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lung cancer : non small cell (NSCLC), anti-PD-(L)1 versus taxanes, 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 [0.70, 0.86]< 134%7 studies (7/-)100.0 %some concernnot evaluable moderatecrucial-
deaths (OS) (extension) 0.53 [0.22, 1.23]< 177%2 studies (2/-)93.0 %some concernnot evaluable moderateimportant-
PFS (extension) 0.69 [0.44, 1.07]< 146%2 studies (2/-)95.2 %some concernnot evaluable moderateimportant-
progression or deaths (PFS) 0.91 [0.80, 1.04]< 166%7 studies (7/-)92.3 %some concernnot evaluable moderateimportant-
objective responses (ORR) 1.64 [1.23, 2.19]> 155%7 studies (7/-)100.0 %some concernnot evaluable moderatenon important-
objective responses (ORR) (extension) 1.63 [0.19, 14.17]> 191%2 studies (2/-)67.1 %some concernnot evaluable moderatenon important-

safety endpoints 00

AE (any grade) 0.50 [0.26, 0.95]< 166%3 studies (3/-)98.2 %some concernnot evaluable moderatenon important-
AE (grade 3-4) 0.50 [0.42, 0.59]< 10%3 studies (3/-)100.0 %some concernnot evaluable moderatenon important-
AE leading to death (grade 5) 0.80 [0.40, 1.57]< 10%2 studies (2/-)74.6 %some concernnot evaluable moderatenon important-
AE leading to treatment discontinuation (any grade) 0.45 [0.24, 0.87]< 166%2 studies (2/-)99.2 %some concernnot evaluable moderatenon important-
SAE (any grade) 1.05 [0.64, 1.73]< 10%1 study (1/-)42.1 %NAnot evaluable non important-
SAE (grade 3-4) 0.34 [0.03, 3.42]< 193%2 studies (2/-)81.8 %some concernnot evaluable moderatenon important-
STRAE (any grade) 0.37 [0.27, 0.52]< 130%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
STRAE (grade 3-4) 0.29 [0.19, 0.45]< 10%2 studies (2/-)100.0 %some concernnot evaluable moderatenon important-
TRAE (any grade) 0.29 [0.24, 0.35]< 10%5 studies (5/-)100.0 %some concernnot evaluable moderatenon important-
TRAE (grade 3-4) 0.14 [0.10, 0.20]< 175%6 studies (6/-)100.0 %some concernnot evaluable moderatenon important-
TRAE leading to death (grade 5) 0.30 [0.13, 0.69]< 10%5 studies (5/-)99.8 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (any grade) 0.35 [0.17, 0.71]< 164%4 studies (4/-)99.8 %some concernnot evaluable moderatenon important-
TRAE leading to discontinuation (grade 3-4) 0.52 [0.16, 1.64]< 144%2 studies (2/-)86.8 %some concernnot evaluable moderatenon important-

TRAE (grade 3-4) endpoints 00

Abdominal pain TRAE (grade 3-4) 0.49 [0.02, 14.75]< 10%1 study (1/-)65.7 %NAnot evaluable non important-
Acute kidney injury TRAE (grade 3-4) 0.74 [0.08, 7.10]< 10%3 studies (3/-)60.3 %some concernnot evaluable moderatenon important-
Adrenal insufficiency TRAE (grade 3-4) 1.86 [0.06, 55.60]< 10%1 study (1/-)36.2 %NAnot evaluable non important-
Alopecia TRAE (grade 3-4) 0.65 [0.10, 4.29]< 10%4 studies (4/-)67.2 %some concernnot evaluable moderatenon important-
Anaemia TRAE (grade 3-4) 0.10 [0.03, 0.34]< 10%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
Arthralgia TRAE (grade 3-4) 0.72 [0.08, 6.15]< 10%3 studies (3/-)61.9 %some concernnot evaluable moderatenon important-
Asthenia TRAE (grade 3-4) 0.10 [0.03, 0.36]< 10%3 studies (3/-)100.0 %some concernnot evaluable moderatenon important-
Blood creatinine increased TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Colitis TRAE (grade 3-4) 1.74 [0.24, 12.56]< 10%3 studies (3/-)29.3 %some concernnot evaluable moderatenon important-
Constipation TRAE (grade 3-4) 0.40 [0.04, 4.62]< 10%2 studies (2/-)76.5 %some concernnot evaluable moderatenon important-
Decreased appetite TRAE (grade 3-4) 0.25 [0.05, 1.16]< 10%4 studies (4/-)96.2 %some concernnot evaluable moderatenon important-
Diabetes TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Diarrhoea TRAE (grade 3-4) 0.38 [0.11, 1.34]< 10%4 studies (4/-)93.4 %some concernnot evaluable moderatenon important-
Dizziness TRAE (grade 3-4) 0.98 [0.02, 50.00]< 10%1 study (1/-)50.3 %NAnot evaluable non important-
Dysgeusia TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Dyspnoea TRAE (grade 3-4) 0.46 [0.04, 5.13]< 10%1 study (1/-)73.3 %NAnot evaluable non important-
Eczema TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Endocrine disorders TRAE (grade 3-4) 0.46 [0.01, 23.40]< 10%1 study (1/-)64.7 %NAnot evaluable non important-
Erythema TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Fatigue TRAE (grade 3-4) 0.18 [0.08, 0.39]< 10%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
Febrile neutropenia TRAE (grade 3-4) 0.02 [0.00, 0.09]< 10%3 studies (3/-)100.0 %some concernnot evaluable moderatenon important-
Gastrointestinal disorders TRAE (grade 3-4) 0.93 [0.03, 27.74]< 10%1 study (1/-)51.8 %NAnot evaluable non important-
Headache TRAE (grade 3-4) 0.46 [0.02, 13.86]< 10%1 study (1/-)66.9 %NAnot evaluable non important-
Hepatobiliary disorders TRAE (grade 3-4) 1.39 [0.14, 13.49]< 10%1 study (1/-)38.8 %NAnot evaluable non important-
Hypersensitivity TRAE (grade 3-4) 0.44 [0.06, 3.38]< 10%3 studies (3/-)78.6 %some concernnot evaluable moderatenon important-
Hypertension TRAE (grade 3-4) 1.86 [0.17, 20.62]< 10%1 study (1/-)30.8 %NAnot evaluable non important-
Hyperthyroidism TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Hypothyroidism TRAE (grade 3-4) 1.00 [0.12, 8.54]< 10%3 studies (3/-)50.1 %some concernnot evaluable moderatenon important-
Increase AST TRAE (grade 3-4) 0.81 [0.09, 6.95]< 10%2 studies (2/-)57.6 %some concernnot evaluable moderatenon important-
Increased ALT TRAE (grade 3-4) 0.91 [0.16, 5.34]< 10%3 studies (3/-)54.1 %some concernnot evaluable moderatenon important-
Increased lacrimation (TRAE grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Increased lipase level TRAE (grade 3-4) 3.74 [0.42, 33.65]< 10%1 study (1/-)12.1 %NAnot evaluable non important-
Infusion-related reactions TRAE (grade 3-4) 1.93 [0.34, 10.91]< 17%3 studies (3/-)22.9 %some concernnot evaluable moderatenon important-
Leucopenia TRAE (grade 3-4) 0.05 [0.01, 0.16]< 10%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
Maculopapular rash TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Mucosal inflammation TRAE (grade 3-4) 0.17 [0.03, 1.05]< 10%3 studies (3/-)97.1 %some concernnot evaluable moderatenon important-
Myalgia TRAE (grade 3-4) 0.55 [0.08, 3.90]< 10%3 studies (3/-)72.3 %some concernnot evaluable moderatenon important-
Myocarditis TRAE (grade 3-4) 0.93 [0.02, 46.93]< 10%1 study (1/-)51.4 %NAnot evaluable non important-
Nausea TRAE (grade 3-4) 0.46 [0.11, 1.95]< 10%3 studies (3/-)85.5 %some concernnot evaluable moderatenon important-
Neutropenia TRAE (grade 3-4) 0.02 [0.01, 0.05]< 10%4 studies (4/-)100.0 %some concernnot evaluable moderatenon important-
Palmar-plantar erythrodysaesthesia syndrome TRAE (grade 3-4) 0.63 [0.05, 8.17]< 10%2 studies (2/-)63.9 %some concernnot evaluable moderatenon important-
Paraesthesia TRAE (grade 3-4) 0.96 [0.06, 15.39]< 10%2 studies (2/-)51.2 %some concernnot evaluable moderatenon important-
Peripheral neuropathy TRAE (grade 3-4) 0.16 [0.03, 0.88]< 10%3 studies (3/-)98.2 %some concernnot evaluable moderatenon important-
Peripheral oedema TRAE (grade 3-4) 0.35 [0.05, 2.46]< 10%3 studies (3/-)85.3 %some concernnot evaluable moderatenon important-
Peripheral sensory neuropathy TRAE (grade 3-4) 0.46 [0.02, 13.86]< 10%1 study (1/-)66.9 %NAnot evaluable non important-
Pneumonia TRAE (grade 3-4) 0.09 [0.00, 1.68]< 10%1 study (1/-)94.4 %NAnot evaluable non important-
Pneumonitis TRAE (grade 3-4) 2.82 [0.77, 10.37]< 10%4 studies (4/-)6.0 %some concernnot evaluable moderatenon important-
Pruritic rash TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Pruritus generalised TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Pruritus TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Pyrexia TRAE (grade 3-4) 0.72 [0.08, 6.19]< 10%3 studies (3/-)61.7 %some concernnot evaluable moderatenon important-
Rash TRAE (grade 3-4) 1.08 [0.17, 6.66]< 10%3 studies (3/-)46.9 %some concernnot evaluable moderatenon important-
Renal and urinary disorders TRAE (grade 3-4) 0.46 [0.01, 23.40]< 10%1 study (1/-)64.7 %NAnot evaluable non important-
Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) 6.60 [0.37, 116.99]< 10%1 study (1/-)10.2 %NAnot evaluable non important-
Sepsis TRAE (grade 3-4) 0.23 [0.01, 5.14]< 10%1 study (1/-)82.0 %NAnot evaluable non important-
Skin and subcutaneous tissue disorders TRAE (grade 3-4) 2.79 [0.14, 56.11]< 10%1 study (1/-)25.4 %NAnot evaluable non important-
Skin exfoliation TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Stomatitis TRAE (grade 3-4) 0.19 [0.02, 1.62]< 10%2 studies (2/-)93.5 %some concernnot evaluable moderatenon important-
Thyroiditis TRAE (grade 3-4) 0.66 [0.04, 10.53]< 10%2 studies (2/-)61.6 %some concernnot evaluable moderatenon important-
Urticaria TRAE (grade 3-4) 0.93 [0.02, 47.22]< 10%1 study (1/-)51.3 %NAnot evaluable non important-
Vitiligo TRAE (grade 3-4) 0.46 [0.01, 23.40]< 10%1 study (1/-)64.7 %NAnot evaluable non important-
Vomiting TRAE (grade 3-4) 0.35 [0.05, 2.48]< 10%3 studies (3/-)85.2 %some concernnot evaluable moderatenon important-
Weight decreased TRAE (grade 3-4) 0.93 [0.06, 14.90]< 10%1 study (1/-)52.1 %NAnot evaluable non important-

AE (grade 3-4) endpoints 00

Abdominal pain AE (grade 3-4) 0.15 [0.01, 3.09]< 10%1 study (1/-)88.6 %NAnot evaluable non important-
Alopecia AE (grade 3-4) 0.63 [0.05, 8.27]< 10%2 studies (2/-)63.5 %some concernnot evaluable moderatenon important-
Anaemia AE (grade 3-4) 0.39 [0.22, 0.67]< 10%2 studies (2/-)100.0 %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.