Lenalidomide: an emerging option in chronic lymphocytic leukemia


Published: June 12, 2009
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Lenalidomide is a thalidomidederivative that has shown clinical activity in multiple myeloma, myelodysplastic syndrome (del5q syndrome) and non-Hodgkin’s lymphomas. It belongs to a class of agents called immunomodulating drugs (IMiDs). In comparison to thalidomide, it is a more potent inhibitor of tumor necrosis factor alpha (TNF-a), while retaining some of its anti-angiogenic properties. Our group became interested in evaluating the therapeutic potential of lenalidomide in chronic lymphocytic leukemia (CLL) while searching for TNF-a and VEGF inhibitors. The rationale for targeting TNF-a and VEGF in CLL is based on our observation that patients with CLL have higher levels of TNF-a and VEGF-R2 than normal subjects and that high levels of these cytokines are associated with more aggressive disease and an inferior outcome.1,2

Supporting Agencies


Ferrajoli, A., O’Brien, S., O’Brien, S., Faderl1, S., Faderl1, S., Wierda, W., Wierda, W., Reuben, J., Reuben, J., Keating, M., & Keating, M. (2009). Lenalidomide: an emerging option in chronic lymphocytic leukemia. Hematology Meeting Reports (formerly Haematologica Reports), 3(3). https://doi.org/10.4081/hmr.v3i3.582

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