- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Retrospective data, Review, Journal: Myelodysplastic Neoplasms (MDS) with Ring Sideroblasts or SF3B1 Mutations: The Improved Clinical Utility of World Health Organization and International Consensus Classification 2022 Definitions, a Single-Centre Retrospective Chart Review. (Pubmed Central) - Apr 26, 2024 In the MEDALIST trial and in an interim analysis of the COMMANDS trial, lower-risk MDS-RS patients had decreased transfusion dependency with luspatercept treatment...There were 29 (74.4%) patients with ?15% RS, 6 (15.4%) with 5 to 14% RS, one (2.6%) with 1% RS, and 3 (7.7%) with no RS. Our study suggests that a quarter of patients would be missed based on the morphologic criterion of only using RS greater than 15% and supports the revised 2022 definitions of the World Health Organization (WHO) and International Consensus Classification (ICC), which shift toward molecularly defined subtypes of MDS and appropriate testing.
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Clinical benefit of luspatercept treatment (tx) in transfusion-dependent (TD), erythropoiesis-stimulating agent (ESA) (Hall A; Poster Bd #: 124) - Apr 24, 2024 - Abstract #ASCO2024ASCO_1201; P3 Our study suggests that a quarter of patients would be missed based on the morphologic criterion of only using RS greater than 15% and supports the revised 2022 definitions of the World Health Organization (WHO) and International Consensus Classification (ICC), which shift toward molecularly defined subtypes of MDS and appropriate testing. Pts were randomized 1:1 to subcutaneous administration of luspatercept (1.0
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Preclinical, Review, Journal: The evolution of preclinical models for myelodysplastic neoplasms. (Pubmed Central) - Apr 8, 2024 Genetically engineered mice utilize specific mutations and may not represent the entire array of human MDS; however, genetically engineered mice provided in vivo proof of principle for novel agents such as luspatercept, demonstrating the clinical utility of this approach. This review offers an overview of available preclinical MDS models and potential approaches to accelerate accurate clinical translation.
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Extramedullary Hematopoiesis Leading to Spinal Cord Compression (Colorado Convention Center | Exhibit Hall B-E) - Mar 8, 2024 - Abstract #AAN2024AAN_2227; Cord compression from EMH has been reported in patients with thalassemia, but should be considered in other patients with myelopathic presentations who are at risk for EMH. Luspatercept could also be a contributing to EMH, and this is the first report leading to spinal cord compression to our knowledge.
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Biomarker, Trial completion date, Trial primary completion date: AIHA ITP CIN: Prospective Evaluation of Diagnosis and Treatment of Patients With Autoimmune Cytopenias Including Autoimmune Hemolytic Anemia, Immune Thrombocytopenia, and Chronic Idiopathic/Autoimmune Neutropenia (clinicaltrials.gov) - Mar 7, 2024 P=N/A, N=200, Recruiting, Luspatercept could also be a contributing to EMH, and this is the first report leading to spinal cord compression to our knowledge. Trial completion date: Jun 2026 --> Jun 2030 | Trial primary completion date: Sep 2023 --> Sep 2026
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Phase classification, Enrollment change, Trial completion date, Trial primary completion date: Study of Safety & PK of Luspatercept (ACE-536) in Pediatric Participants With Beta (?)-Thalassemia (clinicaltrials.gov) - Feb 15, 2024 P2, N=99, Recruiting, Trial completion date: Mar 2030 --> May 2028 | Trial primary completion date: Mar 2030 --> May 2028 Phase classification: P2a --> P2 | N=54 --> 99 | Trial completion date: Nov 2026 --> Oct 2028 | Trial primary completion date: Jun 2026 --> Apr 2028
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Enrollment closed, Enrollment change: Luspatercept With or Without Hydroxyurea for the Treatment of Myelodysplastic/Myeloproliferative Neoplasms With Ring Sideroblasts and Thrombocytosis or Unclassifiable With Ring Sideroblasts (clinicaltrials.gov) - Jan 23, 2024 P2, N=3, Active, not recruiting, Furthermore, HSCT and gene therapy were associated with better physical, emotional, and mental domains scores. Recruiting --> Active, not recruiting | N=33 --> 3
- |||||||||| imetelstat (GRN163L) / Geron, Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Review, Journal: Phase to phase: Navigating drug combinations with hypomethylating agents in higher-risk MDS trials for optimal outcomes. (Pubmed Central) - Jan 22, 2024 Effective therapeutic strategies require accurate reporting of adverse events, highlighting the need for clarity in criteria like the Common Terminology Criteria for Adverse Events (CTCAE). We provide an overview on negative clinical trials in HR MDS, analyze possible reasons and explore possibilities to optimize future clinical trials in this challenging patient population.
- |||||||||| RLYB331 / Rallybio, Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Preclinical, Journal: A human anti-matriptase-2 antibody limits iron overload, ?-globin aggregates and splenomegaly in ?-thalassemic mice. (Pubmed Central) - Jan 19, 2024 RAP-536L alone did not prevent iron overload but significantly reduced apoptosis in the erythroid populations of the bone marrow, normalized red blood cell counts and improved hemoglobin and hematocrit levels. Interestingly, the association of RLYB331 with RAP-536L entirely reversed the ?-thalassemia phenotype in Hbbth3/+ mice and simultaneously corrected iron overload, ineffective erythropoiesis, splenomegaly and hematological parameters, suggesting that a multi-functional molecule consisting of the fusion of RLYB331 with Luspatercept (human version of RAP-536L) would allow administration of a single medication addressing simultaneously the different pathophysiological aspects of ?-thalassemia.
- |||||||||| Review, Journal: ACVR1: A Novel Therapeutic Target to Treat Anemia in Myelofibrosis. (Pubmed Central) - Jan 11, 2024
Luspatercept (ACVR2B ligand trap) is assessed in transfusion-dependent MF patients in a registrational phase 3 trial. Approved ACVR1 inhibitors and novel agents in development are poised to improve the outcomes of anemic MF patients.
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Journal: Next-generation therapy for lower-risk MDS. (Pubmed Central) - Dec 9, 2023 pathway has led to the approval of luspatercept in LR-MDS with ring sideroblasts or SF3B1 mutation, potentially replacing first-line ESAs in this population. Here, we also discuss the evolving standard of care for the treatment of LR-MDS and explore some of the most promising next-generation agents under investigation.
- |||||||||| vactosertib (TEW-7197) / National OncoVenture, Theragen Etex, Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Review, Journal, Metastases: Targeting transforming growth factor beta signaling in metastatic osteosarcoma. (Pubmed Central) - Nov 29, 2023 For instance, Luspatercept, a TGF-? ligand trap, has been approved by the FDA for the treatment of anemia associated with myeloid dysplastic syndrome (MDS) with ring sideroblasts/mutated
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Journal: The Evolving Landscape: Exploring the Future of Myelodysplastic Syndrome Treatment with Dr. Rami Komrokji. (Pubmed Central) - Nov 14, 2023 Clinical trials within homogeneous patient groups with similar molecular profiles are becoming more common, enhancing treatment precision. In conclusion, the future of MDS treatment is moving towards personalized medicine, leveraging advanced technologies like NGS and molecular insights to improve outcomes in the realm of hematological malignancies.
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Journal: Recent findings in myelodysplastic syndrome (Pubmed Central) - Nov 5, 2023 No abstract available The IPSS-M also represents an important extension with regard to prognosis estimation for patients with therapy-related MDS.In 2020 Luspatercept has been approved for transfusion-dependent lower risk MDS patients harboring ring sideroblasts
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Impact of Mutational Burden and IPSS-M on Response to ESAs in Lower Risk Myelodysplastic Neoplasms (SDCC - Halls G-H) - Nov 3, 2023 - Abstract #ASH2023ASH_6043; The number of mutations did not correlate with ESA response, while IPSS-M score, which considers the prognostic weight of specific mutations, showed predictive significance. In the multivariate analysis IPSS-M score and TD were strong predictors of ESA response, irrespective of baseline sEPO, potentially defining at diagnosis LR-MDS for whom novel agents like luspatercept could be considered as first line therapeutic option.
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Downregulation of Mitochondrial Complex II (MC II) in Myelodysplastic Syndromes (SDCC - Halls G-H) - Nov 3, 2023 - Abstract #ASH2023ASH_6030; To understand whether SDH dysregulation alone can contribute to MDS pathobiology, we generated a doxycycline-inducible and reversible mouse model (SDH-KD) that expresses shRNAs against the SDH subunits (SDHA, B, and D) in HSCs. In conclusion, our results indicate that pseudohypoxia- and TGF-
- |||||||||| Reblozyl (luspatercept-aamt) / BMS, Merck (MSD)
Efficacy and Safety of Luspatercept in Patients with HbE/ (SDCC - Halls G-H) - Nov 3, 2023 - Abstract #ASH2023ASH_5295; P3 Median (range) total treatment duration over the combined studies was 229.1 (1.7 The BELIEVE trial enrolled 336 pts, 52 (15.5%) of whom had HbE/
- |||||||||| etavopivat (NN7535) / Novo Nordisk
FORTITUDE: A Phase 2 Open-Label Study in Progress to Evaluate Etavopivat for the Treatment of Anemia in Patients with Lower-Risk Myelodysplastic Syndromes (SDCC - Halls G-H) - Nov 3, 2023 - Abstract #ASH2023ASH_4187; P2 Erythropoiesis-stimulating agents and other drugs, including lenalidomide, luspatercept and imetelstat (an investigational product), can lead to RBC transfusion independence and improve Hb levels in many patients; however, responses are generally transient and novel treatments are needed for this population...Additional exclusion criteria include prior treatment with azacitidine; decitabine; erythropoietin, other hematopoietic growth factor treatment or lenalidomide within 30 days of Day 1 or anticipated to be required during the study; and luspatercept within 30 days of Day 1 for NTD patients and within 16 weeks of Day 1 for TD patients...Summary : Etavopivat is a novel, investigational, once-daily, selective PKR activator with the potential to improve RBC health and lifespan. This phase 2 study will assess the safety of etavopivat and its impact on Hb levels and RBC transfusion burden in patients with LR-MDS and anemia.
- |||||||||| DFV890 / Novartis
Safety and Preliminary Efficacy of DFV890 in Adult Patients with Myeloid Diseases: A Phase 1b Study (Halls G-H (San Diego Convention Center)) - Nov 3, 2023 - Abstract #ASH2023ASH_4186; P1 This phase 2 study will assess the safety of etavopivat and its impact on Hb levels and RBC transfusion burden in patients with LR-MDS and anemia. Eligible pts must be 18 years of age, with an Eastern Cooperative Oncology Group performance status ?2, candidates for serial bone marrow assessments who are willing to undergo a bone marrow aspirate/biopsy during the trial, and meet one of the following: (a) IPSS-R
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