Evidence map›Paper›PMID 40841499›Full record

ArticleOncology and therapy2025

A Phase 3 Study of the Efficacy and Safety of Pexidartinib in East Asian Patients with Tenosynovial Giant Cell Tumor.

Hairong Xu, Po-Kuei Wu, Zhaoming Ye, Zhengfu Fan, Tao Li, Tom Wei-Wu Chen, Jingnan Shen, Wangjun Yan, Issei Achiwa, Kazukoh Yoh and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Oncology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04488822 (Multicenter, Single Arm Study of the Efficacy and Safety of Pexidartinib in Adult Subjects With Tenosynovial Giant Cell Tumor), which is not on this 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

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.

NCT04488822 phase3active not recruitingnot on this map

Multicenter, Single Arm Study of the Efficacy and Safety of Pexidartinib in Adult Subjects With Tenosynovial Giant Cell Tumor

TypeinterventionalSponsorDaiichi Sankyo Co., Ltd.Ran2020 to 2027Enrolled40ConditionsTenosynovial Giant Cell TumorArmsPexidartinib
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

14 authors.

Hairong XuDepartment of Orthopedic Oncology Surgery, Beijing Ji Shui Tan Hospital, 31 Xinjiekou E St, Xicheng District, Beijing, 100035, China.
Po-Kuei WuOrthopedic Department of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan.
Zhaoming YeSecond Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Zhengfu FanPeking University Cancer Hospital, Beijing, China.
Tao LiZhejiang Cancer Hospital, Hangzhou, China.
Tom Wei-Wu ChenDepartment of Oncology, National Taiwan University Hospital and Graduate Institute of Oncology, National Taiwan University College of Medicine, Taipei, Taiwan.
Jingnan ShenFirst Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.
Wangjun YanFudan University Shanghai Cancer Center, Shanghai, China.
Issei AchiwaDaiichi Sankyo Co., LTD., Tokyo, Japan.
Kazukoh YohClinical Development, Daiichi Sankyo Co., LTD., Tokyo, Japan.
Kunika KikumoriData Intelligence, Daiichi Sankyo Co., LTD., Tokyo, Japan.
Yoshiharu HirumaMedical Safety Department, Daiichi Sankyo Co., LTD., Tokyo, Japan.
Jonathan GreenbergDaiichi Sankyo, Inc., Basking Ridge, NJ, USA.
Xiaohui NiuDepartment of Orthopedic Oncology Surgery, Beijing Ji Shui Tan Hospital, 31 Xinjiekou E St, Xicheng District, Beijing, 100035, China. niuxiaohui@263.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was to assess the efficacy and safety of pexidartinib, an inhibitor of colony-stimulating factor 1 receptor, in East Asian patients with tenosynovial giant cell tumor (TGCT).

methodsThis multicenter, single-arm, phase 3 study (NCT04488822) enrolled patients with symptomatic TGCT to receive pexidartinib 400 mg twice daily. The primary efficacy endpoint was overall response rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST v1.1) per central review at week 25. Secondary endpoints included ORR by tumor volume score (TVS), change in range of motion (ROM) of the affected joint, best overall response (BOR), and treatment-emergent adverse events (TEAEs).

resultsA total of 40 East Asian patients with TGCT received pexidartinib. RECIST v1.1 ORR was 22.5% (95% confidence interval [CI] 10.8-38.5), with no complete responses (CRs), 9 partial responses (PRs), 21 patients with stable disease (Sd), and 1 patient with progressive disease (PD). TVS ORR was 47.5% (95% CI 31.5-63.9), with no CRs, 19 PRs, 12 patients with Sd, and none with PD. At week 25, mean (standard error [SE]) change in ROM was 23.05 (3.207), with improvement noted at week 13 (15.64 [3.312]). RECIST v1.1 BOR was 30.0% (95% CI 16.6-46.5), and TVS BOR was 47.5% (95% CI 31.5-63.9). All patients had TEAEs, and grade ≥ 3 TEAEs were reported in 16 (40.0%) patients. The most common TEAEs were hair color changes (77.5%); increases in alanine aminotransferase (60.0%), aspartate aminotransferase (57.5%), and blood lactate dehydrogenase (47.5%); and pruritus (47.5%).

conclusionsIn East Asian patients with symptomatic TGCT, pexidartinib demonstrated clinical benefits, with a safety profile comparable to previous reports.

trial registrationClinicalTrials.gov identifier NCT04488822.

Indexed as

ChinaEast AsiaPexidartinibTaiwanTenosynovial giant cell tumorsTGCT

Identifiers

PMID40841499
PMCPMC12647421

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Registered trials

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.