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VJHemOnc Podcast

Updates in lower- and higher-risk MDS: challenges, novel agents & key clinical trials at ASH 2023

Feb 8, 2024
Experts discuss challenges and novel approaches in lower- and higher-risk MDS including red blood cell transfusion dependence, failure of EASAs, and potential treatment options. Emphasis on the need for more agents and combinations. They also explore alternative options, clinical trials, and personalized treatment for high-risk MDS. Results of a phase two trial using monoclonal antibody Sabotolomab show improved response and longer progression-free survival.
18:17

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Quick takeaways

  • Transfusion dependence is a major challenge in lower risk MDS, but novel agents like loose pattern set and MET cell stat show promise in achieving and maintaining transfusion independence for longer periods.
  • Patients with lower risk MDS who fail EASAs can be switched to new agents like spartalumat and experimental studies, with telomerase inhibitor imatastat showing promising results in achieving transfusion independence and modifying the disease.

Deep dives

Unmet Needs in Lower Risk MDS

The biggest unmet need in lower risk MDS is red blood cell transfusion dependence. Loose patterns have shown superiority over EPRX in alleviating transfusion dependence, with longer response durations to less patterns observed. ROCAS DUSAT also showed potential benefit in patients with higher transfusion burden. Having a larger repertoire of treatment options, including EPRX, loose pattern set, and MET cell stat, can help eliminate transfusion dependence and maintain it for longer.

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