bone marrow fibrosis Myelofibrosis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • A diagnosis of primary-, post-polycythemia vera- or post-essential thrombocythemia MF (according to the 2008 WHO criteria) • A high- or intermediate-1 or -2 risk level (according to the IWG-MRT DIPSS criteria) • Fibrosis (grade 2-4) 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
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 (cellularity, morphology of hematopoietic cells, reticulin and collagen fibrosis, osteosclerosis, vascularity, dilatation of sinusoids) on bone marrow biopsy as scored by the local pathologist • Functional parameters: o Perfusion as determined by 15O -water-PET/CT o Perfusion/permeability as determined with MRI-DCE o Osteoblastic activity as determined by 18F -fluoride-PET/CT o Diffusion restriction as determined by MRI-DWIBS • Conventional treatment response evaluation (reduction in constitutional symptoms / total symptom score (MPN-SAF), reduction of hepatosplenomegaly, improvement in blood hematology values, JAK2 allelic burden and bone marrow abnormalities). | — |
Countries
Netherlands