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Published in: Drugs 5/2003

01-03-2003 | Adis Drug Profile

Imatinib Mesylate

In the Treatment of Gastrointestinal Stromal Tumours

Authors: Katherine F. Croom, Caroline M. Perry

Published in: Drugs | Issue 5/2003

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Abstract

  • ▴ Imatinib mesylate (imatinib) is an orally administered competitive inhibitor of the tyrosine kinases associated with the KIT protein (stem cell factor receptor), ABL protein and platelet-derived growth factor receptors. The KIT tyrosine kinase is abnormally expressed in gastrointestinal stromal tumour (GIST), a rare neoplasm for which there has been no effective systemic therapy.
  • ▴ In a randomised, nonblind, multicentre study that evaluated imatinib 400 or 600mg once daily in 147 patients with advanced GIST, confirmed partial responses were achieved in 54% of patients overall (median duration of follow-up was 288 days). Stable disease was experienced by 28% of patients and the estimated 1-year survival rate was 88%.
  • ▴ Similar response rates were reported in a smaller, dose-escalation study, in which objective tumour response was a secondary endpoint.
  • ▴ Although nearly all patients with GIST treated with imatinib experienced adverse events, most events were mild or moderate in nature. Severe or serious adverse events occurred in 21 % of patients in the larger study, and included gastrointestinal or tumour haemorrhage.
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Metadata
Title
Imatinib Mesylate
In the Treatment of Gastrointestinal Stromal Tumours
Authors
Katherine F. Croom
Caroline M. Perry
Publication date
01-03-2003
Publisher
Springer International Publishing
Published in
Drugs / Issue 5/2003
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.2165/00003495-200363050-00005

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