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December 26, 2019HaematologicaOpen Access

Ruxolitinib and interferon-α2 combination therapy for patients with polycythemia vera or myelofibrosis: a phase II study

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Authors

ASAnders Lindholm SørensenSMStine Ulrik MikkelsenTKTrine Alma Knudsen

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Overview

Randomized trial demonstrates remissions and reduced symptom burden in polycythemia vera and myelofibrosis, suggesting viable combination therapy.

Key Points

  • To assess the 2-year efficacy, safety, and symptom response of ruxolitinib combined with low-dose pegylated interferon-α2 in patients with polycythemia vera or myelofibrosis.
  • Conducted a 2-year phase II trial (EudraCT2013-003295-12) evaluating combination ruxolitinib and low-dose pegylated interferon-α2.
  • Enrolled 50 participants, comprising N=32 with polycythemia vera and N=18 with primary or secondary myelofibrosis, of whom 46 were previously intolerant of or refractory to pegylated interferon-α2.
  • Remission occurred in 31% (10/32) of patients with polycythemia vera (complete remission in 9% [3/32]) and in 44% (8/18) of patients with myelofibrosis (complete remission in 28% [5/18]).
  • Total symptom scores decreased from 22 (95% CI: 16–29) at baseline to 15 (95% CI: 10–22) after 2 years.
  • Median JAK2 V617F allele burden declined from 47% (95% CI: 33–61%) to 12% (95% CI: 6–22%), with 41% of participants reaching a molecular response.

Cite This Study

Sørensen et al. (2019) studied this question.

synapsesocial.com/papers/6a104ed0e1a472cb5efcaa24https://doi.org/10.3324/haematol.2019.235648
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Also Consider

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  1. 1Cardiovascular Events and Intensity of Treatment in Polycythemia Vera2012 · 837 citations
  2. 2Ropeginterferon alfa-2b, a novel IFNα-2b, induces high response rates with low toxicity in patients with polycythemia vera2015 · 189 citations
  3. 3Long-term effects of ruxolitinib versus best available therapy on bone marrow fibrosis in patients with myelofibrosis2018 · 81 citations
  4. 4Thromboembolic events in polycythemia vera2019 · 141 citations
  5. 5Long-term survival in patients treated with ruxolitinib for myelofibrosis: COMFORT-I and -II pooled analyses2017 · 307 citations