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New Reference: Ripretinib Versus Sunitinib in Patients With Advanced Gastrointestinal Stromal Tumor

New Reference: Ripretinib Versus Sunitinib in Patients With Advanced Gastrointestinal Stromal Tumor
Study:
  • Randomized, open-label, international, multicenter phase III study
  • Advanced GIST who progressed on or were intolerant to first-line treatment with imatinib
  • Ripretinib 150 mg (n = 226) or sunitinib 50 mg (4/2, n = 227)
Efficacy:
  • mPFS: 8.3 m vs 7 months (HR, 0.88; P = .36) for KIT exon 11 ITT
  • ORR: 23.9% v 14.6%, P = .03
Safety:
  • Grade ≥3 AEs: 26.5% vs 55.2%
  • Drug related death: 0 vs 0.5%
  • Any grade TRAE: alopecia (64.1%), fatigue (37.7%), myalgia (36.3%) for ripretinib and Palmar-plantar erythrodysesthesia syndrome (51.1%), diarrhea (48.0%), hypertension (47.1%) for sunitinib

J Clin Oncol. 2022 Aug 10;JCO2200294.

Bauer S, Jones RL, Blay JY, et al. Ripretinib Versus Sunitinib in Patients With Advanced Gastrointestinal Stromal Tumor After Treatment With Imatinib (INTRIGUE): A Randomized, Open-Label, Phase III Trial

https://doi.org/10.1200/jco.22.00294

Reviewed by Hasan Çağrı Yıldırım, MD on Aug 16, 2022

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