Page last updated: 2024-11-05

thalidomide and Epistaxis

thalidomide has been researched along with Epistaxis in 13 studies

Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of immunological and inflammatory disorders. Thalidomide displays immunosuppressive and anti-angiogenic activity. It inhibits release of TUMOR NECROSIS FACTOR-ALPHA from monocytes, and modulates other cytokine action.
thalidomide : A racemate comprising equimolar amounts of R- and S-thalidomide.
2-(2,6-dioxopiperidin-3-yl)-1H-isoindole-1,3(2H)-dione : A dicarboximide that is isoindole-1,3(2H)-dione in which the hydrogen attached to the nitrogen is substituted by a 2,6-dioxopiperidin-3-yl group.

Epistaxis: Bleeding from the nose.

Research Excerpts

ExcerptRelevanceReference
"Low-dose thalidomide seems to be safe and effective for the reduction of epistaxis in patients with hereditary haemorrhagic telangiectasia."9.20Efficacy and safety of thalidomide for the treatment of severe recurrent epistaxis in hereditary haemorrhagic telangiectasia: results of a non-randomised, single-centre, phase 2 study. ( Balduini, CL; Bastia, R; Bellistri, F; Benazzo, M; Chu, F; Danesino, C; Grignani, P; Invernizzi, R; Klersy, C; Matti, E; Olivieri, C; Ornati, F; Pagella, F; Plumitallo, S; Quaglia, F; Spinozzi, G, 2015)
" Thalidomide has been used as a therapeutic strategy for refractory epistaxis in hereditary haemorrhagic telangiectasia patients."8.98The use of thalidomide therapy for refractory epistaxis in hereditary haemorrhagic telangiectasia: systematic review. ( Harrison, L; Jervis, P; Kundra, A, 2018)
"To evaluate the effectiveness of thalidomide for epistaxis in hereditary hemorrhagic telangiectasia (HHT), 7 HHT patients with recurrent epistaxis were treated with thalidomide at an initial dose of 50 mg/d, gradually increasing to 100 mg/d if needed."8.95Thalidomide for Epistaxis in Patients with Hereditary Hemorrhagic Telangiectasia: A Preliminary Study. ( Chen, X; Fang, J; Guan, J; Su, K; Ye, H; Zhang, W; Zhu, B, 2017)
"The aim of this study was to present a new case on the successful use of thalidomide in a patient with acquired von Willebrand syndrome and recurrent angiodysplasia-related GI bleedings, and to conduct a literature review on the use of thalidomide in patients with GI angiodysplasia."8.91Thalidomide for treatment of gastrointestinal bleedings due to angiodysplasia: a case report in acquired von Willebrand syndrome and review of the literature. ( Engelen, ET; Schutgens, RE; van Galen, KP, 2015)
" 67 received thalidomide, all for epistaxis and/or gastrointestinal bleeding; they received thalidomide for a mean of 13."7.91Safety of thalidomide and bevacizumab in patients with hereditary hemorrhagic telangiectasia. ( Botella, LM; Buscarini, E; Dupuis-Girod, S; Geisthoff, U; Kjeldsen, AD; Mager, HJ; Pagella, F; Shovlin, CL; Suppressa, P; Zarrabeitia, R, 2019)
"In this work nasal powder formulations of thalidomide were designed and studied to be used by persons affected by hereditary hemorrhagic telangiectasia as a complementary anti-epistaxis therapy, with the goal of sustaining the effect obtained with thalidomide oral treatment after its discontinuation for adverse effects."7.83Nasal powders of thalidomide for local treatment of nose bleeding in persons affected by hereditary hemorrhagic telangiectasia. ( Bettini, R; Bortolotti, F; Buttini, F; Chiapponi, V; Colombo, G; Colombo, P; Danesino, C; Invernizzi, R; Pagella, F; Quaglia, F; Rossi, A; Russo, P; Sonvico, F, 2016)
" We report here that treatment with thalidomide reduced the severity and frequency of nosebleeds (epistaxis) in the majority of a small group of subjects with HHT tested."7.76Thalidomide stimulates vessel maturation and reduces epistaxis in individuals with hereditary hemorrhagic telangiectasia. ( Arthur, HM; Bréant, C; Disch, F; Eichmann, A; Freitas, C; Larrivée, B; Lebrin, F; Mager, JJ; Martin, S; Mathivet, T; Mummery, CL; Raymond, K; Snijder, RJ; Srun, S; Thomas, JL; van den Brink, S; Westermann, CJ, 2010)
"Thalidomide was recently reported to reduce the severity and frequency of epistaxes in patients with hereditary haemorrhagic telangiectasia (HHT)."5.37Deep vein thrombosis induced by thalidomide to control epistaxis secondary to hereditary haemorrhagic telangiectasia. ( Hermans, C; Lambert, C; Penaloza, A; Vekemans, MC, 2011)
"Low-dose thalidomide seems to be safe and effective for the reduction of epistaxis in patients with hereditary haemorrhagic telangiectasia."5.20Efficacy and safety of thalidomide for the treatment of severe recurrent epistaxis in hereditary haemorrhagic telangiectasia: results of a non-randomised, single-centre, phase 2 study. ( Balduini, CL; Bastia, R; Bellistri, F; Benazzo, M; Chu, F; Danesino, C; Grignani, P; Invernizzi, R; Klersy, C; Matti, E; Olivieri, C; Ornati, F; Pagella, F; Plumitallo, S; Quaglia, F; Spinozzi, G, 2015)
" In a few small studies, thalidomide was shown to consistently improve severity and frequency of epistaxis and improve hemoglobin concentrations while decreasing the need for transfusion."4.98Medical treatment of epistaxis in hereditary hemorrhagic telangiectasia: an evidence-based review. ( Clark, C; Halderman, AA; Invernizzi, R; Marple, BF; Poetker, DM; Reh, DD; Ryan, MW; Sindwani, R, 2018)
" Thalidomide has been used as a therapeutic strategy for refractory epistaxis in hereditary haemorrhagic telangiectasia patients."4.98The use of thalidomide therapy for refractory epistaxis in hereditary haemorrhagic telangiectasia: systematic review. ( Harrison, L; Jervis, P; Kundra, A, 2018)
"To evaluate the effectiveness of thalidomide for epistaxis in hereditary hemorrhagic telangiectasia (HHT), 7 HHT patients with recurrent epistaxis were treated with thalidomide at an initial dose of 50 mg/d, gradually increasing to 100 mg/d if needed."4.95Thalidomide for Epistaxis in Patients with Hereditary Hemorrhagic Telangiectasia: A Preliminary Study. ( Chen, X; Fang, J; Guan, J; Su, K; Ye, H; Zhang, W; Zhu, B, 2017)
"The aim of this study was to present a new case on the successful use of thalidomide in a patient with acquired von Willebrand syndrome and recurrent angiodysplasia-related GI bleedings, and to conduct a literature review on the use of thalidomide in patients with GI angiodysplasia."4.91Thalidomide for treatment of gastrointestinal bleedings due to angiodysplasia: a case report in acquired von Willebrand syndrome and review of the literature. ( Engelen, ET; Schutgens, RE; van Galen, KP, 2015)
" 67 received thalidomide, all for epistaxis and/or gastrointestinal bleeding; they received thalidomide for a mean of 13."3.91Safety of thalidomide and bevacizumab in patients with hereditary hemorrhagic telangiectasia. ( Botella, LM; Buscarini, E; Dupuis-Girod, S; Geisthoff, U; Kjeldsen, AD; Mager, HJ; Pagella, F; Shovlin, CL; Suppressa, P; Zarrabeitia, R, 2019)
"In this work nasal powder formulations of thalidomide were designed and studied to be used by persons affected by hereditary hemorrhagic telangiectasia as a complementary anti-epistaxis therapy, with the goal of sustaining the effect obtained with thalidomide oral treatment after its discontinuation for adverse effects."3.83Nasal powders of thalidomide for local treatment of nose bleeding in persons affected by hereditary hemorrhagic telangiectasia. ( Bettini, R; Bortolotti, F; Buttini, F; Chiapponi, V; Colombo, G; Colombo, P; Danesino, C; Invernizzi, R; Pagella, F; Quaglia, F; Rossi, A; Russo, P; Sonvico, F, 2016)
" We report here that treatment with thalidomide reduced the severity and frequency of nosebleeds (epistaxis) in the majority of a small group of subjects with HHT tested."3.76Thalidomide stimulates vessel maturation and reduces epistaxis in individuals with hereditary hemorrhagic telangiectasia. ( Arthur, HM; Bréant, C; Disch, F; Eichmann, A; Freitas, C; Larrivée, B; Lebrin, F; Mager, JJ; Martin, S; Mathivet, T; Mummery, CL; Raymond, K; Snijder, RJ; Srun, S; Thomas, JL; van den Brink, S; Westermann, CJ, 2010)
"Although epistaxis is usually presented in childhood (mean age 11 ± 7."1.48Clinical features and treatment of hereditary hemorrhagic telangiectasia. ( Li, S; Wang, SJ; Zhao, YQ, 2018)
"Thalidomide was recently reported to reduce the severity and frequency of epistaxes in patients with hereditary haemorrhagic telangiectasia (HHT)."1.37Deep vein thrombosis induced by thalidomide to control epistaxis secondary to hereditary haemorrhagic telangiectasia. ( Hermans, C; Lambert, C; Penaloza, A; Vekemans, MC, 2011)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's13 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Fang, J1
Chen, X1
Zhu, B1
Ye, H1
Zhang, W1
Guan, J1
Su, K1
Halderman, AA1
Ryan, MW1
Clark, C1
Sindwani, R1
Reh, DD1
Poetker, DM1
Invernizzi, R3
Marple, BF1
Baysal, M1
Ümit, EG1
Kırkızlar, HO1
Özdöver, AC1
Demir, AM1
Li, S1
Wang, SJ1
Zhao, YQ1
Harrison, L1
Kundra, A1
Jervis, P1
Buscarini, E1
Botella, LM1
Geisthoff, U1
Kjeldsen, AD1
Mager, HJ1
Pagella, F3
Suppressa, P1
Zarrabeitia, R1
Dupuis-Girod, S1
Shovlin, CL1
Engelen, ET1
van Galen, KP1
Schutgens, RE1
Franchini, M1
Lippi, G1
Quaglia, F2
Klersy, C1
Ornati, F1
Chu, F1
Matti, E1
Spinozzi, G1
Plumitallo, S1
Grignani, P1
Olivieri, C1
Bastia, R1
Bellistri, F1
Danesino, C2
Benazzo, M1
Balduini, CL1
Colombo, G1
Bortolotti, F1
Chiapponi, V1
Buttini, F1
Sonvico, F1
Russo, P1
Bettini, R1
Colombo, P1
Rossi, A1
Lebrin, F1
Srun, S1
Raymond, K1
Martin, S1
van den Brink, S1
Freitas, C1
Bréant, C1
Mathivet, T1
Larrivée, B1
Thomas, JL1
Arthur, HM1
Westermann, CJ1
Disch, F1
Mager, JJ1
Snijder, RJ1
Eichmann, A1
Mummery, CL1
Akhurst, RJ1
Penaloza, A1
Vekemans, MC1
Lambert, C1
Hermans, C1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Type 3 Von Willebrand International Registries Inhibitor Prospective Study[NCT02460458]265 participants (Actual)Observational2012-11-05Active, not recruiting
Efficacy of Thalidomide in the Treatment of Severe Recurrent Epistaxis in Hereditary Hemorrhagic Telangiectasia (HHT)[NCT01485224]Phase 231 participants (Actual)Interventional2011-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Centralized Factor VIII (FVIII) Amidolytic Activity (FVIII:Am) Laboratory Test for Type 3 Von Willebrand's Disease (VWD3) Diagnosis

Measurement of Factor VIII (FVIII) Amidolytic Activity (FVIII:Am) in the blood through chromogenic test. Only patients with FVIII:Am less or equal to 5 IU/dL were considered for the analysis. (NCT02460458)
Timeframe: 12 months (confirmatory phase)

InterventionIU/dL (Mean)
Type 3 Von Willebrand's Disease (VWD3)1.63

Centralized Factor VIII (FVIII) Antigen (FVIII:Ag) Laboratory Test for Type 3 Von Willebrand's Disease (VWD3) Diagnosis

Measurement of the amount of Factor VIII (FVIII) protein in the blood through FVIII:Ag test. Only patients with FVIII:Ag less or equal to 5 IU/dL were considered for the analysis. (NCT02460458)
Timeframe: 12 months (confirmatory phase)

InterventionIU/dL (Mean)
Type 3 Von Willebrand's Disease (VWD3)3.64

Centralized Factor VIII (FVIII) Procoagulant Activity (FVIII:C) Laboratory Test for Type 3 Von Willebrand's Disease (VWD3) Diagnosis

Measurement of the Factor VIII (FVIII) Procoagulant Activity (FVIII:C) in the blood through one-stage clotting test. Only patients with FVIII:C less or equal to 5 IU/dL were considered for the analysis. (NCT02460458)
Timeframe: 12 months (confirmatory phase)

InterventionIU/dL (Mean)
Type 3 Von Willebrand's Disease (VWD3)2.43

Centralized Von Willebrand Factor (VWF) Propeptide Laboratory Test for Type 3 Von Willebrand's Disease (VWD3) Diagnosis

Measurement of Von Willebrand Factor (VWF) Propeptide levels in the blood through VWF Propeptide test. (NCT02460458)
Timeframe: 12 months (confirmatory phase)

InterventionIU/dL (Mean)
Type 3 Von Willebrand's Disease (VWD3)7.3

Centralized Von Willebrand Factor Antigen (VWF:Ag) Laboratory Test for Type 3 Von Willebrand's Disease (VWD3) Diagnosis

Measurement of the amount of Von Willebrand Factor (VWF) protein in the blood through Von Willebrand Factor Antigen (VWF:Ag) test. Only patients with VWF:Ag less or equal to 5 IU/dL were considered for the analysis. (NCT02460458)
Timeframe: 12 months (confirmatory phase)

InterventionIU/dL (Mean)
Type 3 Von Willebrand's Disease (VWD3)1.29

Local Laboratory Tests for Type 3 Von Willebrand's Disease (VWD3) Diagnosis (Composite)

"Number of patients for who the following tests have been performed:~Hemoglobin (mmol/L), Hemagglutination Titer (HT) (%), Mean Corpuscular Volume (MVC) (fl), Leucocytes (E9/L), Neutrophils (%), Basophils (%), Eosinophils (%), Lymphocytes (%), Platelet Count (E9/L), Mean Platelet Volume (MPV) (fl), Prothrombin Time (sec), Partial Thromboplastin Time (PTT) (sec), Partial Thromboplastin Time Mix 50:50 (PTT mix 50:50) (sec), Ferritin (ug/l), Bleeding Time (min:sec), Closure Time (sec), Collagen/ADP (sec), Collagen/Epinephrine (sec); Factor VIII Procoagulant Activity (FVIII:C) (IU/mL), Von Willebrand Factor Ristocetin Cofactor (VWF:RCo) (IU/mL), Won Willebrand Factor Antigen (VWF:Ag) (IU/mL)." (NCT02460458)
Timeframe: 24 months (retrospective phase)

InterventionParticipants (Count of Participants)
Type 3 Von Willebrand's Disease (VWD3)265

Number of Patients With Available Local Laboratory Test for Anti-Von Willebrand Factor (Anti-VWF) Antibodies

Evaluation of the titre of Anti-Von Willebrand Factor (anti-VWF) Antibodies through Bethesda Test. (NCT02460458)
Timeframe: 24 months (retrospective phase)

InterventionParticipants (Count of Participants)
Type 3 Von Willebrand's Disease (VWD3)4

Patients Experiencing Allergic Reactions During Use of Von Willebrand Factor (VWF)-Containing Concentrates

Record of any allergic and anaphylactic reactions occurred in the past due to the use of any Von Willebrand Factor (VWF) concentrate and the date of onset. (NCT02460458)
Timeframe: 24 months (retrospective phase)

InterventionParticipants (Count of Participants)
Type 3 Von Willebrand's Disease (VWD3)41

Number of Participants With Previous Use of Blood Products

Record of any product used during the retrospective phase (collected type of blood products/Von Willebrand Factor (VWF) concentrate, year of first exposure, units used). (NCT02460458)
Timeframe: 24 months (retrospective phase)

InterventionParticipants (Count of Participants)
Packed red cellsCryoprecipitatesFresh frozen plasmaPlatelet concentrates
Type 3 Von Willebrand's Disease (VWD3)24123101

Reviews

4 reviews available for thalidomide and Epistaxis

ArticleYear
Thalidomide for Epistaxis in Patients with Hereditary Hemorrhagic Telangiectasia: A Preliminary Study.
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2017, Volume: 157, Issue:2

    Topics: Adult; Aged; Epistaxis; Female; Humans; Male; Middle Aged; Severity of Illness Index; Telangiectasia

2017
Medical treatment of epistaxis in hereditary hemorrhagic telangiectasia: an evidence-based review.
    International forum of allergy & rhinology, 2018, Volume: 8, Issue:6

    Topics: Administration, Oral; Administration, Topical; Angiogenesis Inhibitors; Epistaxis; Estriol; Estrogen

2018
The use of thalidomide therapy for refractory epistaxis in hereditary haemorrhagic telangiectasia: systematic review.
    The Journal of laryngology and otology, 2018, Volume: 132, Issue:10

    Topics: Angiogenesis Inhibitors; Epistaxis; Humans; Recurrence; Telangiectasia, Hereditary Hemorrhagic; Thal

2018
Thalidomide for treatment of gastrointestinal bleedings due to angiodysplasia: a case report in acquired von Willebrand syndrome and review of the literature.
    Haemophilia : the official journal of the World Federation of Hemophilia, 2015, Volume: 21, Issue:4

    Topics: Aged; Angiodysplasia; Databases, Factual; Epistaxis; Female; Gastrointestinal Hemorrhage; Humans; Me

2015

Trials

1 trial available for thalidomide and Epistaxis

ArticleYear
Efficacy and safety of thalidomide for the treatment of severe recurrent epistaxis in hereditary haemorrhagic telangiectasia: results of a non-randomised, single-centre, phase 2 study.
    The Lancet. Haematology, 2015, Volume: 2, Issue:11

    Topics: Aged; Epistaxis; Female; Humans; Italy; Male; Middle Aged; Quality of Life; Telangiectasia, Heredita

2015

Other Studies

8 other studies available for thalidomide and Epistaxis

ArticleYear
Thalidomide for the Management of Bleeding Episodes in Patients with Hereditary Hemorrhagic Telangiectasia: Effects on Epistaxis Severity Score and Quality of Life
    Turkish journal of haematology : official journal of Turkish Society of Haematology, 2019, 02-07, Volume: 36, Issue:1

    Topics: Adult; Aged; Epistaxis; Female; Humans; Immunosuppressive Agents; Male; Middle Aged; Quality of Life

2019
Clinical features and treatment of hereditary hemorrhagic telangiectasia.
    Medicine, 2018, Volume: 97, Issue:31

    Topics: Adult; Angiogenesis Inhibitors; Arteriovenous Malformations; Delayed Diagnosis; Epistaxis; Female; H

2018
Safety of thalidomide and bevacizumab in patients with hereditary hemorrhagic telangiectasia.
    Orphanet journal of rare diseases, 2019, 02-04, Volume: 14, Issue:1

    Topics: Adolescent; Adult; Bevacizumab; Epistaxis; Female; Hemorrhage; Humans; Male; Retrospective Studies;

2019
Thalidomide for hereditary haemorrhagic telangiectasia.
    The Lancet. Haematology, 2015, Volume: 2, Issue:11

    Topics: Epistaxis; Humans; Telangiectasia, Hereditary Hemorrhagic; Thalidomide

2015
Nasal powders of thalidomide for local treatment of nose bleeding in persons affected by hereditary hemorrhagic telangiectasia.
    International journal of pharmaceutics, 2016, Nov-30, Volume: 514, Issue:1

    Topics: Administration, Intranasal; Animals; beta-Cyclodextrins; Chemistry, Pharmaceutical; Drug Carriers; E

2016
Thalidomide stimulates vessel maturation and reduces epistaxis in individuals with hereditary hemorrhagic telangiectasia.
    Nature medicine, 2010, Volume: 16, Issue:4

    Topics: Aged; Animals; Blood Vessels; Disease Models, Animal; Endothelial Cells; Epistaxis; Hemoglobins; Hum

2010
Taking thalidomide out of rehab.
    Nature medicine, 2010, Volume: 16, Issue:4

    Topics: Animals; Endothelial Cells; Epistaxis; Humans; Mice; Neovascularization, Physiologic; Telangiectasia

2010
Deep vein thrombosis induced by thalidomide to control epistaxis secondary to hereditary haemorrhagic telangiectasia.
    Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis, 2011, Volume: 22, Issue:7

    Topics: Activin Receptors, Type II; Contraindications; Epistaxis; Female; Humans; Middle Aged; Mutation; Tel

2011