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Tyrosine Kinase Inhibitor

Ripretinib vs Sunitinib for Gastrointestinal Stromal Tumor (INSIGHT Trial)

Phase 3
Recruiting
Research Sponsored by Deciphera Pharmaceuticals LLC
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to approximately 48 months
Awards & highlights
No Placebo-Only Group
Pivotal Trial

Summary

This trial compares a new drug (ripretinib) to an existing one (sunitinib) to treat people with GIST who have progressed on a previous drug. Participants may switch to ripretinib if disease progresses.

Who is the study for?
This trial is for adults over 18 with advanced Gastrointestinal Stromal Tumor (GIST) who have progressed after imatinib treatment and have specific KIT exon mutations. Participants must be in good enough health to perform daily activities, not pregnant, agree to use contraception, and cannot have had major surgery recently or certain heart conditions.
What is being tested?
The study compares the effectiveness of two drugs: Ripretinib and Sunitinib in patients whose GIST has worsened despite initial therapy. It's a global test where people are randomly chosen to receive either drug. If Sunitinib fails, those patients can switch to Ripretinib.
What are the potential side effects?
Possible side effects include tiredness, nausea, skin changes like rashes or blisters, high blood pressure, bleeding issues, liver problems which might show as yellowing skin or eyesight troubles.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to approximately 48 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to approximately 48 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Progression-free Survival (PFS)
Secondary study objectives
Objective Response Rate (ORR)
Overall Survival (OS)

Side effects data

From 2017 Phase 2 & 3 trial • 78 Patients • NCT01164202
31%
Platelets
28%
Neutrophiles
26%
Bilirubine
23%
Asthenia
21%
ASAT
21%
ALAT
15%
Leucocytose
13%
Hand-foot syndrome
13%
Liver failure
10%
Abdominal pain
8%
Fever
8%
Increase GGT
8%
Anorexia
5%
Encephalopathy
5%
Arterial hypertension
5%
Liver pain
5%
Ascite
5%
Phosphatases alcalines
5%
Diarrhea
5%
Encephalopathia
5%
Hemoglobine
3%
Lumbar pain
3%
Hemoglobin
3%
Prothrombin time
100%
80%
60%
40%
20%
0%
Study treatment Arm
Placebo
Sunitinib

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: RipretinibExperimental Treatment1 Intervention
150 mg QD of ripretinib (3×50 mg tablets) will be dosed continuously in repeated 42-day cycles.
Group II: SunitinibActive Control1 Intervention
50 mg QD of sunitinib (4×12.5 mg capsules) will be dosed in 42-day cycles. Sunitinib will be given continuously for 4 weeks with a 2-week break.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ripretinib
2020
Completed Phase 2
~130

Find a Location

Who is running the clinical trial?

Deciphera Pharmaceuticals LLCLead Sponsor
16 Previous Clinical Trials
1,947 Total Patients Enrolled
Deciphera Pharmaceuticals, LLCLead Sponsor
18 Previous Clinical Trials
2,103 Total Patients Enrolled
Clinical TeamStudy DirectorDeciphera Pharmaceuticals, LLC
4 Previous Clinical Trials
423 Total Patients Enrolled

Media Library

Ripretinib (Tyrosine Kinase Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT05734105 — Phase 3
Gastrointestinal stromal tumor Research Study Groups: Ripretinib, Sunitinib
Gastrointestinal stromal tumor Clinical Trial 2023: Ripretinib Highlights & Side Effects. Trial Name: NCT05734105 — Phase 3
Ripretinib (Tyrosine Kinase Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05734105 — Phase 3
~30 spots leftby Feb 2026