Your browser doesn't support javascript.
loading
Clinical Outcomes and Healthcare Resource Utilization for Patients With Lower-Risk Myelodysplastic Syndromes Treated With Erythropoiesis-Stimulating Agents.
Garcia-Manero, Guillermo; Matsuno, Rayna K; McBride, Ali; Mohammed, Hina; Idryo, Danny; Broome, Ronda; Herriman, Autumn; Johnson, Tiffany; Wilkinson, Kristiana; Schrag, Andrew; Johanson, Colden; Izano, Monika; Makinde, Adeola; Mukherjee, Sudipto.
Affiliation
  • Garcia-Manero G; Department of Leukemia, Division of Cancer Medicine, MD Anderson Cancer Center, Houston, TX.
  • Matsuno RK; Syapse Inc., San Francisco, CA. Electronic address: rayna.matsuno@syapse.com.
  • McBride A; Bristol Myers Squibb, Princeton, NJ.
  • Mohammed H; Syapse Inc., San Francisco, CA.
  • Idryo D; Syapse Inc., San Francisco, CA.
  • Broome R; Syapse Inc., San Francisco, CA.
  • Herriman A; Syapse Inc., San Francisco, CA.
  • Johnson T; Syapse Inc., San Francisco, CA.
  • Wilkinson K; Syapse Inc., San Francisco, CA.
  • Schrag A; Syapse Inc., San Francisco, CA.
  • Johanson C; Syapse Inc., San Francisco, CA.
  • Izano M; Syapse Inc., San Francisco, CA.
  • Makinde A; Formerly of Bristol Myers Squibb, Princeton, NJ.
  • Mukherjee S; Department of Hematology and Medical Oncology, Cleveland Clinic, Cleveland, OH.
Clin Lymphoma Myeloma Leuk ; 24(9): e283-e292, 2024 Sep.
Article in En | MEDLINE | ID: mdl-38871557
ABSTRACT

INTRODUCTION:

Real-world studies of lower-risk myelodysplastic syndromes (LR-MDS) are limited. We evaluated treatment patterns, clinical outcomes, and healthcare resource utilization (HCRU) among patients with LR-MDS treated with erythropoiesis-stimulating agents (ESAs) in the United States. PATIENTS AND

METHODS:

This retrospective study included patients with LR-MDS who initiated treatment with ESAs between January 1, 2016 and June 30, 2019. The primary analysis assessed patient demographic and clinical characteristics, treatment patterns, clinical outcomes (hematologic response, transfusion requirements, disease progression), and HCRU (medical encounters, laboratory tests, and medication use). Subgroup analyses of patients repeatedly treated with ESA therapy evaluated selected clinical outcomes and primary ESA failure by SF3B1 mutational status, per recently updated NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines©).

RESULTS:

A total of 142 patients were included with a median follow-up time of 17 months (interquartile range [IQR], 7-33). Median age at ESA initiation was 79 years (IQR, 73-85). Patients were predominantly male (54%), overweight or obese (32% and 23%, respectively), of White race (96%) and non-Hispanic ethnicity (89%). Overall, 57% patients were initially treated with darbepoetin alfa and 43% with epoetin alfa. Clinical outcomes were poor, and there was a significant burden on both the health system and individual patients treated with ESA therapies. Hematologic improvement- erythroid was only seen in 26% of 142 patients treated with ESAs, and 65% of 82 retreated patients experienced primary ESA failure.

CONCLUSION:

Our results indicate that primary ESA failure is largely unrecognized and that many patients should be considered for alternative treatments.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Myelodysplastic Syndromes / Hematinics Limits: Aged / Aged80 / Female / Humans / Male Language: En Journal: Clin Lymphoma Myeloma Leuk Journal subject: NEOPLASIAS Year: 2024 Document type: Article Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Myelodysplastic Syndromes / Hematinics Limits: Aged / Aged80 / Female / Humans / Male Language: En Journal: Clin Lymphoma Myeloma Leuk Journal subject: NEOPLASIAS Year: 2024 Document type: Article Country of publication: United States