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VJHemOnc Podcast

Treating LR-MDS beyond ESA failure: currently approved agents, novel approaches & future outlooks

Jun 11, 2024
Experts discuss novel agents like luspatercept and imetelstat for LR-MDS post ESA failure. They explore HMA use, future trials, and early intervention benefits for patients, shedding light on changing treatment landscapes and improving QoL.
46:31

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Quick takeaways

  • Luspatercept and Imetelstat show potential in providing transfusion independence and sustained responses, offering promising treatments for lower risk MDS patients.
  • Rigorous trial designs are crucial for accurately assessing the efficacy of new drugs in lower risk MDS, as seen with Roxadustat facing challenges due to flawed study designs impacting evaluation.

Deep dives

Emerging Treatments for Lower Risk MDS

Novel agents, including Luspatercept and Imetelstat, offer promising treatments for lower risk MDS patients. Luspatercept has shown remarkable success in inducing transfusion independence, reaching nearly 50% of patients achieving independence for over eight weeks. Imetelstat, despite inducing thrombocytopenia and neutropenia, has demonstrated sustained response over extended periods, making it a valuable treatment option. These drugs show potential for disease-modifying effects and improved patient outcomes.

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