Triple-negative primary myelofibrosis: a comparative analysis of phenotype, genotype, and outcome - Takeaways - MDSpire

Triple-negative primary myelofibrosis: a comparative analysis of phenotype, genotype, and outcome

  • By

  • Yassin A. Bashir

  • Ahmed A. Abdelrheem

  • Maymona Abdelmagid

  • Kaaren K. Reichard

  • Rong He

  • Cinthya J. Zepeda Mendoza

  • Animesh Pardanani

  • Naseema Gangat

  • Ayalew Tefferi

  • January 5, 2026

  • 0 min

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  • 1

    Triple-negative primary myelofibrosis (PMF) accounts for 8.5% of chronic phase PMF cases, with a median age of 65 years.

  • 2

    Patients with triple-negative PMF often present with severe anemia (47%) and unfavorable karyotypes (19%).

  • 3

    Independent risk factors for overall survival in triple-negative PMF include age over 65, hemoglobin under 10 g/dL, and leukocyte count over 25 × 10^9/L.

  • 4

    Leukemic transformations occurred in 14% of triple-negative PMF patients, with a median follow-up of 62 months.

  • 5

    High molecular risk mutations negatively impact overall survival and leukemia-free survival in both triple-negative and JAK2-mutated PMF patients.

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