summary
GRADE
treatment
patients
risk of bias
overview
deaths (OS) deaths (OS) (extension) DOR objective responses (ORR) objective responses (ORR) (extension) PFS (extension) progression or deaths (PFS) RFS/DFS 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) SAE leading to death (grade 5) STRAE (any grade) STRAE (grade 3-4) TRAE (any grade) TRAE (grade 3-4) TRAE grade 3-5 (PE) 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) Ear and labyrinth disorders 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) 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) 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
IMMUNED (NI vs N) EXPLORATORY, 2020 NCT02523313 RCT mML - NA - all population nivolumab plus ipilimumab nivolumab adjuvant therapy with nivolumab alone or in combination with ipilimumab compared with placebo in patients with stage IV melanoma with no evidence of disease 56 / 59 low inconclusive suggested 60 % decrease in RFS/DFS IMMUNED (NI vs P ; all population), 2020 NCT02523313 RCT mML - NA - all population nivolumab plus ipilimumab 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 56 / 52 low conclusif demonstrated 77 % decrease in RFS/DFS (PE) CheckMate 067 (NI vs I ; all population), 2015 NCT01844505 RCT mML - L1 - all population nivolumab plus ipilimumab ipilimumab patients with previously untreated, unresectable or metastatic histologically confirmed stage III or IV melanoma. 314 / 315 low conclusif demonstrated 45 % decrease in deaths (OS) (PE) demonstrated 58 % decrease in progression or deaths (PFS) (PE) suggested 48 % decrease in deaths (OS) (extension) suggested 58 % decrease in PFS (extension) more... CheckMate 069 (all population), 2015 NCT01927419 RCT mML - L1 - all population nivolumab and ipilimumab ipilimumab unresectable, previously untreated stage III or IV melanoma with measurable disease, with BRAF Wild-Type Tumors and BRAF mutant 95 / 47 low conclusif demonstrated 62 % decrease in progression or deaths (PFS) (PE) suggested 64 % decrease in PFS (extension) demonstrated 14.1-fold increase in objective responses (ORR) (PE) CheckMate 067 (NI vs N) EXPLORATORY, 2015 NCT01844505 RCT mML - L1 - all population nivolumab plus ipilimumab nivolumab patients with previously untreated, unresectable or metastatic histologically confirmed stage III or IV melanoma. 314 / 316 low inconclusive suggested 35 % decrease in deaths (OS) suggested 21 % decrease in PFS (extension) suggested 26 % decrease in progression or deaths (PFS) CheckMate 069 (BRAF mutant) EXPLORATORY, 2015 NCT01927419 RCT mML - L1 - BRAF mutant nivolumab and ipilimumab ipilimumab unresectable, previously untreated stage III or IV melanoma with measurable disease, with BRAF mutant Tumors 23 / 10 low inconclusive no statistically significant result CheckMate 069 (BRAF wild type), 2015 NCT01927419 RCT mML - L1 - BRAF wild nivolumab and ipilimumab ipilimumab unresectable, previously untreated stage III or IV melanoma with measurable disease, with BRAF Wild-Type Tumors 72 / 37 low conclusif demonstrated 60 % decrease in progression or deaths (PFS) (PE) demonstrated 12.0-fold increase in objective responses (ORR) (PE)