eJHaem (Nov 2022)

Risk‐adjusted safety analysis of the oral JAK2/IRAK1 inhibitor pacritinib in patients with myelofibrosis

  • Naveen Pemmaraju,
  • Claire Harrison,
  • Vikas Gupta,
  • Srdan Verstovsek,
  • Bart Scott,
  • Stephen T. Oh,
  • Francesca Palandri,
  • Haifa Kathrin Al‐Ali,
  • Marta Sobas,
  • Mary Frances McMullin,
  • Ruben Mesa,
  • Sarah Buckley,
  • Karisse Roman‐Torres,
  • Alessandro Vannucchi,
  • Abdulraheem Yacoub

DOI
https://doi.org/10.1002/jha2.591
Journal volume & issue
Vol. 3, no. 4
pp. 1346 – 1351

Abstract

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Abstract The safety profile of the novel oral JAK2/IRAK1 inhibitor pacritinib in patients with cytopenic myelofibrosis was described in the Phase 2 PAC203 and Phase 3 PERSIST‐2 studies. To account for longer treatment durations on the pacritinib arms compared to best available therapy (BAT), we present a risk‐adjusted safety analysis of event rates accounting for different time on treatment. While the rate of overall events was higher on pacritinib compared to BAT, the rate of fatal events was lower, and there was no excess in bleeding, cardiac events, secondary malignancy, or thrombosis on pacritinib, including in patients with severe thrombocytopenia.

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