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

Lenalidomide Sandoz

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Sandoz (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Sandoz, is an immunomodulatory drug (IMiD) presented as a tablet for oral use. It is indicated for the treatment of multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in adult patients.

GNH India supplies Lenalidomide Sandoz as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution. Customers benefit from comprehensive regulatory support and consistent product availability across markets.

Manufacturer / TM Owner

Sandoz A/S

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Indications & Clinical Uses

  • Lenalidomide is used in hematologic malignancies and related disorders, targeting abnormal plasma cells and dysplastic clones.
  • Multiple Myeloma: improves progression‑free survival and overall response rates in adult patients.
  • Myelodysplastic Syndromes with del(5q): reduces transfusion dependence and induces cytogenetic remission.
  • Mantle Cell Lymphoma: achieves disease control and prolongs remission in relapsed or refractory cases.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑CRBN E3 ubiquitin ligase complex, altering its substrate specificity. This promotes ubiquitination and proteasomal degradation of transcription factors Ikaros (IKZF1) and Aiolos (IKZF3), leading to reduced survival of malignant plasma cells, inhibition of angiogenesis, and modulation of immune cell activity, including enhanced T‑cell and natural killer cell responses against tumor cells and cytokine production.

Side Effects

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

Common Side Effects

  • Neutropenia
  • Thrombocytopenia
  • Fatigue
  • Nausea

Serious or Rare Side Effects

  • Venous thromboembolism
  • Severe infections associated with profound neutropenia
  • Secondary primary malignancies
  • Hypersensitivity reactions

Precautions & Warnings

  • Before initiating therapy, several safety considerations should be reviewed.
  • Pregnancy: contraindicated due to known teratogenicity.
  • Breastfeeding: not recommended; avoid during lactation.
  • Blood count monitoring: perform regular complete blood counts to detect cytopenias.
  • Thromboembolic risk: assess need for prophylactic anticoagulation in high‑risk patients.
  • Renal impairment: dose adjustment may be required based on renal function.
  • Store at below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Lenalidomide can interact with several drug classes; careful review is essential.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased bleeding risk.
  • Live vaccines: risk of uncontrolled infection.
  • Strong CYP inducers (e.g., rifampicin): may reduce lenalidomide exposure.
  • Hormonal contraceptives: reduced effectiveness, consider alternative contraception.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): may raise plasma concentrations.
  • NSAIDs: can exacerbate cytopenias.
  • Diuretics: may affect renal clearance of the drug.
  • Immunosuppressants: heightened risk of opportunistic infections.

Frequently Asked Questions

Lenalidomide Sandoz is prescribed for adult patients with multiple myeloma, myelodysplastic syndromes that carry a deletion of chromosome 5q, and mantle cell lymphoma. In each indication the drug aims to control disease progression, reduce the need for transfusions, and improve overall response rates as part of a broader treatment plan.

Lenalidomide binds to cereblon, a component of the CRL4‑CRBN E3 ubiquitin ligase complex, changing the complex’s substrate preference. This triggers the ubiquitination and subsequent degradation of transcription factors Ikaros and Aiolos, which suppresses malignant plasma‑cell growth, inhibits new blood‑vessel formation, and enhances immune‑mediated tumor cell killing.

The specific dose of Lenalidomide Sandoz is individualized and must be determined by a qualified prescriber. Dosing depends on the approved indication, patient’s renal function, prior therapies, and overall clinical status, and it is adjusted according to laboratory monitoring and treatment response.

Lenalidomide is classified as Pregnancy Category X, indicating it is contraindicated during pregnancy because of proven teratogenic risk. Women of child‑bearing potential must use effective contraception. The drug is also not recommended while breastfeeding, as it may be excreted in milk and could harm the infant.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Lenalidomide Sandoz. 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 the necessary import documentation.

Lenalidomide and thalidomide belong to the same immunomodulatory drug class, but lenalidomide generally offers a more favorable safety profile, especially regarding peripheral neuropathy. Both agents share a similar mechanism of cereblon binding, yet lenalidomide is often preferred for patients who require stronger anti‑angiogenic activity and a lower incidence of certain toxicities.

Store Lenalidomide Sandoz tablets at temperatures below 25 °C, in the original container, and protect them from moisture and direct light. Keep the product out of reach of children and avoid crushing or splitting tablets unless directed by a healthcare professional.

Lenalidomide Sandoz is taken orally as a whole tablet, usually once daily on a schedule defined by the prescribing physician. It may be taken with or without food, but patients should follow any specific instructions regarding timing relative to meals and other medications.

The most critical risks include severe neutropenia that can lead to life‑threatening infections, venous thromboembolism (blood clots), secondary primary malignancies, and rare hypersensitivity reactions such as Stevens‑Johnson syndrome. Patients should be monitored closely for signs of infection, unexplained bruising, or allergic symptoms and report them immediately.

Lenalidomide Sandoz should not be used by pregnant women, nursing mothers, or individuals with known hypersensitivity to lenalidomide or any component of the formulation. It is also contraindicated in patients with uncontrolled active infections or those who cannot safely receive anticoagulation when a high thrombotic risk is present.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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