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NCT Number: NCT07689201

A Study of Velzatinib in Participants With Metastatic and/or Unresectable GIST After Imatinib, Sunitinib, Regorafenib, and Pimitespib

The goal of this study is to evaluate the study drug velzatinib (GSK6042981 / IDRX-42) to see whether velzatinib can shrink or control tumors and is safe and tolerated in Japan participants with gastrointestinal tumors (GIST) who progressed or were intolerant to standard therapies.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Histologically or cytologically confirmed GIST that is metastatic and/or surgically unresectable.
  • Documented disease progression on or intolerance to imatinib, sunitinib, regorafenib, and pimitespib.
  • Documented mutation status of KIT and/or PDGFRA.
  • Tumor tissue must be available for retrospective biomarker analysis. The sample may be from archival tissue or a new biopsy.
  • Is willing to use adequate contraception male and/or female participants.

Exclusion criteria

  • Known untreated or active central nervous system metastases.
  • Has significant, uncontrolled, or active cardiovascular disease.
  • Participants with a known allergy or hypersensitivity to any component of velzatinib. Participants with a history of Stevens-Johnson syndrome on a prior Tyrosine kinase inhibitor (TKI) are excluded.
  • Has a malignancy (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.
  • Prior treatment with ripretinib or other investigational agents that are currently under clinical development for GIST.
  • Is pregnant or breastfeeding.
  • Any condition or illness that, in the opinion of the Investigator, might compromise participant safety or interfere with the evaluation of the safety of the study treatment.

Treatment and study plan

Velzatinib

Drug

Velzatinib will be administered.

Other names: GSK6042981

Primary outcomes

  1. Confirmed objective response rate (ORR)

    Time frame: Up to 67 weeks

    ORR is defined as the percent of participants reaching confirmed complete response (CR) or partial response (PR).

Secondary outcomes

  1. Duration of response (DOR)

    Time frame: Up to 156 weeks

    DOR is defined as the time from the date of first documented objective response (confirmed CR or PR) to the date of first documented disease progression (PD) or death due to any cause, whichever comes first.

  2. Disease control rate for minimum 8-week period (DCR8)

    Time frame: Up to 156 weeks

    DCR8 is defined as the percent of participants reaching confirmed CR or PR, or stable disease (SD) sustained for a minimum period of 8 weeks.

  3. Progression free survival (PFS)

    Time frame: Up to 156 weeks

    PFS is defined as the time from the date of first dose of study treatment to the date of first documented PD or death due to any cause, whichever comes first.

  4. Overall survival (OS)

    Time frame: Up to 156 weeks

    OS is defined as the time from the date of first dose of study treatment to the date of death due to any cause.

  5. Confirmed ORR

    Time frame: Up to 156 weeks

    ORR is defined as the percent of participants reaching confirmed CR or PR.

  6. Change from baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-F17 (EORTC-QLQ-F17)

    Time frame: Baseline (Day 1) up to 156 weeks

    The EORTC QLQ-F17 is a shorter version of the EORTC QLQ-C30. QLQ-F17 includes the Physical (PF), Role (RF), Emotional (EF), Cognitive (CF) and Social Functioning (SF) scales as well as the Global Health Status/Quality of Life (QL) scale in their original wording. Scores for each scale are averaged and transformed linearly to a score ranging from 0-100. A high score for functional scales and for Global Health Status/QoL represents better functioning ability or HRQoL.

  7. Change from baseline in EQ-5D-5L score

    Time frame: Baseline (Day 1) up to 156 weeks

    The EQ-5D-5L is a validated standardised, self-reported instrument for assessing HRQoL across 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 response levels of severity, ranging from no problems to extreme problems. The questionnaire also includes a visual analog scale for self-rated overall health on a scale from 0 (worst imaginable health) to 100 (best imaginable health).

  8. Plasma concentrations of velzatinib

    Time frame: Up to 156 weeks

  9. Number of participants with treatment emergent adverse events (TEAEs), serious adverse events (SAEs), dose reductions and interruptions and discontinuation of study treatment due to toxicity by severity

    Time frame: Up to 156 weeks

Study contacts

Contact information is provided by the study sponsor or research team.

EU GSK Clinical Trials Call Center

CONTACT

[email protected]

+44 (0) 20 89904466

US GSK Clinical Trials Call Center

CONTACT

[email protected]

877-379-3718

Sponsors and collaborators

Lead sponsor

GlaxoSmithKline

Industry

Registry information

Official study title

A Phase 2, Single-arm, Multicenter, Open-Label Study of Velzatinib (GSK6042981) in Participants With Metastatic and/or Unresectable Gastrointestinal Stromal Tumors (GIST) After Imatinib, Sunitinib, Regorafenib, and Pimitespib Therapies (StrateGIST J)

Important dates

Study start
2026
Primary completion
2027
Study completion
2029
First posted
Jul 8, 2026
Registry last updated
Jul 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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