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Limited treatment options are available for chronic myeloid leukemia (CML) patients who develop imatinib mesylate resistance particularly in patients with gatekeep mutant Bcr-Abl such as T3151.Compound PJ 1548 was originally designed and synthesized against T3151 Bcr-Abl in our lab.The kinase assay showed that it blocked multiple tyrosine kinases including both wild-type as well as T3151 Bcr-Abl.Despite so,the lesson taken in the clinical application of imatinib and the second-generation of small molecule inhibitors (nilotinib and dasatinib) hint that resistance may arise.