summary
GRADE
treatment
patients
risk of bias
overview
deaths (OS) deaths (OS) (extension) DOR DOR (extension) MFS objective responses (ORR) objective responses (ORR) (extension) PFS (extension) progression or deaths (PFS) RFS (extension) RFS/DFS AE (any grade) AE (grade 3-4) AE leading to death (grade 5) AE leading to treatment discontinuation (any grade) AE leading to treatment discontinuation (grade 3-4) SAE (any grade) SAE (grade 3-4) STRAE (any grade) STRAE (grade 3-4) TRAE (any grade) TRAE (grade 3-4) TRAE leading to death (grade 5) TRAE leading to discontinuation (any grade) TRAE leading to discontinuation (grade 3-4) Abdominal pain TRAE (grade 3-4) Acute kidney injury TRAE (grade 3-4) Adrenal insufficiency TRAE (grade 3-4) Alopecia TRAE (grade 3-4) Anaemia TRAE (grade 3-4) Arthralgia TRAE (grade 3-4) Asthenia TRAE (grade 3-4) Blood and lymphatic system disorders TRAE (grade 3-4) Blood creatinine increased TRAE (grade 3-4) Chills TRAE (grade 3-4) Colitis TRAE (grade 3-4) Constipation TRAE (grade 3-4) Cough TRAE (grade 3-4) Decreased appetite TRAE (grade 3-4) Diabetes TRAE (grade 3-4) Diarrhoea TRAE (grade 3-4) Dizziness TRAE (grade 3-4) Dry skin TRAE (grade 3-4) Dysgeusia TRAE (grade 3-4) Dyspepsia TRAE (grade 3-4) Dyspnoea TRAE (grade 3-4) Endocrine disorders TRAE (grade 3-4) Eye disorders TRAE (grade 3-4) Fatigue TRAE (grade 3-4) Gastritis TRAE (grade 3-4) Gastrointestinal disorders TRAE (grade 3-4) General disorders and administration site conditions TRAE (grade 3-4) Headache TRAE (grade 3-4) Hepatitis TRAE (grade 3-4) Hepatobiliary disorders TRAE (grade 3-4) Hypersensitivity TRAE (grade 3-4) Hypertension TRAE (grade 3-4) Hyperthyroidism TRAE (grade 3-4) Hypophysitis TRAE (grade 3-4) Hypothyroidism TRAE (grade 3-4) Increase AST TRAE (grade 3-4) Increased ALT TRAE (grade 3-4) Increased lipase level TRAE (grade 3-4) Infusion-related reactions TRAE (grade 3-4) Leucopenia TRAE (grade 3-4) Maculopapular rash TRAE (grade 3-4) Metabolism and nutrition disorders TRAE (grade 3-4) Musculoskeletal and connective tissue disorders TRAE (grade 3-4) Myalgia TRAE (grade 3-4) Myositis TRAE (grade 3-4) Nausea TRAE (grade 3-4) Nervous system disorders TRAE (grade 3-4) Neutropenia TRAE (grade 3-4) Palmar-plantar erythrodysaesthesia syndrome TRAE (grade 3-4) Pancreatitis TRAE (grade 3-4) Pancytopenia TRAE (grade 3-4) Paraesthesia TRAE (grade 3-4) Peripheral neuropathy TRAE (grade 3-4) Pneumonitis TRAE (grade 3-4) Pruritic rash TRAE (grade 3-4) Pruritus TRAE (grade 3-4) Pyrexia TRAE (grade 3-4) Rash TRAE (grade 3-4) Renal and urinary disorders TRAE (grade 3-4) Respiratory, thoracic and mediastinal disorders TRAE (grade 3-4) Sarcoidosis TRAE (grade 3-4) Skin and subcutaneous tissue disorders TRAE (grade 3-4) Stomatitis TRAE (grade 3-4) Thrombocytopenia TRAE (grade 3-4) Thyroiditis TRAE (grade 3-4) Uveitis TRAE (grade 3-4) Vitiligo TRAE (grade 3-4) Vomiting TRAE (grade 3-4) Weight decreased TRAE (grade 3-4)
numeric
bar chart
forest plot
medians
frequency on treatment
benefit risk analysis
Study
study type
Pathology T1 T0 Patients sample sizes ROB
Results
CheckMate 238, 2017 NCT02388906 RCT mML - NA - all population nivolumab ipilimumab patient, 15 years of age or older, with high-risk resected stage IIIB, IIIC, or IV melanoma as adjuvant treatment 453 / 453 low conclusif demonstrated 35 % decrease in RFS/DFS (PE) suggested 27 % decrease in MFS suggested 29 % decrease in RFS (extension) IMMUNED (N vs P ; all population), 2020 NCT02523313 RCT mML - NA - all population nivolumab placebo adjuvant therapy with nivolumab alone or in combination with ipilimumab compared with placebo in patients with stage IV melanoma with no evidence of disease 59 / 52 low conclusif demonstrated 44 % decrease in RFS/DFS (PE) CheckMate 067 (N vs I ; all population), 2015 NCT01844505 RCT mML - L1 - all population nivolumab ipilimumab with previously untreated, unresectable or metastatic histologically confirmed stage III or IV melanoma. 316 / 315 low conclusif demonstrated 37 % decrease in deaths (OS) (PE) demonstrated 43 % decrease in progression or deaths (PFS) (PE) suggested 37 % decrease in deaths (OS) (extension) suggested 47 % decrease in PFS (extension) more... CheckMate 066, 2015 NCT01721772 RCT mML - L1 - BRAF wild nivolumab dacarbazine previously untreated patients who had unresectable metastatic melanoma without a BRAF mutation (stage III or IV). 210 / 208 low conclusif demonstrated 58 % decrease in deaths (OS) (PE) demonstrated 57 % decrease in progression or deaths (PFS) (PE) suggested 54 % decrease in deaths (OS) (extension) suggested 58 % decrease in PFS (extension) more... CheckMate 037, 2015 NCT01721746 RCT mML - L2 - all population nivolumab chemotherapy (investigator’s choice) patients with advanced melanoma (unresectable stage IIIC or IV metastatic melanoma, who progressed after ipilimumab, or ipilimumab and a BRAF inhibitor if they were BRAFV mutation-positive (second-line or later-line treatment). 272 / 133 high inconclusive inconclusive 5 % decrease in deaths (OS) (PE) suggested 2.4-fold increase in objective responses (ORR) (PE)