Painless blood test could replace bone marrow biopsy for MPN patients
NCT ID NCT07648433
First seen Jun 27, 2026 · Last updated Sep 02, 2026 · Updated 2 times
Summary
This study aims to develop a new blood test that could replace the invasive bone marrow biopsy currently used to diagnose myeloproliferative neoplasms (MPNs), a group of blood cancers. Researchers will collect blood samples from 500 adults with suspected or confirmed MPN and analyze specific blood cells to see if they can accurately detect the disease. If successful, this test could make diagnosis faster, less painful, and more accessible.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could lead to a simple blood test that replaces painful bone marrow biopsies for diagnosing certain blood cancers.
- What could go wrong
- This is an early observational study, not a treatment trial. The test may not be accurate enough to replace biopsies, and results may take years to confirm.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with MPN, or suspicion for MPN, who are referred to BM will be recruited to the study
- Ages
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18 years and older
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥ 18 years 2. Confirmed MPN diagnosis, based on the WHO criteria (Barbui 2018), which includes: Polycythemia Vera (PV) Criteria: * Elevated hemoglobin (\>16.5 g/dL for men, \>16.0 g/dL for women), hematocrit (\>49% for men, \>48% for women), or increased red cell mass * Bone marrow biopsy showing hypercellularity with trilineage growth (panmyelosis) * Presence of JAK2 mutation (V617F or exon 12) Essential Thrombocythemia (ET) Criteria: * Platelet count ≥450 ×10⁹/L * Bone marrow biopsy showing proliferation mainly of the megakaryocyte lineage * Not meeting WHO criteria (Alaggio et al., 2022) for other myeloid neoplasms (such as CML, PV, PMF, MDS). * Presence of JAK2, CALR, or MPL mutation Primary Myelofibrosis (PMF) Criteria * Megakaryocytic proliferation and atypia, with or without reticulin fibrosis, and increased marrow cellularity (for prefibrotic/early PMF) or significant reticulin/collagen fibrosis (for overt PMF) * Not meeting criteria for other myeloid neoplasms * Presence of JAK2, CALR, or MPL mutation, or in their absence, another clonal marker 3. Patients who are referred for a bone marrow biopsy due to a suspected diagnosis of MPN Exclusion Criteria: 1. Patients diagnosed with MPN receiving therapy 2. Patients who have undergone a bone marrow transplant
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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