Evidence map›Paper›PMID 41568521›Full record

Trial reportHaematologica2026

Imetelstat improves patient-reported outcomes and quality of life in lower-risk myelodysplastic syndromes: results from the phase III IMerge study.

Mikkael A Sekeres, Amer M Zeidan, Valeria Santini, Rami S Komrokji, Pierre Fenaux, Michael R Savona, Yazan F Madanat, David Valcárcel, Antoine Regnault, Kristin Creel and 8 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Haematologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02598661 (A Study to Evaluate Imetelstat), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT02598661 phase2 / phase3active not recruitingnot on this map

A Study to Evaluate Imetelstat (GRN163L) in Transfusion-Dependent Subjects With IPSS Low or Intermediate-1 Risk Myelodysplastic Syndrome (MDS) That is Relapsed/Refractory to Erythropoiesis-Stimulating Agent (ESA) Treatment

TypeinterventionalSponsorGeron CorporationRan2016 to 2026Enrolled289ConditionsMyelodysplastic SyndromesArmsImetelstat Sodium, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

18 authors.

Mikkael A SekeresSylvester Comprehensive Cancer Center, University of Miami, Miami, FL. msekeres@med.miami.edu.
Amer M ZeidanYale School of Medicine and Yale Cancer Center, Yale University, New Haven, CT.
Valeria SantiniMDS Unit Hematology, DMSC University of Florence, AOUC, Florence.
Rami S KomrokjiMoffitt Cancer Center, Tampa, FL.
Pierre FenauxHôpital Saint-Louis, Université de Paris 7, Paris.
Michael R SavonaVanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN.
Yazan F MadanatHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX.
David ValcárcelHospital Universitario Vall d'Hebron, Barcelona.
Antoine RegnaultModus Outcomes, a company of THREAD, Lyon.
Kristin CreelModus Outcomes, a company of THREAD, Lyon.
Libo SunGeron Corporation, Foster City, CA.
Ying WanGeron Corporation, Foster City, CA.
Shyamala NavadaGeron Corporation, Foster City, CA.
Tymara BerryGeron Corporation, Foster City, CA.
Faye FellerGeron Corporation, Foster City, CA.
Uwe PlatzbeckerNational Center for Tumor Diseases (NCT), University Hospital Carl Gustav Carus, TU Dresden, Dresden.
María Díez-CampeloUniversity Hospital of Salamanca, IBSAL, Universidad de Salamanca, Salamanca.
Esther Natalie OlivaLondon North West University Healthcare NHS Trust, London.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Red blood cell (RBC) transfusions for anemia associated with lower-risk myelodysplastic syndromes/neoplasms (LR-MDS) often contribute to reduced quality of life (QOL). Thus, reduction in RBC transfusion dependency (TD) is a primary therapeutic goal. Imetelstat is a first-in-class, competitive telomerase inhibitor approved to treat certain adult patients with LRMDS with RBC-TD anemia who have not responded to, have lost response to, or are ineligible for erythropoiesis-stimulating agents. In the phase III IMerge study (clinicaltrials.gov identifier: NCT02598661), treatment with imetelstat resulted in clinically meaningful, statistically significant increases in the primary endpoint of ≥8-week RBC transfusion independence (TI) versus placebo. Because patients with LR-MDS experience detrimental effects on numerous facets of QOL (physical, emotional, social, and functional), these exploratory analyses assessed patient-reported outcomes using the Functional Assessment of Chronic Illness Therapy-Fatigue, Quality of Life in Myelodysplasia Scale, and Functional Assessment of Cancer Therapy-Anemia questionnaires as part of the phase III IMerge study. Nominal P values were reported. Fewer imetelstat-treated patients experienced deterioration in fatigue levels and more imetelstat-treated patients experienced sustained improvement in fatigue levels and QOL versus placebo. In the imetelstat group, 8-week, 24-week, and 1-year RBC-TI responders had sustained improvements in predefined significance thresholds versus non-responders for fatigue (70%, 73%, and 88%, respectively, vs. 37%, 41%, and 44%, respectively; P<0.001, P=0.004, and P=0.002) and QOL across different measures of response (43-53% vs. 21-30%; P≤0.0126). These results suggest that treatment with imetelstat may be associated with improvement in QOL beyond fatigue while sustaining RBC-TI in patients with LR-MDS with RBC-TD anemia.

Indexed as

Myelodysplastic SyndromesPatient Reported Outcome MeasuresQuality of LifeAdultAgedAged, 80 and overAnemiaErythrocyte TransfusionFemaleHumansMaleMiddle AgedOligonucleotidesTreatment OutcomeimetelstatOligonucleotides

Identifiers

PMID41568521
PMCPMC13317827

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.