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Clinical Guidelines

ASH 2025: Myelofibrosis Roundup

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The treatment landscape for myelofibrosis (MF) is evolving with emerging therapies beyond traditional JAK inhibitors like ruxolitinib. Recent studies presented at the 2025 ASH Annual Meeting highlight the benefits of combining ruxolitinib with pelabresib and its impact on disease trajectory. Long-term data from the MANIFEST-2 trial indicates significant improvements in spleen volume reduction and comparable safety profiles. The RESTORE trial shows elritercept effectively manages anemia in MF patients, emphasizing the need for novel therapies. Furthermore, real-world studies reaffirm the long-term feasibility of ruxolitinib, indicating potential improvements in transfusion dependency. Despite advancements, stem cell transplant remains crucial for eligible high-risk patients, offering a curative approach.

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