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mML - (neo)adjuvant (NA), 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 [0.65, 0.93]< 114%2 studies (2/-)99.7 %lownot evaluable highcrucial-
deaths (OS) (extension) 0.73 [0.64, 0.83]< 10%1 study (1/-)100.0 %NAnot evaluable important-
MFS 0.70 [0.58, 0.84]< 136%3 studies (3/-)100.0 %lownot evaluable highimportant-
MFS (extension) 0.76 [0.64, 0.90]< 10%1 study (1/-)99.9 %NAnot evaluable important-
RFS (extension) 0.67 [0.56, 0.80]< 165%3 studies (3/-)100.0 %lownot evaluable highimportant-
RFS/DFS 0.56 [0.44, 0.71]< 167%6 studies (6/-)100.0 %lowserious highimportant-
DMFS 0.60 [0.49, 0.73]< 10%1 study (1/-)100.0 %NAnot evaluable non important-

safety endpoints 00

AE (any grade) 1.78 [0.49, 6.49]< 189%3 studies (3/-)19.3 %lownot evaluable highnon important-
AE (grade 3-4) 0.40 [0.08, 2.07]< 199%3 studies (3/-)86.1 %lownot evaluable highnon important-
AE leading to death (grade 5) 0.96 [0.10, 9.29]< 10%3 studies (3/-)51.5 %lownot evaluable highnon important-
AE leading to treatment discontinuation (any grade) 3.76 [0.18, 78.09]< 197%4 studies (4/-)19.9 %lownot evaluable highnon important-
AE leading to treatment discontinuation (grade 3-4) 4.01 [0.15, 108.15]< 197%4 studies (4/-)20.8 %lownot evaluable highnon important-
SAE (any grade) 2.78 [1.29, 5.99]< 163%3 studies (3/-)0.5 %lownot evaluable highnon important-
SAE (grade 3-4) 4.20 [2.10, 8.40]< 143%3 studies (3/-)0.0 %lownot evaluable highnon important-
STRAE (any grade) 9.58 [3.26, 28.15]< 153%3 studies (3/-)0.0 %lownot evaluable highnon important-
STRAE (grade 3-4) 13.45 [2.19, 82.46]< 154%3 studies (3/-)0.3 %lownot evaluable highnon important-
TRAE (any grade) 3.60 [0.93, 13.97]< 197%6 studies (6/-)3.3 %lownot evaluable highnon important-
TRAE (grade 3-4) 5.65 [0.74, 42.94]< 198%6 studies (6/-)4.8 %lowserious highnon important-
TRAE leading to death (grade 5) 1.43 [0.35, 5.87]< 10%6 studies (6/-)31.0 %lownot evaluable highnon important-
TRAE leading to discontinuation (any grade) 6.67 [0.34, 129.36]< 199%5 studies (5/-)10.7 %lownot evaluable highnon important-
TRAE leading to discontinuation (grade 3-4) 5.00 [0.14, 181.21]< 197%4 studies (4/-)19.4 %lownot evaluable highnon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.78 [0.12, 5.16]< 10%4 studies (4/-)60.2 %lownot evaluable highnon important-
Acute kidney injury TRAE (grade 3-4) 1.59 [0.20, 12.46]< 10%3 studies (3/-)33.0 %lownot evaluable highnon important-
Adrenal insufficiency TRAE (grade 3-4) 0.90 [0.26, 3.05]< 10%5 studies (5/-)56.8 %lowserious highnon important-
Alopecia TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Anaemia TRAE (grade 3-4) 1.59 [0.20, 12.46]< 10%3 studies (3/-)33.0 %lownot evaluable highnon important-
Arthralgia TRAE (grade 3-4) 1.13 [0.29, 4.32]< 10%5 studies (5/-)43.1 %lownot evaluable highnon important-
Asthenia TRAE (grade 3-4) 0.25 [0.03, 2.24]< 10%1 study (1/-)89.1 %NAnot evaluable non important-
Blood and lymphatic system disorders TRAE (grade 3-4) 2.58 [0.36, 18.33]< 10%3 studies (3/-)17.3 %lownot evaluable highnon important-
Blood creatinine increased TRAE (grade 3-4) 0.92 [0.06, 14.87]< 10%2 studies (2/-)52.4 %lownot evaluable highnon important-
Chills TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Colitis TRAE (grade 3-4) 11.13 [3.56, 34.72]< 10%5 studies (5/-)0.0 %lowserious highnon important-
Cough TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Decreased appetite TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Diabetes TRAE (grade 3-4) 2.07 [0.46, 9.33]< 10%5 studies (5/-)17.3 %lownot evaluable highnon important-
Diarrhoea TRAE (grade 3-4) 1.57 [0.20, 12.16]< 187%6 studies (6/-)33.4 %lownot evaluable highnon important-
Dizziness TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Dry skin TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Dysgeusia TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Dyspepsia TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Dyspnoea TRAE (grade 3-4) 1.19 [0.18, 7.88]< 10%4 studies (4/-)42.8 %lownot evaluable highnon important-
Ear and labyrinth disorders TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Endocrine disorders TRAE (grade 3-4) 12.40 [4.02, 38.27]< 10%5 studies (5/-)0.0 %lownot evaluable highnon important-
Eye disorders TRAE (grade 3-4) 1.59 [0.20, 12.46]< 10%3 studies (3/-)33.0 %lownot evaluable highnon important-
Fatigue TRAE (grade 3-4) 0.63 [0.16, 2.46]< 10%4 studies (4/-)74.7 %lownot evaluable highnon important-
Gastritis TRAE (grade 3-4) 2.81 [0.41, 19.25]< 10%3 studies (3/-)14.8 %lownot evaluable highnon important-
Gastrointestinal disorders TRAE (grade 3-4) 3.72 [0.30, 46.65]< 194%6 studies (6/-)15.7 %lownot evaluable highnon important-
General disorders and administration site conditions TRAE (grade 3-4) 2.81 [0.41, 19.25]< 10%3 studies (3/-)14.8 %lownot evaluable highnon important-
Headache TRAE (grade 3-4) 0.34 [0.07, 1.59]< 10%4 studies (4/-)91.4 %lownot evaluable highnon important-
Hepatitis TRAE (grade 3-4) 5.00 [1.65, 15.13]< 10%4 studies (4/-)0.2 %lownot evaluable highnon important-
Hepatobiliary disorders TRAE (grade 3-4) 5.34 [0.33, 87.00]< 192%5 studies (5/-)12.2 %lowserious highnon important-
Hypersensitivity TRAE (grade 3-4) 2.01 [0.07, 59.97]< 10%1 study (1/-)34.6 %NAnot evaluable non important-
Hypertension TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Hyperthyroidism TRAE (grade 3-4) 2.46 [0.60, 10.11]< 10%5 studies (5/-)10.7 %lownot evaluable highnon important-
Hypophysitis TRAE (grade 3-4) 1.69 [0.25, 11.50]< 163%6 studies (6/-)29.6 %lownot evaluable highnon important-
Hypothyroidism TRAE (grade 3-4) 0.74 [0.16, 3.39]< 10%5 studies (5/-)65.1 %lowserious highnon important-
Increase AST TRAE (grade 3-4) 1.91 [0.18, 20.24]< 182%4 studies (4/-)29.7 %lownot evaluable highnon important-
Increased ALT TRAE (grade 3-4) 3.00 [0.25, 36.26]< 188%4 studies (4/-)19.5 %lownot evaluable highnon important-
Increased lipase level TRAE (grade 3-4) 2.12 [0.91, 4.92]< 10%3 studies (3/-)4.0 %lownot evaluable highnon important-
Infusion-related reactions TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Leucopenia TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Maculopapular rash TRAE (grade 3-4) 0.53 [0.08, 3.37]< 118%4 studies (4/-)74.8 %lownot evaluable highnon important-
Metabolism and nutrition disorders TRAE (grade 3-4) 1.44 [0.23, 8.93]< 10%3 studies (3/-)35.0 %lownot evaluable highnon important-
Musculoskeletal and connective tissue disorders TRAE (grade 3-4) 0.95 [0.11, 8.51]< 125%3 studies (3/-)51.7 %lownot evaluable highnon important-
Myalgia TRAE (grade 3-4) 0.95 [0.12, 7.47]< 10%3 studies (3/-)51.8 %lownot evaluable highnon important-
Myocarditis TRAE (grade 3-4) 1.97 [0.07, 58.99]< 10%1 study (1/-)34.9 %NAnot evaluable non important-
Myositis TRAE (grade 3-4) 0.96 [0.13, 6.86]< 10%4 studies (4/-)51.6 %lownot evaluable highnon important-
Nausea TRAE (grade 3-4) 1.15 [0.21, 6.34]< 10%5 studies (5/-)43.5 %lowserious highnon important-
Nephritis TRAE (grade 3-4) 3.96 [0.18, 87.96]< 10%1 study (1/-)19.5 %NAnot evaluable non important-
Nervous system disorders TRAE (grade 3-4) 2.54 [0.51, 12.65]< 118%4 studies (4/-)12.8 %lownot evaluable highnon important-
Neutropenia TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Palmar-plantar erythrodysaesthesia syndrome TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Pancreatitis TRAE (grade 3-4) 0.96 [0.17, 5.60]< 10%4 studies (4/-)51.6 %lownot evaluable highnon important-
Paraesthesia TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Peripheral neuropathy TRAE (grade 3-4) 1.59 [0.20, 12.46]< 10%3 studies (3/-)33.0 %lownot evaluable highnon important-
Pneumonitis TRAE (grade 3-4) 2.10 [0.35, 12.71]< 10%4 studies (4/-)21.0 %lownot evaluable highnon important-
Pruritus TRAE (grade 3-4) 0.47 [0.09, 2.40]< 10%5 studies (5/-)81.7 %lowserious highnon important-
Pyrexia TRAE (grade 3-4) 1.43 [0.28, 7.35]< 10%4 studies (4/-)33.4 %lownot evaluable highnon important-
Rash TRAE (grade 3-4) 1.34 [0.15, 12.06]< 161%3 studies (3/-)39.6 %lownot evaluable highnon important-
Renal and urinary disorders TRAE (grade 3-4) 1.00 [0.02, 50.62]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 0.97 [0.21, 4.52]< 10%5 studies (5/-)51.3 %lownot evaluable highnon important-
Sarcoidosis TRAE (grade 3-4) 0.96 [0.13, 6.86]< 10%4 studies (4/-)51.6 %lownot evaluable highnon important-
Severe skin reaction TRAE (grade 3-4) 5.95 [0.30, 119.02]< 10%1 study (1/-)12.5 %NAnot evaluable non important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 2.38 [0.33, 16.95]< 175%6 studies (6/-)19.5 %lowserious highnon important-
Stomatitis TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Thrombocytopenia TRAE (grade 3-4) 1.59 [0.20, 12.46]< 10%3 studies (3/-)33.0 %lownot evaluable highnon important-
Thyroiditis TRAE (grade 3-4) 0.96 [0.13, 6.86]< 10%4 studies (4/-)51.6 %lownot evaluable highnon important-
Uveitis TRAE (grade 3-4) 0.96 [0.13, 6.86]< 10%4 studies (4/-)51.6 %lownot evaluable highnon important-
Vitiligo TRAE (grade 3-4) 0.96 [0.13, 6.86]< 10%4 studies (4/-)51.6 %lownot evaluable highnon important-
Vomiting TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-
Weight decreased TRAE (grade 3-4) 0.95 [0.10, 9.23]< 10%3 studies (3/-)51.7 %lownot evaluable highnon important-

AE (grade 3-4) endpoints 00

Abdominal pain AE (grade 3-4) 0.04 [0.01, 0.17]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Colitis AE (grade 3-4) 6.26 [2.61, 15.03]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
Cough AE (grade 3-4) 0.01 [0.00, 0.15]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Decreased appetite AE (grade 3-4) 0.06 [0.01, 0.46]< 10%1 study (1/-)99.6 %NAnot evaluable non important-
Diarrhoea AE (grade 3-4) 0.26 [0.18, 0.37]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Fatigue AE (grade 3-4) 0.05 [0.03, 0.10]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Headache AE (grade 3-4) 0.04 [0.01, 0.11]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Hypophysitis AE (grade 3-4) 11.01 [2.57, 47.24]< 10%1 study (1/-)0.1 %NAnot evaluable non important-
Hypothyroidism AE (grade 3-4) 0.14 [0.02, 1.16]< 10%1 study (1/-)96.5 %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.