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mesothelioma (MS), immune chekpoint inhibitors , 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 [0.67, 1.02]< 156%2 studies (2/-)95.9 %lownot evaluable highcrucial-
progression or deaths (PFS) 0.90 [0.73, 1.10]< 158%2 studies (2/-)84.8 %lownot evaluable highimportant-
DCR 0.89 [0.37, 2.12]> 189%2 studies (2/-)39.7 %lownot evaluable highnon important-
objective responses (ORR) 1.65 [0.36, 7.65]> 177%2 studies (2/-)73.9 %some concernnot evaluable moderatenon important-

safety endpoints 00

STRAE (any grade) 0.92 [0.65, 1.31]< 10%1 study (1/-)67.2 %NAnot evaluable non important-
TRAE (grade 3-4) 1.74 [1.22, 2.47]< 10%1 study (1/-)0.1 %NAnot evaluable non important-
TRAE leading to death (grade 5) 1.58 [0.82, 3.03]< 10%2 studies (2/-)8.5 %lownot evaluable highnon important-
TRAE leading to discontinuation (any grade) 1.59 [1.05, 2.41]< 10%1 study (1/-)1.5 %NAnot evaluable non important-
TRAE leading to discontinuation (grade 3-4) 2.21 [1.28, 3.81]< 10%1 study (1/-)0.2 %NAnot evaluable non important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.56 [0.20, 1.61]< 10%2 studies (2/-)85.8 %lownot evaluable highnon important-
Acute kidney injury TRAE (grade 3-4) 4.84 [0.59, 39.53]< 10%2 studies (2/-)7.2 %some concernnot evaluable moderatenon important-
Adrenal insufficiency TRAE (grade 3-4) 1.37 [0.12, 15.19]< 10%2 studies (2/-)39.9 %some concernnot evaluable moderatenon important-
Anaemia TRAE (grade 3-4) 0.23 [0.00, 13.19]< 191%2 studies (2/-)75.9 %lownot evaluable highnon important-
Arthralgia TRAE (grade 3-4) 1.37 [0.12, 15.19]< 10%2 studies (2/-)39.9 %some concernnot evaluable moderatenon important-
Arthritis TRAE (grade 3-4) 2.07 [0.21, 20.46]< 10%2 studies (2/-)26.9 %some concernnot evaluable moderatenon important-
Asthenia TRAE (grade 3-4) 0.30 [0.01, 10.72]< 181%2 studies (2/-)74.3 %lownot evaluable highnon important-
Back pain (TRAE grade 3-4) 0.08 [0.00, 1.64]< 10%1 study (1/-)94.7 %NAnot evaluable non important-
Chills TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Colitis TRAE (grade 3-4) 10.88 [2.02, 58.51]< 10%2 studies (2/-)0.3 %some concernnot evaluable moderatenon important-
Constipation TRAE (grade 3-4) 0.31 [0.04, 2.19]< 10%2 studies (2/-)88.0 %lownot evaluable highnon important-
Cough TRAE (grade 3-4) 0.25 [0.01, 7.42]< 10%1 study (1/-)78.6 %NAnot evaluable non important-
Decreased appetite TRAE (grade 3-4) 1.50 [0.44, 5.10]< 10%2 studies (2/-)25.7 %lownot evaluable highnon important-
Dermatitis acneiform TRAE (grade 3-4) 1.90 [0.06, 56.75]< 10%1 study (1/-)35.8 %NAnot evaluable non important-
Diarrhoea TRAE (grade 3-4) 11.52 [1.74, 76.27]< 157%2 studies (2/-)0.6 %some concernnot evaluable moderatenon important-
Dyspepsia TRAE (grade 3-4) 0.25 [0.01, 7.42]< 10%1 study (1/-)78.6 %NAnot evaluable non important-
Dyspnoea TRAE (grade 3-4) 0.58 [0.33, 1.01]< 10%2 studies (2/-)97.4 %lownot evaluable highnon important-
Epistaxis TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 0.52 [0.20, 1.34]< 10%2 studies (2/-)91.2 %lownot evaluable highnon important-
Febrile neutropenia TRAE (grade 3-4) 0.16 [0.01, 3.14]< 10%1 study (1/-)88.5 %NAnot evaluable non important-
Guillain-Barré syndrome TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 2.07 [0.21, 20.46]< 10%2 studies (2/-)26.9 %some concernnot evaluable moderatenon important-
Hypersensitivity TRAE (grade 3-4) 1.90 [0.06, 56.75]< 10%1 study (1/-)35.8 %NAnot evaluable non important-
Hypophysitis TRAE (grade 3-4) 3.00 [0.15, 60.20]< 10%1 study (1/-)23.9 %NAnot evaluable non important-
Hypothyroidism TRAE (grade 3-4) 0.97 [0.07, 12.71]< 10%2 studies (2/-)50.8 %lownot evaluable highnon important-
Increase AST TRAE (grade 3-4) 5.73 [0.29, 114.85]< 10%1 study (1/-)13.0 %NAnot evaluable non important-
Increased ALT TRAE (grade 3-4) 2.60 [0.64, 10.59]< 11%2 studies (2/-)9.2 %lownot evaluable highnon important-
Increased lipase level TRAE (grade 3-4) 3.91 [0.66, 23.24]< 156%2 studies (2/-)6.8 %lownot evaluable highnon important-
Infusion-related reactions TRAE (grade 3-4) 2.66 [0.28, 25.23]< 10%2 studies (2/-)19.8 %some concernnot evaluable moderatenon important-
Maculopapular rash TRAE (grade 3-4) 1.90 [0.06, 56.75]< 10%1 study (1/-)35.8 %NAnot evaluable non important-
Mucosal inflammation TRAE (grade 3-4) 0.24 [0.01, 5.24]< 10%1 study (1/-)81.7 %NAnot evaluable non important-
Myalgia TRAE (grade 3-4) 1.99 [0.09, 44.45]< 10%1 study (1/-)33.3 %NAnot evaluable non important-
Myocarditis TRAE (grade 3-4) 1.90 [0.06, 56.75]< 10%1 study (1/-)35.8 %NAnot evaluable non important-
Myositis TRAE (grade 3-4) 3.81 [0.17, 84.75]< 10%1 study (1/-)20.2 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 0.50 [0.04, 7.22]< 167%2 studies (2/-)69.1 %some concernnot evaluable moderatenon important-
Neutropenia TRAE (grade 3-4) 0.19 [0.01, 4.62]< 188%2 studies (2/-)84.4 %some concernnot evaluable moderatenon important-
Pancreatitis TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Pancytopenia TRAE (grade 3-4) 0.14 [0.02, 1.29]< 10%2 studies (2/-)95.8 %some concernnot evaluable moderatenon important-
Paraesthesia TRAE (grade 3-4) 0.99 [0.03, 29.79]< 10%1 study (1/-)50.1 %NAnot evaluable non important-
Peripheral oedema TRAE (grade 3-4) 1.99 [0.09, 44.45]< 10%1 study (1/-)33.3 %NAnot evaluable non important-
Pneumonia TRAE (grade 3-4) 0.84 [0.29, 2.41]< 10%2 studies (2/-)62.7 %lownot evaluable highnon important-
Pneumonitis TRAE (grade 3-4) 1.37 [0.12, 15.19]< 10%2 studies (2/-)39.9 %some concernnot evaluable moderatenon important-
Pruritus TRAE (grade 3-4) 4.15 [0.50, 34.55]< 10%2 studies (2/-)9.6 %some concernnot evaluable moderatenon important-
Pyrexia TRAE (grade 3-4) 1.34 [0.14, 12.66]< 10%2 studies (2/-)40.1 %lownot evaluable highnon important-
Rash TRAE (grade 3-4) 3.44 [0.40, 29.74]< 10%2 studies (2/-)13.2 %some concernnot evaluable moderatenon important-
Sepsis TRAE (grade 3-4) 1.79 [0.30, 10.85]< 10%2 studies (2/-)26.4 %lownot evaluable highnon important-
Stomatitis TRAE (grade 3-4) 0.69 [0.06, 7.58]< 10%2 studies (2/-)62.0 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.44 [0.06, 3.34]< 156%2 studies (2/-)78.5 %some concernnot evaluable moderatenon important-
Vomiting TRAE (grade 3-4) 0.37 [0.04, 3.57]< 156%2 studies (2/-)80.2 %lownot evaluable highnon important-
Weight decreased TRAE (grade 3-4) 0.99 [0.09, 11.04]< 10%1 study (1/-)50.2 %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.