Can Lower-Risk MDS Achieve High Reward with Hypomethylating Agent Therapy?

Bejar, Rafael · NEJM Evid · 2022

review · Level V

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Abstract

Therapeutic options for myelodysplastic syndromes (MDS) are highly risk stratified, with more toxic treatments reserved for patients at higher risk and more supportive approaches favored for those with lower-risk disease.<sup>1,2</sup> The hypomethylating agents azacitidine (AZA) and decitabine (DEC) are recommended as first-line therapy for higher-risk MDS; for lower-risk disease, the focus is primarily on treating symptomatic anemia with hematopoietic growth factors, luspatercept, or lenalidomide.

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