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Not yet recruitingNCT04517175Updated Aug 18, 2020

Could Ki-67 be Used as a Diagnostic or Prognostic Marker in Hemato-oncological Diagnostics?

An observational study in Myelodysplastic Syndromes, Acute Myeloid Leukemia and Myelodysplastic Syndrome/Neoplasm, sponsored by Maastricht University. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-08-18.

Sponsored by Maastricht University · Observational

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
18 Years and older
Sex
All
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Study summary

Ki-67 is used as a marker for determination of the proliferative activity in solid tumors. The use within hemato-oncological malignancies is limited. This is related to limited technical possibilities of flow cytometry in the past. Meanwhile, flow cytometry in hemato-oncological malignancies has progressed to assessment of 8 colors and makes it possible to add Ki-67 as an additional marker to the 8-color panels. Adding Ki-67 to these panels could lead to improved diagnosis and prediction of therapy response for a number of hemato-oncological malignancies.

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Conditions studied

  • Myelodysplastic Syndromes
  • Acute Myeloid Leukemia
  • Myelodysplastic Syndrome/Neoplasm

Keywords

  • Ki-67
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In context

Preleukemia

1,317 studies on the registry are indexed under Preleukemia; 57 are open to participants now.

This study's planned enrollment of 300 is above the median of 114 across 116 observational studies indexed under Preleukemia.

Browse Preleukemia studies →

Lead sponsor

Maastricht University is the lead sponsor of 96 studies on the registry; 20 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients in which a hemato-oncological malignancy is found and are at least 18 years old. These patients can be male and female.

Inclusion criteria

  • MDS and AML patients

Exclusion criteria

Exclusion Criteria:

  • Ongoing radio- and/or chemotherapy
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • Myelodysplastic syndrome (MDS) patients

    MDS patients will be divided according to prognostic parameters in sub-cohorts.

    Diagnostic Test: Flow cytometry

  • Acute myeloid Leukemia (AML) patients

    AML patients will be divided according to prognostic parameters in sub-cohorts.

    Diagnostic Test: Flow cytometry

  • Myelodysplastic syndrome/neoplasm (MDS/MPN) patients

    MDS/MPN patients will be divided according to prognostic parameters in sub-cohorts.

    Diagnostic Test: Flow cytometry

Interventions

  • Diagnostic testFlow cytometry

    Flow cytometric immunophenotyping and determination of proliferative activity by means of Ki-67.

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What researchers measure

Primary outcomes

  1. Maturation patterns diagnosis

    Maturation patterns based on immunophenotype for red blood cells and several types of immune cells and their respective contributions to diagnosis. Maturation patterns are scored by various methods/combinations to form diagnostic score. A higher diagnostic score will lead to a more likely diagnose for MDS and/or AML.

    Time frame: 5 years

  2. Proliferative index diagnosis

    Ki-67 proliferative index (within populations and maturation) and its contribution to diagnosis. A lower Ki-67 proliferative index will lead to a more likely diagnose for MDS and/or AML.

    Time frame: 5 years

  3. Proliferative index prognosis

    Ki-67 as prognostic parameter. A lower Ki-67 proliferative index will (hypothetically) lead to worse prognosis for MDS and AML in terms of: transfusion dependence (expressed in amount of transfusions in 2 months), chemotherapy response (expressed as total remission, normalization of blood values, possibly also normalization of cytogenetics in bone marrow cells), overall survival (expressed in months after diagnosis), Risk scores. Higher risk scores are correlated with worse prognosis.

    Time frame: 5 years

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Nies KPH, Kraaijvanger R, Lindelauf KHK, Drent RJMR, Rutten RMJ, Ramaekers FCS, Leers MPG. Determination of the proliferative fractions in differentiating hematopoietic cell lineages of normal bone marrow. Cytometry A. 2018 Nov;93(11):1097-1105. doi: 10.1002/cyto.a.23564. Epub 2018 Sep 3. PubMed 30176186 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04517175
Lead sponsor
Maastricht University
Collaborators
Zuyderland Medisch Centrum, Maastricht University Medical Center
Responsible party
Stefan Mestrum (Principal Investigator, Maastricht University) — Principal investigator
First posted
Aug 18, 2020
Start date
Sep 1, 2020 (estimated)
Primary completion
Sep 1, 2025 (estimated)
Completion
Sep 1, 2025 (estimated)
Last update
Aug 18, 2020

Study contacts

Mathie Leers, Dr.
Contact
mat.leers@zuyderland.nl
+31 45 5767503
Bart de Wit, Dr.
Contact
b.de.wit@mumc.nl
+31 43 3874694

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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