Evidence map›Paper›PMID 39191376›Full record

Observational studyJournal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners2025

Withdrawal pain following patients discontinuing Trk inhibitors.

Alan Chin, Sheila Lindsay, Emily K Bergsland, Hyunseok Kang

Abstract readObservational Study
In one paragraph

Observational study in Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. TRK inhibitors in pediatric gliomas.Neuro-oncology advances · 2026
    Review
  3. Article
  4. 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

4 authors.

Alan ChinDepartment of Pharmacy, University of California San Francisco Medical Center, San Francisco, CA, USA.ORCID 0009-0007-2429-4735
Sheila LindsayUniversity of California, San Francisco-Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Emily K BergslandUniversity of California, San Francisco-Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Hyunseok KangUniversity of California, San Francisco-Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis article aims to expand on the existing literature regarding the incidence of withdrawal pain following discontinuation of Trk inhibitors and to explore strategies that mitigate this withdrawal pain. DATA SOURCE: A retrospective observational study was conducted among patients who were at least 18 years-old or older and had documentation of starting larotrectinib or entrectinib at University of California, San Francisco (UCSF) between November 2018 and November 2022. Data were collected from electronic records and pharmacy databases and a total of 21 patients were identified in this study. DATA SUMMARY: Of the 21 patients included in this study, five patients (24%) experienced pain during temporary or permanent discontinuation of Trk inhibitor with the onset of withdrawal pain ranging from a few hours to three days following discontinuation. Various strategies were implemented to manage this pain including restarting of Trk inhibitor, tapering of Trk inhibitor on discontinuation, minimizing dose interruptions and use of prescription pain medications.

conclusionThis article illustrates the presence of withdrawal pain syndrome in patients stopping a Trk inhibitor treatment and highlight the need for patient education to avoid missing any doses and for development of a guideline for Trk inhibitor discontinuation.

Indexed as

BenzamidesProtein Kinase InhibitorsPyrimidinesSubstance Withdrawal SyndromeAdultAgedAged, 80 and overFemaleHumansIndazolesMaleMiddle AgedPyrazolesRetrospective StudiesBenzamidesentrectinibIndazoleslarotrectinibProtein Kinase InhibitorsPyrazolesPyrimidinesentrectiniblarotrectinibNTRKTrk inhibitorswithdrawal pain

Identifiers

PMID39191376
PMCPMC11771077

What OpenQuestion holds

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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.