The Role of Luspatercept as First-Line Treatment in Lower-Risk MDS

Opinion
Video

Medical experts examine the role of luspatercept as a first-line treatment for anemia in lower-risk MDS patients, including those with RS+/RS- and serum EPO ≤200 mU/L, and discuss its efficacy and potential benefits for this population.

Video content above is prompted by the following question(s):

Luspatercept has been available to treat anemia in LR MDS after failing an ESA since 2020. Later in 2023, it was approved as first-line treatment for anemia in LR MDS for patients who may require transfusions.

Please discuss the role of luspatercept in the 1L treatment of lower-risk MDS patients, particularly those RS+/RS-; serum EPO ≤200 mU/L

  • What are your thoughts on the efficacy and potential benefits of luspatercept in this patient population?
  • Please discuss the how mutational burden impacts response and duration of response in the COMMANDS trial.
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