作者: Michael C. Heinrich , Robert G. Maki , Christopher L. Corless , Cristina R. Antonescu , Amy Harlow
关键词: Stromal tumor 、 Imatinib 、 PDGFRA 、 Sunitinib 、 Cancer 、 Tyrosine-kinase inhibitor 、 Cancer research 、 Imatinib mesylate 、 GiST 、 Medicine
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...