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mML - NA - all population, immune chekpoint inhibitors versus 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) 0.87 [0.66, 1.14]< 10%1 study (1/-)84.1 %NAnot evaluable crucial-
MFS 0.73 [0.56, 0.96]< 10%1 study (1/-)98.8 %NAnot evaluable important-
RFS (extension) 0.71 [0.59, 0.85]< 10%1 study (1/-)100.0 %NAnot evaluable important-
RFS/DFS 0.57 [0.37, 0.87]< 141%2 studies (2/-)99.5 %lownot evaluable highimportant-

safety endpoints 00

AE (any grade) 0.49 [0.20, 1.23]< 10%1 study (1/-)93.6 %NAnot evaluable non important-
AE (grade 3-4) 0.28 [0.21, 0.37]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
AE leading to death (grade 5) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
AE leading to treatment discontinuation (any grade) 1.25 [0.02, 89.58]< 199%2 studies (2/-)46.0 %lownot evaluable highnon important-
AE leading to treatment discontinuation (grade 3-4) 1.09 [0.01, 103.30]< 198%2 studies (2/-)48.6 %lownot evaluable highnon important-
SAE (any grade) 3.69 [1.68, 8.08]< 10%1 study (1/-)0.1 %NAnot evaluable non important-
SAE (grade 3-4) 3.48 [1.58, 7.66]< 10%1 study (1/-)0.1 %NAnot evaluable non important-
STRAE (any grade) 5.69 [2.43, 13.31]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
STRAE (grade 3-4) 4.68 [1.93, 11.38]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
TRAE (any grade) 1.03 [0.05, 19.37]< 192%2 studies (2/-)49.3 %lownot evaluable highnon important-
TRAE (grade 3-4) 1.12 [0.04, 35.26]< 198%2 studies (2/-)47.4 %lownot evaluable highnon important-
TRAE leading to death (grade 5) 0.43 [0.04, 4.89]< 10%2 studies (2/-)75.1 %lownot evaluable highnon important-
TRAE leading to discontinuation (any grade) 1.13 [0.01, 99.47]< 199%2 studies (2/-)48.0 %lownot evaluable highnon important-
TRAE leading to discontinuation (grade 3-4) 0.96 [0.01, 116.35]< 198%2 studies (2/-)50.6 %lownot evaluable highnon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.68 [0.05, 8.88]< 10%2 studies (2/-)61.6 %lownot evaluable highnon important-
Acute kidney injury TRAE (grade 3-4) 2.06 [0.07, 62.55]< 10%1 study (1/-)34.2 %NAnot evaluable non important-
Adrenal insufficiency TRAE (grade 3-4) 0.66 [0.14, 3.03]< 10%2 studies (2/-)70.2 %lownot evaluable highnon important-
Alopecia TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Anaemia TRAE (grade 3-4) 2.06 [0.07, 62.55]< 10%1 study (1/-)34.2 %NAnot evaluable non important-
Arthralgia TRAE (grade 3-4) 0.38 [0.06, 2.59]< 10%2 studies (2/-)83.6 %lownot evaluable highnon important-
Asthenia TRAE (grade 3-4) 0.25 [0.03, 2.24]< 10%1 study (1/-)89.1 %NAnot evaluable non important-
Blood and lymphatic system disorders TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Chills TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Colitis TRAE (grade 3-4) 6.40 [0.31, 130.93]< 10%1 study (1/-)11.7 %NAnot evaluable non important-
Cough TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Decreased appetite TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Diabetes TRAE (grade 3-4) 1.01 [0.09, 11.23]< 10%2 studies (2/-)49.7 %lownot evaluable highnon important-
Diarrhoea TRAE (grade 3-4) 0.24 [0.05, 1.21]< 140%2 studies (2/-)95.8 %lownot evaluable highnon important-
Dizziness TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Dry skin TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Dysgeusia TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Dyspepsia TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Dyspnoea TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Ear and labyrinth disorders TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Endocrine disorders TRAE (grade 3-4) 5.50 [0.62, 48.70]< 10%1 study (1/-)6.4 %NAnot evaluable non important-
Eye disorders TRAE (grade 3-4) 2.06 [0.07, 62.55]< 10%1 study (1/-)34.2 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 0.56 [0.12, 2.66]< 10%2 studies (2/-)76.7 %lownot evaluable highnon important-
Gastritis TRAE (grade 3-4) 4.19 [0.18, 95.03]< 10%1 study (1/-)18.7 %NAnot evaluable non important-
Gastrointestinal disorders TRAE (grade 3-4) 0.87 [0.01, 73.10]< 194%2 studies (2/-)52.5 %lownot evaluable highnon important-
General disorders and administration site conditions TRAE (grade 3-4) 4.19 [0.18, 95.03]< 10%1 study (1/-)18.7 %NAnot evaluable non important-
Headache TRAE (grade 3-4) 0.22 [0.03, 1.39]< 10%2 studies (2/-)94.5 %lownot evaluable highnon important-
Hepatitis TRAE (grade 3-4) 3.31 [0.64, 17.15]< 10%1 study (1/-)7.8 %NAnot evaluable non important-
Hepatobiliary disorders TRAE (grade 3-4) 1.00 [0.02, 46.61]< 195%2 studies (2/-)50.1 %lownot evaluable highnon important-
Hypersensitivity TRAE (grade 3-4) 2.01 [0.07, 59.97]< 10%1 study (1/-)34.6 %NAnot evaluable non important-
Hypertension TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 2.34 [0.30, 18.08]< 10%2 studies (2/-)20.8 %lownot evaluable highnon important-
Hypophysitis TRAE (grade 3-4) 0.21 [0.05, 0.84]< 10%2 studies (2/-)98.6 %lownot evaluable highnon important-
Hypothyroidism TRAE (grade 3-4) 0.61 [0.08, 4.72]< 10%2 studies (2/-)68.3 %lownot evaluable highnon important-
Increase AST TRAE (grade 3-4) 0.56 [0.02, 15.43]< 191%2 studies (2/-)63.3 %lownot evaluable highnon important-
Increased ALT TRAE (grade 3-4) 0.97 [0.03, 27.01]< 194%2 studies (2/-)50.7 %lownot evaluable highnon important-
Increased lipase level TRAE (grade 3-4) 3.01 [0.75, 12.00]< 10%1 study (1/-)6.0 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Leucopenia TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Maculopapular rash TRAE (grade 3-4) 0.30 [0.01, 10.24]< 161%2 studies (2/-)74.7 %lownot evaluable highnon important-
Metabolism and nutrition disorders TRAE (grade 3-4) 1.02 [0.06, 16.70]< 10%1 study (1/-)49.5 %NAnot evaluable non important-
Musculoskeletal and connective tissue disorders TRAE (grade 3-4) 0.16 [0.01, 3.31]< 10%1 study (1/-)87.9 %NAnot evaluable non important-
Myalgia TRAE (grade 3-4) 0.50 [0.02, 15.35]< 10%1 study (1/-)65.1 %NAnot evaluable non important-
Myositis TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 1.50 [0.11, 19.67]< 10%2 studies (2/-)37.9 %lownot evaluable highnon important-
Nervous system disorders TRAE (grade 3-4) 0.50 [0.04, 5.68]< 10%1 study (1/-)71.0 %NAnot evaluable non important-
Neutropenia TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Palmar-plantar erythrodysaesthesia syndrome TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Pancreatitis TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Paraesthesia TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Peripheral neuropathy TRAE (grade 3-4) 2.06 [0.07, 62.55]< 10%1 study (1/-)34.2 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Pruritus TRAE (grade 3-4) 0.23 [0.02, 2.35]< 10%2 studies (2/-)89.2 %lownot evaluable highnon important-
Pyrexia TRAE (grade 3-4) 1.02 [0.06, 16.12]< 137%2 studies (2/-)49.5 %lownot evaluable highnon important-
Rash TRAE (grade 3-4) 0.35 [0.13, 0.98]< 10%1 study (1/-)97.7 %NAnot evaluable non important-
Renal and urinary disorders TRAE (grade 3-4) 1.00 [0.02, 50.62]< 10%1 study (1/-)50.0 %NAnot evaluable non important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 0.26 [0.03, 2.79]< 10%2 studies (2/-)86.4 %lownot evaluable highnon important-
Sarcoidosis TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 0.62 [0.04, 10.18]< 181%2 studies (2/-)63.1 %lownot evaluable highnon important-
Stomatitis TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Thrombocytopenia TRAE (grade 3-4) 2.06 [0.07, 62.55]< 10%1 study (1/-)34.2 %NAnot evaluable non important-
Thyroiditis TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Uveitis TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Vitiligo TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Vomiting TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %NAnot evaluable non important-
Weight decreased TRAE (grade 3-4) 1.02 [0.02, 52.25]< 10%1 study (1/-)49.6 %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.