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| Molecular Profile | KIT exon9 |
| Therapy | Imatinib |
| Indication/Tumor Type | gastrointestinal stromal tumor |
| Response Type | sensitive |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| KIT exon9 | gastrointestinal stromal tumor | sensitive | Imatinib | Case Reports/Case Series | Actionable | In a Phase III trial (CALGB 150105), Gleevec (imatinib) treatment resulted in a higher objective response rate at a dose of 800mg (n=18) compared to 400mg (n=14) (67% vs 17%, p=0.02) in patients with advanced gastrointestinal stromal tumor harboring KIT exon 9 mutations (PMID: 18955451). | 18955451 |
| KIT exon9 | gastrointestinal stromal tumor | sensitive | Imatinib | Guideline | Actionable | Gleevec (imatinib) is included in guidelines for patients with gastrointestinal stromal tumor (GIST) harboring KIT exon 9 mutations (NCCN.org). | detail... |
| KIT exon9 | gastrointestinal stromal tumor | sensitive | Imatinib | Guideline | Actionable | Gleevec (imatinib) is included in guidelines for gastrointestinal stromal tumor (GIST) patients harboring sensitizing mutations, such as KIT exon 9 mutations, as adjuvant therapy for patients with localized disease and as first-line therapy for patients with locally advanced, unresectable, or metastatic disease (PMID: 34560242; ESMO.org). | 34560242 detail... |
| KIT exon9 | gastrointestinal stromal tumor | sensitive | Imatinib | Clinical Study - Meta-analysis | Actionable | In a meta-analysis of two phase III trials (MetaGIST), high-dose Gleevec (imatinib) treatment in patients with gastrointestinal stromal tumors harboring KIT exon 9 mutations resulted in a similar overall survival (p=0.15) but an increased progression-free survival (HR=0.58, p=0.017) and increased best overall response rate (47% vs 21%, p=0.0037) compared to low-dose Gleevec (imatinib) treatment (PMID: 20124181; NCT00685828, NCT00009906). | 20124181 |
| PubMed Id | Reference Title | Details |
|---|---|---|
| NCCN.org | Full reference... | |
| ESMO Clinical Practice Guidelines | Full reference... | |
| (34560242) | Gastrointestinal stromal tumours: ESMO-EURACAN-GENTURIS Clinical Practice Guidelines for diagnosis, treatment and follow-up. | Full reference... |
| (18955451) | Correlation of kinase genotype and clinical outcome in the North American Intergroup Phase III Trial of imatinib mesylate for treatment of advanced gastrointestinal stromal tumor: CALGB 150105 Study by Cancer and Leukemia Group B and Southwest Oncology Group. | Full reference... |
| (20124181) | Comparison of two doses of imatinib for the treatment of unresectable or metastatic gastrointestinal stromal tumors: a meta-analysis of 1,640 patients. | Full reference... |