Thalidomide and lenalidomide: Mechanism-based potential drug combinations

Sonia Vallet, Antonio Palumbo, Noopur Raje, Mario Boccadoro, Kenneth C Anderson

Research output: Journal article (peer-reviewed)Review article

99 Citations (Scopus)

Abstract

Thalidomide and its analogue lenalidomide are potent anti-inflammatory, anti-angiogenic and immunomodulatory drugs, successfully used for the treatment of hematological cancers, in particular multiple myeloma (MM). Both drugs reveal a dual mechanism of action: they target tumour cells by direct cytotoxicity and, indirectly, by interfering with several components of the bone marrow microenvironment. Lenalidomide and thalidomide are versatile drugs with a broad range of activities that potentiate the anti-MM effects of conventional and novel agents. Here, we review the mechanism of action of these drugs, providing a rationale for combination studies in order to improve patient outcome and reduce side effects.

Original languageEnglish
Pages (from-to)1238-1245
Number of pages8
JournalLeukemia and Lymphoma
Volume49
Issue number7
DOIs
Publication statusPublished - Jul 2008
Externally publishedYes

Keywords

  • Antineoplastic Combined Chemotherapy Protocols/therapeutic use
  • Apoptosis/drug effects
  • Bone Marrow/drug effects
  • Humans
  • Immune System/drug effects
  • Lenalidomide
  • Multiple Myeloma/drug therapy
  • Thalidomide/analogs & derivatives

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