patient subgroup...
ECOG 0 ECOG 1 Hemoglobin concentration < 10g/dl hemoglobin concentration > 10g/dl metastasis (liver ) metastasis (lymph node ) smoker (Current) smoker (Former) smoker (never)
Top evidence (RCT only, high risk of bias excluded)
Best available evidence (possibly low or very low)
All RCTs
All studies (RCT+OBS)
mUC - L2 - PDL1 positive, atezolizumab based treatment 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 [0.72, 1.06]< 1 0% 1 study (1/-) 91.9 % NA not evaluable crucial - progression or deaths (PFS) 0.86 [0.53, 1.39]< 1 0% 1 study (1/-) 73.6 % NA not evaluable important - DOR 0.20 [0.08, 0.50]< 1 0% 1 study (1/-) 100.0 % NA not evaluable non important - objective responses (ORR) 0.95 [0.61, 1.49]> 1 0% 1 study (1/-) 41.0 % NA not evaluable non important - safety endpoints 00 AE (any grade) 0.67 [0.11, 4.10]< 1 0% 1 study (1/-) 66.6 % NA not evaluable non important - AE (grade 3-4) 1.38 [0.81, 2.33]< 1 0% 1 study (1/-) 11.7 % NA not evaluable non important - AE leading to death (grade 5) 0.73 [0.16, 3.34]< 1 0% 1 study (1/-) 65.7 % NA not evaluable non important - AE leading to treatment discontinuation (any grade) 0.44 [0.20, 0.99]< 1 0% 1 study (1/-) 97.6 % NA not evaluable non important - SAE (any grade) 1.79 [1.05, 3.05]< 1 0% 1 study (1/-) 1.6 % NA not evaluable non important - STRAE (any grade) 0.92 [0.48, 1.80]< 1 0% 1 study (1/-) 59.2 % NA not evaluable non important - TRAE (any grade) 0.38 [0.19, 0.79]< 1 0% 1 study (1/-) 99.6 % NA not evaluable non important - TRAE (grade 3-4) 0.55 [0.31, 0.99]< 1 0% 1 study (1/-) 97.6 % NA not evaluable non important - TRAE leading to death (grade 5) 0.98 [0.14, 7.10]< 1 0% 1 study (1/-) 50.7 % NA not evaluable non important - TRAE leading to discontinuation (any grade) 0.37 [0.15, 0.92]< 1 0% 1 study (1/-) 98.4 % NA not evaluable non important - TRAE (grade 3-4) endpoints 00 Anaemia TRAE (grade 3-4) 0.98 [0.19, 4.97]< 1 0% 1 study (1/-) 50.9 % NA not evaluable non important - Asthenia TRAE (grade 3-4) 0.49 [0.04, 5.45]< 1 0% 1 study (1/-) 71.9 % NA not evaluable non important - Constipation TRAE (grade 3-4) 0.12 [0.01, 2.28]< 1 0% 1 study (1/-) 91.9 % NA not evaluable non important - Fatigue TRAE (grade 3-4) 2.00 [0.36, 11.15]< 1 0% 1 study (1/-) 21.5 % NA not evaluable non important - Febrile neutropenia TRAE (grade 3-4) 0.09 [0.01, 1.75]< 1 0% 1 study (1/-) 94.2 % NA not evaluable non important - Neutropenia TRAE (grade 3-4) 0.20 [0.04, 0.97]< 1 0% 1 study (1/-) 97.7 % NA not evaluable non important - Peripheral neuropathy TRAE (grade 3-4) 0.32 [0.03, 3.14]< 1 0% 1 study (1/-) 83.4 % NA not 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.