During the past two decades, protein kinases involved in a wide range of cellular signaling pathways have proved a tractable class of oncology drug target, and by the end of 2008 nine small‐molecule kinase inhibitors had been approved by regulatory authorities for treatment of human hematological or solid tumors. The majority of protein kinase inhibitors that have progressed to clinical evaluation target the adenosine triphosphate binding site. After a brief overview of design of the pioneering Bcr‐Abl kinase inhibitor imatinib, this chapter is structured around the effect of kinase inhibitor drugs on the “hallmarks of cancer,” the acquired cellular capabilities that collectively promote malignant growth of solid tumors. The chapter continues by reviewing growth factor and antiangiogenic kinase inhibitors, approaches that have now been validated in large‐scale clinical trials, and then proceeds to discuss inhibitors implicated in the cell cycle, survival signaling, and tissue invasion and metastasis. Reviewed in the chapter are approximately 20 oncology kinase drug targets and 60 associated inhibitors with disclosed chemical structures that have been approved by regulatory authorities or are undergoing clinical trials. Synopses of evolution from lead to candidate drug distilled from original articles illustrate themes in kinase inhibitor medicinal chemistry.