Evidence map›Paper›PMID 42306063›Full record

ArticleHemaSphere2026

Mutational dynamics in patients with del(5q) MDS treated with lenalidomide prior to transfusion dependency-Molecular results from the Sintrarev clinical trial.

Sofía Toribio Castelló, Felix López-Cadenas, Claude Preudhomme, Teresa González, Angela Villaverde Ramiro, Laurène Fenwarth, Blanca Xicoy, Aline Renneville, Joaquín Sánchez-Garcia, Rosa Coll and 11 more

Abstract read
In one paragraph

Article in HemaSphere, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Lenalidomide Exposure andCurrent oncology (Toronto, Ont.) · 2026
    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

21 authors.

Sofía Toribio CastellóMolecular Genetics in Oncohematology Institute of Biomedical Research of Salamanca (IBSAL) - Cancer Research Center of Salamanca (USAL-CSIC) Salamanca Spain.
Felix López-CadenasHematology Department, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca Spain.
Claude PreudhommeLaboratory of Hematology Lille University Hospital Lille France.
Teresa GonzálezMolecular Genetics in Oncohematology Institute of Biomedical Research of Salamanca (IBSAL) - Cancer Research Center of Salamanca (USAL-CSIC) Salamanca Spain.
Angela Villaverde RamiroMolecular Genetics in Oncohematology Institute of Biomedical Research of Salamanca (IBSAL) - Cancer Research Center of Salamanca (USAL-CSIC) Salamanca Spain.
Laurène FenwarthLaboratory of Hematology Lille University Hospital Lille France.ORCID https://orcid.org/0000-0003-2808-4843
Blanca XicoyHU German Trias i Pujol - Institut Català d'Oncologia, Josep Carreras Leukemia Research Institute Universitat Autònoma de Barcelona Badalona Spain.
Aline RennevilleLaboratory of Hematology Lille University Hospital Lille France.
Joaquín Sánchez-GarciaIMIBIC, Hematology University Hospital Reina Sofía, UCO Córdoba Spain.
Rosa CollHospital Josep Trueta - ICO Girona Spain.
Bohrane SlamaCH Avignon Avignon France.
José Ángel Hernández-RivasHematology Department, Hospital Universitario Infanta Leonor Universidad Complutense Madrid Spain.
Sylvain ThepotService des maladies du sang CHU d'Angers and FHU GOAL Angers France.
Teresa BernalHospital Universitario Central de Asturias, Instituto Universitario del Principado de Asturias (ISPA) Instituto Universitario de Oncología del Principado de Asturias (IUOPA) Oviedo Spain.
Agnès Guerci-BreslerService d'Hématologie Centre Hospitalier Universtaire Brabois Vandoeuvre-lès-Nancy France.
Raúl AzibeiroHematology Department, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca Spain.
Monica Del ReyMolecular Genetics in Oncohematology Institute of Biomedical Research of Salamanca (IBSAL) - Cancer Research Center of Salamanca (USAL-CSIC) Salamanca Spain.
Katharina S GötzeDepartment of Medicine III, Hematology/Oncology and Bavarian Center for Cancer Research (BZKF) Technical University of Munich School of Medicine and Health Munich Germany.
Pierre FenauxHematology Department, Saint-Louis hospital, APHP Université de Paris Paris France.
Jesús María Hernández-RivasMolecular Genetics in Oncohematology Institute of Biomedical Research of Salamanca (IBSAL) - Cancer Research Center of Salamanca (USAL-CSIC) Salamanca Spain.ORCID https://orcid.org/0000-0002-9661-9371
María Díez-CampeloHematology Department, University Hospital of Salamanca Institute of Biomedical Research of Salamanca (IBSAL) Salamanca Spain.ORCID https://orcid.org/0000-0002-1467-6779

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lenalidomide (Len) is the standard of care for red blood cell transfusion-dependent (TD) patients with myelodysplastic syndromes (MDS) and del(5q). A Phase III clinical trial (SintraRev) demonstrated better efficacy of early treatment with Len in anemic del(5q) MDS patients prior to TD, but clonal evolution with this approach remained unexplored. We evaluated changes in mutational profiles of non-TD del(5q) MDS patients treated with Len to assess whether early administration of Len could reduce or worsen the mutational burden in those patients. The molecular profile of patients included in the SintraRev trial was analyzed by targeted sequencing. Median follow up of patients was 60.6 months (interquartile range [IQR] 32.3-73.9). Next-generation sequencing (NGS) was available in a total of 51 patients.

Identifiers

PMID42306063
PMCPMC13266410

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.