Product image of Lenalidomida Fresenius Kabi (Lenalidomide) supplied by GNH India

Lenalidomida Fresenius Kabi

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomida Fresenius Kabi (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomida Fresenius Kabi, is an immunomodulatory drug presented as an oral tablet for systemic use. It is employed in the treatment of certain blood cancers, notably multiple myeloma and myelodysplastic syndromes, specifically in adult patients who have received prior therapy.

GNH India supplies Lenalidomida Fresenius Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company follows stringent quality standards and offers reliable logistics to ensure timely supply.

Manufacturer / TM Owner

Fresenius Kabi Pharma Portugal, Lda.

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies that respond to immunomodulatory therapy.

  • Multiple Myeloma: improves disease control and extends survival in patients with relapsed or refractory disease.
  • Myelodysplastic Syndromes: reduces transfusion dependence and delays progression to acute leukemia in lower‑risk patients.
  • Multiple Myeloma (maintenance): administered continuously after initial response to prolong remission.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4 E3 ubiquitin ligase complex, promoting ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos. This leads to modulation of cytokine production, inhibition of angiogenesis, and direct anti‑tumor activity through apoptosis and cell‑cycle arrest in malignant plasma cells.

Side Effects

Lenalidomide may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Neutropenia: reduced neutrophil count increasing infection risk.
  • Thrombocytopenia: low platelet levels that may cause easy bruising.
  • Diarrhea: loose stools that may be mild to moderate.
  • Rash: skin irritation or erythema.
  • Constipation: difficulty passing stool.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Secondary primary malignancies: emergence of new cancers.
  • Severe neutropenia: profound drop in neutrophils requiring hospitalization.
  • Severe infections: opportunistic or bacterial infections.
  • Hepatic toxicity: elevated liver enzymes or hepatitis.
  • Tumor lysis syndrome: rapid tumor cell breakdown causing metabolic disturbances.

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline parameters and monitor patients closely.

  • Monitor blood counts: perform regular CBC to detect cytopenias.
  • Assess renal function: adjust therapy if creatinine clearance is reduced.
  • Avoid pregnancy: use effective contraception for both patient and partner.
  • Vaccination: administer required vaccines before starting treatment.
  • Review concomitant drugs: evaluate for potential interactions.
  • Store at below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Lenalidomide can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • CYP450 inducers (e.g., rifampin): may lower lenalidomide exposure.
  • Strong anticoagulants (e.g., warfarin): increase bleeding risk.
  • Live vaccines: heightened risk of infection.

Moderate Interactions (Monitor Closely)

  • Macrolide antibiotics (e.g., clarithromycin): may raise plasma levels.
  • Azole antifungals (e.g., ketoconazole): can increase exposure.
  • Immunosuppressants (e.g., cyclosporine): additive myelosuppression potential.

Frequently Asked Questions

Lenalidomida Fresenius Kabi contains the active ingredient lenalidomide and is indicated for the treatment of adult patients with multiple myeloma and for certain lower‑risk myelodysplastic syndromes. It is used when disease has relapsed after prior therapy or when patients require maintenance to sustain remission.

Lenalidomide binds to cereblon, a component of the CRL4 E3 ubiquitin ligase complex, leading to the targeted degradation of transcription factors Ikaros and Aiolos. This action modifies cytokine production, inhibits new blood‑vessel formation, and directly induces apoptosis and cell‑cycle arrest in malignant plasma cells.

The exact dose and schedule of Lenalidomida Fresenius Kabi are determined by the prescribing physician based on the patient’s specific disease state, prior treatments, renal function, and overall health. No fixed dosing information is provided here; clinicians must follow approved prescribing guidelines.

Lenalidomide is classified as a teratogenic agent and is contraindicated in pregnancy. Women of childbearing potential must use effective contraception during treatment and for a defined period after discontinuation. Safety during breastfeeding has not been established, and nursing is generally discouraged while on therapy.

To place an order, 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 (including any cold‑chain requirements), and necessary import documentation.

The primary alternative to lenalidomide within the immunomodulatory drug class is thalidomide, while pomalidomide is a newer option. Lenalidomide generally offers a more favorable safety profile than thalidomide, with lower rates of peripheral neuropathy, but may require closer monitoring for cytopenias. Pomalidomide is often reserved for patients who have progressed after lenalidomide therapy.

Store Lenalidomida Fresenius Kabi at temperatures below 25 °C (77 °F). Keep the product in its original container, protect it from moisture and direct sunlight, and ensure the packaging remains sealed until use.

Lenalidomida Fresenius Kabi is taken orally, usually once daily, with or without food, as directed by the prescribing clinician. The tablets should be swallowed whole with water and not crushed or chewed unless specifically instructed.

Serious risks include venous thromboembolism, severe neutropenia, secondary primary malignancies, and hepatic toxicity. Patients should be monitored for signs of blood clots, infections, unexplained bruising, and liver‑function abnormalities, and any concerning symptoms should be reported to a healthcare professional promptly.

Lenalidomida should not be used by patients with known hypersensitivity to lenalidomide or its excipients, pregnant or nursing women, and individuals with uncontrolled infections or severe hepatic impairment unless benefits outweigh risks. Clinicians must also evaluate contraindications related to concurrent use of certain anticoagulants or live vaccines.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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