Product image of Kleder (Lenalidomide) supplied by GNH India

Kleder

Active Ingredient:
Lenalidomide
Origin:
EU

Kleder (Lenalidomide)

Lenalidomide, the active ingredient in Kleder, is a Immunomodulatory drug (IMiD) presented as a oral tablet for oral use. It treats multiple myeloma and myelodysplastic syndromes in adult patients.

GNH India supplies Kleder as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Eg S.P.A.

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies and related bone‑marrow disorders.

  • Multiple myeloma: improves progression‑free and overall survival in newly diagnosed patients.
  • Relapsed or refractory multiple myeloma: provides disease control after prior therapies.
  • Myelodysplastic syndromes: reduces transfusion dependence and delays transformation to acute leukemia.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, directing the degradation of transcription factors Ikaros and Aiolos. This alters cytokine production, inhibits angiogenesis, and modulates immune cell activity, resulting in anti‑tumor effects in malignant plasma cells and dysplastic marrow clones.

Side Effects

Lenalidomide may cause a range of adverse reactions.

Common Side Effects

  • Fatigue: persistent tiredness.
  • Neutropenia: reduced neutrophil count.
  • Diarrhea: loose stools.
  • Rash: skin irritation.

Serious or Rare Side Effects

  • Venous thromboembolism: formation of blood clots in veins.
  • Severe neutropenia: markedly low neutrophil levels increasing infection risk.
  • Embryo‑fetal toxicity: can cause birth defects and fetal loss.

Precautions & Warnings

Lenalidomide requires careful monitoring and specific safety measures.

  • Pregnancy contraindication: category X; avoid use in pregnant women.
  • Thrombosis risk: assess and manage clotting risk, especially with additional risk factors.
  • Blood count monitoring: perform regular CBC to detect cytopenias.
  • Renal impairment: adjust dose in patients with reduced kidney function.
  • Drug interactions: review concomitant medications for additive myelosuppression.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Lenalidomide can interact with several drug classes.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased bleeding risk.
  • Immunosuppressants (e.g., cyclosporine): reduced therapeutic effect.
  • Live vaccines: heightened risk of infection.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): may raise lenalidomide exposure.
  • CYP3A4 inducers (e.g., rifampin): may lower drug levels.
  • NSAIDs: additive myelosuppressive potential.

Frequently Asked Questions

Kleder contains lenalidomide and is prescribed for adult patients with multiple myeloma and myelodysplastic syndromes, including relapsed or refractory disease forms, to improve survival and reduce transfusion needs.

Lenalidomide binds to cereblon, a component of the CRL4‑E3 ubiquitin ligase, leading to degradation of transcription factors Ikaros and Aiolos. This modulates immune responses, inhibits new blood‑vessel formation, and disrupts cytokine signaling, collectively producing anti‑tumor activity.

The specific dose of Kleder is determined by the prescribing clinician based on the patient’s diagnosis, disease stage, renal function, and other individual factors. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Lenalidomide is classified as pregnancy category X because it can cause severe fetal harm. It is contraindicated in pregnancy, and women of child‑bearing potential must use effective contraception. Breastfeeding is not recommended while taking lenalidomide.

To order 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 is often used in combination regimens and provides oral administration, which can be advantageous over injectable alternatives for certain patient populations.

Kleder should be stored below 25 °C in its original packaging, protected from moisture and direct sunlight. Keep the product in a dry place and avoid exposing it to excessive heat or humidity to maintain its stability.

Kleder is taken orally, usually as a tablet swallowed with water. The exact timing (e.g., with or without food) and frequency are set by the prescriber, and patients should adhere to the prescribed schedule for optimal efficacy.

The most serious risks include venous thromboembolism, severe neutropenia or thrombocytopenia that can lead to infections or bleeding, and embryo‑fetal toxicity. Patients should be monitored regularly for blood‑cell counts and signs of clotting, and pregnancy must be avoided.

Kleder should not be used by pregnant women, individuals with known hypersensitivity to lenalidomide, or patients with uncontrolled infections. Caution is also advised for those with severe renal impairment or a history of thrombotic events.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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