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
ipilimumab based treatment
ipilimumab alone
Ipilimumab (10 mg/kg)
ipilimumab plus gp100
ipilimumab plus SoC
tremelimumab
anti-PD-(L)1
atezolizumab based treatment
atezolizumab plus cometinib
atezolizumab plus SoC
nivolumab based treatment
nivolumab alone
nivolumab followed by ipilimumab
pembrolizumab based treatment
pembrolizumab alone
pembrolizumab (10mg/kg)
pembrolizumab (10mg/kg) 2 weeks
pembrolizumab (2mg/kg)
pembrolizumab plus SoC
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 (10 mg/kg)
vs ipilimumab followed by nivolumab
vs anti-PD-(L)1
vs nivolumab based treatment
vs nivolumab alone
vs pembrolizumab based treatment
vs pembrolizumab alone
vs Immunostimulant
vs interferon alpha
vs vaccine
vs gp100
vs non active control
vs placebo
All patients
Age < 65y (younger)
Age > 65y
Age > 75y (older)
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
metastasis (liver )
PD-L1 < 1%
PD-L1 < 5%
PD-L1 > 1%
PD-L1 > 5%
PDL1 (TC0 and IC0 : <1% of TC and IC)
PDL1 (TC1/2/3 or IC1/2/3 : ≥1% of TC or IC)
previous systemic treatment (%)
previous systemic treatment NO (%)
Prior anti-CTLA4 benefit NO
Prior anti-CTLA4 benefit YES
stage III (locally advanced)
stage IIIa
stage IIIb
stage IIIc
stage IV (metastatic)
stage M0
stage M0/M1A/M1B
stage M1A
stage M1B
stage M1C
stage M1C (with brain metastasis)
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
DCR
deaths (OS)
deaths (OS) (extension)
DMFS
DOR
DOR (extension)
MFS
MFS (extension)
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)
hypothyroidism (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)
Chorioretinopathy 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)
Erythema TRAE (grade 3-4)
Eye disorders TRAE (grade 3-4)
Fatigue TRAE (grade 3-4)
Febrile neutropenia 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)
Guillain-Barré syndrome 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)
Myocarditis TRAE (grade 3-4)
Myositis TRAE (grade 3-4)
Nausea TRAE (grade 3-4)
Nephritis 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)
Pericarditis TRAE (grade 3-4)
Peripheral neuropathy TRAE (grade 3-4)
Peripheral oedema TRAE (grade 3-4)
Pneumonitis TRAE (grade 3-4)
Polymyalgia Rheumatica 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)
Severe skin reaction 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)
Abdominal pain AE (grade 3-4)
Anaemia AE (grade 3-4)
Arthralgia AE (grade 3-4)
Asthenia AE (grade 3-4)
Chills AE (grade 3-4)
Colitis AE (grade 3-4)
Constipation AE (grade 3-4)
Cough AE (grade 3-4)
Decreased appetite AE (grade 3-4)
Dermatitis acneiform AE (grade 3-4)
Diarrhoea AE (grade 3-4)
Dyspnoea AE (grade 3-4)
Fatigue AE (grade 3-4)
Headache AE (grade 3-4)
Hypertension AE (grade 3-4)
Hypophysitis AE (grade 3-4)
Hypothyroidism AE (grade 3-4)
Increase AST AE (grade 3-4)
Increased ALT AE (grade 3-4)
Increased Lipase Level AE (grade 3-4)
Nausea AE (grade 3-4)
Neutropenia AE (grade 3-4)
Peripheral oedema AE (grade 3-4)
Pruritus AE (grade 3-4)
Pyrexia AE (grade 3-4)
Rash AE (grade 3-4)
Rash maculopapular AE (grade 3-4)
Sepsis AE (grade 3-4)
Thrombocytopenia AE (grade 3-4)
Vomiting AE (grade 3-4)
Weight decreased AE (grade 3-4)
deaths (OS)
progression or deaths (PFS)
RFS/DFS
mML - NA - all population
metastatic/adv melanoma (mML)
mML - (neo)adjuvant (NA)
mML - NA - all population
versus interferon alpha
Ipilimumab (10 mg/kg) vs. interferon alpha
1
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
-
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
ipilimumab alone vs. interferon alpha
1
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
-
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
versus Ipilimumab (10 mg/kg)
nivolumab alone vs. Ipilimumab (10 mg/kg)
1
-243 [-793; 307]
/10000
100/453 vs. 111/453
-
-1148 [-1781; -515]
/10000
154/453 vs. 206/453
versus nivolumab alone
nivolumab plus ipilimumab vs. nivolumab alone
1
-
-
-3254 [-4961; -1546]
/10000
15/56 vs. 35/59
versus placebo
Ipilimumab (10 mg/kg) vs. placebo
1
-1085 [-1703; -468]
/10000
162/475 vs. 214/476
-
-1250 [-1877; -623]
/10000
234/475 vs. 294/476
nivolumab alone vs. placebo
1
-
-
-2145 [-3794; -496]
/10000
35/59 vs. 42/52
nivolumab plus ipilimumab vs. placebo
1
-
-
-5398 [-6977; -3819]
/10000
15/56 vs. 42/52
pembrolizumab alone vs. placebo
1
-
-
-1651 [-2226; -1075]
/10000
135/514 vs. 216/505
mML - NA - PDL1 positive
metastatic/adv melanoma (mML)
mML - (neo)adjuvant (NA)
mML - NA - PDL1 positive
versus placebo
pembrolizumab alone vs. placebo
1
-
-
-1758 [-2376; -1140]
/10000
102/428 vs. 176/425
mML - L1 - all population
metastatic/adv melanoma (mML)
mML - 1st line (L1)
mML - L1 - all population
versus ipilimumab alone
nivolumab alone vs. ipilimumab alone
1
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
-1123 [-1891; -355]
/10000
119/316 vs. 154/315
-
nivolumab plus ipilimumab vs. ipilimumab alone
2
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
-2409 [-3048; -1769]
/10000
80/409 vs. 158/362
-
versus ipilimumab followed by nivolumab
nivolumab followed by ipilimumab vs. ipilimumab followed by nivolumab
1
-2185 [-3808; -562]
/10000
24/68 vs. 40/70
-
-
versus nivolumab alone
nivolumab plus ipilimumab vs. nivolumab alone
1
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
167 [-366; 701]
/10000
45/314 vs. 40/316
-
relatlimab plus nivolumab vs. nivolumab alone
1
-
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
-
versus Standard of Care (SoC)
tremelimumab vs. Standard of Care (SoC)
1
-361 [-960; 239]
/10000
260/328 vs. 271/327
-
-
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
1217 [-2442; 4876]
/10000
12/23 vs. 4/10
-1783 [-5280; 1715]
/10000
12/23 vs. 7/10
-
versus placebo plus SoC
atezolizumab plus SoC vs. placebo plus SoC
1
-708 [-1553; 136]
/10000
93/256 vs. 112/258
-1157 [-1983; -331]
/10000
148/256 vs. 179/258
-
mML - L1 - BRAF wild
metastatic/adv melanoma (mML)
mML - 1st line (L1)
mML - L1 - BRAF wild
versus dacarbazine
nivolumab alone vs. dacarbazine
1
-2234 [-3124; -1345]
/10000
50/210 vs. 96/208
-2694 [-3571; -1816]
/10000
108/210 vs. 163/208
-
versus ipilimumab alone
nivolumab plus ipilimumab vs. ipilimumab alone
1
-
-2590 [-4480; -700]
/10000
30/72 vs. 25/37
-
versus pembrolizumab alone
atezolizumab plus cometinib vs. pembrolizumab alone
1
152 [-583; 888]
/10000
45/222 vs. 42/224
450 [-476; 1377]
/10000
121/222 vs. 112/224
-
mML - L2 - all population
metastatic/adv melanoma (mML)
mML - 2nd line (L2)
mML - L2 - all population
versus gp100
ipilimumab alone vs. gp100
1
-1451 [-2379; -522]
/10000
100/137 vs. 119/136
-
-
ipilimumab plus gp100 vs. gp100
1
-1157 [-1852; -462]
/10000
306/403 vs. 119/136
-
-
versus ipilimumab alone
Ipilimumab (10 mg/kg) vs. ipilimumab alone
1
-529 [-1162; 104]
/10000
262/365 vs. 279/362
-130 [-556; 296]
/10000
328/365 vs. 330/362
-
ipilimumab plus gp100 vs. ipilimumab alone
1
294 [-559; 1146]
/10000
306/403 vs. 100/137
-
-
pembrolizumab (10mg/kg) vs. ipilimumab alone
1
-812 [-1640; 16]
/10000
119/277 vs. 142/278
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
-
pembrolizumab (10mg/kg) 2 weeks vs. ipilimumab alone
1
-735 [-1562; 92]
/10000
122/279 vs. 142/278
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
-
versus placebo plus SoC
ipilimumab plus SoC vs. placebo plus SoC
1
-811 [-1473; -149]
/10000
196/250 vs. 218/252
-729 [-1354; -105]
/10000
203/250 vs. 223/252
-
versus Standard of Care (SoC)
nivolumab alone vs. Standard of Care (SoC)
1
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
NaN [NaN; NaN]
/10000
0/0 vs. 0/0
-
pembrolizumab (10mg/kg) vs. Standard of Care (SoC)
1
-687 [-1647; 274]
/10000
117/181 vs. 128/179
-1698 [-2533; -862]
/10000
126/181 vs. 155/179
-
pembrolizumab (2mg/kg) vs. Standard of Care (SoC)
1
-318 [-1266; 631]
/10000
123/180 vs. 128/179
-1493 [-2319; -666]
/10000
129/180 vs. 155/179
-
mML - L2 - BRAF mutant
metastatic/adv melanoma (mML)
mML - 2nd line (L2)
mML - L2 - BRAF mutant
versus placebo plus SoC
pembrolizumab plus SoC vs. placebo plus SoC
1
-833 [-2543; 876]
/10000
19/60 vs. 24/60
-1667 [-3394; 61]
/10000
31/60 vs. 41/60
-
×
delta: difference in rate or median (if available)
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