Ripretinib in Combination With Binimetinib in Patients With Gastrointestinal Stromal Tumor (GIST)
Gastrointestinal Stromal Tumors
About this trial
This is an interventional treatment trial for Gastrointestinal Stromal Tumors
Eligibility Criteria
Inclusion Criteria:
- Patients ≥18 years of age with advanced GIST (unresectable or metastatic).
- Must have at least progressed on imatinib or have documented intolerance to imatinib.
- Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
- Patients must have a histologic diagnosis of GIST.
- If a female of childbearing potential, must have a negative pregnancy test.
- Adequate organ function and bone marrow function
Exclusion Criteria:
- Received prior anticancer therapy within 14 days or 5× the half-life whichever is longer) prior to the first dose.
- Ongoing or prior participation in the DCC-2618-03-002 study.
- Prior therapy with ripretinib.
- Prior therapy with MEK inhibitor.
- History of certain ocular disorders.
- History of clinically significant hepatobiliary disease.
- Known active central nervous system metastases.
- History or presence of clinically relevant cardiovascular abnormalities.
- Systemic arterial or venous thrombotic or embolic events within 6 months of first dose.
- History of acute or chronic pancreatitis
- History of chronic inflammatory bowel disease or Crohn's disease requiring intervention within 12 months of first dose.
Gastrointestinal abnormalities including but not limited to:
- inability to take oral medication,
- malabsorption syndromes
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Escalation
Expansion
Escalation Phase: Increasing doses of ripretinib in combination with increase doses of binimetinib in patients with advanced GIST who have progressed on at least imatinib or are intolerant to imatinib and are ripretinib naïve in repeated 28-day cycles. Participants may remain on treatment until disease progression, unacceptable toxicity, or withdrawal of consent
Ripretinib in combination with binimetinib at the recommended Phase 2 dose (RP2D) in patients with advanced GIST who have progressed on imatinib or are intolerant to imatinib and are naïve. Participants may remain on treatment until disease progression, unacceptable toxicity, or withdrawal of consent