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mML - NA - all population, Immune checkpoint association , 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

RFS/DFS 0.30 [0.17, 0.52]< 123%2 studies (2/-)100.0 %lownot evaluable highimportant-

safety endpoints 00

AE leading to death (grade 5) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
AE leading to treatment discontinuation (any grade) 18.39 [5.56, 60.77]< 147%2 studies (2/-)0.0 %lownot evaluable highnon important-
AE leading to treatment discontinuation (grade 3-4) 19.58 [4.47, 85.82]< 145%2 studies (2/-)0.0 %lownot evaluable highnon important-
SAE (any grade) 4.08 [2.31, 7.19]< 10%2 studies (2/-)0.0 %lownot evaluable highnon important-
SAE (grade 3-4) 5.29 [2.15, 13.00]< 153%2 studies (2/-)0.0 %lownot evaluable highnon important-
STRAE (any grade) 12.43 [2.18, 70.81]< 176%2 studies (2/-)0.2 %lownot evaluable highnon important-
STRAE (grade 3-4) 14.97 [0.88, 254.99]< 174%2 studies (2/-)3.2 %lownot evaluable highnon important-
TRAE (any grade) 10.70 [2.57, 44.58]< 141%2 studies (2/-)0.1 %lownot evaluable highnon important-
TRAE (grade 3-4) 14.96 [2.66, 84.03]< 180%2 studies (2/-)0.1 %lownot evaluable highnon important-
TRAE leading to death (grade 5) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
TRAE leading to discontinuation (any grade) 24.36 [3.72, 159.46]< 165%2 studies (2/-)0.0 %lownot evaluable highnon important-
TRAE leading to discontinuation (grade 3-4) 24.18 [2.93, 199.61]< 155%2 studies (2/-)0.2 %lownot evaluable highnon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Acute kidney injury TRAE (grade 3-4) 1.96 [0.18, 21.95]< 10%2 studies (2/-)29.4 %lownot evaluable highnon important-
Adrenal insufficiency TRAE (grade 3-4) 1.96 [0.18, 21.95]< 10%2 studies (2/-)29.4 %lownot evaluable highnon important-
Alopecia TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Anaemia TRAE (grade 3-4) 1.96 [0.18, 21.95]< 10%2 studies (2/-)29.4 %lownot evaluable highnon important-
Arthralgia TRAE (grade 3-4) 0.41 [0.04, 4.76]< 10%2 studies (2/-)76.0 %lownot evaluable highnon important-
Blood and lymphatic system disorders TRAE (grade 3-4) 1.44 [0.11, 19.02]< 10%2 studies (2/-)39.2 %lownot evaluable highnon important-
Blood creatinine increased TRAE (grade 3-4) 0.93 [0.02, 47.58]< 10%1 study (1/-)51.5 %NAnot evaluable non important-
Chills TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Colitis TRAE (grade 3-4) 6.11 [0.72, 51.62]< 10%2 studies (2/-)4.9 %lownot evaluable highnon important-
Cough TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Decreased appetite TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Diabetes TRAE (grade 3-4) 0.65 [0.05, 8.65]< 10%2 studies (2/-)62.5 %lownot evaluable highnon important-
Diarrhoea TRAE (grade 3-4) 1.30 [0.15, 11.32]< 10%2 studies (2/-)40.7 %lownot evaluable highnon important-
Dizziness TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Dry skin TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Dysgeusia TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Dyspepsia TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Dyspnoea TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %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) 6.83 [1.19, 39.30]< 10%2 studies (2/-)1.6 %lownot evaluable highnon important-
Eye disorders TRAE (grade 3-4) 1.96 [0.18, 21.95]< 10%2 studies (2/-)29.4 %lownot evaluable highnon important-
Fatigue TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Gastritis TRAE (grade 3-4) 4.00 [0.44, 36.34]< 10%2 studies (2/-)11.1 %lownot evaluable highnon important-
Gastrointestinal disorders TRAE (grade 3-4) 11.58 [2.10, 63.74]< 10%2 studies (2/-)0.3 %lownot evaluable highnon important-
General disorders and administration site conditions TRAE (grade 3-4) 4.00 [0.44, 36.34]< 10%2 studies (2/-)11.1 %lownot evaluable highnon important-
Headache TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Hepatitis TRAE (grade 3-4) 4.55 [1.09, 19.08]< 10%2 studies (2/-)1.9 %lownot evaluable highnon important-
Hepatobiliary disorders TRAE (grade 3-4) 10.17 [2.60, 39.71]< 10%2 studies (2/-)0.0 %lownot evaluable highnon important-
Hypertension TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Hyperthyroidism TRAE (grade 3-4) 6.11 [0.72, 51.62]< 10%2 studies (2/-)4.9 %lownot evaluable highnon important-
Hypophysitis TRAE (grade 3-4) 0.65 [0.05, 8.65]< 10%2 studies (2/-)62.5 %lownot evaluable highnon important-
Hypothyroidism TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Increase AST TRAE (grade 3-4) 4.46 [1.07, 18.60]< 112%2 studies (2/-)2.0 %lownot evaluable highnon important-
Increased ALT TRAE (grade 3-4) 8.10 [1.94, 33.82]< 115%2 studies (2/-)0.2 %lownot evaluable highnon important-
Increased lipase level TRAE (grade 3-4) 2.86 [1.07, 7.62]< 10%2 studies (2/-)1.8 %lownot evaluable highnon important-
Infusion-related reactions TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Leucopenia TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Maculopapular rash TRAE (grade 3-4) 1.96 [0.18, 21.95]< 10%2 studies (2/-)29.4 %lownot evaluable highnon important-
Metabolism and nutrition disorders TRAE (grade 3-4) 1.30 [0.15, 11.32]< 10%2 studies (2/-)40.7 %lownot evaluable highnon important-
Musculoskeletal and connective tissue disorders TRAE (grade 3-4) 0.31 [0.03, 3.39]< 10%2 studies (2/-)83.0 %lownot evaluable highnon important-
Myalgia TRAE (grade 3-4) 0.65 [0.05, 8.65]< 10%2 studies (2/-)62.5 %lownot evaluable highnon important-
Myositis TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Nausea TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Nervous system disorders TRAE (grade 3-4) 0.78 [0.11, 5.64]< 10%2 studies (2/-)59.7 %lownot evaluable highnon important-
Neutropenia TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Palmar-plantar erythrodysaesthesia syndrome TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Pancreatitis TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Paraesthesia TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Peripheral neuropathy TRAE (grade 3-4) 1.96 [0.18, 21.95]< 10%2 studies (2/-)29.4 %lownot evaluable highnon important-
Pneumonitis TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Pruritus TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Pyrexia TRAE (grade 3-4) 4.00 [0.44, 36.34]< 10%2 studies (2/-)11.1 %lownot evaluable highnon important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Sarcoidosis TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 3.96 [0.64, 24.63]< 10%2 studies (2/-)7.1 %lownot evaluable highnon important-
Stomatitis TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Thrombocytopenia TRAE (grade 3-4) 1.96 [0.18, 21.95]< 10%2 studies (2/-)29.4 %lownot evaluable highnon important-
Thyroiditis TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Uveitis TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Vitiligo TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Vomiting TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Weight decreased TRAE (grade 3-4) 0.97 [0.06, 15.73]< 10%2 studies (2/-)50.8 %lownot evaluable highnon 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.