Drs. Thomas LeBlanc, Jamie Koprivnikar, and Andrew Brunner give their predictions for the future of MDS management. An expert panel delves into new data regarding the long-term efficacy of luspatercept in MDS. An expert MDS panel discusses patient reported outcomes, transfusion dependence, and time toxicity. A discussion on the post hoc analysis on quality of life from the COMMANDS trial. Discussing the COMMANDS trial and sequencing luspatercept in patients with myelodysplastic syndromes. How to address ESA failure or ineligibility in patients with MDS... Results from a real-world analysis of post-ESA treatment outcomes in patients with lower-risk myelodysplastic syndrome. In this roundtable segment, the panel discussed imetelstat for the treatment of lower-risk MDS. Drs. Garcia-Manero, Koprivnikar, Chedid, and LeBlanc discuss which patients with MDS should be treated with luspatercept. Is ESA use and performance in the academic setting reflective of real-world MDS practice? Our expert panel discusses. The panel discusses how to best implement such a monitoring system to address a widespread issue of suboptimal dosing. Drs. Garcia-Manero, Koprivnikar, Chedid, and LeBlanc discuss dosing considerations for luspatercept for lower-risk MDS. The panel discussed the four COMMANDS trial abstracts on luspatercept for lower-risk MDS presented at EHA 2024. The panel led by Jamile Shammo, MD, reacts to results from a claims database study comparing the agent with ESAs. In the next roundtable segment, the panel discusses risk stratifying patients with the IPSS-R and IPSS-M. An expert panel discusses how to measure the MDS patient experience and whether it’s time for new endpoints in MDS. The expert panel discussion led by Jamile Shammo, MD, also noted differences in cell line suppression by mutational profile. Jamile Shammo, MD, leads a roundtable discussion on the effect of molecular data incorporation and goals in treatment. The expert panel led by Jamile Shammo, MD, tells how trial data and their clinical experiences inform their use of the agent. A roundtable discussion, moderated by Guillermo Garcia-Manero, MD, discussed the current state of MDS treatment.