Immunomodulatory agent (IMiD): Class Overview and Comparison
Quick answer: Immunomodulatory agent (IMiD) are a class of medicines used for specific therapeutic indications. iMedic covers 8 immunomodulatory agent (imid) substances. Below is a comparison table linking to detailed pages for each.
Immunomodulatory agent (IMiD) on iMedic (8 substances)
| Substance | Primary indications | Mechanism | Common dose |
|---|---|---|---|
| Imnovid | Multiple myeloma | Thalidomide analog that modulates immune response and inhibits angiogenesis and | 4 mg once daily on days 1-21 of 28-day cycle |
| Lenalidomid | Multiple myeloma, Myelodysplastic syndrome | Cereblon E3 ligase modulator promoting degradation of Ikaros/Aiolos, with antine | 10-25 mg once daily on days 1-21 of 28-day cycles |
| Lenalidomide | Multiple myeloma, Myelodysplastic syndrome | Cereblon E3 ligase modulator promoting degradation of Ikaros/Aiolos, with antine | 10-25 mg once daily on days 1-21 of 28-day cycles |
| Pomalidomid | Multiple myeloma, Kaposi sarcoma | Thalidomide analog that modulates immune function and inhibits tumor cell prolif | 4 mg once daily on days 1-21 of 28-day cycle |
| Pomalidomide | Multiple myeloma, Kaposi sarcoma | Thalidomide analog that modulates immune function and inhibits tumor cell prolif | 4 mg once daily on days 1-21 of 28-day cycle |
| Thalidomide | Multiple myeloma, Erythema nodosum leprosum (ENL) | Binds cereblon E3 ubiquitin ligase, modulating immune response, inhibiting TNF-a | 100-400 mg orally once daily |
| Thalidomide Bms | Multiple myeloma, Erythema nodosum leprosum | Binds cereblon E3 ubiquitin ligase, modulating immune response, inhibiting TNF-a | 100-400 mg orally once daily |
| Thalidomide Lipomed | Multiple myeloma, Erythema nodosum leprosum | Binds cereblon E3 ubiquitin ligase, modulating immune response, inhibiting TNF-a | 100-400 mg orally once daily |
About Immunomodulatory agent (IMiD)
Immunomodulatory agent (IMiD) share a common mechanism of action and clinical use. Specific dosing, side effects, contraindications, and drug interactions vary between individual substances within the class. Click any substance above for full prescribing information and patient guidance.
Common considerations across the class
- Indication-specific selection: Different members may be preferred for different conditions or patient populations
- Dose equivalence: Members of the same class are not always interchangeable on a 1:1 dose basis
- Drug interactions: Class members often share interaction profiles (e.g., CYP enzyme effects) but individual variation matters
- Side effects: Some side effects are class-wide; others are substance-specific
- Contraindications: Individual contraindications may not generalize across the class
Always consult the prescribing information for the specific medicine prescribed and discuss with your clinician.
Frequently asked questions
What are Immunomodulatory agent (IMiD)?
Immunomodulatory agent (IMiD) are medicines that share a common mechanism of action used for specific therapeutic indications. iMedic currently covers 8 substances in this class with detailed pages for each.
Are all Immunomodulatory agent (IMiD) interchangeable?
No. While medicines in the same class share a mechanism, they differ in potency, dosing, drug interactions, and tolerability. Switching between them is a clinical decision based on individual response, side effects, and treatment goals.
How do I choose between different Immunomodulatory agent (IMiD)?
Selection depends on the specific clinical indication, patient factors (age, comorbidities, kidney/liver function, other medications), tolerability of side effects, cost, and clinician preference. This is a prescribing decision.
Are Immunomodulatory agent (IMiD) available as generics?
Most well-established class members are available as generic alternatives, often substantially less expensive than brand-name versions while clinically equivalent. Newer members may still be brand-only.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.