PMID- 32333155 OWN - NLM STAT- MEDLINE DCOM- 20200601 LR - 20240425 IS - 1432-0584 (Electronic) IS - 0939-5555 (Print) IS - 0939-5555 (Linking) VI - 99 IP - 6 DP - 2020 Jun TI - Ruxolitinib-based combinations in the treatment of myelofibrosis: worth looking forward to. PG - 1161-1176 LID - 10.1007/s00277-020-04028-z [doi] AB - Ruxolitinib is a targeted drug to treat myelofibrosis (MF). Ruxolitinib has significant advantages in spleen reduction and increasing 5-year overall survival (OS), and ruxolitinib-based combinations might provide more benefits than ruxolitinib monotherapy. In this review, we focus on the data of ruxolitinib-based combinations therapies and treatment-related adverse events (AEs) and safety. We analyzed and summarized the data of ruxolitinib-based combinations. Ruxolitinib combined with prednisone + thalidomide + danazol (TPD), panobinostat, pracinostat, azacytidine, or hydroxyurea has well reduced spleen. Ruxolitinib combined with danazol or TPD had well therapies in improvement of hemoglobin (Hgb) and platelets (PLT). Most ruxolitinib-based combinations therapies showed a superior benefit on reduced treatment-related AEs than ruxolitinib monotherapy. Treatment-related AEs and dose modification affect the safety and tolerability of ruxolitinib-based combinations. Genetic testing before treatment is recommended. To provide better clinical guidance, comparisons of these randomized controlled trials with the trials of ruxolitinib alone are necessary. This review suggests that the clinical application of ruxolitinib-based combinations is worth waiting for. FAU - Li, Yujin AU - Li Y AD - Department of Hematology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. AD - Graduate School, China Academy of Chinese Medical Sciences, Beijing, 100700, China. FAU - Zhu, Shirong AU - Zhu S AD - Department of Hematology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. AD - Graduate School, Beijing University of Chinese Medicine, Beijing, 100029, China. FAU - Liu, Weiyi AU - Liu W AD - Department of Hematology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. FAU - Ming, Jing AU - Ming J AD - Department of Hematology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. FAU - Wang, Xueying AU - Wang X AD - Department of Hematology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. AD - Graduate School, China Academy of Chinese Medical Sciences, Beijing, 100700, China. FAU - Hu, Xiaomei AU - Hu X AD - Department of Hematology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. huxiaomei_2@163.com. LA - eng GR - CDA 10-016/HX/HSRD VA/United States PT - Journal Article PT - Review DEP - 20200424 PL - Germany TA - Ann Hematol JT - Annals of hematology JID - 9107334 RN - 0 (Immunologic Factors) RN - 0 (Nitriles) RN - 0 (Pyrazoles) RN - 0 (Pyrimidines) RN - 82S8X8XX8H (ruxolitinib) SB - IM MH - Clinical Trials as Topic/methods MH - Drug Therapy, Combination MH - Humans MH - Immunologic Factors/*administration & dosage MH - Nitriles MH - Primary Myelofibrosis/diagnosis/*drug therapy MH - Pyrazoles/*administration & dosage MH - Pyrimidines MH - Treatment Outcome PMC - PMC7237512 OTO - NOTNLM OT - Hematology OT - Myelofibrosis OT - Ruxolitinib OT - Ruxolitinib-based combinations COIS- The authors declare that they have no conflict of interest. EDAT- 2020/04/26 06:00 MHDA- 2020/06/02 06:00 PMCR- 2020/04/24 CRDT- 2020/04/26 06:00 PHST- 2020/03/06 00:00 [received] PHST- 2020/04/10 00:00 [accepted] PHST- 2020/04/26 06:00 [pubmed] PHST- 2020/06/02 06:00 [medline] PHST- 2020/04/26 06:00 [entrez] PHST- 2020/04/24 00:00 [pmc-release] AID - 10.1007/s00277-020-04028-z [pii] AID - 4028 [pii] AID - 10.1007/s00277-020-04028-z [doi] PST - ppublish SO - Ann Hematol. 2020 Jun;99(6):1161-1176. doi: 10.1007/s00277-020-04028-z. Epub 2020 Apr 24.