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A chronic myeloproliferative neoplasm that involves primarily the megakaryocytic lineage. It is characterized by sustained thrombocytosis in the blood, increased numbers of large, mature megakaryocytes in the bone marrow, and episodes of thrombosis and/or hemorrhage. (WHO, 2008)
Features include very common findings: Myocardial infarction, Abnormality of thrombocytes, Elevated platelet count (thrombocytosis), and Prolonged bleeding time and others; and common findings: Abnormal bleeding tendency (abnormal bleeding), Migraine, Enlarged spleen (splenomegaly), and Headache and others. 30 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 7 | Migraine, Paresthesia, Fatigue |
Biomarker and diagnostic research for essential thrombocythemia has been reported in the published literature.
3 FDA-approved treatments are available for essential thrombocythemia, including MOMELOTINIB (OJJAARA, approved 2023), FEDRATINIB HYDROCHLORIDE (INREBIC, approved 2019), and ANAGRELIDE HYDROCHLORIDE (AGRYLIN, approved 1997). An additional 7 compounds hold orphan drug designation.
Brand Name | Generic Name | Mechanism | Approved |
|---|
Phenotype severity distribution: 15 very common features, 6 common features.
Estimated prevalence: 1-5 in 10,000 (Uncommon).
61 clinical trials registered, 35 recruiting. Interventions under study include drug therapy, other interventions, procedural interventions, and biologic therapy. Pipeline includes 10 PHASE3, 21 PHASE2, 14 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06770842](https://clinicaltrials.gov/study/NCT06770842) |
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 3:00 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Blood and immune system | 6 | Abnormal bleeding tendency (abnormal bleeding), Elevated platelet count (thrombocytosis), Prolonged bleeding time |
Heart and blood vessels | 3 | Myocardial infarction, Chest pain, Transient ischemic attack |
Digestive system | 2 | Enlarged spleen (splenomegaly), Hepatic vein thrombosis |
Bones and joints | 1 | Abnormal bone marrow cell morphology |
Ears | 1 | Vertigo |
Eyes | 1 | Visual impairment |
OJJAARA | MOMELOTINIB | — | 2023 | Available |
INREBIC | FEDRATINIB HYDROCHLORIDE | — | 2019 | Available |
AGRYLIN | ANAGRELIDE HYDROCHLORIDE | — | 1997 | Available |
The following drugs have received orphan drug designation from the FDA for essential thrombocythemia. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
recombinant fully human IgG1 monoclonal antibody selectively targeting PD-L2 | recombinant fully human IgG1 monoclonal antibody selectively targeting PD-L2 | mAbTree Biologics AG | 2026 | — | Designated |
peginterferon alfa-2a | peginterferon alfa-2a | Pharma& U.S. Inc. | 2024 | — | Designated |
Jaktinib Dihydrochloride Monohydrate | Jaktinib Dihydrochloride Monohydrate | Suzhou Zelgen Biopharmaceuticals Co., Ltd. | 2020 | — | Designated |
bomedemstat | bomedemstat | Merck & Co., Inc. | 2018 | — | Designated |
pegylated proline interferon alpha-2b | pegylated proline interferon alpha-2b | PharmaEssentia | 2014 | — | Designated |
ruxolitinib phosphate | ruxolitinib phosphate | Incyte Corporation | 2010 | — | Designated |
Vonjo | pacritinib | Sobi, Inc. | 2008 | 2029 | Designated (drug approved for other indication) |
Gene therapy approaches for essential thrombocythemia have been reported in the published literature.
61 trials found
Ropeginterferon Alfa 2b Plus Ruxolitinib for Myelofibrosis |
PHASE2 |
The University of Hong Kong |
RECRUITING |
[NCT06073847](https://clinicaltrials.gov/study/NCT06073847) | A Post-Marketing Surveillance Study to Assess the Safety of Fedratinib in Korean Patients With Myelofibrosis | — | Bristol-Myers Squibb | RECRUITING |
[NCT05031897](https://clinicaltrials.gov/study/NCT05031897) | Two Step Haplo With Radiation Conditioning | PHASE2 | Thomas Jefferson University | RECRUITING |
[NCT04644211](https://clinicaltrials.gov/study/NCT04644211) | Ruxolitinib in Thrombocythemia and Polycythemia Vera | PHASE2 | Massachusetts General Hospital | RECRUITING |
[NCT06734637](https://clinicaltrials.gov/study/NCT06734637) | Efficacy and Safety of Peginterferon in ET and PV. | NA | Zhenya Hong | RECRUITING |
301 publications have been identified in PubMed for essential thrombocythemia. Research spans Epidemiology / Natural History (19%), Case Report / Case Series (18%), and Review / Meta-Analysis (18%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 58 | 19% |
Patient case studies | 55 | 18% |
Research summaries | 54 | 18% |
Laboratory research | 52 | 17% |
Clinical study results | 33 | 11% |
Testing and diagnosis research | 30 | 10% |
New treatment approaches | 11 | 4% |
Other research | 8 | 3% |
Michael R (2026). [PMID: 41756401](https://pubmed.ncbi.nlm.nih.gov/41756401/). *Case Rep Cardiol*. [Diagnostic / Biomarker]
Rolles B (2026). [PMID: 41735484](https://pubmed.ncbi.nlm.nih.gov/41735484/). *Leukemia*. [Diagnostic / Biomarker]
Loscocco GG (2026). [PMID: 41999077](https://pubmed.ncbi.nlm.nih.gov/41999077/). *Am J Hematol*. [Other]
Tong J (2026). [PMID: 41268701](https://pubmed.ncbi.nlm.nih.gov/41268701/). *Advanced science (Weinheim, Baden-Wurttemberg, Germany)*. [Basic Science / Preclinical]
Mora B (2026). [PMID: 41785373](https://pubmed.ncbi.nlm.nih.gov/41785373/). *Blood*. [Diagnostic / Biomarker]
Chang FT (2026). [PMID: 42256939](https://pubmed.ncbi.nlm.nih.gov/42256939/). *Clin Case Rep*. [Case Report / Case Series]
Freire C (2026). [PMID: 41825406](https://pubmed.ncbi.nlm.nih.gov/41825406/). *Hematol Transfus Cell Ther*. [Epidemiology / Natural History]
Metzger M (2026). [PMID: 41355770](https://pubmed.ncbi.nlm.nih.gov/41355770/). *Leukemia & lymphoma*. [Case Report / Case Series]
Liu F (2026). [PMID: 41560006](https://pubmed.ncbi.nlm.nih.gov/41560006/). *Medicine (Baltimore)*. [Case Report / Case Series]
Srisuwananukorn A (2026). [PMID: 41721088](https://pubmed.ncbi.nlm.nih.gov/41721088/). *Leukemia*. [Basic Science / Preclinical]
AI-curated news mentioning essential thrombocythemia
Updated Sep 2, 2026
A recent study highlights Sweet's syndrome as a potential indicator of hematologic progression in patients with essential thrombocythemia. This discovery may enhance understanding of disease evolution and patient management.
Recent research highlights the role of calreticulin mutations in essential thrombocythemia and primary myelofibrosis, providing insights into the molecular mechanisms underlying these conditions. Understanding these mutations could lead to improved diagnostic and therapeutic strategies.
PharmaEssentia will present new clinical data on Ropeginterferon Alfa-2b for essential thrombocythemia at upcoming ASCO and EHA conferences in 2026. This data may provide insights into the drug's efficacy and safety profile for patients with this condition.
The MPN PROGRESSion Registry is launched to track symptoms, treatments, and disease progression in individuals with myeloproliferative neoplasms (MPNs). This observational study aims to enhance understanding of conditions like Polycythemia Vera and Essential Thrombocythemia.