A Real-Life Turkish Experience of Ruxolitinib in Polycythemia Vera

Introduction:Ruxolitinib is a small -molecule inhibitor of the JAK1/2 pathway. This study aimed to reveal the results and side-effect profile of the use of ruxolitinib as a treatment option in polycythemia vera (PV).Methods:A total of 34 patients with PV from 18 different centers were included in th...

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Main Authors: İstemi Serin, Mehmet Hilmi Doğu, Ömer Ekinci, Gülsüm Akgün Çağlıyan, Abdulkadir Baştürk, Merih Reis Aras, Sinan Demircioğlu, Burhan Turgut, Mustafa Merter, Sibel Kabukçu Hacıoğlu, Metin Bağcı, Murat Albayrak, Serdal Korkmaz, Mehmet Ali Erkurt, Mehmet Sinan Dal, Fadime Ersoy Dursun, Anıl Tombak, İsmet Aydoğdu, Turgay Ulaş, Fevzi Altuntaş
Format: Article
Language:English
Published: Galenos Yayinevi 2023-05-01
Series:İstanbul Medical Journal
Subjects:
Online Access: http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/a-real-life-turkish-experience-of-ruxolitinib-in-p/60509
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author İstemi Serin
Mehmet Hilmi Doğu
Ömer Ekinci
Gülsüm Akgün Çağlıyan
Abdulkadir Baştürk
Merih Reis Aras
Sinan Demircioğlu
Burhan Turgut
Mustafa Merter
Sibel Kabukçu Hacıoğlu
Metin Bağcı
Murat Albayrak
Serdal Korkmaz
Mehmet Ali Erkurt
Mehmet Sinan Dal
Fadime Ersoy Dursun
Anıl Tombak
İsmet Aydoğdu
Turgay Ulaş
Fevzi Altuntaş
author_facet İstemi Serin
Mehmet Hilmi Doğu
Ömer Ekinci
Gülsüm Akgün Çağlıyan
Abdulkadir Baştürk
Merih Reis Aras
Sinan Demircioğlu
Burhan Turgut
Mustafa Merter
Sibel Kabukçu Hacıoğlu
Metin Bağcı
Murat Albayrak
Serdal Korkmaz
Mehmet Ali Erkurt
Mehmet Sinan Dal
Fadime Ersoy Dursun
Anıl Tombak
İsmet Aydoğdu
Turgay Ulaş
Fevzi Altuntaş
author_sort İstemi Serin
collection DOAJ
description Introduction:Ruxolitinib is a small -molecule inhibitor of the JAK1/2 pathway. This study aimed to reveal the results and side-effect profile of the use of ruxolitinib as a treatment option in polycythemia vera (PV).Methods:A total of 34 patients with PV from 18 different centers were included in the study. The evaluation of the response under treatment with ruxolitinib was determined as a reduction in spleen volume (splenomegaly size: ≥35%) by imaging and control of hematocrit levels (≤45%) compared to baseline.Results:While the number of patients in which a reduction in spleen volume and hematocrit control was achieved was 19 (55.9%) at 3 months of treatment, it was 21 (61.8%) at 6 months. Additionally, while the number of side effects was negatively correlated with the reduction in spleen volume (Spearman’s rho: -0.365, p=0.034), a decrease in the hematocrit level was positively correlated (Spearman’s rho: 0.75, p=0.029). Those without a reduction in spleen volume experienced more constipation (chi-square: 5.988, Fisher’s exact test: p=0.033).Conclusion:This study shed light on the use of ruxolitinib in PV and the importance of splenomegaly on studies planned with larger patient groups.
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spelling doaj.art-2f9813f1062246cfa7c5bb2a592ed5f82023-06-02T07:03:31ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2023-05-0124212012510.4274/imj.galenos.2023.6674213049054A Real-Life Turkish Experience of Ruxolitinib in Polycythemia Veraİstemi Serin0Mehmet Hilmi Doğu1Ömer Ekinci2Gülsüm Akgün Çağlıyan3Abdulkadir Baştürk4Merih Reis Aras5Sinan Demircioğlu6Burhan Turgut7Mustafa Merter8Sibel Kabukçu Hacıoğlu9Metin Bağcı10Murat Albayrak11Serdal Korkmaz12Mehmet Ali Erkurt13Mehmet Sinan Dal14Fadime Ersoy Dursun15Anıl Tombak16İsmet Aydoğdu17Turgay Ulaş18Fevzi Altuntaş19 University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of Hematology, İstanbul, Turkey İstinye University, Liv Hospital Ulus, Clinic of Hematology, İstanbul, Turkey University of Health Sciences Turkey, Gazi Yaşargil Training and Research Hospital, Clinic of Hematology, Diyarbakır, Turkey Pamukkale University Faculty of Medicine, Department of Hematology, Denizli, Turkey Medicana International İstanbul Hospital, İstanbul, Turkey University of Health Sciences Turkey, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Hematology, Ankara, Turkey Necmettin Erbakan University, Meram Faculty of Medicine, Department of Hematology, Konya, Turkey Namık Kemal University Faculty of Medicine, Department of Hematology, Tekirdağ, Turkey Fırat University Faculty of Medicine, Department of Hematology, Elazığ, Turkey Pamukkale University Faculty of Medicine, Department of Hematology, Denizli, Turkey Selçuk University Faculty of Medicine, Department of Hematology, Konya, Turkey University of Health Sciences Turkey, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Clinic of Hematology, Ankara, Turkey University of Health Sciences Turkey, Kayseri City Training and Research Hospital, Clinic of Hematology and Apheresis Unit, Kayseri, Turkey İnönü University Faculty of Medicine, Department of Hematology, Malatya, Turkey University of Health Sciences Turkey, Ankara Oncology Training and Research Hospital, Clinic of Hematology and Apheresis Unit, Ankara, Turkey İstanbul Medeniyet University, Göztepe Training and Research Hospital, Clinic of Hematology, İstanbul, Turkey Mersin University Faculty of Medicine, Department of Hematology, Mersin, Turkey Manisa Celal Bayar University Faculty of Medicine, Department of Hematology, Manisa, Turkey Near East University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Lefkoşa, Cyprus University of Health Sciences Turkey, Ankara Oncology Training and Research Hospital, Clinic of Hematology and Apheresis Unit, Ankara, Turkey Introduction:Ruxolitinib is a small -molecule inhibitor of the JAK1/2 pathway. This study aimed to reveal the results and side-effect profile of the use of ruxolitinib as a treatment option in polycythemia vera (PV).Methods:A total of 34 patients with PV from 18 different centers were included in the study. The evaluation of the response under treatment with ruxolitinib was determined as a reduction in spleen volume (splenomegaly size: ≥35%) by imaging and control of hematocrit levels (≤45%) compared to baseline.Results:While the number of patients in which a reduction in spleen volume and hematocrit control was achieved was 19 (55.9%) at 3 months of treatment, it was 21 (61.8%) at 6 months. Additionally, while the number of side effects was negatively correlated with the reduction in spleen volume (Spearman’s rho: -0.365, p=0.034), a decrease in the hematocrit level was positively correlated (Spearman’s rho: 0.75, p=0.029). Those without a reduction in spleen volume experienced more constipation (chi-square: 5.988, Fisher’s exact test: p=0.033).Conclusion:This study shed light on the use of ruxolitinib in PV and the importance of splenomegaly on studies planned with larger patient groups. http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/a-real-life-turkish-experience-of-ruxolitinib-in-p/60509 polycythemia veraruxolitinibreal-life dataresponseside effect
spellingShingle İstemi Serin
Mehmet Hilmi Doğu
Ömer Ekinci
Gülsüm Akgün Çağlıyan
Abdulkadir Baştürk
Merih Reis Aras
Sinan Demircioğlu
Burhan Turgut
Mustafa Merter
Sibel Kabukçu Hacıoğlu
Metin Bağcı
Murat Albayrak
Serdal Korkmaz
Mehmet Ali Erkurt
Mehmet Sinan Dal
Fadime Ersoy Dursun
Anıl Tombak
İsmet Aydoğdu
Turgay Ulaş
Fevzi Altuntaş
A Real-Life Turkish Experience of Ruxolitinib in Polycythemia Vera
İstanbul Medical Journal
polycythemia vera
ruxolitinib
real-life data
response
side effect
title A Real-Life Turkish Experience of Ruxolitinib in Polycythemia Vera
title_full A Real-Life Turkish Experience of Ruxolitinib in Polycythemia Vera
title_fullStr A Real-Life Turkish Experience of Ruxolitinib in Polycythemia Vera
title_full_unstemmed A Real-Life Turkish Experience of Ruxolitinib in Polycythemia Vera
title_short A Real-Life Turkish Experience of Ruxolitinib in Polycythemia Vera
title_sort real life turkish experience of ruxolitinib in polycythemia vera
topic polycythemia vera
ruxolitinib
real-life data
response
side effect
url http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/a-real-life-turkish-experience-of-ruxolitinib-in-p/60509
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