IDRX-42 versus sunitinib for adults with advanced gastrointestinal stromal tumors after imatinib
Official title: A Phase 3, Randomized, Multicenter, Open-Label Study of IDRX-42 (GSK6042981) Versus Sunitinib in Participants With Metastatic and/or Unresectable Gastrointestinal Stromal Tumors (GIST) After Imatinib Therapy (StrateGIST 3)
Run by GlaxoSmithKline · NCT07218926 · Data updated 2026-11-12
This test compares IDRX-42 (GSK6042981) with sunitinib in adults with advanced or unresectable GIST who have already been treated with imatinib to see which controls the cancer better and is safer.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 450 (estimated) |
| Sponsor | GlaxoSmithKline Industry-sponsored |
| Drugs / interventions | imatinib, sunitinib |
| Locations | 156 sites (Phoenix, Arizona and 155 other locations) |
| Status | Recruiting |
| Started | December 3, 2025 |
| Main results expected | May 30, 2028 |
| Study ends | November 29, 2030 |
| Registry record updated | October 5, 2026 |
| Trial ID | NCT07218926 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically or cytologically confirmed metastatic or unresectable GIST who have progressed on or are intolerant to first-line imatinib and can provide tumor tissue for biomarker analysis.
✕Probably not a fit
Patients with untreated or active brain metastases, a history of severe hypersensitivity to these drugs (including Stevens-Johnson syndrome), recent other progressing cancers, or who cannot attend the U.S. study sites are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3, randomized interventional trial compares oral IDRX-42 (GSK6042981) to sunitinib in adults with metastatic or unresectable gastrointestinal stromal tumors (GIST) whose disease progressed on or who are intolerant to imatinib. Participants will be assigned to receive either IDRX-42 or sunitinib and will be followed for tumor response, progression-free survival, and safety outcomes. Tumor tissue (archival or new biopsy) will be submitted for central retrospective biomarker analysis to explore markers of response. Key exclusions include active untreated central nervous system metastases, prior severe hypersensitivity to the study drugs, and recent other progressing malignancies.
Why it matters
Potential benefit: If successful, IDRX-42 could provide improved disease control or a better safety profile compared with sunitinib for patients whose GIST progressed after imatinib.
How similar studies have gone: Other tyrosine kinase inhibitors such as sunitinib have shown benefit as second-line therapy for GIST, but IDRX-42 is a new agent and has not yet been proven superior in head-to-head trials.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants with histologically or cytologically confirmed GIST that is metastatic and/or surgically unresectable. * Documented disease progression on or intolerance to imatinib administered for first-line treatment of unresectable/metastatic disease. * Documented mutation status of KIT and/or PDGFRA using a tissue based next-generation sequencing or polymerase chain reaction (PCR) assay. * Tumor tissue must be available for retrospective biomarker analysis. Sample may be archival or new biopsy. Exclusion Criteria: * GIST that is both KIT and PDGFRA wild-type or known to harbor an activating PDGFRA exon 18 mutation. * Known untreated or active central nervous system metastases. * Participants with a known allergy or hypersensitivity to any component of IDRX-42 (GSK6042981) or sunitinib. Participants with a history of Stevens-Johnson syndrome on a prior Tyrosine kinase inhibitor (TKI) are excluded. * Has a malignancy (except disease under study) that has progressed or required active treatment within the past 24 months except for basal cell or squamous cell carcinomas of the skin or in-situ carcinomas (e.g., breast, cervix, bladder) that have been resected with no evidence of metastatic disease.
Where it's running
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Phoenix, Arizona, United States Recruiting -
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Duarte, California, United States Recruiting -
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La Jolla, California, United States Recruiting -
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Los Angeles, California, United States Recruiting -
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San Francisco, California, United States Recruiting -
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Santa Monica, California, United States Recruiting
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Upland, California, United States Recruiting -
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Aurora, Colorado, United States Recruiting -
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New Haven, Connecticut, United States Recruiting -
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Washington D.C., District of Columbia, United States Recruiting -
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Jacksonville, Florida, United States Recruiting -
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Orlando, Florida, United States Recruiting -
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Iowa City, Iowa, United States Recruiting -
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Overland Park, Kansas, United States Recruiting -
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Boston, Massachusetts, United States Recruiting -
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Ann Arbor, Michigan, United States Recruiting -
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Rochester, Minnesota, United States Recruiting -
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St Louis, Missouri, United States Recruiting -
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Omaha, Nebraska, United States Recruiting -
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New Hyde Park, New York, United States Recruiting -
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Rochester, New York, United States Recruiting -
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Charlotte, North Carolina, United States Recruiting -
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Durham, North Carolina, United States Recruiting -
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Canton, Ohio, United States Recruiting -
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Columbus, Ohio, United States Recruiting -
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Portland, Oregon, United States Recruiting -
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Philadelphia, Pennsylvania, United States Recruiting -
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Spartanburg, South Carolina, United States Recruiting -
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Knoxville, Tennessee, United States Recruiting -
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Dallas, Texas, United States Recruiting -
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Houston, Texas, United States Recruiting -
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Salt Lake City, Utah, United States Recruiting -
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Charlottesville, Virginia, United States Recruiting -
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Fairfax, Virginia, United States Recruiting -
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Richmond, Virginia, United States Recruiting -
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Seattle, Washington, United States Recruiting -
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Tacoma, Washington, United States Recruiting -
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Milwaukee, Wisconsin, United States Recruiting -
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Garran, Australian Capital Territory, Australia Recruiting
+106 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: US GSK Clinical Trials Call Center
- Email: GSKClinicalSupportHD@gsk.com
- Phone: 877-379-3718
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Other studies for the same condition or treatment. Recruiting studies are listed first.
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Velzatinib for advanced GIST after multiple prior TKIs
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Lenvatinib for advanced GIST after imatinib, sunitinib, and regorafenib
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Oral Liporaxel (paclitaxel) treatment for gastrointestinal stromal tumors
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Combination of rivoceranib and paclitaxel for advanced gastrointestinal stromal tumors
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.