studies

lung cancer : non small cell (NSCLC), durvalumab based treatment vs. chemotherapy, meta-analysis of study results

OutcomeTE95% CInkI2ROBPub. bias deaths (OS)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.63 [0.42; 0.94] MYSTIC (D ; all population), 2020 0.96 [0.81; 1.13] MYSTIC (D ; PDL1>25%), 2020 0.76 [0.56; 1.03] 0.81[0.64; 1.03]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 2020357%1,197moderatenot evaluable progression or deaths (PFS)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.71 [0.49; 1.03] MYSTIC (D ; PDL1>25%), 2020 0.87 [0.59; 1.29] 0.78[0.60; 1.03]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; PDL1>25%), 202020%451moderatenot evaluable objective responses (ORR)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 3.87 [1.55; 9.69] MYSTIC (D ; PDL1>25%), 2020 0.91 [0.58; 1.43] 1.77[0.43; 7.29]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; PDL1>25%), 2020287%451moderatenot evaluable AE (any grade)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.24 [0.01; 5.43] MYSTIC (D ; all population), 2020 0.59 [0.31; 1.13] MYSTIC (D ; PDL1>25%), 2020 0.42 [0.14; 1.22] 0.52[0.30; 0.90]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 202030%1,160moderatenot evaluable AE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.36 [0.18; 0.75] MYSTIC (D ; all population), 2020 0.81 [0.60; 1.10] MYSTIC (D ; PDL1>25%), 2020 0.91 [0.58; 1.41] 0.71[0.47; 1.08]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 2020358%1,160moderatenot evaluable AE leading to death (grade 5)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 3.27 [0.63; 16.86] MYSTIC (D ; all population), 2020 0.82 [0.38; 1.75] MYSTIC (D ; PDL1>25%), 2020 0.75 [0.20; 2.86] 1.02[0.50; 2.09]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 2020318%1,160moderatenot evaluable AE leading to treatment discontinuation (any grade)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.63 [0.24; 1.67] MYSTIC (D ; all population), 2020 0.72 [0.47; 1.12] MYSTIC (D ; PDL1>25%), 2020 0.75 [0.38; 1.46] 0.72[0.51; 1.01]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 202030%1,160moderatenot evaluable AE leading to treatment discontinuation (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 1.10 [0.64; 1.89] 1.10[0.64; 1.89]MYSTIC (D ; all population), 202010%721NAnot evaluable SAE (any grade)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.73 [0.81; 3.73] MYSTIC (D ; PDL1>25%), 2020 1.22 [0.77; 1.94] 1.34[0.90; 1.99]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; PDL1>25%), 202020%439moderatenot evaluable STRAE (any grade)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.33; 3.10] MYSTIC (D ; all population), 2020 0.56 [0.35; 0.90] MYSTIC (D ; PDL1>25%), 2020 0.38 [0.18; 0.77] 0.54[0.36; 0.81]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 2020311%1,160moderatenot evaluable STRAE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.48 [0.28; 0.84] 0.48[0.28; 0.84]MYSTIC (D ; all population), 202010%721NAnot evaluable TRAE (any grade)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.19 [0.08; 0.46] MYSTIC (D ; all population), 2020 0.24 [0.17; 0.34] MYSTIC (D ; PDL1>25%), 2020 0.21 [0.12; 0.38] 0.23[0.17; 0.30]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 202030%1,160moderatenot evaluable TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.13 [0.05; 0.36] MYSTIC (D ; all population), 2020 0.34 [0.24; 0.49] MYSTIC (D ; PDL1>25%), 2020 0.36 [0.22; 0.61] 0.30[0.20; 0.46]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 2020341%1,160moderatenot evaluable TRAE leading to death (grade 5)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.02; 52.03] MYSTIC (D ; all population), 2020 0.63 [0.11; 3.82] MYSTIC (D ; PDL1>25%), 2020 0.95 [0.06; 15.32] 0.75[0.18; 3.05]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 202030%1,160moderatenot evaluable TRAE leading to discontinuation (any grade)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.24; 4.26] MYSTIC (D ; all population), 2020 0.55 [0.31; 0.99] MYSTIC (D ; PDL1>25%), 2020 0.47 [0.21; 1.04] 0.56[0.36; 0.87]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 2020, MYSTIC (D ; PDL1>25%), 202030%1,160moderatenot evaluable TRAE leading to discontinuation (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 1.28 [0.60; 2.75] 1.28[0.60; 2.75]MYSTIC (D ; all population), 202010%721NAnot evaluable Acute kidney injury TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 2.05 [0.07; 62.21] 2.05[0.07; 62.21]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Adrenal insufficiency TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 2.05 [0.07; 62.21] MYSTIC (D ; all population), 2020 1.91 [0.06; 57.12] 1.98[0.18; 21.98]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Alopecia TRAE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.02; 48.21] 0.95[0.02; 48.21]MYSTIC (D ; all population), 202010%721NAnot evaluable Anaemia TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.08 [0.00; 1.41] MYSTIC (D ; all population), 2020 0.01 [0.00; 0.19] 0.03[0.00; 0.22]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Asthenia TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.25 [0.01; 5.61] MYSTIC (D ; all population), 2020 0.12 [0.01; 0.94] 0.15[0.03; 0.83]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Colitis TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 2.05 [0.07; 62.21] MYSTIC (D ; all population), 2020 1.91 [0.06; 57.12] 1.98[0.18; 21.98]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Constipation TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.50 [0.02; 15.30] MYSTIC (D ; all population), 2020 0.48 [0.02; 14.24] 0.49[0.04; 5.44]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Decreased appetite TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.50 [0.02; 15.30] MYSTIC (D ; all population), 2020 0.24 [0.03; 2.13] 0.30[0.05; 1.87]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Dermatitis acneiform TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.50 [0.02; 15.30] 0.50[0.02; 15.30]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Diabetes TRAE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.02; 48.21] 0.95[0.02; 48.21]MYSTIC (D ; all population), 202010%721NAnot evaluable Diarrhoea TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.02; 52.03] MYSTIC (D ; all population), 2020 0.95 [0.13; 6.81] 0.97[0.17; 5.60]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Dyspepsia TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.50 [0.02; 15.30] 0.50[0.02; 15.30]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Fatigue TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.02; 52.03] MYSTIC (D ; all population), 2020 0.81 [0.27; 2.45] 0.83[0.29; 2.39]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Febrile neutropenia TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.08 [0.00; 1.41] 0.08[0.00; 1.41]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Hepatitis TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 2.05 [0.07; 62.21] MYSTIC (D ; all population), 2020 1.91 [0.06; 57.12] 1.98[0.18; 21.98]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Hyperthyroidism TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.02; 52.03] MYSTIC (D ; all population), 2020 0.95 [0.02; 48.21] 0.98[0.06; 15.84]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Hypophysitis TRAE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.02; 48.21] 0.95[0.02; 48.21]MYSTIC (D ; all population), 202010%721NAnot evaluable Hypothyroidism TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.02; 52.03] MYSTIC (D ; all population), 2020 3.83 [0.17; 85.25] 2.30[0.20; 26.34]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Increased lipase level TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 2.05 [0.07; 62.21] 2.05[0.07; 62.21]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Infusion-related reactions TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.02; 52.03] 1.02[0.02; 52.03]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Leucopenia TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.16 [0.01; 3.32] 0.16[0.01; 3.32]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Nausea TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.25 [0.01; 5.61] MYSTIC (D ; all population), 2020 0.08 [0.00; 1.41] 0.13[0.02; 1.11]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Nephritis TRAE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.02; 48.21] 0.95[0.02; 48.21]MYSTIC (D ; all population), 202010%721NAnot evaluable Neutropenia TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 0.09 [0.01; 1.76] MYSTIC (D ; all population), 2020 0.02 [0.00; 0.18] 0.04[0.01; 0.20]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Pneumonia TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.06; 16.62] 1.02[0.06; 16.62]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Pneumonitis TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.02; 52.03] MYSTIC (D ; all population), 2020 3.85 [0.43; 34.59] 2.80[0.41; 19.09]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Pruritus TRAE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.02; 48.21] 0.95[0.02; 48.21]MYSTIC (D ; all population), 202010%721NAnot evaluable Rash TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 1.02 [0.06; 16.62] MYSTIC (D ; all population), 2020 2.88 [0.30; 27.79] 1.90[0.33; 11.07]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020, MYSTIC (D ; all population), 202020%846moderatenot evaluable Stomatitis TRAE (grade 3-4)detailed resultsARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 2020 2.05 [0.07; 62.21] 2.05[0.07; 62.21]ARCTIC (D ; study A ; PDL1>25% EXPLORATORY), 202010%125NAnot evaluable Thrombocytopenia TRAE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.03 [0.00; 0.42] 0.03[0.00; 0.42]MYSTIC (D ; all population), 202010%721NAnot evaluable Vomiting TRAE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.07 [0.00; 1.18] 0.07[0.00; 1.18]MYSTIC (D ; all population), 202010%721NAnot evaluable Alopecia AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.02; 48.21] 0.95[0.02; 48.21]MYSTIC (D ; all population), 202010%721NAnot evaluable Anaemia AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.16 [0.07; 0.34] 0.16[0.07; 0.34]MYSTIC (D ; all population), 202010%721NAnot evaluable Asthenia AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.41; 2.23] 0.95[0.41; 2.23]MYSTIC (D ; all population), 202010%721NAnot evaluable Back pain AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.32 [0.03; 3.05] 0.32[0.03; 3.05]MYSTIC (D ; all population), 202010%721NAnot evaluable Constipation AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.06; 15.31] 0.95[0.06; 15.31]MYSTIC (D ; all population), 202010%721NAnot evaluable Cough AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 1.91 [0.06; 57.12] 1.91[0.06; 57.12]MYSTIC (D ; all population), 202010%721NAnot evaluable Decreased appetite AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 1.44 [0.40; 5.14] 1.44[0.40; 5.14]MYSTIC (D ; all population), 202010%721NAnot evaluable Diarrhoea AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.38 [0.07; 1.96] 0.38[0.07; 1.96]MYSTIC (D ; all population), 202010%721NAnot evaluable Dyspnoea AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 1.61 [0.58; 4.47] 1.61[0.58; 4.47]MYSTIC (D ; all population), 202010%721NAnot evaluable Fatigue AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 1.20 [0.47; 3.07] 1.20[0.47; 3.07]MYSTIC (D ; all population), 202010%721NAnot evaluable Nausea AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.16 [0.02; 1.31] 0.16[0.02; 1.31]MYSTIC (D ; all population), 202010%721NAnot evaluable Neutropenia AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.07 [0.02; 0.24] 0.07[0.02; 0.24]MYSTIC (D ; all population), 202010%721NAnot evaluable Pruritus AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.95 [0.02; 48.21] 0.95[0.02; 48.21]MYSTIC (D ; all population), 202010%721NAnot evaluable Pyrexia AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 5.76 [0.29; 115.45] 5.76[0.29; 115.45]MYSTIC (D ; all population), 202010%721NAnot evaluable Rash AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 2.88 [0.30; 27.79] 2.88[0.30; 27.79]MYSTIC (D ; all population), 202010%721NAnot evaluable Thrombocytopenia AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.05 [0.01; 0.38] 0.05[0.01; 0.38]MYSTIC (D ; all population), 202010%721NAnot evaluable Vomiting AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 0.54 [0.16; 1.86] 0.54[0.16; 1.86]MYSTIC (D ; all population), 202010%721NAnot evaluable Weight decreased AE (grade 3-4)detailed resultsMYSTIC (D ; all population), 2020 2.88 [0.30; 27.79] 2.88[0.30; 27.79]MYSTIC (D ; all population), 202010%721NAnot evaluable0.010.01.0relative treatment effectwww.metaEvidence.org2024-09-29 01:39 +02:00

TE: relative treatment effect (measured by a risk ratio, an odds ratio or an hazard ratio depending on what is reported in the papers); k: number of studies; n: total number of patients; ROB: risk of bias (ROB 2.0); Pub. bias: publication bias; OBS: observational studies; RCT: randomized clinical trials
studied treatment is better when TE > 1; studied treatment is better when TE < 1;

pathologies: 161,226,41,225,182,198,179,200,195,254,242,243,199,190,229,266,191,196,36,228,174,171,173,307,165,163,176,308,164,166,220,197,255,37,245,204,244,241,227,217,177,279,167,1,170,261,280,168,169,335,334 - treatments: 854,374,953,672,1080,1560,1073,862