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metastatic/adv melanoma (mML), Ipilimumab (10 mg/kg) , 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) 0.87 [0.69, 1.10]< 172%3 studies (3/-)87.4 %lownot evaluable highcrucial-
deaths (OS) (extension) 0.73 [0.64, 0.83]< 10%1 study (1/-)100.0 %NAnot evaluable important-
MFS 1.01 [0.57, 1.80]< 192%2 studies (2/-)48.5 %lownot evaluable highimportant-
MFS (extension) 0.76 [0.64, 0.90]< 10%1 study (1/-)99.9 %NAnot evaluable important-
progression or deaths (PFS) 0.89 [0.66, 1.21]< 10%1 study (1/-)77.3 %NAnot evaluable important-
RFS (extension) 1.03 [0.55, 1.90]< 196%2 studies (2/-)46.7 %lownot evaluable highimportant-
RFS/DFS 1.07 [0.53, 2.16]< 196%2 studies (2/-)42.7 %lownot evaluable highimportant-
DCR 1.19 [0.86, 1.63]> 10%1 study (1/-)85.6 %NAnot evaluable non important-
objective responses (ORR) 1.31 [0.86, 2.00]> 10%1 study (1/-)89.3 %NAnot evaluable non important-

safety endpoints 00

AE (any grade) 3.95 [1.10, 14.25]< 176%2 studies (2/-)1.8 %lownot evaluable highnon important-
AE (grade 3-4) 0.64 [0.02, 18.93]< 1100%2 studies (2/-)59.9 %lownot evaluable highnon important-
TRAE (any grade) 5.16 [1.59, 16.78]< 196%3 studies (3/-)0.3 %lownot evaluable highnon important-
TRAE (grade 3-4) 6.84 [2.37, 19.72]< 195%3 studies (3/-)0.0 %lownot evaluable highnon important-
TRAE leading to death (grade 5) 3.19 [0.84, 12.04]< 10%3 studies (3/-)4.4 %lownot evaluable highnon important-
TRAE leading to discontinuation (any grade) 7.06 [1.79, 27.86]< 197%3 studies (3/-)0.3 %lownot evaluable highnon important-
TRAE leading to discontinuation (grade 3-4) 5.10 [1.02, 25.41]< 196%2 studies (2/-)2.4 %lownot evaluable highnon important-

TRAE (grade 3-4) endpoints 00

Adrenal insufficiency TRAE (grade 3-4) 2.00 [0.44, 9.17]< 10%2 studies (2/-)18.6 %lownot evaluable highnon important-
Colitis TRAE (grade 3-4) 7.92 [0.47, 133.48]< 186%2 studies (2/-)7.8 %lownot evaluable highnon important-
Diarrhoea TRAE (grade 3-4) 5.99 [1.52, 23.56]< 187%3 studies (3/-)0.5 %lownot evaluable highnon important-
Endocrine disorders TRAE (grade 3-4) 8.58 [0.50, 148.05]< 186%2 studies (2/-)7.2 %lownot evaluable highnon important-
Eye disorders TRAE (grade 3-4) 0.50 [0.02, 14.85]< 10%1 study (1/-)65.5 %NAnot evaluable non important-
Febrile neutropenia TRAE (grade 3-4) 3.99 [0.18, 88.89]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Gastrointestinal disorders TRAE (grade 3-4) 7.08 [1.54, 32.51]< 193%3 studies (3/-)0.6 %lownot evaluable highnon important-
Guillain-Barré syndrome TRAE (grade 3-4) 3.99 [0.18, 88.89]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 2.51 [0.48, 13.01]< 10%1 study (1/-)13.8 %NAnot evaluable non important-
Hepatobiliary disorders TRAE (grade 3-4) 16.04 [2.04, 126.16]< 174%2 studies (2/-)0.4 %lownot evaluable highnon important-
Hypersensitivity TRAE (grade 3-4) 1.98 [0.17, 22.37]< 114%2 studies (2/-)29.2 %lownot evaluable highnon important-
Hypophysitis TRAE (grade 3-4) 4.76 [0.91, 24.98]< 168%3 studies (3/-)3.3 %lownot evaluable highnon important-
Hypothyroidism TRAE (grade 3-4) 2.00 [0.28, 14.21]< 10%2 studies (2/-)24.6 %lownot evaluable highnon important-
Increase AST TRAE (grade 3-4) 9.24 [2.79, 30.59]< 10%2 studies (2/-)0.0 %lownot evaluable highnon important-
Increased ALT TRAE (grade 3-4) 5.64 [2.50, 12.71]< 10%2 studies (2/-)0.0 %lownot evaluable highnon important-
Increased lipase level TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 3.99 [0.18, 88.89]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Maculopapular rash TRAE (grade 3-4) 7.32 [0.82, 65.03]< 10%2 studies (2/-)3.8 %lownot evaluable highnon important-
Nervous system disorders TRAE (grade 3-4) 12.34 [1.59, 95.62]< 10%2 studies (2/-)0.8 %lownot evaluable highnon important-
Pancreatitis TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Pancytopenia TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Pericarditis TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Peripheral neuropathy TRAE (grade 3-4) 3.99 [0.18, 88.89]< 10%1 study (1/-)19.4 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 8.03 [0.42, 152.51]< 10%1 study (1/-)8.5 %NAnot evaluable non important-
Polymyalgia Rheumatica TRAE (grade 3-4) 0.50 [0.02, 14.85]< 10%1 study (1/-)65.5 %NAnot evaluable non important-
Pruritic rash TRAE (grade 3-4) 0.50 [0.02, 14.85]< 10%1 study (1/-)65.5 %NAnot evaluable non important-
Pruritus TRAE (grade 3-4) 2.44 [0.27, 22.33]< 140%2 studies (2/-)21.6 %lownot evaluable highnon important-
Rash TRAE (grade 3-4) 3.06 [1.33, 7.07]< 10%3 studies (3/-)0.4 %lownot evaluable highnon important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 8.04 [1.00, 64.42]< 10%2 studies (2/-)2.5 %lownot evaluable highnon important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 4.67 [1.08, 20.14]< 168%3 studies (3/-)2.0 %lownot evaluable highnon important-
Thyroiditis TRAE (grade 3-4) 1.99 [0.07, 59.56]< 10%1 study (1/-)34.8 %NAnot evaluable non important-
Uveitis TRAE (grade 3-4) 0.50 [0.02, 14.85]< 10%1 study (1/-)65.5 %NAnot evaluable non 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-
Increase AST AE (grade 3-4) 0.80 [0.45, 1.45]< 10%1 study (1/-)76.6 %NAnot evaluable non important-
Increased ALT AE (grade 3-4) 0.97 [0.55, 1.70]< 10%1 study (1/-)54.8 %NAnot evaluable non important-
Nausea AE (grade 3-4) 0.01 [0.00, 0.07]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Pruritus AE (grade 3-4) 0.14 [0.07, 0.26]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 0.21 [0.08, 0.56]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Rash AE (grade 3-4) 0.06 [0.03, 0.15]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Vomiting AE (grade 3-4) 0.07 [0.02, 0.29]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Weight decreased AE (grade 3-4) 0.02 [0.00, 0.16]< 10%1 study (1/-)100.0 %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.