A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
U.Z. Gasthuisberg, Leuven, Belgium
Isala Klinieken - locatie Sophia, Zwolle, Netherlands
Academisch Medisch Centrum at University of Amsterdam, Amsterdam, Netherlands
Oxford Radcliffe Hospital, Oxford, England, United Kingdom
Charles B. Eberhart Cancer Center at DeKalb Medical Center, Decatur, Georgia, United States
Community Medical Center, Missoula, Montana, United States
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center, Missoula, Montana, United States
Banner Good Samaritan Medical Center, Phoenix, Arizona, United States
City of Hope Comprehensive Cancer Center, Duarte, California, United States
Albert B. Chandler Medical Center, University of Kentucky, Lexington, Kentucky, United States
CCOP - Central Illinois, Decatur, Illinois, United States
CCOP - Upstate Carolina, Spartanburg, South Carolina, United States
CCOP - Southeast Cancer Control Consortium, Goldsboro, North Carolina, United States
Brigham and Women's Hospital, Boston, Massachusetts, United States
Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States
Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute, Boston, Massachusetts, United States
Tom Baker Cancer Centre, Calgary, Alberta, Canada
London Regional Cancer Program, London, Ontario, Canada
Cancer Centre of Southeastern Ontario at Kingston, Kingston, Ontario, Canada
Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center, Cleveland, Ohio, United States
Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University, Columbus, Ohio, United States
Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, United States
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