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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

Overview

A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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

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A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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

Clinical Trials

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Title
Posted
Study ID
Phase
Status
Sponsor
2018/11/29
Phase 2
Recruiting
2018/10/29
N/A
NO_LONGER_AVAILABLE
2018/08/29
Phase 2
Completed
Blood Diseases Clinic
2018/08/01
Phase 2
Withdrawn
2018/07/26
Not Applicable
UNKNOWN
Yunpeng Liu
2017/11/14
Phase 2
UNKNOWN
2017/10/24
Phase 3
UNKNOWN
2017/07/18
Phase 3
Terminated
IRCCS Burlo Garofolo
2017/07/05
Phase 2
UNKNOWN
2017/06/29
Phase 2
UNKNOWN

FDA Drug Approvals

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HSA Drug Approvals

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NMPA Drug Approvals

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PPB Drug Approvals

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TGA Drug Approvals

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