ClinicalTrials.gg
CompletedNCT04902833Updated May 19, 2026

Acquired Pyruvate Kinase Deficiency In Clonal Myeloid Neoplasms

An observational study in Pyruvate Kinase Deficiency, Pyruvate Kinase Deficiency Anemia and Hereditary Hemolytic Anemia, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-19.

Sponsored by Massachusetts General Hospital · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
18
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 14 studies in Myelodysplastic Syndromes by Massachusetts General Hospital — 1 open to participants now, 4 under way, none of them phase 3. Myelodysplastic Syndromes · Massachusetts General Hospital.

Started
2022
with 1 other
Observational
Only one
of the 14
Registered
12th of 14
by date

Among the 14 studies in Myelodysplastic Syndromes by Massachusetts General Hospital, this one is one of 2 that started in 2022, is the only observational one, and was the 12th registered.

Myelodysplastic Syndromes

1,997 studies on the registry are indexed under Myelodysplastic Syndromes; 324 are open to participants now.

Browse Myelodysplastic Syndromes studies →

Open to participants now

1 of the 14 studies in Myelodysplastic Syndromes by Massachusetts General Hospital is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Where they have run

Who these studies take

Of the 264 Myelodysplastic Syndromes studies recruiting now, 167 (63%) set no upper age limit and 70 (27%) stop at 75 or younger; 57 take children under 18; 17 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 14 studies in Myelodysplastic Syndromes by Massachusetts General Hospital, or all of them as a file.
02

Study summary

This cross-sectional prevalence assessment study involves a single blood draw in specific patient populations to assess for enzymatic and genomic evidence for acquired pyruvate kinase deficiency.

Read the detailed description

This cross-sectional prevalence assessment study involves a single blood draw in specific patient populations to assess for enzymatic and genomic evidence for acquired pyruvate kinase deficiency.

  • Red cell pyruvate kinase enzyme activity and next-generation sequencing (NGS) hereditary hemolytic anemia panels will be performed on samples from all recruited participants.
  • The study will recruit patients to two separate cohorts.

    • Cohort 1 will recruit approximately 75 anemic (Hgb \<11.0 g/dL) MDS participants without overt clinical evidence of hemolysis.
    • Cohort 2 will recruit approximately 25 participants with clonal myeloid disorders of any type with evidence of non-immune, otherwise unexplained hemolytic anemia
  • Participation in the study involves a single blood draw. Basic information about the participant's blood disorder will also be collected.

It is expected that about 100 people will take part in this research study

03

Conditions studied

  • Pyruvate Kinase Deficiency
  • Pyruvate Kinase Deficiency Anemia
  • Hereditary Hemolytic Anemia
  • Myelodysplastic Syndromes
  • Myelodysplastic/Myeloproliferative Neoplasm
  • Clonal Myeloid Neoplasm
  • Myeloproliferative Neoplasm
  • Acute Myeloid Leukemia
  • Clonal Cytopenia of Undetermined Significance
  • Other Clonal Myeloid Neoplasm
  • Unexplained Coombs-negative Non-immune Hemolytic Anemia

Keywords

  • Pyruvate Kinase Deficiency
  • Pyruvate Kinase Deficiency Anemia
  • Hereditary Hemolytic Anemia
  • Myelodysplastic Syndromes
  • Myelodysplastic/Myeloproliferative Neoplasm
  • Clonal myeloid neoplasm
  • Myeloproliferative Neoplasm
  • Acute Myeloid Leukemia
  • Clonal Cytopenia of Undetermined Significance
  • Other clonal myeloid neoplasm
  • Unexplained Coombs-negative non-immune hemolytic anemia
04

Who can participate

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

Study population

Cohort 1 will recruit approximately 50 anemic (Hgb \<11.0 g/dL) MDS patients without overt clinical evidence of hemolysis. Cohort 2 will recruit approximately 50 patients with clonal myeloid disorders of any type with evidence of non-immune, otherwise unexplained hemolytic anemia.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Cohort 1

    • Capable and willing to provide for participation in the study.
    • Diagnosis of clonal cytopenia of undetermined significance (CCUS), myelodysplastic syndrome (MDS) or myelodysplastic/myeloproliferative neoplasm (MDS/MPN syndrome) according to 2016 World Health Organization (WHO) classification system.
    • Anemia secondary to underlying clonal cytopenia of undetermined significance (CCUS), MDS or MDS/MPN syndrome, defined as a \<11.0 g/dL measured within 30 days of study enrollment. Anemia should not be related to nutritional deficiency (such as iron, cobalamin, folate, or copper deficiencies), peripheral immune or non-immune hemolysis, or renal disease, in the opinion of the investigator.
    • Age >18 years.
  • Cohort 2

    • Capable and willing to provide informed consent for participation in the study.
    • Diagnosis of a clonal myeloid neoplasm, such as MDS, MDS/MPN syndrome, myeloproliferative neoplasm (MPN), acute myeloid leukemia (AML), clonal cytopenia of undetermined significance (CCUS), or other clonal myeloid neoplasm according to 2016 World Health Organization (WHO) classification system.
    • A diagnosis of an otherwise unexplained Coombs-negative non-immune hemolytic anemia, according to the clinical judgement of the investigator. Some form of objective laboratory evidence must be present, including one or more of the following: negative direct antiglobulin (Coombs) test, reduced haptoglobin, elevated indirect , elevated lactate dehydrogenase, elevated , or compatible findings on peripheral blood film. Results of all of these tests are not required to satisfy this criterion.
    • Age >18 years.

Exclusion criteria

Exclusion Criteria:

  • Cohort 1

    • Receipt of red cell transfusion within 60 days of study enrollment.
    • Have a known untreated nutritional anemia or acquired disorder resulting in hemolysis, such as paroxysmal nocturnal hemoglobinuria (PNH). A known hereditary anemia (such as thalassemia trait) is not exclusionary if the patient's baseline has worsened significantly (in the opinion of the investigator) after development and diagnosis of MDS.
  • Cohort 2

    • Have a known hereditary anemic disorder, such as thalassemia, sickle cell disease, or hereditary enzyme deficiency, with the exception of hereditary X-linked glucose-6-phosphate dehydrogenase deficiency known not to cause chronic baseline hemolysis. Testing for these diagnoses is not required unless deemed clinically necessary.
    • Have a known untreated nutritional anemia or acquired disorder resulting in hemolysis, such as paroxysmal nocturnal hemoglobinuria (PNH).
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
18 participants (actual)
Patient registry
No

Groups and cohorts

  • Cohort I

    Approximately 75 anemic (Hgb \<11.0 g/dL) MDS Participants without overt clinical evidence of hemolysis. \- Single Blood Draw

    Procedure: Blood Draw

  • Cohort 2

    25 Participants with clonal myeloid disorders of any type with evidence of non-immune, otherwise unexplained hemolytic anemia -Single Blood Draw

    Procedure: Blood Draw

Interventions

  • ProcedureBlood Draw

    Blood specimen 2-4 teaspoons

06

What researchers measure

Primary outcomes

  1. Overall prevalence of possible or likely acquired pyruvate kinase deficiency

    defined by PK enzyme activity or PK:HK ratio \>1 SD below the control mean (healthy subject mean) as measured by enzyme assay, or potentially pathogenic mutations in the PKLR gene as found on PKLR sequencing

    Time frame: Day 1

Secondary outcomes

  1. Overall prevalence of definite acquired pyruvate kinase deficiency

    Defined by PK enzyme activity below normal (or a PK:HK ratio \<8.7) as measured by enzyme assay, or known pathogenic mutations in the PKLR gene as found on PKLR sequencing

    Time frame: Day 1

  2. Red cell pyruvate kinase enzyme activity

    Red cell pyruvate kinase enzyme activity in patients not receiving red cell transfusion in the 60 days prior to blood draw

    Time frame: 60 days

  3. Red cell pyruvate kinase

    hexokinase enzyme activity ratio in patients not receiving red cell transfusion in the 60 days prior to blood draw

    Time frame: 60 Day

  4. Somatic mutations in PKLR (and other genes associated with acquired PKD) detected in the hematopoietic clone

    Time frame: Day 1

  5. Somatic mutations in other genes associated with hemolytic anemia detected in the hematopoietic clone

    Time frame: Day 1

  6. Characterization of pyruvate kinase-related red cell metabolites (ATP, 2,3-DPG) and pyruvate kinase-R protein in patients with clonal myeloid disorders

    Time frame: Day 1

  7. Impact of pyruvate kinase activators on PK activity in vitro

    Time frame: Day 1

Other outcomes

  1. Characterization of other possible factors involved in acquired PKD, including acquired epigenetic or gene expression factors

    Time frame: Day 1

07

Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02115, United States
08

References and documents

Individual participant data

Plan to share: Yes — The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to Sponsor Investigator or designee. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data can be shared no earlier than 1 year following the date of publication

Access criteria: Contact the Partners Innovations team at http://www.partners.org/innovation

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2022 to primary completion in Feb 2026, 48 months.

Of 78 non-industry observational studies under Myelodysplastic Syndromes, half reached primary completion within 96 months of starting (the median), counting those still running; a quarter within 51. This study's 48 months is below that.

Counting every sponsor, half of 101 studies reached it within 84 months; a quarter within 34.

How these figures are worked out, and which studies are left out of them.

Registered
May 21, 2021
First posted
May 26, 2021
StartActual
Feb 1, 2022
Primary completionActual
Feb 1, 2026
CompletionActual
Feb 1, 2026
Last update
May 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04902833
Responsible party
Hanny Al-Samkari, MD (Principal Investigator, Massachusetts General Hospital) — Principal investigator
First posted
May 26, 2021
Start date
Feb 1, 2022
Primary completion
Feb 1, 2026
Completion
Feb 1, 2026
Last update
May 19, 2026

Study contacts

Hanny Al-Samkari, MD
principal investigator · Massachusetts General Hospital

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 completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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