ELN multicenter analysis of phenotypic evolution and clinical outcomes
Official title: Unmasking Polycythemia Vera in Long-Standing Essential Thrombocythemia: A ELN-Multicenter Study on Phenotypic Evolution and Clinical Outcomes
Run by FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS · NCT07203768 · Data updated 2026-11-12
This study tries to find features linked to JAK2V617F-positive essential thrombocythemia (ET) patients who later developed polycythemia vera (PV) by comparing them with matched ET patients who did not progress and with patients diagnosed with de novo PV.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 100 Years |
| Sex | All |
| Enrollment | 678 (estimated) |
| Sponsor | FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS Academic / other |
| Locations | 24 sites (Rochester, Minnesota and 23 other locations) |
| Status | Recruiting |
| Started | December 1, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | July 9, 2026 |
| Trial ID | NCT07203768 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal participants are people diagnosed with ET under the 2022 ICC criteria who are JAK2V617F-positive and progressed to PV by December 31, 2020, plus matched ET controls and de novo PV cases treated at participating centers.
✕Probably not a fit
Patients without the JAK2V617F mutation, those whose diagnoses do not meet the 2022 ICC criteria, or patients whose progression occurred after December 31, 2020 are unlikely to be included or to benefit directly from the study findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an international, multicenter retrospective observational study performed in two parts: a nested 1:1 matched case-control analysis (part A) and a comparative retrospective cohort study (part B). Part A will compare ET patients who progressed to PV (ET-to-PV cases) with matched ET controls based on year of diagnosis, age at diagnosis, and duration of ET. Part B will include patients with de novo PV to compare clinical features and outcomes with ET-to-PV cases. All diagnoses follow the 2022 International Consensus Classification criteria and data are abstracted from medical records through December 31, 2020.
Why it matters
Potential benefit: If successful, this work could help doctors identify ET patients at higher risk of evolving to PV so they can be monitored more closely or offered earlier treatment.
How similar studies have gone: Prior retrospective and molecular studies have suggested markers associated with progression from ET to PV but have shown mixed results, so this larger multicenter matched design aims to clarify those associations.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: \- ET patients (diagnosed according to "International consensus classification of myeloid neoplasms and acute leukemias - 2022" criteria) who are JAK2V617F positive and have progressed to PV (diagnosed according to "International consensus classification of myeloid neoplasms and acute leukemias - 2022" criteria) by 31/12/2020. The date of PV diagnosis will be defined as the index date and this group of patients will be defined as ET-to-PV cases. Exclusion Criteria: * None.
Where it's running
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Hannover Medical School
Hanover, Germany Recruiting -
University Clinic for Hematology, Oncology, Hemostaseology and Palliative Care Johannes Wesling Medical Center
Minden, Germany Recruiting -
Divisione Ematologia, Ospedale San Bortolo
Vicenza, Veneto, Italy Recruiting -
ASST Papa Giovanni XXIII, SC Ematologia
Bergamo, Italy Recruiting -
AOU Careggi, Divisione di Ematologia
Florence, Italy Recruiting -
Azienda Ospedaliero Universitaria Maggiore della Carità di Novara SCDU Ematologia
Novara, Italy Recruiting
Show 18 more locations
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Fondazione Policlinico Universitario Gemelli
Roma, Italy Recruiting -
IDIBAPS, Hospital clinic
Barcelona, Spain Recruiting -
12 Octubre University Hospital
Madrid, Spain Recruiting -
Guy's and St. Thomas' NHS Foundation Trust
London, United Kingdom Recruiting -
Mayo Clinic
Rochester, Minnesota, United States Active not recruiting -
University Hospital Halle
Halle, Germany Not yet recruiting -
Divisione Ematologia, Fondazione IRCCS Policlinico San Matteo
Pavia, Lombardy, Italy Not yet recruiting -
A.S.O. SS. Antonio e Biagio e C.Arrigo, SC Ematologia
Alessandria, Italy Not yet recruiting -
Policlinico S. Orsola - Malpighi
Bologna, Italy Not yet recruiting -
ASST-Spedali Civili
Brescia, Italy Not yet recruiting -
ASST Grande Ospedale Metropolitano Niguarda, Divisione di Ematologia
Milan, Italy Not yet recruiting -
Fondazione IRCCS Cà Grande - Op. Maggiore Policlinico
Milan, Italy Not yet recruiting -
Ospedale San Raffaele
Milan, Italy Not yet recruiting -
ASST MONZA Ospedale San Gerardo Clinica Ematologica
Monza, Italy Not yet recruiting -
Azienda Ospedaliera Universitaria Federico II di Napoli Divisione di Ematologia e Trapianti del Midollo
Naples, Italy Not yet recruiting -
Presidio Ospedaliero di Pescara
Pescara, Italy Not yet recruiting -
Umberto I Policlinico
Roma, Italy Not yet recruiting -
Azienda Ospedaliera Universitaria Integrata - Ospedale Borgo Roma, Unità di Ematologia
Verona, Italy Not yet recruiting
Study contacts
- Study coordinator: Tiziano Barbui, Md
- Email: tbarbui@fondazionefrom.it
- Phone: +39 0352675134
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.