Peritransplantation Use of Ruxolitinib in Myelofibrosis

Biol Blood Marrow Transplant. 2020 Dec;26(12):2177-2180. doi: 10.1016/j.bbmt.2020.08.015. Epub 2020 Aug 18.

Abstract

Ruxolitinib is an oral JAK1/2 inhibitor that is approved for use in patients with intermediate and high-risk myelofibrosis (MF) based on its proven spleen and symptom burden reduction. Its impact on hematopoietic stem cell transplantation (HSCT) outcomes is largely unknown, however. A significant number of patients proceeding to HSCT have been treated with ruxolitinib, and the specifics of its peritransplantation use vary widely in the published literature. Here we review the currently published data and experience to guide management of patients with MF on ruxolitinib proceeding to HSCT.

Keywords: Allogeneic transplant; HSCT; Myelofibrosis; Ruxolitinib.

Publication types

  • Review

MeSH terms

  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Nitriles
  • Primary Myelofibrosis* / drug therapy
  • Protein Kinase Inhibitors / therapeutic use
  • Pyrazoles / therapeutic use
  • Pyrimidines

Substances

  • Nitriles
  • Protein Kinase Inhibitors
  • Pyrazoles
  • Pyrimidines
  • ruxolitinib