Evidence map›Paper›PMID 37345196›Full record

ArticleCancers2023

Benefit of Early Ruxolitinib Initiation Regardless of Fibrosis Grade in Patients with Primary Myelofibrosis: A Post Hoc Analysis of the Single-Arm Phase 3b JUMP Study.

Francesca Palandri, Haifa Kathrin Al-Ali, Paola Guglielmelli, Mike W Zuurman, Rajendra Sarkar, Vikas Gupta

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01493414 (An Open-label, Multicenter, Expanded Access Study of INC424 for Patients With Primary Myelofibrosis), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT01493414 phase3completednot on this map

An Open-label, Multicenter, Expanded Access Study of INC424 for Patients With Primary Myelofibrosis (PMF) or Post Polycythemia Myelofibrosis (PPV MF) or Post-essential Thrombocythemia Myelofibrosis (PET-MF).

TypeinterventionalSponsorNovartis PharmaceuticalsRan2011 to 2017Enrolled2,233ConditionsMyelofibrosisArmsINC424
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Myeloproliferative Neoplasms: Challenging Dogma.Journal of clinical medicine · 2024
    Review
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

6 authors at 6 institutions in 5 countries.

Francesca PalandriIstituto di Ematologia "Seràgnoli", IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0001-8367-5668
Haifa Kathrin Al-AliUniversity Hospital Halle, 06120 Halle (Saale), Germany.ORCID 0000-0001-5009-2239
Paola GuglielmelliCenter of Research and Innovation of Myeloproliferative Neoplasms, Azienda Ospedaliera-Universitaria Careggi, University of Florence, 50134 Florence, Italy.ORCID 0000-0003-1809-284X
Mike W ZuurmanNovartis Pharma AG, 4056 Basel, Switzerland.
Rajendra SarkarNovartis Healthcare Private Limited, Hyderabad 500081, India.
Vikas GuptaPrincess Margaret Cancer Centre, Toronto, ON M5G 2C4, Canada.ORCID 0000-0002-1419-8607
Azienda Ospedaliero-Universitaria Careggi · ITIstituto di Ematologia di Bologna · ITNovartis (India) · INNovartis (Switzerland) · CHPrincess Margaret Cancer Centre · CAUniversity Hospital in Halle · DE

Funding

Novartis Pharmaceuticals Corporation Not applicable
6 · The paper itself

Abstract

Bone marrow fibrosis (BMF) is an adverse prognostic factor for myelofibrosis (MF). The single-arm, open-label, phase 3b JUMP trial (NCT01493414) assessed the safety and efficacy of the JAK1/JAK2 inhibitor ruxolitinib in patients with symptomatic MF. This post hoc analysis investigated the impact of BMF grade on response and outcomes in patients with primary MF (PMF) from the JUMP study. BMF was assessed by biopsy and graded from 0 to 3; grades 0-1 were considered low-grade fibrosis (LGF) and grades 2-3 were considered high-grade fibrosis (HGF). Patients with LGF (n = 268) had lower rates of cytopenias at baseline but showed comparable disease burden vs. patients with HGF (n = 852). The proportion of patients achieving a spleen response was greater in the LGF group vs. the HGF group at Week 24 and at any time during the study, while overall survival estimates were improved in patients with LGF vs. patients with HGF. Early initiation of ruxolitinib therapy (within 2 years of diagnosis) was associated with increased response rates in all patients. These results highlight the efficacy of ruxolitinib in symptomatic patients with PMF, with the greatest clinical improvements observed in patients with LGF and in patients who received early treatment.

Indexed as

bone marrow fibrosisJAK1/2 inhibitionphase 3b trialprimary myelofibrosisruxolitinibspleen response

Identifiers

PMID37345196
PMCPMC10216208
OpenAlexW4377292146

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.