Clinical trial Recruiting at 1 site Interventional Ages 18 and up

CCR2-based blood test and PET imaging to detect bone marrow fibrosis in myeloproliferative neoplasms

Official title: A New Diagnostic Algorithm to Non-invasively Track Fibrotic Changes in Myeloproliferative Neoplasms Based on C-C Chemokine Receptor 2 Detection. From Flow Cytometry to the Development of Targeted Positron Emission Tomography Molecular Imaging. Pre-clinical Studies and First In-human Proof of Concept

Run by Azienda Ospedaliero-Universitaria di Parma · NCT07419178 · Data updated 2026-11-12

This project tests whether a blood test measuring CCR2-positive cells and a CCR2-targeted PET scan can find and track bone marrow fibrosis in adults with myeloproliferative neoplasms.

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Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment265 (estimated)
SponsorAzienda Ospedaliero-Universitaria di Parma
Academic / other
Locations1 site (Parma, Italy)
StatusRecruiting
StartedSeptember 5, 2023
Main results expectedFebruary 28, 2027
Study endsApril 30, 2027
Registry record updatedFebruary 18, 2026
Trial IDNCT07419178 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18 years) with Philadelphia-negative myeloproliferative neoplasms (ET, PV, prePMF, overt PMF or SMF with histopathology), ECOG ≤3, and not currently on immunomodulatory drugs; PET participants should be off cytoreductive therapy for at least three months.

Probably not a fit

Patients who are pregnant or breastfeeding, those on JAK inhibitors or interferon, those unable to pause cytoreductive therapy for PET, or with contraindications to PET/CT are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The project will measure CD34+CCR2+ cells in peripheral blood by flow cytometry and develop a CCR2-targeted PET tracer to image fibrotic bone marrow non-invasively. Work combines preclinical validation and a first-in-human proof-of-concept imaging approach. The goal is a diagnostic algorithm that uses blood and imaging biomarkers to identify fibrotic progression without routine bone marrow biopsy. The approach is intended for use at diagnosis, during follow-up for suspected progression, or when biopsy is contraindicated.

Why it matters

Potential benefit: If successful, this approach could allow earlier, non-invasive detection and monitoring of marrow fibrosis, reducing the need for repeat bone marrow biopsies and helping guide treatment decisions.

How similar studies have gone: Preclinical data support CCR2 as a fibrosis biomarker and some early imaging work exists, but CCR2-targeted PET for tracking marrow fibrosis is largely novel and this includes first-in-human proof-of-concept work.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of ET/PV/prePMF/overtPMF according to the WHO 2016 criteria and of SMF according to the IWG-MRT criteria (with histopathological data).
* Age \>= 18 yrs
* ECOG performance status \<=3

Exclusion Criteria:

* Pregnancy/breastfeeding
* Ongoing therapy with immunomodulatory drugs (JAK-inhibitors, interferon).
* For PET imaging, patients should be off any cytoreductive treatment for at least 3 months.
* Antiplatelet agents are allowed

Where it's running

  • Dipartimento di Medicina e Chirurgia
    Parma, Italy, Italy
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.