Imatinib TDM (Therapeutic Drug Monitoring) in GIST

Imatinib TDM (Therapeutic Drug Monitoring) in GIST

Gastrointestinal Stromal Tumor

Recruiting

2

Start Date 03/26/2024

Age of Trial (yrs) .7

First-line Adjuvant

KIT/PDGFRA inhibitor

Block KIT

Specifically GIST and only GIST

MCC-22-GI-123

Reema A. Patel, MD, University of Kentucky

Yvonne A Taul, RN 859-323-2354 Yvonne.Taul@uky.edu

Oral

Brief Summary:

Imatinib can lead to long recurrence free survival in patients diagnosed with gastrointestinal stromal tumors (GIST); however side effects can significantly hinder quality of life for our patients. This study will use therapeutic drug monitoring to improve quality of life and symptoms and assess how many patients maintain therapeutic levels. Free drug levels and pharmokinetics of imatinib will also be monitored.

Inclusion Criteria:

Histologically or cytologically confirmed GIST with KIT mutation or PDGFRA mutation (non-D842V)
Currently receiving imatinib initiated within the last 3 months or to be started in the next 1 month
Prior systemic chemotherapy for other malignancy is allowed as long as it was completed within the past 6 months and there is no evidence of disease
Age ≥18 years
ECOG performance status of 0 or 1
Normal organ function

Exclusion Criteria:

Presence of PDGFRA D842V mutation
Known allergy to imatinib or allergic reactions to compounds of similar chemical or biologic composition to the study drug
Concomitant anticoagulation with oral warfarin.
Use of strong inhibitors or inducers of CYP3A or CYP3A4, drugs metabolized by CYP3A4 or CYP2D6
Uncontrolled intercurrent illness
Concurrent malignancy