JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with Myelofibrosis

Myelofibrosis (MF) is a myeloproliferative neoplasm hallmarked by uncontrolled blood counts, constitutional symptoms, extramedullary hematopoiesis, and an increased risk of developing acute myeloid leukemia. Janus kinase (JAK) inhibitors are the most common treatment for MF due to their ability to r...

Full description

Bibliographic Details
Main Authors: Andrew T. Kuykendall, Rami S. Komrokji
Format: Article
Language:English
Published: Innovative Healthcare Institute 2021-08-01
Series:Journal of Immunotherapy and Precision Oncology
Subjects:
Online Access:https://jipo.org/doi/pdf/10.36401/JIPO-20-36
_version_ 1797962796985483264
author Andrew T. Kuykendall
Rami S. Komrokji
author_facet Andrew T. Kuykendall
Rami S. Komrokji
author_sort Andrew T. Kuykendall
collection DOAJ
description Myelofibrosis (MF) is a myeloproliferative neoplasm hallmarked by uncontrolled blood counts, constitutional symptoms, extramedullary hematopoiesis, and an increased risk of developing acute myeloid leukemia. Janus kinase (JAK) inhibitors are the most common treatment for MF due to their ability to reduce spleen size and improve disease-related symptoms; however, JAK inhibitors are not suitable for every patient and their impact on MF is limited in several respects. Novel JAK inhibitors and JAK inhibitor combinations are emerging that aim to enhance the treatment landscape, providing deeper responses to a broader population of patients with the continued hope of providing disease modification and improving long-term outcomes. In this review, we highlight several specific areas of unmet need within MF. Subsequently, we review agents that target those areas of unmet need, focusing specifically on the JAK inhibitors, momelotinib, pacritinib, itacitinib, and NS-018 as well as JAK inhibitor combination approaches using CPI-0610, navitoclax, parsaclisib, and luspatercept.
first_indexed 2024-04-11T01:18:27Z
format Article
id doaj.art-6a47315a1958433da9df83ec4dfd7d1c
institution Directory Open Access Journal
issn 2666-2345
2590-017X
language English
last_indexed 2024-04-11T01:18:27Z
publishDate 2021-08-01
publisher Innovative Healthcare Institute
record_format Article
series Journal of Immunotherapy and Precision Oncology
spelling doaj.art-6a47315a1958433da9df83ec4dfd7d1c2023-01-03T16:42:10ZengInnovative Healthcare InstituteJournal of Immunotherapy and Precision Oncology2666-23452590-017X2021-08-0112914110.36401/JIPO-20-36i2590-017X-4-3-129JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with MyelofibrosisAndrew T. KuykendallRami S. KomrokjiMyelofibrosis (MF) is a myeloproliferative neoplasm hallmarked by uncontrolled blood counts, constitutional symptoms, extramedullary hematopoiesis, and an increased risk of developing acute myeloid leukemia. Janus kinase (JAK) inhibitors are the most common treatment for MF due to their ability to reduce spleen size and improve disease-related symptoms; however, JAK inhibitors are not suitable for every patient and their impact on MF is limited in several respects. Novel JAK inhibitors and JAK inhibitor combinations are emerging that aim to enhance the treatment landscape, providing deeper responses to a broader population of patients with the continued hope of providing disease modification and improving long-term outcomes. In this review, we highlight several specific areas of unmet need within MF. Subsequently, we review agents that target those areas of unmet need, focusing specifically on the JAK inhibitors, momelotinib, pacritinib, itacitinib, and NS-018 as well as JAK inhibitor combination approaches using CPI-0610, navitoclax, parsaclisib, and luspatercept.https://jipo.org/doi/pdf/10.36401/JIPO-20-36jak inhibitormyelofibrosismyeloproliferative neoplasmrare disease
spellingShingle Andrew T. Kuykendall
Rami S. Komrokji
JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with Myelofibrosis
Journal of Immunotherapy and Precision Oncology
jak inhibitor
myelofibrosis
myeloproliferative neoplasm
rare disease
title JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with Myelofibrosis
title_full JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with Myelofibrosis
title_fullStr JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with Myelofibrosis
title_full_unstemmed JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with Myelofibrosis
title_short JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with Myelofibrosis
title_sort jak be nimble reviewing the development of jak inhibitors and jak inhibitor combinations for special populations of patients with myelofibrosis
topic jak inhibitor
myelofibrosis
myeloproliferative neoplasm
rare disease
url https://jipo.org/doi/pdf/10.36401/JIPO-20-36
work_keys_str_mv AT andrewtkuykendall jakbenimblereviewingthedevelopmentofjakinhibitorsandjakinhibitorcombinationsforspecialpopulationsofpatientswithmyelofibrosis
AT ramiskomrokji jakbenimblereviewingthedevelopmentofjakinhibitorsandjakinhibitorcombinationsforspecialpopulationsofpatientswithmyelofibrosis