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Imatinib

Generic Name
Imatinib
Brand Names
Gleevec, Glivec, Imatinib Teva, Imatinib Accord
Drug Type
Small Molecule
Chemical Formula
C29H31N7O
CAS Number
152459-95-5
Unique Ingredient Identifier
BKJ8M8G5HI
Background

Imatinib is a small molecule kinase inhibitor that revolutionized the treatment of cancer, particularly chronic myeloid leukemia, in 2001. It was deemed a "miracle drug" due to its clinical success, as oncologist Dr. Brian noted that "complete hematologic responses were observed in 53 of 54 patients with CML treated with a daily dosage of 300 mg or more and typically occurred in the first four weeks of therapy".. The discovery of imatinib also established a new group of therapy called "targeted therapy", since treatment can be tailored specifically to the unique cancer genetics of each patient.

Indication

Imatinib is indicated for the treatment of adult and pediatric chronic myeloid leukemia with Philadelphia chromosome mutation (Ph+) in blast crisis, accelerated phase, or chronic phase after IFN-alpha therapy failure.Additionally, imatinib is also indicated to treat adult and pediatric Ph+ acute lymphoblastic leukemia, adult myelodysplastic/myeloproliferative diseases, adult aggressive systemic mastocytosis, adult hypereosinophilic syndrome and/or chronic eosinophilic leukemia (CEL), adult dermatofibrosarcoma protuberans, and malignant gastrointestinal stromal tumors (GIST).

Associated Conditions
Accelerated Phase Chronic Myelogenous Leukemia (CML), Aggressive Systemic Mastocytosis, Chordomas, Chronic Eosinophilic Leukemia, FIP1L1-PDGFRα fusion kinase status unknown Chronic eosinophilic leukemia, FIP1L1-PDGFRα fusion kinase status unknown Hypereosinophilic syndrome, Gastrointestinal Stromal Tumor (GIST), Hypereosinophilic Syndrome (HES), Metastatic Gastrointestinal Stromal Tumor (GIST), Metastatic Melanoma, Myelodysplastic Syndrome, Myeloproliferative Disorders (MPD), Refractory Acute Lymphoblastic Leukemia (ALL), Blast phase Chronic myeloid leukemia, CKit mutational status unknown Aggressive systemic mastocytosis, Metastatic Dermatofibrosarcoma protuberans, Newly diagnosed Acute Lymphoblastic Leukaemia, Newly diagnosed, chronic phase Chronic myeloid leukemia, Recurrent Dermatofibrosarcoma protuberans, Refractory, chronic phase Chronic myeloid leukemia, Unresectable Gastrointestinal stromal tumor
Associated Therapies
-

Gleevec Trial in Patients With Newly Diagnosed Chronic Phase Chronic Myelogenous Leukemia

Phase 4
Completed
Conditions
Chronic Myelogenous Leukemia
First Posted Date
2004-04-29
Last Posted Date
2009-11-23
Lead Sponsor
Novartis Pharmaceuticals
Target Recruit Count
112
Registration Number
NCT00081926
Locations
🇺🇸

Novartis RIGHT Trial Hotline, East Hanover, New Jersey, United States

Imatinib (Gleevec(Registered Trademark)) to Treat Chronic Myelomonocytic Leukemia and Atypical Chronic Myelogenous Leukemia

Phase 2
Completed
Conditions
Chronic Myelogenous Leukemia
Chronic Myelomonocytic Leukemia
First Posted Date
2004-03-10
Last Posted Date
2017-07-02
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Target Recruit Count
7
Registration Number
NCT00079313
Locations
🇺🇸

National Institutes of Health Clinical Center, 9000 Rockville Pike, Bethesda, Maryland, United States

Comparison of Two Different Doses of STI571 in Treating Patients With Metastatic or Unresectable Gastrointestinal Stromal Tumor

Phase 3
Terminated
Conditions
Gastrointestinal Stromal Tumor
Interventions
First Posted Date
2004-02-03
Last Posted Date
2014-12-23
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
748
Registration Number
NCT00009906
Locations
🇺🇸

Geisinger Medical Center, Danville, Pennsylvania, United States

🇺🇸

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

🇨🇦

Mount Sinai Hospital, Toronto, Ontario, Canada

and more 141 locations

Imatinib Mesylate in Treating Patients With Recurrent or Persistent Uterine Cancer

Phase 2
Completed
Conditions
Recurrent Uterine Sarcoma
Uterine Carcinosarcoma
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
First Posted Date
2004-01-12
Last Posted Date
2019-07-24
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
26
Registration Number
NCT00075400
Locations
🇺🇸

Gynecologic Oncology Group, Philadelphia, Pennsylvania, United States

Imatinib Mesylate and Bevacizumab in Treating Patients With Advanced Melanoma or Other Advanced Cancers

Phase 1
Completed
Conditions
Stage IV Melanoma
Unspecified Adult Solid Tumor, Protocol Specific
Recurrent Melanoma
Stage III Melanoma
Interventions
Drug: imatinib mesylate
Biological: bevacizumab
Other: pharmacological study
Other: laboratory biomarker analysis
First Posted Date
2003-12-11
Last Posted Date
2018-06-20
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
40
Registration Number
NCT00074308
Locations
🇺🇸

Abramson Cancer Center of The University of Pennsylvania, Philadelphia, Pennsylvania, United States

Imatinib Mesylate or Dasatinib in Treating Patients With Previously Untreated Chronic Phase Chronic Myelogenous Leukemia

Phase 2
Active, not recruiting
Conditions
Chronic Myeloid Leukemia, BCR-ABL1 Positive
Interventions
Drug: Imatinib Mesylate
Drug: Dasatinib
Other: Laboratory Biomarker Analysis
First Posted Date
2003-10-07
Last Posted Date
2024-12-27
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
406
Registration Number
NCT00070499
Locations
🇺🇸

Valley Radiation Oncology, Peru, Illinois, United States

🇺🇸

Perry Memorial Hospital, Princeton, Illinois, United States

🇺🇸

Swedish American Hospital, Rockford, Illinois, United States

and more 338 locations

S0331: Imatinib Mesylate in Treating Patients With Metastatic or Unresectable Merkel Cell Cancer

Phase 2
Completed
Conditions
Recurrent Neuroendocrine Carcinoma of the Skin
Stage II Neuroendocrine Carcinoma of the Skin
Stage III Neuroendocrine Carcinoma of the Skin
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
First Posted Date
2003-09-11
Last Posted Date
2013-02-28
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
40
Registration Number
NCT00068783
Locations
🇺🇸

Southwest Oncology Group, San Antonio, Texas, United States

A Phase II Trial of STI571 in the Treatment of Metastatic Gastric Cancer

Phase 2
Completed
Conditions
Recurrent Gastric Cancer
Stage IV Gastric Cancer
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
First Posted Date
2003-09-11
Last Posted Date
2018-07-11
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
17
Registration Number
NCT00068380
Locations
🇺🇸

City of Hope, Duarte, California, United States

Alemtuzumab and Combination Chemotherapy in Treating Patients With Untreated Acute Lymphoblastic Leukemia

Phase 1
Completed
Conditions
Acute Undifferentiated Leukemia
B-cell Adult Acute Lymphoblastic Leukemia
B-cell Childhood Acute Lymphoblastic Leukemia
L1 Adult Acute Lymphoblastic Leukemia
L1 Childhood Acute Lymphoblastic Leukemia
L2 Adult Acute Lymphoblastic Leukemia
L2 Childhood Acute Lymphoblastic Leukemia
Philadelphia Chromosome Negative Adult Precursor Acute Lymphoblastic Leukemia
Philadelphia Chromosome Positive Adult Precursor Acute Lymphoblastic Leukemia
Philadelphia Chromosome Positive Childhood Precursor Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2003-06-06
Last Posted Date
2022-05-03
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
302
Registration Number
NCT00061945
Locations
🇺🇸

Cancer and Leukemia Group B, Chicago, Illinois, United States

Imatinib Mesylate in Treating Patients With Relapsed or Refractory Solid Tumors of Childhood

Phase 2
Completed
Conditions
Gastrointestinal Stromal Tumor
Recurrent Childhood Soft Tissue Sarcoma
Childhood Desmoplastic Small Round Cell Tumor
Lung Metastases
Recurrent Osteosarcoma
Recurrent Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor
Childhood Synovial Sarcoma
Recurrent Neuroblastoma
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
Other: pharmacological study
First Posted Date
2003-05-07
Last Posted Date
2015-04-15
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
100
Registration Number
NCT00030667
Locations
🇺🇸

Children's Oncology Group, Arcadia, California, United States

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