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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

Precision Cancer Therapy in Rare Cancers

Phase 2
Recruiting
Conditions
Rare Malignant Neoplasm
Interventions
First Posted Date
2023-11-07
Last Posted Date
2025-03-26
Lead Sponsor
Oslo University Hospital
Target Recruit Count
96
Registration Number
NCT06119789
Locations
🇳🇴

Oslo University Hospital, Oslo, Norway

Imatinib to Increase RUNX1 Activity in Participants With Germline RUNX1 Deficiency

Phase 1
Recruiting
Conditions
Familial Platelet Disorder With Predisposition to Myeloid Malignancies
Inherited Bone Marrow Failure Syndrome
Interventions
Device: TruSight Oncology
First Posted Date
2023-10-19
Last Posted Date
2025-03-10
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
78
Registration Number
NCT06090669
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Randomized Trial in Adult de Novo Ph Positive ALL With Chemotherapy, Imatinib or Ponatinib, Blinatumomab and SCT

Phase 2
Recruiting
Conditions
Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia
Interventions
Other: Indication for stem cell transplantation
First Posted Date
2023-09-29
Last Posted Date
2025-04-29
Lead Sponsor
Goethe University
Target Recruit Count
220
Registration Number
NCT06061094
Locations
🇩🇪

Evangelische Kliniken Bonn, Bonn, Germany

🇩🇪

Klinikum Bayreuth, Bayreuth, Germany

🇩🇪

Vivantes Klinikum am Urban, Berlin, Germany

and more 82 locations

A Study of Olverembatinib in Patients With Newly Diagnosed Ph+ALL.

Phase 3
Recruiting
Conditions
Ph+ ALL
Interventions
First Posted Date
2023-09-22
Last Posted Date
2024-11-07
Lead Sponsor
Ascentage Pharma Group Inc.
Target Recruit Count
350
Registration Number
NCT06051409
Locations
🇦🇺

Royal North Shore Hospital, St. Leonards, New South Wales, Australia

🇦🇺

Royal Adelaide Hospital, Adelaide, South Australia, Australia

🇦🇺

Alfred Health, Melbourne, Victoria, Australia

and more 11 locations

Comparison of Clinical Efficacy of Liver Resection, RFA, TACE, and Drug Therapy in Patients with GIST LM

Completed
Conditions
GIST, Malignant
Liver Metastases
Interventions
Procedure: hepatic resection (HR)
Procedure: radiofrequency ablation (RFA)
Procedure: transarterial chemoembolization (TACE)
First Posted Date
2023-09-15
Last Posted Date
2025-02-26
Lead Sponsor
First Affiliated Hospital, Sun Yat-Sen University
Target Recruit Count
238
Registration Number
NCT06038552
Locations
🇨🇳

The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China

Preoperative Imatinib Mesylate Combined With Rectal-sparing Surgery in Patients With c-KIT Gene-mutant Rectal GIST

Phase 3
Not yet recruiting
Conditions
Gastrointestinal Stromal Tumor of Rectum
Interventions
Procedure: Local resection
First Posted Date
2023-08-01
Last Posted Date
2023-08-01
Lead Sponsor
Fujian Medical University Union Hospital
Target Recruit Count
23
Registration Number
NCT05970900
Locations
🇨🇳

Weizhong Jiang, Fuzhou, Fujian, China

Exploring the Molecular Mechanism Based on KIT Mutation

Recruiting
Conditions
GIST
Interventions
First Posted Date
2023-06-09
Last Posted Date
2023-06-09
Lead Sponsor
Xijing Hospital
Target Recruit Count
190
Registration Number
NCT05895942
Locations
🇨🇳

Xijing Hospital of Air Force Military Medical University, Xi'an, Shaanxi, China

Pilot Study of Imatinib Cetuximab Combo for H & N Cancer

Early Phase 1
Recruiting
Conditions
Squamous Cell Carcinoma of Head and Neck
Head and Neck Cancer
Interventions
First Posted Date
2023-04-18
Last Posted Date
2025-04-27
Lead Sponsor
University of Wisconsin, Madison
Target Recruit Count
15
Registration Number
NCT05816785
Locations
🇺🇸

University of Wisconsin Carbone Cancer Center, Madison, Wisconsin, United States

Use of Imatinib to Convert Triple Negative Breast Cancer Into ER-positive Breast Cancer (I-CONIC)

Not Applicable
Not yet recruiting
Conditions
Breast Cancer
Triple Negative Breast Cancer
Interventions
First Posted Date
2023-02-10
Last Posted Date
2023-02-10
Lead Sponsor
Vastra Gotaland Region
Target Recruit Count
40
Registration Number
NCT05722795
Locations
🇸🇪

Barbro Linderholm, Gothenburg, Sweden

A Dose Calibration Study Comparing IkT-001Pro to Imatinib Mesylate 400mg

Phase 1
Completed
Conditions
CML
Interventions
First Posted Date
2022-11-21
Last Posted Date
2025-03-10
Lead Sponsor
ABLi Therapeutics, Inc.
Target Recruit Count
64
Registration Number
NCT05623774
Locations
🇺🇸

Celerion, Tempe, Arizona, United States

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