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 imide drug (IMiD) presented as an oral dosage form 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. The product complies with European Union regulatory standards and is distributed under strict quality‑assured conditions. It is intended for use in specialized oncology and hematology settings. GNH India’s global logistics network ensures timely delivery to accredited healthcare facilities.

Manufacturer / TM Owner

Stada Arzneimittel Ag

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Indications & Clinical Uses

  • Lenalidomide is employed in hematologic malignancies and related bone‑marrow disorders.
  • Multiple myeloma: improves progression‑free survival and overall response rates in adult patients.
  • Myelodysplastic syndromes with del(5q): reduces transfusion dependence and corrects cytopenias.
  • Myelodysplastic syndromes (non‑del5q): enhances blood cell production and may delay disease progression.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑CRBN E3 ubiquitin ligase complex, altering substrate specificity and promoting degradation of transcription factors such as Ikaros and Aiolos. This leads to modulation of cytokine production, inhibition of angiogenesis, and induction of apoptosis in malignant plasma cells, while enhancing T‑cell and natural killer cell immune responses.

Side Effects

Lenalidomide may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Nausea: mild to moderate upset stomach.
  • Diarrhea: loose stools.
  • Rash: skin redness or itching.

Serious or Rare Side Effects

  • Thromboembolic events: deep vein thrombosis or pulmonary embolism.
  • Severe neutropenia: markedly low neutrophil count increasing infection risk.
  • Hepatotoxicity: elevated liver enzymes or liver injury.

Precautions & Warnings

  • When prescribing Lenalidomide, several safety considerations should be observed.
  • Pregnancy contraindication: Category X; avoid use in pregnant women and ensure effective contraception.
  • Thrombosis risk: assess patient history and consider prophylactic anticoagulation.
  • Hematologic monitoring: perform regular complete blood counts to detect neutropenia or anemia.
  • Hepatic function: evaluate liver enzymes before initiation and monitor periodically.
  • Drug interactions: review concomitant medications for potential CYP3A4 modulators.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and light.

Avoid Interactions

Lenalidomide interacts with several drug classes; awareness of the interaction level guides clinical management.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increase exposure.
  • Thalidomide: combined teratogenic and additive toxicity.
  • Live vaccines: reduced efficacy and infection risk.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin): decrease exposure.
  • NSAIDs: may raise renal adverse event risk.
  • Anticoagulants (e.g., warfarin): monitor coagulation parameters.

Frequently Asked Questions

Kleder contains lenalidomide and is indicated for the treatment of adult patients with multiple myeloma and for myelodysplastic syndromes, including those with del(5q) cytogenetic abnormality. It is used as part of a therapeutic regimen to control disease progression and improve blood counts.

Lenalidomide binds to cereblon, a component of the CRL4‑CRBN E3 ubiquitin ligase complex, altering its substrate specificity. This triggers degradation of transcription factors that support malignant cell survival, reduces angiogenesis, and modulates immune cells, leading to apoptosis of cancerous plasma cells and enhanced anti‑tumor immunity.

The dosing of Kleder is individualized and must be determined by a qualified prescriber based on the specific indication, patient characteristics, and clinical response. Physicians adjust the dose according to treatment guidelines and laboratory monitoring.

Lenalidomide is classified as Pregnancy Category X. It is contraindicated in pregnancy because of a high risk of fetal harm. Women of childbearing potential must use effective contraception, and breastfeeding is not recommended while taking the medication.

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.

The primary alternative to lenalidomide is thalidomide, another immunomodulatory imide drug. Lenalidomide generally offers a more favorable safety profile, especially regarding peripheral neuropathy, and has stronger anti‑angiogenic and immune‑activating effects. Both drugs share teratogenic risk, so strict contraception is required.

Kleder should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight, and excessive heat. Keep it out of reach of children and do not use after the expiry date.

Kleder is taken orally, usually with or without food, as directed by the prescribing physician. The tablets should be swallowed whole with a full glass of water and not crushed or chewed unless specifically instructed.

Serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia that can predispose to infections, and potential liver toxicity indicated by elevated liver enzymes. Patients should be monitored regularly for these complications.

Kleder is contraindicated in pregnant women, individuals with known hypersensitivity to lenalidomide or any component of the formulation, and patients with uncontrolled active infections. Caution is also advised for those with severe renal or hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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