Table 2:
Results from selected studies of JAK inhibitors in ET and PV patients
| Author | Reference | Year of publication | Treatment and treatment schedule | Phase | Study population | Outcomes |
|---|---|---|---|---|---|---|
| Vannucchi et al. | [58] | 2015 | Ruxolitinib vs standard therapy | III | Phlebotomy-dependent PV patients with splenomegaly and resistance or intolerance to HU | Primary endpoint (hematocrit control + ≥35% reduction in spleen size): 21% in ruxolitinib vs 1% in standard therapy (p<0.001) |
| Passamonti et al. | [59] | 2017 | Ruxolitinib vs BAT | IIIb | PV patients with resistance or intolerance to HU | Hematocrit control: 62% of ruxolitinib-treated patients vs 19% of BAT-treated patients (odds ratio 7.28 [95% CI 3.43–15.45]; p<0.0001) |
| Mesa et al. | [61] | 2017 | Patients on stable dose of HU randomized to continue HU or switch to ruxolitinib | IIIb | Symtpomatic PV patients on stable dose of HU | ≥50% reduction in MPN-related symptoms: 43.4% vs. 29.6% of ruxolitinib‐ and HU-treated patients, respectively (odds ratio, 1.82; 95% CI 0.82–4.04; p = 0.139) |
| Sorensen et al. | [53] | 2019 | Ruxolitinib + low-dose peg-IFN-α-2a | II | PV (n=32) and myelofibrosis (n-18) intolerant or refractory to peg-IFN-α-2a | PV patients: 31% remission (9% CR); 85% CHR MF patients: 44% remission (28% CR); 75% MF |
BAT – best available therapy; CALR – calreticulin; CHR – complete hematologic response; CR – complete response; ET – essential thrombocythemia; HU – hydroxyurea; JAK2 – janus kinase 2; MF - myelofibrosis; PEG – pegylated; PHR – partial hematologic remission; PV – polycythemia vera