Evidence map›Paper›PMID 30962501›Full record

Trial reportBone marrow transplantation2020

Pre-hematopoietic cell transplant Ruxolitinib in patients with primary and secondary myelofibrosis.

Rachel B Salit, Bart L Scott, Emily A Stevens, Kelsey K Baker, Ted A Gooley, H Joachim Deeg

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Are transplant indications changing for myelofibrosis?Hematology. American Society of Hematology. Education Program · 2023
    Review
  7. Article
  8. Article
  9. Improving allogeneic stem cell transplantation in myelofibrosis.International journal of hematology · 2022
    Review
  10. Review
  11. Novel therapies vs hematopoietic cell transplantation in myelofibrosis: who, when, how?Hematology. American Society of Hematology. Education Program · 2021
    Review
  12. Current Management of Chronic Neutrophilic Leukemia.Current treatment options in oncology · 2021
    Review
  13. Article
  14. Review
  15. Review
  16. Review
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

6 authors at 2 institutions in 1 country.

Rachel B SalitClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. rsalit@fredhutch.org.
Bart L ScottClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Emily A StevensClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Kelsey K BakerClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Ted A GooleyClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
H Joachim DeegClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Fred Hutch Cancer Center · USUniversity of Washington Medical Center · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
NCI NIH HHS P30 CA015704
6 · The paper itself

Abstract

Ruxolitinib (Rux), a Jak1/2 inhibitor, results in reduced spleen size and improvement in constitutional symptoms in the majority of patients with myelofibrosis (MF). Therefore Rux, when given prior to hematopoietic cell transplantation (HCT) in patients with MF was hypothesized to improve engraftment, decrease incidence and severity of graft-versus-host disease, and lower non-relapse mortality (NRM). We conducted a phase II prospective trial to assess the effects of pre-HCT Rux on post-HCT outcomes in patients with MF. The primary endpoint was 2-year overall survival. To date, 28 patients (median age 56 years) have been transplanted. The median time on Rux pre-HCT was 7 months. Twenty-three patients received myeloablative and five reduced intensity conditioning. Donors included 14 HLA-matched siblings, 11 matched unrelated, 1 allele mismatched unrelated, and 3 umbilical cord blood. There have been no episodes of cytokine release syndrome and all patients achieved sustained engraftment. Two patients died from NRM and two patients relapsed. With a median follow-up of 13 months, overall survival is 93% (95% CI: 0.73, 0.98) at 1 year and 86% (95% CI: 0.61, 0.96) at 2 years post-HCT. This study demonstrates that pre-HCT Rux is well tolerated and suggests that pre-HCT Rux may improve post-HCT outcome.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationPrimary MyelofibrosisHumansMiddle AgedNitrilesProspective StudiesPyrazolesPyrimidinesSurvival AnalysisTransplantation ConditioningTreatment OutcomeNitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

PMID30962501
OpenAlexW2928179771

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.