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EHA 2025 | Challenges and advances in the treatment of HR-MDS: alloSCT and novel agents

Idoroenyi Amanam, MD, City of Hope, Duarte, CA, comments on the challenges and advances in the treatment of high-risk myelodysplastic syndromes (HR-MDS). He highlights that improvements need to be made in conditioning and GvHD prophylaxis for allogeneic stem cell transplantation (alloSCT), and then goes on to discuss targeted and cellular therapies in the pipeline. This interview took place at the 30th Congress of the European Hematology Association (EHA) in Milan, Italy.

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Transcript

High-risk MDS is a very difficult disease. As a transplantor, currently we only have one curative therapy which is allogeneic stem cell transplant. I think we still have room for improvement there. So we have GvHD prophylaxis regimens that we’re evaluating, conditioning regimens that we’re looking at as well, in addition to maintenance modalities post-transplant in order to improve outcomes...

High-risk MDS is a very difficult disease. As a transplantor, currently we only have one curative therapy which is allogeneic stem cell transplant. I think we still have room for improvement there. So we have GvHD prophylaxis regimens that we’re evaluating, conditioning regimens that we’re looking at as well, in addition to maintenance modalities post-transplant in order to improve outcomes. So I think there’s still room for improvement in this curative treatment that we have. In addition to that, I think all of us have been interested in targeted therapies, cellular therapies. So we have CAR-T, we have CAR-NK, looking at targeting CD123, CD33. You know that data still isn’t mature yet but very interested to see what the outcomes are especially with the CAR-NK.

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Disclosures

BMS: Advisory.