Product image of Lenalidomid Al (Lenalidomide) supplied by GNH India

Lenalidomid Al

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomid Al (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomid Al, is an immunomodulatory agent presented as an oral formulation for oral use. It is used to treat certain blood cancers, specifically multiple myeloma and myelodysplastic syndromes, in adult patients.

GNH India supplies Lenalidomid Al as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, with distribution originating from the European Union market. The company ensures quality compliance with EU regulatory standards and provides reliable logistics for global procurement.

Manufacturer / TM Owner

Aliud Pharma Gmbh

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Indications & Clinical Uses

Lenalidomide is indicated for hematologic malignancies and related disorders, targeting abnormal plasma cells and dysplastic bone marrow.

  • Multiple myeloma (relapsed or refractory): improves progression‑free survival and disease control.
  • Myelodysplastic syndromes with del(5q) cytogenetic abnormality: reduces transfusion dependence and improves blood counts.
  • Multiple myeloma (maintenance therapy): helps sustain remission after initial treatment.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑CRBN E3 ubiquitin ligase complex, altering substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors Ikaros (IKZF1) and Aiolos (IKZF3), resulting in reduced proliferation of malignant plasma cells, enhanced immune‑mediated tumor cell killing, and inhibition of angiogenesis.

Side Effects

Lenalidomide may cause a range of adverse reactions, classified as common or serious.

Common Side Effects

  • Neutropenia: reduced white blood cell count.
  • Fatigue: persistent tiredness.
  • Diarrhea: loose stools.
  • Nausea: upset stomach.
  • Rash: skin irritation.

Serious or Rare Side Effects

  • Thromboembolic events: deep vein thrombosis or pulmonary embolism.
  • Severe neutropenia or leukopenia: increased infection risk.
  • Secondary primary malignancies: emergence of new cancers.
  • Hepatotoxicity: elevated liver enzymes or liver injury.

Precautions & Warnings

When prescribing Lenalidomid Al, clinicians should observe several safety precautions.

  • Pregnancy contraindication: product is teratogenic (Category X) and must not be used during pregnancy.
  • Thrombosis risk: assess patient history and consider prophylactic anticoagulation.
  • Hematologic monitoring: perform regular complete blood counts to detect cytopenias.
  • Renal and hepatic function: adjust use in patients with impaired kidney or liver function.
  • Drug hypersensitivity: discontinue if severe allergic reactions occur.
  • Store at room temperature (below 25°C): keep in original packaging, protect from moisture and light.

Avoid Interactions

Lenalidomid Al can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase lenalidomide exposure and toxicity.
  • Anticoagulants (e.g., warfarin): heightened risk of bleeding.

Moderate Interactions (Monitor Closely)

  • Strong CYP3A4 inducers (e.g., rifampin): may reduce drug levels and efficacy.
  • Live vaccines: immunosuppression may diminish vaccine effectiveness.
  • NSAIDs: additive risk of thrombosis.

Frequently Asked Questions

Lenalidomid Al contains lenalidomide, an immunomodulatory antineoplastic indicated for the treatment of adult patients with multiple myeloma and for myelodysplastic syndromes that have the del(5q) chromosomal abnormality. It is used to control disease progression, reduce transfusion needs, and maintain remission after initial therapy.

Lenalidomide binds to cereblon, a component of the CRL4‑CRBN E3 ubiquitin ligase complex. This binding changes the complex’s substrate specificity, leading to the ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos. The result is reduced growth of malignant plasma cells, enhanced immune‑mediated tumor killing, and inhibition of new blood‑vessel formation.

The dose of Lenalidomid Al is individualized by the prescribing clinician based on the specific indication, disease stage, renal function, and patient tolerance. Dosing regimens are established in clinical guidelines and must be followed as directed by a qualified healthcare professional.

Lenalidomid Al is classified as Pregnancy Category X because it is known to cause severe fetal harm and birth defects. It must not be used by pregnant women, and effective contraception is required for both male and female patients of reproductive potential. The drug is also not recommended while breastfeeding.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Lenalidomid Al. 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 agent. Lenalidomide generally offers a more favorable safety profile, with lower rates of peripheral neuropathy, and stronger anti‑angiogenic activity. Both drugs share a similar mechanism of cereblon binding, but lenalidomide is often preferred for its potency and reduced toxicity in modern treatment protocols.

Lenalidomid Al should be stored at room temperature, preferably below 25 °C, in its original container. Protect the product from moisture, direct sunlight, and excessive heat. Keep the medication out of reach of children and do not use it after the expiration date printed on the label.

Lenalidomid Al is taken orally, usually once daily, with or without food as directed by the prescriber. Swallow the tablet whole with a full glass of water. Patients should follow any specific timing instructions provided by their healthcare professional, such as taking the dose on certain days of a treatment cycle.

The most serious risks include thromboembolic events (blood clots), severe neutropenia or leukopenia that can lead to infections, secondary primary malignancies, and teratogenic effects that can cause birth defects. Patients should be monitored regularly for signs of clotting, low blood counts, liver function changes, and any unexpected skin reactions.

Lenalidomid Al should not be used by pregnant women or anyone who may become pregnant without effective contraception. Patients with known hypersensitivity to lenalidomide or its excipients, those with severe renal impairment (creatinine clearance < 30 mL/min) without dose adjustment, and individuals with uncontrolled active infections should avoid the medication.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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