A Retrospective Study of C-kit Mutation Status in Asian Patients With Advanced Gastro-intestinal Stromal Tumors (GIST) Treated With Imatinib.
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Purpose
Imatinib is the current standard treatment for advanced GIST. Previous studies have shown that GIST genotype was associated with treatment outcomes with exon 11 having superior outcome compared with exon 9 or WT.10, 11 In patients with exon 9 kit mutation, the response rate was higher at when imatinib was given at 800mg daily compared with the standard dose of 400mg daily. Although the data linking tyrosine kinase mutation status and imatinib response in metastatic GISTs is intriguing, more information is needed before mutation testing is adopted as part of the routine analysis of high-risk or overtly malignant KIT-expressing GISTs.25 Despite the fact that exon 9 mutations are associated with a lower response rate, overall survival does not appear to be better with high-dose therapy. The investigators propose to conduct a retrospective analysis of mutational analysis on patients with GIST and determine the relationship between patient response and imatinib dose.
| Condition | Intervention |
|---|---|
|
Asian Patients With Advanced Gastro-intestinal Stromal Tumors (GIST) Treated With Imatinib |
Procedure: Tumor biopsies |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Retrospective |
| Study Start Date: | July 2010 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
| Tumor biopsies | Procedure: Tumor biopsies |
Eligibility| Ages Eligible for Study: | 21 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Asian patients with advanced gastro-intestinal stromal tumors (GIST) treated with imatinib.
Inclusion Criteria:
- Histologic diagnosis of advanced stage or metastatic GIST
- Asian patient (as defined by the investigator)
- First line treatment with imatinib
- Availability of tumor samples for kit mutation analysis
- Availability of tumor response rate and or time to progression data
Exclusion Criteria:
-
Contacts and Locations| Contact: Ross Andrew Soo, MBBS | 65 6772 4624 | Ross_Soo@nuhs.edu.sg |
| Singapore | |
| National University Hospital | Active, not recruiting |
| Singapore, Singapore | |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT01227746 History of Changes |
| Other Study ID Numbers: | GA03/17/10 |
| Study First Received: | October 21, 2010 |
| Last Updated: | October 22, 2010 |
| Health Authority: | Singapore: Domain Specific Review Boards |
Keywords provided by National University Hospital, Singapore:
|
Advanced gastro-intestinal stromal tumors |
Additional relevant MeSH terms:
|
Gastrointestinal Stromal Tumors Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site |
Neoplasms Digestive System Diseases Gastrointestinal Diseases |
ClinicalTrials.gov processed this record on May 16, 2013