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OncoMatch/Clinical Trials/NCT04933669

Prospective Multicenter Clinical Study of Neoadjuvant Imatinib Mesylate for Gastrointestinal Stromal Tumors

Is NCT04933669 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Imatinib for progression-free survival.

Phase 2RecruitingFirst Affiliated Hospital of Zhejiang UniversityNCT04933669Data as of May 2026

Treatment: ImatinibThe R0 resection rate of gastrointestinal stromal tumor (GIST) with high recurrence risk was relatively low, and the relapse-free survival rate was relatively low, which needed to be further improved. A few retrospective analyses and a small sample of prospective studies have found that neoadjuvant therapy with imatinib mesylate can improve R0 resection rates. Whether neoadjuvant therapy prolongs long-term survival remains unclear. The primary objective of this study was to evaluate 5-year progression-free survival (PFS) for GIST patients with high recurrence risk after neoadjuvant treatment with imatinib mesylate.

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Extracted eligibility criteria

Cancer type

Gastrointestinal Stromal Tumor

Biomarker criteria

Required: KIT immunohistochemistry positive (positive)

Tumor must stain positive for c-Kit (CD117)

Required: ANO1 immunohistochemistry positive (positive)

Tumor must stain positive for...gist-1 (DOG-1) by immunohistochemistry

Excluded: PDGFRA D842V

Asp842Val (D842V) mutation in Exon 18 of PDGFRA gene

Excluded: KIT exon 9

c-kit exon 9 mutation

Excluded: KIT wild-type

wild type (c-kit exon 9,11,13,17, and PDGFRA Exon 12,18)

Excluded: PDGFRA wild-type

wild type (c-kit exon 9,11,13,17, and PDGFRA Exon 12,18)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: tyrosine kinase inhibitor (imatinib)

Treated with tyrosine kinase inhibitors including Imatinib

Lab requirements

Blood counts

ANC < 1.5 × 10^9 / L; Platelet count (PLT) < 75 × 10^9 / L; Hemoglobin (Hb) ≥ 90 g / L

Kidney function

Creatinine (Cr) >1.0×ULN [excluded]

Liver function

AST and/or ALT >2.5×ULN, or TBIL >1.5×ULN [excluded]

AST and/or ALT >2.5×ULN(upper limit of normal),or Total bilirubin (TBIL)>1.5×ULN,or Creatinine (Cr)>1.0×ULN; ANC < 1.5 × 10^9 / L;or Platelet count (PLT) < 75 × 10^9 / L;or Hemoglobin (Hb) ≥ 90 g / L

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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