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metastatic/advanced NSCLC (mNSCLC) - 1st line (L1), immune chekpoint inhibitors versus chemotherapy, 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) 0.78 [0.71, 0.86]< 162%16 studies (16/-)100.0 %some concerncritical moderatecrucial-
deaths (OS) (extension) 0.68 [0.60, 0.78]< 150%6 studies (6/-)100.0 %some concernnot evaluable moderateimportant-
PFS (extension) 0.65 [0.48, 0.86]< 192%6 studies (6/-)99.9 %some concernnot evaluable moderateimportant-
progression or deaths (PFS) 0.69 [0.60, 0.79]< 185%16 studies (16/-)100.0 %some concerncritical moderateimportant-
DOR 2.27 [1.44, 3.57]< 10%2 studies (2/-)0.0 %some concernnot evaluable moderatenon important-
objective responses (ORR) 1.67 [1.32, 2.11]> 183%15 studies (15/-)100.0 %some concernlow moderatenon important-
objective responses (ORR) (extension) 2.00 [1.13, 3.54]> 188%5 studies (5/-)99.2 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.71 [0.35, 1.43]< 180%8 studies (8/-)83.4 %some concernserious moderatenon important-
AE (grade 3-4) 0.75 [0.50, 1.14]< 191%8 studies (8/-)91.2 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 1.21 [0.80, 1.82]< 157%8 studies (8/-)18.1 %some concernserious moderatenon important-
AE leading to treatment discontinuation (any grade) 1.23 [0.78, 1.92]< 185%8 studies (8/-)18.8 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (grade 3-4) 1.58 [1.08, 2.31]< 156%5 studies (5/-)0.9 %lownot evaluable highnon important-
SAE (any grade) 1.42 [0.82, 2.44]< 184%3 studies (3/-)10.4 %some concernnot evaluable moderatenon important-
STRAE (any grade) 1.41 [1.01, 1.96]< 181%11 studies (11/-)2.2 %some concernlow moderatenon important-
STRAE (grade 3-4) 1.43 [0.99, 2.06]< 176%9 studies (9/-)2.8 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.57 [0.34, 0.95]< 193%12 studies (12/-)98.4 %some concerncritical moderatenon important-
TRAE (grade 3-4) 0.66 [0.40, 1.07]< 195%12 studies (12/-)95.5 %some concernlow moderatenon important-
TRAE leading to death (grade 5) 1.11 [0.74, 1.67]< 10%11 studies (11/-)30.4 %some concernlow moderatenon important-
TRAE leading to discontinuation (any grade) 1.27 [0.81, 1.98]< 184%10 studies (10/-)14.7 %some concernlow moderatenon important-
TRAE leading to discontinuation (grade 3-4) 1.87 [1.21, 2.88]< 173%10 studies (10/-)0.3 %some concernlow moderatenon important-

TRAE (grade 3-4) endpoints 00

Acute kidney injury TRAE (grade 3-4) 4.32 [0.19, 97.73]< 10%1 study (1/-)18.2 %NAnot evaluable non important-
Adrenal insufficiency TRAE (grade 3-4) 2.57 [0.73, 9.04]< 10%6 studies (6/-)7.0 %some concernnot evaluable moderatenon important-
Alopecia TRAE (grade 3-4) 0.48 [0.11, 2.13]< 10%6 studies (6/-)83.3 %some concernserious moderatenon important-
Anaemia TRAE (grade 3-4) 0.18 [0.08, 0.41]< 190%11 studies (11/-)100.0 %some concerncritical moderatenon important-
Arthralgia TRAE (grade 3-4) 0.98 [0.06, 15.75]< 10%2 studies (2/-)50.5 %some concernnot evaluable moderatenon important-
Asthenia TRAE (grade 3-4) 0.49 [0.27, 0.89]< 118%9 studies (9/-)99.0 %some concernnot evaluable moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 1.00 [0.13, 7.77]< 10%3 studies (3/-)50.1 %some concernnot evaluable moderatenon important-
Colitis TRAE (grade 3-4) 4.54 [1.70, 12.15]< 10%9 studies (9/-)0.1 %some concernnot evaluable moderatenon important-
Constipation TRAE (grade 3-4) 0.64 [0.21, 1.90]< 10%11 studies (11/-)79.0 %some concerncritical moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.82 [0.49, 1.37]< 18%11 studies (11/-)77.3 %some concernlow moderatenon important-
Diabetes TRAE (grade 3-4) 2.04 [0.45, 9.27]< 10%5 studies (5/-)17.9 %some concernserious moderatenon important-
Diarrhoea TRAE (grade 3-4) 1.89 [1.18, 3.04]< 10%13 studies (13/-)0.4 %some concernlow moderatenon important-
Dizziness TRAE (grade 3-4) 1.05 [0.02, 53.86]< 10%1 study (1/-)49.0 %NAnot evaluable non important-
Dysgeusia TRAE (grade 3-4) 1.00 [0.10, 9.69]< 10%3 studies (3/-)49.9 %some concernnot evaluable moderatenon important-
Fatigue TRAE (grade 3-4) 0.98 [0.56, 1.74]< 149%11 studies (11/-)52.3 %some concernlow moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 1.88 [1.04, 3.41]< 10%3 studies (3/-)1.9 %some concernnot evaluable moderatenon important-
Gastrointestinal disorders TRAE (grade 3-4) 1.19 [0.36, 3.94]< 10%1 study (1/-)39.0 %NAnot evaluable non important-
Guillain-Barré syndrome TRAE (grade 3-4) 1.00 [0.02, 50.55]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 5.23 [1.82, 15.02]< 10%7 studies (7/-)0.1 %some concernnot evaluable moderatenon important-
Hyperthyroidism TRAE (grade 3-4) 1.11 [0.34, 3.61]< 10%10 studies (10/-)43.4 %some concerncritical moderatenon important-
Hypophysitis TRAE (grade 3-4) 1.88 [0.40, 8.89]< 10%5 studies (5/-)21.4 %some concernserious moderatenon important-
Hypothyroidism TRAE (grade 3-4) 1.81 [0.68, 4.80]< 10%13 studies (13/-)11.7 %some concerncritical moderatenon important-
Increase AST TRAE (grade 3-4) 1.67 [0.48, 5.82]< 10%4 studies (4/-)21.0 %some concernnot evaluable moderatenon important-
Increased ALT TRAE (grade 3-4) 2.02 [0.97, 4.18]< 10%6 studies (6/-)3.0 %some concernnot evaluable moderatenon important-
Increased lacrimation (TRAE grade 3-4) 1.05 [0.02, 53.86]< 10%1 study (1/-)49.0 %NAnot evaluable non important-
Increased lipase level TRAE (grade 3-4) 7.55 [2.24, 25.47]< 10%1 study (1/-)0.1 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 0.55 [0.15, 2.03]< 10%6 studies (6/-)81.4 %some concernserious moderatenon important-
Leucopenia TRAE (grade 3-4) 0.35 [0.04, 2.78]< 169%4 studies (4/-)83.9 %some concernnot evaluable moderatenon important-
Maculopapular rash TRAE (grade 3-4) 3.26 [0.66, 16.22]< 10%3 studies (3/-)7.5 %some concernnot evaluable moderatenon important-
Mucosal inflammation TRAE (grade 3-4) 0.98 [0.02, 49.83]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Myalgia TRAE (grade 3-4) 1.46 [0.11, 19.02]< 10%2 studies (2/-)38.8 %some concernnot evaluable moderatenon important-
Myocarditis TRAE (grade 3-4) 1.94 [0.06, 57.80]< 10%1 study (1/-)35.4 %NAnot evaluable non important-
Myositis TRAE (grade 3-4) 0.79 [0.08, 7.57]< 10%3 studies (3/-)58.2 %some concernnot evaluable moderatenon important-
Nausea TRAE (grade 3-4) 0.55 [0.25, 1.19]< 139%11 studies (11/-)93.6 %some concerncritical moderatenon important-
Nephritis TRAE (grade 3-4) 1.79 [0.47, 6.87]< 10%7 studies (7/-)19.9 %some concernserious moderatenon important-
Neutropenia TRAE (grade 3-4) 0.14 [0.06, 0.36]< 184%11 studies (11/-)100.0 %some concerncritical moderatenon important-
Pancreatitis TRAE (grade 3-4) 1.73 [0.31, 9.58]< 10%4 studies (4/-)26.5 %some concernnot evaluable moderatenon important-
Pancytopenia TRAE (grade 3-4) 0.52 [0.02, 15.84]< 10%1 study (1/-)64.4 %NAnot evaluable non important-
Peripheral neuropathy TRAE (grade 3-4) 0.98 [0.25, 3.89]< 19%4 studies (4/-)51.1 %some concernnot evaluable moderatenon important-
Peripheral oedema TRAE (grade 3-4) 1.02 [0.06, 16.38]< 10%2 studies (2/-)49.5 %some concernnot evaluable moderatenon important-
Peripheral sensory neuropathy TRAE (grade 3-4) 0.64 [0.01, 29.61]< 178%2 studies (2/-)58.9 %some concernnot evaluable moderatenon important-
Pneumonia TRAE (grade 3-4) 2.12 [0.07, 64.42]< 10%1 study (1/-)33.5 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 2.50 [1.33, 4.70]< 10%10 studies (10/-)0.2 %some concernlow moderatenon important-
Pruritus TRAE (grade 3-4) 1.90 [0.64, 5.69]< 10%10 studies (10/-)12.5 %some concerncritical moderatenon important-
Pyrexia TRAE (grade 3-4) 0.66 [0.05, 8.61]< 10%2 studies (2/-)62.4 %some concernnot evaluable moderatenon important-
Rash TRAE (grade 3-4) 2.22 [1.08, 4.57]< 10%13 studies (13/-)1.6 %some concernlow moderatenon important-
Renal and urinary disorders TRAE (grade 3-4) 1.97 [0.07, 59.09]< 10%1 study (1/-)35.0 %NAnot evaluable non important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 12.07 [0.67, 217.19]< 10%1 study (1/-)4.7 %NAnot evaluable non important-
Sepsis TRAE (grade 3-4) 2.12 [0.07, 64.42]< 10%1 study (1/-)33.5 %NAnot evaluable non important-
Severe skin reaction TRAE (grade 3-4) 2.45 [0.73, 8.21]< 130%5 studies (5/-)7.3 %some concernnot evaluable moderatenon important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 5.00 [0.58, 43.09]< 10%1 study (1/-)7.3 %NAnot evaluable non important-
Stomatitis TRAE (grade 3-4) 0.46 [0.08, 2.53]< 10%4 studies (4/-)81.4 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.21 [0.07, 0.67]< 176%8 studies (8/-)99.6 %some concernserious moderatenon important-
Thyroiditis TRAE (grade 3-4) 0.78 [0.08, 7.49]< 10%3 studies (3/-)58.6 %some concernnot evaluable moderatenon important-
Vomiting TRAE (grade 3-4) 0.46 [0.20, 1.06]< 135%11 studies (11/-)96.5 %some concernlow moderatenon important-

AE (grade 3-4) endpoints 00

hepatitis (Autoimmune) AE (grade 3-4) 5.05 [0.55, 46.09]< 10%2 studies (2/-)7.7 %lownot evaluable highnon important-
Acute kidney injury AE (grade 3-4) 0.24 [0.01, 5.34]< 10%1 study (1/-)81.4 %NAnot evaluable non important-
Alopecia AE (grade 3-4) 0.42 [0.09, 1.95]< 10%4 studies (4/-)86.4 %some concernnot evaluable moderatenon important-
Anaemia AE (grade 3-4) 0.20 [0.08, 0.55]< 192%6 studies (6/-)99.9 %some concernserious moderatenon important-
Arthralgia AE (grade 3-4) 1.52 [0.33, 6.97]< 10%2 studies (2/-)29.6 %lownot evaluable highnon important-
Asthenia AE (grade 3-4) 0.93 [0.61, 1.43]< 10%6 studies (6/-)62.2 %some concernnot evaluable moderatenon important-
Back pain AE (grade 3-4) 0.48 [0.13, 1.77]< 10%3 studies (3/-)86.3 %some concernnot evaluable moderatenon important-
Blood creatinine increased AE (grade 3-4) 0.48 [0.02, 14.38]< 10%1 study (1/-)66.1 %NAnot evaluable non important-
Colitis AE (grade 3-4) 2.04 [0.50, 8.23]< 10%1 study (1/-)16.0 %NAnot evaluable non important-
Constipation AE (grade 3-4) 1.21 [0.48, 3.01]< 10%6 studies (6/-)34.5 %some concernnot evaluable moderatenon important-
Cough AE (grade 3-4) 0.90 [0.25, 3.23]< 10%5 studies (5/-)56.4 %lownot evaluable highnon important-
Decreased appetite AE (grade 3-4) 1.49 [0.78, 2.85]< 10%6 studies (6/-)11.3 %some concernnot evaluable moderatenon important-
Diarrhoea AE (grade 3-4) 1.08 [0.51, 2.29]< 144%6 studies (6/-)42.0 %some concernserious moderatenon important-
Dyspnoea AE (grade 3-4) 1.10 [0.66, 1.84]< 10%6 studies (6/-)35.6 %some concernserious moderatenon important-
Epistaxis AE (grade 3-4) 1.01 [0.02, 50.94]< 10%1 study (1/-)49.9 %NAnot evaluable non important-
Fatigue AE (grade 3-4) 1.10 [0.69, 1.75]< 113%6 studies (6/-)34.9 %some concernnot evaluable moderatenon 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.