Evidence map›Paper›PMID 39831987›Full record

Observational studyAnnals of hematology2025

Impact of calreticulin mutations on treatment and survival outcomes in myelofibrosis during ruxolitinib therapy.

Francesca Palandri, Filippo Branzanti, Erika Morsia, Alessandra Dedola, Giulia Benevolo, Mario Tiribelli, Eloise Beggiato, Mirko Farina, Bruno Martino, Giovanni Caocci and 20 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06516406 (Ruxolitinib in Primary Myelofibrosis and Secondary to Essential Thrombocythemia or Polycythemia Vera), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06516406 recruitingnot on this map

Ruxolitinib in Primary Myelofibrosis and Secondary to Essential Thrombocythemia or Polycythemia Vera

Typeobservational_patient_registrySponsorIRCCS Azienda Ospedaliero-Universitaria di BolognaRan2022 to 2032Enrolled1,055ConditionsMyelofibrosis, Primary Myelofibrosis, Secondary Myelofibrosis
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Francesca Palandri *IRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Bologna, Italy. francesca.palandri@unibo.it.
Filippo Branzanti *Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy.
Erika MorsiaHematology Unit, Department of Clinical and Molecular Sciences, DISCLIMO, Università Politecnica Delle Marche, Ancona, Italy.
Alessandra DedolaIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli", Bologna, Italy.
Giulia BenevoloUniversity Hematology Division, Città della Salute e Della Scienza Hospital, Torino, Italy.
Mario TiribelliDivision of Hematology and BMT, Department of Medicine, University of Udine, Udine, Italy.
Eloise BeggiatoUnit of Hematology, Department of Oncology, University of Torino, Torino, Italy.
Mirko FarinaUnit of Blood Diseases and Stem Cells Transplantation, Department of Clinical and Experimental Sciences, University of Brescia, ASST Spedali Civili of Brescia, Brescia, Italy.
Bruno MartinoDivision of Hematology, Azienda Ospedaliera 'Bianchi Melacrino Morelli', Reggio Calabria, Italy.
Giovanni CaocciEmatologia, Ospedale Businco, Università Degli Studi di Cagliari, Cagliari, Italy.
Novella PuglieseDepartment of Clinical Medicine and Surgery, Federico II University Medical School, Naples, Italy.
Alessia TieghiDepartment of Hematology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Monica CrugnolaHaematology and BMT Centre, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Gianni BinottoUnit of Hematology and Clinical Immunology, University of Padova, Padova, Italy.
Francesco CavazziniDivision of Hematology, University of Ferrara, Ferrara, Italy.
Elisabetta AbruzzeseDivision of Hematology, Ospedale S. Eugenio, Roma, Italy.
Alessandro IsidoriHematology and Stem Cell Transplant Center, AORMN Hospital, Pesaro, Italy.
Emilia ScalzulliHematology, Department of Translational and Precision Medicine, Az. Policlinico Umberto I-Sapienza University, Rome, Italy.
Domenico D'AgostinoDepartment of Engineering for Innovation Medicine, Section of Innovation Biomedicine, Hematology Area, University of Verona, Verona, Italy.
Santino CasertaDivision of Hematology, Department of Human Pathology in Adulthood and Childhood "Gaetano Barresi", University of Messina, Messina, Italy.
Antonella NardoDepartment of Scienze Mediche, Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", University of Catania, Catania, Italy.
Roberto Massimo LemoliIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Daniela CilloniDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Monica BocchiaHematology Unit, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy.
Fabrizio PaneEmatologia, Ospedale Businco, Università Degli Studi di Cagliari, Cagliari, Italy.
Florian H HeidelHematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School (MHH), Hannover, Germany.
Giuseppe A PalumboDepartment of Scienze Mediche, Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", University of Catania, Catania, Italy.
Massimo BrecciaHematology, Department of Translational and Precision Medicine, Az. Policlinico Umberto I-Sapienza University, Rome, Italy.
Elena M Elli *Divisione di Ematologia e Unità Trapianto di Midollo, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Massimiliano Bonifacio *Department of Engineering for Innovation Medicine, Section of Innovation Biomedicine, Hematology Area, University of Verona, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Calreticulin (CALR) mutations are detected in around 20% of patients with primary and post-essential thrombocythemia myelofibrosis (MF). Regardless of driver mutations, patients with splenomegaly and symptoms are generally treated with JAK2-inhibitors, most commonly ruxolitinib. Recently, new therapies specifically targeting the CALR mutant clone have entered clinical investigation. To collect information on efficacy and safety of ruxolitinib in CALR-mutated patients, we report a sub-analysis of the "RUX-MF" (NCT06516406) study, comprising 135 CALR-mutated and 786 JAK2-mutated ruxolitinib-treated patients. Compared to JAK2-mutated patients, CALR-mutated patients started ruxolitinib with a more severe disease (higher peripheral blast counts, lower hemoglobin levels and worse marrow fibrosis) and after a longer median time from diagnosis (2.6 versus 0.7 years, p < 0.001). At 6 months, spleen responses were numerically inferior in CALR-mutated patients, who also had significantly lower rates of symptom responses (56.1% versus 66.7%, p = 0.04).

Indexed as

CalreticulinMutationPrimary MyelofibrosisPyrazolesAdultAgedAged, 80 and overFemaleHumansJanus Kinase 2MaleMiddle AgedNitrilesPyrimidinesSurvival RateTreatment OutcomeCalreticulinCALR protein, humanJAK2 protein, humanJanus Kinase 2NitrilesPyrazolesPyrimidinesruxolitinibCALR mutationJAK2 mutationMyelofibrosisMyeloproliferative neoplasmsRuxolitinib

Identifiers

PMID39831987
PMCPMC11868333

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.