Evidence map›Paper›PMID 42441929›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2026

Magrolimab Plus Azacitidine Versus Placebo Plus Azacitidine in Patients With Untreated Higher-Risk Myelodysplastic Syndromes: The Phase III ENHANCE Study.

David A Sallman, Guillermo Garcia-Manero, Naval Daver, Camille N Abboud, Eytan Stein, Karilyn Larkin, Anna B Halpern, Shannon R McCurdy, Monzr M Al Malki, Guru Subramanian Guru Murthy and 16 more

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

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04313881 (ENHANCE), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT04313881 phase3terminatednot on this map

ENHANCE: A Randomized, Double-blind, Multicenter Study Comparing Magrolimab in Combination With Azacitidine Versus Azacitidine Plus Placebo in Treatment-naïve Patients With Higher Risk Myelodysplastic Syndrome

TypeinterventionalSponsorGilead SciencesRan2020 to 2023Enrolled539ConditionsMyelodysplastic SyndromesArmsMagrolimab, Azacitidine, Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Nontransplant treatment approaches for myeloid neoplasm with mutated TP53.Hematology. American Society of Hematology. Education Program · 2024
    Review
  4. Vaccines: a promising therapy for myelodysplastic syndrome.Journal of hematology & oncology · 2024
    Review
  5. Review
  6. New investigational combinations for higher-risk MDS.Hematology. American Society of Hematology. Education Program · 2022
    Article
  7. Review
  8. The Mesenchymal Niche in Myelodysplastic Syndromes.Diagnostics (Basel, Switzerland) · 2022
    Review
  9. Targeting p53 in MDS: Highlights From SOHO 2021.Journal of the advanced practitioner in oncology · 2022
    Article
  10. Review
  11. Molecular Targeted Therapy and Immunotherapy for Myelodysplastic Syndrome.International journal of molecular sciences · 2021
    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

26 authors.

David A SallmanMoffitt Cancer Center, Tampa, FL.ORCID 0000-0003-0504-8233
Guillermo Garcia-ManeroThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-3631-2482
Naval DaverThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-7103-373X
Camille N AbboudWashington University School of Medicine, St Louis, MO.ORCID 0000-0002-6653-3518
Eytan SteinMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-8992-9390
Karilyn LarkinThe Ohio State University, Columbus, OH.ORCID 0000-0002-1898-9836
Anna B HalpernFred Hutchinson Cancer Center and University of Washington, Seattle, WA.ORCID 0000-0002-4326-0748
Shannon R McCurdyPerelman School of Medicine of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-2813-6781
Monzr M Al MalkiCity of Hope National Medical Center, Duarte, CA.ORCID 0000-0001-8226-471X
Guru Subramanian Guru MurthyMedical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-9889-2611
Lewis R SilvermanIcahn School of Medicine at Mount Sinai and Tisch Cancer Institute, New York, NY.ORCID 0000-0002-5481-4339
Richard A LarsonUniversity of Chicago, Chicago, IL.ORCID 0000-0001-9168-3203
Peter GreenbergStanford University Cancer Center, Palo Alto, CA.
Ivana GojoJohns Hopkins University School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD.ORCID 0000-0003-0312-3412
Tomasz WrobelWroclaw Medical University, Wroclaw, Poland.ORCID 0000-0002-6612-3535
Uwe PlatzbeckerUniversity Hospital Carl Gustav Carus, Dresden, Germany.ORCID 0000-0003-1863-3239
Cecily ForsythJarrett Street Specialist Centre, Gosford, NSW, Australia.ORCID 0000-0002-9108-3088
Pankit VachhaniO'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0001-9779-6217
Mei DongGilead Sciences, Inc, Foster City, CA.
Jiang ShaoGilead Sciences, Inc, Foster City, CA.
Lisa D S JohnsonGilead Sciences, Inc, Foster City, CA.ORCID 0000-0002-2019-6560
Anderson TanGilead Sciences, Inc, Foster City, CA.
Calvin LeeGilead Sciences, Inc, Foster City, CA.
Parul DoshiGilead Sciences, Inc, Foster City, CA.ORCID 0000-0002-5399-5844
Paresh VyasMRC Weatherall Institute of Molecular Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.ORCID 0000-0003-3931-0914
Andrew H WeiPeter MacCallum Cancer Centre, Royal Melbourne Hospital, Walter and Eliza Hall Institute of Medical Research, and University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-7514-3298

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of the cluster of differentiation 47-targeted antibody magrolimab plus azacitidine (Magro/Aza) versus azacitidine alone in treatment-naïve patients with higher-risk myelodysplastic syndromes (MDS) in the phase III ENHANCE study (ClinicalTrials.gov identifier: NCT04313881).

methodsBased on the Revised International Prognostic Scoring System, patients with intermediate- to very-high-risk MDS were randomly assigned to receive Magro (1 mg/kg on days [D]1 and 4; 15 mg/kg on D8; 30 mg/kg on D11 and D15, and then once per week for five doses, followed by 30 mg/kg maintenance doses once every 2 weeks)/Aza (75 mg/m

resultsAt final analysis, 539 patients were randomly assigned to Magro/Aza (n = 268) or Placebo/Aza (n = 271) arms. Baseline characteristics were generally well balanced between treatment arms. In the Magro/Aza versus Placebo/Aza arms, the CR rate was 21.3% versus 23.6% (odds ratio, 0.876 [95% CI, 0.585 to 1.312];

conclusionENHANCE did not meet the primary end points of CR rate and OS, and showed more frequent severe AEs in patients treated in the Magro/Aza arm.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsAzacitidineMyelodysplastic SyndromesAgedAged, 80 and overDouble-Blind MethodFemaleHumansMaleMiddle AgedAntibodies, Monoclonal, HumanizedAzacitidine

Identifiers

PMID42441929
PMCPMC13557466

What OpenQuestion holds

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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.