Single agent bevacizumab for myelofibrosis: results of the Myeloproliferative Disorders Research Consortium Trial

The myeloproliferative neoplasm, myelofibrosis, is a morbid and frequently fatal illness encompassing primary myelofibrosis, and end-stage essential thrombocythemia and polycythemia. Bevacizumab (15 mg/kg intravenous (i.v.) every 21 days) was tested in a phase II international trial conduct...

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Main Authors: Ruben A. Mesa, Richard T. Silver, Srdan Verstovsek, John Mascarenhas, Craig M. Kessler, Damiano Rondelli, Judy D. Goldberg, Roberto Marchioli, Erin P. Demakos, Lewis R. Silverman, Ronald Hoffman
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Language:English
Published: Ferrata Storti Foundation 2013-06-01
Series:Haematologica
Online Access:https://haematologica.org/article/view/12126
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author Ruben A. Mesa
Richard T. Silver
Srdan Verstovsek
John Mascarenhas
Craig M. Kessler
Damiano Rondelli
Judy D. Goldberg
Roberto Marchioli
Erin P. Demakos
Lewis R. Silverman
Ronald Hoffman
author_facet Ruben A. Mesa
Richard T. Silver
Srdan Verstovsek
John Mascarenhas
Craig M. Kessler
Damiano Rondelli
Judy D. Goldberg
Roberto Marchioli
Erin P. Demakos
Lewis R. Silverman
Ronald Hoffman
author_sort Ruben A. Mesa
collection DOAJ
description The myeloproliferative neoplasm, myelofibrosis, is a morbid and frequently fatal illness encompassing primary myelofibrosis, and end-stage essential thrombocythemia and polycythemia. Bevacizumab (15 mg/kg intravenous (i.v.) every 21 days) was tested in a phase II international trial conducted by the Myeloproliferative Disorders Research Consortium. Thirteen patients were enrolled in the first stage of this 2-stage trial. Among the 11 patients who received therapy, only 3 received more than 4 cycles of therapy; none of the patients achieved an objective response. Furthermore, significant toxicity, not directly related to the vascular or gastrointestinal events typically associated with the anti-VEGF monoclonal antibody preparation in other disease states, was observed. Lack of objective responses coupled with toxicity led to the decision to terminate the study early. If future studies incor- porate bevacizumab in combination therapy for myelofibrosis, more modest doses should be considered. (clinicaltrials.gov Identifier 00667277).
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issn 0390-6078
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publishDate 2013-06-01
publisher Ferrata Storti Foundation
record_format Article
series Haematologica
spelling doaj-art-2b52f72c37e24126b7a345febd0d84f52025-08-20T02:37:19ZengFerrata Storti FoundationHaematologica0390-60781592-87212013-06-0198910.3324/haematol.2012.083337Single agent bevacizumab for myelofibrosis: results of the Myeloproliferative Disorders Research Consortium TrialRuben A. Mesa0Richard T. Silver1Srdan Verstovsek2John Mascarenhas3Craig M. Kessler4Damiano Rondelli5Judy D. Goldberg6Roberto Marchioli7Erin P. Demakos8Lewis R. Silverman9Ronald Hoffman10Mayo Clinic, Scottsdale, AZ, USACornell Weill Medical Center, New York, NY, USAMD Anderson Cancer Center, Houston, TX, USAIcahn School of Medicine at Mt. Sinai, New York, NY, USAGeorgetown University Medical Center, Washington, D.C., USAUniversity of Illinois School of Medicine, Chicago, IL, USANew York University School of Medicine, New York, NY, USAConsorzio Mario Negri Sud, Santa Maria Imbaro, ItalyIcahn School of Medicine at Mt. Sinai, New York, NY, USAIcahn School of Medicine at Mt. Sinai, New York, NY, USAIcahn School of Medicine at Mt. Sinai, New York, NY, USA The myeloproliferative neoplasm, myelofibrosis, is a morbid and frequently fatal illness encompassing primary myelofibrosis, and end-stage essential thrombocythemia and polycythemia. Bevacizumab (15 mg/kg intravenous (i.v.) every 21 days) was tested in a phase II international trial conducted by the Myeloproliferative Disorders Research Consortium. Thirteen patients were enrolled in the first stage of this 2-stage trial. Among the 11 patients who received therapy, only 3 received more than 4 cycles of therapy; none of the patients achieved an objective response. Furthermore, significant toxicity, not directly related to the vascular or gastrointestinal events typically associated with the anti-VEGF monoclonal antibody preparation in other disease states, was observed. Lack of objective responses coupled with toxicity led to the decision to terminate the study early. If future studies incor- porate bevacizumab in combination therapy for myelofibrosis, more modest doses should be considered. (clinicaltrials.gov Identifier 00667277). https://haematologica.org/article/view/12126
spellingShingle Ruben A. Mesa
Richard T. Silver
Srdan Verstovsek
John Mascarenhas
Craig M. Kessler
Damiano Rondelli
Judy D. Goldberg
Roberto Marchioli
Erin P. Demakos
Lewis R. Silverman
Ronald Hoffman
Single agent bevacizumab for myelofibrosis: results of the Myeloproliferative Disorders Research Consortium Trial
Haematologica
title Single agent bevacizumab for myelofibrosis: results of the Myeloproliferative Disorders Research Consortium Trial
title_full Single agent bevacizumab for myelofibrosis: results of the Myeloproliferative Disorders Research Consortium Trial
title_fullStr Single agent bevacizumab for myelofibrosis: results of the Myeloproliferative Disorders Research Consortium Trial
title_full_unstemmed Single agent bevacizumab for myelofibrosis: results of the Myeloproliferative Disorders Research Consortium Trial
title_short Single agent bevacizumab for myelofibrosis: results of the Myeloproliferative Disorders Research Consortium Trial
title_sort single agent bevacizumab for myelofibrosis results of the myeloproliferative disorders research consortium trial
url https://haematologica.org/article/view/12126
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