Imatinib

A Bcr-Abl fusion protein tyrosine kinase inhibitor.

Phase of research

Potential treatment - pre-clinical evidence

How it helps

Antiviral

Drug status

Used to treat other disease

4
Supporting references
0
Contradictory references
24
AI-suggested references
7
Clinical trials

General information

Imatinib is a tyrosine kinase inhibitor acting specifically on Bcr-Abl fusion protein. It is used for treatment of Philadelphia chromosome-linked myeloid leukaemia (NCIt).

Imatinib on DrugBank
Imatinib on PubChem
Imatinib on Wikipedia


Marketed as

IMATINIB MESYLATE; GLEEVEC (IMATINIB MESYLATE)

 

Structure image - Imatinib

CC1=C(C=C(C=C1)NC(=O)C2=CC=C(C=C2)CN3CCN(CC3)C)NC4=NC=CC(=N4)C5=CN=CC=C5


Supporting references

Link Tested on Impact factor Notes Publication date
Identification of Candidate COVID-19 Therapeutics using hPSC-derived Lung Organoids
Preprint
hPSC-derived lung organoids

inhibitor of SARS-CoV-2 entry

May/05/2020
Bcr-Abl tyrosine kinase inhibitor imatinib as a potential drug for COVID-19
Preprint
VERO cells Jun/18/2020
Broad anti-coronaviral activity of FDA approved drugs against SARS-CoV-2 in vitro and SARS-CoV in vivo
Small molecule Animal model
BALB/c mice; A549 lung adenocarcinoma cells expressing ACE2; Vero E6 cells; SARS-CoV-2 strain MA15 4.32

Inhibits the production of infectious viral particles in vitro and decreases viral gene RNA levels.

Aug/19/2020
Molecular Features of Non-Selective Small Molecule Antagonists of the Bradykinin Receptors
Small molecule In silico
in silico 4.29

Predicted to non-selectively bind bradykinin receptors, which was theorised to alleviate SARS-CoV-2-related inflammation.

Sep/21/2020

AI-suggested references

Link Publication date
In silico and in vitro evaluation of imatinib as an inhibitor for SARS-CoV-2.
Feb/26/2022
Recent Developments in the Use of Kinase Inhibitors for Management of Viral Infections.
Feb/04/2021
Antiviral drug design based on the opening mechanism of spike glycoprotein in SARS-CoV-2.
May/15/2021
Kinase Inhibitors as Potential Therapeutic Agents in the Treatment of COVID-19
Apr/04/2022
Drug repositioning against COVID-19: a first line treatment
May/21/2020
Preclinical evaluation of Imatinib does not support its use as an antiviral drug against SARS-CoV-2
Jul/12/2021
Imatinib in patients with severe COVID-19: a randomised, double-blind, placebo-controlled, clinical trial
Dec/01/2021
Identification of SARS-CoV-2 Inhibitors using Lung and Colonic Organoids
Oct/28/2020
Imatinib inhibits SARS-CoV-2 infection by an off-target-mechanism
Dec/19/2021
SARS-CoV-2 Infection Induces Ferroptosis of Sinoatrial Node Pacemaker Cells
Apr/30/2021
Screening of potential inhibitors of COVID-19 with repurposing approach via molecular docking
Feb/04/2022
The tyrosine kinase inhibitor nilotinib inhibits SARS-CoV-2 in vitro
Dec/04/2020
Pathomechanisms, therapeutic targets and potent inhibitors of some beta-coronaviruses from bench-to-bedside.
May/28/2021
Imatinib (STI571) Inhibits the Expression of Angiotensin-Converting Enzyme 2 and Cell Entry of the SARS-CoV-2-Derived Pseudotyped Viral Particles
Nov/05/2021
Pharmacological Modulators of Autophagy as a Potential Strategy for the Treatment of COVID-19.
Apr/15/2021
Identification of FDA approved drugs against SARS-CoV-2 RNA dependent RNA polymerase (RdRp) and 3-chymotrypsin-like protease (3CLpro), drug repurposing approach.
Mar/31/2021
Genomics-guided targeting of stress granule proteins G3BP1/2 to inhibit SARS-CoV-2 propagation.
Sep/10/2021
Tyrosine Kinase Inhibitors Play an Antiviral Action in Patients Affected by Chronic Myeloid Leukemia: A Possible Model Supporting Their Use in the Fight Against SARS-CoV-2.
Sep/02/2020
Antiviral Activities of Halogenated Emodin Derivatives against Human Coronavirus NL63
Jun/21/2021
Identification of 37 Heterogeneous Drug Candidates for Treatment of COVID-19 via a Rational Transcriptomics-Based Drug Repurposing Approach
Jun/01/2020
On-target versus off-target effects of drugs inhibiting the replication of SARS-CoV-2.
Aug/19/2020
Imatinib and methazolamide ameliorate COVID-19-induced metabolic complications via elevating ACE2 enzymatic activity and inhibiting viral entry
Feb/11/2022
Efficacy and safety of Anluohuaxian in the treatment of patients with severe Coronavirus disease 2019- a multicenter, open label, randomized controlled study: a structured summary of a study protocol for a randomised controlled trial
Jun/02/2021
Discovery of Small-Molecule Inhibitors of SARS-CoV-2 Proteins Using a Computational and Experimental Pipeline.
Jul/09/2021

Clinical trials

ID Title Status Phase Start date Completion date
NCT04346147 Clinical Trial to Evaluate Efficacy of 3 Types of Treatment in Patients With Pneumonia by COVID-19 Active, not recruiting Phase 2 May/07/2020 Sep/01/2021
  • Alternative id - 24032020
  • Interventions - Drug: Imatinib tablets|Drug: Baricitinib Oral Tablet|Other: Supportive tratment
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 168
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - time to clinical improvement|Safety of treatments|Tolerability of treatments
NCT04422678 The Safety & Efficacy of Imatinib for the Treatment of SARS-COV-2 Induced Pneumonia Not yet recruiting Phase 3 Jun/01/2020 Oct/01/2020
  • Alternative id - Alex CCM 2020/5
  • Interventions - Drug: Imatinib Mesylate|Drug: Standard of Care
  • Study type - Interventional
  • Study results - No Results Available
  • Locations -
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 30
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - Primary endpoint: Disease Progression|Improvement in Hypoxic Index|Hospital Length of Stay|Days on invasive mechanical ventilation|Inflammatory Markers|Viral clearance|Radiological assessment|Safety of Imatinib
NCT05220280 SOLIDARITY Finland Plus Long COVID-19 Not yet recruiting Phase 4 Feb/06/2022 Dec/01/2025
  • Alternative id - SOLP21
  • Interventions - Drug: Imatinib|Drug: Infliximab
  • Study type - Interventional
  • Study results - No Results Available
  • Locations -
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 400
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - Long-COVID symptoms|Health-related quality of life|Mortality|Incidence of comorbidity|Lung function|Whole-genome sequencing
NCT04953052 A Randomized Study to Investigate the Effect of Intravenous Imatinib on the Amount of Oxygen in the Lungs and Blood of Adults With COVID-19 Needing Mechanical Ventilation and Supportive Care. Recruiting Phase 2 Nov/01/2021 Apr/01/2022
  • Alternative id - EX003|959310
  • Interventions - Drug: Imatinib Mesylate|Drug: Placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Sir Sayajirao General Hospital (SSG Hospital), Medical College Baroda, Jail Road Indira Avenue)Anandpura, Vadodara, Gujarat, India|St George's Hospital, P D Mello Road, Fort Road, CST Terminal,, Mumbai, Maharashtra, India|Government Medical College and Hospital, Nagpur, Maharashtra, India|PCMC PGI Yashwantrao Chavan Memorial Hospital, Nagar, Pune, India|NRS Medical College and Hospital, Kolkata, West Bengal, India|Father Muller Hospital and Medical College, Mangalore, India|JSS Hospital, Mysuru, India|Indira Gandhi Government Medical College and Hospital, Nagpur, India
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Triple (Participant, Care Provider, Investigator)|Primary Purpose: Treatment
  • Enrollment - 84
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - Change from baseline in Oxygen Saturation Index (OSI) at Day 10|Change from Baseline in Oxygen Saturation Index (OSI) at Day 3 and Day 5|Mortality rate at Day 29 and Day 60|Change from baseline in WHO 9-point ordinal scale for clinical improvement to Day 10 and Day 29|Duration of mechanical ventilation (Days) to Day 29 and Day 60|Duration of stay in ICU (Days) to Day 29 and Day 60|Time to first successful extubation (Hours) to Day 29|Number of days free of mechanical ventilation and survival (VFDsurv) at Day 29 and Day 60
NCT04394416 Trial of Imatinib for Hospitalized Adults With COVID-19 Recruiting Phase 3 Jun/02/2020 Jun/01/2023
  • Alternative id - 2038GCCC
  • Interventions - Drug: Imatinib|Drug: Placebo oral tablet
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - University of Maryland Medical Center, Baltimore, Maryland, United States
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 204
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - The proportion of patients with a two-point change using the 8-category ordinal scale|All-Cause mortality|Time to a 2-point clinical change|Hospitalization|Duration of ECMO or invasive mechanical ventilation|Duration of ICU stay|SARS-CoV-2 negative|Negative oropharyngeal or nasopharyngeal swab|Serious adverse events (SAEs)|Discontinuation due to adverse events
NCT04794088 Intravenous Imatinib in Mechanically Ventilated COVID-19 Patients Recruiting Phase 2 Mar/14/2021 Feb/01/2022
  • Alternative id - INVENT COVID
  • Interventions - Drug: Imatinib Mesylate intravenous solution|Drug: Placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Amsterdam Universitair Medische Centra, location VUmc, Amsterdam, Noord-Holland, Netherlands|Amsterdam Universitair Medische Centra, location AMC, Amsterdam, Noord-Holland, Netherlands
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)|Primary Purpose: Treatment
  • Enrollment - 90
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - Change in extravascular lung water index|Pulmonary vascular permeability|PaO2/FiO2 ratio as measure of gas-exchange|Oxygenation index as measure of gas-exchange|Driving pressure as an indicator of global lung strain|Compliance as a measure of respiratory mechanics|Mechanical power as quantification of the energy load delivered to the lung per positive pressure breath|Pro-inflammatory cytokines|Matrix metalloproteinases as markers of inflammation|D-dimer as an inflammatory biomarker|Angiopoietin-1 and -2 as biomarkers of endothelial activation and injury|Soluble thrombomodulin as a biomarker of endothelial activation and injury|Surfactant as biomarker of lung epithelial injury|Protein biomarkers of lung epithelial injury|SOFA score as organ function and outcome measure|WHO ordinal scale for clinical improvement as functional outcome measure|Morbidity and mortality outcomes|28-day mortality|Hemoglobin cell count as drug safety parameter|Blood cell count as drug safety parameter|Serum creatinine as measure of kidney function|Estimated glomerular filtration rate as measure of kidney function|Electrolytes as drug safety parameters|Liver enzymes as drug safety parameter|Serum bilirubin as drug safety parameter|NT-proBNP as drug safety parameter|Reporting of adverse and serious adverse events|Corrected QT interval on ECG|Total concentration as a pharmacokinetic measure of imatinib|Free fraction as a pharmacokinetic measure of imatinib|Imatinib metabolite AGP|Imatinib metabolite albumin|Thoracic ultrasound
NCT04357613 IMATINIB IN COVID-19 DISEASE IN AGED PATIENTS. Not yet recruiting Phase 2 Sep/01/2020 Dec/01/2021
  • Alternative id - P20/05_IMAGE19
  • Interventions - Drug: Experimental drug
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - CHU Bordeaux, Bordeaux, France|CH de Versailles, Le Chesnay, France
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 99
  • Age - 70 Years and older   (Older Adult)
  • Outcome measures - To evaluate the benefit of early imatinib therapy to prevent severe COVID-19 disease in hospitalized aged patients.|To evaluate the feasibility of imatinib therapy.|To evaluate safety of imatinib therapy|To evaluate the clinical evolution|To evaluate the progression rate to severe COVID-19 disease|To evaluate mortality|To evaluate viral load|To evaluate plasmatic levels of imatinib