Page last updated: 2024-11-05

thalidomide and Pancreatic Neoplasms

thalidomide has been researched along with Pancreatic Neoplasms in 22 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Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects.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.

Pancreatic Neoplasms: Tumors or cancer of the PANCREAS. Depending on the types of ISLET CELLS present in the tumors, various hormones can be secreted: GLUCAGON from PANCREATIC ALPHA CELLS; INSULIN from PANCREATIC BETA CELLS; and SOMATOSTATIN from the SOMATOSTATIN-SECRETING CELLS. Most are malignant except the insulin-producing tumors (INSULINOMA).

Research Excerpts

ExcerptRelevanceReference
"Treatment with temozolomide and thalidomide was associated with an objective biochemical (chromogranin A) response rate of 40%, and a radiologic response rate of 25% (45% among pancreatic endocrine tumors, 33% among pheochromocytomas, and 7% among carcinoid tumors)."9.12Phase II study of temozolomide and thalidomide in patients with metastatic neuroendocrine tumors. ( Clark, JW; Enzinger, PC; Fuchs, CS; Kulke, MH; Michelini, A; Muzikansky, A; Ryan, DP; Stuart, K; Vincitore, M, 2006)
"Fifty patients with advanced pancreatic cancer who had lost at least 10% of their body weight were randomised to receive thalidomide 200 mg daily or placebo for 24 weeks in a single centre, double blind, randomised controlled trial."9.11Thalidomide in the treatment of cancer cachexia: a randomised placebo controlled trial. ( Duncan, HD; Ellis, RD; Goggin, PM; Gordon, JN; Johns, T; Trebble, TM, 2005)
"Curative treatment of aggressive Kaposi sarcoma (KS) with conventional chemotherapy in human immunodeficiency virus (HIV)-infected patients remains difficult."5.39Clinical activity of lenalidomide in visceral human immunodeficiency virus-related Kaposi sarcoma. ( Burg, S; Crickx, B; Di Lucca, J; Feldman, J; Joly, V; Lariven, S; Marinho, E; Maubec, E; Peytavin, G; Raymond, E; Sarda-Mantel, L; Steff, M, 2013)
"Treatment with temozolomide and thalidomide was associated with an objective biochemical (chromogranin A) response rate of 40%, and a radiologic response rate of 25% (45% among pancreatic endocrine tumors, 33% among pheochromocytomas, and 7% among carcinoid tumors)."5.12Phase II study of temozolomide and thalidomide in patients with metastatic neuroendocrine tumors. ( Clark, JW; Enzinger, PC; Fuchs, CS; Kulke, MH; Michelini, A; Muzikansky, A; Ryan, DP; Stuart, K; Vincitore, M, 2006)
"Fifty patients with advanced pancreatic cancer who had lost at least 10% of their body weight were randomised to receive thalidomide 200 mg daily or placebo for 24 weeks in a single centre, double blind, randomised controlled trial."5.11Thalidomide in the treatment of cancer cachexia: a randomised placebo controlled trial. ( Duncan, HD; Ellis, RD; Goggin, PM; Gordon, JN; Johns, T; Trebble, TM, 2005)
" Herein, we report on a patient with pancreatic adenocarcinoma and metastatic disease treated with a combination regimen of gemcitabine and lenalidomide, without major complications."3.76Gemcitabine and lenalidomide combination in a patient with metastatic pancreatic cancer: a case study. ( Dalgleish, AG; Liu, WM; Nizar, S, 2010)
"Patients with advanced pancreatic cancer were treated in first line with lenalidomide orally for 21 days of a 28 days cycle and the standard regimen for gemcitabine."2.84Clinical and Immune Effects of Lenalidomide in Combination with Gemcitabine in Patients with Advanced Pancreatic Cancer. ( Broberg, M; Liljefors, M; Mellstedt, H; Mozaffari, F; Ullenhag, GJ, 2017)
" The tolerability profile demonstrated in the dose escalation schedule of lenalidomide suggests the dosing of lenalidomide to be 25 mg daily on days 1-21 with standard dosing of gemcitabine and merits further evaluation in a phase II trial."2.80A phase I dose-escalation study of lenalidomide in combination with gemcitabine in patients with advanced pancreatic cancer. ( Liljefors, M; Rossmann, E; Ullenhag, GJ, 2015)
"Capecitabine was administered orally twice a day at a dose of 1, 250 mg/m(2) for 14-day followed by 7-day rest and oral thalidomide 100 mg was given daily without interruption until disease progression or occurrence of unacceptable toxicity."2.78[Effect of second-line treatment with capecitabine and thalidomide in patients with advanced pancreatic cancer]. ( Li, CH; Ma, TH; Shi, SB; Tang, XY, 2013)
"To evaluate the 6-mo overall survival, safety and tolerability of lenalidomide in combination with standard gemcitabine as first-line treatment for patients with metastatic pancreatic cancer."2.78Lenalidomide in combination with gemcitabine as first-line treatment for patients with metastatic carcinoma of the pancreas: a Sarah Cannon Research Institute phase II trial. ( Arkenau, HT; Bendell, JC; Burris, HA; Hainsworth, JD; Infante, JR; Jones, GT; Lane, CM; Rubin, MS; Spigel, DR; Waterhouse, D, 2013)
"Pomalidomide is an investigational immunomodulating drug (IMiD) that also inhibits angiogenesis and has direct anti-tumour effects."2.76A phase I, dose-escalation study of pomalidomide (CC-4047) in combination with gemcitabine in metastatic pancreas cancer. ( Bendell, JC; Burris, HA; Hainsworth, JD; Infante, JR; Jones, SF; Messersmith, WA; Spigel, DR; Weekes, CD; Yardley, DA, 2011)
"Thalidomide was fairly well tolerated in patients with metastatic carcinoid/islet cell tumors, but failed to reveal any objective responses."2.73Phase II study of thalidomide in patients with metastatic carcinoid and islet cell tumors. ( Campbell, J; Shah, MH; Varker, KA, 2008)
"The poor outcome of pancreatic cancer with conventional treatment options emphasizes the need for continued research."2.43Docetaxel in the management of advanced pancreatic cancer. ( Lopes, G; Rocha Lima, CM, 2005)
"Chemotherapies for pancreatic cancer are typically studied for their cytotoxic properties rather than for their ability to increase the immunogenicity of pancreatic tumour cells."1.62Effect of Gemcitabine based chemotherapy on the immunogenicity of pancreatic tumour cells and T-cells. ( Dalgleish, AG; Kasow, S; Samad, M; Smith, PL; Yogaratnam, Y, 2021)
"Pomalidomide treatment resulted in downregulation of interferon regulatory factor 4, a transcription factor for M2 macrophage polarization."1.51Pomalidomide Alters Pancreatic Macrophage Populations to Generate an Immune-Responsive Environment at Precancerous and Cancerous Lesions. ( Bastea, LI; Copland, JA; Doeppler, H; Edenfield, B; Fleming, AK; Li, Z; Liou, GY; Pandey, V; Qiu, Y; Storz, P; Tun, HW; von Roemeling, CA, 2019)
"Curative treatment of aggressive Kaposi sarcoma (KS) with conventional chemotherapy in human immunodeficiency virus (HIV)-infected patients remains difficult."1.39Clinical activity of lenalidomide in visceral human immunodeficiency virus-related Kaposi sarcoma. ( Burg, S; Crickx, B; Di Lucca, J; Feldman, J; Joly, V; Lariven, S; Marinho, E; Maubec, E; Peytavin, G; Raymond, E; Sarda-Mantel, L; Steff, M, 2013)
"Thalidomide has been shown to have antiangiogenic and immunomodulatory effects, including the inhibition of vascular endothelial growth factor, basic fibroblast growth factor and tumor necrosis factor alpha."1.32[A case of advanced pancreatic cancer with remarkable response to thalidomide, celecoxib and gemcitabine]. ( Hada, M; Mizutari, K, 2004)
"The prognosis of pancreatic cancer with metastases or recurrence is quite poor."1.32[A case report of metastatic pancreatic cancer that responded remarkably to the combination of thalidomide, celecoxib and irinotecan]. ( Hada, M; Mizutari, K, 2004)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's10 (45.45)29.6817
2010's10 (45.45)24.3611
2020's2 (9.09)2.80

Authors

AuthorsStudies
Nishi, H1
Gotoh, K1
Tomimaru, Y1
Kobayashi, S1
Sasaki, K1
Iwagami, Y1
Yamada, D1
Akita, H1
Asaoka, T1
Noda, T1
Takahashi, H1
Tanemura, M1
Doki, Y1
Eguchi, H1
Smith, PL1
Yogaratnam, Y1
Samad, M1
Kasow, S1
Dalgleish, AG4
Bastea, LI1
Liou, GY1
Pandey, V1
Fleming, AK1
von Roemeling, CA1
Doeppler, H1
Li, Z1
Qiu, Y1
Edenfield, B1
Copland, JA1
Tun, HW1
Storz, P1
Shi, SB1
Ma, TH1
Tang, XY1
Li, CH1
Steff, M1
Joly, V1
Di Lucca, J1
Feldman, J1
Burg, S1
Sarda-Mantel, L1
Peytavin, G1
Marinho, E1
Crickx, B1
Raymond, E1
Lariven, S1
Maubec, E1
Ullenhag, GJ2
Rossmann, E1
Liljefors, M2
Kuroda, H1
Yoshida, M1
Usami, M1
Shimoyama, S1
Sakamoto, H1
Yamada, M1
Fujii, S1
Maeda, M1
Fujita, M1
Kanari, Y1
Sato, T1
Kato, J1
Mozaffari, F1
Broberg, M1
Mellstedt, H1
Liu, WM1
Nizar, S1
Infante, JR2
Jones, SF1
Bendell, JC2
Spigel, DR2
Yardley, DA1
Weekes, CD1
Messersmith, WA1
Hainsworth, JD2
Burris, HA2
Fryer, RA1
Barlett, B1
Galustian, C1
Arkenau, HT1
Rubin, MS1
Waterhouse, D1
Jones, GT1
Lane, CM1
Marriott, JB1
Clarke, IA1
Czajka, A1
Dredge, K1
Childs, K1
Man, HW1
Schafer, P1
Govinda, S1
Muller, GW1
Stirling, DI1
Hada, M2
Mizutari, K2
Stroud, M1
Gordon, JN1
Trebble, TM1
Ellis, RD1
Duncan, HD1
Johns, T1
Goggin, PM1
Lopes, G1
Rocha Lima, CM1
Kulke, MH1
Stuart, K1
Enzinger, PC1
Ryan, DP1
Clark, JW1
Muzikansky, A1
Vincitore, M1
Michelini, A1
Fuchs, CS1
Varker, KA1
Campbell, J1
Shah, MH1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase I/II Study of Lenalidomide and Gemcitabine as First-line Treatment in Patients With Locally Advanced or Metastatic Pancreatic Cancer[NCT01547260]Phase 1/Phase 234 participants (Actual)Interventional2009-10-31Completed
A Phase I/II Study of CC-4047 in Combination With Gemcitabine in Subjects With Untreated Advanced Carcinoma of the Pancreas[NCT00540579]Phase 1/Phase 223 participants (Actual)Interventional2007-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

The Safety and Tolerability of Protocol Treatment, Defined as the Percentage of Patients Experiencing Severe or Life-threatening Side Effects Per CTCAE Version 3.0

The relative incidence of Grade 3/4 adverse events from protocol treatment as defined by Common Terminology Criteria for Adverse Events v3.0 (CTCAE) (NCT00540579)
Timeframe: 24 Months

Interventionpercentage of patients (Number)
Pomalidomide/Gemcitabine39

Determination of Maximum Tolerated Dose (MTD), The Dose of Study Drug(s) Which Causes <33% of Patients Treated to Experience Unacceptable Side Effects

"Unacceptable side effects or dose-limiting toxicities (DLTs) were defined as follows:~Inability to Complete cycle 1 of therapy due to drug-related toxicity.~> Grade 3 non-hematological drug-related toxicity (excluding alopecia) despite optimal supportive care~Febrile neutropenia (absolute neutrophil count [ANC] <1,000/μL and fever >101° F (38.5° C))~Grade 4 neutropenia that occurs prior to day 21. (Grade 4 neutropenia that occurs after day 21 but resolves within 7 days of the scheduled cycle 2, will not be considered DLT)~Platelet count < 25,000/μL~Inability to initiate Cycle 2, Day 1 therapy within 7 days of scheduled start (i.e. cannot delay the start of Cycle 2 by more than 7 days following the normal 7 day recovery period) due to drug-related toxicity." (NCT00540579)
Timeframe: 6 months

Interventionmilligrams (Number)
PomalidomideGemcitabine
Pomalidomide/Gemcitabine101000

Reviews

2 reviews available for thalidomide and Pancreatic Neoplasms

ArticleYear
Thalidomide and cancer cachexia: old problem, new hope?
    Gut, 2005, Volume: 54, Issue:4

    Topics: Angiogenesis Inhibitors; Cachexia; Humans; Neoplasms; Pancreatic Neoplasms; Thalidomide

2005
Docetaxel in the management of advanced pancreatic cancer.
    Seminars in oncology, 2005, Volume: 32, Issue:2 Suppl 4

    Topics: Antineoplastic Agents, Phytogenic; Antineoplastic Combined Chemotherapy Protocols; Camptothecin; Cap

2005

Trials

8 trials available for thalidomide and Pancreatic Neoplasms

ArticleYear
[Effect of second-line treatment with capecitabine and thalidomide in patients with advanced pancreatic cancer].
    Zhonghua zhong liu za zhi [Chinese journal of oncology], 2013, Volume: 35, Issue:4

    Topics: Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Capecitabine; Deoxycytidine; Diarrhea;

2013
A phase I dose-escalation study of lenalidomide in combination with gemcitabine in patients with advanced pancreatic cancer.
    PloS one, 2015, Volume: 10, Issue:4

    Topics: Adenocarcinoma; Administration, Oral; Aged; Anticoagulants; Antineoplastic Combined Chemotherapy Pro

2015
Clinical and Immune Effects of Lenalidomide in Combination with Gemcitabine in Patients with Advanced Pancreatic Cancer.
    PloS one, 2017, Volume: 12, Issue:1

    Topics: Aged; Antineoplastic Combined Chemotherapy Protocols; CD4-Positive T-Lymphocytes; CD8-Positive T-Lym

2017
A phase I, dose-escalation study of pomalidomide (CC-4047) in combination with gemcitabine in metastatic pancreas cancer.
    European journal of cancer (Oxford, England : 1990), 2011, Volume: 47, Issue:2

    Topics: Aged; Antineoplastic Combined Chemotherapy Protocols; Deoxycytidine; Dose-Response Relationship, Dru

2011
Lenalidomide in combination with gemcitabine as first-line treatment for patients with metastatic carcinoma of the pancreas: a Sarah Cannon Research Institute phase II trial.
    Cancer biology & therapy, 2013, Volume: 14, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Deoxycytidine; Disea

2013
Thalidomide in the treatment of cancer cachexia: a randomised placebo controlled trial.
    Gut, 2005, Volume: 54, Issue:4

    Topics: Aged; Angiogenesis Inhibitors; Body Weight; Cachexia; Double-Blind Method; Female; Humans; Male; Nut

2005
Phase II study of temozolomide and thalidomide in patients with metastatic neuroendocrine tumors.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2006, Jan-20, Volume: 24, Issue:3

    Topics: Adrenal Gland Neoplasms; Adult; Aged; Angiogenesis Inhibitors; Antineoplastic Agents, Alkylating; An

2006
Phase II study of thalidomide in patients with metastatic carcinoid and islet cell tumors.
    Cancer chemotherapy and pharmacology, 2008, Volume: 61, Issue:4

    Topics: Adenoma, Islet Cell; Adult; Aged; Angiogenesis Inhibitors; Biomarkers, Tumor; Carcinoid Tumor; Chrom

2008

Other Studies

12 other studies available for thalidomide and Pancreatic Neoplasms

ArticleYear
Anti-tumor effect of avadomide in gemcitabine-resistant pancreatic ductal adenocarcinoma.
    Cancer chemotherapy and pharmacology, 2023, Volume: 92, Issue:4

    Topics: Animals; Apoptosis; Carcinoma, Pancreatic Ductal; Cell Line, Tumor; Cell Proliferation; Deoxycytidin

2023
Anti-tumor effect of avadomide in gemcitabine-resistant pancreatic ductal adenocarcinoma.
    Cancer chemotherapy and pharmacology, 2023, Volume: 92, Issue:4

    Topics: Animals; Apoptosis; Carcinoma, Pancreatic Ductal; Cell Line, Tumor; Cell Proliferation; Deoxycytidin

2023
Anti-tumor effect of avadomide in gemcitabine-resistant pancreatic ductal adenocarcinoma.
    Cancer chemotherapy and pharmacology, 2023, Volume: 92, Issue:4

    Topics: Animals; Apoptosis; Carcinoma, Pancreatic Ductal; Cell Line, Tumor; Cell Proliferation; Deoxycytidin

2023
Anti-tumor effect of avadomide in gemcitabine-resistant pancreatic ductal adenocarcinoma.
    Cancer chemotherapy and pharmacology, 2023, Volume: 92, Issue:4

    Topics: Animals; Apoptosis; Carcinoma, Pancreatic Ductal; Cell Line, Tumor; Cell Proliferation; Deoxycytidin

2023
Effect of Gemcitabine based chemotherapy on the immunogenicity of pancreatic tumour cells and T-cells.
    Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2021, Volume: 23, Issue:1

    Topics: Annexin A5; Antimetabolites, Antineoplastic; Antineoplastic Combined Chemotherapy Protocols; CD8-Pos

2021
Pomalidomide Alters Pancreatic Macrophage Populations to Generate an Immune-Responsive Environment at Precancerous and Cancerous Lesions.
    Cancer research, 2019, 04-01, Volume: 79, Issue:7

    Topics: Animals; Humans; Immunologic Factors; Interferon Regulatory Factors; Macrophages; Mice; Pancreatic N

2019
Clinical activity of lenalidomide in visceral human immunodeficiency virus-related Kaposi sarcoma.
    JAMA dermatology, 2013, Volume: 149, Issue:11

    Topics: AIDS-Related Opportunistic Infections; Angiogenesis Inhibitors; Antiretroviral Therapy, Highly Activ

2013
[A Newly Diagnosed Case of Multiple Myeloma in Which Lenalidomide Was Continued after Surgery for a Pancreatic Neuroendocrine Tumor That Developed during Lenalidomide Maintenance Therapy].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2015, Volume: 42, Issue:8

    Topics: Aged; Female; Humans; Lenalidomide; Multiple Myeloma; Neoplasms, Second Primary; Pancreatic Neoplasm

2015
Gemcitabine and lenalidomide combination in a patient with metastatic pancreatic cancer: a case study.
    Medical oncology (Northwood, London, England), 2010, Volume: 27, Issue:2

    Topics: Adenocarcinoma; Aged; Antineoplastic Combined Chemotherapy Protocols; Deoxycytidine; Female; Gemcita

2010
Mechanisms underlying gemcitabine resistance in pancreatic cancer and sensitisation by the iMiD™ lenalidomide.
    Anticancer research, 2011, Volume: 31, Issue:11

    Topics: Antimetabolites, Antineoplastic; Antineoplastic Agents; Apoptosis; Blotting, Western; Butadienes; De

2011
Bibliography. Current world literature. Therapeutic modalities.
    Current opinion in oncology, 2002, Volume: 14, Issue:6

    Topics: Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Clinical Trials as Topic; Dip

2002
A novel subclass of thalidomide analogue with anti-solid tumor activity in which caspase-dependent apoptosis is associated with altered expression of bcl-2 family proteins.
    Cancer research, 2003, Feb-01, Volume: 63, Issue:3

    Topics: Animals; Antineoplastic Agents; Apoptosis; bcl-2 Homologous Antagonist-Killer Protein; bcl-2-Associa

2003
[A case of advanced pancreatic cancer with remarkable response to thalidomide, celecoxib and gemcitabine].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2004, Volume: 31, Issue:6

    Topics: Administration, Oral; Aged; Angiogenesis Inhibitors; Antineoplastic Combined Chemotherapy Protocols;

2004
[A case report of metastatic pancreatic cancer that responded remarkably to the combination of thalidomide, celecoxib and irinotecan].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2004, Volume: 31, Issue:9

    Topics: Aged; Antineoplastic Combined Chemotherapy Protocols; Camptothecin; Celecoxib; Cyclooxygenase 2; Dru

2004
Thalidomide slows wasting in some pancreatic cancers.
    Health news (Waltham, Mass.), 2005, Volume: 11, Issue:6

    Topics: Body Weight; Humans; Pancreatic Neoplasms; Thalidomide; Wasting Syndrome

2005