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Repurposing the Thalidomide to the Treatment of Irinotecan-Induced Intestinal Mucositis: An Old Drug to a New Use

Author

Listed:
  • Rafaela Miranda Pessoa
  • William Gustavo Lima

    (These authors contributed equally.)

  • Kátia Duarte Vital
  • Valbert Nascimento Cardoso
  • Simone Odília Antunes Fernandes

    (Department of Clinical and Toxicological Analyses, University of Minas Gerais, Brazil)

Abstract

Intestinal mucositis (IM) is an inflammation caused by antitumor therapy, it seems as side effect especially in irinotecan-based protocols. This condition has a negative impact on patient’s quality of life and treatment effectiveness, once restricts food intake and may predispose the patient to secondary infections. Currently in the clinical practice, only palliative measures are used to treat the IM, which represent the main clinical limitation in management this condition. In this scenario, the repurposing of compounds that are already in clinical use highlight as a rapid and effective strategy against IM caused by chemotherapy. The use of thalidomide has already been demonstrated as a good therapeutic option in preclinical models of irinotecan-induced IM, due its ability to modulate proinflammatory response and to reduce the levels of enterotoxic metabolite of this antitumor agent (i.e., SN-38). In this sense, thalidomide appears as a promising compound for repositioning the therapy of IM, since it exhibits high clinical efficacy and does not affect the activity of ongoing antitumor treatment.

Suggested Citation

  • Rafaela Miranda Pessoa & William Gustavo Lima & Kátia Duarte Vital & Valbert Nascimento Cardoso & Simone Odília Antunes Fernandes, 2018. "Repurposing the Thalidomide to the Treatment of Irinotecan-Induced Intestinal Mucositis: An Old Drug to a New Use," Global Journal of Pharmacy & Pharmaceutical Sciences, Juniper Publishers Inc., vol. 6(2), pages 33-35, October.
  • Handle: RePEc:adp:jgjpps:v:6:y:2018:i:2:p:33-35
    DOI: 10.19080/GJPPS.2018.06.555682
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