Faculty, Staff and Student Publications

Publication Date

3-11-2025

Journal

Blood Advances

Abstract

Myelodysplastic syndromes/neoplasms (MDSs) are heterogeneous stem cell malignancies characterized by poor prognosis and no curative therapies outside of allogeneic hematopoietic stem cell transplantation. Despite some recent approvals by the US Food and Drug Administration, (eg, luspatercept, ivosidenib, decitabine/cedazuridine, and imetelstat), there has been little progress in the development of truly transformative therapies for the treatment of patients with MDS. Challenges to advancing drug development in MDS are multifold but may be grouped into specific categories, including criteria for risk stratification and eligibility, response definitions, time-to-event end points, transfusion end points, functional assessments, and biomarker development. Strategies to address these challenges and optimize future clinical trial design for patients with MDS are presented here.

Keywords

Myelodysplastic Syndromes, Humans, Drug Development, Clinical Trials as Topic, Antineoplastic Agents

DOI

10.1182/bloodadvances.2024014865

PMID

39786387

PMCID

PMC11914162

PubMedCentral® Posted Date

1-2-2025

PubMedCentral® Full Text Version

Post-print

BLOODA_ADV-2024-014865-ga1.jpg (355 kB)
Graphical Abstract

Published Open-Access

yes

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