A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
University of Texas M. D. Anderson Cancer Center, Houston, Texas, United States
MD Anderson Cancer Center, Houston, Texas, United States
University of Texas M. D. Anderson Cancer Center, Houston, Texas, United States
City of Hope National Medical Center, Duarte, California, United States
University of California at San Diego, La Jolla, California, United States
Stanford University, Palo Alto, California, United States
Marin County Specialty Clinic, Greenbrae, California, United States
Gottlieb Med Group, Sherman Oaks, California, United States
George Washington Univ Med Ctr, Washington, District of Columbia, United States
Aaron Diamond AIDS Rsch Ctr / Rockefeller Univ, New York, New York, United States
Ochsner Clinic, New Orleans, Louisiana, United States
Celgene Corp, Warren, New Jersey, United States
Aaron Diamond AIDS Rsch Ctr / Rockefeller Univ, New York, New York, United States
Bellevue Hosp Ctr, New York, New York, United States
Northwestern Univ Med School, Chicago, Illinois, United States
Louis A Weiss Memorial Hosp, Chicago, Illinois, United States
Rush Presbyterian - Saint Luke's Med Ctr, Chicago, Illinois, United States
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