A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
UT MD Anderson Cancer Center, Houston, Texas, United States
Lille University Hospital, Lille, France
Divisione Di Ematologia, Ospedali Riuniti, Reggio Calabria, Italy
Divisione Di Ematologia E Trapianto Di Midollo Osseo, Azienda Ospedaliera Cervello, Palermo, Italy
Cattedra E Divisione Di Ematologia, Università Tor Vergata, Ospedale S.Eugenio, Roma, Italy
Children's Memorial Hospital - Chicago, Chicago, Illinois, United States
St. Louis Children's Hospital, Saint Louis, Missouri, United States
Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States
Je-Jung Lee, Hwsun-eup, Hwasun-gun, Jeollanam-do, Korea, Republic of
Gachon University Gil Hospital, Inchon, Korea, Republic of
University of Cincinnati Medical Center, Cincinnati, Ohio, United States
Wake Forest University Comprehensive Cancer Center, Winston-Salem, North Carolina, United States
Hillman Cancer Center, Pittsburgh, Pennsylvania, United States
HOPITAL Saint Louis, Service de Dermatologie, Paris, France
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