Evidence map›Paper›PMID 40386584›Full record

ReviewJournal of gastrointestinal oncology2025

Safety and efficacy of pemigatinib in patients with cholangiocarcinoma: a systematic review.

Warda Rasool, Yassine Alami Idrissi, Owais Ahmad, Shree Rath, Fatima Saeed, Mohamed Saad Sayed, Bhavya Sharma, Arwa Amer Ibrahim, Ajanta Kumari, Irfan Ullah and 1 more

Abstract readReview
In one paragraph

Review in Journal of gastrointestinal oncology, 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. Review
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Warda Rasool *Faculty of Medicine, King Edward Medical University, Lahore, Pakistan.
Yassine Alami Idrissi *University of Pittsburgh Medical Center (UPMC) & UPMC Hillman Cancer Center, Pittsburgh, PA, USA.ORCID https://orcid.org/0009-0000-6565-4679
Owais AhmadIslamic International Medical College, Riphah International University, Rawalpindi, Pakistan.
Shree RathAll India Institute of Medical Sciences, Bhubaneswar, India.
Fatima SaeedUnited Medical and Dental College, Karachi, Pakistan.
Mohamed Saad SayedFaculty of Medicine, Beni-Suef University, Beni Suef, Egypt.
Bhavya SharmaBaroda Medical College and SSG Hospital, Vadodara, India.
Arwa Amer IbrahimCollege of Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Ajanta KumariDow University of Health Sciences, Karachi, Pakistan.
Irfan UllahDepartment of Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan.
Anwaar SaeedUniversity of Pittsburgh Medical Center (UPMC) & UPMC Hillman Cancer Center, Pittsburgh, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cholangiocarcinoma (CCA) is an aggressive bile duct cancer with limited therapeutic options and poor prognosis. pemigatinib, a selective Methods: A comprehensive systematic review was conducted across PubMed, Scopus, Embase, Cochrane Library, and Web of Science to identify studies investigating pemigatinib in CCA patients. Five studies involving a total of 459 patients met the inclusion criteria. Results: Pemigatinib demonstrated an overall objective response rate (ORR) of 43.2%, with a complete response (CR) achieved in 3% of patients. Stable disease was observed in 36.9% of patients, while 14.9% experienced disease progression. Median progression-free survival (PFS) varied across studies, due to differences in patient cohorts. The most common adverse effects (AEs) included hyperphosphatemia (48%), diarrhea (28.6%), fatigue (33%), and dry eyes (20.1%). Conclusions: This systematic review suggests that pemigatinib has modest therapeutic efficacy in CCA patients, with a considerable proportion achieving disease control. However, the ORR of less than 50% highlights the potential need for combination or sequential therapies to improve outcomes. Close monitoring and management of AEs, particularly hyperphosphatemia, are crucial for optimizing treatment. Further large-scale randomized trials and research are warranted to identify predictive biomarkers and optimize pemigatinib-based treatment strategies for CCA patients with FGFR2 alterations.

Indexed as

Cholangiocarcinoma (CCA)FGFR inhibitorspemigatinibtargeted therapy

Identifiers

PMID40386584
PMCPMC12078806

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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.