Evidence map›Paper›PMID 38478023›Full record

Trial reportAnnals of hematology2024

Ruxolitinib Adherence in Myelofibrosis and Polycythemia Vera: the "RAMP" Italian multicenter prospective study.

F Palandri, G Auteri, E Abruzzese, G Caocci, M Bonifacio, F Mendicino, R Latagliata, A Iurlo, F Branzanti, B Garibaldi and 13 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyClinical Trial
In one paragraph

Trial report in Annals of hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06078319 (Ruxolitinib Adherence in Myelofibrosis and Polycythemia Vera), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.4field-weighted citation impact, top 5% 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.

NCT06078319 completednot on this map

Ruxolitinib Adherence in Myelofibrosis and Polycythemia Vera

TypeobservationalSponsorIRCCS Azienda Ospedaliero-Universitaria di BolognaRan2021 to 2023Enrolled189ConditionsAdherence, Patient, Adherence, Treatment
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Review
  8. 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

23 authors at 13 institutions in 2 countries.

F PalandriIRCCS Azienda Ospedaliero-Universitaria Di Bologna, Istituto Di Ematologia "Seràgnoli", Bologna, Italy. francesca.palandri@unibo.it.ORCID http://orcid.org/0000-0001-8367-5668
G AuteriIRCCS Azienda Ospedaliero-Universitaria Di Bologna, Istituto Di Ematologia "Seràgnoli", Bologna, Italy.
E AbruzzeseHematology, S.Eugenio Hospital, Tor Vergata University, ASL Roma2, Rome, Italy.
G CaocciHematology Unit, Department of Medical Sciences, University of Cagliari, Cagliari, Italy.
M BonifacioHematology and Bone Marrow Transplant Unit, Section of Biomedicine of Innovation, Department of Engineering for Innovative Medicine, University of Verona, Verona, Italy.
F MendicinoU.O.C. Di Ematologia, Department of Hemato-Oncology, Azienda Ospedaliera Annunziata, Cosenza, Italy.
R LatagliataHematology Unit, Ospedale Belcolle, Viterbo, Italy.
A IurloHematology Division, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
F BranzantiDipartimento Di Medicina Specialistica, Diagnostica E Sperimentale, Università Di Bologna, Bologna, Italy.
B GaribaldiPostgraduate School of Hematology, University of Catania, Catania, Italy.
M M TrawinskaHematology, S.Eugenio Hospital, Tor Vergata University, ASL Roma2, Rome, Italy.
D CattaneoHematology Division, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
M KramperaHematology and Bone Marrow Transplant Unit, Section of Biomedicine of Innovation, Department of Engineering for Innovative Medicine, University of Verona, Verona, Italy.
O MulasHematology Unit, Department of Medical Sciences, University of Cagliari, Cagliari, Italy.
E A MartinoU.O.C. Di Ematologia, Department of Hemato-Oncology, Azienda Ospedaliera Annunziata, Cosenza, Italy.
M CavoIRCCS Azienda Ospedaliero-Universitaria Di Bologna, Istituto Di Ematologia "Seràgnoli", Bologna, Italy.
N VianelliIRCCS Azienda Ospedaliero-Universitaria Di Bologna, Istituto Di Ematologia "Seràgnoli", Bologna, Italy.
S ImperaDepartment of Hematology, ARNAS Garibaldi, Catania, Italy.
F EfficaceData Center and Health Outcomes Research Unit, Italian Group for Adult Hematologic Diseases (GIMEMA), Rome, Italy.
F HeidelHematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School (MHH), Hannover, Germany.
M BrecciaDivision of Cellular Biotechnologies and Hematology, University Sapienza, Rome, Italy.
E M ElliDivisione di Ematologia e Unità Trapianto di Midollo, Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy.
G A PalumboDipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", Università Di Catania, Catania, Italy.
Istituto di Ematologia di Bologna · ITASL Roma · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITOspedale Annunziata di Cosenza · ITUniversity of Cagliari · ITUniversity of Catania · ITUniversity of Verona · ITAzienda Ospedaliera San Gerardo · ITFondazione Gimema Onlus · ITMedizinische Hochschule Hannover · DEOspedale di Belcolle · ITOspedale Garibaldi · ITUniversity of Bologna · IT

Funding

Ministero della Salute RC-2023-2778963
6 · The paper itself

Abstract

Ruxolitinib is beneficial in patients with myelofibrosis (MF) and polycythemia vera (PV). Information on ruxolitinib adherence is scant. The Ruxolitinib Adherence in Myelofibrosis and Polycythemia Vera (RAMP) prospective multicenter study (NCT06078319) included 189 ruxolitinib-treated patients. Patients completed the Adherence to Refills and Medications Scale (ARMS) and Distress Thermometer and Problem List (DTPL) at the earliest convenience, after registration in the study, and at later timepoints. At week-0, low adherence (ARMS > 14) and high distress (DT ≥ 4) were declared by 49.7% and 40.2% of patients, respectively. The main reason for low adherence was difficult ruxolitinib supply (49%), intentional (4.3%) and unintentional (46.7%) non-take. In multivariable regression analysis, low adherence was associated to male sex (p = 0.001), high distress (p < 0.001), and treatment duration ≥ 1 year (p = 0.03). Over time, rates of low adherence and high distress remained stable, but unintentional non-take decreased from 47.9% to 26.0% at week-48. MF patients with stable high adherence/low distress were more likely to obtain/maintain the spleen response at week-24. Low adherence to ruxolitinib represents an unmet clinical need that require a multifaceted approach, based on reason behind it (patients characteristics and treatment duration). Its recognition may help distinguishing patients who are truly refractory and those in need of therapy optimization.

Indexed as

Drug MonitoringNitrilesPolycythemia VeraPrimary MyelofibrosisPyrazolesPyrimidinesAdultAgedAged, 80 and overFemaleHumansItalyMaleMiddle AgedProspective StudiesNitrilesPyrazolesPyrimidinesruxolitinibAdherenceAdherence to medicationDistressMyelofibrosisPolycythemia VeraRuxolitinib

Identifiers

PMID38478023
PMCPMC11090921
OpenAlexW4392744768

What OpenQuestion holds

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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.