Dr. Rampal on Treatment Options in Polycythemia Vera

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Raajit K. Rampal, MD, PhD, hematologic oncologist, Memorial Sloan Kettering Cancer Center, discusses treatment options in polycythemia vera.

Raajit K. Rampal, MD, PhD, hematologic oncologist, Memorial Sloan Kettering Cancer Center, discusses treatment options in polycythemia vera.

Initially, a patient should be evaluated to determine if they require pharmacologic treatment, explains Rampal.

Upfront treatment for patients who require therapy includes hydroxyurea and interferon. Long-term data suggests both agents are active in this space, says Rampal. Additionally, there is emerging data that ropeginterferon alfa-2b is another active agent in the frontline setting.

Patients who fail treatment with hydroxyurea should be considered for second-line therapywith the JAK1/2 inhibitor ruxolitinib (Jakafi). In later-line settings, investigational therapies are currently being explored, concludes Rampal.

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