Evidence map›Paper›PMID 32343799›Full record

ArticleBlood advances2020

Fedratinib in myelofibrosis.

Ann Mullally, John Hood, Claire Harrison, Ruben Mesa

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 82 citations in OpenAlex.

  1. Review
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  6. [Myelofibrosis: watch and wait or treat?]Innere Medizin (Heidelberg, Germany) · 2026
    Review
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  9. Article
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  12. Review
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  14. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Ann MullallyDivision of Hematology, Department of Medicine, Brigham and Women's Hospital, and.
John HoodEndeavor Biomedicines, San Diego, CA.
Claire HarrisonGuy's and St. Thomas' NHS Foundation Trust, London, United Kingdom; and.
Ruben MesaMays Cancer Center, UT Health San Antonio MD Anderson, San Antonio, TX.
Broad Institute · USGuy's and St Thomas' NHS Foundation Trust · GBThe University of Texas Health Science Center at San Antonio · US

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Robin Jean Leach · 1991 to 2026
$59.1M
Functional and Molecular Dissection of Mutant Calreticulin in Myeloproliferative NeoplasmsR01HL131835 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI Ann Mullally · 2016 to 2026
$4.1M
NCI NIH HHS P30 CA054174NHLBI NIH HHS R01 HL131835
6 · The paper itself

Abstract

Following the discovery of the JAK2V617F mutation in myeloproliferative neoplasms in 2005, fedratinib was developed as a small molecular inhibitor of JAK2. It was optimized to yield low-nanomolar activity against JAK2 (50% inhibitory concentration = 3 nM) and was identified to be selective for JAK2 relative to other JAK family members (eg, JAK1, JAK3, and TYK2). It quickly moved into clinical development with a phase 1 clinical trial opening in 2008, where a favorable impact on spleen and myelofibrosis (MF) symptom responses was reported. A phase 3 trial in JAK2 inhibitor treatment-naive MF patients followed in 2011 (JAKARTA); a phase 2 trial in MF patients resistant or intolerant to ruxolitinib followed in 2012 (JAKARTA-2). Clinical development suffered a major setback between 2013 and 2017 when the US Food and Drug Administration (FDA) placed fedratinib on clinical hold due to the development of symptoms concerning for Wernicke encephalopathy (WE) in 8 of 608 subjects (1.3%) who had received the drug. It was ultimately concluded that there was no evidence that fedratinib directly induces WE, but clear risk factors (eg, poor nutrition, uncontrolled gastrointestinal toxicity) were identified. In August 2019, the FDA approved fedratinib for the treatment of adults with intermediate-2 or high-risk MF. Notably, approval includes a "black box warning" on the risk of serious and fatal encephalopathy, including WE. FDA approval was granted on the basis of the JAKARTA studies in which the primary end points (ie, spleen and MF symptom responses) were met in ∼35% to 40% of patients (JAKARTA) and 25% to 30% of patients (JAKARTA-2), respectively.

Indexed as

Primary MyelofibrosisAdultBenzenesulfonamidesHumansProtein Kinase InhibitorsPyrrolidinesSulfonamidesUnited StatesBenzenesulfonamidesfedratinibProtein Kinase InhibitorsPyrrolidinesSulfonamides

Identifiers

PMID32343799
PMCPMC7189288
OpenAlexW3017637294

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.