Evidence map›Paper›PMID 33104796›Full record

Trial reportBlood advances2020

Phase 2 study of ruxolitinib and decitabine in patients with myeloproliferative neoplasm in accelerated and blast phase.

John O Mascarenhas, Raajit K Rampal, Heidi E Kosiorek, Rupali Bhave, Elizabeth Hexner, Eunice S Wang, Aaron Gerds, Camille N Abboud, Marina Kremyanskaya, Dimitry Berenzon and 17 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02076191 (Multicenter Phase I/II Trial of Ruxolitinib in Combination With Decitabine in Patients With Accelerated Phase Myeloproliferative Neoplasm), which is not on this map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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.

NCT02076191 phase1 / phase2completednot on this map

Multicenter Phase I/II Trial of Ruxolitinib in Combination With Decitabine in Patients With Accelerated Phase Myeloproliferative Neoplasm (MPN) or Post-MPN AML

TypeinterventionalSponsorJohn MascarenhasRan2014 to 2018Enrolled49ConditionsMyeloproliferative NeoplasmsArmsRuxolitinib, Decitabine
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

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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

27 authors at 12 institutions in 1 country.

John O MascarenhasTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Raajit K RampalLeukemia Service, Department of Medicine.
Heidi E KosiorekDepartment of Health Sciences Research, Mayo Clinic, Scottsdale, AZ.
Rupali BhaveWake Forest Baptist Health, Winston-Salem, NC.
Elizabeth HexnerUniversity of Pennsylvania, Philadelphia, PA.
Eunice S WangRoswell Park Comprehensive Cancer Center, Buffalo, NY.
Aaron GerdsLeukemia and Myeloid Disorders Program, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH.
Camille N AbboudWashington University in St. Louis School of Medicine, St. Louis, MO.
Marina KremyanskayaTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Dimitry BerenzonWake Forest Baptist Health, Winston-Salem, NC.
Olatoyosi OdenikeThe University of Chicago Medicine and Comprehensive Cancer Center, Chicago, IL.
Noushin FarnoudCenter for Hematologic Malignancies, and.
Aishwarya KrishnanCenter for Hematologic Malignancies, and.
Rona Singer WeinbergNew York Blood Center, New York, NY.
Erin McGovernCenter for Hematologic Malignancies, and.
Mohamed E SalamaDepartment of Pathology, Mayo Clinic, Rochester, MN.
Vesna NajfeldTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Juan S Medina-MartinezDepartment of Computational Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Juan E Arango OssaDepartment of Computational Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Max F LevineDepartment of Computational Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Yangyu ZhouDepartment of Computational Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Lonette SandyTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Mark L HeaneyDepartment of Medicine, Columbia University Medical Center, New York, NY.
Ross L LevineLeukemia Service, Department of Medicine.
Ruben A MesaMays Cancer Center at UT Health San Antonio, San Antonio, TX.
Amylou C DueckDepartment of Health Sciences Research, Mayo Clinic, Scottsdale, AZ.
Ronald HoffmanTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Memorial Sloan Kettering Cancer Center · USIcahn School of Medicine at Mount Sinai · USMayo Clinic in Arizona · USAtrium Health Wake Forest Baptist · USCleveland Clinic · USColumbia University Irving Medical Center · USNew York Blood Center · USRoswell Park Comprehensive Cancer Center · USThe University of Texas Health Science Center at San Antonio · USUniversity of Chicago · USUniversity of Pennsylvania · USWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Tissue BankP01CA108671 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI Ronald Hoffman · 2006 to 2026
$82.0M
Genomic profiling and development of murine models of transformation of MPNsK08CA188529 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI RAMPAL, RAAJIT · 2014 to 2018
$891k
NCI NIH HHS K08 CA188529NCI NIH HHS P01 CA108671NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Myeloproliferative neoplasms (MPN) that have evolved into accelerated or blast phase disease (MPN-AP/BP) have poor outcomes with limited treatment options and therefore represent an urgent unmet need. We have previously demonstrated in a multicenter, phase 1 trial conducted through the Myeloproliferative Neoplasms Research Consortium that the combination of ruxolitinib and decitabine is safe and tolerable and is associated with a favorable overall survival (OS). In this phase 2 trial, 25 patients with MPN-AP/BP were treated at the recommended phase 2 dose of ruxolitinib 25 mg twice daily for the induction cycle followed by 10 mg twice daily for subsequent cycles in combination with decitabine 20 mg/m2 for 5 consecutive days in a 28-day cycle. Nineteen patients died during the study follow-up. The median OS for all patients on study was 9.5 months (95% confidence interval, 4.3-12.0). Overall response rate (complete remission + incomplete platelet recovery + partial remission) was 11/25 (44%) and response was not associated with improved survival. We conclude that the combination of decitabine and ruxolitinib was well tolerated, demonstrated favorable OS, and represents a therapeutic option for this high-risk patient population. This trial was registered at www.clinicaltrials.gov as #NCT02076191.

Indexed as

Blast CrisisPyrazolesDecitabineHumansNitrilesPyrimidinesTreatment OutcomeDecitabineNitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

PMID33104796
PMCPMC7594401
OpenAlexW3093975417

What OpenQuestion holds

Textmetadata
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Registered trials

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.