del(5q)

2 EU-approved indications of 2 drugs need a del(5q) result, in 1 tumour type, most of them in myelodysplastic syndromes.

Approved indications2

DrugBiomarker requirementRegimenSettingConditions
Myelodysplastic syndromes2
Without an isolated deletion 5q cytogenetic (non-del 5q) abnormality
Monotherapy
Any line
Transfusion-dependent anaemia; very low, low or intermediate risk MDS; unsatisfactory response to or ineligible for erythropoietin-based therapy
Revlimid
Isolated deletion 5q cytogenetic abnormality
Monotherapy
Any line
Transfusion-dependent anaemia; low- or intermediate-1-risk myelodysplastic syndromes; when other therapeutic options are insufficient or inadequate

del(5q) by tumour

Label wording2

The sentence from section 4.1 of the SmPC that each indication above comes from.

  1. Lenalidomide (Revlimid)
    Revlimid as monotherapy is indicated for the treatment of adult patients with transfusion-dependent anaemia due to low- or intermediate-1-risk myelodysplastic syndromes associated with an isolated deletion 5q cytogenetic abnormality when other therapeutic options are insufficient or inadequate.
  2. Imetelstat (Rytelo)
    Rytelo is indicated as monotherapy for the treatment of adult patients with transfusion-dependent anaemia due to very low, low or intermediate risk myelodysplastic syndromes (MDS) without an isolated deletion 5q cytogenetic (non-del 5q) abnormality and who had an unsatisfactory response to or are ineligible for erythropoietin-based therapy (see section 5.1).