A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
DFCI/Brigham & Women's, Boston, Massachusetts, United States
Fred Hutchinson Cancer Research Center, Seattle, Washington, United States
University of Minnesota, Minneapolis, Minnesota, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Cancer and Leukemia Group B, Chicago, Illinois, United States
University of Colorado, Denver, Colorado, United States
Gynecologic Oncology Group, Philadelphia, Pennsylvania, United States
Kalispell Medical Oncology at KRMC, Kalispell, Montana, United States
Sletten Cancer Institute at Benefis Healthcare, Great Falls, Montana, United States
St. Peter's Hospital, Helena, Montana, United States
Veterans Affairs Medical Center - Shreveport, Shreveport, Louisiana, United States
CCOP - Atlanta Regional, Atlanta, Georgia, United States
MBCCOP - University of Illinois at Chicago, Chicago, Illinois, United States
University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States
University of Chicago Comprehensive Cancer Center, Chicago, Illinois, United States
North Central Cancer Treatment Group, Rochester, Minnesota, United States
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