Anticoagulation in Gastroesophageal Varices and JAK2 Mutation

NCT ID: NCT04527666

Last Updated: 2020-08-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-10-01

Study Completion Date

2022-09-30

Brief Summary

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Myeloproliferative neoplasms (MPNs), including polycythemia vera, essential thrombocythemia, and primary myelofibrosis, may lead to gastroesophageal varices. The quality of life, morbidity, and mortality of MPN patients mainly depend on disease-related symptoms, thromboembolic and hemorrhagic complications. Previous studies have shown that JAK2 V617F has a prominent role in vascular risk and MPN-associated gastroesophageal varices. The aim of this study is to evaluate the efficacy of anticoagulation in patients with JAK2 mutation and gastroesophageal varices.

Detailed Description

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Conditions

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Gastroesophageal Varices JAK2 Mutation Myeloproliferative Neoplasm

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Anticoagulation group

Patients with JAK2 mutation and gastroesophageal varices receive anticoagulation agents.

Anticoagulation Agents

Intervention Type DRUG

Patients receive anticoagulation agents including low molecular weight heparin, warfarin, rivaroxaban, et al.

Control group

Patients with JAK2 mutation and gastroesophageal varices who didn't receive anticoagulation agents.

No interventions assigned to this group

Interventions

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Anticoagulation Agents

Patients receive anticoagulation agents including low molecular weight heparin, warfarin, rivaroxaban, et al.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients aged 18-75
* diagnosed as portal hypertension by contrast-enhanced computed tomography
* diagnosed as JAK2 positive

Exclusion Criteria

* not had portal contrast-enhanced computed tomography
* not had JAK2 mutation test
* other factors judged by the investigator that may affect the safety of the subject or the compliance of the trial. Such as serious illnesses (including mental illness) that require combined treatment, serious laboratory abnormalities, or other family or social factors
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Zhongshan Hospital

OTHER

Sponsor Role lead

Responsible Party

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XiaoquanHUANG

Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Xiaoquan HUANG, Ph.D

Role: CONTACT

18801733835

References

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Greenfield G, McMullin MF. Splanchnic venous thrombosis in JAK2 V617F mutation positive myeloproliferative neoplasms - long term follow-up of a regional case series. Thromb J. 2018 Dec 19;16:33. doi: 10.1186/s12959-018-0187-z. eCollection 2018.

Reference Type BACKGROUND
PMID: 30574023 (View on PubMed)

Yan M, Geyer H, Mesa R, Atallah E, Callum J, Bartoszko J, Yee K, Maganti M, Wong F, Gupta V. Clinical features of patients with Philadelphia-negative myeloproliferative neoplasms complicated by portal hypertension. Clin Lymphoma Myeloma Leuk. 2015 Jan;15(1):e1-5. doi: 10.1016/j.clml.2014.04.004. Epub 2014 Jun 11.

Reference Type BACKGROUND
PMID: 25027569 (View on PubMed)

Magaz M, Alvarez-Larran A, Colomer D, Lopez-Guerra M, Garcia-Criado MA, Mezzano G, Belmonte E, Olivas P, Soy G, Cervantes F, Darnell A, Ferrusquia-Acosta J, Baiges A, Turon F, Hernandez-Gea V, Garcia-Pagan JC. Next-generation sequencing in the diagnosis of non-cirrhotic splanchnic vein thrombosis. J Hepatol. 2021 Jan;74(1):89-95. doi: 10.1016/j.jhep.2020.06.045. Epub 2020 Jul 15.

Reference Type BACKGROUND
PMID: 32679300 (View on PubMed)

Reilly CR, Babushok DV, Martin K, Spivak JL, Streiff M, Bahirwani R, Mondschein J, Stein B, Moliterno A, Hexner EO. Multicenter analysis of the use of transjugular intrahepatic portosystemic shunt for management of MPN-associated portal hypertension. Am J Hematol. 2017 Sep;92(9):909-914. doi: 10.1002/ajh.24798. Epub 2017 Jul 26.

Reference Type RESULT
PMID: 28543980 (View on PubMed)

Other Identifiers

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ZS-ANTICO-JAK2

Identifier Type: -

Identifier Source: org_study_id

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