Chinese Journal of Pharmacovigilance ›› 2026, Vol. 23 ›› Issue (7): 826-828.
DOI: 10.19803/j.1672-8629.20260143

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One case of severe hepatotoxicity caused by fulzerasib tables

Jiang Wei1,3, Hou Kaifeng2, Xu Lei4, Ding Li3, Xu Yingying3, Ge Hailin3, Wang Junping1, Jiang Jiemei3,*   

  1. 1Hefei Cancer Hospital, Chinese Academy of Sciences, Pharmacy Center, Hefei Anhui 230031, China;
    2Hefei Cancer Hospital, Chinese Academy of Sciences, Lymphoma, Hefei Anhui 230031, China;
    3Department of Pharmacy, the First Affiliated Hospital of Anhui Medical University, Hefei Anhui 230031, China;
    4Department of Radiation Oncology, the First Affiliated Hospital of Anhui Medical University, Hefei Anhui 230031, China
  • Received:2026-02-12 Online:2026-07-15 Published:2026-07-16

Abstract: Objective To investigate the risk factors, potential mechanisms and therapeutic strategies related to drug-induced liver injury (DILI) caused by fulzerasib tablets so as to provide references for safe clinical medication. Methods One case of advanced non-small cell lung cancer treated with fulzerasib tablets was analyzed, DILI induced by targeted drugs was identified, and the pathogenesis and targeted therapeutic strategies were explored. Results The patient developed severe cholestatic DILI after treatment with fulzerasib tablets. Causality assessment suggested the association with fulzerasib was “probable”. After drug discontinuation and hepatoprotective and cholagogic treatment, the patient’s indicators of liver function were significantly improved. Conclusion Risk factors for hepatotoxicity during clinical use of antineoplastic drugs deserve attention. In case of adverse reactions of DILI, quick drug withdrawal and symptomatic treatment are critical.

Key words: Fulzerasib Tablets, Targeted Therapy, Non-Small Cell Lung Cancer, Cholestatic, Drug-Induced Liver Injury(DILI), Hepatotoxicity, Adverse Drug Reaction

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