Tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia vera
Ruxolitinib is a JAK-1/JAK-2 inhibitor indicated for the treatment of polycythemia vera and primary or secondary myelofibrosis. Only one patient (0.2%) was diagnosed with tuberculosis among the 485 patients receiving ruxolitinib in the four pivotal trials. Fourteen cases of tuberculosis have since b...
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doaj-2c7fd0a65e724abc9d6aeed1f1e3359a2020-11-25T00:13:55ZengElsevierInternational Journal of Infectious Diseases1201-97122019-03-0180134136Tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia veraSylvain Lescuyer0Marie-Pierre Ledoux1Simon Gravier2Shanti Natarajan-Amé3Céline Duval4Fréderic Maloisel5Laurent Mauvieux6Elise Toussaint7Luc-Matthieu Fornecker8Raoul Herbrecht9Department of Oncology and Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, France; Corresponding author at: Department of Oncology and Haematology, Hôpital de Hautepierre, 67098 Strasbourg, France.Department of Oncology and Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceDepartment of Oncology and Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceDepartment of Oncology and Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceDepartment of Oncology and Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceClinique Sainte Anne, Strasbourg, FranceUniversité de Strasbourg, Inserm UMR-S1113/IRFAC, Strasbourg, France; Laboratory of Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceDepartment of Oncology and Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceDepartment of Oncology and Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, France; Université de Strasbourg, Inserm UMR-S1113/IRFAC, Strasbourg, FranceDepartment of Oncology and Haematology, Hôpitaux Universitaires de Strasbourg, Strasbourg, France; Université de Strasbourg, Inserm UMR-S1113/IRFAC, Strasbourg, FranceRuxolitinib is a JAK-1/JAK-2 inhibitor indicated for the treatment of polycythemia vera and primary or secondary myelofibrosis. Only one patient (0.2%) was diagnosed with tuberculosis among the 485 patients receiving ruxolitinib in the four pivotal trials. Fourteen cases of tuberculosis have since been reported. We observed two (3%) mycobacterial infections (one due to Mycobacterium tuberculosis and one due to Mycobacterium avium complex) in our cohort of 65 patients receiving ruxolitinib. This observation suggests that the rate of mycobacterial infection might be higher than that observed in the pivotal trials and that atypical mycobacterial infections can also occur. Keywords: Ruxolitinib, Mycobacteria, Tuberculosis, Mycobacterium tuberculosis, Mycobacterium avium complexhttp://www.sciencedirect.com/science/article/pii/S1201971219300128 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sylvain Lescuyer Marie-Pierre Ledoux Simon Gravier Shanti Natarajan-Amé Céline Duval Fréderic Maloisel Laurent Mauvieux Elise Toussaint Luc-Matthieu Fornecker Raoul Herbrecht |
spellingShingle |
Sylvain Lescuyer Marie-Pierre Ledoux Simon Gravier Shanti Natarajan-Amé Céline Duval Fréderic Maloisel Laurent Mauvieux Elise Toussaint Luc-Matthieu Fornecker Raoul Herbrecht Tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia vera International Journal of Infectious Diseases |
author_facet |
Sylvain Lescuyer Marie-Pierre Ledoux Simon Gravier Shanti Natarajan-Amé Céline Duval Fréderic Maloisel Laurent Mauvieux Elise Toussaint Luc-Matthieu Fornecker Raoul Herbrecht |
author_sort |
Sylvain Lescuyer |
title |
Tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia vera |
title_short |
Tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia vera |
title_full |
Tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia vera |
title_fullStr |
Tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia vera |
title_full_unstemmed |
Tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia vera |
title_sort |
tuberculosis and atypical mycobacterial infections in ruxolitinib-treated patients with primary or secondary myelofibrosis or polycythemia vera |
publisher |
Elsevier |
series |
International Journal of Infectious Diseases |
issn |
1201-9712 |
publishDate |
2019-03-01 |
description |
Ruxolitinib is a JAK-1/JAK-2 inhibitor indicated for the treatment of polycythemia vera and primary or secondary myelofibrosis. Only one patient (0.2%) was diagnosed with tuberculosis among the 485 patients receiving ruxolitinib in the four pivotal trials. Fourteen cases of tuberculosis have since been reported. We observed two (3%) mycobacterial infections (one due to Mycobacterium tuberculosis and one due to Mycobacterium avium complex) in our cohort of 65 patients receiving ruxolitinib. This observation suggests that the rate of mycobacterial infection might be higher than that observed in the pivotal trials and that atypical mycobacterial infections can also occur. Keywords: Ruxolitinib, Mycobacteria, Tuberculosis, Mycobacterium tuberculosis, Mycobacterium avium complex |
url |
http://www.sciencedirect.com/science/article/pii/S1201971219300128 |
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