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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | University Hospital, Bordeaux Academic / other |
| Locations | 15 sites (Angers and 14 other locations) |
| Status | Recruiting |
| Started | December 9, 2025 |
| Main results expected | December 2028 |
| Study ends | December 2030 |
| Registry record updated | January 13, 2026 |
| Trial ID | NCT07119970 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
- Principal investigator: Alexandre GUY — alexandre.guy@chu-bordeaux.fr
- Study coordinator: Alexandre GUY
- Email: alexandre.guy@chu-bordeaux.fr
- Phone: 0557656478
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
CIML NK cell therapy to prevent relapse after stem cell transplant
This study is testing if a new type of immune cell therapy can help prevent relapse in people with certain blood cancers after they receive a stem cell transplant.
-
AI-based precision oncology clinical trial matching and registry
This study is testing whether an AI tool can help match cancer patients with the right clinical trials based on their specific cancer details to see if it improves their chances of getting into trials and their overall outcomes.
-
Caris Chromoseq data collection for AML, MDS, and MPN
This study tests how well the Caris Chromoseq assay helps categorize risk in patients with AML, MDS, or MPN compared with standard tests.
-
Chemogenomic profiling for blood cancers
This project will test whether detailed genetic and molecular profiling of bone marrow, blood, or tissue samples can better characterize diagnosis and relapse for people with suspected or known blood cancers.
-
Multi-omics testing for blood and bone marrow cancers
This project will test a multi-omics lab approach on bone marrow, blood, biopsy and other fluid samples from people with suspected or known hematologic cancers to see if it can better characterize their disease.
-
Comprehensive multi-omics and functional profiling to fully characterize tumors
This project tests whether detailed multi-omics and functional testing of tumor samples can better characterize high-risk blood and solid cancers for patients at participating centers.
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.