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A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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

Compassionate Use Study of Two Dose Levels of Thalidomide in Adults With HIV Wasting Syndrome

Not Applicable
Completed
Conditions
HIV Infections
HIV Wasting Syndrome
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Celgene Corporation
Registration Number
NCT00002157
Locations
🇺🇸

Celgene Corp, Warren, New Jersey, United States

Placebo-Controlled Trial of Safety and Efficacy of Thalidomide in Patients With Infections Due to Mycobacterium and/or HIV

Phase 1
Completed
Conditions
Mycobacterium Avium-Intracellulare Infection
HIV Infections
Tuberculosis, Mycobacterium Infection
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Aaron Diamond AIDS Research Center
Registration Number
NCT00002104
Locations
🇺🇸

Aaron Diamond AIDS Rsch Ctr / Rockefeller Univ, New York, New York, United States

🇺🇸

Bellevue Hosp Ctr, New York, New York, United States

A Phase I, Placebo-Controlled, Dose-Escalation Study of the Safety, Tolerability, and Pharmacokinetics of Thalidomide in Subjects With HIV-1 Infection

Phase 1
Completed
Conditions
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2021-10-28
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
36
Registration Number
NCT00000812
Locations
🇺🇸

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

and more 3 locations

Thalidomide for Treatment of Oral and Esophageal Aphthous Ulcers and HIV Viremia in Patients With HIV Infection

Phase 2
Completed
Conditions
HIV Infections
Stomatitis, Aphthous
First Posted Date
2001-08-31
Last Posted Date
2021-11-04
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
164
Registration Number
NCT00000790
Locations
🇺🇸

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

and more 37 locations

Thalidomide and Dacarbazine for Metastatic Melanoma

Phase 2
Conditions
Melanoma
First Posted Date
2000-09-11
Last Posted Date
2005-06-24
Lead Sponsor
National Center for Research Resources (NCRR)
Registration Number
NCT00006200
Locations
🇺🇸

Kaplan Comprehensive Cancer Center, New York, New York, United States

Chronic Thalidomide Administration in Patients Undergoing Chemoembolization for Unresectable Hepatocellular Cancer

Phase 2
Conditions
Liver Cancer
First Posted Date
2000-09-11
Last Posted Date
2005-06-24
Lead Sponsor
National Center for Research Resources (NCRR)
Registration Number
NCT00006198
Locations
🇺🇸

Kaplan Comprehensive Cancer Center, New York, New York, United States

Thalidomide for the Treatment of Hormone-Dependent Prostate Cancer

Phase 3
Completed
Conditions
Prostate Cancer
Interventions
First Posted Date
2000-02-21
Last Posted Date
2018-05-22
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
159
Registration Number
NCT00004635
Locations
🇺🇸

University of Minnesota, Minneapolis, Minnesota, United States

🇺🇸

Wayne State University Hutzel Hospital, Detroit, Michigan, United States

🇺🇸

University of Washington, Seattle, Washington, United States

and more 6 locations

Pilot Study of Thalidomide to Treat Sjogren's Syndrome

Phase 2
Completed
Conditions
Sjogren's Syndrome
Xerostomia
First Posted Date
1999-11-04
Last Posted Date
2008-03-04
Lead Sponsor
National Institute of Dental and Craniofacial Research (NIDCR)
Target Recruit Count
28
Registration Number
NCT00001599
Locations
🇺🇸

National Institute of Dental And Craniofacial Research (NIDCR), Bethesda, Maryland, United States

Thalidomide to Treat Oral Lesions in HIV-Infected Patients

Phase 2
Completed
Conditions
Acquired Immunodeficiency Syndrome
Burning Mouth Syndrome
HIV Infection
First Posted Date
1999-11-04
Last Posted Date
2008-03-04
Lead Sponsor
National Institute of Dental and Craniofacial Research (NIDCR)
Target Recruit Count
110
Registration Number
NCT00001524
Locations
🇺🇸

National Institute of Dental And Craniofacial Research (NIDCR), Bethesda, Maryland, United States

Randomized Study of Beta Interferon and Thalidomide in Patients With Adrenoleukodystrophy

Not Applicable
Completed
Conditions
Adrenoleukodystrophy
First Posted Date
1999-10-19
Last Posted Date
2015-03-25
Lead Sponsor
FDA Office of Orphan Products Development
Target Recruit Count
60
Registration Number
NCT00004450
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