A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
City of Hope Comprehensive Cancer Center, Duarte, California, United States
USC/Norris Comprehensive Cancer Center and Hospital, Los Angeles, California, United States
University of Chicago Cancer Research Center, Chicago, Illinois, United States
Herbert Irving Comprehensive Cancer Center at Columbia University, New York, New York, United States
New York University Langone Medical Center, New York, New York, United States
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
Tom Baker Cancer Centre, Calgary, Alberta, Canada
London Regional Cancer Program, London, Ontario, Canada
Cancer Centre of Southeastern Ontario at Kingston, Kingston, Ontario, Canada
Radiation Therapy Oncology Group, Philadelphia, Pennsylvania, 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
Beaumont Cancer Center, Royal Oak, Michigan, United States
Texas Oncology PA-BMT Center, Dallas, Texas, United States
Northwest Medical Specialists, Arlington Heights, Illinois, United States
National Cancer Institute (NCI), Bethesda, Maryland, United States
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