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mNSCLC - L1 - PDL1 positive, atezolizumab alone versus Standard of Care (SoC), 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) 0.83 [0.65, 1.06]< 10%1 study (1/-)92.9 %NAnot evaluable crucial-
deaths (OS) (extension) 0.76 [0.53, 1.08]< 10%1 study (1/-)93.7 %NAnot evaluable important-
PFS (extension) 0.72 [0.60, 0.86]< 10%1 study (1/-)100.0 %NAnot evaluable important-
progression or deaths (PFS) 0.77 [0.63, 0.94]< 10%1 study (1/-)99.5 %NAnot evaluable important-
objective responses (ORR) 0.89 [0.62, 1.27]> 10%1 study (1/-)25.9 %NAnot evaluable non important-
objective responses (ORR) (extension) 1.68 [0.94, 3.01]> 10%1 study (1/-)95.9 %NAnot evaluable non important-

safety endpoints 00

AE (any grade) 0.52 [0.27, 1.01]< 10%1 study (1/-)97.4 %NAnot evaluable non important-
AE (grade 3-4) 0.39 [0.27, 0.55]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
AE leading to death (grade 5) 0.92 [0.39, 2.15]< 10%1 study (1/-)57.9 %NAnot evaluable non important-
AE leading to treatment discontinuation (any grade) 0.34 [0.19, 0.61]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
SAE (any grade) 0.99 [0.68, 1.44]< 10%1 study (1/-)52.0 %NAnot evaluable non important-
STRAE (any grade) 0.50 [0.29, 0.85]< 10%1 study (1/-)99.5 %NAnot evaluable non important-
TRAE (any grade) 0.27 [0.18, 0.40]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
TRAE (grade 3-4) 0.19 [0.12, 0.29]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
TRAE leading to death (grade 5) 0.46 [0.02, 13.73]< 10%1 study (1/-)67.1 %NAnot evaluable non important-

TRAE (grade 3-4) endpoints 00

Colitis TRAE (grade 3-4) 3.70 [0.17, 82.36]< 10%1 study (1/-)20.7 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 11.47 [1.48, 88.87]< 10%1 study (1/-)1.0 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 0.92 [0.02, 46.51]< 10%1 study (1/-)51.6 %NAnot evaluable non important-
Hypothyroidism TRAE (grade 3-4) 0.92 [0.02, 46.51]< 10%1 study (1/-)51.6 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 0.92 [0.02, 46.51]< 10%1 study (1/-)51.6 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 3.70 [0.17, 82.36]< 10%1 study (1/-)20.7 %NAnot evaluable non important-
Rash TRAE (grade 3-4) 1.38 [0.23, 8.34]< 10%1 study (1/-)36.2 %NAnot evaluable non important-

AE (grade 3-4) endpoints 00

Anaemia AE (grade 3-4) 0.08 [0.03, 0.20]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Asthenia AE (grade 3-4) 0.36 [0.07, 1.89]< 10%1 study (1/-)88.5 %NAnot evaluable non important-
Constipation AE (grade 3-4) 1.38 [0.23, 8.34]< 10%1 study (1/-)36.2 %NAnot evaluable non important-
Cough AE (grade 3-4) 1.84 [0.06, 55.14]< 10%1 study (1/-)36.4 %NAnot evaluable non important-
Decreased appetite AE (grade 3-4) 3.70 [0.17, 82.36]< 10%1 study (1/-)20.7 %NAnot evaluable non important-
Diarrhoea AE (grade 3-4) 0.23 [0.01, 5.09]< 10%1 study (1/-)82.1 %NAnot evaluable non important-
Dyspnoea AE (grade 3-4) 3.70 [0.17, 82.36]< 10%1 study (1/-)20.7 %NAnot evaluable non important-
Fatigue AE (grade 3-4) 0.30 [0.06, 1.51]< 10%1 study (1/-)92.7 %NAnot evaluable non important-
Febrile neutropenia AE (grade 3-4) 0.05 [0.00, 0.86]< 10%1 study (1/-)98.0 %NAnot evaluable non important-
Hypertension AE (grade 3-4) 0.61 [0.10, 3.68]< 10%1 study (1/-)70.4 %NAnot evaluable non important-
Increase AST AE (grade 3-4) 4.66 [0.54, 40.17]< 10%1 study (1/-)8.2 %NAnot evaluable non important-
Increased ALT AE (grade 3-4) 4.66 [0.54, 40.17]< 10%1 study (1/-)8.2 %NAnot evaluable non important-
Leucopenia AE (grade 3-4) 0.23 [0.03, 2.05]< 10%1 study (1/-)90.5 %NAnot evaluable non important-
Nausea AE (grade 3-4) 0.18 [0.02, 1.56]< 10%1 study (1/-)93.9 %NAnot evaluable non important-
Neutropenia AE (grade 3-4) 0.03 [0.01, 0.14]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Pancytopenia (AE grade 3-4) 0.46 [0.04, 5.08]< 10%1 study (1/-)73.6 %NAnot evaluable non important-
Pneumonia AE (grade 3-4) 0.71 [0.26, 1.93]< 10%1 study (1/-)75.0 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 0.46 [0.02, 13.73]< 10%1 study (1/-)67.1 %NAnot evaluable non important-
Sepsis AE (grade 3-4) 0.46 [0.04, 5.08]< 10%1 study (1/-)73.6 %NAnot evaluable non important-
Thrombocytopenia AE (grade 3-4) 0.05 [0.01, 0.34]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Vomiting AE (grade 3-4) 0.46 [0.04, 5.08]< 10%1 study (1/-)73.6 %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.