A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
Rush Cancer Institute at Rush University Medical Center, Chicago, Illinois, United States
Whittingham Cancer Center at Norwalk Hospital, Norwalk, Connecticut, United States
Carl and Dorothy Bennett Cancer Center at Stamford Hospital, Stamford, Connecticut, United States
Greenebaum Cancer Center at University of Maryland Medical Center, Baltimore, Maryland, United States
St. Vincent's Comprehensive Cancer Center - Manhattan, New York, New York, United States
North Shore University Hospital, Manhasset, New York, United States
New York Medical College, Valhalla, New York, United States
Mount Sinai School of Medicine, New York, New York, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Instituto de Enfermedades Neoplasicas, Lima, Peru
Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
CCOP - St. Vincent Hospital Cancer Center, Green Bay, Green Bay, Wisconsin, United States
City of Hope Comprehensive Cancer Center, Duarte, California, United States
USC/Norris Comprehensive Cancer Center and Hospital, Los Angeles, California, United States
University of Chicago Cancer Research Center, Chicago, Illinois, United States
Stay informed with timely notifications on clinical trials, regulatory changes, and research advancements related to this medication.