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ASH 2023 | Advances in LR-MDS and HR-MDS in 2023 and beyond

Amer Zeidan, MBBS, Yale Cancer Center, New Haven, CT, highlights that 2023 has been an important year in the management of low-risk myelodysplastic syndromes (LR-MDS). Recent advances include the first approval of luspatercept in the front-line setting in patients with LR-MDS and data from the Phase III IMerge (NCT02598661) study for imetelstat – a first-in-class telomerase inhibitor – which showed a positive outcome. Dr Zeidan notes that the next steps will be to look at combination therapies and use them in the early phases of treatment, potentially pre-transfusion dependence. The updates in high-risk MDS (HR-MDS) have not been as noteworthy, with a negative outcome for magrolimab. However, Dr Zeidan notes that there are ongoing trials in HR-MDS that will hopefully be more positive in 2024. This interview took place at the 65th ASH Annual Meeting and Exposition, held in San Diego, CA.

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Disclosures

Consultancy: Schrödinger, Notable, Chiesi, Mendus, Otsuka, Foran, Syros, ALX Oncology, Kura, Seattle Genetics, Servier, Boehringer-Ingelheim, Jazz, Orum, Geron, Syndax, Gilead, Zentalis, BeyondSpring, Incyte, Pfizer, Celgene/BMS, Janssen, Amgen, Agios, Daiichi Sankyo, Tyme, Taiho, AbbVie, Ionis, Takeda, Genentech, Epizyme, Lox Oncology, Novartis, Astellas, BioCryst, Regeneron
Honoraria: Schrödinger, Notable, Chiesi, Mendus, Otsuka, Foran, Syros, ALX Oncology, Kura, Seattle Genetics, Servier, Boehringer-Ingelheim, Jazz, Orum, Geron, Syndax, Gilead, Zentalis, BeyondSpring, Incyte, Pfizer, Celgene/BMS, Janssen, Amgen, Agios, Daiichi Sankyo, Tyme, Taiho, AbbVie, Ionis, Takeda, Genentech, Epizyme, Lox Oncology, Novartis, Astellas, BioCryst, Regeneron
Research Funding: Foran, Shattuck Labs, Astex