Evidence map›Paper›PMID 37356078›Full record

ArticleAdvances in therapy2023

Large-Scale, Multicenter, Prospective Registry Study of Ripretinib in Advanced GIST: A Real-World Study from China.

Xinhua Zhang, Peng Zhang, Haibo Qiu, Yong Fang, Heli Liu, Yongjian Zhou, Hao Xu, JiRen Yu, Jun Zhang, Ming Wang and 2 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Advances in therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05697107 (A Large Scale, Multicenter, Real-World Study on Patients With Advanced GIST Receiving Ripretinib), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05697107 unknown statusnot on this map

A Large Scale, Multicenter, Real-World Study on Patients With Advanced GIST Receiving Ripretinib

TypeobservationalSponsorPeking UniversityRan2021 to 2023Enrolled308ConditionsGastrointestinal Stromal TumorsArmsRipretinib Oral Tablet
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
  3. USP5 Promotes Ripretinib Resistance in Gastrointestinal Stromal Tumors by MDH2 Deubiquition.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 12 institutions in 1 country.

Xinhua Zhang *The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Peng Zhang *Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Haibo Qiu *Sun Yat-Sen University Cancer Center, Guangzhou, China.
Yong FangZhongshan Hospital, Fudan University, Shanghai, China.
Heli LiuXiangya Hospital, Central South University, Changsha, China.
Yongjian ZhouFujian Medical University Union Hospital, Fuzhou, China.
Hao XuThe First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
JiRen YuThe First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jun ZhangThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Ming WangRenji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Lin ShenPeking University Cancer Hospital and Institute, 52 Fucheng Road, Beijing, China.
Jian LiPeking University Cancer Hospital and Institute, 52 Fucheng Road, Beijing, China. oncogene@163.com.
Central South University · CNChongqing Medical University · CNFirst Affiliated Hospital Zhejiang University · CNFujian Medical University · CNJiangsu Province Hospital · CNPeking University · CNPeking University Cancer Hospital · CNRenji Hospital · CNSun Yat-sen University Cancer Center · CNThe First Affiliated Hospital, Sun Yat-sen University · CNWuhan Union Hospital · CNZhongshan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTyrosine-kinase inhibitors (TKIs) have become the standard treatment for patients with advanced gastrointestinal stromal tumor (GIST); however, secondary mutations can still drive disease progression. Studies have shown that ripretinib, a novel switch-control TKI, inhibits various primary and secondary drug-resistant mutations. There is a paucity of data on the effectiveness and safety of ripretinib in a real-world setting. This prospective, large-scale, real-world registry study aimed to evaluate the effectiveness and safety of ripretinib as a fourth-line treatment in Chinese patients with advanced GIST.

methodsPatients ≥ 18 years of age having recurrent/metastatic GIST were enrolled. Key endpoints were median progression-free survival (mPFS), median overall survival (mOS), and adverse events (AEs) incidence. Univariate and multivariate analyses were conducted to identify various parameters associated with PFS.

resultsA total of 240 patients were enrolled. After a median follow-up period of 6.5 months, the mPFS [95% confidence interval (CI)] was 7.70 (6.60, 8.60) months and the mOS was not reached. Multivariate analysis revealed association of Eastern Cooperative Oncology Group (ECOG) performance status score with PFS and superior benefits for non-gastric was observed as compared to gastric GISTs [hazard ratio (HR) 0.58, 95% CI (0.39-0.86)]. Disease control rate and tumor shrinkage (any magnitude) was 73% and 43%, respectively. Ripretinib was also effective in the subgroup of patients with different gene mutations. The toxicities were tolerable, and most reported AEs were alopecia (17.1%) and hand-foot syndrome (15.4%).

conclusionRipretinib demonstrated effectiveness and a tolerable safety profile, making it a viable option as a fourth- or later-line treatment in Chinese patients with advanced GISTs, especially for non-gastric GISTs.

trial registrationClinicalTrials.gov identifier, NCT05697107.

Indexed as

Gastrointestinal Stromal TumorsHumansNaphthyridinesNeoplasm Recurrence, LocalProspective StudiesRegistriesUreaNaphthyridinesripretinibUreaGISTPredictive factorsReal-world studyRipretinib

Identifiers

PMID37356078
PMCPMC10427548
OpenAlexW4381950758

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.