Evidence map›Paper›PMID 39078647›Full record

ArticleCancer2024

Clinical outcomes of ruxolitinib treatment in 595 intermediate-1 risk patients with myelofibrosis: The RUX-MF Real-World Study.

Francesca Palandri, Elena M Elli, Erika Morsia, Giulia Benevolo, Mario Tiribelli, Eloise Beggiato, Massimiliano Bonifacio, Mirko Farina, Bruno Martino, Giovanni Caocci and 29 more

Abstract read
In one paragraph

Article in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

39 authors.

Francesca PalandriIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Bologna, Italy.ORCID https://orcid.org/0000-0001-8367-5668
Elena M ElliFondazione IRCCS San Gerardo dei Tintori, divisione di ematologia e unità trapianto di midollo, Monza, Italy.ORCID https://orcid.org/0000-0001-5576-5412
Erika MorsiaHematology Unit, Department of Clinical and Molecular Sciences, DISCLIMO, Università Politecnica delle Marche, Ancona, Italy.
Giulia BenevoloUniversity Hematology Division, Città della Salute e della Scienza Hospital, Torino, Italy.ORCID https://orcid.org/0000-0002-3200-9654
Mario TiribelliDivision of Hematology and BMT, Department of Medicine, University of Udine, Udine, Italy.ORCID https://orcid.org/0000-0001-9449-2621
Eloise BeggiatoUnit of Hematology, Department of Oncology, University of Torino, Torino, Italy.
Massimiliano BonifacioDepartment of Engineering for Innovation Medicine, Section of Innovation Biomedicine, Hematology Area, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0003-0716-1686
Mirko FarinaUnit of Blood Diseases and Stem Cells Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, ASST Spedali Civili of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-2980-9028
Bruno MartinoDivision of Hematology, Azienda Ospedaliera 'Bianchi Melacrino Morelli', Reggio Calabria, Italy.
Giovanni CaocciEmatologia, Ospedale Businco, Università degli studi di Cagliari, Cagliari, Italy.
Novella PuglieseDepartment of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy.ORCID https://orcid.org/0000-0002-2714-5109
Alessia TieghiDepartment of Hematology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Monica CrugnolaHaematology and BMT Centre, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Gianni BinottoUnit of Hematology and Clinical Immunology, University of Padova, Padova, Italy.
Francesco CavazziniDivision of Hematology, University of Ferrara, Ferrara, Italy.
Elisabetta AbruzzeseDivision of Hematology, Ospedale S. Eugenio, Roma, Italy.ORCID https://orcid.org/0000-0001-5228-6491
Alessandra IurloHematology Division, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0002-4401-0812
Alessandro IsidoriHematology and Stem Cell Transplant Center, AORMN Hospital, Pesaro, Italy.
Costanza BosiDivision of Hematology, AUSL di Piacenza, Piacenza, Italy.
Veronica GuglielmanaFondazione IRCCS San Gerardo dei Tintori, divisione di ematologia e unità trapianto di midollo, Monza, Italy.
Marta VenturiDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy.
Alessandra DedolaDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy.
Michele LoffredoDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy.
Gabriele FontanaDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy.
Andrea DuminucoPostgraduate School of Hematology, University of Catania, Catania, Italy.ORCID https://orcid.org/0000-0002-9510-4755
Alessia MoioliDepartment of Engineering for Innovation Medicine, Section of Innovation Biomedicine, Hematology Area, University of Verona, Verona, Italy.
Luca TosoniDivision of Hematology and BMT, Department of Medicine, University of Udine, Udine, Italy.
Emilia ScalzulliHematology, Department of Translational and Precision Medicine, Az. Policlinico Umberto I-Sapienza University, Rome, Italy.
Daniele CattaneoHematology Division, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Roberto M LemoliIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Daniela CilloniDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Monica BocchiaHematology Unit, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.
Fabrizio PaneDepartment of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy.
Florian H HeidelHematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School (MHH), Hannover, Germany.
Nicola VianelliIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Bologna, Italy.
Michele CavoIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Bologna, Italy.
Giuseppe A PalumboDepartment of Scienze Mediche, Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", University of Catania, Catania, Italy.
Filippo BranzantiDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy.
Massimo BrecciaHematology, Department of Translational and Precision Medicine, Az. Policlinico Umberto I-Sapienza University, Rome, Italy.ORCID https://orcid.org/0000-0003-1163-6162

Funding

Ministero della Salute RC-2024-2790083
6 · The paper itself

Abstract

backgroundRuxolitinib (RUX) is a JAK1/2 inhibitor approved for the therapy of myelofibrosis (MF) based on clinical trials including only intermediate2-high risk (INT2/HIGH) patients. However, RUX is commonly used in intermediate-1 (INT1) patients, with scarce information on responses and outcome.

methodsThe authors investigated the benefit of RUX in 1055 MF patients, included in the "RUX-MF" retrospective study.

resultsAt baseline (BL), 595 (56.2%) patients were at INT1-risk according to DIPSS (PMF) or MYSEC-PM (SMF). The spleen was palpable at <5 cm, between 5 and 10 cm, and >10 cm below costal margin in 5.9%, 47.4%, and 39.7% of patients, respectively; 300 (54.1%) were highly symptomatic (total symptom score ≥20). High-molecular-risk (HMR) mutations (IDH1/2, ASXL-1, SRSF2, EZH2, U2AF1

conclusionsIn INT1 patients, responses were more frequent and durable, whereas toxicity rates were lower compared to INT2/high-risk patients. Presence of HMR mutations, cytopenia, and peripheral blasts identified less-responsive INT1 patients, who may benefit for alternative therapeutic strategies.

Indexed as

NitrilesPrimary MyelofibrosisPyrazolesPyrimidinesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedMutationRetrospective StudiesTreatment OutcomeNitrilesPyrazolesPyrimidinesruxolitinibDIPSS scoreintermediate‐1JAK2 mutationmyelofibrosisruxolitinib

Identifiers

PMID39078647
PMCPMC11585342

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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.