studies

melanoma (ML), Ipilimumab (10 mg/kg) vs. all, meta-analysis of study results

OutcomeTE95% CInkI2ROBPub. bias deaths (OS)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 0.84 [0.71; 1.00] CheckMate 238, 2017 (REV) 1.15 [0.87; 1.51] EORTC 18071, 2015 0.72 [0.58; 0.89] 0.87[0.69; 1.10]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 2015372%2,584lownot evaluable deaths (OS) (extension)detailed resultsEORTC 18071, 2015 0.73 [0.64; 0.83] 0.73[0.64; 0.83]EORTC 18071, 201510%951NAnot evaluable MFSdetailed resultsCheckMate 238, 2017 (REV) 1.37 [1.04; 1.80] EORTC 18071, 2015 0.76 [0.63; 0.91] 1.01[0.57; 1.80]CheckMate 238, 2017 (REV), EORTC 18071, 2015292%1,686lownot evaluable MFS (extension)detailed resultsEORTC 18071, 2015 0.76 [0.64; 0.90] 0.76[0.64; 0.90]EORTC 18071, 201510%951NAnot evaluable progression or deaths (PFS)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 0.89 [0.66; 1.21] 0.89[0.66; 1.21]Ascierto (ipi 10 vs 3 mg/kg), 201710%727NAnot evaluable RFS (extension)detailed resultsCheckMate 238, 2017 (REV) 1.41 [1.18; 1.69] EORTC 18071, 2015 0.75 [0.63; 0.89] 1.03[0.55; 1.90]CheckMate 238, 2017 (REV), EORTC 18071, 2015296%1,857lownot evaluable RFS/DFSdetailed resultsCheckMate 238, 2017 (REV) 1.54 [1.21; 1.96] EORTC 18071, 2015 0.75 [0.63; 0.89] 1.07[0.53; 2.16]CheckMate 238, 2017 (REV), EORTC 18071, 2015296%1,857lownot evaluable DCRdetailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.19 [0.86; 1.63] 1.19[0.86; 1.63]Ascierto (ipi 10 vs 3 mg/kg), 201710%727NAnot evaluable objective responses (ORR)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.31 [0.86; 2.00] 1.31[0.86; 2.00]Ascierto (ipi 10 vs 3 mg/kg), 201710%727NAnot evaluable AE (any grade)detailed resultsCheckMate 238, 2017 (REV) 2.04 [0.81; 5.09] EORTC 18071, 2015 7.53 [3.17; 17.90] 3.95[1.10; 14.25]CheckMate 238, 2017 (REV), EORTC 18071, 2015276%1,850lownot evaluable AE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 3.61 [2.72; 4.78] EORTC 18071, 2015 0.11 [0.08; 0.17] 0.64[0.02; 18.93]CheckMate 238, 2017 (REV), EORTC 18071, 20152100%1,850lownot evaluable AE leading to treatment discontinuation (any grade)detailed resultsCheckMate 238, 2017 (REV) 6.88 [4.79; 9.89] 6.88[4.79; 9.89]CheckMate 238, 2017 (REV)10%905NAnot evaluable AE leading to treatment discontinuation (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 9.18 [5.67; 14.85] 9.18[5.67; 14.85]CheckMate 238, 2017 (REV)10%905NAnot evaluable TRAE (any grade)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 2.40 [1.76; 3.28] CheckMate 238, 2017 (REV) 3.98 [2.35; 6.74] EORTC 18071, 2015 14.40 [10.07; 20.60] 5.16[1.59; 16.78]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 2015396%2,576lownot evaluable TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 2.70 [1.86; 3.92] CheckMate 238, 2017 (REV) 5.05 [3.67; 6.97] EORTC 18071, 2015 25.27 [14.14; 45.18] 6.84[2.37; 19.72]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 2015395%2,576lownot evaluable TRAE leading to death (grade 5)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 2.00 [0.36; 10.99] CheckMate 238, 2017 (REV) 4.00 [0.18; 89.05] EORTC 18071, 2015 10.16 [0.55; 186.52] 3.19[0.84; 12.04]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 201530%2,576lownot evaluable TRAE leading to discontinuation (any grade)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.97 [1.40; 2.78] CheckMate 238, 2017 (REV) 8.53 [5.76; 12.63] EORTC 18071, 2015 21.35 [13.41; 33.97] 7.06[1.79; 27.86]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 2015397%2,576lownot evaluable TRAE leading to discontinuation (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 2.27 [1.53; 3.38] CheckMate 238, 2017 (REV) 11.69 [6.83; 20.02] 5.10[1.02; 25.41]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)296%1,631lownot evaluable Abdominal pain TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 2.00 [0.07; 59.70] 2.00[0.07; 59.70]CheckMate 238, 2017 (REV)10%905NAnot evaluable Adrenal insufficiency TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.99 [0.07; 59.56] CheckMate 238, 2017 (REV) 2.00 [0.37; 11.00] 2.00[0.44; 9.17]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)20%1,631lownot evaluable Arthralgia TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 2.00 [0.18; 22.14] 2.00[0.18; 22.14]CheckMate 238, 2017 (REV)10%905NAnot evaluable Asthenia TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 4.02 [0.45; 36.09] 4.02[0.45; 36.09]CheckMate 238, 2017 (REV)10%905NAnot evaluable Colitis TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 2.16 [0.96; 4.84] EORTC 18071, 2015 39.14 [5.34; 286.74] 7.92[0.47; 133.48]Ascierto (ipi 10 vs 3 mg/kg), 2017, EORTC 18071, 2015286%1,671lownot evaluable Diabetes TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 0.50 [0.02; 14.89] 0.50[0.02; 14.89]CheckMate 238, 2017 (REV)10%905NAnot evaluable Diarrhoea TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.84 [1.05; 3.21] CheckMate 238, 2017 (REV) 6.67 [2.97; 14.99] EORTC 18071, 2015 25.54 [6.16; 105.87] 5.99[1.52; 23.56]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 2015387%2,576lownot evaluable Endocrine disorders TRAE (grade 3-4) detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 2.30 [0.99; 5.36] EORTC 18071, 2015 42.70 [5.84; 312.15] 8.58[0.50; 148.05]Ascierto (ipi 10 vs 3 mg/kg), 2017, EORTC 18071, 2015286%1,671lownot evaluable Eye disorders TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 0.50 [0.02; 14.85] 0.50[0.02; 14.85]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Fatigue TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 2.00 [0.37; 11.00] 2.00[0.37; 11.00]CheckMate 238, 2017 (REV)10%905NAnot evaluable Febrile neutropenia TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 3.99 [0.18; 88.89] 3.99[0.18; 88.89]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Gastrointestinal disorders TRAE (grade 3-4) detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.82 [1.14; 2.91] CheckMate 238, 2017 (REV) 9.92 [4.91; 20.07] EORTC 18071, 2015 22.61 [8.20; 62.34] 7.08[1.54; 32.51]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 2015393%2,576lownot evaluable Guillain-Barré syndrome TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 3.99 [0.18; 88.89] 3.99[0.18; 88.89]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Headache TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 7.08 [0.87; 57.77] 7.08[0.87; 57.77]CheckMate 238, 2017 (REV)10%905NAnot evaluable Hepatitis TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 2.51 [0.48; 13.01] 2.51[0.48; 13.01]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Hepatobiliary disorders TRAE (grade 3-4) detailed resultsCheckMate 238, 2017 (REV) 6.73 [3.15; 14.39] EORTC 18071, 2015 57.44 [7.90; 417.44] 16.04[2.04; 126.16]CheckMate 238, 2017 (REV), EORTC 18071, 2015274%1,850lownot evaluable Hypersensitivity TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 6.01 [0.30; 120.38] CheckMate 238, 2017 (REV) 0.50 [0.02; 14.89] 1.98[0.17; 22.37]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)214%1,631lownot evaluable Hyperthyroidism TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 1.00 [0.06; 16.00] 1.00[0.06; 16.00]CheckMate 238, 2017 (REV)10%905NAnot evaluable Hypophysitis TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.43 [0.54; 3.81] CheckMate 238, 2017 (REV) 5.60 [1.23; 25.41] EORTC 18071, 2015 44.19 [2.67; 732.31] 4.76[0.91; 24.98]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 2015368%2,576lownot evaluable Hypothyroidism TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.99 [0.07; 59.56] CheckMate 238, 2017 (REV) 2.00 [0.18; 22.14] 2.00[0.28; 14.21]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)20%1,631lownot evaluable Increase AST TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 8.11 [1.01; 65.20] CheckMate 238, 2017 (REV) 9.85 [2.28; 42.54] 9.24[2.79; 30.59]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)20%1,631lownot evaluable Increased ALT TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 6.14 [1.36; 27.62] CheckMate 238, 2017 (REV) 5.44 [2.07; 14.31] 5.64[2.50; 12.71]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)20%1,631lownot evaluable Increased lipase level TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.99 [0.07; 59.56] 1.99[0.07; 59.56]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Infusion-related reactions TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 3.99 [0.18; 88.89] 3.99[0.18; 88.89]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Maculopapular rash TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.99 [0.07; 59.56] CheckMate 238, 2017 (REV) 18.30 [1.06; 316.70] 7.32[0.82; 65.03]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)20%1,631lownot evaluable Nausea TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 0.50 [0.02; 14.89] 0.50[0.02; 14.89]CheckMate 238, 2017 (REV)10%905NAnot evaluable Nervous system disorders TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 8.03 [0.42; 152.51] EORTC 18071, 2015 18.45 [1.07; 319.15] 12.34[1.59; 95.62]Ascierto (ipi 10 vs 3 mg/kg), 2017, EORTC 18071, 201520%1,671lownot evaluable Pancreatitis TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.99 [0.07; 59.56] 1.99[0.07; 59.56]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Pancytopenia TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.99 [0.07; 59.56] 1.99[0.07; 59.56]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Pericarditis TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.99 [0.07; 59.56] 1.99[0.07; 59.56]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Peripheral neuropathy TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 3.99 [0.18; 88.89] 3.99[0.18; 88.89]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Pneumonitis TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 8.03 [0.42; 152.51] 8.03[0.42; 152.51]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Polymyalgia Rheumatica TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 0.50 [0.02; 14.85] 0.50[0.02; 14.85]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Pruritic rash TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 0.50 [0.02; 14.85] 0.50[0.02; 14.85]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Pruritus TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 0.99 [0.14; 7.10] CheckMate 238, 2017 (REV) 10.08 [0.55; 185.02] 2.44[0.27; 22.33]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)240%1,631lownot evaluable Pyrexia TRAE (grade 3-4)detailed resultsCheckMate 238, 2017 (REV) 4.00 [0.18; 89.05] 4.00[0.18; 89.05]CheckMate 238, 2017 (REV)10%905NAnot evaluable Rash TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 2.51 [0.48; 13.01] CheckMate 238, 2017 (REV) 2.85 [1.02; 7.98] EORTC 18071, 2015 10.16 [0.55; 186.52] 3.06[1.33; 7.07]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 201530%2,576lownot evaluable Renal and urinary disorders TRAE (grade 3-4) detailed resultsCheckMate 238, 2017 (REV) 1.00 [0.02; 50.40] 1.00[0.02; 50.40]CheckMate 238, 2017 (REV)10%905NAnot evaluable Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 8.03 [0.42; 152.51] CheckMate 238, 2017 (REV) 8.04 [0.42; 152.61] 8.04[1.00; 64.42]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV)20%1,631lownot evaluable Skin and subcutaneous tissue disorders TRAE (grade 3-4) detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.40 [0.44; 4.45] CheckMate 238, 2017 (REV) 5.67 [2.16; 14.85] EORTC 18071, 2015 42.00 [2.53; 697.02] 4.67[1.08; 20.14]Ascierto (ipi 10 vs 3 mg/kg), 2017, CheckMate 238, 2017 (REV), EORTC 18071, 2015368%2,576lownot evaluable Thyroiditis TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 1.99 [0.07; 59.56] 1.99[0.07; 59.56]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Uveitis TRAE (grade 3-4)detailed resultsAscierto (ipi 10 vs 3 mg/kg), 2017 0.50 [0.02; 14.85] 0.50[0.02; 14.85]Ascierto (ipi 10 vs 3 mg/kg), 201710%726NAnot evaluable Abdominal pain AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.04 [0.01; 0.17] 0.04[0.01; 0.17]EORTC 18071, 201510%945NAnot evaluable Colitis AE (grade 3-4)detailed resultsEORTC 18071, 2015 6.26 [2.61; 15.03] 6.26[2.61; 15.03]EORTC 18071, 201510%945NAnot evaluable Cough AE (grade 3-4)detailed resultsOut of scaleEORTC 18071, 2015 0.01 [0.00; 0.15] 0.01[0.00; 0.15]EORTC 18071, 201510%945NAnot evaluable Decreased appetite AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.06 [0.01; 0.46] 0.06[0.01; 0.46]EORTC 18071, 201510%945NAnot evaluable Diarrhoea AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.26 [0.18; 0.37] 0.26[0.18; 0.37]EORTC 18071, 201510%945NAnot evaluable Fatigue AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.05 [0.03; 0.10] 0.05[0.03; 0.10]EORTC 18071, 201510%945NAnot evaluable Headache AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.04 [0.01; 0.11] 0.04[0.01; 0.11]EORTC 18071, 201510%945NAnot evaluable Hypophysitis AE (grade 3-4)detailed resultsEORTC 18071, 2015 11.01 [2.57; 47.24] 11.01[2.57; 47.24]EORTC 18071, 201510%945NAnot evaluable Hypothyroidism AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.14 [0.02; 1.16] 0.14[0.02; 1.16]EORTC 18071, 201510%945NAnot evaluable Increase AST AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.80 [0.45; 1.45] 0.80[0.45; 1.45]EORTC 18071, 201510%945NAnot evaluable Increased ALT AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.97 [0.55; 1.70] 0.97[0.55; 1.70]EORTC 18071, 201510%945NAnot evaluable Nausea AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.01 [0.00; 0.07] 0.01[0.00; 0.07]EORTC 18071, 201510%945NAnot evaluable Pruritus AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.14 [0.07; 0.26] 0.14[0.07; 0.26]EORTC 18071, 201510%945NAnot evaluable Pyrexia AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.21 [0.08; 0.56] 0.21[0.08; 0.56]EORTC 18071, 201510%945NAnot evaluable Rash AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.06 [0.03; 0.15] 0.06[0.03; 0.15]EORTC 18071, 201510%945NAnot evaluable Vomiting AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.07 [0.02; 0.29] 0.07[0.02; 0.29]EORTC 18071, 201510%945NAnot evaluable Weight decreased AE (grade 3-4)detailed resultsEORTC 18071, 2015 0.02 [0.00; 0.16] 0.02[0.00; 0.16]EORTC 18071, 201510%945NAnot evaluable0.020.01.0relative treatment effectwww.metaEvidence.org2024-05-23 09:35 +02:00

TE: relative treatment effect (measured by a risk ratio, an odds ratio or an hazard ratio depending on what is reported in the papers); k: number of studies; n: total number of patients; ROB: risk of bias (ROB 2.0); Pub. bias: publication bias; OBS: observational studies; RCT: randomized clinical trials
studied treatment is better when TE > 1; studied treatment is better when TE < 1;

pathologies: 2,283,284,70,235,285,68,127,128,286,69,129 - treatments: 558