MedPath

Clinical and Therapeutic Impact of Molecular Markers in Myeloproliferative Disorders

Conditions
Myeloproliferative Neoplasms
Registration Number
NCT02823210
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Brief Summary

Myeloproliferative neoplasms (MPN) are clonal hematopoietic disorders sharing a common natural evolution: a chronic phase, characterized by a major risk of vascular events, followed by an accelerated phase eventually leading to transformation to acute leukemia. MPN include polycythemia vera, essential thrombocythemia, primary myelofibrosis, and rarer entities. During the past years, CML became a paradigm for targeted therapy and personalized cancer medicine. For other MPNs, the discovery of the JAK2V617F mutation followed by many other mutations, opened similar perspectives. However, several questions remain to be answered in MPNs regarding the clinical implication of these major scientific discoveries: what is the clinical impact of JAK2V617F and other molecular biomarkers on the risks of complications and progression? Can these new biomarkers be used in the perspective of a personalized therapy of MPNs? his project will focus on the qualification of a series of known mutations as biomarkers in MPNs based on large multicenter cohorts of patients with well-annotated samples

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
300
Inclusion Criteria
  • Patients suffering from Myeloproliferative neoplasms (MPN) diagnosed between 2005 and 2013
  • Sample DNA diagnostics available: 500 mcg
  • Untreated or treated with hydroxyurea, ruxolitinib, alpha interferon,
  • Patient has given his(her) own consent for the use of the sample for research on the pathology and genetic analyzes
Exclusion Criteria
  • Refused to participate
  • Patient treated with another molecule that hydroxyurea, ruxolitinib, or alpha interferon

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
cumulative incidence or progressioninclusion
Secondary Outcome Measures
NameTimeMethod
Treatment response/resistance3 years
Disease phenotype according to WHO classification3 years

polycythemia vera, essential thrombocythemia, primary myelofibrosis, and others

Mean life-years gained3 years

The analysis will take into consideration the cost of testing, but also the costs of different treatment options with or without testing, and other disease-related costs dependent on treatment

Quality-adjusted life years gained3 years

Trial Locations

Locations (1)

Centre d'Investigations Cliniques

🇫🇷

Paris, France

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