Tyrosine kinase inhibitorFDA-approvedFirst-line

Imatinib

How it works

Blocks the BCR-ABL tyrosine kinase enzyme, which is overactive in CML cells, and also inhibits other tyrosine kinases involved in cancer growth.

Cancer types

Leukemia— BCR-ABL-positive

Efficacy

In clinical trials, around 90% of patients achieved a major cytogenetic response, with a median progression-free survival of approximately 18 months.

Side effects

Moderate

Side effects can be significant and may require dose adjustments or supportive medication, but the treatment is usually continued.

Evidence from research

StudyCancer typeStageEfficacy
New Treatment for Rectal Cancer Tumors Shows PromiseLeukemiareviewNeoadjuvant imatinib therapy achieves significant tumor downsizing (25-46% reduction),Source →
Long-term Outcomes of Tyrosine Kinase Inhibitors in Chronic Myeloid LeukemiaLeukemiaobservationalFive-year overall survival ranged from 78% for dasatinib to 90% for nilotinib, with nilotinib associated with improved overall survival (hazard ratio [HR], 0.43) and event-free survival (HR, 0.48) and the fastest BCR-ABL1 decline (β = -8.3%) versus imatinib.Source →
Imatinib's Effectiveness in Treating Leukemia May Be Limited in the BrainLeukemialab-study—Source →
Testing Binimetinib and Imatinib for Advanced MelanomaMelanomaphase-2—Source →
Rare Side Effect of Leukemia TreatmentLeukemiaobservational—Source →
Imatinib's Early Molecular Effects on Leukemia CellsLeukemialab-study—Source →
Combining Imatinib and Zebularine May Help Treat Colorectal CancerColorectal Cancerlab-study—Source →
Imatinib Triggers Early Changes in Cancer CellsLeukemialab-study—Source →
Pregnancy Risks with Leukemia MedicationsLeukemiaobservational—Source →
Ponatinib Improves Quality of Life for Leukemia PatientsLeukemiaphase-3—Source →
Monitoring Imatinib in Children with LeukaemiaLeukemiaobservationalCorrelation of IMA C >1000 ng/mL with achieving OMR demonstrated in each 63% (N = 24/37, N = 27/43, respectively) patients at months 3 and 6.Source →
New Nanoformulation Targets Metastatic Ovarian CancerOvarian Cancerlab-study—Source →
Microfluidic Chips Speed Up Cancer Drug TestingLeukemialab-studySignificant increased apoptosis was seen in K562 cells treated with imatinib in the microfluidic device compared to cells treated with imatinib in 24- and 96-well plates.Source →
Combining treatments for lung cancer and blood disorderLung Cancerobservational—Source →
Giant Rectal Tumor Responds to Imatinib Mesylate ChemotherapyColorectal CancerobservationalThe tumor diameter reduction rate at 1, 3, and 5 months after treatment was 28%, 32%, and 40%.Source →
Reducing Large Rectal Tumors with Imatinib TherapyColorectal CancerobservationalThe tumor size was reduced by 40% after 28 weeks of administering neoadjuvant therapy.Source →
Vitamin K2 May Help Protect Leukemia Cells from COVID-19 DamageLeukemialab-study—Source →
Combining Natural Compounds with Imatinib May Help Treat LeukemiaLeukemialab-study—Source →
Monitoring Imatinib's Active Metabolite May Not Be NecessaryLeukemialab-study—Source →
Guaranteed Access to Imatinib Improves Survival in Chronic Myeloid Leukemia PatientsLeukemiaobservationalThe 20-year survival probability was 76% for patients with guaranteed access to imatinib, compared to 61% for those without access.Source →
Nilotinib and Imatinib Compared in Chronic Myeloid Leukemia TreatmentLeukemiaobservationalNilotinib-treated patients achieved complete cytogenetic response and major molecular response more rapidly than imatinib-treated patients.Source →
Combining Natural Compounds with Imatinib May Improve Leukemia TreatmentLeukemiareview—Source →
New Method for Measuring Cancer Drug Concentration in BloodLeukemialab-study—Source →
Rare Skin Reaction Linked to Cancer DrugLeukemiareview—Source →
BCR::ABL1 Inhibitors Affect Blood Vessel Growth DifferentlyLeukemialab-study—Source →
New Cancer Treatment Shows Promise in Lab and Clinical TrialsLeukemiapreclinicalFlumatinib demonstrated better efficacy than imatinib on CML in clinical trials and in real world studies.Source →
Imatinib May Cause Fluid Retention in Some PatientsLeukemiaobservational—Source →
Genetic Variations Affect Imatinib Concentration in CML PatientsLeukemialab-studyCarriers of the CYP3A5-rs776746 G allele exhibited higher rates of complete cytogenetic response (CCyR) and major molecular response (MMR).Source →
New Sensor Detects Cancer Drug in Blood SamplesLeukemialab-studyA comprehensive linear response over IMB concentrations from 5 × 10^(-9) mol/L to 8 × 10^(-9) mol/L with a low detection limit of 9.3 × 10^(-9) mol/L was achieved.Source →
New Study Compares Treatments for a Specific Type of LeukaemiaLeukemiaphase-3—Source →
New Genes and Pathways Identified in Leukemia TreatmentLeukemialab-study—Source →
Predicting Imatinib Response in Chronic Myeloid LeukemiaLeukemialab-study—Source →
Cancer Genes at Diagnosis Affect Leukemia TreatmentLeukemiaphase-3AGA were identified in 31% of patients.Source →
Targeting Leukaemic Stem Cells with a New Metabolic ApproachLeukemialab-studyGenetic ablation of pyruvate anaplerosis sensitises CML cells to imatinib.Source →
Imatinib treatment linked to rare liver damageLeukemiaobservational—Source →
Frontline Cancer Treatment Choices for CML PatientsLeukemiaobservational—Source →
Gene NDRG3 linked to imatinib resistance in leukemiaLeukemialab-study—Source →
New Imatinib Film for Treating Skin CancerMelanomaanimal-studyThe topical application of the optimized imatinib FFS significantly increased tumor inhibition rate (67.54 ± 2.72%).Source →
Imatinib Restores Cancer-Fighting Signal in Leukemia CellsLeukemialab-study—Source →
Tyrosine Kinase Inhibitors Affect Platelet Function in Lab ExperimentsLeukemialab-study—Source →
Genetic Variations and Smoking May Affect Leukemia TreatmentLeukemialab-study—Source →
Comparing Cancer Treatments in Chinese ChildrenLeukemiaphase-3—Source →
Cancer Researchers Study Imatinib Treatment Cessation in Chronic Myeloid LeukemiaLeukemiaphase-3The probability of treatment-free remission was 43.4% at 5 years, 40.9% at 7 years, and 34.5% at 9 years.Source →
ACSL1 Helps Imatinib Treat Leukemia CellsLeukemialab-study—Source →
Gastrointestinal Bleeding Risk with Cancer MedicationsLeukemiaobservational—Source →
Rare Cancer Mutation May Affect Imatinib TreatmentLeukemialab-studyNone of the 3 patients who received imatinib based on the incorrect assumption of an ETV6-PDGFRA fusion responded.Source →
Evaluating Imatinib Models for Chronic Myeloid Leukaemia TreatmentLeukemiaobservational—Source →
Imatinib Treatment for Newly Diagnosed Chronic Myeloid LeukemiaLeukemiaobservationalAfter 3 months of treatment, 95.9% of patients achieved complete hematological response (CHR).Source →
Combining Etoposide and Imatinib May Help Eliminate Leukemia Stem CellsLeukemiaanimal-studyThe number and proportion of leukemia stem cells in bone marrow and the proportion of neutrophils in peripheral blood decreased significantly after ETO and IM combined treatment.Source →
Rare Brain Bleed Linked to Cancer Treatment in TeenagerLeukemiaobservational—Source →
Imatinib's Effect on Cancer Cells May Depend on Nitric Oxide LevelsLeukemialab-study—Source →
Cancer Study Examines Safety of Stopping Imatinib TreatmentLeukemiaphase-2MRFS at 24 months was 55% (95% CI 39-75).Source →
Gene Variation Linked to Leukemia Treatment ResponseLeukemialab-study—Source →
Rare Cancer Symptom in TeenagerLeukemiaobservational—Source →
Imatinib Treatment for Pediatric CML in ChinaLeukemiaobservationalAmong the 25 patients whose response to imatinib mesylate was regularly monitored, 92.0% achieved complete hematologic response at 3 months.Source →
Imatinib May Help Prevent Colorectal Cancer in Some PatientsLeukemiaobservational—Source →
Ponatinib vs Imatinib for Leukemia Treatment: Cost ComparisonLeukemiaphase-3Ponatinib offered an approximate gain of 3 months of life and 6 months of quality-adjusted life.Source →

This information is provided for general education only and is not medical advice. Always consult a qualified healthcare professional before making treatment decisions.