Clinical trial Recruiting at 156 sites Phase 3 Interventional Ages 18 and up

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.

More Gastrointestinal Neoplasms trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment450 (estimated)
SponsorGlaxoSmithKline
Industry-sponsored
Drugs / interventionsimatinib, sunitinib
Locations156 sites (Phoenix, Arizona and 155 other locations)
StatusRecruiting
StartedDecember 3, 2025
Main results expectedMay 30, 2028
Study endsNovember 29, 2030
Registry record updatedOctober 5, 2026
Trial IDNCT07218926 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

  • GSK Investigational Site
    Phoenix, Arizona, United States
    Recruiting
  • GSK Investigational Site
    Duarte, California, United States
    Recruiting
  • GSK Investigational Site
    La Jolla, California, United States
    Recruiting
  • GSK Investigational Site
    Los Angeles, California, United States
    Recruiting
  • GSK Investigational Site
    San Francisco, California, United States
    Recruiting
  • GSK Investigational Site
    Santa Monica, California, United States
    Recruiting
Show 44 more locations
  • GSK Investigational Site
    Upland, California, United States
    Recruiting
  • GSK Investigational Site
    Aurora, Colorado, United States
    Recruiting
  • GSK Investigational Site
    New Haven, Connecticut, United States
    Recruiting
  • GSK Investigational Site
    Washington D.C., District of Columbia, United States
    Recruiting
  • GSK Investigational Site
    Jacksonville, Florida, United States
    Recruiting
  • GSK Investigational Site
    Miami, Florida, United States
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  • GSK Investigational Site
    Orlando, Florida, United States
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  • GSK Investigational Site
    Tampa, Florida, United States
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  • GSK Investigational Site
    Chicago, Illinois, United States
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  • GSK Investigational Site
    Chicago, Illinois, United States
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  • GSK Investigational Site
    Iowa City, Iowa, United States
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  • GSK Investigational Site
    Overland Park, Kansas, United States
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  • GSK Investigational Site
    Baton Rouge, Louisiana, United States
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  • GSK Investigational Site
    Baltimore, Maryland, United States
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  • GSK Investigational Site
    Boston, Massachusetts, United States
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  • GSK Investigational Site
    Boston, Massachusetts, United States
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  • GSK Investigational Site
    Ann Arbor, Michigan, United States
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  • GSK Investigational Site
    Rochester, Minnesota, United States
    Recruiting
  • GSK Investigational Site
    St Louis, Missouri, United States
    Recruiting
  • GSK Investigational Site
    Omaha, Nebraska, United States
    Recruiting
  • GSK Investigational Site
    New Hyde Park, New York, United States
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  • GSK Investigational Site
    New York, New York, United States
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  • GSK Investigational Site
    New York, New York, United States
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  • GSK Investigational Site
    Rochester, New York, United States
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  • GSK Investigational Site
    Charlotte, North Carolina, United States
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  • GSK Investigational Site
    Durham, North Carolina, United States
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  • GSK Investigational Site
    Canton, Ohio, United States
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  • GSK Investigational Site
    Columbus, Ohio, United States
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  • GSK Investigational Site
    Portland, Oregon, United States
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  • GSK Investigational Site
    Philadelphia, Pennsylvania, United States
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  • GSK Investigational Site
    Philadelphia, Pennsylvania, United States
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  • GSK Investigational Site
    Pittsburgh, Pennsylvania, United States
    Recruiting
  • GSK Investigational Site
    Spartanburg, South Carolina, United States
    Recruiting
  • GSK Investigational Site
    Knoxville, Tennessee, United States
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  • GSK Investigational Site
    Dallas, Texas, United States
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  • GSK Investigational Site
    Houston, Texas, United States
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  • GSK Investigational Site
    Salt Lake City, Utah, United States
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  • GSK Investigational Site
    Charlottesville, Virginia, United States
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  • GSK Investigational Site
    Fairfax, Virginia, United States
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  • GSK Investigational Site
    Richmond, Virginia, United States
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  • GSK Investigational Site
    Seattle, Washington, United States
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  • GSK Investigational Site
    Tacoma, Washington, United States
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  • GSK Investigational Site
    Milwaukee, Wisconsin, United States
    Recruiting
  • GSK Investigational Site
    Garran, Australian Capital Territory, Australia
    Recruiting

+106 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.