Table 1.
JAK Inhibitors | Clinical Trial | Design | Clinical Impact | Main Side Effects |
---|---|---|---|---|
Ruxolitinib | MF: COMFORT-I phase 324,27 | vs Placebo | Spleen volume reduction Reduction of constitutional symptoms Survival benefit | Anemia, thrombocytopenia |
MF: COMFORT-II phase 335,37 | vs BAT | |||
PV: RESPONSE phase 325,36 | vs BAT | Spleen volume reduction Hematocrit control Reduction of constitutional symptoms | ||
PV: RESPONSE-2 phase 338 | vs BAT | |||
ET: MAJIC-ET phase 226 | vs BAT | Nonsignificant benefit (complete hematologic response) | ||
Fedratinib | MF: JAKARTA phase 339 | vs Placebo | Spleen volume reduction | Anemia, gastrointestinal, encephalopathy (black box warning!) |
Rux naive | ||||
MF: JAKARTA-2 phase 240 | vs Placebo | Reduction of constitutional symptoms | ||
Rux refractory | ||||
Momelotinib | MF: SIMPLIFY-1 phase 341 | vs Rux | Spleen volume reduction (n.s.) Reduction of constitutional symptoms (n.s.) Decreased transfusion dependence | Peripheral neuropathy, anemia, thrombocytopenia |
Rux naive | ||||
MF: SIMPLIFY-2 phase 242 | vs BAT | |||
Rux refractory | ||||
Pacritinib | MF: PERSIST-1 phase 343 | vs BAT | Spleen volume reduction Reduction of constitutional symptoms Decreased transfusion dependence | Anemia, thrombocytopenia, gastrointestinal |
MF: PERSIST-2 phase 344 | vs BAT, in thrombocytopenia |
Key studies on JAK2 inhibitors in clinical development are indicated including design, main clinical impact, and most important side effects.
BAT = best available therapy; ET = essential thrombocythemia; JAK = Janus kinase; MF = myelofibrosis; MPNs = myeloproliferative neoplasms; n.s. = non significant; PV = polycythemia vera; Rux = ruxolitinib.