0.25, 4.11]< 10%1 study (1/-)48.9 %NAnot evaluable non important-
Increased ALT AE (grade 3-4) 1.37 [0.38, 4.89]< 10%1 study (1/-)31.6 %NAnot evaluable non important-
Infusion-related reaction AE (grade 3-4) 1.02 [0.03, 30.50]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Leucopenia AE (grade 3-4) 0.64 [0.27, 1.52]< 10%1 study (1/-)84.6 %NAnot evaluable non important-
Myalgia AE (grade 3-4) 1.02 [0.03, 30.50]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Nausea AE (grade 3-4) 0.63 [0.23, 1.74]< 10%1 study (1/-)81.4 %NAnot evaluable non important-
Neutropenia AE (grade 3-4) 0.81 [0.57, 1.14]< 10%1 study (1/-)88.8 %NAnot evaluable non important-
Pancytopenia (AE grade 3-4) 2.05 [0.29, 14.63]< 10%1 study (1/-)23.9 %NAnot evaluable non important-
Paraesthesia AE (grade 3-4) 0.51 [0.02, 11.32]< 10%1 study (1/-)66.3 %NAnot evaluable non important-
Peripheral neuropathy AE (grade 3-4) 1.36 [0.23, 8.21]< 10%1 study (1/-)36.8 %NAnot evaluable non important-
Peripheral oedema AE (grade 3-4) 1.36 [0.23, 8.21]< 10%1 study (1/-)36.8 %NAnot evaluable non important-
Peripheral sensory neuropathy AE (grade 3-4) 1.02 [0.25, 4.11]< 10%1 study (1/-)48.9 %NAnot evaluable non important-
Pneumonia AE (grade 3-4) 0.72 [0.34, 1.50]< 10%1 study (1/-)81.2 %NAnot evaluable non important-
Pneumonitis AE (grade 3-4) 4.09 [0.14, 122.39]< 10%1 study (1/-)21.2 %NAnot evaluable non important-
Pruritus AE (grade 3-4) 1.02 [0.03, 30.50]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 1.02 [0.03, 30.50]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Rash AE (grade 3-4) 1.02 [0.09, 11.30]< 10%1 study (1/-)49.4 %NAnot evaluable non important-
Rash maculopapular AE (grade 3-4) 1.02 [0.03, 30.50]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Sepsis AE (grade 3-4) 0.14 [0.01, 2.54]< 10%1 study (1/-)90.5 %NAnot evaluable non important-
Stomatitis AE (grade 3-4) 4.10 [0.37, 45.50]< 10%1 study (1/-)12.7 %NAnot evaluable non important-
Thrombocytopenia AE (grade 3-4) 0.67 [0.37, 1.21]< 10%1 study (1/-)90.7 %NAnot evaluable non important-
Vomiting AE (grade 3-4) 0.78 [0.27, 2.21]< 10%1 study (1/-)68.0 %NAnot evaluable non important-
Weight decreased AE (grade 3-4) 1.02 [0.09, 11.30]< 10%1 study (1/-)49.4 %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.