Clinical Epidemiology in Contemporary Patients With Myelofibrosis.
ERNEST-3
1 other identifier
observational
617
11 countries
36
Brief Summary
Multicenter retrospective and prospective European observational study. At each site, all consecutive patients with a 2016- or 2022 World Health Organization (WHO) confirmed diagnosis of myelofibrosis (MF) established from 01/01/2018 to 31/12/2027 will be enrolled into the study. Yearly follow-up updates will be scheduled until the end of data collection on 31/12/2028 or until the last available patient visit, whichever comes first. At least 1 year of follow-up will be ensured from the last patient enrolled.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2024
Longer than P75 for all trials
36 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 19, 2024
CompletedFirst Posted
Study publicly available on registry
August 1, 2024
CompletedStudy Start
First participant enrolled
October 14, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 19, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2028
ExpectedDecember 26, 2025
December 1, 2025
1.2 years
July 19, 2024
December 19, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Overall survival according to the presence of cytopenias at diagnosis
Obtained by medical health records normally filled out in clinical practice
At diagnosis during the baseline
Secondary Outcomes (8)
Frequency and types of cytopenias
At baseline; 1 year follow-up.
Treatments response and duration (according to modified IWG-MRT and ELN 2013 criteria, overall and by presence of cytopenias
At baseline; 1 year follow-up.
Incidence of major CV events (thrombosis and bleeding), overall and by presence of cytopenias and treatments received
At baseline; 1 year follow-up.
Incidence of disease progressions (MF accelerated phase, MF blast phase/acute myeloid leukemia (AML)), overall and by presence of cytopenias and treatments received
At baseline; 1 year follow-up.
Incidence of secondary neoplasia, overall, by site and by presence of cytopenias and treatments received
At baseline; 1 year follow-up.
- +3 more secondary outcomes
Eligibility Criteria
Patients with a 2016- or 2022-WHO confirmed diagnosis of MF established from 01/01/2018 to 31/12/2027 will be enrolled into the study. Patients with primary and secondary to ET and PV myelofibrosis, annotated for genetic and histological features, in relation to the presence of baseline (i.e., at MF diagnosis) or treatment-related cytopenias (i.e., reduced count of blood cells manifesting as anemia, thrombocytopenia and/or neutropenia).
You may qualify if:
- Diagnosis of primary myelofibrosis (PMF) or secondary (i.e., post-ET/PV MF) myelofibrosis according to 2016- or 2022-WHO criteria ascertained between 01/01/2018 and 31/12/2027
- Age ≥ 18 years
- Signed informed consent where applicable, in line with current European General Data Protection Regulation (GDPR) directives
You may not qualify if:
- Diagnosis of early/prefibrotic primary myelofibrosis
- Concurrent participation to interventional clinical trials in MF
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (36)
Hematology Center after Prof.R.H. Yeolyan
Yerevan, Armenia
University of Copenhagen's Roskilde Hospital
Copenhagen, Denmark
Clinical Investigation Center of the Saint Louis Hospital
Paris, France
Internal Medicine C, Hematology, Oncology, Stem Cell Transplantation and Palliative Care, University Medicine Greifswald
Greifswald, Germany
University Hospital Halle Department of Hematology/Oncology
Halle, Germany
University Clinic for Hematology, Oncology, Hemostaseology and Palliative Care Johannes Wesling Medical Center Minden UKRUB, University of Bochum
Minden, Germany
Division of Haematology, Sasson University Hospital Assuta Ashdod, Ashdod, Ben-Gurion University of Negev
Ashdod, Israel
A.S.O. SS. Antonio e Biagio e C.Arrigo, SC Ematologia
Alessandria, 15121, Italy
ASST Papa Giovanni XXIII, SC Ematologia
Bergamo, Italy
Policlinico S. Orsola - Malpighi, Unità di Ematologia
Bologna, Italy
Azienda Ospedaliero - Universitaria "Policlinico Vittorio Emanuele" - PO Gaspare Rodolico, Dipartimento di ematologia con Trapianto di midollo Osseo
Catania, Italy
AOU Careggi di Firenze, Divisione di Ematologia
Florence, Italy
ASST Grande Ospedale Metropolitano Niguarda, Divisione di Ematologia
Milan, Italy
Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Ematologia
Milan, Italy
Ospedale San Raffaele, Unità Operativa di Ematologia e Trapianto Midollo Osseo
Milan, Italy
Fondazione IRCCS San Gerardo dei Tintori
Monza, Italy
Azienda Ospedaliera Universitaria Federico II, Divisione di Ematologia
Naples, Italy
Azienda Ospedaliero Universitaria Maggiore della Carità, SCDU Ematologia
Novara, Italy
Azienda Ospedale-Università di Padova, Dipartimento di Medicina
Padua, Italy
Università degli Studi di Padova - Policlinico Universitario, Clinica Medica 1
Padua, Italy
Fondazione IRCCS Policlinico San Matteo, Divisione di Ematologia
Pavia, Italy
Fondazione Policlinico Universitario A. Gemelli - Università Cattolica del Sacro Cuore, UCSC Ematologia
Roma, Italy
Policlinico Umberto I, Dipartimento Ematologia, Oncologia e Dermatologia
Roma, Italy
A.O.U. Città della Salute e della Scienza di Torino - Ospedale Molinette- S.C. Ematologia U
Torino, 10126, Italy
ASST dei Sette Laghi (Ospedale di Circolo e F. Macchi), Divisione U.O. Ematologia
Varese, Italy
Azienda Ospedaliera Universitaria Integrata - Ospedale Borgo Roma, Unità di Ematologia
Verona, Italy
Azienda ULSS 8 Berica - Ospedale San Bortolo, Divisione di Ematologia
Vicenza, Italy
Institute of Oncology, State University of Medicine and Pharmacy - Department of Oncology, Hematology and Radiotherapy
Chisinau, Moldova
Department of Hematology, University Hospital, Jagiellonian University Medical College
Krakow, Poland
Department and Clinic of Haematology, Blood Neoplasms, and Bone Marrow Transplantation, Wroclaw Medical University
Wroclaw, Poland
Department of Hematology and Bone Marrow Transplantation, Fundeni Clinical Institute
Bucharest, Romania
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) - Hospital Clinic
Barcelona, Spain
Hematology and Hemotherapy Department, 12 de Octubre University Hospital
Madrid, Spain
Servicio de Hematología - Hospital Clínico Universitario de Valencia
Valencia, Spain
School of Medicine, Dentistry and Biomedical Sciences Queen's University Belfast
Belfast, United Kingdom
Guy's and St. Thomas' NHS Foundation Trust.
London, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
TIZIANO BARBUI, MD
FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 19, 2024
First Posted
August 1, 2024
Study Start
October 14, 2024
Primary Completion
December 19, 2025
Study Completion (Estimated)
December 31, 2028
Last Updated
December 26, 2025
Record last verified: 2025-12