Evidence map›Paper›PMID 36637703›Full record

Observational studyInvestigational new drugs2023

Population Pharmacokinetics, Pharmacogenomics, and Adverse Events of Osimertinib and its Two Active Metabolites, AZ5104 and AZ7550, in Japanese Patients with Advanced Non-small Cell Lung Cancer: a Prospective Observational Study.

Emi Ishikawa, Yuta Yokoyama, Haruna Chishima, Hidefumi Kasai, Ouki Kuniyoshi, Motonori Kimura, Jun Hakamata, Hideo Nakada, Naoya Suehiro, Naoki Nakaya and 11 more

Open access · hybridFull text readObservational Study
In one paragraph

Observational study in Investigational new drugs, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

21 authors at 4 institutions in 1 country.

Emi IshikawaDivision of Pharmaceutical Care Sciences, Keio University Graduate School of Pharmaceutical Sciences, Tokyo, Japan.ORCID http://orcid.org/0000-0001-8802-9438
Yuta YokoyamaDivision of Pharmaceutical Care Sciences, Keio University Graduate School of Pharmaceutical Sciences, Tokyo, Japan. yokoyama-yt@pha.keio.ac.jp.ORCID http://orcid.org/0000-0001-9359-9945
Haruna ChishimaDivision of Pharmaceutical Care Sciences, Center for Social Pharmacy and Pharmaceutical Care Sciences, Keio University Faculty of Pharmacy, 1-5-30 Shibakoen, Minato-ku, 105-8512, Tokyo, Japan.
Hidefumi KasaiLaboratory of Pharmacometrics and Systems Pharmacology, Keio Frontier Research and Education Collaboration Square (K-FRECS) at Tonomachi, Keio University, Kawasaki, Kanagawa, Japan.ORCID http://orcid.org/0000-0001-5231-8027
Ouki KuniyoshiDepartment of Pharmacy, Ageo Central General Hospital, Ageo, Japan.
Motonori KimuraDepartment of Pharmacy, Keio University Hospital, Tokyo, Japan.
Jun HakamataDepartment of Pharmacy, Keio University Hospital, Tokyo, Japan.
Hideo NakadaDepartment of Pharmacy, Keio University Hospital, Tokyo, Japan.
Naoya SuehiroDepartment of Pharmacy, Keio University Hospital, Tokyo, Japan.
Naoki NakayaDepartment of Oncology, Ageo Central General Hospital, Ageo, Japan.
Hideo NakajimaDepartment of Oncology, Ageo Central General Hospital, Ageo, Japan.
Shinnosuke IkemuraDepartment of Respiratory Medicine, Graduate School of Medicine, University of Yamanashi, Yamanashi, Japan.ORCID http://orcid.org/0000-0002-0022-7307
Ichiro KawadaDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-8536-0018
Hiroyuki YasudaDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Hideki TeraiDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Aya JibikiDivision of Pharmaceutical Care Sciences, Center for Social Pharmacy and Pharmaceutical Care Sciences, Keio University Faculty of Pharmacy, 1-5-30 Shibakoen, Minato-ku, 105-8512, Tokyo, Japan.ORCID http://orcid.org/0000-0002-9478-7419
Hitoshi KawazoeDivision of Pharmaceutical Care Sciences, Keio University Graduate School of Pharmaceutical Sciences, Tokyo, Japan.ORCID http://orcid.org/0000-0002-0626-7908
Kenzo SoejimaDepartment of Respiratory Medicine, Graduate School of Medicine, University of Yamanashi, Yamanashi, Japan.ORCID http://orcid.org/0000-0001-9749-995X
Hiroshi MuramatsuDepartment of Pharmacy, Keio University Hospital, Tokyo, Japan.
Sayo SuzukiDivision of Pharmaceutical Care Sciences, Keio University Graduate School of Pharmaceutical Sciences, Tokyo, Japan.ORCID http://orcid.org/0000-0003-3094-104X
Tomonori NakamuraDivision of Pharmaceutical Care Sciences, Keio University Graduate School of Pharmaceutical Sciences, Tokyo, Japan.ORCID http://orcid.org/0000-0001-6955-5897
Keio University · JPKeio University Hospital · JPHakodate Central General Hospital · JPUniversity of Yamanashi · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPotential novel strategies for adverse event (AE) management of osimertinib therapy, including therapeutic drug monitoring and the use of biomarkers, have not yet been fully investigated. This study aimed to evaluate (1) the relationship between exposure to osimertinib, especially its active metabolites (AZ5104 and AZ7550), and AEs, and (2) the relationship between germline polymorphisms and AEs.

methodsWe conducted a prospective, longitudinal observational study of 53 patients with advanced non-small cell lung cancer receiving osimertinib therapy from February 2019 to April 2022. A population pharmacokinetic model was developed to estimate the area under the serum concentration-time curve from 0 to 24 h (AUC

resultsThere was a significant association between the AUC

conclusionHigher exposures to osimertinib, AZ5104, and AZ7550 and polymorphisms in EGFR, ABCG2, and ABCB1 were related to higher severity of AEs; therefore, monitoring these may be beneficial for osimertinib AE management.

Indexed as

ATP Binding Cassette Transporter, Subfamily BATP Binding Cassette Transporter, Subfamily B, Member 2Carcinoma, Non-Small-Cell LungErbB ReceptorsLung NeoplasmsAcrylamidesAniline CompoundsATP Binding Cassette Transporter, Subfamily G, Member 2East Asian PeopleHumansIndolesMutationNeoplasm ProteinsPharmacogeneticsProspective StudiesProtein Kinase InhibitorsABCB1 protein, humanABCG2 protein, humanAcrylamidesAniline CompoundsATP Binding Cassette Transporter, Subfamily BATP Binding Cassette Transporter, Subfamily B, Member 2ATP Binding Cassette Transporter, Subfamily G, Member 2AZ5104ErbB ReceptorsIndolesNeoplasm ProteinsosimertinibProtein Kinase InhibitorsPyrimidinesActive metabolitesAdverse eventsOsimertinibPharmacogenomicsPopulation pharmacokineticsTherapeutic drug monitoring

Identifiers

PMID36637703
PMCPMC10030409
OpenAlexW4315866328

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Textfull text, public
LicenceCC BY
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Registered trials

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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.