Ruxolitinib for Treating Disease-Related Splenomegaly or Symptoms in Adults with Myelofibrosis (TA386)

Technology Appraisal Guidance No. 386

Source: National Institute for Health and Care Excellence

NOTE: This guidance replaces NICE technology appraisal guidance 289

1. Guidance

1.1 Ruxolitinib is recommended as an option for treating disease-related splenomegaly or symptoms in adults with primary myelofibrosis (also known as chronic idiopathic myelofibrosis), post polycythaemia vera myelofibrosis or post essential thrombocythaemia myelofibrosis, only:

  • in people with intermediate-2 or high-risk disease, and
  • if the company provides ruxolitinib with the discount agreed in the patient access scheme.

1.2 People whose treatment with ruxolitinib is not recommended in this NICE guidance, but was started within the NHS before this guidance was published, should be able to continue treatment until they and their NHS clinician consider it appropriate to stop.


The guidance shown above constitutes Section 1 of the full document. A copy of the full document and a summary of the evidence is available on the Internet at http://guidance.nice.org.uk/TA386

This guidance represents the view of the Institute which was arrived at after careful consideration of the available evidence. Health professionals are expected to fully take it into account when exercising their clinical judgement. This guidance does not, however, override the individual responsibility of health professionals to make appropriate decisions in the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

© Copyright National Institute for Health and Care Excellence. All rights reserved. This material may be freely reproduced for educational and not for profit purposes within the NHS. No reproduction by or for commercial organisations is permitted without the express written permission of the Institute.

Enquiries concerning the guidance should be addressed to: National Institute for Health and Care Excellence, MidCity Place, 71 High Holborn, London WC1V 6NA. email: nice@nice.org.uk

Ruxolitinib for treating disease-related splenomegaly or symptoms in adults with myelofibrosis

Issue Date: March 2016


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