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June 21, 2012BloodOpen Access

Long-term outcomes of 107 patients with myelofibrosis receiving JAK1/JAK2 inhibitor ruxolitinib: survival advantage in comparison to matched historical controls

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Authors

SVSrđan VerstovšekHKHagop M. KantarjianZEZeev Estrov

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Overview

Clinical trial analysis reveals improved overall survival with ruxolitinib in myelofibrosis, suggesting a disease-modifying advantage over historical controls.

Key Points

  • To evaluate the long-term clinical efficacy, tolerability, and overall survival of patients with intermediate-2 or high-risk myelofibrosis treated with ruxolitinib compared to matched historical controls.
  • Analyzed 107 patients with intermediate-2 or high-risk myelofibrosis treated with ruxolitinib at MD Anderson Cancer Center in a phase 1/2 trial with a median follow-up of 32 months.
  • Compared overall survival against 310 matched historical control patients identified using the trial's enrollment criteria.
  • Overall survival was significantly superior in ruxolitinib-treated patients compared to 310 matched historical controls (P = .005), driven by a marked survival advantage in the high-risk subgroup (P = .006).
  • Treatment was maintained in 54% of patients at a median follow-up of 32 months, with cumulative discontinuation rates of 24% at 1 year, 36% at 2 years, and 46% at 3 years.
  • Patients achieving a ≥50% reduction in splenomegaly experienced significantly prolonged survival compared to those with a <25% reduction (P < .0001).

Cite This Study

Verstovšek et al. (2012) studied this question.

synapsesocial.com/papers/69dff21c2c052bbf722554c3https://doi.org/10.1182/blood-2012-02-414631
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Also Consider

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