Evidence map›Paper›PMID 40742660›Full record

Observational studyAdvances in therapy2025

Long-Term Safety and Efficacy of Pemafibrate to Treat Hyperlipidemia: Post-marketing Surveillance Over a 24-Month Observation Period in Japan.

Mao Watanabe, Michiko Nakanishi, Wataru Shingaki, Ryoji Gunji, Yuichi Makinose, Takashi Kanno, Shun Ishibashi

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Mao WatanabeMedical Affairs Department, Kowa Company, Ltd., 4-10, Nihonbashi-Honcho 3-Chome, Chuo-Ku, Tokyo, 103-0023, Japan. m-watanabe@kowa.co.jp.ORCID http://orcid.org/0009-0005-3960-7883
Michiko NakanishiPostmarketing Surveillance Department, Kowa Company, Ltd., Tokyo, Japan.
Wataru ShingakiPostmarketing Surveillance Department, Kowa Company, Ltd., Tokyo, Japan.
Ryoji GunjiPostmarketing Surveillance Department, Kowa Company, Ltd., Tokyo, Japan.
Yuichi MakinosePostmarketing Surveillance Department, Kowa Company, Ltd., Tokyo, Japan.
Takashi KannoPostmarketing Surveillance Department, Kowa Company, Ltd., Tokyo, Japan.
Shun IshibashiDivision of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, Jichi Medical University, Tochigi, Japan.ORCID http://orcid.org/0000-0002-1063-1979

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPemafibrate was well tolerated and effective in clinical trials that led to its approval to treat hyperlipidemia. However, these clinical trials typically have limitations and may not sufficiently assess the performance of pemafibrate in the real-world setting. Therefore, the aim of this study was to evaluate the long-term safety and efficacy of pemafibrate in patients with hyperlipidemia in Japan.

methodsThis was a prospective, multicenter, open-label, observational post-marketing surveillance (PMS) study. Patients with hyperlipidemia were observed for 24 months from the start of pemafibrate treatment. Safety evaluations included the incidence of adverse drug reactions (ADRs), subgroup analysis of ADRs, and changes in laboratory test values. Efficacy was determined by the changes in lipid test values from baseline.

resultsA total of 3672 cases were registered from 612 facilities in Japan. In the safety analysis, 68.1% of patients were male, mean age was 60.8 years, and 37.8% were switched to pemafibrate from other dyslipidemia agents. In total, 147 patients (4.07%) experienced ADRs; serious ADRs were reported in 8 patients (0.22%). The most common ADRs included abnormalities in laboratory tests (n = 60; 1.66%), hepatobiliary disorders (n = 24, 0.66%), musculoskeletal and connective tissue disorders (n = 14, 0.39%), and metabolic and nutritional disorders (n = 14, 0.39%). No incidents of rhabdomyolysis occurred, and 37 (1.02%) patients experienced rhabdomyolysis-related ADRs. Renal-related ADRs occurred in 13 patients (0.36%). When subdivided by patient background, the incidence of ADRs was significantly higher in patients aged ≥ 75 years than < 75 years (P = 0.028). There were no significant differences in other subgroups. The mean percent change in mixed fasting and non-fasting triglyceride levels was - 35.2% (P < 0.001). High- and low-density lipoprotein cholesterol levels both increased significantly.

conclusionThis PMS study demonstrated the safety and efficacy of pemafibrate after long-term administration in patients with hyperlipidemia.

Indexed as

BenzoxazolesButyratesHyperlipidemiasHypolipidemic AgentsAdultAgedFemaleHumansJapanMaleMiddle AgedProduct Surveillance, PostmarketingProspective StudiesTreatment OutcomeBenzoxazolesButyratesHypolipidemic Agents(R)-2-(3-((benzoxazol-2-yl-d4 (3-(4-methoxyphenoxy-d7)propyl)amino)methyl)phenoxy) butanoic acidEfficacyPemafibratePPARαProspective post-marketing surveillanceSafetySPPARMα

Identifiers

PMID40742660
PMCPMC12474603

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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.