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metastatic/advanced NSCLC (mNSCLC) - 1st line (L1), 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) 0.80 [0.74, 0.86]< 159%20 studies (20/-)100.0 %some concerncritical moderatecrucial-
deaths (OS) (extension) 0.68 [0.60, 0.78]< 150%6 studies (6/-)100.0 %some concernnot evaluable moderateimportant-
PFS (extension) 0.65 [0.48, 0.86]< 192%6 studies (6/-)99.9 %some concernnot evaluable moderateimportant-
progression or deaths (PFS) 0.70 [0.62, 0.78]< 185%21 studies (21/-)100.0 %some concerncritical moderateimportant-
DOR 2.27 [1.44, 3.57]< 10%2 studies (2/-)0.0 %some concernnot evaluable moderatenon important-
objective responses (ORR) 1.61 [1.34, 1.94]> 182%20 studies (20/-)100.0 %some concernlow moderatenon important-
objective responses (ORR) (extension) 2.00 [1.13, 3.54]> 188%5 studies (5/-)99.2 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.72 [0.39, 1.35]< 176%10 studies (10/-)84.7 %some concerncritical moderatenon important-
AE (grade 3-4) 0.85 [0.59, 1.22]< 191%10 studies (10/-)81.1 %some concernlow moderatenon important-
AE leading to death (grade 5) 1.18 [0.86, 1.63]< 148%10 studies (10/-)15.7 %some concerncritical moderatenon important-
AE leading to treatment discontinuation (any grade) 1.27 [0.91, 1.75]< 181%10 studies (10/-)7.9 %some concernlow moderatenon important-
AE leading to treatment discontinuation (grade 3-4) 1.58 [1.08, 2.31]< 156%5 studies (5/-)0.9 %lownot evaluable highnon important-
SAE (any grade) 1.48 [1.12, 1.95]< 169%5 studies (5/-)0.3 %some concernnot evaluable moderatenon important-
STRAE (any grade) 1.45 [1.10, 1.91]< 179%13 studies (13/-)0.4 %some concernlow moderatenon important-
STRAE (grade 3-4) 1.43 [0.99, 2.06]< 176%9 studies (9/-)2.8 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.64 [0.39, 1.03]< 193%14 studies (14/-)96.6 %some concerncritical moderatenon important-
TRAE (grade 3-4) 0.75 [0.48, 1.16]< 195%14 studies (14/-)90.2 %some concernlow moderatenon important-
TRAE leading to death (grade 5) 1.18 [0.82, 1.69]< 10%13 studies (13/-)19.2 %some concernlow moderatenon important-
TRAE leading to discontinuation (any grade) 1.27 [0.81, 1.98]< 184%10 studies (10/-)14.7 %some concernlow moderatenon important-
TRAE leading to discontinuation (grade 3-4) 1.87 [1.21, 2.88]< 173%10 studies (10/-)0.3 %some concernlow moderatenon important-

TRAE (grade 3-4) endpoints 00

Acute kidney injury TRAE (grade 3-4) 4.32 [0.19, 97.73]< 10%1 study (1/-)18.2 %NAnot evaluable non important-
Adrenal insufficiency TRAE (grade 3-4) 2.19 [0.70, 6.89]< 10%7 studies (7/-)9.0 %some concernnot evaluable moderatenon important-
Alopecia TRAE (grade 3-4) 0.52 [0.14, 1.94]< 10%8 studies (8/-)83.4 %some concernserious moderatenon important-
Anaemia TRAE (grade 3-4) 0.27 [0.14, 0.53]< 190%13 studies (13/-)100.0 %some concerncritical moderatenon important-
Arthralgia TRAE (grade 3-4) 0.80 [0.21, 2.99]< 10%3 studies (3/-)63.1 %some concernnot evaluable moderatenon important-
Asthenia TRAE (grade 3-4) 0.55 [0.33, 0.91]< 118%11 studies (11/-)99.0 %some concernlow moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 1.00 [0.13, 7.77]< 10%3 studies (3/-)50.1 %some concernnot evaluable moderatenon important-
Colitis TRAE (grade 3-4) 3.89 [1.67, 9.06]< 10%10 studies (10/-)0.1 %some concernlow moderatenon important-
Constipation TRAE (grade 3-4) 0.68 [0.25, 1.86]< 10%13 studies (13/-)77.2 %some concerncritical moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.94 [0.58, 1.54]< 119%13 studies (13/-)59.0 %some concernlow moderatenon important-
Diabetes TRAE (grade 3-4) 1.86 [0.45, 7.64]< 10%6 studies (6/-)19.5 %some concernserious moderatenon important-
Diarrhoea TRAE (grade 3-4) 1.77 [1.17, 2.68]< 18%15 studies (15/-)0.3 %some concernlow moderatenon important-
Dizziness TRAE (grade 3-4) 1.05 [0.02, 53.86]< 10%1 study (1/-)49.0 %NAnot evaluable non important-
Dysgeusia TRAE (grade 3-4) 0.84 [0.12, 5.97]< 10%4 studies (4/-)57.0 %some concernnot evaluable moderatenon important-
Epistaxis TRAE (grade 3-4) 8.09 [0.43, 153.59]< 10%1 study (1/-)8.4 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 1.03 [0.67, 1.58]< 140%13 studies (13/-)44.6 %some concernlow moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 1.65 [1.10, 2.48]< 10%4 studies (4/-)0.8 %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-
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) 5.50 [2.04, 14.84]< 10%8 studies (8/-)0.0 %some concernnot evaluable moderatenon important-
Hypertension TRAE (grade 3-4) 1.00 [0.57, 1.78]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 1.18 [0.39, 3.61]< 10%11 studies (11/-)38.6 %some concerncritical moderatenon important-
Hypophysitis TRAE (grade 3-4) 1.90 [0.46, 7.81]< 10%6 studies (6/-)18.7 %some concernserious moderatenon important-
Hypothyroidism TRAE (grade 3-4) 1.82 [0.71, 4.66]< 10%14 studies (14/-)10.5 %some concerncritical moderatenon important-
Increase AST TRAE (grade 3-4) 2.07 [0.70, 6.13]< 10%5 studies (5/-)9.4 %some concernnot evaluable moderatenon important-
Increased ALT TRAE (grade 3-4) 2.16 [1.08, 4.32]< 10%7 studies (7/-)1.5 %some concernnot evaluable moderatenon important-
Increased lacrimation (TRAE grade 3-4) 1.05 [0.02, 53.86]< 10%1 study (1/-)49.0 %NAnot evaluable non important-
Increased lipase level TRAE (grade 3-4) 7.55 [2.24, 25.47]< 10%1 study (1/-)0.1 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 0.55 [0.15, 2.03]< 10%6 studies (6/-)81.4 %some concernserious moderatenon important-
Leucopenia TRAE (grade 3-4) 0.65 [0.18, 2.35]< 161%5 studies (5/-)74.1 %some concernnot evaluable moderatenon important-
Maculopapular rash TRAE (grade 3-4) 3.26 [0.66, 16.22]< 10%3 studies (3/-)7.5 %some concernnot evaluable moderatenon important-
Mucosal inflammation TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Myalgia TRAE (grade 3-4) 1.73 [0.30, 10.01]< 10%3 studies (3/-)27.1 %some concernnot evaluable moderatenon important-
Myocarditis TRAE (grade 3-4) 1.94 [0.06, 57.80]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Myositis TRAE (grade 3-4) 1.05 [0.16, 6.91]< 10%4 studies (4/-)48.0 %some concernnot evaluable moderatenon important-
Nausea TRAE (grade 3-4) 0.75 [0.39, 1.44]< 144%13 studies (13/-)80.3 %some concerncritical moderatenon important-
Nephritis TRAE (grade 3-4) 1.82 [0.52, 6.35]< 10%8 studies (8/-)17.5 %some concernserious moderatenon important-
Neutropenia TRAE (grade 3-4) 0.32 [0.17, 0.61]< 184%13 studies (13/-)100.0 %some concerncritical moderatenon important-
Pancreatitis TRAE (grade 3-4) 2.11 [0.47, 9.43]< 10%5 studies (5/-)16.5 %some concernserious moderatenon important-
Pancytopenia TRAE (grade 3-4) 0.52 [0.02, 15.84]< 10%1 study (1/-)64.4 %NAnot evaluable non important-
Paraesthesia TRAE (grade 3-4) 0.50 [0.02, 14.97]< 10%1 study (1/-)65.3 %NAnot evaluable non important-
Peripheral neuropathy TRAE (grade 3-4) 1.16 [0.56, 2.42]< 10%5 studies (5/-)34.3 %some concernnot evaluable moderatenon important-
Peripheral oedema TRAE (grade 3-4) 1.02 [0.06, 16.38]< 10%2 studies (2/-)49.5 %some concernnot evaluable moderatenon important-
Peripheral sensory neuropathy TRAE (grade 3-4) 0.64 [0.01, 29.61]< 178%2 studies (2/-)58.9 %some concernnot evaluable moderatenon important-
Pneumonia TRAE (grade 3-4) 2.12 [0.07, 64.42]< 10%1 study (1/-)33.5 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 2.56 [1.42, 4.62]< 10%11 studies (11/-)0.1 %some concernlow moderatenon important-
Pruritus TRAE (grade 3-4) 1.90 [0.64, 5.69]< 10%10 studies (10/-)12.5 %some concerncritical moderatenon important-
Pyrexia TRAE (grade 3-4) 0.66 [0.05, 8.61]< 10%2 studies (2/-)62.4 %some concernnot evaluable moderatenon important-
Rash TRAE (grade 3-4) 2.53 [1.31, 4.86]< 10%14 studies (14/-)0.3 %some concernlow 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-
Sepsis TRAE (grade 3-4) 2.06 [0.19, 22.93]< 10%2 studies (2/-)27.9 %some concernnot evaluable moderatenon important-
Severe skin reaction TRAE (grade 3-4) 2.45 [0.73, 8.21]< 130%5 studies (5/-)7.3 %some concernnot evaluable moderatenon 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) 1.04 [0.27, 4.02]< 10%5 studies (5/-)47.6 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.44 [0.21, 0.91]< 173%10 studies (10/-)98.6 %some concerncritical moderatenon important-
Thyroiditis TRAE (grade 3-4) 0.78 [0.08, 7.49]< 10%3 studies (3/-)58.6 %some concernnot evaluable moderatenon important-
Vomiting TRAE (grade 3-4) 0.63 [0.32, 1.23]< 133%13 studies (13/-)91.2 %some concerncritical moderatenon important-

AE (grade 3-4) endpoints 00

hepatitis (Autoimmune) AE (grade 3-4) 3.10 [0.49, 19.80]< 10%3 studies (3/-)11.7 %some concernnot evaluable moderatenon important-
Abdominal pain AE (grade 3-4) 1.23 [0.24, 6.38]< 10%1 study (1/-)40.4 %NAnot evaluable non important-
Acute kidney injury AE (grade 3-4) 0.24 [0.01, 5.34]< 10%1 study (1/-)81.4 %NAnot evaluable non important-
Agranulocytosis (AE grade 3-4) 0.24 [0.01, 7.31]< 10%1 study (1/-)78.8 %NAnot evaluable non important-
Alopecia AE (grade 3-4) 0.43 [0.10, 1.79]< 10%5 studies (5/-)87.6 %some concernnot evaluable moderatenon important-
Anaemia AE (grade 3-4) 0.33 [0.15, 0.74]< 192%8 studies (8/-)99.6 %some concernserious moderatenon important-
Arthralgia AE (grade 3-4) 2.12 [0.74, 6.09]< 10%4 studies (4/-)8.2 %lownot evaluable highnon important-
Asthenia AE (grade 3-4) 0.97 [0.66, 1.43]< 10%8 studies (8/-)56.4 %some concernnot evaluable moderatenon important-
Back pain AE (grade 3-4) 0.79 [0.29, 2.15]< 10%5 studies (5/-)67.7 %some concernnot evaluable moderatenon important-
Blood creatinine increased AE (grade 3-4) 1.04 [0.10, 10.25]< 10%2 studies (2/-)48.8 %some concernnot evaluable moderatenon important-
Colitis AE (grade 3-4) 2.18 [0.61, 7.72]< 10%2 studies (2/-)11.5 %lownot evaluable highnon important-
Constipation AE (grade 3-4) 1.30 [0.58, 2.88]< 10%8 studies (8/-)26.1 %some concernnot evaluable moderatenon important-
Cough AE (grade 3-4) 0.99 [0.33, 3.02]< 10%7 studies (7/-)50.4 %lownot evaluable highnon important-
Decreased appetite AE (grade 3-4) 1.41 [0.81, 2.43]< 10%8 studies (8/-)11.1 %some concernserious moderatenon 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.