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Thalidomide

Generic Name
Thalidomide
Brand Names
Thalomid, Thalidomide BMS (previously Thalidomide Celgene), Thalidomide Lipomed
Drug Type
Small Molecule
Chemical Formula
C13H10N2O4
CAS Number
50-35-1
Unique Ingredient Identifier
4Z8R6ORS6L
Background

A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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.

Indication

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).

Associated Conditions
Aphthous Stomatitis, Chronic Graft-Versus-Host Disease, Erythema Nodosum Leprosum, Multiple Myeloma (MM), Primary Amyloidosis, Uremic Pruritus, Waldenström's Macroglobulinemia (WM), Moderate Erythema nodosum leprosum, Refractory Graft versus host disease, Severe Erythema nodosum leprosum, Treatment naive multiple myeloma
Associated Therapies
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Stem Cell Transplantation in Individuals With Multiple Myeloma (BMT CTN 0102)

Phase 3
Completed
Conditions
Multiple Myeloma
Interventions
Procedure: One Autologous Transplant
Procedure: Second Autologous Transplant
Procedure: Non-Myeloablative Allogeneic Transplant
Behavioral: Observation
Drug: Thalidomide
Drug: Dexamethasone
First Posted Date
2004-01-13
Last Posted Date
2021-11-01
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Target Recruit Count
710
Registration Number
NCT00075829
Locations
🇺🇸

DFCI/Brigham & Women's, Boston, Massachusetts, United States

🇺🇸

Fred Hutchinson Cancer Research Center, Seattle, Washington, United States

🇺🇸

University of Minnesota, Minneapolis, Minnesota, United States

and more 33 locations

Temozolomide, Thalidomide, and Lomustine in Treating Patients With Unresectable Stage III or Stage IV Melanoma

Phase 2
Completed
Conditions
Intraocular Melanoma
Melanoma (Skin)
First Posted Date
2003-11-06
Last Posted Date
2013-01-18
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Registration Number
NCT00072345
Locations
🇺🇸

Memorial Sloan-Kettering Cancer Center, New York, New York, United States

Temozolomide and Thalidomide in Treating Patients With Brain Metastases Secondary to Melanoma

Phase 2
Completed
Conditions
Recurrent Melanoma
Stage IV Melanoma
Tumors Metastatic to Brain
Interventions
First Posted Date
2003-11-06
Last Posted Date
2013-01-17
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
50
Registration Number
NCT00072163
Locations
🇺🇸

Cancer and Leukemia Group B, Chicago, Illinois, United States

Interferon Alfa Plus Thalidomide in Treating Patients With Relapsed or Refractory Non-Hodgkin's Lymphoma

Phase 2
Terminated
Conditions
Recurrent Grade 1 Follicular Lymphoma
Recurrent Grade 2 Follicular Lymphoma
Interventions
Biological: recombinant interferon alfa
Drug: thalidomide
Other: laboratory biomarker analysis
First Posted Date
2003-10-15
Last Posted Date
2013-01-25
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
35
Registration Number
NCT00015912
Locations
🇺🇸

University of Colorado, Denver, Colorado, United States

Thalidomide in Treating Patients With Recurrent or Persistent Endometrial Cancer

Phase 2
Completed
Conditions
Endometrial Adenoacanthoma
Endometrial Adenocarcinoma
Endometrial Adenosquamous Cell Carcinoma
Endometrial Clear Cell Carcinoma
Endometrial Papillary Serous Carcinoma
Recurrent Endometrial Carcinoma
Interventions
Drug: thalidomide
Other: laboratory biomarker analysis
First Posted Date
2003-10-15
Last Posted Date
2013-01-24
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
60
Registration Number
NCT00025467
Locations
🇺🇸

Gynecologic Oncology Group, Philadelphia, Pennsylvania, United States

S0115, High-Dose Melphalan and Autologous Peripheral Stem Cell Transplantation in Treating Patients With Multiple Myeloma or Primary Systemic Amyloidosis

Phase 2
Completed
Conditions
Multiple Myeloma
Plasma Cell Myeloma
Interventions
Biological: filgrastim
Drug: cyclophosphamide
Drug: dexamethasone
Drug: melphalan
Drug: thalidomide
Procedure: peripheral blood stem cell transplantation
First Posted Date
2003-07-09
Last Posted Date
2018-08-09
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
104
Registration Number
NCT00064337
Locations
🇺🇸

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

and more 31 locations

Interferon Alfa and Thalidomide in Treating Patients With Stage IV Melanoma

Phase 2
Completed
Conditions
Melanoma (Skin)
First Posted Date
2003-06-25
Last Posted Date
2013-06-24
Lead Sponsor
SWOG Cancer Research Network
Registration Number
NCT00026520
Locations
🇺🇸

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

and more 91 locations

Thalidomide and SU5416 in Treating Patients With Metastatic Melanoma

Phase 2
Completed
Conditions
Melanoma (Skin)
Interventions
First Posted Date
2003-06-12
Last Posted Date
2013-02-11
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
35
Registration Number
NCT00017316
Locations
🇺🇸

University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States

Irinotecan and Thalidomide in Treating Patients With Advanced Solid Tumors

Phase 1
Completed
Conditions
Unspecified Adult Solid Tumor, Protocol Specific
Interventions
First Posted Date
2003-06-06
Last Posted Date
2013-01-24
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
35
Registration Number
NCT00062127
Locations
🇺🇸

University of Chicago Comprehensive Cancer Center, Chicago, Illinois, United States

Thalidomide in Treating Patients With Myelofibrosis

Phase 2
Completed
Conditions
Primary Myelofibrosis
Interventions
Drug: thalidomide
Other: laboratory biomarker analysis
First Posted Date
2003-05-23
Last Posted Date
2013-10-08
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
43
Registration Number
NCT00015821
Locations
🇺🇸

North Central Cancer Treatment Group, Rochester, Minnesota, United States

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