A Study of Pimitespib in Combination with Imatinib in Patients with GIST (CHAPTER-GIST-101)

Last updated: February 26, 2025
Sponsor: Taiho Pharmaceutical Co., Ltd.
Overall Status: Active - Recruiting

Phase

1

Condition

Solid Tumors

Abdominal Cancer

Gastrointestinal Diseases And Disorders

Treatment

Imatinib

Pimitespib

Sunitinib

Clinical Study ID

NCT05245968
10058060
  • Ages > 18
  • All Genders

Study Summary

This study consists of Dose escalation part and Expansion part. In Dose Escalation Part, the maximum tolerated dose of combination of pimitespib and imatinib in patients with gastrointestinal stromal tumors (GIST) who are judged to be refractory to imatinib, estimate the recommended dose, evaluate safety and pharmacokinetics, and observe the antitumor effect. Expansion part consists of 3 arms. In Arm A, the efficacy and safety will be evaluated, which of the combination of pimitespib and imatinib in patients with GIST who have failed imatinib at doses below the MTD determined in Dose Escalation Part. In Arm B, the efficacy and safety of pimitespib monotherapy will be evaluated and the therapeutic effect of imatinib administration after pimitespib will be evaluated in an exploratory manner. In Arm C, the efficacy and safety of sunitinib monotherapy will be evaluated as reference data.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Provided written informed consent

  • Histologically confirmed GIST

  • Has radiographic progression based on RECIST 1.1 during or within 6 months of thelast imatinib administration at enrollment. If surgery/radiotherapy has beenperformed, radiographic progression based on RECIST 1.1 with imatinib must have beenobserved after the last surgery /radiotherapy

  • Has at least one measurable lesion based on the RECIST version 1.1, except lymphnodes (not dependent on size), which should be chosen as nontarget lesions;

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1

Exclusion

Exclusion Criteria:

  • Corrected visual acuity < 0.5 (using the International Visual Acuity MeasurementStandard) for both eyes

  • Received treatment with any other line of therapy besides imatinib for advanced GIST

  • History of total gastrectomy and/or whole resection of the small intestine

  • A serious illness or medical condition

  • Previous or concurrent cancer that is distinct in primary disease or histology fromcancer that is being evaluated in this study. However, any previous cancercuratively treated > 5 years before the enrollment can be eligible

  • Pregnancy or lactation (including lactation interruption)

Study Design

Total Participants: 78
Treatment Group(s): 3
Primary Treatment: Imatinib
Phase: 1
Study Start date:
December 01, 2021
Estimated Completion Date:
December 31, 2025

Connect with a study center

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Adelaide,
    Australia

    Active - Recruiting

  • Flinders Medical Center

    Adelaide,
    Australia

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Melbourne,
    Australia

    Active - Recruiting

  • Alfred Health

    Melbourne,
    Australia

    Active - Recruiting

  • Beijing Cancer Hospital

    Beijing,
    China

    Active - Recruiting

  • Fudan University, Shanghai Cancer Center

    Shanghai,
    China

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Chiba,
    Japan

    Active - Recruiting

  • National Cancer Center Hospital East

    Chiba,
    Japan

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Hokkaido,
    Japan

    Active - Recruiting

  • Hokkaido University Hospital

    Hokkaido,
    Japan

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Kumamoto,
    Japan

    Active - Recruiting

  • Kumamoto University Hospital

    Kumamoto,
    Japan

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Osaka,
    Japan

    Active - Recruiting

  • Osaka University Hospital

    Osaka,
    Japan

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Tokyo,
    Japan

    Active - Recruiting

  • National Cancer Center Hospital

    Tokyo,
    Japan

    Active - Recruiting

  • The Cancer Institute Hospital of JFCR

    Tokyo,
    Japan

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Singapore,
    Singapore

    Active - Recruiting

  • National University Cancer Institute

    Singapore,
    Singapore

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Kaohsiung,
    Taiwan

    Active - Recruiting

  • Kaohsiung Medical University Hospital

    Kaohsiung,
    Taiwan

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Linkou,
    Taiwan

    Active - Recruiting

  • Linkou Chang Gung Memorial Hospital

    Linkou,
    Taiwan

    Active - Recruiting

  • A site selected by Taiho Pharmaceutical Co., Ltd.

    Taipei,
    Taiwan

    Active - Recruiting

  • Taipei Veterans General Hospital

    Taipei,
    Taiwan

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.