All patients
Age < 65y (younger) Age > 65y Age > 75y (older) Asian type cancer location (esophagus) cancer location (gastric) cancer location (gastro-esophageal) cancer type (metastatic) ECOG 0 ECOG 1 Gender, female Gender, male metastasis (liver ) PD-L1 < 1% PD-L1 > 1% PDL1 (CPS >1) PDL1 (TC1/2/3 or IC1/2/3 : ≥1% of TC or IC) previous gastrectomy previous gastrectomy NO
Top evidence (RCT only, high risk of bias excluded)
Best available evidence (possibly low or very low)
All RCTs
All studies (RCT+OBS)
studies
metastatic/advanced mGC or mGEJC, immune chekpoint inhibitors vs. paclitaxel, meta-analysis of study results Outcome TE 95% CI n k I2 ROB Pub. bias deaths (OS)detailed results JAVELIN Gastric 300, 2018 1.10 [0.88; 1.37]
KEYNOTE-061 (all population), 2018 0.94 [0.79; 1.12]
KEYNOTE-061 (PDL1 CPS>1), 2018 0.82 [0.66; 1.02]
0.95 [0.81 ; 1.10 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018, KEYNOTE-061 (PDL1 CPS>1), 2018 3 41% 1,358 moderate not evaluable progression or deaths (PFS)detailed results JAVELIN Gastric 300, 2018 1.73 [1.38; 2.17]
KEYNOTE-061 (all population), 2018 1.49 [1.25; 1.77]
KEYNOTE-061 (PDL1 CPS>1), 2018 1.27 [1.03; 1.57]
1.48 [1.26 ; 1.74 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018, KEYNOTE-061 (PDL1 CPS>1), 2018 3 48% 1,358 moderate not evaluable DCRdetailed results JAVELIN Gastric 300, 2018 0.37 [0.23; 0.60]
0.37 [0.23 ; 0.60 ] JAVELIN Gastric 300, 2018 1 0% 371 NA not evaluable objective responses (ORR)detailed results JAVELIN Gastric 300, 2018 0.49 [0.15; 1.66]
KEYNOTE-061 (all population), 2018 0.88 [0.53; 1.45]
KEYNOTE-061 (PDL1 CPS>1), 2018 1.20 [0.68; 2.09]
0.95 [0.66 ; 1.35 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018, KEYNOTE-061 (PDL1 CPS>1), 2018 3 0% 1,358 moderate not evaluable TRAE (any grade)detailed results JAVELIN Gastric 300, 2018 0.34 [0.22; 0.52]
KEYNOTE-061 (all population), 2018 0.21 [0.14; 0.31]
0.26 [0.17 ; 0.42 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 57% 931 moderate not evaluable TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.22 [0.12; 0.40]
KEYNOTE-061 (all population), 2018 0.31 [0.21; 0.47]
0.28 [0.20 ; 0.39 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 0% 931 moderate not evaluable TRAE leading to death (grade 5)detailed results JAVELIN Gastric 300, 2018 0.48 [0.02; 14.39]
KEYNOTE-061 (all population), 2018 2.84 [0.29; 27.42]
1.64 [0.25 ; 10.83 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 0% 931 moderate not evaluable TRAE leading to discontinuation (any grade)detailed results JAVELIN Gastric 300, 2018 0.74 [0.27; 2.03]
KEYNOTE-061 (all population), 2018 0.55 [0.24; 1.28]
0.62 [0.32 ; 1.19 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 0% 931 moderate not evaluable Alopecia TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.96 [0.02; 48.74]
KEYNOTE-061 (all population), 2018 0.16 [0.01; 3.11]
0.30 [0.03 ; 3.29 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 0% 931 moderate not evaluable Anaemia TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.04 [0.00; 0.71]
KEYNOTE-061 (all population), 2018 0.54 [0.21; 1.38]
0.21 [0.02 ; 2.39 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 65% 931 moderate not evaluable Asthenia TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.19 [0.02; 1.63]
0.19 [0.02 ; 1.63 ] JAVELIN Gastric 300, 2018 1 0% 361 NA not evaluable Colitis TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 0.16 [0.01; 3.11]
0.16 [0.01 ; 3.11 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Decreased appetite TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.12 [0.01; 2.25]
KEYNOTE-061 (all population), 2018 3.77 [0.17; 84.06]
0.64 [0.02 ; 19.22 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 60% 931 moderate not evaluable Diabetes TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 0.94 [0.02; 47.47]
0.94 [0.02 ; 47.47 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Diarrhoea TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.16 [0.02; 1.31]
KEYNOTE-061 (all population), 2018 0.94 [0.06; 15.08]
0.30 [0.06 ; 1.66 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 1% 931 moderate not evaluable Fatigue TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.48 [0.04; 5.32]
KEYNOTE-061 (all population), 2018 0.49 [0.19; 1.26]
0.49 [0.21 ; 1.17 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 0% 931 moderate not evaluable Febrile neutropenia TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.08 [0.00; 1.40]
0.08 [0.00 ; 1.40 ] JAVELIN Gastric 300, 2018 1 0% 361 NA not evaluable Hepatitis TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 7.60 [0.40; 144.43]
7.60 [0.40 ; 144.43 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Hyperthyroidism TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 0.94 [0.02; 47.47]
0.94 [0.02 ; 47.47 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Hypophysitis TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 3.77 [0.17; 84.06]
3.77 [0.17 ; 84.06 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Hypothyroidism TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 0.94 [0.02; 47.47]
0.94 [0.02 ; 47.47 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Increase AST TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 1.29 [0.28; 5.84]
1.29 [0.28 ; 5.84 ] JAVELIN Gastric 300, 2018 1 0% 361 NA not evaluable Increased ALT TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.72 [0.16; 3.25]
0.72 [0.16 ; 3.25 ] JAVELIN Gastric 300, 2018 1 0% 361 NA not evaluable Increased lipase level TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.48 [0.04; 5.32]
0.48 [0.04 ; 5.32 ] JAVELIN Gastric 300, 2018 1 0% 361 NA not evaluable Infusion-related reactions TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 1.93 [0.06; 57.86]
KEYNOTE-061 (all population), 2018 0.47 [0.02; 14.02]
0.95 [0.09 ; 10.52 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 0% 931 moderate not evaluable Nausea TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.24 [0.01; 5.32]
KEYNOTE-061 (all population), 2018 0.47 [0.04; 5.19]
0.36 [0.05 ; 2.43 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 0% 931 moderate not evaluable Neutropenia TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.02 [0.00; 0.30]
KEYNOTE-061 (all population), 2018 0.02 [0.00; 0.25]
0.02 [0.00 ; 0.12 ] JAVELIN Gastric 300, 2018, KEYNOTE-061 (all population), 2018 2 0% 931 moderate not evaluable Pancreatitis TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 0.47 [0.02; 14.02]
0.47 [0.02 ; 14.02 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Peripheral neuropathy TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 0.08 [0.00; 1.38]
0.08 [0.00 ; 1.38 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Pneumonitis TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 3.77 [0.17; 84.06]
3.77 [0.17 ; 84.06 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Severe skin reaction TRAE (grade 3-4)detailed results KEYNOTE-061 (all population), 2018 1.88 [0.06; 56.28]
1.88 [0.06 ; 56.28 ] KEYNOTE-061 (all population), 2018 1 0% 570 NA not evaluable Vomiting TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.24 [0.01; 5.32]
0.24 [0.01 ; 5.32 ] JAVELIN Gastric 300, 2018 1 0% 361 NA not evaluable Weight decreased TRAE (grade 3-4)detailed results JAVELIN Gastric 300, 2018 0.07 [0.00; 1.17]
0.07 [0.00 ; 1.17 ] JAVELIN Gastric 300, 2018 1 0% 361 NA not evaluable 0.0 10.0 1.0 relative treatment effect www.metaEvidence.org 2024-10-05 05:33 +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: 273,122,271,262,260,219,184,272,123,187,185,186,304
- treatments: 204,504,850,329,558,579,549,868,502,741,556,812,813,367,851,361,602,1070,671,865,744,696,1083,1281,1282,1283,1082,866,852,417,603,1051,876,853,1018,661,673,1049,1440,1561,854,374,953,672,1080,1560,1073,862,1562,1565,855,360,719,721,720,842,642,674,1085,863,503,847,982,359,575,577,576,869,1081,981,875,505,952,1021,1079,767,1071,1074,873,561,644,1251,1044,724,874,1043,1041,1042,940,1258,1563,746,745,856,634,861,416,864,769,980,369,743