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Cytotoxic agents (7+3, HiDAC) and hypomethylating agents (HMAs) fail in the majority of MDS and AML pts. The aim of this study is to determine the predictive values of a genomics-informed computational biology method (CBM) in pts who are treated with standard of care (SOC) therapy.

Background: Several treatment options are available for patients with myelodysplastic syndromes (MDS) or acute myeloid leukemia (AML); however, the majority of patients will fail treatment or relapse. Predicting response is imperative in determining the right treatment regimen for each patient but currently no validated method exists.

Background: HMAs (e.g., azacitidine (AZA), decitabine (DAC)) are approved agents for the treatment of patients with MDS. Despite their widespread use, only 50% of patients respond to HMA without reliable biomarkers of response despite knowing the patient’s genomic and clinical (non-genomic) characteristics prior to treatment.

Background: Although virtually all patients (pts) with AML or MDS harbor at least one somatic mutation, a minority of pts possess genetic mutations considered directly targetable by a drug. Moreover, in pts with multiple gene mutations, single-gene/single-drug matching often produces conflicting drug recommendations.

60% of myelodysplastic syndromes (MDS) patients fail to achieve clinical improvement with hypomethylating agents (HMAs).

Hypomethylating agents (HMAs) (azacitidine (aza), decitabine (dec)) and lenalidomide (len) are approved agents and used to treat patients with myelodysplastic syndromes (MDS) or acute myeloid leukemia (AML).

Background: MDS is a marrow stem cell disorder with limited treatments. Due to outcome heterogeneity of MDS, it is imperative to identify prognostic tools for patients in clinical trials. Rigosertib (RIG) is a RAS-mimetic that inhibits cellular signaling pathways by binding to the RAS-binding Domain found in RAS effector proteins.

Background: Hypomethylating agents (HMAs) (e.g., azacitidine (aza), decitabine (dec)) and lenalidomide (len) are approved agents and used in the treatment of patients with myelodysplastic syndromes (MDS) or acute myeloid leukemia (AML).

Background: Hypomethyating agents (HMAs) for the treatment of the myelodysplastic syndromes (MDS) fail to achieve clinical improvement in nearly 60% of patients.

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