1962
DOI: 10.1056/nejm196212062672305
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The Saga of Thalidomide

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Cited by 238 publications
(38 citation statements)
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“…In some cases, severe side effects have been reported for one enantiomer, whereas the other enantiomer has a favorable benefit-risk profile and is regarded a valuable drug (e.g. penicillamine [1], thalidomide [2]). Even if most of the side effects of enantiomers are usually tolerable, the compounds have to be metabolized nevertheless and thus represent an unnecessary burden.…”
Section: Introductionmentioning
confidence: 99%
“…In some cases, severe side effects have been reported for one enantiomer, whereas the other enantiomer has a favorable benefit-risk profile and is regarded a valuable drug (e.g. penicillamine [1], thalidomide [2]). Even if most of the side effects of enantiomers are usually tolerable, the compounds have to be metabolized nevertheless and thus represent an unnecessary burden.…”
Section: Introductionmentioning
confidence: 99%
“…Thalidomide [N(α)-phthalimidoglutarimide] has a long pharmacological history, having been used as a sedative, an antiinflammatory, and an immunosuppressive agent (Mellin et al 1962). The idea of an outright immunosuppression by THD was rightly rejected .…”
Section: Introductionmentioning
confidence: 99%
“…Consequently, it might exhibit parallel physiological effects and enhanced subtype selectivity due to similar interactions in the lipophilic binding pocket (L2, see Figure S1 in Supplementary material for the model). 22 Moreover, metabolism by liver microsomes would be expected to be different for a cyclopropyl substituent as compared to an ethynyl functional group. Hence, the C(8)-substituted cyclopropyl analog GL-I-78 (3) was prepared based on this hypothesis.…”
Section: Resultsmentioning
confidence: 99%
“…This process gave methyl oxadiazole GL-I-65 (9a), ethyl oxadiazole GL-I-66 (9b) and isopropyl oxadiazole GL-I-81 (9c) in improved yields of 79-85%, respectively, as depicted in Scheme 5. To explore the extent of flexibility of the hydrogen-bond acceptor in the binding pocket designed H1 in the pharmacophore/receptor model (see Figure S1 in Supplementary material), 22,36 it was decided to synthesize a linear nitrile at the C(3) position, which has sometimes been employed to increase water solubility of a ligand and has also been used to reduce possible oxidative metabolism by the liver in clinical studies. 45 The nitrile MP-III-018.A (10) The characterization of the lead compound 2 was being carried out simultaneously with the synthesis and assessment of the novel analogs.…”
mentioning
confidence: 99%