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Gleevec

Imatinib · also sold as Gleevec / Glivec

A landmark targeted therapy for chronic myeloid leukaemia and GIST.

Generic name
Imatinib
Brand names
Gleevec / Glivec
Route
Oral
Marketed by
Novartis
First FDA approval
10 May 2001

Where Imatinib is approved

All regulators →

Of the three regulators tracked here, the first to approve Imatinib was the US, on 10 May 2001. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
10 May 2001
Gleevec
NDA021335 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
7 Nov 2001
Glivec
EMA product page
First centralised authorisation
CACanada (Health Canada)
20 Sep 2001
Gleevec
Notice of Compliance 2332
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Imatinib patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Imatinib, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Imkeldi, Gleevec
  • 1 listed patent; the last listed expires 27 Apr 2040 (US 11957681).
See the Orange Book listing for NDA 219097
Patents and exclusivities above are pooled across 2 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 5 Oct 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Imatinib

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ENNHS England
£30k
25 items dispensed, Aug 2025 to Jul 2026
-58% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$11.9m
17,837 prescriptions in 2025 · Gleevec, Imatinib Mesylate, Imkeldi
-22% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Imatinib works

All drug targets →
  • Tyrosine-protein kinase ABL inhibitor Inhibitor
    Target: ABL1 ABL proto-oncogene 1, non-receptor tyrosine kinase
    ✓ In ChEMBL and the Guide to Pharmacology
  • Platelet-derived growth factor receptor beta inhibitor Inhibitor
    Target: PDGFRB platelet derived growth factor receptor beta
    ChEMBL only
  • Stem cell growth factor receptor inhibitor Inhibitor
    Target: KIT KIT proto-oncogene, receptor tyrosine kinase
    ChEMBL only
  • Bcr/Abl fusion protein inhibitor Inhibitor
    Target: Bcr/Abl fusion protein
    ✓ In ChEMBL and the Guide to Pharmacology
Diseases it has been tested for in clinical trials, by furthest phase
  • B-cell acute lymphoblastic leukemiaPhase 3
  • COVID-19Phase 3
  • T-cell acute lymphoblastic leukemiaPhase 3
  • Acute lymphoblastic leukemiaPhase 3
  • Acute respiratory distress syndromePhase 3
  • Brain edemaPhase 3
  • Chronic graft versus host diseasePhase 3
  • Graft versus host diseasePhase 3
  • Intestinal cancerPhase 3
  • Ischemic strokePhase 3
86 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL941, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 5687, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Imatinib

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 9 technology appraisals of Imatinib. 7 are current, and 6 of these recommend it for at least some patients. 2 older appraisals were replaced or withdrawn.

AppraisalNICE recommendationPublishedStatus
Dasatinib, nilotinib and high-dose imatinib for treating imatinib-resistant or intolerant chronic myeloid leukaemia
NICE TA425
Optimised Recommended Not recommended21 Dec 2016Current
Dasatinib, nilotinib and imatinib for untreated chronic myeloid leukaemia
NICE TA426
Recommended21 Dec 2016Current
Imatinib for the adjuvant treatment of gastrointestinal stromal tumours
NICE TA326
Recommended26 Nov 2014Current
Dasatinib, nilotinib and standard-dose imatinib for the first-line treatment of chronic myeloid leukaemia
NICE TA251
Recommended Not recommended25 Apr 2012Current
Imatinib for the treatment of unresectable and/or metastatic gastrointestinal stromal tumours
NICE TA209
Not recommended24 Nov 2010Current
Imatinib for the treatment of unresectable and/or metastatic gastro-intestinal stromal tumours
NICE TA86
Recommended27 Oct 2004
Updated 1 Nov 2010
Current
Guidance on the use of imatinib for chronic myeloid leukaemia
NICE TA70
Recommended22 Oct 2003
Updated 21 Jan 2016
Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Imatinib

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 15 products on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Glivec, Imatinib Accord (generic), Imatinib Teva (generic)
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Imatinib

ATC code
L01XE01
ChEMBL
CHEMBL941
DrugBank
DB00619
PubChem CID
5291
CAS number
152459-95-5
FDA UNII
BKJ8M8G5HI
Wikidata
Q177094
Wikipedia
Imatinib

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Gleevec is used for

Gleevec is a kinase inhibitor indicated for the treatment of: Newly diagnosed adult and pediatric patients with Philadelphia chromosome positive chronic myeloid leukemia (Ph+ CML) in chronic phase. ( 1.1 ) Patients with Philadelphia chromosome positive chronic myeloid leukemia (Ph+ CML) in blast crisis (BC), accelerated phase (AP), or in chronic phase (CP) after failure of interferon-alpha therapy. ( 1.2 ) Adult patients with relapsed or refractory Philadelphia chromosome positive acute lymphoblastic leukemia (Ph+ ALL). ( 1.3 ) Pediatric patients with newly diagnosed Philadelphia chromosome positive acute lymphoblastic leukemia (Ph+ ALL) in combination with chemotherapy. ( 1.4 ) Adult patients with myelodysplastic/myeloproliferative diseases (MDS/MPD) associated with platelet-derived growth factor receptor (PDGFR) gene re-arrangements. ( 1.5 ) Adult patients with aggressive systemic mas…

How it works

12.1 Mechanism of Action Imatinib mesylate is a protein-tyrosine kinase inhibitor that inhibits the BCR-ABL tyrosine kinase, the constitutive abnormal tyrosine kinase created by the Philadelphia chromosome abnormality in CML. Imatinib inhibits proliferation and induces apoptosis in BCR-ABL positive cell lines as well as fresh leukemic cells from Philadelphia chromosome positive chronic myeloid leukemia. Imatinib inhibits colony formation in assays using ex vivo peripheral blood and bone marrow samples from CML patients. In vivo, imatinib inhibits tumor growth of BCR-ABL transfected murine myeloid cells as well as BCR-ABL positive leukemia lines derived from CML patients in blast crisis. Ima…

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 8 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.