TABLE 3.
Clinical Activity Shown in Pivotal Clinical Trials by the Five Tyrosine Kinase Inhibitors With Regulatory Approval for the Treatment of Unresectable or Metastatic Gastrointestinal Stromal Tumor
|
KIT/PDGFRA-Mutant GIST |
PDGFRA D842V |
||||
|---|---|---|---|---|---|
| Parameter | Imatinib | Sunitinib | Regorafenib | Ripretinib | Avapritinib |
| Reference | Demetri et al66 | Demetri et al63 | Demetri et al67 | Blay et al68 | Heinrich et al23 |
|
| |||||
| Treatment line | First | Second | Third | Fourth or more | Any |
|
| |||||
| ORR (%) | 68.1 | 6.8 | 4.5 | 9.4 | 91.0 |
|
| |||||
| Stable disease at 12 weeks (%) | 15.6 | 53.0 | 53.0 | 47.0 | 98.0 |
|
| |||||
| mPFS (mo) | 24.0 | 5.6 | 4.8 | 6.3 | 34.0* |
Abbreviations: GIST, gastrointestinal stromal tumor; ORR, overall response rate; mPFS, median progression-free survival.
Updated mPFS from Jones et al.69