Evidence map›Paper›PMID 41148042›Full record

ArticleThe oncologist2025

Economic and clinical outcomes among patients with cholangiocarcinoma receiving pemigatinib with or without history of cancer of unknown primary.

Sumit Verma, Alejandro Hughes, Nicole M Engel-Nitz, Christina Steiger, Shreekant Parasuraman, Milind Javle, Sunyoung S Lee, Fen Saj, Michael Blecker

Abstract read
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Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

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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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

9 authors.

Sumit VermaIncyte Corp., Wilmington, DE, United States.
Alejandro HughesOptum, Inc., Eden Prairie, MN, United States.ORCID 0009-0001-3029-675X
Nicole M Engel-NitzOptum, Inc., Eden Prairie, MN, United States.
Christina SteigerOptum, Inc., Eden Prairie, MN, United States.
Shreekant ParasuramanIncyte Corp., Wilmington, DE, United States.
Milind JavleDivision of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0001-9158-0941
Sunyoung S LeeDivision of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Fen SajDivision of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Michael BleckerIncyte Corp., Wilmington, DE, United States.

Funding

Incyte Corp
6 · The paper itself

Abstract

backgroundThere is limited evidence regarding the economic burden, treatment patterns, and overall survival (OS) of patients with cholangiocarcinoma (CCA) and cancer of unknown primary (CUP) who initiated the FGFR inhibitor pemigatinib. PATIENTS AND

methodsWe used the Komodo Healthcare Map to identify patients with CCA who initiated pemigatinib between 4/17/2020 and 5/31/2023. Follow-up began at initiation and lasted ≥ 1 month. Outcomes included health care resource utilization (HCRU), costs, treatment patterns, and OS.

resultsTwo hundred twenty-one patients were included: 78 patients (35.3%) with CUP (median follow-up, 5.9 months) and 143 patients (64.7%) without CUP (median follow-up, 7.3 months). Pemigatinib was similarly well-tolerated in CUP vs non-CUP. Discontinuation was observed in 43.6% vs 49.0% (P = .445). Medication possession ratio ≥ 0.80 was achieved by 71.6% vs 67.2% (P = .504). CUP was associated with significantly higher prevalence of metastatic disease (100.0% vs 63.6%), per patient per month (PPPM) ambulatory HCRU (8.2 vs 5.5), and ambulatory costs ($8584 vs $5308). Medical costs averaged $13 444 vs $9881 PPPM for CUP and non-CUP, respectively (P = .066). Median OS was significantly shorter with CUP (10.2 vs 30.7 months).

conclusionAlthough pemigatinib was similarly well-tolerated regardless of CUP status, patients with CUP incurred greater ambulatory burden and had poorer OS. Patients with CUP were more likely to have evidence of metastatic disease at pemigatinib initiation, which may help explain these results. With the advent of targeted treatments for gene-altered CCA, reflexive genomic testing should be encouraged for all patients with CUP.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaMorpholinesNeoplasms, Unknown PrimaryPyrimidinesPyrrolesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomeMorpholinespemigatinibPyrimidinesPyrrolesbiliary tract cancercancer of unknown primarycholangiocarcinomaFGFRhealth care costshealth care resource utilization

Identifiers

PMID41148042
PMCPMC12611303

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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.