Myelodysplastic Syndrome
Conditions
Brief summary
The present study is designed to determine the mutational status of markers (TET2 and PLCb2, cytogenetic aberrations) together with methylation status of the above genes using bone marrow and matched buccal cell samples from MDS patients who necessitate to start a treatment (i.e. EPO, Lenalidomide, Azacytidine). All patients included in the study will be followed for at least 2 years.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Written informed consent * Patients diagnosed with MDS according to FAB, WHO and IPSS classifications * All clinically treatable MDS patients with EPO or Lenalidomide or 5-Azacytidine; * Hb \< 10 g/dL * Age ≥ 18 years * Gender: Male or Female * Sufficient amount of biological samples for molecular studies
Exclusion criteria
* Age \<18 years * Patients who do not require treatment on watch and wait strategy * Insufficient amount of biological samples for molecular studies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analyze the incidence of TET2 gene mutations and Validation of the prognostic potential of TET2 mutations and MPLA screening | 2 years | Analyze the incidence of TET2 gene mutations in a series of MDS patients and describe the clinical status of patients carrying mutations Validation of the prognostic potential of TET2 mutations and MPLA screening on: * Response rate to treatment with Epo, Lenalidomide and Azacitidine * Progression Free Survival (PFS ) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Validation of the prognostic potential of TET2 mutations | 2 years | Validation of the prognostic potential of Tet2 mutations on: * Overall Survival; * Validation of MLPA analyisis in the identification of cytogenetic abnormalities in MDS patients as a complementary screening tool; * Validation of the prognostic relevance of MLPA analysis |
Countries
Italy