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.
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.
Northwestern University Feinberg School Of Medicine, Chicago, Illinois, United States
Boston University School Of Medicine, Boston, Massachusetts, United States
Mayo Clinic Arizona, Scottsdale, Arizona, United States
Kansas City Cancer Center, Llc., Overland Park, Kansas, United States
Northern Arizona Hematology & Oncology Associates, Sedona, Arizona, United States
Us Oncology Research, Inc., Houston, Texas, United States
Maine Center For Cancer Medicine, Scarborough, Maine, United States
Jackson Oncology Associates, Pllc, Jackson, Mississippi, United States
Va Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, United States
New York Medical College, Valhalla, New York, United States
UCLA / Jonsson Comprehensive Cancer Center, Los Angeles, California, United States
Valley Children's Hospital, Madera, California, United States
Washington Cancer Institute, Washington, District of Columbia, United States
Indiana University Simon Cancer Center, Indianapolis, Indiana, United States
Baylor College of Medicine, Houston, Texas, United States
Virginia Oncology Associates, Norfolk, Virginia, United States
Stanford Cancer Center, Stanford, California, United States
Florida Hospital Cancer Institute at Florida Hospital Orlando, Orlando, Florida, United States
Cancer Center of Kansas, PA - Medical Arts Tower, Wichita, Kansas, United States
Florida Cancer Institute - New Hope, Hudson, Florida, United States
Arizona Oncology Associates D.B.A. Hematology Oncology, Tucson, Arizona, United States
Central Indiana Cancer Centers, Carmel, Indiana, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
Indiana University/Melvin and Bren Simon Cancer Center, Indianapolis, Indiana, United States
Sarasota Memorial Hospital, Sarasota, Florida, United States
Mayo Clinic in Arizona, Scottsdale, Arizona, United States
Mayo Clinic in Florida, Jacksonville, Florida, United States
Mayo Clinic, Rochester, Minnesota, United States
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