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I've had PV since 2018 and was recently diagnosed with MF1. I was phlebotomy and aspirin only until 3 months ago when I started Hydrea. I would like to take a drug that addresses the JAK2 gene and Hydrea doesn't to that. My Alle Burden is 82%. Any related information is appreciated.

August 22
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A myMPNteam Member

Thank you! That’s what I’ve been moving towards. We’ll see what he has to say when I see him in October. I do appreciate your input!

August 31
myMPNteam

That's a really thoughtful question, and it's great that you're researching your options carefully. While specific experiences from members with both an autoimmune condition and Besremi use aren't available here, there is some helpful general information about Besremi and JAK2-targeting treatments.

Besremi (ropeginterferon Show Full Answer

That's a really thoughtful question, and it's great that you're researching your options carefully. While specific experiences from members with both an autoimmune condition and Besremi use aren't available here, there is some helpful general information about Besremi and JAK2-targeting treatments.

Besremi (ropeginterferon alfa-2b) is an interferon therapy that works differently from Hydroxyurea (Hydrea). It is self-injected and has shown promise in treating PV by targeting the underlying JAK2 mutation more directly. One myMPNteam member shared that switching from Hydroxyurea to Besremi made a significant difference in how they felt and their overall quality of life. They noted it was too early to tell the full effect, but the change was meaningful for them.

It's worth noting that since you've now progressed to MF1, your treatment options may expand. JAK inhibitors like Ruxolitinib (Jakafi) are FDA-approved specifically for myelofibrosis, including post-PV myelofibrosis, and directly target the JAK2 pathway. Given your autoimmune history, this is especially important to discuss with your hematologist or MPN specialist, as interferon therapies can sometimes affect immune function. An MPN specialist at a major cancer center would be best positioned to weigh your allele burden, MF1 diagnosis, and autoimmune history together when recommending next steps.

August 22
A myMPNteam Member

Thank you. I do have an MPN specialist and I will see him again in October. It is true that the HU it’s beginning to manage my numbers. And, it doesn’t address the disease burden. I also have some side effects from the HU. I will discuss all of this with him in October and plan to ask for a different job. Thank you so much for your response!

September 2
A myMPNteam Member

AnnetteAnderson my advice is simple , get a good mpn specialyst , visit on a regular base and follow him/her medication advice
some react well on hu some not , some well on interferon , some not
hu might be a good way to get your blood production under control , a good first step

September 2
A myMPNteam Member

Thank you.

September 1

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