In this roundtable discussion, Yazan Madanat, MD, UT Southwestern Medical Center, Dallas, TX, Maximilian Stahl, MD, Yale Cancer Center, New Haven, CT, and Amer Zeidan, MBBS, MHS, Yale University and Yale Cancer Center, New Haven, CT, discuss current best practices and emerging treatments for higher-risk myelodysplastic syndromes (MDS). Dr Madanat highlights targeted therapies, including ivosidenib and the Phase III PyramIDH trial (NCT06465953), while Dr Stahl discusses lessons from unsuccessful clinical trials and Dr Zeidan explores emerging monoclonal antibodies. The experts also examine the implications of the Phase III VERONA trial (NCT04401748) and the role of transplantation, including findings from the PALOMA trial (NCT04061239). This roundtable discussion took place at the 4th International Workshop on Myelodysplastic Syndromes & Myeloproliferative Neoplasms (iwMDS/iwMPN) 2026, held in Washington, D.C.
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