Table 1.

Preliminary clinical observations in selected JAK2 inhibitor trials.

AgentCompanyTarget(s)JAK IC50(nM)Current phasePreliminary clinical observations in myelofibrosis studies
*Assays performed at 1 mM ATP concentration. 
INCB018424 Incyte JAK1, JAK2 JAK1 = 2.7*
 JAK2 = 4.5*
 JAK3 = 322* III Decreased spleen size irrespective of JAK2 mutational status; improved quality of life, weight and performance; decreased inflammatory cytokine levels.
 Myelosuppression. 
TG101348 TargeGen JAK2 JAK1 = 105
 JAK2 = 3
 JAK3 = 996 II Decreased spleen size; decrease in WBC.
 Myelosuppression; gastrointestinal disturbance. 
XL019 Exelixis JAK2 JAK1 = 132
 JAK2 = 2
 JAK3 = 250 discontinued Decreased spleen size only in patients with JAK2 V617F or MPL mutation; decreased pruritis and improved fatigue.
 Neurotoxicity. 
CEP701 (lestaurtinib) Cephalon JAK2, FLT3 JAK2 = 1 I/II Decreased spleen size, improvement in blood cell count.
 Myelosuppression; gastrointestinal disturbance. 
AgentCompanyTarget(s)JAK IC50(nM)Current phasePreliminary clinical observations in myelofibrosis studies
*Assays performed at 1 mM ATP concentration. 
INCB018424 Incyte JAK1, JAK2 JAK1 = 2.7*
 JAK2 = 4.5*
 JAK3 = 322* III Decreased spleen size irrespective of JAK2 mutational status; improved quality of life, weight and performance; decreased inflammatory cytokine levels.
 Myelosuppression. 
TG101348 TargeGen JAK2 JAK1 = 105
 JAK2 = 3
 JAK3 = 996 II Decreased spleen size; decrease in WBC.
 Myelosuppression; gastrointestinal disturbance. 
XL019 Exelixis JAK2 JAK1 = 132
 JAK2 = 2
 JAK3 = 250 discontinued Decreased spleen size only in patients with JAK2 V617F or MPL mutation; decreased pruritis and improved fatigue.
 Neurotoxicity. 
CEP701 (lestaurtinib) Cephalon JAK2, FLT3 JAK2 = 1 I/II Decreased spleen size, improvement in blood cell count.
 Myelosuppression; gastrointestinal disturbance. 
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