The invention relates to
isoindole-
imide compounds and pharmaceutically acceptable salts, hydrates, solvates, clathrates, enantiomers, diastereomers, racemates, or mixtures of stereoisomers thereof, pharmaceutical compositions comprising these
isoindole-
imide compounds, and methods for reducing the level of cytokines and their precursors in mammals. In particular, the invention pertains to
isoindole-
imide compounds that are potent inhibitors of the production of TNF-alpha in mammals. The isoindole-imides described herein are useful for treating or preventing diseases or disorders in mammals, for example, cancers, such as
solid tumors and blood-born tumors;
heart disease, such as congestive
heart failure;
osteoporosis; and genetic, inflammatory; allergic; and autoimmune diseases.