Product image of Lenalidomide Generis (Lenalidomide) supplied by GNH India

Lenalidomide Generis

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Generis (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Generis, is an immunomodulatory drug (IMiD) presented as an oral formulation for systemic use. It is employed in the treatment of certain blood cancers, notably multiple myeloma and myelodysplastic syndromes, in adult patients.

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

Manufacturer / TM Owner

Eugia Pharma (Malta) Ltd

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Indications & Clinical Uses

Lenalidomide acts on malignant plasma cells and dysplastic bone‑marrow clones, providing therapeutic benefit in specific hematologic malignancies.

  • Multiple myeloma: improves progression‑free survival and overall response rates.
  • Myelodysplastic syndromes: reduces transfusion dependence and delays transformation to acute leukemia.
  • Relapsed or refractory multiple myeloma: offers an additional line of therapy after prior treatments have failed.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4CRBN E3 ubiquitin ligase complex, altering its substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, resulting in anti‑angiogenic, immunomodulatory, and anti‑proliferative actions that suppress malignant plasma cells and dysplastic hematopoietic clones.

Side Effects

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

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools occurring intermittently.
  • Nausea: mild to moderate upset stomach.
  • Rash: skin erythema or itching.
  • Cytopenias: reduced blood cell counts, especially neutrophils and platelets.
  • Peripheral neuropathy: tingling or numbness in extremities.

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 indicating liver injury.
  • Secondary malignancies: emergence of new cancers.
  • Stevens‑Johnson syndrome: severe skin and mucous membrane reaction.
  • Cardiac arrhythmias: irregular heart rhythms requiring monitoring.

Precautions & Warnings

Before initiating therapy, clinicians should assess patient history and baseline laboratory values.

  • Pregnancy: contraindicated; category X due to teratogenic risk.
  • Thrombosis risk: evaluate need for prophylactic anticoagulation.
  • Renal impairment: adjust monitoring for patients with reduced kidney function.
  • Hepatic dysfunction: monitor liver enzymes regularly.
  • Store at ambient temperature: keep below 25 °C, in the original container, protected from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inducers: may reduce lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): increase bleeding risk.
  • Immunosuppressants: may exacerbate cytopenias.

Moderate Interactions (Monitor Closely)

  • NSAIDs: can worsen renal function.
  • Antihypertensives: may require dose adjustment due to fluid shifts.
  • Vaccines: live vaccines should be avoided during treatment.

Frequently Asked Questions

Lenalidomide Generis is indicated for the treatment of adult patients with multiple myeloma and for certain myelodysplastic syndromes, particularly those with a higher risk of progression to acute leukemia. It is used when disease control is needed either as initial therapy or after other treatments have failed.

Lenalidomide binds to cereblon, a component of the CRL4CRBN E3 ubiquitin ligase complex, changing its substrate specificity. This triggers the degradation of transcription factors Ikaros and Aiolos, leading to anti‑angiogenic, immunomodulatory, and anti‑proliferative effects that suppress malignant plasma cells and abnormal bone‑marrow clones.

The specific dose and schedule of Lenalidomide Generis are determined by the prescribing clinician based on the patient’s diagnosis, disease stage, renal function, and prior therapies. The prescriber will tailor the regimen to achieve optimal therapeutic benefit while minimizing risks.

Lenalidomide Generis is classified as pregnancy category X because it is known to cause fetal harm. It is contraindicated in pregnant women and should not be used by women who are or may become pregnant. Breastfeeding is also not recommended 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.

Lenalidomide belongs to the immunomodulatory drug class, offering a distinct mechanism compared with proteasome inhibitors or monoclonal antibodies. It provides oral administration, which can be advantageous for outpatient care, and has demonstrated efficacy in both newly diagnosed and relapsed/refractory multiple myeloma settings.

Store Lenalidomide Generis at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and ensure the container is tightly closed to maintain stability.

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

The most serious risks include thromboembolic events such as deep‑vein thrombosis, severe neutropenia leading to infection, hepatotoxicity, secondary malignancies, and rare but severe skin reactions like Stevens‑Johnson syndrome. Patients should be monitored closely for these events throughout therapy.

Lenalidomide Generis should not be used by pregnant women, individuals with known hypersensitivity to lenalidomide or its excipients, and patients with uncontrolled severe infections. Caution is also advised for those with significant renal or hepatic impairment, and the drug should be avoided in patients at high risk for thrombosis without appropriate prophylaxis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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