MedPath

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A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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

Combination Chemo, Peripheral Stem Cell Transplant, Biological Therapy, Pamidronate and Thalidomide for Multiple Myeloma

Phase 2
Completed
Conditions
Multiple Myeloma and Plasma Cell Neoplasm
Interventions
Biological: filgrastim
Biological: recombinant interferon alfa
Procedure: peripheral blood stem cell transplantation
First Posted Date
2003-01-27
Last Posted Date
2019-07-02
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
77
Registration Number
NCT00004088
Locations
🇺🇸

Banner Good Samaritan Medical Center, Phoenix, Arizona, United States

🇺🇸

City of Hope Comprehensive Cancer Center, Duarte, California, United States

Combination Chemotherapy With or Without Thalidomide in Treating Patients With Multiple Myeloma

Phase 3
Conditions
Multiple Myeloma and Plasma Cell Neoplasm
First Posted Date
2003-01-27
Last Posted Date
2013-09-17
Lead Sponsor
Commissie Voor Klinisch Toegepast Onderzoek
Target Recruit Count
450
Registration Number
NCT00028886
Locations
🇧🇪

U.Z. Gasthuisberg, Leuven, Belgium

🇳🇱

Isala Klinieken - locatie Sophia, Zwolle, Netherlands

🇳🇱

Academisch Medisch Centrum at University of Amsterdam, Amsterdam, Netherlands

and more 14 locations

S0204 Thalidomide, Chemotherapy, and Peripheral Stem Cell Transplant in Treating Patients With Multiple Myeloma

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
Biological: filgrastim
Biological: sargramostim
Procedure: peripheral blood stem cell transplantation
First Posted Date
2003-01-27
Last Posted Date
2016-12-08
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
147
Registration Number
NCT00040937
Locations
🇺🇸

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

and more 138 locations

Surgery With or Without Thalidomide in Treating Patients With Recurrent or Metastatic Colorectal Cancer

Phase 2
Terminated
Conditions
Colorectal Cancer
Interventions
Procedure: adjuvant therapy
Other: Placebo
First Posted Date
2003-01-27
Last Posted Date
2015-10-28
Lead Sponsor
National Institutes of Health Clinical Center (CC)
Target Recruit Count
39
Registration Number
NCT00019747
Locations
🇺🇸

Suburban Hospital Cancer Program, Bethesda, Maryland, United States

🇺🇸

Center for Cancer Care at Goshen Health System, Goshen, Indiana, United States

🇺🇸

Wake Forest University Comprehensive Cancer Center, Winston-Salem, North Carolina, United States

and more 3 locations

Thalidomide, Celecoxib, and Combination Chemotherapy in Treating Patients With Relapsed or Refractory Malignant Glioma

Phase 2
Completed
Conditions
Brain and Central Nervous System Tumors
First Posted Date
2003-01-27
Last Posted Date
2017-07-11
Lead Sponsor
Dana-Farber Cancer Institute
Registration Number
NCT00047281
Locations
🇺🇸

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

Thalidomide and Irinotecan in Treating Patients With Glioblastoma Multiforme Who Have Undergone Radiation Therapy

Phase 2
Completed
Conditions
Brain and Central Nervous System Tumors
First Posted Date
2003-01-27
Last Posted Date
2011-10-27
Lead Sponsor
Dartmouth-Hitchcock Medical Center
Target Recruit Count
26
Registration Number
NCT00039468
Locations
🇺🇸

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

Interferon Alfa-2b With or Without Thalidomide in Treating Patients With Metastatic or Unresectable Kidney Cancer

Phase 3
Completed
Conditions
Kidney Cancer
First Posted Date
2003-01-27
Last Posted Date
2009-02-05
Lead Sponsor
Eastern Cooperative Oncology Group
Registration Number
NCT00005966
Locations
🇵🇪

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

and more 11 locations

Thalidomide Plus Interferon Alfa in Treating Patients With Progressive Liver Cancer That Cannot be Surgically Removed

Phase 2
Completed
Conditions
Liver Cancer
Interventions
Biological: recombinant interferon alfa
First Posted Date
2003-01-27
Last Posted Date
2013-02-11
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
38
Registration Number
NCT00006006
Locations
🇺🇸

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

Docetaxel, Estramustine, and Thalidomide in Treating Patients With Prostate Cancer Previously Treated With Hormone Therapy

Phase 2
Completed
Conditions
Prostate Cancer
First Posted Date
2003-01-27
Last Posted Date
2013-04-04
Lead Sponsor
Nuvance Health
Registration Number
NCT00046826
Locations
🇺🇸

Whittingham Cancer Center at Norwalk Hospital, Norwalk, Connecticut, United States

🇺🇸

Carl and Dorothy Bennett Cancer Center at Stamford Hospital, Stamford, Connecticut, United States

Thalidomide in Treating Patients With Relapsed Chronic Lymphocytic Leukemia

Phase 2
Completed
Conditions
B-cell Chronic Lymphocytic Leukemia
Refractory Chronic Lymphocytic Leukemia
Interventions
Other: laboratory biomarker analysis
First Posted Date
2003-01-27
Last Posted Date
2013-10-08
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
41
Registration Number
NCT00006226
Locations
🇺🇸

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

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