Hematologic Diseases Clinical Trial
Official title:
Registry of Philadelphia-Negative Myeloproliferative Neoplasms
This study was developed to document current diagnosis and treatment patterns, clinical outcomes, and health care resource use associated with Philadelphia-Negative Myeloproliferative Neoplasms, in the different risk classifications for each disease.
Philadelphia-negative (Ph-negative) Myeloproliferative Neoplasms (MPN) include polycythemia
vera (PV), essential thrombocythemia (TE), and primary myelofibrosis (MF). Ph-negative MPN
are chronic myeloid neoplasms that appear after a malignant transformation of a hematopoietic
stem cell. There are many clinical manifestations of these diseases, which include
polyglobulia, thrombocytosis, leukocytosis, cytopenias, extramedullary hematopoiesis (e.g.:
splenomegaly), increased thrombotic risk and the risk of transformation to acute myeloid
leukemia (AML). Life expectancy varies from 5-6 years for patients with MF to more than 15
years for patients with PV and ET.
There are few therapeutic options for patients with Ph-negative MPN. In general, the
treatment of these diseases is symptomatic and targeted to the relief of symptoms and control
of hematological setting using oral chemotherapy agents such as hydroxyurea. Patients with MF
receive palliative treatment, targeted to the relief of splenomegaly and cytopenias.
Currently, there are no approved drugs for the treatment of MF.
In Latin America, there are no epidemiological studies with a great number of Ph-negative MPN
patients describing the natural history of the disease, patient progress, clinical
characteristics, standards of care and disease burden. The development of an up-to-date data
registry of Brazilian patients with Ph-negative MPN allows the comprehension of the
epidemiology of this disease, with determination of survival, thrombosis incidence,
transformation to AML, use of disease treatment-related resources, as well as the impact of
different therapeutic strategies in these parameters. Therefore, the objective of this study
is to establish a registry of patients with Ph-negative MPN in order to document the disease
diagnosis and current standards of care, clinical endpoints, and the use of treatment-related
resources, according to risk classification in each MPN.
Data will be retrospectively and prospectively collected through an electronic form available
at an Internet safe website. Each center participating in the study will have a principal
investigator who will be in charge of the accuracy and quality of the data collected. Each
principal investigator and staff will receive a login and a password to access the database
and enroll patients in the registry. An employee from each site will be in charge of
collecting the data and inserting them in the electronic registry. Patients shall be
contacted in order to sign an informed consent form. Patient data will be updated every six
months. There is no limit for the number of patients to be enrolled in the registry, either
retrospectively or prospectively. The duration of this study is five years. Data collection
will continue until all sites decide to interrupt the enrollment of new patients.
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