A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
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
University of Colorado Hospital CRS, Aurora, Colorado, United States
University of Minnesota, ACTU, Minneapolis, Minnesota, United States
Memorial Sloan-Kettering Cancer 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
Kaplan Comprehensive Cancer Center, New York, New York, United States
Kaplan Comprehensive Cancer Center, New York, New York, United States
University of Minnesota, Minneapolis, Minnesota, United States
Wayne State University Hutzel Hospital, Detroit, Michigan, United States
University of Washington, Seattle, Washington, United States
National Institute of Dental And Craniofacial Research (NIDCR), Bethesda, Maryland, United States
National Institute of Dental And Craniofacial Research (NIDCR), Bethesda, Maryland, United States
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