Onco Wiki / Regimen

Luspatercept (MDS-LR with RS or post-ESA failure)

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.

Source YAML: complete record

ComponentsDRUG-LUSPATERCEPT
IDREG-LUSPATERCEPT-MDS-LR
TypeRegimen
Statusreviewed 2026-04-25 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-COMMANDS-FENAUX-2020 SRC-ESMO-MDS-2021 SRC-NCCN-AML-2025

Notes

Originally established as 2L (MEDALIST: RS-MDS post-ESA failure). COMMANDS later established luspatercept as 1L over ESA for transfusion-dependent LR-MDS broadly. SF3B1+ / RS subtype shows strongest benefit. NOT registered in Ukraine — pragmatic 1L in our setting remains ESA. STUB — requires clinical co-lead signoff before publication.

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Indication