The FDA approved a liquid formulation of imatinib (Imkeldi) in November 2024, providing a stable, flavored, non-refrigerated solution for pediatric cancer patients and those with dysphagia who previously faced significant barriers to safe medication administration.
Prior to this approval, patients requiring imatinib had to rely on tablet crushing, compounding pharmacies, or extemporaneous preparations, creating safety concerns, dosing inconsistencies, and additional burden for families managing cancer treatment at home.
Clinical pharmacists emphasize that liquid formulations improve treatment adherence, reduce human error in dosing, and eliminate the need for complex manipulation procedures that require protective equipment and specialized training.
The new formulation addresses critical gaps in pediatric-friendly oncology medications, where many oral chemotherapy agents lack appropriate dosage forms for children who cannot swallow tablets or adults with swallowing difficulties.