Imatinib (STI571; Gleevec; Glivec)

别名: CGP-57148B; ST-1571, CGP057148B; CGP 57148; CGP57148; CGP-57148; CGP57148B; CGP 57148B; STI571; STI 571; Imatinib; US brand name: Gleevec; Foreign brand name: Glivec 伊马替尼; 4-[(4-甲基-1-哌嗪基)甲基]-N-[4-甲基-3-[4-(3-吡啶基)-2-嘧啶基]氨基]苯基]苯甲酰胺甲磺酸盐;4-[(4-甲基-1-哌嗪基)甲基]-N-[4-甲基-3-[4-(3-吡啶基)-2-嘧啶基]氨基]苯基]苯甲酰胺;Imatinib 伊马替尼; 格列卫;甲磺酸伊马替尼;伊马替尼IMATINIB;伊马替尼标准品;伊马替尼甲磺酸盐;伊马替尼碱;伊马替尼杂质;伊马替尼杂质对照品; 伊马替尼1;伊马游离碱;伊马替尼碱基;伊马替尼游离碱;伊马替尼-D4;甲磺酸伊玛替尼;格列卫(伊马替尼);甲磺酸伊马替尼杂质3
目录号: V0573 纯度: ≥98%
伊马替尼(以前称为 STI-571,商品名 Gleevec 和 Glivec)是一种口服生物可利用的多靶点激酶抑制剂,具有潜在的抗癌活性。
Imatinib (STI571; Gleevec; Glivec) CAS号: 152459-95-5
产品类别: PDGFR
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
10 mM * 1 mL in DMSO
10mg
50mg
100mg
250mg
500mg
1g
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10g
Other Sizes

Other Forms of Imatinib (STI571; Gleevec; Glivec):

  • Imatinib-d8 mesylate (STI571-d8 (mesylate); CGP-57148B-d8 (mesylate))
  • 伊马替尼-D8
  • N-Desmethyl imatinib-d4 (N-Desmethyl imatinib d8-d4; Norimatinib-d4; Imatinib metabolite N-Desmethyl imatinib-d4)
  • 伊马替尼 d4
  • Imatinib-d3 hydrochloride (STI571-d3 (hydrochloride); CGP-57148B-d3 (hydrochloride))
  • N-Desmethyl imatinib mesylate (Norimatinib mesylate; Imatinib metabolite N-Desmethyl imatinib mesylate)
  • 甲磺酸伊马替尼
  • N-去甲基伊马替尼
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InvivoChem产品被CNS等顶刊论文引用
纯度/质量控制文件

纯度: ≥98%

产品描述
伊马替尼(以前称为 STI-571,商品名 Gleevec 和 Glivec)是一种口服生物可利用的多靶点激酶抑制剂,具有潜在的抗癌活性。它抑制 v-Abl、c-Kit 和 PDGFR,在无细胞和/或基于细胞的测定中,IC50 值分别为 0.6 μM、0.1 μM 和 0.1 μM。伊马替尼通过与酪氨酸激酶 (TK) 内的胞内结构域结合发挥作用,从而抑制 ATP 结合并防止磷酸化以及生长受体及其下游信号转导途径的随后激活。伊马替尼抑制 bcr-abl 癌基因编码的酪氨酸激酶以及 c-kit 和血小板衍生生长因子受体 (PDGFR) 癌基因编码的受体 TK。
生物活性&实验参考方法
靶点
PDGFR (IC50 = 100 nM); c-Kit (IC50 = 100 nM); v-Abl (IC50 = 600 nM)
Imatinib (STI571; Gleevec; Glivec) potently inhibits c-kit receptor tyrosine kinase with an IC₅₀ of 0.01 μM [1]
It inhibits ARG tyrosine kinase (IC₅₀ = 0.025 μM) and ABL tyrosine kinase (IC₅₀ = 0.03 μM) [4]
It also suppresses imatinib-resistant KIT gatekeeper mutant (V654A) with an IC₅₀ of 0.1 μM and platelet-derived growth factor receptor β (PDGFRβ) gatekeeper mutant (T681I) with an IC₅₀ of 0.15 μM [2]
体外研究 (In Vitro)
抑制一组酪氨酸和丝氨酸/苏氨酸蛋白激酶的体外试验表明,伊马替尼可有效抑制 v-Abl 酪氨酸激酶和 PDGFR,IC50 分别为 0.6 和 0.1 μM。伊马替尼抑制野生型 c-kit 激酶活性的 SLF 依赖性激活,这些作用的 IC50 约为 0.1 μM,与抑制 PDGFR 所需的浓度相似。伊马替尼对人支气管类癌细胞系 NCI-H727 和人胰腺类癌细胞系 BON-1 表现出生长抑制活性,IC50 分别为 32.4 和 32.8 μM。最近的一项研究表明,伊马替尼有可能通过下调 hERG1 K(+) 通道在慢性粒细胞白血病中发挥抗白血病作用,hERG1 K(+) 通道在白血病细胞中高表达,对于促进白血病发生具有特殊的重要性。激酶测定:PDGF 受体从 BALB/c 3T3 细胞提取物中用针对鼠 PDGF 受体的兔抗血清在冰上免疫沉淀 2 小时。 Protein A-Sepharose 珠用于收集抗原-抗体复合物。免疫沉淀物用 TNET(50 mM Tris,pH 7.5,140 mM NaCl,5 mM EDTA,1% Triton X-100)洗涤两次,用 TNE(50 mM Tris,pH 7.5,140 mM EDTA)洗涤一次,用激酶缓冲液(20 mM Tris,pH 7.5,10 mM MgCl2)。在 4°C 下用 PDGF (50 ng/mL) 刺激 10 分钟后,将不同浓度的药物添加到反应混合物中。 PDGF受体激酶活性通过与10μCi[7-33P]-ATP和1μM ATP在4℃下孵育10分钟来测定。通过 7.5% 凝胶上的 SDS-PAGE 分离免疫复合物。细胞测定:将BON-1细胞和NCI-H727细胞一式三份接种到平底96孔板中,并分别在补充有10%胎牛血清的DMEM或RPMI 1640完全培养基中贴壁过夜;然后将培养基更换为无血清培养基(阴性对照)或含有伊马替尼连续稀释液的无血清培养基。 48小时后(对照培养物未达到汇合),通过3-(4,5-二甲基噻唑-2-基)-2,5-二苯基四唑溴化物测定法测定代谢活跃细胞的数量,并在吸光度测定中测量吸光度。 Packard Spectra 酶标仪,540 nm。使用以下公式计算生长抑制:抑制率=(1−a/b)×100%,其中a和b分别是处理组和对照组的吸光度值。
伊马替尼(STI571;格列卫;Glivec)剂量依赖性抑制c-kit阳性肿瘤细胞系增殖:HMC-1肥大细胞白血病细胞(IC₅₀=0.03μM)、GIST882胃肠道间质瘤细胞(IC₅₀=0.04μM)。浓度≥0.05μM时,可阻断c-kit磷酸化及下游PI3K/AKT信号通路[1]
在人NCI-H727类癌细胞中,该药物(0.5-2μM)在1.2μM浓度下抑制细胞活力约60%,诱导G1期周期阻滞并下调神经内分泌标志物嗜铬粒蛋白A(chromogranin A)的表达[6]
在感染SARS-CoV或MERS-CoV的Vero细胞中,伊马替尼(0.1-2μM)通过阻断Abl激酶介导的病毒S蛋白诱导膜融合,对SARS-CoV的EC₅₀=0.5μM,对MERS-CoV的EC₅₀=0.6μM[5,9]
在人子宫内膜异位症基质细胞中,伊马替尼(1-5μM)在3μM浓度下抑制细胞增殖约50%,降低增殖标志物PCNA的表达[8]
体内研究 (In Vivo)
伊马替尼对源自新鲜人小细胞肺癌手术样本的三种异种移植肿瘤产生不同的抗肿瘤作用,对 SCLC6、SCLC61 和 SCLC108 肿瘤的生长分别有 80%、40% 和 78% 的抑制作用,对 SCLC74 肿瘤的生长没有显着抑制作用。在高脂喂养的 ApoE(-/-) 小鼠中,与高脂饮食未处理的对照组相比,在 10、20 和 40 岁灌胃给药时,伊马替尼显着减少了高脂诱导的脂质染色面积 30%、27% 和 35%。 mg/kg,分别抑制颈动脉脂质积累
伊马替尼(STI571;格列卫;Glivec)以40mg/kg/天的剂量口服给药30天,显著抑制裸鼠GIST882异种移植瘤生长。与对照组相比,肿瘤体积减少约65%,瘤内c-kit磷酸化水平降低[1]
在携带NCI-H727类癌异种移植瘤的裸鼠中,该药物(50mg/kg/天,口服28天)的肿瘤生长抑制率达55%,血清嗜铬粒蛋白A水平降低约40%[6]
在小鼠胃肠道肿瘤模型中,伊马替尼(45mg/kg/天,口服)联合端粒酶RNA耗竭(telomerase RNA depletion)抑制肿瘤生长约70%,中位生存期延长35%[7]
在实验性子宫内膜异位症大鼠中,以30mg/kg/天的剂量腹腔注射21天,子宫内膜异位病灶体积缩小约45%,病灶血管生成减少[8]
酶活实验
使用兔抗血清对 BALB/c 3T3 细胞提取物中的 PDGF 受体进行免疫沉淀,然后将其置于冰上两小时。使用 Protein A-Sepharose 珠收集抗原-抗体复合物。 TNET(50 mM Tris,pH 7.5、140 mM NaCl、5 mM EDTA、1% Triton X-100)、TNE(50 mM Tris,pH 7.5、140 mM EDTA)和激酶缓冲液(20 mM Tris,pH 7.5, 10 mM MgCl2) 是用于洗涤免疫沉淀两次的三种溶液。 PDGF (50 ng/mL) 在 4 °C 刺激 10 分钟后,将各种药物浓度添加到反应混合物中。使用 10 μCi [7- 33 P]-ATP 和 1 μM ATP 在 4 °C 下孵育 10 分钟来测量 PDGF 受体激酶活性。 SDS-PAGE 用于在 7.5% 凝胶上分离免疫复合物。
将重组c-kit受体酪氨酸激酶与系列稀释的伊马替尼(STI571;格列卫;Glivec)(0.001-1μM)在含ATP和特异性多肽底物的激酶缓冲液中孵育,反应在37°C下进行60分钟,采用放射免疫法检测磷酸化底物。通过与溶媒对照组的放射性对比计算抑制率,从量效曲线中得出IC₅₀值[1]
采用相同方案检测重组ARG酪氨酸激酶:激酶与药物(0.001-1μM)在相同条件下孵育,定量磷酸化水平以确定IC₅₀[4]
针对伊马替尼耐药的KIT(V654A)和PDGFRβ(T681I)突变体,将重组激酶结构域与伊马替尼(0.01-1μM)在激酶缓冲液中孵育。37°C孵育60分钟后,检测磷酸化底物并计算IC₅₀值[2]
细胞实验
将 BON-1 和 NCI-H727 细胞一式三份接种到平底 96 孔板中,然后将它们在 RPMI 1640 完全培养基或补充有 10% 胎牛血清的 DMEM 中粘附过夜。然后将培养基更换为无血清培养基(用作阴性对照)或含有伊马替尼连续稀释液的无血清培养基。 3-(4,5-二甲基噻唑-2-基)-2,5-二苯基四唑溴化物测定用于计算 48 小时后代谢活跃细胞的数量(对照培养物未达到汇合)。然后使用 Packard Spectra 酶标仪在 540 nm 处测量吸光度。抑制率=(1−a/b)×100%是计算生长抑制的公式,其中a和b分别代表处理组和对照组的吸光度值。
将HMC-1和GIST882细胞以5×10³个细胞/孔接种到96孔板中,用伊马替尼(STI571;格列卫;Glivec)(0.01-0.5μM)处理72小时,采用四唑盐法检测细胞活性并计算IC₅₀。蛋白质印迹分析中,用0.05-0.2μM药物处理细胞24小时,裂解后与抗磷酸化c-kit和抗磷酸化AKT抗体孵育[1]
用0.5-2μM 伊马替尼处理NCI-H727细胞72小时,碘化丙啶染色后通过流式细胞术分析细胞周期,蛋白质印迹法检测嗜铬粒蛋白A的表达[6]
伊马替尼(0.1-2μM)处理感染SARS-CoV或MERS-CoV的Vero细胞48小时,通过合胞体形成实验评估病毒融合,确定EC₅₀值[5,9]
将人子宫内膜异位症基质细胞接种到24孔板中,用1-5μM 伊马替尼处理48小时,通过BrdU掺入实验检测细胞增殖,免疫细胞化学法检测PCNA的表达[8]
动物实验
小鼠:将40只携带肿瘤的SCID小鼠随机分为四组,每组10只:PS-ASODN组(5 μM,每日瘤内注射一次,每只小鼠0.2 mL)、伊马替尼组(0.1 mg/g体重)、脂质体阴性对照组(0.01 mL/g)和生理盐水组(0.01 mL/g)。从植入后第7天到第28天,各组小鼠每日瘤内注射一次相应药物。28天后处死小鼠,用电子秤和游标卡尺测量肿瘤的重量以及最长和最短直径,计算肿瘤生长抑制率。
大鼠:使用体重在220至240 g之间的成年雌性Wistar-Albino大鼠。为了评估是否发生子宫内膜异位症,在首次手术后21天对大鼠进行第二次剖腹手术。在24只经肉眼确认存在子宫内膜异位症病灶的大鼠中,随机将大鼠分为三组,分别接受阿那曲唑(0.004 mg/天,口服)、伊马替尼(25 mg/kg/天)或生理盐水(0.1 mL,腹腔注射)治疗14天。
携带GIST882异种移植瘤(100-150 mm³)的裸鼠被随机分为对照组和治疗组。伊马替尼(STI571;格列卫;Glivec)悬浮于0.5%羧甲基纤维素溶液中,以40 mg/kg/天的剂量口服给药,持续30天。每3天测量一次肿瘤体积,并收集肿瘤组织进行磷酸化c-kit的Western blot分析[1]
携带NCI-H727异种移植瘤的裸鼠接受伊马替尼(50 mg/kg/天,口服)治疗28天。采用ELISA法检测血清嗜铬粒蛋白A,并对肿瘤组织进行Ki-67免疫组化染色[6]
皮下胃肠道肿瘤小鼠分为三组:对照组、单独使用伊马替尼(45 mg/kg/天,口服)组和伊马替尼+端粒酶RNA耗竭组。 21天后,测量肿瘤重量并记录生存情况[7]
患有实验性子宫内膜异位症的雌性大鼠接受伊马替尼腹腔注射治疗,剂量为30 mg/kg/天,持续21天。处死后,切除子宫内膜异位病灶,称重,并通过免疫组织化学分析CD31(血管生成标志物)的表达[8]
药代性质 (ADME/PK)
吸收、分布和排泄
口服伊马替尼后吸收良好,给药后2-4小时达到血药浓度峰值(Cmax)。平均绝对生物利用度为98%。伊马替尼的平均AUC随剂量增加而呈比例增加,剂量范围为25 mg至1000 mg。重复给药后伊马替尼的药代动力学无显著变化,每日一次服用格列卫时,稳态血药浓度为1.5至2.5倍。
伊马替尼主要经粪便排泄,且大部分以代谢物形式排出。根据口服14C标记的伊马替尼后化合物的回收率,约81%的剂量在7天内被清除,其中68%经粪便排出,13%经尿液排出。未代谢的伊马替尼占总剂量的25%(5%经尿液排出,20%经粪便排出),其余为代谢物。
成人慢性粒细胞白血病(CML)患者的群体药代动力学估计伊马替尼的稳态分布容积为295.0 ± 62.5 L。在340 mg/m²的剂量下,计算得出儿童患者的伊马替尼分布容积为167 ± 84 L。
通常,体重50 kg的50岁患者的伊马替尼清除率预计为8 L/h,而体重100 kg的50岁患者的清除率将增加至14 L/h。患者间清除率40%的差异并不足以支持根据体重和/或年龄调整初始剂量,但提示需要密切监测治疗相关毒性。
代谢/代谢物
CYP3A4是负责伊马替尼代谢的主要酶。其他细胞色素P450酶,如CYP1A2、CYP2D6、CYP2C9和CYP2C19,在其代谢中起次要作用。人体内主要的循环活性代谢物是N-去甲基哌嗪衍生物,主要由CYP3A4生成。体外活性与母体药物伊马替尼相似。
伊马替尼已知的代谢产物包括N-去甲基伊马替尼。
生物半衰期
健康志愿者口服给药后,伊马替尼及其主要活性代谢产物N-去甲基衍生物(CGP74588)的消除半衰期分别约为18小时和40小时。
小鼠单次口服25 mg/kg剂量后,伊马替尼(STI571;格列卫;Glivec)的生物利用度约为98%。给药后2小时达到最大血浆浓度(Cmax)为3.8 μg/mL,血浆半衰期(t₁/₂)约为12小时[3]。在大鼠中,口服30 mg/kg后,24小时AUC₀为65 μg·h/mL。该药物广泛分布于肿瘤组织、肝脏和脾脏,肿瘤/血浆浓度比约为3.2[3]。它主要在肝脏中通过细胞色素P450 3A4代谢。7天内,约60%的剂量经粪便排出,约25%经尿液排出[3]。
毒性/毒理 (Toxicokinetics/TK)
肝毒性
伊马替尼治疗与三种形式的急性肝损伤相关:治疗期间血清酶短暂且通常无症状的升高、临床表现明显的急性肝炎以及潜在的慢性乙型肝炎的复发。
伊马替尼治疗期间血清转氨酶水平升高很常见,但ALT水平超过正常值上限5倍的患者仅占接受治疗6个月或更长时间的2%至4%。此外,还可能出现轻度血清胆红素升高。这些异常通常较轻、无症状,即使继续治疗也会自行消退。然而,如果指标显著升高(ALT或AST持续高于正常值上限5倍或胆红素高于正常值上限3倍),则可能需要调整剂量或暂时停药,然后再以较低剂量重新开始治疗,建议这样做。
此外,伊马替尼还与罕见的伴有黄疸的临床表现明显的急性肝损伤病例相关。发病时间从开始治疗后6天到数年不等,通常潜伏期为2至6个月(病例1和2)。血清酶升高模式通常为肝细胞性肝炎,但也报道过胆汁淤积性肝炎和混合型肝炎。肝损伤可能很严重,已有急性肝衰竭和死亡的病例报道,以及导致肝炎后肝硬化的严重肝炎病例报道。免疫过敏反应(皮疹、发热和嗜酸性粒细胞增多)并不常见,但部分患者会出现低水平的自身抗体,并且有长期服用伊马替尼后发生慢性肝炎的病例报道。更重要的是,已有许多病例报道对泼尼松治疗有明显的临床反应。再次接触病原体后,肝损伤复发很常见,但同时使用泼尼松治疗可以减轻或预防肝损伤复发,在某些情况下,即使之前使用伊马替尼治疗期间出现过临床上明显的肝损伤,泼尼松治疗也能使患者继续长期治疗。
最后,在接受伊马替尼治疗的非活动性乙型肝炎患者或乙肝表面抗原(HBsAg)携带者中,也曾出现过几例慢性乙型肝炎复发(病例3)。临床表现通常为急性肝炎样综合征,血清丙氨酸氨基转移酶(ALT)显著升高,而碱性磷酸酶水平变化不大。通常,在复发早期,血清中乙型肝炎病毒(HBV)DNA水平会升高,但随着病情好转,其水平会迅速下降至治疗前水平。患者的乙型肝炎核心抗体(IgM抗-HBc)检测结果也可能呈阳性。伊马替尼引起的乙型肝炎病毒再激活可能很严重,已有死亡病例报告。
可能性评分:B(可能导致临床上明显的肝损伤以及乙型肝炎病毒再激活)。
妊娠和哺乳期影响
◉ 哺乳期用药概述
有限的信息表明,母亲每日服用高达 400 mg 的伊马替尼,乳汁中药物及其活性代谢物的浓度较低。虽然少数母乳喂养的婴儿在母亲服用伊马替尼期间似乎没有出现不良反应,但尚无长期数据。在获得更多数据之前,哺乳期使用伊马替尼应密切监测。美国国家综合癌症网络(NCCN)指南、生产商和一些作者建议,在伊马替尼治疗期间以及治疗结束后1个月内应停止母乳喂养。
◉ 对母乳喂养婴儿的影响
一位患有慢性粒细胞白血病的女性,每日口服伊马替尼400毫克,并对其进行母乳喂养。在哺乳的前2个月,婴儿未出现任何不良反应。
一位患有慢性粒细胞白血病的女性,在整个孕期和产后近6个月的母乳喂养期间(未说明哺乳时间)每日服用伊马替尼400毫克。据报道,她的婴儿生长发育正常。
一位患有慢性粒细胞白血病的女性,从妊娠第8周开始每日服用伊马替尼400毫克,并持续整个8个月的母乳喂养期间(未说明哺乳时间)。婴儿健康,但在30个月大时接受了房间隔缺损修补术。此前认为这与伊马替尼治疗无关。
一名患有费城染色体阳性慢性粒细胞白血病的孕妇在孕期开始服用伊马替尼,每日400毫克。分娩后,她的早产儿先以初乳喂养至产后第五天中期,之后改为纯配方奶喂养。该婴儿接受了早产儿呼吸暂停的治疗,并在出生后第25天出院。在出生后第一年,未观察到对生长或发育的不良影响。
◉ 对哺乳和母乳的影响
截至修订日期,未找到相关的已发表信息。
蛋白质结合
在临床相关浓度的伊马替尼下,体外实验中其与血浆蛋白的结合率约为95%,主要与白蛋白和α1-酸性糖蛋白结合。
小鼠以50 mg/kg/天的剂量接受伊马替尼(STI571;格列卫;Glivec)治疗28天后,体重略有下降(约7%),但未出现明显的肝肾毒性。血清ALT、AST、肌酐和BUN水平均在正常范围内[3]
通过平衡透析法测定,伊马替尼在人血浆中的血浆蛋白结合率约为95%[3]
大鼠腹腔注射30 mg/kg/天伊马替尼21天后,未出现血液学异常或胃肠道毒性,主要器官的组织病理学分析也未发现损伤[8]
参考文献

[1]. Inhibition of c-kit receptor tyrosine kinase activity by STI 571, a selective tyrosine kinase inhibitor. Blood. 2000 Aug 1;96(3):925-32.

[2]. Sorafenib inhibits imatinib-resistant KIT and platelet-derived growth factor receptor beta gatekeeper mutants. Clin Cancer Res. 2007 Jun 1;13(11):3363-9.

[3]. Imatinib: a breakthrough of targeted therapy in cancer. Chemother Res Pract. 2014;2014:357027.

[4]. ARG tyrosine kinase activity is inhibited by STI571.Blood. 2001 Apr 15;97(8):2440-8.

[5]. Coronavirus S Protein-Induced Fusion Is Blocked Prior to Hemifusion by Abl Kinase Inhibitors. J Gen Virol. 2018 May;99(5):619-630.

[6]. Clinical and in vitro studies of imatinib in advanced carcinoid tumors. Clin Cancer Res. 2007 Jan 1;13(1):234-40.

[7]. Depletion of telomerase RNA inhibits growth of gastrointestinal tumors transplanted in mice. World J Gastroenterol. 2013 Apr 21;19(15):2340-7.

[8]. Effect of imatinib on growth of experimental endometriosis in rats. Eur J Obstet Gynecol Reprod Biol. 2016 Feb;197:159-63.

[9]. Frieman MB. Abelson Kinase Inhibitors Are Potent Inhibitors of Severe Acute Respiratory Syndrome Coronavirus and Middle East Respiratory Syndrome Coronavirus Fusion. J Virol. 2016;90(19):8924‐8933. Published 2016 Sep 12.

其他信息
药效学
伊马替尼是一种2-苯氨基嘧啶衍生物类抗肿瘤药物,属于酪氨酸激酶抑制剂。尽管伊马替尼可抑制多种酪氨酸激酶,但它对存在于多种癌症中的BCR-ABL融合蛋白具有很高的选择性。BCR-ABL通路控制着许多与肿瘤生长密切相关的下游通路,例如Ras/MapK通路(细胞增殖)、Src/Pax/Fak/Rac通路(细胞迁移)和PI/PI3K/AKT/BCL-2通路(细胞凋亡)。因此,BCR-ABL通路是癌症治疗的一个极具吸引力的靶点。虽然正常细胞的生长也依赖于这些通路,但这些细胞往往具有冗余的酪氨酸激酶,以便在伊马替尼抑制ABL的情况下仍能持续发挥功能。另一方面,癌细胞可能对 BCR-ABL 具有依赖性,因此更容易受到伊马替尼的影响。
伊马替尼(STI571;格列卫;Glivec)是首个获得 FDA 批准的靶向酪氨酸激酶抑制剂,其设计目的是与 c-kit、ABL 和 PDGFRβ 的 ATP 结合口袋竞争性结合,从而阻断下游信号传导 [3]。
它适用于一线治疗伴有 BCR-ABL 易位的慢性粒细胞白血病 (CML) 和伴有 c-kit 突变的胃肠道间质瘤 (GIST) [3]。
除了抗癌活性外,伊马替尼还能通过靶向 Abl 激酶介导的细胞骨架重排来抑制冠状病毒融合,显示出作为广谱抗冠状病毒药物的潜力 [5,9]。
它还具有治疗潜力,可用于治疗……通过抑制病灶增殖和血管生成来治疗子宫内膜异位症,这得到了大鼠模型临床前数据的支持[8]
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C29H31N7O
分子量
493.6
精确质量
493.259
元素分析
C, 70.56; H, 6.33; N, 19.86; O, 3.24
CAS号
152459-95-5
相关CAS号
Imatinib-d8;1092942-82-9;Imatinib-d4;1134803-16-9;Imatinib-d3 hydrochloride;1134803-18-1;Imatinib Mesylate;220127-57-1;N-Desmethyl imatinib;404844-02-6
PubChem CID
5291
外观&性状
White to off-white to brownish or yellowish tinged crystalline powder
密度
1.3±0.1 g/cm3
沸点
451°C
熔点
113°C
闪点
196°C
蒸汽压
6.03E-24mmHg at 25°C
折射率
1.672
LogP
2.48
tPSA
86.28
氢键供体(HBD)数目
2
氢键受体(HBA)数目
7
可旋转键数目(RBC)
7
重原子数目
37
分子复杂度/Complexity
706
定义原子立体中心数目
0
SMILES
O=C(C1C([H])=C([H])C(=C([H])C=1[H])C([H])([H])N1C([H])([H])C([H])([H])N(C([H])([H])[H])C([H])([H])C1([H])[H])N([H])C1C([H])=C([H])C(C([H])([H])[H])=C(C=1[H])N([H])C1=NC([H])=C([H])C(C2=C([H])N=C([H])C([H])=C2[H])=N1
InChi Key
KTUFNOKKBVMGRW-UHFFFAOYSA-N
InChi Code
InChI=1S/C29H31N7O/c1-21-5-10-25(18-27(21)34-29-31-13-11-26(33-29)24-4-3-12-30-19-24)32-28(37)23-8-6-22(7-9-23)20-36-16-14-35(2)15-17-36/h3-13,18-19H,14-17,20H2,1-2H3,(H,32,37)(H,31,33,34)
化学名
4-[(4-methylpiperazin-1-yl)methyl]-N-[4-methyl-3-[(4-pyridin-3-ylpyrimidin-2-yl)amino]phenyl]benzamide
别名
CGP-57148B; ST-1571, CGP057148B; CGP 57148; CGP57148; CGP-57148; CGP57148B; CGP 57148B; STI571; STI 571; Imatinib; US brand name: Gleevec; Foreign brand name: Glivec
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: ~4 mg/mL (~8.1 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 1.25 mg/mL (2.53 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 12.5 mg/mL澄清的DMSO储备液加入到400 μL PEG300中,混匀;再向上述溶液中加入50 μL Tween-80,混匀;然后加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

配方 2 中的溶解度: ≥ 1.25 mg/mL (2.53 mM) (饱和度未知) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 12.5 mg/mL澄清DMSO储备液加入900 μL 20% SBE-β-CD生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

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配方 3 中的溶解度: ≥ 1.25 mg/mL (2.53 mM) (饱和度未知) in 10% DMSO + 90% Corn Oil (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 12.5 mg/mL 澄清 DMSO 储备液加入900 μL 玉米油中,混合均匀。


配方 4 中的溶解度: 2% DMSO+30% PEG 300+2% Tween 80+ddH2O: 2mg/mL

配方 5 中的溶解度: 11 mg/mL (22.29 mM) in 0.5% CMC-Na/saline water (这些助溶剂从左到右依次添加,逐一添加), 悬浊液; 超声助溶。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 2.0259 mL 10.1297 mL 20.2593 mL
5 mM 0.4052 mL 2.0259 mL 4.0519 mL
10 mM 0.2026 mL 1.0130 mL 2.0259 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Evaluation of Rovadicitinib Compared to the Protocol Selected by Researchers in Third Line and Subsequent Studies of Moderate to Severe Chronic Graft-versus-host Disease
CTID: NCT06682169
Phase: Phase 3    Status: Recruiting
Date: 2024-11-26
Asciminib Roll-over Study
CTID: NCT04877522
Phase: Phase 4    Status: Recruiting
Date: 2024-11-25
Imatinib to Increase RUNX1 Activity in Participants With Germline RUNX1 Deficiency
CTID: NCT06090669
Phase: Phase 1    Status: Recruiting
Date: 2024-11-25
Tyrosine Kinase Inhibition to Treat Myeloid Hypereosinophilic Syndrome
CTID: NCT00044304
Phase: Phase 2    Status: Recruiting
Date: 2024-11-19
Study of Precision Treatment for Rare Tumours in China Guided by PDO and NGS
CTID: NCT06692491
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-18
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A Study of Olverembatinib in Patients With Newly Diagnosed Ph+ALL.
CTID: NCT06051409
Phase: Phase 3    Status: Recruiting
Date: 2024-11-07


A Study of Ponatinib Versus Imatinib in Adults With Acute Lymphoblastic Leukemia
CTID: NCT03589326
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-31
Randomized Evaluation of Radotinib Versus Imatinib in Phase III Study for Efficacy With Chinese Patients (RERISE China)
CTID: NCT03722420
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-28
Long-term Risk of Second Primary Malignancies for Chronic Myeloid Leukaemia in the French Imatinib-based SPIRIT Trial
CTID: NCT06646978
Phase:    Status: Enrolling by invitation
Date: 2024-10-17
Optimization of Therapy in Adult Patients with Newly Diagnosed Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma by Individualised, Targeted and Intensified Treatment
CTID: NCT02881086
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-10
Correlation Between Imatinib Trough Concentration and Efficacy in Advanced GIST Patients with Different Genotypes
CTID: NCT06628739
Phase:    Status: Completed
Date: 2024-10-08
Investigation of Novel and Established Therapies in a Human Intravenous Lipopolysaccharide Model of Sepsis
CTID: NCT06626984
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-10-04
Randomized Trial in Adult de Novo Ph Positive ALL With Chemotherapy, Imatinib or Ponatinib, Blinatumomab and SCT
CTID: NCT06061094
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Trial of Imatinib for Hospitalized Adults With COVID-19
CTID: NCT04394416
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-27
Binimetinib and Imatinib for Unresectable Stage III-IV KIT-Mutant Melanoma
CTID: NCT04598009
Phase: Phase 2    Status: Recruiting
Date: 2024-08-22
Optimization of TKIs Treatment and Quality of Life in Ph+ CML Patients ≥60 Years in Deep Molecular Response
CTID: NCT02326311
Phase: Phase 3    Status: Completed
Date: 2024-08-13
A Study of Pimitespib in Combination With Imatinib in Patients With GIST (CHAPTER-GIST-101)
CTID: NCT05245968
Phase: Phase 1    Status: Recruiting
Date: 2024-08-07
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
CTID: NCT05152472
Phase: Phase 2    Status: Recruiting
Date: 2024-07-25
A Treatment Study Protocol for Participants 0-45 Years With Acute Lymphoblastic Leukaemia
CTID: NCT04307576
Phase: Phase 3    Status: Recruiting
Date: 2024-07-12
Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia
CTID: NCT02735707
Phase: Phase 3    Status: Recruiting
Date: 2024-07-12
Testing the Addition of Ruxolitinib to the Usual Treatment (Tyrosine Kinase Inhibitors) for Chronic Myeloid Leukemia
CTID: NCT03654768
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-08
A Study to Try to Bring Back Radioiodine Sensitivity in Patients With Advanced Thyroid Cancer.
CTID: NCT03469011
Phase: Phase 1    Status: Recruiting
Date: 2024-06-14
Precision Cancer Therapy in Rare Cancers
CTID: NCT06119789
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-05-29
Study of Efficacy and Safety of Asciminib in Combination With Imatinib in Patients With Chronic Myeloid Leukemia in Chronic Phase (CML-CP)
CTID: NCT03578367
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-05-06
A Study of Oral Asciminib Versus Other TKIs in Adult Patients With Newly Diagnosed Ph+ CML-CP
CTID: NCT04971226
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-05-03
ALL Adult Consortium Trial: Adult ALL Trial
CTID: NCT00476190
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-04-17
Safety and Efficacy of Ponatinib Followed by Imatinib in Patients With Chronic Myelogenous Leukemia in Chronic Phase
CTID: NCT04070443
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-04-08
Protocol Number: HJKC3-0003. Treatment Free Remission After Combination Therapy With Asciminib (ABL001) Plus Tyrosine Kinase Inhibitors (TKI) in Chronic Phase Chronic Myeloid Leukemia (CP-CML) Patients Who Relapsed After a Prior Attempt at TKI Discontinuation
CTID: NCT04838041
Phase: Phase 2    Status: Recruiting
Date: 2024-04-03
Imatinib TDM in GIST
CTID: NCT05493215
Phase: Phase 2    Status: Recruiting
Date: 2024-04-01
Ma-Spore ALL 2020 Study
CTID: NCT06336395
Phase: Phase 2    Status: Recruiting
Date: 2024-03-28
Asciminib as Initial Therapy for Patients With Chronic Myeloid Leukemia in Chronic Phase
CTID: NCT05143840
Phase: Phase 2    Status: Recruiting
Date: 2024-03-26
A Phase I Study of Oral Asciminib (ABL001) in Patients With CML or Ph+ ALL
CTID: NCT02081378
Phase: Phase 1    Status: Completed
Date: 2024-03-18
Pilot Study of Imatinib Cetuximab Combo for H & N Cancer
CTID: NCT05816785
PhaseEarly Phase 1    Status: Recruiting
Date: 2024-03-08
Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial
CTID: NCT03878524
Phase: Phase 1    Status: Terminated
Date: 2024-03-04
Sequential Treatment With Ponatinib and Blinatumomab vs Chemotherapy and Imatinib in Newly Diagnosed Adult Ph+ ALL
CTID: NCT04722848
Phase: Phase 3    Status: Recruiting
Date: 2024-02-07
Vactosertib and Imatinib Combination in Patients With Advanced Desmoid Tumor/Aggressive Fibromatosis (DT/AF)
CTID: NCT06219733
Phase: Phase 2    Status: Recruiting
Date: 2024-01-23
Imatinib Dose Escalation to 800 mg/Day in Korean Patients With Metastatic or Unresectable GIST Harboring KIT Exon 9 Mutation: KENEDI
CTID: NCT01541709
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-01-02
Treatment Protocol for Newky Diagnosed Adult Ph Positive ALL
CTID: NCT06175702
Phase:    Status: Not yet recruiting
Date: 2023-12-19
KISS Study: Kinase Inhibition With Sprycel Start up
CTID: NCT03193281
Phase: Phase 2    Status: Active, not recruiting
Date: 2023-11-29
A Study of BBI608 in Adult Patients With Advanced, Refractory Hematologic Malignancies
CTID: NCT02352558
Phase: Phase 1    Status: Completed
Date: 2023-11-14
Three Versus Five Years of Adjuvant Imatinib as Treatment of Patients With Operable GIST
CTID: NCT02413736
Phase: Phase 3    Status: Active, not recruiting
Date: 2023-11-09
Study to Evaluate Chronic Myeloid Leukemia Treatment Landscape and Real-life Treatment Outcomes in Hungary: Analysis of National Health Insurance Fund Database
CTID: NCT05286528
Phase:    Status: Completed
Date: 2023-10-27
A Clinical Trial of the Safety, Pharmacokinetics and Hematologic Effects of Imatinib on Myelopoiesis in Adults When Given With and Without Isoniazid and Rifabutin
CTID: NCT03891901
Phase: Phase 2    Status: Completed
Date: 2023-10-23
Asciminib Used in Consolidation With Imatinib vs. Imatinib to Achieve TFR in CP-CML
CTID: NCT05413915
Phase: Phase 3    Status: Recruiting
Date: 2023-10-23
Treatments for COVID-19: Canadian Arm of the SOLIDARITY Trial
CTID: NCT04330690
Phase: Phase 3    Status: Active, not recruiting
Date: 2023-10-13
The Long-term Efficacy of Imatinib With Hepatic Resection or Other Local Treatment for GIST Liver Metastases
CTID: NCT06038552
Phase:    Status: Completed
Date: 2023-09-15
Efficiency of Imatinib Treatment After 10 Years of Treatment in Patients With Gastrointestinal Stromal Tumours (GIST) (Gist-Ten)
CTID: NCT05009927
Phase: Phase 2    Status: Recruiting
Date: 2023-09-01
A Study of Ruxolitinib vs Best Available Therapy (BAT) in Patients With Steroid-refractory Chronic Graft vs. Host Disease (GvHD) After Bone Marrow Transplantation (REACH3)
CTID: NCT03112603
Phase: Phase 3    Status: Completed
Date: 2023-07-18
A Randomised Trial of Imatinib Alternating With Regorafenib Compared to Imatinib Alone for the First Line Treatment of Advanced Gastrointestinal Stromal Tumour (GIST)
CTID: NCT02365441
Phase: Phase 2    Status: Active, not recruiting
Date: 2023-07-07
Study of Dasatinib vs Imatinib in Patients With Chronic Myeloid Leukemia (CML) Who Did Not Have Favorable Response to Imatinib
CTID: NCT01593254
Phase: Phase 2    Status: Completed
Date: 2023-06-22
Exploring the Molecular Mechanism Based on KIT Mutation
CTID: NCT05895942
Phase:    Status: Recruiting
Date: 2023-06-09
Safety and Efficacy of Imatinib Added to Chemotherapy in Treatment of Ph+ Acute Lymphoblastic Leukemia in Children
CTID: NCT00287105
Phase: Phase 2    Status: Completed
Date: 2023-05-24
Frontline Asciminib Combination in Chronic Phase CML
CTID: NCT03906292
Phase: Phase 2    Status: Active, not recruiting
Date: 2023-05-10
Selinexor as Single Agent and With Imatinib in Metastatic and/or Unresectable Gastrointestinal Stromal Tumors (SeliGIST)
CTID: NCT04138381
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2023-03-27
The Life After Stopping Tyrosine Kinase Inhibitors Study (The LAST Study)
CTID: NCT02269267
Phase: Phase 2    Status: Completed
Date: 2023-03-03
Use of Imatinib to Convert Triple Negative Breast Cancer Into ER-positive Breast Cancer (I-CONIC)
CTID: NCT05722795
Phase: N/A    Status: Not yet recruiting
Date: 2023-02-10
Masitinib in First Line Treatment of Gastro-Intestinal Stromal Tumor (GIST)
CTID: NCT00812240
Phase: Phase 3    Status: Terminated
Date: 2023-02-01
Precision Dosing of Tyrosine Kinase Inhibitors in CML Patients
CTID: NCT03885830
Phase:    Status: Completed
Date: 2023-01-11
Observational Study in Adults With Imatinib-resistant/Intolerant Chronic Myeloid Leukemia Treated With Nilotinib
CTID: NCT01475110
Phase:    Status: Completed
Date: 2022-10-25
Ph+/Bcr-Abl+ ALL Imatinib and Nilotinib Rotational Study
CTID: NCT01025505
Phase: Phase 2    Status: Completed
Date: 2022-10-12
Hyper-CVAD With Liposomal Vincristine in Acute Lymphoblastic Leukemia
CTID: NCT01319981
Phase: Phase 2    Status: Completed
Date: 2022-09-27
Exploratory Study of Drug Sensitivity Prediction Software (IRCR-DReSS) With Patient-derived Tumor Cells of Metastatic Gastric Cancer
CTID: NCT03170180
Phase: Phase 2    Status: Completed
Date: 2022-06-15
Patients With Refractory, Metastatic Cancer Harboring KIT Mutation or Amplification to Investigate the Clinical Efficacy and Safety of Imatinib Therapy
CTID: NCT02461849
Phase: Phase 2    Status: Unknown status
Date: 2022-06-15
A Real World Study of the Efficacy and Safety of Flumatinib Versus Imatinib in Patients With Newly Diagnosed Chronic Myeloid Leukemia in Chronic Phase
CTID: NCT05367765
Phase: Phase 4    Status: Not yet recruiting
Date: 2022-05-10
SOLIDARITY Finland Plus Long-COVID
CTID: NCT05220280
Phase: Phase 4    Status: Recruiting
Date: 2022-05-03
Brentuximab Vedotin and Imatinib in Patients With Relapsed or Refractory ALK+ ALCL
CTID: NCT02462538
Phase: Phase 1/Phase 2    Status: Terminated
Date: 2022-03-03
Effect of Imatinib in Advance Liver Fibrosis Patients
CTID: NCT05224128
Phase: Phase 1/Phase 2    Status: Unknown status
Date: 2022-02-04
Sustained Treatment-free Remission in BCR-ABL+ Chronic Myeloid Leukemia
CTID: NCT02602314
Phase: Phase 4    Status: Unknown status
Date: 2022-01-20
Chemotherapy and Imatinib in Young Adults With Acute Lymphoblastic Leukemia Ph (BCR-ABL) POSITIVE
CTID: NCT01491763
Phase: Phase 4    Status: Unknown status
Date: 2022-01-19
Prospective Multicenter Clinical Study of Neoadjuvant Imatinib Mesylate for Gastrointestinal Stromal Tumors
CTID: NCT04933669
Phase: Phase 2    Status: Recruiting
Date: 2021-10-12
Flumatinib Versus Imatinib Combined With Chemotherapy for de Novo Ph+ ALL
CTID: NCT05071482
Phase: Phase 4    Status: Recruiting
Date: 2021-10-08
Clinical Trial to Evaluate Efficacy of 3 Types of Treatment in Patients With Pneumonia by COVID-19
CTID: NCT04346147
Phase: Phase 2    Status: Unknown status
Date: 2021-08-03
An Extension Study to Determine the Efficacy and Safety of STI571 in Participants With Chronic Myeloid Leukemia Who Are Refractory to or Intolerant of Interferon-Alpha
CTID: NCT00171223
Phase: Phase 2    Status: Completed
Date: 2021-07-22
An Extension Study to Determine the Safety and Anti-Leukemic Effects of Imatinib Mesylate in Adult Participants With Ph+ Leukemia
CTID: NCT00171249
Phase: Phase 2    Status: Completed
Date: 2021-07-22
Efficacy and Tolerability of STI571 (Imatinib Mesylate) for the Treatment of Fibrosis in Participants With Systemic Sclerosis
CTID: NCT00613171
Phase: Phase 2    Status: Completed
Date: 2021-07-07
Everolimus in Combination With Imatinib in Patients With Glivec Refractory/Resistant Gastrointestinal Stromal Tumors
CTID: NCT01275222
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-06-25
Pharmacokinetic Effects of QTI571 on Sildenafil and Bosentan in Pulmonary Arterial Hypertension Participants
CTID: NCT01392469
Phase: Phase 3    Status: Completed
Date: 2021-06-21
A Multicenter Phase 3, Open-Label Study of Bosutinib Versus Imatinib in Adult Patients With Newly Diagnosed Chronic Phase Chronic Myelogenous Leukemia
CTID: NCT02130557
Phase: Phase 3    Status: Completed
Date: 2021-05-18
An Exploratory Study of High-dose Glivec in Patients With CML-CP Using Molecular Endpoints
CTID: NCT01216085
Phase: Phase 2    Status: Completed
Date: 2021-03-10
Effectiveness and Safety Study of Generic Imatinib in Chronic Myeloid Leukemia Patients in Egypt
CTID: NCT03454503
Phase:    Status: Completed
Date: 2021-02-23
Study in Adult Ph-positive ALL
CTID: NCT04688983
Phase: Phase 2    Status: Not yet recruiting
Date: 2020-12-30
A Dose-finding Study of a Combination of Imatinib and BKM120 in the Treatment of 3rd Line GIST Patients
CTID: NCT01468688
Phase: Phase 1    Status: Completed
Date: 2020-12-21
A Study of Imatinib Versus Nilotinib in Adult Patients With Newly Diagnosed Philadelphia Chromosome Positive (Ph+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)
CTID: NCT00471497
Phase: Phase 3    Status: Completed
Date: 2020-11-18
A Study of REduction And DIscontinuation Treatment of TKI (Imatinib, Nilotinib, Dasatinib and Bosutinib)
CTID: NCT04578847
Phase: Phase 2    Status: Active, not recruiting
Date: 2020-10-08
Imatinib in Acute Ischaemic Stroke
CTID: NCT03639922
Phase: Phase 3    Status: Unknown status
Date: 2020-09-16
PLATFORM Study of Precision Medicine for Rare Tumors
CTID: NCT04423185
Phase: Phase 2    Status: Unknown status
Date: 2020-08-04
Imatinib, Bevacizumab, and Cyclophosphamide in Patients With Refractory Metastatic Solid Tumors
CTID: NCT00390156
Phase: Phase 1    Status: Completed
Date: 2020-07-28
A Pilot Study of Imatinib Mesylate in Steroid Refractory Chronic Graft Versus Host Disease
CTID: NCT00760981
Phase: Phase 1    Status: Completed
Date: 2020-04-15
STI571 ProspectIve RandomIzed Trial: SPIRIT
CTID: NCT00219739
Phase: Phase 3    Status: Completed
Date: 2020-04-13
Genomics-Based Target Therapy for Children With Relapsed or Refractory Malignancy
CTID: NCT02638428
Phase: Phase 2    Status: Unknown status
Date: 2020-03-19
A Trial of Imatinib for Patients With Aggressive Desmoid Tumor (Aggressive Fibromatosis)
CTID: NCT02495519
Phase: Phase 2    Status: Completed
Date: 2020-01-14
Rechallenge of Imatinib in GIST Having no Effective Treatment: RIGHT
CTID: NCT01151852
Phase: Phase 3    Status: Completed
Date: 2020-01-14
Dose Individualization of Antineoplastic Drugs and Anti-Infective Drug in Children With Hematoplastic Disease
CTID: NCT03844360
Phase: Phase 4    Status: Unknown status
Date: 2020-01-10
An Open-label, Randomised Multicenter Phase 3b Study to Determine the Confirmed Rate of Molecular Response ≥ 4 Log (MR4) at Two Years
CTID: NCT02174445
Phase: Phase 3    Status: Terminated
Date: 2019-12-02
A Phase III Randomized Trial of the Reduction of Chemotherapy in Philadelphia Chromosome-positive ALL of Young Adults
CTID: NCT02611492
Phase: Phase 3    Status: Recruiting
Date: 2019-10-21
Imatinib as Pre-operative Anti-Colon Cancer Targeted Therapy
CTID: NCT02685046
Phase: Phase 2    Status: Terminated
Date: 2019-10-14
Imatinib for Cytomegalovirus Prophylaxis and Treatment After Allogeneic Hematopoietic Stem Cell Transplantation
CTID: NCT03343600
Phase: Phase 2    Status: Terminated
Date: 2019-09-11
A Study of Imatinib and Nilotinib in Patients With Chronic Myelogenous Leukemia in Chronic Phase
CTID: NCT02272777
Phase: Phase 3    Status: Completed
Date: 2019-08-19
Long Term Therapy With Imatinib: Development of Late Side Effects and Compliance to Treatment
CTID: NCT00632255
Phase:    Status: Completed
Date: 2019-07-08
Role of Surgery in Patients With Focally Progressive Gastrointestinal Stromal Tumors (GISTs) After Imatinib Treatment
CTID: NCT03862768
Phase: N/A    Status: Unknown status
Date: 2019-03-05
Compare Bosutinib To Imatinib In Subjects With Newly Diagnosed Chronic Phase Philadelphia Chromosome Positive CML
CTID: NCT00574873
Phase: Phase 3    Status: Completed
Date: 2019-01-08
Triple Antimalarial Combination to Accelerate the Parasite Clearance and to Prevent the Selection of Resistant Parasites
CTID: NCT03697668
Phase: Phase 2    Status: Unknown status
Date: 2018-10-05
Proteinase 3 PR1 Peptide Mixed With Montanide ISA-51 VG Adjuvant and Administered With GM-CSF and PEG-INTRON(R)
CTID: NCT00415857
Phase: Phase 2    Status: Terminated
Date: 2018-08-21
A Study to Investigate the Effects of Imatinib on Pulmonary Vascular Dysfunction in a Human Model of Lung Injury
CTID: NCT03328117
Phase: Phase 1    Status: Completed
Date: 2018-07-13
Imatinib and Carvedilol for High Blood Pressure in the Lungs in Adults With Sickle Cell Disease
CTID: NCT01568645
Phase: Phase 1    Status: Withdrawn
Date: 2018-07-05
A Study to Evaluate Efficacy and Safety of Glinib in Newly Diagnosed CML Patients
CTID: NCT02204722
Phase: Phase 4    Status: Terminated
Date: 2018-06-15
Evaluation of the Therapeutic Effect of HU Pulse Therapy for CML Patients
CTID: NCT03515018
Phase: Phase 3    Status: Unknown status
Date: 2018-05-22
Comparison of Imatinib Versus Dasatinib in Patients With Newly-diagnosed Chronic Phase Chronic Myeloid Leukaemia
CTID: NCT01460693
Phase: Phase 3    Status: Completed
Date: 2018-04-24
Treatment of Cervical Spinal Cord Injury With Imatinib - a Safety and Feasibility Study
CTID: NCT02363361
Phase: Phase 2    Status: Unknown status
Date: 2018-03-07
To Compare the Efficacy of Surgery Followed by Sunitinib With Surgery Followed by Imatinib in GIST Patients With Progression on Imatinib.
CTID: NCT03424876
Phase:    Status: Unknown status
Date: 2018-03-01
Study to Compare Pathologic Type, NIH and WHO Criteria,and Mechanism of GIST Malignant Transformation
CTID: NCT03381053
Phase:    Status: Unknown status
Date: 2017-12-21
Nilotinib Versus Imatinib in Treatment of Patients With Newly Diagnosed Chronic Myeloid Leukemia
CTID: NCT03228303
PhaseEarly Phase 1    Status: Unknown status
Date: 2017-10-10
Randomized Study Comparing the Effect of Dasatinib and Imatinib on Malignant Stem Cells in Chronic Myeloid Leukemia
CTID: NCT00852566
Phase: Phase 2    Status: Completed
Date: 2017-09-25
Imatinib (Gleevec(Registered Trademark)) to Treat Chronic Myelomonocytic Leukemia and Atypical Chronic Myelogenous Leukemia
CTID: NCT00079313
Phase: Phase 2    Status: Completed
Date: 2017-07-02
Glivec in Prostate Cancer Patients With Rising PSA Following Radical Prostectomy
CTID: NCT01316458
Phase: Phase 2    Status: Completed
Date: 2017-06-01
De- Escalation and Stopping Treatment of Imatinib, Nilotinib or sprYcel in Chronic Myeloid Leukaemia
CTID: NCT01804985
Phase: Phase 2    Status: Unknown status
Date: 2017-05-04
Study to Evaluate Imatinib in Desmoid Tumors
CTID: NCT01137916
Phase: Phase 2    Status: Completed
Date: 2017-05-03
A Study of Imatinib 400 mg Once Daily in Combination With Methotrexate in the Treatment of Rheumatoid Arthritis.
CTID: NCT00154336
Phase: Phase 2    Status: Completed
Date: 2017-04-25
Treatment of Older Adults With Acute Lymphoblastic Leukemia
CTID: NCT00973752
Phase: Phase 2    Status: Completed
Date: 2017-03-30
Efficacy and Safety of Imatinib in Chordoma
CTID: NCT00150072
Phase: Phase 2    Status: Completed
Date: 2017-02-23
A Phase III Study of Dasatinib vs Imatinib in Patients With Newly Diagnosed Chronic Phase Chronic Myeloid Leukemia
CTID: NCT00481247
Phase: Phase 3    Status: Completed
Date: 2017-02-15
Study of Imatinib and Peginterferon α-2b in Gastrointestinal Stromal Tumor (GIST) Patients
CTID: NCT00585221
Phase: Phase 2    Status: Terminated
Date: 2017-02-10
Imatinib in Patients With Mucosal or Acral/Lentiginous Melanoma
CTID: NCT00424515
Phase: Phase 2    Status: Completed
Date: 2016-12-08
Study of Cemivil® (Imatinib) in Chronic Myeloid Leukemia Patients in Jordan
CTID: NCT02977312
Phase:    Status: Completed
Date: 2016-11-30
Nilotinib Versus Standard Imatinib (400/600 mg Every Day (QD)) Comparing the Kinetics of Complete Molecular Response for Chronic Myelogenous Leukemia in Chronic Phase (CML-CP) Pts With Evidence of Persistent Leukemia by Real-time Quantitative Polymerase Chain Reaction (RQ-PCR)
CTID: NCT00760877
Phase: Phase 3    Status: Completed
Date: 2016-11-08
Treatment With Second Generation Tyrosine Kinase Inhibitors (2G TKI) Post Imatinib Failure Survey
CTID: NCT01188278
Phase:    Status: Completed
Date: 2016-09-30
Malaysia-Singapore Acute Lymphoblastic Leukemia 2010 Study
CTID: NCT02894645
Phase: Phase 4    Status: Unknown status
Date: 2016-09-30
Population Pharmacokinetics of Imatinib in CML Patients in Iran
CTID: NCT02146846
Phase:    Status: Terminated
Date: 2016-09-07
A Pilot Study of Genomic Sequencing Guided Individualized Therapy in Gastrointestinal Cancers, GITIC Study
CTID: NCT02013089
Phase: N/A    Status: Unknown status
Date: 2016-08-30
A Study of Nilotinib Versus Imatinib in GIST Patients
CTID: NCT00785785
Phase: Phase 3    Status: Completed
Date: 2016-06-16
Docetaxel Plus Imatinib Mesylate in Metastatic Breast Cancer
CTID: NCT00193180
Phase: Phase 2    Status: Completed
Date: 2016-05-27
Safety and Efficacy of Nilotinib vs. Imatinib in the Treatment of Newly Diagnosed Chinese Ph+ CML-CP Patients
CTID: NCT01275196
Phase: Phase 3    Status: Completed
Date: 2016-04-08
Effect of Food on Bioavailability of Modified Release Formulations of Imatinib
CTID: NCT00420043
Phase: Phase 1    Status: Completed
Date: 2016-04-05
Effect of Food on Bioavailability of a Modified Release Formulation of Imatinib
CTID: NCT00422825
Phase: Phase 1    Status: Completed
Date: 2016-04-05
Radotinib Versus Imatinib in Newly Diagnosed Philadelphia Chromosome and Chronic Myeloid Leukemia Chronic Phase Patients
CTID: NCT01511289
Phase: Phase 3    Status: Completed
Date: 2016-02-24
Long-term Safety of Dasatinib in Patients With Chronic Myelogenous Leukemia or Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia
CTID: NCT00982488
Phase: Phase 2    Status: Completed
Date: 2016-01-22
Imatinib in Adult Patients With Metastatic Ocular Melanoma
CTID: NCT00421317
Phase: Phase 2    Status: Terminated
Date: 2016-01-06
Randomized Phase Lll Study of Imatinib Dose Optimization vs Nilotinib in CML Patients With Suboptimal Response to Imatinib
CTID: NCT00802841
Phase: Phase 3    Status: Completed
Date: 2015-11-16
Efficacy of Imatinib in Patients With Intermediate-risk Gastrointestinal Stromal Tumor With a High-risk Genomic Grade Index
CTID: NCT02576080
Phase: Phase 3    Status: Unknown status
Date: 2015-10-15
Extension to QTI571A2301 to Evaluate the Long-term Safety, Tolerability and Efficacy of Imatinib in Severe Pulmonary Arterial Hypertension (PAH)
CTID: NCT01117987
Phase: Phase 3 Status:
IMPAHCT: A Phase 2b/3, Randomized, Double-Blind, Placebo-Controlled, 24-Week Dose Ranging and Confirmatory Study to Evaluate the Safety and Efficacy of AV-101 in Patients with Pulmonary Arterial Hypertension (PAH).
CTID: null
Phase: Phase 2, Phase 3    Status: Trial now transitioned, Ongoing
Date: 2022-02-21
An open label, multi-center asciminib roll-over study to assess long-term safety in patients who have completed a Novartis sponsored asciminib study and are judged by the investigator to benefit from continued treatment
CTID: null
Phase: Phase 3    Status: Trial now transitioned, Ongoing
Date: 2021-08-10
A phase III, multi-center, open-label, randomized study of oral asciminib versus Investigator selected TKI in patients with newly diagnosed Philadelphia Chromosome Positive Chronic Myelogenous Leukemia in Chronic Phase
CTID: null
Phase: Phase 3    Status: Completed, Trial now transitioned, Ongoing
Date: 2021-08-10
GIST-TEN: Randomized, prospective, multicentre, open label phase II study evaluating the interest of imatinib (Glivec) treatment maintenance or interruption after at least 10 years of treatment in patients with locally advanced/metastatic Gastrointestinal Stromal Tumors (GISTs)
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2021-07-08
ALLTogether1– A Treatment study protocol of the ALLTogether Consortium for children and young adults (1-45 years of age) with newly diagnosed acute lymphoblastic leukaemia (ALL)
CTID: null
Phase: Phase 3    Status: Trial now transitioned, GB - no longer in EU/EEA, Ongoing
Date: 2020-05-15
WHO SOLIDARITY Finland: The multicenter trial on the efficacy of different anti-viral drugs in SARS-CoV-2 infected patients (COVID-19)
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2020-04-29
A PROOF OF CONCEPT STUDY TESTING THE VALUE OF IMATINIB IN PREVENTION OF COVID-19 IN AGED PATIENTS.
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2020-04-17
Prospective, phase II, randomized, open-label, parallel group study to evaluate the efficacy of hydroxychloroquine together with baricitinib, imatinib or early lopinavir / ritonavir in patients with SARS Cov2 pneumonia (COVID-19 HUF)
CTID: null
Phase: Phase 2    Status: Completed
Date: e.querySelector("font strong").innerText = 'View More' } else if(up_display === 'none' || up_display ==

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  • Imatinib (STI571)

  • Imatinib (STI571)
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