Evidence map›Paper›PMID 36708083›Full record

ArticleCancer medicine2023

Assessment of the efficacy and tolerability of ruxolitinib for the treatment of myelofibrosis patients in a real-life setting: An Italian MYNERVA Project.

Giacomo Coltro, Emanuela Sant'Antonio, Giuseppe A Palumbo, Francesco Mannelli, Valerio De Stefano, Marco Ruggeri, Elena M Elli, Roberta Zanotti, Oscar Borsani, Irene Bertozzi and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

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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

21 authors.

Giacomo ColtroDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.ORCID 0000-0002-0816-5462
Emanuela Sant'AntonioGENOMEC Doctorate School, Medical Genetics, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Giuseppe A PalumboDepartment of Scienze Mediche Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", University of Catania, Catania, Italy.
Francesco MannelliDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Valerio De StefanoSection of Hematology, Department of Radiological and Hematological Sciences, Catholic University, Rome, Italy.ORCID 0000-0002-5178-5827
Marco RuggeriHematology Department, San Bortolo Hospital, Vicenza, Italy.ORCID 0000-0003-1557-0957
Elena M ElliHematology Division and Bone Marrow Transplantation Unit, San Gerardo Hospital, ASST Monza, Monza, Italy.ORCID 0000-0001-5576-5412
Roberta ZanottiSection of Hematology, Department of Medicine, University Hospital of Verona, Verona, Italy.
Oscar BorsaniDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
Irene BertozziFirst Medical Clinic, Department of Medicine-DIMED, University of Padua, Padua, Italy.
Andrea DuminucoPostgraduate School of Hematology, University of Catania, Catania, Italy.
Silvia BettiDipartimento DIRE, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Giuseppe CarliHematology Department, San Bortolo Hospital, Vicenza, Italy.
Fabrizio CavalcaHematology Division and Bone Marrow Transplantation Unit, San Gerardo Hospital, ASST Monza, Monza, Italy.
Ilaria TanasiSection of Hematology, Department of Medicine, University Hospital of Verona, Verona, Italy.
Elisa RumiDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.ORCID 0000-0002-7572-9504
Maria L RandiFirst Medical Clinic, Department of Medicine-DIMED, University of Padua, Padua, Italy.
Bruno GaribaldiPostgraduate School of Hematology, University of Catania, Catania, Italy.
Giuseppe G LoscoccoDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.ORCID 0000-0002-6241-1206
Paola GuglielmelliDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Alessandro M VannucchiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncorporating real-world data in the drug development process allows the improvement of health outcomes by providing better representation of actual patterns of drug safety and efficacy. AIMS AND

methodsHere, we present the results of a retroprospective, observational real-life study of 154 patients with myelofibrosis treated with ruxolitinib in a real-life setting in seven Italian centers of the MYNERVA project.

resultsMedian drug exposure was 29 (range, 3-98) months. Discontinuation rate was 27% after a median time of 13 (range, 3-61). While hematological toxicities were in line with previous findings, infections occurred frequently, representing a not negligible cause of discontinuation and death. Anemia, symptoms, and spleen responses were obtained at any time in 23%, 91%, and 68% of patients, respectively; most patients achieved their responses by week 24. Larger splenomegaly and delayed treatment initiation correlated with lower spleen response at 24 weeks. Spleen response was associated with a superior overall survival, regardless of DIPSS. Of interest, both achievement and loss of spleen response had prognostic implications. DISCUSSION AND

conclusionOverall, our findings provide insights on the efficacy and safety of ruxolitinib in a real-world, multicenter cohort of Italian MF patients.

Indexed as

Primary MyelofibrosisHumansItalyNitrilesPyrazolesPyrimidinesTreatment OutcomeNitrilesPyrazolesPyrimidinesruxolitinibefficacymyelofibrosisruxolitinibsafety

Identifiers

PMID36708083
PMCPMC10134270

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.