Evidence map›Paper›PMID 34653242›Full record

Trial reportBlood2021

A phase 2 biomarker-driven study of ruxolitinib demonstrates effectiveness of JAK/STAT targeting in T-cell lymphomas.

Alison J Moskowitz, Paola Ghione, Eric Jacobsen, Jia Ruan, Jonathan H Schatz, Sarah Noor, Patricia Myskowski, Santosha Vardhana, Nivetha Ganesan, Helen Hancock and 26 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 117 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 4 pooled it
20.6field-weighted citation impact, top 1% 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.

NCT02974647 phase2recruitingnot on this map

Phase II Multicenter Study of Ruxolitinib in Relapsed or Refractory T or NK Cell Lymphoma

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2016 to 2027Enrolled83ConditionsLymphomaArmsRuxolitinib
NCT07781449 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

An Investigator-Initiated, Descriptive, Proof-of-Concept, Open-Label Pilot Study Focusing on Topical JAK Inhibition as a Novel Treatment of Cutaneous T-Cell Lymphoma

TypeinterventionalSponsorAarhus University HospitalRan2026 to 2030Enrolled15ConditionsMycosis Fungoides, Cutaneous T-cell LymphomaArmsdelgocitinib
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 4 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Cutaneous T-cell lymphomas and dupilumab for atopic dermatitis: A systematic review and expert consensus.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
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  17. Novel agents and therapeutic advances in T cell lymphoma.International journal of hematology · 2026
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57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors at 7 institutions in 1 country.

Alison J MoskowitzLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Paola GhioneLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Eric JacobsenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Jia RuanLymphoma Service, Weill Cornell Medical Center, New York, NY.
Jonathan H SchatzDivision of Hematology, Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL; and.ORCID 0000-0003-1842-228X
Sarah NoorDermatology Service.
Patricia MyskowskiDermatology Service.
Santosha VardhanaLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.ORCID 0000-0002-3100-1298
Nivetha GanesanLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Helen HancockLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Theresa DaveyLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Leslie PerezLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Sunyoung RyuLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Alayna SantarosaLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Jack DowdLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Obadi ObadiLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Lauren PomerantzLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.ORCID 0000-0002-2917-961X
Nancy YiLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Samia SohailLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Natasha GalassoLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Rachel NeumanLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Brielle LiottaLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
William BlouinLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Jeeyeon BaikDepartment of Pathology.
Mark B GeyerLeukemia Service.ORCID 0000-0001-5248-9117
Ariela NoyLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.ORCID 0000-0002-3001-4898
David StrausLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Priyadarshini KumarDepartment of Pathology.ORCID 0000-0001-8945-6917
Ahmet DoganDepartment of Pathology.ORCID 0000-0001-6576-5256
Travis HollmannDepartment of Pathology.
Esther DrillDepartment of Biostatistics.ORCID 0000-0002-3315-4538
Jurgen RademakerDepartment of Radiology, and.
Heiko SchoderDepartment of Nuclear Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY.ORCID 0000-0002-5170-4185
Giorgio InghiramiLymphoma Service, Weill Cornell Medical Center, New York, NY.ORCID 0000-0001-5566-0864
David M WeinstockDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-8724-3907
Steven M HorwitzLymphoma Service, Memorial Sloan-Kettering Cancer Center, New York, NY.
Memorial Sloan Kettering Cancer Center · USAdvanced Dermatology · USCornell University · USDana-Farber Cancer Institute · USCancer Research And Biostatistics · USRoswell Park Comprehensive Cancer Center · USUniversity of Miami · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Translating Stress Response Targeted Therapy for B-Cell LymphomasP50CA192937 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DALLA-FAVERA, RICCARDO, ZELENETZ, ANDREW D. · 2016 to 2020
$10.9M
Preclinical Models and Therapeutics CoreP01CA229100 · NCI · MAYO CLINIC ARIZONA · PI SCOTT, DAVID WILLIAM · 2018 to 2022
$10.2M
Targeting oncogenic TCR signaling in PTCLP01CA233412 · NCI · DANA-FARBER CANCER INST · PI KNOECHEL, BIRGIT · 2019 to 2023
$8.7M
Targeting High-Risk Lymphoid NeoplasmsR35CA231958 · NCI · DANA-FARBER CANCER INST · PI WEINSTOCK, DAVID MARC · 2019 to 2021
$2.9M
NCI NIH HHS P01 CA229100NCI NIH HHS P01 CA233412NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA192937NCI NIH HHS R35 CA231958
6 · The paper itself

Abstract

Signaling through JAK1 and/or JAK2 is common among tumor and nontumor cells within peripheral T-cell lymphoma (PTCL). No oral therapies are approved for PTCL, and better treatments for relapsed/refractory disease are urgently needed. We conducted a phase 2 study of the JAK1/2 inhibitor ruxolitinib for patients with relapsed/refractory PTCL (n = 45) or mycosis fungoides (MF) (n = 7). Patients enrolled onto 1 of 3 biomarker-defined cohorts: (1) activating JAK and/or STAT mutations, (2) ≥30% pSTAT3 expression among tumor cells by immunohistochemistry, or (3) neither or insufficient tissue to assess. Patients received ruxolitinib 20 mg PO twice daily until progression and were assessed for response after cycles 2 and 5 and every 3 cycles thereafter. The primary endpoint was clinical benefit rate (CBR), defined as the combination of complete response, partial response (PR), and stable disease lasting at least 6 months. Only 1 of 7 patients with MF had CBR (ongoing PR > 18 months). CBR among the PTCL cases (n = 45) in cohorts 1, 2, and 3 were 53%, 45%, and 13% (cohorts 1 & 2 vs 3, P = .02), respectively. Eight patients had CBR > 12 months (5 ongoing), including 4 of 5 patients with T-cell large granular lymphocytic leukemia. In an exploratory analysis using multiplex immunofluorescence, expression of phosphorylated S6, a marker of PI3 kinase or mitogen-activated protein kinase activation, in <25% of tumor cells was associated with response to ruxolitinib (P = .05). Our findings indicate that ruxolitinib is active across various PTCL subtypes and support a precision therapy approach to JAK/STAT inhibition in patients with PTCL. This trial was registered at www.clincialtrials.gov as #NCT02974647.

Indexed as

AdultAgedAged, 80 and overFemaleHumansJanus KinasesLymphoma, T-Cell, PeripheralMaleMiddle AgedMolecular Targeted TherapyNeoplasm Recurrence, LocalNitrilesProtein Kinase InhibitorsPyrazolesPyrimidinesSTAT Transcription FactorsJanus KinasesNitrilesProtein Kinase InhibitorsPyrazolesPyrimidinesruxolitinibSTAT Transcription Factors

Identifiers

PMID34653242
PMCPMC8718625
OpenAlexW3206514850

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.