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mML - 1st line (L1), immune chekpoint inhibitors versus Standard of Care (SoC), 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 [0.76, 1.00]< 10%2 studies (2/-)97.2 %some concernnot evaluable moderatecrucial-
progression or deaths (PFS) 0.78 [0.63, 0.97]< 10%1 study (1/-)98.8 %NAnot evaluable important-
objective responses (ORR) 1.17 [0.87, 1.57]> 10%2 studies (2/-)85.5 %lownot evaluable highnon important-

safety endpoints 00

AE (any grade) 2.22 [1.12, 4.38]< 10%1 study (1/-)1.1 %NAnot evaluable non important-
AE (grade 3-4) 1.84 [1.35, 2.52]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
AE leading to death (grade 5) 1.55 [0.86, 2.78]< 10%2 studies (2/-)7.3 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 7.09 [0.06, 791.12]< 191%2 studies (2/-)21.4 %lownot evaluable highnon important-
SAE (any grade) 3.19 [2.19, 4.65]< 10%1 study (1/-)0.0 %NAnot evaluable non important-
STRAE (any grade) 1.24 [0.85, 1.81]< 10%1 study (1/-)12.9 %NAnot evaluable non important-
TRAE (any grade) 0.82 [0.11, 5.85]< 10%1 study (1/-)57.9 %NAnot evaluable non important-
TRAE (grade 3-4) 1.41 [0.93, 2.12]< 10%1 study (1/-)5.3 %NAnot evaluable non important-
TRAE leading to death (grade 5) 7.00 [0.86, 57.23]< 10%1 study (1/-)3.6 %NAnot evaluable non important-

TRAE (grade 3-4) endpoints 00

Adrenal insufficiency TRAE (grade 3-4) 5.93 [0.30, 118.96]< 10%1 study (1/-)12.5 %NAnot evaluable non important-
Arthralgia TRAE (grade 3-4) 1.44 [0.48, 4.34]< 10%1 study (1/-)26.0 %NAnot evaluable non important-
Asthenia TRAE (grade 3-4) 2.47 [0.45, 13.60]< 10%1 study (1/-)15.1 %NAnot evaluable non important-
Blood creatinine increased TRAE (grade 3-4) 0.61 [0.02, 18.27]< 10%1 study (1/-)61.1 %NAnot evaluable non important-
Chorioretinopathy TRAE (grade 3-4) 0.61 [0.02, 18.27]< 10%1 study (1/-)61.1 %NAnot evaluable non important-
Decreased appetite TRAE (grade 3-4) 0.30 [0.01, 6.77]< 10%1 study (1/-)77.1 %NAnot evaluable non important-
Diarrhoea TRAE (grade 3-4) 0.53 [0.16, 1.76]< 10%1 study (1/-)84.8 %NAnot evaluable non important-
Dry skin TRAE (grade 3-4) 4.92 [0.22, 109.67]< 10%1 study (1/-)16.0 %NAnot evaluable non important-
Erythema TRAE (grade 3-4) 7.41 [0.37, 148.78]< 10%1 study (1/-)9.8 %NAnot evaluable non important-
Eye disorders TRAE (grade 3-4) 0.98 [0.02, 49.62]< 10%1 study (1/-)50.4 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 3.70 [0.38, 35.82]< 10%1 study (1/-)13.1 %NAnot evaluable non important-
Hepatitis TRAE (grade 3-4) 3.94 [0.18, 87.81]< 10%1 study (1/-)19.6 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 4.92 [0.22, 109.67]< 10%1 study (1/-)16.0 %NAnot evaluable non important-
Increased lipase level TRAE (grade 3-4) 0.99 [0.64, 1.52]< 10%1 study (1/-)52.3 %NAnot evaluable non important-
Maculopapular rash TRAE (grade 3-4) 1.36 [0.78, 2.37]< 10%1 study (1/-)14.1 %NAnot evaluable non important-
Myalgia TRAE (grade 3-4) 2.46 [0.22, 27.26]< 10%1 study (1/-)23.4 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 0.17 [0.02, 1.40]< 10%1 study (1/-)94.9 %NAnot evaluable non important-
Pancreatitis TRAE (grade 3-4) 5.93 [0.30, 118.96]< 10%1 study (1/-)12.5 %NAnot evaluable non important-
Peripheral oedema TRAE (grade 3-4) 1.22 [0.02, 61.84]< 10%1 study (1/-)46.1 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 4.92 [0.22, 109.67]< 10%1 study (1/-)16.0 %NAnot evaluable non important-
Pruritus TRAE (grade 3-4) 2.46 [0.22, 27.26]< 10%1 study (1/-)23.4 %NAnot evaluable non important-
Pyrexia TRAE (grade 3-4) 1.22 [0.24, 6.13]< 10%1 study (1/-)40.3 %NAnot evaluable non important-
Rash TRAE (grade 3-4) 0.98 [0.53, 1.81]< 10%1 study (1/-)53.2 %NAnot evaluable non important-
Vomiting TRAE (grade 3-4) 0.48 [0.09, 2.52]< 10%1 study (1/-)80.5 %NAnot evaluable non important-

AE (grade 3-4) endpoints 00

Abdominal pain AE (grade 3-4) 4.04 [1.13, 14.45]< 10%1 study (1/-)1.6 %NAnot evaluable non important-
Asthenia AE (grade 3-4) 0.10 [0.01, 1.78]< 10%1 study (1/-)94.0 %NAnot evaluable non important-
Constipation AE (grade 3-4) 0.98 [0.14, 7.01]< 10%1 study (1/-)50.7 %NAnot evaluable non important-
Cough AE (grade 3-4) 1.97 [0.07, 58.81]< 10%1 study (1/-)35.0 %NAnot evaluable non important-
Decreased appetite AE (grade 3-4) 14.32 [1.87, 109.52]< 10%1 study (1/-)0.5 %NAnot evaluable non important-
Dyspnoea AE (grade 3-4) 4.00 [0.84, 18.98]< 10%1 study (1/-)4.1 %NAnot evaluable non important-
Fatigue AE (grade 3-4) 3.90 [1.44, 10.57]< 10%1 study (1/-)0.4 %NAnot evaluable non important-
Headache AE (grade 3-4) 1.97 [0.18, 21.82]< 10%1 study (1/-)29.2 %NAnot evaluable non important-
Hypothyroidism AE (grade 3-4) 1.22 [0.02, 61.84]< 10%1 study (1/-)46.1 %NAnot evaluable non important-
Nausea AE (grade 3-4) 1.39 [0.61, 3.18]< 10%1 study (1/-)21.7 %NAnot evaluable non important-
Neutropenia AE (grade 3-4) 0.03 [0.00, 0.19]< 10%1 study (1/-)100.0 %NAnot evaluable non important-
Peripheral oedema AE (grade 3-4) 4.97 [0.58, 42.77]< 10%1 study (1/-)7.3 %NAnot evaluable non important-
Pruritus AE (grade 3-4) 5.93 [0.30, 118.96]< 10%1 study (1/-)12.5 %NAnot evaluable non important-
Pyrexia AE (grade 3-4) 7.94 [0.42, 150.76]< 10%1 study (1/-)8.6 %NAnot evaluable non important-
Rash AE (grade 3-4) 7.00 [0.86, 57.23]< 10%1 study (1/-)3.6 %NAnot evaluable non important-
Thrombocytopenia AE (grade 3-4) 0.03 [0.00, 0.26]< 10%1 study (1/-)99.9 %NAnot evaluable non important-
Vomiting AE (grade 3-4) 1.55 [0.66, 3.64]< 10%1 study (1/-)15.7 %NAnot evaluable non important-
Weight decreased AE (grade 3-4) 0.98 [0.06, 15.76]< 10%1 study (1/-)50.5 %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.