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The Tyrosine Kinase Inhibitor CGP57148B Selectively Inhibits the Growth of BCR-ABL-Positive Cells
Michael W.N. Deininger,
John M. Goldman,
Nicholas Lydon, and
Junia V. Melo
From the Leukaemia Research Fund Centre for Adult Leukaemia, Department of Haematology, Royal Postgraduate Medical School, London, UK; and Novartis, Basel, Switzerland.
The Philadelphia chromosome found in virtually all cases of chronic myeloid leukemia (CML) and in about one third of the cases of adult acute lymphoblastic leukemia is formed by a reciprocal translocation between chromosomes 9 and 22 that results in the fusion of BCR and ABL genetic sequences. This BCR-ABL hybrid gene codes for a fusion protein with deregulated tyrosine kinase activity that can apparently cause malignant transformation. CGP57148B, a 2-phenylaminopyrimidine derivative, has been shown to selectively inhibit the tyrosine kinase of ABL and BCR-ABL. We report here that this compound selectively suppresses the growth of colony-forming unit-granulocyte/macrophage (CFU-GM) and burst-forming unit-erythroid derived from CML over a 2-logarithmic dose range with a maximal differential effect at 1.0 µmol/L. However, almost all CML colonies that grow in the presence of 1.0 µmol/L CGP57148B are BCR-ABL-positive, which may reflect the fact that residual normal clonogenic myeloid precursors are infrequent in most patients with CML. We also studied the effects of CGP57148B on hematopoietic cell lines. Proliferation was suppressed in most of the BCR-ABL-positive lines; all five BCR-ABL-negative lines were unaffected. We conclude that this new agent may have significant therapeutic applications.
Blood, Vol. 90 No. 9 (November 1), 1997:
pp. 3691-3698
© 1997 by The American Society of Hematology.

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R. Bhatia, M. Holtz, N. Niu, R. Gray, D. S. Snyder, C. L. Sawyers, D. A. Arber, M. L. Slovak, and S. J. Forman
Persistence of malignant hematopoietic progenitors in chronic myelogenous leukemia patients in complete cytogenetic remission following imatinib mesylate treatment
Blood,
June 15, 2003;
101(12):
4701 - 4707.
[Abstract]
[Full Text]
[PDF]
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E. G. Chiorean, S. J. Dylla, K. Olsen, T. Lenvik, Y. Soignier, and J. S. Miller
BCR/ABL alters the function of NK cells and the acquisition of killer immunoglobulin-like receptors (KIRs)
Blood,
May 1, 2003;
101(9):
3527 - 3533.
[Abstract]
[Full Text]
[PDF]
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M. W.N. Deininger, S. G. O'Brien, J. M. Ford, and B. J. Druker
Practical Management of Patients With Chronic Myeloid Leukemia Receiving Imatinib
J. Clin. Oncol.,
April 15, 2003;
21(8):
1637 - 1647.
[Abstract]
[Full Text]
[PDF]
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R. Nimmanapalli, L. Fuino, C. Stobaugh, V. Richon, and K. Bhalla
Cotreatment with the histone deacetylase inhibitor suberoylanilide hydroxamic acid (SAHA) enhances imatinib-induced apoptosis of Bcr-Abl-positive human acute leukemia cells
Blood,
April 15, 2003;
101(8):
3236 - 3239.
[Abstract]
[Full Text]
[PDF]
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D. R. Huron, M. E. Gorre, A. J. Kraker, C. L. Sawyers, N. Rosen, and M. M. Moasser
A Novel Pyridopyrimidine Inhibitor of Abl Kinase Is a Picomolar Inhibitor of Bcr-abl-driven K562 Cells and Is Effective against STI571-resistant Bcr-abl Mutants
Clin. Cancer Res.,
April 1, 2003;
9(4):
1267 - 1273.
[Abstract]
[Full Text]
[PDF]
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A. N. Mohamed, P. Pemberton, J. Zonder, and C. A. Schiffer
The Effect of Imatinib Mesylate on Patients with Philadelphia Chromosome-positive Chronic Myeloid Leukemia with Secondary Chromosomal Aberrations
Clin. Cancer Res.,
April 1, 2003;
9(4):
1333 - 1337.
[Abstract]
[Full Text]
[PDF]
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T. Lange, C. Gunther, T. Kohler, R. Krahl, S. Musiol, S. Leiblein, H.-K. Al-Ali, I. van Hoomissen, D. Niederwieser, and M. W. N. Deininger
High levels of BAX, low levels of MRP-1, and high platelets are independent predictors of response to imatinib in myeloid blast crisis of CML
Blood,
March 15, 2003;
101(6):
2152 - 2155.
[Abstract]
[Full Text]
[PDF]
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A. Hole and D. Blake
A review of imatinib mesilate in the treatment of patients with gastrointestinal stromal tumours and chronic myeloid leukaemia
Journal of Oncology Pharmacy Practice,
March 1, 2003;
9(1):
1 - 14.
[Abstract]
[PDF]
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H. Dai, P. Marbach, M. Lemaire, M. Hayes, and W. F. Elmquist
Distribution of STI-571 to the Brain Is Limited by P-Glycoprotein-Mediated Efflux
J. Pharmacol. Exp. Ther.,
March 1, 2003;
304(3):
1085 - 1092.
[Abstract]
[Full Text]
[PDF]
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C. Gambacorti-Passerini, M. Zucchetti, D. Russo, R. Frapolli, M. Verga, S. Bungaro, L. Tornaghi, F. Rossi, P. Pioltelli, E. Pogliani, et al.
{alpha}1 Acid Glycoprotein Binds to Imatinib (STI571) and Substantially Alters Its Pharmacokinetics in Chronic Myeloid Leukemia Patients
Clin. Cancer Res.,
February 1, 2003;
9(2):
625 - 632.
[Abstract]
[Full Text]
[PDF]
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J. M. Golas, K. Arndt, C. Etienne, J. Lucas, D. Nardin, J. Gibbons, P. Frost, F. Ye, D. H. Boschelli, and F. Boschelli
SKI-606, a 4-Anilino-3-quinolinecarbonitrile Dual Inhibitor of Src and Abl Kinases, Is a Potent Antiproliferative Agent against Chronic Myelogenous Leukemia Cells in Culture and Causes Regression of K562 Xenografts in Nude Mice
Cancer Res.,
January 15, 2003;
63(2):
375 - 381.
[Abstract]
[Full Text]
[PDF]
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J. V. Melo, T. P. Hughes, and J. F. Apperley
Chronic Myeloid Leukemia
Hematology,
January 1, 2003;
2003(1):
132 - 152.
[Abstract]
[Full Text]
[PDF]
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M. S. Merchant, C.-W. Woo, C. L. Mackall, and C. J. Thiele
Potential Use of Imatinib in Ewing's Sarcoma: Evidence for In Vitro and In Vivo Activity
J Natl Cancer Inst,
November 20, 2002;
94(22):
1673 - 1679.
[Abstract]
[Full Text]
[PDF]
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I. Bellantuono, L. Gao, S. Parry, S. Marley, F. Dazzi, J. Apperley, J. M. Goldman, and H. J. Stauss
Two distinct HLA-A0201-presented epitopes of the Wilms tumor antigen 1 can function as targets for leukemia-reactive CTL
Blood,
November 15, 2002;
100(10):
3835 - 3837.
[Abstract]
[Full Text]
[PDF]
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R. Nimmanapalli, E. O'Bryan, M. Huang, P. Bali, P. K. Burnette, T. Loughran, J. Tepperberg, R. Jove, and K. Bhalla
Molecular Characterization and Sensitivity of STI-571 (Imatinib Mesylate, Gleevec)-resistant, Bcr-Abl-positive, Human Acute Leukemia Cells to SRC Kinase Inhibitor PD180970 and 17-Allylamino-17-demethoxygeldanamycin
Cancer Res.,
October 15, 2002;
62(20):
5761 - 5769.
[Abstract]
[Full Text]
[PDF]
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M. J. Frost, P. T. Ferrao, T. P. Hughes, and L. K. Ashman
Juxtamembrane Mutant V560GKit Is More Sensitive to Imatinib (STI571) Compared with Wild-Type c-Kit Whereas the Kinase Domain Mutant D816VKit Is Resistant
Mol. Cancer Ther.,
October 1, 2002;
1(12):
1115 - 1124.
[Abstract]
[Full Text]
[PDF]
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A. Ptasznik, E. Urbanowska, S. Chinta, M. A. Costa, B. A. Katz, M. A. Stanislaus, G. Demir, D. Linnekin, Z. K. Pan, and A. M. Gewirtz
Crosstalk Between BCR/ABL Oncoprotein and CXCR4 Signaling through a Src Family Kinase in Human Leukemia Cells
J. Exp. Med.,
September 2, 2002;
196(5):
667 - 678.
[Abstract]
[Full Text]
[PDF]
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O. G. Ottmann, B. J. Druker, C. L. Sawyers, J. M. Goldman, J. Reiffers, R. T. Silver, S. Tura, T. Fischer, M. W. Deininger, C. A. Schiffer, et al.
A phase 2 study of imatinib in patients with relapsed or refractory Philadelphia chromosome-positive acute lymphoid leukemias
Blood,
August 28, 2002;
100(6):
1965 - 1971.
[Abstract]
[Full Text]
[PDF]
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H. M. Kantarjian, S. O'Brien, J. E. Cortes, T. L. Smith, M. B. Rios, J. Shan, Y. Yang, F. J. Giles, D. A. Thomas, S. Faderl, et al.
Treatment of Philadelphia Chromosome-positive, Accelerated-phase Chronic Myelogenous Leukemia with Imatinib Mesylate
Clin. Cancer Res.,
July 1, 2002;
8(7):
2167 - 2176.
[Abstract]
[Full Text]
[PDF]
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R. M. Braziel, T. M. Launder, B. J. Druker, S. B. Olson, R. E. Magenis, M. J. Mauro, C. L. Sawyers, R. L. Paquette, and M. E. O'Dwyer
Hematopathologic and cytogenetic findings in imatinib mesylate-treated chronic myelogenous leukemia patients: 14 months' experience
Blood,
June 28, 2002;
100(2):
435 - 441.
[Abstract]
[Full Text]
[PDF]
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A. Muto, S. Tashiro, H. Tsuchiya, A. Kume, M. Kanno, E. Ito, M. Yamamoto, and K. Igarashi
Activation of Maf/AP-1 Repressor Bach2 by Oxidative Stress Promotes Apoptosis and Its Interaction with Promyelocytic Leukemia Nuclear Bodies
J. Biol. Chem.,
May 31, 2002;
277(23):
20724 - 20733.
[Abstract]
[Full Text]
[PDF]
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C. L. Sawyers, A. Hochhaus, E. Feldman, J. M. Goldman, C. B. Miller, O. G. Ottmann, C. A. Schiffer, M. Talpaz, F. Guilhot, M. W. N. Deininger, et al.
Imatinib induces hematologic and cytogenetic responses in patients with chronic myelogenous leukemia in myeloid blast crisis: results of a phase II study
Blood,
May 15, 2002;
99(10):
3530 - 3539.
[Abstract]
[Full Text]
[PDF]
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M. S. Holtz, M. L. Slovak, F. Zhang, C. L. Sawyers, S. J. Forman, and R. Bhatia
Imatinib mesylate (STI571) inhibits growth of primitive malignant progenitors in chronic myelogenous leukemia through reversal of abnormally increased proliferation
Blood,
May 15, 2002;
99(10):
3792 - 3800.
[Abstract]
[Full Text]
[PDF]
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S. G. O'Brien, S. A. D. Vieira, S. Connors, N. Bown, J. Chang, R. Capdeville, and J. V. Melo
Transient response to imatinib mesylate (STI571) in a patient with the ETV6-ABL t(9;12) translocation
Blood,
May 1, 2002;
99(9):
3465 - 3467.
[Abstract]
[Full Text]
[PDF]
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M. Talpaz, R. T. Silver, B. J. Druker, J. M. Goldman, C. Gambacorti-Passerini, F. Guilhot, C. A. Schiffer, T. Fischer, M. W. N. Deininger, A. L. Lennard, et al.
Imatinib induces durable hematologic and cytogenetic responses in patients with accelerated phase chronic myeloid leukemia: results of a phase 2 study
Blood,
March 15, 2002;
99(6):
1928 - 1937.
[Abstract]
[Full Text]
[PDF]
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B. Schultheis, M. Carapeti-Marootian, A. Hochhaus, A. Weibeta er, J. M. Goldman, and J. V. Melo
Overexpression of SOCS-2 in advanced stages of chronic myeloid leukemia: possible inadequacy of a negative feedback mechanism
Blood,
March 1, 2002;
99(5):
1766 - 1775.
[Abstract]
[Full Text]
[PDF]
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H. Kantarjian, C. Sawyers, A. Hochhaus, F. Guilhot, C. Schiffer, C. Gambacorti-Passerini, D. Niederwieser, D. Resta, R. Capdeville, U. Zoellner, et al.
Hematologic and Cytogenetic Responses to Imatinib Mesylate in Chronic Myelogenous Leukemia
N. Engl. J. Med.,
February 28, 2002;
346(9):
645 - 652.
[Abstract]
[Full Text]
[PDF]
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D. G. Savage and K. H. Antman
Imatinib Mesylate -- A New Oral Targeted Therapy
N. Engl. J. Med.,
February 28, 2002;
346(9):
683 - 693.
[Full Text]
[PDF]
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M. J. Mauro, M. O'Dwyer, M. C. Heinrich, and B. J. Druker
STI571: A Paradigm of New Agents for Cancer Therapeutics
J. Clin. Oncol.,
January 1, 2002;
20(1):
325 - 334.
[Abstract]
[Full Text]
[PDF]
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S. M. Graham, H. G. Jorgensen, E. Allan, C. Pearson, M. J. Alcorn, L. Richmond, and T. L. Holyoake
Primitive, quiescent, Philadelphia-positive stem cells from patients with chronic myeloid leukemia are insensitive to STI571 in vitro
Blood,
January 1, 2002;
99(1):
319 - 325.
[Abstract]
[Full Text]
[PDF]
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A. J. Tipping, F. X. Mahon, V. Lagarde, J. M. Goldman, and J. V. Melo
Restoration of sensitivity to STI571 in STI571-resistant chronic myeloid leukemia cells
Blood,
December 15, 2001;
98(13):
3864 - 3867.
[Abstract]
[Full Text]
[PDF]
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N. J. Donato, J. Y. Wu, L. Zhang, H. Kantarjian, and M. Talpaz
Down-regulation of interleukin-3/granulocyte-macrophage colony-stimulating factor receptor {beta}-chain in BCR-ABL+ human leukemic cells: association with loss of cytokine-mediated Stat-5 activation and protection from apoptosis after BCR-ABL inhibition
Blood,
May 1, 2001;
97(9):
2846 - 2853.
[Abstract]
[Full Text]
[PDF]
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K. Okuda, E. Weisberg, D. G. Gilliland, and J. D. Griffin
ARG tyrosine kinase activity is inhibited by STI571
Blood,
April 15, 2001;
97(8):
2440 - 2448.
[Abstract]
[Full Text]
[PDF]
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B. J. Druker, M. Talpaz, D. J. Resta, B. Peng, E. Buchdunger, J. M. Ford, N. B. Lydon, H. Kantarjian, R. Capdeville, S. Ohno-Jones, et al.
Efficacy and Safety of a Specific Inhibitor of the BCR-ABL Tyrosine Kinase in Chronic Myeloid Leukemia
N. Engl. J. Med.,
April 5, 2001;
344(14):
1031 - 1037.
[Abstract]
[Full Text]
[PDF]
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Y. Kano, M. Akutsu, S. Tsunoda, H. Mano, Y. Sato, Y. Honma, and Y. Furukawa
In vitro cytotoxic effects of a tyrosine kinase inhibitor STI571 in combination with commonly used antileukemic agents
Blood,
April 1, 2001;
97(7):
1999 - 2007.
[Abstract]
[Full Text]
[PDF]
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R. Nimmanapalli, M. Porosnicu, D. Nguyen, E. Worthington, E. OBryan, C. Perkins, and K. Bhalla
Cotreatment with STI-571 Enhances Tumor Necrosis Factor {{alpha}}-related Apoptosis-inducing Ligand (TRAIL or Apo-2L)- induced Apoptosis of Bcr-Abl-positive Human Acute Leukemia Cells
Clin. Cancer Res.,
February 1, 2001;
7(2):
350 - 357.
[Abstract]
[Full Text]
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B. J. Druker, C. L. Sawyers, R. Capdeville, J. M. Ford, M. Baccarani, and J. M. Goldman
Chronic Myelogenous Leukemia
Hematology,
January 1, 2001;
2001(1):
87 - 112.
[Abstract]
[Full Text]
[PDF]
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M. W. N. Deininger, J. M. Goldman, and J. V. Melo
The molecular biology of chronic myeloid leukemia
Blood,
November 15, 2000;
96(10):
3343 - 3356.
[Full Text]
[PDF]
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J. T. Thiesing, S. Ohno-Jones, K. S. Kolibaba, and B. J. Druker
Efficacy of STI571, an Abl tyrosine kinase inhibitor, in conjunction with other antileukemic agents against Bcr-Abl-positive cells
Blood,
November 1, 2000;
96(9):
3195 - 3199.
[Abstract]
[Full Text]
[PDF]
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C. Gambacorti-Passerini, R. Barni, P. le Coutre, M. Zucchetti, G. Cabrita, L. Cleris, F. Rossi, E. Gianazza, J. Brueggen, R. Cozens, et al.
Role of {alpha}1 Acid Glycoprotein in the In Vivo Resistance of Human BCR-ABL+ Leukemic Cells to the Abl Inhibitor STI571
J Natl Cancer Inst,
October 18, 2000;
92(20):
1641 - 1650.
[Abstract]
[Full Text]
[PDF]
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G. Fang, C. N. Kim, C. L. Perkins, N. Ramadevi, E. Winton, S. Wittmann, and K. N. Bhalla
CGP57148B (STI-571) induces differentiation and apoptosis and sensitizes Bcr-Abl-positive human leukemia cells to apoptosis due to antileukemic drugs
Blood,
September 15, 2000;
96(6):
2246 - 2253.
[Abstract]
[Full Text]
[PDF]
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N. J. Donato and M. Talpaz
Clinical Use of Tyrosine Kinase Inhibitors: Therapy for Chronic Myelogenous Leukemia and Other Cancers
Clin. Cancer Res.,
August 1, 2000;
6(8):
2965 - 2966.
[Full Text]
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G. W. Krystal, S. Honsawek, J. Litz, and E. Buchdunger
The Selective Tyrosine Kinase Inhibitor STI571 Inhibits Small Cell Lung Cancer Growth
Clin. Cancer Res.,
August 1, 2000;
6(8):
3319 - 3326.
[Abstract]
[Full Text]
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F. X. Mahon, M. W. N. Deininger, B. Schultheis, J. Chabrol, J. Reiffers, J. M. Goldman, and J. V. Melo
Selection and characterization of BCR-ABL positive cell lines with differential sensitivity to the tyrosine kinase inhibitor STI571: diverse mechanisms of resistance
Blood,
August 1, 2000;
96(3):
1070 - 1079.
[Abstract]
[Full Text]
[PDF]
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