Evidence map›Paper›PMID 41370203›Full record

ReviewBlood advances2026

Toward new therapy end points in polycythemia vera: targeting clonal and inflammatory pathways.

Tiziano Barbui, Joseph Michael Scandura

Abstract readReview
In one paragraph

Review in Blood advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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

2 authors.

Tiziano BarbuiFondazione per la Ricerca Ospedale di Bergamo Ente del Terzo Settore, Bergamo, Italy.ORCID 0000-0003-2747-6327
Joseph Michael ScanduraRichard T. Silver Myeloproliferative Neoplasms Center, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-9525-143X

Funding

Controlling the Niche to Control Clonal HematopoiesisR01HL175556 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Joseph Michael Scandura · 2025 to 2026
$1.6M
NHLBI NIH HHS R01 HL175556
6 · The paper itself

Abstract

abstractAlthough phlebotomy and hydroxyurea (HU) are standard first-line therapies for polycythemia vera (PV), they do not adequately address clonal expansion and chronic inflammation, which are key drivers of thrombosis, myelofibrosis, and mortality. Biomarkers such as JAK2 V617F variant allele frequency (VAF) and the neutrophil-to-lymphocyte ratio (NLR) are emerging as valuable tools for guiding therapy. Ropeginterferon alfa-2b has been shown to reduce both JAK2 VAF and NLR, improving event-free survival, as demonstrated in the Low-PV and PROUD-PV/CONTINUATION-PV trials. In contrast, propensity score matching of the European Collaborative Low-Dose Aspirin trial showed that HU has a limited effect on these biomarkers, suggesting weaker disease-modifying potential. Although no data on NLR dynamics with ruxolitinib have been published, the anti-inflammatory effects of ruxolitinib and its suppression of JAK2 VAF suggest it may exert similar biological activity. These findings support a shift toward biology-guided treatment in PV, recognizing that inflammation and JAK2 VAF could serve as surrogate end points in future clinical trials.

Indexed as

InflammationPolycythemia VeraBiomarkersHumansHydroxyureaJanus Kinase 2NitrilesPyrazolesPyrimidinesBiomarkersHydroxyureaJAK2 protein, humanJanus Kinase 2NitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

PMID41370203
PMCPMC12952767

What OpenQuestion holds

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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.