{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T17:54:57Z","timestamp":1784829297030,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,11]],"date-time":"2013-03-11T00:00:00Z","timestamp":1362960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Br J Haematol"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Myelofibrosis (<jats:styled-content style=\"fixed-case\">MF<\/jats:styled-content>) patients can present with a wide spectrum of disease characteristics. We analysed the consistency of ruxolitinib efficacy across patient subgroups in the <jats:styled-content style=\"fixed-case\"><jats:styled-content>CO<\/jats:styled-content><\/jats:styled-content>ntrolled <jats:styled-content>M<\/jats:styled-content>yelo<jats:styled-content>F<\/jats:styled-content>ibrosis Study With <jats:styled-content style=\"fixed-case\"><jats:styled-content>OR<\/jats:styled-content><\/jats:styled-content>al <jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content> Inhibitor <jats:styled-content>T<\/jats:styled-content>reatment (<jats:styled-content style=\"fixed-case\">COMFORT<\/jats:styled-content>\u2010I,) a double\u2010blind trial, where patients with intermediate\u20102 or high\u2010risk <jats:styled-content style=\"fixed-case\">MF<\/jats:styled-content> were randomized to twice\u2010daily oral ruxolitinib (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>155) or placebo (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>154). Subgroups analysed included <jats:styled-content style=\"fixed-case\">MF<\/jats:styled-content> subtype (primary, post\u2010polycythaemia vera, post\u2010essential thrombocythaemia), age (\u226465, &gt;\u00a065\u00a0years), <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nternational <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>rognostic <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>coring <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ystem risk group, baseline <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>astern <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ooperative <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>ncology <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>roup performance status (0, 1, \u22652), <jats:italic><jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content>2<\/jats:italic> V617F mutation (positive, negative), baseline haemoglobin level (\u2265100, &lt;100\u00a0g\/l), baseline platelet count (100\u2013200\u00a0\u00d7\u00a010<jats:sup>9<\/jats:sup>\/l, &gt;200\u00a0\u00d7\u00a010<jats:sup>9<\/jats:sup>\/l), baseline palpable spleen size (\u226410, &gt;10\u00a0cm), and baseline quartile of spleen volume and <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>otal <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ymptom <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>core (<jats:styled-content style=\"fixed-case\">TSS<\/jats:styled-content>; Q1\u00a0=\u00a0lowest, Q4\u00a0=\u00a0highest). Mean percentage change from baseline to week 24 in spleen volume and <jats:styled-content style=\"fixed-case\">TSS<\/jats:styled-content> were calculated for ruxolitinib and placebo in each subgroup. Overall survival was estimated by <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>aplan\u2013<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>eier method according to original randomization group. In ruxolitinib\u2010treated patients, reductions in spleen volume and <jats:styled-content style=\"fixed-case\">TSS<\/jats:styled-content> and evidence of improved survival relative to placebo across subgroups were consistent with those seen in the <jats:styled-content style=\"fixed-case\">COMFORT<\/jats:styled-content>\u2010I population, confirming that ruxolitinib is an effective therapy for the spectrum of <jats:styled-content style=\"fixed-case\">MF<\/jats:styled-content> patients studied in <jats:styled-content style=\"fixed-case\">COMFORT<\/jats:styled-content>\u2010I.<\/jats:p>","DOI":"10.1111\/bjh.12274","type":"journal-article","created":{"date-parts":[[2013,3,13]],"date-time":"2013-03-13T02:47:33Z","timestamp":1363142853000},"page":"508-516","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":86,"title":["The clinical benefit of ruxolitinib across patient subgroups: analysis of a placebo\u2010controlled, Phase <scp>III<\/scp> study in patients with myelofibrosis"],"prefix":"10.1111","volume":"161","author":[{"given":"Srdan","family":"Verstovsek","sequence":"first","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben A.","family":"Mesa","sequence":"additional","affiliation":[{"name":"Mayo Clinic Scottsdale AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Gotlib","sequence":"additional","affiliation":[{"name":"Stanford Cancer Institute Stanford CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard S.","family":"Levy","sequence":"additional","affiliation":[{"name":"Incyte Corporation Wilmington DE USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Gupta","sequence":"additional","affiliation":[{"name":"Princess Margaret Hospital University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John F.","family":"DiPersio","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine St. Louis MO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John V.","family":"Catalano","sequence":"additional","affiliation":[{"name":"Frankston Hospital Frankston Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Deininger","sequence":"additional","affiliation":[{"name":"Oregon Health and Science University Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole","family":"Miller","sequence":"additional","affiliation":[{"name":"Saint Agnes Cancer Institute Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard T.","family":"Silver","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshe","family":"Talpaz","sequence":"additional","affiliation":[{"name":"University of Michigan Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elliott F.","family":"Winton","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Jimmie H.","family":"Harvey","sequence":"additional","affiliation":[{"name":"Birmingham Hematology &amp; 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