Evaluation of Optical Genome Mapping in Phi Negative Myeloproliferative Neoplasia in the Detection of Acquired Cytogenetic Abnormalities (MYELOCARTOCH)

Centre Hospitalier Universitaire, Amiens

Status

Enrolling

Conditions

Myeloproliferative Neoplasm

Clonality

Prognostic Stratification

Optical Genome Mapping

Cytogenetics

Treatments

Other: Blood sample

Study type

Interventional

Funder types

Other

Identifiers

NCT05714592

PI2022_843_0023

Details and patient eligibility

About

Standard cytogenetics (CBA +/- FISH) is of diagnostic and prognostic interest in Ph- MPN. However, its value is limited by the low frequency of detected abnormalities. The development of tools to increase the sensitivity of detection of chromosomal alterations is therefore particularly adapted to these pathologies. Optical genome mapping (OGM) is a high resolution "long read" technique that allows the identification of structural and copy number variations at the whole genome level. Several recent studies suggest that OGM is a future tool for cytogenetic characterization of haematological disorders. Its ability to describe structural abnormalities, including balanced ones, represents a major advantage over currently used technologies. Thus, OGM seems to be the key tool for cytogenetics of haematological malignancies in the coming years, making it possible to replace, under certain conditions, not only karyotype and FISH, but CMA and even RT-MLPA for the search for fusion transcripts, thus filling in the gaps in these techniques while maintaining their advantages.

To define the place of this technology in Ph- MPN, the investigators will perform a OGM analysis on patients with Ph-MPN for whom bone marrow exploration is scheduled. These results will be compared with those of standard cytogenetics (CBA +/- FISH).

Enrollment

300 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patient 18 years of age or older
Diagnosis or follow-up of polycythemia vera, essential thrombocythemia or primary or secondary myelofibrosis
Requires bone marrow cytogenetics at diagnosis or follow-up
Understanding of the French language
Information of the patient and collection of no objection
Person affiliated to a social security regime

Exclusion criteria

Patient with BCR::ABL positive myeloproliferative neoplasia.
Person with a medical history that may impair the ability to understand the information notice