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

Lenalidomide Zentiva

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Zentiva (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Zentiva, is an immunomodulatory imide drug (IMiD) presented as an oral tablet for oral use. It is indicated for the treatment of multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in combination therapy.
GNH India supplies Lenalidomide Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies that rely on abnormal plasma‑cell or marrow proliferation.

  • Multiple myeloma: improves progression‑free survival and overall response rates in patients with relapsed or refractory disease.
  • Myelodysplastic syndromes with del(5q): reduces transfusion dependence and induces cytogenetic remission.
  • Mantle cell lymphoma (in combination therapy): enhances response when added to standard chemo‑immunotherapy regimens.

How It Works

  • Lenalidomide binds to cereblon, a component of the CRL4‑CRBN E3 ubiquitin ligase complex, altering substrate specificity and promoting degradation of transcription factors such as Ikaros and Aiolos. This leads to modulation of cytokine production, inhibition of angiogenesis, and activation of T‑ and NK‑cell mediated immune responses, ultimately inducing apoptosis of malignant cells.

Side Effects

Adverse reactions vary in frequency and severity.

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Neutropenia: reduced neutrophil count increasing infection risk.
  • Thrombocytopenia: low platelet count leading to easy bruising.
  • Anemia: decreased red blood cells causing weakness.
  • Diarrhea: loose stools that may require hydration.
  • Rash: mild skin irritation or redness.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Severe neutropenia: profound infection susceptibility.
  • Severe thrombocytopenia: significant bleeding risk.
  • Secondary primary malignancies: emergence of new cancers.
  • Hepatotoxicity: elevated liver enzymes or liver injury.
  • Stevens‑Johnson syndrome/toxic epidermal necrolysis: severe skin reactions.

Precautions & Warnings

Patients should be monitored closely for safety concerns before and during therapy.

  • Blood count monitoring: perform complete blood counts regularly to detect cytopenias.
  • Thromboembolic risk assessment: evaluate for clotting risk and consider prophylaxis.
  • Pregnancy avoidance: contraindicated in pregnancy; ensure effective contraception.
  • Renal function adjustment: modify dose in patients with impaired renal clearance.
  • Drug interaction review: assess concomitant medications for potential interactions.
  • Store below 25°C: keep in the original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase plasma levels.
  • CYP3A4 inducers (e.g., rifampin): may reduce efficacy.
  • Anticoagulants (e.g., warfarin): heightened risk of bleeding.

Moderate Interactions (Monitor Closely)

  • NSAIDs: additive risk of gastrointestinal bleeding.
  • CYP2C19 inhibitors (e.g., fluconazole): may modestly raise exposure.
  • Live vaccines: immunosuppression can diminish vaccine effectiveness.

Frequently Asked Questions

Lenalidomide Zentiva is prescribed for patients with multiple myeloma, myelodysplastic syndromes that carry the del(5q) chromosomal abnormality, and mantle cell lymphoma when used as part of a combination regimen. These are hematologic cancers where the drug’s immunomodulatory and anti‑angiogenic actions help control disease progression.

Lenalidomide binds to the cereblon component of the CRL4‑CRBN E3 ubiquitin ligase complex, altering the degradation of specific transcription factors. This results in reduced production of pro‑inflammatory cytokines, inhibition of new blood‑vessel formation, and activation of T‑cell and natural‑killer cell activity, ultimately leading to apoptosis of malignant cells.

The specific dose of Lenalidomide Zentiva is determined by the prescribing clinician based on the patient’s diagnosis, disease stage, renal function, and prior therapies. Only a qualified healthcare professional can set the appropriate regimen, and patients should follow the prescription exactly as written.

Lenalidomide is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because of a high risk of fetal harm. Women of childbearing potential must use effective contraception. The drug is also not recommended during breastfeeding, as it may be excreted in milk and affect the infant.

To request Lenalidomide Zentiva, visit the product page on gnhindia.com, submit an enquiry with the required quantity, and provide your institutional or trade credentials. GNH India works with hospitals, pharmacies, and procurement teams worldwide, then replies with pricing, availability, shipping details (including any cold‑chain needs), and required import documentation.

Lenalidomide belongs to the immunomodulatory imide drug class, offering a distinct mechanism compared with proteasome inhibitors or monoclonal antibodies. It provides oral administration, anti‑angiogenic effects, and immune activation, which can be advantageous in certain relapse settings. Choice of therapy depends on prior treatment history, patient tolerance, and disease characteristics.

Lenalidomide Zentiva tablets should be stored at temperatures below 25 °C (77 °F). Keep them in the original blister pack or container, protect from moisture and direct sunlight, and ensure the packaging remains sealed until use to maintain product stability.

Lenalidomide Zentiva is taken orally, usually once daily, with or without food, as directed by the prescribing physician. The tablets should be swallowed whole with water and not crushed or chewed unless specifically instructed by a healthcare professional.

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 rare severe skin reactions like Stevens‑Johnson syndrome.

Lenalidomide Zentiva should not be used by individuals who are pregnant, nursing, or have known hypersensitivity to lenalidomide or any of its excipients. It is also contraindicated in patients with uncontrolled infections or severe renal impairment without appropriate dose adjustment, as determined by a qualified clinician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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