Patients with CML who have higher proportions of natural killer immune cells, and more mature natural killer cells, fare better when discontinuing therapy
with imatinib.
Here patients treated
with imatinib become resistant because of the acquisition of mutations in the ABL kinase domain.13
The 10 - year survival rate in subjects receiving first - line treatment
with imatinib ranged from 64.4 % to 84.4 %.
CML patients treated with nilotinib had fewer treatment - emergent BCR - ABL mutations than those treated
with imatinib, and among patients who did have a mutation, those treated with nilotinib had reduced rates of progression to accelerated phase and blast phase of the disease.
• A patient's undifferentiated small bowel sarcoma was found to contain a KIT gene deletion, resulting in a revised diagnosis of GIST (gastrointestinal stromal tumor) that was successfully treated
with imatinib.
When the mice received no treatment or were treated
with imatinib alone, the human leukemia stem cells propagated and grew to relatively large numbers.
Not exact matches
Ghalaut VS, Sangwan L, Dahiya K, Ghalaut PS, Dhankhar R, Saharan R. Effect of
imatinib therapy
with and without turmeric powder on nitric oxide levels in chronic myeloid leukemia.
Effect of
imatinib therapy
with and without turmeric powder on nitric oxide levels in chronic myeloid leukemia
«Although TKIs such as the first - generation TKI
imatinib mesylate (IM) and the second - generation TKIs dasatinib and nilotinib have markedly improved the prognosis of patients
with chronic phase CML, a cure remains elusive.
The analysis suggests that patients
with complex indels in KIT would benefit from drugs such as
imatinib, sunitnib and sorafenib, which target mutations in this gene.
In future, it may be possible to measure BCR - ABL levels in individual cells in the clinic — this will help us identify the resistant high BCR - ABL cells and better understand how patients develop resistance to
imatinib treatment
with the aim of combatting this resistance to make response more durable and the treatment more effective.»
• A patient
with blood cancer who had received several diagnoses was found, through testing, to have an unusual form of acute myeloid leukemia (AML), which predicted responsiveness to
imatinib.
The use of
imatinib has dramatically improved treatment results for adults
with c - KIT (CD117 positive) GIST.
In one report, a patient
with an L576P KIT mutation in whom
imatinib therapy had previously failed experienced marked reduction in tumor burden in response to dasatinib treatment.
Phase II, open - label, single - arm trial of
imatinib mesylate in patients
with metastatic melanoma harboring c - Kit mutation or amplification.
The use of alternative KIT inhibitors following progression on
imatinib has achieved clinical benefit in patients
with advanced GIST.
Efficacy and safety of sunitinib in patients
with advanced gastrointestinal stromal tumour after failure of
imatinib: a randomised controlled trial.
[44] Two other phase II clinical trials evaluated the efficacy of
imatinib in patients
with melanoma — including mucosal melanomas — harboring KIT mutations and / or amplifications,
with a subset of cases involving mucosal primaries, and both found a disease control rate of approximately 50 %.
Our group treated 11 patients
with advanced mucosal melanoma harboring KIT alterations as part of our completed phase II trial of
imatinib.
Several phase 1 and 2 trials have been carried out using nonselective ATP - competitive inhibitors such as
imatinib to treat patients
with advanced breast cancer.
Several targeted drugs (e.g.,
imatinib [Gleevec ®], dasatinib [Sprycel ®]-RRB- are effective for treating CML because they attack cells
with the Philadelphia chromosome, the genetic abnormality that is the hallmark of this type of leukemia.
It has been shown in
imatinib - resistant CML that drug resistance conferred by mutations does not necessarily correlate
with proliferative advantage and increased kinase activity.34 Other, non-activating mutations or drug - resistance mechanisms, might be acquired by tumor cells.
These mutant kinases are attractive therapeutic targets, as demonstrated by the efficacy of
imatinib in BCR - ABL — positive chronic myelogenous leukemia (CML), 5 as well as in MPD associated
with activating alleles involving PDGFRA or PDGFRB.2, 6,7 In addition, activating mutations in the FLT3 receptor tyrosine kinase are the most common genetic event in acute myeloid leukemia (AML), and specific inhibitors of the FMS - like tyrosine kinase 3 (FLT3) have entered late - stage clinical trials.8 Although mutations in tyrosine kinases and in other genes have been identified in a subset of MPD and AML, in many cases the genetic events that contribute to the molecular pathogenesis of these diseases remain unknown.
Teva concluded that since the approval of nilotinib was based upon an exemption granted under Article 8 (3)
with regard to the first orphan product (
imatinib), it should not be entitled to same scope of orphan exclusivity as
imatinib and thus should not be considered a hurdle towards the approval of generics referencing
imatinib.