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lung cancer : non small cell (NSCLC), 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) 0.76 [0.67, 0.85]< 170%13 studies (13/-)100.0 %some concerncritical moderatecrucial-
deaths (OS) (extension) 0.68 [0.59, 0.79]< 160%5 studies (5/-)100.0 %some concernnot evaluable moderateimportant-
PFS (extension) 0.66 [0.48, 0.91]< 194%5 studies (5/-)99.5 %some concernserious moderateimportant-
progression or deaths (PFS) 0.70 [0.58, 0.84]< 188%12 studies (12/-)100.0 %some concernlow moderateimportant-
objective responses (ORR) 1.71 [1.25, 2.34]> 186%12 studies (12/-)100.0 %some concernlow moderatenon important-
objective responses (ORR) (extension) 1.87 [0.98, 3.57]> 190%4 studies (4/-)97.1 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.52 [0.30, 0.90]< 167%9 studies (9/-)99.0 %some concernserious moderatenon important-
AE (grade 3-4) 0.65 [0.44, 0.96]< 189%9 studies (9/-)98.6 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 1.16 [0.81, 1.66]< 137%9 studies (9/-)20.4 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 1.07 [0.70, 1.63]< 180%9 studies (9/-)37.8 %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) 1.28 [0.96, 1.69]< 122%4 studies (4/-)4.4 %some concernnot evaluable moderatenon important-
STRAE (any grade) 0.99 [0.65, 1.49]< 180%7 studies (7/-)52.7 %some concernnot evaluable moderatenon important-
STRAE (grade 3-4) 1.04 [0.64, 1.67]< 180%5 studies (5/-)44.2 %some concernserious moderatenon important-
TRAE (any grade) 0.31 [0.21, 0.47]< 186%9 studies (9/-)100.0 %some concernnot evaluable moderatenon important-
TRAE (grade 3-4) 0.36 [0.22, 0.57]< 193%9 studies (9/-)100.0 %some concernnot evaluable moderatenon important-
TRAE leading to death (grade 5) 1.07 [0.67, 1.69]< 10%9 studies (9/-)39.3 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (any grade) 1.11 [0.71, 1.73]< 177%8 studies (8/-)32.5 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (grade 3-4) 1.62 [1.01, 2.61]< 170%6 studies (6/-)2.3 %some concernnot evaluable moderatenon important-

TRAE (grade 3-4) endpoints 00

Acute kidney injury TRAE (grade 3-4) 1.61 [0.14, 17.97]< 10%2 studies (2/-)35.0 %some concernnot evaluable moderatenon important-
Adrenal insufficiency TRAE (grade 3-4) 2.37 [0.73, 7.72]< 10%7 studies (7/-)7.6 %some concernnot evaluable moderatenon important-
Alopecia TRAE (grade 3-4) 0.35 [0.06, 2.07]< 10%4 studies (4/-)87.6 %some concernnot evaluable moderatenon important-
Anaemia TRAE (grade 3-4) 0.06 [0.02, 0.19]< 176%8 studies (8/-)100.0 %some concernserious moderatenon important-
Arthralgia TRAE (grade 3-4) 0.97 [0.02, 48.81]< 10%1 study (1/-)50.7 %NAnot evaluable non important-
Asthenia TRAE (grade 3-4) 0.25 [0.12, 0.52]< 10%7 studies (7/-)100.0 %some concernnot evaluable moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 0.98 [0.09, 10.85]< 10%2 studies (2/-)50.7 %some concernnot evaluable moderatenon important-
Colitis TRAE (grade 3-4) 3.96 [1.54, 10.21]< 10%10 studies (10/-)0.2 %some concernlow moderatenon important-
Constipation TRAE (grade 3-4) 0.69 [0.17, 2.76]< 10%7 studies (7/-)70.1 %some concernserious moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.56 [0.31, 1.03]< 10%8 studies (8/-)96.9 %some concernnot evaluable moderatenon important-
Dermatitis acneiform TRAE (grade 3-4) 0.50 [0.02, 15.30]< 10%1 study (1/-)65.1 %NAnot evaluable non important-
Diabetes TRAE (grade 3-4) 1.40 [0.24, 8.12]< 10%4 studies (4/-)35.3 %some concernnot evaluable moderatenon important-
Diarrhoea TRAE (grade 3-4) 2.24 [1.19, 4.20]< 13%10 studies (10/-)0.6 %some concernlow moderatenon important-
Dysgeusia TRAE (grade 3-4) 0.98 [0.06, 15.72]< 10%2 studies (2/-)50.6 %some concernnot evaluable moderatenon important-
Dyspepsia TRAE (grade 3-4) 0.50 [0.02, 15.30]< 10%1 study (1/-)65.1 %NAnot evaluable non important-
Dyspnoea TRAE (grade 3-4) 2.56 [0.11, 57.33]< 10%1 study (1/-)27.9 %NAnot evaluable non important-
Fatigue TRAE (grade 3-4) 0.65 [0.35, 1.22]< 136%8 studies (8/-)90.9 %some concernnot evaluable moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 0.46 [0.03, 7.18]< 171%2 studies (2/-)70.7 %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-
Hepatitis TRAE (grade 3-4) 4.95 [1.86, 13.14]< 10%8 studies (8/-)0.1 %some concernnot evaluable moderatenon important-
Hypersensitivity TRAE (grade 3-4) 1.27 [0.04, 38.28]< 10%1 study (1/-)44.5 %NAnot evaluable non important-
Hypertension TRAE (grade 3-4) 1.27 [0.11, 14.23]< 10%1 study (1/-)42.2 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 0.97 [0.29, 3.23]< 10%10 studies (10/-)51.8 %some concerncritical moderatenon important-
Hypophysitis TRAE (grade 3-4) 1.76 [0.43, 7.22]< 10%6 studies (6/-)21.8 %some concernserious moderatenon important-
Hypothyroidism TRAE (grade 3-4) 1.59 [0.57, 4.43]< 10%12 studies (12/-)19.0 %some concerncritical moderatenon important-
Increase AST TRAE (grade 3-4) 1.66 [0.45, 6.18]< 10%4 studies (4/-)22.5 %some concernnot evaluable moderatenon important-
Increased ALT TRAE (grade 3-4) 1.95 [0.94, 4.04]< 10%6 studies (6/-)3.7 %some concernnot evaluable moderatenon important-
Increased lipase level TRAE (grade 3-4) 5.43 [1.81, 16.31]< 10%3 studies (3/-)0.1 %some concernnot evaluable moderatenon important-
Infusion-related reactions TRAE (grade 3-4) 0.46 [0.12, 1.73]< 10%6 studies (6/-)87.5 %some concernserious moderatenon important-
Leucopenia TRAE (grade 3-4) 0.08 [0.02, 0.34]< 10%4 studies (4/-)100.0 %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) 1.94 [0.06, 57.80]< 10%1 study (1/-)35.4 %NAnot evaluable non 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) 0.68 [0.07, 6.51]< 10%3 studies (3/-)63.2 %some concernnot evaluable moderatenon important-
Nausea TRAE (grade 3-4) 0.31 [0.12, 0.77]< 112%8 studies (8/-)99.4 %some concernserious moderatenon important-
Nephritis TRAE (grade 3-4) 1.93 [0.46, 8.10]< 10%6 studies (6/-)18.4 %some concernserious moderatenon important-
Neutropenia TRAE (grade 3-4) 0.04 [0.01, 0.22]< 182%8 studies (8/-)100.0 %some concernserious moderatenon important-
Pancreatitis TRAE (grade 3-4) 1.87 [0.35, 9.94]< 10%4 studies (4/-)23.2 %some concernnot evaluable moderatenon important-
Peripheral neuropathy TRAE (grade 3-4) 0.44 [0.06, 3.02]< 10%3 studies (3/-)79.7 %some concernnot evaluable moderatenon important-
Peripheral oedema TRAE (grade 3-4) 1.14 [0.09, 14.91]< 10%2 studies (2/-)46.0 %some concernnot evaluable moderatenon important-
Peripheral sensory neuropathy TRAE (grade 3-4) 0.08 [0.00, 1.43]< 10%1 study (1/-)95.5 %NAnot evaluable non important-
Pneumonia TRAE (grade 3-4) 0.87 [0.09, 8.46]< 10%2 studies (2/-)54.8 %some concernnot evaluable moderatenon important-
Pneumonitis TRAE (grade 3-4) 2.85 [1.42, 5.71]< 11%10 studies (10/-)0.2 %some concernlow moderatenon important-
Pruritic rash TRAE (grade 3-4) 1.27 [0.04, 38.28]< 10%1 study (1/-)44.5 %NAnot evaluable non important-
Pruritus TRAE (grade 3-4) 1.41 [0.37, 5.37]< 10%7 studies (7/-)30.6 %some concernserious moderatenon important-
Pyrexia TRAE (grade 3-4) 0.50 [0.06, 3.92]< 10%3 studies (3/-)74.2 %some concernnot evaluable moderatenon important-
Rash TRAE (grade 3-4) 1.36 [0.62, 2.97]< 10%10 studies (10/-)22.2 %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-
Severe skin reaction TRAE (grade 3-4) 3.88 [0.61, 24.61]< 162%3 studies (3/-)7.6 %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) 0.74 [0.16, 3.42]< 10%5 studies (5/-)65.0 %some concernnot evaluable moderatenon important-
Thrombocytopenia TRAE (grade 3-4) 0.10 [0.02, 0.43]< 170%7 studies (7/-)99.9 %some concernserious moderatenon important-
Thyroiditis TRAE (grade 3-4) 0.74 [0.10, 5.26]< 10%4 studies (4/-)61.8 %some concernnot evaluable moderatenon important-
Vomiting TRAE (grade 3-4) 0.36 [0.13, 1.01]< 119%7 studies (7/-)97.4 %some concernserious moderatenon important-
Weight decreased TRAE (grade 3-4) 1.27 [0.04, 38.28]< 10%1 study (1/-)44.5 %NAnot evaluable non 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-

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.