ClinicalTrials.gg
CompletedNCT03353753INVICTUSUpdated Nov 21, 2022Results posted

Phase 3 Study of DCC-2618 vs Placebo in Advanced GIST Patients Who Have Been Treated With Prior Anticancer Therapies

A Phase 3 interventional study of DCC-2618 and Placebo Oral Tablet in Gastrointestinal Stromal Tumors, sponsored by Deciphera Pharmaceuticals, LLC. Completed at 35 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-11-21.

Sponsored by Deciphera Pharmaceuticals, LLC (part of Ono Pharmaceutical Co. Ltd) · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
129
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 10 studies in Gastrointestinal Stromal Tumors by Ono Pharmaceutical Co. Ltd — 2 open to participants now, 5 under way, 2 of them phase 3. Gastrointestinal Stromal Tumors · Ono Pharmaceutical Co. Ltd.

Started
2018
the only one that year
Phase 3
3 of 10
none open now
Registered
2nd of 10
by date

Among the 10 studies in Gastrointestinal Stromal Tumors by Ono Pharmaceutical Co. Ltd, this one is the only one that started in 2018, is one of 3 in phase 3, and was the 2nd registered.

Gastrointestinal Stromal Tumors

343 studies on the registry are indexed under Gastrointestinal Stromal Tumors; 61 are open to participants now.

Browse Gastrointestinal Stromal Tumors studies →

Open to participants now

2 of the 10 studies in Gastrointestinal Stromal Tumors by Ono Pharmaceutical Co. Ltd are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Who these studies take

Of the 49 Gastrointestinal Stromal Tumors studies recruiting now, 38 (78%) set no upper age limit and 4 (8%) stop at 75 or younger; 6 take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is a 2-arm, randomized, placebo-controlled, double-blind, international, multicenter study comparing the efficacy of ripretinib (DCC-2618) to placebo in patients who have received treatment with prior anticancer therapies. Prior anticancer therapies must include imatinib, sunitinib, and regorafenib (3 prior therapies). Approximately 120 patients were randomized in a 2:1 ratio to ripretinib 150 mg QD or placebo

03

Conditions studied

  • Gastrointestinal Stromal Tumors
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Histologic diagnosis of GIST
  2. Patients must have progressed on imatinib, sunitinib, and regorafenib or have documented intolerance to any of these treatments.
  3. PS of 0 to 2 at screening.
  4. Able to provide an sample if no anticancer therapy was administered since the sample was collected; otherwise, a fresh tumor tissue sample is required prior to the first dose of study drug.
  5. Female patients of must have a negative serum beta-human chorionic gonadotrophin (β-hCG) pregnancy test at screening and negative urine pregnancy test at Cycle 1 Day 1 prior to the first dose of study drug.
  6. Patients of must agree to follow the requirements.
  7. The patient is capable of understanding and complying with the protocol and has signed the document. A signed informed consent form must be obtained before any study-specific procedures are performed.
  8. At least 1 according to modified Version 1.1 (non-nodal lesions must be ≥1.0 cm in the long axis or ≥double the slide thickness in the long axis) within 21 days prior to the first dose of study drug.
  9. Adequate organ function and bone marrow reserve as indicated by the following laboratory assessments performed at screening.

    • ≥1000/uL
    • ≥8 g/dL
    • count ≥75,000/uL
    • Total ≤1.5 x the (ULN)
    • or alanine transaminase ≤3 x ULN (≤5x ULN in the presence of hepatic )
    • Serum creatinine ≤1.5 x ULN or ≥50 mL/min based on either urine collection or Cockcroft Gault estimation.
    • (PT) or international normalized ratio (INR) or partial thromboplastin time ≤1.5 x ULN. Patients on a stable, maintenance regimen of anticoagulant therapy for at least 30 days prior to study drug administration may have PT/INR measurements >1.5 x ULN if, in the opinion of the Investigator, the patient is suitable for the study. An adequate rationale must be provided to the Sponsor prior to randomization.
  10. Resolution of all toxicities from prior therapy to ≤Grade 1 (or baseline) within 1 week prior to the first dose of study drug (excluding alopecia and ≤Grade 3 clinically asymptomatic lipase, amylase, and creatine phosphokinase laboratory abnormalities).

Exclusion criteria

Exclusion Criteria:

  1. Treatment with anticancer therapy, including therapy, or investigational procedures within 14 days or 5 x the half-life (whichever is longer) prior to the first dose of study drug. For prior biological therapies, eg, monoclonal antibodies with a half-life longer than 3 days, the interval must be at least 28 days prior to the first dose of study drug.
  2. Prior treatment with DCC-2618
  3. Prior or concurrent whose natural history or treatment have the potential to interfere with the safety or efficacy assessment of DCC-2618. Patients receiving cancer treatment are not eligible if those medications are potentially active against GIST or excluded per protocol.
  4. Patient has known active central nervous system .
  5. class II - IV heart disease, active ischemia or any other uncontrolled cardiac condition such as angina pectoris, cardiac arrhythmia requiring therapy, uncontrolled hypertension or congestive heart failure.
  6. Arterial thrombotic or embolic events such as cerebrovascular accident (including ischemic attacks) or hemoptysis within 6 months before the first dose of study drug.
  7. Venous thrombotic events (eg, deep vein thrombosis) or pulmonary arterial events (eg, pulmonary embolism) within 3 months before the first dose of study drug. Patients with venous thrombotic events ≥3 months before the first dose of study drug on stable anticoagulation therapy are eligible.
  8. 12-lead (ECG) demonstrating corrected by Fridericia's formula >450 ms in males or >470 ms in females at screening or history of long QT interval corrected syndrome.
  9. (LVEF) \<50% at screening.
  10. Use of proton-pump inhibitors within 4 days prior to the first dose of study drug. Other medications that increase gastric pH, ie, histamine H2 receptor antagonists and antacids may be taken provided they are not administered within 2 hours before or after administration of study drug.
  11. Use of strong or moderate inhibitors and inducers of cytochrome P450 (CYP) 3A4, including certain herbal medications (eg, St. John's Wort) and consumption of grapefruit or grapefruit juice within 14 days or 5 x the half-life (whichever is longer) prior to the first dose of study drug.
  12. Use of known substrates or inhibitors of breast cancer resistance protein (BCRP) transporters within 14 days or 5 x the half-life (whichever is longer) prior to the first dose of study drug.
  13. Major surgeries (eg, abdominal laparotomy) within 4 weeks of the first dose of study drug. Following major surgeries, >4 weeks prior to the first dose of study drug, all surgical wounds must be healed and free of infection or dehiscence.
  14. Any other clinically significant comorbidities, such as uncontrolled pulmonary disease, active infection, or any other condition, which in the judgment of the Investigator, could compromise compliance with the protocol, interfere with interpretation of the study results, or predispose the patient to safety risks.
  15. Known or infection only if the patient is taking medications that are excluded per protocol, active , or active hepatitis C infection.
  16. If female, the patient is pregnant or lactating.
  17. Known allergy or to any component of the investigational drug product. Patients with a history of Stevens-Johnson syndrome on a prior TKI are excluded.
  18. Gastrointestinal abnormalities including but not limited to:

    • inability to take oral medication
    • malabsorption syndromes
    • requirement for intravenous alimentation
  19. Any active bleeding excluding hemorrhoidal or gum bleeding.
Terms in these criteria, in plain language(29)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
129 participants (actual)

Study arms

  • Active comparator
    Arm 1

    150 mg QD DCC-2618

    Drug: DCC-2618

  • Placebo comparator
    Arm 2

    Placebo

    Drug: Placebo Oral Tablet

Interventions

  • Oral KIT/PDGFRA kinase inhibitor

    Also known as: ripretinib

  • DrugPlacebo Oral Tablet

    Placebo

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS)

    PFS was defined as the time interval between the date of randomization and the earliest documented evidence of the first disease progression based on the independent radiologic review or death due to any cause on initially assigned study treatment, whichever comes earlier, assessed at 26, 39, and 52 weeks.

    Time frame: From date of randomization to the earliest date of disease progression or death from any cause [through database cutoff 31-May-2019 (up to approximately 15 months)].

Secondary outcomes

  1. Objective Response Rate (ORR)

    The percentage of patients with a confirmed complete response or PR (CR: Disappearance of all target lesions and non-target lesions (if present at baseline); all lymph nodes must be non-pathological in size) or partial response (PR: \>=30% decrease in the Sum of Diameters of target lesions and non-target lesions non-PD or NE or none at baseline; or target lesions CR and non-target lesions non-CR/Non-PD or NE) based on the independent radiologic review and during the initially assigned study treatment. To be assigned a status of a CR or PR, changes in tumor measurements must be confirmed by repeat CT or MRI assessments that must be performed at least 4 weeks after the criteria for response are first met.

    Time frame: From date of randomization to the earliest date of disease progression or death from any cause [through database cutoff 31-May-2019 (up to approximately 15 months)].

  2. Time to Tumor Progression (TTP) Based on Independent Radiologic Review

    TTP is defined as the interval between the date of randomization and the earliest documented evidence of disease progression based on the independent radiologic review.

    Time frame: From date of randomization to the earliest date of disease progression [through database cutoff 31-May-2019 (up to approximately 15 months)].

  3. Overall Survival (OS)

    Overall Survival (OS) was defined as the interval between the date of randomization until the date of death or the date of last follow-up.

    Time frame: From the date of randomization to the date of death from any cause [through database cutoff 31-May-2019 (up to approximately 15 months)].

  4. Quality of Life & Disease-Related Symptoms - European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30-Item - Role Functioning

    Changes from baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30-item - Role Functioning. For the ripretinib arm the minimum and maximum for the outcome were -67 to 67; the placebo arm had a range of -83 to 67. The higher value represents a higher quality of life in disease-related symptoms.

    Time frame: From the date of randomization (Baseline) to Cycle 2 Day 1 (Month 2)

  5. Quality of Life & Disease-Related Symptoms - Physical Functioning

    Changes from baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30-Item - Physical Functioning. For the ripretinib arm, the minimum and maximum for the outcome were -33 to 53; the placebo arm had a range of -47 to 20. The higher value represents a higher quality of life in disease-related symptoms.

    Time frame: From the date of randomization (Baseline) to Cycle 2 Day 1 (Month 2)

  6. Quality of Life & Disease-Related Symptoms - EuroQol Visual Analogue Scale

    Change from baseline in EuroQol Visual Analogue Scale. For the ripretinib arm the minimum and maximum for the outcome were -43 to 91; the placebo arm had a range of -68 to 23. The higher value represents a higher quality of life in disease-related symptoms.

    Time frame: From the date of randomization (Baseline) to Cycle 2 Day 1 (Month 2)

07

Results

Posted Apr 23, 2021

Participant flow

The first patient enrolled on 27 Feb 2018, with the last patient in (LPI) on 16 Nov 2018. The study is ongoing; Data cutoff date of 31 May 2019. Of the 129 patients enrolled in the double-blind period (ITT population), 85 patients were randomized to the ripretinib arm and 44 patients were randomized to the placebo arm.

Participant flow — Overall Study
MilestoneRipretinibPlacebo
Started8544
Completed4635
Not completed399

Outcome measures

PrimaryProgression-Free Survival (PFS)

PFS was defined as the time interval between the date of randomization and the earliest documented evidence of the first disease progression based on the independent radiologic review or death due to any cause on initially assigned study treatment, whichever comes earlier, assessed at 26, 39, and 52 weeks.

Time frame:
From date of randomization to the earliest date of disease progression or death from any cause [through database cutoff 31-May-2019 (up to approximately 15 months)].
Reported as:
Median · Weeks
Progression-Free Survival (PFS)
WeeksRipretinibPlacebo
Progression-Free Survival (PFS)27.6 (20.0 to 29.9)4.1 (4.0 to 7.3)
Statistical analysis
  • Ripretinib vs Placebo · Log Rank · p = <0.0001 (Two-sided P-value) · Hazard ratio, log: 0.15 · 95% CI 0.09 to 0.25Ripretinib: Placebo; based on stratified Cox Proportional Hazards Regression Model using randomization stratification factors \[prior lines of therapy (3 versus ≥4); ECOG (0 versus 1 or 2)\]
SecondaryObjective Response Rate (ORR)

The percentage of patients with a confirmed complete response or PR (CR: Disappearance of all target lesions and non-target lesions (if present at baseline); all lymph nodes must be non-pathological in size) or partial response (PR: \>=30% decrease in the Sum of Diameters of target lesions and non-target lesions non-PD or NE or none at baseline; or target lesions CR and non-target lesions non-CR/Non-PD or NE) based on the independent radiologic review and during the initially assigned study treatment. To be assigned a status of a CR or PR, changes in tumor measurements must be confirmed by repeat CT or MRI assessments that must be performed at least 4 weeks after the criteria for response are first met.

Time frame:
From date of randomization to the earliest date of disease progression or death from any cause [through database cutoff 31-May-2019 (up to approximately 15 months)].
Reported as:
Number · Percentage of Participants
Objective Response Rate (ORR)
Percentage of ParticipantsRipretinibPlacebo
Objective Response Rate (ORR)9.4 (4.2 to 17.7)0 (0.0 to 8.0)
Statistical analysis
  • Ripretinib vs Placebo · Fisher Exact · p = 0.0504 (Two-sided P-value)
SecondaryTime to Tumor Progression (TTP) Based on Independent Radiologic Review

TTP is defined as the interval between the date of randomization and the earliest documented evidence of disease progression based on the independent radiologic review.

Time frame:
From date of randomization to the earliest date of disease progression [through database cutoff 31-May-2019 (up to approximately 15 months)].
Reported as:
Median · Weeks
Time to Tumor Progression (TTP) Based on Independent Radiologic Review
WeeksRipretinibPlacebo
Time to Tumor Progression (TTP) Based on Independent Radiologic Review28 (20.0 to 36.4)4.1 (4.0 to 7.6)
SecondaryOverall Survival (OS)

Overall Survival (OS) was defined as the interval between the date of randomization until the date of death or the date of last follow-up.

Time frame:
From the date of randomization to the date of death from any cause [through database cutoff 31-May-2019 (up to approximately 15 months)].
Reported as:
Median · weeks
Overall Survival (OS)
weeksRipretinibPlacebo
Overall Survival (OS)65.6 (53.6 to 65.6)28.6 (17.9 to 50.4)
Statistical analysis
  • Ripretinib vs Placebo · Log Rank · p = 0.0004 (Not evaluated for statistical significance as a result of the sequential testing procedure for the secondary endpoints of ORR and OS.) · Hazard ratio (hr): 0.36 · 95% CI 0.21 to 0.62Ripretinib: Placebo; based on stratified Cox Proportional Hazards Regression Model using randomization stratification factors \[prior lines of therapy (3 versus ≥4); ECOG (0 versus 1 or 2)\]
SecondaryQuality of Life & Disease-Related Symptoms - European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30-Item - Role Functioning

Changes from baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30-item - Role Functioning. For the ripretinib arm the minimum and maximum for the outcome were -67 to 67; the placebo arm had a range of -83 to 67. The higher value represents a higher quality of life in disease-related symptoms.

Time frame:
From the date of randomization (Baseline) to Cycle 2 Day 1 (Month 2)
Reported as:
Mean · units on a scale
Quality of Life & Disease-Related Symptoms - European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30-Item - Role Functioning
units on a scaleRipretinibPlacebo
Quality of Life & Disease-Related Symptoms - European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30-Item - Role Functioning3.5 ± 27.31-17.1 ± 30.28
Statistical analysis
  • Ripretinib vs Placebo · ANCOVA · p = 0.001 (Not evaluated for statistical significance as a result of the sequential testing procedure for the secondary endpoints of ORR, OS, and QOL.)Factors: prior lines of therapy (3 versus ≥4); ECOG (0 versus 1 or 2)
SecondaryQuality of Life & Disease-Related Symptoms - Physical Functioning

Changes from baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer 30-Item - Physical Functioning. For the ripretinib arm, the minimum and maximum for the outcome were -33 to 53; the placebo arm had a range of -47 to 20. The higher value represents a higher quality of life in disease-related symptoms.

Time frame:
From the date of randomization (Baseline) to Cycle 2 Day 1 (Month 2)
Reported as:
Mean · units on a scale
Quality of Life & Disease-Related Symptoms - Physical Functioning
units on a scaleRipretinibPlacebo
Quality of Life & Disease-Related Symptoms - Physical Functioning1.6 ± 16.03-8.9 ± 19.28
Statistical analysis
  • Ripretinib vs Placebo · ANCOVA · p = 0.004 (Not evaluated for statistical significance as a result of the sequential testing procedure for the secondary endpoints of ORR, OS, and QOL.)Factors: prior lines of therapy (3 versus ≥4); ECOG (0 versus 1 or 2)
SecondaryQuality of Life & Disease-Related Symptoms - EuroQol Visual Analogue Scale

Change from baseline in EuroQol Visual Analogue Scale. For the ripretinib arm the minimum and maximum for the outcome were -43 to 91; the placebo arm had a range of -68 to 23. The higher value represents a higher quality of life in disease-related symptoms.

Time frame:
From the date of randomization (Baseline) to Cycle 2 Day 1 (Month 2)
Reported as:
Mean · Units on a Scale
Quality of Life & Disease-Related Symptoms - EuroQol Visual Analogue Scale
Units on a ScaleRipretinibPlacebo
Quality of Life & Disease-Related Symptoms - EuroQol Visual Analogue Scale3.7 ± 20.36-8.9 ± 19.31
Statistical analysis
  • Ripretinib vs Placebo · t-test, 2 sided · p = 0.004

Adverse events

Collected over After Administration of the first dose of study drug and through 30 days after the last dose of study drug. A median of 28 weeks per participant for the ripretinib arm, and a median of 10 weeks per participant for the placebo arm.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ripretinib26/85 (30.6%)26/85 (30.6%)84/85 (98.8%)
Placebo26/43 (60.5%)19/43 (44.2%)42/43 (97.7%)
Most frequent serious events
Showing 10 of 42
Most frequent serious events
EventRipretinibPlacebo
DeathGeneral disorders3/854/43
Abdominal PainGastrointestinal disorders4/852/43
AstheniaGeneral disorders0/852/43
SepsisInfections and infestations1/852/43
Acute Kidney InjuryRenal and urinary disorders1/852/43
AnemiaBlood and lymphatic system disorders3/851/43
NauseaGastrointestinal disorders2/850/43
VomitingGastrointestinal disorders2/850/43
AscitesGastrointestinal disorders1/851/43
Gastrointestinal FistulaGastrointestinal disorders1/851/43
Most frequent other events
Showing 10 of 46
Most frequent other events
EventRipretinibPlacebo
AlopeciaSkin and subcutaneous tissue disorders44/852/43
FatigueGeneral disorders36/8510/43
NauseaGastrointestinal disorders33/855/43
Abdominal PainGastrointestinal disorders31/8513/43
ConstipationGastrointestinal disorders29/858/43
MyalgiaMusculoskeletal and connective tissue disorders27/855/43
DiarrheaGastrointestinal disorders24/856/43
Decreased AppetiteMetabolism and nutrition disorders23/859/43
VomitingGastrointestinal disorders18/853/43
Palmar-Plantar Erythrodysesthesia SyndromeSkin and subcutaneous tissue disorders18/850/43

Baseline characteristics

The baseline analysis population was the intent-to-treat (ITT) population, defined as those who signed the ICF and were randomized

Age, Customized
Age, Customized(Participants)RipretinibPlaceboTotal
Age Category (years) — 18 - 64 Years572279
Age Category (years) — 65 - 74 Years201232
Age Category (years) — 75 Years or Older81018
Sex: Female, Male
Sex: Female, Male(Participants)RipretinibPlaceboTotal
Female381856
Male472673
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)RipretinibPlaceboTotal
Hispanic or Latino101
Not Hispanic or Latino7638114
Unknown or Not Reported8614
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)RipretinibPlaceboTotal
Race — Asian459
Race — Black or African American8210
Race — White643397
Race — Not Reported8412
Race — Other101
Region
Region(Participants)RipretinibPlaceboTotal
US402060
Non-US452469
Number of Prior Systemic Anticancer Treatments
Number of Prior Systemic Anticancer Treatments(Participants)RipretinibPlaceboTotal
3542781
≥ 4311748
08

Study locations

35 sites
  • HonorHealth
    Scottsdale, Arizona 85260, United States
  • University of Southern California - Norris
    Los Angeles, California 90033, United States
  • UCLA
    Los Angeles, California 90095, United States
  • Stanford
    Stanford, California 94305, United States
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida 32224, United States
  • Georgia Cancer Specialists
    Atlanta, Georgia 30341, United States
  • University of Chicago
    Chicago, Illinois 60637, United States
  • Dana Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Columbia
    New York, New York 10027, United States
  • MSKCC
    New York, New York 10065, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania 19111, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Alfred University
    Melbourne, Australia
  • University Hospital Leuven
    Leuven, Belgium
  • Cross Cancer Center
    Edmonton, Alberta, Canada
  • Princess Margaret Hospital
    Toronto, Canada
  • Helsinki University Central Hospital
    Helsinki, Finland
  • Institut Bergonié
    Bordeaux, France
  • Le Centre Léon Bérard
    Lyon, France
  • Gustave-Roussy
    Villejuif, France
  • Sarcoma Center Brandenburg
    Brandenburg, Germany
  • University Hospital Essen
    Essen, Germany
  • Universitätsmedizin Mannheim
    Mannheim, Germany
  • Istituto Nazionale dei Tumori
    Milan, Italy
  • Università Campus Bio-Medico di Roma
    Rome, Italy
  • Leiden University Medical Center
    Leiden, Netherlands
  • Maria Sklodowska-Curie Memorial Cancer Center
    Warsaw, Poland
  • NCC
    Singapore, 169610, Singapore
  • Vall d'Hebron
    Barcelona, Spain
  • Hospitalario Universitario Virgen del Rocío
    Seville, Spain
  • Royal Marsden
    London, United Kingdom
  • University of Sheffield
    Sheffield, United Kingdom
09

References and documents

Publications

  • Symcox M, Somaiah N. Ripretinib for advanced gastrointestinal stromal tumor: Plain language summary of the INVICTUS study. Future Oncol. 2021 Dec 1;17(36):5007-5012. doi: 10.2217/fon-2021-0803. Epub 2021 Oct 18. PubMed 34661454 ↗
  • Blay JY, Serrano C, Heinrich MC, Zalcberg J, Bauer S, Gelderblom H, Schoffski P, Jones RL, Attia S, D'Amato G, Chi P, Reichardt P, Meade J, Shi K, Ruiz-Soto R, George S, von Mehren M. Ripretinib in patients with advanced gastrointestinal stromal tumours (INVICTUS): a double-blind, randomised, placebo-controlled, phase 3 trial. Lancet Oncol. 2020 Jul;21(7):923-934. doi: 10.1016/S1470-2045(20)30168-6. Epub 2020 Jun 5. Erratum In: Lancet Oncol. 2020 Jul;21(7):e341. doi: 10.1016/S1470-2045(20)30353-3. PubMed 32511981 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in May 2019, 15 months.

Results were first posted in Apr 2021, 1 year 10 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2017
First posted
Nov 27, 2017
StartActual
Feb 27, 2018
Primary completionActual
May 31, 2019
CompletionActual
May 11, 2022
Results first posted
Apr 23, 2021
Last update
Nov 21, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03353753
Responsible party
Sponsor
First posted
Nov 27, 2017
Start date
Feb 27, 2018
Primary completion
May 31, 2019
Completion
May 11, 2022
Results posted
Apr 23, 2021
Last update
Nov 21, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Ripretinib

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