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Opinion|Videos|January 15, 2025

Sequencing Therapies in LR-MDS

Author(s)Guillermo Garcia-Manero, MD, David Swoboda, MD

Panelists discuss second-line (2L) treatment strategies for lower-risk myelodysplastic syndrome (LR-MDS), focusing on how to choose a 2L treatment for patients refractory to first-line options, and provide an overview of recent updates from the IMerge trial (Santini et al, EHA 2024; Zeidan et al, JCO 2024), while considering the role of imetelstat in treatment sequencing according to NCCN Guidelines MDS-5.

Episodes in this series

EP. 1 Introduction to the Discussion of Frontline Treatment for Newly Diagnosed Lower-Risk Myelodysplastic Syndromes.

EP. 1 Introduction to the Discussion of Frontline Treatment for Newly Diagnosed Lower-Risk Myelodysplastic Syndromes.

EP. 2 Defining LR-MDS: Initial Patient Presentation and Updates in MDS Risk.

EP. 2 Defining LR-MDS: Initial Patient Presentation and Updates in MDS Risk.

EP. 3 Frontline Treatment Options for LR-MDS Beyond ESAs

EP. 3 Frontline Treatment Options for LR-MDS Beyond ESAs

EP. 4 Overview of Frontline Luspatercept in LR-MDS

EP. 4 Overview of Frontline Luspatercept in LR-MDS

EP. 5 Academic Perspectives: Patient Populations for Frontline Luspatercept in LR-MDS

EP. 5 Academic Perspectives: Patient Populations for Frontline Luspatercept in LR-MDS

EP. 6 Emerging Insights and Perspectives From COMMANDS (Luspatercept in LR-MDS)

EP. 6 Emerging Insights and Perspectives From COMMANDS (Luspatercept in LR-MDS)

EP. 7 The Impact of Mutational Burden on Responses With Frontline Luspatercept in LR-MDS

EP. 7 The Impact of Mutational Burden on Responses With Frontline Luspatercept in LR-MDS

EP. 8 Factors that Influence Treatment Choices and Goals in Frontline LR-MDS

EP. 8 Factors that Influence Treatment Choices and Goals in Frontline LR-MDS

EP. 9 Dosing Strategies for Frontline luspatercept in LR-MDS

EP. 9 Dosing Strategies for Frontline luspatercept in LR-MDS

EP. 10 Novel Updates in Second-line Therapies for LR-MDS

EP. 10 Novel Updates in Second-line Therapies for LR-MDS

EP. 11 Sequencing Therapies in LR-MDS

EP. 11 Sequencing Therapies in LR-MDS

EP. 12 Academic Perspectives for LR-MDS Treatment in the Community

EP. 12 Academic Perspectives for LR-MDS Treatment in the Community

Please give an overview of 2L treatment strategies.
If patients are refractory to the available 1L options, how would you choose a 2L treatment?
Please give a brief overview of recent updates from IMerge (Santini et al, EHA 2024; Zeidan et al, JCO 2024).
In your opinion, and considering NCCN Guidelines MDS-5, where do you see imetelstat in the treatment sequencing for LR-MDS?
What can we learn from these studies and are there any remaining knowledge gaps to note?

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