A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States
Divisione di Ematologia e Trapianto di Midollo Osseo- Ospedale Cervello, Palermo, Italy
Dipartimento di Biotecnologie ed Ematologia - Università La Sapienza, Roma, Italy
Istituto di Ematologia - Università Cattolica, Roma, Italy
OHSU Knight Cancer Institute, Portland, Oregon, United States
Stanford University School of Medicine, Stanford, California, United States
Department of Haematology, St. Olavs hospital/NTNU, Trondheim, Norway
Morton Plant Hospital, Clearwater, Florida, United States
Fawcett Memorial Hospital, Port Charlotte, Florida, United States
Watson Clinic, Lakeland, Florida, United States
Médecine Interne, CHU Purpan, Toulouse, France
Médecine Interne, Hôpital Rangueil, Toulouse, France
Rhumatologie, CHU Rangueil, Toulouse, France
Emory University Winship Cancer Institute, Atlanta, Georgia, United States
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