Evidence map›Paper›PMID 36189136›Full record

ArticleAACE clinical case reports

Hyperphosphatemic Tumoral Calcinosis With Pemigatinib Use.

Akshan Puar, Diane Donegan, Paul Helft, Matthew Kuhar, Jonathan Webster, Megana Rao, Michael Econs

Abstract readCase Reports
In one paragraph

Article in AACE clinical case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. The effects of elevated phosphate on the kidney - damaging the gatekeeper.Pflugers Archiv : European journal of physiology · 2026
    Review
  2. Review
  3. Soft tissue calcifications in chronic kidney disease-beyond the vasculature.Pflugers Archiv : European journal of physiology · 2025
    Review
  4. Article
  5. Article
  6. Alterations inAACE clinical case reports
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Akshan PuarDivision of Endocrinology Diabetes and Metabolism, Indiana University School of Medicine, Indianapolis, Indiana.
Diane DoneganDivision of Endocrinology Diabetes and Metabolism, Indiana University School of Medicine, Indianapolis, Indiana.
Paul HelftDivision of Hematology/Oncology, Indiana University School of Medicine, Indianapolis, Indiana.
Matthew KuharDepartment of Pathology, Indiana University School of Medicine, Indianapolis, Indiana.
Jonathan WebsterDepartment of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana.
Megana RaoDepartment of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana.
Michael EconsDivision of Endocrinology Diabetes and Metabolism, Indiana University School of Medicine, Indianapolis, Indiana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Objective: Pemigatinib, a fibroblast growth factor receptor (FGFR) 1-3 inhibitor, is a novel therapeutic approach for treating cholangiocarcinoma when an FGFR fusion or gene rearrangement is identified. Although the most reported side effect of pemigatinib is hyperphosphatemia, tumoral calcinosis with soft tissue calcifications is not widely recognized as a complication. We report a case of patient with hyperphosphatemic tumoral calcinosis on pemigatinib. Case Report: A 59-year-old woman with progressive metastatic cholangiocarcinoma, despite receiving treatment with cisplatin and gemcitabine for 7 months, was found to have an Discussion: Inhibition or deficiency of FGF-23 results in hyperphosphatemia and can lead to ectopic calcification. Pemigatinib, a potent inhibitor of FGFR-1-3, blocks the effect of FGF-23 leading to hyperphosphatemia and tumoral calcinosis as observed in our case. Treatment is aimed primarily at lowering serum phosphate levels through dietary restriction or phosphate binders; however, the regression of tumoral calcinosis can occur with pemigatinib cessation, as seen in this case. Conclusion: As the use of FGFR 1-3 inhibitors becomes more prevalent, we aim to raise attention to the potential side effects of tumoral calcinosis.

Indexed as

calcificationFGF-23, fibroblast growth factor-23FGFR, fibroblast growth factorfibroblast growth factor 23fibroblast growth factor receptorhyperphosphatemia

Identifiers

PMID36189136
PMCPMC9508588

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.