Evidence map›Paper›PMID 25682576›Full record

Trial reportClinical lymphoma, myeloma & leukemia2015

Effects of ruxolitinib treatment on metabolic and nutritional parameters in patients with myelofibrosis from COMFORT-I.

Ruben A Mesa, Srdan Verstovsek, Vikas Gupta, John O Mascarenhas, Ehab Atallah, Timothy Burn, William Sun, Victor Sandor, Jason Gotlib

Open access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Clinical lymphoma, myeloma & leukemia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 83 citations in OpenAlex.

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  4. Dyslipidaemias in cancer patients.European heart journal · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Ruben A MesaMayo Clinic, Scottsdale, AZ. Electronic address: mesa.ruben@mayo.edu.
Srdan VerstovsekThe University of Texas M.D. Anderson Cancer Center, Houston, TX.
Vikas GuptaPrincess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
John O MascarenhasIcahn School of Medicine at Mount Sinai, New York, NY.
Ehab AtallahMedical College of Wisconsin, Froedtert Hospital, Milwaukee, WI.
Timothy BurnIncyte Corporation, Wilmington, DE.
William SunIncyte Corporation, Wilmington, DE.
Victor SandorIncyte Corporation, Wilmington, DE.
Jason GotlibStanford Cancer Institute, Stanford, CA.
Incyte (United States) · USIcahn School of Medicine at Mount Sinai · USMayo Clinic in Arizona · USMedical College of Wisconsin · USPrincess Margaret Cancer Centre · CAStanford Cancer InstituteThe University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
NCI NIH HHS P30 CA015083NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundIn the COMFORT (COntrolled MyeloFibrosis Study with ORal JAK Inhibitor Therapy)-I study, the Janus kinase (JAK)1/JAK2 inhibitor ruxolitinib provided significant reductions in splenomegaly, improvements in myelofibrosis (MF)-related symptoms, and a survival advantage relative to placebo in patients with intermediate-2 or high-risk MF. In this post hoc analysis, we assessed the effects of ruxolitinib treatment on measures of metabolic and nutritional status. PATIENTS AND

methodsPatients were randomized to receive ruxolitinib (n = 155; 15 or 20 mg twice a day for patients with baseline platelet counts of 100-200 × 10(9)/L or > 200 × 10(9)/L, respectively) or placebo (n = 154). The primary end point was the proportion of patients with a ≥ 35% spleen volume reduction from baseline to week 24. A secondary end point was the proportion of patients with ≥ 50% improvement in Total Symptom Score (TSS) from baseline to week 24, measured using the modified Myelofibrosis Symptom Assessment Form version 2.0. Weight, cholesterol, and albumin were measured at specified time points throughout the study.

resultsCompared with placebo, ruxolitinib treatment was associated with increased weight (mean change: 3.9 kg vs. -1.9 kg), total cholesterol (mean percentage change: 26.4% vs. -3.3%), and albumin levels (mean percentage change: 5.8% vs. -1.7%) at week 24; sustained improvements were observed with longer-term ruxolitinib therapy. Relative to placebo, increases in mean weight, total cholesterol, and albumin levels were observed with ruxolitinib treatment regardless of the degree of spleen volume and TSS reductions at 24 weeks.

conclusionTreatment with ruxolitinib improved measures of metabolic and nutritional status of patients with intermediate-2 or high-risk MF.

Indexed as

BiomarkersBody WeightCholesterolHumansJanus KinasesNitrilesOrgan SizePrimary MyelofibrosisProtein Kinase InhibitorsPyrazolesPyrimidinesSerum AlbuminSpleenTreatment OutcomeBiomarkersCholesterolJanus KinasesNitrilesProtein Kinase InhibitorsPyrazolesPyrimidinesruxolitinibSerum AlbuminAlbuminCachexiaCholesterolJAK inhibitorWeight

Identifiers

PMID25682576
PMCPMC4418454
OpenAlexW2016111806

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.