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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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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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BloodHome page
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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J Oncol Pharm PractHome page
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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J. Pharmacol. Exp. Ther.Home page
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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Clin. Cancer Res.Home page
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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Cancer Res.Home page
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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ASH Education BookHome page
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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JNCI J Natl Cancer InstHome page
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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BloodHome page
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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Cancer Res.Home page
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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Molecular Cancer TherapeuticsHome page
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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JEMHome page
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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BloodHome page
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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Clin. Cancer Res.Home page
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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BloodHome page
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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J. Biol. Chem.Home page
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.
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BloodHome page
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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BloodHome page
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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BloodHome page
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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BloodHome page
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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BloodHome page
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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NEJMHome page
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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NEJMHome page
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.
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JCOHome page
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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BloodHome page
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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BloodHome page
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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BloodHome page
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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BloodHome page
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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NEJMHome page
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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BloodHome page
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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Clin. Cancer Res.Home page
R. Nimmanapalli, M. Porosnicu, D. Nguyen, E. Worthington, E. O’Bryan, 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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ASH Education BookHome page
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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BloodHome page
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.
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BloodHome page
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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JNCI J Natl Cancer InstHome page
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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BloodHome page
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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Clin. Cancer Res.Home page
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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Clin. Cancer Res.Home page
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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BloodHome page
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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