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Opinion|Videos|January 13, 2026

Role of Ruxolitinib in Uncontrolled PV

Experts discuss the place of ruxolitinib for patients with PV resistant or intolerant to hydroxyurea. They note that ruxolitinib can offer durable symptom control and improve hematologic parameters. Benefits include reduction in spleen size, symptomatic relief, and improved quality of life metrics documented in clinical trials. Limitations include potential adverse effects such as weight gain, lipid changes, and infection risk.

Experts discuss the place of ruxolitinib for patients with PV resistant or intolerant to hydroxyurea. They note that ruxolitinib can offer durable symptom control and improve hematologic parameters. Benefits include reduction in spleen size, symptomatic relief, and improved quality of life metrics documented in clinical trials. Limitations include potential adverse effects such as weight gain, lipid changes, and infection risk. Faculty emphasize that familiarity with ruxolitinib’s side effect profile and monitoring parameters facilitates safe use. They also explain that academic centers may adopt novel agents earlier due to experience with complex cases. The discussion frames ruxolitinib as a well validated option for patients with uncontrolled disease, while encouraging clinicians to weigh benefits against individual risk profiles and patient preferences.

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