RecruitingPhase 3NCT07218926

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

A Phase 3, Randomized, Multicenter, Open-Label Study of IDRX-42 (GSK6042981) Versus Sunitinib in Participants With Metastatic and/or Unresectable Gastrointestinal Stromal Tumors (GIST) After Imatinib Therapy (StrateGIST 3)


Sponsor

GlaxoSmithKline

Enrollment

450 participants

Start Date

Dec 3, 2025

Study Type

INTERVENTIONAL

Conditions

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.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Participants with histologically or cytologically confirmed GIST that is metastatic and/or surgically unresectable.
  • Documented disease progression on or intolerance to imatinib administered for first-line treatment of unresectable/metastatic disease.
  • Tumor tissue must be available to be submitted to the central laboratory for retrospective biomarker analysis. The sample may be from archival tissue or a new biopsy. Tissue samples are not required to be submitted centrally prior to randomization.

Exclusion Criteria3

  • Known untreated or active central nervous system metastases.
  • Participants with a known allergy or hypersensitivity 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 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.

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Interventions

DRUGIDRX-42

IDRX-42 will be administered.

DRUGSunitinib

Sunitinib will be administered.


Locations(84)

GSK Investigational Site

Phoenix, Arizona, United States

GSK Investigational Site

Jacksonville, Florida, United States

GSK Investigational Site

Orlando, Florida, United States

GSK Investigational Site

Iowa City, Iowa, United States

GSK Investigational Site

Overland Park, Kansas, United States

GSK Investigational Site

Boston, Massachusetts, United States

GSK Investigational Site

Boston, Massachusetts, United States

GSK Investigational Site

Rochester, Minnesota, United States

GSK Investigational Site

Omaha, Nebraska, United States

GSK Investigational Site

Lake Success, New York, United States

GSK Investigational Site

New York, New York, United States

GSK Investigational Site

Durham, North Carolina, United States

GSK Investigational Site

Philadelphia, Pennsylvania, United States

GSK Investigational Site

Philadelphia, Pennsylvania, United States

GSK Investigational Site

Knoxville, Tennessee, United States

GSK Investigational Site

Dallas, Texas, United States

GSK Investigational Site

Houston, Texas, United States

GSK Investigational Site

Tacoma, Washington, United States

GSK Investigational Site

Melbourne, Victoria, Australia

GSK Investigational Site

Leuven, Belgium

GSK Investigational Site

Barretos, São Paulo, Brazil

GSK Investigational Site

Porto Alegre, Brazil

GSK Investigational Site

Recife, Brazil

GSK Investigational Site

Vitória, Brazil

GSK Investigational Site

Toronto, Ontario, Canada

GSK Investigational Site

Montreal, Quebec, Canada

GSK Investigational Site

Beijing, China

GSK Investigational Site

Jinan, China

GSK Investigational Site

Bordeaux, France

GSK Investigational Site

Lille, France

GSK Investigational Site

Lyon, France

GSK Investigational Site

Saint-Herblain, France

GSK Investigational Site

Villejuif, France

GSK Investigational Site

Berlin, Germany

GSK Investigational Site

Meldola, FC, Italy

GSK Investigational Site

Candiolo, Italy

GSK Investigational Site

Milan, Italy

GSK Investigational Site

Palermo, Italy

GSK Investigational Site

Roma, Italy

GSK Investigational Site

Chiba, Japan

GSK Investigational Site

Ehime, Japan

GSK Investigational Site

Fukuoka, Japan

GSK Investigational Site

Hokkaido, Japan

GSK Investigational Site

Kanagawa, Japan

GSK Investigational Site

Kumamoto, Japan

GSK Investigational Site

Miyagi, Japan

GSK Investigational Site

Osaka, Japan

GSK Investigational Site

Tokyo, Japan

GSK Investigational Site

Tokyo, Japan

GSK Investigational Site

Nijmegen, Netherlands

GSK Investigational Site

Oslo, Norway

GSK Investigational Site

Kielce, Poland

GSK Investigational Site

Poznan, Poland

GSK Investigational Site

Warsaw, Poland

GSK Investigational Site

Bucharest, Romania

GSK Investigational Site

Craiova, Romania

GSK Investigational Site

Timișoara, Romania

GSK Investigational Site

Daegu, South Korea

GSK Investigational Site

Seongnam-si Gyeonggi-do, South Korea

GSK Investigational Site

Seoul, South Korea

GSK Investigational Site

Seoul, South Korea

GSK Investigational Site

Seoul, South Korea

GSK Investigational Site

Seoul, South Korea

GSK Investigational Site

Suwon Kyunggi-do, South Korea

GSK Investigational Site

Yangsan, South Korea

GSK Investigational Site

Barcelona, Spain

GSK Investigational Site

Madrid, Spain

GSK Investigational Site

Madrid, Spain

GSK Investigational Site

Madrid, Spain

GSK Investigational Site

Oviedo, Spain

GSK Investigational Site

Seville, Spain

GSK Investigational Site

Valencia, Spain

GSK Investigational Site

Zaragoza, Spain

GSK Investigational Site

Changhua, Taiwan

GSK Investigational Site

Kaohsiung City, Taiwan

GSK Investigational Site

Kaohsiung City, Taiwan

GSK Investigational Site

Taipei, Taiwan

GSK Investigational Site

Taipei, Taiwan

GSK Investigational Site

Taoyuan District, Taiwan

GSK Investigational Site

Cambridge, United Kingdom

GSK Investigational Site

London, United Kingdom

GSK Investigational Site

London, United Kingdom

GSK Investigational Site

Manchester, United Kingdom

GSK Investigational Site

Sheffield, United Kingdom

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NCT07218926


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