A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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
Hollings Cancer Center at Medical University of South Carolina, Charleston, South Carolina, United States
National Institutes of Health Clinical Center, 9000 Rockville Pike, Bethesda, Maryland, United States
Radiation Therapy Oncology Group, Philadelphia, Pennsylvania, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Louisiana State University School of Medicine, New Orleans, Louisiana, United States
Brooke Army Medical Center, Fort Sam Houston, Texas, United States
Roswell Park Cancer Institute, Buffalo, New York, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Texas - MD Anderson Cancer Center, Houston, Texas, United States
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