Splenomegaly Efficacy of Jakafi

The efficacy and safety of Jakafi® (ruxolitinib) for the treatment of intermediate or high-risk myelofibrosis were studied in 2 phase III clinical trials, COntrolled MyeloFibrosis study with ORal JAK inhibitor Treatment-I (COMFORT-I) and COMFORT-II.

COMFORT-I Trial

Superior reductions in spleen volume with Jakafi vs placebo1,2

  • The primary endpoint of COMFORT-I was achieved—a ≥35% reduction in spleen volume

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Splenomegaly Efficacy in COMFORT-I: Percentage of Patients With a ≥35% Reduction in Spleen Volume From Baseline to Week 24

COMFORT-I = COntrolled MyeloFibrosis study with ORal JAK inhibitor Treatment (I).

  • A similar proportion of patients receiving Jakafi achieved a ≥50% reduction in palpable spleen length1
  • Responses in spleen volume reduction were seen with Jakafi in both JAK2V617F-positive patients and JAK2V617F-negative patients, relative to placebo2

Most patients achieved some reduction in spleen volume2

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COMFORT-I: Percent Change in Spleen Volume in Individual Patients From Baseline to Week 24 or Last Observation

Each bar represents an individual patient's response.

COMFORT-I = COntrolled MyeloFibrosis study with ORal JAK inhibitor Treatment (I).

  • Most patients who did not receive Jakafi experienced increased splenomegaly1

~32% mean decrease in spleen volume at 24 weeks2

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COMFORT-I: Percent Change in Spleen Volume in Individual Patients From Baseline to Week 24

COMFORT-I = COntrolled MyeloFibrosis study with ORal JAK inhibitor Treatment (I); SEM = standard error of the mean.

Splenomegaly Efficacy in COMFORT-II

Superior reductions in spleen volume with Jakafi vs best available therapy1,3

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Splenomegaly Efficacy in COMFORT-II: Percentage of Patients With a ≥35% Reduction in Spleen Volume From Baseline to Week 48

BAT = best available therapy; COMFORT-II = COntrolled MyeloFibrosis study with ORal JAK inhibitor Treatment (II).

  • Reductions in spleen volume (in splenomegaly) were seen with Jakafi in both JAK2V617F-positive and JAK2V617F-negative patients3

References:

  1. Jakafi Prescribing Information. Incyte Corporation. June 2012.
  2. Verstovsek S, Mesa RA, Gotlib J, et al. A double-blind, placebo-controlled trial of ruxolitinib for myelofibrosis. N Engl J Med. 2012;366:799-807.
  3. Harrison C, Kiladjian JJ, Al-Ali HK, et al. JAK inhibition with ruxolitinib versus best available therapy for myelofibrosis. N Engl J Med. 2012;366:787-798.
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Diagnosing Myelofibrosis

Information on myelofibrosis criteria.

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Superior improvements in core symptoms of myelofibrosis with Jakafi.

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