Table 3. Comparison of FDA Appproved Abl Kinase Inhibitors.
A comparison of the pharmacokinetic and pharmacodynamic properties, and the edema-related side effects, of the Abl kinase inhibitors that are currently in clinical usage60, 84
| Drug | Imatinib | Dasatinib | Nilotinib | Ponatinib | Bosutinib |
|---|---|---|---|---|---|
| Off Target Effects | c-KIT, PDGFR, DDR1, NQO2 | c-KIT, PDGFR, DDR1/2, SRC, YES, FYN, LYN, HCK, LCK, FGR, BLK, FRK, CSK, BTK, TEC, BMX, TXK, ACK, BRAF, EGFR, EPHA, MAPK, RAF, SLK, ZAK | c-KIT, PDGFR, DDR1, NQO2 More specific to Abl kinases |
c-KIT, PDGFR, FLT3, FGFR, RET, VEGFR, SRC Inhibits mutant BCR-Abl forms including T315I. |
ALK, CSK, FGR,LYN, PKA, CK1, CK2, SRC, RET,SYK |
| T1/2 (hrs) | 18 | 3–5 | 15–17 | 24 | 22.5 |
| F (%) | 98 | <34 | 30 | 65 | unknown |
| Vd (L/kg) | 2–6 | 36 | 2 | 17.5 | 87 |
| Metabolism | CYP3A4 CYP3A5 CYP2C8 |
CYP3A4 | CYP3A4 CYP2C8 |
CYP3A4 CYP3A5 CYP2C8 CYP2D6 |
CYP3A4 |
| Edema (%) | 53 | 50 | 11 | 13–22 | 14 |
F – Bioavailability, Vd – Volume of Distribution.