Ciro Rinaldi, MD, PhD, Lincoln County Hospital, Lincoln, UK, reflects on therapeutic approaches for patients with myelofibrosis (MF) who have progressed on Janus kinase (JAK) inhibitors. Following progression on ruxolitinib, next-generation JAK inhibitors such as fedratinib may improve outcomes, as well as combination approaches with other targeted therapies, such as selinexor. This interview took place at the American Society of Clinical Oncology (ASCO) 2022 Annual Meeting in Chicago, IL.