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Expert Interview

Slingshot members are talking to an expert! The topic is:

A Deep Dive into Geron's imetelstat (GRN163L) for Myelodysplastic Syndromes

Ticker(s): GERN

Who's the expert?

Institution: Washington University St. Louis

  • Professor Department of Medicine Oncology Division Bone Marrow Transplantation & Leukemia at WUSTL
  • Currently treats ~300 patients with multiple myeloma, 25 patients with AML, 10 patients with CMML, and ~15 patients per month with AL Amyloidosis.
  • Clinical research focus on strategies to improve the outcome of patients with multiple myeloma, acute myeloid leukemia, and myelodysplastic syndromes.

Interview Questions
Q1.

Considering the IMerge Phase 3 trial results, can you elaborate on how Imetelstat demonstrated efficacy in achieving red blood cell transfusion independence for at least eight weeks compared to placebo?

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Q2.

How does Imetelstat perform across different MDS subgroups, particularly those defined by ring sideroblast (RS) status, baseline transfusion burden, and International Prognostic Scoring System (IPSS) risk category?

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Q3.

The trial highlighted a sustained increase in mean hemoglobin levels in Imetelstat-treated patients. Could you discuss the clinical significance of this outcome for patients' health and quality of life?

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Q4.

With some patients achieving 24-week red blood cell transfusion independence, what does this suggest about the long-term durability of Imetelstat's effects?

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Q5.

Thrombocytopenia and neutropenia were the most common Grade 3-4 adverse events reported. How are these side effects managed in clinical practice to ensure patient safety and continuation of therapy?

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Q6.

How does Imetelstat compare to current standard treatments for lower-risk MDS, such as erythropoiesis-stimulating agents (ESAs) and other available therapies?

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Q7.

Given the positive feedback from the FDA's Oncologic Drugs Advisory Committee, what are the next steps in Imetelstat's clinical development and potential market introduction?

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Q8.

How does the identification of patient subgroups that respond best to Imetelstat influence treatment strategies and the move toward more personalized medicine in MDS treatment?

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