Myelofibrosis. Myelofibrose. Ruxolitinib. PET MRI
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - A diagnosis of primary MF, post-PV MF or post-ET MF according to the 2008 WHO criteria. - High- or intermediate-1 or -2 risk level according to the IWG-MRT IPSS criteria - High grade fibrosis (grade 3 or 4) on bone marrow biopsy - A scheduled treatment with (and thus an indication and eligibility for) ruxolitinib
Exclusion criteria
Exclusion criteria: - Current or previous treatment with a JAK2 inhibitor - History of allogeneic stem cell transplantation - Contraindication for treatment with ruxolitinib (including a platelet count < 50,000/µL) - Contraindication for used imaging modalities - Inability to sign informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A detailed description of the bone marrow environment in advanced-stage myelofibrosis at baseline and during treatment, using the following parameters: - Histopathological findings on bone marrow biopsy - Functional parameters: -- Perfusion (15O-water PET/CT) -- Perfusion/permeability (MRI-DCE) -- Osteoblastic activity (18F-fluoride PET/CT) -- Diffusion restriction (MRI-DWIBS) - Conventional treatment response evaluation according to IWG consensus criteria | — |
Secondary
| Measure | Time frame |
|---|---|
| - Exploration of the best imaging technique in diagnosis and response monitoring during ruxolitinib treatment - Explore the degree of sampling error of bone marrow biopsies in myelofibrosis | — |
Contacts
PK2BR002