Page last updated: 2024-11-05

thalidomide and Proteinuria

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Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects.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

Proteinuria: The presence of proteins in the urine, an indicator of KIDNEY DISEASES.

Research Excerpts

ExcerptRelevanceReference
" On arrival, laboratory test results were significant for hypokalemia, hyperchloremic metabolic acidosis, low uric acid concentration, positive urine anion gap, and proteinuria, which resolved on discontinuation of the drug."7.85Proximal Renal Tubular Acidosis (Fanconi Syndrome) Induced by Apremilast: A Case Report. ( Afridi, F; Kar, P; King-Morris, K; Komarla, A; Perrone, D, 2017)
"A 62 year-old Caucasian man with hypertension and a 4-year history of multiple myeloma, had been previously treated with lenalidomide, bortezomib and two autologous hematopoietic stem cell transplants."7.80Renal thrombotic microangiopathy and podocytopathy associated with the use of carfilzomib in a patient with multiple myeloma. ( Hobeika, L; Self, SE; Velez, JC, 2014)
"Thalidomide is an effective therapy for multiple myeloma, although its mechanisms of action remain unclear."6.71Tolerability and efficacy of thalidomide for the treatment of patients with light chain-associated (AL) amyloidosis. ( Berk, JL; Choufani, EB; Dember, LM; Falk, RH; Fennessey, S; Finn, KT; O'Hara, C; Sanchorawala, V; Seldin, DC; Skinner, M; Wiesman, JF; Wright, DG, 2003)
"The impact of high dose dexamethasone containing regimens with or without the novel agents thalidomide and bortezomib on the reversal of renal failure (RF) was evaluated in 41 consecutive newly diagnosed patients with multiple myeloma (MM) treated in a single institution."5.12Reversibility of renal failure in newly diagnosed multiple myeloma patients treated with high dose dexamethasone-containing regimens and the impact of novel agents. ( Anagnostopoulos, A; Bamias, A; Barmparousi, D; Dimopoulos, MA; Gika, D; Grapsa, I; Kastritis, E; Matsouka, C; Psimenou, E; Roussou, M, 2007)
" On arrival, laboratory test results were significant for hypokalemia, hyperchloremic metabolic acidosis, low uric acid concentration, positive urine anion gap, and proteinuria, which resolved on discontinuation of the drug."3.85Proximal Renal Tubular Acidosis (Fanconi Syndrome) Induced by Apremilast: A Case Report. ( Afridi, F; Kar, P; King-Morris, K; Komarla, A; Perrone, D, 2017)
"A 62 year-old Caucasian man with hypertension and a 4-year history of multiple myeloma, had been previously treated with lenalidomide, bortezomib and two autologous hematopoietic stem cell transplants."3.80Renal thrombotic microangiopathy and podocytopathy associated with the use of carfilzomib in a patient with multiple myeloma. ( Hobeika, L; Self, SE; Velez, JC, 2014)
"In comparison with untreated mice, mice treated with 10 mg/kg of thalidomide monotherapy showed a significant decrease in proteinuria and significantly lower glomerular and tubular damage scores, comparable to 5 or 10 mg/kg of thalidomide plus PL or MMF plus PL."3.78Attenuation of nephritis in lupus-prone mice by thalidomide. ( Choi, KH; Kim, BS; Lee, SK; Lee, SW; Park, KH; Park, YB; Yang, J, 2012)
"Thalidomide is an effective therapy for multiple myeloma, although its mechanisms of action remain unclear."2.71Tolerability and efficacy of thalidomide for the treatment of patients with light chain-associated (AL) amyloidosis. ( Berk, JL; Choufani, EB; Dember, LM; Falk, RH; Fennessey, S; Finn, KT; O'Hara, C; Sanchorawala, V; Seldin, DC; Skinner, M; Wiesman, JF; Wright, DG, 2003)
"We herein present a case of multiple myeloma with Fanconi syndrome and acute kidney injury due to light chain proximal tubulopathy with light chain cast nephropathy."1.40Acquired Fanconi syndrome with proximal tubular cytoplasmic fibrillary inclusions of λ light chain restriction. ( Liu, G; Liu, L; Wang, SX; Wang, Y; Yao, Y; Zhang, YK, 2014)
"The authors have reviewed the treatment of multiple myeloma including the novel agents, thalidomide, bortezomib and lenalidomide."1.37History of multiple myeloma. ( Kyle, RA; Steensma, DP, 2011)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's3 (23.08)29.6817
2010's9 (69.23)24.3611
2020's1 (7.69)2.80

Authors

AuthorsStudies
Sapet, M1
Fouillet, L1
Daguenet, E1
Laurent, B1
Guyotat, D1
Le Jeune, C1
Perrone, D1
Afridi, F1
King-Morris, K1
Komarla, A1
Kar, P1
Yao, Y1
Wang, SX1
Zhang, YK1
Wang, Y1
Liu, L1
Liu, G1
Gkotzamanidou, M1
Terpos, E1
Kastritis, E2
Dimopoulos, MA2
Hobeika, L1
Self, SE1
Velez, JC1
Cohen, C1
Royer, B1
Javaugue, V1
Szalat, R1
El Karoui, K1
Caulier, A1
Knebelmann, B1
Jaccard, A1
Chevret, S1
Touchard, G1
Fermand, JP1
Arnulf, B1
Bridoux, F1
Kyle, RA1
Steensma, DP1
Alexander, MP1
Nasr, SH1
Watson, DC1
Méndez, GP1
Rennke, HG1
Lee, SW1
Park, YB1
Yang, J1
Park, KH1
Lee, SK1
Choi, KH1
Kim, BS1
Locke, FL1
Morgan, GJ1
Seldin, DC1
Choufani, EB1
Dember, LM1
Wiesman, JF1
Berk, JL1
Falk, RH1
O'Hara, C1
Fennessey, S1
Finn, KT1
Wright, DG1
Skinner, M1
Sanchorawala, V1
McGowan, N1
Anagnostopoulos, A1
Roussou, M1
Gika, D1
Matsouka, C1
Barmparousi, D1
Grapsa, I1
Psimenou, E1
Bamias, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Study of Thalidomide, Bendamustine and Dexamethasone (BTD) Versus Bortezomib, Bendamustine and Dexamethasone (BBD) in Patients With Renal Failure Defined as a GFR Below 30 Mls/Min[NCT02424851]Phase 231 participants (Actual)Interventional2014-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With >50% Reduction From Baseline in Serum Free Light Chain

(NCT02424851)
Timeframe: End of week 6 (after receiving two cycles of therapy)

InterventionParticipants (Count of Participants)
Arm A (BBD)13
Arm B (BTD)3

Overall Survival

(NCT02424851)
Timeframe: 1 month post end of treatment and 1 year post randomisation

InterventionParticipants (Count of Participants)
Arm A (BBD)9
Arm B (BTD)13

Haematological and Non-haematological Toxicity in Both Treatment Arms

(NCT02424851)
Timeframe: End of weeks 3, 6, 9, 12 (after receiving 4 cycles of therapy), 30 days after final treatment and 12 months after randomisation

,
InterventionEvents (Number)
Serious adverse eventsAdverse events
Arm A (BBD)23
Arm B (BTD)06

Quality of Life Measured by the EQ-5D-3L Questionnaire at Baseline and 1 Month Follow up

"The EQ-5D-3L descriptive system comprises the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension is scored on a scale of 1 to 3: 1 (no problems), 2 (some problems), and 3 (extreme problems). Higher score equates to a worse outcome.~As stated in the official EQ-5D user guide, patient responses to the 5 questions were converted into a single index value as per Dolan P (1997). Modeling valuations for EuroQol health states. Med Care 35(11):1095-108. These index values, with country specific value sets, facilitate the calculation of quality-adjusted life years (QALYs) that are used to inform economic evaluations of health care interventions. In the UK, the values range from -0.594 to +1." (NCT02424851)
Timeframe: Baseline and 1 month follow up

,
InterventionUnits on a scale (Mean)
Baseline1 month FU
Arm A (BBD)0.720.69
Arm B (BTD)0.690.80

Renal Response After Two Cycles of Trial Treatment

(NCT02424851)
Timeframe: End of 2nd treatment cycle, week 6

,
InterventionParticipants (Count of Participants)
Partial responseMinor responseNo repsonse
Arm A (BBD)294
Arm B (BTD)076

Reviews

3 reviews available for thalidomide and Proteinuria

ArticleYear
Renal crescentic alpha heavy chain deposition disease: a report of 3 cases and review of the literature.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2011, Volume: 58, Issue:4

    Topics: Adult; Aged; Anemia; Antineoplastic Combined Chemotherapy Protocols; Boronic Acids; Bortezomib; Cuti

2011
What is the evidence for the use of bisphosphonate therapy in newly diagnosed multiple myeloma patients lacking bone disease?
    Hematology. American Society of Hematology. Education Program, 2012, Volume: 2012

    Topics: Bone Diseases; Boronic Acids; Bortezomib; Dexamethasone; Diphosphonates; Fatigue; Fractures, Bone; H

2012
What's wrong with this patient? Primary systemic amyloidosis.
    RN, 2006, Volume: 69, Issue:11

    Topics: Aged; Amyloidosis; Anti-Inflammatory Agents; Dexamethasone; Diagnosis, Differential; Disease Progres

2006

Trials

2 trials available for thalidomide and Proteinuria

ArticleYear
Tolerability and efficacy of thalidomide for the treatment of patients with light chain-associated (AL) amyloidosis.
    Clinical lymphoma, 2003, Volume: 3, Issue:4

    Topics: Adult; Aged; Amyloidosis; Female; Humans; Immunoglobulin Light Chains; Immunosuppressive Agents; Mal

2003
Reversibility of renal failure in newly diagnosed multiple myeloma patients treated with high dose dexamethasone-containing regimens and the impact of novel agents.
    Haematologica, 2007, Volume: 92, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Bence Jones Protein;

2007

Other Studies

8 other studies available for thalidomide and Proteinuria

ArticleYear
[Proteinuria in multiple myeloma: Be careful to iatrogeny].
    Bulletin du cancer, 2020, Volume: 107, Issue:4

    Topics: Aged; Antineoplastic Agents; Autografts; Biopsy; Bortezomib; Dexamethasone; Female; Glomeruloscleros

2020
Proximal Renal Tubular Acidosis (Fanconi Syndrome) Induced by Apremilast: A Case Report.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2017, Volume: 70, Issue:5

    Topics: Acidosis; Acidosis, Renal Tubular; Aged; Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Psoriat

2017
Acquired Fanconi syndrome with proximal tubular cytoplasmic fibrillary inclusions of λ light chain restriction.
    Internal medicine (Tokyo, Japan), 2014, Volume: 53, Issue:2

    Topics: Acute Kidney Injury; Aged; Antineoplastic Combined Chemotherapy Protocols; Bone Marrow; Boronic Acid

2014
Hematologic response and stabilization of renal function in a patient with light chain deposition disease after lenalidomide treatment: a novel therapeutic approach?
    Clinical lymphoma, myeloma & leukemia, 2014, Volume: 14, Issue:5

    Topics: Aged; Anemia; Antineoplastic Combined Chemotherapy Protocols; Cyclophosphamide; Dexamethasone; Fatig

2014
Renal thrombotic microangiopathy and podocytopathy associated with the use of carfilzomib in a patient with multiple myeloma.
    BMC nephrology, 2014, Sep-30, Volume: 15

    Topics: Acute Kidney Injury; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Protocols; Boronic

2014
Bortezomib produces high hematological response rates with prolonged renal survival in monoclonal immunoglobulin deposition disease.
    Kidney international, 2015, Volume: 88, Issue:5

    Topics: Aged; Antineoplastic Combined Chemotherapy Protocols; Bortezomib; Cyclophosphamide; Dexamethasone; D

2015
History of multiple myeloma.
    Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer, 2011, Volume: 183

    Topics: Adrenal Cortex Hormones; Alkylating Agents; Bence Jones Protein; Boronic Acids; Bortezomib; History,

2011
Attenuation of nephritis in lupus-prone mice by thalidomide.
    Rheumatology (Oxford, England), 2012, Volume: 51, Issue:12

    Topics: Animals; Anti-Inflammatory Agents; Antigen-Antibody Complex; DNA; Dose-Response Relationship, Drug;

2012