Ruxolitinib is effective in patients with intermediate-1 risk myelofibrosis: a summary of recent evidence.

Abstract:

:Ruxolitinib is the only therapy with an approved indication for myelofibrosis (MF), a myeloproliferative neoplasm associated with progressive bone marrow fibrosis and extramedullary hematopoiesis. Although the pivotal phase 3 COMFORT studies included only patients with intermediate-2 or high-risk MF, the US indication includes all patients with intermediate- or high-risk disease. Data from recent nonrandomized studies confirm that the benefits of ruxolitinib established in the COMFORT studies in terms of spleen size reduction and symptom improvement also extend to patients with intermediate-1 risk MF, who tend to have less advanced disease than patients with higher-risk MF. Given the disease-modifying potential of ruxolitinib therapy, timely initiation of ruxolitinib therapy may not only improve patients' current clinical status but also lead to better long-term outcomes. The decision of whether or when to initiate ruxolitinib treatment should be based on the expected benefit-risk ratio for each patient, specifically considering potential adverse effects.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Harrison CN,Talpaz M,Mead AJ

doi

10.1080/10428194.2016.1195501

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

2259-67

issue

10

eissn

1042-8194

issn

1029-2403

journal_volume

57

pub_type

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