Thomas W. LeBlanc, MD, MA
Articles by Thomas W. LeBlanc, MD, MA

Patient Case Presentation: Patient on ESA for First-Line Therapy and Not Receiving a Marked Response—What Do You Do Next, and Why?
ByThomas W. LeBlanc, MD, MA,Guru Subramanian Guru Murthy, MD, MS, Raji Shameem, MD,Daniel DeAngelo, MD, PhD,Rafael Madero-Marroquin, MD,Mikkael A. Sekeres, MD, MS Panelists discuss management strategies for a patient with low-risk myelodysplastic syndrome with erythropoiesis-stimulating agent (ESA) failure, weighing options between initiating luspatercept or escalating ESA dosage while emphasizing the need for thorough evaluation of reversible causes before advancing therapy.

Patient Case Presentation: Patient Is RBC Transfusion Eligible—Would You Proceed to Transfusion or Initiate Long-Term Anemia Treatment Strategies?
ByThomas W. LeBlanc, MD, MA,Guru Subramanian Guru Murthy, MD, MS, Raji Shameem, MD,Daniel DeAngelo, MD, PhD,Rafael Madero-Marroquin, MD,Mikkael A. Sekeres, MD, MS Panelists discuss a complex case of lower-risk myelodysplastic syndrome in a patient with rheumatoid arthritis, debating immediate transfusion for symptom relief vs thorough evaluation and targeted long-term anemia management to balance comorbidities and optimize outcomes.

Debate: Sequencing Therapies for LR-MDS: ESA First vs Luspatercept First
ByThomas W. LeBlanc, MD, MA,Guru Subramanian Guru Murthy, MD, MS, Raji Shameem, MD,Daniel DeAngelo, MD, PhD,Rafael Madero-Marroquin, MD,Mikkael A. Sekeres, MD, MS Panelists discuss the sequencing of therapies in lower-risk myelodysplastic syndromes, debating whether to initiate treatment with erythropoiesis-stimulating agents due to cost and patient variability or with luspatercept for its superior efficacy and potential disease-modifying effects, while highlighting ongoing trials exploring combined or sequential strategies.

Debate: Inflection Point for LR-MDS Therapy: Serum EPO >200 U/L vs Serum EPO >500 U/L
ByThomas W. LeBlanc, MD, MA,Guru Subramanian Guru Murthy, MD, MS, Raji Shameem, MD,Daniel DeAngelo, MD, PhD,Rafael Madero-Marroquin, MD,Mikkael A. Sekeres, MD, MS Panelists discuss treatment strategies for lower-risk myelodysplastic syndromes guided by serum erythropoietin (EPO) levels, weighing the reduced efficacy of erythropoiesis-stimulating agents at higher EPO levels against newer therapies’ benefits and challenges, and emphasizing personalized sequencing based on patient and disease characteristics.

Debate: Optimal Initiation of ESAs, Luspatercept, and Imetelstat: Pretransfusion vs Posttransfusion
ByThomas W. LeBlanc, MD, MA,Guru Subramanian Guru Murthy, MD, MS, Raji Shameem, MD,Daniel DeAngelo, MD, PhD,Rafael Madero-Marroquin, MD,Mikkael A. Sekeres, MD, MS Panelists discuss the debate on optimal timing for initiating therapies in lower-risk myelodysplastic syndromes, balancing early intervention to improve quality of life and prevent complications against a conservative approach favoring treatment initiation upon transfusion dependency or symptom onset.

IMerge Trial
ByThomas W. LeBlanc, MD, MA,Guru Subramanian Guru Murthy, MD, MS, Raji Shameem, MD,Daniel DeAngelo, MD, PhD,Rafael Madero-Marroquin, MD,Mikkael A. Sekeres, MD, MS Panelists discuss findings from the IMerge phase 3 trial of imetelstat in lower-risk myelodysplastic syndromes, emphasizing its impact on transfusion independence and fatigue improvement, and advocating for a sequential, patient-centered treatment approach to enhance quality of life and long-term outcomes.

COMMANDS and ELEMENT-MDS Trials: Long-Term Analysis, Survival, Duration of Response, and Hemoglobin Levels
ByThomas W. LeBlanc, MD, MA,Guru Subramanian Guru Murthy, MD, MS, Raji Shameem, MD,Daniel DeAngelo, MD, PhD,Rafael Madero-Marroquin, MD,Mikkael A. Sekeres, MD, MS Panelists discuss long-term results from a phase 3 trial comparing luspatercept and epoetin alfa in lower-risk MDS, highlighting luspatercept’s superior efficacy in achieving sustained transfusion independence and the need for further research on earlier intervention strategies.

Early vs Late Onset of ESA in LR-MDS: Results From Phase 3 EPO-PRETAR Trial
ByThomas W. LeBlanc, MD, MA,Guru Subramanian Guru Murthy, MD, MS, Raji Shameem, MD,Daniel DeAngelo, MD, PhD,Rafael Madero-Marroquin, MD,Mikkael A. Sekeres, MD, MS Panelists discuss the results of the phase 3 EPO-PRETAR trial in a dynamic, debate-style forum on lower-risk myelodysplastic syndromes, weighing the benefits of early vs late erythropoiesis-stimulating agent initiation while highlighting the need for more patient-centered outcome measures.

After sharing key takeaways on the management of BPDCN, expert hematologist-oncologists highlight unmet needs and forecast evolutions in care.

Before closing out their review of adverse events associated with tagraxofusp, Thomas Leblanc, MD, and Bhumika Patel, MD, reflect on the identification and management of myelosuppression.

A brief review of the role of tagraxofusp as bridging therapy to stem cell transplant in patients diagnosed with blastic plasmacytoid dendritic cell neoplasm.

Comprehensive discussion on the management of adverse events associated with tagraxofusp and how BPDCN care can be optimized in the setting of academic centers.

Centering discussion on a recent study, experts Thomas Leblanc, MD, and Bhumika Patel, MD, reflect on long-term data with tagraxofusp in BPDCN.

Expert hematologist-oncologists share their perspective on the broad diagnosis and management of blastic plasmacytoid dendritic cell neoplasm (BPDCN).

In this video we discuss the goals of shared-decision making in hematologic malignancies and touch upon different scenarios where its use may be appropriate.

As Dennis et al demonstrate, palliative care (PC) is a unique and multifaceted philosophy of care geared towards patients living with serious illness, not only those dying from it.