New treatment for a severe vascular disease proves effective:
Promising results after using thalidomide in clinical trial

10/06/2022

Treatment with thalidomide leads to a striking reduction in symptoms and a subsequent improvement of quality of life in patients with severe arteriovenous malformations. That is the conclusion of a study in 18 patients, performed by Prof. Laurence Boon and Prof. Miikka Vikkula, in a long-standing collaboration between de Duve Institute and the Centre for Vascular Anomalies at University Hospital Saint-Luc.

Arteriovenous malformations (AVMs) are difficult-to-treat vascular anomalies in which abnormal   connections are formed between high-pressure blood vessels (arteries) and low-pressure blood vessels (veins). Lesions can arise anywhere in the body. They are painful and may cause recurrent and sometimes life-threatening bleeding, ulceration and functional disability. Though mostly present at birth, AVMs usually become visible and symptomatic in adolescence or adulthood, and often evolve over time with increasingly severe symptoms. Common treatment is embolization (deliberate blocking of blood vessels) followed by surgical resection. However, complete resection is rarely possible and partial resection often leads to dramatic worsening.

Some people with AVMs can live relatively normal lives, but even in less severe cases there is always the risk that the abnormal tangles of blood vessels can burst and may cause a stroke when in the brain. About one in every hundred AVM patients suffers a stroke each year.

“Our group has been studying the causes of vascular abnormalities for 30 years”, says Prof. Vikkula, head of the laboratory of Human Genetics at de Duve Institute. We have identified several genetic causes and have been able to show that certain mutations activate the signalling inside the cells of blood vessel walls, and this promotes the abnormal formation of blood vessels (angiogenesis). This led us to wonder about the possibility of using thalidomide to inhibit abnormal blood vessel formation”. Thalidomide was used as a sedative drug for pregnant women in the 1950s and it became infamous for its teratogenic properties. These effects were later shown to be due to strong inhibitory effects on angiogenesis of thalidomide.

After showing that a vascular malformation could be corrected in a mouse model, Prof. Laurence Boon from the Centre for Vascular Anomalies at University Hospital Saint-Luc, started in 2010 a clinical study into the use of thalidomide in AVMs. She recruited 18 patients, aged between 19 and 70, with severe malformations that could not be treated by conventional approaches.

All the patients experienced a rapid reduction of pain, together with cessation of bleeding and the healing of ulcers where these were present, says Prof. Vikkula. Three patients with cardiac failure also saw these problems resolved, and one AVM appeared to be completely cured after 19 months of thalidomide and an eight-year follow-up. The researchers showed in five patients that combined treatment with embolization permitted thalidomide dose reduction with clinical improvement. Reducing the dose led to less side-effects during the treatment.

Further clinical studies are needed to confirm the safety and efficacy of thalidomide treatment in AVMs. Although our study is relatively small, the results are convincing, and we hope that they will be confirmed by larger trials, says Prof. Vikkula. These results give great hope for a better future for patients affected by an AVM.

 


Affected hand of an AVM patient.
(a) Before thalidomide treatment: the AVM recurred despite amputation of the second finger.

(b) Complete healing after 2 years of thalidomide treatment.

(Picture from the article in Nature Cardiovascular Research, see below)

 

Article describing the research

Case report study of thalidomide therapy in 18 patients with severe arteriovenous malformation.
Boon LM, Dekeuleneer V, Coulie J, Marot L, Bataille A-C, Hammer F, Clapuyt P, Jeanjean A, Dompmartin A & Vikkula M.
Nature Cardiovascular Research. Jun 10, 2022. doi: 10.1038/s44161-022-00080-2

 

In the press

EurekAlert.org - Thalidomide is an effective treatment for abnormal blood vessel formations - 10/06/2022

DailyMail.co.uk - Thalidomide could be a life-saver for patients battling deadly blood vessel condition - and scientists say it's down to the SAME mechanism which causes birth defects - 10/06/2022

News-Medical.net - Study reveals the benefits of using thalidomide in patients with severe arteriovenous malformations - 10/06/2022

Revyuh.com - A New Option To Prevent Stroke In Patients With AVMs - 10/06/2022

InsideHeadline.com - Thalidomide IS Safe… But Only For Treating Rare Blood Vessel Condition - 10/06/2022

FloridaNewsTimes.com - Thalidomide is an effective treatment for abnormal angioplasty - 10/06/2022

WSTPost.com - Thalidomide IS safe… but only for treating rare blood vessel disorders - 11/06/2022

StudyFinds.org - Old morning sickness drug that caused birth defects repurposed to prevent strokes - 11/06/2022

News.knowledia.com - Infamous drug that causes birth defects could prevent bleeding and strokes - 11/06/2022

CosmosMagazine.com - Thalidomide could be used as a therapeutic - 12/06/2022

WorldFace.uk - Thalidomide could be used as a therapeutic for AVMs - 12/06/2022

Talker.news - Notorious drug could help prevent hemorrhages and strokes - 13/06/2022

HealthyNewsUSA.net - Thalidomide effectively treats blood vessel-damaging disorders in humans - 13/06/2022

GenEngNews.com - Thalidomide Effectively Treats Damaging Blood Vessel Disorder in Humans - 13/06/2022

List123.com - Thalidomide works by treating human blood vessel abnormalities effectively - 13/06/2022

NewsBoardForMe.com - Thalidomide is an effective remedy for the treatment of abnormal blood vessel formations - 14/06/2022

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Actualités UCLouvain - Découverte importante pour les malformations artério-veineuses - 10/06/2022

LeSpecialiste.be - L'UCLouvain fait une découverte importante pour les malformations artério-veineuses - 10/06/2022

Fr.postus.com - La thalidomide est un traitement efficace pour les formations anormales de vaisseaux sanguins - 10/06/2022

Fr.postus.com - Un médicament tristement célèbre qui cause des malformations congénitales pourrait prévenir les saignements et les accidents vasculaires cérébraux - 10/06/2022

Fr.postus.com - La thalidomide traite efficacement les troubles endommageant les vaisseaux sanguins chez l’homme - 13/06/2022

DailyScience.be - La thalidomide pour lutter contre les malformations artério-veineuses - 16/06/2022

Egalement sur SaintLuc.beMedi-Sphere.be & MediQuality.net

 

BarlettaWeb.com - Talidomide è un trattamento efficace per le formazioni anormali dei vasi sanguigni - 10/06/2022

Es.postus.com - Medicamento infame que causa defectos de nacimiento podría prevenir hemorragias y accidentes cerebrovasculares - 10/06/2022

AllNewsPress.com - Thalidomid IST sicher … aber nur zur Behandlung seltener Blutgefäßerkrankungen - 11/06/2022

CorreioBraziliense.com.br - Perigoso para grávidas, Talidomida atenua a má formação de vasos sanguíneos - 11/06/2022

0xyz.com - 预防 AVM 患者中风的新选择 - 11/06/2022

Jano.es - La talidomida se muestra como tratamiento eficaz contra la formación de vasos sanguíneos anormales - 16/06/2022

RynekZdrowia.pl - Talidomid może pomóc osobom z nieprawidłowym rozwojem naczyń krwionośnych - 19/06/2022

TerMedia.pl - Talidomid w terapii pacjentów z niewydolnością serca - 20/06/2022

PulsMedycyny.pl - Kolejne wskazanie dla talidomidu? Może pomóc w leczeniu malformacji naczyniowych - 20/06/2022

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