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EHA 2025 | A Delphi consensus study to define disease progression and disease modification in polycythemia vera

In this interview, Prithviraj Bose, MD, The University of Texas MD Anderson Cancer Center, Houston, TX, comments on a Delphi consensus conducted to define disease progression and disease modification in polycythemia vera (PV). Dr Bose explains that a group of seven US-based experts drafted 41 questions across six domains to establish treatment goals and disease modification criteria, which were then sent to a broader audience of hematologist-oncologists, and a consensus was reached. This interview took place at the 30th Congress of the European Hematology Association (EHA) in Milan, Italy.

These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.

Transcript

This was an interesting project we conducted fairly recently. Seven of us got together, so seven US-based experts in PV, myself, John Mascarenhas, Raajit Rampal and others were on this. So the seven of us first drafted some important questions in the field. So we came up with 41 questions across six domains. And just to give you a general idea of what we were trying to achieve here, you know, we were just looking at, OK, what should the treatment goals be? What is disease modification? What is a suboptimal response? So some of these we were aiming to get some sort of consensus on how we should approach PV going forward now that we are in the era of disease-modifying agents...

This was an interesting project we conducted fairly recently. Seven of us got together, so seven US-based experts in PV, myself, John Mascarenhas, Raajit Rampal and others were on this. So the seven of us first drafted some important questions in the field. So we came up with 41 questions across six domains. And just to give you a general idea of what we were trying to achieve here, you know, we were just looking at, OK, what should the treatment goals be? What is disease modification? What is a suboptimal response? So some of these we were aiming to get some sort of consensus on how we should approach PV going forward now that we are in the era of disease-modifying agents. 

So we, like I said, we drafted 41 questions across, you know, six domains. And then these were sent out to a broader audience of hematologist-oncologists or just hematologists or just oncologists. And they were all US-based. Sixty-one responded. And what is nice is we obtained consensus, which means 75 percent agreement or higher on 95 percent of the questions. So only five percent failed to meet consensus. And so that’s what this abstract is about. It’s available here as a publication-only abstract at EHA and has been sent in for publication in a peer-reviewed journal.

 

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Disclosures

Research support: Incyte, BMS, CTI (Sobi), Morphosys, Ajax, Geron, Janssen, Ionis, Disc, Sumitomo, Karyopharm, Kartos, Telios, Cogent, Blueprint; Honoraria/consulting fees from Incyte, BMS, CTI (Sobi), GSK, Abbvie, Morphosys (Novartis), Pharma Essentia, Disc, Ionis, Karyopharm, Sumitomo, Geron, Novartis, Cogent, Blueprint, Ono, Raythera, Morphic, Jubilant, Keros.