Evidence map›Paper›PMID 41566036›Full record

ArticleCancer chemotherapy and pharmacology2026

Drug-drug interactions with pioglitazone, losartan, and midazolam and anti-tumor efficacy and safety study of TAS-115 in patients with solid tumors.

Yuki Katsuya, Satoshi Takenaka, Shunji Takahashi, Noboru Yamamoto

Abstract read
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Article in Cancer chemotherapy and pharmacology, 2026. 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

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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

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.

Yuki KatsuyaDepartment of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, 104-0045, Japan.
Satoshi TakenakaMusculoskeletal Oncology Service, Osaka International Cancer Institute, Osaka, 541-8567, Japan.
Shunji TakahashiDepartment of Medical Oncology, The Cancer Institute Hospital of JFCR, Tokyo, 135-8550, Japan.
Noboru YamamotoDepartment of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, 104-0045, Japan. nbryamam@ncc.go.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTAS-115 is an oral multi-kinase inhibitor currently under development for the treatment of osteosarcoma and chronic fibrosing interstitial lung diseases with a progressive phenotype. In this study, we evaluated the effect of multiple administrations of TAS-115 on the pharmacokinetic (PK) changes in CYP2C8, CYP2C9, and CYP3A4 substrates, as well as its anti-tumor efficacy and safety in patients with solid tumors.

methodsPatients received a single oral dose of pioglitazone (CYP2C8 substrate) followed by a cocktail dose of losartan (CYP2C9 substrate) and midazolam (CYP3A4 substrate), both before and during the period of multiple oral TAS-115 doses to evaluate the impact on individual drug PKs with and without TAS-115. Patients who met the inclusion criteria received multiple administrations of TAS-115 in a 21-day cycle (5 days on, 2 days off) until the treatment discontinuation criteria were met.

resultsTAS-115 increased the area under the plasma concentration-time curve from time 0 to infinity (AUCinf) for pioglitazone, losartan, midazolam and 1-hydroxymidazolam by a geometric mean ratio (GMR) of 1% (90% confidence interval: 0.91–1.12), 11% (0.97–1.26), -7% (0.84–1.03) and 5% (0.95–1.15), respectively. No additional or unexpected toxicities occurred. The overall response rate (ORR) was 6.3% and the disease control rate (DCR) was 37.5% for patients with solid tumors, including ORR of 25% and DCR of 50% for four patients with osteosarcoma.

conclusionTAS-115 had a limited impact on drug-drug interactions mediated by CYP2C8, CYP2C9, and CYP3A4. Further, the antitumor efficacy and safety profile of TAS-115 suggest its potential as a treatment option for osteosarcoma. TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION: jRCT2031210372, October 11, 2021.

Indexed as

Antineoplastic AgentsLosartanMidazolamNeoplasmsPioglitazoneAdministration, OralAdultAgedArea Under CurveCytochrome P-450 CYP2C8Cytochrome P-450 CYP2C9Cytochrome P-450 CYP3ADrug InteractionsFemaleHumansMaleAntineoplastic AgentsCYP2C8 protein, humanCYP2C9 protein, humanCYP3A4 protein, humanCytochrome P-450 CYP2C8Cytochrome P-450 CYP2C9Cytochrome P-450 CYP3ALosartanlosartan carboxylic acidMidazolamPioglitazonePPAR-gamma AgonistsCocktailCytochrome P450Drug–drug interactionsOsteosarcomaPamufetinibTAS-115

Identifiers

PMID41566036
PMCPMC12823633

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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.