Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

461 questions · 475 findings · 59 reviews · Headline outcomes only

No studies found 112 · 23.6%GRADE not reported 13 · 2.7%Very low 66 · 13.9%Low 140 · 29.5%Moderate 112 · 23.6%High 32 · 6.7%

Next‐generation ALK inhibitor vs crizotinib

Overall adverse events · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

Next‐generation ALK inhibitor showed no clear difference in overall adverse events compared with crizotinib (moderate certainty).

1 finding from 1 review

Next‐generation ALK inhibitor vs crizotinib

Grade 5 adverse events (excluding progressive disease) · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

Next‐generation ALK inhibitor showed no clear difference in grade 5 adverse events (excluding progressive disease) compared with crizotinib (low certainty).

1 finding from 1 review

Next‐generation ALK inhibitor vs crizotinib

Overall response rate · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

Next‐generation ALK inhibitor probably leads to higher overall response rate compared with crizotinib (moderate certainty).

1 finding from 1 review

Next‐generation ALK inhibitor vs crizotinib

Health‐related quality of life: time to deterioration in composite endpoint (cough, dyspnoea, and chest pain) · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

It is very uncertain whether next‐generation ALK inhibitor changes health‐related quality of life: time to deterioration in composite… compared with crizotinib (very low certainty).

1 finding from 1 review

Next‐generation ALK inhibitor vs crizotinib

Progression‐free survival · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

Next‐generation ALK inhibitor leads to lower progression‐free survival: overall population compared with crizotinib (high certainty).

1 finding from 1 review

Next‐generation ALK inhibitor vs crizotinib

Progression‐free survival in people with central nervous system disease · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

Next‐generation ALK inhibitor leads to lower progression‐free survival in people with central nervous system… compared with crizotinib (high certainty).

1 finding from 1 review