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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
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Imatinib Mesylate in Treating Patients With Refractory or Relapsed Ovarian Epithelial, Fallopian Tube, or Primary Peritoneal Cancer, or Ovarian Low Malignant Potential Tumor

Phase 2
Completed
Conditions
Fallopian Tube Cancer
Primary Peritoneal Cavity Cancer
Ovarian Cancer
First Posted Date
2003-01-27
Last Posted Date
2015-04-30
Lead Sponsor
National Cancer Institute (NCI)
Registration Number
NCT00039585
Locations
🇺🇸

Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support, Bethesda, Maryland, United States

🇺🇸

NCI - Center for Cancer Research, Bethesda, Maryland, United States

Imatinib Mesylate With or Without Radiation Therapy in Treating Young Patients With Newly Diagnosed or Recurrent Glioma

Phase 1
Terminated
Conditions
Brain and Central Nervous System Tumors
Interventions
Drug: imatinib mesylate
Radiation: local irradiation therapy
First Posted Date
2003-01-27
Last Posted Date
2014-07-31
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
85
Registration Number
NCT00021229
Locations
🇺🇸

Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Children's National Medical Center, Washington, District of Columbia, United States

🇺🇸

St. Jude Children's Research Hospital, Memphis, Tennessee, United States

and more 7 locations

Imatinib Mesylate in Treating Patients With Recurrent Small Cell Lung Cancer

Phase 2
Completed
Conditions
Recurrent Small Cell Lung Cancer
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
First Posted Date
2003-01-27
Last Posted Date
2013-10-08
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
91
Registration Number
NCT00052949
Locations
🇺🇸

North Central Cancer Treatment Group, Rochester, Minnesota, United States

Combination Chemotherapy and Imatinib Mesylate in Treating Children With Relapsed Acute Lymphoblastic Leukemia

Not Applicable
Completed
Conditions
Recurrent Childhood Acute Lymphoblastic Leukemia
L2 Childhood Acute Lymphoblastic Leukemia
L1 Childhood Acute Lymphoblastic Leukemia
Non-T, Non-B Childhood Acute Lymphoblastic Leukemia
T-cell Childhood Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2003-01-27
Last Posted Date
2013-10-08
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
126
Registration Number
NCT00049569
Locations
🇺🇸

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

Imatinib Mesylate in Treating Patients With Stage III or Stage IV Ovarian Epithelial or Primary Peritoneal Cancer

Phase 2
Completed
Conditions
Primary Peritoneal Cavity Cancer
Recurrent Ovarian Epithelial Cancer
Stage III Ovarian Epithelial Cancer
Stage IV Ovarian Epithelial Cancer
Interventions
Drug: imatinib mesylate
Other: laboratory biomarker analysis
First Posted Date
2003-01-27
Last Posted Date
2013-01-24
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
40
Registration Number
NCT00036751
Locations
🇺🇸

Southwest Oncology Group (SWOG) Research Base, San Antonio, Texas, United States

STI571 Plus Cytarabine in Treating Patients With Chronic Myelogenous Leukemia

Phase 1
Completed
Conditions
Blastic Phase Chronic Myelogenous Leukemia
Relapsing Chronic Myelogenous Leukemia
Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Interventions
First Posted Date
2003-01-27
Last Posted Date
2013-01-24
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
46
Registration Number
NCT00015834
Locations
🇺🇸

University of California at Los Angeles (UCLA ), Los Angeles, California, United States

Therapy of Early Chronic Phase CML With Gleevec

Phase 2
Completed
Conditions
Leukemia, Myeloid, Chronic-Phase
Interventions
First Posted Date
2002-11-06
Last Posted Date
2016-01-20
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
50
Registration Number
NCT00048672
Locations
🇺🇸

UT MD Anderson Cancer Center, Houston, Texas, United States

Tyrosine Kinase Inhibition to Treat Myeloid Hypereosinophilic Syndrome

Phase 2
Recruiting
Conditions
Eosinophilic Myeloid Neoplasm
Hypereosinophilic Syndrome
Interventions
First Posted Date
2002-08-26
Last Posted Date
2024-12-27
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
60
Registration Number
NCT00044304
Locations
🇺🇸

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

Therapy of Early Chronic Phase CML With Higher-Dose Gleevec, Alpha Interferon, and Low-Dose Ara-C

Phase 2
Terminated
Conditions
Myelogenous Leukemia, Chronic, Chronic Phase
Interventions
First Posted Date
2002-06-04
Last Posted Date
2018-10-09
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
117
Registration Number
NCT00038649
Locations
🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

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