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Generic name: pemigatinibPEM-i-GA-ti-nib ]
Drug class: Multikinase inhibitors

Medically reviewed by Philip Thornton, DipPharm. Last updated on Dec 14, 2020.

What is Pemazyre?

Pemazyre is a kinase inhibitor that blocks the action of protein kinases.

Pemazyre a prescription medicine used in adults to treat bile duct cancer that has spread to other parts of the body (metastatic) or cannot be removed with surgery. This medicine is usually given after your cancer has been treated with another medicine.

Pemazyre is used only if your cancer has a specific genetic marker (an abnormal "FGFR2" gene). Your doctor will test you for this gene.

Pemazyre was approved by the US Food and Drug Administration (FDA) on an "accelerated" basis. In clinical studies, some people responded to Pemazyre, but further studies are needed.


Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

To make sure Pemazyre is safe for you, tell your doctor if you have ever had:

  • problems with your eyes;

  • vision problems; or

  • trouble swallowing pills.

You may need to have a negative pregnancy test before starting this treatment.

Both men and women using Pemazyre should use effective birth control to prevent pregnancy. Pemazyre can harm an unborn baby or cause a miscarriage if the mother or father is using this medicine.

Keep using birth control for at least 1 week after your last dose. Tell your doctor right away if a pregnancy occurs while either the mother or the father is using Pemazyre.

Do not breastfeed while using this medicine, and for at least 1 week after your last dose.

How should I take Pemazyre?

Take Pemazyre exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

Pemazyre is given in a 21-day treatment cycle. You will take the medicine only during the first 2 weeks of each cycle. Your doctor will determine how long to treat you with this medicine.

Take the medicine at the same time each day, with or without food.

Swallow the tablet whole and do not crush, chew, break, or dissolve it.

If you vomit shortly after taking Pemazyre, do not take another dose. Wait until your next scheduled dose time to take the medicine again.

Pemazyre can cause you to have eye problems. An eye doctor will need to examine your eyes before you start taking this medicine, and every 2 to 3 months while you are taking it. Follow any instructions about using artificial tears or lubricating eye gel to treat or prevent dry eyes.

Pemazyre can cause you to have high levels of phosphate in your blood. Your blood will need to be tested often. Your cancer treatments may be delayed based on the results.

You may be given other medication to help lower your phosphate. Keep using this medicine for as long as your doctor has prescribed.

You may also need to follow a special diet. Follow all instructions of your doctor or dietitian. Learn about the foods to eat or avoid to help control your phosphate levels.

Store at room temperature away from moisture and heat.

Dosing information

Usual Adult Dose for Cholangiocarcinoma of biliary tract:

13.5 mg orally once daily for 14 consecutive days followed by 7 days off therapy, in 21-day cycles until disease progression or unacceptable toxicity

Use: for the treatment of adults with previously treated, unresectable locally advanced or metastatic cholangiocarcinoma with a fibroblast growth factor receptor 2 (FGFR2) fusion or other rearrangement.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if you are more than 4 hours late for the dose. Do not take two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What to avoid

Grapefruit may interact with Pemazyre and lead to unwanted side effects. Avoid the use of grapefruit products.

Pemazyre side effects

Get emergency medical help if you have signs of an allergic reaction to Pemazyre: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • eye problems--eye pain or redness, dry or puffy eyes, watery eyes, your eyes may be more sensitive to light;

  • vision changes--blurred vision, seeing black spots or "floaters," or seeing flashes of light; or

  • high phosphate levels in your blood--muscle cramps, numbness, tingly feeling around your mouth.

Your cancer treatments may be delayed or permanently discontinued if you have certain side effects.

Common Pemazyre side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Pemazyre?

Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.

Other drugs may affect Pemazyre, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Pemazyre only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.