imatinib
Trade name: gleevec
Approved
May 10, 2001
Imatinib (GLEEVEC®) is a tyrosine kinase inhibitor and antineoplastic agent that inhibits the BCR-ABL tyrosine kinase, the constitutive abnormal tyrosine kinase created by the Philadelphia chromosome abnormality in chronic myeloid leukaemia (CML). It inhibits proliferation and induces apoptosis in BCR-ABL positive cell lines as well as fresh leukemic cells from Philadelphia chromosome positive CML. Imatinib (GLEEVEC®) inhibits colony formation in assays using ex vivo peripheral blood and bone marrow samples from CML patients. It is also an inhibitor of the receptor tyrosine kinases for platelet-derived growth factor (PDGF) and stem cell factor (SCF), c-kit, and inhibits PDGF- and SCF-mediated cellular events. In vitro, imatinib (GLEEVEC®) inhibits proliferation and induces apoptosis in gastrointestinal stromal tumor (GIST) cells, which express an activating c-kit mutation. — NCATS
Clinical trial activity
519 trials · 380 clinical orgs · 18 marketing orgs
Earliest trial started Apr 1, 1993 (NCT00002514)
Timeline
1990s
- Jan 1, 1993
Earliest Phase 3 Sponsor(trial)
2000s
2010s
- Dec 3, 2015
Sun Pharmaceuticals — Marketing Organization
- Aug 4, 2016
Teva — Marketing Organization
- Aug 5, 2016
Apotex — Marketing Organization
- Jun 21, 2017
Mylan — Marketing Organization
- Jul 13, 2018
West-Ward Pharmaceutical — Marketing Organization
- Jul 13, 2018
Hikma — Marketing Organization
- Aug 13, 2018
Dr. Reddy's Laboratories — Marketing Organization
- Jan 17, 2019
Shilpa Medicare Ltd. — Marketing Organization
- Jan 17, 2019
Wockhardt — Marketing Organization
- Jan 17, 2019
Chartwell Pharmaceuticals — Marketing Organization
- Feb 8, 2019
Esteve Labs — Marketing Organization
- Feb 8, 2019
Amneal Pharmaceuticals — Marketing Organization
- Feb 8, 2019
Allied Pharmaceutical Services — Marketing Organization
- Mar 1, 2019
Natco Pharma — Marketing Organization
2020s
- Apr 8, 2020
Zydus Discovery DMCC — Marketing Organization
- Jul 23, 2020
Eugia Pharma — Marketing Organization
- Jun 21, 2022
Qilu Pharmaceutical Co., Ltd. — Marketing Organization
Indications
Approved for
Studied for
- Abdominal Neoplasms · Phase 2
- Acute Lung Injury · Phase 1
- Adenocarcinoma of Lung · Phase 2
- Alveolitis, Extrinsic Allergic · Phase 1/Phase 2
- Anemia · Phase 1
- Anemia, Sickle Cell · Early Phase 1
- Antineoplastic Agents · Phase 2
- Arthritis, Rheumatoid · Phase 2
- Asthma · Phase 2
- Astrocytoma · Phase 3
- Bile Duct Neoplasms · Phase 2
- Biomarkers · Phase 2
- Blast Crisis · Phase 2
- Body Fluids · Phase 1/Phase 2
- Bone Marrow Diseases · Phase 3
- Brain Neoplasms · Phase 2
- Breast Neoplasms · Phase 4
- Breast Neoplasms, Male · Phase 2
- Burkitt Lymphoma · Phase 1
- Carcinoma, Adenoid Cystic · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 3
- Carcinoma, Renal Cell · Phase 1/Phase 2
- Chondrosarcoma · Phase 2
- Chordoma · Phase 2
- Choroidal Neovascularization · Phase 1
- Chronic Disease · Phase 2
- Colonic Neoplasms · Phase 2
- Colorectal Neoplasms · Phase 2
- Congenital Bone Marrow Failure Syndromes · Phase 1
- Coronavirus Infections · Phase 3
- COVID-19 · Phase 4
- Dermatofibrosarcoma · Phase 2
- Dermoid Cyst · Phase 2
- Desmoid Tumors · Phase 2
- Diabetes Mellitus, Type 1 · Phase 2
- Drug Interactions · Phase 1
- Drug Misuse · Phase 1/Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Drugs, Investigational · Phase 2/Phase 3
- Dyskinesia, Drug-Induced · Phase 2
- Edema · Phase 2
- Endometrial Neoplasms · Phase 1/Phase 2
- Endothelial Cells · Phase 2
- Eosinophilia · Phase 2
- Eosinophils · Phase 2
- Fallopian Tube Neoplasms · Phase 2
- Fibroma · Phase 2
- Fibrosarcoma · Phase 2
- Gastrointestinal Neoplasms · Phase 3
- Gastrointestinal Stromal Tumors · Phase 4
- Genes, erbB-1 · Phase 1/Phase 2
- Genital Diseases, Male · Phase 2
- Genital Neoplasms, Male · Phase 2
- Glioblastoma · Phase 3
- Glioma · Phase 1/Phase 2
- Gliosarcoma · Phase 2
- Graft vs Host Disease · Phase 3
- Hamartoma · Phase 2
- Head and Neck Neoplasms · Phase 2
- Health · Phase 2
- Healthy Volunteers · Phase 1/Phase 2
- Hematologic Diseases · Phase 3
- Hematologic Neoplasms · Phase 4
- Hematopoietic Stem Cells · Phase 2
- Hematopoietic Stem Cell Transplantation · Phase 2/Phase 3
- Hodgkin Disease · Phase 1
- Hypereosinophilic Syndrome · Phase 2
- Hypertension, Pulmonary · Phase 3
- Idiopathic Pulmonary Fibrosis · Phase 2/Phase 3
- Imatinib Mesylate · Phase 2
- Immunoglobulin Light-chain Amyloidosis · Phase 1
- Intestinal Neoplasms · Phase 4
- Intraocular Lymphoma · Phase 1
- Kidney Neoplasms · Phase 2
- Leukemia · Phase 4
- Leukemia, Eosinophilic, Acute · Phase 2
- Leukemia, Hairy Cell · Phase 1
- Leukemia, Large Granular Lymphocytic · Phase 1
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 2
- Leukemia, Lymphoid · Phase 3
- Leukemia-Lymphoma, Adult T-Cell · Phase 1/Phase 2
- Leukemia, Myeloid · Phase 3
- Leukemia, Myeloid, Accelerated Phase · Phase 2
- Leukemia, Myeloid, Acute · Phase 4
- Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative · Phase 4
- Leukemia, Myeloid, Chronic-Phase · Phase 3
- Leukemia, Myelomonocytic, Chronic · Phase 3
- Leukemia, Neutrophilic, Chronic · Phase 1
- Leukemia, Prolymphocytic · Phase 1
- Liver Cirrhosis · Phase 1/Phase 2
- Loiasis · Phase 2
- Lung Diseases · Phase 2/Phase 3
- Lung Neoplasms · Phase 2
- Lymphangioleiomyomatosis · Phase 1/Phase 2
- Lymphoma · Phase 2
- Lymphoma, AIDS-Related · Phase 1
- Lymphoma, B-Cell, Marginal Zone · Phase 1
- Lymphoma, Follicular · Phase 1
- Lymphoma, Large B-Cell, Diffuse · Phase 1
- Lymphoma, Large-Cell, Anaplastic · Phase 1/Phase 2
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Mantle-Cell · Phase 1
- Lymphoma, Non-Hodgkin · Phase 2
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Phase 1
- Lymphoma, T-Cell · Phase 1
- Macular Edema · Phase 2
- Malaria, Falciparum · Phase 2
- Mastocytosis, Systemic · Phase 4
- Maximum Tolerated Dose · Phase 1/Phase 2
- Melanoma · Phase 2
- Meninges · Phase 2
- Meningioma · Phase 2
- Mesothelioma · Phase 2
- Mesothelioma, Malignant · Phase 2
- Microcirculation · Phase 1/Phase 2
- Monoclonal Gammopathy of Undetermined Significance · Phase 1
- Mucositis · Phase 3
- Multiple Myeloma · Phase 1
- Multiple Sclerosis · Phase 2
- Mutation · Phase 3
- Myelodysplastic Syndromes · Phase 2
- Myeloproliferative Disorders · Phase 2
- Neoadjuvant Therapy · Phase 2
- Neoplasm Metastasis · Phase 3
- Neoplasm, Residual · Phase 2/Phase 3
- Neoplasms, Squamous Cell · Phase 2
- Nephrogenic Fibrosing Dermopathy · Phase 3
- Neuroblastoma · Phase 2
- Neuroendocrine Tumors · Phase 2
- Neurofibroma · Phase 1/Phase 2
- Neurofibroma, Plexiform · Phase 2
- Neurofibromatoses · Phase 2
- Neurofibrosarcoma · Phase 2/Phase 3
- Oligodendroglioma · Phase 1/Phase 2
- Osteosarcoma · Phase 2
- Ovarian Diseases · Phase 2
- Ovarian Neoplasms · Phase 2
- Pancreatic Neoplasms · Phase 2
- Parasitemia · Phase 2
- Parkinson Disease · Phase 2
- Philadelphia Chromosome · Phase 3
- Plasmacytoma · Phase 1
- Pleural Effusion, Malignant · Phase 2
- Polycythemia Vera · Phase 2
- Postmenopause · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 4
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 4
- Primary Myelofibrosis · Phase 2
- Progression-Free Survival · Phase 2
- Prostatic Diseases · Phase 2
- Prostatic Neoplasms · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 1
- Proto-Oncogene Proteins c-kit · Phase 2
- Pulmonary Arterial Hypertension · Phase 3
- Pulmonary Disease, Chronic Obstructive · Phase 1/Phase 2
- Pulmonary Edema · Phase 2
- Pulmonary Fibrosis · Phase 2/Phase 3
- Pulmonary Veno-Occlusive Disease · Phase 1/Phase 2
- Quality of Health Care · Phase 2
- Respiratory Distress Syndrome · Phase 2
- Respiratory Tract Diseases · Phase 2
- Rhinitis, Allergic, Seasonal · Phase 1/Phase 2
- Sarcoma · Phase 3
- Sarcoma, Ewing · Phase 2
- Sarcoma, Synovial · Phase 2
- Scleroderma, Localized · Phase 2
- Scleroderma, Systemic · Phase 2
- Sepsis · Phase 1/Phase 2
- Severe Acute Respiratory Syndrome · Phase 2
- Severe acute respiratory syndrome-related coronavirus · Phase 2
- Sezary Syndrome · Phase 1
- Skin Neoplasms · Phase 2
- Small Cell Lung Carcinoma · Phase 2
- Spinal Cord Injuries · Phase 2
- Squamous Cell Carcinoma of Head and Neck · Early Phase 1
- Stem Cell Transplantation · Phase 2
- Stomach Neoplasms · Phase 2
- Stroke · Phase 3
- Substance Withdrawal Syndrome · Phase 2
- Tension-Type Headache · Phase 2
- Testicular Neoplasms · Phase 2
- Therapeutics · Phase 2
- Thoracic Neoplasms · Phase 2
- Thrombocythemia, Essential · Phase 2
- Thymoma · Phase 1
- Thyroid Cancer, Papillary · Phase 1
- Thyroid Neoplasms · Phase 2
- Tuberculosis · Phase 2
- Urogenital Neoplasms · Phase 2
- Uterine Neoplasms · Phase 2
- Waldenstrom Macroglobulinemia · Phase 1
Mechanism of action
PDGFRB inhibitor
- Tyrosine-protein kinase ABLINHIBITOR
ABL1 inhibitor
- Stem cell growth factor receptorINHIBITOR
KIT inhibitor
- Bcr/Abl fusion proteinINHIBITOR
Bcr/Abl fusion protein
Approval history
- approvedPriority reviewAcceleratedFast trackMay 10, 2001
Chemistry & pharmacology
SMILES
Cc1ccc(NC(=O)c2ccc(CN3CCN(C)CC3)cc2)cc1Nc1nccc(-c2cccnc2)n1- Mol. weight
- 493.62 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL941 ↗
- WikipediaImatinib ↗
- NCATSBKJ8M8G5HI ↗
- ChEMBLCHEMBL5314918 ↗
- ChEMBLCHEMBL1642 ↗
Also known as
- 4-(4-methyl-piperazin-1-ylmethyl)-n-[4-methyl-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-phenyl]-benzamide
- 4-(4-methyl-piperazin-1-ylmethyl)-n-[4-methyl-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-phenyl]-benzamide
- alpha-(4-methyl-1-piperazinyl)-3'-((4-(3-pyridyl)-2-pyrimidinyl)amino)-p-toluidide
- alpha-(4-methyl-1-piperazinyl)-3'-((4-(3-pyridyl)-2-pyrimidinyl)amino)-p-toluidide
- cgp57148
- cgp-57148
- cgp57148b
- cgp-57-148b
- gleevec
- gleevec
- gleevec
- gleevec
- gleevec
- glivec
- glivec
- glivec
- imatinib
- imatinib
- imatinib
- imatinib
- imatinib
- imatinib
- imatinib
- imatinib
- imatinib
- imatinib
- imatinib
- imatinib mesilate
- imatinib mesilate
- imatinib mesilate
- imatinib mesilate
- imatinib mesylate
- imatinib mesylate
- imatinib mesylate
- imatinib mesylate
- imatinib mesylate
- imatinib methansulfonate
- imatinib methansulfonate
- imatinibum
- imatinibum
- st571
- sti571
- sti571
- sti571
- sti 571
- sti 571
- sti-571
- sti-571
- sti-571
- synthetic tumor-specific breakpoint peptide vaccine
- tnx-201
- tnx-201
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07171203 | Phase 1 | Dec 31, 2025 | University of California, San Diego |
| NCT06889168 | Phase 1 | Oct 31, 2025 | Columbia University, Department of Defense, Medical University of South Carolina |
| NCT07022743 | Phase 2 | Jul 1, 2025 | Obafemi Awolowo University |
| NCT06643143 | Phase 2 | Jun 30, 2025 | Inhibikase Therapeutics, Inc. |
| NCT06962254 | Phase 1 | May 10, 2025 | China Medical University |
| NCT06655246 | Phase 1 | Jan 31, 2025 | Kura Oncology, Inc. |
| NCT06841640 | Phase 1/Phase 2 (Phase 2) | Jan 15, 2025 | AeroRx Therapeutics Inc., Medicines Evaluation Unit Ltd |
| NCT06692491 | Phase 2 | Jan 1, 2025 | Peking University |
| NCT06626984 | Phase 1/Phase 2 (Phase 2) | Dec 1, 2024 | Medical Research Council, Queen's University, Belfast |
| NCT06682169 | Phase 3 | Nov 30, 2024 | Jiangsu Chia-tai Tianqing Pharmaceutical Co.,Ltd |
| NCT06090669 | Phase 1 | Jan 3, 2024 | National Cancer Institute (NCI) |
| NCT06119789 | Phase 2 | Nov 30, 2023 | Helse Fonna, Helse Forde, Helse Møre og Romsdal HF, Nordland Hospital, Northern Norway Regional Health Authority, Sorlandet Hospital HF, Sykehuset Innlandet HF, Sykehuset Ostfold, The Hospital of Vestfold, University Hospital of North Norway, University of Bergen, University of Oslo, University of Stavanger |
| NCT05970900 | Phase 3 | Oct 1, 2023 | Fujian Medical University |
| NCT06051409 | Phase 3 | Sep 2, 2023 | Ascentage Pharma Group Inc., Jiao Tong University, Suzhou Medical College |
| NCT06061094 | Phase 2 | Jul 14, 2023 | German Federal Ministry of Education and Research, J. W. Goethe University |
| NCT05816785 | Early Phase 1 (Phase 1) | Apr 18, 2023 | National Cancer Institute (NCI), University of Wisconsin |
| NCT05722795 | N/A | Feb 6, 2023 | Lund University, University of Gothenburg, Vastra Gotaland Region |
| NCT05751733 | N/A | Feb 1, 2023 | Central South University, Suzhou Suncadia Biopharmaceuticals Co., Ltd. |
| NCT05493215 | Phase 2 | Jan 31, 2023 | University of Kentucky |
| NCT05623774 | Phase 1 | Nov 30, 2022 | Celerion, Inhibikase Therapeutics, Inc. |
Organizations
Research & Development (380)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Novartis | For profit | 152 | 70 | 5 | 2000 |
| National Cancer Institute (NCI) | Government | 101 | 45 | 4 | 1993 |
| University of Texas at Houston | Academic/Hospital | 40 | 32 | 4 | 2001 |
| Harvard University | Academic/Hospital | 15 | 9 | 3 | 2002 |
| University of Washington | Academic/Hospital | 11 | 9 | 1 | 2001 |
| Cornell University | Academic/Hospital | 10 | 6 | 2 | 2002 |
| Duke University | Academic/Hospital | 10 | 8 | 2 | 2003 |
| University of Ulsan | Academic/Hospital | 10 | 9 | 4 | 2005 |
| Oregon Health and Science University | Academic/Hospital | 9 | 6 | 2 | 2001 |
| Peking University | Academic/Hospital | 9 | 6 | 3 | 2008 |
| Bristol-Myers Squibb | For profit | 8 | 7 | 3 | 2005 |
| University of Bologna | Academic/Hospital | 8 | 6 | 2 | 2000 |
| University of Pittsburgh | Academic/Hospital | 8 | 4 | 2 | 2001 |
| European Organisation for Research and Treatment of Cancer | Academic/Hospital | 7 | 6 | 2 | 2000 |
| Indiana University | Academic/Hospital | 7 | 6 | 2 | 2003 |
| Gruppo Italiano Malattie EMatologiche dell'Adulto | Academic/Hospital | 6 | 6 | 3 | 2001 |
| Karolinska Institute | Academic/Hospital | 6 | 4 | 2 | 2004 |
| Southwest Oncology Group | Academic/Hospital | 6 | 0 | 2 | 2000 |
| University of Paris | Academic/Hospital | 6 | 4 | 3 | 2002 |
| Cancer and Leukemia Group B (CALGB) | Academic/Hospital | 5 | 0 | 1 | 2002 |
Marketing (25)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Allied Pharmaceutical Services | For profit | MKTG | Feb 8, 2019 |
| Amneal Pharmaceuticals | For profit | MKTG | Feb 8, 2019 |
| Apotex | For profit | MKTG | Aug 5, 2016 |
| Apotex | For profit | SYN | Aug 5, 2016 |
| Chartwell Pharmaceuticals | For profit | MKTG | Jan 17, 2019 |
| Dr. Reddy's Laboratories | For profit | MKTG | Aug 13, 2018 |
| Dr. Reddy's Laboratories | For profit | SYN | Aug 13, 2018 |
| Esteve Labs | For profit | MKTG | Feb 8, 2019 |
| Esteve Labs | For profit | SYN | Feb 8, 2019 |
| Eugia Pharma | For profit | MKTG | Jul 23, 2020 |
| Hikma | For profit | MKTG | Jul 13, 2018 |
| Hikma | For profit | SYN | Jul 13, 2018 |
| Mylan | For profit | MKTG | Jun 21, 2017 |
| Mylan | For profit | SYN | Jun 21, 2017 |
| Natco Pharma | For profit | MKTG | Mar 1, 2019 |
| Novartis | For profit | NDA | May 10, 2001 |
| Qilu Pharmaceutical Co., Ltd. | For profit | MKTG | Jun 21, 2022 |
| Shilpa Medicare Ltd. | For profit | MKTG | Jan 17, 2019 |
| Shilpa Medicare Ltd. | For profit | MKTG | Jan 17, 2019 |
| Sun Pharmaceuticals | For profit | MKTG | Dec 3, 2015 |
| Sun Pharmaceuticals | For profit | SYN | Dec 3, 2015 |
| Teva | For profit | MKTG | Aug 4, 2016 |
| West-Ward Pharmaceutical | For profit | MKTG | Jul 13, 2018 |
| Wockhardt | For profit | MKTG | Jan 17, 2019 |
| Zydus Discovery DMCC | For profit | MKTG | Apr 8, 2020 |