ASH 2024: Polycythemia Vera and Myelofibrosis: Current and Future Standards of Care

EP. 1: Initial Treatment Strategies for Polycythemia Vera
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss how they approach the evaluation and diagnosis of polycythemia vera (PV), including key clinical manifestations, and how they assess disease risk to determine initial treatment strategies based on NCCN guidelines, considering factors that differentiate low-risk from high-risk PV.

EP. 2: Cytoreductive Therapy in PV Treatment Paradigm
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss how cytoreductive therapy fits into the treatment paradigm for polycythemia vera (PV), highlighting key findings from the CYTO-PV study and its subanalysis, which inform their treatment decisions for patients with PV.

EP. 3: JAK Inhibition in Polycythemia Vera: Treatment Updates
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss the role of JAK inhibition in the treatment of polycythemia vera (PV), focusing on the latest efficacy data for ruxolitinib (RUX) from studies such as RUX vs best available therapy (BAT) in PV and the MAJIC-PV trial, highlighting its impact on treatment outcomes.

EP. 4: Interferon Therapy in PV
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss additional data supporting the use of alternative agents and treatment pathways for polycythemia vera (PV), including the role of ropeginterferon alfa-2b (Ropeg alfa-2b) based on findings from the PROUD-PV /CONTINUATION-PV studies.

EP. 5: Safety Considerations for PV Therapy
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss the safety profiles of therapies for polycythemia vera (PV) and the safety considerations they take into account when determining which patients are best suited for these treatments.

EP. 6: Evolving Treatment Strategies in Polycythemia Vera: Insights Ffrom Trials and Real-World Evidence
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss how their treatment approach has evolved based on the efficacy and safety profiles from recent trials, how updated data align with or challenge NCCN Guidelines, and the clinical implications of real-world evidence. Dr Harrison explores treatment patterns, blood count control, and the decision to switch from hydroxyurea (HU) to ruxolitinib (RUX) therapy in polycythemia vera (PV).

EP. 7: Interferon Real- World Treatment Patterns in PV
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss real-world treatment patterns for ropeginterferon alfa-2b (Ropeg alfa-2b) in the management of polycythemia vera (PV).

EP. 8: Considerations for Polycythemia Vera Management: Patient Monitoring, Outcomes, and Risks
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss monitoring parameters when treating patients with polycythemia vera (PV), including what to assess, typical outcomes, and when treatment should be switched due to ineffectiveness. Dr Kuykendall to Dr Gangat: Panelists explore the risk of PV progression/transformation, risk factors for progression, and how the data influence patient care and treatment choices in practice.

EP. 9: Future Considerations for Polycythemia Vera Management: Takeaways from ASH 2024
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss noteworthy updates in polycythemia vera (PV) from ASH 2024, explore the future of PV treatment, highlight the greatest unmet needs, and discuss how ongoing investigational therapies aim to address these gaps. They also share clinical pearls for community oncologists in managing PV.

EP. 10: An Overview to Myelofibrosis and Disease Risk
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss myelofibrosis (MF) and its diagnostic workup, including how patients with primary MF present, the criteria required for diagnosis, and any additional biomarkers or criteria examined in practice.

EP. 11: Treatment Goals for Myelofibrosis
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss their overall treatment goals for myelofibrosis (MF), the role of transplant within their practice, and the benefits and challenges associated with transplantation, as well as how they determine which patients are best suited for this approach.

EP. 12: Personalizing Therapy in Myelofibrosis: Insights from Key Clinical Trials
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss how they select personalized therapy for patients with myelofibrosis (MF) based on current data, considering factors such as disease characteristics and patient-specific factors.

EP. 13: Advancing Myelofibrosis Treatment: Personalized Strategies with Fedratinib and Ruxolitinib
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss data from the FREEDOM2 trial and its sub-analysis on low platelet count with fedratinib (FEDR), as well as the pooled analysis of the COMFORT-I/-II trials on ruxolitinib (RUX) for myelofibrosis.

EP. 14: Real-World Data in Myelofibrosis: Bridging the Gap Between Clinical Trials and Practice
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss the types of questions that real-world (RW) data can answer in comparison to with clinical trial data, and how it they can complement clinical findings in treatment decision-making.

EP. 15: Navigating Therapy Challenges in Myelofibrosis: Anemia Management and Disease-Specific Approaches
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss studies aimed at combating dose-dependent anemia as a consequence of Janus kinase inhibitors (JAKi) treatment and share their thoughts on potential strategies to address this
challenge.

EP. 16: Myelofibrosis at ASH 2024: Key Updates and Emerging Therapies
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss noteworthy updates in myelofibrosis (MF) from ASH 2024, share their views on the future of MF treatment, offer clinical pearls for community oncologists, and highlight emerging pathways and targets they are excited about for MF management.

EP. 17: MPN Milestones of 2024 and What’s Next for 2025
ByAndrew Kuykendall, MD,Naseema Gangat, MBBS ,Claire Harrison, MD, FRCP, FRCPath ,Raajit K. Rampal, MD, PhD,Pankit Vachhani, MD Panelists discuss key accomplishments in the myeloproliferative neoplasm (MPN) space, highlighting pivotal developments that have shaped clinical practice, and share their excitement for 2025, including areas primed for significant progress and goals for the coming year.