“…This proprietary class of therapeutic analogues, as exemplified by lenalidomide (Revlimid, Celgene, Summit, NJ, USA, CC-5013) was developed on the basis of structural activity relationship studies focussing on molecular alterations to the central ring framework of the thalidomide molecule as an approach to enhancing the immunomodulatory characteristics of the agents (Stirling, 2001;Bartlett et al, 2004). Allied to this enhancement, IMiDs, such as thalidomide, display potent anti-proliferative, apoptotic and antiangiogenic properties both in vivo and in a wide spectrum of tumour cell lines (Dredge et al, 2002(Dredge et al, , 2005Shalapour et al, 2006;Verhelle et al, 2007). At present, lenalidomide is approved by the US Food and Drug Administration for use in patients with myelodysplastic syndromes (associated with no or 5q-deletions), and in combination with dexamethasone in patients with multiple myeloma who have received one previous therapy (Dimopoulos et al, 2007;Weber et al, 2007).…”