AMN107 (nilotinib): a novel and selective inhibitor of BCR-ABL
2006

AMN107 (nilotinib): a new treatment for resistant leukaemia

Sample size: 109 publication Evidence: moderate

Author Information

Author(s): Erica Weisberg, Paul Manley, Jelena Mestan, Stefan Cowan-Jacob, Amit Ray, James D. Griffin

Primary Institution: Dana Farber Cancer Institute

Hypothesis

AMN107 was designed to be more effective than imatinib against BCR-ABL mutations causing drug resistance.

Conclusion

AMN107 shows promise in treating patients with chronic myelogenous leukaemia who are resistant to imatinib.

Supporting Evidence

  • AMN107 is more potent than imatinib against wild-type BCR-ABL.
  • AMN107 is effective against 32 out of 33 imatinib-resistant BCR-ABL mutants.
  • Clinical trials showed significant responses in CML patients resistant to imatinib.

Takeaway

AMN107 is a new medicine that helps people with a type of blood cancer when other medicines don't work anymore.

Methodology

The study involved a Phase I/II clinical trial with patients who were resistant to imatinib.

Potential Biases

Several authors are employed by Novartis, the company that developed AMN107.

Limitations

Some patients did not respond to AMN107, especially those with advanced disease.

Participant Demographics

Included patients with chronic, accelerated, and blast-phase CML, as well as Ph+ ALL patients.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6603170

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication