Ruben Mesa, MD, Levine Cancer Institute, Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston Salem, NC, gives an overview of the management of patients with myelofibrosis (MF). He recommends that the majority of patients, even those who are low-risk, be on medical therapy and that high-risk patients be assessed for transplantation. Dr Mesa suggests that the four approved JAK inhibitors should be used in different settings: ruxolitinib and fedratinib are interchangeable in front-line or second-line settings, particularly in patients without significant cytopenia, whilst momelotinib is indicated for patients with anemia, and pacritinib for patients with a platelet count below 50,000. This interview took place during the 2024 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.
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