Myeloproliferative Neoplasm
Conditions
Brief summary
BCR:ABL1 negative myeloproliferative neoplasms (MPN) include three entities: polycythemia vera, essential thrombocythemia and primitive myelofibrosis. Myelofibrosis is a life-threatening complication in MPN with several therapeutic options including hematopoietic stem cell transplantation (HSCT) which remains the only curative treatment. Bone marrow biopsy with histological analysis allows myelofibrosis identification and staging. However, it is an invasive procedure that remains painful and provides potential haemorrhagic complications. Development of non-invasive biomarkers for myelofibrosis staging could help to better stratify this disease, better define patients' prognosis and lead to optimal cares. The main aim of this work is to develop a non-invasive blood score including several biomarkers for myelofibrosis staging in MPN using bone marrow biopsy as a gold standard.
Interventions
Blood samples will be collected at diagnosis, in the same time as BOM is performed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years * Diagnosis of BCR::ABL1 negative MPN according to WHO criteria classification * Indication for bone marrow biopsy * Non opposition * Social security affiliation
Exclusion criteria
* Non-contributory biopsy * AML transformation * Organ fibrosis (liver, lung, kidney…) * HSCT * Chronic inflammatory disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area under the curve | At diagnosis | Area under the receiver operating characteristic (AUROC) curve of the blood score to discriminate absence or mild fibrosis from advanced fibrosis, using histological analysis as a gold standard. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients | Up to 2 years | Number of patients initially classify as essential thrombocythemia and refile with primitive myelofibosis diagnosis. |