Evidence map›Paper›PMID 40325906›Full record

ArticleBritish journal of haematology2025

Real-life experience of luspatercept in transfusion-dependent lower risk myelodysplastic syndrome patients.

Anthi Bouchla, Sotirios G Papageorgiou, Ioannis Kotsianidis, Panagiotis Diamantopoulos, Eleni Gavriilaki, Eleni Bouronikou, Argiris Symeonidis, Panagiotis Zikos, Mustafa Cetiner, Efthymia Vlachaki and 15 more

Abstract readMulticenter Study
In one paragraph

Article in British journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Anthi Bouchla2nd Department of Internal Medicine and Research Institute, Hematology Unit, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-9234-7073
Sotirios G Papageorgiou2nd Department of Internal Medicine and Research Institute, Hematology Unit, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-3376-837X
Ioannis KotsianidisDepartment of Hematology, University Hospital of Alexandroupolis, Democritus University of Thrace Medical School, Alexandroupolis, Greece.
Panagiotis DiamantopoulosHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-2692-5944
Eleni GavriilakiHematology Department BMT Unit, G. Papanicolaou Hospital, Thessaloniki, Greece.ORCID https://orcid.org/0000-0002-8883-8208
Eleni BouronikouDepartment of Hematology, University Hospital of Larissa, Larissa, Greece.
Argiris SymeonidisDepartment of Hematology, University General Hospital of Patras, Patras, Greece.ORCID https://orcid.org/0000-0002-3685-3473
Panagiotis ZikosDepartment of Hematology, Aghios Andreas General Hospital, Patras, Greece.
Mustafa CetinerAcibadem MAA University School of Medicine, Department of Hematology, Istanbul, Turkey.
Efthymia VlachakiDepartment of Hematology, Second Department of Internal Medicine, Hippokration General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Akrivi KostourouHematology Department, Pammakaristos Hospital, Athens, Greece.
Athanasios GalanopoulosDepartment of Hematology, Gennimatas General Hospital, Athens, Greece.
Eleftheria HatzimichaelDepartment of Haematology, Faculty of Medicine, School of Health Sciences University of Ioannina, Ioannina, Greece.ORCID https://orcid.org/0000-0002-4408-5646
Elisavet-Christina VervesouDepartment of Hematology, Errikos Dunant Hospital Center, Athens, Greece.
Sinem Civriz BozdağDepartment of Hematology, Koc University School of Medicine, Istanbul, Turkey.
Nora-Athina ViniouHematology Department, Medical Centre of Athens, Faliro Clinic, Athens, Greece.
Dimitrios ChristoulasDepartment of Haematology, 251 General AirForce Hospital, Athens, Greece.
Maria DellatolaDepartment of Hematology, Metropolitan Hospital, Athens, Greece.
Maria PapaioannouHematology Unit, 1st Internal Medicine Department, AHEPA University Hospital, Thessaloniki, Greece.
Menelaos PapoutselisDepartment of Hematology, University Hospital of Alexandroupolis, Democritus University of Thrace Medical School, Alexandroupolis, Greece.
Dimitra VlachopoulouHematology Unit, First Department of Internal Medicine, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Antonia SyrigouHematology Department BMT Unit, G. Papanicolaou Hospital, Thessaloniki, Greece.
Maria MainouDepartment of Hematology, Second Department of Internal Medicine, Hippokration General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID https://orcid.org/0000-0002-5775-2241
Sofia ChatzileontiadouHematology Unit, 1st Internal Medicine Department, AHEPA University Hospital, Thessaloniki, Greece.
Vasiliki Pappa2nd Department of Internal Medicine and Research Institute, Hematology Unit, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-0421-9424

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Luspatercept has been approved for the treatment of anaemia in transfusion-dependent (TD) patients with lower risk (LR) myelodysplastic syndromes (MDS) after erythroid-stimulated agent (ESA) failure, according to the results of the MEDALIST trial. In this multicentre retrospective study, we report efficacy and safety data of luspatercept administered in 98 TD LR-MDS patients after ESA failure. The percentage of patients that stopped luspatercept due to adverse events was comparable to that reported in the MEDALIST study. Furthermore, we observed that 44.3% patients who had completed 24 weeks of follow-up achieved transfusion independence lasting longer than 8 weeks, compared to 38% in the MEDALIST trial. These positive results may be attributed to the inclusion of patients with lower transfusion needs in our study. All responses were observed within 8 months since luspatercept onset and many were long-lasting, even in the high-transfusion burden patient group. In addition, response to luspatercept and the presence of less than two mutations independently predicted for longer overall survival. Overall, our results confirm luspatercept's safety and efficacy in TD LR-MDS patients who have experienced ESA failure in a real-world setting.

Indexed as

Activin Receptors, Type IIBlood TransfusionImmunoglobulin Fc FragmentsMyelodysplastic SyndromesRecombinant Fusion ProteinsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeActivin Receptors, Type IIImmunoglobulin Fc FragmentsluspaterceptRecombinant Fusion Proteinslower risk MDSluspaterceptresponsesurvivaltransfusion dependence

Identifiers

PMID40325906
PMCPMC12234265

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.