Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Using NETosis blood markers to predict clot risk in JAK2-positive myeloproliferative neoplasms

Official title: Prospective Study for the Evaluation of the Prognostic Value of NETosis Markers to Predict Thrombosis in Myeloproliferative Neoplasms With JAK2V617F Mutation (AVATARE)

Run by University Hospital, Bordeaux · NCT07119970 · Data updated 2026-11-12

This study will try to see if blood markers of NETosis can predict clotting risk in people with JAK2V617F-positive myeloproliferative neoplasms who are at high risk for thrombosis.

More Myeloproliferative Neoplasm trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment300 (estimated)
SponsorUniversity Hospital, Bordeaux
Academic / other
Locations15 sites (Angers and 14 other locations)
StatusRecruiting
StartedDecember 9, 2025
Main results expectedDecember 2028
Study endsDecember 2030
Registry record updatedJanuary 13, 2026
Trial IDNCT07119970 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with a recent diagnosis (within 12 months) of PV, ET, or pre-MF who are JAK2V617F-positive with allelic burden >1%, meet high-risk criteria (age >60 or prior thrombosis), are enrolled in the AVAJAK trial and the FIMBANK biobank, and can give informed consent.

Probably not a fit

Patients without a JAK2V617F mutation, those at low thrombotic risk, those on heparin at inclusion, or patients with severe renal or hepatic failure are unlikely to benefit from this biomarker-based prognostic approach.

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

What this trial studies

This ancillary study enrolls JAK2V617F-positive patients with polycythemia vera, essential thrombocythemia, or pre-myelofibrosis who are high risk for thrombosis and already taking part in the AVAJAK trial. Participants will have blood drawn at baseline and at 12 months to measure NETosis markers such as calprotectin and citrullinated histone H3 (H3Cit). Marker levels will be correlated with subsequent thrombotic events to test whether NETosis biomarkers improve prediction beyond age and prior thrombosis. The goal is to determine whether these measurements can guide safer, more personalized thrombosis prevention strategies.

Why it matters

Potential benefit: If successful, the approach could improve prediction of who will get blood clots and help tailor prevention so fewer patients are over- or undertreated.

How similar studies have gone: Prior studies have shown increased NETs in MPN patients and links between NETosis and thrombosis, and aspirin can reduce NET formation, but prospective use of NETosis markers as a clinical prognostic tool remains relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of Polycythemia Vera (PV), Essential Thrombocythemia (ET), or pre-myelofibrosis (pre-MF)
* JAK2V617F mutation with an allelic burden greater than 1%
* High risk of thrombosis (age over 60 years or prior thrombotic event)
* Diagnosis of MPN within the last 12 months
* Enrollment in the AVAJAK clinical trial and the FIMBANK biobank
* Affiliation with social security
* Signed informed consent

Exclusion Criteria:

* Severe hepatic or renal insufficiency (Creatinine clearance \<30ml/min)
* Patients under legal protection (guardianship or curatorship)
* Patients under heparin treatment at inclusion

Where it's running

  • CH de Libourne, Service Hématologie
    Libourne, France
    Recruiting
  • CHU d'Angers, Service des maladies du Sang
    Angers, France
    Not yet recruiting
  • CH de la Côte Basque, Service Hématologie
    Bayonne, France
    Not yet recruiting
  • CHU de Bordeaux, Service Hématologie Biologique
    Bordeaux, France
    Not yet recruiting
  • CHU de Bordeaux, Service Hématologie Clinique et Thérapie Cellulaire
    Bordeaux, France
    Not yet recruiting
  • CHU de Brest, Service Hématologie et Hémostase Clinique
    Brest, France
    Not yet recruiting
Show 9 more locations
  • APHP-Hôpital Mondor, Service Hématologie Clinique et Thérapie Cellulaire
    Créteil, France
    Not yet recruiting
  • CHD de Vendée, Service Onco-hématologie
    La Roche-sur-Yon, France
    Not yet recruiting
  • APHP-Hôpital Bicêtre, Service Hématologie Clinique Ambulatoire
    Le Kremlin-Bicêtre, France
    Not yet recruiting
  • CHU de Limoges, Service Hématologie Clinique et de Thérapie Cellulaire
    Limoges, France
    Not yet recruiting
  • CH des Pays de Morlaix, Service Onco-Hématologie
    Morlaix, France
    Not yet recruiting
  • CHU de Nantes, Service Hématologie Clinique
    Nantes, France
    Not yet recruiting
  • Hôpital Privé du Confluent, Service Hématologie
    Nantes, France
    Not yet recruiting
  • APHO-Hôpital Saint-Louis, Centre d'Investigations Cliniques
    Paris, France
    Not yet recruiting
  • CH de Roubaix, Service Hématologie
    Roubaix, France
    Not yet 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.