Lenangio 25, Lenalidomide, AntiCancer Drugs, Online Pharmacy, ZarvyPharm
AntiCancer Drugs Blood Cancer

Lenangio 25

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Generic For REVLIMID
Active Ingredient LENALIDOMIDE
Strength 25MG
Manufacturer DR REDDYS LABORATORIES
Lenangio 25 (Lenalidomide) 25mg 10 capsules front view carton box with green design for online pharmacy cancer treatment
Lenangio 25 (Lenalidomide) 25mg 10 capsules white plastic pill bottle with printed label for multiple myeloma medication online pharmacy
Lenangio 25 (Lenalidomide) 25mg 10 capsules branded carton box close-up display for oncology treatment online pharmacy
Lenangio 25 (Lenalidomide) 25mg 10 capsules front view carton box with green design for online pharmacy cancer treatment
Lenangio 25 (Lenalidomide) 25mg 10 capsules white plastic pill bottle with printed label for multiple myeloma medication online pharmacy
Lenangio 25 (Lenalidomide) 25mg 10 capsules branded carton box close-up display for oncology treatment online pharmacy
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Product Description

Lenangio 25 is an oral anticancer capsule containing 25 mg of lenalidomide, a potent immunomodulatory and antineoplastic agent. It plays a central role in the treatment of hematologic cancers by inducing targeted apoptosis of malignant cells and enhancing immune-mediated cytotoxicity.

Lenangio 25 acts through modulation of the cereblon E3 ubiquitin ligase complex, leading to the degradation of transcription factors critical for tumor growth and survival. This mechanism contributes to its dual direct antitumor and immune-enhancing properties.

It is essential in both frontline and maintenance settings across various hematologic malignancies, making it a cornerstone in the management of conditions such as multiple myeloma, myelodysplastic syndromes, and lymphomas.

Indications & Uses

AntiCancer Drugs > Multiple Myeloma, Myelodysplastic Syndromes, Lymphomas
Lenangio 25 is widely prescribed for multiple myeloma in combination with dexamethasone, forming a foundational regimen in both newly diagnosed and relapsed cases.

It is also FDA-approved for treating anemia in patients with 5q-deletion MDS, providing a targeted therapeutic approach in this subgroup.

Furthermore, Lenangio 25 serves as a key agent in the management of relapsed mantle cell lymphoma and is integrated into combination protocols for follicular lymphoma and marginal zone lymphoma, expanding its role across diverse hematologic malignancies.

Benefits & Effectiveness

  • Selective apoptosis inducer via cereblon-dependent degradation of Ikaros/Aiolos

  • Immunomodulatory: enhances T-cell and NK-cell cytotoxic function

  • Antiangiogenic effects within the tumor microenvironment

  • Promotes erythroid lineage recovery in MDS with chromosomal deletion

Directions for Use

1. Multiple Myeloma (MM)

  • In combination with dexamethasone: 25 mg orally once daily on Days 1–21 of a 28-day cycle. Continue treatment until disease progression or intolerable toxicity.

  • Maintenance therapy after autologous stem cell transplant: Start at 10 mg orally once daily for 28 days per cycle (for 3 cycles). If tolerated, escalate to 15 mg daily and continue as long as beneficial.

  • For transplant-eligible patients: mobilize stem cells within 4 cycles. Maintenance is initiated post hematologic recovery (ANC ≥1000/µL, PLT ≥75,000/µL).

2. Myelodysplastic Syndromes (MDS)

  • 10 mg orally once daily continuously. Dose adjustment is based on hematologic response and tolerance.

  • Approved for transfusion-dependent anemia in low to intermediate-1 risk MDS with confirmed 5q deletion (with or without other cytogenetic abnormalities).

3. Lymphoma

  • Follicular Lymphoma (FL) / Marginal Zone Lymphoma (MZL): 20 mg orally once daily on Days 1–21 of each 28-day cycle (up to 12 cycles). Administer with rituximab as per protocol.

  • Mantle Cell Lymphoma (MCL): 25 mg orally once daily on Days 1–21 of each 28-day cycle. Continue until disease progression or unacceptable toxicity.

Storage

Store at a temperature below 25°C (77°F) in a dry, secure location. Keep capsules in their original blister to prevent exposure to moisture. Strictly avoid handling by pregnant women or those of childbearing potential unless wearing gloves, due to its teratogenic nature.

Possible Side Effects

- Common: fatigue, constipation, diarrhea, rash, insomnia - Hematologic: neutropenia, anemia, thrombocytopenia - Severe: thromboembolic events, hepatotoxicity, tumor lysis syndrome - Other: back pain, pruritus, peripheral neuropathy

FAQs

Lenangio 25 is a standard component of induction and maintenance therapy in multiple myeloma. It improves survival when combined with dexamethasone or other agents like bortezomib.
Yes. Regular CBC, liver function tests, and renal function must be monitored. Anticoagulation prophylaxis is often recommended due to VTE risk.
Only under strict pregnancy prevention protocols. Lenalidomide is highly teratogenic, and a negative pregnancy test is mandatory before starting therapy.
Duration depends on indication and response. Maintenance may last for years if tolerated, especially post-transplant in myeloma.
Take the dose as soon as remembered if within 12 hours. Skip the dose if more than 12 hours have passed and continue with the regular schedule.

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