Evidence map›Paper›PMID 37601878›Full record

ArticleEJHaem2023

Incidence of blast phase in myelofibrosis according to anemia severity.

Barbara Mora, Margherita Maffioli, Elisa Rumi, Paola Guglielmelli, Marianna Caramella, Andrew Kuykendall, Francesca Palandri, Alessandra Iurlo, Valerio De Stefano, Jean-Jacques Kiladjian and 15 more

Open access · diamondAbstract read
In one paragraph

Article in EJHaem, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Emerging Therapeutic Approaches for Anemia in Myelofibrosis.Current hematologic malignancy reports · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Prognostic and Predictive Models in Myelofibrosis.Current hematologic malignancy reports · 2024
    Review
  8. Review
  9. Article
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

25 authors at 20 institutions in 5 countries.

Barbara MoraDepartment of Oncology, ASST Sette Laghi Ospedale di Circolo Varese Italy.ORCID https://orcid.org/0000-0002-6325-3916
Margherita MaffioliDepartment of Oncology, ASST Sette Laghi Ospedale di Circolo Varese Italy.ORCID https://orcid.org/0000-0002-2268-391X
Elisa RumiDepartment of Molecular Medicine University of Pavia Pavia Italy.
Paola GuglielmelliCenter of Research and Innovation of Myeloproliferative Neoplasms University of Florence Florence Italy.
Marianna CaramellaHematology ASST Grande Ospedale Metropolitano Niguarda Milan Italy.
Andrew KuykendallMalignant Hematology Department, Blood and Marrow Transplantation H. Lee Moffitt Cancer Center and Research Institute Tampa Florida USA.ORCID https://orcid.org/0000-0002-9040-7415
Francesca PalandriInstitute of Hematology "Seràgnoli" IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.
Alessandra IurloHematology Foundation IRCCS Ca'Granda Ospedale Maggiore Policlinico Milan Italy.ORCID https://orcid.org/0000-0002-4401-0812
Valerio De StefanoHematology Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Jean-Jacques KiladjianHôpital Saint-Louis Université Paris Cité Paris France.
Elena M ElliDivision of Hematology and Bone Marrow Unit IRCCS San Gerardo dei Tintori Monza Italy.
Nicola PolverelliUnit of Blood Diseases and Stem Cell Transplantation ASST Spedali Civili di Brescia Brescia Italy.ORCID https://orcid.org/0000-0001-6297-9697
Jason GotlibDivision of Hematology, Stanford Cancer Institute Stanford University School of Medicine Stanford California USA.
Francesco AlbanoHematology - Department of Emergency and Organ Transplantation University of Bari Bari Italy.ORCID https://orcid.org/0000-0001-7926-6052
Richard T SilverRichard T. Silver Myeloproliferative Neoplasms Center NewYork-Presbyterian Weill Cornell Medical Center New York New York USA.
Giulia BenevoloHematology Unit AOU Città della Salute e della Scienza di Torino Turin Italy.
David M RossHaematology Directorate, SA Pathology Royal Adelaide Hospital Adelaide South Australia Australia.
Timothy DevosDepartment of Hematology KU Leuven University Hospitals Leuven Leuven Belgium.
Oscar BorsaniDepartment of Molecular Medicine University of Pavia Pavia Italy.
Tiziano BarbuiFROM Research Foundation ASST Papa Giovanni XXIII Bergamo Italy.
Matteo G Della PortaDepartment of Biomedical Sciences Humanitas University Pieve Emanuele Italy.
Lorenza BertùDepartment of Medicine and Surgery University of Insubria Varese Italy.
Rami KomrokjiMalignant Hematology Department, Blood and Marrow Transplantation H. Lee Moffitt Cancer Center and Research Institute Tampa Florida USA.ORCID https://orcid.org/0000-0002-1876-5269
Alessandro M VannucchiCenter of Research and Innovation of Myeloproliferative Neoplasms University of Florence Florence Italy.
Francesco PassamontiHematology Foundation IRCCS Ca'Granda Ospedale Maggiore Policlinico Milan Italy.ORCID https://orcid.org/0000-0001-8068-5289
Moffitt Cancer Center · USOspedale di Circolo e Fondazione Macchi · ITUniversity of Florence · ITUniversity of Pavia · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera San Gerardo · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCornell University · USFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHumanitas University · ITKU Leuven · BEOspedale Papa Giovanni XXIII · ITSouth Australia Pathology · AUStanford University · USUniversité Paris Cité · FRUniversity of Bari Aldo Moro · ITUniversity of Insubria · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myelofibrosis (MF) is a clonal malignancy frequently characterized by anemia and in 10%-20% of cases it can evolve into blast phase (BP). Anemia in MF is associated with reduced survival and -in primary MF- also with an increased probability of BP. Conventional treatments for anemia have limited effectiveness in MF. Within a dataset of 1752 MF subjects largely unexposed to ruxolitinib (RUX), BP incidence was 2.5% patients per year (p-y). This rate reached respectively 4.3% and 4.5% p-y in case of patients with common terminology criteria for adverse events (CTCAE) grade 3/4 and grade 2 anemia, respectively, that represented together 32% of the cohort. Among 273 MF cases treated with RUX, BP incidence was 2.89% p-y and it reached 4.86% p-y in subjects who started RUX with CTCAE grade 2 anemia (one third of total). Within patients with red blood cell transfusion-dependency at 6 months of RUX (21% of the exposed), BP rate was 4.2% p-y. Our study highlights a relevant incidence of BP in anemic MF patients, with a similar rate whether treated with or without RUX. These findings will help treating physicians to make decisions on the safety profile of innovative anemia treatments.

Indexed as

acute myeloid leukemiaessential thrombocythemiamyelofibrosispolycythemia veraruxolitinib

Identifiers

PMID37601878
PMCPMC10435699
OpenAlexW4384663071

What OpenQuestion holds

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LicenceCC BY
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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.