ASH Clinical News May 2017 NEW | Page 19

Significantly more patients receiving Jakafi achieved the composite primary* and key secondary end points 1,2† Components of Primary End Point at Week 32 1 80 Composite Primary End Point 60% 60 40 Individual Components of Primary End Point (n = 66) 20 0 (n = 25) (n = 44) 19% <1% b Hct Control + Spleen Volume Reduction <1% (n = 21) (n = 1) BAT (n = 112) 40% (P < 0.0001) 23% a Jakafi (n = 110) (n = 1) ≥35% Spleen Volume Reduction Hct Control Without Phlebotomy BAT, best available therapy; CI, confidence interval; Hct, hematocrit. a 95% CI, 15%-32% b 95% CI, 0%-5% * The composite primary end point was defined as hematocrit (Hct) control without phlebotomy and a ≥35% spleen volume reduction as measured by CT or MRI. To achieve the Hct control end point, patients could not become eligible for phlebotomy between weeks 8 and 32. Phlebotomy eligibility was defined as Hct >45% that is ≥3 percentage points higher than baseline or Hct >48% (lower value). 1,2 † The RESPONSE (Randomized Study of Efficacy and Safety in Polycythemia Vera with JAK Inhibitor Ruxolitinib versus Best Available Care) trial was a randomized, open-label, active-controlled phase 3 trial comparing Jakafi with best available therapy in 222 patients with polycythemia vera. Patients enrolled in the study were resistant to or intolerant of hydroxyurea, required phlebotomy for Hct control, and had splenomegaly. All patients entered into a Hct control period, during which time Hct levels were maintained between 40% and 45% for 28 days before patients were randomized to Jakafi or best available therapy. Best available therapy included hydroxyurea (60%), interferon/pegylated interferon (12%), anagrelide (7%), pipobroman (2%), lenalidomide/thalidomide (5%), and observation (15%). Patients had been diagnosed with polycythemia vera for at least 24 weeks, had an inadequate response to or were intolerant of hydroxyurea, required phlebotomy, and exhibited splenomegaly. After week 32, patients were able to