Evidence map›Paper›PMID 40966428›Full record

SynthesisBlood advances2025

Luspatercept for patients with lower-risk myelodysplastic syndromes/neoplasms: a systematic review and meta-analysis.

Abdulrahman Alhajahjeh, Naira Link Woite, Benjamin Rolles, Jessica M Stempel, Alain Mina, Lourdes Mendez, Tariq Kewan, Nikolai A Podoltsev, Maximilian Stahl, Alyssa A Grimshaw and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Blood advances, 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. Review
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

12 authors.

Abdulrahman AlhajahjehInternal Medicine Department, School of Medicine, The University of Jordan, Amman, Jordan.ORCID 0000-0001-5264-8990
Naira Link WoiteInternal Medicine Department, Yale School of Medicine, New Haven, CT.ORCID 0000-0003-3145-7903
Benjamin RollesDivision of Hematology, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-7393-861X
Jessica M StempelSection of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0001-9162-0579
Alain MinaHematology Department, Myeloid Malignancies Program, Immune Deficiency Cellular Therapy Program, Center for Cancer Research, National Cancer Institute, Bethesda, MD.
Lourdes MendezSection of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-5922-2877
Tariq KewanSection of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Nikolai A PodoltsevSection of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-3657-778X
Maximilian StahlSection of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Alyssa A GrimshawInternal Medicine Department, Harvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, CT.ORCID 0000-0003-3985-0056
Amer M ZeidanSection of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Jan Philipp BewersdorfSection of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractLuspatercept has emerged as a novel therapy for anemia in transfusion-dependent (TD) lower-risk myelodysplastic syndromes (LR-MDS). This systematic review and meta-analysis aimed to evaluate the efficacy and safety of luspatercept in TD LR-MDS. Six databases were searched through March 2025 to find relevant material. Studies were screened and extracted by 2 independent authors. A total of 20 studies encompassing 3455 patients were included in the analysis. The pooled 8-week transfusion independence (TI) rate was 51.2% (95% confidence interval [CI], 39.9-60.4; I2 = 94.9%), with higher rates observed among ring sideroblast-positive (RS+) patients (57.8%; 95% CI, 47.4-67.7; I2 = 86%) and those with low transfusion burden (LTB; 72.9%; 95% CI, 60.4-82.6; I2 = 0%). The 12-week and 24-week TI rates were 57.0% (95% CI, 48.1-65.5; I2 = 90%) and 35.8% (95% CI, 28.7-43.6; I2 = 82.1%), respectively. Hematologic improvement-erythroid was achieved in 51.3% of patients (95% CI, 41.3%-61.2%; I2 = 93%). The most frequent adverse events were peripheral edema (17.8%; 95% CI, 11.4-26.8), diarrhea (15.6%; 95% CI, 8.2-27.7), and fatigue (11.4%; 95% CI, 5.4-22.6). Serious adverse events occurred in 28.0% of patients (95% CI, 12.8-50.7; I2 = 97.2%). Luspatercept is an effective and well-tolerated treatment for anemia in TD LR-MDS, especially in patients with RS+ and LTB. Its favorable safety profile and high TI rates, particularly in erythropoiesis-stimulating agent-naïve populations, support its use in the frontline setting.

Indexed as

Activin Receptors, Type IIImmunoglobulin Fc FragmentsMyelodysplastic SyndromesRecombinant Fusion ProteinsBlood TransfusionHumansTreatment OutcomeActivin Receptors, Type IIImmunoglobulin Fc FragmentsluspaterceptRecombinant Fusion Proteins

Identifiers

PMID40966428
PMCPMC12767819

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.