Efficacy and Safety of Famitinib Versus Sunitinib in the Treatment of Advanced Gastrointestinal Stromal Tumour Patients After Failure of Imatinib

Inclusion Criteria:

1. The patients were enrolled voluntarily and signed informed consent, with goodcompliance and follow-up
2. Age ≥18 years (on the date of signing informed consent), for both men and women
3. Histologically confirmed metastatic or untreatable gastrointestinal stromal tumorshave at least one measurable lesion that meets the criteria of RECIST v1.1. Lesionsthat have undergone radiotherapy must be confirmed by imaging to show progressionafter radiotherapy
4. Previous treatment with imatinib and eventual treatment failure (disease progressionor toxicity intolerance during treatment)
5. The subjects were able to provide 10 ml blood samples and fresh or archived tumortissue, or to receive biopsy at baseline for biomarker analysis. Note: if there is no archived tumor tissue sample, those at high risk of receivingbiopsy after assessment by the researcher, who can provide the previous c-kit /PDGFRAtest report, may also be selected for inclusion.
6. Eastern Cooperative Oncology Group performance status of 1 or lower
7. Expected survival ≥12 weeks
8. Vital organs and body functions meet the following requirements (no blood products orcell agents are allowed to be used within 14 days before the first use): Neutrophil absolute count ≥1.5×109/L; Platelet ≥ 100×109/L; Hemoglobin ≥ 90 g/L;Bilirubin ≤ 1.5×ULN; ALT and AST ≤2.5×ULN serum creatinine≤1.5×ULN; Results of urinaryprotein <2+; If urinary protein is ≥2+, 24-hour quantitative determination of urinaryprotein 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 correctedto the normal range before randomization. International standardized ratio INR≤ 1.5and activated partial thromboplastin time APTT≤1.5×ULN; QTc≤ 450 ms (male), 470 ms (female); Left ventricular ejection fraction LVEF≥50%.
9. Use of a medically approved contraceptive method (e.g., intrauterine contraceptivedevice, contraceptive pill or condom) during the study period and within 90 days afterthe end of the study period for female patients of non-surgical sterilization orchildbearing age; The serum HCG of female patients of childbearing age withoutsurgical sterilization must be negative within 72 hours before randomization, and mustbe non-lactating to be enrolled; For male patients whose partners are women ofchildbearing age, effective methods of contraception should be used during the studyperiod and within 90 days after the end of the study period.

Exclusion Criteria:

1. Previously received molecular targeted therapy for gastrointestinal stromal tumorexcept imatinib
2. The toxicity of previous imatinib or other treatments has not recovered or reached NCICTC AE 5.0≤ 1
3. For patients with clinical symptoms of ascites or pleural effusion, those requiringpuncture drainage or those who had received thoracic or ascites drainage within 1month before signing informed consent were excluded, those with only small amount ofascites or pleural effusion on imaging but no clinical symptoms are qualified.
4. A second primary malignancy occurred within the last 5 years, except for adequatelytreated basal cell carcinoma, cutaneous squamous cell carcinoma, or carcinoma in situof the cervix
5. Gastrointestinal stromal tumor with central nervous system metastasis
6. Inability to swallow, chronic diarrhea, intestinal obstruction, or factors that affectdrug use and absorption
7. Bleeding≥ grade 2 occurred in the first 4 weeks of randomization (NCI, CTC, AE 5.0)
8. 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 ischemicattack, or an arteriovenous embolism event (e.g., deep venous embolism of lowerextremities, pulmonary embolism) within 6 months
9. 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) myocardialinfarction within 1 year (4) clinically significant supraventricular or ventriculararrhythmia requiring treatment or intervention
10. Have hypertension, and cannot be well controlled by antihypertensive medication (systolic blood pressure ≥ 140mmhg or diastolic blood pressure ≥ 90mmhg, if the bloodpressure was abnormal during the screening period, 2 consistent measurements must bedone with an interval of more than 24h after medical correction); Previoushypertensive crisis or hypertensive encephalopathy;
11. Drug uncontrollable thyroid dysfunction
12. Known acute or chronic active hepatitis, HBV virus titer > 500 IU, HCV RNA detection >ULN
13. History of immunodeficiency, including HIV positive, acquired or congenitalimmunodeficiency disorder, or a history of organ transplantation
14. Major surgery or radiotherapy within the first 4 weeks of randomization, or temporarypalliative radiotherapy for pain relief within the first 1 week of randomization;Molecular-targeted therapy (including oral targeted drugs in other clinical trials) isless than 5 drug half-lives away form randomization date
15. Participated in clinical trials of other drugs in the first 4 weeks of randomization
16. Digestive tract perforation occurred 3 months before randomization
17. In the judgment of the investigator, a concomitant illness (severe diabetes, a clearhistory of neurological or mental disorders, e.g., epilepsy or dementia) thatseriously endangers the patient's safety or prevents the patient from completing thestudy