Thalidomide in ankylosing spondylitis.
Feng Huang, James Cheng‐Chung Wei, Maxime Bréban
Abstract
Feng Huang, James Cheng‐Chung Wei, Maxime Bréban
Abstract
Despite potential side effects dominated by teratogenicity and peripheral neuropathy, thalidomide has recently been used to treat severe ankylosing spondylitis (AS). Over 50 patients have been treated across several 6-12 month open studies. Altogether 68% of the patients improved and the drop-out rate was 19%. Inhibition of NF-kappaB and/or TNFalpha is a putative mechanism for thalidomide efficacy in AS.
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Despite potential side effects dominated by teratogenicity and peripheral neuropathy, thalidomide has recently been used to treat severe ankylosing spondylitis (AS). Over 50 patients have been treated across several 6-12 month open studies. Altogether 68% of the patients improved and the drop-out rate was 19%. Inhibition of NF-kappaB and/or TNFalpha is a putative mechanism for thalidomide efficacy in AS.
Key concepts: Thalidomide, Medicine, Ankylosing spondylitis, Spondylitis, Peripheral neuropathy, Internal medicine, Tumor necrosis factor alpha, Gastroenterology