Table 2.
Baseline and Post-Treatment Parameters of 20 Patients With Myelofibrosis Who Responded to Treatment With Pomalidomide and/or Prednisone
| Patient No. | Patient Age/Sex | MF Subtype | Lille Score | JAK2 Status | Karyotype | Treatment Arm* | Hemoglobin Level (g/dL) |
Response Duration (months) | |
|---|---|---|---|---|---|---|---|---|---|
| Pretreatment | Post-Treatment† | ||||||||
| 1 | 75/M | Primary | High | Neg | der(6)t(1q;6p) | POM | Tx dependent | 9 | 3.2 (relapsed) |
| 2 | 50/M | Primary | High | Neg | NA | POM | Tx dependent | 13.3 | 9.2+ |
| 3 | 69/M | Primary | High | Neg | Normal | POM | 8.1 | 10.9 | 6.4+ |
| 4 | 54/M | Primary | Int | Pos | +9 | POM | Tx dependent | 12.7 | 8.3+ |
| 5 | 79/M | Primary | Int | Pos | 20q- | POM | Tx dependent | 12.1 | 9.2+ |
| 6 | 63/F | Primary | Int | Pos | −7 and r(7) | POM/pred | 9.9 | 16.0 | 14 (off-study)‡ |
| 7 | 68/M | Post-ET | High | Pos | Normal | POM/pred | Tx dependent | 10.6 | 15.3+ |
| 8 | 65/F | Primary | Int | Pos | −7 | POM/pred | Tx dependent | 11 | 6.4+ |
| 9 | 72/M | Primary | Int | Pos | 13q- | pom/pred | Tx dependent | 10.8 | 4.1+ |
| 10 | 70/M | Post-ET | Int | Pos | NA | pom/pred | Tx dependent | 10 | 6.5+ |
| 11 | 66/F | Primary | Int | Pos | NA | pom/pred | 9.7 | 15.2 | 4.6+ |
| 12 | 60/M | Post-PV | High | Pos | Normal | pom/pred | Tx dependent | 12.2 | 16.9+ |
| 13 | 43/M | Primary | Int | Neg | NA | pom/pred | Tx dependent | 11.7 | 9.7+ |
| 14 | 59/F | Post-ET | Int | Neg | NA | pom/pred | Tx dependent | 9.9 | 6.1+ |
| 15 | 59/M | Primary | Int | Pos | NA | pom/pred | Tx dependent | 9.3 | 8.3+ |
| 16 | 86/F | Post-ET | Int | Pos | Normal | pom/pred | Tx dependent | 11.6 | 14+ |
| 17 | 61/F | Primary | Int | Pos | Normal | Pred | Tx dependent | 11.8 | 5.5 (relapsed) |
| 18 | 58/F | Post-PV | Int | Pos | NA | Pred | 8.3 | 12.4 | 2.8 (off-study)§ |
| 19 | 76/M | Primary | Int | Pos | NA | Pred | Tx dependent | 9.4 | 2.3 (relapsed) |
| 20 | 67/M | Primary | High | Neg | Normal | Pred | 8.6 | 11.3 | 2.3+ |
NOTE. All responses signified improvement in anemia according to the International Working Group for Myelofibrosis Research and Treatment Criteria.17
Abbreviations: M, male; High, high risk; Neg, negative; POM, pomalidomide 2 mg/day; Tx, red blood cell transfusion; F, female; Pos, positive; pom, pomalidomide 0.5 mg/day; pred, prednisone; NA, not available; ET, essential thrombocythemia; PV, polycythemia vera; MF, myelofibrosis; Int, intermediate risk.
Please see text for treatment dose and schedule for both pomalidomide and prednisone.
Best hemoglobin response.
Patient developed grade 3 pleural effusion attributed to drug.
Patient experienced progressive splenomegaly.