Imatinib
drug drugOn this page
Also known as GlamoxNSC-743414NSC-759854GLEEVECSTI-571IMATINIB MESYLATEGLIVECCGP-57148BSTI571CGP057148BST-1571IMATINIB (STI571)SID26755316SID29215405SID124892207SID124892208SID103905596Imatinib (STI-571)SID124892209
Summary
Imatinib (CHEMBL941) is an approved small-molecule tyrosine kinase inhibitor (ATC L01EA01) that acts as a tyrosine-protein kinase ABL inhibitor and platelet-derived growth factor receptor beta inhibitor (+2 more curated mechanisms), targeting ABL1, PDGFRB, and KIT; approved for 7 indications including acute lymphoblastic leukemia and chronic myeloid leukemia, and in clinical trials for 27 other conditions; with CIViC clinical evidence for 206 variant-indication associations (e.g. FIP1L1::PDGFRA Fusion in myeloid and lymphoid neoplasms with eosinophilia and abnormalities of pdgfra, pdgfrb, and fgfr1).
At a glance
- Status: FDA-approved (also EMA)
- Modality: Small molecule
- ATC class: L01EA01
- Targets: 5 (ABL1, PDGFRB, KIT…) (top 1% of drugs corpus-wide)
- Indications: 52 conditions (top 3% of drugs corpus-wide)
- Clinical trials: 470
- Precision-oncology evidence (CIViC): 206 variant–indication associations
- Chemistry: 493.6 Da · C29H31N7O
- Target biology: 5 curated targets implicated as cohort genes in 76 diseases corpus-wide; indicated or in trials for 48 (7 on both)
- Competitive landscape: target KIT is also targeted by 30 other curated drugs in the corpus (PDGFRB: 22; ABL1: 11; DDR2: 5 others)
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL941 |
| Name | Imatinib |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 5291 |
| ChEBI | CHEBI:45783 |
| ATC | L01EA01 |
| Molecular formula | C29H31N7O |
| Molecular weight | 493.6 |
| InChIKey | KTUFNOKKBVMGRW-UHFFFAOYSA-N |
SMILES: CC1=C(C=C(C=C1)NC(=O)C2=CC=C(C=C2)CN3CCN(CC3)C)NC4=NC=CC(=N4)C5=CN=CC=C5
IUPAC name: 4-[(4-methylpiperazin-1-yl)methyl]-N-[4-methyl-3-[(4-pyridin-3-ylpyrimidin-2-yl)amino]phenyl]benzamide
ChEBI definition: A benzamide obtained by formal condensation of the carboxy group of 4-[(4-methylpiperazin-1-yl)methyl]benzoic acid with the primary aromatic amino group of 4-methyl-N3-[4-(pyridin-3-yl)pyrimidin-2-yl]benzene-1,3-diamine. Used (as its mesylate salt) for treatment of chronic myelogenous leukemia and gastrointestinal stromal tumours.
Pharmacological roles (ChEBI): tyrosine kinase inhibitor, apoptosis inducer.
Also known as: Glamox, Imatinib, NSC-743414, NSC-759854, IMATINIB, GLEEVEC, STI-571, IMATINIB MESYLATE, GLIVEC, CGP-57148B, GLAMOX, STI571
Parent form; salt/anhydrous children: CHEMBL1642, CHEMBL2386595
Patent coverage: ubiquitous in the patent literature (a reference / commodity compound named in millions of filings — the raw count carries no drug-specific signal).
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| DDR1 | discoidin domain receptor tyrosine kinase 1 | Inhibition | 6.47 | 0.1% | Q08345 |
| DDR2 | discoidin domain receptor tyrosine kinase 2 | Inhibition | 6.17 | 0% | Q16832 |
| ABL1 | ABL proto-oncogene 1, non-receptor tyrosine kinase | Inhibition | 6.7 | 1.2% | P00519 |
Mechanism of action (ChEMBL curated)
Target genes: ABL1, PDGFRB, KIT
| Mechanism of action | Action type | Target | Target type |
|---|---|---|---|
| Tyrosine-protein kinase ABL inhibitor | INHIBITOR | Tyrosine-protein kinase ABL1 | SINGLE PROTEIN |
| Platelet-derived growth factor receptor beta inhibitor | INHIBITOR | Platelet-derived growth factor receptor beta | SINGLE PROTEIN |
| Stem cell growth factor receptor inhibitor | INHIBITOR | Mast/stem cell growth factor receptor Kit | SINGLE PROTEIN |
| Bcr/Abl fusion protein inhibitor | INHIBITOR | Bcr/Abl fusion protein | CHIMERIC PROTEIN |
Broader ChEMBL bioactivity targets: 85 (assay-derived screening hits — not curated targets; per-target potencies are in the ChEMBL bioactivities table below).
Bioactivity
ChEMBL activities: 407 potent at pChembl ≥ 5 of 430 total. Top 100 distinct by potency (10 = 0.1 nM, 6 = 1 µM):
| Protein | UniProt | Gene | pChembl | Type | Value | Activity ID |
|---|---|---|---|---|---|---|
| Receptor tyrosine-protein kinase erbB-2 | P04626 | ERBB2 | 10.22 | IC50 | 0.06 nM | CHEMBL_ACT_24962908 |
| Epidermal growth factor receptor | P00533 | EGFR | 9.96 | IC50 | 0.11 nM | CHEMBL_ACT_24962906 |
| Epithelial discoidin domain-containing receptor 1 | Q08345 | DDR1 | 9.15 | Kd | 0.7 nM | CHEMBL_ACT_2903445 |
| Epithelial discoidin domain-containing receptor 1 | Q08345 | DDR1 | 9.1 | Kd | 0.79 nM | CHEMBL_ACT_18910095 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 9 | Kd | 1 nM | CHEMBL_ACT_18910094 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.96 | IC50 | 1.1 nM | CHEMBL_ACT_3186208 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.96 | Kd | 1.1 nM | CHEMBL_ACT_7569852 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.74 | Kd | 1.8 nM | CHEMBL_ACT_7569847 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 8.7 | IC50 | 2 nM | CHEMBL_ACT_13418824 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.66 | Kd | 2.2 nM | CHEMBL_ACT_1651429 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.6 | Kd | 2.5 nM | CHEMBL_ACT_7569842 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.55 | IC50 | 2.79 nM | CHEMBL_ACT_24729011 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 8.55 | IC50 | 2.8 nM | CHEMBL_ACT_29279125 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 8.34 | IC50 | 4.6 nM | CHEMBL_ACT_18057971 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.34 | IC50 | 4.6 nM | CHEMBL_ACT_29094610 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.23 | Kd | 5.9 nM | CHEMBL_ACT_7569844 |
| Tyrosine-protein kinase ABL2 | P42684 | ABL2 | 8.22 | Kd | 6 nM | CHEMBL_ACT_6174264 |
| Breakpoint cluster region protein | P11274 | BCR | 8.15 | Kd | 7 nM | CHEMBL_ACT_17884711 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.08 | Kd | 8.3 nM | CHEMBL_ACT_7569840 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 8.07 | Kd | 8.5 nM | CHEMBL_ACT_2895371 |
| Macrophage colony-stimulating factor 1 receptor | P07333 | CSF1R | 8 | Kd | 10 nM | CHEMBL_ACT_18910092 |
| Tyrosine-protein kinase ABL2 | P42684 | ABL2 | 8 | Kd | 10 nM | CHEMBL_ACT_18910093 |
| Tyrosine-protein kinase ABL1 (house mouse) | P00520 | 7.97 | IC50 | 10.8 nM | CHEMBL_ACT_3397785 | |
| Macrophage colony-stimulating factor 1 receptor | P07333 | CSF1R | 7.96 | Kd | 11 nM | CHEMBL_ACT_7569856 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.92 | Kd | 12 nM | CHEMBL_ACT_2894829 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.9 | Kd | 12.59 nM | CHEMBL_ACT_18910091 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.89 | IC50 | 13 nM | CHEMBL_ACT_15769243 |
| Tyrosine-protein kinase ABL2 | P42684 | ABL2 | 7.89 | Kd | 13 nM | CHEMBL_ACT_1651264 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.89 | Ki | 13 nM | CHEMBL_ACT_2095593 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.89 | Kd | 13 nM | CHEMBL_ACT_7568110 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.85 | IC50 | 14 nM | CHEMBL_ACT_14986740 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.85 | Kd | 14 nM | CHEMBL_ACT_1651363 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.85 | Kd | 14 nM | CHEMBL_ACT_2895939 |
| Platelet-derived growth factor receptor beta | P09619 | PDGFRB | 7.85 | Kd | 14 nM | CHEMBL_ACT_2899081 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.85 | Ki | 14 nM | CHEMBL_ACT_3447716 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.82 | Kd | 15 nM | CHEMBL_ACT_2897039 |
| Discoidin domain-containing receptor 2 | Q16832 | DDR2 | 7.82 | Kd | 15 nM | CHEMBL_ACT_2897557 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.79 | IC50 | 16.4 nM | CHEMBL_ACT_18093797 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 7.75 | IC50 | 18 nM | CHEMBL_ACT_2356931 |
| Macrophage colony-stimulating factor 1 receptor | P07333 | CSF1R | 7.72 | Kd | 19 nM | CHEMBL_ACT_2902388 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.7 | IC50 | 19.9 nM | CHEMBL_ACT_13370906 |
| Macrophage colony-stimulating factor 1 receptor | P07333 | CSF1R | 7.68 | IC50 | 21 nM | CHEMBL_ACT_26198613 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.68 | Kd | 21 nM | CHEMBL_ACT_2895409 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.67 | IC50 | 21.6 nM | CHEMBL_ACT_13370875 |
| Epithelial discoidin domain-containing receptor 1 | Q08345 | DDR1 | 7.66 | Kd | 22 nM | CHEMBL_ACT_17896054 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.62 | Kd | 24 nM | CHEMBL_ACT_1651385 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.6 | IC50 | 25 nM | CHEMBL_ACT_14545491 |
| Platelet-derived growth factor receptor beta | P09619 | PDGFRB | 7.55 | Kd | 28 nM | CHEMBL_ACT_1651704 |
| Carbonic anhydrase 2 | P00918 | CA2 | 7.52 | Ki | 30.2 nM | CHEMBL_ACT_2692377 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.51 | Ki | 30.7 nM | CHEMBL_ACT_28237853 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 7.51 | Kd | 31 nM | CHEMBL_ACT_2899043 |
| Carbonic anhydrase 1 | P00915 | CA1 | 7.5 | Ki | 31.9 nM | CHEMBL_ACT_2692376 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.47 | EC50 | 34 nM | CHEMBL_ACT_16593632 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.46 | Kd | 35 nM | CHEMBL_ACT_2895333 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.43 | Ki | 37 nM | CHEMBL_ACT_3447169 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.42 | IC50 | 38.02 nM | CHEMBL_ACT_13293007 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.42 | IC50 | 38 nM | CHEMBL_ACT_1614497 |
| Tyrosine-protein kinase ABL1 (house mouse) | P00520 | 7.42 | IC50 | 38 nM | CHEMBL_ACT_25041343 | |
| Ribosyldihydronicotinamide dehydrogenase [quinone] | P16083 | NQO2 | 7.41 | Ki | 39 nM | CHEMBL_ACT_16844188 |
| Multidrug and toxin extrusion protein 1 | Q96FL8 | SLC47A1 | 7.4 | IC50 | 40 nM | CHEMBL_ACT_12636125 |
| Tyrosine-protein kinase Lck | P06239 | LCK | 7.4 | Kd | 39.81 nM | CHEMBL_ACT_18910090 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.4 | IC50 | 40 nM | CHEMBL_ACT_1907590 |
| Tyrosine-protein kinase Lck | P06239 | LCK | 7.4 | Kd | 40 nM | CHEMBL_ACT_2897928 |
| Ribosyldihydronicotinamide dehydrogenase [quinone] | P16083 | NQO2 | 7.39 | Kd | 41 nM | CHEMBL_ACT_17922216 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.39 | IC50 | 41 nM | CHEMBL_ACT_18057752 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.39 | IC50 | 40.8 nM | CHEMBL_ACT_29279023 |
| Ribosyldihydronicotinamide dehydrogenase [quinone] | P16083 | NQO2 | 7.37 | IC50 | 43 nM | CHEMBL_ACT_16844186 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.37 | IC50 | 43 nM | CHEMBL_ACT_19161692 |
| Epithelial discoidin domain-containing receptor 1 | Q08345 | DDR1 | 7.37 | IC50 | 43 nM | CHEMBL_ACT_3471361 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.36 | Kd | 44 nM | CHEMBL_ACT_1651418 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.34 | IC50 | 46 nM | CHEMBL_ACT_2356925 |
| Multidrug and toxin extrusion protein 1 | Q96FL8 | SLC47A1 | 7.3 | IC50 | 50 nM | CHEMBL_ACT_12636134 |
| Platelet-derived growth factor receptor beta | P09619 | PDGFRB | 7.3 | IC50 | 50 nM | CHEMBL_ACT_1614495 |
| Platelet-derived growth factor receptor beta (house mouse) | P05622 | 7.3 | IC50 | 50 nM | CHEMBL_ACT_25041345 | |
| Platelet-derived growth factor receptor beta | P09619 | PDGFRB | 7.3 | Ki | 50.12 nM | CHEMBL_ACT_9588176 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.3 | Ki | 50.12 nM | CHEMBL_ACT_9599655 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.28 | IC50 | 53 nM | CHEMBL_ACT_19148206 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.28 | IC50 | 52 nM | CHEMBL_ACT_2356924 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.27 | IC50 | 54 nM | CHEMBL_ACT_19087793 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.24 | IC50 | 58 nM | CHEMBL_ACT_2371993 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.23 | IC50 | 59 nM | CHEMBL_ACT_25688582 |
| Tyrosine-protein kinase Lck | P06239 | LCK | 7.21 | Kd | 62 nM | CHEMBL_ACT_1651374 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.21 | Kd | 62 nM | CHEMBL_ACT_1651451 |
| Tyrosine-protein kinase ABL2 | P42684 | ABL2 | 7.19 | Kd | 64 nM | CHEMBL_ACT_17878769 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.19 | Kd | 65 nM | CHEMBL_ACT_7569845 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 7.15 | IC50 | 71 nM | CHEMBL_ACT_24900277 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.15 | Kd | 71 nM | CHEMBL_ACT_2897001 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 7.14 | IC50 | 72 nM | CHEMBL_ACT_3471358 |
| Platelet-derived growth factor receptor beta | P09619 | PDGFRB | 7.14 | IC50 | 72 nM | CHEMBL_ACT_3471359 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.13 | IC50 | 74 nM | CHEMBL_ACT_15718780 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.12 | IC50 | 75 nM | CHEMBL_ACT_26276615 |
| Carbonic anhydrase 9 | Q16790 | CA9 | 7.12 | Ki | 75.7 nM | CHEMBL_ACT_2692384 |
| Carbonic anhydrase 15 (house mouse) | Q99N23 | 7.11 | Ki | 78 nM | CHEMBL_ACT_2692388 | |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.11 | Kd | 77 nM | CHEMBL_ACT_2894867 |
| Ribosyldihydronicotinamide dehydrogenase [quinone] | P16083 | NQO2 | 7.09 | IC50 | 82 nM | CHEMBL_ACT_16857702 |
| Epithelial discoidin domain-containing receptor 1 | Q08345 | DDR1 | 7.05 | IC50 | 90 nM | CHEMBL_ACT_16844184 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 7.05 | EC50 | 90 nM | CHEMBL_ACT_2206925 |
| Mast/stem cell growth factor receptor Kit | P10721 | KIT | 7.04 | Kd | 91 nM | CHEMBL_ACT_7568117 |
| Tyrosine-protein kinase ABL1 | P00519 | ABL1 | 7.04 | Kd | 92 nM | CHEMBL_ACT_7569848 |
| Platelet-derived growth factor receptor alpha | P16234 | PDGFRA | 7.02 | IC50 | 96 nM | CHEMBL_ACT_1699240 |
Target pathways
Aggregated over 3 target gene(s): DDR1, DDR2, ABL1.
Top Reactome pathways
55 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Extracellular matrix organization | 2 | DDR1, DDR2 |
| Non-integrin membrane-ECM interactions | 2 | DDR1, DDR2 |
| Hemostasis | 1 | ABL1 |
| Developmental Biology | 1 | ABL1 |
| Signal Transduction | 1 | ABL1 |
| Cell Cycle | 1 | ABL1 |
| Disease | 1 | ABL1 |
| Innate Immune System | 1 | ABL1 |
| Immune System | 1 | ABL1 |
| Signaling by Rho GTPases | 1 | ABL1 |
| RHO GTPase Effectors | 1 | ABL1 |
| Fcgamma receptor (FCGR) dependent phagocytosis | 1 | ABL1 |
| Regulation of actin dynamics for phagocytic cup formation | 1 | ABL1 |
| Epigenetic regulation of gene expression | 1 | ABL1 |
| Generic Transcription Pathway | 1 | ABL1 |
| Signaling by ROBO receptors | 1 | ABL1 |
| Axon guidance | 1 | ABL1 |
| Role of ABL in ROBO-SLIT signaling | 1 | ABL1 |
| Mitotic G1 phase and G1/S transition | 1 | ABL1 |
| Myogenesis | 1 | ABL1 |
| Infectious disease | 1 | ABL1 |
| RHO GTPases Activate WASPs and WAVEs | 1 | ABL1 |
| HDR through Single Strand Annealing (SSA) | 1 | ABL1 |
| DNA Double-Strand Break Repair | 1 | ABL1 |
| Homology Directed Repair | 1 | ABL1 |
| Recruitment and ATM-mediated phosphorylation of repair and signaling proteins at DNA double strand breaks | 1 | ABL1 |
| HDR through Homologous Recombination (HRR) or Single Strand Annealing (SSA) | 1 | ABL1 |
| DNA Double Strand Break Response | 1 | ABL1 |
| Cyclin D associated events in G1 | 1 | ABL1 |
| G1 Phase | 1 | ABL1 |
| Cell Cycle, Mitotic | 1 | ABL1 |
| RNA Polymerase II Transcription | 1 | ABL1 |
| DNA Repair | 1 | ABL1 |
| Gene expression (Transcription) | 1 | ABL1 |
| Transcriptional regulation by RUNX2 | 1 | ABL1 |
| Transcriptional regulation by RUNX1 | 1 | ABL1 |
| RUNX1 regulates transcription of genes involved in differentiation of HSCs | 1 | ABL1 |
| RUNX2 regulates osteoblast differentiation | 1 | ABL1 |
| RUNX2 regulates bone development | 1 | ABL1 |
| Cellular responses to stimuli | 1 | ABL1 |
| Leishmania infection | 1 | ABL1 |
| Parasite infection | 1 | ABL1 |
| Leishmania phagocytosis | 1 | ABL1 |
| FCGR3A-mediated phagocytosis | 1 | ABL1 |
| Nervous system development | 1 | ABL1 |
| Signaling by Rho GTPases, Miro GTPases and RHOBTB3 | 1 | ABL1 |
| Epigenetic regulation of gene expression by MLL3 and MLL4 complexes | 1 | ABL1 |
| Parasitic Infection Pathways | 1 | ABL1 |
| Factors involved in megakaryocyte development and platelet production | 1 | ABL1 |
| MLL4 and MLL3 complexes regulate expression of PPARG target genes in adipogenesis and hepatic steatosis | 1 | ABL1 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| cell adhesion | 3 |
| protein phosphorylation | 3 |
| cell surface receptor protein tyrosine kinase signaling pathway | 2 |
| regulation of extracellular matrix disassembly | 2 |
| positive regulation of neuron projection development | 2 |
| collagen-activated tyrosine kinase receptor signaling pathway | 2 |
| protein autophosphorylation | 2 |
| positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction | 2 |
| positive regulation of fibroblast proliferation | 2 |
| cellular response to transforming growth factor beta stimulus | 2 |
| female pregnancy | 1 |
| lactation | 1 |
| smooth muscle cell migration | 1 |
| peptidyl-tyrosine autophosphorylation | 1 |
| wound healing, spreading of cells | 1 |
Predicted targets — Sugi Predict
This molecule is SureChEMBL compound SCHEMBL29355523 — see its predicted protein targets + similar patent compounds on Sugi Predict.
Indications & clinical
Indications
7 approved indications. FDA phase 4, plus an anticancer drug’s labelled cancer uses (which ChEMBL often logs at phase 3).
| Indication | Phase | MONDO | EFO |
|---|---|---|---|
| acute lymphoblastic leukemia | 3 | MONDO:0004967 | EFO:0000220 |
| chronic myeloid leukemia | 3 | MONDO:0011996 | EFO:0000339 |
| leukemia | 3 | MONDO:0005059 | EFO:0000565 |
| neoplasm | 3 | MONDO:0005070 | EFO:0000616 |
| sarcoma | 3 | MONDO:0005089 | EFO:0000691 |
| myeloid leukemia | 3 | MONDO:0004643 | |
| gastrointestinal stromal tumor | 3 | MONDO:0011719 |
27 diseases in clinical trials (phase 2–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.
| Disease (in trials) | Phase | MONDO | EFO |
|---|---|---|---|
| pulmonary arterial hypertension | 3 | MONDO:0015924 | EFO:0001361 |
| stroke disorder | 3 | MONDO:0005098 | EFO:0000712 |
| pulmonary hypertension | 3 | MONDO:0005149 | |
| graft versus host disease | 3 | MONDO:0013730 | |
| severe acute respiratory syndrome | 3 | MONDO:0005091 | |
| pneumonia | 3 | MONDO:0005249 | EFO:0003106 |
| influenza | 3 | MONDO:0005812 | EFO:0007328 |
| acute myeloid leukemia | 2 | MONDO:0018874 | EFO:0000222 |
| fibromatosis | 2 | MONDO:0005031 | EFO:0000497 |
| gastric adenocarcinoma | 2 | MONDO:0005036 | EFO:0000503 |
| glioblastoma | 2 | MONDO:0018177 | EFO:0000519 |
| rheumatoid arthritis | 2 | MONDO:0008383 | EFO:0000685 |
| systemic sclerosis | 2 | MONDO:0005100 | EFO:0000717 |
| melanoma | 2 | MONDO:0005105 | EFO:0000756 |
| metastatic melanoma | 2 | MONDO:0005191 | EFO:0002617 |
| gastric neoplasm | 2 | MONDO:0021085 | EFO:0003897 |
| colonic neoplasm | 2 | MONDO:0005401 | EFO:0004288 |
| Plasmodium falciparum malaria | 2 | MONDO:0005920 | EFO:0007444 |
| thyroid gland papillary carcinoma | 2 | MONDO:0005075 | EFO:0000641 |
| hypereosinophilic syndrome | 2 | MONDO:0015691 | EFO:1001467 |
| breast neoplasm | 2 | MONDO:0021100 | |
| lung neoplasm | 2 | MONDO:0021117 | |
| spinal cord injury | 2 | MONDO:0043797 | EFO:1001919 |
| desmoid tumor | 2 | MONDO:0007608 | EFO:0009907 |
| chordoma | 2 | MONDO:0008978 | |
| tuberculosis | 2 | MONDO:0018076 | |
| lymphoid leukemia | 2 | MONDO:0005402 | EFO:0004289 |
3 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Regulatory approval & mechanism (DrugCentral)
Approved: FDA, EMA. Curated mechanism: AGONIST/INHIBITOR · 3 MOA targets of 71 total (P00519, P09619, P10721).
DrugCentral (CC BY-SA): authoritative regulatory-approval status + curated mechanism. The drug’s full target set is in Targets above.
Clinical trials
Total trials: 470.
Phase distribution
| Phase | Trials |
|---|---|
| Phase 2 | 240 |
| Phase 3 | 72 |
| Phase 1 | 61 |
| Phase 1/2 | 44 |
| Not specified | 29 |
| Phase 4 | 18 |
| Phase 2/3 | 3 |
| Early Phase 1 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03844360 | Phase 4 | RECRUITING | Dose Individualization of Antineoplastic Drugs and Anti-Infective Drug in Children With Hematoplastic Disease |
| NCT04877522 | Phase 4 | RECRUITING | Asciminib Roll-over Study |
| NCT05367765 | Phase 4 | NOT_YET_RECRUITING | A Real World Study of the Efficacy and Safety of Flumatinib Versus Imatinib in Patients With Newly Diagnosed Chronic Myeloid Leukemia in Chronic Phase |
| NCT00081926 | Phase 4 | COMPLETED | Gleevec Trial in Patients With Newly Diagnosed Chronic Phase Chronic Myelogenous Leukemia |
| NCT00171899 | Phase 4 | COMPLETED | Study Comparing Standard Dose and High-dose Imatinib Mesylate in Patients With Chronic Phase Philadelphia Chromosome Positive (Ph+) Chronic Myelogenous Leukemia (CML) |
| NCT00171977 | Phase 4 | COMPLETED | Post-Marketing Clinical Study of Postoperative Adjuvant Therapy With Imatinib Mesylate in Patients With Gastrointestinal Stromal Tumors (GIST) |
| NCT00372476 | Phase 4 | COMPLETED | Efficacy and Safety of Imatinib and Vinorelbine in Patients With Advanced Breast Cancer |
| NCT00390897 | Phase 4 | COMPLETED | Glivec® (Imatinib Mesylate, STI571) in Monotherapy Versus Glivec®-Interferon Alpha in the Treatment of Chronic-Phase Chronic Myeloid Leukaemia |
| NCT00510354 | Phase 4 | COMPLETED | Treatment of Patients With Everolimus and Imatinib Mesylate Who Have Progressive Gastro Intestinal Stromal Tumors (GIST) and Are Resistant to Imatinib Mesylate |
| NCT01297777 | Phase 4 | COMPLETED | Imatinib in KIT-negative Systemic Mastocytosis |
| NCT01491763 | Phase 4 | UNKNOWN | Chemotherapy and Imatinib in Young Adults With Acute Lymphoblastic Leukemia Ph (BCR-ABL) POSITIVE |
| NCT01578213 | Phase 4 | COMPLETED | Validation of Digital-PCR Analysis Through Programmed Imatinib Interruption in PCR Negative CML Patients |
| NCT01742299 | Phase 4 | COMPLETED | Study to Allow Access to Imatinib for Patients Who Are on Imatinib Treatment in a Novartis-sponsored Study and Are Benefiting From the Treatment as Judged by the Investigator |
| NCT02317159 | Phase 4 | UNKNOWN | Efficacy and Safety of Imatinib Mesylate as First-line Treatment for the Patients With Chronic Phase of Chronic Myeloid Leukemia |
| NCT02602314 | Phase 4 | UNKNOWN | Sustained Treatment-free Remission in BCR-ABL+ Chronic Myeloid Leukemia |
| NCT02894645 | Phase 4 | UNKNOWN | Malaysia-Singapore Acute Lymphoblastic Leukemia 2010 Study |
| NCT05071482 | Phase 4 | TERMINATED | Flumatinib Versus Imatinib Combined With Chemotherapy for de Novo Ph+ ALL |
| NCT05220280 | Phase 4 | UNKNOWN | SOLIDARITY Finland Plus Long-COVID |
| NCT02413736 | Phase 3 | ACTIVE_NOT_RECRUITING | Three Versus Five Years of Adjuvant Imatinib as Treatment of Patients With Operable GIST |
| NCT02735707 | Phase 3 | RECRUITING | Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia |
| NCT03007147 | Phase 3 | ACTIVE_NOT_RECRUITING | Imatinib Mesylate and Combination Chemotherapy in Treating Patients With Newly Diagnosed Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia |
| NCT03589326 | Phase 3 | ACTIVE_NOT_RECRUITING | A Study of Ponatinib Versus Imatinib in Adults With Acute Lymphoblastic Leukemia |
| NCT03722420 | Phase 3 | ACTIVE_NOT_RECRUITING | Randomized Evaluation of Radotinib Versus Imatinib in Phase III Study for Efficacy With Chinese Patients (RERISE China) |
| NCT04307576 | Phase 3 | RECRUITING | A Treatment Study Protocol for Participants 0-45 Years With Acute Lymphoblastic Leukaemia |
| NCT04722848 | Phase 3 | ACTIVE_NOT_RECRUITING | Sequential Treatment With Ponatinib and Blinatumomab vs Chemotherapy and Imatinib in Newly Diagnosed Adult Ph+ ALL |
| NCT04971226 | Phase 3 | ACTIVE_NOT_RECRUITING | A Study of Oral Asciminib Versus Other TKIs in Adult Patients With Newly Diagnosed Ph+ CML-CP |
| NCT05970900 | Phase 3 | NOT_YET_RECRUITING | Preoperative Imatinib Mesylate Combined With Rectal-sparing Surgery in Patients With c-KIT Gene-mutant Rectal GIST |
| NCT06682169 | Phase 3 | RECRUITING | 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 |
| NCT07530367 | Phase 3 | NOT_YET_RECRUITING | Tofacitinib Plus Imatinib in Moderate-to-Severe Palmoplantar Pustulosis |
| NCT07585266 | Phase 3 | RECRUITING | A Study to Investigate Velzatinib Compared With Imatinib in Adult Participants With Previously Untreated Metastatic and/or Unresectable Gastrointestinal Stromal Tumors (StrateGIST Frontline) |
| NCT00002514 | Phase 3 | COMPLETED | Stem Cell Transplantation Compared With Standard Chemotherapy in Treating Patients With Acute Lymphoblastic Leukemia in First Remission |
| NCT00006343 | Phase 3 | COMPLETED | STI571 Compared With Interferon Alfa Plus Cytarabine in Treating Patients With Newly Diagnosed Chronic Myelogenous Leukemia |
| NCT00009906 | Phase 3 | TERMINATED | Comparison of Two Different Doses of STI571 in Treating Patients With Metastatic or Unresectable Gastrointestinal Stromal Tumor |
| NCT00022737 | Phase 3 | COMPLETED | Combination Chemotherapy With or Without Peripheral Stem Cell Transplant in Treating Children With Acute Lymphoblastic Leukemia |
| NCT00041197 | Phase 3 | COMPLETED | Imatinib Mesylate in Treating Patients With Primary Gastrointestinal Stromal Tumor That Has Been Completely Removed By Surgery |
| NCT00050531 | Phase 3 | COMPLETED | High-Dose Gleevec Alone or in Combination With Peg-Intron and GM-CSF in Early Phase Chronic Myelogenous Leukemia (CML) |
| NCT00055874 | Phase 3 | COMPLETED | Imatinib Mesylate With or Without Interferon Alfa or Cytarabine Compared With Interferon Alfa Followed by Donor Stem Cell Transplant in Treating Patients With Newly Diagnosed Chronic Phase Chronic Myelogenous Leukemia |
| NCT00103168 | Phase 3 | COMPLETED | Imatinib Mesylate or Observation Only in Treating Patients Who Have Undergone Surgery for Localized Gastrointestinal Stromal Tumor |
| NCT00116935 | Phase 3 | COMPLETED | Study Comparing 12 Months Versus 36 Months of Imatinib in the Treatment of Gastrointestinal Stromal Tumor (GIST) |
| NCT00124748 | Phase 3 | TERMINATED | Efficacy of 400 Mg Versus 800 Mg Imatinib in Chronic Myeloid Leukemia in Chronic Phase Patients - TOPS (Tyrosine Kinase Inhibitor Optimization and Selectivity) |
| NCT00137111 | Phase 3 | COMPLETED | Therapy for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia |
| NCT00154375 | Phase 3 | COMPLETED | Study of Imatinib Mesylate in Combination With Hydroxyurea Versus Hydroxyurea Alone as an Oral Therapy in Patients With Temozolomide Resistant Progressive Glioblastoma |
| NCT00219739 | Phase 3 | COMPLETED | STI571 ProspectIve RandomIzed Trial: SPIRIT |
| NCT00237120 | Phase 3 | COMPLETED | Efficacy, Safety and Long-term Prognosis of Imatinib in Patients Newly Diagnosed With Chronic Myelogenous Leukemia (Chronic Phase) |
| NCT00293124 | Phase 3 | COMPLETED | Open-label Trial of GlivecWith Unresectable or Metastatic Malignant Gastrointestinal Stromal Tumors |
| NCT00297570 | Phase 3 | UNKNOWN | Imatinib Versus Imatinib and Peg-Interferon in Patients With Ph+ CML and Complete Cytogenetic Response After Imatinib Therapy |
| NCT00324987 | Phase 3 | TERMINATED | Imatinib Mesylate With or Without Bevacizumab in Treating Patients With Metastatic or Unresectable Gastrointestinal Stromal Tumor |
| NCT00327262 | Phase 3 | UNKNOWN | Comparing Imatinib Standard Dose With Imatinib High Dose Induction in Pretreated Chronic Myeloid Leukemia (CML) Patients in Chronic Phase |
| NCT00327678 | Phase 3 | COMPLETED | Treatment of Acute Lymphoblastic Leukemia (ALL) in Younger Adults |
| NCT00362466 | Phase 3 | TERMINATED | A Study of Dasatinib vs. High-Dose Imatinib (600 mg) in Patients With Chronic Phase Chronic Myeloid Leukemia (CML) Who Failed to Achieve Complete Cytogenetic Response After 3-18 Months of Imatinib Therapy |
| NCT00372567 | Phase 3 | TERMINATED | Safety And Effectiveness Of Daily Dosing With Sunitinib Or Imatinib In Patients With Gastrointestinal Stromal Tumors |
| NCT00427583 | Phase 2/3 | TERMINATED | Imatinib Mesylate Treatment of Patients With Malignant Peripheral Nerve Sheath Tumors |
| NCT00471497 | Phase 3 | COMPLETED | A Study of Imatinib Versus Nilotinib in Adult Patients With Newly Diagnosed Philadelphia Chromosome Positive (Ph+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP) |
| NCT00477269 | Phase 2/3 | COMPLETED | Safety and Efficacy of Imatinib Mesylate in Patients With Pulmonary Arterial Hypertension |
| NCT00481247 | Phase 3 | COMPLETED | A Phase III Study of Dasatinib vs Imatinib in Patients With Newly Diagnosed Chronic Phase Chronic Myeloid Leukemia |
| NCT00514488 | Phase 3 | COMPLETED | Imatinib Standard Dose (400 mg/Day) Versus Imatinib High Dose (800 mg/Day) |
| NCT00519090 | Phase 3 | TERMINATED | Nilotinib vs Imatinib in Adult Patients With Philadelphia (Ph+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP) |
| NCT00574873 | Phase 3 | COMPLETED | Compare Bosutinib To Imatinib In Subjects With Newly Diagnosed Chronic Phase Philadelphia Chromosome Positive CML |
| NCT00685828 | Phase 3 | UNKNOWN | Imatinib Mesylate in Treating Patients With Unresectable or Metastatic Gastrointestinal Stromal Tumor |
| NCT00751036 | Phase 3 | TERMINATED | Nilotinib 800 Mg And Imatinib 800 Mg For The Treatment Of Patients With Gastrointestinal Stromal Tumors (Gist) Refractory To Imatinib 400 Mg |
| NCT00760877 | Phase 3 | COMPLETED | 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) |
| NCT00785785 | Phase 3 | COMPLETED | A Study of Nilotinib Versus Imatinib in GIST Patients |
| NCT00802841 | Phase 3 | COMPLETED | Randomized Phase Lll Study of Imatinib Dose Optimization vs Nilotinib in CML Patients With Suboptimal Response to Imatinib |
| NCT00812240 | Phase 3 | TERMINATED | Masitinib in First Line Treatment of Gastro-Intestinal Stromal Tumor (GIST) |
| NCT00902174 | Phase 3 | COMPLETED | Imatinib (QTI571) in Pulmonary Arterial Hypertension |
| NCT00956072 | Phase 3 | TERMINATED | Imatinib Mesylate With or Without Surgery in Treating Patients With Metastatic Gastrointestinal Stromal Tumor That is Responding to Imatinib Mesylate |
| NCT01031628 | Phase 3 | TERMINATED | Study of Dose Escalation Versus no Dose Escalation of Imatinib in Metastatic Gastrointestinal Stromal Tumors (GIST) Patients |
| NCT01117987 | Phase 3 | TERMINATED | Extension to QTI571A2301 to Evaluate the Long-term Safety, Tolerability and Efficacy of Imatinib in Severe Pulmonary Arterial Hypertension (PAH) |
| NCT01151852 | Phase 3 | COMPLETED | Rechallenge of Imatinib in GIST Having no Effective Treatment: RIGHT |
| NCT01275196 | Phase 3 | COMPLETED | Safety and Efficacy of Nilotinib vs. Imatinib in the Treatment of Newly Diagnosed Chinese Ph+ CML-CP Patients |
| NCT01392469 | Phase 3 | COMPLETED | Pharmacokinetic Effects of QTI571 on Sildenafil and Bosentan in Pulmonary Arterial Hypertension Participants |
| NCT01392495 | Phase 3 | TERMINATED | Extension to CQTI571A2102 to Evaluate Long-term Safety, Tolerability and Efficacy of Imatinib in Severe Pulmonary Arterial Hypertension (PAH) |
| NCT01400074 | Phase 3 | UNKNOWN | Efficacy of Nilotinib Versus Imatinib in Ph+ CML in Early CP Who Have a Suboptimal Molecular Response to Imatinib |
| NCT01460693 | Phase 3 | COMPLETED | Comparison of Imatinib Versus Dasatinib in Patients With Newly-diagnosed Chronic Phase Chronic Myeloid Leukaemia |
| NCT01511289 | Phase 3 | COMPLETED | Radotinib Versus Imatinib in Newly Diagnosed Philadelphia Chromosome and Chronic Myeloid Leukemia Chronic Phase Patients |
| NCT01819389 | Phase 3 | COMPLETED | Low-dose Nilotinib and Imatinib Combination in Chronic Myeloid Leukemia Patients, With Failure, Suboptimal Response or Treatment Intolerance |
| NCT01827930 | Phase 3 | TERMINATED | Phase III Trial Evaluating the Effectiveness of a Dose Adjustment of Imatinib Mesylate on the Molecular Response |
| NCT02103322 | Phase 2/3 | COMPLETED | Comparative Bioequivalence Study in Adult Patients Suffering From Chronic Myeloid Leukemia & Gastrointestinal Stromal Tumor Under Fed Conditions |
| NCT02130557 | Phase 3 | COMPLETED | A Multicenter Phase 3, Open-Label Study of Bosutinib Versus Imatinib in Adult Patients With Newly Diagnosed Chronic Phase Chronic Myelogenous Leukemia |
| NCT02174445 | Phase 3 | TERMINATED | An Open-label, Randomised Multicenter Phase 3b Study to Determine the Confirmed Rate of Molecular Response ≥ 4 Log (MR4) at Two Years |
| NCT02260505 | Phase 3 | COMPLETED | Efficiency of Imatinib Treatment Maintenance or Interruption After 3 Years of Adjuvant Treatment in Patients With Gastrointestinal Stromal Tumours (GIST) |
| NCT02272777 | Phase 3 | COMPLETED | A Study of Imatinib and Nilotinib in Patients With Chronic Myelogenous Leukemia in Chronic Phase |
| NCT02326311 | Phase 3 | COMPLETED | Optimization of TKIs Treatment and Quality of Life in Ph+ CML Patients ≥60 Years in Deep Molecular Response |
| NCT02576080 | Phase 3 | UNKNOWN | Efficacy of Imatinib in Patients With Intermediate-risk Gastrointestinal Stromal Tumor With a High-risk Genomic Grade Index |
| NCT02611492 | Phase 3 | UNKNOWN | A Phase III Randomized Trial of the Reduction of Chemotherapy in Philadelphia Chromosome-positive ALL of Young Adults |
| NCT02881086 | Phase 3 | COMPLETED | Optimization of Therapy in Adult Patients With Newly Diagnosed Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma by Individualised, Targeted and Intensified Treatment |
| NCT03112603 | Phase 3 | COMPLETED | 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) |
| NCT03515018 | Phase 3 | UNKNOWN | Evaluation of the Therapeutic Effect of HU Pulse Therapy for CML Patients |
| NCT03639922 | Phase 3 | UNKNOWN | Imatinib in Acute Ischaemic Stroke |
| NCT04330690 | Phase 3 | UNKNOWN | Treatments for COVID-19: Canadian Arm of the SOLIDARITY Trial |
| NCT04394416 | Phase 3 | TERMINATED | Trial of Imatinib for Hospitalized Adults With COVID-19 |
| NCT04422678 | Phase 3 | UNKNOWN | The Safety & Efficacy of Imatinib for the Treatment of SARS-COV-2 Induced Pneumonia |
| NCT05413915 | Phase 3 | TERMINATED | Asciminib Used in Consolidation With Imatinib vs. Imatinib to Achieve TFR in CP-CML |
| NCT00044304 | Phase 2 | ACTIVE_NOT_RECRUITING | Tyrosine Kinase Inhibition to Treat Myeloid Hypereosinophilic Syndrome |
| NCT00070499 | Phase 2 | ACTIVE_NOT_RECRUITING | Imatinib Mesylate or Dasatinib in Treating Patients With Previously Untreated Chronic Phase Chronic Myelogenous Leukemia |
| NCT03516279 | Phase 2 | ACTIVE_NOT_RECRUITING | Pembrolizumab and Dasatinib, Imatinib Mesylate, or Nilotinib in Treating Patients With Chronic Myeloid Leukemia and Persistently Detectable Minimal Residual Disease |
| NCT03654768 | Phase 2 | ACTIVE_NOT_RECRUITING | Testing the Addition of Ruxolitinib to the Usual Treatment (Tyrosine Kinase Inhibitors) for Chronic Myeloid Leukemia |
| NCT03906292 | Phase 2 | ACTIVE_NOT_RECRUITING | Frontline Asciminib Combination in Chronic Phase CML |
| NCT04070443 | Phase 2 | ACTIVE_NOT_RECRUITING | Safety and Efficacy of Ponatinib Followed by Imatinib in Patients With Chronic Myelogenous Leukemia in Chronic Phase |
| NCT04147533 | Phase 2 | ACTIVE_NOT_RECRUITING | Efficacy and Safety of TKIs’ Withdrawal After a Two-step Dose Reduction in Patients with Chronic Myeloid Leukemia |
Clinical evidence (CIViC)
Variant × therapy × indication — from 266 curated evidence items. CIViC evidence level: A (validated) → B (clinical) → C (case study) → D (preclinical) → E (inferential).
showing 30 of 206 predictive associations by evidence level:
| Variant | Therapy | Indication | Effect | Level | CIViC |
|---|---|---|---|---|---|
| FIP1L1::PDGFRA Fusion | Imatinib | Myeloid And Lymphoid Neoplasms With Eosinophilia And Abnormalities Of PDGFRA, PDGFRB, And FGFR1 | Sensitivity/Response | CIViC A | EID1445 +2 |
| KIT Exon 11 Mutation | Imatinib | Gastrointestinal Stromal Tumor | Sensitivity/Response | CIViC A | EID654 +2 |
| BCR::ABL1 Fusion | Imatinib | Chronic Myeloid Leukemia | Sensitivity/Response | CIViC A | EID260 +1 |
| KIT Exon 9 Mutation | Imatinib | Gastrointestinal Stromal Tumor | Sensitivity/Response | CIViC A | EID1221 +1 |
| PDGFRB Fusion | Imatinib | Myeloproliferative Neoplasm | Sensitivity/Response | CIViC A | EID11272 +1 |
| BCR::ABL1 Fusion | Imatinib | Acute Myeloid Leukemia | Sensitivity/Response | CIViC A | EID259 |
| COL1A1::PDGFB Fusion | Imatinib | Dermatofibrosarcoma Protuberans | Sensitivity/Response | CIViC A | EID11271 |
| FIP1L1::PDGFRA Fusion | Imatinib | Myeloproliferative Neoplasm | Sensitivity/Response | CIViC A | EID11273 |
| KIT Mutation | Imatinib | Gastrointestinal Stromal Tumor | Sensitivity/Response | CIViC A | EID11282 |
| PDGFRA D842V | Imatinib | Gastrointestinal Stromal Tumor | Sensitivity/Response | CIViC A | EID11545 |
| PDGFRA Mutation | Imatinib | Gastrointestinal Stromal Tumor | Sensitivity/Response | CIViC B | EID11331 +1 |
| BCL2L11 Deletion Polymorphism | Imatinib | Chronic Myeloid Leukemia | Sensitivity/Response | CIViC B | EID9701 |
| CTNNB1 S45F | Imatinib | Desmoid Tumor | Sensitivity/Response | CIViC B | EID11018 |
| ETV6::ABL1 Fusion | Nilotinib + Dasatinib + Imatinib | Myeloid Neoplasm | Sensitivity/Response | CIViC B | EID11326 |
| IKZF1 Deletion | Methotrexate + Daunorubicin + Cytarabine + Fludarabine + Imatinib | B-lymphoblastic Leukemia/lymphoma | Sensitivity/Response | CIViC B | EID7366 |
| KIT EXPRESSION | Imatinib | Gastrointestinal Stromal Tumor | Sensitivity/Response | CIViC B | EID2480 |
| KIT Exon 11 Mutation | Imatinib | Melanoma | Sensitivity/Response | CIViC B | EID58 |
| KIT Mutation | Imatinib | Melanoma | Sensitivity/Response | CIViC B | EID1222 |
| KIT Y503_F504insAY | Imatinib | Gastrointestinal Stromal Tumor | Sensitivity/Response | CIViC B | EID2394 |
| NOT KIT D816V | Imatinib | Systemic Mastocytosis | Sensitivity/Response | CIViC B | EID11158 |
| KIT 557/558 in-frame deletion/delins | Imatinib | Gastrointestinal Stromal Tumor | Reduced Sensitivity | CIViC B | EID12935 |
| KIT Exon 9 Mutation | Imatinib | Gastrointestinal Stromal Tumor | Reduced Sensitivity | CIViC B | EID2477 |
| BCR::ABL1 Fusion AND ABL1 T315I | Imatinib | Chronic Myeloid Leukemia | Resistance | CIViC B | EID234 +4 |
| KIT Q694K | Imatinib | Gastrointestinal Stromal Tumor | Resistance | CIViC B | EID2498 +4 |
| KIT S692L | Imatinib | Gastrointestinal Stromal Tumor | Resistance | CIViC B | EID2493 +4 |
| PDGFRA D842V | Imatinib | Gastrointestinal Stromal Tumor | Resistance | CIViC B | EID15 +4 |
| KIT S501_A502INSAY | Imatinib | Gastrointestinal Stromal Tumor | Resistance | CIViC B | EID2855 +3 |
| KIT T661I | Imatinib | Gastrointestinal Stromal Tumor | Resistance | CIViC B | EID2491 +3 |
| BCL2L11 Deletion Polymorphism | Imatinib | Chronic Myeloid Leukemia | Resistance | CIViC B | EID1280 |
| KIT Amplification | Imatinib | Mucosal Melanoma | Resistance | CIViC B | EID1466 |
CIViC column: a representative evidence item (EID); +N = additional CIViC items supporting the same association.
Pharmacology
MeSH pharmacological classification
Definition (MeSH): A tyrosine kinase inhibitor and ANTINEOPLASTIC AGENT that inhibits the BCR-ABL kinase created by chromosome rearrangements in CHRONIC MYELOID LEUKEMIA and ACUTE LYMPHOBLASTIC LEUKEMIA, as well as PDG-derived tyrosine kinases that are overexpressed in gastrointestinal stromal tumors.
Pharmacological action: Antineoplastic Agents; Tyrosine Kinase Inhibitors.
Broader MeSH headings: Benzamides; Piperazines; Pyrimidines.
MeSH descriptor D000068877 “Imatinib Mesylate” — exact-name match on this drug’s salt/hydrate form CHEMBL1642.
Pharmacogenomics
PGx drug labels — PharmGKB annotations of regulatory drug labels (FDA / EMA / PMDA / Health Canada (HCSC) / Swissmedic) that carry pharmacogenomic information, ordered by the label’s PGx level (Testing Required strongest → No Clinical PGx; — = no level recorded). Label guidance = the label gives PGx prescribing / dosing / alternate-drug information.
4 label annotations:
| Agency | PGx level | Gene(s) | Label guidance | PharmGKB |
|---|---|---|---|---|
| FDA | Testing Required | ABL1, BCR, FIP1L1, KIT, PDGFRA, PDGFRB | PA166104790 | |
| EMA | Testing Required | ABL1, BCR, FIP1L1, KIT, PDGFRA, PDGFRB | PA166104926 | |
| PMDA | Testing Required | ABL1, BCR | PA166123542 | |
| HCSC | Testing Required | ABL1, BCR, FIP1L1, KIT, PDGFRA, PDGFRB | PA166127682 |
Pharmacogenomic clinical annotations (35) — variant × gene × association × phenotype, ranked by PharmGKB evidence level (1 strongest → 4):
| Gene | Variant | Association | Phenotype | Level |
|---|---|---|---|---|
| ABCB1 | rs1045642 | Efficacy | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| ABCB1 | rs1128503 | Efficacy | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| ABCB1 | rs2235040 | Toxicity | Gastrointestinal Stromal Tumors | 3 |
| ABCB1 | rs28656907 | Dosage | Drug Toxicity;Gastrointestinal Stromal Tumors | 3 |
| ABCB4 | rs1202283 | Efficacy | Gastrointestinal Stromal Tumors | 3 |
| ABCC2 | rs2273697 | Efficacy | Gastrointestinal Stromal Tumors | 3 |
| ABCC4 | rs9561765 | Efficacy | Gastrointestinal Stromal Tumors | 3 |
| ABCG2 | rs1061018 | Other | 3 | |
| ABCG2 | rs12505410 | Efficacy | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| ABCG2 | rs13120400 | Efficacy | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| ABCG2 | rs2231137 | Other | 3 | |
| ABCG2 | rs2231137 | Dosage | Drug Toxicity;Gastrointestinal Stromal Tumors | 3 |
| ABCG2 | rs2231142 | Metabolism/PK | 3 | |
| ABCG2 | rs2725252 | Efficacy | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| ABCG2 | rs41282401 | Other | 3 | |
| ABCG2 | rs45605536 | Other | 3 | |
| ABCG2 | rs58818712 | Other | 3 | |
| BCL2L11 | rs724710 | Efficacy | Neoplasms | 3 |
| CHST1 | rs9787901 | Toxicity | Gastrointestinal Stromal Tumors | 3 |
| CYP1A2 | rs762551 | Dosage | Gastrointestinal Stromal Tumors | 3 |
| CYP2B6 | rs3745274 | Efficacy,Toxicity | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| CYP2F1 | rs305968 | Toxicity | Gastrointestinal Stromal Tumors | 3 |
| CYP3A4 | CYP3A4*1, CYP3A4*3, CYP3A4*20, CYP3A4*22 | Metabolism/PK | 3 | |
| CYP3A5 | rs776746 | Metabolism/PK | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| EGFR | rs10258429 | Toxicity | Gastrointestinal Stromal Tumors | 3 |
| GSTT1 | GSTT1 non-null, GSTT1 null | Efficacy | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| NQO1 | rs10517 | Efficacy | Gastrointestinal Stromal Tumors | 3 |
| RUNDC3B | rs28656907 | Dosage | Drug Toxicity;Gastrointestinal Stromal Tumors | 3 |
| SLC19A1 | rs1051266 | Toxicity | Gastrointestinal Stromal Tumors | 3 |
| SLC19A1 | rs12659 | Toxicity | Gastrointestinal Stromal Tumors | 3 |
| SLC22A1 | rs628031 | Efficacy,Toxicity,Metabolism/PK | Neoplasms | 3 |
| SLC22A1 | rs683369 | Efficacy,Metabolism/PK | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| SLC22A1 | rs683369 | Toxicity | Gastrointestinal Stromal Tumors | 3 |
| SLCO1A2 | rs3764043 | Metabolism/PK | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
| ULK3 | rs2290573 | Efficacy | Chronic myelogenous leukemia;BCR-ABL1 positive | 3 |
Published variant annotations — per-publication pharmacogenomic findings for this drug (significant associations only), each from a curated PharmGKB literature annotation:
showing 60 of 70 published findings:
| Gene | Variant | Category | Finding | PMID |
|---|---|---|---|---|
| ABCA3 | rs150929 | Efficacy | Genotypes GG + GT is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotype TT. | PMID:25056761 |
| ABCB1 | rs1045642 | Efficacy | Genotypes AA + AG is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotype GG. | PMID:22875622 |
| ABCB1 | rs1045642 | Efficacy | Genotype GG is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes AA + AG. | PMID:25245580 |
| ABCB1 | rs1045642 | Metabolism/PK | Genotype AG is associated with decreased trough concentration of imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes AA + GG. | PMID:27426203 |
| ABCB1 | rs1045642 | Efficacy | Genotype AA is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes AG + GG. | PMID:28367681 |
| ABCB1 | rs1045642 | Metabolism/PK | Genotype AA is associated with increased concentrations of imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes AG + GG. | PMID:28330783 |
| ABCB1 | rs1045642 | Efficacy | Genotype GG is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes AA + AG. | PMID:28289867 |
| ABCB1 | rs1045642 | Efficacy | Allele A is associated with increased clinical benefit to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele G. | PMID:38640718 |
| ABCB1 | rs1045642 | Metabolism/PK | Genotypes AG + GG is associated with increased trough concentration of imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype AA. | PMID:38756645 |
| ABCB1 | rs1045642 | Toxicity | Allele A is associated with increased severity of Myelosuppression when treated with imatinib in people with Chronic myelomonocytic leukemia as compared to allele G. | PMID:40326103 |
| ABCB1 | rs1128503 | Efficacy | Genotype GG is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes AA + AG. | PMID:25245580 |
| ABCB1 | rs1128503 | Efficacy | Genotype GG is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes AA + AG. | PMID:28367681 |
| ABCB1 | rs1128503 | Efficacy | Allele A is associated with increased clinical benefit to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele G. | PMID:38640718 |
| ABCB1 | rs2032582 | Efficacy | Allele C is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive. | PMID:25245580 |
| ABCB1 | rs2032582 | Efficacy | Genotypes AT + TT is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes CC + CT. | PMID:27991849 |
| ABCB1 | rs2032582 | Efficacy | Allele A is associated with increased clinical benefit to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele C. | PMID:38640718 |
| ABCB1 | rs2235040 | Toxicity | Genotype CT is associated with decreased risk of Drug Toxicity and Eye Disorder when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype CC. | PMID:28762371 |
| ABCB4 | rs1202283 | Efficacy | Genotypes AA + AG is associated with increased progression-free survival when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype GG. | PMID:30237583 |
| ABCC2 | rs2273697 | Efficacy | Genotype GG is associated with decreased progression-free survival when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes AA + AG. | PMID:30237583 |
| ABCC4 | rs9561765 | Efficacy | Genotype AG is associated with increased response to imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype AA. | PMID:23127916 |
| ABCG2 | rs12505410 | Efficacy | Allele G is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele T. | PMID:24123600 |
| ABCG2 | rs13120400 | Efficacy | Genotypes CC + CT is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotype TT. | PMID:24123600 |
| ABCG2 | rs2231137 | Dosage | Genotypes CT + TT are associated with decreased dose of imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype CC. | PMID:30713339 |
| ABCG2 | rs2231142 | Efficacy | Genotype TT is associated with increased progression-free survival when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes GG + GT. | PMID:25417047 |
| ABCG2 | rs2231142 | Efficacy | Allele T is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele G. | PMID:27991849 |
| ABCG2 | rs2231142 | Toxicity | Allele T is associated with increased severity of Exanthema when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to allele G. | PMID:35144161 |
| ABCG2 | rs2231142 | Metabolism/PK | Genotypes GT + TT is associated with increased dose-adjusted trough concentrations of imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype GG. | PMID:37212851 |
| ABCG2 | rs2231142 | Efficacy | Allele T is associated with increased clinical benefit to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele G. | PMID:38640718 |
| ABCG2 | rs2231142 | Efficacy | Genotype GT is associated with increased clinical benefit to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotype GG. | PMID:39714624 |
| ABCG2 | rs2231142 | Other, Metabolism/PK | Genotype GT is associated with decreased metabolism of imatinib in people with Neoplasms as compared to genotype GG. | PMID:18981009 |
| ABCG2 | rs2725252 | Efficacy | Genotypes AC + CC is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotype AA. | PMID:24123600 |
| ARID5B | rs10821936 | Efficacy | Genotype TT is associated with increased likelihood of treatment failure when treated with imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes CC + CT. | PMID:35205374 |
| ATIC | rs2372536 | Efficacy | Allele G is associated with increased likelihood of treatment failure when treated with imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes CC + CG. | PMID:35205374 |
| BCL2L11 | rs724710 | Efficacy | Allele T is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele C. | PMID:24223824 |
| CCL5 | rs4796120 | Toxicity | Genotypes AG + GG is associated with increased likelihood of Hypersensitivity when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype AA. | PMID:41193444 |
| CHST1 | rs9787901 | Toxicity | Genotypes AA + AG is associated with increased risk of Drug Toxicity when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype GG. | PMID:30237583 |
| CYP1A2 | rs11636419 | Toxicity | Genotype AA is associated with increased likelihood of periorbital edema when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes AG + GG. | PMID:37212851 |
| CYP1A2 | rs762551 | Dosage | Genotype CC is associated with decreased dose of imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes AA + AC. | PMID:30713339 |
| CYP2B6 | rs3745274 | Efficacy | Genotypes GG + GT is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotype TT. | PMID:24293093 |
| CYP2F1 | rs305968 | Toxicity | Genotype AA is associated with increased risk of Drug Toxicity when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes AG + GG. | PMID:30237583 |
| CYP3A4 | rs2242480 | Efficacy | Allele C is associated with increased clinical benefit to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele T. | PMID:38640718 |
| CYP3A4 | rs28371759 | Efficacy | Genotype AG is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotype AA. | PMID:37706370 |
| CYP3A5 | rs776746 | Metabolism/PK | Genotype CC is associated with increased trough concentration of imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes CT + TT. | PMID:27426203 |
| CYP3A5 | rs776746 | Metabolism/PK | Genotype CC is associated with increased concentrations of imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes CT + TT. | PMID:28330783 |
| CYP3A5 | rs776746 | Efficacy | Allele C is associated with increased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele T. | PMID:29427770 |
| CYP3A5 | rs776746 | Efficacy | Allele C is associated with increased clinical benefit to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to allele T. | PMID:38640718 |
| EGFR | rs10228436 | Toxicity | Genotypes AG + GG is associated with decreased likelihood of Hypersensitivity when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype AA. | PMID:41193444 |
| EGFR | rs10258429 | Toxicity | Genotypes CT + TT is associated with increased risk of Drug Toxicity and Eye Disorder when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype CC. | PMID:28762371 |
| EGFR | rs2072454 | Toxicity | Genotype CC is associated with increased likelihood of periorbital edema when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes CT + TT. | PMID:37212851 |
| FLT1 | rs9551465 | Toxicity | Genotype CC is associated with decreased likelihood of Myelosuppression when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes AA + AC. | PMID:41193444 |
| FLT1 | rs966 | Toxicity | Genotype AA is associated with increased likelihood of Myelosuppression when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes AC + CC. | PMID:41193444 |
| GSTT1 | GSTT1 non-null, GSTT1 null | Efficacy | GSTT1 null/null is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to GSTT1 non-null/non-null + non-null/null. | PMID:25188725 |
| NQO1 | rs10517 | Efficacy | Genotype GG is associated with decreased progression-free survival when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes AA + AG. | PMID:30237583 |
| NR1I2 | rs3814055 | Toxicity | Genotype TT is associated with increased severity of Myelosuppression when treated with imatinib in people with Chronic myelomonocytic leukemia as compared to genotypes CC + CT. | PMID:40326103 |
| SLC19A1 | rs1051266 | Toxicity | Genotype TT is associated with increased risk of Drug Toxicity when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes CC + CT. | PMID:30237583 |
| SLC19A1 | rs12659 | Toxicity | Genotypes AG + GG is associated with decreased risk of Drug Toxicity when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotype AA. | PMID:30237583 |
| SLC22A1 | rs1867351 | Toxicity | Genotype TT is associated with increased likelihood of periorbital edema when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes CC + CT. | PMID:37212851 |
| SLC22A1 | rs628031 | Efficacy | Genotypes AA + AG is associated with decreased response to imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotype GG. | PMID:29427770 |
| SLC22A1 | rs628031 | Toxicity | Genotype GG is associated with increased risk of Drug Toxicity when treated with imatinib in people with Gastrointestinal Stromal Tumors as compared to genotypes AA + AG. | PMID:30237583 |
| SLC22A1 | rs628031 | Metabolism/PK | Genotype GG is associated with decreased clearance of imatinib in people with Leukemia, Myelogenous, Chronic, BCR-ABL Positive as compared to genotypes AA + AG. | PMID:23272163 |
PharmGKB pathway — curated pharmacokinetic / pharmacodynamic pathway diagrams for this drug:
- Imatinib Pathway, Pharmacokinetics/Pharmacodynamics — pharmacokinetic/pharmacodynamic
Adverse-event reports (FAERS)
63,262 reports across 4 FAERS drug-name records; 4,311 distinct MedDRA reactions.
openFDA FAERS — spontaneous post-marketing reports. Co-occurrence, not causation: reports are voluntary, unverified, and confounded by indication and reporting bias (the drug’s own indication often appears as a ‘reaction’). PRR is a disproportionality heuristic (reaction rate for this drug vs the FAERS background), NOT a risk estimate. Counts are pooled across the drug’s name records.
Most-reported events
Serious = reports flagged serious (death / life-threatening / hospitalisation / disability / other medically important).
50 reactions by report volume:
| Reaction (MedDRA PT) | Reports | Serious | PRR |
|---|---|---|---|
| death | 16,580 | 16,562 (100%) | 10.2× |
| nausea | 3,417 | 2,561 (75%) | 1.7× |
| drug ineffective | 3,238 | 2,418 (75%) | 1.1× |
| diarrhoea | 3,079 | 2,436 (79%) | 1.8× |
| fatigue | 2,556 | 1,964 (77%) | 1.3× |
| malignant neoplasm progression | 2,463 | 2,453 (100%) | 9.0× |
| vomiting | 2,374 | 1,983 (84%) | 1.8× |
| dyspnoea | 1,974 | 1,824 (92%) | 1.2× |
| pyrexia | 1,948 | 1,886 (97%) | 1.9× |
| malaise | 1,837 | 1,325 (72%) | 1.5× |
| anaemia | 1,788 | 1,724 (96%) | 3.1× |
| rash | 1,748 | 1,307 (75%) | 1.5× |
| chronic myeloid leukaemia | 1,563 | 1,558 (100%) | 140.3× |
| drug intolerance | 1,560 | 1,319 (85%) | 8.4× |
| asthenia | 1,557 | 1,400 (90%) | 1.5× |
| drug resistance | 1,515 | 1,408 (93%) | 40.4× |
| headache | 1,354 | 1,114 (82%) | 0.8× |
| muscle spasms | 1,344 | 991 (74%) | 2.9× |
| gastrointestinal stromal tumour | 1,327 | 1,316 (99%) | 208.0× |
| pleural effusion | 1,307 | 1,231 (94%) | 8.4× |
| arthralgia | 1,260 | 1,062 (84%) | 1.1× |
| abdominal pain | 1,254 | 1,169 (93%) | 2.0× |
| pain | 1,155 | 930 (81%) | 0.7× |
| pneumonia | 1,148 | 1,135 (99%) | 1.2× |
| haemoglobin decreased | 1,126 | 1,095 (97%) | 3.9× |
| thrombocytopenia | 1,126 | 1,119 (99%) | 3.9× |
| dizziness | 1,088 | 927 (85%) | 0.8× |
| oedema peripheral | 1,016 | 951 (94%) | 3.1× |
| decreased appetite | 1,010 | 900 (89%) | 1.6× |
| disease progression | 1,007 | 941 (93%) | 5.2× |
| myalgia | 1,007 | 867 (86%) | 2.5× |
| off label use | 1,000 | 867 (87%) | 0.8× |
| second primary malignancy | 979 | 979 (100%) | 59.4× |
| pruritus | 978 | 819 (84%) | 1.0× |
| fall | 972 | 903 (93%) | 1.1× |
| platelet count decreased | 965 | 907 (94%) | 3.2× |
| abdominal pain upper | 936 | 797 (85%) | 1.6× |
| neoplasm malignant | 929 | 925 (100%) | 8.9× |
| sepsis | 896 | 892 (100%) | 3.0× |
| neutropenia | 883 | 870 (99%) | 2.6× |
| cough | 882 | 798 (90%) | 1.1× |
| oedema | 866 | 763 (88%) | 5.3× |
| pain in extremity | 808 | 674 (83%) | 1.0× |
| blast crisis in myelogenous leukaemia | 804 | 804 (100%) | 358.6× |
| white blood cell count increased | 804 | 747 (93%) | 7.8× |
| drug interaction | 803 | 767 (96%) | 2.7× |
| weight decreased | 797 | 705 (88%) | 1.0× |
| pancytopenia | 754 | 746 (99%) | 4.7× |
| white blood cell count decreased | 737 | 667 (91%) | 2.4× |
| fluid retention | 701 | 580 (83%) | 5.6× |
Strongest disproportionality
Reactions over-reported for this drug vs the FAERS background (PRR), among those with ≥ 10 reports (a high PRR off a few reports is noise, not signal).
50 reactions by disproportionality:
| Reaction (MedDRA PT) | Reports | Serious | PRR |
|---|---|---|---|
| ankle brachial index decreased | 10 | 10 (100%) | 926.1× |
| carotid intima-media thickness increased | 12 | 12 (100%) | 538.8× |
| chordoma | 39 | 39 (100%) | 537.5× |
| oral pigmentation | 18 | 14 (78%) | 523.0× |
| chronic myeloid leukaemia (in remission) | 12 | 11 (92%) | 485.5× |
| philadelphia chromosome positive | 305 | 300 (98%) | 427.2× |
| necrotising panniculitis | 17 | 17 (100%) | 424.8× |
| transdifferentiation of neoplasm | 11 | 11 (100%) | 388.1× |
| blast crisis in myelogenous leukaemia | 804 | 804 (100%) | 358.6× |
| cytogenetic analysis abnormal | 589 | 525 (89%) | 342.7× |
| chronic myeloid leukaemia recurrent | 245 | 245 (100%) | 337.6× |
| chronic myeloid leukaemia transformation | 206 | 206 (100%) | 254.8× |
| amaurosis fugax | 258 | 258 (100%) | 236.0× |
| chromosome analysis abnormal | 128 | 125 (98%) | 210.0× |
| polymerase chain reaction positive | 93 | 90 (97%) | 208.9× |
| gastrointestinal stromal tumour | 1,327 | 1,316 (99%) | 208.0× |
| clonal evolution | 22 | 20 (91%) | 185.8× |
| leukaemic infiltration brain | 14 | 14 (100%) | 167.1× |
| pancreatic toxicity | 15 | 15 (100%) | 161.2× |
| oncologic complication | 163 | 163 (100%) | 153.3× |
| gene mutation identification test positive | 146 | 137 (94%) | 149.5× |
| lactobacillus infection | 14 | 14 (100%) | 141.1× |
| chronic myeloid leukaemia | 1,563 | 1,558 (100%) | 140.3× |
| desmoid tumour | 33 | 33 (100%) | 138.4× |
| drug resistance mutation | 18 | 17 (94%) | 134.6× |
| pseudoporphyria | 44 | 43 (98%) | 133.7× |
| central nervous system neoplasm | 22 | 22 (100%) | 125.1× |
| endocarditis noninfective | 11 | 11 (100%) | 120.7× |
| trisomy 8 | 14 | 13 (93%) | 115.4× |
| chest expansion decreased | 10 | 10 (100%) | 114.8× |
| philadelphia positive chronic myeloid leukaemia | 22 | 22 (100%) | 113.2× |
| philadelphia positive acute lymphocytic leukaemia | 26 | 26 (100%) | 110.5× |
| pituitary apoplexy | 15 | 15 (100%) | 109.6× |
| polymerase chain reaction | 20 | 19 (95%) | 109.2× |
| gastric antral vascular ectasia | 94 | 94 (100%) | 105.7× |
| osteonecrosis of external auditory canal | 19 | 19 (100%) | 104.0× |
| blast cell crisis | 78 | 78 (100%) | 100.4× |
| hepatic calcification | 10 | 10 (100%) | 96.8× |
| typhoid fever | 33 | 33 (100%) | 94.4× |
| chronic graft versus host disease in lung | 10 | 10 (100%) | 94.4× |
| malignant tumour excision | 14 | 14 (100%) | 91.5× |
| leukostasis syndrome | 11 | 11 (100%) | 90.8× |
| adenovirus reactivation | 11 | 11 (100%) | 87.2× |
| acute lymphocytic leukaemia recurrent | 295 | 294 (100%) | 86.0× |
| graft versus host disease in lung | 40 | 40 (100%) | 83.0× |
| chronic graft versus host disease in skin | 73 | 73 (100%) | 82.6× |
| graft versus host disease in eye | 21 | 21 (100%) | 81.6× |
| metamyelocyte count increased | 14 | 14 (100%) | 79.5× |
| adrenomegaly | 10 | 10 (100%) | 74.8× |
| myelocyte count increased | 12 | 12 (100%) | 71.1× |
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
129 molecules share ≥1 primary target. Top 100 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| Afatinib | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| CABOZANTINIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| CRIZOTINIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| DASATINIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| ENTRECTINIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| ERLOTINIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| FEDRATINIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| Gefitinib | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| Ibrutinib | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| Lapatinib | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| PAZOPANIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| PONATINIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| QUIZARTINIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| REGORAFENIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| Ruxolitinib | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| SORAFENIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| Tirbanibulin | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| TOVORAFENIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| VANDETANIB | ChEMBL + PubChem | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| AXITINIB | ChEMBL | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| BOSUTINIB | ChEMBL | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| LENVATINIB | ChEMBL | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| NILOTINIB | ChEMBL | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| NINTEDANIB | ChEMBL | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| SUNITINIB | ChEMBL | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| TIVOZANIB | ChEMBL | Phase 4 (approved) | ABL1, DDR1, DDR2 |
| CEDIRANIB | ChEMBL | Phase 3 | ABL1, DDR1, DDR2 |
| DOVITINIB | ChEMBL | Phase 3 | ABL1, DDR1, DDR2 |
| LESTAURTINIB | ChEMBL | Phase 3 | ABL1, DDR1, DDR2 |
| LINIFANIB | ChEMBL | Phase 3 | ABL1, DDR1, DDR2 |
| MASITINIB | ChEMBL | Phase 3 | ABL1, DDR1, DDR2 |
| SARACATINIB | ChEMBL | Phase 3 | ABL1, DDR1, DDR2 |
| TESEVATINIB | ChEMBL | Phase 3 | ABL1, DDR1, DDR2 |
| AEE-788 | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| BAFETINIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| BMS-777607 | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| CEP-32496 | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| DANUSERTIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| DEFOSBARASERTIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| DORAMAPIMOD | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| ENMD-2076 | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| FORETINIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| GLESATINIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| GOLVATINIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| MILCICLIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| OSI-632 | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| PEXMETINIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| R-406 | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| RAF-265 | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| REBASTINIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| TOZASERTIB | ChEMBL | Phase 2 | ABL1, DDR1, DDR2 |
| Binimetinib | PubChem | Approved | ABL1, DDR1, DDR2 |
| dacomitinib | PubChem | Approved | ABL1, DDR1, DDR2 |
| Fostamatinib | PubChem | Approved | ABL1, DDR1, DDR2 |
| Idelalisib | PubChem | Approved | ABL1, DDR1, DDR2 |
| Selumetinib | PubChem | Approved | ABL1, DDR1, DDR2 |
| Trametinib | PubChem | Approved | ABL1, DDR1, DDR2 |
| MIDOSTAURIN | ChEMBL | Phase 4 (approved) | ABL1, DDR1 |
| BRIVANIB | ChEMBL | Phase 3 | ABL1, DDR1 |
| CANERTINIB | ChEMBL | Phase 3 | ABL1, DDR1 |
| MOTESANIB | ChEMBL | Phase 3 | ABL1, DDR1 |
| NAPORAFENIB | ChEMBL | Phase 3 | DDR1, DDR2 |
| BELVARAFENIB | ChEMBL | Phase 2 | DDR1, DDR2 |
| BMS-754807 | ChEMBL | Phase 2 | ABL1, DDR1 |
| LUCITANIB | ChEMBL | Phase 2 | DDR1, DDR2 |
| MERESTINIB | ChEMBL | Phase 2 | DDR1, DDR2 |
| NEFLAMAPIMOD | ChEMBL | Phase 2 | ABL1, DDR1 |
| SU-014813 | ChEMBL | Phase 2 | ABL1, DDR2 |
| TANDUTINIB | ChEMBL | Phase 2 | DDR1, DDR2 |
| TG100-801 | ChEMBL | Phase 2 | ABL1, DDR1 |
| Capivasertib | PubChem | Approved | DDR1, DDR2 |
| Capmatinib | PubChem | Approved | DDR1, DDR2 |
| Cobimetinib | PubChem | Approved | DDR1, DDR2 |
| Momelotinib | PubChem | Approved | DDR1, DDR2 |
| Pexidartinib | PubChem | Approved | DDR1, DDR2 |
| Tepotinib | PubChem | Approved | DDR1, DDR2 |
| AFATINIB DIMALEATE | ChEMBL | Phase 4 (approved) | ABL1 |
| ASCIMINIB | ChEMBL | Phase 4 (approved) | ABL1 |
| BIOTIN | ChEMBL | Phase 4 (approved) | ABL1 |
| BRIGATINIB | ChEMBL | Phase 4 (approved) | ABL1 |
| CERITINIB | ChEMBL | Phase 4 (approved) | ABL1 |
| DABRAFENIB | ChEMBL | Phase 4 (approved) | ABL1 |
| DACTINOMYCIN | ChEMBL | Phase 4 (approved) | DDR2 |
| FILGOTINIB | ChEMBL | Phase 4 (approved) | ABL1 |
| INFIGRATINIB | ChEMBL | Phase 4 (approved) | ABL1 |
| MEBENDAZOLE | ChEMBL | Phase 4 (approved) | ABL1 |
| NERATINIB | ChEMBL | Phase 4 (approved) | ABL1 |
| PACRITINIB | ChEMBL | Phase 4 (approved) | DDR1 |
| TOFACITINIB | ChEMBL | Phase 4 (approved) | ABL1 |
| ALISERTIB | ChEMBL | Phase 3 | ABL1 |
| ALVOCIDIB | ChEMBL | Phase 3 | ABL1 |
| BRIVANIB ALANINATE | ChEMBL | Phase 3 | DDR1 |
| DEFACTINIB | ChEMBL | Phase 3 | ABL1 |
| FLUMATINIB | ChEMBL | Phase 3 | ABL1 |
| OLVEREMBATINIB | ChEMBL | Phase 3 | ABL1 |
| RADOTINIB | ChEMBL | Phase 3 | ABL1 |
| RESVERATROL | ChEMBL | Phase 3 | ABL1 |
| SEMAXANIB | ChEMBL | Phase 3 | ABL1 |
| TANESPIMYCIN | ChEMBL | Phase 3 | ABL1 |
| VATALANIB | ChEMBL | Phase 3 | DDR1 |
Related Atlas pages
- Genes: DDR1, DDR2, ABL1, PDGFRB, KIT
- Indicated for: acute lymphoblastic leukemia, chronic myeloid leukemia, leukemia, neoplasm, sarcoma, myeloid leukemia, gastrointestinal stromal tumor, myeloid/lymphoid neoplasms associated with eosinophilia and abnormality of PDGFRA, PDGFRB, FGFR1 or JAK2, myeloproliferative neoplasm, dermatofibrosarcoma protuberans, myeloid neoplasm, B-cell acute lymphoblastic leukemia, systemic mastocytosis, mucosal melanoma
- In clinical trials for: pulmonary arterial hypertension, stroke disorder, pulmonary hypertension, graft versus host disease, severe acute respiratory syndrome, pneumonia, influenza, acute myeloid leukemia, gastric adenocarcinoma, glioblastoma, rheumatoid arthritis, systemic sclerosis, melanoma, metastatic melanoma, gastric neoplasm, colonic neoplasm, Plasmodium falciparum malaria, thyroid gland papillary carcinoma, hypereosinophilic syndrome, breast neoplasm, lung neoplasm, spinal cord injury, desmoid tumor, chordoma, tuberculosis, lymphoid leukemia
- Drugs: Afatinib, Cabozantinib, Crizotinib, Dasatinib, Entrectinib, Erlotinib, Fedratinib, Gefitinib, Ibrutinib, Lapatinib, Pazopanib, Ponatinib, Quizartinib, Regorafenib, Ruxolitinib, Sorafenib, Tirbanibulin, Tovorafenib, Vandetanib, Axitinib, Bosutinib, Lenvatinib, Nilotinib, Nintedanib, Sunitinib, Tivozanib, Cediranib, Dovitinib, Lestaurtinib, Linifanib, Masitinib, Saracatinib, Tesevatinib, Binimetinib, dacomitinib, Fostamatinib, Idelalisib, Selumetinib, Trametinib, Midostaurin, Brivanib, Canertinib, Motesanib, Naporafenib, Capivasertib, Capmatinib, Cobimetinib, Momelotinib, Pexidartinib, Tepotinib, Asciminib, Biotin, Brigatinib, Ceritinib, Dabrafenib, Dactinomycin, Filgotinib, Infigratinib, Mebendazole, Neratinib, Pacritinib, Tofacitinib, Alisertib, Alvocidib, Brivanib Alaninate, Defactinib, Flumatinib, Olverembatinib, Radotinib, Resveratrol, Semaxanib, Tanespimycin, Vatalanib
- Pharmacogenes (genes with a PharmGKB pharmacogenomic association for this drug — they affect its metabolism/response, they are not its targets): ABCA3, ABCB1, ABCB4, ABCC2, ABCC4, ABCG2, ARID5B, ATIC, BCL2L11, CCL5, CHST1, CYP1A2, CYP2B6, CYP2F1, CYP3A4, CYP3A5, EGFR, FLT1, GSTT1, NQO1, NR1I2, RUNDC3B, SLC19A1, SLC22A1, SLCO1A2, ULK3
- Biomarker genes: CTNNB1, PDGFRA