Evidence map›Paper›PMID 40546971›Full record

ArticleClinical Medicine Insights. Oncology2025

Primary Management of Localized Gastrointestinal Stromal Tumors With Imatinib Monotherapy: An Alternative to Resection of Patients Precluded From Surgery.

John S Wang, Brandon L Ellsworth, Rusul Al-Marayaty, Sean Stencel, Farres Obeidin, Borislav A Alexiev, Akhil Chawla, Jeffrey D Wayne, Vinai Gondi, John Hayes and 3 more

Abstract read
In one paragraph

Article in Clinical Medicine Insights. Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

13 authors.

John S WangDivision of Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID https://orcid.org/0000-0001-5532-2101
Brandon L EllsworthDivision of Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Rusul Al-MarayatyDivision of Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Sean StencelDivision of Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Farres ObeidinDepartment of Pathology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Borislav A AlexievDepartment of Pathology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Akhil ChawlaDivision of Surgical Oncology, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Jeffrey D WayneDivision of Surgical Oncology, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Vinai GondiDepartment of Radiation Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
John HayesDepartment of Radiation Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Fahad FaruqiDivision of Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Seth M PollackDivision of Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Pedro Hermida de ViveirosDivision of Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In this study, our goal was to elucidate the role for imatinib monotherapy for treatment of patients with localized gastrointestinal stromal tumors (GISTs) who are precluded from standard-of-care surgical resection due to their medical comorbidities or patient preference. Methods: A single-center retrospective study was conducted on a consecutive cohort of adult patients with pathology-confirmed gastrointestinal stromal tumors. The cohort of interest (n = 11) was the subset of patients on imatinib therapy alone with no prior history of curative-intent surgical resection. We analyzed patient demographics, GIST disease characteristics, treatment type, and medical comorbidities at the time of diagnosis. Overall survival (OS) and progression-free survival (PFS) were assessed using Kaplan-Meier univariate analysis. Results: Eleven patients met our inclusion criteria. Median age was 77 years (range 65-82) and 7 patients (64%) were men. Eight cases were gastric primary, 2 cases were duodenal, and 1 was esophageal. Four cases had genomics available, 3 of which harbored KIT mutations. For all cases, the documented mitotic rate was less than 5 per 5 mm Conclusion: Patients tolerated imatinib monotherapy well and demonstrated robust survival data. Our research highlights a new potential application for imatinib in a patient population that has historically been precluded from standard-of-care therapy for their disease.

Indexed as

Gastrointestinal stromal tumornext-generation sequencingoutcomes researchrare tumorstyrosine kinase inhibitors (TKIs)

Identifiers

PMID40546971
PMCPMC12179437

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.