A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of inflammatory disorders and cancers. Thalidomide displays immunosuppressive and anti-angiogenic activity through modulating the release of inflammatory mediators like tumor necrosis factor-alpha (TNF-a) and other cytokine action. Due to severe teratogenicity, pregnancy must be excluded before the start of treatment and patients must enrol in the THALIDOMID Risk Evaluation and Mitigation Strategy (REMS) program to ensure contraception adherence.
Thalidomide is primarily used for the acute treatment and maintenance therapy to prevent and suppress the cutaneous manifestations of moderate to severe erythema nodosum leprosum (ENL).
Roswell Park Cancer Institute, Buffalo, New York, United States
Department of Oncology , National Taiwan University Hospital, Taipei, Taiwan
Hematology Oncology Consultants Inc., Columbus, Ohio, United States
S. Florida Oncology/ Hematology, West Palm Beach, Florida, United States
Hematology-Oncology Clinic, Baton Rouge, Louisiana, United States
U.T.M.D. Anderson Cancer Center, Houston, Texas, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
CHU Albert Michallon, Grenoble, France
CH d'Avignon, Avignon, France
Hopital Avicenne, Bobigny, France
Klinika Hematologii Nowotworow Krwi i Transplantacji - Szpiku Akademii Medycznej, Wroclaw, Poland
Department of Medical Oncology/Regional Cancer Centre, Trivandrum, India
Department of Medical Oncology, Deenanath Mangeshkar Hospital, Pune, India
University of Miami Sylvester Comprehensive Cancer Center - Miami, Miami, Florida, United States
The Methodist Hospital Research Institute, Houston, Texas, United States
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