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Not yet recruitingNCT07752121LUNISUpdated Aug 7, 2026

First-Line Luspatercept in Transfusion-Dependent Lower-Risk Myelodysplastic Neoplasms

An observational study in Myelodysplastic Neoplasms, sponsored by Bristol-Myers Squibb. Not yet recruiting at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-07.

Sponsored by Bristol-Myers Squibb · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
190
Ages
18 Years and older
Sex
All
01

Study summary

This study will observe adults with lower-risk myelodysplastic neoplasms (MDS) who have anemia requiring regular red blood cell transfusions and who are prescribed first-line luspatercept as part of routine medical care. The study will follow participants for up to 2 years to understand how often treatment leads to periods without transfusions, changes in hemoglobin levels, health-related quality of life, and safety outcomes. Information on treatment use and outcomes in routine clinical practice in Germany will also be collected.

02

Conditions studied

  • Myelodysplastic Neoplasms

Keywords

  • Myelodysplastic Neoplasms
  • Myelodysplastic Syndromes
  • MDS
  • Lower-Risk MDS
  • RBC Transfusion Dependent
  • Anemia
  • Luspatercept
  • Reblozyl
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult participants with red blood cell transfusion-dependent lower-risk myelodysplastic neoplasms receiving first-line luspatercept in routine clinical practice in Germany.

Inclusion criteria

  • Males and females ≥18 years of age at enrollment.
  • Documented diagnosis of myelodysplastic neoplasms according to World Health Organisation (WHO) 2022 or WHO 2016 classification meeting International Prognostic Scoring System-Revised (IPSS-R) criteria for very low-, low-, or intermediate-risk disease.
  • Documented red blood cell transfusion dependence of ≥2 units of red blood cells within the 8 weeks preceding Day 1 treatment initiation.
  • First-line treatment based on the approved luspatercept label and decision for treatment with luspatercept as assessed by the treating physician prior to study participation
  • Provision of written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Contraindication according to the Reblozyl® (luspatercept) Summary of Product Characteristics (SmPC).
  • Parallel participation in an interventional clinical trial (except follow-up phase as specified in protocol).

Patients who have completed their participation in an interventional clinical trial or who are not receiving any study drug anymore and who are only in the follow-up phase can be enrolled. For blinded studies, the study drug administered needs to be known at the time of enrolment.

  • Concurrent malignancy requiring treatment.
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
190 participants (estimated)
Patient registry
No

Groups and cohorts

  • First-Line Luspatercept

    Adult participants with red blood cell transfusion-dependent lower-risk myelodysplastic neoplasms receiving first-line luspatercept in routine clinical practice in Germany.

    Drug: Luspatercept

Interventions

  • DrugLuspatercept

    As per product label

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What researchers measure

Primary outcomes

  1. Percentage of participants achieving red blood cell transfusion independence (RBC-TI) for at least 8 consecutive weeks

    Time frame: Up to Week 24

Secondary outcomes

  1. Percentage of participants achieving red blood cell transfusion independence for at least 12 consecutive weeks

    Time frame: Up to Week 48

  2. Percentage of participants achieving red blood cell transfusion independence for at least 16 consecutive weeks

    Time frame: Up to Week 48

  3. Mean change from baseline in hemoglobin concentration

    Hemoglobin concentration (g/dL) measured during routine clinical practice.

    Time frame: Day 1 through Week 24, Week 48, End of Treatment (up to 2-years), and End of Study (up to 2-years)

  4. Percentage of participants with hemoglobin increase of at least 1.5 g/dl from baseline

    Hemoglobin concentration (g/dL) measured during routine clinical practice.

    Time frame: Day 1 through Week 24, Week 48, End of Treatment (up to 2-years), and End of Study (up to 2-years)

  5. Percentage of participants achieving >50% reduction in transfusion burden compared with baseline

    Time frame: Day 1 through Week 24, Week 48, End of Treatment (up to 2-years), and End of Study (up to 2-years)

  6. Time from first luspatercept administration to first on-treatment red blood cell transfusion.

    Time frame: Up to 2-years

  7. Time to red blood cell transfusion independence for at least 8 consecutive weeks

    Time frame: Up to Week 24

  8. Duration of red blood cell transfusion independence (RBC-TI) among participants who achieve an RBC transfusion-free period lasting at least 56 consecutive days.

    Time frame: Up to 2-years

  9. Duration of red blood cell transfusion independence (RBC-TI) among participants who achieve an RBC transfusion-free period lasting at least 84 consecutive days.

    Time frame: Up to 2-years

  10. Duration of red blood cell transfusion independence (RBC-TI) among participants who achieve an RBC transfusion-free period lasting at least 112 consecutive days.

    Time frame: Up to 2-years

  11. Percentage of participants achieving hematologic improvement-erythroid response according to International Working Group (IWG) 2006 criteria

    Hematologic improvement-erythroid (HI-E) response is defined as an increase in hemoglobin of at least 1.5 g/dL and/or a reduction of at least 4 red blood cell transfusions during an 8-week period compared with the 8 weeks before treatment, sustained over any consecutive 56-day period

    Time frame: Up to Week 48

  12. Number of participants with adverse events

    Time frame: Up to 2-years

  13. Change from baseline in health-related quality of life assessed by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)

    Time frame: Day 1, Week 6, Week 12, Week 18, Week 24, Week 36, Week 48, and End of Treatment (up to 2-years)

  14. Change from baseline in health-related quality of life assessed by Quality of Life in Myelodysplasia Scale (QUALMS)

    Time frame: Day 1, Week 6, Week 12, Week 18, Week 24, Week 36, Week 48, and End of Treatment (up to 2-years)

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Study locations

1 site
  • Universitätsmedizin der Johannes Gutenberg-Univ. III. Med. Klinik Hämatologie/Onkologie
    Mainz, Germany
07

References and documents

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT07752121
Lead sponsor
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Aug 7, 2026
Start date
Aug 24, 2026 (estimated)
Primary completion
Aug 31, 2030 (estimated)
Completion
Aug 31, 2030 (estimated)
Last update
Aug 7, 2026

Study contacts

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
Contact
Clinical.Trials@bms.com
855-907-3286
First line of the email MUST contain NCT # and Site #.
Contact
Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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