CClinicalTrials.gg
Active, not recruitingNCT05734105INSIGHTUpdated Dec 17, 2025

A Study of Ripretinib vs Sunitinib in Patients With Advanced GIST With Specific KIT Exon Mutations Who Were Previously Treated With Imatinib

A Phase 3 interventional study of Ripretinib and Sunitinib in GIST, sponsored by Deciphera Pharmaceuticals, LLC. Active, not recruiting at 70 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-17.

Sponsored by Deciphera Pharmaceuticals, LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 3, 2-arm, randomized, open-label, global, multicenter study comparing the efficacy of ripretinib to sunitinib in participants with GIST who progressed on first-line treatment with imatinib, harbor co-occurring KIT exons 11+17/18 mutations, and are without KIT exon 9, 13, or 14 mutations. Upon disease progression as determined by an independent radiologic review, participants randomized to sunitinib will be given the option to either crossover to receive ripretinib 150 mg QD or discontinue sunitinib.

02

Conditions studied

  • GIST

Keywords

  • advanced gastrointestinal tumors
  • gastrointestinal stromal tumors
  • imatinib
  • ripretinib
03

In context

Gastrointestinal Stromal Tumors

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

This study's planned enrollment of 54 is close to the median of 50 across 243 interventional studies indexed under Gastrointestinal Stromal Tumors.

Browse Gastrointestinal Stromal Tumors studies →

Lead sponsor

Deciphera Pharmaceuticals, LLC is the lead sponsor of 24 studies on the registry; 7 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 3 (33%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  1. Male or female ≥18 years of age.
  2. Histologic diagnosis of GIST with co-occurring KIT exons 11+17/18 mutations confirmed by ctDNA sample.
  3. Participants must have advanced GIST and radiologic progression on imatinib treatment.
  4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of ≤2 at screening.
  5. Female participants of childbearing potential must have a negative pregnancy test at screening and prior to the first dose of study drug.
  6. Participants of reproductive potential must agree to follow contraception requirements.
  7. Participants must have at least 1 measurable lesion according to mRECIST v1.1 within 21 days prior to the first dose of study drug.
  8. Adequate organ function and bone marrow reserve based on laboratory assessments performed at screening.

Exclusion criteria

Exclusion Criteria:

  1. History of KIT exon 9 mutation or detection of KIT exon 9, 13, or 14 mutations in a ctDNA sample.
  2. Has known active central nervous system metastases.
  3. New York Heart Association Class II-IV heart disease, myocardial infarction within 6 months of Cycle 1 Day 1, active ischemia or any other uncontrolled cardiac condition such as angina pectoris, clinically significant cardiac arrhythmia requiring therapy, uncontrolled hypertension, or congestive heart failure.
  4. Use of strong or moderate inhibitors or inducers of cytochrome P450 (CYP) 3A prior to the first dose of study drug, and consumption of grapefruit or grapefruit juice within 14 days prior to the first dose of study drug.
  5. Major surgeries (eg, abdominal laparotomy) within 4 weeks of the first dose of study drug.
  6. Known human immunodeficiency virus or hepatitis C infection only if the participant is taking medications that are excluded per protocol, acute or chronic hepatitis B, or acute or chronic hepatitis C infection.
  7. Gastrointestinal abnormalities including, but not limited to:

    1. inability to take oral medication
    2. malabsorption syndromes
    3. requirement for intravenous alimentation
  8. Any active bleeding excluding hemorrhoidal or gum bleeding.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
54 participants (estimated)

Study arms

  • Experimental
    Ripretinib

    150 mg QD of ripretinib (3×50 mg tablets) will be dosed continuously in repeated 42-day cycles.

    Drug: Ripretinib

  • Active comparator
    Sunitinib

    50 mg QD of sunitinib (4×12.5 mg capsules) will be dosed in 42-day cycles. Sunitinib will be given continuously for 4 weeks with a 2-week break.

    Drug: Sunitinib

Interventions

  • DrugRipretinib

    50 mg tablets

    Also known as: QINLOCK, DCC-2618

  • DrugSunitinib

    12.5 mg tablets

    Also known as: Sutent

06

What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS)

    The time from randomization until documented progressive disease (PD) based on IRR per mRECIST or death due to any cause, whichever occurs first.

    Time frame: Up to end of treatment; up to approximately 48 months

Secondary outcomes

  1. Objective Response Rate (ORR)

    Compare ORR by IRR of ripretinib vs sunitinib using mRECIST

    Time frame: Up to end of treatment; up to approximately 48 months

  2. Overall Survival (OS)

    Compare OS of ripretinib vs sunitinib

    Time frame: Up to approximately 48 months

07

Study locations

70 sites
  • UC San Diego Moores Cancer Center
    La Jolla, California 92093, United States
  • Yale University
    New Haven, Connecticut 06520, United States
  • Mayo Clinic Florida
    Jacksonville, Florida 32224, United States
  • Sylvester Comprehensive Cancer Center
    Miami, Florida 33136, United States
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
  • Johns Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • Boston Medical Center
    Boston, Massachusetts 02118, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • M Health Fairview University of Minnesota Medical Center
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Northwell Health Cancer Institute/ R.J. Zuckerberg Cancer Center
    New York, New York 11042, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
  • OU Health Stephenson Cancer Center
    Oklahoma City, Oklahoma 73104, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • UPMC Hillman Cancer Center
    Pittsburgh, Pennsylvania 15232, United States
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Fred Hutchinson Cancer Center
    Seattle, Washington 98109, United States
  • Prince of Wales Hospital
    Randwick, New South Wales 2031, Australia
  • Alfred Health
    Melbourne, Victoria 3004, Australia
  • INCA - Instituto Nacional de Cancer
    Rio de Janeiro, Rio de Janeiro 20231, Brazil
  • CEPEN - Centro de Pesquisa e Ensino em Saude de Santa Catarina
    Florianópolis, Santa Catarina 88034-000, Brazil
  • Hospital de Cancer de Barretos - Fundacao Pio XII
    Barretos, São Paulo 14748-400, Brazil
  • Hospital Sirio-Libanes
    São Paulo, São Paulo 01308, Brazil
  • Hospital 9 de Julho
    São Paulo, São Paulo 01409-002, Brazil
  • AC Camargo Câncer Center
    São Paulo, São Paulo 01509-900, Brazil
  • Arthur J.E. Child Comprehensive Cancer Centre
    Calgary, Alberta T2N 5G2, Canada
  • Juravinski Cancer Centre
    Hamilton, Ontario L8V 5C2, Canada
  • University Health Network, Princess Margaret Cancer Centre
    Toronto, Ontario M5G 2M9, Canada
  • McGill University Health Centre
    Montreal, Quebec H4A 3J1, Canada
  • Clínica San Carlos De Apoquindo Red Salud UC Christus
    Las Condes, RM 7620002, Chile
  • Centro de Oncología de Precisión
    Santiago, RM 7550000, Chile
  • CHU Dijon
    Dijon, Bourgogone 21079, France
  • Centre Eugène Marquis
    Rennes, Ille et Vilaine 35000, France
  • Institut Bergonié
    Bordeaux, 33076, France
  • Centre Léon Bérard
    Lyon, 69373, France
  • Institut Gustave Roussy
    Villejuif, 94805, France
  • Helios Klinikum Berlin-Buch
    Berlin, Germany
  • University Hospital Essen (Universitätsklinikum Essen)
    Essen, 45147, Germany
  • Heidelberg University Hospital
    Heidelberg, 69120, Germany
  • Universitares Krebszentrum Leipzig
    Leipzig, 04103, Germany
  • Istituto Nazionale Tumori IRCCS Fondazione "G Pascale"
    Naples, Napoli 80131, Italy
  • U.O.C. Oncologia Medica
    Palermo, Palermo 90127, Italy
  • Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi
    Bologna, 40138, Italy
  • Fondazione IRCCS Istituto Nazionale dei Tumori
    Milan, 20133, Italy
  • Istituto Oncologico Veneto-IOV IRCCS
    Padova, 35128, Italy
  • Università Campus Bio-Medico di Roma
    Roma, 00128, Italy
  • IRCCS Istituto Clinico Humanitas
    Rozzano, 20089, Italy
  • UMC Groningen
    Groningen, 9713, Netherlands
  • LUMC
    Leiden, 2333 ZA, Netherlands
  • Oslo University Hospital
    Oslo, Norway 0379, Norway
  • Narodowy Instytut Onkologii Im . Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy
    Warsaw, Warszawa 02-781, Poland
  • Seoul National University Hospital
    Seoul, 03080, South Korea
  • Asan Medical Center
    Seoul, 05505, South Korea
  • Samsung Medical Center
    Seoul, 06351, South Korea
  • Hospital Universitario Vall d'Hebron
    Barcelona, Barcelona 08035, Spain
  • Complejo Hospitalario Universitario de Vigo - Hospital Alvaro Cunqueiro
    Vigo, Pontevedra 36312, Spain
  • Instituto Valenciano de Oncologia - IVO
    Valencia, Valencia 46009, Spain
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 08041, Spain
  • Hospital General Universitario Gregorio Marañon
    Madrid, 28007, Spain
  • Hospital Universitario Fundacion Jimenez Diaz
    Madrid, 28040, Spain
  • Hospital Universitario Centra de Asturias
    Oviedo, 33011, Spain
  • Hospital Universitario Virgen del Rocio
    Seville, 41013, Spain
  • China Medical University Hospital
    Taichung, 40447, Taiwan
  • National Taiwan University Hospital
    Taipei, 10002, Taiwan
  • Taipei Veterans General Hospital
    Taipei, 11217, Taiwan
  • The Royal Marsden Hospital NHS Foundation Trust
    London, Greater London SW3 6JJ, United Kingdom
  • St. James University Hospital
    Leeds, West Yorkshire LS9 7TF, United Kingdom
08

References and documents

Publications

  • George S, Blay JY, Chi P, Jones RL, Serrano C, Somaiah N, Gelderblom H, Zalcberg JR, Reichmann W, Sprott K, Cox P, Sherman ML, Ruiz-Soto R, Heinrich MC, Bauer S. The INSIGHT study: a randomized, Phase III study of ripretinib versus sunitinib for advanced gastrointestinal stromal tumor with KIT exon 11 + 17/18 mutations. Future Oncol. 2024;20(27):1973-1982. doi: 10.1080/14796694.2024.2376521. Epub 2024 Sep 4. PubMed 39229786 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05734105
Lead sponsor
Deciphera Pharmaceuticals, LLC
Responsible party
Sponsor
First posted
Feb 17, 2023
Start date
Dec 13, 2023
Primary completion
Dec 2027 (estimated)
Completion
Dec 2028 (estimated)
Last update
Dec 17, 2025

Study contacts

Clinical Team
study director · Deciphera Pharmaceuticals, LLC

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion