meta
|
evidence
oncology
Living systematic review and meta-analysis
metastatic/adv melanoma (mML)
mML - (neo)adjuvant (NA)
mML - NA - all population
9
mML - NA - PDL1 positive
1
mML - 1st line (L1)
mML - L1 - all population
7
mML - L1 - BRAF mutant
2
mML - L1 - BRAF wild
3
mML - 2nd line (L2)
mML - L2 - all population
11
mML - L2 - BRAF mutant
1
mesothelioma (MS)
immune chekpoint inhibitors
anti-CTLA-4
tremelimumab
anti-PD-(L)1
atezolizumab based treatment
atezolizumab plus cometinib
atezolizumab plus SoC
nivolumab based treatment
nivolumab alone
nivolumab followed by ipilimumab
Immune checkpoint association
nivolumab plus ipilimumab
relatlimab plus nivolumab
versus all
vs chemotherapy
vs non platinum-based chemotherapy
vs alkylating agents
vs dacarbazine
vs Standard of Care (SoC)
vs placebo plus SoC
vs immune chekpoint inhibitors
vs anti-CTLA-4
vs ipilimumab based treatment
vs ipilimumab alone
vs ipilimumab followed by nivolumab
vs anti-PD-(L)1
vs nivolumab based treatment
vs nivolumab alone
vs pembrolizumab based treatment
vs pembrolizumab alone
All patients
Age < 65y (younger)
Age > 65y
BRAF mutant
BRAF wild type
ECOG ⩾ 1
ECOG 0
ECOG 1
Gender, female
Gender, male
LDH > ULN
LDH ≤ULN
metastasis (brain) NO
metastasis (brain) YES
PD-L1 < 1%
PD-L1 < 5%
PD-L1 > 1%
PD-L1 > 5%
stage III (locally advanced)
stage IV (metastatic)
stage M0
stage M0/M1A/M1B
stage M1A
stage M1B
stage M1C
Top evidence (RCT only, high risk of bias excluded)
Best available evidence (possibly low or very low)
All RCTs
All studies (RCT+OBS)
study list
mapping
overview
meta-analysis
forest plot
NMA
excluded
button
bars
forest
bayes
pooled
summary
circles
deaths (OS)
deaths (OS) (extension)
DOR
objective responses (ORR)
objective responses (ORR) (extension)
PFS (extension)
progression or deaths (PFS)
SAE (any grade)
SAE (grade 3-4)
SAE leading to death (grade 5)
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)
Adrenal insufficiency TRAE (grade 3-4)
Arthralgia TRAE (grade 3-4)
Asthenia 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)
Diarrhoea TRAE (grade 3-4)
Dry skin TRAE (grade 3-4)
Dyspnoea TRAE (grade 3-4)
Endocrine disorders TRAE (grade 3-4)
Fatigue TRAE (grade 3-4)
Gastrointestinal disorders TRAE (grade 3-4)
Headache TRAE (grade 3-4)
Hepatitis TRAE (grade 3-4)
Hepatobiliary disorders 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)
Maculopapular rash TRAE (grade 3-4)
Myalgia TRAE (grade 3-4)
Nausea 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)
Skin and subcutaneous tissue disorders TRAE (grade 3-4)
Thyroiditis TRAE (grade 3-4)
Vitiligo TRAE (grade 3-4)
Vomiting TRAE (grade 3-4)
Weight decreased TRAE (grade 3-4)
deaths (OS)
progression or deaths (PFS)
RFS/DFS
mML - L1 - all population
metastatic/adv melanoma (mML)
mML - 1st line (L1)
mML - L1 - all population
versus ipilimumab alone
nivolumab plus ipilimumab vs. ipilimumab alone
2
0.58
[0.46; 0.74], 2 RCTs, I2=0%
conclusive
high degree of certainty
0.41
[0.32; 0.53], 2 RCTs, I2=0%
conclusive
high degree of certainty
-
versus nivolumab alone
nivolumab plus ipilimumab vs. nivolumab alone
1
0.65
[0.53; 0.80], 1 RCT, I2=0%
unassessable degree of certainty
0.74
[0.60; 0.92], 1 RCT, I2=0%
unassessable degree of certainty
-
relatlimab plus nivolumab vs. nivolumab alone
1
-
0.75
[0.62; 0.91], 1 RCT, I2=0%
unassessable degree of certainty
-
mML - L1 - BRAF mutant
metastatic/adv melanoma (mML)
mML - 1st line (L1)
mML - L1 - BRAF mutant
versus ipilimumab alone
nivolumab plus ipilimumab vs. ipilimumab alone
1
1.44
[0.46; 4.49], 1 RCT, I2=0%
inconclusive result
0.38
[0.15; 0.98], 1 RCT, I2=0%
unassessable degree of certainty
-
mML - L1 - BRAF wild
metastatic/adv melanoma (mML)
mML - 1st line (L1)
mML - L1 - BRAF wild
versus ipilimumab alone
nivolumab plus ipilimumab vs. ipilimumab alone
1
-
0.40
[0.23; 0.69], 1 RCT, I2=0%
conclusive
unassessable degree of certainty
-
×
delta: difference in rate or median (if available)
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