ClinicalTrials.gg
RecruitingNCT07218926Updated Oct 5, 2026

A Study of IDRX-42 (GSK6042981) Versus (vs) Sunitinib in Participants With Gastrointestinal Stromal Tumors After Imatinib Therapy

A Phase 3 interventional study of IDRX-42 and Sunitinib in Gastrointestinal Neoplasms, sponsored by GlaxoSmithKline. Recruiting at 156 sites in 19 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-05.

Primary conditionGastrointestinal Stromal TumorsRegistry: Gastrointestinal NeoplasmsReclassifiedWhy we changed it
Registry
Gastrointestinal Neoplasms — the first condition term the registry derived for this study.
ClinicalTrials.gg
Gastrointestinal Stromal Tumors
Why
  1. The study's title name Gastrointestinal Stromal Tumors, a narrower term within Gastrointestinal Neoplasms.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Updated Oct 5, 20265 sites added2 sites removedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
450
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to find out if a new drug, called IDRX-42 (also known as GSK6042981), is effective in treating adults with a type of cancer called Gastrointestinal Stromal Tumors (GIST) when compared to another drug named sunitinib. The study will see if IDRX-42 works well and is safe for participants whose GIST has spread or cannot be surgically removed, and who have already taken the drug imatinib. Participants whose disease worsens after receiving sunitinib in this study may cross over to receive GSK6042981, at investigator's discretion and if additional eligibility criteria are met.

02

Conditions studied

  • Gastrointestinal Neoplasms

Browse trials for

Keywords

  • GSK6042981
  • IDRX-42
  • Sunitinib
  • Imatinib
  • Gastrointestinal Stromal Tumors
03

In context

Gastrointestinal Stromal Tumors Reclassified

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

This study's planned enrollment of 450 is above the median of 50 across 252 interventional studies indexed under Gastrointestinal Stromal Tumors.

Browse Gastrointestinal Stromal Tumors studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,650 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 241 (91%) have results posted.

Compared within Gastrointestinal Stromal Tumors, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Gastrointestinal Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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

  • Participants with or cytologically confirmed GIST that is and/or surgically unresectable.
  • Documented disease progression on or intolerance to imatinib administered for treatment of unresectable/metastatic disease.
  • Documented mutation status of KIT and/or PDGFRA using a tissue based next-generation sequencing or polymerase chain reaction (PCR) assay.
  • Tumor tissue must be available for retrospective biomarker analysis. Sample may be archival or new .

Exclusion criteria

Exclusion Criteria:

  • GIST that is both KIT and PDGFRA wild-type or known to harbor an activating PDGFRA exon 18 mutation.
  • Known untreated or active central nervous system .
  • Participants with a known allergy or to any component of IDRX-42 (GSK6042981) or sunitinib. Participants with a history of Stevens-Johnson syndrome on a prior Tyrosine kinase inhibitor (TKI) are excluded.
  • Has a (except disease under study) that has progressed or required active treatment within the past 24 months except for basal cell or squamous cell carcinomas of the skin or in-situ carcinomas (e.g., breast, cervix, bladder) that have been resected with no evidence of metastatic disease.
Terms in these criteria, in plain language(6)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

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

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    IDRX-42 (GSK6042981)

    Drug: IDRX-42

  • Active comparator
    Sunitinib

    Drug: Sunitinib

Interventions

  • IDRX-42 will be administered.

    Also known as: velzatinib - subject to USAN approval

  • Sunitinib will be administered.

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS)

    PFS is defined as time from the date of randomization to the date of disease progression or death due to any cause, whichever occurs first.

    Time frame: Up to approximately 130 weeks

Secondary outcomes

  1. Overall Survival (OS)

    OS is defined as time from the date of randomization to the date of death due to any cause.

    Time frame: Up to approximately 261 weeks

  2. Progression-Free Survival (PFS)

    PFS is defined as time from the date of randomization to the date of disease progression or death due to any cause, whichever occurs first.

    Time frame: Up to approximately 261 weeks

  3. Confirmed Overall Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with the best overall confirmed partial response (PR) or complete response (CR).

    Time frame: Up to approximately 261 weeks

  4. Time to Response (TTR)

    TTR is defined as time from randomization until the first documented PR or complete response (CR) that will be subsequently confirmed.

    Time frame: Up to approximately 261 weeks

  5. Time from initial study randomization to second disease progression or death after starting the next line of treatment (PFS2)

    PFS2 is defined as the time from initial study randomization to the disease progression following first subsequent anticancer therapy or death, whichever is first.

    Time frame: Up to approximately 261 weeks

  6. Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire 30-item Core Module (EORTC QLQ-C30)

    The EORTC QLQ-C30 includes 30-item questionnaire for evaluating the health-related quality of life (HRQoL) of participants participating in cancer clinical studies. These include functional scales, symptom scales, global health status scale, and single item scales. Scores are averaged and transformed to 0 to 100. Higher scores indicate greater functioning, better global health status, or more severe symptoms

    Time frame: Baseline (Day 1) and up to approximately 261 weeks

  7. Time To Confirmed Deterioration (TTCD)

    TTCD is defined as the time from the date of randomization to the first confirmed clinically meaningful deterioration based on the EORTC QLQ-C30.

    Time frame: Up to approximately 261 weeks

  8. Plasma concentrations of IDRX-42 (GSK6042981)

    Time frame: Up to approximately 261 weeks

  9. Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Time frame: Up to approximately 261 weeks

  10. Number of Participants with TEAEs and SAEs by severity

    Time frame: Up to approximately 261 weeks

  11. Number of Participants with dose reductions, interruptions and discontinuation of study treatment due to toxicity

    Time frame: Up to approximately 261 weeks

  12. Number of participants with symptomatic adverse events (AEs), by severity, as measured by the Patient-reported outcome Common Terminology Criteria for Adverse Events (PRO-CTCAE)

    The PRO-CTCAE is a patient-reported outcome measure developed to evaluate symptomatic toxicities in participants in cancer clinical trials. The PRO-CTCAE includes an item library of 124 items representing 78 symptomatic toxicities drawn from the CTCAE.

    Time frame: Up to approximately 261 weeks

  13. Number of participants with bothersome AEs/tolerability as measured by the Functional Assessment of Cancer Therapy - General (FACT-GP5)

    The FACT GP5 is an assessment focused on the overall side effects impact to inform the tolerability of a treatment. The FACT GP5 ("I am bothered by side effects of treatment") responses are given on a 5-point Likert type scale. The response scale ranges from 0 (Not at all) to 4 (Very much). Higher scores indicate a higher degree of AE bother.

    Time frame: Up to approximately 261 weeks

07

Study locations

156 of 156 sites recruiting
  • GSK Investigational Site
    Phoenix, Arizona 85054, United States
    Recruiting
  • GSK Investigational Site
    Duarte, California 91010, United States
    Recruiting
  • GSK Investigational Site
    La Jolla, California 92093-1503, United States
    Recruiting
  • GSK Investigational Site
    Los Angeles, California 90048-1804, United States
    Recruiting
  • GSK Investigational Site
    San Francisco, California 94158, United States
    Recruiting
  • GSK Investigational Site
    Santa Monica, California 90404-2023, United States
    Recruiting
  • GSK Investigational Site
    Upland, California 91786-4952, United States
    Recruiting
  • GSK Investigational Site
    Aurora, Colorado 80045-2517, United States
    Recruiting
  • GSK Investigational Site
    New Haven, Connecticut 06520, United States
    Recruiting
  • GSK Investigational Site
    Washington D.C., District of Columbia 20016-2633, United States
    Recruiting
  • GSK Investigational Site
    Jacksonville, Florida 41076, United States
    Recruiting
  • GSK Investigational Site
    Miami, Florida 33136, United States
    Recruiting
  • GSK Investigational Site
    Orlando, Florida 32806, United States
    Recruiting
  • GSK Investigational Site
    Tampa, Florida 33612, United States
    Recruiting
  • GSK Investigational Site
    Chicago, Illinois 60611, United States
    Recruiting
  • GSK Investigational Site
    Chicago, Illinois 60637, United States
    Recruiting
  • GSK Investigational Site
    Iowa City, Iowa 52242, United States
    Recruiting
  • GSK Investigational Site
    Overland Park, Kansas 66210, United States
    Recruiting
  • GSK Investigational Site
    Baton Rouge, Louisiana 70808, United States
    Recruiting
  • GSK Investigational Site
    Baltimore, Maryland 21287, United States
    Recruiting
  • GSK Investigational Site
    Boston, Massachusetts 02114-2696, United States
    Recruiting
  • GSK Investigational Site
    Boston, Massachusetts 02215, United States
    Recruiting
  • GSK Investigational Site
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • GSK Investigational Site
    Rochester, Minnesota 55905-0001, United States
    Recruiting
  • GSK Investigational Site
    St Louis, Missouri 63108, United States
    Recruiting
  • GSK Investigational Site
    Omaha, Nebraska 68130-2042, United States
    Recruiting
  • GSK Investigational Site
    New Hyde Park, New York 11042-1118, United States
    Recruiting
  • GSK Investigational Site
    New York, New York 10032-3747, United States
    Recruiting
  • GSK Investigational Site
    New York, New York 10065-6007, United States
    Recruiting
  • GSK Investigational Site
    Rochester, New York 14642, United States
    Recruiting
  • GSK Investigational Site
    Charlotte, North Carolina 28204, United States
    Recruiting
  • GSK Investigational Site
    Durham, North Carolina 27710, United States
    Recruiting
  • GSK Investigational Site
    Canton, Ohio 44718, United States
    Recruiting
  • GSK Investigational Site
    Columbus, Ohio 43210, United States
    Recruiting
  • GSK Investigational Site
    Portland, Oregon 97239-3011, United States
    Recruiting
  • GSK Investigational Site
    Philadelphia, Pennsylvania 19106, United States
    Recruiting
  • GSK Investigational Site
    Philadelphia, Pennsylvania 19111, United States
    Recruiting
  • GSK Investigational Site
    Pittsburgh, Pennsylvania 15232, United States
    Recruiting
  • GSK Investigational Site
    Spartanburg, South Carolina 29307, United States
    Recruiting
  • GSK Investigational Site
    Knoxville, Tennessee 37920, United States
    Recruiting
  • GSK Investigational Site
    Dallas, Texas 75246, United States
    Recruiting
  • GSK Investigational Site
    Houston, Texas 77030, United States
    Recruiting
  • GSK Investigational Site
    Salt Lake City, Utah 84106, United States
    Recruiting
  • GSK Investigational Site
    Charlottesville, Virginia 22908-0817, United States
    Recruiting
  • GSK Investigational Site
    Fairfax, Virginia 22031, United States
    Recruiting
  • GSK Investigational Site
    Richmond, Virginia 23298-5017, United States
    Recruiting
  • GSK Investigational Site
    Seattle, Washington 98109-4405, United States
    Recruiting
  • GSK Investigational Site
    Tacoma, Washington 98405, United States
    Recruiting
  • GSK Investigational Site
    Milwaukee, Wisconsin 53226, United States
    Recruiting
  • GSK Investigational Site
    Garran, Australian Capital Territory 2605, Australia
    Recruiting
  • GSK Investigational Site
    Camperdown, New South Wales 2050, Australia
    Recruiting
  • GSK Investigational Site
    Westmead, New South Wales 2145, Australia
    Recruiting
  • GSK Investigational Site
    Melbourne, Victoria 3004, Australia
    Recruiting
  • GSK Investigational Site
    Leuven, 3000, Belgium
    Recruiting
  • GSK Investigational Site
    Barretos, São Paulo 14784-400, Brazil
    Recruiting
  • GSK Investigational Site
    São Caetano do Sul, São Paulo 09541-270, Brazil
    Recruiting
  • GSK Investigational Site
    Porto Alegre, 90020-090, Brazil
    Recruiting
  • GSK Investigational Site
    Recife, 50040000, Brazil
    Recruiting
  • GSK Investigational Site
    Vitória, 29043-260, Brazil
    Recruiting
  • GSK Investigational Site
    Calgary, Alberta T2N 5G2, Canada
    Recruiting
  • GSK Investigational Site
    Toronto, Ontario M5G 2M9, Canada
    Recruiting
  • GSK Investigational Site
    Montreal, Quebec H4A 3J1, Canada
    Recruiting
  • GSK Investigational Site
    Shijiazhuang, Hebei 050011, China
    Recruiting
  • GSK Investigational Site
    Shanghai, Shanghai Municipality 201315, China
    Recruiting
  • GSK Investigational Site
    Beijing, 100036, China
    Recruiting
  • GSK Investigational Site
    Chengdu, China
    Recruiting
  • GSK Investigational Site
    Chongqing, 400042, China
    Recruiting
  • GSK Investigational Site
    Guangzhou, 510060, China
    Recruiting
  • GSK Investigational Site
    Guangzhou, 510080, China
    Recruiting
  • GSK Investigational Site
    Guangzhou, 510655, China
    Recruiting
  • GSK Investigational Site
    Hangzhou, 310003, China
    Recruiting
  • GSK Investigational Site
    Hangzhou, 310016, China
    Recruiting
  • GSK Investigational Site
    Jinan, 250021, China
    Recruiting
  • GSK Investigational Site
    Shanghai, 200127, China
    Recruiting
  • GSK Investigational Site
    Wuhan, 430022, China
    Recruiting
  • GSK Investigational Site
    Zhengzhou, 450052, China
    Recruiting
  • GSK Investigational Site
    Angers, Maine-Et-Loire 49100, France
    Recruiting
  • GSK Investigational Site
    Bordeaux, 33076, France
    Recruiting
  • GSK Investigational Site
    Lille, 59000, France
    Recruiting
  • GSK Investigational Site
    Lyon, 69373, France
    Recruiting
  • GSK Investigational Site
    Marseille, 13005, France
    Recruiting
  • GSK Investigational Site
    Saint-Herblain, 44805, France
    Recruiting
  • GSK Investigational Site
    Toulouse, 31059, France
    Recruiting
  • GSK Investigational Site
    Villejuif, 94805, France
    Recruiting
  • GSK Investigational Site
    München, Bavaria 81377, Germany
    Recruiting
  • GSK Investigational Site
    Cologne, North Rhine-Westphalia 50937, Germany
    Recruiting
  • GSK Investigational Site
    Essen, North Rhine-Westphalia 45122, Germany
    Recruiting
  • GSK Investigational Site
    Dresden, Saxony 01307, Germany
    Recruiting
  • GSK Investigational Site
    Berlin, 13125, Germany
    Recruiting
  • GSK Investigational Site
    Mannheim, 68167, Germany
    Recruiting
  • GSK Investigational Site
    Tübingen, 72076, Germany
    Recruiting
  • GSK Investigational Site
    Budapest, 1062, Hungary
    Recruiting
  • GSK Investigational Site
    Pécs, 7624, Hungary
    Recruiting
  • GSK Investigational Site
    Meldola, FC 47014, Italy
    Recruiting
  • GSK Investigational Site
    Rozzano MI, Lombardy 20089, Italy
    Recruiting
  • GSK Investigational Site
    Bari, Italy
    Recruiting
  • GSK Investigational Site
    Bologna, 40138, Italy
    Recruiting
  • GSK Investigational Site
    Candiolo, 10060, Italy
    Recruiting
  • GSK Investigational Site
    Genova, 16132, Italy
    Recruiting
  • GSK Investigational Site
    Milan, 20133, Italy
    Recruiting

Showing the first 100 of 156 sites across 19 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: No — GSK will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/gsk-patient-level-data-sharing-july2025.pdf

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
5 sites added, 2 sites removed
Show 5 added (2 United States, 1 China, 1 Germany, 1 Hungary)
  • GSK Investigational Site · Santa Monica, United States
  • GSK Investigational Site · Zhengzhou, China
  • GSK Investigational Site · München, Germany
  • GSK Investigational Site · Budapest, Hungary
  • GSK Investigational Site · Richmond, United States
Show 2 removed
  • GSK Investigational Site · Santa Monica, United States
  • GSK Investigational Site · München, Germany
across 2 updates, Sep 25, 2026 – Oct 5, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • GSK Investigational Site · Philadelphia, United StatesContact person changed (no phone or email listed)
Sep 25, 2026
Show all 2 updates
  1. Oct 5, 2026
    1 site added
    Show site
    • GSK Investigational Site · Richmond, United States
    + 2 other changes: registry dates and data sharing statement
  2. Sep 25, 2026
    4 sites added, 2 sites removed
    Show 4 added (1 United States, 1 China, 1 Germany, 1 Hungary)
    • GSK Investigational Site · Santa Monica, United States
    • GSK Investigational Site · Zhengzhou, China
    • GSK Investigational Site · München, Germany
    • GSK Investigational Site · Budapest, Hungary
    Show 2 removed
    • GSK Investigational Site · Santa Monica, United States
    • GSK Investigational Site · München, Germany
    Site contacts Changed at 1 site. See the sites
    Show the site
    • GSK Investigational Site · Philadelphia, United StatesContact person changed (no phone or email listed)

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07218926
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Oct 21, 2025
Start date
Dec 3, 2025
Primary completion
May 30, 2028 (estimated)
Completion
Nov 29, 2030 (estimated)
Last update
Oct 5, 2026

Study contacts

US GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
877-379-3718
EU GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
+44 (0) 20 89904466

Oversight

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

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Studies of the drug tested here: IDRX-42

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