Evidence map›Paper›PMID 31536656›Full record

Observational studyEuropean journal of haematology2019

Survival outcomes in myelofibrosis patients treated with ruxolitinib: A population-based cohort study in Sweden and Norway.

Frida Schain, Emese Vago, Ci Song, Jianming He, Johan Liwing, Christina Löfgren, Magnus Björkholm

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of haematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Novel treatments for myelofibrosis: beyond JAK inhibitors.International journal of hematology · 2022
    Review
  12. Article
  13. Article
  14. Observational
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

7 authors.

Frida SchainJanssen Global Services, Solna, Sweden.ORCID https://orcid.org/0000-0002-7671-9471
Emese VagoJanssen Cilag Kft, Budapest, Hungary.
Ci SongJanssen Global Services, Solna, Sweden.
Jianming HeJanssen Pharmaceuticals LLC, Raritan, NJ, USA.
Johan LiwingJanssen Global Services, Solna, Sweden.
Christina LöfgrenJanssen Pharmaceuticals LLC, Raritan, NJ, USA.
Magnus BjörkholmDivision of Hematology, Department of Medicine, Karolinska University Hospital Solna and Karolinska Institutet, Stockholm, Sweden.

Funding

Janssen Research & Development, LLC
6 · The paper itself

Abstract

objectiveTo estimate survival in Swedish and Norwegian myelofibrosis (MF) patients who received ruxolitinib.

methodsSwedish and Norwegian patients with MF diagnosis in the National Cancer Registries (Sweden: 2001-2015; Norway: 2002-2016) and ≥1 record of ruxolitinib in the Prescribed Drug Registries (2013-2017) were included. Patients were followed from ruxolitinib initiation until death or end of follow-up; those who discontinued ruxolitinib were followed from ruxolitinib discontinuation. Relative survival (RS) and excess mortality rate ratios (EMRRs) were calculated vs a matched general population. Average loss in life expectancy (LEL) was predicted using flexible parametric models.

resultsAmong patients who initiated ruxolitinib (n = 190), 1- and 4-year RS were 0.80 (95% confidence interval [CI]: 0.74, 0.86) and 0.52 (95% CI: 0.42, 0.64), respectively, and LEL was 11 years. EMRR was greater in patients aged >70 vs <60 years (3.16; 95% CI: 1.34-7.40). Among patients who discontinued ruxolitinib (n = 71), median RS was 16.0 months (95% CI: 6.3, NE), and LEL was 12 years. After ruxolitinib treatment discontinuation, Swedish patients (n = 37) received glucocorticoids, hydroxyurea, busulfan, danazol and lenalidomide.

conclusionSwedish and Norwegian MF patients who discontinued ruxolitinib had dismal survival outcomes and limited subsequent treatment options, highlighting the need for improved therapies.

Indexed as

RegistriesAgedBusulfanDanazolDisease-Free SurvivalFemaleFollow-Up StudiesGlucocorticoidsHumansHydroxyureaLenalidomideMaleMiddle AgedNitrilesNorwayPregnancyBusulfanDanazolGlucocorticoidsHydroxyureaLenalidomideNitrilesPyrazolesPyrimidinesruxolitinibhematopoiesis and hematopathologymyeloproliferative neoplasms

Identifiers

PMID31536656
PMCPMC6899943

What OpenQuestion holds

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Registered trials

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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.