Evidence map›Paper›PMID 37126762›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Ruxolitinib Versus Best Available Therapy for Polycythemia Vera Intolerant or Resistant to Hydroxycarbamide in a Randomized Trial.

Claire N Harrison, Jyoti Nangalia, Rebecca Boucher, Aimee Jackson, Christina Yap, Jennifer O'Sullivan, Sonia Fox, Isaak Ailts, Amylou C Dueck, Holly L Geyer and 23 more

Open access · hybridAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 2 pooled it
37.4field-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.

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

98 citing papers in PubMed, 2 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Pooled it
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  17. [Progress in the study of polycythemia vera in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Review
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  20. Article

38 more citing papers are in PubMed but not listed here.

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

33 authors at 20 institutions in 2 countries.

Claire N HarrisonDepartment of Haematology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.ORCID 0000-0002-3212-920X
Jyoti NangaliaWellcome-MRC Cambridge Stem Cell Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-7122-4608
Rebecca BoucherCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-6739-4193
Aimee JacksonCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.
Christina YapCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-6715-2514
Jennifer O'SullivanDepartment of Haematology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Sonia FoxCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.
Isaak AiltsDepartment of Internal Medicine, Mayo Clinic, Phoenix, AZ.ORCID 0000-0001-6998-2274
Amylou C DueckDepartment of Quantitative Health Sciences, Mayo Clinic, Scottsdale, AZ.ORCID 0000-0002-9912-1085
Holly L GeyerDepartment of Internal Medicine, Mayo Clinic, Phoenix, AZ.
Ruben A MesaMays Cancer Center at UT Health San Antonio MD Anderson, San Antonio, TX.ORCID 0000-0001-5880-7972
William G DunnCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.ORCID 0000-0001-7246-5198
Eugene NadezhdinWellcome Sanger Institute Hinxton, Cambridgeshire, United Kingdom.
Natalia Curto-GarciaDepartment of Haematology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Anna GreenDepartment of Haematology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Bridget WilkinsDepartment of Haematology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Jason CoppellRoyal Devon & Exeter NHS Foundation Trust, Exeter, United Kingdom.
John LaurieWorthing Hospital, Western Sussex NHS Foundation Trust, Worthing, United Kingdom.
Mamta GargUniversity Hospital of Leicester, Leicester, United Kingdom.ORCID 0000-0002-3560-0132
Joanne EwingBirmingham Heart of England NHS Foundation Trust, Birmingham, United Kingdom.
Steven KnapperSchool of Medicine, Cardiff University, Cardiff, United Kingdom.ORCID 0000-0002-6405-4441
Josephine CroweRoyal United Hospital Bath NHS Trust, Bath, United Kingdom.ORCID 0009-0008-4217-0602
Frederick ChenQueen Elizabeth Hospital, Birmingham, United Kingdom.
Ioannis KoutsavlisWestern General Hospital, Lothian Health Board, Edinburgh, United Kingdom.ORCID 0000-0002-6379-1298
Anna GodfreyCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Siamak AramiLondon North West Healthcare NHS Trust, London, United Kingdom.ORCID 0000-0001-5232-8241
Mark DrummondThe Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom.
Jennifer ByrneNottingham University Hospitals NHS Trust, Nottingham, United Kingdom.ORCID 0000-0002-9381-1851
Fiona ClarkQueen Elizabeth Hospital, Birmingham, United Kingdom.
Carolyn Mead-HarveyDepartment of Quantitative Health Sciences, Mayo Clinic, Scottsdale, AZ.
Elizabeth Joanna BaxterHaematology, Cambridge Blood and Stem Cell Biobank NHS-BT Cambridge Centre, Cambridge, United Kingdom.ORCID 0000-0002-5946-5238
Mary Frances McMullinQueen's University, Belfast, United Kingdom.ORCID 0000-0002-0773-0204
Adam J MeadMedical Research Council (MRC) Molecular Haematology Unit, MRC Weatherall Institute of Molecular Medicine, NIHR, Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-8522-1002
Guy's and St Thomas' NHS Foundation Trust · GBCancer Research UK Clinical Trials Unit · GBCambridge University Hospitals NHS Foundation Trust · GBMayo Clinic in Arizona · USQueen Elizabeth Hospital Birmingham · GBWinnMed · USWorthing Hospital · GBBeatson West of Scotland Cancer Centre · GBCardiff University · GBChurchill Hospital · GBHeart of England NHS Foundation Trust · GBInstitute of Cancer Research · GBLondon North West Healthcare NHS Trust · GBNHS Blood and Transplant · GBNottingham University Hospitals NHS Trust · GBQueen's University Belfast · GBRoyal Devon & Exeter NHS Foundation Trust · GBRoyal United Hospital Bath NHS Trust · GBThe University of Texas MD Anderson Cancer Center · USWellcome/MRC Cambridge Stem Cell Institute · GB

Funding

Cancer Research UK 25354Cancer Research UK 26988Cancer Research UK 27125Cancer Research UK 27723Medical Research Council MC_PC_17230
6 · The paper itself

Abstract

purposePolycythemia vera (PV) is characterized by JAK/STAT activation, thrombotic/hemorrhagic events, systemic symptoms, and disease transformation. In high-risk PV, ruxolitinib controls blood counts and improves symptoms. PATIENTS AND

methodsMAJIC-PV is a randomized phase II trial of ruxolitinib versus best available therapy (BAT) in patients resistant/intolerant to hydroxycarbamide (HC-INT/RES). Primary outcome was complete response (CR) within 1 year. Secondary outcomes included duration of response, event-free survival (EFS), symptom, and molecular response.

resultsOne hundred eighty patients were randomly assigned. CR was achieved in 40 (43%) patients on ruxolitinib versus 23 (26%) on BAT (odds ratio, 2.12; 90% CI, 1.25 to 3.60;

conclusionThe MAJIC-PV study demonstrates ruxolitinib treatment benefits HC-INT/RES PV patients with superior CR, and EFS as well as molecular response; importantly also demonstrating for the first time, to our knowledge, that molecular response is linked to EFS, PFS, and OS.

Indexed as

Polycythemia VeraHemorrhageHumansHydroxyureaNitrilesPyrazolesPyrimidinesTreatment OutcomeHydroxyureaNitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

PMID37126762
PMCPMC10306428
OpenAlexW4367596117

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.