Real world outcomes of momelotinib in myelofibrosis patients with anemia: results from the MOMGEMFIN study - Summary - MDSpire

Real world outcomes of momelotinib in myelofibrosis patients with anemia: results from the MOMGEMFIN study

  • By

  • Lucía Pérez-Lamas

  • Adrián Segura Diaz

  • Regina García Delgado

  • Alberto Álvarez-Larrán

  • María Alicia Senin

  • Elvira Mora

  • María Laura Fox

  • Irene Pastor Galan

  • Gemma Azaceta

  • Sara Garrido Paniagua

  • Raúl Pérez Lopez

  • Diana Margarita Trejos Carvajal

  • Anna Angona

  • Carmen Albo López

  • Pablo Lorente Alegre

  • Miriam Vara

  • Juan Antonio Vera Goñi

  • Dunia De Miguel Llorente

  • Ángeles Fernández Rodríguez

  • Alberto Marín Sanchez

  • Adriana Hernando Megido

  • María Teresa Gómez Casares

  • Ruth Stuckey

  • Gonzalo Carreño-Tarragona

  • Natalia De Las Heras Rodriguez

  • Blanca Xicoy

  • Manuel Pérez Encinas

  • Raquel Mata Serna

  • Lucia Núñez Martin-Buitrago

  • Francisca Ferrer Marín

  • Neus Amer Salas

  • Carolina Guillén Rienda

  • Patricia Velez

  • Laura Lamarca Eraso

  • Sandra Martín

  • Iryna Luts Khoroz

  • Erik De Cabo López

  • Angela Gil

  • Sofía Martín-Consuegra Ramos

  • Fernando Marco De Lucas

  • María José́ Otero Martinez-Fornes

  • María Luisa Martín Mateos

  • Teresa Arquero

  • Elena Cabezudo Pérez

  • Luis Antonio López Gómez

  • Ángela Martínez Hellin

  • Aurelia Tejedor

  • Esther Herrera de Pablo

  • María Isabel Mata Vazquez

  • Inmaculada Castillo Valero

  • María José Fernández

  • Carlos Aguilar

  • Marta Santaliestra

  • Antonio García Menchon

  • Begoña Navas Elorza

  • María Antonia Duran

  • María Pérez Sala

  • Teresa Hernández Santamaría

  • Ma Ángeles Muñoz Jarreño

  • Julio Dávila-Valls

  • Williana Torres Jiménez

  • Joan Alfons Gonzálvez Fernández

  • Hugo Alexander Torres Mantilla

  • Teresa Cobo Rodríguez

  • Aitor Abuin Blanco

  • Francisco Pérez

  • Santiago Osorio Prendes

  • Paola Beneit Villena

  • Raisa Peralta

  • Federico Herrera

  • Eloi Cañamero Giro

  • Reyes Jiménez Bárcenas

  • Mercedes Gasior Kabat

  • Sonia González De Villambrosia

  • Mariana Teresa Tercero-Mora Rodriguez

  • Marina Menéndez Cuevas

  • Beatriz Cuevas Ruiz

  • Marta Fonseca-Santos

  • Sonia Garcés Piquer

  • Rosalía De La Puerta

  • Álvaro Lorenzo Vizcaya

  • Juan Carlos Hernández Boluda

  • Valentín García Gutiérrez

  • April 17, 2025

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Objective:

To evaluate the efficacy and safety of momelotinib in real-world settings for myelofibrosis patients with anemia, specifically focusing on its impact on hemoglobin levels and transfusion dependency.

Key Findings:
  • 154 patients included, median age 73 years; 76.6% had prior JAK inhibitor exposure.
  • At 3 months, 26.9% of transfusion-dependent anemia patients achieved major response; median Hb increased from 7.7 to 8.7 g/dL, indicating significant clinical improvement.
  • In the non-transfusion dependent group, 47.8% achieved major response at 3 months; median Hb increased from 8.9 to 10.2 g/dL.
  • 62.2% of patients with splenomegaly showed spleen size reduction, highlighting the drug's efficacy.
  • 94% of patients had disease-related symptoms at baseline; 92% showed sustained improvement, suggesting a positive impact on quality of life.
Interpretation:

Momelotinib demonstrates promising efficacy in improving hemoglobin levels, reducing transfusion dependency, and alleviating symptoms in myelofibrosis patients with anemia.

Limitations:
  • Retrospective design may introduce bias, potentially affecting the reliability of the findings.
  • Limited follow-up duration (median 5.05 months) restricts long-term efficacy assessment.
  • Small sample size and lack of control group limit the generalizability of the results.
Conclusion:

Momelotinib is effective in treating myelofibrosis patients with anemia, showing significant improvements in hemoglobin levels and symptom relief, which may influence future treatment strategies.

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