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

Opinion
Video

Panelists discuss how mutational burden influences the duration of response to frontline luspatercept in lower-risk myelodysplastic syndrome (LR-MDS), as observed in the COMMANDS trial (Komrokji et al, EHA 2024), and when luspatercept should be chosen as a first-line treatment, considering its use before or alongside transfusion; they also explore the impact of luspatercept on hemoglobin levels and quality of life (Oliva et al, EHA 2024; Santini et al, ASH 2024), and the key factors in selecting between available treatment options for initial anemia management.

  1. How does the mutational burden influence the duration of response in patients with LR-MDS in COMMANDS (Komrokji et al, EHA 2024)?
  2. In your opinion, when would you choose luspatercept as the first-line treatment option?
    1. What are your thoughts on luspatercept use before or even alongside transfusion?
    2. What would be an appropriate Hgb cutoff?
  3. With regards to treatment goals, how does first-line treatment with luspatercept influence Hgb level and quality of life (Oliva et al, EHA 2024; Oliva et al, ASH 2024; Santini et al, ASH 2024)?
    1. How does improvement in Hgb levels impact patient quality of life?
  4. With initial anemia treatment beyond transfusions, there are different options available including luspatercept.
    1. Are there any other factors or final considerations when choosing between options?
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Hope S. Rugo, MD, FASCO, is featured in this series.
Hope S. Rugo, MD, FASCO, is featured in this series.
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Hope S. Rugo, MD, FASCO, is featured in this series.
Hope S. Rugo, MD, FASCO, is featured in this series.