(Peak) A Phase 3 Randomized Trial of CGT9486+Sunitinib vs. Sunitinib in Subjects With Gastrointestinal Stromal Tumors
Start Date
4/14/2022
Completion Date
1/1/2030
Summary
This is a Phase 3, open-label, international, multicenter study of CGT9486 in combination with sunitinib. This is a multi-part study that will enroll approximately 482 patients. Part 1 consists of two evaluations: 1) confirming the dose of an updated formulation of CGT9486 to be used in subsequent parts in approximately 20 patients who have received at least one prior line of therapy for Gastrointestinal Stromal Tumors (GIST) and 2) evaluating the potential for drug-drug interactions between CGT9486 and sunitinib in approximately 18 patients who have received at least two prior tyrosine kinase inhibitors (TKIs) for GISTs. The second part of the study will enroll approximately 388 patients who are intolerant to, or who failed prior treatment with imatinib only and will compare the efficacy of CGT9486 plus sunitinib to sunitinib alone with patients being randomized in a 1:1 manner. This study also contains two substudies: 1) a drug-drug interactions (DDI) substudy will investigate the potential for CGT9486 to be a Cytochrome P450 (CYP)3A4 inducer in approximately 16 patients who have received at least one prior line of therapy for GIST and 2) a substudy intended to test the efficacy of bezuclastinib and sunitinib as first-line (1L) treatment of GIST in approximately 40 participants with KIT exon 9 mutations and no prior systemic therapy (with the exception of up to 10 subjects with ongoing imatinib therapy of ≤4 weeks).
Eligibility Criteria
Age Range: 18 years to No maximum
Interventions
CGT9486
CGT9486
Sunitinib
Sunitinib
Midazolam
CGT9486
Sunitinib
CGT9486
Sunitinib
Conditions
Locations
University of Alabama at Birmingham
Birmingham, Alabama 35249
United States
Mayo Clinic
Scottsdale, Arizona 85259
United States
University of Arizona- Cancer Center
Tucson, Arizona 85719
United States
City of Hope
Duarte, California 91010
United States
University of California, Los Angeles (UCLA)
Los Angeles, California 90404
United States
University of California, San Diego (UCSD)
San Diego, California 92093
United States
University of California, San Francisco
San Francisco, California 94158
United States
University of Colorado Denver
Denver, Colorado 80204
United States
MedStar Washington Hospital Center
Washington D.C., District of Columbia 20010
United States
Mayo Clinic Jacksonville
Jacksonville, Florida 32224
United States
University of Miami - Sylvester Comprehensive Cancer Center
Miami, Florida 33136
United States
Mid Florida Hematology and Oncology Center
Orange City, Florida 32763
United States
Orlando Health Cancer Institute
Orlando, Florida 32806
United States
Moffitt Cancer Center
Tampa, Florida 33612
United States
Northwestern University
Chicago, Illinois 60611
United States
University of Iowa Hospital and Clinics
Iowa City, Iowa 52242
United States
University of Kansas Cancer Center
Kansas City, Kansas 66160
United States
Dana-Farber Cancer Institute
Boston, Massachusetts 02115
United States
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan 48109
United States
Mayo Clinic
Rochester, Minnesota 55905
United States
Washington University
St Louis, Missouri 63130
United States
Nebraska Methodist Hospital
Omaha, Nebraska 68114
United States
Roswell Park Comprehensive Cancer Center
Buffalo, New York 14203
United States
Memorial Sloan Kettering Cancer Center
New York, New York 10021
United States
Duke University
Durham, North Carolina 27705
United States
The Cleveland Clinic Foundation
Cleveland, Ohio 44195
United States
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio 43210
United States
University of Toledo Medical Center
Toledo, Ohio 43614
United States
Oregon Health & Science University (OHSU)
Portland, Oregon 97239
United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania 19111
United States
University of Pittsburgh Medical Center - Hillman Cancer Center
Pittsburgh, Pennsylvania 15232
United States
University of Tennessee
Knoxville, Tennessee 37920
United States
Vanderbilt University Medical Center
Nashville, Tennessee 37232
United States
The University of Texas MD Anderson Cancer Center
Houston, Texas 77030-4009
United States
Fred Hutchinson Cancer Center
Seattle, Washington 98109
United States
University of Wisconsin - Carbone Cancer Center
Madison, Wisconsin 53705
United States
Instituto Alexander Fleming
Buenos Aires, C1426ANZ
Argentina
Instituto Oncologico de Cordoba (IONC)
Córdoba, X5000HWE
Argentina
Sir Charles Gairdner Hospital
Nedlands, Western Australia 6009
Australia
Bankstown-Lidcombe Hospital
Bankstown, 2200
Australia
Hospital das Clinicas da Universidade Estadual de Campinas (UNICAMP)
Campinas, 130.83-888
Brazil
lnstituto Nacional de Cancer - INCA
Rio de Janeiro, 20.230-130
Brazil
CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia
São Paulo, 09060-650
Brazil
Alberta Health Services Cross Cancer Institute
Edmonton, Alberta T6G 1Z2
Canada
Princess Margaret Hospital
Toronto, Ontario M5G 2M9
Canada
Tom Baker Cancer Center
Calgary, T2N 4N2
Canada
Universite de Montreal - Hopital Maisonneuve-Rosemont (HMR)
Montreal, HIT 2M4
Canada
Instituto Oncologico FALP
Santiago, 7500921
Chile
Centro de Oncologia de Precision, Universidad Mayor
Santiago, 7560908
Chile
Masarykuv onkologicky ustav
Brno, 65653
Czechia
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
Czechia
Fakultni nemocnice Olomouc - Oncology clinic
Olomouc, 77900
Czechia
Aarhus University Hospital
Aarhus, 8200
Denmark
Institut Bergonie
Bordeaux, 33076
France
Centre Oscar Lambret
Lille, 59000
France
Centre Leon Berard
Lyon, 69008
France
AP-HM - Hôpital de la Timone
Marseille, 13005
France
Centre Eugene Marquis
Rennes, 35042
France
ICO St-Herblain
Saint-Herblain, 44800
France
CHU de Toulouse - Hospital Rangueil
Toulouse, 31400
France
Gustave Roussy
Villejuif, 94805
France
Helios Klinikum Bad Saarow
Bad Saarow, 15526
Germany
Helios Klinikum Berlin-Buch
Berlin, 13125
Germany
Universitaetsklinikum Essen
Essen, 45147
Germany
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246
Germany
Medizinische Hochschule Hannover- Urology Oncology
Hanover, 30625
Germany
Universitaetsmedizin Mannheim
Mannheim, 68167
Germany
Humanity & Health Clinical Trial Centre
Central,
Hong Kong
Hong Kong United Oncology Centre
Jordon,
Hong Kong
Prince of Wales Hospital
Shatin,
Hong Kong
Debreceni Egyetem, Klinikai Központ, Onkológiai Klinika
Debrecen, 4032
Hungary
Centro Riferimento Oncologico - Aviano
Aviano, 33081
Italy
IRCCS Azienda Ospedaliero-Universitaria di Bologna - Policlinico di Sant'Orsola
Bologna, 40138
Italy
ASST degli Spedali Civili di Brescia
Brescia, 25123
Italy
IRCCS La Fondazione e l'Istituto di Candiolo
Candiolo, 10060
Italy
Azienda Ospedaliero-Universitaria Careggi
Florence, 50134
Italy
Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori"
Meldola, 47014
Italy
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133
Italy
Istituto Europeo di Oncologia
Milan, 20141
Italy
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Palermo, 90127
Italy
Policlinico Universitario Campus Bio-Medico
Roma, 00128
Italy
Istituto Clinico Humanitas
Rozzano, 20089
Italy
Azienda Ospedaliera Universitaria Integrata Verona-Ospedale Borgo Trento
Verona, 31726
Italy
Centro de Investigacion Medica Aquascalientes (CIMA)
Aguascalientes, 20116
Mexico
I Can Oncology Center SA De CV
Monterrey, 64710
Mexico
Oaxaca Site Management Organization S.C.
Oaxaca City, 68000
Mexico
Nederlands Kanker Instituut - Antoni van Leeuwenhoek Ziekenhuis (NKI-AVL)
Amsterdam, 1066 CX
Netherlands
UMC Groningen
Groningen, 9713 GZ
Netherlands
Stichting Radboud Universitair Medisch Centrum
Nijmegen, 6525 GA
Netherlands
Erasmus MC
Rotterdam, 3015 GD
Netherlands
Haukeland University Hospital - Bergen
Bergen, 5021
Norway
Oslo University Hospital
Oslo, 0310
Norway
Szpital Specjalistyczny w Brzozowie
Brzozów, 36-200
Poland
Centrum Onkologii im. Prof. Franciszka Lukaszczyka
Bydgoszcz, 85-796
Poland
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Oddzial w Gliwicach, Oddzial Chemioterapii Dziennej
Gliwice, 44-102
Poland
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Klinika Nowotworow Tkanek Miekkich, Kosci i Czerniakow
Warsaw, 02-781
Poland
National Cancer Center
Goyang-si, Gyeonggi-do 10408
South Korea
Seoul National University Hosptial
Seoul, 03080
South Korea
Asan Medical Center
Seoul, 05505
South Korea
Samsung Medical Center
Seoul, 06351
South Korea
Korea University Guro Hospital
Seoul, 08308
South Korea
Hospital Universitario Vall d'Hebron
Barcelona, 08035
Spain
Hospital de la Santa Creu i Sant Pau Barcelona
Barcelona, 08041
Spain
Institut Catala d'Oncologia - L'Hospitalet
Barcelona, 08908
Spain
Hospital Clinico Universitario Virgen de la Arrixaca
El Palmar, 30120
Spain
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Spain
Hospital Clinico San Carlos
Madrid, 28040
Spain
Hospital Fundación Jiménez Díaz
Madrid, 28040
Spain
Hospital Universitario 12 de Octubre
Madrid, 28041
Spain
Hospital Clinico Universitario de Santiago de Compostela
Santiago de Compostela, 15706
Spain
Hospital Universitario Virgen del Rocio
Seville, 41013
Spain
Hospital Universitario Miguel Servet
Zaragoza, 50009
Spain
Skane University Hospital Lund
Lund, 22185
Sweden
Karolinska University Hospital
Solna, 171 76
Sweden
Chang Gung Memorial Hospital - Kaohsiung Branch
Kaohsiung City, 83301
Taiwan
National Taiwan University Hospital
New Taipei City, 10002
Taiwan
China Medical University Hospital
Taichung, 40447
Taiwan
Taipei Veterans General Hospital (VGHTP)
Taipei, 11217
Taiwan
Chang Gung Memorial Hospital - Linkou Branch (CGMHLK)
Taoyuan, 33305
Taiwan
Cambridge Addenbrooke's Hospital
Cambridge, CB2 0QQ
United Kingdom
Beatson, West of Scotland Cancer Centre
Glasgow, G12 0YN
United Kingdom
University College London Hospital
London, NW1 2PG
United Kingdom
Guy's Hospital
London, SE1 9RT
United Kingdom
Royal Marsden Hospital - Surrey
London, SW3 6JJ
United Kingdom
The Christie NHS Foundation Trust
Manchester, M20 4BX
United Kingdom
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield, S10 2SJ
United Kingdom