Evidence map›Paper›PMID 27592020›Full record

ReviewPharmacoEconomics2017

A Review of Ruxolitinib for the Treatment of Myelofibrosis: A Critique of the Evidence.

Ros Wade, Robert Hodgson, Mousumi Biswas, Melissa Harden, Nerys Woolacott

Abstract readReview
PubMed Publisher
In one paragraph

Review in PharmacoEconomics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Efficacy of JAK inhibitors in Crohn's Disease.Journal of Crohn's & colitis · 2020
    Review
  2. Ruxolitinib Alleviates Renal Interstitial Fibrosis in UUO Mice.International journal of biological sciences · 2020
    Article
  3. Article
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

5 authors at 2 institutions in 1 country.

Ros WadeCentre for Reviews and Dissemination (CRD), University of York, York, YO10 5DD, UK. ros.wade@york.ac.uk.ORCID 0000-0002-8666-8110
Robert HodgsonCentre for Reviews and Dissemination (CRD), University of York, York, YO10 5DD, UK.
Mousumi BiswasCentre for Reviews and Dissemination (CRD), University of York, York, YO10 5DD, UK.
Melissa HardenCentre for Reviews and Dissemination (CRD), University of York, York, YO10 5DD, UK.
Nerys WoolacottCentre for Reviews and Dissemination (CRD), University of York, York, YO10 5DD, UK.
University of York · GBKleijnen Systematic Reviews (United Kingdom) · GB

Funding

Department of Health 14/206/01
6 · The paper itself

Abstract

As part of the National Institute for Health and Care Excellence's (NICE) Single Technology Appraisal (STA) process, ruxolitinib was assessed to determine the clinical and cost effectiveness of its use in the treatment of disease-related splenomegaly or symptoms in adults with myelofibrosis. Ruxolitinib had previously been assessed as part of the STA process and was not recommended in NICE guidance issued in June 2013 (TA289). A review of TA289 was commissioned following the availability of new longer-term survival data; a price discount patient access scheme (PAS) was also introduced. The Centre for Reviews and Dissemination (CRD) and Centre for Health Economics (CHE) Technology Appraisal Group at the University of York was commissioned to act as the independent Evidence Review Group (ERG). This article provides a summary of the manufacturer or sponsor of the technology's (referred to as the company) submission, the ERG review and the resulting NICE guidance issued in March 2016. The main clinical effectiveness data were derived from two good-quality multicentre randomised controlled trials (RCTs): COMFORT-II compared ruxolitinib with best available therapy (BAT) and COMFORT-I compared ruxolitinib with placebo. Both RCTs demonstrated a statistically significant reduction in splenomegaly and its associated symptoms in intermediate-2 and high-risk myelofibrosis patients. Overall survival was statistically significantly improved with ruxolitinib compared with BAT at 3.5 years of follow-up in the COMFORT-II trial (hazard ratio 0.58, 95 % CI 0.36-0.93). Grade 3-4 adverse events were more frequent in the ruxolitinib group than in the BAT group; 42 % compared with 25 %. Evidence relating to patients with lower-risk disease or low platelet counts (50-100 × 10

Indexed as

AdultCost-Benefit AnalysisHumansModels, EconomicNitrilesPrimary MyelofibrosisPrognosisPyrazolesPyrimidinesQuality-Adjusted Life YearsRandomized Controlled Trials as TopicSplenomegalyTechnology Assessment, BiomedicalUnited KingdomNitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

PMID27592020
OpenAlexW2517863537

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.