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mML - L1 - all population, nivolumab alone , 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) 0.99 [0.41, 2.37]< 196%2 studies (2/-)51.1 %lownot evaluable highcrucial-
deaths (OS) (extension) 0.87 [0.46, 1.64]< 195%2 studies (2/-)66.7 %lownot evaluable highimportant-
PFS (extension) 0.82 [0.35, 1.92]< 197%2 studies (2/-)67.7 %lownot evaluable highimportant-
progression or deaths (PFS) 0.88 [0.38, 2.06]< 196%2 studies (2/-)61.4 %lownot evaluable highimportant-
objective responses (ORR) 1.37 [0.24, 7.91]> 197%2 studies (2/-)63.9 %lownot evaluable highnon important-
objective responses (ORR) (extension) 0.77 [0.04, 15.30]> 199%2 studies (2/-)43.3 %lownot evaluable highnon important-

safety endpoints 00

TRAE (any grade) 0.54 [0.15, 1.90]< 190%2 studies (2/-)83.0 %lownot evaluable highnon important-
TRAE (grade 3-4) 0.38 [0.11, 1.29]< 196%2 studies (2/-)93.9 %lownot evaluable highnon important-
TRAE leading to death (grade 5) 1.00 [0.06, 15.97]< 10%2 studies (2/-)50.1 %lownot evaluable highnon important-
TRAE leading to discontinuation (any grade) 0.38 [0.11, 1.30]< 194%2 studies (2/-)93.8 %lownot evaluable highnon important-
TRAE leading to discontinuation (grade 3-4) 0.32 [0.12, 0.82]< 186%2 studies (2/-)99.1 %lownot evaluable highnon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.34 [0.03, 3.37]< 10%2 studies (2/-)82.0 %lownot evaluable highnon important-
Adrenal insufficiency TRAE (grade 3-4) 0.64 [0.12, 3.54]< 133%2 studies (2/-)69.4 %lownot evaluable highnon important-
Arthralgia TRAE (grade 3-4) 0.79 [0.11, 5.64]< 10%2 studies (2/-)59.2 %lownot evaluable highnon important-
Asthenia TRAE (grade 3-4) 0.67 [0.11, 4.12]< 10%2 studies (2/-)66.7 %lownot evaluable highnon important-
Colitis TRAE (grade 3-4) 0.11 [0.05, 0.26]< 10%2 studies (2/-)100.0 %lownot evaluable highnon important-
Cough TRAE (grade 3-4) 4.01 [0.45, 35.95]< 10%2 studies (2/-)10.9 %lownot evaluable highnon important-
Decreased appetite TRAE (grade 3-4) 0.22 [0.02, 2.08]< 10%2 studies (2/-)90.5 %lownot evaluable highnon important-
Diarrhoea TRAE (grade 3-4) 0.37 [0.21, 0.64]< 10%2 studies (2/-)100.0 %lownot evaluable highnon important-
Dry skin TRAE (grade 3-4) 1.00 [0.06, 15.97]< 10%2 studies (2/-)50.1 %lownot evaluable highnon important-
Dyspnoea TRAE (grade 3-4) 0.58 [0.09, 3.80]< 10%2 studies (2/-)71.6 %lownot evaluable highnon important-
Fatigue TRAE (grade 3-4) 0.43 [0.10, 1.85]< 151%2 studies (2/-)87.0 %lownot evaluable highnon important-
Headache TRAE (grade 3-4) 0.34 [0.03, 3.37]< 10%2 studies (2/-)82.0 %lownot evaluable highnon important-
Hepatitis TRAE (grade 3-4) 0.22 [0.02, 2.32]< 10%2 studies (2/-)89.4 %lownot evaluable highnon important-
Hyperthyroidism TRAE (grade 3-4) 0.32 [0.03, 3.47]< 10%2 studies (2/-)82.4 %lownot evaluable highnon important-
Hypophysitis TRAE (grade 3-4) 0.20 [0.04, 0.90]< 10%2 studies (2/-)98.2 %lownot evaluable highnon important-
Hypothyroidism TRAE (grade 3-4) 0.67 [0.05, 8.75]< 10%2 studies (2/-)61.9 %lownot evaluable highnon important-
Increase AST TRAE (grade 3-4) 0.43 [0.05, 4.06]< 177%2 studies (2/-)76.8 %lownot evaluable highnon important-
Increased ALT TRAE (grade 3-4) 0.31 [0.06, 1.75]< 176%2 studies (2/-)90.6 %lownot evaluable highnon important-
Increased lipase level TRAE (grade 3-4) 0.65 [0.22, 1.94]< 178%2 studies (2/-)77.8 %lownot evaluable highnon important-
Maculopapular rash TRAE (grade 3-4) 0.64 [0.12, 3.54]< 133%2 studies (2/-)69.4 %lownot evaluable highnon important-
Myalgia TRAE (grade 3-4) 1.32 [0.15, 11.31]< 10%2 studies (2/-)40.1 %lownot evaluable highnon important-
Nausea TRAE (grade 3-4) 0.13 [0.02, 1.03]< 10%2 studies (2/-)97.3 %lownot evaluable highnon important-
Pneumonitis TRAE (grade 3-4) 0.51 [0.09, 2.98]< 10%2 studies (2/-)77.0 %lownot evaluable highnon important-
Pruritic rash TRAE (grade 3-4) 1.00 [0.06, 15.97]< 10%2 studies (2/-)50.1 %lownot evaluable highnon important-
Pruritus TRAE (grade 3-4) 0.32 [0.06, 1.76]< 12%2 studies (2/-)90.4 %lownot evaluable highnon important-
Pyrexia TRAE (grade 3-4) 0.34 [0.03, 3.37]< 10%2 studies (2/-)82.0 %lownot evaluable highnon important-
Rash TRAE (grade 3-4) 0.14 [0.03, 0.60]< 10%2 studies (2/-)99.6 %lownot evaluable highnon important-
Thyroiditis TRAE (grade 3-4) 0.67 [0.05, 8.75]< 10%2 studies (2/-)61.9 %lownot evaluable highnon important-
Vitiligo TRAE (grade 3-4) 2.00 [0.18, 22.08]< 10%2 studies (2/-)28.8 %lownot evaluable highnon important-
Vomiting TRAE (grade 3-4) 0.30 [0.05, 1.95]< 118%2 studies (2/-)89.5 %lownot evaluable highnon important-
Weight decreased TRAE (grade 3-4) 0.67 [0.05, 8.74]< 10%2 studies (2/-)61.9 %lownot evaluable highnon 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.