Primary and Secondary Kinase Genotypes Correlate With the Biological and Clinical Activity of Sunitinib in Imatinib-Resistant Gastrointestinal Stromal Tumor

作者: Michael C. Heinrich , Robert G. Maki , Christopher L. Corless , Cristina R. Antonescu , Amy Harlow

DOI: 10.1200/JCO.2007.15.7461

关键词: Stromal tumorImatinibPDGFRASunitinibCancerTyrosine-kinase inhibitorCancer researchImatinib mesylateGiSTMedicine

摘要: Purpose Most gastrointestinal stromal tumors (GISTs) harbor mutant KIT or platelet-derived growth factor receptor α (PDGFRA) kinases, which are imatinib targets. Sunitinib, targets KIT, PDGFRs, and several other has demonstrated efficacy in patients with GIST after they experience failure. We evaluated the impact of primary secondary kinase genotype on sunitinib activity. Patients Methods Tumor responses were assessed radiologically a phase I/II trial 97 metastatic, imatinib-resistant/intolerant GIST. KIT/PDGFRA mutational status was determined for 78 by using tumor specimens obtained before prior therapy. Kinase mutants biochemically profiled sensitivity. Results Clinical benefit (partial response stable disease ≥ 6 months) observed three most common genotypes: exon 9 (58%), 11 (34%), wild-type (56%). Progre...

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