Treatment of the blood cancer polycythemia vera with ruxolitinib in the MAJIC-PV study: a plain language summary.

IF 3 4区 医学 Q2 ONCOLOGY
Claire N Harrison, Sonia Fox, Rebecca Boucher, Mary Frances McMullin, Adam J Mead
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Abstract

What is this summary about?: This is a summary of an article describing the main results of the MAJIC-PV study. This study looked at using the cancer drug ruxolitinib to treat a type of blood cancer called polycythemia vera. People with polycythemia vera make too many red blood cells in their body. This can make their blood thicker and can increase the chances of blood clots forming in their blood vessels.Researchers wanted to find out how well ruxolitinib worked compared with the best available therapy as a treatment for people with polycythemia vera who were at risk of developing blood clots that could lead to a heart attack or stroke. Specifically, the study looked at people who had already taken the chemotherapy hydroxycarbamide (also known as hydroxyurea) for their polycythemia vera, but it either didn't work for them or gave them side effects that they could not tolerate.

What were the results?: In the study, researchers divided 180 adults with polycythemia vera who were at high risk of developing blood clots that could lead to a stroke into two groups: 93 people who took ruxolitinib twice a day, and 87 people who took the best available therapy. 43% of people who took ruxolitinib and 26% of people who had the best available therapy had normal blood counts and spleen size within 1 year of treatment. 84% of people who took ruxolitinib and 75% of people who had the best available therapy lived for at least 3 years without their polycythemia vera becoming a more advanced type of blood cancer. The most common side effects were disorders of the digestive system (stomach and gut), disorders of the blood vessels, and infections. This is similar to the side effects that doctors know about for ruxolitinib.

What do the results mean?: Compared with people who had the best available therapy for their polycythemia vera, people who took ruxolitinib were more likely to have normal blood counts and spleen size within 1 year of treatment, and were more likely to live longer without their polycythemia vera becoming a more advanced type of blood cancer.

MAJIC-PV研究中用Ruxolitinib治疗血癌多发性红细胞症:通俗易懂的摘要。
这是一篇文章的摘要,介绍了 MAJIC-PV 研究的主要结果。这项研究探讨了使用抗癌药物鲁索利替尼治疗一种名为 "多发性红细胞增多症 "的血癌。多发性红细胞症患者体内的红细胞过多。研究人员想知道,与现有的最佳疗法相比,Ruxolitinib 的疗效如何,以治疗有可能导致心脏病发作或中风的血栓形成风险的红细胞增多症患者。具体来说,这项研究的对象是已经服用过化疗药物羟基卡巴酰胺(又称羟基脲)治疗红细胞增多症的患者,但这种药物对他们不起作用,或者给他们带来了无法忍受的副作用:在这项研究中,研究人员将 180 名患有多血细胞增多症的成人患者分为两组,其中 93 人每天服用两次 ruxolitinib,87 人服用现有的最佳疗法。43%服用ruxolitinib的患者和26%接受最佳疗法的患者在治疗1年内血细胞计数和脾脏大小正常。84%的服用鲁索利替尼者和75%的接受最佳疗法者至少存活了3年,其多血细胞瘤没有发展成更晚期的血癌。最常见的副作用是消化系统(胃和肠道)疾病、血管疾病和感染。结果说明了什么?与采用现有最佳疗法治疗多发性红细胞增多症的患者相比,服用 Ruxolitinib 的患者更有可能在治疗后 1 年内血细胞计数和脾脏大小恢复正常,并且更有可能在多发性红细胞增多症未发展为更晚期血癌的情况下延长寿命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Future oncology
Future oncology ONCOLOGY-
CiteScore
5.40
自引率
3.00%
发文量
335
审稿时长
4-8 weeks
期刊介绍: Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.
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