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 presented as an oral tablet for oral use. It is indicated for the treatment of multiple myeloma and myelodysplastic syndromes with del(5q) chromosome abnormality in adult patients.

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

  • Multiple Myeloma: improves progression‑free survival and disease control in adult patients.
  • Myelodysplastic Syndromes with del(5q): reduces transfusion dependence and corrects cytopenias.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, altering substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors Ikaros (IKZF1) and Aiolos (IKZF3), which suppresses malignant plasma‑cell proliferation, induces apoptosis, and inhibits angiogenesis. The resulting immunomodulatory effects also enhance natural‑killer and T‑cell activity against tumor cells.

Side Effects

Lenalidomide may cause a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Fatigue: persistent tiredness reported by many patients.
  • Diarrhea: loose stools occurring during treatment.
  • Constipation: reduced bowel movements.
  • Rash: mild skin eruptions.
  • Nausea: feeling of sickness.
  • Peripheral neuropathy: tingling or numbness in extremities.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Severe neutropenia: markedly low neutrophil count increasing infection risk.
  • Severe thrombocytopenia: dangerously low platelet levels causing bleeding.
  • Secondary primary malignancies: emergence of new cancers.
  • Hepatotoxicity: significant liver enzyme elevation or injury.
  • Hypersensitivity reactions: severe allergic responses including Stevens‑Johnson syndrome.

Precautions & Warnings

Before initiating lenalidomide, several safety considerations should be reviewed.

  • Pregnancy contraindication: drug is 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 impairment: adjust dose or monitor closely in patients with reduced kidney function.
  • Drug interaction awareness: review concomitant medications for potential interactions.
  • Store at below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Lenalidomide has notable interactions that may require dose adjustment or avoidance.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increase lenalidomide exposure.
  • Strong CYP3A4 inducers (e.g., rifampin): decrease lenalidomide exposure.
  • Thalidomide: combined use raises risk of teratogenicity and peripheral neuropathy.
  • Anticoagulants (e.g., warfarin): may enhance bleeding risk.
  • Live vaccines: immunosuppression can reduce vaccine efficacy and increase infection risk.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may exacerbate neutropenia or thrombocytopenia.
  • Antihypertensives: possible alterations in blood pressure control.
  • CYP2C19 inhibitors (e.g., fluoxetine): modest increase in lenalidomide levels.
  • Proton pump inhibitors: may affect absorption in some patients.
  • Herbal supplements (e.g., St. John’s wort): potential induction of metabolic pathways.

Frequently Asked Questions

Lenalidomide Glenmark is a generic formulation of lenalidomide indicated for the treatment of adult patients with multiple myeloma and for myelodysplastic syndromes that carry the del(5q) chromosomal abnormality. In these conditions it helps control disease progression, reduces the need for blood transfusions, and improves blood cell counts.

Lenalidomide binds to cereblon, a component of the CRL4‑E3 ubiquitin ligase complex, altering its substrate specificity. This triggers ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, leading to anti‑proliferative, pro‑apoptotic, and anti‑angiogenic effects, while also enhancing immune‑mediated tumor cell clearance.

The specific dose and schedule of lenalidomide are determined by the prescribing physician based on the patient’s diagnosis, disease stage, renal function, and concomitant therapies. Dosing recommendations are provided in the product labeling and must be individualized for each patient.

Lenalidomide is classified as pregnancy category X; it is contraindicated in pregnancy because it can cause fetal harm. Women of child‑bearing potential must use effective contraception during treatment and for a defined period after the last dose. 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, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Both lenalidomide and thalidomide belong to the immunomodulatory drug class, but lenalidomide generally shows greater potency, a more favorable safety profile, and lower risk of peripheral neuropathy. Lenalidomide also has distinct anti‑angiogenic and anti‑myeloma activity, making it the preferred option in many treatment protocols for multiple myeloma and del(5q) MDS.

Lenalidomide Glenmark tablets should be stored at temperatures below 25 °C in their original blister pack, protected from moisture and direct light. Do not store in bathrooms or near heat sources. Keep out of reach of children and dispose of unused product according to local regulations.

Lenalidomide is taken orally, usually once daily, with or without food, as directed by the prescribing clinician. The tablets should be swallowed whole with a full glass of water. Patients should follow the dosing schedule provided in the prescription and attend regular monitoring appointments.

The most serious risks include severe neutropenia and thrombocytopenia, which can lead to life‑threatening infections or bleeding, and venous thromboembolism such as deep‑vein thrombosis or pulmonary embolism. Additionally, there is a risk of secondary primary malignancies and severe hypersensitivity reactions. Prompt reporting of symptoms and regular laboratory monitoring are essential.

Lenalidomide is contraindicated in pregnant women, individuals with known hypersensitivity to lenalidomide or its excipients, and patients with uncontrolled active infections. Caution is also advised for those with severe renal impairment, uncontrolled cardiovascular disease, or a history of thromboembolic events unless appropriate prophylaxis is in place.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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