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Opinion|Videos|December 18, 2024

Frontline Treatment Options for LR-MDS Beyond ESAs

Panelists discuss how the NCCN Guidelines define lower-risk myelodysplastic syndrome (LR-MDS) based on clinical hallmarks such as anemia and cytopenias, with treatment decisions guided by prognostic scoring systems (IPSS-R, IPSS-M), and how real-world data supports the evolving first-line treatment landscape for LR-MDS, including the use of therapies such as luspatercept.

  1. Please provide a brief overview of LR-MDS per NCCN Guidelines.
  1. Briefly describe clinical hallmarks that lead to an MDS diagnosis.
  2. What are the available treatments for anemia in patients with LR-MDS?
  3. With treatment decisions for LR-MDS, how do you incorporate prognostic scoring systems (IPSS-R, IPSS-M) in the first-line decision-making process?
  4. Please elaborate on how these scoring systems influence the choice between available options.
  1. Please discuss the real-world data related to first-line treatment options for LR-MDS (Fonseca et al, MDS #276 SOHO 2024; Garcia-Manero et al, Clin Lymph Myel Leuk 2024).
    1. Please elaborate on how this evidence supports the changing landscape for first-line treatment for lower-risk MDS.

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