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A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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

Selinexor in Combination With Immunomodulator (Thalidomide/Pomalidomide/Lenalidomide)in RRMM

First Posted Date
2021-06-28
Last Posted Date
2023-02-27
Lead Sponsor
Juan Du
Target Recruit Count
90
Registration Number
NCT04941937
Locations
🇨🇳

Shanghai Changzheng Hospital, Shanghai, Shanghai, China

Selinexor in Combination With Thalidomide and Dexamethasone in RRMM

Phase 1
Not yet recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2021-05-18
Last Posted Date
2021-05-18
Lead Sponsor
Li Zheng
Target Recruit Count
48
Registration Number
NCT04891744
Locations
🇨🇳

West China Hospital of Sichuan University, Chengdu, Sichuan, China

Thalidomide in the Treatment of Chronic Radiation Proctitis With Intractable Bleeding

Phase 2
Conditions
Chronic Radiation Proctitis
Interventions
First Posted Date
2020-12-22
Last Posted Date
2020-12-22
Lead Sponsor
Sixth Affiliated Hospital, Sun Yat-sen University
Target Recruit Count
62
Registration Number
NCT04680195

Comparison of BTD and BCD Based Regimens in the Treatment of AL Amyloidosis

Phase 4
Conditions
Immunoglobulin Light-Chain Amyloidosis
Interventions
First Posted Date
2020-11-03
Last Posted Date
2020-11-03
Lead Sponsor
Guangdong Provincial People's Hospital
Target Recruit Count
70
Registration Number
NCT04612582
Locations
🇨🇳

Guangdong Provincial People'S Hospital, Guangzhou, Guangdong, China

TPM Regimen (Thalidomide, Prednisone and Methotrexate) in LGLL

Phase 2
Recruiting
Conditions
Clpd-Nk
T-LGL Leukemia
Interventions
First Posted Date
2020-07-01
Last Posted Date
2020-07-01
Lead Sponsor
Institute of Hematology & Blood Diseases Hospital, China
Target Recruit Count
42
Registration Number
NCT04453345
Locations
🇨🇳

Henan Cancer Hospital, Zhengzhou, Henan, China

🇨🇳

Tongji hopital, Huazhong University of Science and Technology, Wuhan, Hubei, China

🇨🇳

The Second Xiangya Hospital of Central South University, Changsha, Hunan, China

and more 6 locations

Daratumumab-Based Therapy for the Treatment of Newly Diagnosed Multiple Myeloma With Kidney Failure

Phase 2
Terminated
Conditions
Plasma Cell Myeloma
Renal Failure
Interventions
First Posted Date
2020-04-20
Last Posted Date
2024-07-01
Lead Sponsor
Emory University
Target Recruit Count
17
Registration Number
NCT04352205
Locations
🇺🇸

Emory University Hospital/Winship Cancer Institute, Atlanta, Georgia, United States

The Efficacy and Safety of Thalidomide Combined With Low-dose Hormones in the Treatment of Severe COVID-19

Phase 2
Conditions
COVID-19 Thalidomide
Interventions
Drug: placebo
First Posted Date
2020-02-18
Last Posted Date
2020-02-21
Lead Sponsor
First Affiliated Hospital of Wenzhou Medical University
Target Recruit Count
40
Registration Number
NCT04273581

The Efficacy and Safety of Thalidomide in the Adjuvant Treatment of Moderate New Coronavirus (COVID-19) Pneumonia

Phase 2
Conditions
COVID-19 Thalidomide
Interventions
Drug: placebo
First Posted Date
2020-02-18
Last Posted Date
2020-02-21
Lead Sponsor
First Affiliated Hospital of Wenzhou Medical University
Target Recruit Count
100
Registration Number
NCT04273529

Thalidomide, Cyclophosphamide and Dexamethasone for Recurrent/Refractory Adult Langerhans Cell Histiocytosis

Phase 2
Conditions
Langerhans Cell Histiocytosis
Interventions
First Posted Date
2019-10-09
Last Posted Date
2021-06-08
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
20
Registration Number
NCT04120519
Locations
🇨🇳

Peking Union Medical College Hospital, Beijing, China

The Evaluation of Curative Effect on Treatment of Tumor Above Thalidomide Combined With Megestrol

Phase 4
Conditions
Cancer, Therapy-Related
Interventions
Drug: Chemotherapy drugs
Other: optimal support treatment
First Posted Date
2018-12-19
Last Posted Date
2018-12-19
Lead Sponsor
Shenzhen Fifth People's Hospital
Target Recruit Count
200
Registration Number
NCT03777930
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