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Sunitinib is a multi-targeted tyrosine kinase inhibitor (TKI) approved for advanced gastrointestinal stromal tumors (GIST) that have failed imatinib therap.
The study aimed to compare the efficacy and safety of repatinib with sunitinib in patients with advanced GIST previously treated with imatini.
Imatinib-treated patients with advanced GIST were randomized (1:1) to ripatinib (150 mg, oral, 1/day) and sunitinib (50 mg, oral, 1/day), followed by 4 weeks on, 2 weeks off; and stratified according to KITI platelet-derived growth factor alpha mutation and imatinib toleranc.
Overall, a total of 453 patients were randomized to ripatinib (ITT: n=226; KIT exon 11 ITT: n=164) or sunitinib (ITT: n=227; KIT exon 11) Sub 11 ITT: n=164.
In the KIT exon 11 ITT population, the objective response rate was higher with ripatinib than with sunitinib (29% vs 16%, p=03.
In conclusion, ripatinib did not demonstrate superior properties to sunitinib in terms of progression-free survival in patients with advanced gastrointestinal stromal tumor.
Original source:
Sebastian Bauer, et a.