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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

Imatinib TDM in GIST

Phase 2
Recruiting
Conditions
Gastrointestinal Stromal Tumors
Interventions
First Posted Date
2022-08-09
Last Posted Date
2024-04-01
Lead Sponsor
Reema A. Patel
Target Recruit Count
28
Registration Number
NCT05493215
Locations
🇺🇸

Markey Cancer Center, Lexington, Kentucky, United States

Asciminib Used in Consolidation With Imatinib vs. Imatinib to Achieve TFR in CP-CML

Phase 3
Active, not recruiting
Conditions
Chronic Myeloid Leukemia
Chronic Myeloid Leukemia, BCR/ABL-Positive
Chronic Myeloid Leukemia in Remission
Interventions
First Posted Date
2022-06-10
Last Posted Date
2025-05-21
Lead Sponsor
Sarit Assouline
Target Recruit Count
164
Registration Number
NCT05413915
Locations
🇨🇦

Clinical Research Unit - Jewish General Hospital, Montreal, Quebec, Canada

🇨🇦

Hôpital Maisonneuve-Rosemont (CIUSSS EMTL), Montréal, Quebec, Canada

🇨🇦

Hôpital Enfant-Jésus - CHUQ, Québec, Quebec, Canada

and more 1 locations

5 Years of Adjuvant Imatinib in Patients With Gastrointestinal Stromal Tumor With a High Risk

Phase 2
Recruiting
Conditions
Gastrointestinal Stromal Tumors
Interventions
First Posted Date
2022-05-23
Last Posted Date
2024-06-20
Lead Sponsor
Asan Medical Center
Target Recruit Count
35
Registration Number
NCT05385549
Locations
🇰🇷

Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea, Republic of

A Real World Study of the Efficacy and Safety of Flumatinib Versus Imatinib in Patients With Newly Diagnosed Chronic Myeloid Leukemia in Chronic Phase

Phase 4
Not yet recruiting
Conditions
CML, Chronic Phase
Interventions
First Posted Date
2022-05-10
Last Posted Date
2022-05-10
Lead Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.
Target Recruit Count
2400
Registration Number
NCT05367765
Locations
🇨🇳

Institute of Hematology and Oncology, Harbin The First Hospital, Harbin, Heilongjiang, China

Study to Evaluate Chronic Myeloid Leukemia Treatment Landscape and Real-life Treatment Outcomes in Hungary: Analysis of National Health Insurance Fund Database

Completed
Conditions
Chronic Myeloid Leukaemia
First Posted Date
2022-03-18
Last Posted Date
2023-10-27
Lead Sponsor
Pfizer
Target Recruit Count
1484
Registration Number
NCT05286528
Locations
🇭🇺

Pfizer, Budapest, Hungary

Efficacy and Safety of Generic Imatinib (Carcemia®) Compared to Glivec® in Real-Life Management of Chronic Phase of Chronic Myeloid Leukemia

Recruiting
Conditions
Chronic Myeloid Leukemia
Interventions
Drug: Carcemia
First Posted Date
2022-03-16
Last Posted Date
2025-03-26
Lead Sponsor
Hikma Pharmaceuticals LLC
Target Recruit Count
240
Registration Number
NCT05282108
Locations
🇪🇬

Ain Shams University Hospital, Cairo, Egypt

🇪🇬

Tanta Oncology Center, Tanta, Egypt

🇪🇬

National Cancer Institute (NCI), Cairo, Egypt

and more 1 locations

A Study of Pimitespib in Combination with Imatinib in Patients with GIST (CHAPTER-GIST-101)

Phase 1
Recruiting
Conditions
Gastrointestinal Stromal Tumors
Interventions
First Posted Date
2022-02-18
Last Posted Date
2025-02-28
Lead Sponsor
Taiho Pharmaceutical Co., Ltd.
Target Recruit Count
78
Registration Number
NCT05245968
Locations
🇦🇺

Flinders Medical Center, Adelaide, Australia

🇦🇺

Alfred Health, Melbourne, Australia

🇨🇳

Beijing Cancer Hospital, Beijing, China

and more 11 locations

Effect of Imatinib in Advance Liver Fibrosis Patients

Phase 1
Conditions
Liver Fibrosis
Interventions
First Posted Date
2022-02-04
Last Posted Date
2022-02-04
Lead Sponsor
Research Institute for Gastroenterology and Liver Diseases (RIGLD)
Target Recruit Count
20
Registration Number
NCT05224128
Locations
🇮🇷

Research Institute of Gastroenterology & Liver Diseases, Tehran, Iran, Islamic Republic of

SOLIDARITY Finland Plus Long-COVID

Phase 4
Recruiting
Conditions
Coronavirus Disease 2019
SARS-CoV-2 Acute Respiratory Disease
Covid19
Interventions
First Posted Date
2022-02-02
Last Posted Date
2022-05-03
Lead Sponsor
Clinical Urology and Epidemiology Working Group
Target Recruit Count
400
Registration Number
NCT05220280
Locations
🇫🇮

University of Helsinki, Helsinki, Finland

A Prospective, Randomized, Multicenter, Comparative Study of the Efficacy of Imatinib Resumption Combined with Atezolizumab Versus Imatinib Resumption Alone in Patients with Unresectable Advanced Gastrointestinal Stromal Tumors (GIST) After Failure of Standard Treatments

Phase 2
Recruiting
Conditions
Metastatic Gastrointestinal Stromal Tumor
Locally Advanced Gastrointestinal Stromal Tumor (GIST)
Unresectable Gastrointestinal Stromal Tumor (GIST)
Interventions
First Posted Date
2021-12-09
Last Posted Date
2025-02-27
Lead Sponsor
Centre Leon Berard
Target Recruit Count
110
Registration Number
NCT05152472
Locations
🇫🇷

Chru Tours, Tours, France

🇫🇷

Centre Léon Bérard, Lyon, Rhône, France

🇫🇷

Institut Bergonié, Bordeaux, France

and more 9 locations
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