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American Journal of Hospice and Palliative Medicine®, Vol. 18, No. 5, 347-351 (2001)
DOI: 10.1177/104990910101800511

Thalidomide: Dual benefits in palliative medicine and oncology

Mellar P. Davis, MD, FCCP

Harry R. Horvitz Center for Palliative Medicine (a World Health Organization Demonstration Project), Cleveland, Ohio

E. Duke Dickerson, MSc, PhD

Oxford International Center for Palliative Care, Ohio Pain Initiative, Columbus, Ohio

Thalidomide is an immunomodulator, anti-angiogenic agent, anti-cytokine, and anti-integrin. Alone or in combination with other drugs, thalidomide has also demonstrated anti-cachexin and anti-neoplastic properties.

Anorexia and cachexia are common symptoms of advanced cancer. Since certain cytokines also promote tumor growth, we may have a class of agents with palliative and anti-tumor benefits in combination with anti-neoplastics and anti-cytokines, such as thalidomide.

Key Words: anorexia • anti-angiogenic • anti-cachexin • anti-cytokines • anti-neoplastic • cachexia • cytokines • palliative medicine • pharmacotherapy • thalidomide


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