Page last updated: 2024-11-05

thalidomide and Leukemia, Myeloid

thalidomide has been researched along with Leukemia, Myeloid in 16 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Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects.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.

Leukemia, Myeloid: Form of leukemia characterized by an uncontrolled proliferation of the myeloid lineage and their precursors (MYELOID PROGENITOR CELLS) in the bone marrow and other sites.

Research Excerpts

ExcerptRelevanceReference
"Sixty patients with advanced multiple myeloma received 2-6 monthly treatment courses combining hyperfractionated cyclophosphamide (300 mg/m2 i."6.71Hyperfractionated cyclophosphamide in combination with pulsed dexamethasone and thalidomide (HyperCDT) in primary refractory or relapsed multiple myeloma. ( Berdel, WE; Bisping, G; Dominé, N; Fenk, R; Heinecke, A; Hentrich, M; Innig, G; Kienast, J; Koch, OM; Kropff, MH; Lang, N; Mitterer, M; Ostermann, H; Straka, C; Südhoff, T, 2003)
" Among the putative inhibitors of angiogenesis, thalidomide has demonstrated a considerable efficacy in myelodysplastic syndromes (MDS) and AML with overall response rates up to 56% and 25%, respectively."4.82Thalidomide for the treatment of acute myeloid leukemia. ( Berdel, WE; Bieker, R; Kessler, T; Kienast, J; Mesters, RM; Padró, T; Steins, MB, 2003)
"Thalidomide in combination with chemotherapy is an alternative treatment option for elderly patients with AML."2.87Thalidomide in Combination with Chemotherapy in Treating Elderly Patients with Acute Myeloid Leukemia. ( Chen, C; Xu, W; Yang, J, 2018)
"Patients ≥ 60 years of age with untreated acute myeloid leukemia received azacitidine 75 mg/m2 for 7 days followed by escalating doses of lenalidomide daily for 21 days starting on day 8 of each cycle every 6 weeks."2.78Sequential azacitidine plus lenalidomide combination for elderly patients with untreated acute myeloid leukemia. ( Abdel-Wahab, O; Berube, C; Coutre, S; Gallegos, L; Gotlib, JR; Greenberg, P; Levine, R; Liedtke, M; Medeiros, BC; Mitchell, BS; Pollyea, DA; Zehnder, J; Zhang, B, 2013)
"Sixty patients with advanced multiple myeloma received 2-6 monthly treatment courses combining hyperfractionated cyclophosphamide (300 mg/m2 i."2.71Hyperfractionated cyclophosphamide in combination with pulsed dexamethasone and thalidomide (HyperCDT) in primary refractory or relapsed multiple myeloma. ( Berdel, WE; Bisping, G; Dominé, N; Fenk, R; Heinecke, A; Hentrich, M; Innig, G; Kienast, J; Koch, OM; Kropff, MH; Lang, N; Mitterer, M; Ostermann, H; Straka, C; Südhoff, T, 2003)
" Overall, adverse events were fatigue, constipation, rash, and neuropathy (grade 1 to 2 in most patients)."2.70Efficacy and safety of thalidomide in patients with acute myeloid leukemia. ( Berdel, WE; Bieker, R; Buechner, T; Kessler, T; Kienast, J; Kropff, M; Mesters, RM; Padró, T; Ruiz, S; Steins, MB, 2002)
"Thalidomide is a putative anti-angiogenesis agent that has significant anti-tumour activity in haematological malignancies with increased bone marrow angiogenesis, including multiple myeloma (MM) and myelodysplastic syndromes (MDS)."1.32Single agent thalidomide in patients with relapsed or refractory acute myeloid leukaemia. ( Albitar, M; Cortes, J; Estey, E; Faderl, S; Giles, FJ; Kantarjian, H; Keating, M; O'Brien, S; Thomas, DA, 2003)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's10 (62.50)29.6817
2010's6 (37.50)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Braulke, F1
Schulz, X1
Germing, U1
Schuler, E1
Platzbecker, U1
Nolte, F1
Hofmann, WK1
Giagounidis, A1
Götze, K1
Lübbert, M1
Schlenk, RF1
Schanz, J1
Bacher, U1
Ganser, A1
Büsche, G1
Letsch, A1
Schafhausen, P1
Bug, G1
Brümmendorf, TH1
Haas, R1
Trümper, L1
Shirneshan, K1
Haase, D1
Chen, C1
Yang, J1
Xu, W1
Basile, FG1
Stone, RM1
Schmidt-Hieber, M1
Dabrowski, R1
Weimann, A1
Aicher, B1
Lohneis, P1
Busse, A1
Thiel, E1
Blau, IW1
Breccia, M1
Cannella, L1
Latagliata, R1
Nanni, M1
Santopietro, M1
Loglisci, G1
Ferretti, A1
Barzotti, R1
Oliva, EN1
Alimena, G1
Landgren, O1
Thomas, A1
Mailankody, S1
Pollyea, DA1
Zehnder, J1
Coutre, S1
Gotlib, JR1
Gallegos, L1
Abdel-Wahab, O1
Greenberg, P1
Zhang, B1
Liedtke, M1
Berube, C1
Levine, R1
Mitchell, BS1
Medeiros, BC1
Badros, A1
Morris, C1
Zangari, M1
Barlogie, B1
Tricot, G1
Estey, EH1
Thall, PF1
Kropff, MH1
Lang, N1
Bisping, G1
Dominé, N1
Innig, G1
Hentrich, M1
Mitterer, M1
Südhoff, T1
Fenk, R1
Straka, C1
Heinecke, A1
Koch, OM1
Ostermann, H1
Berdel, WE3
Kienast, J3
Steins, MB2
Bieker, R2
Padró, T2
Kessler, T2
Mesters, RM2
Thomas, DA1
Estey, E1
Giles, FJ1
Faderl, S1
Cortes, J1
Keating, M1
O'Brien, S1
Albitar, M1
Kantarjian, H1
Mesa, RA1
Tefferi, A1
Li, CY1
Steensma, DP1
Lancet, JE1
List, AF1
Moscinski, LC1
Ruiz, S1
Kropff, M1
Buechner, T1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 1-2 Study of Azacitidine in Combination With Lenalidomide for Previously Untreated Elderly Patients With Acute Myeloid Leukemia[NCT00890929]Phase 1/Phase 245 participants (Actual)Interventional2009-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

4-week Survival Rate

"Early death was assessed as death within 28 days of the start of treatment" (NCT00890929)
Timeframe: 28 days

Interventionpercentage of subjects remaining alive (Number)
Azacitidine Followed by Lenalidomide83

Compete Remission (CR) Rate

Compete Remission (CR) includes subjects with CR but incomplete recovery of blood counts (CRi). CR was assessed according to the European LeukemiaNet (ELN) guidelines, and is defined as the absence of clonal lymphocytes in the peripheral blood. (NCT00890929)
Timeframe: 12 months

Interventionpercentage of subjects (Number)
Azacitidine Followed by Lenalidomide28

Maximum Tolerated Dose (MTD) of Lenalidomide

The maximum tolerated dose (MTD) of lenalidomide was determined in study phase 1, for use in study Phase 2 (not conducted). The outcome is reported as the dose of lenalidomide that represents the MTD. (NCT00890929)
Timeframe: 15 months

Interventionmg/day lenalidomide (oral) (Number)
Azacitidine Followed by Lenalidomide50

OS of Responders

OS from the start of treatment of responders (per ELN guidelines) was assessed at a median follow up of 88 weeks from the end of treatment (range, 1-120), and was censored at 1 April 2012. (NCT00890929)
Timeframe: 88 weeks (median)

Interventionweeks (Median)
Azacitidine Followed by Lenalidomide69

Overall Response Rate (ORR)

ORR includes subjects with CR, CRi, and partial response (PR). Responses were assessed according to the ELN guidelines. (NCT00890929)
Timeframe: 26 months

Interventionpercentage of subjects (Number)
Azacitidine Followed by Lenalidomide41

Overall Survival (OS)

OS from the start of treatment was assessed at a median follow up of 88 weeks from the end of treatment (range, 1-120), and was censored at 1 April 2012. (NCT00890929)
Timeframe: 88 weeks (median)

Interventionweeks (Median)
Azacitidine Followed by Lenalidomide20

Remission Duration

Responses and remission were assessed according to the ELN guidelines. (NCT00890929)
Timeframe: 26 months

Interventionweeks (Median)
Azacitidine Followed by Lenalidomide6

Time to CR

CR includes subjects with CR but incomplete recovery of blood counts (CRi). Responses were assessed according to the ELN guidelines. (NCT00890929)
Timeframe: 18 weeks

Interventionweeks (Median)
Azacitidine Followed by Lenalidomide12

Time to PR

Responses were assessed according to the ELN guidelines. (NCT00890929)
Timeframe: 36 weeks

Interventionweeks (Median)
Azacitidine Followed by Lenalidomide6

Reviews

2 reviews available for thalidomide and Leukemia, Myeloid

ArticleYear
How I treat patients with myelodysplastic syndromes.
    Blood, 2009, Jun-18, Volume: 113, Issue:25

    Topics: Acute Disease; Aged; Azacitidine; Chelation Therapy; Chromosome Deletion; Chromosomes, Human, Pair 5

2009
Thalidomide for the treatment of acute myeloid leukemia.
    Leukemia & lymphoma, 2003, Volume: 44, Issue:9

    Topics: Acute Disease; Aged; Aged, 80 and over; Angiogenesis Inhibitors; Antineoplastic Agents; Bone Marrow;

2003

Trials

5 trials available for thalidomide and Leukemia, Myeloid

ArticleYear
Peripheral blood cytogenetics allows treatment monitoring and early identification of treatment failure to lenalidomide in MDS patients: results of the LE-MON-5 trial.
    Annals of hematology, 2017, Volume: 96, Issue:6

    Topics: Acute Disease; Adult; Aged; Aged, 80 and over; Angiogenesis Inhibitors; Antigens, CD34; Chromosome B

2017
Thalidomide in Combination with Chemotherapy in Treating Elderly Patients with Acute Myeloid Leukemia.
    Oncology research and treatment, 2018, Volume: 41, Issue:7-8

    Topics: Aclarubicin; Acute Disease; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols;

2018
Sequential azacitidine plus lenalidomide combination for elderly patients with untreated acute myeloid leukemia.
    Haematologica, 2013, Volume: 98, Issue:4

    Topics: Acute Disease; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Azacitidine;

2013
Hyperfractionated cyclophosphamide in combination with pulsed dexamethasone and thalidomide (HyperCDT) in primary refractory or relapsed multiple myeloma.
    British journal of haematology, 2003, Volume: 122, Issue:4

    Topics: Acute Disease; Adolescent; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Brain Ischem

2003
Efficacy and safety of thalidomide in patients with acute myeloid leukemia.
    Blood, 2002, Feb-01, Volume: 99, Issue:3

    Topics: Acute Disease; Aged; Aged, 80 and over; Angiogenesis Inhibitors; Bone Marrow; Dose-Response Relation

2002

Other Studies

9 other studies available for thalidomide and Leukemia, Myeloid

ArticleYear
Durable clinical and cytogenetic remission in an elderly patient with relapsed acute myeloid leukemia treated with low-dose lenalidomide.
    Leukemia & lymphoma, 2009, Volume: 50, Issue:4

    Topics: Acute Disease; Aged, 80 and over; Antimetabolites, Antineoplastic; Antineoplastic Agents; Azacitidin

2009
In vitro cytotoxicity of the novel antimyeloma agents perifosine, bortezomib and lenalidomide against different cell lines.
    Investigational new drugs, 2012, Volume: 30, Issue:2

    Topics: Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Apoptosis; Boronic Acids; Bor

2012
Sudden acute leukemia transformation in a MDS patient with del(5q) in complete cytogenetic remission after lenalidomide.
    Leukemia research, 2011, Volume: 35, Issue:6

    Topics: Acute Disease; Aged; Antineoplastic Agents; Cell Transformation, Neoplastic; Chromosome Deletion; Ch

2011
Myeloma and second primary cancers.
    The New England journal of medicine, 2011, Dec-08, Volume: 365, Issue:23

    Topics: Antineoplastic Agents; Humans; Lenalidomide; Leukemia, Myeloid; Melphalan; Multiple Myeloma; Myelody

2011
Thalidomide paradoxical effect on concomitant multiple myeloma and myelodysplasia.
    Leukemia & lymphoma, 2002, Volume: 43, Issue:6

    Topics: Acute Disease; Adult; Aged; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; B

2002
New designs for phase 2 clinical trials.
    Blood, 2003, Jul-15, Volume: 102, Issue:2

    Topics: Acute Disease; Adenine Nucleotides; Adult; Angiogenesis Inhibitors; Antineoplastic Combined Chemothe

2003
Single agent thalidomide in patients with relapsed or refractory acute myeloid leukaemia.
    British journal of haematology, 2003, Volume: 123, Issue:3

    Topics: Acute Disease; Adult; Aged; Aged, 80 and over; Angiogenesis Inhibitors; Biomarkers; Fibroblast Growt

2003
Hematologic and cytogenetic response to lenalidomide monotherapy in acute myeloid leukemia arising from JAK2(V617F) positive, del(5)(q13q33) myelodysplastic syndrome.
    Leukemia, 2006, Volume: 20, Issue:11

    Topics: Acute Disease; Aged, 80 and over; Chromosome Deletion; Chromosomes, Human, Pair 5; Female; Humans; J

2006
Treatment of deletion 5q acute myeloid leukemia with lenalidomide.
    Leukemia, 2007, Volume: 21, Issue:3

    Topics: Acute Disease; Antineoplastic Agents; Bone Marrow; Chromosome Deletion; Chromosomes, Human, Pair 5;

2007