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RecruitingNCT07203768ET2PVUpdated Jul 9, 2026

A ELN-Multicenter Study on Phenotypic Evolution and Clinical Outcomes

An observational study in Polycythemia Vera and Thrombocythemia, sponsored by FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS. Recruiting at 24 sites in 5 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-07-09.

Sponsored by FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS · Observational

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
678
Ages
18 Years to 100 Years
Sex
All
01

Study summary

International multicenter retrospective observational study consisting of two parts: a nested case-control study (part A) and a comparative retrospective cohort study (part B).

Read the detailed description

The study will include ET patients (diagnosed according to "International consensus classification of myeloid neoplasms and acute leukemias - 2022" criteria) who are JAK2V617F positive and have progressed to PV (diagnosed according to "International consensus classification of myeloid neoplasms and acute leukemias - 2022" criteria) by 31/12/2020. The date of PV diagnosis will be defined as the index date and this group of patients will be defined as ET-to-PV cases.

Part A - Nested case-control study Controls for ET-to-PV cases will be patients diagnosed with ET, according to the "International consensus classification of myeloid neoplasms and acute leukemias - 2022" criteria, JAK2V617F positive who did not progress to PV after a comparable period of time. This control group will be selected using a 1:1 matched case-control design.

For each patient who progressed to PV (case), a control will be selected with the following characteristics:

  • year of ET diagnosis (+/-2 years as compared to the date of the case);
  • age at ET diagnosis (+/-3 years as compared to the age of the case);
  • duration of ET disease (+/-2 years as compared to the period between the diagnosis of ET and the index date of the respective case).

Part B - Comparative retrospective cohort study

Patients diagnosed with de novo PV (no progression from previous ET) according to the "International consensus classification of myeloid neoplasms and acute leukemias - 2022" data criteria, will be recruited using a 1:1 matching procedure according to the following characteristics:

  • year of PV diagnosis (+/-2 years as compared to the date of the case);
  • age at PV diagnosis (+/-3 years as compared to the age of the case);
  • duration of PV disease (+/-2 years as compared to the period between PV diagnosis and the last follow-up of the respective case).

Furthermore, to have at least 5 years of follow-up, de novo PV patients must be diagnosed no later than 2020.

02

Conditions studied

  • Polycythemia Vera
  • Thrombocythemia
03

In context

Polycythemia Vera

278 studies on the registry are indexed under Polycythemia Vera; 53 are open to participants now.

This study's planned enrollment of 678 is above the median of 240 across 44 observational studies indexed under Polycythemia Vera.

Browse Polycythemia Vera studies →

Lead sponsor

FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS is the lead sponsor of 20 studies on the registry; 7 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 to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Nested case-control study: the prevalence of at least one of the following proliferative conditions in the control group, a neutrophil/lymphocyte ratio (N/L ratio) above the median, an LDH above the median, being JAK2V617F homozygous and having splenomegaly.

Comparative retrospective cohort study: it is known that the incidence of the composite outcome (vascular events, cancers, progression to myelofibrosis, progression to acute myeloid leukemia, death) in PV de novo patients.

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

- ET patients (diagnosed according to "International consensus classification of myeloid neoplasms and acute leukemias - 2022" criteria) who are JAK2V617F positive and have progressed to PV (diagnosed according to "International consensus classification of myeloid neoplasms and acute leukemias - 2022" criteria) by 31/12/2020. The date of PV diagnosis will be defined as the index date and this group of patients will be defined as ET-to-PV cases.

Exclusion criteria

Exclusion Criteria:

  • None.
05

Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
678 participants (estimated)
Patient registry
No

Groups and cohorts

  • ET to PV patients

    Patients JAK2V617F positive and who have progressed to PV by 31/12/2020.

  • ET patients

    Patients JAK2V617F positive who did not progress to PV after a comparable period of time. This control group will be selected using a 1:1 matched case-control design.

  • PV de novo patients

    Patients diagnosed with de novo PV (no progression from previous ET). This control group will be recruited using a 1:1 matching procedure.

06

What researchers measure

Primary outcomes

  1. Nested case-control study

    To identify proliferative risk factors for progression from ET to PV in JAK2V617F positive patients.

    Time frame: Up to the baseline

  2. Comparative retrospective cohort study

    To evaluate the different disease prognosis in ET patients who have progressed to PV compared to de novo PV patients.

    Time frame: Up to the baseline

Secondary outcomes

  1. Nested case-control study

    To describe characteristics of ET patients who progressed to PV, including the timing of progression.

    Time frame: At the time of progression

  2. Comparative retrospective cohort study

    To compare the incidence of different outcomes (vascular events, progression to myelofibrosis, progression to acute myeloid leukaemia, tumours, death) in ET patients who progressed to PV and in de novo PV patients.

    Time frame: At the time of progression

07

Study locations

10 of 24 sites recruiting
08

References and documents

Publications

  • Barbui T, Thiele J, Alvarez-Larran A, Rambaldi A, Vannucchi AM, Tefferi A. From essential thrombocythemia to polycythemia vera (ET-2-PV): rationale and design of a multicenter ELN study. Ann Hematol. 2026 Mar 4;105(4):158. doi: 10.1007/s00277-026-06898-1. PubMed 41776088 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07203768
Lead sponsor
FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS
Responsible party
Sponsor
First posted
Oct 2, 2025
Start date
Dec 1, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jul 9, 2026

Study contacts

TIZIANO BARBUI, MD
Contact
tbarbui@fondazionefrom.it
+39 0352675134
FRANCESCA FENILI
Contact
sperimentazioni@fondazionefrom.it
TIZIANO BARBUI, MD
study director · FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS

Oversight

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

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