Outcomes and characteristics of nonmelanoma skin cancers in patients with myeloproliferative neoplasms on ruxolitinib

Author:

Rampotas Alex1,Carter-Brzezinski Luke23,Somervaille Tim C. P.23,Forryan James1,Panitsas Fotios4ORCID,Harrison Claire5,Witherall Ruth6,Innes Andrew J.7ORCID,Wallis Louise8,Butt Naumann M.9,Psaila Bethan10ORCID,Mead Adam J.10ORCID,Carter Matthew11,Godfrey Anna L.11,Laing Heather12,Garg Mamta12ORCID,Francis Sebastian13,Ewing Joanne14,Teh Chun Huat15,Cowen Hannah Bibi5,Dyer Peter16,McConville Conall17,Wadelin Frances18,Sahra Ali19,McGregor Andrew20,Kulakov Elizabeth21,McLornan Donal P.1,Lambert Jonathan1

Affiliation:

1. 1Haematology Department, University College London Hospital NHS Foundation Trust, London, United Kingdom

2. 2Cancer Research UK Manchester Institute, Manchester, United Kingdom

3. 3Haematology Department, The Christie NHS Foundation Trust, Manchester, United Kingdom

4. 4Haematology Department, Laikon University Hospital of Athens, Athens, Greece

5. 5Haematology Department, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom

6. 6Haematology Department, Royal Cornwall Hospitals NHS Foundation Trust, Treliske, United Kingdom

7. 7Haematology Department, Imperial College Healthcare NHS Trust, London, United Kingdom

8. 8Haematology Department, University Hospitals Dorset NHS Foundation Trust, Bournemouth, United Kingdom

9. 9Haematology Department, The Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, United Kingdom

10. 10Department of Haematology and NIHR Biomedical Research Centre, OUH NHS Foundation Trust, Oxford, United Kingdom

11. 11Haematology Department, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

12. 12University Hospitals of Leicester NHS Trust, Leicester, United Kingdom

13. 13Haematology Department, Sheffield Teaching Hospitals NHS Trust, Sheffield, United Kingdom

14. 14Haematology Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom

15. 15Haematology Department, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom

16. 16Haematology Department, University Hospitals of North Midlands, Stoke-on-Trent, United Kingdom

17. 17Department of Haematology, Altnagelvin Area Hospital, North West Cancer Centre, Derry, United Kingdom

18. 18Haematology Department, Nottingham University Hospital NHS Foundation Trust, Nottingham, United Kingdom

19. 19Haematology Department, King’s College London Hospital NHS Foundation Trust, London, United Kingdom

20. 20Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, United Kingdom

21. 21Dermatology Department, University College London Hospital NHS Foundation Trust, London, United Kingdom

Abstract

Abstract Nonmelanoma skin cancers (NMSCs) in ruxolitinib-treated patients with myeloproliferative neoplasms behave aggressively, with adverse features and high recurrence. In our cohort, mortality from metastatic NMSC exceeded that from myelofibrosis. Vigilant skin assessment, counseling on NMSC risks, and prospective ruxolitinib-NMSC studies are crucial.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

Reference14 articles.

1. Skin cancers under Janus kinase inhibitors: a World Health Organization drug safety database analysis;Jalles;Therapie,2022

2. A 10-year retrospective cohort study of ruxolitinib and association with nonmelanoma skin cancer in patients with polycythemia vera and myelofibrosis;Lin;J Am Acad Dermatol,2022

3. Aggressive skin cancers occurring in patients treated with the janus kinase inhibitor ruxolitinib;Blechman;J Drugs Dermatol,2017

4. Second primary malignancies in ruxolitinib-treated myelofibrosis: real-world evidence from 219 consecutive patients;Maffioli;Blood Adv,2019

5. Jakavi 10mg tablets: summary of product characteristics (SmPC). electronic medicines compendium (emc). Accessed 31 July 2023. https://www.medicines.org.uk/emc/product/7786/smpc.

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