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

Lenalidomide Glenmark

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Glenmark (Lenalidomide)

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

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

Manufacturer / TM Owner

Glenmark Pharmaceuticals S.R.O.

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Indications & Clinical Uses

  • Lenalidomide is used in hematologic malignancies and related bone‑marrow disorders, targeting abnormal plasma‑cell and stem‑cell proliferation.
  • Multiple Myeloma: improves progression‑free and overall survival in patients receiving combination therapy.
  • Myelodysplastic Syndromes: reduces transfusion dependence and improves blood counts.
  • MDS with del(5q): induces cytogenetic remission and decreases need for supportive care.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑CRBN E3 ubiquitin ligase complex, promoting ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos. This leads to altered cytokine production, enhanced T‑cell and NK‑cell mediated immunity, inhibition of angiogenesis, and direct anti‑proliferative and pro‑apoptotic effects on malignant plasma and myeloid cells.

Side Effects

Lenalidomide may cause a range of adverse reactions, from mild to severe. Monitoring and supportive care are essential during therapy.

Common Side Effects

  • Neutropenia: reduced white‑blood‑cell count.
  • Thrombocytopenia: lowered platelet levels.
  • Fatigue: persistent tiredness.
  • Diarrhea: loose stools.
  • Rash: skin irritation or erythema.
  • Constipation: difficulty passing stool.

Serious or Rare Side Effects

  • Venous thromboembolism: deep‑vein clot or pulmonary embolism.
  • Severe neutropenia: heightened infection risk.
  • Severe thrombocytopenia: increased bleeding tendency.
  • Tumor lysis syndrome: rapid tumor cell breakdown.
  • Secondary malignancies: emergence of new cancers.
  • Severe allergic reactions: anaphylaxis or Stevens‑Johnson syndrome.

Precautions & Warnings

  • Before initiating Lenalidomide, clinicians should assess patient‑specific risk factors and implement appropriate monitoring.
  • Pregnancy: contraindicated; teratogenic risk requires strict pregnancy prevention.
  • Blood counts: monitor complete blood count regularly for cytopenias.
  • Thromboembolic risk: assess need for prophylactic anticoagulation.
  • Renal impairment: adjust dose in patients with reduced kidney function.
  • Hepatic impairment: consider dose modification for liver disease.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Lenalidomide can interact with several drug classes, influencing efficacy or safety.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased bleeding risk.
  • Thalidomide or other IMiDs: additive teratogenic and hematologic toxicity.
  • Strong CYP inducers (e.g., rifampin): may reduce drug exposure.

Moderate Interactions (Monitor Closely)

  • NSAIDs: heightened renal toxicity.
  • Live vaccines: reduced immunogenicity, avoid during therapy.
  • Certain antibiotics (e.g., erythromycin): may affect blood‑count recovery.
  • Hormonal contraceptives: decreased effectiveness, use additional barrier methods.

Frequently Asked Questions

Lenalidomide Glenmark is indicated for the treatment of adult patients with multiple myeloma and for myelodysplastic syndromes, including those with a del(5q) cytogenetic abnormality. In these settings it helps control disease progression, reduces the need for blood transfusions, and can improve overall survival when used as part of approved therapeutic regimens.

Lenalidomide binds to cereblon, a component of the CRL4‑CRBN E3 ubiquitin ligase complex, leading to the targeted degradation of transcription factors Ikaros and Aiolos. This results in modulation of the immune system, inhibition of angiogenesis, and direct anti‑proliferative and pro‑apoptotic effects on malignant plasma cells and myeloid progenitors.

The specific dose of Lenalidomide Glenmark is determined by the prescribing physician based on the patient’s diagnosis, disease stage, renal function, and prior therapies. Dosing regimens are individualized and should follow the latest clinical guidelines and the product’s prescribing information.

Lenalidomide is classified as Pregnancy Category X because it is highly teratogenic and can cause fetal harm. It is contraindicated in pregnancy, and effective contraception must be used by both male and female patients of reproductive potential. Use during breastfeeding is not recommended as the drug may be excreted in milk.

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, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including any cold‑chain requirements), and assists with 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 more convenient than injectable therapies, and is often combined with dexamethasone or other agents to enhance efficacy. Choice of therapy depends on disease characteristics, prior treatment exposure, and patient tolerance.

Lenalidomide Glenmark should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date printed on the label.

Lenalidomide Glenmark is taken orally, usually as a tablet, with or without food as directed by the prescriber. The medication is swallowed whole with a glass of water, and the dosing schedule (e.g., daily for a set number of days followed by a rest period) is individualized based on the treatment protocol.

The most serious risks include severe neutropenia and thrombocytopenia, which can lead to infections or bleeding, and an increased risk of venous thromboembolism such as deep‑vein thrombosis or pulmonary embolism. Additionally, Lenalidomide is teratogenic, and rare cases of secondary malignancies have been reported. Patients should be monitored closely for these events.

Lenalidomide Glenmark should not be used by individuals who are pregnant, planning to become pregnant, or not using effective contraception. Patients with uncontrolled infections, severe renal impairment (unless dose‑adjusted), or known hypersensitivity to lenalidomide or any of its excipients should avoid the drug. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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