Table 4.
First-line MF treatment | Prior ruxolitinib exposure | |||||||
---|---|---|---|---|---|---|---|---|
JAKARTA [34] fedratinib 400 mg QD N = 96 | COMFORT-I [26] ruxolitinib 15–20 mg BID N = 155 | COMFORT-II [25] ruxolitinib 15–20 mg BID N = 146 | PERSIST-1 [27] pacritinib 400 mg QD N = 220 | SIMPLIFY-1 [78] momelotinib 200 mg QD N = 214 | JAKARTA2 [71] fedratinib 400 mg QD N = 97 | PERSIST-2 [83] pacritinib 400 mg N = 210 | SYMPLIFY-2 [84] momelotinib 200 mg QD N = 104 | |
Primary kinases inhibited | JAK2/FLT3 | JAK1/JAK2 | JAK1/JAK2 | JAK2/FLT3 | JAK1/JAK2 | JAK2/FLT3 | JAK2/FLT3 | JAK1/JAK2 |
Spleen volume response ratea | 37%b | 42% | 32% | 19% | 27% | 31% | 10%c | 7% |
Symptom response rated | 40% | 46% | N/Ae | 25%f | 28% | 27% | 21%c | 26% |
EORTC QLQ-C30 European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire, MF myelofibrosis, MFSAF MF Symptom Assessment Form, MPN-SAF Myeloproliferative Neoplasm Symptom Assessment Form.
aProportion of patients who achieved a ≥35% decrease in spleen volume from baseline through week 24.
bResponse rate at 24 weeks, confirmed 4 weeks later [34]. Unconfirmed response rate at 24 weeks was 47% [24].
cAmong 62 patients in PERSIST-2 who had previously been treated with ruxolitinib.
dProportion of patients who experienced a ≥50% decrease in total symptom score per the MFSAF or the MPN-SAF, from baseline through week 24.
eSymptom changes in COMFORT-II were assessed according to the EORTC QLQ-C30 questionnaire [25].
fComposite symptom response rate using both the MPN-SAF (original version) and MPN-SAF version 2.0 questionnaires [27].