|
|
The patients were enrolled voluntarily and signed informed consent, with good compliance and follow-up |
|
|
|
|
Age 18 years (on the date of signing informed consent), for both men and women |
|
|
|
|
Histologically confirmed metastatic or untreatable gastrointestinal stromal tumors have at least one measurable lesion that meets the criteria of RECIST v1.1. Lesions that have undergone radiotherapy must be confirmed by imaging to show progression after radiotherapy |
|
|
|
|
|
Previous treatment with imatinib and eventual treatment failure (disease progression or toxicity intolerance during treatment) |
|
|
|
|
The subjects were able to provide 10 ml blood samples and fresh or archived tumor tissue, or to receive biopsy at baseline for biomarker analysis |
|
|
|
|
|
Note: if there is no archived tumor tissue sample, those at high risk of |
|
|
|
|
|
receiving biopsy after assessment by the researcher, who can provide the |
|
|
|
|
|
previous c-kit /PDGFRA test report, may also be selected for inclusion |
|
|
|
|
|
\. Eastern Cooperative Oncology Group performance status of 1 or lower |
|
|
|
|
|
\. Expected survival 12 weeks |
|
|
|
|
|
\. Vital organs and body functions meet the following requirements (no blood |
|
|
|
|
|
products or cell agents are allowed to be used within 14 days before the first |
|
|
|
|
|
use) |
|
|
|
|
|
Neutrophil absolute count 1.5109/L; Platelet 100109/L; Hemoglobin 90 g/L |
|
|
|
|
|
Bilirubin 1.5ULN; ALT and AST 2.5ULN serum creatinine1.5ULN; Results of |
|
|
|
|
|
urinary protein <2+; If urinary protein is 2+, 24-hour quantitative |
|
|
|
|
|
determination of urinary protein should be conducted, and no more than 1g/24 |
|
|
|
|
|
hour is qualified. Serum calcium, potassium, magnesium and phosphorus are |
|
|
|
|
|
within the normal range or have been corrected to the normal range before |
|
|
|
|
|
randomization. International standardized ratio INR 1.5 and activated partial |
|
|
|
|
|
thromboplastin time APTT1.5ULN; QTc 450 ms (male), 470 ms (female); Left |
|
|
|
|
|
ventricular ejection fraction LVEF50% |
|
|
|
|
|
\. Use of a medically approved contraceptive method (e.g., intrauterine |
|
|
|
|
|
contraceptive device, contraceptive pill or condom) during the study period |
|
|
|
|
|
and within 90 days after the end of the study period for female patients of |
|
|
|
|
|
non-surgical sterilization or childbearing age; The serum HCG of female |
|
|
|
|
|
patients of childbearing age without surgical sterilization must be negative |
|
|
|
|
|
within 72 hours before randomization, and must be non-lactating to be |
|
|
|
|
|
enrolled; For male patients whose partners are women of childbearing age |
|
|
|
|
|
effective methods of contraception should be used during the study period and |
|
|
|
|
|
within 90 days after the end of the study period |
|
|
|
|
|
Previously received molecular targeted therapy for gastrointestinal stromal tumor except imatinib
|
|
|
|
|
|
The toxicity of previous imatinib or other treatments has not recovered or reached NCI CTC AE 5.0 1
|
|
|
|
|
|
For patients with clinical symptoms of ascites or pleural effusion, those requiring puncture drainage or those who had received thoracic or ascites drainage within 1 month before signing informed consent were excluded, those with only small amount of ascites or pleural effusion on imaging but no clinical symptoms are qualified
|
|
|
|
|
|
A second primary malignancy occurred within the last 5 years, except for adequately treated basal cell carcinoma, cutaneous squamous cell carcinoma, or carcinoma in situ of the cervix
|
|
|
|
|
|
Gastrointestinal stromal tumor with central nervous system metastasis
|
|
|
|
|
|
Inability to swallow, chronic diarrhea, intestinal obstruction, or factors that affect drug use and absorption
|
|
|
|
|
|
Bleeding grade 2 occurred in the first 4 weeks of randomization (NCI, CTC, AE 5.0)
|
|
|
|
|
|
Symptoms occurred within 12 months before randomization: myocardial infarction, severe/unstable angina pectoris, coronary/peripheral artery bypass grafting, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, or an arteriovenous embolism event (e.g., deep venous embolism of lower extremities, pulmonary embolism) within 6 months
|
|
|
|
|
|
There are clinical symptoms or diseases of the heart that are not well controlled, such as (1) heart failure above NYHA grade 2 (2) unstable angina (3) myocardial infarction within 1 year (4) clinically significant supraventricular or ventricular arrhythmia requiring treatment or intervention
|
|
|
|
|
|
Have hypertension, and cannot be well controlled by antihypertensive medication (systolic blood pressure 140mmhg or diastolic blood pressure 90mmhg, if the blood pressure was abnormal during the screening period, 2 consistent measurements must be done with an interval of more than 24h after medical correction); Previous hypertensive crisis or hypertensive encephalopathy
|
|
|
|
|
|
Drug uncontrollable thyroid dysfunction
|
|
|
|
|
|
Known acute or chronic active hepatitis, HBV virus titer > 500 IU, HCV RNA detection > ULN
|
|
|
|
|
|
History of immunodeficiency, including HIV positive, acquired or congenital immunodeficiency disorder, or a history of organ transplantation
|
|
|
|
|
|
Major surgery or radiotherapy within the first 4 weeks of randomization, or temporary palliative radiotherapy for pain relief within the first 1 week of randomization; Molecular-targeted therapy (including oral targeted drugs in other clinical trials) is less than 5 drug half-lives away form randomization date
|
|
|
|
|
|
Participated in clinical trials of other drugs in the first 4 weeks of randomization
|
|
|
|
|
|
Digestive tract perforation occurred 3 months before randomization
|
|
|
|
|
|
In the judgment of the investigator, a concomitant illness (severe diabetes, a clear history of neurological or mental disorders, e.g., epilepsy or dementia) that seriously endangers the patient's safety or prevents the patient from completing the study
|
|
|
|