This was a prospective, two-arm, non-interventional study of JAKAVI® (Ruxolitinib) in patients with myelofibrosis
The purpose of this NIS was to gather data from the daily clinical practice of the Jakavi®-treatment in a broad patient population. In order to evaluate the direct effect of Jakavi®, only JAK inhibitor naive patients were documented in the first study arm; patients pretreated with JAK inhibitors were documented in the second study arm to evaluate the long-term efficacy of Jakavi® in this subpopulation. The documentation of all patients was carried out prospectively and began after the baseline visit. The medical decision on which therapeutic and diagnostic measures to take was made solely by the responsible physician. The observational period per patient was 36 months. The visit schedule after the baseline visit was set by the responsible physician according to standard clinical care, the clinical condition of the respective patients and the SmPC.
Study Type
OBSERVATIONAL
Enrollment
1,012
Prospective observational study. There is no treatment allocation. Patients administered Jakavi by prescription and administered according to the SmPC.
Novartis Investigative Site
Aachen, Germany
Safety and tolerability
Evaluation of all occurring adverse events, serious adverse events and serious and non-serious adverse drug reactions
Time frame: Up to 36 months
Spleen size (or volume) reduction
Spleen size (or volume) reduction was measured by palpation
Time frame: Up to 36 months
Eastern Cooperative Oncology Group (ECOG) performance status
The ECOG performance status is a scale used to assess how a patient's disease is progressing, assess how the disease affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. The grade ranges from 0 (fully active, able to carry on all pre-disease performance without restriction) to 5 (dead).
Time frame: Up to 36 months
Change in the number of patients with constitutional symptoms
Number of patients with change in constitutional symptoms was collected
Time frame: Up to 36 months
Assessment of the Quality of Life (QoL) - Myeloproliferative Neoplasm - Symptom Assessment Form (MPN-SAF)
The MPN-SAF questionnaire contains important questions that cover MF-specific symptoms whose analysis is part of the standard of care. It includes disease related symptoms each scored from 0 (absent) to 10 (worst imaginable). Total Scores range from 0-100, with higher scores indicating a greater number of symptoms and severity.
Time frame: Baseline, month 1, month 3, month 6, month 12, month 24 and month 36
Assessment of the Quality of Life (QoL) - Short Form-36 (SF-36)
This questionnaire consists of questions measuring physical function, physical role limitation, pain, general health, vitality, social function, emotional role limitations, and mental health status. The scores that can be obtained from the scale vary between 0 and 100 and the increase in the scores indicates that the quality of life is high.
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Time frame: Baseline month 6, month 12, month 24 and month 36
Overall survival
Overall survival for JAK inhibitor naive and pretreated patients
Time frame: Up to 36 months
Ruxolitinib start and end dose
Ruxolitinib start and end dose was collected
Time frame: Up to 36 months
Therapy discontinuation and dose adjustments
Number of participants with therapy discontinuation and dose adjustments was collected
Time frame: Up to 36 months
Number of patients with co-morbidities
Number of patients with co-morbidities was collected
Time frame: Up to 36 months
Blood transfusion dependency
Number of patients with blood transfusion dependency was collected
Time frame: Up to 36 months
Number of patients with concomitant medications
Number of patients with concomitant medications prescribed for myelofibrosis therapy and for the management of side effects was collected
Time frame: Up to 36 months