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Flumatinib is an orally bioavailable small molecule tyrosine kinase inhibitor developed for the treatment of Philadelphia chromosome-positive leukemias, particularly chronic myeloid leukemia (CML). It selectively inhibits wild-type and certain mutant forms of BCR-Abl fusion protein, platelet-derived growth factor receptor (PDGFR), and mast/stem cell growth factor receptor (c-Kit), thereby blocking their signal transduction pathways. This inhibition suppresses the proliferation and survival of tumor cells dependent on these kinases. Flumatinib has demonstrated higher efficacy and a lower rate of side effects compared to imatinib in clinical trials for CML, including activity against some resistant mutations. It is approved in China for newly diagnosed CML-chronic phase patients and has also shown potential activity in acute lymphoblastic leukemia (ALL) and gastrointestinal stromal tumors (GISTs) with certain KIT mutations[1][4][7][8].
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