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Summary 4th MPN Spring Symposium Barcelona

Updated: Oct 18, 2024



Index:




Opening Speech - Peter Löffelhardt



Peter Löffelhardt inaugurates the fourth Symposium, expressing his joy at the presence of both returning and new participants. He highlights the importance of communication between doctors, pharmacists, and patients, considering them an essential trio in health. The event aims to facilitate interaction and idea exchange, with numerous coffee breaks and group meals. Peter Löffelhardt encourages everyone to take advantage of these opportunities to socialize and share knowledge.



Laura Fox presents the basics of MPN



Dr. Laura Fox presented on Myeloproliferative Neoplasms (MPN), a group of rare blood diseases affecting the bone marrow, causing abnormal blood cell production. She has collaborated for many years with MPN Spain and its foundation, contributing her expertise in studying and treating these diseases.


MPNs are characterized by the excessive proliferation of blood cells in the bone marrow. The main types are Polycythemia Vera (PV), with excess red blood cells; Essential Thrombocythemia (ET), with excess platelets; and Primary Myelofibrosis (MF), with scar tissue in the bone marrow affecting normal cell production.



Common symptoms include fatigue, headache, pruritus, and splenomegaly. Diagnosis involves blood tests, bone marrow biopsies, and genetic studies to detect mutations in genes such as JAK2, CALR, and MPL.


Pharmacological treatments include JAK2 inhibitors and hydroxyurea. Other treatments encompass phlebotomy for Polycythemia Vera and bone marrow transplantation in advanced cases of Myelofibrosis.


Dr. Laura Fox emphasized the importance of ongoing research and mentioned current clinical trials. New drugs in development promise better results and fewer side effects, such as new forms of JAK2 inhibitors.


The importance of support organizations for patients and families, as well as continuous education for both health professionals and patients, was highlighted, improving quality of life and treatment outcomes.



Q&A Session - Laura Fox



This video shows a Q&A session with Dr. Laura Fox following a talk. Main topics include the importance of continuously reviewing fundamental health and medicine concepts. Regarding PV (Polycythemia Vera) monitoring, Laura Fox emphasizes the importance of controlling hematocrit and genetic mutations, noting that current treatments can reduce the responsible mutation. The promising potential of current treatments in reducing the genetic mutation is highlighted. Finally, Dr. Laura Fox stresses the importance of communication between patients and hematologists to monitor mutations during consultations.



Prof. Ruben Mesa - Allyl Burden



Dr. Ruben Mesa explains the allele burden, which is the relative amount of a specific mutation in DNA, and its importance in evaluating treatment response. Comparing it to chronic myeloid leukemia (CML), he mentions that a significant reduction in allele burden in CML correlates with a better treatment response. He suggests that this concept is also applicable to other diseases, improving treatment response evaluation in various contexts. Dr. Ruben Mesa highlights the relevance of monitoring allele burden to personalize treatments and improve clinical outcomes.



Prof. Martin Ellis - Allyl Burden



Professor Martin Ellis, from Tel Aviv, Israel, emphasizes the importance of considering allele burden in medicine. Agreeing with his colleagues, he highlights the need to evaluate future medications that may be better or equivalent to current ones. He emphasizes that allele burden is crucial for early detection of drug resistance. Martin Ellis suggests that having better or equivalent alternatives is essential for identifying and managing resistance to current treatments.



Dra. Marina Kremyanskaya - Allyl Burden



Dr. Marina Kremyanskaya, from Mount Sinai in New York, mentions that allele burden is only part of a broader puzzle. She highlights the difficulty of making decisions based solely on this figure and notes the importance of monitoring it without excess, adjusting the frequency according to the patient. If allele burden decreases and the patient is doing well, it is a good sign. However, if the patient is clinically well, other factors besides allele burden should be considered.



Dra. Lucia Masarova - Allyl Burden



Dr. Lucia Masarova, from MD Anderson in Houston, Texas, greets and agrees with her colleagues, expressing joy at the decrease in allele burden in patients. However, she admits that the medical community still faces the challenge of correctly interpreting this decrease. Although it seems positive, a direct relationship between the reduction in allele burden and better clinical outcomes has not been established. She raises questions about the implications of an allele burden that does not improve, highlighting the need for more research to effectively use this information in clinical practice.



Prof. Martin Ellis - Prevention of Thrombotic Events



In the video, Dr. Martin Ellis and other specialists discuss the prevention of thrombotic events in myeloproliferative neoplasms (MPN), especially in polycythemia vera (PV). They highlight the need for a multidisciplinary approach to manage MPN and prevent thrombotic complications. The importance of monitoring allele burden and genetic mutations such as JAK2, CALR, and MPL is emphasized for personalized disease management. Prevention strategies are explored, including antithrombotic therapy, aspirin, and phlebotomy. A mother expresses concerns about the lack of research in children with PV. Experts discuss research challenges, the need for international collaborations, and the future of personalized therapies based on genetics.



John Hoogland - New Global Information Network



John Hoogland, president of the Dutch association, presents a new global network aimed at empowering patients through information exchange. They started over two years ago with a platform to share experiences, which evolved to use patient data to enhance empowerment. John Hoogland highlights the importance of patient interaction for better outcomes and greater safety. He explains why they created their own platform instead of using Facebook, citing the need for specialized features. The network has the potential to influence health policies and improve care through advanced technologies like artificial intelligence. Its goal is to create a support community that enhances health outcomes and facilitates patient collaboration.



Awards Ceremony - Prof. Ruben Mesa



Peter Löffelhardt begins the MPN Awards ceremony speech, recalling that these awards, inaugurated two years ago in Vienna, recognize significant contributions to the MPN community. He highlights that this year's award goes to Professor Ruben Mesa for his immense support and dedication, which have been crucial in improving the lives of MPN patients. Although four awards were given last year, this year there is only one, emphasizing the importance of recognition as a way to strengthen the community and motivate more people to get involved. Peter Löffelhardt concludes by thanking all collaborators, highlighting the positive impact of these contributions.



Patient Testimonials and Q&A



Marisa, a patient with polycythemia vera (PV), shares her experience with extreme fatigue, which has led her to sleep up to 18 hours a day and leave her job. Additionally, she suffers from brain fog that affects her memory and concentration. Another patient recounts a similar experience, with severe fatigue limiting her activities and social life. Experts discuss extreme fatigue in MPN, addressing diagnoses, treatments, and research advances. Psychological aspects, such as anxiety and associated depression, are also addressed, and stress management techniques are recommended. A mother describes how her teenage son's extreme fatigue affects her family, highlighting the importance of family support. The Q&A session allows patients to share experiences and seek mutual support.



Prof. Rao Tata Negeswara - Presents basic research



Prof. Rao Tata Negeswara thanks Peter Löffelhardt for the invitation and highlights the inspiration gained from previous sessions to continue researching MPN. He emphasizes the importance of advancing the understanding and treatment of these diseases after enriching discussions with participants. Rao Tata Negeswara recaps fundamental MPN concepts before presenting unpublished data from his laboratory, including recent discoveries and treatment challenges. He proposes new research areas to overcome current obstacles. He encourages interaction with the audience and uses analogies to explain his findings in an accessible way. He concludes by emphasizing continuous collaboration and his commitment to finding effective solutions for MPN.



Prof. Ruben Mesa speaking about the quality of life of MPN patients and Q&A



Prof. Ruben Mesa appreciates the opportunity to share his knowledge about Myeloproliferative Neoplasms (MPN) and their impact on patients' quality of life. He emphasizes the importance of understanding the disease and providing comprehensive care to address patients' physical and emotional needs. Prof. Mesa discusses treatment options, symptom management, and psychological support. The Q&A session addresses topics such as coping strategies, support resources, and advances in research. Patients and family members share experiences and concerns, fostering a sense of community and mutual support. The session highlights the importance of a holistic approach to MPN management, considering medical, emotional, and social aspects to improve patients' quality of life.



Prof. Rao Tata Negeswara Presentation of Q&A on basic research



Prof. Rao Tata Negeswara presents his recent research findings and answers questions from the audience about myeloproliferative neoplasms (MPN). The presentation covers genetic mutations and pathogenesis, providing insights into disease mechanisms. He discusses advances in molecular biology, new treatment targets, and challenges in developing therapies. The Q&A session delves into specific topics, such as the role of JAK2 inhibitors, potential side effects, and treatment personalization. Attendees ask about future research directions and the practical implications of new discoveries. Prof. Negeswara emphasizes the importance of collaboration between researchers, clinicians, and patients to accelerate progress and improve MPN outcomes.



Opinions about Combos



Several experts, including Dr. Lucia Masarova, Dr. Marina Kremyanskaya, and Prof. Ruben Mesa, express their opinions on combining treatments for MPN. They agree that combining existing therapies can enhance effectiveness and reduce side effects, providing a comprehensive approach to managing the disease. Dr. Masarova discusses the importance of personalized treatment plans, taking into account patients' specific needs and conditions. Dr. Kremyanskaya highlights the potential of new drug combinations, emphasizing the need for clinical trials to validate their efficacy and safety. Prof. Mesa underscores the significance of ongoing research and collaboration to develop innovative treatment strategies that improve patient outcomes and quality of life.



Thomas Biegi de Morphosys nos dio su opinión sobre los combos



Laura Fox dio su opinión sobre los combos



Talking about treatments



Dr. Laura Fox, Prof. Martin Ellis, and Dr. Marina Kremyanskaya discuss treatment options for myeloproliferative neoplasms (MPN) in this video. Dr. Fox highlights personalized treatment plans based on disease type and genetic mutations. Prof. Ellis explains that standard treatments include JAK2 inhibitors and hydroxyurea, emphasizing ongoing research for new therapies. Dr. Kremyanskaya discusses potential treatment combinations to enhance effectiveness and reduce side effects. They agree that patient monitoring and regular consultations with hematologists are essential for optimal management. The video underscores the importance of ongoing research, clinical trials, and collaborative efforts to improve MPN treatments and patient outcomes.



Discussing anemia



This video features Dr. Laura Fox and Dr. Marina Kremyanskaya discussing anemia in MPN patients. They explain that anemia, characterized by low hemoglobin levels, is common in MPN due to the disease or treatments. Dr. Fox highlights the importance of regular blood tests to monitor hemoglobin levels and adjust treatments. Dr. Kremyanskaya discusses symptoms like fatigue and dizziness, and potential treatments, including erythropoiesis-stimulating agents and iron supplements. They emphasize personalized treatment plans to address underlying causes and improve patient outcomes. The video underscores the need for continuous research and collaboration to develop effective strategies for managing anemia in MPN patients.



MPN World



MPN World is a global network of patients, professionals, and researchers dedicated to improving the lives of those affected by Myeloproliferative Neoplasms (MPN). It aims to provide a comprehensive support system, share experiences, and promote awareness and research. MPN World hosts events like this symposium to facilitate interaction and knowledge exchange among the MPN community. The network's mission is to enhance patient outcomes, promote early diagnosis and effective treatments, and foster a sense of community and empowerment among patients and their families. MPN World encourages continuous collaboration and innovation to address the challenges posed by MPN and improve the quality of life for those affected.



Carla Not explains nutrition in MPN patients



In this video, Carla Not discusses the role of nutrition in managing myeloproliferative neoplasms (MPN). She highlights the importance of a balanced diet to support overall health and well-being. Carla emphasizes that proper nutrition can help manage symptoms, improve energy levels, and enhance the effectiveness of treatments. She provides dietary recommendations, including consuming a variety of fruits, vegetables, lean proteins, and whole grains. Carla also discusses the potential benefits of specific nutrients and the importance of staying hydrated. She encourages patients to consult with healthcare professionals for personalized dietary advice and underscores the need for continuous research to understand the impact of nutrition on MPN outcomes.



El Sr. Rubén Sosa talks about breathing in MPN patients



In this video, Rubén Sosa discusses the importance of proper breathing techniques for patients with Myeloproliferative Neoplasms (MPN). He emphasizes that controlled breathing can help manage symptoms such as fatigue and anxiety, improving overall well-being. Rubén explains various breathing exercises and techniques that can be easily incorporated into daily routines. He highlights the benefits of practices such as deep breathing, diaphragmatic breathing, and mindfulness meditation. Rubén encourages patients to adopt these techniques to enhance their physical and emotional health, reduce stress, and improve quality of life. He also emphasizes the importance of consulting healthcare professionals before starting any new exercise regimen.



Jorgina Pequera - Txi Kung



In this video, Jorgina Pequera discusses the practice of Txi Kung and its benefits for patients with Myeloproliferative Neoplasms (MPN). Txi Kung, also known as Qigong, is a traditional Chinese exercise combining physical movement, meditation, and controlled breathing. Jorgina explains that Txi Kung can help manage symptoms such as fatigue, stress, and pain, promoting overall well-being. She demonstrates basic Txi Kung exercises that are easy to follow and suitable for individuals of all fitness levels. Jorgina encourages patients to incorporate Txi Kung into their daily routines to enhance physical and emotional health, improve energy levels, and foster a sense of calm and relaxation.



Profs. Ruben Mesa, Lucia Masanova, Marina Kremyanskaya, Martin Ellis





This video features Professors Ruben Mesa, Lucia Masarova, Marina Kremyanskaya, and Martin Ellis discussing various aspects of Myeloproliferative Neoplasms (MPN). They cover topics such as the importance of personalized treatment plans, the potential of new drug combinations, and the significance of monitoring allele burden and genetic mutations. The experts emphasize the need for continuous research, clinical trials, and collaboration to develop innovative treatment strategies. They also discuss the importance of addressing patients' physical and emotional needs to improve quality of life. The video underscores the importance of a holistic approach to MPN management, considering medical, emotional, and social aspects.



Arturo Molina - Rusfertide



Dr. Arturo Molina presents his research on Rusfertide, a new medication for Myeloproliferative Neoplasms (MPN). He explains that Rusfertide, also known as PTG-300, is an injectable therapy designed to reduce iron levels and control blood cell production. Dr. Molina discusses clinical trials showing that Rusfertide effectively reduces the need for phlebotomy in patients with Polycythemia Vera (PV). He highlights the potential of Rusfertide to improve patient outcomes and quality of life by minimizing disease symptoms and treatment side effects. Dr. Molina emphasizes the importance of ongoing research and collaboration to validate the efficacy and safety of Rusfertide for broader use in MPN treatment.



Effective Strategies to Combat Pruritus and Improve Sleep Quality





Experts explain that pruritus is a common symptom in MPN, often affecting patients' quality of life and sleep. They recommend a combination of pharmacological treatments, such as antihistamines and JAK inhibitors, and non-pharmacological approaches, including moisturizing skin care routines, cool baths, and stress management techniques. For improving sleep quality, experts suggest establishing a regular sleep schedule, creating a comfortable sleep environment, and practicing relaxation techniques. They emphasize the importance of personalized approaches and ongoing research to develop effective strategies for managing these symptoms.


Event Conclusion



Peter Löffelhardt concludes the MPN Symposium, thanking all participants for their contributions and attendance. He highlights the importance of the symposium in fostering communication, knowledge exchange, and collaboration among patients, professionals, and researchers. Peter emphasizes the positive impact of these interactions on improving MPN understanding, treatments, and patient outcomes. He encourages participants to continue sharing their experiences, supporting each other, and contributing to the MPN community. Peter expresses his hope for future advancements and collaboration, looking forward to the next symposium. He concludes by wishing everyone well and encouraging ongoing engagement in the MPN community.


 
 
 

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