A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
Beatson West of Scotland Cancer Centre, Glasgow, Scotland, United Kingdom
Oxford Radcliffe Hospital, Oxford, England, United Kingdom
Leeds Cancer Centre at St. James's University Hospital, Leeds, England, United Kingdom
Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
Fletcher Allen Health Care - University Health Center Campus, Burlington, Vermont, United States
Herbert Irving Comprehensive Cancer Center at Columbia University, New York, New York, United States
Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States
Brigham and Women's Hospital, Boston, Massachusetts, United States
Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute, Boston, Massachusetts, United States
Montefiore Medical Center, Bronx, New York, United States
Cancer and Leukemia Group B (CALGB) Research Base, Chicago, Illinois, United States
North Central Cancer Treatment Group, Rochester, Minnesota, United States
Veterans Affairs Medical Center - Pittsburgh, Pittsburgh, Pennsylvania, United States
CCOP - Scott and White Hospital, Temple, Texas, United States
Veterans Affairs Medical Center - Madison, Madison, Wisconsin, United States
NYU School of Medicine's Kaplan Comprehensive Cancer Center, New York, New York, United States
Mount Sinai School of Medicine, New York, New York, United States
Gynecologic Oncology Group, Philadelphia, Pennsylvania, United States
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