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

Lenalidomide Grindeks

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Grindeks (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Grindeks, is an immunomodulatory drug (IMiD) presented as an oral tablet for oral use. It is indicated for the treatment of multiple myeloma and certain myelodysplastic syndromes in adult patients. The medication exerts anti‑proliferative, pro‑apoptotic, anti‑angiogenic and immunomodulatory actions by targeting cereblon, a component of the E3 ubiquitin ligase complex.

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

Manufacturer / TM Owner

Grindeks

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies that involve abnormal plasma cell proliferation or dysplastic marrow cells.

  • Multiple myeloma: improves progression‑free survival and overall response rates.
  • Myelodysplastic syndromes with del(5q): reduces transfusion dependence and can induce cytogenetic remission.
  • Relapsed or refractory multiple myeloma: provides a therapeutic option after prior lines of therapy.

How It Works

  • Lenalidomide binds to the cereblon subunit of the CRL4‑CRBN E3 ubiquitin ligase complex, altering substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, resulting in anti‑proliferative, pro‑apoptotic, anti‑angiogenic, and immunomodulatory effects that suppress malignant plasma cells and modulate the tumor microenvironment.

Side Effects

Lenalidomide may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Neutropenia: reduced white blood cell count.
  • Thrombocytopenia: lowered platelet count.
  • Fatigue: persistent tiredness.
  • Diarrhea: loose stools.

Serious or Rare Side Effects

  • Venous thromboembolism: formation of blood clots in veins.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Secondary primary malignancies: emergence of new cancers during therapy.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Monitor blood counts: perform regular complete blood count assessments.
  • Assess thrombotic risk: evaluate patient history for clotting disorders.
  • Evaluate organ function: check renal and hepatic parameters periodically.
  • Avoid use in pregnancy: contraindicated due to teratogenic potential.
  • Counsel on contraception: ensure effective birth control during treatment and for a defined period after cessation.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Lenalidomide may interact with other medicines, requiring attention to the level of risk.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin): may reduce lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Live vaccines: heightened risk of infection due to immunomodulation.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may exacerbate thrombocytopenia.
  • Digoxin: potential for altered serum concentrations.
  • CYP3A4 inhibitors (e.g., ketoconazole): may increase lenalidomide levels.

Frequently Asked Questions

Lenalidomide Grindeks is prescribed for adult patients with multiple myeloma and for those with myelodysplastic syndromes that carry a deletion of chromosome 5q. In both settings, the drug helps control disease progression, reduces the need for blood transfusions, and can improve overall survival when used as part of an approved treatment regimen.

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 degradation of transcription factors Ikaros and Aiolos. The resulting cascade produces anti‑proliferative, pro‑apoptotic, anti‑angiogenic, and immunomodulatory effects that target malignant plasma cells and modify the tumor microenvironment.

The specific dose of lenalidomide is individualized by the prescribing clinician based on the patient’s diagnosis, disease stage, renal function, and prior therapies. Dosage regimens are outlined in the product’s prescribing information, and any adjustments are made under medical supervision to balance efficacy with safety.

Lenalidomide is classified as a teratogenic agent and is contraindicated in pregnancy. Women of child‑bearing potential must use effective contraception during treatment and for a defined period after discontinuation. Safety data for breastfeeding are insufficient, and the drug is generally not recommended for nursing mothers.

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 team provides pricing, availability, shipping details (including any cold‑chain requirements), and assistance with import documentation.

Lenalidomide belongs to the immunomodulatory drug (IMiD) class, sharing a mechanism with thalidomide but offering greater potency and a more favorable safety profile. Compared with thalidomide, lenalidomide typically causes less peripheral neuropathy and has stronger anti‑angiogenic activity. It is also distinct from proteasome inhibitors such as bortezomib, which act through a different cellular pathway.

Lenalidomide Grindeks should be stored at temperatures below 25 °C (77 °F). Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

The medication is taken orally, usually once daily, with or without food, as directed by the prescribing physician. Swallow the tablet whole with a glass of water; do not crush, split, or chew unless specifically instructed.

Key serious risks include the development of venous thromboembolism, severe skin reactions such as Stevens‑Johnson syndrome or toxic epidermal necrolysis, and the possible emergence of secondary primary malignancies. Patients should be monitored closely for signs of clotting, skin changes, or new cancer diagnoses, and any concerning symptoms should be reported immediately.

Lenalidomide is contraindicated in individuals who are pregnant, have known hypersensitivity to the drug or its excipients, or have uncontrolled severe infections. Caution is also advised for patients with significant renal impairment, as dose adjustments may be required, and for those with a history of thromboembolic events without appropriate prophylaxis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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