Product image of Imatinib supplied by GNH India

Imatinib

Active Ingredient:
Imatinib
Origin:
EU

Imatinib

Imatinib, the active ingredient in Imatinib, is a tyrosine kinase inhibitor presented as a tablet for oral use. It treats chronic myeloid leukemia, Philadelphia chromosome‑positive acute lymphoblastic leukemia, gastrointestinal stromal tumor and other KIT‑positive solid tumors in adult patients.

GNH India supplies Imatinib as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Imatinib acts on malignant cells driven by BCR‑ABL, c‑KIT and PDGFR tyrosine kinases, making it a cornerstone therapy for several hematologic and solid tumours.

  • Chronic myeloid leukemia (CML): reduces malignant cell proliferation and improves long‑term survival.
  • Philadelphia chromosome‑positive acute lymphoblastic leukemia (Ph+ ALL): achieves remission by targeting BCR‑ABL driven blasts.
  • Gastrointestinal stromal tumor (GIST): inhibits KIT‑driven tumor growth, leading to disease control.
  • Other KIT‑positive solid tumours: provides disease stabilization in selected cases.

How It Works

  • Imatinib selectively inhibits the intracellular tyrosine kinases BCR‑ABL, c‑KIT and platelet‑derived growth factor receptors (PDGFR). By binding to the ATP‑binding pocket of these enzymes, it blocks downstream signaling pathways that drive uncontrolled cell division, survival and angiogenesis, thereby suppressing malignant cell proliferation and inducing apoptosis in susceptible cancer cells.

Side Effects

Adverse reactions to imatinib vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting
  • Edema, especially peripheral
  • Muscle cramps or pain
  • Fatigue or weakness
  • Diarrhea
  • Skin rash or pruritus

Serious or Rare Side Effects

  • Neutropenia or severe leukopenia
  • Thrombocytopenia with bleeding risk
  • Hepatotoxicity manifested by elevated transaminases
  • Cardiac failure or reduced left‑ventricular function
  • Severe skin reactions such as Stevens‑Johnson syndrome
  • Pulmonary hypertension or interstitial lung disease

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline organ function and monitor patients regularly.

  • Monitor blood counts: perform regular CBC to detect cytopenias.
  • Assess liver function: check hepatic enzymes periodically.
  • Evaluate cardiac status: watch for signs of heart failure or reduced ejection fraction.
  • Avoid use in patients with known hypersensitivity to imatinib or its excipients.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Imatinib is metabolised primarily by CYP3A4, so co‑administered drugs can alter its exposure.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): may increase imatinib plasma levels and toxicity.
  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy by lowering drug concentrations.
  • Antacids containing aluminum or magnesium: can decrease oral absorption if taken simultaneously.

Moderate Interactions (Monitor Closely)

  • Warfarin: imatinib may potentiate anticoagulant effect, requiring INR monitoring.
  • Digoxin: possible increase in serum digoxin levels, monitor for toxicity.
  • CYP3A4 substrate drugs (e.g., midazolam, statins): may require dose adjustment based on clinical response.

Frequently Asked Questions

Imatinib is prescribed for chronic myeloid leukemia, Philadelphia chromosome‑positive acute lymphoblastic leukemia, gastrointestinal stromal tumors and other KIT‑positive solid tumours. It targets specific tyrosine kinases that drive the growth of these cancers, helping to control disease progression and improve patient outcomes.

Imatinib binds to the ATP‑binding site of BCR‑ABL, c‑KIT and PDGFR tyrosine kinases, blocking their enzymatic activity. This inhibition stops downstream signaling pathways that promote malignant cell proliferation, survival and angiogenesis, leading to reduced tumor growth and increased cancer cell death.

The dose of Imatinib is individualized by the prescribing physician based on the specific indication, disease stage, patient weight, renal and hepatic function, and concomitant medications. Only a qualified healthcare professional should determine the appropriate regimen.

Safety data for Imatinib in pregnancy and lactation are limited, and the drug may pose risks to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss potential benefits and risks with their oncologist before starting or continuing therapy.

To request Imatinib, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Imatinib was the first targeted tyrosine‑kinase inhibitor approved for chronic myeloid leukemia and remains a standard first‑line option. Newer agents such as dasatinib and nilotinib have broader kinase inhibition profiles and may be used when resistance or intolerance to Imatinib occurs, but Imatinib’s long‑term safety record makes it a widely accepted choice.

Imatinib tablets should be stored at ambient temperature below 25 °C, protected from moisture and light. Keep the medication in its original packaging until use and avoid storing it in bathrooms or near heat sources to maintain product stability.

Imatinib is taken orally as a tablet, usually with a glass of water. It can be taken with or without food, but patients should follow their physician’s instructions regarding timing and any dietary restrictions to ensure consistent absorption.

Serious risks include severe neutropenia or thrombocytopenia, hepatotoxicity, cardiac dysfunction, pulmonary hypertension, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for these events, and any concerning symptoms should prompt immediate medical evaluation.

Imatinib is contraindicated in individuals with known hypersensitivity to the drug or any of its excipients. Caution is also advised for patients with severe hepatic impairment, uncontrolled cardiac disease, or those taking medications that strongly interact with CYP3A4 without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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