MedPath

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
-

Neoadjuvant and Adjuvant Imatinib Mesylate in Treating Patients With Primary or Recurrent Malignant Gastrointestinal Stromal Tumor

Phase 2
Completed
Conditions
Gastrointestinal Stromal Tumor
Interventions
Procedure: Conventional Surgery
Drug: Imatinib Mesylate
First Posted Date
2003-01-27
Last Posted Date
2020-10-26
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
63
Registration Number
NCT00028002
Locations
🇺🇸

Radiation Therapy Oncology Group, Philadelphia, Pennsylvania, United States

Combination Chemotherapy With or Without Peripheral Stem Cell Transplant in Treating Children With Acute Lymphoblastic Leukemia

Phase 3
Completed
Conditions
Recurrent Childhood Acute Lymphoblastic Leukemia
Childhood Acute Lymphoblastic Leukemia in Remission
Interventions
Biological: filgrastim
Drug: asparaginase
Drug: cyclophosphamide
Drug: cyclosporine
Drug: cytarabine
Drug: daunorubicin hydrochloride
Drug: dexamethasone
Drug: etoposide
Drug: ifosfamide
Drug: imatinib mesylate
Drug: leucovorin calcium
Drug: mercaptopurine tablet
Drug: methotrexate
Drug: pegaspargase
Drug: vincristine sulfate
Procedure: allogeneic bone marrow transplantation
Procedure: peripheral blood stem cell transplantation
Procedure: umbilical cord blood transplantation
Radiation: radiation therapy
First Posted Date
2003-01-27
Last Posted Date
2014-02-27
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
220
Registration Number
NCT00022737
Locations
🇺🇸

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

Imatinib Mesylate in Treating Patients With Myelofibrosis

Phase 2
Completed
Conditions
Chronic Myelomonocytic Leukemia
Polycythemia Vera
Essential Thrombocythemia
Primary Myelofibrosis
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
First Posted Date
2003-01-27
Last Posted Date
2014-02-25
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
18
Registration Number
NCT00039416
Locations
🇺🇸

University of Chicago, Chicago, Illinois, United States

Imatinib Mesylate in Treating Patients With Recurrent Meningioma

Phase 2
Completed
Conditions
Adult Meningioma
Adult Meningeal Hemangiopericytoma
Adult Grade II Meningioma
Adult Grade I Meningioma
Adult Grade III Meningioma
Recurrent Adult Brain Tumor
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
Other: pharmacological study
First Posted Date
2003-01-27
Last Posted Date
2017-05-15
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
23
Registration Number
NCT00045734
Locations
🇺🇸

University of California Los Angeles, Los Angeles, California, United States

🇺🇸

University of California San Francisco, San Francisco, California, United States

🇺🇸

National Cancer Institute Neuro-Oncology Branch, Bethesda, Maryland, United States

and more 4 locations

Oblimersen and Imatinib Mesylate in Treating Patients With Chronic Myelogenous Leukemia

Phase 2
Completed
Conditions
Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Relapsing Chronic Myelogenous Leukemia
Chronic Phase Chronic Myelogenous Leukemia
Interventions
Biological: oblimersen sodium
Drug: imatinib mesylate
Other: laboratory biomarker analysis
First Posted Date
2003-01-27
Last Posted Date
2013-06-04
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
43
Registration Number
NCT00049192
Locations
🇺🇸

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

Imatinib Mesylate in Treating Patients With Persistent or Recurrent Ovarian Epithelial or Primary Peritoneal Cancer

Phase 2
Completed
Conditions
Primary Peritoneal Cavity Cancer
Recurrent Ovarian Epithelial Cancer
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
First Posted Date
2003-01-27
Last Posted Date
2013-02-20
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
60
Registration Number
NCT00041041
Locations
🇺🇸

Gynecologic Oncology Group, Philadelphia, Pennsylvania, United States

Combination Chemotherapy and Imatinib Mesylate in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Phase 1
Completed
Conditions
Lung Cancer
Interventions
First Posted Date
2003-01-27
Last Posted Date
2015-07-23
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
9
Registration Number
NCT00052494
Locations
🇨🇦

Princess Margaret Hospital, Toronto, Ontario, Canada

Imatinib Mesylate in Treating Patients With Advanced Soft Tissue Sarcoma or Bone Sarcoma

Phase 2
Completed
Conditions
Childhood Malignant Fibrous Histiocytoma of Bone
Sarcoma
First Posted Date
2003-01-27
Last Posted Date
2013-06-19
Lead Sponsor
National Cancer Institute (NCI)
Registration Number
NCT00031915
Locations
🇺🇸

Herbert Irving Comprehensive Cancer Center at Columbia University, New York, New York, United States

🇺🇸

University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States

🇺🇸

Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, United States

and more 7 locations

Chemotherapy, Imatinib Mesylate, and Peripheral Stem Cell Transplantation in Treating Patients With Newly Diagnosed Acute Lymphoblastic Leukemia

Phase 2
Completed
Conditions
Adult Acute Lymphoblastic Leukemia in Remission
Interventions
Drug: imatinib mesylate
Drug: methotrexate
Drug: vincristine sulfate
Drug: leucovorin calcium
Procedure: peripheral blood stem cell transplantation
Procedure: autologous hematopoietic stem cell transplantation
Procedure: allogeneic hematopoietic stem cell transplantation
Radiation: total-body irradiation
Drug: tacrolimus
Biological: filgrastim
Drug: etoposide
Drug: cyclophosphamide
Drug: cytarabine
Other: laboratory biomarker analysis
First Posted Date
2003-01-27
Last Posted Date
2014-11-24
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
58
Registration Number
NCT00039377
Locations
🇺🇸

Great Falls Clinic, Great Falls, Montana, United States

🇺🇸

Mason District Hospital, Havana, Illinois, United States

🇺🇸

Berdeaux, Donald MD (UIA Investigator), Great Falls, Montana, United States

and more 94 locations

Imatinib Mesylate in Treating Patients With Salivary Gland Cancer

Phase 2
Completed
Conditions
Head and Neck Cancer
Interventions
First Posted Date
2003-01-27
Last Posted Date
2019-02-15
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
16
Registration Number
NCT00045669
Locations
🇺🇸

Oncology/Hematology Associates of Central Illinois, P.C., Peoria, Illinois, United States

🇺🇸

LaGrange Memorial Hospital, LaGrange, Illinois, United States

🇺🇸

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

and more 12 locations
© Copyright 2025. All Rights Reserved by MedPath