Skip to main content
Log in

New drug targeting treatment — Glivec

  • Review
  • Published:
Chinese Journal of Cancer Research

Abstract

This review evaluates the role of Glivec in the treatment of chronic myelogenous leukemia and other malignant tumors. Preclinical and clinical evidence showed that Glivec demonstrated a potent and specific inhibition on BCR-ABL positive leukemias and other malignant tumors in which overexpression of c-kit and PDGFR-β played a major role in their pathogenesis. Glivec has induced complete hematologic responses in up to 98% of patients evaluated in clinical trials. It’s a very successful drug that supported the idea of targeted therapy through inhibition of tyrosine kinases. Although it’s still in the early stages of clinical development and the resistance to Glivec remains to be a problem needed further study, a great deal has been learned from these research and observation. And with the increasing data, molecular targeting therapy will play much more important role in the treatment of malignant tumors. With the better understanding of the pathogenesis of malignant tumors, well-designed drugs targeting the specific molecular abnormalities with higher efficacy and lower side effect will benefit numerous patients with malignant tumors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Carlo-Stella C, Regazzi E, Sammarelli G, et al. Effects of the tyrosine kinase inhibitor AG957 and an Anti-Fas receptor antibody on CD34(+) chronic myelogenous leukemia progenitor cells [J]. Blood 1999; 93:3973.

    PubMed  CAS  Google Scholar 

  2. Sun XM, Layton JE, Elefanty A, et al. Comparison of effects of the tyrosine kinase inhibitors AG957, AG490, and STI571 on BCR-ABL-expressing cells, demonstrating synergy between AG490 and STI571 [J]. Blood 2001; 97:2008.

    Article  PubMed  CAS  Google Scholar 

  3. Druker BJ, Tamura S, Buchdunger E, et al. Effects of a selective inhibitor of the Abl tyrosine kinase on the growth of Bcr-Abl positive cells [J]. Nat Med 1996; 2:561.

    Article  PubMed  CAS  Google Scholar 

  4. Carroll M, Ohno-Jones S, Tamura S, et al. CGP 57148, a tyrosine kinase inhibitor, inhibits the growth of cells expressing BCR-ABL, TEL-ABL, and TEL-PDGFR fusion proteins [J]. Blood 1997; 90:4947.

    PubMed  CAS  Google Scholar 

  5. Beran M, Cao X, Estrov Z, et al. Selective inhibition of cell proliferation and BCR-ABL phosphorylation in acute lymphoblastic leukemia cells expressing Mr 190,000 BCR-ABL protein by a tyrosine kinase inhibitor (CGP-57148) [J]. Clin Cancer Res 1998; 4:1661.

    PubMed  CAS  Google Scholar 

  6. Gambacorti-Passerini C, Barni R, le Coutre P, et al. Role of alphal acid glycoprotein in the in vivo resistance of human BCR-ABL(+) leukemic cells to the abl inhibitor ST1571 [J], J Natl Cancer Inst 2000; 92:1641.

    Article  PubMed  CAS  Google Scholar 

  7. Deininger MW, Goldman JM, Lydon N, et al. The tyrosine kinase inhibitor CGP57148B selectively inhibits the growth of BCR-ABL-positive cells [J]. Blood 1997; 90:3691.

    PubMed  CAS  Google Scholar 

  8. Le Coutre P, Mologni L, Cleris L, et al. In vivo eradication of human BCR/ABL-positive leukemia cells with an ABL kinase inhibitor [J]. J Natl Cancer Inst 1999; 91:163.

    Article  PubMed  Google Scholar 

  9. Druker B, Talpaz M, Resta DJ, et al. Efficacy and safety of the BCR-ABL tyrosine kinase in chronic myeloid leukemia [J]. N Engl J Med 2001; 344:1031.

    Article  PubMed  CAS  Google Scholar 

  10. Druker BJ, Sawyers CL, Kantarjian H, et al. Activity of a specific inhibitor of the Bcr-Abl tyrosine kinase in the blast crisis of chronic myeloid leukemia and acute lymphoblastic leukemia with the Philadelphia chromosome [J]. N Engl J Med 2001; 344:1038.

    Article  PubMed  CAS  Google Scholar 

  11. Kantarjian H, Sawyers C, Hochhaus A, et al. Hematologic and cytogenetic responses to imatinib mesylate in chronic myelogenous leukemia [J]. New Engl J Med 2002; 346:645.

    Article  PubMed  CAS  Google Scholar 

  12. Talpaz M, Silver RT, Druker BJ, et al. Imatinib induces durable hematologic and cytogenetic responses in patients with accelerated phase chronic myeloid leukemia: results of a phase 2 study [J]. Blood 2002; 99:1928.

    Article  PubMed  CAS  Google Scholar 

  13. Sawyers CL, Hochhaus A, Feldman E, et al. Imatinib induces hematologic and cytogenetic responses in patients with chronic myelogenous leukemia in myeloid blast crisis: results of a phase II study [J]. Blood 2002; 99:3530.

    Article  PubMed  CAS  Google Scholar 

  14. Kantarjian HM, O’Brien S, Cortes JE, et al. Imatinib mesylate therapy for relapse after allogeneic stem cell transplantation for chronic myelogenous leukemia [J]. Blood 2002; 100:1590.

    PubMed  CAS  Google Scholar 

  15. Topaly J, Zeller WJ, Fruehauf S. Combination therapy with imatinib mesylate (ST1571): synopsis of in vitro studies [J]. Br J Haematol 2002; 119:3.

    Article  PubMed  CAS  Google Scholar 

  16. Weisberg E, Griffin JD. Mechanism of resistance to the ABL tyrosine kinase inhibitor ST1571 in BCR/ABL-transformed hematopoietic cell lines [J]. Blood 2000; 95:3498.

    PubMed  CAS  Google Scholar 

  17. Mahon FX, Deininger MW, Schultheis B, et al. Selection and characterization of BCR-ABL positive cell lines with differential sensitivity to the tyrosine kinase inhibitor ST1571: diverse mechanisms of resistance [J]. Blood 2000; 96:1070.

    PubMed  CAS  Google Scholar 

  18. Le Coutre P, Tassi E, Varella-Garcia M, et al. Induction of resistance to the Abelson inhibitor ST1571 in human leukemic cells through gene amplification [J]. Blood 2000; 95:1758.

    PubMed  Google Scholar 

  19. Gorre ME, Mohammed M, Ellwood K, et al. Clinical resistance to STI-571 cancer therapy caused by BCR-ABL gene mutation or amplification [J]. Science 2001; 293:876.

    Article  PubMed  CAS  Google Scholar 

  20. Hirota S, Isozaki K, Moriyanma Y, et al. Gain-of-function mutations of c-kit in human gastrointestinal stromal tumors [J]. Science 1998; 279:577.

    Article  PubMed  CAS  Google Scholar 

  21. Rubin BP, Singer S, Tsao C, et al. KIT activation is a ubiquitous feature of gastrointestinal stromal tumors [J]. Cancer Res 2001; 61:8118.

    PubMed  CAS  Google Scholar 

  22. Heinrich MC, Griffith DJ, Druker BJ, et al. Inhibition of c-kit receptor tyrosine kinase activity by STI 571, a selective tyrosine kinase inhibitor [J]. Blood 2000; 96:925.

    PubMed  CAS  Google Scholar 

  23. Tuveson DA, Willis NA, Jacks T, et al. STI571 inactivation of the gastrointestinal stromal tumor c-KIT oncoprotein: biological and clinical implications [J]. Oncogene 2001; 20:5054.

    Article  PubMed  CAS  Google Scholar 

  24. Van Oosterom AT, Judson I, Verweij J, et al. Safety and efficacy of imatinib (STI571) in metastatic gastrointestinal stromal tumors: a phase I study [J]. Lancet 2001; 358:1421.

    Article  PubMed  Google Scholar 

  25. Heinrich MC, Blanke CD, Druker BJ, et al. Inhibition of KIT tyrosine kinase activity: a novel molecular approach to the treatment of KIT-positive malignancies [J]. J Clin Oncol 2002; 20:1692.

    Article  PubMed  CAS  Google Scholar 

  26. Scappini B, Onida F, Kantarjian HM, et al. Effects of signal transduction inhibitor 571 in acute myelogenous leukemia cells [J]. Clin Cancer Res 2001; 7:3884.

    PubMed  CAS  Google Scholar 

  27. Sjoblom T, Boureux A, Ronnstrand L, et al. Characterization of the chronic myelomonocytic leukemia associated TEL-PDGF beta R fusion protein [J]. Oncogene 1999; 18:7055.

    Article  PubMed  CAS  Google Scholar 

  28. Kilic T, Alberta JA, Zdunek PR, et al. Intracranial inhibition of platelet-derived growth factor-mediated glioblastoma cell growth by an orally active kinase inhibitor of the 2-phenylaminopyrimidine class [J]. Cancer Res 2000; 60:5143.

    PubMed  CAS  Google Scholar 

  29. Tomasson MH, Williams IR, Hasserjian R, et al. TEL/PDGFbetaR induces hematologic malignancies in mice that respond to a specific tyrosine kinase inhibitor [J]. Blood 1999; 93:1707.

    PubMed  CAS  Google Scholar 

  30. Apperley JF, Gardembas M, Melo JV, et al. Response to imatinib mesylate in patients with chronic myeloproliferative diseases with rearrangements of the platelet-derived growth factor receptor beta [J]. N Engl J Med 2002; 347:481.

    Article  PubMed  CAS  Google Scholar 

  31. Pietras K, Ostman A, Sjoquist M, et al. Inhibition of platelet-derived growth factor receptors reduces interstitial hypertension and increases transcapillary transport in tumors [J]. Cancer Res 2001; 61:2929.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sun Xue-mei.

Additional information

Foundation item: This work was supported by a grant from Nanjing Science & Technology Foundation.

Biography: SUN Xue-mei (1964-), female, associate professor, master of medicine, Nanjing Drum Tower Hospital, Nanjing University Medical College, majors in hematology, and as a scholar worked at Ludwig Institute for Cancer Research in Australia in 1999–2000.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sun, Xm., Brady, B. New drug targeting treatment — Glivec. Chin J Cancer Res 15, 235–239 (2003). https://doi.org/10.1007/s11670-003-0034-y

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11670-003-0034-y

Key words

CLC number

Navigation