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MPN Workshop of the Carolinas 2025 | Therapeutic approaches in development for advanced-phase MPNs

In this interview, Olatoyosi Odenike, MD, University of Chicago, Chicago, IL, comments on the promising investigational agents in development for advanced-phase myeloproliferative neoplasms (MPNs), which she defines as patients with accelerated/blast-phase (AP/BP) MPNs and those patients who have not responded to or progressed following JAK inhibitor treatment. This interview took place at the 2nd Annual MPN Workshop of the Carolinas, held in Charlotte, NC.

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Transcript

We are in a wonderful time for advanced phase MPNs, which I define rather broadly to include patients with accelerated and blast phase MPNs, as well as patients with MPNs who may not have responded or have progressed following a JAK inhibitor. And so for those patients, there are a number of exciting new agents under development. These include, for patients who are IDH1- or IDH2-mutated, clinical trials focusing specifically on that subset of patients...

We are in a wonderful time for advanced phase MPNs, which I define rather broadly to include patients with accelerated and blast phase MPNs, as well as patients with MPNs who may not have responded or have progressed following a JAK inhibitor. And so for those patients, there are a number of exciting new agents under development. These include, for patients who are IDH1- or IDH2-mutated, clinical trials focusing specifically on that subset of patients. There are also a number of other investigational agents in development for individuals who may not express IDH1 mutations, for example. Top of that list would be a new investigational category of drugs called LSD1 inhibitors. They are epigenetic modulators. They’re being investigated in various spaces now in the MPNs, including individuals with advanced-phase MPNs. And I’m very excited to see how those trials turn out. And finally, I would be remiss if I didn’t talk about or mention briefly a category of immunotherapeutic agents, which are now finding their way, interestingly, into advanced phase MPNs, specifically for individuals with calreticulin-mutated myeloproliferative neoplasms. There has never been a more exciting time.

 

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