Dasatinib

Generic Name
Dasatinib
Brand Names
Sprycel
Drug Type
Small Molecule
Chemical Formula
C22H26ClN7O2S
CAS Number
302962-49-8
Unique Ingredient Identifier
X78UG0A0RN
Background

Dasatinib is an orally available multikinase inhibitor indicated for the treatment of Philadelphia chromosome (Ph)-positive leukemias. Ph is a chromosomal abnormality found in patients with chronic myelogenous leukemia (CML) and acute lymphocytic leukemia (ALL), where the ABL tyrosine kinase and the breakpoint cluster region (BCR) gene transcribe the chimeric protein BCR-ABL. BCR-ABL is associated with the uncontrolled activity of the ABL tyrosine kinase and is involved in the pathogenesis of CML and 15-30% of ALL cases. Dasatinib also inhibits a spectrum of kinases involved in cancer, including several SRC-family kinases.

Unlike imatinib, another tyrosine kinase used for the treatment of CML and Ph-positive ALL, dasatinib inhibits the active and inactive conformations of the ABL kinase domain. Also, mutations in the kinase domain of BCR-ABL may lead to relapse during imatinib treatment. Since dasatinib does not interact with some of the residues involved in those mutations, the use of this drug represents a therapeutic alternative for patients with cancers that have developed imatinib-resistance. The use of dasatinib was first approved by the FDA in 2006.

Indication

Dasatinib is indicated for the treatment of newly diagnosed adults with Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML) in chronic phase, as well as adults with chronic, accelerated, or myeloid or lymphoid blast phase Ph+ CML with resistance or intolerance to prior therapy including imatinib, and adults with Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) with resistance or intolerance to prior therapy. Dasatinib is also indicated for the treatment of pediatric patients 1 year of age and older with Ph+ CML in chronic phase or newly diagnosed Ph+ ALL in combination with chemotherapy.

Associated Conditions
Accelerated Phase Chronic Myelogenous Leukemia (CML), Acute Lymphoblastic Leukaemias (ALL), Chronic Phase Chronic Myeloid Leukemia, Blast phase Chronic myeloid leukemia
Associated Therapies
-

Safety Evaluation of Dasatinib in Subjects With Scleroderma Pulmonary Fibrosis

Phase 1
Completed
Conditions
Interventions
First Posted Date
2008-10-02
Last Posted Date
2012-02-29
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
47
Registration Number
NCT00764309
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Northwestern University Feinberg School Of Medicine, Chicago, Illinois, United States

๐Ÿ‡บ๐Ÿ‡ธ

Boston University School Of Medicine, Boston, Massachusetts, United States

๐Ÿ‡บ๐Ÿ‡ธ

Mayo Clinic Arizona, Scottsdale, Arizona, United States

and more 10 locations

Randomized Trial of Fulvestrant With or Without Dasatinib in Men and Postmenopausal Women Who Have Hormone Receptor-positive Advanced Breast Cancer Previously Treated With an Aromatase Inhibitor

Phase 2
Completed
Conditions
Interventions
First Posted Date
2008-09-17
Last Posted Date
2016-05-26
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
100
Registration Number
NCT00754325
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Kansas City Cancer Center, Llc., Overland Park, Kansas, United States

๐Ÿ‡บ๐Ÿ‡ธ

Northern Arizona Hematology & Oncology Associates, Sedona, Arizona, United States

๐Ÿ‡บ๐Ÿ‡ธ

Us Oncology Research, Inc., Houston, Texas, United States

and more 23 locations

Randomized Study Comparing Docetaxel Plus Dasatinib to Docetaxel Plus Placebo in Castration-resistant Prostate Cancer

First Posted Date
2008-09-01
Last Posted Date
2016-10-17
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
1930
Registration Number
NCT00744497
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Maine Center For Cancer Medicine, Scarborough, Maine, United States

๐Ÿ‡บ๐Ÿ‡ธ

Jackson Oncology Associates, Pllc, Jackson, Mississippi, United States

๐Ÿ‡บ๐Ÿ‡ธ

Va Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, United States

and more 40 locations

Solid Tumors Using Ixabepilone and Dasatinib

Phase 1
Completed
Conditions
Interventions
First Posted Date
2008-07-17
Last Posted Date
2020-08-05
Lead Sponsor
Medstar Health Research Institute
Target Recruit Count
19
Registration Number
NCT00717704
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Washington Cancer Institute, Washington, District of Columbia, United States

Neoadjuvant Dasatinib and Radical Cystectomy for Transitional Cell Carcinoma of the Bladder

First Posted Date
2008-06-27
Last Posted Date
2016-01-15
Lead Sponsor
Hoosier Cancer Research Network
Target Recruit Count
25
Registration Number
NCT00706641
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Indiana University Simon Cancer Center, Indianapolis, Indiana, United States

๐Ÿ‡บ๐Ÿ‡ธ

Baylor College of Medicine, Houston, Texas, United States

๐Ÿ‡บ๐Ÿ‡ธ

Virginia Oncology Associates, Norfolk, Virginia, United States

Dasatinib in Treating Patients With Locally Advanced or Metastatic Mucosal Melanoma, Acral Melanoma, or Vulvovaginal Melanoma That Cannot Be Removed By Surgery

Phase 2
Completed
Conditions
Interventions
First Posted Date
2008-06-19
Last Posted Date
2023-07-03
Lead Sponsor
Eastern Cooperative Oncology Group
Target Recruit Count
81
Registration Number
NCT00700882
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Stanford Cancer Center, Stanford, California, United States

๐Ÿ‡บ๐Ÿ‡ธ

Florida Hospital Cancer Institute at Florida Hospital Orlando, Orlando, Florida, United States

๐Ÿ‡บ๐Ÿ‡ธ

Cancer Center of Kansas, PA - Medical Arts Tower, Wichita, Kansas, United States

and more 148 locations

Randomized Phase II Trial of Letrozole With or Without Dasatinib as First and Second-line Treatment for Hormone Receptor-positive, HER2-negative Post-menopausal Breast Cancer That is Unresectable, Locally Recurrent or Metastatic

Phase 2
Completed
Conditions
Interventions
First Posted Date
2008-06-12
Last Posted Date
2016-06-13
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
120
Registration Number
NCT00696072
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Florida Cancer Institute - New Hope, Hudson, Florida, United States

๐Ÿ‡บ๐Ÿ‡ธ

Arizona Oncology Associates D.B.A. Hematology Oncology, Tucson, Arizona, United States

๐Ÿ‡บ๐Ÿ‡ธ

Central Indiana Cancer Centers, Carmel, Indiana, United States

and more 20 locations

A Phase II Evaluation of Dasatinib (Sprycelยฎ, NSC #732517) in the Treatment of Persistent or Recurrent Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Carcinoma

First Posted Date
2008-05-05
Last Posted Date
2016-04-15
Lead Sponsor
Gynecologic Oncology Group
Target Recruit Count
35
Registration Number
NCT00671788
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

๐Ÿ‡บ๐Ÿ‡ธ

Indiana University/Melvin and Bren Simon Cancer Center, Indianapolis, Indiana, United States

๐Ÿ‡บ๐Ÿ‡ธ

Sarasota Memorial Hospital, Sarasota, Florida, United States

and more 17 locations

Dasatinib and Lapatinib Ditolsylate in Treating Patients With Advanced Solid Tumors That Cannot Be Removed By Surgery

First Posted Date
2008-04-21
Last Posted Date
2017-03-23
Lead Sponsor
Mayo Clinic
Target Recruit Count
27
Registration Number
NCT00662636
Locations
๐Ÿ‡บ๐Ÿ‡ธ

Mayo Clinic in Arizona, Scottsdale, Arizona, United States

๐Ÿ‡บ๐Ÿ‡ธ

Mayo Clinic in Florida, Jacksonville, Florida, United States

๐Ÿ‡บ๐Ÿ‡ธ

Mayo Clinic, Rochester, Minnesota, United States

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