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squamous - mNSCLC - L1 - all population, pembrolizumab based treatment , 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) 0.64 [0.49, 0.84]< 10%1 study (1/-)99.9 %NAnot evaluable crucial-
progression or deaths (PFS) 0.56 [0.45, 0.70]< 10%1 study (1/-)100.0 %NAnot evaluable important-
objective responses (ORR) 2.20 [1.57, 3.09]> 10%1 study (1/-)100.0 %NAnot evaluable non important-

safety endpoints 00

AE (any grade) 1.20 [0.36, 3.96]< 10%1 study (1/-)38.5 %NAnot evaluable non important-
AE (grade 3-4) 0.99 [0.70, 1.39]< 10%1 study (1/-)52.7 %NAnot evaluable non important-
AE leading to death (grade 5) 1.31 [0.69, 2.49]< 10%1 study (1/-)20.3 %NAnot evaluable non important-
AE leading to treatment discontinuation (any grade) 2.28 [1.45, 3.61]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
AE leading to treatment discontinuation (grade 3-4) 2.09 [1.28, 3.39]< 10%1 study (1/-)0.2 %NAnot evaluable non important-
TRAE leading to death (grade 5) 1.70 [0.61, 4.75]< 10%1 study (1/-)15.5 %NAnot evaluable non important-

AE (grade 3-4) endpoints 00

hepatitis (Autoimmune) AE (grade 3-4) 10.24 [0.56, 188.30]< 10%1 study (1/-)6.1 %NAnot evaluable non important-
Alopecia AE (grade 3-4) 0.33 [0.03, 3.22]< 10%1 study (1/-)82.7 %NAnot evaluable non important-
Anaemia AE (grade 3-4) 0.72 [0.46, 1.11]< 10%1 study (1/-)93.3 %NAnot evaluable non important-
Arthralgia AE (grade 3-4) 2.03 [0.37, 11.17]< 10%1 study (1/-)20.9 %NAnot evaluable non important-
Asthenia AE (grade 3-4) 0.60 [0.21, 1.66]< 10%1 study (1/-)83.9 %NAnot evaluable non important-
Colitis AE (grade 3-4) 2.04 [0.50, 8.23]< 10%1 study (1/-)16.0 %NAnot evaluable non important-
Constipation AE (grade 3-4) 0.67 [0.11, 4.04]< 10%1 study (1/-)66.9 %NAnot evaluable non important-
Cough AE (grade 3-4) 0.67 [0.11, 4.04]< 10%1 study (1/-)66.9 %NAnot evaluable non important-
Decreased appetite AE (grade 3-4) 1.21 [0.37, 4.02]< 10%1 study (1/-)37.6 %NAnot evaluable non important-
Diarrhoea AE (grade 3-4) 1.88 [0.69, 5.16]< 10%1 study (1/-)11.0 %NAnot evaluable non important-
Dyspnoea AE (grade 3-4) 3.04 [0.31, 29.44]< 10%1 study (1/-)17.0 %NAnot evaluable non important-
Epistaxis AE (grade 3-4) 1.01 [0.02, 50.94]< 10%1 study (1/-)49.9 %NAnot evaluable non important-
Fatigue AE (grade 3-4) 0.82 [0.33, 2.01]< 10%1 study (1/-)66.9 %NAnot evaluable non important-
Hyperthyroidism AE (grade 3-4) 2.02 [0.07, 60.40]< 10%1 study (1/-)34.5 %NAnot evaluable non important-
Hypophysitis AE (grade 3-4) 4.05 [0.18, 90.23]< 10%1 study (1/-)19.1 %NAnot evaluable non important-
Hypothyroidism AE (grade 3-4) 2.02 [0.07, 60.40]< 10%1 study (1/-)34.5 %NAnot evaluable non important-
Infusion-related reaction AE (grade 3-4) 4.07 [0.45, 36.67]< 10%1 study (1/-)10.7 %NAnot evaluable non important-
Myalgia AE (grade 3-4) 2.02 [0.18, 22.43]< 10%1 study (1/-)28.5 %NAnot evaluable non important-
Nausea AE (grade 3-4) 0.75 [0.17, 3.39]< 10%1 study (1/-)64.4 %NAnot evaluable non important-
Neutropenia AE (grade 3-4) 0.90 [0.61, 1.32]< 10%1 study (1/-)70.9 %NAnot evaluable non important-
Peripheral neuropathy AE (grade 3-4) 1.52 [0.25, 9.15]< 10%1 study (1/-)32.6 %NAnot evaluable non important-
Pneumonitis AE (grade 3-4) 3.07 [0.61, 15.32]< 10%1 study (1/-)8.7 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 1.01 [0.14, 7.20]< 10%1 study (1/-)49.7 %NAnot evaluable non important-
Severe skin reactions AE (grade 3-4) 3.04 [0.31, 29.44]< 10%1 study (1/-)17.0 %NAnot evaluable non important-
Thrombocytopenia AE (grade 3-4) 1.07 [0.55, 2.08]< 10%1 study (1/-)42.4 %NAnot evaluable non important-
Thyroiditis AE (grade 3-4) 2.02 [0.07, 60.40]< 10%1 study (1/-)34.5 %NAnot evaluable non important-
Vomiting AE (grade 3-4) 0.16 [0.02, 1.38]< 10%1 study (1/-)95.1 %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.