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Updated: Aug 9, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 19, 2013
Signal transduction inhibition: results from phase I clinical trials in chronic myeloid leukemia
1Department of Medicine, Division of Hematology and Medical Oncology, Oregon Health and Science University, Portland, OR 97201, USA.
Abstract:
The tyrosine kinase inhibitor, imatinib mesylate (Gleevec, Novartis Pharmaceuticals Corp, East Hanover, NJ) (formerly STI571) showed significant antileukemic activity with minimal toxicity in preclinical studies. Based on these data, a phase I clinical trial was conducted in patients with chronic myeloid leukemia (CML) who failed other treatment options. Once therapeutic doses were attained, 53 of 54 patients (98%) in the chronic phase achieved hematologic remissions. With prolonged therapy of 2 to 5 months duration, a growing percentage of patients achieved cytogenetic responses. Imatinib mesylate also has activity as a single agent in CML blast crisis and in patients with Ph(+) acute lymphocytic leukemia (ALL). Although responses tend not to be durable, 20% of patients with myeloid blast crisis are in continuous remission for periods up to 1 year. Ongoing clinical studies are directed at optimizing the use of imatinib mesylate.
Insights
The tyrosine kinase inhibitor imatinib mesylate demonstrated significant antileukemic activity in chronic myeloid leukemia (CML) patients. This targeted therapy achieved high rates of hematologic remission and cytogenetic response, offering a new treatment option.
Area of Science:
- Oncology
- Pharmacology
Background:
- Imatinib mesylate (formerly STI571) is a tyrosine kinase inhibitor.
- Preclinical studies indicated significant antileukemic activity and minimal toxicity.
Purpose of the Study:
- To evaluate the safety and efficacy of imatinib mesylate in a phase I clinical trial.
- To assess its activity in patients with chronic myeloid leukemia (CML) who failed prior treatments.
Main Methods:
- Phase I clinical trial design.
- Administration of imatinib mesylate to patients with CML.
- Monitoring of hematologic and cytogenetic responses.
Main Results:
- 98% of chronic phase CML patients achieved hematologic remission.
- Cytogenetic responses were observed with prolonged therapy.
- Activity was also noted in CML blast crisis and Philadelphia chromosome-positive acute lymphocytic leukemia (Ph+ ALL).
Conclusions:
- Imatinib mesylate shows significant efficacy in treating chronic myeloid leukemia.
- It offers a viable therapeutic option for patients with CML and Ph+ ALL.
- Ongoing studies aim to optimize imatinib mesylate treatment strategies.
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