Evidence map›Paper›PMID 40421905›Full record

Observational studyFuture oncology (London, England)2025

Post-marketing surveillance of tirabrutinib in 189 patients with r/r primary central nervous system lymphoma.

Akira Kawasaki, Ichiro Matsumoto, Koji Izutsu, Ryo Nishikawa

Abstract readObservational Study
In one paragraph

Observational study in Future oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Dynamic changes in serum IL-6, TNF-Frontiers in medicine · 2026
    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.

Akira KawasakiDepartment of Pharmacovigilance, Ono Pharmaceutical Co., Ltd, Osaka, Japan.
Ichiro MatsumotoDepartment of Medical Affairs, Ono Pharmaceutical Co., Ltd, Osaka, Japan.
Koji IzutsuDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.
Ryo NishikawaDepartment of Neuro-Oncology/Neurosurgery, Saitama Medical University International Medical Center, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis post-marketing surveillance evaluated the safety and effectiveness of tirabrutinib in patients with relapsed/refractory primary central nervous system lymphoma (r/r PCNSL) in a real-world setting in Japan.

methodsAll patients with r/r PCNSL who started treatment with tirabrutinib between May 20 and 31 October 2020, were registered. Adverse drug reactions (ADRs) and effectiveness were assessed over 52-weeks from the start of tirabrutinib treatment.

resultsOf the 189 patients assessed for safety, 52.4% were male, the median age was 70.0 years (range 30-88), and 49.2% of patients had a Karnofsky performance status score of ≤60. ADRs of any grade and grade ≥3 were observed in 55.6% and 24.3% of patients, respectively. The most common ADRs were rash (11.6%), neutrophil (10.1%) and platelet (5.3%) count decreased. Most of the ADRs corresponding to infections, clinically significant skin disorders, myelosuppression, hypersensitivity, interstitial lung diseases, hepatic function disorders, and hemorrhages resolved or were in the process of resolving. Among the 121 patients assessed for effectiveness, the overall response rate evaluated by the treating physicians was 61.2%, and the 365-day survival rate was 69.8%.

conclusionThis surveillance confirmed the tolerability and effectiveness of tirabrutinib in patients with r/r PCNSL in the real-world setting. CLINICAL

trial registrationJapan Registry of Clinical Trials: jRCT2011210002.

Indexed as

Central Nervous System NeoplasmsLymphomaNeoplasm Recurrence, LocalProduct Surveillance, PostmarketingProtein Kinase InhibitorsPyrimidinesAdultAgedAged, 80 and overFemaleHumansImidazolesJapanMaleMiddle AgedTreatment OutcomeImidazolesProtein Kinase InhibitorsPyrimidinestirabrutinibbruton’s tyrosine kinasebruton’s tyrosine kinase inhibitorBTKJapanPCNSLpost-marketing surveillancePrimary central nervous system lymphomareal-worldtirabrutinib

Identifiers

PMID40421905
PMCPMC12150651

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.