A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office, Bethesda, Maryland, United States
NCI - Center for Cancer Research, Bethesda, Maryland, United States
Memorial Sloan-Kettering Cancer Center, New York, 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
Medicine Branch, Bethesda, Maryland, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
USC/Norris Comprehensive Cancer Center and Hospital, Los Angeles, California, United States
Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, United States
Veterans Affairs Outpatient Clinic - Martinez, Martinez, California, United States
CCOP - Central Illinois, Decatur, Illinois, United States
CCOP - Upstate Carolina, Spartanburg, South Carolina, United States
CCOP - Greenville, Greenville, South Carolina, United States
St. Mary's/Duluth Clinic Health System, Duluth, Minnesota, United States
Saint John Regional Hospital, Saint John, New Brunswick, Canada
Moncton Hospital, Moncton, New Brunswick, Canada
North Central Cancer Treatment Group, Rochester, Minnesota, United States
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