Product image of Kleder (Lenalidomide) supplied by GNH India

Kleder

Active Ingredient:
Lenalidomide
Origin:
EU

Kleder (Lenalidomide)

Lenalidomide, the active ingredient in Kleder, is an immunomodulatory agent presented as an oral formulation for oral use. It is indicated for the treatment of multiple myeloma, mantle cell lymphoma and myelodysplastic syndromes in adult patients.\n\nGNH India supplies Kleder as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Stada Arzneimittel Ag

1
Pack/s
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Indications & Clinical Uses

  • Lenalidomide is used in hematologic malignancies that respond to immunomodulation and anti‑angiogenic therapy.\n\n- Multiple Myeloma: improves progression‑free survival and overall response rates in patients who have received prior therapy.\n- Mantle Cell Lymphoma: induces tumor regression and prolongs disease control in relapsed or refractory cases.\n- Myelodysplastic Syndromes: reduces transfusion dependence and delays transformation to acute leukemia in patients with del(5q) cytogenetic abnormality.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑CRBN E3 ubiquitin ligase complex, leading to ubiquitination and proteasomal degradation of the transcription factors Ikaros and Aiolos. This results in modulation of cytokine production, enhancement of T‑cell and NK‑cell mediated immunity, inhibition of angiogenesis, and induction of apoptosis in malignant plasma cells.

Side Effects

  • Lenalidomide may cause a range of adverse reactions that vary in frequency and severity.\n\nCommon Side Effects:\n- Neutropenia\n- Thrombocytopenia\n- Fatigue\n- Nausea\n- Diarrhoea\n- Rash\n\nSerious or Rare Side Effects:\n- Venous thromboembolism\n- Severe neutropenia leading to infection\n- Secondary primary malignancies\n- Hepatotoxicity\n- Severe cutaneous reactions (Stevens‑Johnson syndrome)\n- Embryofetal toxicity (teratogenic).

Precautions & Warnings

  • Patients receiving Lenalidomide require careful monitoring and risk mitigation.\n\n- Blood Count Monitoring: perform complete blood counts regularly to detect neutropenia or thrombocytopenia.\n- Thromboembolic Risk Assessment: evaluate for clotting risk and consider prophylactic anticoagulation when appropriate.\n- Pregnancy Prevention: enforce strict contraception for both male and female patients of reproductive potential.\n- Renal Function Adjustment: dose may need modification in patients with impaired renal clearance.\n- Drug Interaction Review: avoid concomitant use with known contraindicated agents.\n- Store below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

  • Lenalidomide can interact with several drug classes, requiring vigilance.\n\nMajor Interactions (Avoid):\n- Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) – may increase exposure.\n- Thalidomide – combined use heightens risk of severe peripheral neuropathy and thromboembolism.\n- Live vaccines – immunosuppression can reduce vaccine efficacy and increase infection risk.\n\nModerate Interactions (Monitor Closely):\n- CYP3A4 inducers (e.g., rifampicin, carbamazepine) – may reduce therapeutic levels.\n- NSAIDs – may increase risk of renal impairment when combined with Lenalidomide.\n- CYP2C19 inhibitors (e.g., fluoxetine) – may modestly raise plasma concentrations.

Frequently Asked Questions

Kleder, whose active ingredient is lenalidomide, is prescribed for adult patients with multiple myeloma, mantle cell lymphoma and myelodysplastic syndromes that have the del(5q) cytogenetic abnormality. It works as part of an overall treatment plan defined by the treating oncologist.

Lenalidomide binds to the cereblon protein within the CRL4‑CRBN ubiquitin ligase complex, causing selective degradation of the transcription factors Ikaros and Aiolos. This action modulates immune cell activity, inhibits new blood‑vessel formation, and triggers programmed cell death in malignant plasma cells.

The specific dose of Kleder is determined individually by the prescribing physician based on the patient’s diagnosis, disease stage, renal function and prior therapies. Only a qualified healthcare professional can set the appropriate dosing regimen.

Lenalidomide is classified as Pregnancy Category X because it can cause severe fetal harm. It is contraindicated in pregnancy, and both male and female patients of reproductive potential must use effective contraception. Breastfeeding is not recommended while on treatment.

To request Kleder, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Kleder (lenalidomide) belongs to the immunomodulatory drug class, offering a distinct mechanism from proteasome inhibitors or monoclonal antibodies. It provides oral administration, anti‑angiogenic effects and immune activation, making it a valuable option especially in relapsed or refractory disease settings.

Kleder should be stored at or below 25 °C in its original container, protected from moisture and direct sunlight. Do not store in a bathroom or near heat sources, and keep the product out of reach of children.

Kleder is taken orally, usually with or without food as directed by the prescriber. The tablets are swallowed whole with a glass of water and should be taken at the same time each day to maintain consistent drug levels.

The most serious risks include severe neutropenia leading to infection, venous thromboembolism, secondary primary malignancies, hepatotoxicity, severe skin reactions such as Stevens‑Johnson syndrome, and embryofetal toxicity. Patients should be monitored closely for these events.

Kleder is contraindicated in patients who are pregnant, those who cannot use effective contraception, individuals with known hypersensitivity to lenalidomide or any component of the formulation, and patients with uncontrolled severe infections or active thromboembolic disease without appropriate prophylaxis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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