Status:

ACTIVE_NOT_RECRUITING

(Peak) A Phase 3 Randomized Trial of CGT9486+Sunitinib vs. Sunitinib in Subjects With Gastrointestinal Stromal Tumors

Lead Sponsor:

Cogent Biosciences, Inc.

Conditions:

Advanced Gastrointestinal Stromal Tumors

Metastatic Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This is a Phase 3, open-label, international, multicenter study of CGT9486 in combination with sunitinib. This is a multi-part study that will enroll approximately 442 patients. Part 1 consists of two...

Eligibility Criteria

Inclusion

  • Key
  • Histologically confirmed locally advanced, metastatic, and/or unresectable GIST. Molecular pathology report must be available for Part 2; if molecular pathology report is unavailable or inadequate, an archival or fresh tumor tissue sample will be required to evaluate mutational status prior to randomization.
  • Documented disease progression on or intolerance to imatinib
  • Subjects must have received the following treatment:
  • DDI Substudy/Part 1a: Treatment with ≥1 prior lines of therapy for GIST Part 1b: Treatment with ≥2 prior TKI for GISTs Part 2: Prior treatment with imatinib only
  • Have at least 1 measurable lesion according to mRECIST v1.1 (Part1a, Part 1b, Part 2)
  • ECOG - 0 to 2
  • Have clinically acceptable local laboratory screening results (clinical chemistry and hematology) within certain limits
  • Key

Exclusion

  • Known PDGFR driving mutations or known succinate dehydrogenase deficiency
  • Clinically significant cardiac disease
  • Major surgeries (eg, abdominal laparotomy) within 4 weeks of the first dose of study drug
  • Gastrointestinal abnormalities including, but not limited to, significant nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate absorption
  • Any active bleeding excluding hemorrhoidal or gum bleeding
  • Seropositive for HIV 1 or 2, or positive for hepatitis B surface antigen or hepatitis C virus (HCV) antibody.
  • Active, uncontrolled, systemic bacterial, fungal, or viral infections at Screening
  • Received strong CYP3A4 inhibitors or inducers
  • Received sunitinib within 3 weeks (Part 1a, Part 1b, DDI Substudy)

Key Trial Info

Start Date :

April 14 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2026

Estimated Enrollment :

442 Patients enrolled

Trial Details

Trial ID

NCT05208047

Start Date

April 14 2022

End Date

September 1 2026

Last Update

November 25 2025

Active Locations (126)

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Page 1 of 32 (126 locations)

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35249

2

Mayo Clinic

Scottsdale, Arizona, United States, 85259

3

University of Arizona- Cancer Center

Tucson, Arizona, United States, 85719

4

City of Hope

Duarte, California, United States, 91010