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Myeloproliferative Neoplasms — Treatment
Myeloproliferative
neoplasms (MPN)
Polycythemia vera
Essential thrombocythemia
Myelofibrosis
All patients
Phlebotomy + low-dose aspirin
Hct < 45%
High-risk
Hydroxyurea or ropeginterferon
cytoreduction ↗
Refractory
Ruxolitinib
RESPONSE ↗
Low-risk
Low-dose aspirin
observation
High-risk
Hydroxyurea
cytoreduction
JAKi
Ruxolitinib / fedratinib
COMFORT ↗
Thrombocytopenic
Pacritinib
PERSIST-2 ↗
Anemic
Momelotinib
MOMENTUM ↗
Curative
Allogeneic transplant
only curative option