Evidence map›Paper›PMID 40438996›Full record

ArticleFuture oncology (London, England)2025

TURALIO® Risk Evaluation and Mitigation Strategy (tREMS) program: 5-year retrospective hepatic safety assessment.

Abdul Waheed Rajper, Charles Dharmani, Lalitha Chilakapati, Oluwatosin Fofah, Margaret J Wooddell

Abstract read
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Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Review
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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

5 authors.

Abdul Waheed RajperClinical Safety & Pharmacovigilance, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.ORCID 0009-0000-6468-7380
Charles DharmaniGlobal Epidemiology, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.ORCID 0000-0003-3641-9738
Lalitha ChilakapatiClinical Safety & Pharmacovigilance, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.ORCID 0009-0009-0789-9956
Oluwatosin FofahGlobal Epidemiology, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.ORCID 0000-0003-2470-8276
Margaret J WooddellGlobal Oncology Medical Affairs, Daiichi Sankyo, Inc, Basking Ridge, NJ, USA.ORCID 0009-0008-3657-6614

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo assess hepatic safety data of pexidartinib in adult patients with tenosynovial giant cell tumor (TGCT) from the retrospective 5-year evaluation of the TURALIO® Risk Evaluation and Mitigation Strategy (tREMS) Program. PATIENTS &

methodsWe analyzed data collected from healthcare professionals, patients, pharmacies, and distributors who participated in the tREMS Program from August 2019 to June 2024.

resultsFor the current reporting period, June 2022 to June 2024, of the 524 patients enrolled in the tREMS with ≥ 1 dispense of pexidartinib, 24 (4.6%) had adverse events or laboratory abnormalities suggestive of serious and potentially fatal liver injury, with a total of 45/735 (6.1%) patients over 5 years. One (0.2%) patient in the current period had confirmed vanishing bile duct syndrome (VBDS) and was recovering at last follow-up. Another patient from the previous reporting period had unconfirmed VBDS and was alive with unknown recovery status at last follow-up. For the current reporting period and cumulative 5-year tREMS assessment, the reported frequency and pattern of liver injury were consistent with the phase 3 ENLIVEN trial.

conclusionsThe tREMS Program effectively mitigates the risk of hepatotoxicity through careful monitoring and early intervention. Pexidartinib remains a viable treatment option for TGCT when managed according to recommended guidelines.

Indexed as

Chemical and Drug Induced Liver InjuryAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentAdverse events (AEs)hepatotoxicitypexidartinibRisk Evaluation and Mitigation Strategy (REMS)tenosynovial giant cell tumor (TGCT)TURALIOtyrosine kinase inhibitorvanishing bile duct syndrome

Identifiers

PMID40438996
PMCPMC12150653

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