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Mechanisms of Primary and Secondary Resistance to Imatinib in Chronic Myeloid Leukemia

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Quintás-Cardama, Alfonso, Kantarjian, Hagop M., Cortes, Jorge E.·2009·Cancer Control

Abstract

BACKGROUND: Although the vast majority of patients with chronic myeloid leukemia (CML) respond to the tyrosine kinase inhibitor (TKI) imatinib mesylate, resistance might occur de novo or during treatment. METHODS: The authors reviewed the known mechanisms of primary and secondary resistance to imatinib and other TKIs used in the management of CML. RESULTS: Mutations within the kinase domain of BCR-ABLI account for 30% to 40% of cases of imatinib resistance. Other mechanisms include BCR-ABLI amplification, overexpression of the SRC family of kinases, and pharmacokinetic and pharmacodynamic factors. CONCLUSIONS: Although not all resistance mechanisms have been identified and understood, several agents based on the known mechanisms have already been designed and developed and are beginning clinical trials.

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Metadata

Authors
Quintás-Cardama, A., Kantarjian, H. M., & Cortes, J. E.
Venue
Cancer Control
Published
2009-04
Volume
16
Issue
2
Pages
122-131
ISSN
1073-2748 (ISSN-L)
OpenAlex
W2152648806
Cited by
238
References
7
FWCI
16.24
Type
journal article
Language
en
Open access
bronze
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)

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CoChat. (2026). Citation check: Mechanisms of Primary and Secondary Resistance to Imatinib in Chronic Myeloid Leukemia. https://app.cochat.ai/papers/10.1177/107327480901600204
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Quintás-Cardama, A., Kantarjian, H. M., & Cortes, J. E. (2009). Mechanisms of Primary and Secondary Resistance to Imatinib in Chronic Myeloid Leukemia. Cancer Control. https://doi.org/10.1177/107327480901600204

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